Proton beam radiotherapy in the management of uveal melanoma: clinical experience in Scotland

<p>Aim: To evaluate proton-beam radiotherapy (PBRT) in the management of uveal melanoma in Scotland.</p> <p>Methods: A retrospective review was undertaken on all patients receiving PBRT for uveal melanoma (1994–2005). Data obtained included: gender, past ocular/medical history, age, presenting complaint(s), diagnosis, laterality, tumor location/ultrasound characteristics, visual acuity (VA) and intraocular pressure. At post-treatment reviews (3, 6, 12, and 24 months), the following data was obtained: VA, intraocular pressure, tumor appearance and ultrasound characteristics. Mean follow up was 38.8 months.</p> <p>Results: Seventy-six patients were included. Mean age was 64 years; male to female ratio was 1.1:1. Ninety-seven percent demonstrated initial treatment response; 87% had successful control of tumor growth. Mean pre-treatment tumor height was 6.2 mm v.s. 4.8 mm post-irradiation (p < 0.001). Pre-irradiation VA was <3/60 in 18.5% compared with 74% post-irradiation (p < 0.0001). There was a statistically significant association between adverse events (enucleation, metastasis) and greater maximal basal tumor diameter. Eighteen eyes were enucleated. The median survival time was estimated to be 54 months.</p> <p>Conclusion: In our experience, PBRT is a precise, reliable and effective treatment in the management of large, and previously treated uveal melanomas. It prevents enucleation in the majority at short term follow-up.</p&gt

Digital computing cardiotachometer

A tachometer is described which instantaneously measures heart rate. During the two intervals between three succeeding heart beats, the electronic system: (1) measures the interval by counting cycles from a fixed frequency source occurring between the two beats; and (2) computes heat rate during the interval between the next two beats by counting the number of times that the interval count must be counted to zero in order to equal a total count of sixty times (to convert to beats per minute) the frequency of the fixed frequency source

Cardiotachometer displays heart rate on a beat-to-beat basis

Electronics for this system may be chosen so that complete calculation and display may be accomplished in a few milliseconds, far less than even the fastest heartbeat interval. Accuracy may be increased, if desired, by using higher-frequency timing oscillator, although this will require large capacity registers at increased cost

Zero temperature black holes in semiclassical gravity

The semiclassical Einstein equations are solved to first order in $\epsilon = \hbar/M^2$ for the case of an extreme or nearly extreme Reissner-Nordstr\"{o}m black hole perturbed by the vacuum stress-energy of quantized free fields. It is shown that, for realistic fields of spin 0, 1/2, or 1, any zero temperature black hole solution to the equations must have an event horizon at $r_h < |Q|$, with $Q$ the charge of the black hole. It is further shown that no black hole solutions with $r_h < |Q|$ can be obtained by solving the semiclassical Einstein equations perturbatively.Comment: 7 pages, to appear in the Proceedings of the Ninth Marcel Grossmann Meeting, change in titl