1,008 research outputs found

    Role of EGF inhibitors in the treatment of recurrent or metastatic squamous cell head and neck cancer

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    Squamous cell cancer of the head and neck (SCCHN) is a major contributor to morbidity and mortality worldwide. In recent years, inhibition of the epidermal growth factor receptor has become an established treatment strategy in SCCHN both in the up-front treatment and in the recurrent and metastatic setting. This review summarizes the most important developments of the recent past and provides an overview of newer developments

    The order-disorder transition in colloidal suspensions under shear flow

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    We study the order-disorder transition in colloidal suspensions under shear flow by performing Brownian dynamics simulations. We characterize the transition in terms of a statistical property of time-dependent maximum value of the structure factor. We find that its power spectrum exhibits the power-law behaviour only in the ordered phase. The power-law exponent is approximately -2 at frequencies greater than the magnitude of the shear rate, while the power spectrum exhibits the 1/f1 / f-type fluctuations in the lower frequency regime.Comment: 11 pages, 10 figures, v.2: We have made some small improvements on presentation

    Assessment of Surfactant Use in Preterm Infants as a Marker of Neonatal Intensive Care Unit Quality

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    Background Proposed neonatal quality measures have included structural measures such as average daily census, and outcome measures such as mortality and rates of complications of prematurity. However, process measures have remained largely unexamined. The objective of this research was to examine variation in surfactant use as a possible process measure of neonatal quality. Methods We obtained data on infants 30 to 34 weeks gestation admitted with respiratory distress syndrome (RDS) within 48 hours of birth to 16 hospitals participating in the Pediatric Health Information Systems database from 2001-2006. Models were developed to describe hospital variation in surfactant use and identify patient and hospital predictors of use. Another cohort of all infants admitted within 24 hours of birth was used to obtain adjusted neonatal intensive care unit (NICU) mortality rates. To assess the construct validity of surfactant use as a quality metric, adjusted hospital rates of mortality and surfactant use were compared using Kendall\u27s tau. Results Of 3,633 infants, 46% received surfactant. For individual hospitals, the adjusted odds of surfactant use varied from 2.2 times greater to 5.9 times less than the hospital with the median adjusted odds of surfactant use. Increased annual admissions of extremely low birth weight infants to the NICU were associated with greater surfactant use (OR 1.80, 95% CI 1.02-3.19). The correlation between adjusted hospital rates of surfactant use and in-hospital mortality was 0.37 (Kendall\u27s tau p = 0.051). Conclusions Though results were encouraging, efforts to examine surfactant use in infants with RDS as a process measure reflecting quality of care revealed significant challenges. Difficulties related to adequate measurement including defining RDS using administrative data, accounting for care received prior to transfer, and adjusting for severity of illness will need to be addressed to improve the utility of this measure

    Sperimagnetism in Fe(78)Er(5)B(17) and Fe(64)Er(19)B(17) metallic glasses: II. Collinear components and ferrimagnetic compensation

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    Magnetization measurements on an Fe(64)Er(19)B(17) glass and polarized-beam neutron scattering measurements on Fe(78)Er(5)B(17) and Fe(64)Er(19)B(17) were described in part I. The finite spin-flip neutron scattering cross sections were calculated using a sperimagnetic structure based on random cone arrangements of the magnetic moments. The temperature variation of the cross sections of Fe(64)Er(19)B(17) suggested that a compensated sperimagnetic phase existed at T(comp). The analysis of the non-spin-flip neutron scattering cross sections is described here in part II. Two spin-dependent total structure factors S(+/-+/-). (Q) were defined from these cross sections and, despite the limited range of the data 0.5 angstrom(-1) , are zero on both sublattices in the compensated sperimagnetic structure at T(comp). The pre-peak in the spin-dependent total structure factors at 112 K showed that it originated in the atomic structure and it may involve Fe-Er-Fe 'collineations' at a radial distance of approximate to 6.0 angstrom. Finally, the RDF(+/-+/-) (r) of Fe(64)Er(19)B(17) at 180 K and of Fe(78)Er(5)B(17) at 2 K show that both glasses have the (mu(Fe) UP:mu(Er) DOWN) structure like the (Fe, Tb)(83)B(17) collinear ferrimagnets

    Quantifying the Effects of Contact Tracing, Testing, and Containment Measures in the Presence of Infection Hotspots

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    Multiple lines of evidence strongly suggest that infection hotspots, where a single individual infects many others, play a key role in the transmission dynamics of COVID-19. However, most of the existing epidemiological models fail to capture this aspect by neither representing the sites visited by individuals explicitly nor characterizing disease transmission as a function of individual mobility patterns. In this work, we introduce a temporal point process modeling framework that specifically represents visits to the sites where individuals get in contact and infect each other. Under our model, the number of infections caused by an infectious individual naturally emerges to be overdispersed. Using an efficient sampling algorithm, we demonstrate how to apply Bayesian optimization with longitudinal case data to estimate the transmission rate of infectious individuals at the sites they visit and in their households. Simulations using fine-grained and publicly available demographic data and site locations from Bern, Switzerland showcase the flexibility of our framework. To facilitate research and analyses of other cities and regions, we release an open-source implementation of our framework

    The effect of sexual selection on adaptation and extinction under increasing temperatures

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    Strong sexual selection has been reported to both enhance and hinder the adaptive capacity and persistence of populations when exposed to novel environments. Consequently, how sexual selection influences population adaption and persistence under stress remains widely debated. Here we present two empirical investigations of the fitness consequences of sexual selection on populations of the Indian meal moth, Plodia interpunctella, exposed to stable or gradually increasing temperatures. When faced with increasing temperatures strong sexual selection was associated with both increased fecundity and offspring survival compared to populations experiencing weak sexual selection, suggesting sexual selection acts to drive adaptive evolution by favouring beneficial alleles. Strong sexual selection did not, however, delay extinction when the temperature became excessively high. By manipulating individuals’ mating opportunities during fitness assays we were able to assess the effect of multiple mating independently from the effect of population-level sexual selection, and found that polyandry has a positive effect on both fecundity and offspring survival under increasing temperatures in those populations evolving with weak sexual selection. Within stable temperatures there were some benefits from strong sexual selection but these were not consistent across the entire experiment, possibly reflecting changing costs and benefits of sexual selection under stabilising and directional selection. These results indicate that sexual selection can provide a buffer against climate change and increase adaptation rates within a continuously changing environment. These positive effects of sexual selection may however be too small to protect populations and delay extinction when environmental changes are relatively rapid

    Polymer reptation and nucleosome repositioning

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    We consider how beads can diffuse along a chain that wraps them, without becoming displaced from the chain; our proposed mechanism is analogous to the reptation of "stored length" in more familiar situations of polymer dynamics. The problem arises in the case of globular aggregates of proteins (histones) that are wound by DNA in the chromosomes of plants and animals; these beads (nucleosomes) are multiply wrapped and yet are able to reposition themselves over long distances, while remaining bound by the DNA chain.Comment: 9 pages, including 2 figures, to be published in Phys. Rev. Let

    State-resolved measurements of single-electron capture in slow Ne7+- and Ne8+-helium collisions

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    Single-electron capture in collisions of 9 keV x q Ne8+ and Ne7+ ions with He has been studied using cold-target recoil-ion momentum spectroscopy. With an improved apparatus a longitudinal momentum resolution of 0.07 au has been achieved. This momentum component is directly proportional to the difference in the binding energy of the active electron between the final and the initial state. For the first time state- resolved differential cross sections have been determined with respect to the main quantum number, subshell level and spin state of the captured electron. A comparison with recent theoretical results for energy levels in Be-like Ne is given

    Protein free microcapsules obtained from plant spores as a model for drug delivery: Ibuprofen encapsulation, release and taste masking

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    Sporopollenin exine capsules (SEC) extracted from Lycopodium clavatum spores were shown to encapsulate ibuprofen as a drug model, with 97 ± 1% efficiency as measured by recovery of the loaded drug and absence of the drug on the SEC surface by scanning electron microscopy (SEM). The encapsulated ibuprofen was shown to be unchanged from its bulk crystalline form by solid state NMR, FTIR and XRD. Essential for drug delivery applications, SEC were shown to be non-toxic to human endothelial cells and free of allergenic protein epitopes by MALDI-TOF-MS and ESI-QqToF-MS. Potential application for targeted release into the intestinal region of the gastrointestinal tract (GIT) was demonstrated by 88 ± 1% of the drug being retained in simulated gastric fluid (SGF) after 45 minutes and 85 ± 2% being released after 5 min in buffer (PBS; pH 7.4). The SEC were shown to provide significant taste masking of encapsulated ibuprofen in a double blind trial with 10 human volunteers. © The Royal Society of Chemistry 2013
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