Reirradiation of head and neck cancer focusing on hypofractionated stereotactic body radiation therapy

Reirradiation is a feasible option for patients who do not otherwise have treatment options available. Depending on the location and extent of the tumor, reirradiation may be accomplished with external beam radiotherapy, brachytherapy, radiosurgery, or intensity modulated radiation therapy (IMRT). Although there has been limited experience with hypofractionated stereotactic radiotherapy (hSRT), it may have the potential for curative or palliative treatment due to its advanced precision technology, particularly for limited small lesion. On the other hand, severe late adverse reactions are anticipated with reirradiation than with initial radiation therapy. The risk of severe late complications has been reported to be 20- 40% and is related to prior radiotherapy dose, primary site, retreatment radiotherapy dose, treatment volume, and technique. Early researchers have observed lethal bleeding in such patients up to a rate of 14%. Recently, similar rate of 10-15% was observed for fatal bleeding with use of modern hSRT like in case of carotid blowout syndrome. To determine the feasibility and efficacy of reirradiation using modern technology, we reviewed the pertinent literature. The potentially lethal side effects should be kept in mind when reirradiation by hSRT is considered for treatment, and efforts should be made to minimize the risk in any future investigations

Pressure induced Superconductor-Insulator transition in the spinel compound CuRh2S4

We performed resistivity measurements in CuRh$_{2}$S$_{4}$ under quasi-hydrostatic pressure of up to 8.0 GPa, and found a pressure induced superconductor-insulator (SI) transition. Initially, with increasing pressure, the superconducting transition temperature $T_c$ increases from 4.7 K at ambient pressure to 6.4 K at 4.0 GPa, but decreases at higher pressures. With further compression, superconductivity in CuRh$_{2}$S$_{4}$ disappears abruptly at a critical pressure $P_{\rm SI}$ between 5.0 and 5.6 GPa, when it becomes an insulator.Comment: 4 pages, 4 figure

SYNAPS: A library for dedicated applications in symbolic numeric computing,

International audienceWe present an overview of the open source library synaps. We describe some of the representative algorithms of the library and illustrate them on some explicit computations, such as solving polynomials and computing geometric information on implicit curves and surfaces. Moreover, we describe the design and the techniques we have developed in order to handle a hierarchy of generic and specialized data-structures and routines, based on a view mechanism. This allows us to construct dedicated plugins, which can be loaded easily in an external tool. Finally, we show how this design allows us to embed the algebraic operations, as a dedicated plugin, into the external geometric modeler axel

Raman Scattering in the Inorganic Spin-Peierls System alpha'-Na_{1-delta}V_2O_5

We have studied the spin-Peierls (SP) transition in alpha'-Na_{1-delta}V_2O_5 (delta = 0, 0.01 and 0.1) by means of Raman scattering. At room temperature, we observe six A_1 and three A_2 phonon modes and a broad Raman band. Below T_{SP}several new peaks and a new broad band appear. The new peak at 62 cm^{-1} originates from the SP-gap excitation. The new peak at 128 cm^{-1} and the new broad band between 130 and 400 cm^{-1} come from two magnetic excitations. The new peaks at 102, 646 and 944 cm^{-1} are assigned to the folded phonon modes and their Na^+-ion deficiency dependence shows that the defect of Na^+ ion suppresses the SPtransition. The polarized Raman spectra below T_{SP} suggest that the possible crystal symmetry is C_s^2(Pn) or C_1^1(P1). The asymmetric lineshape of the 531-cm^{-1} peak superimposed on the electronic Raman band from the d-d transition around 600 cm^{-1} is interpreted in terms of the Fano resonance between the electronic continuous band and the phonon with a finite lifetime. The defects of the Na^+ ions reduce the Fano effect because the life time of the phonon and the phonon-continuum interaction are decreased.Comment: 24 pages, 10 Postscript figures,uses jpsj.sty and epsf.sty. in press in J. Phys. Soc. Jp

Rapid Suppression of Activated Rac1 by Cadherins and Nectins during De Novo Cell-Cell Adhesion

Cell-cell adhesion in simple epithelia involves the engagement of E-cadherin and nectins, and the reorganization of the actin cytoskeleton and membrane dynamics by Rho GTPases, particularly Rac1. However, it remains unclear whether E-cadherin and nectins up-regulate, maintain or suppress Rac1 activity during cell-cell adhesion. Roles for Rho GTPases are complicated by cell spreading and integrin-based adhesions to the extracellular matrix that occur concurrently with cell-cell adhesion, and which also require Rho GTPases. Here, we designed a simple approach to examine Rac1 activity upon cell-cell adhesion by MDCK epithelial cells, without cell spreading or integrin-based adhesion. Upon initiation of cell-cell contact in 3-D cell aggregates, we observed an initial peak of Rac1 activity that rapidly decreased by ∼66% within 5 minutes, and further decreased to a low baseline level after 30 minutes. Inhibition of E-cadherin engagement with DECMA-1 Fab fragments or competitive binding of soluble E-cadherin, or nectin2alpha extracellular domain completely inhibited Rac1 activity. These results indicate that cadherins and nectins cooperate to induce and then rapidly suppress Rac1 activity during initial cell-cell adhesion, which may be important in inhibiting the migratory cell phenotype and allowing the establishment of initially weak cell-cell adhesions

Influence of training status and exercise modality on pulmonary O2 uptake kinetics in pre-pubertal girls

The limited available evidence suggests that endurance training does not influence the pulmonary oxygen uptake (V(O)(2)) kinetics of pre-pubertal children. We hypothesised that, in young trained swimmers, training status-related adaptations in the V(O)(2) and heart rate (HR) kinetics would be more evident during upper body (arm cranking) than during leg cycling exercise. Eight swim-trained (T; 11.4 +/- 0.7 years) and eight untrained (UT; 11.5 +/- 0.6 years) girls completed repeated bouts of constant work rate cycling and upper body exercise at 40% of the difference between the gas exchange threshold and peak V(O)(2). The phase II V(O)(2) time constant was significantly shorter in the trained girls during upper body exercise (T: 25 +/- 3 vs. UT: 37 +/- 6 s; P < 0.01), but no training status effect was evident in the cycle response (T: 25 +/- 5 vs. UT: 25 +/- 7 s). The V(O)(2) slow component amplitude was not affected by training status or exercise modality. The time constant of the HR response was significantly faster in trained girls during both cycle (T: 31 +/- 11 vs. UT: 47 +/- 9 s; P < 0.01) and upper body (T: 33 +/- 8 vs. UT: 43 +/- 4 s; P < 0.01) exercise. The time constants of the phase II V(O)(2)and HR response were not correlated regardless of training status or exercise modality. This study demonstrates for the first time that swim-training status influences upper body V(O)(2) kinetics in pre-pubertal children, but that cycle ergometry responses are insensitive to such differences

Superconducting phases of f-electron compounds

Intermetallic compounds containing f-electron elements display a wealth of superconducting phases, that are prime candidates for unconventional pairing with complex order parameter symmetries. For instance, superconductivity has been found at the border of magnetic order as well as deep within ferro- and antiferromagnetically ordered states, suggesting that magnetism may promote rather than destroy superconductivity. Superconductivity near valence transitions, or in the vicinity of magneto-polar order are candidates for new superconductive pairing interactions such as fluctuations of the conduction electron density or the crystal electric field, respectively. The experimental status of the study of the superconducting phases of f-electron compounds is reviewed.Comment: Rev. Mod. Phys. in print; 75 pages, 23 figures; comments welcom

Early pregnancy peripheral blood gene expression and risk of preterm delivery: a nested case control study

<p>Abstract</p> <p>Background</p> <p>Preterm delivery (PTD) is a significant public health problem associated with greater risk of mortality and morbidity in infants and mothers. Pathophysiologic processes that may lead to PTD start early in pregnancy. We investigated early pregnancy peripheral blood global gene expression and PTD risk.</p> <p>Methods</p> <p>As part of a prospective study, ribonucleic acid was extracted from blood samples (collected at 16 weeks gestational age) from 14 women who had PTD (cases) and 16 women who delivered at term (controls). Gene expressions were measured using the GeneChip^®Human Genome U133 Plus 2.0 Array. Student's T-test and fold change analysis were used to identify differentially expressed genes. We used hierarchical clustering and principle components analysis to characterize signature gene expression patterns among cases and controls. Pathway and promoter sequence analyses were used to investigate functions and functional relationships as well as regulatory regions of differentially expressed genes.</p> <p>Results</p> <p>A total of 209 genes, including potential candidate genes (e.g. PTGDS, prostaglandin D2 synthase 21 kDa), were differentially expressed. A set of these genes achieved accurate pre-diagnostic separation of cases and controls. These genes participate in functions related to immune system and inflammation, organ development, metabolism (lipid, carbohydrate and amino acid) and cell signaling. Binding sites of putative transcription factors such as EGR1 (early growth response 1), TFAP2A (transcription factor AP2A), Sp1 (specificity protein 1) and Sp3 (specificity protein 3) were over represented in promoter regions of differentially expressed genes. Real-time PCR confirmed microarray expression measurements of selected genes.</p> <p>Conclusions</p> <p>PTD is associated with maternal early pregnancy peripheral blood gene expression changes. Maternal early pregnancy peripheral blood gene expression patterns may be useful for better understanding of PTD pathophysiology and PTD risk prediction.</p