636 research outputs found

    Impact of inflammation-based prognostic score on survival after curative thoracoscopic esophagectomy for esophageal cancer

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    AbstractBackgroundDespite recent improvements in early detection, progress in surgical techniques, and development of chemoradiation therapies, prognosis of esophageal cancer remains poor. The aim of the present study was to assess whether Glasgow Prognostic Score (GPS), an inflammation-based prognostic score, has prognostic value independent of conventional clinicopathological criteria in patients undergoing curative resection for esophageal cancer, even in elderly patients.MethodsWe retrospectively reviewed the database of 141 consecutive patients with histologically verified esophageal squamous cell carcinoma who underwent potentially curative surgery in our institute, between January 2006 and December 2014. GPS and neutrophil lymphocyte ratio (NLR) were calculated.ResultsOn multivariate analysis, TNM stage (p < 0.0001) and GPS (p = 0.041) were independently associated with worse prognosis in overall patients with esophageal cancer.Multivariate analysis evaluated the prognostic factors in two different patient groups: patients younger than 70 years (non-elderly) and those aged 70 years or more (elderly).Multivariate analysis demonstrated that TNM stage (p = 0.0003) was an only independent risk factor for a worse prognosis among non-elderly group. Meanwhile, multivariate analysis demonstrated that TNM stage (p = 0.001) and GPS (p = 0.043) were the independent risk factor for a worse prognosis among elderly group.ConclusionThe present study demonstrated that GPS is associated with prognosis and can be considered as an independent prognostic marker in patients who underwent esophagectomy. Moreover, the GPS has the advantage of being simple to measure, routinely available and well standardized. But the present study failed to confirm the NLR as a significant predictor of survival following resection for esophageal cancer

    Quantum states and linear response in dc and electromagnetic fields for charge current and spin polarization of electrons at Bi/Si interface with giant spin-orbit coupling

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    An expansion of the nearly free-electron model constructed by Frantzeskakis, Pons and Grioni [Phys. Rev. B {\bf 82}, 085440 (2010)] describing quantum states at Bi/Si(111) interface with giant spin-orbit coupling is developed and applied for the band structure and spin polarization calculation, as well as for the linear response analysis for charge current and induced spin caused by dc field and by electromagnetic radiation. It is found that the large spin-orbit coupling in this system may allow resolving the spin-dependent properties even at room temperature and at realistic collision rate. The geometry of the atomic lattice combined with spin-orbit coupling leads to an anisotropic response both for current and spin components related to the orientation of the external field. The in-plane dc electric field produces only the in-plane components of spin in the sample while both the in-plane and out-of-plane spin components can be excited by normally propagating electromagnetic wave with different polarizations.Comment: 10 pages, 9 figure

    Ion-dispersion and rapid electron fluctuations in the cusp: a case study

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    We present results from co-ordinated measurements with the low altitude REIMEI satellite and the ESR (EISCAT Svalbard Radar), together with other ground-based instruments carried out in February 2006. The results mainly relate to the dayside cusp where clear signatures of so-called ion-dispersion are seen in the satellite data. The cusp ion-dispersion is important for helping to understand the temporal and spatial structure of magnetopause reconnection. Whenever a satellite crosses boundaries of flux tubes or convection cells, cusp structures such as ion-dispersion will always be encountered. In our case we observed 3 distinct steps in the ion energy, but it includes at least 2 more steps as well, which we interpret as temporal features in relation to pulsed reconnection at the magnetopause. In addition, fast variations of the electron flux and energy occurring during these events have been studied in detail. The variations of the electron population, if interpreted as structures crossed by the REIMEI satellite, would map near the magnetopause to similar features as observed previously with the Cluster satellites. These were explained as Alfvén waves originating from an X-line of magnetic reconnection

    Molecular Line Observations of a Carbon-Chain-Rich Core L492

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    We report on molecular abundances and distributions in a starless dense core L492. We have found that the abundances of carbon-chain molecules such as CCS, C3_{3}S, HC3_{3}N, HC5_{5}N, and HC7_{7}N are comparable to those in chemically young dark cloud cores called "carbon-chain--producing regions", such as L1495B, L1521B, L1521E, and TMC-1. This is the first dark cloud core with extremely rich in carbon-chain-molecules that is found outside the Taurus region. In addition, the deuterium fractionation ratios of DNC/HNC and DCO+^{+}/HCO+^{+} are also comparable to those in carbon-chain--producing regions, being significantly lower than those in the evolved prestellar cores such as L1498 and L1544. On the other hand, the abundances of NH3_{3} and N2_{2}H+^{+} are systematically higher than those in carbon-chain--producing regions. Our mapping observations reveal that the central hole of molecular distributions, which were reported for CCS and C34^{34}S in evolved prestellar cores is not significant in L492, indicating that the depletion factor of molecules is not very high. Furthermore, L492 is dynamically more evolved than carbon-chain--producing regions, and the protostellar collapse has started like L1498 and L1544. Therefore, it is likely that the chemical and dynamical evolutionary stage of L492 is intermediate between carbon-chain--producing regions (L1495B, L1521B, L1521E, and TMC-1) and evolved prestellar cores (L1498 and L1544).Comment: 26 pages, 8 figures, accepted for publication in The Astrophysical Journal (Preprint with high resolution figures will be available at http://www.nro.nao.ac.jp/library/report/list.html

    Low temperature fullerene encapsulation in single wall carbon nanotubes: synthesis of N@C60_{60}@SWCNT

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    High filling of single wall carbon nanotubes (SWCNT) with C60_{60} and C70_{70} fullerenes in solvent is reported at temperatures as low as 69 o^{o}C. A 2 hour long refluxing in n-hexane of the mixture of the fullerene and SWCNT results in a high yield of C60_{60},C70_{70}@SWCNT, fullerene peapod, material. The peapod filling is characterized by TEM, Raman and electron energy loss spectroscopy and X-ray scattering. We applied the method to synthesize the temperature sensitive (N@C60_{60}:C60_{60})@SWCNT as proved by electron spin resonance spectroscopy. The solvent prepared peapod samples can be transformed to double walled nanotubes enabling a high yield and industrially scalable production of DWCNT

    Insulating behavior in ultra-thin bismuth selenide field effect transistors

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    Ultrathin (~3 quintuple layer) field-effect transistors (FETs) of topological insulator Bi2Se3 are prepared by mechanical exfoliation on 300nm SiO2/Si susbtrates. Temperature- and gate-voltage dependent conductance measurements show that ultrathin Bi2Se3 FETs are n-type, and have a clear OFF state at negative gate voltage, with activated temperature-dependent conductance and energy barriers up to 250 meV
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