124 research outputs found
Guiding light via geometric phases
Known methods for transverse confinement and guidance of light can be grouped
into a few basic mechanisms, the most common being metallic reflection, total
internal reflection and photonic-bandgap (or Bragg) reflection. All of them
essentially rely on changes of the refractive index, that is on scalar
properties of light. Recently, processes based on "geometric Berry phases",
such as manipulation of polarization states or deflection of spinning-light
rays, have attracted considerable interest in the contexts of singular optics
and structured light. Here, we disclose a new approach to light waveguiding,
using geometric Berry phases and exploiting polarization states and their
handling. This can be realized in structured three-dimensional anisotropic
media, in which the optic axis lies orthogonal to the propagation direction and
is modulated along it and across the transverse plane, so that the refractive
index remains constant but a phase distortion can be imposed on a beam. In
addition to a complete theoretical analysis with numerical simulations, we
present a proof-of-principle experimental demonstration of this effect in a
discrete element implementation of a geometric phase waveguide. The mechanism
we introduce shows that spin-orbit optical interactions can play an important
role in integrated optics and paves the way to an entire new class of photonic
systems that exploit the vectorial nature of light.Comment: Publication supported by European Union (EU) within Horizon 2020 -
ERC-Advanced Grant PHOSPhOR, grant no. 694683. This is the final
peer-reviewed manuscript as accepted for publication (including methods and
supplementary information
A possible unexpected link: Could wheat elimination trigger food protein-induced enterocolitis syndrome in a celiac disease patient?
Cases of association between celiac disease and wheat allergy have been described in the literature. However, to date, no reported cases have linked celiac disease with wheat food protein-induced enterocolitis syndrome (FPIES). We report a case of this association. A child diagnosed with celiac disease at the age of 2 years, following a gluten-free diet, experienced uncontrollable vomiting, and subsequent hypotension within 2 h of accidental ingestion of wheat flour. As a result, the child required hospitalization for fluid therapy. A similar episode occurred when the child turned 5 y, again resulting from accidental gluten ingestion. This time, the symptoms included vomiting, hypotension, and a loss of consciousness, leading to hospitalization for rehydration treatment. After this second episode, on suspicion of FPIES, the patient was referred to the pediatric allergists, who confirmed the diagnosis. To our knowledge, this is the first case of an association between celiac disease and FPIES. It has been hypothesized that exclusion diets in food-allergic children may lead to an increase in specific immunoglobulin E levels for those foods and, consequently, the risk of anaphylaxis. However, FPIES is not an immunoglobulin E-mediated condition. Hence, further investigations are warranted to elucidate the underlying mechanisms linking these 2 disorders
First-Line Chemotherapy for HER-2–Negative Metastatic Breast Cancer Patients Who Received Anthracyclines as Adjuvant Treatment
Learning Objectives
After completing this course, the reader will be able to: Discuss the value of retreatment with anthracyclines for HER-2–negative metastatic breast cancer patients who received anthracyclines as adjuvant treatment.Discuss the role of liposomal anthracyclines, taxanes, and combinations without anthracyclines and taxanes, or innovative treatments, including target-based agents.Comment on the weakness and quality of available evidence.
Access and take the CME test online and receive 1 AMA PRA Category 1 Credit™ at CME.TheOncologist.co
The organic residues of lining in transport vessels from the Red Sea coast of Eritrea: a further element to understand past commercial relations
AbstractThe archaeological site of Adulis lays on the Red Sea Coast of Eritrea and during Late antiquity played a significant role in interregional commerce among the Mediterranean, the Red Sea and the Indian Ocean coasts. Contacts with the Eastern Mediterranean, Arabian Peninsula and the Sasanian world have been attested from different classes of pottery that were brought to light from on-going excavations at the site. Transport vessels have attracted particular attention as they testify the extent of trades and exchange networks. Transport vessels were coated by organic materials to seal porosity and make them suitable to transport different liquids and/or food. The characterisation of coating materials helped shedding light on their function, and support the attribution to different classes of transport vessels found in the Indian Ocean and Red Sea worlds. Here, the characterisation of the organic lining detected on a set of samples identified as Late Roman Amphora 1 is discussed. Results from the chemical analyses, performed preliminarily by FT-IR and then by GC–MS, revealed that bitumen was used for lining the jars, thus leading to set the classification of the amphorae within the wide class of the so- called Torpedo jars. By overcoming the question of typological complexity posed from macroscopic examination of the sherds, the chemical investigation contributed here crucial information for the interpretation of past trading in the Indian Ocean. The research gave clues to broaden the distribution of the Torpedo jars to Adulis, giving an unexpected insight into the trading routes of the past
SWIPE: a bolometric polarimeter for the Large-Scale Polarization Explorer
The balloon-borne LSPE mission is optimized to measure the linear
polarization of the Cosmic Microwave Background at large angular scales. The
Short Wavelength Instrument for the Polarization Explorer (SWIPE) is composed
of 3 arrays of multi-mode bolometers cooled at 0.3K, with optical components
and filters cryogenically cooled below 4K to reduce the background on the
detectors. Polarimetry is achieved by means of large rotating half-wave plates
and wire-grid polarizers in front of the arrays. The polarization modulator is
the first component of the optical chain, reducing significantly the effect of
instrumental polarization. In SWIPE we trade angular resolution for
sensitivity. The diameter of the entrance pupil of the refractive telescope is
45 cm, while the field optics is optimized to collect tens of modes for each
detector, thus boosting the absorbed power. This approach results in a FWHM
resolution of 1.8, 1.5, 1.2 degrees at 95, 145, 245 GHz respectively. The
expected performance of the three channels is limited by photon noise,
resulting in a final sensitivity around 0.1-0.2 uK per beam, for a 13 days
survey covering 25% of the sky.Comment: In press. Copyright 2012 Society of Photo-Optical Instrumentation
Engineers. One print or electronic copy may be made for personal use only.
Systematic reproduction and distribution, duplication of any material in this
paper for a fee or for commercial purposes, or modification of the content of
the paper are prohibite
Effects of Magnetic Stimulation on Dental Implant Osseointegration: A Scoping Review
This PRISMA-ScR driven scoping review aims to evaluate the influence of magnetic field stimu-lation on dental implant osseointegration. Seven databases were screened adopting ad-hoc strings. All clinical and preclinical studies analyzing the effects of magnetic fields on dental im-plant osseointegration were included. From 3124 initial items, on the basis of the eligibility cri-teria, 33 articles, regarding both Pulsed ElectroMagnetic Fields (PEMF) and Static magnetic Fields from permanent Magnets (SFM) were finally included and critically analyzed. In vitro studies showed a positive effect of PEMF, but contrasting effects of SFM on bone cell proliferation, whereas cell adhesion and osteogenic differentiation were induced by both types of stimulation. In vivo studies showed an increased bone-to-implant contact rate in different animal models and clinical studies revealed positive effects on implant stability, under magnetic stimulation. In conclusion, although positive effects of magnetic exposure on osteogenesis activity and os-seointegration emerged, this scoping review highlighted the need for further preclinical and clinical studies. More standardized designs, accurate choice of stimulation parameters, adequate methods of evaluation of the outcomes, greater sample size and longer follow-ups are needed to clearly assess the effect of magnetic fields on dental implant osseointegration
Gefitinib in Non Small Cell Lung Cancer
Gefitinib is an oral, reversible, tyrosine kinase inhibitor of epidermal growth factor receptor (EGFR) that plays a key role in the biology of non small cell lung cancer (NSCLC). Phase I studies indicated that the recommended dose of gefitinib was 250 mg/day. Rash, diarrhea, and nausea were the most common adverse events. The positive results obtained in early phase 2 clinical trials with gefitinib were not confirmed in large phase 3 trials in unselected patients with advanced NSCLC. The subsequent discovery that the presence of somatic mutations in the kinase domain of EGFR strongly correlates with increased responsiveness to EGFR tyrosine kinase inhibitors prompted phase 2 and 3 trials with gefitinib in the first line-treatment of EGFR-mutated NSCLC. The results of these trials have demonstrated the efficacy of gefitinib that can be now considered as the standard first-line treatment of patients with advanced NSCLC harbouring activating EGFR mutations
Palmitoylethanolamide and polydatin in pediatric irritable bowel syndrome: a multicentric randomized controlled trial
Objective: This study aimed to evaluate the efficacy and safety of co-micronized palmitoylethanolamide (PEA)/polydatin (PD) in the treatment of abdominal pain symptoms in pediatric patients with irritable bowel syndrome (IBS). Methods: This was a multicenter trial conducted at three Italian pediatric gastroenterology centers, employing a double-blind, placebo-controlled, parallel-arm design. Participants were ages 10 to 17 y and met Rome IV criteria for pediatric IBS. They were randomly allocated to receive either co-micronized PEA/PD or placebo, administered three times daily in a 1:1 ratio, over a 12-wk period. The study assessed baseline severity using the IBS-Severity Scoring System (IBS-SSS) at enrollment and after 4, 8, and 12 wk of treatment. Abdominal pain frequency was assessed on a scale from 1 to 7 d/wk, while stool consistency was classified using the Bristol Stool Scale (BSS) to categorize various IBS subtypes. The primary outcome was the percentage of patients who achieved complete remission, defined as IBS-SSS score <75 points after 12 wk of therapy. Results: The study involved 70 children with IBS. Of the participants, 34 received co-micronized PEA/PD, and 36 received a placebo. As compared with the placebo group, the co-micronized therapy group had significantly more patients achieving complete remission after 12 wk (P = 0.015), with particular benefit in the IBS-diarrhea subtype (P = 0.01). The treatment group also experienced a significant reduction in abdominal pain intensity and frequency compared with the placebo group. No adverse events were recorded during the study period. Conclusions: Co-micronized PEA/PD is a safe and effective treatment to treat abdominal pain symptoms in pediatric IBS
The Large-Scale Polarization Explorer (LSPE)
The LSPE is a balloon-borne mission aimed at measuring the polarization of
the Cosmic Microwave Background (CMB) at large angular scales, and in
particular to constrain the curl component of CMB polarization (B-modes)
produced by tensor perturbations generated during cosmic inflation, in the very
early universe. Its primary target is to improve the limit on the ratio of
tensor to scalar perturbations amplitudes down to r = 0.03, at 99.7%
confidence. A second target is to produce wide maps of foreground polarization
generated in our Galaxy by synchrotron emission and interstellar dust emission.
These will be important to map Galactic magnetic fields and to study the
properties of ionized gas and of diffuse interstellar dust in our Galaxy. The
mission is optimized for large angular scales, with coarse angular resolution
(around 1.5 degrees FWHM), and wide sky coverage (25% of the sky). The payload
will fly in a circumpolar long duration balloon mission during the polar night.
Using the Earth as a giant solar shield, the instrument will spin in azimuth,
observing a large fraction of the northern sky. The payload will host two
instruments. An array of coherent polarimeters using cryogenic HEMT amplifiers
will survey the sky at 43 and 90 GHz. An array of bolometric polarimeters,
using large throughput multi-mode bolometers and rotating Half Wave Plates
(HWP), will survey the same sky region in three bands at 95, 145 and 245 GHz.
The wide frequency coverage will allow optimal control of the polarized
foregrounds, with comparable angular resolution at all frequencies.Comment: In press. Copyright 2012 Society of Photo-Optical Instrumentation
Engineers. One print or electronic copy may be made for personal use only.
Systematic reproduction and distribution, duplication of any material in this
paper for a fee or for commercial purposes, or modification of the content of
the paper are prohibite
Survival analysis of a multicentre, randomized phase 3 study on the optimization of the combination of bevacizumab with FOLFOX/OXXEL in patients with metastatic colorectal cancer (mCRC)
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