814 research outputs found
Analysis of process variables via CFD to evaluate the performance of a FCC riser
Feedstock conversion and yield products are studied through a 3D model simulating the main reactor of the fluid catalytic cracking (FCC) process. Computational fluid dynamic (CFD) is used with Eulerian-Eulerian approach to predict the fluid catalytic cracking behavior. The model considers 12 lumps with catalyst deactivation by coke and poisoning by alkaline nitrides and polycyclic aromatic adsorption to estimate the kinetic behavior which, starting from a given feedstock, produces several cracking products. Different feedstock compositions are considered. The model is compared with sampling data at industrial operation conditions. The simulation model is able to represent accurately the products behavior for the different operating conditions considered. All the conditions considered were solved using a solver ANSYS CFX 14.0. The different operation process variables and hydrodynamic effects of the industrial riser of a fluid catalytic cracking (FCC) are evaluated. Predictions from the model are shown and comparison with experimental conversion and yields products are presented; recommendations are drawn to establish the conditions to obtain higher product yields in the industrial process
Cancer cachexia
In recent years many efforts of researchers and clinicians were made to improve our knowledge of cachexia syndrome. Not only cancer, but also many chronic or end-stage diseases such as AIDS, chronic obstructive pulmonary disease (COPD), rheumatoid arthritis, tuberculosis and Crohn's disease are associated with cachexia, a condition of abnormally low weight, weakness, and general bodily decline which deteriorates quality of life and reduces the prognosis of the patients who suffer from it. In the present editorial we will focus cachexia related on cancer and provide some insight into this prognosis-limiting syndrome
A proposal for a new clinical classification of chronic pancreatitis
<p>Abstract</p> <p>Background</p> <p>The clinical course of chronic pancreatitis is still unpredictable, which relates to the lack of the availability of a clinical classification. Therefore, patient populations cannot be compared, the course and the outcome of the disease remain undetermined in the individual patient, and treatment is not standardized.</p> <p>Aim</p> <p>To establish a clinical classification for chronic pancreatitis which is user friendly, transparent, relevant, prognosis- as well as treatment-related and offers a frame for future disease evaluation.</p> <p>Methods</p> <p>Diagnostic requirements will include one clinical criterion, in combination with well defined imaging or functional abnormalities.</p> <p>Results</p> <p>A classification system consisting of three stages (A, B and C) is presented, which fulfils the above-mentioned criteria. Clinical criteria are: pain, recurrent attacks of pancreatitis, complications of chronic pancreatitis (e.g. bile duct stenosis), steatorrhea, and diabetes mellitus. Imaging criteria consist of ductal or parenchymal changes observed by ultrasonography, ERCP, CT, MRI, and/or endosonography.</p> <p>Conclusion</p> <p>A new classification of chronic pancreatitis, based on combination of clinical signs, morphology and function, is presented. It is easy to handle and an instrument to study and to compare the natural course, the prognosis and treatment of patients with chronic pancreatitis.</p
Stellar evolution through the ages: period variations in galactic RRab stars as derived from the GEOS database and TAROT telescopes
The theory of stellar evolution can be more closely tested if we have the
opportunity to measure new quantities. Nowadays, observations of galactic RR
Lyr stars are available on a time baseline exceeding 100 years. Therefore, we
can exploit the possibility of investigating period changes, continuing the
pioneering work started by V. P. Tsesevich in 1969. We collected the available
times of maximum brightness of the galactic RR Lyr stars in the GEOS RR Lyr
database. Moreover, we also started new observational projects, including
surveys with automated telescopes, to characterise the O-C diagrams better. The
database we built has proved to be a very powerful tool for tracing the period
variations through the ages. We analyzed 123 stars showing a clear O-C pattern
(constant, parabolic or erratic) by means of different least-squares methods.
Clear evidence of period increases or decreases at constant rates has been
found, suggesting evolutionary effects. The median values are beta=+0.14
day/Myr for the 27 stars showing a period increase and beta=-0.20 day/Myr for
the 21 stars showing a period decrease. The large number of RR Lyr stars
showing a period decrease (i.e., blueward evolution) is a new and intriguing
result. There is an excess of RR Lyr stars showing large, positive
values. Moreover, the observed beta values are slightly larger than those
predicted by theoretical models.Comment: 15 pages, 9 figures; to be published in Astronomy and Astrophysics;
full resolution version available at
http://dbrr.ast.obs-mip.fr/tarot/publis/publis.htm
A Layered Architecture for Detecting Malicious Behaviors
We address the semantic gap problem in behavioral monitoring by using hierarchical behavior graphs to infer high-level behaviors from myriad low-level events that could be parts of many different kinds of behavior. Our experimental system traces the execution of a process, performing data-flow analysis to identify meaningful actions such as \u201cproxying\u201d, \u201ckeystroke logging\u201d, \u201cdata leaking\u201d, and \u201cdownloading and executing a program\u201d from complex combinations of rudimentary system calls. To preemptively address evasive malware behavior, our specifications are carefully crafted to detect alternate sequences of events that achieve the same high-level goal. We tested seven malicious bots and eleven benign programs and found that we were able to thoroughly identify high-level behaviors across this diverse code base. Moreover, we were able to distinguish malicious execution of high-level behaviors from benign by distinguishing remotely-initiated from locally-initiated actions
Avelumab Plus Axitinib as First-Line Therapy for Advanced Renal Cell Carcinoma: Long-Term Results from the JAVELIN Renal 100 Phase Ib Trial.
BACKGROUND: Progression-free survival was significantly longer in patients who received avelumab plus axitinib versus sunitinib as first-line treatment for advanced renal cell carcinoma (aRCC) in a randomized phase III trial. We report long-term safety and efficacy of avelumab plus axitinib as first-line treatment for patients with aRCC from the JAVELIN Renal 100 phase Ib trial (NCT02493751). MATERIALS AND METHODS: In this open-label, multicenter, phase Ib study, patients with untreated aRCC received avelumab 10 mg/kg every 2 weeks plus axitinib 5 mg twice daily or with axitinib for 7 days followed by avelumab plus axitinib. Safety and efficacy were assessed in all patients receiving at least one dose of avelumab or axitinib. RESULTS: Overall, 55 patients were enrolled and treated. Median follow-up was 55.7 months (95% CI, 54.5-58.7). Treatment-related adverse events of any grade or grade ≥3 occurred in 54 (98.2%) and 34 (61.8%) patients, respectively. The confirmed objective response rate was 60.0% (95% CI, 45.9-73.0), including complete response in 10.9% of patients. Median duration of response was 35.9 months (95% CI, 12.7-52.9); the probability of response was 65.8% (95% CI, 46.7-79.4) at 2 years. Median progression-free survival was 8.3 months (95% CI, 5.3-32.0). Median overall survival was not reached (95% CI, 40.8-not estimable); the 5-year overall survival rate was 57.3% (95% CI, 41.2-70.5). CONCLUSION: Five-year follow-up for combination treatment with avelumab plus axitinib in previously untreated patients with aRCC showed long-term clinical activity with no new safety signals, supporting use of this regimen within its approved indication in clinical practice (Clinicaltrials.gov NCT02493751)
Direct identification of clinically relevant neoepitopes presented on native human melanoma tissue by mass spectrometry
Although mutations may represent attractive targets for immunotherapy, direct identification of mutated peptide ligands isolated from human leucocyte antigens (HLA) on the surface of native tumour tissue has so far not been successful. Using advanced mass spectrometry (MS) analysis, we survey the melanoma-associated immunopeptidome to a depth of 95,500 patient-presented peptides. We thereby discover a large spectrum of attractive target antigen candidates including cancer testis antigens and phosphopeptides. Most importantly, we identify peptide ligands presented on native tumour tissue samples harbouring somatic mutations. Four of eleven mutated ligands prove to be immunogenic by neoantigen-specific T-cell responses. Moreover, tumour-reactive T cells with specificity for selected neoantigens identified by MS are detected in the patient's tumour and peripheral blood. We conclude that direct identification of mutated peptide ligands from primary tumour material by MS is possible and yields true neoepitopes with high relevance for immunotherapeutic strategies in cancer
The double-mode nature of the HADS star GSC 00144-03031 and the Petersen diagram of the class
The double--mode pulsation of GSC 00144-03031 has been detected when
searching for COROT targets. A very large dataset composed of 4722 photometric
measurements was collected at six observatories in Europe and America. There is
no hint of the excitation of additional modes (down to 0.6 mmag) and therefore
GSC 00144-03031 seems to be a pure double--mode pulsator, with a very short
fundamental radial mode (P=84 min). From Stromgren photometry and evolutionary
tracks it appears to be a Pop. I star with M=1.75 solar masses, located in the
middle of the instability strip, close to the Zero--Age Main Sequence. We also
discovered other new double--mode pulsators in the databases of large--scale
projects: OGLE BW2_V142, OGLE BW1_V207, ASAS3 094303-1707.3, ASAS3
000116-6037.0, NSVS 3234596 and NSVS 3324715. An observational Petersen diagram
is presented and explained by means of new models. A common sequence connecting
Pop. I stars from the shortest to the longest periods is proposed and the
spreads in the period ratios are ascribed to different metallicities (at the
shortest periods) and to different masses (at the longest ones). The paper is
based on data collected at S. Pedro Martir and Sierra Nevada Observatories and
on the contributions from several amateur astronomers.Comment: 9 pages, 5 pages, accepted for publication in Astronomy and
Astrophysic
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Fully closed-loop insulin delivery in inpatients receiving nutritional support: a two-centre, open-label, randomised controlled trial.
BACKGROUND: Glucose management is challenging in patients who require nutritional support in hospital. We aimed to assess whether fully closed-loop insulin delivery would improve glycaemic control compared with conventional subcutaneous insulin therapy in inpatients receiving enteral or parenteral nutrition or both. METHODS: We did a two-centre (UK and Switzerland), open-label, randomised controlled trial in adult inpatients receiving enteral or parenteral nutrition (or both) who required subcutaneous insulin therapy. Patients recruited from non-critical care surgical and medical wards were randomly assigned (1:1) using a computer-generated minimisation schedule (stratified by type of nutritional support [parenteral nutrition on or off] and pre-study total daily insulin dose [<50 or ≥50 units]) to receive fully closed-loop insulin delivery with faster-acting insulin aspart (closed-loop group) or conventional subcutaneous insulin therapy (control group) given in accordance with local clinical practice. Continuous glucose monitoring in the control group was masked to patients, ward staff, and investigators. Patients were followed up for a maximum of 15 days or until hospital discharge. The primary endpoint was the proportion of time that sensor glucose concentration was in target range (5·6-10·0 mmol/L), assessed in the intention-to-treat population. This trial is registered with ClinicalTrials.gov, number NCT01774565. FINDINGS: Between Feb 8, 2018, and Sept 21, 2018, 90 patients were assessed for eligibility, of whom 43 were enrolled and randomly assigned to the closed-loop group (n=21) or the control group (n=22). The proportion of time that sensor glucose was in the target range was 68·4% [SD 15·5] in the closed-loop group and 36·4% [26·6] in the control group (difference 32·0 percentage points [95% CI 18·5-45·5; p<0·0001]). One serious adverse event occurred in each group (one cardiac arrest in the control group and one episode of acute respiratory failure in the closed-loop group), both of which were unrelated to study interventions. There were no adverse events related to study interventions in either group. No episodes of severe hypoglycaemia or hyperglycaemia with ketonaemia occurred in either study group. INTERPRETATION: Closed-loop insulin delivery is an effective treatment option to improve glycaemic control in patients receiving nutritional support in hospital. FUNDING: Diabetes UK, Swiss National Science Foundation, National Institute for Health Research Cambridge Biomedical Research Centre, Wellcome Trust, and European Foundation for the Study of Diabetes
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