Hepatocellular carcinoma: sorafenib: for once age is not an issue.

Are some patients with hepatocellular carcinoma just too old to be treated? More specifically, should the age of a patient influence the way sorafenib is prescribed? A new study has tried to address these questions, providing helpful information to guide clinicians making these decisions.

Generosity is a sign of trustworthiness—the punishment of selfishness is not

Peer-punishment is an important determinant of cooperation in human groups. It has been suggested that, at the proximate level of analysis, punitive preferences can explain why humans incur costs to punish their deviant peers. How punitive preferences could have evolved in humans is still not entirely understood. A possible explanation at the ultimate level of analysis comes from signaling theory. It has been argued that the punishment of defectors can be a type-separating signal of the punisher's cooperative intent. As a result, punishers are selected more often as interaction partners in social exchange and are partly compensated for the costs they incur when punishing defectors. A similar argument has been made with regard to acts of generosity. In a laboratory experiment, we investigate whether the punishment of a selfish division of money in a dictator game is a sign of trustworthiness and whether punishers are more trustworthy interaction partners in a trust game than non-punishers. We distinguish between second-party and third-party punishment and compare punitive acts with acts of generosity as signs of trustworthiness. We find that punishers are not more trustworthy than non-punishers and that punishers are not trusted more than non-punishers, both in the second-party and in the third-party punishment condition. To the contrary, second-party punishers are trusted less than their non-punishing counterparts. However, participants who choose a generous division of money are more trustworthy and are trusted more than participants who choose a selfish division or participants about whom no information is available. Our results suggest that, unlike for punitive acts, the signaling benefits of generosity are to be gained in social exchange.

Managing Complications of Fillers: Rare and Not-So-Rare.

Fillers belong to the most frequently used beautifying products. They are generally well tolerated, but any one of them may occasionally produce adverse side effects. Adverse effects usually last as long as the filler is in the skin, which means that short-lived fillers have short-term side effects and permanent fillers may induce life-long adverse effects. The main goal is to prevent them, however, this is not always possible. Utmost care has to be given to the prevention of infections and the injection technique has to be perfect. Treatment of adverse effects is often with hyaluronidase or steroid injections and in some cases together with 5-fluorouracil plus allopurinol orally. Histological examination of biopsy specimens often helps to identify the responsible filler allowing a specific treatment to be adapted.

Some Identification Issues in Nonparametric Linear Models with Endogenous Regressors

In applied work economists often seek to relate a given response variable y to some causal parameter mu* associated with it. This parameter usually represents a summarization based on some explanatory variables of the distribution of y, such as a regression function, and treating it as a conditional expectation is central to its identification and estimation. However, the interpretation of mu* as a conditional expectation breaks down if some or all of the explanatory variables are endogenous. This is not a problem when mu* is modelled as a parametric function of explanatory variables because it is well known how instrumental variables techniques can be used to identify and estimate mu*. In contrast, handling endogenous regressors in nonparametric models, where mu* is regarded as fully unknown, presents di±cult theoretical and practical challenges. In this paper we consider an endogenous nonparametric model based on a conditional moment restriction. We investigate identification related properties of this model when the unknown function mu* belongs to a linear space. We also investigate underidentification of mu* along with the identification of its linear functionals. Several examples are provided in order to develop intuition about identification and estimation for endogenous nonparametric regression and related models.

Commentary on "When Policy Opportunity is not Enough: College Access and Enrollment Patterns among Texas Percent Plan Eligible Students"

Invited commentary on "When Policy Opportunity is not Enough: College Access and Enrollment Patterns among Texas Percent Plan Eligible Students" by Catherine Horn and Stella Flores.

Sedimentological and clay mineralogical analysis of ODP sites in the central Fram Strait

This study presents the results of high-resolution sedimentological and clay mineralogical investigations on sediments from ODP Sites 908A and 909AlC located in the central Fram Strait. The objective was to reconstruct the paleoclimate and paleoceanography of the high northern latitudes since the middle Miocene. The sediments are characterised in particular by a distinctive input of ice-rafted material, which most probably occurs since 6 Ma and very likely since 15 Ma. A change in the source area at 1 1.2 Ma is clearly marked by variations within clay mineral composition and increasing accumulation rates. This is interpreted as a result of an increase in water mass exchange through the Fram Strait. A further period of increasing exchange between 4-3 Ma is identified by granulometric investigations and points to a synchronous intensification of deep water production in the North Atlantic during this time interval. A comparison of the components of coarse and clay fraction clearly shows that both are not delivered by the Same transport process. The input of the clay fraction can be related to transport mechanisms through sea ice and glaciers and very likely also through oceanic currents. A reconstruction of source areas for clay minerals is possible only with some restrictions. High smectite contents in middle and late Miocene sediments indicate a background signal produced by soil formation together with sediment input, possibly originating from the Greenland- Scotland Ridge. The applicability of clay mineral distribution as a climate proxy for the high northern latitudes can be confirmed. Based on a comparison of sediments from Site 909C, characterised by the smectite/illite and chlorite ratio, with regional and global climatic records (oxygen isotopes), a middle Miocene cooling phase between 14.8-14.6 Ma can be proposed. A further cooling phase between 10-9 Ma clearly shows similarities in its Progress toward drastic decrease in carbonate sedimentation and preservation in the eastern equatorial Pacific. The modification in sea water and atmosphere chemistry may represent a possible link due to the built-up of equatorial carbonate platforms. Between 4.8-4.6 Ma clay mineral distribution indicates a distinct cooling trend in the Fram Strait region. This is not accompanied by relevant glaciation, which would otherwise be indicated by the coarse fraction. The intensification of glaciation in the northern hemisphere is distinctly documented by a rapid increase of illite and chlorite starting from 3.3 Ma, which corresponds to oxygen isotope data trends from North Atlantic.

Stable carbon and oxygen isotope records of Cibicidoides wuellerstorfi in DSDP and ODP sites in the Atlantic and Pacific Ocean

Carbon isotopic records from benthic foraminifera are used to map patterns of deep ocean circulation between 3 and 2 million years ago, the interval when significant northern hemisphere glaciation began. The delta18O and delta13C data from four Atlantic sites (552, 607, 610, and 704) and one Pacific site (677) show that global cooling over this interval was associated with increased suppression of North Atlantic Deep Water (NADW) formation. However, the relative strength of NADW production was always greater than is observed during late Pleistocene glaciations when extreme decreases in NADW are observed in the deep North Atlantic. Our data indicate that an increase in the equator-to-pole temperature gradient associated with the onset of northern hemisphere glaciation did not intensify deepwater production in the North Atlantic but rather the opposite occurred. This is not unexpected as it is the "warm high-salinity" characteristic, rather than the "low temperature", of thermocline waters that is critical to the deepwater formation process in this region today.

Des(armando) los territorios segregados con composición migratoria: claves para una interpretación política : el caso de la ciudad de Córdoba

Hace casi dos décadas atrás distintos autores manifestaban su preocupación respecto al surgimiento de nuevas formas de segregación, lo cual pondría en tensión el clásico modelo de ciudad compacta que habría caracterizado la ciudad hispanoamericana. Desde nuestro punto de vista esto no es del todo novedoso. Para fundamentar esta afirmación proponemos el análisis del caso de la ciudad de Córdoba durante el período colonial hasta el primer cuarto de siglo XX. El propósito que nos orienta es reflexionar sobre la significatividad de los procesos históricos al momento de pensar hoy políticas socio-habitacionales más inclusivas de los sectores desfavorecidos, entre ellos las migraciones extranjeras.

Core alignment and composite depth scale of DSDP Site 86-577

Deep Sea Drilling Project Site 577 on Shatsky Rise (North Pacific Ocean) recovered a series of cores at three holes that contain calcareous nannofossil ooze of latest Cretaceous (late Maastrichtian) through early Eocene age. Several important records have been generated using samples from these cores, but the stratigraphy has remained outdated and confusing. Here we revise the stratigraphy at Site 577. This includes refining several age datums, realigning cores in the depth domain, and placing all stratigraphic markers on a current time scale. The work provides a template for appropriately bringing latest Cretaceous and Paleogene data sets at old drill sites into current paleoceanographic literature for this time interval. While the Paleocene Eocene Thermal Maximum (PETM) lies within core gaps at Holes 577* and 577A, the sedimentary record at the site holds other important events and remains crucially relevant to understanding changes in oceanographic conditions from the latest Cretaceous through early Paleogene.

(Appendix) Petrographic information, trace element and Sr isotope ratios of Pito Deep samples

Fluid flow through the axial hydrothermal system at fast spreading ridges is investigated using the Sr-isotopic composition of upper crustal samples recovered from a tectonic window at Pito Deep (NE Easter microplate). Samples from the sheeted dike complex collected away from macroscopic evidence of channelized fluid flow, such as faults and centimeter-scale hydrothermal veins, show a range of 87Sr/86Sr from 0.7025 to 0.7030 averaging 0.70276 relative to a protolith with 87Sr/86Sr of ~0.7024. There is no systematic variation in 87Sr/86Sr with depth in the sheeted dike complex. Comparison of these new data with the two other localities that similar data sets exist for (ODP Hole 504B and the Hess Deep tectonic window) reveals that the extent of Sr-isotope exchange is similar in all of these locations. Models that assume that fluid-rock reaction occurs during one-dimensional (recharge) flow lead to significant decreases in the predicted extent of isotopic modification of the rock with depth in the crust. These model results show systematic misfits when compared with the data that can only be avoided if the fluid flow is assumed to be focused in isolated channels with very slow fluid-rock exchange. In this scenario the fluid at the base of the crust is little modified in 87Sr/86Sr from seawater and thus unlike vent fluids. Additionally, this model predicts that some rocks should show no change from the fresh-rock 87Sr/86Sr, but this is not observed. Alternatively, models in which fluid-rock reaction occurs during upflow (discharge) as well as downflow, or in which fluids are recirculated within the hydrothermal system, can reproduce the observed lack of variation in 87Sr/86Sr with depth in the crust. Minimum time-integrated fluid fluxes, calculated from mass balance, are between 1.5 and 2.6 * 10**6 kg/m**2 for all areas studied to date. However, new evidence from both the rocks and a compilation of vent fluid compositions demonstrates that some Sr is leached from the crust. Because this leaching lowers the fluid 87Sr/86Sr without changing the rock 87Sr/86Sr, these mass balance models must underestimate the time-integrated fluid flux. Additionally, these values do not account for fluid flow that is channelized within the crust.

Calcification is not the Achilles'heel of cold-water corals in an acidifying ocean

Ocean acidification is thought to be a major threat to coral reefs: laboratory evidence and CO2 seep research has shown adverse effects on many coral species, although a few are resilient. There are concerns that cold-water corals are even more vulnerable as they live in areas where aragonite saturation (Omega ara) is lower than in the tropics and is falling rapidly due to CO2 emissions. Here, we provide laboratory evidence that net (gross calcification minus dissolution) and gross calcification rates of three common cold-water corals, Caryophyllia smithii, Dendrophyllia cornigera, and Desmophyllum dianthus, are not affected by pCO2 levels expected for 2100 (pCO2 1058 µatm, Omega ara 1.29), and nor are the rates of skeletal dissolution in D. dianthus. We transplanted D. dianthus to 350 m depth (pHT 8.02; pCO2 448 µatm, Omega ara 2.58) and to a 3 m depth CO2 seep in oligotrophic waters (pHT 7.35; pCO2 2879 µatm, Omega ara 0.76) and found that the transplants calcified at the same rates regardless of the pCO2 confirming their resilience to acidification, but at significantly lower rates than corals that were fed in aquaria. Our combination of field and laboratory evidence suggests that ocean acidification will not disrupt cold-water coral calcification although falling aragonite levels may affect other organismal physiological and/or reef community processes.

Metodología para la evaluación de la consistencia del trazado de carreteras interurbanas de dos carriles

La consistencia del trazado puede interpretarse como la relación entre las características geométricas de una carretera y lo que espera encontrar el conductor que circula por ella. Si hay una correspondencia entre estos dos aspectos, la conducción puede hacerse de modo continuo, sin sobresaltos, lo que incide favorablemente sobre la seguridad en la circulación. Si bien hay una serie de recomendaciones desde el punto de vista geométrico para obtener trazados consistentes, esto no siempre se logra, y sólo en los últimos años se ha iniciado el estudio de metodologías para evaluar ésto, tanto en vías existentes como en vías proyectadas. La mayor parte de estas metodologías sólo considera el trazado en planta, olvidándose del trazado en alzado y de la coordinación entre los mismos. En esta Tesis doctoral se ha desarrollado una metodología para evaluar la consistencia del trazado en carreteras interurbanas de dos carriles que considera dichos aspectos. Para ello, se hizo un análisis exhaustivo de los índices de trazado, los cuales evalúan las características geométricas en planta y en alzado. Los índices se correlacionaron con la accidentalidad, para determinar cuál de ellos tiene mayor incidencia, encontrándose que es el cambio de curvatura vertical (VCCR); a este índice se le estableció un rango de calificación. Como elemento de evaluación complementario de análisis se seleccionó el perfil de velocidades de operación, procedimiento que ha sido probado en diferentes investigaciones, y del cual se desarrolló un modelo aplicado a Colombia. Para la coordinación de trazados en planta y alzado se evaluaron diferentes combinaciones geométricas, algunas de las cuales generaron reapariciones del trazado. Se ha definido un nuevo índice (Irt) que permite determinar numéricamente la posibilidad de que se presente esta situación, indeseable desde el punto de vista de la seguridad vial. La combinación de estos tres elementos permite una evaluación integral de los diferentes aspectos que inciden sobre la consistencia del trazado de una carretera. La metodología desarrollada se aplicó en el estudio de consistencia del trazado en algunas carreteras españolas y colombianas, ubicadas en distintos tipos de terreno. ABSTRACT Geometric Design Consistency can be defined as the relationship between the geometric characteristics of a road and what the driver expects to find when driving. If there is a correspondence between these two aspects, driving is smoother and unexpected events are minimized, which increases traffic safety conditions. Although from the geometric point of view there are several recommendations to ensure consistent designs, this is not always successfully applied. The study of methods to evaluate design consistency in existing and future routes has only begun in recent years. Most existing methods only consider the horizontal alignment of the road and overlook both the vertical alignment and the coordination that must exist between the vertical and the horizontal. The present Doctoral Thesis proposes a method to evaluate the geometric design consistency of a two-lane rural highway which considers all three of these aspects: the horizontal alignment, the vertical alignment and the coordination that must exist between them. In order to achieve this, several different alignment indices, that evaluate horizontal and vertical geometric characteristics, were thoroughly analyzed to determine their correlation with traffic accidents. The Vertical Curvature Change Rate (VCCR) index showed the highest correlation, and rating thresholds for this index have been established. To complement the evaluation, the operating speed profile, was chosen. This procedure has been extensively tested by several researchers. An operating speed prediction model adapted to Colombia was developed. To study the coordination between the horizontal and the vertical alignments of the road, several geometric combinations of the two were used. Some of these combinations generate undesirable losses of visibility. For this reason, a new index (Irt) was defined to numerically detect those cases, which are undesirable from the point of view of traffic safety. The combination of these three factors allows a comprehensive evaluation of the different aspects that affect the geometric design consistency of a highway. The methodology was applied to some Spanish and Colombian roads located in different types of terrain.