Bibliographic and Technical Problems in Implementing a National Library Network

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On Semi-Periods

The periods of the three-form on a Calabi-Yau manifold are found as solutions of the Picard-Fuchs equations; however, the toric varietal method leads to a generalized hypergeometric system of equations which has more solutions than just the periods. This same extended set of equations can be derived from symmetry considerations. Semi-periods are solutions of this extended system. They are obtained by integration of the three-form over chains; these chains can be used to construct cycles which, when integrated over, give periods. In simple examples we are able to obtain the complete set of solutions for the extended system. We also conjecture that a certain modification of the method will generate the full space of solutions in general.Comment: 18 pages, plain TeX. Revised derivation of $\Delta^*$ system of equations; version to appear in Nuclear Physics

Clinical and serological features of systemic sclerosis in a multicenter African American cohort: Analysis of the genome research in African American scleroderma patients clinical database.

Racial differences exist in the severity of systemic sclerosis (SSc). To enhance our knowledge about SSc in African Americans, we established a comprehensive clinical database from the largest multicenter cohort of African American SSc patients assembled to date (the Genome Research in African American Scleroderma Patients (GRASP) cohort).African American SSc patients were enrolled retrospectively and prospectively over a 30-year period (1987-2016), from 18 academic centers throughout the United States. The cross-sectional prevalence of sociodemographic, clinical, and serological features was evaluated. Factors associated with clinically significant manifestations of SSc were assessed using multivariate logistic regression analyses.The study population included a total of 1009 African American SSc patients, comprised of 84% women. In total, 945 (94%) patients met the 2013 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for SSc, with the remaining 64 (6%) meeting the 1980 ACR or CREST (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, telangiectasia) criteria. While 43% were actively employed, 33% required disability support. The majority (57%) had the more severe diffuse subtype and a young age at symptom onset (39.1 ± 13.7 years), in marked contrast to that reported in cohorts of predominantly European ancestry. Also, 1 in 10 patients had a severe Medsger cardiac score of 4. Pulmonary fibrosis evident on computed tomography (CT) chest was present in 43% of patients and was significantly associated with anti-topoisomerase I positivity. 38% of patients with CT evidence of pulmonary fibrosis had a severe restrictive ventilator defect, forced vital capacity (FVC) ≤50% predicted. A significant association was noted between longer disease duration and higher odds of pulmonary hypertension, telangiectasia, and calcinosis. The prevalence of potentially fatal scleroderma renal crisis was 7%, 3.5 times higher than the 2% prevalence reported in the European League Against Rheumatism Scleroderma Trials and Research (EUSTAR) cohort.Our study emphasizes the unique and severe disease burden of SSc in African Americans compared to those of European ancestry

The Changing Nature of Networking in the Research Library Community

The Changing Nature of Networking in the Research Library Communit

Viral etiology and the impact of co-detection in young children presenting with influenza-like illness

Background: Children with acute respiratory tract infection (ARTI) frequently exhibit viral-viral codetection, yet its clinical significance remains contentious. Using data from a prospective cohort of children with influenza-like illness, we described the virology of ARTI and determined the clinical impact of viral-viral co-detection.Methods: Children aged 6-59 months presenting to a tertiary paediatric hospital with fever and acute respiratory symptoms were enrolled and nasal samples collected during influenza seasons in 2008-2012. Respiratory viruses were identified by culture and PCR. We compared demographics, presenting symptoms and clinical outcomes of children with single viral infection and viral-viral co-detection. We used logistic regression models and estimated marginal means to calculate the adjusted odds ratio and probabilities of symptom presentation, antibiotic prescription or hospitalisation.Results: 1630 of 2356 children (69.2%) had a virus detected, among whom rhinovirus (40.8%), influenza (29.5%) and respiratory syncytial virus (RSV; 26.4%) were most commonly detected. 24% of these had two or more viruses detected. After adjusting for demographic factors, children with co-detection had greater odds of presenting with cough (aOR=1.9, 95% CI:1.2-3.1), rhinorrhoea (aOR=1.8, 95% CI:1.1-2.9) than those with single infection, although both symptoms were common. Children with influenza and RSV combined had the highest probability of hospitalisation (probability=55%, 95%CI:35-73%), significantly greater than those with influenza infection alone (probability=22%, 95%CI:16-29%).Conclusions: Overall, co-detection has limited impact on clinical severity among children with influenza-like illness. However, specific pathogen pairs may be associated with more severe outcomes. Routine diagnostics to identify viral co-detection should be<br/

Radiation Safety in the Treatment of Patients with Thyroid Diseases by Radioiodine 131I: Practice Recommendations of the American Thyroid Association

Background: Radiation safety is an essential component in the treatment of patients with thyroid diseases by 131I. The American Thyroid Association created a task force to develop recommendations that would inform medical professionals about attainment of radiation safety for patients, family members, and the public. The task force was constituted so as to obtain advice, experience, and methods from relevant medical specialties and disciplines. Methods: Reviews of Nuclear Regulatory Commission regulations and International Commission on Radiological Protection recommendations formed the basic structure of recommendations. Members of the task force contributed both ideas and methods that are used at their respective institutions to aid groups responsible for treatments and that instruct patients and caregivers in the attainment of radiation safety. There are insufficient data on long-term outcomes to create evidence-based guidelines. Results: The information was used to compile delineations of radiation safety. Factors and situations that govern implementation of safety practices are cited and discussed. Examples of the development of tables to ascertain the number of hours or days (24-hour cycles) of radiation precaution appropriate for individual patients treated with 131I for hyperthyroidism and thyroid cancer have been provided. Reminders in the form of a checklist are presented to assist in assessing patients while taking into account individual circumstances that would bear on radiation safety. Information is presented to supplement the treating physician's advice to patients and caregivers on precautions to be adopted within and outside the home. Conclusion: Recommendations, complying with Nuclear Regulatory Commission regulations and consistent with guidelines promulgated by the National Council on Radiation Protection and Measurement (NCRP-155), can help physicians and patients maintain radiation safety after treatment with 131I of patients with thyroid diseases. Both treating physicians and patients must be informed if radiation safety, an integral part of therapy with 131I, is to be attained. Based on current regulations and understanding of radiation exposures, recommendations have been made to guide physicians and patients in safe practices after treatment with radioactive iodine.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/90492/1/thy-2E2010-2E0403.pd