485 research outputs found

    Dynamic optical coherence tomography. a non-invasive imaging tool for the distinction of nevi and melanomas

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    Along with the rising melanoma incidence in recent decades and bad prognoses resulting from late diagnoses, distinguishing between benign and malignant melanocytic lesions has become essential. Unclear cases may require the aid of non-invasive imaging to reduce unnecessary biopsies. This multicentric, case-control study evaluated the potential of dynamic optical coherence tomography (D-OCT) to identify distinguishing microvascular features in nevi. A total of 167 nevi, including dysplastic ones, on 130 participants of all ages and sexes were examined by D-OCT and dermoscopy with a histological reference. Three blinded analyzers evaluated the lesions. Then, we compared the features to those in 159 melanomas of a prior D-OCT study and determined if a differential diagnosis was possible. We identified specific microvascular features in nevi and a differential diagnosis of melanomas and nevi was achieved with excellent predictive values. We conclude that D-OCT overcomes OCT´s inability to distinguish melanocytic lesions based on its focus on microvascularization. To determine if an addition to the gold standard of a clinical-dermoscopic examination improves the diagnosis of unclear lesions, further studies, including a larger sample of dysplastic nevi and artificial intelligence, should be conducted

    Dose-escalated salvage radiotherapy after radical prostatectomy in high risk prostate cancer patients without hormone therapy: outcome, prognostic factors and late toxicity

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    Purpose: Evaluation of dose escalated salvage radiotherapy (SRT) in patients after radical prostatectomy (RP) who had never received antihormonal therapy. To investigate prognostic factors of the outcome of SRT and to analyze which patient subsets benefit most from dose escalation. Materials and methods: Between 2002 and 2008, 76 patients were treated in three different dose-groups: an earlier cohort treated with 66 Gy irrespective of pre-RT-characteristics and two later cohorts treated with 70 Gy or 75 Gy depending on pre-RT-characteristics. Biochemical-relapse-free-survival (bRFS), clinical-relapse-free-survival (cRFS) and late toxicity were evaluated. Results: Four-year bRFS and cRFS were 62.5% and 85%. Gleason score <8, positive surgical resection margin (PSRM) and low PSA (<= 0.5 ng/ml) before SRT resulted in higher bRFS. Analysis of the whole group showed no clear dose-outcome relationship. Patients with PSRM, however, had improved bRFS when escalating >66 Gy. While >70 Gy did not improve the overall results, 4-year bRFS for patients with manifest local recurrence in the high-dose group was still comparable to those without manifest local recurrences. No grade 4 and minimal grade 3 gastrointestinal and urinary toxicity were observed. Conclusions: Dose-escalated SRT achieves high biochemical control. The data strongly support the application of at least 70 Gy rather than 66 Gy. They do not prove positive effects of doses >70 Gy but do not disprove them as these doses were only applied to an unfavorable patients selection

    Electrochemical membrane reactor for oxygen separation after CO2 plasmolysis

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    Plasma activated electrolysis for cogeneration of nitric oxide and hydrogen from water and nitrogen

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    With increasing global interest in renewable energy technology given the backdrop of climate change, storage of electrical energy has become particularly relevant. Most sustainable technologies (e.g., wind and solar) produce electricity intermittently. Thus, converting electrical energy and base molecules (i.e., H2O, N2) into energy-rich ones (e.g., H2, NH3) or chemical feedstock (e.g., NO) is of paramount importance. While H2O splitting is compatible with renewable electricity, N2 fixation is currently dominated by thermally activated processes. In this work, we demonstrate an all-electric route for simultaneous NO and H2 production. In our approach, H2O is reduced to H2 in the cathode of a solid oxide electrolyzer while NO is produced in the anode by the reaction of O2– species (transported via the electrolyte) and plasma-activated N2 species. High faradaic efficiencies up to 93% are achieved for NO production at 650 °C, and NO concentration is &gt;1000 times greater than the equilibrium concentration at the same temperature and pressure.</p

    Modes of Oscillation in Radiofrequency Paul Traps

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    We examine the time-dependent dynamics of ion crystals in radiofrequency traps. The problem of stable trapping of general three-dimensional crystals is considered and the validity of the pseudopotential approximation is discussed. We derive analytically the micromotion amplitude of the ions, rigorously proving well-known experimental observations. We use a method of infinite determinants to find the modes which diagonalize the linearized time-dependent dynamical problem. This allows obtaining explicitly the ('Floquet-Lyapunov') transformation to coordinates of decoupled linear oscillators. We demonstrate the utility of the method by analyzing the modes of a small `peculiar' crystal in a linear Paul trap. The calculations can be readily generalized to multispecies ion crystals in general multipole traps, and time-dependent quantum wavefunctions of ion oscillations in such traps can be obtained.Comment: 24 pages, 3 figures, v2 adds citations and small correction

    Agency, Values, and Well-Being: A Human Development Model

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    This paper argues that feelings of agency are linked to human well-being through a sequence of adaptive mechanisms that promote human development, once existential conditions become permissive. In the first part, we elaborate on the evolutionary logic of this model and outline why an evolutionary perspective is helpful to understand changes in values that give feelings of agency greater weight in shaping human well-being. In the second part, we test the key links in this model with data from the World Values Surveys using ecological regressions and multi-level models, covering some 80 societies worldwide. Empirically, we demonstrate evidence for the following sequence: (1) in response to widening opportunities of life, people place stronger emphasis on emancipative values, (2) in response to a stronger emphasis on emancipative values, feelings of agency gain greater weight in shaping people’s life satisfaction, (3) in response to a greater impact of agency feelings on life satisfaction, the level of life satisfaction itself rises. Further analyses show that this model is culturally universal because taking into account the strength of a society’s western tradition does not render insignificant these adaptive linkages. Precisely because of its universality, this is indeed a ‘human’ development model in a most general sense

    CO2 conversion via coupled plasma-electrolysis process

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    Surplus renewable electricity used to convert CO2 into CO, the building block of liquid fuels, advances the energy transition by enabling large-scale, long-term energy storage and the synthesis of fuel for long-haul transportation. Among the various technologies developed, renewable electricity driven conversion of CO2 by high-temperature electrolysis and by plasmolysis offer a tantalising potential. High-temperature electrolysis is characterized by high-yield and energy-efficiency and the direct separation of the CO2 dissociation products CO and O2. However, the difficulty to break the carbon-oxygen double bond poses challenging requirements on electrode materials. CO2 plasmolysis on the other hand, offers a similar energy efficiency, does not employ scarce materials, is easy to upscale, but requires efficient gas separation and recuperation because the produced CO remains mixed with O2 and residual CO2. Here, we demonstrate that the coupling of the two processes leads to a renewable-electricity-driven route for producing CO from CO2, overcoming the main bottleneck of CO2 plasmolysis. A simulated CO2 plasmolysis gas mixture is supplied to a high-temperature electrolyser to separate the product gases electrochemically. Our results show that the product stream of the coupled-process contains 91% less oxygen and 138% more CO compared with the bare plasmolysis process. Apart from upgrading the produced gas mixture, this coupled approach benefits from material stability. Durability tests (~100 h) show better stability in coupled operation when compared with conventional CO2 electrolysis. Synergy between plasmolysis and electrolysis opens up a novel route to efficient CO2 conversion into valuable CO feedstock for the synthesis of long-chain hydrocarbons

    Designing spin-spin interactions with one and two dimensional ion crystals in planar micro traps

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    We discuss the experimental feasibility of quantum simulation with trapped ion crystals, using magnetic field gradients. We describe a micro structured planar ion trap, which contains a central wire loop generating a strong magnetic gradient of about 20 T/m in an ion crystal held about 160 \mu m above the surface. On the theoretical side, we extend a proposal about spin-spin interactions via magnetic gradient induced coupling (MAGIC) [Johanning, et al, J. Phys. B: At. Mol. Opt. Phys. 42 (2009) 154009]. We describe aspects where planar ion traps promise novel physics: Spin-spin coupling strengths of transversal eigenmodes exhibit significant advantages over the coupling schemes in longitudinal direction that have been previously investigated. With a chip device and a magnetic field coil with small inductance, a resonant enhancement of magnetic spin forces through the application of alternating magnetic field gradients is proposed. Such resonantly enhanced spin-spin coupling may be used, for instance, to create Schr\"odinger cat states. Finally we investigate magnetic gradient interactions in two-dimensional ion crystals, and discuss frustration effects in such two-dimensional arrangements.Comment: 20 pages, 13 figure
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