Assessing associations between the AURKAHMMR-TPX2-TUBG1 functional module and breast cancer risk in BRCA1/2 mutation carriers

While interplay between BRCA1 and AURKA-RHAMM-TPX2-TUBG1 regulates mammary epithelial polarization, common genetic variation in HMMR (gene product RHAMM) may be associated with risk of breast cancer in BRCA1 mutation carriers. Following on these observations, we further assessed the link between the AURKA-HMMR-TPX2-TUBG1 functional module and risk of breast cancer in BRCA1 or BRCA2 mutation carriers. Forty-one single nucleotide polymorphisms (SNPs) were genotyped in 15,252 BRCA1 and 8,211 BRCA2 mutation carriers and subsequently analyzed using a retrospective likelihood appr

Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo

DIFFICULTIES IN GRAIN REFINING ALUMINUM LITHIUM ALLOYS USING COMMERCIAL Al-Ti AND Al-Ti-Bor MASTER ALLOYS

High strength aluminum alloys, especially those containing zirconium, are historically difficult to grain refine. Early efforts by Alcoa indicated that the addition of lithium to these alloys increases difficulty with grain refinement. Although grain refining of alloys 2090 and 2091 was possible, consistent results were not obtained. Statistically-designed experiments were used to quickly identify critical parameters in both the casting and grain refining operations. Responses from variables including alloy composition, amount and type of grain refining addition, melt temperature and cooling rate were quantified prior to establishing control limits. Production ingot cast by Alcoa are now consistently grain refined. Future work will simultaneously investigate the impact of important process variables on the fundamental mechanisms of grain refining and establish appropriate targets and ranges for these variables

Cycling as a novel approach to resistance training increases muscle strength, power, and selected functional abilities in healthy older women

OBJECTIVES: Observer OPTION(5) was designed as a more efficient version of OPTION(12), the most commonly used measure of shared decision making (SDM). The current paper assesses the psychometric properties of OPTION(5). METHODS: Two raters used OPTION(5) to rate recordings of clinical encounters from two previous patient decision aid (PDA) trials (n=201; n=110). A subsample was re-rated two weeks later. We assessed discriminative validity, inter-rater reliability, intra-rater reliability, and concurrent validity. RESULTS: OPTION(5) demonstrated discriminative validity, with increases in SDM between usual care and PDA arms. OPTION(5) also demonstrated concurrent validity with OPTION(12), r=0.61 (95%CI 0.54, 0.68) and intra-rater reliability, r=0.93 (0.83, 0.97). The mean difference in rater score was 8.89 (95% Credibility Interval, 7.5, 10.3), with intraclass correlation (ICC) of 0.67 (95% Credibility Interval, 0.51, 0.91) for the accuracy of rater scores and 0.70 (95% Credibility Interval, 0.56, 0.94) for the consistency of rater scores across encounters, indicating good inter-rater reliability. Raters reported lower cognitive burden when using OPTION(5) compared to OPTION(12). CONCLUSIONS: OPTION(5) is a brief, theoretically grounded observer measure of SDM with promising psychometric properties in this sample and low burden on raters. PRACTICE IMPLICATIONS: OPTION(5) has potential to provide reliable, valid assessment of SDM in clinical encounters

β-delayed γ decay of 20Mg and the Ne19(p,γ)20Na breakout reaction in Type I X-ray bursts

Certain astrophysical environments such as thermonuclear outbursts on accreting neutron stars (Type-I X-ray bursts) are hot enough to allow for breakout from the Hot CNO hydrogen burning cycles to the rapid proton capture (rp) process. An important breakout reaction sequence is 15O(α,γ)19Ne(p,γ)20Na and the 19Ne(p,γ)20Na reaction rate is expected to be dominated by a single resonance at 457 keV above the proton threshold in 20Na. The resonance strength and, hence, reaction rate depends strongly on whether this 20Na state at an excitation energy of 2647 keV has spin and parity of 1+ or 3+. Previous 20Mg (Jπ=0+) β+ decay experiments have relied almost entirely on searches for β-delayed proton emission from this resonance in 20Na to limit the log ft value and, hence, Jπ. However there is a non-negligible γ-ray branch expected that must also be limited experimentally to determine the log ft value and constrain Jπ. We have measured the β-delayed γ decay of 20Mg to complement previous β-delayed proton decay work and provide the first complete limit based on all energetically allowed decay channels through the 2647 keV state. Our limit confirms that a 1+ assignment for this state is highly unlikely