Planning and delivery of intensity modulated bolus electron conformal therapy

PURPOSE: Bolus electron conformal therapy (BECT) is a clinically useful, well-documented, and available technology. The addition of intensity modulation (IM) to BECT reduces volumes of high dose and dose spread in the planning target volume (PTV). This paper demonstrates new techniques for a process that should be suitable for planning and delivering IM-BECT using passive radiotherapy intensity modulation for electrons (PRIME) devices. METHODS: The IM-BECT planning and delivery process is an addition to the BECT process that includes intensity modulator design, fabrication, and quality assurance. The intensity modulator (PRIME device) is a hexagonal matrix of small island blocks (tungsten pins of varying diameter) placed inside the patient beam-defining collimator (cutout). Its design process determines a desirable intensity-modulated electron beam during the planning process, then determines the island block configuration to deliver that intensity distribution (segmentation). The intensity modulator is fabricated and quality assurance performed at the factory (.decimal, LLC, Sanford, FL). Clinical quality assurance consists of measuring a fluence distribution in a plane perpendicular to the beam in a water or water-equivalent phantom. This IM-BECT process is described and demonstrated for two sites, postmastectomy chest wall and temple. Dose plans, intensity distributions, fabricated intensity modulators, and quality assurance results are presented. RESULTS: IM-BECT plans showed improved D CONCLUSION: These results demonstrated the feasibility of translating IM-BECT to the clinic using the techniques presented for treatment planning, intensity modulator design and fabrication, and quality assurance processes

Beluga Vocalizations Decrease in Response to Vessel Traffic in the Mackenzie River Estuary

Vessel traffic negatively affects marine mammals by causing behavioural disturbance, acoustic masking, contamination (i.e., oil spills), and ship strikes. Few studies have examined the effects of vessels on marine mammals in the Arctic, but beluga whales appear to be especially sensitive to vessel traffic. We examine how the vocalizations of belugas are impacted by vessel traffic in the Tarium Niryutait Marine Protected Area in the Mackenzie River estuary of the western Canadian Arctic. Between one and four acoustic recorders were deployed between June and August each year between 2015 and 2018 near the only shipping channel at this site. We examined beluga vocalizations from acoustic recordings over four summers and assessed how the distance to the nearest vessel passing the acoustic recorder affected the number of vocalizations. Beluga vocalizations within the range of the acoustic recorder decreased significantly when vessels were within 5 km of the acoustic recorder. This result suggests either that belugas are avoiding the vessel or that they reduce their vocalization in response to vessel traffic. Future work is needed to assess exactly how belugas are reacting to vessel traffic in this area and what the long-term consequences of these reactions are. Management measures for reducing these impacts must be carefully considered, especially since these vessels are very restricted in where they can travel, and many of the vessels are necessary for the livelihoods of local communities.La circulation maritime a des effets négatifs sur les mammifères marins, car elle entraîne des perturbations comportementales, masque leurs signaux acoustiques et engendre de la contamination (comme des déversements de pétrole) et des collisions. Bien que peu d’études aient examiné les effets des bateaux sur les mammifères marins de l’Arctique, les bélugas semblent particulièrement sensibles à la circulation maritime. Dans cet article, nous examinons en quoi les vocalisations des bélugas sont touchées par la circulation maritime dans la zone de protection marine de Tarium Niryutait faisant partie de l’estuaire du fleuve Mackenzie, dans l’ouest de l’Arctique canadien. Entre un et quatre enregistreurs acoustiques ont été déployés de juin à août de chaque année entre 2015 et 2018, à proximité du seul chenal de navigation de l’endroit. Nous avons examiné les vocalisations des bélugas prélevées à l’aide des enregistreurs acoustiques au cours de quatre étés, et évalué en quoi la distance du bateau passant le plus près de l’enregistreur acoustique avait un effet sur le nombre de vocalisations. Les vocalisations des bélugas dans la zone de l’enregistreur acoustique diminuaient considérablement lorsque les bateaux se trouvaient à moins de cinq kilomètres de l’enregistreur. Ce résultat suggère soit que les bélugas évitent les bateaux, soit qu’ils réduisent leurs vocalisations en réponse à la circulation maritime. Il y a lieu de pousser cette étude plus loin pour évaluer exactement comment les bélugas réagissent à la circulation des bateaux dans cette région, et quelles sont les conséquences à long terme de ces réactions. Il y a lieu aussi de considérer avec soin des mesures de gestion pour réduire ces incidences, surtout parce que les déplacements de ces bateaux sont assujettis à de nombreuses restrictions et parce que grand nombre des bateaux qui passent par là sont nécessaires à la subsistance des collectivités de la région. &nbsp

Size-dependent spinodal and miscibility gaps for intercalation in nano-particles

Using a recently-proposed mathematical model for intercalation dynamics in phase-separating materials [Singh, Ceder, Bazant, Electrochimica Acta 53, 7599 (2008)], we show that the spinodal and miscibility gaps generally shrink as the host particle size decreases to the nano-scale. Our work is motivated by recent experiments on the high-rate Li-ion battery material LiFePO4; this serves as the basis for our examples, but our analysis and conclusions apply to any intercalation material. We describe two general mechanisms for the suppression of phase separation in nano-particles: (i) a classical bulk effect, predicted by the Cahn-Hilliard equation, in which the diffuse phase boundary becomes confined by the particle geometry; and (ii) a novel surface effect, predicted by chemical-potential-dependent reaction kinetics, in which insertion/extraction reactions stabilize composition gradients near surfaces in equilibrium with the local environment. Composition-dependent surface energy and (especially) elastic strain can contribute to these effects but are not required to predict decreased spinodal and miscibility gaps at the nano-scale

The politics of playing along: radio and regulation in democratic Europe

The loss of localism has been a common trend in most radio markets in Europe and the United States. Deregulation of ownership led to a concentration phenomenon that has affected local radios in several western democracies. New forms of regulation have been considered as possible ways to stop the erosion of localism by applying rules to markets in the defense of diversity, pluralism, and the local dimension. This article analyses the local radio market in Portugal, by assessing the changes in the legislation and by examining the regulatory action that can, according to its remit, act preventively to avoid market forces to harm these principles.info:eu-repo/semantics/publishedVersio

Spinodal Decomposition and Inflation: Dynamics and Metric Perturbations

We analyse the dynamics of spinodal decomposition in inflationary cosmology using the closed time path formalism of out of equilibrium quantum field theory combined with the non-perturbative Hartree approximation. In addition to a general analysis, we compute the detailed evolution of two inflationary models of particular importance: lambda Phi^4 new inflation and natural inflation. We compute the metric fluctuations resulting from inflationary phase transitions in the slow roll approximation, showing that there exists a regime for which quantum fluctuations of the inflaton field result in a significant deviation in the predictions of the spectrum of primordial density perturbations from standard results. We provide case examples for which a blue tilt to the power spectrum (i.e. n_s > 1) results from the evolution of a single inflaton field, and demonstrate that field fluctuations may result in a scalar amplitude of fluctuations significantly below standard predictions, resulting in a slight alleviation of the inflationary fine tuning problem. We show explicitly that the metric perturbation spectrum resulting from inflation depends upon the state at the outset of the inflationary phase.Comment: 26 pages, 19 figure

Light Element Depletion in Contracting Brown Dwarfs and Pre--Main-Sequence Stars

We present an analytic calculation of the thermonuclear depletion of the light elements lithium, beryllium, and boron in fully convective, low-mass stars. Under the presumption that the pre--main-sequence star is always fully mixed during contraction, we find that the burning of these rare light elements can be computed analytically, even when the star is degenerate. Using the effective temperature as a free parameter, we constrain the properties of low-mass stars from observational data, independently of the uncertainties associated with modeling their atmospheres and convection. Our analytic solution explains the dependence of the age at a given level of elemental depletion on the stellar effective temperature, nuclear cross sections, and chemical composition. Most importantly, our results allow observers to translate lithium non-detections in young cluster members into a model-independent minimum age for that cluster. Using this procedure, we have found lower limits to the ages of the Pleiades (100 Myr) and Alpha Persei (60 Myr) clusters. Recent experimental work on the low energy resonance in the ^10B(p,\alpha)^7Be reaction has greatly enhanced estimates of the destruction rate of ^10B, making it possible for stars with M>0.1 M_sun to deplete both ^10B and ^11B before reaching the main sequence. Moreover, there is an interesting range of masses, 0.085 M_sun < M < 0.13 M_sun, where boron depletion occurs on the main sequence in less than a Hubble time, providing a potential ``clock'' for dating low-mass stars.Comment: 34 pages, including 6 figures; Accepted to Ap

Inositol 1,4,5-Trisphosphate Signalling Regulates the Avoidance Response to Nose Touch in Caenorhabditis elegans

When Caenorhabditis elegans encounters an unfavourable stimulus at its anterior, it responds by initiating an avoidance response, namely reversal of locomotion. The amphid neurons, ASHL and ASHR, are polymodal in function, with roles in the avoidance responses to high osmolarity, nose touch, and both volatile and non-volatile repellents. The mechanisms that underlie the ability of the ASH neurons to respond to such a wide range of stimuli are still unclear. We demonstrate that the inositol 1,4,5-trisphosphate receptor (IP3R), encoded by itr-1, functions in the reversal responses to nose touch and benzaldehyde, but not in other known ASH-mediated responses. We show that phospholipase Cβ (EGL-8) and phospholipase Cγ (PLC-3), which catalyse the production of IP3, both function upstream of ITR-1 in the response to nose touch. We use neuron-specific gene rescue and neuron-specific disruption of protein function to show that the site of ITR-1 function is the ASH neurons. By rescuing plc-3 and egl-8 in a neuron-specific manner, we show that both are acting in ASH. Imaging of nose touch–induced Ca2+ transients in ASH confirms these conclusions. In contrast, the response to benzaldehyde is independent of PLC function. Thus, we have identified distinct roles for the IP3R in two specific responses mediated by ASH

Challenges facing early career academic cardiologists

Early career academic cardiologists currently face unprecedented challenges that threaten a highly valued career path. A team consisting of early career professionals and senior leadership members of American College of Cardiology completed this white paper to inform the cardiovascular medicine profession regarding the plight of early career cardiologists and to suggest possible solutions. This paper includes: 1) definition of categories of early career academic cardiologists; 2) general challenges to all categories and specific challenges to each category; 3) obstacles as identified by a survey of current early career members of the American College of Cardiology; 4) major reasons for the failure of physician-scientists to receive funding from National Institute of Health/National Heart Lung and Blood Institute career development grants; 5) potential solutions; and 6) a call to action with specific recommendations

Modernizing and Expanding the NASA Space Geodesy Network to Meet Future Geodetic Requirements

NASA maintains and operates a global network of Very Long Baseline Interferometry (VLBI), Satellite Laser Ranging (SLR), and Global Navigation Satellite System ground stations as part of the NASA Space Geodesy Program. The NASA Space Geodesy Network (NSGN) provides the geodetic products that support Earth observations and the related science requirements as outlined by the US National Research Council (NRC in Precise geodetic infrastructure: national requirements for a shared resource, National Academies Press, Washington, 2010. http://nap.edu/12954, Thriving on our changing planet: a decadal strategy for Earth observation from space, National Academies Press, Washington, 2018. http://nap.edu/24938). The Global Geodetic Observing System (GGOS) and the NRC have set an ambitious goal of improving the Terrestrial Reference Frame to have an accuracy of 1 mm and stability of 0.1 mm per year, an order of magnitude beyond current capabilities. NASA and its partners within GGOS are addressing this challenge by planning and implementing modern geodetic stations colocated at existing and new sites around the world. In 2013, NASA demonstrated the performance of its next-generation systems at the prototype next-generation core site at NASAs Goddard Geophysical and Astronomical Observatory in Greenbelt, Maryland. Implementation of a new broadband VLBI station in Hawaii was completed in 2016. NASA is currently implementing new VLBI and SLR stations in Texas and is planning the replacement of its other aging domestic and international legacy stations. In this article, we describe critical gaps in the current global network and discuss how the new NSGN will expand the global geodetic coverage and ultimately improve the geodetic products. We also describe the characteristics of a modern NSGN site and the capabilities of the next-generation NASA SLR and VLBI systems. Finally, we outline the plans for efficiently operating the NSGN by centralizing and automating the operations of the new geodetic stations