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  1. Article ; Online: Variation of floristic diversity, community composition, endemism, and conservation status of tree species in tropical rainforests of Sri Lanka across a wide altitudinal gradient.

    Sanjeewani, Nimalka / Samarasinghe, Dilum / Jayasinghe, Himesh / Ukuwela, Kanishka / Wijetunga, Asanga / Wahala, Sampath / De Costa, Janendra

    Scientific reports

    2024  Volume 14, Issue 1, Page(s) 2090

    Abstract: Tropical rainforests in Sri Lanka are biodiversity hotspots, which are sensitive to anthropogenic disturbance and long-term climate change. We assessed the diversity, endemism and conservation status of these rainforests across a wide altitudinal range ( ... ...

    Abstract Tropical rainforests in Sri Lanka are biodiversity hotspots, which are sensitive to anthropogenic disturbance and long-term climate change. We assessed the diversity, endemism and conservation status of these rainforests across a wide altitudinal range (100-2200 m above sea level) via a complete census of all trees having ≥ 10 cm diameter at breast height in ten one-hectare permanent sampling plots. The numbers of tree families, genera and species and community-scale tree diversity decreased with increasing altitude. Tree diversity, species richness and total basal area per ha across the altitudinal range were positively associated with long-term means of maximum temperature, annual rainfall and solar irradiance. Percentage of endangered species increased with increasing altitude and was positively associated with cumulative maximum soil water deficit, day-night temperature difference and high anthropogenic disturbance. Percentage of endemic species was greater in the lowland rainforests than in high-altitude montane forests. Nearly 85% of the species were recorded in three or less plots, which indicated substantial altitudinal differentiation in their distributions. Less than 10 individuals were recorded in 41% of the endemic species and 45% of the native species, which underlined the need for urgent conservation efforts across the whole altitudinal range.
    MeSH term(s) Humans ; Rainforest ; Trees ; Sri Lanka ; Forests ; Altitude
    Language English
    Publishing date 2024-01-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-024-52594-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Predictors of Major Hemorrhage After Spleen Core Biopsy in Cancer Patients.

    Kunin, Henry / Wijetunga, N Ari / Erinjeri, Joseph P / Noy, Ariela / Deipolyi, Amy R

    Journal of vascular and interventional radiology : JVIR

    2022  Volume 33, Issue 9, Page(s) 1055–1060.e1

    Abstract: In this retrospective study, 232 spleen biopsies from 218 patients with cancer were assessed. Biopsies resulting in hemorrhage requiring hospitalization, transfusion, or other interventions were compared with those that did not. The maximization of the ... ...

    Abstract In this retrospective study, 232 spleen biopsies from 218 patients with cancer were assessed. Biopsies resulting in hemorrhage requiring hospitalization, transfusion, or other interventions were compared with those that did not. The maximization of the Youden index helped determine the optimal systolic blood pressure (SBP) and platelet count thresholds. There were 15 (7%) major hemorrhages among 211 core biopsies. A multivariate logistic regression model showed that higher SBP, lower platelet count, and the lack of ultrasound guidance were independently associated with major hemorrhage (P < .05). The optimal SBP cutoff was 140 mm Hg, and the platelet count cutoff was 120,000 platelets/μL. In conclusion, the high major hemorrhage rate of 7% among percutaneous core spleen biopsies in patients with cancer may be mitigated by controlling SBP to <140 mm Hg and avoiding biopsy in patients with thrombocytopenia.
    MeSH term(s) Biopsy, Large-Core Needle/adverse effects ; Hemorrhage/etiology ; Humans ; Neoplasms/complications ; Retrospective Studies ; Spleen/diagnostic imaging
    Language English
    Publishing date 2022-09-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2022.06.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The effect of in-office bleaching materials with different pH on the surface topography of bovine enamel.

    Wijetunga, Chamari L / Otsuki, Masayuki / Abdou, Ahmed / Luong, Minh N / Qi, Feng / Tagami, Junji

    Dental materials journal

    2021  Volume 40, Issue 6, Page(s) 1345–1351

    Abstract: This study evaluated the alterations of surface topography of the bovine enamel caused by different pH of in-office bleaching agents. 23% ... ...

    Abstract This study evaluated the alterations of surface topography of the bovine enamel caused by different pH of in-office bleaching agents. 23% H
    MeSH term(s) Animals ; Bleaching Agents ; Cattle ; Dental Enamel ; Hydrogen Peroxide ; Hydrogen-Ion Concentration ; Tooth Bleaching ; Tooth Bleaching Agents
    Chemical Substances Bleaching Agents ; Tooth Bleaching Agents ; Hydrogen Peroxide (BBX060AN9V)
    Language English
    Publishing date 2021-07-07
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 605650-7
    ISSN 1881-1361 ; 0287-4547
    ISSN (online) 1881-1361
    ISSN 0287-4547
    DOI 10.4012/dmj.2021-010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Recent Advances and Applications of Radiation Therapy for Brain Metastases.

    Mathis, Noah J / Wijetunga, N Ari / Imber, Brandon S / Pike, Luke R G / Yang, Jonathan T

    Current oncology reports

    2022  Volume 24, Issue 3, Page(s) 335–342

    Abstract: Purpose of review: Radiation therapy (RT) is a mainstay of treatment for brain metastases from solid tumors. Treatment of these patients is complex and should focus on minimizing symptoms, preserving functional status, and prolonging survival.: Recent ...

    Abstract Purpose of review: Radiation therapy (RT) is a mainstay of treatment for brain metastases from solid tumors. Treatment of these patients is complex and should focus on minimizing symptoms, preserving functional status, and prolonging survival.
    Recent findings: Whole-brain radiotherapy (WBRT) can lead to toxicity, and while it does reduce recurrence in the CNS, this has not been shown to provide a survival benefit. Recent advances focus on reducing the toxicity of WBRT or using more targeted radiation therapy. New paradigms including the use of proton RT for leptomeningeal metastases (LM) and stereotactic radiosurgery (SRS) before craniotomy hold promise in improving treatment efficacy and reducing toxicity. Omission or replacement of WBRT is often safe and the use of SRS is expanding to include patients with more lesions and preoperative RT. Proton RT holds promise for LM. Progress is being made in improving patient-centered outcomes and reducing toxicity for patients with brain metastases.
    MeSH term(s) Brain Neoplasms/secondary ; Cranial Irradiation/adverse effects ; Humans ; Protons ; Radiosurgery ; Treatment Outcome
    Chemical Substances Protons
    Language English
    Publishing date 2022-02-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057359-5
    ISSN 1534-6269 ; 1523-3790
    ISSN (online) 1534-6269
    ISSN 1523-3790
    DOI 10.1007/s11912-022-01209-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Effect of pH of bleaching agent on tooth bleaching action in vitro.

    Wijetunga, Chamari L / Otsuki, Masayuki / Hiraishi, Noriko / Luong, Minh N / Tagami, Junji

    Dental materials journal

    2021  Volume 40, Issue 3, Page(s) 566–572

    Abstract: ... n=10). CIE L*a*b* of the specimens were measured before and after the procedure. Data were analyzed ...

    Abstract This study investigated the effect of pH of bleaching agent, photo-irradiation time or application times on bleaching action using hematoporphyrin-stained papers (HSPs) and artificially stained bovine-teeth (BT). 23% H2O2 with pH 5.5, 6.0, 7.0, 8.0 and 9.0 were applied on the specimens. HSP was photo-irradiated for 1, 3 and 5 min. BT were photo-irradiated for 10 min and the bleaching was repeated ten times (n=10). CIE L*a*b* of the specimens were measured before and after the procedure. Data were analyzed by repeated-measures ANOVA followed by multiple comparisons with Bonferroni correction. For the HSP, longer irradiation time and higher pH yielded significantly higher color difference (ΔE). As for BT, increasing application times and higher pH resulted in higher ΔE. It was concluded that the pH of the bleaching agent significantly improved the bleaching effect with increased photo-irradiation time for HSP and with an increase of repeated application times for BT.
    MeSH term(s) Animals ; Bleaching Agents ; Cattle ; Color ; Hydrogen Peroxide ; Hydrogen-Ion Concentration ; Tooth Bleaching ; Tooth Bleaching Agents
    Chemical Substances Bleaching Agents ; Tooth Bleaching Agents ; Hydrogen Peroxide (BBX060AN9V)
    Language English
    Publishing date 2021-01-15
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 605650-7
    ISSN 1881-1361 ; 0287-4547
    ISSN (online) 1881-1361
    ISSN 0287-4547
    DOI 10.4012/dmj.2020-191
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A picture is worth a thousand words: a history of diagnostic imaging for lymphoma.

    Wijetunga, N Ari / Imber, Brandon Stuart / Caravelli, James F / Mikhaeel, N George / Yahalom, Joachim

    The British journal of radiology

    2021  Volume 94, Issue 1127, Page(s) 20210285

    Abstract: The journey from early drawings of Thomas Hodgkin's patients to deep learning with radiomics in lymphoma has taken nearly 200 years, and in many ways, it parallels the journey of medicine. By tracing the history of imaging in clinical lymphoma practice, ... ...

    Abstract The journey from early drawings of Thomas Hodgkin's patients to deep learning with radiomics in lymphoma has taken nearly 200 years, and in many ways, it parallels the journey of medicine. By tracing the history of imaging in clinical lymphoma practice, we can better understand the motivations for current imaging practices. The earliest imaging modalities of the 2D era each had varied, site-dependent sensitivity, and the improved accuracy of imaging studies allowed new diagnostic and therapeutic techniques. First, we review the initial imaging technologies that were applied to understand lymphoma spread and achieve practical guidance for the earliest lymphoma treatments. Next, in the 3D era, we describe how anatomical imaging advances replaced and complemented conventional modalities. Afterward, we discuss how the PET era scans were used to understand response of tumors to treatment and risk stratification. Finally, we discuss the emergence of radiomics as a promising area of research in personalized medicine. We are now able to identify involved lymph nodes and body sites both before and after treatment to offer patients improved treatment outcomes. As imaging methods continue to improve sensitivity, we will be able to use personalized medicine approaches to give targeted and highly focused therapies at even earlier time points, and ideally, we can obtain long-term disease control and cures for lymphomas.
    MeSH term(s) Diagnostic Imaging/methods ; Humans ; Lymph Nodes/diagnostic imaging ; Lymphoma/diagnostic imaging
    Language English
    Publishing date 2021-07-08
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2982-8
    ISSN 1748-880X ; 0007-1285
    ISSN (online) 1748-880X
    ISSN 0007-1285
    DOI 10.1259/bjr.20210285
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  7. Article ; Online: Dynamic Mutational Landscape of Cerebrospinal Fluid Circulating Tumor DNA and Predictors of Survival after Proton Craniospinal Irradiation for Leptomeningeal Metastases.

    Wijetunga, N Ari / Goglia, Alexander G / Weinhold, Nils / Berger, Michael F / Cislo, Michael / Higginson, Daniel S / Chabot, Kiana / Osman, Ahmed M / Schaff, Lauren / Pentsova, Elena / Miller, Alexandra M / Powell, Simon N / Boire, Adrienne / Yang, Jonathan T

    Clinical cancer research : an official journal of the American Association for Cancer Research

    2022  Volume 29, Issue 4, Page(s) 775–783

    Abstract: Purpose: Proton craniospinal irradiation (pCSI) is a promising treatment for patients with solid tumor leptomeningeal metastasis (LM). We hypothesize that genetic characteristics before and changes resulting after pCSI will reflect clinical response to ... ...

    Abstract Purpose: Proton craniospinal irradiation (pCSI) is a promising treatment for patients with solid tumor leptomeningeal metastasis (LM). We hypothesize that genetic characteristics before and changes resulting after pCSI will reflect clinical response to pCSI. We analyzed the cerebrospinal fluid (CSF) circulating tumor DNA (ctDNA) from patients receiving pCSI for LM and explored genetic variations associated with response.
    Experimental design: We subjected CSF from 14 patients with LM before and after pCSI to cell-free DNA sequencing using a targeted-sequencing panel. In parallel, plasma ctDNA and primary tumors were subjected to targeted sequencing. Variant allele frequency (VAF) and cancer cell fraction (CCF) were calculated; clonality of observed mutations was determined. Kaplan-Meier analysis was used to associate genomic changes with survival.
    Results: The median overall survival (OS) for the cohort was 9 months [interquartile range (IQR), 5-21 months]. We showed clonal evolution between tumor and ctDNA of the CSF and plasma with unique mutations identified by compartment. Higher CSF ctDNA mean VAF before pCSI (VAFpre) had worse OS (6 months for VAFpre ≥ 0.32 vs. 9 months for VAFpre < 0.32; P = 0.05). Similarly, increased VAF after pCSI portended worse survival (6 vs. 18 months; P = 0.008). Higher mean CCF of subclonal mutations appearing after pCSI was associated with worse OS (8 vs. 17 months; P = 0.05).
    Conclusions: In patients with solid tumor LM undergoing pCSI, we found unique genomic profiles associated with pCSI through CSF ctDNA analyses. Patients with reduced genomic diversity within the leptomeningeal compartment demonstrated improved OS after pCSI suggesting that CSF ctDNA analysis may have use in predicting pCSI response.
    MeSH term(s) Humans ; Circulating Tumor DNA ; Protons ; Craniospinal Irradiation ; Biomarkers, Tumor ; Mutation ; Lung Neoplasms/drug therapy ; Meningeal Carcinomatosis
    Chemical Substances Circulating Tumor DNA ; Protons ; Biomarkers, Tumor
    Language English
    Publishing date 2022-11-29
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1225457-5
    ISSN 1557-3265 ; 1078-0432
    ISSN (online) 1557-3265
    ISSN 1078-0432
    DOI 10.1158/1078-0432.CCR-22-2434
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Genomic insights into host and parasite interactions during intracellular infection by Toxoplasma gondii.

    Ulahannan, Netha / Cutler, Ronald / Doña-Termine, Reanna / Simões-Pires, Claudia A / Wijetunga, N Ari / Croken, Matthew McKnight / Johnston, Andrew D / Kong, Yu / Maqbool, Shahina B / Suzuki, Masako / Greally, John M

    PloS one

    2022  Volume 17, Issue 9, Page(s) e0275226

    Abstract: To gain insights into the molecular interactions of an intracellular pathogen and its host cell, we studied the gene expression and chromatin states of human fibroblasts infected with the Apicomplexan parasite Toxoplasma gondii. We show a striking ... ...

    Abstract To gain insights into the molecular interactions of an intracellular pathogen and its host cell, we studied the gene expression and chromatin states of human fibroblasts infected with the Apicomplexan parasite Toxoplasma gondii. We show a striking activation of host cell genes that regulate a number of cellular processes, some of which are protective of the host cell, others likely to be advantageous to the pathogen. The simultaneous capture of host and parasite genomic information allowed us to gain insights into the regulation of the T. gondii genome. We show how chromatin accessibility and transcriptional profiling together permit novel annotation of the parasite's genome, including more accurate mapping of known genes and the identification of new genes and cis-regulatory elements. Motif analysis reveals not only the known T. gondii AP2 transcription factor-binding site but also a previously-undiscovered candidate TATA box-containing motif at one-quarter of promoters. By inferring the transcription factor and upstream cell signaling responses involved in the host cell, we can use genomic information to gain insights into T. gondii's perturbation of host cell physiology. Our resulting model builds on previously-described human host cell signalling responses to T. gondii infection, linked to induction of specific transcription factors, some of which appear to be solely protective of the host cell, others of which appear to be co-opted by the pathogen to enhance its own survival.
    MeSH term(s) Animals ; Chromatin/genetics ; Gene Expression Profiling ; Genomics ; Humans ; Parasites/genetics ; Toxoplasma/genetics ; Toxoplasmosis/genetics ; Toxoplasmosis/parasitology ; Transcription Factors/genetics
    Chemical Substances Chromatin ; Transcription Factors
    Language English
    Publishing date 2022-09-30
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0275226
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  9. Article ; Online: The head and neck cancer genome in the era of immunotherapy.

    Wijetunga, N Ari / Yu, Yao / Morris, Luc G / Lee, Nancy / Riaz, Nadeem

    Oral oncology

    2020  Volume 112, Page(s) 105040

    Abstract: The recent success of immunotherapy in head and neck squamous cell carcinoma (HNSCC) has necessitated a new perspective on the cancer genome. Here we review recent advances in the carcinogenesis and molecular genetics of HNSCC with an eye on their ... ...

    Abstract The recent success of immunotherapy in head and neck squamous cell carcinoma (HNSCC) has necessitated a new perspective on the cancer genome. Here we review recent advances in the carcinogenesis and molecular genetics of HNSCC with an eye on their implications for cancer immunity. Newer sequencing technologies have recently facilitated dissection of the complex interaction between the HPV virus, tumor, host factors, and the tumor microenvironment (TME) that help shed light on how the immune system interacts with head and neck malignancies.
    MeSH term(s) Age Factors ; Carcinogenesis ; Genome, Human ; Humans ; Immunotherapy ; Mutation ; Papillomaviridae ; Papillomavirus Infections/complications ; Reactive Oxygen Species ; Smoking/adverse effects ; Squamous Cell Carcinoma of Head and Neck/genetics ; Squamous Cell Carcinoma of Head and Neck/therapy ; Squamous Cell Carcinoma of Head and Neck/virology ; Tumor Escape ; Tumor Microenvironment/genetics ; Tumor Microenvironment/immunology
    Chemical Substances Reactive Oxygen Species
    Language English
    Publishing date 2020-11-13
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1120465-5
    ISSN 1879-0593 ; 0964-1955 ; 1368-8375
    ISSN (online) 1879-0593
    ISSN 0964-1955 ; 1368-8375
    DOI 10.1016/j.oraloncology.2020.105040
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  10. Article: Early Detection of Leptomeningeal Metastases Among Patients Undergoing Spinal Stereotactic Radiosurgery.

    Freret, Morgan E / Wijetunga, N Ari / Shamseddine, Achraf A / Higginson, Daniel S / Schmitt, Adam M / Yamada, Yoshiya / Lis, Eric / Boire, Adrienne / Yang, Jonathan T / Xu, Amy J

    Advances in radiation oncology

    2022  Volume 8, Issue 2, Page(s) 101154

    Abstract: Purpose: The management of patients with advanced solid malignancies increasingly uses stereotactic body radiation therapy (SBRT). Advanced cancer patients are at risk for developing leptomeningeal metastasis (LM), a fatal complication of metastatic ... ...

    Abstract Purpose: The management of patients with advanced solid malignancies increasingly uses stereotactic body radiation therapy (SBRT). Advanced cancer patients are at risk for developing leptomeningeal metastasis (LM), a fatal complication of metastatic cancer. Cerebrospinal fluid (CSF) is routinely collected during computed tomography (CT) myelography for spinal SBRT planning, offering an opportunity for early LM detection by CSF cytology in the absence of radiographic LM or LM symptoms (subclinical LM). This study tested the hypothesis that early detection of tumor cells in CSF in patients undergoing spine SBRT portends a similarly poor prognosis compared with clinically overt LM.
    Methods and materials: We retrospectively analyzed clinical records for 495 patients with metastatic solid tumors who underwent CT myelography for spinal SBRT planning at a single institution from 2014 to 2019.
    Results: Among patients planned for SBRT, 51 (10.3%) developed LM. Eight patients (1.6%) had subclinical LM. Median survival with LM was similar between patients with subclinical versus clinically evident LM (3.6 vs 3.0 months,
    Conclusions: LM remains a fatal complication of metastatic cancer. Subclinical LM detected by CSF cytology in spine SBRT patients has a similarly poor prognosis compared with standardly detected LM and warrants consideration of central nervous system-directed therapies. As aggressive local therapies are increasingly used for metastatic patients, more sensitive CSF evaluation may further identify patients with subclinical LM and should be evaluated prospectively.
    Language English
    Publishing date 2022-12-26
    Publishing country United States
    Document type Journal Article
    ISSN 2452-1094
    ISSN 2452-1094
    DOI 10.1016/j.adro.2022.101154
    Database MEDical Literature Analysis and Retrieval System OnLINE

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