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Povzetek: Background: Cystoscopy in complement with urinary cytology represents the gold standard for the follow-up of patients with urinary bladder tumours. Xpert Bladder Cancer Monitor Test (XBC) is a novel mRNA-based urine test for bladder cancer surveillance. The aim of the study was to evaluate the performance of the XBC and voided urinary cytology (VUC) in the follow-up of bladder tumours. Patients and methods. The XBC was performed on stabilized voided urine and VUC was performed on urine samples. The results were compared to cystoscopic findings and histopathological results after transurethral resection of the bladder lesion. Results. For the prediction of malignant histopathological result sensitivity, the specificity and negative predictive value were 76.9%, 97.5% and 93.0% for the XBC and 38.4%, 97.5% and 83.3%, respectively for VUC. For the prediction of suspicious or positive cystoscopic finding sensitivity, the specificity and negative predictive value were 75.0%, 95.2%, and 93.0% respectively for the XBC and 41.7%, 97.6%, and 85.4% for VUC. The sensitivities for papilary urothelial neoplasms of low malignant potential (PUNLMP), low- and high-grade tumours were 0.0%, 66.7% and 100.0% for the XBC and 0.0%, 66.7% and 42.9%, respectively for VUC. Conclusions: The XBC showed significantly higher overall sensitivity and negative predictive value than VUC and could be used to increase the recommended follow-up cystoscopy time intervals. Complementing the XBC and voided urinary cytology does not improve performance in comparison to the XBC alone.
Ključne besede: cystoscopy, Xpert BC monitor test, urinary bladder neoplasm, voided urinary cytology
Objavljeno v DiRROS: 19.07.2024; Ogledov: 314; Prenosov: 137
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Povzetek: Addressing coastal risks related to sea storms requires an integrative approach which combines monitoring stations, forecasting models, early warning systems, and coastal management and planning. Such great effort is sometimes possible only through transnational cooperation, which becomes thus vital to face, effectively and promptly, the marine events which are responsible for damage impacting the environment and citizens' life. Here we present a shared and interoperable system to allow a better exchange of and elaboration on information related to sea storms among countries. The proposed integrated web system (IWS) is a combination of a common data system for sharing ocean observations and forecasts, a multi-model ensemble system, a geoportal, and interactive geo-visualisation tools to make results available to the general public. The multi-model ensemble mean and spread for sea level height and wave characteristics are used to describe three different sea condition scenarios. The IWS is designed to provide sea state information required for issuing coastal risk alerts over the analysed region as well as for being easily integrated into existing local early warning systems. This study describes the application of the developed system to the exceptional storm event of 29 October 2018 that caused severe flooding and damage to coastal infrastructure in the Adriatic Sea. The forecasted ensemble products were successfully compared with in situ observations. The hazards estimated by integrating IWS results in existing early warning systems were confirmed by documented storm impacts along the coast of Slovenia, Emilia-Romagna and the city of Venice. For the investigated event, the most severe simulated scenario results provide a realistic and conservative estimation of the peak storm conditions to be used in coastal risk management.
Ključne besede: sea storms, integrated web system (IWS)
Objavljeno v DiRROS: 19.07.2024; Ogledov: 269; Prenosov: 195
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Povzetek: Polyester fiber is one of the most abundant types of microplastics in the environment. A major proportion of the fibers entering wastewater treatment plants end up in sewage sludge, which is used as a soil fertilizer in many countries. As their impacts in the terrestrial environment are still poorly understood, we studied the effects of polyester fibers on enchytraeids (Enchytraeus crypticus), springtails (Folsomia candida), isopods (Porcellio scaber) and oribatid mites (Oppia nitens), all playing an important role in soil decomposer food webs. We exposed these invertebrates in the laboratory to short (12 µm–2.87 mm) and long (4–24 mm) polyester fibers, spiked in soil or in food at five concentrations ranging from 0.02% to 1.5% (w/w) and using five replicates. Overall the effects of polyester fibers on the soil invertebrates were slight. Energy reserves of the isopods were slightly affected by both fiber types, and enchytraeid reproduction decreased up to 30% with increasing fiber concentration, but only for long fibers in soil. The low ingestion of long fibers by the enchytraeids suggests that this negative impact arose from a physical harm outside the organism, or from indirect effects resulting from changes in environmental conditions. The short fibers were clearly ingested by enchytraeids and isopods, with the rate of ingestion positively related to fiber concentration in the soil. This study shows that polyester fibers are not very harmful to soil invertebrates upon short-term exposure. However, longer lasting, multigeneration studies with functional endpoints are needed to reveal the possible long-term effects on soil invertebrates and their role in the decomposition process. This study also shows that polyester fibers can enter terrestrial food web via ingestion of fibers by soil invertebrates.
Ključne besede: microplastic, polyester fibres, soil ecotoxicology, Enchytraeid, springtail, isopod
Objavljeno v DiRROS: 19.07.2024; Ogledov: 292; Prenosov: 170
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Povzetek: The Mediterranean stony coral Cladocora caespitosa (Linnaeus, 1767) is a well-known habitat builder, and as such hosts a diversified faunal assemblage. Although polychaetes are one of the most abundant and diverse macrobenthic groups associated with C. caespitosa colonies, our knowledge of their ecological features in this association is still limited. The aim of this paper was to gather and compare the most comprehensive data available on polychaetes associated with C. caespitosa in the Adriatic and the Aegean Seas, and to test for differences between these geographic areas. To this end, differences were tested in terms of: (i) richness and structure of polychaete assemblages; (ii) feeding and functional traits of assemblages; (iii) the main factors influencing those aspects, (iv) the relationship between polychaete assemblages richness and Cladocora colony size, and estimate richness. Differences were observed between the Adriatic and the Aegean Seas, in terms of richness, species composition and relative proportion of the dominant feeding guild (filter feeders most abundant in the Aegean and carnivores in the Adriatic) and motility mode (sessile most abundant in the Aegean and motile in the Adriatic). Conversely, cosmopolitan and Atlanto-Mediterranean species dominated the assemblages in both geographic areas, and the same Species-Area Relation model proved to be effective for richness estimation in both geographic areas.
Ključne besede: benthic ecology, habitat builder species, polychaeta, Mediterranean Sea
Objavljeno v DiRROS: 19.07.2024; Ogledov: 236; Prenosov: 117
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Povzetek: Background: Mutations in isocitrate dehydrogenase 1 (IDH1) occur in 60% of chondrosarcoma, 80% of WHO grade II-IV glioma and 20% of intrahepatic cholangiocarcinoma. These solid IDH1-mutated tumors produce the oncometabolite D-2-hydroxyglutarate (D-2HG) and are more vulnerable to disruption of their metabolism. Methods: Patients with IDH1-mutated chondrosarcoma, glioma and intrahepatic cholangiocarcinoma received oral combinational treatment with the antidiabetic drug metformin and the antimalarial drug chloroquine. The primary objective was to determine the occurrence of dose-limiting toxicities (DLTs) and the maximum tolerated dose (MTD). Radiological and biochemical tumor responses to metformin and chloroquine were investigated using CT/MRI scans and magnetic resonance spectroscopy (MRS) measurements of D-2HG levels in serum. Results: Seventeen patients received study treatment for a median duration of 43 days (range: 7–74 days). Of twelve evaluable patients, 10 patients discontinued study medication because of progressive disease and two patients due to toxicity. None of the patients experienced a DLT. The MTD was determined to be 1500 mg of metformin two times a day and 200 mg of chloroquine once a day. A serum D/L-2HG ratio of ≥4.5 predicted the presence of an IDH1 mutation with a sensitivity of 90% and a specificity of 100%. By utilization of digital droplet PCR on plasma samples, we were able to detect tumor-specific IDH1 hotspot mutations in circulating tumor DNA (ctDNA) in investigated patients. Conclusion: Treatment of advanced IDH1-mutated solid tumors with metformin and chloroquine was well tolerated but did not induce a clinical response in this phase Ib clinical trial.
Ključne besede: metformin, chloroquine, cancer, isocitrate dehydrogenase, pharmacokinetics, glioblastoma, intrahepatic cholangiocarcinoma, chondrosarcoma
Objavljeno v DiRROS: 19.07.2024; Ogledov: 261; Prenosov: 182
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