254 research outputs found
Relationship between emergency presentation, systemic inflammatory response, and cancer-specific survival in patients undergoing potentially curative surgery for colon cancer
Background
Emergency presentation is recognized to be associated with poorer cancer-specific survival following curative resection for colorectal cancer. The present study examined the hypothesis that an enhanced systemic inflammatory response, prior to surgery, might explain the impact of emergency presentation on survival.
Methods
In all, 188 patients undergoing potentially curative resection for colorectal cancer were studied. Of these, 55 (29%) presented as emergencies. The systemic inflammatory response was assessed using the Glasgow Prognostic Score (mGPS), which is the combination of an elevated C-reactive protein (>10 mg/L) and hypoalbuminemia (<35 g/L).
Results
In the emergency group, tumor stage was greater (P < 0.01), more patients received adjuvant therapy (P < 0.01) more patients had an elevated mGPS (P < 0.01), and more patients died of their disease (P < 0.05). The minimum follow-up was 12 months; the median follow-up of the survivors was 48 months. Emergency presentation was associated with poorer 3-year cancer-specific survival in those patients aged 65 to 74 years (P < 0.01), in both males and females (P < 0.05), in the deprived (P < 0.01), in patients with tumor-node-metastasis (TNM) stage II disease (P < 0.01), in those who received no adjuvant therapy (P < 0.01), and in the mGPS 0 and 1 groups (P < 0.05) groups. On multivariate survival analysis of patients undergoing potentially curative surgery for TNM stage II colon cancer, emergency presentation (P < 0.05) and mGPS (P < 0.05) were independently associated with cancer-specific survival.
Conclusions
These results suggest that emergency presentation and the presence of systemic inflammatory response prior to surgery are linked and account for poorer cancer-specific survival in patients undergoing potentially curative surgery for colon cancer. Both emergency presentation and an elevated mGPS should be taken into account when assessing the likely outcome of these patients
Status of CMB Polarization Measurements from DASI and Other Experiments
We review the current status and future plans for polarization measurements
of the cosmic microwave background radiation, as well as the cosmology these
measurements will address. After a long period of increasingly sensitive upper
limits, the DASI experiment has detected the E-mode polarization and both the
DASI and WMAP experiments have detected the TE correlation. These detections
provide confirmation of the standard model of adiabatic primordial density
fluctuations consistent with inflationary models. The WMAP TE correlation on
large angular scales provides direct evidence of significant reionization at
higher redshifts than had previously been supposed. These detections mark the
beginning of a new era in CMB measurements and the rich cosmology that can be
gleaned from them.Comment: 22 pages, 9 figures; To be published in the proceedings of "The
Cosmic Microwave Background and its Polarization", New Astronomy Reviews,
(eds. S. Hanany and K.A. Olive
Benchmark Parameters for CMB Polarization Experiments
The recently detected polarization of the cosmic microwave background (CMB)
holds the potential for revealing the physics of inflation and gravitationally
mapping the large-scale structure of the universe, if so called B-mode signals
below 10^{-7}, or tenths of a uK, can be reliably detected. We provide a
language for describing systematic effects which distort the observed CMB
temperature and polarization fields and so contaminate the B-modes. We identify
7 types of effects, described by 11 distortion fields, and show their
association with known instrumental systematics such as common mode and
differential gain fluctuations, line cross-coupling, pointing errors, and
differential polarized beam effects. Because of aliasing from the small-scale
structure in the CMB, even uncorrelated fluctuations in these effects can
affect the large-scale B modes relevant to gravitational waves. Many of these
problems are greatly reduced by having an instrumental beam that resolves the
primary anisotropies (FWHM << 10'). To reach the ultimate goal of an
inflationary energy scale of 3 \times 10^{15} GeV, polarization distortion
fluctuations must be controlled at the 10^{-2}-10^{-3} level and temperature
leakage to the 10^{-4}-10^{-3} level depending on effect. For example pointing
errors must be controlled to 1.5'' rms for arcminute scale beams or a percent
of the Gaussian beam width for larger beams; low spatial frequency differential
gain fluctuations or line cross-coupling must be eliminated at the level of
10^{-4} rms.Comment: 11 pages, 5 figures, submitted to PR
Can inflationary models of cosmic perturbations evade the secondary oscillation test?
We consider the consequences of an observed Cosmic Microwave Background (CMB)
temperature anisotropy spectrum containing no secondary oscillations. While
such a spectrum is generally considered to be a robust signature of active
structure formation, we show that such a spectrum {\em can} be produced by
(very unusual) inflationary models or other passive evolution models. However,
we show that for all these passive models the characteristic oscillations would
show up in other observable spectra. Our work shows that when CMB polarization
and matter power spectra are taken into account secondary oscillations are
indeed a signature of even these very exotic passive models. We construct a
measure of the observability of secondary oscillations in a given experiment,
and show that even with foregrounds both the MAP and \pk satellites should be
able to distinguish between models with and without oscillations. Thus we
conclude that inflationary and other passive models can {\em not} evade the
secondary oscillation test.Comment: Final version accepted for publication in PRD. Minor improvements
have been made to the discussion and new data has been included. The
conclusions are unchagne
Proximity effect at superconducting Sn-Bi2Se3 interface
We have investigated the conductance spectra of Sn-Bi2Se3 interface junctions
down to 250 mK and in different magnetic fields. A number of conductance
anomalies were observed below the superconducting transition temperature of Sn,
including a small gap different from that of Sn, and a zero-bias conductance
peak growing up at lower temperatures. We discussed the possible origins of the
smaller gap and the zero-bias conductance peak. These phenomena support that a
proximity-effect-induced chiral superconducting phase is formed at the
interface between the superconducting Sn and the strong spin-orbit coupling
material Bi2Se3.Comment: 7 pages, 8 figure
Heavy Quarks and Heavy Quarkonia as Tests of Thermalization
We present here a brief summary of new results on heavy quarks and heavy
quarkonia from the PHENIX experiment as presented at the "Quark Gluon Plasma
Thermalization" Workshop in Vienna, Austria in August 2005, directly following
the International Quark Matter Conference in Hungary.Comment: 8 pages, 5 figures, Quark Gluon Plasma Thermalization Workshop
(Vienna August 2005) Proceeding
Centrality Dependence of the High p_T Charged Hadron Suppression in Au+Au collisions at sqrt(s_NN) = 130 GeV
PHENIX has measured the centrality dependence of charged hadron p_T spectra
from central Au+Au collisions at sqrt(s_NN)=130 GeV. The truncated mean p_T
decreases with centrality for p_T > 2 GeV/c, indicating an apparent reduction
of the contribution from hard scattering to high p_T hadron production. For
central collisions the yield at high p_T is shown to be suppressed compared to
binary nucleon-nucleon collision scaling of p+p data. This suppression is
monotonically increasing with centrality, but most of the change occurs below
30% centrality, i.e. for collisions with less than about 140 participating
nucleons. The observed p_T and centrality dependence is consistent with the
particle production predicted by models including hard scattering and
subsequent energy loss of the scattered partons in the dense matter created in
the collisions.Comment: 7 pages text, LaTeX, 6 figures, 2 tables, 307 authors, resubmitted to
Phys. Lett. B. Revised to address referee concerns. Plain text data tables
for the points plotted in figures for this and previous PHENIX publications
are publicly available at
http://www.phenix.bnl.gov/phenix/WWW/run/phenix/papers.htm
Single Electrons from Heavy Flavor Decays in p+p Collisions at sqrt(s) = 200 GeV
The invariant differential cross section for inclusive electron production in
p+p collisions at sqrt(s) = 200 GeV has been measured by the PHENIX experiment
at the Relativistic Heavy Ion Collider over the transverse momentum range $0.4
<= p_T <= 5.0 GeV/c at midrapidity (eta <= 0.35). The contribution to the
inclusive electron spectrum from semileptonic decays of hadrons carrying heavy
flavor, i.e. charm quarks or, at high p_T, bottom quarks, is determined via
three independent methods. The resulting electron spectrum from heavy flavor
decays is compared to recent leading and next-to-leading order perturbative QCD
calculations. The total cross section of charm quark-antiquark pair production
is determined as sigma_(c c^bar) = 0.92 +/- 0.15 (stat.) +- 0.54 (sys.) mb.Comment: 329 authors, 6 pages text, 3 figures. Submitted to Phys. Rev. Lett.
Plain text data tables for the points plotted in figures for this and
previous PHENIX publications are (or will be) publicly available at
http://www.phenix.bnl.gov/papers.htm
Nuclear Modification of Electron Spectra and Implications for Heavy Quark Energy Loss in Au+Au Collisions at sqrt(s_NN)=200 GeV
The PHENIX experiment has measured mid-rapidity transverse momentum spectra
(0.4 < p_T < 5.0 GeV/c) of electrons as a function of centrality in Au+Au
collisions at sqrt(s_NN)=200 GeV. Contributions from photon conversions and
from light hadron decays, mainly Dalitz decays of pi^0 and eta mesons, were
removed. The resulting non-photonic electron spectra are primarily due to the
semi-leptonic decays of hadrons carrying heavy quarks. Nuclear modification
factors were determined by comparison to non-photonic electrons in p+p
collisions. A significant suppression of electrons at high p_T is observed in
central Au+Au collisions, indicating substantial energy loss of heavy quarks.Comment: 330 authors, 6 pages text, 3 figures. Submitted to Phys. Rev. Lett.
Plain text data tables for the points plotted in figures for this and
previous PHENIX publications are (or will be) publicly available at
http://www.phenix.bnl.gov/papers.htm
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