Horizontal partial laryngectomy for supraglottic squamous cell carcinoma

Between 1981-1999, 75 patients treated for supraglottic SCC with horizontal supraglottic laryngectomy (HSL) at the Otolaryngology Head and Neck Surgery Department of Lausanne University Hospital were retrospectively studied. There were 16 patients with T1, 46 with T2 and 13 with T3 tumors. Among these, 16 patients (21%) had clinical neck disease corresponding to stage I, II, III and IV in 12, 39, 18 and 6 patients, respectively. All patients had HSL. Most patients had either elective or therapeutic bilateral level II-IV selective neck dissection. Six patients (8%) with advanced neck disease had ipsilateral radical and controlateral elective II-IV selective neck dissections. Adjuvant radiotherapy was given to 25 patients (30%) for either positive surgical margins (n=8), pathological nodal status (n=14) or both (n=3). Median follow-up was 48months (range, 24-199). Five-year disease-specific survival and locoregional and local control were 92, 90 and 92.5%, respectively. Among five patients who were diagnosed with local recurrence, one had a total laryngectomy (1.4%); the others were treated by endoscopic laser surgery. Two patients had both a local and regional recurrence. They were salvaged with combined surgery and radiotherapy, but eventually died of their disease. Cartilage infiltration seems to influence both local control (P=0.03) and disease-specific survival (P=0.06). There was a trend for worse survival with pathological node involvement (P=0.15) and extralaryngeal extension of the cancer (P=0.1). All patients except one recovered a close to normal function after the treatment. Aspiration was present in 16 patients (26%) in the early postoperative period. A median of 16days (7-9) was necessary to recover a close to normal diet. Decannulation took a median of 17days (8-93). Seven patients kept a tracheotomy tube for up to 3months because of persistent aspiration. There was no permanent tracheostomy or total laryngectomy for functional purposes. Horizontal supraglottic laryngectomy remains an adequate therapeutic alternative for supraglottic squamous cell carcinoma, offering an excellent oncological outcome. The postoperative functional morbidity is substantial, indicating the need for careful patient selection, but good laryngeal function recovery is the rule. The surgical alternative is endoscopic laser surgery, which may offer comparable oncological results with less functional morbidity. Nevertheless, these two different techniques need to be compared prospectivel

Oscillations on the star Procyon

Stars are sphere of hot gas whose interiors transmit acoustic waves very efficiently. Geologists learn about the interior structure of Earth by monitoring how seismic waves propagate through it and, in a similar way, the interior of a star can be probed using the periodic motions on the surface that arise from such waves. Matthews et al. claim that the star Procyon does not have acoustic surface oscillations of the strength predicted. However, we show here, using ground-based spectroscopy, that Procyon is oscillating, albeit with an amplitude that is only slightly greater than the noise level observed by Matthews et al. using spaced-based photometry

Double dissociation between representational personal and extrapersonal neglect

BACKGROUND: Although perceptual and representational neglect are frequently associated, the demonstration of a double dissociation between both neglect forms suggests that both rely on different central mechanisms. In addition, perceptual neglect can be selectively observed within personal space or extrapersonal space. However, it is not known whether the latter dissociation also exists in representational neglect. METHODS: The authors investigated this question in two brain-damaged patients with anatomically different lesions sites, using neuropsychological tests specifically designed to assess perceptual and representational neglect in both personal and extrapersonal space. RESULTS: Patients presented a double dissociation with respect to personal and extrapersonal space in representational neglect. CONCLUSIONS: These data suggest that the cerebral networks that process mental space representation use similar principles of space compartmentalization as those used by cerebral networks processing perceived space

Effect of reheating on electroweak baryogenesis

The latent heat released during the expansion of bubbles in the electroweak phase transition reheats the plasma and causes the bubble growth to slow down. This decrease of the bubble wall velocity affects the result of electroweak baryogenesis. Since the efficiency of baryogenesis peaks for a wall velocity $\sim 10^{-2}$, the resulting baryon asymmetry can either be enhanced or suppressed, depending on the initial value of the wall velocity. We calculate the evolution of the phase transition taking into account the release of latent heat. We find that, although in the SM the baryon production is enhanced by this effect, in the MSSM it causes a suppression to the final baryon asymmetry.Comment: 4 pages, 3 figures. References added. Revised version to be published in Phys.Rev.

The CORALIE survey for southern extrasolar planets. XVI. Discovery of a planetary system around HD 147018 and of two long period and massive planets orbiting HD 171238 and HD 204313

We report the detection of a double planetary system around HD 140718 as well as the discovery of two long period and massive planets orbiting HD 171238 and HD 204313. Those discoveries were made with the CORALIE Echelle spectrograph mounted on the 1.2-m Euler Swiss telescope located at La Silla Observatory, Chile. The planetary system orbiting the nearby G9 dwarf HD 147018 is composed of an eccentric inner planet (e=0.47) with twice the mass of Jupiter (2.1 MJup ) and with an orbital period of 44.24 days. The outer planet is even more massive (6.6 MJup) with a slightly eccentric orbit (e=0.13) and a period of 1008 days. The planet orbiting HD 171238 has a minimum mass of 2.6 MJup, a period of 1523 days and an eccentricity of 0.40. It orbits a G8 dwarfs at 2.5 AU. The last planet, HD 204313 b, is a 4.0 MJup -planet with a period of 5.3 years and has a low eccentricity (e = 0.13). It orbits a G5 dwarfs at 3.1 AU. The three parent stars are metal rich, which further strengthened the case that massive planets tend to form around metal rich stars.Comment: 6 pages, 6 figures, accepted for publication in A&

ESPRESSO: The next European exoplanet hunter

The acronym ESPRESSO stems for Echelle SPectrograph for Rocky Exoplanets and Stable Spectroscopic Observations; this instrument will be the next VLT high resolution spectrograph. The spectrograph will be installed at the Combined-Coud\'e Laboratory of the VLT and linked to the four 8.2 m Unit Telescopes (UT) through four optical Coud\'e trains. ESPRESSO will combine efficiency and extreme spectroscopic precision. ESPRESSO is foreseen to achieve a gain of two magnitudes with respect to its predecessor HARPS, and to improve the instrumental radial-velocity precision to reach the 10 cm/s level. It can be operated either with a single UT or with up to four UTs, enabling an additional gain in the latter mode. The incoherent combination of four telescopes and the extreme precision requirements called for many innovative design solutions while ensuring the technical heritage of the successful HARPS experience. ESPRESSO will allow to explore new frontiers in most domains of astrophysics that require precision and sensitivity. The main scientific drivers are the search and characterization of rocky exoplanets in the habitable zone of quiet, nearby G to M-dwarfs and the analysis of the variability of fundamental physical constants. The project passed the final design review in May 2013 and entered the manufacturing phase. ESPRESSO will be installed at the Paranal Observatory in 2016 and its operation is planned to start by the end of the same year.Comment: 12 pages, figures included, accepted for publication in Astron. Nach

First-order cosmological phase transitions in the radiation dominated era

We consider first-order phase transitions of the Universe in the radiation-dominated era. We argue that in general the velocity of interfaces is non-relativistic due to the interaction with the plasma and the release of latent heat. We study the general evolution of such slow phase transitions, which comprise essentially a short reheating stage and a longer phase equilibrium stage. We perform a completely analytical description of both stages. Some rough approximations are needed for the first stage, due to the non-trivial relations between the quantities that determine the variation of temperature with time. The second stage, instead, is considerably simplified by the fact that it develops at a constant temperature, close to the critical one. Indeed, in this case the equations can be solved exactly, including back-reaction on the expansion of the Universe. This treatment also applies to phase transitions mediated by impurities. We also investigate the relations between the different parameters that govern the characteristics of the phase transition and its cosmological consequences, and discuss the dependence of these parameters with the particle content of the theory.Comment: 38 pages, 3 figures; v2: Minor changes, references added; v3: several typos correcte

Mapping child and adolescent mental health services and the interface during transition to adult services in six Swiss cantons

Rationale: Transition in psychiatry refers to the period where young people transit from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). Discontinuity of care during this period is well-documented but little is known about provisions and transition characteristics and policies across Switzerland. The aim of this article is to describe the architecture of public mental health providers in Switzerland and compare it to EU countries. Method: Two mapping surveys, developed previously for European countries, were adapted and sent to cantonal experts: the adapted European CAMHS Mapping Questionnaire (ECM-Q) assessing the architecture and functioning of CAMHS and the adapted Standardized Assessment Tool for Mental Health Transition (SATMeHT) to map CAMHS-AMHS interface. Results: Data were gathered from six cantons. Activity data and transition policies were comparable between Swiss regions and European countries. The percentage of young people below 19 years who were in care was above 2% in every responding canton with a higher proportion of boys than girls for patients <12 years of age. The transition occurred at the age of 18 years, civil majority, in each canton, and between 0 and 24% (3/7) and 25% and 49% (4/7) of young people were expected to transition. One canton (1/7) benefitted from written guidelines, at the CAMHS level only, regarding transition but none had guidelines for mapping CAMHS/AMHS interface even at the regional level. Conclusion: Despite the availability of resources and even if the possibilities of access to care are on average higher than in many European countries, issues regarding transition remain comparable in six Swiss cantons when compared to Europe. Meaning that beyond resources, it is the coordination between services that needs to be worked on. Importantly, implementing those changes would not require investing financial resources but rather working on the coordination between existing teams

Cosmological effects of scalar-photon couplings: dark energy and varying-α models

We study cosmological models involving scalar fields coupled to radiation and discuss their effect on the redshift evolution of the cosmic microwave background temperature, focusing on links with varying fundamental constants and dynamical dark energy. We quantify how allowing for the coupling of scalar fields to photons, and its important effect on luminosity distances, weakens current and future constraints on cosmological parameters. In particular, for evolving dark energy models, joint constraints on the dark energy equation of state combining BAO radial distance and SN luminosity distance determinations, will be strongly dominated by BAO. Thus, to fully exploit future SN data one must also independently constrain photon number non-conservation arising from the possible coupling of SN photons to the dark energy scalar field. We discuss how observational determinations of the background temper- ature at different redshifts can, in combination with distance measures data, set tight constraints on interactions between scalar fields and photons, thus breaking this degeneracy. We also discuss prospects for future improvements, particularly in the context of Euclid and the E-ELT and show that Euclid can, even on its own, provide useful dark energy constraints while allowing for photon number non-conservation