6,244 research outputs found

    The varying role of the GP in the pathway between colonoscopy and surgery for colorectal cancer: a retrospective cohort study

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    Extent: 11p.Objectives: To describe general practitioner (GP) involvement in the treatment referral pathway for colorectal cancer (CRC) patients. Design: A retrospective cohort analysis of linked data. Setting: A population-based sample of CRC patients diagnosed from August 2004 to December 2007 in New South Wales, Australia, using the 45 and Up Study, cancer registry diagnosis records, inpatient hospital records and Medicare claims records. Participants: 407 CRC patients who had a colonoscopy followed by surgery. Primary outcome measures: Patterns of GP consultations between colonoscopy and surgery (ie, between diagnosis and treatment). We investigated whether consulting a GP presurgery was associated with time to surgery, postsurgical GP consultations or rectal cancer cases having surgery in a centre with radiotherapy facilities. Results: Of the 407 patients, 43% (n=175) had at least one GP consultation between colonoscopy and surgery. The median time from colonoscopy to surgery was 27 days for those with an intervening GP consultation and 15 days for those without the consultation. 55% (n=223) had a GP consultation up to 30 days postsurgery; it was more common in cases of patients who consulted a GP presurgery than for those who did not (65% and 47%, respectively, adjusted OR 2.71, 95% CI 1.50 to 4.89, p=0.001). Of the 142 rectal cancer cases, 23% (n=33) had their surgery in a centre with radiotherapy facilities, with no difference between those who did and did not consult a GP presurgery (21% and 25% respectively, adjusted OR 0.84, 95% CI 0.27 to 2.63, p=0.76). Conclusions: Consulting a GP between colonoscopy and surgery was associated with a longer interval between diagnosis and treatment, and with further GP consultations postsurgery, but for rectal cancer cases it was not associated with treatment in a centre with radiotherapy facilities. GPs might require a more defined and systematic approach to CRC management.David Goldsbury, Mark Harris, Shane Pascoe, Michael Barton, Ian Olver, Allan Spigelman, Justin Beilby, Craig Veitch, David Weller, Dianne L O'Connel

    Spin squeezing, entanglement and quantum metrology with Bose-Einstein condensates

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    Squeezed states, a special kind of entangled states, are known as a useful resource for quantum metrology. In interferometric sensors they allow to overcome the "classical" projection noise limit stemming from the independent nature of the individual photons or atoms within the interferometer. Motivated by the potential impact on metrology as wells as by fundamental questions in the context of entanglement, a lot of theoretical and experimental effort has been made to study squeezed states. The first squeezed states useful for quantum enhanced metrology have been proposed and generated in quantum optics, where the squeezed variables are the coherences of the light field. In this tutorial we focus on spin squeezing in atomic systems. We give an introduction to its concepts and discuss its generation in Bose-Einstein condensates. We discuss in detail the experimental requirements necessary for the generation and direct detection of coherent spin squeezing. Two exemplary experiments demonstrating adiabatically prepared spin squeezing based on motional degrees of freedom and diabatically realized spin squeezing based on internal hyperfine degrees of freedom are discussed.Comment: Phd tutorial, 23 pages, 17 figure

    Experimental observation of oscillating and interacting matter wave dark solitons

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    We report on the generation, subsequent oscillation and interaction of a pair of matter wave dark solitons. These are created by releasing a Bose-Einstein condensate from a double well potential into a harmonic trap in the crossover regime between one dimension (1D) and three dimensions (3D). The oscillation of the solitons is observed and the frequency is in quantitative agreement with simulations using the Gross-Pitaevskii equation. An effective particle picture is developed and reveals that the deviation of the observed frequencies from the asymptotic prediction νz/2\nu_{z}/\sqrt{2}, where νz\nu_{z} is the longitudinal trapping frequency, results from the dimensionality of the system and the interaction between the solitons.Comment: 5 pages, 3 figure

    Cilengitide: an RGD pentapeptide ανβ3 and ανβ5 integrin inhibitor in development for glioblastoma and other malignancies

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    Cilengitide, a cyclicized arginine-glycine-aspartic acid-containing pentapeptide, potently blocks ανβ3 and ανβ5 integrin activation. Integrins are upregulated in many malignancies and mediate a wide variety of tumor-stroma interactions. Cilengitide and other integrin-targeting therapeutics have preclinical activity against many cancer subtypes including glioblastoma (GBM), the most common and deadliest CNS tumor. Cilengitide is active against orthotopic GBM xenografts and can augment radiotherapy and chemotherapy in these models. In Phase I and II GBM trials, cilengitide and the combination of cilengitide with standard temozolomide and radiation demonstrate consistent antitumor activity and a favorable safety profile. Cilengitide is currently under evaluation in a pivotal, randomized Phase III study (Cilengitide in Combination With Temozolomide and Radiotherapy in Newly Diagnosed Glioblastoma Phase III Randomized Clinical Trial [CENTRIC]) for newly diagnosed GBM. In addition, randomized controlled Phase II studies with cilengitide are ongoing for non-small-cell lung cancer and squamous cell carcinoma of the head and neck. Cilengitide is the first integrin inhibitor in clinical Phase III development for oncology

    Probing Dark Energy with Supernovae : Bias from the time evolution of the equation of state

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    Observation of thousands of type Ia supernovae should offer the most direct approach to probe the dark energy content of the universe. This will be undertaken by future large ground-based surveys followed by a space mission (SNAP/JDEM). We address the problem of extracting the cosmological parameters from the future data in a model independent approach, with minimal assumptions on the prior knowledge of some parameters. We concentrate on the comparison between a fiducial model and the fitting function and adress in particular the effect of neglecting (or not) the time evolution of the equation of state. We present a quantitative analysis of the bias which can be introduced by the fitting procedure. Such bias cannot be ignored as soon as the statistical errors from present data are drastically improved.Comment: 22 pages, 10 figures, submitted to Phys. Rev.
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