Hispanic Ethnicity Is Associated With Increased Hospital Charges After Radical Cystectomy in the United States

Objective: To examine the impact of race and ethnicity on financial charges associated with radical cystectomy (RC). Data Sources/Study Setting: The Nationwide Inpatient Sample was used to identify patients who underwent RC for bladder cancer between 1998 and 2010. Study Design: The primary outcome was total hospital charges adjusted for inflation. Multivariate analysis was performed using a generalized linear model on the logarithmically transformed outcome variable (total hospital charges) after adjusting for age, sex, race, Elixhauser comorbidities, surgical approach, year, primary payer, hospital and surgeon annual RC volume, hospital characteristics, and postoperative complications. Principle findings: A total of 14,873 patients were identified. Hispanic and black patients were more likely to be treated by low-volume surgeons and/or institutions (both P=.07). Conclusions: Hispanic ethnicity but not black race predicts higher hospital charges after RC

The output of a queue

The problem of finding the form of the output of a queue is examined in this thesis, which is divided into to sections. The first section deals with the distribution of the inter-departure intervals of single-server queing systems. The second section examines the serial structure of the output process, basing the work on Daley\u27s generalised auto-correlation formulae for output

The American Society of Pediatric Hematology/Oncology distinguished career award goes to Laurence A. Boxer, MD

No Abstract.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/58581/1/21565_ftp.pd

The evolving definition of carcinogenic human papillomavirus

Thirteen human papillomavirus (HPV) genotypes have been judged to be carcinogenic or probably carcinogenic, and the cause of virtually all cervical cancer worldwide. Other HPV genotypes could possibly be involved. Although the inclusion of possibly carcinogenic HPV genotypes may hurt test specificity, it may indirectly increase the reassurance following a negative HPV test (i.e. the negative predictive value of an HPV test for cervical precancer and cancer). The future of cervical cancer screening in low-resource setting, however, may include once-in-a-lifetime, low-cost and rapid HPV testing. However, the tradeoff of more false positives for greater reassurance may not be acceptable if the local infrastructure cannot manage the screen positives. Now is the time for the community of scientists, doctors, and public health advocates to use the data presented at the 100th International Agency for Research on Cancer monograph meeting to rationally decide the target HPV genotypes for the next generation of HPV tests for use in high-resource and low-resource settings. The implications of including possibly HPV genotypes on HPV test performance, also for guidance on the use of these tests for cervical cancer prevention programs, are discussed

Ichthyological Bulletin; No. 33

The eel family Congridae is now known to be represented in the western Indian Ocean (here regarded to be west of 60 E. from and including the Red Sea, to Cape Point) by 11 genera and 19 species as well as at least five distinct larval forms which have not yet been identified. More than half of these species inhabit the shallow and offshore waters of the tropical western Indian Ocean. The remainder are known only from cool-temperate waters off the Cape, with one deep-water Atlantic species and one Mediterranean species also present in this area. Considerable additions to this fauna can be expected as the deep waters off the east coast are more fully sampled. Congrina wallacei sp. nov., de- scribed here from 260-270 fathoms off southern Mozambique and Durban, has rather large teeth on the jaws, a long snout and about 168 vertebrae. At least one species spawns off the Cape, but the majority probably do so over the western edge of the oceanic basins north and south of Madagascar. The shallow-water species show strong affinities with the tropical and cool-temperate Indo-Pacific.Rhodes University Libraries (Digitisation

Modeling the power flow in normal conductor-insulator-superconductor junctions

Normal conductor-insulator-superconductor (NIS) junctions promise to be interesting for x-ray and phonon sensing applications, in particular due to the expected self-cooling of the N electrode by the tunneling current. Such cooling would enable the operation of the active element of the sensor below the cryostat temperature and at a correspondingly higher sensitivity. It would also allow the use of MS junctions as microcoolers. At present, this cooling has not been realized in large area junctions (suitable for a number of detector applications). In this article, we discuss a detailed modeling of the heat flow in such junctions; we show how the heat flow into the normal electrode by quasiparticle back-tunneling and phonon absorption from quasiparticle pair recombination can overcompensate the cooling power. This provides a microscopic explanation of the self-heating effects we observe in our large area NIS junctions. The model suggests a number of possible solutions

Effect of implanted metal impurities on superconducting tungsten films

The superconducting transition temperature of more than 30 thin-film tungsten samples was measured using a dilution refrigerator. The samples were fabricated using a 99.999% pure tungsten target and a dc magnetron sputtering system. Individual films were then doped with metal impurity ions using an accurate ion implantation technique. The effect of the metal–ion doping on the superconducting transition temperature was measured for samples with superconducting transitions in the range of 40–150 mK. Magnetic dopant species including Ni, Co, and Fe resulted in suppressed values of the tungsten Tc. The suppression was linear with increasing dopant concentration, for concentrations up to tens of ppm. For higher concentrations of magnetic atoms, the data are consistent with the Abrikosov–Gor\u27kov theory [Soviet Physics JETP 12, 1243 (1961)] modified by antiferromagnetic impurity–impurity interactions. By contrast, tungsten films implanted with Mg or Cr showed little change in Tc after doping. In this article, we present data from cryogenic experiments on these films. We also present x-ray diffraction (XRD) spectra for a subset of the films. Our XRD data confirm that the observed suppression in Tc for the magnetically doped samples is not due to any structural changes (e.g., lattice distortion or damage) induced by the implantation process