Topography driven spreading

Roughening a hydrophobic surface enhances its nonwetting properties into superhydrophobicity. For liquids other than water, roughness can induce a complete rollup of a droplet. However, topographic effects can also enhance partial wetting by a given liquid into complete wetting to create superwetting. In this work, a model system of spreading droplets of a nonvolatile liquid on surfaces having lithographically produced pillars is used to show that superwetting also modifies the dynamics of spreading. The edge speed-dynamic contact angle relation is shown to obey a simple power law, and such power laws are shown to apply to naturally occurring surfaces

Smoking desire and dyspnea status of patients with lung cancer in Turkey

Objective: Although it is known that there are health risks associated with smoking, patients with lung cancer continue to smoke, which leads to a decrease in survival. The present study aimed to investigate the relationship between the desire to smoke and dyspnea in patients with lung cancer. Participants and Methods: This descriptive cross-sectional study was conducted in the medical oncology outpatient clinic and medical oncology outpatient unit of Konya City Hospital in Turkey. The sample consisted of 157 volunteer patients who met the inclusion criteria. The data were collected using the Personal Information Form, the Dyspnea-12 Scale, and the Questionnaire of Smoking Urges. Results: It was found that the number of patients with lung cancer who continue to smoke is at a rate that cannot be ignored and their desire to smoke continues. The study revealed a moderate negative relationship between the duration of smoking cessation and the desire to smoke, and a weak positive relationship between the total years of smoking and the desire to smoke (p=0.000). It was found that the dyspnea status of lung cancer patients significantly predicted the desire to smoke (p<0.05). Conclusions: When the desire to smoke and the dyspnea status of patients with lung cancer were evaluated, it was revealed that dyspnea had a positive effect on the desire to smoke. All active smokers should be encouraged to quit smoking, especially those undergoing screening or treatment for lung cancer

FINE: Fisher Information Non-parametric Embedding

We consider the problems of clustering, classification, and visualization of high-dimensional data when no straightforward Euclidean representation exists. Typically, these tasks are performed by first reducing the high-dimensional data to some lower dimensional Euclidean space, as many manifold learning methods have been developed for this task. In many practical problems however, the assumption of a Euclidean manifold cannot be justified. In these cases, a more appropriate assumption would be that the data lies on a statistical manifold, or a manifold of probability density functions (PDFs). In this paper we propose using the properties of information geometry in order to define similarities between data sets using the Fisher information metric. We will show this metric can be approximated using entirely non-parametric methods, as the parameterization of the manifold is generally unknown. Furthermore, by using multi-dimensional scaling methods, we are able to embed the corresponding PDFs into a low-dimensional Euclidean space. This not only allows for classification of the data, but also visualization of the manifold. As a whole, we refer to our framework as Fisher Information Non-parametric Embedding (FINE), and illustrate its uses on a variety of practical problems, including bio-medical applications and document classification.Comment: 30 pages, 21 figure

Thoracolumbar injury classification and severity score: a new paradigm for the treatment of thoracolumbar spine trauma

BACKGROUND: Contemporary understanding of the biomechanics, natural history, and methods of treating thoracolumbar spine injuries continues to evolve. Current classification schemes of these injuries, however, can be either too simplified or overly complex for clinical use. METHODS: The Spine Trauma Group was given a survey to identify similarities in treatment algorithms for common thoracolumbar injuries, as well as to identify characteristics of injury that played a key role in the decision-making process. RESULTS: Based on the survey, the Spine Trauma Group has developed a classification system and an injury severity score (thoracolumbar injury classification and severity score, or TLICS), which may facilitate communication between physicians and serve as a guideline for treating these injuries. The classification system is based on the morphology of the injury, integrity of the posterior ligamentous complex, and neurological status of the patient. Points are assigned for each category, and the final total points suggest a possible treatment option. CONCLUSIONS: The usefulness of this new system will have to be proven in future studies investigating inter- and intraobserver reliability, as well as long-term outcome studies for operative and nonoperative treatment methods

Association among SNAP-25 gene DdeI and MnlI polymorphisms and hemodynamic changes during methylphenidate use: A functional near-infrared spectroscopy study

Objective: To investigate the interaction of treatment-related hemodynamic changes with genotype status for Synaptosomal associated protein 25 (SNAP-25) gene in participants with attention deficit hyperactivity disorder (ADHD) on and off single dose short-acting methylphenidate treatment with functional near-infrared spectroscopy (fNIRS). Method: A total of 15 right-handed adults and 16 right-handed children with DSM-IV diagnosis of ADHD were evaluated. Ten milligrams of short-acting methylphenidate was administered in a crossover design. Results: Participants with SNAP-25 DdeI T/T genotype had decreased right deoxyhemoglobin ([HHb]) with treatment. SNAP-25 MnlI genotype was also associated with right deoxyhemoglobin ([HbO2]) and [HHb] changes as well as left [HHb] change. When the combinations of these genotypes were taken into account, the participants with [DdeI C/C or T/C and MnlI G/G or T/G] genotype had increased right [HHb] with MPH use whereas the participants with [DdeI T/T and MnlI T/T] or [DdeI T/T and MnlI G/G or T/G] genotypes had decreased right prefrontal [HHb]. Conclusions: These results suggested that SNAP-25 polymorphism might be associated with methylphenidate induced brain hemodynamic changes in ADHD participants. © 2011 SAGE Publications

Health professionals’ perspective on the applicability of AO Spine PROST (patient reported outcome Spine trauma) in people with a motor-complete traumatic or non-traumatic spinal cord injury

Purpose: The AO Spine PROST (Patient Reported Outcome Spine Trauma) was developed for people with spine trauma and minor or no neurological impairment. The purpose is to investigate health professionals’ perspective on the applicability of the AO Spine PROST for people with motor-complete traumatic or non-traumatic spinal cord injury (SCI), using a discussion meeting and international survey study. Methods: A discussion meeting with SCI rehabilitation physicians in the Netherlands was performed, followed by a worldwide online survey among the AO Spine International community, involved in the care of people with SCI. Participants rated the comprehensibility, relevance, acceptability, feasibility and completeness of the AO Spine PROST on a 1–5 point scale (5 most positive). Comments could be provided per question. Results: The discussion meeting was attended by 13 SCI rehabilitation physicians. The survey was completed by 196 participants. Comprehensibility (mean ± SD: 4.1 ± 0.8), acceptability (4.0 ± 0.8), relevance (3.9 ± 0.8), completeness (3.9 ± 0.8), and feasibility (4.1 ± 0.7) of the AO Spine PROST were rated positively for use in people with motor-complete traumatic or non-traumatic SCI. Only a few participants questioned the relevance of items on the lower extremities (e.g., walking) or missed items on pulmonary functioning and complications. Some recommendations were made for improvement in instructions, terminology and examples of the tool. Conclusion: Health professionals found the AO Spine PROST generally applicable for people with motor-complete traumatic or non-traumatic SCI. This study provides further evidence for the use of the AO Spine PROST in spine trauma care, rehabilitation and research, as well as suggestions for its further development.</p

Variation in global treatment for subaxial cervical spine isolated unilateral facet fractures.

PURPOSE To determine the variation in the global treatment practices for subaxial unilateral cervical spine facet fractures based on surgeon experience, practice setting, and surgical subspecialty. METHODS A survey was sent to 272 members of the AO Spine Subaxial Injury Classification System Validation Group worldwide. Questions surveyed surgeon preferences with regard to diagnostic work-up and treatment of fracture types F1-F3, according to the AO Spine Subaxial Cervical Spine Injury Classification System, with various associated neurologic injuries. RESULTS A total of 161 responses were received. Academic surgeons use the facet portion of the AO Spine classification system less frequently (61.6%) compared to hospital-employed and private practice surgeons (81.1% and 81.8%, respectively) (p = 0.029). The overall consensus was in favor of operative treatment for any facet fracture with radicular symptoms (N2) and for any fractures categorized as F2N2 and above. For F3N0 fractures, significantly less surgeons from Africa/Asia/Middle East (49%) and Europe (59.2%) chose operative treatment than from North/Latin/South America (74.1%) (p = 0.025). For F3N1 fractures, significantly less surgeons from Africa/Asia/Middle East (52%) and Europe (63.3%) recommended operative treatment than from North/Latin/South America (84.5%) (p = 0.001). More than 95% of surgeons included CT in their work-up of facet fractures, regardless of the type. No statistically significant differences were seen in the need for MRI to decide treatment. CONCLUSION Considerable agreement exists between surgeon preferences with regard to unilateral facet fracture management with few exceptions. F2N2 fracture subtypes and subtypes with radiculopathy (N2) appear to be the threshold for operative treatment

Keynote Lecture – The Interplay of Multiple Hazards and Urban Development: The context of Istanbul

Tomorrow’s Cities is the UK Research and Innovation (UKRI) Global Challenges Research Fund (GCRF) Urban Disaster Risk Hub – an interdisciplinary research hub with the aim to catalyse a transition from crisis management to multi-hazard risk-informed and inclusive planning in four cities in low-and-middle income countries. Istanbul in Turkey is one of the four cities investigated. It is one of the largest urban agglomerations in Europe where more than 15 million people reside in more than 1 million buildings. Considering that the population was 4.75 million in 1980, Istanbul’s urban sprawl was inevitable. Due to an imbalance between the population growth and housing supply, Istanbul’s urbanization was shaped by illegal construction processes producing the gecekondus in almost every part of the city (Gencer and Mentese, 2016). Unplanned urban expansion was so rapid that the urban master plan of 1980, which set the limits and strategies for urban development, became completely invalid by 1989 (Tapan, 1998). This situation led to the development of a new urban master plan in 1994 that included geoscientific analysis, and which highlighted the possibility of losses due to an earthquake on the segments of the North Anatolian Fault in the Marmara Sea. Uncontrolled and unplanned development continued in Istanbul until 1999 when two major earthquakes hit the region causing at least 18.000 deaths and $16 billion economic loss. These events changed the authorities’ perspective to earthquake risk and its mitigation. As a result, the 1998 earthquake resistant design code (published one year before the 1999 earthquakes) was widely embraced and implemented. Furthermore, several urban transformation projects have taken place in the last 20 years for reducing disaster risk. These have had varied success, with research to date showing that areas selected for urban transformation were often chosen on the basis of land value rather than hazard risk, and that a pro-poor approach is missing. Despite these efforts, Istanbul’s earthquake risk remains high. Furthermore, recent urban development plans are seeing the city expand into undeveloped lands to the west, increasing exposure to new hazards, namely flash flooding and landslides. The combined impact of these hazards is not evenly distributed, and the associated risks are heightened by poor infrastructural resilience and social vulnerabilities. Therefore, it is crucial to integrate different types of hazards and risks into the urban development context for future scenarios, so that a physically and socio-economically safer development that prioritizes the wellbeing of local communities can be facilitated. This presentation summarises the research conducted in Istanbul over the first 18 months of the Tomorrow’s Cities Project by a consortium of Turkish and UK researchers. This research spans the better characterisation of earthquake and landslide hazards, development of analysis methods for predicting the response of case study buildings to multiple hazards and a Bayesian network based approach for assessing road infrastructure resilience under multiple hazard scenarios. Furthermore, plans for building a Resilient Urban Development Decision Support Environment (RUD-DSE) for communicating the relevance of this research on future urban planning is described

Curative Chemoradiotherapy of Primary Pancreatic Lymphoma with Vertebral Metastasis: Palliation of Persistent Biliary Stricture by Roux-en-Y Hepaticojejunostomy

Primary pancreatic lymphoma (PPL) is a rare tumor that usually presents with the clinical picture of advanced adenocarcinoma but has a much better prognosis. A 38-year-old man was referred after percutaneous transhepatic external biliary drainage for obstructive jaundice. Abdominal magnetic resonance imaging (MRI) and magnetic resonance cholangiopancreatography had revealed a 5-cm pancreatic head mass that caused biliary tract dilation. Computed tomography angiography showed that the mass encased the celiac trunk as well as the common hepatic and splenic arteries. MRI also revealed a metastatic lesion at the third lumbar vertebra. Serum carcinoembryonic antigen and carbohydrate antigen 19-9 levels were within normal range. The initial diagnosis was inoperable pancreatic adenocarcinoma; however, Tru-Cut pancreatic biopsy showed a large B cell lymphoma. After 6 sessions of chemotherapy and 21 sessions of radiotherapy, both the pancreatic mass and the vertebral metastasis had disappeared. However, he had persistent distal common bile duct stricture that could not be negotiated by either the endoscopic or percutaneous route. A Roux-en-Y hepaticojejunostomy was performed. The patient stayed alive without recurrence for 52 months after the initial diagnosis and 45 months after completion of oncologic treatment. In conclusion, a large pancreatic mass with grossly involved peripancreatic lymph nodes, without ascites, liver or splenic metastasis, should alert the clinician to the possibility of PPL. Cure is possible by chemoradiotherapy even in the presence of vertebral metastasis. Persistent stricture in the distal common bile duct may require a biliodigestive anastomosis

Being tolerated and being discriminated against:Links to psychological well-being through threatened social identity needs

We investigated whether and how the experience of being tolerated and of being discriminated against are associated with psychological well‐being in three correlational studies among three stigmatized groups in Turkey (LGBTI group members, people with disabilities, and ethnic Kurds, total N = 862). Perceived threat to social identity needs (esteem, meaning, belonging, efficacy, and continuity) was examined as a mediator in these associations. Structural equation models showed evidence for the detrimental role of both toleration and discrimination experiences on positive and negative psychological well‐being through higher levels of threatened social identity needs. A mini‐meta analysis showed small to moderate effect sizes and toleration was associated with lower positive well‐being through threatened needs among all three stigmatized groups