111 research outputs found
Light-induced scattering and energy transfer between orthogonally-polarized waves
We present a detailed experimental investigation on polarization-isotropic
and polarization-anisotropic holographic scattering in lithium niobate crystal
doped with iron when recording parasitic gratings with an ordinary polarized
pump beam. The kinetics of both types of scattering during the whole process of
recording is studied. Holographic scattering is presented as a simple technique
to monitor the energy transfer between beams of different polarization.
Moreover, the spectral and the angular dependence of the transmitted intensity
of the crystal during the reconstruction of the auto-generated parasitic
gratings are measured.Comment: 10 pages and 5 figure
The surgical management of male breast cancer: Time for an easy access national reporting database?
Introduction Male breast cancer is extremely rare with an incidence of less than 1% of all breast cancers. Literature reports a peak of incidence at roughly 71 years of age. Management currently follows the same clinical pathways as female breast cancer as a general rule.
Methods A retrospective search for all patients who were referred and diagnosed with male breast cancer at our centre was undertaken. Patients notes were then explored for demographics, histological staging, multidisciplinary team meeting outcome and treatment.
A literature search including the search terms ‘Male Breast Cancer AND Surgery’ or ‘Male Breast Cancer AND Experience’ were used. Non English language articles, or those without abstracts were excluded.
Results Seven patients were reviewed over 3 years (2006–2009). Mean agea was 69 years and mean lesion size was 15 mm. Histology was invasive ductal carcinoma for all patients. All patients were ER receptor positive. Two patients were HER2 positive. Five patients were offered mastectomy. One patient refused treatment. In follow up at 36 months there were 3 recurrences. 1 patient was lost to follow up. There were 3 mortalities. The literature search identified 72 articles. Articles were subdivided into those that discussed the surgical management of male breast cancer (n = 8), articles that discussed male breast cancer as podium presentations or posters with no full text article publication (n = 13) and finally full text publications of case experience of male breast cancer (n = 21).
Discussion We report a series of seven cases of male breast cancer encountered over three years, evaluating patient demographics as well as treatment and outcomes. In our series patients were managed with mastectomy. New evidence is questioning the role of mastectomy against breast conserving surgery in male patients. Furthermore there is a lack of reporting infrastructure for national data capture of the benefits of surgical modalities. Literature review highlights the varied clinical experience between units that remains reported as podium presentation but not published. The establishment of an online international reporting registry would allow for efficient analysis of surgical outcomes to improve patient care from smaller single centres. This would facilitate large scale meta analysis by larger academic surgical centres
Neutron optical beam splitter from holographically structured nanoparticle-polymer composites
We report a breakthrough in the search for versatile diffractive elements for
cold neutrons. Nanoparticles are spatially arranged by holographical means in a
photopolymer. These grating structures show remarkably efficient diffraction of
cold neutrons up to about 50% for effective thicknesses of only 200 micron.
They open up a profound perspective for next generation neutron-optical devices
with the capability to tune or modulate the neutron diffraction efficiency.Comment: 4 pages, 2 figure
Diffraction of slow neutrons by holographic SiO_2 nanoparticle-polymer composite gratings
Diffraction experiments with holographic gratings recorded in SiO
nanoparticle-polymer composites have been carried out with slow neutrons. The
influence of parameters such as nanoparticle concentration, grating thickness
and grating spacing on the neutron-optical properties of such materials has
been tested. Decay of the grating structure along the sample depth due to
disturbance of the recording process becomes an issue at grating thicknesses of
about 100 microns and larger. This limits the achievable diffraction efficiency
for neutrons. As a solution to this problem, the Pendell\"{o}sung interference
effect in holographic gratings has been exploited to reach a diffraction
efficiency of 83% for very cold neutrons.Comment: 7 pages, 3 figures, submitted to Phys. Rev.
Auto-aggressive metallic mercury injection around the knee joint: a case report
<p>Abstract</p> <p>Background</p> <p>Accidental or intentional subcutaneous and/or intramuscular injection of metallic mercury is an uncommon form of poisoning. Although it does not carry the same risk as mercury vapour inhalation, it may cause destructive early and late reactions.</p> <p>Case Presentation</p> <p>Herein we present the case of a 29-year-old male patient who developed an obsessive-compulsive disorder causing auto-aggressive behaviour with injection of elemental mercury and several other foreign bodies into the soft tissues around the left knee about 15 years before initial presentation. For clinical examination X-rays and a CT-scan of the affected area were performed. Furthermore, blood was taken to determine the mercury concentration in the blood, which showed a concentration 17-fold higher than recommended. As a consequence, the mercury depots and several foreign bodies were resected marginally.</p> <p>Conclusion</p> <p>Blood levels of mercury will decrease rapidly following surgery, especially in combination with chelating therapy. In case of subcutaneous and intramuscular injection of metallic mercury we recommend marginal or wide excision of all contaminated tissue to prevent migration of mercury and chronic inflammation. Nevertheless, prolonged clinical and biochemical monitoring should be performed for several years to screen for chronic intoxication.</p
A resource-based view and dynamic capabilities approach in the context of a region’s international attractiveness: The recent case of Western Australia
This exploratory study proposes a framework based on the resource view theory and the dynamic capabilities approach to further the understanding of a region’s attractiveness, particularly from an international perspective. The case of Western Australia is examined through in-depth, face-to-face interviews with nine country consuls experienced in international trade. The findings revealed significant ways in which Western Australia could enhance its future commercial appeal. The findings revealed the value of synergies between this state and other countries, particularly exchanging expertise, transferring knowledge, or exporting know-how, education, both university and industry-focused, research and development and expertise. These forms of regional attractiveness emphasise the strategic role of industry resources and dynamic capabilities, thus, underscoring the usefulness and applicability of the proposed framework. While the state’s mineral exports will continue to drive its economy, harnessing its potential in other areas is crucial to adapt to changing business environments and to build sustained competitive advantage. © 2018, The Author(s) 2018
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