Acute Toxicity and Quality of Life After Dose-Intensified Salvage Radiation Therapy for Biochemically Recurrent Prostate Cancer After Prostatectomy: First Results of the Randomized Trial SAKK 09/10

PURPOSE Patients with biochemical failure (BF) after radical prostatectomy may benefit from dose-intensified salvage radiation therapy (SRT) of the prostate bed. We performed a randomized phase III trial assessing dose intensification. PATIENTS AND METHODS Patients with BF but without evidence of macroscopic disease were randomly assigned to either 64 or 70 Gy. Three-dimensional conformal radiation therapy or intensity-modulated radiation therapy/rotational techniques were used. The primary end point was freedom from BF. Secondary end points were acute toxicity according to the National Cancer Institute Common Terminology Criteria for Adverse Events (version 4.0) and quality of life (QoL) according to the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaires C30 and PR25. RESULTS Three hundred fifty patients were enrolled between February 2011 and April 2014. Three patients withdrew informed consent, and three patients were not eligible, resulting in 344 patients age 48 to 75 years in the safety population. Thirty patients (8.7%) had grade 2 and two patients (0.6%) had grade 3 genitourinary (GU) baseline symptoms. Acute grade 2 and 3 GU toxicity was observed in 22 patients (13.0%) and one patient (0.6%), respectively, with 64 Gy and in 29 patients (16.6%) and three patients (1.7%), respectively, with 70 Gy (P = .2). Baseline grade 2 GI toxicity was observed in one patient (0.6%). Acute grade 2 and 3 GI toxicity was observed in 27 patients (16.0%) and one patient (0.6%), respectively, with 64 Gy, and in 27 patients (15.4%) and four patients (2.3%), respectively, with 70 Gy (P = .8). Changes in early QoL were minor. Patients receiving 70 Gy reported a more pronounced and clinically relevant worsening in urinary symptoms (mean difference in change score between arms, 3.6; P = .02). CONCLUSION Dose-intensified SRT was associated with low rates of acute grade 2 and 3 GU and GI toxicity. The impact of dose-intensified SRT on QoL was minor, except for a significantly greater worsening in urinary symptoms.

Editorial genesis: From comparing texts (product) to interpreting rewritings (process)

In literary genetics, “editorial genetics” deals with the “public life” of texts, whereas the writing process is affected by edition and diffusion. Editorial genetics frequently has to deal with cases of “editorial rewriting”: in the literary domain for example, authors frequently modify previously published works, so that several versions may co-exist. We are especially interested in Balzac’s La Bourse (translated in English as The Purse) since we know three authorized versions of this specific work.By comparing different texts associated with a single work, the literary geneticist is facing different products that are themselves the result of a writing process. However, different specificities should be outlined: (1) the writing process does not leave any trace: we just have access to different products/texts and (2) since the texts we compare seem to be achieved, differences must be referred, not to programmatic or temporary linguistic structures, but to the reconfiguration of a pre-existing textuality.Do such products still reflect the processes that have given birth to them? Does the comparison between two texts considered as variations of a same text give access to this transformation’s processes? After describing the objects of this particular textual comparison and the terminology that permits to give an account of such phenomenon, this contribution suggests to express these questions differently, as a matter of poetics of transitions between texts, or, further digging, an hermeneutics of the transition between texts.

Use of minimal invasive extracorporeal circulation in cardiac surgery: principles, definitions and potential benefits. A position paper from the Minimal invasive Extra-Corporeal Technologies international Society (MiECTiS).

Minimal invasive extracorporeal circulation (MiECC) systems have initiated important efforts within science and technology to further improve the biocompatibility of cardiopulmonary bypass components to minimize the adverse effects and improve end-organ protection. The Minimal invasive Extra-Corporeal Technologies international Society was founded to create an international forum for the exchange of ideas on clinical application and research of minimal invasive extracorporeal circulation technology. The present work is a consensus document developed to standardize the terminology and the definition of minimal invasive extracorporeal circulation technology as well as to provide recommendations for the clinical practice. The goal of this manuscript is to promote the use of MiECC systems into clinical practice as a multidisciplinary strategy involving cardiac surgeons, anaesthesiologists and perfusionists.

Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification

OBJECTIVE To analyze the prevalence of urinary tract endometriosis (UTE) in patients with deep infiltrating endometriosis (DIE) and to define potential criteria for preoperative workup. DESIGN Retrospective study. SETTING University hospital. PATIENT(S) Six hundred ninety-seven patients with endometriosis. INTERVENTION(S) Excision of all endometriotic lesions. MAIN OUTCOME MEASURE(S) Correlation of preoperative features and intraoperative findings in patients with UTE. RESULT(S) Out of 213 patients presenting DIE, 52.6% suffered from UTE. In patients with ureteral endometriosis, symptoms were not specific. Among the patients with bladder endometriosis, 68.8% complained of urinary symptoms compared to 7.9% in the group of patients without UTE. In patients with rectovaginal endometriosis, the probability of ureterolysis showed a linear correlation with the size of the nodule. We found that 3 cm in diameter provided a specific cutoff value for the likelihood of ureteric involvement. CONCLUSION(S) The prevalence of UTE has often been underestimated. Preoperative questioning is important in the search for bladder endometriosis. The size of the nodule is one of the few reliable criteria in preoperative assessment that can suggest ureteric involvement. We propose a classification of ureteral endometriosis that will allow the standardization of terminology and help to compare the outcome of different surgical treatment in randomized studies.

Pelvic floor muscle displacement during voluntary and involuntary activation in continent and incontinent women: a systematic review.

INTRODUCTION Investigations of the dynamic function of female pelvic floor muscles (PFM) help us to understand the pathophysiology of stress urinary incontinence (SUI). Displacement measurements of PFM give insight into muscle activation and thus help to improve rehabilitation strategies. This systematic review (PROSPERO 2013: CRD42013006409) was performed to summarise the current evidence for PFM displacement during voluntary and involuntary activation in continent and incontinent women. METHODS MEDLINE, EMBASE, Cochrane and SPORTDiscus databases were searched using selected terminology reflecting the PICO approach. Screening of Google Scholar and congress abstracts added to further information. Original articles investigating PFM displacement were included if they reported on at least one of the aims of the review, e.g., method, test position, test activity, direction and quantification of displacement, as well as the comparison between continent and incontinent women. Titles and abstracts were screened by two reviewers. The papers included were reviewed by two individuals to ascertain whether they fulfilled the inclusion criteria and data were extracted on outcome parameters. RESULTS Forty-two predominantly observational studies fulfilled the inclusion criteria. A variety of measurement methods and calculations of displacement was presented. The sample was heterogeneous concerning age, parity and continence status. Test positions and test activities varied among the studies. CONCLUSIONS The findings summarise the present knowledge of PFM displacement, but still lack deeper comprehension of the SUI pathomechanism of involuntary, reflexive activation during functional activities. We therefore propose that future investigations focus on PFM dynamics during fast and stressful impact tasks.

Operationalizing ecosystem services for the mitigation of soil threats: A proposed framework

Despite numerous research efforts over the last decades, integrating the concept of ecosystem servicesinto land management decision-making continues to pose considerable challenges. Researchers havedeveloped many different frameworks to operationalize the concept, but these are often specific to acertain issue and each has their own definitions and understandings of particular terms. Based on acomprehensive review of the current scientific debate, the EU FP7 project RECARE proposes an adaptedframework for soil-related ecosystem services that is suited for practical application in the preventionand remediation of soil degradation across Europe. We have adapted existing frameworks by integratingcomponents from soil science while attempting to introduce a consistent terminology that is understand-able to a variety of stakeholders. RECARE aims to assess how soil threats and prevention and remediationmeasures affect ecosystem services. Changes in the natural capital’s properties influence soil processes,which support the provision of ecosystem services. The benefits produced by these ecosystem servicesare explicitly or implicitly valued by individuals and society. This can influence decision- and policymak-ing at different scales, potentially leading to a societal response, such as improved land management.The proposed ecosystem services framework will be applied by the RECARE project in a transdisciplinaryprocess. It will assist in singling out the most beneficial land management measures and in identifyingtrade-offs and win–win situations resulting from and impacted by European policies. The framework thusreflects the specific contributions soils make to ecosystem services and helps reveal changes in ecosystemservices caused by soil management and policies impacting on soil. At the same time, the framework issimple and robust enough for practical application in assessing soil threats and their management withstakeholders at various levels.

Performance tiers: Implementing comparative effectiveness analysis in the health care setting through operations research and spatial methods

This dissertation develops and tests a comparative effectiveness methodology utilizing a novel approach to the application of Data Envelopment Analysis (DEA) in health studies. The concept of performance tiers (PerT) is introduced as terminology to express a relative risk class for individuals within a peer group and the PerT calculation is implemented with operations research (DEA) and spatial algorithms. The analysis results in the discrimination of the individual data observations into a relative risk classification by the DEA-PerT methodology. The performance of two distance measures, kNN (k-nearest neighbor) and Mahalanobis, was subsequently tested to classify new entrants into the appropriate tier. The methods were applied to subject data for the 14 year old cohort in the Project HeartBeat! study.^ The concepts presented herein represent a paradigm shift in the potential for public health applications to identify and respond to individual health status. The resultant classification scheme provides descriptive, and potentially prescriptive, guidance to assess and implement treatments and strategies to improve the delivery and performance of health systems. ^

An evaluation of Employee Assistance Programs: An overview and case study

Methodologies for the analysis and cross-evaluations of Employee Assistance Programs (EAPs) are necessary to indicate program weaknesses and strengths for both present and future EAP services.^ As EAPs have matured from simplistic industrial alcoholism programs to all problem-encompassing, complex programs, an aggressive group of entrepreneurs has developed. Business and industrial managements need established criteria to select the most suitable professional services for their needs, as well as the best investment value for cost containments.^ Four major EAPs were compared to determine critical areas necessary for cross evaluation. Future standardization of terminology and definitions of services will facilitate both the evaluation of a specific program and its comparison to problems or successes of other EAPs.^ Past evaluation difficulties have been caused by the lack of EAP program accreditations and professional personnel licensure requirements. The Association of Labor Management Administrators and Consultants on Alcoholism (ALMACA) has recently set certification criteria for personnel, which will enhance the professional standards for EAPs. ^

A Bayesian approach to estimating the intraclass correlation coefficient

A Bayesian approach to estimating the intraclass correlation coefficient was used for this research project. The background of the intraclass correlation coefficient, a summary of its standard estimators, and a review of basic Bayesian terminology and methodology were presented. The conditional posterior density of the intraclass correlation coefficient was then derived and estimation procedures related to this derivation were shown in detail. Three examples of applications of the conditional posterior density to specific data sets were also included. Two sets of simulation experiments were performed to compare the mean and mode of the conditional posterior density of the intraclass correlation coefficient to more traditional estimators. Non-Bayesian methods of estimation used were: the methods of analysis of variance and maximum likelihood for balanced data; and the methods of MIVQUE (Minimum Variance Quadratic Unbiased Estimation) and maximum likelihood for unbalanced data. The overall conclusion of this research project was that Bayesian estimates of the intraclass correlation coefficient can be appropriate, useful and practical alternatives to traditional methods of estimation. ^

¿Existe la autoficción hispanoamericana?

Este artículo da cuenta de una investigación, que se podría denominar, con palabras de Philippe Lejeune, de poética aplicada. A partir del concepto de autoficción, en boga desde hace unos años en la teoría autobiográfica, compruebo que en la narrativa hispanoamericana del siglo XX existen numerosos relatos que responden perfectamente, y de manera parecida a la de otras literaturas, a este nuevo subgénero autobiográfico y/o novelesco.

La experiencia de evaluación externa en las bibliotecas universitarias argentinas y su contexto terminológico

La preocupación por la evaluación de la calidad en la educación superior surge inicialmente, en la Argentina, a comienzos de los años 90 en forma paralela a los desarrollos Iberoamericanos. Es entonces cuando, en el universo de las políticas de la calidad, se introduce la selección y denominación de componentes dentro de los lineamientos, guías o modelos de evaluación. Es así como aparecen los conceptos de evaluación, acreditación, certificación, etc. vinculados también con los principales modelos de gestión de la calidad. El presente trabajo tiene dos objetivos, el primero es exponer una de las conclusiones de la investigación realizada sobre la evaluación del componente biblioteca en el contexto de la evaluación externa de las universidades argentinas llevada a cabo por la Comisión Nacional de Evaluación y Acreditación Universitaria (CONEAU) en cumplimiento de la política de calidad determinada por la Ley de Educación Superior (LES). Esta conclusión está relacionada con la importancia de la consistencia y uniformidad en la denominación de componentes en los modelos de evaluación. Con el segundo, se trata de clarificar la terminología vinculada con los procesos de evaluación y gestión de la calidad. La metodología utilizada para el cumplimiento del primer objetivo se basó en el análisis de los 42 informes que la CONEAU publicó entre 1998-2006. Respecto del segundo la recolección de datos se apoyó en el análisis de diferentes fuentes documentales, lo cual facilitó la estructuración del contenido del trabajo. Se concluye que es esencial mantener la claridad en las definiciones, la consistencia terminológica y evitar la alternancia de términos.

Arte, política y espacio : Una revisión crítica desde el posestructuralismo

En esta tesis proponemos realizar un aporte al campo de los estudios sociopolíticos del arte, a partir de pensar la relación entre arte, política y espacio, teniendo especialmente en cuenta la centralidad del mismo en autores posestructuralistas que abordan la relación entre arte y política. Para ello, hacemos foco en los análisis de la relación entre arte y política de Jacques Rancière, Chantal Mouffe y Nelly Richard, como estrategia para analizar y establecer a posteriori el lugar que ocupa el espacio. Asimismo, tomamos, también desde el posestructuralismo, los desarrollos efectuados por Doreen Massey, sobre la construcción social del espacio y las dinámicas de poder que lo atraviesan. A su vez, recuperamos los aportes de Henri Lefebvre y Milton Santos para adentrarnos a la problemática de la producción social del espacio. En síntesis, apuntamos a producir un análisis que considere al espacio como una construcción social y de carácter político, atravesado por relaciones de poder, cuya presencia en las acciones artísticas no es sólo contextual, por lo que excede a la idea de simple emplazamiento o escenario donde transcurren los hechos. Así, problematizamos un vacío en relación a lo que hemos llamado trinomio entre arte, política y espacio contribuyendo a generar una perspectiva compleja que integre estos tres conceptos. Para la realización de la tesis planteamos, como estrategia metodológica, una revisión crítica de la bibliografía seleccionada de los autores ya mencionados. Consideramos que a partir del estudio y análisis del material bibliográfico, contribuimos a generar una perspectiva que integra arte, política y espacio, que será productiva para el desarrollo de futuras investigaciones dirigidas al estudio de casos de artistas y grupos de artistas de diverso origen y temporalidad. Asimismo, incorporamos a los argumentos y terminologías de los autores aquí trabajados, obras y prácticas artísticas, no como mera ilustración, sino estableciendo un diálogo que potencie el ejercicio crítico y la reflexión teórica

Arquitectura de sitios Web de bibliotecas universitarias : El sistema de bibliotecas de la Universidad Nacional de La Plata, Argentina

Este trabajo descriptivo exploratorio se propone analizar la arquitectura de información (AI) de sitios Web de bibliotecas de la Universidad Nacional de La Plata (UNLP), Argentina. Se analizaron 17 bibliotecas y se aplicó una grilla para recabar 10 aspectos relevantes. Los resultados fueron: 1. Ubicación del sitio Web de la biblioteca: 9 sitios incluidos en la página principal de la facultad. 2. Etiquetado de contenidos: terminología simple, sin jergas; no hay homogeneidad entre las bibliotecas. 3. Capacidad de búsqueda: 62 por ciento positiva, 38 por ciento negativa. 4. Sistema de búsqueda: simple 43 por ciento, compleja 10 por ciento, con ayudas 10 por ciento, ninguno 38 por ciento. 5. Sistemas de navegación: globales 5 por ciento, jerárquicos 79 por ciento, locales 5 por ciento, ninguno 11 por ciento. 6. Herramientas de navegación: barras 16 por ciento, frames o marcos 30 por ciento, índices 2 por ciento, mapas de sitio 7 por ciento, menús horizontales 9 por ciento, menús verticales 35 por ciento. 7. Sindicación de contenidos RSS: 3 sitios. 8. Otros servicios: chat 7 por ciento, descarga de documentos 16 por ciento, envío de formularios 14 por ciento, instructivos 21 por ciento, links a otras páginas 23 por ciento, tutoriales 5 por ciento, otros 14 por ciento. 9. Accesibilidad Web: 1 sitio. 10. Otras observaciones: ninguna. Se concluye que el desarrollo de los sitios es dispar y se recomienda considerar pautas de AI como parte de la cooperación en la red de bibliotecas de la UNLP

L'aspect linguistique des fusions-acquisitions d'entreprises

In the business world, mergers can also be seen as the joining of two or more "company-speaks". Contrasts between different "speaks" are brought out when the communities are together and this can be observed in the spoken and written language. This situation can be compared to that of languages in contact from the sociolinguistic and dialectological points of view. Terminology offers an adapted perspective on descriptive, historical and cultural levels.

Musical instruments and the paean in Archilochus

El presente artículo analiza la significación de la relativamente frecuente ocurrencia de la terminología musical en los fragmentos de Arquíloco, tal como auloí y ejecutantes de auloí (fr.58.12,269), liras (fr.54.11, 93a lira + aulos), la trompeta (fr. 214) y el ejecutante de trompa (fr. 269), y la referencia al peán (fr.121) en sus contextos