Poor survival outcomes in HER2 positive breast cancer patients with low grade, node negative tumours

We present a retrospective analysis on a cohort of low-grade, node-negative patients showing that human epidermal growth factor receptor 2 (HER2) status significantly affects the survival in this otherwise very good prognostic group. Our results provide support for the use of adjuvant trastuzumab in patients who are typically classified as having very good prognosis, not routinely offered standard chemotherapy, and who as such do not fit current UK prescribing guidelines for trastuzumab

Photon Shot Noise Dephasing in the Strong-Dispersive Limit of Circuit QED

We study the photon shot noise dephasing of a superconducting transmon qubit in the strong-dispersive limit, due to the coupling of the qubit to its readout cavity. As each random arrival or departure of a photon is expected to completely dephase the qubit, we can control the rate at which the qubit experiences dephasing events by varying \textit{in situ} the cavity mode population and decay rate. This allows us to verify a pure dephasing mechanism that matches theoretical predictions, and in fact explains the increased dephasing seen in recent transmon experiments as a function of cryostat temperature. We investigate photon dynamics in this limit and observe large increases in coherence times as the cavity is decoupled from the environment. Our experiments suggest that the intrinsic coherence of small Josephson junctions, when corrected with a single Hahn echo, is greater than several hundred microseconds.Comment: 5 pages, 4 figures; includes Supporting Online Material of 6 pages with 5 figure

On The 5D Extra-Force according to Basini-Capozziello-Leon Formalism and five important features: Kar-Sinha Gravitational Bending of Light, Chung-Freese Superluminal Behaviour, Maartens-Clarkson Black Strings, Experimental measures of Extra Dimensions on board International Space Station(ISS) and the existence of the Particle ZZ due to a Higher Dimensional spacetime

We use the Conformal Metric as described in Kar-Sinha work on Gravitational Bending of Light in a 5D Spacetime to recompute the equations of the 5D Force in Basini-Capozziello-Leon Formalism and we arrive at a result that possesses some advantages. The equations of the Extra Force as proposed by Leon are now more elegant in Conformal Formalism and many algebraic terms can be simplified or even suppressed. Also we recompute the Kar-Sinha Gravitational Bending of Light affected by the presence of the Extra Dimension and analyze the Superluminal Chung-Freese Features of this Formalism describing the advantages of the Chung-Freese BraneWorld when compared to other Superluminal spacetime metrics(eg:Warp Drive) and we describe why the Extra Dimension is invisible and how the Extra Dimension could be made visible at least in theory.We also examine the Maartens-Clarkson Black Holes in 5D(Black Strings) coupled to massive Kaluza-Klein graviton modes predicted by Extra Dimensions theories and we study experimental detection of Extra Dimensions on-board LIGO and LISA Space Telescopes.We also propose the use of International Space Station(ISS) to measure the additional terms(resulting from the presence of Extra Dimensions) in the Kar-Sinha Gravitational Bending of Light in Outer Space to verify if we really lives in a Higher Dimensional Spacetime.Also we demonstrate that Particle $Z$ can only exists if the 5D spacetime exists.Comment: Withdrawn: author no longer wishes to post work on arXi

Polarization rotation via a monoclinic phase in the piezoelectric 92%PbZn1/3Nb2/3O3-8%PbTiO3

The origin of ultrahigh piezoelectricity in the relaxor ferroelectric PbZn1/3Nb2/3O3-PbTiO3 was studied with an electric field applied along the [001] direction. The zero-field rhombohedral R phase starts to follow the direct polarization path to tetragonal symmetry via an intermediate monoclinic M phase, but then jumps irreversibly to an alternate path involving a different type of monoclinic distortion. Details of the structure and domain configuration of this novel phase are described. This result suggests that there is a nearby R-M phase boundary as found in the Pb(Ti,Zr)O3 system.Comment: REVTeX file. 4 pages. New version after referees' comment

Multilevel effects in the Rabi oscillations of a Josephson phase qubit

We present Rabi oscillation measurements of a Nb/AlOx/Nb dc superconducting quantum interference device (SQUID) phase qubit with a 100 um^2 area junction acquired over a range of microwave drive power and frequency detuning. Given the slightly anharmonic level structure of the device, several excited states play an important role in the qubit dynamics, particularly at high power. To investigate the effects of these levels, multiphoton Rabi oscillations were monitored by measuring the tunneling escape rate of the device to the voltage state, which is particularly sensitive to excited state population. We compare the observed oscillation frequencies with a simplified model constructed from the full phase qubit Hamiltonian and also compare time-dependent escape rate measurements with a more complete density-matrix simulation. Good quantitative agreement is found between the data and simulations, allowing us to identify a shift in resonance (analogous to the ac Stark effect), a suppression of the Rabi frequency, and leakage to the higher excited states.Comment: 14 pages, 9 figures; minor corrections, updated reference

Ultimate strength

Concern for the ductile behaviour of ships and offshore structures and their structural components under ultimate conditions. Attention shall be given to the influence of fabrication imperfections and in-service damage and degradation on reserve strength

HER2 and ESR1 mRNA expression levels and response to neoadjuvant trastuzumab plus chemotherapy in patients with primary breast cancer

Introduction: Recent data suggest that benefit from trastuzumab and chemotherapy might be related to expression of HER2 and estrogen receptor (ESR1). Therefore, we investigated HER2 and ESR1 mRNA levels in core biopsies of HER2-positive breast carcinomas from patients treated within the neoadjuvant GeparQuattro trial. Methods: HER2 levels were centrally analyzed by immunohistochemistry (IHC), silver in-situ hybridization (SISH) and qRT-PCR in 217 pretherapeutic formalin-fixed, paraffin-embedded (FFPE) core biopsies. All tumors had been HER2-positive by local pathology and had been treated with neoadjuvant trastuzumab/ chemotherapy in GeparQuattro. Results: Only 73% of the tumors (158 of 217) were centrally HER2-positive (cHER2-positive) by IHC/SISH, with cHER2-positive tumors showing a significantly higher pCR rate (46.8% vs. 20.3%, p<0.0005). HER2 status by qRT-PCR showed a concordance of 88.5% with the central IHC/SISH status, with a low pCR rate in those tumors that were HER2-negative by mRNA analysis (21.1% vs. 49.6%, p<0.0005). The level of HER2 mRNA expression was linked to response rate in ESR1-positive tumors, but not in ESR1-negative tumors. HER2 mRNA expression was significantly associated with pCR in the HER2-positive/ESR1-positive tumors (p=0.004), but not in HER2-positive/ESR1-negative tumors. Conclusions: Only patients with cHER2-positive tumors - irrespective of the method used - have an increased pCR rate with trastuzumab plus chemotherapy. In patients with cHER2-negative tumors the pCR rate is comparable to the pCR rate in the non-trastuzumab treated HER-negative population. Response to trastuzumab is correlated to HER2 mRNA levels only in ESR1-positive tumors. This study adds further evidence to the different biology of both subsets within the HER2-positive group

Oxide two-dimensional electron gas with high mobility at room-temperature

The prospect of 2‐dimensional electron gases (2DEGs) possessing high mobility at room temperature in wide‐bandgap perovskite stannates is enticing for oxide electronics, particularly to realize transparent and high‐electron mobility transistors. Nonetheless only a small number of studies to date report 2DEGs in BaSnO(3)‐based heterostructures. Here, 2DEG formation at the LaScO(3)/BaSnO(3) (LSO/BSO) interface with a room‐temperature mobility of 60 cm(2) V(−1) s(−1) at a carrier concentration of 1.7 × 10(13) cm(–2) is reported. This is an order of magnitude higher mobility at room temperature than achieved in SrTiO(3)‐based 2DEGs. This is achieved by combining a thick BSO buffer layer with an ex situ high‐temperature treatment, which not only reduces the dislocation density but also produces a SnO(2)‐terminated atomically flat surface, followed by the growth of an overlying BSO/LSO interface. Using weak beam dark‐field transmission electron microscopy imaging and in‐line electron holography technique, a reduction of the threading dislocation density is revealed, and direct evidence for the spatial confinement of a 2DEG at the BSO/LSO interface is provided. This work opens a new pathway to explore the exciting physics of stannate‐based 2DEGs at application‐relevant temperatures for oxide nanoelectronics

Predictive factor for the response to adjuvant therapy with emphasis in breast cancer

One of the major challenges of early-stage breast cancer is to select the adjuvant therapy that ensures the most benefits and the least harm for the patient. The definition of accurate predictive factors is therefore of paramount importance. So far the choice of adjuvant therapy has been based on the number of affected lymph nodes and the hormone receptor status of the patient. This paper evaluates the use of other tumor-related markers as predictive factors for adjuvant therapy. These include HER2, p53 and Bcl-2, cathepsin B, p27, proliferating cell nuclear antigen (PCNA), cyclin D, Ki-67, and vascular endothelial growth factor (VEGF)