The prognosis of incurable cachectic cancer patients on home parenteral nutrition: A multi-centre observational study with prospective follow-up of 414 patients

Background: The role of home parenteral nutrition (HPN) in incurable cachectic cancer patients unable to eat is extremely controversial. The aim of this study is to analyse which factors can influence the outcome. Patients and methods: We studied prospectively 414 incurable cachectic (sub)obstructed cancer patients receiving HPN and analysed the association between patient or clinical characteristics and surviving status. Results: Median weight loss, versus pre-disease and last 6-month period, was 24% and 16%, respectively. Median body mass index was 19.5, median KPS was 60, median life expectancy was 3 months. Mean/median survival was 4.7/3.0 months; 50.0% and 22.9% of patients survived 3 and 6 months, respectively. At the multivariable analysis, the variables significantly associated with 3- and 6-month survival were Glasgow Prognostic Score (GPS) and KPS, and GPS, KPS and tumour spread, respectively. By the aggregation of the significant variables, it was possible to dissect several classes of patients with different survival probabilities. Conclusions: The outcome of cachectic incurable cancer patients on HPN is not homogeneous. It is possible to identify groups of patients with a ≥6-month survival (possibly longer than that allowed in starvation). The indications for HPN can be modulated on these clinical/biochemical indices. © The Author 2013. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved.

What the awkward relatives tell us about planetary nebulae hosting binary systems

Relatives to Planetary Nebulae, such as barium stars or symbiotic systems, can shed light on the connection between Planetary Nebulae and binarity. Because of the observational selection effects against direct spectroscopic detection of binary PNe cores with orbital periods longer than a few dozen days, at present these "awkward relatives" are a critical source of our knowledge about the binary PNe population at longer periods. Below a few examples are discussed, posing constraints on the attempts to model nebula, ejection process in a binary. © 2006 International Astronomical Union.

Seroprotection against tetanus in patients of an an emergency department in Belgium and evaluation of a bedside immunotest (Tetanos Quick Stick R). A prospective observational study

info:eu-repo/semantics/published

Seroprotection against tetanus in patients présenting to an emergency department in Belgium and evaluation of a bedside immunotest (Tetanos Quick Stick R): A prospective observational study

info:eu-repo/semantics/published

Scalar glueballs: Constraints from the decays into η or η′

We study the mixing of the scalar glueball into the isosinglet mesons f0(1370), f0(1500), and f0(1710) to describe the two-body decays to pseudoscalars. We use an effective Hamiltonian and employ the two-angle mixing scheme for η and η′. In this framework, we analyze existing data and look forward to new data into η and η′ channels. For now, the f0(1710) has the largest glueball component and a sizable branching ratio into ηη′, testable at BESIII.