72 research outputs found

    Fertility Intentions and Their Realization in Couples : How the Division of Household Chores Matters

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    Most research on Europe indicates that a gender-balanced division of family work tends to increase childbearing probabilities, but empirical results vary substantially. The present article proposes explanations for this observed discrepancy. It develops prior research further by (1) studying short-term fertility intentions and their realization within the subsequent 4 years, (2) analyzing the role of the spouses’ satisfaction with the division for the effects that the division may have on childbearing, (3) proving a mediation by relationship satisfaction, and (4) considering gender as well as parity as moderators. Using data from two waves of the Generations and Gender Survey, we show that the division of work affects childbearing intentions. We find that the effect (a) depends on the spouses’ satisfaction with the division, (b) is partly moderated by relationship satisfaction, and (c) varies by parity. The division of household labor, however, seems of less importance for the realization of childbearing intentions

    Ancient DNA reveals admixture history and endogamy in the prehistoric Aegean (advance online)

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    The Neolithic and Bronze Ages were highly transformative periods forthe genetic history of Europe but for the Aegean—a region fundamentalto Europe’s prehistory—the biological dimensions of cultural transitionshave been elucidated only to a limited extent so far. We have analysed newlygenerated genome-wide data from 102 ancient individuals from Crete, theGreek mainland and the Aegean Islands, spanning from the Neolithic tothe Iron Age. We found that the early farmers from Crete shared the sameancestry as other contemporaneous Neolithic Aegeans. In contrast, the endof the Neolithic period and the following Early Bronze Age were marked by‘eastern’ gene flow, which was predominantly of Anatolian origin in Crete.Confirming previous findings for additional Central/Eastern Europeanancestry in the Greek mainland by the Middle Bronze Age, we additionallyshow that such genetic signatures appeared in Crete gradually from theseventeenth to twelfth centuries bc, a period when the influence of themainland over the island intensified. Biological and cultural connectednesswithin the Aegean is also supported by the finding of consanguineousendogamy practiced at high frequencies, unprecedented in the globalancient DNA record. Our results highlight the potential of archaeogenomicapproaches in the Aegean for unravelling the interplay of genetic admixture,marital and other cultural practice

    Intra-fraction setup variability: IR optical localization vs. X-ray imaging in a hypofractionated patient population

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    <p>Abstract</p> <p>Background</p> <p>The purpose of this study is to investigate intra-fraction setup variability in hypo-fractionated cranial and body radiotherapy; this is achieved by means of integrated infrared optical localization and stereoscopic kV X-ray imaging.</p> <p>Method and Materials</p> <p>We analyzed data coming from 87 patients treated with hypo-fractionated radiotherapy at cranial and extra-cranial sites. Patient setup was realized through the ExacTrac X-ray 6D system (BrainLAB, Germany), consisting of 2 infrared TV cameras for external fiducial localization and X-ray imaging in double projection for image registration. Before irradiation, patients were pre-aligned relying on optical marker localization. Patient position was refined through the automatic matching of X-ray images to digitally reconstructed radiographs, providing 6 corrective parameters that were automatically applied using a robotic couch. Infrared patient localization and X-ray imaging were performed at the end of treatment, thus providing independent measures of intra-fraction motion.</p> <p>Results</p> <p>According to optical measurements, the size of intra-fraction motion was (<it>median ± quartile</it>) 0.3 ± 0.3 mm, 0.6 ± 0.6 mm, 0.7 ± 0.6 mm for cranial, abdominal and lung patients, respectively. X-ray image registration estimated larger intra-fraction motion, equal to 0.9 ± 0.8 mm, 1.3 ± 1.2 mm, 1.8 ± 2.2 mm, correspondingly.</p> <p>Conclusion</p> <p>Optical tracking highlighted negligible intra-fraction motion at both cranial and extra-cranial sites. The larger motion detected by X-ray image registration showed significant inter-patient variability, in contrast to infrared optical tracking measurement. Infrared localization is put forward as the optimal strategy to monitor intra-fraction motion, featuring robustness, flexibility and less invasivity with respect to X-ray based techniques.</p

    Colorectal Cancer Stage at Diagnosis Before vs During the COVID-19 Pandemic in Italy

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    IMPORTANCE Delays in screening programs and the reluctance of patients to seek medical attention because of the outbreak of SARS-CoV-2 could be associated with the risk of more advanced colorectal cancers at diagnosis. OBJECTIVE To evaluate whether the SARS-CoV-2 pandemic was associated with more advanced oncologic stage and change in clinical presentation for patients with colorectal cancer. DESIGN, SETTING, AND PARTICIPANTS This retrospective, multicenter cohort study included all 17 938 adult patients who underwent surgery for colorectal cancer from March 1, 2020, to December 31, 2021 (pandemic period), and from January 1, 2018, to February 29, 2020 (prepandemic period), in 81 participating centers in Italy, including tertiary centers and community hospitals. Follow-up was 30 days from surgery. EXPOSURES Any type of surgical procedure for colorectal cancer, including explorative surgery, palliative procedures, and atypical or segmental resections. MAIN OUTCOMES AND MEASURES The primary outcome was advanced stage of colorectal cancer at diagnosis. Secondary outcomes were distant metastasis, T4 stage, aggressive biology (defined as cancer with at least 1 of the following characteristics: signet ring cells, mucinous tumor, budding, lymphovascular invasion, perineural invasion, and lymphangitis), stenotic lesion, emergency surgery, and palliative surgery. The independent association between the pandemic period and the outcomes was assessed using multivariate random-effects logistic regression, with hospital as the cluster variable. RESULTS A total of 17 938 patients (10 007 men [55.8%]; mean [SD] age, 70.6 [12.2] years) underwent surgery for colorectal cancer: 7796 (43.5%) during the pandemic period and 10 142 (56.5%) during the prepandemic period. Logistic regression indicated that the pandemic period was significantly associated with an increased rate of advanced-stage colorectal cancer (odds ratio [OR], 1.07; 95%CI, 1.01-1.13; P = .03), aggressive biology (OR, 1.32; 95%CI, 1.15-1.53; P &lt; .001), and stenotic lesions (OR, 1.15; 95%CI, 1.01-1.31; P = .03). CONCLUSIONS AND RELEVANCE This cohort study suggests a significant association between the SARS-CoV-2 pandemic and the risk of a more advanced oncologic stage at diagnosis among patients undergoing surgery for colorectal cancer and might indicate a potential reduction of survival for these patients

    Silicon photonics comb demultiplexer for elastic optical networks

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    An integrated reconfigurable optical comb demultiplexer for flexible-grid optical networks is demonstrated using high-order distributed feedback resonators realized in silicon-on-insulator technology. Low-loss tone isolation of nearly 30dB for a comb spacing of 12.5GHz is experimentally demonstrated in an ultra-compact layout, with potentials for operation with finer grids

    Integrated Silicon-on-Insulator Optical Comb Demultiplexer for Elastic Optical Networks

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    Practical deployment of elastic optical networks requires key enabling technologies supporting the miniaturization of flexible optical transponders for provisioning large-bandwidth services at low-cost per users. A silicon photonics (SiP) reconfigurable optical frequency comb (OFC) demultiplexer based on passive optical filtering exhibiting a minimum spurious tone rejection (STR) of nearly 30dB at 12.5GHz tone spacing is here reported. Low power penalty due to inter-channel crosstalk (IXT) originated by finite STR is observed. Improved filter designs for reduced IXT and/or operation at 6.25GHz comb spacing are experimentally and numerically verified. By monolithic integration with SiP OFC sources and I-Q modulators the scheme has potentials for realizing ultra-compact multiple-flow optical transmitters with adaptive bandwidth and channel spacing
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