Complete response of skull base inverted papilloma to chemotherapy: Case report.

BackgroundInverted papilloma (IP) is the most common benign sinonasal neoplasm. Endoscopic techniques, improved understanding of pathophysiology, and novel surgical approaches have allowed rhinologists to treat IPs more effectively, with surgery being the mainstay of therapy. Frontal sinus IP poses a challenge for surgical therapy due to complex anatomy and potentially difficult surgical access.ObjectivesWe reported a unique case of a massive frontal sinus IP that presented with intracranial and orbital extension, with near resolution after chemotherapy.MethodsA retrospective case review of a patient with a frontal sinus IP treated at a tertiary academic medical center.ResultsA 75-year-old male patient presented with nasal obstruction, purulent nasal discharge, and a growing left supraorbital mass. Endoscopy demonstrated a mass that filled both frontal and ethmoid sinuses, with orbital invasion. There also was substantial erosion of the posterior table, which measured 1.73 × 1.40 cm. A biopsy specimen demonstrated IP with carcinoma in situ. The patient was deemed unresectable on initial evaluation and, subsequently, underwent chemotherapy (carboplatin and paclitaxel). The tumor had a dramatic response to chemotherapy, and the patient elected for definitive surgery to remove any residual disease. During surgery, only a small focus of IP was found along the superior wall of the frontal sinus. No tumor was found elsewhere, including at the site of skull base erosion. The final pathology was IP without carcinoma in situ or dysplasia.ConclusionThis was the first reported case of chemotherapeutic "debulking" of IP, which facilitated surgical resection, despite substantial intracranial and orbital involvement. Although nearly all IPs can be treated surgically, rare cases, such as unresectable tumors, may benefit from systemic chemotherapy

Phreatomagmatic deposits and stratigraphic reconstruction at Debunscha Maar (Mt Cameroon volcano)

The Debunscha Maar (DM) is located on the southwest flank of Mount Cameroon, an active stratovolcano on the Cameroon volcanic line (CVL). Here, we present the physical characteristics of the pyroclastic deposits at DM with the aim of deciphering tephra emplacement mechanisms, evolution of water–magma interaction and reconstructing the stratigraphy beneath the maar. From GPS measurements, the crater has long and short axes of 500 m and 320 m, respectively. Generally, the pyroclastic deposits are well stratified and present a variety of depositional bed forms including structureless/massive beds, massive beds with faint internal stratifications, inversely graded beds, lens- shaped units, impact sags, cross lamination, planar beds as well as dune-like beds. Clast sizes include ash, lapilli-tuff, bombs and blocks (pyroclastic breccia), with clast lithologies consisting of entrained lithics of porous ankaramite pillow lavas, lithified sediments (sandstone and shale) and juvenile material. The porous ankaramite pillow lavas have glassy margins and vesicle zonations typical of pillow lavas formed by subaqueous eruption. The pillow fragments are more common in early-formed eruption products at the base of the deposit. The lithified sandstones show planar laminations and together with the shales occur predominantly in stratigraphic positions above the ankaramite pillow lavas. The juvenile materials include basaltic bombs with low vesicularity (b15%) and moderate vesicularity (15–50%). The bombs have chilled surfaces and their abundance increases towards the top of the deposit. The presence of accretionary lapilli, fragments of country-rock and juvenile clasts with ragged surfaces as well as curved and chilled margins, is unambiguous evidence in support of phreatomagmatic activity. Of the observed lithic clasts, only the pillow lavas would appear to have the porosity necessary to furnish the required amount of water to feed the phreatomagmatic maar eruption. The clast stratigraphy suggests that the maar is underlain by ankaramite pillow lava that erupted on a consolidated sedimentary substratum. Studying deposits resulting from maar eruptions has a direct implication for hazards assessment at areas of active maar volcanism because many surface processes occur around such volcanoes well after the eruptive activities have stopped

Fracture toughness and crack-resistance curve behavior in metallic glass-matrix composites

Nonlinear-elastic fracture mechanics methods are used to assess the fracture toughness of bulk metallic glass (BMG) composites; results are compared with similar measurements for other monolithic and composite BMG alloys. Mechanistically, plastic shielding gives rise to characteristic resistance-curve behavior where the fracture resistance increases with crack extension. Specifically, confinement of damage by second-phase dendrites is shown to result in enhancement of the toughness by nearly an order of magnitude relative to unreinforced glass

Inhomogeneous Low Frequency Spin Dynamics in La_{1.65}Eu_{0.2}Sr_{0.15}CuO_4

We report Cu and La nuclear magnetic resonance (NMR) measurements in the title compound that reveal an inhomogeneous glassy behavior of the spin dynamics. A low temperature peak in the La spin lattice relaxation rate and the ``wipeout'' of Cu intensity both arise from these slow electronic spin fluctuations that reveal a distribution of activation energies. Inhomogeneous slowing of spin fluctuations appears to be a general feature of doped lanthanum cuprate.Comment: 4 pages, 2 figures. Very slight modifications to figure

Spin Dynamics in the LTT Phase of ~1/8 Doped Single Crystal La_{1.67}Eu_{0.2}Sr_{0.13}CuO_4

We present La and Cu NMR relaxation measurements in single crystal La_{1.67}Eu_{0.2}Sr_{0.13}CuO_4. A strong peak in the La spin-lattice relaxation rate observed in the spin ordered state is well-described by the BPP mechanism[1] and arises from continuous slowing of electronic spin fluctuations with decreasing temperature; these spin fluctuations exhibit XY-like anisotropy in the ordered state. The spin pseudogap is enhanced by the static charge-stripe order in the LTT phase.Comment: Four pages, three figure

Study of the neutron star structure in strong magnetic fields including the anomalous magnetic moments

We study the effects of strong magnetic fields on the neutron star structure. If the interior field of a star is on the same order of the surface field currently observed, the influences of the magnetic field on the star mass and radius are negligible. If one assumes that the internal magnetic field can be as large as that estimated from the scalar virial theorem, considerable effects can be induced. The maximum mass of stars is arisen substantially while the central density is largely suppressed. For two equal-mass stars the radius of the magnetic star can be larger by about 10% $\sim$ 20% than the nonmagnetic star.Comment: 26 pages, 5 postscript figures; replaced by the revised version, Chin. J. Astron. Astrophys., accepte

Speckle-visibility spectroscopy: A tool to study time-varying dynamics

We describe a multispeckle dynamic light scattering technique capable of resolving the motion of scattering sites in cases that this motion changes systematically with time. The method is based on the visibility of the speckle pattern formed by the scattered light as detected by a single exposure of a digital camera. Whereas previous multispeckle methods rely on correlations between images, here the connection with scattering site dynamics is made more simply in terms of the variance of intensity among the pixels of the camera for the specified exposure duration. The essence is that the speckle pattern is more visible, i.e. the variance of detected intensity levels is greater, when the dynamics of the scattering site motion is slow compared to the exposure time of the camera. The theory for analyzing the moments of the spatial intensity distribution in terms of the electric field autocorrelation is presented. It is demonstrated for two well-understood samples, a colloidal suspension of Brownian particles and a coarsening foam, where the dynamics can be treated as stationary. However, the method is particularly appropriate for samples in which the dynamics vary with time, either slowly or rapidly, limited only by the exposure time fidelity of the camera. Potential applications range from soft-glassy materials, to granular avalanches, to flowmetry of living tissue.Comment: review - theory and experimen

Suppression of Antiferromagnetic Order by Light Hole Doping in La_2Cu_{1-x}Li_xO_4: A ^{139}La NQR Study

^{139}La nuclear quadrupole resonance measurements in lightly doped La_2Cu_{1-x}Li_xO_4 have been performed to reveal the dependence of the magnetic properties of the antiferromagnetic CuO_2 planes on the character of the doped holes and their interactions with the dopant. A detailed study shows that the magnetic properties are remarkably insensitive to the character of the dopant impurity. This indicates that the added holes form previously unrecognized collective structures.Comment: 4 pages, 3 figures. Slightly modified version, as accepted for publication in Physical Review Letter

Combination of short-read, long-read, and optical mapping assemblies reveals large-scale tandem repeat arrays with population genetic implications

Accurate and contiguous genome assembly is key to a comprehensive understanding of the processes shaping genomic diversity and evolution. Yet, it is frequently constrained by constitutive heterochromatin, usually characterized by highly repetitive DNA. As a key feature of genome architecture associated with centromeric and subtelomeric regions, it locally influences meiotic recombination. In this study, we assess the impact of large tandem repeat arrays on the recombination rate landscape in an avian speciation model, the Eurasian crow. We assembled two high-quality genome references using single-molecule real-time sequencing (long-read assembly [LR]) and single-molecule optical maps (optical map assembly [OM]). A three-way comparison including the published short-read assembly (SR) constructed for the same individual allowed assessing assembly properties and pinpointing misassemblies. By combining information from all three assemblies, we characterized 36 previously unidentified large repetitive regions in the proximity of sequence assembly breakpoints, the majority of which contained complex arrays of a 14-kb satellite repeat or its 1.2-kb subunit. Using whole-genome population resequencing data, we estimated the population-scaled recombination rate (ρ) and found it to be significantly reduced in these regions. These findings are consistent with an effect of low recombination in regions adjacent to centromeric or subtelomeric heterochromatin and add to our understanding of the processes generating widespread heterogeneity in genetic diversity and differentiation along the genome. By combining three different technologies, our results highlight the importance of adding a layer of information on genome structure that is inaccessible to each approach independently

Interplay between carrier and impurity concentrations in annealed Ga1−x_{1-x}Mnx_{x}As intrinsic anomalous Hall Effect

Investigating the scaling behavior of annealed Ga$_{1-x}$Mn$_{x}$As anomalous Hall coefficients, we note a universal crossover regime where the scaling behavior changes from quadratic to linear, attributed to the anomalous Hall Effect intrinsic and extrinsic origins, respectively. Furthermore, measured anomalous Hall conductivities when properly scaled by carrier concentration remain constant, equal to theoretically predicated values, spanning nearly a decade in conductivity as well as over 100 K in T$_{C}$. Both the qualitative and quantitative agreement confirms the validity of new equations of motion including the Berry phase contributions as well as tunablility of the intrinsic anomalous Hall Effect.Comment: 4 pages, 5 figure