Extra Marker Research Articles

The coagulation changes associated with acute variceal bleeding in patients with HCV-induced cirrhosis as assessed by rotational thromboelastometry

Background and objectivesAlterations of hemostasis in patients with decompensated cirrhosis are complex. Accordingly, standard coagulation tests are not feasible to evaluate bleeding risk in these patients. The aim of this study was to assess the coagulation kinetics in cirrhotic patients with variceal bleeding using rotational thromboelastometry (ROTEM). ROTEM including EXTEM, INTEM, and FIBTEM which represent extrinsic, intrinsic pathways, and fibrinogen activity, respectively, was measured in 60 cirrhotic patients with variceal bleeding who were compared to 60 patients with stable cirrhosis. APTEM was optionally performed to evaluate fibrinolysis.ResultsOverall, cirrhosis patients displayed features of hypofibrinolysis, whereas the state of hypocoagulability was significantly higher in cirrhotic patients with variceal bleeding (61.7% versus 30%, p = 0.001). Values of clot formation time (CFT) by EXTEM and INTEM correlated positively with those of model for end-stage liver disease score (r = 0.529, p = 0.001, and r = 0.595, p < 0.001, respectively). Furthermore, in a multivariate analysis, values of CFT in both assays were significantly associated with increased risk of 1.9 (95% CI = 1.04–2.45, p = 0.02) and of 1.78 (95% CI = 1.02–2.14, p = 0.01), respectively, for occurrence of variceal bleeding.ConclusionCirrhotic patients with variceal bleeding frequently showed a hypocoagulable state that is triggered by thrombocytopenia and/or hypofibrinogenemia. CFT by EXTEM and INTEM seemed to be an extra marker for disease severity and prognosis in cirrhosis patients, in addition to its valuable role in prediction of variceal bleeding in these patients. However, large multicenter studies have yet been required.

Genetic Insights into Prepubertal Gynecomastia: A Comprehensive Analysis of a Rare 45,X[2]/ 46,X, + mar[28] Karyotype

Introduction: This case study delves into the genetic underpinnings of prepubertal gynecomastia by conducting an exhaustive analysis of a rare 45,X[2]/46,X,+mar[28] karyotype. Enlargement of male breast tissue, known as Gynecomastia, is generally considered a natural occurrence during adolescence but requires comprehensive assessment in severe cases. Prepubertal gynecomastia is exceedingly uncommon, and the sparse literature results in a lack of comprehensive understanding regarding its causes and management. Case Presentation: This study focuses on a male child aged eight years and six months who presented with bilateral gynecomastia before reaching puberty and also had short stature. The analysis of the patient's karyotype unveiled an unusual chromosomal arrangement of 45,X[2]/46,X,+mar[28], with the extra marker chromosome stemming from the Y chromosome, revealing Yq microdeletions. The clinical evolution, chromosomal examination, and molecular discoveries concerning the patient are detailed, emphasizing the pivotal importance of karyotyping in instances of prepubertal gynecomastia. Conclusion: Karyotyping plays a pivotal role in identifying potential chromosomal anomalies contributing to prepubertal gynecomastia. Specifically, cases involving Yq deletion warrant vigilant monitoring, particularly concerning short stature.

Threads of microbial activity on quasi-anoxic environments: Case studies from Oligocene to Miocene of the Central Paratethys

Microbial activity can be expressed in a wide range of products and forms including boring structures, biofilm-like subproducts, and framboidal pyrite precipitates. Microendolithic structures, in particular, are found in carbonate hardgrounds including tests of planktonic and benthic foraminifera and their traces can provide an extra paleoenvironmental marker of relative paleobathymetry, oxygenation, and environmental stress. Variegated traces of microbial activity including microborings, framboidal pyrite bacterial subproducts, and probable biofilms were herein studied in tests of benthic foraminifera from dysphotic to aphotic, shelf to an upper bathyal hypoxic environment. Collected material is from 6 localities in the Central Paratethys area, the Czech Republic (LOM-1 Mikulov, Hevlín), Slovakia (DNV, LKŠ-1), and Hungary (Rozalia), ranging from Rupelian to Serravalian. Microendolithic morphology was examined from resin casts obtained from the tests resulting in a total of ten ichnospecies and four other forms for which it was only possible to establish affinity on higher ranks. Levels of oxygen depletion were estimated from Benthic Foraminifera Oxygen index (BFOI). The bacterial origin of pyrite was inferred by morphology, grain size, and ẟS34 values. The number of observed microboring structures gradually reduce with the decrease of oxygen content, while the precipitation of framboidal pyrite were increasing at the same time. Biofilm-like structures, apart from the suggestive morphology, also showed an enriched content of elemental iron, sulfur, and phosphorus. Raman spectroscopy shows similarities with organic pigment spectra and is still under investigation.

Congenital hypopituitarism and multiple midline defects in a newborn with non-familial Cat Eye syndrome

BackgroundCat eye syndrome (CES) is a rare chromosomal disease, with estimated incidence of about 1 in 100,000 live newborns. The classic triad of iris coloboma, anorectal malformations, and auricular abnormalities is present in 40% of patients, and other congenital defects may also be observed. The typical associated cytogenetic anomaly relies on an extra chromosome, derived from an inverted duplication of short arm and proximal long arm of chromosome 22, resulting in partial trisomy or tetrasomy of such regions (inv dup 22pter-22q11.2).Case presentationWe report on a full-term newborn, referred to us soon after birth. Physical examination showed facial dysmorphisms, including hypertelorism, down slanted palpebral fissures, and dysplastic ears with tragus hypoplasia and pre-auricular pit. Ophthalmologic evaluation and heart ultrasound identified left chorioretinal and iris coloboma and ostium secundum type atrial septal defect, respectively. Based on the suspicion of cat eye syndrome, a standard karyotype analysis was performed, and detected an extra small marker chromosome confirming the CES diagnosis. The chromosomal abnormality was then defined by array comparative genome hybridization (a-CGH, performed also in the parents), which identified the size of the rearrangement (3 Mb), and its de novo occurrence. Postnatally, our newborn presented with persistent hypoglycemia and cholestatic jaundice. Endocrine tests revealed congenital hypothyroidism, cortisol and growth hormone (GH) deficiencies, which were treated with replacement therapies (levotiroxine and hydrocortisone). Brain magnetic resonance imaging, later performed, showed aplasia of the anterior pituitary gland, agenesis of the stalk and ectopic neurohypophysis, confirming the congenital hypopituitarism diagnosis. She was discharged at 2 months of age, and included in a multidisciplinary follow-up. She currently is 7 months old and shows a severe global growth failure, and developmental delay. She started GH replacement treatment, and continues oral hydrocortisone, along with ursodeoxycholic acid and levothyroxine, allowing an adequate control of glycemic and thyroid profiles as well as of cholestasis.ConclusionsCES phenotypic spectrum is wide and highly variable. Our report highlights how among the possible associated endocrine disorders, congenital hypopituitarism may occur, leading to persistent hypoglycemia and cholestasis. These patients should be promptly assessed for complete hormonal evaluations, in addition to major malformations and midline anomalies. Early recognition of such defects is necessary to decrease fatal events, as well as short and long-term related adverse outcomes.

Determination of virulence and genetic variability of three Spodoptera littoralis nucleopolyhedrovirus isolates from Egypt

BackgroundThe genetic diversity is naturally occurring in baculovirus population, which may affect the potency of the bio-agent. The Spodoptera littoralis nucleopolyhedrovirus is a promising bio-control agent that can be used to control the cotton leafworm, S. littoralis in Egypt. This study described the virulence and genetic variability of 3 S. littoralis nucleopolyhedrovirus isolates named Cab2, P2 and P3 previously recovered from diseased S. littoralis larvae of cabbage, pepper and eggplant cultivation fields.ResultsThe viral genomic DNA restriction analysis using PstI and ScaI endonucleases showed identical Pst1 restriction pattern of 10 fragments in both Cab2 and P3 isolates, while there are 7 extra fragments present in P2 isolate of about 25, 19.8, 15, 14, 11, 9 and 6.7 (kbp). On the other hand, the restriction pattern using ScaI revealed 10 common fragments in all three isolates, in addition to an extra marker fragment of about 25 kb in P3 isolate absent in both P2 and Cab3 isolates. The phylogenetic analysis of the partial nucleotide sequence of the polyhedrin gene confirmed an extensive degree of co-linearity among the genomes of the 3 tested isolates, with pairwise sequence identities of 97.04% with S. littoralis nucleopolyhedrovirus isolate A26-5 (Acc. No. AY706717). The median lethal concentration (LC50) value revealed that Cab2 had the best virulence toward the first instar of S. littoralis larvae with LC50 value of 1.59 × 104 Obs/ml compared to the virulence recorded by P3 and P2 which were 1.23 × 106 and 2.7 × 104 OBs/ml, respectively. The median survival time (LT50) value of Cab2 isolate was the highest speed of treated larval mortality with 120 hpi compared to P2 and P3, which recorded 132 hpi for both isolates.ConclusionsAlthough all three S. littoralis nucleopolyhedrovirus isolates showed considered genotypic variation and insecticidal activity against S. littoralis larvae, the variant Cab2 showed the highest virulence and speed mortality against the first instar larvae of S. littoralis. The new variant proved to possess promising insecticidal properties for the development of virus-based biopesticide for the control of S. littoralis population in Egypt.

Cellular consequences of small supernumerary marker chromosome derived from chromosome 12: mosaicism in daughter and father.

Constitutional genomic imbalances are known to cause malformations, disabilities, neurodevelopmental delay, and dysmorphia and can lead to dysfunctions in the cell cycle. In extremely rare genetic conditions such as small supernumerary marker chromosomes (sSMC), it is important to understand the cellular consequences of this extra marker, as well the factors that contribute to their maintenance or elimination through successive cell cycles and phenotypic impact. The study of chromosomal mosaicism provides a natural model to characterize the effect of aneuploidy on genome stability and compare cells with the same genetic background and environment exposure, but differing in the presence of sSMC. Here, we report the functional characterization of different cell lines from two familial patients with mosaic sSMC derived from chromosome 12. We performed studies of proliferation dynamics, stability, and variability of these cells using fluorescent in situ hybridization (FISH), sister chromatid exchanges (SCE), and conventional staining. We also quantified the telomere-related genomic instability of sSMC cells using 3D telomeric profile analysis by quantitative-FISH. sSMC cells exhibited differences in the cell cycle dynamics compared to normal cells. First, the sSMC cells exhibited lower proliferation index and higher frequency of SCE than normal cells, associated with a higher level of chromosomal instability. Second, sSMC cells exhibited more telomeric-related genomic instability. Lastly, the differences of sSMC cells distribution among tissues could explain different phenotypic repercussions observed in patients. These results will help in our understanding of the sSMC stability, maintenance during cell cycle, and the cell cycle variables involved in the different phenotypic manifestations.

Small parsimony for natural genomes in the DCJ-indel model.

The Small Parsimony Problem (SPP) aims at finding the gene orders at internal nodes of a given phylogenetic tree such that the overall genome rearrangement distance along the tree branches is minimized. This problem is intractable in most genome rearrangement models, especially when gene duplication and loss are considered. In this work, we describe an Integer Linear Program algorithm to solve the SPP for natural genomes, i.e. genomes that contain conserved, unique, and duplicated markers. The evolutionary model that we consider is the DCJ-indel model that includes the Double-Cut and Join rearrangement operation and the insertion and deletion of genome segments. We evaluate our algorithm on simulated data and show that it is able to reconstruct very efficiently and accurately ancestral gene orders in a very comprehensive evolutionary model.

Computing the Rearrangement Distance of Natural Genomes.

The computation of genomic distances has been a very active field of computational comparative genomics over the past 25 years. Substantial results include the polynomial-time computability of the inversion distance by Hannenhalli and Pevzner in 1995 and the introduction of the double cut and join distance by Yancopoulos et al. in 2005. Both results, however, rely on the assumption that the genomes under comparison contain the same set of unique markers (syntenic genomic regions, sometimes also referred to as genes). In 2015, Shao et al. relax this condition by allowing for duplicate markers in the analysis. This generalized version of the genomic distance problem is NP-hard, and they give an integer linear programming (ILP) solution that is efficient enough to be applied to real-world datasets. A restriction of their approach is that it can be applied only to balanced genomes that have equal numbers of duplicates of any marker. Therefore, it still needs a delicate preprocessing of the input data in which excessive copies of unbalanced markers have to be removed. In this article, we present an algorithm solving the genomic distance problem for natural genomes, in which any marker may occur an arbitrary number of times. Our method is based on a new graph data structure, the multi-relational diagram, that allows an elegant extension of the ILP by Shao et al. to count runs of markers that are under- or over-represented in one genome with respect to the other and need to be inserted or deleted, respectively. With this extension, previous restrictions on the genome configurations are lifted, for the first time enabling an uncompromising rearrangement analysis. Any marker sequence can directly be used for the distance calculation. The evaluation of our approach shows that it can be used to analyze genomes with up to a few 10,000 markers, which we demonstrate on simulated and real data.

MICROSATELLITE MARKERS FOR THE MOLECULAR CHARACTERISATION OF POTENTIALLY COMMERCIAL MANGO (Mangifera indica) PROGENIES

Mango, or Mangifera indica as it is scientifically known, is a fruit crop that has significant importance to the global economy. This study characterised 10 commercially potential mango progenies using a total of 10 SSR markers. The analysis of the 10 SSR markers revealed the presence of 34 alleles. Each locus had 2–6 alleles equal to an average of 3.40 alleles per locus. The data also showed 0.115 (MiIIHR21) to 0.692 (MiIIHR28) polymorphic information content (PIC), equal to an average of&#x0D; 0.431. Each locus had heterozygosity and gene diversity values ranging from 0.044 (M1) to 0.957 (MiIIHR29) and from&#x0D; 0.122 (MiIIHR21) to 0.730 (MiIIHR29), respectively, averaging 0.480 and 0.476 each. The range of the pairwise genetic distance was 0.000 (ND014«ND019) to 0.611 (ND020«SB003). The dendrogram analysis showed that each mango progeny was successfully differentiated using the 10 SSR markers except for ND014 and ND019. The allele combination using these 10 SSR markers could be used to develop a DNA profile for fingerprinting purposes for each progeny except for ND014 and ND019, which can only be differentiated with the addition of an extra marker. The developed DNA fingerprinting profile could be used for cultivar identification and authentication. Additionally, breeders could also use the developed DNA profiles for plant variety protection (PVP) purposes.

The prognostic value of red blood cell distribution width in patients with suspected infection in the emergency department

BackgroundSepsis is a potential life threatening dysregulated immune response to an infection, which can result in multi-organ failure and death. Unfortunately, good prognostic markers are lacking in patients with suspected infection to identify those at risk. Red blood cell distribution width (RDW) is a common and inexpensive hematologic laboratory measurement associated with adverse prognosis in multiple diseases. The aim of this study was to determine the prognostic value of RDW for mortality and early clinical deterioration in patients with a suspected infection in the emergency department.MethodsIn this single center prospective observational cohort study, consecutive patients with suspected infection presenting for internal medicine in the emergency department between September 2016 and March 2018 were included. For prognostic validation of bedside sepsis scores and RDW receiver operating characteristics were generated. Association between RDW and mortality and ICU admission was analyzed univariate and in a multivariate logistic regression model.Results1046 patients were included. In multivariate analyses, RDW was significantly associated with 30-day mortality (OR 1.15, 95% CI: 1.04–1.28) and early clinical deterioration (OR 1.09, 95% CI: 1.00–1.18). For 30-day mortality RDW had an AUROC of 0.66 (95% CI 0.59–0.72). Optimal cut-off value for RDW 2 was 12.95%. For early clinical deterioration RDW had an AUROC of 0.59 (95% CI 0.54–0.63) with an optimal cut-off value of 14.48%.ConclusionsRDW was found to be a significant independent prognostic factor of 30-day mortality and early clinical deterioration in patients with suspected infection.. Therefore it can be a used as an extra marker besides bedside sepsis scores in identifying patients at risk for worse outcome in patients with suspected infection.

Using hyperspectral analysis as a potential high throughput phenotyping tool in GWAS for protein content of rice quality

BackgroundThe advances of hyperspectral technology provide a new analytic means to decrease the gap of phenomics and genomics caused by the fast development of plant genomics with the next generation sequencing technology. Through hyperspectral technology, it is possible to phenotype the biochemical attributes of rice seeds and use the data for GWAS.ResultsThe results of correlation analysis indicated that Normalized Difference Spectral Index (NDSI) had high correlation with protein content (PC) with RNDSI2 = 0.68. Based on GWAS analysis using all the traits, NDSI was able to identify the same SNP loci as rice protein content that was measured by traditional methods. In total, hyperspectral trait NDSI identified all the 43 genes that were identified by biochemical trait PC. NDSI identified 1 extra SNP marker on chromosome 1, which annotated extra 22 genes that were not identified by PC. Kegg annotation results showed that traits NDSI annotated 3 pathways that are exactly the same as PC. The cysteine and methionine metabolic pathway identified by both NDSI and PC was reported important for biosynthesis and metabolism of some of amino acids/protein in rice seeds.ConclusionThis study combined hyperspectral technology and GWAS analysis to dissect PC of rice seeds, which was high throughput and proven to be able to apply to GWAS as a new phenotyping tool. It provided a new means to phenotype one of the important biochemical traits for the determination of rice quality that could be used for genetic studies.

An Augmented Reality Application for the Visualization and the Pattern Analysis of a Roman Mosaic

The visualization and analysis of mosaics and pavements are often compromised by their large sizes, which do not enable the observer to perceive their whole arrangement or to focus on details placed in farthest areas from its boundaries. Moreover, the usual precarious state of conservation of these artefacts, often with damaged or missing areas, makes it difficult to perceive their original aesthetic value. To overcome these limitations, we propose an application of augmented reality able to support the observer in two ways: first, the application completes the missing surface of the mosaic or pavement by integrating the existent surface with a virtual reconstruction; second, it enables the analysis of the geometric pattern of the mosaic/pavement by overlaying virtual lines and geometric figures in order to explicit its geometric arrangements. The result is achieved via a custom Android application able to recognize and track the mosaic figure pattern and extra marker board, obtaining in that way a coordinate system used to render in real-time the reconstruction of the mosaic. Such rendering is overlaid to the video stream of the real scene. The application runs on a standard smartphone embedded in a Google Cardboard-compatible viewer and therefore is extremely affordable. As a case study, in order to reconstruct its aspects and to analyse its geometric pattern, we chose the roman mosaic re-found in Savignano sul Panaro (near Modena, Italy) in 2011, after 115 years from its first discovery, which is preserved less than half of its original 4.5 x 6.9 m surface.

Quantification of Biological Responses as Predictors of Cognitive Outcome after Developmental TBI.

Successful translational studies within the field of Traumatic Brain Injury (TBI) are concerned with determining reliable markers of injury outcome at chronic time points. Determination of injury severity following Fluid Percussion Injury (FPI) has long been limited to the measured atmospheric pressure associated with the delivered pulse. Duration of unresponsiveness to toe pinch (unconsciousness) was next introduced as an extra marker of injury severity. The current study is an effort to assess the utilization of acute injury-induced biological responses (duration of toe pinch unresponsiveness, percent body weight change, quantification of brain edema, and apnea duration) to predict cognitive performance at a subacute time point following developmental brain injury. Cognitive performance, when measured at a subacute phase, after developmental FPI was negatively correlated with the following variables, duration of toe pinch unresponsiveness, percent weight change, and quantified level of brain edema. These finding suggest the potential utilization of reliable severity assessment of injury-induced biological responses in determining outcome measures at subacute time points.

An evaluation of the International Society for Animal Genetics recommended parentage and identification panel for the domestic pigeon (Columba livia domestica).

In this study, the International Society for Animal Genetics (ISAG) recommended panel for the identification of the domestic pigeon (Columba livia domestica) is characterized based on commonly used statistical parameters. The marker panel is based on 16 short tandem repeat (STR) loci (PIGN15, PIGN10, PIGN57, PIGN26, CliμD16, CliμD19, PIGN12, CliμD17, CliμT17, PIGN04, CliμD01, CliμD11, CliμD35, CliμT02, CliμT13, CliμT43). The alleles of the 16 loci consist of a mixture of tri-, tetra-, penta- and hexameric repeat patterns. A sex determination marker was included in the multiplex for quality control. The repeat sequence of the PIGN markers was previously unpublished and therefore sequenced to reveal the sequence pattern. In total, 1421 pigeons were genotyped on 16 STR loci to generate allele frequency data for each locus. For all 16 markers combined, a PE1 (combined non-exclusion probability, first parent) of 0.9986 and PE2 (combined non-exclusion probability, second parent) of >0.9999 was observed. Comparing the alleged father and mother, a PE value of >0.9999 was observed. Two of the markers, CliμD19 and PIGN12, were found to have relatively high Hardy-Weinberg equilibrium and F(null) values. Therefore these markers may be considered to be replaced by other STRs. Another point of discussion may be to add a gender identification marker to the recommended ISAG panel. Not only can this serve as an extra identification marker, but this can also confirm the sex of a sample, because it is challenging to determine the sex based on phenotypical characteristics, especially for chicks. In conclusion, the set of 16 STR markers can be used in routine parentage verification and the identification of individuals.

A SNP Based Linkage Map of the Arctic Charr (Salvelinus alpinus) Genome Provides Insights into the Diploidization Process After Whole Genome Duplication.

Diploidization, which follows whole genome duplication events, does not occur evenly across the genome. In salmonid fishes, certain pairs of homeologous chromosomes preserve tetraploid loci in higher frequencies toward the telomeres due to residual tetrasomic inheritance. Research suggests this occurs only in homeologous pairs where one chromosome arm has undergone a fusion event. We present a linkage map for Arctic charr (Salvelinus alpinus), a salmonid species with relatively fewer chromosome fusions. Genotype by sequencing identified 19,418 SNPs, and a linkage map consisting of 4508 markers was constructed from a subset of high quality SNPs and microsatellite markers that were used to anchor the new map to previous versions. Both male- and female-specific linkage maps contained the expected number of 39 linkage groups. The chromosome type associated with each linkage group was determined, and 10 stable metacentric chromosomes were identified, along with a chromosome polymorphism involving the sex chromosome AC04. Two instances of a weak form of pseudolinkage were detected in the telomeric regions of homeologous chromosome arms in both female and male linkage maps. Chromosome arm homologies within the Atlantic salmon (Salmo salar) and rainbow trout (Oncorhynchus mykiss) genomes were determined. Paralogous sequence variants (PSVs) were identified, and their comparative BLASTn hit locations showed that duplicate markers exist in higher numbers on seven pairs of homeologous arms, previously identified as preserving tetrasomy in salmonid species. Homeologous arm pairs where neither arm has been part of a fusion event in Arctic charr had fewer PSVs, suggesting faster diploidization rates in these regions.

Microsatellite based linkage disequilibrium analyses reveal Saltol haplotype fragmentation and identify novel QTLs for seedling stage salinity tolerance in rice (Oryza sativa L.)

A set of 84 diverse rice genotypes were assessed for seedling stage salt tolerance and their genetic diversity using 41 polymorphic SSR markers comprising of 19 Saltol QTL linked and 22 random markers. Phenotypic screening under hydroponics identified three indica landraces (Badami, Shah Pasand and Pechi Badam), two Oryza rufipogon accessions (NKSWR2 and NKSWR17) and one each of Basmati rice (Seond Basmati) and japonica cultivars (Tompha Khau) as salt tolerant, having similar tolerance as of Pokkali and FL478. Among the salt tolerant genotypes, biomass showed positive correlation with shoot fresh weight and negative association with root and shoot Na+ content. The results indicated repression of Na+ loading within the tolerant plants. Linkage disequilibrium (LD) of the Saltol linked markers was weak, suggestive of high fragmentation of Pokkali haplotype, a result of evolutionary active recombination events. Poor haplotype structure of the Saltol region, may reduce its usefulness in marker assisted breeding programmes, if the target foreground markers chosen are wide apart. LD mapping identified eight robust marker-trait associations (QTLs), of which RM10927 was found linked to root and shoot Na+ content and RM10871 with shoot Na+/K+ ratio. RM271 on chromosome 10, an extra Saltol marker, was found associated to root Na+/K+ ratio. This marker showed a distinct allele among O. rufipogon accessions. There were also other novel loci detected on chromosomes 2, 5 and 10 influencing salt tolerance in the tested germplasm. Although Saltol remained as the key locus, the role of other genomic regions cannot be neglected in tailoring seedling stage salt tolerance in rice.

Putative duplication glyph in the rongorongo script

ABSTRACTThis article discusses a possible identification of a duplication marker in the rongorongo script. Several structural observations as well as statistical analysis point to “split circles” glyph as a likely bearer of reduplication functions. This notion springs from internal analysis of the genealogy portion in the Small Santiago Tablet as well as syntax patterns exhibited by “split circles” in other inscriptions. As a result of the analysis performed in this work, several semantically constrained meanings for “split circles” glyphs are proposed. All of them relate to the doubling character of “split circles.” If the identification is correct, it might be an advancement in our understanding of the rongorongo script and could allow for further progress in the decipherment.

Building the Evidence Base of Blood-Based Biomarkers for Early Detection of Cancer: A Rapid Systematic Mapping Review

BackgroundThe Early Cancer Detection Consortium is developing a blood-test to screen the general population for early identification of cancer, and has therefore conducted a systematic mapping review to identify blood-based biomarkers that could be used for early identification of cancer. MethodsA mapping review with a systematic approach was performed to identify biomarkers and establish their state of development. Comprehensive searches of electronic databases Medline, Embase, CINAHL, the Cochrane library and Biosis were conducted in May 2014 to obtain relevant literature on blood-based biomarkers for cancer detection in humans. Screening of retrieved titles and abstracts was performed using an iterative sifting process known as “data mining”. All blood based biomarkers, their relevant properties and characteristics, and their corresponding references were entered into an inclusive database for further scrutiny by the Consortium, and subsequent selection of biomarkers for rapid review. This systematic review is registered with PROSPERO (no. CRD42014010827). FindingsThe searches retrieved 19,724 records after duplicate removal. The data mining approach retrieved 3990 records (i.e. 20% of the original 19,724), which were considered for inclusion. A list of 814 potential blood-based biomarkers was generated from included studies. Clinical experts scrutinised the list to identify miss-classified and duplicate markers, also volunteering the names of biomarkers that may have been missed: no new markers were identified as a result. This resulted in a final list of 788 biomarkers. InterpretationThis study is the first to systematically and comprehensively map blood biomarkers for early detection of cancer. Use of this rapid systematic mapping approach found a broad range of relevant biomarkers allowing an evidence-based approach to identification of promising biomarkers for development of a blood-based cancer screening test in the general population.

Simultaneous Monitoring of Ballistocardiogram and Photoplethysmogram Using a Camera.

We present a noncontact method to measure ballistocardiogram (BCG) and photoplethysmogram (PPG) simultaneously using a single camera. The method tracks the motion of facial features to determine displacement BCG, and extracts the corresponding velocity and acceleration BCGs by taking first and second temporal derivatives from the displacement BCG, respectively. The measured BCG waveforms are consistent with those reported in the literature and also with those recorded with an accelerometer-based reference method. The method also tracks PPG based on the reflected light from the same facial region, which makes it possible to track both BCG and PPG with the same optics. We verify the robustness and reproducibility of the noncontact method with a small pilot study with 23 subjects. The presented method is the first demonstration of simultaneous BCG and PPG monitoring without wearing any extra equipment or marker by the subject.

PTH-023 Histology, Cytology or Both for Sampling of Solid Pancreatic Masses? Prospective Evaluation of A New 22G Biopsy Needle: Abstract PTH-023 Table 1

Introduction For solid pancreatic masses (SPM), EUS-fine needle aspiration cytology (FNA-C) has a variable diagnostic yield and sensitivity for diagnosis of malignancy, given the limited material, presence of inflammation and inherent difficulties in cytologic interpretation. Histology of formalin-fixed biopsies is simpler, cheaper and may allow extra marker studies more often. This study evaluated the ability of a new EUS biopsy needle (1) to obtain histological biopsies (FNB) with a limited number of passes; (2) to compare specimen adequacy and diagnostic sensitivity with FNA-C; (3) compare specimen quality between FNA-C and FNB. Methods Over 5 months, consecutive patients with SPM underwent EUS biopsy sampling using a standardised protocol. Patients in whom lesions were predominantly cystic, taking anticoagulants or in whom access with a 22 g needle was deemed impossible were excluded. Using a 22 g ‘Sharkcore’ needle (Medtronic, Dublin, Ireland), 4 passes were made, using slow stylet withdrawal and material expelled into Cytolyt cytology fixative (2 passes) or into formalin for histology processing. Sampling sequence was randomised (passes 1&3 into cytology with passes 2&4 into formalin, or vice versa). Pathological assessment was performed by one of 2 specialist GI pathologists using a structured proforma, to rate specimen adequacy, sample quality, diagnosis and subjective superiority. Results 43 patients were included (23 M, 20 F, mean age 66 years, range 46–83 y). One patient was excluded from analysis due to incomplete follow-up. Final diagnoses were pancreatic malignancy (35, 83.3%) and benign pancreaticobiliary disorders (7, 16.7%). Results (n = 42) are shown in Table 1: In 2 cases FNA-cytology was negative for malignancy but FNB histology was positive; in contrast there were no cases where cytology was positive but histology was negative. Subjectively, FNB histology samples were scored as superior in 28 cases (66.7%), compared to FNA-C samples (4, 9.5%). In the remainder, samples were judged to be of equivalent quality (10, 23.8%). Conclusion The 22 g Sharkcore needle provides histological-quality samples in almost all cases of pancreatic or peripancreatic masses, with only 2 passes. Samples are more often superior to those obtained by cytology. This offers the prospect of shorter procedure times, easier sample processing and more reliable diagnosis. Disclosure of Interest None Declared