Search results for "RADIATION"
showing 10 items of 5298 documents
Augmented Package of Palliative Care for Women With Cervical Cancer: Responding to Refractory Suffering
2021
The essential package of palliative care for cervical cancer (EPPCCC), described elsewhere, is designed to be safe and effective for preventing and relieving most suffering associated with cervical cancer and universally accessible. However, it appears that women with cervical cancer, more frequently than patients with other cancers, experience various types of suffering that are refractory to basic palliative care such as what can be provided with the EPPCCC. In particular, relief of refractory pain, vomiting because of bowel obstruction, bleeding, and psychosocial suffering may require additional expertise, medicines, or equipment. Therefore, we convened a group of experienced experts in…
Are pelvic side-wall recurrences of cervical cancer biologically different from central relapses?
1994
Background. By using the Combined Operative and Radiotherapeutic Treatment (CORT) procedure, pelvic side-wall recurrences of gynecologic malignancies arising in a previously irradiated pelvis may be locally controlled. Local control of central relapses may be achieved by exenteration alone. If, in cervical cancer, both relapse patterns are biologically different (as hypothesized by some investigators), distinct disease courses after local treatment may be expected. Methods. Since June, 1989, 32 pelvic recurrences of cervical cancer were treated for local control in this institution. The median size of the recurrent tumors was 5 cm (range, 2–9 cm); 84% of the patients had been extensively ir…
Five-year experience with combined operative and radiotherapeutic treatment of recurrent gynecologic tumors infiltrating the pelvic wall
1996
BACKGROUND. Whereas 25 to 50% of selected patients with gynecologic tumors who relapse centrally in an irradiated pelvis can be salvaged by exenteration, postirradiation recurrence infiltrating the pelvic side wall generally has been fatal. We have designed the combined operative and radiotherapeutic treatment (CORT) procedure for the treatment of postirradiation recurrence infiltrating the pelvic wall and developed several new techniques for its realization. The aim of the surgery is as follows : (1) total resection of the tumor with only a microscopic margin (R1) at the pelvic wall, preserving the bony pelvis and the neurovascular support of the leg ; (2) modulation of the therapeutic ind…
336 Is a vaginectomy enough or is a pelvic exenteration always required for surgical treatment of recurrent cervical cancer?
2020
Introduction No consensus has yet been reached on the best strategy for treatment of cervical cancer local recurrence. Vaginectomy could be a salvage treatment in selected patients. Methods The records of vaginal recurrent cervical cancer patients admitted at Fondazione Policlinico ‘Agostino Gemelli’ IRCCS in Rome from January 2010 to June 2019 were retrospectively analyzed. We reported perioperative and survival outcomes of vaginectomy with respect to a matched series of pelvic exenteration (PE). Results Fifteen women underwent vaginectomy and 30 patients were submitted to PE. No statistical differences were observed between the two groups at baseline characteristics. The vaginectomy proce…
The preparation of four- and six-membered chalcogenametallacyclic derivatives of group 4 metallocenes
1989
Abstract Four-membered metallacycles [(RC 5 H 4 ) 2 M(μ-E)] 2 (M = Zr, Hf; 1 , E = Se; 2 , E = S) were obtained by UV irradiation of dialkyl- or diaryl-metallocenes and equimolecular amounts of elemental chalcogen, but this method works only for bulky R groups. A more general route to compounds 1 and 2 involves the reaction of metallocene dichloride with chalcogenide anions. Six-membered metallacyclohexasulfanes (t-BuC 5 H 4 ) 2 MS 5 ( 3 , M = Zr, Hf) are obtained rather than compounds 2 when an excess of sulfur is used in the photolytic experiments, whereas compounds 1 were still formed when an excess of selenium was used. The observed difference is explained in terms of the solubility of …
Channel Tracking Guidewire and Technique for Retrograde Approach
2020
Evaluation of the collateral circulation is critical for determining the feasibility of the retrograde approach. When assessing collateral channels it is of paramount importance to take time and review the previous angiogram carefully, for multiple potential collateral pathways, as the predominant collateral may change over time prior to the procedure. Careful review of collaterals prior to the procedure can reduce contrast and radiation dose as well as the duration of the procedure.Retrograde access to the distal vessel can be achieved via septal collaterals, epicardial collaterals (atrial channel), or (patent or occluded) coronary bypass grafts. Generally septals are used more often 65–70…
Tin-DNA complexes investigated by nuclear inelastic scattering of synchrotron radiation
2005
Nuclear inelastic scattering (NIS) of synchrotron radiation has been used to investigate the dynamics of tin ions chelated by DNA. Theoretical NIS spectra have been simulated with the help of density functional theory (DFT) calculations using 12 models for different binding sites of the tin ion in (CH3)Sn(DNAPhosphate)2. The simulated spectra are compared with the measured spectrum of the tin-DNA complex.
Kinetische untersuchungen zur strahleninduzierten festkörperpolymerisation von trioxan und tetroxan IV. Mitt. der Reihe “kinetische und morphologisch…
1971
Die strahlungsinduzierte Polymerisation von kristallinem Tetroxan und Trioxan wurde untersucht und der Einflus von Strahlendosis, Reaktionszeit und -temperatur auf den Umsatz und das Molekulargewicht der entstehenden POM, insbesondere bei der Nachpolymerisation, studiert. Die Zeit-Umsatz-Kurven fur die Nachpolymerisation laufen bei beiden Monomeren asymptotisch gegen einem Grenzwert des Umsatzes, der mit steigender Reaktionstemperatur ansteigt. Die Aktivierungsenergie der Nachpolymerisation wurde zu 24 ± 2 kcal/Mol fur Tetroxan und zu 36–38 kcal/Mol fur Trioxan bestimmt. Die Zeit(t)-Umsatz(x)-Kurven fur Tetroxan lassen sich durch die empirische Gleichung: beschreiben, wobei k1 und k2 Konsta…
A joint action of deep eutectic solvents and ultrasound to promote Diels−Alder reaction in a sustainable way
2020
The need to reduce environmental impact of chemical processes has induced a surge of attention in the choice of solvent and methodologies to carry them out. In this context, we studied the Diels−Alder reaction using N-ethylmaleimide as dienophile and changing the nature of the diene in deep eutectic solvents (DES) under both conventional heating and ultrasonic activation. DES obtained by the combination of different hydrogen bond acceptors and donors allowed assessing the role played by solvent nature. DES proved suitable solvent media for the target reaction, allowing higher yields and faster reactions compared to conventional organic solvents. The trend of yields, both in silent and under…
A system for rapid radiochemical separations from aqueous solutions
1969
Abstract For the study of short-lived fission products, an automatic system has been developed that allows to irradiate aqueous solutions sealed in polystyrene capsules, to separate chemically the radioactive products formed, and to start counting, all within a few seconds. Irradiations are performed in a pneumatic tube system installed in a horizontal beam hole of a reactor. The capsule is projected into a separation apparatus where it breaks by impact. Its content is then sucked through a thin reactive layer that takes up the desired product. The whole sequence of irradiation, transportation, chemical separation, and counting is controlled by automatic timers. The adaption of this techniq…