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At least 253 records · Page 14

Will weight loss cause significant dosimetric changes of target volumes and organs at risk in nasopharyngeal carcinoma treated with intensity-modulated radiation therapy?

This study aimed to quantify dosimetric effects of weight loss for nasopharyngeal carcinoma (NPC) treated with intensity-modulated radiation therapy (IMRT). Overall, 25 patients with NPC treated with IMRT were enrolled. We simulated weight loss during IMRT on the computer. Weight loss model was based on the planning computed tomography (CT) images. The original external contour of head and neck was labeled plan 0, and its volume was regarded as pretreatment normal weight. We shrank the external contour with different margins (2, 3, and 5 mm) and generated new external contours of head and neck. The volumes of reconstructed external contours were regarded as weight during radiotherapy. After recontouring outlines, the initial treatment plan was mapped to the redefined CT scans with the same beam configurations, yielding new plans. The computer model represented a theoretical proportional weight loss of 3.4% to 13.7% during the course of IMRT. The dose delivered to the planning target volume (PTV) of primary gross tumor volume and clinical target volume significantly increased by 1.9% to 2.9% and 1.8% to 2.9% because of weight loss, respectively. The dose to the PTV of gross tumor volume of lymph nodes fluctuated from −2.0% to 1.0%. The dose to the brain stem and the spinal cord was increased (p < 0.001), whereas the dose to the parotid gland was decreased (p < 0.001). Weight loss may lead to significant dosimetric change during IMRT. Repeated scanning and replanning for patients with NPC with an obvious weight loss may be necessary.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

NSLS-II Beam Loss Control and Monitoring System

One of the most challenging issues for accelerator operations deals with why and where the beam was lost. This is a major concern for radiation protection at facilities with a large user base, since uncontrolled beam losses could result in high radiation levels to occupied areas. For NSLS-II the tunnel radiation shield wall has increased attenuation over two lattice cells after the injection region, to shield for the possibility of higher injection losses during injection. This raised the concern over exceeding the radiation exposure limits in the lesser shielded region, if similar losses could occur elsewhere. To address this issue a beam loss control system was designed to capture most beam losses in the more heavily shielded (injection) region. A beam loss monitor system was designed to verify the fraction of the beam lost in that region, in order to insure lower levels of exposure around the rest of the ring. The design of these beam loss control and monitoring systems and their operational experience are presented here.

43 PARTICLE ACCELERATORS↗

Contributions to Loss Across the Magnetopause During an Electron Dropout Event

Abstract Dropout events are dramatic decreases in radiation belt electron populations that can occur in as little as 30 minutes. Loss to magnetopause due to a combination of magnetopause shadowing and outward radial transport plays a significant role in these events. We examine the dropout of relativistic electron populations during the October 2012 geomagnetic storm using simulated electron phase space density, evaluating the contribution of different processes to losses across the magnetopause. We compare loss contribution from outward transport calculated using a standard empirical radial diffusion model that assumes a dipolar geomagnetic field to an event‐specific radial diffusion model evaluated with a non‐dipolar geomagnetic field. We additionally evaluate the contribution of Shabansky type 1 particles, which bounce along magnetic field lines with local equatorial maxima, to the loss calculated during this event. We find that the empirical radial diffusion model with a dipolar background field underestimates the contribution of radial diffusion to this dropout event by up to 10% when compared to the event‐specific, non‐dipolar radial diffusion model. We additionally find that including Shabansky type 1 particles in the initial electron phase space density, that is, allowing some magnetic field lines distorted from the typical single‐minima configuration in drift shell construction, increases the calculated loss by an average of 0.75%. This shows that the treatment of the geomagnetic field significantly impacts the calculation of electron losses to the magnetopause during dropout events, with the non‐dipolar treatment of radial diffusion being essential to accurately quantify the loss of outer radiation belt populations.

79 ASTRONOMY AND ASTROPHYSICS↗

Elevated Forest Canopy Loss After Wildfires in Moist and Cool Forests in the Pacific Northwest

Wildfire frequency, intensity, and rate of spread are increasing across the Western U.S, resulting in more severe ecosystem impacts. Significant tree mortality can occur years after fire events, but this has received little attention compared to the immediate tree loss during a fire. We overlapped forest cover loss data with burn severity maps in the U.S. Pacific Northwest and quantified the total and delayed forest canopy loss after fires. We found that wildfires resulted in total canopy loss fraction (CLF) of 84%, 53%, and 22% within 3 years in areas burned at high, moderate, and low severity, respectively. The delayed canopy loss accounted for approximately 1/3, 1/2, and 2/3 of the total canopy loss for high, moderate, and low severity burns. Delayed canopy loss was greater in moist and cool areas than in dry and warm areas, likely because tree species in wetter environments were less adapted to survive when fires did occur. Across all forests, delayed CLF doubled as temperature increased from the climatological mean to a hot anomaly and tripled as vapor pressure deficit increased from a wet anomaly to a dry anomaly. Fire impacts on forest ecosystems are likely to intensify under future climate scenarios as wildfires expand into areas that historically experienced infrequent fires. The impacts can also be exacerbated by more frequent compound extreme events, such as droughts, heatwaves, and fires. These findings highlight the urgent need for targeted forest management strategies, particularly in mesic forests, to mitigate future fire impacts.

54 ENVIRONMENTAL SCIENCES↗

A framework to quantify mass flow and assess food loss and waste in the US food supply chain

Abstract Reducing food loss and waste can improve the efficiency of food supply chains and provide food security. Here we estimate mass flow as well as food loss and waste along the US food supply chain for 10 commodity groups and nine management pathways to provide a baseline for designing efficient strategies to reduce, recycle, and recover food loss and waste. We estimate a total food loss and waste of 335.4 million metric tonnes from the U.S. food supply chain in 2016. Water evaporation (19%), recycling (55%), and landfill, incineration, or wastewater treatment (23%) accounted for most of the loss and waste. The consumption stage accounted for 57% of the food loss and waste disposed of through landfill, incineration, or wastewater treatment. Manufacturing was the largest contributor to food loss and waste (61%) but had a high recycling rate. High demand, perishable products accounted for 67% of food waste. We suggest that funding for infrastructure and incentives for earlier food donation can promote efficiency and sustainability of the supply chain, promote FLW collection and recycling along the U.S. FSC, and improve consumer education in order to move towards a circular economy.

54 ENVIRONMENTAL SCIENCES↗

Pore orientation effects on the kinetics of mesostructure loss in surfactant templated titania thin films

The mesostructure loss kinetics are measured as a function of the orientation of micelles in 2D hexagonal close packed (HCP) columnar mesostructured titania thin films using in situ grazing incidence small angle x-ray scattering (GISAXS). Complementary supporting information is provided by ex situ scanning electron microscopy. Pluronic surfactant P123 acts as the template to synthesize HCP structured titania thin films. When the glass substrates are modified with crosslinked P123, the micelles of the HCP mesophase align orthogonal to the films, whereas a mix of parallel and orthogonal alignment is found on unmodified glass. The rate of mesostructure loss of orthogonally oriented (o-HCP) thin films (~60 nm thickness) prepared on modified substrate is consistently found to be less by a factor of 2.5 ± 0.35 than that measured for mixed orientation HCP films on unmodified substrates. The activation energy for mesostructure loss is only slightly greater for films on modified glass (155 ± 25 kJ/mol -1 ) than on unmodified (128 kJ/mol -1 ), which implies that the rate difference stems a greater activation entropy for mesostructure loss in o-HCP titania films. Nearly perfect orthogonal orientation of micelles on modified surfaces contributes to the lower rate of mesostructure loss by supporting the anisotropic stresses that develop within the films during annealing due to continuous curing, sintering and crystallization into the anatase phase during high temperature calcination (>450 °C). Because the film thickness dictates the propagation of orientation throughout the films and the degree of confinement, thicker (~250 nm) films cast onto P123-modified substrates have a much lower activation energy for mesostructure loss (89 ± 27 kJ/mol -1 ) due to the mix of orientations found in the films. Thus, in conclusion, this kinetic study shows that thin P123- templated o-HCP titania films are not only better able to achieve good orthogonal alignment of 3 the mesophase relative to thicker films or films on unmodified substrates, but that alignment of the mesophase in the films stabilizes the mesophase against thermally-induced mesostructure loss.

36 MATERIALS SCIENCE↗

Towards identifying the mechanisms underlying field-aligned edge-loss of HHFW power on NSTX

Fast-wave heating will be a major heating scheme on ITER, as it can heat ions directly and is relatively unaffected by the large machine size unlike neutral beams. However, fast-wave interactions with the plasma edge can lead to deleterious effects such as, in the case of the high-harmonic fast-wave (HHFW) system on NSTX, large losses of fast-wave power in the scrape off layer (SOL) under certain conditions. In such scenarios, a large fraction of the lost HHFW power is deposited on the upper and lower divertors in bright spiral shapes. The responsible mechanism(s) has not yet been identified but may include fast-wave propagation in the scrape off layer, parametric decay instability, and RF currents driven by the antenna reactive fields. Understanding and mitigating these losses is important not only for improving the heating and current-drive on NSTX-Upgrade but also for understanding fast-wave propagation across the SOL in any fast-wave system. This talk summarizes experimental results demonstrating that the flow of lost HHFW power to the divertor regions largely follows the open SOL magnetic field lines. This lost power flux is relatively large close to both the antenna and the last closed flux surface with a reduced level in between, so the loss mechanism cannot be localized to the antenna. At the same time, significant losses also occur along field lines connected to the inboard edge of the bottom antenna plate. The power lost within the spirals is roughly estimated, showing that these field-aligned losses to the divertor are significant but may not account for the total HHFW loss. To elucidate the role of the onset layer for perpendicular fast-wave propagation with regards to fast-wave propagation in the SOL, a cylindrical cold-plasma model is being developed. This model, in addition to advanced RF codes such as TORIC and AORSA, is aimed at identifying the underlying mechanism(s) behind these SOL losses, to minimize their effects in NSTX-U, and to predict their importance in ITER.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Wall loss of atomic nitrogen determined by ionization threshold mass spectrometry

In the afterglow of an inductively coupled N{sub 2} plasma, relative N atom densities are measured by ionization threshold mass spectrometry as a function of time in order to determine the wall loss time t{sub wN} from the exponential decay curves. The procedure is performed with two mass spectrometers on different positions in the plasma chamber. t{sub wN} is determined for various pressures, i.e., for 3.0, 5.0, 7.5, and 10 Pa. For this conditions also the internal plasma parameters electron density n{sub e} and electron temperature T{sub e} are determined with the Langmuir probe and the rotational temperature T{sub rot}{sup N{sub 2}} of N{sub 2} is determined with the optical emission spectroscopy. For T{sub rot}{sup N{sub 2}}, a procedure is presented to evaluate the spectrum of the transition υ{sup ′}=0→υ{sup ″}=2 of the second positive system (C{sup 3}Π{sub u}→B{sup 3}Π{sub g}) of N{sub 2}. With this method, a gas temperature of 610 K is determined. For both mass spectrometers, an increase of the wall loss times of atomic nitrogen with increasing pressure is observed. The wall loss time measured with the first mass spectrometer in the radial center of the cylindrical plasma vessel increases linearly from 0.31 ms for 3 Pa to 0.82 ms for 10 Pa. The wall loss time measured with the second mass spectrometer (further away from the discharge) is about 4 times higher. A model is applied to describe the measured t{sub wN.} The main loss mechanism of atomic nitrogen for the considered pressure is diffusion to the wall. The surface loss probability β{sub N} of atomic nitrogen on stainless steel was derived from t{sub wN} and is found to be 1 for the present conditions. The difference in wall loss times measured with the mass spectrometers on different positions in the plasma chamber is attributed to the different diffusion lengths.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Direct measurement of microwave loss in Nb films for superconducting qubits

Niobium films are a key component in modern two-dimensional superconducting qubits, yet their contribution to the total qubit decay rate is not fully understood. The presence of different layers of materials and interfaces makes it difficult to identify the dominant loss channels in present two-dimensional qubit designs. In this paper, we present the study that directly correlates measurements of RF losses in such films to material parameters by investigating a high-power impulse magnetron sputtered (HiPIMS) film atop a three-dimensional niobium superconducting radio frequency (SRF) resonator. By using a 3D SRF structure, we are able to isolate the niobium film loss from other contributions. Our findings indicate that microwave dissipation in the HiPIMS-prepared niobium films, within the quantum regime, resembles that of record-high intrinsic quality factor of bulk niobium SRF cavities, with lifetimes extending into seconds. Microstructure and impurity level of the niobium film do not significantly affect the losses. These results set the scale of microwave losses in niobium films and show that niobium losses do not dominate the observed coherence times in present two-dimensional superconducting qubit designs, instead highlighting the dominant role of the dielectric oxide in limiting the performance. We can also set a bound for when niobium film losses will become a limitation for qubit lifetimes.

Abdisatarov, B.↗

Stellar encounter driven red-giant star mass loss in globular clusters

Globular cluster (GC) color-magnitude diagrams (CMDs) are reasonably well understood in terms of standard stellar evolution. However, there are still some open issues, such as fully accounting for the horizontal branch (HB) morphology in terms of chemical and dynamical parameters. Mass loss on the red giant branch (RGB) shapes the mass distribution of the HB stars, and the color distribution in turn. The physical mechanisms driving mass loss are still unclear, as direct observations fail to reveal a clear correlation between mass-loss rate and stellar properties. The HB mass distribution is further complicated by helium-enhanced multiple stellar populations due to differences in the evolving mass along the HB. We present a simple analytical mass-loss model based on tidal stripping through Roche-Lobe overflow during stellar encounters. Our model naturally results in a non-Gaussian mass-loss distribution with high skewness and contains only two free parameters. We fit it to the HB mass distribution of four Galactic GCs, as obtained from fitting the CMD with zero age HB models. The best-fit model accurately reproduces the observed mass distribution. If confirmed on a wider sample of GCs, our results would account for the effects of dynamics in RGB mass-loss processes and provide a physically motivated procedure for synthetic CMDs of GCs. Our physical modeling of mass loss may result in the ability to disentangle the effects of dynamics and helium-enhanced multiple populations on the HB morphology and is instrumental in making HB morphology a probe of the dynamical state of GCs, leading to an improved understanding of their evolution.

79 ASTRONOMY AND ASTROPHYSICS↗

THE DEPENDENCE OF STELLAR MASS AND ANGULAR MOMENTUM LOSSES ON LATITUDE AND THE INTERACTION OF ACTIVE REGION AND DIPOLAR MAGNETIC FIELDS

Rotation evolution of late-type stars is dominated by magnetic braking and the underlying factors that control this angular momentum loss are important for the study of stellar spin-down. In this work, we study angular momentum loss as a function of two different aspects of magnetic activity using a calibrated Alfvén wave-driven magnetohydrodynamic wind model: the strengths of magnetic spots and their distribution in latitude. By driving the model using solar and modified solar surface magnetograms, we show that the topology of the field arising from the net interaction of both small-scale and large-scale field is important for spin-down rates and that angular momentum loss is not a simple function of large scale magnetic field strength. We find that changing the latitude of magnetic spots can modify mass and angular momentum loss rates by a factor of two. The general effect that causes these differences is the closing down of large-scale open field at mid- and high-latitudes by the addition of the small-scale field. These effects might give rise to modulation of mass and angular momentum loss through stellar cycles, and present a problem for ab initio attempts to predict stellar spin-down based on wind models. For all the magnetogram cases considered here, from dipoles to various spotted distributions, we find that angular momentum loss is dominated by the mass loss at mid-latitudes. The spin-down torque applied by magnetized winds therefore acts at specific latitudes and is not evenly distributed over the stellar surface, though this aspect is unlikely to be important for understanding spin-down and surface flows on stars.

79 ASTRONOMY AND ASTROPHYSICS↗

Simulation study of fast ion losses associated with the rotating n = 1 resonant magnetic perturbations in KSTAR

In this work we describe a simulation framework for testing the fast ion loss mechanism associated with the experimentally observed beam ion losses when an externally applied toroidally rotating perturbed magnetic field is used to control edge localized modes in the KSTAR tokamak. The simulations reproduce the key qualitative features of neutral beam injection (NBI) ion detection by a fast ion loss detector. The NBI ion losses in the simulation mainly occur for passing particles due to orbit stochastization, which is caused by orbit resonance with the 3D field perturbations. The relative toroidal angle of NBI ion deposition to the orbit island determines the radial path of the particles between confinement or loss. The fast ion loss quantity depends on the toroidal angle rotation of the 3D field with respect to the beam deposition position. The averaged transport of toroidal canonical angular momentum reveals that linear and nonlinear resonance of the NBI ions within the 3D field are the main factors determining fast ion transport and loss.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Effects of collisional ion orbit loss on tokamak radial electric field and toroidal rotation in an L-mode plasma

Abstract Ion orbit loss has been used to model the formation of a strong negative radial electric field E r in the tokamak edge, as well as edge momentum transport and toroidal rotation. To quantitatively measure ion orbit loss, an orbit-flux formulation has been developed and numerically applied to the gyrokinetic particle-in-cell code XGC. We study collisional ion orbit loss in an axisymmetric DIII-D L-mode plasma using gyrokinetic ions and drift-kinetic electrons. Numerical simulations, where the plasma density and temperature profiles are maintained through neutral ionization and heating, show the formation of a quasisteady negative E r in the edge. We have measured a radially outgoing ion gyrocenter flux due to collisional scattering of ions into the loss orbits, which is balanced by the radially incoming ion gyrocenter flux from confined orbits on the collisional time scale. This suggests that collisional ion orbit loss can shift E r in the negative direction compared to that in plasmas without orbit loss. It is also found that collisional ion orbit loss can contribute to a radially outgoing (counter-current) toroidal-angular-momentum flux, which is not balanced by the toroidal-angular-momentum flux carried by ions on the confined orbits. Therefore, the edge toroidal rotation shifts in the co-current direction on the collisional time scale.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Formation of SMBH seeds in Population III star clusters through collisions: the importance of mass loss

ABSTRACT Runaway collisions in dense clusters may lead to the formation of supermassive black hole (SMBH) seeds, and this process can be further enhanced by accretion, as recent models of SMBH seed formation in Population III star clusters have shown. This may explain the presence of SMBHs already at high redshift, z > 6. However, in this context, mass loss during collisions was not considered and could play an important role for the formation of the SMBH seed. Here, we study the effect of mass loss, due to collisions of protostars, in the formation and evolution of a massive object in a dense primordial cluster. We consider both constant mass-loss fractions as well as analytic models based on the stellar structure of the collision components. Our calculations indicate that mass loss can significantly affect the final mass of the possible SMBH seed. Considering a constant mass loss of 5 per cent for every collision, we can lose between 60–80 per cent of the total mass that is obtained if mass loss were not considered. Using instead analytical prescriptions for mass loss, the mass of the final object is reduced by 15–40 per cent, depending on the accretion model for the cluster we study. Altogether, we obtain masses of the order of $10^4\, \mathrm{M}_{\odot }$, which are still massive enough to be SMBH seeds.

Alister Seguel, P. J.↗

Scaling properties of fractional momentum loss of high- p T hadrons in nucleus-nucleus collisions at s N N from 62.4 GeV to 2.76 TeV

We present measurements of the fractional momentum loss (S loss = delta pT / pT ) of high-transverse-momentum-identified hadrons in heavy-ion collisions. Using pi 0 in Au + Au and Cu + Cu collisions at √s NN = 62.4 and 200 GeV measured by the PHENIX experiment at the Relativistic Heavy Ion Collider and and charged hadrons in Pb + Pb collisions measured by the ALICE experiment at the Large Hadron Collider, we studied the scaling properties of S loss as a function of a number of variables: the number of participants, N part , the number of quark participants, N qp , the charged-particle density, dN ch /d η , and the Bjorken energy density times the equilibration time, epsilon Bj τ 0 . We also find that the p T , where S loss has its maximum, varies both with centrality and collision energy. Above the maximum, S loss tends to follow a power-law function with all four scaling variables. Finally, the data at √s NN = 200 GeV and 2.76 TeV, for sufficiently high particle densities, have a common scaling of S loss with dN ch /d η and ε Bj τ 0 , lending insight into the physics of parton energy loss.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗

Modeling of RMS Current in CSI Filter Capacitor and Minimum Conduction Loss Operation of CSI-Fed PMSM Drives for Traction Applications

This paper presents a new minimum conduction loss (MCL) torque control algorithm for current source inverter- (CSI-) fed permanent-magnet synchronous machine drives that improves the overall machine drive efficiency by minimizing the combined conduction losses in the inverter and machine at each operating point. First, analytical models of conduction losses in CSI-fed motor drives are presented, and a closed-form expression for optimal d-axis stator current to achieve MCL operation is derived. An expression for the rms current in both wye- and delta-connected CSI output capacitors is derived. A detailed simulation model that emulates the operation of a 100 kW SiC CSI-fed integrated machine drive (IMD) has been developed based on experimental results and finite element analysis. This simulation model is used to evaluate the proposed MCL control algorithm applied to a CSI-fed IMD system for a battery-electric vehicle traction drive, and the predicted total drive system loss with MCL control is compared to predicted losses with maximum-torque-per-ampere (MTPA) and minimum dc-link current (MDCC) control. Results show that MCL control can achieve loss reductions compared to the other two control algorithms over a wide range of operating conditions, with significant loss reductions >20% in the medium-speed regime.

42 ENGINEERING↗

Analysis of implant loss risk factors after simultaneous guided bone regeneration: A retrospective study of 5404 dental implants

Abstract Purpose The purpose was to analyze the risk factors for implant loss after simultaneous guided bone regeneration (GBR). Materials and Methods Patients who underwent implant placement with simultaneous GBR between January 2011 and December 2018 were screened for this study. The cumulative survival rate (CSR) was calculated using the life table method. Log‐rank test and Kaplan–Meier survival estimates were used to identify potential risk factors for implant loss. The association between the investigated variables and implant loss was determined using hazard ratios (HRs) obtained from a multivariate Cox regression analysis. Results A total of 3973 patients with 5404 implants were included in this study. The CSRs of the implants at 1, 5, and 10 years were 99.6%, 98.9%, and 98.7%, respectively. Male patient (HR = 2.94, 95% CI: 1.41–6.14), periodontitis (HR = 4.26, 95% CI: 2.05–9.86), tissue‐level implants (HR = 3.02, 95% CI: 1.30–6.98), narrow implants (HR = 2.71, 95% CI: 1.12–6.57), and implant length ≤10 mm (HR = 2.91, 95% CI: 1.41–6.02) significantly increased the risk of implant loss ( p < 0.05). The risk of implant loss was significantly higher in the maxillary posterior region (HR = 2.26, 95% CI: 1.04–4.90) than in the maxillary anterior region ( p < 0.05). Compared to Straumann, Nobel (HR = 4.07, 95% CI: 1.75–9.44) and other implant systems (HR = 14.23, 95% CI: 4.32–46.85) showed a significantly higher risk of implant loss ( p < 0.05). Conclusion Male patient, periodontitis, maxillary posterior region, Nobel implant system, other implant systems, tissue‐level implants, narrow implants, and implant length ≤10 mm were considered risk factors for implant loss after simultaneous GBR.

Shen, Xiaoting↗

VEGFA165 gene therapy ameliorates blood-labyrinth barrier breakdown and hearing loss

Millions of people are affected by hearing loss. Hearing loss is frequently caused by noise or aging and often associated with loss of pericytes. Pericytes populate the small vessels in the adult cochlea. However, their role in different types of hearing loss is largely unknown. Using an inducible and conditional pericyte depletion mouse model and noise-exposed mouse model, we show that loss of pericytes leads to marked changes in vascular structure, in turn leading to vascular degeneration and hearing loss. In vitro, using advanced tissue explants from pericyte fluorescence reporter models combined with exogenous donor pericytes, we show that pericytes, signaled by VEGF isoform A165 (VEGFA165), vigorously drive new vessel growth in both adult and neonatal mouse inner ear tissue. In vivo, the delivery of an adeno-associated virus serotype 1–mediated (AAV1–mediated) VEGFA165 viral vector to pericyte-depleted or noise-exposed animals prevented and regenerated lost pericytes, improved blood supply, and attenuated hearing loss. These studies provide the first clear-cut evidence that pericytes are critical for vascular regeneration, vascular stability, and hearing in adults. The restoration of vascular function in the damaged cochlea, including in noise-exposed animals, suggests that VEGFA165 gene therapy could be a new strategy for ameliorating vascular associated hearing disorders.

60 APPLIED LIFE SCIENCES↗