Pathological findings in reduction mammoplasty specimens: A South African perspective

Background: Preoperative, intraoperative and follow-up guidelines for managing occult carcinoma in reduction mammoplasty specimens are scant.Methods: We retrospectively analysed the records and pathology reports of 200 patients who had undergone reduction mammoplasty at two major public hospitals in Johannesburg, South Africa, during 2009 - 2014. Demographic data, their history of breast cancer and preoperative screening, the surgical techniques used and pathological reports were included. In all cases preoperative screening for breast cancer had been negative.Results: All the patients were female, mean age 37.1 years, range 20 - 84 (standard deviation 11.9). All reductions were performed using standard techniques. Benign pathology was observed in 98 patients (49%) and malignant pathology in four (2%). The most common benign pathology observed was fibrocystic disease, and the most common malignant pathology ductal carcinoma in situ. Patient age correlated significantly with benign or malignant disease.Conclusions: Reduction mammoplasty produces tissue that should always be sent for pathological assessment. Patients should be stratified by risk, as doing so helps in selecting both the surgical setting and the approach to pathological analysis of the specimen. While the incidence of occult carcinoma in reduction mammoplasty specimens is low, all patients undergoing the procedure should be informed that tissue will be sent for pathological examination, allowing them to prepare to receive possible news of breast cancer and be adequately equipped for subsequent decision-making

Zonal surface wind jets across the Red Sea due to mountain gap forcing along both sides of the Red Sea

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): L19605, doi:10.1029/2009GL040008.Mesoscale atmospheric modeling over the Red Sea, validated by in-situ meteorological buoy data, identifies two types of coastal mountain gap wind jets that frequently blow across the longitudinal axis of the Red Sea: (1) an eastward-blowing summer daily wind jet originating from the Tokar Gap on the Sudanese Red Sea coast, and (2) wintertime westward-blowing wind-jet bands along the northwestern Saudi Arabian coast, which occur every 10–20 days and can last for several days when occurring. Both wind jets can attain wind speeds over 15 m s−1 and contribute significantly to monthly mean surface wind stress, especially in the cross-axis components, which could be of importance to ocean eddy formation in the Red Sea. The wintertime wind jets can cause significant evaporation and ocean heat loss along the northeastern Red Sea coast and may potentially drive deep convection in that region. An initial characterization of these wind jets is presented.Supported by Award Numbers USA 00001, USA 00002, and KSA 00011 made by KAUST

Modern Ab Initio Approaches and Applications in Few-Nucleon Physics with A \ge 4

We present an overview of the evolution of ab initio methods for few-nucleon systems with A \ge 4, tracing the progress made that today allows precision calculations for these systems. First a succinct description of the diverse approaches is given. In order to identify analogies and differences the methods are grouped according to different formulations of the quantum mechanical many-body problem. Various significant applications from the past and present are described. We discuss the results with emphasis on the developments following the original implementations of the approaches. In particular we highlight benchmark results which represent important milestones towards setting an ever growing standard for theoretical calculations. This is relevant for meaningful comparisons with experimental data. Such comparisons may reveal whether a specific force model is appropriate for the description of nuclear dynamics.Comment: extension of the previous version from 70 to 78 pages, 24 figures, 17 tables, in press: Progress in Particle and Nuclear Physic