Self-Reinforced Biodegradable Screw Fixation Compared With Titanium Screw Fixation in Mandibular Advancement

This report compares the skeletal stability and treatment outcomes of 2 similar cohorts undergoing bilateral sagittal osteotomies of the mandible for advancement. The study groups included patients stabilized with 2-mm self-reinforced polylactate (PLLDL 70/30), biodegradable screws (group B), and 2-mm titanium screws placed in a positional fashion (group T)

A Stellar Mass Threshold for Quenching of Field Galaxies

We demonstrate that dwarf galaxies (10^7 < M_stellar < 10^9 Msun) with no active star formation are extremely rare (<0.06%) in the field. Our sample is based on the NASA-Sloan Atlas which is a re-analysis of the Sloan Digital Sky Survey Data Release 8. We examine the relative number of quenched versus star forming dwarf galaxies, defining quenched galaxies as having no Halpha emission (EW_Halpha < 2 AA) and a strong 4000AA-break. The fraction of quenched dwarf galaxies decreases rapidly with increasing distance from a massive host, leveling off for distances beyond 1.5 Mpc. We define galaxies beyond 1.5 Mpc of a massive host galaxy to be in the field. We demonstrate that there is a stellar mass threshold of M_stellar < 1.0x10^9 Msun below which quenched galaxies do not exist in the field. Below this threshold, we find that none of the 2951 field dwarf galaxies are quenched; all field dwarf galaxies show evidence for recent star formation. Correcting for volume effects, this corresponds to a 1-sigma upper limit on the quenched fraction of 0.06%. In more dense environments, quenched galaxies account for 23% of the dwarf population over the same stellar mass range. The majority of quenched dwarf galaxies (often classified as dwarf elliptical galaxies) are within 2 virial radii of a massive galaxy, and only a few percent of quenched dwarf galaxies exist beyond 4 virial radii. Thus, for galaxies with stellar mass less than 1.0x10^9 Msun, ending star-formation requires the presence of a more massive neighbor, providing a stringent constraint on models of star formation feedback.Comment: 9 pages, 6 figures, accepted to Ap

Counts-in-Cylinders in the Sloan Digital Sky Survey with Comparisons to N-body Simulations

Environmental statistics provide a necessary means of comparing the properties of galaxies in different environments and a vital test of models of galaxy formation within the prevailing, hierarchical cosmological model. We explore counts-in-cylinders, a common statistic defined as the number of companions of a particular galaxy found within a given projected radius and redshift interval. Galaxy distributions with the same two-point correlation functions do not necessarily have the same companion count distributions. We use this statistic to examine the environments of galaxies in the Sloan Digital Sky Survey, Data Release 4. We also make preliminary comparisons to four models for the spatial distributions of galaxies, based on N-body simulations, and data from SDSS DR4 to study the utility of the counts-in-cylinders statistic. There is a very large scatter between the number of companions a galaxy has and the mass of its parent dark matter halo and the halo occupation, limiting the utility of this statistic for certain kinds of environmental studies. We also show that prevalent, empirical models of galaxy clustering that match observed two- and three-point clustering statistics well fail to reproduce some aspects of the observed distribution of counts-in-cylinders on 1, 3 and 6-Mpc/h scales. All models that we explore underpredict the fraction of galaxies with few or no companions in 3 and 6-Mpc/h cylinders. Roughly 7% of galaxies in the real universe are significantly more isolated within a 6 Mpc/h cylinder than the galaxies in any of the models we use. Simple, phenomenological models that map galaxies to dark matter halos fail to reproduce high-order clustering statistics in low-density environments.Comment: 17 pages, 10 figures. Accepted, Ap

STING expression and response to treatment with STING ligands in premalignant and malignant disease.

Human papilloma virus positive (HPV+) tumors represent a large proportion of anal, vulvar, vaginal, cervical and head and neck squamous carcinomas (HNSCC) and late stage invasive disease is thought to originate from a premalignant state. Cyclic dinucleotides that activate STimulator of INterferon Genes (STING) have been shown to cause rapid regression of a range of advanced tumors. We aimed to investigate STING ligands as a novel treatment for papilloma. We tested therapies in a spontaneous mouse model of papilloma of the face and anogenital region that histologically resembles human HPV-associated papilloma. We demonstrate that STING ligands cause rapid regression of papilloma, associated with T cell infiltration, and are significantly more effective than Imiquimod, a current immunotherapy for papilloma. In humans, we show that STING is expressed in the basal layer of normal skin and lost during keratinocyte differentiation. We found STING was expressed in all HPV-associated cervical and anal dysplasia and was strongly expressed in the cancer cells of HPV+ HNSCC but not in HPV-unrelated HNSCC. We found no strong association between STING expression and progressive disease in non-HPV oral dysplasia and oral pre-malignancies that are not HPV-related. These data demonstrate that STING is expressed in basal cells of the skin and is retained in HPV+ pre-malignancies and advanced cancers, but not in HPV-unrelated HNSCC. However, using a murine HNSCC model that does not express STING, we demonstrate that STING ligands are an effective therapy regardless of expression of STING by the cancer cells

Halo orbits in cosmological disk galaxies : tracers of information history

We analyze the orbits of stars and dark matter particles in the halo of a disk galaxy formed in a cosmological hydrodynamical simulation. The halo is oblate within the inner ∼20 kpc and triaxial beyond this radius. About 43% of orbits are short axis tubes—the rest belong to orbit families that characterize triaxial potentials (boxes, long-axis tubes and chaotic orbits), but their shapes are close to axisymmetric. We find no evidence that the self-consistent distribution function of the nearly oblate inner halo is comprised primarily of axisymmetric short-axis tube orbits. Orbits of all families and both types of particles are highly eccentric, with mean eccentricity �0.6. We find that randomly selected samples of halo stars show no substructure in “integrals of motion” space. However, individual accretion events can clearly be identified in plots of metallicity versus formation time. Dynamically young tidal debris is found primarily on a single type of orbit. However, stars associated with older satellites become chaotically mixed during the formation process (possibly due to scattering by the central bulge and disk, and baryonic processes), and appear on all four types of orbits. We find that the tidal debris in cosmological hydrodynamical simulations experiences significantly more chaotic evolution than in collisionless simulations, making it much harder to identify individual progenitors using phase space coordinates alone. However, by combining information on stellar ages and chemical abundances with the orbital properties of halo stars in the underlying self-consistent potential, the identification of progenitors is likely to be possible

A model for the postcollapse equilibrium of cosmological structure: truncated isothermal spheres from top-hat density perturbations

The postcollapse structure of objects which form by gravitational condensation out of the expanding cosmological background universe is a key element in the theory of galaxy formation. Towards this end, we have reconsidered the outcome of the nonlinear growth of a uniform, spherical density perturbation in an unperturbed background universe - the cosmological ``top-hat'' problem. We adopt the usual assumption that the collapse to infinite density at a finite time predicted by the top-hat solution is interrupted by a rapid virialization caused by the growth of small-scale inhomogeneities in the initial perturbation. We replace the standard description of the postcollapse object as a uniform sphere in virial equilibrium by a more self-consistent one as a truncated, nonsingular, isothermal sphere in virial and hydrostatic equilibrium, including for the first time a proper treatment of the finite-pressure boundary condition on the sphere. The results differ significantly from both the uniform sphere and the singular isothermal sphere approximations for the postcollapse objects. These results will have a significant effect on a wide range of applications of the Press-Schechter and other semi-analytical models to cosmology. The truncated isothermal sphere solution presented here predicts the virial temperature and integrated mass distribution of the X-ray clusters formed in the CDM model as found by detailed, 3D, numerical gas and N-body dynamical simulations remarkably well. This solution allows us to derive analytically the numerically-calibrated mass-temperature and radius-temperature scaling laws for X-ray clusters which were derived empirically by Evrard, Metzler and Navarro from simulation results for the CDM model. (Shortened)Comment: 29 pages, 7 ps figures, MNRAS-style, LaTeX. Accepted for publication in MNRAS. Minor revisions only (including additional panel in Fig.3 and additional comparison with X-ray cluster simulations

Fast and accurate modelling of longitudinal and repeated measures neuroimaging data

Despite the growing importance of longitudinal data in neuroimaging, the standard analysis methods make restrictive or unrealistic assumptions (e.g., assumption of Compound Symmetry—the state of all equal variances and equal correlations—or spatially homogeneous longitudinal correlations). While some new methods have been proposed to more accurately account for such data, these methods are based on iterative algorithms that are slow and failure-prone. In this article, we propose the use of the Sandwich Estimator (SwE) method which first estimates the parameters of interest with a simple Ordinary Least Square model and second estimates variances/covariances with the “so-called” SwE which accounts for the within-subject correlation existing in longitudinal data. Here, we introduce the SwE method in its classic form, and we review and propose several adjustments to improve its behaviour, specifically in small samples. We use intensive Monte Carlo simulations to compare all considered adjustments and isolate the best combination for neuroimaging data. We also compare the SwE method to other popular methods and demonstrate its strengths and weaknesses. Finally, we analyse a highly unbalanced longitudinal dataset from the Alzheimer's Disease Neuroimaging Initiative and demonstrate the flexibility of the SwE method to fit within- and between-subject effects in a single model. Software implementing this SwE method has been made freely available at http://warwick.ac.uk/tenichols/SwE

A national registry study of patient and renal survival in adult nephrotic syndrome

Introduction: We aimed to determine the mortality rate, cause of death, and rate of end-stage kidney disease (ESKD) in adults with nephrotic syndrome (NS). Methods: We conducted a national registry–based study, including all 522 adults who had a kidney biopsy for NS in Scotland in 2014–2017. We linked the Scottish Renal Registry to death certificate data. We performed survival and Cox proportional hazards analyses, accounting for competing risks of death and ESKD. We compared mortality rates with those in the age- and sex-matched general population. Results: A total of 372 patients had primary NS; 150 had secondary NS. Over a median follow-up of 866 days, 110 patients (21%) died. In patients with primary NS, observed versus population 3-year mortality was 2.1% (95% CI 0.0%–4.6%) versus 0.9% (0.8%–1.0%) in patients aged &lt;60 years and 24.9% (18.4%–30.8%) versus 9.4% (8.3%–10.5%) in those aged ≥60 years. In secondary NS, this discrepancy was 17.1% (5.6%–27.2%) versus 1.1% (0.9%–1.2%) in &lt;60-year-olds and 49.4% (36.6%–59.7%) versus 8.1% (6.6%–9.6%) in ≥60-year-olds. In primary NS, cardiovascular causes accounted for 28% of deaths, compared with 18% in the general population. Eighty patients (15%) progressed to ESKD. Incidence of ESKD by 3 years was 8.4% (95% CI 4.9%–11.7%) in primary and 35.1% (24.3%–44.5%) in secondary NS. Early remission of proteinuria and the absence of early acute kidney injury (AKI) were associated with lower rates of death and ESKD. Conclusions: Adults with NS have high rates of death and ESKD. Cardiovascular causes account for excess mortality in primary NS