timed flat infusion tfi 5 fluorouracil with irinotecan and oxaliplatin in pancreatic adenocarcinomas a single institution experience with fir fox regimen

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'He just gave up': an exploratory study into the perspectives of paid carers on supporting older people living in care homes with depression, self-harm, and suicide ideation and behaviours

This study explored the concept of ‘giving up’ from the perspective of care staff working in care homes, and their everyday communication and hidden knowledge concerning what they think about this taboo topic and the context it reflects. Moving to a care home is a major transition where cumulative losses can pose risks to mental health in later life. If not recognised, this vulnerability can lead to depression which extends to suicide ideation and behaviours in the form of self-harm and self-neglect. Care homes are a significant place of care until death, yet a discourse of silence means that self-harm and suicide is under-reported or not attended to with specialist expertise. The layperson’s concept of an older person ‘giving up’ on life is hardly discussed in the literature. This co-produced qualitative study used an inductive approach to explore this phenomenon through focus groups with 33 care staff across four care homes in South-East England. Findings paint a complex picture, highlighting tensions in providing the right support and creating spaces to respond to such challenging situations. ‘Giving up’ requires skilled detailed assessment to respond to risks alongside improved training and support for paid carers, to achieve a more holistic strategy which capitalises on significant relationships within a wider context

Quantificação dos teores de açúcares, oligossacarídeos e amido em genótipos/ cultivares de soja (Glycine Max (L) Merril) especiais utilizados para alimentação humana.

RESUMO: Na soja, vários componentes, tais como açúcares, aminoácidos, ácidos orgânicos, sais inorgânicos, isoflavonas e saponinas estão relacionados com o sabor. Os açúcares, a sacarose e o amido, podem melhorar o sabor e a textura da soja. O objetivo deste trabalho foi quantificar os teores desses compostos e dos oligossacarídeos, em sementes de 28 genótipos/cultivares do Banco Ativo de Germoplasma da Embrapa Soja, que apresentam características especiais para o melhoramento genético. Os açúcares e os oligossacarídeos foram quantificados pela técnica de cromatografia liquida de alto desempenho (CLAE) e o amido pela metodologia adaptada de Rickard e Behn (1987). Os genótipos PI 417.159 e F83-8119 apresentaram menores teores de oligossacarídeos totais (2,744 e 3,064 g.100 g de massa seca). As cultivares Tambaguro e Koji Amarela foram as que apresentaram teores de sacarose superiores a 6 g.100 g–1 de massa seca(6,327 e 6,162), enquanto que a única cultivar que apresentou um teor superior a 1 g.100g–1–1 de massa seca de amido foi a Tambaguro (1,191). As cultivares Koji Preta, Tamahomare, Tambaguro e BRS 267 foram estatisticamente superiores quando os 3 atributos (oligossacarídeos totais, sacarose e amido) foram avaliados conjuntamente, com o foco em sabor superior. As cultivares Koji Preta, Tamahomare, Tambaguro foram as melhores fontes genéticas indicadas para cruzamentos, pois não são tropicalizadas, enquanto a cultivar BRS 267 pode melhorar as qualidades sensoriais dos produtos processados a partir de soja. Por outro lado, a cultivar Late Giant, devido ao maior teor de oligossacarídeos, é uma fonte genética em potencial para produção de um alimento funcional à base de soja. ABSTRACT: In soybeans, many components such as sugars, amino acids, organic acids, inorganic salts, saponins and isoflavones are related to the flavour. The sugars, sucrose and starch can improve the soybean flavour and texture. The present study aimed to quantify the contents of these compounds and also the oligosaccharides in the seeds from 28 genotypes/cultivars obtained from the Embrapa Soybean Germplasm Bank, that present special characteristics for genetic improvement programmes. The sugars and oligosaccharides were quantified by high-performance liquid chromatography (HPLC) and the starch by methodology adapted from Rickard e Behn (1987). The genotypes PI 417.159 and F83-8119 showed the lowest contents of total oligosaccharides (2.744 and 3.064 g.100 g DW). The cultivars Tambaguro and Koji Amarela showed sucrose levels above 6 g.100 g–1 DW (6.327 and 6.162), and the only cultivar with a starch content above 1 g.100 g–1 DW was Tambaguro (1.191). The cultivars Koji Preta, Tamahomare, Tambaguro and BRS 267 were statistically better when the 3 attributes (total oligosaccharides, sucrose and starch) were analysed together with a focus on better flavour. The cultivars Koji Preta, Tamahomare, Tambaguro were the best genetic sources for breeding because they have not been tropicalized, whilst the cultivar BRS 267 could improve the sensory qualities of processed soybean-based foods. On the other hand, on account of its higher oligosaccharide content, the cultivar Late Giant is a potential genetic source for the production of functional soybean-based foods

Transcribed ultraconserved noncoding RNAs (T-UCR) are involved in Barrett's esophagus carcinogenesis.

Barretts esophagus (BE) involves a metaplastic replacement of native esophageal squamous epithelium (Sq) by columnar-intestinalized mucosa, and it is the main risk factor for Barrett-related adenocarcinoma (BAc). Ultra-conserved regions (UCRs) are a class non-coding sequences that are conserved in humans, mice and rats. More than 90% of UCRs are transcribed (T-UCRs) in normal tissues, and are altered at transcriptional level in tumorigenesis. To identify the T-UCR profiles that are dysregulated in Barretts mucosa transformation, microarray analysis was performed on a discovery set of 51 macro-dissected samples obtained from 14 long-segment BE patients. Results were validated in an independent series of esophageal biopsy/surgery specimens and in two murine models of Barretts esophagus (i.e. esophagogastric-duodenal anastomosis). Progression from normal to BE to adenocarcinoma was each associated with specific and mutually exclusive T-UCR signatures that included up-regulation of uc.58-, uc.202-, uc.207-, and uc.223- and down-regulation of uc.214+. A 9 T-UCR signature characterized BE versus Sq (with the down-regulation of uc.161-, uc.165-, and uc.327-, and the up-regulation of uc.153-, uc.158-, uc.206-, uc.274-, uc.472-, and uc.473-). Analogous BE-specific T-UCR profiles were shared by human and murine lesions. This study is the first demonstration of a role for T-UCRs in the transformation of Barretts mucosa

Slow relaxation in weakly open vertex-splitting rational polygons

The problem of splitting effects by vertex angles is discussed for nonintegrable rational polygonal billiards. A statistical analysis of the decay dynamics in weakly open polygons is given through the orbit survival probability. Two distinct channels for the late-time relaxation of type 1/t^delta are established. The primary channel, associated with the universal relaxation of ''regular'' orbits, with delta = 1, is common for both the closed and open, chaotic and nonchaotic billiards. The secondary relaxation channel, with delta > 1, is originated from ''irregular'' orbits and is due to the rationality of vertices.Comment: Key words: Dynamics of systems of particles, control of chaos, channels of relaxation. 21 pages, 4 figure

Adaptation of the Core Set for Vocational Rehabilitation for Cancer Survivors: A Qualitative Consensus-Based Study

Purpose: The Core Set for Vocational Rehabilitation (CS-VR) of the International Classification of Functioning, Disability and Health (ICF) describes the work functioning of individuals in need of VR. We aimed to adapt the CS-VR from the perspective of cancer survivors (CSs) and stakeholders, developing a CS-VR-Onco. Methods: We held five focus groups with 17 CSs who were employed at the time of diagnosis, to discuss their work reintegration experiences. After analyzing the focus group conversations, the CS-VR-Onco was developed. During a group interview, eleven stakeholders explored barriers/facilitations in assessing the work functioning of CSs by using the CS-VR-Onco. We applied the framework method and thematic analysis. Results: For the focus groups, the CS-VR-Onco of 85 categories emerged, and the ICF chapters of Mental functions, Exercise and tolerance functions, Interpersonal interactions and relationships, Major life areas, General tasks and demands, Mobility, Support and relationships, and Attitudes were prioritized. For the group interview, stakeholders\u2019 perspectives can be synthetized into two themes: close to the lived experience and usability criteria. Stakeholders confirmed the categories of the CS-VR-Onco, a checklist that should be used through an integrated approach across multiple disciplines. Conclusions: The adapted CS-VR-Onco reflects the CSs\u2019 lived experiences of work reintegration and the factors that have influenced this process. The CS-VR-Onco was described as complete and usable through an integrated approach

Transperineal versus transrectal prostate biopsy for predicting the final laterality of prostate cancer : are they reliable enough to select patients for focal therapy? Results from a multicenter international study

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Asymmetric Fluid Criticality I: Scaling with Pressure Mixing

The thermodynamic behavior of a fluid near a vapor-liquid and, hence, asymmetric critical point is discussed within a general ``complete'' scaling theory incorporating pressure mixing in the nonlinear scaling fields as well as corrections to scaling. This theory allows for a Yang-Yang anomaly in which \mu_{\sigma}^{\prime\prime}(T), the second temperature derivative of the chemical potential along the phase boundary, diverges like the specific heat when T\to T_{\scriptsize c}; it also generates a leading singular term, |t|^{2\beta}, in the coexistence curve diameter, where t\equiv (T-T_{\scriptsize c}) /T_{\scriptsize c}. The behavior of various special loci, such as the critical isochore, the critical isotherm, the k-inflection loci, on which \chi^{(k)}\equiv \chi(\rho,T)/\rho^{k} (with \chi = \rho^{2} k_{\scriptsize B}TK_{T}) and C_{V}^{(k)}\equiv C_{V}(\rho,T)/\rho^{k} are maximal at fixed T, is carefully elucidated. These results are useful for analyzing simulations and experiments, since particular, nonuniversal values of k specify loci that approach the critical density most rapidly and reflect the pressure-mixing coefficient. Concrete illustrations are presented for the hard-core square-well fluid and for the restricted primitive model electrolyte. For comparison, a discussion of the classical (or Landau) theory is presented briefly and various interesting loci are determined explicitly and illustrated quantitatively for a van der Waals fluid.Comment: 21 pages in two-column format including 8 figure

Aerobiology of the Wheat Blast Pathogen - Inoculum Monitoring and Detection of Fungicide Resistance Alleles

Wheat blast, caused by the ascomycetous fungus Pyricularia oryzae Triticum lineage (PoTl), is mainly controlled by fungicide use, but resistance to the main fungicide groups—sterol demethylase (DMI), quinone outside (QoI), and succinate dehydrogenase inhibitors (SDHI)—has been reported in Brazil. In order to rationalize fungicide inputs (e.g., choice, timing, dose-rate, spray number, and mixing/alternation) for managing wheat blast, we describe a new monitoring tool, enabling the quantitative measurement of pathogen’s inoculum levels and detection of fungicide resistance alleles. Wheat blast airborne spores (aerosol populations) were monitored at Londrina in Paraná State, a major wheat cropping region in Brazil, using an automated high-volume cyclone coupled with a lab-based quantitative real-time PCR (qPCR) assay. The objectives of our study were as follows: (1) to monitor the amount of PoTl airborne conidia during 2019–2021 based on DNA detection, (2) to reveal the prevalence of QoI resistant (QoI-R) cytochrome b alleles in aerosol populations of wheat blast, and (3) to determine the impact of weather on the dynamics of wheat blast aerosol populations and spread of QoI resistant alleles. PoTl inoculum was consistently detected in aerosols during the wheat cropping seasons from 2019 to 2021, but amounts varied significantly between seasons, with highest amounts detected in 2019. High peaks of PoTl DNA were also continuously detected during the off-season in 2020 and 2021. The prevalence of QoI resistant (QoI-R) cytochrome b G143A alleles in aerosol populations was also determined for a subset of 10 PoTl positive DNA samples with frequencies varying between 10 and 91% using a combination of PCR-amplification and SNP detection pyrosequencing. Statistically significant but low correlations were found between the levels of pathogen and the weather variables. In conclusion, for wheat blast, this system provided prior detection of airborne spore levels of the pathogen and of the prevalence of fungicide resistance alleles

Empreendedorismo em turismo rural: o caso do Norte de Portugal

A presente dissertação tem como objectivo principal estudar o empreendedorismo em turismo rural: o caso do Norte de Portugal, recorrendo para isso, a uma análise quantitativa. A análise efectuada é baseada numa amostra formada por empresas pertencentes ao sector do turismo em Portugal do Norte de Portugal que fossem empresas activas e que tivessem registado na base de dados um contacto de e-mail. Foram apuradas 267 empresas a quem se enviou um questionário tendo-se obtido 41 respostas válidas, sendo esse o número de empresas da nossa amostra final. Além dos dados obtidos via questionário foram recolhidos dados económico-financeiros através da base de dados empresarial SABI (Sistema de Análise de Balanços Ibéricos). Os resultados obtidos indicam que um maior nível de internacionalização, bem como mais elevadas habilitações académicas dos gestores das empresas se associam a melhores níveis de desempenho organizacional.This dissertation´s main objective is to study entrepreneurship in rural tourism: the case of Northern Portugal, using a quantitative analysis. The analysis is based on a sample of companies belonging to the tourism sector in northern Portugal who were active companies and had registered an e-mail contact in the database. To a total of 267 companies a questionnaire was sent and 41 valid answers were obtained, which is the number of companies in our final sample. In addition to the data obtained through the questionnaire, economic and financial data was collected through the SABI (Iberian Balance Sheet Analysis System) business database. The results obtained indicate that a higher level of internationalization and higher academic qualifications of company managers are associated with a better level of organizational performance