RESUMO
Cross sections for the 44Ti(alpha,p)47V reaction which significantly affects the yield of 44Ti in supernovae were measured in the energy range 5.7 MeV=E(c.m.)=9 MeV, using a beam of radioactive 44Ti. The cross sections and the deduced astrophysical reaction rates are larger than the results from theoretical calculations by about a factor of 2. The implications of this increase in the reaction rate for the search of supernovae using space-based gamma detectors are discussed.
Assuntos
Carcinoma in Situ/patologia , Neoplasias Laríngeas/patologia , Lesões Pré-Cancerosas/patologia , Biópsia , Carcinoma in Situ/cirurgia , Carcinoma in Situ/terapia , Humanos , Hiperplasia , Neoplasias Laríngeas/cirurgia , Neoplasias Laríngeas/terapia , Laringe/patologia , Lesões Pré-Cancerosas/cirurgia , Lesões Pré-Cancerosas/terapiaRESUMO
Thirty-three patients with stage III-IV squamous cell carcinoma of the head and neck previously untreated with chemotherapy or radiotherapy were given a multidrug cytotoxic regimen, VBM (vincristine, bleomycin, and methotrexate), in combination with radical radiotherapy. Of the 32 evaluable patients, 11 (34.4%) achieved clinical complete response with negative biopsy, 15 (46.8%) achieved partial response, three (9.4%) had no change, and three (9.4%) had disease progression. At 30 months, the actuarial survival rate for complete responders with negative biopsy was 62.2% and the overall survival rate was 30.8%. Hematologic and gastrointestinal toxicity was moderate, but one patient developed life-threatening mucositis and one patient died due to acute renal failure. Our data do not confirm prior more favorable results obtained with the same treatment.