67 research outputs found
Faster radial strain relaxation in InAs-GaAs core-shell heterowires
The structure of wurtzite and zinc blende InAs-GaAs (001) core-shell nanowires grown by molecular beam epitaxy on GaAs (001) substrates has been investigated by transmission electron microscopy. Heterowires with InAs core radii exceeding 11 nm, strain relax through the generation of misfit dislocations, given a GaAs shell thickness greater than 2.5 nm. Strain relaxation is larger in radial directions than axial, particularly for shell thicknesses greater than 5.0 nm, consistent with molecular statics calculations that predict a large shear stress concentration at each interface corner
From Household Size to the Life Course
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66696/2/10.1177_000276427702100207.pd
Comparative Treatment Outcomes for Patients With Idiopathic Subglottic Stenosis.
To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked DownloadImportance: Surgical treatment comparisons in rare diseases are difficult secondary to the geographic distribution of patients. Fortunately, emerging technologies offer promise to reduce these barriers for research.
Objective: To prospectively compare the outcomes of the 3 most common surgical approaches for idiopathic subglottic stenosis (iSGS), a rare airway disease.
Design, setting, and participants: In this international, prospective, 3-year multicenter cohort study, 810 patients with untreated, newly diagnosed, or previously treated iSGS were enrolled after undergoing a surgical procedure (endoscopic dilation [ED], endoscopic resection with adjuvant medical therapy [ERMT], or cricotracheal resection [CTR]). Patients were recruited from clinician practices in the North American Airway Collaborative and an online iSGS community on Facebook.
Main outcomes and measures: The primary end point was days from initial surgical procedure to recurrent surgical procedure. Secondary end points included quality of life using the Clinical COPD (chronic obstructive pulmonary disease) Questionnaire (CCQ), Voice Handicap Index-10 (VHI-10), Eating Assessment Test-10 (EAT-10), the 12-Item Short-Form Version 2 (SF-12v2), and postoperative complications.
Results: Of 810 patients in this cohort, 798 (98.5%) were female and 787 (97.2%) were white, with a median age of 50 years (interquartile range, 43-58 years). Index surgical procedures were ED (n = 603; 74.4%), ERMT (n = 121; 14.9%), and CTR (n = 86; 10.6%). Overall, 185 patients (22.8%) had a recurrent surgical procedure during the 3-year study, but recurrence differed by modality (CTR, 1 patient [1.2%]; ERMT, 15 [12.4%]; and ED, 169 [28.0%]). Weighted, propensity score-matched, Cox proportional hazards regression models showed ED was inferior to ERMT (hazard ratio [HR], 3.16; 95% CI, 1.8-5.5). Among successfully treated patients without recurrence, those treated with CTR had the best CCQ (0.75 points) and SF-12v2 (54 points) scores and worst VHI-10 score (13 points) 360 days after enrollment as well as the greatest perioperative risk.
Conclusions and relevance: In this cohort study of 810 patients with iSGS, endoscopic dilation, the most popular surgical approach for iSGS, was associated with a higher recurrence rate compared with other procedures. Cricotracheal resection offered the most durable results but showed the greatest perioperative risk and the worst long-term voice outcomes. Endoscopic resection with medical therapy was associated with better disease control compared with ED and had minimal association with vocal function. These results may be used to inform individual patient treatment decision-making.Patient-Centered Outcomes Research Institute - PCOR
New York by gaslight and other urban sketches
First published in 1850, New York by Gas-Light explores the seamy side of the newly emerging metropolis: "the festivities of prostitution, the orgies of pauperism, the haunts of theft and murder, the scenes of drunkenness and beastly debauch, and all the sad realities that go to make up the lower stratum - the underground story - of life in New York!" The author of this lively and fascinating little book, which both attracted and offended large numbers of readers in Victorian America, was George G. Foster, reporter for Horace Greeley's influential New York Tribune, social commentator, poet, and man about town. Foster drew on his daily and nightly rambles through the city's streets and among the characters of the urban demi-monde to produce a sensationalized but extraordinarily revealing portrait of New York at the moment it was emerging as a major metropolis. Reprinted here with sketches from two of Foster's other books, New York by Gas-Light will be welcomed by students of urban social history, popular culture, literature, and journalism.Editor Stuart M. Blumin has provided a penetrating introductory essay that sets Foster's life and work in the contexts of the growing city, the development of the mass-distribution publishing industry, the evolving literary genre of urban sensationalism, and the wider culture of Victorian America. This is an important reintroduction to a significant but neglected work, a prologue to the urban realism that would flourish later in the fiction of Stephen Crane, the painting of George Bellows, and the journalism of Jacob Riis
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