Comment on ``the Klein-Gordon Oscillator''

The different ways of description of the $S=0$ particle with oscillator-like interaction are considered. The results are in conformity with the previous paper of S. Bruce and P. Minning.Comment: LaTeX file, 5p

Analysis of the Energy Deposit in the Air by Radiation of Alpha Particles Emitted by the Water of a Spring Through the Geant4 Software

This work presents the development of an analysis of the potential radiological risk generated by alpha particles emitted by radon-222, content in a spring water, for the population that usually swims in the place and for the people who live near this spring. This spring is located in the state of Puebla. Several measurements in the water of this place by researchers from IF-UNAM showed that it contains an average radon concentration level of 70 Bq/m3. To evaluate this radiological risk, it has been developed a computational simulation to know the area and the height where the alpha particles deposit their energy to the medium, as well as the amount of energy that they transfer. This simulation was developed in the Geant4 scientific software and the calculations were executed in the supercomputer of the Laboratorio Nacional de Supercomputo del Sureste de Mexico of the BUAP. The results show that the energy deposit occurs within the superficial limits of the spring, between 7 and 8 meters high. This deposited is not only by the alpha particles, but also by the secondary particles that are generated by the interaction of alpha particles with the environment. Based on these results, it is confirmed that there is no radiological risk by energy deposit by alpha particles for the people

RiskDiff: a web tool for the analysis of the difference due to risk and demographic factors for incidence or mortality data

Background Analysing the observed differences for incidence or mortality of a particular disease between two different situations (such as time points, geographical areas, gender or other social characteristics) can be useful both for scientific or administrative purposes. From an epidemiological and public health point of view, it is of great interest to assess the effect of demographic factors in these observed differences in order to elucidate the effect of the risk of developing a disease or dying from it. The method proposed by Bashir and Estève, which splits the observed variation into three components: risk, population structure and population size is a common choice at practice. Results A web-based application, called RiskDiff has been implemented (available at http://rht.iconcologia.net/riskdiff.htm webcite), to perform this kind of statistical analyses, providing text and graphical summaries. Code from the implemented functions in R is also provided. An application to cancer mortality data from Catalonia is used for illustration. Conclusions Combining epidemiological with demographical factors is crucial for analysing incidence or mortality from a disease, especially if the population pyramids show substantial differences. The tool implemented may serve to promote and divulgate the use of this method to give advice for epidemiologic interpretation and decision making in public health

Mejoramiento genético de “triticales” (X triticosecale Wittmack) y “tricepiros” (X triticosecale Wittmack X X Agrotriticum Ciferri & Giacom) con diferentes aptitudes de uso

En la actualidad tanto triticales como tricepiros son alternativas muy promisorias para su utilización como doble propósito, así como para explorar la posibilidad de producir harinas diferenciadas para uso en la industria de la alimentación humana. En el país, los triticales se han difundido para pastoreo y se requiere de nuevos cultivares. Los tricepiros se trabajan exclusivamente en la Argentina y es necesario desarrollar germoplasma. Los objetivos son: Caracterizar introducciones de triticale y cruzas propias de tricepiro por diferentes aptitudes de uso. Evaluar comparativamente los rendimientos de pasto y grano de germoplasma experimental de triticale y tricepiro. Analizar la aptitud galletitera de las líneas experimentales graníferas. En las UN La Pampa y Río Cuarto se efectuaron Ensayos Comparativos de Rendimiento similares para estudiar rendimiento en pasto y grano de líneas homocigotas de triticale y tricepiro. El diseño será en BCA, con 3 repeticiones y unidades experimentales de 5 x 1,40 m. En líneas experimentales de triticale con aptitud granífera se realizaron las siguientes determinaciones: Porcentaje de proteínas (Método Microkjeldhal), Índice de Retención de Agua alcalina (Método 56-10, AACC 2000), Índice de Sedimentación en Dodecil Sulfato de Sodio (SDS-SI) (Método de Dick y Quick, 1983), Perfil de Capacidad de Retención de solventes(Método 56-11,AACC 2000),Tiempo de Fermentación de Pelshenke (Método 56-50,AACC 1995), Dureza de grano por el índice de tamaño de partícula (PSI) (AACC 2000), Factor galletitas (FG) (León et al., 1996). Se determinó la interacción genotipo x ambiente de la producción de forraje y se detectaron líneas experimentales adaptadas a los diferentes sitios de evaluación (1) (2). Del mismo modo, aplicando diferentes técnicas estadísticas se identificó germoplasma de mayor rendimiento de grano (3). Se evalúo la calidad galletitera de harinas integrales y blancas de triticale a través de diferentes pruebas fisicoquímicas con carácter predictivo para ese tipo de uso (4) (5). Se ha detectado una estrecha variabilidad genética tanto para forraje como para grano, de modo que se deberán efectuar cruzamientos entre genotipos con buena aptitud para los diferentes usos y lograr la recombinación de caracteres que sea objeto de futuras selecciones

Hypofractionated radiation therapy and temozolomide in patients with glioblastoma and poor prognostic factors. A prospective, single-institution experience

Background: Hypofractionated radiation therapy is a feasible and safe treatment option in elderly and frail patients with glioblastoma. The aim of this study was to evaluate the effectiveness of hypofractionated radiation therapy with concurrent temozolomide in terms of feasibility and disease control in primary glioblastoma patients with poor prognostic factors other than advanced age, such as post-surgical neurological complications, high tumor burden, unresectable or multifocal lesions, and potential low treatment compliance due to social factors or rapidly progressive disease. Material and methods: GTV included the surgical cavity plus disease visible in T1WI-MRI, FLAIR-MRI and in the MET-uptake. The CTV was defined as the GTV plus 1.5-2 cm margin; the PTV was the CTV+0.3 cm margin. Forty, fourty-five, and fifty grays in 15 fractions were prescribed to 95% of PTV, CTV, and GTV, respectively. Treatment was delivered using IMRT or the VMAT technique. Simultaneously, 75 mg/m2/day of temozolomide were administered. Results: Between January 2010 and November 2017, we treated a total of 17 patients. The median age at diagnosis was 68-years; median KPS was 50-70%. MGMT-methylation status was negative in 5 patients, and 8 patients were IDH-wildtype. Eight of 18 patients were younger than 65-years. Median tumor volume was 26.95cc; median PTV volume was 322cc. Four lesions were unresectable; 6 patients underwent complete surgical resection. Median residual volume was 1.14cc. Progression-free survival was 60% at 6 months, 33% at 1-year and 13% at 2-years (median OS = 7 months). No acute grade 3-5 toxicities were documented. Symptomatic grade 3 radiation necrosis was observed in one patient. Conclusions: Patients with poor clinical factors other than advanced age can be selected for hypofractionated radiotherapy. The OS and PFS rates obtained in our series are similar to those in patients treated with standard fractionation, assuring good treatment adherence, low rates of toxicity and probable improved cost-effectiveness

Elevated circulating metalloproteinase 7 predicts recurrent cardiovascular events in patients with carotid stenosis: a prospective cohort study

Background: Major adverse cardiovascular events are the main cause of morbidity and mortality over the long term in patients undergoing carotid endarterectomy. There are few reports assessing the prognostic value of markers of inflammation in relation to the risk of cardiovascular disease after carotid endarterectomy. Here, we aimed to determine whether matrix metalloproteinases (MMP-1, MMP-2, MMP-7, MMP-9 and MMP-10), tissue inhibitor of MMPs (TIMP-1) and in vivo inflammation studied by 18F-FDG-PET/CT predict recurrent cardiovascular events in patients with carotid stenosis who underwent endarterectomy. Methods: This prospective cohort study was carried out on 31 consecutive patients with symptomatic (23/31) or asymptomatic (8/31) severe (> 70%) carotid stenosis who were scheduled for carotid endarterectomy between July 2013 and March 2016. In addition, 26 healthy controls were included in the study. Plasma and serum samples were collected 2 days prior to surgery and tested for MMP-1, MMP-2, MMP-7, MMP-9, MMP-10, TIMP-1, high-density lipoprotein, low-density lipoprotein, high-sensitivity C-reactive protein and erythrocyte sedimentation rate. 18F-FDGPET/CT focusing on several territories’ vascular wall metabolism was performed on 29 of the patients because of no presurgical availability in 2 symptomatic patients. Histological and immunohistochemical studies were performed with antibodies targeting MMP-10, MMP-9, TIMP-1 and CD68. Results: The patients with carotid stenosis had significantly more circulating MMP-1, MMP-7 and MMP-10 than the healthy controls. Intraplaque TIMP-1 was correlated with its plasma level (r = 0.42 P = .02) and with 18F-FDG uptake (r = 0.38 P = .05). We did not find any correlation between circulating MMPs and in vivo carotid plaque metabolism assessed by 18F-FDG-PET. After a median follow-up of 1077 days, 4 cerebrovascular, 7 cardiovascular and 11 peripheral vascular events requiring hospitalization were registered. Circulating MMP-7 was capable of predicting events over and above the traditional risk factors (HR = 1.15 P = .006). When the model was associated with the variables of interest, the risk predicted by 18F-FDG-PET was not significant. Conclusions: Circulating MMP-7 may represent a novel marker for recurrent cardiovascular events in patients with moderate to severe carotid stenosis. MMP-7 may reflect the atherosclerotic burden but not plaque inflammation in this specific vascular territory

Knowledge, attitudes and preventive practices of primary health care professionals towards alcohol use: A national, cross-sectional study

Introduction Primary care (PC) professionals' knowledge about alcohol use has been identified as one of the barriers PC providers face in their clinic. Both PC professionals' level of training and attitude are crucial in the clinical practice regarding alcohol use. Objective To evaluate the knowledge, attitude, and preventive practices of Spanish PC physicians and nurses towards alcohol use. Design An observational, descriptive, cross-sectional, multi-center study. Methodology Location: PC centers of the Spanish National Health System (NHS). Participants: PC physicians and nurses selected randomly from health care centers, and by sending an e-mail to semFYC and SEMERGEN members. Healthcare providers completed an online survey on knowledge, attitude, and follow-up recommendations for reducing alcohol intake. A descriptive, bivariate, and multivariate statistical analysis was conducted (p<0.05). Results Participants: 1, 760 healthcare providers completed the survey (75.6% [95% CI 73.5-77.6] family physicians; 11.4% [95% CI 9.9-12.9] medical residents; and 12.5% [95% CI 10.9-14.1] nurses), with a mean age of 44.7 (SD 11.24, range: 26-64, 95% CI: 47.2-48.2). Knowledge was higher in family physicians (p<0.001), older professionals (Spearman's r = 0.11, p<0.001), and resident trainers (p<0.001). The PC professional most likely to provide advice for reducing alcohol use was: a nurse (p<0.001), female (p = 0.010), between 46 and 55 years old (p <0.001). Conclusions PC providers' knowledge and preventive practices regarding alcohol use are scarce, hence specific training strategies to increase their knowledge and improve their attitude and skills with regard to this health problem should be considered a healthcare policy priority