Availability of stage at diagnosis, cancer treatment delay and compliance with cancer guidelines as cancer registry indicators for cancer care in Europe:Results of EUROCHIP-3 survey

EUROCHIP (European Cancer Health Indicators Project) focuses on understanding inequalities in the cancer burden, care and survival by the indicators "stage at diagnosis," "cancer treatment delay" and "compliance with cancer guidelines" as the most important indicators. Our study aims at providing insight in whether cancer registries collect well-defined variables to determine these indicators in a comparative way. Eighty-six general European population-based cancer registries (PBCR) from 32 countries responded to the questionnaire, which was developed by EUROCHIP in collaboration with ENCR (European Network of Cancer Registries) and EUROCOURSE. Only 15% of all the PBCR in EU had all three indicators available. The indicator "stage at diagnosis" was gathered for at least one cancer site by 81% (using TNM in 39%). Variables for the indicator "cancer treatment delay" were collected by 37%. Availability of type of treatment (30%), surgery date (36%), starting date of radiotherapy (26%) and starting date of chemotherapy (23%) resulted in 15% of the PBCRs to be able to gather the indicator "compliance to guidelines". Lack of data source access and qualified staff were the major reasons for not collecting all the variables. In conclusion, based on self-reporting, a few of the participating PBCRs had data available which could be used for clinical audits, evaluation of cancer care projects, survival and for monitoring national cancer control strategies. Extra efforts should be made to improve this very efficient tool to compare cancer burden and the effects of the national cancer plans over Europe and to learn from each other. © 2012 UICC.

Delay times and rates for Type Ia supernovae and thermonuclear explosions from double-detonation sub-Chandrasekhar mass models

We present theoretical delay times and rates of thermonuclear explosions that are thought to produce Type Ia supernovae (SNe Ia), including the double-detonation sub-Chandrasekhar mass model, using the population synthesis binary evolution code startrack. If detonations of sub-Chandrasekhar mass carbon-oxygen white dwarfs following a detonation in an accumulated layer of helium on the white dwarf's surface ('double-detonation' models) are able to produce thermonuclear explosions which are characteristically similar to those of SNe Ia, then these sub-Chandrasekhar mass explosions may account for at least some substantial fraction of the observed SN Ia rate. Regardless of whether all double-detonations look like 'normal' SNe Ia, in any case the explosions are expected to be bright and thus potentially detectable. Additionally, we find that the delay time distribution of double-detonation sub-Chandrasekhar mass SNe Ia can be divided into two distinct formation channels: the 'prompt' helium-star channel with delay times

Supply Chain Management in Confined Site Construction: Strategies to Reduce Delay in the Delivery of Materials to Site

With the increase in construction in dense urban environments, the delays associated with managing the material supply chain to site is called into question. Purpose: The aim of this investigation is to gain the perspective of construction contractors operating in a dense urban environment and the resulting strategies adopted to reduce delays in the delivery of materials to site. Methodology: This is achieved through incorporating a comprehensive literature review on the subject in conjunction with industry interviews with construction professionals in the identification of various management issues and corresponding strategies in the reduction of delays in the delivery of materials to site. Findings: The key issue which emerges is the lack of space for unloading bays while the corresponding key strategy is to schedule deliveries outside peak congestion times. Practical Implication: With confined site construction evident throughout the industry and the noted importance of an effective supply chain, the findings here in further assist on-site management in the daily task of ensuring the effective delivery and off-loading of materials in a complex and hazardous environment. Originality/Value: This research aids on-site management of confined site environments in the coordination of the material supply chain to site.

Multiuser Scheduling for Cognitive MIMO with Channel Estimation Errors and Feedback Delay

A multiuser scheduling multiple-input multiple-output (MIMO) cognitive radio network (CRN) with space-time block coding (STBC) is considered in this paper, where one secondary base station (BS) communicates with one secondary user (SU) selected from K candidates. The joint impact of imperfect channel state information (CSI) in BS → SUs and BS → PU due to channel estimation errors and feedback delay on the outage performance is firstly investigated. We obtain the exact outage probability expressions for the considered network under the peak interference power IP at PU and maximum transmit power Pm at BS which cover perfect/imperfect CSI scenarios in BS → SUs and BS → PU. In addition, asymptotic expressions of outage probability in high SNR region are also derived from which we obtain several important insights into the system design. For example, only with perfect CSIs in BS → SUs, i.e., without channel estimation errors and feedback delay, the multiuser diversity can be exploited. Finally, simulation results confirm the correctness of our analysis.

Enhanced target detection in clutter using dispersive delay lines and time reversal

On the basis of the technique of time reversal (TR), a new method for low dielectric contrast target detection in clutter by adding dispersive delay lines (DDLs) to each element of the TR mirror (TRM) is proposed. When compared with a conventional TR system, the proposed method improves refocusing to a target by reducing the impact of other scatterers in the environment. The proposed method makes it unnecessary to estimate the position of the target and removes the need for subsequent subtraction as traditionally required. Theoretical and numerical simulated results demonstrate the proposed method.