1,630 research outputs found
Can conventional forces really explain the anomalous acceleration of Pioneer 10/11 ?
A conventional explanation of the correlation between the Pioneer 10/11
anomalous acceleration and spin-rate change is given. First, the rotational
Doppler shift analysis is improved. Finally, a relation between the radio beam
reaction force and the spin-rate change is established. Computations are found
in good agreement with observational data. The relevance of our result to the
main Pioneer 10/11 anomalous acceleration is emphasized. Our analysis leads us
to conclude that the latter may not be merely artificial.Comment: 9 pages, no figur
A brief review of low-dose rate (LDR) and high-dose rate (HDR) brachytherapy boost for high-risk prostate
For patients with unfavorable or high-risk prostate cancer, dose escalated radiation therapy leads to improved progression free survival but attempts to deliver increased dose by external beam radiation therapy (EBRT) alone can be limited by late toxicities to nearby genitourinary and gastrointestinal organs at risk. Brachytherapy is a method to deliver dose escalation in conjunction with EBRT with a potentially improved late toxicity profile and improved prostate cancer related outcomes. At least three randomized controlled trials have demonstrated improved biochemical control with the addition of either low-dose rate (LDR) or high-dose rate (HDR) brachytherapy to EBRT, although only ASCENDE-RT compared brachytherapy to dose-escalated EBRT but did report an over 50% improvement in biochemical failure with a LDR boost. Multiple single institution and comparative research series also support the use of a brachytherapy boost in the DE-EBRT era and demonstrate excellent prostate cancer specific outcomes. Despite improved oncologic outcomes with a brachytherapy boost in the high-risk setting, the utilization of both LDR, and HDR brachytherapy use is declining. The acute genitourinary toxicities when brachytherapy boost is combined with EBRT, particularly a LDR boost, are of concern in comparison to EBRT alone. HDR brachytherapy boost has many physical properties inherent to its rapid delivery of a large dose which may reduce acute toxicities and also appeal to the radiobiology of prostate cancer. We herein review the evidence for use of either LDR or HDR brachytherapy boost for high-risk prostate cancer and summarize comparisons between the two treatment modalities
Comparative genomics and transcriptomics of Escherichia coli isolates carrying virulence factors of both enteropathogenic and enterotoxigenic E. coli
AbstractEscherichia coli that are capable of causing human disease are often classified into pathogenic variants (pathovars) based on their virulence gene content. However, disease-associated hybrid E. coli, containing unique combinations of multiple canonical virulence factors have also been described. Such was the case of the E. coli O104:H4 outbreak in 2011, which caused significant morbidity and mortality. Among the pathovars of diarrheagenic E. coli that cause significant human diseaseï»ż are the enteropathogenic E. coli (EPEC) and enterotoxigenic E. coli (ETEC). In the current study we use comparative genomics, transcriptomics, and functional studies to characterize isolates that contain virulence factors of both EPEC and ETEC. Based on phylogenomic analysis, these hybrid isolates are more genomically-related to EPEC, but appear to have acquired ETEC virulence genes. Global transcriptional analysis using RNA sequencing, demonstrated that the EPEC and ETEC virulence genes of these hybrid isolates were differentially-expressed under virulence-inducing laboratory conditions, similar to reference isolates. Immunoblot assays further verified that the virulence gene products were produced and that the T3SS effector EspB of EPEC, and heat-labile toxin of ETEC were secreted. These findings document the existence and virulence potential of an E. coli pathovar hybrid that blurs the distinction between E. coli pathovars.</jats:p
Quasiquartet CEF ground state with possible quadrupolar ordering in the tetragonal compound YbRuGe
e have investigated the magnetic properties of YbRuGe by means of
magnetic susceptibility (T), specific heat C(T) and electrical
resistivity (T) measurements performed on flux grown single crystals. The
Curie-Weiss behavior of (T) along the easy plane, the large magnetic
entropy at low temperatures and the weak Kondo like increase in (T)
proves a stable trivalent Yb state. Anomalies in C(T), (T) and (T)
at T = 10.2 K, T = 6.5 K and T = 5.7 K evidence complex
ordering phenomena, T being larger than the highest Yb magnetic ordering
temperature found up to now. The magnetic entropy just above T amounts to
almost Rln4, indicating that the crystal electric field (CEF) ground state is a
quasiquartet instead of the expected doublet. The behavior at T is rather
unusual and suggest that this transition is related to quadrupolar ordering,
being a consequence of the CEF quasiquartet ground state. The combination of a
quasiquartet CEF ground state, a high ordering temperature, and the relevance
of quadrupolar interactions makes YbRuGe a rather unique system
among Yb based compounds.Comment: 11 pages, 5 figure, submitted to PRB rapi
Seeds Buffering for Information Spreading Processes
Seeding strategies for influence maximization in social networks have been
studied for more than a decade. They have mainly relied on the activation of
all resources (seeds) simultaneously in the beginning; yet, it has been shown
that sequential seeding strategies are commonly better. This research focuses
on studying sequential seeding with buffering, which is an extension to basic
sequential seeding concept. The proposed method avoids choosing nodes that will
be activated through the natural diffusion process, which is leading to better
use of the budget for activating seed nodes in the social influence process.
This approach was compared with sequential seeding without buffering and single
stage seeding. The results on both real and artificial social networks confirm
that the buffer-based consecutive seeding is a good trade-off between the final
coverage and the time to reach it. It performs significantly better than its
rivals for a fixed budget. The gain is obtained by dynamic rankings and the
ability to detect network areas with nodes that are not yet activated and have
high potential of activating their neighbours.Comment: Jankowski, J., Br\'odka, P., Michalski, R., & Kazienko, P. (2017,
September). Seeds Buffering for Information Spreading Processes. In
International Conference on Social Informatics (pp. 628-641). Springe
Palliative radiation therapy (RT) for prostate cancer patients with bone metastases at diagnosis: A hospitalâbased analysis of patterns of care, RT fractionation scheme, and overall survival
Effectiveness of postoperative radiotherapy after radical cystectomy for locally advanced bladder cancer
BACKGROUND: Local-regional failure (LF) for locally advanced bladder cancer (LABC) after radical cystectomy (RC) is common even with chemotherapy and is associated with high morbidity/mortality. Postoperative radiotherapy (PORT) can reduce LF and may enhance overall survival (OS) but has no defined role. We hypothesized that the addition of PORT would improve OS in LABC in a large nationwide oncology database.
METHODS: We identified ℠pT3pN0-3M0 LABC patients in the National Cancer Database diagnosed 2004-2014 who underwent RC ± PORT. OS was calculated using Kaplan-Meier and Cox proportional hazards regression modeling was used to identify predictors of OS. Propensity matching was performed to match RC patients who received PORT vs those who did not.
RESULTS: 15,124 RC patients were identified with 512 (3.3%) receiving PORT. Median OS was 20.0 months (95% CI, 18.2-21.8) for PORT vs 20.8 months (95% CI, 20.3-21.3) for no PORT (P = 0.178). In multivariable analysis, PORT was independently associated with improved OS: hazard ratio 0.87 (95% CI, 0.78-0.97); P = 0.008. A one-to-three propensity match yielded 1,858 patients (24.9% receiving PORT and 75.1% without). In the propensity-matched cohort, median OS was 19.8 months (95% CI, 18.0-21.6) for PORT vs 16.9 months (95% CI, 15.6-18.1) for no PORT (P = 0.030). In the propensity-matched cohort of urothelial carcinoma patients (N = 1,460), PORT was associated with improved OS for pT4, pN+, and positive margins (P \u3c 0.01 all).
CONCLUSION: In this observational cohort, PORT was associated with improved OS in LABC. While the data should be interpreted cautiously, these results lend support to the use of PORT in selected patients with LABC, regardless of histology. Prospective trials of PORT are warranted
Widespread forest vertebrate extinctions induced by a mega hydroelectric dam in lowland Amazonia
Mega hydropower projects in tropical forests pose a major emergent threat to terrestrial and freshwater biodiversity worldwide. Despite the unprecedented number of existing, underconstruction and planned hydroelectric dams in lowland tropical forests, long-term effects on biodiversity have yet to be evaluated. We examine how medium and large-bodied assemblages of terrestrial and arboreal vertebrates (including 35 mammal, bird and tortoise species) responded to the drastic 26-year post-isolation history of archipelagic alteration in landscape structure and habitat quality in a major hydroelectric reservoir of Central Amazonia. The Balbina Hydroelectric Dam inundated 3,129 km2 of primary forests, simultaneously isolating 3,546 land-bridge islands. We conducted intensive biodiversity surveys at 37 of those islands and three adjacent continuous forests using a combination of four survey techniques, and detected strong forest habitat area effects in explaining patterns of vertebrate extinction. Beyond clear area effects, edge-mediated surface fire disturbance was the most important additional driver of species loss, particularly in islands smaller than 10 ha. Based on species-area models, we predict that only 0.7% of all islands now harbor a species-rich vertebrate assemblage consisting of â„80% of all species. We highlight the colossal erosion in vertebrate diversity driven by a man-made dam and show that the biodiversity impacts of mega dams in lowland tropical forest regions have been severely overlooked. The geopolitical strategy to deploy many more large hydropower infrastructure projects in regions like lowland Amazonia should be urgently reassessed, and we strongly advise that long-term biodiversity impacts should be explicitly included in pre-approval environmental impact assessments
Treatment patterns and overall survival outcomes among patients aged 80 yr or older with high-risk prostate cancer
BACKGROUND: Elderly patients diagnosed with high-risk prostate cancer (PCa) present a therapeutic dilemma of balancing treatment of a potentially lethal malignancy with overtreatment of a cancer that may not threaten life expectancy.
OBJECTIVE: To investigate treatment patterns and overall survival outcomes in this group of patients.
DESIGN SETTING AND PARTICIPANTS: A retrospective cohort study was conducted. We queried the National Cancer Database for high-risk PCa in patients aged 80 yr or older diagnosed during 2004-2016.
INTERVENTION: Eligible patients underwent no treatment following biopsy (ie, observation), androgen deprivation therapy (ADT) alone, radiation therapy (RT) alone, RT + ADT, or surgery.
OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Kaplan-Meier, log rank, and multivariate Cox proportional hazard regression was performed to compare overall survival (OS).
RESULTS AND LIMITATIONS: A total of 19 920 men were eligible for analysis, and the most common treatment approach was RT + ADT (7401 patients; 37.2%). Observation and ADT alone declined over time (59.3% in 2004 vs 47.5% in 2016). There was no observed difference in OS between observation and ADT alone (adjusted hazard ratio [HR] 1.04, 95% confidence interval [CI], 0.99-1.09;
CONCLUSIONS: This analysis demonstrates that the use of definitive local therapy, including surgery or RT ± ADT, is increasing and is associated with a 50% reduction in overall mortality compared with observation or ADT alone. While prospective validation is warranted, elderly men with high-risk disease eligible for definitive management should be counseled on the risks, including a possible compromise in OS, with deferring definitive management.
PATIENT SUMMARY: Elderly men are more often diagnosed with higher-risk prostate cancer but are less likely to receive curative treatment options than younger men. Our analysis demonstrates that for men â„80 yr of age with high-risk prostate cancer, definitive local therapy, including surgery or radiation therapy and/or androgen deprivation therapy, is associated with a 50% reduction in overall mortality compared with observation or androgen deprivation therapy alone. We therefore recommend that life expectancy (ie, physiologic age) be taken into account, over chronologic age, and that elderly men with good life expectancy (eg, \u3e5 yr; minimal comorbidity) should be offered definitive, life-prolonging therapy
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