522 research outputs found
Null sets of harmonic measure on NTA domains: Lipschitz approximation revisited
We show the David-Jerison construction of big pieces of Lipschitz graphs
inside a corkscrew domain does not require its surface measure be upper Ahlfors
regular. Thus we can study absolute continuity of harmonic measure and surface
measure on NTA domains of locally finite perimeter using Lipschitz
approximations. A partial analogue of the F. and M. Riesz Theorem for simply
connected planar domains is obtained for NTA domains in space. As a consequence
every Wolff snowflake has infinite surface measure.Comment: 22 pages, 6 figure
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NACA Research Memorandums
"An experimental investigation is being conducted at the Lewis laboratory to establish general principles for the design of noncritical turbine rotor configurations. This investigation includes evaluation of cooling effectiveness, structural stability, cooling-air flow distribution characteristics, and methods of supplying cooling air to the turbine rotor blades. Prior to design of a noncritical rotor, a standard turbine rotor of a commerical turbojet engine was split in the plane of rotation and machined to provide a passage for distributing cooling air to the base of each blade" (p. 1)
Vascular white matter lesions negatively correlate with brain metastases in malignant melanoma - results from a retrospective comparative analysis
Brain metastasis (BM) is a major complication of different cancers. There is increasing evidence for influence of vascular factors on BM in patients with non-small cell lung cancer (NSCLC). It is not known if the same is true for other tumors that might rely on different forms of vasculogenesis. The objective of this retrospective study was to evaluate a possible negative association of vascular white matter lesions and vascular risk factors (vasRF) with brain metastases in patients with melanoma
Probabilistic analysis of the upwind scheme for transport
We provide a probabilistic analysis of the upwind scheme for
multi-dimensional transport equations. We associate a Markov chain with the
numerical scheme and then obtain a backward representation formula of
Kolmogorov type for the numerical solution. We then understand that the error
induced by the scheme is governed by the fluctuations of the Markov chain
around the characteristics of the flow. We show, in various situations, that
the fluctuations are of diffusive type. As a by-product, we prove that the
scheme is of order 1/2 for an initial datum in BV and of order 1/2-a, for all
a>0, for a Lipschitz continuous initial datum. Our analysis provides a new
interpretation of the numerical diffusion phenomenon
Teachers’ assessment of “implementation leadership” during a new social emotional learning initiative
Pathways through Adolescenc
The MINERA Data Acquisition System and Infrastructure
MINERA (Main INjector ExpeRiment -A) is a new few-GeV neutrino
cross section experiment that began taking data in the FNAL NuMI (Fermi
National Accelerator Laboratory Neutrinos at the Main Injector) beam-line in
March of 2010. MINERA employs a fine-grained scintillator detector capable
of complete kinematic characterization of neutrino interactions. This paper
describes the MINERA data acquisition system (DAQ) including the read-out
electronics, software, and computing architecture.Comment: 34 pages, 16 figure
Cutaneous adverse reactions in B-RAF positive metastatic melanoma following sequential treatment with B-RAF/MEK inhibitors and immune checkpoint blockade or vice versa. A single-institutional case-series
Background
With the advent of immune-checkpoint inhibitors and targeted treatments (TT), there have been unprecedented response rates and survival in advanced melanoma, but the optimal sequencing of these two treatments modalities is unknown. Combining or sequencing these agents could potentially result in unique toxicities. Cutaneous adverse events (CAE) after sequential exposure to these agents represents one toxicity that needs further description.
Methods
After retrospectively reviewing charts of patients from 2015 to 2018, we identified six patients who experienced CAEs after recent exposure to sequential immunotherapy and TT or vice versa for the treatment for metastatic melanoma at the University of North Carolina, Chapel Hill. Skin biopsies were available in five patients.
Results
Five patients received TT after immunotherapy, and one patient received immunotherapy after TT. TT consisted of vemurafenib/cobimetinib (V/C) in five patients with four patients starting V/C immediately before manifesting with a CAE. In patients receiving V/C after immunotherapy, the median time from beginning V/C to development of CAE was 14.5 days. The clinical presentation of diffuse morbilliform rash, fevers, hypotension, and end-organ damage raised concern for Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) syndrome. Histopathological features of lympho-eosinophilic infiltrate were supportive of a drug eruption. Immunotherapy or TT were re-initiated in five patients within 1–8 weeks after resolution of the index CAE. This resulted in two patients re-experiencing the CAE. Both of these patients were off prednisone at the time of therapy re-initiation, whereas none of the patients who were restarted on targeted therapy with a steroid overlap had a rash recurrence.
Conclusions
Sequential treatment using immunotherapy and TT, especially the sequence of V/C after immunotherapy appears to be the most common trigger for CAE with a median time to onset of approximately 2 weeks. Although the clinical presentation of these CAEs can be dramatic, they respond well to prednisone therapy. This unique presentation suggests that it may be reasonably safe to re-challenge certain patients with a steroid overlap after rash resolution
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