REFRACTORY OF WELL-DIFFERENTIATED THYROID CANCER TO THE TREATMENT WITH RADIOACTIVE IODINE

Resistance of well-differentiated distant metastases to radioactive iodine treatment severely deteriorate survival prognosis of patients. Chemotherapy (doxorubicin and combinations) and retinoid acid analoques (isotretinоin, roaccutan) implimentation did not allow to recommend them as a therapy of choice. Effectiveness of several multikinase inhibitors (vandetanib, sorafenib, sunitinib) was confirmed in phase II clinical trials. In result of phase III clinical trial of sorafenib (reported on ASCO’2013, Chicago, USA) its therapeutic efficacy in patient with iodine-refractory well-differentiated thyroid cancer was affirmed

THYROID HORMONE THERAPY PRINCIPLES AFTER SURGERY OF THYROID TUMORS

Thyroid hormone administration after thyroid tumors surgery is a part of complex treatment strategy. In case of papillary, follicular and poor-differentiated carcinomas suppressive treatment regime is indicated with target TSH level ≤ 0.1 IU/l. Intensity and duration of TSH suppressive treatment regime depends on tumor recurrence risk group and presence of severe cardio-vascular disease. In case of medullary and anaplastic thyroid cancer require substitutive treatment regime as well as after benign tumor surgery. If patient has been undergone partial thyroid resection by reason of benign tumor the suppressive treatment necessity would be settled in terms of postsurgical TSH level. Thereafter on substitutive or suppressive L-thyroxine treatment patient has achieved target TSH level the further control of it is conducting half in year and annually later

Results of a search for 2β\beta-decay of 136^{136}Xe with high-pressure copper proportional counters in Baksan Neutrino Observatory

The experiment for the 2$\beta$-decay of $^{136}$Xe search with two high-pressure copper proportional counters has been held in Baksan neutrino observatory. The search for the process is based on comparison of spectra measured with natural and enriched xenon. No evidence has been found for 2$\beta$(2$\nu$)- and 2$\beta$(0$\nu$)-decay. The decay half lifetime limit based on data measured during 8000 h is T$_{1/2}$$\geq8.5\cdot10^{21}$yr for 2$\nu$-mode and T$_{1/2}$$\geq3.1\cdot10^{23}$yr for 0$\nu$-mode (90%C.L.).Comment: 9 pages, 8 figures; talk at the NANP'05 Conference; submitted to Phys. At. Nuc

Estimated Inpatient Hospital Stay in Individual Wards: Guidelines on Radiation Safety after Radioiodine Therapy

Radionuclide therapy safety requirements are regulated by the Russian Radiation Safety Standards (RRSS), which state the maximum allowed radionuclide activity in the body and the equivalent dose rate (EDR) of gamma radiation. Therefore, it is necessary to estimate the time of an inpatient hospital stay in specially designed radionuclide therapy wards. The article presents the findings of individual 131I biokinetics studies in 64 patients admitted to radioiodine therapy of thyrotoxicosis and differentiated thyroid cancer. We developed a method to calculate the time interval to reach the EDR of 20μSv/h and the recommended EDR of 3 and 0.3μSv/h for adults and children, respectively. It is based on the measurement of the 131I excretion constant. Keywords: Radioiodine therapy, Radiation safety, Guidelin

Transition from Fireball to Poynting-flux-dominated Outflow in Three-Episode GRB 160625B

The ejecta composition is an open question in gamma-ray bursts (GRB) physics. Some GRBs possess a quasi-thermal spectral component in the time-resolved spectral analysis, suggesting a hot fireball origin. Others show a featureless non-thermal spectrum known as the "Band" function, consistent with a synchrotron radiation origin and suggesting that the jet is Poynting-flux-dominated at the central engine and likely in the emission region as well. There are also bursts showing a sub-dominant thermal component and a dominant synchrotron component suggesting a likely hybrid jet composition. Here we report an extraordinarily bright GRB 160625B, simultaneously observed in gamma-rays and optical wavelengths, whose prompt emission consists of three isolated episodes separated by long quiescent intervals, with the durations of each "sub-burst" being $\sim$ 0.8 s, 35 s, and 212 s, respectively. Its high brightness (with isotropic peak luminosity L$_{\rm p, iso}\sim 4\times 10^{53}$ erg/s) allows us to conduct detailed time-resolved spectral analysis in each episode, from precursor to main burst and to extended emission. The spectral properties of the first two sub-bursts are distinctly different, allowing us to observe the transition from thermal to non-thermal radiation between well-separated emission episodes within a single GRB. Such a transition is a clear indication of the change of jet composition from a fireball to a Poynting-flux-dominated jet.Comment: Revised version reflecting the referees' comments. 27 pages, 11 figures, 5 tables. The final edited version will appear in Nature Astronom

A study of the centrally produced baryon-antibaryon systems in pp interactions at 450 GeV/c

A study of the centrally produced ppbar, ppbarpi, ppbarpipi and lambda lambda channels has been performed in pp collisions using an incident beam momentum of 450 GeV/c. No significant new structures are observed in the mass spectra, however, important new information on the production dynamics is obtained. A systematic study of the production properties of these systems has been performed and it is found that these systems are not produced dominantly by double Pomeron exchange.Comment: 13 pages, Latex, 4 Figure

A study of pseudoscalar states produced centrally in pp interactions at 450 GeV/c

A study has been made of pseudoscalar mesons produced centrally in pp interactions. The results show that the eta and etaprime appear to have a similar production mechanism which differs from that of the pi0. The production properties of the eta and etaprime are not consistent with what is expected from double Pomeron exchange. In addition the production mechanism for the eta and etaprime is such that the production cross section are greatest when the azimuthal angle between the pT vectors of the two protons is 90 degrees.Comment: 11 pages, Latex, 3 Figure

A measurement of the branching fractions of the f1(1285) and f1(1420) produced in central pp interactions at 450 GeV/c

A study of the f1(1285) and f1(1420) produced in central pp interactions has been performed. For the first time in a single experiment the branching fractions of both mesons in all major decay modes have been determined. Both the f1(1285) and f1(1420) are consistent with being produced by double Pomeron exchange.Comment: 15 pages, Latex, 5 Figures, submitted to Physics Letters

A study of the centrally produced phiphi system in pp interactions at 450 GeV/c

The reaction pp to pfps(K+K-K+K-) in which the K+K-K+K- system is centrally produced has been studied at 450 GeV/c. Phi phi production has been found to dominate this reaction and is compatible with being produced by double Pomeron exchange. An angular analysis of the phi phi system favours JPC = 2++ and its dPT dependence is similar to that observed for glueball candidates.Comment: 11 pages, Latex, 4 Figure