Cancers of Unknown Primary

Cancers of unknown primary (CUP) are a heterogeneous group of histologically proven metastatic tumors whose primary site can\u27t be determined after a standard diagnostic and pathologic work-up. This chapter in Cancer Concepts: A Guidebook for the Non-Oncologist presents provides an overview of cancers of unknown primary, including initial evaluation and principles of treatment.https://escholarship.umassmed.edu/cancer_concepts/1016/thumbnail.jp

Drug resistance outcomes of long-term ART with tenofovir disoproxil fumarate in the absence of virological monitoring

Objectives: The resistance profiles of patients receiving long-term ART in sub-Saharan Africa have been poorly described. This study obtained a sensitive assessment of the resistance patterns associated with long-term tenofovir-based ART in a programmatic setting where virological monitoring is yet to become part of routine care. Methods: We studied subjects who, after a median of 4.2 years of ART, replaced zidovudine or stavudine with tenofovir disoproxil fumarate while continuing lamivudine and an NNRTI. Using deep sequencing, resistance-associated mutations (RAMs) were detected in stored samples collected at tenofovir introduction (T0) and after a median of 4.0 years (T1). Results: At T0, 19/87 (21.8%) subjects showed a detectable viral load and 8/87 (9.2%) had one or more major NNRTI RAMs, whereas 82/87 (94.3%) retained full tenofovir susceptibility. At T1, 79/87 (90.8%) subjects remained on NNRTI-based ART, 5/87 (5.7%) had introduced lopinavir/ritonavir due to immunological failure, and 3/87 (3.4%) had interrupted ART. Whilst 68/87 (78.2%) subjects maintained or achieved virological suppression between T0 and T1, a detectable viral load with NNRTI RAMs at T0 predicted lack of virological suppression at T1. Each treatment interruption, usually reflecting unavailability of the dispensary, doubled the risk of T1 viraemia. Tenofovir, lamivudine and efavirenz selected for K65R, K70E/T, L74I/V and Y115F, alongside M184V and multiple NNRTI RAMs; this resistance profile was accompanied by high viral loads and low CD4 cell counts. Conclusions: Viraemia on tenofovir, lamivudine and efavirenz led to complex resistance patterns with implications for continued drug activity and risk of onward transmission

High resolution numerical study of the Algiers 2001 flash flood: sensitivity to the upper-level potential vorticity anomaly

From 9 to 11 November 2001, intense cyclogenesis affected the northern coasts of Africa and more particularly the densely populated city of Algiers. During the morning of 10 November, more than 130 mm of precipitation was recorded at Bouzareah and resulted in mudslides which devastated the Bab-el-Oued district. This disaster caused more than 700 casualties and catastrophic damage. Like many other heavy rainstorms in the western Mediterranean, this event was associated with the presence of an upper-level trough materialized by a deep stratospheric intrusion and characterized by high potential vorticity values. In this study, the impact of this synoptic structure on the localization and intensity of the precipitation which affected Algiers is investigated using a potential vorticity (PV) inversion method coupled for the first time with the French non-hydrostatic MESO-NH model. A set of perturbed synoptic environments was designed by slightly modifying the extent and the intensity of the coherent potential vorticity structures in the operational ARPEGE analysis. It is shown that such modifications may have a strong impact on the fine-scale precipitation forecast in the Algiers region, thereby demonstrating the fundamental role played by the potential vorticity anomaly during this exceptional meteorological event

Chiasma

Newspaper reporting on events at the Boston University School of Medicine in the 1960s

Enabling quantitative data analysis through e-infrastructures

This paper discusses how quantitative data analysis in the social sciences can engage with and exploit an e-Infrastructure. We highlight how a number of activities which are central to quantitative data analysis, referred to as ‘data management’, can benefit from e-infrastructure support. We conclude by discussing how these issues are relevant to the DAMES (Data Management through e-Social Science) research Node, an ongoing project that aims to develop e-Infrastructural resources for quantitative data analysis in the social sciences

Rotation and lithium abundance of solar-analog stars. Theoretical analysis of observations

Rotational velocity, lithium abundance, and the mass depth of the outer convective zone are key parameters in the study of the processes at work in the stellar interior, in particular when examining the poorly understood processes operating in the interior of solar-analog stars. We investigate whether the large dispersion in the observed lithium abundances of solar-analog stars can be explained by the depth behavior of the outer convective zone masses, within the framework of the standard convection model based on the local mixing-length theory. We also aims to analyze the link between rotation and lithium abundance in solar-analog stars. We computed a new extensive grid of stellar evolutionary models, applicable to solar-analog stars, for a finely discretized set of mass and metallicity. From these models, the stellar mass, age, and mass depth of the outer convective zone were estimated for 117 solar-analog stars, using Teff and [Fe/H] available in the literature, and the new HIPPARCOS trigonometric parallax measurements. We determine the age and mass of the outer convective zone for a bona fide sample of 117 solar-analog stars. No significant on-to-one correlation is found between the computed convection zone mass and published lithium abundance, indicating that the large A(Li) dispersion in solar analogs cannot be explained by the classical framework of envelope convective mixing coupled with lithium depletion at the bottom of the convection zone. These results illustrate the need for an extra-mixing process to explain lithium behavior in solar-analog stars, such as, shear mixing caused by differential rotation. To derive a more realistic definition of solar-analog stars, as well as solar-twin, it seems important to consider the inner physical properties of stars, such as convection, hence rotation and magnetic properties.Comment: 9 pages, 7 figure

Early adolescence behavior problems and timing of poverty during childhood: A comparison of lifecourse models

Contex

Synthesis of the elements in stars: forty years of progress

Forty years ago Burbidge, Burbidge, Fowler, and Hoyle combined what we would now call fragmentary evidence from nuclear physics, stellar evolution and the abundances of elements and isotopes in the solar system as well as a few stars into a synthesis of remarkable ingenuity. Their review provided a foundation for forty years of research in all of the aspects of low energy nuclear experiments and theory, stellar modeling over a wide range of mass and composition, and abundance studies of many hundreds of stars, many of which have shown distinct evidence of the processes suggested by B2FH. In this review we summarize progress in each of these fields with emphasis on the most recent developments

Pennsylvania Folklife Vol. 25, Folk Festival Supplement

• Quilts, Quilts, Quilts • America\u27s Heritage is Endowed with Contributions of the Pennsylvania Dutch • The Hospitality Tent: H is for Help - That\u27s What it\u27s all About • Pottery: A Folk Art Expressing the Most in Simplest Terms • It Never Rains on our Parade - On the Fourth of July • Vegetable Dyeing at the Kutztown Folk Festival • Festival Focus • Folk Festival Program • Festival Foods: The Original Touch of the Dutch • Ursinus College Studies at the Festival • Behind the Scenes of We Like Our Country, But We Love Our God • Reverse Glass Tinsel Painting • Tin, Tole and Independencehttps://digitalcommons.ursinus.edu/pafolklifemag/1069/thumbnail.jp