109 research outputs found

    Scatter-free pickup ions beyond the heliopause as a model for the Interstellar Boundary Explorer (IBEX) ribbon

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    We present new kinetic-gasdynamic model of the solar wind interaction with the local interstellar medium. The model incorporates several processes suggested by McComas et al. (2009) for the origin of the heliospheric ENA ribbon -- the most prominent feature seen in the all sky maps of heliospheric ENAs discovered by the Interstellar Boundary Explorer (IBEX). The ribbon is a region of enhanced fluxes of ENAs crossing almost the entire sky. Soon after the ribbon's discovery it was realized (McComas et al., 2009) that the enhancement of the fluxes could be in the directions where the radial component of the interstellar magnetic field around the heliopause is close to zero (Schwadron et al., 2009). Our model includes secondary charge exchange of the interstellar H atoms with the interstellar pickup protons outside the heliopause and is a further advancement of the kinetic-gasdynamic model by Malama et al. (2006) where pickup protons were treated as a separate kinetic component. Izmodenov et al. (2009) have shown in the frame of Malama's model that the interstellar pickup protons outside the heliopause maybe a significant source of ENAs at energies above 1 keV. The difference between the current work and that of Izmodenov et al. (2009) is in the assumption of no-scattering for newly created pickup protons outside the heliopause. In this limit the model produces a feature qualitatively similar to the ribbon observed by IBEX.Comment: submitted to ApJ

    Fluorescence of the Polymethine Dye Tiks and Diagnostics af Cancert

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    It is shown that the fluorescence of the polymethine dye TIKS, whose absorption and fluorescence bands are located in the spectral region of transmission of biological tissues, can be recorded from a depth of up to 1.5 cm of an animal’s body. The intensity of the fluorescence recorded from the surface of the animal’s body in intravenous injection of the dye (1–2 mg/kg) is in direct proportion to its concentration in tumor nodes and muscles. In rapidly growing tumors, a high (up to 3.6) degree of contrast of the content of the dye is attained in tumor tissues as compared to the surrounding normal tissues. Over the course of 7 days after the injection, the dye is practically completely removed from both the tumor and normal muscular tissues. From the change in the fluorescence intensity in scanning the surface one can determine the regions of localization of tumor nodes against the background of the surrounding normal tissues and the presence of regions with a nonuniform distribution of the dye

    НовыС Π΄Π°Π½Π½Ρ‹Π΅ ΠΎ трансформации стока Π²ΠΎΠ΄Ρ‹ ΠΈ наносов Π² Π΄Π΅Π»ΡŒΡ‚Π΅ Ρ€Π΅ΠΊΠΈ Π›Π΅Π½Ρ‹ ΠΏΠΎ ΠΈΡ‚ΠΎΠ³Π°ΠΌ экспСдиционных ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ Π² августС 2022 Π³.

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    Field hydrological measurements were performed in the Lena River delta from the 10th to the 16th of August 2022. 25 values of water discharge and 58 suspended sediment concentrations (SSC) were measured, multiple chemical composition water samples were taken, along with samples of bottom and bank river sediments, and thermal abrasion coasts were highlighted. Particle size and chemical composition analyses of the sediment samples were carried out. The aim of the study was to estimate the water flow distribution in the delta and to determine the directional SSC, sediment particle size and chemical composition changes along the delta and inside the depth of the river flow, and define the roles of the local hydrological and morphological factors of river flow transformation. Moreover, field measurements are crucial for SSC estimation and monitoring based on satellite image data. The laboratory analyses included particle size definition in suspended and bottom sediment samples, organic matter and SSC definition. The August 2022 expedition results were compared to the previous surveys. It was established that the flow distribution around the Stolb island corresponds with that of 2016: the Bykovsky, Trophimovsky, Tumatsky and Oleneksky branches receive 24.9–25.5, 58–59.2, 6 and 6.6 % of the water discharge from the Kusur gauging station on the Lena River, respectively. However, the role of the Main channel was slightly overestimated. The new data includes water discharges in the branches around the Samoilovsky island and in the channel systems of the Oleneksky and Tumatsky branches. SSC was relatively low and amounted to around 12–24 mg/l, rising from the water surface to the bottom 1.2–2 times. SSC decreased along the course of the Oleneksky and Tumatsky branches (1.5 and 1.1 times, respectively) due to the ratio between SSC and the potential stream transport capacity. SSC rose along the course of the Bykovsky branch, even though it wasn’t shown by the Landsat-8 satellite image (16th of August 2022). A significant sediment source in the delta are eroded and thermo eroded shores of the edoma island systems. The average sediment size proved to be from 0.011 to 0.019 mm. SSC does not vary much around the main channel and the nearest branches. Important relations between SSC, optical turbidity and ADCP backscatter intensity were estimated. The coarse diameter of 30 bottom sediment samples was 0.46 mm. The largest sediments were discovered in the Bykovsky branch, while the smallest sediments were found in the smaller transverse branches. Along the Tumatsky and Oleneksky branches the bottom sediments alternate from fine to medium sands.Π‘Ρ‚Π°Ρ‚ΡŒΡ содСрТит Π²Π°ΠΆΠ½Ρ‹Π΅ ΠΈΡ‚ΠΎΠ³ΠΈ ΠΏΠΎΠ»Π΅Π²Ρ‹Ρ… ΠΈ комплСксных гидрологичСских исслСдований, ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ²ΡˆΠΈΡ…ΡΡ Π² Π΄Π΅Π»ΡŒΡ‚Π΅ Ρ€. Π›Π΅Π½Ρ‹ с 10 ΠΏΠΎ 16 августа 2022 Π³. Π‘Ρ‹Π»ΠΈ ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½Ρ‹ 25 расходов Π²ΠΎΠ΄Ρ‹ ΠΈ ΠΊΠΎΠ½Ρ†Π΅Π½Ρ‚Ρ€Π°Ρ†ΠΈΠΈ взвСсСй Π²Π±Ρ€Π΅Ρ‡Π½Ρ‹Ρ… Π²ΠΎΠ΄Π°Ρ…, ΠΎΡ‚ΠΎΠ±Ρ€Π°Π½Ρ‹ ΠΏΡ€ΠΎΠ±Ρ‹ Π²ΠΎΠ΄Ρ‹, ΠΎΠ±Ρ€Π°Π·Ρ†Ρ‹ Π΄ΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΈ Π±Π΅Ρ€Π΅Π³ΠΎΠ²ΠΎΠ³ΠΎ Π³Ρ€ΡƒΠ½Ρ‚ΠΎΠ² Π½Π° грануломСтричСский ΠΈ химичСский состав, ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½Ρ‹ Ρ€Π°Π·ΠΌΡ‹Π²Π°Π΅ΠΌΡ‹Π΅ Π±Π΅Ρ€Π΅Π³Π°. ЦСлью исслСдований Π±Ρ‹Π»ΠΎ ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ распрСдСлСниябстока Π²ΠΎΠ΄Ρ‹ ΠΈ наносов Π›Π΅Π½Ρ‹ ΠΌΠ΅ΠΆΠ΄Ρƒ Π΄Π΅Π»ΡŒΡ‚ΠΎΠ²Ρ‹ΠΌΠΈ Ρ€ΡƒΠΊΠ°Π²Π°ΠΌΠΈ, ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ мутности Π²ΠΎΠ΄Ρ‹, грануломСтричСского ΠΈ химичСского состава наносов ΠΎΡ‚ Π²Π΅Ρ€ΡˆΠΈΠ½Ρ‹ ΠΊ морскому ΠΊΡ€Π°ΡŽ Π΄Π΅Π»ΡŒΡ‚Ρ‹, ΠΏΠΎ Π³Π»ΡƒΠ±ΠΈΠ½Π΅ ΠΈ ΡˆΠΈΡ€ΠΈΠ½Π΅ ΠΏΠΎΡ‚ΠΎΠΊΠ°, Ρ€ΠΎΠ»ΠΈ Π² Π½ΠΈΡ… мСстных Π³ΠΈΠ΄Ρ€ΠΎΠ»ΠΎΠ³ΠΎ-морфологичСских ΠΈ Ρ‚Π΅Ρ€ΠΌΠΎΠ°Π±Ρ€Π°Π·ΠΈΠΎΠ½Π½Ρ‹Ρ… процСссов. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Π½Π°Ρ‚ΡƒΡ€Π½Ρ‹Π΅ Π΄Π°Π½Π½Ρ‹Π΅ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΡ‹ для познания особСнностСй соврСмСнного рассрСдоточСния стока Π²ΠΎΠ΄Ρ‹ ΠΈ наносов Π² ΠΎΠ³Ρ€ΠΎΠΌΠ½ΠΎΠΉ ΠΈ ΠΌΠ½ΠΎΠ³ΠΎΡ€ΡƒΠΊΠ°Π²Π½ΠΎΠΉ Π΄Π΅Π»ΡŒΡ‚Π΅ Π›Π΅Π½Ρ‹, Π΅Π³ΠΎ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ с ΠΌΠΎΠΌΠ΅Π½Ρ‚Π° послСдних стационарных ΠΈ экспСдиционных ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ, для Π΄Π΅ΡˆΠΈΡ„Ρ€ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΡ спутниковых снимков, Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ инструмСнтария для пСрСсчСта повСрхностных ΠΈΠ·ΠΌΠ΅Ρ€Π΅Π½ΠΈΠΉ Π² осрСднСнныС ΠΏΠΎ ΡΠ΅Ρ‡Π΅Π½ΠΈΡŽ ΠΏΠΎΡ‚ΠΎΠΊΠ°

    Π‘Π»ΡƒΡ‡Π°ΠΉ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎ мноТСствСнного синхронного Ρ€Π°Π΄ΠΈΠΎΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° Π² клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅

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    There is an increase in the number of patients with secondary malignant neoplasms. In addition, in some subgroups after radical cancer treatment, the lifetime risk of developing secondary malignant neoplasms can be as high as 33β€Š%. Secondary malignancies remain an important cause of death in patients who have received radical cancer treatment. The presented clinical case demonstrates the risk of developing primary multiple malignant neoplasms after radiation therapy and chemotherapy. A 39-year-old patient with diffuse large B-cell non-Hodgkin lymphoma underwent definitive treatment including chemo-and radiotherapy. Ten years later, the patient developed the induced multiple malignant tumors: a malignant neoplasm of the heart β€” myofibrosarcoma of the right ventricle with invasion of the anterior wall of the right ventricle Stage IIIB G2T3N0M0, left breast cancer Stage IIIA T3N2M0. The choice of treatment tactics for this category of patients remains particularly difficult.Π’ структурС заболСваСмости Π½Π°Π±Π»ΡŽΠ΄Π°Π΅Ρ‚ΡΡ рост числа ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π²Ρ‚ΠΎΡ€ΠΈΡ‡Π½Ρ‹ΠΌΠΈ злокачСствСнными новообразованиями. ΠšΡ€ΠΎΠΌΠ΅ Ρ‚ΠΎΠ³ΠΎ, Π² ΠΎΡ‚Π΄Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΏΠΎΠ΄Π³Ρ€ΡƒΠΏΠΏΠ°Ρ… послС Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ лСчСния Ρ€Π°ΠΊΠ° ΠΏΠΎΠΆΠΈΠ·Π½Π΅Π½Π½Ρ‹ΠΉ риск развития Π²Ρ‚ΠΎΡ€ΠΈΡ‡Π½Ρ‹Ρ… злокачСствСнных Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ ΠΌΠΎΠΆΠ΅Ρ‚ Π΄ΠΎΡΡ‚ΠΈΠ³Π°Ρ‚ΡŒ 33 %. Π’Ρ‚ΠΎΡ€ΠΈΡ‡Π½Ρ‹Π΅ злокачСствСнныС новообразования ΠΎΡΡ‚Π°ΡŽΡ‚ΡΡ Π²Π°ΠΆΠ½ΠΎΠΉ ΠΏΡ€ΠΈΡ‡ΠΈΠ½ΠΎΠΉ смСрти ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΠΎΠ»ΡƒΡ‡ΠΈΠ²ΡˆΠΈΡ… Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½ΠΎΠ΅ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρƒ Ρ€Π°ΠΊΠ°. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Π½Ρ‹ΠΉ клиничСский случай дСмонстрируСт Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎ-мноТСствСнных злокачСствСнных Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ послС Π»ΡƒΡ‡Π΅Π²ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΈ Ρ…ΠΈΠΌΠΈΠΎΡ‚Π΅Ρ€Π°ΠΏΠΈΠΈ. ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠ° Π² 39 Π»Π΅Ρ‚ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρƒ Π΄ΠΈΡ„Ρ„ΡƒΠ·Π½ΠΎΠΉ ΠΊΡ€ΡƒΠΏΠ½ΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠΉ Π’-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠΉ нСходТскинской Π»ΠΈΠΌΡ„ΠΎΠΌΡ‹ ΠΏΡ€ΠΎΡˆΠ»Π° Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½Ρ‹ΠΉ курс лСчСния. Π§Π΅Ρ€Π΅Π· 10 Π»Π΅Ρ‚ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠΈ Π±Ρ‹Π»ΠΈ выявлСны Ρ€Π°Π΄ΠΈΠΎΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Π΅ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎ мноТСствСнныС ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ: злокачСствСнная миофибросаркома ΠΏΡ€Π°Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡ΠΊΠ° сСрдца IIIB стадии β€” G2T3N0M0, Ρ€Π°ΠΊ Π»Π΅Π²ΠΎΠΉ ΠΌΠΎΠ»ΠΎΡ‡Π½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ‹ IIIA стадии β€” T3N2M0. ΠžΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠΈ лСчСния для Π΄Π°Π½Π½ΠΎΠΉ ΠΊΠ°Ρ‚Π΅Π³ΠΎΡ€ΠΈΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… остаСтся особСнно слоТным

    ΠšΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΠΈΠΉ случай лСчСния мСтастатичСского ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ° ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠ΅ΠΉ Π½ΠΈΠ²ΠΎΠ»ΡƒΠΌΠ°Π±Π° с кабозантинибом Π²Β Ρ€ΡƒΡ‚ΠΈΠ½Π½ΠΎΠΉ клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅

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    According to GLOBOCAN, there were about 18 million new cases of cancer and 9.6 million deaths from malignancies worldwide in 2018. Renal cell carcinoma is a malignant tumor characterized by the loss of the VHL gene, which leads to increased angiogenesis. The potential of immuno-oncology and anti-angiogenic drugs has significantly improved outcomes for patients with metastatic renal cell carcinoma. The phase III CheckMate 9ER study compared the efficacy and safety of nivolumab plus cabozantinib versus sunitinib in the first-line treatment of patients with metastatic clear cell renal cell carcinoma. The advantages of nivolumab plus cabozantinib over sunitinib in terms of progression-free survival, overall survival, and objective response rate were generally similar across subgroups based on IMDC risk, PD-L1 expression, and the presence or absence of bone metastases. We present a case report of metastatic renal cell carcinoma. The patient has been on cabozantinib plus nivolumab therapy for 12 months, with a partial response achieved. Treatment was well tolerated; the profile of adverse events was consistent with that in the clinical study.По Π΄Π°Π½Π½Ρ‹ΠΌ GLOBOCAN, Π² 2018 Π³ΠΎΠ΄Ρƒ зарСгистрировано ΠΎΠΊΠΎΠ»ΠΎ 18 ΠΌΠΈΠ»Π»ΠΈΠΎΠ½ΠΎΠ² Π½ΠΎΠ²Ρ‹Ρ… случаСв Ρ€Π°ΠΊΠ° ΠΈ 9,6 ΠΌΠΈΠ»Π»ΠΈΠΎΠ½ΠΎΠ² смСртСй ΠΎΡ‚ злокачСствСнных Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ Π²ΠΎ всСм ΠΌΠΈΡ€Π΅. ΠŸΠΎΡ‡Π΅Ρ‡Π½ΠΎ-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ Ρ€Π°ΠΊ прСдставляСт собой ΠΎΠΏΡƒΡ…ΠΎΠ»ΡŒ, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‰ΡƒΡŽΡΡΡ ΠΏΠΎΡ‚Π΅Ρ€Π΅ΠΉ Π³Π΅Π½Π° VHL, ΠΈ эта потСря ΠΏΡ€ΠΈΠ²ΠΎΠ΄ΠΈΡ‚ ΠΊ ΡƒΡΠΈΠ»Π΅Π½ΠΈΡŽ Π°Π½Π³ΠΈΠΎΠ³Π΅Π½Π΅Π·Π°. ВозмоТности примСнСния иммуноонкологичСских ΠΈ Π°Π½Ρ‚ΠΈΠ°Π½Π³ΠΈΠΎΠ³Π΅Π½Π½Ρ‹Ρ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΡƒΠ»ΡƒΡ‡ΡˆΠΈΠ»ΠΈ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ лСчСния ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с мСтастатичСским ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎ-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ Ρ€Π°ΠΊΠΎΠΌ. ИсслСдованиС III Ρ„Π°Π·Ρ‹ CheckMate 9ER посвящСно ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ эффСктивности ΠΈ бСзопасности ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΈ Π½ΠΈΠ²ΠΎΠ»ΡƒΠΌΠ°Π±Π° с ΠΊΠ°Π±ΠΎΠ·Π°Π½Ρ‚ΠΈΠ½ΠΈΠ±ΠΎΠΌ ΠΈ сунитиниба Π² Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΠ΅Ρ€Π²ΠΎΠΉ Π»ΠΈΠ½ΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² со свСтлоклСточным мСтастатичСским ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎ-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌ Ρ€Π°ΠΊΠΎΠΌ. ΠŸΡ€Π΅ΠΈΠΌΡƒΡ‰Π΅ΡΡ‚Π²Π° ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΈ Π½ΠΈΠ²ΠΎΠ»ΡƒΠΌΠ°Π±Π° ΠΈ ΠΊΠ°Π±ΠΎΠ·Π°Π½Ρ‚ΠΈΠ½ΠΈΠ±Π° Π² сравнСнии с сунитинибом Π² ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠΈ отсутствия прогрСссирования, ΠΎΠ±Ρ‰Π΅ΠΉ выТиваСмости ΠΈ частоты ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΎΡ‚Π²Π΅Ρ‚ΠΎΠ² Π² Ρ†Π΅Π»ΠΎΠΌ Π±Ρ‹Π»ΠΈ ΠΎΠ΄ΠΈΠ½Π°ΠΊΠΎΠ²Ρ‹ΠΌΠΈ Π² ΠΏΠΎΠ΄Π³Ρ€ΡƒΠΏΠΏΠ°Ρ…, Π²ΠΊΠ»ΡŽΡ‡Π°Ρ Π³Ρ€ΡƒΠΏΠΏΡƒ риска ΠΏΠΎ IMDC, ΡΠΊΡΠΏΡ€Π΅ΡΡΠΈΡŽ ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΠΎΠ³ΠΎ PD-L1 ΠΈ Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ ΠΈΠ»ΠΈ отсутствиС мСтастатичСского пораТСния костной Ρ‚ΠΊΠ°Π½ΠΈ. ΠŸΡ€ΠΈΠ²Π΅Π΄Π΅Π½ΠΎ клиничСскоС наблюдСниС лСчСния ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с мСтастатичСским ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎ-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌ Ρ€Π°ΠΊΠΎΠΌ. Π’ настоящСС врСмя ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρƒ Π½Π° протяТСнии 12 мСсяцСв продолТаСтся тСрапия ΠΊΠ°Π±ΠΎΠ·Π°Π½Ρ‚ΠΈΠ½ΠΈΠ±ΠΎΠΌ ΠΈ Π½ΠΈΠ²ΠΎΠ»ΡƒΠΌΠ°Π±ΠΎΠΌ, сохраняСтся частичный ΠΎΡ‚Π²Π΅Ρ‚. ΠŸΠ΅Ρ€Π΅Π½ΠΎΡΠΈΠΌΠΎΡΡ‚ΡŒ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΡƒΠ΄ΠΎΠ²Π»Π΅Ρ‚Π²ΠΎΡ€ΠΈΡ‚Π΅Π»ΡŒΠ½Π°Ρ, спСктр Π½Π΅ΠΆΠ΅Π»Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… явлСний соотвСтствуСт Ρ‚Π°ΠΊΠΎΠ²ΠΎΠΌΡƒ Π² клиничСском исслСдовании

    Overview: Recent advances in the understanding of the northern Eurasian environments and of the urban air quality in China – a Pan-Eurasian Experiment (PEEX) programme perspective

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    The Pan-Eurasian Experiment (PEEX) Science Plan, released in 2015, addressed a need for a holistic system understanding and outlined the most urgent research needs for the rapidly changing Arctic-boreal region. Air quality in China, together with the long-range transport of atmospheric pollutants, was also indicated as one of the most crucial topics of the research agenda. These two geographical regions, the northern Eurasian Arctic-boreal region and China, especially the megacities in China, were identified as a β€œPEEX region”. It is also important to recognize that the PEEX geographical region is an area where science-based policy actions would have significant impacts on the global climate. This paper summarizes results obtained during the last 5 years in the northern Eurasian region, together with recent observations of the air quality in the urban environments in China, in the context of the PEEX programme. The main regions of interest are the Russian Arctic, northern Eurasian boreal forests (Siberia) and peatlands, and the megacities in China. We frame our analysis against research themes introduced in the PEEX Science Plan in 2015. We summarize recent progress towards an enhanced holistic understanding of the land–atmosphere–ocean systems feedbacks. We conclude that although the scientific knowledge in these regions has increased, the new results are in many cases insufficient, and there are still gaps in our understanding of large-scale climate–Earth surface interactions and feedbacks. This arises from limitations in research infrastructures, especially the lack of coordinated, continuous and comprehensive in situ observations of the study region as well as integrative data analyses, hindering a comprehensive system analysis. The fast-changing environment and ecosystem changes driven by climate change, socio-economic activities like the China Silk Road Initiative, and the global trends like urbanization further complicate such analyses. We recognize new topics with an increasing importance in the near future, especially β€œthe enhancing biological sequestration capacity of greenhouse gases into forests and soils to mitigate climate change” and the β€œsocio-economic development to tackle air quality issues”

    Pan-Eurasian Experiment (PEEX): Towards a holistic understanding of the feedbacks and interactions in the land-Atmosphere-ocean-society continuum in the northern Eurasian region

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    The northern Eurasian regions and Arctic Ocean will very likely undergo substantial changes during the next decades. The Arctic-boreal natural environments play a crucial role in the global climate via albedo change, carbon sources and sinks as well as atmospheric aerosol production from biogenic volatile organic compounds. Furthermore, it is expected that global trade activities, demographic movement, and use of natural resources will be increasing in the Arctic regions. There is a need for a novel research approach, which not only identifies and tackles the relevant multi-disciplinary research questions, but also is able to make a holistic system analysis of the expected feedbacks. In this paper, we introduce the research agenda of the Pan-Eurasian Experiment (PEEX), a multi-scale, multi-disciplinary and international program started in 2012 (https://www.atm.helsinki.fi/peex/). PEEX sets a research approach by which large-scale research topics are investigated from a system perspective and which aims to fill the key gaps in our understanding of the feedbacks and interactions between the land-Atmosphere-Aquatic-society continuum in the northern Eurasian region. We introduce here the state of the art for the key topics in the PEEX research agenda and present the future prospects of the research, which we see relevant in this context

    Ecological assessment of the Selenga River basin, the main tributary of Lake Baikal, using aquatic macroinvertebrate communities as bioindicators

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    The Selenga River is the main tributary of Lake Baikal (Siberian, Russia). In 2015/2016, the water quality at previously identified contaminated hotspot regions in the lower Selenga River basin was evaluated using resident aquatic macroinvertebrate communities as bioindicators. Benthic macroinvertebrate communities within the Selenga River were found to be relatively sensitive to water pollution as was highlighted by three evaluated biotic indices:Average Score per Taxon (ASPT); Ephemeroptera-Plecoptera-Trichoptera density index (EPT); and Trent Biological Index (TBI). The human impact on the Selenga River basin water quality was evident due to the significant decrease of the biotic indices at several sample locations including downstream of the wastewater discharge point of Ulan-Ude city, in the Dzhida River downstream of the confluence of the Modonkul River, and especially in the Modonkul River near to the mining operations at Zakamensk. At the same time, our study revealed a high self-regeneration ability of the aquatic ecosystem throughout the basin; with resident benthic macroinvertebrate communities appearing to recover in both the Selenga River and the Dzhida River within two to five km downstream of the contamination source. The changes in the benthic communities at the Selenga delta sampling sites were shown to occur under the influence of natural factors such as hydrological conditions and benthic sediment type, which significantly changed from the upper to the lower regions of the delta. For the Selenga delta, a typology of benthic macroinvertebrate communities including a map of their spatial distribution is presented
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