Bedside differentiation of vestibular neuritis from central "vestibular pseudoneuritis".

Acute unilateral peripheral and central vestibular lesions can cause similar signs and symptoms, but they require different diagnostics and management. We therefore correlated clinical signs to differentiate vestibular neuritis (40 patients) from central ‘‘vestibular pseudoneuritis’’ (43 patients) in the acute situation with the final diagnosis assessed by neuroimaging. Skew deviation was the only specific but non-sensitive (40%) sign for pseudoneuritis. None of the other isolated signs (head thrust test, saccadic pursuit, gaze evoked nystagmus, subjective visual vertical) were reliable; however, multivariate logistic regression increased their sensitivity and specificity to 92%

Interview with Mary Catherine Toker by Brien Williams

Biographical NoteMary Catherine “M.C.” Toker was born on August 13, 1959, in Miami, Florida, to Donald L. Toker and Mary Brennan Toker. Her father was a physician for the U.S. Public Health Service, and Mary Toker grew up in various locales around the world, including London, Hong Kong, and Japan. By the time she went to high school, her family had settled in Washington, D.C. After high school she attended Mount St. Mary’s College in Emmitsburg, Maryland, and pursued a degree in international studies. She interned with the Department of Defense, where she worked on various policies regarding U.S. relations with other countries. She went to Maine to work on the 1982 Democratic coordinated campaign, and in 1984 she worked on the Mondale presidential campaign in New England. She then returned to D.C. in 1985 and began to work for Mitchell’s Senate office as a legislative correspondent. She dealt with foreign affairs issues for Mitchell’s office and moved to the deputy president pro tempore office when Mitchell moved there. She was involved in reviewing the schedule of visitors to ensure that Mitchell personally met with as many Maine constituents as possible and that VIPs were handled appropriately. In 1988, she left the Senate office to work for General Mills, where she served as vice president of government relations at the time of this interview. SummaryInterview includes discussion of: living abroad as a child; attending Mount St. Mary’s College; interning with the Department of Defense; working on the Maine Democratic coordinated campaign in 1982; working for the Mondale presidential campaign; working as a legislative correspondent; Star Wars (Strategic Defense Initiative); how correspondence in the Senate office was managed; out-of-state correspondence; the importance of handling the mail because Mitchell might know the letter writer; Mitchell’s role on the Democratic Senatorial Campaign Committee; becoming deputy president pro tempore; the esprit de corps of the Senate office; Monday morning legislative meetings; making sure that people from Maine who came to the Senate office got to see Mitchell; adjusting to the cramped office environment; Toker’s job search and how she ended up working for General Mills; Mitchell’s election to majority leader; issues that Toker deals with for General Mills; the role of lobbyists as stakeholders helping legislators; how Mitchell gathered information to prepare to deal with issues; anecdote about how Senator Durenberger came running down the hall to give Mitchell a congratulatory hug after he was elected to majority leader; Mitchell’s mentoring relationship to Tom Daschle; Mitchell’s priorities in terms of balancing his different roles; Toker’s surprise at Mitchell’s decision to step down; the Good Friday Agreement; running into Mitchell in Dublin; the effect that having worked for Mitchell has had on Toker’s subsequent career; how the job of lobbyists and the Senate have changed over the years; increasing partisanship in the Senate; and how Toker believes Mitchell should be remembered

Three Cal Poly Teams Compete in the Ninth ULI - Gerald D. Hines Urban Design Competition

Every year the Urban Land Institute runs the prestigious Gerald D. Hines Urban Design Competition open to interdisciplinary teams of graduate student nationwide. In this article, faculty Hemalata Dandekar and Umut Toker, who jointly coordinated the entries of three Cal Poly student teams, describe the projects and reflect on the pedagogical effects of their efforts

Концепції мовної гри як теоретичні засади організації навчально-ігрової діяльності

У статті розглянуто лінгвофілософські й лінгвістичні концепції мовної гри як підґрунтя організації навчально-ігрової діяльності в системі українськомовної освіти. На основі наукового осмислення окреслено зміст понять "гра", "навчально-ігрова діяльність", "мовна гра". Шляхом аналізу наукової літератури й синтезу теоретичних ідей визначено принципи побудови й реалізації навчально-методичної системи, спрямованої на формування мовної особистості школяра в навчально-ігровій діяльності

Positive correlation between transcriptomic stemness and PI3K/AKT/mTOR signaling scores in breast cancer, and a counterintuitive relationship with PIK3CA genotype

A PI3Kα-selective inhibitor has recently been approved for use in breast tumors harboring mutations in PIK3CA, the gene encoding p110α. Preclinical studies have suggested that the PI3K/AKT/mTOR signaling pathway influences stemness, a dedifferentiation-related cellular phenotype associated with aggressive cancer. However, to date, no direct evidence for such a correlation has been demonstrated in human tumors. In two independent human breast cancer cohorts, encompassing nearly 3,000 tumor samples, transcriptional footprint-based analysis uncovered a positive linear association between transcriptionally-inferred PI3K/AKT/mTOR signaling scores and stemness scores. Unexpectedly, stratification of tumors according to PIK3CA genotype revealed a “biphasic” relationship of mutant PIK3CA allele dosage with these scores. Relative to tumor samples without PIK3CA mutations, the presence of a single copy of a hotspot PIK3CA variant was associated with lower PI3K/AKT/mTOR signaling and stemness scores, whereas the presence of multiple copies of PIK3CA hotspot mutations correlated with higher PI3K/AKT/mTOR signaling and stemness scores. This observation was recapitulated in a human cell model of heterozygous and homozygous PIK3CAH1047R expression. Collectively, our analysis (1) provides evidence for a signaling strength-dependent PI3K-stemness relationship in human breast cancer; (2) supports evaluation of the potential benefit of patient stratification based on a combination of conventional PI3K pathway genetic information with transcriptomic indices of PI3K signaling activation

Action spectroscopy of chlorophyll and other coordination complexes

Action spectroscopy provides key insights into the nature of electronic transitions of coordination complexes such as porhyrin-containing biochromophores like chlorophyll or transition metal complexes such as tris(bipyridine)ruthenium

Three-Body approach to the K^- d Scattering Length in Particle Basis

We report on the first calculation of the scattering length A_{K^-d} based on a relativistic three-body approach where the two-body input amplitudes coupled to the Kbar N channels have been obtained with the chiral SU(3) constraint, but with isospin symmetry breaking effects taken into account. Results are compared with a recent calculation applying a similar set of two-body amplitudes,based on the fixed center approximation, considered as a good approximation for a loosely bound target, and for which we find significant deviations from the exact three-body results. Effects of the hyperon-nucleon interaction, and deuteron $D$-wave component are also evaluated.Comment: 5 pages, Submitted to Phys. Rev.

Identifying and Targeting Sporadic Oncogenic Genetic Aberrations in Mouse Models of Triple-Negative Breast Cancer

Triple-negative breast cancers (TNBC) are genetically characterized by aberrations in TP53 and a low rate of activating point mutations in common oncogenes, rendering it challenging in applying targeted therapies. We performed whole-exome sequencing (WES) and RNA sequencing (RNA-seq) to identify somatic genetic alterations in mouse models of TNBCs driven by loss of Trp53 alone or in combination with Brca1. Amplifications or translocations that resulted in elevated oncoprotein expression or oncoprotein-containing fusions, respectively, as well as frameshift mutations of tumor suppressors were identified in approximately 50% of the tumors evaluated. Although the spectrum of sporadic genetic alterations was diverse, the majority had in common the ability to activate the MAPK/PI3K pathways. Importantly, we demonstrated that approved or experimental drugs efficiently induce tumor regression specifically in tumors harboring somatic aberrations of the drug target. Our study suggests that the combination of WES and RNA-seq on human TNBC will lead to the identification of actionable therapeutic targets for precision medicine–guided TNBC treatment.National Institutes of Health (U.S.) (Grant R35 CA197588)National Institutes of Health (U.S.) (Grant R01 GM041890)National Institutes of Health (U.S.) (Grant PSOC U54 CA210184)Breast Cancer Research Foundation (award BCRF-16-021)Jon and Mindy Gray FoundationEntertainment Industry Foundation. Stand Up to Cancer Colorectal Cancer Dream Team (Tranlational Research Grant No. SU2C-AACR-DT22-17)Susan Komen postdoctoral fellowshipBreast Cancer AllianceNovo Nordisk STAR Postdoctoral Fellowshi

Segregated tunneling-percolation model for transport nonuniversality

We propose a theory of the origin of transport nonuniversality in disordered insulating-conducting compounds based on the interplay between microstructure and tunneling processes between metallic grains dispersed in the insulating host. We show that if the metallic phase is arranged in quasi-one dimensional chains of conducting grains, then the distribution function of the chain conductivities g has a power-law divergence for g -> 0 leading to nonuniversal values of the transport critical exponent t. We evaluate the critical exponent t by Monte Carlo calculations on a cubic lattice and show that our model can describe universal as well nonuniversal behavior of transport depending on the value of few microstructural parameters. Such segregated tunneling-percolation model can describe the microstructure of a quite vast class of materials known as thick-film resistors which display universal or nonuniversal values of t depending on the composition.Comment: 8 pages, 5 figures (Phys. Rev. B - 1 August 2003)(fig1 replaced

Transverse Carpal Ligament and Forearm Fascia Release for the Treatment of Carpal Tunnel Syndrome Change the Entrance Angle of Flexor Tendons to the A1 Pulley: The Relationship between Carpal Tunnel Surgery and Trigger Finger Occurence

Purpose. The appearance of trigger finger after decompression of the carpal tunnel without a preexisting symptom has been reported in a few articles. Although, the cause is not clear yet, the loss of pulley action of the transverse carpal ligament has been accused mostly. In this study, we planned a biomechanical approach to fresh cadavers. Methods. The study was performed on 10 fresh amputees of the arm. The angles were measured with (1) the transverse carpal ligament and the distal forearm fascia intact, (2) only the transverse carpal ligament incised, (3) the distal forearm fascia incised to the point 3 cm proximal from the most proximal part of the transverse carpal ligament in addition to the transverse carpal ligament. The changes between the angles produced at all three conditions were compared to each other. Results. We saw that the entrance angle increased in all of five fingers in an increasing manner from procedure 1 to 3, and it was seen that the maximal increase is detected in the middle finger from procedure 1 to procedure 2 and the minimal increase is detected in little finger. Discussion. Our results support that transverse carpal ligament and forearm fascia release may be a predisposing factor for the development of trigger finger by the effect of changing the enterance angle to the A1 pulley and consequently increase the friction in this anatomic area. Clinical Relevance. This study is a cadaveric study which is directly investigating the effect of a transverse carpal ligament release on the enterance angle of flexor tendons to A1 pulleys in the hand