The American Cancer Society (ACS), the Centers for Disease Control and Prevention (CDC), the National Cancer Institute (NCI), and the North American Association of Central Cancer Registries (NAACCR) ...collaborate to provide annual updates on cancer occurrence and trends in the United States. This Annual Report highlights survival rates. Data were from the CDC- and NCI-funded population-based cancer registry programs and compiled by NAACCR. Trends in age-standardized incidence and death rates for all cancers combined and for the leading cancer types by sex were estimated by joinpoint analysis and expressed as annual percent change. We used relative survival ratios and adjusted relative risk of death after a diagnosis of cancer (hazard ratios HRs) using Cox regression model to examine changes or differences in survival over time and by sociodemographic factors.
Overall cancer death rates from 2010 to 2014 decreased by 1.8% (95% confidence interval CI = -1.8 to -1.8) per year in men, by 1.4% (95% CI = -1.4 to -1.3) per year in women, and by 1.6% (95% CI = -2.0 to -1.3) per year in children. Death rates decreased for 11 of the 16 most common cancer types in men and for 13 of the 18 most common cancer types in women, including lung, colorectal, female breast, and prostate, whereas death rates increased for liver (men and women), pancreas (men), brain (men), and uterine cancers. In contrast, overall incidence rates from 2009 to 2013 decreased by 2.3% (95% CI = -3.1 to -1.4) per year in men but stabilized in women. For several but not all cancer types, survival statistically significantly improved over time for both early and late-stage diseases. Between 1975 and 1977, and 2006 and 2012, for example, five-year relative survival for distant-stage disease statistically significantly increased from 18.7% (95% CI = 16.9% to 20.6%) to 33.6% (95% CI = 32.2% to 35.0%) for female breast cancer but not for liver cancer (from 1.1%, 95% CI = 0.3% to 2.9%, to 2.3%, 95% CI = 1.6% to 3.2%). Survival varied by race/ethnicity and state. For example, the adjusted relative risk of death for all cancers combined was 33% (HR = 1.33, 95% CI = 1.32 to 1.34) higher in non-Hispanic blacks and 51% (HR = 1.51, 95% CI = 1.46 to 1.56) higher in non-Hispanic American Indian/Alaska Native compared with non-Hispanic whites.
Cancer death rates continue to decrease in the United States. However, progress in reducing death rates and improving survival is limited for several cancer types, underscoring the need for intensified efforts to discover new strategies for prevention, early detection, and treatment and to apply proven preventive measures broadly and equitably.
Force plate testing is becoming more commonplace in sport due to the advent of commercially available, portable, and affordable force plate systems (i.e., hardware and software). Following the ...validation of the Hawkin Dynamics Inc. (HD) proprietary software in recent literature, the aim of this study was to determine the concurrent validity of the HD wireless dual force plate hardware for assessing vertical jumps. During a single testing session, the HD force plates were placed directly atop two adjacent Advanced Mechanical Technology Inc. in-ground force plates (the "gold standard") to simultaneously collect vertical ground reaction forces produced by 20 participants (27 ± 6 years, 85 ± 14 kg, 176.5 ± 9.23 cm) during the countermovement jump (CMJ) and drop jump (DJ) tests (1000 Hz). Agreement between force plate systems was determined via ordinary least products regression using bootstrapped 95% confidence intervals. No bias was present between the two force plate systems for any of the CMJ and DJ variables, except DJ peak braking force (proportional bias) and DJ peak braking power (fixed and proportional bias). The HD system may be considered a valid alternative to the industry gold standard for assessing vertical jumps because fixed or proportional bias was identified for none of the CMJ variables (n = 17) and only 2 out of 18 DJ variables.
Cities are concentrated areas of CO₂ emissions and have become the foci of policies for mitigation actions. However, atmospheric measurement networks suitable for evaluating urban emissions over time ...are scarce. Here we present a unique long-term (decadal) record of CO₂ mole fractions from five sites across Utah’s metropolitan Salt Lake Valley. We examine “excess” CO₂ above background conditions resulting from local emissions and meteorological conditions. We ascribe CO₂ trends to changes in emissions, since we did not find longterm trends in atmospheric mixing proxies. Three contrasting CO₂ trends emerged across urban types: negative trends at a residential-industrial site, positive trends at a site surrounded by rapid suburban growth, and relatively constant CO₂ over time at multiple sites in the established, residential, and commercial urban core. Analysis of population within the atmospheric footprints of the different sites reveals approximately equal increases in population influencing the observed CO₂, implying a nonlinear relationship with CO₂ emissions: Population growth in rural areas that experienced suburban development was associated with increasing emissions while population growth in the developed urban core was associated with stable emissions. Four state-of-the-art global-scale emission inventories also have a nonlinear relationship with population density across the city; however, in contrast to our observations, they all have nearly constant emissions over time. Our results indicate that decadal scale changes in urban CO₂ emissions are detectable through monitoring networks and constitute a valuable approach to evaluate emission inventories and studies of urban carbon cycles.
This is the 2nd update to the 9th edition of these guidelines. We provide recommendations on 17 PICO (Population, Intervention, Comparator, Outcome) questions, four of which have not been addressed ...previously.
We generate strong and weak recommendations based on high-, moderate-, and low-certainty evidence, using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) methodology.
The panel generated 29 guidance statements, 13 of which are graded as strong recommendations, covering aspects of antithrombotic management of VTE from initial management through secondary prevention and risk reduction of postthrombotic syndrome. Four new guidance statements have been added that did not appear in the 9th edition (2012) or 1st update (2016). Eight statements have been substantially modified from the 1st update.
New evidence has emerged since 2016 that further informs the standard of care for patients with VTE. Substantial uncertainty remains regarding important management questions, particularly in limited disease and special patient populations.
This is the 2nd update to the 9th edition of these guidelines. We provide recommendations on 17 PICO (Population, Intervention, Comparator, Outcome) questions, four of which have not been addressed ...previously.
We generate strong and weak recommendations based on high-, moderate-, and low-certainty evidence, using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) methodology.
The panel generated 29 guidance statements, 13 of which are graded as strong recommendations, covering aspects of antithrombotic management of VTE from initial management through secondary prevention and risk reduction of postthrombotic syndrome. Four new guidance statements have been added that did not appear in the 9th edition (2012) or 1st update (2016). Eight statements have been substantially modified from the 1st update.
New evidence has emerged since 2016 that further informs the standard of care for patients with VTE. Substantial uncertainty remains regarding important management questions, particularly in limited disease and special patient populations.
ABSTRACT
We analyse the chemical properties of three z∼ 8 galaxies behind the galaxy cluster SMACS J0723.3-7327, observed as part of the Early Release Observations programme of the James Webb Space ...Telescope. Exploiting O iiiλ4363 auroral line detections in NIRSpec spectra, we robustly apply the direct Te method for the very first time at such high redshift, measuring metallicities ranging from extremely metal poor (12 + log(O/H)≈ 7) to about one-third solar. We also discuss the excitation properties of these sources, and compare them with local strong-line metallicity calibrations. We find that none of the considered diagnostics match simultaneously the observed relations between metallicity and strong-line ratios for the three sources, implying that a proper re-assessment of the calibrations may be needed at these redshifts. On the mass–metallicity plane, the two galaxies at z ∼ 7.6 ($\rm log(M_*/M_{\odot }) = 8.1, 8.7$) have metallicities that are consistent with the extrapolation of the mass–metallicity relation at z∼2–3, while the least massive galaxy at z ∼ 8.5 ($\rm log(M_*/M_{\odot }) = 7.8$) shows instead a significantly lower metallicity. The three galaxies show different level of offset relative to the Fundamental Metallicity Relation, with two of them (at z∼ 7.6) being marginally consistent, while the z∼ 8.5 source deviating significantly, being probably far from the smooth equilibrium between gas flows, star formation, and metal enrichment in place at later epochs.
Abstract
We present JWST Extragalactic Medium-band Survey, the first public medium-band imaging survey carried out using JWST/NIRCam and NIRISS. These observations use ∼2 and ∼4
μ
m medium-band ...filters (NIRCam F182M, F210M, F430M, F460M, F480M; and NIRISS F430M and F480M in parallel) over 15.6 arcmin
2
in the Hubble Ultra Deep Field (UDF), thereby building on the deepest multiwavelength public data sets available anywhere on the sky. We describe our science goals, survey design, NIRCam and NIRISS image reduction methods, and describe our first data release of the science-ready mosaics, which reach 5
σ
point-source limits (AB mag) of ∼29.3–29.4 in 2
μ
m filters and ∼28.2–28.7 at 4
μ
m. Our chosen filters create a JWST imaging survey in the UDF that enables novel analysis of a range of spectral features potentially across the redshift range of 0.3 <
z
< 20, including Paschen-
α
, H
α
+N
ii
, and O
iii
+H
β
emission at high spatial resolution. We find that our JWST medium-band imaging efficiently identifies strong line emitters (medium-band colors >1 mag) across redshifts 1.5 <
z
< 9.3, most prominently H
α
+N
ii
and O
iii
+H
β
. We present our first data release including science-ready mosaics of each medium-band image available to the community, adding to the legacy value of past and future surveys in the UDF. This survey demonstrates the power of medium-band imaging with JWST, informing future extragalactic survey strategies using JWST observations.
Single-domain Variable New Antigen Receptors (VNARs) from the immune system of sharks are the smallest naturally occurring binding domains found in nature. Possessing flexible paratopes that can ...recognize protein motifs inaccessible to classical antibodies, VNARs have yet to be exploited for the development of SARS-CoV-2 therapeutics. Here, we detail the identification of a series of VNARs from a VNAR phage display library screened against the SARS-CoV-2 receptor binding domain (RBD). The ability of the VNARs to neutralize pseudotype and authentic live SARS-CoV-2 virus rivalled or exceeded that of full-length immunoglobulins and other single-domain antibodies. Crystallographic analysis of two VNARs found that they recognized separate epitopes on the RBD and had distinctly different mechanisms of virus neutralization unique to VNARs. Structural and biochemical data suggest that VNARs would be effective therapeutic agents against emerging SARS-CoV-2 mutants, including the Delta variant, and coronaviruses across multiple phylogenetic lineages. This study highlights the utility of VNARs as effective therapeutics against coronaviruses and may serve as a critical milestone for nearing a paradigm shift of the greater biologic landscape.
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