5,398 research outputs found

    RECORDS OF THE SUBANTARCTIC FUR SEAL ARCTOCEPHALUS TROPICALIS FROM RODRIGUES AND MAURITIUS, INDIAN OCEAN

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    A juvenile Subantarctic fur seal Arctocephalus tropicalis was recorded on the Indian Ocean island of Rodrigues and two were seen on Mauritius. These records are at least 2 500 km from the closest breeding colony (Amsterdam Island) and are the most easterly by some 1 800 km of all previous records of vagrants of this species.Afr. J. mar. Sci. 25: 403–40

    Impact of breast cancer subtypes on 3-year survival among adolescent and young adult women.

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    IntroductionYoung women have poorer survival after breast cancer than do older women. It is unclear whether this survival difference relates to the unique distribution of hormone receptor (HR) and human epidermal growth factor receptor 2 (HER2)-defined molecular breast cancer subtypes among adolescent and young adult (AYA) women aged 15 to 39 years. The purpose of our study was to examine associations between breast cancer subtypes and short-term survival in AYA women, as well as to determine whether the distinct molecular subtype distribution among AYA women explains the unfavorable overall breast cancer survival statistics reported for AYA women compared with older women.MethodsData for 5,331 AYA breast cancers diagnosed between 2005 and 2009 were obtained from the California Cancer Registry. Survival by subtype (triple-negative; HR+/HER2-; HR+/HER2+; HR-/HER2+) and age-group (AYA versus 40- to 64-year-olds) was analyzed with Cox proportional hazards regression with follow-up through 2010.ResultsWith up to 6 years of follow-up and a mean survival time of 3.1 years (SD = 1.5 years), AYA women diagnosed with HR-/HER + and triple-negative breast cancer experienced a 1.6-fold and 2.7-fold increased risk of death, respectively, from all causes (HR-/HER + hazard ratio: 1.55; 95% confidence interval (CI): 1.10 to 2.18; triple-negative HR: 2.75; 95% CI, 2.06 to 3.66) and breast cancer (HR-/HER + hazard ratio: 1.63; 95% CI, 1.12 to 2.36; triple-negative hazard ratio: 2.71; 95% CI, 1.98 to 3.71) than AYA women with HR+/HER2- breast cancer. AYA women who resided in lower socioeconomic status neighborhoods, had public health insurance, and were of Black, compared with White, race/ethnicity experienced worse survival. This race/ethnicity association was attenuated somewhat after adjusting for breast cancer subtypes (hazard ratio, 1.33; 95% CI, 0.98 to 1.82). AYA women had similar all-cause and breast cancer-specific short-term survival as older women for all breast cancer subtypes and across all stages of disease.ConclusionsAmong AYA women with breast cancer, short-term survival varied by breast cancer subtypes, with the distribution of breast cancer subtypes explaining some of the poorer survival observed among Black, compared with White, AYA women. Future studies should consider whether distribution of breast cancer subtypes and other factors, including differential receipt of treatment regimens, influences long-term survival in young compared with older women

    Kinetic Analysis of Discrete Path Sampling Stationary Point Databases

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    Analysing stationary point databases to extract phenomenological rate constants can become time-consuming for systems with large potential energy barriers. In the present contribution we analyse several different approaches to this problem. First, we show how the original rate constant prescription within the discrete path sampling approach can be rewritten in terms of committor probabilities. Two alternative formulations are then derived in which the steady-state assumption for intervening minima is removed, providing both a more accurate kinetic analysis, and a measure of whether a two-state description is appropriate. The first approach involves running additional short kinetic Monte Carlo (KMC) trajectories, which are used to calculate waiting times. Here we introduce `leapfrog' moves to second-neighbour minima, which prevent the KMC trajectory oscillating between structures separated by low barriers. In the second approach we successively remove minima from the intervening set, renormalising the branching probabilities and waiting times to preserve the mean first-passage times of interest. Regrouping the local minima appropriately is also shown to speed up the kinetic analysis dramatically at low temperatures. Applications are described where rates are extracted for databases containing tens of thousands of stationary points, with effective barriers that are several hundred times kT.Comment: 28 pages, 1 figure, 4 table

    Estimating the Background Ventilation Rates in New-Build UK Dwellings – is n50/20 appropriate?

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    In the UK, a rule of thumb applied to air permeability is commonly employed when estimating background ventilation rates from pressurisation test data. However, this may lead to significant errors in estimating the infiltration rates in UK new-build dwellings, resulting in poor estimation of the dwellings in-use energy and CO2 emissions, and the adoption of ventilation strategies leading to either unacceptable indoor air quality or unnecessary energy consumption. In this paper, a preliminary investigation into the applicability of the rule of thumb is undertaken. Background ventilation rates in four new-build dwellings in the UK are determined using the tracer-gas decay method and also the pressurisation (blower-door) method coupled with both the conventional n50/20 and (in the UK) q50/20 rule of thumb, and Sherman’s modified rule of thumb, which takes into account other building-related factors. The conventional method over-estimated the air-change rate in two of the dwellings and under-estimated it in the other two dwellings. The modified rule of thumb produced comparable results for two of the dwellings, but significantly underestimated the air-change rate in the other two dwellings. These results suggest that more work needs to be done to devise appropriate climate and building-related correction factors for the UK

    DynaMut: predicting the impact of mutations on protein conformation, flexibility and stability.

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    Proteins are highly dynamic molecules, whose function is intrinsically linked to their molecular motions. Despite the pivotal role of protein dynamics, their computational simulation cost has led to most structure-based approaches for assessing the impact of mutations on protein structure and function relying upon static structures. Here we present DynaMut, a web server implementing two distinct, well established normal mode approaches, which can be used to analyze and visualize protein dynamics by sampling conformations and assess the impact of mutations on protein dynamics and stability resulting from vibrational entropy changes. DynaMut integrates our graph-based signatures along with normal mode dynamics to generate a consensus prediction of the impact of a mutation on protein stability. We demonstrate our approach outperforms alternative approaches to predict the effects of mutations on protein stability and flexibility (P-value < 0.001), achieving a correlation of up to 0.70 on blind tests. DynaMut also provides a comprehensive suite for protein motion and flexibility analysis and visualization via a freely available, user friendly web server at http://biosig.unimelb.edu.au/dynamut/

    The Effect of Activity Ratio to the Company's Profitability in Trading, Service, and Investment Sub-Sector

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    Profitability is a ratio that can be used to determine the company's ability to generate profits. Information related to profitability is the information used in assessing the company's success in achieving the goals set company goals. Profitability can also determine how effectively and efficiently the company's activities have been carried out. This information is essential for company shareholders to determine whether or not to invest in the company. This research was conducted to obtain information related to company profitability through activity ratios. The information obtained is expected to be helpful for the company in assessing the company's profitability. The objects used in this study are companies engaged in the trade, service, and investment sectors listed on the Indonesia Stock Exchange (IDX) in the 2015-2019 period, using purposive sampling method so that a total sample of 8 companies was obtained. The following products are obtained from data processing and analysis results: that the effect of working capital turnover and inventory turnover partially does not significantly impact profitability. In contrast, cash turnover is indicated to have a substantial impact on company profitability. Simultaneously, this study shows that working capital turnover, cash turnover, and inventory turnover significantly affect profitability. It indicates that simultaneously, the firm's profitability is influenced by the activity ratio

    Tackling concentrated worklessness: integrating governance and policy across and within spatial scales

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    Spatial concentrations of worklessness remained a key characteristic of labour markets in advanced industrial economies, even during the period of decline in aggregate levels of unemployment and economic inactivity evident from the late 1990s to the economic downturn in 2008. The failure of certain localities to benefit from wider improvements in regional and national labour markets points to a lack of effectiveness in adopted policy approaches, not least in relation to the governance arrangements and policy delivery mechanisms that seek to integrate residents of deprived areas into wider local labour markets. Through analysis of practice in the British context, we explore the difficulties of integrating economic and social policy agendas within and across spatial scales to tackle problems of concentrated worklessness. We present analysis of a number of selected case studies aimed at reducing localised worklessness and identify the possibilities and constraints for effective action given existing governance arrangements and policy priorities to promote economic competitiveness and inclusion

    Modeling payback from research into the efficacy of left-ventricular assist devices as destination therapy

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    Objectives: Ongoing developments in design have improved the outlook for left-ventricular assist device (LVAD) implantation as a therapy in end-stage heart failure. Nevertheless, early cost-effectiveness assessments, based on first-generation devices, have not been encouraging. Against this background, we set out (i) to examine the survival benefit that LVADs would need to generate before they could be deemed cost-effective; (ii) to provide insight into the likelihood that this benefit will be achieved; and (iii) from the perspective of a healthcare provider, to assess the value of discovering the actual size of this benefit by means of a Bayesian value of information analysis. Methods: Cost-effectiveness assessments are made from the perspective of the healthcare provider, using current UK norms for the value of a quality-adjusted life-year (QALY). The treatment model is grounded in published analyses of the Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH) trial of first-generation LVADs, translated into a UK cost setting. The prospects for patient survival with second-generation devices is assessed using Bayesian prior distributions, elicited from a group of leading clinicians in the field. Results: Using established thresholds, cost-effectiveness probabilities under these priors are found to be low (.2 percent) for devices costing as much as £60,000. Sensitivity of the conclusions to both device cost and QALY valuation is examined. Conclusions: In the event that the price of the device in use would reduce to £40,000, the value of the survival information can readily justify investment in further trials

    The tip of the iceberg: a giant pelvic atypical lipoma presenting as a sciatic hernia

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    BACKGROUND: This case report highlights two unusual surgical phenomena: lipoma-like well-differentiated liposarcomas and sciatic hernias. It illustrates the need to be aware that hernias may not always simply contain intra-abdominal viscera. CASE PRESENTATION: A 36 year old woman presented with an expanding, yet reducible, right gluteal mass, indicative of a sciatic hernia. However, magnetic resonance imaging demonstrated a large intra- and extra-pelvic fatty mass traversing the greater sciatic foramen. The tumour was surgically removed through an abdomino-perineal approach. Subsequent pathological examination revealed an atypical lipomatous tumour (synonym: lipoma-like well-differentiated liposarcoma). The patient remains free from recurrence two years following her surgery. CONCLUSION: The presence of a gluteal mass should always suggest the possibility of a sciatic hernia. However, in this case, the hernia consisted of an atypical lipoma spanning the greater sciatic foramen. Although lipoma-like well-differentiated liposarcomas have only a low potential for recurrence, the variable nature of fatty tumours demands that patients require regular clinical and radiological review
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