84 research outputs found

    The burden of chronic ureteral stenting in cervical cancer survivors

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    ABSTRACT ARTICLE INFO ______________________________________________________________ ______________________ Purpose: Ureteral obstruction in cervical cancer occurs in up to 11% of patients, many of whom undergo ureteral stenting. Our aim was to describe the patient burden of chronic ureteral stenting in a population-based cohort by detailing two objectives: (1) the frequency of repeat procedures for ureteral obstruction; and, (2) the frequency of urinary adverse effects (UAEs) (e.g., lower urinary tract symptoms, flank pain). Materials and Methods: From SEER-Medicare, we identified 202 women who underwent ureteral stent placement prior to or following cervical cancer treatment. The frequency of repeat procedures and rate ratios were compared between treatment modalities. The rates and rate ratios of UAEs were compared between our primary cohort (stent + cervical cancer) and the following groups: no stent + cervical cancer, stent + no cancer, and no stent + no cancer. The "no cancer" group was drawn from the 5% Medicare sample. Results: 117/202 women (58%) underwent >1 stent procedure. The frequency of additional procedures was significantly higher in patients who received radiation as part of their treatment. UAEs were very common in women with stent + cancer. The rate of UTI was 190 (per 100 person-years), 67 for LUTS, 42 for stones, and 6 for flank pain. These rates were 3-10 fold higher than in the no stent + no cancer control group; rates were also higher than in the no stent + cancer and the stent + no cancer women. Conclusions: The burden of disease associated with ureteral stents is higher than expected and urologists should be actively involved in stent management, screening for associated symptoms and offering definitive reconstruction when appropriate

    SLOTH: Structured Learning and Task-based Optimization for Time Series Forecasting on Hierarchies

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    Multivariate time series forecasting with hierarchical structure is widely used in real-world applications, e.g., sales predictions for the geographical hierarchy formed by cities, states, and countries. The hierarchical time series (HTS) forecasting includes two sub-tasks, i.e., forecasting and reconciliation. In the previous works, hierarchical information is only integrated in the reconciliation step to maintain coherency, but not in forecasting step for accuracy improvement. In this paper, we propose two novel tree-based feature integration mechanisms, i.e., top-down convolution and bottom-up attention to leverage the information of the hierarchical structure to improve the forecasting performance. Moreover, unlike most previous reconciliation methods which either rely on strong assumptions or focus on coherent constraints only,we utilize deep neural optimization networks, which not only achieve coherency without any assumptions, but also allow more flexible and realistic constraints to achieve task-based targets, e.g., lower under-estimation penalty and meaningful decision-making loss to facilitate the subsequent downstream tasks. Experiments on real-world datasets demonstrate that our tree-based feature integration mechanism achieves superior performances on hierarchical forecasting tasks compared to the state-of-the-art methods, and our neural optimization networks can be applied to real-world tasks effectively without any additional effort under coherence and task-based constraint

    Guidelines for reporting of statistics for clinical research in urology

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/148242/1/bju14640.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/148242/2/bju14640_am.pd

    Intermetallic Nanocatalysts from Heterobimetallic Group 10–14 Pyridine-2-thiolate Precursors

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    Intermetallic compounds are atomically ordered inorganic materials containing two or more transition metals and main-group elements in unique crystal structures. Intermetallics based on group 10 and group 14 metals have shown enhanced activity, selectivity, and durability in comparison to simple metals and alloys in many catalytic reactions. While high-temperature solid-state methods to prepare intermetallic compounds exist, softer synthetic methods can provide key advantages, such as enabling the preparation of metastable phases or of smaller particles with increased surface areas for catalysis. Here, we study a generalized family of heterobimetallic precursors to binary intermetallics, each containing a group 10 metal and a group 14 tetrel bonded together and supported by pincer-like pyridine-2-thiolate ligands. Upon thermal decomposition, these heterobimetallic complexes form 10–14 binary intermetallic nanocrystals. Experiments and density functional theory (DFT) computations help in better understanding the reactivity of these precursors toward the synthesis of specific intermetallic binary phases. Using Pd2Sn as an example, we demonstrate that nanoparticles made in this way can act as uniquely selective catalysts for the reduction of nitroarenes to azoxyarenes, which highlights the utility of the intermetallics made by our method. Employing heterobimetallic pincer complexes as precursors toward binary nanocrystals and other metal-rich intermetallics provides opportunities to explore the fundamental chemistry and applications of these materials

    Investigation on the Plasma-Induced Emission Properties of Large Area Carbon Nanotube Array Cathodes with Different Morphologies

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    Large area well-aligned carbon nanotube (CNT) arrays with different morphologies were synthesized by using a chemical vapor deposition. The plasma-induced emission properties of CNT array cathodes with different morphologies were investigated. The ratio of CNT height to CNT-to-CNT distance has considerable effects on their plasma-induced emission properties. As the ratio increases, emission currents of CNT array cathodes decrease due to screening effects. Under the pulse electric field of about 6 V/μm, high-intensity electron beams of 170–180 A/cm2 were emitted from the surface plasma. The production mechanism of the high-intensity electron beams emitted from the CNT arrays was plasma-induced emission. Moreover, the distribution of the electron beams was in situ characterized by the light emission from the surface plasma

    Check on the features of potted 20-inch PMTs with 1F3 electronics prototype at Pan-Asia

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    The Jiangmen underground neutrino observatory (JUNO) is a neutrino project with a 20-kton liquid scintillator detector located at 700-m underground. The large 20-inch PMTs are one of the crucial components of the JUNO experiment aiming to precision neutrino measurements with better than 3% energy resolution at 1 MeV. The excellent energy resolution and a large fiducial volume provide many exciting opportunities for addressing important topics in neutrino and astro-particle physics. With the container #D at JUNO Pan-Asia PMT testing and potting station, the features of waterproof potted 20-inch PMTs were measured with JUNO 1F3 electronics prototype in waveform and charge, which are valuable for better understanding on the performance of the waterproof potted PMTs and the JUNO 1F3 electronics. In this paper, basic features of JUNO 1F3 electronics prototype run at Pan-Asia will be introduced, followed by an analysis of the waterproof potted 20-inch PMTs and a comparison with the results from commercial electronics used by the container #A and #B
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