177 research outputs found
You-Just-Canât-Win Dept.: Firm Sues Workers for Failing to Strike, circa 1999
Newspaper article about an Ohio nursing home that hired replacement workers in anticipation of a strike, then sued the Service Employees International Union because the union didnât go on strike. The Wall Street Journal. Youngstown, Ohio
Combined Modality Therapies for High-Risk Prostate Cancer: Narrative Review of Current Understanding and New Directions.
Despite the many prospective randomized trials that have been available in the past decade regarding the optimization of radiation, hormonal, and surgical therapies for high-risk prostate cancer (PCa), many questions remain. There is currently a lack of level I evidence regarding the relative efficacy of radical prostatectomy (RP) followed by adjuvant radiation compared to radiation therapy (RT) combined with androgen deprivation therapy (ADT) for high-risk PCa. Current retrospective series have also described an improvement in biochemical outcomes and PCa-specific mortality through the use of augmented radiation strategies incorporating brachytherapy. The relative efficacy of modern augmented RT compared to RP is still incompletely understood. We present a narrative review regarding recent advances in understanding regarding comparisons of overall and PCa-specific mortality measures among patients with high-risk PCa treated with either an RP/adjuvant RT or an RT/ADT approach. We give special consideration to recent trends toward the assembly of multi-institutional series targeted at providing high-quality data to minimize the effects of residual confounding. We also provide a narrative review of recent studies examining brachytherapy boost and systemic therapies, as well as an overview of currently planned and ongoing studies that will further elucidate strategies for treatment optimization over the next decade
SpaceOAR to improve dosimetric outcomes for monotherapy high-dose-rate prostate implantation in a patient with ulcerative colitis.
High-dose-rate (HDR) brachytherapy is an attractive option for patients receiving definitive radiation therapy for prostate cancer with decreased overall dose to the pelvis. However, ulcerative colitis increases rectal toxicity risk and may be a contraindication. A synthetic hydrogel, SpaceOAR (Augmentix Inc., Waltham, MA, USA), can facilitate the use of HDR brachytherapy for patients where rectal toxicity is a limiting factor. SpaceOAR gel (13.19 cc) was utilized in a monotherapy HDR prostate treatment with Ir-192 under transrectal ultrasound guidance, with the intention of decreasing rectal dose. SpaceOAR gel was inserted transperineally into the patient 18 days prior to the procedure. The HDR brachytherapy procedure was tolerated without incident. All planning constraints were met, and the following dosimetry was achieved: Prostate â V100% = 97.3%, V150% = 35%, V200% = 14.5%; Urethra â V118% = 0%; Rectum â D2 cc = 51.6%, V75% = 0 cc. The rectum-catheter spacing was on average between 6-8 mm. Average spacing for our 10 most recent patients without SpaceOAR was 3 mm. SpaceOAR did not hinder or distort ultrasound imaging or increase treatment time. SpaceOAR successfully increases catheter-rectal wall spacing and decreases rectal dose due to improved planning capabilities, while decreasing the likelihood of rectal perforation. One application of this tool is presented to mitigate potential toxicities associated with ulcerative colitis. At five months, one week, and one day follow-up, the patient reported no bowel issues following HDR brachytherapy. © 2018 Termedia Publishing House Ltd. All Rights Reserved
Contextuality in Measurement-based Quantum Computation
We show, under natural assumptions for qubit systems, that measurement-based
quantum computations (MBQCs) which compute a non-linear Boolean function with
high probability are contextual. The class of contextual MBQCs includes an
example which is of practical interest and has a super-polynomial speedup over
the best known classical algorithm, namely the quantum algorithm that solves
the Discrete Log problem.Comment: Version 3: probabilistic version of Theorem 1 adde
Collective state measurement of mesoscopic ensembles with single-atom resolution
For mesoscopic ensembles containing 100 or more atoms we measure the total
atom number and the number of atoms in a specific hyperfine state with
single-atom resolution. The measurement detects the atom-induced shift of the
resonance frequency of an optical cavity containing the ensemble. This work
extends the range of cavity-based detection with single-atom resolution by more
than an order of magnitude in atom number, and provides the readout capability
necessary for Heisenberg-limited interferometry with atomic ensembles.Comment: 5 pages, 4 pdf figure
P-glycoproteins encoded by mdr 1b in murine gravid uterus and multidrug resistant tumor cell lines are differentially glycosylated
AbstractThere are 3 members of the multidrug-resitance gene family expressed in mouse. Only one of these, mdr lb, and its gene product P-glycoprotein are induced to high levels in the mouse endometrium during pregnancy. It is shown here that P-glycoprotein in the gravid uterus is significantly larger (Mr 155000) compared to P-glycoprotein encoded by mdr lb in a murine multidrug-resistant cell line (Mr 140000). However, both species co-migrate after enzymatic removal of N-linked sugars (Mr 125000). These results demonstrate that differential glycosylation of the mdr lb gene product contributes to molecular heterogeneity found in P-glycoprotein from normal and multidrug-resistant cells
Detection of Organic-Rich Oil Shales of the Green River Formation, Utah, with Ground-Based Imaging Spectroscopy
Oil shales contain abundant immature organic matter and are a potential unconventional petroleum resource. Prior studies have used visible/shortwave infrared imaging spectroscopy to map surface exposures of deposits from satellite and airborne platforms and image cores in the laboratory. Here, we work at an intermediate, outcrop-scale, testing the ability of field-based imaging spectroscopy to identify oil shale strata and characterize the depositional environments that led to enrichment of organic matter in sedimentary rocks within the Green River Formation, Utah, USA. The oil shale layers as well as carbonates, phyllosilicates, gypsum, hydrated silica, and ferric oxides are identified in discrete lithologic units and successfully mapped in the images, showing a transition from siliciclastic to carbonate- and organic-rich rocks consistent with previous stratigraphic studies conducted with geological fieldwork
Phase groups and the origin of non-locality for qubits
We describe a general framework in which we can precisely compare the
structures of quantum-like theories which may initially be formulated in quite
different mathematical terms. We then use this framework to compare two
theories: quantum mechanics restricted to qubit stabiliser states and
operations, and Spekkens's toy theory. We discover that viewed within our
framework these theories are very similar, but differ in one key aspect - a
four element group we term the phase group which emerges naturally within our
framework. In the case of the stabiliser theory this group is Z4 while for
Spekkens's toy theory the group is Z2 x Z2. We further show that the structure
of this group is intimately involved in a key physical difference between the
theories: whether or not they can be modelled by a local hidden variable
theory. This is done by establishing a connection between the phase group, and
an abstract notion of GHZ state correlations. We go on to formulate precisely
how the stabiliser theory and toy theory are `similar' by defining a notion of
`mutually unbiased qubit theory', noting that all such theories have four
element phase groups. Since Z4 and Z2 x Z2 are the only such groups we conclude
that the GHZ correlations in this type of theory can only take two forms,
exactly those appearing in the stabiliser theory and in Spekkens's toy theory.
The results point at a classification of local/non-local behaviours by finite
Abelian groups, extending beyond qubits to finitary theories whose observables
are all mutually unbiased.Comment: 24 pages, many picture
Compositional Heterogeneity of Impact Melt Rocks at the Haughton Impact Structure, Canada: Implications for Planetary Processes and Remote Sensing
Connecting the surface expression of impact craterârelated lithologies to planetary or regional subsurface compositions requires an understanding of material transport during crater formation. Here, we use imaging spectroscopy of six clastârich impact melt rock outcrops within the wellâpreserved 23.5âMa, 23âkm diameter Haughton impact structure, Canada, to determine melt rock composition and spatial heterogeneity. We compare results from outcrop to outcrop, using clasts, groundmass, and integrated clastâgroundmass compositions as tracers of transport during craterâfill melt rock formation and cooling. Supporting laboratory imaging spectroscopy analyses of 91 meltâbearing breccia and clast samples and microscopic Xâray fluorescence elemental mapping of cut samples paired with spectroscopy of identical surfaces validate outcropâscale lithological determinations. Results show different clastârich impact melt rock compositions at three sites kilometers apart and an inverse correlation between silicaârich (sandstone, gneiss, and phyllosilicateârich shales) and gypsumârich rocks that suggests differences in source depth with location. In the target stratigraphy, gypsum is primarily sourced from ~1âkm depth, while gneiss is from >1.8âkm depth, sandstone from >1.3 km, and shales from ~1.6â1.7 km. Observed heterogeneities likely result from different excavation depths coupled with rapid quenching of the melt due to high content of cool clasts. Results provide quantitative constraints for numerical models of impact structure formation and give new details on melt rock heterogeneity important in interpreting mission data and planning sample return of impactites, particularly for bodies with impacts into sedimentary and volatileâbearing targets, e.g., Mars and Ceres
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