39 research outputs found

    Time trends in reported prevalence of kidney stones in the United States: 1976–199411.See Editorial by Goldfarb, p. 1951.

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    Time trends in reported prevalence of kidney stones in the United States: 1976–1994.BackgroundA body of evidence establishes that the occurrence of kidney stone disease has increased in some communities of industrialized countries. Information on recent temporal trends in the United States is lacking and population-based data on epidemiologic patterns are limited.Study objective was to determine whether kidney stone disease prevalence increased in the United States over a 20-year period and the influence of region, race/ethnicity, and gender on stone disease risk.MethodsWe measured the prevalence of kidney stone disease history from the United States National Health and Nutrition Examination Survey (II and III), population-based, cross-sectional studies, involving 15,364 adult United States residents in 1976 to 1980 and 16,115 adult United States residents in 1988 to 1994.ResultsDisease prevalence among 20- to 74-year-old United States residents was greater in 1988 to 1994 than in 1976 to 1980 (5.2% vs. 3.8%, P < 0.05), greater in males than females, and increased with age in each time period. Among 1988 to 1994 adults, non-Hispanic African Americans had reduced risk of disease compared to non-Hispanic Caucasians (1.7% vs. 5.9%, P < 0.05), and Mexican Americans (1.7% vs. 2.6%, P < 0.05). Also, age-adjusted prevalence was highest in the South (6.6%) and lowest in the West (3.3%). Findings were consistent across gender and multivariate adjusted odds ratios for stone disease history, including all demographic variables, as well as diuretic use, tea or coffee consumption, and dietary intake of calcium, protein, and fat did not materially change the results.ConclusionPrevalence of kidney stone disease history in the United States population increased between 1980 and 1994. A history of stone disease was strongly associated with race/ethnicity and region of residence

    New Pulsars from an Arecibo Drift Scan Search

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    We report the discovery of pulsars J0030+0451, J0711+0931, and J1313+0931 that were found in a search of 470 square degrees at 430 MHz using the 305m Arecibo telescope. The search has an estimated sensitivity for long period, low dispersion measure, low zenith angle, and high Galactic latitude pulsars of ~1 mJy, comparable to previous Arecibo searches. Spin and astrometric parameters for the three pulsars are presented along with polarimetry at 430 MHz. PSR J0030+0451, a nearby pulsar with a period of 4.8 ms, belongs to the less common category of isolated millisecond pulsars. We have measured significant polarization in PSR J0030+0451 over more than 50% of the period, and use these data for a detailed discussion of its magnetospheric geometry. Scintillation observations of PSR J0030+0451 provide an estimate of the plasma turbulence level along the line of sight through the local interstellar medium.Comment: 21 pages, 4 figures, Accepted for Publication in Ap

    The characteristics of millisecond pulsar emission: I. Spectra, pulse shapes and the beaming fraction

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    We have monitored a large sample of millisecond pulsars using the 100-m Effelsberg radio telescope in order to compare their radio emission properties to the slowly rotating population. With some notable exceptions, our findings suggest that the two groups of objects share many common properties. A comparison of the spectral indices between samples of normal and millisecond pulsars demonstrates that millisecond pulsar spectra are not significantly different from those of normal pulsars. There is evidence, however, that millisecond pulsars are slightly less luminous and less efficient radio emitters compared to normal pulsars. We confirm recent suggestions that a diversity exists among the luminosities of millisecond pulsars with the isolated millisecond pulsars being less luminous than the binary millisecond pulsars. There are indications that old millisecond pulsars exhibit somewhat flatter spectra than the presumably younger ones. We present evidence that millisecond pulsar profiles are only marginally more complex than those found among the normal pulsar population. Moreover, the development of the profiles with frequency is rather slow, suggesting very compact magnetospheres. The profile development seems to anti-correlate with the companion mass and the spin period, again suggesting that the amount of mass transfer in a binary system might directly influence the emission properties. The angular radius of radio beams of millisecond pulsars does not follow the scaling predicted from a canonical pulsar model which is applicable for normal pulsars. Instead they are systematically smaller. The smaller inferred luminosity and narrower emission beams will need to be considered in future calculations of the birth-rate of the Galactic population.Comment: 40 pages, 14 figures, accepted for publication in Ap

    Antiprogestins reduce epigenetic field cancerization in breast tissue of young healthy women

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    Background: Breast cancer is a leading cause of death in premenopausal women. Progesterone drives expansion of luminal progenitor cells, leading to the development of poor-prognostic breast cancers. However, it is not known if antagonising progesterone can prevent breast cancers in humans. We suggest that targeting progesterone signalling could be a means of reducing features which are known to promote breast cancer formation. Methods: In healthy premenopausal women with and without a BRCA mutation we studied (i) estrogen and progesterone levels in saliva over an entire menstrual cycle (n = 20); (ii) cancer-free normal breast-tissue from a control population who had no family or personal history of breast cancer and equivalently from BRCA1/2 mutation carriers (n = 28); triple negative breast cancer (TNBC) biopsies and healthy breast tissue taken from sites surrounding the TNBC in the same individuals (n = 14); and biopsies of ER+ve/PR+ve stage T1–T2 cancers and healthy breast tissue taken from sites surrounding the cancer in the same individuals (n = 31); and (iii) DNA methylation and DNA mutations in normal breast tissue (before and after treatment) from clinical trials that assessed the potential preventative effects of vitamins and antiprogestins (mifepristone and ulipristal acetate; n = 44). Results: Daily levels of progesterone were higher throughout the menstrual cycle of BRCA1/2 mutation carriers, raising the prospect of targeting progesterone signalling as a means of cancer risk reduction in this population. Furthermore, breast field cancerization DNA methylation signatures reflective of (i) the mitotic age of normal breast epithelium and (ii) the proportion of luminal progenitor cells were increased in breast cancers, indicating that luminal progenitor cells with elevated replicative age are more prone to malignant transformation. The progesterone receptor antagonist mifepristone reduced both the mitotic age and the proportion of luminal progenitor cells in normal breast tissue of all control women and in 64% of BRCA1/2 mutation carriers. These findings were validated by an alternate progesterone receptor antagonist, ulipristal acetate, which yielded similar results. Importantly, mifepristone reduced both the TP53 mutation frequency as well as the number of TP53 mutations in mitotic-age-responders. Conclusions: These data support the potential usage of antiprogestins for primary prevention of poor-prognostic breast cancers

    Temperature Effects Explain Continental Scale Distribution of Cyanobacterial Toxins

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    Insight into how environmental change determines the production and distribution of cyanobacterial toxins is necessary for risk assessment. Management guidelines currently focus on hepatotoxins (microcystins). Increasing attention is given to other classes, such as neurotoxins (e.g., anatoxin-a) and cytotoxins (e.g., cylindrospermopsin) due to their potency. Most studies examine the relationship between individual toxin variants and environmental factors, such as nutrients, temperature and light. In summer 2015, we collected samples across Europe to investigate the effect of nutrient and temperature gradients on the variability of toxin production at a continental scale. Direct and indirect effects of temperature were the main drivers of the spatial distribution in the toxins produced by the cyanobacterial community, the toxin concentrations and toxin quota. Generalized linear models showed that a Toxin Diversity Index (TDI) increased with latitude, while it decreased with water stability. Increases in TDI were explained through a significant increase in toxin variants such as MC-YR, anatoxin and cylindrospermopsin, accompanied by a decreasing presence of MC-LR. While global warming continues, the direct and indirect effects of increased lake temperatures will drive changes in the distribution of cyanobacterial toxins in Europe, potentially promoting selection of a few highly toxic species or strains.Peer reviewe

    The modified Green function technique for the exterior Dirichlet problem in linear thermoelasticity

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    In this work, the modified Green function technique for the exterior Dirichlet problem in linear thermoelasticity is presented. Expressing the solution of the problem as a double-layer potential of an unknown density, we form the associated boundary integral equation that describes the problem. Exploiting that the discrete spectrum of the irregular values of the associated integral equation is identified with the spectrum of eigenvalues of the corresponding interior homogeneous Neumann problem for the transverse part of the elastic displacement field, we introduce a modification of the fundamental solution of the elastic field. We establish the sufficient conditions that the coefficients of the modification must satisfy to overcome the problem of nonuniqueness for the thermoelastic problem. Copyright © 2018 John Wiley &amp; Sons, Ltd
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