195 research outputs found

    Nonlocal and multipoint boundary value problems for linear evolution equations

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    We derive the solution representation for a large class of nonlocal boundary value problems for linear evolution PDEs with constant coefficients in one space variable. The prototypical such PDE is the heat equation, for which problems of this form model physical phenomena in chemistry and for which we formulate and prove a full result. We also consider the third order case, which is much less studied and has been shown by the authors to have very different structural properties in general. The nonlocal conditions we consider can be reformulated as \emph{multipoint conditions}, and then an explicit representation for the solution of the problem is obtained by an application of the Fokas transform method. The analysis is carried out under the assumption that the problem being solved is well posed, i.e.\ that it admits a unique solution. For the second order case, we also give criteria that guarantee well-posedness.Comment: 28 pages, 4 figure

    Evolution equations on time-dependent intervals

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    We study initial boundary value problems for linear evolution partial differential equations (PDEs) posed on a time-dependent interval l1(t)<x<l2(t)l_1(t)<x<l_2(t), 0<t<T0<t<T, where l1(t)l_1(t) and l2(t)l_2(t) are given, real, differentiable functions, and TT is an arbitrary constant. For such problems, we show how to characterise the unknown boundary values in terms of the given initial and boundary conditions. As illustrative examples we consider the heat equation and the linear Schr\"{o}dinger equation. In the first case, the unknown Neumann boundary values are expressed in terms of the Dirichlet boundary values and of the initial value through the unique solution of a system of two linear integral equations with explicit kernels. In the second case, a similar result can be proved but only for a more restrictive class of boundary curves.

    Sphincter-sparing surgery after preoperative radiotherapy for low rectal cancers: feasibility, oncologic results and quality of life outcomes

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    The present study assesses the choice of surgical procedure, oncologic results and quality of life (QOL) outcomes in a retrospective cohort of 53 patients with low-lying rectal cancers (within 6 cm of the anal verge) treated surgically following preoperative radiotherapy (RT, median dose 45 Gy) with or without concomitant 5-fluorouracil. QOL was assessed in 23 patients by using two questionnaires developed by the QOL Study Group of the European Organization for Research and Treatment of Cancer: EORTC QLQ-C30 and EORTC QLQ-CR38. After a median interval of 29 days from completion of RT, abdominoperineal resection (APR) was performed in 29 patients (55%), low anterior resection in 23 patients (20 with coloanal anastomosis) and transrectal excision in one patient. The 3-year actuarial overall survival and locoregional control rates were 71.4% and 77.5% respectively, with no differences observed between patients operated by APR or restorative procedures. For all scales of EORTC QLQ-C30 and EORTC QLQ-CR38, no significant differences in median scores were observed between the two surgical groups. Although patients having had APR tended to report a lower body image score (P = 0.12) and more sexual dysfunction in male patients, all APR patients tended to report better physical function, future perspective and global QOL. In conclusion, sphincter-sparing surgery after preoperative RT seems to be feasible, in routine practice, in a significant proportion of low rectal cancers without compromising the oncologic results. However, prospective studies are mandatory to confirm this finding and to clarify the putative QOL advantages of sphincter-conserving approaches. © 2000 Cancer Research Campaig
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