WorldWideScience

Sample records for cancer future directions

  1. Future Directions - Cervical Cancer

    Centers for Disease Control (CDC) Podcasts

    2009-10-15

    Dr. Alan Waxman, a professor of obstetrics and gynecology at the University of New Mexico and chair of the American College of Obstetricians and Gynecologists (ACOG) committee for the underserved, talks about possible changes in cervical cancer screening and management.  Created: 10/15/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division of Cancer Prevention and Control (DCPC).   Date Released: 6/9/2010.

  2. Future directions in cancer prevention.

    Science.gov (United States)

    Umar, Asad; Dunn, Barbara K; Greenwald, Peter

    2012-12-01

    Prevention of cancer remains the most promising strategy for reducing both its incidence and the mortality due to this disease. For more than four decades, findings from epidemiology, basic research and clinical trials have informed the development of lifestyle and medical approaches to cancer prevention. These include selective oestrogen receptor modulators and aromatase inhibitors for breast cancer, the 5-α-reductase inhibitors finasteride and dutasteride for prostate cancer, and the development of vaccines for viruses that are associated with specific cancers. Future directions include genetic, proteomic and other molecular approaches for identifying pathways that are associated with cancer initiation and development, as well as refining the search for immunologically modifiable causes of cancer. PMID:23151603

  3. Future Directions in Pancreatic Cancer Therapy

    Directory of Open Access Journals (Sweden)

    David Orchard-Webb

    2015-05-01

    Full Text Available Pancreatic cancer is a major disease burden that is essentially incurable at present. However significant understanding of the molecular basis of pancreatic cancer has been achieved through sequencing. This is allowing the rational design of therapeutics. The purpose of this review is to introduce the molecular basis of pancreatic cancer, explain the current state of molecular therapy and provide examples of the ongoing developments. These include improvements in chemotherapy, small molecule inhibitors, vaccines, immune checkpoint antibodies, and oncolytics.

  4. Cancer Cachexia, Recent Advances, and Future Directions

    Science.gov (United States)

    Penet, Marie-France; Bhujwalla, Zaver M.

    2016-01-01

    Cancer cachexia is defined as a multifactorial syndrome characterized by an ongoing loss of skeletal muscle mass with or without loss of fat mass. The syndrome cannot be fully reversed by conventional nutritional support, and despite an increased number of studies related to cancer cachexia, the underlying mechanisms are still poorly defined and therapeutic options are limited. This review focuses on recent studies investigating mechanisms and pathways in cancer cachexia. The role of molecular and functional imaging in identifying cachexia at an earlier stage, in identifying potential metabolic targets and pathways, and in assessing treatment efficacy is also reviewed. PMID:25815852

  5. Prostate Cancer Registries: Current Status and Future Directions

    OpenAIRE

    Gandaglia, G; Bray, F.; Cooperberg, MR; Karnes, RJ; Leveridge, MJ; Moretti, K; Murphy, DG; Penson, DF; Miller, DC

    2016-01-01

    © 2015 European Association of Urology. Context: Disease-specific registries that enroll a considerable number of patients play a major role in prostate cancer (PCa) research. Objective: To evaluate available registries, describe their strengths and limitations, and discuss the potential future role of PCa registries in outcomes research. Evidence acquisition: We performed a literature review of the Medline, Embase, and Web of Science databases. The search strategy included the terms prostate...

  6. Chemoprevention of prostate cancer: current status and future directions.

    Science.gov (United States)

    Lieberman, Ronald

    2002-01-01

    future, a selective COX-2 inhibitor may be combined with other agent classes such as proapoptotic antioxidant micronutrients, receptor tyrosine kinase modulators, antiangiogenic modulators, antiproliferative/differentiating agents, NFkappaB modulators, IGF-1 modulators and other novel proapototic nonsteroidal drugs. A novel target for rational combinations is the hypermethylation of GST-PI leading to functional silencing of this key anticarcinogen defense enzyme in precursors (HGPIN) and prostate cancer. Factorial designs are well suited for evaluating the individual and combined effects of each agent in a single trial design. There are a number of moderate to high-risk cohorts and clinical models of primary and secondary prevention that can be employed in both short-term developmental (translational) trials for proof of biologic activity and in intermediate sized longer-term chemoprevention trials for proof of efficacy against prostate cancer. Strategic IEBs are needed to more efficiently monitor short-term biologic activity and validate efficacy. The emergence of new powerful tools such as gene chip cDNA microarrays for multiplex gene expression profiling and proteomic analysis of tissue based and secreted proteins will accelerate the identification of new molecular targets, strategic endpoints, cohorts at risk and the design of rational combination trials. PMID:12549768

  7. Oral Cancer Chernoprevention: Current Status and Future Direction.

    Science.gov (United States)

    Messadi, Diana V; Sato, Kazumichi

    2016-02-01

    The aim of this study is to review the current status of cancer chemoprevention and its effectiveness in treatment of oral premalignant lesions and prevention of their progression to oral cancer. The challenges encountered in the different oral cancer chemoprevention clinical trials, including lack of surrogate endpoints, reversal of histologic premalignant changes as study endpoints, tobacco use, human papillomavirus, delivery system, adverse effects and risk of bias in clinical studies, are presented. PMID:26930753

  8. Lung cancer screening: history, current perspectives, and future directions

    Science.gov (United States)

    Sharma, Divakar; Newman, Thomas G.

    2015-01-01

    Lung cancer has remained the leading cause of death worldwide among all cancers. The dismal 5-year survival rate of 16% is in part due to the lack of symptoms during early stages and lack of an effective screening test until recently. Chest X-ray and sputum cytology were studied extensively as potential screening tests for lung cancer and were conclusively proven to be of no value. Subsequently, a number of studies compared computed tomography (CT) with the chest X-ray. These studies did identify lung cancer in earlier stages. However, they were not designed to prove a reduction in mortality. Later trials have focused on low-dose CT (LDCT) as a screening tool. The largest US trial – the National Lung Screening Trial (NLST) – enrolled approximately 54,000 patients and revealed a 20% reduction in mortality. While a role for LDCT in lung cancer screening has been established, the issues of high false positive rates, radiation risk, and cost effectiveness still need to be addressed. The guidelines of the international organizations that now include LDCT in lung cancer screening are reviewed. Other methods that may improve earlier detection such as positron emission tomography, autofluorescence bronchoscopy, and molecular biomarkers are also discussed. PMID:26528348

  9. Molecular Imaging of Breast Cancer: Present and future directions

    Directory of Open Access Journals (Sweden)

    David eAlcantara

    2014-12-01

    Full Text Available Medical imaging technologies have undergone explosive growth over the past few decades and now play a central role in clinical oncology. But the truly transformative power of imaging in the clinical management of cancer patients lies ahead. Today, imaging is at a crossroads, with molecularly targeted imaging agents expected to broadly expand the capabilities of conventional anatomical imaging methods. Molecular imaging will allow clinicians to not only see where a tumour is located in the body, but also to visualize the expression and activity of specific molecules (e.g. proteases and protein kinases and biological processes (e.g. apoptosis, angiogenesis, and metastasis that influence tumour behavior and/or response to therapy. Breast cancer, the most common cancer among women and a research area where our group is actively involved, is a very heterogeneous disease with diverse patterns of development and response to treatment. Hence, molecular imaging is expected to have a major impact on this type of cancer, leading to important improvements in diagnosis, individualized treatment, and drug development, as well as our understanding of how breast cancer arises.

  10. Whither papillon? Future directions for contact radiotherapy in rectal cancer

    DEFF Research Database (Denmark)

    Lindegaard, J; Gerard, J P; Sun Myint, A;

    2007-01-01

    Although contact radiotherapy was developed 70 years ago, and is highly effective with cure rates of over 90% for early rectal cancer, there are few centres that offer this treatment today. One reason is the lack of replacement of ageing contact X-ray machines, many of which are now over 30 years...

  11. Imaging in primary penile cancer: current status and future directions

    Energy Technology Data Exchange (ETDEWEB)

    Kochhar, Rohit; Taylor, Ben [Christie, NHS Foundation Trust, Department of Radiology, Manchester (United Kingdom); Sangar, Vijay [Christie, NHS Foundation Trust, Department of Urology, Manchester (United Kingdom)

    2010-01-15

    Penile cancer is a rare neoplasm in the developed world. Clinical assessment often results in inaccurate staging and radiological techniques have a key role in staging and postoperative assessment. Magnetic resonance imaging (MRI) depicts penile anatomy in detail and is the most accurate technique for local staging and postoperative follow-up. MRI and ultrasound (US), although helpful for assessment of lymph nodes, are not reliable enough for accurate nodal staging. US-guided fine needle aspiration cytology (FNAC), however, remains a valuable tool to confirm metastases in suspicious inguinal nodes. Lymphoscintigraphy with dynamic sentinel node biopsy (DSNB) is a promising technique used to predict occult lymph node metastases. Novel imaging techniques such as positron emission tomography/computed tomography (PET-CT) and nanoparticle enhanced MRI have high sensitivity and specificity for lymph node metastases but their availability is limited and clinical utility is not fully established. The radiologist needs to be familiar with the normal penile anatomy, imaging appearances of pre- and post-treatment penile cancer, and the advantages and limitations of the available imaging techniques. This review highlights the above points and presents a systematic approach to make the best use of imaging in the management of patients with penile cancer. (orig.)

  12. Proton Beam Therapy for Non-Small Cell Lung Cancer: Current Clinical Evidence and Future Directions

    Energy Technology Data Exchange (ETDEWEB)

    Berman, Abigail T., E-mail: abigail.berman@uphs.upenn.edu [Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA 19104 (United States); James, Sara St.; Rengan, Ramesh [Department of Radiation Oncology, University of Washington Medical Center, Seattle, WA 98195 (United States)

    2015-07-02

    Lung cancer is the leading cancer cause of death in the United States. Radiotherapy is an essential component of the definitive treatment of early-stage and locally-advanced lung cancer, and the palliative treatment of metastatic lung cancer. Proton beam therapy (PBT), through its characteristic Bragg peak, has the potential to decrease the toxicity of radiotherapy, and, subsequently improve the therapeutic ratio. Herein, we provide a primer on the physics of proton beam therapy for lung cancer, present the existing data in early-stage and locally-advanced non-small cell lung cancer (NSCLC), as well as in special situations such as re-irradiation and post-operative radiation therapy. We then present the technical challenges, such as anatomic changes and motion management, and future directions for PBT in lung cancer, including pencil beam scanning.

  13. Proton Beam Therapy for Non-Small Cell Lung Cancer: Current Clinical Evidence and Future Directions

    International Nuclear Information System (INIS)

    Lung cancer is the leading cancer cause of death in the United States. Radiotherapy is an essential component of the definitive treatment of early-stage and locally-advanced lung cancer, and the palliative treatment of metastatic lung cancer. Proton beam therapy (PBT), through its characteristic Bragg peak, has the potential to decrease the toxicity of radiotherapy, and, subsequently improve the therapeutic ratio. Herein, we provide a primer on the physics of proton beam therapy for lung cancer, present the existing data in early-stage and locally-advanced non-small cell lung cancer (NSCLC), as well as in special situations such as re-irradiation and post-operative radiation therapy. We then present the technical challenges, such as anatomic changes and motion management, and future directions for PBT in lung cancer, including pencil beam scanning

  14. Proton Beam Therapy for Non-Small Cell Lung Cancer: Current Clinical Evidence and Future Directions

    Directory of Open Access Journals (Sweden)

    Abigail T. Berman

    2015-07-01

    Full Text Available Lung cancer is the leading cancer cause of death in the United States. Radiotherapy is an essential component of the definitive treatment of early-stage and locally-advanced lung cancer, and the palliative treatment of metastatic lung cancer. Proton beam therapy (PBT, through its characteristic Bragg peak, has the potential to decrease the toxicity of radiotherapy, and, subsequently improve the therapeutic ratio. Herein, we provide a primer on the physics of proton beam therapy for lung cancer, present the existing data in early-stage and locally-advanced non-small cell lung cancer (NSCLC, as well as in special situations such as re-irradiation and post-operative radiation therapy. We then present the technical challenges, such as anatomic changes and motion management, and future directions for PBT in lung cancer, including pencil beam scanning.

  15. Antiemetic research: future directions

    DEFF Research Database (Denmark)

    Olver, Ian; Molassiotis, Alexander; Aapro, Matti;

    2011-01-01

    PURPOSE AND METHODS: As a part of reviewing the Multinational Association of Supportive Care in Cancer (MASCC) antiemetic guidelines in Perugia in 2009, an expert group identified directions for future antiemetic research. RESULTS AND CONCLUSIONS: In future trials, the prediction of nausea and...

  16. Future directions

    International Nuclear Information System (INIS)

    Topics presented concerning the future developments in risk analysis are: safety goals, US severe accident policy, code developments, research programs, analyses and operation action, linking with the deterministic analyses. Principle consideration in risk is defined as protection of both general population, and nearby residents. The principal goal should be consistent with risk of other man-caused activities, the cost benefit after minimum safety levels are achieved, and proportional to benefits to be gained

  17. Reduction in the risk of prostate cancer: future directions after the Prostate Cancer Prevention Trial.

    Science.gov (United States)

    Crawford, E David; Andriole, Gerald L; Marberger, Michael; Rittmaster, Roger S

    2010-03-01

    The landmark Prostate Cancer Prevention Trial (PCPT) generated interest in the potential health benefits and cost of reducing prostate cancer risk--specifically, the potential role of 5alpha-reductase inhibitors. However, the PCPT raised several unanswered questions, including the cause and significance of the increased incidence of high-grade tumors associated with finasteride. In the present study, we review the PCPT findings and unanswered questions, next steps in this field, and ongoing prostate cancer prevention trials addressing these unanswered questions. Particular emphasis is placed on the design of the second large-scale trial of a 5alpha-reductase inhibitor, the REduction by DUtasteride of prostate Cancer Events (REDUCE) trial. PMID:20035983

  18. Genotoxicity of tobacco smoke-derived aromatic amines and bladder cancer: current state of knowledge and future research directions.

    Science.gov (United States)

    Besaratinia, Ahmad; Tommasi, Stella

    2013-06-01

    Bladder cancer is a significant public health problem, worldwide. In the United States, bladder cancer is the fourth most common cancer in men, and its recurrence rate is the highest among all malignancies. Tobacco smoking is the leading risk factor for bladder cancer. The risk of bladder cancer is directly related to the intensity and duration of smoking, while quitting smoking reduces this risk. The increased risk of smokers for developing bladder cancer is attributable to their exposure to aromatic amines, which constitute a family of known bladder carcinogens present in tobacco smoke. The underlying mechanism of action of aromatic amines in the genesis of bladder cancer is not, however, fully delineated. Research has identified a genotoxic mode of action, specifically DNA adduction and mutagenicity, for aromatic amines, which may account for their carcinogenicity. The present review summarizes our current knowledge on the DNA adduction and mutagenicity of aromatic amines in relation to smoking-associated bladder cancer. For illustrative purposes, representative results from published research on aromatic amine-induced DNA adduction and mutagenesis are discussed. The direction of future research on the underlying mechanisms of tobacco smoke-associated bladder carcinogenesis is also outlined. Understanding the molecular mechanisms of bladder carcinogenesis is essential for improving future strategies for prevention, early detection, treatment, and prognosis of this malignancy. PMID:23449930

  19. Integrating a Narrative Medicine Telephone Interview with Online Life Review Education for Cancer Patients: Lessons Learned and Future Directions

    OpenAIRE

    Wise, Meg; Marchand, Lucille; Cleary, James F.; Aeschlimann, Elizabeth; Causier, Daniel

    2009-01-01

    We describe an online narrative and life review education program for cancer patients and the results of a small implementation test to inform future directions for further program development and full-scale evaluation research. The intervention combined three types of psycho-oncology narrative interventions that have been shown to help patients address emotional and existential issues: 1) a physician-led dignity-enhancing telephone interview to elicit the life narrative and delivery of an ed...

  20. Proton Beam Therapy for Non-Small Cell Lung Cancer: Current Clinical Evidence and Future Directions

    OpenAIRE

    Berman, Abigail T.; Sara St. James; Ramesh Rengan

    2015-01-01

    Lung cancer is the leading cancer cause of death in the United States. Radiotherapy is an essential component of the definitive treatment of early-stage and locally-advanced lung cancer, and the palliative treatment of metastatic lung cancer. Proton beam therapy (PBT), through its characteristic Bragg peak, has the potential to decrease the toxicity of radiotherapy, and, subsequently improve the therapeutic ratio. Herein, we provide a primer on the physics of proton beam therapy for lung canc...

  1. Future directions for QCD

    International Nuclear Information System (INIS)

    New directions for exploring QCD at future high-energy colliders are sketched. These include jets within jets. BFKL dynamics, soft and hard diffraction, searches for disoriented chiral condensate, and doing a better job on minimum bias physics. The new experimental opportunities include electron-ion collisions at HERA, a new collider detector at the C0 region of the TeVatron, and the FELIX initiative at the LHC

  2. Vitamin B6 and colorectal cancer: Current evidence and future directions

    OpenAIRE

    Zhang, Xue-Hong; Ma, Jing; Smith-Warner, Stephanie A.; Lee, Jung Eun; Giovannucci, Edward

    2013-01-01

    Colorectal cancer remains the third most common cancer in both women and men worldwide. Identifying modifiable dietary factors is crucial in developing primary prevention strategies. Vitamin B6 is involved in more than 100 coenzyme reactions, and may influence colorectal cancer risk in multiple ways including through its role in one-carbon metabolism related DNA synthesis and methylation and by reducing inflammation, cell proliferation, and oxidative stress. Observational studies of dietary o...

  3. Evidence to Support the Anti-Cancer Effect of Olive Leaf Extract and Future Directions

    Science.gov (United States)

    Boss, Anna; Bishop, Karen S.; Marlow, Gareth; Barnett, Matthew P. G.; Ferguson, Lynnette R.

    2016-01-01

    The traditional Mediterranean diet (MD) is associated with long life and lower prevalence of cardiovascular disease and cancers. The main components of this diet include high intake of fruit, vegetables, red wine, extra virgin olive oil (EVOO) and fish, low intake of dairy and red meat. Olive oil has gained support as a key effector of health benefits and there is evidence that this relates to the polyphenol content. Olive leaf extract (OLE) contains a higher quantity and variety of polyphenols than those found in EVOO. There are also important structural differences between polyphenols from olive leaf and those from olive fruit that may improve the capacity of OLE to enhance health outcomes. Olive polyphenols have been claimed to play an important protective role in cancer and other inflammation-related diseases. Both inflammatory and cancer cell models have shown that olive leaf polyphenols are anti-inflammatory and protect against DNA damage initiated by free radicals. The various bioactive properties of olive leaf polyphenols are a plausible explanation for the inhibition of progression and development of cancers. The pathways and signaling cascades manipulated include the NF-κB inflammatory response and the oxidative stress response, but the effects of these bioactive components may also result from their action as a phytoestrogen. Due to the similar structure of the olive polyphenols to oestrogens, these have been hypothesized to interact with oestrogen receptors, thereby reducing the prevalence and progression of hormone related cancers. Evidence for the protective effect of olive polyphenols for cancer in humans remains anecdotal and clinical trials are required to substantiate these claims idea. This review aims to amalgamate the current literature regarding bioavailability and mechanisms involved in the potential anti-cancer action of olive leaf polyphenols. PMID:27548217

  4. MET targeted therapy for lung cancer: clinical development and future directions

    Directory of Open Access Journals (Sweden)

    Feng Y

    2012-08-01

    Full Text Available Yan Feng,1,2 Patrick C Ma1–31Translational Hematology and Oncology Research, 2Solid Tumor Oncology, 3Aerodigestive Oncology Translational Research, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH, USAAbstract: MET, the receptor for hepatocyte growth factor, has been identified as a novel promising target in various human malignancies, including lung cancer. Research studies have demonstrated that MET signaling plays important physiologic roles in embryogenesis and early development, whereas its deregulation from an otherwise quiescent signaling state in mature adult tissues can lead to upregulated cell proliferation, survival, scattering, motility and migration, angiogenesis, invasion, and metastasis in tumorigenesis and tumor progression. The MET pathway can be activated through ligand (hepatocyte growth factor, HGF or MET receptor overexpression, genomic amplification, MET mutations, and alternative splicing. A number of novel therapeutic agents that target the MET/hepatocyte growth factor pathway have been tested in early-phase clinical studies with promising results. Phase III studies of MET targeting agents have recently been initiated. This paper will review the MET signaling pathway and biology in lung cancer, and the recent clinical development and advances of MET/hepatocyte growth factor targeting agents. Emphasis will be placed on discussing various unanswered issues and key strategies needed to optimize further clinical development of MET targeting personalized lung cancer therapy.Keywords: MET, HGF, lung cancer, targeted therapy

  5. [Formula: see text]Cognitive training programs for childhood cancer patients and survivors: A critical review and future directions.

    Science.gov (United States)

    Olson, Katie; Sands, Stephen A

    2016-01-01

    A robust literature has developed documenting neurocognitive late effects in survivors of leukemia and central nervous system (CNS) tumors, the most frequent cancer diagnoses of childhood. Patterns of late effects include deficits in attention and concentration, working memory, processing speed, and executive function, as well as other domains. As childhood cancer survivors are living longer, ameliorating deficits both in broad and specific neurocognitive domains has been increasingly recognized as an endeavor of paramount importance. Interventions to improve cognitive functioning were first applied to the field of pediatric oncology in the 1990s, based on strategies used effectively with adults who had sustained a traumatic brain injury (TBI). Compilation and modification of these techniques has led to the development of structured cognitive training programs, with the effectiveness and feasibility of such interventions currently an active area of research. Consequently, the purpose of this critical review is to: (1) review cognitive training programs intended to remediate or prevent neurocognitive deficits in pediatric cancer patients and survivors, (2) critically analyze training program strengths and weaknesses to inform practice, and (3) provide recommendations for future directions of clinical care and research. PMID:26070928

  6. Cost-Effective Screening for Breast Cancer Worldwide: Current State and Future Directions

    Directory of Open Access Journals (Sweden)

    A. Sarvazyan

    2008-01-01

    Full Text Available Affordability of healthcare is highly limited by its skyrocketing cost. Access to screening and diagnostic medical equipment and medicine in developing countries is inadequate for the majority of the population. There is a tremendous worldwide need to detect breast cancer at its earliest stage. These needs must be balanced by the ability of countries to provide breast cancer screening technology to their populations. We reviewed the diagnostic accuracy, procedure cost and cost-effectiveness of currently available technique for breast screening and diagnosis including clinical breast examination, mammography, ultrasound, magnetic resonance imaging, biopsy and a new modality for cancer diagnostics termed elasticity imaging that has emerged in the last decade. Clinical results demonstrate that elasticity imaging even in its simplest and least sophisticated versions, like tactile imaging, has significant diagnostic potential comparable and exceeding that of conventional imaging techniques. In view of many countries with limited resources, effective yet less expensive modes of screening must be considered worldwide. The tactile imaging is one method that has the potential to provide cost-effective breast cancer screening and diagnostics.

  7. Breast cancer prevention with anti-estrogens: review of the current evidence and future directions.

    Science.gov (United States)

    Mallick, Supriya; Benson, Rony; Julka, P K

    2016-03-01

    There is a potential for reducing the incidence of breast cancer by modifying or changing the reversible risk factors like dietary modifications, modifications in the sedentary life habits, etc. One of such methods which has gained popularity now is chemoprevention. Many agents have been evaluated in the chemoprevention setting in females with increased risk of breast cancers. Metformin, NSAIDS, Bisphosphonates, and statins were evaluated by various investigators with variable results. One of the agents that have been proven to be beneficial in this setting is the anti-estrogens. A major disadvantage of chemoprevention is that unlike prophylactic mastectomy it can never reduce the risk to near zero although it reduces the risk significantly. Another issue is the compliance as chemoprevention with anti-estrogens will need to be continued for 5 years while surgery is a one-time procedure. Another disadvantage is the possible side effects peculiar to each drug used which may not be a significant concern in prophylactic mastectomy group. All these factors must also be kept in mind and properly explained to the patient before starting chemoprevention using anti-estrogens. Here in this review we intend to look into the large randomized controlled trials to quantify the present status of chemoprevention with anti-estrogens. PMID:26439380

  8. Combined-modality treatment for anal cancer. Current strategies and future directions

    Energy Technology Data Exchange (ETDEWEB)

    Roedel, Claus [Dept. of Radiation Oncology, J.W. Goethe Univ., Frankfurt/Main (Germany); Fraunholz, Ingeborg; Rabeneck, Daniela; Weiss, Christian

    2010-07-15

    Background: concurrent chemoradiotherapy (CRT) with 5-fluorouracil (5-FU) and mitomycin C (MMC) is the treatment of choice for anal carcinoma. The most appropriate radiation (RT) dose, fractionation, techniques, and the most effective chemotherapy regimen (agents, number of neoadjuvant, concomitant, adjuvant cycles) remain to be established. Material and methods: this review article focuses on recent randomized trials designed to improve standard 5-FU/MMC-based CRT through the inclusion of (induction, concurrent, maintenance) cisplatin, and describes developments in combining RT with other chemotherapeutic drugs and targeted therapies. Computerized bibliographic searches of PubMed were supplemented with hand searches of reference lists and abstracts of ASCO/ASTRO/ESTRO meetings. Results: based on results of three recent randomized phase III trials, neither induction chemotherapy (RTOG 98-11, ACCORD 03) or maintenance chemotherapy with 5-FU/cisplatin (ACT II) nor RT dose escalation (ACCORD 03) improved the outcome of concurrent 5-FU/MMC-CRT. A randomized phase II trial (EORTC 22011-40014) compared concurrent 5-FU/MMC-CRT with cisplatin/MMC-CRT. The response rate of cisplatin/MMC-CRT was promising, but compliance to this regimen was limited. Current phase I/II studies are evaluating the use of capecitabine, oxalipatin, and the EGFR (epidermal growth factor receptor) inhibitor cetuximab. Conclusion: concurrent 5-FU/MMC-CRT without induction or maintenance chemotherapy remains the standard of care for anal cancer patients. (orig.)

  9. Local microwave hyperthermia and irradiation in cancer therapy: preliminary observations and directions for future clinical trials

    Energy Technology Data Exchange (ETDEWEB)

    Perez, C.A.; Kopecky, W.; Venkata Rao, D.; Baglan, R.; Mann, J.

    1981-06-01

    This report outlies the preliminary experience at the Mallinckrodt Institute of Radiology with hyperthermia and irradiation. Twenty-nine lesions were treated with 400 rad fractions given every 72 hours (twice weekly) for a total dose of 2000 to 4000 rad followed by hyperthermia (2450 MHz or 915 MHz microwaves, 42.0/sup 0/ to 43/sup 0/C, 90 minutes, every 72 hours.) in addition, 6 lesions were treated with three doses of 500 rad followed by hyperthermia and 12 with irradiation alone (three doses of 600, 700 or 800 rad every 72 h). In the lesions treated with 2000 to 4000 rad and heat, nine of 12 recurrent epidermoid carcinomas of the head and neck showed complete regression (75%) and one more than 50% response. Four of five metastatic melanoma nodules showed complete regression of the tumors and one over 80% response. Of nine recurrent adenocarcinoma of the breast nodules in the chest wall treated with 3200 to 4000 rad, five lesions exhibited complete regression and two others about 80%. Four of five metastatic melanoma nodules and three soft tissue sarcomas had complete tumor regression. Of the six lesions treated with 1500 rad and hyperthermia, two metastatic melanomas showed complete regression (CR), and three tumors exhibited partial regression. Despite the fact that the majority of the patients had been previously treated with definitive radiotherapy, the retreatment with moderate doses of irradiation and heat has been well tolerated. Of the 35 sites treated, four (11%) developed blisters, seven (20%) erythema only, three (8%) moist desquamation and 27 (77%) dry desquamation. There has been one instance of severe necrosis of soft tissues in the upper neck, in a patient previously treated with 5000 rad and surgery. Additional clinical trials are warranted to assess the potential value of hyperthermia alone or combined with irradiation in the treatment of selected cancer patients.

  10. Future directions in radiation oncology

    International Nuclear Information System (INIS)

    Full text: Cancer treatment has evolved progressively over the years as a joint result of improvements in technology and better understanding of the biological responses of neoplastic and normal cells to cytotoxic agents. Although major therapeutic 'breakthroughs' are unlikely absent the discovery of exploitable fundamental differences between cancer cells and their normal homologs, further incremental improvements in cancer treatment results can confidently be expected as we apply existing knowledge better and take advantage of new research insights. Areas in which I can foresee significant improvements (in approximate chronological order) are as follows: better physical radiation dose distributions; more effective radiation and chemoradiation protocols based on radiobiological principles; more rational use of radiation adjuvants based on biologic criteria; use of novel targets and vectors for systemic radionuclide therapy; use of genetic markers of radiosensitivity to determine radiation dose tolerances; and use of radiation as a modulator of therapeutic gene expression. Radiation research has contributed greatly to the efficacy of radiation oncology as it is now practised but has even greater potential for the future

  11. Urologic robots and future directions

    CERN Document Server

    Mozer, Pierre; Stoianovici, Dan; 10.1097/MOU.0b013e32831cc1ba

    2008-01-01

    PURPOSE OF REVIEW: Robot-assisted laparoscopic surgery in urology has gained immense popularity with the daVinci system, but a lot of research teams are working on new robots. The purpose of this study is to review current urologic robots and present future development directions. RECENT FINDINGS: Future systems are expected to advance in two directions: improvements of remote manipulation robots and developments of image-guided robots. SUMMARY: The final goal of robots is to allow safer and more homogeneous outcomes with less variability of surgeon performance, as well as new tools to perform tasks on the basis of medical transcutaneous imaging, in a less invasive way, at lower costs. It is expected that improvements for a remote system could be augmented in reality, with haptic feedback, size reduction, and development of new tools for natural orifice translumenal endoscopic surgery. The paradigm of image-guided robots is close to clinical availability and the most advanced robots are presented with end-use...

  12. Optimizing therapy for radioactive iodine-refractory differentiated thyroid cancer: Current state of the art and future directions

    OpenAIRE

    Dadu, R.; Cabanillas, M.E.

    2012-01-01

    The majority of patients with differentiated thyroid cancer are cured with standard primary treatments including surgery, radioactive iodine and TSH suppression. A small proportion of patients who develop radioactive iodine-refractory metastatic disease have few treatment options. Recent discovery of the molecular mechanisms that contribute to thyroid cancer tumorigenesis and its progression have revealed key targets that are currently being evaluated in clinical trials. In the last decade se...

  13. ANSTO - achievements and future directions

    International Nuclear Information System (INIS)

    In the opening keynote address to the conference, Professor Helen Garnett, Executive Director of ANSTO, outlined the Organisation's main achievements and its future directions. In the ten years which have elapsed since its inception in 1987, ANSTO has evolved into a forward thinking, proactive nuclear science and technology Organisation. Its vision for the future is for nuclear science and technology to be accepted as benefiting all Australians and for ANSTO to be acknowledged as the premier nuclear science and technology organisation within the Asia Pacific Region. At the same time the organisation has continually reviewed and evaluated what it was doing and how it was doing. At the end of its first decade, it has enhanced the productivity from its research and development activities, received a positive evaluation on the impact that the application of this knowledge is having on the minerals and other industrial sectors, and focussed its research and development into a few areas where substantial teams of ANSTO staff, working cooperatively with staff from universities, other national organisations and industry, can have significant impact. ANSTO now has four parallel activities: the conduct of research and development, the provision of expert technical advice, the operation of national nuclear facilities and the commercial marketing of products and services. The recent announcement by Australian Government to replace HIFAR reactor with a leading medium flux reactor facility, will enable ANSTO to develop world class capability in selected areas of neutron science and to became an acknowledged regional centre, particular in cold neutron science

  14. [Future cancer incidents in Germany].

    Science.gov (United States)

    Haberland, J; Bertz, J; Görsch, B; Dölle, R; Kurth, B-M

    2006-05-01

    The future as well as the past development of cancer incidents in Germany is of continuous importance for health policy. Cancer incidence data observed over more than 20 years are analysed by log-linear models with polynomial trend components. The estimated trend models are used for a trend extrapolation until the year 2020. Since cancer registration in Germany is not complete yet and does not cover the whole area of the country national incidences are estimated by the data of the existing complete regional cancer registries. In this way it can be assessed that the number of new cancer diseases increased from 270,000 cases in 1980 to 420,000 cases in 2002. Extrapolating the trends and taking into account the demographic prognosis of the German Federal Statistical Office 570,000 (version 1) or 590,000 (version 9) annual cancer cases are predicted for the year 2020. From 1980 to 2002 a decrease of cancer mortality was observed. If this trend continues until 2020, the number of deaths caused by cancer would decrease from 209,000 in 2002 to 153,000 (or 158,000) in 2020, although the number of cancer cases are predicted to increase. Assuming constant mortality rates the number of deaths caused by cancer would be much higher. PMID:16596362

  15. Future Directions in Astronomy Visualisation

    CERN Document Server

    Fluke, C J; O'Donovan, D

    2006-01-01

    Despite the large budgets spent annually on astronomical research equipment such as telescopes, instruments and supercomputers, the general trend is to analyse and view the resulting datasets using small, two-dimensional displays. We report here on alternative advanced image displays, with an emphasis on displays that we have constructed, including stereoscopic projection, multiple projector tiled displays and a digital dome. These displays can provide astronomers with new ways of exploring the terabyte and petabyte datasets that are now regularly being produced from all-sky surveys, high-resolution computer simulations, and Virtual Observatory projects. We also present a summary of the Advanced Image Displays for Astronomy (AIDA) survey which we conducted from March-May 2005, in order to raise some issues pertitent to the current and future level of use of advanced image displays.

  16. Mitochondria and Cancer: Past, Present, and Future

    Directory of Open Access Journals (Sweden)

    M. L. Verschoor

    2013-01-01

    Full Text Available The area of mitochondrial genomics has undergone unprecedented growth over the past several years. With the advent of the age of omics, investigations have reached beyond the nucleus to encompass the close biological communication and finely coordinated interactions between mitochondria and their nuclear cell mate. Application of this holistic approach, to all metabolic interactions within the cell, is providing a more complete understanding of the molecular transformation of the cell from normal to malignant behavior, before histopathological indications are evident. In this review the surging momentum in mitochondrial science, as it relates to cancer, is described in three progressive perspectives: (1 Past: the historical contributions to current directions of research; (2 Present: Contemporary findings, results and approaches to mitochondria and cancer, including the role of next generation sequencing and proteomics; (3 Future: Based on the present body of knowledge, the potential assets and benefits of mitochondrial research are projected into the near future.

  17. Marine ice profiling : future directions

    Energy Technology Data Exchange (ETDEWEB)

    Marko, J.R.; Fissel, D.B. [ASL Environmental Sciences Inc., Sidney, BC (Canada)

    2006-11-15

    High sampling-frequency ice profiling tools are needed to characterize ice covers for the purposes of offshore development and climate-change studies. This paper reviewed the contribution that upward-looking sonars moored on the sea floor have made towards the qualitative and quantitative understandings of ocean ice covers, with particular reference to the IPS4 Ice Profiler developed by ASL Environmental Sciences Inc. This water column profiler enables quasi-continuous measurements of ice draft along curvilinear tracks to accuracies as great as 0.05 m. This paper provided a description of both the instrument and measurement methodology, including an outline of the steps involved in the extraction of ice drafts from range information. The IPS4 has been used to acquire and store data from more than 100 deployments in polar and sub-polar ice-infested regions. The acquired data on ice properties is used to characterize platform and operations design, planning, navigation support and for scientific ice and climate studies. The combined application of the IPS4 and a sister instrument specialized for shallow water environments has resulted in new deployment methodologies in addition to simple ice draft measurements of the ice undersurface and draft statistics. These include the detection of unconsolidated ice content in lower portions of ice keels or loose ice under ice covers in shallow waters. The development of new generation IPS5 instrumentation is guided by perceived future needs in both conventional draft profiling and in new applications. The IPS5 will offer users improved access to better, more complete, information on ice and other components of the upper ocean and freshwater environments. This paper also reviewed ASL's vision of this instrumentation and progress toward prototype construction. ASL is also finalizing the design and manufacture of a plastic pressure case to address corrosion problems associated with long term deployments. The new instrument

  18. Future directions of ecosystem science

    Science.gov (United States)

    Baron, Jill; Galvin, Kathleen A.

    1990-01-01

    , and global--have not replaced one another (Clark and Holling 1985). Instead, the effects are superimposed, creating what some perceive as impending global environmental crisis (Clark 1989, MacNeill 1989, WCED 1987). Public demands are developing for economic, political, social, and environmental efforts directed toward creating a state of global sustainability.

  19. Geography and the Anthropocene 3: Future Directions

    OpenAIRE

    Noel Castree

    2014-01-01

    This and two companion papers (The Anthropocene and Geography I: The back story and The Anthropocene and Geography III: Future Directions) consider the relevance of '˜the Anthropocene'™ to present and future research in Geography. Along with the concept of 'planetary boundaries'™, the idea that humanity has entered a new geological epoch of its own making is currently attracting considerable attention -“ both within and beyond the world of Earth surface science from whence both notions origin...

  20. Dacryocystorhinostomy: History, evolution and future directions.

    Science.gov (United States)

    Yakopson, Vladimir S; Flanagan, Joseph C; Ahn, Daniel; Luo, Betsy P

    2011-01-01

    Dacryocystorhinostomy (DCR) is a procedure of choice for nasolacrimal duct obstruction and chronic dacryostenosis in the setting of patent canaliculi and a functional lacrimal pump. Two major approaches are utilized: external, via a transcutaneous incision and endonasal endoscopically guided. The surgery has a high success rate via both approaches. We review the history, evolution, current techniques, complications and future directions of DCR. PMID:23960901

  1. Biology Education Research: Lessons and Future Directions

    OpenAIRE

    Singer, Susan R.; Nielsen, Natalie R.; Schweingruber, Heidi A.

    2013-01-01

    This feature draws on a 2012 National Research Council report to highlight some of the insights that discipline-based education research in general—and biology education research in particular—have provided into the challenges of undergraduate science education. It identifies strategies for overcoming those challenges and future directions for biology education research.

  2. Quantum information and physics: Some future directions

    OpenAIRE

    Preskill, John

    2000-01-01

    I consider some promising future directions for quantum information theory that could influence the development of 21st century physics. Advances in the theory of the distinguishability of superoperators may lead to new strategies for improving the precision of quantum-limited measurements. A better grasp of the properties of multi-partite quantum entanglement may lead to deeper understanding of strongly-coupled dynamics in quantum many-body systems, quantum field theory, and quantum gravity.

  3. Tick vaccines: current status and future directions.

    Science.gov (United States)

    de la Fuente, José; Contreras, Marinela

    2015-01-01

    Ticks and tick-borne diseases are a growing problem affecting human and animal health worldwide. Traditional control methods, based primarily on chemical acaricides, have proven not to be sustainable because of the selection of acaricide-resistant ticks. Tick vaccines appear to be a promising and effective alternative for control of tick infestations and pathogen transmission. The purpose of this review is to summarize previous tick vaccine development and performance and formulate critical issues and recommendations for future directions for the development of improved and effective tick vaccines. The development of effective screening platforms and algorithms using omics approaches focused on relevant biological processes will allow the discovery of new tick-protective antigens. Future vaccines will likely combine tick antigens with different protective mechanisms alone or pathogen-derived antigens. The application of tick vaccines as a part of integrated control strategies will ultimately result in the control of tick-borne diseases. PMID:26289976

  4. Future directions of magnetic fusion research

    International Nuclear Information System (INIS)

    The results from the worldwide research on tokamaks together with the engineering design of the International Thermonuclear Experimental Reactor (ITER) and power plant systems studies have identified opportunities and challenges not only for the tokamak concept but for most toroidal magnetic confinement concepts. Though the tokamak configuration has been the most intensely studied to date, other magnetic configurations have been pursued to identify their potential as power plants. The experimental results from a variety of magnetic configurations together with theoretical work has deepened our understanding and has provided insights into the directions future research will take to develop an economically attractive energy source. (author). 76 refs

  5. Black raspberries in cancer clinical trials: Past, present and future

    Science.gov (United States)

    Kresty, Laura A.; Mallery, Susan R.; Stoner, Gary D.

    2016-01-01

    BACKGROUND Black raspberries (BRB) inhibit a broad range of cancers in preclinical models, including in vivo models of oral, esophageal, colon, breast and skin cancer. Promising preclinical results have led to clinical evaluations in cancer patients or patients at increased risk for cancer development. OBJECTIVE To summarize clinical investigations targeting cancer or precancerous lesions with BRB and discuss future directions. METHODS A thorough literature search was conducted through December 1, 2015 to identify all published studies evaluating BRB in cancer focused clinical trials. RESULTS Research investigating BRB in clinical settings report positive effects on preneoplastic lesions or cancers of the oral cavity, esophagus and colon. BRB treatment resulted in: histologic regression of oral intraepithelial neoplasia associated with improved histologic grade and significantly reduced loss of heterozygosity at tumor suppressor gene loci, modulated genes linked to RNA processing and growth factor recycling; in the colon, BRB inhibited FAP-associated polyp progression, demethylated tumor suppressor genes and improved plasma cytokine profiles; in Barrett’s patients, BRB consumption increased tissue levels of GST-pi and decreased 8-isoprostane, a marker of lipid peroxidation/oxidative stress. CONCLUSIONS The precise dose, duration and optimum mode of BRB delivery for cancer inhibition remains to be fully elucidated. Common themes across studies support that BRB are anti-proliferative, anti- inflammatory, reduce oxidative stress and restore tumor suppressive activity. Future directions are included in the conclusions section.

  6. Universal Digital Library-Future research directions

    Institute of Scientific and Technical Information of China (English)

    BALAKRISHNAN N.

    2005-01-01

    This paper starts with a description of the present status of the Digital Library of India Initiative. As part of this initiative large corpus of scanned text is available in many Indian languages and has stimulated a vast amount of research in Indian language technology briefly described in this paper. Other than the Digital Library of India Initiative which is part of the Million Books to the Web Project initiated by Prof Raj Reddy of Carnegie Mellon University, there are a few more initiatives in India towards taking the heritage of the country to the Web. This paper presents the future directions for the Digital Library of India Initiative both in terms of growing collection and the technical challenges in managing such large collection poses.

  7. Brainstem tumors: Current management and future directions

    Directory of Open Access Journals (Sweden)

    Pablo F Recinos

    2012-01-01

    Full Text Available Tumors arising in the brainstem comprise 10-20% of all pediatric central nervous system (CNS tumors and account for a small percentage in adults. The prognosis for these tumors was considered uniformly poor prior to the era of modern neuroimaging and the location was fraught with disaster being considered a ′no man′s land′ for neurosurgeons. Following the introduction of advanced imaging modalities and neurophysiological monitoring, striking progress has occurred in the management of these lesions. Brainstem tumors are presently classified based on their anatomic location, focality, and histopathology. This article reviews the current classification of brainstem tumors, current management options, and future directions in the treatment for these rare tumors.

  8. Geospatial Brokering - Challenges and Future Directions

    Science.gov (United States)

    White, C. E.

    2012-12-01

    An important feature of many brokers is to facilitate straightforward human access to scientific data while maintaining programmatic access to it for system solutions. Standards-based protocols are critical for this, and there are a number of protocols to choose from. In this discussion, we will present a web application solution that leverages certain protocols - e.g., OGC CSW, REST, and OpenSearch - to provide programmatic as well as human access to geospatial resources. We will also discuss managing resources to reduce duplication yet increase discoverability, federated search solutions, and architectures that combine human-friendly interfaces with powerful underlying data management. The changing requirements witnessed in brokering solutions over time, our recent experience participating in the EarthCube brokering hack-a-thon, and evolving interoperability standards provide insight to future technological and philosophical directions planned for geospatial broker solutions. There has been much change over the past decade, but with the unprecedented data collaboration of recent years, in many ways the challenges and opportunities are just beginning.

  9. Cogan's syndrome: present and future directions.

    LENUS (Irish Health Repository)

    Murphy, Grainne

    2009-08-01

    Cogan\\'s syndrome, typified by the combination of interstitial keratitis and immune-mediated sensorineural hearing loss, is a rare condition, and commonly associated with a diagnostic delay. Using a standard search protocol, we review the literature to date, focusing on a number of key areas pertaining to diagnosis, presentation and treatment. Using a case illustration of atypical disease which led to fulminant aortic regurgitation, we highlight the need for continued and collaborative research in order to identify negative prognostic factors and thus tailor therapeutic regimens. Atypical Cogan\\'s syndrome is more commonly associated with systemic manifestations than typical disease, and may be refractory to immunosuppressive treatment. We discuss the application of laboratory (e.g antibodies targeting inner ear antigens) and radiological (PET-CT) aids to disease confirmation and detection of sub-clinical vascular inflammation. As illustrated by the included case description, some patients remain refractory to intense immunosuppression and delineation of adverse prognostic factors which may direct treatment, perhaps including the use of PET-CT, will contribute in the future to improving patient outcomes.

  10. Dietary biomarkers: advances, limitations and future directions

    Directory of Open Access Journals (Sweden)

    Hedrick Valisa E

    2012-12-01

    Full Text Available Abstract The subjective nature of self-reported dietary intake assessment methods presents numerous challenges to obtaining accurate dietary intake and nutritional status. This limitation can be overcome by the use of dietary biomarkers, which are able to objectively assess dietary consumption (or exposure without the bias of self-reported dietary intake errors. The need for dietary biomarkers was addressed by the Institute of Medicine, who recognized the lack of nutritional biomarkers as a knowledge gap requiring future research. The purpose of this article is to review existing literature on currently available dietary biomarkers, including novel biomarkers of specific foods and dietary components, and assess the validity, reliability and sensitivity of the markers. This review revealed several biomarkers in need of additional validation research; research is also needed to produce sensitive, specific, cost-effective and noninvasive dietary biomarkers. The emerging field of metabolomics may help to advance the development of food/nutrient biomarkers, yet advances in food metabolome databases are needed. The availability of biomarkers that estimate intake of specific foods and dietary components could greatly enhance nutritional research targeting compliance to national recommendations as well as direct associations with disease outcomes. More research is necessary to refine existing biomarkers by accounting for confounding factors, to establish new indicators of specific food intake, and to develop techniques that are cost-effective, noninvasive, rapid and accurate measures of nutritional status.

  11. Anal cancer: current and future treatment strategies

    Directory of Open Access Journals (Sweden)

    Chin JY

    2013-01-01

    Full Text Available Joanna Y Chin, Theodore S Hong, Jennifer Y WoDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA, USAAbstract: Anal cancer is a relatively rare malignancy, accounting for approximately 2% of gastrointestinal cancers. Concurrent chemoradiation with 5-fluorouracil/mitomycin remains the standard of care for the treatment of anal cancer. There is currently no proven role for platinum-based induction or adjuvant chemotherapy in anal cancer, even in cases of bulky disease. Multiple trials have shown that radiosensitization with concurrent chemotherapy is beneficial over radiation alone, and in particular, efforts to remove or substitute mitomycin from the chemoradiation regimen have been unsuccessful. Because local-regional control remains a challenge in the management of anal cancer, future studies will need to focus on radiation dose-escalation and/or addition of further chemotherapy or targeted agents. Patient selection, eg, with PET-CT or with biomarkers including HPV status, may be necessary to define patients who need more aggressive local treatment, ie, for patients with bulky disease, or to de-escalate treatment in others, ie, patients with early-stage, localized cancer.Keywords: anal cancer, chemoradiation, IMRT

  12. Radiation and lung cancer: problems and topics of future research

    International Nuclear Information System (INIS)

    It was the purpose of this critical review to outline the main uncertainties of present risk estimates for radiation-induced lung cancer and the resulting topics of future research in this field. The main emphasis was the actual problems of dose and risk estimates for indoor exposure to radon daughters. The discussion indicates that the conclusions of the ICRP and the BEIR IV studies, which proceed from data of radon-exposed miners, are based on models and assumptions that are too simple. Comparison with the lung cancer data from the atomic bomb survivors indicates that these uncertainties concern mainly the transfer of the data from male miners to the female population and the influence of smoking. This underlines the importance of large direct case-control studies on lung cancer from indoor radon. A detailed list of topics for future research in this field is presented in the summary of this session. (author)

  13. Future directions in fatigue and safety research.

    Science.gov (United States)

    Noy, Y Ian; Horrey, William J; Popkin, Stephen M; Folkard, Simon; Howarth, Heidi D; Courtney, Theodore K

    2011-03-01

    Fatigue is regarded as a major contributor to workplace and highway morbidity and mortality. While the scientific literature is replete with studies that can be traced back more than a hundred years, much remains to be done to improve our knowledge of and ability to alleviate the consequences of fatigue. Moreover, given the dramatic transformation of modern work systems due to a global and 24/7 economy, there is increasing urgency in improving our understanding of fatigue as a safety risk factor, its etiology and management. As a result, a Hopkinton Conference was organized to review the state of knowledge in the area and define future directions for research aimed at preventing or mitigating the consequences of fatigue. The Hopkinton Conference paradigm brings together leading experts on a key research area to define scientific gaps and research needs, and serves as a stimulus for further collaboration. Over the course of several months prior to the conference, participants draft state-of-the-art reviews covering various aspects of the research topic. In this case, five working groups were formed, each charged with developing collaborative manuscripts in a given topic area of interest, as follows: the Link Between Fatigue and Safety, Demographic Issues in Fatigue, Predicting Fatigue, Technological Approaches in the Management of Fatigue, and Organizational Factors in the Management of Fatigue. The participants then convened for a 2 day conference at the Liberty Mutual Research Institute for Safety in Hopkinton to review, debate, and revise the draft manuscripts; examine global issues; and discuss research priorities. The output from this collective effort is captured in this special issue of Accident Analysis and Prevention. PMID:21130212

  14. Future options ofanti-angiogenic cancer therapy

    Institute of Scientific and Technical Information of China (English)

    Yihai Cao

    2016-01-01

    In human patients, drugs that block tumor vessel growth are widely used to treat a variety of cancer types. Many rigorous phase 3 clinical trials have demonstrated signiifcant survival beneifts; however, the addition of an anti-angio-genic component to conventional therapeutic modalities has generally produced modest survival beneifts for cancer patients. Currently, it is unclear why these clinically available drugs targeting the same angiogenic pathways produce dissimilar effects in preclinical models and human patients. In this article, we discuss possible mechanisms of various anti-angiogenic drugs and the future development of optimized treatment regimens.

  15. Palliative radiotherapy: current status and future directions.

    Science.gov (United States)

    Sharma, Sonam; Hertan, Lauren; Jones, Joshua

    2014-12-01

    For nearly 100 years, palliative radiotherapy has been a time-efficient, effective treatment for patients with metastatic or advanced cancer in any area where local tumors are causing symptoms. Short courses including a single fraction of radiotherapy may be effective for symptom relief with minimal side effects and maximization of convenience for patient and family. With recent advances in imaging, surgery, and other local therapies as well as systemic cancer therapies, palliative radiotherapy has been used frequently in patients who may not yet have symptoms of advanced or metastatic cancer. In this setting, more prolonged radiotherapy courses and advanced radiotherapy techniques including intensity-modulated radiotherapy (IMRT) or stereotactic radiotherapy (SRT) may be useful in obtaining local control and durable palliative responses. This review will explore the use of radiotherapy across the spectrum of patients with advanced and metastatic cancer and delineate an updated, rational approach for the use of palliative radiotherapy that incorporates symptoms, prognosis, and other factors into the delivery of palliative radiotherapy. PMID:25499634

  16. Implementation of proteomics for cancer research: past, present, and future.

    Science.gov (United States)

    Karimi, Parisa; Shahrokni, Armin; Ranjbar, Mohammad R Nezami

    2014-01-01

    Cancer is the leading cause of the death, accounts for about 13% of all annual deaths worldwide. Many different fields of science are collaborating together studying cancer to improve our knowledge of this lethal disease, and find better solutions for diagnosis and treatment. Proteomics is one of the most recent and rapidly growing areas in molecular biology that helps understanding cancer from an omics data analysis point of view. The human proteome project was officially initiated in 2008. Proteomics enables the scientists to interrogate a variety of biospecimens for their protein contents and measure the concentrations of these proteins. Current necessary equipment and technologies for cancer proteomics are mass spectrometry, protein microarrays, nanotechnology and bioinformatics. In this paper, we provide a brief review on proteomics and its application in cancer research. After a brief introduction including its definition, we summarize the history of major previous work conducted by researchers, followed by an overview on the role of proteomics in cancer studies. We also provide a list of different utilities in cancer proteomics and investigate their advantages and shortcomings from theoretical and practical angles. Finally, we explore some of the main challenges and conclude the paper with future directions in this field. PMID:24761843

  17. Learning Analytics: Challenges and Future Research Directions

    Directory of Open Access Journals (Sweden)

    Vlatko Lukarov

    2014-12-01

    Full Text Available In recent years, learning analytics (LA has attracted a great deal of attention in technology-enhanced learning (TEL research as practitioners, institutions, and researchers are increasingly seeing the potential that LA has to shape the future TEL landscape. Generally, LA deals with the development of methods that harness educational data sets to support the learning process. This paper provides a foundation for future research in LA. It provides a systematic overview on this emerging field and its key concepts through a reference model for LA based on four dimensions, namely data, environments, context (what?, stakeholders (who?, objectives (why?, and methods (how?. It further identifies various challenges and research opportunities in the area of LA in relation to each dimension.

  18. Neutrino oscillations: Recent results and future directions

    Indian Academy of Sciences (India)

    Amitava Raychaudhuri

    2000-01-01

    A brief introduction to the phenomena of vacuum neutrino oscillations and resonant flavour conversion is presented with a heavy pedagogic leaning. Variants of these ideas, e.g., neutrino helicity flip in a magnetic field, violation of the equivalence principle, etc. are outlined. A few vexing issues pertaining to the quantum mechanics of neutrino oscillations are discussed. Expectations from some of the future experiments are summarized.

  19. Past, Present, and Future of Targeting Ras for Cancer Therapies.

    Science.gov (United States)

    Tan, Zhi; Zhang, Shuxing

    2016-01-01

    For decades, mutant Ras (mut-Ras) proteins have been identified as drivers of multiple cancers including pancreatic, lung, and colon cancers. However, targeting this oncogene has been challenging and no Ras inhibitors are on the market to date. Lately several candidates targeting the downstream pathways of Ras signaling, including PI3K and Raf, were approved for cancer treatment. However, they do not present promising therapeutic effects on patients harboring Ras mutations. Recently, a variety of compounds have been reported to impair the activity of Ras, and these exciting discoveries reignite the hope for development of novel drugs targeting mut-Ras. In this article, we will review the progress made in this field and the current state-of-the-art technologies to develop Ras inhibitors. Also we will discuss the future direction of targeting Ras. PMID:26423695

  20. Coronary CT: clinical indications and future directions

    International Nuclear Information System (INIS)

    Multidetector computed tomography (MDCT) has started its implementation in cardiology with calcium quantification of coronary plaques in the study without contrast, using the calcium score, demonstrating an important independent predictor of future cardiac events. The examination with intravenous contrast, coronary angiography, appeared later as a noninvasive method for evaluation of anatomy and obstructive coronary disease, characterizing the degree of stenosis and the presence of non calcified atherosclerotic plaques, assessing not only the lumen, but also the vessel wall. With the advent of new machines with more detectors and higher temporal resolution has been a reduction in radiation dose and the possibility of new applications. (author)

  1. Poststroke epilepsy: update and future directions.

    Science.gov (United States)

    Zelano, Johan

    2016-09-01

    Stroke is among the most common causes of epilepsy after middle age. Patients with poststroke epilepsy (PSE) differ in several respects from patients with other forms of structural-metabolic epilepsy; not least in age, age-related sensitivity to side effects of antiepileptic drugs (AEDs), and specific drug-drug interaction issues related to secondary-stroke prophylaxis. Encouragingly, there has lately been remarkable activity in the study of PSE. Three developments in PSE research deserve particular focus. First, large prospective trials have established the incidence and risk factors of PSE in the setting of modern stroke care. Stroke severity, cortical location, young age, and haemorrhage remain the most important risk factors. Second, although more studies are needed, epidemiological data indicate that the risk of PSE may be influenced, for instance, by statin treatment. Third, studies are emerging regarding the treatment and prognosis of PSE. Levetiracetam and lamotrigine may be well tolerated treatment options and seizure freedom is achieved in at least a similar proportion of patients as in other epilepsies. Furthermore, new animal models such as photothrombotic stroke gives hope of a more clear understanding of PSE epileptogenesis in the near future. In summary, PSE shows indications of maturing into an independent epilepsy research field. This review summarizes recent advances in our understanding of PSE and provides an update on management issues such as diagnosis, AED selection, and prognosis. Finally, future research challenges in the field are outlined. PMID:27582897

  2. Lactic Acidosis: Current Treatments and Future Directions.

    Science.gov (United States)

    Kraut, Jeffrey A; Madias, Nicolaos E

    2016-09-01

    Mortality rates associated with severe lactic acidosis (blood pHreduce mortality. This failure has been attributed to both reduction in serum calcium concentration and generation of excess carbon dioxide with intracellular acidification. In animal studies, hyperventilation and infusion of calcium during sodium bicarbonate administration improves cardiovascular function, suggesting that this approach could allow expression of the positive aspects of sodium bicarbonate. Other buffers, such as THAM or Carbicarb, or dialysis might also provide base with fewer untoward effects. Examination of these therapies in humans is warranted. The cellular injury associated with lactic acidosis is partly due to activation of NHE1, a cell-membrane Na(+)/H(+) exchanger. In animal studies, selective NHE1 inhibitors improve cardiovascular function, ameliorate lactic acidosis, and reduce mortality, supporting future research into their possible use in humans. Two main mechanisms contribute to lactic acid accumulation in sepsis and low-flow states: tissue hypoxia and epinephrine-induced stimulation of aerobic glycolysis. Targeting these mechanisms could allow for more specific therapy. This Acid-Base and Electrolyte Teaching Case presents a patient with acute lactic acidosis and describes current and future approaches to treatment. PMID:27291485

  3. Leadership: current theories, research, and future directions.

    Science.gov (United States)

    Avolio, Bruce J; Walumbwa, Fred O; Weber, Todd J

    2009-01-01

    This review examines recent theoretical and empirical developments in the leadership literature, beginning with topics that are currently receiving attention in terms of research, theory, and practice. We begin by examining authentic leadership and its development, followed by work that takes a cognitive science approach. We then examine new-genre leadership theories, complexity leadership, and leadership that is shared, collective, or distributed. We examine the role of relationships through our review of leader member exchange and the emerging work on followership. Finally, we examine work that has been done on substitutes for leadership, servant leadership, spirituality and leadership, cross-cultural leadership, and e-leadership. This structure has the benefit of creating a future focus as well as providing an interesting way to examine the development of the field. Each section ends with an identification of issues to be addressed in the future, in addition to the overall integration of the literature we provide at the end of the article. PMID:18651820

  4. Safety of nuclear installations: Future direction

    International Nuclear Information System (INIS)

    The Workshop presentations were divided into sessions devoted to the following topics: Environmental impact of fossil fuel energy technologies (5 papers), Future needs for nuclear power (7 papers), Safety objectives (10 papers), Safety aspects of the next generation of current-type nuclear power plants (8 papers), Safety aspects of new designs and concepts for nuclear power plants (6 papers), Special safety issues: Safety aspects of new designs and concepts for nuclear power plants (5 papers), Safety aspects of new designs and processes for the nuclear fuel cycle (5 papers), Closing panel (3 papers), 12 poster presentations and a Summary of the Workshop. A separate abstract was prepared for each of these papers. Refs, figs and tabs

  5. Future directions in preterm birth research.

    Science.gov (United States)

    Jain, Joses; Gyamfi-Bannerman, Cynthia

    2016-04-01

    The problem of preterm birth continues to pose one of the most significant research challenges that we face due to its immense scope and complexity. With evidence that 95% of cases of spontaneous preterm birth are intractable to current interventions, our best hope in resolving this problem may lie in new, innovative ideas. Novel approaches to researching preterm birth are currently underway, building upon our prior discoveries and probing into the unknown on multiple fronts. Here we discuss some of the major focuses of future investigation that provide a promising outlook for discovery, including advanced techniques to evaluate the cervix, new strategies to identify the role of the microbiome, and advances in molecular and epigenetic-based research. PMID:26640166

  6. Financial Contracting: A Survey of Empirical Research and Future Directions

    OpenAIRE

    Roberts, Michael R; Amir Sufi

    2009-01-01

    We review recent evidence and future directions for empirical research on financial contracting in the context of corporate finance. Specifically, we survey evidence pertaining to incentive conflicts, control rights, collateral, renegotiation, and interactions between financial contracts and other governance mechanisms. We also discuss directions for future research, concluding that the financial contracting approach offers a potentially fruitful perspective for empirical researchers seeking ...

  7. Future directions in nuclear data publication

    International Nuclear Information System (INIS)

    Rapid advances in computer based technologies provide enormous opportunities and great challenges to the way nuclear data is disseminated. Simple text databases and linear, command driven software are giving way to more complex, indexed databases and object-oriented, menu-driven applications. The Internet will clearly dominate dissemination of nuclear data in for foreseeable future, and CD-ROM technology (or similar high-density media) will replace hard-copy publication. The Isotopes Project has released Version 1.0 of VuENSDF, a versatile, 32-bit, C++, Internet enabled application for disseminating nuclear data. VuENSDF can automatically retrieve data over Internet; display decay scheme drawings, level tables, and references; and perform limited database searching of nuclear bands, transition coincidences, and reference authors. Version 2.0 of VuENSDF is being developed and will offer more complete database searches, plotting, and data entry utilities. The Isotopes Project has established a series of home pages on the WWW to provide data for various topics of nuclear physics. The group has also published a CD-ROM version of the Table of Isotopes using Adobe Acrobat software. Updated, Internet versions of the Table of Isotopes are planned. (author)

  8. Tissue engineering: current strategies and future directions.

    Science.gov (United States)

    Olson, Jennifer L; Atala, Anthony; Yoo, James J

    2011-04-01

    Novel therapies resulting from regenerative medicine and tissue engineering technology may offer new hope for patients with injuries, end-stage organ failure, or other clinical issues. Currently, patients with diseased and injured organs are often treated with transplanted organs. However, there is a shortage of donor organs that is worsening yearly as the population ages and as the number of new cases of organ failure increases. Scientists in the field of regenerative medicine and tissue engineering are now applying the principles of cell transplantation, material science, and bioengineering to construct biological substitutes that can restore and maintain normal function in diseased and injured tissues. In addition, the stem cell field is a rapidly advancing part of regenerative medicine, and new discoveries in this field create new options for this type of therapy. For example, new types of stem cells, such as amniotic fluid and placental stem cells that can circumvent the ethical issues associated with embryonic stem cells, have been discovered. The process of therapeutic cloning and the creation of induced pluripotent cells provide still other potential sources of stem cells for cell-based tissue engineering applications. Although stem cells are still in the research phase, some therapies arising from tissue engineering endeavors that make use of autologous, adult cells have already entered the clinical setting, indicating that regenerative medicine holds much promise for the future. PMID:22111050

  9. Pediatric cataract: challenges and future directions.

    Science.gov (United States)

    Medsinge, Anagha; Nischal, Ken K

    2015-01-01

    Cataract is a significant cause of visual disability in the pediatric population worldwide and can significantly impact the neurobiological development of a child. Early diagnosis and prompt surgical intervention is critical to prevent irreversible amblyopia. Thorough ocular evaluation, including the onset, duration, and morphology of a cataract, is essential to determine the timing for surgical intervention. Detailed assessment of the general health of the child, preferably in conjunction with a pediatrician, is helpful to rule out any associated systemic condition. Although pediatric cataracts have a diverse etiology, with the majority being idiopathic, genetic counseling and molecular testing should be undertaken with the help of a genetic counselor and/or geneticist in cases of hereditary cataracts. Advancement in surgical techniques and methods of optical rehabilitation has substantially improved the functional and anatomic outcomes of pediatric cataract surgeries in recent years. However, the phenomenon of refractive growth and the process of emmetropization have continued to puzzle pediatric ophthalmologists and highlight the need for future prospective studies. Posterior capsule opacification and secondary glaucoma are still the major postoperative complications necessitating long-term surveillance in children undergoing cataract surgery early in life. Successful management of pediatric cataracts depends on individualized care and experienced teamwork. We reviewed the etiology, preoperative evaluation including biometry, choice of intraocular lens, surgical techniques, and recent developments in the field of childhood cataract. PMID:25609909

  10. Environmental OMICS: Current Status and Future Directions

    Directory of Open Access Journals (Sweden)

    Yue Ge

    2013-01-01

    Conclusions: OMICS technologies for identification of RNA, protein, and metabolic profiles and endpoints have already significantly improved our understanding of how environmental chemicals affect our ecosystem and human health. OMICS breakthroughs are empowering the fields of environmental toxicology, chemical toxicity characterization, and health risk assessment. However, environmental OMICS is still in the data generation and collection stage. Important data gaps in linking and/or integrating toxicity data with OMICS endpoints/profiles need to be filled to enable understanding of the potential impacts of chemicals on human health and the environment. It is expected that future environmental OMICS will focus more on real environmental issues and challenges such as the characterization of chemical mixture toxicity, the identification of environmental and health biomarkers, and the development of innovative environmental OMICS approaches and assays. These innovative approaches and assays will inform chemical toxicity testing and prediction, ecological and health risk monitoring and assessment, and natural resource utilization in ways that maintain human health and protects the environment in a sustainable manner.

  11. Neurosciences research in space - Future directions

    Science.gov (United States)

    Sulzman, Frank M.; Wolfe, James W.

    1991-01-01

    In order to gain a better understanding of the effects of long-duration space missions on the central nervous system, near-term research, to take place from 1990-1995, will be directed at investigating the acute effects of microgravity and the 'space adaptation syndrome'. These include experiments scheduled for the Spacelab Life Sciences 1 which is designed to evaluate changes in the visual, vestibular, and proprioceptive systems. An extensive series of experiments, collectively termed Microgravity Vestibular Investigations (MVI), is also planned for the IML-1 mission to be flown in 1992. The IML-2 mission will emphasize behavior and performance, biological rhythms, and further vestibular studies. Mid-term goals, projected to be achieved from 1995-2000, include the use of new technology such as magnetic recording techniques. Long-term goals are also discussed including studies dealing with neuronal plasticity and sensory substitution, augmentation, and robotic telepresence.

  12. Telehealth: current practices and future directions

    Science.gov (United States)

    David, Yadin B.

    1996-02-01

    When we review the positive impact that the integration of ostensibly independent patient-care services have on the efficient management of quality care, education, and collaborative research, it is not surprising that telehealth deployment is on the rise. The forces that drive this phenomenon include: the need to manage the entire disease episode; the desire for wider geographically-distributed quality health care; the escalation of customer expectations; globalization of healthcare and its support services; an increase in patient and provider convenience; and the acceptance of the present technological community. At the Telehealth Center at the Texas Children's Hospital, current classifications of clinical applications are listed: (1) initial urgent evaluation of patients, (2) triage decisions and pretransfer arrangements, (3) medical and surgical follow-up and medication review, (4) consultation for primary care encounters, (5) real-time subspecialty care consultation and planning, (6) management of chronic diseases and conditions, (7) extended diagnostic work-ups, (8) review of diagnostic images, and (9) preventive medicine and patient education. The delivery of such services is associated with challenges and opportunities. As we move forward from limited data processing to an integrated communication system, from centralized main frame functions to personalized and location-independent workstations, and from hospitals to clinics and homecare, an increase in the minimum features provided by the equipment and the communication systems must accompany the widening variety of clinical applications. Future expansion of telehealth systems stands to revolutionize the delivery of services to the benefits of providers' networks, our economy, and patients through integration.

  13. Pediatric cataract: challenges and future directions

    Directory of Open Access Journals (Sweden)

    Medsinge A

    2015-01-01

    Full Text Available Anagha Medsinge,1,2 Ken K Nischal1,2 1Pediatric Ophthalmology, Strabismus, and Adult Motility, Children’s Hospital of Pittsburgh of University of Pittsburgh Medical Center, (UPMC 2University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Abstract: Cataract is a significant cause of visual disability in the pediatric population worldwide and can significantly impact the neurobiological development of a child. Early diagnosis and prompt surgical intervention is critical to prevent irreversible amblyopia. Thorough ocular evaluation, including the onset, duration, and morphology of a cataract, is essential to determine the timing for surgical intervention. Detailed assessment of the general health of the child, preferably in conjunction with a pediatrician, is helpful to rule out any associated systemic condition. Although pediatric cataracts have a diverse etiology, with the majority being idiopathic, genetic counseling and molecular testing should be undertaken with the help of a genetic counselor and/or geneticist in cases of hereditary cataracts. Advancement in surgical techniques and methods of optical rehabilitation has substantially improved the functional and anatomic outcomes of pediatric cataract surgeries in recent years. However, the phenomenon of refractive growth and the process of emmetropization have continued to puzzle pediatric ophthalmologists and highlight the need for future prospective studies. Posterior capsule opacification and secondary glaucoma are still the major postoperative complications necessitating long-term surveillance in children undergoing cataract surgery early in life. Successful management of pediatric cataracts depends on individualized care and experienced teamwork. We reviewed the etiology, preoperative evaluation including biometry, choice of intraocular lens, surgical techniques, and recent developments in the field of childhood cataract. Keywords: children, pediatric cataract, infantile

  14. Neurosciences research in space Future directions

    Science.gov (United States)

    Sulzman, Frank M.; Wolfe, James W.

    Future research in the neurosciences can best be understood in the context of NASA's life sciences goals in the near term (1990-1995), mid term (1995-2000), and long term (2000 and beyond). Since NASA is planning short-duration Spacelab and International Microgravity Laboratory (IML) flights for many years to come, the acute effects of exposure to microgravity will continue to be of experimental and operational interest in the near term. To this end, major new areas of research will be devoted to ground-based studies of preflight adaptation trainers and their efficacy in preventing or reducing the incidence of space motion sickness. In addition, an extensive series of studies of the vestibular system will be conducted inflight on the IML-1 mission The IML-2 mission will emphasize behavior and performance, biological rhythms, and further vestibular studies. In the mid-term period, Spacelab missions will employ new technology such as magnetic recording techniques in order to evaluate changes in the processing of sensory and motor inputs at the brainstem and cortical level during exposure to microgravity. Two Space Life Sciences (SLS) missions planned for the mid to late 1990's, SLS-4 and SLS-5, will utilize an onboard centrifuge facility that will enable investigators to study the effects of partial gravity on sensory and motor function. In the long term (2000 and beyond), Space Station Freedom and long-duration missions will provide opportunities to explore new options in the neurosciences, such as sensory substitution and augmentation, through the use of physical sensors to provide three-dimensional tactile-visual, tactile-auditory and tactile-somatosensory inputs. The use of this technology will be extremely important in the area of robotic telepresence. Finally, Space Station Freedom and proposed LifeSat missions will provide neuroscientists the opportunity to study the effects of partial gravity and microgravity on neuronal plasticity.

  15. [Cervical cancer screening: past--present--future].

    Science.gov (United States)

    Breitenecker, G

    2009-12-01

    in combination with cytology. Various models and approaches are in the testing phase and appear promising. HPV testing is on the other hand well accepted and recommended as a triage test to select women with equivocal smear results (Pap group III, ASCUS) if a biopsy is required or can be followed up and also for follow-up of patients after cone biopsy. However, vaccination of young girls against oncogenic HPV types which has now become widespread still leaves many questions open for the future because the observation period is too short. There is justified hope that this will become a valuable tool in cervical cancer control and may lead to a substantial reduction in the burden of cervical cancer in the future. However, as the current vaccines on the market do not cover all oncogenic virus types and the effects of vaccination will only be observed after many years, the necessity of a cytological screening will remain unrestricted. Therefore, cervical cytology will remain as the trusted, simple to use, economic and proven, like no other method for early cancer detection, efficient procedure even in the foreseeable future. If carried out with the highest quality demands it will play a central role in the early detection of cervical cancer. PMID:19756616

  16. [Future directions of cardiovascular surgery in China].

    Science.gov (United States)

    Hu, S S

    2016-08-01

    The cardiovascular surgery in China has achieved great progress both on scale and technology though development over the past thirty years. However, the technical predominance of cardiovascular surgery in therapies for some diseases has been weakened, along with developments of new drugs and interventional technology. Besides, the change of doctor-patient relationship result from internet medical information service and less attraction of cardiovascular surgery discipline to talents bring certain challenge to the development of cardiovascular surgery. Currently, cardiovascular surgeons should practice the "patient first" principle, carry out individual customized treatment and precision therapy, absorb the advantages of other subjects like intervention and imaging in order to achieve technological breakthroughs, create new treatment technologies and models with smaller trauma and better outcome, establish heart team to provide patient oriented treatment. Besides, cardiovascular surgeons should improve knowledge system by learning related technology and science, become hybrid doctors of research. Cardiovascular surgeons should pay high attention to critical effect of research on the disciplinary development, carry out question and demand oriented clinical studies, change the medical practice by virtue of research achievements, direct the treatment for cardiovascular diseases, and finally provide better health service and rebuild the predominance of cardiovascular surgery. PMID:27502127

  17. Neuropsychological effects of cranial radiation: current knowledge and future directions

    International Nuclear Information System (INIS)

    Radiation is an invaluable therapeutic tool in the treatment of cancer, with well-established palliative and curative efficacy. As patient survival has improved, attention has focused on long-range treatment side effects. One such adverse effect, neuropsychological impairment, is incompletely understood. Much of the extant research has been directed at childhood leukemia survivors treated with low-dose whole-brain radiation. Less is known about the effects of high-dose focal or whole-brain radiation used in the treatment of brain lesions. This article reviews the scientific literature in this area, with greatest emphasis on methodologically rigorous studies. Research design considerations are discussed. Review findings suggest that low-dose whole-brain radiation (18 to 24 Gy) in children is associated with mild delayed IQ decline, with more substantial deficits occurring in children treated at a young age. A high incidence of learning disabilities and academic failure is observed in this population and may be caused by poor attention and memory rather than low intellectual level. Children who receive higher dose radiation for treatment of brain tumors experience more pronounced cognitive decline. At higher doses, whole-brain radiation, in particular, is linked to deleterious cognitive outcomes. Remarkably little is known about cognitive outcomes in irradiated adults. Preliminary findings indicate that certain cognitive functions, including memory, may be more vulnerable to decline than others. Suggestions for future research are proposed

  18. Image-Guided Hydrodynamic Gene Delivery: Current Status and Future Directions

    Directory of Open Access Journals (Sweden)

    Kenya Kamimura

    2015-08-01

    Full Text Available Hydrodynamics-based delivery has been used as an experimental tool to express transgene in small animals. This in vivo gene transfer method is useful for functional analysis of genetic elements, therapeutic effect of oligonucleotides, and cancer cells to establish the metastatic cancer animal model for experimental research. Recent progress in the development of image-guided procedure for hydrodynamics-based gene delivery in large animals directly supports the clinical applicability of this technique. This review summarizes the current status and recent progress in the development of hydrodynamics-based gene delivery and discusses the future directions for its clinical application.

  19. Mass Communication Research; Major Issues and Future Directions.

    Science.gov (United States)

    Davison, W. Phillips, Ed.; Yu, Frederick T. C., Ed.

    The papers in this edited volume on the directions in mass communication research deal with two broad questions: What is the current state of knowledge with respect to the area in question? And what might be the most fruitful directions for future research? The nine articles include: (1) an attempt to structure the field of mass communication; (2)…

  20. Radiation and breast cancer: the present situation and future needs

    International Nuclear Information System (INIS)

    In this paper a brief review is presented relating to the public health importance of breast cancer, the current state of knowledge regarding non-radiation risk factors for this cancer and the current state of knowledge concerning radiation induced breast cancer. In addition, consideration is given to some areas where there is an identifiable need for future research. (Author)

  1. Prediagnostic serum levels of inflammatory biomarkers are correlated with future development of lung and esophageal cancer

    OpenAIRE

    Keeley, Brieze R; Islami, Farhad; Pourshams, Akram; Poustchi, Hossein; Pak, Jamie S; Brennan, Paul; Khademi, Hooman; Genden, Eric M.; Abnet, Christian C.; Dawsey, Sanford M.; Boffetta, Paolo; Malekzadeh, Reza; Sikora, Andrew G.

    2014-01-01

    This study tests the hypothesis that prediagnostic serum levels of 20 cancer-associated inflammatory biomarkers correlate directly with future development of head and neck, esophageal, and lung cancers in a high-risk prospective cohort. This is a nested case–control pilot study of subjects enrolled in the Golestan Cohort Study, an ongoing epidemiologic project assessing cancer trends in Golestan, Iran. We measured a panel of 20 21cytokines, chemokines, and inflammatory molecules using Luminex...

  2. Prediagnostic serum levels of inflammatory biomarkers are correlated with future development of lung and esophageal cancer.

    Science.gov (United States)

    Keeley, Brieze R; Islami, Farhad; Pourshams, Akram; Poustchi, Hossein; Pak, Jamie S; Brennan, Paul; Khademi, Hooman; Genden, Eric M; Abnet, Christian C; Dawsey, Sanford M; Boffetta, Paolo; Malekzadeh, Reza; Sikora, Andrew G

    2014-09-01

    This study tests the hypothesis that prediagnostic serum levels of 20 cancer-associated inflammatory biomarkers correlate directly with future development of head and neck, esophageal, and lung cancers in a high-risk prospective cohort. This is a nested case-control pilot study of subjects enrolled in the Golestan Cohort Study, an ongoing epidemiologic project assessing cancer trends in Golestan, Iran. We measured a panel of 20 21 cytokines, chemokines, and inflammatory molecules using Luminex technology in serum samples collected 2 or more years before cancer diagnosis in 78 aerodigestive cancer cases and 81 controls. Data was analyzed using Wilcoxon rank sum test, odds ratios, receiver operating characteristic areas of discrimination, and multivariate analysis. Biomarkers were profoundly and globally elevated in future esophageal and lung cancer patients compared to controls. Odds ratios were significant for association between several biomarkers and future development of esophageal cancer, including interleukin-1Rα (IL-1Ra; 35.9), interferon α2 (IFN-a2; 34.0), fibroblast growth factor-2 (FGF-2; 17.4), and granulocyte/macrophage colony-stimulating factor (GM-CSF; 17.4). The same pattern was observed among future lung cancer cases for G-CSF (27.7), GM-CSF (13.3), and tumor necrosis factor-α (TNF-a; 8.6). By contrast, the majority of biomarkers studied showed no significant correlation with future head and neck cancer development. This study provides the first direct evidence that multiple inflammatory biomarkers are coordinately elevated in future lung and esophageal cancer patients 2 or more years before cancer diagnosis. PMID:25040886

  3. Future Directions for Surgical Trial Designs in Trigeminal Neuralgia.

    Science.gov (United States)

    Zakrzewska, Joanna M; Relton, Clare

    2016-07-01

    Should patients undergo surgical intervention as soon as they receive a diagnosis of trigeminal neuralgia (TN), or should they wait until pharmacologic treatment fails? This article describes some of the challenges encountered in surgical trials for TN, and provides some guidance for future trials in this area. One future direction for TN research is to use the innovative "cohort multiple RCT design," This article describes some of the challenges encountered in surgical trials for TN, and provides some guidance for future trials in this area. One future direction for TN research is to use the innovative "cohort multiple RCT design," which enables multiple trials to be embedded within a single cohort of patients with TN diagnosis, providing an efficient and effective approach to the testing of multiple interventions for TN with each other and with usual care. PMID:27325002

  4. Current status and future direction of the MONK software package

    International Nuclear Information System (INIS)

    The current status of the MONK criticality software package is summarized in terms of recent and current developments and envisaged directions for the future. The areas of the discussion are physics modeling, geometry modeling, source modeling, nuclear data, validation, supporting tools and customer services. In future development plan, MONK continues to be focused on meeting the short and long-term needs of the code user community. (J.P.N.)

  5. Cancer Vaccines: Past, Present, and Future.

    Science.gov (United States)

    Mohammed, Shamayel; Bakshi, Nasir; Chaudri, Naeem; Akhter, Javed; Akhtar, Mohammed

    2016-05-01

    Cancer is a common and potentially deadly disease. Some of the cancers may be difficult to treat by conventional means such as surgery, radiation, and chemotherapy, but may be controlled by the stimulation of the immune response of the body with the help of cancer vaccines. The use of vaccines for preventing infections by oncogenic viruses such as hepatitis B virus and human papilloma virus has been extremely successful in reducing the incidence of cancers resulting from these infections. The use of vaccines for treating cancers that are not due to viral infections and that are already established is currently the object of numerous clinical trials. Several types of cancer vaccines are being tried. These include antigen vaccines, tumor cell vaccines, dendritic vaccines, deoxyribonucleic acid vaccines, and viral vector vaccines. The development of these therapeutic vaccines is proving difficult with only 1 recent success. However, there is significant enthusiasm and optimism regarding the development of effective therapeutic vaccines stemming from the fact that our understanding regarding the cancer immunology is considerably enhanced in recent years. This expanded knowledge regarding the mechanisms that cancers use to escape the immune system is likely to open new avenues in modulating the immune response to cancer, thus enhancing the effectiveness of therapeutic cancer vaccines. PMID:27058246

  6. Cancer chemotherapy: Challenges for the future

    Energy Technology Data Exchange (ETDEWEB)

    Kimura, Kiyoji (ed.) (National Nagoya Hospital (Japan)); Saito, H. (Nagoya Univ. (Japan)); Carter, S.K. (ed.) (Bristol-Myers Squibb Company, New York (United States)); Bast, R.C. Jr (ed.) (Duke Univ., Durham, NC (United States). Medical Center)

    1992-01-01

    At this symposium the main topics were new strategies for cancer therapy based on biology and pharmacology. Presentations on the biology of tumor progression and regression covered the molecular basis of cancer suppression by human tumor suppressor genes, mutation of the p53 gene and accumulation of the p53 protein, tumor suppressor genes involved in the pathogenesis of lung cancer, and lessons learned from studies on tumor suppression by chromosome transfer. Many new reports on oncogenes provided the highlights for these chemotherapists present. For cancer therapy based on pharmacology, papers were presented on drug resistance such as P-glycoprotein (p170) multidrug resistance (MDR) transporter limitations on successful therapy for childhood tumors: possible circumvention of MDR by cyclosporin A, regulation of the MDR gene in response to environmental stimuli, and dose-intensive chemotherapies. On the subject of cancer therapy, lung cancer was the focus of attention, and the efficacy of combined modalities was reported and discussed.

  7. Acupuncture and Depth: Future Direction for Acupuncture Research

    OpenAIRE

    You Li Goh; Chin Ee Ho; Baixiao Zhao

    2014-01-01

    The research on acupuncture has increased steadily over the years and regular review and revision of the direction of future acupuncture research are necessary. This paper aims to review and explore the significance of acupuncture depth in modern acupuncture research. Searches conducted in Science Direct and China National Knowledge Infrastructure (CNKI) databases reflected a lack of focus on depth of acupuncture. We propose that the research trends of acupuncture should progress to the depth...

  8. High performance computing: Clusters, constellations, MPPs, and future directions

    Energy Technology Data Exchange (ETDEWEB)

    Dongarra, Jack; Sterling, Thomas; Simon, Horst; Strohmaier, Erich

    2003-06-10

    Last year's paper by Bell and Gray [1] examined past trends in high performance computing and asserted likely future directions based on market forces. While many of the insights drawn from this perspective have merit and suggest elements governing likely future directions for HPC, there are a number of points put forth that we feel require further discussion and, in certain cases, suggest alternative, more likely views. One area of concern relates to the nature and use of key terms to describe and distinguish among classes of high end computing systems, in particular the authors use of ''cluster'' to relate to essentially all parallel computers derived through the integration of replicated components. The taxonomy implicit in their previous paper, while arguable and supported by some elements of our community, fails to provide the essential semantic discrimination critical to the effectiveness of descriptive terms as tools in managing the conceptual space of consideration. In this paper, we present a perspective that retains the descriptive richness while providing a unifying framework. A second area of discourse that calls for additional commentary is the likely future path of system evolution that will lead to effective and affordable Petaflops-scale computing including the future role of computer centers as facilities for supporting high performance computing environments. This paper addresses the key issues of taxonomy, future directions towards Petaflops computing, and the important role of computer centers in the 21st century.

  9. Helicopter Rotor Noise Prediction: Background, Current Status, and Future Direction

    Science.gov (United States)

    Brentner, Kenneth S.

    1997-01-01

    Helicopter noise prediction is increasingly important. The purpose of this viewgraph presentation is to: 1) Put into perspective the recent progress; 2) Outline current prediction capabilities; 3) Forecast direction of future prediction research; 4) Identify rotorcraft noise prediction needs. The presentation includes an historical perspective, a description of governing equations, and the current status of source noise prediction.

  10. Future Directions for a Learning Society--1984 and Beyond.

    Science.gov (United States)

    Moon, Rexford G., Jr.

    1979-01-01

    Future Directions for a Learning Society is a program being conducted by the College Board with funds from the Exxon Corporation to study, plan, demonstrate, and develop new services in the area of adult, lifelong, recurrent, and continuing education. The initiatives and strategic actions of the program are outlined. (JMF)

  11. Current capabilities and future directions in computational fluid dynamics

    Science.gov (United States)

    1986-01-01

    A summary of significant findings is given, followed by specific recommendations for future directions of emphasis for computational fluid dynamics development. The discussion is organized into three application areas: external aerodynamics, hypersonics, and propulsion - and followed by a turbulence modeling synopsis.

  12. Diet and cancer: future etiologic research.

    Science.gov (United States)

    Schatzkin, A; Dorgan, J; Swanson, C; Potischman, N

    1995-01-01

    In light of several credible diet and cancer hypotheses, we suggest strategies for advancing our understanding in this area. Two conceptual approaches can be taken in defining dietary exposure: the decompositional approach focuses on specific nutrients and other chemical constituents of food, whereas the integrative approach emphasizes the action of whole foods or food patterns (cuisines). Diet-cancer hypotheses can be organized according to this conceptual framework. We review four types of scientific investigation available to us for advancing the diet and cancer field: metabolic (clinical nutrition) studies; animal studies; observational epidemiologic investigations; and clinical trials. Each of these designs has its strengths and limitations. Observational epidemiologic studies and trials have the particular advantage of examining explicit cancer end points in humans. Results from metabolic and animal research, however, can complement the findings from epidemiologic studies and trials. Finally, we briefly review strategies for evaluating promising hypotheses linking diet to cancers of the large bowel, lung, breast, and prostate. PMID:8741779

  13. Is There a Future for Chemoprevention of Prostate Cancer?

    Science.gov (United States)

    Bosland, Maarten C

    2016-08-01

    The outcome of the Selenium and Vitamin E Cancer Prevention Trial, demonstrating harm and no preventive activity of selenomethionine and α-tocopherol for prostate cancer, and the lack of approval by the FDA for the use of 5α-reductase inhibitors to prevent prostate cancer have cast doubt about the future of chemoprevention of prostate cancer. This article attempts to critically assess whether the notion that chemoprevention of prostate cancer has no future is warranted. Risk of prostate cancer is modifiable and chemoprevention of prostate cancer, particularly fatal/lethal cancer, is both needed and possible. However, the approach to prostate cancer-chemopreventive agent development has not followed a rational and systematic process. To make progress, the following steps are necessary: (i) identification of intermediate biomarkers predictive of fatal/lethal disease; (ii) development of a rational approach to identification of candidate agents, including high-throughput screening and generation of information on mechanism and biology of candidate agents and potential molecular targets; and (iii) systematic evaluation of the predictive value of preclinical models, phase II trials, and intermediate biomarkers for the outcome of phase III trials. New phase III trials should be based on adequate preclinical and phase II studies. Cancer Prev Res; 9(8); 642-7. ©2016 AACR. PMID:27099271

  14. Chemotherapy of prostate cancer: present and future.

    Science.gov (United States)

    Trump, Donald; Lau, Yiu-Keung

    2003-06-01

    The role of chemotherapy in prostate cancer continues to evolve. In men with symptomatic androgen-independent prostate cancer, significant reduction in pain and analgesic requirements are achievable with mitoxantrone and glucocorticoid combinations compared with glucocorticoids alone. However, survival rates are not improved. Taxane-based combinations with estramustine phosphate or other new agents show promise. Prostate-specific antigen response rates with these combinations appear to be 1.5 to 2 times more frequent than with mitoxantrone-based combinations. Randomized trials of taxane versus mitoxantrone-based therapies are underway. New agents and applications of current agents in adjuvant settings should be explored if survival in men with prostate cancer is to be improved. PMID:12756087

  15. Dark Matter and Dark Energy: Summary and Future Directions

    OpenAIRE

    Ellis, John

    2003-01-01

    This paper reviews the progress reported at this Royal Society Discussion Meeting and advertizes some possible future directions in our drive to understand dark matter and dark energy. Additionally, a first attempt is made to place in context the exciting new results from the WMAP satellite, which were published shortly after this Meeting. In the first part of this review, pieces of observational evidence shown here that bear on the amounts of dark matter and dark energy are reviewed. Subsequ...

  16. Social media and international advertising: Theoretical challenges and future directions

    OpenAIRE

    Okazaki, Shintaro; Taylor, Charles R.

    2013-01-01

    Purpose – The primary aim of this article is to identify theoretical foundations that can be used in research on social media in the context of international advertising research. An additional objective is to identify future research directions for theory building in this research area. Design/methodology/approach – The article draws on the extant literature to identify three key theoretical foundations that can be used in research on advertising in media from an advertising p...

  17. FIFE in 1992 - Results, scientific gains, and future research directions

    Science.gov (United States)

    Sellers, P. J.; Hall, F. G.

    1992-01-01

    A summary is presented of some of the more significant findings of the science teams and science staff of FIFE, emphasizing scientific gains, and outlining some future research directions. Attention is given to interactions between surface and boudary layer heat fluxes, momentum fluxes, and correlations between near-surface heat and CO2 fluxes and satellite data. Consideration is given to improved understanding of the exchanges between the land surface and the atmosphere at the local scale.

  18. Future directions and emerging techniques for ISOL systems

    International Nuclear Information System (INIS)

    The current status and future promise of ISOL systems are discussed, with emphasis on newly conceived experimental capabilities and interests. In addition to studies of nuclear structure using traditional or new on-line approaches, such as on-line nuclear orientation, the possibilities for studies with accelerated radioactive beams that have direct application to basic problems in materials science and astrophysics as well as to nuclear theory are pointed out. 43 refs., 3 figs., 1 tab

  19. Status and future of the direct sales market

    International Nuclear Information System (INIS)

    Three topics of interest concerning the direct purchase of natural gas, were discussed. The three topics were: (1) the Ontario market, past, present and future, along with an analysis of market segmentation, (2) Ontario local distribution companies (LDC) separation, or separating the merchant role from the distribution role, and (3) the status of direct purchase in Alberta. Changes in the natural gas market since deregulation in 1985, were also reviewed. It was noted that today, only a handful of agents, brokers and marketers of natural gas are vying for the market; customers are looking to purchase gas at a price lower than the LDC buy/sell price; and there is pressure for the LDCs to separate the merchant functions from the distribution functions in most of the provinces in Canada. The direct and long term impact of these developments will be to enhance competition among distributors

  20. Cancer Treatment Using Peptides: Current Therapies and Future Prospects

    OpenAIRE

    Jyothi Thundimadathil

    2012-01-01

    This paper discusses the role of peptides in cancer therapy with special emphasis on peptide drugs which are already approved and those in clinical trials. The potential of peptides in cancer treatment is evident from a variety of different strategies that are available to address the progression of tumor growth and propagation of the disease. Use of peptides that can directly target cancer cells without affecting normal cells (targeted therapy) is evolving as an alternate strategy to convent...

  1. Gene Therapy for Cancer Treatment: Past, Present and Future

    OpenAIRE

    Cross, Deanna; Burmester, James K.

    2006-01-01

    The broad field of gene therapy promises a number of innovative treatments that are likely to become important in preventing deaths from cancer. In this review, we discuss the history, highlights and future of three different gene therapy treatment approaches: immunotherapy, oncolytic virotherapy and gene transfer. Immunotherapy uses genetically modified cells and viral particles to stimulate the immune system to destroy cancer cells. Recent clinical trials of second and third generation vacc...

  2. Self-Directed Learning in Trial FutureLearn courses

    OpenAIRE

    de Waard, Inge; Kukulska-Hulme, Agnes; Sharples, Mike

    2015-01-01

    Self-Directed Learning (SDL) in Massive Open Online Courses (MOOC) is gaining interest, as online learning is increasingly learner-centred and autonomous. Most SDL research starts from the premise that SDL happens more frequently in connectivism MOOC (cMOOC) than in the more instructor-led MOOCs. In this study the authors look at SDL experiences from learners enrolled in two MOOC courses during the early trials of the FutureLearn platform. The meaning and experiences of the phenomenon of bein...

  3. Present status and future direction of plutonium process chemistry

    International Nuclear Information System (INIS)

    Large-scale plutonium recovery/processing facilities are currently operated at the US Department of Energy Hanford, Los Alamos National Laboratory, Rocky Flats, and Savannah River Sites. This paper presents an overview of plutonium process chemistry used at these sites, with particular emphasis on solution chemistry involved in recovery, purification, and waste treatment operations. By extrapolating from the present system of processes, this paper also attempts to chart the future direction of plutonium process development and operation. Areas where a better understanding of basic plutonium chemistry will contribute to development of improved processing are called out

  4. Computational fluid dynamics - Current capabilities and directions for the future

    Science.gov (United States)

    Kutler, Paul

    1989-01-01

    Computational fluid dynamics (CFD) has made great strides in the detailed simulation of complex fluid flows, including some of those not before understood. It is now being routinely applied to some rather complicated problems and starting to affect the design cycle of aerospace flight vehicles and their components. It is being used to complement, and is being complemented by, experimental studies. Several examples are presented in the paper to illustrate the current state of the art. Included is a discussion of the barriers to accomplishing the basic objective of numerical simulation. In addition, the directions for the future in the discipline of computational fluid dynamics are addressed.

  5. Suggested future directions in high-speed transition experimental research

    Science.gov (United States)

    Bushnell, Dennis

    1990-01-01

    Historical developments in the area of high-speed experimental transition research are outlined, and future directions in this area as determined by the panel membership are listed. The directions include measurement and modeling of initial disturbance fields, both in ground facilities and flight, for all modes; development of advanced high-speed instrumentation for disturbance field measurements, measurements of the details of receptivity in multitudinous flows; further development and use of high-speed quiet tunnels; stability and transition studies for multitudinous flows; detailed studies of the transitional region for boundary layers, free flows, vortices separated flows, corner flows, etc.; and studies of flow-chemistry effects on transition phenomena. Applied research such areas as the physics of perforated-surface suction stabilization and the resolution of anomalies in the existing high-speed database is also suggested.

  6. Direct therapeutic intervention for advanced pancreatic cancer

    Science.gov (United States)

    Takakura, Kazuki; Koido, Shigeo

    2015-01-01

    Currently, chemotherapy is an accredited, standard treatment for unresectable, advanced pancreatic cancer (PC). However, it has been still showed treatment-resistance and followed dismal prognosis in many cases. Therefore, some sort of new, additional treatments are needed for the better therapeutic results for advanced PC. According to the previous reports, it is obvious that interventional endoscopic ultrasonography (EUS) is a well-established, helpful and low-risky procedure in general. As the additional treatments of the conventional therapy for advanced PC, many therapeutic strategies, such as immunotherapies, molecular biological therapies, physiochemical therapies, radioactive therapies, using siRNA, using autophagy have been developing in recent years. Moreover, the efficacy of the other potential therapeutic targets for PC using EUS-fine needle injection, for example, intra-tumoral chemotherapeutic agents (paclitaxel, irinotecan), several ablative energies (radiofrequency ablation and cryothermal treatment, neodymium-doped yttrium aluminum garnet laser, high-intensity focused ultrasound), etc., has already been showed in animal models. Delivering these promising treatments reliably inside tumor, interventional EUS may probably be indispensable existence for the treatment of locally advanced PC in near future. PMID:26677434

  7. Direct therapeutic intervention for advanced pancreatic cancer.

    Science.gov (United States)

    Takakura, Kazuki; Koido, Shigeo

    2015-12-10

    Currently, chemotherapy is an accredited, standard treatment for unresectable, advanced pancreatic cancer (PC). However, it has been still showed treatment-resistance and followed dismal prognosis in many cases. Therefore, some sort of new, additional treatments are needed for the better therapeutic results for advanced PC. According to the previous reports, it is obvious that interventional endoscopic ultrasonography (EUS) is a well-established, helpful and low-risky procedure in general. As the additional treatments of the conventional therapy for advanced PC, many therapeutic strategies, such as immunotherapies, molecular biological therapies, physiochemical therapies, radioactive therapies, using siRNA, using autophagy have been developing in recent years. Moreover, the efficacy of the other potential therapeutic targets for PC using EUS-fine needle injection, for example, intra-tumoral chemotherapeutic agents (paclitaxel, irinotecan), several ablative energies (radiofrequency ablation and cryothermal treatment, neodymium-doped yttrium aluminum garnet laser, high-intensity focused ultrasound), etc., has already been showed in animal models. Delivering these promising treatments reliably inside tumor, interventional EUS may probably be indispensable existence for the treatment of locally advanced PC in near future. PMID:26677434

  8. Cell carriers for oncolytic viruses: current challenges and future directions

    Directory of Open Access Journals (Sweden)

    Roy DG

    2013-10-01

    Full Text Available Dominic G Roy,1,2 John C Bell1–31Centre for Innovative Cancer Therapeutics, Ottawa Hospital Research Institute, 2Department of Biochemistry, Immunology and Microbiology, 3Department of Medicine, University of Ottawa, Ottawa, ON, CanadaAbstract: The optimal route for clinical delivery of oncolytic viruses is thought to be systemic intravenous injection; however, the immune system is armed with several highly efficient mechanisms to remove pathogens from the circulatory system. To overcome the challenges faced in trying to delivery oncolytic viruses specifically to tumors via the bloodstream, carrier cells have been investigated to determine their suitability as delivery vehicles for systemic administration of oncolytic viruses. Cell carriers protect viruses from neutralization, one of the most limiting aspects of oncolytic virus interaction with the immune system. Cell carriers can also possess inherent tumor tropism, thus directing the delivery of the virus more specifically to a tumor. With preclinical studies already demonstrating the success and feasibility of this approach with multiple oncolytic viruses, clinical evaluation of cell-mediated delivery of viruses is on the horizon. Meanwhile, ongoing preclinical studies are aimed at identifying new cellular vehicles for oncolytic viruses and improving current promising cell carrier platforms.Keywords: oncolytic virus, cell carrier, systemic delivery, tumor targeting, cancer

  9. Haemostatic alterations in colorectal cancer: perspectives for future treatment

    DEFF Research Database (Denmark)

    Lykke, Jakob; Nielsen, Hans Jørgen

    2004-01-01

    The role of the haemostatic system in colorectal cancer (CRC) is reviewed. Correlations between the activation of the haemostatic system and overall survival have been suggested. Experimental studies indicate that the haemostatic system plays a key role in growth, invasion and dissemination of...... tumour cells, and in tumour related angiogenesis. Additional activation by the surgical trauma and postoperative infections are discussed. Finally, anti-cancer modalities directed against regulation of the haemostatic system in CRC are considered....

  10. Compressed sensing for radio interferometric imaging: review and future direction

    CERN Document Server

    McEwen, J D

    2011-01-01

    Radio interferometry is a powerful technique for astronomical imaging. The theory of Compressed Sensing (CS) has been applied recently to the ill-posed inverse problem of recovering images from the measurements taken by radio interferometric telescopes. We review novel CS radio interferometric imaging techniques, both at the level of acquisition and reconstruction, and discuss their superior performance relative to traditional approaches. In order to remain as close to the theory of CS as possible, these techniques necessarily consider idealised interferometric configurations. To realise the enhancement in quality provided by these novel techniques on real radio interferometric observations, their extension to realistic interferometric configurations is now of considerable importance. We also chart the future direction of research required to achieve this goal.

  11. Future directions for arms control and nonproliferation. Conference summary

    Energy Technology Data Exchange (ETDEWEB)

    1994-07-06

    This report provides a summary of the presentations and discussions at the Spring 1994 CNSN-Wilton Park Conference. The Conference was one of a series on US-European security cooperation organized by The Center for National Security Negotiations (CNSN) of Science Applications International Corporation. These conferences bring together government and non-government experts, primarily from the United States and Europe, to discuss a range of regional and global security issues. The conferences provide an opportunity to explore, in a frank and off-the-record environment, common interests and concerns, as well as differences in approach that affect trans-Atlantic cooperation. This report is divided into the following three areas: (1) implementation of existing and pending agreements; (2) non-proliferation: prospects for trans-Atlantic cooperation; and (3) future directions in arms control.

  12. Cognitive behavioral therapy: current status and future research directions.

    Science.gov (United States)

    McMain, Shelley; Newman, Michelle G; Segal, Zindel V; DeRubeis, Robert J

    2015-01-01

    Cognitive behavioral therapy (CBT), an umbrella term that includes a diverse group of treatments, is defined by a strong commitment to empiricism. While CBT has a robust empirical base, areas for improvement remain. This article reviews the status of the current empirical base and its limitations, and presents future directions for advancement of the field. Ultimately, studies are needed that will identify the predictors, mediators, and moderators of treatment response in order to increase knowledge on how to personalize interventions for each client and to strengthen the impact of CBT. Efforts to advance the dissemination and implementation of CBT, innovative approaches such as practice-oriented research, and the advantages of incorporating new and existing technologies, are discussed as well. PMID:25689506

  13. Pediatric hospitalists in medical education: current roles and future directions.

    Science.gov (United States)

    Heydarian, Cyrus; Maniscalco, Jennifer

    2012-05-01

    As the field of pediatric hospital medicine has evolved, pediatric hospitalists have become increasingly involved in medical student and resident education--providing direct education during clinical rotations, developing novel curricula to meet the demands of the new educational environment, occupying leadership roles in medical education, and more. The literature suggests that hospitalists possess the essential skills for teaching effectively, yet most hospitalists feel that additional training beyond residency is necessary to refine their knowledge and skills in education and in other essential domains. Several pediatric hospital medicine fellowships and continuing medical education activities have been developed in the last decade to meet this growing need. The recent publication of the Pediatric Hospital Medicine Core Competencies will help define the roles and expectations of practicing pediatric hospitalists, and will serve as a framework for future curriculum development in both graduate and continuing medical education. PMID:22483082

  14. Myocardial Viability and Revascularization: Current Understanding and Future Directions.

    Science.gov (United States)

    Patel, Pavan; Ivanov, Alexander; Ramasubbu, Kumudha

    2016-06-01

    The initial observation of functional recovery in dysfunctional myocardium following revascularization led to the introduction of the concept of hibernating myocardium. Since then, the pathophysiologic basis of hibernating myocardium has been well described. Multiple imaging modalities have been utilized to prospectively detect viable myocardium and thus predict its functional recovery following revascularization. It has been hypothesized that viability imaging will be instrumental in the selection of patients with ischemic cardiomyopathy likely to benefit from revascularization. Multiple observational studies built a large body of evidence supporting this concept. However, data from prospective studies failed to substantiate utility of viability testing. This review aims to summarize the current literature and describe the role of viability imaging in current clinical practice as well as future directions. PMID:27115143

  15. Future directions for the development of Chlamydomonas-based vaccines.

    Science.gov (United States)

    Rosales-Mendoza, Sergio

    2013-09-01

    Besides serving as a valuable model in biological sciences, Chamydomonas reinhardtii has been used during the last decade in the biotechnology arena to establish models for the low cost production of vaccines. Antigens from various pathogens including Plasmodium falciparum, foot and mouth disease virus, Staphylococcus aureus, classical swine fever virus (CSFV) as well as some auto-antigens, have been produced in C. reinhardtii. Although some of them have been functionally characterized with promising results, this review identifies future directions for the advancement in the exploitation of this robust and safe vaccine production platform. The present analysis reflects that important immunological implications exist for this system and remain unexplored, including the possible adjuvant effects of algae biomolecules, the effect of bioencapsulation on immunogenicity and the possible development of whole-cell vaccines as an approach to trigger cytotoxic immune responses. Recently described molecular strategies that aim to optimize the expression of nuclear-encoded target antigens are also discussed. PMID:24053395

  16. DNA barcoding to fishes: current status and future directions.

    Science.gov (United States)

    Bhattacharya, Manojit; Sharma, Ashish Ranjan; Patra, Bidhan Chandra; Sharma, Garima; Seo, Eun-Min; Nam, Ju-Suk; Chakraborty, Chiranjib; Lee, Sang-Soo

    2016-07-01

    DNA barcoding appears to be a promising approach for taxonomic identification, characterization, and discovery of newer species, facilitating biodiversity studies. It helps researchers to appreciate genetic and evolutionary associations by collection of molecular, morphological, and distributional data. Fish DNA barcoding, based on the sequencing of a uniform area of Cytochrome C Oxidase type I (COI) gene, has received significant interest as an accurate tool for species identification, authentication, and phylogenetic analysis. The aim of this review article was to investigate recent global status, approaches, and future direction of DNA barcoding in fisheries sectors. We have tried to highlight its possible impacts, complications, and validation issues at species levels for biodiversity analysis. Moreover, an effort has been put forward to understand issues related to various marker genes associated with barcode process as primer sequences and have concluded barcode promotion as an indispensable tool of molecular biology for the development of taxonomic support systems. PMID:26057011

  17. Current Status and Future Regulatory Direction on Sump Clogging Issue

    International Nuclear Information System (INIS)

    A significant progress in resolving the sump clogging issue has been achieved since the USNRC Generic Letter 2004-01 was issued. In Korea, the issue was begun to be discussed in regulatory framework through safety review and plant inspection since 2005. KINS has performed the licensing review for several plants including Kori Unit 1 and SKN Units 3, 4, according to the technical requirement of USNRC. Due to the efforts from the industry side and regulatory side, the newly designed improved strainer can be installed at some plants. However, some challengeable concerns such as chemical effect and downstream effect still need a further research. The present paper is to discuss the current status of issue resolution and the related regulation based on the up-to-date achievements and review findings. Also the future regulatory direction on the new concerns related to the issue is discussed

  18. Future Directions in Solar EUV/UV Spectroscopy

    Science.gov (United States)

    Harrison, R. A.

    1999-05-01

    Studies of the extreme ultraviolet (EUV) and ultraviolet (UV) spectrum of the Sun provide a unique and powerful means to investigate plasma properties, such as density, temperature, abundance and flow speeds throughout the low solar atmosphere, from chromsphere to corona. In particular, with the SOHO mission, recent EUV/UV spectroscopic studies have paved the way for significant advances in numerous areas of solar physics research, such as active region structure and evolution, quiet Sun transient processes, mass ejection onset, and so on... and the wealth of data will guarantee that we will be reaping the rewards for some time to come. However, spectroscopy demands relatively high mass, high telemetry instrumentation, and the products are not readily understood by the non-specialist. Thus, with the new breed of lighter missions and a greater need to enhance public awareness, what is the future for solar EUV/UV spectroscopy? The NASA STEREO mission due for launch in 2004 is not expected to carry a spectrometer. The Japanese Solar-B mission will be carrying an EUV spectrometer. The need for such instruments for the possible ESA Solar Orbiter, the NASA Solar Probe and other future missions must be addressed. SOHO comes from mid-1980's technology so we can readily enhance our current performances with the use of multilayers, improved CCD technology, multi-line-of-sight observations etc... So, as well as advertising the success of solar spectroscopy in recent years, an outline of possible directions willl be given which will underline the strong case for including such experiments in future solar missions.

  19. Capnography during cardiopulmonary resuscitation: Current evidence and future directions

    Directory of Open Access Journals (Sweden)

    Bhavani Shankar Kodali

    2014-01-01

    Full Text Available Capnography continues to be an important tool in measuring expired carbon dioxide (CO 2 . Most recent Advanced Cardiac Life Support (ACLS guidelines now recommend using capnography to ascertain the effectiveness of chest compressions and duration of cardiopulmonary resuscitation (CPR. Based on an extensive review of available published literature, we selected all available peer-reviewed research investigations and case reports. Available evidence suggests that there is significant correlation between partial pressure of end-tidal CO 2 (PETCO 2 and cardiac output that can indicate the return of spontaneous circulation (ROSC. Additional evidence favoring the use of capnography during CPR includes definitive proof of correct placement of the endotracheal tube and possible prediction of patient survival following cardiac arrest, although the latter will require further investigations. There is emerging evidence that PETCO 2 values can guide the initiation of extracorporeal life support (ECLS in refractory cardiac arrest (RCA. There is also increasing recognition of the value of capnography in intensive care settings in intubated patients. Future directions include determining the outcomes based on capnography waveforms PETCO 2 values and determining a reasonable duration of CPR. In the future, given increasing use of capnography during CPR large databases can be analyzed to predict outcomes.

  20. Clinical proteomics-driven precision medicine for targeted cancer therapy: current overview and future perspectives.

    Science.gov (United States)

    Zhou, Li; Wang, Kui; Li, Qifu; Nice, Edouard C; Zhang, Haiyuan; Huang, Canhua

    2016-04-01

    Cancer is a common disease that is a leading cause of death worldwide. Currently, early detection and novel therapeutic strategies are urgently needed for more effective management of cancer. Importantly, protein profiling using clinical proteomic strategies, with spectacular sensitivity and precision, offer excellent promise for the identification of potential biomarkers that would direct the development of targeted therapeutic anticancer drugs for precision medicine. In particular, clinical sample sources, including tumor tissues and body fluids (blood, feces, urine and saliva), have been widely investigated using modern high-throughput mass spectrometry-based proteomic approaches combined with bioinformatic analysis, to pursue the possibilities of precision medicine for targeted cancer therapy. Discussed in this review are the current advantages and limitations of clinical proteomics, the available strategies of clinical proteomics for the management of precision medicine, as well as the challenges and future perspectives of clinical proteomics-driven precision medicine for targeted cancer therapy. PMID:26923776

  1. Accredited Standards Committee N15 Developments And Future Directions

    International Nuclear Information System (INIS)

    Accredited Standards Committee (ASC) N15, Methods of Nuclear Material Control, is sponsored by the Institute of Nuclear Materials Management (INMM) to develop standards for protection, control and accounting of special nuclear materials in all phases of the nuclear fuel cycle, including analytical procedures where necessary and special to this purpose, except that physical protection of special nuclear material within a nuclear power plant is not included. Voluntary consensus standards complement federal regulations and technical standards and fulfill an important role for the nuclear regulatory agencies. This paper describes the N15 standards development process, with INMM as the Standards Developing Organization (SDO) and the N15 Committee responsible for implementation. Key components of the N15 standards development process include ANSI accreditation; compliance with the ANSI Essential Requirements (ER), coordination with other SDOs, communication with stakeholders, maintenance of balance between interest categories, and ANSI periodic audits. Recent and future ASC N15 activities are discussed, with a particular focus on new directions in anticipation of renewed growth in nuclear power.

  2. C-type Lectin Receptors for Tumor Eradication: Future Directions

    Energy Technology Data Exchange (ETDEWEB)

    Streng-Ouwehand, Ingeborg; Unger, Wendy W. J.; Kooyk, Yvette van, E-mail: y.vankooyk@vumc.nl [Department of Molecular Cell Biology and Immunology, VU University Medical Center, P.O. Box 7057, 1007 MB Amsterdam (Netherlands)

    2011-08-08

    Dendritic cells are key regulators in directing immune responses and therefore are under extensive research for the induction of anti-tumor responses. DCs express a large array of receptors by which they scan their surroundings for recognition and uptake of pathogens. One of the receptor-families is the C-type lectins (CLR), which bind carbohydrate structures and internalize antigens upon recognition. Intracellular routing of antigen through CLR enhances loading and presentation of antigen through MHC class I and II, inducing antigen-specific CD4{sup +} and CD8{sup +} T-cell proliferation and skewing T-helper cells. These characteristics make CLRs very interesting targets for DC-based immunotherapy. Profound research has been done on targeting specific tumor antigens to CLR using either antibodies or the natural ligands such as glycan structures. In this review we will focus on the current data showing the potency of CLR-targeting and discuss improvements that can be achieved to enhance anti-tumor activity in the near future.

  3. Acute Kidney Injury: Epidemiology, Diagnosis, Prognosis, and Future Directions

    Directory of Open Access Journals (Sweden)

    Joana Briosa Neves

    2015-07-01

    Full Text Available Acute kidney injury (AKI is a common problem highly associated with hospitalisation. AKI is the cause of harmful short-term consequences: longer hospital stays, greater disability after discharge, and greater risk of in-hospital mortality, as well as adverse long-term outcomes, such as progression to chronic kidney disease, development of cardiovascular disease, and increased risk of long-term mortality. The concept of AKI has changed since the introduction of the ‘Risk, Injury, Failure, Loss of kidney function, End-stage kidney disease’ (RIFLE classification. More recently, the ‘Kidney Disease Improving Global Outcomes’ (KDIGO classification appears to have provided increased diagnostic sensitivity and outcome-prediction capability. Novel biomarkers and further research on the role of the immune system in AKI may help improve the diagnosis, severity, outcome evaluation, and treatment of the condition. In this review we describe the epidemiology, diagnosis, and prognosis of AKI, as well as possible future directions for its clinical management.

  4. Circadian rhythms and addiction: mechanistic insights and future directions.

    Science.gov (United States)

    Logan, Ryan W; Williams, Wilbur P; McClung, Colleen A

    2014-06-01

    Circadian rhythms are prominent in many physiological and behavioral functions. Circadian disruptions either by environmental or molecular perturbation can have profound health consequences, including the development and progression of addiction. Both animal and humans studies indicate extensive bidirectional relationships between the circadian system and drugs of abuse. Addicted individuals display disrupted rhythms, and chronic disruption or particular chronotypes may increase the risk for substance abuse and relapse. Moreover, polymorphisms in circadian genes and an evening chronotype have been linked to mood and addiction disorders, and recent efforts suggest an association with the function of reward neurocircuitry. Animal studies are beginning to determine how altered circadian gene function results in drug-induced neuroplasticity and behaviors. Many studies suggest a critical role for circadian rhythms in reward-related pathways in the brain and indicate that drugs of abuse directly affect the central circadian pacemaker. In this review, we highlight key findings demonstrating the importance of circadian rhythms in addiction and how future studies will reveal important mechanistic insights into the involvement of circadian rhythms in drug addiction. PMID:24731209

  5. Recent Advances in PV Research and Future Directions

    Science.gov (United States)

    Deb, Satyen K.

    1998-04-01

    The photovoltaic technology is making a major thrust in the commercial arena with 1997 worldwide production of PV modules reaching over 125 MW and growing at the rate of 20-25semiconductor materials and devices are emerging as strong contenders for PV applications even though silicon is still the 'work-horse' of the industry. Ultra-high efficiency solar cells fabricated from gallium arsenide (GaAs) and its ternary alloys like gallium indium phosphide (GaInP2) are finding applications in space technology. Enormous progress has also been made on various thin-film solar cell technologies, which offer the promise for substantially reducing the cost of PV systems. Some of the leading contenders are amorphous and polycrystalline silicon, compound semiconductor thin films such as copper indium diselenide (CuInSe2) based alloys, and cadmium telluride (CdTe) thin films. Exciting new developments are happening in the use of nano-particle semiconductor materials like titanium dioxide (TiO2) for low-cost PV devices. Intense research on these and other materials and devices is making a strong impact on the technology. In this presentation, a brief overview of recent advances in PV research will b e made and the trends and opportunities for future research directions will be identified.

  6. Thermal batteries: A technology review and future directions

    Energy Technology Data Exchange (ETDEWEB)

    Guidotti, R.A.

    1995-07-01

    Thermally activated (``thermal``) batteries have been used for ordnance applications (e.g., proximity fuzes) since World War II and, subsequent to that, in nuclear weapons. This technology was developed by the Germans as a power source for their V2 rockets. It was obtained by the Allies by interrogation of captured German scientists after the war. The technology developed rapidly from the initial primitive systems used by the Germans to one based on Ca/CaCrO{sub 4}. This system was used very successfully into the late 1970s, when it was replaced by the Li-alloy/FeS{sub 2} electrochemical system. This paper describes the predominant electrochemical couples that have been used in thermal batteries over the years. Major emphasis is placed on the chemistry and electrochemistry of the Ca/CaCrO{sub 4} and Li-alloy/FeS{sub 2} systems. The reason for this is to give the reader a better appreciation for the advances in thermal-battery technology for which these two systems are directly responsible. Improvements to date in the current Li-alloy/FeS{sub 2} and related systems are discussed and areas for possible future research and development involving anodes, cathodes, electrolytes, and insulations are outlined. New areas where thermal-battery technology has potential applications are also examined.

  7. Future Directions for NCI’s Surveillance Research Program

    Science.gov (United States)

    Since the early 1970s, NCI’s SEER program has been an invaluable resource for statistics on cancer in the United States. For the past several years, SEER researchers have been working toward a much broader and comprehensive goal for providing cancer stati

  8. Canadian advanced life support capacities and future directions

    Science.gov (United States)

    Bamsey, M.; Graham, T.; Stasiak, M.; Berinstain, A.; Scott, A.; Vuk, T. Rondeau; Dixon, M.

    2009-07-01

    Canada began research on space-relevant biological life support systems in the early 1990s. Since that time Canadian capabilities have grown tremendously, placing Canada among the emerging leaders in biological life support systems. The rapid growth of Canadian expertise has been the result of several factors including a large and technically sophisticated greenhouse sector which successfully operates under challenging climatic conditions, well planned technology transfer strategies between the academic and industrial sectors, and a strong emphasis on international research collaborations. Recent activities such as Canada's contribution of the Higher Plant Compartment of the European Space Agency's MELiSSA Pilot Plant and the remote operation of the Arthur Clarke Mars Greenhouse in the Canadian High Arctic continue to demonstrate Canadian capabilities with direct applicability to advanced life support systems. There is also a significant latent potential within Canadian institutions and organizations with respect to directly applicable advanced life support technologies. These directly applicable research interests include such areas as horticultural management strategies (for candidate crops), growth media, food processing, water management, atmosphere management, energy management, waste management, imaging, environment sensors, thermal control, lighting systems, robotics, command and data handling, communications systems, structures, in-situ resource utilization, space analogues and mission operations. With this background and in collaboration with the Canadian aerospace industry sector, a roadmap for future life support contributions is presented here. This roadmap targets an objective of at least 50% food closure by 2050 (providing greater closure in oxygen, water recycling and carbon dioxide uptake). The Canadian advanced life support community has chosen to focus on lunar surface infrastructure and not low Earth orbit or transit systems (i.e. microgravity

  9. Prostate cancer chemoprevention: Current status and future prospects

    International Nuclear Information System (INIS)

    Chemoprevention is a strategy that aims to reduce the incidence and burden of cancer through the development of agents to prevent, reverse or delay the carcinogenic process. Prostate cancer is a suitable target for prevention because it has a high incidence and prevalence, as well as a long latency and disease-related mortality, and furthermore it is a disease in which lifestyle and environmental factors may play critical roles. The development of chemoprevention strategies against prostate cancer will have a huge impact, both medically and economically. Large-scale clinical trials suggest that some agents such as selenium, lycopene, soy, green tea, vitamins D and E, anti-inflammatory and inhibitors of 5α-reductase are effective in preventing prostate cancer. Although each agent has the potential to affect the natural history of the disease, it is important to develop strategies to strategically proceed for the design and selection of test agents in order to demonstrate clinical benefit with the minimum of adverse effects. Appropriate selection of agent(s), disease stage, trial design and endpoints is critical in selecting the most promising regimens to accomplish these goals. This review highlights the present status of prostate cancer chemoprevention and discusses future prospects for chemopreventive strategies that are safe and clinically beneficial

  10. Education in Europe: are cancer nurses ready for the future?

    Science.gov (United States)

    Foubert, J; Faithfull, S

    2006-01-01

    Much has been written about the need for continuing professional development for nurses to enhance practice and promote quality-nursing care. However, little has been written about the challenges faced by European nurses in keeping up-to-date with health care developments in relation to specialist areas. Educators providing courses are currently facing many challenges; not only the increasing costs of specialist education provision, distance learning, but also the ever increasing changes in health care requiring modification of specialist nursing skills and knowledge within curriculum. This means that educators need to rethink approaches to teaching and learning and links with practice. One of the challenges for the future is how to shift the skills needed for support of cancer patients out into the community , providing quality care for those requiring outpatient and ambulatory cancer care provision. However, continuing professional development is often encouraged as a mechanism for delivering service training rather perceived as developmental for the individual. The European Oncology Nursing Society (EONS) as a society has grasped the initiative for educational development with educational needs analysis, a curriculum identifying practice as central to learning, practice-related topics such as TITAN and the development of education for cancer in older people. There are enormous possibilities opening up within health care for us to develop cancer nursing in many settings and contexts, not only as a result of improved survival and treatments but because vocational education is being scrutinised as part of the Bologna agreement. Lastly, educationalists need to grasp these opportunities and take the initiative and strengthen education for nurses who don't know they need it. Improvements in specialist cancer care are shared and lessons learnt can translate into other nursing services so that we can provide better care for cancer patients throughout their cancer

  11. Science and cycling: current knowledge and future directions for research.

    Science.gov (United States)

    Atkinson, Greg; Davison, Richard; Jeukendrup, Asker; Passfield, Louis

    2003-09-01

    In this holistic review of cycling science, the objectives are: (1) to identify the various human and environmental factors that influence cycling power output and velocity; (2) to discuss, with the aid of a schematic model, the often complex interrelationships between these factors; and (3) to suggest future directions for research to help clarify how cycling performance can be optimized, given different race disciplines, environments and riders. Most successful cyclists, irrespective of the race discipline, have a high maximal aerobic power output measured from an incremental test, and an ability to work at relatively high power outputs for long periods. The relationship between these characteristics and inherent physiological factors such as muscle capilliarization and muscle fibre type is complicated by inter-individual differences in selecting cadence for different race conditions. More research is needed on high-class professional riders, since they probably represent the pinnacle of natural selection for, and physiological adaptation to, endurance exercise. Recent advances in mathematical modelling and bicycle-mounted strain gauges, which can measure power directly in races, are starting to help unravel the interrelationships between the various resistive forces on the bicycle (e.g. air and rolling resistance, gravity). Interventions on rider position to optimize aerodynamics should also consider the impact on power output of the rider. All-terrain bicycle (ATB) racing is a neglected discipline in terms of the characterization of power outputs in race conditions and the modelling of the effects of the different design of bicycle frame and components on the magnitude of resistive forces. A direct application of mathematical models of cycling velocity has been in identifying optimal pacing strategies for different race conditions. Such data should, nevertheless, be considered alongside physiological optimization of power output in a race. An even distribution

  12. Recent progress and future directions of ChinaFLUX

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    ecosystems in China. Finally, the current research emphasis and future directions of ChinaFLUX were presented. By combining flux network and terrestrial transect, ChinaFLUX will develop integrated research with multi-scale, multi-process, multi-subject observations, placing emphasis on the mechanism and coupling relationships between water, carbon and nitrogen cycles in terrestrial ecosystems.

  13. Future Directions of Electromagnetic Methods for Hydrocarbon Applications

    Science.gov (United States)

    Strack, K. M.

    2014-01-01

    For hydrocarbon applications, seismic exploration is the workhorse of the industry. Only in the borehole, electromagnetic (EM) methods play a dominant role, as they are mostly used to determine oil reserves and to distinguish water from oil-bearing zones. Throughout the past 60 years, we had several periods with an increased interest in EM. This increased with the success of the marine EM industry and now electromagnetics in general is considered for many new applications. The classic electromagnetic methods are borehole, onshore and offshore, and airborne EM methods. Airborne is covered elsewhere (see Smith, this issue). Marine EM material is readily available from the service company Web sites, and here I will only mention some future technical directions that are visible. The marine EM success is being carried back to the onshore market, fueled by geothermal and unconventional hydrocarbon applications. Oil companies are listening to pro-EM arguments, but still are hesitant to go through the learning exercises as early adopters. In particular, the huge business drivers of shale hydrocarbons and reservoir monitoring will bring markets many times bigger than the entire marine EM market. Additional applications include support for seismic operations, sub-salt, and sub-basalt, all areas where seismic exploration is costly and inefficient. Integration with EM will allow novel seismic methods to be applied. In the borehole, anisotropy measurements, now possible, form the missing link between surface measurements and ground truth. Three-dimensional (3D) induction measurements are readily available from several logging contractors. The trend to logging-while-drilling measurements will continue with many more EM technologies, and the effort of controlling the drill bit while drilling including look-ahead-and-around the drill bit is going on. Overall, the market for electromagnetics is increasing, and a demand for EM capable professionals will continue. The emphasis will

  14. Munchausen by Internet: Current Research and Future Directions

    Science.gov (United States)

    Taylor, Jacqui

    2012-01-01

    about their health in the online environment. We also suggest directions for future research. PMID:22914203

  15. [Cancer-related Cognitive Impairment: Current Knowledge and Future Challenges].

    Science.gov (United States)

    Tanimukai, Hitoshi

    2015-01-01

    Cancer patients often suffer from various distresses, including cognitive impairment. Cognitive impairment during and after cancer diagnosis and treatment are collectively called "Cancer-related cognitive impairment (CRCI)". The number of publications about cognitive impairment due to cancer therapy, especially chemotherapy, hormonal therapy, and radiotherapy, has been growing. Patients often worry not only about their disease condition and therapies, but also experience concerns regarding their memory, attention, and ability to concentrate. Even subtle CRCI can have a significant impact on social relationships, the ability to work, undergo treatment, accomplish meaningful goals, and the quality of life. Longitudinal studies of cancer patients indicated that up to 75% experience CRCI during treatment. Furthermore, CRCI may persist for many years following treatment. However, it is not well understood by most physicians and medical staff. CRCI can be mediated through increased inflammatory cytokines and hormonal changes. In addition, the biology of the cancer, stress, and attentional fatigue can also contribute to CRCI. Genetic factors and co-occurring symptoms may explain some of the inter-individual variability in CRCI. Researchers and patients are actively trying to identify effective interventional methods and useful coping strategies. Many patients are willing to discuss their disease condition and future treatment with medical staff and/or their families. Some patients also hope to discuss their end-of-life care. However, it is difficult to express their will after developing cognitive impairment. Advance care planning (ACP) can help in such situations. This process involves discussion between a patient, their family, and clinicians to clarify and reflect on values, treatment preferences, and goals to develop a shared understanding of how end-of-life care should proceed. The number of cancer patients with cognitive impairment has been increasing owing to the

  16. Direct therapeutic intervention for advanced pancreatic cancer

    OpenAIRE

    Takakura, Kazuki; Koido, Shigeo

    2015-01-01

    Currently, chemotherapy is an accredited, standard treatment for unresectable, advanced pancreatic cancer (PC). However, it has been still showed treatment-resistance and followed dismal prognosis in many cases. Therefore, some sort of new, additional treatments are needed for the better therapeutic results for advanced PC. According to the previous reports, it is obvious that interventional endoscopic ultrasonography (EUS) is a well-established, helpful and low-risky procedure in general. As...

  17. Magnetic particle imaging: current developments and future directions

    Directory of Open Access Journals (Sweden)

    Panagiotopoulos N

    2015-04-01

    of different theories and technical approaches on the way to the actual implementation of the basic concept of MPI have been seen in the last few years. Research groups around the world are working on different scanner geometries, from closed bore systems to single-sided scanners, and use reconstruction methods that are either based on actual calibration measurements or on theoretical models. This review aims at giving an overview of current developments and future directions in MPI about a decade after its first appearance. Keywords: magnetic particle imaging, superparamagnetic iron oxide nanoparticles, magnetic particle spectrometer, peripheral nerve stimulation, cardiovascular interventions

  18. HIV and Hepatitis Testing: Global Progress, Challenges, and Future Directions.

    Science.gov (United States)

    Easterbrook, Philippa; Johnson, Cheryl; Figueroa, Carmen; Baggaley, Rachel

    2016-01-01

    HIV infection and viral hepatitis due to HBV and HCV infection are major causes of chronic disease worldwide, and share some common routes of transmission, epidemiology, initial barriers faced in treatment access, and in strategies for a global public health response. Testing and diagnosis of HIV, HBV, and HCV infection is the gateway for access to both care and treatment and prevention services, and crucial for an effective HIV and hepatitis epidemic response. In this review article, we first summarize the common goals and guiding principles in a public health approach to HIV and hepatitis testing. We summarize the impressive global progress in HIV testing scale-up and evolution of approaches, with expansion of provider-initiated testing and counseling in clinical settings (particularly antenatal and tuberculosis clinics), the introduction of more community based testing services, and use of rapid diagnostic tests enabling provision of same-day test results. However, 46% of all people living with HIV are still unaware of their serostatus, and many continue to be diagnosed and start antiretroviral therapy late. As testing and treatment scale-up accelerates for an "treat all" approach, other challenges to address include how to better focus testing and reach those yet undiagnosed and most at risk, especially key populations, men, adolescents, and children. We summarize future directions in HIV testing to speed scale-up and close gaps that are addressed in the WHO 2015 consolidated HIV testing guidelines. In contrast to HIV, action in hepatitis testing and treatment has been fragmented and limited to a few countries, and there remains a large burden of undiagnosed cases globally. We summarize key challenges in the hepatitis testing response, including lack of simple, reliable, and low-cost diagnostic tests, laboratory capacity, and testing facilities; inadequate data to guide country specific hepatitis testing approaches and who to screen; stigmatization and social

  19. The Future of the System of Directed Lending (in Russian)

    OpenAIRE

    Dzmitry Kruk

    2012-01-01

    This paper deals with directed lending in Belarus and aims at selecting the best option for reforming it. The study visualizes main specific features of directed lending in Belarus and the channels of its impact on economic growth. Directed lending causes allocative inefficiency, lower capital productivity, and inefficiency in financial intermediation, which dampens economic growth. Furthermore, in a short-term perspective, the practice of directed lending may generate shocks at the money mar...

  20. Metastatic colorectal cancer-past, progress and future

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The clinical management of metastatic (stage Ⅳ)colorectal cancer (CRC) is a common challenge faced by surgeons and physicians. The last decade has seen exciting developments in the management of CRC, with significant improvements in prognosis for patients diagnosed with stage Ⅳ disease. Treatment options have expanded from 5-fluorouracil alone to a range of pharmaceutical and interventional therapies,improving survival, and providing a cure in selected cases. Enhanced understanding of the biologic pathways most important in colorectal carcinogenesis has led to a new generation of drugs showing promise in advanced disease. It is hoped that in the near future the treatment paradigm of metastatic CRC will be analogous to that of a chronic illness, rather than a rapidly terminal condition.This overview discusses the epidemiology of advanced CRC and currently available therapeutic options including medical, surgical, ablative and novel modalities in the management of metastatic colorectal cancer.

  1. Eating Disorders in the Adolescent Population: Future Directions.

    Science.gov (United States)

    Pratt, Helen D.; Phillips, Elaine L.; Greydanus, Donald E.; Patel, Dilip R.

    2003-01-01

    Provides a brief overview (research design, prevalence, risk factors, assessment, treatment, outcome, and obstacles to care) of the status of knowledge of eating disorders among adolescents. Offers recommendations for future research. (EV)

  2. Tracking metastatic breast cancer: the future of biology in biosensors.

    Science.gov (United States)

    Lim, Y C; Wiegmans, A P

    2016-04-01

    Circulating tumour cells associated with breast cancer (brCTCs) represent cells that have the capability to establish aggressive secondary metastatic tumours. The isolation and characterization of CTCs from blood in a single device is the future of oncology diagnosis and treatment. The methods of enrichment of CTCs have primarily utilized simple biological interactions with bimodal reporting with biased high purity and low numbers or low purity and high background. In this review, we will discuss the advances in microfluidics that has allowed the use of more complex selection criteria and biological methods to identify CTC populations. We will also discuss a potential new method of selection based on the response of the oncogenic DNA repair pathways within brCTCs. This method would allow insight into not only the oncogenic signalling at play but the chemoresistance mechanisms that could guide future therapeutic intervention at any stage of disease progression. PMID:26995223

  3. Future Directions for Building Services Technologies in Denmark

    DEFF Research Database (Denmark)

    Marsh, Rob

    2008-01-01

      The hypothesis of this paper is that industrial transformation in the Danish construction sector needs in the future to focus on integrating building services technologies into the buildings. This can be illustrated by analysing historical developments in building services usage, exploring design...

  4. Future research directions in seeking countermeasures to weightlessness

    Science.gov (United States)

    Baldwin, Kenneth M.

    1995-01-01

    The goal of this paper is to briefly review the state of knowledge concerning the adaptive properties of mammalian skeletal muscle in response to varying duration in weightlessness, to identify voids in the understanding of this adaptive process, and to provide some insight for undertaking future research on this important topic.

  5. Refugee Issues: Current Status and Directions for the Future.

    Science.gov (United States)

    Rubin, Gary; And Others

    A comprehensive review of current refugee policy and program issues is provided in this paper, which is intended to serve both as a status report and a guide to developing an agenda for the future. Chapter I deals with early warning as to potential refugee movements, mass asylum, and interim assistance. Chapter II discusses and analyzes four types…

  6. Childhood obesity: State of art and future research directions

    Directory of Open Access Journals (Sweden)

    Beatriz García Cortés

    2016-04-01

    It is expected to clarify agreements and dissonances in the proposals to combat and prevent childhood obesity. Furthermore, this study aims to project recommendations for future studies involving childhood obesity throw the causes that have been associated disease in the reviewed literature.

  7. Enter the Cyberpunk Librarian: Future Directions in Cyberspace.

    Science.gov (United States)

    Willson, Jonathan

    1996-01-01

    "Cyberpunk librarian," a metaphor for librarians operating in cyberspace, is defined. This article describes the properties and culture of the electronic frontier, discusses the social impact of cyberspace, examines the role of libraries and librarians in the future. Argues that librarians can help shape a vision of cyberspace that benefits…

  8. The Rare Cancer Network: ongoing studies and future strategy

    Directory of Open Access Journals (Sweden)

    Mahmut Ozsahin

    2014-08-01

    Full Text Available The Rare Cancer Network (RCN was formed in the early 1990’s to create a global network that could pool knowledge and resources in the studies of rare malignancies whose infrequency prevented both their study with prospective clinical trials. To date, the RCN has initiated 74 studies resulting in 46 peer reviewed publications. The First International Symposium of the Rare Cancer Network took place in Nice in March of 2014. Status updates and proposals for new studies were heard for fifteen topics. Ongoing studies continue for cardiac sarcomas, thyroid cancers, glomus tumors, and adult medulloblastomas. New proposals were presented at the symposium for primary hepatic lymphoma, solitary fibrous tumors, Rosai-Dorfman disease, tumors of the ampulla of Vater, salivary gland tumors, anorectal melanoma, midline nuclear protein in testes carcinoma, pulmonary lymphoepithelioma-like carcinoma, adenoid cystic carcinoma of the trachea, osteosarcomas of the mandible, and extra-cranial hemangiopericytoma. This manuscript presents the abstracts of those proposals and updates on ongoing studies, as well a brief summary of the vision and future of the RCN.

  9. The next 25 years? future scenarios and future directions for education and technology

    OpenAIRE

    Facer, K.L; Sandford, Richard

    2010-01-01

    The educational technology research field has been at the heart of debates about the future of education for the last quarter century. This paper explores the socio-technical developments that the next 25 years might bring and the implications of such developments for educators and for educational technology research. The paper begins by outlining the diverse approaches to educational futures that are currently visible in the field, and suggests four principles to under- pin future thinking i...

  10. Direct costs of radiotherapy for rectal cancer: a microcosting study

    OpenAIRE

    Hanly, Paul; Céilleachair, Alan Ó; Skally, Máiréad; O’Neill, Ciaran; Sharp, Linda

    2015-01-01

    Background Radiotherapy provides significant benefits in terms of reducing risk of local recurrence and death from rectal cancer. Despite this, up-to-date cost estimates for radiotherapy are lacking, potentially inhibiting policy and decision-making. Our objective was to generate an up-to-date estimate of the cost of traditional radiotherapy for rectal cancer and model the impact of a range of potential efficiency improvements. Methods Microcosting methods were used to estimate total direct r...

  11. X-ray photoelectron spectroscopy: From origins to future directions

    Energy Technology Data Exchange (ETDEWEB)

    Fadleys, Charles S. [Department of Physics, University of California Davis, Davis, CA 95616 (United States); Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (United States)], E-mail: fadley@physics.ucdavis.edu

    2009-03-21

    In this overview, I will briefly explore some of the earliest seeds of modern X-ray photoelectron spectroscopy, as pioneered by Siegbahn and collaborators, and then turn to some examples of how these seeds have sprouted in several present and promising future applications of this technique. Some of the future areas explored will be the use chemical shifts and multiplet splittings in the study of strongly correlated materials, photoelectron diffraction and holography for atomic structure determinations, standing-wave and hard X-ray excited photoemission for probing buried interfaces and bulk properties, valence-band mapping with soft and hard X-ray excitation, and time-resolved measurements with the sample at high ambient pressures in the multi-torr regime.

  12. Urban Web Services—Experiences and Future Directions

    DEFF Research Database (Denmark)

    Hansen, Frank Allan; Grønbæk, Kaj

    2008-01-01

    This paper discusses experiences from implementing a mobile urban Web system using 2D visual barcodes as physical link anchors in the city and utilizing the users’ own mobile phones as interaction devices. We discuss the techniques and technologies used to create the system and the implemented...... services. Based on public use during the annual Aarhus Festival in September 2008, we evaluate the experiences and based on those we point to challenges and future developments....

  13. CURRENT STATUS AND FUTURE DIRECTIONS OF NEW DRUG DELIVERY TECHNOLOGIES

    OpenAIRE

    Garg Tarun; Bilandi Ajay; Kapoor Bhawna; Kumar Sunil; Chanana Arsh

    2011-01-01

    New drug delivery systems based products have significantly increased in the past few years, and this growth is expected to continue in the near future. Today a large number of companies are busy developing protein- and peptide-based drugs. Large molecules that degrade rapidly in the blood stream so these biopharmaceuticals (proteins, peptides, carbohydrates, oligo-nucleotides, and nucleic acids in the form of DNA) present drug delivery challenges. Moreover, they have a limited ability to cro...

  14. Future Direct Spectroscopic Detection of Hot Jupiters with IGRINS

    OpenAIRE

    Gullikson, Kevin; Endl, Michael

    2013-01-01

    With about 700 confirmed extrasolar planets, it is time to move beyond discovery and towards characterization. Perhaps the most basic parameter of an extrasolar planet is its mass; however, this is very difficult to determine if the planet does not transit the star. The radial velocity technique, still the most fruitful method of discovering planets in the solar neighborhood, can only determine a minimum planet mass. We investigate a method using the near-future IGRINS near infrared spectrogr...

  15. Social Protection in the Mekong: policy trends and future directions

    OpenAIRE

    Cousins, Mel

    2014-01-01

    The paper analyses the current and possible future development of social protection systems in three Mekong countries: Cambodia, Lao PDR and Viet Nam. The three countries are at differing levels of development but face a number of shared challenges including poverty and malnutrition, climate change and food price volatility. Their social protection systems range from an embryonic system in Laos to an ‘emerging’ system in Viet Nam. Following an overview of the three countries and their social ...

  16. Quantitative health impact assessment: current practice and future directions

    OpenAIRE

    Veerman, Lennert; Barendregt, Jan; Mackenbach, Johan

    2005-01-01

    textabstractSTUDY OBJECTIVE: To assess what methods are used in quantitative health impact assessment (HIA), and to identify areas for future research and development. DESIGN: HIA reports were assessed for (1) methods used to quantify effects of policy on determinants of health (exposure impact assessment) and (2) methods used to quantify health outcomes resulting from changes in exposure to determinants (outcome assessment). MAIN RESULTS: Of 98 prospective HIA studies, 17 reported quantitati...

  17. Future Directions in Parity Violation: From Quarks to the Cosmos

    OpenAIRE

    Ramsey-Musolf, Michael J.

    2007-01-01

    I discuss the prospects for future studies of parity-violating (PV) interactions at low energies and the insights they might provide about open questions in the Standard Model as well as physics that lies beyond it. I cover four types of parity-violating observables: PV electron scattering; PV hadronic interactions; PV correlations in weak decays; and searches for the permanent electric dipole moments of quantum systems.

  18. Water management: Current and future challenges and research directions

    Science.gov (United States)

    Cosgrove, William J.; Loucks, Daniel P.

    2015-06-01

    Water distinguishes our planet compared to all the others we know about. While the global supply of available freshwater is more than adequate to meet all current and foreseeable water demands, its spatial and temporal distributions are not. There are many regions where our freshwater resources are inadequate to meet domestic, economic development and environmental needs. In such regions, the lack of adequate clean water to meet human drinking water and sanitation needs is indeed a constraint on human health and productivity and hence on economic development as well as on the maintenance of a clean environment and healthy ecosystems. All of us involved in research must find ways to remove these constraints. We face multiple challenges in doing that, especially given a changing and uncertain future climate, and a rapidly growing population that is driving increased social and economic development, globalization, and urbanization. How best to meet these challenges requires research in all aspects of water management. Since 1965, the journal Water Resources Research has played an important role in reporting and disseminating current research related to managing the quantity and quality and cost of this resource. This paper identifies the issues facing water managers today and future research needed to better inform those who strive to create a more sustainable and desirable future.

  19. Future directions for radiotherapy: Gray or Blue perspective?

    International Nuclear Information System (INIS)

    Over the past 20 years radiobiological and clinical rationale for altered radiotherapy were defined. Better understanding of the importance of dose per fraction, ovetrall treatment time, time interval between fractions, and tumor and normal tissue repair mechanisms have contributed to the studies on accelerated (AF) and hyperfractionated (HF) radiotherapy. The results of these studies lead to development of combined AF-HF schedules. Among numerous pilot and randomized studies the only few were recognized as important. Hyperfractionation was found to be advantageous in advanced oropharyngeal cancers, and CHART increased therapeutic gain in advanced laryngeal cancer. Accelerated hyperfractionation (AF-FH) improves local control and/or permits a lower total dose for the same rate of control. Better tumor control has always involved increased severity of acute mucosal reactions. The results of clinical trials which improved effectiveness of radiotherapy are discussed. A variety of physical parameters used in altered fractionation makes difficult the comparison of biological effect of different fractionation regimens based on doses in Grays. A new concept of Biological Units of effectiveness - BLUE, proposed by Withers is presented. It is interesting complex system of biological dosimetry which might supplement the Gray doses. Basic assumption of this concept and practical example are presented. (author)

  20. Archiving strategy for USGS EROS center and our future direction

    Science.gov (United States)

    Faundeen, John L.

    2010-01-01

    The U. S. Geological Survey's Earth Resources Observation and Science Center has the responsibility to acquire, manage, and preserve our Nation's land observations. These records are obtained primarily from airplanes and satellites dating back to the 1930s. The ability to compare landscapes from the past with current information enables change analysis at local and global scales. With new observations added daily, the records management challenges are daunting, involving petabytes of electronic data and tens of thousands of rolls of analog film. This paper focuses upon the appraisal and preservation functions employed to ensure that these records are available for current and future generations.

  1. Direct Measurements of Black Hole Charge with Future Astrometrical Missions

    CERN Document Server

    Zakharov, A F; Ingrosso, G; Nucita, A A

    2005-01-01

    Recently, Zakharov et al. (2005) considered the possibility of evaluating the spin parameter and the inclination angle for Kerr black holes in nearby galactic centers by using future advanced astrometrical instruments. A similar approach which uses the characteristic properties of gravitational retro-lensing images can be followed to measure the charge of Reissner-Nordstrom black hole. Indeed, in spite of the fact that their formation might be problematic, charged black holes are objects of intensive investigations. From the theoretical point of view it is well-known that a black hole is described by only three parameters, namely, its mass M, angular momentum J and charge Q. Therefore, it would be important to have a method for measuring all these parameters, preferably by model independent way. In this paper, we propose a procedure to measure the black hole charge by using the size of the retro-lensing images that can be revealed by future astrometrical missions. A discussion of the Kerr-Newmann black hole c...

  2. Status and future directions of the ENERGY STAR program

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Richard E.; Webber, Carrie A.; Koomey, Jonathan G.

    2000-06-19

    In 1992 the U.S. Environmental Protection Agency (EPA) introduced ENERGY STAR (registered trademark), a voluntary labeling program designed to identify and promote energy-efficient products, in order to reduce carbon dioxide emissions. Since then EPA, now in partnership with the U.S. Department of Energy (DOE), has expanded the program to cover nearly the entire buildings sector, spanning new homes, commercial buildings, residential heating and cooling equipment, major appliances, office equipment, commercial and residential lighting, and home electronics. This paper provides a snapshot of the ENERGY STAR program in the year 2000, including a general overview of the program, its accomplishments, and the possibilities for future development. First, we describe the products that are currently eligible for the ENERGY STAR label and the program mechanisms that EPA and DOE are using to promote these products. Second, we illustrate selected milestones achieved in some markets, and ways that EPA and DOE are responding to challenges or changes in certain markets. Third, we discuss the evolving ENERGY STAR brand strategy. Next, we explore ways in which ENERGY STAR interacts with and enhances other policies, such as appliance standards and regional market transformation collaboratives. We then discuss evaluation studies that EPA and DOE are undertaking to quantify the impact of the ENERGY STAR program. Finally, we discuss future areas of expansion for the ENERGY STAR program, including labeling of new products and integrated programs for commercial and existing residential buildings.

  3. The MCMI-III: present and future directions.

    Science.gov (United States)

    Millon, T; Davis, R D

    1997-02-01

    Both the original Millon Clinical Multiaxial Inventory (MCMI-I; Millon, 1977) and the Millon Clinical Multiaxial Inventory-II (MCMI-II; Millon, 1987) were refined and strengthened on a regular basis by both theoretic logic and research data. This aspiration has continued. The new Millon Clinical Multiaxial Inventory-III (MCMI-III; Millon, 1994) has been further coordinated with the most recent official diagnostic schema, the Diagnostic and Statistical Manual of Mental Disorders (4th ed., [DSM-IV]; American Psychiatric Association [APA], 1994) in an even more explicit way than before. Although the publication of the first version of the MCMI preceded the publication of the DSM-IV, its author played a major role in formulating the official manual's personality disorders, contributing thereby to their conceptual correspondence. The DSM-III-R (APA, 1987) was subsequently published in the same year as the MCMI-II; the inventory was modified in its final stages to make it as consonant as possible with the conceptual changes introduced in the then forthcoming official classification. The present version of the MCMI, the MCMI-III, strengthens these correspondences further by drawing on many of the diagnostic criteria of the DSM-IV to serve as the basis for drafting the inventory's items. This article reports on a select set of theoretical and empirical developments that are being carefully weighed for possible inclusion in future MCMIs, or as a guide in the refinement process of future MCMIs. PMID:16370772

  4. 3D Media over Future Internet: Current Status and Future Research Directions

    OpenAIRE

    Tasos Dagiuklas

    2012-01-01

    Future Media Internet has been designed to overcome current limitations and address emerging trends including: network architecture, content and service delivery across heterogeneous networks, diffusion of heterogeneous nodes and devices, mass digitisation, new forms of (3D) user centric/user generated content provisioning, emergence of software as a service and interaction with improved security, trustworthiness and privacy. This paper presents current and future research trends for 3D Video...

  5. Experimental tests of general relativity: recent progress and future directions

    International Nuclear Information System (INIS)

    Einstein's general theory of relativity is the standard theory of gravity, especially where the needs of astronomy, astrophysics, cosmology, and fundamental physics are concerned. As such, this theory is used for many practical purposes involving spacecraft navigation, geodesy, and time transfer. We review the foundations of general relativity, discuss recent progress in tests of relativistic gravity, and present motivations for the new generation of high-accuracy tests of new physics beyond general relativity. Space-based experiments in fundamental physics are presently capable of uniquely addressing important questions related to the fundamental laws of nature. We discuss the advances in our understanding of fundamental physics that are anticipated in the near future and evaluate the discovery potential of a number of recently proposed space-based gravitational experiments. (reviews of topical problems)

  6. Section III, Division 5 - Development and Future Directions

    Energy Technology Data Exchange (ETDEWEB)

    D. K. Morton; R I Jetter; James E Nestell; T. D. Burchell; T L (Sam) Sham

    2012-07-01

    This paper provides commentary on a new division under Section III of the ASME Boiler and Pressure Vessel (BPV) Code. This new Division 5 has an issuance date of November 1, 2011 and is part of the 2011 Addenda to the 2010 Edition of the BPV Code. The new Division covers the rules for the design, fabrication, inspection and testing of components for high temperature nuclear reactors. Information is provided on the scope and need for Division 5, the structure of Division 5, where the rules originated, the various changes made in finalizing Division 5, and the future near-term and long-term expectations for Division 5 development. Portions of this paper were based on Chapter 17 of the Companion Guide to the ASME Boiler & Pressure Vessel Code, Fourth Edition, © ASME, 2012, Reference.

  7. Female sex trafficking: conceptual issues, current debates, and future directions.

    Science.gov (United States)

    Meshkovska, Biljana; Siegel, Melissa; Stutterheim, Sarah E; Bos, Arjan E R

    2015-01-01

    Female sex trafficking is a pressing concern. In this article, we provide a comprehensive overview of relevant issues regarding the concept of female sex trafficking and research in the field of human trafficking, drawing on a variety of disciplines, including economics, gender and sexuality studies, psychology, sociology, law, and social work. We discuss the debates surrounding the definition of human trafficking, compare and contrast it with human smuggling, and outline connections between female sex trafficking and the issue of sex work and prostitution. We further discuss the history and current estimations of female sex trafficking. We then outline the main actors in female sex trafficking, including trafficked persons, traffickers, clients, and service providers, and we overview the trafficking process from recruitment to identification, recovery, and (re)integration. Finally, we conclude with recommendations for future research that tie together the concepts of vulnerability, exploitation, and long-term recovery and (re)integration. PMID:25897567

  8. Progress and Future Directions in North American Carbon Cycle Science

    Science.gov (United States)

    Michalak, Anna; Huntzinger, Deborah; Shrestha, Gyami

    2013-05-01

    The North American Carbon Program (NACP) convened its fourth biennial "All Investigators" meeting (AIM4, http://www.nacarbon.org/meeting_2013) to review progress in understanding the dynamics of the carbon cycle of North America and adjacent oceans and to chart a course for a more integrative and holistic approach to future research. The meeting was structured around the six decadal goals outlined in the new "A U.S. Carbon Cycle Science Plan" (Michalak et al., University Corporation for Atmospheric Research, 2011, available at http://www.carboncyclescience.gov) and focused on (1) diagnosis of the atmospheric carbon cycle, (2) drivers of anthropogenic emissions, (3) vulnerability of carbon stocks to change, (4) ecosystem impacts of change, (5) carbon management, and (6) decision support.

  9. Increasing Emotional Intelligence through Training: Current Status and Future Directions

    Directory of Open Access Journals (Sweden)

    Nicola S. Schutte

    2013-04-01

    Full Text Available Emotional intelligence consists of adaptive emotional functioning involving inter-related competencies relating to perception, understanding, utilising and managing emotions in the self and others. Researchers in diverse fields have studied emotional intelligence and found the construct to be associated with a variety of intrapersonal and interpersonal factors such as mental health, relationship satisfaction, and work performance. This article reviews research investigating the impact of training in emotional-intelligence skills. The results indicate that it is possible to increase emotional intelligence and that such training has the potential to lead to other positive outcomes. The paper offers suggestions about how future research, from diverse disciplines,can uncover what types of training most effectively increase emotional intelligence and produce related beneficial outcomes.

  10. Healthcare Scheduling by Data Mining: Literature Review and Future Directions

    Directory of Open Access Journals (Sweden)

    Maria M. Rinder

    2012-01-01

    Full Text Available This article presents a systematic literature review of the application of industrial engineering methods in healthcare scheduling, with a focus on the role of patient behavior in scheduling. Nine articles that used mathematical programming, data mining, genetic algorithms, and local searches for optimum schedules were obtained from an extensive search of literature. These methods are new approaches to solve the problems in healthcare scheduling. Some are adapted from areas such as manufacturing and transportation. Key findings from these studies include reduced time for scheduling, capability of solving more complex problems, and incorporation of more variables and constraints simultaneously than traditional scheduling methods. However, none of these methods modeled no-show and walk-ins patient behavior. Future research should include more variables related to patient and/or environment.

  11. Status and Future Directions of the ENERGY STAR Program

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Richard; Webber, Carrie; Koomey, Jonathan

    2001-12-04

    In 1992 the U.S. Environmental Protection Agency (EPA) introduced ENERGY STAR (registered trademark) a voluntary labeling program designed to identify and promote energy-efficient products, in order to reduce carbon dioxide emissions. Since then, the EPA, now in partnership with the U.S. Department of Energy (DOE), has expanded the program to cover nearly the entire buildings sector, spanning new homes, commercial buildings, residential heating and cooling equipment, major appliances, office equipment, commercial and residential lighting, and home electronics. This paper is based on our experience since 1993 in providing technical support to the ENERGY STAR program. We provide a snapshot of the ENERGY STAR program in the year 2000, including a general overview of the program, its accomplishments, and the possibilities for future development.

  12. Population exposure from the fuel cycle: Review and future direction

    Energy Technology Data Exchange (ETDEWEB)

    Richmond, C.R.

    1987-01-01

    The legacy of radiation exposures confronting man arises from two historical sources of energy, the sun and radioactive decay. Contemporary man continues to be dependent on these two energy sources, which include the nuclear fuel cycle. Radiation exposures from all energy sources should be examined, with particular emphasis on the nuclear fuel cycle, incidents such as Chernobyl and Three Mile Island. In addition to risk estimation, concepts such as de minimis, life shortening as a measure of risk, and competing risks as projected into the future must be considered in placing radiation exposures in perspective. The utility of these concepts is in characterizing population exposures for decision makers in a manner that the public may judge acceptable. All these viewpoints are essential in the evaluation of population exposure from the nuclear fuel cycle.

  13. Nanotechnology in ocular delivery: current and future directions.

    Science.gov (United States)

    Sultana, Yasmin; Maurya, D P; Iqbal, Z; Aqil, M

    2011-06-01

    Our knowledge in the field of ocular drug delivery is rapidly expanding. An increase in the understanding of ocular drug absorption and disposition vis-à-vis developments in nanotechnology has led to the emergence of many of the nanotechnology-based ocular drug delivery systems including nanoparticles, microemulsions, liposomes, solid lipid nanoparticles, light-sensitive nanocarrier systems, etc. The need to develop effective treatments for posterior eye segment diseases is more important than surface delivery. Treatment of blinding diseases of the eye, such as proliferative retinopathy or macular degeneration, requires effective and safe delivery of drugs to posterior eye segment tissues, and recent advances in nanotechnology have demonstrated successful outcomes. Nanoscientists should focus their efforts on nano-ophthalmology. This review describes the current status and progress made so far, and the course that needs to be pursued in the future. PMID:21695286

  14. Minireview: Endocrine Disruptors: Past Lessons and Future Directions.

    Science.gov (United States)

    Schug, Thaddeus T; Johnson, Anne F; Birnbaum, Linda S; Colborn, Theo; Guillette, Louis J; Crews, David P; Collins, Terry; Soto, Ana M; Vom Saal, Frederick S; McLachlan, John A; Sonnenschein, Carlos; Heindel, Jerrold J

    2016-08-01

    Within the past few decades, the concept of endocrine-disrupting chemicals (EDCs) has risen from a position of total obscurity to become a focus of dialogue, debate, and concern among scientists, physicians, regulators, and the public. The emergence and development of this field of study has not always followed a smooth path, and researchers continue to wrestle with questions about the low-dose effects and nonmonotonic dose responses seen with EDCs, their biological mechanisms of action, the true pervasiveness of these chemicals in our environment and in our bodies, and the extent of their effects on human and wildlife health. This review chronicles the development of the unique, multidisciplinary field of endocrine disruption, highlighting what we have learned about the threat of EDCs and lessons that could be relevant to other fields. It also offers perspectives on the future of the field and opportunities to better protect human health. PMID:27477640

  15. CT of pulmonary emphysema - current status, challenges, and future directions

    International Nuclear Information System (INIS)

    Pulmonary emphysema is characterized by irreversible destruction of lung parenchyma. Emphysema is a major contributor to chronic obstructive pulmonary disease (COPD), which by itself is a major cause of morbidity and mortality in the western world. Computed tomography (CT) is an established method for the in-vivo analysis of emphysema. This review first details the pathological basis of emphysema and shows how the subtypes of emphysema can be characterized by CT. The review then shows how CT is used to quantify emphysema, and describes the requirements and foundations for quantification to be accurate. Finally, the review discusses new challenges and their potential solution, notably focused on multi-detector-row CT, and emphasizes the open questions that future research on CT of pulmonary emphysema will have to address. (orig.)

  16. Wireless Multimedia Sensor Networks: Current Trends and Future Directions

    Directory of Open Access Journals (Sweden)

    Julian Morillo-Pozo

    2010-07-01

    Full Text Available Wireless Multimedia Sensor Networks (WMSNs have emerged and shifted the focus from the typical scalar wireless sensor networks to networks with multimedia devices that are capable to retrieve video, audio, images, as well as scalar sensor data. WMSNs are able to deliver multimedia content due to the availability of inexpensive CMOS cameras and microphones coupled with the significant progress in distributed signal processing and multimedia source coding techniques. In this paper, we outline the design challenges of WMSNs, give a comprehensive discussion of the proposed architectures, algorithms and protocols for the different layers of the communication protocol stack for WMSNs, and evaluate the existing WMSN hardware and testbeds. The paper will give the reader a clear view of the state of the art at all aspects of this research area, and shed the light on its main current challenges and future trends. We also hope it will foster discussions and new research ideas among its researchers.

  17. Wireless Multimedia Sensor Networks: current trends and future directions.

    Science.gov (United States)

    Almalkawi, Islam T; Zapata, Manel Guerrero; Al-Karaki, Jamal N; Morillo-Pozo, Julian

    2010-01-01

    Wireless Multimedia Sensor Networks (WMSNs) have emerged and shifted the focus from the typical scalar wireless sensor networks to networks with multimedia devices that are capable to retrieve video, audio, images, as well as scalar sensor data. WMSNs are able to deliver multimedia content due to the availability of inexpensive CMOS cameras and microphones coupled with the significant progress in distributed signal processing and multimedia source coding techniques. In this paper, we outline the design challenges of WMSNs, give a comprehensive discussion of the proposed architectures, algorithms and protocols for the different layers of the communication protocol stack for WMSNs, and evaluate the existing WMSN hardware and testbeds. The paper will give the reader a clear view of the state of the art at all aspects of this research area, and shed the light on its main current challenges and future trends. We also hope it will foster discussions and new research ideas among its researchers. PMID:22163571

  18. Racial Differences in Allergic Sensitization: Recent Findings and Future Directions

    Science.gov (United States)

    Wegienka, Ganesa; Johnson, Christine Cole; Zoratti, Edward; Havstad, Suzanne

    2016-01-01

    Racial disparities are present in many facets of health and disease. Allergy and asthma are no exceptions. Secondary results from cross-sectional and cohort studies have provided information on the scope of racial disparities in allergic sensitization in the United States. African American/Black individuals tend to be sensitized more frequently than White individuals. Little is known about rates in other race groups. Genetics are unlikely to be the sole or major cause of the observed differences. Home dust allergen and endotoxin levels cannot explain the differences. Studies that have been designed to specifically address the sources of these racial disparities are needed. A “Multilevel Framework” that considers the roles of the individual, family and community presents an excellent approach to guide design of future studies of the causes of these disparities. Understanding the causes of the disparities could lead to interventions that would improve the health of all individuals. PMID:23435599

  19. Population exposure from the fuel cycle: Review and future direction

    International Nuclear Information System (INIS)

    The legacy of radiation exposures confronting man arises from two historical sources of energy, the sun and radioactive decay. Contemporary man continues to be dependent on these two energy sources, which include the nuclear fuel cycle. Radiation exposures from all energy sources should be examined, with particular emphasis on the nuclear fuel cycle, incidents such as Chernobyl and Three Mile Island. In addition to risk estimation, concepts such as de minimis, life shortening as a measure of risk, and competing risks as projected into the future must be considered in placing radiation exposures in perspective. The utility of these concepts is in characterizing population exposures for decision makers in a manner that the public may judge acceptable. All these viewpoints are essential in the evaluation of population exposure from the nuclear fuel cycle

  20. Web Mining in Soft Computing Relevance and Future Directions

    Directory of Open Access Journals (Sweden)

    Amandeep Kour

    2013-01-01

    Full Text Available This paper summarizes the different characteristics of web data, the basic components of web mining and its different types. Web mining combines two of the activated research areas: Data Mining and World Wide Web. The Web mining research relates to several researches communities such as Database, Knowledge Discovery, Information Retrieval and Artificial Intelligence. The limitations of some of the existing web mining and knowledge discovery methods and tools are enunciated, and the significance of soft computing (comprising fuzzy logic (FL, artificial neural networks (ANNs, genetic algorithms (GAs, and rough sets (RSs highlighted. A survey of the existing literature on “soft web mining” is provided along with the commercially available systems. The prospective areas of web mining where the application of soft computing needs immediate attention are outlined with justification. Scope for future research in developing “soft web mining” systems is explained. An extensive bibliography is also provided

  1. Cancer Treatment-Related Cardiotoxicity: Understanding the Current State of Knowledge and Developing Future Research Priorities

    Science.gov (United States)

    Cancer Treatment-Related Cardiotoxicity: Understanding the Current State of Knowledge and Developing Future Research Priorities, a 2013 workshop sponsored by the Epidemiology and Genomics Research Program.

  2. Epigenetic Therapy in Acute Myeloid Leukemia: Current and Future Directions.

    Science.gov (United States)

    Kim, Tae Kon; Gore, Steven D; Zeidan, Amer M

    2015-07-01

    Epigenetic modifications affect gene expression without changes in the actual DNA sequence. Two of the most important mechanisms include DNA methylation and histone tail modifications (especially acetylation and methylation). Epigenetic modulation is a part of normal physiologic development; its dysregulation is an important mechanism of pathogenesis of some cancers, including acute myeloid leukemia (AML). Despite significant progress in understanding the pathogenesis of AML, therapeutic options remain quite limited. Technological advances have facilitated understanding of aberrant DNA methylation and histone methylation/acetylation as key elements in the development of AML and uncovered several recurrent mutations in genes important for epigenetic regulation. However, much remains to be learned about how to exploit this knowledge for epigenetic therapeutic targeting. Currently, no epigenetic therapy is approved for the treatment of AML, although two DNA methyltransferase inhibitors (azacitidine and decitabine) are commonly used in clinical practice. Among the other epigenetic modifiers undergoing research in AML, the histone deacetylase inhibitors are the most studied. Other promising drugs, such as inhibitors of histone methylation (eg, EZH2 and DOT1L inhibitors), inhibitors of histone demethylases (eg, LSD1 inhibitors), inhibitors of bromodomain-containing epigenetic "reader" BET proteins, and inhibitors of mutant isocitrate dehydrogenases, are at early stages of clinical evaluation. PMID:26111464

  3. Erection rehabilitation following prostatectomy - current strategies and future directions.

    Science.gov (United States)

    Sopko, Nikolai A; Burnett, Arthur L

    2016-04-01

    Despite continued advances in urological surgery, erectile dysfunction (ED) remains a serious adverse effect of radical prostatectomy. In this setting, ED is predominantly caused by injury to the neurovascular bundles, which lie alongside the prostate and are responsible for initiating and maintaining the erectile response. Most men will experience some degree of ED after radical prostatectomy, although erectile function outcomes have already remarkably improved since the development of nerve-sparing surgical techniques. To further improve outcomes, erection rehabilitation strategies are being investigated, which emphasize early treatment regimens with the aim of preventing adverse remodelling after surgery and preserving erectile function. Strategies include pharmacological therapy, mechanical therapy and psychosocial support. In addition, novel therapeutic approaches involving new targets for small-molecule treatments and regenerative medicine therapies are being developed to aid in restoring erectile function. Although ED treatments can be effective following radical prostatectomy, no specific erection rehabilitation regimen has currently been shown to be superior to other investigated rehabilitation regimens. Nevertheless, the different strategies rightfully remain an area of intensive research, as preservation of erectile function is a critical part of providing comprehensive care for men with prostate cancer to ensure their overall well-being, in contrast to just treating a patient's tumour. PMID:26976244

  4. Clinical application and future direction in PET technology

    International Nuclear Information System (INIS)

    This presentation describes that F-18 fluorodeoxyglucose (FDG) is crucial to play the major roles in patients with carcinoma in our institute. Positron emission tomography (PET) center consists of one cyclotron (18/9 Cyclone IBA) and PET scanner (Phillips) associated with GSO crystal. FDG-PET is employed to study approximately 3000 patients with carcinoma. We believe that our institute as cancer center in Fukuoka prefecture acts to give the more information prior to therapeutic management of patients in a clinical setting. First, the presentation describes the incidental finding before therapy, staging before surgery, chemotherapy, and radiotherapy, the therapeutic effect, the elevation of tumor marker, and the clinical application of FDG-PET in the novel therapy. As noted above, the presentation demonstrates, showing the clinical FDG-PET imaging, how to contribute to patients management. Second, the new PET technology has played for rapid advance in molecular imaging. The advantage of new technique in molecular biology and their integration into nuclear medicine provide a critical opportunity to improve the quality of diagnosis and treatment of many diseases. The presentation briefly addresses the history of molecular imaging and the role as monitoring gene therapy with reporter gene. (author)

  5. Focal therapy for prostate cancer: current status and future perspectives.

    Science.gov (United States)

    Miano, R; Asimakopoulos, A; Da Silva, R; Bove, P; Jones, S; De La Rosette, J; Kim, F

    2015-09-01

    Focal therapy is a relatively new and extremely attractive option of treatment for prostate cancer. It has been described as the "middle approach" between active surveillance and radical treatment, aiming to destroy the tumor itself or the region containing the tumor in order to preserve surrounding non-cancerous tissue. The goal is to maintain disease control at acceptable levels, while preserving erectile, urinary, and rectal function. While a lot of technologies have been described for delivering targeted therapy to the prostate, such as cryoablation, high intensity focused ultrasound, photodynamic therapy, irreversible electroporation and laser, the key point is the patient selection. Recent advances in mpMRI and the introduction of new biopsy techniques that use MR images as a guidance, have significantly improved localization of the tumor lesions and the detection rate, evolving prostate biopsy toward targeted rather than systematic biopsies. The future challenge to clinicians is to precisely risk-stratify patients to differentiate between those who would profit from focal treatment and who would not. Forthcoming research efforts should pursue to identify molecular, genetic, and imaging characteristics that distinguish aggressive prostate tumors from indolent lesions. PMID:26013953

  6. Berry fruits for cancer prevention: current status and future prospects.

    Science.gov (United States)

    Seeram, Navindra P

    2008-02-13

    Overwhelming evidence suggests that edible small and soft-fleshed berry fruits may have beneficial effects against several types of human cancers. The anticancer potential of berries has been related, at least in part, to a multitude of bioactive phytochemicals that these colorful fruits contain, including polyphenols (flavonoids, proanthocyanidins, ellagitannins, gallotannins, phenolic acids), stilbenoids, lignans, and triterpenoids. Studies show that the anticancer effects of berry bioactives are partially mediated through their abilities to counteract, reduce, and also repair damage resulting from oxidative stress and inflammation. In addition, berry bioactives also regulate carcinogen and xenobiotic metabolizing enzymes, various transcription and growth factors, inflammatory cytokines, and subcellular signaling pathways of cancer cell proliferation, apoptosis, and tumor angiogenesis. Berry phytochemicals may also potentially sensitize tumor cells to chemotherapeutic agents by inhibiting pathways that lead to treatment resistance, and berry fruit consumption may provide protection from therapy-associated toxicities. Although a wide variety of berry fruits are consumed worldwide, this paper focuses on those commonly consumed in North America, namely, blackberries, black raspberries, blueberries, cranberries, red raspberries, and strawberries. In addition, a large body of studies on singly purified berry bioactives is available, but this paper focuses on studies of "whole berries" per se, that is, as berry extracts and purified fractions, juices, and freeze-dried powders. Potential mechanisms of anticancer action and bioavailability of berry phenolics, as well as gaps in knowledge and recommendations for future berry research, are also briefly discussed. PMID:18211019

  7. Phytocannabinoids for Cancer Therapeutics: Recent Updates and Future Prospects.

    Science.gov (United States)

    Patil, K R; Goyal, S N; Sharma, C; Patil, C R; Ojha, S

    2015-01-01

    Phytocannabinoids (pCBs) are lipid-soluble phytochemicals present in the plant, Cannabis sativa L. and non-cannabis plants which have a long history in recreation and traditional medicine. The plant and the constituents isolated were central in the discovery of the endocannabinoid system (ECS), the most new target for drug discovery. The ECS includes two G-protein-coupled receptors; the cannabinoid receptors-1 and -2 (CB1 and CB2) for marijuana's psychoactive principle Δ(9)-tetrahydrocannabinol (Δ(9)-THC), their endogenous small lipid ligands; namely anandamide (AEA) and 2-arachidonoylglycerol (2-AG), also known as endocannabinoids and the enzymes for endocannabinoid biosynthesis and degradation such as fatty acid amide hydrolase (FAAH) and monoacylglycerol lipase (MAGL). The ECS has been suggested as a pro-homeostatic and pleiotropic signaling system activated in a time- and tissue-specific way during pathological conditions including cancer. Targeting the CB1 receptors becomes a concern because of adverse psychotropic reactions. Hence, targeting the CB2 receptors or the endocannabinoid metabolizing enzymes by pCBs obtained from plants lacking psychotropic adverse reactions has garnered interest in drug discovery. These pCBs derived from plants appear safe and effective with a wider access and availability. In the recent years, several pCBs derived other than non-cannabinoid plants have been reported to bind to and functionally interact with cannabinoid receptors and appear promising candidate for drug development including cancer therapeutics. Several of them also targets the endocannabinoid metabolizing enzymes that control endocannabinoid levels. In this article, we summarize and critically discuss the updates and future prospects of the pCBs as novel and promising candidates for cancer therapeutics. PMID:26179998

  8. Future direction for implementing the multilateral cooperation with the IAEA

    International Nuclear Information System (INIS)

    Korea has achieved remarkable results in the development of nuclear technology over the past years. Nuclear R and D programs have been actively pursued with the aim of enhancing nuclear technological capability to the level of nuclear advanced countries by early 2000. Worth noting is the fact that the IAEA has played an important role in facilitating Korea's acquisition of advanced nuclear technologies by participating in IAEA technical cooperation programmes, and technical cooperation with the IAEA has laid a firm groundwork for Korea to achieve self-reliance in nuclear technology. Technical cooperation with the IAEA should be steadily pursued so that Korea can play a leading role in the international nuclear arena in the years to come. Up to now, the study of major programmes and of the current status of overall technical cooperation projects, which have been implemented by the IAEA, has been insufficient. It should be noted that analysis of the assistance provided by the IAEA leaves something to be desired. In this regard, analyzing the current status of technical cooperation projects as well as recommending policy direction is required in a bid to implement IAEA technical cooperation projects systematically. Korea's status within the IAEA, including activities in the Advisory Committee and the current status of its participation in Coordinated Research Programmes (CRP) and other major programmes underway, is presented in this report. The policy direction for and implementation status of IAEA technical cooperation programmes are explained at length. The current status of technical cooperation programmes carried out in the 1997-1998 cycle and those to be implemented in the 1992-2000 cycle are also described in this report. Strategies for upgrading Korea's status within the IAEA as well as directions for nuclear cooperation through the IAEA were presented in this study to positively deal with rapid changes in the international nuclear arena and to efficiently

  9. Future direction for implementing the multilateral cooperation with the IAEA

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kyoung Pyo; Hong, Young Don

    1999-03-01

    Korea has achieved remarkable results in the development of nuclear technology over the past years. Nuclear R and D programs have been actively pursued with the aim of enhancing nuclear technological capability to the level of nuclear advanced countries by early 2000. Worth noting is the fact that the IAEA has played an important role in facilitating Korea's acquisition of advanced nuclear technologies by participating in IAEA technical cooperation programmes, and technical cooperation with the IAEA has laid a firm groundwork for Korea to achieve self-reliance in nuclear technology. Technical cooperation with the IAEA should be steadily pursued so that Korea can play a leading role in the international nuclear arena in the years to come. Up to now, the study of major programmes and of the current status of overall technical cooperation projects, which have been implemented by the IAEA, has been insufficient. It should be noted that analysis of the assistance provided by the IAEA leaves something to be desired. In this regard, analyzing the current status of technical cooperation projects as well as recommending policy direction is required in a bid to implement IAEA technical cooperation projects systematically. Korea's status within the IAEA, including activities in the Advisory Committee and the current status of its participation in Coordinated Research Programmes (CRP) and other major programmes underway, is presented in this report. The policy direction for and implementation status of IAEA technical cooperation programmes are explained at length. The current status of technical cooperation programmes carried out in the 1997-1998 cycle and those to be implemented in the 1992-2000 cycle are also described in this report. Strategies for upgrading Korea's status within the IAEA as well as directions for nuclear cooperation through the IAEA were presented in this study to positively deal with rapid changes in the international nuclear arena and to

  10. 3D Media over Future Internet: Current Status and Future Research Directions

    Directory of Open Access Journals (Sweden)

    Tasos Dagiuklas

    2012-01-01

    Full Text Available Future Media Internet has been designed to overcome current limitations and address emerging trends including: network architecture, content and service delivery across heterogeneous networks, diffusion of heterogeneous nodes and devices, mass digitisation, new forms of (3D user centric/user generated content provisioning, emergence of software as a service and interaction with improved security, trustworthiness and privacy. This paper presents current and future research trends for 3D Video Delivery across the entire networked-media ecosystem (from the encoding/packetisation, through the transmission and up to end-user experience.

  11. Advanced Low Conductivity Thermal Barrier Coatings: Performance and Future Directions

    Science.gov (United States)

    Zhu, Dongming; Miller, Robert A.

    2008-01-01

    Thermal barrier coatings will be more aggressively designed to protect gas turbine engine hot-section components in order to meet future engine higher fuel efficiency and lower emission goals. In this presentation, thermal barrier coating development considerations and performance will be emphasized. Advanced thermal barrier coatings have been developed using a multi-component defect clustering approach, and shown to have improved thermal stability and lower conductivity. The coating systems have been demonstrated for high temperature combustor applications. For thermal barrier coatings designed for turbine airfoil applications, further improved erosion and impact resistance are crucial for engine performance and durability. Erosion resistant thermal barrier coatings are being developed, with a current emphasis on the toughness improvements using a combined rare earth- and transition metal-oxide doping approach. The performance of the toughened thermal barrier coatings has been evaluated in burner rig and laser heat-flux rig simulated engine erosion and thermal gradient environments. The results have shown that the coating composition optimizations can effectively improve the erosion and impact resistance of the coating systems, while maintaining low thermal conductivity and cyclic durability. The erosion, impact and high heat-flux damage mechanisms of the thermal barrier coatings will also be described.

  12. Computer aided surgery. Current status and future directions

    International Nuclear Information System (INIS)

    This review describes topics in the title in the order of 3D model reconstruction and therapeutic planning based on images before surgery; registration of the actual images in virtual physical space of the patient who is under surgical operation, to the preoperative ones with use of 3D-position sensor, ultrasonics, endoscopy and X-diaphanoscopy; and their accuracy analysis. Images before surgery usually obtained with CT and MR are reconstructed in 3D for the purpose of therapeutic planning by segmentation of the target organ/site, surrounding organs, bones and blood vessels. Navigation system at the surgery functions to make the images obtained before and during operation to be integrated for their registration and displaying. Usually, the optical marker and camera both equipped in the endoscope, and position sensor (tracker) are used for integration in the operation coordinate system. For this, the actual pictures at liver operation are given. For accuracy analysis there is a theory of target registration error, which has been established on FDA demands. In future, development of technology concerned in this field like that of robot, bio-dynamics, biomaterials, sensor and high performance computing together with 4D document of surgery for feed-back to technology are desirable for the systematic growing of this surgical technology. (T.I.)

  13. Candidate Gravitational Microlensing Events for Future Direct Lens Imaging

    CERN Document Server

    Henderson, C B; Sumi, T; Udalski, A; Gould, A; Tsapras, Y; Han, C; Gaudi, B S; Bozza, V; Abe, F; Bennett, D P; Bond, I A; Botzler, C S; Freeman, M; Fukui, A; Fukunaga, D; Itow, Y; Koshimoto, N; Ling, C H; Masuda, K; Matsubara, Y; Muraki, Y; Namba, S; Ohnishi, K; Rattenbury, N J; Saito, To; Sullivan, D J; Suzuki, D; Sweatman, W L; Tristram, P J; Tsurumi, N; Wada, K; Yamai, N; Yock, P C M; Yonehara, A; Szymański, M K; Kubiak, M; Pietrzyński, G; Soszyński, I; Skowron, J; Kozłowski, S; Poleski, R; Ulaczyk, K; Wyrzykowski, Ł; Pietrukowicz, P; Almeida, L A; Bos, M; Choi, J -Y; Christie, G W; Depoy, D L; Dong, Subo; Friedmann, M; Hwang, K -H; Jablonski, F; Jung, Y K; Kaspi, S; Lee, C -U; Maoz, D; McCormick, J; Moorhouse, D; Natusch, T; Ngan, H; Pogge, R W; Shin, I -G; Shvartzvald, Y; Tan, T -G; Thornley, G; Yee, J C; Allan, A; Bramich, D M; Browne, P; Dominik, M; Horne, K; Hundertmark, M; Jaimes, R Figuera; Kains, N; Snodgrass, C; Steele, I A; Street, R A

    2014-01-01

    The mass of the lenses giving rise to Galactic microlensing events can be constrained by measuring the relative lens-source proper motion and lens flux. The flux of the lens can be separated from that of the source, companions to the source, and unrelated nearby stars with high-resolution images taken when the lens and source are spatially resolved. For typical ground-based adaptive optics (AO) or space-based observations, this requires either inordinately long time baselines or high relative proper motions. We provide a list of microlensing events toward the Galactic Bulge with high relative lens-source proper motion that are therefore good candidates for constraining the lens mass with future high-resolution imaging. We investigate all events from 2004 -- 2013 that display detectable finite-source effects, a feature that allows us to measure the proper motion. In total, we present 20 events with mu >~ 8 mas/yr. Of these, 14 were culled from previous analyses while 6 are new, including OGLE-2004-BLG-368, MOA...

  14. Future directions in high-pressure neutron diffraction

    International Nuclear Information System (INIS)

    The ability to manipulate structure and properties using pressure has been well known for many centuries. Diffraction provides the unique ability to observe these structural changes in fine detail on lengthscales spanning atomic to nanometre dimensions. Amongst the broad suite of diffraction tools available today, neutrons provide unique capabilities of fundamental importance. However, to date, the growth of neutron diffraction under extremes of pressure has been limited by the weakness of available sources. In recent years, substantial government investments have led to the construction of a new generation of neutron sources while existing facilities have been revitalized by upgrades. The timely convergence of these bright facilities with new pressure-cell technologies suggests that the field of high-pressure (HP) neutron science is on the cusp of substantial growth. Here, the history of HP neutron research is examined with the hope of gleaning an accurate prediction of where some of these revolutionary capabilities will lead in the near future. In particular, a dramatic expansion of current pressure-temperature range is likely, with corresponding increased scope for extreme-conditions science with neutron diffraction. This increase in coverage will be matched with improvements in data quality. Furthermore, we can also expect broad new capabilities beyond diffraction, including in neutron imaging, small angle scattering and inelastic spectroscopy. (topical review)

  15. Flow and Noise Control: Review and Assessment of Future Directions

    Science.gov (United States)

    Thomas, Russell H.; Choudhari, Meelan M.; Joslin, Ronald D.

    2002-01-01

    Technologies for developing radically new aerovehicles that would combine quantum leaps in cost, safety, and performance benefits with environmental friendliness have appeared on the horizon. This report provides both an assessment of the current state-of-the-art in flow and noise control and a vision for the potential gains to be made, in terms of performance benefit for civil and military aircraft and a unique potential for noise reduction, via future advances in flow and noise technologies. This report outlines specific areas of research that will enable the breakthroughs necessary to bring this vision to reality. Recent developments in many topics within flow and noise control are reviewed. The flow control overview provides succinct summaries of various approaches for drag reduction and improved maneuvering. Both exterior and interior noise problems are examined, including dominant noise sources, physics of noise generation and propagation, and both established and proposed concepts for noise reduction. Synergy between flow and noise control is a focus and, more broadly, the need to pursue research in a more concurrent approach involving multiple disciplines. Also discussed are emerging technologies such as nanotechnology that may have a significant impact on the progress of flow and noise control.

  16. Building Future Directions for Teacher Learning in Science Education

    Science.gov (United States)

    Smith, Kathy; Lindsay, Simon

    2016-04-01

    In 2013, as part of a process to renew an overall sector vision for science education, Catholic Education Melbourne (CEM) undertook a review of its existing teacher in-service professional development programs in science. This review led to some data analysis being conducted in relation to two of these programs where participant teachers were positioned as active learners undertaking critical reflection in relation to their science teaching practice. The conditions in these programs encouraged teachers to notice critical aspects of their teaching practice. The analysis illustrates that as teachers worked in this way, their understandings about effective science pedagogy began to shift, in particular, teachers recognised how their thinking not only influenced their professional practice but also ultimately shaped the quality of their students' learning. The data from these programs delivers compelling evidence of the learning experience from a teacher perspective. This article explores the impact of this experience on teacher thinking about the relationship between pedagogical choices and quality learning in science. The findings highlight that purposeful, teacher-centred in-service professional learning can significantly contribute to enabling teachers to think differently about science teaching and learning and ultimately become confident pedagogical leaders in science. The future of quality school-based science education therefore relies on a new vision for teacher professional learning, where practice explicitly recognises, values and attends to teachers as professionals and supports them to articulate and share the professional knowledge they have about effective science teaching practice.

  17. Future directions for separation science in nuclear and radiochemistry

    International Nuclear Information System (INIS)

    Solvent extraction and ion exchange have been the most widely used separation techniques in nuclear and radiochemistry since their development in the 1940s. Many successful separations processes based on these techniques have been used for decades in research laboratories, analytical laboratories, and industrial plants. Thus, it is easy to conclude that most of the fundamental and applied research that is needed in these areas has been done, and that further work in these ''mature'' fields is unlikely to be fruitful. A more careful review, however, reveals that significant problems remain to be solved, and that there is a demand for the development of new reagents, methods, and systems to solve the increasingly complex separations problems in the nuclear field. Specifically, new separation techniques based on developments in membrane technology and biotechnology that have occurred over the last 20 years should find extensive applications in radiochemical separations. Considerable research is needed in such areas as interfacial chemistry, the design and control of highly selective separation agents, critically evaluated data bases and mathematical models, and the fundamental chemistry of dilute solutions if these problems are to be solved and new techniques developed in a systematic way. Nonaqueous separation methods, such as pyrochemical and fluoride volatility processes, have traditionally played a more limited role in nuclear and radiochemistry, but recent developments in the chemistry and engineering of these processes promises to open up new areas of research and application in the future

  18. Consumer health plan choice: current knowledge and future directions.

    Science.gov (United States)

    Scanlon, D P; Chernew, M; Lave, J R

    1997-01-01

    A keystone of the competitive strategy in health insurance markets is the assumption that "consumers" can make informed choices based on the costs and quality of competing health plans, and that selection effects are not large. However, little is known about how individuals use information other than price in the decision making process. This review summarizes the state of knowledge about how individuals make choices among health plans and outlines an agenda for future research. We find that the existing literature on health plan choice is no longer sufficient given the widespread growth and acceptance of managed care, and the increased proportion of consumers' income now going toward the purchase of health plans. Instead, today's environment of health plan choice requires better understanding of how plan attributes other than price influence plan choice, how other variables such as health status interact with plan attributes in the decision making process, and how specific populations differ from one another in terms of the sensitivity of their health plan choices to these different types of variables. PMID:9143729

  19. Filoviruses in Bats: Current Knowledge and Future Directions

    Directory of Open Access Journals (Sweden)

    Kevin J. Olival

    2014-04-01

    Full Text Available Filoviruses, including Ebolavirus and Marburgvirus, pose significant threats to public health and species conservation by causing hemorrhagic fever outbreaks with high mortality rates. Since the first outbreak in 1967, their origins, natural history, and ecology remained elusive until recent studies linked them through molecular, serological, and virological studies to bats. We review the ecology, epidemiology, and natural history of these systems, drawing on examples from other bat-borne zoonoses, and highlight key areas for future research. We compare and contrast results from ecological and virological studies of bats and filoviruses with those of other systems. We also highlight how advanced methods, such as more recent serological assays, can be interlinked with flexible statistical methods and experimental studies to inform the field studies necessary to understand filovirus persistence in wildlife populations and cross-species transmission leading to outbreaks. We highlight the need for a more unified, global surveillance strategy for filoviruses in wildlife, and advocate for more integrated, multi-disciplinary approaches to understand dynamics in bat populations to ultimately mitigate or prevent potentially devastating disease outbreaks.

  20. Alcohol and NMDA Receptor: Current research and future direction

    Directory of Open Access Journals (Sweden)

    Raman eChandrasekar

    2013-05-01

    Full Text Available The brain is one of the major targets of alcohol actions. Most of the excitatory synaptic transmission in the central nervous system is mediated by NMDA receptors. However, one of the most devastating effects of alcohol leads to brain shrinkage, loss of nerve cells at specific regions through a mechanism involving excitotoxicity, oxidative stress. Earlier studies have indicated that chronic exposure to ethanol both in vivo and in vitro, increases NR1 and NR2B gene expression and their polypeptide levels. The effect of alcohol and molecular changes on the regulatory process, which modulates NMDAR functions including factors altering transcription, translation, post-translational modifications and protein expression, as well as those influencing their interactions with different regulatory proteins (downstream effectors are incessantly increasing at the cellular level. Further, I discuss the various genetically altered mice approaches that have been used to study NMDA receptor subunits and their functional implication. In a recent countable review, epigenetic dimension (i.e., histone modification-induced chromatin remodeling and DNA methylation, in the process of alcohol related neuroadapation is one of the key molecular mechanisms in alcohol mediated NMDAR alteration. Here, I provide a recount on what has already been achieved, current trends and how the future research/studies of the NMDA receptor might lead to even greater engagement with many possible new insights into the neurobiology and treatment of alcoholism.

  1. Building Future Directions for Teacher Learning in Science Education

    Science.gov (United States)

    Smith, Kathy; Lindsay, Simon

    2016-02-01

    In 2013, as part of a process to renew an overall sector vision for science education, Catholic Education Melbourne (CEM) undertook a review of its existing teacher in-service professional development programs in science. This review led to some data analysis being conducted in relation to two of these programs where participant teachers were positioned as active learners undertaking critical reflection in relation to their science teaching practice. The conditions in these programs encouraged teachers to notice critical aspects of their teaching practice. The analysis illustrates that as teachers worked in this way, their understandings about effective science pedagogy began to shift, in particular, teachers recognised how their thinking not only influenced their professional practice but also ultimately shaped the quality of their students' learning. The data from these programs delivers compelling evidence of the learning experience from a teacher perspective. This article explores the impact of this experience on teacher thinking about the relationship between pedagogical choices and quality learning in science. The findings highlight that purposeful, teacher-centred in-service professional learning can significantly contribute to enabling teachers to think differently about science teaching and learning and ultimately become confident pedagogical leaders in science. The future of quality school-based science education therefore relies on a new vision for teacher professional learning, where practice explicitly recognises, values and attends to teachers as professionals and supports them to articulate and share the professional knowledge they have about effective science teaching practice.

  2. Towards a global environmental sociology? Legacies, trends and future directions

    Science.gov (United States)

    Lidskog, Rolf; Mol, Arthur PJ; Oosterveer, Peter

    2014-01-01

    A current debate on environmental sociology involves how the subdiscipline should conceptualise and investigate the environment and whether it should be prescriptive and deliver policy recommendations. Taking this debate as a point of departure this article discusses the current and future role of sociology in a globalised world. It discusses how environmental sociology in the US and Europe differ in their understandings of sociology’s contribution to the study of the environment. Particular stress is placed on how these two regions differ with respect to their use of the tradition of sociological thought, views on what constitutes the environment and ways of institutionalising environmental sociology as a sociological field. In conclusion, the question is raised of whether current versions of environmental sociology are appropriate for analysing a globalised world environment; or whether environmental sociology’s strong roots in European and US cultures make it less relevant when facing an increasingly globalised world. Finally, the article proposes some new rules for a global environmental sociology and describes some of their possible implications for the sociological study of climate change. PMID:25937642

  3. Combinatorial optimization: Current successes and directions for the future

    Science.gov (United States)

    Hoffman, Karla L.

    2000-12-01

    Our ability to solve large, important combinatorial optimization problems has improved dramatically in the past decade. The availability of reliable software, extremely fast and inexpensive hardware and high-level languages that make the modeling of complex problems much faster have led to a much greater demand for optimization tools. This paper highlights the major breakthroughs and then describes some very exciting future opportunities. Previously, large research projects required major data collection efforts, expensive mainframes and substantial analyst manpower. Now, we can solve much larger problems on personal computers, much of the necessary data is routinely collected and tools exist to speed up both the modeling and the post-optimality analysis. With the information-technology revolution taking place currently, we now have the opportunity to have our tools embedded into supply-chain systems that determine production and distribution schedules, process-design and location-allocation decisions. These tools can be used industry-wide with only minor modifications being done by each user.

  4. Oleanane triterpenoids in the prevention and therapy of breast cancer: current evidence and future perspectives.

    Science.gov (United States)

    Parikh, Nisha R; Mandal, Animesh; Bhatia, Deepak; Siveen, Kodappully Sivaraman; Sethi, Gautam; Bishayee, Anupam

    2014-12-01

    Breast cancer is one of the most frequently diagnosed cancers and major cause of death in women in the world. Emerging evidence underscores the value of dietary and non-dietary phytochemicals, including triterpenoids, in the prevention and treatment of breast cancer. Oleanolic acid, an oleanane-type pentacyclic triterpenoid, is present in a large number of dietary and medicinal plants. Oleanolic acid and its derivatives exhibit several promising pharmacological activities, including antioxidant, anti-inflammatory, hepatoprotective, cardioprotective, antipruritic, spasmolytic, antiallergic, antimicrobial and antiviral effects. Numerous studies indicate that oleanolic acid and other oleanane triterpenoids modulate multiple intracellular signaling pathways and exert chemopreventive and antitumor activities in various in vitro and in vivo model systems. A series of novel synthetic oleanane triterpenoids have been prepared by chemical modifications of oleanolic acid and some of these compounds are considered to be the most potent anti-inflammatory and anticarcinogenic triterpenoids. Accumulating studies provide extensive evidence that synthetic oleanane derivatives inhibit proliferation and induce apoptosis of various cancer cells in vitro and demonstrate cancer preventive or antitumor efficacy in animal models of blood, breast, colon, connective tissue, liver, lung, pancreas, prostate and skin cancer. This review critically examines the potential role of oleanolic acid, oleanane triterpenoids and related synthetic compounds in the chemoprevention and treatment of mammary neoplasia. Both in vitro and in vivo studies on these agents and related molecular mechanisms are presented. Several challenges and future directions of research to translate already available impressive preclinical knowledge to clinical practice of breast cancer prevention and therapy are also presented. PMID:25395898

  5. Cell carriers for oncolytic viruses: current challenges and future directions.

    Science.gov (United States)

    Roy, Dominic G; Bell, John C

    2013-01-01

    The optimal route for clinical delivery of oncolytic viruses is thought to be systemic intravenous injection; however, the immune system is armed with several highly efficient mechanisms to remove pathogens from the circulatory system. To overcome the challenges faced in trying to delivery oncolytic viruses specifically to tumors via the bloodstream, carrier cells have been investigated to determine their suitability as delivery vehicles for systemic administration of oncolytic viruses. Cell carriers protect viruses from neutralization, one of the most limiting aspects of oncolytic virus interaction with the immune system. Cell carriers can also possess inherent tumor tropism, thus directing the delivery of the virus more specifically to a tumor. With preclinical studies already demonstrating the success and feasibility of this approach with multiple oncolytic viruses, clinical evaluation of cell-mediated delivery of viruses is on the horizon. Meanwhile, ongoing preclinical studies are aimed at identifying new cellular vehicles for oncolytic viruses and improving current promising cell carrier platforms. PMID:27512657

  6. The Next 25 Years?: Future Scenarios and Future Directions for Education and Technology

    Science.gov (United States)

    Facer, K.; Sandford, R.

    2010-01-01

    The educational technology research field has been at the heart of debates about the future of education for the last quarter century. This paper explores the socio-technical developments that the next 25 years might bring and the implications of such developments for educators and for educational technology research. The paper begins by outlining…

  7. The role of bisphosphonates in breast cancer: Direct effects of bisphosphonates on breast cancer cells

    International Nuclear Information System (INIS)

    In addition to inhibiting bone resorption, bisphosphonates have also been shown to exhibit antitumour effects. In vitro, bisphosphonates inhibit proliferation and induce apoptosis in cultured human breast cancer cells. In addition, bisphosphonate treatment interferes with breast cancer cell adhesion to bone matrix, and inhibits cell migration and invasion. The combination of bisphosphonates with other anticancer drugs such as the taxoids markedly enhances these effects. These newly recognized direct actions of bisphosphonates on breast cancer cells indicate that these agents may have a greater role to play in treatment of patients suffering from cancers with a propensity to metastasize to bone

  8. Hydrological modelling of urbanized catchments: A review and future directions

    Science.gov (United States)

    Salvadore, Elga; Bronders, Jan; Batelaan, Okke

    2015-10-01

    In recent years, the conceptual detail of hydrological models has dramatically increased as a result of improved computational techniques and the availability of spatially-distributed digital data. Nevertheless modelling spatially-distributed hydrological processes can be challenging, particularly in strongly heterogeneous urbanized areas. Multiple interactions occur between urban structures and the water system at various temporal and spatial scales. So far, no universal methodology exists for simulating the urban water system at catchment scale. This paper reviews the state of the art on the scientific knowledge and practice of modelling the urban hydrological system at the catchment scale, with the purpose of identifying current limitations and defining a blueprint for future modelling advances. We compare conceptual descriptions of urban physical hydrological processes on basis of a selection of 43 modelling approaches. The complexity of the urban water system at the catchment scale results in an incomplete understanding of the interaction between urban and natural hydrological systems, and in a high degree of uncertainty. Data availability is still a strong limitation since current modelling practice recognizes the need for high spatial and temporal resolution. Spatio-temporal gaps exist between the physical scales of hydrological processes and the resolution of applied models. Therefore urban hydrology is often simplified either as a study of surface runoff over impervious surfaces or hydraulics of piped systems. Many approaches target very specific objectives and the level of detail in representing physical processes is not consistent. Based on our analysis, we propose a blueprint for a highly complex integrated urban hydrological model. We regard flexibility, in terms of model structure and data assimilation, as the key characteristic for overcoming these limitations. We advocate the use of modular, process-based approaches, which are flexible and adaptable

  9. Brain Vascular Malformation Consortium: Overview, Progress and Future Directions.

    Science.gov (United States)

    Akers, Amy L; Ball, Karen L; Clancy, Marianne; Comi, Anne M; Faughnan, Marie E; Gopal-Srivastava, Rashmi; Jacobs, Thomas P; Kim, Helen; Krischer, Jeffrey; Marchuk, Douglas A; McCulloch, Charles E; Morrison, Leslie; Moses, Marsha; Moy, Claudia S; Pawlikowska, Ludmilla; Young, William L

    2013-04-01

    Brain vascular malformations are resource-intensive to manage effectively, are associated with serious neurological morbidity, lack specific medical therapies, and have no validated biomarkers for disease severity and progression. Investigators have tended to work in "research silos" with suboptimal cross-communication. We present here a paradigm for interdisciplinary collaboration to facilitate rare disease research. The Brain Vascular Malformation Consortium (BVMC) is a multidisciplinary, inter-institutional group of investigators, one of 17 consortia in the Office of Rare Disease Research Rare Disease Clinical Research Network (RDCRN). The diseases under study are: familial Cerebral Cavernous Malformations type 1, common Hispanic mutation (CCM1-CHM); Sturge-Weber Syndrome (SWS); and brain arteriovenous malformation in hereditary hemorrhagic telangiectasia (HHT). Each project is developing biomarkers for disease progression and severity, and has established scalable, relational databases for observational and longitudinal studies that are stored centrally by the RDCRN Data Management and Coordinating Center. Patient Support Organizations (PSOs) are a key RDCRN component in the recruitment and support of participants. The BVMC PSOs include Angioma Alliance, Sturge Weber Foundation, and HHT Foundation International. Our networks of clinical centers of excellence in SWS and HHT, as well as our PSOs, have enhanced BVMC patient recruitment. The BVMC provides unique and valuable resources to the clinical neurovascular community, and recently reported findings are reviewed. Future planned studies will apply successful approaches and insights across the three projects to leverage the combined resources of the BVMC and RDCRN in advancing new biomarkers and treatment strategies for patients with vascular malformations. PMID:25221778

  10. Shared decision making in endocrinology: present and future directions.

    Science.gov (United States)

    Rodriguez-Gutierrez, Rene; Gionfriddo, Michael R; Ospina, Naykky Singh; Maraka, Spyridoula; Tamhane, Shrikant; Montori, Victor M; Brito, Juan P

    2016-08-01

    In medicine and endocrinology, there are few clinical circumstances in which clinicians can accurately predict what is best for their patients. As a result, patients and clinicians frequently have to make decisions about which there is uncertainty. Uncertainty results from limitations in the research evidence, unclear patient preferences, or an inability to predict how treatments will fit into patients' daily lives. The work that patients and clinicians do together to address the patient's situation and engage in a deliberative dialogue about reasonable treatment options is often called shared decision making. Decision aids are evidence-based tools that facilitate this process. Shared decision making is a patient-centred approach in which clinicians share information about the benefits, harms, and burden of different reasonable diagnostic and treatment options, and patients explain what matters to them in view of their particular values, preferences, and personal context. Beyond the ethical argument in support of this approach, decision aids have been shown to improve patients' knowledge about the available options, accuracy of risk estimates, and decisional comfort. Decision aids also promote patient participation in the decision-making process. Despite accumulating evidence from clinical trials, policy support, and expert recommendations in endocrinology practice guidelines, shared decision making is still not routinely implemented in endocrine practice. Additional work is needed to enrich the number of available tools and to implement them in practice workflows. Also, although the evidence from randomised controlled trials favours the use of this shared decision making in other settings, populations, and illnesses, the effect of this approach has been studied in a few endocrine disorders. Future pragmatic trials are needed to explore the effect and feasibility of shared decision making implementation into routine endocrinology and primary care practice. With the

  11. Hepatitis C in the Russian Federation: challenges and future directions

    Science.gov (United States)

    Mukomolov, Sergey; Trifonova, Galina; Levakova, Irina; Bolsun, Daria; Krivanogova, Eugenia

    2016-01-01

    carcinoma will be seen in the near future that will require urgent preventive and therapeutic measures. PMID:27217802

  12. Future World Energy Constraints and the Direction for Solutions

    Energy Technology Data Exchange (ETDEWEB)

    Lightfoot, H.D.

    2004-09-12

    This paper was originally written in response to the concern that rising levels of CO2 in the atmosphere caused by burning of fossil fuels will ultimately contribute to global warming. Now we are beginning to see evidence of coming problems in the supply of fuels for transportation. This paper describes the benefits of adequate energy supply and the problems of future energy supply. Partial solutions are suggested for immediate application as well as longer term solutions to address both of these concerns. To evaluate the situation and solutions we must understand: (1) how much primary energy is currently used world-wide and might be needed in 2100, (2) how important energy is to the welfare of people, (3) the forms of energy sources and end uses and (4) where new sources may come from. The major portion of world primary energy demand is provided by fossil fuels. This portion dropped from 93% in 1970 to 85% in 1995, mainly because of the increased use of nuclear energy. How ever, since the mid-1990s fossil fuels have maintained their 85% share of world energy supply. The importance of the relationship between per capita energy consumption and per capita income for the world is discussed. The limits of conservation, energy efficiency and renewable energies are examined. The contribution of renewable energies is compared to 41 different views of world energy demand in 2100. Without new technology for large scale storage of intermittent electricity from wind and solar the contribution of renewable energies is not likely to grow significantly beyond the current level of 7-8%. The paper offers conclusions and partial solutions that we can work on immediately. Examination of the forms of energy supplied by the sun, which is powered by nuclear fusion, and the way in which nuclear fission currently supplies energy to the world sets the research framework for longer term solutions. This framework points towards two possible longer term complementary res earch projects which

  13. Future World Energy Constraints and the Direction for Solutions

    International Nuclear Information System (INIS)

    This paper was originally written in response to the concern that rising levels of CO2 in the atmosphere caused by burning of fossil fuels will ultimately contribute to global warming. Now we are beginning to see evidence of coming problems in the supply of fuels for transportation. This paper describes the benefits of adequate energy supply and the problems of future energy supply. Partial solutions are suggested for immediate application as well as longer term solutions to address both of these concerns. To evaluate the situation and solutions we must understand: (1) how much primary energy is currently used world-wide and might be needed in 2100, (2) how important energy is to the welfare of people, (3) the forms of energy sources and end uses and (4) where new sources may come from. The major portion of world primary energy demand is provided by fossil fuels. This portion dropped from 93% in 1970 to 85% in 1995, mainly because of the increased use of nuclear energy. How ever, since the mid-1990s fossil fuels have maintained their 85% share of world energy supply. The importance of the relationship between per capita energy consumption and per capita income for the world is discussed. The limits of conservation, energy efficiency and renewable energies are examined. The contribution of renewable energies is compared to 41 different views of world energy demand in 2100. Without new technology for large scale storage of intermittent electricity from wind and solar the contribution of renewable energies is not likely to grow significantly beyond the current level of 7-8%. The paper offers conclusions and partial solutions that we can work on immediately. Examination of the forms of energy supplied by the sun, which is powered by nuclear fusion, and the way in which nuclear fission currently supplies energy to the world sets the research framework for longer term solutions. This framework points towards two possible longer term complementary res earch projects which

  14. Fundamental issues, recent advances, and future directions in myodynamics.

    Science.gov (United States)

    Hatze, H

    2002-12-01

    A state-of-the-art report is presented on recent progress in selected areas of myodynamics, but also on problems that severely hamper the further development of the discipline. Significant advances have been made in elucidating the force-producing interaction between actin and the myosin-S1-subunit, including the localization of the most probable molecular site of power stroke initiation. Concerning the architecture of the myostructures, strong experimental evidence has accumulated for numerous intra-, inter-, and extramuscular pathways for lateral force transmission in addition to the serial sarcomere-to-sarcomere myotendinous path. It is shown that contemporary muscle models are inadequate in most respects and lag far behind the requirements an appropriate myodynamic model should fulfil. A similar comment applies to the current approaches designed to solve the myoskeletal indeterminacy problem. These formulations neglect myodynamic properties and do not allow for the implementation of biologically realistic objective functions. The solutions currently obtained are highly unsatisfactory. New research directions to rectify these situations are suggested, also with regard to the identification of subject-specific myodynamic parameters. PMID:12435541

  15. Keloids and Hypertrophic Scars: Update and Future Directions

    Directory of Open Access Journals (Sweden)

    Chenyu Huang, MD, PhD

    2013-07-01

    Full Text Available Summary: The development of cutaneous pathological scars, namely, hypertrophic scars (HSs and keloids, involves complex pathways, and the exact mechanisms by which they are initiated, evolved, and regulated remain to be fully elucidated. The generally held concepts that keloids and HSs represent “aberrant wound healing” or that they are “characterized by hyalinized collagen bundles” have done little to promote their accurate clinicopathological classification or to stimulate research into the specific causes of these scars and effective preventative therapies. To overcome this barrier, we review here the most recent findings regarding the pathology and pathogenesis of keloids and HSs. The aberrations of HSs and keloids in terms of the inflammation, proliferation, and remodeling phases of the wound healing process are described. In particular, the significant roles that the extracellular matrix and the epidermal and dermal layers of skin play in scar pathogenesis are examined. Finally, the current hypotheses of pathological scar etiology that should be tested by basic and clinical investigators are detailed. Therapies that have been found to be effective are described, including several that evolved directly from the aforementioned etiology hypotheses. A better understanding of pathological scar etiology and manifestations will improve the clinical and histopathological classification and treatment of these important lesions.

  16. Future directions in electron--ion collision physics

    International Nuclear Information System (INIS)

    This report discusses the following topics: Summary of session on synergistic co-ordination of theory and experiment; synergism between experiment and theory in atomic physics; comparison of theory and experiment for electron-ion excitation and ionization; summary of session on new theoretical and computational methods; new theoretical and computational methods-r-matrix calculations; the coulomb three-body problem: a progress report; summary of session on needs and applications for electron-ion collisional data; electron-ion collisions in the plasma edge; needs and applications of theoretical data for electron impact excitation; summary of session on relativistic effects, indirect effects, resonance, etc; direct and resonant processes in electron-ion collisions; relativistic calculations of electron impact ionization and dielectronic recombination cross section for highly charged ions; electron-ion recombination in the close-coupling approximation; modified resonance amplitudes with strongly correlated channels; a density-matrix approach to the broadening of spectral lines by autoionization, radiative transitions and electron-ion collisions; towards a time-dependent description of electron-atom/ion collisions two electron systems; and comments on inclusion of the generalized bright interaction in electron impact excitation of highly charged ions

  17. Direct Laser Cladding , Current Status and Future Scope of Application

    Science.gov (United States)

    Weisheit, A.; Gasser, A.; Backes, G.; Jambor, T.; Pirch, N.; Wissenbach, K.

    During the last decades Direct Laser Cladding has become an established technique in many industrial fields for applying wear and corrosion protection layers on metallic surfaces as well as for the repair of high value-added components. The most important application fields are die and tool making, turbine components for aero engines and power generation, machine components such as axes and gears, and oil drilling components. Continuous wave (CW) lasers with a power up to 18 kW are used on automated machines with three or more axes, enabling 3D cladding . The outstanding feature of DLC is the high precision which leads to a minimum heat input into the work piece and a very low distortion. Due to the high cooling rates a fine grained microstructure is achieved during solidification. A new development in laser cladding is micro cladding in a size range below 50 \\upmum especially for electronic and medical applications. Furthermore, additive manufacturing is coming again into focus as a clean and resource-efficient method to manufacture and modify functional prototypes as well as unique and small lot parts.

  18. Contemporary issues and future directions for research into pathological gambling.

    Science.gov (United States)

    Dickerson, M; Baron, E

    2000-08-01

    The recent healthy increase in research into all aspects of gambling is noted. The dominant theme accounting for most of this research is the mental disorder model of pathological gambling and measures that have been derived from this conceptualization. It is suggested that an alternative approach focusing on the construct of choice or subjective control over gambling may be a research direction that will ensure that progress is maintained. In this paper a context for the discussion is provided by first identifying briefly fundamental conceptual and methodological issues associated with the mental disorder model. In particular it is argued that the heterogeneity of the diagnosis of pathological gambling makes the research task of assessing truly independent variables extremely difficult. Subsequently an illustrative schema is presented that demonstrates both the potential advantages and some of the complexities associated with the dependent variable of self-control over gambling behaviour. The main advantages are argued to be (a) the focus of research is narrowed to one potential cause of harmful impacts rather than the great diversity of impacts themselves, (b) prospective studies of regular gamblers in real gambling venues may be a key source of insight into the development of pathological gambling and (c) it promotes the development of theoretical links with the mainstream of the discipline of psychology. Despite the conceptual difficulties that may be associated with the variable of self-control, it is suggested that these may be overcome because contemporary research into the addictive behaviours has demonstrated considerable success in the definition and measurement of control and related themes such as craving, restraint and temptation. PMID:11092063

  19. Penal law of the future: directions of reforming

    Directory of Open Access Journals (Sweden)

    Grishko A.Ya.

    2014-12-01

    Full Text Available The most urgent problems of the penal legislation application are stated: social and economic support of post-penitentiary adaptation; lack of legal status of the RF subject in the penitentiary legal relations; direct dependence of many rights and legitimate interests of convicts upon judicial and administrative discretion; absence of a mechanism of implementing penal norms and subordinate normative legal acts, monitoring their implementation. The provisions of the RF Penal Code, contradicting the view established in the penal law theory regarding the penitentiary legal relations termination after the release of convict from further punishment, are revealed. The main technical and legal defects of the penal legislation in the inter-branch and interdisciplinary spheres are called (goals and objectives of the penal law are defined, goals and objectives of the punishment execution aren’t; principles of guilt and justice are fixed in the Criminal Code, but aren’t fixed in the Penal Code; incomparability of the guarantees of exercising the right to qualified legal assistance by ordinary citizens and convicts, etc.. The problem of the substitution of legislator by penal agency in regulating convicts’ rights and legitimate interests is stated. The provisions to be implemented in new penal legislation are expressed: 1 punishment in form of imprisonment should be in the very fact of isolation from society, otherwise the convict’s legal status shouldn’t differ from other citizens; 2 the list of prohibitions and restrictions for prisoners should be determined at the legislative level; 3 penal legislation should be exempt from evaluation terms and norms-exceptions, regarding convicts rights’ restrictions.

  20. Sustainable winter cities: Future directions for planning, policy and design

    Science.gov (United States)

    Pressman, Norman E. P.

    Attempts to generate a "climate-responsive" northern urban form are part of a relatively recent phenomenon and field of investigation. In conjunction with the international "winter cities" movement, the need has been established for explicit, systematic inquiry directed toward national and local action to improve the comfort and lifestyles of all northern inhabitants. It is important to recognize that winter-induced discomforts exist and that they must be acknowledged in planning theory and practice. For northern cities to function more satisfactorily, the negative impacts of winter must be reduced while its beneficial characteristics are enhanced. While not all summer activities can or should be abandoned during winter, proper micro-climatic control is essential if human life is to be retained outside. The outdoor season should be extended since so much indoor isolation occurs. The main principles to be incorporated in exemplary "winter city" design should be contact with nature, year-round usability, user participation, cultural continuity, and the creation of comfortable micro-climatic conditions throughout much of the city's open spaces. All valuable sources of inspiration must be harnessed in the attempt to mediate between organic regionalism and internationalism, on the one hand, and romanticism and pragmatic realism, on the other. Creating optimum conditions for human well-being, habitation, work and intellectual development in each of the four seasons is vital under harsh environments. Adopting a climate-sensitive approach to planning policy and urban design can render everyday life less stressful, especially during the lengthy winter periods found in many northern latitude and high altitude settings.

  1. Cancer Stem Cells in Breast: Current Opinion and Future Challenges

    OpenAIRE

    Charafe-Jauffret, Emmanuelle; Monville, Florence; Ginestier, Christophe; Dontu, Gabriela; Birnbaum, Daniel; Wicha, Max S.

    2008-01-01

    There is increasing evidence for the cancer stem cell hypothesis, which holds that cancers are driven by a cellular subcomponent that has stem cell properties, that is, self-renewal, tumorigenicity and multilineage differentiation capacity. The cancer stem cell hypothesis modifies our conceptual approach of oncogenesis and shall have implications in breast cancer prevention, detection and treatment, especially in metastatic breast cancer for which no curative treatment exists. Given the speci...

  2. Proceedings -- National Wilderness Research Conference: Issues, State-of-Knowledge, Future Directions

    OpenAIRE

    United States Department of Agriculture, Forest Service

    1987-01-01

    Includes 35 reports giving perspectives on wilderness values, management, and research; states-of-knowledge for wilderness resource research; states-of-knowledge for wilderness user research; and future directions for wilderness research.

  3. Status and future directions for advanced accelerator research - conventional and non-conventional collider concepts

    International Nuclear Information System (INIS)

    The relationship between advanced accelerator research and future directions for particle physics is discussed. Comments are made about accelerator research trends in hadron colliders, muon colliders, and e+3- linear colliders

  4. Developing Self-Directed Executive Functioning: Recent Findings and Future Directions

    Science.gov (United States)

    Barker, Jane E.; Munakata, Yuko

    2015-01-01

    How do children become increasingly self-directed across development, achieving their goals without help from others? How might such developments be impacted by societal changes in how children spend their time? Children's abilities to achieve their goals are supported by developing executive functions (EFs), cognitive processes that predict…

  5. Current Status and Future Perspectives in Differentiated Thyroid Cancer

    OpenAIRE

    Kim, Tae Yong; Kim, Won Gu; Kim, Won Bae; Shong, Young Kee

    2014-01-01

    Thyroid cancer is increasing all over the world. The exact cause of this increase is still debated and there are conflicting reports. Sophisticated molecular studies suggest that environmental chemicals may have effects of thyroid carcinogenesis. The development of powerful molecular biology techniques has enabled targeted next-generation sequencing for detection of mutations in thyroid cancer, and this technique can make a specific diagnosis of thyroid cancer in cytologically indeterminate c...

  6. Adjuvant Therapy of Colon Cancer: Current Status and Future Developments

    OpenAIRE

    Morse, Michael A.

    2005-01-01

    Options for the adjuvant therapy of resected stage III colon cancer have expanded beyond the previously well-accepted standard of 5-fluorouracil (5-FU) combined with leucovorin. The Xeloda in Adjuvant Colon Cancer Therapy (X-ACT) study confirmed that capecitabine (Xeloda) is at least as effective and is less toxic than a bolus 5-FU and leucovorin regimen for patients with stage III colon cancer. This study, in addition to National Surgical Adjuvant Breast and Bowel Project (NSABP) C-06, which...

  7. ALK in Lung Cancer: Past, Present, and Future

    OpenAIRE

    Shaw, Alice T.; Engelman, Jeffrey A.

    2013-01-01

    In 2007, scientists discovered that anaplastic lymphoma kinase (ALK) gene rearrangements are present in a small subset of non–small-cell lung cancers. ALK-positive cancers are highly sensitive to small-molecule ALK kinase inhibitors, such as crizotinib. Phase I and II studies of crizotinib in ALK-positive lung cancer demonstrated impressive activity and clinical benefit, leading to rapid US Food and Drug Administration approval in 2011. Although crizotinib induces remissions and extends the l...

  8. The Current Status and Future Directions of Heavy Charged Particle Therapy in Medicine

    Science.gov (United States)

    Levy, Richard P.; Blakely, Eleanor A.; Chu, William T.; Coutrakon, George B.; Hug, Eugen B.; Kraft, Gerhard; Tsujii, Hirohiko

    2009-03-01

    As aggressive, 3D-conformal treatment has become the clearly accepted goal of radiation oncology, heavy charged-particle treatment with protons and heavier ions has concurrently and relentlessly ascended to the forefront. Protons and helium nuclei, with relatively low linear-energy-transfer (LET) properties, have consistently been demonstrated to be beneficial for aggressive (high-dose) local treatment of many types of tumors. Protons have been applied to the majority of solid tumors, and have reached a high degree of general acceptance in radiation oncology after three decades and 55,000 patients treated. However, some 15% to 20% of tumor types have proven resistant to even the most aggressive low-LET irradiation. For these radio-resistant tumors, treatment with heavier ions (e.g., carbon) offers great potential benefit. These high-LET particles have increased relative biological effectiveness (RBE) that reaches its maximum in the Bragg peak. Irradiation with these heavier ions offers the unique combination of excellent 3D-dose distribution and increased RBE. We are presently witnessing several, important parallel developments in particle therapy. Protons will likely continue their exponential growth phase, and more compact design systems will make protons available to a larger patient population—thus becoming the "heavy charged particle of choice" for Cancer Centers with limited financial resources. In parallel, major academic efforts will further advance the field of heavier ion therapy, exploring all opportunities for particle treatment and continuing the search for the ideal particle(s) for specific tumors. The future of ion therapy will be best realized by clinical trials that have ready access to top-quality delivery of both protons and heavier ions that can be accurately shaped for treatment of a specific pathology, and which will permit direct randomized-trial comparison of the effectiveness of the various ions for different diseases. Optimal results

  9. Psychological Issues in Cancer Genetics: Current Research and Future Priorities.

    Science.gov (United States)

    Hopwood, Penelope

    1997-01-01

    Data concerning the psychological impact of high risk of cancer are reviewed, including implications of genetic testing, breast screening,and accuracy of women's risk estimates. Work in progress on prophylactic mastectomy and chemoprevention is reviewed. Research on cancer families, and interventions and prevention strategies for high-risk…

  10. Therapies targeting cancer stem cells: Current trends and future challenges

    Institute of Scientific and Technical Information of China (English)

    Denisa; L; Dragu; Laura; G; Necula; Coralia; Bleotu; Carmen; C; Diaconu; Mihaela; Chivu-Economescu

    2015-01-01

    Traditional therapies against cancer, chemo- and radiotherapy, have multiple limitations that lead to treatment failure and cancer recurrence. These limitations are related to systemic and local toxicity, while treatment failure and cancer relapse are due to drug resistance and self-renewal, properties of a small population of tumor cells called cancer stem cells(CSCs). These cells are involved in cancer initiation, maintenance, metastasis and recurrence. Therefore, in order to develop efficient treatments that can induce a longlasting clinical response preventing tumor relapse it is important to develop drugs that can specifically target and eliminate CSCs. Recent identification of surface markers and understanding of molecular feature associated with CSC phenotype helped with the design of effective treatments. In this review we discuss targeting surface biomarkers, signaling pathways that regulate CSCs self-renewal and differentiation, drug-efflux pumps involved in apoptosis resistance, microenvironmental signals that sustain CSCs growth, manipulation of mi RNA expression, and induction of CSCs apoptosis and differentiation, with specific aim to hamper CSCs regeneration and cancer relapse. Some of these agents are under evaluation in preclinical and clinical studies, most of them for using in combination with traditional therapies. The combined therapy using conventional anticancer drugs with CSCs-targeting agents, may offer a promising strategy for management and eradication of different types of cancers.

  11. Epigenetic biomarkers in prostate cancer: Current and future uses.

    Science.gov (United States)

    Chiam, Karen; Ricciardelli, Carmela; Bianco-Miotto, Tina

    2014-01-28

    Epigenome alterations are characteristic of nearly all human malignancies and include changes in DNA methylation, histone modifications and microRNAs (miRNAs). However, what induces these epigenetic alterations in cancer is largely unknown and their mechanistic role in prostate tumorigenesis is just beginning to be evaluated. Identification of the epigenetic modifications involved in the development and progression of prostate cancer will not only identify novel therapeutic targets but also prognostic and diagnostic markers. This review will focus on the use of epigenetic modifications as biomarkers for prostate cancer. PMID:22391123

  12. Factors affecting auditors' utilization of evidential cues: Taxonomy and future research directions

    OpenAIRE

    El-Hussein E. El-Masry; Kathryn A. Hansen

    2008-01-01

    Purpose – The purpose of this study is to develop a taxonomy of the major factors that influence auditors' selection and assessment of evidential cues. A discussion of how future research can help extend the taxonomy is also offered. Design/methodology/approach – A literature review of prior research on auditors' utilization of evidential cues is introduced, followed by a summary taxonomy of the variables influencing this decision. Then, an exploration of future research directions is introdu...

  13. Transrectal high-intensity focused ultrasound for the treatment of prostate cancer: Past, present, and future

    OpenAIRE

    Mearini, Luigi; Porena, Massimo

    2010-01-01

    Upon a review of recently published articles on high-intensity focused ultrasound (HIFU) in the treatment of prostate cancer, we evaluated the current status of HIFU as a primary treatment option for localized prostate cancer and its use as salvage therapy when radiation failed. We also briefly discuss current issues in indications, definition of response, and finally the future of HIFU development.

  14. The past and future impact of next-generation sequencing in head and neck cancer

    OpenAIRE

    N. Sethi; MacLennan, K; Wood, HM; Rabbitts, P

    2016-01-01

    Progress in sequencing technology is intrinsically linked to progress in understand cancer genomics. This review aims to discuss the development from Sanger sequencing to next generation sequencing (NGS) technology. We highlight the technical considerations for understanding reports using NGS. We discuss the findings of studies in head and neck cancer using NGS as well as the Cancer Genome Atlas. Finally we discuss future routes for research utilising this methodology and the potential impact...

  15. Expert Opinion: Future Frontiers and Challenges in Cancer Medicine

    OpenAIRE

    Johnston, Patrick G.; Lawler, Mark

    2012-01-01

    This article is the first in a series in European Perspectives that will engage with the European Oncology community to identify the ways in which the aspiration for enhanced standard of care for the cancer patient can be realized.

  16. Second primary cancers -  causes, incidence and the future.

    Science.gov (United States)

    Koubková, L; Hrstka, R; Dobes, P; Vojtesek, B; Vyzula, R

    2014-01-01

    Thanks to continually improving screening programs, diagnostic, and treatment methods, the survival rate in newly diagnosed cancer patients is increasing. With this improvement in survival, attention is now being focused on potential longterm complications such as multiple primary tumors, which represent a leading cause of late nonrelapse mortality. The number of patients who survive cancer dia-gnosis is growing by 2% each year. Multiple primary neoplasms have become the third most common finding in oncology since 1890s, when they were first described. This review aims to summarize recent information regarding the multiple primary neoplasms, elucidate the definition, etiology, association with the primary cancer treatment, genetic and environmental dispositions and finally, it recapitulates new approaches to identification of the risk factors for multiple cancers. PMID:24635432

  17. Are multiple markers the future of prostate cancer diagnostics?

    Science.gov (United States)

    Mikolajczyk, Stephen D; Song, Yong; Wong, James R; Matson, Robert S; Rittenhouse, Harry G

    2004-07-01

    Prostate specific antigen (PSA) is the most successful and widely employed cancer serum marker in use today. There is growing evidence that the introduction of wide PSA screening and earlier detection can result in decreased cancer mortality associated with a decline in metastatic disease. PSA circulates in a number of distinct forms. Measurement of these in addition to total PSA significantly increases diagnostic utility. Diagnostic utility is likely to be further increased by adding kallikreins, cytokines, growth factors, receptors and cellular adhesion factors to the biomarker panel. The need for multiple markers reflects the multidimensional nature of prostate disease which ranges from metastatic cancer to indolent cancer to benign hyperplasia and inflammation, all of which require distinct treatments and medical interventions. PMID:15234233

  18. Cancer Stem Cells – Basics, Progress and Future Potential

    OpenAIRE

    Bapat S.A

    2010-01-01

    The primary characteristics of adult stem cells are maintaining prolonged quiescence, ability to self-renew and plasticity to differentiate into multiple cell types. These properties are evolutionarily conserved from fruit fly to humans. Similar to normal tissue repair in organs, the stem cell concept is inherently impregnated in the etiology of cancer. Tumors contain a minor population of tumor-initiating cells, called "cancer stem cells" that maintain some similarities in self-renewal and d...

  19. Biology-driven cancer drug development: back to the future

    OpenAIRE

    Ashworth Alan; Lord Christopher J

    2010-01-01

    Abstract Most of the significant recent advances in cancer treatment have been based on the great strides that have been made in our understanding of the underlying biology of the disease. Nevertheless, the exploitation of biological insight in the oncology clinic has been haphazard and we believe that this needs to be enhanced and optimized if patients are to receive maximum benefit. Here, we discuss how research has driven cancer drug development in the past and describe how recent advances...

  20. Focal Laser Ablation of Prostate Cancer: Definition, Needs, and Future

    OpenAIRE

    Pierre Colin; Serge Mordon; Pierre Nevoux; Mohammed Feras Marqa; Adil Ouzzane; Philippe Puech; Gregory Bozzini; Bertrand Leroux; Arnauld Villers; Nacim Betrouni

    2012-01-01

    Current challenges and innovations in prostate cancer management concern the development of focal therapies that allow the treatment of only the cancer areas sparing the rest of the gland to minimize the potential morbidity. Among these techniques, focal laser ablation (FLA) appears as a potential candidate to reach the goal of focusing energy delivery on the identified targets. The aim of this study is to perform an up-to-date review of this new therapeutic modality. Relevant literature was ...

  1. The role of lipolysis stimulated lipoprotein receptor in breast cancer and directing breast cancer cell behavior.

    Directory of Open Access Journals (Sweden)

    Denise K Reaves

    Full Text Available The claudin-low molecular subtype of breast cancer is of particular interest for clinically the majority of these tumors are poor prognosis, triple negative, invasive ductal carcinomas. Claudin-low tumors are characterized by cancer stem cell-like features and low expression of cell junction and adhesion proteins. Herein, we sought to define the role of lipolysis stimulated lipoprotein receptor (LSR in breast cancer and cancer cell behavior as LSR was recently correlated with tumor-initiating features. We show that LSR was expressed in epithelium, endothelium, and stromal cells within the healthy breast tissue, as well as in tumor epithelium. In primary breast tumor bioposies, LSR expression was significantly correlated with invasive ductal carcinomas compared to invasive lobular carcinomas, as well as ERα positive tumors and breast cancer cell lines. LSR levels were significantly reduced in claudin-low breast cancer cell lines and functional studies illustrated that re-introduction of LSR into a claudin-low cell line suppressed the EMT phenotype and reduced individual cell migration. However, our data suggest that LSR may promote collective cell migration. Re-introduction of LSR in claudin-low breast cancer cell lines reestablished tight junction protein expression and correlated with transepithelial electrical resistance, thereby reverting claudin-low lines to other intrinsic molecular subtypes. Moreover, overexpression of LSR altered gene expression of pathways involved in transformation and tumorigenesis as well as enhanced proliferation and survival in anchorage independent conditions, highlighting that reestablishment of LSR signaling promotes aggressive/tumor initiating cell behaviors. Collectively, these data highlight a direct role for LSR in driving aggressive breast cancer behavior.

  2. Addressing future challenges for cancer services: part II.

    Science.gov (United States)

    Maher, Jane; Radford, Gina

    2016-02-01

    Jane Maher & Gina Radford speak to Gemma Westcott, Commissioning Editor Jane Maher has been Macmillan's Chief Medical Officer since 1999 and now shares the role as Joint Chief Medical Officer with general practitioner Rosie Loftus, reflecting the growing need for specialists and generalists to work more effectively together. She has been an National Health Service (NHS) improvement clinical leader for over 10 years and is a Consultant Clinical Oncologist at Mount Vernon Cancer Centre and Hillingdon Hospital where she has worked for more than 20 years, during which she helped develop nonsurgical oncology services in five district general hospitals. She is a senior Clinical Lecturer at University College London and Visiting Professor in Cancer and Supportive Care at the Centre for Complexity Management at the University of Hertfordshire. Jane chaired the Maher Committee for the Department of Health in 1995, led the UK National Audit of Late Effects Pelvic Radiotherapy for the Royal College of Radiologists (RCR) in 2000 and, most recently, chaired the National Cancer Survivorship Initiative Consequences of Treatment work stream. She co-founded one of the first Cancer Support and Information services in the UK, winning the Nye Bevan award in 1992 and there are now more than 60 units based on this model. She is a member of the Older People and Cancer Clinical Advisory Group. She has written more than 100 published articles and is a UK representative for cancer survivorship in Europe and advises on cancer survivorship programs in Denmark and Canada. Gina Radford is Deputy Chief Medical Officer for England, a post she took up in January 2015. Prior to that, she has held a number of roles in public health, at local and regional level. Most recently she was Centre Director for Anglia and Essex for Public Health England, and as a part of that role helped lead nationally on the public health response to Ebola. She was until very recently Chair of one of the NICE public health

  3. Testing keV sterile neutrino dark matter in future direct detection experiments

    OpenAIRE

    Campos, Miguel D.; Rodejohann, Werner

    2016-01-01

    We determine constraints on sterile neutrino warm dark matter through direct detection experiments, taking XENON100 and its future stages as example. If keV-scale sterile neutrinos scatter inelastically with bound electrons of the target material, an electron recoil signal is generated. This can be used to set limits on the sterile neutrino mass and its mixing with the active sector. While not competitive with astrophysical constraints from X-ray data, the constraints are the first direct lab...

  4. A Comment on "The Far Future of Exoplanet Direct Characterization" - the Case for Interstellar Space Probes

    OpenAIRE

    Crawford, Ian A.

    2010-01-01

    Following on from ideas presented in a recent paper by Schneider et al. (2010) on "The Far Future of Exoplanet Direct Characterization", I argue that they have exaggerated the technical obstacles to performing such 'direct characterization' by means of fast (order 0.1c) interstellar space probes. A brief summary of rapid interstellar spaceflight concepts that may be found in the literature is presented. I argue that the presence of interstellar dust grains, while certainly something which wil...

  5. Green Marketing Mix: A Review of Literature and Direction for Future Research

    OpenAIRE

    Prashant Kumar; Bhimrao Ghodeswar

    2015-01-01

    The purpose of this paper is to report the findings of a systematic review of literature in green marketing domain and to propose directions for future research. Green marketing issues are delineated from literature extending marketing orientation and marketing mix frameworks. As society becomes more concerned with the natural environment, businesses modify their behaviour in an attempt to address society's concerns. Based on the literature review, the conceptual review and direction for futu...

  6. Addressing future challenges for cancer services: part I.

    Science.gov (United States)

    Maher, Jane; Radford, Gina

    2016-02-01

    Jane Maher & Gina Radford speak to Gemma Westcott, Commissioning Editor Jane Maher has been Macmillan's Chief Medical Officer since 1999 and now shares the role as Joint Chief Medical Officer with general practitioner Rosie Loftus, reflecting the growing need for specialists and generalists to work more effectively together. She has been a National Health Service (NHS) Improvement Clinical Leader for over 10 years and is a Consultant Clinical Oncologist at Mount Vernon Cancer Centre where she has worked for more than 20 years, during which she helped develop nonsurgical oncology services in five district general hospitals. Jane chaired the Maher Committee for the Department of Health in 1995, led the UK National Audit of Late Effects Pelvic Radiotherapy for the Royal College Of Radiologists (RCR) in 2000 and, most recently, chaired the 'National Cancer Survivorship Initiative, consequences of treatment work stream'. She co-founded one of the first Cancer Support and Information services in the UK, winning the Nye Bevan award in 1992 and there are now more than 60 units based on this model. She is a member of the Older People and Cancer Clinical Advisory Group. She has written more than 100 published articles and is a UK representative for cancer survivorship in Europe and advises on Cancer survivorship programs in Denmark and Canada. Gina Radford is Deputy Chief Medical Officer for England, a post she took up in January 2015. Prior to that, she has held a number of roles in public health, at local and regional level. Most recently she was as Centre Director for Anglia and Essex for Public Health England, and as part of that role helped lead nationally on the public health response to Ebola. She was until very recently Chair of one of the NICE public health advisory committees. She has previously worked on a number of national projects, including leading the Department of Health's response to the Shipman Enquiry, undertaking a review of specialist public health for

  7. Screening for breast cancer in England: past and future.

    Science.gov (United States)

    2006-01-01

    The NHS Breast Screening Programme (NHSBSP) began in 1988. It aims to invite all women aged 50-70 years for mammographic screening once every three years. The programme now screens 1.3 million women each year, about 75% of those invited, and diagnoses about 10,000 breast cancers annually. Although some have questioned the value of screening for breast cancer, the scientific evidence demonstrates clearly that regular mammographic screening between the ages of 50 and 70 years reduces mortality from the malignancy. Screened women are slightly more likely than unscreened women to be diagnosed with breast cancer. The cancers in screened women are smaller and are less likely to be treated with mastectomy than they would have been if diagnosed without screening. For every 400 women screened regularly by the NHSBSP over a 10-year period, one woman fewer will die from breast cancer than would have died without screening. The current NHSBSP saves an estimated 1400 lives each year in England. The screening programme spends about pound sterling 3000 for every year of life saved. PMID:16792825

  8. Diet, nutrition, and cancer: past, present and future.

    Science.gov (United States)

    Mayne, Susan T; Playdon, Mary C; Rock, Cheryl L

    2016-08-01

    Despite the potentially important roles of diet and nutrition in cancer prevention, the evidence to support these roles is widely perceived by the public and health professionals as being inconsistent. In this Review, we present the issues and challenges in conducting and interpreting diet-cancer research, including those relating to the design of epidemiological studies, dietary data collection methods, and factors that affect the outcome of intervention trials. Approaches to improve effect estimates, such as the use of biomarkers to improve the accuracy of characterizing dietary exposures, are also discussed. Nutritional and dietary patterns are complex; therefore, the use of a reductionist approach to investigations, by focusing on specific nutrients, can produce misleading information. The effects of tumour heterogeneity and the failure to appreciate the nonlinear, U-shaped relationship between micronutrients and cancer in both observational studies and clinical trials are discussed. New technologies and investigational approaches are enabling the exploration of complex interactions between genetic, epigenetic, metabolic, and gut-microbial processes that will inform our knowledge of the diet-cancer relationship. Communicating the status of the evolving science in the context of the overall scientific evidence base, and evidence-based dietary recommendations for cancer prevention, should be emphasized in guidance for the public and for individual patients. PMID:26951041

  9. Challenges and future perspectives of T cell immunotherapy in cancer.

    Science.gov (United States)

    de Aquino, Maria Teresa P; Malhotra, Anshu; Mishra, Manoj K; Shanker, Anil

    2015-08-01

    Since the formulation of the tumour immunosurveillance theory, considerable focus has been on enhancing the effectiveness of host antitumour immunity, particularly with respect to T cells. A cancer evades or alters the host immune response by various ways to ensure its development and survival. These include modifications of the immune cell metabolism and T cell signalling. An inhibitory cytokine milieu in the tumour microenvironment also leads to immune suppression and tumour progression within a host. This review traces the development in the field and attempts to summarize the hurdles that the approach of adoptive T cell immunotherapy against cancer faces, and discusses the conditions that must be improved to allow effective eradication of cancer. PMID:26096822

  10. Testing keV sterile neutrino dark matter in future direct detection experiments

    International Nuclear Information System (INIS)

    In this work we analyse the possibility of measuring sterile neutrino dark matter in direct detection experiments, such as XENON100 and its future stages. In particular we focus on the keV range, studying the interaction of these particles with electrons in bound states.

  11. Future Directions in Etiologic, Prevention, and Treatment Research for Eating Disorders

    Science.gov (United States)

    Stice, Eric; South, Kelsey; Shaw, Heather

    2012-01-01

    Significant advances have occurred regarding the understanding of etiologic processes that give rise to eating disorders and the design and evaluation of efficacious prevention programs and treatment interventions. Herein we offer suggestions regarding potentially fruitful directions for future research in these areas. We suggest it would be…

  12. 75 FR 9232 - Measuring Progress on Food Safety: Current Status and Future Directions; Public Workshop

    Science.gov (United States)

    2010-03-01

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Measuring Progress on Food Safety: Current Status and Future Directions; Public Workshop AGENCY: Food and Drug Administration, HHS. ACTION: Notice of public workshop. The Food and Drug Administration (FDA)...

  13. The Web's Impact on Social Work Education: Opportunities, Challenges, and Future Directions.

    Science.gov (United States)

    Sandell, Karen S.; Hayes, Sherman

    2002-01-01

    Examines the ways in which social work educators who are interested in Web technology but not expert in its applications can use the World Wide Web. Current opportunities and challenges in integrating technology into social work education are discussed, and future directions in the use of technology are explored. (EV)

  14. Collection Directions: Some Reflections on the Future of Library Collections and Collecting

    Science.gov (United States)

    Dempsey, Lorcan; Malpas, Constance; Lavoie, Brian

    2014-01-01

    This article takes a broad view of the evolution of collecting behaviors in a network environment and suggests some future directions based on various simple models. The authors look at the changing dynamics of print collections, at the greater engagement with research and learning behaviors, and at trends in scholarly communication. The goal is…

  15. 75 FR 37752 - Measuring Progress on Food Safety: Current Status and Future Directions; Public Meeting

    Science.gov (United States)

    2010-06-30

    ... Update is communicated via Listserv, a free electronic mail subscription service for industry, trade... Food Safety and Inspection Service Measuring Progress on Food Safety: Current Status and Future Directions; Public Meeting AGENCY: Food Safety and Inspection Service, USDA. ACTION: Notice of public...

  16. Review of Current Studies in Instructional Design Theory in Korea: Major Trends and Future Directions

    Science.gov (United States)

    Lim, Cheolil; Yeon, Eunkyoung

    2009-01-01

    This article reviewed recent studies of instructional design theory in Korea to explore major trends and suggest future directions. Based on the analysis of 40 articles from the "Journal of Educational Technology" between 1994 and 2006, this study identified six trends: little emphasis on the conceptualization of instructional design theory;…

  17. Testing keV sterile neutrino dark matter in future direct detection experiments

    Energy Technology Data Exchange (ETDEWEB)

    Campos, Miguel D.; Rodejohann, Werner [Max-Planck-Institut fuer Kernphysik, Heidelberg (Germany)

    2015-07-01

    In this work we analyse the possibility of measuring sterile neutrino dark matter in direct detection experiments, such as XENON100 and its future stages. In particular we focus on the keV range, studying the interaction of these particles with electrons in bound states.

  18. Early Childhood Inclusion in the United States: Goals, Current Status, and Future Directions

    Science.gov (United States)

    Guralnick, Michael J.; Bruder, Mary Beth

    2016-01-01

    The current status and future directions of early childhood inclusion in the United States are discussed from the perspective of 4 key goals: access, accommodations and feasibility, developmental progress, and social integration. Recommendations are put forward to promote inclusion goals emphasizing administrative structures, personnel…

  19. The nuclear regulatory process in Canada experience and possible future direction

    International Nuclear Information System (INIS)

    The underlying principle in the Canadian licensing process is that the licensee (owner/operatopr) bears the responsibility for safety while the regulatory authority sets safety objectives and audits their achievement. As a consequence, Canadian Regulatory Requirements emphasize numerical safety goals, and minimize specific design or operational rules. This paper traces the evolution of this approach, and indicates direction for the future. (author)

  20. Towards a Unified Conceptualization of Reshoring and Insourcing Decisions and Directions for Future Research

    DEFF Research Database (Denmark)

    Foerstl, Kai; Kirchoff, Jon; Bals, Lydia

    able to develop an agenda for future research. Implications for further research include the need to clearly differentiate between governance (i.e. insourcing) and location (i.e. reshoring) changes, the need to differentiate between reshoring/insourcing as strategic direction or reaction to failure...

  1. Anticoagulation, ferrotoxicity and the future of translational lung cancer research.

    Science.gov (United States)

    Zacharski, Leo R

    2016-06-01

    Numerous studies have shown that elements of coagulation reactions mediate tumor cell proliferation, motility (invasiveness), tissue remodeling and metastasis. Coagulation activation is virtually a universal feature of human malignancy that differs from the clotting response to injury in that it is self-perpetuating rather than self-attenuating. Coagulation activation participates in tumor matrix deposition and local inflammation, and predicts subsequent cancer risk and adverse cancer outcomes. Several clinical trials of anticoagulants have shown improved outcomes in small cell carcinoma of the lung (SCCL) that have been correlated with assembly on the tumor cells of an intact coagulation pathway. However, variable efficacy of anticoagulant therapy has raised doubts about the coagulation hypothesis. Recently, initiators of coagulation and fibrinolytic pathways have been identified that mediate tumor inception and progression. Notable among these is oxidative stress driven by iron-catalyzed reactive oxygen species that may be the basis for local coagulation activation, tumor matrix deposition, inflammation and aberrant properties characteristic of the malignant phenotype. Recognition of important biological characteristics of individual tumor types, disease stage, choice of standard therapy including chemotherapy and the iron status of the host may clarify mechanisms. All of these are subject to modification based on controlled clinical trial design. Further tests of the coagulation hypothesis may lead to novel, low cost and relatively non-toxic approaches to treatment of malignancy including lung cancer that contrast with certain current cancer treatment paradigms. PMID:27413710

  2. Prognostic factors in ovarian cancer : current evidence and future prospects

    NARCIS (Netherlands)

    Crijns, APG; Boezen, HM; Schouten, JP; Arts, HJG; Hofstra, RMW; Willemse, PHB; de Vries, EGE; van der Zee, AGJ

    2003-01-01

    In ovarian cancer, translational research on the prognostic impact of molecular biological factors has until now not led to clinical implementation of any of these factors. This is partly due to the often conflicting results of different prognostic factor studies on the same molecular biological fac

  3. Anticoagulation, ferrotoxicity and the future of translational lung cancer research

    Science.gov (United States)

    2016-01-01

    Numerous studies have shown that elements of coagulation reactions mediate tumor cell proliferation, motility (invasiveness), tissue remodeling and metastasis. Coagulation activation is virtually a universal feature of human malignancy that differs from the clotting response to injury in that it is self-perpetuating rather than self-attenuating. Coagulation activation participates in tumor matrix deposition and local inflammation, and predicts subsequent cancer risk and adverse cancer outcomes. Several clinical trials of anticoagulants have shown improved outcomes in small cell carcinoma of the lung (SCCL) that have been correlated with assembly on the tumor cells of an intact coagulation pathway. However, variable efficacy of anticoagulant therapy has raised doubts about the coagulation hypothesis. Recently, initiators of coagulation and fibrinolytic pathways have been identified that mediate tumor inception and progression. Notable among these is oxidative stress driven by iron-catalyzed reactive oxygen species that may be the basis for local coagulation activation, tumor matrix deposition, inflammation and aberrant properties characteristic of the malignant phenotype. Recognition of important biological characteristics of individual tumor types, disease stage, choice of standard therapy including chemotherapy and the iron status of the host may clarify mechanisms. All of these are subject to modification based on controlled clinical trial design. Further tests of the coagulation hypothesis may lead to novel, low cost and relatively non-toxic approaches to treatment of malignancy including lung cancer that contrast with certain current cancer treatment paradigms.

  4. Focal Laser Ablation of Prostate Cancer: Definition, Needs, and Future

    Directory of Open Access Journals (Sweden)

    Pierre Colin

    2012-01-01

    Full Text Available Current challenges and innovations in prostate cancer management concern the development of focal therapies that allow the treatment of only the cancer areas sparing the rest of the gland to minimize the potential morbidity. Among these techniques, focal laser ablation (FLA appears as a potential candidate to reach the goal of focusing energy delivery on the identified targets. The aim of this study is to perform an up-to-date review of this new therapeutic modality. Relevant literature was identified using MEDLINE database with no language restrictions (entries: focal therapy, laser interstitial thermotherapy, prostate cancer, FLA and by cross-referencing from previously identified studies. Precision, real-time monitoring, MRI compatibility, and low cost of integrated system are principal advantages of FLA. Feasibility and safety of this technique have been reported in phase I assays. FLA might eventually prove to be a middle ground between active surveillance and radical treatment. In conclusion, FLA may have found a role in the management of prostate cancer. However, further trials are required to demonstrate the oncologic effectiveness in the long term.

  5. Future cancer treatment using antiparticles form the exotic "antiworld"

    CERN Multimedia

    2006-01-01

    "An international research team has taken the first, but nevertheless promisiong step towards a new form of radiotherapy for cancer. This team includes scientists at the Department of Physics and Astronomy, the University of Aarhus, as well as the Department of Medical Physics and the Department of Experimental Clinical Oncology, the Aarhus University Hospital." (1 page)

  6. Estimates of future discharges of the river Rhine using two scenario methodologies: direct versus delta approach

    Directory of Open Access Journals (Sweden)

    2007-01-01

    Full Text Available Simulations with a hydrological model for the river Rhine for the present (1960–1989 and a projected future (2070–2099 climate are discussed. The hydrological model (RhineFlow is driven by meteorological data from a 90-years (ensemble of three 30-years simulation with the HadRM3H regional climate model for both present-day and future climate (A2 emission scenario. Simulation of present-day discharges is realistic provided that (1 the HadRM3H temperature and precipitation are corrected for biases, and (2 the potential evapotranspiration is derived from temperature only. Different methods are used to simulate discharges for the future climate: one is based on the direct model output of the future climate run (direct approach, while the other is based on perturbation of the present-day HadRM3H time series (delta approach. Both methods predict a similar response in the mean annual discharge, an increase of 30% in winter and a decrease of 40% in summer. However, predictions of extreme flows differ significantly, with increases of 10% in flows with a return period of 100 years in the direct approach and approximately 30% in the delta approach. A bootstrap method is used to estimate the uncertainties related to the sample size (number of years simulated in predicting changes in extreme flows.

  7. Application of Quantum Dots-Based Biotechnology in Cancer Diagnosis: Current Status and Future Perspectives

    Directory of Open Access Journals (Sweden)

    Chun-Wei Peng

    2010-01-01

    Full Text Available The semiconductor nanocrystal quantum dots (QDs have excellent photo-physical properties, and the QDs-based probes have achieved encouraging developments in cellular and in vivo molecular imaging. More and more researches showed that QDs-based technology may become a promising approach in cancer research. In this review, we focus on recent application of QDs in cancer diagnosis and treatment, including early detection of primary tumor such as ovarian cancer, breast cancer, prostate cancer and pancreatic cancer, as well as regional lymph nodes and distant metastases. With the development of QDs synthesis and modification, the effect of QDs on tumor metastasis investigation will become more and more important in the future.

  8. Aspirin and colorectal cancer: Back to the Future

    OpenAIRE

    Tougeron, David; Sha, Dan; Manthravadi, Sashidhar; Sinicrope, Frank A

    2013-01-01

    Abundant epidemiological evidence indicates that regular and long term use of aspirin is associated with a significant reduction in the incidence of colorectal cancer (CRC). The long duration of aspirin needed to prevent CRC is believed to be due to inhibition of precursor lesions known as adenomas, whose recurrence is inhibited by aspirin in randomized trials. Aspirin intake has also been associated with a statistically significant improvement in patient survival after curative resection of ...

  9. Esophageal cancer stem cells and implications for future therapeutics

    Directory of Open Access Journals (Sweden)

    Qian X

    2016-04-01

    Full Text Available Xia Qian,* Cheng Tan,* Feng Wang,* Baixia Yang, Yangyang Ge, Zhifeng Guan, Jing CaiDepartment of Radiation Oncology, Nantong Tumor Hospital, Affiliated Tumor Hospital of Nantong University, Nantong, People’s Republic of China*These authors contributed equally to this workAbstract: Esophageal carcinoma (EC is a lethal disease with high morbidity and mortality worldwide, and the incidence has been increasing in recent years. Although the diagnosis and treatment of EC have improved considerably, EC has rapidly progressed in the clinical setting and has a poor prognosis for its metastasis and recurrence. The general idea of cancer stem cells (CSCs is primarily based on clinical and experimental observations, indicating the existence of a subpopulation of cells that can self-renew and differentiate. The EC stem cells, which can be isolated from normal pluripotent stem cells by applying similar biomarkers, may participate in promoting esophageal tumorigenesis through renewal and repair. In this review, major emphasis is given to CSC markers, altered CSC-specific pathways, and molecular targeting agents currently available to target CSCs of esophageal cancer. The roles of numerous markers (CD44, aldehyde dehydrogenase, CD133, and ATP-binding cassette subfamily G member 2 and developmental signaling pathways (Wnt/β-catenin, Notch, hedgehog, and Hippo in isolating esophageal CSCs are discussed in detail. Targeting CSCs can be a logical strategy to treat EC, as these cells are responsible for carcinoma recurrence and chemoradiation resistance. Keywords: esophageal cancer, cancer stem cells, CD44, ALDH, CD133, ABCG2

  10. Can Biomarker Assessment on Circulating Tumor Cells Help Direct Therapy in Metastatic Breast Cancer?

    International Nuclear Information System (INIS)

    Circulating tumor cell (CTC) count has prognostic significance in metastatic breast cancer, but the predictive utility of CTCs is uncertain. Molecular studies on CTCs have often been limited by a low number of CTCs isolated from a high background of leukocytes. Improved enrichment techniques are now allowing molecular characterisation of single CTCs, whereby molecular markers on single CTCs may provide a real-time assessment of tumor biomarker status from a blood test or “liquid biopsy”, potentially negating the need for a more invasive tissue biopsy. The predictive ability of CTC biomarker analysis has predominantly been assessed in relation to HER2, with variable and inconclusive results. Limited data exist for other biomarkers, such as the estrogen receptor. In addition to the need to define and validate the most accurate and reproducible method for CTC molecular analysis, the clinical relevance of biomarkers, including gain of HER2 on CTC after HER2 negative primary breast cancer, remains uncertain. This review summarises the currently available data relating to biomarker evaluation on CTCs and its role in directing management in metastatic breast cancer, discusses limitations, and outlines measures that may enable future development of this approach

  11. Can Biomarker Assessment on Circulating Tumor Cells Help Direct Therapy in Metastatic Breast Cancer?

    Directory of Open Access Journals (Sweden)

    Natalie Turner

    2014-03-01

    Full Text Available Circulating tumor cell (CTC count has prognostic significance in metastatic breast cancer, but the predictive utility of CTCs is uncertain. Molecular studies on CTCs have often been limited by a low number of CTCs isolated from a high background of leukocytes. Improved enrichment techniques are now allowing molecular characterisation of single CTCs, whereby molecular markers on single CTCs may provide a real-time assessment of tumor biomarker status from a blood test or “liquid biopsy”, potentially negating the need for a more invasive tissue biopsy. The predictive ability of CTC biomarker analysis has predominantly been assessed in relation to HER2, with variable and inconclusive results. Limited data exist for other biomarkers, such as the estrogen receptor. In addition to the need to define and validate the most accurate and reproducible method for CTC molecular analysis, the clinical relevance of biomarkers, including gain of HER2 on CTC after HER2 negative primary breast cancer, remains uncertain. This review summarises the currently available data relating to biomarker evaluation on CTCs and its role in directing management in metastatic breast cancer, discusses limitations, and outlines measures that may enable future development of this approach.

  12. Can Biomarker Assessment on Circulating Tumor Cells Help Direct Therapy in Metastatic Breast Cancer?

    Energy Technology Data Exchange (ETDEWEB)

    Turner, Natalie [Sandro Pitigliani Medical Oncology Department, Prato Hospital, Istituto Toscano Tumori, Via Ugo Foscolo, Prato, PO 59100 (Italy); Pestrin, Marta [Sandro Pitigliani Medical Oncology Department, Prato Hospital, Istituto Toscano Tumori, Via Ugo Foscolo, Prato, PO 59100 (Italy); Translational Research Laboratory, Prato Hospital, Via Ugo Foscolo, Prato, PO 59100 (Italy); Galardi, Francesca; De Luca, Francesca [Translational Research Laboratory, Prato Hospital, Via Ugo Foscolo, Prato, PO 59100 (Italy); Malorni, Luca [Sandro Pitigliani Medical Oncology Department, Prato Hospital, Istituto Toscano Tumori, Via Ugo Foscolo, Prato, PO 59100 (Italy); Translational Research Laboratory, Prato Hospital, Via Ugo Foscolo, Prato, PO 59100 (Italy); Di Leo, Angelo, E-mail: adileo@usl4.toscana.it [Sandro Pitigliani Medical Oncology Department, Prato Hospital, Istituto Toscano Tumori, Via Ugo Foscolo, Prato, PO 59100 (Italy)

    2014-03-25

    Circulating tumor cell (CTC) count has prognostic significance in metastatic breast cancer, but the predictive utility of CTCs is uncertain. Molecular studies on CTCs have often been limited by a low number of CTCs isolated from a high background of leukocytes. Improved enrichment techniques are now allowing molecular characterisation of single CTCs, whereby molecular markers on single CTCs may provide a real-time assessment of tumor biomarker status from a blood test or “liquid biopsy”, potentially negating the need for a more invasive tissue biopsy. The predictive ability of CTC biomarker analysis has predominantly been assessed in relation to HER2, with variable and inconclusive results. Limited data exist for other biomarkers, such as the estrogen receptor. In addition to the need to define and validate the most accurate and reproducible method for CTC molecular analysis, the clinical relevance of biomarkers, including gain of HER2 on CTC after HER2 negative primary breast cancer, remains uncertain. This review summarises the currently available data relating to biomarker evaluation on CTCs and its role in directing management in metastatic breast cancer, discusses limitations, and outlines measures that may enable future development of this approach.

  13. Goal-Directed Simulation of Past and Future Events: Cognitive and Neuroimaging Approaches

    OpenAIRE

    Gerlach, Katrin Daniela

    2013-01-01

    Goal-directed episodic simulation, the imaginative construction of a hypothetical personal event or series of events focused on a specific goal, is essential to our everyday lives. We often imagine how we could solve a problem or achieve a goal in the future, or how we could have avoided a misstep in the past, but many of the behavioral and neural mechanisms underlying such goal-directed simulations have yet to be explored. The three papers of this dissertation investigated the neural correla...

  14. Testing keV sterile neutrino dark matter in future direct detection experiments

    CERN Document Server

    Campos, Miguel D

    2016-01-01

    We determine constraints on sterile neutrino warm dark matter through direct detection experiments, taking XENON100 and its future stages as example. If keV-scale sterile neutrinos scatter inelastically with bound electrons of the target material, an electron recoil signal is generated. This can be used to set limits on the sterile neutrino mass and its mixing with the active sector. While not competitive with astrophysical constraints from X-ray data, the constraints are the first direct laboratory bounds on sterile neutrino warm dark matter, and will be in some parts of parameter space the strongest limits on keV-scale neutrinos.

  15. Projecting prevalence by stage of care for prostate cancer and estimating future health service needs: protocol for a modelling study

    OpenAIRE

    Yu, Xue Q; Smith, David P; Clements, Mark S; Patel, Manish I; McHugh, Bill; O'Connell, Dianne L

    2011-01-01

    Introduction Current strategies for the management of prostate cancer are inadequate in Australia. We will, in this study, estimate current service needs and project the future needs for prostate cancer patients in Australia. Methods and analysis First, we will project the future prevalence of prostate cancer for 2010–2018 using data for 1972–2008 from the New South Wales (NSW) Central Cancer Registry. These projections, based on modelled incidence and survival estimates, will be estimated us...

  16. Does direct cash flow presentation help in predicting future operating cash flow?

    OpenAIRE

    Simões, Flavio Manuel Vilas-Boas

    2012-01-01

    Research literature and regulators are unconditional in pointing the disclosure of operating cash flow through direct method a section of unique information. Besides the intuitive facet, it is also consistent in forecasting future operating cash flows and a cohesive piece to financial statement puzzle. Bearing this in mind, I produce an analysis on the usefulness and predictive ability on the disclosure of gross cash receipts and payments over the disclosure of reconciliation between net inco...

  17. Future directions for a critical social psychology of racism/antiracism

    OpenAIRE

    Howarth, Caroline; Hook, Derek

    2005-01-01

    A variety of possible future directions for a critical psychology of racism/antiracism may assist us in avoiding the trappings of conceptual/methodological homogeneity and disciplinary insularity. Greater reference to the literature of fiction, to the epistemological domain of the aesthetic, may benefit us given that it permits different positionings, imaginings and modes of self-reflection than afforded within the strict truth-conditions of mainstream social science practice. We stand also t...

  18. The contribution of physics to Nuclear Medicine: physicians’ perspective on future directions

    OpenAIRE

    Mankoff, David A.; Pryma, Daniel A.

    2014-01-01

    Background Advances in Nuclear Medicine physics enabled the specialty of Nuclear Medicine and directed research in other aspects of radiotracer imaging, ultimately leading to Nuclear Medicine’s emergence as an important component of current medical practice. Discussion Nuclear Medicine’s unique ability to characterize in vivo biology without perturbing it will assure its ongoing role in a practice of medicine increasingly driven by molecular biology. However, in the future, it is likely that ...

  19. Future Direction Of Real Estate Education For The Certificate Programs At National Institute Of Valuation (INSPEN)

    OpenAIRE

    M.Haris Yop

    2015-01-01

    Real estate education is a unique program specifically develops to educate and equip students with strong knowledge and principle of Real Estate that lead to and sustain a productive Real Estate based career in future. The direction of real estate education necessitates an important emphasis on the managerial, empirical and decision-making aspects of the respective industry. INSPEN is established with a function to execute educational programs with a particular emphasis on the needs and wants...

  20. Future Directions in Studies on Student Perception of Teacher Written Feedback

    Institute of Scientific and Technical Information of China (English)

    ZHANG Rui

    2015-01-01

    Teacher feedback plays a key role in teaching second language writing. Though teachers have devoted a great deal of time to giving written feedback to L2 students, some students complained that they benefit little from written feedback. This study reviews research on the effectiveness of teacher written feedback in ESL context or EFL context in United States, and tries to sug⁃gest future direction in further research.

  1. Informal interactions between audit committees and internal audit functions: exploratory evidence and directions for future research

    OpenAIRE

    Mahbub Zaman

    2013-01-01

    Purpose:This paper recognises the importance of informal processes within corporate governance and complements existing research in this area by investigating factors associated with the existence of informal interactions between audit committees and internal audit functions and in providing directions for future research.Design/Methodology/Approach:To examine the existence and drivers of informal interactions between audit committees and internal audit functions, this paper relies on a quest...

  2. Future Directions for Research on the Development and Prevention of Early Conduct Problems

    OpenAIRE

    Shaw, Daniel S.

    2013-01-01

    This paper describes our state of knowledge regarding the development and prevention of conduct problems in early childhood, then identifies directions that would benefit future basic and applied research. Our understanding about the course and risk factors associated with early-developing conduct problems has been significantly enhanced during the past three decades; however, many challenges remain in understanding the development of early conduct problems for girls, the contribution of pove...

  3. Face-to-face: Changing future teachers through direct service learning

    OpenAIRE

    Ron Caro; John Quinn

    2012-01-01

    This qualitative research study analyzed the changes in social dispositions of pre-service teachers. These pre-service teachers tutored homeless children in an urban homeless shelter as part of a direct service learning project. Utilizing surveys at the beginning of the study and at the end, and reflective journals of participants, data was analyzed according to changes in the following dispositions: understanding students with social needs, anticipated changes in future teaching dispositions...

  4. Quantum Dots for Cancer Research: Current Status, Remaining Issues, and Future Perspectives

    International Nuclear Information System (INIS)

    Cancer is a major threat to public health in the 21st century because it is one of the leading causes of death worldwide. The mechanisms of carcinogenesis, cancer invasion, and metastasis remain unclear. Thus, the development of a novel approach for cancer detection is urgent, and real-time monitoring is crucial in revealing its underlying biological mechanisms. With the optical and chemical advantages of quantum dots (QDs), QD-based nanotechnology is helpful in constructing a biomedical imaging platform for cancer behavior study. This review mainly focuses on the application of QD-based nanotechnology in cancer cell imaging and tumor microenvironment studies both in vivo and in vitro, as well as the remaining issues and future perspectives

  5. Status and future of the direct sales market; CD-ROM ed.

    Energy Technology Data Exchange (ETDEWEB)

    DuMaresq, P.R.

    1996-05-01

    Three topics of interest concerning the direct purchase of natural gas, were discussed. The three topics were: (1) the Ontario market, past, present and future, along with an analysis of market segmentation, (2) Ontario local distribution companies (LDC) separation, or separating the merchant role from the distribution role, and (3) the status of direct purchase in Alberta. Changes in the natural gas market since deregulation in 1985, were also reviewed. It was noted that today, only a handful of agents, brokers and marketers of natural gas are vying for the market; customers are looking to purchase gas at a price lower than the LDC buy/sell price; and there is pressure for the LDCs to separate the merchant functions from the distribution functions in most of the provinces in Canada. The direct and long term impact of these developments will be to enhance competition among distributors.

  6. A Review of Barriers to Minorities' Participation in Cancer Clinical Trials: Implications for Future Cancer Research.

    Science.gov (United States)

    Salman, Ali; Nguyen, Claire; Lee, Yi-Hui; Cooksey-James, Tawna

    2016-04-01

    To enhance nurses' awareness and competencies in practice and research by reporting the common barriers to participation of minorities in cancer clinical trials and discussing facilitators and useful strategies for recruitment. Several databases were searched for articles published in peer reviewed journals. Some of the barriers to minorities' participation in clinical trials were identified within the cultural social-context of cancer patients. The involvement of community networking was suggested as the most effective strategy for the recruitment of minorities in cancer clinical trials. Using culturally sensitive approaches to enhance ethnic minorities' participation is important for advancing cancer care and eliminating health disparities. Awareness of barriers and potential facilitators to the enrollment of ethnic minority cancer patients may contribute to enhancing nurses' competencies of recruiting ethnic minorities in nursing research, playing efficient roles in cancer clinical trials team, and providing culturally competent quality care. PMID:25822567

  7. Future possibilities in the prevention of breast cancer: Fat and fiber and breast cancer research

    OpenAIRE

    Prentice, Ross L.

    2000-01-01

    The potential for a reduction in dietary fat or for an increase in dietary fiber to reduce breast cancer risk has been debated for some years. It is argued here that available research data, even though extensive, leave open hypotheses ranging from little or no potential to major public health potential for breast cancer prevention by means of these dietary maneuvers. Some elements of a research strategy for testing these and other dietary breast cancer prevention hypotheses are described.

  8. Takaful (Islamic Insurance Industry in Malaysia and the Arab Gulf States: Challenges and Future Direction

    Directory of Open Access Journals (Sweden)

    Mohd Fauzi Abu-Hussin

    2014-10-01

    Full Text Available The Arab Gulf States in the Middle East and some other countries in South East Asia particularly Malaysia havebeen the epicenters for the development of Islamic banking and finance, as the last couple of years have not onlywitnessed tremendous development in the Industry but also much attention had been given to it by experts andprofessionals to brainstorm on its future direction, whereas less attention had been given to the discussion on theIslamic insurance; otherwise known as takaful despite its overwhelming growth. This paper, in a comparativecontext, examines the growth and development of the takaful industry in Malaysia and the Arab Gulf States byoffering an insight into the challenges, prospects and future direction of the industry between these two fertilemarkets. It also examines the contributing factors to the growth and development of the industry in both marketsthrough the use of historical reports, corporate documentations and professional analyses to arrive at aconclusion that the future of the industry in those two regions is not only germane but lucrative as well.

  9. Future directions for research on the development of relational and physical peer victimization.

    Science.gov (United States)

    Ostrov, Jamie M; Kamper, Kimberly E

    2015-01-01

    After several decades of research on peer victimization and associated constructs the field is poised to make a number of important discoveries and advances. More specifically, the study of peer victimization subtypes has rapidly increased since the seminal work of Crick and Grotpeter ( 1996 ) on relational and physical victimization. The current state of the field is briefly reviewed, and recommendations for future directions are provided to advance our literature. Critical future directions are discussed and include (a) broaden the range of adjustment outcomes and examine differential pathways associated with physical and relational peer victimization; (b) study peer victimization subtypes at multiple levels of influence including psychophysiological and gene-environment interactions; (c) study physical and relational victimization outside of friendships and links with other close relationship systems; (d) examine the role of culture on peer victimization subtypes; (e) focus on context including but not limited to socioeconomic status; (f) test the role of gender, gender identity, and gender-linked self-construals; (g) explore the impact of peer group processes; and (h) continue to develop evidence-based programs for physical and relational peer victimization. Finally, the adoption of a developmental psychopathology framework is stressed as a means by which we may advance our future study of peer victimization subtypes. PMID:25751392

  10. 25 CFR 1200.6 - How could a tribe receive future income directly rather than have the government continue to...

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false How could a tribe receive future income directly rather than have the government continue to collect it? 1200.6 Section 1200.6 Indians OFFICE OF THE SPECIAL... General Provisions § 1200.6 How could a tribe receive future income directly rather than have...

  11. Future of bisphosphonates and denosumab for men with advanced prostate cancer

    Directory of Open Access Journals (Sweden)

    Iranikhah M

    2014-05-01

    Full Text Available Maryam Iranikhah, Steve Stricker, Maisha Kelly Freeman Samford University, McWhorter School of Pharmacy, Birmingham, AL, USA Abstract: Prostate cancer is the most common cancer occurring in American men of all races. It is also the second leading cause of cancer death among men in the USA. Bone metastasis is a frequent occurrence in men with advanced prostate cancer, with skeletal-related events being a common complication and having negative consequences, leading to severe pain, increased health care costs, increased risk of death, and decreased quality of life for patients. Bone loss can also result from antiandrogen therapy, which can further contribute to skeletal-related events. Treatment with antiresorptive agents bisphosphonates, and the newly approved denosumab, a receptor activator of nuclear factor kappa-B ligand (RANK-L inhibitor, has been shown to reduce the risk of skeletal-related complications and prevent treatment-induced bone loss in patients with advanced prostate cancer. This review discusses the role of antiresorptive agents bisphosphonates and RANK-L inhibitor in the current treatment of advanced prostate cancer by examining the primary literature and also focuses on the likely role of the bisphosphonates in the treatment of advanced prostate cancer in the future. Keywords: prostate cancer, bisphosphonates, skeletal-related events, RANK-L inhibitor, malignancy

  12. Direct targeting of cancer cells: a multiparameter approach.

    Science.gov (United States)

    Heinrich, Eileen L; Welty, Lily Anne Y; Banner, Lisa R; Oppenheimer, Steven B

    2005-01-01

    Lectins have been widely used in cell surface studies and in the development of potential anticancer drugs. Many past studies that have examined lectin toxicity have only evaluated the effects on cancer cells, not their non-cancer counterparts. In addition, few past studies have evaluated the relationship between lectin-cell binding and lectin toxicity on both cell types. Here we examine these parameters in one study: lectin-cell binding and lectin toxicity with both cancer cells and their normal counterparts. We found that the human colon cancer cell line CCL-220/Colo320DM bound to agarose beads derivatized with Phaseolus vulgaris agglutinin (PHA-L) and wheat germ agglutinin (WGA), while the non-cancer human colon cell line CRL-1459/CCD-18Co did not. When these lectins were tested for their effects on cell viability in culture, both cell lines were affected by the lectins but at 6, 48 and 72 h incubation times, PHA-L was most toxic to the cancer cell line in a concentration dependent manner. At 48 h incubation, WGA was more toxic to the cancer cell line. The results suggest that it may be possible to develop lectin protocols that selectively target cancer cells for death. In any case, examination of both malignant cells and their non-malignant counterparts, analysis of their binding characteristics to immobilized lectins, and examination of the toxicity of free lectins in culture, provides a multiparameter model for obtaining more comprehensive information than from more limited approaches. PMID:16181664

  13. Future trends in cancer therapy with particle accelerators

    CERN Document Server

    Amaldi, Ugo

    2004-01-01

    Hadrontherapy is the radiotherapy technique that uses protons, neutrons or carbon ions. Protons and ions, being, heavy charged particles, allow a more conformal treatment than X-rays and thus spare better the surrounding healthy tissues. By now about 35000 patients have been treated worldwide with protons and about 1600 with carbon ions. Since few years protontherapy of deep-seated tumours is booming with two hospital centres running in USA and three under construction. Four centres are treating patients in Japan. The list of constructions going on elsewhere is long: two in China, one, in Germany, one in Korea, one in Switzerland. But the future hopes for a qualitatively different radiotherapy are centred on carbon ions: they have a larger biological effectiveness than X-rays and protons and are particularly suited to treat radio resistant tumours, as indicated by the encouraging results obtained on about 1400 patients in HIMAC (Chiba, Japan) and on about 200 patients at GSI (Darmstadt). Two carbon centres ar...

  14. The past, present, and future of direct-to-consumer prescription drug advertising.

    Science.gov (United States)

    Perri, M; Shinde, S; Banavali, R

    1999-10-01

    Since the first experiences with direct-to-consumer (DTC) prescription drug advertising in the early 1980s, pharmaceutical marketers, government regulators, researchers, health practitioners, and consumers have been both perplexed and intrigued by this practice. As experience with DTC advertising has expanded, so has knowledge and understanding of its risks and rewards. This article discusses important issues in DTC advertising, such as the effects it may have on the patient-practitioner relationship, the diffusion and adoption of new drugs, prices, and competition. It also discusses the future of DTC advertising. PMID:10566574

  15. Folic Acid Food Fortification—Its History, Effect, Concerns, and Future Directions

    Directory of Open Access Journals (Sweden)

    Robert J. Berry

    2011-03-01

    Full Text Available Periconceptional intake of folic acid is known to reduce a woman’s risk of having an infant affected by a neural tube birth defect (NTD. National programs to mandate fortification of food with folic acid have reduced the prevalence of NTDs worldwide. Uncertainty surrounding possible unintended consequences has led to concerns about higher folic acid intake and food fortification programs. This uncertainty emphasizes the need to continually monitor fortification programs for accurate measures of their effect and the ability to address concerns as they arise. This review highlights the history, effect, concerns, and future directions of folic acid food fortification programs.

  16. Inorganic chemistry in nuclear imaging and radiotherapy. Current and future directions

    International Nuclear Information System (INIS)

    Radiometals play an important role in diagnostic and therapeutic radiopharmaceuticals. This field of radiochemistry is multidisciplinary, involving radiometal production, separation of the radiometal from its target, chelate design for complexing the radiometal in a biologically stable environment, specific targeting of the radiometal to its in vivo site, and nuclear imaging and/or radiotherapy applications of the resultant radiopharmaceutical. The critical importance of inorganic chemistry in the design and application of radiometal-containing imaging and therapy agents is described from a historical perspective to future directions. (orig.)

  17. Genomics, microRNA, epigenetics, and proteomics for future diagnosis, treatment and monitoring response in upper GI cancers.

    Science.gov (United States)

    Brücher, Björn L D M; Li, Yan; Schnabel, Philipp; Daumer, Martin; Wallace, Timothy J; Kube, Rainer; Zilberstein, Bruno; Steele, Scott; Voskuil, Jan L A; Jamall, Ijaz S

    2016-12-01

    One major objective for our evolving understanding in the treatment of cancers will be to address how a combination of diagnosis and treatment strategies can be used to integrate patient and tumor variables with an outcome-oriented approach. Such an approach, in a multimodal therapy setting, could identify those patients (1) who should undergo a defined treatment (personalized therapy) (2) in whom modifications of the multimodal therapy due to observed responses might lead to an improvement of the response and/or prognosis (individualized therapy), (3) who might not benefit from a particular toxic treatment regimen, and (4) who could be identified early on and thereby be spared the morbidity associated with such treatments. These strategies could lead in the direction of precision medicine and there is hope of integrating translational molecular data to improve cancer classifications. In order to achieve these goals, it is necessary to understand the key issues in different aspects of biotechnology to anticipate future directions of personalized and individualized diagnosis and multimodal treatment strategies. Providing an overview of translational data in cancers proved to be a challenge as different methods and techniques used to obtain molecular data are used and studies are based on different tumor entities with different tumor biology and prognoses as well as vastly different therapeutic approaches. The pros and cons of the available methodologies and the potential response data in genomics, microRNA, epigenetics and proteomics with a focus on upper gastrointestinal cancers are considered herein to allow for an understanding of where these technologies stand with respect to cancer diagnosis, prognosis and treatment. PMID:27053248

  18. Chemoprevention of cancer: current evidence and future prospects [version 1; referees: 3 approved

    Directory of Open Access Journals (Sweden)

    Vassiliki Benetou

    2015-09-01

    Full Text Available Cancer chemoprevention refers to the use of agents for the inhibition, delay, or reversal of carcinogenesis before invasion. In the present review, agents examined in the context of cancer chemoprevention are classified in four major categories—hormonal, medications, diet-related agents, and vaccines—and the main representatives of each category are presented. Although there are serious constraints in the documentation of effectiveness of chemopreventive agents, mainly stemming from the long latency of the condition they are addressing and the frequent lack of intermediate biomarkers, there is little disagreement about the role of aspirin, whereas a diet rich in vegetables and fruits appears to convey more protection than individual micronutrients. Among categories of cancer chemopreventive agents, hormonal ones and vaccines might hold more promise for the future. Also, the identification of individuals who would benefit most from chemopreventive interventions on the basis of their genetic profiles could open new prospects for cancer chemoprevention.

  19. Face-to-face: Changing future teachers through direct service learning

    Directory of Open Access Journals (Sweden)

    Ron Caro

    2012-04-01

    Full Text Available This qualitative research study analyzed the changes in social dispositions of pre-service teachers. These pre-service teachers tutored homeless children in an urban homeless shelter as part of a direct service learning project. Utilizing surveys at the beginning of the study and at the end, and reflective journals of participants, data was analyzed according to changes in the following dispositions: understanding students with social needs, anticipated changes in future teaching dispositions, and anticipated changes in pedagogical approaches. Findings support the need for imbedding direct service learning into teacher preparation programs. KEYWORDSteacher preparation, social dispositions, service-learning, community-based research, civic engagement, community engagement, community partnerships

  20. A Comment on "The Far Future of Exoplanet Direct Characterization" - the Case for Interstellar Space Probes

    CERN Document Server

    Crawford, Ian A

    2010-01-01

    Following on from ideas presented in a recent paper by Schneider et al. (2010) on "The Far Future of Exoplanet Direct Characterization", I argue that they have exaggerated the technical obstacles to performing such 'direct characterization' by means of fast (order 0.1c) interstellar space probes. A brief summary of rapid interstellar spaceflight concepts that may be found in the literature is presented. I argue that the presence of interstellar dust grains, while certainly something which will need to be allowed for in interstellar vehicle design, is unlikely to be the kind of 'show stopper' suggested by Schneider et al. Astrobiology as a discipline would be a major beneficiary of developing an interstellar spaceflight capability, albeit in the longer term, and I argue that astrobiologists should keep an open mind to the possibilities.

  1. A study on the establishment of nuclear cooperative relations and future direction between Korea and Egypt

    Energy Technology Data Exchange (ETDEWEB)

    Yang, M. H.; Kim, H. S.; Kim, H. J.; Yun, S. W.; Ko, H. S

    2000-10-01

    This study was carried out in order to review the cooperation with Egypt and establish and activate the cooperative relations with Egypt. Recent policy trends in the use and development of nuclear energy in Egypt, were investigated including introduction of nuclear power plant, and cooperative relations between two nations were also established under the implementation of the project. It was agreed through exchanges of visits of nuclear cooperation delegation; 1) exchange of visits of cooperation delegation, 2) invitation of egypt experts to policy seminar 3) cooperation between relevant nuclear related organizations of two countries, 4) future cooperation fields and directions between two countries. It is recommended that cooperation with Egypt be implemented systematically through the long term based on national basic cooperation directions and integrated strategies.

  2. A study on the establishment of nuclear cooperative relations and future direction between Korea and Egypt

    International Nuclear Information System (INIS)

    This study was carried out in order to review the cooperation with Egypt and establish and activate the cooperative relations with Egypt. Recent policy trends in the use and development of nuclear energy in Egypt, were investigated including introduction of nuclear power plant, and cooperative relations between two nations were also established under the implementation of the project. It was agreed through exchanges of visits of nuclear cooperation delegation; 1) exchange of visits of cooperation delegation, 2) invitation of egypt experts to policy seminar 3) cooperation between relevant nuclear related organizations of two countries, 4) future cooperation fields and directions between two countries. It is recommended that cooperation with Egypt be implemented systematically through the long term based on national basic cooperation directions and integrated strategies

  3. Future of bisphosphonates and denosumab for men with advanced prostate cancer

    International Nuclear Information System (INIS)

    Prostate cancer is the most common cancer occurring in American men of all races. It is also the second leading cause of cancer death among men in the USA. Bone metastasis is a frequent occurrence in men with advanced prostate cancer, with skeletal-related events being a common complication and having negative consequences, leading to severe pain, increased health care costs, increased risk of death, and decreased quality of life for patients. Bone loss can also result from antiandrogen therapy, which can further contribute to skeletal-related events. Treatment with antiresorptive agents bisphosphonates, and the newly approved denosumab, a receptor activator of nuclear factor kappa-B ligand (RANK-L) inhibitor, has been shown to reduce the risk of skeletal-related complications and prevent treatment-induced bone loss in patients with advanced prostate cancer. This review discusses the role of antiresorptive agents bisphosphonates and RANK-L inhibitor in the current treatment of advanced prostate cancer by examining the primary literature and also focuses on the likely role of the bisphosphonates in the treatment of advanced prostate cancer in the future

  4. Status and future directions of InP solar cell research

    Science.gov (United States)

    Jain, R. K.; Weinberg, I.

    1992-01-01

    An overview of the current status and future directions of InP space solar cell research is provided. The scope of the paper does not allow us to discuss other recent major developments in InP cell modeling, contacts, and characterization, or developments in other solar cell materials. Solar cells made from InP and related materials are not expected to be used in the near future for terrestrial applications, but significant Air-Mass1.5 (AM1.5) cell efficiencies are given for comparison. This paper deals with the developments in single-junction cells, multijunction tandem cells, and space flight testing, including radiation effects. Concentrator InP solar cells are also discussed, since they offer the possibility of simultaneous thermal and current injection annealing. These cells also promise cost effectiveness and the concentrator elements may provide cells with extra protection from space radiation. The concluding section addresses the steps to be taken in the future and provides guidelines for further research and development.

  5. A new prospect in cancer therapy: targeting cancer stem cells to eradicate cancer

    OpenAIRE

    Yi-Min Zhu; Li-Hua Yuan; Ke-Feng Pu; Bing Dong; An-Xin Wang; Li-Sha Chen

    2012-01-01

    According to the cancer stem cell theory, cancers can be initiated by cancer stem cells. This makes cancer stem cells prime targets for therapeutic intervention. Eradicating cancer stem cells by efficient targeting agents may have the potential to cure cancer. In this review, we summarize recent breakthroughs that have improved our understanding of cancer stem cells, and we discuss the therapeutic strategy of targeting cancer stem cells, a promising future direction for cancer stem cell resea...

  6. A new prospect in cancer therapy: targeting cancer stem cells to eradicate cancer

    Institute of Scientific and Technical Information of China (English)

    Li-Sha Chen; An-Xin Wang; Bing Dong; Ke-Feng Pu; Li-Hua Yuan; Yi-Min Zhu

    2012-01-01

    According to the cancer stem cell theory,cancers can be initiated by cancer stem cells.This makes cancer stem cells prime targets for therapeutic intervention.Eradicating cancer stem cells by efficient targeting agents may have the potential to cure cancer.In this review,we summarize recent breakthroughs that have improved our understanding of cancer stem cells,and we discuss the therapeutic strategy of targeting cancer stem cells,a promising future direction for cancer stem cell research.

  7. Future epidemiologic studies of lung cancer in A-bomb survivors

    International Nuclear Information System (INIS)

    That radiation can lead to an increased risk of lung cancer in the survivors of the atomic bomb explosions in 1945 in Hiroshima and Nagasaki was first suggested in the late 1950s by the tumour registry data in Hiroshima (Harada and Ishida, 1960). This suggestion was subsequently confirmed by several studies of mortality and incidence data, including the latest published incidence report covering the period 1950-1980 (Yamamoto et al, 1986). The objectives of this paper are to review some of the epidemiologic features of lung cancer in the A-bomb survivors and to consider several areas for future research. (author)

  8. BRAF-Directed Therapy in Metastatic Colorectal Cancer.

    Science.gov (United States)

    Korphaisarn, Krittiya; Kopetz, Scott

    2016-01-01

    Activating BRAF (V-raf murine sarcoma viral oncogene homolog B) mutations occur in approximately 5% to 10% of patients with metastatic colorectal cancer, mostly V600E mutation, and it is associated with distinct clinical and pathological features. To date, there are no approved treatments to target this mutation. BRAF inhibitor monotherapy has limited efficacy, in contrast to metastatic melanoma. Combination strategies that block not only BRAF mutated kinase but other alternative pathways are ongoing and have demonstrated improved activity. This review aims to provide data about new strategies to target to BRAF gene mutation in metastatic colorectal cancer. PMID:27341594

  9. Risks of online advertisement of direct-to-consumer thermography for breast cancer screening.

    Science.gov (United States)

    Lovett, Kimberly M; Liang, Bryan A

    2011-12-01

    Direct-to-consumer online advertising for thermography as a sole agent with which to diagnose breast cancer is misleading and exploits women who are seeking preventive health care for breast cancer. Regulatory action should be taken against companies who continue to mislead the public to ensure patient safety and evidence-based public health information. PMID:22216479

  10. Therapeutics formulated to target cancer stem cells: Is it in our future?

    Directory of Open Access Journals (Sweden)

    Mousa Shaker A

    2011-03-01

    Full Text Available Abstract With the political, social and financial drives for cancer research, many advances have been made in the treatment of many different cancer types. For example, given the increase in awareness, early detection, and treatment of breast and prostate cancers, we have seen substantial increases in survival rates. Unfortunately there are some realms of cancer that have not seen these substantial advancements, largely due to their rapid progression and the inability to specifically target therapy. The hypothesis that cancers arise from a small population of cells, called cancer stem cells (CSCs, is gaining more popularity amongst researchers. There are, however, still many skeptics who bring into question the validity of this theory. Many skeptics believe that there is not a specific subset of cells that originate with these characteristics, but that they develop certain features over time making them more resistant to conventional therapy. It is theorized that many of the relapses occurring after remission are due to our inability to destroy the self-renewing CSCs. This central idea, that CSCs are biologically different from all other cancer cells, has directed research towards the development of therapy to target CSCs directly. The major dilemma in targeting therapy in myeloproliferative disorders, malignancies of the central nervous system or malignancies in general, is the inability to target CSCs as opposed to normal stem cells. However, with the recent advances in the identifications of unique molecular signatures for CSCs along with ongoing clinical trials targeting CSCs, it is possible to use targeted nanotechnology-based strategies in the management of different types of cancers.

  11. Neural Plasticity following Abacus Training in Humans: A Review and Future Directions

    Directory of Open Access Journals (Sweden)

    Yongxin Li

    2016-01-01

    Full Text Available The human brain has an enormous capacity to adapt to a broad variety of environmental demands. Previous studies in the field of abacus training have shown that this training can induce specific changes in the brain. However, the neural mechanism underlying these changes remains elusive. Here, we reviewed the behavioral and imaging findings of comparisons between abacus experts and average control subjects and focused on changes in activation patterns and changes in brain structure. Finally, we noted the limitations and the future directions of this field. We concluded that although current studies have provided us with information about the mechanisms of abacus training, more research on abacus training is needed to understand its neural impact.

  12. Issues and future direction of thermal-hydraulics research and development in nuclear power reactors

    International Nuclear Information System (INIS)

    The paper archives the proceedings of an expert panel discussion on the issues and future direction of thermal-hydraulic research and development in nuclear power reactors held at the NURETH-14 conference in Toronto, Canada, in September 2011. Thermal-hydraulic issues related to both operating and advanced reactors are presented. Advances in thermal-hydraulics have significantly improved the performance of operating reactors. Further thermal-hydraulics research and development is continuing in both experimental and computational areas for operating reactors, reactors under construction or ready for near-term deployment, and advanced Generation-IV reactors. As the computing power increases, the fine-scale multi-physics computational models, coupled with the systems analysis code, are expected to provide answers to many challenging problems in both operating and advanced reactor designs

  13. Femtosecond laser-assisted cataract surgery-current status and future directions.

    Science.gov (United States)

    Grewal, Dilraj S; Schultz, Tim; Basti, Surendra; Dick, H Burkhard

    2016-01-01

    Femtosecond laser-assisted cataract surgery (FLACS) putatively offers several advantages over conventional phacoemulsification. We review the current status of FLACS and discuss the evolution of femtosecond lasers in cataract surgery and the currently available femtosecond laser platforms. We summarize the outcomes of FLACS for corneal wound creation, limbal relaxing incisions, capsulotomy, and lens fragmentation. We discuss surgical planning, preoperative considerations, clinical experiences including the learning curve and postoperative outcomes with FLACS, and also the cost effectiveness of FLACS. We present the intraoperative complications and management of challenging cases where FLACS offers an advantage and also speculate on the future directions with FLACS. Further advancements in laser technology to refine its efficacy, advancement in intraocular lens design to harness the potential benefits of FLACS, and a reduction in cost are needed to establish a clear superiority over conventional phacoemulsification. PMID:26409902

  14. Cocaine and mitochondria-related signaling in the brain: A mechanistic view and future directions.

    Science.gov (United States)

    de Oliveira, Marcos Roberto; Jardim, Fernanda Rafaela

    2016-01-01

    Cocaine is extensively used as a psychostimulant among subjects at different ages worldwide. Cocaine causes neuronal dysfunction and, consequently, negatively affects human behavior and decreases life quality severely. Cocaine acts through diverse mechanisms, including mitochondrial impairment and activation of cell signaling pathways associated to stress response. There is some controversy regarding the effect of cocaine in inducing cell death through apoptosis in different experimental models. The aim of the present work is to discuss data associated to the mitochondrial consequences of cocaine exposure of mammalian cells in several experimental models from in vitro to in vivo, including postmortem human tissue analyses. Furthermore, future directions are proposed in order to serve as a suggestive guide in relation to the next steps towards the complete elucidation of the mechanisms of toxicity elicited by cocaine upon mitochondria of neuronal cells. PMID:26707813

  15. Functional connectivity measures as schizophrenia intermediate phenotypes: advances, limitations, and future directions.

    Science.gov (United States)

    Cao, Hengyi; Dixson, Luanna; Meyer-Lindenberg, Andreas; Tost, Heike

    2016-02-01

    The search for quantifiable biological mediators of genetic risk or 'intermediate phenotypes' is an essential strategy in psychiatric neuroscience and a useful tool for exploring the complex relationships between genes, neural circuits and behaviors. In recent years, the examination of connectivity-based intermediate phenotypes has gained increasing popularity in the study of schizophrenia, a brain disorder that manifests in early adulthood and disturbs a wide range of neural network functions. To date, several potential connectivity phenotypes have been identified that link neuroimaging measures of neural circuit interaction to genetic susceptibility for schizophrenia. This paper briefly reviews recent advances, current limitations and future directions in the search for functional connectivity intermediate phenotypes for schizophrenia across different cognitive domains. PMID:26276700

  16. Recent Accomplishments and Future Directions in US Fusion Safety & Environmental Program

    Energy Technology Data Exchange (ETDEWEB)

    David A. Petti; Brad J. Merrill; Phillip Sharpe; L. C. Cadwallader; L. El-Guebaly; S. Reyes

    2006-07-01

    The US fusion program has long recognized that the safety and environmental (S&E) potential of fusion can be attained by prudent materials selection, judicious design choices, and integration of safety requirements into the design of the facility. To achieve this goal, S&E research is focused on understanding the behavior of the largest sources of radioactive and hazardous materials in a fusion facility, understanding how energy sources in a fusion facility could mobilize those materials, developing integrated state of the art S&E computer codes and risk tools for safety assessment, and evaluating S&E issues associated with current fusion designs. In this paper, recent accomplishments are reviewed and future directions outlined.

  17. On recent advances and future research directions for computational fluid dynamics

    Science.gov (United States)

    Baker, A. J.; Soliman, M. O.; Manhardt, P. D.

    1986-01-01

    This paper highlights some recent accomplishments regarding CFD numerical algorithm constructions for generation of discrete approximate solutions to classes of Reynolds-averaged Navier-Stokes equations. Following an overview of turbulent closure modeling, and development of appropriate conservation law systems, a Taylor weak-statement semi-discrete approximate solution algorithm is developed. Various forms for completion to the final linear algebra statement are cited, as are a range of candidate numerical linear algebra solution procedures. This development sequence emphasizes the key building blocks of a CFD RNS algorithm, including solution trial and test spaces, integration procedure and added numerical stability mechanisms. A range of numerical results are discussed focusing on key topics guiding future research directions.

  18. The Effects of Ellagic Acid upon Brain Cells: A Mechanistic View and Future Directions.

    Science.gov (United States)

    de Oliveira, Marcos Roberto

    2016-06-01

    Ellagic acid (EA, 2,3,7,8-tetrahydroxy-chromeno; C14H6O8) is a polyphenol derived from fruits (pomegranates, berries) and nuts. EA exhibits antioxidant capacity and induces anti-inflammatory actions in several mammalian tissues. EA has been characterized as a possible neuroprotective agent, but the number of reports is still limited to conclude whether and how EA exerts neuroprotection in humans. In this regard, performing additional studies considering the potential beneficial and/or toxicological roles for EA on brain cells would be an important step towards fully understanding of when and how EA may be securely utilized by humans as a neuroprotective agent. The aim of the present work is to discuss data related to the neuronal and glial effects of EA and the mechanisms underlying such events. Moreover, future directions are suggested as a potential guide to be utilized by researchers interested in investigating the neuronal and glial actions of EA hereafter. PMID:26846140

  19. Future Directions in the Study of Health Behavior among Older Adults.

    Science.gov (United States)

    Ziegelmann, Jochen P; Knoll, Nina

    2015-01-01

    The study of health behaviors and fostering health-behavior change is an important endeavor even in old age. The aim of this viewpoint article is threefold. First, we use a broad perspective for the definition of health behaviors to capture all relevant aspects of health-behavior change in older adults. Particularly, we suggest a distinction between proximal (e.g., physical activity) and distal health behaviors (e.g., social participation). Second, we recommend a stronger orientation towards processes in order to study health behaviors and the design of health-behavior change interventions. Third, we review the advantages of a developmental perspective in health psychology. Future directions in the study of health behavior among older adults are discussed. PMID:25660128

  20. Developing technology-enhanced active learning for medical education: challenges, solutions, and future directions.

    Science.gov (United States)

    McCoy, Lise; Pettit, Robin K; Lewis, Joy H; Bennett, Thomas; Carrasco, Noel; Brysacz, Stanley; Makin, Inder Raj S; Hutman, Ryan; Schwartz, Frederic N

    2015-04-01

    Growing up in an era of video games and Web-based applications has primed current medical students to expect rapid, interactive feedback. To address this need, the A.T. Still University-School of Osteopathic Medicine in Arizona (Mesa) has developed and integrated a variety of approaches using technology-enhanced active learning for medical education (TEAL-MEd) into its curriculum. Over the course of 3 years (2010-2013), the authors facilitated more than 80 implementations of games and virtual patient simulations into the education of 550 osteopathic medical students. The authors report on 4 key aspects of the TEAL-MEd initiative, including purpose, portfolio of tools, progress to date regarding challenges and solutions, and future directions. Lessons learned may be of benefit to medical educators at academic and clinical training sites who wish to implement TEAL-MEd activities. PMID:25830576

  1. The use of animals in agriculture and science: historical context, international considerations and future direction.

    Science.gov (United States)

    Bayvel, A C D

    2005-08-01

    As the final contribution to this important World Organisation for Animal Health (OIE) publication, this paper provides some relevant background and contextual information and identifies a number of strategically significant international activities that will influence the future direction of animal welfare internationally. The assumption of an animal welfare leadership role by the OIE, with the full support of its 167 Member Countries, is an international development of major strategic significance. As an inter-governmental organisation, the OIE is committed to a science-based approach to the development of animal welfare guidelines and standards and to working closely with all stakeholders. This paper covers the use of animals in both agriculture and science, reflecting the OIE's dual remit for both animal health and animal welfare and the importance of animal-based research and testing to the OIE's animal health and reference laboratory roles. PMID:16358528

  2. Medical applications of wireless sensor networks - current status and future directions.

    Science.gov (United States)

    Grgić, Krešimir; Zagar, Drago; Križanović, Višnja

    2012-02-01

    In recent years a significant development of BASN (Body Area Sensor Networks) as a special subclass of WSN (Wireless Sensor Networks) has emerged. These networks have enabled a rapid development of telemedicine systems, which provide remote monitoring of patients and their vital parameters. The article gives a short overview of the BASN networks. Furthermore, a general system architecture of telemedicine systems is proposed. The proposed architecture includes a local sensory area, a communication network area and an institutional network area. It also provides the security and privacy of patient-related data. Furthermore, the article surveys some existing telemedicine systems. Finally, some current problems are explained and the directions for the future development of the telemedicine systems are given. PMID:22634904

  3. A review of Green's function methods in computational fluid mechanics: Background, recent developments and future directions

    International Nuclear Information System (INIS)

    The research and development over the past eight years on local Green's function methods for the high-accuracy, high-efficiency numerical solution of nuclear engineering problems is reviewed. The basic concepts and key ideas are presented by starting with an expository review of the original fully two-dimensional local Green's function methods developed for neutron diffusion and heat conduction, and continuing through the progressively more complicated and more efficient nodal Green's function methods for neutron diffusion, heat conduction and neutron transport to establish the background for the recent development of Green's function methods in computational fluid mechanics. Some of the impressive numerical results obtained via these classes of methods for nuclear engineering problems are briefly summarized. Finally, speculations are proffered on future directions in which the development of these types of methods in fluid mechanics and other areas might lead. (orig.)

  4. Quasi-spherical direct drive fusion simulations for the Z machine and future accelerators.

    Energy Technology Data Exchange (ETDEWEB)

    VanDevender, J. Pace; McDaniel, Dillon Heirman; Roderick, Norman Frederick; Nash, Thomas J.

    2007-11-01

    We explored the potential of Quasi-Spherical Direct Drive (QSDD) to reduce the cost and risk of a future fusion driver for Inertial Confinement Fusion (ICF) and to produce megajoule thermonuclear yield on the renovated Z Machine with a pulse shortening Magnetically Insulated Current Amplifier (MICA). Analytic relationships for constant implosion velocity and constant pusher stability have been derived and show that the required current scales as the implosion time. Therefore, a MICA is necessary to drive QSDD capsules with hot-spot ignition on Z. We have optimized the LASNEX parameters for QSDD with realistic walls and mitigated many of the risks. Although the mix-degraded 1D yield is computed to be {approx}30 MJ on Z, unmitigated wall expansion under the > 100 gigabar pressure just before burn prevents ignition in the 2D simulations. A squeezer system of adjacent implosions may mitigate the wall expansion and permit the plasma to burn.

  5. T cell engineering as therapy for cancer and HIV: our synthetic future.

    Science.gov (United States)

    June, Carl H; Levine, Bruce L

    2015-10-19

    It is now well established that the immune system can control and eliminate cancer cells. Adoptive T cell transfer has the potential to overcome the significant limitations associated with vaccine-based strategies in patients who are often immune compromised. Application of the emerging discipline of synthetic biology to cancer, which combines elements of genetic engineering and molecular biology to create new biological structures with enhanced functionalities, is the subject of this overview. Various chimeric antigen receptor designs, manufacturing processes and study populations, among other variables, have been tested and reported in recent clinical trials. Many questions remain in the field of engineered T cells, but the encouraging response rates pave a wide road for future investigation into fields as diverse as cancer and chronic infections. PMID:26416683

  6. Protection and Repair After Spinal Cord Injury: Accomplishments and Future Directions.

    Science.gov (United States)

    Dietrich, W Dalton

    2015-01-01

    It was an honor for me to present the 2014 G. Heiner Sell Memorial Lecture at the annual American Spinal Injury Association (ASIA) meeting in San Antonio. For this purpose, I provided a comprehensive review of the scope of research targeting discovery and translational and clinical investigations into spinal cord injury (SCI) research. Indeed, these are exciting times in the area of spinal cord research and clinical initiatives. Many laboratories and clinical programs throughout the world are publishing data related to the pathophysiology of SCI and new strategies for protecting and promoting recovery in both animal models and humans. For this lecture, several topics were discussed including neuroprotective and reparative strategies, neurorehabilitation, quality of life issues, and future directions. In the area of neuroprotection, pathophysiological events that may be targeted with therapeutic strategies, including pharmacological and targeted temperature management were reviewed. For reparative approaches, the importance of both intrinsic and extrinsic mechanisms of axonal regeneration was highlighted. Various cell therapies currently being tested in preclinical and clinical arenas were reviewed as well as ongoing US Food and Drug Administration approved trials for SCI patients. Neurorehabilitation is an evolving research field with locomotive training strategies, electrical stimulation, and brain-machine interface programs targeting various types of SCI. The importance of testing combination approaches including neuroprotective, reparative, and rehabilitative strategies to maximize recovery mechanisms was therefore emphasized. Finally, quality of life issues that affect thousands of individuals living with paralysis were also presented. Future directions and specific obstacles that require attention as we continue to move the SCI field forward were discussed. PMID:26364287

  7. Research on aging in Latin America: Present status and future directions.

    Science.gov (United States)

    Sennott-Miller, L

    1994-01-01

    This essay examines the status of aging research in Latin America. It presents a profile of the aging population in the Region in relation to societal institutions, illustrating how the aged are only marginally served by them. Most of the available information is derived from secondary sources and comes from international and national agencies, and private organizations. Data-based research includes small-sample studies of specific issues and country-specific investigations by both U.S. and Latin American researchers. Paradigms used emphasize successful/productive aging, functional ability, and, to a lesser extent, work focused on health conditions or specific situations such as poverty. The best sources of contextual information are often unpublished or not published in the mainstream literature. Future directions recommended include organizing existing data to inform policy, identifying, with Latin American researchers, the most critical research questions, formalizing collaborative relationships, and holding a working conference of those involved in Latin American aging research to develop a future agenda. PMID:24390003

  8. Risk assessment of the impact of future volcanic eruptions on direct normal irradiance

    Science.gov (United States)

    Pagh Nielsen, Kristian; Blanc, Philippe; Vignola, Frank

    2016-04-01

    Stratospheric sulfate aerosols from Plinian volcanic eruptions affect the solar surface irradiance forcing by scattering the solar radiation as it passes through the Earth atmosphere. Since these aerosols have high single scattering albedos they mostly affect direct normal irradiances (DNI). The effect on global horizontal irradiance (GHI) is less because some of the scattered irradiance reaches the surface as diffuse horizontal irradiance (DHI) and adds to the GHI. DNI is the essential input to concentrating solar thermal electric power (CSP/STE) and concentrated photovoltaic (CPV) plants. Therefore, an assessment of the future potential variability in the DNI resource caused by Plinian volcanic eruptions is desirable. Based on investigations of the El Chichón and Pinatubo eruptions, the microphysical, and thereby optical, properties of the stratospheric sulfate aerosols are well known. Given these, radiative transfer computations of the DNI resource can be made. The DNI resource includes forward scattered irradiance within the acceptance angle of a given CSP/STE or CPV plant. The rarity of Plinian eruptions poses a challenge for assessing the statistical risk of future eruptions and its potential of risk in the electricity production. Here we present and discuss methods to account for these potential volcanic eruptions for technical and economical studies including scenarios with very high probability of exceedance (e.g. P99 scenarios) for risk assessment of DNI-based solar power projects.

  9. Consciousness in humans and non-human animals: recent advances and future directions

    Science.gov (United States)

    Boly, Melanie; Seth, Anil K.; Wilke, Melanie; Ingmundson, Paul; Baars, Bernard; Laureys, Steven; Edelman, David B.; Tsuchiya, Naotsugu

    2013-01-01

    This joint article reflects the authors' personal views regarding noteworthy advances in the neuroscience of consciousness in the last 10 years, and suggests what we feel may be promising future directions. It is based on a small conference at the Samoset Resort in Rockport, Maine, USA, in July of 2012, organized by the Mind Science Foundation of San Antonio, Texas. Here, we summarize recent advances in our understanding of subjectivity in humans and other animals, including empirical, applied, technical, and conceptual insights. These include the evidence for the importance of fronto-parietal connectivity and of “top-down” processes, both of which enable information to travel across distant cortical areas effectively, as well as numerous dissociations between consciousness and cognitive functions, such as attention, in humans. In addition, we describe the development of mental imagery paradigms, which made it possible to identify covert awareness in non-responsive subjects. Non-human animal consciousness research has also witnessed substantial advances on the specific role of cortical areas and higher order thalamus for consciousness, thanks to important technological enhancements. In addition, much progress has been made in the understanding of non-vertebrate cognition relevant to possible conscious states. Finally, major advances have been made in theories of consciousness, and also in their comparison with the available evidence. Along with reviewing these findings, each author suggests future avenues for research in their field of investigation. PMID:24198791

  10. Future Direction of the Instrumentation and Control System for Security of Nuclear Facilities

    International Nuclear Information System (INIS)

    Instrumentation and control systems are pervasively used as a vital component in modern industries. Nuclear facilities, such as nuclear power plants (NPPs), originally use I and C systems for plant status monitoring, processes control, and many other purposes. After some events that raised security concerns, application areas of I and C systems have been expanded to physical protection of nuclear material and facilities. As nuclear policies over the world are strengthening security issues, the future direction of roles and technical requirements of security related I and C systems is described: An introduction of I and C systems, especially digitalized I and C systems, to security of nuclear facilities requires many careful considerations, such as system integration, verification and validation (V/V), etc. Institute of Nuclear Nonproliferation and Control (KINAC) established 'International Nuclear Nonproliferation and Security Academy, INSA' in 2014. One of the main achievements of INSA is test-bed implementation for technical criteria development of nuclear facilities' physical protection systems (PPSs) as well as for education and training of those systems. The test bed was modified and improved more suitably from the previous version to modern PPSs including state-of-the-art I and C technologies. KINAC is confident in the new test bed to become a fundamental technical basis of security related I and C systems in near future

  11. Recent advances in optical diagnosis of oral cancers: Review and future perspectives.

    Science.gov (United States)

    Singh, S P; Ibrahim, Ola; Byrne, Hugh J; Mikkonen, Jopi W; Koistinen, Arto P; Kullaa, Arja M; Lyng, Fiona M

    2016-04-01

    Optical diagnosis techniques offer several advantages over traditional approaches, including objectivity, speed, and cost, and these label-free, noninvasive methods have the potential to change the future workflow of cancer management. The oral cavity is particularly accessible and, thus, such methods may serve as alternate/adjunct tools to traditional methods. Recently, in vivo human clinical studies have been initiated with a view to clinical translation of such technologies. A comprehensive review of optical methods in oral cancer diagnosis is presented. After an introduction to the epidemiology and etiological factors associated with oral cancers currently used, diagnostic methods and their limitations are presented. A thorough review of fluorescence, infrared absorption, and Raman spectroscopic methods in oral cancer diagnosis is presented. The applicability of minimally invasive methods based on serum/saliva is also discussed. The review concludes with a discussion on future demands and scope of developments from a clinical point of view. © 2015 Wiley Periodicals, Inc. Head Neck 38: E2403-E2411, 2016. PMID:26613806

  12. The therapeutic potential, challenges and future clinical directions of stem cells from the Wharton's jelly of the human umbilical cord.

    Science.gov (United States)

    Bongso, Ariff; Fong, Chui-Yee

    2013-04-01

    Mesenchymal stem cells (MSCs) from bone marrow, adult organs and fetuses face the disadvantages of invasive isolation, limited cell numbers and ethical constraints while embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) face the clinical hurdles of potential immunorejection and tumorigenesis respectively. These challenges have prompted interest in the study and evaluation of stem cells from birth-associated tissues. The umbilical cord (UC) has been the most popular. Hematopoietic stem cells (HSCs) harvested from cord blood have been successfully used for the treatment of hematopoietic diseases. Stem cell populations have also been reported in other compartments of the UC viz., amnion, subamnion, perivascular region, Wharton's jelly, umbilical blood vessel adventia and endothelium. Differences in stemness characteristics between compartments have been reported and hence derivation protocols using whole UC pieces containing all compartments yield mixed stem cell populations with varied characteristics. Stem cells derived directly from the uncontaminated Wharton's jelly (hWJSCs) appear to offer the best clinical utility because of their unique beneficial properties. They are non-controversial, can be harvested painlessly in abundance, proliferative, possess stemness properties that last several passages in vitro, multipotent, hypoimmunogenic and do not induce tumorigenesis even though they have some ESC markers. hWJSCs and its extracts (conditioned medium and lysate) also possess anti-cancer properties and support HSC expansion ex vivo. They are thus attractive autologous or allogeneic agents for the treatment of malignant and non-malignant hematopoietic and non-hematopoietic diseases. This review critically evaluates their therapeutic value, the challenges and future directions for their clinical application. PMID:23233233

  13. Factors influencing receptivity to future screening options for pancreatic cancer in those with and without pancreatic cancer family history

    Directory of Open Access Journals (Sweden)

    Breitkopf Carmen

    2012-06-01

    Full Text Available Abstract Background Pancreatic cancer (PC is considered the most lethal cancer and approximately 10% of PC is hereditary. The purpose of the study was to assess attitudes of at-risk family members with two or more relatives affected with pancreas cancer (PC toward PC risk and future screening options. Methods At-risk family members and primary care controls were surveyed regarding perceived PC risk, PC worry/concern, attitude toward cancer screening, screening test accuracy, and intentions regarding PC screening via blood testing or more invasive endoscopic ultrasound (EUS. Results PC family members reported greater perceived risk of PC than controls (54% vs. 6%, respectively, p 89% receptivity to the potential PC screening options presented, though receptivity was greater among PC family members as compared to controls (p  Conclusions Receptivity to screening options for PC appears high. Clinicians should address behavioral and genetic risk factors for PC and foster appropriate concern regarding PC risk among at-risk individuals.

  14. Breast cancer brain metastases: new directions in systemic therapy

    OpenAIRE

    Lin, Nancy U

    2013-01-01

    The management of patients with brain metastases from breast cancer continues to be a major clinical challenge. The standard initial therapeutic approach depends upon the size, location, and number of metastatic lesions and includes consideration of surgical resection, whole-brain radiotherapy, and stereotactic radiosurgery. As systemic therapies for control of extracranial disease improve, patients are surviving long enough to experience subsequent progression events in the brain. Therefore,...

  15. The use of virtual reality in memory rehabilitation: current findings and future directions.

    Science.gov (United States)

    Brooks, B M; Rose, F D

    2003-01-01

    There is considerable potential for using virtual reality (VR) in memory rehabilitation which is only just beginning to be realized. PC-based virtual environments are probably better suited for this purpose than more immersive virtual environments because they are relatively inexpensive and portable, and less frightening to patients. Those exploratory studies that have so far been performed indicate that VR involvement would be usefully directed towards improving assessments of memory impairments and in memory remediation using reorganization techniques. In memory assessment, the use of VR could provide more comprehensive, ecologically-valid, and controlled evaluations of prospective, incidental, and spatial memory in a rehabilitation setting than is possible using standardized assessment tests. The additional knowledge gained from these assessments could more effectively direct rehabilitation towards specific impairments of individual patients. In memory remediation, VR training has been found to promote procedural learning in people with memory impairments, and this learning has been found to transfer to improved real-world performance. Future research should investigate ways in which the procedural knowledge gained during VR interaction can be adapted to offset the many disabilities which result from different forms of memory impairment. PMID:12867677

  16. Memory for serial order across domains: An overview of the literature and directions for future research.

    Science.gov (United States)

    Hurlstone, Mark J; Hitch, Graham J; Baddeley, Alan D

    2014-03-01

    From vocabulary learning to imitating sequences of motor actions, the ability to plan, represent, and recall a novel sequence of items in the correct order is fundamental for many verbal and nonverbal higher level cognitive activities. Here we review phenomena of serial order documented across the verbal, visual, and spatial short-term memory domains and interpret them with reference to the principles of serial order and ancillary assumptions instantiated in contemporary computational theories of memory for serial order. We propose that functional similarities across domains buttress the notion that verbal, visual, and spatial sequences are planned and controlled by a competitive queuing (CQ) mechanism in which items are simultaneously active in parallel and the strongest item is chosen for output. Within the verbal short-term memory CQ system, evidence suggests that serial order is represented via a primacy gradient, position marking, response suppression, and cumulative matching. Evidence further indicates that output interference operates during recall and that item similarity effects manifest during both serial order encoding and retrieval. By contrast, the principles underlying the representation of serial order in the visual and spatial CQ systems are unclear, largely because the relevant studies have yet to be performed. In the spatial domain, there is some evidence for a primacy gradient and position marking, whereas in the visual domain there is no direct evidence for either of the principles of serial order. We conclude by proposing some directions for future research designed to bridge this and other theoretical gaps in the literature. PMID:24079725

  17. Gold Nanostructures as a Platform for Combinational Therapy in Future Cancer Therapeutics

    Energy Technology Data Exchange (ETDEWEB)

    Jelveh, Salomeh [Ontario Cancer Institute, Princess Margaret Hospital, University Health Network, Toronto, ON (Canada); Department of Radiation Physics, Princess Margaret Hospital, Toronto, ON (Canada); Chithrani, Devika B., E-mail: devika.chithrani@rmp.uhn.on.ca [Department of Radiation Physics, Princess Margaret Hospital, Toronto, ON (Canada); STTARR Innovation Centre, Toronto Medical Discovery Tower, Toronto, ON (Canada)

    2011-03-04

    The field of nanotechnology is currently undergoing explosive development on many fronts. The technology is expected to generate innovations and play a critical role in cancer therapeutics. Among other nanoparticle (NP) systems, there has been tremendous progress made in the use of spherical gold NPs (GNPs), gold nanorods (GNRs), gold nanoshells (GNSs) and gold nanocages (GNCs) in cancer therapeutics. In treating cancer, radiation therapy and chemotherapy remain the most widely used treatment options and recent developments in cancer research show that the incorporation of gold nanostructures into these protocols has enhanced tumor cell killing. These nanostructures further provide strategies for better loading, targeting, and controlling the release of drugs to minimize the side effects of highly toxic anticancer drugs used in chemotherapy and photodynamic therapy. In addition, the heat generation capability of gold nanostructures upon exposure to UV or near infrared light is being used to damage tumor cells locally in photothermal therapy. Hence, gold nanostructures provide a versatile platform to integrate many therapeutic options leading to effective combinational therapy in the fight against cancer. In this review article, the recent progress in the development of gold-based NPs towards improved therapeutics will be discussed. A multifunctional platform based on gold nanostructures with targeting ligands, therapeutic molecules, and imaging contrast agents, holds an array of promising directions for cancer research.

  18. Gold Nanostructures as a Platform for Combinational Therapy in Future Cancer Therapeutics

    Directory of Open Access Journals (Sweden)

    Salomeh Jelveh

    2011-03-01

    Full Text Available The field of nanotechnology is currently undergoing explosive development on many fronts. The technology is expected to generate innovations and play a critical role in cancer therapeutics. Among other nanoparticle (NP systems, there has been tremendous progress made in the use of spherical gold NPs (GNPs, gold nanorods (GNRs, gold nanoshells (GNSs and gold nanocages (GNCs in cancer therapeutics. In treating cancer, radiation therapy and chemotherapy remain the most widely used treatment options and recent developments in cancer research show that the incorporation of gold nanostructures into these protocols has enhanced tumor cell killing. These nanostructures further provide strategies for better loading, targeting, and controlling the release of drugs to minimize the side effects of highly toxic anticancer drugs used in chemotherapy and photodynamic therapy. In addition, the heat generation capability of gold nanostructures upon exposure to UV or near infrared light is being used to damage tumor cells locally in photothermal therapy. Hence, gold nanostructures provide a versatile platform to integrate many therapeutic options leading to effective combinational therapy in the fight against cancer. In this review article, the recent progress in the development of gold-based NPs towards improved therapeutics will be discussed. A multifunctional platform based on gold nanostructures with targeting ligands, therapeutic molecules, and imaging contrast agents, holds an array of promising directions for cancer research.

  19. Gold Nanostructures as a Platform for Combinational Therapy in Future Cancer Therapeutics

    International Nuclear Information System (INIS)

    The field of nanotechnology is currently undergoing explosive development on many fronts. The technology is expected to generate innovations and play a critical role in cancer therapeutics. Among other nanoparticle (NP) systems, there has been tremendous progress made in the use of spherical gold NPs (GNPs), gold nanorods (GNRs), gold nanoshells (GNSs) and gold nanocages (GNCs) in cancer therapeutics. In treating cancer, radiation therapy and chemotherapy remain the most widely used treatment options and recent developments in cancer research show that the incorporation of gold nanostructures into these protocols has enhanced tumor cell killing. These nanostructures further provide strategies for better loading, targeting, and controlling the release of drugs to minimize the side effects of highly toxic anticancer drugs used in chemotherapy and photodynamic therapy. In addition, the heat generation capability of gold nanostructures upon exposure to UV or near infrared light is being used to damage tumor cells locally in photothermal therapy. Hence, gold nanostructures provide a versatile platform to integrate many therapeutic options leading to effective combinational therapy in the fight against cancer. In this review article, the recent progress in the development of gold-based NPs towards improved therapeutics will be discussed. A multifunctional platform based on gold nanostructures with targeting ligands, therapeutic molecules, and imaging contrast agents, holds an array of promising directions for cancer research

  20. Geriatric assessment with management in cancer care: Current evidence and potential mechanisms for future research

    Science.gov (United States)

    Magnuson, Allison; Allore, Heather; Cohen, Harvey Jay; Mohile, Supriya G.; Williams, Grant R.; Chapman, Andrew; Extermann, Martine; Olin, Rebecca L.; Targia, Valerie; Mackenzie, Amy; Holmes, Holly M.; Hurria, Arti

    2016-01-01

    Older adults with cancer represent a complex patient population. Geriatric assessment (GA) is recommended to evaluate the medical and supportive care needs of this group. “GA with management” is a term encompassing the resultant medical decisions and interventions implemented in response to vulnerabilities identified on GA. In older, non-cancer patients, GA with management has been shown to improve a variety of outcomes, such as reducing functional decline and health care utilization. However, the role of GA with management in the older adult with cancer is less well established. Rigorous clinical trials of GA with management are necessary to develop an evidence base and support its use in the routine oncology care of older adults. At the recent U-13 conference, “Design and Implementation of Intervention Studies to Improve or Maintain Quality of Survivorship in Older and/or Frail Adults with Cancer,” a session was dedicated to developing research priorities in GA with management. Here we summarize identified knowledge gaps in GA with management studies for older patients with cancer and propose areas for future research. PMID:27197915

  1. Human Papillomavirus: Current and Future RNAi Therapeutic Strategies for Cervical Cancer

    Directory of Open Access Journals (Sweden)

    Hun Soon Jung

    2015-05-01

    Full Text Available Human papillomaviruses (HPVs are small DNA viruses; some oncogenic ones can cause different types of cancer, in particular cervical cancer. HPV-associated carcinogenesis provides a classical model system for RNA interference (RNAi based cancer therapies, because the viral oncogenes E6 and E7 that cause cervical cancer are expressed only in cancerous cells. Previous studies on the development of therapeutic RNAi facilitated the advancement of therapeutic siRNAs and demonstrated its versatility by siRNA-mediated depletion of single or multiple cellular/viral targets. Sequence-specific gene silencing using RNAi shows promise as a novel therapeutic approach for the treatment of a variety of diseases that currently lack effective treatments. However, siRNA-based targeting requires further validation of its efficacy in vitro and in vivo, for its potential off-target effects, and of the design of conventional therapies to be used in combination with siRNAs and their drug delivery vehicles. In this review we discuss what is currently known about HPV-associated carcinogenesis and the potential for combining siRNA with other treatment strategies for the development of future therapies. Finally, we present our assessment of the most promising path to the development of RNAi therapeutic strategies for clinical settings.

  2. Geriatric assessment with management in cancer care: Current evidence and potential mechanisms for future research.

    Science.gov (United States)

    Magnuson, Allison; Allore, Heather; Cohen, Harvey Jay; Mohile, Supriya G; Williams, Grant R; Chapman, Andrew; Extermann, Martine; Olin, Rebecca L; Targia, Valerie; Mackenzie, Amy; Holmes, Holly M; Hurria, Arti

    2016-07-01

    Older adults with cancer represent a complex patient population. Geriatric assessment (GA) is recommended to evaluate the medical and supportive care needs of this group. "GA with management" is a term encompassing the resultant medical decisions and interventions implemented in response to vulnerabilities identified on GA. In older, non-cancer patients, GA with management has been shown to improve a variety of outcomes, such as reducing functional decline and health care utilization. However, the role of GA with management in the older adult with cancer is less well established. Rigorous clinical trials of GA with management are necessary to develop an evidence base and support its use in the routine oncology care of older adults. At the recent U-13 conference, "Design and Implementation of Intervention Studies to Improve or Maintain Quality of Survivorship in Older and/or Frail Adults with Cancer," a session was dedicated to developing research priorities in GA with management. Here we summarize identified knowledge gaps in GA with management studies for older patients with cancer and propose areas for future research. PMID:27197915

  3. An epidemiological perspective on the future of direct-to-consumer personal genome testing

    Directory of Open Access Journals (Sweden)

    Janssens A Cecile JW

    2010-10-01

    Full Text Available Abstract Personal genome testing is offered via the internet directly to consumers. Most tests that are currently offered use data from genome-wide scans to predict risks for multiple common diseases and traits. The utility of these tests is limited, predominantly because they lack predictive ability and clear benefits for disease prevention that are specific for genetic risk groups. In the near future, personal genome tests will likely be based on whole genome sequencing, but will these technological advances increase the utility of personal genome testing? Whole genome sequencing theoretically provides information about the risks of both monogenic and complex diseases, but the practical utility remains to be demonstrated. The utility of testing depends on the predictive ability of the test, the likelihood of actionable test results, and the options available for the reduction of risks. For monogenic diseases, the likelihood of known mutations will be extremely low in the general population and it will be a challenge to recognize new causal variants among all rare variants that are found using sequencing. For complex diseases, the predictive ability of genetic tests will be mainly restricted by the heritability of the disease, but also by the genetic complexity of the disease etiology, which determines the extent to which the heritability can be understood. Given that numerous genetic and non-genetic risk factors interact in the causation of complex diseases, the predictive ability of genetic models will likely remain modest. Personal genome testing will have minimal benefits for individual consumers unless major breakthroughs are made in the near future.

  4. Potential impacts of topography and prevailing wind direction on future precipitation changes in Japan

    Science.gov (United States)

    Tsunematsu, N.; Dairaku, K.; Hirano, J.

    2013-12-01

    To investigate future changes in summertime precipitation amounts over the Japanese islands and their relations to the topographical heights, this study analyzed 20 km horizontal grid-spacing regional climate model downscalings of MIROC3.2-hires 20C3M and SRES-A1B scenario data for the periods of 1981-2000 and 2081-2100. Results indicate the remarkable increases in June-July-August mean daily precipitation in the west and south sides (windward sides) of the mountainous regions, especially in western Japan where heavy rainfall is frequently observed in the recent climate. The remarkable increases in summertime precipitation are likely to occur not only in high altitude areas but also at low altitudes. The occurrence frequencies of precipitation greater than 100 mm/day would also increase in such areas. The intensification of southwesterly moist air flows in the lower troposphere is considered to be one of the main causes of those precipitation changes because the intensified southwesterly moist air flows impinging on the western and southern slopes of the mountains can generate stronger upslope flows and well-developed clouds, leading to increased precipitation. Also, the results show that future precipitation changes in the lee sides of the mountainous regions (e.g., the Tokyo metropolitan area) would be comparatively small. These results indicate large influences of topography and prevailing wind direction on future precipitation changes. Acknowledgments: This study was conducted as part of the research subject "Vulnerability and Adaptation to Climate Change in Water Hazard Assessed Using Regional Climate Scenarios in the Tokyo Region' (National Research Institute for Earth Science and Disaster Prevention; PI: Koji Dairaku) of Research Program on Climate Change Adaptation (RECCA) and was supported by the SOUSEI Program, funded by Ministry of Education, Culture, Sports, Science and Technology, Government of Japan. We thank the regional climate modeling groups (MRI

  5. Enantiopure titanocene complexes - direct evidence for paraptosis in cancer cells.

    Science.gov (United States)

    Cini, Melchior; Williams, Huw; Fay, Mike W; Searle, Mark S; Woodward, Simon; Bradshaw, Tracey D

    2016-03-16

    Tolerated by normal tissues, anti-cancer therapies based on titanium compounds are limited by low efficacy/selectivity and lack of understanding of their mode(s) of action. In vitro antitumour activity and mode of cell death incurred by enantiopure TiCl2{η-C5H4CHEt(2-MeOPh)}2 (abbreviated Cp(R)2TiCl2) has been investigated. The in vitro anti-tumour activity of Cp(R)2TiCl2 is selective for cancer cells; in clonogenic assays, (S,S)-Cp(R)2TiCl2 was twice as effective at inhibiting colony formation than other stereoisomers after 24 h exposure. HPLC, MS and NMR techniques determined hydrolysis of Cp(R)2TiCl2; data strongly correlate with soluble [Cp(R)2Ti(OH)(OH2)](+) being the biological trigger. Treatment of cells with Cp(R)2TiCl2 provoked extensive cytoplasmic vacuolization, endoplasmic reticulum (ER) swelling and activation of MAPKinase signal transduction, consistent with ligand-induced paraptosis, type III cell death, which is morphologically distinct from, and independent of apoptosis. Indeed, distinct from cisplatin, Cp(R)2TiCl2 failed to perturb cell cycle dynamics, induce γH2AX foci or evoke apoptosis in MDA-MB-468 and HCT-116 cells. PMID:26806372

  6. Early Detection of Pancreatic Cancer-a Defined Future Using Lessons From Other Cancers: A White Paper.

    Science.gov (United States)

    Kenner, Barbara J; Chari, Suresh T; Maitra, Anirban; Srivastava, Sudhir; Cleeter, Deborah F; Go, Vay Liang W; Rothschild, Laura J; Goldberg, Ann E

    2016-09-01

    The implementation of effective early detection programs has significantly improved treatment, prognosis, and life expectancy in breast, prostate, and colorectal cancers. Early-detection methods need to be developed for pancreatic ductal adenocarcinoma (PDAC), where progress during the past decades has remained slow. Addressing this need, the forum "Early Detection: Lessons Learned from Other Cancers" was held in November 2015 and presented by the Kenner Family Research Fund in partnership with the American Pancreatic Association. Leading experts from breast, prostate, and colorectal cancers described the development of early detection methods in their respective fields. Emerging opportunities for scientific advancement were subsequently identified that hold the greatest promise for the future of early detection in PDAC, including a 4-part strategic map of necessary actionable items. Knowledge from other fields must be applied to achieve large-scale change within the arena of PDAC. A major breakthrough in early detection of PDAC will occur only through a definitive interdisciplinary collaborative effort involving a critical mass of committed academic research institutions, government agencies, industry leaders, and philanthropies. PMID:27518362

  7. Biogenic volatile organic compound emissions from the Eurasian taiga: current knowledge and future directions

    Energy Technology Data Exchange (ETDEWEB)

    Rinne, J. (Dept. of Physics, Univ. of Helsinki (Finland)); Baeck, J. (Dept. of Forest Ecology, Univ. of Helsinki (Finland)); Hakola, H. (Finnish Meteorological Institute, Air Quality Research, Helsinki (Finland))

    2009-07-01

    n this paper, the research conducted on the emissions of the biogenic volatile organic compounds (BVOCs) from the European boreal zone, or taiga, is reviewed. We highlight the main findings and the key gaps in our knowledge. Ecosystem scale BVOC emissions from the Eurasian taiga are observed to be relatively low as compared with those from some forest ecosystems in warmer climates. One of the distinctive features of the Eurasian taiga is the predominance of monoterpene emitting coniferous trees. Recent research indicates that in addition to evaporation from storage structures, part of the monoterpene emission of conifers originates directly from synthesis. Monoterpene emission from boreal deciduous trees originates mainly directly from synthesis. The boreal trees exhibit distinct intra-species variation in the monoterpene mixtures they emit. Important sources of isoprene in the Eurasian taiga include Norway spruce, open wetland ecosystems and some non-dominant woody species, such as European aspen and willows. Many boreal tree species also emit non-terpenoid compounds and highly reactive sesquiterpenes. The future challenges in the research on BVOC emissions from the Eurasian taiga include (i) quantification and understanding the non-terpenoid VOC emissions from the taiga ecosystems, (ii) bringing ecosystems in the eastern Eurasian taiga into the sphere of BVOC emission studies, (iii) establishing long-term ecosystem flux studies combined with plant physiological measurements, and (iv) integrating knowledge and research skills on BVOC synthesis, storages and emissions, land cover changes and atmospheric processes in different spatial and temporal scales in order to better understand the impact of biosphere on atmospheric chemistry and composition in changing climate. (orig.)

  8. Aggression in Tephritidae Flies: Where, When, Why? Future Directions for Research in Integrated Pest Management.

    Science.gov (United States)

    Benelli, Giovanni

    2014-01-01

    True fruit flies (Diptera: Tephritidae) include over 4000 species, many of which constitute enormous threats to fruit and vegetable production worldwide. A number of Tephritidae are lekking species, forming aggregations in which males fight to defend a small territory where they court females and mate. Male-male contests also occur in non-lekking species, characterized by resource defense polygyny. Tephritidae females display agonistic behavior to maintain single oviposition sites and reduce larval competition for food. Here, how, where, when and why aggressive interactions occur in Tephritidae flies is reviewed. A number of neglected issues deserving further research are highlighted, with a special focus on diel periodicity of aggression, cues evoking aggressive behavior, the role of previous experience on fighting success and the evolution of behavioral lateralization of aggressive displays. In the final section, future directions to exploit this knowledge in Integrated Pest Management, with particular emphasis on enhancement of Sterile Insect Technique and interspecific competitive displacement in the field are suggested. PMID:26463064

  9. Social networks and future direction for obesity research: A scoping review.

    Science.gov (United States)

    Nam, Soohyun; Redeker, Nancy; Whittemore, Robin

    2015-01-01

    Despite significant efforts to decrease obesity rates, the prevalence of obesity continues to increase in the United States. Obesity risk behaviors including physical inactivity, unhealthy eating, and sleep deprivation are intertwined during daily life and are difficult to improve in the current social environment. Studies show that social networks-the thick webs of social relations and interactions-influence various health outcomes, such as HIV risk behaviors, alcohol consumption, smoking, depression, and cardiovascular mortality; however, there is limited information on the influences of social networks on obesity and obesity risk behaviors. Given the complexities of the biobehavioral pathology of obesity and the lack of clear evidence of effectiveness and sustainability of existing interventions that are usually focused on an individual approach, targeting change in an individual's health behaviors or attitude may not take sociocontextual factors into account; there is a pressing need for a new perspective on this problem. In this review, we evaluate the literature on social networks as a potential approach for obesity prevention and treatment (i.e., how social networks affect various health outcomes), present two major social network data analyses (i.e., egocentric and sociometric analysis), and discuss implications and the future direction for obesity research using social networks. PMID:25982770

  10. Present Challenges, Critical Needs, and Future Technological Directions for NASA's GN and C Engineering Discipline

    Science.gov (United States)

    Dennehy, Cornelius J.

    2010-01-01

    The National Aeronautics and Space Administration (NASA) is currently undergoing a substantial redirection. Notable among the changes occurring within NASA is the stated emphasis on technology development, integration, and demonstration. These new changes within the Agency should have a positive impact on the GN&C discipline given the potential for sizeable investments for technology development and in-space demonstrations of both Autonomous Rendezvous & Docking (AR&D) systems and Autonomous Precision Landing (APL) systems. In this paper the NASA Technical Fellow for Guidance, Navigation and Control (GN&C) provides a summary of the present technical challenges, critical needs, and future technological directions for NASA s GN&C engineering discipline. A brief overview of the changes occurring within NASA that are driving a renewed emphasis on technology development will be presented as background. The potential benefits of the planned GN&C technology developments will be highlighted. This paper will provide a GN&C State-of-the-Discipline assessment. The discipline s readiness to support the goals & objectives of each of the four NASA Mission Directorates is evaluated and the technical challenges and barriers currently faced by the discipline are summarized. This paper will also discuss the need for sustained investments to sufficiently mature the several classes of GN&C technologies required to implement NASA crewed exploration and robotic science missions.

  11. A hymenopterists’ guide to the Hymenoptera Anatomy Ontology: utility, clarification, and future directions

    Directory of Open Access Journals (Sweden)

    Katja Seltmann

    2012-05-01

    Full Text Available Hymenoptera exhibit an incredible diversity of phenotypes, the result of ~240 million years of evolution and the primary subject of more than 250 years of research. Here we describe the history, development, and utility of the Hymenoptera Anatomy Ontology (HAO and its associated applications. These resources are designed to facilitate accessible and extensible research on hymenopteran phenotypes. Outreach with the hymenopterist community is of utmost importance to the HAO project, and this paper is a direct response to questions that arised from project workshops. In a concerted attempt to surmount barriers of understanding, especially regarding the format, utility, and development of the HAO, we discuss the roles of homology, “preferred terms”, and “structural equivalency”. We also outline the use of Universal Resource Identifiers (URIs and posit that they are a key element necessary for increasing the objectivity and repeatability of science that references hymenopteran anatomy. Pragmatically, we detail a mechanism (the “URI table” by which authors can use URIs to link their published text to the HAO, and we describe an associated tool (the “Analyzer” to derive these tables. These tools, and others, are available through the HAO Portal website (http://portal.hymao.org. We conclude by discussing the future of the HAO with respect to digital publication, cross-taxon ontology alignment, the advent of semantic phenotypes, and community-based curation.

  12. Canola/Rapeseed Protein: Future Opportunities and Directions-Workshop Proceedings of IRC 2015.

    Science.gov (United States)

    Campbell, Lisa; Rempel, Curtis B; Wanasundara, Janitha P D

    2016-01-01

    At present, canola meal is primarily streamlined into the animal feed market where it is a competitive animal feed source owing to its high protein value. Beyond animal feed lies a potential game-changer with regards to the value of canola meal, and its opportunity as a high quality food protein source. An economic and sustainable source of protein with high bioavailability and digestibility is essential to human health and well-being. Population pressures, ecological considerations, and production efficiency underscore the importance of highly bioavailable plant proteins, both for the developed and developing world. Despite decades of research, several technologies being developed, and products being brought to large scale production, there are still no commercially available canola protein products. The workshop entitled "Canola/Rapeseed Protein-Future Opportunities and Directions" that was held on 8 July 2015 during the 14th International Rapeseed Congress (IRC 2015) addressed the current situation and issues surrounding canola meal protein from the technological, nutritional, regulatory and genomics/breeding perspective. Discussions with participants and experts in the field helped to identify economic barriers and research gaps that need to be addressed in both the short and long term for the benefit of canola industry. PMID:27135237

  13. Current guidelines for high-density lipoprotein cholesterol in therapy and future directions

    Science.gov (United States)

    Subedi, Bishnu H; Joshi, Parag H; Jones, Steven R; Martin, Seth S; Blaha, Michael J; Michos, Erin D

    2014-01-01

    Many studies have suggested that a significant risk factor for atherosclerotic cardiovascular disease (ASCVD) is low high-density lipoprotein cholesterol (HDL-C). Therefore, increasing HDL-C with therapeutic agents has been considered an attractive strategy. In the prestatin era, fibrates and niacin monotherapy, which cause modest increases in HDL-C, reduced ASCVD events. Since their introduction, statins have become the cornerstone of lipoprotein therapy, the benefits of which are primarily attributed to decrease in low-density lipoprotein cholesterol. Findings from several randomized trials involving niacin or cholesteryl ester transfer protein inhibitors have challenged the concept that a quantitative elevation of plasma HDL-C will uniformly translate into ASCVD benefits. Consequently, the HDL, or more correctly, HDL-C hypothesis has become more controversial. There are no clear guidelines thus far for targeting HDL-C or HDL due to lack of solid outcomes data for HDL specific therapies. HDL-C levels are only one marker of HDL out of its several structural or functional properties. Novel approaches are ongoing in developing and assessing agents that closely mimic the structure of natural HDL or replicate its various functions, for example, reverse cholesterol transport, vasodilation, anti-inflammation, or inhibition of platelet aggregation. Potential new approaches like HDL infusions, delipidated HDL, liver X receptor agonists, Apo A-I upregulators, Apo A mimetics, and gene therapy are in early phase trials. This review will outline current therapies and describe future directions for HDL therapeutics. PMID:24748800

  14. Privacy, Trust and Identity in Pervasive Computing: A Review of Technical Challenges and Future Research Directions

    Directory of Open Access Journals (Sweden)

    Ameera Al-Karkhi

    2012-06-01

    Full Text Available Developments in pervasive computing introduced a new world of computing where networked processors embedded and distributed in everyday objects communicating with each other over wireless links. Computers in such environments work in the background while establishing connections among them dynamically and hence will be less visible and intrusive. Such a vision raises questions about how to manage issues like privacy, trust and identity in those environments. In this paper, we review the technical challenges that face pervasive computing environments in relation to each of these issues. We then present a number of security related considerations and use them as a basis for comparison between pervasive and traditional computing. We will argue that these considerations pose particular concerns and challenges to the design and implementation of pervasive environments which are different to those usually found in traditional computing environments. To address these concerns and challenges, further research is needed. We will present a number of directions and topics for possible future research with respect to each of the three issues.

  15. Enhancement of Psychosocial Treatment With D-Cycloserine: Models, Moderators, and Future Directions.

    Science.gov (United States)

    Otto, Michael W; Kredlow, M Alexandra; Smits, Jasper A J; Hofmann, Stefan G; Tolin, David F; de Kleine, Rianne A; van Minnen, Agnes; Evins, A Eden; Pollack, Mark H

    2016-08-15

    Advances in the understanding of the neurobiology of fear extinction have resulted in the development of d-cycloserine (DCS), a partial glutamatergic N-methyl-D-aspartate agonist, as an augmentation strategy for exposure treatment. We review a decade of research that has focused on the efficacy of DCS for augmenting the mechanisms (e.g., fear extinction) and outcome of exposure treatment across the anxiety disorders. Following a series of small-scale studies offering strong support for this clinical application, more recent larger-scale studies have yielded mixed results, with some showing weak or no effects. We discuss possible explanations for the mixed findings, pointing to both patient and session (i.e., learning experiences) characteristics as possible moderators of efficacy, and offer directions for future research in this area. We also review recent studies that have aimed to extend the work on DCS augmentation of exposure therapy for the anxiety disorders to DCS enhancement of learning-based interventions for addiction, anorexia nervosa, schizophrenia, and depression. Here, we attend to both DCS effects on facilitating therapeutic outcomes and additional therapeutic mechanisms beyond fear extinction (e.g., appetitive extinction, hippocampal-dependent learning). PMID:26520240

  16. Engineered Nanomaterials: Knowledge Gaps in Fate, Exposure, Toxicity, and Future Directions

    Directory of Open Access Journals (Sweden)

    Arun Kumar

    2014-01-01

    Full Text Available The aim of this study is to identify current knowledge gaps in fate, exposure, and toxicity of engineered nanomaterials (ENMs, highlight research gaps, and suggest future research directions. Humans and other living organisms are exposed to ENMs during production or use of products containing them. To assess the hazards of ENMs, it is important to assess their physiochemical properties and try to relate them to any observed hazard. However, the full determination of these relationships is currently limited by the lack of empirical data. Moreover, most toxicity studies do not use realistic environmental exposure conditions for determining dose-response parameters, affecting the accurate estimation of health risks associated with the exposure to ENMs. Regulatory aspects of nanotechnology are still developing and are currently the subject of much debate. Synthesis of available studies suggests a number of open questions. These include (i developing a combination of different analytical methods for determining ENM concentration, size, shape, surface properties, and morphology in different environmental media, (ii conducting toxicity studies using environmentally relevant exposure conditions and obtaining data relevant to developing quantitative nanostructure-toxicity relationships (QNTR, and (iii developing guidelines for regulating exposure of ENMs in the environment.

  17. Diagnosis and Management of Autoimmune Hepatitis: Current Status and Future Directions.

    Science.gov (United States)

    Czaja, Albert J

    2016-03-23

    Autoimmune hepatitis is characterized by autoantibodies, hypergammaglobulinemia, and interface hepatitis on histological examination. The features lack diagnostic specificity, and other diseases that may resemble autoimmune hepatitis must be excluded. The clinical presentation may be acute, acute severe (fulminant), or asymptomatic; conventional autoantibodies may be absent; centrilobular necrosis and bile duct changes may be present; and the disease may occur after liver transplantation or with features that suggest overlapping disorders. The diagnostic criteria have been codified, and diagnostic scoring systems can support clinical judgment. Nonstandard autoantibodies, including antibodies to actin, α-actinin, soluble liver antigen, perinuclear antineutrophil antigen, asialoglycoprotein receptor, and liver cytosol type 1, are tools that can support the diagnosis, especially in patients with atypical features. Prednisone or prednisolone in combination with azathioprine is the preferred treatment, and strategies using these medications in various doses can ameliorate treatment failure, incomplete response, drug intolerance, and relapse after drug withdrawal. Budesonide, mycophenolate mofetil, and calcineurin inhibitors can be considered in selected patients as frontline or salvage therapies. Molecular (recombinant proteins and monoclonal antibodies), cellular (adoptive transfer and antigenic manipulation), and pharmacological (antioxidants, antifibrotics, and antiapoptotic agents) interventions constitute future directions in management. The evolving knowledge of the pathogenic pathways and the advances in technology promise new management algorithms. PMID:26934884

  18. High magnetic field science and its application in the United States current status and future directions

    CERN Document Server

    National Research Council of the National Academies

    2013-01-01

    The Committee to Assess the Current Status and Future Direction of High Magnetic Field Science in the United States was convened by the National Research Council in response to a request by the National Science Foundation. This report answers three questions: (1) What is the current state of high-field magnet science, engineering, and technology in the United States, and are there any conspicuous needs to be addressed? (2) What are the current science drivers and which scientific opportunities and challenges can be anticipated over the next ten years? (3) What are the principal existing and planned high magnetic field facilities outside of the United States, what roles have U.S. high field magnet development efforts played in developing those facilities, and what potentials exist for further international collaboration in this area? A magnetic field is produced by an electrical current in a metal coil. This current exerts an expansive force on the coil, and a magnetic field is "high" if it challenges the str...

  19. Family conflict, autonomic nervous system functioning, and child adaptation: state of the science and future directions.

    Science.gov (United States)

    El-Sheikh, Mona; Erath, Stephen A

    2011-05-01

    The family is one of the primary contexts of child development. Marital and parent-child conflict (family conflict) are common and predict a wide range of negative behavioral and emotional outcomes in children. Thus, an important task for developmental researchers is to identify the processes through which family conflict contributes to children's psychological maladjustment, as well as vulnerability and protective factors in the context of family conflict. In the current paper, we aim to advance a conceptual model that focuses on indices of children's autonomic nervous system (ANS) functioning that increase vulnerability or provide protection against psychological maladjustment in the context of family conflict. In doing so, we provide a selective review that reflects the state of the science linking family conflict, children's ANS activity, and child psychological adjustment, and offer directions and guidance for future research. Our hope is to accelerate research at the intersection of family conflict and ANS functioning to advance understanding of risk and resilience among children. PMID:23786705

  20. Aggression in Tephritidae Flies: Where, When, Why? Future Directions for Research in Integrated Pest Management

    Directory of Open Access Journals (Sweden)

    Giovanni Benelli

    2014-12-01

    Full Text Available True fruit flies (Diptera: Tephritidae include over 4000 species, many of which constitute enormous threats to fruit and vegetable production worldwide. A number of Tephritidae are lekking species, forming aggregations in which males fight to defend a small territory where they court females and mate. Male-male contests also occur in non-lekking species, characterized by resource defense polygyny. Tephritidae females display agonistic behavior to maintain single oviposition sites and reduce larval competition for food. Here, how, where, when and why aggressive interactions occur in Tephritidae flies is reviewed. A number of neglected issues deserving further research are highlighted, with a special focus on diel periodicity of aggression, cues evoking aggressive behavior, the role of previous experience on fighting success and the evolution of behavioral lateralization of aggressive displays. In the final section, future directions to exploit this knowledge in Integrated Pest Management, with particular emphasis on enhancement of Sterile Insect Technique and interspecific competitive displacement in the field are suggested.

  1. 2006: STATUS OF TSUNAMI SCIENCE RESEARCH AND FUTURE DIRECTIONS OF RESEARCH

    Directory of Open Access Journals (Sweden)

    Barbara H. Keating

    2006-01-01

    Full Text Available In 2005, Dr. Robert Wiegel compiled “Tsunami Information Sources”. The compilation has been made available via a website and has been published as an issue in Science of Tsunami Hazards. The compiled references have been assigned keyword descriptions, and compiled in order to review the breath and depth of Tsunami Science publications.The review indicates that tsunami research involves eight major scientific disciplines: Geology, Seismology, Tsunami Science, Engineering, Disaster Management, Meteorology and Communications. These disciplines were subdivided into many topical subjects and the results were tabulated.The topics having the largest number of publications include: tsunamigenic earthquakes, numerical modeling, field surveys, engineering models, harbor, bay, and canal modeling and observations, energy of tsunamis, workshops, tsunami warning centers, instrumentation, tsunami catalogs, tsunami disaster mitigation, evaluation of hazards, the aftermath of tsunamis on humans, and AID provided to Tsunami Damaged Communities.Several areas of research were identified as likely directions for future research, including: paleotsunami studies, risk assessments, instrumentation, numerical modeling of earthquakes and tsunami, particularly the 2004 Indian Ocean event. There is a dearth of recent publications available on tsunami hazards education for the general public.

  2. Carbon dynamics and changing winter conditions: a review of current understanding and future research directions

    Science.gov (United States)

    Haei, M.; Laudon, H.

    2015-09-01

    Despite the important role of winters for northern ecosystems, it remains the least understood of all the seasons. Here, we summarize existing empirical studies on winter climate and carbon dynamics and highlight some important future research directions. The existing studies include field-scale snow-cover manipulation experiments representing extreme soil climate conditions, laboratory soil incubations studying the influential factors, and time-series of climate and carbon data showing long-term natural variations and existing trends. Most of the field and laboratory experiments indicate an increased soil organic carbon loss due to soil frost. Long-term data demonstrate temporal changes in winter CO2 efflux and its important contribution to the annual fluxes. A number of research priorities to improve our understanding of winter conditions include (i) ecosystem processes in the fall-winter and winter-spring shoulder seasons, (ii) extreme events, (iii) partitioning into organic- and inorganic carbon, (iv) carry-over effects of winter and growing season on each other, (v) long-term cumulative impacts, and (vi) improved winter process modelling. These areas of research would enable an improved understanding of the role of the snow covered period for carbon cycling, and provide a basis for more realistic models that include winter processes.

  3. Current adjuvant treatment modalities for gastric cancer: From history to the future.

    Science.gov (United States)

    Kilic, Leyla; Ordu, Cetin; Yildiz, Ibrahim; Sen, Fatma; Keskin, Serkan; Ciftci, Rumeysa; Pilanci, Kezban Nur

    2016-05-15

    The discrepancy between the surgical technique and the type of adjuvant chemotherapy used in clinical trials and patient outcomes in terms of overall survival rates has led to the generation of different adjuvant treatment protocols in distinct parts of the world. The adjuvant treatment recommendation is generally chemoradiotherapy in the United States, perioperative chemotherapy in the United Kingdom and parts of Europe, and chemotherapy in Asia. These options mainly rely on the United States Intergroup-0116, United Kingdom British Medical Research Council Adjuvant Gastric Infusional Chemotherapy, and the Asian Adjuvant Chemotherapy Trial of S-1 for Gastric Cancer and Capecitabine and Oxaliplatin Adjuvant Study in Stomach Cancer trials. However, the benefits were evident for only certain patients, which were not very homogeneous regarding the type of surgery, chemotherapy regimens, and stage of disease. Whether the dissimilarities in survival are attributable to surgical technique or intrinsic biological differences is a subject of debate. Regardless of the extent of surgery, multimodal therapy may offer modest survival advantage at least for diseases with lymph node involvement. Moreover, in the era of individualized treatment for most of the other cancer types, identification of special subgroups comprising those who will derive more or no benefit from adjuvant therapy merits further investigation. The aim of this review is to reveal the historical evolution and future reflections of adjuvant treatment modalities for resected gastric cancer patients. PMID:27190583

  4. Proceedings of an international conference on nuclear security: Global directions for the future

    International Nuclear Information System (INIS)

    International terrorism is more far reaching, multifaceted, ruthlessly planned and well financed than ever before. Sub-State actors have shown that they are prepared to attack any target, sacrifice lives (including their own) and use any means to obtain their goals. Criminals have attempted to obtain nuclear and radioactive material. It must be assumed that sub-State actors or criminals may try to acquire weapons of mass destruction, improvise a nuclear explosive device or radiological dispersal device, or attempt to sabotage nuclear facilities, locations or transports. The international community is challenged to make every effort to prevent nuclear or other radioactive material from falling into the wrong hands. Based on a design basis threat, nuclear facilities and other places where radioactive material may be located, as well as transport vehicles, must be protected against sabotage. The potential consequences of any malicious use of nuclear or other radioactive material could be catastrophic and could jeopardize the continued peaceful uses of nuclear technology and applications. The International Conference on Nuclear Security: Global Directions for the Future was convened by the IAEA in cooperation with the European Union, the Organization for Security and Co-operation in Europe, the International Criminal Police Organization, the European Police Office and the World Customs Organization and was hosted by the Government of the United Kingdom. The conference considered the threat of malicious acts involving nuclear and other radioactive material; the experiences, achievements and shortcomings of national and international efforts to strengthen the prevention of, detection of and response to malicious acts involving these materials; and the ways and means to achieve future improvements. There were 288 participants at the conference from 68 countries and 12 organizations. This was the first conference of its kind. In the past, conferences have been convened on

  5. Targeted medical therapy of biliary tract cancer: Recent advances and future perspectives

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The limited efficacy of cytotoxic therapy for advanced biliary tract and gallbladder cancers emphasizes the need for novel and more effective medical treatment options. A better understanding of the specific biological features of these neoplasms led to the development of new targeted therapies, which take the abundant expression of several growth factors and cognate tyrosine kinase receptors into account. This review will briefly summarize the status and future perspectives of antiangiogenic and growth factor receptor-based pharmacological approaches for the treatment of biliary tract and gallbladder cancers. In view of multiple novel targeted approaches, the rationale for innovative therapies, such as combinations of growth factor (receptor)-targeting agents with cytotoxic drugs or with other novel anticancer drugs will be highlighted.

  6. Established, emerging and future roles of PET/CT in the management of colorectal cancer

    International Nuclear Information System (INIS)

    Positron-emission tomography-computed tomography (PET/CT) is rapidly being integrated into the imaging pathways of several different tumour types, most frequently using the glucose analogue 2- [18F]-fluoro-2-deoxy-D-glucose (FDG). Integrated FDG-PET/CT combines functional and anatomical imaging to improve sensitivity and specificity of tumour detection. The aim of this article is to review the established, emerging, and future roles of FDG-PET/CT in the management of patients with colorectal cancer (CRC)

  7. First-year Progress and Future Directions of the USA National Phenology Network

    Science.gov (United States)

    Weltzin, J. F.; Losleben, M. V.

    2008-12-01

    Background Periodic plant and animal cycles driven by seasonal variations in climate (i.e., phenology) set the stage for dynamics of ecosystem processes, determine land surface properties, control biosphere-atmosphere interactions, and affect food production, health, conservation, and recreation. Phenological data and models have applications related to scientific research, education and outreach, as well as to stakeholders interested in agriculture, tourism and recreation, human health, and natural resource conservation and management. The predictive potential of phenology requires a new data resource-a national network of integrated phenological observations and the tools to access and analyze them at multiple scales. The USA National Phenology Network (USA-NPN) is an emerging and exciting partnership between federal agencies, the academic community, and the general public to monitor and understand the influence of seasonal cycles on the Nation's resources. The USA-NPN will establish a wall-to-wall science and monitoring initiative focused on phenology as a tool to understand how plants, animals and landscapes respond to climate variation, and as a tool to facilitate human adaptation to ongoing and potential future climate change. Results The National Coordinating Office of the USA-NPN began operation in August 2007 at the University of Arizona, Tucson, AZ. This first year of operation produced many new phenology products and venues for phenology research and citizen involvement, as well as identification of future directions for the USA NPN. Products include a new web-site (www.usanpn.org) that went live in June 2008; the web-site includes a tool for on-line data entry, and serves as a clearinghouse for products and information to facilitate research and communication related to phenology. The new core Plant Phenology Program includes profiles for 185 vetted local, regional, and national plant species with descriptions and monitoring protocols, as well as

  8. Advanced targeted therapies in cancer: Drug nanocarriers, the future of chemotherapy.

    Science.gov (United States)

    Pérez-Herrero, Edgar; Fernández-Medarde, Alberto

    2015-06-01

    Cancer is the second worldwide cause of death, exceeded only by cardiovascular diseases. It is characterized by uncontrolled cell proliferation and an absence of cell death that, except for hematological cancers, generates an abnormal cell mass or tumor. This primary tumor grows thanks to new vascularization and, in time, acquires metastatic potential and spreads to other body sites, which causes metastasis and finally death. Cancer is caused by damage or mutations in the genetic material of the cells due to environmental or inherited factors. While surgery and radiotherapy are the primary treatment used for local and non-metastatic cancers, anti-cancer drugs (chemotherapy, hormone and biological therapies) are the choice currently used in metastatic cancers. Chemotherapy is based on the inhibition of the division of rapidly growing cells, which is a characteristic of the cancerous cells, but unfortunately, it also affects normal cells with fast proliferation rates, such as the hair follicles, bone marrow and gastrointestinal tract cells, generating the characteristic side effects of chemotherapy. The indiscriminate destruction of normal cells, the toxicity of conventional chemotherapeutic drugs, as well as the development of multidrug resistance, support the need to find new effective targeted treatments based on the changes in the molecular biology of the tumor cells. These novel targeted therapies, of increasing interest as evidenced by FDA-approved targeted cancer drugs in recent years, block biologic transduction pathways and/or specific cancer proteins to induce the death of cancer cells by means of apoptosis and stimulation of the immune system, or specifically deliver chemotherapeutic agents to cancer cells, minimizing the undesirable side effects. Although targeted therapies can be achieved directly by altering specific cell signaling by means of monoclonal antibodies or small molecules inhibitors, this review focuses on indirect targeted approaches that

  9. Heterogeneous Effects of Direct Hypoxia Pathway Activation in Kidney Cancer.

    Directory of Open Access Journals (Sweden)

    Rafik Salama

    Full Text Available General activation of hypoxia-inducible factor (HIF pathways is classically associated with adverse prognosis in cancer and has been proposed to contribute to oncogenic drive. In clear cell renal carcinoma (CCRC HIF pathways are upregulated by inactivation of the von-Hippel-Lindau tumor suppressor. However HIF-1α and HIF-2α have contrasting effects on experimental tumor progression. To better understand this paradox we examined pan-genomic patterns of HIF DNA binding and associated gene expression in response to manipulation of HIF-1α and HIF-2α and related the findings to CCRC prognosis. Our findings reveal distinct pan-genomic organization of canonical and non-canonical HIF isoform-specific DNA binding at thousands of sites. Overall associations were observed between HIF-1α-specific binding, and genes associated with favorable prognosis and between HIF-2α-specific binding and adverse prognosis. However within each isoform-specific set, individual gene associations were heterogeneous in sign and magnitude, suggesting that activation of each HIF-α isoform contributes a highly complex mix of pro- and anti-tumorigenic effects.

  10. Assessing and managing breast cancer risk: clinicians' current practice and future needs.

    Science.gov (United States)

    Collins, Ian M; Steel, Emma; Mann, G Bruce; Emery, Jon D; Bickerstaffe, Adrian; Trainer, Alison; Butow, Phyllis; Pirotta, Marie; Antoniou, Antonis C; Cuzick, Jack; Hopper, John; Phillips, Kelly-Anne; Keogh, Louise A

    2014-10-01

    Decision support tools for the assessment and management of breast cancer risk may improve uptake of prevention strategies. End-user input in the design of such tools is critical to increase clinical use. Before developing such a computerized tool, we examined clinicians' practice and future needs. Twelve breast surgeons, 12 primary care physicians and 5 practice nurses participated in 4 focus groups. These were recorded, coded, and analyzed to identify key themes. Participants identified difficulties assessing risk, including a lack of available tools to standardize practice. Most expressed confidence identifying women at potentially high risk, but not moderate risk. Participants felt a tool could especially reassure young women at average risk. Desirable features included: evidence-based, accessible (e.g. web-based), and displaying absolute (not relative) risks in multiple formats. The potential to create anxiety was a concern. Development of future tools should address these issues to optimize translation of knowledge into clinical practice. PMID:24998452

  11. Patient-tailored modulation of the immune system may revolutionize future lung cancer treatment

    International Nuclear Information System (INIS)

    Cancer research has devoted most of its energy over the past decades on unraveling the control mechanisms within tumor cells that govern its behavior. From this we know that the onset of cancer is the result of cumulative genetic mutations and epigenetic alterations in tumor cells leading to an unregulated cell cycle, unlimited replicative potential and the possibility for tissue invasion and metastasis. Until recently it was often thought that tumors are more or less undetected or tolerated by the patient’s immune system causing the neoplastic cells to divide and spread without resistance. However, it is without any doubt that the tumor environment contains a wide variety of recruited host immune cells. These tumor infiltrating immune cells influence anti-tumor responses in opposing ways and emerges as a critical regulator of tumor growth. Here we provide a summary of the relevant immunological cell types and their complex and dynamic roles within an established tumor microenvironment. For this, we focus on both the systemic compartment as well as the local presence within the tumor microenvironment of late-stage non-small cell lung cancer (NSCLC), admitting that this multifaceted cellular composition will be different from earlier stages of the disease, between NSCLC patients. Understanding the paradoxical role that the immune system plays in cancer and increasing options for their modulation may alter the odds in favor of a more effective anti-tumor immune response. We predict that the future standard of care of lung cancer will involve patient-tailor-made combination therapies that associate (traditional) chemotherapeutic drugs and biologicals with immune modulating agents and in this way complement the therapeutic armamentarium for this disease

  12. Cancer of the Cervix – From Bleak Past to Bright Future; a Review, with an Emphasis on Cancer of the Cervix in Malaysia

    Science.gov (United States)

    Nor Hayati, Othman

    2003-01-01

    Cancer of the cervix has the potential to be eradicated since the initiating cause is known. There was not much known about this cancer until the time of the Renaissance. In Malaysia, it is the second most common cancer among females after breast cancer. The strategies on prevention in this country are still not optimal. This article highlights the problems and also discusses the pathogenesis of this disease. The key to prevention is screening and the future is the era of molecular pap smear. PMID:23365496

  13. The Controlled Cortical Impact Model: Applications, Considerations for Researchers, and Future Directions.

    Science.gov (United States)

    Osier, Nicole D; Dixon, C Edward

    2016-01-01

    Controlled cortical impact (CCI) is a mechanical model of traumatic brain injury (TBI) that was developed nearly 30 years ago with the goal of creating a testing platform to determine the biomechanical properties of brain tissue exposed to direct mechanical deformation. Initially used to model TBIs produced by automotive crashes, the CCI model rapidly transformed into a standardized technique to study TBI mechanisms and evaluate therapies. CCI is most commonly produced using a device that rapidly accelerates a rod to impact the surgically exposed cortical dural surface. The tip of the rod can be varied in size and geometry to accommodate scalability to difference species. Typically, the rod is actuated by a pneumatic piston or electromagnetic actuator. With some limits, CCI devices can control the velocity, depth, duration, and site of impact. The CCI model produces morphologic and cerebrovascular injury responses that resemble certain aspects of human TBI. Commonly observed are graded histologic and axonal derangements, disruption of the blood-brain barrier, subdural and intra-parenchymal hematoma, edema, inflammation, and alterations in cerebral blood flow. The CCI model also produces neurobehavioral and cognitive impairments similar to those observed clinically. In contrast to other TBI models, the CCI device induces a significantly pronounced cortical contusion, but is limited in the extent to which it models the diffuse effects of TBI; a related limitation is that not all clinical TBI cases are characterized by a contusion. Another perceived limitation is that a non-clinically relevant craniotomy is performed. Biomechanically, this is irrelevant at the tissue level. However, craniotomies are not atraumatic and the effects of surgery should be controlled by including surgical sham control groups. CCI devices have also been successfully used to impact closed skulls to study mild and repetitive TBI. Future directions for CCI research surround continued

  14. What Is the Role of Nanotechnology in Diagnosis and Treatment of Metastatic Breast Cancer? Promising Scenarios for the Near Future

    Directory of Open Access Journals (Sweden)

    Truffi Marta

    2016-01-01

    Full Text Available Metastatic breast cancer represents a diagnostic and therapeutic challenge due to tumor heterogeneity and to various physiological barriers that hinder drug delivery to the metastatic sites. To overcome these limitations, nanoformulated drugs have been developed and tested in preclinical studies, and few of them have been successfully translated into clinical practice. In particular, liposomal anthracyclines and nanoformulated albumin-bound paclitaxel have revealed an improved therapeutic index when compared to conventional chemotherapy, with significant reduction of drugs toxicity. Several strategies for nanoparticles engineering have more recently been explored to increase selectivity for tumor cells and to reach poorly accessible metastatic districts. Targeted nanoparticles, directed toward tumor markers and tissue-specific metastases, may provide effective devices in case of low-vascularized and small-sized metastases, thus paving the way for a real change in the natural history of metastatic disease. A number of targets have been identified and exploited for surface functionalization of different types of nanoparticles, which are currently undergoing preclinical studies. The aim of this review is to provide an overview of current nanotechnology applied to metastatic breast cancer diagnosis and treatment. Promising results encourage an upcoming translation of this research into clinical practice for an effective management of the disease in the near future.

  15. A 60-year journey of mycorrhizal research in China:Past,present and future directions

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The significance of mycorrhizas(fungal roots in 90% of land plants) in plant nutrient acquisition and growth,element biogeo-chemical cycling and maintaining of terrestrial ecosystem structures has been globally established for more than 120 years.Great progress in mycorrhizal research in the past 60 years(1950-2009,1981-2009 in particular) has also been made across China,particularly in the mainland,Hong Kong and Taiwan.For instance,a total of 20 new and ~120 records of arbuscular mycorrhizal(AM) fungal species,30 new and ~800 records of ectomycorrhizal(EM) fungal species,a dozen of new and ~100 records of orchid mycorrhizal(OM) fungal species have been isolated by morphological observation and/or molecular identification in China since the 1950s.Great accomplishment has also been made in the following area,including fungal species richness and genetic structure,relationships between species composition and plant taxa,effects of mycorrhizal fungi on plant nutrient uptake and growth,resistances to pathogens and interactions with other soil microorganisms,potential of mycorrhizal fungi in phytoremediation and/or land reclamation,alterations of enzymatic activities in mycorrhizal plants,and elevated CO2 and O3 on root colonization and species diversity.Unfortunately,the international community cannot easily appreciate almost all Chinese mycorrhizal studies since the vast majority of them have been published in Chinese and/or in China-based journals.The aim of this review is to make a comprehensive exposure of the past and present China’s major mycorrhizal research to the whole world,and then to suggest potential directions for the enhancement of future mycorrhizal research within and/or between the Chinese and international mycorrhizal community.

  16. Resource potential of bamboo, challenges and future directions towards sustainable management and utilization in Ethiopia

    Directory of Open Access Journals (Sweden)

    Getachew Desalegn

    2014-08-01

    Full Text Available Aim of study: Bamboo, the fastest growing and high yielding perennial plant of the world has more than 1500 species and 1500 versatile socio-economic uses and ecological services. Ethiopia has two indigenous bamboo species namely Yushania alpina and Oxytenantheria abyssinica, covering about one million ha with a wide distribution. The objective of this paper is to highlight the potential of bamboo resources, challenges including biodeterioration damage, opportunities and future research directions towards its sustainable management and rational utilization.Area of study: Bamboo resources of EthiopiaMaterial and Methods: Reconnaissance survey was done to some parts of the bamboo growing potential areas in Ethiopia besides the literature review. Main results: The bamboo resource, despite its socio-economic and environmental benefits, currently, in most areas has been under high pressure due to land use changes, bamboo mass- flowering, poor processing with low value addition, and damage by biodeteriorating agents (termites, beetles and fungi. The preservative tests on Ethiopian bamboos revealed low natural durability and highlighted the paramount importance of appropriate protection measures such as Tanalith and vehicles used motor oil to increase durability, service life and rational utilization of bamboo-based products and structures as potential alternative construction and furniture material.Research highlights: Therefore, integrated research and development interventions involving different propagation and managements techniques, harvesting season, processing, value addition including proper seasoning and preservation technologies and marketing are recommended to fill the information and technological gaps on sustainable management and rational utilization of this fast growing and multipurpose bamboo resources in Ethiopia.Key words: Bamboo; challenges; management; socio-economic and environmental significance; utilization.

  17. Promising Fuel Cycle Options for R&D – Results, Insights, and Future Directions

    Energy Technology Data Exchange (ETDEWEB)

    Wigeland, Roald Arnold [Idaho National Laboratory

    2015-05-01

    The Fuel Cycle Options (FCO) campaign in the U.S. DOE Fuel Cycle Research & Development Program conducted a detailed evaluation and screening of nuclear fuel cycles. The process for this study was described at the 2014 ICAPP meeting. This paper reports on detailed insights and questions from the results of the study. The comprehensive study identified continuous recycle in fast reactors as the most promising option, using either U/Pu or U/TRU recycle, and potentially in combination with thermal reactors, as reported at the ICAPP 2014 meeting. This paper describes the examination of the results in detail that indicated that there was essentially no difference in benefit between U/Pu and U/TRU recycle, prompting questions about the desirability of pursuing the more complex U/TRU approach given that the estimated greater challenges for development and deployment. The results will be reported from the current effort that further explores what, if any, benefits of TRU recycle (minor actinides in addition to plutonium recycle) may be in order to inform decisions on future R&D directions. The study also identified continuous recycle using thorium-based fuel cycles as potentially promising, in either fast or thermal systems, but with lesser benefit. Detailed examination of these results indicated that the lesser benefit was confined to only a few of the evaluation metrics, identifying the conditions under which thorium-based fuel cycles would be promising to pursue. For the most promising fuel cycles, the FCO is also conducting analyses on the potential transition to such fuel cycles to identify the issues, challenges, and the timing for critical decisions that would need to be made to avoid unnecessary delay in deployment, including investigation of issues such as the effects of a temporary lack of plutonium fuel resources or supporting infrastructure. These studies are placed in the context of an overall analysis approach designed to provide comprehensive information to

  18. PLASMA OXYTOCIN CONCENTRATION AND DEPRESSIVE SYMPTOMS: A REVIEW OF CURRENT EVIDENCE AND DIRECTIONS FOR FUTURE RESEARCH.

    Science.gov (United States)

    Massey, Suena H; Backes, Katherine A; Schuette, Stephanie A

    2016-04-01

    There is substantial recent interest in the role of oxytocin in social and affiliative behaviors-animal models of depression have suggested a link between oxytocin and mood. We reviewed literature to date for evidence of a potential relationship between peripheral oxytocin concentration and depressive symptoms in humans. Pubmed(®) and PsychINFO(®) were searched for biomedical and social sciences literature from 1960 to May 19, 2015 for empirical articles in English involving human subjects focused on the relationship between peripheral oxytocin concentration and depressive symptoms, excluding articles on the oxytocin receptor gene, or involving exogenous (i.e. intranasal) administration of oxytocin. Eight studies meeting criteria were identified and formally reviewed. Studies of pregnant women suggested an inverse relationship between oxytocin level and depressive symptom severity. Findings in nonpregnant women were broadly consistent with the role of oxytocin release in response to stress supported by animal studies. The relationship between oxytocin and depression in men appeared to be in the opposite direction, possibly reflecting the influence of gonadal hormones on oxytocinergic functioning found in other mammalian species. Overall, small sample sizes, heterogeneity in study designs, and other methodological limitations may account for inconsistent findings. Future research utilizing reliable oxytocin measurement protocols including measurements across time, larger sample sizes, and sample homogeneity with respect to multiple possible confounders (age, gender, race and ethnicity, ovarian status among women, and psychosocial context) are needed to elucidate the role of oxytocin in the pathogenesis of depression, and could guide the design of novel pharmacologic agents. PMID:26756305

  19. Current guidelines for high-density lipoprotein cholesterol in therapy and future directions

    Directory of Open Access Journals (Sweden)

    Subedi BH

    2014-04-01

    Full Text Available Bishnu H Subedi,1,2 Parag H Joshi,1 Steven R Jones,1 Seth S Martin,1 Michael J Blaha,1 Erin D Michos1 1Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, 2Greater Baltimore Medical Center, Baltimore, MD, USA Abstract: Many studies have suggested that a significant risk factor for atherosclerotic cardiovascular disease (ASCVD is low high-density lipoprotein cholesterol (HDL-C. Therefore, increasing HDL-C with therapeutic agents has been considered an attractive strategy. In the prestatin era, fibrates and niacin monotherapy, which cause modest increases in HDL-C, reduced ASCVD events. Since their introduction, statins have become the cornerstone of lipoprotein therapy, the benefits of which are primarily attributed to decrease in low-density lipoprotein cholesterol. Findings from several randomized trials involving niacin or cholesteryl ester transfer protein inhibitors have challenged the concept that a quantitative elevation of plasma HDL-C will uniformly translate into ASCVD benefits. Consequently, the HDL, or more correctly, HDL-C hypothesis has become more controversial. There are no clear guidelines thus far for targeting HDL-C or HDL due to lack of solid outcomes data for HDL specific therapies. HDL-C levels are only one marker of HDL out of its several structural or functional properties. Novel approaches are ongoing in developing and assessing agents that closely mimic the structure of natural HDL or replicate its various functions, for example, reverse cholesterol transport, vasodilation, anti-inflammation, or inhibition of platelet aggregation. Potential new approaches like HDL infusions, delipidated HDL, liver X receptor agonists, Apo A-I upregulators, Apo A mimetics, and gene therapy are in early phase trials. This review will outline current therapies and describe future directions for HDL therapeutics. Keywords: high-density lipoprotein, lipids, cholesterol, atherosclerosis, cardiovascular disease, therapy

  20. Visual processing in anorexia nervosa and body dysmorphic disorder: similarities, differences, and future research directions.

    Science.gov (United States)

    Madsen, Sarah K; Bohon, Cara; Feusner, Jamie D

    2013-10-01

    Anorexia nervosa (AN) and body dysmorphic disorder (BDD) are psychiatric disorders that involve distortion of the experience of one's physical appearance. In AN, individuals believe that they are overweight, perceive their body as "fat," and are preoccupied with maintaining a low body weight. In BDD, individuals are preoccupied with misperceived defects in physical appearance, most often of the face. Distorted visual perception may contribute to these cardinal symptoms, and may be a common underlying phenotype. This review surveys the current literature on visual processing in AN and BDD, addressing lower- to higher-order stages of visual information processing and perception. We focus on peer-reviewed studies of AN and BDD that address ophthalmologic abnormalities, basic neural processing of visual input, integration of visual input with other systems, neuropsychological tests of visual processing, and representations of whole percepts (such as images of faces, bodies, and other objects). The literature suggests a pattern in both groups of over-attention to detail, reduced processing of global features, and a tendency to focus on symptom-specific details in their own images (body parts in AN, facial features in BDD), with cognitive strategy at least partially mediating the abnormalities. Visuospatial abnormalities were also evident when viewing images of others and for non-appearance related stimuli. Unfortunately no study has directly compared AN and BDD, and most studies were not designed to disentangle disease-related emotional responses from lower-order visual processing. We make recommendations for future studies to improve the understanding of visual processing abnormalities in AN and BDD. PMID:23810196

  1. The Oral HIV/AIDS Research Alliance Program: lessons learned and future directions.

    Science.gov (United States)

    Shiboski, C H; Webster-Cyriaque, J Y; Ghannoum, M; Dittmer, D P; Greenspan, J S

    2016-04-01

    The Oral HIV/AIDS Research Alliance (OHARA) was established in 2006 to provide the capacity to investigate the oral complications associated with HIV/AIDS within the ACTG infrastructure. Its goals were to explore the effects of potent antiretroviral therapy (ART) on the development of opportunistic infections, and variation and resistance of opportunistic pathogens in the context of immune suppression and long-term ART. The objectives of this talk, presented as part of a plenary session at the 7th World Workshop on Oral Health and Disease in AIDS, were to (i) provide an overview of OHARA's most recent research agenda, and how it evolved since OHARA's inception; (ii) describe OHARA's main accomplishments, including examples of research protocols completed and their key findings; and (iii) describe spin-off projects derived from OHARA, lessons learned, and future directions. OHARA has met its central goal and made key contributions to the field in several ways: (i) by developing/updating diagnostic criteria for oral disease endpoints commonly measured in OHARA protocols and in HIV/AIDS research in general and has creating standardized training modules, both for measuring these oral disease endpoints across clinical specialties, and for collecting oral fluid specimens; (ii) by implementing a total of nine protocols, six of which are completed. Three protocols involved domestic research sites, while three involved international research sites (in Africa, India, and South America); (iii) and by developing and validating a number of laboratory assays used in its protocols and in the field of oral HIV/AIDS research. PMID:27109281

  2. Non-Canonical Hh Signaling in Cancer—Current Understanding and Future Directions

    OpenAIRE

    Dongsheng Gu; Jingwu Xie

    2015-01-01

    As a major regulatory pathway for embryonic development and tissue patterning, hedgehog signaling is not active in most adult tissues, but is reactivated in a number of human cancer types. A major milestone in hedgehog signaling in cancer is the Food and Drug Administration (FDA) approval of a smoothened inhibitor Vismodegib for treatment of basal cell carcinomas. Vismodegib can block ligand-mediated hedgehog signaling, but numerous additional clinical trials have failed to show significant i...

  3. Albumin-bound paclitaxel in solid tumors: clinical development and future directions

    OpenAIRE

    Kundranda MN; Niu J

    2015-01-01

    Madappa N Kundranda,1 Jiaxin Niu21Medical Oncology, Banner MD Anderson Cancer Center, Gilbert, 2Department of Medical Oncology, Cancer Treatment Centers of America, Goodyear, Arizona, USA Abstract: Albumin-bound paclitaxel (nab-paclitaxel) is a solvent-free formulation of paclitaxel that was initially developed more than a decade ago to overcome toxicities associated with the solvents used in the formulation of standard paclitaxel and to potentially improve efficacy. Nab-paclitaxel has demons...

  4. Tumor-Infiltrating Lymphocytes in Triple Negative Breast Cancer: The Future of Immune Targeting

    Science.gov (United States)

    García-Teijido, Paula; Cabal, María Luque; Fernández, Ignacio Peláez; Pérez, Yolanda Fernández

    2016-01-01

    Triple negative breast cancer (TNBC) is a highly heterogeneous tumor. There is increasing evidence of the role of tumor lymphocytic immune infiltrates in this subtype of breast cancer. Robust levels of tumor infiltrating lymphocytes (TILs) have been associated with improved disease-free and overall survival rates in TNBC patients with and without any treatment. Recent efforts have been made to develop a standardized methodology for evaluating TILs. The presence of TILs in the breast tumor microenvironment can also predict responses not only to neoadjuvant but also to adjuvant chemotherapy treatments. High numbers of TILs correlate with increased pathological complete responses (pCR) in TNBC. TILs are prognostic and predictive of response to standard therapies; thus, the immune system appears to play an active role in a subgroup of breast cancer. There is an increasing interest in directly targeting the immune system as part of breast cancer therapy, mainly in patients with TNBC. New immune modulatory agents, including immune checkpoints inhibitors, have shown promising activity in a subgroup of metastatic TNBC. Increased programmed cell death protein 1 ligand (PD-L1) expression on the surface of TNBC provides the rationale for implementing therapeutic strategies targeting the PD-1/PD-L1 axis in TNBC. The programmed cell death protein 1 (PD-1) inhibitor pembrolizumab, and the PD-L1 inhibitor atezolizumab have shown promising results in clinical trials. PMID:27081325

  5. Chondromodulin-1 directly suppresses growth of human cancer cells

    International Nuclear Information System (INIS)

    Chondromodulin-1 (ChM1), an endogenous anti-angiogenic factor expressed in cartilage, has been suggested to inhibit invasion of endothelial cells into cartilage. In addition, the ectopic administration of ChM1 has been reported to suppress tumorigenesis in vivo. However, it is unclear whether the anti-tumor effect is due to not only the anti-vascularization effect of ChM1, but also its direct action against oncocytes. In the present study, we sought to determine whether ChM1 has a direct action on tumor cells. BrdU incorporation assay was performed on human umbilical vein endothelial cells (HUVECs), normal human dermal fibroblasts (NHDFs), HepG2 cells and HeLa cells in the presence or absence of recombinant human ChM1 (rhChM1). An adenovirus that expresses ChM1, Ad-ChM1, was established and applied to the tumor xenografted in vivo, and to in vitro tumor cells cultured on plates or in soft agar. Cell cycle-related proteins and the phosphorylation of Erk, Akt, and GSK3β, the downstream molecules of the extracellular matrix-integrin signaling pathways, in HepG2 cells treated with or without Ad-ChM1 were detected by western blot analysis. Luciferase reporter assays of STAT, GAS, and ISRE, which participate in another cytokine signaling pathway, ware performed in HepG2, HeLa, and HUVEC cells. ChM1 suppressed BrdU incorporation in HUVECs and in HepG2 cells dose-dependently, but did not suppress BrdU incorporation in NHDFs and HeLa cells cultured on plates. In soft agar, however, ChM1 suppressed the growth of HeLa cells, as well as HepG2 cells. Western blot analyses demonstrated that ChM1 decreased the levels of cyclin D1, cyclin D3, and cdk6 and increased those of p21cip1 without affecting the phosphorylation levels of Erk, Akt, and GSK3β in HepG2 cells. The luciferase reporter assay demonstrated that ChM1 suppressed the transcriptional activities of STAT and GAS but not of ISRE. ChM1 directly suppressed the proliferation of tumor cells in an anchorage

  6. The search for life's origins: Progress and future directions in planetary biology and chemical evolution

    Science.gov (United States)

    1990-01-01

    The current state is reviewed of the study of chemical evolution and planetary biology and the probable future is discussed of the field, at least for the near term. To this end, the report lists the goals and objectives of future research and makes detailed, comprehensive recommendations for accomplishing them, emphasizing those issues that were inadequately discussed in earlier Space Studies Board reports.

  7. Low temperature plasmas as emerging cancer therapeutics: the state of play and thoughts for the future.

    Science.gov (United States)

    Hirst, Adam M; Frame, Fiona M; Arya, Manit; Maitland, Norman J; O'Connell, Deborah

    2016-06-01

    The field of plasma medicine has seen substantial advances over the last decade, with applications developed for bacterial sterilisation, wound healing and cancer treatment. Low temperature plasmas (LTPs) are particularly suited for medical purposes since they are operated in the laboratory at atmospheric pressure and room temperature, providing a rich source of reactive oxygen and nitrogen species (RONS). A great deal of research has been conducted into the role of reactive species in both the growth and treatment of cancer, where long-established radio- and chemo-therapies exploit their ability to induce potent cytopathic effects. In addition to producing a plethora of RONS, LTPs can also create strong electroporative fields. From an application perspective, it has been shown that LTPs can be applied precisely to a small target area. On this basis, LTPs have been proposed as a promising future strategy to accurately and effectively control and eradicate tumours. This review aims to evaluate the current state of the literature in the field of plasma oncology and highlight the potential for the use of LTPs in combination therapy. We also present novel data on the effect of LTPs on cancer stem cells, and speculatively outline how LTPs could circumvent treatment resistance encountered with existing therapeutics. PMID:26888782

  8. Pharmacological Modulation of Proton Channel Hv1 in Cancer Therapy: Future Perspectives.

    Science.gov (United States)

    Fernández, Audry; Pupo, Amaury; Mena-Ulecia, Karel; Gonzalez, Carlos

    2016-09-01

    The pharmacological modulation of the immunosuppressive tumor microenvironment has emerged as a relevant component for cancer therapy. Several approaches aiming to deplete innate and adaptive suppressive populations, to circumvent the impairment in antigen presentation, and to ultimately increase the frequency of activated tumor-specific T cells are currently being explored. In this review, we address the potentiality of targeting the voltage-gated proton channel, Hv1, as a novel strategy to modulate the tumor microenvironment. The function of Hv1 in immune cells such as macrophages, neutrophils, dendritic cells, and T cells has been associated with the maintenance of NADPH oxidase activity and the generation of reactive oxygen species, which are required for the host defense against pathogens. We discuss evidence suggesting that the Hv1 proton channel could also be important for the function of these cells within the tumor microenvironment. Furthermore, as summarized here, tumor cells express Hv1 as a primary mechanism to extrude the increased amount of protons generated metabolically, thus maintaining physiologic values for the intracellular pH. Therefore, because this channel might be relevant for both tumor cells and immune cells supporting tumor growth, the pharmacological inhibition of Hv1 could be an innovative approach for cancer therapy. With that focus, we analyzed the available compounds that inhibit Hv1, highlighted the need to develop better drugs suitable for patients, and commented on the future perspectives of targeting Hv1 in the context of cancer therapy. PMID:27260771

  9. The direct medical costs of breast cancer in Iran: analyzing the patient′s level data from a cancer specific hospital in Isfahan

    Directory of Open Access Journals (Sweden)

    Majid Davari

    2013-01-01

    Conclusions: The direct economic cost of breast cancer in Iran is very high; nonetheless, as the age of breast cancer in Iran is nearly 10 years lower than Western countries, the burden of the disease in Iran is expected to be significantly high. Medication therapy is the main cost component of the breast cancer.

  10. Radiotherapy and Chemotherapy in Pancreatic Cancer. Topical Issues and Future Perspectives

    Directory of Open Access Journals (Sweden)

    Giovanni Boz

    2006-01-01

    Full Text Available Pancreatic cancer is one of the top five causes of cancer death in the Western world and long term survival remains poor with less than 5% of patients alive 5 years after diagnosis [1]. In 1996, the age-adjusted incidence and mortality rates were 12.6 and 12.4 per 100,000 inhabitants for men, and 7.4 and 7.2 per 100,000 inhabitants for women, respectively. The high mortality rate of pancreatic cancer is due to the high incidence of metastatic disease at the time of diagnosis and the lack of adequate systemic therapies. At present, surgery offers the only means of cure. Unfortunately, only 5-25% of patients present with resectable tumors. Patients who undergo radical resection for localized pancreatic cancer have a long-term survival rate of approximately 20% and a median survival time of 11 to 20 months. A much higher percentage (40% to 45% of patients present with metastatic disease, which carries a shorter median survival of 3 to 6 months [2]. Patients with locally advanced carcinoma of the pancreas constitute an intermediate group. These patients have pancreatic tumors which are defined as surgically unresectable, but have no evidence of distant metastases. A tumor without metastatic disease is considered unresectable if it has one of the following features: extensive peripancreatic lymph node involvement; encasement or occlusion of the superior mesenteric vein or portal vein confluence; direct involvement of the superior mesenteric artery, celiac axis, inferior vena cava or aorta. Combined treatment with radiation and chemotherapy increases median survival for patients with locally advanced cancer of approximately 9 to 13 months, but rarely results in long term survival [2].

  11. Developmental programming: State-of-the-science and future directions-summary from a Pennington biomedical symposium

    Science.gov (United States)

    On December 8-9, 2014, the Pennington Biomedical Research Center convened a scientific symposium to review the state-of-the-science and future directions for the study of developmental programming of obesity and chronic disease. The objectives of the symposium were to discuss: (i) past and current s...

  12. 76 FR 47596 - Notice of Scientific Summit; The Science of Compassion-Future Directions in End-of-Life and...

    Science.gov (United States)

    2011-08-05

    ... HUMAN SERVICES National Institutes of Health Notice of Scientific Summit; The Science of Compassion... Institute of Nursing Research (NINR), National Institutes of Health (NIH), Department of Health and Human Services, will convene a scientific summit titled ``The Science of Compassion--Future Directions in...

  13. Biomechanical energy harvesting from human motion: theory, state of the art, design guidelines, and future directions

    Directory of Open Access Journals (Sweden)

    Shapiro Amir

    2011-04-01

    Full Text Available Abstract Background Biomechanical energy harvesting from human motion presents a promising clean alternative to electrical power supplied by batteries for portable electronic devices and for computerized and motorized prosthetics. We present the theory of energy harvesting from the human body and describe the amount of energy that can be harvested from body heat and from motions of various parts of the body during walking, such as heel strike; ankle, knee, hip, shoulder, and elbow joint motion; and center of mass vertical motion. Methods We evaluated major motions performed during walking and identified the amount of work the body expends and the portion of recoverable energy. During walking, there are phases of the motion at the joints where muscles act as brakes and energy is lost to the surroundings. During those phases of motion, the required braking force or torque can be replaced by an electrical generator, allowing energy to be harvested at the cost of only minimal additional effort. The amount of energy that can be harvested was estimated experimentally and from literature data. Recommendations for future directions are made on the basis of our results in combination with a review of state-of-the-art biomechanical energy harvesting devices and energy conversion methods. Results For a device that uses center of mass motion, the maximum amount of energy that can be harvested is approximately 1 W per kilogram of device weight. For a person weighing 80 kg and walking at approximately 4 km/h, the power generation from the heel strike is approximately 2 W. For a joint-mounted device based on generative braking, the joints generating the most power are the knees (34 W and the ankles (20 W. Conclusions Our theoretical calculations align well with current device performance data. Our results suggest that the most energy can be harvested from the lower limb joints, but to do so efficiently, an innovative and light-weight mechanical design is

  14. Laser Direct-Write Onto Live Tissues: A Novel Model for Studying Cancer Cell Migration.

    Science.gov (United States)

    Burks, Hope E; Phamduy, Theresa B; Azimi, Mohammad S; Saksena, Jayant; Burow, Matthew E; Collins-Burow, Bridgette M; Chrisey, Douglas B; Murfee, Walter L

    2016-11-01

    Investigation into the mechanisms driving cancer cell behavior and the subsequent development of novel targeted therapeutics requires comprehensive experimental models that mimic the complexity of the tumor microenvironment. Recently, our laboratories have combined a novel tissue culture model and laser direct-write, a form of bioprinting, to spatially position single or clustered cancer cells onto ex vivo microvascular networks containing blood vessels, lymphatic vessels, and interstitial cell populations. Herein, we highlight this new model as a tool for quantifying cancer cell motility and effects on angiogenesis and lymphangiogenesis in an intact network that matches the complexity of a real tissue. Application of our proposed methodology offers an innovative ex vivo tissue perspective for evaluating the effects of gene expression and targeted molecular therapies on cancer cell migration and invasion. J. Cell. Physiol. 231: 2333-2338, 2016. © 2016 Wiley Periodicals, Inc. PMID:26923437

  15. 77 FR 66959 - Request for Information on the Future Direction of the Rehabilitation Training Program

    Science.gov (United States)

    2012-11-08

    ..., address them to Roseann Ashby, Office of Special Education and Rehabilitative Services, Attention: Future... Individuals 10 1 0 10 3 with Mental Illnesses (H129H).. Rehabilitation Psychology 2 1 0 1 1...

  16. Effect of direct moxibustion at Sihua points on cytokine of chemotherapy patients with lung cancer

    Institute of Scientific and Technical Information of China (English)

    张去飞

    2013-01-01

    Objective To observe the effect of direct moxibustion at Sihua points on immune function and life qualityof chemotherapy patients with non-small cell lung cancer.Methods Eighty cases were randomly divided into a chemotherapy and moxibustion group(group A)and

  17. New directions in cellular therapy of cancer: a summary of the summit on cellular therapy for cancer

    Directory of Open Access Journals (Sweden)

    Stroncek David F

    2012-03-01

    Full Text Available Abstract A summit on cellular therapy for cancer discussed and presented advances related to the use of adoptive cellular therapy for melanoma and other cancers. The summit revealed that this field is advancing rapidly. Conventional cellular therapies, such as tumor infiltrating lymphocytes (TIL, are becoming more effective and more available. Gene therapy is becoming an important tool in adoptive cell therapy. Lymphocytes are being engineered to express high affinity T cell receptors (TCRs, chimeric antibody-T cell receptors (CARs and cytokines. T cell subsets with more naïve and stem cell-like characteristics have been shown in pre-clinical models to be more effective than unselected populations and it is now possible to reprogram T cells and to produce T cells with stem cell characteristics. In the future, combinations of adoptive transfer of T cells and specific vaccination against the cognate antigen can be envisaged to further enhance the effectiveness of these therapies.

  18. Social Media and Alcohol: Summary of Research, Intervention Ideas and Future Study Directions

    OpenAIRE

    Moreno, Megan A.; Jon D’Angelo; Jennifer Whitehill

    2016-01-01

    Alcohol content is frequently displayed on social media through both user-generated posts and advertisements. Previous work supports that alcohol content on social media is influential and often associated with offline behaviors for adolescents and young adults. Social media may have a role in future alcohol intervention efforts including identifying those at risk or providing timely prevention messages. Future intervention efforts may benefit from an affordance approach rather than focusing ...

  19. Social Media and Alcohol: Summary of Research, Intervention Ideas and Future Study Directions

    OpenAIRE

    Moreno, Megan A.; D'Angelo, Jon; Whitehill, Jennifer

    2016-01-01

    Alcohol content is frequently displayed on social media through both user-generated posts and advertisements. Previous work supports that alcohol content on social media is influential and often associated with offline behaviors for adolescents and young adults. Social media may have a role in future alcohol intervention efforts including identifying those at risk or providing timely prevention messages. Future intervention efforts may benefit from an affordance approach rather than focusi...

  20. Social Media and Alcohol: Summary of Research, Intervention Ideas and Future Study Directions

    Directory of Open Access Journals (Sweden)

    Megan A. Moreno

    2016-06-01

    Full Text Available Alcohol content is frequently displayed on social media through both user-generated posts and advertisements. Previous work supports that alcohol content on social media is influential and often associated with offline behaviors for adolescents and young adults. Social media may have a role in future alcohol intervention efforts including identifying those at risk or providing timely prevention messages. Future intervention efforts may benefit from an affordance approach rather than focusing on a single platform.

  1. Therapeutic Strategies for Human IgM Antibodies Directed at Tumor-Associated Ganglioside Antigens: Discoveries Made During the Morton Era and Future Directions.

    Science.gov (United States)

    Jones, Peter C; Irie, Reiko F

    2016-01-01

    Tumor-associated gangliosides have been investigated for their potential as antigenic targets for more than 35 years, culminating in the recent Food and Drug Administration approval of dinutuximab (Unituxin), an IgG antibody targeted against GD2, for the treatment of neuroblastoma in children. This review is focused on discoveries and development of therapeutic approaches involving human IgM antibodies directed against gangliosides, which occurred over the past 40 years at University of California-Los Angeles and the John Wayne Cancer Institute, where Dr. Donald Morton led the surgical oncology department until his death. PMID:27481004

  2. Functional Time Series Models to Estimate Future Age-Specific Breast Cancer Incidence Rates for Women in Karachi, Pakistan

    Institute of Scientific and Technical Information of China (English)

    Farah Yasmeen[1; Sidra Zaheer[2

    2014-01-01

    Background: Breast cancer is the most common female cancer in Pakistan. The incidence of breast cancer in Pakistan is about 2.5 times higher than that in the neighboring countries India and Iran. In Karachi, the most populated city of Pakistan, the age-standardized rate of breast cancer was 69.1 per 100,000 women during 1998-2002, which is the highest recorded rate in Asia. The carcinoma of breast in Pakistan is an enormous public health concern. In this study, we examined the recent trends of breast cancer incidence rates among the women in Karachi. Methods: We obtained the secondary data of breast cancer incidence from various hospitals. They included Jinnah Hospital, KIRAN (Karachi Institute of Radiotherapy and Nuclear Medicine), and Civil hospital, where the data were available for the years 2004-2011. A total of 5331 new cases of female breast cancer were registered during this period. We analyzed the data in 5-year age groups 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75+. Nonparametric smoothing were used to obtained age-specific incidence curves, and then the curves are decomposed using principal components analysis to fit FTS (functional time series) model. We then used exponential smoothing statspace models to estimate the forecasts of incidence curve and construct prediction intervals. Results: The breast cancer incidence rates in Karachi increased with age for all available years. The rates increased monotonically and are relatively sharp with the age from 15 years to 50 years and then they show variability after the age of 50 years. 10-year forecasts for the female breast cancer incidence rates in Karachi show that the future rates are expected to remain stable for the age-groups 15-50 years, but they will increase for the females of 50-years and over. Hence in future, the newly diagnosed breast cancer cases in the older women in Karachi are expected to increase. Conclusion: Prediction of age

  3. The future of e-learning in healthcare professional education: some possible directions

    Directory of Open Access Journals (Sweden)

    Kieran Walsh

    2014-12-01

    Full Text Available E-learning in healthcare professional education still seems like it is a new innovation but the reality is that e-learning has been around for as long as the internet has been around. This is approximately twenty years and so it is probably appropriate to now take stock and consider what the future of e-learning in healthcare professional education might be. One likely occurrence is that there will be more formats, more interactive technology, and sometimes game-based learning. Another future of healthcare professional education will likely be in simulation. Like other forms of technology outside of medicine, the cost of e-learning in healthcare professional education will fall rapidly. E-learning will also become more adaptive in the future and so will deliver educational content based on learners' exact needs. The future of e-learning will also be mobile. Increasingly in the future e-learning will be blended with face to face education.

  4. Improvements in the use of aquatic herbicides and establishment of future research directions

    Science.gov (United States)

    Getsinger, K.D.; Netherland, M.D.; Grue, C.E.; Koschnick, T.J.

    2008-01-01

    priorities for future research directions in chemical management of submersed plants. The priorities we identified include: (A) improving methods for evaluating non-target impacts of herbicides with an emphasis on threatened and endangered species, or species of special concern; (B) improving herbicide performance in flowing-water environments, including irrigation canals; (C) screening and developing new herbicides to supplement fluridone for large-scale or whole-lake management approaches; (D) screening and developing new organic algaecides to supplement the use of copper-based compounds; (E) developing risk assessment tools to educate the public on the risks of invasive species and chemical management options; (F) increasing cooperative research with ecologists and fisheries scientists to evaluate the long-term impacts of invasive species introductions and herbicide programs on native plant assemblages, water quality, and fish populations; and (G) improving the integration of chemical control technology with other aquatic plant management disciplines. While circumstances may dictate setting new priorities or dropping current ones, the list we have generated represents our vision of the needs that will require the greatest focus over the next several years.

  5. Nuclear security: Lessons learned from the past and future global directions

    International Nuclear Information System (INIS)

    nuclear material. Modern society, whether in developed or in developing countries, depends on the availability of nuclear energy and on the day to day use of radioactive material in medicine, agriculture, industry and research. Before 11 September these activities were mainly covered by safety rules regarding health and the environment. Since 11 September it is clear that these activities also require adequate security. For the continued, and expanded, use of nuclear energy or radioactive material, nuclear security is indispensable and an important prerequisite for successful and sustainable development. We are now at a time for reflection and for developing our plan for the next stage of our collective efforts of improving nuclear security. More than three years have passed since September 2001, and we have gained much experience. Through many of our nuclear security services, expert assistance and training events, we have assisted Member States in their efforts to improve their preparedness and response capabilities and have acquired a much better understanding of Member States' problems and concerns and of the need for further support. This conference aims at reviewing where we stand and the achievements we have made as well as identifying the issues and directions for our future efforts

  6. Cancer chemoprevention and nutriepigenetics: state of the art and future challenges.

    Science.gov (United States)

    Gerhauser, Clarissa

    2013-01-01

    (I3C), diindolylmethane (DIM), sulforaphane, phenylethyl isothiocyanate (PEITC), phenylhexyl isothiocyanate (PHI), diallyldisulfide (DADS) and its metabolite allyl mercaptan (AM), cambinol, and relatively unexplored modulators of histone lysine methylation (chaetocin, polyamine analogs). So far, data are still mainly derived from in vitro investigations, and results of animal models or human intervention studies are limited that demonstrate the functional relevance of epigenetic mechanisms for health promoting or cancer preventive efficacy of natural products. Also, most studies have focused on single candidate genes or mechanisms. With the emergence of novel technologies such as next-generation sequencing, future research has the potential to explore nutriepigenomics at a genome-wide level to understand better the importance of epigenetic mechanisms for gene regulation in cancer chemoprevention. PMID:22955508

  7. Cancer cell resistance to AURK-directed therapy: implications for anti-cancer strategies

    Czech Academy of Sciences Publication Activity Database

    Hrabáková, Rita; Kollareddy, M.; Mairychová, Kateřina; Halada, Petr; Hajduch, M.; Kovářová, Hana

    Praha: Institute of Animal Physiology and Genetics ASCR, v. v. i, 2011. s. 23-23. [5th Central and Eastern European Proteomics Conference.. 19.09.2011-22.9.2011, Praha] R&D Projects: GA MŠk LC07017 Institutional research plan: CEZ:AV0Z50450515; CEZ:AV0Z50200510 Keywords : drug resistance * anti-cancer therapy * proteomics * biomarker Subject RIV: CE - Biochemistry

  8. Designing anti-cancer drugs and directing anti-cancer therapy

    OpenAIRE

    Velasquez, Elinor; Soto-Andrade, Jorge; Bongalon, Ben

    2014-01-01

    A prototype for a web application was designed and implemented as a guide to be used by clinicians when designing the best drug therapy for a specific cancer patient, given biological data derived from the patients tumor tissue biopsy. A representation of the patients metabolic pathways is displayed as a graph in the application, with nodes as substrates and products and edges as enzymes. The top metabolically active sub- paths in the pathway, ranked using an algorithm based on both the patie...

  9. Norwegian gas sale in an international perspective - future-directed organization

    International Nuclear Information System (INIS)

    This paper deals with future organization of the Norwegian gas sale. The author gives at first a brief review of the Norwegian gas sale, and then a discussion on which type of criteria being based on by evaluation of models for the Norwegian gas sale. A comparison on which type of criteria used in other gas supplying countries is discussed. The author discusses tendencies of development in the international market including Europe, and is questioning if the existing system of gas sale is prepared to meet future challenges. Several types of proposals are presented to solve these challenges. 5 figs

  10. Development of E-learning in higher education and future directions

    OpenAIRE

    Uhomoibhi, J.O; Palma, J; Alves, Paulo; Elpebion, Y.; Restivo, T.M.; Piteira, M.R.; Soares, F.O.; Fernandez, C

    2011-01-01

    The present paper is based on the work of the ‘Future of E-Learning Group’, a constituent of the EUNIS E-Learning task Force. The group has set up a number of tasks to fulfill its role, one of which, is seeking and disseminating information on the development of e-learning with a view to ensuring the right guide is provided for progress into the future. In our work to date, in this era of globalization, we question the ability of present university systems to respond adequately and appropriat...

  11. Future directions in technology development - Increased use of space as a facility

    Science.gov (United States)

    Ambrus, Judith H.; Harris, Leonard A.; Levine, Jack; Tyson, Richard W.

    1988-01-01

    As human activities in space continue to grow in size and scope, the role of in-space technology experiments, as a necessary tool for essential technological development, will also grow. NASA has recognized the increasing importance of such experiments, and has instituted programs to plan, organize, and coordinate future in-space technology experiment activities within the overall space community. This paper discusses the history of in-space technology experiments, and expected future trends. It also describes NASA activities in this growing area of experimentation, and provides several examples of such experiments.

  12. The EU Nickel Directive revisited--future steps towards better protection against nickel allergy

    DEFF Research Database (Denmark)

    Thyssen, Jacob P; Uter, Wolfgang; McFadden, John;

    2011-01-01

    the EU Nickel Directive. Despite this, the EU Nickel Directive part 2 was expected to work as an operational limit that would sufficiently protect European consumers against nickel allergy and dermatitis. This review presents the accumulation of epidemiological studies that evaluated the possible...

  13. (13)C-5-FU breath test current status and future directions: a comprehensive review.

    Science.gov (United States)

    Ezzeldin, Hany H; Acosta, Edward P; Mattison, Lori K; Fourie, Jeanne; Modak, Anil; Diasio, Robert B

    2009-12-01

    Breath tests (BTs) represent a safe non-invasive alternative strategy that could provide valuable diagnostic information in conditions like fat malabsorption, carbohydrate (lactose and fructose) malabsorption, liver dysfunction, impaired gastric emptying, abnormal small bowel transit time, small intestinal bacterial overgrowth and Helicobacter pylori infection. To date, despite the availability of a number of breath tests, only three have gained approval by the FDA for application in a clinical setting ((13)C-urea breath test for the detection of H. pylori; NO breath test for monitoring asthma and alkane breath test for heart transplant rejection). Unfortunately, none of these tests investigate cancer patients or response to cancer chemotherapy. Several years ago it was realized that the presence of a reliable non-invasive approach could assist in the detection of patients at risk of developing severe life-threatening toxicities prior to the administration of fluoropyrimidines (e.g. 5-FU) or related cancer chemotherapy. 5-FU toxicity results mainly from deficient uracil catabolism. This review discusses the development of a BT that utilizes an orally administered pyrimidine ([2-(13)C]-uracil) which is metabolized via the same catabolic pathway as 5-FU. This ([2-(13)C]-uracil) breath test could provide a valuable addition to the patients' standard of care. PMID:21386199

  14. Moving molecularly directed therapies to the first-line in ALK-positive lung cancer: crizotinib is just the beginning.

    Science.gov (United States)

    Klempner, Samuel J; Raufi, Alexander; Ou, Sai-Hong Ignatius

    2015-10-01

    The increasing appreciation of oncogenic driver alterations in non-small cell lung cancer (NSCLC) has resulted in a rapid expansion of therapeutic compounds. Epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) alterations are the prototypical examples and have driven the paradigm shift in NSCLC management. Early phase studies in previously treated ALK+ patients demonstrated activity and recently Solomon et al. confirmed the superiority of crizotinib over chemotherapy in first line treatment. The phase III PROFILE 1014 represents the culmination of the rapid development of crizotinib and provides lessons for future generation ALK inhibitors and other molecularly directed therapies in NSCLC. Important considerations for second and third generation inhibitors include the ability to overcome known resistance mechanisms, CNS activity, improvement in side effect profile, and safety in possible combination strategies. PMID:26629439

  15. Intent to participate in future cervical cancer screenings is lower when satisfaction with the decision to be vaccinated is neutral.

    Directory of Open Access Journals (Sweden)

    Natalie Marya Alexander

    Full Text Available HPV vaccination programs have adversely affected participation in future cervical cancer screening. The purpose of this study is to determine the influence of decision satisfaction with accepting/rejecting the HPV vaccine, as well as traditional clinical factors, on the intent to participate in future screening.From January 2011 through August 2012 women 18-26 years old presenting for health care in an urban college student health and wellness clinic in the US Midwest were asked to complete a descriptive and medical history survey including a six element decisional satisfaction survey scored on 5-point Likert scales, where the intent to participate in future cervical cancer screening was measured. Of the 568 women who completed the decisional satisfaction survey, 17% of those <21 years and 7% ≥ 21 years indicated no intent to participate in future cervical cancer screenings. Among women of current screening age, the univariate risk factors of race/ethnicity, contraceptive use, number of lifetime sexual partners, and receipt of HPV vaccine were not predictors of intent for future cervical cancer screening. Instead, only a history of a prior Pap test was a significant positive predictor and only a decisional satisfaction of 'neutral' (Likert score = 3 for any of the four decisional satisfaction elements was a significant negative predictor. For the decisional satisfaction element "best for me personally", there was a 78% decreased likelihood of intending to participate in future screening if the satisfaction was neutral rather than firm (aOR = 0.22, 95% CI: 0.05-0.91 and a 26 fold increased likelihood if she had had a prior Pap test (aOR = 26, 95% CI: 5-133.HPV vaccination implementation programs must help women be the owner of their decision around HPV vaccination and understand the importance of future participation in cervical cancer screening.

  16. Improved detection of liver cancer with hepatocytes-directed superparamagnetic iron oxide particles

    International Nuclear Information System (INIS)

    This paper investigates the use of a novel superparamagnetic MR contrast agent directed to asialoglycoprotein (ASG) receptors on hepatocytes for the detection of liver cancer. Ultrasmall (mean size, 12 nm) superparamagnetic particles of iron oxide (USPIO) are targeted to ASG receptors by coating particles with arabinogalactan (AG-USPIO). Hepatocyte and tumor cell receptor affinity studies, relaxation effects, and changes in tumor-liver contrast of AG-USPIO are compared to conventional iron oxide preparations (AMI-25 and USPIO) in animal models (hepatocellular and mammary adenocarcinoma) of liver cancer (N = 115 rats)

  17. Laser Ion Acceleration Toward Future Ion Beam Cancer Therapy - Numerical Simulation Sudy-

    CERN Document Server

    Kawata, Shigeo; Nagashima, Toshihiro; Takano, Masahiro; Barada, Daisuke; Kong, Qing; Gu, Yan Jun; Wang, Ping Xiao; Ma, Yan Yun; Wang, Wei Ming

    2013-01-01

    Ion beam has been used in cancer treatment, and has a unique preferable feature to deposit its main energy inside a human body so that cancer cell could be killed by the ion beam. However, conventional ion accelerator tends to be huge in its size and its cost. In this paper a future intense-laser ion accelerator is proposed to make the ion accelerator compact. An intense femtosecond pulsed laser was employed to accelerate ions. The issues in the laser ion accelerator include the energy efficiency from the laser to the ions, the ion beam collimation, the ion energy spectrum control, the ion beam bunching and the ion particle energy control. In the study particle computer simulations were performed to solve the issues, and each component was designed to control the ion beam quality. When an intense laser illuminates a target, electrons in the target are accelerated and leave from the target; temporarily a strong electric field is formed between the high-energy electrons and the target ions, and the target ions ...

  18. Case-control design as investigative approach to assessing cancer etiology: development and future perspectives.

    Science.gov (United States)

    Kocic, B; Filipovic, S; Petrovic, B; Nikolic, M

    2012-01-01

    The case-control method evolved out of analyses of series of cases. The analytic form of the case-control study can be found in the 19th century medical literature, but did not appear to be viewed as a special or distinct methodology. The first modern case-control study was the Janet Lane-Claypon's study of breast cancer in 1926, but the design was used only sporadically in medicine until 1950, when 4 published casecontrol studies linked smoking and lung cancer. These 1950s studies synthesized the essential elements of the case-control comparison, produced a conceptual shift within epidemiology, and laid the foundation for the rapid development of the case-control design in the subsequent half century. The powerful consistency of these case-control studies, and the replication of their findings in later prospective studies, promoted the general acceptance of the case-control study as a scientific tool in clinical research. Newer case-control studies have benefited from the advances in design, execution and analysis since 1950s. These advances include more rigorous selection and matching of case and control population, improved interviewing techniques, location of the design within a general framework of epidemiologic strategies for relating exposure to disease, understanding of the measures of effect, and application of increasingly sophisticated statistical procedures to findings. This review traces the development and future perspectives of the case-control design to assessing cancer etiology. With illustrations drawn primarily from the literature on its use and the value of its results to unravelling the etiology of malignant diseases, we tried to explore if the case-control approach firmly ensconced in epidemiology as investigational tool and rivals in importance the more straightforward cohort approach. PMID:23033277

  19. The ABPN Maintenance of Certification Program for Psychiatrists: Past History, Current Status, and Future Directions

    Science.gov (United States)

    Faulkner, Larry R.; Tivnan, Patricia W.; Winstead, Daniel K.; Reus, Victor I.; Andrade, Naleen N.; Brooks, Beth Ann; Colenda, Christopher C.; Mrazek, David A.; Reifler, Burton V.; Schneidman, Barbara

    2008-01-01

    Objective: To describe the American Board of Psychiatry and Neurology (ABPN) Maintenance of Certification Program, its underlying rationale, how it will be implemented now, and what it might look like in the future. Methods: The authors describe the philosophical foundation, specific components, and the implementation timeline of the ABPN…

  20. Future Directions of Management Science and Operations Management in Business School Curricula

    Science.gov (United States)

    Fuller, Jack A.; Denton, James W.

    2006-01-01

    The fields of Management Science (MS) and Operations Management (OM) have co-existed in business school curricula for over a half century. This paper examines five trends that point toward a bright future for Operations Management in the business curriculum. These trends include an increasing emphasis on global competition, the growth of the…

  1. Research on Technology and Teacher Education: Current Status and Future Directions.

    Science.gov (United States)

    Willis, Jerry; Thompson, Ann; Sadera, William

    1999-01-01

    Discusses the emergence of information technology in teacher education (ITTE) as a discipline; describes paradigms for research and development work, including empiricism, critical theory, and interpretivism; examines literature reviews, policy issues, diffusion of innovation, and component studies; and considers future possibilities. (Contains 89…

  2. Ascorbic acid, cognitive function, and Alzheimer’s disease: a current review and future direction

    OpenAIRE

    Bowman, Gene L.

    2012-01-01

    This narrative review appraises the human and animal studies implicating ascorbic acid (AA) in normal cognitive function and Alzheimer’s disease. A research framework for how nutrition affects brain aging is proposed with emphasis on AA intake, status, metabolism, and transport into brain tissue. A final synopsis highlights areas for future research regarding AA nourishment and healthy brain aging.

  3. Research in Online and Blended Learning in the Business Disciplines: Key Findings and Possible Future Directions

    Science.gov (United States)

    Arbaugh, J. B.; Godfrey, Michael R.; Johnson, Marianne; Pollack, Birgit Leisen; Niendorf, Bruce; Wresch, William

    2009-01-01

    In this literature review, we examine and assess the state of research of online and blended learning in the business disciplines with the intent of assessing the state of the field and identifying opportunities for meaningful future research. We review research from business disciplines such as Accounting, Economics, Finance, Information Systems…

  4. A Review of Research on Metacognition in Science Education: Current and Future Directions

    Science.gov (United States)

    Zohar, Anat; Barzilai, Sarit

    2013-01-01

    The goal of this study is to map the current state of research in the field of metacognition in science education, to identify key trends, and to discern areas and questions for future research. We conducted a systematic analysis of 178 studies published in peer-reviewed journals in the years 2000-2012 and indexed in the ERIC database. The…

  5. ICGI: Past, Present and Future Direction%ICGI:过去、现在及未来

    Institute of Scientific and Technical Information of China (English)

    Roy G. CANTRELL; Lloyd MAY

    2002-01-01

    @@ Cotton is viewed as the most important cash crop in the world, and sustains the agricultural economies of many nations by providing a sustainable fiber product for the textilindustries.Unfortunately, many challenges face cotton production at present and in the future.

  6. Treading lightly on shifting ground: The direction and motivation of future geological research

    Science.gov (United States)

    Witt, A.C.

    2011-01-01

    The future of the geosciences and geological research will involve complex scientific challenges, primarily concerning global and regional environmental issues, in the next 20-30 years. It is quite reasonable to suspect, based on current political and socioeconomic events, that young geoscientists will be faced with and involved in helping to resolve some well defined problems: water and energy security, the effects of anthropogenic climate change, coastal sea level rise and development, and the mitigation of geohazards. It is how we choose to approach these challenges that will define our future. Interdisciplinary applied research, improved modeling and prediction augmented with faster and more sophisticated computing, and a greater role in creating and guiding public policy, will help us achieve our goals of a cleaner and safer Earth environment in the next 30 years. In the far future, even grander possibilities for eliminating the risk of certain geohazards and finding sustainable solutions to our energy needs can be envisioned. Looking deeper into the future, the possibilities for geoscience research push the limits of the imagination.

  7. Learning in Dramatic and Virtual Worlds: What Do Students Say about Complementarity and Future Directions?

    Science.gov (United States)

    O'Toole, John; Dunn, Julie

    2008-01-01

    This article reports the findings of a research project that saw researchers from interaction design and drama education come together with a group of eleven and twelve year olds to investigate the current and future complementarity of computers and live classroom drama. The project was part of a pilot feasibility study commissioned by the…

  8. Reaching the Future Teachers in Your Classroom: New Directions in Pre-Service Education

    Science.gov (United States)

    Grier, Jennifer A.; Ruberg, L.

    2006-09-01

    We will present results and progress from initiatives seeking to improve the experiences of future teachers in college level science classes. A future teacher (pre-service teacher) is inspired to teach science based on personal experiences with college science classes. The most critical opportunity to make a real difference in science education in schools comes when the teachers themselves are first being educated. Given the difficulties in identifying future teachers and the wide variations in their needs, how can we best help future teachers in training? What critical thinking skills are most important for them to absorb from their exposure to science as undergraduates and graduate students? What teaching and learning experiences can we offer that will help science teachers in training confidently assess the relationship between evidence and explanations and then bring that understanding and experience effectively into their own classroom? Recent initiatives in pre-service education have identified several key strategies for improving teacher preparation at the post-secondary level: - Using a constructivist approach to teach physical science concepts and guided inquiry - Knowing common misconceptions about key scientific concepts that students bring to college-level science classrooms - Applying documented strategies for identifying and addressing student misconceptions; and - Knowing how to select and adapt curriculum materials based on common preconceptions held by students. The challenge of reaching these outcomes is complex and cannot be addressed with simple solutions. Teaching strategies that help prepare future teachers include modeling effective teaching of science, understanding the relationship between student/teacher misconceptions, designing and implementing evaluation and assessment, appropriate use of technology tools, and tapping into the existing community of learners to provide ongoing education opportunities and support as the pre

  9. Intent to Participate in Future Cervical Cancer Screenings Is Lower when Satisfaction with the Decision to Be Vaccinated Is Neutral

    OpenAIRE

    Alexander, Natalie Marya; Harper, Diane Medved; Comes, Johanna Claire; Smith, Melissa Smith; Heutinck, Melinda Ann; Handley, Sandra Martin; Ahern, Debra Ann

    2014-01-01

    Background HPV vaccination programs have adversely affected participation in future cervical cancer screening. The purpose of this study is to determine the influence of decision satisfaction with accepting/rejecting the HPV vaccine, as well as traditional clinical factors, on the intent to participate in future screening. Methods and Findings From January 2011 through August 2012 women 18–26 years old presenting for health care in an urban college student health and wellness clinic in the US...

  10. Future Directions in Computer Graphics and Visualization: From CG&A's Editorial Board

    Energy Technology Data Exchange (ETDEWEB)

    Encarnacao, L. M.; Chuang, Yung-Yu; Stork, Andre; Kasik, David; Rhyne, Theresa-Marie; Avila, Lisa; Kohlhammer, Jorn; LaViola, Joseph; Tory, Melanie; Dill, John; Domik, Gitta; Owen, G. Scott; Wong, Pak C.

    2015-01-01

    With many new members joining the CG&A editorial board over the past year, and with a renewed commitment to not only document the state of the art in computer graphics research and applications but to anticipate and where possible foster future areas of scientific discourse and industrial practice, we asked editorial and advisory council members about where they see their fields of expertise going. The answers compiled here aren’t meant to be all encompassing or deterministic when it comes to the opportunities computer graphics and interactive visualization hold for the future. Instead, we aim to accomplish two things: give a more in-depth introduction of members of the editorial board to the CG&A readership and encourage cross-disciplinary discourse toward approaching, complementing, or disputing the visions laid out in this compilation.

  11. Islamic Banking and Finance: Recent Empirical Literature and Directions for Future Research

    OpenAIRE

    Abedifar, Pejman; Ebrahim, Shahid; Molyneux, Philip; Tarazi, Amine

    2014-01-01

    This paper examines the recent empirical literature in Islamic banking and finance, highlights the main findings and provides a guide for future research. Early studies focus on the efficiency, production technology and general performance features of Islamic versus conventional banks, whereas more recent work looks at profit and loss-sharing (PLS) behaviour, competition, risks as well as other dimensions such as small business lending and financial inclusion. Apart from key exceptions, the e...

  12. ETSI reconfigurable radio systems : Status and future directions on software defined radio and cognitive radio standards

    OpenAIRE

    Mueck M.; Piipponen A.; Kalliojarvi K.; Dimitrakopoulos G.; Tsagkaris K.; Demestichas P.; Casadevall F.; Perez-Romero J.; Sallent O.; Baldini G.

    2010-01-01

    Feature Topic on Advances in IEEE Standards and Testbeds for Cognitive Radio Networks International audience This article details the current work status of the ETSI Reconfigurable Radio Systems Techni- cal Committee, positions the ETSI work with respect to other standards efforts (IEEE 802, IEEE SCC41) as well as the European Regula- tory Framework, and gives an outlook on the future evolution. In particular, software defined radio related study results are presented with a focus on SD...

  13. Adolescent Cellphone Use While Driving: An Overview of the Literature and Promising Future Directions for Prevention

    OpenAIRE

    M. Kit Delgado; Kathryn J. Wanner; Catherine McDonald

    2016-01-01

    Motor vehicle crashes are the leading cause of death in adolescents, and drivers aged 16–19 are the most likely to die in distracted driving crashes. This paper provides an overview of the literature on adolescent cellphone use while driving, focusing on the crash risk, incidence, risk factors for engagement, and the effectiveness of current mitigation strategies. We conclude by discussing promising future approaches to prevent crashes related to cellphone use in adolescents. Handheld manipul...

  14. Over 20 Years of Business Systems Research -Contributions, Gaps, and Future Directions

    DEFF Research Database (Denmark)

    Bakhtiar Rana, Mohammad

    international business/management researches. This led me to synthesize the contributions of this stream. The review of BS literature from 1992 to 2013 makes an account of its contributions and gaps, brings them to light for international management (IM) studies to show how IM can benefit from this stream......, while gaps found in BS studies present a thirst that future studies of BS can contribute to advance this field of research....

  15. Future Directions: Advances and Implications of Virtual Environments Designed for Pain Management

    OpenAIRE

    Wiederhold, Brenda K.; Soomro, Ahmad; Riva, Giuseppe; Wiederhold, Mark D.

    2014-01-01

    Pain symptoms have been addressed with a variety of therapeutic measures in the past, but as we look to the future, we begin encountering new options for patient care and individual health and well-being. Recent studies indicate that computer-generated graphic environments—virtual reality (VR)—can offer effective cognitive distractions for individuals suffering from pain arising from a variety of physical and psychological illnesses. Studies also indicate the effectiveness of VR for both chro...

  16. Human factors implications of vehicle automation: Current understanding and future directions

    OpenAIRE

    Merat, N.; de Waard, Dick

    2014-01-01

    Advances in vehicle-based technology are currently progressing at an ever- increasing rate and innovations in this area are no longer restricted to Original Equipment Manufacturers or the automotive industry, with service providers such as Google and a number of research institutes in Europe and North America also offering possibilities for new approaches to mobility (see http://www.driverless-future.com/?page_id=155). The race to test the first fleet of such vehicles on public roads is curre...

  17. Design Rework Prediction in Concurrent Design Environment: Current Trends and Future Research Directions

    OpenAIRE

    Arundachawat, Panumas; Roy, Rajkumar; Al-Ashaab, Ahmed; Shehab, Essam

    2009-01-01

    This paper aims to present state-of-the-art and formulate future research areas on design rework in concurrent design environment. Related literatures are analysed to extract the key factors which impact design rework. Design rework occurs due to changes from upstream design activities and/or by feedbacks from downstream design activities. Design rework is considered as negative iteration; therefore, value in design activities will be increased if design rework is reduced. Set-bas...

  18. Innovation through tradition:lessons from innovative family businesses and directions for future research

    OpenAIRE

    De Massis, Alfredo; Kotlar, Josip; Frattini, Federico; Messeni Petruzzelli, Antonio; Wright, Mike

    2016-01-01

    In steering towards the future, innovation managers are commonly advised to dismiss the old and make way for the new. However, such “recency bias” may significantly limit a firm’s innovation potential and prevent it from realizing the benefits of past knowledge. We argue that the temporal dimension of innovation deserves more research attention. Combining prior research on innovation, dynamic capabilities and family business, we conceptualize a new product innovation strategy called innovatio...

  19. Organizational Communication: An Analysis of the Main Perspectives, Main Concepts and Future Directions of the Field

    Directory of Open Access Journals (Sweden)

    Yusuf Yüksel

    2013-09-01

    Full Text Available There is a scholarly debate since the 1980s regarding the content, theory, methodology and applications that define the scope of organizational communication and separate it from other related disciplines. This debate is critical in the sense that it enables to identity organizational communication in a rich manner and helps us define the scope of the field and its unique characteristics. Based on this main assumption, this study addressed the major theoretical/methodological dimensions of the field (functional, interpretive, and critical, conceptualization of the most critical concepts (organization, communication, culture, voice/control in these dimensions, and current gaps and future directions of the field. This study revealed that the field of organizational communication has made great improvements since the field emerged in the last three decade with its own content, methodology, and applications and generated an adequate body of research within these different perspectives. It is shown that representation of the field by different perspectives provides richness to the field compared with the time when organizational communication was solely dominated by functional, positivist research. Key words: Functional/interpretive/critical perspectives, communication, organization, culture, control, effectiveness. Örgütsel İletişim: Alanın Ana Yaklaşımları, Ana Kavramları ve Gelecek Yönelimlerinin AnaliziÖzÖrgütsel iletişim alanının kapsamı ve bu alanı ilgili displinlerden ayıracak içerik, teori, yöntem, ve uygulamalar üzerine akademik tartışmalar 1980’li yıllardan beri devam etmektedir. Bu tartışmalar, örgütsel iletişim alanının derinlemesine anlaşılması, sınırlarının belirlenmesi ve diğer disiplinlerden ayrılan özelliklerinin anlaşılması noktasında hayati öneme sahiptir. Bu temel varsayımdan hareketle, bu çalışma alandaki temel teorik/yöntemsel yaklaşımları (işlevsel, yorumlayıcı, ele

  20. FAP-overexpressing fibroblasts produce an extracellular matrix that enhances invasive velocity and directionality of pancreatic cancer cells

    International Nuclear Information System (INIS)

    Alterations towards a permissive stromal microenvironment provide important cues for tumor growth, invasion, and metastasis. In this study, Fibroblast activation protein (FAP), a serine protease selectively produced by tumor-associated fibroblasts in over 90% of epithelial tumors, was used as a platform for studying tumor-stromal interactions. We tested the hypothesis that FAP enzymatic activity locally modifies stromal ECM (extracellular matrix) components thus facilitating the formation of a permissive microenvironment promoting tumor invasion in human pancreatic cancer. We generated a tetracycline-inducible FAP overexpressing fibroblastic cell line to synthesize an in vivo-like 3-dimensional (3D) matrix system which was utilized as a stromal landscape for studying matrix-induced cancer cell behaviors. A FAP-dependent topographical and compositional alteration of the ECM was characterized by measuring the relative orientation angles of fibronectin fibers and by Western blot analyses. The role of FAP in the matrix-induced permissive tumor behavior was assessed in Panc-1 cells in assorted matrices by time-lapse acquisition assays. Also, FAP+ matrix-induced regulatory molecules in cancer cells were determined by Western blot analyses. We observed that FAP remodels the ECM through modulating protein levels, as well as through increasing levels of fibronectin and collagen fiber organization. FAP-dependent architectural/compositional alterations of the ECM promote tumor invasion along characteristic parallel fiber orientations, as demonstrated by enhanced directionality and velocity of pancreatic cancer cells on FAP+ matrices. This phenotype can be reversed by inhibition of FAP enzymatic activity during matrix production resulting in the disorganization of the ECM and impeded tumor invasion. We also report that the FAP+ matrix-induced tumor invasion phenotype is β1-integrin/FAK mediated. Cancer cell invasiveness can be affected by alterations in the tumor

  1. The current status and future directions of myxoma virus, a master in immune evasion.

    Science.gov (United States)

    Spiesschaert, Bart; McFadden, Grant; Hermans, Katleen; Nauwynck, Hans; Van de Walle, Gerlinde R

    2011-01-01

    Myxoma virus (MYXV) gained importance throughout the twentieth century because of the use of the highly virulent Standard Laboratory Strain (SLS) by the Australian government in the attempt to control the feral Australian population of Oryctolagus cuniculus (European rabbit) and the subsequent illegal release of MYXV in Europe. In the European rabbit, MYXV causes a disease with an exceedingly high mortality rate, named myxomatosis, which is passively transmitted by biting arthropod vectors. MYXV still has a great impact on European rabbit populations around the world. In contrast, only a single cutaneous lesion, restricted to the point of inoculation, is seen in its natural long-term host, the South-American Sylvilagus brasiliensis and the North-American S. Bachmani. Apart from being detrimental for European rabbits, however, MYXV has also become of interest in human medicine in the last two decades for two reasons. Firstly, due to the strong immune suppressing effects of certain MYXV proteins, several secreted virus-encoded immunomodulators (e.g. Serp-1) are being developed to treat systemic inflammatory syndromes such as cardiovascular disease in humans. Secondly, due to the inherent ability of MYXV to infect a broad spectrum of human cancer cells, the live virus is also being developed as an oncolytic virotherapeutic to treat human cancer. In this review, an update will be given on the current status of MYXV in rabbits as well as its potential in human medicine in the twenty-first century. PMID:21658227

  2. Management of menopause-associated vasomotor symptoms: Current treatment options, challenges and future directions

    Directory of Open Access Journals (Sweden)

    Deirdre R Pachman

    2010-05-01

    Full Text Available Deirdre R Pachman1, Jason M Jones1, Charles L Loprinzi21Internal Medicine, Mayo Clinic, Rochester, MN, USA; 2Medical Oncology, Mayo Clinic, Rochester, MN, USAAbstract: Hot flashes are one of the most common and distressing symptoms associated with menopause, occurring in more than 75% of postmenopausal women. They are especially problematic in breast cancer patients since some breast cancer therapies can induce hot flashes. For mild hot flashes, it is proposed that behavioral modifications are the first step in management. Hormonal therapies, including estrogens and progestogens, are the most well known effective agents in relieving hot flashes; however, the safety of these agents is controversial. There is an increasing amount of literature on nonhormonal agents for the treatment of hot flashes. The most promising data regard newer antidepressant agents such as venlafaxine, which reduces hot flashes by about 60%. Gabapentin is another nonhormonal agent that is effective in reducing hot flashes. While many complimentary therapies, including phytoestrogens, black cohosh, and dehydroepiandrosterone, have been explored for the treatment of hot flashes; none can be recommended at this time. Furthermore, there is a lack of strong evidence to support exercise, yoga, or relaxation for the treatment of hot flashes. Paced respirations and hypnosis appear to be promising enough to warrant further investigation. Another promising nonpharmacological therapy, currently under investigation, involves a stellate ganglion block.Keywords: vasomotor symptoms, hot flashes, menopause, therapy

  3. Food-Based Cancer Prevention Strategies: Is There a Future for Human Studies? | Division of Cancer Prevention

    Science.gov (United States)

    Speaker Steven K. Clinton, MD, PhD John B. and Jane T. McCoy Chair in Cancer Research The Ohio State University Comprehensive Cancer Center Professor, Division of Medical Oncology The Ohio State University School of Medicine |

  4. MicroRNA-148a inhibits breast cancer migration and invasion by directly targeting WNT-1.

    Science.gov (United States)

    Jiang, Qian; He, Miao; Ma, Meng-Tao; Wu, Hui-Zhe; Yu, Zhao-Jin; Guan, Shu; Jiang, Long-Yang; Wang, Yan; Zheng, Da-Di; Jin, Feng; Wei, Min-Jie

    2016-03-01

    Wnt/β-catenin signaling pathway influences embryonic development, cell polarity and adhesion, apoptosis and tumorigenesis. MicroRNAs (miRNAs) function as important regulators of the tumorigenesis and metastasis. In the present study, we aimed to find novel targets and mechanisms of microRNA-148a (miR-148a) in regulating the migration and invasion of breast cancer cells. In the present study, miR-148a was found downregulated in human breast cancer tissues and cell lines. The ectopic miR-148a expression inhibited the migration and invasion of MCF-7 and MDA-MB-231 breast cancer cells. Furthermore, we demonstrated that WNT-1, one of the ligands of Wnt/β-catenin signaling pathway, was a direct target of miR-148a. The overexpression of miR-148a reduced the mRNA and protein expression levels of WNT-1, also decreased the expression levels of the key components of Wnt/β-catenin pathway, including β-catenin, metalloproteinase-7 (MMP-7) and T-cell factor-4 (TCF-4) in MCF-7 and MDA-MB-231 cells. In addition, the data showed that the expression of WNT-1 was significantly higher in human breast cancer tissues compared with the adjacent normal tissues and the expression of miR-148a was negatively correlated with the WNT-1 expression in human breast cancer tissues. Taken together, our results suggest that miR-148a can suppress the migration and invasion of breast cancer cells by targeting WNT-1 and inhibiting Wnt/β-catenin signaling pathway and this will provide new insights into the molecular mechanisms of breast cancer metastasis. PMID:26707142

  5. Current status of primary pharmacotherapy and future perspectives toward upfront therapy for metastatic hormone-sensitive prostate cancer.

    Science.gov (United States)

    Shiota, Masaki; Eto, Masatoshi

    2016-05-01

    Since 1941, androgen deprivation therapy has been the primary treatment for metastatic hormone-sensitive prostate cancer. Androgen deprivation therapy consists of several regimens that vary according to therapeutic modality, as well as treatment schedule. Androgen deprivation therapy initially shows excellent antitumor effects, such as relief of cancer-related symptoms, tumor marker decline and tumor shrinking. However, most metastatic hormone-sensitive prostate cancer cases eventually develop castration resistance and become lethal. Taxanes, such as docetaxel and cabazitaxel, as well as novel androgen receptor-targeting agents, such as abiraterone acetate and enzalutamide, have emerged for metastatic castration-resistant prostate cancer. The concept and principle of primary therapy for metastatic hormone-sensitive prostate cancer has remained unchanged for decades. Recently, upfront docetaxel chemotherapy has been shown to prolong overall survival in men with metastatic hormone-sensitive prostate cancer, and would lead to a paradigm shift in primary pharmacotherapy for metastatic hormone-sensitive prostate cancer. This raises the possibility of upfront use of taxanes, as well as novel androgen receptor-targeting agents combined with androgen deprivation therapy. The present review summarizes the current status of primary pharmacotherapy for metastatic hormone-sensitive prostate cancer, and discusses future perspectives in this field. PMID:27062039

  6. Targeted therapy for metastatic renal cell carcinoma: Current treatment and future directions

    Directory of Open Access Journals (Sweden)

    Noura Majid

    2013-01-01

    Full Text Available Renal cell carcinoma (RCC is the most common renal tumor and accounts for 3% of all adult cancers. The treatment of metastatic renal cell carcinoma (mRCC has recently evolved from being a predominantly cytokine-based treatment to the use of targeted agents, which include Sorafenib, Sunitinib, Bevacizumab, Temsirolimus, Everolimus, Pazopanib, Axitinib, and most recently Tivozanib. Despite these advances mRCC remains a major health problem. Additional studies are needed to optimize the use of these agents in both advanced and early stage disease, either in combination or sequentially. In addition the development of biomarkers should be a priority in order to guide rational tailored development of emerging agents. This literature review was conducted using PubMed, Medline, and Cochrane databases for articles published until January 2013. Abstracts from relevant meeting of the American Society of Clinical Oncology and the European society of medical oncology were also included.

  7. Design and cancer-targeting potential of antibody-based molecules directed against carcinoembryonic antigen.

    OpenAIRE

    Huhalov, A.

    2004-01-01

    This thesis examines the use of protein engineering to create antibody-based molecules for cancer treatment. The targeting unit used for these molecules was the single chain Fv antibody fragment MFE-23, which is directed against the tumour-associated marker carcinoembryonic antigen (CEA). It was hypothesised that implementation of molecular design features such as humanisation, high affinity, multivalency and mannose glycosylation to accelerate systemic clearance would result in the favourabl...

  8. Direct RF Subsampling Receivers for Breast Cancer Detection with Impulse-Based UWB Signals

    OpenAIRE

    Strackx, Maarten; D'Agostino, Emiliano; Leroux, Paul; Reynaert, Patrick

    2015-01-01

    The implementation of a Direct RF subsampling receiver in CMOS is presented for the application of breast cancer detection using impulse-based ultrawideband (UWB) signals. Such a receiver inherently benefits from CMOS scaling since its speed-accuracy tradeoff depends only on technological process parameters. With a proper choice of antenna matching media, the current signal processing requested resolution could be translated into feasible hardware specifications. The track-and-hold (T/H) circ...

  9. Radiolabelled peptides for tumour therapy: current status and future directions. Plenary lecture at the EANM 2002

    International Nuclear Information System (INIS)

    On their plasma membranes, cells express receptor proteins with high affinity for regulatory peptides, such as somatostatin. Changes in the density of these receptors during disease, e.g. overexpression in many tumours, provide the basis for new imaging methods. The first peptide analogues successfully applied for visualisation of receptor-positive tumours were radiolabelled somatostatin analogues. The next step was to label these analogues with therapeutic radionuclides for peptide receptor radionuclide therapy (PRRT). Results from preclinical and clinical multicentre studies have already shown an effective therapeutic response when using radiolabelled somatostatin analogues to treat receptor-positive tumours. Infusion of positively charged amino acids reduces kidney uptake, enlarging the therapeutic window. For PRRT of CCK-B receptor-positive tumours, such as medullary thyroid carcinoma, radiolabelled minigastrin analogues are currently being successfully applied. The combination of different therapy modalities holds interest as a means of improving the clinical therapeutic effects of radiolabelled peptides. The combination of different radionuclides, such as 177Lu- and 90Y-labelled somatostatin analogues, to reach a wider tumour region of high curability, has been described. A variety of other peptide-based radioligands, such as bombesin and NPY(Y1) analogues, receptors for which are expressed on common cancers such as prostate and breast cancer, are currently under development and in different phases of (pre)clinical investigation. Multi-receptor tumour targeting using the combination of bombesin and NPY(Y1) analogues is promising for scintigraphy and PRRT of breast carcinomas and their lymph node metastases. (orig.)

  10. History, Current Knowledge, and Future Directions on Bacteriocin Research in Lactic Acid Bacteria

    Science.gov (United States)

    Nes, Ingolf F.

    All organisms, both eukaryotic organisms and bacteria, are able to produce ribosomally antimicrobial peptides. In bacteria, such compounds are referred to as bacteriocins. The history of bacteriocins goes back to the early 1920s. One has experienced many disappointments in the efforts how to put these compounds into practical use despite being one of the most promising groups of antimicrobial agents to fight bacterial pathogens. However, today, we see new possibilities how to take advantage of such peptides for the benefit of man and animals. Bacteriocin production has become an important property of probiotic bacteria, and targeted use of bacteriocins to fight certain pathogens may have a future.

  11. Coronary CT: clinical indications and future directions; Tomografia de coronarias: indicacoes clinicas e perspectivas futuras

    Energy Technology Data Exchange (ETDEWEB)

    Nomura, Cesar H.; Serpa, Bruna S.; Kay, Fernando U.; Szarf, Gilberto; Passos, Rodrigo B.; Neto, Roberto S.; Chate, Rodigo C.; Funar, Marcelo B., E-mail: cesarnomura@gmail.com [Hospital Israelita Albert Einstein, Sao Paulo, SP (Brazil); Cury, Roberto C. [Hospital Samaritano, Sao Paulo, SP (Brazil)

    2011-01-15

    Multidetector computed tomography (MDCT) has started its implementation in cardiology with calcium quantification of coronary plaques in the study without contrast, using the calcium score, demonstrating an important independent predictor of future cardiac events. The examination with intravenous contrast, coronary angiography, appeared later as a noninvasive method for evaluation of anatomy and obstructive coronary disease, characterizing the degree of stenosis and the presence of non calcified atherosclerotic plaques, assessing not only the lumen, but also the vessel wall. With the advent of new machines with more detectors and higher temporal resolution has been a reduction in radiation dose and the possibility of new applications. (author)

  12. Thirty years of research in the history of Islamic economic thought:Assessment and future directions

    OpenAIRE

    Islahi, Abdul Azim

    2007-01-01

    The present paper examines and evaluates research experiences in the area of the history of Islamic economic thought during the last 30 years with the objective to see the pace of research and its coverage, both author-wise and idea-wise, and to determine the future research agenda in the light of the past progress and trends of the literature. The paper begins with a brief survey of the early literature on the history of Islamic economic thought, prior to 30-years, to provide a background. T...

  13. Direction or inertia: the future for regulation of surgical implant devices.

    Science.gov (United States)

    Habal, M B; Karlan, M S; Leake, D

    1978-01-01

    The time has arrived when certain standards are to be introduced to control the introduction of and appropriate use of surgical implant devices. Now is the time for the professional groups involved in standards and medical device legislation to become active and develop surgical implant device standards to be applicable for the future. A commission could be established to work with FDA in respect to the requirements for surgical implant devices. It is time for the clinical organizations involved in writing consensus standards to cooperate in the introduction of surgical implant device standards. PMID:10316638

  14. Current and Future Directions for the U.S. Industry Accounts

    OpenAIRE

    Ann M. Lawson

    2000-01-01

    This paper provides an overview of the Industry Accounts for the United States, which are prepared by the Bureau of Economic Analysis in the U.S. Department of Commerce. It includes a brief history of the programs with emphasis on the past 10 years, as well as a discussion of plans for future work. The Industry Accounts include the benchmark input-output (I-O) accounts, which are based on detailed data from the economic censuses that are conducted every 5 years by the Bureau of the Census; th...

  15. Objectification Theory and Psychology of Women: A Decade of Advances and Future Directions

    Science.gov (United States)

    Moradi, Bonnie; Huang, Yu-Ping

    2008-01-01

    Fredrickson and Roberts (1997) proposed objectification theory as an integrative framework for understanding how women's socialization and experiences of sexual objectification are translated into mental health problems. This article reviews the past decade of research grounded in objectification theory and highlights needed directions for future…

  16. Summary of the proceedings of the workshop on future directions in nuclear physics research

    International Nuclear Information System (INIS)

    The workshop was intended to gather active researchers in nuclear physics to discuss the directions for research during the next 10 to 15 years. Topics discussed included: fundamental interactions; nuclear spectroscopy; electromagnetic nuclear physics; intermediate energy physics; heavy ion physics; and interrelationships among subfields of nuclear physics

  17. Host-directed therapies for infectious diseases: current status, recent progress, and future prospects.

    Science.gov (United States)

    Zumla, Alimuddin; Rao, Martin; Wallis, Robert S; Kaufmann, Stefan H E; Rustomjee, Roxana; Mwaba, Peter; Vilaplana, Cris; Yeboah-Manu, Dorothy; Chakaya, Jeremiah; Ippolito, Giuseppe; Azhar, Esam; Hoelscher, Michael; Maeurer, Markus

    2016-04-01

    Despite extensive global efforts in the fight against killer infectious diseases, they still cause one in four deaths worldwide and are important causes of long-term functional disability arising from tissue damage. The continuing epidemics of tuberculosis, HIV, malaria, and influenza, and the emergence of novel zoonotic pathogens represent major clinical management challenges worldwide. Newer approaches to improving treatment outcomes are needed to reduce the high morbidity and mortality caused by infectious diseases. Recent insights into pathogen-host interactions, pathogenesis, inflammatory pathways, and the host's innate and acquired immune responses are leading to identification and development of a wide range of host-directed therapies with different mechanisms of action. Host-directed therapeutic strategies are now becoming viable adjuncts to standard antimicrobial treatment. Host-directed therapies include commonly used drugs for non-communicable diseases with good safety profiles, immunomodulatory agents, biologics (eg monoclonal antibodies), nutritional products, and cellular therapy using the patient's own immune or bone marrow mesenchymal stromal cells. We discuss clinically relevant examples of progress in identifying host-directed therapies as adjunct treatment options for bacterial, viral, and parasitic infectious diseases. PMID:27036359

  18. Combining Pharmacological and Psychological Treatments for Binge Eating Disorder: Current Status, Limitations, and Future Directions.

    Science.gov (United States)

    Grilo, Carlos M; Reas, Deborah L; Mitchell, James E

    2016-06-01

    Binge eating disorder (BED) is characterized by recurrent binge eating and marked distress about binge eating without the extreme compensatory behaviors for weight control that characterize other eating disorders. BED is prevalent, associated strongly with obesity, and is associated with heightened levels of psychological, psychiatric, and medical concerns. This article provides an overview of randomized controlled treatments for combined psychological and pharmacological treatment of BED to inform current clinical practice and future treatment research. In contrast to the prevalence and significance of BED, to date, limited research has been performed on combining psychological and pharmacological treatments for BED to enhance outcomes. Our review here found that combining certain medications with cognitive behavioral therapy (CBT) or behavioral weight loss (BWL) interventions produces superior outcomes to pharmacotherapy only but does not substantially improve outcomes achieved with CBT/BWL only. One medication (orlistat) has improved weight losses with CBT/BWL albeit minimally, and only one medication (topiramate) has enhanced reductions achieved with CBT in both binge eating and weight. Implications for future research are discussed. PMID:27086316

  19. Maximizing the ExoEarth candidate yield from a future direct imaging mission

    Energy Technology Data Exchange (ETDEWEB)

    Stark, Christopher C. [NASA Goddard Space Flight Center, Exoplanets and Stellar Astrophysics Laboratory, Code 667, Greenbelt, MD 20771 (United States); Roberge, Aki; Mandell, Avi [NASA Goddard Space Flight Center, Greenbelt, MD 20771 (United States); Robinson, Tyler D., E-mail: christopher.c.stark@nasa.gov [NASA Ames Research Center, Moffett Field, CA 94035 (United States)

    2014-11-10

    ExoEarth yield is a critical science metric for future exoplanet imaging missions. Here we estimate exoEarth candidate yield using single visit completeness for a variety of mission design and astrophysical parameters. We review the methods used in previous yield calculations and show that the method choice can significantly impact yield estimates as well as how the yield responds to mission parameters. We introduce a method, called Altruistic Yield Optimization, that optimizes the target list and exposure times to maximize mission yield, adapts maximally to changes in mission parameters, and increases exoEarth candidate yield by up to 100% compared to previous methods. We use Altruistic Yield Optimization to estimate exoEarth candidate yield for a large suite of mission and astrophysical parameters using single visit completeness. We find that exoEarth candidate yield is most sensitive to telescope diameter, followed by coronagraph inner working angle, followed by coronagraph contrast, and finally coronagraph contrast noise floor. We find a surprisingly weak dependence of exoEarth candidate yield on exozodi level. Additionally, we provide a quantitative approach to defining a yield goal for future exoEarth-imaging missions.

  20. Narrative synthesis of equine-assisted psychotherapy literature: Current knowledge and future research directions.

    Science.gov (United States)

    Lee, Ping-Tzu; Dakin, Emily; McLure, Merinda

    2016-05-01

    Equine-assisted psychotherapy (EAP) is an innovative emerging approach to mental health treatment. This narrative synthesis explores the current state of knowledge and areas for future research in EAP. Specifically reviewed are qualitative and quantitative empirical studies, including both articles published in peer-reviewed journals and research presented in theses and dissertations. We selected 24 studies for final inclusion in this study, dating between 2005 and 2013, and including the first EAP empirical research completed in 2005. Four of these studies are peer-reviewed journal articles, while 20 are master's theses or doctoral dissertations. The reviewed qualitative research provides initial evidence for the value of EAP for enhancing adolescents' communication and relationship skills. The reviewed experimental and quasi-experimental research provides initial evidence for the value of EAP for enhancing children's and adolescents' emotional, social and behavioural functioning. Yet, conclusions about the effectiveness of EAP must still be considered preliminary due to various methodological limitations in the reviewed research. The narrative review describes these methodological limitations and concludes with recommendations for future research. PMID:25727575

  1. A new scenario framework for climate change research. Background, process, and future directions

    Energy Technology Data Exchange (ETDEWEB)

    Ebi, Kristie L. [ClimAdapt, LLC, Los Altos, CA (United States); Hallegatte, Stephane [World Bank, Washington, DC (United States); Kram, Tom [Netherlands Environmental Assessment Agency (PBL), Bilthoven (Netherlands); Arnell, Nigel W. [Walker Inst. for Climate System Research, Reading (United Kingdom); Carter, Tim [Finnish Environment Inst. (SYKE), Helsinki (Finland); Edmonds, James A. [Joint Global Change Research Inst., Baltimore, MD (United States); Kriegler, Elmar [Potsdam Inst. for Climate Impact Research (Germany); Mathur, Ritu [TERI, New Delhi (India); O' Neill, Brian [National Center for Atmospheric Research (NCAR), Boulder, CO (United States); Riahi, Keywan [International Inst. for Applied System Analysis, Laxenburg (Austria); Winkler, Harald [Univ. of Cape Town (South Africa); Van Vuuren, Detlef P. [Netherlands Environmental Assessment Agency (PBL), Bilthoven (Netherlands); Netherlands Environmental Assessment Agency (PBL), Bilthoven (Netherlands); Zwickel, Timm [Potsdam Inst. for Climate Impact Research (Germany)

    2013-09-27

    The scientific community is developing new integrated global, regional, and sectoral scenarios to facilitate interdisciplinary research and assessment to explore the range of possible future climates and related physical changes could pose to human and natural systems; how these could interact with social, economic, and environmental development pathways; the degree to which mitigation and adaptation policies can avoid and reduce those risks; the costs and benefits of various policy mixes; residual impacts under alternative pathways; and the relationship with sustainable development. This paper provides the background to, and process of, developing the conceptual framework for these scenarios, described in three other papers in this Special Issue (van Vuuren et al.; O'Neill et al.; Kriegler et al.). The paper also discusses research needs to further develop and apply this framework. The goal is to encourage climate change researchers from a broad range of perspectives and disciplines to work together to develop policy-relevant scenarios and explore the implications of different possible futures for the challenges and opportunities human and natural systems could face with increasing climate change.

  2. Cancer-Related Direct-to-Consumer Advertising: Awareness, Perceptions, and Reported Impact Among Patients Undergoing Active Cancer Treatment

    Science.gov (United States)

    Abel, Gregory A.; Burstein, Harold J.; Hevelone, Nathanael D.; Weeks, Jane C.

    2009-01-01

    Purpose Although cancer-related direct-to-consumer advertising (CR-DTCA) is prevalent, little is known about cancer patients' experiences with this controversial medium of medical communication. Methods We administered a 41-item, mailed questionnaire to consecutive patients with breast and hematologic malignancies who were undergoing active treatment at our institution. We assessed awareness of CR-DTCA within the prior year, perceptions of CR-DTCA, and CR-DTCA–prompted patient and provider behaviors. Results We received 348 completed questionnaires (response rate, 75.0%). Overall, 86.2% reported being aware of CR-DTCA, most frequently from television (77.7%). Awareness did not vary with clinical or sociodemographic factors except that patients were more likely to be aware of CR-DTCA for products specific to their cancer types (P advertised medication, although less than one fifth of those reported receiving a prescription for the advertised medication. Conclusion The patients in our cohort were highly aware of CR-DTCA. CR-DTCA was found to be accessible and useful; however, it decreased some patients' confidence in their providers' judgment. CR-DTCA prompted a modest amount of patient-provider discussion but infrequent patient-reported changes in therapy. PMID:19652071

  3. Application of Quantum Dots-Based Biotechnology in Cancer Diagnosis: Current Status and Future Perspectives

    OpenAIRE

    Chun-Wei Peng; Yan Li

    2010-01-01

    The semiconductor nanocrystal quantum dots (QDs) have excellent photo-physical properties, and the QDs-based probes have achieved encouraging developments in cellular and in vivo molecular imaging. More and more researches showed that QDs-based technology may become a promising approach in cancer research. In this review, we focus on recent application of QDs in cancer diagnosis and treatment, including early detection of primary tumor such as ovarian cancer, breast cancer, prostate cancer an...

  4. A brighter future? The impact of insurance and socioeconomic status on cancer outcomes in the USA: a review.

    Science.gov (United States)

    Grant, Stephen R; Walker, Gary V; Guadagnolo, B Ashleigh; Koshy, Matthew; Mahmood, Usama

    2016-06-01

    Uninsured and Medicaid-insured cancer patients have been shown to present with more advanced disease, less often receive cancer-directed therapy and suffer higher rates of mortality than those with private insurance. The Patient Protection and Affordable Care Act was signed into law in March of 2010 and seeks to increase rates of public and private health insurance. Although several provisions will in particular benefit those with chronic and high-cost medical conditions such as cancer, the extent to which disparities in cancer care will be eliminated is uncertain. Further legislative changes may be needed to ensure equal and adequate cancer care for all patients regardless of insurance or socioeconomic status. PMID:26911861

  5. Future mission studies: Forecasting solar flux directly from its chaotic time series

    Science.gov (United States)

    Ashrafi, S.

    1991-01-01

    The mathematical structure of the programs written to construct a nonlinear predictive model to forecast solar flux directly from its time series without reference to any underlying solar physics is presented. This method and the programs are written so that one could apply the same technique to forecast other chaotic time series, such as geomagnetic data, attitude and orbit data, and even financial indexes and stock market data. Perhaps the most important application of this technique to flight dynamics is to model Goddard Trajectory Determination System (GTDS) output of residues between observed position of spacecraft and calculated position with no drag (drag flag = off). This would result in a new model of drag working directly from observed data.

  6. Present and future directions of translational research on aflatoxin and hepatocellular carcinoma. A review.

    Science.gov (United States)

    Wogan, Gerald N; Kensler, Thomas W; Groopman, John D

    2012-01-01

    The aflatoxins were discovered in toxic peanut meal causing "turkey X" disease, which killed large numbers of turkey poults, ducklings and chicks in the UK in the early 1960s. Extracts of toxic feed induced the symptoms in experimental animals, and purified metabolites with properties identical to aflatoxins B(1) and G(1) (AFB(1) and AFG(1)) were isolated from Aspergillus flavus cultures. Structure elucidation of aflatoxin B(1) was accomplished and confirmed by total synthesis in 1963. AFB(1) is a potent liver carcinogen in rodents, non-human primates, fish and birds, operating through a genotoxic mechanism involving metabolic activation to an epoxide, formation of DNA adducts and, in humans, modification of the p53 gene. Aflatoxins are unique among environmental carcinogens, in that elucidation of their mechanisms of action combined with molecular epidemiology provides a foundation for quantitative risk assessment; extensive evidence confirms that contamination of the food supply by AFB(1) puts an exposed population at increased risk of developing hepatocellular carcinoma (HCC). Molecular biomarkers to quantify aflatoxin exposure in individuals were essential to link aflatoxin exposure with liver cancer risk. Biomarkers were validated in populations with high HCC incidence in China and The Gambia, West Africa; urinary AFB(1)-N (7)-Guanine excretion was linearly related to aflatoxin intake, and levels of aflatoxin-serum albumin adducts also reflected aflatoxin intake. Two major cohort studies employing aflatoxin biomarkers identified their causative role in HCC etiology. Results of a study in Shanghai men strongly support a causal relationship between HCC risk and the presence of biomarkers for aflatoxin and HBV infection, and also show that the two risk factors act synergistically. Subsequent cohort studies in Taiwan confirm these results. IARC classified aflatoxin as a Group 1 human carcinogen in 1993, based on sufficient evidence in humans and experimental

  7. The current status and future directions of myxoma virus, a master in immune evasion

    Directory of Open Access Journals (Sweden)

    Spiesschaert Bart

    2011-06-01

    Full Text Available Abstract Myxoma virus (MYXV gained importance throughout the twentieth century because of the use of the highly virulent Standard Laboratory Strain (SLS by the Australian government in the attempt to control the feral Australian population of Oryctolagus cuniculus (European rabbit and the subsequent illegal release of MYXV in Europe. In the European rabbit, MYXV causes a disease with an exceedingly high mortality rate, named myxomatosis, which is passively transmitted by biting arthropod vectors. MYXV still has a great impact on European rabbit populations around the world. In contrast, only a single cutaneous lesion, restricted to the point of inoculation, is seen in its natural long-term host, the South-American Sylvilagus brasiliensis and the North-American S. Bachmani. Apart from being detrimental for European rabbits, however, MYXV has also become of interest in human medicine in the last two decades for two reasons. Firstly, due to the strong immune suppressing effects of certain MYXV proteins, several secreted virus-encoded immunomodulators (e.g. Serp-1 are being developed to treat systemic inflammatory syndromes such as cardiovascular disease in humans. Secondly, due to the inherent ability of MYXV to infect a broad spectrum of human cancer cells, the live virus is also being developed as an oncolytic virotherapeutic to treat human cancer. In this review, an update will be given on the current status of MYXV in rabbits as well as its potential in human medicine in the twenty-first century. Table of contents Abstract 1. The virus 2. History 3. Pathogenesis and disease symptoms 4. Immunomodulatory proteins of MYXV 4.1. MYXV proteins with anti-apoptotic functions 4.1.1. Inhibition of pro-apoptotic molecules 4.1.2. Inhibition by protein-protein interactions by ankyrin repeat viral proteins 4.1.3. Inhibition of apoptosis by enhancing the degradation of cellular proteins 4.1.4. Inhibition of apoptosis by blocking host Protein Kinase R (PKR 4

  8. Health Inequalities through the Lens of Health Capital Theory: Issues, Solutions, and Future Directions

    OpenAIRE

    Galama, Titus; Kippersluis, van, Hans

    2013-01-01

    This discussion paper resulted in a chapter in: (Pedro Rosa Dias and Owen O’Donnell (eds)) 'Research on Economic Inequality' , Volume 21: Health and Inequality, Emerald Group Publishing, 2013. We explore what health-capital theory has to offer in terms of informing and directing research into health inequality. We argue that economic theory can help in identifying mechanisms through which specific socioeconomic indicators and health interact. Our reading of the literature, and our own work, l...

  9. Whither CRM? Future directions in Crew Resource Management training in the cockpit and elsewhere

    Science.gov (United States)

    Helmreich, Robert L.

    1993-01-01

    The past decade has shown worldwide adoption of human factors training in civil aviation, now known as Crew Resource Management (CRM). The shift in name from cockpit to crew reflects a growing trend to extend the training to other components of the aviation system including flight attendants, dispatchers, maintenance personnel, and Air Traffic Controllers. The paper reports findings and new directions in research into human factors.

  10. Broadening the scope of open innovation : past research, current state and future directions

    OpenAIRE

    Van de Vrande, Vareska; Vanhaverbeke,Wim; Gassmann, Oliver

    2010-01-01

    In this first paper of the special issue, we identify some trends in open innovation research by analysing how the literature on this topics has evolved since the introduction of the concept in 2003. Research on open innovation has been mushrooming ever since and the scope has been broadened in different directions. Researchers also started to analyse open innovation at different level of analysis from the individual actors in organisations to ecosystems and national innovation systems. Despi...

  11. Industry and Utility perspectives on Future directions in Fusion energy development

    International Nuclear Information System (INIS)

    The authors discuss such topics as some of the technical areas in which industry has strengths that could be applied to fusion problems, the opportunities in the fusion field that have been offered to industry, and some of the important factors that might be looked for when attempting to join a joint venture. Conceptual design and economic studies are examined for the fusion program. Two alternate energy technologies are discussed, geothermal wellhead power and the wind machine. Funding for fusion is discussed. Perceptions of what should be included in the future program of fusion in order to successfully develop this technology into a source of energy are discussed. The development of OHTE, a compact, high-power density approach to fusion, by Phillips Petroleum and GA technologies, is examined

  12. Research on the adaptation of skeletal muscle to hypogravity Past and future directions

    Science.gov (United States)

    Riley, D. A.; Ellis, S.

    1983-01-01

    The results of previous research on the cellular effects of microgravity on rat tissue are reviewed and areas of future necessary research are identified. The rats were flown on board Cosmos 605, 782, and 936. Postflight tissue analyses revealed increases in connective tissue cells and focal disruption of muscle fibers due to the microgravity environment of space. Evidence has been found for muscular and neural changes occurring as a result of reentry stresses. It is suggested that a data base be established for quantizing muscle function with electromyography, measurements of force output, and length measurement. The data can serve as a reference for comparisons with data obtained in orbiting laboratories such as the Spacelab. The experiments will have a goal of defining and preventing the mechanism of neuromuscular atrophy.

  13. Left ventricular function assessment in cirrhosis: Current methods and future directions.

    Science.gov (United States)

    Sampaio, Francisco; Pimenta, Joana

    2016-01-01

    Cirrhotic cardiomyopathy has been defined as a chronic cardiac dysfunction in patients with cirrhosis characterized by impaired contractile responsiveness to stress and/or altered diastolic relaxation with electrophysiological abnormalities in the absence of other known cardiac disease. Non-invasive cardiovascular imaging modalities play a major role in unmasking systolic and diastolic dysfunction in patients with cirrhosis. Echocardiography has been the most commonly used modality for assessing myocardial function in these patients. Conventional echocardiographic indices rely on several assumptions that may limit their applicability in patients with a hyperdynamic circulation. Newer imaging modalities may contribute to a more accurate diagnosis of cardiovascular abnormalities in cirrhotic patients, thereby influencing clinical management. We aimed to review the different non-invasive imaging technologies currently used for assessing left ventricular systolic and diastolic function in cirrhosis, as well as to describe new imaging modalities with potential clinical applicability in the near future. PMID:26755864

  14. The carnivorous syndrome in Nepenthes pitcher plants: current state of knowledge and potential future directions.

    Science.gov (United States)

    Moran, Jonathan A; Clarke, Charles M

    2010-06-01

    Nepenthes is the largest genus of pitcher plants, with its centre of diversity in SE Asia. The plants grow in substrates that are deficient in N and offset this deficiency by trapping animal prey, primarily arthropods. Recent research has provided new insights into the function of the pitchers, particularly with regard to prey tapping and retention. Species examined to date use combinations of wettable peristomes, wax layers and viscoelastic fluid to trap and retain prey. In many respects, this has redefined our understanding of the functioning of Nepenthes pitchers. In addition, recent research has shown that several Nepenthes species target specific groups of prey animals, or are even evolving away from a strictly carnivorous mode of operation. Future research into nutrient sequestration strategies and mechanisms of prey attraction would no doubt further enhance our knowledge of the ecology of this remarkable genus. PMID:21135573

  15. Future directions for the development of virtual reality within an automotive manufacturer.

    Science.gov (United States)

    Lawson, Glyn; Salanitri, Davide; Waterfield, Brian

    2016-03-01

    Virtual Reality (VR) can reduce time and costs, and lead to increases in quality, in the development of a product. Given the pressure on car companies to reduce time-to-market and to continually improve quality, the automotive industry has championed the use of VR across a number of applications, including design, manufacturing, and training. This paper describes interviews with 11 engineers and employees of allied disciplines from an automotive manufacturer about their current physical and virtual properties and processes. The results guided a review of research findings and scientific advances from the academic literature, which formed the basis of recommendations for future developments of VR technologies and applications. These include: develop a greater range of virtual contexts; use multi-sensory simulation; address perceived differences between virtual and real cars; improve motion capture capabilities; implement networked 3D technology; and use VR for market research. PMID:26164106

  16. Attention bias modification for anxiety and phobias: current status and future directions.

    Science.gov (United States)

    Kuckertz, Jennie M; Amir, Nader

    2015-02-01

    Attention bias modification (ABM) was introduced over a decade ago as a computerized method of manipulating attentional bias and has been followed by intense interest in applying ABM for clinical purposes. While meta-analyses support ABM as a method of modifying attentional biases and reducing anxiety symptoms, there have been notable discrepancies in findings published within the last several years. In this review, we comment on recent research that may help explain some of the inconsistencies across ABM studies. More relevant to the future of ABM research, we highlight areas in which continuing research is needed. We suggest that ABM appears to be a promising treatment for anxiety disorders, but relative to other interventions, ABM is in its infancy. Thus, research is needed in order to improve ABM as a clinical treatment and advance the psychological science of ABM. PMID:25620791

  17. Community-level climate change vulnerability research: trends, progress, and future directions

    Science.gov (United States)

    McDowell, Graham; Ford, James; Jones, Julie

    2016-03-01

    This study systematically identifies, characterizes, and critically evaluates community-level climate change vulnerability assessments published over the last 25 years (n = 274). We find that while the field has advanced considerably in terms of conceptual framing and methodological approaches, key shortcomings remain in how vulnerability is being studied at the community-level. We argue that vulnerability research needs to more critically engage with the following: methods for evaluating future vulnerability, the relevance of vulnerability research for decision-making, interdependencies between social and ecological systems, attention to researcher / subject power dynamics, critical interpretation of key terms, and consideration of the potentially positive opportunities presented by a changing climate. Addressing these research needs is necessary for generating knowledge that supports climate-affected communities in navigating the challenges and opportunities ahead.

  18. How corporate clients and consumers surf the Internet: A review and future directions for research

    DEFF Research Database (Denmark)

    Gattiker, U.E.; Perlusz, S.; Bohmann, K.;

    1999-01-01

    largely ignored. Also, the impact of privacy and security concerns is largely unknown. After reviewing the existing literature, the article concludes by presenting future research challenges and practical implications for organisations willing to take advantage of the opportunities the Web offers.......This article illustrates some of the challenges that electronic commerce practitioners and researchers face. A theoretical framework for Web users' behaviour is developed. Propositions concerning (1) relationships between cross-national differences, demographics, perceived threats and Web use; (2...... the role of socialisation, cultural and situational factors in on-line shopping versus physical store shopping. Moreover, studies on how modifications in the sales channel affect the customer's processing and judgement of information are limited. The article analyses different decisional contexts for Web...

  19. The scientific challenges of NEPA: Future directions based on 20 years of experience

    International Nuclear Information System (INIS)

    January 1, 1990, marked the 20th anniversary of the signing of the National Environmental Policy Act (NEPA). Since this law was enacted, numerous institutions have assisted federal agencies in the implementation of NEPA, including the preparation of environmental impact statements and environmental assessments. The Ninth Oak Ridge National Laboratory Life Sciences Symposium was dedicated to the celebration of this anniversary. The symposium was held October 24--27, 1989, in Knoxville, Tennessee. The intent of the symposium was (1) to review what has been learned while performing NEPA assessments, (2) to summarize the state-of-the-art in methods and approaches, and (3) to define future opportunities and new approaches required to link high quality science to the decision-making process

  20. Pharmacotherapy for the management of achalasia: Current status, challenges and future directions

    Institute of Scientific and Technical Information of China (English)

    Ammar; Nassri; Zeeshan; Ramzan

    2015-01-01

    This article reviews currently available pharmacological options available for the treatment of achalasia, with a special focus on the role of botulinum toxin(BT) injection due to its superior therapeutic effect and side effect profile. The discussion on BT includes the role of different BT serotypes, better pharmacological formulations, improved BT injection techniques, the use of sprouting inhibitors, designer recombinant BT formulations and alternative substances used in endoscopic injections. The large body of ongoing research into achalasia and BT may provide a stronger role for BT injection as a form of minimally invasive, cost effective and efficacious form of therapy for patients with achalasia. The article also explores current issues and future research avenues that may prove beneficial in improving the efficacy of pharmacological treatment approaches in patients with achalasia.

  1. Designing serious video games for health behavior change: current status and future directions.

    Science.gov (United States)

    Thompson, Debbe

    2012-07-01

    Serious video games for health are designed to entertain while changing a specific health behavior. This article identifies behavioral principles that can guide the development of serious video games focused on changing a variety of health behaviors, including those attempting to decrease risk of obesity and type 2 diabetes. Guidelines discussed include how to develop video games that provide a solid foundation for behavior change by enhancing a player's knowledge and skill, ways in which personal mastery experiences can be incorporated into a video game environment, using game characters and avatars to promote observational learning, creating personalized experiences through tailoring, and the importance of achieving a balance between "fun-ness" and "seriousness." The article concludes with suggestions for future research needed to inform this rapidly growing field. PMID:22920806

  2. Nitrogen deposition and greenhouse gas emissions from grasslands: uncertainties and future directions.

    Science.gov (United States)

    Gomez-Casanovas, Nuria; Hudiburg, Tara W; Bernacchi, Carl J; Parton, William J; DeLucia, Evan H

    2016-04-01

    Increases in atmospheric nitrogen deposition (Ndep) can strongly affect the greenhouse gas (GHG; CO2, CH4, and N2O) sink capacity of grasslands as well as other terrestrial ecosystems. Robust predictions of the net GHG sink strength of grasslands depend on how experimental N loads compare to projected Ndep rates, and how accurately the relationship between GHG fluxes and Ndep is characterized. A literature review revealed that the vast majority of experimental N loads were higher than levels these ecosystems are predicted to experience in the future. Using a process-based biogeochemical model, we predicted that low levels of Ndep either enhanced or reduced the net GHG sink strength of most grasslands, but as experimental N loads continued to increase, grasslands transitioned to a N saturation-decline stage, where the sensitivity of GHG exchange to further increases in Ndep declined. Most published studies represented treatments well into the N saturation-decline stage. Our model results predict that the responses of GHG fluxes to N are highly nonlinear and that the N saturation thresholds for GHGs varied greatly among grasslands and with fire management. We predict that during the 21st century some grasslands will be in the N limitation stage where others will transition into the N saturation-decline stage. The linear relationship between GHG sink strength and N load assumed by most studies can overestimate or underestimate predictions of the net GHG sink strength of grasslands depending on their N baseline status. The next generation of global change experiments should be designed at multiple N loads consistent with future Ndep rates to improve our empirical understanding and predictive ability. PMID:26661794

  3. Radiation treatment compliance in the indigenous population: the pilot of Northern Territory experience and future directions

    International Nuclear Information System (INIS)

    There is a perception that Indigenous patients are less likely to attend radiotherapy treatment. This study sought to determine if a difference in radiotherapy treatment compliance rates exists between Indigenous and non-Indigenous patients. Secondly, we aimed to ascertain which patient, disease and treatment factors affect compliance in Indigenous patients. All patients treated with radiotherapy at the Alan Walker Cancer Care Centre between March and October 2010 were analysed. Data regarding compliance rates (defined as those who chose and completed the recommended course of treatment), patient, disease and treatment factors were collected, and chi-squared and Fisher's exact tests were applied. A total of 41 courses were delivered to Indigenous patients and 224 courses delivered to non-Indigenous patients in this period. There was no difference in compliance between Indigenous and non-Indigenous patients (83% vs. 81%, P=0.75). Of the factors assessed, it was found that there was an association between toxicity grade and compliance (P=0.048). From this cohort, we cannot support the perception that Indigenous patients have overall poorer compliance with recommended radiation treatment courses. In this study, the only factor which correlated significantly with compliance was toxicity grade. It is felt that a number of factors, which negatively impact on compliance, can potentially be counteracted by a culturally sensitive model of care.

  4. Future research directions to solve issues which provide uncertainties for the risk estimation of the radiological protection

    International Nuclear Information System (INIS)

    Both biological and epidemiological information are the basis of the radiological protection systems. It has been recognized that, by simply piling up of results from independent research projects, it would be difficult to reflect those results to risk estimation. Therefore, we examined the issues of current radiological protection systems which provide uncertainties for risk estimation, and picked out the priority research fields: 1) Age dependency, especially high radiation sensitivity in fetal stage and childhood. 2) Dose rate effects at very low dose rate range from the view point of tissue/organ level accumulation of radiation effects. 3) Stem cell kinetics and identification of the targets of cancer and other diseases. 4) Non-cancer effects, especially at low dose rate range. A platform to harmonize epidemiological, biological, and numerical modeling approach would be needed to facilitate to achieve the evidences to underpin the radiological protection systems directly with the scientific rationalities. Furthermore, the regulatory science approach would be also needed to correct the research direction of biological approach to achieve the consistency with regulatory issues, to examine social significance and impacts of the findings, and to accelerate the reflection of the results to the radiological protection systems. (author)

  5. A global model simulation of present and future nitrate aerosols and their direct radiative forcing of climate

    Directory of Open Access Journals (Sweden)

    D. A. Hauglustaine

    2014-03-01

    Full Text Available The ammonia cycle and nitrate particle formation have been introduced in the LMDz-INCA global model. Both fine nitrate particles formation in the accumulation mode and coarse nitrate forming on existing dust and sea-salt particles are considered. The model simulates distributions of nitrates and related species in agreement with previous studies and observations. The calculated present-day total nitrate direct radiative forcing since the pre-industrial is −0.056 W m−2. This forcing has the same magnitude than the forcing associated with organic carbon particles and represents 18% of the sulfate forcing. Fine particles largely dominate the nitrate forcing representing close to 90% of this value. The model has been used to investigate the future changes in nitrates and direct radiative forcing of climate based on snapshot simulations for the four Representative Concentration Pathway (RCP scenarios and for the 2030, 2050 and 2100 time horizons. Due to a decrease in fossil fuel emissions in the future, the concentrations of most of the species involved in the nitrate-ammonium-sulfate system drop by 2100 except for ammonia which originates from agricultural practices and for which emissions significantly increase in the future. Despite the decrease of nitrate surface levels in Europe and Northern America, the global burden of accumulation mode nitrates increases by up to a factor of 2.6 in 2100. This increase in nitrate in the future arises despite decreasing NOx emissions due to increased availability of ammonia to form ammonium nitrate. The total aerosol direct forcing decreases from its present-day value of −0.234 W m−2 to a range of −0.070 to −0.130 W m−2 in 2100 based on the considered scenario. The direct forcing decreases for all aerosols except for nitrates for which the direct negative forcing increases to a range of −0.060 to −0.115 W m−2 in 2100. Including nitrates in the radiative forcing calculations increases the

  6. Human Identity Verification based on Heart Sounds: Recent Advances and Future Directions

    CERN Document Server

    Beritelli, Francesco

    2011-01-01

    Identity verification is an increasingly important process in our daily lives, and biometric recognition is a natural solution to the authentication problem. One of the most important research directions in the field of biometrics is the characterization of novel biometric traits that can be used in conjunction with other traits, to limit their shortcomings or to enhance their performance. The aim of this work is to introduce the reader to the usage of heart sounds for biometric recognition, describing the strengths and the weaknesses of this novel trait and analyzing in detail the methods developed so far by different research groups and their performance.

  7. The Future of Foreign Direct Liability? Exploring the International Relevance of the Dutch Shell Nigeria Case

    Directory of Open Access Journals (Sweden)

    Liesbeth Enneking

    2014-01-01

    Full Text Available In January 2013, The Hague District Court in the Netherlands rendered a groundbreaking verdict in a civil liability suit against Royal Dutch Shell and its Nigerian subsidiary (SPDC. The lawsuit had been brought before it by four Nigerian farmers and the Dutch NGO Milieudefensie, in response to a number of oil-spill incidents from SPDC-operated pipelines in the Nigerian Niger Delta. Although the majority of the claims were dismissed, the district court in its ruling did grant one claim that related to spills from an abandoned wellhead, ordering SPDC to pay compensation for the resulting loss. This judgment has international relevance, as this Dutch Shell Nigeria case forms part of a worldwide trend towards foreign direct liability cases. Growing numbers of similar lawsuits have been brought before the courts in other Western societies, but judgments on the merits have so far remained scarce. The relevance of the case has further increased with the US Supreme Court’s April 2013 ruling in the case of Kiobel v. Royal Dutch Petroleum Co., which has significantly limited the scope of the Alien Tort Statute. This article explores The Hague District Court’s decision in the Dutch Shell Nigeria case, and places the case within the socio-legal context of the contemporary trend towards foreign direct liability cases, the international debates on corporate accountability and business & human rights, and the Supreme Court's judgment in the Kiobel case.

  8. Management of recurrent head and neck cancer: recent progress and future directions.

    Science.gov (United States)

    Brockstein, Bruce E

    2011-08-20

    The incidence of squamous cell carcinoma of the head and neck (SCCHN) is on the rise in the US despite a drop in cigarette smoking rates. Much of this rise is due to the increasing incidence of SCCHN attributable to human papillomavirus (HPV). HPV-related SCCHN has a high cure rate, which contributes to the stable death rates despite the increased incidence. Up to half of patients with SCCHN will develop recurrence. For these patients, the first clinical decision is whether the recurrence is potentially treatable for cure, or is incurable. For those deemed potentially curable, surgical or radiation-based therapies, or both, are undertaken. For those who have incurable recurrences, the goals are palliation and possibly prolongation of life - average survivals are in the range of 6-12 months depending on the type of recurrence and other factors. Several chemotherapy drugs are active in SCCHN, most notably the platinum compounds, taxanes, fluorouracil (5-FU), methotrexate and cetuximab. Approximately 10-25% of patients will respond to treatment with one of these drugs. The response rate is higher for combinations such as a platinum plus a taxane, a platinum plus 5-FU, a combination of the three, or one of more of these drugs plus cetuximab. Combination chemotherapy has not been shown to prolong survival over single-agent therapy, with the exception of the addition of cetuximab to a platinum and 5-FU combination. A number of orally bioavailable tyrosine kinase inhibitors have been tested or are undergoing trials in SCCHN. None of these has as yet been shown to be more effective than the currently available drugs. For patients with recurrences who are undergoing active therapy, and especially for those for whom further therapy is no longer appropriate or is declined, strict attention is necessary to palliation of pain, oral and airway issues, and to nutrition, speech, and social and psychological issues. PMID:21861540

  9. Radiofrequency heating of nanomaterials for cancer treatment: Progress, controversies, and future development

    Science.gov (United States)

    Liu, Xiaoming; Chen, Hui-jiuan; Chen, Xiaodong; Alfadhl, Yasir; Yu, Junsheng; Wen, Dongsheng

    2015-03-01

    In recent years, the application of nanomaterials to biological and biomedicine areas has attracted intensive interest. One of the hot topics is the nanomaterial mediated radiofrequency (RF) hyperthermia or ablation, i.e., using RF fields/waves to heat tumor tissues treated with nanomaterials to destroy cancerous cells while minimizing the side-heating effect. However, there are currently many contradictive results reported concerning the heating effect of nanomaterials under a RF field. This paper provided a comprehensive review to nanomaterial mediated RF ablation from both experimental and theoretical aspects. Three heating mechanisms were discussed, i.e., laser heating, magnetic field heating, and electric field heating in RF spectrum, with the focus on the last one. The results showed that while diluted pure metallic nanoparticles could be heated significantly by a laser through the surface plasmon resonance, they cannot be easily heated by a RF electric field. Further studies are proposed focusing on nanoparticle structure and morphology, electromagnetic frequency and localized heating effect to pave the way for future development.

  10. Advanced Low Conductivity Thermal Barrier Coatings: Performance and Future Directions (Invited paper)

    Science.gov (United States)

    Zhu, Dongming; Miller, Robert A.

    2008-01-01

    Thermal barrier coatings will be more aggressively designed to protect gas turbine engine hot-section components in order to meet future engine higher fuel efficiency and lower emission goals. In this presentation, thermal barrier coating development considerations and performance will be emphasized. Advanced thermal barrier coatings have been developed using a multi-component defect clustering approach, and shown to have improved thermal stability and lower conductivity. The coating systems have been demonstrated for high temperature combustor applications. For thermal barrier coatings designed for turbine airfoil applications, further improved erosion and impact resistance are crucial for engine performance and durability. Erosion resistant thermal barrier coatings are being developed, with a current emphasis on the toughness improvements using a combined rare earth- and transition metal-oxide doping approach. The performance of the toughened thermal barrier coatings has been evaluated in burner rig and laser heat-flux rig simulated engine erosion and thermal gradient environments. The results have shown that the coating composition optimizations can effectively improve the erosion and impact resistance of the coating systems, while maintaining low thermal conductivity and cyclic durability. The erosion, impact and high heat-flux damage mechanisms of the thermal barrier coatings will also be described.

  11. Microstates in resting-state EEG: current status and future directions.

    Science.gov (United States)

    Khanna, Arjun; Pascual-Leone, Alvaro; Michel, Christoph M; Farzan, Faranak

    2015-02-01

    Electroencephalography (EEG) is a powerful method of studying the electrophysiology of the brain with high temporal resolution. Several analytical approaches to extract information from the EEG signal have been proposed. One method, termed microstate analysis, considers the multichannel EEG recording as a series of quasi-stable "microstates" that are each characterized by a unique topography of electric potentials over the entire channel array. Because this technique simultaneously considers signals recorded from all areas of the cortex, it is capable of assessing the function of large-scale brain networks whose disruption is associated with several neuropsychiatric disorders. In this review, we first introduce the method of EEG microstate analysis. We then review studies that have discovered significant changes in the resting-state microstate series in a variety of neuropsychiatric disorders and behavioral states. We discuss the potential utility of this method in detecting neurophysiological impairments in disease and monitoring neurophysiological changes in response to an intervention. Finally, we discuss how the resting-state microstate series may reflect rapid switching among neural networks while the brain is at rest, which could represent activity of resting-state networks described by other neuroimaging modalities. We conclude by commenting on the current and future status of microstate analysis, and suggest that EEG microstates represent a promising neurophysiological tool for understanding and assessing brain network dynamics on a millisecond timescale in health and disease. PMID:25526823

  12. Social science research on HIV in Vietnam: a critical review and future directions.

    Science.gov (United States)

    Dao, Amy; Hirsch, Jennifer S; Giang, Le Minh; Parker, Richard G

    2013-01-01

    Social science research can enhance the response to Vietnam's growing HIV epidemic by capturing the country's rapidly changing social and political context. The present paper reviews the published, peer-reviewed and English-language social science literature on HIV in Vietnam in order to identify critical theoretical and substantive gaps, while laying the groundwork for future research. We found four broad foci for work on the social context of HIV and AIDS in Vietnam: the cultural meanings and social relationships that shape Vietnam's HIV epidemic; stigma and discrimination; social inequality and structural violence as contributors to HIV risk; and, finally, how broader global and social systems shape Vietnam's HIV epidemic. We signal the particular need for additional research on the effects of the media on attitudes towards HIV and AIDS, on social movements, and on health systems, as well as on a number of other key areas. Work along these lines, in addition to more effective communication of policy-relevant findings to those responsible for the development and implementation of policies and programmes, will strengthen Vietnam's response to HIV and AIDS. PMID:23906241

  13. Ecology of zoonotic infectious diseases in bats: current knowledge and future directions

    Science.gov (United States)

    Hayman, D.T.; Bowen, R.A.; Cryan, P.M.; McCracken, G.F.; O'Shea, T.J.; Peel, A.J.; Gilbert, A.; Webb, C.T.; Wood, J.L.

    2012-01-01

    Bats are hosts to a range of zoonotic and potentially zoonotic pathogens. Human activities that increase exposure to bats will likely increase the opportunity for infections to spill over in the future. Ecological drivers of pathogen spillover and emergence in novel hosts, including humans, involve a complex mixture of processes, and understanding these complexities may aid in predicting spillover. In particular, only once the pathogen and host ecologies are known can the impacts of anthropogenic changes be fully appreciated. Cross-disciplinary approaches are required to understand how host and pathogen ecology interact. Bats differ from other sylvatic disease reservoirs because of their unique and diverse lifestyles, including their ability to fly, often highly gregarious social structures, long lifespans and low fecundity rates. We highlight how these traits may affect infection dynamics and how both host and pathogen traits may interact to affect infection dynamics. We identify key questions relating to the ecology of infectious diseases in bats and propose that a combination of field and laboratory studies are needed to create data-driven mechanistic models to elucidate those aspects of bat ecology that are most critical to the dynamics of emerging bat viruses. If commonalities can be found, then predicting the dynamics of newly emerging diseases may be possible. This modelling approach will be particularly important in scenarios when population surveillance data are unavailable and when it is unclear which aspects of host ecology are driving infection dynamics.

  14. Pediatric Fear-Avoidance Model of Chronic Pain: Foundation, Application and Future Directions

    Directory of Open Access Journals (Sweden)

    Gordon JG Asmundson

    2012-01-01

    Full Text Available The fear-avoidance model of chronic musculoskeletal pain has become an increasingly popular conceptualization of the processes and mechanisms through which acute pain can become chronic. Despite rapidly growing interest and research regarding the influence of fear-avoidance constructs on pain-related disability in children and adolescents, there have been no amendments to the model to account for unique aspects of pediatric chronic pain. A comprehensive understanding of the role of fear-avoidance in pediatric chronic pain necessitates understanding of both child/adolescent and parent factors implicated in its development and maintenance. The primary purpose of the present article is to propose an empirically-based pediatric fear-avoidance model of chronic pain that accounts for both child/adolescent and parent factors as well as their potential interactive effects. To accomplish this goal, the present article will define important fear-avoidance constructs, provide a summary of the general fear-avoidance model and review the growing empirical literature regarding the role of fear-avoidance constructs in pediatric chronic pain. Assessment and treatment options for children with chronic pain will also be described in the context of the proposed pediatric fear-avoidance model of chronic pain. Finally, avenues for future investigation will be proposed.

  15. Cross-Cultural Perspectives on Parent-Adolescent Discrepancies: Existing Findings and Future Directions.

    Science.gov (United States)

    Rescorla, Leslie A

    2016-10-01

    As summarized in this commentary, the first generation of cross-informant agreement research focused on perceptions of child and adolescent mental health. Contributions of this research include demonstrating that modest cross-informant agreement is a very robust phenomenon, utilizing numerous statistical approaches to measure degree of agreement, and identifying many factors that moderate agreement. An important focus of this work has been using multi-society international comparisons to examine cross-cultural similarities and differences in cross-informant agreement. The articles in this Special Issue represent a significant paradigm shift in which cross-informant agreement is examined as an independent variable predicting a wide variety of outcomes. Furthermore, moving beyond perceptions of adolescent mental health, these articles compare parent and adolescent perceptions of diverse aspects of family functioning (e.g., family conflict, parent-adolescent communication, family relationships, parental authority). Additionally, the research presented in this Special Issue employs innovative and sophisticated statistical techniques. Although the Special Issue represents some first steps toward considering cross-cultural aspects of perceptions of family functioning, much work still needs to be done in this area. Some suggestions for future research strategies to accomplish this goal conclude this commentary. PMID:27491416

  16. Neural representations and the cortical body matrix: implications for sports medicine and future directions.

    Science.gov (United States)

    Wallwork, Sarah B; Bellan, Valeria; Catley, Mark J; Moseley, G Lorimer

    2016-08-01

    Neural representations, or neurotags, refer to the idea that networks of brain cells, distributed across multiple brain areas, work in synergy to produce outputs. The brain can be considered then, a complex array of neurotags, each influencing and being influenced by each other. The output of some neurotags act on other systems, for example, movement, or on consciousness, for example, pain. This concept of neurotags has sparked a new body of research into pain and rehabilitation. We draw on this research and the concept of a cortical body matrix-a network of representations that subserves the regulation and protection of the body and the space around it-to suggest important implications for rehabilitation of sports injury and for sports performance. Protective behaviours associated with pain have been reinterpreted in light of these conceptual models. With a particular focus on rehabilitation of the injured athlete, this review presents the theoretical underpinnings of the cortical body matrix and its application within the sporting context. Therapeutic approaches based on these ideas are discussed and the efficacy of the most tested approaches is addressed. By integrating current thought in pain and cognitive neuroscience related to sports rehabilitation, recommendations for clinical practice and future research are suggested. PMID:26682866

  17. Adolescent Cellphone Use While Driving: An Overview of the Literature and Promising Future Directions for Prevention

    Directory of Open Access Journals (Sweden)

    M. Kit Delgado

    2016-06-01

    Full Text Available Motor vehicle crashes are the leading cause of death in adolescents, and drivers aged 16–19 are the most likely to die in distracted driving crashes. This paper provides an overview of the literature on adolescent cellphone use while driving, focusing on the crash risk, incidence, risk factors for engagement, and the effectiveness of current mitigation strategies. We conclude by discussing promising future approaches to prevent crashes related to cellphone use in adolescents. Handheld manipulation of the phone while driving has been shown to have a 3 to 4-fold increased risk of a near crash or crash, and eye glance duration greater than 2 seconds increases crash risk exponentially. Nearly half of U.S. high school students admit to texting while driving in the last month, but the frequency of use according to vehicle speed and high-risk situations remains unknown. Several risk factors are associated with cell phone use while driving including: parental cellphone use while driving, social norms for quick responses to text messages, and higher levels of temporal discounting. Given the limited effectiveness of current mitigation strategies such as educational campaigns and legal bans, a multi-pronged behavioral and technological approach addressing the above risk factors will be necessary to reduce this dangerous behavior in adolescents.

  18. The current status and future direction of self-help treatments for problem gamblers.

    Science.gov (United States)

    Raylu, Namrata; Oei, Tian P S; Loo, Jasmine

    2008-12-01

    The self-help treatment (SHT) studies for other psychological problems significantly outweigh those for problem gambling. Currently, very little is published about the application and efficacy of various forms of SHTs for problem gambling. Thus, this paper reviews the self-help literature (using the PsycINFO database--all years up to April 2008) to stimulate further research in this area for problem gambling. The findings show that SHTs in problem gambling are still in their infancy. Although the problem gambling literature has mainly reported on two forms of SHTs with problem gamblers (i.e. use of self-help manuals and audiotapes), the review discuss utilizing a wide range of SHTs with problem gamblers. These include written materials (e.g. self-help books and treatment manuals), audiotapes, videotapes, computer-based SHTs implemented on palmtop computers, desktop computers, via telephone (Interactive Voice Response systems--IVR) or via the Internet and virtual reality applications. These SHTs would suit those problem gamblers who are not accessing professional treatment due to shame, guilt, fear of stigma, privacy concerns or financial difficulties, as well as those living in rural areas or with less severe gambling problems. The review also suggest future protocols for conducting further research in this area with problem gamblers, highlighting a need for a cohesive theory to guide research. PMID:18760868

  19. The South America VLF Network - SAVNET: Achievements, Latest Results and Future Directions

    Science.gov (United States)

    Raulin, J.

    2013-05-01

    In this paper we present recent results obtained by the South America VLF Network (SAVNET). The use of the VLF technique by tracking subionospheric propagation anomalies appears as a very promising tool to study various aspects of Space Weather disturbances. On long timescales it is possible to indirectly monitor the solar Lyman-alpha radiation along the solar cycles. Short time phenomena like solar explosive events can be observed with 100% probability, even for the small intensity events. The effect of high-energy precipitating solar particles can be tracked in the low ionosphere. The same technique is also relevant to study the ionospheric perturbations caused by geomagnetic storms on typical timescales of a day to few days. Extra solar and terrestrial high-energy phenomena are naturally detected in the very sensitive low ionospheric plasma, as Gamma-ray bursts and Soft Gamma-ray repeaters. Finally, the remote sensing of the low ionosphere is also used to search for seismic-electromagnetic effects prior to Earthquakes. At the present time, SAVNET is composed of nine (9) tracking receiver stations in Brazil, Peru, Argentina and Mexico. In this presentation we will describe our future plans for expanding the array. Eastern Europe, Ecuador and Asia are good host candidates to participate in these forthcoming activities. The array expansion is necessary to improve the probability detection of very high-energy remote phenomena, and to demonstrate that these processes of great astrophysical importance can be easily detected using a cheap and simple technique.

  20. Research on the adaptation of skeletal muscle to hypogravity: Past and future directions

    Science.gov (United States)

    Riley, D. A.; Ellis, S.

    Our current understanding of hypogravity-induced atrophy of skeletal muscles is based primarily on studies comparing pre- and post-flight properties of muscles. Interpretations are necessarily qualified by the assumption that the stress of reentry and readjustment to terrestrial gravity do not alter the parameters being analyzed. The neuromuscular system is highly responsive to changes in functional demands and capable of rapid adaptation, making this assumption questionable. A reexamination of the changes in the connective tissue and synaptic terminals of soleus muscles from rats orbited in biosatellites and sampled postflight indicates that these structural alterations represent adaptative responses of the atrophic muscles to the increased workload of returning to 1 G, rather than hypogravity per se. The atrophy of weightlessness is postulated to result because muscles are both underloaded and used less often. Proper testing of this hypothesis requires quantitation of muscle function by monitoring electromyography, force output and length changes during the flight. Experiments conducted in space laboratories, like those being developed for the Space Shuttle, will avoid the complications of reentry before tissue sampling and allow time course studies of the rate of development of adaptive changes to zero gravity. Another area of great importance for future studies of muscle atrophy is inflight measurement of plasma levels of hormones and tissue receptor levels. Glucocorticoids, thyroid hormone and insulin exert dramatic regulatory influences on muscle structure. Prevention of neuromuscular atrophy becomes increasingly more important as spaceflights increase in duration. Definition of the atrophic mechanism is essential to developing means of preventing neuromuscular atrophy.