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Sousa-Machado A, Monteiro E. Elective Revision Surgery in Head and Neck Cancer Patients: A Retrospective Analysis at an Oncology Centre in Porto, Portugal. Cureus 2023; 15:e50253. [PMID: 38196412 PMCID: PMC10774838 DOI: 10.7759/cureus.50253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2023] [Indexed: 01/11/2024] Open
Abstract
Introduction Elective revision surgery in head and neck cancer is crucial for refining and optimizing outcomes, ensuring complete tumor removal, and enhancing both functional and aesthetic aspects, ultimately improving the overall quality of life for patients. The aim of this study is to analyze the overall survival (OS) of head and neck cancer patients who underwent elective revision surgery with or without adjuvant treatment between 2019 and 2022, reflecting on the practice between those years in IPO-Porto, Porto, Portugal. Methods This study included 58 patients who underwent 116 major neck surgeries. Multidisciplinary head and neck follow-up records were obtained for every patient. Overall survival and disease-specific survival (DSS) curves were calculated using the Kaplan-Meier method, and statistical significance was determined by the Log-Rank test. We did a retrospective study with an anterograde direction, evaluating the treatments that were previously done by the patients. Results The sample comprised 51 males (87.9%) and seven females (12.1%), with a mean age of 59.02±11.014 years. Head and neck pathology was mostly in the larynx (36.2%). The type of the first surgery was mainly directed to the primary tumor in 62.1% (n=36). In the other 37.9% (n=22), surgery was directed to the primary tumor in association with neck dissection. The type of the second surgery was mainly revision surgery. We found that T4 tumors (HR (hazard ratio) = 10.219, p = 0.006) and hypopharynx tumors (HR = 5.306, p =0.035) were significantly associated with inferior OS. Conclusion In our sample, we found that a T4 and a tumor located in the hypopharynx were significantly associated with inferior OS in elective head and neck oncologic revision surgery. Disease-free survival in patients undergoing revision surgery in our sample is generally poor. In our sample, there was a statistically significant difference in overall survival between the group who underwent surgery for microscopic evidence of persistent tumor (R1) versus clinical and imagiological tumoral persistency. In our sample, the time between the first and second surgeries wasn't linked with an inferior OS. Further studies with larger populations and prospective design, with longer follow-ups can be the road to a better understanding of this issue.
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Affiliation(s)
- André Sousa-Machado
- Ear, Nose, and Throat, Centro Hospitalar Universitário do Porto, Porto, PRT
- Medical Education and Simulation, Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilha, PRT
| | - Eurico Monteiro
- Otolaryngology - Head and Neck Surgery, Instituto Português de Oncologia do Porto, Porto, PRT
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McKenzie-Smith GC, Wolf SW, Ayroles JF, Shaevitz JW. Capturing continuous, long timescale behavioral changes in Drosophila melanogaster postural data. ARXIV 2023:arXiv:2309.04044v1. [PMID: 37731659 PMCID: PMC10508836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 09/22/2023]
Abstract
Animal behavior spans many timescales, from short, seconds-scale actions to circadian rhythms over many hours to life-long changes during aging. Most quantitative behavior studies have focused on short-timescale behaviors such as locomotion and grooming. Analysis of these data suggests there exists a hierarchy of timescales; however, the limited duration of these experiments prevents the investigation of the full temporal structure. To access longer timescales of behavior, we continuously recorded individual Drosophila melanogaster at 100 frames per second for up to 7 days at a time in featureless arenas on sucrose-agarose media. We use the deep learning framework SLEAP to produce a full-body postural data set for 47 individuals resulting in nearly 2 billion pose instances. We identify stereotyped behaviors such as grooming, proboscis extension, and locomotion and use the resulting ethograms to explore how the flies' behavior varies across time of day and days in the experiment. We find distinct circadian patterns in all of our stereotyped behavior and also see changes in behavior over the course of the experiment as the flies weaken and die.
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Affiliation(s)
| | - Scott W. Wolf
- Lewis-Sigler Institute for Integrative Genomics, Princeton University, Princeton, NJ, USA
| | - Julien F. Ayroles
- Lewis-Sigler Institute for Integrative Genomics, Princeton University, Princeton, NJ, USA
- Department of Ecology and Evolutionary Biology, Princeton University, Princeton, NJ, USA
| | - Joshua W. Shaevitz
- Department of Physics, Princeton University, Princeton, NJ, USA
- Lewis-Sigler Institute for Integrative Genomics, Princeton University, Princeton, NJ, USA
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Persistent One-Way Walking in a Circular Arena in Drosophila melanogaster Canton-S Strain. Behav Genet 2017; 48:80-93. [DOI: 10.1007/s10519-017-9881-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2017] [Accepted: 10/24/2017] [Indexed: 01/06/2023]
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de la Flor M, Chen L, Manson-Bishop C, Chu TC, Zamora K, Robbins D, Gunaratne G, Roman G. Drosophila increase exploration after visually detecting predators. PLoS One 2017; 12:e0180749. [PMID: 28746346 PMCID: PMC5528251 DOI: 10.1371/journal.pone.0180749] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Accepted: 06/20/2017] [Indexed: 01/09/2023] Open
Abstract
Novel stimuli elicit behaviors that are collectively known as specific exploration. These behaviors allow the animal to become more familiar with the novel objects within its environment. Specific exploration is frequently suppressed by defensive reactions to predator cues. Herein, we examine if this suppression occurs in Drosophila melanogaster by measuring the response of these flies to wild harvested predators. The flies used in our experiments have been cultured and had not lived under predator threat for multiple decades. In a circular arena with centrally-caged predators, wild type Drosophila actively avoided the pantropical jumping spider, Plexippus paykulli, and the Texas unicorn mantis, Phyllovates chlorophaena, indicating an innate defensive reaction to these predators. Interestingly, wild type Drosophila males also avoided a centrally-caged mock spider, and the avoidance of the mock spider became exaggerated when it was made to move within the cage. Visually impaired Drosophila failed to detect and avoid the Plexippus paykulli and the moving mock spider, while the broadly anosmic orco2 mutants were fully capable of detecting and avoiding Plexippus paykulli, indicating that these flies principally relied upon vison to perceive the predator stimuli. During early exploration of the arena, exploratory activity increased in the presence of Plexippus paykulli and the moving mock spider. The elevated activity induced by Plexippus paykulli disappeared after the fly had finished exploring, suggesting the flies were capable of habituating the predator cues. Taken together, these results indicate that despite being isolated from predators for decades Drosophila will visually detect these predators, retain innate defensive behaviors, respond by increasing exploratory activity in the arena rather than suppressing activity, and may habituate to normal predator cues.
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Affiliation(s)
- Miguel de la Flor
- Department of Biology and Biochemistry, University of Houston, Houston, TX, United States of America
- Biology of Behavior Institute, University of Houston, TX, United States of America
| | - Lijian Chen
- Department of Physics, University of Houston, Houston, TX, United States of America
| | - Claire Manson-Bishop
- Department of Biology and Biochemistry, University of Houston, Houston, TX, United States of America
| | - Tzu-Chun Chu
- Department of Biology and Biochemistry, University of Houston, Houston, TX, United States of America
| | - Kathya Zamora
- Department of Biology and Biochemistry, University of Houston, Houston, TX, United States of America
| | - Danielle Robbins
- Department of Biology and Biochemistry, University of Houston, Houston, TX, United States of America
| | - Gemunu Gunaratne
- Department of Physics, University of Houston, Houston, TX, United States of America
| | - Gregg Roman
- Department of Biology and Biochemistry, University of Houston, Houston, TX, United States of America
- Biology of Behavior Institute, University of Houston, TX, United States of America
- Department of Biology, University of Mississippi, University MS, United States of America
- * E-mail:
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Amichay G, Ariel G, Ayali A. The effect of changing topography on the coordinated marching of locust nymphs. PeerJ 2016; 4:e2742. [PMID: 27994966 PMCID: PMC5157191 DOI: 10.7717/peerj.2742] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Accepted: 11/01/2016] [Indexed: 11/25/2022] Open
Abstract
Collective motion has traditionally been studied in the lab in homogeneous, obstacle-free environments, with little work having been conducted with changing landscapes or topography. Here, the impact of spatial heterogeneity on the collective motion exhibited by marching desert locust nymphs was studied under controlled lab conditions. Our experimental circular arenas, incorporating a funnel-like narrowing followed by re-widening, did not constitute a major barrier to the locusts but, rather, mimicked a changing topography in the natural environment. We examined its effects on macroscopic features of the locust collective behavior, as well as the any changes in their marching kinematics. A major finding was that of the limited extent to which the changing topography affected system-level features of the marching locust group, such as the order parameter and the fraction of walking individuals, despite increased crowding at the funnel. Overall, marching kinematics was also very little affected, suggesting that locust marching bands adjust to the environment, with little effect on the overall dynamics of the group. These findings are in contrast to recent theoretical results predicting that environmental heterogeneities qualitatively alter the dynamics of collectively moving particles; and highlight the crucial role of rapid individual plasticity and adaptability in the dynamics of flocks and swarms. Our study has revealed other important features of the marching behavior of the desert locust in addition to its robustness: the locusts demonstrated both, clear thigmotaxis and a tendency to spread-out and fill the available space.
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Affiliation(s)
- Guy Amichay
- Department of Zoology, Tel Aviv University, Tel Aviv, Israel; Current affiliation: The Department of Collective Behaviour at the University of Konstanz/Max Planck Institute of Ornithology, Konstanz, Germany
| | - Gil Ariel
- Department of Mathematics, Bar-Ilan University , Ramat Gan , Israel
| | - Amir Ayali
- Department of Zoology, Tel Aviv University, Tel Aviv, Israel; Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel
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Locomotion Induced by Spatial Restriction in Adult Drosophila. PLoS One 2015; 10:e0135825. [PMID: 26351842 PMCID: PMC4564261 DOI: 10.1371/journal.pone.0135825] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Accepted: 07/27/2015] [Indexed: 11/19/2022] Open
Abstract
Drosophila adults display an unwillingness to enter confined spaces but the behaviors induced by spatial restriction in Drosophila are largely unknown. We developed a protocol for high-throughput analysis of locomotion and characterized features of locomotion in a restricted space. We observed intense and persistent locomotion of flies in small circular arenas (diameter 1.27 cm), whereas locomotion was greatly reduced in large circular arenas (diameter 3.81 cm). The increased locomotion induced by spatial restriction was seen in male flies but not female flies, indicating sexual dimorphism of the response to spatial restriction. In large arenas, male flies increased locomotion in arenas previously occupied by male but not female individuals. In small arenas, such pre-conditioning had no effect on male flies, which showed intense and persistent locomotion similar to that seen in fresh arenas. During locomotion with spatial restriction, wildtype Canton-S males traveled slower and with less variation in speed than the mutant w1118 carrying a null allele of white gene. In addition, wildtype flies showed a stronger preference for the boundary than the mutant in small arenas. Genetic analysis with a series of crosses revealed that the white gene was not associated with the phenotype of boundary preference in wildtype flies.
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Abstract
When encountering novel environments, animals perform complex yet structured exploratory behaviors. Despite their typical structuring, the principles underlying exploratory patterns are still not sufficiently understood. Here we analyzed exploratory behavioral data from two modalities: whisking and locomotion in rats and mice. We found that these rodents maximized novelty signal-to-noise ratio during each exploration episode, where novelty is defined as the accumulated information gain. We further found that these rodents maximized novelty during outbound exploration, used novelty-triggered withdrawal-like retreat behavior, and explored the environment in a novelty-descending sequence. We applied a hierarchical curiosity model, which incorporates these principles, to both modalities. We show that the model captures the major components of exploratory behavior in multiple timescales: single excursions, exploratory episodes, and developmental timeline. The model predicted that novelty is managed across exploratory modalities. Using a novel experimental setup in which mice encountered a novel object for the first time in their life, we tested and validated this prediction. Further predictions, related to the development of brain circuitry, are described. This study demonstrates that rodents select exploratory actions according to a novelty management framework and suggests a plausible mechanism by which mammalian exploration primitives can be learned during development and integrated in adult exploration of complex environments.
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Soibam B, Shah S, Gunaratne GH, Roman GW. Modeling novelty habituation during exploratory activity in Drosophila. Behav Processes 2013; 97:63-75. [PMID: 23597866 DOI: 10.1016/j.beproc.2013.04.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2012] [Revised: 03/29/2013] [Accepted: 04/01/2013] [Indexed: 11/28/2022]
Abstract
Habituation is a common form of non-associative learning in which the organism gradually decreases its response to repeated stimuli. The decrease in exploratory activity of many animal species during exposure to a novel open field arena is a widely studied habituation paradigm. However, a theoretical framework to quantify how the novelty of the arena is learned during habituation is currently missing. Drosophila melanogaster display a high mean absolute activity and a high probability for directional persistence when first introduced to a novel arena. Both measures decrease during habituation to the arena. Here, we propose a phenomenological model of habituation for Drosophila exploration based on two principles: Drosophila form a spatial representation of the arena edge as a set of connected local patches, and repeated exposure to these patches is essential for the habituation of the novelty. The level of exposure depends on the number of visitations and is quantified by a variable referred to as "coverage". This model was tested by comparing predictions against the experimentally measured behavior of wild type Drosophila. The novelty habituation of wild type Canton-S depends on coverage and is specifically independent of the arena radius. Our model describes the time dependent locomotor activity, ΔD, of Canton-S using an experimentally established stochastic process Pn(ΔD), which depends on the coverage. The quantitative measures of exploration and habituation were further applied to three mutant genotypes. Consistent with a requirement for vision in novelty habituation, blind no receptor potential A(7) mutants display a failure in the decay of probability for directional persistence and mean absolute activity. The rutabaga(2080) habituation mutant also shows defects in these measures. The kurtz(1) non-visual arrestin mutant demonstrates a rapid decay in these measures, implying reduced motivation. The model and the habituation measures offer a powerful framework for understanding mechanisms associated with open field habituation.
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Affiliation(s)
- Benjamin Soibam
- Department of Computer Science, University of Houston, Houston, TX 77204, USA
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