Fetal heterotaxy with tricuspid atresia, pulmonary atresia, and isomerism of the right atrial appendages at 22 weeks.

We report the accurate prenatal diagnosis at 22 weeks gestation of right atrial isomerism in association with tricuspid atresia. Several distinctive sonographic features of isomerism of the right atrial appendages were present in this fetus: complex cardiac abnormality, ventriculoarterial discordance, juxtaposition of the aorta and the inferior vena cava to the right side, pulmonary atresia, and anomalous pulmonary venous return to the morphological right atrium. Tricuspid atresia, which is an extremely rare lesion within heterotaxy spectrum disorders, was present. Postnatal investigations confirmed all prenatally diagnosed abnormalities, with additional findings of pulmonary atresia with discontinuous pulmonary arteries and bilateral arterial ducts, asplenia, and bilateral eparterial bronchi. To our knowledge, tricuspid atresia in the setting of isomerism of the right atrial appendages has not previously been diagnosed or reported prenatally. Because of the complexity of cardiac lesions that may be present in cases of atrial isomerism, these disorders should be considered even if sonographic findings are uncommon or atypical

Exploiting the synergy between carboplatin and ABT-737 in the treatment of ovarian carcinomas

Platinum drug-resistance in ovarian cancers is a major factor contributing to chemotherapeutic resistance of recurrent disease. Members of the Bcl-2 family such as the anti-apoptotic protein Bcl-XL have been shown to play a role in this resistance. Consequently, concurrent inhibition of Bcl-XL in combination with standard chemotherapy may improve treatment outcomes for ovarian cancer patients. Here, we develop a mathematical model to investigate the potential of combination therapy with ABT-737, a small molecule inhibitor of Bcl-XL, and carboplatin, a platinum-based drug, on a simulated tumor xenograft. The model is calibrated against in vivo\ud experimental data, wherein tumor xenografts were established in mice and treated with ABT-737 and carboplatin on a fixed periodic schedule, alone or in combination, and tumor sizes recorded regularly. We show that the validated model can be used to predict the minimum drug load that will achieve a predetermined level of tumor growth inhibition, thereby maximizing the synergy between the two drugs. Our simulations suggest that the time of infusion of each carboplatin dose is a critical parameter, with an 8-hour infusion of carboplatin administered each week combined with a daily bolus dose of ABT-737 predicted to minimize residual disease. We also investigate the potential of ABT-737 co-therapy with carboplatin to prevent or delay the onset of carboplatin-resistance under two scenarios. When resistance is acquired as a result of aberrant DNA-damage repair in cells treated with carboplatin, the model is used to identify drug delivery schedules that induce tumor remission with even low doses of combination therapy. When resistance is intrinsic, due to a pre-existing cohort of resistant cells, tumor remission is no longer feasible, but our model can be used to identify dosing strategies that extend disease-free survival periods. These results underscore the potential of our model to accelerate the development of novel therapeutics such as ABT-737, by predicting optimal treatment strategies when these drugs are given in combination with currently approved cancer medications

Comparison of LANDSAT-2 and field spectrometer reflectance signatures of south Texas rangeland plant communities

The accuracy was assessed for an atmospheric correction method that depends on clear water bodies to infer solar and atmospheric parameters for radiative transfer equations by measuring the reflectance signature of four prominent south Texas rangeland plants with the LANDSAT satellite multispectral scanner (MSS) and a ground based spectroradiometer. The rangeland plant reflectances produced by the two sensors were correlated with no significant deviation of the slope from unity or of the intercept from zero. These results indicated that the atmospheric correction produced LANDSAT MSS estimates of rangeland plant reflectances that are as accurate as the ground based spectroradiometer

Reaction Diffusion and Ballistic Annihilation Near an Impenetrable Boundary

The behavior of the single-species reaction process $A+A\to O$ is examined near an impenetrable boundary, representing the flask containing the reactants. Two types of dynamics are considered for the reactants: diffusive and ballistic propagation. It is shown that the effect of the boundary is quite different in both cases: diffusion-reaction leads to a density excess, whereas ballistic annihilation exhibits a density deficit, and in both cases the effect is not localized at the boundary but penetrates into the system. The field-theoretic renormalization group is used to obtain the universal properties of the density excess in two dimensions and below for the reaction-diffusion system. In one dimension the excess decays with the same exponent as the bulk and is found by an exact solution. In two dimensions the excess is marginally less relevant than the bulk decay and the density profile is again found exactly for late times from the RG-improved field theory. The results obtained for the diffusive case are relevant for Mg$^{2+}$ or Cd$^{2+}$ doping in the TMMC crystal's exciton coalescence process and also imply a surprising result for the dynamic magnetization in the critical one-dimensional Ising model with a fixed spin. For the case of ballistic reactants, a model is introduced and solved exactly in one dimension. The density-deficit profile is obtained, as is the density of left and right moving reactants near the impenetrable boundary.Comment: to appear in J. Phys.

A successful campaign against the euro

RESULTS from a five-year research programme carried out by the C.S.I.R.O. on the Abydos-Woodstock Pastoral Research Station indicated that euros could be controlled in a practical and economic way by the traditional method of water poisoning, if it was continued for an extended period and carried out over a large area. Smallscale trials supported this claim, but no opportunity had occurred to assess the practicability of a large-scale poisoning operation

Children's construction task performance and spatial ability: controlling task complexity and predicting mathematics performance.

This paper presents a methodology to control construction task complexity and examined the relationships between construction performance and spatial and mathematical abilities in children. The study included three groups of children (N = 96); ages 7-8, 10-11, and 13-14 years. Each group constructed seven pre-specified objects. The study replicated and extended previous findings that indicated that the extent of component symmetry and variety, and the number of components for each object and available for selection, significantly predicted construction task difficulty. Results showed that this methodology is a valid and reliable technique for assessing and predicting construction play task difficulty. Furthermore, construction play performance predicted mathematical attainment independently of spatial ability

The National Cancer Institute of Canada Clinical Trials Group MAP.3 Trial: An International Breast Cancer Prevention Trial

Several large phase iii trials have demonstrated that tamoxifen—and more recently, raloxifene—can effectively reduce the incidence of invasive breast cancer by 50%. However, these selective estrogen receptor modulators can also be associated with several rare, but serious, adverse events. Recently, the third-generation aromatase inhibitors (AIS) have demonstrated excellent efficacy in adjuvant breast cancer trials, and they show particular promise in the breast cancer prevention setting. The National Cancer Institute of Canada Clinical Trials Group (NCIC CTG) has developed a randomized phase iii study to determine the efficacy of an ai (exemestane) to reduce the incidence of invasive breast cancer in postmenopausal women at an increased risk for developing breast cancer. The ncic ctg map.3 (ExCel) trial is a double-blind placebo-controlled multicentre, multinational trial. Based on the known preclinical and clinical profile of the ais, a greater reduction in breast cancer incidence with fewer side effects is hypothesized with this class of agents than with tamoxifen or raloxifene

Localisation Transition of A Dynamic Reaction Front

We study the reaction-diffusion process $A+B\to \emptyset$ with injection of each species at opposite boundaries of a one-dimensional lattice and bulk driving of each species in opposing directions with a hardcore interaction. The system shows the novel feature of phase transitions between localised and delocalised reaction zones as the injection rate or reaction rate is varied. An approximate analytical form for the phase diagram is derived by relating both the domain of reactants $A$ and the domain of reactants $B$ to asymmetric exclusion processes with open boundaries, a system for which the phase diagram is known exactly, giving rise to three phases. The reaction zone width $w$ is described by a finite size scaling form relating the early time growth, relaxation time and saturation width exponents. In each phase the exponents are distinct from the previously studied case where the reactants diffuse isotropically.Comment: 13 pages, latex, uses eps