Ovarian metastases from colorectal cancer (CRC), also known as Krukenberg Tumors (KT), occur in about 3 per cent of all colorectal cancer patients and make up between 5 to 10 per cent of all colorectal metastases. We sought to determine the effects of presentation of KT on treatment patterns and outcomes of patients diagnosed with KT. Under institutional approval, 26 patients diagnosed with KT were identified from an institutional CRC database from 1994 to 2010. Twenty-two patients presented at the same time of their CRC diagnosis and four patients presented after diagnosis and treatment of their primary CRC. Demographic presentation and treatment patterns were similar between the two groups. There was no overall survival difference between the two groups. The median overall survival in the entire cohort was 27 months. Factors affecting survival may include the extent of metastases and age at time of presentation. Patients who present with metastasis to the ovary alone may trend towards a better overall survival than patients who present with metastases to additional other sites.
Solar energy is the cleanest and most abundant form of energy that can be obtained from the Sun. Solar panels convert this energy to generate solar power, which can be used for various electrical purposes, particularly in rural areas. Maximum solar power can be generated only when the Sun is perpendicular to the panel, which can be achieved only for a few hours when using a fixed solar panel system, hence the development of an automatic solar tracking system. Over the years, different solar tracking systems have been proposed and developed, and a few have been reviewed in the literature. However, the existing review works have not adequately provided a comprehensive survey and taxonomies of these solar tracking systems to show the trends and possible further research direction. This paper aims to bridge these gaps by extensively reviewing these time-based solar tracking systems based on axis rotation and drive types. Lessons learned from the comprehensive review have been highlighted and discussed. Finally, critical open research issues are identified and elaborated.
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