Social Determinants of Community Health Services Utilization among the Users in China: A 4-Year Cross-Sectional Study

Background To identify social factors determining the frequency of community health service (CHS) utilization among CHS users in China. Methods Nationwide cross-sectional surveys were conducted in 2008, 2009, 2010, and 2011. A total of 86,116 CHS visitors selected from 35 cities were interviewed. Descriptive analysis and multinomial logistic regression analysis were employed to analyze characteristics of CHS users, frequency of CHS utilization, and the socio-demographic and socio-economic factors influencing frequency of CHS utilization. Results Female and senior CHS clients were more likely to make 3–5 and ≥6 CHS visits (as opposed to 1–2 visits) than male and young clients, respectively. CHS clients with higher education were less frequent users than individuals with primary education or less in 2008 and 2009; in later surveys, CHS clients with higher education were the more frequent users. The association between frequent CHS visits and family income has changed significantly between 2008 and 2011. In 2011, income status did not have a discernible effect on the likelihood of making ≥6 CHS visits, and it only had a slight effect on making 3–5 CHS visits. Conclusion CHS may play an important role in providing primary health care to meet the demands of vulnerable populations in China. Over time, individuals with higher education are increasingly likely to make frequent CHS visits than individuals with primary school education or below. The gap in frequency of CHS utilization among different economic income groups decreased from 2008 to 2011

Response of the solar atmosphere to magnetic field evolution in a coronal hole region

Methods. We study an equatorial CH observed simultaneously by HINODE and STEREO on July 27, 2007. The HINODE/SP maps are adopted to derive the physical parameters of the photosphere and to research the magnetic field evolution and distribution. The G band and Ca II H images with high tempo-spatial resolution from HINODE/BFI and the multi-wavelength data from STEREO/EUVI are utilized to study the corresponding atmospheric response of different overlying layers. Results. We explore an emerging dipole locating at the CH boundary. Mini-scale arch filaments (AFs) accompanying the emerging dipole were observed with the Ca II H line. During the separation of the dipolar footpoints, three AFs appeared and expanded in turn. The first AF divided into two segments in its late stage, while the second and third AFs erupted in their late stages. The lifetimes of these three AFs are 4, 6, 10 minutes, and the two intervals between the three divisions or eruptions are 18 and 12 minutes, respectively. We display an example of mixed-polarity flux emergence of IN fields within the CH and present the corresponding chromospheric response. With the increase of the integrated magnetic flux, the brightness of the Ca II H images exhibits an increasing trend. We also study magnetic flux cancellations of NT fields locating at the CH boundary and present the obvious chromospheric and coronal response. We notice that the brighter regions seen in the 171 A images are relevant to the interacting magnetic elements. By examining the magnetic NT and IN elements and the response of different atmospheric layers, we obtain good positive linear correlations between the NT magnetic flux densities and the brightness of both G band (correlation coefficient 0.85) and Ca II H (correlation coefficient 0.58).Comment: 9 pages, 9 figures. A&A, in pres

What is the Nature of EUV Waves? First STEREO 3D Observations and Comparison with Theoretical Models

One of the major discoveries of the Extreme ultraviolet Imaging Telescope (EIT) on SOHO were intensity enhancements propagating over a large fraction of the solar surface. The physical origin(s) of the so-called `EIT' waves is still strongly debated. They are considered to be either wave (primarily fast-mode MHD waves) or non-wave (pseudo-wave) interpretations. The difficulty in understanding the nature of EUV waves lies with the limitations of the EIT observations which have been used almost exclusively for their study. Their limitations are largely overcome by the SECCHI/EUVI observations on-board the STEREO mission. The EUVI telescopes provide high cadence, simultaneous multi-temperature coverage, and two well-separated viewpoints. We present here the first detailed analysis of an EUV wave observed by the EUVI disk imagers on December 07, 2007 when the STEREO spacecraft separation was $\approx 45^\circ$. Both a small flare and a CME were associated with the wave cadence, and single temperature and viewpoint coverage. These limitations are largely overcome by the SECCHI/EUVI observations on-board the STEREO mission. The EUVI telescopes provide high cadence, simultaneous multi-temperature coverage, and two well-separated viewpoints. Our findings give significant support for a fast-mode interpretation of EUV waves and indicate that they are probably triggered by the rapid expansion of the loops associated with the CME.Comment: Solar Physics, 2009, Special STEREO Issue, in pres

Associations Between Methylation of Paternally Expressed Gene 3 (PEG3), Cervical Intraepithelial Neoplasia and Invasive Cervical Cancer.

Cytology-based screening for invasive cervical cancer (ICC) lacks sensitivity and specificity to discriminate between cervical intraepithelial neoplasia (CIN) likely to persist or progress from cases likely to resolve. Genome-wide approaches have been used to identify DNA methylation marks associated with CIN persistence or progression. However, associations between DNA methylation marks and CIN or ICC remain weak and inconsistent. Between 2008-2009, we conducted a hospital-based, case-control study among 213 Tanzania women with CIN 1/2/3 or ICC. We collected questionnaire data, biopsies, peripheral blood, cervical scrapes, Human papillomavirus (HPV) and HIV-1 infection status. We assessed PEG3 methylation status by bisulfite pyrosequencing. Multinomial logistic regression was used to estimate odds ratios (OR) and confidence intervals (CI 95%) for associations between PEG3 methylation status and CIN or ICC. After adjusting for age, gravidity, hormonal contraceptive use and HPV infection, a 5% increase in PEG3 DNA methylation was associated with increased risk for ICC (OR = 1.6; 95% CI 1.2-2.1). HPV infection was associated with a higher risk of CIN1-3 (OR = 15.7; 95% CI 5.7-48.6) and ICC (OR = 29.5, 95% CI 6.3-38.4). Infection with high risk HPV was correlated with mean PEG3 differentially methylated regions (DMRs) methylation (r = 0.34 p<0.0001), while the correlation with low risk HPV infection was weaker (r = 0.16 p = 0.047). Although small sample size limits inference, these data support that PEG3 methylation status has potential as a molecular target for inclusion in CIN screening to improve prediction of progression. Impact statement: We present the first evidence that aberrant methylation of the PEG3 DMR is an important co-factor in the development of Invasive cervical carcinoma (ICC), especially among women infected with high risk HPV. Our results show that a five percent increase in DNA methylation of PEG3 is associated with a 1.6-fold increase ICC risk. Suggesting PEG3 methylation status may be useful as a molecular marker for CIN screening to improve prediction of cases likely to progress

Bounding Mean First Passage Times in Population Continuous-Time Markov Chains

We consider the problem of bounding mean first passage times and reachability probabilities for the class of population continuous-time Markov chains, which capture stochastic interactions between groups of identical agents. The quantitative analysis of such models is notoriously difficult since typically neither state-based numerical approaches nor methods based on stochastic sampling give efficient and accurate results. Here, we propose a novel approach that leverages techniques from martingale theory and stochastic processes to generate constraints on the statistical moments of first passage time distributions. These constraints induce a semi-definite program that can be used to compute exact bounds on reachability probabilities and mean first passage times without numerically solving the transient probability distribution of the process or sampling from it. We showcase the method on some test examples and tailor it to models exhibiting multimodality, a class of particularly challenging scenarios from biology

The Structure and Dynamics of the Upper Chromosphere and Lower Transition Region as Revealed by the Subarcsecond VAULT Observations

The Very high Angular resolution ULtraviolet Telescope (VAULT) is a sounding rocket payload built to study the crucial interface between the solar chromosphere and the corona by observing the strongest line in the solar spectrum, the Ly-a line at 1216 {\AA}. In two flights, VAULT succeeded in obtaining the first ever sub-arcsecond (0.5") images of this region with high sensitivity and cadence. Detailed analyses of those observations have contributed significantly to new ideas about the nature of the transition region. Here, we present a broad overview of the Ly-a atmosphere as revealed by the VAULT observations, and bring together past results and new analyses from the second VAULT flight to create a synthesis of our current knowledge of the high-resolution Ly-a Sun. We hope that this work will serve as a good reference for the design of upcoming Ly-a telescopes and observing plans.Comment: 28 pages, 11 figure

Sizes of transition-region structures in coronal holes and in the quiet Sun

We study the height variations of the sizes of chromospheric and transition-region features in a small coronal hole and the adjacent quiet Sun, considering images of the intensity, Doppler shift, and non-thermal motion of ultraviolet emission lines as measured by SUMER, together with the magnetic field as obtained by extrapolation from photospheric magnetograms. In order to estimate the characteristic sizes of the different features present in the chromosphere and transition region, we have calculated the autocorrelation function for the images as well as the corresponding extrapolated magnetic field at different heights. The HWHM of the autocorrelation function is considered to be the characteristic size of the feature shown in the corresponding image. Our results indicate that, in both the coronal hole and quiet Sun, the HWHM of the intensity image is larger than that of the images of Doppler-shift and non-thermal width at any given altitude. The HWHM of the intensity image is smaller in the chromosphere than in the TR, where the sizes of intensity features of lines at different temperatures are almost the same. But in the upper part of the transition region, the intensity size increases more strongly with temperature in the coronal hole than in the quiet Sun. We also studied the height variations of the HWHM of the magnetic field magnitude B and its component |Bz|, and found they are equal to each other at a certain height below 40 Mm in the coronal hole. The height variations of the HWHM of |Bz/B| seem to be consistent with the temperature variations of the intensity size. Our results suggest that coronal loops are much lower, and magnetic structures expand through the upper TR and lower corona much more strongly with height in the coronal hole than in the quiet Sun.Comment: 6 pages, 4 figure

Activities of small‐scale gravity waves in the upper mesosphere observed from meteor radar at King Sejong Station, Antarctica (62.22°S, 58.78°W) and their potential sources

Gravity wave (GW) activities in the upper mesosphere (80–100 km) and their potential sources are investigated using meteor radar observations at King Sejong Station, Antarctica (KSS; 62.22°S, 58.78°W) during recent 14 years (2007–2020). GW activities are estimated by horizontal wind variances of small-scale GWs (periods <2 h, horizontal wavelength <400 km, or vertical wavelength <3–5 km). The wind variances show clear semiannual variations with maxima at solstices, and annual variations are also seen above z = 90 km. The deseasonalized wind variances at z = 96.8 km have a statistically significant periodicity of ∼11 years that can be associated with solar cycle variations. Three major potential GW sources in the lower atmosphere are examined. Orography is a potential source of GWs in winter and autumn, when the basic-state wind is westerly from the surface up to the mesosphere. The residual of the nonlinear balance equation (RNBE) at 5 hPa, a diagnostic of the GWs associated with jet stream, is the largest in winter and has a secondary maximum in spring. The correlation between the observed GWs and RNBE is significant in equinoxes, while correlation is low in winter. Deep convection in storm tracks is a potential source in autumn and winter. Secondary GWs generated in the mesosphere can also be observed in the upper mesosphere. Ray-tracing analysis for airglow images observed at KSS indicates that secondary GWs are mostly generated in winter mesosphere, which may be associated with the breaking of orographic GWs

Overexpression of FOXG1 contributes to TGF-β resistance through inhibition of p21WAF1/CIP1 expression in ovarian cancer

Background:Loss of growth inhibitory response to transforming growth factor-Β (TGF-Β) is a common feature of epithelial cancers. Recent studies have reported that genetic lesions and overexpression of oncoproteins in TGF-Β/Smads signalling cascade contribute to the TGF-Β resistance. Here, we showed that the overexpressed FOXG1 was involved in attenuating the anti-proliferative control of TGF-Β/Smads signalling in ovarian cancer.Methods:FOXG1 and p21 WAF1/CIP1 expressions were evaluated by real-time quantitative reverse-transcription polymerase chain reaction (RT-PCR), western blot and immunohistochemical analyses. The effect of FOXG1 on p21 WAF1/CIP1 transcriptional activity was examined by luciferase reporter assays. Cell lines stably expressing or short hairpin RNA interference-mediated knockdown FOXG1 were established for studying the gain-or-loss functional effects of FOXG1. XTT cell proliferation assay was used to measure cell growth of ovarian cancer cells.Results:Quantitative RT-PCR and western blot analyses showed that FOXG1 was upregulated and inversely associated with the expression levels of p21 WAF1/CIP1 in ovarian cancer. The overexpression of FOXG1 was significantly correlated with high-grade ovarian cancer (P0.025). Immunohistochemical analysis on ovarian cancer tissue array was further evidenced that FOXG1 was highly expressed and significantly correlated with high-grade ovarian cancer (P0.048). Functionally, enforced expression of FOXG1 selectively blocked the TGF-Β-induced p21 WAF1/CIP1 expressions and increased cell proliferation in ovarian cancer cells. Conversely, FOXG1 knockdown resulted in a 20-26% decrease in cell proliferation together with 16-33% increase in p21 WAF1/CIP1 expression. Notably, FOXG1 was able to inhibit the p21 WAF1/CIP1 promoter activity in a p53-independent manner by transient reporter assays.ConclusionOur results suggest that FOXG1 acts as an oncoprotein inhibiting TGF-Β-mediated anti-proliferative responses in ovarian cancer cells through suppressing p21 WAF1/CIP1 transcription. © 2009 Cancer Research UK All rights reserved.published_or_final_versio

Synergistic Antitumor Effects of Novel HDAC Inhibitors and Paclitaxel In Vitro and In Vivo

Preclinical studies support the therapeutic potential of histone deacetylases inhibitors (HDACi) in combination with taxanes. The efficacy of combination has been mainly ascribed to a cooperative effect on microtubule stabilization following tubulin acetylation. In the present study we investigated the effect of paclitaxel in combination with two novel HDACi, ST2782 or ST3595, able to induce p53 and tubulin hyperacetylation. A synergistic effect of the paclitaxel/ST2782 (or ST3595) combination was found in wild-type p53 ovarian carcinoma cells, but not in a p53 mutant subline, in spite of a marked tubulin acetylation. Such a synergistic interaction was confirmed in additional human solid tumor cell lines harboring wild-type p53 but not in those expressing mutant or null p53. In addition, a synergistic cytotoxic effect was found when ST2782 was combined with the depolymerising agent vinorelbine. In contrast to SAHA, which was substantially less effective in sensitizing cells to paclitaxel-induced apoptosis, ST2782 prevented up-regulation of p21WAF1/Cip1 by paclitaxel, which has a protective role in response to taxanes, and caused p53 down-regulation, acetylation and mitochondrial localization of acetylated p53. The synergistic antitumor effects of the paclitaxel/ST3595 combination were confirmed in two tumor xenograft models. Our results support the relevance of p53 modulation as a major determinant of the synergistic interaction observed between paclitaxel and novel HDACi and emphasize the therapeutic interest of this combination