The presence of water greatly influences time-dependent rock deformation. An understanding of how water can affect the time-dependent mechanical behavior of rock is important when assessing the ...long-term stability of geotechnical projects. While the previous studies have performed brittle creep experiments on oven-dry or fully-saturated rocks, we report here on a study designed to better understand brittle creep at different levels of saturation. We performed brittle creep experiments on oven-dry samples of red sandstone (Hunan province, China) and samples of the sandstone pre-immersed in water for different durations (from 2 to 8 days). These samples were deformed at a constant stress in one of either two conditions: dry or submerged in water. Before performing creep experiments, we first performed a series of water absorption and constant stress rate experiments to guide the stresses required for our creep tests and to assist with their interpretation. Our creep experiments show that immersion in water greatly increased the minimum creep strain rate and greatly shortened the time-to-failure when compared to the dry state. In detail, the minimum creep strain rate and time-to-failure increased and decreased, respectively, as pre-immersion duration increased from 4 to 6 days, but did not change as the duration was further increased to 8 days. We attribute this to the saturation of microcracks between 4 and 6 days (i.e., water imbibition was complete, or close to completion, following 6 days). We also show that oven-dry samples deformed at a constant stress underwater fail at stresses much lower than oven-dry samples deformed under dry conditions, due to the imbibition of water during deformation. Samples pre-immersed in water, but deformed in the dry condition were characterized by lower strain rates and longer time-to-failure than those pre-immersed in water and deformed underwater. Our explanation for this is that, due to the availability of water, crack tips can remain hydrated when the sample is deformed underwater, thus increasing the efficacy of stress corrosion cracking. The relationships and data provided herein inform on the long-term stability of engineering structures.
MYCN amplification with subsequent MYCN protein overexpression is a powerful indicator of poor prognosis of neuroblastoma patients. Little is known regarding the prognostic significance of the ...homologous MYC protein expression in neuroblastoma.
Immunostaining for MYCN and MYC protein was performed on 357 undifferentiated/poorly differentiated neuroblastomas. Results were analysed with other prognostic markers.
Sixty-seven (19%) tumours were MYCN(+), 38 (11%) were MYC(+), and one(0.3%) had both proteins(+). MYCN(+) tumours and MYC(+) tumours were more likely diagnosed in children>18months with stage4-disease. MYCN(+) tumours were associated with amplified MYCN, Unfavourable Histology (UH), and High-MKI (Mitosis-Karyorrhexis Index). MYC(+) tumours were also frequently UH but not associated with MYCN amplification, and more likely to have low-/intermediate-MKI. Favourable Histology patients without MYC/MYCN expressions exhibited the best survival (N=167, 89.7±5.5% 3-year EFS, 97.0±3.2% 3-year OS), followed by UH patients without MYC/MYCN expressions (N=84, 63.1±13.6% 3-year EFS, 83.5±9.4% 3-year OS). MYCN(+)patients and MYC(+)patients had similar and significantly low (P<0.0001) survivals (46.2±12.0% 3-year EFS, 63.2±12.1% 3-year OS and 43.4±23.1% 3-year EFS, 63.5±19.2% 3-year OS, respectively). Notably, the prognostic impact imparted by MYC expression was independent from other markers.
In this series, ∼30% of neuroblastomas had augmented MYCN or MYC expression with dismal survivals. Prospective study of MYC/MYCN protein expression signature as a new biomarker for high-risk neuroblastomas should be conducted.
We present the first measurements of nitryl chloride (ClNO2) over continental Europe. Significant quantities of ClNO2, up to 800 pptv, were measured at a mountaintop field site in Hessen, southwest ...Germany. ClNO2 was detected during the majority of nights between the 15th August and 16th September 2011, its largest mixing ratios being associated with air masses influenced by sea salt and anthropogenic NOx emissions. ClNO2 persisted in measurable quantities until early afternoons on days with low photolysis frequencies. As a consequence, early morning production rates of Cl atoms could significantly exceed the production of OH via ozone photolysis, likely leading to increased O3 production.
Key Points
Nitryl chloride exists in significant mixing fractions over Europe
Nitryl chloride is likely of marine origin, deriving from aged sea salt and N2O5
Nitryl chloride is a significant radical source in early morning
Abstract Background A series of models have been developed to identify patients at high risk for poor outcomes after transcatheter aortic valve replacement (TAVR) to help guide treatment choices, ...offer patients realistic expectations of long-term outcomes, and support decision making. Objectives This study examined the performance of the previously developed TAVR Poor Outcome risk models in an external dataset and explored the incremental contribution of geriatric domains to model performance. Methods Poor outcome after TAVR was defined as death, poor quality of life (QOL), or decline in QOL, as assessed using the Kansas City Cardiomyopathy Questionnaire. We tested 4 TAVR Poor Outcome risk models: 6-month and 1-year full and clinical (reduced) models. We examined each model’s discrimination and calibration in the CoreValve trial dataset, and then tested the incremental contribution of frailty and disability markers to the model’s discrimination using the incremental discrimination index. Results Among 2,830 patients who underwent TAVR in the CoreValve US Pivotal Extreme and High Risk trials and associated continued access registries, 31.2% experienced a poor outcome at 6 months following TAVR (death, 17.6%; very poor QOL, 11.6%; QOL decline, 2.0%) and 50.8% experienced a poor outcome at 1 year (death, 30.2%; poor QOL, 19.6%; QOL, decline 1.0%). The models demonstrated similar discrimination as in the Placement of Aortic Transcatheter Valves Trial cohorts (c-indexes, 0.637 to 0.665) and excellent calibration. Adding frailty as a syndrome increased the c-indexes by 0.000 to 0.004 (incremental discrimination index, p < 0.01 for all except the 1-year clinical model), with the most important individual components being disability and unintentional weight loss. Conclusions Although discrimination of the TAVR Poor Outcome risk models was generally moderate, calibration was excellent among patients with different risk profiles and treated with a different TAVR device. These findings demonstrated the value of these models for individualizing outcome predictions in high-risk patients undergoing TAVR.
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