Prognostic markers for colorectal cancer: estimating ploidy and stroma.

Background: We report here the prognostic value of ploidy and digital tumour-stromal morphometric analyses using material from 2624 patients with early stage colorectal cancer (CRC). Patients and methods: DNA content (ploidy) and stroma-tumour fraction were estimated using automated digital imaging systems and DNA was extracted from sections of formalin-fixed paraffin-embedded (FFPE) tissue for analysis of microsatellite instability. Samples were available from 1092 patients recruited to the QUASAR 2 trial and two large observational series (Gloucester, n = 954; Oslo University Hospital, n = 578). Resultant biomarkers were analysed for prognostic impact using 5-year cancer-specific survival (CSS) as the clinical end point. Results: Ploidy and stroma-tumour fraction were significantly prognostic in a multivariate model adjusted for age, adjuvant treatment, and pathological T-stage in stage II patients, and the combination of ploidy and stroma-tumour fraction was found to stratify these patients into three clinically useful groups; 5-year CSS 90% versus 83% versus 73% [hazard ratio (HR) = 1.77 (95% confidence interval (95% CI): 1.13-2.77) and HR = 2.95 (95% CI: 1.73-5.03), P < 0.001]. Conclusion: A novel biomarker, combining estimates of ploidy and stroma-tumour fraction, sampled from FFPE tissue, identifies stage II CRC patients with low, intermediate or high risk of CRC disease specific death, and can reliably stratify clinically relevant patient sub-populations with differential risks of tumour recurrence and may support choice of adjuvant therapy for these individuals.

Development of an electrochemically integrated SR-GIXRD flow cell to study FeCO3 formation kinetics.

An electrochemically integrated Synchrotron Radiation-Grazing Incidence X-Ray Diffraction (SR-GIXRD) flow cell for studying corrosion product formation on carbon steel in carbon dioxide (CO2)-containing brines typical of oil and gas production has been developed. The system is capable of generating flow velocities of up to 2 m/s at temperatures in excess of 80 °C during SR-GIXRD measurements of the steel surface, enabling flow to be maintained over the course of the experiment while diffraction patterns are being collected. The design of the flow cell is presented, along with electrochemical and diffraction pattern transients collected from an initial experiment which examined the precipitation of FeCO3 onto X65 carbon steel in a CO2-saturated 3.5 wt. % NaCl brine at 80 °C and 0.1 m/s. The flow cell is used to follow the nucleation and growth kinetics of FeCO3 using SR-GIXRD linked to the simultaneous electrochemical response of the steel surface which were collected in the form of linear polarisation resistance measurements to decipher in situ corrosion rates. The results show that FeCO3 nucleation could be detected consistently and well before its inhibitive effect on the general corrosion rate of the system. In situ measurements are compared with ex situ scanning electron microscopy (SEM) observations showing the development of an FeCO3 layer on the corroding steel surface over time confirming the in situ interpretations. The results presented demonstrate that under the specific conditions evaluated, FeCO3 was the only crystalline phase to form in the system, with no crystalline precursors being apparent. The numerous capabilities of the flow cell are highlighted and presented in this paper.

Pressure-driven evolution of the covalent network in CaB6.

We synthesized and solved an unexpectedly complex crystal structure of CaB(6) under high pressures (up to 44 GPa) and temperatures. The only known crystal structure in the large family of metal hexaborides, a simple cubic cP7 type discovered over 80 years ago, is shown here to transform into a tetragonal tI56 configuration comprised of unfamiliar 24-atom boron units. The interpretation of the convoluted x-ray diffraction pattern was accomplished with an ab initio evolutionary search which identified the tI56 structure (28 atoms per primitive unit cell) without any parameter input. The exotic CaB(6) phase was successfully quenched down to ambient pressure.

Structure of sodium above 100 GPa by single-crystal x-ray diffraction.

At pressures above a megabar (100 GPa), sodium crystallizes in a number of complex crystal structures with unusually low melting temperatures, reaching as low as 300 K at 118 GPa. We have utilized this unique behavior at extreme pressures to grow a single crystal of sodium at 108 GPa, and have investigated the complex crystal structure at this pressure using high-intensity x-rays from the new Diamond synchrotron source, in combination with a pressure cell with wide angular apertures. We confirm that, at 108 GPa, sodium is isostructural with the cI16 phase of lithium, and we have refined the full crystal structure of this phase. The results demonstrate the extension of single-crystal structure refinement beyond 100 GPa and raise the prospect of successfully determining the structures of yet more complex phases reported in sodium and other elements at extreme pressures.

[Consequences of reduced working hours for continuing education of physicians]. / Arbeidstidsforkortningens konsekvenser for spesialistutdanningen for leger.

Since 1960 the working hours for hospital doctors in training have been reduced by 12.5 hours per week. A questionnaire was sent to all departments in Norway involved in the education of specialists, asking them about the consequences of this reduction. The survey showed that the working time actually paid for today is not so short (42-46 hours per week). It showed indirectly, however, that the time available for education must have been reduced. About 50% stated that the reduction in working hours has had a negative effect on the extent and quality of the education. Nearly all confirmed a conflict of priorities between clinical routines and education. There were seldom opportunities to read medical literature or do research during working hours. There has been no reduction in routine work nor any increase in staff, in spite of a considerable increase in duties connected with the education of specialists.