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We aimed to compare access to gynecologic oncology care at a private and a city hospital, both of which closed for a period of time because of Hurricane Sandy.
Methods
This was a cross-sectional study of gynecologic oncology chemotherapy, radiotherapy, and surgical patients from October 29, 2012 (the eve of the storm), to February 7, 2013 (the reopening of the city hospital). New referrals during this time were excluded. Delays in chemotherapy, radiotherapy, and surgery were compared.
Results
Analysis included 113 patients: 59 private patients (52.2%) and 54 city patients (47.8%). Of the private patients, 33/59 received chemotherapy (55.9%), 1/59 received radiotherapy (1.7%), and 28/59 had planned surgery (47.5%). Of the city patients, 40/54 received chemotherapy (74.1%), 7/54 received radiotherapy (12.3%), and 18/54 had planned surgery (33.3%). The mean delay in chemotherapy was 7.6 days at the private hospital and 21.7 days at the city hospital (P=0.0004). The mean delay in scheduled surgery was 14.2 days at the private hospital and 22.7 days at the city hospital (P=0.3979). The mean delay in radiotherapy was 0.0 days at the private hospital and 25.0 days at the city hospital (P=0.0046). Loss to follow-up rates were 3/59 of the private patients (5.1%) and 3/54 of the city patients (5.6%).
Conclusions
Gynecologic oncology care was maintained during a natural disaster despite temporary closure and relocation of services. Disparity in care was in access to chemotherapy. (Disaster Med Public Health Preparedness. 2015;9:605–608)
Fullerite derivatives synthesized with a catalytic polymerization reaction at a relatively low-pressure range of 0.5–4 GPa show unique mechanical properties: elastic recovery is 98% and hardness possibly approaches 100 GPa. Structure of the samples is also unique: one composes from fragments of C60 molecules linked by the covalent bonds. To obtain the homogeneous crack-free samples, we synthesized B4C–fullerite derivatives composite which show a 550 MPa flexural stress, a 2250 MPa compressive strength, and a 28 GPa hardness and have density of 2.2 g/cm3.
The effects of age on basic fine motor functions were assessed using a kinematic analysis of simple repetitive drawing movements in a sample of 53 right-handed children aged 7 to 14 years 11 months and 16 adults aged 27 to 54 years with no detectable abnormality with neurological examination. Lines, circles, and half-circles were drawn at a self-chosen and maximum velocity with a pressure-sensitive pen on a computer graphics tablet. Patterns generated by finger, wrist, and arm movements, and those generated by combined finger–wrist movements with and without a change in the drawing direction were analysed. The frequencies of all movement patterns increased until adulthood: 0.1 Hz per year for half-circles, 0.15 to 0.2 Hz per year for circles and lines generated by arm and wrist movements. The greatest increase (0.35 Hz per year) was observed for lines produced by finger movements. Differences in movement frequencies between finger versus wrist or arm movements when drawing lines decreased from about 3 Hz in 7- to 8-year-olds to 0.5 to 1 Hz in adolescents. In adults the difference between maximum finger, wrist, and arm movement frequencies decreased to almost zero. In contrast, the differences in movement patterns with and without change in direction remained stable until adulthood. Based on these results it is hypothesized that the differential effects of finger and more proximally generated movements on age reflect maturation of distinct neuronal sites of the cortico-striatal–cerebellar circuit rather than acquisition of motor skills or myelinization of corticospinal pathways.
The new procedure for the hardness measurements of superhard materials including diamond using the scanning force microscope with the ultrahard fullerite C60 tip was developed. It is shown that diamond is plastically deformed under the indentation by the ultrahard fullerite indenter at room temperature. Now the correct measurements of diamond hardness have become possible. The hardness values measured are 137 ± 6 and 167 ± 5 GPa for the diamond faces (100) and (111), respectively.
Cubic, hexagonal BN, and graphite were heated with the aid of cw CO2 or pulsed YAG laser in a diamond anvil cell at pressures up to 35 GPa. The recovered samples were analyzed by high resolution and scanning electron microscopy, micro-Raman, and X-ray diffraction using synchrotron radiation. Melting of hBN and cBN was achieved. Microcrystals of hBN or cBN were grown from the fluid of BN in nitrogen or argon. Analysis of the hBN-cBN transitions in dependence on pressure showed that the hBN-cBN-liquid triple point is located at 9 GPa. In the transient region between the two phases in the same sample amorphous BN was found revealing the microscopic mechanism of diffusion-like first-order transitions. BN nanotubes growing from an amorphous state at the surface of the crystals were discovered. Under nanosecond pulse laser heating graphite transforms to a diamond-like structure. Spherical droplets and nanocrystals were condensed from the ablated carbon. A compound of nitrogen with carbon was found.
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