Photodynamic Therapy Healing a Refractory Radiation-Induced Ulcer on the Chest Wall Postmastectomy Radiotherapy for Breast Cancer: A Case Report and Literature Overview.

Photodynamic therapy (PDT) has been used to treat cancers. It has also been used to treat infectious diseases and inflammatory conditions. PDT promotes wound healing, while clinical use of PDT for wound healing is uncommon and not thoroughly investigated.

Positive and negative online social experiences and self-rated health: Associations and examination of potential pathways.

Objective: Technology is changing the way individuals socially connect. However, not much is known about how online forms of social exchanges might link to outcomes that predict longevity. This preregistered study examined the association between online social support and social negativity with self-rated health (SRH) and potential pathways responsible for such links.

Adaptation to social-evaluative threat: Effects of repeated acceptance and status stressors on cardiovascular reactivity.

Social-evaluative threat plays a key role in research on stress, health and related psychophysiological mechanisms such as cardiovascular reactivity (CVR). Social-evaluative threats can activate two broad social motives: striving for status, achievement and influence, and/or striving for acceptance, inclusion, and connection. Prior research emphasizes threats related to status (e.

Medical Student Personality Traits and Clinical Grades in the Internal Medicine Clerkship.

Background: Third year clerkship grades include subjective evaluations. The purpose of this study is to identify if personality traits and self-esteem predispose students to better clerkship performance.

Methods: Third-year medical students completed the OCEAN Five Factor Model Personality Test and Rosenberg Self-Esteem Scale.

Near-infrared heating of skin to delineate non-melanoma skin cancer lesions: A pilot study.

Background: Surgical excision is a mainstay of treatment for non-melanoma skin cancer (NMSC); improving margin delineation can reduce the need for further monitoring/treatment. The objective of this pilot study was to determine if near-infrared radiation (NIR) application to skin causes visible changes in normal and NMSC skin, to help delineate margins.

Materials/methods: Eleven biopsy-proven NMSC lesions were included.

Care of the Military Veteran: Selected Health Issues.

According to the U.S. Census Bureau, 18.

Left Atrial Volume Index Is Associated With Cardioembolic Stroke and Atrial Fibrillation Detection After Embolic Stroke of Undetermined Source.

Background and Purpose- Left atrial enlargement has been shown to be associated with ischemic stroke, but the association with embolic stroke mechanisms remains unknown. We aim to study the associations between left atrial volume index (LAVI) and embolic stroke subtypes and atrial fibrillation (AF) detection on cardiac event monitoring in patients with embolic stroke of unknown source. Methods- Data were collected from a prospective cohort of consecutive patients with ischemic stroke admitted to a comprehensive stroke center over 18 months.

Stray light in cone beam optical computed tomography: III. Evaluation of a redesigned large-volume commercial scanner based on a convergent light source.

Optical cone beam computed tomography (CT), using a digital camera to acquire 2D projection images, provides a fast, mechanically simple method for 3D radiation dosimetry. However, original cone beam designs had poor accuracy as a result of considerable scatter/stray light reaching the camera. Previously, our group presented a redesigned convergent light source for optical cone beam CT that considerably reduced stray light contribution and improved accuracy (Dekker et al 2016 Phys.

Mindful Eating: Connecting With the Wise Self, the Spiritual Self.

In the Mindfulness-Based Eating Awareness Training program (MB-EAT) (Kristeller and Wolever, 2014; Kristeller and Wolever, in press), mindfulness practice is taught, mindful eating is cultivated, and self-acceptance and spiritual well-being are enhanced. An integrative concept is the value of cultivating 'wisdom' in regard to creating a new and sustainable relationship to eating and food. 'Wisdom' refers to drawing on personal experience and understanding in a flexible, insightful manner, rather than strictly following external rules and guidelines.

Fixed, object-specific intensity compensation for cone beam optical CT radiation dosimetry.

Optical cone beam computed tomography (CT) scanning of radiochromic gel dosimeters, using a CCD camera and a low stray light convergent source, provides fast, truly 3D radiation dosimetry with high accuracy. However, a key limiting factor in radiochromic gel dosimetry at large (⩾10 cm diameter) volumes is the initial attenuation of the dosimeters. It is not unusual to observe a 5-10×  difference in signal intensity through the dosimeter center versus through the surrounding medium in pre-irradiation images.

Acute in vitro and in vivo toxicity of a commercial grade boron nitride nanotube mixture.

Boron nitride nanotubes (BNNTs) are an emerging engineered nanomaterial attracting significant attention due to superior electrical, chemical and thermal properties. Currently, the toxicity profile of this material is largely unknown. Commercial grade BNNTs are composed of a mixture (BNNT-M) of ∼50-60% BNNTs, and ∼40-50% impurities of boron and hexagonal boron nitride.

Technical Note: Evaluation of an iterative reconstruction algorithm for optical CT radiation dosimetry.

Purpose: Iterative CT reconstruction algorithms are gaining popularity as GPU-based computation becomes more accessible. These algorithms are desirable in x-ray CT for their ability to achieve similar image quality at a fraction of the dose required for standard filtered backprojection reconstructions. In optical CT dosimetry, the noise reduction capability of such algorithms is similarly desirable because noise has a detrimental effect on the precision of dosimetric analysis, and can create misleading test results.

Secondary Cutaneous Involvement in Follicular Diffuse Lymphoma Treated with Helical Tomotherapy.

Non-Hodgkin's lymphoma is a complex heterogeneous group of disease entities that involves nodal and extranodal tissues. Cutaneous involvement can occur either as a primary or secondary in course of disease. Radiation therapy with either total body or localized treatments is often used for local control and symptom relief, depending on the target volume.

Borderline Personality Features, Interpersonal Correlates, and Blood Pressure Response to Social Stressors: Implications for Cardiovascular Risk.

Borderline personality disorder (BPD) confers risk for cardiovascular disease (CVD). The present study used the interpersonal perspective to investigate potential mechanisms underlying this association. In two undergraduate samples (N = 293; N = 188) in Study 1, we replicated and extended research by demonstrating that BPD features were associated with hostile and somewhat submissive interpersonal behavior.

Simplified Approach Charts Improve Data Retrieval Performance.

The effectiveness of different instrument approach charts to deliver minimum visibility and altitude information during airport equipment outages was investigated. Eighteen pilots flew simulated instrument approaches in three conditions: (a) normal operations using a standard approach chart (), (b) equipment outage conditions using a standard approach chart (), and (c) equipment outage conditions using a prototype decluttered approach chart (). Errors and retrieval times in identifying minimum altitudes and visibilities were measured.

Scanning laser optical computed tomography system for large volume 3D dosimetry.

Stray light causes artifacts in optical computed tomography (CT) that negatively affect the accuracy of radiation dosimetry in gels or solids. Scatter effects are exacerbated by a large dosimeter volume, which is desirable for direct verification of modern radiotherapy treatment plans such as multiple-isocenter radiosurgery. The goal in this study was to design and characterize an optical CT system that achieves high accuracy primary transmission measurements through effective stray light rejection, while maintaining sufficient scan speed for practical application.

Use of Protoporphyrin Fluorescence to Determine Clinical Target Volume for Non-melanotic Skin Cancers Treated with Primary Radiotherapy.

Purpose: Non-melanotic skin cancers remain the most commonly diagnosed cancers. Radiotherapy and surgery are the most common treatment options. Radiotherapy has a recurrence rate of up to 20% for basal or squamous cell cancers.

Optical CT imaging of solid radiochromic dosimeters in mismatched refractive index solutions using a scanning laser and large area detector.

Purpose: The practical use of the PRESAGE® solid plastic dosimeter is limited by the inconvenience of immersing it in high-viscosity oils to achieve refractive index matching for optical computed tomography (CT) scanning. The oils are slow to mix and difficult to clean from surfaces, and the dosimeter rotation can generate dynamic Schlieren inhomogeneity patterns in the reference liquid, limiting the rotational and overall scan speed. Therefore, it would be beneficial if lower-viscosity, water-based solutions with slightly unmatched refractive index could be used instead.

Stray light in cone beam optical computed tomography: II. Reduction using a convergent light source.

Optical cone beam computed tomography (CBCT) using a broad beam and CCD camera is a fast method for densitometry of 3D optical gel dosimeters. However, diffuse light sources introduce considerable stray light into the imaging system, leading to underestimation of attenuation coefficients and non-uniformities in CT images unless corrections are applied to each projection image. In this study, the light source of a commercial optical CT scanner is replaced with a convergent cone beam source consisting of almost exclusively image forming primary rays.

Stray light in cone beam optical computed tomography: I. Measurement and reduction strategies with planar diffuse source.

Optical cone-beam computed tomographic (CBCT) scanning of 3D radiochromic dosimeters may provide a practical method for 3D dose verification in radiation therapy. However, in cone-beam geometry stray light contaminates the projection images, degrading the accuracy of reconstructed linear attenuation coefficients. Stray light was measured using a beam pass aperture array (BPA) and structured illumination methods.

Medical student empathy: interpersonal distinctions and correlates.

Attention to interpersonal behaviors, communication, and relational factors is taking on increasing importance in medical education. Medical student empathy is one aspect of the physician-patient relationship that is often involved in beneficial interactions leading to improved clinical outcomes and patient satisfaction. As an interpersonal quality, empathy is a social behavior well-suited to be examined from an interpersonal perspective.

Variation in the flowering time orthologs BrFLC and BrSOC1 in a natural population of Brassica rapa.

Understanding the genetic basis of natural phenotypic variation is of great importance, particularly since selection can act on this variation to cause evolution. We examined expression and allelic variation in candidate flowering time loci in Brassica rapa plants derived from a natural population and showing a broad range in the timing of first flowering. The loci of interest were orthologs of the Arabidopsis genes FLC and SOC1 (BrFLC and BrSOC1, respectively), which in Arabidopsis play a central role in the flowering time regulatory network, with FLC repressing and SOC1 promoting flowering.

Interpersonal motives and social-evaluative threat: Effects of acceptance and status stressors on cardiovascular reactivity and salivary cortisol response.

Social-evaluative threat evokes increases in salivary cortisol and heightened cardiovascular reactivity. However, the types or content of social threats underlying these physiological responses are not clearly delineated in direct comparisons. Based in interpersonal theory, the present study manipulated high and low levels of acceptance threat (i.