459 research outputs found
OBSERVING EXOPLANET TRANSITS WITH THE CITIZEN CONTINENTAL-AMERICA TELESCOPIC ECLIPSE (CATE) EXPERIMENT TELESCOPE NETWORK
The Citizen Continental-America Telescopic Eclipse (CATE) Experiment established a standardized set of observation procedures and 72 volunteer observation teams with identical equipment along the path of the 2017 total solar eclipse. CATE successfully imaged the solar corona from 66 of the 72 observation sites resulting in a high dynamic range animation of 90 minutes of solar corona data collected by volunteer citizen science teams. A subgroup of CATE began work in the fall of 2017 to evaluate use of the standard CATE observation setup for exoplanet transit observations. Light curves and analysis of data using AstroImageJ of two well know transiting exoplanets, HD209458b (V = 7.65, depth = 1.5%) and HD189733b (V= 7.67, depth=2.4%) are presented along with modifications to CATE telescopes required for successful exoplanet follow up observations
Compliance of a cobalt chromium coronary stent alloy – the COVIS trial
BACKGROUND: Cobalt chromium coronary stents are increasingly being used in percutaneous coronary interventions. There are, however, no reliable data about the characteristics of unfolding and visibility of this stent alloy in vivo. The aim of this study is to compare cobalt chromium coronary stents with conventional stainless steel stents using intracoronary ultrasound. METHODS: Twenty de novo native coronary stenoses ≤ 20 mm in length (target vessel reference diameter ≥ 2.5 and ≤ 4.0 mm) received under sequential intracoronary ultrasound either a cobalt chromium stent (Multi-Link Vision(®); n = 10) or a stainless steel stent (Multi-Link Zeta(®); n = 10). RESULTS: For optimal unfolding, the cobalt chromium stent requires a higher balloon deployment pressure (13.90 ± 2.03 atm) than the stainless steel stent (11.50 ± 2.12 atm). Furthermore, the achieved target vessel diameter of the cobalt chromium stent (Visibility-Index QCA/IVUS Multi-Link Vision(®)1.13 / Multi-Link Zeta(® )1.04) is more easily overrated by Quantitative Coronary Analysis. CONCLUSION: These data indicate that stent material-specific recommendations for optimal implantation pressure and different stent material with an equal design should both be considered in interpreting QCA-analysis
Supersymmetric Higgs production in gluon fusion at next-to-leading order
The next-to-leading order (NLO) QCD corrections to the production and decay
rate of a Higgs boson are computed within the framework of the Minimal
Supersymmetric Standard Model (MSSM). The calculation is based on an effective
theory for light and intermediate mass Higgs bosons. We provide a Fortran
routine for the numerical evaluation of the coefficient function. For most of
the MSSM parameter space, the relative size of the NLO corrections is typically
of the order of 5% smaller than the Standard Model value. We exemplify the
numerical results for two scenarios: the benchmark point SPS1a, and a parameter
region where the gluon-Higgs coupling at leading order is very small due to a
cancellation of the squark and quark contributions.Comment: 27 pages, LaTeX, 31 embedded PostScript-files; v2: typos corrected,
reformatted in JHEP style; accepted for publication in JHE
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Selective inhibition of FLT3 by gilteritinib in relapsed or refractory acute myeloid leukaemia: a multicentre, first-in-human, open-label, phase 1-2 study.
BackgroundInternal tandem duplication mutations in FLT3 are common in acute myeloid leukaemia and are associated with rapid relapse and short overall survival. The clinical benefit of FLT3 inhibitors in patients with acute myeloid leukaemia has been limited by rapid generation of resistance mutations, particularly in codon Asp835 (D835). We aimed to assess the highly selective oral FLT3 inhibitor gilteritinib in patients with relapsed or refractory acute myeloid leukaemia.MethodsIn this phase 1-2 trial, we enrolled patients aged 18 years or older with acute myeloid leukaemia who either were refractory to induction therapy or had relapsed after achieving remission with previous treatment. Patients were enrolled into one of seven dose-escalation or dose-expansion cohorts assigned to receive once-daily doses of oral gilteritinib (20 mg, 40 mg, 80 mg, 120 mg, 200 mg, 300 mg, or 450 mg). Cohort expansion was based on safety and tolerability, FLT3 inhibition in correlative assays, and antileukaemic activity. Although the presence of an FLT3 mutation was not an inclusion criterion, we required ten or more patients with locally confirmed FLT3 mutations (FLT3mut+) to be enrolled in expansion cohorts at each dose level. On the basis of emerging findings, we further expanded the 120 mg and 200 mg dose cohorts to include FLT3mut+ patients only. The primary endpoints were the safety, tolerability, and pharmacokinetics of gilteritinib. Safety and tolerability were assessed in the safety analysis set (all patients who received at least one dose of gilteritinib). Responses were assessed in the full analysis set (all patients who received at least one dose of study drug and who had at least one datapoint post-treatment). Pharmacokinetics were assessed in a subset of the safety analysis set for which sufficient data for concentrations of gilteritinib in plasma were available to enable derivation of one or more pharmacokinetic variables. This study is registered with ClinicalTrials.gov, number NCT02014558, and is ongoing.FindingsBetween Oct 15, 2013, and Aug 27, 2015, 252 adults with relapsed or refractory acute myeloid leukaemia received oral gilteritinib once daily in one of seven dose-escalation (n=23) or dose-expansion (n=229) cohorts. Gilteritinib was well tolerated; the maximum tolerated dose was established as 300 mg/day when two of three patients enrolled in the 450 mg dose-escalation cohort had two dose-limiting toxicities (grade 3 diarrhoea and grade 3 elevated aspartate aminotransferase). The most common grade 3-4 adverse events irrespective of relation to treatment were febrile neutropenia (97 [39%] of 252), anaemia (61 [24%]), thrombocytopenia (33 [13%]), sepsis (28 [11%]), and pneumonia (27 [11%]). Commonly reported treatment-related adverse events were diarrhoea (92 [37%] of 252]), anaemia (86 [34%]), fatigue (83 [33%]), elevated aspartate aminotransferase (65 [26%]), and increased alanine aminotransferase (47 [19%]). Serious adverse events occurring in 5% or more of patients were febrile neutropenia (98 [39%] of 252; five related to treatment), progressive disease (43 [17%]), sepsis (36 [14%]; two related to treatment), pneumonia (27 [11%]), acute renal failure (25 [10%]; five related to treatment), pyrexia (21 [8%]; three related to treatment), bacteraemia (14 [6%]; one related to treatment), and respiratory failure (14 [6%]). 95 people died in the safety analysis set, of which seven deaths were judged possibly or probably related to treatment (pulmonary embolism [200 mg/day], respiratory failure [120 mg/day], haemoptysis [80 mg/day], intracranial haemorrhage [20 mg/day], ventricular fibrillation [120 mg/day], septic shock [80 mg/day], and neutropenia [120 mg/day]). An exposure-related increase in inhibition of FLT3 phosphorylation was noted with increasing concentrations in plasma of gilteritinib. In-vivo inhibition of FLT3 phosphorylation occurred at all dose levels. At least 90% of FLT3 phosphorylation inhibition was seen by day 8 in most patients receiving a daily dose of 80 mg or higher. 100 (40%) of 249 patients in the full analysis set achieved a response, with 19 (8%) achieving complete remission, ten (4%) complete remission with incomplete platelet recovery, 46 (18%) complete remission with incomplete haematological recovery, and 25 (10%) partial remission INTERPRETATION: Gilteritinib had a favourable safety profile and showed consistent FLT3 inhibition in patients with relapsed or refractory acute myeloid leukaemia. These findings confirm that FLT3 is a high-value target for treatment of relapsed or refractory acute myeloid leukaemia; based on activity data, gilteritinib at 120 mg/day is being tested in phase 3 trials.FundingAstellas Pharma, National Cancer Institute (Leukemia Specialized Program of Research Excellence grant), Associazione Italiana Ricerca sul Cancro
Increasing confidence and changing behaviors in primary care providers engaged in genetic counselling.
BackgroundScreening and counseling for genetic conditions is an increasingly important part of primary care practice, particularly given the paucity of genetic counselors in the United States. However, primary care physicians (PCPs) often have an inadequate understanding of evidence-based screening; communication approaches that encourage shared decision-making; ethical, legal, and social implication (ELSI) issues related to screening for genetic mutations; and the basics of clinical genetics. This study explored whether an interactive, web-based genetics curriculum directed at PCPs in non-academic primary care settings was superior at changing practice knowledge, attitudes, and behaviors when compared to a traditional educational approach, particularly when discussing common genetic conditions.MethodsOne hundred twenty one PCPs in California and Pennsylvania physician practices were randomized to either an Intervention Group (IG) or Control Group (CG). IG physicians completed a 6 h interactive web-based curriculum covering communication skills, basics of genetic testing, risk assessment, ELSI issues and practice behaviors. CG physicians were provided with a traditional approach to Continuing Medical Education (CME) (clinical review articles) offering equivalent information.ResultsPCPs in the Intervention Group showed greater increases in knowledge compared to the Control Group. Intervention PCPs were also more satisfied with the educational materials, and more confident in their genetics knowledge and skills compared to those receiving traditional CME materials. Intervention PCPs felt that the web-based curriculum covered medical management, genetics, and ELSI issues significantly better than did the Control Group, and in comparison with traditional curricula. The Intervention Group felt the online tools offered several advantages, and engaged in better shared decision making with standardized patients, however, there was no difference in behavior change between groups with regard to increases in ELSI discussions between PCPs and patients.ConclusionWhile our intervention was deemed more enjoyable, demonstrated significant factual learning and retention, and increased shared decision making practices, there were few differences in behavior changes around ELSI discussions. Unfortunately, barriers to implementing behavior change in clinical genetics is not unique to our intervention. Perhaps the missing element is that busy physicians need systems-level support to engage in meaningful discussions around genetics issues. The next step in promoting active engagement between doctors and patients may be to put into place the tools needed for PCPs to easily access the materials they need at the point-of-care to engage in joint discussions around clinical genetics
Engaging Citizen Scientists to Keep Transit Times Fresh and Ensure the Efficient Use of Transiting Exoplanet Characterization Missions
This white paper advocates for the creation of a community-wide program to
maintain precise mid-transit times of exoplanets that would likely be targeted
by future platforms. Given the sheer number of targets that will require
careful monitoring between now and the launch of the next generation of
exoplanet characterization missions, this network will initially be devised as
a citizen science project -- focused on the numerous amateur astronomers, small
universities and community colleges and high schools that have access to modest
sized telescopes and off-the-shelf CCDs.Comment: White Paper submitted to Astro2020 Science Call, 5 pages, 3 figures,
community comments and involvement are welcome
Space-based research in fundamental physics and quantum technologies
Space-based experiments today can uniquely address important questions
related to the fundamental laws of Nature. In particular, high-accuracy physics
experiments in space can test relativistic gravity and probe the physics beyond
the Standard Model; they can perform direct detection of gravitational waves
and are naturally suited for precision investigations in cosmology and
astroparticle physics. In addition, atomic physics has recently shown
substantial progress in the development of optical clocks and atom
interferometers. If placed in space, these instruments could turn into powerful
high-resolution quantum sensors greatly benefiting fundamental physics.
We discuss the current status of space-based research in fundamental physics,
its discovery potential, and its importance for modern science. We offer a set
of recommendations to be considered by the upcoming National Academy of
Sciences' Decadal Survey in Astronomy and Astrophysics. In our opinion, the
Decadal Survey should include space-based research in fundamental physics as
one of its focus areas. We recommend establishing an Astronomy and Astrophysics
Advisory Committee's interagency ``Fundamental Physics Task Force'' to assess
the status of both ground- and space-based efforts in the field, to identify
the most important objectives, and to suggest the best ways to organize the
work of several federal agencies involved. We also recommend establishing a new
NASA-led interagency program in fundamental physics that will consolidate new
technologies, prepare key instruments for future space missions, and build a
strong scientific and engineering community. Our goal is to expand NASA's
science objectives in space by including ``laboratory research in fundamental
physics'' as an element in agency's ongoing space research efforts.Comment: a white paper, revtex, 27 pages, updated bibliograph
Single top quark production as a probe of R-parity-violating SUSY at pp and p\bar p colliders
We investigate the ability of single top quark production via qq'->
squark->tb and q \bar q'->slepton->t\bar b at the LHC and Tevatron to probe the
strength of R-parity violating couplings in the minimal supersymmetric model.
We found that given the existing bounds on R-parity violating couplings, single
top quark production may be greatly enhanced over that predicted by the
standard model, and that both colliders can either discover R-parity violating
SUSY or set strong constraints on the relevant R-parity violating couplings. We
further found that the LHC is much more powerful than the Tevatron in probing
the squark couplings, but the two colliders have comparable sensitivity for the
slepton couplings.Comment: 15 pages, 4 figure
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