4,984 research outputs found

    Treatment of CD30-Expressing Germ Cell Tumors and Sex Cord Stromal Tumors with Brentuximab Vedotin: Identification and Report of Seven Cases

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    BACKGROUND: Cytotoxic therapy for relapsed and refractory germ cell tumors or metastatic sex cord stromal tumors is rarely effective and is often accompanied by high adverse event rates. Expression of CD30 has been observed in testicular cancers, and patients with CD30-expressing embryonal carcinomas have worse progression-free survival and overall survival than those with CD30-negative tumors. The objective of this study (NCT01461538) was to characterize the antitumor activity of brentuximab vedotin in patients with CD30-expressing nonlymphomatous malignancies. Enrolled patients included seven patients with relapsed or refractory germ cell tumors or metastatic sex cord stromal tumors described in this case series. MATERIALS AND METHODS: Forty patients with relapsed or refractory germ cell tumors, metastatic sex cord stromal tumors, or testicular tumors were screened for CD30 expression; 14 patients had tumors that expressed CD30. Seven patients with CD30-expressing testicular cancer were enrolled in the treatment study: five patients with germ cell tumors, one patient with a Leydig cell tumor, and one patient with a Sertoli cell tumor. Patients were treated with brentuximab vedotin at initial doses of 1.8 or 2.4 mg/kg every 3 weeks. Response assessments were performed at cycles 2 and 4 and every 4 cycles thereafter while the patient was receiving treatment. RESULTS: Two of seven patients achieved an objective response, including one durable complete response and one partial response at a single time point. Both responding patients had germ cell tumors. Treatment with brentuximab vedotin was generally well tolerated. CONCLUSION: Treatment of relapsed or refractory germ cell tumors with brentuximab vedotin can induce durable responses with a manageable toxicity profile. IMPLICATIONS FOR PRACTICE: This case series of seven patients with relapsed or refractory CD30-expressing germ cell tumors (GCTs) or sex cord stromal tumors demonstrates that brentuximab vedotin has activity against GCTs and is well tolerated in heavily pretreated patients with these aggressive tumor types. One patient achieved a complete response that has been durable for almost 4 years since the discontinuation of treatment with brentuximab vedotin. Therefore, brentuximab vedotin may be a valuable option for physicians who care for this difficult-to-treat patient population

    Bioresorbable Polylactide Interbody Implants in an Ovine Anterior Cervical Discectomy and Fusion Model: Three-Year Results

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    Study Design. In vivo study of anterior discectomy and fusion using a bioresorbable 70:30 poly(l-lactide-co-d,l-lactide) interbody implant in an ovine model. Objective. To evaluate the efficacy of the polylactide implant to function as an interbody fusion device, and to assess the tissue reaction to the material during the resorption process. Summary of Background Data. The use of polylactide as a cervical interbody implant has several potential advantages when compared with traditional materials. Having an elastic modulus very similar to bone minimizes the potential for stress shielding, and as the material resorbs additional loading is transferred to the developing fusion mass. Although preclinical and clinical studies have demonstrated the suitability of polylactide implants for lumbar interbody fusion, detailed information on cervical anterior cervical discectomy and fusion (ACDF) with polylactide devices is desirable. Methods. Single level ACDF was performed in 8 skeletally mature ewes. Bioresorbable 70:30 poly (l-lactide-co-d,l-lactide) interbody implants packed with autograft were used with single-level metallic plates. Radiographs were made every 3 months up to 1 year, and yearly thereafter. The animals were killed at 6 months (3 animals), 12 months (3 animals), and 36 months (2 animals). In addition to the serial plain radiographs, the specimens were evaluated by nondestructive biomechanical testing and undecalcified histologic analysis. Results. The bioresorbable polylactide implants were effective in achieving interbody fusion. The 6-month animals appeared fused radiographically and biomechanically, whereas histologic sections demonstrated partial fusion (in 3 of 3 animals). Radiographic fusion was confirmed histologically and biomechanically at 12 months (3 of 3 animals) and 36 months (2 of 2 animals). A mild chronic inflammatory response to the resorbing polylactide implant was observed at both 6 months and 12 months. At 36 months, the operative levels were solidly fused and the implants were completely resorbed. No adverse tissue response was observed in any animal at any time period. Conclusion. Interbody fusion was achieved using bioresorbable polylactide implants, with no evidence of implant collapse, extrusion, or adverse tissue response to the material. The use of polylactide as a cervical interbody device appears both safe and effective based on these ACDF animal model results

    Effects of compression on the vibrational modes of marginally jammed solids

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    Glasses have a large excess of low-frequency vibrational modes in comparison with most crystalline solids. We show that such a feature is a necessary consequence of the weak connectivity of the solid, and that the frequency of modes in excess is very sensitive to the pressure. We analyze in particular two systems whose density D(w) of vibrational modes of angular frequency w display scaling behaviors with the packing fraction: (i) simulations of jammed packings of particles interacting through finite-range, purely repulsive potentials, comprised of weakly compressed spheres at zero temperature and (ii) a system with the same network of contacts, but where the force between any particles in contact (and therefore the total pressure) is set to zero. We account in the two cases for the observed a) convergence of D(w) toward a non-zero constant as w goes to 0, b) appearance of a low-frequency cutoff w*, and c) power-law increase of w* with compression. Differences between these two systems occur at lower frequency. The density of states of the modified system displays an abrupt plateau that appears at w*, below which we expect the system to behave as a normal, continuous, elastic body. In the unmodified system, the pressure lowers the frequency of the modes in excess. The requirement of stability despite the destabilizing effect of pressure yields a lower bound on the number of extra contact per particle dz: dz > p^(1/2), which generalizes the Maxwell criterion for rigidity when pressure is present. This scaling behavior is observed in the simulations. We finally discuss how the cooling procedure can affect the microscopic structure and the density of normal modes.Comment: 13 pages, 8 figure

    One-step grafting of polymers to graphene oxide

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    The direct grafting of poly(N-isopropylacrylamide) to the basal plane of graphene oxide has been achieved in a single step: cleavage of the terminal thiocarbonylthio group on RAFT grown poly(N-isopropylacrylamide) reveals a reactive thiol that attacks the epoxides present across the surface of graphene oxide. The new composite material was characterised by a combination of SSNMR, FTIR, Raman, EDX, XPS, TGA and contact angle measurement; it shows enhanced thermal stability and solubility in water

    The spatial structure of tidal and mean circulation over the inner shelf south of Martha's Vineyard, Massachusetts

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    Author Posting. © American Meteorological Society, 2013. This article is posted here by permission of American Meteorological Society for personal use, not for redistribution. The definitive version was published in Journal of Physical Oceanography 43 (2013): 1940–1958, doi:10.1175/JPO-D-13-020.1.The spatial structure of the tidal and background circulation over the inner shelf south of Martha's Vineyard, Massachusetts, was investigated using observations from a high-resolution, high-frequency coastal radar system, paired with satellite SSTs and in situ ADCP velocities. Maximum tidal velocities for the dominant semidiurnal constituent increased from 5 to 35 cm s−1 over the 20-km-wide domain with phase variations up to 60°. A northeastward jet along the eastern edge and a recirculation region inshore dominated the annually averaged surface currents, along with a separate along-shelf jet offshore. Owing in part to this variable circulation, the spatial structure of seasonal SST anomalies had implications for the local heat balance. Cooling owing to the advective heat flux divergence was large enough to offset more than half of the seasonal heat gain owing to surface heat flux. Tidal stresses were the largest terms in the mean along- and across-shelf momentum equations in the area of the recirculation, with residual wind stress and the Coriolis term dominating to the west and south, respectively. The recirculation was strongest in summer, with mean winds and tidal stresses accounting for much of the differences between summer and winter mean circulation. Despite the complex bathymetry and short along-shelf spatial scales, a simple model of tidal rectification was able to recreate the features of the northeastward jet and match an estimate of the across-shelf structure of sea surface height inferred from the residual of the momentum analysis.2014-03-0

    No dose-response effect of carbohydrate mouth rinse concentration on 5 km running performance in recreational athletes

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    Oral carbohydrate rinsing has been demonstrated to provide beneficial effects on exercise performance of durations of up to one hour, albeit predominately in a laboratory setting. The aim of the present study was to investigate the effects of different concentrations of carbohydrate solution mouth-rinse on 5 km running performance. Fifteen healthy men (n=9; mean±SD age: 42±10 years; height: 177.6±6.1 cm; body mass: 73.9±8.9 kg) and women (n=6; mean±SD age: 43±9 years; height: 166.5±4.1 cm; body mass: 65.7±6.8 kg) performed a 5 km running time trial on a track on four separate occasions. Immediately before starting the time trial and then after each 1 km, subjects rinsed 25 mL of either 0, 3, 6, or 12% maltodextrin for 10 s. Mouth-rinsing with 0, 3, 6 or 12% maltodextrin did not have a significant effect on the time to complete the time trial (0%: 26:34±4:07 min:sec; 3%: 27:17±4:33 min:sec; 6%: 27:05±3:52 min:sec; 12%: 26:47±4.31 min:sec; P=0.071;2 =0.15), heart rate (P=0.095; 2 =0.16), rating of perceived exertion (RPE) (P=0.195; P =0.11), blood glucose (P=0.920; P =0.01) and blood lactate concentration (P=0.831; 2 =0.02), with only non-significant trivial to small differences between concentrations. Results of this study suggest that carbohydrate mouth-rinsing provides no ergogenic advantage over that of an acaloric placebo (0%), and that there is no dose-response relationship between carbohydrate solution concentration and 5 km track running performance

    Flavor-Changing Processes in Extended Technicolor

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    We analyze constraints on a class of extended technicolor (ETC) models from neutral flavor-changing processes induced by (dimension-six) four-fermion operators. The ETC gauge group is taken to commute with the standard-model gauge group. The models in the class are distinguished by how the left- and right-handed (L,R)(L,R) components of the quarks and charged leptons transform under the ETC group. We consider K0−Kˉ0K^{0} - \bar K^0 and other pseudoscalar meson mixings, and conclude that they are adequately suppressed if the LL and RR components of the relevant quarks are assigned to the same (fundamental or conjugate-fundamental) representation of the ETC group. Models in which the LL and RR components of the down-type quarks are assigned to relatively conjugate representations, while they can lead to realistic CKM mixing and intra-family mass splittings, do not adequately suppress these mixing processes. We identify an approximate global symmetry that elucidates these behavioral differences and can be used to analyze other possible representation assignments. Flavor-changing decays, involving quarks and/or leptons, are adequately suppressed for any ETC-representation assignment of the LL and RR components of the quarks, as well as the leptons. We draw lessons for future ETC model building.Comment: 25 page

    Moth wings are acoustic metamaterials

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    Metamaterials assemble multiple subwavelength elements to create structures with extraordinary physical properties (1–4). Optical metamaterials are rare in nature and no natural acoustic metamaterials are known. Here, we reveal that the intricate scale layer on moth wings forms a metamaterial ultrasound absorber (peak absorption = 72% of sound intensity at 78 kHz) that is 111 times thinner than the longest absorbed wavelength. Individual scales act as resonant (5) unit cells that are linked via a shared wing membrane to form this metamaterial, and collectively they generate hard-to-attain broadband deep-subwavelength absorption. Their collective absorption exceeds the sum of their individual contributions. This sound absorber provides moth wings with acoustic camouflage (6) against echolocating bats. It combines broadband absorption of all frequencies used by bats with light and ultrathin structures that meet aerodynamic constraints on wing weight and thickness. The morphological implementation seen in this evolved acoustic metamaterial reveals enticing ways to design high-performance noise mitigation devices
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