Measuring media-related health and mental health information acquisition among Latino adults in the United States

Objectives We developed and evaluated new media-related health information acquisition measures for U.S.-based Latino populations. Methods In 2021, a sample of U.S.-based Latino adults (N = 1574) self-completed a 20-min survey of health information acquisition measures across three language/cultural dimensions: Spanish media, Latino-tailored media in English, and general media in English. Socio-demographics were also ascertained. Means and standard deviations for the health acquisition measures were adjusted for age and sex and reported across nativity status. Results The sample was diverse across age, gender, race, ethnicity, socioeconomic status, migration, and language competency. Internal consistency reliability of developed scales was excellent overall and within age, gender, race, ethnicity, and socioeconomic subgroups (Cronbach\u27s alphas = 0.86–0.94). English media scales had higher means overall indicating higher prolonged quantity (i.e., dosage) than Spanish media scales. In contrast, standard deviations for Spanish media scales were higher overall indicating broader reach at lower doses than English media scales. Conclusions Findings suggest English-language media is popular among Latino populations overall. However, Spanish-language media retains broad reach through both passive and active exposure. Our findings demonstrate the value of including more nuanced measurement of health information acquisition such as the scales developed in this study to improve health promotion among Latino populations

Níveis séricos pré-operatórios de CA 72-4, CEA, CA 19-9 e Alfa-fetoproteína em pacientes com câncer gástrico

INTRODUCTION: The clinical importance of preoperative serum levels of CA 72-4, carcinoembryonic antigen (CEA), CA 19-9, and alpha-fetoprotein (AFP) was prospectively evaluated in 44 patients with gastric cancer. METHOD: The serum tumor marker levels were determined by commercial radioimmunoassay kits. Positivity for CA 72-4 (>;4 U/mL), CEA (>;5 ng/mL), CA 19-9 (>;37 U/mL), and AFP (>;10 ng/mL) were correlated according to the stage, histology, and lymph node metastasis. RESULTS AND DISCUSSION: CA 72-4 showed a higher positivity rate for gastric cancer (47.7%) than CEA (25%), CA 19-9 (25%), and AFP (0%). The combination of CA 72-4 with CEA and CA 19-9 increased the sensitivity to 61.4%. The positivity rates of CA 72-4 in patients at stages I and II (initial disease) and in patients at stages III and IV (advanced disease) were 9% and 60.6%, respectively (P ;4 U/ml), CEA (>;5 ng/ml), CA 19-9 (>;37 U/ml) e AFP (>;10 ng/ml), foi correlacionada com o estágio da doença, a histologia do tumor e comprometimento de linfonodo. RESULTADOS E DISCUSSÃO: O marcador CA 72-4 apresentou maior positividade para o câncer gástrico (47,7%) que CEA (25%), CA 19-9 (25%) e AFP (0%). A associação de CA 72-4, CEA e CA 19-9 aumentou a sensibilidade para 61,4%. A positividade do CA 72-4 nos pacientes com estágios I e II (Doença Inicial) e nos pacientes com estágios III e IV (Doença Avançada) foi de 9 e 60,6%, respectivamente (

Cardiotoxicidade associada aos inibidores de checkpoint: relato de caso: Cardiotoxicity associated with checkpoint inhibitors: report case

Introdução: A evolução da imunoterapia no manejo do paciente oncológico tem se constituído em importante arsenal terapêutico das neoplasias malignas. Entretanto, deve-se conhecer os mecanismos de ação e os principais efeitos colaterais das drogas para adequada monitorização durante o tratamento. Objetivo- Relatar a ocorrência de miocardite após uso de imunoterapia para tratamento de adenocarcinoma de pulmão. Método–Trata-se de um caso clínico, cujas informações foram obtidas mediante análise cuidadosa do prontuário médico, da anamnese e da avaliação dos laudos dos exames complementares submetidos pelo paciente e de revisão de literatura. Conclusão Foi abordado um dos efeitos colaterais mais graves ocasionados por inibidores de checkpoint: a toxidade cardíaca.  O diagnóstico precoce permitiu a interrupção da imunoterapia e evitou eventos adversos maiores

Anisotropy and chemical composition of ultra-high energy cosmic rays using arrival directions measured by the Pierre Auger Observatory

The Pierre Auger Collaboration has reported evidence for anisotropy in the distribution of arrival directions of the cosmic rays with energies $E>E_{th}=5.5\times 10^{19}$ eV. These show a correlation with the distribution of nearby extragalactic objects, including an apparent excess around the direction of Centaurus A. If the particles responsible for these excesses at $E>E_{th}$ are heavy nuclei with charge $Z$, the proton component of the sources should lead to excesses in the same regions at energies $E/Z$. We here report the lack of anisotropies in these directions at energies above $E_{th}/Z$ (for illustrative values of $Z=6,\ 13,\ 26$). If the anisotropies above $E_{th}$ are due to nuclei with charge $Z$, and under reasonable assumptions about the acceleration process, these observations imply stringent constraints on the allowed proton fraction at the lower energies

Battle of Postdisaster Response and Restoration

[EN] The paper presents the results of the Battle of Postdisaster Response and Restoration (BPDRR) presented in a special session at the first International water distribution systems analysis & computing and control in the water industry (WDSA/CCWI) Joint Conference, held in Kingston, Ontario, Canada, in July 2018. The BPDRR problem focused on how to respond and restore water service after the occurrence of five earthquake scenarios that cause structural damage in a water distribution system. Participants were required to propose a prioritization schedule to fix the damages of each scenario while following restrictions on visibility/nonvisibility of damages. Each team/approach was evaluated against six performance criteria: (1) time without supply for hospital/firefighting, (2) rapidity of recovery, (3) resilience loss, (4) average time of no user service, (5) number of users without service for eight consecutive hours, and (6) water loss. Three main types of approaches were identified from the submissions: (1) general-purpose metaheuristic algorithms, (2) greedy algorithms, and (3) ranking-based prioritizations. All three approaches showed potential to solve the challenge efficiently. The results of the participants showed that for this network, the impact of a large-diameter pipe failure on the network is more significant than several smaller pipes failures. The location of isolation valves and the size of hydraulic segments influenced the resilience of the system during emergencies. On average, the interruptions to water supply (hospitals and firefighting) varied considerably among solutions and emergency scenarios, highlighting the importance of private water storage for emergencies. The effects of damages and repair work were more noticeable during the peak demand periods (morning and noontime) than during the low-flow periods; and tank storage helped to preserve functionality of the network in the first few hours after a simulated event. (C) 2020 American Society of Civil Engineers.Paez, D.; Filion, Y.; Castro-Gama, M.; Quintiliani, C.; Santopietro, S.; Sweetapple, C.; Meng, F.... (2020). Battle of Postdisaster Response and Restoration. Journal of Water Resources Planning and Management. 146(8):1-13. https://doi.org/10.1061/(ASCE)WR.1943-5452.0001239S1131468Balut A. R. Brodziak J. Bylka and P. Zakrzewski. 2018. “Battle of post-disaster response and restauration (BPDRR).” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems.Bibok A. 2018. “Near-optimal restoration scheduling of damaged drinking water distribution systems using machine learning.” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems.Castro-Gama M. C. Quintiliani and S. Santopietro. 2018. “After earthquake post-disaster response using a many-objective approach a greedy and engineering interventions.” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems.Cimellaro, G. P., Tinebra, A., Renschler, C., & Fragiadakis, M. (2016). New Resilience Index for Urban Water Distribution Networks. Journal of Structural Engineering, 142(8). doi:10.1061/(asce)st.1943-541x.0001433Cover, T., & Hart, P. (1967). Nearest neighbor pattern classification. IEEE Transactions on Information Theory, 13(1), 21-27. doi:10.1109/tit.1967.1053964Creaco, E., Franchini, M., & Alvisi, S. (2010). Optimal Placement of Isolation Valves in Water Distribution Systems Based on Valve Cost and Weighted Average Demand Shortfall. Water Resources Management, 24(15), 4317-4338. doi:10.1007/s11269-010-9661-5Deb, K., Mohan, M., & Mishra, S. (2005). Evaluating the ε-Domination Based Multi-Objective Evolutionary Algorithm for a Quick Computation of Pareto-Optimal Solutions. Evolutionary Computation, 13(4), 501-525. doi:10.1162/106365605774666895Deuerlein J. D. Gilbert E. Abraham and O. Piller. 2018. “A greedy scheduling of post-disaster response and restoration using pressure-driven models and graph segment analysis.” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems.Deuerlein, J. W. (2008). Decomposition Model of a General Water Supply Network Graph. Journal of Hydraulic Engineering, 134(6), 822-832. doi:10.1061/(asce)0733-9429(2008)134:6(822)Di Nardo, A., Di Natale, M., Giudicianni, C., Santonastaso, G. F., & Savic, D. (2018). Simplified Approach to Water Distribution System Management via Identification of a Primary Network. Journal of Water Resources Planning and Management, 144(2), 04017089. doi:10.1061/(asce)wr.1943-5452.0000885Eliades D. G. M. Kyriakou S. Vrachimis and M. M. Polycarpou. 2016. “EPANET-MATLAB toolkit: An open-source software for interfacing EPANET with MATLAB.” In Proc. 14th Int. Conf. on Computing and Control for the Water Industry (CCWI) 8. The Hague The Netherlands: International Water Conferences. https://doi.org/10.5281/zenodo.831493.Fragiadakis, M., Christodoulou, S. E., & Vamvatsikos, D. (2013). Reliability Assessment of Urban Water Distribution Networks Under Seismic Loads. Water Resources Management, 27(10), 3739-3764. doi:10.1007/s11269-013-0378-0Gilbert, D., Abraham, E., Montalvo, I., & Piller, O. (2017). Iterative Multistage Method for a Large Water Network Sectorization into DMAs under Multiple Design Objectives. Journal of Water Resources Planning and Management, 143(11), 04017067. doi:10.1061/(asce)wr.1943-5452.0000835Hill, D., Kerkez, B., Rasekh, A., Ostfeld, A., Minsker, B., & Banks, M. K. (2014). Sensing and Cyberinfrastructure for Smarter Water Management: The Promise and Challenge of Ubiquity. Journal of Water Resources Planning and Management, 140(7), 01814002. doi:10.1061/(asce)wr.1943-5452.0000449Hwang, H. H. M., Lin, H., & Shinozuka, M. (1998). Seismic Performance Assessment of Water Delivery Systems. Journal of Infrastructure Systems, 4(3), 118-125. doi:10.1061/(asce)1076-0342(1998)4:3(118)Li Y. J. Gao C. Jian C. Ou and S. Hu. 2018. “A two-stage post-disaster response and restoration method for the water distribution system.” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems.Liu, W., Zhao, Y., & Li, J. (2014). Seismic functional reliability analysis of water distribution networks. Structure and Infrastructure Engineering, 11(3), 363-375. doi:10.1080/15732479.2014.887121Luong, H. T., & Nagarur, N. N. (2005). Optimal Maintenance Policy and Fund Allocation in Water Distribution Networks. Journal of Water Resources Planning and Management, 131(4), 299-306. doi:10.1061/(asce)0733-9496(2005)131:4(299)MacQueen J. B. 1967. “Some methods for classification and analysis of multivariate observations.” In Vol. 1 of Proc. 5th Berkeley Symp. on Mathematical Statistics and Probability 281–297. Berkeley: University of California Press.Mahmoud, H. A., Kapelan, Z., & Savić, D. (2018). Real-Time Operational Response Methodology for Reducing Failure Impacts in Water Distribution Systems. Journal of Water Resources Planning and Management, 144(7), 04018029. doi:10.1061/(asce)wr.1943-5452.0000956Meng, F., Fu, G., Farmani, R., Sweetapple, C., & Butler, D. (2018). Topological attributes of network resilience: A study in water distribution systems. Water Research, 143, 376-386. doi:10.1016/j.watres.2018.06.048Ostfeld, A., Uber, J. G., Salomons, E., Berry, J. W., Hart, W. E., Phillips, C. A., … Walski, T. (2008). The Battle of the Water Sensor Networks (BWSN): A Design Challenge for Engineers and Algorithms. Journal of Water Resources Planning and Management, 134(6), 556-568. doi:10.1061/(asce)0733-9496(2008)134:6(556)Paez D. Y. Filion and M. Hulley. 2018a. “Battle of post-disaster response and restoration (BPDRR)—Problem description and rules.” Accessed June 14 2019. https://www.queensu.ca/wdsa-ccwi2018/problem-description-and-files.Paez, D., Suribabu, C. R., & Filion, Y. (2018). Method for Extended Period Simulation of Water Distribution Networks with Pressure Driven Demands. Water Resources Management, 32(8), 2837-2846. doi:10.1007/s11269-018-1961-1Salcedo C. A. Aguilar P. Cuero S. Gonzalez S. Muñoz J. Pérez A. Posada J. Robles and K. Vargas. 2018. “Determination of the hydraulic restoration capacity of b-city involving a multi-criteria decision support model.” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems.Santonastaso G. F. E. Creaco A. Di Nardo and M. Di Natale. 2018. “Post-disaster response and restauration of B-town network based on primary network.” In Vol. 1 of Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. Kingston Canada: Open Journal Systems.Sophocleous S. E. Nikoloudi H. A. Mahmoud K. Woodward and M. Romano. 2018. “Simulation-based framework for the restoration of earthquake-damaged water distribution networks using a genetic algorithm.” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems.Sweetapple C. F. Meng R. Farmani G. Fu and D. Butler. 2018. “A heuristic approach to water network post-disaster response and restoration.” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems.Tabucchi, T., Davidson, R., & Brink, S. (2010). Simulation of post-earthquake water supply system restoration. Civil Engineering and Environmental Systems, 27(4), 263-279. doi:10.1080/10286600902862615Taormina, R., Galelli, S., Tippenhauer, N. O., Salomons, E., Ostfeld, A., Eliades, D. G., … Ohar, Z. (2018). Battle of the Attack Detection Algorithms: Disclosing Cyber Attacks on Water Distribution Networks. Journal of Water Resources Planning and Management, 144(8), 04018048. doi:10.1061/(asce)wr.1943-5452.0000969Walski, T. M. (1993). Water distribution valve topology for reliability analysis. Reliability Engineering & System Safety, 42(1), 21-27. doi:10.1016/0951-8320(93)90051-yWang, Y., Au, S.-K., & Fu, Q. (2010). Seismic Risk Assessment and Mitigation of Water Supply Systems. Earthquake Spectra, 26(1), 257-274. doi:10.1193/1.3276900Yoo, D. G., Kang, D., & Kim, J. H. (2016). Optimal design of water supply networks for enhancing seismic reliability. Reliability Engineering & System Safety, 146, 79-88. doi:10.1016/j.ress.2015.10.001Zhang Q. F. Zheng K. Diao B. Ulanicki and Y. Huang. 2018. “Solving the battle of post-disaster response and restauration (BPDRR) problem with the aid of multi-phase optimization framework.” In Proc. 1st Int. WDSA/CCWI 2018 Joint Conf. 14. Kingston Canada: Open Journal Systems

Clinical Outcomes With a Repositionable Self-Expanding Transcatheter Aortic Valve Prosthesis: The International FORWARD Study

Background Clinical outcomes in large patient populations from real-world clinical practice with a next-generation self-expanding transcatheter aortic valve are lacking. Objectives This study sought to document the clinical and device performance outcomes of transcatheter aortic valve replacement (TAVR) with a next-generation, self-expanding transcatheter heart valve (THV) system in patients with severe symptomatic aortic stenosis (AS) in routine clinical practice. Methods The FORWARD (CoreValve Evolut R FORWARD) study is a prospective, single-arm, multinational, multicenter, observational study. An independent clinical events committee adjudicated safety endpoints based on Valve Academic Research Consortium-2 definitions. An independent echocardiographic core laboratory evaluated all echocardiograms. From January 2016 to December 2016, TAVR with the next-generation self-expanding THV was attempted in 1,038 patients with symptomatic, severe AS at 53 centers on 4 continents. Results Mean age was 81.8 ± 6.2 years, 64.9% were women, the mean Society of Thoracic Surgeons Predicted Risk of Mortality was 5.5 ± 4.5%, and 33.9% of patients were deemed frail. The repositioning feature of the THV was applied in 25.8% of patients. A single valve was implanted in the proper anatomic location in 98.9% of patients. The mean aortic valve gradient was 8.5 ± 5.6 mm Hg, and moderate or severe aortic regurgitation was 1.9% at discharge. All-cause mortality was 1.9%, and disabling stroke occurred in 1.8% at 30 days. The expected-to-observed early surgical mortality ratio was 0.35. A pacemaker was implanted in 17.5% of patients. Conclusions TAVR using the next-generation THV is clinically safe and effective for treating older patients with severe AS at increased operative risk. (CoreValve Evolut R FORWARD Study [FORWARD]; NCT02592369

Country-level gender inequality is associated with structural differences in the brains of women and men

男女間の不平等と脳の性差 --男女間の不平等は脳構造の性差と関連する--. 京都大学プレスリリース. 2023-05-10.Gender inequality across the world has been associated with a higher risk to mental health problems and lower academic achievement in women compared to men. We also know that the brain is shaped by nurturing and adverse socio-environmental experiences. Therefore, unequal exposure to harsher conditions for women compared to men in gender-unequal countries might be reflected in differences in their brain structure, and this could be the neural mechanism partly explaining women’s worse outcomes in gender-unequal countries. We examined this through a random-effects meta-analysis on cortical thickness and surface area differences between adult healthy men and women, including a meta-regression in which country-level gender inequality acted as an explanatory variable for the observed differences. A total of 139 samples from 29 different countries, totaling 7, 876 MRI scans, were included. Thickness of the right hemisphere, and particularly the right caudal anterior cingulate, right medial orbitofrontal, and left lateral occipital cortex, presented no differences or even thicker regional cortices in women compared to men in gender-equal countries, reversing to thinner cortices in countries with greater gender inequality. These results point to the potentially hazardous effect of gender inequality on women’s brains and provide initial evidence for neuroscience-informed policies for gender equality

Country-level gender inequality is associated with structural differences in the brains of women and men

Gender inequality across the world has been associated with a higher risk to mental health problems and lower academic achievement in women compared to men. We also know that the brain is shaped by nurturing and adverse socio-environmental experiences. Therefore, unequal exposure to harsher conditions for women compared to men in gender-unequal countries might be reflected in differences in their brain structure, and this could be the neural mechanism partly explaining women's worse outcomes in gender-unequal countries. We examined this through a random-effects meta-analysis on cortical thickness and surface area differences between adult healthy men and women, including a meta-regression in which country-level gender inequality acted as an explanatory variable for the observed differences. A total of 139 samples from 29 different countries, totaling 7,876 MRI scans, were included. Thickness of the right hemisphere, and particularly the right caudal anterior cingulate, right medial orbitofrontal, and left lateral occipital cortex, presented no differences or even thicker regional cortices in women compared to men in gender-equal countries, reversing to thinner cortices in countries with greater gender inequality. These results point to the potentially hazardous effect of gender inequality on women's brains and provide initial evidence for neuroscience-informed policies for gender equality