Preoperative systemic inflammation predicts postoperative infectious complications in patients undergoing curative resection for colorectal cancer

The presence of systemic inflammation before surgery, as evidenced by the glasgow prognostic score (mGPS), predicts poor long-term survival in colorectal cancer. The aim was to examine the relationship between the preoperative mGPS and the development of postoperative complications in patients undergoing potentially curative resection for colorectal cancer. Patients (n=455) who underwent potentially curative resections between 2003 and 2007 were assessed consecutively, and details were recorded in a database. The majority of patients presented for elective surgery (85%) were over the age of 65 years (70%), were male (58%), were deprived (53%), and had TNM stage I/II disease (61%), had preoperative haemoglobin (56%), white cell count (87%) and mGPS 0 (58%) in the normal range. After surgery, 86 (19%) patients developed a postoperative complication; 70 (81%) of which were infectious complications. On multivariate analysis, peritoneal soiling (P<0.01), elevated preoperative white cell count (P<0.05) and mGPS (P<0.01) were independently associated with increased risk of developing a postoperative infection. In elective patients, only the mGPS (OR=1.75, 95% CI=1.17-2.63, P=0.007) was significantly associated with increased risk of developing a postoperative infection. Preoperative elevated mGPS predicts increased postoperative infectious complications in patients undergoing potentially curative resection for colorectal cancer

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Demonstrating an absolute quantum advantage in direct absorption measurement

Engineering apparatus that harness quantum theory promises to offer practical advantages over current technology. A fundamentally more powerful prospect is that such quantum technologies could out-perform any future iteration of their classical counterparts, no matter how well the attributes of those classical strategies can be improved. Here, for optical direct absorption measurement, we experimentally demonstrate such an instance of an absolute advantage per photon probe that is exposed to the absorbative sample. We use correlated intensity measurements of spontaneous parametric downconversion using a commercially available air-cooled CCD, a new estimator for data analysis and a high heralding efficiency photon-pair source. We show this enables improvement in the precision of measurement, per photon probe, beyond what is achievable with an ideal coherent state (a perfect laser) detected with 100% efficient and noiseless detection. We see this absolute improvement for up to 50% absorption, with a maximum observed factor of improvement of 1.46. This equates to around 32% reduction in the total number of photons traversing an optical sample, compared to any future direct optical absorption measurement using classical light

Relationship between tumour PTEN/Akt/COX-2 expression, inflammatory response and survival in patients with colorectal cancer

In patients with colorectal cancer (CRC), local and systemic inflammatory responses have been extensively reported to associate with cancer survival. However, the specific signalling pathways responsible for inflammatory responses are not clear. The PTEN/Akt pathway is a plausible candidate as it may play a role in mediating inflammation via COX-2, and has been associated with cancer progression. This study therefore examined the relationship between tumour PTEN/Akt/COX-2 expression, inflammatory responses and survival in CRC patients using a tissue microarray. In 201 CRC patients, activation of tumour-specific PTEN/Akt significantly associated with poorer CSS (12.0yrs v 7.3yrs, P=0.032), poorer differentiation (P=0.032), venous invasion (P=0.008) and peritoneal involvement (P=0.004). Patients were stratified for peri-nuclear expression of COX-2 to examine associations with inflammatory responses. In patients with absent peri-nuclear COX-2 expression, activation of tumour-specific PTEN/Akt significantly associated with poorer CSS (11.9yrs v 5.4yrs, P=0.001), poorer differentiation (P=0.018), venous invasion (P=0.003) and peritoneal involvement (P=0.001). However, no associations were seen with either the local or systemic inflammatory responses. In CRC patients, tumour-specific PTEN/Akt pathway activation was significantly associated with poorer CSS, particularly when peri-nuclear COX-2 expression was absent. However, activation of the PTEN/Akt pathway appears not to be responsible for the regulation of inflammatory responses

Strong Enhancement of Superconducting Correlation in a Two-Component Fermion Gas

We study high-density electron-hole (e-h) systems with the electron density slightly larger than the hole density. We find a new superconducting phase, in which the excess electrons form Cooper pairs moving in an e-h BCS phase. The coexistence of the e-h and e-e orders is possible because e and h have opposite charges, whereas analogous phases are impossible in the case of two fermion species that have the same charge or are neutral. Most strikingly, the e-h order enhances the superconducting e-h order parameter by more than one order of magnitude as compared with that given by the BCS formula, for the same value of the effective e-e attractive potential \lambda^{ee}. This new phase should be observable in an e-h system created by photoexcitation in doped semiconductors at low temperatures.Comment: 5 pages including 5 PostScript figure

Constraining the Galaxy's dark halo with RAVE stars

We use the kinematics of $\sim200\,000$ giant stars that lie within $\sim 1.5$ kpc of the plane to measure the vertical profile of mass density near the Sun. We find that the dark mass contained within the isodensity surface of the dark halo that passes through the Sun ($(6\pm0.9)\times10^{10}\,\mathrm{M_\odot}$), and the surface density within $0.9$ kpc of the plane ($(69\pm10)\,\mathrm{M_\odot\,pc^{-2}}$) are almost independent of the (oblate) halo's axis ratio $q$. If the halo is spherical, 46 per cent of the radial force on the Sun is provided by baryons, and only 4.3 per cent of the Galaxy's mass is baryonic. If the halo is flattened, the baryons contribute even less strongly to the local radial force and to the Galaxy's mass. The dark-matter density at the location of the Sun is $0.0126\,q^{-0.89}\,\mathrm{M_\odot\,pc^{-3}}=0.48\,q^{-0.89}\,\mathrm{GeV\,cm^{-3}}$. When combined with other literature results we find hints for a mildly oblate dark halo with $q \simeq 0.8$. Our value for the dark mass within the solar radius is larger than that predicted by cosmological dark-matter-only simulations but in good agreement with simulations once the effects of baryonic infall are taken into account. Our mass models consist of three double-exponential discs, an oblate bulge and a Navarro-Frenk-White dark-matter halo, and we model the dynamics of the RAVE stars in the corresponding gravitational fields by finding distribution functions $f(\mathbf{J})$ that depend on three action integrals. Statistical errors are completely swamped by systematic uncertainties, the most important of which are the distance to the stars in the photometric and spectroscopic samples and the solar distance to the Galactic centre. Systematics other than the flattening of the dark halo yield overall uncertainties $\sim 15$ per cent.Comment: 20 pages, 17 figures, accepted for publication in MNRA

Genomic comparison of diverse Salmonella serovars isolated from swine.

Food animals act as a reservoir for many foodborne pathogens. Salmonella enterica is one of the leading pathogens that cause food borne illness in a broad host range including animals and humans. They can also be associated with a single host species or a subset of hosts, due to genetic factors associated with colonization and infection. Adult swine are often asymptomatic carriers of a broad range of Salmonella servoars and can act as an important reservoir of infections for humans. In order to understand the genetic variations among different Salmonella serovars, Whole Genome Sequences (WGS) of fourteen Salmonella serovars from swine products were analyzed. More than 75% of the genes were part of the core genome in each isolate and the higher fraction of gene assign to different functional categories in dispensable genes indicated that these genes acquired for better adaptability and diversity. High concordance (97%) was detected between phenotypically confirmed antibiotic resistances and identified antibiotic resistance genes from WGS. The resistance determinants were mainly located on mobile genetic elements (MGE) on plasmids or integrated into the chromosome. Most of known and putative virulence genes were part of the core genome, but a small fraction were detected on MGE. Predicted integrated phage were highly diverse and many harbored virulence, metal resistance, or antibiotic resistance genes. CRISPR (Clustered regularly interspaced short palindromic repeats) patterns revealed the common ancestry or infection history among Salmonella serovars. Overall genomic analysis revealed a great deal of diversity among Salmonella serovars due to acquired genes that enable them to thrive and survive during infection

Energy Gap from Tunneling and Metallic Sharvin Contacts onto MgB2: Evidence for a Weakened Surface Layer

Point-contact tunnel junctions using a Au tip on sintered MgB2 pellets reveal a sharp superconducting energy gap that is confirmed by subsequent metallic Sharvin contacts made on the same sample. The peak in the tunneling conductance and the Sharvin contact conductance follow the BCS form, but the gap values of 4.3 meV are less than the weak-coupling BCS value of 5.9 meV for the bulk Tc of 39 K. The low value of Delta compared to the BCS value for the bulk Tc is possibly due to chemical reactions at the surface.Comment: 3 pages, 3 figure

Comparison of tumour-based (Petersen Index) and inflammation-based (Glasgow Prognostic Score) scoring systems in patients undergoing curative resection for colon cancer

After resection, it is important to identify colon cancer patients, who are at a high risk of recurrence and who may benefit from adjuvant treatment. The Petersen Index (PI), a prognostic model based on pathological criteria is validated in Dukes' B and C disease. Similarly, the modified Glasgow Prognostic Score (mGPS) based on biochemical criteria has also been validated. This study compares both the scores in patients undergoing curative resection of colon cancer. A total of 244 patients underwent elective resection between 1997 and 2005. The PI was constructed from pathological reports; the mGPS was measured pre-operatively. The median follow-up was 67 months (minimum 36 months) during which 109 patients died; 68 of them from cancer. On multivariate analysis of age, Dukes' stage, PI and mGPS, age (hazard ratio, HR, 1.74, P=0.001), Dukes' stage (HR, 3.63, P<0.001), PI (HR, 2.05, P=0.010) and mGPS (HR, 2.34, P<0.001) were associated independently with cancer-specific survival. Three-year cancer-specific survival rates for Dukes' B patients with the low-risk PI were 98, 92 and 82% for the mGPS of 0, 1 and 2, respectively (P<0.05). The high-risk PI population is small, in particular for Dukes' B disease (9%). The mGPS further stratifies those patients classified as low risk by the PI. Combining both the scoring systems could identify patients who have undergone curative surgery but are at high-risk of cancer-related death, therefore guiding management and trial stratification