625 research outputs found

    The Adequacy of Retirement Saving

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    macroeconomics, saving, retirement

    Reconstructing stakeholder relationships using ‘corporate social responsibility’ as a response strategy to cases of corporate irresponsibility: The case of the 2010 BP spill in the Gulf of Mexico.

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    Purpose When organisations behave irresponsibly, a question remains: Can they use a messaging strategy based in the organisation’s commitment social responsibility to effectively respond to the crisis? The purpose of this chapter is to analyse stakeholder attitudes and their antecedents in such a case. Because of its scope, magnitude and use of a response strategy based on messages of social responsibility, the 2010 BP oil spill in the Gulf of Mexico serves as an excellent case for measuring the effectiveness of such a messaging strategy. Methodology/approach The present study drew from two data sources: a content analysis of interactions on BP’s Facebook page (N=1,515) as well as an image survey of BP (N=749). Findings BP’s messaging strategy had limited positive effects in terms of (1) being viewed as a ‘socially responsible’ organisation and (2) creating significant good will towards the company. However, these data also reveal that BP has effectively opened lines of communication between stakeholders and the company. Practical and social implications This study has two central implications. First, for both organisations and activists, personal investment and the relevance of issues are both critical in order to change stakeholder attitudes about organisations. Second, based on this research, we can begin to develop stakeholder profiles based on age, sex and political identity. Originality/value In the last couple of years, considerable attention has been paid to describing and analysing the response strategies that organisations deploy; however, scant attention has been paid to measuring stakeholder evaluations of those crisis response strategies

    Rilevazione statistica della diffusione e della conoscenza di sostanze dopanti, integratori e dell' Exercise Addiction

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    I benefici derivanti dalla pratica dell'esercizio fisico sono stati ampiamente documentati. Tuttavia, l’eccessivo ricorso alla attività fisica può condurre alla messa in atto di pattern compulsivi di allenamento che possono evolversi in una vera e propria patologia: l' exercise addiction. Studi recenti suggeriscono l'espansione di due fenomeni: il doping amatoriale e l'abuso di integratori per lo sport. Sono stati somministrati 686 test. I partecipanti allo studio sono stati scelti tra studenti di scuola media superiore, studenti universitari e frequentatori di ambienti sportivi. Il 42,5% degli intervistati dichiara di assumere sostanze per migliorare le prestazioni sportive e quindi di doparsi. Il 30,23% assume integratori. Una percentuale compresa tra il 35 e l'88,35 % dichiara di non conoscere le sostanze proposte.Il 15,8% dei rispondenti è a “rischio” di exercise addiction, il 71,7% è classificato come “sintomatico”. E' stata infine indagata quale possibile correlazione potesse esserci tra le variabili in esame. La statistica test X2 evidenzia che non vi è alcuna associazione , in altre parole non sembra esserci relazione tra il rischio di dipendenza dall' esercizio fisico e l'assunzione di sostanze. L'analisi dei dati raccolti suggerisce invece che vi sia un'espansione del fenomeno del doping in ambiente amatoriale e che vi sia una scriteriata e incongrua assunzione di integratori per lo sport. La presente ricerca suggerisce che occorre compiere interventi immediati sia a livello di informazione che di prevenzione , in cui al farmacista sia affidato un ruolo di primo piano

    2-Methyl-β-cyclodextrin grafted ammonium chitosan: synergistic effects of cyclodextrin host and polymer backbone in the interaction with amphiphilic prednisolone phosphate salt as revealed by NMR spectroscopy

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    Reduced molecular weight chitosan was quaternized with 2-chloro-N,N-diethylethylamine to obtain a water soluble derivative (N+-rCh). Methylated-β-cyclodextrin (MCD), with 0.5 molar substitution, was covalently linked to N+-rCh through 1,6-hexamethylene diisocyanate spacer to give the derivatized ammonium chitosan N+-rCh-MCD. To shed light on the role of the cyclodextrin pendant in guiding binding interactions with amphiphilic active ingredients, corticosteroid prednisolone phosphate salt (PN) was considered. The deep inclusion of PN into cyclodextrin in PN/MCD model system was pointed out by analysis of 1H NMR complexation shifts, 1D ROESY spectra, and diffusion measurements (DOSY). By using proton selective relaxation rates measurements as investigation tool, the superior affinity of N+-rCh-MCD towards PN was demonstrated in comparison with parent ammonium chitosan N+-rCh

    Laser cleaning of diagnostic mirrors from tokamak-like carbon contaminants

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    This paper presents a laboratory-scale experimental investigation of laser cleaning of diagnostic First Mirrors (FMs). Redeposition of contaminants sputtered from tokamak first wall onto FMs surface could dramatically decrease their reflectivity in an unacceptable way for the functioning of the plasma diagnostic systems. Laser cleaning is a promising solution to tackle this issue. In this work, pulsed laser deposition was exploited to produce rhodium films functional as FMs and to deposit onto them carbon contaminants with tailored features, resembling those found in tokamaks. The same laser system was also used to perform laser cleaning experiments by means of a sample handling procedure that allows to clean some cm(2) in few minutes. The cleaning effectiveness was evaluated in terms of specular reflectivity recovery and mirror surface integrity. The effect of different laser wavelengths (lambda = 1064, 266 nm) on the cleaning process is also addressed

    Dynamics of neutrophils to lymphocyte ratio (NLR) predict outcomes of PD-1/PD-L1 blockade

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    Introduction. Baseline neutrophil-to-lymphocyte ratio (NLR) has been repeatedly reported as a significant prognostic factor in advanced cancer patients. We explored whether changes in NLR may predict outcome of advanced cancer patients enrolled into phase 1 trials and treated with PD-1/PD-L1 inhibitors. Patients and Methods. Advanced cancer patients enrolled into phase 1 trials between September 2013 and May 2016 and treated with anti-PD-1/PD-L1 agents were included in this retrospective study. NLR was calculated at baseline and after 2 cycles of treatment. Royal Marsden Hospital (RMH) prognostic score and Eastern Cooperative Group (ECOG) performance status (PS) were determined at baseline. Kaplan-Meier estimation and Cox regression analyses were used to assess the impact of NLR dynamics on PFS. Results. Among the 55 patients eligible, 26 (47%) were treated with anti-PD-L1 monotherapy, 22 (40%) received single agent anti-PD-1, and 7 (13%) were given a tyrosine kinase inhibitor (TKI) plus a PD-1 inhibitor. Neither ECOG PS nor RMH prognostic score was significantly associated with PFS in our cohort, whereas changes in NLR significantly impacted on PFS. Conclusion. Changes in the NLR may be a useful predicting factor in advanced cancer patients treated with anti-PD-1/PD-L1 agents. Further prospective trials are needed to verify these findings

    In situ cleaning of diagnostic first mirrors: An experimental comparison between plasma and laser cleaning in ITER-relevant conditions

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    This paper presents an experimental comparison between the plasma cleaning and the laser cleaning techniques of diagnostic first mirrors (FMs). The re-deposition of contaminants sputtered from a tokamak first wall onto FMs could dramatically decrease their reflectance in an unacceptable way for the proper functioning of plasma diagnostic systems. Therefore, suitable in situ cleaning solutions will be required to recover the FMs reflectance in ITER. Currently, plasma cleaning and laser cleaning are considered the most promising solutions. In this work, a set of ITER-like rhodium mirrors contaminated with materials tailored to reproduce tokamak redeposits is employed to experimentally compare plasma and laser cleaning against different criteria (reflectance recovery, mirror integrity, time requirement). We show that the two techniques present different complementary features that can be exploited for the cleaning of ITER FMs. In particular, plasma cleaning ensures an excellent reflectance recovery in the case of compact contaminants, while laser cleaning is faster, gentler, and more effective in the case of porous contaminant. In addition, we demonstrate the potential benefits of a synergistic solution which combines plasma and laser cleaning to exploit the best features of each technique

    Dabrafenib and trametinib activity in a patient with BRAF V600E mutated and microsatellite instability high (MSI-H) metastatic endometrial cancer

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    BACKGROUND: Targeting BRAF V600E mutation has been proven effective in the treatment of several types of cancer. In endometrial adenocarcinoma, the BRAF V600E mutation has been rarely reported. Whether targeting BRAF oncogene may represent a plausible therapeutic strategy for the rare patients with BRAF-mutated endometrial cancer remains to be ascertained in prospective studies. CASE PRESENTATION: We report herein the case of a heavily pre-treated patient with recurrent microsatellite instability high (MSI-H) BRAF V600E mutated endometrial adenocarcinoma, which was successfully treated with the V600E targeting agent dabrafenib. After developing resistance to this agent, the MEK targeting agent trametinib was added to dabrafenib achieving again a therapeutic response. CONCLUSIONS: This case shows that dabrafenib both as monotherapy and when combined with trametinib may exert significant therapeutic activity in heavily pretreated BRAF V600E mutated endometrial adenocarcinoma, and highlight potential benefits of personalized treatment in this disease

    Towards an optimal treatment algorithm for metastatic pancreatic ductal adenocarcinoma (PDA)

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    Chemotherapy remains the mainstay of treatment for advanced pancreatic ductal adenocarcinoma (pda). Two randomized trials have demonstrated superiority of the combination regimens folfirinox (5-fluorouracil, leucovorin, oxaliplatin, and irinotecan) and gemcitabine plus nab-paclitaxel over gemcitabine monotherapy as a first-line treatment in adequately fit subjects. Selected pda patients progressing to first-line therapy can receive secondline treatment with moderate clinical benefit. Nevertheless, the optimal algorithm and the role of combination therapy in second-line are still unclear. Published second-line pda clinical trials enrolled patients progressing to gemcitabine-based therapies in use before the approval of nab-paclitaxel and folfirinox. The evolving scenario in second-line may affect the choice of the first-line treatment. For example, nanoliposomal irinotecan plus 5-fluouracil and leucovorin is a novel second-line option which will be suitable only for patients progressing to gemcitabinebased therapy. Therefore, clinical judgement and appropriate patient selection remain key elements in treatment decision. In this review, we aim to illustrate currently available options and define a possible algorithm to guide treatment choice. Future clinical trials taking into account sequential treatment as a new paradigm in pda will help define a standard algorithm

    Influence of surface morphology on erosion of plasma-facing components in H-mode plasmas of ASDEX Upgrade

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    Net erosion of plasma-facing materials was investigated at the low-field-side (outer) strike-point area of the ASDEX Upgrade (AUG) divertor during H-mode discharges with small and frequent ELMs. To this end, Au and Mo marker samples with different surface morphologies and geometries were exposed to plasmas using the DIMII divertor manipulator. The results were compared to existing erosion and deposition patterns from various Land H-mode experiments, in the latter case the main difference was the size and frequency of the ELMs. We noticed that increasing surface roughness reduces net erosion but less than what is the case in L-mode. On the other hand, net-erosion rates in H-mode are generally 2–5 times higher than the corresponding L-mode values, in addition to which exposure in H-mode conditions results in strong local variations in the poloidal and toroidal erosion/deposition profiles. The latter observation we associate with the large migration length, on the order of several cm, of the eroded material, resulting in strong competition between erosion and re-deposition processes especially at poloidal distances > 50 mm from the strike point. Considerable net erosion was measured throughout the analysed poloidal region unlike in L-mode where the main erosion peak occurs in the vicinity of the strike point. We attribute this qualitative difference to the slow decay lengths of the plasma flux and electron temperature in the applied H-mode scenario. Both erosion and deposition require detailed analyses at the microscopic scale and the deposition patterns may be drastically different for heavy and light impurities. Generally, the rougher the surface the more material will accumulate on locally shadowed regions behind protruding surface features. However, rough surfaces also exhibit more non-uniformities in the quality or even integrity of marker coatings produced on them, thus complicating the analyses of the experimental data. We conclude that local plasma parameters have a huge impact on the PFC erosion rates and, besides incident plasma flux, surface morphology and its temporal evolution have to be taken into account for quantitative estimates of erosion rates and PFC lifetime under reactor-relevant conditions
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