Response to recombinant human erythropoietin in patients with myelodysplastic syndromes

OBJECTIVES: The impact of a positive surgical margin in otherwise confined prostate cancer after radical prostatectomy remains unclear. We analyzed the outcome of a large number of patients with organ-confined prostate cancer according to the presence and anatomic site of margin positivity. METHODS: We evaluated 2712 prostatectomy patients with Stage pT2N0 cancer (ie, no evidence of extra-prostatic disease, seminal vesicle or regional node involvement) and no prior therapy who were treated by radical prostatectomy between 1987 and 1995 at Mayo Clinic. A total of 697 patients (26%) had positive margins. To assess the effect of margin status in the absence of treatment, 378 patients with postoperative adjuvant therapy were not considered for the study group: the final group consisted of 2334 patients. RESULTS: Overall, 253 (58%) tumors were positive at the apex and/or urethra, 85 (19%) at the prostate base, 11 (2.5%) at the anterior prostate, and 174 (40%) at the posterior prostate; 89 (20%) had at least two margins involved and 21 (8.3%) had more than two involved. The apex/urethra was the only positive anatomic site in 183 (42%). Five-year survival free of clinical recurrence or prostate-specific antigen (PSA) biochemical failure (postoperative serum PSA of 0.2 ng/mL or more) for patients with a single positive margin was 79% for apex or urethra, 78% for anterior/posterior, and 56% for prostate base. Five-year survival free of clinical recurrence or PSA (biochemical) failure was slightly higher for those with one versus two margin-positive regions (77% versus 68%, respectively). Multivariate analysis revealed that positive surgical margins were a significant predictor of clinical recurrence and PSA (biochemical) failure (relative risk [95% confidence interval]: 1.65 [1.24, 2.18]) after controlling for Gleason grade, preoperative PSA, and deoxyribonucleic acid (DNA) ploidy. The effect of margin positivity on recurrence at a specific anatomic site (versus negative margins or positive at a different anatomic site) revealed the prostate base to be the only significant anatomic site when adjusted for grade, PSA, and ploidy. Five-year survival free of the combined clinical or PSA failure end point for those with versus those without positive margins at the prostate base was 56% versus 85%, respectively (P < 0.0001). CONCLUSIONS: Positive surgical margins are a significant predictor of recurrence in Stage pT2N0 cancer, which is independent of grade, PSA, and DNA ploidy. The impact of positive margin status on recurrence-free survival appears to be anatomic and site-specific, with prostate base positivity significantly associated with poor outcome. The benefit of adjuvant therapy based on anatomic site-specific margin positivity remains to be tested in order to optimize recurrence-free survival.     

Basic concepts to accelerate line algorithms

The concepts of drawing bidirectionality and choice of behavior in cases of Equal Error (if dy < dx, when pixels of the same abscissa are equidistant from the real line), are considered. These concepts, applied to known algorithms, accelerate drawing speed.     

The origin of protein synthesis: on some molecular fossils identified through comparison of protein sequences

Sequence data, even if only marginally significant, and evolutionary arguments suggest that a similarity may exist between class II aminoacyl-tRNA synthetases and proteins involved in the nonribosomal biosynthesis of peptide antibiotics, and more in general, those belonging to the family of adenylate-forming enzymes. If correct, this hypothesis of homology may imply that the first peptide syntheses might have occurred on phosphopantetheine molecules in a thioester world and/or on a variant of the coenzyme A (CoA) in an RNA world. Therefore, peptide synthesis probably evolved on tRNA-like molecules from the CoA (or a variant CoA molecule) that had the potential for nucleotide extension, that made possible the evolution to the current mechanism of protein synthesis. Our hypothesis on the existence of such homology implies that a series of evolutionary steps such as the existence of a primitive catalytic domain with poor substrate specificity towards both (amino acids + ATP + pre-CoA (and/or CoA)) and (amino acids + ATP + tRNA-like) molecules may have occurred. Therefore, the pre-CoA (and/or CoA) and the tRNA-like molecules were able to use this enzyme ambiguity for a certain period, thus giving weight to the scheme of evolutionary transitions mentioned above.     

Shakedown analysis of elastoplastic structures: A review of recent developments

Classical shakedown analysis rests on the assumptions of perfectly plastic, associative temperature-independent constitutive laws, negligible inertia and damping forces and negligible geometric effects.This paper provides a survey of the recent literature on the structural behaviour under variable repeated loads, with emphasis on the developments which relaxed some of the above assumptions, but preserved the character of generalization of limit analysis typical of the ‘classical’ shakedown theory and methods of analysis and design (in contrast to evolutive, step-by-step approaches of incremental plasticity).     

INFLUENCE OF RHEOLOGICAL PROPERTIES IN MASS TRANSFER PHENOMENA: SUPER CASE II SORPTION IN GLASSY POLYMERS

The sorption rate of swelling penetrants in glassy polymers has been considered as controlled both by the swelling kinetics and the penetrant diffusion through the swollen layer. The stress exerted on the glassy core at the moving boundary is the driving force for the swelling, and results from an osmotic stress and a differential swelling stress contribution. During the sorption process, the osmotic stress at the moving boundary decreases, due to the increasing diffusion resistance; the differential swelling stress, on the contrary, increases giving rise to an acceleration of the front velocity (Super Case II).

The particular case of negligible diffusion resistance in the swollen region is here considered in more detail. It is shown that the rheological properties of both swollen and glassy phases crucially enter the mass transport problem; thestress relaxation in the swollen region must be taken into account in order to obtain a thickness dependent Super Case 11 effect     

Weaverbird: Topological Mesh Editing for Architects

Design and computation consultant Giulio Piacentino is the developer of WeaverBird. Here he describes how the plug-in ‘gives architects more geometric control and allows them to create complex surface structures that join in orderly ways, yet in arbitrary configurations’.