Association between sleep-disordered breathing and breast cancer aggressiveness

Background Sleep-disordered breathing (SDB) has been associated with cancer aggressiveness, but studies focused on specific tumors are lacking. In this pilot study we investigated whether SDB is associated with breast cancer (BC) aggressiveness. Methods 83 consecutive women <65 years diagnosed with primary BC underwent a home respiratory polygraphy. Markers of SDB severity included the apnea-hypopnea index (AHI) and the 4% oxygen desaturation index (ODI4). The Ki67 proliferation index, lack of hormone receptors (HR-), Nottingham Histological Grade (NHG), and tumor stage were used as markers of BC aggressiveness. The association between SDB and molecular subtypes of BC was also assessed. Results The mean (SD) age was 48.8 (8.8) years and body mass index was 27.4 (5.4) Kg/m2. 42 women (50.6%) were post-menopausal. The median (IQR) AHI was 5.1 (2–9.4), and ODI4 was 1.5 (0.5–5.8). The median (IQR) AHI did not differ between the groups with Ki67>28% and Ki6728% and Ki67<29% (51.2% vs 52.3%, p = 0.90), HR- and HR+ (58.3% vs 49.1%, p = 0.47), NHG categories (p = 0.89), different tumor stages (p = 0.71), or molecular subtypes (p = 0.73). These results did not change when the ODI4 was used instead of the AHI. Conclusion Our results do not support an association between the presence or severity of SDB and BC aggressiveness.Asociación de Neumología y Cirugía Torácica del Sur (NEUMOSUR) 1/201

NaI(Tl) Scintillator's Response Functions for Point-like and Distributed Gamma-ray Sources

The response functions of a NaI(Tl) detectors have been estimated using Monte Carlo methods. Response functions were calculated for monoenergetic photon sources (0.05 to 3 MeV). Responses were calculated for point-like sources and for sources distributed in Portland cement cylinders. Calculated responses were used to estimate the detector efficiency for point-like and distributed sources. Samples of cylindrical Portland cement were prepared and exposed to the photoneutron field produced by a 15 MV linac used for radiotherapy. Short half-life radioisotopes were induced and the activity was determined by measuring the pulse-height spectra with a NaI(Tl) g-ray spectrometer that was calibrated using point-like sources. Instead of doing corrections due to differences between the geometry, material and solid angle of point-like sources used for calibration, and the Portland cement cylinders, the detection efficiency was determined using the ratio between the efficiencies for the point-like and the distributed sources estimated with the Monte Carlo calculations, and the activity of the induced isotopes in cement was obtained

Scale Dependent Dimension of Luminous Matter in the Universe

We present a geometrical model of the distribution of luminous matter in the universe, derived from a very simple reaction-diffusion model of turbulent phenomena. The apparent dimension of luminous matter, $D(l)$, depends linearly on the logarithm of the scale $l$ under which the universe is viewed: $D(l) \sim 3\log(l/l_0)/\log(\xi/l_0)$, where $\xi$ is a correlation length. Comparison with data from the SARS red-shift catalogue, and the LEDA database provides a good fit with a correlation length $\xi \sim 300$ Mpc. The geometrical interpretation is clear: At small distances, the universe is zero-dimensional and point-like. At distances of the order of 1 Mpc the dimension is unity, indicating a filamentary, string-like structure; when viewed at larger scales it gradually becomes 2-dimensional wall-like, and finally, at and beyond the correlation length, it becomes uniform.Comment: 6 pages, 2 figure

The fractal structure of the universe : a new field theory approach

While the universe becomes more and more homogeneous at large scales, statistical analysis of galaxy catalogs have revealed a fractal structure at small-scales (\lambda < 100 h^{-1} Mpc), with a fractal dimension D=1.5-2 (Sylos Labini et al 1996). We study the thermodynamics of a self-gravitating system with the theory of critical phenomena and finite-size scaling and show that gravity provides a dynamical mechanism to produce this fractal structure. We develop a field theoretical approach to compute the galaxy distribution, assuming them to be in quasi-isothermal equilibrium. Only a limited, (although large), range of scales is involved, between a short-distance cut-off below which other physics intervene, and a large-distance cut-off, where the thermo- dynamic equilibrium is not satisfied. The galaxy ensemble can be considered at critical conditions, with large density fluctuations developping at any scale. From the theory of critical phenomena, we derive the two independent critical exponents nu and eta and predict the fractal dimension D = 1/nu to be either 1.585 or 2, depending on whether the long-range behaviour is governed by the Ising or the mean field fixed points, respectively. Both set of values are compatible with present observations. In addition, we predict the scaling behaviour of the gravitational potential to be r^{-(1 + eta)/2}. That is, r^{-0.5} for mean field or r^{- 0.519} for the Ising fixed point. The theory allows to compute the three and higher density correlators without any assumption or Ansatz. We find that the N-points density scales as r_1^{(N-1)(D-3)}, when r_1 >> r_i, 2 leq i leq N . There are no free parameters in this theory.Comment: Latex, 20 pages, no figures, to be published in the Astrophysical Journa

Nivolumab and sunitinib combination in advanced soft tissue sarcomas : A multicenter, single-arm, phase Ib/II trial

Sarcomas exhibit low expression of factors related to immune response, which could explain the modest activity of PD-1 inhibitors. A potential strategy to convert a cold into an inflamed microenvironment lies on a combination therapy. As tumor angiogenesis promotes immunosuppression, we designed a phase Ib/II trial to test the double inhibition of angiogenesis (sunitinib) and PD-1/PD-L1 axis (nivolumab). This single-arm, phase Ib/II trial enrolled adult patients with selected subtypes of sarcoma. Phase Ib established two dose levels: level 0 with sunitinib 37.5 mg daily from day 1, plus nivolumab 3 mg/kg intravenously on day 15, and then every 2 weeks; and level-1 with sunitinib 37.5 mg on the first 14 days (induction) and then 25 mg per day plus nivolumab on the same schedule. The primary endpoint was to determine the recommended dose for phase II (phase I) and the 6-month progression-free survival rate, according to Response Evaluation Criteria in Solid Tumors 1.1 (phase II). From May 2017 to April 2019, 68 patients were enrolled: 16 in phase Ib and 52 in phase II. The recommended dose of sunitinib for phase II was 37.5 mg as induction and then 25 mg in combination with nivolumab. After a median follow-up of 17 months (4-26), the 6-month progression-free survival rate was 48% (95% CI 41% to 55%). The most common grade 3-4 adverse events included transaminitis (17.3%) and neutropenia (11.5%). Sunitinib plus nivolumab is an active scheme with manageable toxicity in the treatment of selected patients with advanced soft tissue sarcoma, with almost half of patients free of progression at 6 months

The Pierre Auger Observatory III: Other Astrophysical Observations

Astrophysical observations of ultra-high-energy cosmic rays with the Pierre Auger ObservatoryComment: Contributions to the 32nd International Cosmic Ray Conference, Beijing, China, August 201

Highlights from the Pierre Auger Observatory

The Pierre Auger Observatory is the world's largest cosmic ray observatory. Our current exposure reaches nearly 40,000 km$^2$ str and provides us with an unprecedented quality data set. The performance and stability of the detectors and their enhancements are described. Data analyses have led to a number of major breakthroughs. Among these we discuss the energy spectrum and the searches for large-scale anisotropies. We present analyses of our X$_{max}$ data and show how it can be interpreted in terms of mass composition. We also describe some new analyses that extract mass sensitive parameters from the 100% duty cycle SD data. A coherent interpretation of all these recent results opens new directions. The consequences regarding the cosmic ray composition and the properties of UHECR sources are briefly discussed.Comment: 9 pages, 12 figures, talk given at the 33rd International Cosmic Ray Conference, Rio de Janeiro 201

Fractal Dimensions and Scaling Laws in the Interstellar Medium and Galaxy Distributions: a new Field Theory Approach

We develop a field theoretical approach to the cold interstellar medium (ISM) and large structure of the universe. We show that a non-relativistic self- gravitating gas in thermal equilibrium with variable number of atoms or fragments is exactly equivalent to a field theory of a scalar field phi(x) with exponential self-interaction. We analyze this field theory perturbatively and non-perturbatively through the renormalization group(RG).We show scaling behaviour (critical) for a continuous range of the physical parameters as the temperature. We derive in this framework the scaling relation M(R) \sim R^{d_H} for the mass on a region of size R, and Delta v \sim R^\frac12(d_H -1) for the velocity dispersion. For the density-density correlations we find a power-law behaviour for large distances \sim |r_1 - r_2|^{2D - 6}.The fractal dimension D turns to be related with the critical exponent \nu by D = 1/ \nu. Mean field theory yields \nu = 1/2, D = 2. Both the Ising and the mean field values are compatible with the present ISM observational data:1.4\leq D \leq 2. We develop a field theoretical approach to the galaxy distribution considering a gas of self-gravitating masses on the FRW background, in quasi-thermal equi- librium. We show that it exhibits scaling behaviour by RG methods. The galaxy correlations are computed without assuming homogeneity. We find \sim r^{D-3} $. The theory allows to compute the three and higher density correlators without any assumption.We find that the connected N-points density scales as r_1^{N(D-3)}, when$ r_1 >> r_i