scholarly journals Evaluation of the impact of parameters on the gamma index for breast cancer treatments

2021 ◽  
Vol 67 (6 Nov-Dec) ◽  
Author(s):  
C. Querebalú Garcia ◽  
E. Carrasco Solis ◽  
José Vidal Valladolid Salazar ◽  
J. Centeno Ramos
Keyword(s):  
Breast Cancer ◽  
The Other ◽  
Planning System ◽  
Treatment Planning System ◽  
Cancer Treatments ◽  
Dose Distributions ◽  
Index Analysis ◽  
Other Hand ◽  
Gamma Index ◽  
The Impact

Volumetric modulated arc radiotherapy treatments (VMAT) can achieve highly conformed dose distributions, however, due to the complexity of the technique, there may have differences between the planned and administered dose distributions, generated by the precision in the dose calculation of the treatment planning system (TPS) or by the errors associated with it. One way to quantify the difference between both dose distributions is by using the gamma index; however, there is no accord regarding the parameters that should be used in its analysis. On the other hand, this gamma index may depend on the pathology and the area to be treated. For this reason, the present work aims to evaluate different parameters of the analysis of the gamma index for breast cancer treatments, these are local and global normalization, the analysis criteria (1%/1 mm, 2%/2 mm, 3%/2 mm, 2%/3 mm, 3%/3 mm and 5%/3 mm) and the low dose threshold (LDT) of 5% and 10%. For this, 30 treatment plans performed with VMAT technique in a 6 MV Infinity linear accelerator (Elekta, Stockholm, Sweden) were analyzed, calculated with the TPS Monaco V.5.11.03 (Elekta, Stockholm, Sweden) and measured with the Octavius 4D system (PTW, Freiburg, Germany). The results of the analysis of the global gamma index were of a gamma passing rate (%GP) greater than 95% for analysis criteria of 3%/3 mm and 5%/3 mm, however, for these same parameters in the local gamma index analysis the results are 85.8% and 91.1% respectively. In addition, from the LDT evaluation, it is observed that there is a mean increase of %GP for the local gamma index analysis and a mean decrease of %GP for the global gamma index analysis, for the LDT from 5% to 10%. On the other hand, the standard deviation is lower in the global gamma index analysis than in the local one, and it decreases when the analysis criteria are less strict. It is concluded that there is not a great difference in choosing the LDT of 5% or 10%. When the gamma analysis criteria are less strict, the %GP increases both for the analysis of the local and global gamma index, taking this into account, each parameter should be used carefully according to the treatment plan to be analyzed, taking into account the advantages and disadvantages of each parameter.

Clinical experience using Delta 4 phantom for pretreatment patient-specific quality assurance in modern radiotherapy

2018 ◽  
Vol 18 (02) ◽  
pp. 210-214
Author(s):  
R. P. Srivastava ◽  
C. De Wagter
Keyword(s):  
Quality Assurance ◽  
Treatment Planning ◽  
Volumetric Modulated Arc Therapy ◽  
Planning System ◽  
Treatment Planning System ◽  
Patient Specific ◽  
Dose Distributions ◽  
Gamma Index ◽  
Calculated Dose ◽  
Treatment Plans

AbstractPurposeIn advanced radiotherapy techniques such as intensity-modulated radiation therapy (IMRT), the quality assurance (QA) process is essential. The aim of the study was to assure the treatment planning dose delivered during delivery of complex treatment plans. The QA standard is to perform patient-specific comparisons between planned doses and doses measured in a phantom.Materials and methodThe Delta 4 phantom (Scandidos, Uppsala, Sweden) has been used in this study. This device consists of diode matrices in two orthogonal planes inserted in a cylindrical acrylic phantom. Each diode is sampled per beam pulse so that the dose distribution can be evaluated on segment-by-segment, beam-by-beam, or as a composite plan from a single set of measurements. Ninety-five simple and complex radiotherapy treatment plans for different pathologies, planned using a treatment planning system (TPS) were delivered to the QA device. The planned and measured dose distributions were then compared and analysed. The gamma index was determined for different pathologies.ResultsThe evaluation was performed in terms of dose deviation, distance to agreement and gamma index passing rate. The measurements were in excellent agreement between with the calculated dose of the TPS and the QA device. Overall, good agreement was observed between measured and calculated doses in most cases with gamma values above 1 in >95% of measured points. Plan results for each test met the recommended dose goals.ConclusionThe delivery of IMRT and volumetric-modulated arc therapy (VMAT) plans was verified to correspond well with calculated dose distributions for different pathologies. We found the Delta 4 device is accurate and reproducible. Although Delta4 appears to be a straightforward device for measuring dose and allows measure in real-time dosimetry QA, it is a complex device and careful quality control is required before its use.

SCENARIOS FOR AN EXPANDING DEMAND OF TOURISM ON THE COASTS OF CUBA

2017 ◽  
Author(s):  
Oscar Gutiérrez-Bolívar ◽  
Oscar Gutiérrez-Bolívar ◽  
Pedro Fernández Carrasco ◽  
Pedro Fernández Carrasco
Keyword(s):  
United States ◽  
The Other ◽  
Sudden Increase ◽  
Tourist Destination ◽  
Other Hand ◽  
The Usa ◽  
The Impact

The opening of relationships between United States and Cuba could be a drive for a huge increase in the affluence of tourism to Cuba and especially to the coast areas. Cuba has been for many years an important tourist destination for people from many countries, but almost forbidden for US citizens. The proximity of the USA, its amount of population as well as their great acquisition power will increase in a very substantial way the demand for accommodation and other uses in the proximity of the coasts. There will be a need to implement a package of measures that reduce the impact of such sudden increase in the coastal line. On the other hand that augment in tourism could be an opportunity to improve the standard of life of Cubans. The consideration of different possibilities of such development, the analysis of the damages that each one could cause as well as the measures that could avoid, ameliorate or compensate such effects are the goals that are going to be presented in this paper.

Laughter on the Fringes

2019 ◽  
Author(s):  
Anna Peterson
Keyword(s):  
The Other ◽  
Literary Canon ◽  
Autobiographical Writing ◽  
Treasure Trove ◽  
Old Comedy ◽  
Other Hand ◽  
Aggressive Humor ◽  
The One ◽  
The Individual ◽  
The Impact

This book examines the impact that Athenian Old Comedy had on Greek writers of the Imperial era. It is generally acknowledged that Imperial-era Greeks responded to Athenian Old Comedy in one of two ways: either as a treasure trove of Atticisms, or as a genre defined by and repudiated for its aggressive humor. Worthy of further consideration, however, is how both approaches, and particularly the latter one that relegated Old Comedy to the fringes of the literary canon, led authors to engage with the ironic and self-reflexive humor of Aristophanes, Eupolis, and Cratinus. Authors ranging from serious moralizers (Plutarch and Aelius Aristides) to comic writers in their own right (Lucian, Alciphron), to other figures not often associated with Old Comedy (Libanius) adopted aspects of the genre to negotiate power struggles, facilitate literary and sophistic rivalries, and provide a model for autobiographical writing. To varying degrees, these writers wove recognizable features of the genre (e.g., the parabasis, its agonistic language, the stage biographies of the individual poets) into their writings. The image of Old Comedy that emerges from this time is that of a genre in transition. It was, on the one hand, with the exception of Aristophanes’s extant plays, on the verge of being almost completely lost; on the other hand, its reputation and several of its most characteristic elements were being renegotiated and reinvented.

scholarly journals Application of Plant Extracts in Micropropagation and Cryopreservation of Bleeding Heart: An Ornamental-Medicinal Plant Species

Agriculture ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 542
Author(s):  
Dariusz Kulus ◽  
Natalia Miler
Keyword(s):  
Tissue Culture ◽  
Plant Growth ◽  
Plant Growth Regulators ◽  
Growth Regulators ◽  
Plant Extracts ◽  
The Other ◽  
White Gold ◽  
Natural Extracts ◽  
Other Hand ◽  
The Impact

Lamprocapnos spectabilis (L.) Fukuhara (bleeding heart) is valued both in the horticultural and pharmaceutical markets. Despite its great popularity, information on the in vitro tissue culture technology in this species is limited. There is also little knowledge on the application of plant extracts in the tissue culture systems of plants other than orchids. The aim of this study is to compare the utility of traditional plant growth regulators (PGRs) and natural extracts—obtained from the coconut shreds, as well as oat, rice, and sesame seeds—in the micropropagation and cryopreservation of L. spectabilis ‘Gold Heart’ and ‘White Gold’. The biochemical analysis of extracts composition is also included. In the first experiment related to micropropagation via axillary buds activation, the single-node explants were cultured for a 10-week-long propagation cycle in the modified Murashige and Skoog medium fortified either with 1.11 µM benzyladenine (BA) and 1.23 µM indole-3-butritic acid (IBA) or with 10% (v/v) plant extracts. A PGRs- and extract-free control was also considered. In the cryopreservation experiment, the same 10% (v/v) extracts were added into the medium during a seven-day preculture in the encapsulation-vitrification cryopreservation protocol. It was found that the impact of natural additives was cultivar- and trait-specific. In the first experiment, the addition of coconut extract favoured the proliferation of shoots and propagation ratio in bleeding heart ‘Gold Heart’. Rice extract, on the other hand, promoted callus formation in ‘White Gold’ cultivar and was more effective in increasing the propagation ratio in this cultivar than the conventional plant growth regulators (4.1 and 2.6, respectively). Sesame extract suppressed the development of the explants in both cultivars analysed, probably due to the high content of polyphenols. As for the second experiment, the addition of plant extracts into the preculture medium did not increase the survival level of the cryopreserved shoot tips (sesame and oat extracts even decreased this parameter). On the other hand, coconut extract, abundant in simple sugars and endogenous cytokinins, stimulated a more intensive proliferation and growth of shoots after rewarming of samples. Analysing the synergistic effect of conventional plant growth regulators and natural extracts should be considered in future studies related to L. spectabilis.

Education and Learning at a Medieval English Cathedral: Exeter 1380–1548

1981 ◽  
Vol 32 (3) ◽  
pp. 265-283 ◽  
Author(s):  
Nicholas Orme
Keyword(s):  
Sixteenth Century ◽  
Good Deal ◽  
The Other ◽  
Educational Institutions ◽  
Medieval England ◽  
Literary Education ◽  
Other Hand ◽  
The People ◽  
The Impact

During the last hundred years our knowledge of the educational institutions of medieval England has steadily increased, both of schools and universities. We know a good deal about what they taught, how they were organised and where they were sited. The next stage is to identify their relationship with the society which they existed to serve. Whom did they train, to what standards and for what ends? These questions pose problems. They cannot be answered from the constitutional and curricular records which tell us about the structure of educational institutions. Instead, they require a knowledge of the people—the pupils and scholars—who went to the medieval schools and universities. We need to recover their names, to compile their biographies and thereby to establish their origins, careers and attainments. If this can be done on a large enough scale, the impact of education on society will become clearer. In the case of the universities, the materials for this task are available and well known. Thanks to the late Dr A. B. Emden, most of the surviving names of the alumni of Oxford and Cambridge have been collected and published, together with a great many biographical records about them. For the schools, on the other hand, where most boys had their literary education if they had one at all, such data are not available. Except for Winchester and Eton, we do not possess lists of the pupils of schools until the middle of the sixteenth century, and there is no way to remedy the deficiency.

Most Often Motivated by Social Media: The Who, the What, and the How Much—Experience from Poland

2021 ◽  
Vol 13 (20) ◽  
pp. 11193
Author(s):  
Karol Król ◽  
Dariusz Zdonek
Keyword(s):  
Social Media ◽  
Intrinsic Motivation ◽  
Statistical Methods ◽  
The Other ◽  
Public Expression ◽  
Other Hand ◽  
The Impact ◽  
The Way

Content published in social media (SM) can be motivating. It can induce action, stimulate demand, and shape opinions. On the other hand, it can demotivate, cause helplessness, or overwhelm with information. Still, the impact of SM is not always the same. The paper aims to analyse the relations between sex, personality, and the way social media is used and motivation to take specific actions. The conclusions are founded on a survey (n = 462). The data were analysed with statistical methods. The study revealed that the use of SM has a significant impact on the motivation to act. Browsing through descriptions and photographs of various achievements posted by others in SM increased the intrinsic motivation of the respondents. Positive comments and emojis had a similar effect. Moreover, women and extraverts noted a significantly greater impact of SM on their intrinsic motivation concerning health and beauty effort, travel, hobby, and public expression of opinions than men and introverts. The results can be useful to recruiters. Extravert women that are open to cooperation, thorough, and well-organised are more likely to be active in SM.

Anxiety of High School Students Preparing for University during the COVID-19 Pandemic

2021 ◽  
Vol 8 (12) ◽  
pp. 374-377
Author(s):  
Prapattra Hongwisat ◽  
Thanawat Wuthikanokkan ◽  
Nathakan Preechakansakul
Keyword(s):  
High School ◽  
High School Students ◽  
Respiratory Symptoms ◽  
The Other ◽  
Depression And Anxiety ◽  
School Students ◽  
Other Hand ◽  
The University ◽  
The Impact ◽  
Online Form

Covid-19 are one of the viruses that were widely spreaded in 2019 and are still separate until nowadays. Thailand is one of the countries that are highly infected. The majority of people who are infected with this virus tend to have mild to severe respiratory symptoms. Furthermore, anyone can get sick, and it can lead to death. However, the most common symptoms of this virus are fever, cough, tiredness, and loss of taste or smell, on the other hand, characteristics in a minority of people, such as diarrhea and headaches. Due to the impact of the Covid-19 virus, people have to change their lifestyle to the online form. These changes have impacted mostly on economics and education in particular countries, so this problem also affects anxiety among high school students; who must prepare to apply to the university during the COVID-19 outbreak. In addition, we have collected 151 answers from high school students by surveying in order to know the feelings for entrance to the university during the pandemic situation. We found out that 81.3% of the students are highly affected by covid, and only 0.7% of students are slightly affected. We also found out that 55% of the students are worried about university entrance, and only 2.6% of the students were not worried at all. According to the result, most of the students in Thailand are facing the problem about their education and their entrance for the university which are caused by Covid-19. This may lead to illnesses like depression and anxiety. Keywords: Students, Learning, COVID-19, Thailand, University.

scholarly journals Biological Tools to Deal with Pollution : Selected Advances and Novel Perspectives

2014 ◽  
Vol 3 (1) ◽  
pp. 57
Author(s):  
Abdelaziz Ghanemi ◽  
Besma Boubertakh
Keyword(s):  
Public Health ◽  
Raw Materials ◽  
Economic Benefits ◽  
The Other ◽  
Environment And Public Health ◽  
The Public ◽  
Other Hand ◽  
Metabolic Properties ◽  
Living Organisms ◽  
The Impact

Pollution  represents  a  problem  common  to economy and  public  health. Indeed, the public health, because of the  divers’  type of pollutions, is facing divers challenges for which urgent solutions are required.The biology provides approaches not only to deal with the pollution, but also to  obtain  economic  benefits. Some living  organisms  have  particular metabolisms  that allow  them  to  assimilate  and  metabolite  the polluting agents  and thus reduce the  impact  they have on both environment  and public health.  On  the other  hand,  the  metabolic  properties  of  specific organisms make  the  polluting  elements raw materials to  synthesize  other elements that are benefits  for  economy  and  non-toxic  for  the  ecology and  the  biohealth. Yet, other options such as the regulations and laws are  required  to improve the efficiency of these approaches.

scholarly journals Differences in soil organic matter and humus of sandy soil after application of biochar substrates and combination of biochar substrates with mineral fertilizers

2020 ◽  
Vol 23 (3) ◽  
pp. 117-124
Author(s):  
Dušan Šrank ◽  
Vladimír Šimanský
Keyword(s):  
Organic Matter ◽  
Soil Organic Matter ◽  
Carbon Content ◽  
Humic Substances ◽  
Sandy Soil ◽  
The Other ◽  
Mineral Fertilizers ◽  
Other Hand ◽  
Sheep Manure ◽  
The Impact

The effort to achieve the sustainable farming system in arable soil led to the intensive search for a new solution but an inspiration can also be found in the application of traditional methods of soil fertility improvement as it is shown in numerous examples in history. Recently many scientific teams have focused their attention on the evaluation of biochar effects on soil properties and crop yields. Since there are a lot of knowledge gaps, especially in explanations how biochar can affect soil organic matter (SOM) and humus substances, we aimed this study at the solution of these questions. Therefore, the objective of the experiment was to evaluate the impact of two biochar substrates (B1 – biochar blended with sheep manure, and B2 – biochar blended with sheep manure and the residue from the biogas station) at two rates (10 and 20 t ha-1) applied alone or in combination with mineral fertilizers (Urea was applied in 2018, at rate 100 kg ha-1, and Urea at rate 100 kg ha-1 + AMOFOS NP 12-52 at 100 kg ha-1 were applied in 2019) on the quantity and quality of SOM and humus of sandy soil (Arenosol, Dolná Streda, Slovakia). The results showed that application of the biochar substrates together with mineral fertilizers (MF) had more pronounced effect on the organic matter mineralization in the sandy soil which resulted in low accumulation of soil organic carbon (Corg) and labile carbon compared to biochar substrates treatments without MF. The share of humic substances in Corg significantly decreased by 16, 50, 16 and 24% in B1 at 10 t ha-1, B1 at 20 t ha-1, B2 at 10 t ha-1 and B2 at 20 t ha-1 treatments, respectively, compared to the control. A similar tendency was observed for biochar substrates treatments + MF, compared to MF control. The carbon content of humic substances (CHS) was equal to 4.40 – 5.80 g kg-1 and the biochar substrates had statistically significant influence on CHS content. On average, there was a smaller decrease of CHS in B1 at rate 10 t ha-1 than at rate 20 t ha-1 and no effect of B2 compared to control. The carbon content of fulvic acid (CFA) was 9% higher in B1 at 10 t ha-1, and 20 t ha-1, 47% higher in B2 at 10 t ha-1 and 17% higher in B2 at 20 t ha-1 compared to control. As a result of biochar substrates + MF application, the reduction in CFA was observed. The results showed a decrease of CHA : CFA ratio with association to biochar substrates alone application compared to control on one hand, and a wider of CHA : CFA ratio in biochar substrates + MF treatments in comparison to MF control on the other hand. Humus stability was increased in biochar substrates alone treatments compared to control, on the other hand, compared to MF control, the application of biochar substrates + MF resulted in a lower humus stability.

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