209 research outputs found
Role of the cluster structure of Li in the dynamics of fragment capture
Exclusive measurements of prompt -rays from the heavy-residues with
various light charged particles in the Li + Pt system, at an energy
near the Coulomb barrier (E/ 1.6) are reported. Recent dynamic
classical trajectory calculations, constrained by the measured fusion,
and capture cross-sections have been used to explain the excitation energy
dependence of the residue cross-sections. These calculations distinctly
illustrate a two step process, breakup followed by fusion in case of the
capture of and clusters; whereas for He + and He +
configurations, massive transfer is inferred to be the dominant mechanism.
The present work clearly demonstrates the role played by the cluster structures
of Li in understanding the reaction dynamics at energies around the Coulomb
barrier.Comment: 6 pages, 4 figures, Accepted for publication in Phys. Letts.
Investigation of reaction and production cross sections with Be projectile
In order to investigate the contribution of production in the
reaction cross sections, measurements of elastic scattering and inclusive
particle angular distributions have been carried out with the Be
projectile on Y, Sn, Tb, Pt, and Bi
targets over a wide angular range at energies near the Coulomb barrier. The
measured elastic scattering angular distributions were fitted with optical
model calculations, and reaction cross sections were extracted. The same data
were also analysed using both global optical model potentials (Global OMP) and
microscopic So Paulo potentials (SPP), to obtain the reaction cross
sections. The data available in the literature for Be projectile includes
the elastic scattering angular distributions, production cross
sections, and complete fusion cross sections on these and other targets at
several energies are also utilised for comparative studies. The reaction cross
section extracted from the three potentials (Best Fit, Global OMP and SPP) are
in reasonable agreement for all the targets except for the energies below the
barrier where the results from SPP deviate by 30-50 \%. Inclusive
particle production cross sections were also extracted by integrating the
particle angular distributions. The present data and data available
from literature of reaction and -particle production cross sections
were utilised to make systematic studies. Systematics of reaction and
-particle production cross sections revealed their universal behaviour.Comment: 16 pages, 9 figure
Small Quadrupole Deformation for the Dipole Bands in 112In
High spin states in In were investigated using Mo(O,
p3n) reaction at 80 MeV. The excited level have been observed up to 5.6 MeV
excitation energy and spin 20 with the level scheme showing three
dipole bands. The polarization and lifetime measurements were carried out for
the dipole bands. Tilted axis cranking model calculations were performed for
different quasi-particle configurations of this doubly odd nucleus. Comparison
of the calculations of the model with the B(M1) transition strengths of the
positive and negative parity bands firmly established their configurations.Comment: 10 pages, 11 figures, 2 table
Stepwise-edited, human melanoma models reveal mutations' effect on tumor and microenvironment.
Establishing causal relationships between genetic alterations of human cancers and specific phenotypes of malignancy remains a challenge. We sequentially introduced mutations into healthy human melanocytes in up to five genes spanning six commonly disrupted melanoma pathways, forming nine genetically distinct cellular models of melanoma. We connected mutant melanocyte genotypes to malignant cell expression programs in vitro and in vivo, replicative immortality, malignancy, rapid tumor growth, pigmentation, metastasis, and histopathology. Mutations in malignant cells also affected tumor microenvironment composition and cell states. Our melanoma models shared genotype-associated expression programs with patient melanomas, and a deep learning model showed that these models partially recapitulated genotype-associated histopathological features as well. Thus, a progressive series of genome-edited human cancer models can causally connect genotypes carrying multiple mutations to phenotype
Verbal autopsy completion rate and factors associated with undetermined cause of death in a rural resource-poor setting of Tanzania
UNLABELLED\ud
\ud
ABSTRACT:\ud
\ud
BACKGROUND\ud
\ud
Verbal autopsy (VA) is a widely used tool to assign probable cause of death in areas with inadequate vital registration systems. Its uses in priority setting and health planning are well documented in sub-Saharan Africa (SSA) and Asia. However, there is a lack of data related to VA processing and completion rates in assigning causes of death in a community. There is also a lack of data on factors associated with undetermined causes of death documented in SSA. There is a need for such information for understanding the gaps in VA processing and better estimating disease burden.\ud
\ud
OBJECTIVE\ud
\ud
The study's intent was to determine the completion rate of VA and factors associated with assigning undetermined causes of death in rural Tanzania.\ud
\ud
METHODS\ud
\ud
A database of deaths reported from the Ifakara Health and Demographic Surveillance System from 2002 to 2007 was used. Completion rates were determined at the following stages of processing: 1) death identified; 2) VA interviews conducted; 3) VA forms submitted to physicians; 4) coding and assigning of cause of death. Logistic regression was used to determine factors associated with deaths coded as "undetermined."\ud
\ud
RESULTS\ud
\ud
The completion rate of VA after identification of death and the VA interview ranged from 83% in 2002 and 89% in 2007. Ninety-four percent of deaths submitted to physicians were assigned a specific cause, with 31% of the causes coded as undetermined. Neonates and child deaths that occurred outside health facilities were associated with a high rate of undetermined classification (33%, odds ratio [OR] = 1.33, 95% confidence interval [CI] (1.05, 1.67), p = 0.016). Respondents reporting high education levels were less likely to be associated with deaths that were classified as undetermined (24%, OR = 0.76, 95% CI (0.60, -0.96), p = 0.023). Being a child of the deceased compared to a partner (husband or wife) was more likely to be associated with undetermined cause of death classification (OR = 1.35, 95% CI (1.04, 1.75), p = 0.023).\ud
\ud
CONCLUSION\ud
\ud
Every year, there is a high completion rate of VA in the initial stages of processing; however, a number of VAs are lost during the processing. Most of the losses occur at the final step, physicians' determination of cause of death. The type of respondent and place of death had a significant effect on final determination of the plausible cause of death. The finding provides some insight into the factors affecting full coverage of verbal autopsy diagnosis and the limitations of causes of death based on VA in SSA. Although physician review is the most commonly used method in ascertaining probable cause of death, we suggest further work needs to be done to address the challenges faced by physicians in interpreting VA forms. There is need for an alternative to or improvement of the methods of physician review
Near barrier scattering of 8He on 208Pb
The exotic nucleus 8He is investigated by means of the measurement of the
angular distributions of the elastic channel and the 6He and 4He fragment yields produced
in the collision with a 208Pb target at two energies around the Coulomb barrier, 16 and
22 MeV. The experiment was performed at the GANIL-SPIRAL facility, with the aim of
extracting information about the structure of 8He and the relevant reaction mechanisms.
In this contribution, details of the experimental setup and preliminary data on elastic cross
sections are reported
Abiraterone acetate plus prednisolone with or without enzalutamide for patients with metastatic prostate cancer starting androgen deprivation therapy: final results from two randomised phase 3 trials of the STAMPEDE platform protocol
BACKGROUND:
Abiraterone acetate plus prednisolone (herein referred to as abiraterone) or enzalutamide added at the start of androgen deprivation therapy improves outcomes for patients with metastatic prostate cancer. Here, we aimed to evaluate long-term outcomes and test whether combining enzalutamide with abiraterone and androgen deprivation therapy improves survival.
METHODS:
We analysed two open-label, randomised, controlled, phase 3 trials of the STAMPEDE platform protocol, with no overlapping controls, conducted at 117 sites in the UK and Switzerland. Eligible patients (no age restriction) had metastatic, histologically-confirmed prostate adenocarcinoma; a WHO performance status of 0–2; and adequate haematological, renal, and liver function. Patients were randomly assigned (1:1) using a computerised algorithm and a minimisation technique to either standard of care (androgen deprivation therapy; docetaxel 75 mg/m2 intravenously for six cycles with prednisolone 10 mg orally once per day allowed from Dec 17, 2015) or standard of care plus abiraterone acetate 1000 mg and prednisolone 5 mg (in the abiraterone trial) orally or abiraterone acetate and prednisolone plus enzalutamide 160 mg orally once a day (in the abiraterone and enzalutamide trial). Patients were stratified by centre, age, WHO performance status, type of androgen deprivation therapy, use of aspirin or non-steroidal anti-inflammatory drugs, pelvic nodal status, planned radiotherapy, and planned docetaxel use. The primary outcome was overall survival assessed in the intention-to-treat population. Safety was assessed in all patients who started treatment. A fixed-effects meta-analysis of individual patient data was used to compare differences in survival between the two trials. STAMPEDE is registered with ClinicalTrials.gov (NCT00268476) and ISRCTN (ISRCTN78818544).
FINDINGS:
Between Nov 15, 2011, and Jan 17, 2014, 1003 patients were randomly assigned to standard of care (n=502) or standard of care plus abiraterone (n=501) in the abiraterone trial. Between July 29, 2014, and March 31, 2016, 916 patients were randomly assigned to standard of care (n=454) or standard of care plus abiraterone and enzalutamide (n=462) in the abiraterone and enzalutamide trial. Median follow-up was 96 months (IQR 86–107) in the abiraterone trial and 72 months (61–74) in the abiraterone and enzalutamide trial. In the abiraterone trial, median overall survival was 76·6 months (95% CI 67·8–86·9) in the abiraterone group versus 45·7 months (41·6–52·0) in the standard of care group (hazard ratio [HR] 0·62 [95% CI 0·53–0·73]; p<0·0001). In the abiraterone and enzalutamide trial, median overall survival was 73·1 months (61·9–81·3) in the abiraterone and enzalutamide group versus 51·8 months (45·3–59·0) in the standard of care group (HR 0·65 [0·55–0·77]; p<0·0001). We found no difference in the treatment effect between these two trials (interaction HR 1·05 [0·83–1·32]; pinteraction=0·71) or between-trial heterogeneity (I2 p=0·70). In the first 5 years of treatment, grade 3–5 toxic effects were higher when abiraterone was added to standard of care (271 [54%] of 498 vs 192 [38%] of 502 with standard of care) and the highest toxic effects were seen when abiraterone and enzalutamide were added to standard of care (302 [68%] of 445 vs 204 [45%] of 454 with standard of care). Cardiac causes were the most common cause of death due to adverse events (five [1%] with standard of care plus abiraterone and enzalutamide [two attributed to treatment] and one (<1%) with standard of care in the abiraterone trial).
INTERPRETATION:
Enzalutamide and abiraterone should not be combined for patients with prostate cancer starting long-term androgen deprivation therapy. Clinically important improvements in survival from addition of abiraterone to androgen deprivation therapy are maintained for longer than 7 years.
FUNDING:
Cancer Research UK, UK Medical Research Council, Swiss Group for Clinical Cancer Research, Janssen, and Astellas
Transfer vs. Breakup in the interaction of the 7Be Radioactive Ion Beam with a 58Ni target at Coulomb barrier energies
We measured for the first time 7Be elastically scattered nuclei as well as 3,4He reaction products from a 58Ni target at 22.3 MeV beam energy. The data were analyzed within the optical model formalism to extract the total reaction cross section. Extensive kinematical, Distorted Wave Born Approximation (DWBA)and Continuum Discretized Coupled Channel (CDCC) calculations were performed to investigate the 3,4He originating mechanisms and the interplay between different reaction channels
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