Ultrasound-guided trans-rectal high-intensity focused ultrasound (HIFU) for advanced cervical cancer ablation is feasible: a case report.

High-intensity focused ultrasound (HIFU) is an ablative treatment undergoing assessment for the treatment of benign and malignant disease. We describe the first reported intracavitary HIFU ablation for recurrent, unresectable and symptomatic cervical cancer.A 38 year old woman receiving palliative chemotherapy for metastatic cervical adenocarcinoma was offered ablative treatment from an intracavitary trans-rectal HIFU device (Sonablate® 500). Pre-treatment symptoms included vaginal bleeding and discharge that were sufficient to impede her quality of life. No peri-procedural adverse events occurred. Symptoms resolved completely immediately post-procedure, reappeared at 7 days, increasing to pre-procedural levels by day 30.This first time experience of intracavitary cervical HIFU suggests that it is feasible for palliation of advanced cervical cancer, with no early evidence of unexpected toxicity. Ethical approval had also been granted for the use of per-vaginal access if appropriate. This route, alone or in combination with the rectal route, may provide increased accessibility in future patients with a redesigned device more suited to trans-vaginal ablations.Intracavitary HIFU is a potentially safe procedure for the treatment of cervical cancer and able to provide symptomatic improvement in the palliative setting

The Half-lives of 132^{132}La and 135^{135}La

The half-lives of $^{135}$La and $^{132}$La were determined via gamma spectroscopy and high-precision ionization chamber measurements. The results are 18.930(6) h for $^{135}$La and 4.59(4) h for $^{132}$La compared to the previously compiled values of 19.5(2) h and 4.8(2) h, respectively. The new results represent an improvement in the precision and accuracy of both values. These lanthanum isotopes comprise a medically interesting system with positron emitter $^{132}$La and Auger electron emitter $^{135}$La forming a matched pair for internal diagnostics and therapeutics. The precise half-lives are necessary for proper evaluation of their value in medicine and for a more representative tabulation of nuclear data.Comment: 11 pages, 3 figure

Computer graphics application in the engineering design integration system

The computer graphics aspect of the Engineering Design Integration (EDIN) system and its application to design problems were discussed. Three basic types of computer graphics may be used with the EDIN system for the evaluation of aerospace vehicles preliminary designs: offline graphics systems using vellum-inking or photographic processes, online graphics systems characterized by direct coupled low cost storage tube terminals with limited interactive capabilities, and a minicomputer based refresh terminal offering highly interactive capabilities. The offline line systems are characterized by high quality (resolution better than 0.254 mm) and slow turnaround (one to four days). The online systems are characterized by low cost, instant visualization of the computer results, slow line speed (300 BAUD), poor hard copy, and the early limitations on vector graphic input capabilities. The recent acquisition of the Adage 330 Graphic Display system has greatly enhanced the potential for interactive computer aided design

Fermion Masses and Mixing in Four and More Dimensions

We give an overview of recent progress in the study of fermion mass and flavor mixing phenomena. Mass matrix ansatze are considered within the SM and SUSY GUTs where some predictive frameworks based on SU(5) and SO(10) are reviewed. We describe a variety of schemes to construct quark mass matrices in extra dimensions focusing on four major classes: models with the SM residing on 3-brane, models with universal extra dimensions, models with split fermions and models with warped extra dimensions. We outline how realistic patterns of quark mass matrices could be derived from orbifold models in heterotic superstring theory. Finally, we address the fermion mass problem in intersecting D-branes scenarios, and present models with D6-branes able to give a good quantitatively description of quark masses and mixing. The role of flavor/CP violation problem as a probe of new physics is emphasized.Comment: a review based on seminars presented by S.K. in different places, 34 pages, late

Multiscale Gyrokinetics for Rotating Tokamak Plasmas: Fluctuations, Transport and Energy Flows

This paper presents a complete theoretical framework for plasma turbulence and transport in tokamak plasmas. The fundamental scale separations present in plasma turbulence are codified as an asymptotic expansion in the ratio of the gyroradius to the equilibrium scale length. Proceeding order-by-order in this expansion, a framework for plasma turbulence is developed. It comprises an instantaneous equilibrium, the fluctuations driven by gradients in the equilibrium quantities, and the transport-timescale evolution of mean profiles of these quantities driven by the fluctuations. The equilibrium distribution functions are local Maxwellians with each flux surface rotating toroidally as a rigid body. The magnetic equillibrium is obtained from the Grad-Shafranov equation for a rotating plasma and the slow (resistive) evolution of the magnetic field is given by an evolution equation for the safety factor q. Large-scale deviations of the distribution function from a Maxwellian are given by neoclassical theory. The fluctuations are determined by the high-flow gyrokinetic equation, from which we derive the governing principle for gyrokinetic turbulence in tokamaks: the conservation and local cascade of free energy. Transport equations for the evolution of the mean density, temperature and flow velocity profiles are derived. These transport equations show how the neoclassical corrections and the fluctuations act back upon the mean profiles through fluxes and heating. The energy and entropy conservation laws for the mean profiles are derived. Total energy is conserved and there is no net turbulent heating. Entropy is produced by the action of fluxes flattening gradients, Ohmic heating, and the equilibration of mean temperatures. Finally, this framework is condensed, in the low-Mach-number limit, to a concise set of equations suitable for numerical implementation.Comment: 113 pages, 3 figure

Rotationally Warm Molecular Hydrogen in the Orion Bar

The Orion Bar is one of the nearest and best-studied photodissociation or photon-dominated regions (PDRs). Observations reveal the presence of H2 lines from vibrationally or rotationally excited upper levels that suggest warm gas temperatures (400 to 700 K). However, standard models of PDRs are unable to reproduce such warm rotational temperatures. In this paper we attempt to explain these observations with new comprehensive models which extend from the H+ region through the Bar and include the magnetic field in the equation of state. We adopt the model parameters from our previous paper which successfully reproduced a wide variety of spectral observations across the Bar. In this model the local cosmic-ray density is enhanced above the galactic background, as is the magnetic field, and which increases the cosmic-ray heating elevating the temperature in the molecular region. The pressure is further enhanced above the gas pressure in the H+ region by the momentum transferred from the absorbed starlight. Here we investigate whether the observed H2 lines can be reproduced with standard assumptions concerning the grain photoelectric emission. We also explore the effects due to the inclusion of recently computed H2 + H2, H2 + H and H2 + He collisional rate coefficients.Comment: Accepted for publication in ApJ (34 pages, including 16 figures

Resolving the Formation of Protogalaxies. III. Feedback from the First Stars

The first stars form in dark matter halos of masses ~10^6 M_sun as suggested by an increasing number of numerical simulations. Radiation feedback from these stars expels most of the gas from their shallow potential well of their surrounding dark matter halos. We use cosmological adaptive mesh refinement simulations that include self-consistent Population III star formation and feedback to examine the properties of assembling early dwarf galaxies. Accurate radiative transport is modeled with adaptive ray tracing. We include supernova explosions and follow the metal enrichment of the intergalactic medium. The calculations focus on the formation of several dwarf galaxies and their progenitors. In these halos, baryon fractions in 10^8 solar mass halos decrease by a factor of 2 with stellar feedback and by a factor of 3 with supernova explosions. We find that radiation feedback and supernova explosions increase gaseous spin parameters up to a factor of 4 and vary with time. Stellar feedback, supernova explosions, and H_2 cooling create a complex, multi-phase interstellar medium whose densities and temperatures can span up to 6 orders of magnitude at a given radius. The pair-instability supernovae of Population III stars alone enrich the halos with virial temperatures of 10^4 K to approximately 10^{-3} of solar metallicity. We find that 40% of the heavy elements resides in the intergalactic medium (IGM) at the end of our calculations. The highest metallicity gas exists in supernova remnants and very dilute regions of the IGM.Comment: 15 pages, 16 figures, accepted to ApJ. Many changes, including estimates of metal line cooling. High resolution images and movies available at http://www.slac.stanford.edu/~jwise/research/PGalaxies3

Relic Neutralino Density in Scenarios with Intermediate Unification Scale

We analyse the relic neutralino density in supersymmetric models with an intermediate unification scale. In particular, we present concrete cosmological scenarios where the reheating temperature is as small as $\cal{O}$ $1 - 1000$ MeV). When this temperature is associated to the decay of moduli fields producing neutralinos, we show that the relic abundance increases considerably with respect to the standard thermal production. Thus the neutralino becomes a good dark matter candidate with 0.1\lsim \Omega h^2 \lsim 0.3, even for regions of the parameter space where large neutralino-nucleon cross sections, compatible with current dark matter experiments, are present. This is obtained for intermediate scales $M_I\sim 10^{11}-10^{14}$ GeV, and moduli masses $m_\phi\sim 100-1000$ GeV. On the other hand, when the above temperature is associated to the decay of an inflaton field, the relic abundance is too small.Comment: Latex, 11 pages, 2 figure

Liver Resection for Primary Hepatic Neoplasms.

Subtotal hepatic resection was performed in 356 patients; 87 had primary hepatic malignancies, 108 had metastatic tumors, and 161 had benign lesions including 8 traumatic injuries. The global mortality was 4.2%. The experience has elucidated the role of subtotal hepatic resection both for benign and malignant neoplasms

Trauma and Trichotillomania: A Tenuous Relationship

Some have argued that hair pulling in trichotillomania (TTM) is triggered by traumatic events, but reliable evidence linking trauma to TTM is limited. However, research has shown that hair pulling is associated with emotion regulation, suggesting a connection between negative affect and TTM. We investigated the associations between trauma, negative affect, and hair pulling in a cross-sectional sample of treatment seeking adults with TTM (N=85). In the current study, participants’ self-reported traumatic experiences were assessed during a structured clinical interview, and participants completed several measures of hair pulling severity, global TTM severity, depression, anxiety, experiential avoidance, and quality of life. Those who experienced trauma had more depressive symptoms, increased experiential avoidance, and greater global TTM severity. Although the presence of a trauma history was not related to the severity of hair pulling symptoms in the past week, depressive symptoms mediated the relationship between traumatic experiences and global TTM severity. These findings cast doubt on the notion that TTM is directly linked to trauma, but suggest that trauma leads to negative affect that individuals cope with through hair pulling. Implications for the conceptualization and treatment of TTM are discussed