Radiotherapeutic alternatives for previously irradiated recurrent gliomas

Re-irradiation for recurrent gliomas has been discussed controversially in the past. This was mainly due to only marginal palliation while being associated with a high risk for side effects using conventional radiotherapy

Widespread movement of meltwater onto and across Antarctic ice shelves

Surface meltwater drains across ice sheets, forming melt ponds that can trigger ice-shelf collapse, acceleration of grounded ice flow and increased sea-level rise. Numerical models of the Antarctic Ice Sheet that incorporate meltwater’s impact on ice shelves, but ignore the movement of water across the ice surface, predict a metre of global sea-level rise this century5 in response to atmospheric warming. To understand the impact of water moving across the ice surface a broad quantification of surface meltwater and its drainage is needed. Yet, despite extensive research in Greenland and observations of individual drainage systems in Antarctica, we have little understanding of Antarctic-wide surface hydrology or how it will evolve. Here we show widespread drainage of meltwater across the surface of the ice sheet through surface streams and ponds (hereafter ‘surface drainage’) as far south as 85° S and as high as 1,300 metres above sea level. Our findings are based on satellite imagery from 1973 onwards and aerial photography from 1947 onwards. Surface drainage has persisted for decades, transporting water up to 120 kilometres from grounded ice onto and across ice shelves, feeding vast melt ponds up to 80 kilometres long. Large-scale surface drainage could deliver water to areas of ice shelves vulnerable to collapse, as melt rates increase this century. While Antarctic surface melt ponds are relatively well documented on some ice shelves, we have discovered that ponds often form part of widespread, large-scale surface drainage systems. In a warming climate, enhanced surface drainage could accelerate future ice-mass loss from Antarctic, potentially via positive feedbacks between the extent of exposed rock, melting and thinning of the ice sheet

Role of stereotactic radiosurgery and fractionated stereotactic radiotherapy for the treatment of recurrent glioblastoma multiforme

Glioblastoma multiforme (GBM) is a devastating malignant brain tumor characterized by resistance to available therapeutic approaches and relentless malignant progression that includes widespread intracranial invasion, destruction of normal brain tissue, progressive disability, and death. Stereotactic radiosurgery (SRS) and fractionated stereotactic radiotherapy (fSRT) are increasingly used in patients with recurrent GBM to complement traditional treatments such as resection, conventional external beam radiotherapy, and chemotherapy. Both SRS and fSRT are powerful noninvasive therapeutic modalities well suited to treat focal neoplastic lesions through the delivery of precise, high-dose radiation. Although no randomized clinical trials have been performed, a variety of retrospective studies have been focused on the use of SRS and fSRT for recurrent GBMs. In addition, state-of-the-art neuroimaging techniques, such as MR spectroscopic imaging, diffusion tensor tractography, and nuclear medicine imaging, have enhanced treatment planning methods leading to potentially improved clinical outcomes. In this paper the authors reviewed the current applications and efficacy of SRS and fSRT in the treatment of GBM, highlighting the value of these therapies for recurrent focal disease. (DOI: 10.3171/2009.9.FOCUS09187

Antarctic ice shelf potentially stabilized by export of meltwater in surface river

Meltwater stored in ponds1 and crevasses can weaken and fracture ice shelves, triggering their rapid disintegration2. This ice-shelf collapse results in an increased flux of ice from adjacent glaciers3 and ice streams, thereby raising sea level globally4. However, surface rivers forming on ice shelves could potentially export stored meltwater and prevent its destructive effects. Here we present evidence for persistent active drainage networks—interconnected streams, ponds and rivers—on the Nansen Ice Shelf in Antarctica that export a large fraction of the ice shelf’s meltwater into the ocean. We find that active drainage has exported water off the ice surface through waterfalls and dolines for more than a century. The surface river terminates in a 130-metre-wide waterfall that can export the entire annual surface melt over the course of seven days. During warmer melt seasons, these drainage networks adapt to changing environmental conditions by remaining active for longer and exporting more water. Similar networks are present on the ice shelf in front of Petermann Glacier, Greenland, but other systems, such as on the Larsen C and Amery Ice Shelves, retain surface water at present. The underlying reasons for export versus retention remain unclear. Nonetheless our results suggest that, in a future warming climate, surface rivers could export melt off the large ice shelves surrounding Antarctica—contrary to present Antarctic ice-sheet models1, which assume that meltwater is stored on the ice surface where it triggers ice-shelf disintegration

Towards commercial aquaponics: a review of systems, designs, scales and nomenclature

Aquaponics is rapidly developing as the need for sustainable food production increases and freshwater and phosphorous reserves shrink. Starting from small-scale operations, aquaponics is at the brink of commercialization, attracting investment. Arising from integrated freshwater aquaculture, a variety of methods and system designs has developed that focus either on fish or plant production. Public interest in aquaponics has increased dramatically in recent years, in line with the trend towards more integrated value chains, greater productivity and less harmful environmental impact compared to other production systems. New business models are opening up, with new customers and markets, and with this expansion comes the potential for confusion, misunderstanding and deception. New stakeholders require guidelines and detail concerning the different system designs and their potentials. We provide a definitive definition of aquaponics, where the majority (> 50%) of nutrients sustaining the optimal plant growth derives from waste originating from feeding aquatic organisms, classify the available integrated aquaculture and aquaponics (open, domestic, demonstration, commercial) systems and designs, distinguish four different scales of production (≤ 50, > 50–≤ 100 m2, > 100–≤ 500 m2, > 500 m2) and present a definite nomenclature for aquaponics and aquaponic farming allowing distinctions between the technologies that are in use. This enables authorities, customers, producers and all other stakeholders to distinguish between the various systems, to better understand their potentials and constraints and to set priorities for business and regulations in order to transition RAS or already integrated aquaculture into commercial aquaponic systems