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A multimodality approach including operation and isolated lung perfusion with platinum was used in six patients with lung metastases from soft tissue sarcomas. Staged thoracotomies were used in two patients with bilateral lesions. The inclusion criteria generally applied for surgical excision were adopted in this study. The pulmonary artery and a portion of the left atrium were isolated from systemic circulation and cannulated. The cannulas were then connected to a perfusion circuit and normothermic isolated lung perfusion was done for 60 minutes. The lung was then flushed and metastasectomy was done. Serial blood (systemic and pulmonary), tissue (normal lung and tumor), and urine samples were obtained for platinum content measurement by flameless atomic absorption spectroscopy. Lung damage was assessed by light and electron microscopy examination and by serial respiratory tests. Isolated lung perfusion was accomplished in all patients without any death, operative complication, or systemic toxicity. After operation, interstitial and alveolar edema developed in two patients (48 hours after treatment), necessitating respiratory support in one case. Total platinum concentrations in pulmonary plasma were about 43 times greater than those in systemic plasma. No differences in platinum concentrations between normal lung and metastatic tissue were found. Thus the proposed isolated lung perfusion technique is feasible and safe enough to be offered as a valid model to study combined chemosurgical approaches in the treatment of lung metastases.

The flooding susceptibility of alluvial fans in the Southern Apennines has long been neglected. To partly address this oversight, we focus on the region of Campania which contains highly urbanized piedmont areas particularly vulnerable to flooding. Our findings are based on stratigraphic analysis of the fans and morphometric analysis of the basin‐fan systems. Using geomorphological analysis we recognized active alluvial fans while stratigraphic analysis together with statistical analysis of the morphometric variables was used to classify the fans in terms of the transport process involved. The results indicate that in the geological context examined, the best discrimination between debris flow (Df) and water flood (Wf) processes is achieved by means of two related variables, one for the basin (feeder channel inclination, Cg) and one for the fan (fan length, Fl). The probability that an unclassified fan belongs to group Wf is computed by applying a logistic function in which a P value exceeding 0.5 indicates that a basin/fan system belongs to group Wf. This important result led to the classification of the entire basin/fan system data. As regards process intensity, debris flow‐dominated fans are susceptible to the occurrence of flows with high viscosity and hence subject to more severe events than water flood‐dominated fans. Bearing this in mind, the data gathered in this study allow us to detect where alluvial fan flooding might occur and give information on the different degrees of susceptibility at a regional scale. Regrettably, urban development in recent decades has failed to take the presence of such alluvial fans into account due to the long recurrence time (50–100 years) between floods. This paper outlines the distribution of such susceptibility scenarios throughout the region, thereby constituting an initial step to implementing alluvial fan flooding control and mitigation. Copyright © 2012 John Wiley & Sons, Ltd.

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During osteogenesis, in vitro, of tibial-derived rat osteoblasts (ROB) and derived clones, changes occur in the interactions of mature osteoblasts with the endogenous extracellular matrix (ECM) and these culminate in the formation of tridimensional nodules, which become sites of mineral deposition. We investigated if these changes might be mediated by remodeling of ECM, and we focused our study on the neutral metalloproteinases (MMPs), known agents of matrix remodeling, and on their tissue inhibitors (TIMPs). We report that during in vitro differentiation, osteoblasts express the secreted MMP-2 and -9 and the membrane gelatinase MMP-14.