Placental weight and mortality in premenopausal breast cancer by tumor characteristics

Placental weight may be regarded as an indirect marker of hormone exposures during pregnancy. There is epidemiological evidence that breast cancer mortality in premenopausal women increases with placental weight in the most recent pregnancy. We investigated if this association differs by tumor characteristics, including expression of estrogen and progesterone receptors. In a Swedish population-based cohort, we followed 1,067 women with premenopausal breast cancer diagnosed from 1992 to 2006. Using Cox regression models, we estimated hazard ratios for the association between placental weight and risk of premenopausal breast cancer mortality. In stratified analyses, we estimated mortality risks in subjects with different tumor stages, estrogen receptor (ER) or progesterone receptor (PR) status. Compared with women with placental weight less than 600 g, women with a placental weight between 600 and 699 g were at a 50 % increased risk of mortality, however, not significant change in risk was observed for women with placental weight �700 g. Mortality risks associated with higher placental weight were more pronounced among ER- and PR- breast cancer tumors, where both a placental weight 600-699 g and �700 g were associated with a more than doubled mortality risks compared with tumors among women with placental weight less than 600 g. Moreover, stratified analyses for joint receptor status revealed that a consistent increased mortality risk by placental weight was only apparent in women with ER-/PR- breast cancer. The increased mortality risk in premenopausal breast cancer associated with higher placental weight was most pronounced among ER- and PR- tumors. © 2012 Springer Science+Business Media New York

Can low-carbon options change conditions for expanding energy access in Africa?

This discussion brief examines how low-carbon options are being used to expand energy access and electrification; the incentives and barriers to using low-carbon options; and the broader policy context

A practical approach to teaching the aspects of plant closing in an undergraduate operations management course

In light of the recent economic downturn, the introduction and instruction of methods and practices related to plant and facility closings are topics that are long overdue as part of the Operations Management course content presented in our Business Schools. Operations Management textbooks provide little to no coverage of operations shutdown for plant closing. As a result, this topic is frequently excluded from Operations Management courses. Two elements missing from most OM courses are a textbook chapter covering the closing process and in-class exercises/activities related to applying that process. This paper addresses the key topics needed for a textbook chapter dealing with the operational aspects of closing a facility. Such topics include employee impact (and dealing with employee retraining), the WARN act (including ERISA issues), inventory disposition, and quality control. Teaching notes for each section are included, with an overall discussion of class activities related to the topics. We provide educators with a best practices approach to teaching students how to handle the operation of the plant in this difficult time. There are activities that the operations manager should start doing, stop doing and keep doing. A frank, practical experience-based perspective is given

The Forgotten Topic: Teaching Plant Closing to Executives and Graduate Students

Executive education programs and graduate-level business programs generally devote substantial time and resources to training professionals to open businesses, generate business growth, and manage on-going operations. Few programs, however, devote any time to a topic that many executives will one day be forced to confront: plant closings. Because relatively few managers have actually gone through the plant closing process, there are rarely “experts” available to guide a company through the practical day-to-day aspects of shutting down a facility. This paper addresses the key topics needed for an advanced level program dealing with the operational aspects of closing a facility. Such topics include operations management issues, human resources considerations, and legal compliance. Following an executive level training program of this type should increase the chances of having a successful closure: one that minimizes the negative impact and uncertainty related to the closure

Vaccination with viral vectors expressing NP, M1 and chimeric hemagglutinin induces broad protection against influenza virus challenge in mice

Seasonal influenza virus infections cause up to half a million deaths each year, the majority of which are older adults. Annual influenza virus vaccination protects against disease, but in the event of a mismatch between the circulating strain and vaccine strain, vaccine effectiveness is severely impacted. Therefore, there is an urgent need for a vaccine that induces broad protection against drifted seasonal and emerging pandemic influenza viruses. One approach in designing such a universal influenza virus vaccine is based on targeting conserved regions of the influenza virus hemagglutinin (HA), the major glycoprotein on the surface of the virus. Using chimeric hemagglutinin constructs (cHA), the immune system can be primed to produce antibody responses against the conserved immunosubdominant stalk region rather than the variable immunodominant head region. Furthermore, replication deficient viral vectors based on Chimpanzee Adenovirus (ChAdOx1) and Modified Vaccinia Ankara (MVA) virus expressing the influenza virus internal antigens, such as the nucleoprotein (NP) and the matrix protein 1 (M1), are capable of inducing strong influenza specific T cell responses in vaccinated individuals. This is another approach towards a broadly cross-protective influenza vaccine given the degree of conservation of NP and M1 across different influenza virus strains. Here, we combine these two platforms to evaluate the efficacy of a viral vector-based group 2 cHA intramuscular vaccination regime in mice to confer protection against influenza virus challenge of matched and mismatched group 2 strains. We show that vectored vaccines expressing both cHA and an NP-M1 fusion protein, in a prime-boost regimen (with different cHAs given at each vaccination), provide enhanced protection against H3N2 and H10N8 virus challenge when compared to vaccination with cHA alone or NP-M1 alone. The vaccine induced antibody responses against divergent HAs, NP, M1, and whole virus correlated with nature of administered vaccine and extent of protection seen across vaccinated groups. Influenza specific T cell responses were also increased in the vectored vaccines expressing both the cHA and the NP-M1 fusion protein. For further characterization, we are interested in looking at an optimal vaccination regimen, the possibility of an additional boost to induce cross-reactive antibodies, and the nature of the induced antibodies. Overall, these results improve our understanding of vaccination platforms capable of harnessing cellular and humoral immunity with the ultimate goal of designing a universal influenza vaccine

Automorphism groups of polycyclic-by-finite groups and arithmetic groups

We show that the outer automorphism group of a polycyclic-by-finite group is an arithmetic group. This result follows from a detailed structural analysis of the automorphism groups of such groups. We use an extended version of the theory of the algebraic hull functor initiated by Mostow. We thus make applicable refined methods from the theory of algebraic and arithmetic groups. We also construct examples of polycyclic-by-finite groups which have an automorphism group which does not contain an arithmetic group of finite index. Finally we discuss applications of our results to the groups of homotopy self-equivalences of K(\Gamma, 1)-spaces and obtain an extension of arithmeticity results of Sullivan in rational homotopy theory

A practical approach to teaching the aspects of plant closing in an undergraduate operations management course

In light of the recent economic downturn, the introduction and instruction of methods and practices related to plant and facility closings are topics that are long overdue as part of the Operations Management course content presented in our Business Schools. Operations Management textbooks provide little to no coverage of operations shutdown for plant closing. As a result, this topic is frequently excluded from Operations Management courses. Two elements missing from most OM courses are a textbook chapter covering the closing process and in-class exercises/activities related to applying that process. This paper addresses the key topics needed for a textbook chapter dealing with the operational aspects of closing a facility. Such topics include employee impact (and dealing with employee retraining), the WARN act (including ERISA issues), inventory disposition, and quality control. Teaching notes for each section are included, with an overall discussion of class activities related to the topics. We provide educators with a best practices approach to teaching students how to handle the operation of the plant in this difficult time. There are activities that the operations manager should start doing, stop doing and keep doing. A frank, practical experience-based perspective is given

Development, feasibility, and acceptability of an intervention to improve care for agitation in people living in nursing homes with dementia nearing the end-of-life

OBJECTIVES: To develop a staff training intervention for agitation in people with severe dementia, reaching end-of-life, residing in nursing homes (NHs), test feasibility, acceptability, and whether a trial is warranted. DESIGN: Feasibility study with pre- and post-intervention data collection, qualitative interviews, and focus groups. SETTING: Three NHs in South East England with dementia units, diverse in terms of size, ownership status, and location. PARTICIPANTS: Residents with a dementia diagnosis or scoring ≥2 on the Noticeable Problems Checklist, rated as "severe" on Clinical Dementia Rating Scale, family carers, and staff (healthcare assistants and nurses). INTERVENTION: Manualized training, delivered by nonclinical psychology graduates focusing on agitation in severe dementia, underpinned by a palliative care framework. MEASUREMENTS: Main outcomes were feasibility of recruitment, data collection, follow-up, and intervention acceptability. We collected resident, family carer, and staff demographics. Staff provided data on resident's agitation, pain, quality of life, and service receipt. Staff reported their sense of competence in dementia care. Family carers reported on satisfaction with end-of-life care. In qualitative interviews, we explored staff and family carers' views on the intervention. RESULTS: The target three NHs participated: 28 (49%) residents, 53 (74%) staff, and 11 (85%) family carers who were eligible to participate consented. Eight-four percent of staff attended ≥3 sessions, and we achieved 93% follow-up. We were able to complete quantitative interviews. Staff and family carers reported the intervention and delivery were acceptable and helpful. CONCLUSIONS: The intervention was feasible and acceptable indicating a larger trial for effectiveness may be warranted

Mesoscopic Capacitors: A Statistical Analysis

The capacitance of mesoscopic samples depends on their geometry and physical properties, described in terms of characteristic times scales. The resulting ac admittance shows sample to sample fluctuations. Their distribution is studied here -through a random-matrix model- for a chaotic cavity capacitively coupled to a backgate: it is observed from the distribution of scattering time delays for the cavity, which is found analytically for the orthogonal, unitary, and symplectic universality classes, one mode in the lead connecting the cavity to the reservoir and no direct scattering. The results agree with numerical simulations.Comment: 4 pages (Revtex), 4 PS figures. Minor corrections. New e-mail address: [email protected] [email protected] e-mail address: [email protected]