To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Multiform glioblastoma (MG) represents 70% of all gliomas, with half of patients older than 65 years with median survival of 12–18 months, hypofractionation seeks to reduce the intensity and duration of treatment without impacting on survival rates. The objective was to determine the global survival and recurrence-free survival of adults over 70 years old with MG treated with hypofractionated radiotherapy and standard scheme. The review of patients older than 70 years treated with radiotherapy from 2013 to 2016 was performed.
Twenty-four patients were analysed, with a median follow-up of 239 days, and there is no difference in overall survival 12·3 versus 10·5 months (p = 0·55) and recurrence-free survival 8·3 versus 3·4 months (p = 0·48) between both schemes, conventional versus hypofractioanted, respectively.
The results in this study show that hypofractionated scheme could be comparable in overall survival and recurrence-free survival to conventional fractionation, but a longer patients’ trial should be done.
OBJECTIVES/SPECIFIC AIMS: The Title V Cooperative Project of the UPR-MSC and UCC has demonstrated that educational interventions in CTR are very effective in fulfilling the objective of promoting awareness, stimulate interest and increase the knowledge, skills and opportunities, to US, GS and F (participants) in CTR. METHODS/STUDY POPULATION: The training sessions (TS) offered through the Title V initiative have become an engine for the involvement in CTR for participants from higher education institutions island-wide. TS consisted of cycles –level 1 and 2–: Research Education Towards Opportunities (RETO,I,II) and Mentorship Offering Training Opportunities for Research (MOTOR,I,II), ending in the formation of the Clinical and Translational Mentoring Teams (CTMT)s, in which participants, paired by their research interests, were mentored by a well-established CT researchers in their research project, to be developed in the Intensive Development and Experiences in Advancement of Research and Increased Opportunities (IDEARIO). RESULTS/ANTICIPATED RESULTS: Up to date, 4 TS-level 1 and 2 TS-level 2 were offered. Eighty (80) participants completed level 1, distributed: 42 (52.5%) US in RETO, 21 (26.25%) GS and 17 (21.25%) F in MOTOR and 17 participants completed level 2, distributed: 4 (23.52%) US in RETO, 6 (25.29%) GS and 7 (41.17%) F in MOTOR. From which, 15, with 8 CT researchers, formed 5 CTMTs in different research areas – cardio, neuro, liver, renal, Zika–. DISCUSSION/SIGNIFICANCE OF IMPACT: US, GS and F were integrated in the active process throughout educational levels for their development in CTR.
Long-acting injectable antipsychotic therapies may offer benefits over oral antipsychotics in patients with schizophrenia. However, there is still a lack of real-world studies assessing the effectiveness of these therapies.
This study aimed to explore the safety, tolerability, and treatment response of aripiprazole monohydrate (AOM) once monthly in non-acute but symptomatic adult patients switched from previous therapy with frequently used oral or injectable atypical antipsychotics.
This was a post hoc analysis of a prospective, interventional, single-arm, open-label, 6-month study.
The patients (N=54) were switched to aripiprazole monohydrate once-monthly (AOM) from daily oral treatment or monthly injectable treatment with either aripiprazole (n=25), olanzapine (n=7), paliperidone extended-release (PP1M) (n=10), quetiapine (n=4), or risperidone (n=8). In all groups, mean Positive and Negative Syndrome Scale total (p=0.0001) and Clinical Global Impression-Severity scores improved significantly (p=0.0001). A reduction of ≥50% reduction of BPRS total-score and a CGI severity-score ≤4 in the Positive and Negative Syndrome Scale total score were observed in 16.7% (aripiprazole), 21.2% (olanzapine), 35.1% (PP1M), 27.3% (quetiapine), and 37.2% (risperidone) of patients. The patients showed significant improvements involving safety features as they experienced significant overall weight loss (p=0.0001) and prolactine decrease (risperidone p=0.0001, paliperidone extended-release p=0.0001). AOM once-monthly was well tolerated, presenting no new safety signals. Patient also reported an overall significant improvement on their quality of life measured with the Quality of Life Rating Scale (QLS) (p=0.0004) as well as in sexual functioning PRSexDQ-SALSEX (p=0.0001). In addition, the all cause treatment discontinuation rate after6-month follow-up was small (n=3; 5,55%)
These data illustrate that stable, non-acute but symptomatic patients either on oral antipsychotic therapy or under monthly antipsychotic treatment may show clinically meaningful improvement of psychotic symptoms, tolerability involving relevant side effects and quality of life perception. The findings are limited by the naturalistic study design; thus, further studies are required to confirm the current findings.
Plant–animal mutualistic interactions through ecological network systems and the environmental conditions in which they occur, allow us to understand patterns of species composition and the structure and dynamics of communities. We evaluated whether flower morphologies with different pollination syndromes (ornithophilous and non-ornithophilous) are used by hummingbirds and whether these characteristics affect the structure (core-peripheral species) of hummingbird networks. Observations were made in flowering patches, where plant–hummingbird interactions were recorded at three altitudes (300–2500 m) during three seasons (dry, rainy and post-rainy) from 2015 to 2016 at El Triunfo Biosphere Reserve, Chiapas, Mexico. We recorded 15 hummingbird species interacting with 58 plant species, and the greatest number of interacting hummingbird species (11; 14) and plant species (28; 40) were found at middle altitudes and during the dry season, respectively. In all study sites, most of the plant species visited by hummingbirds had an ornithophilous syndrome (67%) at high altitudes (22 plant species) and during the dry season (26 plant species), but more individual hummingbirds visited non-ornithophilous plant species. The hummingbird species at high altitudes exhibited the greatest level of specialization towards plants (H2′ = 0.74), but the networks of plant-hummingbird interactions were generalist (H2′ = 0.25); i.e. visiting plants with both syndromes, at low altitudes. The core generalist hummingbird species remained constant with altitude and season, but the core generalist plant species varied between different altitudes and seasons according to the phenology of the species.
OBJECTIVES/SPECIFIC AIMS: The University of Puerto Rico-Medical Sciences Campus and Universidad Central del Caribe, through the Title V Cooperative Project, devised a clinical and translational research (CTR) platform to pipeline students/faculty of undergraduate health sciences programs into CTR. Educational interventions in CTR—introductory intervention (II) and Annual Symposium (AS)—were designed to promote awareness, stimulate interest of students and faculty in CTR. METHODS/STUDY POPULATION: In the II the participants (n=159) were surveyed before and after a presentation and panel discussion about CTR. In addition, after the sessions—plenary, panel, and workshop—about CTR, the participants of AS (n=42) were surveyed for satisfaction and learning experience in CTR. RESULTS/ANTICIPATED RESULTS: Most participants of the II, 134 (84.3%) were students. In total, 58 (58, 36.5%) completed the post II survey. Of these, 53.4% satisfactorily defined the CTR concept Versus only 31.0% that could define CTR in the pre survey, 47 (81.7%) were unable to identify a CTR researcher and 45 (78.3 %) expressed interest in learning about CTR. In total, 28 (28, 66.7%) participants of the AS completed the satisfaction survey, out of which 17 (60.6%) were students. One hundred percent (100%) agreed that the AS served as a vehicle to increase their knowledge in CTR. DISCUSSION/SIGNIFICANCE OF IMPACT: The educational interventions demonstrated to be an effective strategy to promote awareness and stimulate interest of students and faculty in CTR. In addition, the results obtained, provided valuable baseline information for the planning—development of training cycles in CTR.
A 1.1-m reflectarray antenna has been designed, manufactured, and tested to fulfill the requirements of a satellite antenna in Ku-band that provides South-American coverage in Tx and Rx. The reflectarray cells consist of four dipoles for each polarization in two dielectric layers, selected because of their simplicity and high performance. The dipole dimensions are optimized in all the reflectarray cells to accomplish the prescribed radiation patterns, by iteratively calling an analysis routine based on method of moments in spectral domain and local periodicity. The measured radiation patterns of the manufactured antenna have been satisfactorily compared with simulations and with a three-layer reflectarray previously designed, manufactured, and tested for the same mission.
The role of canopy gaps in tropical dry forest (TDF) dynamics remains unclear. Here, 75 canopy gaps, mostly formed by the fall of Bursera spp. and Pachycereus pecten-aboriginum individuals, are described, and their potential consequences for forest regeneration are analysed in a Mexican TDF. In 50 randomly selected gaps, understorey vegetation was sampled with a paired design (inside and outside gaps) and by distinguishing two plant height categories. In total, 1940 plants were recorded (63% in gaps and 37% in non-gap plots). Community attributes (density, community cover, taxonomic richness and Shannon diversity) were significantly higher for both height categories in gap plots. Conversely, neither an NMDS ordination nor a multinomial classification of 187 species by habitat affinities revealed floristic segregation between gaps and non-gaps; almost all species were classified as habitat generalists, with only a few opportunistic forbs (but no single tree species) being classified as gap specialists. The most important effects of gap formation are significant increases in plant abundance and species richness, but not a different species composition. Against earlier views that gap-phase dynamics is inconsequential for TDF dynamics, these results suggest a more active, albeit modest, role of treefall gaps in TDF, through promoting an abundant establishment.
The worldwide use of rail transport has increased, and the train speeds are escalating. Concurrently, the number of train disasters has been amplified globally. Consequently, railway safety has become an important issue for the future. High-velocity crashes increase the risk for injuries and mortality; nevertheless, there are relatively few studies on high-speed train crashes and the influencing factors on travelers’ injuries occurring in the crash phase. The aim of this study was to investigate the fatal and non-fatal injuries and the main interacting factors that contributed to the injury process in the crash phase of the 2013 high-velocity train crash that occurred at Angrois, outside Santiago de Compostela, Spain.
Hospital records (n=157) of all the injured who were admitted to the six hospitals in the region were reviewed and compiled by descriptive statistics. The instant fatalities (n=63) were collected on site. Influencing crash factors were observed on the crash site, by carriage inspections, and by reviewing official reports concerning the approximated train speed.
The main interacting factors that contributed in the injury process in the crash phase were, among other things, the train speed, the design of the concrete structure of the curve, the robustness of the carriage exterior, and the interior environment of the carriages. Of the 222 people on board (218 passengers and four crew), 99% (n=220) were fatally or non-fatally injured in the crash. Thirty-three percent (n=72) suffered fatal injuries, of which 88% (n=63) died at the crash site and 13% (n=9) at the hospital. Twenty-one percent (n=32) of those admitted to hospital suffered multi-trauma (ie, extensive, severe, and/or critical injuries). The head, face, and neck sustained 42% (n=123) of the injuries followed by the trunk (chest, abdomen, and pelvis; n=92; 32%). Fractures were the most frequent (n=200; 69%) injury.
A mass-casualty incident with an extensive amount of fatal, severe, and critical injuries is most probable with a high-velocity train; this presents prehospital challenges. This finding draws attention to the importance of more robust carriage exteriors and injury minimizing designs of both railway carriages and the surrounding environment to reduce injuries and fatalities in future high-speed crashes.
ForsbergR, VázquezJAI. A Case Study of the High-speed Train Crash Outside Santiago de Compostela, Galicia, Spain. Prehosp Disaster Med. 2016;31(2);163–168.
The drainage area of the Iberian Ranges (NE Spain) houses one of the most extensive Quaternary fluvial tufaceous records in Europe. In this study, tufa deposits in the Añamaza, Mesa, Piedra and Ebrón river valleys were mapped, stratigraphically described and chronologically referenced from U/Th disequilibrium series, amino acid racemization and radiocarbon methods. Tufa deposits accumulated in cascades, barrage-cascades and related damming areas developed in stepped fluvial systems. The maximum frequency of tufa deposition was identified at 120 ka (Marine Oxygen Isotope Stage [MIS] 5e), 102 ka (MIS 5c), 85 ka (~ MIS 5a) and 7 ka (MIS 1), probably under warmer and wetter conditions than today. Additional phases of tufa deposition appear at ~ 353 ka (~ end of MIS 11), 258–180 ka (MIS 7) and 171–154 ka (MIS 6). Although most tufa deposition episodes are clearly correlated with interstadial periods, the occurrence of tufa deposits during the penultimate glaciation (MIS 6) is remarkable, indicating that the onset of this stage was climatically favourable in the Iberian Peninsula. Biostatic conditions and the dynamics of karstic systems regulating tufa deposition seem to be sensitive to the precipitation regime, controlled by shifts in the position of North Atlantic atmospheric belts, and summer insolation, regulated by orbital forcing.
In general, solitary right aortic arch carries the left-sided ductus arteriosus communicating between the left subclavian and pulmonary arteries or the right-sided ductus connecting the descending aorta to the left pulmonary artery. Serial sections of fifteen 5- to 6-week-old embryos and ten 8- to 9-week-old fetuses suggested that the pathogenesis was unrelated to inversion due to dysfunction in gene cascades that control the systemic left/right axis. With inversion, conversely, the ductus or the sixth pharyngeal arch artery should connect to the right pulmonary artery. The disappearance of the right aortic arch started before the caudal migration of the aortic attachment of the ductus. Sympathetic nerve ganglia developed immediately posterior to both aortae, with a single embryonic specimen showing a large ganglion at the midline close to the union of the aortic arches. These ganglia may interfere with blood flow through the distal left arch, resulting in the ductus ending at the descending aorta behind the oesophagus. In another fetus examined, a midline shift of the ductus course resulted in the trachea curving posteriorly. Therefore, solitary right arch is likely to accompany abnormalities of the surrounding structures. The timing and site of the obstruction should be different between types: an almost midline obstruction near the aortic union needed for the development of the left-sided ductus and a distal obstruction near the left subclavian arterial origin needed for the development of the right-sided ductus. A mass effect of the sympathetic ganglia may explain the pathogenesis of any type of anomalous ductus arteriosus shown in previous reports of the solitary right arch.
We study W | Ta | CoFeB | MgO stacks for spin-orbit torque MRAM applications. A strong perpendicular magnetic anisotropy is obtained after annealing for CoFeB layer thickness of 0.9 nm or 1.2 nm and for specific W/Ta ratios, were the Ta layer thickness is between 0.3 nm and 1 nm. Furthermore, the desired high-spin orbit coupling β-phase of W is preserved even after annealing at 350°C. We argue that an efficient B getter, like Ta, is necessary for the coherent crystallization of the CoFeB | MgO interface that allows for the establishment of perpendicular magnetic anisotropy.
The aim of this study was to describe the embryonic and larval development of discus fish (Symphysodon aequifasciatus), and to determine the time required, hours post fertilization (hpf), for the emergence of various structures. To describe embryonic and larval stages, observations were made at regular periods under an optical microscope and images were taken with a digital camera attached to a microscope. The average temperature reached in the experimental tank was 27.9°C. Important facts in embryonic and larval development are described, such as the closure of the blastopore, which occurred at 31.5 hpf; a period of eruption, which occurred at 58.5 hpf; and a mouth opening, which occurred at 90.5 hpf; and larvae that exhibited oriented swimming and eating exogenous food at 136.5 hpf.
Recently, bimetallic nanostructures and nanoalloys have received special interest due to their promising chemical and physical properties. Specifically, Cu-Ni nanoparticles have been investigated for biomedical and catalytic applications. This work reports the synthesis of alloys and bimetallic nanoparticles of CuxNi100-x (x = 20, 40, 50, 60 and 80) by sol-gel method, and their morphological, structural and magnetic characterization. A precursor material was prepared using a standard Pechini method and then CuNi nanoparticles were obtained by calcination treatments of the precursor in H2/N2atmosphere at 600 and 700°C for 15 minutes. The resulting nanoparticles were characterized by X-ray diffraction (XRD), which reveals that this method led to the formation of CuNi substitutional nanoalloys and bimetallic nanoparticles with good cristallinity related with the calcination temperatures and Cu:Ni weight ratios. Transmission electron microscopy (TEM) shows nearly monodisperse and uniform spherical nanoparticles with sizes between 40 and 70 nm. The magnetic properties were studied using SQUID magnetometry, according with these results, the CuNi nanoparticles showed a ferromagnetic behavior, the magnetization value increases as a function of the weight percentage of Ni.
Despite the existence of numerous studies that examined the relationship between working memory capacity and performance in complex cognitive tasks, it remains unclear whether this capacity is domain specific or domain general. In addition, the available empirical evidence is somewhat contradictory. In this work we have studied the role of verbal working memory capacity in a non-verbal task – mental image rotation. If this capacity were domain specific it would be expected that high and low verbal span participants would obtain similar results in the mental rotation task. We have found that this is not the case as the high span participants performed better in terms of both speed and accuracy. Moreover, these differences depended on the processing component of the mental rotation task: the higher the processing requirements the higher the differences as a function of the working memory capacity. Therefore, the evidence presented here supports the domain general hypothesis.
The objective of this study was to evaluate the effects of the CSN1S1 locus polymorphism on 305-d records of milk, fat, protein, lactose and total solids yields, fat, protein, lactose and total solids contents in Mexican dairy goats. A total of 514 lactation records belonging to Alpine (n=60), Saanen (n=105) and Toggenburg (n=74) goats, born from 2003 to 2006 in three herds were used. Discrimination between alleles E, F, N, A* (CSN1S1 A, G, H, I, O1 and O2) and B* (CSN1S1 B1, B2, B3, B4, C and L) were made by amplification of fragments of the gene CSN1S1 and digestion with the restriction endonuclease XmnI. In order to estimate additive and dominance effects, data sets including (1) all genotypes, and (2) only homozygote genotypes, were analysed using linear mixed models. The allele A*, had significant additive effects for protein content (0·21±0·07%; P=0·002) and total solids content (0·66±0·23%; P=0·005) when compared with allele F. An unfavourable additive effect of allele A* on milk yield was found in the Alpine breed (−81·4±40·2; P=0·046) when compared with allele F. Favourable dominance effects were found for some genotypes (P<0·05) for milk yield (A*N and B*N), fat yield (A*N and B*E), protein yield (A*N and B*E), lactose yield (A*N) and total solids yield (A*N). Also, unfavourable dominance effects were found (P<0·05) for protein content (A*B* and A*N) and total solids content (A*B*, A*N, and A*F). Allele A* was the only one with a positive effect for protein content. Significant allele-year interaction effects were also observed. The presence of significant dominance effects, estimated between specific pairs of alleles, challenged the purely additive nature of the genetic effect at the CSN1S1 locus. Implications from use of CSN1S1 effects in goat breeding programmes are presented.
It has been suggested that the presence of disks or tori around the central stars of pre Planetary Nebulae and Planetary Nebulae is related to the collimation of the jet that are frequently observed in these sources. These disks or tori can be traced by the maser emission of some molecules such as water. In this work we present Very Large Array (VLA) observations of the water maser emission at 22 GHz toward the PN IRAS 18061–2505, for which the masers appear located on one side of the central star. For comparison with the observations, we present a simple kinematical model of a disk rotating and expanding around the central star. The model matches qualitatively the observations. However, since the masers appear only on one side of the disk, these results are not conclusive.
Porous platinum thin films were prepared by thermal decomposition at temperatures from 25 to 675 °C of platinum oxide films deposited by a pulsed reactive sputtering technique. The samples’ chemistry and structure were investigated by x-ray diffraction (XRD), x-ray photoelectron spectroscopy (XPS), and x-ray absorption near edge structure (XANES), showing that the decomposition of the oxide begins as low as 400 °C and follows a sigmoidal trend with increasing annealing temperature. In the XRD spectra, only an amorphous-like signature was observed for temperatures below 575 °C, while Pt 4f XPS showed that the deposited oxide was a mixture of PtO2 and PtO. Pt-L3 edge XANES and Pt 4f XPS spectra showed that the Pt concentration and electronic structure are predominant for temperatures equal to or above 575 °C. The morphologies of the films were investigated by the area-perimeter method from atomic force microscopy and scanning electron microscopy (SEM) images, indicating that the surfaces exhibit a combination of Euclidian and fractal characteristics. Moreover, the thermal evolution of these characteristics indicates the agglomeration of the grains in the film as observed by SEM.
NGC 5189 is a particularly interesting planetary nebula (PN) displaying multiple bipolar structures. This type of morphology is generally attributed to multiple mass loss events believed to originate from a precessing central source. In order to better understand this, once dubbed chaotic PN, we have investigated optical imaging combined with low- and high- resolution spectroscopic data to dissect its components. The imaging reveals three and possibly four well defined bipolar lobes showing a misalignment with respect to the central torus, although sharing the same geometric center. The high nitrogen levels detected in the elongated filaments/condensations surrounding the nebula and at the torus location highlight the presence of low ionization structures as well as the possible occurrence of shocks in the areas perturbed by large dynamical motions. Finally the kinematical study indicates moderate expansion velocities (35 km.s−1 in the western lobe, 33 km.s−1 in the central region and 44 km.s−1 in the eastern lobe). We also notice the asymmetry of the [NII] distribution and the velocities inside NGC 5189 between its North-West and South-East components.