In this paper the suitability of a PTW natural diamond detector (DD) for relative and reference dosimetry of photon and electron beams, with dose per pulse between 0.068 mGy and 0.472 mGy, was studied and the results were compared with those obtained by a stereotactic silicon detector (SFD). The results show that, in the range of the examined dose per pulse the DD sensitivity changes up to 1.8% while the SFD sensitivity changes up to 4.5%. The fitting parameter, delta, used to correct the dose per pulse dependence of solid state detectors, was delta = 0.993 +/- 0.002 and delta = 1.025 +/- 0.002 for the diamond detector and for the silicon diode, respectively. The delta values were found to be independent of particle type of two conventional beams (a 10 MV x-ray beam and a 21 MeV electron beam). So if delta is determined for a radiotherapy beam, it can be used to correct relative dosimetry for other conventional radiotherapy beams. Moreover the diamond detector shows a calibration factor which is independent of beam quality and particle type, so an empirical dosimetric formalism is proposed here to obtain the reference dosimetry. This formalism is based on a dose-to-water calibration factor and on an empirical coefficient, that takes into account the reading dependence on the dose per pulse.

BACKGROUND

In this study, we intend to evaluate the autonomic changes occurring in neurosurgeons and thus the stress during microsurgical clipping of aneurysms.

OBJECTIVE

The aim of the current study is to evaluate the heart rate variability (HRV) of the neurosurgeons during microsurgical clipping of aneurysm by using continuous real time monitoring of the ECG intraoperatively.

METHODS

Lead II ECG was recorded using Bioharness(®) (Zephyr Technologies, Annapolis, MD) in 4 healthy neurosurgeons who performed 29 microsurgical clipping of aneurysms. ECG from 21 surgeries was analysed (LabChart(®) software, ADInstruments, Dunedin, New Zealand) across five stages: Baseline (BL), sylvian fissure dissection (SFD), perianeurysmal dissection (PAD), clipping of the aneurysm (CLIP) and haemostasis (HEMO).

RESULTS

There was a reduction in TP and an increased LF/HF ratio in spite of suppression of both LF and HF powers. Contrary to the common understanding that the sympathetic limb of the autonomic system mostly mediates responses during stress and anxiety, we found that there was a significant contribution of the parasympathetic system too.

The authors assessed the results of radiotherapy including tele- and brachytherapy (taking into account a cosmetic effect) of 261 patients with lower lip cancer (stage II in 160 patients and stage III in 101 patients). Teletherapy at a summary focal dose of (SFD) 20-24 Gy and a single focal dose (SFD) of 2 Gy was followed after 2-week interruption by brachytherapy, the SFD being 50-65 Gy mostly 50-55 Gy. An irradiation field size (0.5-1 sm from visible tumor limits) and SFD were determined by a stage of disease and infiltration depth. The cure rate during a 3-year follow-up in stage II was 91.2% in stage III--62%.

UNASSIGNED

Accurate and detailed measurements of spinal canal diameter (SCD) and transverse foraminal morphometry are essential for understanding spinal column-related diseases and for surgical planning, especially for transpedicular screw fixation. This is especially because lateral cervical radiographs do not provide accurate measurements.

UNASSIGNED

This study was conducted to measure the dimensions of the transverse foramen sagittal and transverse diameters (SFD, TFD), SCD, and the distance of spinal canal from the transverse foramina (dSC-TF) at C1-C7 level in the Indian population.

UNASSIGNED

The study population comprised 84 male and 42 female subjects. The mean age of the study group was 44.63 years (range, 19-81 years). A retrospective study was conducted, and data were collected and analyzed for patients who underwent cervical spine computed tomography (CT) imaging for various reasons.

UNASSIGNED

One hundred and twenty-six patients were included in the study. Detailed readings were taken at all levels from C1-C7 for SCD, SFD, TFD, and dSc-TF. Values for male and female subjects were separately calculated and compared. For both the groups, the widest SCD were measured at the C1 level and the narrowest SCD at the C4 level. The narrowest SFD was measured at C7 for both male and female subjects on the right and left sides. The widest SFD was measured at C1 both for male and female subjects on the right and left side. The narrowest TFD on the left side was measured at C7 for male and at C1 for female subjects. The narrowest mean distance of dSC-TF was found to be at C4 for both male and female subjects on both left and right side.

UNASSIGNED

The computed tomographic (CT) imaging is better than conventional radiographs for the preoperative evaluation of cervical spine and for better understanding cervical spine morphometry. Care must be taken during transpedicular screw fixation, especially in female subjects, more so at the C2, C4, and C6 levels due to a decrease in the distance of dSC-TF.

Bioaccumulation of cadmium (Cd) in the agricultural soil constitutes a dangerous risk for the health of both the environment and humans. Especially in the European Union, a large amount of Cd in agricultural topsoil originates from mineral fertilizer application. In this context, the EU has recently adopted the Regulation (EU) 2019/1009 with the aim to establish stricter limits for Cd presence in fertilizer products and to promote a higher use of fertilizers from organic sources. This paper discusses the future implications of the new regulation to limit the presence of cadmium (Cd) in agricultural soils and food products. The Regulation (EU) 2019/1009 represents an important step of the EU circular economy action plan with its aim to encourage the production of low cadmium content fertilizers. This paper focuses on the limits of the Regulation (EU) 2019/1009 and on the need for complementary policy instruments to protect and conserve agricultural soil health. We highlight the recently proposed, and subsequently withdrawn, EU Soil Framework Directive (SFD) as a meaningful complementary policy tool in the context of a renewed effort to pursue protection and conservation of soil health.

Keywords: Cadmium; EU policies; Food safety; Soil framework directive; Soil health protection.

From all regions of the Siberian Federal District (SFD), the Altai Republic is the least urbanized territory, more than third of its population is Altai. The Altai Republic ranks the 11th for cancer incidence among 12 territories of SFD. Cancer incidence rate is 1.4 times less in females than in males. There is a tendency toward increased cancer incidence in the Republic. The two most common cancer sites in males are digestive and respiratory organs. In females, the most common cancer sites are reproductive and digestive organs. Prostate cancer has the highest incidence rate in males and kidney cancer in females. Increase in the cancer incidence rate was observed among male patients who are younger and older than able-bodied age and in female patients who were younger than able-bodied age. Problems related to the improvement of methods for cancer prevention, early detection and treatment are of great importance.

BACKGROUND

Single fetal death (sFD) in monochorionic twin pregnancies is associated with substantial morbidity and mortality in the survivor. The aim of our study was to evaluate the rate of cerebral lesions detected at fetal Magnetic Resonance Imaging (MRI) and to correlate the results with the neurologic outcome of the survivors of monochorionic twin pregnancies after sFD.

METHODS

Between 2005 and 2012, 11 monochorionic twin pregnancies with sFD and subsequent fetal MRI of the survivor were included. All neonates underwent neurologic assessment after birth and 56% of surviving infants underwent long-term neurologic assessment. MRI findings and neurologic outcome of the survivors were evaluated.

RESULTS

Gestational age at sFD was 20.9 (±2.9) weeks; 55% (6/11) of survivors of monochorionic twin pregnancies after sFD showed cerebral lesions at fetal MRI; 72% (8/11) of all survivors had normal neonatal neurologic outcome: all survivors with normal fetal MRI and 50% of survivors with cerebral lesions at fetal MRI. Long-term neurologic assessment was normal in all tested patients with normal fetal MRI and in one of three tested patients with cerebral lesions at fetal MRI.

CONCLUSIONS

Survivors of monochorionic twin pregnancies after sFD show a high rate of cerebral lesions at fetal MRI. The importance of cerebral lesions at fetal MRI in survivors after sFD in monochorionic twin pregnancies is uncertain. All tested survivors with normal fetal MRI showed normal neurologic outcome but only one of three survivors with cerebral lesions at fetal MRI showed normal long-term neurologic outcome.

Conducting postoperative radiotherapy in a mode of hypofranctionation with SFD-3Gy to TFD-36-39Gy (EQD2 = 43,246,8Gy) in combined treatment of patients with non-small cell lung cancer allows significantly increasing a 5-year disease-free survival at IIB-IIIB stages of the disease (pN1-2) as well as the central cancer, squamous cell morphological type of tumor after surgery in a volume of lob-bilobectomy. The clearest effect of postoperative radiotherapy is assessed by survival without locoregional recurrence where radiation therapy in the adjuvant setting allows achieving a statistically significant increase in local control of the disease to the level of 85-95% regardless of stage of the disease, tumor size, regional lymph nodes lesion and the surgical treatment.

Boulders are ubiquitously found on the surfaces of small rocky bodies in the inner solar system and their spatial and size distributions give insight into the geological evolution and collisional history of the parent bodies. Using images acquired by the Chang'e-2 spacecraft, more than 200 boulders have been identified over the imaged area of the near-Earth asteroid Toutatis. The cumulative boulder size frequency distribution (SFD) shows a steep slope of -4.4 ± 0.1, which is indicative of a high degree of fragmentation. Similar to Itokawa, Toutatis probably has a rubble-pile structure, as most boulders on its surface cannot solely be explained by impact cratering. The significantly steeper slope for Toutatis' boulder SFD compared to Itokawa may imply a different preservation state or diverse formation scenarios. In addition, the cumulative crater SFD has been used to estimate a surface crater retention age of approximately 1.6 ± 0.3 Gyr.

OBJECTIVE

To compare ultrasonographic (US) with computerized tomographic (CT) images in order to choose electron energy for radiotherapy (RT) boost field in patients with breast conserving surgery (BCS).

METHODS

Thirty-seven consecutive patients with breast cancer treated by BCS and RT in our department were evaluated. Median age was 49 years (range 32-82). According to the Dokuz Eylul Breast Tumor Group Protocol (DEBTG), in patients with BCS, RT (5000 cGy to the whole breast ± lymphatic area) and boost with electron energy to the primary tumor bed (1000 cGy if surgical margin negative, or 1600 cGy if surgical margin positive was delivered. Before January 2003, the distances between skin-the deepest point of tumor bed (STD), skin-clips (SCD), and skin-fascia (SFD) were measured with US to choose electron energy in boost field. Since then, CT simulation images were used to this purpose. These two imaging systems were compared in this study. Electron energy was selected after measurement of the deepest metallic clips in CT simulation images (90%) or measurement of the STD if no clips were present (10%).

RESULTS

Median measurements with US and CT were as follows: STD: US 12 mm (range 4-35), CT 28 mm (range 2-54); SFD: US 25 mm (range 6-57), CT 31 mm (range 2-93); SCD: US 14 mm (range 7-26), CT 29 mm (range 2-68). The median electron energy was 9 MeV é (range 6-12) for US and 12 MeV é (range 6-21) for CT. Concordance in US and CT measurements was 27%.

CONCLUSIONS

This preliminary study reveals that CT-based SCD measurements are deeper than US measurements, and selected electron energy with CT is 3 MeV higher than US. These two factors can affect local control and side effects. We noticed only one local recurrence in 37 patients. We did not evaluate side effects in this study. These could be a subject of a future study.

Composite electrodes were fabricated for supercapacitor applications by depositing vanadium oxide onto multi-walled carbon nanotube (MWCNT) buckypaper using supercritical fluid deposition (SFD). The deposited thin vanadium oxide layer showed amorphous structure with excellent uniformity. In aqueous KCl electrolyte, the vanadium oxide exhibited a constant pseudo-capacitance of ∼ 1024 F g(-1), which was independent of the oxide material loading (up to 6.92 wt%) and voltage scan rate (up to 100 mV s(-1)). The highest specific electrode capacitance achieved was ∼ 85 F g(-1), which was almost four times that of the pristine buckypaper electrode.

The 2010 Abbott Diabetes Care--Société Francophone du Diabète (SFD) Paramédical prize was awarded to the nursing team of the paediatric unit of the William Morey hospital in Chalon-sur-Saône (71) for the creation of a new educational tool. The interactive game aims to encourage children with type 1 diabetes to do sport by providing them with the education and knowledge they need to manage their diabetes before, during and after the physical activity.

Snake fungal disease (SFD), caused by the fungus Ophidiomyces ophiodiicola, is an emerging threat to wild snake populations in the US. Data regarding its distribution, prevalence, and population-level impacts are sparse, and more information is needed to better manage SFD in the wild. In this study, we captured 38 wild snakes of five species in Connecticut in the summers of 2015 and 2017. Skin lesions were biopsied and evaluated histologically for fungal dermatitis. At least one individual from each species was positive for SFD, and 48% of snakes sampled in 2015 and 39% of snakes sampled in 2017 were positive for SFD. A Dekay's brownsnake (Storeria dekayi dekayi) with SFD lesions, captured in the summer of 2017, extended the host range of the disease. Thus, SFD was present in wild Connecticut snakes in 2015 and 2017, which demonstrated a wide-spread distribution throughout the state.

Renovated criteria of syndrome of functional dyspepsia (SFD) in the light of "The Roman criteria--III" (2006): definition, prevalence, disputable terminological questions, problem of etiology and pathogenesis; are represented in the article. Revised clinical variants of SFD, differential diagnostics between SFD and irritable intestine syndrome and gastroesophageal reflux disease; are considered. Substantiation of state-of-the-art methods of SFD therapy are given.

We introduce a distance metric between two distributions and propose a Generative Adversarial Network (GAN) model: the Simplified Fréchet distance (SFD) and the Simplified Fréchet GAN (SFGAN). Although the data generated through GANs are similar to real data, GAN often undergoes unstable training due to its adversarial structure. A possible solution to this problem is considering Fréchet distance (FD). However, FD is unfeasible to realize due to its covariance term. SFD overcomes the complexity so that it enables us to realize in networks. The structure of SFGAN is based on the Boundary Equilibrium GAN (BEGAN) while using SFD in loss functions. Experiments are conducted with several datasets, including CelebA and CIFAR-10. The losses and generated samples of SFGAN and BEGAN are compared with several distance metrics. The evidence of mode collapse and/or mode drop does not occur until 3000k steps for SFGAN, while it occurs between 457k and 968k steps for BEGAN. Experimental results show that SFD makes GANs more stable than other distance metrics used in GANs, and SFD compensates for the weakness of models based on BEGAN-based network structure. Based on the experimental results, we can conclude that SFD is more suitable for GAN than other metrics.

A total of 222 pregnant women had repeated hormone assays of prolactin, estriol, human chorionic gonadotrophin and placental lactogen between week 20 and delivery. The aim of this study was to investigate whether maternal serum levels of the above-mentioned hormones differed between normal and abnormal pregnancies, that is preterm, preterm small-for-date (SFD), SFD at-term and normal at-term deliveries, with special regard to fetal sex. The results of the present study indicated differences related to preterm deliveries and intrauterine growth retardation. This finding was reflected in the estriol levels when mothers of both boys and girls were included, suggesting a primary involvement of fetoplacental factors in these pathological pregnancies. However, when only mothers of girls were investigated, the development of growth retardation was mainly seen in maternal serum hPL differences, thus suggesting a placental involvement.

To clarify the causes of SFD from the view-point of placental function, investigations were made on feto-maternal amino acid circumstances and on how cyclic AMP behaves in the placenta, particularly in relation to the transport of amino acid across the placenta. Amino acids were measured by gas liquid chromatography (hydrogen-flame ion detector), c-AMP by the binding protein method, adenyl cyclase activity by Krishna's method, and proteins by Lowry's method. Results show: (1) The levels of maternal amino acids were indistinctive between the SFD group and the normal pregnancy group. (2) The feto-maternal ratio of amino acid concentrations (f/m ratio) was lower in the SFD group than in the normal control. (3) The level of c-AMP in the placenta was lower in the SFD group than in the control. (4) The lower level of placenta c-AMP in the SFD placenta seems partly attributable to the decreased adenyl cyclase activity. (5) There was a positive correlation (gamma=0.61) between the content of c-AMP in the placenta and the f/m ratio of amino acid concentrations. These findings suggest a decline in placental active transport of acids in SFD; adenyl cyclase and c-AMP in the placenta presumably play a key role in such course.

Weight, DNA, protein, hydroxyproline and disaturated phosphatidylcholine (DSPC) content were investigated in lungs of 97 normally formed infants over an age range from 22 to 75 postconceptional weeks, including 25 cases of hyaline membrane disease (HMD) and 13 small-for-dates infants (SFD). Lung weight and lung DNA relative to body weight were markedly lower in infants who died at 37-41 weeks than in those who died at shorter gestations or in early infancy. Total lung DSPC and DSPC concentration had a narrow peak at 36-41 weeks. The DSPC concentration per milligram of lung DNA in the first few months of infant life was similar to that in infants at 24 weeks gestation. Lung protein concentrations increased steadily but were variable at all ages. SFD infants had significantly higher concentrations of hydroxyproline and showed a peak DSPC concentration at an earlier gestation than the normals. Lungs of HMD infants showed some increase in hydroxyproline concentration but little other quantitative evidence of difference from the normals. We suggest that the relatively small lung size in many infants who die near term may result from recurrent intrauterine stress. Lung changes in small for dates infants are compatible with an advance in lung maturation, while the increased hydroxyproline concentration in the lungs of cases of HMD implies an early proliferative response to lung injury.

Maternal and cord blood of 34 toxemic and 27 non-toxemic mothers and their infants were studied for lipids and glucose. All the lipid fractions in cord blood were significantly lower (P less than .001) than that of the mother in all groups due to relative impermeability of the placenta. AFD infants of toxemic mothers had significantly higher (P less than .001) value of FFA and triglyceride as compared with AFD infants of non-toxemic mothers. However SFD infants of toxemic mothers had higher FFA only when compared with that of non-toxemic mother. This is possibly due to sympathetic stimulation related to placental insufficiency with hypoxia and hypoglycemia that lead to mobilisation of adipose tissue into FFA and glycerol in fetus. Plasma phospholipid, cholesterol, HDLC, LDLC of infants of toxemic mothers were significantly lower (P less than .001), more so in SFD infants, possibly due to impaired liver function. 53% of infants of toxemic mothers also had hyperbilirubinemia. Cord blood glucose in toxemic group was significantly lower (P less than .05) than AFD infants of non-toxemic group.

Serum triglycerides, cholesterol, lipoproteins and fatty acids has been determined in 11 normal infants (RN) and 20 small for date newborn infants (SFD) at birth, before feeding, and at one week of life. All infants were bed with a milk formula (Maseda adaptado ) according with ESPGAN recommendations. Serum triglycerides are significantly increased in SFD after one week of feeding (p less than 0.01). Serum cholesterol in SFD show no differences in relation to normal infants. VLDL are significantly increased in SFD ab birth (p less than 0.01) reaching normal values after one week of feeding. After delivery SFD infants show a low serum level of linoleate (C18:2 omega 6) (p less than 0.05), linolenate (C18:3 omega 3) (p less than 0.02) and eicosadienoate (C20:2 omega 6) (p less than 0.02). No differences are observed in arachidonate (C20:4 omega 6). At one week after feeding no differences are observed in serum fatty acids between SFD and normal infants.

To calculate small field output correction factors, [Formula: see text], for Gafchromic EBT3 film using Monte Carlo simulations. These factors were determined for a Novalis Trilogy linear accelerator equipped with Brainlab circular cones with diameters of 4.0 to 30.0 mm. The BEAMnrc Monte Carlo code was used to simulate the Novalis Trilogy linear accelerator and the Brainlab cones with diameters 4.0 to 30 mm. The DOSXYZnrc code was used to simulate Gafchromic EBT3 film with the atomic composition specified by the manufacturer. Small field correction factors were calculated according to new IAEA TRS-483 Code of Practice for small field dosimetry. The depth of calculation was 10 cm and a source to surface distance of 100 cm. The X-ray beam used in the simulations was a 6 MV SRS. The correction factors were then used to determine field output factors with Gafchromic EBT3 film. These field output factors were validated using three solid state detectors and applying correction factors from the TRS-483 Code of Practice. The solid state detectors were IBA SFD diode, PTW 60018 SRS diode and PTW 60019 microDiamond. The Monte Carlo calculated output correction factors, [Formula: see text], for Gafchromic EBT3 film ranged between 0.998 to 1.004 for Brainlab circular cones with diameters between 4.0 and 30.0 mm. The uncertainty for these factors was 2.0%. The field output factors obtained with Gafchromic EBT3 film were within 2% of the mean results obtained with the three solid state detectors. For field sizes 4 mm diameter and above, Gafchromic EBT3 film has field output correction factors within 1% of unity. Therefore, Gafchromic EBT3 film can be considered to be correction less and supports the assumption made about this film in the TRS-483 Code of Practice.

Keywords: Brainlab; Gafchromic EBT3; Monte Carlo; SRS; Small field dosimetry; TRS-483.

The comminution of various powders produced by either spray-freeze-drying (SFD) or spray-drying (SD) on firing in a Ballistic powder injector could be evaluated quantitatively using light microscopic particle imaging. SFD lactose was damaged much less than SFD mannitol and was caused by greater mechanical strength and lower acceleration. SD lactose or mannitol showed much reduced comminution because of their low porosity. SFD lactose/mannitol/dextran 10 kDa formulations also showed less low comminution. The inclusion of catalase further reduced damage on firing. The extent of comminution on firing was found to be related to microparticle surface structure and porosity which influences both mechanical strength and acceleration.

Intravenous administrations of albumin, 8-16 g for 5-46 days, to the total doses of 56-736 g (averaged 198 g) were given for 10 patients suffered from both EPH gestosis and hypoalbuminemia averaged 2.4 g/dl. Plasma albumin level, total proteins and A/G ratio were elevated from 2.4 to 3.3 g/dl, from 4.9 to 5.8 g/dl, and from 0.97 to 1.28, respectively in average, following the albumin therapies. Slight decreases in hematocrit, urinary protein, SGOT and SGPT were observed, while BUN increased slightly. Pregnancies were maintained until 36.7 weeks in average. Fourteen newborn infants were delivered in good conditions, mean birth weight being 2,475 g. Four infants (28.6%) were SFDs, while ten (71.4%) were AFDs. Intravenous albumin therapies appear to be safe and effective for those who have both EPH gestosis and hypoalbuminemia.