Guidelines for target volume definition in post-operative radiotherapy for prostate cancer, on behalf of the EORTC Radiation Oncology Group

International Nuclear Information System (INIS)

Poortmans, Philip; Bossi, Alberto; Vandeputte, Katia; Bosset, Mathieu; Miralbell, Raymond; Maingon, Philippe; Boehmer, Dirk; Budiharto, Tom; Symon, Zvi; Bergh, Alfons C.M. van den; Scrase, Christopher; Poppel, Hendrik van; Bolla, Michel

2007-01-01

The appropriate application of 3-D conformal radiotherapy, intensity modulated radiotherapy or image guided radiotherapy for patients undergoing post-operative radiotherapy for prostate cancer requires a standardisation of the target volume definition and delineation as well as standardisation of the clinical quality assurance procedures. Recommendations for this are presented on behalf of the European Organisation for Research and Treatment of Cancer (EORTC) Radiation Oncology Group and in addition to the already published guidelines for radiotherapy as the primary treatment

International co-operation in use of computers

Energy Technology Data Exchange (ETDEWEB)

Sterling, T D [Medical Computing Centre, University of Cincinnati, College of Medicine, Cincinnati, OH (United States)

1966-06-15

National and international co-operation takes on concreteness in the exchange of programmes and research results . On a practical level and for the exchange of actual techniques the diversity between computers and computer languages may offer almost overwhelming obstacles which can be overcome but not without considerable effort. If computing centres have similar constellations of hardware, then the exchange of programmes is of course routine. We were able to exchange programmes with the Cancer Institute Board at Melbourne, Australia. It turned out that our programmes, although developed for a {sup 60}Co teletherapy beam unit (Model Eldorado A), could be fitted to the dose distribution from the Melbourne 4-MeV linear accelerator with the change of a few constants. The work of fitting the equations themselves was done by the Melbourne group. Once the new constants were found it was a simple matter of transcribing our programme on a reel of magnetic tape and returning it to Melbourne. Treatment centres may have access to different computers. However, it is becoming increasingly true that different computers will be able to accept programmes written in many languages. Language compatibility makes it possible t o take programmes and to rewrite them, at a very small cost, to fit another computer. Very often the only changes that have to be introduced are of 'input-output' instructions . If this is the case , then a copy of the flow diagram and a print-out of the source programme is usually all that is needed to make a programme operational on a different machine. But even here we have found it desirable t o send a programmer along so that resolution of detailed problems may be expedited. In this way we exchanged programmers with the Mallinckrodt Institute of Radiology at St. Louis, Missouri to make our own external beam methods compatible with their computer and to make their interstitial and intracavitary programmes operational on ours.

Case-mix analysis and variation in rates of non-surgical treatment of older women with operable breast cancer.

Science.gov (United States)

Morgan, J; Richards, P; Ward, S; Francis, M; Lawrence, G; Collins, K; Reed, M; Wyld, L

2015-08-01

Non-surgical management of older women with oestrogen receptor (ER)-positive operable breast cancer is common in the UK, with up to 40 per cent of women aged over 70 years receiving primary endocrine therapy. Although this may be appropriate for frailer patients, for some it may result in treatment failure, contributing to the poor outcomes seen in this age group. Wide variation in the rates of non-operative management of breast cancer in older women exists across the UK. Case mix may explain some of this variation in practice. Data from two UK regional cancer registries were analysed to determine whether variation in treatment observed between 2002 and 2010 at hospital and clinician level persisted after adjustment for case mix. Expected case mix-adjusted surgery rates were derived by logistic regression using the variables age, proxy Charlson co-morbidity score, deprivation quintile, method of cancer detection, tumour size, stage, grade and node status. Data on 17,129 women aged 70 years or more with ER-positive operable breast cancer were analysed. There was considerable variation in rates of surgery at both hospital and clinician level. Despite adjusting for case mix, this variation persisted at hospital level, although not at clinician level. This study demonstrates variation in selection criteria for older women for operative treatment of early breast cancer, indicating that some older women may be undertreated or overtreated, and may partly explain the inferior disease outcomes in this age group. It emphasizes the urgent need for evidence-based guidelines for treatment selection criteria in older women with breast cancer. © 2015 BJS Society Ltd Published by John Wiley & Sons Ltd.

Regional co-operation in the nuclear field: The Nordic experience

International Nuclear Information System (INIS)

Marcus, F.R.

1983-01-01

Experience from 25 years of co-operation in the nuclear field between the Nordic countries is described. A pragmatic approach with a minimum of formalism is used. The co-operation takes place mainly through ''horizontal'' channels between corresponding bodies in the different countries - safety authorities, research institutions, electricity producers, etc. In addition, a ''vertical'' co-ordination between these different circles is accomplished through a Nordic Liaison Committee. The experience shows that valuable results can be obtained, mainly through rationalization and improved use of resources. Difficulties, which are inherent in international co-operation, can be reduced, provided that there is a strong political will, an efficient system to promote contacts, and a flexible financing scheme. Apart from the benefits obtained in each of the countries - whether or not it has its own nuclear power - particular advantages accrue when a ''Nordic group'' can present co-ordinated viewpoints on the international scene. (author)

Co-operatives as heating entrepreneurs

International Nuclear Information System (INIS)

Honkasalo, M.

2000-01-01

The objective of heating entrepreneurship functioning in the form of a co operative is to make the use of the wood chips competitive primarily through district heating of municipal centres. When compared with the conventional heating mode the reliability of chip delivery and the remuneration paid to the co-operative for attending to the running of the heating centres are considered to be the competitive advantages. The system has proven to be a working one; one indication of this is its growing application in the country. In the spring of the year 2000 there were 26 chip-based energy co-operative active in Finland. The first time that the use of bioenergy underwent a powerful rise was in the 1970s as a consequence of the oilcrises. Subsequently the enthusiasm shown to this energy form subsided. Then in the early 1990s, biofuels once again became a subject of interest mainly due to environmental issues, the restructuring of rural areas and silvicultural reasons. With the past decades' experiences forming the basis, the development needs associated with the use of bioenergy were in fresh memory and they were addressed on a wide font. Boiler technology related to solid fuels evolved rapidly and the least successful manufacturers had been eliminated by the recession. In the case of co-operative heating entrepreneurship, the commonest form neither the district heating centre nor the system of heat-transfer pipes belong to co-operative society. The co-operative is responsible only for the delivery of the fuel and for looking after the heating plant. Remuneration is generally based on the amount of energy leaving the district heating plant. Thus the heat dissipated at the heating plant is the co-operative's problem and the heat dissipated during transfer are the energy buyer's problem. The investor in the equipments usually the local municipality or an energy utility. In some cases the co-operative owns the equipments well, in which case it is correct to speak of

International relations and co-operation

International Nuclear Information System (INIS)

2002-01-01

This bulletin contains information about activities of the Nuclear Regulatory Authority of the Slovak Republic (UJD). In this leaflet the international relations and co-operation of the UJD are presented. International community is aware of the fact that nuclear energy shall be used exclusively for peaceful purposes and on condition of high standard of nuclear safety. Therefore, the long-term aim of UJD in the area of international relations is to maintain and develop internationally recognised system of state supervision upon the peaceful use of nuclear energy and to reach internationally accepted level of nuclear safety in the Slovak Republic. There are many important international treaties (Treaty on the Non-proliferation of Nuclear Weapons Convention on Nuclear Safety, etc.) to which slovakia is a party. In order to meet the obligations of these treaties UJD has the main aim for contribute to the process of international disarmament, and to a mutually advantageous co-operation. By means of the most important international organisations (e.g. International Atomic Energy Agency) the Slovak Republic actively participates in the international co-operation. Under the leadership of UJD, Slovak institutions participate in many projects and activities which have the aim to improve the safety of nuclear international obligations. In addition, UJD actively participates in the integration process of the Slovak Republic into European and Trans-Atlantic structures. Since 1993 the co-operation with the European Commission and the Nuclear Energy Agency of Organisation for Economic Co-operation and development (OECD/NEA) has been successfully implemented. Besides multilateral co-operation UJD attaches extraordinary importance to bilateral co-operation, in particular with neighbouring countries. Regular meetings of senior Slovak experts with foreign experts are organised, with the aim to exchange the newest experiences and information on peaceful use of nuclear energy. Also in

FPGA Based Intelligent Co-operative Processor in Memory Architecture

DEFF Research Database (Denmark)

Ahmed, Zaki; Sotudeh, Reza; Hussain, Dil Muhammad Akbar

2011-01-01

benefits of PIM, a concept of Co-operative Intelligent Memory (CIM) was developed by the intelligent system group of University of Hertfordshire, based on the previously developed Co-operative Pseudo Intelligent Memory (CPIM). This paper provides an overview on previous works (CPIM, CIM) and realization......In a continuing effort to improve computer system performance, Processor-In-Memory (PIM) architecture has emerged as an alternative solution. PIM architecture incorporates computational units and control logic directly on the memory to provide immediate access to the data. To exploit the potential...

Comparative study on membership legislation in Canadian and Chinese agricultural co-operative laws

Institute of Scientific and Technical Information of China (English)

CHU Zhihong; GUO Xiangyu

2007-01-01

For centuries, groups of people desiring to supply themselves with goods, to market their products, or to obtain services of various kinds on a co-operative basis, have made increasing use of co-operative associations to achieve these purposes. During the period, legislation designed especially for the incorporation and conduct of such associations has been enacted by different counties.Since a co-operative is established and carried on by and for the use of its members, this essay makes a comparison between Canadian and Chinese co-operative laws in terms of membership in the aspects of qualifications, rights and obligations and withdrawal of membership, so as to probe the function of co-operative legislation and find some enlightment from it.

Curative effect analysis of invasive bladder cancer by joint surgical operation with interventional therapy

International Nuclear Information System (INIS)

Xu Biao; Wen Bin; Liu Tisheng; Wei Liqian

2007-01-01

Objective: To explore the effective therapy for invasive bladder cancer. Methods: Forty patients with invasive bladder cancer were divided into group A and group B. Intra-internal lilac-arterial chemotherapy and infusion pump chemotherapy combined with surgical operation were performed in group A and only surgical operation for group B. The differences of recurrence rates and survival rates between the two groups together with the effectiveness of intra-arterial chemotherapy combined surgical operation were evaluated at the same time. Results: Reduction in volumes of cancer and hematuria were obvious and nearly disappeared in group A patients with pathomorphological features demonstrating large pachyareas of necrosis together with degeneration and inflammatory changes of carcinoma tissue; outcoming with five recurrent cases (20%) and 2 deaths (10%). In group B, 9 cases relapsed(45%) and 4 eases died(20%). Conclusion: The combination of intra-internal lilac-arterial chemoembolization with infusion pump chemotherapy together with surgical operation is safe, effective for invasive bladder cancer, resulting in high raise of survival and life quality. (authors)

Co-operatives and Normative Control

DEFF Research Database (Denmark)

Bregn, Kirsten; Jagd, Søren

1992-01-01

This paper explores the conditions for applying normative control in co-operatives. For normative control to be effective two conditions are found particularly important: Individuals must be morally involved and the organization must have a system of making it possible to link common norms...... and individual action. If these conditions are not fulfilled, as may be the case in many co-operatives, normative control cannot be expected to work. The problems of normative control in co-operatives may then not be caused by the use of normative control as such, but may instead be a problem of securing...

Securing co-operation from persons supplying statistical data

Science.gov (United States)

Aubenque, M. J.; Blaikley, R. M.; Harris, F. Fraser; Lal, R. B.; Neurdenburg, M. G.; Hernández, R. de Shelly

1954-01-01

Securing the co-operation of persons supplying information required for medical statistics is essentially a problem in human relations, and an understanding of the motivations, attitudes, and behaviour of the respondents is necessary. Before any new statistical survey is undertaken, it is suggested by Aubenque and Harris that a preliminary review be made so that the maximum use is made of existing information. Care should also be taken not to burden respondents with an overloaded questionnaire. Aubenque and Harris recommend simplified reporting. Complete population coverage is not necessary. Neurdenburg suggests that the co-operation and support of such organizations as medical associations and social security boards are important and that propaganda should be directed specifically to the groups whose co-operation is sought. Informal personal contacts are valuable and desirable, according to Blaikley, but may have adverse effects if the right kind of approach is not made. Financial payments as an incentive in securing co-operation are opposed by Neurdenburg, who proposes that only postage-free envelopes or similar small favours be granted. Blaikley and Harris, on the other hand, express the view that financial incentives may do much to gain the support of those required to furnish data; there are, however, other incentives, and full use should be made of the natural inclinations of respondents. Compulsion may be necessary in certain instances, but administrative rather than statutory measures should be adopted. Penalties, according to Aubenque, should be inflicted only when justified by imperative health requirements. The results of surveys should be made available as soon as possible to those who co-operated, and Aubenque and Harris point out that they should also be of practical value to the suppliers of the information. Greater co-operation can be secured from medical persons who have an understanding of the statistical principles involved; Aubenque and

Biomarkers of Tobacco Smoke Exposure in Racial/Ethnic Groups at High Risk for Lung Cancer

Science.gov (United States)

Moolchan, Eric T.; Pokhrel, Pallav; Herzog, Thaddeus; Cassel, Kevin D.; Pagano, Ian; Franke, Adrian A.; Kaholokula, Joseph Keawe’aimoku; Sy, Angela; Alexander, Linda A.; Trinidad, Dennis R.; Sakuma, Kari-Lyn; Johnson, C. Anderson; Antonio, Alyssa; Jorgensen, Dorothy; Lynch, Tania; Kawamoto, Crissy; Clanton, Mark S.

2015-01-01

Objectives. We examined biomarkers of tobacco smoke exposure among Native Hawaiians, Filipinos, and Whites, groups that have different lung cancer risk. Methods. We collected survey data and height, weight, saliva, and carbon monoxide (CO) levels from a sample of daily smokers aged 18–35 (n = 179). Mean measures of nicotine, cotinine, cotinine/cigarettes per day ratio, trans 3′ hydroxycotinine, the nicotine metabolite ratio (NMR), and expired CO were compared among racial/ethnic groups. Results. The geometric means for cotinine, the cotinine/cigarettes per day ratio, and CO did not significantly differ among racial/ethnic groups in the adjusted models. After adjusting for gender, body mass index, menthol smoking, Hispanic ethnicity, and number of cigarettes smoked per day, the NMR was significantly higher among Whites than among Native Hawaiians and Filipinos (NMR = 0.33, 0.20, 0.19, P ≤ .001). The NMR increased with increasing White parental ancestry. The NMR was not significantly correlated with social–environmental stressors. Conclusions. Racial/ethnic groups with higher rates of lung cancer had slower nicotine metabolism than Whites. The complex relationship between lung cancer risk and nicotine metabolism among racial/ethnic groups needs further clarification. PMID:25880962

Co-operation and Self-Organization

Directory of Open Access Journals (Sweden)

Christian Fuchs

2008-07-01

Full Text Available Co-operation has its specific meanings in physical (dissipative, biological (autopoietic and social (re-creative systems. On upper hierarchical systemic levels there are additional, emergent properties of co-operation, co-operation evolves dialectically. The focus of this paper is human cooperation. Social systems permanently reproduce themselves in a loop that mutually connects social structures and actors. Social structures enable and constrain actions, they are medium and outcome of social actions. This reflexive process is termed re-creation and describes the process of social selforganization. Co-operation in a very weak sense means coaction and takes place permanently in re-creative systems: two or more actors act together in a co-ordinated manner so that a new emergent property emerges. Co-action involves the formation of forces, environment and sense (dispositions, decisions, definitions. Mechanistic approaches conceive coaction in terms of rational planning, consciousness, intention, predictability, and necessity. Holistic approaches conceive coaction in terms of spontaneity, unconscious and unintended actions, non-predictability, chance. Dialectic approaches conceive co-action in terms of a unity of rational planning and spontaneous emergence, a unity of conscious and unconscious aspects and consequences, and a unity of necessity and chance. Co-operation in a strong sense that is employed in this paper means that actors work together, create a new emergent reality, have shared goals, all benefit from co-operating, can reach their goals in joint effort more quickly and more efficiently than on an individual basis, make concerted use of existing structures in order to produce new structures, learn from each other mutually, are interconnected in a social network, and are mutually dependent and responsible. There is a lack of cooperation, self-determination, inclusion and direct democracy in modern society due to its antagonistic

Co-operatives in the Cultural Industries

Directory of Open Access Journals (Sweden)

Marisol Sandoval

2015-04-01

The roundtable discussed the potentials and limits of worker co-operatives as an alternative way of organizing cultural work. It explored how worker co-operation might contribute to new collaborative forms of cultural production; how they do, or might, strengthen a 'cultural commons'; and the role cultural co-ops play in the wider context of movements for workers' rights. Questions that were discussed include: To what extent can worker co-operatives be a means to confront precariousness and individualisation in work in the cultural sector? Do worker co-ops open up new possibilities for the collaborative production of cultural commons? What role can worker co-operatives play within a broader movement for creating more just, equal and humane cultural work and an alternative to capitalist economies? Where lies the boundary between neoliberal calls for self-help and individual responsibility and a radical co-op movement? What is the relation between worker co-ops and other forms of progressive politics such as the union movements, social protests and civil society activism? Can cultural co-ops contribute to reinventing the meaning and practice of work in the 21st century? About the speakers: Marisol Sandoval is a Lecturer at the Department of Culture and Creative Industries at City University London. Her research critically deals with questions of power, responsibility, commodification, exploitation, ideology and resistance in the global culture industry. Jo Littler is Senior Lecturer at City University London's Department of Culture and Creative Industries. Her work explores questions of culture and power from an interdisciplinary, cultural studies-informed perspective. Rhiannon Colvin after graduating in 2010 to find the world of work competitive and brutal, Rhiannon founded AltGen to empower young graduates to get together and create their own work. http://www.altgen.org.uk/ Tara Mulqueen is a PhD candidate at Birkbeck College School of Law. Her thesis concerns the

Romanian-Danish Environmental Co-operation. Co-operation development 1993-1998

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-08-01

The Danish Ministry of Environment and Energy has, since 1991, through the Danish Environmental Support Fund, contributed towards protecting the environment and nature in Central and Eastern European countries and has helped to limit regional as well as global pollution. The Romanian Ministry of Waters, Forests and Environmental Protection and the Danish Ministry of Environment and Energy initiated the co-operation in 1993 and an official Agreement was signed in 1994. This publication describes the co-operation between the two countries in the field of the environment in the hope that this will give both the general public of Romania and the international community a better understanding of the work being accomplished. It also gives an overview of the 19 projects developed within this framework, which has a total Danish grant of DKK 77.9 million. (au)

Breast conserving treatment in Denmark, 1989-1998. A nationwide population-based study of the Danish Breast Cancer Co-operative Group

DEFF Research Database (Denmark)

Ewertz, M.; Kempel, M.M.; During, M.

2008-01-01

patients in Denmark. PATIENTS AND METHODS: To evaluate the results of this treatment, we performed a nationwide population-based follow-up study of patients aged less than 75 years treated in Denmark from 1989 to 1998 based on the database of Danish Breast Cancer Cooperative Group. RESULTS: At 15 years...... of follow-up, the Kaplan-Meier estimate of overall survival was 69% among 3 758 patients who received the recommended treatment. Within the first 10 years of follow-up, the cumulative incidences of loco-regional recurrences, distant metastases or other malignant disease, or death as a first event were 9...

The Effectiveness of Group Therapy on Rescuing Patients with Cancer

Directory of Open Access Journals (Sweden)

Hossein Malekzadeh Fini

2017-09-01

Full Text Available Recent studies show that the cancer has several negative results. The anxiety, depression and disappointment are more common than the others.  Hopefully thinking and cancer in two ways are related together. First the hopeful people use The problem-focused coping strategies more than the others and show less anxious and more agreement to diagnosis and treatment of cancer. So the goal of this survey is the effect of group hope therapy on reciliency of cancer patients. In this survey the Quasi-experiment and pre-test and pro test with control group is used. The society are all of the cancer patients who are coming to Kashan Imam Hassan institution and 16 of them are chose by available sampling and randomly put in two trial and control group. The trial group participated in nine group consultation sessions and the control group had no education. For toleration testing the Conroy Davidson questionnaire 2003 is used. Data are analysed by co variance analysis. The results show that the group hope therapy had a meaning full effect on toleration and the idea of personal competency, negative affection tolerance and acceptation of positive changing and spiritual control and affection s are affected the scales. Hope let people to have no stress and enable them to try to reach to their goals, the hope therapy try to enable people to have a view beyond the current situation and pain and suffering. So the toleration is not more than tolerance of the difficult situations and every things that make better the situation of cancer patients will increase the toreciliency.

Obstetric care: competition or co-operation.

NARCIS (Netherlands)

Veer, A.J.E. de; Meijer, W.J.

1996-01-01

OBJECTIVE: The aim of this study was to determine the feasibility of co-operation within maternity and obstetric care between midwives, general practitioners (GPs) and obstetricians. DESIGN: descriptive correlational study. SETTING: The Netherlands. Policy is towards more co-operation between

A comparison of laparoscopic and open surgery following pre-operative chemoradiation therapy for locally advanced lower rectal cancer

International Nuclear Information System (INIS)

Kusano, Toru; Inomata, Masafumi; Hiratsuka, Takahiro

2014-01-01

Although pre-operative chemoradiation therapy for advanced lower rectal cancer is a controversial treatment modality, it is increasingly used in combination with surgery. Few studies have considered the combination of chemoradiation therapy followed by laparoscopic surgery for locally advanced lower rectal cancer; therefore, this study aimed to assess the usefulness of this therapeutic combination. We retrospectively reviewed the medical records of patients with locally advanced lower rectal cancer treated by pre-operative chemoradiation therapy and surgery from February 2002 to November 2012 at Oita University. We divided patients into an open surgery group and a laparoscopic surgery group and evaluated various parameters by univariate and multivariate analyses. In total, 33 patients were enrolled (open surgery group, n=14; laparoscopic surgery group, n=19). Univariate analysis revealed that compared with the open surgery group, operative time was significantly longer, whereas intra-operative blood loss and intra-operative blood transfusion requirements were significantly less in the laparoscopic surgery group. There were no significant differences in post-operative complication and recurrence rates between the two groups. According to multivariate analysis, operative time and intra-operative blood loss were significant predictors of outcome in the laparoscopic surgery group. This study suggests that laparoscopic surgery after chemoradiation therapy for locally advanced lower rectal cancer is a safe procedure. Further prospective investigation of the long-term oncological outcomes of laparoscopic surgery after chemoradiation therapy for locally advanced lower rectal cancer is required to confirm the advantages of laparoscopic surgery over open surgery. (author)

Technical co-operation report for 2002. Report by the Director General

International Nuclear Information System (INIS)

2003-08-01

developmental impact. The development of Country Programme Frameworks (CPFs) progressed further in 2002, with new CPFs concluded or at an advanced stage of preparation for 29 more Member States. Thematic plans were prepared for food irradiation, river basin management and the role of isotopic techniques in the control of communicable diseases. The Agency increased its involvement in international efforts to promote development through intensified consultation and collaboration with the United Nations system, multilateral banks, regional organizations and other relevant bodies. As part of its activities to develop strategic partnerships, the Agency signed Memoranda of Understanding with the Common Fund for Commodities, the Transplant Procurement Management Project (University of Barcelona), the National Atomic Energy Agency of Argentina and the University of Buenos Aires. A new form of partnership was entered with the Nuclear Threat Initiative to support the decommissioning of a research reactor in Serbia and Montenegro. In addition, contacts were strengthened between the Agency and regional development organizations to ensure that policies for development programmes complement each other. During 2002, achievements were made in many areas of implementation of the technical co-operation programme. Training events, expert missions and equipment procurement supported national and regional efforts to initiate or improve cancer therapy facilities. Different government nutrition supplementation programmes benefited from Agency expertise to verify they had the impact expected. In the area of water resource management, an ongoing regional project brought together more than 30 water institutes to solve water shortage problems. And in several regions, plans to construct mass- rearing facilities for medfly and tsetse were a testament that national and regional authorities are committed to the sterile insect technique for the control of insect pests. In response to resolution GC(46)/RES/10

Group-Sequential Strategies in Clinical Trials with Multiple Co-Primary Outcomes

Science.gov (United States)

Hamasaki, Toshimitsu; Asakura, Koko; Evans, Scott R; Sugimoto, Tomoyuki; Sozu, Takashi

2015-01-01

We discuss the decision-making frameworks for clinical trials with multiple co-primary endpoints in a group-sequential setting. The decision-making frameworks can account for flexibilities such as a varying number of analyses, equally or unequally spaced increments of information and fixed or adaptive Type I error allocation among endpoints. The frameworks can provide efficiency, i.e., potentially fewer trial participants, than the fixed sample size designs. We investigate the operating characteristics of the decision-making frameworks and provide guidance on constructing efficient group-sequential strategies in clinical trials with multiple co-primary endpoints. PMID:25844122

Activities and co-operations in 1990

International Nuclear Information System (INIS)

Cai Dunjiu

1991-01-01

The items of activities and co-operations in 1990 are listed. It includes the meetings held by CNDC at home, the international meetings held in China, the international meetings, workshop or training course attended by chinese scientists and other activities and co-operations related to CNDC

International co-operation

International Nuclear Information System (INIS)

1998-01-01

A brief account of activities in international co-operation carried out by the Nuclear power plants Jaslovske Bohunice in 1997 is presented. Professionality of the Bohunice NPPs staff was highly appreciated by inviting them to be the OSART team members

Institutionalising co-operation : a study of the Elysée treaty and Franco-German co-operation 1963-1993

OpenAIRE

Sverdrup, Bjørn Otto

1994-01-01

"INSTITUTIONALISING CO-OPERATION. A STUDY OF THE ELYSÉE TREATY AND FRANCO-GERMAN CO-OPERATION 1963-93" In 1963, France and Germany completed 'The Franco-German Treaty on Organization and Principles of Co-operation', the so-called Elysée Treaty. The Elysée Treaty, and its protocols, are in this study viewed as a political institution, hence the Elysée Treaty will be referred to as the Franco-German institution. This study seeks to answer the question of how the Franco-German institution has...

Pre-operative radiochemotherapy of locally advanced rectal cancer

Institute of Scientific and Technical Information of China (English)

Xiao-Nan Sun; Qi-Chu Yang; Jian-Bin Hu

2003-01-01

AIM: To evaluate results of pre-operative radiochemotherapy followed by surgery for 15 patients with locally advanced un-resectable rectal cancer.METHODS: 15 patients with advanced non-resectable rectal cancer were treated with pre-operative irriadiation of 40-46 Gy plus concomitant chemotherapy (5-FU+LV and 5′-DFuR) (RCS group). For comparison, 27 similar patients,treated by preoperative radiotherapy (40-50 Gy) plus surgery were served as control (RS group).RESULTS: No radiochemotherapy or radiotherapy was interrupted and then was delayed because of toxicities in both groups. The radical resectability rate was 73.3% in the RCS group and 37.0% (P=0.024) in RS group. Sphincter preservation rates were 26.6% and 3.7% respectively (P=0.028). Sphincter preservation rates of lower rectal cancer were 27.3 % and 0.0 % respectively (P=0.014). Response rates of RCS and RS groups were 46.7 % and 18.5 %(P=0.053). The tumor downstage rates were 8 (53.3%)and 9 (33.3%) in these groups (P=0.206). The 3-year overall survival rates were 66.7 % and 55.6% (P=0.485), and the disease free survival rates were 40.1% and 33.2%(P=0.663). The 3-year local recurrent rates were 26.7%and 48.1% (P=0.174). No obvious late effects were found in either groups.CONCLUSION: High resectability is possible following preoperative radiochemotherapy and can have more sphincters preserved. It is important to improve the quality of the patients′ life even without increasing the survival or local control rates. Preoperative radiotherapy with concomitant full course chemotherapy (5-Fu+LV and 5′-DFuR) is effective and safe.

Breast cancer publication network: profile of co-authorship and co-organization.

Science.gov (United States)

Biglu, Mohammad-Hossein; Abotalebi, Parvaneh; Ghavami, Mostafa

2016-01-01

Introduction: Breast cancer is one of the highest reasons of deaths for people in the world. The objective of current study is to analyze and visualize the trend of global scientific activities in the field of breast cancer during a period of 10 years through 2006-2015. Methods: The current study was performed by utilizing the scientometrics analysis and mapping the co-authorship and co-organization networks. The Web of Science Core Collection (WoS-CC)database was used to extract all papers indexed as a topic of breast cancer through 2006 to 2015. Research productivity was measured through analysis several parameters, including: the number and time course of publications, the journal and language of publications, the frequency and type of publications, as well as top 20 active sub-categories together with country contribution. The extracted data were transferred into the Excel charts and plotted as diagrams. The Science of Science (Sci2) and CiteSpace softwares were used as tools for mapping the co-authorship and co-organization networks of the published papers. Results: Analysis of data indicated that the number of publications in the field of breast cancer has linearly increased and correlated with the time-course of the study. The number of publication indexed in WoS-CC in 2015 was two times greater than that of 2006, which reached from 15 229 documents in 2006 to 30 667 documents in 2015. English Language accounted for 98% of total publications as the most dominant language. The vast majority of publications' type was in the form of original journal articles (64.7%). Based on Bradford scatterings law, the journal of "Cancer Research" was the most productive journal among the core journals, while the USA, China, and England were the most prolific countries in the field. The co-organization network indicated the dominant role of Harvard University in the field. Conclusion: The integrity of network indicated that scientists in the field of breast cancer

Women and International Intellectual Co-Operation

Science.gov (United States)

Goodman, Joyce

2012-01-01

The article explores ways in which intellectual co-operation at the League of Nations [SDN] provided a space for the engagement of culturally elite women in intellectual co-operation circles in Geneva, Paris and a range of national contexts stretching across Europe, Latin America and Asia. It discusses the language of the "international mind" and…

The Co-Operative: Good with Schools?

Science.gov (United States)

Coates, Max

2015-01-01

The article is a summary of a small-scale research project which considers the formation of Co-operative Trust Schools. This was carried out in 2013 at a time when the number of schools becoming Academies and Trust Schools through the Co-operative College was burgeoning. Through questionnaire, interview, documentary analysis and exploration of…

Technical co-operation report for 2002. Report by the Director General

Energy Technology Data Exchange (ETDEWEB)

NONE

2003-08-01

developmental impact. The development of Country Programme Frameworks (CPFs) progressed further in 2002, with new CPFs concluded or at an advanced stage of preparation for 29 more Member States. Thematic plans were prepared for food irradiation, river basin management and the role of isotopic techniques in the control of communicable diseases. The Agency increased its involvement in international efforts to promote development through intensified consultation and collaboration with the United Nations system, multilateral banks, regional organizations and other relevant bodies. As part of its activities to develop strategic partnerships, the Agency signed Memoranda of Understanding with the Common Fund for Commodities, the Transplant Procurement Management Project (University of Barcelona), the National Atomic Energy Agency of Argentina and the University of Buenos Aires. A new form of partnership was entered with the Nuclear Threat Initiative to support the decommissioning of a research reactor in Serbia and Montenegro. In addition, contacts were strengthened between the Agency and regional development organizations to ensure that policies for development programmes complement each other. During 2002, achievements were made in many areas of implementation of the technical co-operation programme. Training events, expert missions and equipment procurement supported national and regional efforts to initiate or improve cancer therapy facilities. Different government nutrition supplementation programmes benefited from Agency expertise to verify they had the impact expected. In the area of water resource management, an ongoing regional project brought together more than 30 water institutes to solve water shortage problems. [abstract truncated

Marketing co-operatives

NARCIS (Netherlands)

G.W.J. Hendrikse (George); C.P. Veerman (Cees)

2000-01-01

textabstractMarketing co-operatives (MCs) are analysed from an incomplete contracting perspective. The requirement of the domination of control by the members of a MC is a threat to the survival of a MC in markets where the level of asset specificity at the processing stage of production is

Co-operative learning and adaptive instruction in a mathematics curriculum

NARCIS (Netherlands)

Terwel, J.; Herfs, P.G.P.; Mertens, E.H.M.; Perrenet, J.Chr.

1994-01-01

The AGO 12 to 16 Project (the acronym AGO stands for the Dutch equivalent of 'Adaptive Instruction and Co-operative Learning') seeks to develop and evaluate a mathematics curriculum which is suitable for mixed-ability groups in secondary education. The research questions we will address here are,

"A model co-operative country": Irish-Finnish co-operative contacts at the turn of the twentieth century

DEFF Research Database (Denmark)

Hilson, Mary

2017-01-01

Agricultural co-operative societies were widely discussed across late nineteenth-century Europe as a potential solution to the problems of agricultural depression, land reform and rural poverty. In Finland, the agronomist Hannes Gebhard drew inspiration from examples across Europe in founding the...... that even before the First World War it was Finland, not Ireland, that had begun to be regarded as ‘a model co-operative country’....... between Irish and Finnish co-operators around the turn of the century, and examines the ways in which the parallels between the two countries were constructed and presented by those involved in these exchanges. I will also consider the reasons for the divergence in the development of cooperation, so...

Nutrition in peri-operative esophageal cancer management.

Science.gov (United States)

Steenhagen, Elles; van Vulpen, Jonna K; van Hillegersberg, Richard; May, Anne M; Siersema, Peter D

2017-07-01

Nutritional status and dietary intake are increasingly recognized as essential areas in esophageal cancer management. Nutritional management of esophageal cancer is a continuously evolving field and comprises an interesting area for scientific research. Areas covered: This review encompasses the current literature on nutrition in the pre-operative, peri-operative, and post-operative phases of esophageal cancer. Both established interventions and potential novel targets for nutritional management are discussed. Expert commentary: To ensure an optimal pre-operative status and to reduce peri-operative complications, it is key to assess nutritional status in all pre-operative esophageal cancer patients and to apply nutritional interventions accordingly. Since esophagectomy results in a permanent anatomical change, a special focus on nutritional strategies is needed in the post-operative phase, including early initiation of enteral feeding, nutritional interventions for post-operative complications, and attention to long-term nutritional intake and status. Nutritional aspects of pre-optimization and peri-operative management should be incorporated in novel Enhanced Recovery After Surgery programs for esophageal cancer.

CO2 for refrigeration. Co-operation with Indonesia

International Nuclear Information System (INIS)

Bredesen, Arne M.

2000-01-01

NTNU and SINTEF Energy Research, Norway, have co-operated closely with universities in Indonesia on the use of CO2 as a working fluid in refrigeration systems. The Asian market is the largest in the world and so it is very important to use environmentally friendly working fluids. In Indonesia, Institut Teknologi Bandung (ITB) plays a leading role in the efforts to meet the national emission goals. For economical reasons, Indonesia considers natural working fluids such as CO2 rather than the new expensive synthetic ones

OPERABILITY RATE OF DISTAL GASTRIC CANCER AND THE EFFECT OF GASTRIC OUTLET OBSTRUCTION IN THE OPERABILITY RATE AND POSTOPERATIVE OUTCOME- A RETROSPECTIVE STUDY

Directory of Open Access Journals (Sweden)

Rajesh T. R

2017-10-01

Full Text Available BACKGROUND Stomach cancer is the fourth most common malignancy in the world. 1 Except in countries where screening for stomach cancer is prevalent, most of the distal stomach tumours are diagnosed at advanced stage. Gastric outlet obstruction is usually believed to be a sign of locally-advanced disease. Complete surgical removal of the disease (R0 is the only potentially curative treatment for resectable gastric cancer. The aim of the study is to finda The operability rate of gastric cancer in our institution and the incidence of Gastric Outlet Obstruction (GOO in patients undergoing gastrectomy for distal gastric cancer. b To compare the postoperative outcome in patients with gastric outlet obstruction and those without gastric outlet obstruction. c To see if the histology of the tumour has any role in the development of GOO. MATERIALS AND METHODS This is a retrospective study. The study includes patients who were admitted with carcinoma stomach and underwent operative or nonoperative treatment in our institution during 2013 to 2015. RESULTS Overall operability rate was 45.8%. Operable patients in the GOO group were 47%. Operability in the no outlet obstruction group were 45%. Data shows a slightly increased predilection for GOO in diffuse and mixed type of tumours (statistically not significant. Intestinal tumours had significant rate of anaemia compared to diffuse tumours (p <0.005. Overall mortality was 6.7%. Mortality is higher in the GOO group (8.8%. CONCLUSION (a. Operability rate of distal gastric cancer in our institution is 45.8%. (b. Incidence of gastric outlet obstruction in patients undergoing gastrectomy is 38.2%. (c. Presence of gastric outlet obstruction does not influence operability rate (47% vs. 45%. (d. Morbidity and mortality after distal radical gastrectomy is comparable in both groups. (e. Both intestinal and diffuse histology have equal incidence of GOO. (f. Chronic blood loss and incidence of anaemia is more in

Operator coproduct-realization of quantum group transformations in two dimensional gravity, 1

CERN Document Server

Cremmer, E; Schnittger, J; Cremmer, E; Gervais, J L; Schnittger, J

1996-01-01

A simple connection between the universal R matrix of U_q(sl(2)) (for spins \\demi and J) and the required form of the co-product action of the Hilbert space generators of the quantum group symmetry is put forward. This gives an explicit operator realization of the co-product action on the covariant operators. It allows us to derive the quantum group covariance of the fusion and braiding matrices, although it is of a new type: the generators depend upon worldsheet variables, and obey a new central extension of U_q(sl(2)) realized by (what we call) fixed point commutation relations. This is explained by showing that the link between the algebra of field transformations and that of the co-product generators is much weaker than previously thought. The central charges of our extended U_q(sl(2)) algebra, which includes the Liouville zero-mode momentum in a nontrivial way are related to Virasoro-descendants of unity. We also show how our approach can be used to derive the Hopf algebra structure of the extended quant...

China and CERN renew their Co-operation Agreement

CERN Multimedia

2004-01-01

Dr. Liu Yanhua, Chinese Vice Minister of Science and Technology, and Dr. Robert Aymar, Director-General of CERN, sign a new Co-operation Agreement between the Government of the People's Republic of China and CERN. During his visit to CERN on 17 February, Liu Yanhua, Vice Minister of Science and Technology of the People's Republic of China, signed a new Co-operation Agreement with the Laboratory. The Agreement, which is valid for a period of five years and renewable, lays down the framework for the development of scientific and technological co-operation between CERN and China. This includes China's participation, as a non-Member State, in CERN's research projects as well as its main programmes. Robert Aymar and Liu Yanhua underlined that this Agreement will provide an excellent framework for close co-operation on the LHC Programme and Grid and accelerator technologies. Scientific co-operation between China and CERN is nothing new, as Chinese physicists already took part in the LEP experiments. Today, CERN's C...

New co-operation agreement between CERN and JINR

CERN Multimedia

CERN Bulletin

2010-01-01

CERN Director-General Rolf Heuer (left) and JINR Director Alexei Sissakian (right). On Thursday 28 January, CERN Director-General Rolf Heuer and JINR Director Alexei Sissakian signed a new enlarged co-operation agreement to continue and enhance the scientific and technical co-operation of the two institutes in the field of high-energy physics. CERN and JINR have a long and successful history of collaboration extending back to the earliest days of their existence. The first informal meeting on international co-operation in the field of high-energy accelerators took place at CERN in 1959. It was attended by senior scientists from the United States, the USSR (including JINR) and CERN. Both JINR and CERN have played the role of a bridge between East and West for decades, contributing to the development of international scientific co-operation. In 1992 JINR signed a co-operation agreement with CERN that included an important number of protocols covering JINR’s participation in the construction of th...

Strengthening political co-operation through multilateral disarmament

International Nuclear Information System (INIS)

Ekeus, R.

1991-01-01

In this paper, the Ministry for Foreign Affairs of Sweden discussed how the multilateral disarmament concept has contributed and still can contribute to strengthen political co-operation. This approach is the opposite to the usual question on how to achieve multilateral disarmament through political co-operation

Technical co-operation for nuclear safety in developing countries

International Nuclear Information System (INIS)

Flakus, F.N.; Giuliani, P.

1984-01-01

The Agency's programme on technical co-operation for nuclear safety is, largely, responsive in character and the Agency's response is tailored to needs identified by developing countries. However, the Agency's assistance alone is not sufficient: technical co-operation can only be successful and is most effective when there is also a strong input from the counterpart body participating in a particular project. The commitment of national governments is fundamental to success. Technical co-operation is most fruitful if the Agency's assistance capabilities and the recipient country's co-operation capabilities match. Co-operation activities mostly take the form of single projects hosted by individual institutions within a single country; regional and inter-regional projects are also important

Organized network for supporting the amateur-scientist co-operation in Finland

Science.gov (United States)

Mäkelä, V.; Haukka, H.; Oksanen, A.; Hentunen, V.-P.

2014-04-01

PROAM network is a working group of Ursa Astronomical Association [1] for supporting Finnish amateur astronomers participating to co-operation projects between professional and amateur astronomers. The network relays the information on projects, maintains professional contacts and arranges training on technical skills for research work.

ALMA Array Operations Group process overview

Science.gov (United States)

Barrios, Emilio; Alarcon, Hector

2016-07-01

ALMA Science operations activities in Chile are responsibility of the Department of Science Operations, which consists of three groups, the Array Operations Group (AOG), the Program Management Group (PMG) and the Data Management Group (DMG). The AOG includes the Array Operators and have the mission to provide support for science observations, operating safely and efficiently the array. The poster describes the AOG process, management and operational tools.

The Shanghai Co-operation Organisation

DEFF Research Database (Denmark)

Hansen, Flemming Splidsboel

New regional organisations are always interesting to follow as they will tell us more about the things that make or break this type of co-operation. Originally established as “The Shanghai Five” in 1996, The Shanghai Co-operation Organisation (SCO) has been successful at reducing tension between...... the member states but it has since found it very hard to come up with a more ambitious agenda. Mutual suspicion and zero-sum thinking clearly run deep and the continued development of the organisation has suffered as a result of this. All told, the SCO is much more façade than real policy substance....

A histopathological effectiveness of pre-operative irradiation for biliary tract cancer

International Nuclear Information System (INIS)

Mizusaki, Kaoru

1993-01-01

There is almost no report on pre-operative irradiation therapy in biliary tract cancer. For the purpose of attaining improved operative results, pre-operative irradiation has so for been performed in our department. We experienced 106 cases of biliary tract cancer during the period from January 1982 to December 1990, including 30 cases treated by pre-operative irradiation. Among 30 cases, 20 cases, including 9 cases of gallbladder cancer and 11 cases of bile duct cancer, were resectable. Final histopathological findings were obtained in 8 cases of gallbladder cancer and 9 cases of bile duct cancer. The effectiveness of irradiation was evaluated according to the histopathological criteria proposed by Ohboshi and Shimosato in 1971. Four cases were Grade I, 2 cases were Grade IIA, and 2 cases were Grade IIB, and 1 case was Grade III of bile duct cancer. In both groups, no correlation was observed between the exposure doses and their effects. Although no correlation was noted between the degree of differentiation of tubular adenocarcinoma of microscopic pathological findings and the irradiation effects, 1 case of poorly differentiated tubular adenocarcinoma of the bile duct was evaluated as Grade III. Mucinous adenocarcinoma and papillary adenocarcinoma of the gallbladder were revealed to be Grade I. According to the main affected site of bile duct cancer, a good irradiation effect was obtained in patients with upper to middle bile duct cancer. The irradiation effect on the gallbladder and the bile duct wall was predominant on the mucous side but less effective on the serous side. From the histopathological findings, the effectiveness of pre-operative irradiation was suggested. These results suggested that the further clinical evaluation, such as rates of resection or prognostic outcome would be relevant. (author)

Cancer and Blood Concentrations of the Co-mutagen Harmane in Essential Tremor

Science.gov (United States)

Louis, Elan D.; Pellegrino, Kathryn M.; Factor-Litvak, Pam; Rios, Eileen; Jiang, Wendy; Henchcliffe, Claire; Zheng, Wei

2008-01-01

Background Blood concentrations of harmane, a tremor-producing neurotoxin, are elevated in essential tremor (ET). Harmane is also a co-mutagen. Objective To compare the prevalence of cancer in ET cases vs. controls, and determine whether blood harmane concentrations are elevated among ET cases with cancer. Methods Case-control design. Results 66/267 (24.7%) ET cases vs. 55/331 (16.6%) controls had cancer (adjusted OR 1.52, 95% CI 1.01 – 2.30, p = 0.04). Among specific cancer types, colon cancer was more prevalent in ET cases than controls (2.6% vs. 0.6%, p = 0.04). Log blood harmane concentration was higher in ET cases vs. controls (p = 0.02) and in participants with vs. without cancer (p = 0.02). Log blood harmane concentration was highest in ET cases with cancer when compared with other groups (p = 0.009). Discussion These links between cancer and ET and between high blood harmane and cancer in ET deserve further study. PMID:18709680

Effects of a Co-operative Learning Strategy on Ninth-Graders' Understanding of Human Nutrition.

Science.gov (United States)

Soyibo, Kola; Evans, Hermel G.

2002-01-01

Looks at the effect of teaching strategies on a group's attitude toward biology and understanding human nutrition. Used an experimental group that participated in co-operative learning and a control group taught using the lecture method. Involves ninth graders (n=156) from two high schools in Jamaica. (Author/YDS)

57Co-labelled bleomycin scintigraphy for the detection of lung cancer

International Nuclear Information System (INIS)

Slosman, D.; Polla, B.; Townsend, D.; Egeli, R.; Huber, P.; Megevand, R.; Donath, A.; Junod, A.

1985-01-01

The sensitivity and specificity of scanning with 57 Co-labelled bleomycin for the diagnosis of lung cancer were determined from a prospective study involving a large group of patients with an abnormal chest roentgenogram. A semi-quantitative analysis of the scintigram was obtained by defining an index in terms of the excess isotope uptake within the tumour. Malignant pulmonary lesions were found in 121/175 patients and 113 had a positive scan. Benign pulmonary disorders were found in 54 patients, 45 of whom had a negative scan. The sensitivity and specificity were therefore 93% and 83% respectively. Bayes' theorem was then used to determine the predictive value of this test, either positive or negative, when the prevalence of disease varied from 10 to 90%. A receiver operating characteristic curve permits the choice of an appropriate value of the tumor uptake index to minimize the false positive fraction without classifying too many true positives as false negatives. (author)

Seeking support on facebook: a content analysis of breast cancer groups.

Science.gov (United States)

Bender, Jacqueline L; Jimenez-Marroquin, Maria-Carolina; Jadad, Alejandro R

2011-02-04

Social network sites have been growing in popularity across broad segments of Internet users, and are a convenient means to exchange information and support. Research on their use for health-related purposes is limited. This study aimed to characterize the purpose, use, and creators of Facebook groups related to breast cancer. We searched Facebook (www.Facebook.com) using the term breast cancer. We restricted our analysis to groups that were related to breast cancer, operated in English, and were publicly available. Two of us independently extracted information on the administrator and purpose of the group, as well as the number of user-generated contributions. We developed a coding scheme to guide content analysis. We found 620 breast cancer groups on Facebook containing a total of 1,090,397 members. The groups were created for fundraising (277/620, 44.7%), awareness (236, 38.1%), product or service promotion related to fundraising or awareness (61, 9%), or patient/caregiver support (46, 7%). The awareness groups as a whole contained by far the most members (n = 957,289). The majority of groups (532, 85.8%) had 25 wall posts or fewer. The support oriented groups, 47% (27/57) of which were established by high school or college students, were associated with the greatest number of user-generated contributions. Facebook groups have become a popular tool for awareness-raising, fundraising, and support-seeking related to breast cancer attracting over one million users. Given their popularity and reach, further research is warranted to explore the implications of social network sites as a health resource across various health conditions, cultures, ages, and socioeconomic groups.

NATO, Libya operations and intelligence co-operation – a step forward?

DEFF Research Database (Denmark)

Svendsen, Adam David Morgan

2011-01-01

developments can be opened up for some further analysis, forming the main focus of this article. Ultimately, this article concludes that, over time and albeit while gradual, we have seen what can be regarded as ‘a step forward’ in co-operative intelligence activities in Libya. Although several pressing......"With the ‘fall’ of Tripoli towards the end of August 2011, it has become increasingly apparent that the intelligence co-operation witnessed in Libya during the NATO campaign performed an increasingly important role in realizing operational and strategic ‘successes’. These recent intelligence...

International solar energy research co-operation

Energy Technology Data Exchange (ETDEWEB)

Lund, P.; Peippo, K.; Konttinen, P. [Helsinki Univ. of Technology, Otaniemi (Finland). Advanced Energy Systems

1998-10-01

Finland has participated in several IEA activities during 1996-97. HUT coordinates the activities, but practical participation in collaborative actions take place both in industrial companies and research organisations. Neste Ltd has directly participated in several tasks and information of results has been disseminated more widely to Finnish industries and organisations. Co-operation projects covered here are: (1) IEA Photovoltaic Power Systems Task 1 `Information dissemination`, (2) IEA Photovoltaic Power Systems Task 3 `Use of Photovoltaic systems in Stand Alone and Island Applications`, (3) IEA Photovoltaic Power Systems Task 7 `Photovoltaics in built environment`, (4) IEA Solar Heating and Cooling Program Task 16 `Photovoltaics in buildings` and (5) IEA Working Group `Materials in Solar Thermal Collectors`

Danish Colorectal Cancer Group Database

DEFF Research Database (Denmark)

Ingeholm, Peter; Gögenur, Ismail; Iversen, Lene H

2016-01-01

AIM OF DATABASE: The aim of the database, which has existed for registration of all patients with colorectal cancer in Denmark since 2001, is to improve the prognosis for this patient group. STUDY POPULATION: All Danish patients with newly diagnosed colorectal cancer who are either diagnosed......, and other pathological risk factors. DESCRIPTIVE DATA: The database has had >95% completeness in including patients with colorectal adenocarcinoma with >54,000 patients registered so far with approximately one-third rectal cancers and two-third colon cancers and an overrepresentation of men among rectal...... diagnosis, surgical interventions, and short-term outcomes. The database does not have high-resolution oncological data and does not register recurrences after primary surgery. The Danish Colorectal Cancer Group provides high-quality data and has been documenting an increase in short- and long...

ABO blood group and risk of cancer

DEFF Research Database (Denmark)

Vasan, Senthil K; Hwang, Jinseub; Rostgaard, Klaus

2016-01-01

groups and site-specific cancer risk in a large cohort of healthy blood donors from Sweden and Denmark. RESULTS: A total of 1.6 million donors were followed over 27 million person-years (20 million in Sweden and 7 million in Denmark). We observed 119,584 cancer cases. Blood groups A, AB and B were......INTRODUCTION: The associations between ABO blood group and cancer risk have been studied repeatedly, but results have been variable. Consistent associations have only been reported for pancreatic and gastric cancers. MATERIALS AND METHODS: We estimated associations between different ABO blood...... associated either with increased or decreased risk of cancer at 13 anatomical sites (p≤0.05), compared to blood group O. Consistent with assessment using a false discovery rate approach, significant associations with ABO blood group were observed for cancer of the pancreas, breast, and upper gastrointestinal...

A population based study of variations in operation rates for breast cancer, of comorbidity and prognosis at diagnosis: failure to operate for early breast cancer in older women.

Science.gov (United States)

Bates, T; Evans, T; Lagord, C; Monypenny, I; Kearins, O; Lawrence, G

2014-10-01

Older women are less likely to have surgery for operable breast cancer. This population-based study examines operation rates by age and identifies groups which present with early or late disease. 37 000 cancer registrations for 2007 were combined with Hospital Episode Statistics comorbidity data for England. Operation rates were examined by age, ethnicity, deprivation, comorbidity, screen-detection, tumour size, grade and nodal status. Early and late presentation were correlated with Nottingham Prognostic Index (NPI) groups and tumour size. The proportion of women not having surgery increased from 7-10% at ages 35-69 to 82% from age 90. From age 70, the proportion not having surgery rose by an average of 3.1% per year of age. Women with a Charlson Comorbidity Index score of ≥1 (which increased with age), with tumours >50 mm or who were node positive, were less likely to have surgery. Although women aged 70-79 were more likely to have larger tumours, their tumours were also more likely to have an excellent or good NPI (p ethnic groups (p ethnic groups presented with more advanced tumours. Older women had larger tumours which were otherwise of good prognosis, and this would not account for the failure to operate which may in part be related to comorbidity in this age group. Copyright © 2014 Elsevier Ltd. All rights reserved.

NMR evidence for Co-Al-Co molecular groups trapped in cages of Co4Al13

International Nuclear Information System (INIS)

Jeglic, P.; Heggen, M.; Feuerbacher, M.; Bauer, B.; Gille, P.; Haarmann, F.

2009-01-01

We present the results of 27 Al nuclear magnetic resonance (NMR) experiments on the phase Co 4 Al 13 . These results are compared to a recent structure model [1], which demonstrates a unique bonding for Al atoms in the Co-Al-Co molecular groups. In our measurement, two 27 Al signals were identified. The first one originates from Al atoms forming cages. The second signal corresponds to Al sites with exceptionally large almost axially symmetric quadrupole coupling. This finding is in perfect agreement with isolated Co-Al-Co molecular groups in accordance to Ref. [1].

Human breast cancer histoid: an in vitro 3-dimensional co-culture model that mimics breast cancer tissue.

Science.gov (United States)

Kaur, Pavinder; Ward, Brenda; Saha, Baisakhi; Young, Lillian; Groshen, Susan; Techy, Geza; Lu, Yani; Atkinson, Roscoe; Taylor, Clive R; Ingram, Marylou; Imam, S Ashraf

2011-12-01

Progress in our understanding of heterotypic cellular interaction in the tumor microenvironment, which is recognized to play major roles in cancer progression, has been hampered due to unavailability of an appropriate in vitro co-culture model. The aim of this study was to generate an in vitro 3-dimensional human breast cancer model, which consists of cancer cells and fibroblasts. Breast cancer cells (UACC-893) and fibroblasts at various densities were co-cultured in a rotating suspension culture system to establish co-culture parameters. Subsequently, UACC-893, BT.20, or MDA.MB.453 were co-cultured with fibroblasts for 9 days. Co-cultures resulted in the generation of breast cancer histoid (BCH) with cancer cells showing the invasion of fibroblast spheroids, which were visualized by immunohistochemical (IHC) staining of sections (4 µm thick) of BCH. A reproducible quantitative expression of C-erbB.2 was detected in UACC-893 cancer cells in BCH sections by IHC staining and the Automated Cellular Imaging System. BCH sections also consistently exhibited qualitative expression of pancytokeratins, p53, Ki-67, or E-cadherin in cancer cells and that of vimentin or GSTPi in fibroblasts, fibronectin in the basement membrane and collagen IV in the extracellular matrix. The expression of the protein analytes and cellular architecture of BCH were markedly similar to those of breast cancer tissue.

Bronchoplastic operations for lung cancer

International Nuclear Information System (INIS)

Cicenas, S.; Naujokaitis, P.; Jackevicius, A. and others

2002-01-01

Objective of our work was to evaluate efficacy of bronchoplastic operations for lung cancer and time to progression in combined treatment. From 1997 till 2001, 57pts were operated for early I-IIB stages of lung cancer. Operations were: tracheal resections in 3pts (5.2%), window right pneumonectomies in 5pts (8.7%), window left pneumonectomies in 2pts (3.5%), window right upper lobe in 22pts (38.5%), bifurcation resections 2pts (3.5%), sleeve right upper lobe resections 7pts (12.2%), sleeve left upper lobe resections in 11pts (19.2%). We had complications: in 7pts (12.2%) suture failure, 26pts (45.6%) obstructive pneumonia, 3pts (5.2%) kinking of anastomosis, 2pts (3.7%) bronchial bleeding, 6pts (10.5%) covered bronchial fistulas, 5pts (8.7%) died after operations. 32pts (56%) underwent radiation after surgery, 13pts (22.8%) radiation and chemotherapy. Three-year survival was in 82.4% (47pts), in 10pts (17.4%) disease progressed. Bronchoplastic operations are sufficient for early lung cancer treatment. Three-year was in survival 82.7% of pts. Seventeen percent of patients failed after combined treatment. (author)

Recommendations for Collection and Handling of Specimens From Group Breast Cancer Clinical Trials

Science.gov (United States)

Leyland-Jones, Brian R.; Ambrosone, Christine B.; Bartlett, John; Ellis, Matthew J.C.; Enos, Rebecca A.; Raji, Adekunle; Pins, Michael R.; Zujewski, Jo Anne; Hewitt, Stephen M.; Forbes, John F.; Abramovitz, Mark; Braga, Sofia; Cardoso, Fatima; Harbeck, Nadia; Denkert, Carsten; Jewell, Scott D.

2008-01-01

Recommendations for specimen collection and handling have been developed for adoption across breast cancer clinical trials conducted by the Breast International Group (BIG)-sponsored Groups and the National Cancer Institute (NCI)-sponsored North American Cooperative Groups. These recommendations are meant to promote identifiable standards for specimen collection and handling within and across breast cancer trials, such that the variability in collection/handling practices that currently exists is minimized and specimen condition and quality are enhanced, thereby maximizing results from specimen-based diagnostic testing and research. Three working groups were formed from the Cooperative Group Banking Committee, BIG groups, and North American breast cancer cooperative groups to identify standards for collection and handling of (1) formalin-fixed, paraffin-embedded (FFPE) tissue; (2) blood and its components; and (3) fresh/frozen tissue from breast cancer trials. The working groups collected standard operating procedures from multiple group specimen banks, administered a survey on banking practices to those banks, and engaged in a series of discussions from 2005 to 2007. Their contributions were synthesized into this document, which focuses primarily on collection and handling of specimens to the point of shipment to the central bank, although also offers some guidance to central banks. Major recommendations include submission of an FFPE block, whole blood, and serial serum or plasma from breast cancer clinical trials, and use of one fixative and buffer type (10% neutral phosphate-buffered formalin, pH 7) for FFPE tissue across trials. Recommendations for proper handling and shipping were developed for blood, serum, plasma, FFPE, and fresh/frozen tissue. PMID:18955459

Assessing the effectiveness of a guideline recommendation for pre-operative radiochemotherapy in rectal cancer

International Nuclear Information System (INIS)

Manchon-Walsh, Paula; Borras, Josep Maria; Espinas, Josep Alfons; Aliste, Luisa

2011-01-01

Aim: To ascertain the degree of adherence to the guideline recommendation on pre-operative RT/ChT for stage-II and -III patients in Catalonian public hospitals, and its impact on local recurrence among rectal cancer patients. Methods: Data were derived from a multicentre retrospective cohort study of patients who underwent curative-intent surgery for primary rectal cancer at Catalonian public hospitals in 2005 and 2007. Results: The study covered 1229 patients with TNM stage-II or -III primary rectal cancer. Of these patients, 54.5% underwent pre-operative RT/ChT; 14.9% underwent post-operative RT (± chemotherapy); and 30.6% did not undergo any RT. The crude local recurrence rate at 2 years was 4.1% and the crude distant recurrence rate at 2 years was 6.5%. The results of the univariate analyses showed a local-recurrence hazard ratio of 1.84 for the group of patients that received no RT versus the group that received pre-operative RT/ChT (p < 0.01). Conclusions: This is the first population-based study in Catalonia to support the use of pre-operative RT/ChT in rectal cancer patients because, in line with the results of population-based studies reported from other countries, its application, compared to non-application of RT, was found to lead to a clear reduction in the probability of local recurrence.

How prostate cancer support groups do and do not survive: British Columbian perspectives.

Science.gov (United States)

Oliffe, John L; Halpin, Michael; Bottorff, Joan L; Hislop, T Gregory; McKenzie, Michael; Mroz, Lawrence

2008-06-01

Many prostate cancer support groups (PCSGs) have formed in North America during the past decade, yet their operation or factors influencing sustainability are poorly understood. This article reports micro (intragroup), meso (intergroup), and macro (group/structure) analyses drawn from the fieldwork and participant observations conducted for an ethnographic study of PCSGs based in British Columbia, Canada. The findings indicate that effective group leadership is integral to group sustainability and the recruitment and retention of attendees. At the meso level, intergroup connections and communication were often informal; however, the primary purpose of all the PCSGs was to provide information and support to men and their families. Many PCSGs were uncertain how formal associations with cancer fund-raising societies would influence group effectiveness. Macro issues such as prostate cancer activism resided with individual group "champions" through activities coordinated by provincial and national PCSG organizations. However, activism did not guarantee group sustainability. The study findings reveal why some groups flourish while others appear untenable, and form the basis for discussion about how PCSG sustainability might be best achieved.

Promoting regional energy co-operation in South Asia

International Nuclear Information System (INIS)

Srivastava, Leena; Misra, Neha

2007-01-01

Energy is a key ingredient of the socio-economic development of any region. South Asia is not only one of the fastest growing regions in the world; it is also one of the poorest, which thus puts energy at the very heart of the development process in the region. This paper looks at the challenges faced by the South Asia sub-region for economic co-operation (SASEC) comprised of Bangladesh, Bhutan, India and Nepal, and also at the role of greater regional energy co-operation therein. The region is characterized by pressures of growing economies and increasing population. While the per capita energy consumption is one of the lowest in the world, energy intensity continues to be very high. A large portion of the population lacks access to modern sources of energy and depends on traditional sources that are not only inefficient but also have severe health and environmental problems associated with them. Increasing oil import dependency and huge investment needs for energy market development pose a further challenge. The region has a good resource potential and tremendous scope for energy co-operation, which can play a key role in addressing many of these energy security concerns and in putting it on the path of sustainable development. It is ironic that the record in the area has been so limited and that too in the most basic form of co-operation, i.e. bilateral arrangements between countries. This paper puts forth a multi-pronged strategy for sub-regional energy co-operation encompassing softer options aimed at confidence building to more substantial and larger scale co-operation efforts. Delays in decision making to ensure stronger and mutually beneficial co-operation efforts are associated with high costs not only to the energy sector but also for the entire development agenda. With the precarious energy situation in the region and unprecedented increases in international oil prices seen in recent times, it is high time for policy makers, financing institutions, NGOs

The ethics of conducting a co-operative inquiry with vulnerable people.

Science.gov (United States)

Tee, Stephen R; Lathlean, Judith A

2004-09-01

Mental health services users have been calling for greater participation in clinical research. Participation in this context means research 'with' rather than 'on' groups of people. Conducting a co-operative inquiry involving the participation of vulnerable individuals as co-researchers, in particular those with a history of mental health problems, places an obligation on researchers to articulate and justify sound ethical procedures. The aim of this paper is to consider how the ethical issues encountered when conducting participative research with vulnerable people can be addressed in the implementation of a co-operative inquiry with users of mental health services. The study was based on personal reflection and a critical review of associated literature obtained from a database search using Boolean logic. The findings, presented under the headings of the four prima facie moral principles, suggest the need for researchers using participative approaches to demonstrate the humanistic attributes required for engaging and working with people over a period of time. These include building and maintaining trusting relationships, assessing competence to participate, managing interpersonal and group dynamics and making complex collaborative decisions about participants' continued participation in a study. When using a co-operative inquiry approach involving vulnerable individuals, researchers need to demonstrate clearly how a balance between autonomy and paternalism will be achieved, how risks will be anticipated and managed and how fairness will be maintained throughout all procedures. Researchers using participative approaches need to have developed a level of personal insight and self-awareness through access to supervision which focuses on sources of unintended manipulation and interpersonal dynamics that may arise at the inception of a study and throughout its course. Researchers and ethics committees have a shared responsibility to ensure that vulnerable people are

Co-operative approaches to regulation

National Research Council Canada - National Science Library

Huigen, Hans; Organisation for Economic Co-operation and Development

1997-01-01

The case studies in this occasional paper are about ways in which governments and businesses are seeking to address economic and social problems by using new forms of co-operation that are different...

Danish Breast Cancer Cooperative Group

DEFF Research Database (Denmark)

Christiansen, Peer; Ejlertsen, Bent; Jensen, Maj-Britt

2016-01-01

AIM OF DATABASE: Danish Breast Cancer Cooperative Group (DBCG), with an associated database, was introduced as a nationwide multidisciplinary group in 1977 with the ultimate aim to improve the prognosis in breast cancer. Since then, the database has registered women diagnosed with primary invasive...... nonmetastatic breast cancer. The data reported from the departments to the database included details of the characteristics of the primary tumor, of surgery, radiotherapy, and systemic therapies, and of follow-up reported on specific forms from the departments in question. DESCRIPTIVE DATA: From 1977 through...... 2014, ~110,000 patients are registered in the nationwide, clinical database. The completeness has gradually improved to more than 95%. DBCG has continuously prepared evidence-based guidelines on diagnosis and treatment of breast cancer and conducted quality control studies to ascertain the degree...

Improving Indigenous access to cancer screening and treatment services: descriptive findings and a preliminary report on the Midwest Indigenous Women’s Cancer Support Group

Directory of Open Access Journals (Sweden)

Lisabeth D Finn

2008-01-01

Full Text Available BackgroundHigher cancer morbidity and mortality rates for the Indigenous population comparedto the overall Australian population has underlined the critical need to improve accessfor Aboriginal people to cancer treatment services. This paper describes anIndigenous Women’s Cancer Support Group (IWCSG established to supportIndigenous people with cancer and their carers/relatives and to facilitate Aboriginalaccess to cancer screening and treatment. Preliminary findings from an evaluation ofthe group are presented.MethodsThe study employed qualitative research methods to describe IWCSG operations andinvestigate the group’s effectiveness. It included one-on-one interviews with 11Geraldton-based health service providers, the IWCSG coordinator, and 10 womenwho have been linked to IWCSG support, as well as observation of group meetings.ResultsDescriptive outcomes relate to group operations, group effectiveness, group benefitsand future development of the group. A cultural strength of IWCSG is its ability tooperate confidentially behind the scenes, providing emotional support and practicalhelp directly to Indigenous people concerned about privacy and shame issues. Theimportant cultural role IWCSG plays in overcoming communication and othercultural barriers to accessing cancer treatment was unanimously recognised by healthservice providers. Aboriginal women supported by IWCSG spoke about an increasedsense of safety, trust and support in accessing and navigating mainstream cancerservices. A critical issue emerging from the research is the need for further development of effective collaborative working relationships between IWCSGmembers and health service providers.ConclusionsThe IWCSG has the potential to inform an effective model for facilitating Indigenousaccess both to cancer treatment and to mainstream treatment for a variety of healthproblems. Future research is required to explore the applicability of Indigenoussupport groups and to focus on the

Performance Measurement Using Balanced Scorecard Concept On Co-Operatives Implication In Indonesia

Directory of Open Access Journals (Sweden)

Ernita

2015-08-01

Full Text Available Abstract This study aims to apply the concept of balanced scorecards in measurement of co-operatives performance based on vision and mission. So far the assessment of co-operative performance in Indonesia is not take into account the social hold co-operative while co-operatives carrying a dual mission. Research conducted in in North Sumatera Province in Indonesia. The sample consisting of one hundred co-operatives that are still active run annual members meeting. Co-operative performance was assessed based on its fourth perspective i.e. membership financial internal process and learning amp growth. The indicator key of cooperative performance was determined by taking into account the performance assessment on co-operatives as articulated of State Minister for Co-operatives and SMEs No.129KEPMKUMKMXI2002 and the regulations of the State Minister for Co-operatives and SME No.06PerM.KUKMV2006. Therefore this research were contributed a method in assessing co-operative performance using Balanced Scorecard concept with the four perspective namely membership perspective financial perspective internal process perspective and learning amp growth perspective.

Interagency mechanical operations group numerical systems group

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-09-01

This report consists of the minutes of the May 20-21, 1971 meeting of the Interagency Mechanical Operations Group (IMOG) Numerical Systems Group. This group looks at issues related to numerical control in the machining industry. Items discussed related to the use of CAD and CAM, EIA standards, data links, and numerical control.

Clinical efficacy ofω-3 polyunsaturated fatty acids in perioperative period of radical operation for gastric cancer

Directory of Open Access Journals (Sweden)

Wei-Xue Li

2018-01-01

Full Text Available Objective: To study the regulating effect of application of ω-3 polyunsaturated fatty acids in perioperative period of radical surgery for gastric cancer on patients’ nutritional status, inflammatory response and immune function. Methods: A total of 86 cases of patients receiving radical operation for gastric cancer in our hospital were selected for study and randomly divided into two groups, ω-3 PUFAs group received ω-3 polyunsaturated fatty acids combined with conventional intravenous nutritional support and control group only received conventional intravenous nutritional support. Serum nutrition indicators of two groups were detected before and after surgery, and inflammation indicators in serum as well as immune molecules in tumor tissue of tow groups were detected after surgery. Results: 1d before operation and 3 d after operation, serum RBP, PA, RTF, PEPT1 and ghrelin contents of ω-3 PUFAs group were significantly higher than those of control group; 3 d after operation, serum CC16, α-MSH and HSP70 contents of ω-3 PUFAs group were significantly higher than those of control group, and LBP and sCD14 contents were significantly lower than those of control group; B7-H1, B7-H4, CD157 and CD133 contents in tumor tissue of ω-3 PUFAs group were significantly lower than those of control group, and CD11c content was significantly higher than that of control group. Conclusion: Application of ω-3 polyunsaturated fatty acids in perioperative period of radical operation for gastric cancer can improve patients’ nutritional status, reduce postoperative inflammatory response caused by surgical trauma and regulate the expression of immune molecules in tumor tissue.

SMEs and their co-operation with academia.

Science.gov (United States)

Antoine, Jean Michel; Strömqvist, Mats

2005-01-01

Co-operation between SMEs and Academia can be a win-win situation when each partner understands the constraints of the other. SMEs are often leaders in innovation; therefore more ready to share interest in research. They are flexible and dynamic. They need a short feed-back to sustain their co-operation. Academia is often more long-term oriented and more question- than answer-oriented. A code of conduct can ease the relationship because it can anticipate the potential problems.

Why do health and social care providers co-operate?

Science.gov (United States)

van Raak, Arno; Paulus, Aggie; Mur-Veeman, Ingrid

2005-09-28

Within Europe, although there are numerous examples of poor co-ordination in the delivery of integrated care, many providers do co-operate. We wanted to know why providers are moved to co-operate. In terms of systematic research, this is a new field; researchers have only begun to theorise about the rationales for co-operation. Practically, the issue of achieving co-operation attracts much attention from policymakers. Understanding the reasons for co-operation is a prerequisite for developing effective policy in support of integrated care. Our aim is to explore the comparative validity of different theoretical perspectives on the reasons for co-operation, to indicate directions for further study and for policy making. We used data from three successive studies to perform pattern matching with six established theoretical perspectives: transaction costs economics, strategic choice theory, resource dependence theory, learning theory, stakeholder theory and institutional theory. Insights from the studies were compared for validating purposes (triangulation). The first study concerned the evaluation of the Dutch 'National Home Health Care Programme' according to the case study methodology. The second and third studies were surveys among project directors: questionnaires were based on the concepts derived from the first study. Researchers should combine normative institutional theory, resource dependence theory and stakeholder theory into one perspective, in order to study relationship formation in health and social care. The concept of institutions (rules) is the linchpin between the theories. Policy makers must map the institutions of stakeholders and enable integrated care policy to correspond with these institutions as much as possible.

Advancing regional co-operation in Africa

International Nuclear Information System (INIS)

Maksoudi, M.

1991-01-01

The IAEA's regional co-operation programme in Africa was initiated in 1983, with two regional projects dealing with hydrology and insect physiology and biochemistry. The paper describes the structure of this Regional Programme, the sources of finance and the projects currently in operation in agriculture and hydrology. 1 fig., 1 tab

Tumour-specific HMG-CoAR is an independent predictor of recurrence free survival in epithelial ovarian cancer.

LENUS (Irish Health Repository)

Brennan, Donal J

2010-01-01

BACKGROUND: Our group previously reported that tumour-specific expression of the rate-limiting enzyme in the mevalonate pathway, 3-hydroxy-3-methylglutharyl-coenzyme A reductase (HMG-CoAR) is associated with more favourable tumour parameters and a good prognosis in breast cancer. In the present study, the prognostic value of HMG-CoAR expression was examined in tumours from a cohort of patients with primary epithelial ovarian cancer. METHODS: HMG-CoAR expression was assessed using immunohistochemistry (IHC) on tissue microarrays (TMA) consisting of 76 ovarian cancer cases, analysed using automated algorithms to develop a quantitative scoring model. Kaplan Meier analysis and Cox proportional hazards modelling were used to estimate the risk of recurrence free survival (RFS). RESULTS: Seventy-two tumours were suitable for analysis. Cytoplasmic HMG-CoAR expression was present in 65% (n = 46) of tumours. No relationship was seen between HMG-CoAR and age, histological subtype, grade, disease stage, estrogen receptor or Ki-67 status. Patients with tumours expressing HMG-CoAR had a significantly prolonged RFS (p = 0.012). Multivariate Cox regression analysis revealed that HMG-CoAR expression was an independent predictor of improved RFS (RR = 0.49, 95% CI (0.25-0.93); p = 0.03) when adjusted for established prognostic factors such as residual disease, tumour stage and grade. CONCLUSION: HMG-CoAR expression is an independent predictor of prolonged RFS in primary ovarian cancer. As HMG-CoAR inhibitors, also known as statins, have demonstrated anti-neoplastic effects in vitro, further studies are required to evaluate HMG-CoAR expression as a surrogate marker of response to statin treatment, especially in conjunction with current chemotherapeutic regimens.

Tumour-specific HMG-CoAR is an independent predictor of recurrence free survival in epithelial ovarian cancer

LENUS (Irish Health Repository)

Brennan, Donal J

2010-04-01

Abstract Background Our group previously reported that tumour-specific expression of the rate-limiting enzyme in the mevalonate pathway, 3-hydroxy-3-methylglutharyl-coenzyme A reductase (HMG-CoAR) is associated with more favourable tumour parameters and a good prognosis in breast cancer. In the present study, the prognostic value of HMG-CoAR expression was examined in tumours from a cohort of patients with primary epithelial ovarian cancer. Methods HMG-CoAR expression was assessed using immunohistochemistry (IHC) on tissue microarrays (TMA) consisting of 76 ovarian cancer cases, analysed using automated algorithms to develop a quantitative scoring model. Kaplan Meier analysis and Cox proportional hazards modelling were used to estimate the risk of recurrence free survival (RFS). Results Seventy-two tumours were suitable for analysis. Cytoplasmic HMG-CoAR expression was present in 65% (n = 46) of tumours. No relationship was seen between HMG-CoAR and age, histological subtype, grade, disease stage, estrogen receptor or Ki-67 status. Patients with tumours expressing HMG-CoAR had a significantly prolonged RFS (p = 0.012). Multivariate Cox regression analysis revealed that HMG-CoAR expression was an independent predictor of improved RFS (RR = 0.49, 95% CI (0.25-0.93); p = 0.03) when adjusted for established prognostic factors such as residual disease, tumour stage and grade. Conclusion HMG-CoAR expression is an independent predictor of prolonged RFS in primary ovarian cancer. As HMG-CoAR inhibitors, also known as statins, have demonstrated anti-neoplastic effects in vitro, further studies are required to evaluate HMG-CoAR expression as a surrogate marker of response to statin treatment, especially in conjunction with current chemotherapeutic regimens.

Tumour-specific HMG-CoAR is an independent predictor of recurrence free survival in epithelial ovarian cancer

International Nuclear Information System (INIS)

Brennan, Donal J; Jirstrom, Karin; Brändstedt, Jenny; Rexhepaj, Elton; Foley, Michael; Pontén, Fredrik; Uhlén, Mathias; Gallagher, William M; O'Connor, Darran P; O'Herlihy, Colm

2010-01-01

Our group previously reported that tumour-specific expression of the rate-limiting enzyme in the mevalonate pathway, 3-hydroxy-3-methylglutharyl-coenzyme A reductase (HMG-CoAR) is associated with more favourable tumour parameters and a good prognosis in breast cancer. In the present study, the prognostic value of HMG-CoAR expression was examined in tumours from a cohort of patients with primary epithelial ovarian cancer. HMG-CoAR expression was assessed using immunohistochemistry (IHC) on tissue microarrays (TMA) consisting of 76 ovarian cancer cases, analysed using automated algorithms to develop a quantitative scoring model. Kaplan Meier analysis and Cox proportional hazards modelling were used to estimate the risk of recurrence free survival (RFS). Seventy-two tumours were suitable for analysis. Cytoplasmic HMG-CoAR expression was present in 65% (n = 46) of tumours. No relationship was seen between HMG-CoAR and age, histological subtype, grade, disease stage, estrogen receptor or Ki-67 status. Patients with tumours expressing HMG-CoAR had a significantly prolonged RFS (p = 0.012). Multivariate Cox regression analysis revealed that HMG-CoAR expression was an independent predictor of improved RFS (RR = 0.49, 95% CI (0.25-0.93); p = 0.03) when adjusted for established prognostic factors such as residual disease, tumour stage and grade. HMG-CoAR expression is an independent predictor of prolonged RFS in primary ovarian cancer. As HMG-CoAR inhibitors, also known as statins, have demonstrated anti-neoplastic effects in vitro, further studies are required to evaluate HMG-CoAR expression as a surrogate marker of response to statin treatment, especially in conjunction with current chemotherapeutic regimens

Technical co-operation report for 2000. Report by the Director General

International Nuclear Information System (INIS)

2001-01-01

This report covers three separate topics. Part one fulfills the Agency's obligation under the General Conference resolution GC(44)/RES/18 to report on the Strengthening of Technical Co-operation. It covers the period from 1 April 2000 to 31 March 2001. The report examines the finalization of the 2001-2002 technical co-operation programme and several key concepts of the Technical Co-operation Strategy such as Partners in Development, Technical Co-operation among Developing Countries, and the continuing evolution of Regional Resource Centres. Reflecting an important trend in the technical co-operation programme, which was mandated by the General Conference, the report describes the results achieved in several programmes in least developed countries. Part two reports on the major achievements of the technical co-operation programme in 2000 in the different regions of the world. Part three presents a summary of the financial and non-financial parameters of the technical co-operation programme. The supplement to the report provides a more detailed review of resources and contributions, disbursements and non-financial indicators

Technical co-operation report for 2000. Report by the Director General

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-07-01

This report covers three separate topics. Part one fulfills the Agency's obligation under the General Conference resolution GC(44)/RES/18 to report on the Strengthening of Technical Co-operation. It covers the period from 1 April 2000 to 31 March 2001. The report examines the finalization of the 2001-2002 technical co-operation programme and several key concepts of the Technical Co-operation Strategy such as Partners in Development, Technical Co-operation among Developing Countries, and the continuing evolution of Regional Resource Centres. Reflecting an important trend in the technical co-operation programme, which was mandated by the General Conference, the report describes the results achieved in several programmes in least developed countries. Part two reports on the major achievements of the technical co-operation programme in 2000 in the different regions of the world. Part three presents a summary of the financial and non-financial parameters of the technical co-operation programme. The supplement to the report provides a more detailed review of resources and contributions, disbursements and non-financial indicators.

Mortality and survival of lung cancer in Denmark: Results from the Danish Lung Cancer Group 2000-2012

DEFF Research Database (Denmark)

Jakobsen, Erik; Rasmussen, Torben Riis; Green, Anders

2016-01-01

Background In the 1990s outcomes in Danish lung cancer patients were poor compared with the other Nordic countries. The five-year survival was only about 5%, only 10% of patients were operated on and less than 60% received active surgical or oncologic treatment. This paper describes trends...... in mortality and survival of lung cancer in Denmark from 2000 to 2012. Methods The study population comprised 52 435 patients with a diagnosis of cancer of the trachea and the lung, primarily ascertained from the Danish Lung Cancer Register and grouped into three cohorts by year of diagnosis. The outcome...... for all strata by gender, comorbidity, stage and surgery status and was accompanied by corresponding improvements in both absolute and relative survival. Conclusions The mortality has been significantly declining and the prognosis correspondingly improving in lung cancer in Denmark since the turn...

Work engagement in cancer care: The power of co-worker and supervisor support.

Science.gov (United States)

Poulsen, Michael G; Khan, Asaduzzaman; Poulsen, Emma E; Khan, Shanchita R; Poulsen, Anne A

2016-04-01

Co-worker and supervisor support can provide knowledge, advice and expertise which may improve motivation, confidence and skills. This exploratory study aimed to examine the association of co-worker and supervisor support, and other socio-demographic and practice variables with work engagement for cancer workers. The study surveyed 573 cancer workers in Queensland (response rate 56%). Study participants completed surveys containing demographics and psychosocial questionnaires measuring work engagement, co-worker and supervisor support. Of these respondents, a total of 553 responded to the items measuring work engagement and this forms the basis for the present analyses. Oncology nurses represented the largest professional group (37%) followed by radiation therapists (22%). About 54% of the workforce was aged >35 years and 81% were female. Multiple regression analysis was performed to identify explanatory variables independently associated with work engagement for cancer workers. After adjusting for the effects of other factors, co-worker and supervisor support were both significantly associated with work engagement. Having 16 years or more experience, being directly involved in patient care, having children and not being a shift worker were positively associated with work engagement. Annual absenteeism of six days or more was associated with low work engagement. The fitted model explained 23% of the total variability in work engagement. This study emphasises that health care managers need to promote co-worker and supervisor support in order to optimise work engagement with special attention to those who are not directly involved in patient care. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

Effect of the plane of surgery achieved on local recurrence in patients with operable rectal cancer: a prospective study using data from the MRC CR07 and NCIC-CTG CO16 randomised clinical trial.

Science.gov (United States)

Quirke, Phil; Steele, Robert; Monson, John; Grieve, Robert; Khanna, Subhash; Couture, Jean; O'Callaghan, Chris; Myint, Arthur Sun; Bessell, Eric; Thompson, Lindsay C; Parmar, Mahesh; Stephens, Richard J; Sebag-Montefiore, David

2009-03-07

Local recurrence rates in operable rectal cancer are improved by radiotherapy (with or without chemotherapy) and surgical techniques such as total mesorectal excision. However, the contributions of surgery and radiotherapy to outcomes are unclear. We assessed the effect of the involvement of the circumferential resection margin and the plane of surgery achieved. In this prospective study, the plane of surgery achieved and the involvement of the circumferential resection margin were assessed by local pathologists, using a standard pathological protocol in 1156 patients with operable rectal cancer from the CR07 and NCIC-CTG CO16 trial, which compared short-course (5 days) preoperative radiotherapy and selective postoperative chemoradiotherapy, between March, 1998, and August, 2005. All analyses were by intention to treat. This trial is registered, number ISRCTN 28785842. 128 patients (11%) had involvement of the circumferential resection margin, and the plane of surgery achieved was classified as good (mesorectal) in 604 (52%), intermediate (intramesorectal) in 398 (34%), and poor (muscularis propria plane) in 154 (13%). We found that both a negative circumferential resection margin and a superior plane of surgery achieved were associated with low local recurrence rates. Hazard ratio (HR) was 0.32 (95% CI 0.16-0.63, p=0.0011) with 3-year local recurrence rates of 6% (5-8%) and 17% (10-26%) for patients who were negative and positive for circumferential resection margin, respectively. For plane of surgery achieved, HRs for mesorectal and intramesorectal groups compared with the muscularis propria group were 0.32 (0.16-0.64) and 0.48 (0.25-0.93), respectively. At 3 years, the estimated local recurrence rates were 4% (3-6%) for mesorectal, 7% (5-11%) for intramesorectal, and 13% (8-21%) for muscularis propria groups. The benefit of short-course preoperative radiotherapy did not differ in the three plane of surgery groups (p=0.30 for trend). Patients in the short

The NEA Co-Operative Programme on Decommissioning, the First Ten Years 1985-95

International Nuclear Information System (INIS)

1996-01-01

The Nuclear Energy (NEA) Co-operative Programme on Decommissioning established the Task Group on Recycling and Reuse in 1992. The Task Group was charged with examining means for maximizing the recovery of valuable materials that partially comprise waste resulting from decommissioning activities. The Task Group also was to examine means for minimising the quantity of waste from such operations. Much of the Task Group's work has been concentrated on metal recycling and reuse. The Task Group's examination and report are the product of experts from seven countries and constitute a synthesis of surveys, analyses, and case studies. The report is intended to provide information and insights, as of the end of 1994, into the practicality and usefulness of release criteria from the perspective of organisations currently engaged in actual decommissioning activities

Uncovering robust patterns of microRNA co-expression across cancers using Bayesian Relevance Networks.

Directory of Open Access Journals (Sweden)

Parameswaran Ramachandran

Full Text Available Co-expression networks have long been used as a tool for investigating the molecular circuitry governing biological systems. However, most algorithms for constructing co-expression networks were developed in the microarray era, before high-throughput sequencing-with its unique statistical properties-became the norm for expression measurement. Here we develop Bayesian Relevance Networks, an algorithm that uses Bayesian reasoning about expression levels to account for the differing levels of uncertainty in expression measurements between highly- and lowly-expressed entities, and between samples with different sequencing depths. It combines data from groups of samples (e.g., replicates to estimate group expression levels and confidence ranges. It then computes uncertainty-moderated estimates of cross-group correlations between entities, and uses permutation testing to assess their statistical significance. Using large scale miRNA data from The Cancer Genome Atlas, we show that our Bayesian update of the classical Relevance Networks algorithm provides improved reproducibility in co-expression estimates and lower false discovery rates in the resulting co-expression networks. Software is available at www.perkinslab.ca.

Co-operation and Competition in Regional Economic Development Associated with Radioactive Waste Management

International Nuclear Information System (INIS)

Webler, Thomas

2009-01-01

Competition and co-operation appear in many different social venues. The author gives a variety of examples of co-operative behaviour in economics, politics, research, and everyday life activities such as sports. These four diverse examples illustrate the variety of forms that co-operation may take such as tacit co-operation, incremental co-operation, deep co-operation, etc. The links with the form of democracy (adversary democracy or consensual democracy) are also pointed. However, as with so many other things in life, the key is to the question of co-operation or competition is balance. Co-operation and competition are dialectical opposites. They create and maintain and define each other; they each are incomplete without the other

Family co-operation programme description.

Science.gov (United States)

Peine, H A; Terry, T

1990-01-01

Current parenting practices indicate a continuing trend towards less family interaction. Institutional attempts to intervene with parents often fail. The 'Family Co-operation Programme' provides a tangible method for families and schools to work together in preventing alcohol and drug abuse, by utilising the positive influence of the home and strengthening family relationships. The Board of Education for the State of Utah has tested and is currently implementing a unique, low-cost, alternative to impact on the home. Utilising a K-12 alcohol/drug abuse school-based curriculum, the child, based on his/her inclass training, becomes the resource for family co-operation activities. These include training in coping skills, decision-making, resistance to peer persuasion, increased self-esteem and alcohol/drug information. Grade level materials go home with the child, who returns a requested parent evaluation. Data for over one thousand families show the positive impact of the activities.

Self-reliance through regional co-operation

International Nuclear Information System (INIS)

Glubrecht, H.

1975-01-01

Article 52 of the Charter of the United Nations is concerned with the usefulness of Regional Arrangements which 'are appropriate for regional action'. Such arrangements need not be considered only with regard to their political aspects but also as organizational structures which can be helpful in the development of science and technology in less developed countries. The definition of a 'Region' can be difficult, but is easier if scientific rather than political co-operation is intended. The International Atomic Energy Agency has undertaken a first step in this direction through its Regional Co-operative Agreement for Research, Development and Training related to Nuclear Science and Technology in South and Southeast Asia, the Pacific and the Far East (RCA) which has been signed by six countries so far. This Agreement leaves it to the Member States to initiate cooperative projects. The IAEA will take steps to establish the project if at least three Member States are willing to participate. The implementation of the project will be defined by negotiations with the Member States and the IAEA will only play the role of a co-ordinator. Annual meetings of representatives of those countries which are parties of the RCA and of others from the region which might be interested in joining the Agreement provide the possibility of a continuing exchange of new ideas. Regional activities are also undertaken by means of 'Co-ordinated Research Programmes', which mostly include some co-operation with LDCs. The RCA has initiated two new ideas, that of carrying out the projects exclusively by the countries of the region and that of taking the step from co-ordination to cooperation by means of continuous and intensive exchange of information as well as of personnel. Its main objective is to aim at a reasonable division of labour between the parties and to use expensive equipment jointly. It is to be hoped that this venture will lead to an increasing degree of self-reliance within the

International co-operation on decommissioning - Achievements of the NEA Co-operative programme 1985-1990

International Nuclear Information System (INIS)

1992-01-01

Decommissioning of nuclear facilities is attracting a growing interest in all countries where an increasing number of plants are reaching the end of their operational life and will have to be decommissioned in the next few years. In response to this interest, the NEA set up in 1985 an international programme of technical co-operation between decommissioning projects in eight OECD countries. This report describes the programme and the participating projects, reviews the experiences accumulated during the first five-year term of this international undertaking, and discusses what remains to be done

Nuclear data standards - International Evaluation Co-operation volume 7

International Nuclear Information System (INIS)

Carlson, A.D.; Shibata, K.; Vonach, H.; Hambsch, F.J.; Chen, Z.; Hofmann, H.M.; Oh, S.Y.; Badikov, S.A.; Gai, E.V.; Pronyaev, V.G.; Smith, D.L.; Hale, G.M.; Kawano, T.; Larson, N.M.

2006-01-01

A Working Party on International Evaluation Co-operation was established under the sponsorship of the OECD/NEA Nuclear Science Committee (NSC) to promote the exchange of information on nuclear data evaluations, validation and related topics. Its aim is also to provide a framework for co-operative activities between members of the major nuclear data evaluation projects. This includes the possible exchange of scientists in order to encourage co-operation. Requirements for experimental data resulting from this activity are compiled. The working party determines common criteria for evaluated nuclear data files with a view to assessing and improving the quality and completeness of evaluated data. The parties to the project are: ENDF (United States), JEFF/EFF (NEA Data Bank member countries) and JENDL (Japan). Co-operation with evaluation projects of non-OECD countries is organised through the Nuclear Data Section of the International Atomic Energy Agency (IAEA). This report was issued by Subgroup 7, which was in charge of producing new evaluated neutron cross-section standards. When starting the project, there was a general consensus on the need to update these standards, as significant improvements had been made to the experimental database since 1991 when the last evaluation of these standards was performed. The present work was accomplished through efficient collaboration between a task force of the US Cross-section Evaluation Working Group (CSEWG), a Co-ordinated Research Project (CRP) of the International Atomic Energy Agency (IAEA) and Subgroup 7 of the Working Party on International Evaluation Co-operation (WPEC) of the NEA Nuclear Science Committee. Work is reported on the results of an international effort to evaluate the neutron cross-section standards. The evaluations include the H(n,n), 6 Li(n,t), 10 B(n,α), 10 B(n,α1γ), 197 Au(n,γ), 235 U(n,f) and 238 U(n,f) standard reactions. Evaluations were also produced for the non-standard 238 U(n,γ) and 239 Pu

CO2 on the International Space Station: An Operations Update

Science.gov (United States)

Law, Jennifer; Alexander, David

2016-01-01

PROBLEM STATEMENT: We describe CO2 symptoms that have been reported recently by crewmembers on the International Space Station and our continuing efforts to control CO2 to lower levels than historically accepted. BACKGROUND: Throughout the International Space Station (ISS) program, anecdotal reports have suggested that crewmembers develop CO2-related symptoms at lower CO2 levels than would be expected terrestrially. Since 2010, operational limits have controlled the 24-hour average CO2 to 4.0 mm Hg, or below as driven by crew symptomatology. In recent years, largely due to increasing awareness by crew and ground team, there have been increased reports of crew symptoms. The aim of this presentation is to discuss recent observations and operational impacts to lower CO2 levels on the ISS. CASE PRESENTATION: Crewmembers are routinely asked about CO2 symptoms in their weekly private medical conferences with their crew surgeons. In recent ISS expeditions, crewmembers have noted symptoms attributable to CO2 starting at 2.3 mmHg. Between 2.3 - 2.7 mm Hg, fatigue and full-headedness have been reported. Between 2.7 - 3.0 mm Hg, there have been self-reports of procedure missed steps or procedures going long. Above 3.0 - 3.4 mm Hg, headaches have been reported. A wide range of inter- and intra-individual variability in sensitivity to CO2 have been noted. OPERATIONAL / CLINICAL RELEVANCE: These preliminary data provide semi-quantitative ranges that have been used to inform a new operational limit of 3.0 mmHg as a compromise between systems capabilities and the recognition that there are human health and performance impacts at recent ISS CO2 levels. Current evidence would suggest that an operational limit between 0.5 and 2.0 mm Hg may maintain health and performance. Future work is needed to establish long-term ISS and future vehicle operational limits.

The NEA Co-operative Programme on Decommissioning. A Decade of Progress

International Nuclear Information System (INIS)

2006-01-01

The Co-operative Programme for the Exchange of Scientific and Technical Information Concerning Nuclear Installation Decommissioning (CPD) is a joint undertaking according to Article 5 of the Statute of the NEA. Concluded in 1985, the Agreement of the 23 participating organisations constituting the CPD has been continuously extended with the current programme period lasting until 2009. This report provides information about the participants, structure and achievements of the Co-operative Programme. The objective of the CPD is to acquire information and share operational experience from the conduct of 42 current decommissioning projects, such as project description and design, data resulting from the execution of decommissioning projects, and associated research and development results. The information generated in the project is protected by confidentiality provisions, which allow for a frank and open exchange of experiences, on a 'give and take' basis. The information exchange also ensures that the best internationally available experience is available and that safe, environmentally friendly and cost effective methods are employed in all decommissioning projects. The Co-operative Programme is implemented by a Management Board (MB) representing the participating organisations and a Technical Advisory Group (TAG) for the information exchange between the individual decommissioning projects. The latter benefits from the support of a Programme Co-ordinator financed by the Programme. The projects in the Programme have a broad range of characteristics and cover various types of reactors and fuel facilities. The Programme now covers 26 reactors, 8 reprocessing plants and 8 fuel facility projects, representing a wide selection of facility types in each category. Also, all three stages of decommissioning - from active dismantling to safe-store and to completed decommissioning back to 'green field conditions' - are represented. Over the 20 years of experience of the Co-operative

Local climate activities in co-operation between municipality, civil society and science shop

DEFF Research Database (Denmark)

Jørgensen, Michael Søgaard

The Science Shop at DTU co-operates with the local municipal administration and the local branch of an environmental NGO about climate change. The co-operation was initiated by a proposal to the Science Shop from the municipal administration. Since the Science Shop requests civil society...... involvement in projects it was proposed to involve the local branch of the environmental NGO. The starting point was topics developed by the administration and the NGO together and announced to students as part of the Science Shop project supply. The focus is climate impact of local activities and strategies...... are initiated and co-ordinated by a group with members from municipal administration, the local NGO and the Science Shop. All projects have involved student projects, but most projects have also contributed to ongoing research activities. The projects up till now have focused on the municipal food supply...

International co-operation in the supply of nuclear fuel cycle services

International Nuclear Information System (INIS)

Allday, C.

1977-01-01

The paper draws on B.N.F.L.'s wide experience of international collaboration in nuclear fuel process activities to examine the pros and cons of international agreements. Initially, the factors that influence the need to co-operate, the extent of possible co-operation and the alternative types of agreement are reviewed. Next, the benefits, problems and risks associated with each function, such as managmenet, financial, R and D, marketing and operations that could be covered within the scope of an international agreement, are examined in detail. The paper continues by calling upon specific experience obtained by B.N.F.L. in co-operation with other organisations over several years in operating both major and much smaller agreements illustrating the rationale behind the co-operation, the resolution of 'teething' troubles and the current status of these organisations. In conclusion, the paper comments upon the effectiveness of collaboration agreements and identifies several requirements for internation co-operation to succeed

Expression profiling of nuclear receptors in breast cancer identifies TLX as a mediator of growth and invasion in triple-negative breast cancer.

Science.gov (United States)

Lin, Meng-Lay; Patel, Hetal; Remenyi, Judit; Banerji, Christopher R S; Lai, Chun-Fui; Periyasamy, Manikandan; Lombardo, Ylenia; Busonero, Claudia; Ottaviani, Silvia; Passey, Alun; Quinlan, Philip R; Purdie, Colin A; Jordan, Lee B; Thompson, Alastair M; Finn, Richard S; Rueda, Oscar M; Caldas, Carlos; Gil, Jesus; Coombes, R Charles; Fuller-Pace, Frances V; Teschendorff, Andrew E; Buluwela, Laki; Ali, Simak

2015-08-28

The Nuclear Receptor (NR) superfamily of transcription factors comprises 48 members, several of which have been implicated in breast cancer. Most important is estrogen receptor-α (ERα), which is a key therapeutic target. ERα action is facilitated by co-operativity with other NR and there is evidence that ERα function may be recapitulated by other NRs in ERα-negative breast cancer. In order to examine the inter-relationships between nuclear receptors, and to obtain evidence for previously unsuspected roles for any NRs, we undertook quantitative RT-PCR and bioinformatics analysis to examine their expression in breast cancer. While most NRs were expressed, bioinformatic analyses differentiated tumours into distinct prognostic groups that were validated by analyzing public microarray data sets. Although ERα and progesterone receptor were dominant in distinguishing prognostic groups, other NR strengthened these groups. Clustering analysis identified several family members with potential importance in breast cancer. Specifically, RORγ is identified as being co-expressed with ERα, whilst several NRs are preferentially expressed in ERα-negative disease, with TLX expression being prognostic in this subtype. Functional studies demonstrated the importance of TLX in regulating growth and invasion in ERα-negative breast cancer cells.

Treatment results in anal cancer: non-operative treatment versus operative treatment

Energy Technology Data Exchange (ETDEWEB)

Chie, Eui Kyu; Park, Jae Gahb; Bang, Yung Jue; Heo, Dae Seog; Kim, Noe Kyeong [Seoul National University College of Medicine, Seoul (Korea, Republic of); Ha, Sung Whan [Medical Reasearch Center, Seoul National University, Seoul (Korea, Republic of)

2002-03-15

This study was undertaken to analyze the efficacy and sphincter preservation rate of platinum based neoadjuvant chemotherapy plus radiotherapy versus abdominoperineal resection and postoperative radiotherapy for anal cancer. Data of forty-two patients with anal cancer were retrospectively analyzed. Among thirty-eight patients with epidermoid histology, four patients received radiotherapy, and nineteen patients received abdominoperineal resection and adjuvant radiotherapy with or without chemotherapy (APR + RT {+-} CT), and fifteen patients received neoadjuvant chemotherapy and radiotherapy (CRT). The CRT regimen was composed of three cycles of 5-fluorouracil (1,000 mg/m{sup 2} bolus on D1 {approx} 5) and cisplatin (60 mg/m{sup 2} bolus on D1) followed by 50.4 Gy to the tumor bed and regional lymphatics over 5.5 weeks. Both inguinal lymphatics were treated with an identical dose schedule. Residual disease was treated with an additional three cycles of identical adjuvant chemotherapy. An identical dose schedule was used for post-operative radiotherapy. Median follow-up period was eighty-five months. Overall five-year survival rates were 80.3%, 88.9% and 79.4% for entire patients, APR + RT {+-} CT group, and the CRT group, respectively. No significant difference was found between the two groups ({rho} = 0.49). Anus preservation rate for the CRT group was 86.7%. Age ({rho} = 0.0164) and performance status ({rho} = 0.0007) were found to be significant prognostic factors by univariate analysis. Age ({rho} = 0.0426), performance status ({rho} = 0.0068), and inguinal lymph node metastasis ({rho} = 0.0093) were statistically significant prognostic factors by multivariate analysis. No case of RTOG grade 3 complication or higher was reported. This and other recent studies have shown that combined chemotherapy plus radiotherapy for anal cancer results in a high rate of anal sphincter preservation as well as local control and survival. Furthermore, neoadjuvant use of

The Agency's technical co-operation activities in 1992

International Nuclear Information System (INIS)

1993-08-01

This report on the International Atomic Energy Agency's Technical Co-operation Activities in 1992 contains an overview of the general issues involved, including both in-house and external developments, resources and delivery, and evaluation of programs; an overview by field of activity and by division within the Agency; an overview by geographic area, distinguishing (i) Africa, (ii) Asia and the Pacific, (iii) Latin America, (iv) and the Middle East and Europe; an overview by component (i.e., experts, equipment, fellowships, training courses, sub-contracts and miscellaneous); and an overview by fund technical assistance and co-operation fund, extrabudgetary resources, United Nations Development Program (UNDP), assistance in kind. It also contains a profile on technical co-operation activities in Latin America. Projects concluded during 1992 are listed together with a description of their achievements. It concludes with implementation summaries. 10 figs, 9 tabs

Operating a production facility without a CO and O agreement

International Nuclear Information System (INIS)

Smith, M. R.

2000-01-01

Issues that arise when an oil or natural gas facility is operated without a specific construction, ownership and operating (CO and O) agreement was explored. The lack of such an agreement may be due to the parties' inability to reach agreement, reliance on the land operating agreement, or the lack of diligent follow-up on the drafting, revision and execution of operating agreements. The paper examines the nature of ownership interests that obtain in the absence of a CO and O, the common situation in respect to CO and O agreements where the document has been circulated but has not been signed by the owners. A number of actual cases were cited to illustrate the effects of such an omission. It was concluded that ideally, a fully executed CO and O for each facility which deals specifically with the owners involved with the particular facility is the best of all worlds. However given the nature of some facilities, the expense, time and effort required to prepare and execute a separate CO and O, it is frequently omitted; in such situations it is convenient to fall back on the 1990 Operating Procedure of CAPL, which while general in nature and cannot adequately deal with every situation, deals with many common problems associated with the operation of facilities. It is recommended that even if a complete CO and O agreement cannot be executed, interim binding agreements should be used to avoid uncertainty until such time as a complete agreement can be finalized. A clause-by-clause comparison of the 1990 CAPL Operating Procedure and a 1996 model CO and O agreement, prepared by the Petroleum Joint Venture Association (PJVA), is appended

Sustainability indicators - a tool for regional co-operation

OpenAIRE

Koitka, Heike

2002-01-01

Sustainability indicators are more than just numbers. Besides their main function of illustrating the complex vision of sustainability they could support some factors for success of regional co-operation through their development. Today the discussion on indicators and co-operation is mainly separated from each other. Sustainability indicators are developed on all spatial levels from neighbourhoods up to the United Nations. In some cases the indicators are developed but remain unused. Regiona...

O espaço da cooperativa "amigos do meio ambiente": cooperativa de trabalho ou cooperfraude? "Friends of the environment" co-operative: work co-operative or fraud co-operative?

Directory of Open Access Journals (Sweden)

Shirla Patrícia Weber Sterchile

2011-06-01

Full Text Available O presente artigo é resultado de pesquisa acadêmica que tem como objeto de estudo-pesquisa "A forma de existir e de ser da Cooperativa dos Agentes Ambientais de Santa Helena 'Amigos do Meio Ambiente' e sua imbricação na Usina de Beneficiamento de Resíduos Sólidos do município de Santa Helena-PR". Verificando o cotidiano profissional, o descontentamento de trabalhadores catadores de matérias recicláveis, o incentivo do gestor municipal para a instalação da usina e a formação da cooperativa, aliado aos postulados do capitalismo, em sua fase tardia, propusemos desconstruir e reconstruir o movimento do objeto em questão a partir da pesquisa teórica e empírica. Para coletar os dados utilizando a técnica de gravação, recorremos à análise documental e à observação. Após esse processo descrevemos e analisamos os conteúdos presentes. Concluímos em nosso estudo-pesquisa, que a Cooperativa - "Amigos do Meio Ambiente", é uma "cooperfraude", legitimada pelo Estado, que suprime os princípios do cooperativismo e exime o capital da raiz da exploração da força de trabalhoThis article resulted from a research aiming at "The form of existence and being of the Co-operative of Environmental Agents from St. Helena - 'Friends of the Environment' - and its imbrication in the Processing Plant of Solid Waste in the city of Santa Helena-PR". Checking the professional practice, the dissatisfaction of workers who collect recycling materials and the City Hall's encouragement to install the plant and to form the Co-operative, together with the tenets of capitalism in its late stage, we proposed to deconstruct and reconstruct the motion of the object studied from the empirical research. After analyzing our data we concluded that the "Friends of the Environment" Co-operative is a "fraud co-operative" legitimized by the State, that suppressed the principles of co-operativism and exempted the capital from the root of exploitation of the workforce

Agricultural Productivity, Co-Operatives and Organisational ...

African Journals Online (AJOL)

Huria: Journal of the Open University of Tanzania ... can enhance productivity and increase farmers' income by bringing financial services closer. ... of Kimuli Agricultural Marketing Co-operative Society (AMCOS) and Muungano Savings and ...

Association of ABO and Rh blood groups with breast cancer.

Science.gov (United States)

Meo, Sultan Ayoub; Suraya, Faryal; Jamil, Badar; Rouq, Fwziah Al; Meo, Anusha Sultan; Sattar, Kamran; Ansari, Mohammad Javed; Alasiri, Saleh A

2017-11-01

The aim of this study was to determine the association of "ABO" and "Rhesus" blood groups with incidence of breast cancer. In this study, we identified 70 research documents from data based search engines including "PubMed", "ISI-Web of Knowledge", "Embase" and "Google Scholar". The research papers were selected by using the primary key-terms including "ABO blood type", "Rhesus" blood type and "breast cancer". The research documents in which "ABO" and "Rhesus" blood types and breast cancer was debated were included. After screening, we reviewed 32 papers and finally we selected 25 research papers which met the inclusion criteria and remaining documents were excluded. Blood group "A" has high incidence of breast cancer (45.88%), blood group "O" has (31.69%); "B" (16.16%) and blood group "AB" has (6.27%) incidence of breast cancer. Blood group "A" has highest and blood group "AB" has least association with breast cancer. Furthermore, "Rhesus +ve" blood group has high incidence of breast cancer (88.31%) and "Rhesus -ve" blood group has least association with breast cancer (11.68%). Blood group "A" and "Rhesus +ve" have high risk of breast cancer, while blood type "AB" and "Rhesus -ve" are at low peril of breast cancer. Physicians should carefully monitor the females with blood group "A" and "Rh +ve" as these females are more prone to develop breast cancer. To reduce breast cancer incidence and its burden, preventive and screening programs for breast cancer especially in young women are highly recommended.

Natural gas co-operation in the Baltic region

International Nuclear Information System (INIS)

Jensen, J.K.

1996-01-01

Co-operation between the gas companies in the Baltic Region has been in place for several years. The overview given in this paper shows that the co-operation has been developed in trade, investments, privatisation and participation in the restructuring process. Finally, through a broad technical co-operation, significant efforts are made to establish common operational practices, codes and standards and the integrity of gas transmission pipelines. The Baltic Region, from a resource and gas interconnection point of view, enjoys a strategic position in the future development of the gas industry in Europe. The Baltic gas sector represents an interesting and growing gas market with the significant gas storage capacity. The region is also located strategically for planned gas interconnections and could serve as a transit corridor for the future gas supplies from western Siberia or the North Sea. This co-operation in the region is being supported by international regulations and agreements such as the Energy Charter between the European Union and the central and east European countries. However, at present the gas industry in the Baltic Region seems to be ahead of these international agreements. It may well be seen that trade arrangements such as Third Party Access are implemented directly by market forces rather than through international agreements. The regional development may thus be a driving force for the implementation of the Internal Energy Market for the gas industry

International co-operation in the supply of nuclear fuel cycle services

International Nuclear Information System (INIS)

Allday, C.

1977-01-01

The paper draws on British Nuclear Fuels' (BNFL) wide experience of international collaboration in nuclear fuel process activities to examine the pros and cons of international agreements. Initially, the factors that influence the need to co-operate, the extent of possible co-operation and the alternative types of agreement, are reviewed. Next, the benefits, problems and risks associated with each function, such as management, financial R and D, marketing and operations that could be covered within the scope of an international agreement, are examined in detail. The paper continues by calling upon specific experience obtained by BNFL in the co-operation with other organizations over several years in both major and much smaller agreements, illustrating the rationale behind the co-operation, the resolution of 'teething' troubles and the present status of these organizations. In conclusion, the paper comments upon the effectiveness of collaboration agreements and identifies several requirements for international co-operation to succeed. (author)

Military Training and Education: an Opportunity for V4 Co-Operation

Directory of Open Access Journals (Sweden)

Milan ŠUPLATA

2015-03-01

Full Text Available The Visegrad Group needs success stories if its defence co-operation is to develop. The recent differences between Poland and the rest of the region, as well as the closing window of opportunity to improve interoperability through the ISAF mission, make the hunger for concrete examples of co-operation even more urgent. Education and training projects are not only comparatively easily to implement in terms of time and money, but also represent a way of bringing the region’s civilian and military leaders closer together in terms of strategic thinking. Regional defence collaboration is also one of the ways to materialize NATO’s Smart Defence agenda. For the whole region, the way to keep Visegrad defence cooperation alive is not straightforward and certain, but it is likely to prove rewarding in the long term. It presents not only a chance to keep the whole region better prepared militarily, but also to build a more cohesive strategic awareness, thanks to intensive communication at all levels.

International co-operation through scientific and technical nuclear societies

International Nuclear Information System (INIS)

Manning Muntzing, L.

1983-01-01

As an international organization the American Nuclear Society (ANS) has played an active role in international co-operation of nuclear technology exchange since its establishment in 1954. The ANS has a membership of over 13,000 individuals, of whom approximately 1200 live overseas in forty countries. To carry out the goals of the Society, local sections have been established. Currently the ANS maintains 48 local sections in the United States of America and 8 overseas local sections in Africa, Asia, Europe and South America. The ANS also has formal agreements for co-operation with The Asociacion Argentina de Tecnologia Nuclear (AATN), the Israel Nuclear Society (INS), and the Chinese Nuclear Society (CNS). In 1977 the Japan Atomic Energy Society (JAES), the European Nuclear Society (ENS), and the ANS co-operation in sponsoring the First International Conference on Transfer of Nuclear Technology (ICONTT I) in Tehran, Iran. In 1982, the Second International Conference on Transfer of Nuclear Technology (ICONTT II), Buenos Aires, Argentina, was sponsored through the co-operation of the AATN, the ENS and the ANS. The ANS and its overseas sections sponsor the Pacific Basin Conference approximately every three years to discuss nuclear matters of concern to the countries around the Pacific Ocean. In 1981 the ANS held a Nuclear Technology Exhibit in Beijing, the People's Republic of China. In addition to meetings, the ANS is extensively involved in the co-operative exchange of applied nuclear research information through its publications. Nuclear Technology, a technical journal, is published monthly under joint ownership of the ENS and the ANS. The ANS has been a leader in voluntary standards development since 1958. In its dedication to the co-operation of international nuclear technology the ANS maintains a comprehensive international exchange of nuclear standards

Elective Clinical Target Volumes for Conformal Therapy in Anorectal Cancer: A Radiation Therapy Oncology Group Consensus Panel Contouring Atlas

International Nuclear Information System (INIS)

Myerson, Robert J.; Garofalo, Michael C.; El Naqa, Issam; Abrams, Ross A.; Apte, Aditya; Bosch, Walter R.; Das, Prajnan; Gunderson, Leonard L.; Hong, Theodore S.; Kim, J.J. John; Willett, Christopher G.; Kachnic, Lisa A.

2009-01-01

Purpose: To develop a Radiation Therapy Oncology Group (RTOG) atlas of the elective clinical target volume (CTV) definitions to be used for planning pelvic intensity-modulated radiotherapy (IMRT) for anal and rectal cancers. Methods and Materials: The Gastrointestinal Committee of the RTOG established a task group (the nine physician co-authors) to develop this atlas. They responded to a questionnaire concerning three elective CTVs (CTVA: internal iliac, presacral, and perirectal nodal regions for both anal and rectal case planning; CTVB: external iliac nodal region for anal case planning and for selected rectal cases; CTVC: inguinal nodal region for anal case planning and for select rectal cases), and to outline these areas on individual computed tomographic images. The imaging files were shared via the Advanced Technology Consortium. A program developed by one of the co-authors (I.E.N.) used binomial maximum-likelihood estimates to generate a 95% group consensus contour. The computer-estimated consensus contours were then reviewed by the group and modified to provide a final contouring consensus atlas. Results: The panel achieved consensus CTV definitions to be used as guidelines for the adjuvant therapy of rectal cancer and definitive therapy for anal cancer. The most important difference from similar atlases for gynecologic or genitourinary cancer is mesorectal coverage. Detailed target volume contouring guidelines and images are discussed. Conclusion: This report serves as a template for the definition of the elective CTVs to be used in IMRT planning for anal and rectal cancers, as part of prospective RTOG trials.

Vinorelbine as first-line or second-line therapy for advanced breast cancer: a Phase I-II trial by the Danish Breast Cancer Co-operative Group

DEFF Research Database (Denmark)

Langkjer, S.T.; Ejlertsen, B.; Mouridsen, H.

2008-01-01

INTRODUCTION: This study was conducted to establish the maximum tolerated dose (MTD) of intravenous vinorelbine and on the determined dose to assess efficacy and safety in patients with metastatic breast cancer previously treated with epirubicin. PATIENTS AND METHODS: Patients had histologically...... proven breast cancer and had received a prior epirubicin based regimen either adjuvant or as first line therapy for advanced disease. Vinorelbine was administered intravenously day 1 and 8 in a 3 weeks' schedule. Subsequently 48 additional patients were treated at one dose-level below MTD. RESULTS: Fifty...

Integrated co-operative governance in the context of sustainable development

Directory of Open Access Journals (Sweden)

Eric Nealer

2011-07-01

Keywords:Sustainable development, governance, co-operative governance, integrated,organising, and communication. Disciplines:Public Administration, Public Management, Social Welfare, Environmental Management, Municipal public service delivery, Social Development, Organisational Behaviour, Co-operative Governance, Communication, Sustainable Development, Sustainable Organisational Development

Co-operation and Phase Behavior under the Mixed Updating Rules

International Nuclear Information System (INIS)

Zhang Wen; Li Yao-Sheng; Xu Chen

2015-01-01

We present a model by considering two updating rules when the agents play prisoner's dilemma on a square lattice. Agents can update their strategies by referencing one of his neighbors of higher payoffs under the imitation updating rule or directly replaced by one of his neighbors according to the death-birth updating rule. The frequency of co-operation is related to the probability q of occurrence of the imitation updating or the death-birth updating and the game parameter b. The death-birth updating rule favors the co-operation while the imitation updating rule favors the defection on the lattice, although both rules suppress the co-operation in the well-mixed population. Therefore a totally co-operative state may emerge when the death-birth updating is involved in the evolution when b is relatively small. We also obtain a phase diagram on the q-b plane. There are three phases on the plane with two pure phases of a totally co-operative state and a totally defective state and a mixing phase of mixed strategies. Based on the pair approximation, we theoretically analyze the phase behavior and obtain a quantitative agreement with the simulation results. (paper)

Effect of preoperative neoadjuvant chemotherapy on the expression of malignant molecules in colon cancer tissue and the degree of trauma caused by radical operation

Directory of Open Access Journals (Sweden)

Yan-Cheng Wang

2017-09-01

Full Text Available Objective: To study the effect of preoperative neoadjuvant chemotherapy on the expression of malignant molecules in colon cancer tissue and the degree of trauma caused by radical operation. Methods: Patients who were diagnosed with colon cancer in Fengrun People’s Hospital between March 2014 and February 2017 were selected and randomly divided into the XELOX group who accepted XELOX neoadjuvant chemotherapy combined with radical operation for colon cancer and the control group who accepted radical operation for colon cancer alone. Surgically removed colon cancer tissue was collected to test the expression of proliferation, apoptosis and invasion genes, and serum was collected to detect the contents of liver and kidney function indicators as well as inflammatory factors. Results: Rac1, PLD2, CHD1L, Snail, Vimentin and N-cadherin mRNA expression levels in surgically removed colon cancer lesions of XELOX group were significantly lower than those of control group while MS4A12 and ASPP2 mRNA expression levels were significantly higher than those of control group; serum ALT, AST, β2-MG, Cys-C, sICAM-1, sVCAM-1, sTM and sE-selectin contents were not significantly different between the two groups of patients 1 day and 3 days after surgery. Conclusion: Preoperative neoadjuvant chemotherapy can inhibit the proliferation, apoptosis and invasion gene expression in colon cancer tissues without increasing the trauma of operation.

Co-Operation Between FADD and Bin1 in Prostate Cancer Apoptosis

National Research Council Canada - National Science Library

Thorburn, Andrew

2004-01-01

Evasion of apoptosis is a hallmark of cancer (Hanahan and Weinberg, 2000). Consequently, it is sometimes thought that cancer cells are generally resistant to apoptosis while normal cells are sensitive...

Metabolic cooperation between co-cultured lung cancer cells and lung fibroblasts.

Science.gov (United States)

Koukourakis, Michael I; Kalamida, Dimitra; Mitrakas, Achilleas G; Liousia, Maria; Pouliliou, Stamatia; Sivridis, Efthimios; Giatromanolaki, Alexandra

2017-11-01

Cooperation of cancer cells with stromal cells, such as cancer-associated fibroblasts (CAFs), has been revealed as a mechanism sustaining cancer cell survival and growth. In the current study, we focus on the metabolic interactions of MRC5 lung fibroblasts with lung cancer cells (A549 and H1299) using co-culture experiments and studying changes of the metabolic protein expression profile and of their growth and migration abilities. Using western blotting, confocal microscopy and RT-PCR, we observed that in co-cultures MRC5 respond by upregulating pyruvate dehydrogenase (PDH) and the monocarboxylate transporter MCT1. In contrast, cancer cells increase the expression of glucose transporters (GLUT1), LDH5, PDH kinase and the levels of phosphorylated/inactivated pPDH. H1299 cells growing in the same culture medium with fibroblasts exhibit a 'metastasis-like' phenomenon by forming nests within the fibroblast area. LDH5 and pPDH were drastically upregulated in these nests. The growth rate of both MRC5 and cancer cells increased in co-cultures. Suppression of LDHA or PDK1 in cancer cells abrogates the stimulatory signal from cancer cells to fibroblasts. Incubation of MRC5 fibroblasts with lactate resulted in an increase of LDHB and of PDH expression. Silencing of PDH gene in fibroblasts, or silencing of PDK1 or LDHA gene in tumor cells, impedes cancer cell's migration ability. Overall, a metabolic cooperation between lung cancer cells and fibroblasts has been confirmed in the context of direct Warburg effect, thus the fibroblasts reinforce aerobic metabolism to support the intensified anaerobic glycolytic pathways exploited by cancer cells.

Experience and co-operation in the development of nuclear engineering education

International Nuclear Information System (INIS)

Brochard, D.; Gladieux, A.

1998-01-01

This paper presents various aspects of the international co-operation set up at the Institut National des Sciences et Techniques Nucleaires (INSTN) for developing the nuclear engineering education in a European framework, with the Tempus programmes, or worldwide, through the IAEA technical co-operation programme. As such co-operation mainly relies on the courses established in the INSTN for national purposes, a short presentation of them is made first. (author)

Survival benefit of pancreaticoduodenectomy in a Japanese fashion for a limited group of patients with pancreatic head cancer.

Science.gov (United States)

Takao, Sonshin; Shinchi, Hiroyuki; Maemura, Kosei; Kurahara, Hiroshi; Natsugoe, Shoji; Aikou, Takashi

2008-01-01

To evaluate the clinical benefit of pancreaticoduodenectomy in a Japanese fashion for patients with pancreatic head cancer. One hundred and one patients underwent pancreatectomy for pancreatic head cancer between 1980 and 2001. Of these, 40 patients in the extended resection (ER) group had an extended lymphadenectomy and neural plexus dissection as a Japanese fashion, while 61 patients in the conventional resection (CR) group. Tumor status, morbidity, mortality, survival and pattern of recurrence were retrospectively studied. The incidence of R0 operations in the ER group was higher than that in the CR group (pJapanese fashion with an adequate extended resection might bring a survival benefit for patients with pStage IIA or IIB pancreatic head cancer.

Operational behaviour of CO{sub 2} booster systems; Betriebsverhalten von CO{sub 2}-Booster-Systemen

Energy Technology Data Exchange (ETDEWEB)

Javerschek, Oliver; Hieble, Tobias [BITZER Kuehlmaschinenbau GmbH, Sindelfingen (Germany)

2011-07-01

The operating characteristics of booster systems and the resulting operating conditions of CO{sub 2} booster systems in supermarket refrigeration are explained and discussed. Criteria and challenges of different operating and load conditions are gone into. Simulated and measured operating states of a small-scale booster system are compared and evaluated. [German] In der vorliegenden Veroeffentlichung werden unterschiedliche Betriebsverhalten und die daraus resultierenden Betriebsbedingungen von CO{sub 2}-Booster-Systemen in der Supermarktkaelte erlaeutert und diskutiert. Dabei werden wesentliche Kriterien und Herausforderungen bei den unterschiedlichen Betriebs- und Lastbedingungen besprochen. Ausserdem werden simulierte und gemessene Betriebszustaende einer kleinen Booster-Kaelteanlage vergleichend betrachtet und bewertet.

IAEA technical co-operation with least developed Member States. Special evaluation

International Nuclear Information System (INIS)

1993-01-01

The main purposes of this evaluation were to: Review the overall situation with regard to IAEA technical co-operation with least developed Member States, including specific conditions in nuclear-related activities prevailing in these countries, approaches and practices used by the IAEA in providing assistance to LDCs, and the main results of the co-operation in question. Identify any adjustments to technical co-operation with LDC Member States that may strengthen this activity

Acetyl-CoA carboxylase-a as a novel target for cancer therapy.

Science.gov (United States)

Wang, Chun; Rajput, Sandeep; Watabe, Kounosuke; Liao, Duan-Fang; Cao, Deliang

2010-01-01

Acetyl-CoA carboxylases (ACC) are rate-limiting enzymes in de novo fatty acid synthesis, catalyzing ATP-dependent carboxylation of acetyl-CoA to form malonyl-CoA. Malonyl-CoA is a critical bi-functional molecule, i.e., a substrate of fatty acid synthase (FAS) for acyl chain elongation (fatty acid synthesis) and an inhibitor of carnitine palmitoyltransferase I (CPT-I) for fatty acid beta-oxidation. Two ACC isoforms have been identified in mammals, i.e. ACC-alpha (ACCA, also termed ACC1) and ACC-beta (ACCB, also designated ACC2). ACC has long been used as a target for the management of metabolic diseases, such as obesity and metabolic syndrome, and various inhibitors have been developed in clinical trials. Recently, ACCA up-regulation has been recognized in multiple human cancers, promoting lipogenesis to meet the need of cancer cells for rapid growth and proliferation. Therefore, ACCA might be effective as a potent target for cancer intervention, and the inhibitors developed for the treatment of metabolic diseases would be potential therapeutic agents for cancer therapy. This review summarizes our recent findings and updates the current understanding of the ACCA with focus on cancer research.

How to create more supportive supervision for primary healthcare: lessons from Ngamiland district of Botswana: co-operative inquiry group

Science.gov (United States)

Nkomazana, Oathokwa; Mash, Robert; Wojczewski, Silvia; Kutalek, Ruth; Phaladze, Nthabiseng

2016-01-01

Background Supportive supervision is a way to foster performance, productivity, motivation, and retention of health workforce. Nevertheless there is a dearth of evidence of the impact and acceptability of supportive supervision in low- and middle-income countries. This article describes a participatory process of transforming the supervisory practice of district health managers to create a supportive environment for primary healthcare workers. Objective The objective of the study was to explore how district health managers can change their practice to create a more supportive environment for primary healthcare providers. Design A facilitated co-operative inquiry group (CIG) was formed with Ngamiland health district managers. CIG belongs to the participatory action research paradigm and is characterised by a cyclic process of observation, reflection, planning, and action. The CIG went through three cycles between March 2013 and March 2014. Results Twelve district health managers participated in the inquiry group. The major insights and learning that emerged from the inquiry process included inadequate supervisory practice, perceptions of healthcare workers’ experiences, change in the managers’ supervision paradigm, recognition of the supervisors’ inadequate supervisory skills, and barriers to supportive supervision. Finally, the group developed a 10-point consensus on what they had learnt regarding supportive supervision. Conclusion Ngamiland health district managers have come to appreciate the value of supportive supervision and changed their management style to be more supportive of their subordinates. They also developed a consensus on supportive supervision that could be adapted for use nationally. Supportive supervision should be prioritised at all levels of the health system, and it should be adequately resourced. PMID:27345024

Technical co-operation report for 2001. Report by the Director General

International Nuclear Information System (INIS)

2001-01-01

the General Conference in resolution GC(45)/RES/11, the Secretariat has worked with Member States during the past year to update the Technical Cooperation Strategy, endorsed by the Board in 1997. Through implementation of the Strategy, the Agency has been successful in raising the quality of technical co-operation projects and increasing the impact of the programme on the development goals of its Member States. The Third Standing Advisory Group on Technical Assistance and Cooperation (SAGTAC III), which met in August 2001 and March 2002, examined the Strategy and advised the Director General on future objectives and the performance indicators with which to measure progress towards these objectives

Technical co-operation report for 2001. Report by the Director General

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-07-01

the General Conference in resolution GC(45)/RES/11, the Secretariat has worked with Member States during the past year to update the Technical Cooperation Strategy, endorsed by the Board in 1997. Through implementation of the Strategy, the Agency has been successful in raising the quality of technical co-operation projects and increasing the impact of the programme on the development goals of its Member States. The Third Standing Advisory Group on Technical Assistance and Cooperation (SAGTAC III), which met in August 2001 and March 2002, examined the Strategy and advised the Director General on future objectives and the performance indicators with which to measure progress towards these objectives.

Examining intentions to use CoQ10 amongst breast cancer patients.

Science.gov (United States)

Hill, Gina Jarman; Shriver, Brent J; Arnett, Dennis B

2006-01-01

To determine factors that influence breast cancer patients' intentions to supplement with CoQ10. A survey based upon the expanded rational expectations intentions model was completed by breast cancer outpatients (N=160). A significantly positive relationship existed between referent other (the influence specific people have in terms of an individual's behavior) and subjective norm (subject's perception of how people view a behavior). Beliefs, referent other, attitude, and subjective norm did have a significant effect on intention to use CoQ10. Health practitioners may address supplementation with breast cancer patients with a better understanding of what factors impact supplement use.

POSITIVE study: physical exercise program in non-operable lung cancer patients undergoing palliative treatment.

Science.gov (United States)

Wiskemann, Joachim; Hummler, Simone; Diepold, Christina; Keil, Melanie; Abel, Ulrich; Steindorf, Karen; Beckhove, Philipp; Ulrich, Cornelia M; Steins, Martin; Thomas, Michael

2016-07-19

Patients with advanced stage non-small cell lung cancer (NSCLC) or small cell lung cancer (SCLC) often experience multidimensional impairments, affecting quality of life during their course of disease. In lung cancer patients with operable disease, several studies have shown that exercise has a positive impact on quality of life and physical functioning. There is limited evidence regarding efficacy for advanced lung cancer patients undergoing palliative treatment. Therefore, the POSITIVE study aims to evaluate the benefit of a 24-week exercise intervention during palliative treatment in a randomized controlled setting. The POSITIVE study is a randomized, controlled trial investigating the effects of a 24-week exercise intervention during palliative treatment on quality of life, physical performance and immune function in advanced, non-operable lung cancer patients. 250 patients will be recruited in the Clinic for Thoracic Diseases in Heidelberg, enrolment begun in November 2013. Main inclusion criterion is histologically confirmed NSCLC (stage IIIa, IIIb, IV) or SCLC (Limited Disease-SCLC, Extensive Disease-SCLC) not amenable to surgery. Patients are randomized into two groups. Both groups receive weekly care management phone calls (CMPCs) with the goal to assess symptoms and side effects. Additionally, one group receives a combined resistance and endurance training (3x/week). Primary endpoints are quality of life assessed by the Functional Assessment of Cancer Therapy for patients with lung cancer (FACT-L, subcategory Physical Well-Being) and General Fatigue measured by the Multidimensional Fatigue Inventory (MFI-20). Secondary endpoints are physical performance (maximal voluntary isometric contraction, 6-min walk distance), psychosocial (depression and anxiety) and immunological parameters and overall survival. The aim of the POSITIVE trial is the evaluation of effects of a 24-week structured and guided exercise intervention during palliative treatment stages

FY 1998 New Sunshine Project. International co-operative project (Summary); 1998 nendo new sunshine keikaku. Kokusai kyoryoku jigyo (sogoban)

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-03-01

Described herein are the basic plans for the international co-operative projects for development of technologies for commercialization of photovoltaic power systems (e.g., IEA co-operative programme on Photovoltaic Power Systems), and the minutes of the FY 1997 and 1998 meetings of the Solar Energy Technology International Research Co-operative Committee. Japan is responsible for implementing the following projects for promoting international cooperation for, e.g., IEA Photovoltaic Power Systems (PVPS): research and development, demonstration, analysis, information exchange, introduction promotion, etc. for IEA/PVPS Programme; and research and development, demonstration, analysis, information exchange, introduction promotion, etc. for IEA/Solar Heating and Cooling Programme. Japan is also implementing the co-operative projects for the photovoltaic power systems with the Summit participants, based on Science and Technology Working Group established by the Versailles Summit, technology cooperation with, e.g., Australia, and bilateral information exchange and technological survey projects with those countries which have already developed solar energy systems, e.g., USA, France, Spain and Italy. (NEDO)

[Use of MRI before biopsy in diagnosis of prostate cancer: Single-operator study].

Science.gov (United States)

Bassard, S; Mege, J-L

2015-12-01

The diagnostic for prostate cancer is changing. To improve the detection of this cancer, urologists expect a lot from the contribution of magnetic resonance imaging (MRI). What is the role of this imaging in prostate cancer detection? This is a retrospective study, from 2011 to 2013, mono-centric and single-operator. Of the 464 needle biopsy of the prostate (BP), we excluded those with PSA>20 ng/mL or digital rectal examination (DRE)>T3. The remaining 430 BP were submitted or not to a 1.5 tesla MRI with pelvic antenna. The primary aim is the overall detection of prostate cancer. Secondary aim was the detection rate during the first series of BP and repeat BP, between the two groups in the MRI group. MRI and MRI without populations are comparable for age (63.3 vs 64.6), PSA (6.10 vs 6.13), DRE>T1c, prostate volume (55.4 cm(3) vs 51.7 cm(3)). There is no significant difference in overall detection between the two groups (P=0.12). There is no significant difference in cancer detection between the first BP (P=0.13) and the repeat BP (P=0.07). There is a significant difference in the early detection of BP MRI group (P=0.03) but not for the BP repeat MRI group (P=0.07). For 108 BP iterative MRI group, there were 67 BP targeted "mentally" with MRI: 18 cancers were detected, making a 25% detection rate. This study helps to highlight the value of MRI in the early rounds of BP but we can ask the value of this imaging during repeat biopsies. Targeted biopsies "mentally" do not have the expected detection sensitivity and seems to require a three-dimensional reconstruction to be more effective. 5. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Pre-Operative Prediction of Advanced Prostatic Cancer Using Clinical Decision Support Systems: Accuracy Comparison between Support Vector Machine and Artificial Neural Network

Energy Technology Data Exchange (ETDEWEB)

Kim, Sang Youn; Moon, Sung Kyoung; Hwang, Sung Il; Sung, Chang Kyu; Cho, Jeong Yeon; Kim, Seung Hyup; Lee, Hak Jong [Seoul National University College of Medicine, Seoul (Korea, Republic of); Jung, Dae Chul [National Cancer Center, Ilsan (Korea, Republic of); Lee, Ji Won [Kangwon National University College of Medicine, Chuncheon (Korea, Republic of)

2011-10-15

The purpose of the current study was to develop support vector machine (SVM) and artificial neural network (ANN) models for the pre-operative prediction of advanced prostate cancer by using the parameters acquired from transrectal ultrasound (TRUS)-guided prostate biopsies, and to compare the accuracies between the two models. Five hundred thirty-two consecutive patients who underwent prostate biopsies and prostatectomies for prostate cancer were divided into the training and test groups (n = 300 versus n 232). From the data in the training group, two clinical decision support systems (CDSSs-[SVM and ANN]) were constructed with input (age, prostate specific antigen level, digital rectal examination, and five biopsy parameters) and output data (the probability for advanced prostate cancer [> pT3a]). From the data of the test group, the accuracy of output data was evaluated. The areas under the receiver operating characteristic (ROC) curve (AUC) were calculated to summarize the overall performances, and a comparison of the ROC curves was performed (p < 0.05). The AUC of SVM and ANN is 0.805 and 0.719, respectively (p = 0.020), in the pre-operative prediction of advanced prostate cancer. Te performance of SVM is superior to ANN in the pre-operative prediction of advanced prostate cancer.

Non-transboundary pollution and the efficiency of international environmental co-operation

International Nuclear Information System (INIS)

Kox, Henk L.M.; Van der Tak, Casper M.

1996-01-01

The standard view is that situations where no transborder environmental externalities occur are most efficiently dealt with by national environmental policies rather than by international co-operation. Though this may be the general case, non-coordinated national policies do not always produce the most efficient international allocation. This paper presents four cases in which the allocative outcome of non-coordinated domestic policy choices can be improved upon by international environmental co-operation. The first case refers to the use of environmental policy as a strategic trade instrument. The other cases refer to the existence of discrete technologies, set-up costs and increasing returns to scale. The form of international environmental co-operation should be adapted to the situation. Formal international agreements between countries are characterised by high transaction costs and may not always be the most efficient form of co-operation

Ideological leaning and praxis of housing co-operatives in South Africa: Matters arising

Directory of Open Access Journals (Sweden)

Richard Jimoh

2013-06-01

Full Text Available Social movements came about as a result of dissatisfaction felt by society from the status quo. They present their grievances through demonstrations, strikes, riots, occupation of land, boycott of business or by the development of social and economic alternatives such as self-help schemes or saving clubs. In South Africa, people join housing co-operatives because it takes a long time to wait for the Reconstruction Development Project (RDP houses promised by the Government. The leaning of 5 housing co-operatives was examined within the context of ideology and praxis that are components of triad model. This was done through multi-case study whereby the chairpersons of the housing co-operatives were interviewed using structured interview format. Findings from the study indicated that all the housing co-operatives were not open and voluntary; also, the housing co-operatives were not administered the same way. In all, efforts were put in by the housing co-operatives in engendering the ideology of co-operatives on one hand and the government on the other hand in providing the necessary subsidy so that the gap in the housing deficit could be bridged since this fitted its policy on housing. 

Ideological leaning and praxis of housing co-operatives in South Africa: Matters arising

Directory of Open Access Journals (Sweden)

Richard Jimoh

2013-06-01

Full Text Available Social movements came about as a result of dissatisfaction felt by society from the status quo. They present their grievances through demonstrations, strikes, riots, occupation of land, boycott of business or by the development of social and economic alternatives such as self-help schemes or saving clubs. In South Africa, people join housing co-operatives because it takes a long time to wait for the Reconstruction Development Project (RDP houses promised by the Government. The leaning of 5 housing co-operatives was examined within the context of ideology and praxis that are components of triad model. This was done through multi-case study whereby the chairpersons of the housing co-operatives were interviewed using structured interview format. Findings from the study indicated that all the housing co-operatives were not open and voluntary; also, the housing co-operatives were not administered the same way. In all, efforts were put in by the housing co-operatives in engendering the ideology of co-operatives on one hand and the government on the other hand in providing the necessary subsidy so that the gap in the housing deficit could be bridged since this fitted its policy on housing.

BANKING SYSTEM STABILITY: COMMERCIAL AND CO-OPERATIVE BANKS

Directory of Open Access Journals (Sweden)

Dumitru-Cristian OANEA

2014-04-01

Full Text Available Commercial banks and co-operative banks are credit institutions, but there are some differences between the main operations proceeded by each of them. Based on these specific characteristics, we want to identify the manner in which financial crisis affected their activity. As we all know, the financial crisis had a major impact in the United States, the “natal” country of the crisis, because great banks such as Lehman Brothers or Merrill Lynch have bankrupted. Even if the Romanian banking system was not affected by such catastrophic situations, surely the financial crisis had a significant impact on it. This topic is worth to be analysed, because we would be able to identify the risk differences between these two types of business: commercial banks versus co-operative banks.

Co-operatives in chains: institutional restructuring in the Dutch fruit and vegetables industry

NARCIS (Netherlands)

W.J.J. Bijman (Jos); G.W.J. Hendrikse (George)

2003-01-01

textabstractCo-operatives play a major role in the agricultural and food industry. Co-operatives, by the very nature, are producer-oriented firms. As market conditions for food products have changed in recent decades, the question is raised whether co-operatives are still efficient organisations for

Co-carcinogenesis: Human Papillomaviruses, Coal Tar Derivatives, and Squamous Cell Cervical Cancer

Directory of Open Access Journals (Sweden)

Harry W. Haverkos

2017-11-01

Full Text Available Cervical cancer (CC is the fourth most common cancers among women worldwide. Human papillomaviruses (HPVs play a major role in the etiology of CC, with several lines of epidemiologic and experimental evidence supporting a role for non-viral (co-carcinogens and host genetic factors in controlling the risk for progression to neoplasia among HPV-infected individuals. The role of co-carcinogens in the development of CC is significant in the developing world where poor sanitation and other socio-economic conditions increase the infectious cancer burden. Here, we discuss how exposure to environmental factors such as coal tar derivatives from cigarette smoking, tar-based sanitary products, and inhaled smoke from biomass-burning stoves, could activate host pathways involved in development of HPV-associated squamous cell cancers in resource-limited settings. Understanding interactions between these pathways with certain oncogenic HPV genotypes may guide implementation of strategies for control and treatment of HPV-associated cancers that develop in populations at high risk of exposure to various co-carcinogens.

Danish Colorectal Cancer Group Database.

Science.gov (United States)

Ingeholm, Peter; Gögenur, Ismail; Iversen, Lene H

2016-01-01

The aim of the database, which has existed for registration of all patients with colorectal cancer in Denmark since 2001, is to improve the prognosis for this patient group. All Danish patients with newly diagnosed colorectal cancer who are either diagnosed or treated in a surgical department of a public Danish hospital. The database comprises an array of surgical, radiological, oncological, and pathological variables. The surgeons record data such as diagnostics performed, including type and results of radiological examinations, lifestyle factors, comorbidity and performance, treatment including the surgical procedure, urgency of surgery, and intra- and postoperative complications within 30 days after surgery. The pathologists record data such as tumor type, number of lymph nodes and metastatic lymph nodes, surgical margin status, and other pathological risk factors. The database has had >95% completeness in including patients with colorectal adenocarcinoma with >54,000 patients registered so far with approximately one-third rectal cancers and two-third colon cancers and an overrepresentation of men among rectal cancer patients. The stage distribution has been more or less constant until 2014 with a tendency toward a lower rate of stage IV and higher rate of stage I after introduction of the national screening program in 2014. The 30-day mortality rate after elective surgery has been reduced from >7% in 2001-2003 to database is a national population-based clinical database with high patient and data completeness for the perioperative period. The resolution of data is high for description of the patient at the time of diagnosis, including comorbidities, and for characterizing diagnosis, surgical interventions, and short-term outcomes. The database does not have high-resolution oncological data and does not register recurrences after primary surgery. The Danish Colorectal Cancer Group provides high-quality data and has been documenting an increase in short- and long

International co-operation and the transfer of nuclear technology

International Nuclear Information System (INIS)

di Primio, J.C.

1977-01-01

The transfer of technology from developed countries is usually done through industrial enterprises. The local industrialization of imported technology does not necessarily imply that full benefit is extracted from its application. A pre-established scientific and technical infrastructure is needed to understand and incorporate it, and to develop methods for improvement and use at the industrial level, in the frame of national conditions. The transference of nuclear technology has recently shown new concepts for implementation. It is becoming a rule that massive industrial nuclear technology transfer to developing nations is tied to a requirement for simultaneous assistance in creating or promoting the infrastructure. An example of international co-operation to meet this requirement is the Argentine-German Agreement for the Peaceful Applications of Nuclear Energy. Since 1971 this has been used to strengthen the scientific and technical programmes of the Argentine Atomic Energy Commission in the relevant fields of industrial applications. The objectives and implementation of the agreement are described: co-operative actions were initially directed to the infrastructure needed to support the nuclear fuel cycle industry. The results achieved during the period 1971-1976 are critically analysed. This analysis has influenced the selection of future co-operative projects as well as the extension of the co-operation to other nuclear fields of common interest. (author)

Asthma and lung cancer, after accounting for co-occurring respiratory diseases and allergic conditions: a systematic review protocol.

Science.gov (United States)

Denholm, Rachel; Crellin, Elizabeth; Arvind, Ashwini; Quint, Jennifer

2017-01-16

Asthma is one of the most frequently diagnosed respiratory diseases in the UK, and commonly co-occurs with other respiratory and allergic diseases, such as chronic obstructive pulmonary disease (COPD) and atopic dermatitis. Previous studies have shown an increased risk of lung cancer related to asthma, but the evidence is mixed when accounting for co-occurring respiratory diseases and allergic conditions. A systematic review of published data that investigate the relationship between asthma and lung cancer, accounting for co-occurring respiratory and allergic diseases, will be conducted to investigate the independent association of asthma with lung cancer. A systematic review will be conducted, and include original reports of cohort, cross-sectional and case-control studies of the association of asthma with lung cancer after accounting for co-occurring respiratory diseases. Articles published up to June 2016 will be included, and their selection will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A standardised data extraction form will be developed and pretested, and descriptive analyses will be used to summarise the available literature. If appropriate, pooled effect estimates of the association between asthma and lung cancer, given adjustment for a specific co-occurring condition will be estimated using random effects models. Potential sources of heterogeneity and between study heterogeneity will also be investigated. The study will be a review of published data and does not require ethical approval. Results will be disseminated through a peer-reviewed publication. International Prospective Register for Systematic Reviews (PROSPERO) number CRD42016043341. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

SSI's International Development Co-operation (SIUS). Annual report 1998

International Nuclear Information System (INIS)

Szendroe, G.; Grapengiesser, S.; Johansson, Gunnar

1999-04-01

SSI's International Development Co-operation (SIUS), the Swedish program for radiation protection work in Central and Eastern Europe, has since its start in 1992 been granted SEK 109 million by the Swedish government. The projects are accessed, planned and performed in close co-operation with partner organisations in Eastern Europe. This report presents the financial status and a summary of the projects, their status and distribution over the countries and project areas. The presentation is updated as of December 1998

Future In-Space Operations (FISO): A Working Group and Community Engagement

Science.gov (United States)

Thronson, Harley; Lester, Dan

2013-01-01

Long-duration human capabilities beyond low Earth orbit (LEO), either in support of or as an alternative to lunar surface operations, have been assessed at least since the late 1960s. Over the next few months, we will present short histories of concepts for long-duration, free-space human habitation beyond LEO from the end of the Apollo program to the Decadal Planning Team (DPT)/NASA Exploration Team (NExT), which was active in 1999 2000 (see Forging a vision: NASA s Decadal Planning Team and the origins of the Vision for Space Exploration , The Space Review, December 19, 2005). Here we summarize the brief existence of the Future In-Space Operations (FISO) working group in 2005 2006 and its successor, a telecon-based colloquium series, which we co-moderate.

Effect of preoperative chemotherapy and radiation therapy during and after radical operation for esophageal cancer

Energy Technology Data Exchange (ETDEWEB)

Nakamichi, Sonoko; Fujino, Yuji; Taenaka, Nobuyuki; Yoshiya, Ikuto; Murata, Atsuo [Osaka Univ., Suita (Japan). Hospital

1997-10-01

The effect of preoperative chemotherapy and radiation therapy (CR therapy) on peri- and postoperative circulatory and respiratory status was studied retrospectively. Forty-two patients of esophageal cancer who had radical operation were included in this study. Twelve patients had CR therapy before operation (group CR) and 30 patients without CR (group N). During the operation there was more bleeding in group CR than in group N, necessitating more intraoperative blood transfusion in group CR. Body weight of group CR increased more than that of group N from the 1st to the 4th postoperative day. AaDo{sub 2} also increased in group CR on the 1st postoperative day, which was thought to reflect an increase in water in the lungs. Diuretics required during the postoperative period did not show difference between both groups. Plasma IL-6 level was lower in group CR than in group N, although there was no statistical significance. No patients died in both groups. In conclusion, postoperative body weight and AaDo{sub 2} in group CR increased more than those in group N. (author)

NEA international co-operative projects

International Nuclear Information System (INIS)

1989-01-01

This text is consecrated at the international co-operative projects of the OECD Nuclear Energy Agency (NEA) in the field of reactor safety (Halden reactor project, Loft project, studies on the damaged Three Mile Island unit-2 reactor, inspection of reactor steel components, incident reporting system) and in the field of radioactive waste management (Stripa project, geochemical data bases, Alligator river project, seabed disposal of high-level radioactive waste, decommissioning of nuclear facilities)

Value of the post-operative CT in predicting delayed flap failures following head and neck cancer surgery

International Nuclear Information System (INIS)

Kim, Bitna; Yoon, Dae Young; Seo, Young Lan; Park, Min Woo; Kwon, Kee Hwan; Rho, Young Soo; Chung, Chul Hoon

2017-01-01

To identify post-operative computed tomography (CT) findings associated with delayed flap failures following head and neck cancer surgery. We retrospectively reviewed 60 patients who underwent flap reconstruction after head and neck cancer surgery and post-operative (3–14 days) contrast-enhanced CT scans for suspected complications. Patients were divided into two groups: delayed flap failure patients (patients required flap revision) (n = 18) and flap success patients (n = 42). Clinical data (age, sex, T-stage, type of flap, and time interval between reconstruction surgery and CT) and post-operative CT findings of flap status (maximum dimension of the flap, intra- or peri-flap fluid collection and intra- or peri-flap air collection, fat infiltration within the flap, fistula to adjacent aerodigestive tract or skin, and enhanced vascular pedicle) were assessed and compared between the two groups. CT findings showed that the following flap anomalies were observed more frequently in the delayed flap failure group than in the flap success group: intra- or peri-flap fluid collection > 4 cm (61.1% vs. 23.8%, p 2 cm (61.1% vs. 2.4%, p < 0.001), and fistula to adjacent aerodigestive tract or skin (44.4% vs. 0%, p < 0.001). The maximum dimension of the flap, fat infiltration within the flap, and enhanced vascular pedicle were not associated with delayed flap failures. A large amount of fluid or air collection and fistula are the CT findings that were associated with delayed flap failures in patients with suspected post-operative complications after head and neck cancer surgery

Co-operation in nuclear development: The case of Hungary

International Nuclear Information System (INIS)

Kroen, H.

1990-01-01

Hungary became a Member of the IAEA in 1957 and has participated in the programme of technical assistance and co-operation from its start in 1958. By the end of 1976, Hungary ranked as the fifteenth largest recipient of IAEA technical assistance. Since then, there has been a significant increase in overall technical co-operation activities, and by the end of 1988 a total of over US $9.5 million of assistance had been received by Hungary, making it the fifth largest recipient of all Member States. In view of this situation, a special evaluation review was carried out in 1989 of the IAEA's technical co-operation programme in Hungary over the period 1976-1989. This evaluation review has shown that, simultaneously with the increase in the IAEA's support, there has been a rapid development in Hungary of the national nuclear infrastructure and this has permitted the country to absorb and utilize the assistance provided to the maximum extent. 7 figs

Zinc and group V element co-implantation in indium phosphide

International Nuclear Information System (INIS)

Yu, Kin Man; Ridgway, M.C.

2000-01-01

Group V elements with mass ranging from 35 to 122 amu have been co-implanted with Zn in InP substrates. Co-implantation with all group V elements drastically reduced Zn out-diffusion and to a certain extent also inhibited Zn in-diffusion. The reduction in out-diffusion was insensitive to the group V element mass and thus, to implantation-induced damage. We believe the group V element excess created an In-vacancy excess that enhanced Zn substitution into the In sublattice. A maximum hole concentration of 7x10 18 cm -3 was achieved with P co-implantation. Electrochemical capacitance-voltage profiling clearly showed a decrease in hole concentration as a function of increasing group V element mass. This was attributed to differences in compensating residual implantation-induced damage

Southeastern Cancer Study Group: breast cancer studies

International Nuclear Information System (INIS)

Smalley, R.V.; Bartolucci, A.A.; Moore, M.

1983-01-01

During the past 10 years, the Southeastern Cancer Study Group (SECSG) has been engaged in one major adjuvant study and three major advanced disease studies for patients with adenocarcinoma of the breast. The adjuvant study is demonstrating that six months of adjuvant CMF is the therapeutic equivalent of 12 months and that post-operative irradiation is of no added therapeutic benefit. In patients with advanced disease, a low dose 5 drug combination of CMFVP induces more objective responses than single agent 5FU, but improves survival only for those patients with liver metastases when compared to the sequential use of the same 5 single agents. The three drug combination, CAF, utilizing doxorubicin, induces more objective responses than low dose CMFVP, but it does not improve overall survival. The addition of a phase active combination, CAMELEON, (i.e., sequentially alternating therapy) of CAF has not improved the duration of disease control and survival for patients with liver metastases, lymphangitic and nodular lung metastases compared to CAF. Aggressive combination chemotherapeutic approaches to patients with advanced disease provide better and longer disease and tumor control but only marginal improvements in overall survival. Adding additional agents to a maximally tolerable regimen has not improved the therapeutic outcome

Local and Sustainable Food Supply: The Role of European Retail Consumer Co-operatives

Directory of Open Access Journals (Sweden)

Martin Hingley

2012-03-01

Full Text Available  This paper investigates the rationale for local and sustainable food systems and retailer co-operatives as their entry points within local conditions. Emphasis is on localised food networks and connection between socially as well as environmentally sustainable production, distribution and consumption. Investigated is the premise that co-operative organisational structures, for reasons of their long-term socially responsible origins are at the forefront of development of local and sustainable food systems and are thereby in a position to offer a specific contribution to market development. Two key research questions are proposed: Firstly, is there a pre-determination of co-operatives to issues of sustainable and local food sourcing given the historical and practical context of their ethical/socially responsible and stakeholder-based business model? Secondly, do co-ops express support for re-localising food systems and what contribution do they make concerning sustainable food and their relationships with local food suppliers? The method of investigation is through a two country retailer co-operative sector analysis and comparison (Finland and Italy. The enquiry is qualitative and exploratory in nature in the form of an embedded, multiple case design. The paper makes practical and theoretical contribution to knowledge concerning interpretation of ‘localness’ in food, the role of co-operatives and the co-operative ethos in sustainable food systems and the development of the local food economy. Results of the study show a positive relationship between co-operative ethos and (social sustainability in local food, but the de-centralised nature of retailer co-operation also provides a barrier to replication of good practice.

Compact groups of positive operators on Banach lattices

NARCIS (Netherlands)

Jeu, de M.F.E.; Wortel, M.R.

2014-01-01

In this paper, we study groups of positive operators on Banach lattices. If a certain factorization property holds for the elements of such a group, the group has a homomorphic image in the isometric positive operators which has the same invariant ideals as the original group. If the group is

ICan: an integrated co-alteration network to identify ovarian cancer-related genes.

Science.gov (United States)

Zhou, Yuanshuai; Liu, Yongjing; Li, Kening; Zhang, Rui; Qiu, Fujun; Zhao, Ning; Xu, Yan

2015-01-01

Over the last decade, an increasing number of integrative studies on cancer-related genes have been published. Integrative analyses aim to overcome the limitation of a single data type, and provide a more complete view of carcinogenesis. The vast majority of these studies used sample-matched data of gene expression and copy number to investigate the impact of copy number alteration on gene expression, and to predict and prioritize candidate oncogenes and tumor suppressor genes. However, correlations between genes were neglected in these studies. Our work aimed to evaluate the co-alteration of copy number, methylation and expression, allowing us to identify cancer-related genes and essential functional modules in cancer. We built the Integrated Co-alteration network (ICan) based on multi-omics data, and analyzed the network to uncover cancer-related genes. After comparison with random networks, we identified 155 ovarian cancer-related genes, including well-known (TP53, BRCA1, RB1 and PTEN) and also novel cancer-related genes, such as PDPN and EphA2. We compared the results with a conventional method: CNAmet, and obtained a significantly better area under the curve value (ICan: 0.8179, CNAmet: 0.5183). In this paper, we describe a framework to find cancer-related genes based on an Integrated Co-alteration network. Our results proved that ICan could precisely identify candidate cancer genes and provide increased mechanistic understanding of carcinogenesis. This work suggested a new research direction for biological network analyses involving multi-omics data.

Treatment results of non-operated lung cancer by radiotherapy and radiochemotherapy

International Nuclear Information System (INIS)

Seino, Yasuo; Watarai, Jiro; Kobayashi, Mitsuru; Sashi, Ryuji; Shindo, Masaaki; Kato, Toshio

1993-01-01

The treatment results of 152 non-operated lung cancer patients were analyzed. Median survival times (MST; months) for all patients based on the stage (UICC'87) were 28 M (n=12) for stage I, 18 M (n=16) for stage II, 8 M (n=58) for stage III A, 6 M (n=46) for stage III B, and 4 M (n=20) for stage IV. The effect of combined radiochemotherapy was quite evident in small cell lung cancer (SCLC) patients. Here, the MST of the radiotherapy alone group (n=11) was 5 M, whereas that of radiochemotherapy group (n=14) was 12 M (p<0.05). In non-small cell lung cancer (NSCLC), the effect of radiochemotherapy was recognized only in stage III A and III B patients. In this case, the MST of the radiotherapy alone group (n=50) was 6 M, whereas that of the radiochemotherapy group (n=38) was 9 M (p<0.05). The duration of time from the initial therapy to the occurrence of distant metastasis in stage III A and III B patients was longer in the radiochemotherapy group than in the radiotherapy alone group (p<0.05). As for the metastatic sites, a delay in the occurrence of brain, lung and pleural metastasis was also recognized in the radiochemotherapy group (p<0.05). In this retrospective study, the value of combined radiochemotherapy was evident in SCLC and stage III-NSCLC patients. However, there was considerable case to case variation in the dosage, combination of agents and timing of chemotherapy. Recently, more aggressive chemotherapy is now being applied. (author)

[Effect of Sijunzi Decoction and enteral nutrition on T-cell subsets and nutritional status in patients with gastric cancer after operation: a randomized controlled trial].

Science.gov (United States)

Cai, Jun; Wang, Hua; Zhou, Sheng; Wu, Bin; Song, Hua-Rong; Xuan, Zheng-Rong

2008-01-01

To observe the effect of perioperative application of Sijunzi Decoction and enteral nutrition on T-cell subsets and nutritional status in patients with gastric cancer after operation. In this prospective, single-blinded, controlled clinical trial, fifty-nine patients with gastric cancer were randomly divided into three groups: control group (n=20) and two study groups (group A, n=21; group B, n=18). Sjunzi Decoction (100 ml) was administered via nasogastric tube to the patients in the study group B from the second postoperation day to the 9th postoperation day. Patients in the two study groups were given an isocaloric and isonitrogonous enteral diet, which was started on the second day after operation, and continued for eight days. Patients in the control group were given an isocaloric and isonitrogonous parenteral diet for 9 days. All variables of nutritional status such as serum albumin (ALB), prealbumin (PA), transferrin (TRF) and T-cell subsets were measured one day before operation, and one day and 10 days after operation. All the nutritional variables and the levels of CD3(+), CD4(+), CD4(+)/CD8(+) were decreased significantly after operation. Ten days after operation, T-cell subsets and nutritional variables in the two study groups were increased as compare with the control group. The levels of ALB, TRF and T-cell subsets in the study group B were increased significantly as compared with the study group A (Pnutrition assisted with Sijunzi Decoction can positively improve and optimize cellular immune function and nutritional status in the patients with gastric cancer after operation.

The World Congress on Controversies in Breast Cancer (CoBRA in Melbourne, Australia

Directory of Open Access Journals (Sweden)

Ilana Rabinoff-Sofer

2015-03-01

Full Text Available The World Congress on Controversies in Breast Cancer (CoBRA will take place October 22-24, 2015 in Melbourne, Australia.CoBRA is a concept congress dealing with controversial topics in breast cancer in the format of debates and discussions, allowing ample time for speaker-participant interaction.CLICK HERE for more information

Working group on unbundling of electricity trade operations 2. A group report

International Nuclear Information System (INIS)

2000-09-01

The current unbundling of operations in accounts has proved inadequate. No formula or model that could be made binding by provisions have been defined for unbundled accounts. In addition, unbundling can draw a distinct line between commercial activities and network operations, which have assumed various authoritative functions. Against this background, the need for clearer unbundling has become more marked. The working group suggests that the current provisions on unbundling of trade operations should be tightened and that the unbundling should be made clearer especially in terms of allocation of joint costs. For this, the necessary preparations by the authorities should be initiated urgently. At the same time, the working group proposes that network operations should be unbundled from other operations by incorporation or by unbundling them into a separate public utility. The smallest electric utilities should be exempted from the obligation of incorporating network operations. According to the working group, the lower limit could be fixed e.g. at 70 GWh a year. The working group also suggests that the licensees must own the electricity networks they operate. The licensees could not rent their networks from the mother company nor lease them from a financing company. The model proposed by the working group would redress the major problems connected with the supervision of the electricity market. The monopoly, i.e. the electricity network operations, under the supervision of the Electricity Market Authority could thus be unbundled. This would improve the functioning of the market and facilitate the supervision. However, the model would not abolish the tax concession of municipal public utilities in competitive trade operations, production and sale of electricity. The tax concession may affect the competitive situation on the electricity market. (orig.)

A proposed new mechanism for research and development co-operation

International Nuclear Information System (INIS)

Dolan, T.

2001-01-01

Scientists in developing countries sometimes lack knowledge of recent developments, co-operation with advanced countries, and government appreciation of the importance and quality of their work. The present IAEA mechanisms like CRPs and TC projects are very helpful but do not fully meet R and D co-operation needs of these scientists. A new complementary mechanism of co-operation among the Member States is proposed that would utilize IAEA services through a suitable agreement. The IAEA could help to evaluate joint R and D proposals, to provide an example legal agreement, to monitor progress, to disseminate the results, and, in some cases, to administer joint funds. This new mechanism would be similar to ITER, but on a smaller scale, and applicable to all fields of nuclear R and D. (author)

Power corrupts co-operation: cognitive and motivational effects in a double EEG paradigm

Science.gov (United States)

Kanso, Riam; Hewstone, Miles; Hawkins, Erin; Waszczuk, Monika; Nobre, Anna Christina

2014-01-01

This study investigated the effect of interpersonal power on co-operative performance. We used a paired electro-encephalogram paradigm: pairs of participants performed an attention task, followed by feedback indicating monetary loss or gain on every trial. Participants were randomly allocated to the power-holder, subordinate or neutral group by creating different levels of control over how a joint monetary reward would be allocated. We found that power was associated with reduced behavioural accuracy. Event-related potential analysis showed that power-holders devoted less motivational resources to their targets than did subordinates or neutrals, but did not differ at the level of early conflict detection. Their feedback potential results showed a greater expectation of rewards but reduced subjective magnitude attributed to losses. Subordinates, on the other hand, were asymmetrically sensitive to power-holders’ targets. They expected fewer rewards, but attributed greater significance to losses. Our study shows that power corrupts balanced co-operation with subordinates. PMID:23160813

Power corrupts co-operation: cognitive and motivational effects in a double EEG paradigm.

Science.gov (United States)

Kanso, Riam; Hewstone, Miles; Hawkins, Erin; Waszczuk, Monika; Nobre, Anna Christina

2014-02-01

This study investigated the effect of interpersonal power on co-operative performance. We used a paired electro-encephalogram paradigm: pairs of participants performed an attention task, followed by feedback indicating monetary loss or gain on every trial. Participants were randomly allocated to the power-holder, subordinate or neutral group by creating different levels of control over how a joint monetary reward would be allocated. We found that power was associated with reduced behavioural accuracy. Event-related potential analysis showed that power-holders devoted less motivational resources to their targets than did subordinates or neutrals, but did not differ at the level of early conflict detection. Their feedback potential results showed a greater expectation of rewards but reduced subjective magnitude attributed to losses. Subordinates, on the other hand, were asymmetrically sensitive to power-holders' targets. They expected fewer rewards, but attributed greater significance to losses. Our study shows that power corrupts balanced co-operation with subordinates.

Employing Multiple Unmanned Aerial Vehicles for Co-Operative Path Planning

Directory of Open Access Journals (Sweden)

Durdana Habib

2013-05-01

Full Text Available Abstract In this paper, we work to develop a path planning solution for a group of Unmanned Aerial Vehicles (UAVs using a Mixed Integer Linear Programming (MILP approach. Co-operation among team members not only helps reduce mission time, it makes the execution more robust in dynamic environments. However, the problem becomes more challenging as it requires optimal resource allocation and is NP-hard. Since UAVs may be lost or may suffer significant damage during the course of the mission, plans may need to be modified in real-time as the mission proceeds. Therefore, multiple UAVs have a better chance of completing a mission in the face of failures. Such military operations can be treated as a variant of the Multiple Depot Vehicle Routing Problem (MDVRP. The proposed solution must be such that m UAVs start from multiple source locations to visit n targets and return to a set of destination locations such that (1 each target is visited exactly by one of the chosen UAVs (2 the total distance travelled by the group is minimized and (3 the number of targets that each UAV visits may not be less than K or greater than L.

A Co-operative Inquiry Into Generating, Describing, and Transforming Knowledge About De-escalation Practices in Mental Health Settings

DEFF Research Database (Denmark)

Berring, Lene Lauge; Hummelvoll, J. K.; Pedersen, Liselotte

2016-01-01

De-escalation is concerned with managing violent behaviour without resorting to coercive measures. Co-operative Inquiry provided the conceptual basis for generating knowledge regarding de-escalation practices in acute mental health care settings. The research included service users and staff memb...... transforming violence management. Neighbouring mental health communities’ involvement strengthened the transformation process and assisted in validating the research results. © 2016, Taylor & Francis Group, LLC.......De-escalation is concerned with managing violent behaviour without resorting to coercive measures. Co-operative Inquiry provided the conceptual basis for generating knowledge regarding de-escalation practices in acute mental health care settings. The research included service users and staff...... members as co-researchers and knowledge was generated in dynamic research cycles around an extended epistemology of knowing: experiential, presentational, propositional, and practical. Through this process, co-researchers became de-escalation learners, implementing de-escalation practices while...

Risk of second primary cancer among patients with early operable breast cancer registered or randomised in Danish Breast Cancer cooperative Group (DBCG) protocols of the 77, 82 and 89 programmes during 1977-2001

DEFF Research Database (Denmark)

Andersson, M.; Jensen, Maiken Brit; Engholm, G.

2008-01-01

Breast cancer survivors have increased risks of developing second primary cancers due to shared etiology, life style factors but also to primary breast cancer treatment. Among 53 418 patients registered by the population based Danish Breast Cancer Cooperative Group (DBCG) during 1977-2001, 31 818...... patients were treated and followed according to guidelines of DBCG. In addition to surgery 23% received tamoxifen, 23% chemotherapy and 35% radiotherapy as treatment for primary breast cancer. Second primary cancers were identified by linkage to the population based Danish Cancer Register. Cancer incidence...... rates of the Danish population were used for calculation of standardized incidence ratios (SIRs). Time at risk was from diagnosis of breast cancer+1 year until death or through 2002. Risk for all second primary cancers combined was increased, SIR=1.04 (95% confidence interval 0.99-1.08). Sites...

Do co-operative organisations contribute to a process of democratisation? : the case of Tanzania

OpenAIRE

Moberg, Liv

1998-01-01

Do co-operative organisations contribute to a process of democratisation? The Case of Tanzania May co-operative organisations be said to perform a role of any importance in processes of democratisation? The objective of my thesis is to answer this question theoretically and to illustrate with the case of Tanzania. It can thus be formulated in two parts; one theoretical and one empirical; May co-operative organisations contribute to a process of democratisation? Do co-operative organi...

HPC Co-operation between industry and university

International Nuclear Information System (INIS)

Ruhle, R.

2003-01-01

The full text of publication follows. Some years ago industry and university were using the same kind of high performance computers. Therefore it seemed appropriate to run the systems in common. Achieved synergies are larger systems to have better capabilities, to share skills in operating and using the system and to have less operating cost because of larger scale of operations. An example for a business model which allows that kind of co-operation would be demonstrated. Recently more and more simulations especially in the automotive industry are using PC clusters. A small number of PC's are used for one simulation, but the cluster is used for a large number of simulations as a throughput device. These devices are easily installed on the department level and it is difficult to achieve better cost on a central site, mainly because of the cost of the network. This is in contrast to the scientific need which still needs capability computing. In the presentation, strategies will be discussed for which cooperation potential in HPC (high performance computing) still exists. These are: to install heterogeneous computer farms, which allow to use the best computer for each application, to improve the quality of large scale simulation models to be used in design calculations or to form expert teams from industry and university to solve difficult problems in industry applications. Some examples of this co-operation are shown

International co-operation in the nuclear field - past, present and prospects

International Nuclear Information System (INIS)

Goldschmidt, B.

1978-01-01

On the occasion of the 20th anniversary of its creation, the Nuclear Energy Agency of the Organization for Economic Co-operation and Development (NEA/OECD) held a symposium in Paris on 1 and 2 February 1978. Some 200 participants from the 23 Member countries of the NEA as well as representatives of the Commission of European Communities, FORATOM and the IAEA attended the symposium. At a panel discussion at the symposium, led by Dr. Sigvard Eklund, Director General of the IAEA, the future of international co-operation between advanced nations in the nuclear field was discussed. While recognizing that nuclear energy is at present going through a period of uncertainty pending resolution of the intertwined problems of gaining public confidence and of non-proliferation, the panel expressed its strong confidence in the future of nuclear power, and the vital contribution it would make, particularly between now and the end of the century. During the meeting, a critical review was made of the way in which international co-operation has evolved since the early stages of peaceful nuclear development, and of the influence on this co-operation of the changing relationship between government and industry. The contribution of international co-operation - and its limitations - was carefully scrutinized, notably in the crucial area of the nuclear fuel cycle

Co-Operative Training in the Sheffield Forging Industry

Science.gov (United States)

Duncan, R.

2008-01-01

Purpose: The purpose of this paper is to give details of an operation carried out in Sheffield to increase the recruitment of young men into the steel forging industry. Design/methodology/approach: The Sheffield Forges Co-operative Training Scheme was designed to encourage boys to enter the forging industry and to provide them with training and…

Correlation between Duffy blood group phenotype and breast cancer incidence

International Nuclear Information System (INIS)

Liu, Xiao-feng; Li, Lian-fang; Ou, Zhou-luo; Shen, Rong; Shao, Zhi-min

2012-01-01

Different ethnicities have different distribution of Duffy blood group (DBG) phenotypes and different breast cancer morbidity. A study in our lab demonstrated that Duffy antigen/receptor for chemokines (DARC, also known as DBGP, the Duffy protein phenotype), led to the inhibition of tumorigenesis. Therefore, we tested the hypothesis that DBGP is correlated with breast cancer occurrence. DBGP proteins were examined by indirect antiglobulin testing with anti-FYa and anti-FYb antibodies. The phenotypes were classified into four groups according to the agglutination reactions: FYa + FYb+, FYa + FYb-, FYa-FYb + and FYa-FYb-. The phenotypes and pathological diagnosis of consecutively hospitalized female patients (n = 5,022) suffering from breast cancer at the Shanghai Cancer Hospital and Henan Province Cancer Hospital were investigated. The relationships between DBGP expression with breast cancer occurrence, axillary lymph status, histological subtype, tumor size pathological grade and overall survival were analyzed. The incidence of breast cancer was significantly different between FYa + FYb + (29.8%), FYa + FYb- (33.2%), FYa-FYb + (45.6%) and FYa-FYb- (59.1%; P = 0.001). Significant different numbers of breast cancer patients had metastases to the axillary lymph nodes in the FYa + FYb + group (25.1%), FYa + FYb- (36.9%), FYa-FYb + (41.0%) and FYa-FYb- (50.0%, (P = 0.005). There was a statistical significance (p = 0.022) of the overall survival difference between patients with difference phenotypes. No significant difference was observed in cancer size (t-test, p > 0.05), histological cancer type (Fisher's exact test, p > 0.05) or histological grade (Fisher's exact test, p > 0.05) between every each DBGP group. DBGP is correlated with breast cancer incidence and axillary lymph node metastasis and overall survival. Further investigations are required to determine the underlying mechanism of Duffy blood group phenotype on breast cancer risk

[Study on FTIR spectra of finger nails of normal people and patients of esophagus cancer].

Science.gov (United States)

Wang, Hong-Yan; Lü, Yin; Wang, Fan; Ma, Xiao-Dong; Jiang, Shi-Ping; Wang, Wei; Li, Cheng-Xiang

2008-02-01

To investigate the application of human finger nails in the diagnosis of cancer, Fourier transform infrared (FTIR) spectroscopy was employed to study the finger nails from some normal people and some with esophagus cancer and others with an operation for curing esophagus cancer five months ago. The results showed that there are obvious differences between FTIR spectra in them in spectral parameters such as frequency, intensity and band shape etc. The changes in the phosphate symmetric stretching vibration v(s) (PO2-) and asymmetric stretching vibration v(a)s(PO2-) modes are uniform, the v(s) (PO2-) and v(a)s(PO2-) absorption peaks of cancerous ones shift to high wave number compared with those of normal people, while those with operation shift to low wave number compared with those of cancerous ones. The C-O stretching vibration mode of protein located at 1 164 cm(-1) is composed of three absorption peaks located at 1 173.3, 1 158.0 and 1 151.1 cm(-1) respectively, meanwhile, the intensities and the wave numbers of the three peaks of cancerous ones all increase compared with normal people. The wave numbers of amide I and amide II of cancerous ones are both lower than those of normal people, while those with operation are between the cancerous ones and normal people, which suggest that the contents of protein and alpha-helix in finger nails of normal people, cancerous ones and the ones with operation are discriminative. The peak of bending vibration delta(CH2) mode of CH2 groups of protein lipid of cancerous ones shifts to high wave number slightly and the intensity of the peak weakens compared with that of normal people, which indicate that the methylene chain in the finger nails membrane lipids of cancerous ones is more ordered than that of normal people. Nevertheless, the peak of stretching vibration v(s) (CH2) of cancerous ones is lower than that of normal people, while that of the ones with operation is between cancerous ones and normal ones. As a result, the

Value of the post-operative CT in predicting delayed flap failures following head and neck cancer surgery

Energy Technology Data Exchange (ETDEWEB)

Kim, Bitna; Yoon, Dae Young; Seo, Young Lan; Park, Min Woo; Kwon, Kee Hwan; Rho, Young Soo; Chung, Chul Hoon [Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul (Korea, Republic of)

2017-06-15

To identify post-operative computed tomography (CT) findings associated with delayed flap failures following head and neck cancer surgery. We retrospectively reviewed 60 patients who underwent flap reconstruction after head and neck cancer surgery and post-operative (3–14 days) contrast-enhanced CT scans for suspected complications. Patients were divided into two groups: delayed flap failure patients (patients required flap revision) (n = 18) and flap success patients (n = 42). Clinical data (age, sex, T-stage, type of flap, and time interval between reconstruction surgery and CT) and post-operative CT findings of flap status (maximum dimension of the flap, intra- or peri-flap fluid collection and intra- or peri-flap air collection, fat infiltration within the flap, fistula to adjacent aerodigestive tract or skin, and enhanced vascular pedicle) were assessed and compared between the two groups. CT findings showed that the following flap anomalies were observed more frequently in the delayed flap failure group than in the flap success group: intra- or peri-flap fluid collection > 4 cm (61.1% vs. 23.8%, p < 0.05), intra- or peri-flap air collection > 2 cm (61.1% vs. 2.4%, p < 0.001), and fistula to adjacent aerodigestive tract or skin (44.4% vs. 0%, p < 0.001). The maximum dimension of the flap, fat infiltration within the flap, and enhanced vascular pedicle were not associated with delayed flap failures. A large amount of fluid or air collection and fistula are the CT findings that were associated with delayed flap failures in patients with suspected post-operative complications after head and neck cancer surgery.

Strategic Stakeholder Communication and Co-operation in Environmental Management

DEFF Research Database (Denmark)

Madsen, Henning; Ulhøi, John Parm

2002-01-01

in this process is strategic stakeholder relationships like communication and co-operation. The paper addresses this topic based on a proposed approach for identifying and evaluating the influence from various groups of stakeholders as well as the findings from recent surveys of environmental management......Ever since the introduction of the first major Danish environmental protection law in 1974, environmental regulation has been instrumental in pushing industry towards adopting environmentally less harmful behaviour. However, since the early 1990s, pressure from a growing number of other...... stakeholders, such as for example customers, NGO's, neighbours, etc., has increasingly driven industry towards incorporating environmental considerations in their decisions and activities to an extent which justifies placing Danish companies at the cutting edge of industrial greening. An essential element...

Proceedings of International Symposium on Energy Co-operation in North East Asia

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-06-01

This proceedings are for the International Symposium on Energy Co-operation in North-East Asia, organized by Korea Energy Economics Institute, Institute of Energy Economics, Japan, and United Nations Economic and Social Commission for Asia and the Pacific, held on June 2001 at Sheraton Walker Hill Hotel in Seoul, Korea. The major themes discussed are following: 1.Energy Profile, Outlook and Perspectives on Regional Co-operation in Northeast Asia 2.Future Challenges in the Energy Sector in Northeast Asia 3.Perspectives of Energy Co-operation in Northeast Asia.

Co-operation agreement between the European Organization for Nuclear Research (CERN) and the Government of People's Republic of Bangladesh concerning Education, Scientific and Technical Co-operation in High-Energy Physics

CERN Document Server

2014-01-01

Co-operation agreement between the European Organization for Nuclear Research (CERN) and the Government of People's Republic of Bangladesh concerning Education, Scientific and Technical Co-operation in High-Energy Physics

Rear Operations Group medicine: a pilot study of psychological decompression in a Rear Operations Group during Operation HERRICK 14.

Science.gov (United States)

Nimenko, Wasyl; Simpson, R G

2014-12-01

To investigate group activity psychological decompression (GAPD) in a Rear Operations Group. Provision of military archaeological exercises for a Rear Operations Group's medical centre patients during Op HERRICK 14 with analysis of before and after Patient Health Questionnaires (PHQ), Work and Social Adjustment Scales, generalised anxiety disorder (GAD) 7 Anxiety, Audit Questionnaire and Impact of Events Scale Revised and analysis of interviews with supervisors and soldiers. Soldiers reported a mean of 13%-38% improvement across the self-reported domains. The civilian archaeologists reported improvements in self-esteem, morale and team-working. 10 out of 24 soldiers have expressed an interest to pursue archaeology further; eight soldiers disclosed mental health issues for the first time, four of whom required mental health referral. GAPD can help early-returned soldiers in reducing symptoms of anxiety, depression, isolation and psychological traumatic symptoms. It also helps to increase perception of their ability to work and socialise as a team and help them to an early return to work. It can provide soldiers with the opportunity to approach their supervisors in an informal manner and help in early detection of mental health problems. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Early enteral immune nutrition support after radical operation for gastric cancer on promoting the recovery of gastrointestinal function and immune function

Directory of Open Access Journals (Sweden)

Zhi-Gang Li

2016-05-01

Full Text Available Objective: To analyze the effect of early enteral immune nutrition support after radical operation for gastric cancer on the recovery of gastrointestinal function and immune function. Methods: A total of 106 cases of patients received radical operation for gastric cancer in our hospital were selected as research subjects, and according to different ways of postoperative nutrition intervention, all patients were divided into observation group (n=50 and control group (n=56. Control group received conventional enteral nutrition intervention, observation group received postoperative early enteral immune nutrition support, and then differences in postoperative intestinal mucosa barrier function, gastrointestinal hormone levels, immune function levels and nutrition-related indicator values were compared between two groups. Results: After observation group received enteral immune nutrition intervention, serum DAO, PS and D-lactate levels as well as urine L/M ratio were lower than those of control group; serum GAS, CCK, MTL and SP values of observation group after intervention were higher than those of control group, and GLU, VIP, GIP and SS values were lower than those of control group; CD4, IgG, NK cell, C3, C4, CH50 and S-IgA levels of observation group after intervention were higher than those of control group; serum ALB, PRE, TRF and RBP levels of observation group after intervention were higher than those of control group. Conclusion: Early enteral immune nutrition support after radical operation for gastric cancer is conducive to the recovery of gastrointestinal function and the promotion of immune state, eventually promotes patients’ postoperative overall recovery and has active clinical significance.

Who helps the leaders? Difficulties experienced by cancer support group leaders.

Science.gov (United States)

Kirsten, Laura; Butow, Phyllis; Price, Melanie; Hobbs, Kim; Sunquist, Kendra

2006-07-01

Cancer support groups are an important source of support for cancer patients, yet little is known about the challenges and training needs of both professionally trained and untrained leaders. The aim of this study was to discover the difficulties experienced and training desired by cancer support group leaders. Twenty-seven leaders of 34 cancer support groups participated in focus groups or individual interviews. Groups were purposively selected as representative of 173 support groups identified in New South Wales which were for adults with cancer and/or their adult carers and were not therapeutic or education-only groups. Difficulties identified included dealing with people's different communication styles and needs; dealing with recurrence, metastases and death; practical issues, including resources, setting the programme and funding security; maintaining personal balance and preventing burn out; establishing group credibility; dealing with group cycles; and leading groups in rural areas. Leaders also identified benefits and rewards from group leadership such as contributing to others' well-being, self-development and insight into others' lives. Non-professionally trained leaders experienced more difficulties, particularly in dealing with group process and practical issues. Difficulties identified were related both to working with a cancer population specifically and to working with groups in general. While some issues were common to both health professionals and non-health professionals, non-health professionals reported greater supportive needs. Clear guidelines, targeted training and development of better methods of support to reduce the stress and burn out experienced by group leaders are needed.

Case Writing Projects in Co-Operation with Companies and Organizations

OpenAIRE

Bengtsson, Lars; Asplund, Carl-Johan

2008-01-01

The purpose of this paper is to present the process and evaluation of case writing projects in co-operation with companies and organizations in a course for engineering students. The case writing projects could provide an illustration and example framework for working with companies in constructing cases. Normally cases are constructed for teaching purposes in higher education. However, in order to get closer co-operation and more interest from the companies the authors encouraged the student...

Post-operative radiation therapy for advanced-stage oropharyngeal cancer.

Science.gov (United States)

Hansen, Eric; Panwala, Kathryn; Holland, John

2002-11-01

Between 1985 and 1999, 43 patients with locally-advanced, resectable oropharyngeal cancer were treated with combined surgery and post-operative radiation therapy (RT) at Oregon Health and Science University. Five patients (12 per cent) had Stage III disease and 38 patients (88 per cent) had Stage IV disease. All patients had gross total resections of the primary tumour. Thirty-seven patients had neck dissections for regional disease. RT consisted of a mean tumour-bed dose of 63.0 Gy delivered in 1.8-2.0 Gy fractions over a mean of 49 days. At three- and five-years, the actuarial local control was 96 per cent and the actuarial local/regional control was 80 per cent. The three- and five-year actuarial rates of distant metastases were 41 per cent and 46 per cent, respectively. The actuarial overall survival at three- and five-years was 41 per cent and 34 per cent, respectively. The actuarial rates of progression-free survival were 49 per cent at three-years and 45 per cent at five years. Combined surgery and post-operative RT for advanced-stage oropharyngeal cancer results in excellent local/regional control. This particular group of patients experienced a high-rate of developing distant metastases.

Online support groups for women with breast cancer.

Science.gov (United States)

McCaughan, Eilis; Parahoo, Kader; Hueter, Irene; Northouse, Laurel; Bradbury, Ian

2017-03-10

Survival rates for women with a diagnosis of breast cancer continue to improve. However, some women may experience physical, psychological and emotional effects post diagnosis, throughout treatment and beyond. Support groups can provide opportunities for people to share their experiences and learn from others. As the number of online support groups increases, more and more women with breast cancer will likely access them. To assess effects of online support groups on the emotional distress, uncertainty, anxiety, depression and quality of life (QoL) of women with breast cancer. We searched for trials in the Cochrane Breast Cancer Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL; 2016, Issue 4), MEDLINE, Embase and PsycINFO on 2 May 2016, and we handsearched journals and reference lists. We also searched the World Health Organization's International Clinical Trials Registry Platform (WHO ICTRP) search portal and clinicaltrials.gov on 2 May 2016. We included randomised controlled trials (RCTs) assessing effects of online support groups on women with a diagnosis of breast cancer and women who have completed breast cancer treatment. We included studies comparing online support groups with a usual care group, and studies comparing two or more types of online support groups (without a usual care group). Two review authors independently extracted data and assessed risk of bias. We presented outcome data using mean differences (MDs) and standardised mean differences (SMDs) along with 95% confidence intervals (CIs), and we used the fixed-effect model when appropriate. We assessed the quality of the body of evidence using the GRADE approach. We included six studies (492 women) that assessed online support groups for women with breast cancer. Online support groups in these six trials lasted from six to 30 weeks. Women participated in these groups between 1.5 and 2.5 hours per week, and investigators conducted all studies in the USA

Student Perceptions of Social Learning Space: Designing and Implementing a Co-Operative Assessment Task in Pharmacology

Science.gov (United States)

Moni, Roger W.; Depaz, Iris; Lluka, Lesley J.

2008-01-01

We report findings from a case study of co-operative, group-based assessment in Pharmacology for second-year undergraduates at The University of Queensland, Australia. Students enrolled in the 2005 Bachelor of Science and 2006 Bachelor of Pharmacy degree programs, were early users of the university's new Collaborative Teaching and Learning Centre…

Epidemiological and immunological characteristics of childhood leukaemia in the Netherlands: population-based data from a nationwide co-operative group of paediatricians

International Nuclear Information System (INIS)

Coebergh, J.W.W.; Steensel-Moll, A. van; Veer, M.B. van't

1985-01-01

Results are reviewed from several population-based epidemiological and immunological studies of children with leukaemia in The Netherlands, who were diagnosed between 1973 and 1982 through a nationwide co-operative group of paediatricians. From 1973 till 1980 annual incidence rates appeared to be 3.1 per 10 5 person-yr. No significant trend was observed in this period. However a preliminary analysis of patients in the 1980-1982 period showed an increase. Mortality rates are decreasing since 1973, as expected. Incidence rates and proportions of different morphological and immunological subtypes reflect the pattern of occurrence in populations with a high standard of living. A relatively high incidence rate of acute lymphocytic leukaemia (ALL) is observed with a peak at the age of 3-5. The proportion of patients with T-cell phenotype among ALL-patients, immunologically typed between 1979 and 1982, appeared to increase with age, while the proportion of common ALL decreased. Statistical analysis of the data of patients with ALL in the Western part of the country including areas with nuclear plants, gave no indication for the presence of clustering. (author)

Meaning making in cancer survivors: a focus group study.

Directory of Open Access Journals (Sweden)

Nadia van der Spek

Full Text Available BACKGROUND: Confrontation with a life-threatening disease like cancer can evoke existential distress, which can trigger a search for meaning in people after having survived this disease. METHODS: In an effort to gain more insight in the meaning making process, we conducted four focus groups with 23 cancer survivors on this topic. Participants responded to questions about experienced meaning making, perceived changes in meaning making after cancer and the perceived need for help in this area. RESULTS: Most frequently mentioned meaning making themes were relationships and experiences. We found that, in general, cancer survivors experienced enhanced meaning after cancer through relationships, experiences, resilience, goal-orientation and leaving a legacy. Some participants, however, also said to have (also experienced a loss of meaning in their lives through experiences, social roles, relationships and uncertainties about the future. CONCLUSIONS: The results indicated that there is a group of cancer survivors that has succeeded in meaning making efforts, and experienced sometimes even more meaning in life than before diagnosis, while there is also a considerable group of survivors that struggled with meaning making and has an unmet need for help with that. The results of this study contribute to develop a meaning centered intervention for cancer survivors.

Effect of Internet peer-support groups on psychosocial adjustment to cancer

DEFF Research Database (Denmark)

Høybye, Mette Terp; Dalton, S O; Deltour, I

2010-01-01

BACKGROUND: We conducted a randomised study to investigate whether providing a self-guided Internet support group to cancer patients affected mood disturbance and adjustment to cancer. METHODS: Baseline and 1-, 6- and 12-month assessments were conducted from 2004 to 2006 at a national rehabilitat......BACKGROUND: We conducted a randomised study to investigate whether providing a self-guided Internet support group to cancer patients affected mood disturbance and adjustment to cancer. METHODS: Baseline and 1-, 6- and 12-month assessments were conducted from 2004 to 2006 at a national...... rehabilitation centre in Denmark. A total of 58 rehabilitation course weeks including 921 survivors of various cancers were randomly assigned to a control or an intervention group by cluster randomisation. The intervention was a lecture on the use of the Internet for support and information followed...... by participation in an Internet support group. Outcome measures included self-reported mood disturbance, adjustment to cancer and self-rated health. Differences in scores were compared between the control group and the intervention group. RESULTS: The effect of the intervention on mood disturbance and adjustment...

Co-morbid medical conditions and medical complications of prostate cancer in Southern Nigeria.

Science.gov (United States)

Sapira, Monday Komene; Onwuchekwa, Arthur Chukwubike; Onwuchekwa, Chinwe Regina

2012-08-01

Prostate cancer often co-exists with other diseases. It accounts for 11% of all cancers in Nigerian men, and it is the commonest cause of mortality due to cancer in elderly males in Nigeria. To present co-morbid medical conditions and medical complications of prostate cancer in patients with the disease in Southern Nigeria. The study was carried out prospectively (2002 to 2003) at University of Port Harcourt Teaching Hospital (UPTH), and Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi- both in Southern Nigeria. Using common proforma, patients who presented to the urology units of the two teaching hospitals were evaluated clinically and with relevant investigations for prostate cancer and other diseases. Those with histologically confirmed prostate cancer were included in this study. Data was also collected retrospectively by using the same proforma to obtain information from case files of 37 patients diagnosed with prostate cancer at UPTH. Data from the two institutions were collated and analysed. Of 189 cases analysed, 73.4% had significant medical co-morbid diseases/complications. These included anaemia (69.8%), urinary tract infection (56.1%), chronic renal failure (33.9%), hypertension (41.8%), diabetes mellitus (9.5%), paraplegia (9.5%), congestive cardiac failure (9.0%) and cerebrovascular disease (5.3%). These patients had high disease burden. Improved health education and well coordinated interdisciplinary team work are suggested in managing this malignancy.

ON THE PRO-METASTATIC STRESS RESPONSE TO CANCER THERAPIES: EVIDENCE FOR A POSITIVE CO-OPERATION BETWEEN TIMP-1, HIF-1α, AND miR-210

Directory of Open Access Journals (Sweden)

Haissi eCui

2012-07-01

Full Text Available In contrast to expectations in the past that tumor starvation or unselective inhibition of proteolytic activity would cure cancer, there is accumulating evidence that microenvironmental stress, such as hypoxia or broad spectrum inhibition of metalloproteinases can promote metastasis. In fact, malignant tumor cells, due to their genetic and epigenetic instability, are predisposed to react to stress by adaptation and, if the stress persists, by escape and formation of metastasis. Recent recognition of the concepts of dynamic evolution as well as population and systems biology is extremely helpful to understand the disappointments of clinical trials with new drugs and may lead to paradigm-shifts in therapy strategies. This must be complemented by an increased understanding of molecular mechanism involved in stress response. Here, we review new roles of Hypoxia-inducible factor-1 (HIF-1, one transcription factor regulating stress response-related gene expression: HIF-1 is crucial for invasion and metastasis, independent from its pro-survival function. In addition, HIF-1 mediates pro-metastatic microenvironmental changes of the proteolytic balance as triggered by high systemic levels of tissue inhibitor of metalloproteinases-1 (TIMP-1, typical for many aggressive cancers, and regulates the metabolic switch to glycolysis, notably via activation of the microRNA miR-210. There is preliminary evidence that TIMP-1 also induces miR-210. Such positive-regulatory co-operation of HIF-1α, miR-210, and TIMP-1, all described to correlate with bad prognosis of cancer patients, opens new perspectives of gaining insight into molecular mechanisms of metastasis-inducing evasion of tumor cells from stress.

Peri-operative chemotherapy in the management of resectable colorectal cancer pulmonary metastases

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Hawkes Eliza A

2012-08-01

Full Text Available Abstract Background Surgery is often advocated in patients with resectable pulmonary metastases from colorectal cancer (CRC. Our study aims to evaluate peri-operative chemotherapy in patients with metastastic CRC undergoing pulmonary metastasectomy. Methods Patients treated for CRC who underwent pulmonary metastasectomy by a single surgeon were identified. Outcome measures included survival, peri-operative complications, radiological and histological evidence of chemotherapy-induced lung toxicities. Results Between 1997 and 2009, 51 eligible patients were identified undergoing a total of 72 pulmonary resections. Thirty-eight patients received peri-operative chemotherapy, of whom 9 received an additional biological agent. Five-year overall survival rate was 72% in the whole cohort - 74% and 68% in those who received peri-operative chemotherapy (CS and those who underwent surgery alone (S respectively. Five-year relapse free survival rate was 31% in the whole cohort - 38% and ≤18% in CS and S groups respectively. Only 8% had disease progression during neoadjuvant chemotherapy. There were no post-operative deaths. Surgical complications occurred in only 4% of patients who received pre-operative chemotherapy. There was neither radiological nor histological evidence of lung toxicity in resected surgical specimens. Conclusions Peri-operative chemotherapy can be safely delivered to CRC patients undergoing pulmonary metastasectomy. Survival in this selected group of patients was favourable.

Trans-Agency Early-Life Exposures and Cancer Working Group

Science.gov (United States)

The Trans-Agency Early-Life Exposures and Cancer Working Group promotes integration of early-life events and exposures into public health cancer research, control, prevention, and policy strategies to reduce the cancer burden in the United States and globally.

Celebrating 50 years of the CERN Computing Operations group

CERN Multimedia

Katarina Anthony

2013-01-01

Last week, former and current computing operations staff, managers and system engineers were reunited at CERN. They came together to celebrate a milestone not only for the IT Department but also for CERN: the 50th anniversary of the CERN Operations group and the 40th birthday of the Computer Centre.   The reunion was organised by former chief operator, Pierre Bénassi, and took place from 26 to 27 April. Among the 44 attendees were Neil Spoonley and Charles Symons, who together created the Operations group back in 1963. “At that time, working in the Operations group was a very physical job,” recalls former Operations Group Leader, David Underhill. “For that reason, many of the first operators were former firemen.” A few of the participants enjoyed a tour of CERN landmarks during their visit (see photo). The group toured the CERN Computing Centre (accompanied by IT Department Head, Frédéric Hemmer), as well as the ATLAS cav...

Assuring nuclear energy's future through international co-operation

International Nuclear Information System (INIS)

Upson, P.

1999-01-01

It is invited lecture as the introduction to the sixt international meeting entitled Nuclear Energy in Central Europe. Good commercial operation, public information and education are needed to win the confidence of the public, and to attract young people to take over the industry's founding generation. Stimulating international co-operation and transfer of best practices can assure this happens across the whole of the Europian nuclear industry

Realities of technical co-operation in the peaceful uses of nuclear energy

International Nuclear Information System (INIS)

Luxo, A.; Villaros, P.; Naudet, G.

1978-01-01

The decision to develop the peaceful uses of nuclear energy, especially the generation of electricity, is usually based - particularly in the developing countries - on numerous considerations, mainly of an economic and political nature. Since the resources of nuclear technology are concentrated, relatively speaking, in the advanced countries, the use of nuclear energy by countries that have decided to go nuclear is based on effective co-operation between the exporting and importing countries. The present paper is intended as an additional contribution to consideration of the realities of such co-operation. The authors first mention the specific features of nuclear development, after which they consider, on the basis thereof, the different forms of co-operation required for the transfer of technological knowhow, and the conditions determining the effectiveness of such transfer. This effectiveness is not linked solely to the competence of the personnel concerned or to smooth organizational procedures, but also to decisive socio-psychological factors. Having analysed these factors, the authors examine the salient problems of co-operation arising during the process of nuclear development. Co-operation ever better adapted to the purpose and taking human considerations into account will enable importing countries to acquire the nuclear knowhow that will promote their economic and social development. (author)

Evaluation of a "no-cost" Internet technology-based system for teleradiology and co-operative work.

Science.gov (United States)

Bergh, B; Schlaefke, A; Pietsch, M; García, I; Vogl, T J

2003-02-01

The aim of this study was to assess the suitability of a no-cost system based on standard Internet technology components for teleradiology. The system was composed of free software (communication, DICOM viewer, compression) and standard off-the-shelf hardware components. For different image (CR, CT, MR) and network types (LAN and ISDN) the File Transfer, Audio and Video Conference, and Co-operative Work properties were examined and compared with the literature referring to standard complete packages and dedicated teleradiology systems. The main advantages of the no-cost system are: price; ease of use; independence from specific hardware; and potential connection to any possible partner. The performance of the File Transfer and the Audio and Video Conference was comparable to the other system groups with slight disadvantages in the usability. For Co-operative Work the employed "application sharing" technology does not meet the clinical requirements, which applies identically to the standard complete packages. Here the specialized systems prove superior, although they are proprietary. With minimal restraints the evaluated no-cost solution can be used for File Transfer and Conference scenarios. The usage for Co-operative Work with ISDN is not recommended, unless for the purpose of gaining experience or when dealing with small amounts of cases or images.

Evaluation of a ''no-cost'' Internet technology-based system for teleradiology and Co-operative Work

International Nuclear Information System (INIS)

Bergh, B.; Schlaefke, A.; Pietsch, M.; Garcia, I.; Vogl, T.J.

2003-01-01

The aim of this study was to assess the suitability of a no-cost system based on standard Internet technology components for teleradiology. The system was composed of free software (communication, DICOM viewer, compression) and standard off-the-shelf hardware components. For different image (CR, CT, MR) and network types (LAN and ISDN) the File Transfer, Audio and Video Conference, and Co-operative Work properties were examined and compared with the literature referring to standard complete packages and dedicated teleradiology systems. The main advantages of the no-cost system are: price; ease of use; independence from specific hardware; and potential connection to any possible partner. The performance of the File Transfer and the Audio and Video Conference was comparable to the other system groups with slight disadvantages in the usability. For Co-operative Work the employed ''application sharing'' technology does not meet the clinical requirements, which applies identically to the standard complete packages. Here the specialized systems prove superior, although they are proprietary. With minimal restraints the evaluated no-cost solution can be used for File Transfer and Conference scenarios. The usage for Co-operative Work with ISDN is not recommended, unless for the purpose of gaining experience or when dealing with small amounts of cases or images. (orig.)

SSI`s International Development Co-operation (SIUS). Annual report 1998

Energy Technology Data Exchange (ETDEWEB)

Szendroe, G.; Grapengiesser, S.; Johansson, Gunnar

1999-04-01

SSI`s International Development Co-operation (SIUS), the Swedish program for radiation protection work in Central and Eastern Europe, has since its start in 1992 been granted SEK 109 million by the Swedish government. The projects are accessed, planned and performed in close co-operation with partner organisations in Eastern Europe. This report presents the financial status and a summary of the projects, their status and distribution over the countries and project areas. The presentation is updated as of December 1998

Beyond Public and Private: A Framework for Co-operative Higher Education

Directory of Open Access Journals (Sweden)

Mike Neary

2017-07-01

Full Text Available Universities in the UK are increasingly adopting corporate governance structures, a consumerist model of teaching and learning, and have the most expensive tuition fees in the world (McGettigan, 2013; OECD, 2015. This article discusses collaborative research that aimed to develop and define a conceptual framework of knowledge production grounded in co-operative values and principles. The main findings are outlined relating to the key themes of our research: knowledge, democracy, bureaucracy, livelihood, and solidarity. We consider how these five ‘catalytic principles’ relate to three identified routes to co-operative higher education (conversion, dissolution, or creation and argue that such work must be grounded in an adequate critique of labour and property, i.e. the capital relation. We identify both the possible opportunities that the latest higher education reform in the UK affords the co-operative movement as well as the issues that arise from a more marketised and financialised approach to the production of knowledge (HEFCE, 2015. Finally, we suggest ways that the co-operative movement might respond with democratic alternatives that go beyond the distinction of public and private education.

Regional co-operation in radioactive waste management from an IAEA perspective

International Nuclear Information System (INIS)

Bonne, A.

2000-01-01

This paper is intended to be a lead in to a Round Table discussion on Regional Co-operation in Radioactive Waste Management at the International Conference on N uclear Option in Countries with Small and Medium Electricity Grids , which will be held from 19 to 22 June 2000 in Dubrovnik, Croatia. The Round Table discussion will focus on international co-operation in the Eastern European region

Short-course radiotherapy, with elective delay prior to surgery, in patients with unresectable rectal cancer who have poor performance status or significant co-morbidity

International Nuclear Information System (INIS)

Hatfield, Paul; Hingorani, Mohan; Radhakrishna, Ganesh; Cooper, Rachel; Melcher, Alan; Crellin, Adrian; Kwok-Williams, Michelle; Sebag-Montefiore, David

2009-01-01

Background and purpose: Standard treatment for rectal cancer which threatens the expected plane of resection on MRI imaging is long-course, pre-operative chemoradiotherapy (1.8-2 Gy, 25-28 fractions). Not all patients are suitable for this because of age, poor performance status or co-morbidities. We describe our experience of short-course (5 x 5 Gy) pre-operative radiotherapy with planned, delayed surgery (SCPRT-delay) in this patient group. Materials and methods: Between April 2001 and October 2007, 43 patients were selected for SCPRT-delay. The clinical records were retrospectively evaluated. Results: Median age was 82 (range 58-87). Forty-one patients had radiotherapy of which 26 (61%) were subsequently able to have surgery. Of these, R0, R1 and R2 resections were performed in 22, 2 and 2 patients, respectively. Treatment was well tolerated, although two patients required hospital admission for management of diarrhoea and one developed significant late small bowel toxicity, attributable to radiotherapy. In those undergoing R0 or R1 resection there have been no local recurrences (median follow-up 18 months). Median survival for the whole group was 23 months, although this was 44 months in those undergoing surgery. Conclusions: SCPRT-delay appears to be a useful alternative to long-course pre-operative chemoradiotherapy in this high-risk group of patients.

Outlook for the IAEA's technical co-operation programme

International Nuclear Information System (INIS)

Samiei, Massoud

1998-01-01

This is a slide presentation dealing with the following subjects: - the IAEA's programmes; - the technical co-operation programme; - past trends in the TC programme; - new initiatives in TC; - TC programme profile; - perspectives for the future. The major programmes conducted by IAEA are concerning: - nuclear power and fuel cycle; - nuclear applications; - nuclear, radiation and waste safety, nuclear verification and security material; - management of technical co-operation; - policy making, coordination and support. In relation with the IAEA role in development process the author presents the legal framework for TC, the programme structure, and programme areas, resources, budgets, cycle, approval and implementation. Two plots regarding the recipients with and without NPP's are displayed for the period 1980-1994. Also, according to the status of the member states (without and with nuclear power programme) the programme priorities are presented. For the first case these are: radiation and waste safety, food and agriculture, water resources management human health and nutrition, human resources development, environmental protection and industrial applications. For the second case there are mentioned: radiation and nuclear safety, nuclear power operation and maintenance management, radioactive waste management, environment protection and sustainable energy options. Concerning the regional distribution the following figures are given for 1997: West Asia, 9%; Europe, 18%; Inter-regional, 11%; Africa, 24%; Latin America, 21%; East Asia and Pacific, 17%. In conclusion, the hope is expressed that the value of Technical Co-operation Programme would be seen not only in the successful transfer of technology but also, in the way that the nuclear technologies may satisfy demands for sustainable development by having a lasting impact on the life of the majority in a cost effective and environmentally sound manner

Supercritical CO2 test loop operation and first test results

International Nuclear Information System (INIS)

Wright, Steven A.; Pickard, Paul S.

2009-01-01

The DOE Office of Nuclear Energy is investigating advanced Brayton cycles for use with next generation nuclear power plants. The focus of this work is on the supercritical CO 2 Brayton cycle which has the potential for high efficiency, and for reduced capital costs due to very compact turbomachinery. Sandia has fabricated and is operating a supercritical CO 2 (S-CO 2 ) test loop to investigate the key technology issues associated with this cycle. This loop is part of a multi-year phased development program to develop a megawatt (MW) class closed S-CO 2 Brayton cycle to demonstrate the applicability of this cycle for DOE Gen-IV program. The current loop has been configured as both a compression loop and as simple heated but unrecuperated Brayton cycle. A second split-flow or re-compression Brayton cycle is currently under development that will use approximately 1 MW of heat to run the Brayton cycle. Early configurations of this split-flow Brayton cycle will be operational later this fiscal year. The key issues for this cycle include the fundamental issues of compressor fluid performance and system control near the critical point, but also the supporting technology issues of bearings, sealing technologies, and rotor windage losses which are also essential to achieving efficiency and cost objectives. These tests are providing the first measurements and information on these key supercritical CO 2 power conversion systems questions. Important data for all these issues has been obtained. This report presents the major results of the testing by showing and comparing the measured compressor performance map with the predicted performance. The compression loop uses a ∼50 kWe motor driven compressor to spin a 37 mm OD compressor at design speeds up to 75,000 rpm with a pressure ratio of 1.8 and a flow rate of 3.53 kg/s for a compressor inlet condition of 305.3 K and 7690 kPa. The most recent configuration of this loop has added a small turbine and 260 kW of heater power is

Nutritional status, nutrition practices and post-operative complications in patients with gastrointestinal cancer.

Science.gov (United States)

Garth, A K; Newsome, C M; Simmance, N; Crowe, T C

2010-08-01

Malnutrition and its associated complications are a considerable issue for surgical patients with upper gastrointestinal and colorectal cancer. The present study aimed to determine whether specific perioperative nutritional practices and protocols are associated with improved patient outcomes in this group. Patients admitted for elective upper gastrointestinal or colorectal cancer surgery (n = 95) over a 19-month period underwent a medical history audit assessing weight changes, nutritional intake, biochemistry, post-operative complications and length of stay. A subset of patients (n = 25) underwent nutritional assessment by subjective global assessment prior to surgery in addition to assessment of post-operative medical outcomes, nutritional intake and timing of dietetic intervention. Mean (SD) length of stay for patients was 14.0 (12.2) days, with complication rates at 35%. Length of stay was significantly longer in patients who experienced significant preoperative weight loss compared to those who did not [17.0 (15.8) days versus 10.0 (6.8) days, respectively; P nutritional assessment, 32% were classified as mild-moderately malnourished and 16% severely malnourished. Malnourished patients were hospitalised twice as long as well-nourished patients [15.8 (12.8) days versus 7.6 (3.5) days; P nutrition post surgery was a factor in post-operative outcomes, with a positive correlation with length of stay (r = 0.493; P cancer. Poor nutritional status coupled with delayed and inadequate post-operative nutrition practices are associated with worse clinical outcomes.

Effects of the combination of blood transfusion and postoperative infectious complications on prognosis after surgery for colorectal cancer. Danish RANX05 Colorectal Cancer Study Group

DEFF Research Database (Denmark)

Mynster, T; Christensen, Ib Jarle; Moesgaard, F

2000-01-01

affects the prognosis. METHODS: Patient risk variables, variables related to operation technique, blood transfusion and the development of infectious complications were recorded prospectively in 740 patients undergoing elective resection for primary colorectal cancer. Endpoints were overall survival (n......BACKGROUND: The frequency of postoperative infectious complications is significantly increased in patients with colorectal cancer receiving perioperative blood transfusion. It is still debated, however, whether perioperative blood transfusion alters the incidence of disease recurrence or otherwise...... = 740) and time to diagnosis of recurrent disease in the subgroup of patients operated on with curative intention (n = 532). The patients were analysed in four groups divided with respect to administration or not of perioperative blood transfusion and development or non-development of postoperative...

Effects of the combination of blood transfusion and postoperative infectious complications on prognosis after surgery for colorectal cancer. Danish RANX05 Colorectal Cancer Study Group

DEFF Research Database (Denmark)

Mynster, T; Christensen, Ib Jarle; Moesgaard, F

2000-01-01

BACKGROUND: The frequency of postoperative infectious complications is significantly increased in patients with colorectal cancer receiving perioperative blood transfusion. It is still debated, however, whether perioperative blood transfusion alters the incidence of disease recurrence or otherwise...... affects the prognosis. METHODS: Patient risk variables, variables related to operation technique, blood transfusion and the development of infectious complications were recorded prospectively in 740 patients undergoing elective resection for primary colorectal cancer. Endpoints were overall survival (n...... = 740) and time to diagnosis of recurrent disease in the subgroup of patients operated on with curative intention (n = 532). The patients were analysed in four groups divided with respect to administration or not of perioperative blood transfusion and development or non-development of postoperative...

Human-Capital based Governance Structure, Success Factors and Barriers to Effective Governance: Co-operatives in Malaysia

Directory of Open Access Journals (Sweden)

Rohana Othman

2016-01-01

Full Text Available Co-operatives comprise the crucial third engine of growth for the Malaysian economy after the public and private sectors. This study investigates the human capital based governance structure, success factors and barriers to effective governance of co-operatives in Malaysia. Questionnaires were distributed to the top 100 co-operatives listed in the Malaysian Co-operative Societies Commission website. Analysis of the responses to the questionnaires showed that human capital based co-operatives governance comprise members’ participation, independence of the board, depth of expertise and competencies of directors and other characteristics of the board. This study also identified branding as the most important success factor ahead of competitiveness and proximity. Malaysia’s economy is projected to continue relying significantly on the performance of co-operatives. Thus, it is incumbent for greater attention to be given towards an effective governance that results in successful co-operatives.

Facilitation of self-transcendence in a breast cancer support group.

Science.gov (United States)

Coward, D D

1998-01-01

To examine the feasibility and patterns of effectiveness of a breast cancer support group intervention specifically designed to facilitate self-transcendence views and perspectives that would enhance emotional and physical well-being. Pre-experimental design pilot intervention study with a quantitative approach to data analysis. Survivor-established breast cancer resource center in Austin, TX. Women with recently diagnosed breast cancer (N = 16) participating in 90-minute support group sessions that met weekly for eight weeks. Theory-driven support group intervention facilitated by an oncology clinical nurse specialist, a psychotherapist, and a breast cancer survivor. Activities planned for individual sessions were based on self-transcendence theory, cancer support group literature, and the facilitators' extensive previous support group experience. Self-transcendence, emotional well-being, physical well-being. Good networking, coordination, and follow-up were essential for participant recruitment and retention throughout the intervention period. Although specific theory-driven activities were planned for group sessions, facilitators maintained flexibility in meeting immediate concerns of the participants. Relationships among participants' scores on study variables indicated an association between self-transcendence and emotional well-being. Scores on self-transcendence and well-being variables at the end of the intervention increased from baseline, but only functional performance status, mood state, and satisfaction with life reached statistical significance. The pilot study was invaluable in providing direction for the conduct of future experimental studies. Provides preliminary support for the use of theory-driven activities for promotion of self-transcendence views and behaviors within a cancer support group setting.

International co-operation for reactor safety: the World Association of Nuclear Operators

International Nuclear Information System (INIS)

Eckered, T.

1989-01-01

On 5 and 6 October 1987, senior representatives of most of the world's nuclear operators met in Paris with Lord Marshall of the UK Central Electricity Generating Board (CEGB) as Chairman. They resolved to strengthen the existing links and co-operation among nuclear operators by setting up the World Association of Nuclear Operators (Wano). The mission of the association is to be: 'to maximize the safety and reliability of the operation of nuclear power stations by exchanging information, encouraging comparison and stimulating emulation among nuclear power station operators.' The formation of Wano presents some information technology problems of a rather special kind that have to be solved before Wano can begin operation. The representatives at the Paris meeting therefore appointed a steering committee under Lord Marshall's chairmanship to formulate detailed proposals. The leaders of the world's nuclear operators will meet again in Moscow on 15-17 May 1989 in order to ratify the steering committee proposals and appoint the first Wano Board of Governors. A small interim secretariat is already working in London. (author)

Innovative strategies to help Consumer Operated and Oriented Plans (CO-OPs) compete in new insurance marketplaces.

Science.gov (United States)

Gardiner, Terry; Neece, Roger; Mendelevitz, Michael

2012-04-01

The Affordable Care Act paves the way for groups to develop innovative, affordable health insurance and care options known as Consumer Operated and Oriented Plans (CO-OPs). These CO-OPs will be nonprofit, consumer-controlled entities that are designed to serve individuals and small businesses, especially in noncompetitive markets. The CO-OP provision was included in the Affordable Care Act to address the lack of affordable health plan alternatives in many state and regional markets and to counter a trend toward market concentration. Despite their promise, CO-OPs face a number of business challenges that go beyond typical start-up hurdles. This issue brief lays out a number of innovative strategies CO-OP organizers are developing to increase the odds of long-term sustainability and economic success. These strategies--aimed at building market share, creating integrated provider networks, and achieving cost savings through payment reform--could establish CO-OPs as a viable new entrant in the health care field.

CO Emissions from Gas Engines Operating on Biomass Producer Gas

DEFF Research Database (Denmark)

Ahrenfeldt, Jesper; Jensen, T. K.; Henriksen, Ulrik Birk

2004-01-01

High carbon monoxide (CO) emission from gas engines fueled by producer gas is a concerning problem in the struggle to make biomass gasification for heat and power production a success. CO emissions from engines operating on biomass producer gases are high, especially at very lean conditions where...

75 FR 47631 - Swets Information Services, Operations Department, Information Technology Group, Marketing Group...

Science.gov (United States)

2010-08-06

... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-73,668] Swets Information Services, Operations Department, Information Technology Group, Marketing Group, Finance Group, Runnemede..., Information Technology (IT) Group, Marketing Group and the Finance Group into one entity instead of...

Cancer therapy leading to state of cancer metabolism depression for efficient operation of small dosage cytotoxic drugs

Directory of Open Access Journals (Sweden)

Ponizovskiy MR

2015-04-01

Full Text Available “Prolonged medical starvation” as the method of cancer therapy was borrowed from folk healers Omelchenko A and Breuss R. Author was convinced in efficiency of this method of cancer treatment via examination of cured patients and on own experience. The mechanism of this method of cancer therapy operates via Warburg effect targeting that promotes efficient cancer treatment with small cytotoxic drugs. Just it was described the mechanism of Warburg effect as well as mechanism transmutation of mitochondrial function in cancer metabolism which are exhibited in connection with operation of described method cancer therapy. There were described the biochemical and biophysical mechanisms of formations resistance to some cytotoxic drugs and recurrence cancer disease after disease remission which occur sometimes as result of treatment with great dosage of cytotoxic drugs. Also it was described the benefits of use the method “Prolonged medical starvation” with decreased dosage of cytotoxic drugs for cancer treatment. The significance of this work that it was substantiated the mechanism operation of combination “Prolonged medical starvation” with small dosages cytotoxic drugs of cancer treatment, which mechanism leads to prevention recurrence cancer disease and resistance to anticancer drugs in comparison with intensive anticancer chemotherapy with great dosages of cytotoxic drugs in cancer therapy. Also the offered concepts of cancer therapy mechanism gave possibility to explain mechanisms of some results of experiments eliminating the doubts of the authors these experiments.

Relationship between ABO blood groups and oral cancer

Directory of Open Access Journals (Sweden)

Bushranaaz Fathima Jaleel

2012-01-01

Conclusion: By employing a simple blood grouping test during community field programs, people with blood group A in the age group of 40-59 years having tobacco chewing habits can be apprised that they are more at risk to develop oral cancer than people with other blood groups.

Relationship between ABO blood groups and head and neck cancer among Greek patients.

Science.gov (United States)

Kakava, Kassiani; Karelas, Ioannis; Koutrafouris, Ioannis; Damianidis, Savvas; Stampouloglou, Paulos; Papadakis, Georgios; Xenos, Antonios; Krania, Foteini; Sarof, Paulos; Tasopoulos, Georgios; Petridis, Nikolaos

2016-01-01

We examined the association of ABO blood groups with the different types of head and neck cancers. 195 diagnosed cases and 801 controls were selected from a Greek tertiary cancer center. Information regarding type of head and neck cancer and ABO blood group was collected and registered. The O blood group was found to be most prevalent followed by A, B and AB among the controls, whereas blood group A followed by O, B and AB was most prevalent among cancer patients. The difference among the distribution between the cases and controls was statistically significant in blood group A (pblood group A had 1.52-fold higher risk of developing head and neck cancer compared to people of other blood groups. Blood group A was found to be a potential risk factor for the development of head and neck cancers.

The co-operative model as a means of stakeholder management: An exploratory qualitative analysis

Directory of Open Access Journals (Sweden)

Darrell Hammond

2016-11-01

Full Text Available The South African economy has for some time been characterised by high unemployment, income inequality and a skills mismatch, all of which have contributed to conflict between business, government and labour. The co-operative model of stakeholder management is examined as a possible mitigating organisational form in this high-conflict environment. International experience indicates some success with co-operative models but they are not easy to implement effectively and face severe obstacles. Trust and knowledge sharing are critical for enabling a co-operative model of stakeholder management, which requires strong governance and adherence to strict rules. The model must balance the tension between optimisation of governance structures and responsiveness to members' needs. Furthermore, support from social and political institutions is necessary. We find barriers to scalability which manifest in the lack of depth of business skills, negative perception of the co-operative model by external stakeholders, government ambivalence, and a lack of willingness on the part of workers to co-operate for mutual benefit.

Practice patterns of radiotherapy in cervical cancer among member groups of the Gynecologic Cancer Intergroup (GCIG)

DEFF Research Database (Denmark)

Gaffney, David K; Du Bois, Andreas; Narayan, Kailash

2007-01-01

PURPOSE: The aim of this study was to describe radiotherapeutic practice of the treatment of cervical cancer in member groups of the Gynecologic Cancer Intergroup (GCIG). METHODS AND MATERIALS: A survey was developed and distributed to the members of the GCIG focusing on details of radiotherapy...... practice. Different scenarios were queried including advanced cervical cancer, postoperative patients, and para-aortic-positive lymph node cases. Items focused on indications for radiation therapy, radiation fields, dose, use of chemotherapy, brachytherapy and others. The cooperative groups from North...... America were compared with the other groups to evaluate potential differences in radiotherapy doses. RESULTS: A total of 39 surveys were returned from 13 different cooperative groups. For the treatment of advanced cervical cancer, external beam pelvic doses and total doses to point A were 47 + 3.5 Gy...

SUBTASK 2.19 – OPERATIONAL FLEXIBILITY OF CO2 TRANSPORT AND STORAGE

Energy Technology Data Exchange (ETDEWEB)

Jensen, Melanie; Schlasner, Steven; Sorensen, James; Hamling, John

2014-12-31

Carbon dioxide (CO2) is produced in large quantities during electricity generation and by industrial processes. These CO2 streams vary in terms of both composition and mass flow rate, sometimes substantially. The impact of a varying CO2 stream on pipeline and storage operation is not fully understood in terms of either operability or infrastructure robustness. This study was performed to summarize basic background from the literature on the topic of operational flexibility of CO2 transport and storage, but the primary focus was on compiling real-world lessons learned about flexible operation of CO2 pipelines and storage from both large-scale field demonstrations and commercial operating experience. Modeling and pilot-scale results of research in this area were included to illustrate some of the questions that exist relative to operation of carbon capture and storage (CCS) projects with variable CO2 streams. It is hoped that this report’s real-world findings provide readers with useful information on the topic of transport and storage of variable CO2 streams. The real-world results were obtained from two sources. The first source consisted of five full-scale, commercial transport–storage projects: Sleipner, Snøhvit, In Salah, Weyburn, and Illinois Basin–Decatur. These scenarios were reviewed to determine the information that is available about CO2 stream variability/intermittency on these demonstration-scale projects. The five projects all experienced mass flow variability or an interruption in flow. In each case, pipeline and/or injection engineers were able to accommodate any issues that arose. Significant variability in composition has not been an issue at these five sites. The second source of real- world results was telephone interviews conducted with experts in CO2 pipeline transport, injection, and storage during which commercial anecdotal information was acquired to augment that found during the literature search of the five full-scale projects. The

Co-morbidity and treatment outcomes of elderly pharyngeal cancer patients : A matched control study

NARCIS (Netherlands)

Peters, Thomas T. A.; Langendijk, Johannes A.; Plaat, Boudewijn; Wedman, Jan; Roodenburg, Jan L. N.; van Dijk, Boukje A. C.; Sluiter, Wim J.; van der Laan, Bernard F. A. M.; Halmos, Gyorgy

2011-01-01

Treatment choice in elderly pharyngeal cancer patient is disputed. This study was aimed to asses association of co-morbidity, complications and survival in different treatment modalities of pharyngeal cancer patients. Retrospective analysis of pharyngeal cancer patients, diagnosed between 1997 and

Co-culture of apoptotic breast cancer cells with immature dendritic cells: a novel approach for DC-based vaccination in breast cancer

Energy Technology Data Exchange (ETDEWEB)

Zheng, Jin [Department of Oncology, State Key Discipline of Cell Biology, Xijing Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Department of Traditional Chinese and Western Medicine of Oncology, Tangdu Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Liu, Qiang [Department of Hematology, Tangdu Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Yang, Jiandong [Department of Hepatobiliary Surgery, Xijing Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Ren, Qinyou [Department of Traditional Chinese and Western Medicine of Oncology, Tangdu Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Cao, Wei [Department of Interventional Radiology, Tangdu Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Yang, Jingyue; Yu, Zhaocai [Department of Oncology, State Key Discipline of Cell Biology, Xijing Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Yu, Fang [Department of Gastrointestinal Surgery, Xijing Hospital of Digestive Diseases, the Fourth Military Medical University, Xi' an, Shaanxi (China); Wu, Yanlan [Department of Infectious Diseases, Tangdu Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Shi, Hengjun [Department of Traditional Chinese and Western Medicine of Oncology, Tangdu Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China); Liu, Wenchao [Department of Oncology, State Key Discipline of Cell Biology, Xijing Hospital, the Fourth Military Medical University, Xi' an, Shaanxi (China)

2012-04-27

A dendritic cell (DC)-based vaccine strategy could reduce the risk of recurrence and improve the survival of breast cancer patients. However, while therapy-induced apoptosis of hepatocellular and colorectal carcinoma cells can enhance maturation and antigen presentation of DCs, whether this effect occurs in breast cancer is currently unknown. In the present study, we investigated the effect of doxorubicin (ADM)-induced apoptotic MCF-7 breast cancer cells on the activation of DCs. ADM-induced apoptotic MCF-7 cells could effectively induce immature DC (iDC) maturation. The mean fluorescence intensity (MFI) of DC maturity marker CD83 was 23.3 in the ADM-induced apoptotic MCF-7 cell group compared with 8.5 in the MCF-7 cell group. The MFI of DC co-stimulatory marker CD86 and HLA-DR were also increased after iDCs were treated with ADM-induced apoptotic MCF-7 cells. Furthermore, the proliferating autologous T-lymphocytes increased from 14.2 to 40.3% after incubated with DCs induced by apoptotic MCF-7 cells. The secretion of interferon-γ by these T-lymphocytes was also increased. In addition, cell-cell interaction between apoptotic MCF-7 cells and iDCs, but not soluble factors released by apoptotic MCF-7 cells, was crucial for the maturation of iDCs. These findings constitute a novel in vitro DC-based vaccine strategy for the treatment of breast cancer by ADM-induced apoptotic MCF-7 cells.

Co-culture of apoptotic breast cancer cells with immature dendritic cells: a novel approach for DC-based vaccination in breast cancer

International Nuclear Information System (INIS)

Zheng, Jin; Liu, Qiang; Yang, Jiandong; Ren, Qinyou; Cao, Wei; Yang, Jingyue; Yu, Zhaocai; Yu, Fang; Wu, Yanlan; Shi, Hengjun; Liu, Wenchao

2012-01-01

A dendritic cell (DC)-based vaccine strategy could reduce the risk of recurrence and improve the survival of breast cancer patients. However, while therapy-induced apoptosis of hepatocellular and colorectal carcinoma cells can enhance maturation and antigen presentation of DCs, whether this effect occurs in breast cancer is currently unknown. In the present study, we investigated the effect of doxorubicin (ADM)-induced apoptotic MCF-7 breast cancer cells on the activation of DCs. ADM-induced apoptotic MCF-7 cells could effectively induce immature DC (iDC) maturation. The mean fluorescence intensity (MFI) of DC maturity marker CD83 was 23.3 in the ADM-induced apoptotic MCF-7 cell group compared with 8.5 in the MCF-7 cell group. The MFI of DC co-stimulatory marker CD86 and HLA-DR were also increased after iDCs were treated with ADM-induced apoptotic MCF-7 cells. Furthermore, the proliferating autologous T-lymphocytes increased from 14.2 to 40.3% after incubated with DCs induced by apoptotic MCF-7 cells. The secretion of interferon-γ by these T-lymphocytes was also increased. In addition, cell-cell interaction between apoptotic MCF-7 cells and iDCs, but not soluble factors released by apoptotic MCF-7 cells, was crucial for the maturation of iDCs. These findings constitute a novel in vitro DC-based vaccine strategy for the treatment of breast cancer by ADM-induced apoptotic MCF-7 cells

Lack of any association between blood groups and lung cancer, independent of histology.

Science.gov (United States)

Oguz, Arzu; Unal, Dilek; Tasdemir, Arzu; Karahan, Samet; Aykas, Fatma; Mutlu, Hasan; Cihan, Yasemin Benderli; Kanbay, Mehmet

2013-01-01

Lung cancer, the leading cause of cancer deaths, is divided into 2 main classes based on its biology, therapy and prognosis: non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). Many cases are at an advanced stage at diagnosis, which is a major obstacle to improving outcomes. It is important to define the high risk group patients for early diagnosis and chance of cure. Blood group antigens are chemical components on erythrocyte membranes but they are also expressed on a variety of epithelial cells. Links between ABO blood groups with benign or malignant diseases, such as gastric and pancreas cancers, have been observed for a long time. In this study, we aimed to investigate any possible relationship between lung cancer histological subtypes and ABO-Rh blood groups. The files of 307 pathologically confirmed lung cancer patients were were reviewed retrospectively. Cases with a serologically determined blood group and Rh factor were included and those with a history of another primary cancer were excluded, leaving a total of 221. The distribution of blood groups of the lung cancer patients were compared with the distribution of blood groups of healthy donors admitted to the Turkish Red Crescent Blood Service in our city in the year 2012. There was no significant difference between patients with lung cancer of either type and the control group in terms of distribution of ABO blood groups and Rh factor (p: 0.073). There was also no relationship with non small cell cancer histological subtypes. In this study, we found no relationship between the ABO-Rhesus blood groups and NSCLC and SCLC groups. To our knowledge this is the first analysis of ABO blood groups in SCLC patients.

Post-Operative Infection Is an Independent Risk Factor for Worse Long-Term Survival after Colorectal Cancer Surgery.

Science.gov (United States)

Kerin Povšič, Milena; Ihan, Alojz; Beovič, Bojana

2016-12-01

Colorectal cancer surgery is associated with a high incidence of post-operative infections, the outcome of which may be improved if diagnosed and treated early enough. We compared white blood cell (WBC) count, C-reactive protein (CRP), and procalcitonin (PCT) as predictors of post-operative infections and analyzed their impact on long-term survival. This retrospective study included 186 patients undergoing colorectal surgery. Post-operative values of WBC, CRP, and PCT were analyzed by the receiver operating characteristic (ROC) analysis. We followed infections 30 d after the surgery. A five-year survival was analyzed by Kaplan-Meier method and prognostic factors by Cox regression model. Fifty-five patients (29.5%) developed post-operative infection, the most frequent of which was surgical site infection (SSI). C-reactive protein on post-operative day three and PCT on post-operative day two demonstrated the highest diagnostic accuracy for infection (area under the curve [AUC] 0.739 and 0.735). C-reactive protein on post-operative day three was an independent predictor of infection. Five-year survival was higher in the non-infected group (70.8%), compared with the infected group (52.1%). The worst survival (40.9%) was identified in patients with organ/space SSI. Post-operative infection and tumor stage III-IV were independent predictors of a worse five-year survival. C-reactive protein on post-operative day three and PCT on post-operative day two may be early predictors of infection after colorectal cancer surgery. Post-operative infections in particular organ/space SSI have a negative impact on long-term survival.

Randomized clinical trial of post-operative radiotherapy versus concomitant carboplatin and radiotherapy for head and neck cancers with lymph node involvement

International Nuclear Information System (INIS)

Racadot, Severine; Mercier, Mariette; Dussart, Sophie; Dessard-Diana, Bernadette; Bensadoun, Rene-Jean; Martin, Michel; Malaurie, Emmanuelle; Favrel, Veronique; Housset, Martin; Durdux, Catherine; Journel, Catherine; Calais, Gilles; Huet, Jocelyne; Pillet, Gerard; Hennequin, Christophe; Haddad, Elias; Diana, Christian; Blaska-Jaulerry, Brigitte; Henry-Amar, Michel; Gehanno, Pierre

2008-01-01

Background and purpose: Post-operative radiotherapy is indicated for the treatment of head and neck cancers. In vitro, chemotherapy potentiates the cytotoxic effects of radiation. We report the results of a randomized trial testing post-operative radiotherapy alone versus concomitant carboplatin and radiotherapy for head and neck cancers with lymph node involvement. Materials and methods: The study involved patients undergoing curative-intent surgery for head and neck cancers with histological evidence of lymph node involvement. Patients were randomly assigned to receive radiotherapy alone (54-72 Gy, 30-40 fractions, 6-8 weeks) or identical treatment plus concomitant Carboplatin (50 mg/m 2 administered by IV infusion twice weekly). Results: Between February 1994 and June 2002, 144 patients were included. With a median follow-up of 106 months (95% confidence interval (CI) [92-119]), the 2-year rate of loco-regional control was 73% (95% CI: 0.61-0.84) in the combined treatment group and 68% (95% CI: 0.57-0.80) in the radiotherapy group (p = 0.26). Overall survival did not differ significantly between groups (hazard ratio for death, 1.05; 95% CI: 0.69-1.60; p = 0.81). Conclusions: Twice-weekly administration of carboplatin concomitant to post-operative radiotherapy did not improve local control or overall survival rates in this population of patients with node-positive head and neck cancers

A stochastic model for identifying differential gene pair co-expression patterns in prostate cancer progression

Directory of Open Access Journals (Sweden)

Mao Yu

2009-07-01

Full Text Available Abstract Background The identification of gene differential co-expression patterns between cancer stages is a newly developing method to reveal the underlying molecular mechanisms of carcinogenesis. Most researches of this subject lack an algorithm useful for performing a statistical significance assessment involving cancer progression. Lacking this specific algorithm is apparently absent in identifying precise gene pairs correlating to cancer progression. Results In this investigation we studied gene pair co-expression change by using a stochastic process model for approximating the underlying dynamic procedure of the co-expression change during cancer progression. Also, we presented a novel analytical method named 'Stochastic process model for Identifying differentially co-expressed Gene pair' (SIG method. This method has been applied to two well known prostate cancer data sets: hormone sensitive versus hormone resistant, and healthy versus cancerous. From these data sets, 428,582 gene pairs and 303,992 gene pairs were identified respectively. Afterwards, we used two different current statistical methods to the same data sets, which were developed to identify gene pair differential co-expression and did not consider cancer progression in algorithm. We then compared these results from three different perspectives: progression analysis, gene pair identification effectiveness analysis, and pathway enrichment analysis. Statistical methods were used to quantify the quality and performance of these different perspectives. They included: Re-identification Scale (RS and Progression Score (PS in progression analysis, True Positive Rate (TPR in gene pair analysis, and Pathway Enrichment Score (PES in pathway analysis. Our results show small values of RS and large values of PS, TPR, and PES; thus, suggesting that gene pairs identified by the SIG method are highly correlated with cancer progression, and highly enriched in disease-specific pathways. From

New Zealand signs up to co-operate with CERN

CERN Multimedia

Patrice Loïez

2003-01-01

On 4 December 2003 a Memorandum of Understanding (MoU) between CERN and the government of New Zealand was signed in the presence of Peter Hamilton, New Zealand's ambassador to Switzerland. This MoU concerns the further development of scientific and technical co-operation in high-energy particle physics between Ernest Rutherford's birthplace and CERN, which now hosts one of the world's most ambitious scientific endeavours, the Large Hadron Collider (LHC).    In anticipation of the MoU, two New Zealand universities (the University of Auckland and the University of Canterbury in Christchurch) have already joined the CMS collaboration to work on pixel detectors, where they can benefit from the expertise of the pixel group at the Paul Scherrer Institute. These detectors are not only valuable in high-energy particle physics, but also serve medical applications.

The evaluation of the long term survival and functions in the autonomic nerve-sparing operation with pre-operative radiotherapy for rectal cancer

International Nuclear Information System (INIS)

Saito, Norio; Sarashina, Hiromi; Nunomura, Masao; Koda, Keiji; Takiguchi, Nobuhiro; Soda, Hiroaki; Ozaki, Kazuyoshi; Sugaya, Yoshiki; Nakajima, Nobuyuki

1997-01-01

One hundred and ninety five patients have been received autonomic nerve-sparing operations for rectal cancer in our department since 1984. These patients were classified into two groups, those with preoperative irradiation (irradiated group) and those with surgery alone. The survival rates and the local recurrence rates for these patients were compared, and post-operative urinary and male sexual functions were discussed. The overall cumulative five-year and nine-year survival rates were 80.3% and 66.5%, whereas those in the irradiated group were 84.0% and 77.7%, and those in the surgery alone group were 74.6% and 62.9%. Local recurrence rates were 9.6% all, 5.6% in the irradiated groups, and 11.9% in the surgery alone group. Maintenance of urinary function was successful in almost all patients with bilateral and unilateral pelvic nerve plexus. But the sexual function in males especially ejaculation was preserved in only 54.5% of the patients with bilateral hypogastric nerve and pelvic plexus, and in only 14.3% of the patients with unilateral saving. There was no significant deference in the outcome of the two group, but there was a tendency to obtain the better survival and to decrease the local recurrence in the irradiated group. It was difficult to preserve the sexual function by the nerve-sparing operation with lymphadevectomy. (author)

Abnormal expression of blood group-related antigens in uterine endometrial cancers.

Science.gov (United States)

Tsukazaki, K; Sakayori, M; Arai, H; Yamaoka, K; Kurihara, S; Nozawa, S

1991-08-01

The expression of A, B, and H group antigens, Lewis group antigens (Lewis(a), Lewis(b), Lewis(x), and Lewis(y)), and Lc4 and nLc4 antigens, the precursor antigens of both groups, was examined immunohistochemically with monoclonal antibodies in 9 normal endometria, 6 endometrial hyperplasias, and 31 endometrial cancers. 1) A, B and/or H antigens were detected in endometrial cancers at an incidence of 51.6%, while no distinct localization of these antigens was observed in normal endometria. H antigen, the precursor of A and B antigens, was particularly frequently detected in endometrial cancers. 2) An increased rate of expression of Lewis group antigens, particularly Lewis(b) antigen, was observed in endometrial cancers compared with its expression in normal endometria. 3) Lc4 and nLc4 antigens were detected in endometrial cancers at rates of 41.9% and 38.7%, respectively, these expressions being increased compared with those in normal endometria. 4) These results suggest that a highly abnormal expression of blood group-related antigens in endometrial cancers occurs not only at the level of A, B, and H antigens and Lewis group antigens, but also at the level of their precursor Lc4 and nLc4 antigens. 5) Lewis(a), Lewis(b), and Lc4 antigens, built on the type-1 chain, are more specific to endometrial cancers than their respective positional isomers, Lewis(x), Lewis(y), and nLc4 antigens, built on the type-2 chain.

A co-delivery nanosystem of chemotherapeutics and DNAzyme overcomes cancer drug resistance and metastasis

Science.gov (United States)

Sun, Shu-Pin; Liu, Ching-Ping; Huang, I.-Ping; Chu, Chia-Hui; Chung, Ming-Fang; Cheng, Shih-Hsun; Lin, Shu-Yi; Lo, Leu-Wei

2017-12-01

Multidrug resistance (MDR) constitutes a major problem in the management of cancer and cancer metastasized from primary-source tumor causes cancer-related deaths. Our new approach is the co-delivery of chemotherapy drugs with a transcription-factor-targeting genetic agent to simultaneously inhibit the growth and metastasis of cancer cells. C-Jun is a transcription factor that regulates multidrug resistance-associated protein 1 (MRP1) pump efflux transcription and tumor metastasis. In this work, we reported that mesoporous silica nanoparticles (MSNs) can be functionalized to co-deliver doxorubicin (Dox) and DNAzyme (Dz) to increase cancer cell killing in an additive fashion. The MSNs were sequentially conjugated with Dox into the MSNs’ nanochannels and Dz onto the MSNs’ outermost surface to target c-Jun as the Dox@MSN-Dz co-delivery system. The Dox-resistant PC-3 cells treated with Dox@MSN-Dz efficiently enhanced the intracellular Dox concentration due to the abrogation of Dox-induced MRP1 expression through the downregulation of c-Jun expression by Dz. Additionally, significant reductions in invasion and migration related to metastasis were also observed in cells treated with Dox@MSN-Dz. Therefore, our results contribute new insight to the treatment of MDR combined metastatic cancer cells, worthwhile for studying its potential for development in clinical translation.

Imaging of prostate cancer: a platform for 3D co-registration of in-vivo MRI ex-vivo MRI and pathology

Science.gov (United States)

Orczyk, Clément; Mikheev, Artem; Rosenkrantz, Andrew; Melamed, Jonathan; Taneja, Samir S.; Rusinek, Henry

2012-02-01

Objectives: Multi-parametric MRI is emerging as a promising method for prostate cancer diagnosis. prognosis and treatment planning. However, the localization of in-vivo detected lesions and pathologic sites of cancer remains a significant challenge. To overcome this limitation we have developed and tested a system for co-registration of in-vivo MRI, ex-vivo MRI and histology. Materials and Methods: Three men diagnosed with localized prostate cancer (ages 54-72, PSA levels 5.1-7.7 ng/ml) were prospectively enrolled in this study. All patients underwent 3T multi-parametric MRI that included T2W, DCEMRI, and DWI prior to robotic-assisted prostatectomy. Ex-vivo multi-parametric MRI was performed on fresh prostate specimen. Excised prostates were then sliced at regular intervals and photographed both before and after fixation. Slices were perpendicular to the main axis of the posterior capsule, i.e., along the direction of the rectal wall. Guided by the location of the urethra, 2D digital images were assembled into 3D models. Cancer foci, extra-capsular extensions and zonal margins were delineated by the pathologist and included in 3D histology data. A locally-developed software was applied to register in-vivo, ex-vivo and histology using an over-determined set of anatomical landmarks placed in anterior fibro-muscular stroma, central. transition and peripheral zones. The mean root square distance across corresponding control points was used to assess co-registration error. Results: Two specimens were pT3a and one pT2b (negative margin) at pathology. The software successfully fused invivo MRI. ex-vivo MRI fresh specimen and histology using appropriate (rigid and affine) transformation models with mean square error of 1.59 mm. Coregistration accuracy was confirmed by multi-modality viewing using operator-guided variable transparency. Conclusion: The method enables successful co-registration of pre-operative MRI, ex-vivo MRI and pathology and it provides initial evidence

Mixed-Gender Co-Facilitation in Therapeutic Groups for Men Who Have Perpetrated Intimate Partner Violence: Group Members' Perspectives

Science.gov (United States)

Roy, Valerie; Lindsay, Jocelyn; Dallaire, Louis-Francois

2013-01-01

This article describes a study that explored the use of mixed-gender co-facilitation in intimate partner violence groups, especially regarding its potential for gender role socialization. Using an interpretive approach, interviews with men from different mixed-gender co-facilitated groups in Canada were analyzed, with a focus on the men's…

An Effect of the Co-Operative Network Model for Students' Quality in Thai Primary Schools

Science.gov (United States)

Khanthaphum, Udomsin; Tesaputa, Kowat; Weangsamoot, Visoot

2016-01-01

This research aimed: 1) to study the current and desirable states of the co-operative network in developing the learners' quality in Thai primary schools, 2) to develop a model of the co-operative network in developing the learners' quality, and 3) to examine the results of implementation of the co-operative network model in the primary school.…

Intra-operative probe for brain cancer: feasibility study

Science.gov (United States)

Vu Thi, M. H.; Charon, Y.; Duval, M. A.; Lefebvre, F.; Menard, L.; Pitre, S.; Pinot, L.; Siebert, R.

2007-07-01

The present work aims a new medical probe for surgeons devoted to brain cancers, in particular glioblastoma multiforme. Within the last years, our group has started the development of a new intra-operative beta imaging probe. More recently, we took an alternative approach for the same application: a fluorescence probe. In both cases the purpose is to differentiate normal from tumor brain tissue. In a first step, we developed set-ups capable to measure autofluorescence. They are based on a dedicated epi-fluorescence design and on specific fiber optic probes. Relative signal amplitude, spectral shape and fluorescence lifetime measurements are foreseen to distinguish normal and cancer tissue by analyzing fluorophores like NADH, lipopigments and porphyrines. The autofluorescence spectra are recorded in the 460-640 nm range with a low resolution spectrometer. For lifetime measurements a fast detector (APD) is used together with a TCSPC-carte. Intrinsic wavelength- and time-resolutions are a few nm and 200 ps, respectively. Different samples have been analyzed to validate our new detection system and to allow a first configuration of our medical fluorescence probe. First results from the tissue measurements are shown.

Quality assurance and the sub-contract interface: co-operative evaluation

International Nuclear Information System (INIS)

Churchill, G.F.; Rippon, D.J.

1977-01-01

The CEGB standard QA 42-1 quality assurance programme requires purchasers to establish supplier selection and assessment procedures either by previous continuous record of supplying identical or equivalent material satisfactorily, or by an evaluation of the sub-contractors quality system. In order to avoid the multiple evaluations that the latter would involve for projects such as nuclear power stations, which concern a hierarchy of organisations, the idea of co-operative evaluations was suggested. The requirements involved in establishing co-operative evaluations are discussed. Some potential difficulties which have been identified from experience are described. (U.K.)

Third-Generation Fatty Emulsions as Part of Parenteral Feeding in Operated Cancer Patients

Directory of Open Access Journals (Sweden)

S. V. Lomidze

2010-01-01

Full Text Available Objective: to study the efficacy of third- versus secondary-generation fatty emulsions as part of parenteral nutrition in patients operated on for gastric cancer. Subjects and methods. Envelope randomization was used to make up two groups, each comprising 10 patients, operated on for gastric cancer in the scope of gastrectomy. A control group received parenteral nutrition having the following components: Lipofundin MST/LST 20%, (500 ml daily + Nutriflex 48/150 (B. Braun (1000 ml daily, 1744 kcal/day. The study group patients were given Lipoplus 20% (500 ml daily + Nutriflex 48/150 (1000 ml daily, 1745 kcal/day. Parenteral nutrition was used on postoperative days 1 to 5. Results. Nutritional status evaluation revealed a significant increase in the concentration of total protein and albumin in the control and study group patients on postoperative day 6. The use of both second- and third-generation fatty emulsions caused a significant increase in the concentration of triglycerides on day 6 after surgery; no differences were found between the groups. On day 6 following surgery, there was a significant decrease in IL-4 in both groups (p<0.05. At the same time the Lipofundin MST/LST group showed a significantly lower concentration of IL-4 than did the study group (p<0.05. After termination of a parenteral nutrition course, the study and control groups showed a significant decrease in one of the major pro-inflammatory cytokines — IL-6. Conclusion. In the study group, the serum anti-inflammatory activity of IL-4 was more evident than that in the control group and the proinflammatory activity (IL-6 concentration decreased, which can support that as compared with the second-generation fatty emulsions, third-generation ones with a balanced omega 3 to omega-6 fatty acid ratio (1:2.7 had a normalizing effect on systemic inflammatory processes and cytokine balance with increased anti-inflammatory and reduced proinflammatory activities. Key words: third

Operation of the Selected Local Action Group

Directory of Open Access Journals (Sweden)

Lukáš Nevěděl

2015-01-01

Full Text Available The main objective of this article is to compare the current operation of elected local action group with the concept of learning regions. This comparison is built on detailed knowledge and understanding of the operation of local action group Podbrnensko citizens’ association (Podbrnensko CA and learning regions in general. The following is assumed: the understanding of community-based processes from the perspective of residents, the important stakeholders who influence the operation of communities or locations. The operation of local action groups is in line with the current concept led by local community development (community led local development, CLLD, which uses elements of the LEADER method. In this method the solution of development problems comes primarily from the inside, not from the outside of the studied territory. The methods used for the collection of empirical data were mostly observation and interviews with all partners involved in LAG (31 people, all mayors in LAG (29 people and 176 people from region, i.e. methods, which result in so called deep data. Between the primary techniques applied in the research are: participant observation, unstructured or semi-structured interviews and public debates.

Operation Test of the Supercritical CO{sub 2} Compressor Supported with Active Magnetic Bearing

Energy Technology Data Exchange (ETDEWEB)

Cha, Jae Eun [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Cho, Seong Kuk; Lee, Jeong IK [KAIST, Daejeon (Korea, Republic of)

2016-10-15

In this paper, the operation test status of the SCIEL sCO{sub 2} AMB Compressor is briefly described. The Supercritical CO{sub 2} Brayton Cycle Integral Experiment Loop (SCIEL) has been installed in Korea Atomic Energy Research Institute (KAERI) to develop the element technologies for the sCO{sub 2} cycle power generation system. The operation of the SCIEL has mainly focused on sCO{sub 2} compressor development and establishing sCO{sub 2} system control logic. The installation of the SCIEL low compression loop was finished in December 2014 and research team succeeded in generating electric power on the supercritical state of the CO{sub 2} in May 2015. The SCIEL has been built in KAERI to develop the element technologies and the system control logics for the sCO{sub 2} cycle power conversion unit of the next generation reactor. For the stable operation of the sCO{sub 2} compressor under high rotational speed, the AMB sCO{sub 2} compressor was developed and achieved the maximum 40,000 rpm.

Co-Operative Processes: An Approach From Social Constructionism

NARCIS (Netherlands)

Hosking, D.M.

2001-01-01

Keynote address to the 7th International Conference on Multi-Organisational Partnerships and Co-operative Strategy. Leuven, Belgium, July 6th-8th, 2000 Organisational worlds increasingly are felt to be fragmented, equivocal, and constantly changing. ’Today’s’ knowledge may be found to be more

CO{sub 2} Capture by Sub-ambient Membrane Operation

Energy Technology Data Exchange (ETDEWEB)

Kulkarni, S.; Hasse, D.; Sanders, E.; Chaubey, T.

2012-11-30

The main objective of the project was to develop a CO{sub 2} capture process based on sub-ambient temperature operation of a hollow fiber membrane. The program aims to reach the eventual DOE program goal of > 90% CO{sub 2} capture from existing PC fired power plants with < 35% increase in the cost of electricity. The project involves closed-loop testing of commercial fiber bundles under simulated process conditions to test the mechanical integrity and operability of membrane module structural component under sub ambient temperature. A commercial MEDAL 12” bundle exhibited excellent mechanical integrity for 2 months. However, selectivity was ~25% lower than expected at sub-ambient conditions. This could be attributed to a small feed to permeate leak or bundle non-ideality. To investigate further, and due to compressor flow limitations, the 12” bundle was replaced with a 6” bundle to conduct tests with lower permeate/feed ratios, as originally planned. The commercial 6” bundle was used for both parametric testing as well as long-term stability testing at sub-ambient conditions. Parametric studies were carried out both near the start and end of the long-term test. The parametric studies characterized membrane performance over a broad range of feed conditions: temperature (-25°C to -45°C), pressure (160 psig to 200 psig), and CO{sub 2} feed concentration (18% to 12%). Performance of the membrane bundle was markedly better at lower temperature (-45ºC), higher pressure (200 psig) and higher CO{sub 2} feed concentration (18%). The long-term test was conducted at these experimentally determined “optimum” feed conditions. Membrane performance was stable over 8 months at sub-ambient temperature operation. The experimentally measured high performance of the membrane bundle at sub-ambient operating conditions provides justification for interest in sub-ambient membrane processing of flue gas. In a parallel activity, the impact of contaminants (100 ppm SOx and NOx

Introductory statement at the Technical Assistance and Co-operation Committee of the Board of Governors. Vienna, 17 November 2003 [As delivered

International Nuclear Information System (INIS)

ElBaradei, M.

2003-01-01

The IAEA's technical co-operation (TC) programme is focused on putting advanced science to work to meet the economic and social needs of developing countries. The TC planning process is briefly discussed, including recent evaluation results; highlighting of a number of key activities; and reviewing the current status of TC implementation and funding. The areas of activity include: The use of radiotherapy in cancer treatment; isotope hydrology; monitoring coastal and marine environment; plant breeding applications. Program implementation as well as program funding is discussed. The Agency is also working to reinforce technical co-operation among developing countries (TCDC), that is, the pooling of resources and expertise in areas of mutual benefit. It is stated that the TC programme has become a powerful tool for transferring nuclear science and technology to developing countries. But only if we work together in partnership can we ensure the success of the programme. I look forward to the continuation and further development of that partnership

The Emergence of Groups and Inequality through Co-Adaptation.

Directory of Open Access Journals (Sweden)

Jon Atwell

Full Text Available The emergence of groups and of inequality is often traced to pre-existing differences, exclusionary practices, or resource accumulation processes, but can the emergence of groups and their differential success simply be a feature of the behaviors of a priori equally-capable actors who have mutually adapted? Using a simple model of behavioral co-adaptation among agents whose individual actions construct a common environment, we present evidence that the formation of unequal groups is endemic to co-adaptive processes that endogenously alter the environment; agents tend to separate into two groups, one whose members stop adapting earliest (the in-group, and another comprising agents who continue to adapt (the out-group. Over a wide range of model parameters, members of the in-group are rewarded more on average than members of the out-group. The primary reason is that the in-group is able to have a more profound influence on the environment and mold it to the benefit of its members. This molding capacity proves more beneficial than the persistence of adaptivity, yet, crucially, which agents are able to form a coalition to successfully exert this control is strongly contingent on random aspects of the set of agent behaviors. In this paper, we present the model, relevant definitions, and results. We then discuss its implications for the study of complex adaptive systems generally.

IAEA technical co-operation and the NPT

International Nuclear Information System (INIS)

Velez Ocon, C.

1985-01-01

The IAEA technical co-operation programme promotes nuclear techniques and technologies in the developing countries. The Statute, the NPT, and the Revised Guiding Principles all reflect the desire of countries to foster an international climate where it will be unacceptable for a non-nuclear-weapon State to indulge in the development of military nuclear technology and reprehensible for States possessing this technology to offer it to others

IAEA technical co-operation activities in the 1990s

International Nuclear Information System (INIS)

1995-01-01

The desire to extend the many benefits of the peaceful uses of nuclear technology to all countries led as long ago as 1957 to the establishment of the IAEA and to immediate introduction of a technical co-operation programme. In the more than thirty years that have passed since that time, the potential applications of nuclear techniques have greatly expanded. Over the period, many of the applications have moved from research laboratories into hospitals, farms and industrial enterprises. The direct resources made available to the IAEA by its Member States to support technology transfer processes have grown rapidly since the late 1950s. The current trends in the technical co-operation activities of the IAEA and some examples of projects supported by the IAEA are briefly presented in this document

ESPEN expert group recommendations for action against cancer-related malnutrition.

Science.gov (United States)

Arends, J; Baracos, V; Bertz, H; Bozzetti, F; Calder, P C; Deutz, N E P; Erickson, N; Laviano, A; Lisanti, M P; Lobo, D N; McMillan, D C; Muscaritoli, M; Ockenga, J; Pirlich, M; Strasser, F; de van der Schueren, M; Van Gossum, A; Vaupel, P; Weimann, A

2017-10-01

Patients with cancer are at particularly high risk for malnutrition because both the disease and its treatments threaten their nutritional status. Yet cancer-related nutritional risk is sometimes overlooked or under-treated by clinicians, patients, and their families. The European Society for Clinical Nutrition and Metabolism (ESPEN) recently published evidence-based guidelines for nutritional care in patients with cancer. In further support of these guidelines, an ESPEN oncology expert group met for a Cancer and Nutrition Workshop in Berlin on October 24 and 25, 2016. The group examined the causes and consequences of cancer-related malnutrition, reviewed treatment approaches currently available, and built the rationale and impetus for clinicians involved with care of patients with cancer to take actions that facilitate nutrition support in practice. The content of this position paper is based on presentations and discussions at the Berlin meeting. The expert group emphasized 3 key steps to update nutritional care for people with cancer: (1) screen all patients with cancer for nutritional risk early in the course of their care, regardless of body mass index and weight history; (2) expand nutrition-related assessment practices to include measures of anorexia, body composition, inflammatory biomarkers, resting energy expenditure, and physical function; (3) use multimodal nutritional interventions with individualized plans, including care focused on increasing nutritional intake, lessening inflammation and hypermetabolic stress, and increasing physical activity. Copyright © 2017 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Myofibroblast androgen receptor expression determines cell survival in co-cultures of myofibroblasts and prostate cancer cells in vitro.

Science.gov (United States)

Palethorpe, Helen M; Leach, Damien A; Need, Eleanor F; Drew, Paul A; Smith, Eric

2018-04-10

Fibroblasts express androgen receptor (AR) in the normal prostate and during prostate cancer development. We have reported that loss of AR expression in prostate cancer-associated fibroblasts is a poor prognostic indicator. Here we report outcomes of direct and indirect co-cultures of immortalised AR-positive (PShTert-AR) or AR-negative (PShTert) myofibroblasts with prostate cancer cells. In the initial co-cultures the AR-negative PC3 cell line was used so AR expression and signalling were restricted to the myofibroblasts. In both direct and indirect co-culture with PShTert-AR myofibroblasts, paracrine signalling to the PC3 cells slowed proliferation and induced apoptosis. In contrast, PC3 cells proliferated with PShTert myofibroblasts irrespective of the co-culture method. In direct co-culture PC3 cells induced apoptosis in and destroyed PShTerts by direct signalling. Similar results were seen in direct co-cultures with AR-negative DU145 and AR-positive LNCaP and C4-2B prostate cancer cell lines. The AR ligand 5α-dihydrotestosterone (DHT) inhibited the proliferation of the PShTert-AR myofibroblasts, thereby reducing the extent of their inhibitory effect on cancer cell growth. These results suggest loss of stromal AR would favour prostate cancer cell growth in vivo , providing an explanation for the clinical observation that reduced stromal AR is associated with a poorer outcome.

Frequency of cancer in patients operated on for acute peripheral arterial thrombosis and the impact on prognosis.

Science.gov (United States)

Nicolajsen, Chalotte Winther; Dickenson, Maja Holch; Budtz-Lilly, Jacob; Eldrup, Nikolaj

2015-12-01

Little is known about acute peripheral arterial thrombosis in patients with concomitant cancer. Small studies suggest that revascularization in this patient group is associated with thrombosis and increased risk of amputation and death. We investigated the frequency of cancer in patients operated on for acute peripheral arterial thrombosis and the long-term risk of amputation, mortality, myocardial infarction, and stroke in a national cohort. This was a prospective case/noncase study comprising all Danish citizens undergoing vascular surgery for acute arterial thrombosis from 1986 to 2012 with up to 26 years of follow-up. A total of 7840 patients were treated surgically for acute arterial thrombosis; 2384 (30.4%) were previously diagnosed with cancer or developed cancer during the observation period. Risk of amputation was not significantly different in patients with or without cancer, except in patients with cancer diagnosed <24 months before acute limb ischemia (hazard ratio, 2.0). Mortality was significantly greater in all patients having or developing cancer within 24 months after surgery (hazard ratio, 1.2-2.2). The frequencies of myocardial infarction and stroke were similar to those among patients without cancer. One of five patients operated on for acute limb ischemia has a diagnosis of cancer, and a further 3.4% will develop cancer within 24 months. The data further show that patients with acute limb ischemia and concomitant cancer can be successfully revascularized and that the majority of these patients preserve their limb. Cancer should therefore not contravene interventional treatment. Copyright © 2015 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Operation and maintenance service provision in uncertain times – the case of the FLSmidth Group during the Arab Spring

DEFF Research Database (Denmark)

Kreye, Melanie

2016-01-01

This case was written by Melanie E. Kreye. It was compiled based on primary data collection by the author such as interviews and observations and published secondary data by the case companies. The case was made possible through the generous co-operation of the FLSmidth Group. It is intended to b...

The economic and social significance of RCA regional co-operative projects

International Nuclear Information System (INIS)

Fowler, E.E.

1979-01-01

The regional Co-operative Agreement for Research, Development and Training Related to Nuclear Science and Technology (RCA) is an established and valuable instrument between the International Atomic Energy Agency (IAEA) and Member States in South Asia, Southeast Asia and the Pacific or Far East for assisting in the transfer of modern technology to areas having economic and social importance to the region. The purpose of this review is to identify on-going or planned work which is designed to help achieve this goal. Currently approved RCA Regional Co-operative Research Projects are listed

CO{sub 2}MPARE. CO2 Model for Operational Programme Assessment in EU Regions. User Tutorial

Energy Technology Data Exchange (ETDEWEB)

Hekkenberg, M. [ECN Policy Studies, Amsterdam (Netherlands); Vincent-Genod, C. [Energies Demain, Montreuil Sous Bois (France); Regina, P. [Italian National Agency for New Technologies, Energy and Sustainable Economic Development ENEA, Rome (Italy); Keppo, I. [University College London UCL, London (United Kingdom); Papagianni, S. [Centre for Renewable Energy Sources and Saving CRES, Pikermi Attiki (Greece); Harnych, J. [ENVIROS, Prague (Czech Republic)

2013-03-15

The CO2MPARE model supports national and regional authorities in making balanced decisions for their investment portfolio under their regional development programmes, in particular under their Operational Programmes of EU Regional Policy. This document is a tutorial for users of the CO2MPARE model and provides step by step guidance on the different functionalities of the model for both basic and expert users.

Recent advances in mechanism-based chemotherapy drug-siRNA pairs in co-delivery systems for cancer: A review.

Science.gov (United States)

Wang, Mingfang; Wang, Jinyu; Li, Bingcheng; Meng, Lingxin; Tian, Zhaoxing

2017-09-01

Co-delivery of chemotherapy drugs and siRNA for cancer therapy has achieved remarkable results according to synergistic/combined antitumor effects, and is recognized as a promising therapeutic modality. However, little attention has been paid to the extremely complex mechanisms of chemotherapy drug-siRNA pairs during co-delivery process. Proper selection of chemotherapy drug-siRNA pairs is beneficial for achieving desirable cancer therapeutic effects. Exploring the inherent principles during chemotherapy drug-siRNA pair selection for co-delivery would greatly enhanced therapeutic efficiency. To achieve ideal results, this article will systematically review current different mechanism-based chemotherapy drug-siRNA pairs for co-delivery in cancer treatment. Large-scale library screening of recent different chemotherapy drug-siRNA pairs for co-delivery would help to establish the chemotherapy drug-siRNA pair selection principle, which could pave the way for co-delivery of chemotherapy drugs and siRNA for cancer treatment in clinic. Following the inherent principle of chemotherapy drug-siRNA pair, more effective co-delivery vectors can be designed in the future. Copyright © 2017 Elsevier B.V. All rights reserved.

Challenging a dogma: co-mutations exist in MAPK pathway genes in colorectal cancer.

Science.gov (United States)

Grellety, Thomas; Gros, Audrey; Pedeutour, Florence; Merlio, Jean-Philippe; Duranton-Tanneur, Valerie; Italiano, Antoine; Soubeyran, Isabelle

2016-10-01

Sequencing of genes encoding mitogen-activated protein kinase (MAPK) pathway proteins in colorectal cancer (CRC) has established as dogma that of the genes in a pathway only a single one is ever mutated. We searched for cases with a mutation in more than one MAPK pathway gene (co-mutations). Tumor tissue samples of all patients presenting with CRC, and referred between 01/01/2008 and 01/06/2015 to three French cancer centers for determination of mutation status of RAS/RAF+/-PIK3CA, were retrospectively screened for co-mutations using Sanger sequencing or next-generation sequencing. We found that of 1791 colorectal patients with mutations in the MAPK pathway, 20 had a co-mutation, 8 of KRAS/NRAS, and some even with a third mutation. More than half of the mutations were in codons 12 and 13. We also found 3 cases with a co-mutation of NRAS/BRAF and 9 with a co-mutation of KRAS/BRAF. In 2 patients with a co-mutation of KRAS/NRAS, the co-mutation existed in the primary as well as in a metastasis, which suggests that co-mutations occur early during carcinogenesis and are maintained when a tumor disseminates. We conclude that co-mutations exist in the MAPK genes but with low frequency and as yet with unknown outcome implications.

Curcumin-docetaxel co-loaded nanosuspension for enhanced anti-breast cancer activity.

Science.gov (United States)

Sahu, Bhanu P; Hazarika, Hemanga; Bharadwaj, Rituraj; Loying, Pojul; Baishya, Rinku; Dash, Suvakanta; Das, Malay K

2016-08-01

A curcumin-docetaxel co-loaded nanosuspension with increased anti-breast cancer activity was developed. Curcumin is a potential anticancer agent with p-glycoprotein (p-gp) inhibiting activity may be co-administered with docetaxel as a nanosuspension to enhance its anticancer effect by increasing the oral bioavailability and decreasing drug efflux. Nanosuspensions of curcumin and docetaxel were prepared by precipitation-homozenisation technique and evaluated for particle size, polydispersity, zeta potential and drug release. The in vitro MTT assay was conducted using MCF-7 for anti-breast cancer activity. The in vivo biodistribution by radiolabeling and tumor inhibition study was conducted in mice. Homogenous nanosuspensions of 80 ± 20 nm were obtained with increased solubility. The drugs as nanosuspensions showed higher cytotoxicity on MCF-7 cell line compared to their suspensions due to the increased in vitro cellular uptake. Due to this increased solubility, sensitization of tumor cells and inhibition of p-gp the in-vivo results showed greater tumor inhibition rate of up to 70% in MCF-7 treated mice. Histopathological results showed higher apoptotic activity and reduced level of angiogenesis. The in vitro and in vivo study of the nanosuspensions has shown that Co-administration of Curcumin as a p-gp inhibitor with docetaxel may have the potential to increase the anti-breast cancer efficacy of both drugs.

Diagnosis and Management of High Risk Group for Gastric Cancer

Science.gov (United States)

Yoon, Hyuk; Kim, Nayoung

2015-01-01

Gastric cancer is associated with high morbidity and mortality worldwide. To reduce the socioeconomic burden related to gastric cancer, it is very important to identify and manage high risk group for gastric cancer. In this review, we describe the general risk factors for gastric cancer and define high risk group for gastric cancer. We discuss strategies for the effective management of patients for the prevention and early detection of gastric cancer. Atrophic gastritis (AG) and intestinal metaplasia (IM) are the most significant risk factors for gastric cancer. Therefore, the accurate selection of individuals with AG and IM may be a key strategy for the prevention and/or early detection of gastric cancer. Although endoscopic evaluation using enhanced technologies such as narrow band imaging-magnification, the serum pepsinogen test, Helicobacter pylori serology, and trefoil factor 3 have been evaluated, a gold standard method to accurately select individuals with AG and IM has not emerged. In terms of managing patients at high risk of gastric cancer, it remains uncertain whether H. pylori eradication reverses and/or prevents the progression of AG and IM. Although endoscopic surveillance in high risk patients is expected to be beneficial, further prospective studies in large populations are needed to determine the optimal surveillance interval. PMID:25547086

[Effects of modified bazhen decoction in assistant with enteral nutrition on the growth hormone, the nutritional state, and the immune function in patients with gastric cancer after operation].

Science.gov (United States)

Wang, Hong-xing; Li, Jian-ping

2011-10-01

To observe the effects of modified Bazhen Decoction (BZD) in assistant with enteral nutrition (EN) on the growth hormone, the nutritional state, and the immune function in patients with gastric cancer after operation. The prospective, random, single-blinded, controlled clinical trial was adopted. 88 patients receiving gastric cancer operation were randomly assigned to the parenteral nutrition group (Group A, 27 cases), the EN group (Group B, 30 cases), and the comprehensive group (Group C, BZD in assistant with EN, 31 cases). Isocaloric and isonitrogenous parenteral nutritional support was given to patients in Group A from the operation day to the ninth day. Isocaloric and isonitrogenous EN was given to patients in Group B and C from the second day of operation till the ninth day. 100 mL BZD was nasal fed to patients in Group C during the second day to the ninth day after operation. The levels of the growth hormone, immune indices such as IgA, IgG, CD4+, CD8+, and CD4+/CD8+, etc., and nutritional indices such as serum albumin, prealbumin, transferrin, etc. were detected in the three groups one day before operation, on the 1st day after operation, and on the tenth day after operation. The levels of IgA, IgG, CD4+, and CD4+/CD8+, serum albumin, prealbumin, transferrin decreased more than before operation in the three groups, with statistical difference (Pnutrition state and the immune function.

Allograft cytotoxicity co-operation between alloimmune T cells and macrophages

International Nuclear Information System (INIS)

Jones, B.; Jones, T.C.

1978-01-01

T cells from the spleens of C57BL 10 (H-2sup(b)) mice 7 to 12 days after immunization with P815Y (H-2sup(d)) mastocytoma cells have been shown to co-operate synergistically with an adherent component of non-immune starch induced peritoneal cells in the cytostasis of target cells. Although significant values for synergy could be obtained using the ( 125 I) UdR incorporation assay to measure cytostasis, normal peritoneal cells were incapable of co-operating with T cells in cytolysis as measured by 51 Cr release from pre-labelled target cells. Initially, the synergistic interaction was immunologically specific, but non-specific activity could be induced by challenge with specific antigen. (author)

Young age: an independent risk factor for disease-free survival in women with operable breast cancer

International Nuclear Information System (INIS)

Han, Wonshik; Kim, Seok Won; Ae Park, In; Kang, Daehee; Kim, Sung-Won; Youn, Yeo-Kyu; Oh, Seung Keun; Choe, Kuk Jin; Noh, Dong-Young

2004-01-01

The incidence of breast cancer in young women (age < 35) is low. The biology of the disease in this age group is poorly understood, and there are conflicting data regarding the prognosis for these women compared to older patients. We retrospectively analyzed 2040 consecutive primary invasive breast cancer patients who underwent surgical procedures at our institution between 1990 and 1999. The younger age group was defined as patients aged <35 years at the time of diagnosis. The clinicopathological characteristics and treatment outcomes were compared between younger and older age groups. A total of 256 (12.5%) patients were aged <35. There was a significantly higher incidence of nuclear grade 3 and medullary histological-type tumors in younger patients compared to older patients. Axillary lymph node status, T stage, histological grade, c-erbB2 expression and estrogen receptor status did not differ significantly between the two age groups. Younger patients had a greater probability of recurrence and death at all time periods. Although there was no significant difference in disease-free survival between the two age groups in lymph node-negative patients, the younger group showed worse prognosis among lymph node-positive patients (p < 0.001). In multivariate analysis, young age remained a significant predictor of recurrence (p = 0.010). Young age (<35) is an independent risk factor for relapse in operable breast cancer patients

Cancer in human immunodeficiency virus-infected children : A case series from the Children's Cancer Group and the National Cancer Institute

NARCIS (Netherlands)

Granovsky, MO; Mueller, BU; Nicholson, HS; Rosenberg, PS; Rabkin, CS

Purpose: To describe the spectrum of malignancies in human immunodeficiency virus (HIV)-infected children and the clinical outcome of patients with these tumors. Methods: We retrospectively surveyed the Children's Cancer Group (CCG) and the National Cancer institute (NCI) for cases of cancer that

Evolution and clinical impact of co-occurring genetic alterations in advanced-stage EGFR-mutant lung cancers. | Office of Cancer Genomics

Science.gov (United States)

A widespread approach to modern cancer therapy is to identify a single oncogenic driver gene and target its mutant-protein product (for example, EGFR-inhibitor treatment in EGFR-mutant lung cancers). However, genetically driven resistance to targeted therapy limits patient survival. Through genomic analysis of 1,122 EGFR-mutant lung cancer cell-free DNA samples and whole-exome analysis of seven longitudinally collected tumor samples from a patient with EGFR-mutant lung cancer, we identified critical co-occurring oncogenic events present in most advanced-stage EGFR-mutant lung cancers.

Military co-operation with South Caucasus countries / Rafal Seniuch

Index Scriptorium Estoniae

Seniuch, Rafal

2003-01-01

Ettekanne Poola ja Lõuna-Kaukaasia vabariikide vahelisest sõjalis-poliitilisest koostööst 22.-23. septembrini 2003 Vilniuses toimunud seminaril "South Caucasus: making the best use of external assistance for stability building and for co-operation with NATO"

Research on Group Operation Mode of Once-through Steam Generator

International Nuclear Information System (INIS)

Hao, Cheng Ming; Liu, Xinkai; Peng, Min Jun; Xia, Genglei

2011-01-01

Integrated Pressurized Water Reactor (IPWR) owns more than one once-through steam generators (OTSGs). Flow instability may occur in secondary side of OTSG under certain conditions. Trying to avoid the occurrence of flow instability is of great important for the safe and stable operation of OTSG. Because of the fact that flow instability often occurs in certain regions, so when OTSGs operate with low load, OTSGs can be separated into several groups, which can avoid flow instability. In this paper, operational characteristics of IPWR are analyzed by RELAP5/MOD3.4 code and during the discussion of group operation, a rapid change load operation scheme using OTSG group operation mode which can be used in IPWR is proposed

Research on Group Operation Mode of Once-through Steam Generator

Energy Technology Data Exchange (ETDEWEB)

Hao, Cheng Ming; Liu, Xinkai; Peng, Min Jun; Xia, Genglei [Harbin Engineering University, Harbin (China)

2011-08-15

Integrated Pressurized Water Reactor (IPWR) owns more than one once-through steam generators (OTSGs). Flow instability may occur in secondary side of OTSG under certain conditions. Trying to avoid the occurrence of flow instability is of great important for the safe and stable operation of OTSG. Because of the fact that flow instability often occurs in certain regions, so when OTSGs operate with low load, OTSGs can be separated into several groups, which can avoid flow instability. In this paper, operational characteristics of IPWR are analyzed by RELAP5/MOD3.4 code and during the discussion of group operation, a rapid change load operation scheme using OTSG group operation mode which can be used in IPWR is proposed.

A study of personality of leader and style of his co-operation in sporting command

Directory of Open Access Journals (Sweden)

Smolar I.I.

2012-12-01

Full Text Available The personality features of leader of sporting command and style of his co-operation are considered. The problems of adjusting and optimization of co-operation of leader and other players of command are selected in achievement of the set team purpose. 37 skilled sportsmen-handballers took part in research. An informal structure is exposed in commands, leaders and followers are certain. The quantitative indexes of personality features of leader, follower of sporting command are certain. Style of co-operation of leader and follower (prevailing and goodwill and quality is exposed personalities which will be realized by them in a sporting command. It is set that in interpersonality co-operation a leader will realize dominant style, and follower equal will realize dominant and benevolent styles.

Success and failure of firms' innovation co-operations: The role of intermediaries and reciprocity

DEFF Research Database (Denmark)

Cantner, U.; Meder, A.; Wolf, T.

2011-01-01

attempts to fill this gap by investigating the possible presence of two problems in co-operation: the lack of intermediation and of reciprocity. Based on data gathered for firms in two German regions and one French region, we find that the success of co-operation projects depends on the perceived...... importance, rather than on the perceived quality, of intermediate actors. Hence, the major problem for intermediating suitable partners is more related to communication than it is a programmatic issue. Trust and reciprocity in co-operation between firms is found to be relevant ex-post in the sense of being...

Implementing energy efficiency: Challenges and opportunities for rural electric co-operatives and small municipal utilities

International Nuclear Information System (INIS)

Wilson, Elizabeth J.; Plummer, Joseph; Fischlein, Miriam; Smith, Timothy M.

2008-01-01

Challenges in implementing demand side management (DSM) programs in rural electric co-operatives and small municipal utilities are not well understood, yet these organizations sell roughly 15% of electricity in the US, many are more coal-intensive than investor-owned utilities (IOUs), and they are politically important-rural electric co-operatives cover about 75% of the US land area and municipal utilities are found in every state except Hawaii. We provide a background on rural co-operatives and municipal utilities in the context of the US electric sector and highlight the challenges and opportunities of implementing DSM programs in these institutions. Where past studies of utility DSM have mostly focused on IOUs or consisted of qualitative case studies of municipal utilities with exemplary DSM performance, this study makes a unique contribution to the DSM literature by systematically analyzing an entire co-operative and municipal utility population in Minnesota through the use of a survey. In doing so, we provide policy recommendations relevant to energy planners and policy makers to support DSM in rural electric co-operatives and municipal utilities

Breast cancer and support group in the life of mastectomized women

Directory of Open Access Journals (Sweden)

Elisa da Luz Adorna

Full Text Available AbstractObjectives To identify the importance of participation in support groups for mastectomized women’s recovery and their knowledge about this type of cancer.Material and methods Qualitative descriptive study with ten mastectomized women participants of the “Reborn” (“Renascer”, in portuguese support group. Data were collected by means of interviews, using a questionnaire prepared by the researcher as an instrument. The data collected were then qualitatively analyzed according to the systematization proposed by Minayo (4.Results Six categories were identified. This study addressed the knowledge of the participants on breast cancer and their participation in the support group.Conclusion A change of concepts and ideas about cancer in the interviewed women was identified, as well as the importance of information and explanation about this cancer, its treatment and consequences for the patient. The relevance of the support group in these women’s recovery is also noteworthy, due to the opportunity of socializing with other people with similar stories.

Depression, anxiety, and somatic symptoms in older cancer patients: a comparison across age groups.

Science.gov (United States)

Cohen, Miri

2014-02-01

Previous studies have reported that older cancer patients experience lower psychological distress than younger patients, but most prior studies do not differentiate between age groups within the 'older' category. The aim of this study was to assess the intensity of the symptoms of depression, anxiety, and somatic symptoms among different age groups of older cancer patients. Participants were composed of 321 cancer patients 60 years and older, who were divided into three age groups: 60-69, 70-79, and 80+ years. The participants answered the Brief Symptom Inventory-18, which included subscales for depression, anxiety, and somatic symptoms and the cancer-related problem list, in addition to providing personal and cancer-related details. Depressive, anxiety, and somatic symptoms and cancer-related problems were lowest in the 70-79 years age group and highest in the 80+ years age group. Comparisons between pairs of groups showed significant differences between each of the groups in Brief Symptom Inventory total scores and between the 80+ years age group and the other two groups in regard to depressive symptoms and cancer-related problems. Differences, related to anxiety and somatic symptoms, were significant for the 70-79 year olds, in comparison with the youngest and oldest groups. Intensity of symptoms was explained by older age, higher number of cancer-related problems, female gender, and lower income. Nonlinear relations exist between age and psychological symptoms, which is in line with the postponement of age-related health and functional decline in the modern era. These results suggest that the study of psychological reactions to cancer should examine differences between age groups among older cancer patients. Copyright © 2013 John Wiley & Sons, Ltd.

High-dose rate intra-operative radiation therapy for local advanced and recurrent colorectal cancer

International Nuclear Information System (INIS)

Harrison, L.B.; Mychalczak, B.; Enker, W.; Anderson, L.; Cohen, A.E.; Minsky, B.

1996-01-01

In an effort to improve the local control for advanced and recurrent cancers of the rectum, we have integrated high-dose rate intra-operative radiation therapy (HDR-IORT) into the treatment program. Between 11/92 and 10/95, 47 patients (pts) were treated. There were 26 males and 21 females whose ages ranged from 30-80 (median = 62) years. There were 19 pts with primary unresectable rectal cancer, and 28 pts who were treated for recurrent rectal cancer. Histology was adenocarcinoma - 45 pts, squamous cancer - 2 pts. The range of follow-up is 1-34 months (median = 14 months). The majority of primary unresectable pts received pre-operative radiation therapy (4500-5040 cGy) with chemotherapy (5-FU with Leucovorin) 4-6 weeks later, they underwent resection + HDR-IORT (1200 cGy). For the 28 pts with recurrent cancer, the majority received surgery and HDR-IORT alone because they had received prior RT. For the pts with primary unresectable disease, actuarial 2-year local control was 77%, actuarial distant metastasis-free survival was 71%, disease free survival was 66%, and overall survival was 84%. For those pts with recurrent disease, actuarial 2-year local control rate was 65%, distant metastasis-free survival was 65%, disease free survival was 47%, and overall survival was 61%. Complications occurred in 36%. There were no cases where the anatomical distribution of disease, or technical limitations prevented the adequate delivery of HDR-IORT. We conclude that this technique was most versatile, and enabled all appropriate pts to receive IORT. The preliminary data in terms of local control are encouraging, even for the poor prognostic sub-group of pts with recurrent cancer

Reports on memorial lecture meetings on co-operative application finish of the SF cyclotron and its result reports

International Nuclear Information System (INIS)

2000-01-01

The SF cyclotron at the Institute for Nuclear Study (INS) of University of Tokyo began its co-operative application in 1997 to continue its smooth operation during 21 years reaching March, 1997. Together with improvement of INS organization on April, 1997, it was transferred to the Center for Nuclear Study School of Science, University of Tokyo, INS continued a co-operative research for two years thereafter with Tanashi campus of the High Energy Accelerator Research Organization also established on April, 1997. This co-operative research was finished without accident at the end of March, 1999, to close history of co-operative application of cyclotron during 23 years. This report contains 15 memorial lecture and convivial meeting reports at the co-operative application finish of cyclotron and some results of co-operative applications and experiments, during 23 years. (G.K.)

F-127-PEI co-delivering docetaxel and TFPI-2 plasmid for nasopharyngeal cancer therapy

Energy Technology Data Exchange (ETDEWEB)

Liu, Tao, E-mail: taoliu18@126.com [Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282 (China); Zhang, Xinyu [Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282 (China); Ke, Bo [Jiangxi Key Laboratory of Hematological Oncology and Cell Biology, Jiangxi Provincial People' s Hospital, Nanchang 330006 (China); Wang, Yigang [School of Life Sciences, Zhejiang Sci-Tech University, Hangzhou 310018 (China); Wu, Xidong [Department of Pharmacology, Jiangxi Institute of Materia Medica,Nanchang 330029 (China); Jiang, Gang [Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282 (China); Wu, Ting [Department of Light Chemical Engineering, Guangdong Polytechnic, Foshan 528041 (China); Nie, Guohui, E-mail: nghui@21cn.com [Department of Otolaryngological, Peking University Shenzhen Hospital, Shenzhen 518036 (China)

2016-04-01

The co-delivery of drug and gene has become the primary strategy in cancer therapy. However, to construct one safe co-delivering system with higher drug loading and gene transfection efficiency for cancer therapy is still challenging. Herein, a novel degradable nanocarriers were synthesized and characterized in this study, which was composed of polyethylenimine (PEI)-linked PEO–PPO–PEO (Pluronic F127), called F127-PEI. Then the nanocarrier was used for hydrophobic docetaxel (DOC) and functional gene (TFPI-2 plasmid) co-delivery to treat nasopharyngeal cancer (NPC). The results indicated that F127-PEI nanocarriers had higher DOC loading amount and possessed good gene delivery effect in vitro. For co-delivery analysis, the obtained F127-PEI/DOC/TFPI-2 complexes could induce a more significant apoptosis than DOC or TFPI-2 alone, and decreased invasive capacity of NPC HNE-1 cells more obviously. Moreover, the F127-PEI copolymer exhibited better blood compatibility and lower cytotoxicity compared to PEI-25k by the hemolysis and MTT assays, which suggests a promising potential for NPC therapy. - Highlights: • F127-PEI was synthesized and used for drug and gene co-delivery. • F127-PEI showed good delivery ability to docetaxel and TFPI-2 plasmid. • The co-loaded complexes showed synergistic effect to nasopharyngeal carcinoma. • F127-PEI showed better blood safety and lower cytotoxicity compared to PEI-25k.

F-127-PEI co-delivering docetaxel and TFPI-2 plasmid for nasopharyngeal cancer therapy

International Nuclear Information System (INIS)

Liu, Tao; Zhang, Xinyu; Ke, Bo; Wang, Yigang; Wu, Xidong; Jiang, Gang; Wu, Ting; Nie, Guohui

2016-01-01

The co-delivery of drug and gene has become the primary strategy in cancer therapy. However, to construct one safe co-delivering system with higher drug loading and gene transfection efficiency for cancer therapy is still challenging. Herein, a novel degradable nanocarriers were synthesized and characterized in this study, which was composed of polyethylenimine (PEI)-linked PEO–PPO–PEO (Pluronic F127), called F127-PEI. Then the nanocarrier was used for hydrophobic docetaxel (DOC) and functional gene (TFPI-2 plasmid) co-delivery to treat nasopharyngeal cancer (NPC). The results indicated that F127-PEI nanocarriers had higher DOC loading amount and possessed good gene delivery effect in vitro. For co-delivery analysis, the obtained F127-PEI/DOC/TFPI-2 complexes could induce a more significant apoptosis than DOC or TFPI-2 alone, and decreased invasive capacity of NPC HNE-1 cells more obviously. Moreover, the F127-PEI copolymer exhibited better blood compatibility and lower cytotoxicity compared to PEI-25k by the hemolysis and MTT assays, which suggests a promising potential for NPC therapy. - Highlights: • F127-PEI was synthesized and used for drug and gene co-delivery. • F127-PEI showed good delivery ability to docetaxel and TFPI-2 plasmid. • The co-loaded complexes showed synergistic effect to nasopharyngeal carcinoma. • F127-PEI showed better blood safety and lower cytotoxicity compared to PEI-25k

Practice patterns of radiotherapy in cervical cancer among member groups of the Gynecologic Cancer Intergroup (GCIG).

Science.gov (United States)

Gaffney, David K; Du Bois, Andreas; Narayan, Kailash; Reed, Nick; Toita, Takafumi; Pignata, Sandro; Blake, Peter; Portelance, Lorraine; Sadoyze, Azmat; Pötter, Richard; Colombo, Alessandro; Randall, Marcus; Mirza, Mansoor R; Trimble, Edward L

2007-06-01

The aim of this study was to describe radiotherapeutic practice of the treatment of cervical cancer in member groups of the Gynecologic Cancer Intergroup (GCIG). A survey was developed and distributed to the members of the GCIG focusing on details of radiotherapy practice. Different scenarios were queried including advanced cervical cancer, postoperative patients, and para-aortic-positive lymph node cases. Items focused on indications for radiation therapy, radiation fields, dose, use of chemotherapy, brachytherapy and others. The cooperative groups from North America were compared with the other groups to evaluate potential differences in radiotherapy doses. A total of 39 surveys were returned from 13 different cooperative groups. For the treatment of advanced cervical cancer, external beam pelvic doses and total doses to point A were 47 + 3.5 Gy (mean + SD) and 79.1 + 7.9 Gy, respectively. Point A doses were not different between the North American cooperative groups compared with the others (p = 0.103). All groups used concomitant chemotherapy, with 30 of 36 respondents using weekly cisplatin. Of 33 respondents, 31 intervened for a low hemoglobin level. For a para-aortic field, the upper border was most commonly (15 of 24) at the T12-L1 interspace. Maintenance chemotherapy (after radiotherapy) was not performed by 68% of respondents. For vaginal brachytherapy after hysterectomy, 23 groups performed HDR brachytherapy and four groups used LDR brachytherapy. In the use of brachytherapy, there was no uniformity in dose prescription. Radiotherapy practices among member groups of the GCIG are similar in terms of both doses and use of chemotherapy.

Quality of life in a group of Cuban women with breast cancer

International Nuclear Information System (INIS)

Izquierdo-Gonzalez, Marlen

2009-01-01

Was studied a group of 16 Cuban patients, undergoing surgery and treatment for breast cancer oncospecific with survival greater than anno to assess the impact of the diagnosis, surgery and concomitant treatment on quality of life. The quality of life in the study group is similar to that of reference groups and other breast cancer patients with more than one year of survival, with better physical functioning. The evaluation of the exponents of emotional state, such as nervousness, worry, irritability and depression, showed that the evaluation of the quality of the emotional scale offers significantly lower values of other country groups, but corresponds with that reported for women with breast cancer survival time with the same and equal to the value obtained for cancer patients in treatment and less than a year survival. (Author)

The database of the Danish Renal Cancer Group

DEFF Research Database (Denmark)

Petersen, Astrid Christine; Søgaard, Mette; Mehnert, Frank

2016-01-01

AIM OF THE DATABASE: The main purpose of the database of the Danish Renal Cancer Group (DaRenCaData) is to improve the quality of renal cancer treatment in Denmark and secondarily to conduct observational research. STUDY POPULATION: DaRenCaData includes all Danish patients with a first......-time diagnosis of renal cancer in the Danish National Pathology Registry since August 1, 2010. MAIN VARIABLES: DaRenCaData holds data on demographic characteristics, treatments, and pathology collected through linkage to central registries and online registration of a few clinical key variables. Eight quality...... indicators have been selected for monitoring treatment quality and outcome after renal cancer. DESCRIPTIVE DATA: The incidence of renal cancer in Denmark has increased from 12.7 per 100,000 population-years in 2010-2011 to 15.9 per 100,000 population-years in 2014-2015. A total of 3,977 Danish patients...

Experimental Evaluation of Unicast and Multicast CoAP Group Communication

Directory of Open Access Journals (Sweden)

Isam Ishaq

2016-07-01

Full Text Available The Internet of Things (IoT is expanding rapidly to new domains in which embedded devices play a key role and gradually outnumber traditionally-connected devices. These devices are often constrained in their resources and are thus unable to run standard Internet protocols. The Constrained Application Protocol (CoAP is a new alternative standard protocol that implements the same principals as the Hypertext Transfer Protocol (HTTP, but is tailored towards constrained devices. In many IoT application domains, devices need to be addressed in groups in addition to being addressable individually. Two main approaches are currently being proposed in the IoT community for CoAP-based group communication. The main difference between the two approaches lies in the underlying communication type: multicast versus unicast. In this article, we experimentally evaluate those two approaches using two wireless sensor testbeds and under different test conditions. We highlight the pros and cons of each of them and propose combining these approaches in a hybrid solution to better suit certain use case requirements. Additionally, we provide a solution for multicast-based group membership management using CoAP.

Information and support for co-survivors during or after cancer treatment: Consideration of Un Abrazo Para la Familia as a model for family-focused intervention in cancer rehabilitation.

Science.gov (United States)

Marshall, Catherine A; Curran, Melissa A; Koerner, Susan Silverberg; Weihs, Karen L; Hickman, Amy C; García, Francisco A R

2013-01-01

The development and evaluation of Un Abrazo Para La Familia, [A Hug for the Family] is described. Un Abrazo is discussed as an effective model of education, information-sharing, and skill-building for use with low-income co-survivors of cancer. Sixty co-survivors participated. The majority were women and all reported being Hispanic. Using quantitative data (N=60), the needs, concerns, and characteristics of the co-survivor population served through Un Abrazo are presented. Further, we offer three qualitative case studies (with one co-survivor, one survivor, and one non-participant) to illustrate the model and its impact. The median level of education level of co-survivors was 12 years. The majority were unemployed and/or identified as homemakers, and indicated receipt of services indicating low-income status. Half reported not having health insurance. The top four cancer-related needs or concerns were: Information, Concern for another person, Cost/health insurance, and Fears. Recognizing the centrality of the family in addressing cancer allows for a wider view of the disease and the needs that arise during and after treatment. Key rehabilitation strategies appropriate for intervening with co-survivors of cancer include assessing and building upon strengths and abilities and making culturally-respectful cancer-related information and support accessible.

Regulator and industry Co-operation on safety research: challenges and opportunities. Final report and answers to questionnaire

International Nuclear Information System (INIS)

2003-02-01

A Group has been set up by the CSNI to identify and review the issues which hinder closer co-operation on research between regulators and industry, and to propose possible ways for resolving such issues while maintaining regulatory independence in decision-making. The Group has analyzed the potential advantages and disadvantages of regulator-industry collaboration in safety research and has also provided indications on how to overcome possible difficulties that can arise from such collaboration. The Group focused in particular on the issue of regulator independence, on means to preserve it and ways to demonstrate it to the public while undertaking collaboration with industry

International co-operation in the supply of nuclear fuel and fuel cycle services

International Nuclear Information System (INIS)

Sievering, N.F. Jr.

1977-01-01

Recent changes in the United States' nuclear policy, in recognition of the increased proliferation risk, have raised questions of US intentions in international nuclear fuel and fuel-cycle service co-operation. This paper details those intentions in relation to the key elements of the new policy. In the past, the USA has been a world leader in peaceful nuclear co-operation with other nations and, mindful of the relationships between civilian nuclear technology and nuclear weapon proliferation, remains strongly committed to the Non-Proliferation Treaty, IAEA safeguards and other elements concerned with international nuclear affairs. Now, in implementing President Carter's nuclear initiatives, the USA will continue its leading role in nuclear fuel and fuel-cycle co-operation in two ways, (1) by increasing its enrichment capacity for providing international LWR fuel supplies and (2) by taking the lead in solving the problems of near and long-term spent fuel storage and disposal. Beyond these specific steps, the USA feels that the international community's past efforts in controlling the proliferation risks of nuclear power are necessary but inadequate for the future. Accordingly, the USA urges other similarly concerned nations to pause with present developments and to join in a programme of international co-operation and participation in a re-assessment of future plans which would include: (1) Mutual assessments of fuel cycles alternative to the current uranium/plutonium cycle for LWRs and breeders, seeking to lessen proliferation risks; (2) co-operative mechanisms for ensuring the ''front-end'' fuel supply including uranium resource exploration, adequate enrichment capacity, and institutional arrangements; (3) means of dealing with short-, medium- and long-term spent fuel storage needs by means of technical co-operation and assistance and possibly establishment of international storage or repository facilities; and (4) for reprocessing plants, and related fuel

Co-administration of dexamethasone increases severity and accelerates onset day of neutropenia in bladder cancer patients on methotrexate, vinblastine, adriamycin and cisplatin chemotherapy: a retrospective cohort study.

Science.gov (United States)

Itai, Shingo; Suga, Yukio; Hara, Yusuke; Izumi, Kouji; Maeda, Yuji; Kitagawa, Yasuhide; Ishizaki, Junko; Shimada, Tsutomu; Mizokami, Atsushi; Sai, Yoshimichi

2017-01-01

Bladder cancer patients receiving methotrexate, vinblastine, adriamycin and cisplatin (MVAC) chemotherapy are co-administered with dexamethasone as an anti-emetic. We examined whether or not dexamethasone affects the severity and onset day of MVAC-induced severe neutropenia. This was a retrospective study of bladder cancer patients treated with MVAC chemotherapy with or without dexamethasone as an antiemetic at Kanazawa University Hospital during January 2005 - December 2009. Patients were categorized into three groups; no dexamethasone use (Dex (-)), dexamethasone on day 2 (Dex 1 day), and dexamethasone on days 2, 3 and 4 (Dex multiday). We evaluated the incidence of grade 3/4 neutropenia and the day of onset of first severe neutropenic episode during the first course of MVAC chemotherapy. Logistic regression was used to investigate whether co-administration of dexamethasone was a risk factor for severe neutropenia. Episodes of grade 3/4 neutropenia occurred in 3 out of 6 (50.0%), 11 out of 12 (91.7%) and 6 out of 6 (100%) patients in the Dex (-), Dex 1 day, and Dex multiday groups, respectively. The appearance day of first severe neutropenia in the Dex multiday group (13.2 ± 1.0) was significantly accelerated compared to the Dex (-) group (17.7 ± 2.1). Univariate logistic regression analysis revealed that dexamethasone is a risk factor for severe neutropenia (OR 17.0; 95%CI: 1.3-223.1). Co-administration of dexamethasone for anti-emesis brings forward the first appearance of neutropenia, and increases the severity of neutropenia, in bladder cancer patients receiving MVAC chemotherapy.

Identifying relevant group of miRNAs in cancer using fuzzy mutual information.

Science.gov (United States)

Pal, Jayanta Kumar; Ray, Shubhra Sankar; Pal, Sankar K

2016-04-01

MicroRNAs (miRNAs) act as a major biomarker of cancer. All miRNAs in human body are not equally important for cancer identification. We propose a methodology, called FMIMS, which automatically selects the most relevant miRNAs for a particular type of cancer. In FMIMS, miRNAs are initially grouped by using a SVM-based algorithm; then the group with highest relevance is determined and the miRNAs in that group are finally ranked for selection according to their redundancy. Fuzzy mutual information is used in computing the relevance of a group and the redundancy of miRNAs within it. Superiority of the most relevant group to all others, in deciding normal or cancer, is demonstrated on breast, renal, colorectal, lung, melanoma and prostate data. The merit of FMIMS as compared to several existing methods is established. While 12 out of 15 selected miRNAs by FMIMS corroborate with those of biological investigations, three of them viz., "hsa-miR-519," "hsa-miR-431" and "hsa-miR-320c" are possible novel predictions for renal cancer, lung cancer and melanoma, respectively. The selected miRNAs are found to be involved in disease-specific pathways by targeting various genes. The method is also able to detect the responsible miRNAs even at the primary stage of cancer. The related code is available at http://www.jayanta.droppages.com/FMIMS.html .

Shariah Governance Framework For Islamic Co-Operatives As An Integral Social Insitution In Malaysia

Directory of Open Access Journals (Sweden)

Muhammad Issyam Itam

2017-01-01

Full Text Available In Malaysia, Islamic cooperatives are recognized as providers of some form of Islamic financial service similar to Islamic Banks and Takaful Operators. An Islamic Co-operative refers to a co-operative conducting activities and businesses based on Shariah principles. Being a non-banking financial institution, its main objective is to enhance social economic welfare of its members. As a form of captive social institution, it enables the less economically privileged members of society to pool resources as a cooperative. Malaysia is spearheading the Islamic banking and finance industry globally by having in place a proper and well-designed legal and regulatory framework for Islamic Financial Institutions, which includes the area of Shariah governance. However, the Shariah governance framework for the Islamic Co-operative in Malaysia is still in its infancy stage. In this paper, this area will be given focus and properly highlighted. Later, comparison will be made with the Shariah governance framework for the Islamic financial institutions. This paper will conclude that the requirements with regard to Shariah governance for the Islamic Co-operative are flexible and not as strict as required for the Islamic financial institutions.

International co-operation: a condition for further development of nuclear power

International Nuclear Information System (INIS)

Quenet, P.

1994-01-01

For two main reasons, loss of confidence in nuclear energy and loss of competitiveness, nuclear programmes are in recession, although the very high level of safety and reliability of NPP operation. Efficient co-operation among nuclear operators world wide in order to reach the highest possible standard everywhere. The mission of WANO is to maximize the safety and reliability of the operation of NPPs by exchanging information and encouraging comparison, emulation and communication among its members. (author)

Process Analysis of the CV Group's Operation

CERN Document Server

Wilhelmsson, M

2000-01-01

This report will give an explanation of the internal reorganization that has been done because of the necessity to optimize operation in the cooling and ventilation group. The basic structure for the group was defined at the end of 1998. We understood then that change was needed to accommodate the increased workload due to the LHC project. In addition, we face a relatively large turnover of personnel (retirements and some recruitment) with related integration issues to consider. We would also like to implement new approaches in the management of both operations and maintenance. After some running-in problems during the first half of 1999, we realized that much more could be gained with the analysis and the definition and documenting of each single function and generic activity within the group. The authors will explain how this analysis was carried out and give some feedback of the outcome, so far.

Pregnancy hormone concentrations across ethnic groups: implications for later cancer risk.

Science.gov (United States)

Potischman, Nancy; Troisi, Rebecca; Thadhani, Ravi; Hoover, Robert N; Dodd, Kevin; Davis, William W; Sluss, Patrick M; Hsieh, Chung-Cheng; Ballard-Barbash, Rachel

2005-06-01

A variety of in utero factors have been associated with risk of adult cancers, particularly birth weight, toxemia, and gestational age. These factors are thought to reflect hormonal exposures during pregnancy. We hypothesized that the prenatal hormonal milieu may explain part of the variation in cancer rates across ethnic groups, for example, the higher incidence of breast cancer in the Caucasian compared with Hispanic women and the higher incidence of prostate and lower incidence of testicular cancers among African-Americans compared with Caucasians. We measured hormones in early pregnancy blood samples from three ethnic groups in a health care plan in Boston, MA. Mean levels of androstenedione, testosterone, estrone, and prolactin were significantly lower in Caucasian women compared with Hispanic women. Although not statistically significant, estradiol levels were lower in Caucasian compared with Hispanic or African-American women. Concentrations of androstenedione, testosterone, and progesterone were notably higher in African-American compared with Caucasian or Hispanic women. These data are consistent with hypotheses that in utero hormonal exposures may explain some of the ethnic group differences in cancer risk.

Development of the Operational Events Groups Ranking Tool

International Nuclear Information System (INIS)

Simic, Zdenko; Banov, Reni

2014-01-01

Both because of complexity and ageing, facilities like nuclear power plants require feedback from the operating experience in order to further improve safety and operation performance. That is the reason why significant effort is dedicated to operating experience feedback. This paper contains description of the specification and development of the application for the operating events ranking software tool. Robust and consistent way of selecting most important events for detail investigation is important because it is not feasible or even useful to investigate all of them. Development of the tool is based on the comprehensive events characterisation and methodical prioritization. This includes rich set of events parameters which allow their top level preliminary analysis, different ways of groupings and even to evaluate uncertainty propagation to the ranking results. One distinct feature of the implemented method is that user (i.e., expert) could determine how important is particular ranking parameter based on their pairwise comparison. For tools demonstration and usability it is crucial that sample database is also created. For useful analysis the whole set of events for 5 years is selected and characterised. Based on the preliminary results this tool seems valuable for new preliminary prospective on data as whole, and especially for the identification of events groups which should have priority in the more detailed assessment. The results are consisting of different informative views on the events groups importance and related sensitivity and uncertainty results. This presents valuable tool for improving overall picture about specific operating experience and also for helping identify the most important events groups for further assessment. It is clear that completeness and consistency of the input data characterisation is very important to get full and valuable importance ranking. Method and tool development described in this paper is part of continuous effort of

The Agency's Technical Co-operation activities in 1987. Report by the Director General

International Nuclear Information System (INIS)

1988-08-01

This report is part of a wide range of documentation which the Agency provides to Member States on its technical co-operation activities at various times during the year. It is, in particular, complemented by the achievement reporting submitted to the Technical Assistance and Co-operation Committee of the Board in the annual implementation reports that give the status of the technical co-operation programmes as at 30 September in each year. Following the 1986 Technical Co-operation Seminar and based on continuing consultations with Member States various steps to improve the quality of the programme were taken in 1987: for example, new project request forms and management plans were introduced and preparatory assistance was expanded. Office automation was intensified and the computerized data base covering technical co-operation was enhanced further. Work continues on the adaptation of data provided by the new Financial Information and Control System (FIGS) to the needs of the technical co-operation programmes and vice-versa. While several problems have still to be overcome, it has on the whole, been possible in this report to re-establish data comparability with previous years. Evaluation has become an integral part of the Agency's technical cooperation activities. In addition to on-going mid-project and end-of-project evaluations, expert services and fellowships were evaluated in 1987 and the first country programme evaluation was also undertaken. During 1987, a total of 962 projects were operational and 64 training courses were held. These activities involved 1808 expert assignments while 1975 persons received training abroad. Of the provisions in the 1987 total adjusted programme, one half was earmarked for equipment, while the other half was equally divided between ear markings for experts and for training. Of the Agency's technical co-operation resources in 1987, 72.5% came from the Technical Assistance and Co-operation Fund, 13.7% from extra budgetary

Social and psychological determinants of participation in internet-based cancer support groups

DEFF Research Database (Denmark)

Høybye, Mette Terp; Dalton, Susanne Oksbjerg; Christensen, Jane

2010-01-01

PURPOSE: In this study, we identified the social and psychological characteristics of Danish cancer patients that determine use of the internet for support. MATERIALS AND METHODS: We invited 230 cancer patients taking part in a public rehabilitation program to participate in an internet module...... observed no difference between the two groups in quality of life or psychological well-being, while coping to some extent seemed related to participation in internet support groups. CONCLUSION: This study adds to the discussion on social inequality in internet use by cancer patients, showing that patients...... comprising training in the retrieval of cancer-related information from the internet and self-support groups. Persons who were motivated to join the internet groups (N = 100; 47%) were compared with persons who chose not to participate (N = 111) on the basis of self-reported baseline questionnaire data...

The Agency's Technical Co-operation activities in 1984. Report by the Director General

International Nuclear Information System (INIS)

1985-08-01

The year 1984 can be described as one during which efforts were made to increase momentum in the development co-operation between the Agency and its Member States while continuing to improve the quality of the technical assistance rendered. For the first time, the adjusted programme exceeded $50 million. During the year, changes were introduced in the administration of the programme in line with recommendations endorsed by the Board in 1983 at the end of its first technical co-operation policy review. In 1984, when the new technical co-operation policies were applied, there were three principal aims. First, the flow of Technical Assistance and Co-operation Fund resources was to be improved; by decreasing accumulated unobligated balances, an optimum level of resource utilization was to be attained by 1986. Second, procedures for the procurement of goods and services were to be streamlined in order to permit substantial increases in programme delivery. Third, systematic project evaluation was to lead to a number of specific actions that would increase the effectiveness of the Agency's development assistance. With regard to the first aim, implementation increased by 44% over the 1983 level, passing the $30 million mark in October and reaching $36.6 million by the end of the year. Of this amount, $31.8 million related to the implementation of activities programmed for 1984. Therefore, an increase in total resources of only 4% was accompanied by an increase in current-year implementation of 34%. As a result, the upward trend in the unobligated balance was checked, and earmarkings against the TACF actually decreased. The implementation rate against the TACF rose from 58% in 1983 to 65% in 1984, reaching the level that had been set as a target. If this performance can be maintained in 1985, it will be possible to reach the optimum level of TACF resource utilization one year earlier than originally expected. As regards the second aim, streamlined procedures introduced in

Physician peer group characteristics and timeliness of breast cancer surgery.

Science.gov (United States)

Bachand, Jacqueline; Soulos, Pamela R; Herrin, Jeph; Pollack, Craig E; Xu, Xiao; Ma, Xiaomei; Gross, Cary P

2018-04-24

Little is known about how the structure of interdisciplinary groups of physicians affects the timeliness of breast cancer surgery their patients receive. We used social network methods to examine variation in surgical delay across physician peer groups and the association of this delay with group characteristics. We used linked Surveillance, Epidemiology, and End Results-Medicare data to construct physician peer groups based on shared breast cancer patients. We used hierarchical generalized linear models to examine the association of three group characteristics, patient racial composition, provider density (the ratio of potential vs. actual connections between physicians), and provider transitivity (clustering of providers within groups), with delayed surgery. The study sample included 8338 women with breast cancer in 157 physician peer groups. Surgical delay varied widely across physician peer groups (interquartile range 28.2-50.0%). For every 10% increase in the percentage of black patients in a peer group, there was a 41% increase in the odds of delayed surgery for women in that peer group regardless of a patient's own race [odds ratio (OR) 1.41, 95% confidence interval (CI) 1.15-1.73]. Women in physician peer groups with the highest provider density were less likely to receive delayed surgery than those in physician peer groups with the lowest provider density (OR 0.65, 95% CI 0.44-0.98). We did not find an association between provider transitivity and delayed surgery. The likelihood of surgical delay varied substantially across physician peer groups and was associated with provider density and patient racial composition.

Safety management in multiemployer worksites in the manufacturing industry: opinions on co-operation and problems encountered.

Science.gov (United States)

Nenonen, Sanna; Vasara, Juha

2013-01-01

Co-operation between different parties and effective safety management play an important role in ensuring safety in multiemployer worksites. This article reviews safety co-operation and factors complicating safety management in Finnish multiemployer manufacturing worksites. The paper focuses on the service providers' opinions; however, a comparison of the customers' views is also presented. The results show that safety-related co-operation between providers and customers is generally considered as successful but strongly dependent on the partner. Safety co-operation is provided through, e.g., training, orientation and risk analysis. Problems encountered include ensuring adequate communication, identifying hazards, co-ordinating work tasks and determining responsibilities. The providers and the customers encounter similar safety management problems. The results presented in this article can help companies to focus their efforts on the most problematic points of safety management and to avoid common pitfalls.

Competition and Co-operation between Stock Exchanges in Europe - Legal Aspects and Challenges

DEFF Research Database (Denmark)

Sørensen, Karsten Engsig; Clausen, Nis Jul

2002-01-01

The article analysis why and how European Stock Exchanges enters into alliances. On the background of alliances as Norex, Euronext and the planned iX the different areas and types of co-operation is discussed.......The article analysis why and how European Stock Exchanges enters into alliances. On the background of alliances as Norex, Euronext and the planned iX the different areas and types of co-operation is discussed....

Sustaining leaders of cancer support groups: the role, needs, and difficulties of leaders.

Science.gov (United States)

Butow, Phyllis; Ussher, Jane; Kirsten, Laura; Hobbs, Kim; Smith, Katharine; Wain, Gerald; Sandoval, Mirjana; Stenlake, Annie

2005-01-01

Cancer support groups are an important source of support for cancer patients, yet little is known about the characteristics of, and barriers to, effective leadership, and the training needs of both professionally trained and untrained leaders. This study explored the views of 179 leaders of 184 cancer support groups in NSW, Australia, regarding these issues. Four hundred and sixteen members of 50 groups selected from the larger cohort completed questionnaires eliciting the importance of group processes, including leader qualities, and satisfaction with group leadership. Finally, members of nine groups participated in focus groups regarding effective group processes. The importance of the leader(s) was emphasized in all stages of the research. Fifty-nine percent of group leaders were currently experiencing a difficulty, primarily related to infrastructure or group process. Three characteristics of effective leaders were identified: educational qualities, facilitation skills, and personal qualities. There is clearly a need to develop and evaluate effective interventions to maintain leaders in these roles, if the proven benefits for cancer patients are to be protected.

Action plan for Nordic energy co-operation 2006-2009

International Nuclear Information System (INIS)

2005-01-01

The Action Plan for Nordic Energy Co-operation 2006-2009 is targeted at creating a visible and sustainable contribution to solving the most important and politically most relevant energy policy challenges faced by the Nordic region. The plan concentrates on three main areas: Energy markets; Sustainable energy system; and Nordic impact on the international agenda. The Action Plan is the energy sector's contribution to the implementation of the Nordic strategy 'Sustainable Development - New Bearing for the Nordic Countries' and to a number of the Nordic Council's recommendations for the development of the Nordic energy sector. An important element of the implementation of the action plan is on-going contact and information sharing between the Nordic Energy Policy co-operation and the Nordic Energy Research. The continues dialogue between the Nordic Council of Energy Ministers and The Nordic Council on future energy policy challenges will likewise be an important part of the political process. (BA)

Co-enrolment of Participants into Multiple Cancer Trials: Benefits and Challenges.

Science.gov (United States)

Cafferty, F H; Coyle, C; Rowley, S; Berkman, L; MacKensie, M; Langley, R E

2017-07-01

Opportunities to enter patients into more than one clinical trial are not routinely considered in cancer research and experiences with co-enrolment are rarely reported. Potential benefits of allowing appropriate co-enrolment have been identified in other settings but there is a lack of evidence base or guidance to inform these decisions in oncology. Here, we discuss the benefits and challenges associated with co-enrolment based on experiences in the Add-Aspirin trial - a large, multicentre trial recruiting across a number of tumour types, where opportunities to co-enrol patients have been proactively explored and managed. The potential benefits of co-enrolment include: improving recruitment feasibility; increased opportunities for patients to participate in trials; and collection of robust data on combinations of interventions, which will ensure the ongoing relevance of individual trials and provide more cohesive evidence to guide the management of future patients. There are a number of perceived barriers to co-enrolment in terms of scientific, safety and ethical issues, which warrant consideration on a trial-by-trial basis. In many cases, any potential effect on the results of the trials will be negligible - limited by a number of factors, including the overlap in trial cohorts. Participant representatives stress the importance of autonomy to decide about trial enrolment, providing a compelling argument for offering co-enrolment where there are multiple trials that are relevant to a patient and no concerns regarding safety or the integrity of the trials. A number of measures are proposed for managing and monitoring co-enrolment. Ensuring acceptability to (potential) participants is paramount. Opportunities to enter patients into more than one cancer trial should be considered more routinely. Where planned and managed appropriately, co-enrolment can offer a number of benefits in terms of both scientific value and efficiency of study conduct, and will increase the

Clonogenic growth of human breast cancer cells co-cultured in direct contact with serum-activated fibroblasts

International Nuclear Information System (INIS)

Samoszuk, Michael; Tan, Jenny; Chorn, Guillaume

2005-01-01

Accumulating evidence suggests that fibroblasts play a pivotal role in promoting the growth of breast cancer cells. The objective of the present study was to characterize and validate an in vitro model of the interaction between small numbers of human breast cancer cells and human fibroblasts. We measured the clonogenic growth of small numbers of human breast cancer cells co-cultured in direct contact with serum-activated, normal human fibroblasts. Using DNA microarrays, we also characterized the gene expression profile of the serum-activated fibroblasts. In order to validate the in vivo relevance of our experiments, we then analyzed clinical samples of metastatic breast cancer for the presence of myofibroblasts expressing α-smooth muscle actin. Clonogenic growth of human breast cancer cells obtained directly from in situ and invasive tumors was dramatically and consistently enhanced when the tumor cells were co-cultured in direct contact with serum-activated fibroblasts. This effect was abolished when the cells were co-cultured in transwells separated by permeable inserts. The fibroblasts in our experimental model exhibited a gene expression signature characteristic of 'serum response' (i.e. myofibroblasts). Immunostaining of human samples of metastatic breast cancer tissue confirmed that myofibroblasts are in direct contact with breast cancer cells. Serum-activated fibroblasts promote the clonogenic growth of human breast cancer cells in vitro through a mechanism that involves direct physical contact between the cells. This model shares many important molecular and phenotypic similarities with the fibroblasts that are naturally found in breast cancers

The impact of co-morbidity on health-related quality of life in breast cancer survivors and controls.

Science.gov (United States)

Schoormans, Dounya; Czene, Kamila; Hall, Per; Brandberg, Yvonne

2015-05-01

The objective of this study was: 1) to compare health-related quality of life (HRQoL) scores of breast cancer survivors to matched controls; and 2) to examine the relative impact (explained variance) of the type and number of co-morbidities on HRQoL. Data from the KARMA project was used in this cross-sectional study. For each woman diagnosed with breast cancer (n = 2552) there were two healthy age- and geographically matched females (n = 5104). Breast cancer survivors were categorized according to time since diagnosis: recently diagnosed (0-1 year), short- (2-5 years), mid- (6-10 years), and long-term survivors (> 10 years). Women completed a questionnaire addressing demographics (age, educational level, and geographical location), lifestyle factors (body mass index (BMI) and smoking), co-morbidities, and HRQoL. The difference in explained variance in six HRQoL-domains between demographics, lifestyle factors, and co-morbidity in women with breast cancer and matched controls was examined by hierarchical regression analyses. Women recently diagnosed (n = 63), reported the worst HRQoL followed by short-term survivors (2-5 years, n = 863). Thereafter, HRQoL scores further improved (6-10 years, n = 726), and were comparable to healthy females after 10 years (n = 893). Co-morbidity has a negative impact on HRQoL, which increased with time after diagnosis. Cardiovascular disease and depression were the strongest associates. Breast cancer survivors report clinically significant improvement in HRQoL scores six years after diagnosis. Co-morbidity has a negative impact on HRQoL, which increases with time after diagnosis, even though the number of co-morbidities remains stable. In long-term survivors there should be increasing awareness of co-morbidity and its impact on HRQoL.

State of esophageal transport function in patients with nodular goiter and in patients operated on for thyroid cancer

International Nuclear Information System (INIS)

Purizhanskij, I.I.; Lyzhina, V.D.; Ogneva, T.V.; Pashev, N.; Minchev, D.; Mladenov, V.

1989-01-01

A study was made of changes of esophageal transport function in 10 patients with thyroid adenoma and in 27 patients after surgical and radiotherapeutic management for thyroid cancer. The results were compared with those of a control group. Significant data on changes on esophageal transport function in patients with thyroid adenoma were unnoticed. Esophageal dysfunction after operation and radioactive iodine therapy for cancer was detected in 55%. Dysfunction was thought to be caused by dysphagia which showed direct correlation with the severity of hypothyroidism

Cross-border Co-operation and Policy Networks in West Africa

DEFF Research Database (Denmark)

Trémolières, Marie; Walther, Olivier

This publication examines how policy actors involved in cross-border co-operation contribute to the regional integration process in West Africa. It uses a pioneering methodology, known as social network analysis, to visualise the formal and informal relationships between actors involved in cross...... West Africa to develop cross-border initiatives in a number of ways. Combining these two analyses with the perceptions of regional policy makers as to which border areas they consider as priorities for regional integration, the publication concludes with the analytical foundations for more effective......-border policy networks, showing that borders have notable and diverse impacts on exchanges of information and the relative power of networks. The report then analyses a range of regional indicators of co-operation potential, visually demonstrating that borders can also affect the ability of sub-regions within...

Supersurveillance, Democracy, and Co-Operation--The Challenge for Teachers

Science.gov (United States)

Schostak, John

2014-01-01

The paper explores pedagogies of surveillance and counter pedagogies of radical democracy and co-operative practice and their implications for continuing professional development (CPD). Teachers have had to respond to an increasing naturalisation of surveillance in schools. However, this naturalisation can be countered by drawing upon the emergent…

ABO and Rh blood groups frequency in women with HER2 positive breast cancer.

Science.gov (United States)

Urun, Y; Utkan, G; Altundag, K; Arslan, O; Onur, H; Arslan, U Y; Kocer, M; Dogan, I; Senler, F C; Yalcin, B; Demirkazik, A; Akbulut, H; Icli, F

2012-01-01

The role of genetic factors in the development of cancer is widely accepted. Data on the role of ABO blood group and Rh factor in breast cancer is inconclusive. The aim of this study was to investigate the presence of a possible association between HER2 (+) breast cancer in Turkish women and ABO blood groups and Rh factor. In 294 female patients with HER2 (+) breast cancer, ABO blood groups and Rh factor were examined. The relationship of blood groups with age, menopausal status, and family history of cancer, estrogen receptor (ER), progesterone receptor (PR) and HER2 status of these patients was evaluated. Blood groups distribution of 22,821 healthy blood donors was also assessed and compared with the patients' blood groups distribution. The median patient age was 47 years (range 20-80) and 56% of the patients were premenopausal. ER and PR were positive in 50 and 60% of the patients, respectively. Overall, the ABO blood group distribution of the 294 HER2 (+) breast cancer patients was similar to that of the healthy blood donors (p=0.36). Likewise there was no correlation between blood type and ER, PR and menopausal status. Rh (-) patients had more frequent family cancer history and this difference was significant for patients with blood group B Rh (-) and O Rh (-) (p = 0.04). In the present study we didn't find any relationship between HER2 status and ABO blood group and Rh factor. However, further studies with larger number of patients are needed to establish the role (if any) of blood groups in patients with breast cancer.

'Co-operation and Communism cannot work side by side': Organized Consumers and the Early Cold War in Britain.

Science.gov (United States)

Gurney, Peter

2018-04-02

This article contributes to a better understanding of labour anti-communism in Britain through an exploration of the evolution of ideas and attitudes within the co-operative movement during the early Cold War. It demonstrates that the period witnessed an increasingly rigid separation of co-operation from communism and argues that this separation made it harder for activists within the co-operative movement to imagine a total or utopian alternative to capitalism. Drawing particularly on a close reading of the co-operative press as well as other sources, the study is divided into three main parts. The first section discusses sympathy among co-operators for the achievements of the Soviet Union, which increased during the war against fascism. The article then moves on to consider the continuing dialogue between British co-operators and their counterparts in European communist states and how international tensions shaped co-operators' views. The final major section explores the hardening of attitude towards communism after Marshall Aid was declared in June 1947, and underlines the role played by figures such as A. V. Alexander and Jack Bailey who worked with the Information Research Department at the Foreign Office to spread anti-communism within the movement. The conclusion reflects, more speculatively, on what implications this shift may have had for the medium and long-term decline of co-operation and the hegemony of capitalist consumerism post-war.

Pseudo-differential operators groups, geometry and applications

CERN Document Server

Zhu, Hongmei

2017-01-01

This volume consists of papers inspired by the special session on pseudo-differential operators at the 10th ISAAC Congress held at the University of Macau, August 3-8, 2015 and the mini-symposium on pseudo-differential operators in industries and technologies at the 8th ICIAM held at the National Convention Center in Beijing, August 10-14, 2015. The twelve papers included present cutting-edge trends in pseudo-differential operators and applications from the perspectives of Lie groups (Chapters 1-2), geometry (Chapters 3-5) and applications (Chapters 6-12). Many contributions cover applications in probability, differential equations and time-frequency analysis. A focus on the synergies of pseudo-differential operators with applications, especially real-life applications, enhances understanding of the analysis and the usefulness of these operators.

The gene expression profiles of canine mammary cancer cells grown with carcinoma-associated fibroblasts (CAFs as a co-culture in vitro

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Król Magdalena

2012-03-01

Full Text Available Abstract Background It is supposed that fibroblasts present in tumour microenvironment increase cancer invasiveness and its ability to metastasize but the mechanisms have not been clearly defined yet. Thus, the current study was designed to assess changes in gene expression in five various cancer cell lines grown as a co-culture with the carcinoma-associated fibroblasts (CAFs in vitro. Results A carcinoma-associated fibroblast cell line was isolated from a canine mammary cancer. Then, a co-culture of cancer cells with the CAFs was established and maintained for 72 hrs. Having sorted the cells, a global gene expression in cancer cells using DNA microarrays was examined. The analysis revealed an up-regulation of 100 genes and a down-regulation of 106 genes in the cancer cells grown as a co-culture with the CAFs in comparison to control conditions. The PANTHER binomial statistics tool was applied to determine statistically over-manifested pathways (p Conclusion The results of the current study showed that the co-culturing of cancer cells and the CAFs caused significant changes to the cancer gene expression. The presence of the CAFs in a microenvironment of cancer cells promotes adhesion, angiogenesis and EMT.

AFRA. African Regional Co-operative Agreement

International Nuclear Information System (INIS)

1994-04-01

This publication provides an outline of the African Regional Co-operation Agreement for research, development and training related to nuclear science and technology (AFRA). The agreement stems from an initiative of several African member states of the IAEA to get the agency to help establish an African regional arrangement which would be similar to arrangements which were already in place in the Asian and Latin American regions. Through this regional approach to development, AFRA seeks to accelerate moves toward self-sufficiency in scientific disciplines and appropriate technologies by coordinating intellectual and physical resources and disseminating innovative methods and practices in a cost-effective manner

Relative Risk of Various Head and Neck Cancers among Different Blood Groups: An Analytical Study

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Kote, Sunder; Patthi, Basavaraj; Singla, Ashish; Singh, Shilpi; Kundu, Hansa; Jain, Swati

2014-01-01

Background: Cancer is a unique disease characterized by abnormal growth of cells which have the ability to invade the adjacent tissues and sometimes even distant organs. The limited and contrasting evidence regarding the association of ABO blood groups with the different types of head and neck cancers in the Indian population warrants the need for the present study. Aim and Objective: To assess the relative risk of various Head & Neck cancers among different blood groups. Materials and Method: Three hundred sixty two diagnosed cases of different type of head and neck cancers and 400 controls were selected from four hospitals of New Delhi, India. The information regarding the type of head and neck cancer was obtained from the case sheets of the patients regarding their socio demographic profile, dietary history using a structured performa. The information regarding type of cancer (cases only), ABO blood group was collected. Statistical Tests: The data was analysed using the SPSS 19 version. Chi square test and odd ratios were calculated. The level of significance was fixed at 5%. Results: The O blood group was found to be most prevalent followed by B, A and AB among the cases as well as the controls. Oral cancer patients showed maximum number in blood group O followed by B, A and AB. Significant pattern of distribution was seen among the patients of esophageal cancer, laryngeal cancer and salivary gland cancer as well (p= 0.003, p=0.000 p=0.112 respectively. Conclusion: The present study reveals that there is an inherited element in the susceptibility or protection against different types of head and neck cancers. Blood group A was found to be a potential risk factor for the development of oral cancers, esophageal cancers and salivary gland cancers while blood group B was found to be a potential risk factor for laryngeal cancers. PMID:24959511

Relative Risk of Various Head and Neck Cancers among Different Blood Groups: An Analytical Study.

Science.gov (United States)

Singh, Khushboo; Kote, Sunder; Patthi, Basavaraj; Singla, Ashish; Singh, Shilpi; Kundu, Hansa; Jain, Swati

2014-04-01

Cancer is a unique disease characterized by abnormal growth of cells which have the ability to invade the adjacent tissues and sometimes even distant organs. The limited and contrasting evidence regarding the association of ABO blood groups with the different types of head and neck cancers in the Indian population warrants the need for the present study. To assess the relative risk of various Head & Neck cancers among different blood groups. Three hundred sixty two diagnosed cases of different type of head and neck cancers and 400 controls were selected from four hospitals of New Delhi, India. The information regarding the type of head and neck cancer was obtained from the case sheets of the patients regarding their socio demographic profile, dietary history using a structured performa. The information regarding type of cancer (cases only), ABO blood group was collected. Statistical Tests: The data was analysed using the SPSS 19 version. Chi square test and odd ratios were calculated. The level of significance was fixed at 5%. The O blood group was found to be most prevalent followed by B, A and AB among the cases as well as the controls. Oral cancer patients showed maximum number in blood group O followed by B, A and AB. Significant pattern of distribution was seen among the patients of esophageal cancer, laryngeal cancer and salivary gland cancer as well (p= 0.003, p=0.000 p=0.112 respectively. The present study reveals that there is an inherited element in the susceptibility or protection against different types of head and neck cancers. Blood group A was found to be a potential risk factor for the development of oral cancers, esophageal cancers and salivary gland cancers while blood group B was found to be a potential risk factor for laryngeal cancers.

Robot-assisted versus conventional laparoscopic operation in anus-preserving rectal cancer: a meta-analysis

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Cui Y

2017-09-01

Full Text Available Yongzhen Cui,1,2,* Cheng Li,3,* Zhongfa Xu,4 Yingming Wang,1,2 Yamei Sun,5 Huirong Xu,1 Zengjun Li,1 Yanlai Sun1 1Department of Gastrointestinal Cancer Surgery, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical Sciences, 2School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, 3Department of President’s Office, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academy of Medical Sciences, 4Department of Gastrointestinal Surgery, The Affiliated Hospital of Shandong Academy of Medical Sciences, Jinan, 5Department of Clinical Laboratory, Zhucheng People’s Hospital of Shandong Province, Zhucheng, People’s Republic of China *These authors contributed equally to this work Objective: The aim of this meta-analysis is to provide recommendations for clinical practice and prevention of postoperative complications, such as circumferential resection margin (CRM involvement, and compare the amount of intraoperative bleeding, safety, operative time, recovery, outcomes, and clinical significance of robot-assisted and conventional laparoscopic procedures in anus-preserving rectal cancer. Methods: A literature search (PubMed was performed to identify biomedical research papers and abstracts of studies comparing robot-assisted and conventional laparoscopic procedures. We attempted to obtain the full-text link for papers published between 2000 and 2016, and hand-searched references for relevant literature. RevMan 5.3 software was used for the meta-analysis. Results: Nine papers (949 patients were eligible for inclusion; there were 473 patients (49.8% in the robotic group and 476 patients (50.2% in the laparoscopic group. According to the data provided in the literature, seven indicators were used to complete the evaluation. The results of the meta-analysis suggested that robot-assisted procedure was associated with lower intraoperative blood loss (mean difference

Strategies for oropharyngeal cancer

International Nuclear Information System (INIS)

Umeno, Hirohito; Chijiwa, Hideki; Sakamoto, Kikuo; Chitose, Syunichi; Nakashima, Tadashi; Suzuki, Gen; Tanaka, Norimitsu; Hayabuchi, Naofumi

2004-01-01

The purposes of this study were to investigate what is the most effective therapy for oropharyngeal cancer, how to remove the causes and how to prevent patients from postoperative aspiration. One-hundred and ninety-five patients with oropharyngeal cancer received radical treatment at Kurume University Hospital between 1971 and 2001. They were classified into three therapy groups: radiotherapy group, operation group and operation+radiotherapy group. The 5-year local control rate was 64%, and the cause-specific 5-year survival rate was 58%. The most satisfactory result of 5-year local control rate was the operation+radiotherapy group. However, no significant differences of cause-specific 5-year survival rate were found between these three groups. The worst results of the 5-year local control rate as well as survival rate were found in the posterior wall subsite group. In contrast, satisfactory local control rate was obtained with tongue base resection and supraglottic horizontal partial laryngectomy in the anterior wall subsite group. For the lateral wall subsite group, in case where cancer had inraded the tongue base, the patients received resection of half of the tongue base with lateral wall resection, and the larynx could not be preserved in half of the patients could not preserve larynx. In cases with advanced posterior wall cancer, more extended local resection such as by pharyngo-laryngo-esophagectomy was required. In early posterior wall cancers, surgical procedure via the oral or hyoid bone approach seemed to prevent postoperative aspiration. In cases with superior wall cancer, additional surgical margin with postoperative radiotherapy was required to gain a satisfactory local control rate. (author)

Simultaneous double-side Crile operation in larynx cancer

International Nuclear Information System (INIS)

Szmeja, Z.; Kruk-Zagajewska, A.; Wozniak, S.

1994-01-01

Radical operation of lymphatic system of the neck (Crile'a operation) is a classic operation in the treatment of metastases of head and neck cancer. Bilateral Crile'a operation is indicated only in cases of bilateral metastases which in filtrate the jugular vein. According to new statistics the mortality rate around the operation time does not exceed 2,4%, that is why this operation is justified. Between 1978 and 1992 in the Clinic of Otolaryngology of the Medical Academy 8 patients underwent a simultaneous bilateral Crile'a operation due to large metastases to lymphatic system of the neck (N 3 ). The result of the simultaneous resection of both jugular veins was swelling and cyanosis of the face, the increase of blood pressure and others. They were of temporary character and did not cause any brain complications. (author)

Assessing stakeholder opinion on relations between cancer patient groups and pharmaceutical companies in Europe.

Science.gov (United States)

Leto di Priolo, Susanna; Fehervary, Andras; Riggins, Phil; Redmond, Kathy

2012-01-01

The relationship between the pharmaceutical industry and cancer patient groups has been the subject of much scrutiny and skepticism, and some high-profile negative media coverage has focused attention on some of the problematic aspects of the relationship. Both the pharmaceutical industry and cancer patient groups have made an effort in recent years to improve the transparency and openness of their relations, specifically with regard to the financial support offered by pharmaceutical companies to patient groups. The objectives of this survey were to benchmark perceptions held by different stakeholder groups about current relationships between cancer patient groups and pharmaceutical companies in Europe, and to explore opinions about ways in which partnerships between patient groups and pharmaceutical companies could evolve to the benefit of cancer patients. The survey was conducted using a structured questionnaire that contained a combination of matrix, scaled, and open-ended questions. The questionnaire was developed based on a literature search and the findings from ten in-depth interviews conducted with policy makers and advocates working at an EU level. Telephone interviews were carried out using a structured questionnaire with a convenience sample of 161 policy makers, cancer healthcare group representatives, and cancer patient group leaders from France, Germany, Hungary, Italy, Latvia, the Netherlands, Poland, Portugal, Romania, Spain, Sweden, and the UK. The interviews took place in the relevant language of the country. The current relationship between the pharmaceutical industry and cancer patient groups in Europe is generally viewed as positive, but it is also viewed as being unequal, not transparent enough, and not sufficiently patient-centric. There is broad agreement that cancer patient groups can help companies identify unmet needs and contribute to the development of innovative medicines; however, there is some concern about cancer patients

Impact of cancer support groups on childhood cancer treatment and abandonment in a private pediatric oncology centre

Directory of Open Access Journals (Sweden)

Arathi Srinivasan

2015-01-01

Full Text Available Aims: To analyze the impact of two cancer support groups in the treatment and abandonment of childhood cancer. Materials and Methods: This is a retrospective review of children with cancer funded and non-funded who were treated at Kanchi Kamakoti CHILDS Trust Hospital from 2010 to 2013. A total of 100 patients were funded, 57 by Ray of Light Foundation and 43 by Pediatric Lymphoma Project and 70 non-funded. Results: The total current survival of 80%, including those who have completed treatment and those currently undergoing treatment, is comparable in both the groups. Abandonment of treatment after initiating therapy was not seen in the financially supported group whereas abandonment of treatment after initiation was seen in one child in the non-funded group. Conclusions: Besides intensive treatment with good supportive care, financial support also has an important impact on compliance and abandonment in all socioeconomic strata of society. Financial support from private cancer support groups also has its impact beyond the patient and family, in reducing the burden on government institutions by non-governmental funding in private sector. Improvement in the delivery of pediatric oncology care in developing countries could be done by financial support from the private sector.

The effectiveness of support groups in Asian breast cancer patients: An integrative review

Directory of Open Access Journals (Sweden)

Fang-Yu Chou

2016-01-01

Full Text Available Cancer support group has been studied as an intervention to improve patient psychosocial well-being. The effectiveness of support groups among Asian breast cancer (BC patients has been unclear and received limited attention to the evidence of its effectiveness. The social-cognitive processing theory underlies the principles of support groups and advocates that a positive, supportive social environment can improve cognitive processing. The purpose of this paper is to present an integrative review of research evidence on the effectiveness of cancer support groups with Asian BC patients. Empirical studies related to support group among Asian and Asian American BC patients published between 1982 and April 2014 are reviewed. There are 15 studies selected (12 from the Asian-Pacific region and 3 from Western countries. The review includes 1 qualitative study, 3 descriptive studies, 1 mixed method design, and 10 experimental or quasi-experimental studies. The support group intervention activities include psycho-educational program such as health education, problem-solving, and stress management. These studies support the effectiveness of support group in alleviating psychological distress and supporting quality of life of Asian BC women. Overall, there is limited research on the use and effectiveness of support groups with Asians cancer patients in Asia and in Western countries. Without accounting for Asian immigrants overseas, the Asian population is expected to grow from 4.3 to 5.3 billion by 2050. As cancer patients become more diverse due to global emigration, more rigorous studies examining the effectiveness of psychosocial intervention among transcultural cancer patients are needed.

The Effectiveness of Support Groups in Asian Breast Cancer Patients: An Integrative Review.

Science.gov (United States)

Chou, Fang-Yu; Lee-Lin, Frances; Kuang, Lily Y

2016-01-01

Cancer support group has been studied as an intervention to improve patient psychosocial well-being. The effectiveness of support groups among Asian breast cancer (BC) patients has been unclear and received limited attention to the evidence of its effectiveness. The social-cognitive processing theory underlies the principles of support groups and advocates that a positive, supportive social environment can improve cognitive processing. The purpose of this paper is to present an integrative review of research evidence on the effectiveness of cancer support groups with Asian BC patients. Empirical studies related to support group among Asian and Asian American BC patients published between 1982 and April 2014 are reviewed. There are 15 studies selected (12 from the Asian-Pacific region and 3 from Western countries). The review includes 1 qualitative study, 3 descriptive studies, 1 mixed method design, and 10 experimental or quasi-experimental studies. The support group intervention activities include psycho-educational program such as health education, problem-solving, and stress management. These studies support the effectiveness of support group in alleviating psychological distress and supporting quality of life of Asian BC women. Overall, there is limited research on the use and effectiveness of support groups with Asians cancer patients in Asia and in Western countries. Without accounting for Asian immigrants overseas, the Asian population is expected to grow from 4.3 to 5.3 billion by 2050. As cancer patients become more diverse due to global emigration, more rigorous studies examining the effectiveness of psychosocial intervention among transcultural cancer patients are needed.

The potential usefulness of the Response Index in positron emission tomography assessing the therapeutic effect of pre-operative chemotherapy for advanced colorectal cancer.

Science.gov (United States)

Nomura, Masatoshi; Takahashi, Hidekazu; Haraguchi, Naotsugu; Nishimura, Junichi; Hata, Taishi; Matsuda, Chu; Ikenaga, Masakazu; Yamamoto, Hirofumi; Murata, Kohei; Doki, Yuichiro; Mori, Masaki; Mizushima, Tsunekazu

2017-12-01

Pre-operative chemotherapy is an option for patients with local advanced rectal cancer, but the response rate to pre-operative chemotherapy with oxaliplatin is still low. If the therapeutic effect of pre-operative chemotherapy could be assessed, we may be able to convert to surgery early. The purpose of the present study was to validate the correlation between the maximum standardized uptake value (SUV max ) in 18F-fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT) of the primary tumor and the therapeutic effect of pre-operative chemotherapy in advanced colorectal cancer. Retrospective cohort study from January 2011 to October 2015. We examined 28 patients with pathologically confirmed sigmoid or rectal cancer that underwent pre-operative chemotherapy and surgery. The correlation between Response Index (RI), calculated as (SUV max after chemotherapy)/(SUV max before chemotherapy), and the therapeutic effect on the primary tumor in advanced colorectal cancer. The degree of differentiation (p = 0.04), SUV max in the primary tumor after chemotherapy (p = 0.02), and RI (p = 0.008) were significant predictors of the therapeutic effect in univariate analysis. The areas under the ROC curve constructed with RI and therapeutic effect was 0.77. The optimal cut-off values for the RI in the responder group was effect of chemotherapy on advanced colorectal cancer. Thus, RI is potentially useful for predicting the therapeutic effect in advanced colorectal cancer.

The current status of emergency operations at a high-volume cancer center.

Science.gov (United States)

Komori, Koji; Kimura, Kenya; Kinoshita, Takashi; Ito, Seiji; Abe, Tetsuya; Senda, Yoshiki; Misawa, Kazunari; Ito, Yuichi; Uemura, Norihisa; Natsume, Seiji; Kawai, Ryosuke; Kawakami, Jiro; Asano, Tomonari; Iwata, Yoshinori; Kurahashi, Shintaro; Tsutsuyama, Masayuki; Shigeyoshi, Itaru; Shimizu, Yasuhiro

2014-01-01

This study aimed to assess the pathogenic causes, clinical conditions, surgical procedures, in-hospital mortality, and operative death associated with emergency operations at a high-volume cancer center. Although many reports have described the contents, operative procedures, and prognosis of elective surgeries in high-volume cancer centers, emergency operations have not been studied in sufficient detail. We retrospectively enrolled 28 consecutive patients who underwent emergency surgery. Cases involving operative complications were excluded. The following surgical procedures were performed during emergency operations: closure in 3 cases (10.7%), diversion in 22 cases (78.6%), ileus treatment in 2 cases (7.1%), and hemostasis in 1 case (3.6%). Closure alone was performed only once for peritonitis. Diversion was performed in 17 cases (77.3%) of peritonitis, 4 cases (18.2%) of stenosis of the gastrointestinal tract, and 1 case (4.5%) of bleeding. There was a significant overall difference (P = 0.001). The frequency of emergency operations was very low at a high-volume cancer center. However, the recent shift in treatment approaches toward nonoperative techniques may enhance the status of emergency surgical procedures. The results presented in this study will help prepare for emergency situations and resolve them as quickly and efficiently as possible.

Current Operative Management of Breast Cancer: An Age of Smaller Resections and Bigger Cures

International Nuclear Information System (INIS)

Rostas, J.W.; Dyess, D.L.

2012-01-01

Surgical resection was the first effective treatment for breast cancer and remains the most important treatment modality for curative intent. Refinements in operative techniques along with the use of adjuvant radiotherapy and advanced chemotherapeutic agents have facilitated increasingly focused breast cancer operations. Surgical management of breast cancer has shifted from extensive and highly morbid procedures, to the modern concept obtaining the best possible cosmetic result in tandem with the appropriate oncological resection. An ever-growing comprehension of breast cancer biology has led to substantial advances in molecular diagnosis and targeted therapies. An emerging frontier involves the breast cancer microenvironment, as a thorough understanding, while currently lacking, represents a critical opportunity for diagnosis and treatment. Collectively, these improvements will continue to push all therapeutic interventions, including operative, toward the goal of becoming more focused, targeted, and less morbid

Evaluation of a ''no-cost'' Internet technology-based system for teleradiology and Co-operative Work

Energy Technology Data Exchange (ETDEWEB)

Bergh, B.; Schlaefke, A.; Pietsch, M.; Garcia, I. [Department of Information and Communication Technology, Klinikum der Johann Wolfgang Goethe Universitaet, Theodor-Stern-Kai 7, 60590 Frankfurt am Main (Germany); Vogl, T.J. [Institute of Diagnostic and Interventional Radiology, Klinikum der Johann Wolfgang Goethe Universitaet, Theodor-Stern-Kai 7, 60590 Frankfurt am Main (Germany)

2003-02-01

The aim of this study was to assess the suitability of a no-cost system based on standard Internet technology components for teleradiology. The system was composed of free software (communication, DICOM viewer, compression) and standard off-the-shelf hardware components. For different image (CR, CT, MR) and network types (LAN and ISDN) the File Transfer, Audio and Video Conference, and Co-operative Work properties were examined and compared with the literature referring to standard complete packages and dedicated teleradiology systems. The main advantages of the no-cost system are: price; ease of use; independence from specific hardware; and potential connection to any possible partner. The performance of the File Transfer and the Audio and Video Conference was comparable to the other system groups with slight disadvantages in the usability. For Co-operative Work the employed ''application sharing'' technology does not meet the clinical requirements, which applies identically to the standard complete packages. Here the specialized systems prove superior, although they are proprietary. With minimal restraints the evaluated no-cost solution can be used for File Transfer and Conference scenarios. The usage for Co-operative Work with ISDN is not recommended, unless for the purpose of gaining experience or when dealing with small amounts of cases or images. (orig.)

Radiation effects of protons and 60Co γ rays on CMOS operational amplifier

International Nuclear Information System (INIS)

Lu Wu; Ren Diyuan; Guo Qi; Yu Xuefeng; Yan Rongliang

1997-01-01

Radiation effects of 60 Co γ ray and 4,7 and 30 MeV protons on LF 7650 CMOS operational amplifier were investigated. The damage mechanism of LF7650 was discussed. It is indicated that the mobility reduction of major carrier caused by ionizing and displacement damage is the chief mechanism causing the failure of CMOS operational amplifier irradiated by protons, and that is why the degradation of LF 7650 caused by protons is much more serious than that caused by 60 Co γ ray. In addition, a comparison of proton radiation effects on CMOS operational amplifier and MOSFET showed a significant difference in mechanism

Chitosan-hyaluronan based 3D co-culture platform for studying the crosstalk of lung cancer cells and mesenchymal stem cells.

Science.gov (United States)

Han, Hao-Wei; Hsu, Shan-Hui

2016-09-15

The controversial roles of mesenchymal stem cells (MSCs) in lung cancer development are not yet resolved because of the lack of an extracellular environment that mimics the tumor microenvironment. Three-dimensional (3D) culture system is an emerging research tool for biomedical applications such as drug screening. In this study, MSCs and human non-small cell lung carcinoma cells (A549) were co-cultured on a thin biomaterial-based substratum (hyaluronan-grafted chitosan, CS-HA; ∼2μm), and they were self-organized into the 3D tumor co-spheroids with core-shell structure. The gene expression levels of tumorigenicity markers in cancer cells associated with cancer stemness, epithelial-mesenchymal transition (EMT) property, and cell mobility were up-regulated for more than twofold in the MSC-tumor co-spheroids, through the promoted expression of certain tumor enhancers and the direct cell-cell interaction. To verify the different extents of tumorigenicity, A549 cells or those co-cultured with MSCs were transplanted into zebrafish embryos for evaluation in vivo. The tumorigenicity obtained from the zebrafish xenotransplantation model was consistent with that observed in vitro. These evidences suggest that the CS-HA substrate-based 3D co-culture platform for cancer cells and MSCs may be a convenient tool for studying the cell-cell interaction in a tumor-like microenvironment and potentially for cancer drug testing. Mesenchymal stem cells (MSCs) have been found in several types of tumor tissues. However, the controversial roles of MSCs in cancer development are still unsolved. Chitosan and hyaluronan are commonly used materials in the biomedical field. In the current study, we co-cultured lung cancer cells and MSCs on the planar hyaluronan-grafted chitosan (CS-HA) hybrid substrates, and discovered that lung cancer cells and MSCs were rapidly self-assembled into 3D tumor spheroids with core-shell structure on the substrates after only two days in culture. Therefore, CS

Financial Instruments and Conflicts of Interest: Application to French Agricultural Co-operatives

Directory of Open Access Journals (Sweden)

Francis Declerck

2015-11-01

Agricultural co-operatives' governance and economic projects are often misunderstood by external financial investors. The risk of conflicts of interest plays a role in these misunderstandings in the way retained earnings, returns to agricultural products brought by co-op member and returns to equity capital. Such risks are identified and answers are proposed.

Effects of MVP regimen on operation and cancer tisswes of Lung Cancer patients

Directory of Open Access Journals (Sweden)

Yunzhong ZHOU

2008-02-01

Full Text Available Background and objective Preoperative chemotherapy increases the difficulty and risk of patients爷operation. The aim of this study is to analyze the change of thoracic tissue, study the influence ofchemotherapy to operation, discuss the special aspects of surgical management and observe the pathological change of focus after chemotherapy. Methods 100 patients were chosen and randomly divided into two groups(operation first group, 50 cases; chemotherapy first group, 50 cases . Some patient爷s pathological sections were observed to investigate focus morphological influence of preoperative chemotherapy and the clinical response rate were compared with pathological response rate. Results It was showed that preoperative chemotherapy conduced different degree thoracic tissue fibrosis. Data statistics demonstrated that there were no significance difference of the operation time, blood loss during operation and drainage volume in first day after operation between two groups. The preoperativechemotherapy increased the difficulty of operation because of tissue fibrosis and scarification, but the risk could be avoided by skillful operation. In first operation group, there were various pathological changes in tumor tissue and the pathological response rate was not completely accordance with the clinical response rate. The focus pathological response rate of two cycles chemotherapy was more higher than that of one cycle chemotherapy. Conclusion Chemotherapy increases the risks of operation. Surgeons carefulness and better skills during operation are the key points to avoid the hazards of surgery. Two preoperative chemotherapy cycles are more suitable for the patients.

Role of antioxidant therapy in ameliorating the side effects of post-operative radiotherapy on genetic material of cancer cervix patients

International Nuclear Information System (INIS)

Korraa, S.; Elmaghraby, T.; Arian, F.; Mahfouz, M.

2003-01-01

The oxidative stress found in cancer patients and radiotherapy was resulted from the increased production of oxidants in the body and the inefficiency of endogenous antioxidant system to eliminate such oxidants. The present study was carried out to investigated whether supplementation of cancer cervix patients during radiotherapy with antioxidants can ameliorate the damaging effects of radiation on DNA of circulating lymphocytes or not. Accordingly, apoptosis, DNA-fragmentation, lipid peroxidation and the frequency of micronuclei among cancer cervix patient undergoing post-operative radiotherapy (n=40) were measured with and without the administration course of antioxidant antox (including 60 mg vitamin C 10 mg vitamin E, 1000 U I vitamin A and 50 mg selenium). Patients were divided into 2 groups each of 20 patients. The first group was administered the antioxidant antox, 200 mg per day, during radiotherapy and one week more post-cessation of radiotherapy , while the second group did not supplemented with antox. All parameters were investigated in a control group of 20 normal healthy women and in the 40 patient ones

Efficacy of post-operative radiotherapy in the treatment of breast cancer

Energy Technology Data Exchange (ETDEWEB)

Api, P; Corcione, S; Magnoni, G

1985-01-01

A clinical evaluation regarding the efficacy of post-operative radiotherapy in 294 patients with breast cancer is presented. In the author's opinion post-operative radiotherapy is fundamental in the treatment of this tumor. 21 refs.

Implementation of Canny and Isotropic Operator with Power Law Transformation to Identify Cervical Cancer

Science.gov (United States)

Amalia, A.; Rachmawati, D.; Lestari, I. A.; Mourisa, C.

2018-03-01

Colposcopy has been used primarily to diagnose pre-cancer and cancerous lesions because this procedure gives an exaggerated view of the tissues of the vagina and the cervix. But, the poor quality of colposcopy image sometimes makes physician challenging to recognize and analyze it. Generally, Implementation of image processing to identify cervical cancer have to implement a complex classification or clustering method. In this study, we wanted to prove that by only applying the identification of edge detection in the colposcopy image, identification of cervical cancer can be determined. In this study, we implement and comparing two edge detection operator which are isotropic and canny operator. Research methodology in this paper composed by image processing, training, and testing stages. In the image processing step, colposcopy image transformed by nth root power transformation to get better detection result and continued with edge detection process. Training is a process of labelling all dataset image with cervical cancer stage. This process involved pathology doctor as an expert in diagnosing the colposcopy image as a reference. Testing is a process of deciding cancer stage classification by comparing the similarity image of colposcopy results in the testing stage with the image of the results of the training process. We used 30 images as a dataset. The result gets same accuracy which is 80% for both Canny or Isotropic operator. Average running time for Canny operator implementation is 0.3619206 ms while Isotropic get 1.49136262 ms. The result showed that Canny operator is better than isotropic operator because Canny operator generates a more precise edge with a fast time instead.

Facilitation of self-transcendence in a breast cancer support group: II.

Science.gov (United States)

Coward, Doris Dickerson

2003-01-01

To pilot a second support group intervention study promoting self-transcendence perspectives and activities and to document changes over time in well-being in support group participants compared with nonparticipants. Quasiexperimental, partial randomization, preference trial design. An urban breast cancer resource center established by survivors. 41 women with newly diagnosed breast cancer were recruited, and 39 completed the study. 22 women participated in three intervention support groups; 17 were in a comparison group. The intervention was an eight-week, closed support group based on self-transcendence theory. Data were collected three times during 14 months. Support group intervention, self-transcendence, and emotional and physical well-being. The intervention group had lower scores than the comparison group on self-transcendence and well-being variables at baseline (time [T] 1). Scores were higher for both groups postintervention (T2), with no differences between groups. One year postintervention (T3), intervention group scores again were lower than comparison group scores. Intervention group T3 scores were unchanged from T2. Most potential participants were unwilling to risk being randomized into a nonpreferred group. Activities based on self-transcendence theory were associated with expanded perspectives and activities and an improved sense of well-being in support group participants at the end of the intervention, but not one year later. Findings from the pilot studies informed a study currently in progress. Nurses should maintain awareness of local resources for support and make that information available to women when they are newly diagnosed with breast cancer, during their treatment, and later.

Systematic drug screening reveals specific vulnerabilities and co-resistance patterns in endocrine-resistant breast cancer.

Science.gov (United States)

Kangaspeska, Sara; Hultsch, Susanne; Jaiswal, Alok; Edgren, Henrik; Mpindi, John-Patrick; Eldfors, Samuli; Brück, Oscar; Aittokallio, Tero; Kallioniemi, Olli

2016-07-04

The estrogen receptor (ER) inhibitor tamoxifen reduces breast cancer mortality by 31 % and has served as the standard treatment for ER-positive breast cancers for decades. However, 50 % of advanced ER-positive cancers display de novo resistance to tamoxifen, and acquired resistance evolves in 40 % of patients who initially respond. Mechanisms underlying resistance development remain poorly understood and new therapeutic opportunities are urgently needed. Here, we report the generation and characterization of seven tamoxifen-resistant breast cancer cell lines from four parental strains. Using high throughput drug sensitivity and resistance testing (DSRT) with 279 approved and investigational oncology drugs, exome-sequencing and network analysis, we for the first time, systematically determine the drug response profiles specific to tamoxifen resistance. We discovered emerging vulnerabilities towards specific drugs, such as ERK1/2-, proteasome- and BCL-family inhibitors as the cells became tamoxifen-resistant. Co-resistance to other drugs such as the survivin inhibitor YM155 and the chemotherapeutic agent paclitaxel also occurred. This study indicates that multiple molecular mechanisms dictate endocrine resistance, resulting in unexpected vulnerabilities to initially ineffective drugs, as well as in emerging co-resistances. Thus, combatting drug-resistant tumors will require patient-tailored strategies in order to identify new drug vulnerabilities, and to understand the associated co-resistance patterns.

Ignalina plant licensing process, international co-operation and assistance

International Nuclear Information System (INIS)

Bystedt, P.

1999-01-01

The challenge for Lithuania as a country with regained independence was to perform a licensing review in a way never done before in the country and in a time schedule that was extremely short. The work included establishing of the licensing base, strengthening the regulatory authority and organising the technical support, establish and implement a safety improvement program, production of the safety case and review of the safety case, and to derive a conclusion regarding whether to issue a licence or not. This was to be done together with other tasks, such as implementation of modifications included in the safety improvement programme at Ignalina, implementation of a new storage for spent fuel and, most important of all, to manage the operational safety at the plant. The achievements are impressive seen in view of the point of start and in view of the time and resources that have been available. Lithuania has put forward a unique safety documentation of an RBMK reactor and presented an in-depth safety evaluation in full openness to Western experts, giving the unique possibility to compare the safety of the Ignalina reactors to Western standards. The co-operation that has been established between Lithuania and Western experts through different assistance programmes is of outmost value, for all involved parties. Co-operation should continue as one element of the challenges for the future

Trust and the successful coordination of SME co-operation – an empirical study in Slovenia

Directory of Open Access Journals (Sweden)

Richard Lang

2009-11-01

Full Text Available This paper aims to investigate the role of trust and test the impact of trust on performance in the context of co-operation between small- and medium-sized enterprises (‘SMEs’ in a transition country. Based on a sample of 122 Slovenian SMEs, an analysis based on OLS regression reveals that trust does have a strong impact on performance. We thereby identify trust as a powerful co-ordinating mechanism for SME relationships involving co-operation in transition economies.

Second cancer after radiotherapy of the uterine cervical cancer

International Nuclear Information System (INIS)

Koizumi, Tadashi; Soejima, Toshinori; Hirota, Saeko; Obayashi, Kayoko; Ishida, Teruko; Takada, Yoshiki; Yoshida, Shoji; Kimura, Shuji

1993-01-01

To study the relative risk of second cancer after radiotherapy, we reviewed 2465 cases of uterine cervical cancer who were treated in our institute from 1962 to 1986 and were followed up for more than 5 years. Among them, 1502 cases were treated by radiotherapy with or without surgery (radiotherapy group), and the remainder were treated by surgery only (surgery only group). We defined second cancer as malignancy that occurred in another organ after an interval of 5 years or more from the end of treatment of the first cancer. The relative risk of second cancer was computed by the person-year method advocated by Schoenberg. Second cancer was observed among 8 cases of the surgery group, whereas 43 cases were observed among the radiotherapy group. The cases were: rectal cancer, 6 cases; bladder cancer, 4 cases. The observed and expected ratio (O/E ratio) was 4.02 in rectal cancer and 7.98 in bladder cancer. This incidence of the both cancers was significantly high in the radiotherapy group. Three of the 6 cases with rectal cancer underwent operation in our institute. The incubation periods between the first and second cancers were from 9 to 21 years. Each case exhibited symptoms of chronic radiation proctitis after radiotherapy for uterine cervical cancer. It is thought necessary to follow up such cases carefully to detect radiation induced cancer. (author)

CO{sub 2}MPARE. CO2 Model for Operational Programme Assessment in EU Regions. Improved carbon management with EU Regional Policy. Final Report

Energy Technology Data Exchange (ETDEWEB)

Hekkenberg, M. [ECN Policy Studies, Amsterdam (Netherlands); Schram, J. [Energies Demain, Montreuil Sous Bois (France); Amerighi, O. [Italian National Agency for New Technologies, Energy and Sustainable Economic Development ENEA, Rome (Italy); Keppo, I. [University College London UCL, London (United Kingdom); Papagianni, S. [Centre for Renewable Energy Sources and Saving CRES, Pikermi Attiki (Greece); Ten Donkelaar, M. [ENVIROS, Prague (Czech Republic)

2013-03-15

The CO2MPARE model supports national and regional authorities in making balanced decisions for their investment portfolio under their regional development programmes, in particular under their Operational Programmes of EU Regional Policy. The EU's climate objectives require that investments across the EU are channeled towards low-carbon development. The carbon impacts of investments should therefore be seriously considered in the decision making process of regional development programmes. The CO2MPARE model informs national and regional authorities on the impacts that the investments under various Operational Programmes can have in terms of CO2 emissions. Knowing which investments lead either to additional emissions or rather to emission reductions, and what the overall impact of a programme is, represents the first step towards investment decisions that have decarbonisation co-benefits. CO2MPARE estimates the combined carbon impact of all activities that take place under a programme, and provides insights into the relative contributions of the different themes. Through its high aggregation level, it allows comparison of investment scenarios rather than individual projects. As such, it aims to support informed decisions on investment strategies rather than project investment decisions. In doing so, it also helps to build and develop a 'carbon culture' within the authorities directly or indirectly in charge of managing Regional Policy Operational Programmes. The model is primarily aimed at Operational Programmes co-financed by the European Regional Development Fund (ERDF)

A social comparison theory analysis of group composition and efficacy of cancer support group programs.

Science.gov (United States)

Carmack Taylor, Cindy L; Kulik, James; Badr, Hoda; Smith, Murray; Basen-Engquist, Karen; Penedo, Frank; Gritz, Ellen R

2007-07-01

Group-based psychosocial programs provide an effective forum for improving mood and social support for cancer patients. Because some studies show more benefit for patients with initially high psychosocial distress, and little or no benefit for patients with initially low distress, support programs may better address patient needs by only including distressed patients. However, distressed patients may benefit particularly from the presence of nondistressed patients who model effective coping, an idea many researchers and extensions of social comparison theory support. We present a theoretical analysis, based on a social comparison perspective, of how group composition (heterogeneous group of distressed and nondistressed patients versus homogeneous group of distressed patients) may affect the efficacy of cancer support programs. We propose that a heterogeneous group allows distressed patients maximal opportunity for the various social comparison activities they are likely to prefer; a homogeneous group does not. Though the presence of nondistressed patients in a heterogeneous group potentially benefits distressed patients, the benefits for nondistressed patients are unclear. For nondistressed patients, heterogeneous groups may provide limited opportunities for preferred social comparison activity and may create the possibility for no benefit or even negative effects on quality of life. We also discuss ethical issues with enrolling nondistressed patients whose presence may help others, but whose likelihood of personal benefit is questionable.

Co-Operative Advances in Behavioral Health and Performance Research and Operations

Science.gov (United States)

VanderArk, Stephen T.; Leveton, Lauren B.

2011-01-01

In organizations that engage in both operations and applied research, with operational needs guiding research questions and research informing improved operations, the ideal goal is a synergy of ideas and information. In reality, this ideal synergy is often lacking. Real-time operational needs driving day-to-day decisions, lack of communication, lag time in getting research advances plugged into operations can cause both areas to suffer from this gap between operations and research. At Johnson Space Center, the Behavior Health and Performance group (BHP) strives to bridge this gap by following a Human Research Program framework: Expectations of future operational needs identify the knowledge gaps; the gaps in turn guide research leading to a product that is transitioned into operations. Thus, the direction those of us in research take is in direct response to current and future needs of operations. Likewise, those of us in operations actively seek knowledge that is supported by evidence-based research. We make an ongoing effort to communicate across the research and operations gap by working closely with each other and making a conscious effort to keep each other informed. The objective of the proposed panel discussion is to demonstrate through the following presentations the results of a successful collaboration between research and operations and to provide ASMA members with more practical knowledge and strategies for building these bridges to serve our field of practice well. The panel will consist of six presenters from BHP operations, internal BHP research, and external research instigated by BHP who together represent the entire BHP Research Transition to Operations Framework

Effect of Several Negative Rounds of Human Papillomavirus and Cytology Co-testing on Safety Against Cervical Cancer: An Observational Cohort Study.

Science.gov (United States)

Castle, Philip E; Kinney, Walter K; Xue, Xiaonan; Cheung, Li C; Gage, Julia C; Zhao, Fang-Hui; Fetterman, Barbara; Poitras, Nancy E; Lorey, Thomas S; Wentzensen, Nicolas; Katki, Hormuzd A; Schiffman, Mark

2018-01-02

Current U.S. cervical cancer screening and management guidelines do not consider previous screening history, because data on multiple-round human papillomavirus (HPV) and cytology "co-testing" have been unavailable. To measure cervical cancer risk in routine practice after successive negative screening co-tests at 3-year intervals. Observational cohort study. Integrated health care system (Kaiser Permanente Northern California, Oakland, California). 990 013 women who had 1 or more co-tests from 2003 to 2014. 3- and 5-year cumulative detection of (risk for) cervical intraepithelial neoplasia grade 3, adenocarcinoma in situ, and cervical cancer (≥CIN3) in women with different numbers of negative co-tests, overall and within subgroups defined by previous co-test results or baseline age. Five-year ≥CIN3 risks decreased after each successive negative co-test screening round (0.098%, 0.052%, and 0.035%). Five-year ≥CIN3 risks for an HPV-negative co-test, regardless of the cytology result, nearly matched the performance (reassurance) of a negative co-test for each successive round of screening (0.114%, 0.061%, and 0.041%). By comparison, ≥CIN3 risks for the cytology-negative co-test, regardless of the HPV result, also decreased with each successive round, but 3-year risks were as high as 5-year risks after an HPV-negative co-test (0.199%, 0.065%, and 0.043%). No interval cervical cancer cases were diagnosed after the second negative co-test. Independently, ≥CIN3 risks decreased with age. Length of previous screening interval did not influence future ≥CIN3 risks. Interval-censored observational data. After 1 or more negative cervical co-tests (or HPV tests), longer screening intervals (every 5 years or more) might be feasible and safe. National Cancer Institute Intramural Research Program.

Working group on unbundling of electricity trade operations 2. A group report; Saehkoeliiketoimintojen eriyttaemistyoeryhmae 2. Tyoeryhmaen mietintoe

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-09-01

The current unbundling of operations in accounts has proved inadequate. No formula or model that could be made binding by provisions have been defined for unbundled accounts. In addition, unbundling can draw a distinct line between commercial activities and network operations, which have assumed various authoritative functions. Against this background, the need for clearer unbundling has become more marked. The working group suggests that the current provisions on unbundling of trade operations should be tightened and that the unbundling should be made clearer especially in terms of allocation of joint costs. For this, the necessary preparations by the authorities should be initiated urgently. At the same time, the working group proposes that network operations should be unbundled from other operations by incorporation or by unbundling them into a separate public utility. The smallest electric utilities should be exempted from the obligation of incorporating network operations. According to the working group, the lower limit could be fixed e.g. at 70 GWh a year. The working group also suggests that the licensees must own the electricity networks they operate. The licensees could not rent their networks from the mother company nor lease them from a financing company. The model proposed by the working group would redress the major problems connected with the supervision of the electricity market. The monopoly, i.e. the electricity network operations, under the supervision of the Electricity Market Authority could thus be unbundled. This would improve the functioning of the market and facilitate the supervision. However, the model would not abolish the tax concession of municipal public utilities in competitive trade operations, production and sale of electricity. The tax concession may affect the competitive situation on the electricity market. (orig.)

Benefits and adverse effects of post-operative radiation therapy after radical cystectomy for patients with advanced bladder cancer

International Nuclear Information System (INIS)

Yabusaki, Noboru; Komatsu, Hideki; Tanabe, Nobuaki; Tago, Kiichiro; Ueno, Akira

1995-01-01

The benefits and adverse effects of post-operative irradiation for advanced bladder cancer patients were investigated. Ten patients with pT3b, pT4 or pN+ bladder cancer who underwent radical cystectomy at Yamanashi Medical University Hospital during 7 years and 3 months from October 1983 to December 1991 received adjuvant chemotherapy and radiotherapy (Group 1). During the same period, six patients with recurrent tumor after radical cystectomy were treated by radiotherapy (Group II). Stages of the primary tumors were PT2 in 1, pT3a in 2, pT3b in 6 and pT4 in 7 cases. In addition, 10 of 16 patients (63%) had positive nodes. During the follow-up period, seven patients died of cancer, and one died of other cause. As a result eight patients (5 in Group I, 3 in Group II) are alive. The cumulative 5-year survival rate is 50%. However, nine of the 16 patients (56%) suffered from the small bowel obstruction as an adverse effect of irradiation. Six patients required resection of the small bowel or bypass surgery. Radiation after radical cystectomy seemed to be effective for the local control of the tumor, but the adverse effect to the digestive system was very severe and common. (author)

Interactions between the Design and Operation of Shale Gas Networks, Including CO2 Sequestration

Directory of Open Access Journals (Sweden)

Sharifzadeh Mahdi

2017-04-01

Full Text Available As the demand for energy continues to increase, shale gas, as an unconventional source of methane (CH4, shows great potential for commercialization. However, due to the ultra-low permeability of shale gas reservoirs, special procedures such as horizontal drilling, hydraulic fracturing, periodic well shut-in, and carbon dioxide (CO2 injection may be required in order to boost gas production, maximize economic benefits, and ensure safe and environmentally sound operation. Although intensive research is devoted to this emerging technology, many researchers have studied shale gas design and operational decisions only in isolation. In fact, these decisions are highly interactive and should be considered simultaneously. Therefore, the research question addressed in this study includes interactions between design and operational decisions. In this paper, we first establish a full-physics model for a shale gas reservoir. Next, we conduct a sensitivity analysis of important design and operational decisions such as well length, well arrangement, number of fractures, fracture distance, CO2 injection rate, and shut-in scheduling in order to gain in-depth insights into the complex behavior of shale gas networks. The results suggest that the case with the highest shale gas production may not necessarily be the most profitable design; and that drilling, fracturing, and CO2 injection have great impacts on the economic viability of this technology. In particular, due to the high costs, enhanced gas recovery (EGR using CO2 does not appear to be commercially competitive, unless tax abatements or subsidies are available for CO2 sequestration. It was also found that the interactions between design and operational decisions are significant and that these decisions should be optimized simultaneously.

Actinide data in the thermal energy range - International Evaluation Co-operation Volume 3

International Nuclear Information System (INIS)

Tellier, Henri; Weigmann, H.; Sowerby, M.; Mattes, Margarete; Matsunobu, Hiroyuki; Tsuchihashi, Keichiro; Halsall, M.J.; Weston, L.; Deruytter, A.J.

1994-01-01

A Working Party on International Evaluation Co-operation was established under the sponsorship of the OECD/NEA Nuclear Science Committee (NSC) to promote the exchange of information on nuclear data evaluations, validation, and related topics. Its aim is also to provide a framework for co-operative activities between members of the major nuclear data evaluation projects. This includes the possible exchange of scientists in order to encourage co-operation. Requirements for experimental data resulting from this activity are compiled. The Working Party determines common criteria for evaluated nuclear data files with a view to assessing and improving the quality and completeness of evaluated data. The Parties to the project are: ENDF (United States), JEFF/EFF (NEA Data Bank Member countries), and JENDL (Japan). Co-operation with evaluation projects of non-OECD countries are organised through the Nuclear Data Section of the International Atomic Energy Agency (IAEA). This report was issued by a Subgroup investigating actinide data in the thermal energy range. Thermal nuclear constants for the primary actinides have been extensively studies, but the most recent evaluations are not in full agreement with thermal reactor calculations. The objective of the Subgroup was to identify the origin of these differences and to reassess the recent evaluations. A considerable effort was devoted to the η of U-235, where analysis of lattice temperature coefficient measurements has suggested an energy dependent shape below thermal energy

Peer groups and operational cycle enhancements to the performance indicator report

International Nuclear Information System (INIS)

Stromberg, H.M.; DeHaan, M.S.; Gentillon, C.D.; Wilson, G.E.; Vanden Heuvel, L.N.

1992-01-01

Accurate performance evaluation and plant trending by the performance indicator program are integral parts of monitoring the operation of commercial nuclear power plants. The presentations of the NRC/AEOD performance indicator program have undergone a number of enhancements. The diversity of the commercial nuclear plants, coupled with continued improvements in the performance indicator program, has resulted in the evaluation of plants in logical peer groups and highlighted the need to evaluate the impact of plant operational conditions on the performance indicators. These enhancements allow a more-meaningful evaluation of operating commercial nuclear power plant performance. This report proposes methods to enhance the presentation of the performance indicator data by analyzing the data in logical peer groups and displaying the performance indicator data based on the operational status of the plants. Previously, preliminary development of the operational cycle displays of the performance indicator data was documented. This report extends the earlier findings and presents the continued development of the peer groups and operational cycle trend and deviation data and displays. This report describes the peer groups and enhanced PI data presentations by considering the operational cycle phase breakdowns, calculation methods, and presentation methods

Evaluation of post-operative prophylactic irradiation for carcinoma of the esophagus

International Nuclear Information System (INIS)

Mafune, Ken-ichi; Tanaka, Yoichi; Fujita, Kichishiro; Sakura, Mizuyoshi

1987-01-01

Of 147 patients with carcinoma of the esophagus resected at Saitama Cancer Center Hospital for 10 years, 98 cases were studied to evaluate post-operative prophylactic irradiation. The total dose of irradiation was up to 4,000 ∼ 5,000 rads of Linac X-ray and the irradiated field was T-shaped covering the upper mediastinal and bilateral cervical regions. The prognosis of the post-operative irradiated group (56 cases) was significantly better than that of the control group (42 cases) (p < 0.01). This study resulted in a five-year survival rate of 34.2 percent for patients in the post-operative irradiated group, compared to 16.7 percent for those in the control group. Further detailed comparative studies revealed similar results. Cancer recurrence occurred at the irradiated fields in 8 cases (14.3 %), though in 15 cases (35.7 %) of the control group. This suggested the local suppressive effect of the post-operative irradiation to the cancer recurrence. (author)

Trends in Female Breast Cancer by Age Group in the Chiang

Science.gov (United States)

Sripan, Patumrat; Sriplung, Hutcha; Pongnikorn, Donsuk; Virani, Shama; Bilheem, Surichai; Chaisaengkhaum, Udomlak; Maneesai, Puttachart; Waisri, Narate; Hanpragopsuk, Chirapong; Tansiri, Panrada; Khamsan, Varunee; Poungsombat, Malisa; Mawoot, Aumnart; Chitapanarux, Imjai

2017-05-01

Objectives: This study was conducted to determine incidence trends of female breast cancer according to age groups and to predict future change in Chiang Mai women through 2028. Method: Data were collected from all hospitals in Chiang Mai in northern Thailand, from 1989 through 2013, and used to investigate effects of age, year of diagnosis (period) and year of birth (cohort) on female breast cancer incidences using an age-period-cohort model. This model features geometric cut trends to predict change by young (<40 years), middle-aged (40-59) and elderly (≥60) age groups. Result: Of 5, 417 female breast cancer patients with a median age of 50 years (interquartile range: 43 to 59 years), 15%, 61% and 24% were young, middle-aged and elderly, respectively. Seventy nine percent of cancer cases in this study were detected at advanced stage. The trend in stage classification showed an increase in percentage of early stage and a decrease in metastatic cancers. Linear trends for cohort and period were not found in young females but were observed in middle-aged and elderly groups. Age-standardized rates (ASR) can be expected to remain stable around 6.8 per 100,000 women-years in young females. In the other age groups, the ASR trends were calculated to increase and reach peaks in 2024 of 120.2 and 138.2 per 100,000 women-years, respectively. Conclusion: Cohort effects or generation-specific effects, such as life style factors and the year of diagnosis (period) might have impacted on increased incidence in women aged over 40 years but not those under 40 years. A budget should be provided for treatment facilities and strategies to detect early stage cancers. The cost effectiveness of screening measures i.e. mammographic screening may need to be reconsidered for women age over 40 years. Creative Commons Attribution License

The Agency's technical co-operation programme with Ecuador 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Ecuador carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Thailand 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Thailand carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Malaysia 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Malaysia carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Pakistan 1985-1995 country programme summaries

International Nuclear Information System (INIS)

1995-01-01

This report contains a review of the Agency's technical co-operation activities in Pakistan carried out during 1985-1995. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Nigeria 1986-1996 country programme summaries

International Nuclear Information System (INIS)

1996-01-01

This report contains a review of the Agency's technical co-operation activities in Nigeria carried out during 1986-1996. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Colombia 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Colombia carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Portugal 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Portugal carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Jamaica 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Jamaica carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Bolivia 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Bolivia carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Panama 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Panama carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Bangladesh 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Bangladesh carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Panama 1985-1995 country programme summaries

International Nuclear Information System (INIS)

1995-01-01

This report contains a review of the Agency's technical co-operation activities in Panama carried out during 1985-1995. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Guatemala 1985-1995 country programme summaries

International Nuclear Information System (INIS)

1995-01-01

This report contains a review of the Agency's technical co-operation activities in Guatemala carried out during 1985-1995. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Iceland 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Iceland carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Bangladesh 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Bangladesh carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Cyprus 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Cyprus carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Albania 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Albania carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Indonesia 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Indonesia carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Poland 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Poland carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Romania 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Romania carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Greece 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Greece carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Nicaragua 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Nicaragua carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Afghanistan 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Afghanistan carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Bolivia 1986-1996 country programme summaries

International Nuclear Information System (INIS)

1996-01-01

This report contains a review of the Agency's technical co-operation activities in Bolivia carried out during 1986-1996. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Myanmar 1985-1995 country programme summaries

International Nuclear Information System (INIS)

1995-01-01

This report contains a review of the Agency's technical co-operation activities in Myanmar carried out during 1985-1995. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Jordan 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Jordan carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Hungary 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Hungary carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Egypt 1985-1995 country programme summaries

International Nuclear Information System (INIS)

1995-01-01

This report contains a review of the Agency's technical co-operation activities in Egypt carried out during 1985-1995. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Mongolia 1985-1995 country programme summaries

International Nuclear Information System (INIS)

1995-01-01

This report contains a review of the Agency's technical co-operation activities in Mongolia carried out during 1985-1995. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Paraguay 1983-1993 country programme summaries

International Nuclear Information System (INIS)

1993-01-01

This report contains a review of the Agency's technical co-operation activities in Paraguay carried out during 1983-1993. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Mexico 1986-1996 country programme summaries

International Nuclear Information System (INIS)

1996-01-01

This report contains a review of the Agency's technical co-operation activities in Mexico carried out during 1986-1996. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

The Agency's technical co-operation programme with Paraguay 1984-1994 country programme summaries

International Nuclear Information System (INIS)

1994-01-01

This report contains a review of the Agency's technical co-operation activities in Paraguay carried out during 1984-1994. In terms of coverage and analytical depth, country programmes summaries stand somewhere midway between in-depth country programme evaluations and individual project evaluations. They attempt to provide a comprehensive, descriptive picture of the Agency's co-operation with a Member State in a manner that will be particularly useful for programming decisions. The attempt is very much to describe - largely through statistical data - not to provide independent analysis and evaluation

Experiences in Regional Cross Border Co-operation in River Management. Comparing Three Cases at the Dutch–German Border

NARCIS (Netherlands)

Wiering, M.A.; Verwijmeren, J.A.; Lulofs, K.; Feld, C.

2010-01-01

Cross border co-operation is increasingly viewed as an obvious and logical consequence of an integrated perspective on river management. Consequently, we would expect an increase of cross border co-operation and collaboration in EU member states, through joint planning, co-management or

Social representations about cancer

Directory of Open Access Journals (Sweden)

Andreja Cirila Škufca

2003-09-01

Full Text Available In this article we are presenting the results of the comparison study on social representations and causal attributions about cancer. We compared a breast cancer survivors group and control group without own experience of cancer of their own. Although social representations about cancer differ in each group, they are closely related to the concept of suffering, dying and death. We found differences in causal attribution of cancer. In both groups we found a category of risky behavior, which attributes a responsibility for a disease to an individual. Besides these factors we found predominate stress and psychological influences in cancer survivors group. On the other hand control group indicated factors outside the ones control e.g. heredity and environmental factors. Representations about a disease inside person's social space are important in co-shaping the individual process of coping with own disease. Since these representations are not always coherent with the knowledge of modern medicine their knowledge and appreciation in the course of treatment is of great value. We find the findingss of applied social psychology important as starting points in the therapeutic work with patients.

Evaluation of support groups for women with breast cancer: importance of the navigator role

Directory of Open Access Journals (Sweden)

Till James E

2003-05-01

Full Text Available Abstract Background At least some forms of breast cancer are increasingly being viewed as a chronic illness, where an emphasis is placed on meeting the various ongoing needs of people living with cancer, their families and other members of their social support networks. This commentary outlines some approaches to the evaluation of cancer-related support groups, with a particular emphasis on those designed to provide long-distance support, via the internet, for women with breast cancer. Discussion The literature on evaluations of community-based cancer support groups indicates that they offer a number of benefits, and that it is more reasonable to expect an impact of such interventions on psychosocial functioning and/or health-related quality of life than on survival. The literature on both face-to-face and online social support groups suggests that they offer many advantages, although evaluation of the latter delivery mechanism presents some ethical issues that need to be addressed. Many popular online support groups are peer-moderated, rather than professionally-moderated. In an evaluation of online support groups, different models of the role of the "navigator" need to be taken into account. Some conceptual models are outlined for the evaluation of the "navigator role" in meeting the informational, decisional and educational needs of women with breast cancer. The Breast-Cancer Mailing List, an example of an unmoderated internet-based peer-support group, is considered within the context of a Shared or Tacit Model of the navigator role. Conclusion Application of the concept of a "navigator role" to support groups in general, and to unmoderated online ones in particular, has received little or no attention in the research literature. The navigator role should be taken into account in research on this increasingly important aspect of cancer communication.

Triplet transitions of neutral CO in the spectra of comets and the abundance of CO2 or molecules containing the CO group in comets

International Nuclear Information System (INIS)

Biermann, L.

1976-03-01

The high-dispersion spectra of comet Mrkos (1957 V) taken at Mt. Palomar by J. L. Greenstein and remeasured by A. Woszczyk contain many unidentified weak lines. The possibility that some of these lines belong to transitions between triplet levels of neutral CO molecules is investigated. Their presence would suggest excitation related to the dissociative recombination of a parent containing the CO group, which is first ionized by solar uv. Of 31 CO lines (of the Asundi and Triplet systems), 14 are masked by known or by questionably identified lines as statistically expected. Of the remaining 17, 13 coincide within a few tenths of an Angstrom with an unidentified line and 4 do not. These results are contrary to statistical expectations. (Some members of the third positive system of CO, which might be present, have not been included in the figures.) Although these figures strongly favor the identification proposed, the numbers are not large enough to support entirely the argument of a small statistical probability (0.2 percent) of the observed state. Also, the rotational structure of the CO bands for the triplet systems needs further investigation. C. F. Lillie's observations of comet Bennett (1970 II) between 1200 and 1800 A, especially of the fourth positive system of CO, seem to favor a cometary atmosphere characterized by a large relative abundance of CO 2 and/or molecules containing the CO group. A model outlined for comet Bennett at 0.8 a.u. seems to be approximately consistent with observations. The chemical aspects, however, especially need further consideration. New observations, particularly of the Cameron bands of CO, are needed to settle the questions raised

Co-stimulatory signaling determines tumor antigen sensitivity and persistence of CAR T cells targeting PSCA+ metastatic prostate cancer.

Science.gov (United States)

Priceman, Saul J; Gerdts, Ethan A; Tilakawardane, Dileshni; Kennewick, Kelly T; Murad, John P; Park, Anthony K; Jeang, Brook; Yamaguchi, Yukiko; Yang, Xin; Urak, Ryan; Weng, Lihong; Chang, Wen-Chung; Wright, Sarah; Pal, Sumanta; Reiter, Robert E; Wu, Anna M; Brown, Christine E; Forman, Stephen J

2018-01-01

Advancing chimeric antigen receptor (CAR)-engineered adoptive T cells for the treatment of solid cancers is a major focus in the field of immunotherapy, given impressive recent clinical responses in hematological malignancies. Prostate cancer may be amenable to T cell-based immunotherapy since several tumor antigens, including prostate stem-cell antigen (PSCA), are widely over-expressed in metastatic disease. While antigen selectivity of CARs for solid cancers is crucial, it is problematic due to the absence of truly restricted tumor antigen expression and potential safety concerns with "on-target off-tumor" activity. Here, we show that the intracellular co-stimulatory signaling domain can determine a CAR's sensitivity for tumor antigen expression. A 4-1BB intracellular co-stimulatory signaling domain in PSCA-CARs confers improved selectivity for higher tumor antigen density, reduced T cell exhaustion phenotype, and equivalent tumor killing ability compared to PSCA-CARs containing the CD28 co-stimulatory signaling domain. PSCA-CARs exhibit robust in vivo anti-tumor activity in patient-derived bone-metastatic prostate cancer xenograft models, and 4-1BB-containing CARs show superior T cell persistence and control of disease compared with CD28-containing CARs. Our study demonstrates the importance of co-stimulation in defining an optimal CAR T cell, and also highlights the significance of clinically relevant models in developing solid cancer CAR T cell therapies.

Co-stimulatory signaling determines tumor antigen sensitivity and persistence of CAR T cells targeting PSCA+ metastatic prostate cancer

Science.gov (United States)

Priceman, Saul J.; Gerdts, Ethan A.; Tilakawardane, Dileshni; Kennewick, Kelly T.; Murad, John P.; Park, Anthony K.; Jeang, Brook; Yamaguchi, Yukiko; Urak, Ryan; Weng, Lihong; Chang, Wen-Chung; Wright, Sarah; Pal, Sumanta; Reiter, Robert E.; Brown, Christine E.; Forman, Stephen J.

2018-01-01

ABSTRACT Advancing chimeric antigen receptor (CAR)-engineered adoptive T cells for the treatment of solid cancers is a major focus in the field of immunotherapy, given impressive recent clinical responses in hematological malignancies. Prostate cancer may be amenable to T cell-based immunotherapy since several tumor antigens, including prostate stem-cell antigen (PSCA), are widely over-expressed in metastatic disease. While antigen selectivity of CARs for solid cancers is crucial, it is problematic due to the absence of truly restricted tumor antigen expression and potential safety concerns with “on-target off-tumor” activity. Here, we show that the intracellular co-stimulatory signaling domain can determine a CAR's sensitivity for tumor antigen expression. A 4-1BB intracellular co-stimulatory signaling domain in PSCA-CARs confers improved selectivity for higher tumor antigen density, reduced T cell exhaustion phenotype, and equivalent tumor killing ability compared to PSCA-CARs containing the CD28 co-stimulatory signaling domain. PSCA-CARs exhibit robust in vivo anti-tumor activity in patient-derived bone-metastatic prostate cancer xenograft models, and 4-1BB-containing CARs show superior T cell persistence and control of disease compared with CD28-containing CARs. Our study demonstrates the importance of co-stimulation in defining an optimal CAR T cell, and also highlights the significance of clinically relevant models in developing solid cancer CAR T cell therapies. PMID:29308300

Prognostic microRNAs in cancer tissue from patients operated for pancreatic cancer--five microRNAs in a prognostic index

DEFF Research Database (Denmark)

Schultz, Nicolai A; Andersen, Klaus; Roslind, Anne

2012-01-01

The aim of the present study was to identify a panel of microRNAs (miRNAs) that can predict overall survival (OS) in non micro-dissected cancer tissues from patients operated for pancreatic cancer (PC)....

Combined androgen blockade in the treatment of advanced prostate cancer--an overview. The Scandinavian Prostatic Cancer Group

DEFF Research Database (Denmark)

Iversen, P

1997-01-01

The value of combined androgen blockade in the treatment of patients with advanced prostate cancer is still controversial. In this review by the Scandinavian Prostatic Cancer Group, the literature addressing the concept and its clinical use is critically reviewed....

UK Natural Analogue Co-Ordinating Group: first annual progress report

International Nuclear Information System (INIS)

Hooker, P.J.; Chapman, N.A.

1987-11-01

The British Geological Survey is reponsible for co-ordinating the Department of the Environment's programme of natural analogue studies of radionuclide migration, a research programme that involved both UK and overseas sites. Co-ordination is achieved through the UK Natural Analogue Co-ordinating Group (NACG) which was established in October 1986. It has met three times to date and its function is to ensure that the different research projects have an integrated purpose aimed at improving and applying our understanding of natural geochemical processes in a way that will increase our confidence in long-term modelling predictions. Improved modelling prediction of radionuclide transport in the geosphere will directly benefit the performance and safety assessments of proposed radioactive waste repositories. (author)

Colon cancer trends in Norway and Denmark by socio-economic group

DEFF Research Database (Denmark)

Lynge, Elsebeth; Martinsen, Jan Ivar; Larsen, Inger Kristin

2015-01-01

in incidence by socio-economic group. METHODS: Persons participating in the 1970 censuses in Norway and Denmark were aged 55-75 years in 1971-1980 (called pre-crossing period) and in 1991-2000 (called post-crossing period), respectively. Country, sex, age and socio-economic group-specific colon cancer......AIMS: Norway has experienced an unprecedented rapid and so far unexplained increase in colon cancer incidence. Norwegian rates passed Danish rates for men in 1985 and for women in 1990. This study aimed to unravel clues to the development in colon cancer incidence by investigating changes over time...... incidence rates. Percent change in the average rate from the pre- to the post-crossing period. RESULTS: In the pre-crossing period, Norwegian male managers/administrators had the highest colon cancer incidence, but the largest increase in incidence from the pre-to the post-crossing period was seen...

Your Lung Operation: After Your Operation

Medline Plus

Full Text Available ... ASE Medical Student Core Curriculum ACS/ASE Medical Student Simulation-Based Surgical Skills Curriculum Cancer Education Cancer Education Cancer Education Cancer Programs Conference: Learn. Interact. Transform. CoC Events Quality Education Quality Education Quality Education ...

Real/binary co-operative and co-evolving swarms based multivariable PID controller design of ball mill pulverizing system

International Nuclear Information System (INIS)

Menhas, Muhammad Ilyas; Fei Minrui; Wang Ling; Qian Lin

2012-01-01

Highlights: ► We extend the concept of co-operation and co-evolution in some PSO variants. ► We use developed co-operative PSOs in multivariable PID controller design/tuning. ► We find that co-operative PSOs converge faster and give high quality solutions. ► Dividing the search space among swarms improves search efficiency. ► The proposed methods allow the practitioner for heterogeneous problem formulation. - Abstract: In this paper, multivariable PID controller design based on cooperative and coevolving multiple swarms is demonstrated. A simplified multi-variable MIMO process model of a ball mill pulverizing system with steady state decoupler is considered. In order to formulate computational models of cooperative and coevolving multiple swarms three different algorithms like real coded PSO, discrete binary PSO (DBPSO) and probability based discrete binary PSO (PBPSO) are employed. Simulations are carried out on three composite functions simultaneously considering multiple objectives. The cooperative and coevolving multiple swarms based results are compared with the results obtained through single swarm based methods like real coded particle swarm optimization (PSO), discrete binary PSO (DBPSO), and probability based discrete binary PSO (PBPSO) algorithms. The cooperative and coevolving swarms based techniques outperform the real coded PSO, PBPSO, and the standard discrete binary PSO (DBPSO) algorithm in escaping from local optima. Furthermore, statistical analysis of the simulation results is performed to calculate the comparative reliability of various techniques. All of the techniques employed are suitable for controller tuning, however, the multiple cooperative and coevolving swarms based results are considerably better in terms of mean fitness, variance of fitness, and success rate in finding a feasible solution in comparison to those obtained using single swarm based methods.

International Co-Operation in Control Engineering Education Using Online Experiments

Science.gov (United States)

Henry, Jim; Schaedel, Herbert M.

2005-01-01

This paper describes the international co-operation experience in teaching control engineering with laboratories being conducted remotely by students via the Internet. This paper describes how the students ran the experiments and their personal experiences with the laboratory. A tool for process identification and controller tuning based on…

A New Space for a New Generation: The Rise of Co-operatives Amongst Young People in Africa

OpenAIRE

Hartley, Sally Ann

2011-01-01

One of the most pressing challenges for the co-operative movement today is how it can engage with and support the aspirations of young people. A new paper, A New Space For a New Generation: The Rise of Co-operatives Amongst Young People in Africa, by doctoral researcher Sally Hartley, highlights some of the innovative ways in which this engagement is being fostered in Africa today and how co-operatives provide not just opportunities for gaining an income but play a vital educational role. \\ud...

Team Learning: Through the Relational Dynamics of Co-operation and Rivalry in Team Communities

OpenAIRE

Lotz, Maja

2008-01-01

In this paper I explore the constructive links between co-operation, rivalry, and learning within the structure of team communities. Drawing upon social learning theory, the main purpose of this paper is to argue that both co-operation and rivalry are important triggers for mobilizing learning processes within and between teams. However, social learning theory tends to disregard the positive aspects of rivalry. Consequently, this paper will argue for the need to extend social learning theory ...

Small Scale Electrical Power Generation from Heat Co-Produced in Geothermal Fluids: Mining Operation

Energy Technology Data Exchange (ETDEWEB)

Clark, Thomas M. [ElectraTherm Inc., Reno, NV (United States); Erlach, Celeste [ElectraTherm Inc., Reno, NV (United States)

2014-12-30

Demonstrate the technical and economic feasibility of small scale power generation from low temperature co-produced fluids. Phase I is to Develop, Design and Test an economically feasible low temperature ORC solution to generate power from lower temperature co-produced geothermal fluids. Phase II &III are to fabricate, test and site a fully operational demonstrator unit on a gold mine working site and operate, remotely monitor and collect data per the DOE recommended data package for one year.

[Common types of massive intraoperative haemorrhage, treatment philosophy and operating skills in pelvic cancer surgery].

Science.gov (United States)

Wang, Gang-cheng; Han, Guang-sen; Ren, Ying-kun; Xu, Yong-chao; Zhang, Jian; Lu, Chao-min; Zhao, Yu-zhou; Li, Jian; Gu, Yan-hui

2013-10-01

To explore the common types of massive intraoperative bleeding, clinical characteristics, treatment philosophy and operating skills in pelvic cancer surgery. We treated massive intraoperative bleeding in 19 patients with pelvic cancer in our department from January 2003 to March 2012. Their clinical data were retrospectively analyzed. The clinical features of massive intraoperative bleeding were analyzed, the treatment experience and lessons were summed up, and the operating skills to manage this serious issue were analyzed. In this group of 19 patients, 7 cases were of presacral venous plexus bleeding, 5 cases of internal iliac vein bleeding, 6 cases of anterior sacral venous plexus and internal iliac vein bleeding, and one cases of internal and external iliac vein bleeding. Six cases of anterior sacral plexus bleeding and 4 cases of internal iliac vein bleeding were treated with suture ligation to stop the bleeding. Six cases of anterior sacral and internal iliac vein bleeding, one cases of anterior sacral vein bleeding, and one case of internal iliac vein bleeding were managed with transabdominal perineal incision or transabdominal cotton pad compression hemostasis. One case of internal and external iliac vein bleeding was treated with direct ligation of the external iliac vein and compression hemostasis of the internal iliac vein. Among the 19 patients, 18 cases had effective hemostasis. Their blood loss was 400-1500 ml, and they had a fair postoperative recovery. One patient died due to massive intraoperative bleeding of ca. 4500 ml. Most of the massive intraoperative bleeding during pelvic cancer surgery is from the presacral venous plexus and internal iliac vein. The operator should go along with the treatment philosophy to save the life of the patient above all, and to properly perform suture ligation or compression hemostasis according to the actual situation, and with mastered crucial operating hemostatic skills.

Information Design for Synchronization and Co-ordination of Modern, Complex, Multi-National Operations

Science.gov (United States)

2011-06-01

1 16th ICCRTS Information design for synchronization and co-ordination of modern, complex, multi- national operations “Collective C2 in...REPORT DATE JUN 2011 2. REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE Information design for synchronization and co...at 11th ICCRTS) who emphasise that information needs to be designed, not merely found or catalogued, to achieve synchronizations and co-ordinations

Boron neutron capture therapy: An interdisciplinary co-operation

International Nuclear Information System (INIS)

Sauerwein, W.; Hideghety, K.; Rassow, J.; Moss, R.L.; Stecher-Rasmussen, F.; Heimans, J.; Gabel, D.; Vries, M.J. de; Touw, D.J.

2001-01-01

The international (European) undertaking in BNCT in the Netherlands has required close scrutiny of the organisational structure required to establish BNCT facilities. The multidisciplinary co-operation and the tasks of the participants in the hospital (Radiation Oncologist, Medical Physicist, Pharmacist and other medical and paramedical staff) and those attached to the reactor) are described. The organisational structure and regulatory aspects required for the international functioning of the Petten treatment facility are provided for guidance to new projects in this field. (author)

The energy sector in Northeast Asia : new projects, delivery systems and prospects for co-operation

International Nuclear Information System (INIS)

Ivanov, V.I.

2000-01-01

This study examines the needs and opportunities for energy co-operation in Northeast Asia, with particular reference to development of resources in eastern Russia, Siberia and the Far East to supply energy to consumers in Northeast Asia. Given the high projected demand for energy resources, Japan, South Korea and China are compelled to consider diversifying their energy supplies and developing new links with eastern Russia. The environmental degradation caused by coal burning in China is another incentive for looking for sources of natural gas in Eurasia. Russia and Japan are concentrating on the Sakhalin oil and gas projects. China and Russia have agreed to work closely in the energy sector, focusing on a pipeline from the natural gas field near Irkutsk. The challenges lies in developing a co-ordinated approach to energy resource development and use, by modifying energy policies and long-term supply outlooks. Another challenge lies in the fact that private investors and intergovernmental co-operation are required to build an expensive cross-border infrastructure to transport natural gas, electricity and oil. Co-operation is also required to improve energy efficiency, modernize existing facilities and promote cleaner sources of energy, energy conservation and environmental protection. This report examined forecasted energy demand and imports in Northeast Asia and identified opportunities for co-operation. refs., tabs

Double Jeopardy? Age, Race, and HRQOL in Older Adults with Cancer

International Nuclear Information System (INIS)

Bellizzi, K. M.; Aziz, N. M.; Rowland, J. H.; Arora, N. K.

2012-01-01

Understanding the post-treatment physical and mental function of older adults from ethnic/racial minority backgrounds with cancer is a critical step to determine the services required to serve this growing population. The double jeopardy hypothesis suggests being a minority and old could have compounding effects on health. This population-based study examined the physical and mental function of older adults by age (mean age=75.7, SD=6.1), ethnicity/race, and cancer (breast, prostate, colorectal, and gynecologic) as well as interaction effects between age, ethnicity/race and HRQOL. There was evidence of a significant age by ethnicity/race interaction in physical function for breast, prostate and all sites combined, but the interaction became non-significant (for breast and all sites combined) when co morbidity was entered into the model. The interaction persisted in the prostate cancer group after controlling for co morbidity, such that African Americans and Asian Americans in the 75-79 age group report lower physical health than non-Hispanic Whites and Hispanic Whites in this age group. The presence of double jeopardy in the breast and all sites combined group can be explained by a differential co morbid burden among the older (75-79) minority group, but the interaction found in prostate cancer survivors does not reflect this differential co morbid burden.

Being 40 or younger is an independent risk factor for relapse in operable breast cancer patients: The Saudi Arabia experience

International Nuclear Information System (INIS)

Elkum, Naser; Al-Tweigeri, Taher; Dermime, Said; Ajarim, Dahish; Al-Zahrani, Ali; Alsayed, Adher; Tulbah, Asma; Al Malik, Osama; Alshabanah, Mohamed; Ezzat, Adnan

2007-01-01

Breast cancer in young Saudi women is a crucial problem. According to the 2002 annual report of Saudi National Cancer Registry, breast cancers that developed before the age of 40 comprise 26.4% of all female breast cancers comparing to 6.5% in the USA. Breast cancer in young patients is often associated with a poorer prognosis, but there has been a scarcity of published data in the Middle East population. Total of 867 breast cancer patients seen at King Faisal Specialist Hospital & Research Centre (KFSH&RC) between 1986 and 2002 were reviewed. Patients were divided in two age groups: ≤ 40 years and above 40 years. The clinicopathological characteristics and treatment outcomes were compared between younger and older age groups. Median age at presentation was 45 years. A total of 288 (33.2%) patients were aged ≤ 40 years. Hormone receptors were positive in 69% of patients 40 and 78.2% of patients above 40 (p = 0.009). There was a significantly higher incidence of grade III tumor in younger patients compared to older patients (p = 0.0006). Stage, tumor size, lymphatic/vascular invasion, number of nodes and axillary lymph node status, did not differ significantly between the two age groups. Younger patients had a greater probability of recurrence at all time periods (p = 0.035). Young age had a negative impact on survival of patients with positive axillary lymph nodes (p = 0.030) but not on survival of patients with negative lymph nodes (p = 0.695). Stage, tumor size, nodal status and hormonal receptors had negative impact on survival. Adjuvant chemotherapy was administered to 87.9% of younger and 65.6% of older patients (p < 0.0001). In terms of hormone therapy, the proportion of tamoxifen treated patients was significantly lower in young age group (p < 0.0001). No significant difference in radiation therapy between the two groups. Young age (≤ 40) is an independent risk factor for relapse in operable Saudi breast cancer patients. The fundamental biology of

Single mode operation of a TEA CO2 laser

International Nuclear Information System (INIS)

Wada, Kazuhiro; Tunawaki, Yoshiaki; Yamanaka, Masanobu.

1993-01-01

Single mode operation of a TEA CO 2 laser was performed by using an optical system of Fox-Smith type. Laser beam was taken out from the cavity by using a beam splitter, and was reflected by a mirror back to the cavity. By inserting a Fabry-Perot etalon between the splitter and the mirror, beat of laser pulses can be removed completly. (author)

2006 Annual Operations Report for INTEC Operable Unit 3-13, Group 1, Tank Farm Interim Action

International Nuclear Information System (INIS)

D. E. Shanklin

2007-01-01

This annual operations report describes the requirements followed and activities conducted to inspect, monitor, and maintain the items installed during performance of the Waste Area Group 3, Operable Unit 3-13, Group 1, Tank Farm Interim Action, at the Idaho Nuclear Technology and Engineering Center. This report covers the time period from January 1 through December 31, 2006, and describes inspection and monitoring activities for the surface-sealed areas within the tank farm, concrete-lined ditches and culverts in and around the tank farm, the lift station, and the lined evaporation pond. These activities are intended to assure that the interim action is functioning adequately to meet the objectives stated in the Operable Unit 3-13, Record of Decision for the Group 1, Tank Farm Interim Action (DOE/ID-10660) as described in the Group 1 Remedial Design/Remedial Action Work Plan (DOE/ID-10772)

VVER operational safety improvements: lessons learnt from European co-operation and future research needs

International Nuclear Information System (INIS)

Pazdera, F.; Vasa, I.; Zd'arek, J.

2003-01-01

The paper summarises involvement of Nuclear Research Institute Rez (NRI) in the areas which are directly related to Reactor Operational Safety and Plant Life Management, it also gives an idea how results of the research projects can be used to enhance safety of VVER reactors. These issues are for many years subject of a wide international co-operation effort, covered by such programmes as PHARE, OECD/NEA TACIS, 5th Framework Programme. Nuclear Research Institute participated in the majority of these programmes and projects, which allowed us to evaluate benefits (especially for VVER reactors) of the projects already finalised or running, as well as to formulate so-called 'future research needs', which possibly may be pursued within 6th Framework Programme. The paper highlights the main features of some projects our Institute was and is involved in, emphasising the most important results, expectations and future needs. It also very briefly, deals with some general and particular lessons learnt within these projects and their application to VVER reactors, especially as to their safety improvement. The paper also mentions VVER-focused projects and activities, co-ordinated by the OECD, which should enable to extend multilateral contacts already existing between organisations of the EU countries to include organisations from Russia, USA, Japan and possibly some other countries

Technical co-operation report for 1999. Report by the Director General

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-08-01

This report presents the IAEA Technical Co-operation (TC) activities in 1999 and covers three separate topics. Part I reports on the Strengthening of TC and looks at the elements of the TC Strategy and how they contributed to the TC Programme. Part II reports on the major achievements of the TC Programme in 1999 in different regions of the world. In addition to reviewing some of the results of national and regional activities in each region - including activities under Regional Co-operation Agreements - this section looks at three interregional projects, and provides highlights of selected projects that were closed in 1999. Part III presents a technical discussion of the financial parameters of the TC Programme. A more detailed review of resources and contributions, disbursements, and non-financial indicators is provided in a Supplement to this report.

Technical co-operation report for 1999. Report by the Director General

International Nuclear Information System (INIS)

2000-08-01

This report presents the IAEA Technical Co-operation (TC) activities in 1999 and covers three separate topics. Part I reports on the Strengthening of TC and looks at the elements of the TC Strategy and how they contributed to the TC Programme. Part II reports on the major achievements of the TC Programme in 1999 in different regions of the world. In addition to reviewing some of the results of national and regional activities in each region - including activities under Regional Co-operation Agreements - this section looks at three interregional projects, and provides highlights of selected projects that were closed in 1999. Part III presents a technical discussion of the financial parameters of the TC Programme. A more detailed review of resources and contributions, disbursements, and non-financial indicators is provided in a Supplement to this report

The Agency's Technical Co-operation activities in 1986. Report by the Director General

International Nuclear Information System (INIS)

1987-08-01

During 1986, a total of 854 projects were operational and 71 training courses were held. These activities involved 1930 expert assignments. In addition, 937 persons received training under the fellowship programme. Performance indicators (non-financial) are given in Part II of this report (Sections B and C) in order to provide some impression of the increase in implementation actions related to the delivery of a growing programme. Although total resources were higher in 1986 than in previous years, the overall growth rate declined further while new obligations and disbursements increased steeply. The near-stagnation in the net expenditure rate for Technical Assistance and Co-operation Fund (TACF) resources which occurred in 1985 prompted close monitoring and follow-up measures in 1986. These actions led to an all-time high TACF net expenditure rate, namely 75.7%, in 1986. As the TACF represented 71% of all technical co-operation resources, overall programme performance in terms of net expenditure reached 67.6%, which is also the highest rate ever recorded. TACF resources increased by 11%. Pledges and miscellaneous income covered 92.7% of the target. The percentage attainment of the target has been declining since 1983. As actual disbursements against the TACF increased at a much higher rate than new resources, the unobligated balance decreased to the extent that striving for even higher net expenditure rates would no longer be consistent with judicious resource management. The share of extrabudgetary funds in the programme declined: they accounted for 14.5% of the resources and 12.6% of the disbursements in 1986. The Federal Republic of Germany became the largest contributor of extrabudgetary funds. Special attention will be given to the utilization of these resources so that delivery rates can be improved. As anticipated, UNDP's share in resources and disbursements increased and several new large-scale projects were approved. In-kind assistance continued to play a

Institutional and scientific co-operation, networking and capacity building in the field of food safety and quality

NARCIS (Netherlands)

Boekel, van M.A.J.S.; Meerdink, G.; Banati, D.; Marvin, H.J.P.; Kuiper, H.A.; Houtman, C.B.

2002-01-01

This paper explains the situation in Hungary and The Netherlands regarding scientific co-operation, networking and capacity building in the field of food quality and safety. Specific details are given about institutional co-operation including exchanges between staff and students, collaborative

On the merger between Toshiba Corporation and Japan Atomic Energy Operation Co., Ltd. (reply report)

International Nuclear Information System (INIS)

1990-01-01

The Nuclear Safety Commission made a careful examination regarding the merger between Toshiba Corporation and Japan Atomic Energy Operation Co., Ltd., (an issue submitted on August 16, 1989, for deliberation), and submitted a report to the prime minister. A study was carried out to determine whether the technical expertise possessed by Japan Atomic Energy Operation Co. would taken over properly by Toshiba Corporation, which would continue to exist after the merger. Results of the study revealed that the organization and technical experts existing at Japan Atomic Energy Operation Co. before the merger would properly incorporated into the existing system in Toshiba Corporation. Thus, it was confirmed that Toshiba Corporation after the merger would have technical capabilities required to install and operate nuclear reactors. The Atomic Nuclear Safety Commission started the above-mentioned study on the subject matter at the 32nd meeting, which was held on August 24, 1989, and reached the conclusion at the 34th meeting held on August 31, 1989. (N.K.)