1,380 research outputs found
Cyclic behavior and microstructural stability of ultrafine-grained AA6060 under strain-controlled fatigue
AbstractThe strain-controlled fatigue behavior of AA6060, a precipitation hardening aluminum alloy, was investigated in ultrafinegrained (UFG) conditions after severe plastic deformation (SPD) by equal-channel angular pressing (ECAP). Two as-processed conditions, representing different stages of strain hardening and grain refinement as well as a ductility-optimized condition, achieved by a combined ECAP and aging treatment were considered. Low-voltage scanning transmission electron microscopy on samples stopped at characteristic stages of the fatigue process was applied to investigate the microstructural development. The as-processed as well as the optimized condition showed cyclic softening, which was found to be dependent on the amount of prestrain induced by ECAP processing. This is linked to dynamic recovery processes in the microstructure, indicated by a clearer distinction of grain boundaries and a reduction of dislocations in the grain interior. For all applied plastic strain amplitudes, ranging from Δεpl/2=1×10−3 to 5×10−3, the fatigue life of the ductility-optimized condition did not reach that of the severely work-hardened counterpart. For explaining this unexpected result, the differing (size-dependent) effectiveness of precipitates for the pinning of dislocations during cyclic loading was considered
A preoperative predictive tool to assess the need for staging laparoscopy in oesophagogastric cancer patients
INTRODUCTION: Staging laparoscopy (SL) has become commonplace in the preoperative staging pathway for oesophagogastric (OG) cancer. SL is often performed before curative treatment to examine for macroscopic peritoneal metastases (PM) or positive peritoneal cytology (PPC). The aim of this study was to develop an objective risk scoring system to predict both PM and PPC at SL.METHODS: A prospectively collected and maintained database of all OG cancer patients treated between 2006 and 2020 was reviewed. Univariate and multivariate analyses were performed to identify risk factors for both PM and PPC at SL. A risk score was produced for both PM and PPC, and then validated internally.RESULTS: Among 968 patients who underwent SL, 96 (9.9%) had PM and 81 (8.4%) had PPC at SL. Tumour site ( p < 0.001), computed tomography (CT) T stage ( p < 0.001) and N stage ( p = 0.029) were significantly associated with PM at SL ( p < 0.001). Tumour site ( p < 0.001), biopsy histology ( p = 0.041), CT T stage ( p < 0.001) and N stage ( p < 0.001) were significantly associated with PPC. The risk scoring model for PM included cancer site and CT T stage. This was successfully tested on the validation set (area under the receiver operating characteristic [AUROC] = 0.730). The risk scoring model for PPC included cancer site, CT T and N stage. This was successfully tested on the validation set (AUROC = 0.773). CONCLUSIONS: The current risk scores are valid tools with which to predict the risk PM and PPC in patients undergoing SL for OG cancer and may help to avoid subjecting patients to unnecessary SL.</p
Speech Communication
Contains reports on three research projects.U.S. Air Force (Air Force Cambridge Research Center, Air Research and Development Command) under Contract AF 19(604)-2061National Science Foundatio
a prospective ‘before/after’ cohort study
Objectives Antibiotic resistance has risen dramatically over the past years.
For individual patients, adequate initial antibiotic therapy is essential for
clinical outcome. Computer-assisted decision support systems (CDSSs) are
advocated to support implementation of rational anti-infective treatment
strategies based on guidelines. The aim of this study was to evaluate long-
term effects after implementation of a CDSS. Design This prospective
‘before/after’ cohort study was conducted over four observation periods within
5 years. One preinterventional period (pre) was compared with three
postinterventional periods: directly after intensive implementation efforts
(post1), 2 years (post2) and 3 years (post3) after implementation. Setting
Five anaesthesiological-managed intensive care units (ICU) (one
cardiosurgical, one neurosurgical, two interdisciplinary and one intermediate
care) at a university hospital. Participants Adult patients with an ICU stay
of >48 h were included in the analysis. 1316 patients were included in the
analysis for a total of 12 965 ICU days. Intervention Implementation of a
CDSS. Outcome measures The primary end point was percentage of days with
guideline adherence during ICU treatment. Secondary end points were
antibiotic-free days and all-cause mortality compared for patients with low
versus high guideline adherence. Main results Adherence to guidelines
increased from 61% prior to implementation to 92% in post1, decreased in post2
to 76% and remained significantly higher compared with baseline in post3, with
71% (p=0.178). Additionally, antibiotic-free days increased over study
periods. At all time periods, mortality for patients with low guideline
adherence was higher with 12.3% versus 8% (p=0.014) and an adjusted OR of 1.56
(95% CI 1.05 to 2.31). Conclusions Implementation of computerised regional
adapted guidelines for antibiotic therapy is paralleled with improved
adherence. Even without further measures, adherence stayed high for a longer
period and was paralleled by reduced antibiotic exposure. Improved guideline
adherence was associated with reduced ICU mortality
Water Dynamics at Protein Interfaces: Ultrafast Optical Kerr Effect Study
The behavior of water molecules surrounding a protein can have an important bearing on its structure and function. Consequently, a great deal of attention has been focused on changes in the relaxation dynamics of water when it is located at the protein surface. Here we use the ultrafast optical Kerr effect to study the H-bond structure and dynamics of aqueous solutions of proteins. Measurements are made for three proteins as a function of concentration. We find that the water dynamics in the first solvation layer of the proteins are slowed by up to a factor of 8 in comparison to those in bulk water. The most marked slowdown was observed for the most hydrophilic protein studied, bovine serum albumin, whereas the most hydrophobic protein, trypsin, had a slightly smaller effect. The terahertz Raman spectra of these protein solutions resemble those of pure water up to 5 wt % of protein, above which a new feature appears at 80 cm–1, which is assigned to a bending of the protein amide chain
Genomic alterations associated with mutational signatures, DNA damage repair and chromatin remodeling pathways in cervical carcinoma
Despite recent advances in the prevention of cervical cancer, the disease remains a leading cause of cancer-related deaths in women worldwide. By applying the GISTIC2.0 and/or the MutSig2CV algorithms on 430 whole-exome-sequenced cervical carcinomas, we identified previously unreported significantly mutated genes (SMGs) (including MSN, GPX1, SPRED3, FAS, and KRT8), amplifications (including NFIA, GNL1, TGIF1, and WDR87) and deletions (including MIR562, PVRL1, and NTM). Subset analyses of 327 squamous cell carcinomas and 86 non-squamous cell carcinomas revealed previously unreported SMGs in BAP1 and IL28A, respectively. Distinctive copy number alterations related to tumors predominantly enriched for *CpG- and Tp*C mutations were observed. CD274, GRB2, KRAS, and EGFR were uniquely significantly amplified within the Tp*C-enriched tumors. A high frequency of aberrations within DNA damage repair and chromatin remodeling genes were detected. Facilitated by the large sample size derived from combining multiple datasets, this study reveals potential targets and prognostic markers for cervical cancer.publishedVersio
The Tensor-Vector-Scalar theory and its cosmology
Over the last few decades, astronomers and cosmologists have accumulated vast
amounts of data clearly demonstrating that our current theories of fundamental
particles and of gravity are inadequate to explain the observed discrepancy
between the dynamics and the distribution of the visible matter in the
Universe. The Modified Newtonian Dynamics (MOND) proposal aims at solving the
problem by postulating that Newton's second law of motion is modified for
accelerations smaller than ~10^{-10}m/s^2. This simple amendment, has had
tremendous success in explaining galactic rotation curves. However, being
non-relativistic, it cannot make firm predictions for cosmology.
A relativistic theory called Tensor-Vector-Scalar (TeVeS) has been proposed
by Bekenstein building on earlier work of Sanders which has a MOND limit for
non-relativistic systems.
In this article I give a short introduction to TeVeS theory and focus on its
predictions for cosmology as well as some non-cosmological studies.Comment: 44 pages, topical review for Classical and Quantum Gravit
Physics and Applications of Laser Diode Chaos
An overview of chaos in laser diodes is provided which surveys experimental
achievements in the area and explains the theory behind the phenomenon. The
fundamental physics underpinning this behaviour and also the opportunities for
harnessing laser diode chaos for potential applications are discussed. The
availability and ease of operation of laser diodes, in a wide range of
configurations, make them a convenient test-bed for exploring basic aspects of
nonlinear and chaotic dynamics. It also makes them attractive for practical
tasks, such as chaos-based secure communications and random number generation.
Avenues for future research and development of chaotic laser diodes are also
identified.Comment: Published in Nature Photonic
Linguistics
Contains table of contents for Section 4, an introduction and abstracts for eleven doctoral dissertations
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