The possibility of preoperative prediction of pathologic complete response in rectal cancer has been studied in order to identify patients who would respond to neoadjuvant therapy and to individualize therapeutic strategies. Endoscopic ultrasound of the rectum is an accurate method for the evaluation of local tumor and lymph node invasion. Objective: To evaluate the potential of endoscopic ultrasound as a predictor of complete pathological response to neoadjuvant treatment in patients with locally advanced rectal cancer. Material and methods: Retrospective study of patients with rectal cancer from January 2014 to December 2016. Results: We obtained a statistical association between T stage by endoscopic ultrasound and complete pathological response (p = 0.015). It is not so for N, sphincter involvement, circumferential involvement and maximum tumor thickness (p = 0.723, p = 0.510, p = 0.233 and p = 0.114, respectively). When multivariate logistic regression analysis was applied to assess the degree of influence of the predictor variables on pathologic response, none of these variables was associated with complete pathologic response. Conclusion: Prediction of pathologic complete response in rectal cancer has been considered as the crucial point upon which treatments for rectal cancer could be individualized. So far, no imaging method has been able to demonstrate efficacy in predicting complete pathologic response, and in turn there is no direct association between any endosonographic finding that can accurately predict it.
Chinese municipalities have developed a large stock of capital assets during a period of rapid growth and urbanization, but have yet to modernize asset management practices. Cities face challenges such as premature decline of fixed assets and spiking liabilities related to operating and maintaining assets. This paper evaluates the asset management practices in three selected small cities and towns in China, using a benchmarking assessment tool followed by an in-depth field assessment. The paper finds that overall performance is below half the international benchmark for good practice in all three cities. Management practices are considerably more advanced for land than for buildings and infrastructure. Key deficiencies in data availability and reporting, governance, capacity, and financial management indicate increased risks for local government finance and the delivery of public services. For small cities and towns where public revenues are often uncertain and limited, urban public services will be at risk of deterioration unless good asset management practices are put in place. The paper recommends strategic actions for upper and lower levels of government, to advance local asset management practices and facilitate the reform agenda.
Synthesis of macro-mesoporous Titania (Titanium dioxide-TiO2) nanospheres was successfully achieved using a modified template-free methodology to incorporate macroporous channels into a mesoporous TiO2 framework to form mixed macro-mesoporous TiO2 spheres (MMPT), which were doped with carbon dots (C-dots) to form improved nanocomposites (C-dots@MMPT). Elemental composition, surface bonding and optical properties of these nanocomposites were characterized by X-ray diffraction (XRD), Fourier transforms infrared spectroscopy (FTIR) and ultraviolet-visible absorption spectroscopy (UV-VIS). Evaluation of photocatalytic activity for each (C-Dots@MMPT) sample was performed via degrading the Methylene Blue (MB) dye compared with bare samples (MMPT) under visible light irradiation using 300 Watt halogen lamp.
In this article, generalized differential quadrature method (GDQM) is used to study the free vibrational behavior of variable cross section nano beams. Eringen's nonlocal elastic theory is taken into account to model the small scale effects and nonuniformity is assumed by exponentially varying the width of nano beam. Governing equation of motion is solved using generalized differential quadrature method with different numbers of sampling points. Effects of increasing the sampling points in reaching more accurate results for first three frequency parameters are presented and it is shown that after a specific number of sampling points, results merge to a certain accurate number. It is concluded that generalized differential quadrature method is able to reach the correct answers comparing to analytical results. Moreover, due to the stiffness softening behavior of small-scale structures, necessity of using Eringen's nonlocal elastic theory to model the small scale effects due to the frequency variation is observed. |
Public-Private Partnerships (PPPs) are mostly presented as a means to introduce efficient procurement methods and better value for money to taxpayers. However, the complexity of the PPP mechanism, their lack of transparency, accounting rules and implicit liabilities make it often impossible to perceive the amount of public expenditure involved and the long-run impact on taxpayers, providing room for fiscal illusion, i.e., the illusion that PPPs are much less expensive than traditional public investments. This psaper, thanks to a systematic review of the literature on the EU countries experience, tries to unveil the sources of this illusion by looking at the reasons behind the PPPs’ choice, their real costs, and the sources of fiscal risks. The literature suggests that PPPs are more costly than public funding, especially when contingent liabilities are not taken into account, and are employed as mechanisms to circumvent budgetary restrictions and to spend off-balance. The paper concludes that the public sector should share more risks with private sectors by reducing the amount of guarantees, and should prevent governments from operating through a sleight of hand that deflects attention away from off-balance financing, by applying a neutral fiscal recording system.
Nanocomposites are high performance materials which reveal rare properties. Nanocomposites have an estimated annual growth rate of 25% and fastest demand to be in engineering plastics and elastomers. Their prospective is so prominent that they are valuable in numerous areas ranging from packaging to biomedical applications. In this review, the various types of matrix nanocomposites are discussed highlighting the need for these materials, their processing approaches and some recent results on structure, properties and potential applications. Perspectives include need for such future materials and other interesting applications. Being environmentally friendly, applications of nanocomposites propose new technology and business opportunities for several sectors of the aerospace, automotive, electronics and biotechnology industries.
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