Toxicity of cancer therapy: what the cardiologist needs to know about angiogenesis inhibitors

Clinical outcomes for patients with a wide range of malignancies have improved substantially over the last two decades. Tyrosine kinase inhibitors (TKIs) are potent signalling cascade inhibitors and have been responsible for significant advances in cancer therapy. By inhibiting vascular endothelial growth factor receptor (VEGFR)-mediated tumour blood vessel growth, VEGFR-TKIs have become a mainstay of treatment for a number of solid malignancies. However, the incidence of VEGFR-TKI-associated cardiovascular toxicity is substantial and previously under-recognised. Almost all patients have an acute rise in blood pressure, and the majority develop hypertension. They are associated with the development of left ventricular systolic dysfunction (LVSD), heart failure and myocardial ischaemia and can have effects on myocardial repolarisation. Attention should be given to rigorous baseline assessment of patients prior to commencing VEGFR-TKIs, with careful consideration of baseline cardiovascular risk factors. Baseline blood pressure measurement, ECG and cardiac imaging should be performed routinely. Hypertension management currently follows national guidelines, but there may be a future role forendothelin-1 antagonism in the prevention or treatment of VEGFR-TKI-associated hypertension. VEGFR-TKI-associated LVSD appears to be independent of dose and is reversible. Patients who develop LVSD and heart failure should be managed with conventional heart failure therapies, but the role of prophylactic therapy is yet to be defined. Serial monitoring of left ventricular function and QT interval require better standardisation and coordinated care. Management of these complex patients requires collaborative, cardio-oncology care to allow the true therapeutic potential from cancer treatment while minimising competing cardiovascular effects

Cross-validating precipitation datasets in the Indus River basin

Abstract. Large uncertainty remains about the amount of precipitation falling in the Indus River basin, particularly in the more mountainous northern part. While rain gauge measurements are often considered as a reference, they provide information for specific, often sparse, locations (point observations) and are subject to underestimation, particularly in mountain areas. Satellite observations and reanalysis data can improve our knowledge but validating their results is often difficult. In this study, we offer a cross-validation of 20 gridded datasets based on rain gauge, satellite, and reanalysis data, including the most recent and less studied APHRODITE-2, MERRA2, and ERA5. This original approach to cross-validation alternatively uses each dataset as a reference and interprets the result according to their dependency on the reference. Most interestingly, we found that reanalyses represent the daily variability of precipitation as well as any observational datasets, particularly in winter. Therefore, we suggest that reanalyses offer better estimates than non-corrected rain-gauge-based datasets where underestimation is problematic. Specifically, ERA5 is the reanalysis that offers estimates of precipitation closest to observations, in terms of amounts, seasonality, and variability, from daily to multi-annual scale. By contrast, satellite observations bring limited improvement at the basin scale. For the rain-gauge-based datasets, APHRODITE has the finest temporal representation of the precipitation variability, yet it importantly underestimates the actual amount. GPCC products are the only datasets that include a correction factor of the rain gauge measurements, but this factor likely remains too small. These findings highlight the need for a systematic characterisation of the underestimation of rain gauge measurements. European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme (grant agreement no. 648609

LANDSAT TM image data quality analysis for energy-related applications

This project represents a no-cost agreement between National Aeronautic Space Administration Goddard Space Flight Center (NASA GSFC) and the Pacific Northwest Laboratory (PNL). PNL is a Department of Energy (DOE) national laboratory operted by Battelle Memorial Institute at its Pacific Northwest Laboratories in Richland, Washington. The objective of this investigation is to evaluate LANDSAT's thematic mapper (TM) data quality and utility characteristics from an energy research and technological perspective. Of main interest is the extent to which repetitive TM data might support DOE efforts relating to siting, developing, and monitoring energy-related facilities, and to basic geoscientific research. The investigation utilizes existing staff and facility capabilities, and ongoing programmatic activities at PNL and other DOE national laboratories to cooperatively assess the potential usefulness of the improved experimental TM data. The investigation involves: (1) both LANDSAT 4 and 5 TM data, (2) qualitative and quantitative use consideration, and 3) NASA P (corrected) and A (uncorrected) CCT analysis for a variety of sites of DOE interest. Initial results were presented at the LANDSAT Investigator's Workshops and at specialized LANDSAT TM sessions at various conferences

Ancient Egypt 1921 Part 1

Part 1 of the 1921 Ancient Egypt books. Contents include the alphabet in the XIIth dynasty, the Lahun caskets, burial rites of West Africa, a Negro captive, and Queen Tetisheri.https://knowledge.e.southern.edu/kweeks_coll/1014/thumbnail.jp

Planetary systems around close binary stars: the case of the very dusty, Sun-like, spectroscopic binary BD+20 307

Field star BD+20 307 is the dustiest known main sequence star, based on the fraction of its bolometric luminosity, 4%, that is emitted at infrared wavelengths. The particles that carry this large IR luminosity are unusually warm, comparable to the temperature of the zodiacal dust in the solar system, and their existence is likely to be a consequence of a fairly recent collision of large objects such as planets or planetary embryos. Thus, the age of BD+20 307 is potentially of interest in constraining the era of terrestrial planet formation. The present project was initiated with an attempt to derive this age using the Chandra X-ray Observatory to measure the X-ray flux of BD+20 307 in conjunction with extensive photometric and spectroscopic monitoring observations from Fairborn Observatory. However, the recent realization that BD+20 307 is a short period, double-line, spectroscopic binary whose components have very different lithium abundances, vitiates standard methods of age determination. We find the system to be metal-poor; this, combined with its measured lithium abundances, indicates that BD+20 307 may be several to many Gyr old. BD+20 307 affords astronomy a rare peek into a mature planetary system in orbit around a close binary star (because such systems are not amenable to study by the precision radial velocity technique).Comment: accepted for ApJ, December 10, 200

Peripartum cardiomyopathy: diagnosis and management

No abstract available

Much Ado about N...atrium: modelling tissuesodium as a highly sensitive marker of subclinicaland localized oedema

Hypertonic Na+ accumulation in peripheral tissues is a recently described phenomenon: it has been associated with ageing, hypertension, diabetes, chronic kidney disease and heart failure, but its clinical meaning has yet to be determined. This concept conflicts with the classic physiological paradigm of constant balance between salt intake and excretion, and its water-independent nature is still a matter of debate. We developed a theoretical model explaining changes in the chemical composition of tissues as a function of extracellular volume fraction and excess extracellular fluid, i.e. oedema. The model suggests that the proportional increase in absolute Na+ content and concentration due to different degrees of oedema is higher than the parallel increase in water content, thus making Na+ a more sensitive index to detect this oedema. Our model would explain some of the recent findings of high tissue Na+ content in pathological conditions. More importantly, it prompts the reappraisal of tissue Na+ analysis from being a topic of niche interest to a potential diagnostic tool with broad applicability in the investigation of subclinical systemic and localized oedema

Influence of leaf ageing, leaf area and crop load on photosynthesis, stomatal conductance and senescence of grapevine (Vitis vinifera L. cv. Pinot noir) leaves

Treatments varying the leaf area (source) to crop load (sink) balance of pot-grown Pinot noir vines caused differences in the photosynthesis (Pn) rates of the fourth leaf, 48 h after they were applied. Stomatal conductance was only affected by leaf removal, not by the presence or absence of crop. The vines with and without crop were subject to a range of leaf removal treatments. All treatments retained leaves at nodes 1-4 from the shoot base and then had 100%(control), 66 %, 33 %, or 0 % leaves retained from node 5 to the apex of the shoot. Leaf removal elevated the Pn rate of the fourth leaf, but there was no difference in Pn rate between vines with or without crop pre-veraison. From veraison on the photosynthetic rate of vines with crop and 100 % leaves retained increased. Similar, high Pn rate was also observed for vines without crop and 0 % leaves retained. The lower Pn rate of vines with crop pre-veraison suggests that there is potential to increase vine productivity in this period. The Pn rate of vines without crop, 100 % and 66 % leaves retained declined from 15 d after treatment. Average Pn of all treatments over the 4 measurements prior to harvest was positively correlated with the vine leaf area (source) to total vine dry weight (sink) ratio. Leaves of vines with a high source:sink ratio (without crop, 100, 66 or 33%leaves retained) senesced i.e. decreased in chlorophyll content more rapidly than leaves of the low source to sink ratio treatments. Results indicate that the decline in grapevine leaf Pn, previously associated with advanced leaf age is actually caused by a progressive increase in leaf area to fruit weight (source:sink) ratio, as leaves emerge on the developing vine

Discrimination of attractiveness and health in men’s faces: The impact of color cues and variation in relation to sex and age of rater

Cues available in facial skin are used to assess mate quality in humans and non-human primates. In men, perception of skin healthiness and facial attractiveness are associated with heterozygosity at genes in the major histocompatibility complex, with potential implications for securing direct benefits through mate choice. There is, however, some debate as to the precise nature of the information available in skin that is used in health and attractiveness judgments. Here we investigate whether color cues are important in discrimination of skin healthiness and facial attractiveness in men’s faces. We presented images of men judged to have attractive or unattractive faces, and healthy or less healthy skin, to independent raters in either full-color or gray-scale monochrome. Differences in ratings across these conditions indicate that hue carries additive information over that available in other skin cues (e.g. texture and tone) and that this aids discrimination of individual men’s quality, especially in judgments of skin condition. We also found significant sex and age effects on discrimination. Our results are consistent with findings from other species that color cues can signal underlying quality and that sexual selection may have contributed to the evolution of color vision in primates

Nonlinear force-free and potential field models of active-region and global coronal fields during the Whole Heliospheric Interval

Between 2008/3/24 and 2008/4/2, the three active regions NOAA active regions 10987, 10988 and 10989 were observed daily by the Synoptic Optical Long-term Investigations of the Sun (SOLIS) Vector Spectro-Magnetograph (VSM) while they traversed the solar disk. We use these measurements and the nonlinear force-free magnetic field code XTRAPOL to reconstruct the coronal magnetic field for each active region and compare model field lines with images from the Solar Terrestrial RElations Observatory (STEREO) and Hinode X-ray Telescope (XRT) telescopes. Synoptic maps made from continuous, round-the-clock Global Oscillations Network Group (GONG) magnetograms provide information on the global photospheric field and potential-field source-surface models based on these maps describe the global coronal field during the Whole Heliospheric Interval (WHI) and its neighboring rotations. Features of the modeled global field, such as the coronal holes and streamer belt locations, are discussed in comparison with extreme ultra-violet and coronagraph observations from STEREO. The global field is found to be far from a minimum, dipolar state. From the nonlinear models we compute physical quantities for the active regions such as the photospheric magnetic and electric current fluxes, the free magnetic energy and the relative helicity for each region each day where observations permit. The interconnectivity of the three regions is addressed in the context of the potential-field source-surface model. Using local and global quantities derived from the models, we briefly discuss the different observed activity levels of the regions.Comment: Accepted for publication in the Solar Physics Whole Heliospheric Interval (WHI) topical issue. We had difficulty squeezing this paper into arXiv's 15 Mb limit. The full paper is available here ftp://gong2.nso.edu/dsds_user/petrie/PetrieCanouAmari.pd