De novo head and neck cancer after liver transplant with antibody-based immunosuppression induction

Background Powerful antibody-based immunosuppression induction is now used routinely during organ transplantation, and may place patients at even higher risk of post-transplant cancer. Materials and Methods Incidence of de-novo head and neck cancer was extracted from the records of 1685 consecutive adult, deceased donor liver transplant recipients with a minimum 1-year follow-up from 2001 to 2015. There were 121 patients positively identified as having developed de-novo head and neck cancer post-liver transplant. Records of these patients were analyzed to determine demographics, history of cancer pre-liver transplant, de-novo cancer type and location, treatment modalities, and alcohol and tobacco exposure. Results Of the 121 patients who developed cancer of the head and neck (7%), there were 103 cutaneous (6%) and 25 non-cutaneous (1%). For non-cutaneous cancers, factors associated with increased risk of cancer included alcohol abuse (p<0.001), any smoking history (p=0.05), and increasing exposure to tobacco (p<0.01). Ten-year Cox regression patient survival demonstrates a survival disadvantage for patients who develop non-cutaneous cancer (p=0.06), but a survival advantage for patients who develop cutaneous cancer (p<0.01). Conclusions The incidence and pattern of head and neck cancer in this population of liver transplant patients was similar to those published previously, suggesting that induction immunosuppression does not increase risk of these types of cancers. Long term survival was worse for patients with non-cutaneous cancers, but better for those with cutaneous cancers, though the reason is unclear

An asymptotic induced numerical method for the convection-diffusion-reaction equation

A parallel algorithm for the efficient solution of a time dependent reaction convection diffusion equation with small parameter on the diffusion term is presented. The method is based on a domain decomposition that is dictated by singular perturbation analysis. The analysis is used to determine regions where certain reduced equations may be solved in place of the full equation. Parallelism is evident at two levels. Domain decomposition provides parallelism at the highest level, and within each domain there is ample opportunity to exploit parallelism. Run time results demonstrate the viability of the method

Distribution and sighting frequency of reef fishes in the Florida Keys National Marine Sanctuary

This study analyzed species richness, distribution, and sighting frequency of selected reef fishes to describe species assemblage composition, abundance, and spatial distribution patterns among sites and regions (Upper Keys, Middle Keys, Lower Keys, and Dry Tortugas) within the Florida Keys National Marine Sanctuary (FKNMS) barrier reef ecosystem. Data were obtained from the Reef Environmental Education Foundation (REEF) Fish Survey Project, a volunteer fish-monitoring program. A total of 4,324 visual fish surveys conducted at 112 sites throughout the FKNMS were used in these analyses. The data set contained sighting information on 341 fish species comprising 68 families. Species richness was generally highest in the Upper Keys sites (maximum was 220 species at Molasses Reef) and lowest in the Dry Tortugas sites. Encounter rates differed among regions, with the Dry Tortugas having the highest rate, potentially a result of differences in the evenness in fishes and the lower diversity of habitat types in the Dry Tortugas region. Geographic coverage maps were developed for 29 frequently observed species. Fourteen of these species showed significant regional variation in mean sighting frequency (%SF). Six species had significantly lower mean %SF and eight species had significantly higher mean %SF in the Dry Tortugas compared with other regions. Hierarchical clustering based on species composition (presence-absence) and species % SF revealed interesting patterns of similarities among sites that varied across spatial scales. Results presented here indicate that phenomena affecting reef fish composition in the FKNMS operate at multiple spatial scales, including a biogeographic scale that defines the character of the region as a whole, a reef scale (~50-100 km) that include meso-scale physical oceanographic processes and regional variation in reef structure and associated reef habitats, and a local scale that includes level of protection, cross-shelf location and a suite of physical characteristics of a given reef. It is likely that at both regional and local scales, species habitat requirements strongly influence the patterns revealed in this study, and are particularly limiting for species that are less frequently observed in the Dry Tortugas. The results of this report serve as a benchmark for the current status of the reef fishes in the FKNMS. In addition, these data provide the basis for analyses on reserve effects and the biogeographic coupling of benthic habitats and fish assemblages that are currently underway. (PDF contains 61 pages.

Majorana Fermions and Non-Abelian Statistics in Three Dimensions

We show that three dimensional superconductors, described within a Bogoliubov de Gennes framework can have zero energy bound states associated with pointlike topological defects. The Majorana fermions associated with these modes have non-Abelian exchange statistics, despite the fact that the braid group is trivial in three dimensions. This can occur because the defects are associated with an orientation that can undergo topologically nontrivial rotations. A new feature of three dimensional systems is that there are "braidless" operations in which it is possible to manipulate the groundstate associated with a set of defects without moving or measuring them. To illustrate these effects we analyze specific architectures involving topological insulators and superconductors.Comment: 4 pages, 2 figures, published versio

Effective response theory for zero energy Majorana bound states in three spatial dimensions

We propose a gravitational response theory for point defects (hedgehogs) binding Majorana zero modes in (3+1)-dimensional superconductors. Starting in 4+1 dimensions, where the point defect is extended into a line, a coupling of the bulk defect texture with the gravitational field is introduced. Diffeomorphism invariance then leads to an $SU(2)_2$ Kac-Moody current running along the defect line. The $SU(2)_2$ Kac-Moody algebra accounts for the non-Abelian nature of the zero modes in 3+1 dimensions. It is then shown to also encode the angular momentum density which permeates throughout the bulk between hedgehog-anti-hedgehog pairs.Comment: 7 pages, 3 figure

Sun-Like Magnetic Cycles in the Rapidly-Rotating Young Solar Analog HD 30495

A growing body of evidence suggests that multiple dynamo mechanisms can drive magnetic variability on different timescales, not only in the Sun but also in other stars. Many solar activity proxies exhibit a quasi-biennial ($\sim$2 year) variation, which is superimposed upon the dominant 11 year cycle. A well-characterized stellar sample suggests at least two different relationships between rotation period and cycle period, with some stars exhibiting long and short cycles simultaneously. Within this sample, the solar cycle periods are typical of a more rapidly rotating star, implying that the Sun might be in a transitional state or that it has an unusual evolutionary history. In this work, we present new and archival observations of dual magnetic cycles in the young solar analog HD 30495, an $\sim$1 Gyr-old G1.5V star with a rotation period near 11 days. This star falls squarely on the relationships established by the broader stellar sample, with short-period variations at $\sim$1.7 years and a long cycle of $\sim$12 years. We measure three individual long-period cycles and find durations ranging from 9.6-15.5 years. We find the short-term variability to be intermittent, but present throughout the majority of the time series, though its occurrence and amplitude are uncorrelated with the longer cycle. These essentially solar-like variations occur in a Sun-like star with more rapid rotation, though surface differential rotation measurements leave open the possibility of a solar equivalence.Comment: 12 pages, 6 figures. Submitted to Ap