In the Beginning There Was Colectomy: Current Surgical Options in Familial Adenomatous Polyposis

Multiple colonic polyps, almost guaranteed colorectal cancer by the age of forty-five and an increased risk of non-colonic cancers characterise the autosomal dominant condition Familial Adenomatous Polyposis (FAP) [1]. The patients and families faced with such a diagnosis present many difficult management challenges, both surgical and non-surgical. We discuss the current surgical options for treatment of the more significant manifestations of FAP arising in the colorectum and duodenum as well as desmoid diseas

Study of UV Degradation on Plastic (PET) Aerosols

The present study was aimed to explore the impact of UV radiation, from ‘real world’ environmental exposure, on the degradation of plastic PET aerosol containers. Additionally, the intent was to correlate the ‘real world’ environmental exposure to artificial sunlight, using a Xenon-Arc lamp, to develop a simulated test. The standardized methodology could then be used to evaluate the integrity of the plastic aerosol container and product, without the complexity of using ‘real world’ exposure. Through this study, a lab method was developed and validated that would simulate the effect of UV radiation using the Xenon-Arc. Moreover, a correlation was made for conditions inside the Xenon-Arc chamber that were conducive to testing a plastic pressurized container

Parent version of the Eating Disorder Examination: Reliability and validity in a treatment-seeking sample

Background: Assessment of eating disorders (ED) in youth relies heavily on self-report, yet persistent lack of recognition of the presence and/or seriousness of symptoms can be intrinsic to ED. This study examines the psychometric properties of a semi-structured interview, the parent version of the Eating Disorder Examination (PEDE), developed to systematically assess caregiver report of symptoms. Methods: A multi-site, clinical sample of youth (N = 522; age range: 12 to 18 years) seeking treatment for anorexia nervosa (AN) and subsyndromal AN were assessed using the Eating Disorder Examination (EDE) for youth and the PEDE for collateral caregiver report. Results: Internal consistencies of the four PEDE subscales were on par with established ranges for the EDE. Significant medium-sized correlations and poor to moderate levels of agreement were found between the corresponding subscales on each measure. For the PEDE, confirmatory factor analysis of the EDE four-factor model provided a poor fit; an exploratory factor analysis indicated that a 3-factor model better fits the PEDE. Conclusions: Findings suggest that the PEDE has psychometric properties on par with the original EDE. The addition of the caregiver perspective may provide incremental information that can aid in the assessment of AN in youth. Future research is warranted to establish psychometric properties of the PEDE in broader transdiagnostic ED samples.</p

The Majority of Compact Massive Galaxies at z~2 are Disk Dominated

We investigate the stellar structure of massive, quiescent galaxies at z~2, based on Hubble Space Telescope/WFC3 imaging from the Early Release Science program. Our sample of 14 galaxies has stellar masses of M* > 10^{10.8} Msol and photometric redshifts of 1.5 < z < 2.5. In agreement with previous work, their half-light radii are <2 kpc, much smaller than equally massive galaxies in the present-day universe. A significant subset of the sample appears highly flattened in projection, which implies, considering viewing angle statistics, that a significant fraction of the galaxies in our sample have pronounced disks. This is corroborated by two-dimensional surface brightness profile fits. We estimate that 65% +/- 15% of the population of massive, quiescent z~2 galaxies are disk-dominated. The median disk scale length is 1.5 kpc, substantially smaller than the disks of equally massive galaxies in the present-day universe. Our results provide strong observational evidence that the much-discussed ultra-dense high-redshift galaxies should generally be thought of as disk-like stellar systems with the majority of stars formed from gas that had time to settle into a disk.Comment: published versio

P16 expression and recurrent cervical intraepithelial neoplasia after cryotherapy among women living with HIV

Background: The expression of p16 protein, a surrogate marker for high-risk human papillomavirus (hrHPV), is associated with cervical dysplasia. We evaluated correlates of p16 expression at treatment for high-grade cervical lesions and its utility in predicting the recurrence of cervical intraepithelial lesions grade 2 or higher (CIN2+) following cryotherapy among women with HIV. Methods: This is a subgroup analysis of women with HIV in Kenya with baseline cervical biopsy-confirmed CIN2+ who were randomized to receive cryotherapy and followed every six-months for two-years for biopsy-confirmed recurrence of CIN2+. P16 immunohistochemistry was performed on the baseline cervical biopsy with a positive result defined as strong abnormal nuclear expression in a continuous block segment of cells (at least 10–20 cells). Results: Among the 200 women with CIN2+ randomized to cryotherapy, 160 (80%) had a baseline cervical biopsy specimen available, of whom 94 (59%) were p16-positive. p16 expression at baseline was associated with presence of any one of 14 hrHPV genotypes [Odds Ratio (OR)  =  3.2; 95% Confidence Interval (CI), 1.03–9.78], multiple lifetime sexual partners (OR  =  1.6; 95% CI, 1.03–2.54) and detectable plasma HIV viral load (\u3e1,000 copies/mL; OR  =  1.43; 95% CI, 1.01– 2.03). Longer antiretroviral therapy duration (≥2  years) at baseline had lower odds of p16 expression (OR  =  0.46; 95% CI, 0.24–0.87) than \u3c2  years of antiretroviral therapy. Fifty-one women had CIN2+ recurrence over 2-years, of whom 33 (65%) were p16-positive at baseline. p16 was not associated with CIN2+ recurrence (Hazard Ratio  =  1.35; 95% CI, 0.76–2.40). Conclusion: In this population of women with HIV and CIN2+, 41% of lesions were p16 negative and baseline p16 expression did not predict recurrence of cervical neoplasia during two-year follow up

The Majority of Compact Massive Galaxies at z~2 are Disk Dominated

We investigate the stellar structure of massive, quiescent galaxies at z~2, based on Hubble Space Telescope/WFC3 imaging from the Early Release Science program. Our sample of 14 galaxies has stellar masses of M* > 10^{10.8} Msol and photometric redshifts of 1.5 < z < 2.5. In agreement with previous work, their half-light radii are <2 kpc, much smaller than equally massive galaxies in the present-day universe. A significant subset of the sample appears highly flattened in projection, which implies, considering viewing angle statistics, that a significant fraction of the galaxies in our sample have pronounced disks. This is corroborated by two-dimensional surface brightness profile fits. We estimate that 65% +/- 15% of the population of massive, quiescent z~2 galaxies are disk-dominated. The median disk scale length is 1.5 kpc, substantially smaller than the disks of equally massive galaxies in the present-day universe. Our results provide strong observational evidence that the much-discussed ultra-dense high-redshift galaxies should generally be thought of as disk-like stellar systems with the majority of stars formed from gas that had time to settle into a disk.Comment: published versio

Snowpack Relative Permittivity and Density Derived from Near-Coincident Lidar and Ground-Penetrating Radar

Depth-based and radar-based remote sensing methods (e.g., lidar, synthetic aperture radar) are promising approaches for remotely measuring snow water equivalent (SWE) at high spatial resolution. These approaches require snow density estimates, obtained from in-situ measurements or density models, to calculate SWE. However, in-situ measurements are operationally limited, and few density models have seen extensive evaluation. Here, we combine near-coincident, lidar-measured snow depths with ground-penetrating radar (GPR) two-way travel times (twt) of snowpack thickness to derive \u3e20 km of relative permittivity estimates from nine dry and two wet snow surveys at Grand Mesa, Cameron Pass, and Ranch Creek, Colorado. We tested three equations for converting dry snow relative permittivity to snow density and found the Kovacs et al. (1995) equation to yield the best comparison with in-situ measurements (RMSE = 54 kg m−3). Variogram analyses revealed a 19 m median correlation length for relative permittivity and snow density in dry snow, which increased to \u3e 30 m in wet conditions. We compared derived densities with estimated densities from several empirical models, the Snow Data Assimilation System (SNODAS), and the physically based iSnobal model. Estimated and derived densities were combined with snow depths and twt to evaluate density model performance within SWE remote sensing methods. The Jonas et al. (2009) empirical model yielded the most accurate SWE from lidar snow depths (RMSE = 51 mm), whereas SNODAS yielded the most accurate SWE from GPR twt (RMSE = 41 mm). Densities from both models generated SWE estimates within ±10% of derived SWE when SWE averaged \u3e 400 mm, however, model uncertainty increased to \u3e 20% when SWE averaged \u3c 300 mm. The development and refinement of density models, particularly in lower SWE conditions, is a high priority to fully realize the potential of SWE remote sensing methods