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At least 1,765 records · Page 98

Androgen Deprivation Therapy Use in the Setting of High-dose Radiation Therapy and the Risk of Prostate Cancer–Specific Mortality Stratified by the Extent of Competing Mortality

Purpose: The addition of androgen deprivation therapy (ADT) to radiation therapy (RT) is the standard of care for men with intermediate- and high-risk prostate cancer (PC). However, whether competing mortality (CM) affects the ability of ADT to improve, survival remains unanswered. Methods and Materials: We calculated a CM risk score using a Fine-Gray semiparametric model that included age and cardiometabolic comorbidities from a cohort of 17,669 men treated with high-dose RT with or without supplemental ADT for nonmetastatic PC. Fine and Gray competing risk regression analysis was used to assess whether ADT reduced the risk of PC-specific mortality for men with a low versus a high risk of CM among the 4550 patients within the intermediate- and high-risk cohort after adjustment for established PC prognostic factors, year of treatment, site, and ADT propensity score. Results: After a median follow-up of 8.4 years, 1065 men had died, 89 (8.36%) of PC. Among the men with a low CM score, ADT use was associated with a significant reduction in the risk of PC-specific mortality (adjusted hazard ratio 0.35, 95% confidence interval 0.14-0.87, P=.02) but was not for men with high CM (adjusted hazard ratio 1.33, 95% confidence interval 0.77-2.30, P=.30). Conclusions: Adding ADT to high-dose RT appears to be associated with decreased PC-specific mortality risk in men with a low but not a high CM score. These data should serve to heighten awareness about the importance of considering competing risks when determining whether to add ADT to RT for older men with intermediate- or high-risk PC.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Phase stability and thermodynamic database validation in a set of non-equiatomic Al-Co-Cr-Fe-Nb-Ni high-entropy alloys

A series of six high-entropy alloys in non-equiatomic proportions were produced to study the phase stability across a range of compositions within the Al-Co-Cr-Fe-Nb-Ni system. Phase identification was performed using SEM, TEM, and XRD and computational tools were employed for comparison to the experimental findings. Complex microstructures were obtained following exposure at 900 °C with precipitation of Laves, NiAl, γ' and δ phases. Primary and secondary Laves populations were identified and found to become more stable with increasing Fe and Nb content. Additions of Nb promoted the formation of thin, plate-like, δ phase at the expense of the secondary Laves. The NiAl phase was observed to precipitate in the alloys with high Fe content, above the γ' solvus temperature. Overall, the thermodynamic predictions using Thermo-Calc with the TCNi8 database were accurate with respect to identifying the phase composition, while TTNi8 provided good phase stability results. Furthermore, significant differences were observed with respect to the solvus temperatures of the precipitate phases.

36 MATERIALS SCIENCE↗

A Ghost Fluid/Level Set Method for boiling flows and liquid evaporation: Application to the Leidenfrost effect

The development of numerical methods for the direct numerical simulation of two-phase flows with phase change, in the framework of interface capturing or interface tracking methods, is the main topic of this study. We propose a novel numerical method, which allows dealing with both evaporation and boiling at the interface between a liquid and a gas. Indeed, in some specific situations involving very heterogeneous thermodynamic conditions at the interface, the distinction between boiling and evaporation is not always possible. For instance, it can occur for a Leidenfrost droplet; a water drop levitating above a hot plate whose temperature is much higher than the boiling temperature. In this case, boiling occurs in the film of saturated vapor which is entrapped between the bottom of the drop and the plate, whereas the top of the water droplet evaporates in contact of ambient air. The situation can also be ambiguous for a superheated droplet or at the contact line between a liquid and a hot wall whose temperature is higher than the saturation temperature of the liquid. In these situations, the interface temperature can locally reach the saturation temperature (boiling point), for instance near a contact line, and be cooler in other places. Thus, boiling and evaporation can occur simultaneously on different regions of the same liquid interface or occur successively at different times of the history of an evaporating droplet. Standard numerical methods are not able to perform computations in these transient regimes, therefore, we propose in this paper a novel numerical method to achieve this challenging task. Finally, we present several accuracy validations against theoretical solutions and experimental results to strengthen the relevance of this new method.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Evaluation of Regional Climate Simulations over the Great Lakes Region Driven by Three Global Data Sets

The performance of regional climate simulations is evaluated for the Great Lakes region. Three 10-year (1990–1999) current-climate simulations are performed using the MM5 regional climate model (RCM) with 36-km horizontal resolution. The simulations employed identical configuration and physical parameterizations, but different lateral boundary conditions and sea-surface temperatures derived from the NCEP Global Reanalysis and output from the CCSM3 and GISS general circulation models (GCMs). The simulation results are compared to the North American Regional Reanalysis (NARR). The three RCM simulations appeared to be more accurate in winter and least accurate in summer, and more accurate aloft than near the surface. The reanalysis-constrained simulation adequately captured the spatial distribution and seasonal cycle of the observed surface-air temperature and precipitation, but it produced consistently across all seasons a cold bias that is generally larger over the lakes than over land and a wet bias due to an overestimation of nonconvective precipitation. The simulated seasonal cycle of moisture–flux convergence over the region was in very good agreement with NARR. The two GCM-driven runs adequately simulated the spatial and seasonal variation of temperature, but overestimated cold-season precipitation and underestimated summer precipitation, reversing the observed annual precipitation cycle. The GISS-driven run failed to simulate the prevailing low-level flow and moisture convergence patterns. All three RCM simulations successfully captured the impact of the Great Lakes on the region's climate, especially on winter precipitation, a significant improvement over coarse-resolution GCM simulations over the region.

54 ENVIRONMENTAL SCIENCES↗