The potential for coral reef restoration to mitigate coastal flooding as sea levels rise.

The ability of reefs to protect coastlines from storm-driven flooding hinges on their capacity to keep pace with sea-level rise. Here, we show how and whether coral restoration could achieve the often-cited goal of reversing the impacts of coral-reef degradation to preserve this essential function. We combined coral-growth measurements and carbonate-budget assessments of reef-accretion potential at Buck Island Reef, U.

A Case Report of Osteochondritis Dissecans in a Rare Location: The Lateral Femoral Trochlea.

Objective: The purpose of this case report is to describe a rare location for knee osteochondritis dissecans (OCD).

Clinical Features: A 28-year-old man presented to a chiropractic clinic with left posterolateral knee pain and swelling with joint locking after falling asleep with knees bent. A history of knee locking was reported by the patient.

Race and the prognostic influence of p53 in women with breast cancer.

Background: Prior study suggests that p53 status behaves as an independent marker of prognosis in African American (AA) women with breast cancer. We investigate whether the influence of p53 is unique to AAs or is present in other race/ethnic groups, and how this compares with known prognostic factors.

Methods: Cox regression models [hazard ratios (HRs), 95% confidence intervals (CIs)] were used to select and evaluate factors prognostic for all-cause mortality in 331 AA and 203 non-AA consecutively treated women.

Poor radiotherapy compliance predicts persistent regional disease in advanced head/neck cancer.

Objective: To determine if poor compliance to chemoradiation results in an increased rate of persistent neck disease.

Study Design: Retrospective, cohort study in an urban, tertiary-care medical center.

Methods: The study included patients with N+ stage III/IV squamous cell carcinoma of the upper aerodigestive tract treated with curative-intent chemoradiation, who underwent subsequent planned neck dissection.

Patient compliance to radiation for advanced head and neck cancer at a tertiary care county hospital.

Background: Combined chemotherapy and radiotherapy are routinely used to treat advanced-stage head and neck squamous cell carcinoma (HNSCC). Patient compliance is often difficult given increased toxicities. Medically underserved or uninsured patients may lack the necessary support to complete such treatment.

Advanced stage of head and neck cancer at a tertiary-care county hospital.

Background: Public hospitals provide health care for uninsured and medically underserved patients in large metropolitan areas. Outcomes for head and neck cancer patients within this population are perceived as being worse than outcomes for the general population, perhaps because of advanced stage at presentation.

Objective: This study assesses the initial cancer stage in patients with head and neck carcinoma presenting to an urban tertiary-care county hospital compared with data for the general population.

Assessment and management of cutaneous reactions with amifostine administration: findings of the ethyol (amifostine) cutaneous treatment advisory panel (ECTAP).

Purpose: To review reports of severe skin reactions during amifostine treatment.

Methods And Material: The expert panel reviewed postmarketing reports of skin reactions and discussed strategies for evaluation and management.

Results: Between 1994 and April 2002, 35 events were classified as severe skin reactions worldwide: erythema multiforme (8), Stevens-Johnson syndrome (10), toxic epidermal necrolysis (11), toxicoderma (3), and bullae (3).