Independent predictors of breast malignancy in screen-detected microcalcifications: biopsy results in 2545 cases

Background: Mammographic microcalcifications are associated with many benign lesions, ductal carcinoma in situ (DCIS) and invasive cancer. Careful assessment criteria are required to minimise benign biopsies while optimising cancer diagnosis. We wished to evaluate the assessment outcomes of microcalcifications biopsied in the setting of population-based breast cancer screening. Methods: Between January 1992 and December 2007, cases biopsied in which microcalcifications were the only imaging abnormality were included. Patient demographics, imaging features and final histology were subjected to statistical analysis to determine independent predictors of malignancy. Results: In all, 2545 lesions, with a mean diameter of 21.8 mm (s.d. 23.8 mm) and observed in patients with a mean age of 57.7 years (s.d. 8.4 years), were included. Using the grading system adopted by the RANZCR, the grade was 3 in 47.7%; 4 in 28.3% and 5 in 24.0%. After assessment, 1220 lesions (47.9%) were malignant (809 DCIS only, 411 DCIS with invasive cancer) and 1325 (52.1%) were non-malignant, including 122 (4.8%) premalignant lesions (lobular carcinoma in situ, atypical lobular hyperplasia and atypical ductal hyperplasia). Only 30.9% of the DCIS was of low grade. Mammographic extent of microcalcifications >15 mm, imaging grade, their pattern of distribution, presence of a palpable mass and detection after the first screening episode showed significant univariate associations with malignancy. On multivariate modeling imaging grade, mammographic extent of microcalcifications >15 mm, palpable mass and screening episode were retained as independent predictors of malignancy. Radiological grade had the largest effect with lesions of grade 4 and 5 being 2.2 and 3.3 times more likely to be malignant, respectively, than grade 3 lesions. Conclusion: The radiological grading scheme used throughout Australia and parts of Europe is validated as a useful system of stratifying microcalcifications into groups with significantly different risks of malignancy. Biopsy assessment of appropriately selected microcalcifications is an effective method of detecting invasive breast cancer and DCIS, particularly of non-low-grade subtypes.G Farshid, T Sullivan, P Downey, P G Gill, and S Pieters

The Letter of Credit as Security for Completion of Streets, Sidewalks, and Other Bonded Municipal Improvements

When approving a land development project, municipalities require assurance that developers will construct the required public improvements, and that in the event of default, the surety will be responsive, so that the project will be completed promptly, without risk to the municipal treasury. A form of guarantee sometimes used is the letter of credit. The case law involving public improvement letters of credit is sparse, yet the contingent liability to municipalities from defaulted land developments, with illusory sureties, should not be underestimated

Prediction of naturally-occurring, industrially-induced and total trans fatty acids in butter, dairy spreads and Cheddar cheese using vibrational spectroscopy and multivariate data analysis

peer-reviewedThis study investigated the use of vibrational spectroscopy [near infrared (NIR), Fourier-transform mid-infrared (FT-MIR), Raman] and multivariate data analysis for (1) quantifying total trans fatty acids (TT), and (2) separately predicting naturally-occurring (NT; i.e., C16:1 t9; C18:1 trans-n, n = 6 … 9, 10, 11; C18:2 trans) and industrially-induced trans fatty acids (IT = TT – NT) in Irish dairy products, i.e., butter (n = 60), Cheddar cheese (n = 44), and dairy spreads (n = 54). Partial least squares regression models for predicting NT, IT and TT in each type of dairy product were developed using FT-MIR, NIR and Raman spectral data. Models based on NIR, FT-MIR and Raman spectra were used for the prediction of NT and TT content in butter; best prediction performance achieved a coefficient of determination in validation (R2V) ∼ 0.91–0.95, root mean square error of prediction (RMSEP) ∼ 0.07–0.30 for NT; R2V ∼ 0.92–0.95, RMSEP ∼ 0.23–0.29 for TT.This project was funded by the Irish Department of Agriculture, Food and the Marine as part of CheeseBoard 2015. Ming Zhao is a Teagasc Walsh Fellow

Parameterized Algorithms for Graph Partitioning Problems

We study a broad class of graph partitioning problems, where each problem is specified by a graph $G=(V,E)$, and parameters $k$ and $p$. We seek a subset $U\subseteq V$ of size $k$, such that $\alpha_1m_1 + \alpha_2m_2$ is at most (or at least) $p$, where $\alpha_1,\alpha_2\in\mathbb{R}$ are constants defining the problem, and $m_1, m_2$ are the cardinalities of the edge sets having both endpoints, and exactly one endpoint, in $U$, respectively. This class of fixed cardinality graph partitioning problems (FGPP) encompasses Max $(k,n-k)$-Cut, Min $k$-Vertex Cover, $k$-Densest Subgraph, and $k$-Sparsest Subgraph. Our main result is an $O^*(4^{k+o(k)}\Delta^k)$ algorithm for any problem in this class, where $\Delta \geq 1$ is the maximum degree in the input graph. This resolves an open question posed by Bonnet et al. [IPEC 2013]. We obtain faster algorithms for certain subclasses of FGPPs, parameterized by $p$, or by $(k+p)$. In particular, we give an $O^*(4^{p+o(p)})$ time algorithm for Max $(k,n-k)$-Cut, thus improving significantly the best known $O^*(p^p)$ time algorithm

Does the importance of sustainable event information services vary among generational sub-cohorts?

As events embrace sustainability – many information services have shifted to virtual – how does that affect the importance of these services – and affect satisfaction? And does it affect various generational groups differently? The present study found that it does.N/

International Strategic Alliances: Identifying Objective Performance Measures

With the acceleration of globalization, International Strategic Alliances (ISA) are increasingly playing a critical role in a firm’s strategic arsenal.  Despite its importance, measuring an ISA’s success is difficult due to the reticence of failing partnerships to announce these issues.  This paper presents an analysis of 29 alliances from 18 countries and 5 industries. The success or failure of these alliances was analyzed utilizing ROA, ROE, ROI, and operating margin as the variables of performance measurement. Discriminant Analysis demonstrates that operating margin correctly classifies the success of an alliance 70% of the time

Degree spectra for transcendence in fields

We show that for both the unary relation of transcendence and the finitary relation of algebraic independence on a field, the degree spectra of these relations may consist of any single computably enumerable Turing degree, or of those c.e. degrees above an arbitrary fixed $\Delta^0_2$ degree. In other cases, these spectra may be characterized by the ability to enumerate an arbitrary $\Sigma^0_2$ set. This is the first proof that a computable field can fail to have a computable copy with a computable transcendence basis