Comparative evaluation of [(99m)tc]tilmanocept for sentinel lymph node mapping in breast cancer patients: results of two phase 3 trials.

BackgroundSentinel lymph node (SLN) surgery is used worldwide for staging breast cancer patients and helps limit axillary lymph node dissection. [(99m)Tc]Tilmanocept is a novel receptor-targeted radiopharmaceutical evaluated in 2 open-label, nonrandomized, within-patient, phase 3 trials designed to assess the lymphatic mapping performance.MethodsA total of 13 centers contributed 148 patients with breast cancer. Each patient received [(99m)Tc]tilmanocept and vital blue dye (VBD). Lymph nodes identified intraoperatively as radioactive and/or blue stained were excised and histologically examined. The primary endpoint, concordance (lower boundary set point at 90 %), was the proportion of nodes detected by VBD and [(99m)Tc]tilmanocept.ResultsA total of 13 centers contributed 148 patients who were injected with both agents. Intraoperatively, 207 of 209 nodes detected by VBD were also detected by [(99m)Tc]tilmanocept for a concordance rate of 99.04 % (p < 0.0001). [(99m)Tc]tilmanocept detected a total of 320 nodes, of which 207 (64.7 %) were detected by VBD. [(99m)Tc]Tilmanocept detected at least 1 SLN in more patients (146) than did VBD (131, p < 0.0001). In 129 of 131 patients with ≥1 blue node, all blue nodes were radioactive. Of 33 pathology-positive nodes (18.2 % patient pathology rate), [(99m)Tc]tilmanocept detected 31 of 33, whereas VBD detected only 25 of 33 (p = 0.0312). No pathology-positive SLNs were detected exclusively by VBD. No serious adverse events were attributed to [(99m)Tc]tilmanocept.Conclusion[(99m)Tc]Tilmanocept demonstrated success in detecting a SLN while meeting the primary endpoint. Interestingly, [(99m)Tc]tilmanocept was additionally noted to identify more SLNs in more patients. This localization represented a higher number of metastatic breast cancer lymph nodes than that of VBD

Quantum Efficiency and Topography of Heated and Plasma-Cleaned Copper Photocathode Surfaces

We present measurements of photoemission quantum efficiency (QE) for copper photocathodes heated and cleaned by low energy argon and hydrogen ion plasma. The QE and surface roughness parameters were measured before and after processing and surface chemical composition was tracked in-situ with x-ray photoelectron spectroscopy (XPS). Thermal annealing at 230 C was sufficient to improve the QE by 3-4 orders of magnitude, depending on the initial QE. Exposure to residual gas slowly reduced the QE but it was easily restored by argon ion cleaning for a few minutes. XPS showed that the annealing or ion bombardment removed surface water and hydrocarbons

Marine optical characterizations

During the past three months, the MOCE Team conducted two field experiments in Mill Creek,Chesapeake Bay, from July 24 to August 4, and at the MOBY operations site at Snug Harbor, Honolulu, Hawaii, from August 15-30, prepared two technical memoranda, and continued MOCE-2 and MOCE-3 data reduction. The primary purposes of the experiments were to test the SeaWiFS 'remote sensing reflectance' protocol, obtain turbid water data for ocean color satellite algorithm development, perform calibration for both Near Infrared (NIR) and Visible Rainbow Spectrometer system, continue assembling the operational Marine Optical Buoy, and to test the MOBY cellular phone communications link at the Lanai mooring site

Computer- or web-based interventions for perinatal mental health: A systematic review

Background: Treating prenatal mental health issues is of great importance, but access to treatment is often poor. One way of accessing treatment is through computer- or web-based interventions. Reviews have shown that these interventions can be effective for a variety of mental health disorder across different populations. However, their effectiveness for women in the perinatal period has not been reviewed. This review therefore aimed to provide a first overview of computer- or web-based interventions for women's perinatal mental health issues by systematically identifying and reviewing their characteristics and efficacy. Methods: Twelve electronic databases were searched for published and unpublished literature using keywords, supplemented by hand searches. Data were extracted for characteristics of the intervention and the study, study findings and the methodological quality was assessed. Results: The majority of the eleven eligible studies were randomized controlled trials. Interventions were targeted at depression, stress, and complicated grief during the antenatal or postpartum period or the time after pregnancy loss. Findings suggest that computer- or web-based interventions targeted at improving mental health, especially depression and complicated grief, may be effective. Limitations: Findings and their generalizability is limited by the heterogeneity of reviewed interventions and study designs, as well as methodological limitations. Conclusions: This systematic review constitutes the first synthesis of research on computer- or web-based interventions for perinatal mental health issues and provides preliminary support that this could be a promising form of treatment during this period. However, there are significant gaps in the current evidence-base so further research is needed

The Dababiya corehole, Upper Nile Valley, Egypt : preliminary results

Author Posting. © Austrian Geological Society, 2012. This article is posted here by permission of Austrian Geological Society for personal use, not for redistribution. The definitive version was published in Austrian Journal of Earth Sciences 105, no. 1 (2012): 161-168.The Dababiya corehole was drilled in the Dababiya Quarry (Upper Nile Valley, Egypt), adjacent to the GSSP for the Paleocene/ Eocene boundary, to a total depth of 140 m and bottomed in the lower Maastrichtian Globotruncana aegyptiaca Zone of the Dakhla Shale Formation. Preliminary integrated studies on calcareous plankton (foraminifera, nannoplankton), benthic foraminifera, dinoflagellates, ammonites, geochemistry, clay mineralogy and geophysical logging indicate that: 1) The K/P boundary lies between 80.4 and 80.2 m, the Danian/Selandian boundary between ~ 41 and 43 m, the Selandian/Thanetian boundary at ~ 30 m (within the mid-part of the Tarawan Chalk) and the Paleocene/Eocene boundary at 11.75 m (base [planktonic foraminifera] Zone E1 and [calcareous nannoplankton] Zone NP9b); 2) the Dababiya Quarry Member (=Paleocene/Eocene Thermal Maximum interval) extends from 11.75 to 9.5 m, which is ~1 m less than in the adjacent GSSP outcrop.; 3) the Late Cretaceous (Maastrichtian) depositional environment was nearshore, tropical-sub tropical and nutrient rich; the latest Maastrichtian somewhat more restricted (coastal); and the early Danian cooler, low(er) salinity with increasing warmth and depth of water (i.e., more open water); 4) the Paleocene is further characterized by outer shelf (~ 200 m), warm water environments as supported by foraminifera P/B ratios > 85% (~79-28 m), whereas benthic foraminifera dominate (>70%) from ~27-12 m (Tarawan Chalk and Hanadi Member) due, perhaps, in part to increased dissolution (as observed in nearby outcrop samples over this interval); 5) during the PETM, enhanced hydrodynamic conditions are inferred to have occurred on the sea-floor with increased river discharge (in agreement with sedimentologic evidence), itself a likely cause for very high enhanced biological productivity on the epicontinental shelf of Egypt; 6) correlation of in situ measured geophysical logs of Natural Gamma Ray (GR), Single-Point Resistance (PR), Self-Potential (SP), magnetic susceptibility (MS), and Resistivity, and Short Normal (SN) and Long Normal (LN) showed correspondence to the lithologic units. The Dababiya Quarry Member, in particular, is characterized by very high Gamma Ray and Resistivity Short Normal values.The Dababiya corehole was made possible by the financial support of the National Geographic Society

Readiness of health facilities to provide safe childbirth in Liberia: a cross-sectional analysis of population surveys, facility censuses and facility birth records

Background: The provision of quality obstetric care in health facilities is central to reducing maternal mortality, but simply increasing childbirth in facilities not enough, with evidence that many facilities in sub-Saharan Africa do not fulfil even basic requirements for safe childbirth care. There is ongoing debate on whether to recommend a policy of birth in hospitals, where staffing and capacity may be better, over lower level facilities, which are closer to women's homes and more accessible. Little is known about the quality of childbirth care in Liberia, where facility births have increased in recent decades, but maternal mortality remains among the highest in the world. We will analyse quality in terms of readiness for emergency care and referral, staffing, and volume of births. Methods: We assessed the readiness of the Liberian health system to provide safe care during childbirth use using three data sources: Demographic and Health Surveys (DHS), Service Availability and Readiness Assessments (SARA), and the Health Management Information System (HMIS). We estimated trends in the percentage of births by location and population caesarean-section coverage from 3 DHS surveys (2007, 2013 and 2019-20). We examined readiness for safe childbirth care among all Liberian health facilities by analysing reported emergency obstetric and neonatal care signal functions (EmONC) and staffing from SARA 2018, and linking with volume of births reported in HMIS 2019. Results: The percentage of births in facilities increased from 37 to 80% between 2004 and 2017, while the caesarean section rate increased from 3.3 to 5.0%. 18% of facilities could carry out basic EmONC signal functions, and 8% could provide blood transfusion and caesarean section. Overall, 63% of facility births were in places without full basic emergency readiness. 60% of facilities could not make emergency referrals, and 54% had fewer than one birth every two days. Conclusions: The increase in proportions of facility births over time occurred because women gave birth in lower-level facilities. However, most facilities are very low volume, and cannot provide safe EmONC, even at the basic level. This presents the health system with a serious challenge for assuring safe, good-quality childbirth services

Precious Metal-Free Nickel Nitride Catalyst for the Oxygen Reduction Reaction.

With promising activity and stability for the oxygen reduction reaction (ORR), transition metal nitrides are an interesting class of non-platinum group catalysts for polymer electrolyte membrane fuel cells. Here, we report an active thin-film nickel nitride catalyst synthesized through a reactive sputtering method. In rotating disk electrode testing in a 0.1 M HClO4 electrolyte, the crystalline nickel nitride film achieved high activity and selectivity to four-electron ORR. It also exhibited good stability during 10 and 40 h chronoamperometry measurements in acid and alkaline electrolyte, respectively. A combined experiment-theory approach, with detailed ex situ materials characterization and density functional theory calculations, provides insight into the structure of the catalyst and its surface during catalysis. Design strategies for activity and stability improvement through alloying and nanostructuring are discussed

Search for short baseline nu(e) disappearance with the T2K near detector

8 pages, 6 figures, submitted to PRD rapid communication8 pages, 6 figures, submitted to PRD rapid communicationWe thank the J-PARC staff for superb accelerator performance and the CERN NA61 collaboration for providing valuable particle production data. We acknowledge the support of MEXT, Japan; NSERC, NRC and CFI, Canada; Commissariat `a l’Energie Atomique and Centre National de la Recherche Scientifique–Institut National de Physique Nucle´aire et de Physique des Particules, France; DFG, Germany; INFN, Italy; National Science Centre (NCN), Poland; Russian Science Foundation, RFBR and Ministry of Education and Science, Russia; MINECO and European Regional Development Fund, Spain; Swiss National Science Foundation and State Secretariat for Education, Research and Innovation, Switzerland; STFC, UK; and DOE, USA. We also thank CERN for the UA1/NOMAD magnet, DESY for the HERA-B magnet mover system, NII for SINET4, the WestGrid and SciNet consortia in Compute Canada, GridPP, UK. In addition participation of individual researchers and institutions has been further supported by funds from ERC (FP7), EU; JSPS, Japan; Royal Society, UK; DOE Early Career program, USA