513 research outputs found
A Pilot Study on a Holistic Model Incorporating a Psycholinguistic Approach Accelerating Second Language Acquisition
Students learning a second language commonly confront insurmountable obstacles in the language acquisition process, due to the ineffectiveness of traditional, grammar-first methods. This creates detrimental effects on the learner and his or her self-esteem. Existing literature contains information about problems created by traditional approaches, the effectiveness of a natural approach and key elements necessary to establish it. The purpose of this study is to examine the failings of traditional methods and to review some important natural ways that remedy these failings, yet have their own shortcomings. This study reports efforts to improve natural approaches through on-going research at La Catalina Natural Language School that elaborates on a Holistic Model, i.e., one that considers the individual as whole by productively integrating their mind, body, and emotions. The following are appended: (1) Glossary; (2) Pilot Course Registration Form; (3) Student Psychological Profile for Pilot Course; and (4) Pilot Program English Assessment
Rayleigh-Benard Convection in Large-Aspect-Ratio Domains
The coarsening and wavenumber selection of striped states growing from random
initial conditions are studied in a non-relaxational, spatially extended, and
far-from-equilibrium system by performing large-scale numerical simulations of
Rayleigh-B\'{e}nard convection in a large-aspect-ratio cylindrical domain with
experimentally realistic boundaries. We find evidence that various measures of
the coarsening dynamics scale in time with different power-law exponents,
indicating that multiple length scales are required in describing the time
dependent pattern evolution. The translational correlation length scales with
time as , the orientational correlation length scales as ,
and the density of defects scale as . The final pattern evolves
toward the wavenumber where isolated dislocations become motionless, suggesting
a possible wavenumber selection mechanism for large-aspect-ratio convection.Comment: 5 pages, 6 figure
Geographical Assessment of Microalgae Biofuels Potential Incorporating Resource Availability
Previous assessments of the economic feasibility and large-scale productivity of microalgae biofuels have not considered the impacts of land and carbon dioxide (CO2) availability on the scalability of microalgae-based biofuels production. To accurately assess the near-term productivity potential of large-scale microalgae biofuel in the US, a geographically realized growth model was used to simulate microalgae lipid yields based on meteorological data. The resulting lipid productivity potential of Nannochloropsis under large-scale cultivation is combined with land and CO2 resource availability illustrating current geographically feasible production sites and corresponding productivity in the US. Baseline results show that CO2 transport constraints will limit US microalgae based bio-oil production to 4% of the 2030 Department of Energy (DOE) alternative fuel goal. The discussion focuses on synthesis of this large-scale productivity potential results including a sensitivity analysis to land and CO2 resource assumptions, an evaluation of previous modeling efforts and their assumptions regarding the transportation of CO2, the feasibility of microalgae to meet DOE 2030 alternative fuel goals, and a comparison of the productivity potential in several key regions of the US
Analysis of margin classification systems for assessing the risk of local recurrence after soft tissue sarcoma resection
Purpose:
To compare the ability of margin classification systems to determine local recurrence (LR) risk after soft tissue sarcoma (STS) resection.
Methods:
Two thousand two hundred seventeen patients with nonmetastatic extremity and truncal STS treated with surgical resection and multidisciplinary consideration of perioperative radiotherapy were retrospectively reviewed. Margins were coded by residual tumor (R) classification (in which microscopic tumor at inked margin defines R1), the R+1mm classification (in which microscopic tumor within 1 mm of ink defines R1), and the Toronto Margin Context Classification (TMCC; in which positive margins are separated into planned close but positive at critical structures, positive after whoops re-excision, and inadvertent positive margins). Multivariate competing risk regression models were created.
Results:
By R classification, LR rates at 10-year follow-up were 8%, 21%, and 44% in R0, R1, and R2, respectively. R+1mm classification resulted in increased R1 margins (726 v 278, P < .001), but led to decreased LR for R1 margins without changing R0 LR; for R0, the 10-year LR rate was 8% (range, 7% to 10%); for R1, the 10-year LR rate was 12% (10% to 15%) . The TMCC also showed various LR rates among its tiers (P < .001). LR rates for positive margins on critical structures were not different from R0 at 10 years (11% v 8%, P = .18), whereas inadvertent positive margins had high LR (5-year, 28% [95% CI, 19% to 37%]; 10-year, 35% [95% CI, 25% to 46%]; P < .001).
Conclusion:
The R classification identified three distinct risk levels for LR in STS. An R+1mm classification reduced LR differences between R1 and R0, suggesting that a negative but < 1-mm margin may be adequate with multidisciplinary treatment. The TMCC provides additional stratification of positive margins that may aid in surgical planning and patient education
Axial Skeletal Location Predicts Poor Outcome in Ewing's Sarcoma: A Single Institution Experience
Introduction. Ewing's sarcomas (EWSs) of bone and soft tissue are neuroectodermal tumors that affect both axial and appendicular locations. We hypothesized that axial location predicted poor outcome in EWS patients. Materials and Methods. Sixty-seven patients (57 with bone EWS and 10 with soft tissue EWS) were identified from our database. Thirty-four (51%) had axial EWS and 33 (49%) had appendicular EWS. Statistical analyses identified predictors of poor outcome. Results and Discussion. Axial location, large size, metastases at presentation, lack of definitive treatment, and positive surgical margins all correlated with poor outcome in univariate analysis. In multivariate analysis, axial location still predicted poor outcome when adjusted for pretreatment variables. Axial location was not statistically predictive of poor outcome when adjusted for treatment variables. Conclusions. Anatomic location has a negative effect on outcome in EWS that cannot be completely explained by pretreatment or treatment factors. Additional studies are required to determine if there is a biologic difference between axial and appendicular EWS
Human CEACAM1 is targeted by a Streptococcus pyogenes adhesin implicated in puerperal sepsis pathogenesis
Life-threatening bacterial infections in women after childbirth, known as puerperal sepsis, resulted in classical epidemics and remain a global health problem. While outbreaks of puerperal sepsis have been ascribed to Streptococcus pyogenes, little is known about disease mechanisms. Here, we show that the bacterial R28 protein, which is epidemiologically associated with outbreaks of puerperal sepsis, specifically targets the human receptor CEACAM1. This interaction triggers events that would favor development of puerperal sepsis, including adhesion to cervical cells, suppression of epithelial wound repair and subversion of innate immune responses. High-resolution structural analysis showed that an R28 domain with IgI3-like fold binds to the N-terminal domain of CEACAM1. Together, these findings demonstrate that a single adhesin-receptor interaction can drive the pathogenesis of bacterial sepsis and provide molecular insights into the pathogenesis of one of the most important infectious diseases in medical history
Clinical Features, Treatment, and Outcome in 102 Adult and Pediatric Patients with Localized High-Grade Synovial Sarcoma
Background. There remains controversy on the routine use of chemotherapy in localized SS. Methods. The records of 87 adult (AP) and 15 pediatric (PP) patients with localized SS diagnosed between 1986 and 2007 at 2 centres in Toronto were reviewed. Results. Median age for AP and PP was 37.6 (range 15–76) and 14 (range 0.4–18) years, respectively. 65 (64%) patients had large tumours (>5 cm). All patients underwent en bloc surgical resection resulting in 94 (92.2%) negative and 8 (7.8%) microscopically positive surgical margins. 72 (82.8%) AP and 8 (53%) PP received radiotherapy. Chemotherapy was
administered to 12 (13.8%) AP and 13 (87%) PP. 10 AP and 5 PP were evaluable for response to
neoadjuvant chemotherapy, with response rate of 10% and 40%, respectively. 5-year EFS and OS was
69.3 ± 4.8% and 80.3 ± 4.3%, respectively, and was similar for AP and PP, In patients with tumors >5 cm, in whom chemotherapy might be considered most appropriate, relapse occurred in 9/19 (47%) with
chemotherapy, compared to 17/46 (37%) In those without. Conclusions. Patients with localized SS have a
good chance of cure with surgery and RT. Evidence for a well-defined role of chemotherapy to improve
survival In localized SS remains elusive
A rare case of giant leiomyosarcoma in a filarial scrotum: a case report
Giant leiomyosarcoma of scrotum is a rare tumour. A case of scrotum leiomyosarcoma is presented in a 67 year old patient with scrotal filariasis which was managed successfully with total scrotectomy with bilateral orchidectomy, degloved penis reconstructed with rotation advancement supra pubic fasciocutaneous flap. We made a literature search proving the rarity of this lesion type. Only 36 cases have been described and the first case in a filarial scrotu
Bisexual women's understandings of social marginalisation: 'The heterosexuals don't understand US but nor do the lesbians'
Drawing on interviews with 20 self-identified bisexual women, this paper contributes to the limited psychological literature on bisexual women by exploring their experiences of social marginalisation. These (mainly white and middle class) British bisexual women reported that they did not feel at home in either lesbian or lesbian, gay, bisexual and transgender communities, nor in the wider (heteronormative) society. They identified a number of understandings - bisexuality as a temporary phase on the path to a fully realised lesbian or heterosexual identity and bisexuals as immature, confused, greedy, untrustworthy, highly sexual and incapable of monogamy - which they reported as arising from lesbian, gay, bisexual and transgender communities and the wider society. The women refuted these accounts which they stated did not reflect their experiences of bisexual identity and which positioned bisexuality as invisible and invalid. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav
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