Constellations and anti-corridors

Thesis (S.M.)--Massachusetts Institute of Technology, Dept. of Architecture, 2012.Page 77 blank. Cataloged from PDF version of thesis.Includes bibliographical references (p. 67-69).To perceive the many stars in the sky, corridic logic would force one to view one star at a time, one after the other in a linear order. An anti-corridic logic, on the other hand, is non-linear and permits constellations to emerge: many stars can be perceived at once and the imagination can link them into any desired figure. The space of corridors is linear: rooms are perceived and passed in a fixed sequence of one space following another. The space of anti-corridors is non-linear: rooms are dispersed into a field. Many spaces can be perceived at once and one can pass through them in any order. Desired constellations can emerge. Airports and intermodal hubs typically follow corridic logic. An airport/intermodal hub that is anti-corridic disperses all spaces into a field of options whereby individuals with different itineraries can perceive and move through a field of spatial choices resulting in ideally perceived and desired spatial constellations. This thesis proposes a prototype for an anti-corridic airport/ intermodal hub.by Andrew Ferentinos.S.M

Isotretinoin and psychopathology: a review

Isotretinoin, a synthetic oral retinoid that is used against severe nodulocystic acne, has been associated with various psychiatric side effects such as depression, suicidality and psychotic symptoms. A great number of reports on its effects have been published since its introduction into the market. However, a causal relationship has not been established and the link between isotretinoin use and psychiatric events remains controversial. The present paper reviews the available evidence regarding the association of isotretinoin and psychiatric side effects. All published material reporting psychiatric side effects following isotretinoin treatment, including case reports, case series, reports from adverse drug event reporting systems, prospective surveys and retrospective case-control studies, are presented. In addition, the neurobiology of the retinoids and possible biological mechanisms that may lead to psychopathology are described

Improved predictive modelling of coralligenous formations in the Greek Seas incorporating large-scale, presence–absence, hydroacoustic data and oceanographic variables

Our understanding of the distribution of coralligenous formations, throughout but mostly on the Eastern Mediterranean seafloor, is still poor and mostly relies on presence-only opportunistic trawling and fishermen reports. Previous efforts to gather this information created relevant geodatabases that led to a first draft predictive spatial distribution of coralligenous formations in the Mediterranean Sea using habitat suitability modelling techniques. In the last few decades, the use of hydroacoustics to map the seafloor for various geotechnical and habitat mapping projects accumulated high amounts of detailed spatial information about these formations, which remains majorly unexploited. Repurposing these datasets towards mapping key habitats is a valuable stepping stone to implementing the EU Habitat Directive. In Greece, a unique volume of seafloor mapping data has been gathered by the Laboratory of Marine Geology and Physical Oceanography, Geology Department, University of Patras. It accounts for more than 33 marine geophysical expeditions during the last three decades, having collected hydroacoustic data for a total seafloor area of 3,197.68 km2. In the present work, this information has been curated, re-evaluated, and archived to create the most complete, until now, atlas of coralligenous formations in the Greek Seas and the only integrating presence–absence data. This atlas has been used to train and validate a predictive distribution model, incorporating environmental variables derived from open data repositories, whose importance has been assessed and discussed. The final output is an improved probability map of coralligenous formation occurrence in the Greek Seas, which shall be the basis for effective spatial planning, gap detection, and design of future mapping and monitoring activities on this priority habitat

Multi-frequency, multi-sonar mapping of shallow habitats – Efficacy and management implications in the National Marine Park of Zakynthos, Greece

In this work, multibeam echosounder (MBES) and dual frequency sidescan sonar (SSS) data are combined to map the shallow (5⁻100 m) benthic habitats of the National Marine Park of Zakynthos (NMPZ), Greece, a Marine Protected Area (MPA). NMPZ hosts extensive prairies of the protected Mediterranean phanerogams Posidonia oceanica and Cymodocea nodosa, as well as reefs and sandbanks. Seafloor characterization is achieved using the multi-frequency acoustic backscatter of: (a) the two simultaneous frequencies of the SSS (100 and 400 kHz) and (b) the MBES (180 kHz), as well as the MBES bathymetry. Overall, these high-resolution datasets cover an area of 84 km2 with ground coverage varying from 50% to 100%. Image texture, terrain and backscatter angular response analyses are applied to the above, to extract a range of statistical features. Those have different spatial densities and so they are combined through an object-based approach based on the full-coverage 100-kHz SSS mosaic. Supervised classification is applied to data models composed of operationally meaningful combinations between the above features, reflecting single-sonar or multi-sonar mapping scenarios. Classification results are validated against a detailed expert interpretation habitat map making use of extensive ground-truth data. The relative gain of one system or one feature extraction method or another are thoroughly examined. The frequency-dependent separation of benthic habitats showcases the potentials of multi-frequency backscatter and bathymetry from different sonars, improving evidence-based interpretations of shallow benthic habitats

PSMA-PET/CT-guided salvage radiotherapy in recurrent or persistent prostate cancer and PSA < 0.2 ng/ml.

PURPOSE The purpose of this retrospective, multicenter study was to assess efficacy of PSMA-PET/CT-guided salvage radiotherapy (sRT) in patients with recurrent or persistent PSA after primary surgery and PSA levels < 0.2 ng/ml. METHODS The study included patients from a pooled cohort (n = 1223) of 11 centers from 6 countries. Patients with PSA levels > 0.2 ng/ml prior to sRT or without sRT to the prostatic fossa were excluded. The primary study endpoint was biochemical recurrence-free survival (BRFS) and BR was defined as PSA nadir after sRT + 0.2 ng/ml. Cox regression analysis was performed to assess the impact of clinical parameters on BRFS. Recurrence patterns after sRT were analyzed. RESULTS The final cohort consisted of 273 patients; 78/273 (28.6%) and 48/273 (17.6%) patients had local or nodal recurrence on PET/CT. The most frequently applied sRT dose to the prostatic fossa was 66-70 Gy (n = 143/273, 52.4%). SRT to pelvic lymphatics was delivered in 87/273 (31.9%) patients and androgen deprivation therapy was given to 36/273 (13.2%) patients. After a median follow-up time of 31.1 months (IQR: 20-44), 60/273 (22%) patients had biochemical recurrence. The 2- and 3-year BRFS was 90.1% and 79.2%, respectively. The presence of seminal vesicle invasion in surgery (p = 0.019) and local recurrences in PET/CT (p = 0.039) had a significant impact on BR in multivariate analysis. In 16 patients, information on recurrence patterns on PSMA-PET/CT after sRT was available and one had recurrent disease inside the RT field. CONCLUSION This multicenter analysis suggests that implementation of PSMA-PET/CT imaging for sRT guidance might be of benefit for patients with very low PSA levels after surgery due to promising BRFS rates and a low number of relapses within the sRT field

Development and Validation of a Multi-institutional Nomogram of Outcomes for PSMA-PET-Based Salvage Radiotherapy for Recurrent Prostate Cancer.

IMPORTANCE Prostate-specific antigen membrane positron-emission tomography (PSMA-PET) is increasingly used to guide salvage radiotherapy (sRT) after radical prostatectomy for patients with recurrent or persistent prostate cancer. OBJECTIVE To develop and validate a nomogram for prediction of freedom from biochemical failure (FFBF) after PSMA-PET-based sRT. DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study included 1029 patients with prostate cancer treated between July 1, 2013, and June 30, 2020, at 11 centers from 5 countries. The initial database consisted of 1221 patients. All patients had a PSMA-PET scan prior to sRT. Data were analyzed in November 2022. EXPOSURES Patients with a detectable post-radical prostatectomy prostate-specific antigen (PSA) level treated with sRT to the prostatic fossa with or without additional sRT to pelvic lymphatics or concurrent androgen deprivation therapy (ADT) were eligible. MAIN OUTCOMES AND MEASURES The FFBF rate was estimated, and a predictive nomogram was generated and validated. Biochemical relapse was defined as a PSA nadir of 0.2 ng/mL after sRT. RESULTS In the nomogram creation and validation process, 1029 patients (median age at sRT, 70 years [IQR, 64-74 years]) were included and further divided into a training set (n = 708), internal validation set (n = 271), and external outlier validation set (n = 50). The median follow-up was 32 months (IQR, 21-45 months). Based on the PSMA-PET scan prior to sRT, 437 patients (42.5%) had local recurrences and 313 patients (30.4%) had nodal recurrences. Pelvic lymphatics were electively irradiated for 395 patients (38.4%). All patients received sRT to the prostatic fossa: 103 (10.0%) received a dose of less than 66 Gy, 551 (53.5%) received a dose of 66 to 70 Gy, and 375 (36.5%) received a dose of more than 70 Gy. Androgen deprivation therapy was given to 325 (31.6%) patients. On multivariable Cox proportional hazards regression analysis, pre-sRT PSA level (hazard ratio [HR], 1.80 [95% CI, 1.41-2.31]), International Society of Urological Pathology grade in surgery specimen (grade 5 vs 1+2: HR, 2.39 [95% CI, 1.63-3.50], pT stage (pT3b+pT4 vs pT2: HR, 1.91 [95% CI, 1.39-2.67]), surgical margins (R0 vs R1+R2+Rx: HR, 0.60 [95% CI, 0.48-0.78]), ADT use (HR, 0.49 [95% CI, 0.37-0.65]), sRT dose (>70 vs ≤66 Gy: HR, 0.44 [95% CI, 0.29-0.67]), and nodal recurrence detected on PSMA-PET scans (HR, 1.42 [95% CI, 1.09-1.85]) were associated with FFBF. The mean (SD) nomogram concordance index for FFBF was 0.72 (0.06) for the internal validation cohort and 0.67 (0.11) in the external outlier validation cohort. CONCLUSIONS AND RELEVANCE This cohort study of patients with prostate cancer presents an internally and externally validated nomogram that estimated individual patient outcomes after PSMA-PET-guided sRT

Rapid spatiotemporal variations in rift structure during development of the Corinth Rift, central Greece

The Corinth Rift, central Greece, enables analysis of early rift development as it is young (<5Ma) and highly active and its full history is recorded at high resolution by sedimentary systems. A complete compilation of marine geophysical data, complemented by onshore data, is used to develop a high-resolution chronostratigraphy and detailed fault history for the offshore Corinth Rift, integrating interpretations and reconciling previous discrepancies. Rift migration and localization of deformation have been significant within the rift since inception. Over the last circa 2Myr the rift transitioned from a spatially complex rift to a uniform asymmetric rift, but this transition did not occur synchronously along strike. Isochore maps at circa 100kyr intervals illustrate a change in fault polarity within the short interval circa 620-340ka, characterized by progressive transfer of activity from major south dipping faults to north dipping faults and southward migration of discrete depocenters at ~30m/kyr. Since circa 340ka there has been localization and linkage of the dominant north dipping border fault system along the southern rift margin, demonstrated by lateral growth of discrete depocenters at ~40m/kyr. A single central depocenter formed by circa 130ka, indicating full fault linkage. These results indicate that rift localization is progressive (not instantaneous) and can be synchronous once a rift border fault system is established. This study illustrates that development processes within young rifts occur at 100kyr timescales, including rapid changes in rift symmetry and growth and linkage of major rift faults

Dissecting the Shared Genetic Architecture of Suicide Attempt, Psychiatric Disorders, and Known Risk Factors

Background Suicide is a leading cause of death worldwide, and nonfatal suicide attempts, which occur far more frequently, are a major source of disability and social and economic burden. Both have substantial genetic etiology, which is partially shared and partially distinct from that of related psychiatric disorders. Methods We conducted a genome-wide association study (GWAS) of 29,782 suicide attempt (SA) cases and 519,961 controls in the International Suicide Genetics Consortium (ISGC). The GWAS of SA was conditioned on psychiatric disorders using GWAS summary statistics via multitrait-based conditional and joint analysis, to remove genetic effects on SA mediated by psychiatric disorders. We investigated the shared and divergent genetic architectures of SA, psychiatric disorders, and other known risk factors. Results Two loci reached genome-wide significance for SA: the major histocompatibility complex and an intergenic locus on chromosome 7, the latter of which remained associated with SA after conditioning on psychiatric disorders and replicated in an independent cohort from the Million Veteran Program. This locus has been implicated in risk-taking behavior, smoking, and insomnia. SA showed strong genetic correlation with psychiatric disorders, particularly major depression, and also with smoking, pain, risk-taking behavior, sleep disturbances, lower educational attainment, reproductive traits, lower socioeconomic status, and poorer general health. After conditioning on psychiatric disorders, the genetic correlations between SA and psychiatric disorders decreased, whereas those with nonpsychiatric traits remained largely unchanged. Conclusions Our results identify a risk locus that contributes more strongly to SA than other phenotypes and suggest a shared underlying biology between SA and known risk factors that is not mediated by psychiatric disorders.Peer reviewe

Effects of shoreline irregularities on a rectilinear tidal current and their significance in sedimentation processes

Detailed tidal current information collected in the embayments along the coastline of the central northern Bristol Channel, using both Eulerian and Lagrangian techniques, has demonstrated the existence of tidally induced eddies. These eddies are considered, by the authors, to be the result of flow separation downstream of the headlands, due to the interaction between the coastal irregularities and the offshore rectilinear tidal current system. Supplementary, tidal current observations, adjacent to the coastal discontinuities in the area under investigation, are indicative of the formation of similar eddies. The tidally induced eddies along the northern Bristol Channel coastline are related to the formation of either mud or sand (send ridge) deposits, which occur along the coastal boundary. The eddies lead to the deposition of fine grained material at their center, due to a reduction in the magnitude of the current speed, bed shear stress and turbulence. The mud deposits are without any relief, therefore the eddies are the sole mechanism responsible for their formation and maintenance. In contrast, the presence of appreciable relief in the sand deposits (sand ridges) introduces secondary flows and brings other hydraulic mechanisms into play. The fact that the main axes of the sand ridges are sub-parallel to the tidal flow, suggests that Smith's and Huthnance's mechanisms are also operational and therefore enhancing the maintenance and evolution of the sand ridges. Sand ridges in the English Channel which occur off promontories are also related to tidally induced eddies