Cognitive Sparing during the Administration of Whole Brain Radiotherapy and Prophylactic Cranial Irradiation: Current Concepts and Approaches

Whole brain radiotherapy (WBRT) for the palliation of metastases, or as prophylaxis to prevent intracranial metastases, can be associated with subacute and late decline in memory and other cognitive functions. Moreover, these changes are often increased in both frequency and severity when cranial irradiation is combined with the use of systemic or intrathecal chemotherapy. Approaches to preventing or reducing this toxicity include the use of stereotactic radiosurgery (SRS) instead of WBRT; dose reduction for PCI; exclusion of the limbic circuit, hippocampal formation, and/or neural stem cell regions of the brain during radiotherapy; avoidance of intrathecal and/or systemic chemotherapy during radiotherapy; the use of high-dose, systemic chemotherapy in lieu of WBRT. This review discusses these concepts in detail as well as providing both neuroanatomic and radiobiologic background relevant to these issues

Ultrasound-guided percutaneous tracheal puncture: a computer-tomographic controlled study in cadavers

Background Ultrasound-guided techniques are increasingly used in anaesthetic practice to identify tissues beneath the skin and to increase the accuracy of placement of needles close to targeted structures. To examine ultrasound's usefulness for dilatational tracheostomy, we performed ultrasound-guided tracheal punctures in human cadavers followed by computer-tomographic (CT) control. Methods The trachea of nine cadavers was punctured using an in-plane approach with a longitudinal ultrasound visualization of the trachea. As soon as a loss of resistance was felt, or air/fluid could be aspirated into the attached syringe, the syringe was disconnected and the ultrasound transducer set aside. Thereafter, a cricothyroidotomy guidewire was inserted through the needle into the trachea. The needle was then removed, leaving the wire in place and a control CT imaging of the neck and the chest was performed. Primary outcome was successful wire insertion into the trachea. Results Tracheal puncture and wire insertion was successful in eight of nine cadavers at the first attempt and in one at the second attempt (total of 10 puncture attempts, nine successful). In eight of nine successfully inserted wires, the wire was placed on the defined midline. Conclusions Ultrasound guidance can facilitate successful tracheal puncture. However, combining an in-plane approach with a longitudinal ultrasound visualization of the trachea neither guarantees an exact midline puncture nor allows detection of a misplaced guidewir

The prevalence and causes of vision loss in Indigenous Australians: the National Indigenous Eye Health Survey

Aim: To determine the prevalence and causes of vision loss in Indigenous Australians. Design, setting and participants: A national, stratified, random cluster sample was drawn from 30 communities across Australia that each included about 300 Indigenous people of all ages. A sample of non-Indigenous adults aged 40 years was also tested at several remote sites for comparison. Participants were examined using a standardised protocol that included a questionnaire (self-administered or completed with the help of field staff), visual acuity (VA) testing on presentation and after correction, visual field testing, trachoma grading, and fundus and lens photography. The data were collected in 2008. Main outcome measures: VA; prevalence of low vision and blindness; causes of vision loss; rates of vision loss in Indigenous compared with non-Indigenous adults. Results: 1694Indigenouschildrenand1189Indigenousadultswereexamined, representing recruitment rates of 84% for children aged 5–15 years and 72% for adults aged 40 years. Rates of low vision (VA \u3c 6/12 to 6/60) were 1.5% (95% CI, 0.9%–2.1%) in children and 9.4% (95% CI, 7.8%–11.1%) in adults. Rates of blindness (VA \u3c 6/60) were 0.2% (95% CI, 0.04%–0.5%) in children and 1.9% (95% CI, 1.1%–2.6%) in adults. The principal cause of low vision in both adults and children was refractive error. The principal causes of blindness in adults were cataract, refractive error and optic atrophy. Relative risks (RRs) of vision loss and blindness in Indigenous adults compared with adults in the mainstream Australian population were 2.8 and 6.2, respectively. By contrast, RRs of vision loss and blindness in Indigenous children compared with mainstream children were 0.2 and 0.6, respectively. Conclusion: Many causes of vision loss in our sample were readily avoidable. Better allocation of services and resources is required to give all Australians equal access to eye health services

Dynamical Evolution in Noncommutative Discrete Phase Space and the Derivation of Classical Kinetic Equations

By considering a lattice model of extended phase space, and using techniques of noncommutative differential geometry, we are led to: (a) the conception of vector fields as generators of motion and transition probability distributions on the lattice; (b) the emergence of the time direction on the basis of the encoding of probabilities in the lattice structure; (c) the general prescription for the observables' evolution in analogy with classical dynamics. We show that, in the limit of a continuous description, these results lead to the time evolution of observables in terms of (the adjoint of) generalized Fokker-Planck equations having: (1) a diffusion coefficient given by the limit of the correlation matrix of the lattice coordinates with respect to the probability distribution associated with the generator of motion; (2) a drift term given by the microscopic average of the dynamical equations in the present context. These results are applied to 1D and 2D problems. Specifically, we derive: (I) The equations of diffusion, Smoluchowski and Fokker-Planck in velocity space, thus indicating the way random walk models are incorporated in the present context; (II) Kramers' equation, by further assuming that, motion is deterministic in coordinate spaceComment: LaTeX2e, 40 pages, 1 Postscript figure, uses package epsfi

Convicts and coolies : rethinking indentured labour in the nineteenth century

This article seeks to shift the frame of analysis within which discussions of Indian indentured migration take place. It argues that colonial discourses and practices of indenture are best understood not with regard to the common historiographical framework of whether it was 'a new system of slavery', but in the context of colonial innovations in incarceration and confinement. The article shows how Indian experiences of and knowledge about transportation overseas to penal settlements informed in important ways both their own understandings and representations of migration and the colonial practices associated with the recruitment of indentured labour. In detailing the connections between two supposedly different labour regimes, it thus brings a further layer of complexity to debates around their supposed distinctions

The Genomic Signature of Crop-Wild Introgression in Maize

The evolutionary significance of hybridization and subsequent introgression has long been appreciated, but evaluation of the genome-wide effects of these phenomena has only recently become possible. Crop-wild study systems represent ideal opportunities to examine evolution through hybridization. For example, maize and the conspecific wild teosinte Zea mays ssp. mexicana, (hereafter, mexicana) are known to hybridize in the fields of highland Mexico. Despite widespread evidence of gene flow, maize and mexicana maintain distinct morphologies and have done so in sympatry for thousands of years. Neither the genomic extent nor the evolutionary importance of introgression between these taxa is understood. In this study we assessed patterns of genome-wide introgression based on 39,029 single nucleotide polymorphisms genotyped in 189 individuals from nine sympatric maize-mexicana populations and reference allopatric populations. While portions of the maize and mexicana genomes were particularly resistant to introgression (notably near known cross-incompatibility and domestication loci), we detected widespread evidence for introgression in both directions of gene flow. Through further characterization of these regions and preliminary growth chamber experiments, we found evidence suggestive of the incorporation of adaptive mexicana alleles into maize during its expansion to the highlands of central Mexico. In contrast, very little evidence was found for adaptive introgression from maize to mexicana. The methods we have applied here can be replicated widely, and such analyses have the potential to greatly informing our understanding of evolution through introgressive hybridization. Crop species, due to their exceptional genomic resources and frequent histories of spread into sympatry with relatives, should be particularly influential in these studies

Hypercharge and the Cosmological Baryon Asymmetry

Stringent bounds on baryon and lepton number violating interactions have been derived from the requirement that such interactions, together with electroweak instantons, do not destroy a cosmological baryon asymmetry produced at an extremely high temperature in the big bang. While these bounds apply in specific models, we find that they are generically evaded. In particular, the only requirement for a theory to avoid these bounds is that it contain charged particles which, during a certain cosmological epoch, carry a non-zero hypercharge asymmetry. Hypercharge neutrality of the universe then dictates that the remaining particles must carry a compensating hypercharge density, which is necessarily shared amongst them so as to give a baryon asymmetry. Hence the generation of a hypercharge density in a sector of the theory forces the universe to have a baryon asymmetry.Comment: 12 pages plus 1 Postscript figure available upon request. LBL 3482

The bolometric focal plane array of the Polarbear CMB experiment

The Polarbear Cosmic Microwave Background (CMB) polarization experiment is currently observing from the Atacama Desert in Northern Chile. It will characterize the expected B-mode polarization due to gravitational lensing of the CMB, and search for the possible B-mode signature of inflationary gravitational waves. Its 250 mK focal plane detector array consists of 1,274 polarization-sensitive antenna-coupled bolometers, each with an associated lithographed band-defining filter. Each detector's planar antenna structure is coupled to the telescope's optical system through a contacting dielectric lenslet, an architecture unique in current CMB experiments. We present the initial characterization of this focal plane

Dissolution Amplification by Resonance and Cavitational Stimulation at Ultrasonic and Megasonic Frequencies

Acoustic stimulation offers a green pathway for the extraction of valuable elements such as Si, Ca, and Mg via solubilization of minerals and industrial waste materials. Prior studies have focused on the use of ultrasonic frequencies (20-40 kHz) to stimulate dissolution, but mega sonic frequencies (≥1 MHz) offer benefits such as matching of the resonance frequencies of solute particles and an increased frequency of cavitation events. Here, based on dissolution tests of a series of minerals, it is found that dissolution under resonance conditions produced dissolution enhancements between 4x-to-6x in Si-rich materials (obsidian, albite, and quartz). Cavitational collapse induced by ultrasonic stimulation was more effective for Ca- and Mg-rich carbonate precursors (calcite and dolomite), exhibiting a significant increase in the dissolution rate as the particle size was reduced (i.e. available surface area was increased), resulting in up to a 70x increase in the dissolution rate of calcite when compared to unstimulated dissolution for particles with d50\u3c 100 μm. Cavitational collapse induced by mega sonic stimulation caused a greater dissolution enhancement than ultrasonic stimulation (1.5x vs 1.3x) for amorphous class F fly ash, despite its higher Si content because the hollow particle structure was susceptible to breakage by the rapid and high number of lower-energy mega sonic cavitation events. These results are consistent with the cavitational collapse energy following a normal distribution of energy release, with more cavitation events possessing sufficient energy to break Ca-O and Mg-O bonds than Si-O bonds, the latter of which has a bond energy approximately double the others. The effectiveness of ultrasonic dissolution enhancement increased exponentially with decreasing stacking fault energy (i.e., resistance to the creation of surface faults such as pits and dislocations), while, in turn, the effectiveness of mega sonic dissolution increased linearly with the stacking fault energy. These results give new insights into the use of acoustic frequency selections for accelerating elemental release from solutes by the use of acoustic perturbation