Results of vascular resections during pancreatectomy from two European centres: an analysis of survival and disease-free survival explicative factors

AbstractObjectives. The object of our study was to report on the experience with vascular resections at pancreatectomy in two European specialist hepatopancreatobiliary centres and evaluate outcome and prognostic factors. Patients and methods. From 1989 to 2002, 45 patients (21 men, 24 women) underwent pancreatectomy for a pancreatic mass: Whipple's procedure (n= 33), total pancreatectomy (n= 10) or left splenopancreatectomy (n= 2), along with a vascular resection, i.e. venous (n= 39), arterial (n= 1) or venous + arterial (n= 5). Results. Operative mortality was nil, postoperative mortality was 2.2% (n= 1); 34 patients had an uneventful postoperative course. Reoperations were performed for portal vein thromobosis (n= 1), pancreatic leak (n= 1), gastric outlet syndrome (n= 1) and gastrointestinal bleeding (n= 1). In all, 43 patients had cancer on pathology examination, with retropancreatic invasion in 72% and lymph node extension in 62.8%. Resection was R0 in 21 cases. Vessel wall invasion was present in 13 cases and 19 had perivascular invasion. Disease-free survival (DFS) at 1, 2 and 3 years was 36.0%, 15.0% and 12.0%, respectively. Median DFS length was 8.7 months (95% CI: 7.2; 10.2). Overall survival rates were 56.6%, 28.9% and 19.2%, respectively. Median survival length was 14.2 months (95% CI: 9.8; 18.6). A multivariate analysis of prognostic variables identified tumour location (other than head of pancreas), neoadjuvant chemotherapy and advanced disease stage as adverse factors for DFS. Conclusion. Survival and DFS rates of these patients are comparable to those without vascular resection. Tumour localization, tumour stage, neoadjuvant treatment and tumour recurrence are explanatory variables of survival. Tumour localization, tumour stage and neoadjuvant treatment were explanatory variables for DFS. However, the type and extent of vascular resections as well as vessel wall invasion does not affect survival and DFS

Realistic Equations of State for the Primeval Universe

Early universe equations of state including realistic interactions between constituents are built up. Under certain reasonable assumptions, these equations are able to generate an inflationary regime prior to the nucleosynthesis period. The resulting accelerated expansion is intense enough to solve the flatness and horizon problems. In the cases of curvature parameter \kappa equal to 0 or +1, the model is able to avoid the initial singularity and offers a natural explanation for why the universe is in expansion.Comment: 32 pages, 5 figures. Citations added in this version. Accepted EPJ

Dark Matter Direct Detection Signals inferred from a Cosmological N-body Simulation with Baryons

We extract at redshift z=0 a Milky Way sized object including gas, stars and dark matter (DM) from a recent, high-resolution cosmological N-body simulation with baryons. Its resolution is sufficient to witness the formation of a rotating disk and bulge at the center of the halo potential. The phase-space structure of the central galactic halo reveals the presence of a dark disk component, that is co-rotating with the stellar disk. At the Earth's location, it contributes to around 25% of the total DM local density, whose value is rho_DM ~ 0.37 GeV/cm^3. The velocity distributions also show strong deviations from pure Gaussian and Maxwellian distributions, with a sharper drop of the high velocity tail. We give a detailed study of the impact of these features on the predictions for DM signals in direct detection experiments. In particular, the question of whether the modulation signal observed by DAMA is or is not excluded by limits set by other experiments (CDMS, XENON and CRESST...) is re-analyzed and compared to the case of a standard Maxwellian halo, in both the elastic and the inelastic scattering scenarios. We find that the compatibility between DAMA and the other experiments is improved. In the elastic scenario, the DAMA modulation signal is slightly enhanced in the so-called channeling region, as a result of several effects. For the inelastic scenario, the improvement of the fit is mainly attributable to the departure from a Maxwellian distribution at high velocity.Comment: 39 page

Critical behavior of the two-dimensional N-component Landau-Ginzburg Hamiltonian with cubic anisotropy

We study the two-dimensional N-component Landau-Ginzburg Hamiltonian with cubic anisotropy. We compute and analyze the fixed-dimension perturbative expansion of the renormalization-group functions to four loops. The relations of these models with N-color Ashkin-Teller models, discrete cubic models, planar model with fourth order anisotropy, and structural phase transition in adsorbed monolayers are discussed. Our results for N=2 (XY model with cubic anisotropy) are compatible with the existence of a line of fixed points joining the Ising and the O(2) fixed points. Along this line the exponent $\eta$ has the constant value 1/4, while the exponent $\nu$ runs in a continuous and monotonic way from 1 to $\infty$ (from Ising to O(2)). For N\geq 3 we find a cubic fixed point in the region $u, v \geq 0$, which is marginally stable or unstable according to the sign of the perturbation. For the physical relevant case of N=3 we find the exponents $\eta=0.17(8)$ and $\nu=1.3(3)$ at the cubic transition.Comment: 14 pages, 9 figure

Critical behavior of weakly-disordered anisotropic systems in two dimensions

The critical behavior of two-dimensional (2D) anisotropic systems with weak quenched disorder described by the so-called generalized Ashkin-Teller model (GATM) is studied. In the critical region this model is shown to be described by a multifermion field theory similar to the Gross-Neveu model with a few independent quartic coupling constants. Renormalization group calculations are used to obtain the temperature dependence near the critical point of some thermodynamic quantities and the large distance behavior of the two-spin correlation function. The equation of state at criticality is also obtained in this framework. We find that random models described by the GATM belong to the same universality class as that of the two-dimensional Ising model. The critical exponent $\nu$ of the correlation length for the 3- and 4-state random-bond Potts models is also calculated in a 3-loop approximation. We show that this exponent is given by an apparently convergent series in $\epsilon=c-\frac{1}{2}$ (with $c$ the central charge of the Potts model) and that the numerical values of $\nu$ are very close to that of the 2D Ising model. This work therefore supports the conjecture (valid only approximately for the 3- and 4-state Potts models) of a superuniversality for the 2D disordered models with discrete symmetries.Comment: REVTeX, 24 pages, to appear in Phys.Rev.

Indirect signals from light neutralinos in supersymmetric models without gaugino mass unification

We examine indirect signals produced by neutralino self-annihilations, in the galactic halo or inside celestial bodies, in the frame of an effective MSSM model without gaugino-mass unification at a grand unification scale. We compare our theoretical predictions with current experimental data of gamma-rays and antiprotons in space and of upgoing muons at neutrino telescopes. Results are presented for a wide range of the neutralino mass, though our discussions are focused on light neutralinos. We find that only the antiproton signal is potentially able to set constraints on very low-mass neutralinos, below 20 GeV. The gamma-ray signal, both from the galactic center and from high galactic latitudes, requires significantly steep profiles or substantial clumpiness in order to reach detectable levels. The up-going muon signal is largely below experimental sensitivities for the neutrino flux coming from the Sun; for the flux from the Earth an improvement of about one order of magnitude in experimental sensitivities (with a low energy threshold) can make accessible neutralino masses close to O, Si and Mg nuclei masses, for which resonant capture is operative.Comment: 17 pages, 1 tables and 5 figures, typeset with ReVTeX4. The paper may also be found at http://www.to.infn.it/~fornengo/papers/indirect04.ps.gz or through http://www.astroparticle.to.infn.it/. Limit from BR(Bs--> mu+ mu-) adde

Quantum walks: a comprehensive review

Quantum walks, the quantum mechanical counterpart of classical random walks, is an advanced tool for building quantum algorithms that has been recently shown to constitute a universal model of quantum computation. Quantum walks is now a solid field of research of quantum computation full of exciting open problems for physicists, computer scientists, mathematicians and engineers. In this paper we review theoretical advances on the foundations of both discrete- and continuous-time quantum walks, together with the role that randomness plays in quantum walks, the connections between the mathematical models of coined discrete quantum walks and continuous quantum walks, the quantumness of quantum walks, a summary of papers published on discrete quantum walks and entanglement as well as a succinct review of experimental proposals and realizations of discrete-time quantum walks. Furthermore, we have reviewed several algorithms based on both discrete- and continuous-time quantum walks as well as a most important result: the computational universality of both continuous- and discrete- time quantum walks.Comment: Paper accepted for publication in Quantum Information Processing Journa

Measurement of the B0-anti-B0-Oscillation Frequency with Inclusive Dilepton Events

The $B^0$-$\bar B^0$ oscillation frequency has been measured with a sample of 23 million \B\bar B pairs collected with the BABAR detector at the PEP-II asymmetric B Factory at SLAC. In this sample, we select events in which both B mesons decay semileptonically and use the charge of the leptons to identify the flavor of each B meson. A simultaneous fit to the decay time difference distributions for opposite- and same-sign dilepton events gives $\Delta m_d = 0.493 \pm 0.012{(stat)}\pm 0.009{(syst)}$ ps$^{-1}$.Comment: 7 pages, 1 figure, submitted to Physical Review Letter

Tip-functionalized carbon nanotubes under electric fields

We investigated the electronic structures of chemically modified carbon nanotube tips under electric fields using density functional calculations. Hydrogen, oxygen, and hydroxyl group-terminated nanotubes have been considered as field emitters or probe tips. In the case of the open-ended tubes, the field emission originates primarily from the dangling-bond states localized at the edge, whereas the pentagonal defects are the main source of the field emission in the capped tubes. The open-ended nanotube with a zigzag edge is an efficient field emitter because of the localized electronic states around the Fermi level and the atomic alignment of carbon-carbon bonds along with external electric fields. Tip functionalization alters the local density of states as well as the chemical selectivity of nanotubes in various ways. The correlations between atomic geometries of chemically functionalized tips and their electronic structures are further discussed. We propose that a hydrogen-terminated tube would be a promising probe tip for selective chemical imaging.open252