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Largely varying patterns and trends of primary cancer-directed resection for gastric carcinoma with synchronous distant metastasis in Europe and the US : a population-based study calling for further standardization of care

Aims: The role of resection remains debated in cases of metastatic gastric carcinoma (mGC). Some mGCs are technically resectable. At the population level, the real-world application of resection for mGC remains largely unclear in most Western countries. This large, population-based international investigation aimed to reveal the resection patterns and trends for mGC and the treatment-associated fa

Degrees of commensurability and the repugnant conclusion

Two objects of valuation are said to be incommensurable if neither is better than the other, nor are they equally good. This negative, coarse-grained characterization fails to capture the nuanced structure of incommensurability. We argue that our evaluative resources are far richer than orthodoxy recognizes. We model value comparisons with the corresponding class of permissible preference ordering

Distant Resolution of Actinic Keratosis following Cryosurgery : An Unusual Phenomenon

Early after the introduction of cryosurgery to clinical practice, there were reports of metastasis regressing after cryosurgery of a primary tumour, mainly prostate and breast cancer, suggesting a systemic immunological effect to a local reaction. Colleagues within dermatology have occasionally experienced similar systemic effects following cryosurgery. However, published reports of such cases are

Neonatal Bacille Calmette-Guérin vaccination and tuberculin skin test reactions at 2- and 6-months : Effects on mortality up to 1 year of age

Background: In randomized trials, Bacille Calmette-Guérin (BCG) vaccine has been associated with reduced all-cause mortality. BCG-induced Tuberculin Skin Test (TST) reactions have also been associated with reduced all-cause mortality. We aimed to assess the association between TST responses and subsequent mortality in three birth cohorts and conducted a meta-analysis of existing studies. Methods:

Narrating an Other and Each Other : Collaborative Constructions of Selfhood in There Was This Goat: Investigating the Truth Commission Testimony of Notrose Nobomvu Konile

The aim of this article is to examine the textual constructions of selfhood in the South African narrative There Was This Goat: Investigating the Truth Commission Testimony of Notrose Nobomvu Konile (2009), co-authored by Antjie Krog, Nosisi Mpolweni and Kopano Ratele. There Was This Goat is dedicated to understanding Mrs Konile and her Truth and Reconciliation Commission testimony given in Xhosa,

Collaboratively Writing a Self : Textual Strategies in Margaret McCord's The Calling of Katie Makanya: A Memoir of South Africa

This paper analyzes The Calling of Katie Makanya (1995) by Margaret McCord as a collaborative autobiography. Katie’s motive for wanting her story to be told is not a desire to find her own voice and identity through narration, but seemingly rather to add to and complete the picture presented in the narrative My Patients Were Zulus (1946), written by Katie’s employer and Margaret McCord’s father, D

Analysis and design of an 1-20 GHz track and hold circuit

This work analyzes the nonlinear effects in the track and hold circuit applied in high-speed ADCs or RF sampling receiver (RX) front-ends. Non-ideal effects inside the main sampling NMOS switch are studied. Parasitic varactor and sampling on-resistance modulation effects are analyzed through frequency domain Volterra series and the EKV MOS transistor model. Polynomial curve fitting is applied show

An application specific vector processor for CNN-based massive MIMO positioning

This paper sets out to create an implementation for fingerprint-based positioning using massive multiple-input multiple-output (MIMO) technology, by means of deep convolutional neural networks (CNN), and utilizing the wireless channel state information (CSI). Due to the sheer volume of computational requirements imposed by CNN processing, an accelerator-assisted design is well-suited to the task a

End-of-life discussions in residential care homes improves symptom control : A national register study

Background: In Europe, residential care homes (RCHs) rather than hospitals are the most common care facilities for the older adult and the place where most deaths occur in this age group. There is a lack of knowledge regarding end-of-life (EOL) discussions and how they correlate with symptoms and symptom relief. Objective: The aim was to examine the correlation between EOL discussions and symptom

The natural history of primary progressive aphasia : beyond aphasia

Introduction: Primary progressive aphasia (PPA) is divided into three prototypical subtypes that are all characterized by their single core symptom of aphasia. Although later in their course, other cognitive, behavioral, and motor domains may become involved, little is known about the progression profile of each subtype relative to the other subtypes. Methods: In this longitudinal retrospective co

Bioactive adrenomedullin a prognostic biomarker in patients with mild to moderate dyspnea at the emergency department : an observational study

Acute dyspnea with underlying congestion is a leading cause of emergency department (ED) visits with high rates of hospitalization. Adrenomedullin is a vasoactive neuropeptide hormone secreted by the endothelium that mediates vasodilation and maintains vascular integrity. Plasma levels of biologically active adrenomedullin (bio-ADM) predict septic shock and vasopressor need in critically ill patie

The Shrunken pore syndrome is associated with poor prognosis and lower quality of life in heart failure patients : the HARVEST-Malmö study

AIMS: This study aimed to investigate the association between the 'Shrunken pore syndrome' (SPS) and risk of death, 30 day rehospitalization, and health-related quality of life (QoL) in heart failure (HF) patients. SPS is characterized by a difference in renal filtration between cystatin C and creatinine, resulting in a low eGFRcystatin C /eGFRcreatinine ratio.METHODS AND RESULTS: A total of 373 p

Experimental and Computational Models for Side Chain Discrimination in Peptide–Protein Interactions

A bis(18-crown-6) Tröger's base receptor and 4-substituted hepta-1,7-diyl bisammonium salt ligands have been used as a model system to study the interactions between non-polar side chains of peptides and an aromatic cavity of a protein. NMR titrations and NOESY/ROESY NMR spectroscopy were used to analyze the discrimination of the ligands by the receptor based on the substituent of the ligand, both

Haemophilia

Haemophilia A and B are rare congenital, recessive X-linked disorders caused by lack or deficiency of clotting factor VIII (FVIII) or IX (FIX), respectively. The severity of the disease depends on the reduction of levels of FVIII or FIX, which are determined by the type of the causative mutation in the genes encoding the factors (F8 and F9, respectively). The hallmark clinical characteristic, espe

Integrating dissolved and particulate matter into a prediction tool for ozonation of organic micropollutants in wastewater

Ozonation is an established technique used to reduce the discharge of organic micropollutants into the aquatic environment, but the possibility of predicting the ozone demand for different wastewater matrices is still limited, especially in the presence of suspended solids (SS). A new tool for the prediction of the removal of organic micropollutants with ozone, based on dissolved and particulate m