179 research outputs found
Securing communication within the harms model for use with firefighting robots
Humans and robots must work together in increasingly complex networks to achieve a common goal. In this research, firefighting robots are a part of a larger, decentralized system of humans, agents, robots, machines, and sensors (HARMS). Although communication in a HARMS model has been utilized in previous research, this new study looks at the security considerations of the communications layer of the HARMS model. A network attack known as a man-in-the-middle attack is successfully demonstrated in this paper. Then, a secure communications protocol is proposed to help provide confidentiality and authentication of HARMS actors. This research is applied to any system that utilizes a HARMS network, including firefighting robots, to help ensure malicious entities cannot exploit communications by system actors. Instead, system actors that confirm their identity can communicate securely in a decentralized way for indistinguishable task completion. The results of this experiment are successful, indicating that secure communication can prevent man-in-the-middle attacks with minor differences in operation
Clinical outcomes and differential effects of PI3K pathway mutation in obese versus non-obese patients with cervical cancer
Stereotactic MR-guided online adaptive radiation therapy (SMART) for ultracentral thorax malignancies: Results of a phase 1 trial
Serum squamous cell carcinoma antigen as an early indicator of response during therapy of cervical cancer
Stereotactic body radiation therapy for the treatment of early-stage minimally invasive adenocarcinoma or adenocarcnioma in situ (formerly bronchioloalveolar carcinoma): A patterns of failure analysis
INTRODUCTION: Ongoing prospective trials exploring stereotactic body radiation therapy (SBRT) for early stage non-small cell lung cancer (NSCLC) often exclude minimally invasive adenocarcinoma or adenocarcnioma in situ, formerly bronchioloalveolar carcinoma (BAC), due to concerns for accurate target delineation on CT. We performed a patterns of failure analysis to compare outcomes between BAC and other NSCLC subtypes. METHODS: One hundred twenty patients with early stage NSCLC were treated with SBRT from 2004–2009. Pathologic confirmation of NSCLC was obtained in 97 patients. Radiotherapy was delivered according to RTOG guidelines. The log-rank test was used to compare outcomes between BAC and other NSCLC. RESULTS: Median follow-up was 29 months. The median SBRT dose was 5400 cGy. Thirteen patients had radiographically diagnosed BAC and five patients had biopsy confirmed BAC, of which two had both. The three-year local control was 100% for biopsy-proven or radiographically diagnosed BAC (n = 18) and 86% for all other NSCLC subtypes (n = 102) (p = 0.13). Likewise, no significant difference was detected between BAC and other NSCLC for 3-year regional failure (12% vs. 20%, p = 0.45), progression-free survival (57.6% vs. 53.5%, p = 0.84) or overall survival (35% vs. 47%, p = 0.66). There was a trend towards lower three-year rates of freedom from distant failure in patients with any diagnosis of BAC compared to those without (26% vs. 38%, p = 0.053). CONCLUSIONS: Compared to other NSCLC subtypes, BAC appears to have similar patterns of failure and survival after treatment with SBRT, however there may be an increased risk of distant metastases with BAC. RTOG guideline-based target delineation provides encouraging local control rates for patients with BAC
Long-term outcomes of follicular variant vs classic papillary thyroid carcinoma
The majority of papillary thyroid carcinoma (PTC) cases comprise classic papillary (C-PTC) and follicular variant (FV-PTC) histologic sub-types. Historically, clinical equivalency was assumed, but recent data suggest C-PTC may have poorer outcomes. However, large single-institution series with long-term outcomes of C-PTC and FV-PTC, using modern pathologic criteria for FV-PTC, are needed. Our objective was to compare prevalence and impact of clinicopathologic factors, including BRAF mutation status, on long-term outcomes of C-PTC and FV-PTC. We hypothesized that patients with C-PTC would have higher risk disease features and worse survival outcomes. This retrospective study included 1293 patients treated at a single, US academic institution between 1943 and 2009 with mean follow-up of 8.6 years. All patients underwent either partial or total thyroidectomy and had invasive C-PTC or FV-PTC per modern pathology criteria. Primary study measurements included differences in recurrence-free survival (RFS), disease-specific survival (DSS) and associations with clinicopathologic factors including the BRAF mutation. Compared to FV-PTC, C-PTC was associated with multiple features of high-risk disease (P < 0.05) and significantly reduced RFS and DSS. Survival differences were consistent across univariate, multivariate and Kaplan–Meier analyses. BRAF mutations were more common in C-PTC (P = 0.002). However, on Kaplan–Meier analysis, mutational status did not significantly impact RFS or DSS for patients with either histologic sub-type. C-PTC therefore indicates higher-risk disease and predicts for significantly poorer long-term outcomes when compared to FV-PTC. The nature of this difference in outcome is not explained by traditional histopathologic findings or by the BRAF mutation
BRAF mutation is not predictive of long-term outcome in papillary thyroid carcinoma
The BRAF mutation occurs commonly in papillary thyroid carcinoma (PTC). Previous investigations of its utility to predict recurrence-free survival (RFS) and disease-specific survival (DSS) have reported conflicting results and its role remains unclear. The purpose of this retrospective study was to determine the incidence of the BRAF mutation and analyze its relationship to clinicopathologic risk factors and long-term outcomes in the largest, single-institution American cohort to date. BRAF mutational status was determined in 508 PTC patients using RFLP analysis. The relationships between BRAF mutation status, patient and tumor characteristics, RFS, and DSS were analyzed. The BRAF mutation was present in 67% of patients. On multivariate analysis, presence of the mutation predicted only for capsular invasion (HR, 1.7; 95% CI, 1.1–2.6), cervical lymph node involvement (HR, 1.7; 95% CI, 1.1–2.7), and classic papillary histology (HR, 1.8; 95% CI 1.1–2.9). There was no significant relationship between the BRAF mutation and RFS or DSS, an observation that was consistent across univariate, multivariate, and Kaplan–Meier analyses. This is the most extensive study to date in the United States to demonstrate that BRAF mutation is of no predictive value for recurrence or survival in PTC. We found correlations of BRAF status and several clinicopathologic characteristics of high-risk disease, but limited evidence that the mutation correlates with more extensive or aggressive disease. This analysis suggests that BRAF is minimally prognostic in PTC. However, prevalence of the BRAF mutation is 70% in the general population, providing the opportunity for targeted therapy
The Impact of Railway Stations on Residential and Commercial Property Value: A Meta-analysis
Railway stations function as nodes in transport networks and places in an urban environment. They have accessibility and environmental impacts, which contribute to property value. The literature on the effects of railway stations on property value is mixed in its finding in respect to the impact magnitude and direction, ranging from a negative to an insignificant or a positive impact. This paper attempts to explain the variation in the findings by meta-analytical procedures. Generally the variations are attributed to the nature of data, particular spatial characteristics, temporal effects and methodology. Railway station proximity is addressed from two spatial considerations: a local station effect measuring the effect for properties with in 1/4 mile range and a global station effect measuring the effect of coming 250 m closer to the station. We find that the effect of railway stations on commercial property value mainly takes place at short distances. Commercial properties within 1/4 mile rang are 12.2% more expensive than residential properties. Where the price gap between the railway station zone and the rest is about 4.2% for the average residence, it is about 16.4% for the average commercial property. At longer distances the effect on residential property values dominate. We find that for every 250 m a residence is located closer to a station its price is 2.3% higher than commercial properties. Commuter railway stations have a consistently higher positive impact on the property value compared to light and heavy railway/Metro stations. The inclusion of other accessibility variables (such as highways) in the models reduces the level of reported railway station impact. © 2007 Springer Science+Business Media, LLC
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The fishing industry and Pacific coastal communities : understanding the assessment of economic impacts
People interested in economic stability or economic development in coastal communities are often interestÂed in estimating the impact of changes or proposed changes on the economy. Such changes may result from plans, policies, or projects of public agencies, or from marketing strategies of private businesses. In coastal communities where fisheries are important, changes in fish availability due to regulatory or natural causes, closures of fish processing plants, and the development of fishing vessel facilities are examples of typical changes with important impacts on local economies. Local citizens are also interested in forecasting changes in business activity, employment, population, and public service demands.
Economic input/output (1/0) models are often used to estimate the impact of resource changes or to calculate the contributions of an industry to local economies. This publication is designed both as an introduction to input/output models and as a guide to the proper use of economic impact terminology. The use of economic jargon is minimized, and a glossary is included on page 9.
This publication grew out of concerns about the lack of understanding and improper use of input/output (1/0) models. This lack of understanding or misuse of 1/0 models is especially troublesome in situations where groups with opposing views come up with very different estimates of economic impacts. In an attempt to clarify the use of 1/0 models, the Pacific Sea Grant College Program and the Pacific Fishery Management Council held a workshop in February 1986 to discuss 1/0 models. Participants included resource economists, fishing industry representatives, and fisheries managers. This publication is one of the products of that workshop
Precedent Lost: Why Encourage Settlement, and Why Permit Non-party Involvement in Settlements?
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