Incidence of fracture in adjacent levels in patients treated with balloon kyphoplasty: a review of the literature

The available evidence suggests that the treatment of painful vertebral compression fractures (VCFs) secondary to osteoporosis or multiple myeloma, by cement augmentation with balloon kyphoplasty (BK), is both safe and effective. However, there is uncertainty in the literature concerning the potential of the procedure to influence the risk for adjacent segment fracture. The aim of this article is to review the available peer-reviewed literature, regarding adjacent vertebral body fractures after kyphoplasty augmentation

A Jacobi-Davidson type method with a correction equation tailored for integral operators

The final publication is available at Springer via http://dx.doi.org/10.1007/s11075-012-9656-9We propose two iterative numerical methods for eigenvalue computations of large dimensional problems arising from finite approximations of integral operators, and describe their parallel implementation. A matrix representation of the problem on a space of moderate dimension, defined from an infinite dimensional one, is computed along with its eigenpairs. These are taken as initial approximations and iteratively refined, by means of a correction equation based on the reduced resolvent operator and performed on the moderate size space, to enhance their quality. Each refinement step requires the prolongation of the correction equation solution back to a higher dimensional space, defined from the infinite dimensional one. This approach is particularly adapted for the computation of eigenpair approximations of integral operators, where prolongation and restriction matrices can be easily built making a bridge between coarser and finer discretizations. We propose two methods that apply a Jacobi–Davidson like correction: Multipower Defect-Correction (MPDC), which uses a single-vector scheme, if the eigenvalues to refine are simple, and Rayleigh–Ritz Defect-Correction (RRDC), which is based on a projection onto an expanding subspace. Their main advantage lies in the fact that the correction equation is performed on a smaller space while for general solvers it is done on the higher dimensional one. We discuss implementation and parallelization details, using the PETSc and SLEPc packages. Also, numerical results on an astrophysics application, whose mathematical model involves a weakly singular integral operator, are presented.This work was partially supported by European Regional Development Fund through COMPETE, FCT-Fundacao para a Ciencia e a Tecnologia through CMUP-Centro de Matematica da Universidade do Porto and Spanish Ministerio de Ciencia e Innovacion under projects TIN2009-07519 and AIC10-D-000600.Vasconcelos, PB.; D'almeida, FD.; Román Moltó, JE. (2013). A Jacobi-Davidson type method with a correction equation tailored for integral operators. Numerical Algorithms. 64(1):85-103. doi:10.1007/s11075-012-9656-9S85103641Absil, P.A., Mahony, R., Sepulchre, R., Dooren, P.V.: A Grassmann–Rayleigh quotient iteration for computing invariant subspaces. SIAM Rev. 44(1), 57–73 (2002)Ahues, M., Largillier, A., Limaye, B.V.: Spectral Computations with Bounded Operators. Chapman and Hall, Boca Raton (2001)Ahues, M., d’Almeida, F.D., Largillier, A., Titaud, O., Vasconcelos, P.: An L 1 refined projection approximate solution of the radiation transfer equation in stellar atmospheres. J. Comput. Appl. Math. 140(1–2), 13–26 (2002)Ahues, M., d’Almeida, F.D., Largillier, A., Vasconcelos, P.B.: Defect correction for spectral computations for a singular integral operator. Commun. Pure Appl. Anal. 5(2), 241–250 (2006)Bai, Z., Demmel, J., Dongarra, J., Ruhe, A., van der Vorst, H. (eds.): Templates for the Solution of Algebraic Eigenvalue Problems: A Practical Guide. Society for Industrial and Applied Mathematics, Philadelphia (2000)Balay, S., Buschelman, K., Eijkhout, V., Gropp, W.D., Kaushik, D., Knepley, M., McInnes, L.C., Smith, B.F., Zhang, H.: PETSc Users Manual. Tech. Rep. ANL-95/11 - Revision 3.1, Argonne National Laboratory (2010)Chatelin, F.: Spectral Approximation of Linear Operators. SIAM, Philadelphia (2011)d’Almeida, F.D., Vasconcelos, P.B.: Convergence of multipower defect correction for spectral computations of integral operators. Appl. Math. Comput. 219(4), 1601–1606 (2012)Falgout, R.D., Yang, U.M.: Hypre: A library of high performance preconditioners. In: Sloot, P.M.A., Tan, C.J.K., Dongarra, J., Hoekstra, A.G. (eds.) Computational Science - ICCS 2002, International Conference, Amsterdam, The Netherlands, April 21–24, 2002. Proceedings, Part III, Lecture Notes in Computer Science, vol. 2331, pp. 632–641. Springer (2002)Henson, V.E., Yang, U.M.: BoomerAMG: A parallel algebraic multigrid solver and preconditioner. Appl. Numer. Math. 41(1), 155–177 (2002)Hernandez, V., Roman, J.E., Vidal, V.: SLEPc: A scalable and flexible toolkit for the solution of eigenvalue problems. ACM Trans. Math. Softw. 31(3), 351–362 (2005)Hernandez, V., Roman, J.E., Tomas, A., Vidal, V.: SLEPc Users Manual. Tech. Rep. DSIC-II/24/02 - Revision 3.1, D. Sistemas Informáticos y Computación, Universidad Politécnica de Valencia (2010)Saad, Y.: Iterative methods for sparse linear systems, 2nd edn. Society for Industrial and Applied Mathematics, Philadelphia (2003)Simoncini, V., Eldén, L.: Inexact Rayleigh quotient-type methods for eigenvalue computations. BIT 42(1), 159–182 (2002)Sleijpen, G.L.G., van der Vorst, H.A.: A Jacobi–Davidson iteration method for linear eigenvalue problems. SIAM Rev. 42(2), 267–293 (2000)Sorensen, D.C.: Implicit application of polynomial filters in a k-step Arnoldi method. SIAM J. Matrix Anal. Appl. 13, 357–385 (1992)Stewart, G.W.: A Krylov–Schur algorithm for large eigenproblems. SIAM J. Matrix Anal. Appl. 23(3), 601–614 (2001

Birth length and weight as predictors of breast cancer prognosis

Background Birth size, and particularly birth length, is positively associated with breast cancer risk in adulthood. The objective of this study was to examine whether birth size is associated with survival among breast cancer patients. Methods Information on birth size (weight, length and ponderal index (kg/length (m3)) was collected from birth archives for 331 breast cancer patients who were diagnosed at two university hospitals in Norway (Bergen and Trondheim). The patients were followed from the time of diagnosis until death from breast cancer, death from another cause, or to the end of follow-up, and birth size was related to survival, using Cox regression analysis. Results Breast cancer patients with birth length ≥ 52 cm had nearly twice the risk of dying (hazard ratio, 1.92, 95% confidence interval, 1.09-3.41) from breast cancer compared to women with birth length less than 48 cm, after adjustment for place of birth and year of diagnosis. Similar analyses related to birth weight and ponderal index showed no clear association with breast cancer survival. Conclusions Poorer outcome of breast cancer patients with high birth length may reflect effects of factors that stimulate longitudinal growth and simultaneously increase the risk of metastases and fatal outcome. It is possible that the insulin-like growth factor (IGF) system is involved in the underlying mechanisms

Accounting Problems Under the Excess Profits Tax

DNA vaccines based on subunits from pathogens have several advantages over other vaccine strategies. DNA vaccines can easily be modified, they show good safety profiles, are stable and inexpensive to produce, and the immune response can be focused to the antigen of interest. However, the immunogenicity of DNA vaccines which is generally quite low needs to be improved. Electroporation and co-delivery of genetically encoded immune adjuvants are two strategies aiming at increasing the efficacy of DNA vaccines. Here, we have examined whether targeting to antigen-presenting cells (APC) could increase the immune response to surface envelope glycoprotein (Env) gp120 from Human Immunodeficiency Virus type 1 (HIV- 1). To target APC, we utilized a homodimeric vaccine format denoted vaccibody, which enables covalent fusion of gp120 to molecules that can target APC. Two molecules were tested for their efficiency as targeting units: the antibody-derived single chain Fragment variable (scFv) specific for the major histocompatilibility complex (MHC) class II I-E molecules, and the CC chemokine ligand 3 (CCL3). The vaccines were delivered as DNA into muscle of mice with or without electroporation. Targeting of gp120 to MHC class II molecules induced antibodies that neutralized HIV-1 and that persisted for more than a year after one single immunization with electroporation. Targeting by CCL3 significantly increased the number of HIV-1 gp120-reactive CD8(+) T cells compared to non-targeted vaccines and gp120 delivered alone in the absence of electroporation. The data suggest that chemokines are promising molecular adjuvants because small amounts can attract immune cells and promote immune responses without advanced equipment such as electroporation.Funding Agencies|Research Council of Norway; Odd Fellow</p

Interpreting planners' talk about change: An exploratory study.

Talk by planners about major changes (‘reform’) in a particular planning regime is the focus of this article. Change in planning in the United Kingdom has been a recurrent theme in planning practice and research. However, there is little looking at practitioners both in the public and the private sectors in relation to change. Also, theory development has been limited and the interpretive link between institutional change, organisational change and planners’ situated agency could be strengthened. This article aims to add new dimensions to the current debate by looking at planners in both the public and the private sectors in Wales; by adopting a more open-ended approach requiring planners to generate ideas and display a perspective on planning; and by linking theories of institutional and organisational change with the model of actors’ agency developed by Bevir and Rhodes to form an interpretive frame. With reflections stemming from an exploratory case in Wales, the article seeks also to contribute to debates on planning in the United Kingdom and beyond, reaching to new-institutionalist theory and interpretive ontologie

Employers' views on the promotion of workplace health and wellbeing: A qualitative study

Background: The evidence surrounding the value of workplace health promotion in positively influencing employees' health and wellbeing via changes to their health behaviours is growing. The aim of the study was to explore employers' views on the promotion of workplace health and wellbeing and the factors affecting these views. Methods: Using a qualitative phenomenological approach, 10 focus groups were conducted with employers selected from a range of industries and geographical locations within Western Australia. The total sample size was 79. Results: Three factors were identified: employers' conceptualization of workplace health and wellbeing; employers' descriptions of (un)healthy workers and perceptions surrounding the importance of healthy workers; and employers' beliefs around the role the workplace should play in influencing health. Conclusions: Progress may be viable in promoting health and wellbeing if a multifaceted approach is employed taking into account the complex factors influencing employers' views. This could include an education campaign providing information about what constitutes health and wellbeing beyond the scope of occupational health and safety paradigms along with information on the benefits of workplace health and wellbeing aligned with perceptions relating to healthy and unhealthy workers

A microRNA program regulates the balance between cardiomyocyte hyperplasia and hypertrophy and stimulates cardiac regeneration

Myocardial regeneration is restricted to early postnatal life, when mammalian cardiomyocytes still retain the ability to proliferate. The molecular cues that induce cell cycle arrest of neonatal cardiomyocytes towards terminally differentiated adult heart muscle cells remain obscure. Here we report that the miR-106b~25 cluster is higher expressed in the early postnatal myocardium and decreases in expression towards adulthood, especially under conditions of overload, and orchestrates the transition of cardiomyocyte hyperplasia towards cell cycle arrest and hypertrophy by virtue of its targetome. In line, gene delivery of miR-106b~25 to the mouse heart provokes cardiomyocyte proliferation by targeting a network of negative cell cycle regulators including E2f5, Cdkn1c, Ccne1 and Wee1. Conversely, gene-targeted miR-106b~25 null mice display spontaneous hypertrophic remodeling and exaggerated remodeling to overload by derepression of the prohypertrophic transcription factors Hand2 and Mef2d. Taking advantage of the regulatory function of miR-106b~25 on cardiomyocyte hyperplasia and hypertrophy, viral gene delivery of miR-106b~25 provokes nearly complete regeneration of the adult myocardium after ischemic injury. Our data demonstrate that exploitation of conserved molecular programs can enhance the regenerative capacity of the injured heart.E.D. is supported by a VENI award 916-150-16 from the Netherlands Organization for Health Research and Development (ZonMW), an EMBO Long-term Fellowship (EMBO ALTF 848-2013) and a FP7 Marie Curie Intra-European Fellowship (Project number 627539). V.S.P. was funded by a fellowship from the FCT/ Ministério da Ciência, Tec-nologia e Inovação SFRH/BD/111799/2015. P.D.C.M. is an Established Investigator of the Dutch Heart Foundation. L.D.W. acknowledges support from the Dutch CardioVascular Alliance (ARENA-PRIME). L.D.W. was further supported by grant 311549 from the European Research Council (ERC), a VICI award 918-156-47 from the Dutch Research Council and Marie Sklodowska-Curie grant agreement no. 813716 (TRAIN-HEART)

Control of intestinal stem cell function and proliferation by mitochondrial pyruvate metabolism.

Most differentiated cells convert glucose to pyruvate in the cytosol through glycolysis, followed by pyruvate oxidation in the mitochondria. These processes are linked by the mitochondrial pyruvate carrier (MPC), which is required for efficient mitochondrial pyruvate uptake. In contrast, proliferative cells, including many cancer and stem cells, perform glycolysis robustly but limit fractional mitochondrial pyruvate oxidation. We sought to understand the role this transition from glycolysis to pyruvate oxidation plays in stem cell maintenance and differentiation. Loss of the MPC in Lgr5-EGFP-positive stem cells, or treatment of intestinal organoids with an MPC inhibitor, increases proliferation and expands the stem cell compartment. Similarly, genetic deletion of the MPC in Drosophila intestinal stem cells also increases proliferation, whereas MPC overexpression suppresses stem cell proliferation. These data demonstrate that limiting mitochondrial pyruvate metabolism is necessary and sufficient to maintain the proliferation of intestinal stem cells