50 research outputs found

    Wave modelling - the state of the art

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    This paper is the product of the wave modelling community and it tries to make a picture of the present situation in this branch of science, exploring the previous and the most recent results and looking ahead towards the solution of the problems we presently face. Both theory and applications are considered. The many faces of the subject imply separate discussions. This is reflected into the single sections, seven of them, each dealing with a specific topic, the whole providing a broad and solid overview of the present state of the art. After an introduction framing the problem and the approach we followed, we deal in sequence with the following subjects: (Section) 2, generation by wind; 3, nonlinear interactions in deep water; 4, white-capping dissipation; 5, nonlinear interactions in shallow water; 6, dissipation at the sea bottom; 7, wave propagation; 8, numerics. The two final sections, 9 and 10, summarize the present situation from a general point of view and try to look at the future developments

    Prognostic image-based quantification of CD8CD103 T cell subsets in high-grade serous ovarian cancer patients

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    CD103-positive tissue resident memory-like CD8+ T cells (CD8CD103 TRM) are associated with improved prognosis across malignancies, including high-grade serous ovarian cancer (HGSOC). However, whether quantification of CD8, CD103 or both is required to improve existing survival prediction and whether all HGSOC patients or only specific subgroups of patients benefit from infiltration, remains unclear. To address this question, we applied image-based quantification of CD8 and CD103 multiplex immunohistochemistry in the intratumoral and stromal compartments of 268 advanced-stage HGSOC patients from two independent clinical institutions. Infiltration of CD8CD103 immune cell subsets was independent of clinicopathological factors. Our results suggest CD8CD103 TRM quantification as a superior method for prognostication compared to single CD8 or CD103 quantification. A survival benefit of CD8CD103 TRM was observed only in patients treated with primary cytoreductive surgery. Moreover, survival benefit in this group was limited to patients with no macroscopic tumor lesions after surgery. This approach provides novel insights into prognostic stratification of HGSOC patients and may contribute to personalized treatment strategies in the future

    Robustness and uncertainties in global multivariate wind-wave climate projections

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    Understanding climate-driven impacts on the multivariate global wind-wave climate is paramount to effective offshore/coastal climate adaptation planning. However, the use of single-method ensembles and variations arising from different methodologies has resulted in unquantified uncertainty amongst existing global wave climate projections. Here, assessing the first coherent, community-driven, multi-method ensemble of global wave climate projections, we demonstrate widespread ocean regions with robust changes in annual mean significant wave height and mean wave period of 5–15% and shifts in mean wave direction of 5–15°, under a high-emission scenario. Approximately 50% of the world’s coastline is at risk from wave climate change, with ~40% revealing robust changes in at least two variables. Furthermore, we find that uncertainty in current projections is dominated by climate model-driven uncertainty, and that single-method modelling studies are unable to capture up to ~50% of the total associated uncertainty

    Risk factors, complications and survival after upper abdominal surgery:a prospective cohort study

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    Background: Preoperative weight loss and abnormal serum-albumin have traditionally been associated with reduced survival. More recently, a correlation between postoperative complications and reduced long-term survival has been reported and the significance of the relative proportion of skeletal muscle, visceral and subcutaneous adipose tissue has been examined with conflicting results. We investigated how preoperative body composition and major non-fatal complications related to overall survival and compared this to established predictors in a large cohort undergoing upper abdominal surgery. Methods: From 2001 to 2006, 447 patients were included in a Norwegian multicenter randomized controlled trial in major upper abdominal surgery. Patients were now, six years later, analyzed as a single prospective cohort and overall survival was retrieved from the National Population Registry. Body composition indices were calculated from CT images taken within three months preoperatively. Results: Preoperative serum-albumin 5 % (HR = 1.38, p = 0.023) were independently associated with reduced survival. There was no association between any of the preoperative body composition indices and reduced survival. Major postoperative complications were independently associated with reduced survival but only as long as patients who died within 90 days were included in the analysis. Conclusions: Our study has confirmed the robust significance of the traditional indicators, preoperative serum-albumin and weight loss. The body composition indices did not prove beneficial as global indicators of poor prognosis in upper abdominal surgery. We found no association between non-fatal postoperative complications and long-term survival

    Was Jezus’ optreden in de tempel een reiniging?

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    Was Jesus’ action in the temple (Mk 11:12-8) indeed a cleansing? In the time of Jesus, the temple was of great importance to the Jewish people. Jesus also used to go to the temple for the Passover. There he however clashed with the temple authorities (Mk 11:12-15; Mt 21:12-13; Lk 19:45-46 and Jn 2:14-22). What was the nature of this clash? Contrary Edward P Sanders, who regards Jesus’ action in the temple as a symbolic act of the destruction of the temple, this article concurs with Craig Evans and Hans Betz that the corruption in the temple as a result of the commercialisation and the cooperation between the ruling Roman and temple authorities, affected worship as the temple’s prime purpose. It is this purpose Jesus wanted to restore and for this reason Jesus’ action should be regarded as a form of cleansing

    'n Kritiese evaluasie van Colin Brown se studie: <i>Miracles and the critical mind</i>

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    A critical evaluation of Colin Brown's study: Miracles and the critical mind As a historical survey of the viewpoints regarding miracles throughout the ages. Miracles and the critical mind of Colin Brown can be highly recommended as a reference work. In this lies its value. Brown has an interesting viewpoint. He states that miracles can only be interpreted when asked what the evangelists themselves meant by it in their Gospels. But to my mind. Brown does not successfully show that miracles enable us to make sense of the Gospels as history. The reason is that he cannot conclusively prove that miracles are historical facts, and thus the Gospels are history as well. Miracles should be accepted by faith. In this respect he stands fully in an age-old tradition, and as such does not contribute much new towards the debate about miracles. To follow is a critical evaluation of the abovementioned study

    Was Jezus’ optreden in de tempel een reiniging?

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