Rapid Increase in Utilization Rates of Radionuclide Myocardial Perfusion Imaging and Related Procedures Between 1996 and 1998: What are the Possible Explanations?

No abstract available

Experimental transonic flutter characteristics of two 72 deg-sweep delta-wing models

Transonic flutter boundaries are presented for two simple, 72 deg. sweep, low-aspect-ratio wing models. One model was an aspect-ratio 0.65 delta wing; the other model was an aspect-ratio 0.54 clipped-delta wing. Flutter boundaries for the delta wing are presented for the Mach number range of 0.56 to 1.22. Flutter boundaries for the clipped-delta wing are presented for the Mach number range of 0.72 to 0.95. Selected vibration characteristics of the models are also presented

Status of Birds Newly Recorded in Arkansas Since 1985

In 1994 we published an annotated list of 14 bird species that were newly discovered in Arkansas since the publication in 1986 of the monograph Arkansas Birds, Their Distribution and Abundance. We now add 22 more new species found in Arkansas since the 1994 publication, and update the status of the original 14. Adding these 36 species to the number included in Arkansas Birds totals 402 bird species currently reported in Arkansas

Department of Justice Antitrust Enforcement, 1955-1997: An Empirical Study

This is an empirical study of Department of Justice (DOJ) enforcement of the antitrust laws. Its purpose is fourfold: 1.To update Posner\u27s study A Statistical Study of Antitrust Enforcement (Posner, 1970, pp. 365-419). 2.To provide consistent and comparable measures of antitrust enforcement effort by the Department of Justice. 3.To report these measurements in a concise and systematic way in order to encourage empirical studies of antitrust issues. 4.To explore some implications for antitrust issues. The purpose is to present the overall historical record of DOJ antitrust activity as well as some patterns in that history. More detailed analysis is left for future work. The following information for cases undertaken by the DOJ are reported: number of cases, choice of civil or criminal remedies, alleged violations, corporate officials prosecuted, won-loss record, civil and criminal sanctions imposed, and length of the proceedings. The principal source of data is the CCH Trade Regulation Reporter, commonly referred to as the CCH Bluebook which contains brief summaries of all DOJ antitrust cases in order of their filing

Reactivity and Sintering Kinetics of Au/TiO2(110) Model Catalysts: Particle Size Effects

We review here our studies of the reactivity and sintering kinetics of model catalysts consisting of gold nanoparticles dispersed on TiO2(110). First, the nucleation and growth of vapor-deposited gold on this surface was experimentally examined using x-ray photoelectron spectroscopy and low energy ion scattering. Gold initially grows as two-dimensional islands up to a critical coverage, hcr, after which 3D gold nanoparticles grow. The results at different temperatures are fitted well with a kinetic model, which includes various energetic parameters for Au adatom migration. Oxygen was dosed onto the resulting gold nanoparticles using a hot filament technique. The desorption energy of Oa was examined using temperature programmed desorption (TPD). The Oa is bonded ~40% more strongly to smaller (thinner) Au islands. Gaseous CO reacts rapidly with this Oa to make CO2, probably via adsorbed CO. The reactivity of Oa with CO increases with increasing particle size, as expected based on Brønsted relations. Propene adsorption leads to TPD peaks for three different molecularly adsorbed states on Au/TiO2(110), corresponding to propene adsorbed on gold islands, to Ti sites on the substrate, and to the perimeter of gold islands, with adsorption energies of 40, 52 and 73 kJ/mol, respectively. Thermal sintering of the gold nanoparticles was explored using temperature-programmed low-energy ion scattering. These sintering rates for a range of Au loadings at temperatures from 200 to 700 K were well fitted by a theoretical model which takes into consideration the dramatic effect of particle size on metal chemical potential using a modified bond additivity model. When extrapolated to simulate isothermal sintering at 700 K for 1 year, the resulting particle size distribution becomes very narrow. These results question claims that the shape of particle size distributions reveal their sintering mechanisms. They also suggest why the growth of colloidal nanoparticles in liquid solutions can result in very narrow particle size distributions

Impact of operative indication and surgical complexity on outcomes after thoracic endovascular aortic repair at National Surgical Quality Improvement Program Centers

IntroductionThoracic endovascular aortic repair (TEVAR) devices are increasingly being utilized to treat aortic pathologies outside of the original Food & Drug Administration (FDA) approval for nonruptured descending thoracic aorta aneurysms (DTAs). The objective of this study was to evaluate the outcomes of patients undergoing TEVAR, elucidating the role of surgical and pathologic variables on morbidity and mortality.MethodsNational Surgical Quality Improvement Program (NSQIP) data were reviewed for all patients undergoing endovascular thoracic aorta repair from 2005 to 2007. The patients' operative indication and surgical complexity were used to divide them into study and control populations. Comorbid profiles were assessed utilizing a modified Charlson Comorbidity Index (CCI). Thirty-day occurrences of mortality and serious adverse events (SAEs) were used as study endpoints. Univariate and multivariate models were created using demographic and clinical variables to assess for significant differences in endpoints (P ≤ .05).ResultsA total of 440 patients undergoing TEVAR were identified. When evaluating patients based on operative indication, the ruptured population had increased mortality and SAE rates compared to the nonruptured DTA population (22.6% vs 6.2%;P < .01 and 35.5% vs 9.1%;P < .01, respectively). Further analysis by surgical complexity revealed increased mortality and SAE rates when comparing the brachiocephalic aortic debranching population to the noncovered left subclavian artery population (23.1% vs 6.5%; P = .02 and 30.8% vs 9.1%; P < .01, respectively). Multivariate analysis demonstrated that operative indication was not a correlate of mortality or SAEs (odds ratio [OR], 0.95; P = .92 and OR, 1.42; P = .39, respectively); however, brachiocephalic aortic debranching exhibited a deleterious effect on mortality (OR, 8.75; P < .01) and SAE rate (OR, 6.67; P = .01).ConclusionThe operative indication for a TEVAR procedure was not found to be a predictor of poor patient outcome. Surgical complexity, specifically the need for brachiocephalic aortic debranching and aortoiliac conduit, was shown to influence the occurrence of SAEs in a multivariate model. Comparative data, such as these, illustrate real-world outcomes of patients undergoing TEVAR outside of the original FDA-approved indications. This information is of paramount importance to various stakeholders, including third-party payers, the device industry, regulatory agencies, surgeons, and their patients

NuSTAR reveals the hidden nature of SS433

SS433 is the only Galactic binary system known to accrete at highly super-critical rates, analogous to tidal disruption events, and needed to explain the mass of some high redshift quasars. Probing the inner regions of SS433 in the X-rays is crucial to understanding this system, and super-critical accretion in general, but has not yet been possible due to obscuration. NuSTAR observed SS433 in the hard X-ray band across multiple phases of its super-orbital precession period. Spectral-timing tools have allowed us to confirm that the hard X-ray emission from the inner regions is scattered towards us by the walls of the wind-cone. By comparing to numerical models, we determine an intrinsic X-ray luminosity of >= 3x10^37 erg/s and that, if viewed face on, the apparent luminosity would be > 1x10^39 erg/s, confirming its long-suspected nature as an ultraluminous X-ray source (ULX). A lag due to absorption by Fe XXV/XXVI in outflowing material travelling at least 0.14-0.29c matches absorption lines seen in ULXs and - in future - will allow us to map a super-critical outflow for the first time.Comment: 24 pages, 8 figures, submitted for publicatio

Posttranscriptional Upregulation of IDH1 by HuR Establishes a Powerful Survival Phenotype in Pancreatic Cancer Cells.

Cancer aggressiveness may result from the selective pressure of a harsh nutrient-deprived microenvironment. Here we illustrate how such conditions promote chemotherapy resistance in pancreatic ductal adenocarcinoma (PDAC). Glucose or glutamine withdrawal resulted in a 5- to 10-fold protective effect with chemotherapy treatment. PDAC xenografts were less sensitive to gemcitabine in hypoglycemic mice compared with hyperglycemic mice. Consistent with this observation, patients receiving adjuvant gemcitabine (n = 107) with elevated serum glucose levels (HgbA1C \u3e 6.5%) exhibited improved survival. We identified enhanced antioxidant defense as a driver of chemoresistance in this setting. ROS levels were doubled in vitro by either nutrient withdrawal or gemcitabine treatment, but depriving PDAC cells of nutrients before gemcitabine treatment attenuated this effect. Mechanistic investigations based on RNAi or CRISPR approaches implicated the RNA binding protein HuR in preserving survival under nutrient withdrawal, with or without gemcitabine. Notably, RNA deep sequencing and functional analyses in HuR-deficient PDAC cell lines identified isocitrate dehydrogenase 1 (IDH1) as the sole antioxidant enzyme under HuR regulation. HuR-deficient PDAC cells lacked the ability to engraft successfully in immunocompromised mice, but IDH1 overexpression in these cells was sufficient to fully restore chemoresistance under low nutrient conditions. Overall, our findings highlight the HuR–IDH1 regulatory axis as a critical, actionable therapeutic target in pancreatic cancer