Gender Disparities in Surgical Treatment of Axis Fractures in Older Adults

Study Design: Retrospective cohort study. Objectives: Gender appears to play in important role in surgical outcomes following acute cervical spine trauma, with current literature suggesting males have a significantly higher mortality following spine surgery. However, no well-adjusted population-based studies of gender disparities in incidence and outcomes of spine surgery following acute traumatic axis injuries exist to our knowledge. We hypothesized that females would receive surgery less often than males, but males would have a higher 1-year mortality following isolated traumatic axis fractures. Methods: We performed a retrospective cohort study using Medicare claims data that identified US citizens aged 65 and older with ICD-9 (International Classification of Diseases, Ninth Revision) code diagnosis corresponding to isolated acute traumatic axis fracture between 2007 and 2014. Our primary outcome was defined as cumulative incidence of surgical treatment, and our secondary outcome was 1-year mortality. Propensity weighted analysis was performed to balance covariates between genders. Our institutional review board approved the study (IRB #16-0533). Results: There was no difference in incidence of surgery between males and females following acute isolated traumatic axis fractures (7.4 and 7.5 per 100 fractures, respectively). Males had significantly higher 1-year weighted mortality overall (41.7 and 28.9 per 100 fractures, respectively, P < .001). Conclusion: Our well-adjusted data suggest there was no significant gender disparity in incidence of surgical treatment over the study period. The data also support previous observations that males have worse outcomes in comparison to females in the setting of axis fractures and spinal trauma regardless of surgical intervention

Chirality-Induced Magnetization of Magnetite by an RNA Precursor

Life is homochiral and homochirality is a fundamental feature of living systems on Earth. While the exact mechanism that led to homochirality is still not fully understood, any realistic scenario on the origins of life needs to address the emergence of homochirality. In order to impose and maintain chirality in a prebiotic network, an environmental factor functioning as a chiral agent is demanded. Magnetized surfaces are prebiotically plausible chiral agents, shown to be effective in enantioseparation of ribose-aminooxazoline (RAO), a ribonucleic acid (RNA) precursor, due to the chiral-induced spin selectivity (CISS) effect. As such, mechanisms for breaking the magnetic symmetry of magnetic minerals are of the utmost importance. Here we report the avalanche magnetization of magnetite $(Fe_{3}O_{4})$ by the crystallization of enantiopure RAO. The observed breaking of the magnetic symmetry is induced by the chiral molecules due to the CISS effect and spreads out across the magnetic surface like an avalanche, providing a way to uniformly magnetize a magnetic surface without fully covering it. Considered together with our previous results on enantioseparation by crystallization on a magnetic surface, chirality-induced avalanche magnetization paves the way for a cooperative feedback between chiral molecules and magnetic surfaces. With this feedback, a weak natural bias in the net magnetization can be amplified and spin-selective processes can be accommodated on magnetic minerals on a persistent basis.Comment: 19 pages, 6 figure

Variant Prostate Carcinoma and Elevated Serum CA-125

Introduction—About 10% of tumors derived from nongynecologic, noncoelomic tissues react with the OC125 antibody. Some patients with advanced prostate cancer were found to have elevated serum CA-125 level. Materials and Methods—We examined the clinical history of 11 patients with castration-resistant prostate cancer and an elevated serum CA-125 level. Pathological review and immunohistochemical staining were performed on tumors from 8 of these patients. Results—Patients with advanced prostate cancer and an elevated serum CA-125 level responded to androgen ablative therapy (median duration, 27 months). They were predisposed to develop persistent or recurrent urinary symptoms and visceral metastases. Eight of 11 patients had a low or undetectable serum prostate-specific antigen level (≤4 ng/ml) or an elevated serum carcinoembryonic antigen level (>6 ng/ml). In 3 of 7 patients whose specimens were available for further review, the tumors contained histologic features compatible with a diagnosis of ductal or endometrioid adenocarcinoma of the prostate. Conclusions—Patients with prostate cancer and an elevated serum CA-125 level have unique clinical and pathologic characteristics. Some of these patients possess tumors compatible with a subtype of prostate cancer known as ductal adenocarcinoma. Additional studies need to be performed to elucidate the biologic basis of the various subtypes of prostate cancer

Robust estimation of bacterial cell count from optical density

Optical density (OD) is widely used to estimate the density of cells in liquid culture, but cannot be compared between instruments without a standardized calibration protocol and is challenging to relate to actual cell count. We address this with an interlaboratory study comparing three simple, low-cost, and highly accessible OD calibration protocols across 244 laboratories, applied to eight strains of constitutive GFP-expressing E. coli. Based on our results, we recommend calibrating OD to estimated cell count using serial dilution of silica microspheres, which produces highly precise calibration (95.5% of residuals &lt;1.2-fold), is easily assessed for quality control, also assesses instrument effective linear range, and can be combined with fluorescence calibration to obtain units of Molecules of Equivalent Fluorescein (MEFL) per cell, allowing direct comparison and data fusion with flow cytometry measurements: in our study, fluorescence per cell measurements showed only a 1.07-fold mean difference between plate reader and flow cytometry data

Use of C2 vertebroplasty and stereotactic radiosurgery for treatment of lytic metastasis of the odontoid process

Improvements in cancer therapy have led to increased patient survival times in spite of metastatic spinal disease in many forms of cancer. Conventional treatment methods often employ radiotherapy with or without surgery depending on the neurological status, mechanical instability, and the extent of tumor. Percutaneous vertebroplasty as well as stereotactic radiosurgery (SRS) have arisen as common modalities of treatment of spinal metastasis in which neurological compromise or spinal instability and deformity is not of significant concern. These treatments, when used in combination, have been shown to provide early pain relief and effective tumor control while avoiding surgical resection, fixation, and lengthy recovery times. We present a case unique in the literature for the use of this combination treatment for tumors of the C2 vertebral body. While limited in application to patients without overt atlantoaxial instability or significant spinal canal compromise, we believe it provides a significant benefit in decreasing morbidity and improving early adherence to systemic therapy

Propagation of Cylindrical and Spherical Explosion Waves in an Exponential Medium

Solutions for a strong point or line explosion, in a medium whose density increases under low constant pressure, are obtained in this paper. The disturbance is headed by a shock surface and the total energy of the wave increase with time

Easily processable spin filters: exploring the chiral induced spin selectivity of bowl-shaped chiral subphthalocyanines

High spin polarization (SP) in studies of chiral induced spin selectivity (CISS) is only observed when chiral molecules are properly organized. This is generally achieved by using anchoring groups or complex supramolecular polymers. A new class of spin filters based on bowl-shaped aromatics is reported, which form high-quality thin-films by simply spin-coating and displaying high spin filtering properties. In particular, we fabricate devices containing enantiopure tribromo-subphthalocyanines (SubPcs), and measure the CISS effect by means of magnetic conductive probe atomic force microscopy (mc-AFM). Circular dichroism and AFM experiments reveal that the resulting thin-film presents a well-ordered chiral structure. Remarkably, the resulting devices show SPs as high as ca. 50%, which are comparable to those obtained by using the current complex methodologies. These results boost the potential of bowl-shaped aromatics as easily processable spin filters, opening new frontiers toward realistic and efficient spintronic devices based on the CISS effectWe gratefully acknowledge nancial support from the Spanish MINECO through the Project PID2020-116490GB-I00. We also thank nancial support to the Comunidad de Madrid and the Spanish State through the Recovery, Transformation and Resilience Plan [“Materiales Disruptivos Bidimensionales (2D)” (MAD2D-CM) (UAM1)-MRR Materiales Avanzados], and the European Union through the Next Generation EU funds. IMDEA Nanociencia acknowledges support from the “Severo Ochoa” Programme for Centres of Excellence in R&D (MINECO, Grant SEV2016-0686). J. L. acknowledges MECD, Spain, for a F. P. U. fellowship. R. N. acknowledges the partial support of the USAFSOR Grant FA9550-21-1-041