754 research outputs found

    Neutron Matter Distributions from Quasi-Elastic (p,n) Reactions

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    Supported by the National Science Foundation and Indiana Universit

    Prospective randomized trial evaluating mandatory second look surgery with HIPEC and CRS vs. standard of care in patients at high risk of developing colorectal peritoneal metastases

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    <p>Abstract</p> <p>Background</p> <p>The standard of care for colorectal peritoneal carcinomatosis is evolving from chemotherapy to cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) for patients with disease limited to the peritoneum. Peritoneal carcinomatosis from colorectal cancer treated with chemotherapy alone results in median survival of 5 to 13 months, whereas CRS with HIPEC for early peritoneal carcinomatosis from colorectal cancer resulted in median survival of 48-63 months and 5 year survival of 51%.</p> <p>Completeness of cytoreduction and limited disease are associated with longer survival, yet early peritoneal carcinomatosis is undetectable by conventional imaging. Exploratory laparotomy can successfully identify early disease, but this approach can only be justified in patients with high risk of peritoneal carcinomatosis. Historical data indicates that patients presenting with synchronous peritoneal carcinomatosis, ovarian metastases, perforated primary tumor, and emergency presentation with bleeding or obstructing lesions are at high risk of peritoneal carcinomatosis. Approximately 55% of these patient populations will develop peritoneal carcinomatosis. We hypothesize that performing a mandatory second look laparotomy with CRS and HIPEC for patients who are at high risk for developing peritoneal carcinomatosis from colorectal cancer will lead to improved survival as compared to patients who receive standard of care with routine surveillance.</p> <p>Methods/Design</p> <p>This study is a prospective randomized trial designed to answer the question whether mandatory second look surgery with CRS and HIPEC will prolong overall survival compared to the standard of care in patients who are at high risk for developing peritoneal carcinomatosis from colorectal cancer (CRC). Patients with CRC at high risk for developing peritoneal carcinomatosis who underwent curative surgery and subsequently received standard of care adjuvant chemotherapy will be evaluated. The patients who remain without evidence of disease by imaging, physical examination, and tumor markers for 12 months after the primary operation will be randomized to mandatory second look surgery or standard-of-care surveillance. At laparotomy, CRS and HIPEC will be performed with intraperitoneal oxaliplatin with concurrent systemic 5-fluorouracil and leucovorin. Up to 100 patients will be enrolled to allow for 35 evaluable patients in each arm; accrual is expected to last 5 years.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov ID: NCT01095523</p

    Exploratory Measurements of the (3-He,n) Reaction at Medium Energies

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    This work was supported by the National Science Foundation Grant NSF PHY 81-14339 and by Indiana Universit

    Histological response of peritoneal carcinomatosis after hyperthermic intraperitoneal chemoperfusion (HIPEC) in experimental investigations

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    BACKGROUND: In selected patients with peritoneal carcinomatosis from colorectal cancer prognosis can be improved by hyperthermic intraperitoneal chemotherapy (HIPEC) after cytoreductive surgery. The aim of this study was to evaluate the tumor response of peritoneal carcinomatosis in tumor-bearing rats treated with HIPEC. METHODS: CC531 colon carcinoma (2,5 × 10(6 )cells), implanted intraperitoneally in Wag/Rija rats, was treated by hyperthermic intraperitoneal chemotherapy. After 10 days of tumor growth the animals were randomized into five groups of six animals each: group I: control (n = 6), group II: sham operated animals (n = 6), group III: hyperthermic intraperitoneal perfusion (HIP) without cytostatic drugs, group IV: HIPEC with mitomycin C in a concentration of 15 mg/m(2 )(n = 6), group V: mitomycin C i.p. alone in a concentration of 10 mg/m(2 )(n = 6). After 10 days the extent of tumor spread and histological outcome were analysed by autopsy. RESULTS: All control animals developed extensive intraperitoneal tumor growth. Histological tumor load was significantly reduced in group III and group V and was lowest in group IV. In group II tumor load was significantly higher than in group I. Implanted metastases were significantly decreased in group IV compared with group I and group II. CONCLUSION: These findings indicate that HIPEC is an effective treatment for peritoneal carcinomatosis in this animal model. HIPEC reduced macroscopic and microscopic intraperitoneal tumor spread

    Gamow-Teller Strength Distribution for 37-Cl(p,n)37-Ar

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    This research was sponsored by the National Science Foundation Grant NSF PHY-931478

    Measurement of B(GT)/B(F) for the Anomalous 35-Ar β+ Decay via the (p,n) Reaction

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    This research was sponsored by the National Science Foundation Grant NSF PHY 87-1440

    Solar Neutrino Detector GT Strength Distributions Via (p,n) Reactions

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    This work was supported by the National Science Foundation Grant NSF PHY 81-14339 and by Indiana Universit

    Splitting of the Dipole and Spin-Dipole Resonances

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    Cross sections for the 90,92,94Zr(p,n) reactions were measured at energies of 79.2 and 119.4 MeV. A phenomenological model was developed to describe the variation with bombarding energy of the position of the L=1 peak observed in these and other (p,n) reactions. The model yields the splitting between the giant dipole and giant spin dipole resonances. Values of these splittings are obtained for isotopes of Zr and Sn and for 208Pb.Comment: 14 pages, 4 figure

    Coulomb displacement energies and decay widths of isobaric analog states from Sm(3He, t) at [theta] = 0[deg]

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    The 144,147,148,149,150,154Sm(3He, t)144,147,148,149,150,152,154Eu reactions leading to ground-state isobaric analog states (IAS) have been studied at [theta] = 0[deg] and E(3He) = 45.9 MeV. The Coulomb displacement energies decrease more rapidly than A-1/3. Approximately 110 keV of the total decrease of about 470 keV from A = 144 (spherical) to A = 154 (deformed) can be ascribed to deformation. No discontinuity is apparent at the transition from spherical to deformed shapes at N = 88-90. This is attributed to two effects: (i) rms radii increase with static deformations and with dynamical vibrations; (ii) Coulomb displacement energies depend on rms charge radii and on the rms radii of the neutron excess. The data suggest neutron deformations greater than proton deformations for A = 148 and 150 but smaller for A = 152 and 154. The IAS widths increase from ~30 keV to ~90 keV and can be attributed to mixing with the (T0-1) component of a proposed isovector giant monopole resonance.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/25180/1/0000619.pd

    Mass measurements near the rr-process path using the Canadian Penning Trap mass spectrometer

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    The masses of 40 neutron-rich nuclides from Z = 51 to 64 were measured at an average precision of δm/m=107\delta m/m= 10^{-7} using the Canadian Penning Trap mass spectrometer at Argonne National Laboratory. The measurements, of fission fragments from a 252^{252}Cf spontaneous fission source in a helium gas catcher, approach the predicted path of the astrophysical rr process. Where overlap exists, this data set is largely consistent with previous measurements from Penning traps, storage rings, and reaction energetics, but large systematic deviations are apparent in β\beta-endpoint measurements. Differences in mass excess from the 2003 Atomic Mass Evaluation of up to 400 keV are seen, as well as systematic disagreement with various mass models.Comment: 15 pages, 16 figures. v2 updated, published in Physical Review
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