Do Patients with Craniosynostosis Have an Increased Incidence of Auditory Neuropathy as Newborns?

Neuroscience - Vision & Functional Brain Imaging Poster SessionOBJECTIVE: To investigate the incidence of auditory neuropathy, abnormal auditory brainstem response (ABR) with normal otoacoustic emissions, in newborn patients with craniosynostosis as compared to published standards. DESIGN: A retrospective review of consecutive patients with single or multiple-suture craniosynostosis who were seen between 2002 and 2009. Patients identified by the diagnostic code of craniosynostosis were divided into groups based on suture involvement. The newborn ABR screening and, if patients were referred, diagnosis from audiologic diagnostic testing were obtained from the Missouri Department of Health. Institutional review board approval was obtained. PATIENTS: One hundred and thirty-five patients were identified. Seventy-two were excluded; 3 were listed as “missed” and 69 were not born in-state. The 63 patients included in the study were grouped by involved sutures: 2 left coronal, 7 right coronal, 2 nonsyndromic bicoronal, 3 syndromic bicoronal, 13 sagittal, 17 operative metopic, 15 nonoperative metopic, 1 pansynostosis, and 3 multiple-suture. MAIN OUTCOME MEASURES: The newborn screening results for each patient were recorded as well as the diagnosis from audiologic diagnostics if the patient was referred. RESULTS: Of the 63 patients, 94% (59/63) passed their ABR screening. Four were referred for diagnostic exam in both ears. Of those, one had a normal exam (right coronal) and three did not have diagnostic exams on file (right coronal, bicoronal syndromic and bicoronal non-syndromic). CONCLUSIONS: According to the Centers for Disease Control, 1.8 percent of newborns failed their ABR screening in 2007. Of those, 37% were found to have normal hearing on diagnostic exam. Although our study was inconclusive due to inadequate state records, it does demonstrate an increased incidence in abnormal ABR's in patients with coronal craniosynostosis. This is consistent with a recent publication that demonstrated higher incidence of abnormal ABR's in syndromic coronal craniosynostosis. If auditory abnormalities are present at birth, as our study suggests, the etiology would be unrelated to increased intracranial pressures

State of Arizona v. Guy James Goodman: On Petition for a Writ of Certiorari to the Arizona Supreme Court

Arizona’s pending certiorari petition in Arizona v. Goodman provides the Supreme Court with an opportunity to review the important issue of the circumstances under which the Constitution permits an accused sex offender to be denied bail pending trial. In 2002, Arizona voters amended their state constitution, rendering a defendant categorically ineligible for bail if “the proof is evident or the presumption great” that he committed sexual assault. In a narrowly divided opinion, the Arizona Supreme Court found that this measure unconstitutional. And yet the Court’s opinion makes clear that the Constitution does not prohibit denying bail to defendants who present (1) “a continuing danger to the community” or (2) “a risk of flight.” Nor does the Constitution prohibit categorically denying bail based on the nature of the charged offense. Indeed, thirty-four states categorically deny bail to persons charged with capital offenses, murder, specified sex offenses, or offenses punishable by life imprisonment. Review of the Arizona Supreme Court’s decision is needed to resolve the conflict between it and the Court’s precedent on an important issue of constitutional law that affects the criminal justice system, crime victims, and community safety in States across the Nation. The Court’s review is especially needed because of the serious implications for victims and their communities if the judgment below is permitted to stand. Given sex offenders’ high recidivism rates, and the life-altering harm suffered by their victims, Arizona’s legislature was entirely reasonable when it opted to categorically deny bail to sexual-assault defendants on the ground that sexual assault is an adequate proxy for future dangerousness - and to build in procedural protections that go above and beyond in ensuring due process. The Constitution does not prohibit States like Arizona and others from taking these steps to ensure sex offenders are brought to justice, victims are protected, and communities are safeguarded

Associations of functional connectivity and walking performance in multiple sclerosis

Background Persons with multiple sclerosis (MS) often demonstrate impaired walking performance, and neuroimaging methods such as resting state functional connectivity (RSFC) may support a link between central nervous system damage and disruptions in walking. Objectives This study examined associations between RSFC in cortical networks and walking performance in persons with MS. Methods 29 persons with MS underwent 3-T brain magnetic resonance imaging (MRI) and we computed RSFC among 68 Gy matter regions of interest in the brain. Participants completed the Timed 25-foot Walk as a measure of walking performance. We examined associations using partial Pearson product-moment correlation analyses (r), controlling for age. Results There were eight cortical brain regions that were significantly associated with the T25FW, including the left parahippocampal gyrus and transverse temporal gyrus, and the right fusiform gyrus, inferior temporal gyrus, lingual gyrus, pericalcarine cortex, superior temporal gyrus, and transverse temporal gyrus. Conclusions We provide novel evidence that RSFC can be a valuable tool to monitor the motor and non-motor networks impacted in MS that relate to declines in motor impairment. RSFC may identify critical nodes involved in a range of motor tasks such as walking that can be more sensitive to disruption by MS

Evolution of a 3 \msun star from the main sequence to the ZZ Ceti stage: the role played by element diffusion

The purpose of this paper is to present new full evolutionary calculations for DA white dwarf stars with the major aim of providing a physically sound reference frame for exploring the pulsation properties of the resulting models in future communications. Here, white dwarf evolution is followed in a self-consistent way with the predictions of time dependent element diffusion and nuclear burning. In addition, full account is taken of the evolutionary stages prior to the white dwarf formation. In particular, we follow the evolution of a 3 \msun model from the zero-age main sequence (the adopted metallicity is Z=0.02) all the way from the stages of hydrogen and helium burning in the core up to the thermally pulsing phase. After experiencing 11 thermal pulses, the model is forced to evolve towards its white dwarf configuration by invoking strong mass loss episodes. Further evolution is followed down to the domain of the ZZ Ceti stars on the white dwarf cooling branch. Emphasis is placed on the evolution of the chemical abundance distribution due to diffusion processes and the role played by hydrogen burning during the white dwarf evolution. Furthermore, the implications of our evolutionary models for the main quantities relevant for adiabatic pulsation analysis are discussed. Interestingly, the shape of the Ledoux term is markedly smoother as compared with previous detailed studies of white dwarfs. This is translated into a different behaviour of the Brunt-Vaisala frequency.Comment: 11 pages, 11 figures, accepted for publication in MNRA

One-dimensional Josephson arrays as superlattices for single Cooper pairs

We investigate uniform one-dimensional arrays of small Josephson junctions ($E_J \ll E_C$, $E_C = (2e)^2/2C$) with a realistic Coulomb interaction $U(x) = E_C \lambda \exp( - |x|/\lambda)$ (here $\lambda \gg 1$ is the screening length in units of the lattice constant of the array). At low energies this system can be described in terms of interacting Bose particles (extra single Cooper pairs) on the lattice. With increasing concentration $\nu$ of extra Cooper pairs, a crossover from the Bose gas phase to the Wigner crystal phase and then to the superlattice regime occurs. The phase diagram in the superlattice regime consists of commensurable insulating phases with $\nu = 1/l$ ($l$ is integer) separated by superconducting regions where the current is carried by excitations with {\em fractional} electric charge $q = \pm 2e/l$. The Josephson current through a ring-shaped array pierced by magnetic flux is calculated for all of the phases.Comment: 4 pages (LATEX), 2 figure

Accuracy of the IMET sensor package in the subtropics

Author Posting. © American Meteorological Society, 2009. This article is posted here by permission of American Meteorological Society for personal use, not for redistribution. The definitive version was published in Journal of Atmospheric and Oceanic Technology 26 (2009): 1867-1890, doi:10.1175/2009JTECHO667.1.The accuracies of the meteorological sensors (air temperature, relative humidity, barometric pressure, near-surface temperature, longwave and shortwave radiation, and wind speed and direction) that compose the Improved Meteorological (IMET) system used on buoys at long-term ocean time series sites known as ocean reference stations (ORS) are analyzed to determine their absolute error characteristics. The predicted errors are compared to in situ measurement discrepancies and other observations (direct flux shipboard sensors) to confirm the predictions. The meteorological errors are then propagated through bulk flux formulas and the Coupled Ocean–Atmosphere Response Experiment (COARE) algorithm to give predicted errors for the heat flux components, the freshwater flux, and the momentum flux. Absolute errors are presented for three frequency bands [instantaneous (1-min sampling), diurnal, and annual]. The absolute uncertainty in the annually averaged net heat flux is found to be 8 W m−2 for conditions similar to the current ORS deployments in the subtropics.Support for the buoy deployments and the analysis from the NOAA Climate Observation Program is greatly appreciated (Grants NA17RJ1223 and NA17RJ1224)

Predicting death from surgery for lung cancer: a comparison of two scoring systems in two European countries

Objectives: Current British guidelines advocate the use of risk prediction scores such as Thoracoscore to estimate mortality prior to radical surgery for non-small cell lung cancer (NSCLC). A recent publication used the National Lung Cancer Audit (NLCA) to produce a score to predict 90 day mortality (NLCA score). The aim of this study is to validate the NLCA score, and compare its performance with Thoracoscore. Materials and methods: We performed an internal validation using 2858 surgical patients from NLCA and an external validation using 3191 surgical patients from the Danish Lung Cancer Registry (DLCR). We calculated the proportion that died within 90 days of surgery. The discriminatory power of both scores was assessed by a receiver operating characteristic (ROC) and an area under the curve (AUC) calculation. Results: Ninety day mortality was 5% in both groups. AUC values for internal and external validation of NLCA score and validation of Thoracoscore were 0.68 (95% CI 0.63–0.72), 0.60 (95% CI 0.56–0.65) and 0.60 (95% CI 0.54–0.66) respectively. Post-hoc analysis was performed using NLCA records on 15554 surgical patients to derive summary tables for 30 and 90 day mortality, stratified by procedure type, age and performance status. Conclusions: Neither score performs well enough to be advocated for individual risk stratification prior to lung cancer surgery. It may be that additional physiological parameters are required; however this is a further project. In the interim we propose the use of our summary tables that provide the real-life range of mortality for lobectomy and pneumonectomy