19 research outputs found

    Effects of exoplanetary gravity on human locomotor ability

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    At some point in the future, if mankind hopes to settle planets outside the Solar System, it will be crucial to determine the range of planetary conditions under which human beings could survive and function. In this article, we apply physical considerations to future exoplanetary biology to determine the limitations which gravity imposes on several systems governing the human body. Initially, we examine the ultimate limits at which the human skeleton breaks and muscles become unable to lift the body from the ground. We also produce a new model for the energetic expenditure of walking, by modelling the leg as an inverted pendulum. Both approaches conclude that, with rigorous training, humans could perform normal locomotion at gravity no higher than 4 gEarthg_{\textrm{Earth}}.Comment: 12 pages, 4 figures, to be published in The Physics Teache

    Comparison of hypofractionation and standard fractionation for post-prostatectomy salvage radiotherapy in patients with persistent PSA: single institution experience

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    Background: Hypofractionated post-prostatectomy radiotherapy is emerging practice, however with no randomized evidence so far to support itā€™s use. Additionally, patients with persistent PSA after prostatectomy may have aggressive disease and respond less well on standard salvage treatment. Herein we report outcomes for conventionally fractionated (CFR) and hypofractionated radiotherapy (HFR) in patients with persistent postprostatectomy PSA who received salvage radiotherapy to prostate bed. Methods: Single institution retrospective chart review was performed after Institutional Review Board approval. Between May 2012 and December 2016, 147 patients received salvage postprostatectomy radiotherapy. PSA failure-free and metastasis-free survival were calculated using Kaplanā€“Meier method. Cox regression analysis was performed to test association of fractionation regimen and other clinical factors with treatment outcomes. Early and late toxicity was assessed using Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0. Results: Sixty-nine patients who had persistent PSA (ā‰„ 0.1Ā ng/mL) after prostatectomy were identified. Median follow-up was 67Ā months (95% CI 58ā€“106Ā months, range, 8ā€“106Ā months). Thirty-six patients (52.2%) received CFR, 66Ā Gy in 33 fractions, 2Ā Gy per fraction, and 33 patients (47.8%) received HFR, 52.5Ā Gy in 20 fractions, 2.63Ā Gy per fraction. Forty-seven (68%) patients received androgen deprivation therapy (ADT). 5-year PSA failure- and metastasis-free survival rate was 56.9% and 76.9%, respectively. Thirty patients (43%) experienced biochemical failure after salvage radiotherapy and 16 patients (23%) experienced metastatic relapse. Nine patients (13%) developed metastatic castration-resistant disease and died of advanced prostate cancer. Median PSA failure-free survival was 72Ā months (95% CI; 41ā€“72Ā months), while median metastasis-free survival was not reached. Patients in HFR group were more likely to experience shorter PSA failure-free survival when compared to CFR group (HR 2.2; 95% CI 1.0ā€“4.6, p = 0.04). On univariate analysis, factors significantly associated with PSA failure-free survival were radiotherapy schedule (CFR vs HFR, HR 2.2, 95% CI 1.0ā€“4.6, p = 0.04), first postoperative PSA (HR 1.02, 95% CI 1.0ā€“1.04, p = 0.03), and concomitant ADT (HR 3.3, 95% CI 1.2ā€“8.6, p = 0.02). On multivariate analysis, factors significantly associated with PSA failure-free survival were radiotherapy schedule (HR 3.04, 95% CI 1.37ā€“6.74, p = 0.006) and concomitant ADT (HR 4.41, 95% CI 1.6ā€“12.12, p = 0.004). On univariate analysis, factors significantly associated with metastasis-free survival were the first postoperative PSA (HR 1.07, 95% CI 1.03ā€“1.12, p = 0.002), seminal vesicle involvement (HR 3.48, 95% CI 1.26ā€“9.6,p = 0.02), extracapsular extension (HR 7.02, 95% CI 1.96ā€“25.07, p = 0.003), and surgical margin status (HR 2.86, 95% CI 1.03ā€“7.97, p = 0.04). The first postoperative PSA (HR 1.04, 95% CI 1.00ā€“1.08, p = 0.02) and extracapsular extension (HR 4.24, 95% CI 1.08ā€“16.55, p = 0.04) remained significantly associated with metastasis-free survival on multivariate analysis. Three patients in CFR arm (8%) experienced late genitourinary grade 3 toxicity. Conclusions: In our experience, commonly used hypofractionated radiotherapy regimen was associated with lower biochemical control compared to standard fractionation in patients with persistent PSA receiving salvage radiotherapy. Reason for this might be lower biological dose in HFR compared to CFR group. However, this observation is limited due to baseline imbalances in ADT use, ADT duration and Grade Group distribution between two radiotherapy cohorts. In patients with persistent PSA post-prostatectomy, the first postoperative PSA is an independent risk factor for treatment failure. Additional studies are needed to corroborate our observations

    XMAP215-EB1 interaction is required for proper spindle assembly and chromosome segregation in Xenopus egg extract

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    In metaphase Xenopus egg extracts, global microtubule growth is mainly promoted by two unrelated microtubule stabilizers, end-binding protein 1 (EB1) and XMAP215. Here, we explore their role and potential redundancy in the regulation of spindle assembly and function. We find that at physiological expression levels, both proteins are required for proper spindle architecture: Spindles assembled in the absence of EB1 or at decreased XMAP215 levels are short and frequently multipolar. Moreover, the reduced density of microtubules at the equator of Ī”EB1 or Ī”XMAP215 spindles leads to faulty kinetochoreā€“microtubule attachments. These spindles also display diminished poleward flux rates and, upon anaphase induction, they neither segregate chromosomes nor reorganize into interphasic microtubule arrays. However, EB1 and XMAP215 nonredundantly regulate spindle assembly because an excess of XMAP215 can compensate for the absence of EB1, whereas the overexpression of EB1 cannot substitute for reduced XMAP215 levels. Our data indicate that EB1 could positively regulate XMAP215 by promoting its binding to the microtubules. Finally, we show that disruption of the mitosis-specific XMAP215ā€“EB1 interaction produces a phenotype similar to that of either EB1 or XMAP215 depletion. Therefore, the XMAP215ā€“EB1 interaction is required for proper spindle organization and chromosome segregation in Xenopus egg extracts
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