Practice patterns and outcomes of equivocal bone scans for patients with castration-resistant prostate cancer: Results from SEARCH.

ObjectiveTo review follow-up imaging after equivocal bone scans in men with castration resistant prostate cancer (CRPC) and examine the characteristics of equivocal bone scans that are associated with positive follow-up imaging.MethodsWe identified 639 men from five Veterans Affairs Hospitals with a technetium-99m bone scan after CRPC diagnosis, of whom 99 (15%) had equivocal scans. Men with equivocal scans were segregated into "high-risk" and "low-risk" subcategories based upon wording in the bone scan report. All follow-up imaging (bone scans, computed tomography [CT], magnetic resonance imaging [MRI], and X-rays) in the 3 months after the equivocal scan were reviewed. Variables were compared between patients with a positive vs. negative follow-up imaging after an equivocal bone scan.ResultsOf 99 men with an equivocal bone scan, 43 (43%) received at least one follow-up imaging test, including 32/82 (39%) with low-risk scans and 11/17 (65%) with high-risk scans (p = 0.052). Of follow-up tests, 67% were negative, 14% were equivocal, and 19% were positive. Among those who underwent follow-up imaging, 3/32 (9%) low-risk men had metastases vs. 5/11 (45%) high-risk men (p = 0.015).ConclusionWhile 19% of all men who received follow-up imaging had positive follow-up imaging, only 9% of those with a low-risk equivocal bone scan had metastases versus 45% of those with high-risk. These preliminary findings, if confirmed in larger studies, suggest follow-up imaging tests for low-risk equivocal scans can be delayed while high-risk equivocal scans should receive follow-up imaging

Number of Unfavorable Intermediate‐Risk Factors Predicts Pathologic Upstaging and Prostate Cancer‐Specific Mortality Following Radical Prostatectomy: Results From the SEARCH Database

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135480/1/pros23255.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/135480/2/pros23255_am.pd

Modified risk stratification grouping using standard clinical and biopsy information for patients undergoing radical prostatectomy: Results from SEARCH

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/139104/1/pros23436_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/139104/2/pros23436.pd

HABITAT-RELATED DIFFERENCES IN NECROPH- ILOUS SPECIES COMPOSITION: IMPLICATIONS FOR RESOURCE COMPETITION

Competition for resources is one of the most important selective factors influencing the expression of life history traits in both plants and animals (Darwin 1859). In grasslands, competition for resources such as nutrients, water, and space often is constrained by stochastic processes (Axelrod 1985). Disturbance factors such as fire, grazing by large herbivores, and fluctuating climatic conditions tend to alter the structure and magnitude of competition for limited resources among grassland communities more frequently than in other ecosystems (Snaydon 1987, van der Maarel 1993). Vertebrate carrion is one important resource used by both plants and animals in grasslands, providing a rich but ephemeral point source of nutrients (Towne 2000, Barton et al. 2013). A complex ecological network of vertebrate and invertebrate necrophilous animal species compete intensely for these carrion resources, often aided by specialized sensory and motility adaptations that aid resource discovery and sequestration (Putman 1978, Scott et al. 1979, DeVault et al. 2003)

Giant Outer Transiting Exoplanet Mass (GOT 'EM) Survey. I. Confirmation of an Eccentric, Cool Jupiter With an Interior Earth-sized Planet Orbiting Kepler-1514*

Despite the severe bias of the transit method of exoplanet discovery toward short orbital periods, a modest sample of transiting exoplanets with orbital periods greater than 100 days is known. Long-term radial velocity (RV) surveys are pivotal to confirming these signals and generating a set of planetary masses and densities for planets receiving moderate to low irradiation from their host stars. Here, we conduct RV observations of Kepler-1514 from the Keck I telescope using the High Resolution Echelle Spectrometer. From these data, we measure the mass of the statistically validated giant ($1.108\pm0.023$ $R_{\rm J}$) exoplanet Kepler-1514 b with a 218 day orbital period as $5.28\pm0.22$ $M_{\rm J}$. The bulk density of this cool ($\sim$390 K) giant planet is $4.82^{+0.26}_{-0.25}$ g cm$^{-3}$, consistent with a core supported by electron degeneracy pressure. We also infer an orbital eccentricity of $0.401^{+0.013}_{-0.014}$ from the RV and transit observations, which is consistent with planet-planet scattering and disk cavity migration models. The Kepler-1514 system contains an Earth-size, Kepler Object of Interest on a 10.5 day orbit that we statistically validate against false positive scenarios, including those involving a neighboring star. The combination of the brightness ($V$=11.8) of the host star and the long period, low irradiation, and high density of Kepler-1514 b places this system among a rare group of known exoplanetary systems and one that is amenable to continued study.Comment: 18 pages, 9 figures, accepted for publication in the Astronomical Journa

Beyond the androgen receptor II: New approaches to understanding and treating metastatic prostate cancer; Report from the 2017 Coffey‐Holden Prostate Cancer Academy Meeting

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138883/1/pros23424.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138883/2/pros23424_am.pd

Four sub-Saturns with dissimilar densities: windows into planetary cores and envelopes

We present results from a Keck/HIRES radial velocity campaign to study four sub-Saturn-sized planets, K2-27b, K2-32b, K2-39b, and K2-108b, with the goal of understanding their masses, orbits, and heavy-element enrichment. The planets have similar sizes (RP=4.5-5.5 ), but have dissimilar masses (MP=16-60 ), implying a diversity in their core and envelope masses. K2-32b is the least massive (MP = 16.5 ± 2.7 M) and orbits in close proximity to two sub-Neptunes near a 3:2:1 period commensurability. K2-27b and K2-39b are significantly more massive at MP = 30.9 ± 4.6 M and MP = 39.8 ± 4.4 M, respectively, and show no signs of additional planets. K2-108b is the most massive at MP = 59.4 ± 4.4 M, implying a large reservoir of heavy elements of about ≈50 . Sub-Saturns as a population have a large diversity in planet mass at a given size. They exhibit remarkably little correlation between mass and size; sub-Saturns range from ≈6-60 M, regardless of size. We find a strong correlation between planet mass and host star metallicity, suggesting that metal-rich disks form more massive planet cores. The most massive sub-Saturns tend to lack detected companions and have moderately eccentric orbits, perhaps as a result of a previous epoch of dynamical instability. Finally, we observe only a weak correlation between the planet envelope fraction and present-day equilibrium temperature, suggesting that photo-evaporation does not play a dominant role in determining the amount of gas sub-Saturns accrete from their protoplanetary disks

A novel antigen capture ELISA for the specific detection of IgG antibodies to elephant endotheliotropic herpes virus

BACKGROUND Elephants are classified as critically endangered animals by the International Union for Conservation of Species (IUCN). Elephant endotheliotropic herpesvirus (EEHV) poses a large threat to breeding programs of captive Asian elephants by causing fatal haemorrhagic disease. EEHV infection is detected by PCR in samples from both clinically ill and asymptomatic elephants with an active infection, whereas latent carriers can be distinguished exclusively via serological assays. To date, identification of latent carriers has been challenging, since there are no serological assays capable of detecting seropositive elephants. RESULTS Here we describe a novel ELISA that specifically detects EEHV antibodies circulating in Asian elephant plasma/serum. Approximately 80 % of PCR positive elephants display EEHV-specific antibodies. Monitoring three Asian elephant herds from European zoos revealed that the serostatus of elephants within a herd varied from non-detectable to high titers. The antibody titers showed typical herpes-like rise-and-fall patterns in time which occur in all seropositive animals in the herd more or less simultaneously. CONCLUSIONS This study shows that the developed ELISA is suitable to detect antibodies specific to EEHV. It allows study of EEHV seroprevalence in Asian elephants. Results confirm that EEHV prevalence among Asian elephants (whether captive-born or wild-caught) is high

Prevalence of Hypermobile Ehlers-Danlos Syndrome in Postural Orthostatic Tachycardia Syndrome

Despite well-established clinical associations between Hypermobile Ehlers-Danlos syndrome (hEDS) and postural orthostatic tachycardia syndrome (POTS), the precise prevalence is unknown. We therefore evaluated for hEDS in 91 POTS participants using the 2017 hEDS diagnostic checklist, which has three major criteria: 1) generalized joint hypermobility (Beighton score), 2) systemic features, family history, and 3) absence of exclusion criteria. Overall, 28 out of 91 POTS participants (31%) met clinical criteria for hEDS. An additional 24% of participants had generalized joint hypermobility without meeting hEDS criteria. Identifying the prevalence of hEDS in POTS is important for understanding possible mechanisms connecting these two syndromes

Racial differences in prostate inflammation: Results from the REDUCE study

Prostate cancer (PC) risk differs between races, and we previously showed prostate inflammation in benign prostate tissue was linked with a lower future PC risk. However, whether prostate tissue inflammation varies by race is unknown. We analyzed baseline acute and chronic prostate inflammation by race in REDUCE, a 4-year, multicenter, placebo-controlled study where all men had a negative prostate biopsy prior to enrollment. We included 7,982 men with standardized central pathology review to determine the presence or absence of chronic or acute inflammation in baseline prostate biopsy tissue. Logistic regression was used to compare prostate inflammation by race, adjusting for confounders. Of 7,982 men, 7,271 were white (91.1%), 180 (2.3%) black, 131 (1.6%) Asian, 319 (4.0%) Hispanic and 81 (1%) unknown. A total of 78% had chronic and 15% had acute inflammation. On multivariable analysis relative to white men, black men were less likely (OR = 0.65, 95%CI: 0.41-1.03