Prognostic factors of survival in patients treated with nab-paclitaxel plus gemcitabine regimen for advanced or metastatic pancreatic cancer: A single institutional experience.

The objectives of this study were to evaluate the effectiveness of nab-paclitaxel plus gemcitabine (NAB-P/GEM) regimen in an unselected population of patients with advanced inoperable or metastatic pancreatic cancer (PC), and to identify the prognostic factors influencing overall survival (OS). EXPERIMENTAL DESIGN: Patients with age < 85 years, ECOG-performance status (PS) < 3, and adequate renal, hepatic and hematologic function were eligible. NAB-P (125 mg/m2) and GEM (1000 mg/m2) day 1,8,15 every 4 weeks were employed for 3-6 cycles or until highest response. RESULTS: Overall, 147 cycles (median 4, range 1-11 cycles) were administered on thirty-seven consecutive patients (median 66 years old, range 40-82) treated. The median overall progression-free survival and OS were 6.2 and 9.2 months, respectively. The G 3-4 dose-limiting toxicity were neutropenia (20.7%), severe anemia (17.2%), and cardiovascular toxicity (10.3%). PS, number of cycles, baseline CA 19-9 and LDH serum levels, were found to be significantly related to OS. The multivariate analysis showed that both number of cycles (HR = 9.14, 95% CI 1.84-45.50, p = 0.001) and PS (HR = 13.18, 95% CI 2.73-63.71, p = 0.001) were independently associated with OS. CONCLUSION: NAB-P/GEM regimen should be used in all patients with advanced or metastatic PC, with the exception of those with serious contraindications to chemotherapy, such as severe renal or hepatic impairment or major cardiovascular diseases

The radial metallicity gradients in the Milky Way thick disk as fossil signatures of a primordial chemical distribution

In this letter we examine the evolution of the radial metallicity gradient induced by secular processes, in the disk of an $N$-body Milky Way-like galaxy. We assign a [Fe/H] value to each particle of the simulation according to an initial, cosmologically motivated, radial chemical distribution and let the disk dynamically evolve for 6 Gyr. This direct approach allows us to take into account only the effects of dynamical evolution and to gauge how and to what extent they affect the initial chemical conditions. The initial [Fe/H] distribution increases with R in the inner disk up to R ~ 10 kpc and decreases for larger R. We find that the initial chemical profile does not undergo major transformations after 6 Gyr of dynamical evolution. The final radial chemical gradients predicted by the model in the solar neighborhood are positive and of the same order of those recently observed in the Milky Way thick disk. We conclude that: 1) the spatial chemical imprint at the time of disk formation is not washed out by secular dynamical processes, and 2) the observed radial gradient may be the dynamical relic of a thick disk originated from a stellar population showing a positive chemical radial gradient in the inner regions.Comment: 10 pages, 5 figures, Accepted for publication on Astrophysical Journal Letter

Rights-based reasoning in discussions about lesbian and gay issues: implications for moral educators

Despite a paucity of psychological research exploring the interface between lesbian and gay issues and human rights, a human rights framework has been widely adopted in debates to gain equality for lesbians and gay men. Given this prominence within political discourse of human rights as a framework for the promotion of positive social change for lesbians and gay men, the aim of this study was to explore the extent to which rights-based arguments are employed when talking about lesbian and gay issues in a social context. An analysis of six focus group discussions with students showed that when lesbian and gay issues are discussed, rights-based reasoning is employed intermittently, and in relation to certain issues more so than others. The implications of these findings for moral education aimed at promoting positive social change for lesbians and gay men are discussed.</p

Morphological characterization and phylogenetic distance among several genotypes of Rebutia, Aylostera, Mediolobivia and Sulcorebutia (Cactaceae)

Four genera and 75 species belonging to Cactaceae family were investigated regarding their morphology and their molecular polymorphism. The botanical classification that described the phenotypic aspects of different characters, such as number of spines/areoles, length of spines and flower diameter, was used to describe the main peculiarities (morphological method). In Rebutia genus, the floral diameter varied between small limits: 2 cm (R. xanthocarpa v. splendens, and R. brachyantha) to 4.5 cm in R. calliantha and R. marsoneri (the greatest floral diameter from all the studied species). Of the studied species of Aylostera genus, A. fiebrigii has the greatest length of the spines and A. narvaecensis the smallest one. The analysis of the plants morphology showed a relatively low variability of biological material, according to genus and species. The genetic diversity was calculated with Nei and Li’s index, and the phylogenetic tree (dendrogram) was generated with a neighbor-joining program. The dendrogram indicates the diversity of the genotypes, which are grouped into three distinctive large groups. The largest group includes species from the Mediolobivia and Rebutia genera, which clearly share a common ancestor; the group shares a common ancestor with B  and C as well; A includes some but all not descendents. Species from Rebutia genus were present in all the described groups. The genetic distance between species from Rebutia, Mediolobivia, Aylostera and Sulcorebutia genera is small and the differences between the main characters was also quite small, so the trend of combining these species in one genus is justified.Key words: Cactaceae family, DNA isolation, dendrogram, phenotypic traits, genetic distance

Hardware prototyping and validation of a W-ΔDOR digital signal processor

Microwave tracking, usually performed by on ground processing of the signals coming from a spacecraft, represents a crucial aspect in every deep-space mission. Various noise sources, including receiver noise, affect these signals, limiting the accuracy of the radiometric measurements obtained from the radio link. There are several methods used for spacecraft tracking, including the Delta-Differential One-Way Ranging (ΔDOR) technique. In the past years, European Space Agency (ESA) missions relied on a narrowband ΔDOR system for navigation in the cruise phase. To limit the adverse effect of nonlinearities in the receiving chain, an innovative wideband approach to ΔDOR measurements has recently been proposed. This work presents the hardware implementation of a new version of the ESA X/Ka Deep Space Transponder based on the new tracking technique named Wideband ΔDOR (W-ΔDOR). The architecture of the new transponder guarantees backward compatibility with narrowband ΔDOR

Towards Verifying Nonlinear Integer Arithmetic

We eliminate a key roadblock to efficient verification of nonlinear integer arithmetic using CDCL SAT solvers, by showing how to construct short resolution proofs for many properties of the most widely used multiplier circuits. Such short proofs were conjectured not to exist. More precisely, we give n^{O(1)} size regular resolution proofs for arbitrary degree 2 identities on array, diagonal, and Booth multipliers and quasipolynomial- n^{O(\log n)} size proofs for these identities on Wallace tree multipliers.Comment: Expanded and simplified with improved result

Tas-102 in metastatic colorectal cancer (MCRC): Efficacy, tolerability, and quality of life in heavily pretreated elderly patients: A real-life study

Background: TAS-102 is an oral monotherapy, combining trifluridine and tipiracil hydrochloride, indicated for the treatment of pretreated metastatic colorectal cancer (mCRC). The aim of this real-life study is to evaluate the efficacy and safety of TAS-102 in heavily pretreated elderly patients with mCRC whose disease has progressed with standard therapies. Methods: In this retrospective observational study, we enrolled 50 elderly patients &gt;70 years of age (median age 78 years) with a diagnosis of mCRC who were previously treated or were not considered candidates for treatment with other available therapies. Patients aged &gt;70 years with advanced colorectal cancer and with an ECOG performance status of grade 0 (n=18) or grade 1 (n=32) were included. Overall survival and progression-free survival were the primary endpoints, whereas objective response rate, tolerability, and quality of life were the secondary endpoints. Results: Treatment with TAS-102 appeared to be well tolerated and side effects were generally mild, achieving disease control and a benefit on quality of life. The median overall survival was 6.7 (95% CI 5.7-11.3) and the median progression-free survival was 2.1 months (95% CI 1.2-3.2), estimated using the Kaplan-Meier method. Conclusion: TAS-102 represents a manageable and effective therapeutic opportunity and appeared to be well tolerated with generally mild side effects in elderly patients with mCRC who were heavily pretreated with standard therapies