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Nevin Manimala Statistics

Surgical management of malignant melanotic nerve sheath tumors: an institutional experience and systematic review of the literature

J Neurosurg Spine. 2023 Oct 20:1-10. doi: 10.3171/2023.8.SPINE23427. Online ahead of print.

ABSTRACT

OBJECTIVE: Malignant melanotic nerve sheath tumors are rare tumors characterized by neoplastic melanin-producing Schwann cells. In this study, the authors report their institution’s experience in treating spinal and peripheral malignant melanotic nerve sheath tumors and compare their results with the literature.

METHODS: Data were collected from 8 patients who underwent surgical treatment for malignant melanotic nerve sheath tumors between 1996 and 2023 at Mayo Clinic and 63 patients from the literature. Time-to-event analyses were performed for the combined group of 71 cases to evaluate the risk of recurrence, metastasis, and death based on tumor location and type of treatment received. Unpaired 2-sample t-tests and Fisher’s exact tests were used to determine statistical significance between groups.

RESULTS: Between 1996 and 2023, 8 patients with malignant melanotic nerve sheath tumors underwent surgery at the authors’ institution, while 63 patients were identified in the literature. The authors’ patients and those in the literature had the same mean age at diagnosis (43 years). At the authors’ institution, 5 patients (63%) experienced metastasis, 6 patients (75%) experienced long-term recurrence, and 5 patients (62.5%) died. In the literature, most patients (60.3%) were males, with a peak incidence between the 4th and 5th decades of life. Nineteen patients (31.1%) were diagnosed with Carney complex. Nerve root tumors accounted for most presentations (n = 39, 61.9%). Moreover, 24 patients (38.1%) had intradural lesions, with 54.2% (n = 13) being intramedullary and 45.8% (n = 11) extramedullary. Most patients underwent gross-total resection (GTR) (n = 41, 66.1%), followed by subtotal resection (STR) (n = 12, 19.4%), STR with radiation therapy (9.7%), and GTR with radiation therapy (4.8%). Sixteen patients (27.6%) experienced metastasis, 23 (39.7%) experienced recurrence, and 13 (22%) died. Kaplan-Meier analyses showed no significant differences among treatment approaches in terms of recurrence-free, metastasis-free, and overall survival (p > 0.05). Similar results were obtained when looking at the differences with respect to intradural versus nerve root location of the tumor (p > 0.05).

CONCLUSIONS: Malignant melanotic nerve sheath tumors are rare tumors with a high potential for malignancy. They carry a dismal prognosis, with a pooled local recurrence rate of 42%, distant metastasis rate of 27%, and mortality rate of 26%. The findings from this study suggest a trend favoring the use of GTR alone or STR with radiation therapy over STR alone. Mortality was similar regardless, which highlights the need for the development of effective treatment options to improve survival in patients with melanotic schwannomas.

PMID:37862711 | DOI:10.3171/2023.8.SPINE23427

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Nevin Manimala Statistics

Trace Water Changes Metal Ion Speciation in Deep Eutectic Solvents: Ce3+ Solvation and Nanoscale Water Clustering in Choline Chloride-Urea-Water Mixtures

Inorg Chem. 2023 Oct 20. doi: 10.1021/acs.inorgchem.3c02205. Online ahead of print.

ABSTRACT

Eutectic mixtures of choline chloride, urea, and water in deep eutectic solvent (DES)/water molar hydration ratios (w) of 2, 5, and 10, with dissolved cerium salt, were measured using neutron diffraction with isotopic substitution. Structures were modeled using empirical potential structure refinement (EPSR). Ce3+ was found to form highly charged complexes with a mean coordination number between 7 and 8, with the shell containing mostly chloride, followed by water. The shell composition is strongly affected by the molar ratio of dilution, as opposed to the mass or volume fraction, due to the high affinity of Cl and H2O ligands that displace less favorable interactions with ligands such as urea and choline. The presence of Ce3+ salt disrupted the bulk DES structure slightly, making it more electrolyte-like. The measured coordination shell of choline showed significant discrepancies from the statistical noninteracting distribution, highlighting the nonideality of the blend. Cluster analysis revealed the trace presence of percolating water clusters (25 ≥ n ≥ 2) in solvent compositions of 5 and 10w for the first time.

PMID:37862703 | DOI:10.1021/acs.inorgchem.3c02205

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Nevin Manimala Statistics

Is Childhood Immune Thrombocytopenia Associated With Acquired Toxoplasmosis? An Unusual Case of Infection That Led to Acute ITP in a Greek Male Toddler and Implications for Guidelines

Pediatr Infect Dis J. 2023 Nov 1;42(11):e411-e415. doi: 10.1097/INF.0000000000004067. Epub 2023 Oct 11.

ABSTRACT

INTRODUCTION: Childhood immune thrombocytopenic purpura (ITP) is a heterogeneous immune-mediated process triggered by infections, vaccines, allergies and parasites. Currently, there is little evidence in the literature beyond case reports of an association with Toxoplasma gondii (T. gondii).

METHODS: The authors describe the unusual case of an earlier healthy 2.5-year-old Greek boy who developed acute ITP with a life-threatening platelet count a few days after a T. gondii infection. Evidence for the infection onset was found incidentally 3 months after the initial admission to the hospital and only after any other plausible cause of thrombocytopenia was excluded, according to diagnosis guidelines.

RESULTS: The boy underwent 3 intravenous immunoglobulin treatments within a trimester, a period during which his alarming platelets count levels led to housebound activities. A quite slow recovery was only ignited after the third treatment, which was administered in conjunction with a mild antibiotic medication for the T. gondii infection. Full recovery was obtained 9 months after the initial admission, although the boy’s potential scored high in clinical prediction models for developing transient ITP.

CONCLUSION: There is a need for more research on ITPs with no obvious cause to investigate a causal association with toxoplasmosis. Currently, testing for diseases of greater rarity and of higher diagnostic cost than T. gondii is included in the ITP guidelines. Hence, routinely testing for toxoplasmosis when considering potential childhood ITP triggers and infection treatment complementary to treating the ITP might be the key to accelerating the healing process and improving the quality of life of otherwise confined children.

PMID:37862699 | DOI:10.1097/INF.0000000000004067

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Nevin Manimala Statistics

First Experimental Study of the Purely Leptonic Decay D_{s}^{*+}→e^{+}ν_{e}

Phys Rev Lett. 2023 Oct 6;131(14):141802. doi: 10.1103/PhysRevLett.131.141802.

ABSTRACT

Using 7.33 fb^{-1} of e^{+}e^{-} collision data taken with the BESIII detector at the BEPCII collider, we report the first experimental study of the purely leptonic decay D_{s}^{*+}→e^{+}ν_{e}. Our data contain a signal of this decay with a statistical significance of 2.9σ. The branching fraction of D_{s}^{*+}→e^{+}ν_{e} is measured to be (2.1_{-0.9_{stat}}^{+1.2}±0.2_{syst})×10^{-5}, corresponding to an upper limit of 4.0×10^{-5} at the 90% confidence level. Taking the total width of the D_{s}^{*+} [(0.070±0.028) keV] predicted with the radiative D_{s}^{*+} decay from the lattice QCD calculation as input, the decay constant of the D_{s}^{*+} is determined to be f_{D_{s}^{*+}}=(214_{-46_{stat}}^{+61}±44_{syst}) MeV, corresponding to an upper limit of 354 MeV at the 90% confidence level.

PMID:37862669 | DOI:10.1103/PhysRevLett.131.141802

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Nevin Manimala Statistics

Nonequilibrium Full Counting Statistics and Symmetry-Resolved Entanglement from Space-Time Duality

Phys Rev Lett. 2023 Oct 6;131(14):140401. doi: 10.1103/PhysRevLett.131.140401.

ABSTRACT

Owing to its probabilistic nature, a measurement process in quantum mechanics produces a distribution of possible outcomes. This distribution-or its Fourier transform known as full counting statistics (FCS)-contains much more information than say the mean value of the measured observable, and accessing it is sometimes the only way to obtain relevant information about the system. In fact, the FCS is the limit of an even more general family of observables-the charged moments-that characterize how quantum entanglement is split in different symmetry sectors in the presence of a global symmetry. Here we consider the evolution of the FCS and of the charged moments of a U(1) charge truncated to a finite region after a global quantum quench. For large scales these quantities take a simple large-deviation form, showing two different regimes as functions of time: while for times much larger than the size of the region they approach a stationary value set by the local equilibrium state, for times shorter than region size they show a nontrivial dependence on time. We show that, whenever the initial state is also U(1) symmetric, the leading order in time of FCS and charged moments in the out-of-equilibrium regime can be determined by means of a space-time duality. Namely, it coincides with the stationary value in the system where the roles of time and space are exchanged. We use this observation to find some general properties of FCS and charged moments out of equilibrium, and to derive an exact expression for these quantities in interacting integrable models. We test this expression against exact results in the Rule 54 quantum cellular automaton and exact numerics in the XXZ spin-1/2 chain.

PMID:37862655 | DOI:10.1103/PhysRevLett.131.140401

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Nevin Manimala Statistics

Family History and Risk of Renal Cell Carcinoma: A National Multi-Register Case-Control Study

J Urol. 2023 Oct 20:101097JU0000000000003765. doi: 10.1097/JU.0000000000003765. Online ahead of print.

ABSTRACT

PURPOSE: To investigate the association between family history of RCC and RCC risk.

MATERIALS AND METHOD: RCC cases diagnosed in Sweden between 2005-2014 and 10 matched controls were identified using Renal Cell Cancer dataBase Sweden, with linkage to the Multigeneration Register and the Swedish Cancer Register. The association between a family history of RCC and RCC was investigated, overall and by sex and age groups.

RESULTS: Among 9416 RCC cases, 294 (3.1%) had 1 or more parent or sibling (first-degree relative, FDR) with RCC. Median age at diagnosis for cases with an affected FDR was 65 years (IQR 59-71) and 68 years (IQR 60-75) for all cases. The proportion of women was significantly higher among familial RCC compared to sporadic RCC (44.6% vs 38.5%, P = .035). RCC was twice as likely with 1 or more FDR with RCC (OR 1.9; CI 1.65-2.16). Stratified analysis showed an OR of 2.4 for women (CI 1.93-2.92) and 1.6 for men (CI 1.35-1.93). Two or more FDRs was associated with a 6-fold increased risk (95% CI 2.37-15.5). Familial RCC was strongly associated with bilateral- and multifocal tumours ([OR 5.5; CI 2.36-13.0], [OR 3.5; CI 1.89-6.49]).

CONCLUSIONS: In this Swedish dataset, 3.1% of RCC patients have 1 or more FDR diagnosed with RCC. There was no statistical difference in median age between sporadic RCC and familial RCC. Having 1 or more FDR with RCC approximately doubles the risk of RCC with a higher risk increase for women than for men. People with 2 FDRs with RCC constitute a small high-risk group that may benefit from screening.

PMID:37862613 | DOI:10.1097/JU.0000000000003765

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Nevin Manimala Statistics

Statistical characteristics of under-ice noise on the Arctic Chukchi Plateau

J Acoust Soc Am. 2023 Oct 1;154(4):2489-2498. doi: 10.1121/10.0021871.

ABSTRACT

In the context of global warming leading to rapidly changing Arctic sea ice and the environment, it is necessary to understand the statistical characteristics of noise under existing Arctic ocean environmental conditions. The data recorded from August 1, 2018 to November 2, 2019, on the Arctic Chukchi Plateau, have been studied to analyze the relationship between the ice transient events and the non-Gaussian statistics of under-ice noise. The ice-generated transient noise largely contributes to the under-ice noise environment, and the total under-ice noise exhibits non-Gaussian statistics due to the occurrence of these ice transients. The number of ice transients has a strong negative correlation with the characteristic index α, meaning that the higher the occurrence of transient events, the stronger the non-Gaussian statistics of under-ice noise. Stronger non-Gaussian noise with full ice coverage is observed compared to partial ice coverage. The under-ice noise in 0.5-1 kHz exhibits the strongest non-Gaussian statistics, followed by 1-4 kHz, while it is weakest in 20-500 Hz. The statistics of ice transients and under-ice noise have been provided in this paper, which can be used in sonar detection algorithms and have important significance for the performance prediction and optimization of sonar processors.

PMID:37862571 | DOI:10.1121/10.0021871

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Nevin Manimala Statistics

Measuring lateral capillary forces on floating particles using the Moses effect

Rev Sci Instrum. 2023 Jun 1;94(6):065110. doi: 10.1063/5.0152168.

ABSTRACT

This study presents a novel and user-friendly technique for detecting the lateral capillary force on a floating spherical particle. The technique leverages the interplay between the capillary attracting forces, hydrostatic pressure forces, and magnetic repulsion forces. A magnetic field is applied to induce a surface curvature in the liquid, resulting in a non-uniform distribution of capillary and hydrostatic pressure forces across the particle’s surface. This leads to a stable equilibrium position of the particle at a specific distance from the magnet. The study analyzes the equilibrium position and other relevant parameters in comparison with the developed theory. Classical mechanics and intermolecular forces are applied to establish the theoretical basis for the method, modeling the behavior of the particle in response to the magnetic field, surface curvature, and hydrostatic pressure. The equilibrium position of the particle is determined by numerically solving the balance of forces equation.

PMID:37862544 | DOI:10.1063/5.0152168

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Nevin Manimala Statistics

Increasing the scan speed in high resolution, low energy electron diffraction measurements by presetting the gate time

Rev Sci Instrum. 2023 Jun 1;94(6):064707. doi: 10.1063/5.0137991.

ABSTRACT

We report on a speed-up data acquisition routine for recording intensities in reciprocal space (k-space) with increased scan speed by a single point detector. It is designed for recording low energy electron diffraction (LEED) data with high resolution by a spot profile analysis LEED instrument. It counteracts the problem of long acquisition times that are encountered when larger areas in the reciprocal space are scanned. It exploits the fact that in typical LEED images of ordered surfaces, more than 90% of the data points in k-space belong to the low-intense background, which is often not of interest. Only about 10% of the data points are related to the relevant diffraction features, namely, the LEED spots. Often it is not necessary to measure the background with the same statistical significance as measuring those points that contain information. The data points belonging to the LEED spots can be discriminated from those of the background by their higher intensities. An acquisition routine that sets an increased gate time for the counting in response to higher intensities thus safeguards good statistics for data points of the LEED spots and saves measurement time when recording data points of the background with small gate times. For typical LEED images, a reduction of the total acquisition time by a factor of about 10 is obtained. We give examples of one- and two-dimensional scans from current experiments, recorded with and without the speed-up routine. We further discuss how the routine supports the measurement of energy dependent reciprocal space maps.

PMID:37862501 | DOI:10.1063/5.0137991

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Nevin Manimala Statistics

Advanced data analysis in inertial confinement fusion and high energy density physics

Rev Sci Instrum. 2023 Jun 1;94(6):061103. doi: 10.1063/5.0128661.

ABSTRACT

Bayesian analysis enables flexible and rigorous definition of statistical model assumptions with well-characterized propagation of uncertainties and resulting inferences for single-shot, repeated, or even cross-platform data. This approach has a strong history of application to a variety of problems in physical sciences ranging from inference of particle mass from multi-source high-energy particle data to analysis of black-hole characteristics from gravitational wave observations. The recent adoption of Bayesian statistics for analysis and design of high-energy density physics (HEDP) and inertial confinement fusion (ICF) experiments has provided invaluable gains in expert understanding and experiment performance. In this Review, we discuss the basic theory and practical application of the Bayesian statistics framework. We highlight a variety of studies from the HEDP and ICF literature, demonstrating the power of this technique. Due to the computational complexity of multi-physics models needed to analyze HEDP and ICF experiments, Bayesian inference is often not computationally tractable. Two sections are devoted to a review of statistical approximations, efficient inference algorithms, and data-driven methods, such as deep-learning and dimensionality reduction, which play a significant role in enabling use of the Bayesian framework. We provide additional discussion of various applications of Bayesian and machine learning methods that appear to be sparse in the HEDP and ICF literature constituting possible next steps for the community. We conclude by highlighting community needs, the resolution of which will improve trust in data-driven methods that have proven critical for accelerating the design and discovery cycle in many application areas.

PMID:37862494 | DOI:10.1063/5.0128661