12,674 research outputs found
Pathway to a Compact SASE FEL Device
Newly developed high peak power lasers have opened the possibilities of
driving coherent light sources operating with laser plasma accelerated beams
and wave undulators. We speculate on the combination of these two concepts and
show that the merging of the underlying technologies could lead to new and
interesting possibilities to achieve truly compact, coherent radiator devices
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The characterization, management, and future considerations for ErbB-family TKI-associated diarrhea.
PurposeDiarrhea is recognized as a common adverse event associated with tyrosine kinase inhibitors (TKIs), with those targeting the ErbB family of receptors being associated with the highest rate of diarrhea.MethodsThis paper reviews data on the incidence, timing, and duration of diarrhea associated with US Food and Drug Administration-approved ErbB family-targeted TKIs from the published literature, and sets forth recommendations for management.ResultsIn the absence of anti-diarrheal prophylaxis the incidence of any-grade diarrhea varies and typically occurs early during the course of treatment. Although it is difficult to determine if the incidence and severity of diarrhea is related to inhibition of a particular kinase target because of the multi-targeted and overlapping activity of many agents, evidence suggests that second-generation TKIs with broader target profiles (i.e., afatinib, lapatinib, neratinib) result in a higher incidence of diarrhea compared with highly specific first- (erlotinib, gefitinib) or third- (osimertinib) generation agents. The mechanisms responsible for TKI-associated diarrhea are not fully understood and are likely multi-factorial, involving dysregulated ion transport, inflammation, and mucosal injury. Management strategies have been developed-and continue to be refined-to prevent and reduce the severity and duration of TKI-associated diarrhea. For agents associated with more significant symptoms, anti-diarrheal prophylaxis reduces the incidence and severity of diarrhea, and ongoing studies are evaluating specific strategies to further reduce incidence and duration of TKI-associated diarrhea.ConclusionsContinued investigations into risk factors and pharmacogenomic markers for diarrhea may further improve management of this common toxicity
Information-flux approach to multiple-spin dynamics
We introduce and formalize the concept of information flux in a many-body
register as the influence that the dynamics of a specific element receive from
any other element of the register. By quantifying the information flux in a
protocol, we can design the most appropriate initial state of the system and,
noticeably, the distribution of coupling strengths among the parts of the
register itself. The intuitive nature of this tool and its flexibility, which
allow for easily manageable numerical approaches when analytic expressions are
not straightforward, are greatly useful in interacting many-body systems such
as quantum spin chains. We illustrate the use of this concept in quantum
cloning and quantum state transfer and we also sketch its extension to
non-unitary dynamics.Comment: 7 pages, 4 figures, RevTeX
Parental evaluation of a telemonitoring service for children with Type 1 Diabetes
Introduction In the past years, we developed a telemonitoring service for young patients affected by Type 1 Diabetes. That service provides data to the clinical staff and offers an important tool to the parents, that are able to oversee in real time their children. The aim of this work was to analyze the parents' perceived usefulness of the service. Methods The service was tested by the parents of 31 children enrolled in a seven-day clinical trial during a summer camp. To study the parents' perception we proposed and analyzed two questionnaires. A baseline questionnaire focused on the daily management and implications of their children's diabetes, while a post-study one measured the perceived benefits of telemonitoring. Questionnaires also included free text comment spaces. Results Analysis of the baseline questionnaires underlined the parents' suffering and fatigue: 51% of total responses showed a negative tendency and the mean value of the perceived quality of life was 64.13 in a 0-100 scale. In the post-study questionnaires about half of the parents believed in a possible improvement adopting telemonitoring. Moreover, the foreseen improvement in quality of life was significant, increasing from 64.13 to 78.39 ( p-value\u2009=\u20090.0001). The analysis of free text comments highlighted an improvement in mood, and parents' commitment was also proved by their willingness to pay for the service (median\u2009=\u2009200\u2009euro/year). Discussion A high number of parents appreciated the telemonitoring service and were confident that it could improve communication with physicians as well as the family's own peace of mind
Therapeutic approach in glioblastoma multiforme with primitive neuroectodermal tumor components: case report and review of the literature
Glioblastoma multiforme (GBM) is the most common and aggressive malignant glioma that is treated with first-line therapy, using surgical resection followed by local radiotherapy and concomitant/adjuvant temozolomide (TMZ) treatment. GBM is characterised by a high local recurrence rate and a low response to therapy. Primitive neuroectodermal tumour (PNET) of the brain revealed a low local recurrence rate; however, it also exhibited a high risk of cerebrospinal fluid (CSF) dissemination. PNET is treated with surgery followed by craniospinal irradiation (CSI) and platinum-based chemotherapy in order to prevent CSF dissemination. GBM with PNET-like components (GBM/PNET) is an emerging variant of GBM, characterised by a PNET-like clinical behaviour with an increased risk of CSF dissemination; it also may benefit from platinum-based chemotherapy upfront or following failure of GBM therapy. The results presented regarding the management of GBM/PNET are based on case reports or case series, so a standard therapeutic approach for GBM/PNET is not defined, constituing a challenging diagnostic and therapeutic dilemma. In this report, a case of a recurrent GBM/PNET treated with surgical resection and radiochemotherapy as Stupp protocol, and successive platinum-based chemotherapy due to the development of leptomeningeal dissemintation and an extracranial metastasis, is discussed. A review of the main papers regarding this rare GBM variant and its therapeutic approach are also reported. In conclusion, GBM/PNET should be treated with a multimodal approach including surgery, chemoradiotherapy, and/or the early introduction of CSI and platinum-based chemotherapy upfront or at recurrence
Joint searches between gravitational-wave interferometers and high-energy neutrino telescopes: science reach and analysis strategies
Many of the astrophysical sources and violent phenomena observed in our
Universe are potential emitters of gravitational waves (GWs) and high-energy
neutrinos (HENs). A network of GW detectors such as LIGO and Virgo can
determine the direction/time of GW bursts while the IceCube and ANTARES
neutrino telescopes can also provide accurate directional information for HEN
events. Requiring the consistency between both, totally independent, detection
channels shall enable new searches for cosmic events arriving from potential
common sources, of which many extra-galactic objects.Comment: 4 pages. To appear in the Proceedings of the 2d Heidelberg Workshop:
"High-Energy Gamma-rays and Neutrinos from Extra-Galactic Sources",
Heidelberg (Germany), January 13-16, 200
Electroantennographic responses of Aromia bungii (Faldermann, 1835) (Coleoptera, Cerambycidae) to a range of volatile compounds
The red-necked longhorn beetle, Aromia bungii, is one of the most damaging pests of stone fruit trees. Native to the south-eastern Palearctic and Oriental regions, it invaded and is established to some extent in the Campania Region (Southern Italy). In several cerambycid species, volatile organic compounds (VOCs) have been shown to play a role in mate and host plant location. Increasing EAG amplitudes from the basal to the distal antennal segments were recorded in response to six selected plant volatiles. From the distal flagellomeres, the largest EAG responses (>0.8 mV) were elicited by 2-hexanol, octanal, sulcatone, guaiacol, sulcatol, 2,4-dimethyl-3-hexanol, 2,4-dimethyl-2-hexanone, heptanal, nonanal, (Z)-3-hexenol, and 1-heptanol in both sexes, and by linalool, (E)-2-heptenal, 1-octen-3-ol, (E)-2-octenal, 3-octanol, (E)-2-octen-1-ol, alfa-phellandrene, and alfa-terpinene in males. The olfactory system of both sexes proved to be sensitive to changes in stimulus concentration and compound structure. This study demonstrates the capability of A. bungii males and females to detect and discriminate among a wide range of VOCs and provides a basis for further olfactometer and field trapping experiments aimed at identifying behaviorally-active compounds useful for the implementation of semiochemical-based control strategies for this pest
In the eye of the storm : the Italian economy and the eurozone crisis
The eurozone crisis had a more significant and longer-lasting impact on Italy than on virtually any other member state, with the effects still visible a decade after. The extent of the shock was surprising in view of progress Italy had apparently made in the 1990s in terms of enhancing its capacity to meet the demands of European Monetary Union. The explanation for this traumatic economic experience lies in Italy’s deep, long-term, structural tensions which were placed under severe pressure during the 1990s and which were cracked open by the 2011 sovereign debt crisis. These have had long-standing economic effects as well as political ramifications in terms of a significant change in the Italy–EU relationship
Defective B-cell proliferation and maintenance of long-term memory in patients with chronic granulomatous disease
Background: Chronic granulomatous disease (CGD) is a
primary immune deficiency characterized by a defect in reactive
oxygen species production. Although the effect of CGD mainly
reflects on the phagocytic compartment, B-cell responses are
also impaired in patients with CGD.
Objective: We sought to investigate how defective gp91phox
expression in patients with CGD and CGD carriers might affect
the B-cell compartment and maintenance of long-term memory.
Methods: We studied the B-cell compartment of patients with
CGD in terms of phenotype and ability to produce reactive
oxygen species and proliferate on stimuli differently directed to
the B-cell receptor and Toll-like receptor 9. We further studied
their capacity to maintain long-term memory by measuring
cellular and serologic responses to measles.
Results: We show that the memory B-cell compartment is
impaired among patients with CGD, as indicated by reduced
total (CD191CD271) and resting (CD191CD271CD211)
memory B cells in parallel to increased naive
(CD191CD272IgD1) B-cell frequencies. Data on CGD carriers
reveal that such alterations are related to gp91phox expression.
Moreover, proliferative capabilities of B cells on selective
in vitro stimulation of B-cell receptor or Toll-like receptor 9
pathways were reduced in patients with CGD compared with
those seen in age-matched healthy control subjects. Significantly
lower measles-specific antibody levels and antibody-secreting
cell numbers were also observed, indicating a poor ability to
maintain long-term memory in these patients.
Conclusion: Altogether, our data suggest that patients with
CGD present a defective B-cell compartment in terms of
frequencies of memory B cells, response to in vitro stimulation,
and maintenance of long-term antigen-specific memory
INFN Camera demonstrator for the Cherenkov Telescope Array
The Cherenkov Telescope Array is a world-wide project for a new generation of
ground-based Cherenkov telescopes of the Imaging class with the aim of
exploring the highest energy region of the electromagnetic spectrum. With two
planned arrays, one for each hemisphere, it will guarantee a good sky coverage
in the energy range from a few tens of GeV to hundreds of TeV, with improved
angular resolution and a sensitivity in the TeV energy region better by one
order of magnitude than the currently operating arrays. In order to cover this
wide energy range, three different telescope types are envisaged, with
different mirror sizes and focal plane features. In particular, for the highest
energies a possible design is a dual-mirror Schwarzschild-Couder optical
scheme, with a compact focal plane. A silicon photomultiplier (SiPM) based
camera is being proposed as a solution to match the dimensions of the pixel
(angular size of ~ 0.17 degrees). INFN is developing a camera demonstrator made
by 9 Photo Sensor Modules (PSMs, 64 pixels each, with total coverage 1/4 of the
focal plane) equipped with FBK (Fondazione Bruno Kessler, Italy) Near
UltraViolet High Fill factor SiPMs and Front-End Electronics (FEE) based on a
Target 7 ASIC, a 16 channels fast sampler (up to 2GS/s) with deep buffer,
self-trigger and on-demand digitization capabilities specifically developed for
this purpose. The pixel dimensions of mm lead to a very compact
design with challenging problems of thermal dissipation. A modular structure,
made by copper frames hosting one PSM and the corresponding FEE, has been
conceived, with a water cooling system to keep the required working
temperature. The actual design, the adopted technical solutions and the
achieved results for this demonstrator are presented and discussed.Comment: In Proceedings of the 34th International Cosmic Ray Conference
(ICRC2015), The Hague, The Netherlands. All CTA contributions at
arXiv:1508.0589
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