3,254 research outputs found

    Projected Three-Pion Correlation Functions

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    We propose a new procedure for constructing projected three-pion correlation functions which reduces undesirable artificial momentum dependences resulting from the commonly used procedure and facilitates comparison of three-pion correlation data with theoretical models.Comment: 6 pages revtex, incl. 1 figure. Submitted as Brief Report to Physical Review C. Normalization error and typos correcte

    Is Repeated Hepatic Resection Justified for Malignancy?

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    Second-Look Surgery for Colorectal Cancer: Revised Selection Factors and New Treatment Options for Greater Success

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    Proper indications for second-look surgery in patients with colorectal cancer have always been a controversial subject. The surgical literature suggests benefit in a reoperation, where a limited extent of cancer is discovered and then resected with negative margins. However, patients are often subjected to a negative exploratory laparotomy or an intervention that is unable to achieve an R-0 resection; in these circumstances, little or no benefit occurs. Unfortunately, an unsuccessful repeat intervention may place the patient in a worse condition, especially if morbidity occurs. This paper seeks to identify the clinical parameters of a primary colorectal cancer and a followup plan that are associated with cancer recurrence that can be definitively addressed by the second look surgery. New surgical technologies, including cytoreductive surgery with peritonectomy and perioperative intraperitoneal chemotherapy with hyperthermia, are suggested for use in this group of patients. This new management strategy used in patients with local-regional recurrence may result in a high proportion of patients converted from a second-look positive patient to a long-term survivor

    Advances in Remote Sensing of Flooding

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    With the publication of eight original research articles, four types of advances in the remote sensing of floods are achieved. The uncertainty of modeled outputs using precipitation datasets derived from in situ observations and remote sensors is further understood. With the terrestrial laser scanner and airborne light detection and ranging (LiDAR) coupled with high resolution optical and radar imagery, researchers improve accuracy levels in estimating the surface water height, extent, and flow of floods. The unmanned aircraft system (UAS) can be the game changer in the acquisition and application of remote sensing data. The UAS may fly everywhere and every time when a flood event occurs. With the development of urban structure maps, the flood risk and possible damage is well assessed. The flood mitigation plans and response activities become effective and efficient using geographic information system (GIS)-based urban flood vulnerability and risk maps

    Prognostic indicators in peritoneal carcinomatosis from gastrointestinal cancer

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    Peritoneal carcinomatosis from gastrointestinal cancer has new treatment options for surgical management. The approach uses cytoreductive surgery which combines peritonectomy and visceral resection in an effort to remove all visible cancer within the abdomen and pelvis. Then the peritoneal cavity is flooded with chemotherapy solution in an attempt to eradicate residual disease. In order to select patients for this approach the quantitative prognostic indicators for carcinomatosis were reviewed, compared and contrasted. Prognostic indicators to be used to select patients for this aggressive approach at the initiation of surgery and after completion of cytoreduction were studied. Four quantitative assessments to be used at the time of abdominal exploration were the Gilly staging, Japanese gastric cancer P score, peritoneal cancer index (PCI), and the simplified peritoneal cancer index (SPCI). All have value with the PCI being the most validated and most precise. Preoperative assessments include the tumor histopathology and the prior surgical score. The completeness of cytoreduction score is an assessment of residual disease after a maximal surgical effort. An opportunity for long-term survival following treatment for carcinomatosis requires a complete cytoreduction in all reports for gastrointestinal cancer. Quantitative prognostic indicators need to be knowledgeably employed when patients with carcinomatosis are being treated. Improved patient selection with greater benefit and reduced morbidity and mortality should result

    Management of appendiceal pseudomyxoma peritonei diagnosed during pregnancy

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    <p>Abstract</p> <p>Background</p> <p>The incidence of cancer during pregnancy is approximately 1 in 1000. The most common types encountered during pregnancy are cervical, breast and ovarian. Epithelial tumors of the appendix on the other hand are rare and account for only approximately 1% of all colorectal neoplasms; the occurrence of this neoplasm during pregnancy is extremely rare.</p> <p>Case Presentation</p> <p>The medical history of a 30 year old woman diagnosed at 17 weeks gestation with an appendiceal mucinous tumor with large volume pseudomyxoma peritonei was presented. Her pregnancy was preserved and she had an early vaginal delivery of a healthy baby at 35 weeks. At 2 1/2 weeks postpartum the patient underwent extensive cytoreductive surgery and intraperitoneal chemotherapy. She remains disease-free 5 years after her initial diagnosis. A literature review of this clinical situation and a discussion of treatment plans were presented.</p> <p>Conclusion</p> <p>The management of an appendiceal tumor with pseudomyxoma peritonei diagnosed during pregnancy requires full knowledge of the natural history of this disease to achieve a balance of concern for maternal survival and fetal health.</p
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