Synchronous Occurrence Research Articles

A Case Report of the Synchronous Occurrence of Ovarian Granulosa Cell Tumour and Malignant Endometrial Polyp with Immunohistochemical Expression of Hormone Receptors and Biomarkers p-53 and Ki-67

A Case Report of the Synchronous Occurrence of Ovarian Granulosa Cell Tumour and Malignant Endometrial Polyp with Immunohistochemical Expression of Hormone Receptors and Biomarkers p-53 and Ki-67

Syringocystadenoma Papilliferum-Like Features in Poroma: An Unusual Morphologic Pattern of Poroma or True Synchronous Occurrence of 2 Distinct Neoplasms?

Poromas are benign adnexal neoplasms of eccrine origin, believed to arise from the outer layer of acrosyringia and upper dermal eccrine ducts, with a predilection for glabrous skin. They typically present as a pink or red papule with a surrounding thin moat on the palms and soles. We report a case of poroma with histopathologic features reminiscent of syringocystadenoma papilliferum (SCAP). A 70-year-old woman presented with a 2.0 cm pedunculated nodule on the left suprapubic abdomen. Histopathologically, the lesion predominantly displayed features of a conventional poroma but also included areas with endophytic invaginations lined by large, plump epithelioid cells with abundant eosinophilic cytoplasm and occasional decapitation secretion, alongside a stroma rich in plasma cells-characteristics suggestive of SCAP. However, definitive bilayers with myoepithelial cells were not observed. Immunohistochemical studies revealed that the tumor cells were positive for TRPS1 (particularly around SCAP-like areas) and CEA (indicating ductal differentiation), but negative for BRAF V600E and NUT. The diagnosis of poroma with apocrine differentiation mimicking SCAP was favored. This unusual morphologic variation in poromas is rare, with fewer than 5 cases documented in the literature. These SCAP-like features likely represent a variation within the morphologic spectrum of poromas rather than the presence of 2 synchronous tumors. Our case highlights the importance of recognizing such variations in poroid neoplasms to ensure accurate diagnosis.

Synchronous Head and Neck Squamous Cell Carcinoma and Hematologic Malignancies

Synchronous occurrence of solid tumors and hematological malignancy is a rare condition. There is no standard management or therapy for this complicated situation. The authors systematically reviewed articles searched using online databases. The patients are predominantly male, and the average age is similar to each malignancy. According to these studies, most patients are treated in order of aggressiveness. However, when a patient has multiple primary malignancies, all of which are aggressive, the treatment decision is challenging. Due to the limited number of cases, it is hard to have a firm conclusion about an optimal treatment policy. It appears that poor outcomes are mostly related to less adequate therapy. Because the condition is complicated in such cases and there is no standardized treatment, patients should be treated on an individual basis with treatments customized to a given patient’s particular circumstances. In addition, multidisciplinary communication and cooperation are crucial in the management of these patients. More in-depth research is still needed to reach a more conclusive treatment strategy and predictable outcomes.

Loneliness in times of global polycrises

Global polycrises comprise the synchronous or consecutive occurrence of various crises, with no intervening phases of stability, e.g., coronavirus disease 2019 (COVID-19) pandemic, inflation, war and climate crisis. This poses challenges for both society as awhole and its individual members. Polycrises are associated with enormous psychological stress, especially for vulnerable groups. Polycrises also impair social interaction, which can trigger or intensify subjectively stressful loneliness. The aim of this narrative review is to show how loneliness affects social behavior in times of global polycrises and what the consequences are. Loneliness is associated with both mental and physical morbidity and mortality as well as being asignificant barrier to recovery. Studies have shown that there is amutual detrimental influence between mental illness and loneliness. The social behavior of chronically lonely people is characterized by anegative cognitive bias, hypervigilance in the social context and adysregulated oxytocin system. Furthermore, the quality and quantity of these relationships are significantly impaired. The social consequences of loneliness are, for example, adecrease in social engagement and low voting participation. The phenomenon of loneliness clearly shows that crises can exacerbate latent problems and bring them to the surface; however, crises should also be seen as an opportunity to openly and constructively address shame-laden topics such as loneliness in public discourse and in psychotherapeutic settings.

Synchronous occurrence of Retroperitoneal Pleomorphic Liposarcoma and Papillary thyroid carcinoma: A Rare Case Report

Synchronous occurrence of Retroperitoneal Pleomorphic Liposarcoma and Papillary thyroid carcinoma: A Rare Case Report

Automatic Detection of the EEG Spike-Wave Patterns in Epilepsy: Evaluation of the Effects of Transcranial Current Stimulation Therapy.

This study aims to develop a detection method based on morphological features of spike-wave (SW) patterns in the EEG of epilepsy patients and evaluate the effect of cathodal transcranial direct current stimulation (ctDCS) treatment. The proposed method is based on several simple features describing the shape of SW patterns and their synchronous occurrence on at least two EEG channels. High sensitivity, specificity and selectivity values were achieved for each patient and condition. ctDCS resulted in a significant reduction in the number of detected patterns, a decrease in spike duration and amplitude, and an increased spike mobility. The proposed method allows efficient identification of SW patterns regardless of brain condition, although the recruitment of patterns may be modified by ctDCS. This method can be useful in the clinical evaluation of ctDCS effects.

Synchronous occurrence of oral squamous cell carcinoma and Warthin's tumor: systematic review and case report.

We systematically reviewed the literature on the co-occurrence of squamous cell carcinoma (SCC) and Warthin's tumor (WT), thought to be quite rare, to help reduce misdiagnosis and improve treatment planning. For this systematic review, we searched for articles in the Web of Science and PubMed databases, analyzed relevant studies for forward and backward citations, and identified only articles reporting on the "co-occurrence" of WT and SCC. Of the 237 studies identified, 12 comprising 18 patients met the inclusion criteria, to which we added one study from our institution. Most WTs were associated with SCC in the parotid gland or cervical lymph nodes. Most patients (89.5%) underwent selective or radical neck dissection due to identification of lesions separate from the primary SCC. Despite its frequent co-occurrence with other neoplasms, WT in the parotid or cervical lymph nodes tends to be misdiagnosed as a metastatic node when SCC is observed as the primary tumor. Factors to consider in diagnosis and neck management include identification of an association other than growth or development by lymphangiogenesis and whether the patient is a smoker, a strong risk factor.

Classification of Motor Imagery EEG signals using high resolution time-frequency representations and convolutional neural network

A Motor Imagery (MI) based Brain Computer Interface (BCI) system aims to provide neuro-rehabilitation for the motor disabled people and patients with brain injuries (e.g., stroke patients) etc. The aim of this work is to classify the left and right hand MI tasks by utilizing the occurrence of event related desynchronization and synchronization (ERD\\ERS) in the Electroencephalogram (EEG) during these tasks. This study proposes to use a set of Complex Morlet Wavelets (CMW) having frequency dependent widths to generate high-resolution time-frequency representations (TFR) of the MI EEG signals present in the channels C3 and C4. A novel method for the selection of the value of number of cycles relative to the center frequency of the CMW is studied here for extracting the MI task features. The generated TFRs are given as input to a Convolutional neural network (CNN) for classifying them into left or right hand MI tasks. The proposed framework attains a classification accuracy of 82.2% on the BCI Competition IV dataset 2a, showing that the TFRs generated in this work give a higher classification accuracy than the baseline methods and other existing algorithms.

A Rare Synchronous Existence of Warthin’s Tumour and Oral Cancer

Oral squamous cell carcinoma (OSCC) is one of the most common malignancies worldwide while Warthin’s tumor (WT) is a common type of benign salivary gland neoplasm mostly seen in the parotid gland but rarely involves extra parotid tissues. Extra parotid WT is itself a rare entity and its synchronous occurrence with OSCC is an unusual phenomenon. It is vital to accurately identify the pathology as confusion may arise due to its rare occurrence and an intriguing presentation of resembling metastasis in lymph nodes. In the present review, a systematic literature search was performed and case reports and series in which synchronous existence of WT and OSCC were included. Total 13 papers have been included with 17 cases of synchronous WT and OSCC. Quality assessment for cases was done based on the CARE guidelines. The given results describe the histological features and site of WT in individuals who also had OSCC. Most of the studies described the histological findings of WT, which were seen involving the lymph nodes. More than 50% of the included cases had a history of tobacco chewing or smoking. The cases that have reported for follow up showed no evidence of any recurrence. WT with OSCC synchronous occurrence at a different site from the primary tumor can mimic a metastatic lesion from a primary lesion. It is a diagnostic challenge and could alter the management of these patients if not identified accurately. Awareness about this synchronous occurrence can avoid the overtreatment in such cases. Majority of the WTs described were seen in cervical lymph nodes.
 Keywords: Oral cancer; Warthin tumor; Benign Neoplasm; Mixed salivary gland tumor; Synchronous neoplasm; metastasis; Second malignancy; Prognosis.

Thermal chemistry and decomposition behaviors of energetic materials with trimerizing furoxan skeleton

AbstractTrimerizing furoxans are ideal molecular skeletons for the construction of high energetic substances due to their compact structures and high enthalpy of formations. To explore and compare the thermal behaviors of energetic materials with tandem trimerizing furoxan molecular skeleton, we reported the first systematic research on the thermochemical behaviors and decomposition mechanism of 3,4‐bis(3‐fluorodinitromethylfuroxan‐4‐yl)furoxan (BFTF), 3,4‐bis(3‐cyanofurazan)furazan oxide (BCTFO) and benzotrifuroxan (BTF). According to the research results of the DSC‐TG experiments, both the substituted furoxan based energetic compounds (BCTFO and BFTF) exhibited low melting points and complicated thermal decomposition behaviors around 240 °C, while the melting point of unsubstituted furoxan (BTF) was much higher. Their detailed decomposition mechanisms were proposed based on the experimental results through tandem techniques including in‐situ FTIR spectroscopy method and DSC‐TG‐FTIR‐MS quadruple technology, which indicated that the cleavage of substituent would trigger the decompositions of BFTF and the decomposition of trimerizing furoxan skeletons almost synchronous occurrence with substituents in BCTFO. The self‐oxidation‐reduction of the linear and annular trimerizing furoxans lead to similar decomposition fragmented small molecule products.

Direct Assembly of Aerogel Micro‐Nanofiber/MXene Sponges with Dual‐Network Structures for All‐Day Personal Heating

AbstractMaintaining human body temperature under low temperature is crucial to human well‐being, thereby urgently requiring for high‐performance warmth retention materials. However, designing such materials with both mechanical robustness and warming up the human body under complex and changing outdoor environments remains challenging. Here, a dual‐network structured aerogel micro‐nanofiber/MXene sponge is directly synthesized by the synchronous occurrence of electrospinning and electrospraying. Tailoring phase inversion of the solution jet creates micro‐nanofibers with highly porous aerogel structures, which exhibit nanoscale aperture (30–60 nm) and high single fiber surface aera (56.5 m2 g−1). Under strong hydrogen bonding interaction, the dual‐network structures are constructed by chemical entanglement between aerogel micro‐nanofibers and self‐assembled MXene networks, achieving robust stretchable and compressible property. The nanopores of the single fiber cause the Knudsen effect to suppress the slippage of air molecules, thereby enhancing the unique capacity to block heat energy. Further integrating passive radiative heating and active heating performance of MXene networks, the as‐designed sponge offers an all‐day personal heating system to rise human skin temperature over 3.5 °C. This work may provide new candidates for the applications within aerospace, energy, transportation, and building.

Impact of circumpolar deep water on organic carbon isotopes and ice-rafted debris in West Antarctic: a case study in the Amundsen Sea

This research delves into the interaction between carbon isotopes, ice-rafted debris (IRD), and Circumpolar Deep Water (CDW) in the Amundsen Sea, West Antarctic. Utilizing sediment core ANT36-A11-04, we traced the source of the organic matter though an analysis of the total organic carbon (TOC), stable carbon isotopes (δ13Corg), and nitrogen content. We identified six environmental events in this region since the Mid-Holocene, which were discerned through a comparative analysis of the δ13Corg, TOC, and IRD content. These events were closely linked to variations in the intensity of the CDW. Notably, the synchronous occurrence of a negative shift in the δ13Corg value and increases in TOC and IRD highlight the significant impact of CDW intrusion, underlining the pivotal role of the CDW in the regional environmental evolution. Specifically, intensified upwelling of the CDW was correlated with increased heat and nutrients, enhanced glacier melting, phytoplankton blooms, higher TOC content, augmented deposition of IRD, and finally resulted in a negative shift in the δ13Corg value. We present a comprehensive picture of the local environmental evolution in the Amundsen Sea, characterized as a marine-glacial-biological coupling model, thereby contributing to a broader understanding of Antarctic environmental dynamics.

Synchronization analysis of time series obtained from anesthetized rats during painful action

The purpose of this work is to determine the possibility of detecting changes in the relationships between such physiological rhythms as the activity of neurons in the reticular formation of the medulla oblongata, fluctuations in the blood pressure and respiration in anesthetized rats before and during the development of a pathological state associated with painful colorectal distension. This stretch mimics the pain localized in the lower abdomen in patients with irritable bowel syndrome and it is accompanied by responses of the brain neurons, fluctuations in the blood pressure and respiration. The analysis of changes in the relationships of these rhythms consisted in identifying phase synchronization between the time series of the variability of neuronal activity intervals and the variability of blood pressure intervals at the respiratory rate before and during pain exposure. Methods. To solve this problem, the synchrosqueezed wavelet transform method was applied, which makes it possible to effectively calculate the instantaneous frequencies and phases of non-stationary signals. As indicators of synchronization, we used the values of the index and the duration of phase synchronization as a time interval during which the value of the synchronization index is close to 1. Results. It has been established that the pain effect provides an adjustment of the frequency of the neuronal activity variability and the occurrence of synchronization between this activity and the blood pressure variability at the respiratory rate or causes an adjustment of the frequency of the blood pressure variability and the occurrence of synchronization between the blood pressure variability and the respiratory rhythm. It was found that the pain effect increases the duration of phase synchronization between the variability of the blood pressure and the respiratory rhythm or reduces the duration of phase synchronization between the variability of neuronal activity and the respiratory rhythm. Conclusion. The effect of painful colorectal distension on changes in the parameters of phase synchronization between physiological rhythms in anesthetized rats was studied in detail.

Research progress on the intrinsic relationship and mechanism between respiratory allergies and skin allergies

Allergic disease is a systemic disease that affects multiple systems. Respiratory tract and skin are the most frequently involved organs of allergies, which include allergic rhinitis, asthma, acute and chronic urticaria, atopic dermatitis, etc.. They are closely correlated clinically. Respiratory allergies and skin allergies often occur in one patient in the form of synchronous occurrence, synchronous aggravation or mutual transfer of symptoms, and early atopic dermatitis in infants is an independent risk factor of respiratory allergy. Type Ⅰ hypersensitivity is the most common immunologic mechanism of respiratory and skin allergies, which are mediated by allergens induction, multiple immune cells and inflammatory cells involvement, and IgE medicated mast cell degranulation. This present article provides a brief review on the epidemiology, tissue origin, and pathogenesis of respiratory airway allergy and skin allergy, in order to provide new ideas and reference basis for clinical diagnosis and treatment and the development of allergic disease prevention strategies.

Association Between Synchronous Occurrence of Multiple Myeloma and Carcinoma Prostate: Literature Analysis in the Context of a Case Report

Association Between Synchronous Occurrence of Multiple Myeloma and Carcinoma Prostate: Literature Analysis in the Context of a Case Report

Pattern of Occurrence and Management of Dual Malignancy: Our Institutional Experience

Background: Management of dual malignancies is challenging in the present scenario of advanced techniques and increased life expectancy. Objectives: To determine the demographic and clinical profile of patients with dual malignancies and the management received. Methods: In this retrospective analysis of the data of patients presenting with histologically proven synchronous or metachronous dual malignancy, we evaluated the demographic and clinical profile of patients with dual malignancies and the management received. Results: In this study, 158 cases with multiple primary cancers, of whom 57 were synchronous and 101 were metachronous, were observed from January 2017 to December 2021. The maximum period for synchronous tumor occurrence was seen at 6 months (180 days). The interval of occurrence of metachronous tumors ranged from 1 to 15 years, with an average of 4.8 years for the entire group. Moreover, 73 (46.2%) were females, and 85 (53.8%) were males, with a male-to-female ratio of 1.2: 1. The most common site of primary tumor with dual malignancies was the head and neck (31%), followed by breast cancers (21%). The most frequent pathologic type was adenocarcinoma (40%), followed by squamous carcinoma (38%), hematopoietic and lymphoid tissues (7.5%), transitional cell carcinoma (6.3%), sarcomas and soft tissue tumors (2.5%). Conclusions: Even in complete clinical remission, every cancer patient must take into account the possibility of developing a second malignancy and must be closely monitored.

Synchronous Double Primary Malignant Tumors and their Possible Shared Genes: A Rare Clinical Entity.

This study sought to analyze the 18F-FDG PET/CT and contrast-enhanced computed tomography (CT) images of synchronous colorectal cancer (CRC) and renal clear cell carcinoma (ccRCC) and identify the shared genes between these two types of cancer through bioinformatic analysis. A retrospective analysis was conducted on a patient with synchronous CRC and ccRCC who underwent 18F-FDG PET/CT and contrast-enhanced CT before treatment. Databases were analyzed to identify differentially expressed genes between CRC and ccRCC, and co-expression genes were extracted for RCC and CRC. 18F-FDG PET/CT revealed intense metabolic activity in the primary colorectal lesion (SUVmax 13.2), while a left renal mass (diameter = 35 mm) was observed with no significant uptake. Contrast-enhanced CT during the arterial phase showed heterogeneous intense enhancement of the renal lesion, and the lesion washed out earlier than in the renal cortex in the nephrographic and excretory phases, indicating ccRCC. The histopathological results confirmed synchronous double primary malignant tumors. Our bioinformatic analysis results showed that synchronous occurrence of CRC and ccRCC may correlate with simultaneous expression of Carbonic Anhydrase 9 (CA9), integrin-binding sialoprotein (IBSP), and Fibrinogen γ chain (FGG). 18F-FDG PET/CT combined with contrast-enhanced CT is an effective diagnostic tool in evaluating synchronous CRC and RCC. By analyzing this clinical case and conducting bioinformatic analysis, we improved our current understanding of the mechanisms underlying synchronous tumors.

Phase synchronization under mixed synapse between two heterogeneous functional neurons

Nervous system contacts and regulates the various systems and organs of the body by encoding and transmitting information, so it becomes important to explore the synaptic connections between neurons. In this study, two functional neurons are obtained by embedding Josephson junction and memristor in the FHN neuron circuit, and then based on Helmholtz’s theorem their Hamilton energies are calculated and investigated when coupled channel is awakened. There are weak but stable and orderly electromagnetic fields around human tissues and organs due to the transmembrane flow of ions, and their equilibrium state is easily disturbed and destroyed by the external electromagnetic fields, which should be considered when neuron model are investigated. Thus, an induction coil and a charge-controlled memristor (CCM) are used to perceive magnetic and electric fields respectively to couple the two function neurons, then mixed synapse is activated and synaptic plasticity is detect by parameter modulation and energy exchange. It is found that energy is continuously pumped along the coupling channel even if the synaptic connection is increased further, and two different functional neurons can only achieve quasi-phase synchronization or phase lock. However, the coupling strength threshold for achieving quasi-phase synchronization is lowered under hybrid synapses, and the possible mechanism may be that the addition of induction coil and CCM can induce time-varying electric and magnetic fields, which in turn facilitate the energy exchange in the coupled system. This study not only helps us to reveal the synchronization phenomenon of certain neurons observed in experiments, but also to explain the occurrence of pathological synchronization in the nervous system.

Synchronous occurrence of gastric cancer and gastrointestinal stromal tumor: A case report and review of the literature

Minimally invasive surgery is increasingly indicated in the management of malignant disease. Although oesophagectomy is a difficult operation, with a long learning curve, there is actually a shift towards the laparoscopic/thoracoscopic/ robotic approach, due to the advantages of visualization, surgeon comfort (robotic surgery) and the possibility of the whole team to see the operation as well as and the operating surgeon. Although currently there are still many controversial topics, about the surgical treatment of patients with gastro-oesophageal junction (GOJ) adenocarcinoma, such as the type of open or minimally invasive surgical approach, the type of oesophago-gastric resection, the type of lymph node dissection and others, the minimally invasive approach has proven to be a way to reduce postoperative complications of resection, especially by decreasing pulmonary complications. The implementation of new technologies allowed the widening of the range of indications for this type of surgical approach. The short-term and long-term results, as well as the benefits for the patient - reduced surgical trauma, quick and easy recovery - offer this type of surgical treatment the premises for future development. This article reviews the updates and perspectives on the minimally invasive approach for GOJ adenocarcinoma.

Synchronous occurrence of small cell lung cancer and primary rectal dedifferentiated liposarcoma with osteosarcomatous differentiation: A rare case report.

Rectal dedifferentiated liposarcoma (DDL) and DDL with osteosarcomatous differentiation both are extremely unwonted. In addition, there are no reports of simultaneous DDL with osteosarcoma differentiation with small cell lung cancer (SCLC) to date. Therefore, it is imperative to alert clinicians and pathologists to this extremely rare and instructive synchronous tumor. The patient was a 63-year-old male who presented with intermittent hematochezia and a swelling in the anus. Irregular masses were found on computed tomography (CT) examinations of the chest and abdomen respectively. The final diagnosis of synchronous occurrence of SCLC and primary rectal DDL with osteosarcomatous differentiation was established by radiological, histological, immunohistochemical and molecular findings. The patient underwent a puncture biopsy of the right lung mass and a complete resection of the rectal mass. The patient abandoned treatment, and multiple SCLC metastases appeared multiple metastasis 8 months after the operation. In the end, he expired suddenly due to severe cerebral hemorrhage caused by brain SCLC metastasis. DDL with osteosarcoma differentiation is infrequent, and its accurate diagnosis is based on morphology, immunohistochemistry and the necessary molecular tests. In rare cases, DDL occurs concurrently with other malignancies and and will be a challenge for pathologists and clinicians at this time. Accordingly, a comprehensive examination to identify possible synchronous tumors is very important in clinical practice.