6 research outputs found
Perioperative events influence cancer recurrence risk after surgery.
Surgery is a mainstay treatment for patients with solid tumours. However, despite surgical resection with a curative intent and numerous advances in the effectiveness of (neo)adjuvant therapies, metastatic disease remains common and carries a high risk of mortality. The biological perturbations that accompany the surgical stress response and the pharmacological effects of anaesthetic drugs, paradoxically, might also promote disease recurrence or the progression of metastatic disease. When cancer cells persist after surgery, either locally or at undiagnosed distant sites, neuroendocrine, immune, and metabolic pathways activated in response to surgery and/or anaesthesia might promote their survival and proliferation. A consequence of this effect is that minimal residual disease might then escape equilibrium and progress to metastatic disease. Herein, we discuss the most promising proposals for the refinement of perioperative care that might address these challenges. We outline the rationale and early evidence for the adaptation of anaesthetic techniques and the strategic use of anti-adrenergic, anti-inflammatory, and/or antithrombotic therapies. Many of these strategies are currently under evaluation in large-cohort trials and hold promise as affordable, readily available interventions that will improve the postoperative recurrence-free survival of patients with cancer
A Relationship Study in Environmental Uncertainty, Entrepreneurial Strategy, and Financial Performance of the Restaurant Franchisors from the Franchisees' Perspectives
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The HOSTS survey for exo-zodiacal dust: preliminary results and future prospects
The presence of large amounts of dust in the habitable zones of nearby stars is a significant obstacle for future exo-Earth imaging missions. We executed the HOSTS (Hunt for Observable Signatures of Terrestrial Systems) survey to determine the typical amount of such exozodiacal dust around a sample of nearby main sequence stars. The majority of the data have been analyzed and we present here an update of our ongoing work. Nulling interferometry in N band was used to suppress the bright stellar light and to detect faint, extended circumstellar dust emission. We present an overview of the latest results from our ongoing work. We find seven new N band excesses in addition to the high confidence confirmation of three that were previously known. We find the first detections around Sun-like stars and around stars without previously known circumstellar dust. Our overall detection rate is 23%. The inferred occurrence rate is comparable for early type and Sun-like stars, but decreases from 71(-20)(+11) % for stars with previously detected mid- to far-infrared excess to 11(-4)(+9) % for stars without such excess, confirming earlier results at high confidence. For completed observations on individual stars, our sensitivity is five to ten times better than previous results. Assuming a lognormal luminosity function of the dust, we find upper limits on the median dust level around all stars without previously known mid to far infrared excess of 11.5 zodis at 95% confidence level. The corresponding upper limit for Sun-like stars is 16 zodis. An LBTI vetted target list of Sun-like stars for exo-Earth imaging would have a corresponding limit of 7.5 zodis. We provide important new insights into the occurrence rate and typical levels of habitable zone dust around main sequence stars. Exploiting the full range of capabilities of the LBTI provides a critical opportunity for the detailed characterization of a sample of exozodiacal dust disks to understand the origin, distribution, and properties of the dust.National Aeronautics and Space Administration, Exoplanet Exploration Program; Royal Society; Center for Exoplanets and Habitable Worlds; Pennsylvania State University; Eberly College of Science; Pennsylvania Space Grant Consortium; NASA through Hubble Fellowship - Space Telescope Science Institute [HST-HF2-51398.001-A]; NASA [NAS5-26555]This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]