Guided e-MRI prostate biopsy can solve the discordance between Gleason score biopsy and radical prostatectomy pathology

Introduction

The aim of this study is to examine if guided prostate biopsies based on abnormalities detected by conventional and functional endorectal magnetic resonance imaging (MRI) yield a more reliable representation of the radical prostatectomy pathology and to identify probable preoperative clinical variables that stratified patients likely to harbor significant upgrading.

Patients and Methods

From April 2004 to April 2009, a review of N=70 patients records diagnosed with prostate cancer by a 3-6 core guided transrectal ultrasound (TRUS) prostate biopsy based on abnormalities detected by conventional and functional endorectal MRI and who subsequently underwent radical prostatectomy and exhibited a significant upgrading was conducted. Additionally, a multivariate analysis with a significant upgrading as the outcome was performed including the following parameters: prostate specific antigen (PSA) level, clinical stage, prostate size and duration from biopsy to radical prostatectomy.

Results

A significant upgrading was noted in only 8.5% of patients, with 1.4% exhibiting a significant downgrading and the rest 90.1% exhibiting an exact Gleason score match. No preoperative clinical variables that stratified patients likely to harbour significant upgrading were identified.

Conclusions

This type of biopsy method seems to solve the discordance between the biopsy Gleason score and radical prostatectomy pathology regardless of known preoperative clinical variables that can affect it.     

Charged cosmic strings interacting with gravitational and electromagnetic waves

Under a particular choice of the Ernst potential, we solve analytically the Einstein–Maxwell equations to derive a new exact solution depending on five parameters: the mass, the angular-momentum (per unit mass), α, the electromagnetic-field strength, k, the parameter-p and the Kerr-NUT parameter, l. This (Petrov Type D) solution is cylindrically symmetric and represents the curved background around a charged, rotating cosmic string, surrounded by gravitational and electromagnetic waves, under the influence of the Kerr-NUT parameter. A C-energy study in the radiation zone suggests that both the incoming and the outgoing radiation is gravitational, strongly focused around the null direction and preserving its profile. In this case, the absence of the k-parameter from the C-energy implies that, away from the linear defect the electromagnetic field is too weak to contribute to the energy-content of the cylindrically symmetric space-time under consideration. In order to explain this result, we have evaluated the Weyl and the Maxwell scalars near the axis of the linear defect and at the spatial infinity. Accordingly, we have found that the electromagnetic field is concentrated (mainly) in the vicinity of the axis, while falling-off prominently at large radial distances. However, as long as k ≠ 1, the non-zero Kerr-NUT parameter enhances those scalars, both near the axis and at the spatial infinity, introducing some sort of gravitomagnetic contribution.     

On the geometry of complete intersection toric varieties

In this paper we give a geometric characterization of the cones of toric varieties that are complete intersections. In particular, we prove that the class of complete intersection cones is the smallest class of cones which is closed under direct sum and contains all simplex cones. Further, we show that the number of the extreme rays of such a cone, which is less than or equal to 2n − 2, is exactly 2n − 2 if and only if the cone is a bipyramidal cone, where n > 1 is the dimension of the cone. Finally, we characterize all toric varieties whose associated cones are complete intersection cones. Received: 4 July 2005     

Finite volume adaptive solutions using SIMPLE as smoother

This paper describes a new multilevel procedure that can solve the discrete Navier–Stokes system arising from finite volume discretizations on composite grids, which may consist of more than one level. SIMPLE is used and tested as the smoother, but the multilevel procedure is such that it does not exclude the use of other smoothers. Local refinement is guided by a criterion based on an estimate of the truncation error. The numerical experiments presented test not only the behaviour of the multilevel algebraic solver, but also the efficiency of local refinement based on this particular criterion. Copyright © 2006 John Wiley & Sons, Ltd.     

Achieving structural control with thin polystyrene-b-polydimethylsiloxane block copolymer films: The complex relationship of interface chemistry,annealing methodology and process conditions

The structure of thin microphase-separated polystyrene-block-polydimethylsiloxane (PS–PDMS) films has been studied using state-of-the-art top-down and cross-sectional electron microscopy. This is the first time that the profile of PS–PDMS films has been measured in situ and these measurements allowed us to image the shape of the PDMS domains within the film as well as examine the wetting behavior of the block copolymer film on a variety of substrates. It was found that for each polymer, substrate chemistry and annealing method combination examined, there was a small range of film thicknesses whereby the films exhibited the optimal characteristics of high levels of ordering without dewetting or multilayering. Specifically, the optimum thickness for films treated by thermal annealing was greater than that for the equivalent solvent annealed film; a change that was correlated with morphology variations related to solvent swelling of the solvent annealed films. The surface chemistry also induced changes in the optimum film thickness. Selective surfaces were shown to control whether a PDMS wetting layer was formed or not, leading to either thicker or thinner wetting optimum film thicknesses; while undulating morphologies were observed for less selective surfaces. Concomitant changes in the periodicity were then hypothesized to occur as a result of confinement effects and the selectivity of the surface.     

Detecting signatures of stochastic self-organization in US money and velocity measures

In this paper, we continue the research by Serletis [Random walks, breaking trend functions, and the chaotic structure of the velocity of money, J. Bus. Econ. Stat. 13 (1995) 453-458] and Serletis and Shintani [Chaotic monetary dynamics with confidence, J. Macroeconomics 28 (2006) 228-252] by applying the method of detrended fluctuation analysis (DFA)—introduced by Peng et al. [Mosaic organization of DNA nucleotides, Phys. Rev. E 49 (1994) 1685-1689] and adapted to the analysis of long-range correlations in economic data by Uritskaya [Forecasting of magnitude and duration of currency crises based on analysis of distortions of fractal scaling in exchange rate fluctuations, Noise and fluctuations in econophysics and finance, Proc. SPIE 5848 (2005) 17-26; Fractal methods for modeling and forecasting of currency crises, in: Proceedings of the fourth International Conference on Modeling and Analysis of Safety and Risk in Complex Systems, SPbSU Press, St.Petersburg, 2005, pp. 210-215]—to investigate the dynamical structure of United States money and velocity measures. We use monthly data over the time period from 1959:1 to 2006:2, at each of the four levels of monetary aggregation, M1, M2, M3, and MZM, making comparisons among simple-sum, Divisia, and currency equivalent (CE) methods of aggregation. The results suggest that the sum and Divisia monetary aggregates are more appropriate for measuring long-term tendencies in money supply dynamics while the CE aggregates are more sensitive measures of short-term processes in the economy.     

Experimental analysis of the pressure drop and heat transfer through metal foams used as volumetric receivers under concentrated solar radiation

The main objective of this work was to evaluate the behavior of porous materials, when treated as volumetric receivers under concentrated solar radiation. For this reason various porous metallic and ceramic materials have been tested as potential receivers for concentrated solar radiation. The experimental investigation showed that their efficiency was depending on both materials parameters and flow conditions. In this work, a variety of foam materials such as Ni and Ni alloy, inconel, copper, aluminum and SiC with different open cell porosity were tested as potential media to be used as volumetric receivers and heat exchangers. However, since the results were similar, for space economy, only the results of two of them, nickel and inconel were presented in detail and compared with each other.     

Asymptotic formulas for the diameter of sections of symmetric convex bodies

Sharpening work of the first two authors, for every proportion λ∈(0,1) we provide exact quantitative relations between global parameters of n-dimensional symmetric convex bodies and the diameter of their random ⌊λn⌋-dimensional sections. Using recent results of Gromov and Vershynin, we obtain an “asymptotic formula” for the diameter of random proportional sections.     

Purity and Almost Split Morphisms in Abstract Homotopy Categories: A Unified Approach via Brown Representability

Our aim in this paper is to develop a theory of purity and to prove in a unified conceptual way the existence of almost split morphisms, almost split sequences and almost split triangles in abstract homotopy categories, a rather omnipresent class of categories of interest in representation theory. Our main tool for doing this is the classical Brown representability theorem.