Liver resection rate following downsizing chemotherapy with cetuximab in metastatic colorectal cancer: UK retrospective observational study

Aims The high objective response rate to cetuximab along with chemotherapy in patients with colorectal liver metastases makes it an effective downsizing protocol to facilitate surgery in those with initially unresectable disease. Adoption of this strategy has been variable in the UK. A retrospective observational study was conducted in 7 UK specialist liver surgical centres to describe the liver resection rate following a downsizing protocol of cetuximab and chemotherapy and to evaluate the quality and efficiency of processes by which the treatment was provided. Methods Data were collected in 2012 by reviewing medical records of patients with colorectal metastases confined to the liver, defined as unresectable without downsizing therapy at first review by a specialist Multi Disciplinary Team (MDT). Results Sixty patients were included; 29 (48%) underwent liver resection following cetuximab and chemotherapy. Of the 29, 17 (59% or 28% of all patients) achieved R0 resection and 7 (24% or 12% of all patients) R1 resection. All treated patients were KRAS wild-type. Conclusion In specialist liver surgical centres, where patients are evaluated for liver resection, optimal management by MDT using KRAS testing, cetuximab and chemotherapy results in a 28% R0 resection rate in patients with initially unresectable colorectal cancer liver metastases

Constraining the budget of atmospheric carbonyl sulfide using a 3-D chemical transport model

Carbonyl sulfide (OCS) has emerged as a valuable proxy for photosynthetic uptake of carbon dioxide (CO2) and is known to be important in the formation of aerosols in the stratosphere. However, uncertainties in the global OCS budget remain large. This is mainly due to the following three flux terms: vegetation uptake, soil uptake and oceanic emissions. Bottom-up estimates do not yield a closed budget, which is thought to be due to tropical emissions of OCS that are not accounted for. Here we present a simulation of atmospheric OCS over the period 2004–2018 using the TOMCAT 3-D chemical transport model that is aimed at better constraining some terms in the OCS budget. Vegetative uptake of OCS is estimated by scaling gross primary productivity (GPP) output from the Joint UK Land Environment Simulator (JULES) using the leaf relative uptake (LRU) approach. The remaining surface budget terms are taken from available literature flux inventories and adequately scaled to bring the budget into balance. The model is compared with limb-sounding satellite observations made by the Atmospheric Chemistry Experiment – Fourier Transform Spectrometer (ACE-FTS) and surface flask measurements from 14 National Oceanic and Atmospheric Administration – Earth System Research Laboratory (NOAA-ESRL) sites worldwide. We find that calculating vegetative uptake using the LRU underestimates the surface seasonal cycle amplitude (SCA) in the Northern Hemisphere (NH) mid-latitudes and high latitudes by approximately 37 ppt (35 %). The inclusion of a large tropical source is able to balance the global budget, but further improvement to the SCA and phasing would likely require a flux inversion scheme. Compared to co-located ACE-FTS OCS profiles between 5 and 30 km, TOMCAT remains within 25 ppt (approximately 5 % of mean tropospheric concentration) of the measurements throughout the majority of this region and lies within the standard deviation of these measurements. This provides confidence in the representation of atmospheric loss and surface fluxes of OCS in the model. Atmospheric sinks account for 154 Gg S of the annual budget, which is 10 %–50 % larger than previous studies. Comparing the surface monthly anomalies from the NOAA-ESRL flask data to the model simulations shows a root-mean-square error range of 3.3–25.8 ppt. We estimate the total biosphere uptake to be 951 Gg S, which is in the range of recent inversion studies (893–1053 Gg S), but our terrestrial vegetation flux accounts for 629 Gg S of the annual budget, which is lower than other recent studies (657–756 Gg S). However, to close the budget, we compensate for this with a large annual oceanic emission term of 689 Gg S focused over the tropics, which is much larger than bottom-up estimates (285 Gg S). Hence, we agree with recent findings that missing OCS sources likely originate from the tropical region. This work shows that satellite OCS profiles offer a good constraint on atmospheric sinks of OCS through the troposphere and stratosphere and are therefore useful for helping to improve surface budget terms. This work also shows that the LRU approach is an adequate representation of the OCS vegetative uptake, but this method could be improved by various means, such as using a higher-resolution GPP product or plant-functional-type-dependent LRU. Future work will utilise TOMCAT in a formal inversion scheme to better quantify the OCS budget

Coupled/decoupled spray simulation comparison of the ECN spray a condition with the Sigma-Y Eulerian atomization model

This work evaluates the performance of the Σ-Y Eulerian atomization model at reproducing the internal structure of a diesel spray in the near- field. In the study, three different computational domains have been used in order to perform 3D and 2D coupled simulations, where the internal nozzle flow and external spray are modeled in one continuous domain, and 2D decoupled simulations, where only the external spray is modeled. While the 3D simulation did the best job of capturing the dense zone of the spray, the 2D simulations also performed well, with the coupled 2D simulation slightly outperforming the decoupled simulation. The similarity in results between the coupled and the decoupled simulation show that internal and external flow calculations can be performed independently. In addition, the use of spatially averaged nozzle outlet conditions, in the case of an axisymmetric (single-hole) convergent nozzle, leads to a slightly worse near-field spray predictions but to an accurate far-field ones. Finally, a novel constraint on turbulent driven mixing multiphase flows is introduced which prevents the slip velocity from exceeding the magnitude of the turbulent fluctuations through a realizable Schmidt number. This constraint increased model stability, allowing for a 4x increase in Courant number.Authors acknowledge that part of this work was possible thanks to the Programa de Ayudas de Investigacion y Desarrollo (PAID-2013 3198) of the Universitat Politecnica de Valencia. Also this study was partially funded by the Spanish Ministry of Economy and Competitiveness in the frame of the COMEFF(TRA2014-59483-R) project.Desantes Fernández, JM.; García Oliver, JM.; Pastor Enguídanos, JM.; Pandal-Blanco, A.; Baldwin, E.; Schmidt, DP. (2016). Coupled/decoupled spray simulation comparison of the ECN spray a condition with the Sigma-Y Eulerian atomization model. International Journal of Multiphase Flow. 80:89-99. https://doi.org/10.1016/j.ijmultiphaseflow.2015.12.002S89998

A consistent, scalable model for Eulerian spray modeling

Despite great practical interest in how sprays emanate from fuel injectors, the near-nozzle region has remained a challenge for spray modelers. Recently, Eulerian models have shown promise in capturing the fast gas-liquid interactions in the near field. However, with the inclusion of compressibility, it can be difficult to maintain consistency between the hydrodynamic and thermodynamic variables. In order to resolve numerical inconsistencies that occur in segregated solutions of Eulerian spray model equations as well as to provide good scalability and stability, a new construction of a -Y model is introduced. This construction is built around an IMEX-RK3 algorithm which offers accuracy and efficiency. The new algorithm is compared to an existing implementation for speed and is validated against experimental measurements of spray evolution in order to test the accuracy. The predictions of the new construction are slightly more accurate and, when tested on 256 processors, are 34 times faster.Also this research used the Extreme Science and Engineering Discovery Environment (XSEDE), which is supported by National Science Foundation grant number ACI-1053575. The authors gratefully acknowledge the computing resources provided on the Texas Advanced Computing Center (TACC) at The University of Texas at Austin that have contributed to the research results reported within this paper URL: http://www.tacc.utexas.edu.Pandal-Blanco, A.; Pastor Enguídanos, JM.; García Oliver, JM.; Baldwin, E.; Schmidt, D. (2016). A consistent, scalable model for Eulerian spray modeling. International Journal of Multiphase Flow. 83:162-171. doi:10.1016/j.ijmultiphaseflow.2016.04.003S1621718

Low Q^2 Jet Production at HERA and Virtual Photon Structure

The transition between photoproduction and deep-inelastic scattering is investigated in jet production at the HERA ep collider, using data collected by the H1 experiment. Measurements of the differential inclusive jet cross-sections dsigep/dEt* and dsigmep/deta*, where Et* and eta* are the transverse energy and the pseudorapidity of the jets in the virtual photon-proton centre of mass frame, are presented for 0 < Q2 < 49 GeV2 and 0.3 < y < 0.6. The interpretation of the results in terms of the structure of the virtual photon is discussed. The data are best described by QCD calculations which include a partonic structure of the virtual photon that evolves with Q2.Comment: 20 pages, 5 Figure

Hadron Production in Diffractive Deep-Inelastic Scattering

Characteristics of hadron production in diffractive deep-inelastic positron-proton scattering are studied using data collected in 1994 by the H1 experiment at HERA. The following distributions are measured in the centre-of-mass frame of the photon dissociation system: the hadronic energy flow, the Feynman-x (x_F) variable for charged particles, the squared transverse momentum of charged particles (p_T^{*2}), and the mean p_T^{*2} as a function of x_F. These distributions are compared with results in the gamma^* p centre-of-mass frame from inclusive deep-inelastic scattering in the fixed-target experiment EMC, and also with the predictions of several Monte Carlo calculations. The data are consistent with a picture in which the partonic structure of the diffractive exchange is dominated at low Q^2 by hard gluons.Comment: 16 pages, 6 figures, submitted to Phys. Lett.

Measurement of D* Meson Cross Sections at HERA and Determination of the Gluon Density in the Proton using NLO QCD

With the H1 detector at the ep collider HERA, D* meson production cross sections have been measured in deep inelastic scattering with four-momentum transfers Q^2>2 GeV2 and in photoproduction at energies around W(gamma p)~ 88 GeV and 194 GeV. Next-to-Leading Order QCD calculations are found to describe the differential cross sections within theoretical and experimental uncertainties. Using these calculations, the NLO gluon momentum distribution in the proton, x_g g(x_g), has been extracted in the momentum fraction range 7.5x10^{-4}< x_g <4x10^{-2} at average scales mu^2 =25 to 50 GeV2. The gluon momentum fraction x_g has been obtained from the measured kinematics of the scattered electron and the D* meson in the final state. The results compare well with the gluon distribution obtained from the analysis of scaling violations of the proton structure function F_2.Comment: 27 pages, 9 figures, 2 tables, submitted to Nucl. Phys.

Measurement of Leading Proton and Neutron Production in Deep Inelastic Scattering at HERA

Deep--inelastic scattering events with a leading baryon have been detected by the H1 experiment at HERA using a forward proton spectrometer and a forward neutron calorimeter. Semi--inclusive cross sections have been measured in the kinematic region 2 <= Q^2 <= 50 GeV^2, 6.10^-5 <= x <= 6.10^-3 and baryon p_T <= MeV, for events with a final state proton with energy 580 <= E' <= 740 GeV, or a neutron with energy E' >= 160 GeV. The measurements are used to test production models and factorization hypotheses. A Regge model of leading baryon production which consists of pion, pomeron and secondary reggeon exchanges gives an acceptable description of both semi-inclusive cross sections in the region 0.7 <= E'/E_p <= 0.9, where E_p is the proton beam energy. The leading neutron data are used to estimate for the first time the structure function of the pion at small Bjorken--x.Comment: 30 pages, 9 figures, 2 tables, submitted to Eur. Phys.

Proximity effect at superconducting Sn-Bi2Se3 interface

We have investigated the conductance spectra of Sn-Bi2Se3 interface junctions down to 250 mK and in different magnetic fields. A number of conductance anomalies were observed below the superconducting transition temperature of Sn, including a small gap different from that of Sn, and a zero-bias conductance peak growing up at lower temperatures. We discussed the possible origins of the smaller gap and the zero-bias conductance peak. These phenomena support that a proximity-effect-induced chiral superconducting phase is formed at the interface between the superconducting Sn and the strong spin-orbit coupling material Bi2Se3.Comment: 7 pages, 8 figure

Centrality Dependence of the High p_T Charged Hadron Suppression in Au+Au collisions at sqrt(s_NN) = 130 GeV

PHENIX has measured the centrality dependence of charged hadron p_T spectra from central Au+Au collisions at sqrt(s_NN)=130 GeV. The truncated mean p_T decreases with centrality for p_T > 2 GeV/c, indicating an apparent reduction of the contribution from hard scattering to high p_T hadron production. For central collisions the yield at high p_T is shown to be suppressed compared to binary nucleon-nucleon collision scaling of p+p data. This suppression is monotonically increasing with centrality, but most of the change occurs below 30% centrality, i.e. for collisions with less than about 140 participating nucleons. The observed p_T and centrality dependence is consistent with the particle production predicted by models including hard scattering and subsequent energy loss of the scattered partons in the dense matter created in the collisions.Comment: 7 pages text, LaTeX, 6 figures, 2 tables, 307 authors, resubmitted to Phys. Lett. B. Revised to address referee concerns. Plain text data tables for the points plotted in figures for this and previous PHENIX publications are publicly available at http://www.phenix.bnl.gov/phenix/WWW/run/phenix/papers.htm