“I Feel Like It’s One of Those Things that Everyone Feels the Same Way About, No One Wants to Discuss It”: A Qualitative Examination of Female College Students’ Pap Smear Experience

The purpose of this study was to examine female college students’ Pap smear experience and communication with their provider before, during, and after the exam. In fall 2019, 158 female college students completed an online survey with closed and open-ended questions. Open-ended responses from participants reporting a previous Pap smear (n=36) were qualitatively analyzed to generate themes to explain female college students’ Pap smear experience and communication behavior with their provider before, during, and after the exam. The main themes identified included: Uncomfortable, Low Patient Engagement, Provider Support, and Provider Trust. Female college students overwhelmingly reported discomfort around the exam and were unaware of how to communicate with their provider; however, participants reported satisfaction with their care when the provider offered support and guidance. Findings suggest a need to develop strategies to address discomfort and enhance female college students’ communication skills with providers concerning the Pap smear exam

The EBR-II X501 Minor Actinide Burning Experiment

The X501 experiment was conducted in EBR II as part of the Integral Fast Reactor program to demonstrate minor actinide burning through the use of a homogeneous recycle scheme. The X501 subassembly contained two metallic fuel elements loaded with relatively small quantities of americium and neptunium. Interest in the behavior of minor actinides (MA) during fuel irradiation has prompted further examination of existing X501 data and generation of new data where needed in support of the U.S. waste transmutation effort. The X501 experiment is one of the few MA bearing fuel irradiation tests conducted worldwide, and knowledge can be gained by understanding the changes in fuel behavior due to addition of MAs. Of primary interest are the effect of the MAs on fuel cladding chemical interaction and the redistribution behavior of americium. The quantity of helium gas release from the fuel and any effects of helium on fuel performance are also of interest. It must be stressed that information presented at this time is based on the limited PIE conducted in 1995–1996 and, currently, represents a set of observations rather than a complete understanding of fuel behavior. This report provides a summary of the X501 fabrication, characterization, irradiation, and post irradiation examination

Development and calibration of an on-line aerosol monitor for PHEBUS test FPT1

An on-line aerosol monitor (OLAM2) has been developed and tested for PHEBUS test FPT1. OLAM2 utilizes new detachable fiber optic cables and sapphire light pipes for light transmission between the OLAM and the electronics. This light transmission system was tested and found to provide better signal-to-noise performance than was achieved with the continuous fibers used for test FPT0. An additional advantage of the detachable fiber/light pipe system is ease of installation. Aerosol testing (OLAM calibration) was performed in order to verify adequate signal-to-noise performance of the new fiber optic system over the specified operating conditions and to check the quantitative light attenuation measurements against theoretical predictions. Results of the testing indicated that light extinction measurements obtained during Phebus tests could be used to estimate aerosol volume concentrations, if diamond window fouling can be avoided. OLAM2 was also subjected to a proof pressure test and a long-term thermal stability test. These tests verified the mechanical and thermal integrity of the OLAM within design specifications. Long-term output signal stability was also verified with the system maintained at design temperature and half-design pressure

Connections among ice, runoff and atmospheric forcing in the Beaufort Gyre

During SHEBA, thin ice and freshening of the Arctic Ocean surface in the Beafort Sea led to speculation that perennial sea ice was disappearing [McPhee et al., 1998]. Since 1987, we have collected salinity, δ¹⁸O and Ba profiles near the initial SHEBA site and, in 1997, we ran a section out to SHEBA. Resolving fresh water into runoff and ice melt, we found a large background of Mackenzie River water with exceptional amounts in 1997 explaining much of the freshening at SHEBA. Ice melt went through a dramatic 4-6 m jump in the early 1990s coinciding with the atmospheric pressure field and sea-ice circulation becoming more cyclonic. The increase in sea-ice melt appears to be a thermal and mechanical response to a circulation regime shift. Should atmospheric circulation revert to the more anticyclonic mode, ice conditions can also be expected to revert although not necessarily to previous conditions.Copyrighted by the American Geophysical Union

Rapid change in freshwater content of the Arctic Ocean

Author Posting. © American Geophysical Union, 2009. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geophysical Research Letters 36 (2009): L10602, doi:10.1029/2009GL037525.The dramatic reduction in minimum Arctic sea ice extent in recent years has been accompanied by surprising changes in the thermohaline structure of the Arctic Ocean, with potentially important impact on convection in the North Atlantic and the meridional overturning circulation of the world ocean. Extensive aerial hydrographic surveys carried out in March–April, 2008, indicate major shifts in the amount and distribution of fresh-water content (FWC) when compared with winter climatological values, including substantial freshening on the Pacific side of the Lomonosov Ridge. Measurements in the Canada and Makarov Basins suggest that total FWC there has increased by as much as 8,500 cubic kilometers in the area surveyed, effecting significant changes in the sea-surface dynamic topography, with an increase of about 75% in steric level difference from the Canada to Eurasian Basins, and a major shift in both surface geostrophic currents and freshwater transport in the Beaufort Gyre.Support for this work was provided by the National Science Foundation Office of Polar Programs under grants 0352687, 0634097 (MGM); 0633979, 0806115 (AP); 0633885, 0352754, 0634226 (MAS, JHM); and 06341222 (MBA)

An evaluation of urinary microRNA reveals a high sensitivity for bladder cancer

Background: Urinary biomarkers are needed to improve the care and reduce the cost of managing bladder cancer. Current biomarkers struggle to identify both high and low-grade cancers due to differing molecular pathways. Changes in microRNA (miR) expression are seen in urothelial carcinogenesis in a phenotype-specific manner. We hypothesised that urinary miRs reflecting low- and high-grade pathways could detect bladder cancers and overcome differences in genetic events seen within the disease. Methods: We investigated urinary samples (n ¼ 121) from patients with bladder cancer (n ¼ 68) and age-matched controls (n ¼ 53). Fifteen miRs were quantified using real-time PCR. Results: We found that miR is stable within urinary cells despite adverse handling and detected differential expression of 10 miRs from patients with cancer and controls (miRs 15a/15b/24-1/27b/100/135b/203/212/328/1224, ANOVA Po0.05). Individually, miR-1224-3p had the best individual performance with specificity, positive and negative predictive values and concordance of 83%, 83%, 75% and 77%, respectively. The combination of miRs-135b/15b/1224-3p detected bladder cancer with a high sensitivity (94.1%), sufficient specificity (51%) and was correct in 86% of patients (concordance). Conclusion: The use of this panel in patients with haematuria would have found 94% of urothelial cell carcinoma, while reducing cystoscopy rates by 26%. However, two invasive cancers (3%) would have been missed

Video-assisted thoracic surgery (VATS) for resection of metastatic adenocarcinoma as an acceptable alternative

Adenocarcinomas commonly metastasize to the lungs and can be resected using open thoracotomy or video-assisted thoracic surgery (VATS). This study reviews metastatic resections in primary adenocarcinoma patients, using both thoracotomy and VATS. We aim to compare long-term prognoses to test the efficacy and viability of VATS. A retrospective review of primary adenocarcinoma patients who underwent resection of pulmonary metastases from 1990 to 2006 was carried out. Information was obtained by chart review. Endpoints analyzed were disease-free interval (DFI), survival time, and recurrence-free survival (RFS). In a total of 42 (16 male, 26 female; median age 58.5 years) primary adenocarcinoma patients, 21 patients underwent first pulmonary metastatic resection using VATS (7 male, 14 female; median age 57 years) and 21 using thoracotomy (9 male, 12 female; median age 59 years). Primary adenocarcinomas were mainly 27 colorectal (64%) and 11 breast (26%). Two VATS (10%) and three open patients (14%) had local recurrences of the original cancer. Median postoperative follow was 13.3 months [interquartile range (IQR) 4.5–32.8 months] for VATS and 36.9 months (IQR 19.3–48.6 months) after thoracotomy. Median DFI–1 was 22.3 months (IQR 13.5–40.6 months) for VATS patients and 35.6 months (IQR 26.7–61.3 months) for open patients. Second thoracic occurrences were noted in six VATS patients (median DFI–2 9.2 months), and in seven open patients (median DFI-2 21.5 months). Third thoracic occurrences were noted in one VATS patient (DFI-3 18.7 months) and in one thoracotomy patient (DFI-3 21.8 months). Odds ratio of recurrence showed 12.5% less chance of developing recurrence in VATS patients. Five-year RFS was 53% in VATS and 57% in thoracotomy patients. VATS has become a viable alternative to open thoracotomy for resection of pulmonary metastases. In cases of primary adenocarcinoma, VATS showed no increase in number of thoracic recurrences, and comparable RFS. Short-term follow-up is encouraging; long-term follow-up will be needed to confirm these results

Dissolved iron in the Arctic shelf seas and surface waters of the Central Arctic Ocean: Impact of Arctic river water and ice-melt

Key Points - DFe in the Arctic shelves and surface is linked to freshwater and alkalinity - Fluvial input main contributor to high DFe, low alkalinity in Central Arctic - Remineralisation and biological depletion determine DFe in the Arctic Shelf Seas Abstract Concentrations of dissolved (10 nM) in the bottom waters of the Laptev Sea shelf may be attributed to either sediment resuspension, sinking of brine or regeneration of DFe in the lower layers. A significant correlation (R2 = 0.60) between salinity and DFe is observed. Using δ18O, salinity ,nutrients and total alkalinity data, the main source for the high (>2 nM) DFe concentrations in the Amundsen and Makarov Basins is identified as (Eurasian) river water, transported with the Transpolar Drift (TPD). On the North American side of the TPD, the DFe concentrations are low ( 4) above the shelf and low ( < 4) off the shelf)

Ocean currents shape the microbiome of Arctic marine sediments

Prokaryote communities were investigated on the seasonally stratified Alaska Beaufort Shelf (ABS). Water and sediment directly underlying water with origin in the Arctic, Pacific or Atlantic oceans were analyzed by pyrosequencing and length heterogeneity-PCR in conjunction with physicochemical and geographic distance data to determine what features structure ABS microbiomes. Distinct bacterial communities were evident in all water masses. Alphaproteobacteria explained similarity in Arctic surface water and Pacific derived water. Deltaproteobacteria were abundant in Atlantic origin water and drove similarity among samples. Most archaeal sequences in water were related to unclassified marine Euryarchaeota. Sediment communities influenced by Pacific and Atlantic water were distinct from each other and pelagic communities. Firmicutes and Chloroflexi were abundant in sediment, although their distribution varied in Atlantic and Pacific influenced sites. Thermoprotei dominated archaea in Pacific influenced sediments and Methanomicrobia dominated in methane-containing Atlantic influenced sediments. Length heterogeneity-PCR data from this study were analyzed with data from methane-containing sediments in other regions. Pacific influenced ABS sediments clustered with Pacific sites from New Zealand and Chilean coastal margins. Atlantic influenced ABS sediments formed another distinct cluster. Density and salinity were significant structuring features on pelagic communities. Porosity co-varied with benthic community structure across sites and methane did not. This study indicates that the origin of water overlying sediments shapes benthic communities locally and globally and that hydrography exerts greater influence on microbial community structure than the availability of methane