Bullous hemorrhagic lichen sclerosus of the breast: a report of two cases and review of the literature

Lichen sclerosus (LS) is a chronic dermatologic condition characterized by atrophic porcelain-appearing plaques that can cause intense discomfort and eventually lead to destruction of local architecture. Lichen sclerosus most commonly arises in the anogenital area, but up to 20% of cases can present on extragenital skin. Rarely, LS can also present with hemorrhage and bullae; the mechanism by which this occurs is unknown. We report two cases of bullous hemorrhagic LS of the breast arising in 66-year-old and 77-year-old women. Bullous hemorrhagic LS of the breast is exceedingly rare, with few reported cases, and presents a diagnostic challenge to clinicians

Tree Islands in the Shark Slough Landscape: Interactions of Vegetation, Hydrology, and Soils

Executive Summary: This report presents what we have learned about tree islands of Shark Slough and adjacent marshes of Everglades National Park (ENP), based on ecological studies carried out in these wetlands during the period 2000-2003. The tree islands of Shark Slough share many features with tree islands elsewhere in the Everglades. Their current composition and community structure is determined to a large extent by recent hydrology, as well as by disturbances (fire, freezes, hurricanes, man). Tree islands have historical, cultural, and biological values that are recognized by nearly all parties to the Comprehensive Everglades Restoration Plan (CERP). Maintaining and/or restoring the health of tree islands are major objectives of CERP. Consequently, there is a need within CERP for tools to assess the health of tree islands, and to relate these measures to the hydrologic regime to which they are exposed

Laboratory Measurements Of White Dwarf Photospheric Spectral Lines: H Beta

We spectroscopically measure multiple hydrogen Balmer line profiles from laboratory plasmas to investigate the theoretical line profiles used in white dwarf (WD) atmosphere models. X-ray radiation produced at the Z Pulsed Power Facility at Sandia National Laboratories initiates plasma formation in a hydrogen-filled gas cell, replicating WD photospheric conditions. Here we present time-resolved measurements of H beta and fit this line using different theoretical line profiles to diagnose electron density, n(e), and n = 2 level population, n2. Aided by synthetic tests, we characterize the validity of our diagnostic method for this experimental platform. During a single experiment, we infer a continuous range of electron densities increasing from n(e) similar to 4 to similar to 30 x 10(16) cm(-3) throughout a 120-ns evolution of our plasma. Also, we observe n(2) to be initially elevated with respect to local thermodynamic equilibrium (LTE); it then equilibrates within similar to 55 ns to become consistent with LTE. This supports our electrontemperature determination of T-e similar to 1.3 eV (similar to 15,000 K) after this time. At n(e) greater than or similar to 10(17) cm(-3), we find that computer-simulation-based line-profile calculations provide better fits (lower reduced chi(2)) than the line profiles currently used in the WD astronomy community. The inferred conditions, however, are in good quantitative agreement. This work establishes an experimental foundation for the future investigation of relative shapes and strengths between different hydrogen Balmer lines.Laboratory Directed Research and Development programUnited States Department of Energy DE-AC04-94AL85000, DE-SC0010623National Science Foundation DGE-1110007Astronom

Estimating Winning Probabilities in Backgammon Races

In modern backgammon, it is advantageous to know the chances each player has of winning, and to be able to compute the chances without the aid of calculators or pencil and paper. A simple model of backgammon is used to approximate those chances, and a readily computable and sufficiently accurate approximation of that is developed. From there, the model is compared to simulated backgammon games, and the previous approximation is modified to fit the real data

Fast TCM Decoding: Phase Quantization and Integer Weighting

TCM, combining modulation and coding, achieves coding gains over conventional uncoded multilevel modulation without the attendant bandwidth expansion. Since TCM was proposed Ungerboeck (1982, 1987) substantial work has done in this area. A large portion of the TCM work has been in the area of high-speed data transmission over voice grade modems using quadrature amplitude modulation, QAM. QAM, not having a constant envelope, is unattractive for employing a TWT with its nonlinear behavior as the power stage. Additional work has been done in utilizing M-ary PSK with TCM. Simulations by Taylor and Chan (1981) utilizing a 4-state convolutional code demonstrated the coding gain of a rate 2/3 coded 8-PSK modulation scheme. Wilson et. al. (1984) obtained results for 16-PSK TCM using codes with 4 to 32 states and achieved coding gains of 3.5 to 4.8 dB respectively, over 8-PSK and demonstrated that small memory codes achieved good gains with simple design procedures

Baseline incidence of adverse birth outcomes and infant influenza and pertussis hospitalisations prior to the introduction of influenza and pertussis vaccination in pregnancy: a data linkage study of 78 382 mother-infant pairs, Northern Territory, Australia, 1994-2015

We conducted probabilistic data linkage of three population datasets for the Northern Territory (NT), Australia, to describe the incidence of preterm births, stillbirths, low birthweight and small for gestational age (SGA) per 1000 NT births; and influenza and pertussis hospitalisations per 1 00 000 NT births in infants <7 months of age, in a pre-maternal vaccination era. The Perinatal Trends dataset (1994–2014) formed the cohort of 78 382 births. Aboriginal mother–infant pairs (37%) had disproportionately higher average annual rates (AR) for all adverse birth outcomes compared to their non-Aboriginal counterparts; rate ratios: preterm births 2.2 (AR 142.4 vs. 64.7); stillbirths 2.3 (AR 10.8 vs. 4.6); low birthweight 2.9 (AR 54 vs. 19); and SGA 1.7 (AR 187 vs. 111). Hospitalisation (2000–2015) and Immunisation Register datasets (1994–2015), showed that influenza hospitalisations (n = 53) and rates were 42.3 times higher in Aboriginal infants (AR 254 vs. 6); and that pertussis hospitalisations (n = 37) were 7.1 times higher in Aboriginal infants (AR 142.5 vs. 20.2) compared to non-Aboriginal infants. These baseline data are essential to assess the safety and effectiveness of influenza and pertussis vaccinations in pregnant women from the NT. Remote living Aboriginal women and infants stand to benefit the most from these vaccines.This study was funded by a National Health and Medical Research Council (NHMRC) Project Grant (APP1091491). LMc was supported by an Australian Postgraduate Award scholarship provided by Charles Darwin University of the Northern Territory and an Enhanced Living scholarship provided by Menzies as part of the Doctor of Philosophy (PhD) program. TS holds a Career Development Fellowship from the NHMRC (GNT 1111657). MJB was supported by an NHMRC Early Career Fellowship (GNT1088733)

Effects of Sample Disturbance and Consolidation Procedures on Cyclic Strengths of Intermediate Soils

Sampling and testing of soils to measure engineering properties, such as monotonic and cyclic undrained shear strengths, requires an understanding of the potential effects of sampling disturbance and the selection of appropriate laboratory testing procedures. For clays, past research has provided insights on how sampling methods and laboratory testing procedures can be used in practice to assess and minimize sample disturbance effects. For sands, past research has shown that conventional tube sampling techniques cause excessive disturbance to the soil fabric, such that subsequent measurement of monotonic or cyclic strengths can be greatly in error and misleading. For intermediate soils, the effects of disturbance and consolidation procedures on monotonic and cyclic strengths are not well understood. In the present study, a test protocol was developed to assess the effects that disturbance during sample extrusion, trimming, and mounting have on subsequent measurements of compressibility, monotonic undrained strength, and cyclic undrained strength. Detailed laboratory tests were performed on tube samples from deposits of low-plasticity silty clay, for which conventional sampling and testing were expected to work reasonably well, and low-plasticity clayey sand, for which the effects of sample disturbance were of primary concern. Test results using this protocol for these two soils are presented and discussed