Treatment responses to antiangiogenetic therapy and chemotherapy in nonsecreting paraganglioma (PGL4) of urinary bladder with SDHB mutation: a case report

Paraganglioma (PGL) is a rare neuroendocrine tumor. Currently, the malignancy is defined as the presence of metastatic spread at presentation or during follow-up. Several gene mutations are listed in the pathogenesis of PGL, among which succinate dehydrogenase (SDHX), particularly the SDHB isoform, is the main gene involved in malignancy. A 55-year-old male without evidence of catecholamine secretion had surgery for PGL of the urinary bladder. After 1 year, he showed a relapse of disease and demonstrated malignant PGL without evidence of catecholamine secretion with a germline heterozygous mutation of succinate dehydrogenase B (SDHB). After failure of a second surgery for relapse, he started medical treatment with sunitinib daily but discontinued due to serious side effects. Cyclophosphamide, vincristine, and dacarbazine (CVD) chemotherapeutic regimen stopped the disease progression for 7 months. Conclusion: Malignant PGL is a very rare tumor, and SDHB mutations must be always considered in molecular diagnosis because they represent a critical event in the progression of the oncological disease. Currently, there are few therapeutic protocols, and it is often difficult, as this case demonstrates, to decide on a treatment option according to a reasoned set of choices. Abbreviations: CVD = cyclophosphamide, vincristine and dacarbazine, HIF-1a = hypoxia inducible factor 1 alpha, PGL = paraganglioma, SDH = succinate dehydrogenase, VEGF = vasoendothelial growth factor

Constraints on new physics from the quark mixing unitarity triangle

The status of the Unitarity Triangle beyond the Standard Model including the most recent results on Delta m_s, on dilepton asymmetries and on width differences is presented. Even allowing for general New Physics loop contributions the Unitarity Triangle must be very close to the Standard Model result. With the new measurements from the Tevatron, we obtain for the first time a significant constraint on New Physics in the B_s sector. We present the allowed ranges of New Physics contributions to Delta F=2 processes, and of the time-dependent CP asymmetry in B_s to J/Psi phi decays.Comment: 5 pages, 4 figures. v2: numerical error in Delta Gamma_s/Gamma_s corrected. Plots and tables updated. v3: update after ICHEP06, final version published in Phys Rev Letter

Dynamics of charge-displacement channeling in intense laser-plasma interactions

The dynamics of transient electric fields generated by the interaction of high intensity laser pulses with underdense plasmas has been studied experimentally with the proton projection imaging technique. The formation of a charged channel, the propagation of its front edge and the late electric field evolution have been characterised with high temporal and spatial resolution. Particle-in-cell simulations and an electrostatic, ponderomotive model reproduce the experimental features and trace them back to the ponderomotive expulsion of electrons and the subsequent ion acceleration.Comment: 5 figures, accepted for publication in New Journal of Physic

Quantum SASE FEL with a laser wiggler

Quantum effects in high-gain FELs are ruled by the quantum FEL parameter, \u3c1 = pmcy/hkr, which is the ratio between the momentum spread at saturation and the one photon momentum recoil. It has been shown that when 3c\u3c1 64 1 the spectrum of the emitted radiation changes from the broad continuous and chaotic spectrum of the classical regime to a series of discrete and equally spaced very narrow lines, due to transitions between discrete momentum states. In this paper we show that the quantum regime can be achieved using Kilometers long magnetic wigglers or a laser wiggler. In this paper we state the scaling laws necessary to operate a Quantum SASE FEL in the Angstrom region with a laser wiggler. Specific example is given having in mind a high power Ti: Sa laser wiggler at \u3bb= 0.8 \u3bcm, in construction at LNF-INFN Laboratories, for the SPARC/PLASMON-X project

Update of the Unitarity Triangle Analysis

We present the status of the Unitarity Triangle Analysis (UTA), within the Standard Model (SM) and beyond, with experimental and theoretical inputs updated for the ICHEP 2010 conference. Within the SM, we find that the general consistency among all the constraints leaves space only to some tension (between the UTA prediction and the experimental measurement) in BR(B -> tau nu), sin(2 beta) and epsilon_K. In the UTA beyond the SM, we allow for New Physics (NP) effects in (Delta F)=2 processes. The hint of NP at the 2.9 sigma level in the B_s-\bar B_s mixing turns out to be confirmed by the present update, which includes the new D0 result on the dimuon charge asymmetry but not the new CDF measurement of phi_s, being the likelihood not yet released.Comment: 4 pages, 2 figures, Proceedings of the 35th International Conference of High Energy Physics - ICHEP2010 (July 22-28, 2010, Paris

Position Sense Deficits at the Lower Limbs in Early Multiple Sclerosis: Clinical and Neural Correlates

Background/Objective. Position sense, defined as the ability to identify joint and limb position in space, is crucial for balance and gait but has received limited attention in patients with multiple sclerosis (MS). We investigated lower limb position sense deficits, their neural correlates, and their effects on standing balance in patients with early MS. Methods. A total of 24 patients with early relapsing-remitting MS and 24 healthy controls performed ipsilateral and contralateral matching tasks with the right foot during functional magnetic resonance imaging. Corpus callosum (CC) integrity was estimated with diffusion tensor imaging. Patients also underwent an assessment of balance during quiet standing. We investigated differences between the 2 groups and the relations among proprioceptive errors, balance performance, and functional/structural correlates. Results. During the contralateral matching task, patients demonstrated a higher matching error than controls, which correlated with the microstructural damage of the CC and with balance ability. In contrast, during the ipsilateral task, the 2 groups showed a similar matching performance, but patients displayed a functional reorganization involving the parietal areas. Neural activity in the frontoparietal regions correlated with the performance during both proprioceptive matching tasks and quiet standing. Conclusion. Patients with early MS had subtle, clinically undetectable, position sense deficits at the lower limbs that, nevertheless, affected standing balance. Functional changes allowed correct proprioception processing during the ipsilateral matching task but not during the more demanding bilateral task, possibly because of damage to the CC. These findings provide new insights into the mechanisms underlying disability in MS and could influence the design of neurorehabilitation protocols

Investigation of the impact of additive manufacturing techniques on the acoustic performance of a coiled-up resonator

Acoustic metamaterials (AMMs) offer innovative solutions for physics and engineering problems, allowing lighter, multiphysics, and sustainable systems. They are usually studied analytically or numerically and then tested on prototypes. For this reason, additive manufacturing (AM) techniques are a popular way of quickly realising AMMs' innovative geometrical designs. However, AM parameters are often standardised without considering the specific issues of each AMM geometrical shape, leading to a possible mismatch between the analytical (or numerical) and experimental results. In this study, a simple AMM-a coiled-up resonator-has been produced with different AM technologies [fused deposition modeling (FDM), stereolithography (SLA), and selective laser melting and materials (polylactic acid, polyethylene terephthalate glycol, resin, flexible resin, and stainless steel). The sound absorption performance of these samples has been measured in two research labs in Italy and compared with the analytical and numerical calculations. This permitted the identification of the best combinations of AM technologies, their setup, and materials matching the expected results. The SLA/resin combination performed better overall; however, cheaper and more easily manageable samples made with FDM and polyethylene terephthalate glycol can achieve the same acoustic performance through the optimal AM printing setup. It is expected that this methodology could also be replicated for other AMMs

Multitarget microangiopathy in a young healthy man with COVID-19 disease: A case report.

A 41‑year‑old man presented to the emergency department complaining of decrease of vision in his left eye. Initial examination was consistent with retrobulbar optic neuritis, and an intravenous drip of methylprednisolone was started. On the third day, the fundus examination revealed the appearance of multiple Purtscher‑like cotton‑wool spots in the posterior pole and nasally to the optic disc, slight retinal whitening around the fovea, and cherry‑red spot. The patient reported flu‑like symptoms, and he tested positive at PCR (polymerase chain reaction) test for 2019‑nCoV (2019 novel coronavirus) infection. Assuming possible 2019‑nCoV‑related vascular damage, we prescribed low‑molecular‑weight heparin. The lesions were regressing at follow‑up, and we registered a complete visual recovery

Improved Determination of the CKM Angle alpha from B to pi pi decays

Motivated by a recent paper that compares the results of the analysis of the CKM angle alpha in the frequentist and in the Bayesian approaches, we have reconsidered the information on the hadronic amplitudes, which helps constraining the value of alpha in the Standard Model. We find that the Bayesian method gives consistent results irrespective of the parametrisation of the hadronic amplitudes and that the results of the frequentist and Bayesian approaches are equivalent when comparing meaningful probability ranges or confidence levels. We also find that from B to pi pi decays alone the 95% probability region for alpha is the interval [80^o,170^o], well consistent with recent analyses of the unitarity triangle where, by using all the available experimental and theoretical information, one gets alpha = (93 +- 4)^o. Last but not least, by using simple arguments on the hadronic matrix elements, we show that the unphysical region alpha ~ 0, present in several experimental analyses, can be eliminated.Comment: 16 pages, 7 figure