Adjuvantná rádioterapia prispieva k lepším výsledkom u pacientov s karcinómom prsníka po prsník zachovávajúcej operácii. Ožarovanie celého prsníka je spojené s poškodením srdca a pľúc, zvýšením kardiovaskulárných ochorení a mortality, a vývojom karcinómu pľúc, teda s rizikami, ktoré sa môžu objaviť 15–20 rokov po liečbe. Ožarovanie prsníka v pronačnej polohe pacientky je jednou z možností ako redukovať radiačne podmienenú toxicitu u pacientiek s veľkými prsníkmi podstupujúcimi adjuvantnú liečbu. V kazuistikách poukážeme na rozdiely v objeme srdca a pľúc pri oboch polohách, porovnáme dozimetrické parametre pri ožarovaní prsníka v oboch pozíciách a poukážeme na rozdiely pri ich plánovaní. Tieto techniky nie je možné kombinovať s ožiarením lymfatických uzlín, ale môžu byť použité pri liečbe obojstranných nádorov., Adjuvant radiotherapy contributes to better outcomes in patients with breast cancer after breast conserving surgery. Whole breast irradiation is associated with damage to the heart and lungs, increased cardiovascular mortality, and the development of lung cancer, that is, with the risks that may occur 15–20 years after treatment. Breast irradiation in the prone position, is one of the way to reduce radiation toxicity in patients conditioned with large breasts undergoing adjuvant therapy. In case reports point out the differences in the volume of the heart and lungs at both locations, we compare the dosimetric parameters in breast irradiation in both positions and point out the differences in their planning. These techniques can not be combined with irradiation of the lymph nodes, but they can be used in the treatment of bilateral tumors., Andrea Masaryková, David Lederleitner, and Literatura
In the Baixo Vouga region of north-central Portugal, forests occupy half of the territory, of which two thirds are Eucalypts plantations. The hydrological implications of this large-scale introduction of eucalypt are unknown and the aim of this exploratory study, realized in the Caramulo Mountains, was to describe overland flow (OLF), subsurface flow (SSF) and stream flow (Q) in a catchment dominated by Eucalyptus plantations. The main conclusions are that annual OLF rate is low, spatially heterogeneous between 0.1% and 6% and concentrated during the wet season as saturation excess, particularly as return flow. Infiltration-excess OLF due to the strong soil water repellence (SWR) is dominant during dry season, but produces residual runoff amount. SSF is the principal mechanism of runoff formation. It originates from matrix flow and pipe flow at the soil-bedrock interface, principally during the wet season. Matrix flow is correlated with soil moisture (SM) content, with a threshold of 25 %. Pipe flow starts with saturation of soil bottom but without saturation of the entire soil profile, due to a large network of macropores. Stream flow response is highly correlated with matrix flow behaviour in timing and intensity. SWR induces a very patchy moistening of the soil, concentrates the fluxes and accelerates them almost 100 times greater than normal percolation of the water in the matrix.
Wolf proposes supererogation as a solution for curbing the exaggerated demands of morality. Adopting supererogation is supposed to prevent us from considering that all morally good deeds are obligatory. Supererogation, indeed, makes some morally good deeds merely optional, saving the agent from the requirement of behaving as much as possible like a Moral Saint. But I argue that Wolf cannot use supererogation in service of her overall project, for two reasons. First, because implied in the concept of supererogation is that going beyond duty adds to our humanity rather than detract from it (as Wolf argues). Secondly, after analyzing attempts to acclimatize supererogation in other theoretical frameworks, I conclude that supererogation can limit morality’s claims only if Wolf’s reasons of “individual perfection” can defeat moral reasons. I argue that a common scale of evaluation between moral and non-moral reasons is needed for their comparison, but Wolf explicitly rejects this way out.
Inland waters are known to be laden with high levels of suspended particulate matter (SPM). Remotely sensed data have been shown to provide a true synoptic view of SPM over vast areas. However, as to date, there is no universal technique that would be capable of retrieving SPM concentrations without a complete reliance on time-consuming and costly ground measurements or a priori knowledge of inherent optical properties of water-borne constituents. The goal of this paper is to present a novel approach making use of the synergy found between the reflectance in the visual domain (~ 400-700 nm) with the near-infrared portion of the spectrum (~ 700-900 nm). The paper begins with a brief discourse of how the shape and spectral dependence of reflectance is determined by high concentrations of SPM. A modeled example is presented to mimic real-world conditions in fluvial systems, with specific absorption and scattering coefficients of the virtual optically active constituents taken from the literature. Using an optical model, we show that in the visual spectral domain (~ 400-700 nm) the water-leaving radiance responds to increasing SPM (0-100 g m-3) in a non-linear manner. Contrarily to the visual spectra, reflectance in the near infrared domain (~ 700-900 nm) appears to be almost linearly related to a broad range of SPM concentrations. To reduce the number of parameters, the reflectance function (optical model) was approximated with a previously experimentally verified exponential equation (Schiebe et al., 1992: Remote sensing of suspended sediments: the Lake Chicot, Arkansas project, Int. J. Remote Sensing, 13, 8, 1487-1509). The SPM term in Schiebe’s equation was expressed as a linear function of top-of-atmosphere reflectance. This made it possible to calibrate the reflectance in the visual domain by reflectance values from the near-IR portion of the spectrum. The possibility to retrieve SPM concentrations from only remote sensing data without any auxiliary ground mea-surements is tested on a Landsat ETM + scene acquired over a reservoir with moderately turbid water with SPM concentrations between 15-70 g m-3. The retrieved concentrations (on average) differ from in-situ measurement by ~ 10.5 g m-3. and Cieľom príspevku je prezentovať alternatívne spracovanie satelitných snímok na odhad koncentrácie suspendovaných sedimentov vo vodných útvaroch. Prvá časť článku sa venuje teórii a fyzikálnej podstate reflektancie a vplyvu prirodzene sa vyskytujúcich opticky aktívnych prvkov vo vode (suspendované sedimenty, pigmenty a rozpustené látky) na reflektanciu snímanú prostriedkami diaľkového prieskumu Zeme. Na modelovom príklade sme ukázali, že so zvyšovaním koncentrácie suspendovaných látok dochádza k saturácii signálu reflektancie.V druhej časti príspevku sme opísali spôsob využitia nelineárnosti vzťahu medzi reflektanciu vo viditeľnej časti (~ 400-700), a kvázi-linearitov v infračervenej časti (~ 700-900 nm) elektromegnetického spektra a koncentrácie suspendovaných sedimentov. Optimalizáciou tohto nelineárneho vzťahu sme odhadli koncentrácie suspendovaných sedimentov pre zdrž Hrušov pri Bratislave s RMSE 10.5 g m-3.