Chemoradiation for advanced hypopharyngeal carcinoma: a retrospective study on efficacy, morbidity and quality of life

Chemoradiation (CRT) is a valuable treatment option for advanced hypopharyngeal squamous cell cancer (HSCC). However, long-term toxicity and quality of life (QOL) is scarcely reported. Therefore, efficacy, acute and long-term toxic effects, and long-term QOL of CRT for advanced HSCC were evaluated,using retrospective study and post-treatment quality of life questionnaires. in a tertiary hospital setting. Analysis was performed of 73 patients that had been treated with CRT. Toxicity was rated using the CTCAE score list. QOL questionnaires EORTC QLQ-C30, QLQ-H&N35, and VHI were analyzed. The most common acute toxic effects were dysphagia and mucositis. Dysphagia and xerostomia remained problematic during long-term follow-up. After 3 years, the disease-specific survival was 41%, local disease control was 71%, and regional disease control was 97%. The results indicated that CRT for advanced HSCC is associated with high locoregional control and disease-specific survival. However, significant acute and long-term toxic effects occur, and organ preservation appears not necessarily equivalent to preservation of function and better QOL

Permeability and pressure measurements in Lesser Antilles submarine slides: Evidence for pressure-driven slow-slip failure

Recent studies hypothesize that some submarine slides fail via pressure-driven slow-slip deformation. To test this hypothesis, this study derives pore pressures in failed and adjacent unfailed deep marine sediments by integrating rock physics models, physical property measurements on recovered sediment core, and wireline logs. Two drill sites (U1394 and U1399) drilled through interpreted slide debris; a third (U1395) drilled into normal marine sediment. Near-hydrostatic fluid pressure exists in sediments at site U1395. In contrast, results at both sites U1394 and U1399 indicate elevated pore fluid pressures in some sediment. We suggest that high pore pressure at the base of a submarine slide deposit at site U1394 results from slide shearing. High pore pressure exists throughout much of site U1399, and Mohr circle analysis suggests that only slight changes in the stress regime will trigger motion. Consolidation tests and permeability measurements indicate moderately low (~10⁻¹⁶–10⁻¹⁷ m²) permeability and overconsolidation in fine-grained slide debris, implying that these sediments act as seals. Three mechanisms, in isolation or in combination, may produce the observed elevated pore fluid pressures at site U1399: (1) rapid sedimentation, (2) lateral fluid flow, and (3) shearing that causes sediments to contract, increasing pore pressure. Our preferred hypothesis is this third mechanism because it explains both elevated fluid pressure and sediment overconsolidation without requiring high sedimentation rates. Our combined analysis of subsurface pore pressures, drilling data, and regional seismic images indicates that slope failure offshore Martinique is perhaps an ongoing, creep-like process where small stress changes trigger motion

La renovación de la palabra en el bicentenario de la Argentina : los colores de la mirada lingüística

El libro reúne trabajos en los que se exponen resultados de investigaciones presentadas por investigadores de Argentina, Chile, Brasil, España, Italia y Alemania en el XII Congreso de la Sociedad Argentina de Lingüística (SAL), Bicentenario: la renovación de la palabra, realizado en Mendoza, Argentina, entre el 6 y el 9 de abril de 2010. Las temáticas abordadas en los 167 capítulos muestran las grandes líneas de investigación que se desarrollan fundamentalmente en nuestro país, pero también en los otros países mencionados arriba, y señalan además las áreas que recién se inician, con poca tradición en nuestro país y que deberían fomentarse. Los trabajos aquí publicados se enmarcan dentro de las siguientes disciplinas y/o campos de investigación: Fonología, Sintaxis, Semántica y Pragmática, Lingüística Cognitiva, Análisis del Discurso, Psicolingüística, Adquisición de la Lengua, Sociolingüística y Dialectología, Didáctica de la lengua, Lingüística Aplicada, Lingüística Computacional, Historia de la Lengua y la Lingüística, Lenguas Aborígenes, Filosofía del Lenguaje, Lexicología y Terminología

Three-dimensional simulations of fluid and heat flow associated with faults in volcanic ocean crust

Hydrothermal circulation extracts a significant fraction of lithospheric heat from the ocean crust, with most of this advective heat loss occurring on ridge flanks, far from mid-ocean ridges. Faults in ocean crust are common in many settings, and may serve as high-transmissivity structures that facilitate advective transport and focus discharge of fluid, heat, and solutes below and at the seafloor. Coupled flow along fault zones has been invoked in a variety of settings, but circulation patterns are not well constrained by observational data or earlier models. We present results from three-dimensional, fully coupled numerical simulations of fluid and heat flow in sediment-covered ridge-flank ocean crust cut by a fault. We explore a range of fault and surrounding crustal characteristics, including crust and fault permeability, fault dip angle, thickness, and depth. We are particularly interested in resolving relations between fault and crustal characteristics and seafloor heat flux patterns.Simulation results show variability in patterns of fluid circulation and seafloor heat flux as a function of fault geometry and crustal properties. The seafloor heat flux pattern above fault traces tends to show variability along strike (in response to underlying regions of rapid upward and downward flow along the fault trace), and asymmetry in seafloor heat flux anomalies, with higher values above the fault trace and lower values in the immediately surrounding seafloor, especially above the hanging wall. The negative anomaly is generally greater when the fault dip angle is lower.Higher permeability in the crustal rocks adjacent to the fault zone tend result in small-scale convection and small-amplitude variations in seafloor heat flux, and more diffuse convection cells in the fault zone itself. Convection in the surrounding crust decreases the importance of the fault zone in extracting lithospheric heat. Simulations also show that faults that penetrate deeper into the crust produce a significantly larger seafloor heat flux anomaly than do shallower faults, indicating that deeper faults extract lithospheric heat more efficiently. Patterns of seafloor heat flux from these simulations indicate that fault-zone hydrothermal circulation should produce thermal anomalies that are detectable in field measurements. Linking field observations directly to numerical simulations can provide better understanding of the geometry and properties of faults and fluid flow patterns in the volcanic ocean crust

Geyser preplay and eruption in a laboratory model with a bubble trap

We present visual observations and temperature measurements from a laboratory model of a geyser. Our model incorporates a bubble trap, a zone in which vapor can accumulate in the geyser's subsurface plumbing, in a vertical conduit connected to a basal chamber. Analogous features have been identified at several natural geysers. We observe three types of eruptions: 1) rising bubbles eject a small volume of liquid in a weak spout (small eruption); 2) boiling occurs in the conduit above the bubble trap (medium eruption); and 3) boiling occurs in the conduit and chamber (large eruption). In the last two cases, boiling in the conduit causes a rapid hydrostatic pressure drop that allows for the rise and eruption of liquid water in a vigorous spout. Boiling initiates at depth rather than propagating downward from the surface. In a single eruption cycle, multiple small eruptions precede every medium and large eruption. At least one eruption cycle that culminates in a medium eruption (i.e., a quiescent period followed by a series of small eruptions leading up to a medium eruption) precedes every eruption cycle that culminates in a large eruption. We find that the transfer of fluid with high enthalpy to the upper conduit during small and medium eruptions is necessary to heat the upper conduit and prepare the system for the full boiling required for a large eruption. The placement of the bubble trap midway up the conduit allows for more efficient heating of the upper conduit. Our model provides insight into the influence of conduit geometry on eruption style and the importance of heat transfer by smaller events in preparing the geyser system for eruption

The network form of organisation : hybrid, or independent third form?

International audienceRecent studies hypothesize that some submarine slides fail via pressure-driven slow-slip deformation. To test this hypothesis, this study derives pore pressures in failed and adjacent unfailed deep marine sediments by integrating rock physics models, physical property measurements on recovered sediment core, and wireline logs. Two drill sites (U1394 and U1399) drilled through interpreted slide debris; a third (U1395) drilled into normal marine sediment. Near-hydrostatic fluid pressure exists in sediments at site U1395. In contrast, results at both sites U1394 and U1399 indicate elevated pore fluid pressures in some sediment. We suggest that high pore pressure at the base of a submarine slide deposit at site U1394 results from slide shearing. High pore pressure exists throughout much of site U1399, and Mohr circle analysis suggests that only slight changes in the stress regime will trigger motion. Consolidation tests and permeability measurements indicate moderately low (~10−16–10−17 m2) permeability and overconsolidation in fine-grained slide debris, implying that these sediments act as seals. Three mechanisms, in isolation or in combination, may produce the observed elevated pore fluid pressures at site U1399: (1) rapid sedimentation, (2) lateral fluid flow, and (3) shearing that causes sediments to contract, increasing pore pressure. Our preferred hypothesis is this third mechanism because it explains both elevated fluid pressure and sediment overconsolidation without requiring high sedimentation rates. Our combined analysis of subsurface pore pressures, drilling data, and regional seismic images indicates that slope failure offshore Martinique is perhaps an ongoing, creep-like process where small stress changes trigger motion