255 research outputs found

    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.

    The Unified Method: I Non-Linearizable Problems on the Half-Line

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    Boundary value problems for integrable nonlinear evolution PDEs formulated on the half-line can be analyzed by the unified method introduced by one of the authors and used extensively in the literature. The implementation of this general method to this particular class of problems yields the solution in terms of the unique solution of a matrix Riemann-Hilbert problem formulated in the complex kk-plane (the Fourier plane), which has a jump matrix with explicit (x,t)(x,t)-dependence involving four scalar functions of kk, called spectral functions. Two of these functions depend on the initial data, whereas the other two depend on all boundary values. The most difficult step of the new method is the characterization of the latter two spectral functions in terms of the given initial and boundary data, i.e. the elimination of the unknown boundary values. For certain boundary conditions, called linearizable, this can be achieved simply using algebraic manipulations. Here, we present an effective characterization of the spectral functions in terms of the given initial and boundary data for the general case of non-linearizable boundary conditions. This characterization is based on the analysis of the so-called global relation, on the analysis of the equations obtained from the global relation via certain transformations leaving the dispersion relation of the associated linearized PDE invariant, and on the computation of the large kk asymptotics of the eigenfunctions defining the relevant spectral functions.Comment: 39 page

    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

    Skin hyperpigmentation index in melasma: A complementary method to classic scoring systems.

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    BACKGROUND Due to relapsing nature of melasma with significant impact on quality of life, an objective measurement score is warranted, especially to follow-up the patients with melasma and their therapy response in a quantitative and precise manner. AIMS To prove concordance of skin hyperpigmentation index (SHI) with well-established scores in melasma and demonstrate its superiority regarding inter-rater reliability. Development of SHI mapping for its integration in common scores. METHODS Calculation of SHI and common melasma scores by five dermatologists. Inter-rater reliability was assessed by intraclass correlation coefficient (ICC) and concordance by Kendall correlation coefficient. RESULTS Strong concordance of SHI with melasma area and severity index (MASI)-Darkness (0.48; 95% CI: 0.32, 0.63), melasma severity index (MSI)-Pigmentation (0.45; 95% CI: 0.26, 0.61), and melasma severity scale (MSS) (0.6; 95% CI: 0.42, 0.74). Using step function for mapping SHI into pigmentation scores showed an improvement of inter-rater reliability with a difference in (ICC of 0.22 for MASI-Darkness and 0.19 for MSI-Pigmentation), leading to an excellent agreement. CONCLUSION Skin hyperpigmentation index could be an important additional cost-and time-conserving assessment method, to follow-up the patients with melasma undergoing brightening therapies in clinical studies, as well as in routine clinical practice. It is in strong concordance with well-established scores but superior regarding inter-rater reliability

    The Zakharov-Shabat spectral problem on the semi-line: Hilbert formulation and applications

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    The inverse spectral transform for the Zakharov-Shabat equation on the semi-line is reconsidered as a Hilbert problem. The boundary data induce an essential singularity at large k to one of the basic solutions. Then solving the inverse problem means solving a Hilbert problem with particular prescribed behavior. It is demonstrated that the direct and inverse problems are solved in a consistent way as soon as the spectral transform vanishes with 1/k at infinity in the whole upper half plane (where it may possess single poles) and is continuous and bounded on the real k-axis. The method is applied to stimulated Raman scattering and sine-Gordon (light cone) for which it is demonstrated that time evolution conserves the properties of the spectral transform.Comment: LaTex file, 1 figure, submitted to J. Phys.
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