7,235 research outputs found
The 2-generalized knot group determines the knot
Generalized knot groups were introduced independently by Kelly
(1991) and Wada (1992). We prove that determines the unoriented knot
type and sketch a proof of the same for for .Comment: 4 page
Primary pulmonary undifferentiated pleomorphic sarcoma (PPUPS)
Undifferentiated pleomorphic sarcoma (UPS) is a high-grade pleomorphic neoplasm with no identifiable line(s) of differentiation using currently available diagnostic techniques. Therefore, it is essentially a diagnosis of exclusion, which requires generous tissue sampling, adequate contextually interpreted immunohistochemistry, and relevant molecular studies. UPS is a common soft tissue sarcoma (historically one of the entities referred to as malignant fibrous histiocytoma (MFH)), which can develop in various organs, but lung involvement is usually due to metastasis. Primary Pulmonary UPS (PPUPS) is exceptionally rare and here we present a 66-year-old man who presented with anemia and weight loss, found to have a 17 cm right lung mass with invasion to the chest wall and diaphragm. Extensive sampling and immunohistochemistry studies failed to reveal any line of differentiation. Upon exclusion of a possible extrapulmonary origin, a diagnosis of PPUPS was rendered. In addition, we reviewed all 84 previously reported cases of PPUPS/PPMFH in the literature since 1979 and summarized the clinical information
The Social Participation Development for Individuals with Unilateral and Bilateral Lower Extremity Amputation
This occupation-based program aims to help maintain and increase social participation for individuals with unilateral or bilateral lower extremity amputations. It was developed with an occupational therapy (OT) lens targeting adults with a lower limb amputation with a population of various ages (18-70), genders, and causes of injury to develop an occupation-based program with an OT focus. Individuals living with amputation often experience hardship when developing crucial ADL/IADL skills that can be vital for social participation regardless of age or cause of injury. This program focuses on developing social participation skills lost due to decreased functional mobility and skills caused by amputation and looks at the improvements made through occupational therapy interventions. It provides activity adaptation, prosthesis education, and mental health promotion. The program outcomes involve a needs assessment, the development of a program manual, the program implementation, and a data analysis. The significance is to educate and train amputees on daily life skills, prosthetic use, social techniques, pain strategies, and exercise training. In summary, this amputee program aims to bridge the literature gap in understanding an amputee’s challenges through developing an OT-focused program to enhance their social participation, ultimately improving their quality of life.https://soar.usa.edu/otdcapstonesspring2024/1063/thumbnail.jp
Dislocation-mediated growth of bacterial cell walls
Recent experiments have illuminated a remarkable growth mechanism of
rod-shaped bacteria: proteins associated with cell wall extension move at
constant velocity in circles oriented approximately along the cell
circumference (Garner et al., Science (2011), Dominguez-Escobar et al. Science
(2011), van Teeffelen et al. PNAS (2011). We view these as dislocations in the
partially ordered peptidoglycan structure, activated by glycan strand extension
machinery, and study theoretically the dynamics of these interacting defects on
the surface of a cylinder. Generation and motion of these interacting defects
lead to surprising effects arising from the cylindrical geometry, with
important implications for growth. We also discuss how long range elastic
interactions and turgor pressure affect the dynamics of the fraction of
actively moving dislocations in the bacterial cell wall.Comment: to appear in PNA
Maternal thyroid function and child educational attainment: prospective cohort study
Objective: To determine if first trimester maternal thyroid dysfunction is a critical determinant of child scholastic performance and overall educational attainment.
Design: Prospective cohort study.
Setting: Avon Longitudinal Study of Parents and Children cohort in the UK.
Participants: 4615 mother-child pairs with an available first trimester sample (median 10 weeks gestation, interquartile range 8-12).
Exposures: Free thyroxine, thyroid stimulating hormone, and thyroid peroxidase antibodies assessed as continuous measures and the seven clinical categories of maternal thyroid function.
Main outcome measures: Five age-specific national curriculum assessments in 3580 children at entry stage assessment at 54 months, increasing up to 4461 children at their final school assessment at age 15.
Results: No strong evidence of clinically meaningful associations of first trimester free thyroxine and thyroid stimulating hormone levels with entry stage assessment score or Standard Assessment Test scores at any of the key stages was found. Associations of maternal free thyroxine or thyroid stimulating hormone with the total number of General Certificates of Secondary Education (GCSEs) passed (range 0-16) were all close to the null: free thyroxine, rate ratio per pmol/L 1.00 (95% confidence interval 1.00 to 1.01); and thyroid stimulating hormone, rate ratio 0.98 (0.94 to 1.02). No important relationship was observed when more detailed capped scores of GCSEs allowing for both the number and grade of pass or when language, mathematics, and science performance were examined individually or when all educational assessments undertaken by an individual from school entry to leaving were considered. 200 (4.3%) mothers were newly identified as having hypothyroidism or subclinical hypothyroidism and 97 (2.1%) subclinical hyperthyroidism or hyperthyroidism. Children of mothers with thyroid dysfunction attained an equivalent number of GCSEs and equivalent grades as children of mothers with euthyroidism.
Conclusions: Maternal thyroid dysfunction in early pregnancy does not have a clinically important association with impaired child performance at school or educational achievement
The association between lower urinary tract symptoms and falls: forming a theoretical model for a research agenda
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Intraneural Hemangioma: Case Report of a Rare Tibial Nerve Lesion.
An intraneural hemangioma is a rare, benign mesodermal lesion. We present a case of a three-year-old female with the inability to straighten her right knee and fullness over the right popliteal fossa for one year. Magnetic resonance imaging (MRI) demonstrated a T2 hyperintense lesion of the popliteal fossa, within the tibial nerve. The patient underwent an uncomplicated right knee excisional biopsy, which confirmed the diagnosis of an intraneural hemangioma. Although rare, an intraneural hemangioma should be considered in the differential diagnosis of a soft tissue lesion located in the expected course of a peripheral nerve
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