10,853 research outputs found

    Tumor Biology and Racial Disparities in Reconstruction After Mastectomy: A SEER Database Analysis

    Full text link
    Introduction: Significant disparities in immediate breast reconstruction after mastectomy have persisted, and may even be increasing, despite large-scale efforts to minimize them, such as the Women’s Health and Cancer Rights Act of 1998. Immediate breast reconstruction has been shown to lead to higher rates of surgical satisfaction, minimize delay in post-operative cancer treatment, and improve the quality of life and overall well-being of mastectomy patients. However only 25-40% of eligible women in the United States receive reconstruction. The rate of reconstruction is even lower in African American and Hispanic women compared to White women. To better understand this disparity, this study uses national population-based data to examine how demographic factors, socioeconomic factors, and disease characteristics interact and affect the rate of immediate breast reconstruction (IBR) after mastectomy. Methods: Women with AJCC7 Stage 0-III breast cancer who underwent mastectomy from 2010 to 2012 were identified in the Surveillance, Epidemiology and End Results Program (SEER) database. Race, Hispanic ethnicity, age, marital status, insurance status, tumor grade, AJCC7 stage and hormone receptor/ Her2Neu profile were compared between women undergoing mastectomy with IBR and mastectomy alone using univariate and multivariate analysis. Results: We identified 51,115 women who underwent mastectomy for Stage 0-III breast cancer from 2010-2012, of whom 15,389 (30.1%) received IBR. On multivariate analysis, age (p Conclusion: The decision to undergo reconstruction after mastectomy is influenced by many factors. Our results show that even after adjusting for tumor characteristics, socioeconomic factors are independently associated with receiving IBR after mastectomy. Further research is needed to elucidate the factors that influence the decision to undergo IBR in order to eliminate these persistent disparities

    Commensurate antiferromagnetic ordering in Ba(Fe{1-x}Co{x})2As2 determined by x-ray resonant magnetic scattering at the Fe K-edge

    Get PDF
    We describe x-ray resonant magnetic diffraction measurements at the Fe K-edge of both the parent BaFe2As2 and superconducting Ba(Fe0.953Co0.047)2As2 compounds. From these high-resolution measurements we conclude that the magnetic structure is commensurate for both compositions. The energy spectrum of the resonant scattering is in reasonable agreement with theoretical calculations using the full-potential linear augmented plane wave method with a local density functional.Comment: 5 pages, 3 figures; accepted for publication in Phys. Rev. B Rapid Com

    Anomalous kinetics of attractive A+B0A+B \to 0 reactions

    Full text link
    We investigate the kinetics of A+B0A+B \to 0 reaction with the local attractive interaction between opposite species in one spatial dimension. The attractive interaction leads to isotropic diffusions inside segregated single species domains, and accelerates the reactions of opposite species at the domain boundaries. At equal initial densities of AA and BB, we analytically and numerically show that the density of particles (ρ\rho), the size of domains (\ell), the distance between the closest neighbor of same species (AA\ell_{AA}), and the distance between adjacent opposite species (AB\ell_{AB}) scale in time as ρt1/3\rho \sim t^{-1/3}, AAt1/3\ell_{AA} \sim t^{1/3}, and ABt2/3\ell \sim \ell_{AB} \sim t^{2/3} respectively. These dynamical exponents form a new universality class distinguished from the class of uniformly driven systems of hard-core particles.Comment: 4 pages, 4 figure

    Parallel Manipulator-Gripper for Mobile Manipulating UAVs

    Get PDF
    Unmanned Aerial Vehicles (UAVs) are originally developed for military, but have been developed over time to time for valuable roles in surveillance, work-assistant, and intelligence for both civilian and military operations. The ability of UAVs that manipulate or carry objects can expand the type of tasks achieved by unmanned aerial systems. High degree of freedom robots with dexterous arm can lead to various applications. Most of manipulators are serial, each motor on each joint affects on stabilizing UAVs. Our lab , DASL , has presented parallel mechanism manipulator for UAVs. It results in less impact on center of gravity(CoG) of UAVs and high precise manipulation. Thus, this work focuses on 6 degree-of-freedom parallel manipulator and gripper(PMG) concept for unmanned aerial vehicles that can be used for multiple purposes. Depending on the purpose, the grasper module on the manipulator’s end-effector changes. The design and mechanism is proposed, and the final results are also given

    First Principles Analysis of Electron-Phonon Interaction in Graphene

    Full text link
    The electron-phonon interaction in monolayer graphene is investigated by using density functional perturbation theory. The results indicate that the electron-phonon interaction strength is of comparable magnitude for all four in-plane phonon branches and must be considered simultaneously. Moreover, the calculated scattering rates suggest an acoustic phonon contribution that is much weaker than previously thought, revealing the role of optical phonons even at low energies. Accordingly it is predicted, in good agreement with a recent measurement, that the intrinsic mobility of graphene may be more than an order of magnitude larger than the high values reported in suspended samples.Comment: 12 pages, 4 figure

    A Control Switch for Prothrombinase: Characterization of a Hirudin-Like Pentapeptide From the COOH Terminus of Factor VA Heavy Chain That Regulates the Rate and Pathway for Prothrombin Activation

    Get PDF
    Membrane-bound factor Xa alone catalyzes prothrombin activation following initial cleavage at Arg(271) and prethrombin 2 formation (pre2 pathway). Factor Va directs prothrombin activation by factor Xa through the meizothrombin pathway, characterized by initial cleavage at Arg(320) (meizo pathway). We have shown previously that a pentapeptide encompassing amino acid sequence 695-699 from the COOH terminus of the heavy chain of factor Va (Asp-Tyr-Asp-Tyr-Gln, DYDYQ) inhibits prothrombin activation by prothrombinase in a competitive manner with respect to substrate. To understand the mechanism of inhibition of thrombin formation by DYDYQ, we have studied prothrombin activation by gel electrophoresis. Titration of plasma-derived prothrombin activation by prothrombinase, with increasing concentrations of peptide, resulted in complete inhibition of the meizo pathway. However, thrombin formation still occurred through the pre2 pathway. These data demonstrate that the peptide preferentially inhibits initial cleavage of prothrombin by prothrombinase at Arg(320). These findings were corroborated by studying the activation of recombinant mutant prothrombin molecules rMZ-II (R155A/R284A/R271A) and rP2-II (R155A/R284A/R320A) which can be only cleaved at Arg(320) and Arg(271), respectively. Cleavage of rMZ-II by prothrombinase was completely inhibited by low concentrations of DYDYQ, whereas high concentrations of pentapeptide were required to inhibit cleavage of rP2-II. The pentapeptide also interfered with prothrombin cleavage by membrane-bound factor Xa alone in the absence of factor Va increasing the rate for cleavage at Arg(271) of plasma-derived prothrombin or rP2-II. Our data demonstrate that pentapeptide DYDYQ has opposing effects on membrane-bound factor Xa for prothrombin cleavage, depending on the incorporation of factor Va in prothrombinase

    Reconfigurable ferromagnetic liquid droplets.

    Get PDF
    Solid ferromagnetic materials are rigid in shape and cannot be reconfigured. Ferrofluids, although reconfigurable, are paramagnetic at room temperature and lose their magnetization when the applied magnetic field is removed. Here, we show a reversible paramagnetic-to-ferromagnetic transformation of ferrofluid droplets by the jamming of a monolayer of magnetic nanoparticles assembled at the water-oil interface. These ferromagnetic liquid droplets exhibit a finite coercivity and remanent magnetization. They can be easily reconfigured into different shapes while preserving the magnetic properties of solid ferromagnets with classic north-south dipole interactions. Their translational and rotational motions can be actuated remotely and precisely by an external magnetic field, inspiring studies on active matter, energy-dissipative assemblies, and programmable liquid constructs

    The Origin of the Intrinsic Scatter in the Relation Between Black Hole Mass and Bulge Luminosity for Nearby Active Galaxies

    Full text link
    We investigate the origin of the intrinsic scatter in the correlation between black hole mass (MBH) and bulge luminosity [L(bulge)] in a sample of 45 massive, local (z < 0.35) type~1 active galactic nuclei (AGNs). We derive MBH from published optical spectra assuming a spherical broad-line region, and L(bulge) from detailed two-dimensional decomposition of archival optical Hubble Space Telescope images. AGNs follow the MBH-L(bulge) relation of inactive galaxies, but the zero point is shifted by an average of \Delta log MBH ~ -0.3 dex. We show that the magnitude of the zero point offset, which is responsible for the intrinsic scatter in the MBH-L(bulge) relation, is correlated with several AGN and host galaxy properties, all of which are ultimately related to, or directly impact, the BH mass accretion rate. At a given bulge luminosity, sources with higher Eddington ratios have lower MBH. The zero point offset can be explained by a change in the normalization of the virial product used to estimate MBH, in conjunction with modest BH growth (~ 10%--40%) during the AGN phase. Galaxy mergers and tidal interactions appear to play an important role in regulating AGN fueling in low-redshift AGNs.Comment: To appear in ApJ; 67 pages, 56 figures, 4 tables, version with full resolution figures at http://users.ociw.edu/mjkim/papers/scatter.pd

    Prevalence of antibody to Trypanosoma cruzi in Hispanic-surnamed patients seen at Parkland Health & Hospital System, Dallas, Texas

    Get PDF
    <p>Abstract</p> <p>Background</p> <p>Chagas disease constitutes an important public health threat in terms of morbidity and mortality in the areas in the United States where immigrant populations from Latin America are conspicuous. We conducted a survey to assess the prevalence of anti-<it>T. cruzi </it>antibody in Hispanic-surnamed patients seen at Parkland Memorial Hospital in Dallas, Texas.</p> <p>Findings</p> <p>Five hundred serum specimens from Hispanic-surnamed patients were tested by a preliminary ELISA method. On a subset of 50 sera confirmatory testing was also performed using an alternative ELISA, indirect immunofluorescence, and TESA immunoblot. For 274 of 500 Hispanic-surnamed patients, we were able to ascertain immigration status upon medical chart review. Of the 274 sera analyzed, one sample tested as positive for anti-<it>T. cruzi </it>antibody by the preliminary ELISA, and by the three confirmatory methods.</p> <p>Conclusions</p> <p>The goal of this study is to increase the awareness of <it>T. cruzi </it>infection and Chagas disease in areas where the Latin American immigrant communities are growing. Our study highlights the importance of testing for Chagas disease in the populations most at risk, and the need for current data on the actual seroprevalence in areas where such immigrant populations are conspicuous. Larger-scale epidemiologic surveys on Chagas disease in the immigrant communities from Latin America are warranted.</p
    corecore