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Paper 10064-115 Conference 10064: Photons Plus to assess key components of early Mohammadreza Nasiriavanaki, Wayne Ultrasound: Imaging and Sensing 2017 neurogenesis in Rett Syndrome State Univ. Session 1: Brain Imaging Paper 10069-9 Conference 10064: Photons Plus Murat Yildirim, Massachusetts Institute Listening to membrane Ultrasound: Imaging and Sensing 2017 of Technology (United States), et al. Tommi Hakulinen, Spectra-Physics measurements in neonates with Conference 10064: Photons Plus Rankweil (Austria), et al. Ismail Emre Araci, Santa Clara Christopher James Rowlands, Conference 10069: Multiphoton Microscopy Univ. Paper 10073-20 Carsten Cleff, Menlo Systems Conference 10069: Multiphoton Microscopy Ioannis N. Paper 10073-30 Conference 10069: Multiphoton Microscopy Circularly polarized coherent anti-stokes Rafael Piestun, Univ. Conference 10069: Multiphoton Microscopy Rejecting scattered light (United States), et al. 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Imaging: Joint Session with Benign Kidney tissue with 1064 nm Conference 10039: Optical Imaging, Conferences 10040 and 10116 dispersive Raman spectroscopy Therapeutics, and Advanced Technology in Paper 10038-23 Head and Neck Surgery and Otolaryngology Diferential Structured Illumination Miki Haifer, Fox Chase Cancer Session 3: Multimodal Imaging Microendoscopy for in vivo Ctr. Session 1: New Techniques Ronald Sroka, Laser-Forschungslabor Conference 10039: Optical Imaging, (Germany), et al. Heidari, Beckman Laser Institute Paper 10040-10 Session 4: Novel Techniques and Medical Clinic (United States), et al. Conference 10042: Diagnostic Session 3: Tumor Margin Assessment Conference 10046: Visualizing and and Therapeutic Applications Performance comparison of Quantifying Drug Distribution in Tissue of Light in Cardiology optical coherent tomography and Session 1: Raman Imaging Session 4: Optical Coherence Tomography thermophotonic lock-in imaging for Combining imaging with microbiopsy Contact optical rotary junction for early detection of dental caries enables a more comprehensive multi-modality optical coherence Paper 10044-2 approach for topical drug research tomography and near-infrared Nima Tabatabaei, York Univ.

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Both approaches offer equivalent chances of cure; there is a higher incidence of local recurrence with lumpectomy, axillary dissection, and radiation, but this observation has not been found to affect the overall cure rate in comparison with mastectomy. Patients with familial breast cancer (multiple first degree relatives and penetrance of breast cancer through several familial generations) have extremely high risks of developing breast cancer in the course of their lifetimes. A patient with a history of familial breast cancer and multiple biopsies showing atypia may reasonably request bilateral prophylactic simple mastectomies. Lobular carcinoma in situ is a histologic marker that identifies patients at increased risk for the development of breast cancer. It is not a precancerous lesion in itself, and there is no benefit to widely excising it because the risk of subsequent cancer is equal for both breasts. As the risk for the future development of breast cancer is now estimated to be approximately 1% per year, prophylactic mastectomy is no longer recommended. Proper management consists of close surveillance for cancer by twice-yearly examinations and yearly mammography. It is described in 4 histologic variants (papillary, cribriform, solid, and comedo), of which the comedo subtype shows the greatest tendency to recur after wide excision alone. Cystosarcoma phyllodes is treated with wide local excision with at least 1-cm margins; axillary lymphadenectomy is not routinely recommended in the absence of clinically suspicious nodes. There are few indications for radical mastectomy, as it is both more traumatic and more disfiguring than any other method of local control of breast cancer and offers no greater survival benefit. However, one indication for radical mastectomy is locally advanced breast cancer with wide invasion of the pectoralis major in a patient who is physiologically able to tolerate general anesthesia. Omeprazole is added to the H antagonists as a therapeutic approach to the management of acute2 gastric and duodenal ulcers. A 35-year-old woman presents with frequent and multiple areas of cutaneous ecchymosis. Workup demonstrates a platelet count of 15,000/ L, evaluation of the bone marrow reveals a normal number of megakaryocytes, and ultrasound examination demonstrates a normal-sized spleen. Immediate platelet transfusion to increase platelet counts to greater than 50,000/ L c. A 59-year-old woman presents with right lower quadrant pain, nausea, and vomiting. Manometry shows a hypertensive lower esophageal sphincter with failure to relax with deglutition. Which of the following is the safest and most effective treatment of this condition Medical treatment with sublingual nitroglycerin, nitrates, or calcium-channel blockers b. Which of the following is the most appropriate elective operation for this patient Total proctocolectomy with ileal pouch-anal anastomosis and diverting ileostomy c. Total proctocolectomy with ileal pouch-anal anastomosis, anal mucosectomy, and diverting ileostomy d. A 39-year-old previously healthy male is hospitalized for 2 weeks with epigastric pain radiating to his back, nausea, and vomiting. Initial laboratory values revealed an elevated amylase level consistent with acute pancreatitis. Five weeks following discharge, he complains of early satiety, epigastric pain, and fevers. Which of the following would be the most definitive management of the fluid collection Surgical internal drainage of the fluid collection with a cyst-gastrostomy or Roux-en-Y cyst jejunostomy 297. A previously healthy 79-year-old woman presents with early satiety and abdominal fullness. A 56-year-old woman is referred to you about 3 months after a colostomy subsequent to a sigmoid resection for cancer. Which of the following is the most common serious complication of an end colostomy A 56-year-old previously healthy physician notices that his eyes are yellow and he has been losing weight. On physical examination the patient has jaundice and scleral icterus with a benign abdomen. Transcutaneous ultrasound of the abdomen demonstrates biliary ductal dilation without gallstones. Which of the following is the most appropriate next step in the workup of this patient

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Teherani, Vinod Eric Sandana, Philippe Bove, Nanovation (France); Ekaterine Plasma treatment for effciency improvement of dye-sensitized solar cells Chikoidze, Francois Jomard, Michael Neumann, Yves Dumont, Univ. Come view the posters, enjoy light refreshments, applications, Elangovan Elamurugu, Arslan Anjun, Jaime Viegas, Masdar ask questions, and network with colleagues in your feld. Attendees are required to wear their conference registration and optical properties, Danilo Loche, Univ. Fast vertical Ga2O3-based solar-blind photodetector, Sara Bakhshi, Voit, the Univ. Teherani, Ghadi, Subhananda Chakrabarti, Indian Institute of Technology Bombay Philippe Bove, Nanovation (France). Twente (Netherlands); 8:00 am: Opening Remarks and Announcement of the 2017 Markus Pollnau, Univ. Studi e Ricerche Enrico Fermi (Italy); Gualtiero Nunzi Conti, Istituto di Fisica Applicata Nello Carrara (Italy); Brigitte Boulard, Institut des Molecules et Materiaux du Mans, Univ. Dahlem, Novel Devices I Masdar Institute of Science & Technology (United Arab Emirates). Tue 12:20 pm to 1:50 pm Integrated polymer polarization rotator based on tilted laser ablation, Giannis Poulopoulos, Dimitrios Kalavrouziotis, National Technical Univ. Gent (Belgium); Spectroscopic sensing with silicon nitride photonic integrated circuits Marianna Pantouvaki, Clement Merckling, Bernadette Kunert, Weiming Guo, (Invited Paper), Roel G. Grimaldi, Gianluca Persichetti, sensing range and integrated read-out, Jaime Viegas, Masdar Institute of Genni Testa, Istituto per il Rilevamento Elettromagnetico dellAmbiente Science & Technology (United Arab Emirates) and Univ. Johnson, Clemson waveguides, Maiko Girschikofsky, Applied Laser and Photonics Group, Univ. Elsayed, the American Ralf Hellmann, Applied Laser and Photonics Group, Hochschule Aschaffenburg Univ. Twente (Netherlands) Engineering complex nanolasers: from spaser quantum information Multiplexing photonic devices integrated on a silicon/germanium platform sources to near-feld anapole lasers (Invited Paper), Juan Sebastian Totero for the mid-infrared (Invited Paper), Pierre R. Munster Observing quantum interference in 3D integrated-photonic symmetric (Germany). Wien (Austria); Daniel Schall, waveguides, Romina Diener, Friedrich-Schiller-Univ. Come view the posters, enjoy light refreshments, Tsiokos, Nikos Pleros, Aristotle Univ. Authors of Butt-coupled interface between stoichiometric Si3N4 and thin-flm poster papers will be present to answer questions concerning their plasmonic waveguides, George Dabos, Dimitra Ketzaki, Dimitris Tsiokos, papers. Attendees are required to wear their conference registration Nikos Pleros, Aristotle Univ. Wed 12:20 pm to 1:50 pm Poster authors, view poster presentation guidelines and set-up instructions at spie. Simard, New directions for stimulated Brillouin scattering in integrated circuits Ciena Corp. Luque-Gonzalez, Jose-Dario Sarmiento-Merenguel, Alejandro Sanchez-Postigo, Juan Gonzalo Wanguemert-Perez, Univ. Schmid, Dan-Xia Xu, Siegfried Janz, Jean Lapointe, National Research Council Canada (Canada); Inigo Molina-Fernandez, Univ. Salemink, Radboud Nanophotonics technology and applications (Invited Paper), Yeshaiahu Univ. Hybrid integration of carbon nanotubes in silicon photonic structures (Egypt); Mohamed A. Gupta, Andrew Bezinger, Jean Lapointe, Daniel Tapered graded-index core polymer waveguide for very short light path Poitras, Geof C. Aers, National Research Council Canada fabricated using the imprint method, Kenji Katori, Takaaki Ishigure, Keio Univ. Reed, 8:00 am: Opening Remarks and Announcement of the 2017 Optoelectronics Research Ctr. Stuttgart (Germany); Martin Kittler, Brandenburgische polymer infltrated subwavelength grating waveguide ring resonator, Zeyu Technische Univ. Simard, add-drop flter, Somnath Paul, Ismo Vartiainen, Matthieu Roussey, Toni Ciena Corp. Laval (Canada) Ultra-sensitive silicon-photonic on-chip sensor using microfabrication Energy-effcient millimeter-wave generation using silicon photonics technology, Ahmad B. National de channels: towards a physical one paid system, Valerio Mazzone, King la Recherche Scientifque (France); Jacopo Frigerio, Andrea Ballabio, Daniel Abdullah Univ. Politecnico di Milano (Italy); Qiankun Liu, Xavier Le Roux, Laurent Vivien, of Science and Technology (Saudi Arabia). Come view the posters, enjoy light refreshments, Pavel Cheben, National Research Council Canada (Canada); Eric Cassan, ask questions, and network with colleagues in your feld. Attendees are required to wear their conference registration Performance analysis of silicon-photonics-based detection of 2 m signals badges to the poster sessions.

Renal impairment 1mg prograf fast delivery, worsening renal function discount prograf 5 mg overnight delivery, and outcome in patients disease(version2012):theJointTaskForceontheManagementofValvularHeart with heart failure: an updated meta-analysis order 1 mg prograf visa. Worsening renal function during ology/American Heart Association Task Force on Practice Guidelines order 5 mg prograf with visa. J Am Coll renin-angiotensin-aldosterone system inhibitor initiation and long-term out Cardiol 2014;63:24382488. Transcatheter aortic-valve implantation for Benlian P, Boysen G, Cifkova R, Deaton C, Ebrahim S, Fisher M, Germano G, aortic stenosis in patients who cannot undergo surgery. N Engl J Med 2010;363: Hobbs R, Hoes A, Karadeniz S, Mezzani A, Prescott E, Ryden L, Scherer M, 15971607. Recommendationsfortheechocardiographicassessment sleep apnea, renal dysfunction, mechanical circulatory support, and palliative of native valvular regurgitation: an executive summary from the European Asso care. Khayat R, Jarjoura D, Porter K, Sow A, Wannemacher J, Dohar R, Pleister A, 611644. Circula pact of sleep-disordered breathing and ef cacy of positive airway pressure on tion 2002;106:26872693. De Bonis M, Al-Attar N, Antunes M, Borger M, Casselman F, Falk V, Folliguet T, heart failure. Continuous interventional management of mitral valve regurgitation: a position statement positive airway pressure for central sleep apnea and heart failure. N Engl J Med from the European Society of Cardiology Working Groups on Cardiovascular 2005;353:20252033. Ebelt H, Aruta P, Lubos E, Plicht B, Schueler R, Pighi M, Di Mario C, Transcatheter 527. Abnormal liver function in relation to hemodynamic pro le in heart mitral valve interventions registry. Liver function abnormalities, clinical pro le, and out transcatheter tricuspid valve repair in a patient with severely regurgitant tricuspid come in acute decompensated heart failure. Mueller C, Scholer A, Laule-Kilian K, Martina B, Schindler C, Buser P, P sterer M, 514. Use of B-type natriuretic peptide in the evaluation and manage Clinical assessment identi es hemodynamic pro les that predict outcomes in pa ment of acute dyspnea. Effectsofprehospitalmedicationsonmortalityandlength t Hof A, Widimsky P, Zahger D. Levy P, Compton S, Welch R, Delgado G, Jennett A, Penugonda N, Dunne R, congestive heart failure: con icting results may lead to inappropriate care. Treatment of severe decompensated heart failure with high-dose Med 1991;90:353359. Cotter G, Metzkor E, Kaluski E, Faigenberg Z, Miller R, Simovitz A, Shaham O, 19441956. Natriureticpep tients with heart failure from the American Heart Association get with the guide tidesincardiometabolic regulation anddisease. Levosimendan treatment for heart failure: a system Meta-analysis: noninvasive ventilation in acute cardiogenic pulmonary edema. Non-invasive positive pressure ventilation acerbation of chronic heart failure: a randomized controlled trial. Randomized,prospectivetrialofoxygen,continuous intravenous dobutamine is associated with an increased risk of death in patients positive airway pressure, and bilevel positive airway pressure by face mask in with advanced heart failure: insights from the Flolan International Randomized acute cardiogenic pulmonary edema. Dobutamine therapy is associated with worse Noninvasiveventilationinacutecardiogenicpulmonaryedema. Potentially detrimental car lant prophylaxis to prevent symptomatic venous thromboembolism in hospita diovascular effects of oxygen in patients with chronic left ventricular systolic dys lized medical patients. Diuretic strategies in pa treatment of recent-onset atrial brillation and utter with a tailored dosing regi tients with acute decompensated heart failure. Delle Karth G, Geppert A, Neunteu T, Priglinger U, Haumer M, Gschwandtner M, Siostrzonek P, Heinz G. Loop diuretic resistance in heart failure: resistance etiology in patients with acute decompensated heart failure. Sharon A, Shpirer I, Kaluski E, Moshkovitz Y, Milovanov O, Polak R, Blatt A, dan: inotropic, vasodilatory and cardioprotective effects. J Clin Pharm Ther 2013; Simovitz A, Shaham O, Faigenberg Z, Metzger M, Stav D, Yogev R, Golik A, 38:341349. Levosimendan: molecular mechanisms and clinical implications: consen decompensatedcongestiveheartfailure:arandomizedcontrolledtrial. Levosimendan for the Cintron G, Clarke J, Hager D, Saunders R, Cobb F, Smith R, Loeb H, Settle H. Ef treatment of acute severe heart failure: a meta-analysis of randomised controlled fect of short-term infusion of sodium nitroprusside on mortality rate in acute trials. Short-term clinical effectsoftolvaptan, anoralvasopressinantagon of randomized clinical trials. A prospective, tration versusintravenousdiuretics forpatientshospitalized foracutedecompen randomized clinical trial of hemodynamic support with impella 2. Hemodynamic improvement following levosimendan treatment in patients with J Thorac Cardiovasc Surg 2013;145:2431. Thiele H, Zeymer U, Neumann F-J, Ferenc M, Olbrich H-G, Hausleiter J, Fail 2015;3:818828. Intraaortic balloon support for myocardial infarction with cardiogenic tients and counting. Effects of beta-blocker with agement programmes with nurse-led discharge planning in reducing re-admissions: drawal in acute decompensated heart failure: a systematic review and a systematic review and meta-analysis.