Laser augmented by brachytherapy versus laser alone in the palliation of adenocarcinoma of the oesophagus and cardia: a randomised study

Background: Many patients with advanced malignant dysphagia are not suitable for definitive treatment. The best option for palliation of dysphagia varies between patients. This paper looks at a simple technique for enhancing laser recanalisation. Aim: To assess the value of adjunctive brachytherapy in prolonging palliation of malignant dysphagia by endoscopic laser therapy. Patients: Twenty two patients with advanced malignant dysphagia due to adenocarcinoma of the oesophagus or gastric cardia, unsuitable for surgery or radical chemoradiotherapy. Methods: Patients able to eat a soft diet after laser recanalisation were randomised to no further therapy or a single treatment with brachytherapy (10 Gy). Results were judged on the quality and duration of dysphagia palliation, need for subsequent intervention, complications, and survival. Results: The median dysphagia score for all patients two weeks after initial treatment was 1 (some solids). The median dysphagia palliated interval from the end of initial treatment to recurrent dysphagia or death increased from five weeks (control group) to 19 weeks (brachytherapy group). Three patients had some odynophagia for up to six weeks after brachytherapy. There was no other treatment related morbidity or mortality. Further intervention was required in 10 of 11 control patients (median five further procedures) compared with 7/11 brachytherapy patients (median two further procedures). There was no difference in survival (median 20 weeks (control), 26 weeks (brachytherapy)). Conclusions: Laser therapy followed by brachytherapy is a safe, straightforward, and effective option for palliating advanced malignant dysphagia, which is complementary to stent insertion

Hydrologic controls on seasonal and inter-annual variability of Congo River particulate organic matter source and reservoir age

We present dissolved organic carbon (DOC) concentrations, particulate organic matter (POM) composition (δ13C, δ15N, ∆14C, N/C), and particulate glycerol dialkyl glycerol tetraether (GDGT) distributions from a 34-month time-series near the mouth of the Congo River. An end-member mixing model using δ13C and N/C indicates that exported POM is consistently dominated by C3 rainforest soil sources, with increasing contribution from C3 vegetation and decreasing contribution from phytoplankton at high discharge. Large C4 inputs are never observed despite covering ≈ 13% of the catchment. Low and variable ∆14C values during 2011 [annual mean = (− 148 ± 82) ‰], when discharge from left-bank tributaries located in the southern hemisphere reached record lows, likely reflect a bias toward pre-aged POM derived from the Cuvette Congolaise swamp forest. In contrast, ∆14C values were stable near − 50‰ between January and June 2013, when left-bank discharge was highest. We suggest that headwater POM is replaced and/or diluted by C3 vegetation and pre-aged soils during transit through the Cuvette Congolaise, whereas left-bank tributaries export significantly less pre-aged material. GDGT distributions provide further evidence for seasonal and inter-annual variability in soil provenance. The cyclization of branched tetraethers and the GDGT-0 to crenarchaeol ratio are positively correlated with discharge (r ≥ 0.70; p-value ≤ 4.3 × 10− 5) due to the incorporation of swamp-forest soils when discharge from right-bank tributaries located in the northern hemisphere is high. Both metrics reach record lows during 2013, supporting our interpretation of increased left-bank contribution at this time. We conclude that hydrologic variability is a major control of POM provenance in the Congo River Basin and that tropical wetlands can be a significant POM source despite their small geographic coverage

Coordination and Sustainability of River Observing Activities in the Arctic

To understand and respond to changes in the world’s northern regions, we need a coordinated system of long-term Arctic observations. River networks naturally integrate across landscapes and link the terrestrial and ocean domains. Changes in river discharge reflect changes in the terrestrial water balance, whereas changes in water chemistry are linked to changes in biogeochemical processes and water flow paths. Sustained measurements of river water discharge and water chemistry are therefore essential components of an Arctic observing network. As we strive to establish and sustain long-term observations in the Arctic, these two measurements must be coupled. Although river discharge and chemistry measurements are already coupled to some extent within national boundaries, this is not done in a consistent and coordinated fashion across the pan-Arctic domain. As a consequence, data quality and availability vary widely among regions. International coordination of river discharge and chemistry measurements in the Arctic would be greatly facilitated by formal commitments to maintain a set of core sites and associated measurements that are mutually agreed upon among pan-Arctic nations. Involvement of the agencies currently operating river discharge gauges around the Arctic and establishment of an overarching coordination entity to implement shared protocols, track data quality, and manage data streams would be essential in this endeavor. Focused studies addressing scale-dependent relationships between watershed characteristics and water chemistry, in-stream processes, and estuarine and coastal dynamics are also needed to support interpretation and application of Arctic river observing data as they relate to land and ocean change.Pour comprendre les changements qui s’opèrent dans les régions nordiques du monde et y réagir, nous devons nous doter d’un système coordonné d’observation à long terme dans l’Arctique. Les réseaux fluviaux s’intègrent naturellement dans les paysages et relient le domaine terrestre au domaine océanique. Les changements qui s’exercent dans les réseaux fluviaux sont le reflet des changements dans l’équilibre hydrique terrestre, tandis que les changements qui s’exercent sur l’hydrochimie sont liés aux changements caractérisant les processus biogéochimiques et les parcours d’écoulement de l’eau. Par conséquent, un réseau d’observation arctique devrait essentiellement être assorti de mesures durables d’évacuation des eaux fluviales et d’hydrochimie. Au moment où nous nous efforçons d’établir et de soutenir des observations à long terme dans l’Arctique, ces deux types de mesures doivent être suivies en parallèle. Bien que les mesures de l’évacuation fluviale et les mesures chimiques soient déjà, dans une certaine mesure, suivies en parallèle à l’intérieur des frontières nationales, cela ne se fait pas de manière uniforme et coordonnée à la grandeur du domaine panarctique, et en conséquence, la qualité et la disponi­bilité des données varient beaucoup d’une région à l’autre. La coordination internationale des mesures d’évacuation fluviale et chimiques dans l’Arctique serait grandement facilitée par l’existence d’engagements officiels visant à maintenir une série d’emplacements fondamentaux et de mesures connexes fixées par entente mutuelle au sein des nations panarctiques. La partic­ipation des agences qui gèrent les manomètres d’évacuation fluviale dans l’Arctique et l’établissement d’une entité de coordi­nation générale mettant en oeuvre des protocoles partagés, vérifiant la qualité des données et gérant les flux de données seraient également essentiels. Des études ciblées portant sur les relations influencées par l’échelle entre les caractéristiques du bassin hydrographique et l’hydrochimie, sur les processus s’opérant à l’intérieur des cours d’eau et sur la dynamique des estuaires et des rives s’avèrent également nécessaires pour étayer l’interprétation et l’application des données d’observation fluviale de l’Arctique en matière de changement terrestre et océanique

Characterisation of treated effluent from four commonly employed wastewater treatment facilities:A UK case study

Sewage treatment systems are a common feature across the landscape of the United Kingdom, serving an estimated 96% of the population and discharging approximately eleven billion litres of treated wastewater daily. While large treatment facilities are ubiquitous across the landscape, they are not the only method employed in domestic wastewater treatment. This study investigates whether differences in nutrient export (carbon, nitrogen and phosphorus) and organic matter composition (determined by optical indices, SUVA254, S350-400 and E2:E3) from treated effluent could be detected between four of the most common facilities employed in the treatment of wastewater across the UK. Set in the context of the River Wylye, a small headwater catchment, treatment facilities studied included; a septic tank system, small packet treatment works, and two large sewage treatment works, one of which employed phosphorus stripping for phosphorus removal. Inorganic N and P concentrations ranged between 7.51 and 42.4 mg N l−1 and 0.22 and 8.9 mg P l−1 respectively, with DOC concentrations ranging between 1.63 and 11.8 mg C l−1. Optical indices were comparable to those observed in catchments where organic matter is dominated by autochthonous production, suggesting the dominance of low molecular weight material when compared to values observed across temperate aquatic systems. Combining data from both the Environment Agency and Ordinance Survey we estimate that only 15% of domestic properties not connected to mains sewerage in the study catchment have an Environment Agency consent/exemption permit. This calculation suggests that the quantity of small point sources are significantly underestimated, undermining efforts under current legislation to improve stream ecosystem health.</p

Come back Marshall, all is forgiven? : Complexity, evolution, mathematics and Marshallian exceptionalism

Marshall was the great synthesiser of neoclassical economics. Yet with his qualified assumption of self-interest, his emphasis on variation in economic evolution and his cautious attitude to the use of mathematics, Marshall differs fundamentally from other leading neoclassical contemporaries. Metaphors inspire more specific analogies and ontological assumptions, and Marshall used the guiding metaphor of Spencerian evolution. But unfortunately, the further development of a Marshallian evolutionary approach was undermined in part by theoretical problems within Spencer's theory. Yet some things can be salvaged from the Marshallian evolutionary vision. They may even be placed in a more viable Darwinian framework.Peer reviewedFinal Accepted Versio

Assessing the drivers of dissolved organic matter export from two contrasting lowland catchments, U.K

AbstractTwo lowland catchments in the U.K. were sampled throughout 2010–11 to investigate the dominant controls on dissolved organic matter quantity and composition. The catchments had marked differences in terms of nutrient status, land cover and contrasting lithologies resulting in differences in the dominant flow pathways (groundwater vs. surface water dominated). The Upper Wylye is a chalk stream with a baseflow index of 0.98, draining a catchment dominated by intensive agricultural production. Millersford Brook is a lowland peat catchment with a baseflow index of 0.43, draining a semi-natural catchment with heather moorland and coniferous forest. Samples were collected weekly between October 2010 and September 2011 from eleven sampling locations. Samples were analysed to determine dissolved organic carbon, nitrogen and phosphorus fractions with DOM composition evaluated via the DOC:DON ratio, DOC:DOP ratio, specific UV absorption at 254nm, absorbance ratio (a250:a365) and the spectral slope parameter between 350 and 400nm (S350–400). Significant differences were observed in all determinands between the catchments, over time, and spatially along nutrient enrichment and geoclimatic gradients. Seasonal variation in preferential flow pathways mobilising groundwater-derived DOM were identified as likely controls on the delivery of DOM in the permeable chalk dominated catchment. Steeper S350–400 values and elevated a250:a365 ratios in this catchment suggest material of a lower bulk aromatic C content and molecular weight delivered during the winter months when compared to the summer. DOC:DON ratios were markedly lower in the chalk catchment than the peatland catchment, reflecting the paucity of organic matter within the mineral soils of the chalk landscape, and higher fertiliser application rates. This manuscript highlights that DOM composition varies according to catchment landscape character and hydrological function

Theoretical overview on high-energy emission in microquasars

Microquasar (MQ) jets are sites of particle acceleration and synchrotron emission. Such synchrotron radiation has been detected coming from jet regions of different spatial scales, which for the instruments at work nowadays appear as compact radio cores, slightly resolved radio jets, or (very) extended structures. Because of the presence of relativistic particles and dense photon, magnetic and matter fields, these outflows are also the best candidates to generate the very high-energy (VHE) gamma-rays detected coming from two of these objects, LS 5039 and LS I +61 303, and may be contributing significantly to the X-rays emitted from the MQ core. In addition, beside electromagnetic radiation, jets at different scales are producing some amount of leptonic and hadronic cosmic rays (CR), and evidences of neutrino production in these objects may be eventually found. In this work, we review on the different physical processes that may be at work in or related to MQ jets. The jet regions capable to produce significant amounts of emission at different wavelengths have been reduced to the jet base, the jet at scales of the order of the size of the system orbital semi-major axis, the jet middle scales (the resolved radio jets), and the jet termination point. The surroundings of the jet could be sites of multiwavelegnth emission as well, deserving also an insight. We focus on those scenarios, either hadronic or leptonic, in which it seems more plausible to generate both photons from radio to VHE and high-energy neutrinos. We briefly comment as well on the relevance of MQ as possible contributors to the galactic CR in the GeV-PeV range.Comment: Astrophysics & Space Science, in press (invited talk in the conference: The multimessenger approach to the high-energy gamma-ray sources", Barcelona/Catalonia, in July 4-7); 10 pages, 6 figures, 2 tables (one reference corrected

Constraints on the Timing and Extent of Deglacial Grounding Line Retreat in West Antarctica

Projections of Antarctica\u27s contribution to future sea level rise are associated with significant uncertainty, in part because the observational record is too short to capture long-term processes necessary to estimate ice mass changes over societally relevant timescales. Records of grounding line retreat from the geologic past offer an opportunity to extend our observations of these processes beyond the modern record and to gain a more comprehensive understanding of ice-sheet change. Here, we present constraints on the timing and inland extent of deglacial grounding line retreat in the southern Ross Sea, Antarctica, obtained via direct sampling of a subglacial lake located 150 km inland from the modern grounding line and beneath \u3e1 km of ice. Isotopic measurements of water and sediment from the lake enabled us to evaluate how the subglacial microbial community accessed radiocarbon-bearing organic carbon for energy, as well as where it transferred carbon metabolically. Using radiocarbon as a natural tracer, we found that sedimentary organic carbon was microbially translocated to dissolved carbon pools in the subglacial hydrologic system during the 4.5-year period of water accumulation prior to our sampling. This finding indicates that the grounding line along the Siple Coast of West Antarctica retreated more than 250 km inland during the mid-Holocene (6.3 ± 1.0 ka), prior to re-advancing to its modern position

Search for displaced vertices arising from decays of new heavy particles in 7 TeV pp collisions at ATLAS

We present the results of a search for new, heavy particles that decay at a significant distance from their production point into a final state containing charged hadrons in association with a high-momentum muon. The search is conducted in a pp-collision data sample with a center-of-mass energy of 7 TeV and an integrated luminosity of 33 pb^-1 collected in 2010 by the ATLAS detector operating at the Large Hadron Collider. Production of such particles is expected in various scenarios of physics beyond the standard model. We observe no signal and place limits on the production cross-section of supersymmetric particles in an R-parity-violating scenario as a function of the neutralino lifetime. Limits are presented for different squark and neutralino masses, enabling extension of the limits to a variety of other models.Comment: 8 pages plus author list (20 pages total), 8 figures, 1 table, final version to appear in Physics Letters

Measurement of the polarisation of W bosons produced with large transverse momentum in pp collisions at sqrt(s) = 7 TeV with the ATLAS experiment

This paper describes an analysis of the angular distribution of W->enu and W->munu decays, using data from pp collisions at sqrt(s) = 7 TeV recorded with the ATLAS detector at the LHC in 2010, corresponding to an integrated luminosity of about 35 pb^-1. Using the decay lepton transverse momentum and the missing transverse energy, the W decay angular distribution projected onto the transverse plane is obtained and analysed in terms of helicity fractions f0, fL and fR over two ranges of W transverse momentum (ptw): 35 < ptw < 50 GeV and ptw > 50 GeV. Good agreement is found with theoretical predictions. For ptw > 50 GeV, the values of f0 and fL-fR, averaged over charge and lepton flavour, are measured to be : f0 = 0.127 +/- 0.030 +/- 0.108 and fL-fR = 0.252 +/- 0.017 +/- 0.030, where the first uncertainties are statistical, and the second include all systematic effects.Comment: 19 pages plus author list (34 pages total), 9 figures, 11 tables, revised author list, matches European Journal of Physics C versio