879 research outputs found
Le débat public en ligne : éléments sur l'équipement d'une démocratie dialogique
http://www.csi.ensmp.fr/Items/WorkingPapers/Download/DLWP.php?wp=WP_CSI_004.pdf(Provides a case study on the use of the Internet as a deliberative and participatory tool in technical controversies.)(Propose une étude de cas sur l'usage d'Internet comme instrument délibératif et participatif dans des controverses techniques.
Quand un problème technique devient un enjeu de co-construction entre experts et utilisateurs
Perspective sur les nouvelles formes de cette collaboration entre experts techniques et experts du quotidien
Collapsed bipolar glycolipids at the air/water interface: Effect of the stereochemistry on the stretched/bent conformations.
International audienceThis article describes a comparative study of several bipolar lipids derived from tetraether structures. The sole structural difference between the main two glycolipids is a unique stereochemical variation on a cyclopentyl ring placed in the middle of the lipids. We discuss the comparative results obtained at the air/water interface on the basis of tensiometry and ellipsometry. Langmuir-Blodgett depositions during lipid film compressions and decompressions were also analyzed by AFM. The lactosylated tetraether (bipolar) lipid structures involved the formation of highly stable multilayers, which are still present at 10mNm(-1) during decompression. This study suggests also that the stereochemistry of a central cyclopentyl ring dramatically drives the conformation of the corresponding bipolar lipids. Both isomers (trans and cis) adopt a U-shaped (bent) conformation at the air/water interface but the trans cyclopentyl ring induces a much more frustration within this type of conformation. Consequently, this bipolar lipid (trans-tetraether) undergoes a flip of one polar head-group (lactosyl) leading to a stretched conformation during collapse
Al son de las palabras
La Dirección de Educación Primaria y la Coordinación de Materiales Educativos lanzaron la Colección Piedra Libre, conformada por 30 fascículos.
El objetivo de esta colección es favorecer el aprendizaje en las áreas de Matemáticas, Lengua, Ciencias Sociales y Ciencias Naturales.
Los materiales fueron ilustrados por artistas de primer nivel como Rep, Istvansch, Isol, Claudia Legnazzi, Bianki y Bernasconi
The Dialogues Bioregional Project: Landscape Ecology in Central Italy from the Sixth Century to the Present
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Development and Validation of a New Prognostic System for Patients with Hepatocellular Carcinoma
BACKGROUND:
Prognostic assessment in patients with hepatocellular carcinoma (HCC) remains controversial. Using the Italian Liver Cancer (ITA.LI.CA) database as a training set, we sought to develop and validate a new prognostic system for patients with HCC.
METHODS AND FINDINGS:
Prospective collected databases from Italy (training cohort, n = 3,628; internal validation cohort, n = 1,555) and Taiwan (external validation cohort, n = 2,651) were used to develop the ITA.LI.CA prognostic system. We first defined ITA.LI.CA stages (0, A, B1, B2, B3, C) using only tumor characteristics (largest tumor diameter, number of nodules, intra- and extrahepatic macroscopic vascular invasion, extrahepatic metastases). A parametric multivariable survival model was then used to calculate the relative prognostic value of ITA.LI.CA tumor stage, Eastern Cooperative Oncology Group (ECOG) performance status, Child-Pugh score (CPS), and alpha-fetoprotein (AFP) in predicting individual survival. Based on the model results, an ITA.LI.CA integrated prognostic score (from 0 to 13 points) was constructed, and its prognostic power compared with that of other integrated systems (BCLC, HKLC, MESIAH, CLIP, JIS). Median follow-up was 58 mo for Italian patients (interquartile range, 26-106 mo) and 39 mo for Taiwanese patients (interquartile range, 12-61 mo). The ITA.LI.CA integrated prognostic score showed optimal discrimination and calibration abilities in Italian patients. Observed median survival in the training and internal validation sets was 57 and 61 mo, respectively, in quartile 1 (ITA.LI.CA score 64 1), 43 and 38 mo in quartile 2 (ITA.LI.CA score 2-3), 23 and 23 mo in quartile 3 (ITA.LI.CA score 4-5), and 9 and 8 mo in quartile 4 (ITA.LI.CA score > 5). Observed and predicted median survival in the training and internal validation sets largely coincided. Although observed and predicted survival estimations were significantly lower (log-rank test, p < 0.001) in Italian than in Taiwanese patients, the ITA.LI.CA score maintained very high discrimination and calibration features also in the external validation cohort. The concordance index (C index) of the ITA.LI.CA score in the internal and external validation cohorts was 0.71 and 0.78, respectively. The ITA.LI.CA score's prognostic ability was significantly better (p < 0.001) than that of BCLC stage (respective C indexes of 0.64 and 0.73), CLIP score (0.68 and 0.75), JIS stage (0.67 and 0.70), MESIAH score (0.69 and 0.77), and HKLC stage (0.68 and 0.75). The main limitations of this study are its retrospective nature and the intrinsically significant differences between the Taiwanese and Italian groups.
CONCLUSIONS:
The ITA.LI.CA prognostic system includes both a tumor staging-stratifying patients with HCC into six main stages (0, A, B1, B2, B3, and C)-and a prognostic score-integrating ITA.LI.CA tumor staging, CPS, ECOG performance status, and AFP. The ITA.LI.CA prognostic system shows a strong ability to predict individual survival in European and Asian populations
Topography and instability of monolayers near domain boundaries
We theoretically study the topography of a biphasic surfactant monolayer in
the vicinity of domain boundaries. The differing elastic properties of the two
phases generally lead to a nonflat topography of ``mesas'', where domains of
one phase are elevated with respect to the other phase. The mesas are steep but
low, having heights of up to 10 nm. As the monolayer is laterally compressed,
the mesas develop overhangs and eventually become unstable at a surface tension
of about K(dc)^2 (dc being the difference in spontaneous curvature and K a
bending modulus). In addition, the boundary is found to undergo a
topography-induced rippling instability upon compression, if its line tension
is smaller than about K(dc). The effect of diffuse boundaries on these features
and the topographic behavior near a critical point are also examined. We
discuss the relevance of our findings to several experimental observations
related to surfactant monolayers: (i) small topographic features recently found
near domain boundaries; (ii) folding behavior observed in mixed phospholipid
monolayers and model lung surfactants; (iii) roughening of domain boundaries
seen under lateral compression; (iv) the absence of biphasic structures in
tensionless surfactant films.Comment: 17 pages, 9 figures, using RevTeX and epsf, submitted to Phys Rev
Years of life that could be saved from prevention of hepatocellular carcinoma
BACKGROUND:
Hepatocellular carcinoma (HCC) causes premature death and loss of life expectancy worldwide. Its primary and secondary prevention can result in a significant number of years of life saved.
AIM:
To assess how many years of life are lost after HCC diagnosis.
METHODS:
Data from 5346 patients with first HCC diagnosis were used to estimate lifespan and number of years of life lost after tumour onset, using a semi-parametric extrapolation having as reference an age-, sex- and year-of-onset-matched population derived from national life tables.
RESULTS:
Between 1986 and 2014, HCC lead to an average of 11.5 years-of-life lost for each patient. The youngest age-quartile group (18-61 years) had the highest number of years-of-life lost, representing approximately 41% of the overall benefit obtainable from prevention. Advancements in HCC management have progressively reduced the number of years-of-life lost from 12.6 years in 1986-1999, to 10.7 in 2000-2006 and 7.4 years in 2007-2014. Currently, an HCC diagnosis when a single tumour <2 cm results in 3.7 years-of-life lost while the diagnosis when a single tumour 65 2 cm or 2/3 nodules still within the Milan criteria, results in 5.0 years-of-life lost, representing the loss of only approximately 5.5% and 7.2%, respectively, of the entire lifespan from birth.
CONCLUSIONS:
Hepatocellular carcinoma occurrence results in the loss of a considerable number of years-of-life, especially for younger patients. In recent years, the increased possibility of effectively treating this tumour has improved life expectancy, thus reducing years-of-life lost
Remarks on geometric quantum mechanics
Pursuing the aims of geometric quantum mechanics, it is shown in a geometrical fashion that, at least in finite dimensions, Schroedingerdynamics enjoys classical complete integrability, and several consequences therefrom are deduced, including a Hannay-type reinterpretation of Berry's phase and a geometric description of someaspects of the quantum measurement problem
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