Human epidermal growth receptor-2 overexpressing early operable primary breast cancers in older (>=70 years) women: biology and clinical outcome in comparison with younger (less than 70 years) patients

Introduction: There is dearth of literature reporting the prevalence and biological characteristics as well as the long-termclinical outcome of human epidermal growth factor receptor-2 (HER2) overexpressing tumours in older women. Currently,research involving trastuzumab at large focuses on the younger population. This study aimed to analyse their biological characteristicsand to compare them with their younger counterparts from a single centre with a long-term clinical follow-up.Methods: Over 37 years (1973–2010), 1758 older (≥70 years) women with early operable (less than 5 cm) primary breast cancer were managed in a dedicated clinic and have complete clinical information available. Of these, 813 patients underwent primary surgery and 575 had good quality tumour samples available for tissue microarray analysis using indirect immunohistochemistry. Comparison was made with data from a well-characterised younger (70 years = 70%, P = 0.51).Conclusion:HER2 overexpressing tumours in older women showed relatively a less aggressive phenotype and did not show any inferior long-term clinical outcome despite not having received chemotherapy when compared with the younger patients. The precise role of different adjuvant systemic therapies in this population needs to be delineated

Electromagnetic field correlations near a surface with a nonlocal optical response

The coherence length of the thermal electromagnetic field near a planar surface has a minimum value related to the nonlocal dielectric response of the material. We perform two model calculations of the electric energy density and the field's degree of spatial coherence. Above a polar crystal, the lattice constant gives the minimum coherence length. It also gives the upper limit to the near field energy density, cutting off its $1/z^3$ divergence. Near an electron plasma described by the semiclassical Lindhard dielectric function, the corresponding length scale is fixed by plasma screening to the Thomas-Fermi length. The electron mean free path, however, sets a larger scale where significant deviations from the local description are visible.Comment: 15 pages, 7 figure files (.eps), \documentclass[global]{svjour}, accepted in special issue "Optics on the Nanoscale" (Applied Physics B, eds. V. Shalaev and F. Tr\"ager

Electroweak Supersymmetry around the Electroweak Scale

Inspired by the phenomenological constraints, LHC supersymmetry and Higgs searches, dark matter search as well as string model building, we propose the electroweak supersymmetry around the electroweak scale: the squarks and/or gluinos are around a few TeV while the sleptons, sneutrinos, bino and winos are within one TeV. The Higgsinos can be either heavy or light. We consider bino as the dominant component of dark matter candidate, and the observed dark matter relic density is achieved via the neutralino-stau coannihilations. Considering the Generalized Minimal Supergravity (GmSUGRA), we show explicitly that the electroweak supersymmetry can be realized, and the gauge coupling unification can be preserved. With two Scenarios, we study the viable parameter spaces that satisfy all the current phenomenological constraints, and we present the concrete benchmark points. Furthermore, we comment on the fine-tuning problem and LHC searches.Comment: RevTex4, 28 pages, 8 figures, 8 tables, version to appear in EPJ

Higgsino Dark Matter in a SUGRA Model with Nonuniversal Gaugino Masses

We study a specific SUGRA model with nonuniversal gaugino masses as an alternative to the minimal SUGRA model in the context of supersymmetric dark matter. The lightest supersymmetric particle in this model comes out to be a Higgsino dominated instead of a bino dominated lightest neutralino. The thermal relic density of this Higgsino dark matter is somewhat lower than the cosmologically favoured range, which means it may be only a subdominant component of the cold dark matter. Nonetheless, it predicts favourable rates of indirect detection, which can be seen in square-km size neutrino telescopes.Comment: Version to appear in Phys. Rev. D. A few references added in the bibliography and a comment added in Section 2. LaTex, 16 pages, 4 figure

Vertical transmission of microbiomes into embryo culture media and its association with assisted reproductive outcomes

Research question: Can microbes vertically transmit from semen and follicular fluid to embryo culture media during assisted reproductive technology (ART) treatment? Design: Spent embryo culture media (SECM), seminal fluid and follicular fluid samples were collected from 61 couples with infertility undergoing ART treatment at the Prince of Wales Hospital, Hong Kong SAR, China. Metagenomic analysis was conducted using 16s rRNA sequencing to identify the source of microbes in SECM, correlation between the semen microbiome and male infertility, and correlation between the follicular fluid microbiome and female infertility. Results: Microbial vertical transmission into SECM was reported in 82.5% of cases, and semen was the main source of contamination in conventional IVF cases. The increased abundances of Staphylococcus spp. and Streptococcus anginosus in semen had negative impacts on total motility and sperm count, respectively (P &lt; 0.001). Significant increases in abundance of the genera Prophyromonas, Neisseria and Facklamia were observed in follicular fluid in women with anovulation, uterine factor infertility and unexplained infertility, respectively (P &lt; 0.01). No significant correlation was found between the bacteria identified in all sample types and ART outcomes, including fertilization rate, embryo development, number of available embryos, and clinical pregnancy rate. Conclusion: Embryo culture media can be contaminated during ART treatment, not only by seminal microbes but also by follicular fluid and other sources of microbes. Strong correlations were found between specific microbial taxa in semen and sperm quality, and between the follicular fluid microbiome and the aetiology of female infertility. However, no significant association was found between the microbiomes of SECM, semen and follicular fluid and ART outcomes.</p

Gaugino Mass Nonuniversality and Dark Matter in SUGRA, Strings and D Brane Models

The effects of nonuniversality of gaugino masses on dark matter are examined within supersymmetric grand unification, and in string and D brane models with R parity invariance. In SU(5) unified models nonuniversality in the gaugino sector can be generated via the gauge kinetic energy function which may depend on the 24, 75 and 200 dimensional Higgs representations. We also consider string models which allow for nonuniversality of gaugino masses and D brane models where nonuniversality arises from embeddings of the Standard Model gauge group on five branes and nine branes. It is found that with gaugino mass nonuniversality the range of the LSP mass can be extended much beyond the range allowed in the universal SUGRA case, up to about 600 GeV even without coannihilation effects in some regions of the parameter space. The effects of coannihilation are not considered and inclusion of these effects may further increase the allowed neutralino mass range. Similarly with the inclusion of gaugino mass nonuniversality, the neutralino-proton ($\chi -p$) cross-section can increase by as much as a factor of 10 in some of regions of the parameter space. An analysis of the uncertainties in the quark density content of the nucleon is given and their effects on $\chi -p$ cross-section are discussed. The predictions of our analysis including nonuniversality is compared with the current limits from dark matter detectors and implications for future dark matter searches are discussed.Comment: Revised version, 23 pages, Latex, and 7 figure

Reach of the Fermilab Tevatron for minimal supergravity in the region of large scalar masses

The reach of the Fermilab Tevatron for supersymmetric matter has been calculated in the framework of the minimal supergravity model in the clean trilepton channel. Previous analyses of this channel were restricted to scalar masses m_0<= 1 TeV. We extend the analysis to large values of scalar masses m_0\sim 3.5 TeV. This includes the compelling hyperbolic branch/focus point (HB/FP) region, where the superpotential \mu parameter becomes small. In this region, assuming a 5\sigma (3\sigma) signal with 10 (25) fb^{-1} of integrated luminosity, the Tevatron reach in the trilepton channel extends up to m_{1/2}\sim 190 (270) GeV independent of \tan\beta . This corresponds to a reach in terms of the gluino mass of m_{\tg}\sim 575 (750) GeV.Comment: 11 page latex file including 6 EPS figures; several typos corrected and references adde

The collective burden of childhood dementia: a scoping review

OnlinePublChildhood dementia is a devastating and under-recognised group of disorders with a high level of unmet need. Typically monogenic in origin, this collective of individual neurodegenerative conditions are defined by a progressive impairment of neurocognitive function, presenting in childhood and adolescence. This scoping review aims to clarify definitions and conceptual boundaries of childhood dementia and quantify the collective disease burden. A literature review identified conditions that met the case definition. An expert clinical working group reviewed and ratified inclusion. Epidemiological data were extracted from published literature and collective burden modelled. One hundred and seventy genetic childhood dementia disorders were identified. Of these, 25 were analysed separately as treatable conditions. Collectively, currently untreatable childhood dementia was estimated to have an incidence of 34.5 per 100,000 (1 in 2,900 births), median life expectancy of 9 years and prevalence of 5.3 per 100,000 persons. The estimated number of premature deaths per year is similar to childhood cancer (0-14 years) and approximately 70% of those deaths will be prior to adulthood. An additional 49.8 per 100,000 births are attributable to treatable conditions that would cause childhood dementia if not diagnosed early and stringently treated. A relational database of the childhood dementia disorders has been created and will be continually updated as new disorders are identified (https://knowledgebase.childhooddementia.org/). We present the first comprehensive overview of monogenic childhood dementia conditions and their collective epidemiology. Unifying these conditions, with consistent language and definitions, reinforces motivation to advance therapeutic development and health service supports for this significantly disadvantaged group of children and their families.Kristina L. Elvidge, John Christodoulou, Michelle A. Farrar, Dominic Tilden, Megan Maack, Madeline Valeri, Magda Ellis, Nicholas J. C. Smith, and the Childhood Dementia Working Grou

Perceptions of Rural African American Adults About the Role of Family in Understanding and Addressing Risk Factors for Cardiovascular Disease

Purpose: African Americans (AAs) in rural south and southeast regions of the United States have among the highest prevalence of cardiovascular disease (CVD) in the country. The purpose of this qualitative, exploratory study is to understand family influences on CVD-related knowledge and health-related behaviors among rural AA adults. Design: Qualitative descriptive study design using a community-based participatory research approach. Setting: Two rural North Carolina counties. Participants: Eligible participants were AA adults (at least 21 years of age), who self-reported either CVD diagnosis or selected CVD risk factor(s) for themselves or for an adult family member (N = 37). Method: Directed content analysis of semistructured interviews by community and academic partners. Results: Family health history and familial norms and preferences influenced participants’ CVD-related knowledge, beliefs, and health-related behaviors. Participants reported their families were helpful for increasing motivation for and overcoming barriers to healthy behaviors, including hard-to-access community resources and physical challenges. Conversely, and to a lesser extent, participants also reported that family members hindered or had little influence (positive or negative) on their engagement in healthy behaviors. Conclusion: Family played an important role in helping individuals overcome personal and community-related challenges. Efforts to reduce CVD burden among rural AAs should seek to understand the family-related facilitators, barriers, and processes associated with CVD knowledge and risk-reduction behaviors