196,300 research outputs found

    Road Mangler Deluxe

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    Contains fulltext : 288795.pdf (Publisher’s version ) (Open Access)Phil Kaufman Road Mangler Deluxe Colorado:White Boucke ,2005 1-888580-31-

    Laparoscopic pelvic lymphadenectomy in 32 pregnant patients with cervical cancer: Rationale, description of the technique, and outcome

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    Objective: Individualized treatment of pregnant patients with cervical cancer is mandatory; hence, information on nodal status is pivotal to allow awaiting strategy in early-stage disease. We aimed to verify the oncological safety and surgical reproducibility of a standardized laparoscopic pelvic lymphadenectomy in pregnant patients with cervical cancer. Methods: We standardized laparoscopic pelvic lymphadenectomy during the first and second term of gestation in 32 patients with cervical cancer since 1999. According to gestational week (GW) of less than 16 GWs or more than 16 GWs, 2 different techniques were used. Results: The International Federation of Gynecology and Obstetrics stages were IA in 10 patients, IB1 in 17 patients, IB2 in 4 patients, and IIA in 1 patient. Mean (SD) GW was 17.5 (5.1) weeks. Mean (SD) operative time was 105.4 (29) minutes. Mean (SD) blood loss was 5.3 (10.2) mL. There were no conversion to laparotomy and no intraoperative complications. A median number of 14 pelvic lymph nodes (range, 8-57) were harvested. Median hospital stay was 6 days. Median follow-up is 42.5 months (range, 17-164). Four patients had lymph node metastases. Five patients interrupted their pregnancy. Fourteen patients were given neoadjuvant platin-based systemic therapy. All patients are alive and disease free. All children born through cesarean delivery at a mean (SD) 34 (1.9) GWs are well and show normal clinical neurological development. Conclusions: To the best of our knowledge, this is the largest series so far reported on laparoscopic pelvic lymphadenectomy during pregnancy. This procedure is safe and associated with good oncological and obstetrical outcomes. Copyright © 2014 by IGCS and ESGO

    Dr. Duane M. Jackson, Morehouse College, July 2011

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    This video is a conversation with Dr. Duane M. Jackson. Dr. Jackson talks about his paper, "Recall and the Serial Position Effect: The Role of Primacy and Recency on Accounting Students' Performance." Jackie Daniel, AUC Woodruff Library, is the interviewer

    "Reflections on the subject of Emigration from Europe with a view to Settlement in the United States" By M. Carey.

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    "Reflections on the subject of Emigration from Europe with a view to Settlement in the United States: containing bried sketches of the moral and political character of those states. By M. Carey, member of the American philosophical, and of the American Antiquarian Society, and author of The Olive Branch, Cindiciae Hibernicae, essays on banking, on political economy, and on internal improvement. To which are now added the English editor's comments on the subject; together with Important Advice to Emigrants, and Cautions Against Impositions Practiced in the Outports

    A Pyroxenic View on Magma Hybridization and Crystallization at Popocatépetl Volcano, Mexico

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    The Popocatépetl Volcanic Complex (PVC) is an active arc volcano located in central Mexico, 70 km southeast of Mexico City. Current models of the PVC’s plumbing system and magma petrogenesis are largely based on studies of isolated Plinian eruptions over the past 23.5 ka and present-day Vulcanian activity, while voluminous interplinian effusive summit and flank eruptions remain underrepresented. Here, we present a detailed petrological characterization focussed on ortho- and clinopyroxene in five effusive flank eruptions and two Plinian eruptions of the PVC during the last ∼14.1 ka. Texturally and compositionally defined pyroxene populations are used to constrain magmatic temperatures and deconvolve crystallization histories. At least two long-lived, inter-connected magmatic environments (ME) are identified in the mid- to upper crust beneath the PVC: (1) a mafic ME crystallizing high-Mg orthopyroxene + clinopyroxene + Cr-spinel ± sulfide at 1000–1115°C, and (2) an evolved, shallower ME crystallizing plagioclase + low-Mg orthopyroxene + clinopyroxene + Fe-Ti oxides + apatite ± sulfide at long-term storage temperatures of ∼970°C. The architecture of the PVC plumbing system has remained stable throughout the last ∼14.1 ka, and both MEs have sustained above-solidus magma storage temperatures fueled by recharge with hydrous, high-Mg basaltic mantle melts that crystallized fosteritic olivine + Cr-spinel + low-Ca clinopyroxene in the lower- to mid-crust at 1080–1220°C. Lavas and pumices show texturally and compositionally diverse crystal cargoes indicative of frequent magma mixing, with ≤67% of pyroxene crystals originating from the mid- to upper crustal mafic ME, of which ≤74% were stored and diffusively overprinted in the evolved ME for centuries to millenia. Pyroxene crystals of different origins, ages and thermal histories are stored in the evolved ME as a heterogeneous crystal mush that is frequently disrupted, reorganized and replenished by mafic injections. Magma recharge causes melt and crystal hybridization over timescales ranging from near-instantaneous to millenia, which produces the diverse crystal cargo and restricted whole-rock compositions typical for the PVC and many other arc volcanoes. We suggest that hot storage conditions and magma dynamics similar to the PVC may be characteristic for many other arc volcanoes of intermediate sizes and compositions

    CuAu, a hexagonal two-dimensional metal

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    Growth of two-dimensional metals has eluded materials scientists since the discovery of the atomically thin graphene and other covalently bound 2D materials. Here, we report a two-atom-thick hexagonal copper-gold alloy, grown through thermal evaporation on freestanding graphene and hexagonal boron nitride. The structures are imaged at atomic resolution with scanning transmission electron microscopy and further characterized with spectroscopic techniques. While the 2D structures are stable over months in vacuum, electron irradiation in the microscope provides sufficient energy to cause a phase transformation - atoms are released from their lattice sites with the gold atoms eventually forming face-centered cubic nanoclusters on top of 2D regions during observation. The presence of copper in the alloy enhances sticking of gold to the substrate, which has clear implications for creating atomically thin electrodes for applications utilizing 2D materials. Its practically infinite surface-to-bulk ratio also makes the 2D CuAu particularly interesting for catalysis applications

    Dispelling the Myths Behind First-author Citation Counts

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    We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more sophisticated methods

    Laparoscopic lymph node dissection should be performed before fertility preserving treatment of patients with cervical cancer

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    Objective: The aim of this study is to assess our results of treatment of women with stage I cervical cancer > 2 cm in diameter seeking fertility preservation. Treatment consisted of Laparoscopic Pelvic and Paraaortic Lymphadenectomy (LPPLND), and when no nodal metastasis was detected, neoadjuvant chemotherapy (NACT) followed by radical vaginal trachelectomy (RVT). Patients with positive lymph nodes underwent primary chemoradiation. Methods: A cohort of women younger than 40 years of age with stage I disease > 2 cm who underwent LPPLND and either NACT and RVT or chemoradiation. Oncological outcome was evaluated prospectively. Results: Eighteen women were eligible for this study. Twelve (67%) women were diagnosed with metastasis in one or more pelvic and/or paraaortic lymph nodes, and thus received primary chemoradiation. After a mean follow-up of 25.5 months, three out of these 12 women (25%) developed a recurrence. Six women (33%) underwent NACT and RVT. Three patients experienced complete response to NACT and three patients showed more than 50% tumor size reduction. After a mean follow-up of 30.6 months all six women are free of recurrence. One patient delivered a healthy infant. Conclusions: Staging LPPLND allows separating patients in high or low recurrence risk groups. NACT and RVT seem to be safe for women with completely staged stage I cervical cancer > 2 cm in diameter, whereas even after primary chemoradiation, patients with positive lymph nodes experienced recurrence. Therefore, selection of patients with stage I cervical carcinoma > 2 cm, eligible for fertility preservation should include histopathologic evaluation of lymph node status before any further treatment. © 2012 Elsevier Inc. All rights reserved

    Dr. Glendon Swarthout

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    Hosted by Roger M. Busfield, MSU Assistant Professor of Speech and Theater, Meet the Author is designed to introduce a general audience to a contemporary author and their work through in-depth interviews. This episode features a conversation between Dr. Glendon Swarthout, prolific author and English professor at MSU, and assistant professors Sam S. Baskett and Theodore B. Strandness

    Fertility outcome after radical vaginal trachelectomy: A prospective study of 212 patients

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    Objective: For treatment in patients with early-stage cervical cancer, radical vaginal trachelectomy (RVT) as a fertility-preserving surgery can be put on a par with radical hysterectomy as to oncologic safety. Our aim was to investigate the fertility concerns and outcome. Methods: Prospective collection of fertility data of patients treated with RVT. The data were collected on personal communication, by telephone, or e-mail correspondence. Descriptive statistical analysis was performed. Results: Between March 2005 and April 2010, 212 patients were followed up after RVT. Only 76 patients (35.9%) were seeking parenthood currently. Sixty pregnancies occurred in 50 women. Five patients (8.3%) had first-trimester miscarriage, 3 had second-trimester miscarriage (5.0%), 2 patients decided for pregnancy termination (3.3%), and 1 patient (1.7%) had an ectopic pregnancy. Three women (5.0%) delivered prematurely before 28th weeks of gestation, 15 (25.0%) delivered between 28 and 36 weeks, and 27 women (45.0%) reached full term. Four pregnancies are ongoing. Conclusions: Preservation of childbearing function is a great advantage for patients with early-stage cervical cancer. Many patients do not seek parenthood immediately. We see no impairment of fertility and have solid data on pregnancy outcome. Premature labor is the main problem in pregnancy after RVT. Copyright copy; 2011 by IGCS and ESGO
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