284 research outputs found

    Stereotactic Irradiation of GH-Secreting Pituitary Adenomas

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    Radiotherapy (RT) is often employed in patients with acromegaly refractory to medical and/or surgical interventions in order to prevent tumour regrowth and normalize elevated GH and IGF-I levels. It achieves tumour control and hormone normalization up to 90% and 70% of patients at 10–15 years. Despite the excellent tumour control, conventional RT is associated with a potential risk of developing late toxicity, especially hypopituitarism, and its role in the management of patients with GH-secreting pituitary adenomas remains a matter of debate. Stereotactic techniques have been developed with the aim to deliver more localized irradiation and minimize the long-term consequences of treatment, while improving its efficacy. Stereotactic irradiation can be given in a single dose as stereotactic radiosurgery (SRS) or in multiple doses as fractionated stereotactic radiotherapy (FSRT). We have reviewed the recent published literature on stereotactic techniques for GH-secreting pituitary tumors with the aim to define the efficacy and potential adverse effects of each of these techniques

    An infrared thermography approach to evaluate the strength of a rock cliff

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    The mechanical strength is a fundamental characteristic of rock masses that can be empirically related to a number of properties and to the likelihood of instability phenomena. Direct field acquisition of mechanical information on tall cliffs, however, is challenging, particularly in coastal and alpine environments. Here, we propose a method to evaluate the compressive strength of rock blocks by monitoring their thermal behaviour over a 24-h period by infrared thermography. Using a drone-mounted thermal camera and a Schmidt (rebound) hammer, we surveyed granitoid and aphanitic blocks in a coastal cliff in south-east Sardinia, Italy. We observed a strong correlation between a simple cooling index, evaluated in the hours succeeding the temperature peak, and strength values estimated from rebound hammer test results. We also noticed different heatingcooling patterns in relation to the nature and structure of the rock blocks and to the size of the fractures. Although further validation is warranted in different morpho-lithological settings, we believe the proposed method may prove a valid tool for the characterisation of non-directly accessible rock faces, and may serve as a basis for the formulation, calibration, and validation of thermo-hydro-mechanical constitutive models

    Dissecting accretion and outflows in accreting white dwarf binaries

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    This is a White Paper in support of the mission concept of the Large Observatory for X-ray Timing (LOFT), proposed as a medium-sized ESA mission. We discuss the potential of LOFT for the study of accreting white dwarfs. For a summary, we refer to the paper.Comment: White Paper in Support of the Mission Concept of the Large Observatory for X-ray Timin

    Particle shape factors and fractal dimension after large shear strains in carbonate sand

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    Changes of grain shape and breakage under compression and shearing can affect the mechanical properties of granular soils. In this work, a parametric study was performed through ring-shear tests on carbonate sand, under σn = 600 kPa and v = 6 mm/min, to evaluate the evolution of particle breakage, fractal dimension and particle shape with the shear strain. Breakage mostly occurred for γ ≤ 4000%, with a consequent increase in fractal dimension. Under larger strains, only negligible breakage occurred, while the particles became more rounded, and the fractal dimension increased only slightly. Interestingly, the shape factors also tend towards similar values for particles of any size larger than 0·063 mm after large shearing. This indicates that these particles tend towards a self-similar form – and hence scale invariance – when the grading reaches a fractal particle size distribution. Some tests were also performed on soils with different median size and coefficient of uniformity, which showed that larger particles and poorly graded soils are more prone to breakage, and are closer to a fractal distribution after shearing. Conversely, the final particle shape did not seem to be affected by grading and size significantly

    Magnetically gated accretion in an accreting ‘non-magnetic’ white dwarf

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    White dwarfs are often found in binary systems with orbital periods ranging from tens of minutes to hours in which they can accrete gas from their companion stars. In about 15 per cent of these binaries, the magnetic field of the white dwarf is strong enough (at 106 gauss or more) to channel the accreted matter along field lines onto the magnetic poles1,2. The remaining systems are referred to as ‘non-magnetic’, because until now there has been no evidence that they have a magnetic field that is strong enough to affect the accretion dynamics. Here we report an analysis of archival optical observations of the ‘non-magnetic’ accreting white dwarf in the binary system MV Lyrae, whose light curve displays quasi-periodic bursts of about 30 minutes duration roughly every 2 hours. The timescale and amplitude of these bursts indicate the presence of an unstable, magnetically regulated accretion mode, which in turn implies the existence of magnetically gated accretion3,4,5, in which disk material builds up around the magnetospheric boundary (at the co-rotation radius) and then accretes onto the white dwarf, producing bursts powered by the release of gravitational potential energy. We infer a surface magnetic field strength for the white dwarf in MV Lyrae of between 2 × 104 gauss and 1 × 105 gauss, too low to be detectable by other current methods. Our discovery provides a new way of studying the strength and evolution of magnetic fields in accreting white dwarfs and extends the connections between accretion onto white dwarfs, young stellar objects and neutron stars, for which similar magnetically gated accretion cycles have been identified6,7,8,9

    Quality of life and sexual functioning among endometrial cancer patients treated with one week adjuvant high-dose-rate vaginal brachytherapy schedule

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    Purpose: To examine quality of life (QOL) and sexual functioning in a series of patients with intermediate- and high-intermediate risk endometrial cancer, treated with exclusive adjuvant one week high-dose-rate (HDR) vaginal brachytherapy (VBT) schedule. Material and methods: Between July 2008 and October 2013, 55 patients with diagnosis of endometrial cancer were treated with adjuvant exclusive VBT. All patients had undergone surgical treatment with a laparotomy approach before VBT. Post-operative VBT was administered 6-8 weeks after surgery. Treatment was delivered to vaginal vault using Nucletron HDR unit with iridium-192 source at a dose of 21 Gy/3 fractions of 7 Gy each, three times a week, every other day, prescribed at 0.5 cm depth of vaginal wall, and 3 cm in length from the apex. QOL was assessed using European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire Core-30 (QLQ-C30), and EORTC cancer-specific quality of life questionnaire (QLQ-CX24). Results: Median follow-up time was 92 months (range, 42-162 months). Questionnaires were carried out respectively at 1, 3, 6, 12, 24, 36, 48, and 60 months after the end of BT. Response rate to questionnaires was 100% (n = 55). Nineteen patients (35%) answered all the questions of surveys, while 36 patients (65%) completed the surveys, except for questions on sex activity, vaginal function, and sex enjoyment. Longitudinal analysis during 5-year follow-up period showed a statistically significant trend towards worsening of fatigue, constipation, and diarrhea. Overall physical functioning and role functioning was not impaired after VBT. Over the time, sex enjoyment improved, except for elderly patients. For emotional functioning, sex worry and social functioning presented no significant time-related effect. Conclusions: One week brachytherapy schedule to vaginal cuff is generally well-tolerated. QOL does not worsen after applying vaginal brachytherapy. brachytherapy; endometrial carcinoma; fatigue; quality of life; sexual disfunction

    Data Mining and Machine Learning in Astronomy

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    We review the current state of data mining and machine learning in astronomy. 'Data Mining' can have a somewhat mixed connotation from the point of view of a researcher in this field. If used correctly, it can be a powerful approach, holding the potential to fully exploit the exponentially increasing amount of available data, promising great scientific advance. However, if misused, it can be little more than the black-box application of complex computing algorithms that may give little physical insight, and provide questionable results. Here, we give an overview of the entire data mining process, from data collection through to the interpretation of results. We cover common machine learning algorithms, such as artificial neural networks and support vector machines, applications from a broad range of astronomy, emphasizing those where data mining techniques directly resulted in improved science, and important current and future directions, including probability density functions, parallel algorithms, petascale computing, and the time domain. We conclude that, so long as one carefully selects an appropriate algorithm, and is guided by the astronomical problem at hand, data mining can be very much the powerful tool, and not the questionable black box.Comment: Published in IJMPD. 61 pages, uses ws-ijmpd.cls. Several extra figures, some minor additions to the tex

    Two multi-temporal datasets that track the enhanced landsliding after the 2008 Wenchuan earthquake

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    We release two datasets that track the enhanced landsliding induced by the 2008 Mw 7.9 Wenchuan earthquake over a portion of the Longmen Mountains, at the eastern margin of the Tibetan Plateau (Sichuan, China). The first dataset is a geo-referenced multi-temporal polygon-based inventory of pre- and coseismic landslides, post-seismic remobilisations of coseismic landslide debris and post-seismic landslides (new failures). It covers 471&thinsp;km2 in the earthquake's epicentral area, from 2005 to 2018. The second dataset records the debris flows that occurred from 2008 to 2017 in a larger area (∼17 000&thinsp;km2), together with information on their triggering rainfall as recorded by a network of rain gauges. For some well-monitored events, we provide more detailed data on rainfall, discharge, flow depth and density. The datasets can be used to analyse, on various scales, the patterns of landsliding caused by the earthquake. They can be compared to inventories of landslides triggered by past or new earthquakes or by other triggers to reveal common or distinctive controlling factors. To our knowledge, no other inventories that track the temporal evolution of earthquake-induced mass wasting have been made freely available thus far. Our datasets can be accessed from https://doi.org/10.5281/zenodo.1405489. We also encourage other researchers to share their datasets to facilitate research on post-seismic geological hazards.</p

    Chandra localisation and optical/NIR follow-up of Galactic X-ray sources

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    We investigate a sample of eleven Galactic X-ray sources recently discovered with INTEGRAL or RXTE with the goal of identifying their optical and/or near-infrared (NIR) counterpart. For this purpose new Chandra positions of nine objects are presented together with follow-up observations of all the targets in the optical and NIR. For the four sources IGR J16194-2810, IGRJ 16479-4514, IGR J16500-3307 and IGR J19308+530, the Chandra position confirms an existing association with an optical/NIR object, while for two sources (XTE J1716-389 and 18490-0000) it rules out previously proposed counterparts indicating new ones. In the case of IGR J17597-220, a counterpart is selected out of the several possibilities proposed in the literature and we present the first association with an optical/NIR source for J16293-4603 and XTE J1743-363. Moreover, optical/NIR observations are reported for XTE J1710-281 and IGR J17254-3257: we investigate the counterpart to the X-ray sources based on their XMM-Newton positions. We discuss the nature of each system considering its optical/NIR and X-ray properties.Comment: 15 pages,14 figures. Accepted for publication on MNRA

    The second data release of the INT Photometric Ha Survey of the Northern Galactic Plane (IPHAS DR2)

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    The INT/WFC Photometric Hα Survey of the Northern Galactic Plane (IPHAS) is a 1800 deg2 imaging survey covering Galactic latitudes |b| < 5° and longitudes ℓ = 30°–215° in the r, i, and Hα filters using the Wide Field Camera (WFC) on the 2.5-m Isaac Newton Telescope (INT) in La Palma. We present the first quality-controlled and globally calibrated source catalogue derived from the survey, providing single-epoch photometry for 219 million unique sources across 92 per cent of the footprint. The observations were carried out between 2003 and 2012 at a median seeing of 1.1 arcsec (sampled at 0.33 arcsec pixel−1) and to a mean 5σ depth of 21.2 (r), 20.0 (i), and 20.3 (Hα) in the Vega magnitude system. We explain the data reduction and quality control procedures, describe and test the global re-calibration, and detail the construction of the new catalogue. We show that the new calibration is accurate to 0.03 mag (root mean square) and recommend a series of quality criteria to select accurate data from the catalogue. Finally, we demonstrate the ability of the catalogue's unique (r − Hα, r − i) diagram to (i) characterize stellar populations and extinction regimes towards different Galactic sightlines and (ii) select and quantify Hα emission-line objects. IPHAS is the first survey to offer comprehensive CCD photometry of point sources across the Galactic plane at visible wavelengths, providing the much-needed counterpart to recent infrared surveys
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