Yttrium-90 Radioembolization for Colorectal Cancer Liver Metastases: A Single Institution Experience

Purpose. We sought to evaluate our experience using yttrium-90 (90Y) resin microsphere hepatic radioembolization as salvage therapy for liver-dominant metastatic colorectal cancer (mCRC). Methods. A retrospective review of consecutive patients with unresectable mCRC who were treated with 90Y after failing first and second line systemic chemotherapy. Demographics, treatment dose, biochemical and radiographic response, toxicities, and survival were examined. Results. Fifty-one patients underwent 90Y treatments of which 69% were male. All patients had previously undergone extensive chemotherapy, 31% had undergone previous liver-directed therapy and 24% had a prior liver resection. Using RECIST criteria, either stable disease or a partial response was seen in 77% of patients. Overall median survival from the time of first 90Y treatment was 10.2 months (95% CI = 7.5–13.0). The absence of extrahepatic disease at the time of treatment with 90Y was associated with an improved survival, median survival of 17.0 months (95% CI = 6.4–27.6), compared to those with extrahepatic disease at the time of treatment with 90Y, 6.7 months (95% CI = 2.7–10.6 Conclusion: 90Y therapy is a safe locoregional therapy that provides an important therapeutic option to patients who have failed first and second line chemotherapy and have adequate liver function and performance status

The role of North Brazil Current transport in the paleoclimate of the Brazilian Nordeste margin and paleoceanography of the western tropical Atlantic during the late Quaternary

Author Posting. © The Author(s), 2014. This is the author's version of the work. It is posted here by permission of Elsevier for personal use, not for redistribution. The definitive version was published in Palaeogeography, Palaeoclimatology, Palaeoecology 415 (2014): 3-13, doi:10.1016/j.palaeo.2014.05.030.Reconstructions of surface paleoceanographic conditions of the western equatorial Atlantic and past climates of the adjacent Northeast Brazilian (the "Nordeste") continental margin were undertaken by analyzing sediments from a piston core and associated gravity and box cores recovered from 3107 meter water depth at 0° 20’ N on the equatorial Brazilian continental slope. The record is dated by radiocarbon analysis and oxygen isotopic stratigraphy of planktonic foraminifers and spans from near- modern to approximately 110 Ka. High-resolution XRF analysis provides insight into the paleoclimate history of the Nordeste during the last glacial interval. Several large-amplitude and abrupt peaks are observed in the time series of Ti/Ca and are usually accompanied by peaks of Fe/K. Together these record periods of increased precipitation and intense weathering on the adjacent continent and increased terrestrial sediment discharge from Nordeste rivers into the Atlantic. Within the limits of dating accuracy, most Ti/Ca peaks correlate with Heinrich events in the North Atlantic. This record thus corroborates, and extends back in time, the previous record of Arz et al (1998) determined on sediment cores from farther southeast along the Nordeste margin. Stable oxygen isotopic analysis and Mg/Ca paleothermometry on the near- surface-dwelling planktonic foraminiferal species Globierinoides ruber find that mean sea-surface temperature (SST) during glacial time (20 to 55 Ka, n = 97) was 23.89 ± 0.79 °C and the mean SST during the late Holocene (0 to 5 Ka, n = 14) was 26.89 ± 0.33 °C. SSTs were 0.5 to 2 °C higher and inferred sea-surface salinities were lower during most of the periods of elevated Ti/Ca, thus, as observed in previous studies, the western equatorial Atlantic was warm (at least locally) and the adjacent southern tropical continent was wet at the same time that the high-latitude North Atlantic was cold. Using the SYNTRACE-CCSM3 fully coupled climate model with transient forcing for the period 22 Ka to present, we find that decreased transport of the North Brazil Current co-occurs with reduced Atlantic meridional overturning circulation, and colder-than-normal SSTs in the North Atlantic region. These simulated conditions are invariably associated with significantly increased precipitation in the Nordeste region.Funding for the cruise and post-cruise science was provided to PAB by NSF-OCE-0823650

MLA Liberty Chapter Posters and Lightning Talk Slides

MLA Liberty Chapter Posters and Lightning Talks 2020-Presen

Evidence Of Value-Expressive Participation Effects In Budgeting

Accounting researchers have defined budgetary participation to encompass employee influence, or control, over budget targets. This view implies that control is a necessary condition for favorable participation effects to occur. This paper presents the results of two field studies that indicate participation can lead to improved employee attitudes even when it does not afford the employees budgetary control