At what age do patients no longer need colorectal cancer screening?

Good evidence supports fecal occult blood testing (FOBT) for patients up to age 75 (grade of recommendation: A, based on systematic review of randomized controlled trials). There is insufficient evidence to recommend for or against colorectal cancer (CRC) screening after age 75 (grade of recommendation: D, based on expert opinion). CRC screening may be discontinued between ages 75 and 80, preferably after at least 1 negative screening examination result. Unusually healthy individuals may choose to continue screening until a later age

Amyloid Oligomers as Blood Biomarkers in the Diagnosis of Alzheimer’s Disease

Oligomeric forms of the peptide, β-amyloid, (Aβ) are known to be toxic to human and rodent neurones, and have been identified as possible causative agents in the loss of cognitive function in Alzheimer’s Disease (AD). An ELISA assay has been developed capable of detecting oligomeric forms of Aβ in biological fluids, but not detecting monomeric species. The ELISA has been validated with a number of synthetic variant sequences of Aβ and the effects of known inhibitors of Aβ oligomer formation. Significantly raised levels of oligomers were detected in sera samples from AD patients, compared to age-matched control sera

Activity of Daily Living Trajectories Surrounding Acute Hospitalization of Long‐Stay Nursing Home Residents

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/101804/1/jgs12511.pd

Surface acoustic wave attenuation by a two-dimensional electron gas in a strong magnetic field

The propagation of a surface acoustic wave (SAW) on GaAs/AlGaAs heterostructures is studied in the case where the two-dimensional electron gas (2DEG) is subject to a strong magnetic field and a smooth random potential with correlation length Lambda and amplitude Delta. The electron wave functions are described in a quasiclassical picture using results of percolation theory for two-dimensional systems. In accordance with the experimental situation, Lambda is assumed to be much smaller than the sound wavelength 2*pi/q. This restricts the absorption of surface phonons at a filling factor \bar{\nu} approx 1/2 to electrons occupying extended trajectories of fractal structure. Both piezoelectric and deformation potential interactions of surface acoustic phonons with electrons are considered and the corresponding interaction vertices are derived. These vertices are found to differ from those valid for three-dimensional bulk phonon systems with respect to the phonon wave vector dependence. We derive the appropriate dielectric function varepsilon(omega,q) to describe the effect of screening on the electron-phonon coupling. In the low temperature, high frequency regime T << Delta (omega_q*Lambda /v_D)^{alpha/2/nu}, where omega_q is the SAW frequency and v_D is the electron drift velocity, both the attenuation coefficient Gamma and varepsilon(omega,q) are independent of temperature. The classical percolation indices give alpha/2/nu=3/7. The width of the region where a strong absorption of the SAW occurs is found to be given by the scaling law |Delta \bar{\nu}| approx (omega_q*Lambda/v_D)^{alpha/2/nu}. The dependence of the electron-phonon coupling and the screening due to the 2DEG on the filling factor leads to a double-peak structure for Gamma(\bar{\nu}).Comment: 17 pages, 3 Postscript figures, minor changes mad

Quantum Hall Effect in Three Dimensional Layered Systems

Using a mapping of a layered three-dimensional system with significant inter-layer tunneling onto a spin-Hamiltonian, the phase diagram in the strong magnetic field limit is obtained in the semi-classical approximation. This phase diagram, which exhibit a metallic phase for a finite range of energies and magnetic fields, and the calculated associated critical exponent, $\nu=4/3$, agree excellently with existing numerical calculations. The implication of this work for the quantum Hall effect in three dimensions is discussed.Comment: 4 pages + 4 figure

Effect of home telemonitoring on glycemic and blood pressure control in primary care clinic patients with diabetes

Objective: Patient self-management support may be augmented by using home-based technologies that generate data points that providers can potentially use to make more timely changes in the patients' care. The purpose of this study was to evaluate the effectiveness of short-term targeted use of remote data transmission on treatment outcomes in patients with diabetes who had either out-of-range hemoglobin A1c (A1c) and/or blood pressure (BP) measurements. Materials and Methods: A single-center randomized controlled clinical trial design compared in-home monitoring (n=55) and usual care (n=53) in patients with type 2 diabetes and hypertension being treated in primary care clinics. Primary outcomes were A1c and systolic BP after a 12-week intervention. Results: There were no significant differences between the intervention and control groups on either A1c or systolic BP following the intervention. Conclusions: The addition of technology alone is unlikely to lead to improvements in outcomes. Practices need to be selective in their use of telemonitoring with patients, limiting it to patients who have motivation or a significant change in care, such as starting insulin. Attention to the need for effective and responsive clinic processes to optimize the use of the additional data is also important when implementing these types of technology

Leptonic μ \mu - and τ \tau -decays: mass effects, polarization effects and O(α) O(\alpha) radiative corrections

We calculate the radiative corrections to the unpolarized and the four polarized spectrum and rate functions in the leptonic decay of a polarized $\mu$ into a polarized electron. The new feature of our calculation is that we keep the mass of the final state electron finite which is mandatory if one wants to investigate the threshold region of the decay. Analytical results are given for the energy spectrum and the polar angle distribution of the final state electron whose longitudinal and transverse polarization is calculated. We also provide analytical results on the integrated spectrum functions. We analyze the $m_e \to 0$ limit of our general results and investigate the quality of the $m_e \to 0$ approximation. In the $m_e \to 0$ case we discuss in some detail the role of the $O(\alpha)$ anomalous helicity flip contribution of the final electron which survives the $m_e \to 0$ limit. The results presented in this 0203048 also apply to the leptonic decays of polarized $\tau$-leptons for which we provide numerical results.Comment: 39 pages, 11 postscript figures added. Updated version. Four references added. A few text improvements. Final version to appear in Phys.Rev.

Different Power Sharing Techniques for Converter-Interfaced DERs in an Autonomous Microgrid

A three-level hierarchical control system is considered for microgrids. The microgrid central controller receives the desired ratio for the output power of the available distributed generation units (DG) from the network tertiary controller. It then passes this information to the primary controller of each DG in the form of setpoints. In addition, the central controller receives some information from the DGs or the network and considers them to adjust the setpoints for the DGs. In this paper, the effect of the data transfer delays in the communication system of future microgrids is investigated on the dynamic operation of the distributed energy resources

EZH2 promotes a bi-lineage identity in basal-like breast cancer cells

The mechanisms regulating breast cancer differentiation state are poorly understood. Of particular interest are molecular regulators controlling the highly aggressive and poorly differentiated traits of basal-like breast carcinomas. Here we show that the Polycomb factor EZH2 maintains the differentiation state of basal-like breast cancer cells, and promotes the expression of progenitor-associated and basal-lineage genes. Specifically, EZH2 regulates the composition of basal-like breast cancer cell populations by promoting a ‘bi-lineage’ differentiation state, in which cells co-express basal- and luminal-lineage markers. We show that human basal-like breast cancers contain a subpopulation of bi-lineage cells, and that EZH2-deficient cells give rise to tumors with a decreased proportion of such cells. Bi-lineage cells express genes that are active in normal luminal progenitors, and possess increased colony-formation capacity, consistent with a primitive differentiation state. We found that GATA3, a driver of luminal differentiation, performs a function opposite to EZH2, acting to suppress bi-lineage identity and luminal-progenitor gene expression. GATA3 levels increase upon EZH2 silencing, mediating a decrease in bi-lineage cell numbers. Our findings reveal a novel role for EZH2 in controlling basal-like breast cancer differentiation state and intra-tumoral cell composition

Temporal stochasticity leads to nondeterministic chaos in a model for blood cell production

All types of blood cells are formed by differentiation from a small population of pluripotent stem cells in the bone marrow. This population should maintain the balance between self-renewal and differentiation, even under severe perturbations, e.g. the massive cell death caused by chemotherapy or irradiation. The authors constructed a cellular-automata model for bone marrow dynamics, which retrieves its homeostatic capabilities even under periodic perturbations with constant or random amplitude. However, temporally stochastic perturbations result in a chaotic-like behavior. Several methods of analysis failed to distinguish between the time series in this case and a chaotic time series, although the chaotic-like behavior has no deterministic source