Women's perception, attitudes, and intended behavior towards predictive epigenetic risk testing for female cancers in 5 European countries: A cross-sectional online survey

BACKGROUND: Epigenetic markers might be used for risk-stratifying cancer screening and prevention programs in the future. Although the clinical utility of consequent epigenetic tests for risk stratification is yet to be proven, successful adoption into clinical practice also requires the public's acceptance of such tests. This cross-sectional online survey study sought to learn for the first time about European women's perceptions, attitudes, and intended behavior regarding a predictive epigenetic test for female cancer (breast, ovarian, cervical, and endometrial) risks. METHODS: 1675 women (40-75 years) from five European countries (Czech Republic, Germany, United Kingdom, Italy, Sweden), drawn from online panels by the survey sampling company Harris Interactive (Germany), participated in an online survey where they first received online leaflet information on a predictive epigenetic test for female cancer risks and were subsequently queried by an online questionnaire on their desire to know their female cancer risks, their perception of the benefit-to-harm ratio of an epigenetic test predicting female cancer risks, reasons in favor and disfavor of taking such a test, and their intention to take a predictive epigenetic test for female cancer risks. RESULTS: Most women desired information on each of their female cancer risks, 56.6% (95% CI: 54.2-59.0) thought the potential benefits outweighed potential harms, and 75% (72.0-77.8) intended to take a predictive epigenetic test for female cancer risks if freely available. Results varied considerably by country with women from Germany and the Czech Republic being more reserved about this new form of testing than women from the other three European countries. The main reason cited in favor of a predictive epigenetic test for female cancer risks was its potential to guide healthcare strategies and lifestyle changes in the future, and in its disfavor was that it may increase cancer worry and coerce unintended lifestyle changes and healthcare interventions. CONCLUSIONS: A successful introduction of predictive epigenetic tests for cancer risks will require a balanced and transparent communication of the benefit-to-harm ratio of healthcare pathways resulting from such tests in order to curb unjustified expectations and at the same time to prevent unjustified concerns

Prediction models for endometrial cancer for the general population or symptomatic women: a systematic review

OBJECTIVE: To provide an overview of prediction models for the risk of developing endometrial cancer in women of the general population or for the presence of endometrial cancer in symptomatic women. METHODS: We systematically searched the Embase and Pubmed database until September 2017 for relevant publications. We included studies describing the development, the external validation, or the updating of a multivariable model for predicting endometrial cancer in the general population or symptomatic women. RESULTS: Out of 2756 references screened, 14 studies were included. We found two prediction models for developing endometrial cancer in the general population (risk models) and one extension. Eight studies described the development of models for symptomatic women (diagnostic models), one comparison of the performance of two diagnostic models and two external validation. Sample size varied from 60 (10 with cancer) to 201,811 (855 with cancer) women. The age of the women was included as a predictor in almost all models. The risk models included epidemiological variables related to the reproductive history of women, hormone use, BMI, and smoking history. The diagnostic models also included clinical predictors, such as endometrial thickness and recurrent bleeding. The concordance statistic (c), assessing the discriminative ability, varied from 0.68 to 0.77 in the risk models and from 0.73 to 0.957 in the diagnostic models. Methodological information was often limited, especially on the handling of missing data, and the selection of predictors. One risk model and four diagnostic models were externally validated. CONCLUSIONS: Only a few models have been developed to predict endometrial cancer in asymptomatic or symptomatic women. The usefulness of most models is unclear considering methodological shortcomings and lack of external validation. Future research should focus on external validation and extension with new predictors or biomarkers, such as genetic and epigenetic markers

Complete hyperfine Paschen-Back regime at relatively small magnetic fields realized in Potassium nano-cell

A one-dimensional nano-metric-thin cell (NC) filled with potassium metal has been built and used to study optical atomic transitions in external magnetic fields. These studies benefit from the remarkable features of the NC allowing one to use $\lambda/2$- and $\lambda$-methods for effective investigations of individual transitions of the K D_1 line. The methods are based on strong narrowing of the absorption spectrum of the atomic column of thickness L equal to $\lambda/2$ and to $\lambda$(with \lambda = 770\un{nm} being the resonant laser radiation wavelength). In particular, for a $\pi$-polarized radiation excitation the $\lambda$-method allows us to resolve eight atomic transitions (in two groups of four atomic transitions) and to reveal two remarkable transitions that we call Guiding Transitions (GT). The probabilities of all other transitions inside the group (as well as the frequency slope versus magnetic field) tend to the probability and to the slope of GT. Note that for circular polarization there is one group of four transitions and GT do not exist. Among eight transitions there are also two transitions (forbidden for $B$ = 0) with the probabilities undergoing strong modification under the influence of magnetic fields. Practically the complete hyperfine Paschen-Back regime is observed at relatively low (\sim 1\un{kG}) magnetic fields. Note that for K $D_2$ line GT are absent. Theoretical models describe the experiment very well.Comment: 6 page

Expansions of the solutions of the biconfluent Heun equation in terms of incomplete Beta and Gamma functions

Starting from equations obeyed by functions involving the first or the second derivatives of the biconfluent Heun function, we construct two expansions of the solutions of the biconfluent Heun equation in terms of incomplete Beta functions. The first series applies single Beta functions as expansion functions, while the second one involves a combination of two Beta functions. The coefficients of expansions obey four- and five-term recurrence relations, respectively. It is shown that the proposed technique is potent to produce series solutions in terms of other special functions. Two examples of such expansions in terms of the incomplete Gamma functions are presente

Stimulated Raman Adiabatic Passage via bright state in Lambda medium of unequal oscillator strengths

We consider the population transfer process in a Lambda-type atomic medium of unequal oscillator strengths by stimulated Raman adiabatic passage via bright-state (b-STIRAP) taking into account propagation effects. Using both analytic and numerical methods we show that the population transfer efficiency is sensitive to the ratio q_p/q_s of the transition oscillator strengths. We find that the case q_p>q_s is more detrimental for population transfer process as compared to the case where $q_p \leq q_s$. For this case it is possible to increase medium dimensions while permitting efficient population transfer. A criterion determining the interaction adiabaticity in the course of propagation process is found. We also show that the mixing parameter characterizing the population transfer propagates superluminally

Integration of genetic and epigenetic markers for risk stratification: opportunities and challenges

Common genetic susceptibility variants could be used for risk stratification in risk-tailored cancer screening and prevention programmes. Combining genetic variants with environmental risk factors would improve risk stratification. Epigenetic changes are surrogate markers of environmental exposures during individual's lifetime. Integrating epigenetic markers, in lieu of environmental exposure data, with genetic markers would potentially improve risk stratification. Epigenetic changes are reversible and acquired gradually, providing potentials for prevention and early detection strategies. The epigenetic changes are tissue-specific and stage-of-development-specific, raising challenges in choice of sample and timing for evaluation of cancer-associated changes. The Horizon 2020 funded research programme, FORECEE, using empirical data, will investigate the value of integration of epigenomics with genomics for risk prediction and prevention of women-specific cancers

Contextuality under weak assumptions

The presence of contextuality in quantum theory was first highlighted by Bell, Kochen and Specker, who discovered that for quantum systems of three or more dimensions, measurements could not be viewed as deterministically revealing pre-existing properties of the system. More precisely, no model can assign deterministic outcomes to the projectors of a quantum measurement in a way that depends only on the projector and not the context (the full set of projectors) in which it appeared, despite the fact that the Born rule probabilities associated with projectors are independent of the context. A more general, operational definition of contextuality introduced by Spekkens, which we will term "probabilistic contextuality", drops the assumption of determinism and allows for operations other than measurements to be considered contextual. Even two-dimensional quantum mechanics can be shown to be contextual under this generalised notion. Probabilistic noncontextuality represents the postulate that elements of an operational theory that cannot be distinguished from each other based on the statistics of arbitrarily many repeated experiments (they give rise to the same operational probabilities) are ontologically identical. In this paper, we introduce a framework that enables us to distinguish between different noncontextuality assumptions in terms of the relationships between the ontological representations of objects in the theory given a certain relation between their operational representations. This framework can be used to motivate and define a "possibilistic" analogue, encapsulating the idea that elements of an operational theory that cannot be unambiguously distinguished operationally can also not be unambiguously distinguished ontologically. We then prove that possibilistic noncontextuality is equivalent to an alternative notion of noncontextuality proposed by Hardy. Finally, we demonstrate that these weaker noncontextuality assumptions are sufficient to prove alternative versions of known "no-go" theorems that constrain ψ-epistemic models for quantum mechanics