12 research outputs found
Isospin influences on particle emission and critical phenomenon in nuclear dissociation
Features of particle emission and critical point behavior are investigated as
functions of the isospin of disassembling sources and temperature at a moderate
freeze-out density for medium-size Xe isotopes in the framework of isospin
dependent lattice gas model. Multiplicities of emitted light particles,
isotopic and isobaric ratios of light particles show the strong dependence on
the isospin of the dissociation source, but double ratios of light isotope
pairs and the critical temperature determined by the extreme values of some
critical observables are insensitive to the isospin of the systems. Values of
the power law parameter of cluster mass distribution, mean multiplicity of
intermediate mass fragments (), information entropy () and Campi's
second moment () also show a minor dependence on the isospin of Xe
isotopes at the critical point. In addition, the slopes of the average
multiplicites of the neutrons (), protons (), charged particles
(), and IMFs (), slopes of the largest fragment mass number
(), and the excitation energy per nucleon of the disassembling source
() to temperature are investigated as well as variances of the
distributions of , , , , and . It
is found that they can be taken as additional judgements to the critical
phenomena.Comment: 9 Pages, 8 figure
Significant benefits of AIP testing and clinical screening in familial isolated and young-onset pituitary tumors
Context
Germline mutations in the aryl hydrocarbon receptor-interacting protein (AIP) gene are responsible for a subset of familial isolated pituitary adenoma (FIPA) cases and sporadic pituitary neuroendocrine tumors (PitNETs).
Objective
To compare prospectively diagnosed AIP mutation-positive (AIPmut) PitNET patients with clinically presenting patients and to compare the clinical characteristics of AIPmut and AIPneg PitNET patients.
Design
12-year prospective, observational study.
Participants & Setting
We studied probands and family members of FIPA kindreds and sporadic patients with disease onset ≤18 years or macroadenomas with onset ≤30 years (n = 1477). This was a collaborative study conducted at referral centers for pituitary diseases.
Interventions & Outcome
AIP testing and clinical screening for pituitary disease. Comparison of characteristics of prospectively diagnosed (n = 22) vs clinically presenting AIPmut PitNET patients (n = 145), and AIPmut (n = 167) vs AIPneg PitNET patients (n = 1310).
Results
Prospectively diagnosed AIPmut PitNET patients had smaller lesions with less suprasellar extension or cavernous sinus invasion and required fewer treatments with fewer operations and no radiotherapy compared with clinically presenting cases; there were fewer cases with active disease and hypopituitarism at last follow-up. When comparing AIPmut and AIPneg cases, AIPmut patients were more often males, younger, more often had GH excess, pituitary apoplexy, suprasellar extension, and more patients required multimodal therapy, including radiotherapy. AIPmut patients (n = 136) with GH excess were taller than AIPneg counterparts (n = 650).
Conclusions
Prospectively diagnosed AIPmut patients show better outcomes than clinically presenting cases, demonstrating the benefits of genetic and clinical screening. AIP-related pituitary disease has a wide spectrum ranging from aggressively growing lesions to stable or indolent disease course