9 research outputs found
Results and Consequences of Magnet Test and Cosmic Challenge of the CMS Barrel Muon Alignment System
In the last year - as part of the first test of the CMS experiment at CERN [1] called Magnet Test and Cosmic Challenge (MTCC) - about 25% of the barrel muon position monitoring system was built and operated. The configuration enabled us to test all the elements of the system and its function in real conditions. The correct operation of the system has been demonstrated. About 500 full measurement cycles have been recorded. In the paper the setup âincluding the read-out and control - is described and the first preliminary results are presented
Theory of traveling filaments in bistable semiconductor structures
We present a generic nonlinear model for current filamentation in
semiconductor structures with S-shaped current-voltage characteristics. The
model accounts for Joule self-heating of a current density filament. It is
shown that the self-heating leads to a bifurcation from static to traveling
filament. Filaments start to travel when increase of the lattice temperature
has negative impact on the cathode-anode transport. Since the impact ionization
rate decreases with temperature, this occurs for a wide class of semiconductor
systems whose bistability is due to the avalanche impact ionization. We develop
an analytical theory of traveling filaments which reveals the mechanism of
filament motion, find the condition for bifurcation to traveling filament, and
determine the filament velocity.Comment: 13 pages, 5 figure
Analysis of risk factors for recurrence in cervical cancer patients after fertility-sparing treatment: The FERTIlity Sparing Surgery retrospective multicenter study
Background: Fertility-sparing treatment in patients with cervical cancer should, in principle, follow identical algorithms to that in patients without future reproductive plans. In recent years, a trend toward nonradical procedures, such as conization or simple trachelectomy, has become apparent in medical literature, because of their associations with better pregnancy outcomes. However, the published reports included small numbers of patients and heterogenous treatment strategies to ascertain the safety of such approaches.
Objective: This study aimed to collect multi-institutional data regarding the oncological outcomes after fertility-sparing treatment in patients with cervical cancer and to identify prognostic risk factors, including the influence of the radicality of individual cervical procedures.
Study design: Patients aged 18 to 40 years with International Federation of Gynecology and Obstetrics 2018 stage IA1 with positive lymphovascular space invasion or â„IA2 cervical cancer who underwent any type of fertility-sparing procedure were eligible for this retrospective observational study, regardless of their histotype, tumor grade, and history of neoadjuvant chemotherapy. Associations between disease- and treatment-related characteristics with the risk of recurrence were analyzed.
Results: A total of 733 patients from 44 institutions across 13 countries were included in this study. Almost half of the patients had stage IB1 cervical cancer (49%), and two-thirds of patients were nulliparous (66%). After a median follow-up of 72 months, 51 patients (7%) experienced recurrence, of whom 19 (2.6%) died because of the disease. The most common sites of recurrence were the cervix (53%) and pelvic nodes (22%). The risk of recurrence was 3 times higher in patients with tumors >2 cm in size than in patients with smaller tumors, irrespective of the treatment radicality (19.4% vs 5.7%; hazard ratio, 2.982; 95% confidence interval, 1.383-6.431; P=.005). The recurrence risk in patients with tumors â€2 cm in size did not differ between patients who underwent radical trachelectomy and patients who underwent nonradical (conization and simple trachelectomy) cervical procedures (P=.957), regardless of tumor size subcategory (<1 or 1-2 cm) or lymphovascular space invasion.
Conclusion: Nonradical fertility-sparing cervical procedures were not associated with an increased risk of recurrence compared with radical procedures in patients with tumors â€2 cm in size in this large, multicenter retrospective study. The risk of recurrence after any type of fertility-sparing procedure was significantly greater in patients with tumors >2 cm in size.
Keywords: cervical cancer; conization; fertility-sparing treatment; recurrence; trachelectomy