The Investigation of Pump Performance and Evaluation over the Internet

Selection and configuration are widely met tasks in design; this is an example of a web-based selection/configuration tool with embedded optimisation. Pumps inevitably deteriorate over their product lifecycle, in which interaction generally occurs in terms of flow, pressure and electricity consumption. Practical implementations of pump scheduling suggest that a 10% of the annual expenditure on energy costs may be saved. The object is to minimise the energy cost incurred, while selecting the best schedule of legal available pumps. The results illustrate that the recording of pump characteristics over the internet provides an efficient method of pump performance and evaluation

No evidence that FLT3 status should be considered as an indicator for transplantation in acute myeloid leukemia (AML): an analysis of 1135 patients, excluding acute promyelocytic leukemia, from the UK MRC AML 10 and 12 trials

Fetal liver tyrosine kinase 3 (FLT3) internal tandem duplications (ITDs) are powerful adverse prognostic indicators for relapse in acute myelold leukemia (AML) but the most efficacious therapy for FLT3/ ITD+ patients is currently unknown. We evaluated outcome according to FLT3/ITD status in 1135 adult patients treated according to United Kingdom Medical Research Council (UK MRC) AML protocols: 141 received an autograft, and 170 received a matched sibling allograft in first complete remission (CR). An FLT3/ITD was detected in 25% of patients and was an independent predictor for relapse (P < .001). It remained prognostic for increased relapse in patients who received a transplant (odds ratio [OR] = 1.91; 95% confidence intervals [CIs] 1.13-3.21; P = .02), with no evidence of a difference in effect between patients who received an autograft (OR = 2.39; CIs = 1.24-4.62) and patients who received an allograft (OR = 1.31; CIs = 0.56-3.06) (test for interaction, P = .3) or between patients who did or did not receive a transplant (P = .4). These results were confirmed in an analysis of 186 patients randomized to receive or not receive an autograft in first CR and in a donor-versus-no donor analysis of 683 patients to assess the role of allograft (for latter, FLT3/ITD- OR = 0.70, CIs = 0.53-0.92; FLT3/ITD+ OR = 0.59, CIs = 0.40-0.87; test for interaction, P = .5). These results suggest that at present there is no strong evidence that FLT3 status should influence the decision to proceed to transplantation

Quantum jump Monte Carlo approach simplified: Abelian symmetries

We consider Markovian dynamics of a finitely dimensional open quantum system featuring a weak unitary symmetry, i.e., when the action of a unitary symmetry on the space of density matrices commutes with the master operator governing the dynamics. We show how to encode the weak symmetry in quantum stochastic dynamics of the system by constructing a weakly symmetric representation of the master operator: a symmetric Hamiltonian, and jump operators connecting only the symmetry eigenspaces with a fixed eigenvalue ratio. In turn, this representation simplifies both the construction of the master operator as well as quantum jump Monte Carlo simulations, where, for a symmetric initial state, stochastic trajectories of the system state are supported within a single symmetry eigenspace at a time, which is changed only by the action of an asymmetric jump operator. Our results generalize directly to the case of multiple Abelian weak symmetries

Investigating the Effects of Finite Resolution on Observed Transverse Jet Profiles

Both the emission properties and evolution of Active Galactic Nuclei (AGN) radio jets are dependent on the magnetic fields that thread them. Faraday Rotation gradients are a very important way of investigating these magnetic fields, and can provide information on the orientation and structure of the magnetic field in the immediate vicinity of the jet; for example, a toroidal or helical field component should give rise to a systematic gradient in the observed Faraday rotation across the jet, as well as characteristic intensity and polarization profiles. However, real observed radio images have finite resolution, usually expressed via convolution with a Gaussian beam whose size corresponds to the central lobe of the point source response function. This will tend to blur transverse structure in the jet profile, raising the question of how well resolved a jet must be in the transverse direction in order to reliably detect transverse structure associated with a helical jet magnetic field. We present results of simulated intensity, polarization and Faraday rotation images designed to directly and empirically investigate the effect of finite resolution on observed transverse jet structures

Cancer and systemic inflammation: treat the tumour and treat the host

Determinants of cancer progression and survival are multifactorial and host responses are increasingly appreciated to have a major role. Indeed, the development and maintenance of a systemic inflammatory response has been consistently observed to confer poorer outcome, in both early and advanced stage disease. For patients, cancer-associated symptoms are of particular importance resulting in a marked impact on day-to-day quality of life and are also associated with poorer outcome. These symptoms are now recognised to cluster with one another with anorexia, weight loss and physical function forming a recognised cluster whereas fatigue, pain and depression forming another. Importantly, it has become apparent that these symptom clusters are associated with presence of a systemic inflammatory response in the patient with cancer. Given the understanding of the above, there is now a need to intervene to moderate systemic inflammatory responses, where present. In this context the rationale for therapeutic intervention using nonselective anti-inflammatory agents is clear and compelling and likely to become a part of routine clinical practice in the near future. The published literature on therapeutic intervention using anti-inflammatory agents for cancer-associated symptoms was reviewed. There are important parallels with the development of useful treatments for the systemic inflammatory response in patients with rheumatological disease and cardiovascular disease

Spectral characteristics of the annual mean rainfall series in Ghana

Time series of standardised (normalised) deviations of annual mean rainfall in Ghana for the period 1961-1998 was plotted using data for 30 stations. The plot revealed widespread floods in 1962, 1963 and 1996, and widespread droughts in 1977, 1983, 1992 and 1998. To check for periodicities, the time series was subjected to a power spectrum analysis using the Maximum Entropy Spectral Analysis (MESA) technique. A number of periodicities were detected. A periodicity of 5.6 years was found to be highly significant. That of 2.7 years was of borderline significance. The rest of the periodicities were insignificant. The most recent floods or excess rains (positive deviation) within the 1961–1998 period occurred in 1996. The next possible floods were, therefore, predicted to occur during the year 2001 or 2002. The widespread floods in Ghana during the period have proved this prediction right. The next major floods in Ghana are likely to occur in year 2006 or 200

Preoperative systemic inflammation predicts postoperative infectious complications in patients undergoing curative resection for colorectal cancer

The presence of systemic inflammation before surgery, as evidenced by the glasgow prognostic score (mGPS), predicts poor long-term survival in colorectal cancer. The aim was to examine the relationship between the preoperative mGPS and the development of postoperative complications in patients undergoing potentially curative resection for colorectal cancer. Patients (n=455) who underwent potentially curative resections between 2003 and 2007 were assessed consecutively, and details were recorded in a database. The majority of patients presented for elective surgery (85%) were over the age of 65 years (70%), were male (58%), were deprived (53%), and had TNM stage I/II disease (61%), had preoperative haemoglobin (56%), white cell count (87%) and mGPS 0 (58%) in the normal range. After surgery, 86 (19%) patients developed a postoperative complication; 70 (81%) of which were infectious complications. On multivariate analysis, peritoneal soiling (P&#60;0.01), elevated preoperative white cell count (P&#60;0.05) and mGPS (P&#60;0.01) were independently associated with increased risk of developing a postoperative infection. In elective patients, only the mGPS (OR=1.75, 95% CI=1.17-2.63, P=0.007) was significantly associated with increased risk of developing a postoperative infection. Preoperative elevated mGPS predicts increased postoperative infectious complications in patients undergoing potentially curative resection for colorectal cancer

Next Generation Sequencing Assay for Detection of Circulating HPV DNA (cHPV-DNA) in Patients Undergoing Radical (Chemo)Radiotherapy in Anal Squamous Cell Carcinoma (ASCC).

Background: Following chemo-radiotherapy (CRT) for human papilloma virus positive (HPV+) anal squamous cell carcinoma (ASCC), detection of residual/recurrent disease is challenging. Patients frequently undergo unnecessary repeated biopsies for abnormal MRI/clinical findings. In a pilot study we assessed the role of circulating HPV-DNA in identifying "true" residual disease. Methods: We prospectively collected plasma samples at baseline (n = 21) and 12 weeks post-CRT (n = 17). Circulating HPV-DNA (cHPV DNA) was measured using a novel next generation sequencing (NGS) assay, panHPV-detect, comprising of two primer pools covering distinct regions of eight high-risk HPV genomes (16, 18, 31, 33, 35, 45, 52, and 58) to detect circulating HPV-DNA (cHPV DNA). cHPV-DNA levels post-CRT were correlated to disease response. Results: In pre-CRT samples, panHPV-detect demonstrated 100% sensitivity and specificity for HPV associated ASCC. PanHPV-detect was able to demonstrate cHPV-DNA in 100% (9/9) patients with T1/T2N0 cancers. cHPV-DNA was detectable 12 weeks post CRT in just 2/17 patients, both of whom relapsed. 1/16 patients who had a clinical complete response (CR) at 3 months post-CRT but relapsed at 9 months and 1/1 patient with a partial response (PR). PanHPV-detect demonstrated 100% sensitivity and specificity in predicting response to CRT. Conclusion: We demonstrate that panHPV-detect, an NSG assay is a highly sensitive and specific test for the identification of cHPV-DNA in plasma at diagnosis. cHPV-DNA post-treatment may predict clinical response to CRT