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PURPOSE To characterize the effects of netarsudil on the aqueous humor outflow tract distal to the trabecular meshwork (TM). We hypothesized that netarsudil increases outflow facility in eyes with and without circumferential ab interno trabeculectomy (AIT) that removes the TM. METHODS Sixty-four porcine anterior segment cultures were randomly assigned to groups with (n = 32) and without circumferential AIT (n = 32). Cultures were exposed to 0.1, 1, and 10 μM netarsudil (N = 8 eyes per concentration). For each concentration, IOP and vessel diameters were compared with their respective pretreatment baselines. Outflow tract vessel diameters were assessed by spectral-domain optical coherence tomography (SDOCT) and rendered in 4D (XYZ time series). RESULTS Netarsudil at 1 μM reduced IOP both in eyes with TM (- 0.60 ± 0.24 mmHg, p = 0.01) and in eyes without TM (- 1.79 ± 0.42 mmHg, p  less then  0.01). At this concentration, vessels of the distal outflow tract dilated by 72%. However, at 0.1 μM netarsudil elevated IOP in eyes with TM (1.59 ± 0.36 mmHg, p  less then  0.001) as well as in eyes without TM (0.23 ± 0.32 mmHg, p  less then  0.001). Vessels of the distal outflow tract constricted by 31%. Similarly, netarsudil at a concentration of 10 μM elevated IOP both in eyes with TM (1.91 ± 0.193, p  less then  0.001) and in eyes without TM (3.65 ± 0.86 mmHg, p  less then  0.001). At this concentration, outflow tract vessels constricted by 27%. CONCLUSION In the porcine anterior segment culture, the dose-dependent IOP changes caused by netarsudil matched the diameter changes of distal outflow tract vessels. Hyper- and hypotensive properties of netarsudil persisted after TM removal.BACKGROUND The Oncotype DX is a quantitative assay of the expression of 16 tumor-related genes and 5 reference genes that predicts the potential of adjuvant chemotherapy benefit in estrogen receptor (ER)-positive early breast cancer patients. The study aims to evaluate the impact of Oncotype DX as a tool for adjuvant treatment decision of ER-positive, HER2-negative, N0/N1 early-stage breast cancer patients and to determine which clinicopathological criteria derived the greatest advantage. RESULTS A hundred patients at a median age of 50 years were included. TNM stage distribution was 34, 63, and 3 patients for stages I, II, and IIIA respectively. Fifty-four patients had luminal A and 46 had luminal B tumors. The recurrence score (RS) results were low, intermediate, and high risk in 54, 34, and 12 patients respectively. Before the test results, adjuvant chemoendocrine therapy (CET) was recommended for 46 patients while 54 were advised for endocrine therapy (ET). this website After getting the test results, 25 patients received CET (1, 12, and12 patients in the low-, intermediate-, and high-risk groups respectively) and 75 received ET. Treatment change was documented in 37 patients (8 patients from ET to CET and 29 from CET to ET; p = 0.001, McNemar test). Treatment change was significant among patients ≤ 50 years, luminal B tumors, stage II and IIIA disease, and node-positive disease. CONCLUSION Oncotype DX testing resulted in significant changes in the adjuvant treatment decisions in ER-positive, HER2-negative early breast cancer particularly in the case of young, luminal B, N1, and stage II-IIIA disease.Since its 2010 launch, Instagram has rapidly risen to become one of the leading social media in the world, with more than one billion monthly users. Within the field of radiology, perhaps because of the image-weighted nature of the platform, several prominent organizations host Instagram accounts, including the Radiological Society of North America, American Roentgen Ray Society, American College of Radiology, and the American Board of Radiology. We started our own Instagram account in January 2016 because of the popularity of this social media platform among medical students. Our website contains over 260,000 images and is aimed at educating physicians, technologists, and nurses around the world on radiology, with an emphasis on body computed tomography. Given our varied selection of radiology resources, we were curious as to which posts perform best on Instagram and set out how to best characterize the interest in these posts. Our results point to an approach that can aid radiology educators who use social media, particularly Instagram, in producing popular content.Photoperiod is important in initiation or suppression of reproductive timing and gonadal maturation which varies with species. The aim of the present study was to investigate the effect of two photoperiodic manipulating regimes, i.e., long (18L6D) and short (10L14D) photoperiods for a period of 60 days on somatic growth and gonadal maturation of a live-bearer ornamental fish, Mickey Mouse platy (Xiphophorus maculatus). The control fish were further kept under the laboratory environmental condition. The results showed a significant increase in weight gain, specific growth rate, and gonadosomatic index in fish under long photoperiod than those exposed to short photoperiod and control condition (P  less then  0.05). A condition factor showed significant variations between long photoperiod and control groups. Furthermore, a long photoperiod also induced a significant increase in the number of fish with mature embryo and middle-eyed embryo in the ovary. Similarly, histological analysis of testes of males showed an increase in the number of mature spermatid and spermatozoa under long photoperiod when compared to those of control and short photoperiod ones. Thus, it can be concluded that long-day photoperiodic manipulation may be applied for healthy growth and early gonadal maturation of live-bearer ornamental fishes.Dynamic magnetic resonance imaging (dMRI) strikes a balance between reconstruction speed and image accuracy in medical imaging field. In this paper, an improved robust tensor principal component analysis (RTPCA) method is proposed to reconstruct the dynamic magnetic resonance imaging (MRI) from highly under-sampled K-space data. The MR reconstruction problem is formulated as a high-order low-rank tenor plus sparse tensor recovery problem, which is solved by robust tensor principal component analysis (RTPCA) with a new tensor nuclear norm (TNN). To further exploit the low-rank structures in multi-way data, the core matrix nuclear norm, extracted from the diagonal elements of the core tensor under tensor singular value decomposition (t-SVD) framework, is also integrated into TNN for enforcing the low-rank structure in MRI datasets. The experimental results show that the proposed method outperforms state-of-the-art methods in terms of both MR image reconstruction accuracy and computational efficiency on 3D and 4D experiment datasets, especially for 4D MR image reconstruction.

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