Purpose
In patients with chemotherapy, there is no consensus on the timing of ileostomy closure. Ileostomy reversal could improve the quality of life and minimise the long-term adverse events of ...delayed closure. In this study, we evaluated the impact of chemotherapy on ileostomy closure and searched for the predictive factors for complications.
Methods
We retrospectively analysed 212 patients with rectal cancer who underwent ileostomy closure surgery during and without chemotherapy and were consecutively enrolled between 2010 and 2016. As a result of the heterogeneity of the two groups, propensity score matching (PSM) was performed with a 1:1 PSM cohort.
Results
A total of 162 patients were included in the analysis. The overall stoma closure-related complications (12.4% vs. 11.1%,
p
= 1.00) and major complications (2.5% vs. 6.2%,
p
= 0.44) were not significantly different between the two groups. Multivariate analysis demonstrated that chronic kidney disease and bevacizumab use are risk factors for major complications.
Conclusion
Patients with oral or intravenous chemotherapy can safely have ileostomy closure with an adequate time delay from chemotherapy. When patients use bevacizumab, major complications related to ileostomy closure should still be cautioned.
The vast majority of biologically active compounds, ranging from amino acids to essential nutrients such as glucose, possess intrinsic handedness. This in turn gives rise to chiral optical properties ...that provide a basis for detecting and quantifying enantio-specific concentrations of these molecules. However, traditional chiroptical spectroscopy and imaging techniques require cascading of multiple optical components in sophisticated setups. Here, we present a planar lens with an engineered dispersive response, which simultaneously forms two images with opposite helicity of an object within the same field-of-view. In this way, chiroptical properties can be probed across the visible spectrum using only the lens and a camera without the addition of polarizers or dispersive optical devices. We map the circular dichroism of the exoskeleton of a chiral beetle, Chrysina gloriosa, which is known to exhibit high reflectivity of left-circularly polarized light, with high spatial resolution limited by the numerical aperture of the planar lens. Our results demonstrate the potential of metasurfaces in realizing a compact and multifunctional device with unprecedented imaging capabilities.
Glucose-regulated protein 78 (GRP78), a molecular chaperone widely elevated in human cancers, is critical for endoplasmic reticulum (ER) protein folding, stress signaling and PI3K/AKT activation. ...Genetic knockout models of GRP78 revealed that GRP78 maintains homeostasis of metabolic organs, including liver, pancreas and adipose tissues. Hepatocellular carcinoma (HCC) and cholangiocarcinoma (CC) are the most common liver cancers. There is a lack of effective therapeutics for HCC and CC, highlighting the need to further understand liver tumorigenic mechanisms. PTEN (phosphatase and tenson homolog deleted on chromosome 10), a tumor suppressor that antagonizes the PI3K/AKT pathway, is inactivated in a wide range of tumors, including 40-50% of human liver cancers. To elucidate the role of GRP78 in liver cancer, we created a mouse model with biallelic liver-specific deletion of Pten and Grp78 mediated by Albumin-Cre-recombinase (cP(f/f)78(f/f)). Interestingly, in contrast to PTEN, deletion of GRP78 was progressive but incomplete. At 3 months, cP(f/f)78(f/f) livers showed hepatomegaly, activation of lipogenic genes, exacerbated steatosis and liver injury, implying that GRP78 protects the liver against PTEN-null-mediated pathogenesis. Furthermore, in response to liver injury, we observed increased proliferation and expansion of bile duct and liver progenitor cells in cP(f/f)78(f/f) livers. Strikingly, bile duct cells in cP(f/f)78(f/f) livers maintained wild-type (WT) GRP78 level, whereas adjacent areas showed GRP78 reduction. Analysis of signaling pathways revealed selective JNK activation, β-catenin downregulation, along with PDGFRα upregulation, which was unique to cP(f/f)78(f/f) livers at 6 months. Development of both HCC and CC was accelerated and was evident in cP(f/f)78(f/f) livers at 8-9 months, coinciding with intense GRP78 expression in the cancer lesions, and GRP78 expression in adjacent normal areas reverted back to the WT level. In contrast, c78(f/f) livers showed no malignancy even at 14 months. These studies reveal that GRP78 is a novel regulator for PTEN-loss-mediated liver injury and cancer progression.
We investigate the climate response to changing US anthropogenic aerosol sources over the 1950-2050 period by using the NASA GISS general circulation model (GCM) and comparing to observed US ...temperature trends. Time-dependent aerosol distributions are generated from the GEOS-Chem chemical transport model applied to historical emission inventories and future projections. Radiative forcing from US anthropogenic aerosols peaked in 1970-1990 and has strongly declined since due to air quality regulations. We find that the regional radiative forcing from US anthropogenic aerosols elicits a strong regional climate response, cooling the central and eastern US by 0.5-1.0 °C on average during 1970-1990, with the strongest effects on maximum daytime temperatures in summer and autumn. Aerosol cooling reflects comparable contributions from direct and indirect (cloud-mediated) radiative effects. Absorbing aerosol (mainly black carbon) has negligible warming effect. Aerosol cooling reduces surface evaporation and thus decreases precipitation along the US east coast, but also increases the southerly flow of moisture from the Gulf of Mexico resulting in increased cloud cover and precipitation in the central US. Observations over the eastern US show a lack of warming in 1960-1980 followed by very rapid warming since, which we reproduce in the GCM and attribute to trends in US anthropogenic aerosol sources. Present US aerosol concentrations are sufficiently low that future air quality improvements are projected to cause little further warming in the US (0.1 °C over 2010-2050). We find that most of the warming from aerosol source controls in the US has already been realized over the 1980-2010 period.
Spectroscopically, tidal disruption events (TDEs) are characterized by broad (∼10
4
km s
−1
) emission lines and show a large diversity as well as different line profiles. After carefully and ...consistently performing a series of data reduction tasks including host galaxy light subtraction, we present here the first detailed, spectroscopic population study of 16 optical and UV TDEs. We study a number of emission lines prominent among TDEs including Hydrogen, Helium, and Bowen lines and we quantify their evolution with time in terms of line luminosities, velocity widths, and velocity offsets. We report a time lag between the peaks of the optical light curves and the peak luminosity of H
α
spanning between ∼7 and 45 days. If interpreted as light echoes, these lags correspond to distances of ∼2 − 12 × 10
16
cm, which are one to two orders of magnitudes larger than the estimated blackbody radii (
R
BB
) of the same TDEs and we discuss the possible origin of this surprisingly large discrepancy. We also report time lags for the peak luminosity of the He
I
5876 Å line, which are smaller than the ones of H
α
for H TDEs and similar or larger for N
III
Bowen TDEs. We report that N
III
Bowen TDEs have lower H
α
velocity widths compared to the rest of the TDEs in our sample and we also find that a strong X-ray to optical ratio might imply weakening of the line widths. Furthermore, we study the evolution of line luminosities and ratios with respect to their radii (
R
BB
) and temperatures (
T
BB
). We find a linear relationship between H
α
luminosity and the
R
BB
(
L
line
∝
R
BB
) and potentially an inverse power-law relation with
T
BB
(
L
line
∝
T
BB
−β
), leading to weaker H
α
emission for
T
BB
≥ 25 000 K. The He
II
/He
I
ratio becomes large at the same temperatures, possibly pointing to an ionization effect. The He
II
/H
α
ratio becomes larger as the photospheric radius recedes, implying a stratified photosphere where Helium lies deeper than Hydrogen. We suggest that the large diversity of the spectroscopic features seen in TDEs along with their X-ray properties can potentially be attributed to viewing angle effects.
ASASSN-15lh: A highly super-luminous supernova Dong, Subo; Shappee, B. J.; Prieto, J. L. ...
Science (American Association for the Advancement of Science),
01/2016, Letnik:
351, Številka:
6270
Journal Article
Recenzirano
Odprti dostop
We report the discovery of ASASSN-15lh (SN 2015L), which we interpret as the most luminous supernova yet found. At redshift z = 0.2326, ASASSN-15lh reached an absolute magnitude of Mu,AB = −23.5 ± ...0.1 and bolometric luminosity Lbol = (2.2 ± 0.2) × 10⁴⁵ ergs s⁻¹, which is more than twice as luminous as any previously known supernova. It has several major features characteristic of the hydrogen-poor super-luminous supernovae (SLSNe-l), whose energy sources and progenitors are currently poorly understood. In contrast to most previously known SLSNe-l that reside in star-forming dwarf galaxies, ASASSN-15lh appears to be hosted by a luminous galaxy (MK ≈ −25.5) with little star formation. In the 4 months since first detection, ASASSN-15lh radiated (1.1 ± 0.2) × 10⁵² ergs, challenging the magnetar model for its engine.
We present the complete set of ultra-violet, optical and near-infrared photometry and spectroscopy for SN 2012ca, covering the period from 6 d prior to maximum light, until 531 d after maximum. The ...spectroscopic time series for SN 2012ca is essentially unchanged over 1.5 yr, and appear to be dominated at all epochs by signatures of interaction with a dense circumstellar medium (CSM) rather than the underlying supernova (SN). SN 2012ca is a member of the set of type of the ambiguous IIn/Ia-CSM SNe, the nature of which have been debated extensively in the literature. The two leading scenarios are either a Type Ia SN exploding within a dense CSM from a non-degenerate, evolved companion, or a core-collapse SN from a massive star. While some members of the population have been unequivocally associated with Type Ia SNe, in other cases the association is less certain. While it is possible that SN 2012ca does arise from a thermonuclear SN, this would require a relatively high (between 20 and 70 per cent) efficiency in converting kinetic energy to optical luminosity, and a massive (~2.3-2.6 M...) circumstellar medium. On the basis of energetics, and the results of simple modelling, we suggest that SN 2012ca is more likely associated with a core-collapse SN. This would imply that the observed set of similar SNe to SN 2012ca is in fact originated by two populations, and while these are drawn from physically distinct channels, they can have observationally similar properties. (ProQuest: ... denotes formulae/symbols omitted.)
Since the first discovery of a broad-lined type Ic supernova (SN) with a long-duration gamma-ray burst (GRB) in 1998, fewer than fifty GRB-supernovae (SNe) have been discovered. The ...intermediate-luminosity Swift GRB 161219B and its associated supernova SN 2016jca, which occurred at a redshift of z = 0.1475, represents only the seventh GRB-SN to have been discovered within 1 Gpc, and hence provides an excellent opportunity to investigate the observational and physical properties of these very elusive and rare type of SN. As such, we present optical to near-infrared photometry and optical spectroscopy of GRB 161219B and SN 2016jca, spanning the first three months since its discovery. GRB 161219B exploded in the disk of an edge-on spiral galaxy at a projected distance of 3.4 kpc from the galactic centre. GRB 161219B itself is an outlier in the Ep,i − Eγ,iso plane, while SN 2016jca had a rest-frame, peak absolute V-band magnitude of MV = − 19.0 ± 0.1, which it reached after 12.3 ± 0.7 rest-frame days. We find that the bolometric properties of SN 2016jca are inconsistent with being powered solely by a magnetar central engine, and demonstrate that it was likely powered exclusively by energy deposited by the radioactive decay of nickel and cobalt into their daughter products, which were nucleosynthesised when its progenitor underwent core collapse. We find that 0.22 ± 0.08M⊙ of nickel is required to reproducethe peak luminosity of SN 2016jca, and we constrain an ejecta mass of 5.8 ± 0.3M⊙ and a kinetic energy of 5.1 ± 0.8 × 1052 erg. Finally, we report on a chromatic, pre-maximum bump in the g-band light curve, and discuss its possible origin.
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