Ultrasound-guided percutaneous radiofrequency ablation for treating small renal masses

INTRODUCTION

The objective of this study was to analyse and assess the experience with radiofrequency ablation of small renal masses using a contrast-enhanced, ultrasound-guided percutaneous approach for patients who are not suitable for surgical resection and/or who refused surveillance or observation.

MATERIAL AND METHOD

From January 2007 to August 2015, 164 treatments were performed on a total of 148 patients. We present the patients' clinical-radiological characteristics, oncological and functional results in the short and medium term.

RESULTS

The overall technical success rate was 97.5%, with a successful outcome in 1 session in 100% of the lesions≤3cm and 92% in lesions measuring 3-5cm. The mean tumour diameter in the patients for whom the treatment was ultimately successful was 2.7cm, while the mean diameter of these in the unsuccessful operations was 3.9cm (P<.05). There were no statistically significant differences in the serum creatinine levels and estimated glomerular filtration rates.

CONCLUSIONS

Despite the low rate of positive renal biopsies in the series, ultrasound-guided percutaneous radiofrequency ablation for treating small renal lesions appears to be an effective and safe procedure with a minimum impact on renal function, an acceptable oncologic control in the short and medium term and a low rate of complications.

Determination and characterization of glycerophospholipids in olive fruit and oil by nonaqueous capillary electrophoresis with electrospray-mass spectrometric detection

A nonaqueous capillary electrophoresis method with electrospray-mass spectrometric detection was developed to study the glycerophospholipid fraction in olive fruit and olive oil samples. In olive fruits, where the information available about the phospholipid fraction was very scarce, results obtained in this work allowed us to complete and improve this knowledge. The glycerophospholipid fraction of the olive fruit samples analyzed was composed of phosphatidylcholine (PC), phosphatidylethanolamine (PE), lysophosphatidylethanolamine (lyso-PE), phosphatidylinositol (PI), phosphatidic acid (PA), lysophosphatidic acid (lyso-PA), and phosphatidylglycerol (PG). Differences in the relative abundance of the glycerophospholipid classes determined were observed as a function of the botanical and geographical origin of the olive fruits analyzed. Interestingly, the olive stone and pulp analyzed also showed different glycerophospholipid compositions. For olive oil, five glycerophospholipids (lyso-PA, PC, PE, lyso-PE, and PG) were detected. Finally, identification of the main molecular species in the different glycerophospholipid classes for the olive fruit samples analyzed was accomplished by tandem mass spectrometric experiments and information from the literature.

Characterization of carboxylate-terminated carbosilane dendrimers and their evaluation as nanoadditives in capillary electrophoresis for vegetable protein profiling

Protein profiles are becoming an important tool to differentiate and classify varieties of several cultivars and to obtain a specific fingerprint for them. The use of protein profiles for these purposes needs to achieve high separation efficiencies to obtain a high number of well resolved peaks. In this work, carbosilane dendrimers with interior carbon-silicon bonds and negatively charged in the dendrimer surface with carboxylic acid as functional groups were employed as nanoadditives to separate soybean and olive seeds proteins. First, these dendrimers were characterized using CE to evaluate their possible impurities. A potentiometric titration was later carried out to determine their pK(a) values. Afterwards, the characterized dendrimers were used to improve the protein profiles obtained by EKC for vegetable proteins. Different dendrimer generations (G1, G2, and G3) and concentrations (0.01-1% m/v) were tested. The highest dendrimer generation G3 at 0.1% (m/v) allowed observing the best protein profiles for soybean and olive seeds. These results demonstrate that carboxylate-terminated carbosilane dendrimers are attractive nanoadditives in EKC for the effective separation of vegetable proteins.

Analysis of olive allergens

Olive pollen is one of the most important causes of seasonal respiratory allergy in Mediterranean countries, where this tree is intensely cultivated. Besides this, some cases of contact dermatitis and food allergy to the olive fruit and olive oil have been also described. Several scientific studies dealing with olive allergens has been reported, being the information available about them constantly increasing. Up to date, twelve allergens have been identified in olive pollen while just one allergen has been identified in olive fruit. This review article describes considerations about allergen extraction and production, also describing the different methodologies employed in the physicochemical and immunological characterization of olive allergens. Finally, a revision of the most relevant studies in the analysis of both olive pollen and olive fruit allergens is carried out.

The association between vascular endothelial growth factor levels and clinically evident peripheral edema in dogs with systemic inflammatory response syndrome

OBJECTIVE

To determine the relationship between plasma vascular endothelial growth factor (VEGF) levels, severity of illness, and edema formation in critically ill dogs.

DESIGN

Prospective, observational, descriptive, clinical study.

SETTING

University Teaching Hospital.

ANIMALS

Twenty-eight dogs.

INTERVENTIONS

None.

MEASUREMENTS AND MAIN RESULTS

Physical examination and multifrequency bioimpedance (MFBIA) measurements were performed daily on 28 critically ill dogs with evidence of severe inflammatory disease and compared with the corresponding plasma VEGF levels. The change in VEGF values and the relationship between MFBIA measurements and clinical evidence of edema were also examined. Eighteen dogs had a positive VEGF level, 12 dogs had clinical evidence of edema, and 7 dogs had both a positive VEGF level and clinical evidence of edema. There was no statistically significant correlation between VEGF levels and the presence of edema on physical examination (P=0.2). VEGF values were also evaluated with respect to WBC count, survival prediction index, presence of known sepsis, change in extracellular water, and outcome. No statistical relationship could be identified between VEGF levels in the blood of dogs with inflammatory disease and their survival prediction index (P=0.1), the WBC count (P=0.2), or presence of sepsis (P=0.2). Dogs with a VEGF level >70 pg/mL (n=3) were less likely to survive (P=0.04). Because of high variability within and between animals, conclusions regarding changes in MFBIA could not be made, suggesting that this technology requires further refinement and investigation in critically ill dogs.

CONCLUSIONS

A relationship between VEGF and clinically evident increased vascular permeability was not found in this study. Dogs with markedly elevated VEGF levels may be more likely to die, but further studies are needed to determine the diagnostic and prognostic value of VEGF in critically ill dogs.

Preference in the nodulation of Phaseolus vulgaris cultivar RAB39

The low nodule occupancy achieved by superior nitrogen-fixing inoculant strains is a problem in the production of many traditional legume species, including Phaseolus vulgaris. Cultivars that select for inoculant strains, rather than nodulate with ineffective indigenous rhizobia, offer one approach to the resolution of this problem. In this study we identify a bean cultivar, RAB39, that nodulates preferentially with Rhizobium tropici, including the inoculant-quality strain UMR1899. This preference in nodulation was not affected by temperature or pH, though strain preference by a second, alkaline-producing Rhizobium etli strain did vary markedly with temperature. When RAB39 was inoculated with 1:1 mixtures of UMR1899 and seven serologically distinct strains of Rhizobium etli, more than 75% of the nodules formed by each strain pair contained UMR1899. A number of studies have reported close correlations between the percent nodule occupancy and speed of nodulation, measured using the root-tip-marking procedure. Exceptions to this correlation were evident in the present study, suggesting that host preference in nodulation was not related to differences in the parameters normally used to estimate speed of nodulation. The preference of RAB39 for R. tropici, a species of Rhizobium that occurs at low frequency in most bean soils, and especially for the inoculant-quality strain UMR1899, provides a tool to overcome the lack of response to inoculation in common bean.Key words: competition, nodulation efficiency, strain preference, common bean.