Opportunistic salpingectomy is now recommended at the time of routine gynecologic surgery to reduce the risk of future ovarian cancer, and performance of opportunistic salpingectomy has increased ...markedly at the time of benign hysterectomy. Salpingectomy has also been suggested to be feasible at the time of cesarean delivery in women desiring sterilization; however, uptake has not been previously studied on a national level.
This study aimed to examine recent population trends in the utilization and characteristics of salpingectomy at the time of cesarean delivery in the United States.
This is a population-based retrospective observational study querying the National Inpatient Sample between October 2015 and December 2018. The primary outcome measure was the temporal trend of bilateral salpingectomy at cesarean delivery, assessed with linear segmented regression with log transformation utilizing 3-month time increments. The secondary outcome measures included patient characteristics associated with bilateral salpingectomy, assessed with a multinomial regression model, and surgical outcome (hemorrhage, blood transfusion, hysterectomy, and oophorectomy) at the time of bilateral salpingectomy vs bilateral tubal ligation, assessed with generalized estimating equation in a propensity score-matched model.
There were 3,813,823 women at the age of 15 to 49 years who had cesarean deliveries included, of whom 397,260 (10.4%) had bilateral salpingectomy and 203,400 (5.3%) had bilateral tubal ligation overall. During the time period studied, performance of bilateral salpingectomy among women undergoing cesarean delivery significantly increased from 4.6% to 13.2% (odds ratio for the fourth quarter of 2018 vs the fourth quarter of 2015, 2.69; 95% confidence interval, 2.63–2.75; Figure panel). In contrast, performance of bilateral tubal ligation among women undergoing cesarean delivery significantly decreased from 11.3% to 2.4% (odds ratio, 0.20; 95% confidence interval, 0.19–0.21). By the third quarter of 2016, the number of women who had bilateral salpingectomy exceeded those who had bilateral tubal ligation at cesarean delivery (8.6% vs 7.3%). Increasing the utilization of bilateral salpingectomy did not vary across age groups; the salpingectomy rate increased from 7.5% to 21.1% among women at the age of ≥35 years and from 3.8% to 10.7% among women at the age of <35 years (both, P<.001). In a propensity score matched model, women in the bilateral salpingectomy group were more likely to have hemorrhage (3.8% vs 3.1%; odds ratio, 1.24; 95% confidence interval, 1.15–1.33), blood product transfusion (2.1% vs 1.8%; odds ratio, 1.16; 95% confidence interval, 1.04–1.30), hysterectomy (0.8% vs 0.4%; odds ratio, 2.28; 95% confidence interval, 1.84–2.82), and oophorectomy (0.3% vs 0.2%; odds ratio, 2.02; 95% confidence interval, 1.47–2.79) than those in the bilateral tubal ligation group. When restricted to the nonhysterectomy cases, the bilateral salpingectomy group had a higher rate of hemorrhage (3.4% vs 3.0%; odds ratio, 1.16; 95% confidence interval, 1.06–1.26) and oophorectomy (0.3% vs 0.1%; odds ratio, 1.75; 95% confidence interval, 1.22–2.50) than the bilateral tubal ligation group.
In the United States, the utilization of bilateral salpingectomy at the time of cesarean delivery increased rapidly between 2015 and 2018, replacing tubal ligation as the most common type of sterilization performed with cesarean delivery. The higher surgical morbidity in the bilateral salpingectomy group than the bilateral tubal ligation group observed in this study warrants further investigation.
ABSTRACT We show that the projected number density profiles of Sloan Digital Sky Survey photometric galaxies around galaxy clusters display strong evidence for the splashback radius, a sharp halo ...edge corresponding to the location of the first orbital apocenter of satellite galaxies after their infall. We split the clusters into two subsamples with different mean projected radial distances of their members, , at fixed richness and redshift. The sample with smaller has a smaller ratio of the splashback radius to the traditional halo boundary than the subsample with larger , indicative of different mass accretion rates for these subsamples. The same subsamples were recently used by Miyatake et al. to show that their large-scale clustering differs despite their similar weak lensing masses, demonstrating strong evidence for halo assembly bias. We expand on this result by presenting a 6.6 difference in the clustering amplitudes of these samples using cluster-photometric galaxy cross-correlations. This measurement is a clear indication that halo clustering depends on parameters other than halo mass. If is related to the mass assembly history of halos, the measurement is a manifestation of the halo assembly bias. However, our measured splashback radii are smaller, while the strength of the assembly bias signal is stronger, than the predictions of collisionless Λ cold dark matter simulations. We show that dynamical friction, cluster mis-centering, or projection effects are not likely to be the sole source of these discrepancies. However, further investigations regarding unknown catastrophic weak lensing or cluster identification systematics are warranted.
Abstract
We present high signal-to-noise galaxy–galaxy lensing measurements of the Baryon Oscillation Spectroscopic Survey constant mass (CMASS) sample using 250 deg2 of weak-lensing data from ...Canada–France–Hawaii Telescope Lensing Survey and Canada–France–Hawaii Telescope Stripe 82 Survey. We compare this signal with predictions from mock catalogues trained to match observables including the stellar mass function and the projected and two-dimensional clustering of CMASS. We show that the clustering of CMASS, together with standard models of the galaxy–halo connection, robustly predicts a lensing signal that is 20–40 per cent larger than observed. Detailed tests show that our results are robust to a variety of systematic effects. Lowering the value of
$S_{\rm 8}=\sigma _{\rm 8} \sqrt{\Omega _{\rm m}/0.3}$
compared to Planck Collaboration XIII reconciles the lensing with clustering. However, given the scale of our measurement (r < 10 h
−1 Mpc), other effects may also be at play and need to be taken into consideration. We explore the impact of baryon physics, assembly bias, massive neutrinos and modifications to general relativity on ΔΣ and show that several of these effects may be non-negligible given the precision of our measurement. Disentangling cosmological effects from the details of the galaxy–halo connection, the effect of baryons, and massive neutrinos, is the next challenge facing joint lensing and clustering analyses. This is especially true in the context of large galaxy samples from Baryon Acoustic Oscillation surveys with precise measurements but complex selection functions.
The Hyper Suprime-Cam software pipeline Bosch, James; Armstrong, Robert; Bickerton, Steven ...
Publications of the Astronomical Society of Japan,
01/2018, Letnik:
70, Številka:
SP1
Journal Article
Recenzirano
Abstract
In this paper, we describe the optical imaging data processing pipeline developed for the Subaru Telescope’s Hyper Suprime-Cam (HSC) instrument. The HSC Pipeline builds on the prototype ...pipeline being developed by the Large Synoptic Survey Telescope’s Data Management system, adding customizations for HSC, large-scale processing capabilities, and novel algorithms that have since been reincorporated into the LSST codebase. While designed primarily to reduce HSC Subaru Strategic Program (SSP) data, it is also the recommended pipeline for reducing general-observer HSC data. The HSC pipeline includes high-level processing steps that generate coadded images and science-ready catalogs as well as low-level detrending and image characterizations.
We study the effects of filaments on galaxy properties in the Sloan Digital Sky Survey (SDSS) Data Release 12 using filaments from the 'Cosmic Web Reconstruction' catalogue, a publicly available ...filament catalogue for SDSS. Since filaments are tracers of medium- to high-density regions, we expect that galaxy properties associated with the environment are dependent on the distance to the nearest filament. Our analysis demonstrates that a red galaxy or a high-mass galaxy tends to reside closer to filaments than a blue or low-mass galaxy. After adjusting the effect from stellar mass, on average, early-forming galaxies or large galaxies have a shorter distance to filaments than late-forming galaxies or small galaxies. For the main galaxy sample, all signals are very significant (>6 sigma ). For the LOWZ and CMASS sample, the stellar mass and size are significant (>2 sigma ). The filament effects we observe persist until z = 0.7 (the edge of the CMASS sample). Comparing our results to those using the galaxy distances from redMaPPer galaxy clusters as a reference, we find a similar result between filaments and clusters. Moreover, we find that the effect of clusters on the stellar mass of nearby galaxies depends on the galaxy's filamentary environment. Our findings illustrate the strong correlation of galaxy properties with proximity to density ridges, strongly supporting the claim that density ridges are good tracers of filaments.
We compare the shapes and intrinsic alignments of galaxies in the MassiveBlack-II (MBII) cosmological hydrodynamic simulation to those in an identical dark matter-only (DMO) simulation. Understanding ...the impact of baryonic physics on galaxy shapes should prove useful for creating mock galaxy catalogues based on DMO simulations that mimic intrinsic alignments in hydrodynamic simulations. The dark matter subhaloes are typically rounder in MBII, and the shapes of stellar matter in low-mass galaxies are more misaligned with the shapes of dark matter of the corresponding subhaloes in the DMO simulation. At z = 0.06, the fractional difference in the mean misalignment angle between MBII and DMO simulations varies from ∼28to12 per cent in the mass range 1010.8–6.0 × 1014 h
−1 M⊙. We study the dark matter halo shapes and alignments as a function of radius, and find that while galaxies in MBII are more aligned with the inner parts of their dark matter subhaloes, there is no radial trend in their alignments with the corresponding subhalo in the DMO simulation. This result highlights the importance of baryonic physics in determining galaxy alignments with inner parts of their halo. Finally, we find that the stellar-dark matter misalignment suppresses the ellipticity–direction (ED) correlation of galaxies in comparison to that of dark matter haloes. In the projected shape–density correlation (w
δ +), higher mean ellipticities of the stellar component reduce this effect, but differences of the order of 30–40 per cent remain on scales >1 Mpc.
Objective
To examine the trends and characteristics of ovarian conservation at time of hysterectomy in cervical carcinoma in situ.
Methods
This is a retrospective cohort study examining the ...Healthcare Cost and Utilization Project's National Inpatient Sample, January 2016 to December 2019. The study population included 6605 patients aged less than 65 years with cervical carcinoma in situ who underwent hysterectomy. Exposure allocation was the adnexal procedure status (ovarian conservation vs. oophorectomy). Main outcome measures were temporal trends of ovarian conservation over time and per patient age. A classification‐tree was constructed to examine utilization patterns of ovarian conservation.
Results
Ovarian conservation was performed in 57.2% of patients. Ovarian conservation rates were unchanged over time (P‐trend = 0.219). Ovarian conservation rates remained stable until age 40 years, ranging from 88.0% to 78.6% (P‐trend = 0.236), after which time the rate sharply decreased from 78.6% to 19.1% (P‐trend <0.001). In a multivariable analysis, younger age, fewer comorbidities, higher household income, vaginal hysterectomy, and surgery at small bed capacity non‐rural hospitals were associated with ovarian conservation (all, P < 0.05). There were 17 utilization patterns of ovarian conservation for which the rate ranged from 17.2% to 94.4% (absolute rate difference 77.2%, P < 0.001).
Conclusion
Decrease in the utilization of ovarian conservation at hysterectomy for cervical carcinoma in situ occurred at age 40 years, which is earlier than expected.
Synopsis
Decrease in the utilization of ovarian conservation at hysterectomy for cervical carcinoma in situ occurred at age 40 years, which was earlier than expected.
Abstract
The Subaru Strategic Program (SSP) is an ambitious multi-band survey using the Hyper Suprime-Cam (HSC) on the Subaru telescope. The Wide layer of the SSP is both wide and deep, reaching a ...detection limit of i ∼ 26.0 mag. At these depths, it is challenging to achieve accurate, unbiased, and consistent photometry across all five bands. The HSC data are reduced using a pipeline that builds on the prototype pipeline for the Large Synoptic Survey Telescope. We have developed a Python-based, flexible framework to inject synthetic galaxies into real HSC images, called SynPipe. Here we explain the design and implementation of SynPipe and generate a sample of synthetic galaxies to examine the photometric performance of the HSC pipeline. For stars, we achieve 1% photometric precision at i ∼ 19.0 mag and 6% precision at i ∼ 25.0 in the i band (corresponding to statistical scatters of ∼0.01 and ∼0.06 mag respectively). For synthetic galaxies with single-Sérsic profiles, forced CModel photometry achieves 13% photometric precision at i ∼ 20.0 mag and 18% precision at i ∼ 25.0 in the i band (corresponding to statistical scatters of ∼0.15 and ∼0.22 mag respectively). We show that both forced point spread function and CModel photometry yield unbiased color estimates that are robust to seeing conditions. We identify several caveats that apply to the version of HSC pipeline used for the first public HSC data release (DR1) that need to be taking into consideration. First, the degree to which an object is blended with other objects impacts the overall photometric performance. This is especially true for point sources. Highly blended objects tend to have larger photometric uncertainties, systematically underestimated fluxes, and slightly biased colors. Secondly, >20% of stars at 22.5 < i < 25.0 mag can be misclassified as extended objects. Thirdly, the current CModel algorithm tends to strongly underestimate the half-light radius and ellipticity of galaxy with i > 21.5 mag.
Abstract
Previous studies have shown the filamentary structures in the cosmic web influence the alignments of nearby galaxies. We study this effect in the LOWZ sample of the Sloan Digital Sky Survey ...using the ‘Cosmic Web Reconstruction' filament catalogue. We find that LOWZ galaxies exhibit a small but statistically significant alignment in the direction parallel to the orientation of nearby filaments. This effect is detectable even in the absence of nearby galaxy clusters, which suggests it is an effect from the matter distribution in the filament. A non-parametric regression model suggests that the alignment effect with filaments extends over separations of 30–40 Mpc. We find that galaxies that are bright and early-forming align more strongly with the directions of nearby filaments than those that are faint and late-forming; however, trends with stellar mass are less statistically significant, within the narrow range of stellar mass of this sample.
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