Testing the flammability of materials exposed to arcs

Apparatus tests flammability and ignition characteristics of materials in close proximity to incandescent metal fragments or spalls ejected from intermittent short circuit arcs in air or oxygen rich atmospheres. It simulates a situation where an exposed live wire makes contact with a grounded member in areas containing organic matter

On generalized VnV^n-continua

The notion of $V^n$-continua was introduced by Alexandroff \cite{ps} as a generalization of the concept of $n$-manifold. In this note we consider the cohomological analogue of $V^n$-continua and prove that any strongly locally homogeneous, generalized continuum $X$ with cohomological dimension $n$ is a generalized $V^n$-con\-ti\-nuum with respect to the cohomological dimension. In particular, every strongly locally homogeneous continuum of covering dimension $n$ is a $V^n$-continuum in the sense of Alexandroff. An analog of the Mazurkiewicz theorem that no subset of covering dimension $\le n-2$ cuts any region of the Euclidean $n$-space is also obtained for strongly locally homogeneous, generalized continua of cohomological dimension $n$.Comment: 7 page

Partial Nephrectomy in a Patient with a Left Ventricular Assist Device

Left ventricular assist device (LVAD) use has increased as a bridge to heart transplant as well as destination therapy in patients with severe heart failure. Presence of LVAD is not a contraindication to noncardiac surgery but does present special challenges to the surgical, anesthesia, and cardiac teams. We present the case of a 40-year-old woman with idiopathic cardiomyopathy necessitating LVAD who underwent left partial nephrectomy for a renal mass. She had undergone three nondiagnostic percutaneous image-guided biopsies. Left partial nephrectomy was performed. Perioperative care was without incident due to careful oversight by a multidisciplinary team. Pathology revealed high-grade clear cell renal cell carcinoma (RCC) with negative margins. Polytetrafluoroethylene (PTFE) bolsters were misidentified six months postoperatively on computed tomography (CT) at an outside institution as a retained laparotomy sponge. This is, to our knowledge, the first report of a partial nephrectomy performed in a patient with LVAD

NEXP-completeness and Universal Hardness Results for Justification Logic

We provide a lower complexity bound for the satisfiability problem of a multi-agent justification logic, establishing that the general NEXP upper bound from our previous work is tight. We then use a simple modification of the corresponding reduction to prove that satisfiability for all multi-agent justification logics from there is hard for the Sigma 2 p class of the second level of the polynomial hierarchy - given certain reasonable conditions. Our methods improve on these required conditions for the same lower bound for the single-agent justification logics, proven by Buss and Kuznets in 2009, thus answering one of their open questions.Comment: Shorter version has been accepted for publication by CSR 201

Anatomical classification of the shape and topography of the operated stomach

The aim of the study was to present the classification of anatomical variances of the operated stomach, based on the radiological and historical data. Different anatomical variations of the operated organ were revealed in 431 out of 2034 patients examined in years 2006-2010. Four primary groups were established: abnormal position along longitudinal (I) and horizontal axis (II), as well as abnormal shape (III) and stomach connections (IV). An additional group (V) encloses mixed forms that connect features of two or more primary groups. The first group contains the partial and total translocation of the stomach into the thoracic cavity after the partial or total esophagectomy. Depends on the applied surgical techniques used during the total esophagectomy, the stomach could be located in the front or back to the pericardial sac. An elongated and gestrectatical form often with signs of pylorostenosis is visible in patients treated by the vagotomy. The consequences of fundoplication included: lack or narrow cardiac angle, and often mild form of the stomach cascade. The most common abnormal shape of the stomach was secondary to the gastrectomy and gastric bending. The final organ shape depends on the type of applied surgical procedure that maintains physiological connection with the duodenum or un-anatomical one, mostly with the jejunal loop. In banding, the body of the stomach forms hourglass on the level of the artificial adjustable band, typically fitted for the surgical slim purpose

Intravesical rAd-IFNα/Syn3 for Patients With High-Grade, Bacillus Calmette-Guerin-Refractory or Relapsed Non-Muscle-Invasive Bladder Cancer: A Phase II Randomized Study.

Purpose Many patients with high-risk non-muscle-invasive bladder cancer (NMIBC) are either refractory to bacillus Calmette-Guerin (BCG) treatment or may experience disease relapse. We assessed the efficacy and safety of recombinant adenovirus interferon alfa with Syn3 (rAd-IFNα/Syn3), a replication-deficient recombinant adenovirus gene transfer vector, for patients with high-grade (HG) BCG-refractory or relapsed NMIBC. Methods In this open-label, multicenter (n = 13), parallel-arm, phase II study ( ClinicalTrials.gov identifier: NCT01687244), 43 patients with HG BCG-refractory or relapsed NMIBC received intravesical rAd-IFNα/Syn3 (randomly assigned 1:1 to 1 × 10(11) viral particles (vp)/mL or 3 × 10(11) vp/mL). Patients who responded at months 3, 6, and 9 were retreated at months 4, 7, and 10. The primary end point was 12-month HG recurrence-free survival (RFS). All patients who received at least one dose were included in efficacy and safety analyses. Results Forty patients received rAd-IFNα/Syn3 (1 × 10(11) vp/mL, n = 21; 3 × 10(11) vp/mL, n = 19) between November 5, 2012, and April 8, 2015. Fourteen patients (35.0%; 90% CI, 22.6% to 49.2%) remained free of HG recurrence 12 months after initial treatment. Comparable 12-month HG RFS was noted for both doses. Of these 14 patients, two experienced recurrence at 21 and 28 months, respectively, after treatment initiation, and one died as a result of an upper tract tumor at 17 months without a recurrence. rAd-IFNα/Syn3 was well tolerated; no grade four or five adverse events (AEs) occurred, and no patient discontinued treatment because of an adverse event. The most frequently reported drug-related AEs were micturition urgency (n = 16; 40%), dysuria (n = 16; 40%), fatigue (n = 13; 32.5%), pollakiuria (n = 11; 28%), and hematuria and nocturia (n = 10 each; 25%). Conclusion rAd-IFNα/Syn3 was well tolerated. It demonstrated promising efficacy for patients with HG NMIBC after BCG therapy who were unable or unwilling to undergo radical cystectomy

Nucleation of ordered Fe islands on Al2O3/Ni3Al(111)

Scanning tunneling microscopy (STM) has been used to investigate the nucleation and stability of iron clusters on the Al2O3/Ni3Al (111) surface as a function of coverage and annealing temperature. We show that atomic beam deposition of iron leads to hexagonally ordered cluster arrangements with a distance of 24 angstrom between the clusters evidencing the template effect of the alumina film. The shape of the iron clusters is two-dimensional (2D) at deposition temperatures from 130 K to 160 K and three-dimensional (3D) at 300 K. However, the 2D iron clusters grown between 130 K and 160 K are stable up to 350 K. (c) 2006 Elsevier B.V. All rights reserved

Predictive factors for skeletal complications in hormone-refractory prostate cancer patients with metastatic bone disease

Factors predictive of skeletal-related events (SREs) in bone metastatic prostate cancer patients with hormone-refractory disease were investigated. We evaluated the frequency of SREs in 200 hormone-refractory patients consecutively observed at our Institution and followed until death or the last follow-up. Baseline parameters were evaluated in univariate and multivariate analysis as potential predictive factors of SREs. Skeletal-related events were observed in 86 patients (43.0%), 10 of which (5.0%) occurred before the onset of hormone-refractory disease. In univariate analysis, patient performance status (P=0.002), disease extent (DE) in bone (P=0.0001), bone pain (P=0.0001), serum alkaline phosphatase (P=0.0001) and urinary N-telopeptide of type one collagen (P=0.0001) directly correlated with a greater risk to develop SREs, whereas Gleason score at diagnosis, serum PSA, Hb, serum albumin, serum calcium, types of bone lesions and duration of androgen deprivation therapy did not. Both DE in bone (hazard ratio (HR): 1.16, 95% confidence interval (CI): 1.07–1.25, P=0.000) and pain score (HR: 1.13, 95% CI: 1.06–1.20, P=0.000) were independent variables predicting for the onset of SREs in multivariate analysis. In patients with heavy tumour load in bone and great bone pain, the percentage of SREs was almost twice as high as (26 vs 52%, P<0.02) and occurred significantly earlier (P=0.000) than SREs in patients with limited DE in bone and low pain. Bone pain and DE in bone independently predict the occurrence of SREs in bone metastatic prostate cancer patients with hormone-refractory disease. These findings could help physicians in tailoring the skeletal follow-up most appropriate to individual patients and may prove useful for stratifying patients enrolled in bisphosphonate clinical trials

TR-2014003: On the Complexity of Two-Agent Justification Logic

We investigate the complexity of derivability for two-agent Justification Logic. For this purpose we revisit Yavorskaya’s two-agent LP with interactions (2008), we simplify the syntax and provide natural extensions. We consider two-agent versions of other justification logics as well as ways to combine two justification logics. For most of these cases we prove that the upper complexity bound established for the single-agent cases are maintained: these logics ’ derivability problem is in the second step of the polynomial hierarchy. For certain logics, though, we discover a complex-ity jump to PSPACE-completeness, which is a new phenomenon for Justification Logic