Quality-of-life outcomes in metastatic spinal cord compression: findings from the SCORAD trial.

PURPOSE: This article reports detailed quality-of-life data including preferred and actual place of care from SCORAD, the only large prospective randomized trial in metastatic spinal cord compression (MSCC). METHODS: SCORAD compared 2 doses of radiotherapy in patients with MSCC: 8 Gy single fraction and 20 Gy in 5 fractions. In total, 686 patients were randomized, of whom 590 had Health-Related Quality of Life (HRQoL) data collected at baseline and at least 1 later time point. HRQoL was measured using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 supplemented with the QLU-C10D and data on place of care at weeks 1, 4, 8, and 12 postrandomization. Quality-of-Life Adjusted Survival was computed by multiplying Kaplan-Meier survival probabilities with the UK utility weights obtained from the QLU-C10D. RESULTS: Patients with a baseline physical functioning score of above 50 demonstrated a 28% reduction in the risk of death (hazard ratio [HR] = 0.72, 99% confidence interval [CI] = 0.54 to 0.95; P = .003). An increased risk of death was associated with fatigue (HR = 1.35, 99% CI = 1.03 to 1.76; P = .0040), dyspnea (HR = 1.61, 99% CI = 1.24 to 2.08; P < .001), and appetite loss (HR = 1.25, 99% CI = 0.99 to 1.59; P = .014). The preferred place of care for the majority was at home or with relatives (61%-74% across the 12 weeks) but achieved by only 53% at 8 weeks. CONCLUSIONS: Prolonged survival in patients with MSCC was associated with better HRQoL. More than 60% of patients preferred to be cared for at home or with relatives, but only half were able to achieve this. There was no difference in HRQoL between the multifraction and single-fraction groups. TRIAL REGISTRATION: ISRCTN97555949 and ISRCTN97108008.

Vibrational spectroscopy of the borate mineral gaudefroyite Ca4MN3+3-x (BO3)3(CO3) (O, OH). from N'Chwaning II mine, Kalahari, Republic of South Africa.

Gaudefroyite Ca4MN3+3-x (BO3)3(CO3) (O, OH)3 is an unusual mineral containing both borate and carbonate groups and is found in the oxidation zones of manganese minerals, and it is black in color. Vibrational spectroscopy has been used to explore the molecular structure of gaudefroyite. Gaudefroyite crystals are short dipyramidal or prismatic with prominent pyramidal terminations, to 5 cm. Two very sharp Raman bands at 927 and 1076 cm(-1) are assigned to trigonal borate and carbonate respectively. Broad Raman bands at 1194, 1219 and 1281 cm(-1) are attributed to BOH in-plane bending modes. Raman bands at 649 and 670 cm(-1) are assigned to the bending modes of trigonal and tetrahedral boron. Infrared spectroscopy supports these band assignments. Raman bands in the OH stretching region are of a low intensity. The combination of Raman and infrared spectroscopy enables the assessment of the molecular structure of gaudefroyite to be made.

Raman and infrared spectroscopic characterization of the phosphate mineral paravauxite Fe2+Al2(PO4)2(OH)2.8H2O.

We have undertaken a vibrational spectroscopic study of paravauxite the Siglo XX mine, Bustillo Province, northern of Potosí department, Bolivia. This mine is important source for rare and unusual secondary phosphate minerals and is the type locality for a number of rare phosphates such as vauxite, sigloite, metavauxite and for jeanbandyite. The chemical formula of the studied sample was determined as Fe(2+)(0.9)5, Al(0.07)Σ1.02 (Al)2.09 (PO4)1:97 (OH)1.98 · 7.90(H2O). The Raman spectrum is dominated by an intense Raman band at 1020 cm(-1) assigned to the PO4(3-) ν1 symmetric stretching mode. Low intensity Raman bands found at 1058, 1115 and 1148 cm(-1) are assigned to the PO4(3-) ν3 antisymmetric stretching vibrations. Raman bands of paravauxite at 537, 570, 609 and 643 cm(-1) are assigned to the ν4 PO4(3-) bending modes whilst the Raman bands at 393 and 420 cm(-1) are due to the ν2 PO4(3-) bending modes. The Raman spectral profile of paravauxite in the hydroxyl stretching region is broad with component bands resolved at 3086, 3215, 3315, 3421, 3505 and 3648 cm(-1). Vibrational spectroscopy enables the assessment of the molecular structure of paravauxite to be undertaken.

Infrared and Raman spectroscopic characterization of the arsenate mineral ceruleite Cu2Al7(AsO4)4(OH)13· 11.5(H2O).

The molecular structure of the arsenate mineral ceruleite has been assessed using a combination of Raman and infrared spectroscopy. The most intense band observed at 903 cm(-1) is assigned to the (AsO4)(3-) symmetric stretching vibrational mode. The infrared spectrum shows intense bands at 787, 827 and 886 cm(-1), ascribed to the triply degenerate ν3 antisymmetric stretching vibration. Raman bands observed at 373, 400, 417 and 430 cm(-1) are attributed to the ν2 vibrational mode. Three broad bands for ceruleite found at 3056, 3198 and 3384 cm(-1) are assigned to water OH stretching bands. By using a Libowitzky empirical equation, hydrogen bond distances of 2.65 and 2.75Å are calculated. Vibrational spectra enable the molecular structure of the ceruleite mineral to be determined and whilst similarities exist in the spectral patterns with the roselite mineral group, sufficient differences exist to be able to determine the identification of the minerals.