Developing the follow-up schedules for women with breast cancer

Background: The follow-up care for women with breast cancer requires an understanding of disease recurrence patterns and the follow-up visit schedule should be determined according to the times when the recurrence are most likely to occur, so that preventive measure can be taken to avoid or minimize the recurrence. Objective: To model breast cancer recurrence through stochastic process with an aim to generate a hazard function for determining a follow-up schedule. Methods: We modeled the process of disease progression as the time transformed Weiner process and the first-hitting-time was used as an approximation of the true failure time. The women's "recurrence-free survival time" or a "not having the recurrence event" is modeled by the time it takes Weiner process to cross a threshold value which represents a woman experiences breast cancer recurrence event. We explored threshold regression model which takes account of covariates that contributed to the prognosis of breast cancer following development of the first-hitting time model. Using real data from SEER-Medicare, we proposed models of follow-up visits schedule on the basis of constant probability of disease recurrence between consecutive visits. Results: We demonstrated that the threshold regression based on first-hitting-time modeling approach can provide useful predictive information about breast cancer recurrence. Our results suggest the surveillance and follow-up schedule can be determined for women based on their prognostic factors such as tumor stage and others. Women with early stage of disease may be seen less frequently for follow-up visits than those women with locally advanced stages. Our results from SEER-Medicare data support the idea of risk-controlled follow-up strategies for groups of women. Conclusion: The methodology we proposed in this study allows one to determine individual follow-up scheduling based on a parametric hazard function that incorporates known prognostic factors.^

Total organic carbon content and isorenieratene concentrations from three holes of ODP Leg 160

Carotenoids were analysed in ca. 1-cm thick subsamples of three laterally time-equivalent sapropels from a west-east transect of the eastern Mediterranean Basin to study euxinic periods during Pliocene sapropel formation. The amount of intact isorenieratene (summed all-trans and cis isomers), ranged from non-detectable at the base and top of a sapropel up to 140 µg/g sediment in the central parts. Isorenieratene accumulation rates at the central and western site are remarkably similar and increase sharply to levels of up to 3.0 mg/m**2/ yr in the central part of the sapropel and then drop to low levels. This pattern indicates an expansion of euxinic conditions reaching into the photic zone, followed by deepening of the chemocline during deposition of this Pliocene sapropel. The sapropel from the easternmost site of the basin, which contains less organic carbon, shows much lower isorenieratene accumulation rates and even absence of isorenieratene in the central part of the sapropel. Ba/Al ratios indicate enhanced palaeoproductivity during sapropel formation, supporting previously proposed models, according to which increased productivity is the driving force for the generation of euxinic conditions.

Stable isotope ratios and abundances of selected foraminifera taxa from ODP Leg 172 sites

This data report describes the results of post-Leg 172 sampling of Sites 1054, 1055, and 1063 for two purposes: to investigate the climatic significance of red-colored intervals in the hemipelagic sediments cored during Leg 172 and to better understand the stratigraphy and chronology of Carolina Slope Sites 1054 and 1055. Gravity cores collected from the Carolina Slope on site survey cruise Knorr 140/2 show very high rates of sedimentation during the Holocene and lower rates during the last glacial maximum (LGM). Because of the high rates, many of the sediments in the recovered cores never reached the LGM. In other cores, it is possible that deglacial oscillations have been mistaken for the LGM. Although radiocarbon dating could solve that problem, some of the gravity cores are at or very close to the Ocean Drilling Program (ODP) sites, and it is useful to compare the isotope stratigraphies among them before proceeding with dating. Furthermore, some of the site survey cores have red-colored intervals and others do not, even though there is some indication they are time equivalent. Either the stratigraphy is wrong, diagenesis has affected the color of the sediment, or red sediment is carried to some sites but not to others that differ in depth by only a few hundred meters.

Barroco y modernidad : De Maravall a Lezama Lima

En las décadas de 1960 y 1970 convergen varias de las líneas que, desde principios del siglo XX, habían centrado las discusiones en torno del Barroco. Tanto en Europa como en América, y desde diversas disciplinas -filología, ensayo literario, retórica, historia, filosofía, psicoanálisis- el Barroco es visto como un punto de partida de la cultura moderna. En 1975 José Antonio Maravall publica La cultura del Barroco, definida como un concepto histórico, en oposición a la teoría de los eones y las constantes desarrollada por Eugenio d'Ors. Para Maravall el Barroco vincula a España con el surgimiento de la modernidad. Años antes, el cubano José Lezama Lima ve en el Barroco el puente que establece la continuidad entre la cultura española y la americana, lanzándola hacia el futuro. Y en el París de la década de 1970, Severo Sarduy introduce el barroco y neobarroco entre los conceptos que circulan en el intenso intercambio intelectual del momento. Proponemos un abordaje de la cuestión en el cruce de esas líneas diversas

Barroco y modernidad : De Maravall a Lezama Lima

En las décadas de 1960 y 1970 convergen varias de las líneas que, desde principios del siglo XX, habían centrado las discusiones en torno del Barroco. Tanto en Europa como en América, y desde diversas disciplinas -filología, ensayo literario, retórica, historia, filosofía, psicoanálisis- el Barroco es visto como un punto de partida de la cultura moderna. En 1975 José Antonio Maravall publica La cultura del Barroco, definida como un concepto histórico, en oposición a la teoría de los eones y las constantes desarrollada por Eugenio d'Ors. Para Maravall el Barroco vincula a España con el surgimiento de la modernidad. Años antes, el cubano José Lezama Lima ve en el Barroco el puente que establece la continuidad entre la cultura española y la americana, lanzándola hacia el futuro. Y en el París de la década de 1970, Severo Sarduy introduce el barroco y neobarroco entre los conceptos que circulan en el intenso intercambio intelectual del momento. Proponemos un abordaje de la cuestión en el cruce de esas líneas diversas

Barroco y modernidad : De Maravall a Lezama Lima

En las décadas de 1960 y 1970 convergen varias de las líneas que, desde principios del siglo XX, habían centrado las discusiones en torno del Barroco. Tanto en Europa como en América, y desde diversas disciplinas -filología, ensayo literario, retórica, historia, filosofía, psicoanálisis- el Barroco es visto como un punto de partida de la cultura moderna. En 1975 José Antonio Maravall publica La cultura del Barroco, definida como un concepto histórico, en oposición a la teoría de los eones y las constantes desarrollada por Eugenio d'Ors. Para Maravall el Barroco vincula a España con el surgimiento de la modernidad. Años antes, el cubano José Lezama Lima ve en el Barroco el puente que establece la continuidad entre la cultura española y la americana, lanzándola hacia el futuro. Y en el París de la década de 1970, Severo Sarduy introduce el barroco y neobarroco entre los conceptos que circulan en el intenso intercambio intelectual del momento. Proponemos un abordaje de la cuestión en el cruce de esas líneas diversas

Oxygen, hydrogen, and carbon isotopic compositions in deep sea cherts, porcellanites, and coexisting carbonates from DSDP Legs 2, 3, 6, 7, 11, 14, 16, 17, and 20

Seventy four samples of DSDP recovered cherts of Jurassic to Miocene age from varying locations, and 27 samples of on-land exposed cherts were analyzed for the isotopic composition of their oxygen and hydrogen. These studies were accompanied by mineralogical analyses and some isotopic analyses of the coexisting carbonates. d18O of chert ranges between 27 and 39%. relative to SMOW, d18O of porcellanite - between 30 and 42%. The consistent enrichment of opal-CT in porcellanites in 18O with respect to coexisting microcrystalline quartz in chert is probably a reflection of a different temperature (depth) of diagenesis of the two phases. d18O of deep sea cherts generally decrease with increasing age, indicating an overall cpoling of the ocean bottom during the last 150 m.y. A comparison of this trend with that recorded by benthonic foraminifera (Douglas and Savin, 1975; http://www.deepseadrilling.org/32/volume/dsdp32_15.pdf) indicates the possibility of d18O in deep sea cherts not being frozen in until several tens of millions of years after deposition. Cherts of any Age show a spread of d18O values, increasing diagenesis being reflected in a lowering of d18O. Drusy quartz has the lowest d18O values. On-land exposed cherts are consistently depleted in 18O in comparison to their deep sea time equivalent cherts. Water extracted from deep sea cherts ranges between 0.5 and 1.4 wt %. dD of this water ranges between -78 and -95%. and is not a function of d18O of the cherts (or the temperature of their formation).

Organic geochemistry of Upper Albian sediments from the Kirchrode I borehole

In the framework of a multidisciplinary research program, an organic geochemical study was carried out on a drill core which comprises a 245 m thick sequence of light-colored, Upper Albian marlstones that were deposited in the central part of the Lower Saxony basin (northern Germany). For part of the Upper Albian sequence, high-resolution measurements of carbonate contents reveal cycles which can be related to earth orbital forcing. Based on these data, sediment accumulation rates were calculated to be in the order of 15 g/m**2/yr. These high accumulation rates contrast with very low organic carbon contents and an extremely poor preservation of the autochthonous organic matter. Most of the sedimentary organic matter is of terrigenous origin and mainly derived from the erosion of older sedimentary rocks. Organic petrography reveals only a very small fraction of marine organic particles. Carbon/sulphur ratios, pristane/phytane ratios as well as the predominance of resedimented organic particles over autochthonous organic particles suggest that aerobic degradation processes rather than anaerobic processes (sulphate reduction) were responsible for the degradation of the organic matter. Furthermore, the scarcity of terrigenous organic particles (vitrinite) indicates that there was little vegetation on nearby land areas. To explain these analytical results, a depositional model was developed which could explain the scarcity of organic matter in the Upper Albian sediments. This model is based on downwelling of oxygen-rich, saline waters of Tethyan origin, which reduces the nutrient content of surface waters and thus primary bioproductivity while degradation of primary organic matter in the water column is enhanced at the same time. These conditions contrast to those which existed in Barremian and early Aptian times in this basin, when limited water exchange with adjacent oceans caused oxygen deficiency and the deposition of numerous organic carbon-rich black shales. The thick, organic matter-poor Upper Albian sequence of northern Germany also contrasts with comparatively thin, time-equivalent, deep-sea black shales from Italy. This discrepancy indicates that local and regional oceanographic factors (at least in this case) have a greater influence on organic matter deposition than global events.

Gel particles in the sea-surface microlayer during an experimental study

Since the early 80's, the sea-surface microlayer (SML) has been hypothesized as being a gelatinous film. Recent studies have confirmed this characteristic, which confers properties that mediate mass and energy fluxes between ocean and atmosphere, including the emission of primary organic aerosols from marine systems. We investigated SML thickness and composition in five replicate indoor experiments between September and December 2010. During each experiment, the SML and underlying seawater were sampled from four seawater tanks: one served as control, and three were inoculated with Thalassiosira weissflogii grown in chemostats at 180, 380 and 780 ppm pCO2. We examined organic material enrichment factors in each tank, paying particular attention to gel particles accumulation such as polysaccharidic Transparent Exopolymer Particles (TEP) and the proteinaceous Coomassie Stainable Particles (CSP). While previous studies have observed carbohydrates and TEP enrichment in the microlayer, little is yet known about proteinaceous gel particles in the SML. Our experiments show that CSP dominate the gelatinous composition of the SML. We believe that the enrichment in CSP points to the importance of bacterial activity in the microlayer. Bacteria may play a pivotal role in mediating processes at the air-sea interface thanks to their exudates and protein content that can be released through cell disruption.

Sedimentology of ODP sites in the Cape Basin, southeast Atlantic Ocean

Middle/late Miocene to early Pliocene sedimentary sequences along the continental margin of southwest Africa have changes that correspond to the carbonate crash (12-9 Ma) and biogenic bloom events (~7-4 Ma) described in the equatorial Pacific by Farrell et al. (1995, doi:10.2973/odp.proc.sr.138.143.1995). To explore the origins of these changes, we analyzed the carbon and coarse fraction contents of sediments from ODP Sites 1085, 1086, and 1087 at a time resolution of 5 to 30 kyr. Several major drops in CaCO3 concentration between 12 and 9 Ma are caused by dilution from major increases in clastic input from the Oranje River during global sea level regressions. Abundant pyrite crystals and good preservation of fish debris reflect low oxygenation of bottom/pore waters. Regional productivity was enhanced during the time equivalent to the carbonate crash period. Higher benthic/planktic foraminiferal ratios indicate that CaCO3 dissolution at Site 1085 peaked between 9 to 7 Ma, which was after the global carbonate crash. This period of enhanced dissolution suggests that Site 1085 was located within a low-oxygen water mass that dissolved CaCO3 more easily than North Atlantic Deep Water, which began to bathe this site at 7 Ma. At 7 to 6 Ma, the onset of the biogenic bloom, increases and variations in total organic carbon and benthic foraminiferal accumulation rates show that paleoproductivity increased significantly above values observed during the carbonate crash period and fluctuated widely. We attribute the late Miocene paleoproductivity increase off southwest Africa to ocean-wide increases in nutrient supply and delivery.

Geochemistry of sediments cores in the Mediterranean Sea

We investigated five time-equivalent core sections (180-110 kyr BP) from the Balearic Sea (Menorca Rise), the easternmost Levantine Basin and southwest, south, and southeast of Crete to reconstruct spatial patterns of productivity during deposition of sapropels S5 and S6 in the Mediterranean Sea. Our indicators are Ba, total organic carbon and carbonate contents. We found no indications of Ba remobilization within the investigated core intervals, and used the accumulation rate of biogenic Ba to compute paleoproductivity. Maximum surface water productivity (up to 350 g C/m2/yr) was found during deposition of S5 (isotope stage 5e) but pronounced spatial variability is evident. Coeval sediment intervals in the Balearic Sea show very little productivity change, suggesting that chemical and biological environments in the eastern and western Mediterranean basins were decoupled in this interval. We interpret the spatial variability as the result of two different modes of nutrient delivery to the photic zone: riverderived nutrient input and shoaling of the pycnocline/nutricline to the photic zone. The productivity increase during the formation of S6 was moderate compared to S5 and had a less marked spatial variability within the study area of the eastern Mediterranean Sea. Given that S6 formed during a glacial interval, glacial boundary conditions such as high wind stress and/or cooler surface water temperatures apparently favored lateral and vertical mixing and prevented the development of the spatial gradients within the Eastern Mediterranean Sea (EMS) observed for S5. A non-sapropel sediment interval with elevated Ba content and depleted 18O/16O ratios in planktonic foraminifer calcite was detected between S6 and S5 that corresponds to the weak northern hemisphere insolation maximum at 150 kyr. At this time, productivity apparently increased up to five times over surrounding intervals, but abundant benthic fauna show that the deep water remained oxic. Following our interpretation, the interval denotes a failed sapropel, when a weaker monsoon did not force the EMS into permanent stratification. The comparison of interglacial and glacial sapropels illustrates the relevance of climatic boundary conditions in the northern catchment in determining the facies and spatial variability of sapropels within the EMS.

Aeroelastic characteristics of slender wing/bodies with freeplay non-linearities

This article presents a time domain approach to the flutter analysis of a missile-type wing/body configuration with concentrated structural non-linearities. The missile wing is considered fully movable and its rotation angle contains the structural freeplay-type non-linearity. Although a general formulation for flexible configurations is developed, only two rigid degrees of freedom are taken into account for the results: pitching of the whole wing/body configuration and wing rotation angle around its hinge. An unsteady aerodynamic model based on the slender-body approach is used to calculate aerodynamic generalized forces. Limit-cycle oscillations and chaotic motion below the flutter speed are observed in this study.

Extracting non-strict independent and-parallelism using sharing and freeness information

Logic programming systems which exploit and-parallelism among non-deterministic goals rely on notions of independence among those goals in order to ensure certain efficiency properties. "Non-strict" independence (NSI) is a more relaxed notion than the traditional notion of "strict" independence (SI) which still ensures the relevant efficiency properties and can allow considerable more parallelism than SI. However, all compilation technology developed to date has been based on SI, because of the intrinsic complexity of exploiting NSI. This is related to the fact that NSI cannot be determined "a priori" as SI. This paper filis this gap by developing a technique for compile-time detection and annotation of NSI. It also proposes algorithms for combined compiletime/ run-time detection, presenting novel run-time checks for this type of parallelism. Also, a transformation procedure to eliminate shared variables among parallel goals is presented, aimed at performing as much work as possible at compile-time. The approach is based on the knowledge of certain properties regarding the run-time instantiations of program variables —sharing and freeness— for which compile-time technology is available, with new approaches being currently proposed. Thus, the paper does not deal with the analysis itself, but rather with how the analysis results can be used to parallelize programs.