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2.
Phys Rev Lett ; 119(16): 162501, 2017 Oct 20.
Article in English | MEDLINE | ID: mdl-29099223

ABSTRACT

The charge and magnetic form factors, F_{C} and F_{M}, respectively, of ^{3}He are extracted in the kinematic range 25 fm^{-2}≤Q^{2}≤61 fm^{-2} from elastic electron scattering by detecting ^{3}He recoil nuclei and scattered electrons in coincidence with the two High Resolution Spectrometers of the Hall A Facility at Jefferson Lab. The measurements find evidence for the existence of a second diffraction minimum for the magnetic form factor at Q^{2}=49.3 fm^{-2} and for the charge form factor at Q^{2}=62.0 fm^{-2}. Both minima are predicted to exist in the Q^{2} range accessible by this Jefferson Lab experiment. The data are in qualitative agreement with theoretical calculations based on realistic interactions and accurate methods to solve the three-body nuclear problem.

3.
Phys Rev Lett ; 112(13): 132503, 2014 Apr 04.
Article in English | MEDLINE | ID: mdl-24745410

ABSTRACT

The charge form factor of 4He has been extracted in the range 29 fm(-2) ≤ Q2 ≤ 77 fm(-2) from elastic electron scattering, detecting 4He recoil nuclei and electrons in coincidence with the high resolution spectrometers of the Hall A Facility of Jefferson Lab. The measurements have uncovered a second diffraction minimum for the form factor, which was predicted in the Q2 range of this experiment. The data are in qualitative agreement with theoretical calculations based on realistic interactions and accurate methods to solve the few-body problem.

4.
Ann Oncol ; 25(3): 689-694, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24496920

ABSTRACT

BACKGROUND: There is a clinical need to improve the efficacy of standard cetuximab + concurrent intensity-modulated radiation therapy (IMRT) for patients with locally and/or regionally advanced HNSCC. Taxanes have radiosensitizing activity against HNSCC, and nab-paclitaxel may offer therapeutic advantage in comparison with other taxanes. PATIENTS AND METHODS: This was a single-institution phase I study with a modified 3 + 3 design. Four dose levels (DLs) of weekly nab-paclitaxel were explored (30, 45, 60, and 80 mg/m(2)), given with standard weekly cetuximab (450 mg/m(2) loading dose followed by 250 mg/m(2) weekly) and concurrent IMRT (total dose, 70 Gy). RESULTS: Twenty-five eligible patients (20 M, 5 F) enrolled, with median age 58 years (range, 46-84 years). Primary tumor sites were oropharynx, 19 (10 human papillomavirus [HPV] pos, 8 HPV neg, 1 not done); neck node with unknown primary, 2; larynx 2; and oral cavity and maxillary sinus, 1 each. Seven patients had received prior induction chemotherapy. Maximum tolerated dose (MTD) was exceeded at DL4 (nab-paclitaxel, 80 mg/m(2)) with three dose-limiting toxicities (DLTs) (grade 3 neuropathy, grade 3 dehydration, with grade 3 mucositis grade 3 anemia) among five assessable patients. There was only one DLT (grade 3 supraventricular tachycardia) among six patients at DL3 (nab-paclitaxel, 60 mg/m(2)), and this was deemed the MTD. Among 23 assessable patients, the most common ≥ g3 AEs were lymphopenia 100%, functional mucositis 65%, and pain in throat/oral cavity 52%. At a median follow-up of 33 months, 2-year failure-free survival (FFS) is 65% [95% confidence interval (CI) 42% to 81%] and 2-year overall survival (OS) is 91% (95% CI 69-97). CONCLUSION: The recommended phase II dose for nab-paclitaxel is 60 mg/m(2) weekly when given standard weekly cetuximab and concurrent IMRT. This regimen merits further study as a nonplatinum alternative to IMRT + cetuximab alone. CLINICALTRIALSGOV ID: NCT00736619.


Subject(s)
Carcinoma, Squamous Cell/drug therapy , Carcinoma, Squamous Cell/radiotherapy , Combined Modality Therapy/adverse effects , Head and Neck Neoplasms/drug therapy , Head and Neck Neoplasms/radiotherapy , Maximum Tolerated Dose , Aged , Aged, 80 and over , Albumins/adverse effects , Albumins/therapeutic use , Antibodies, Monoclonal, Humanized/adverse effects , Antibodies, Monoclonal, Humanized/therapeutic use , Antineoplastic Agents, Phytogenic/adverse effects , Antineoplastic Agents, Phytogenic/therapeutic use , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Squamous Cell/mortality , Cetuximab , Chemoradiotherapy , ErbB Receptors/antagonists & inhibitors , Female , Head and Neck Neoplasms/mortality , Humans , Male , Middle Aged , Neoplasm Staging , Paclitaxel/adverse effects , Paclitaxel/therapeutic use , Radiotherapy, Intensity-Modulated , Squamous Cell Carcinoma of Head and Neck
5.
Appl Radiat Isot ; 67(7-8 Suppl): S292-5, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19406649

ABSTRACT

The boron neutron capture therapy is mainly suited in the treatment of some tumor kinds which revealed ineffective to the traditional radiotherapy. In order to take advantage of such a therapeutic modality in hospital environments, neutron beams of suitable energy and flux levels provided by compact size facilities are needed. The advantages and drawbacks of several neutron beams are here analysed in terms of therapeutic gains. In detail the GEANT-3/MICAP simulations show that high tumor control probability, with sub-lethal dose at healthy tissues, can be achieved by using neutron beams of few keV energy having a flux of about 10(9) neutrons/(cm(2)s). To produce such a neutron beam, the feasibility of a proton accelerator is investigated. In particular an appropriate choice of the radiofrequency parameters (modulation, efficiency of acceleration, phase shift, etc.) allows the development of relatively compact accelerators, having a proton beam current of 30 mA and an energy of 2 MeV, which could eventually lead to setting up of hospital-based neutron facilities.


Subject(s)
Boron Neutron Capture Therapy/instrumentation , Neutrons/therapeutic use , Particle Accelerators , Biophysical Phenomena , Brain Neoplasms/radiotherapy , Equipment Design , Fast Neutrons/therapeutic use , Humans , Monte Carlo Method , Phantoms, Imaging/statistics & numerical data , Protons
6.
Science ; 320(5882): 1476-8, 2008 Jun 13.
Article in English | MEDLINE | ID: mdl-18511658

ABSTRACT

The protons and neutrons in a nucleus can form strongly correlated nucleon pairs. Scattering experiments, in which a proton is knocked out of the nucleus with high-momentum transfer and high missing momentum, show that in carbon-12 the neutron-proton pairs are nearly 20 times as prevalent as proton-proton pairs and, by inference, neutron-neutron pairs. This difference between the types of pairs is due to the nature of the strong force and has implications for understanding cold dense nuclear systems such as neutron stars.

7.
Phys Rev Lett ; 99(7): 072501, 2007 Aug 17.
Article in English | MEDLINE | ID: mdl-17930888

ABSTRACT

We investigated simultaneously the 12C(e,e'p) and 12C(e,e'pp) reactions at Q2=2 (GeV/c)2, xB=1.2, and in an (e, e'p) missing-momentum range from 300 to 600 MeV/c. At these kinematics, with a missing momentum greater than the Fermi momentum of nucleons in a nucleus and far from the delta excitation, short-range nucleon-nucleon correlations are predicted to dominate the reaction. For (9.5+/-2)% of the 12C(e,e'p) events, a recoiling partner proton was observed back-to-back to the 12C(e,e'p) missing-momentum vector, an experimental signature of correlations.

8.
Phys Rev Lett ; 87(10): 102701, 2001 Sep 03.
Article in English | MEDLINE | ID: mdl-11531477

ABSTRACT

Experimental information has been derived from the neutron-proton correlation function in order to deduce the time sequence of neutrons and protons emitted at 45 degrees in the E/A = 45 MeV 58Ni + 27Al reaction.

10.
J Nurses Staff Dev ; 15(2): 56-62, 1999.
Article in English | MEDLINE | ID: mdl-10392084

ABSTRACT

Cultural diversity of patients and staff has challenged nurse educators to create new culturally sensitive learning environments and to participate in the design of systems that ensure standards of care for patients and standards of performance for nurses are met. Performance expectations require nurses to render age-specific, culturally congruent nursing care and function as integral members of interdisciplinary, multicultural healthcare teams. In this article the author describes the development of a Competency-based Nursing Practice Model in a multicultural setting and explores the role of the staff development educator throughout the design process.


Subject(s)
Competency-Based Education/methods , Cultural Diversity , Education, Nursing, Continuing/methods , Inservice Training/methods , Models, Nursing , Nursing Staff, Hospital/education , Program Development/methods , Transcultural Nursing/education , Clinical Competence , Humans , Nursing Education Research , Nursing Staff, Hospital/psychology , Program Evaluation , Saudi Arabia
11.
Nurs Adm Q ; 23(4): 47-57, 1999.
Article in English | MEDLINE | ID: mdl-10711142

ABSTRACT

Mergers can effectively achieve both financial results and enhancements of quality. The nurse executive plays a vital role in the success of merger activities and has the opportunity to emerge as one of the leaders of the process. A systems approach to cost, quality, and service must be captured for successful merger outcomes to occur. But, in order for the nurse executive to be effective, he or she must understand and champion the merger process, critical roles, and challenges during the merger as well as use efficient communication methods to work effectively with physicians, reporting staff, and hired consultants.


Subject(s)
Health Facility Merger/organization & administration , Interprofessional Relations , Leadership , Nurse Administrators/organization & administration , Humans
12.
J Contin Educ Nurs ; 29(5): 221-7, 1998.
Article in English | MEDLINE | ID: mdl-9923232

ABSTRACT

Saudi Arabia's vast economic resources have enabled the development of state-of-the-art hospitals. Nurses recruited from around the world staff these hospitals creating one of the most multicultural practice settings in the world. Ethnic, educational, and experiential diversity; language and communication barriers; and alternative ways of knowing and learning challenge nurse educators to be more creative and explore opportunities for greater participation and learning among various cultural groups. Gaming, as a teaching-learning strategy for multicultural participants, affords the necessary flexibility and nonthreatening atmosphere which facilitates positive interactions among different, and often competing, communication patterns and learning styles. This article explores how and why gaming is as an effective educational strategy in a transcultural setting.


Subject(s)
Cultural Diversity , Education, Nursing, Continuing/methods , Foreign Professional Personnel/education , Games, Experimental , Nursing Staff, Hospital/education , Communication Barriers , Humans , Saudi Arabia
14.
Pa Med ; 100(1): 20-1, 1997 Jan.
Article in English | MEDLINE | ID: mdl-9014487

ABSTRACT

Managed care has become a viable alternative for employers nationwide, Pittsburgh employers explain why.


Subject(s)
Health Benefit Plans, Employee , Managed Care Programs , Capitation Fee , Group Purchasing , Health Benefit Plans, Employee/economics , Humans , Managed Care Programs/economics , Pennsylvania
15.
Pa Med ; 99(11): 20-1, 1996 Nov.
Article in English | MEDLINE | ID: mdl-8961759

ABSTRACT

Surviving in the practice management world these days isn't quite like it used to be. It requires innovative marketing and expanded efforts. In this second in a series of articles profiling group practices and their administrators. The author focuses on management of an academic group.


Subject(s)
Practice Management, Medical , Practice Patterns, Physicians'/economics , Group Practice/trends , Humans , Pennsylvania , Practice Management, Medical/standards , Practice Management, Medical/trends
16.
Pa Med ; 99(9): 32-4, 1996 Sep.
Article in English | MEDLINE | ID: mdl-8854723

ABSTRACT

The wave of the future has broken. Group practices are everywhere. In some cases, practices are formed to efficiently and effectively market physician services. In other cases. It's a matter of physicians banding together to maintain control of patient care. In this issue of Pennsylvania Medicine, we debut a new series of bimonthly articles profiling group practices in Pennsylvania. We begin in Pittsburgh...


Subject(s)
Group Practice , Medicine , Physician's Role , Group Practice/economics , Group Practice/trends , Humans , Pennsylvania
17.
Pa Med ; 98(9): 34-6, 1995 Sep.
Article in English | MEDLINE | ID: mdl-7478669

ABSTRACT

Computers, code revisions, and patients' changing expectations have added responsibility and a new level of complexity to the job of medical office manager. How are you and your office manager coping? Some experienced managers relay their views of this rapidly changing field.


Subject(s)
Practice Management, Medical , Pennsylvania , Practice Management, Medical/standards , Practice Management, Medical/trends
18.
Pa Med ; 95(10): 20-1, 1992 Oct.
Article in English | MEDLINE | ID: mdl-1408251
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