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Abstract BackgroundPrevious social determinants of health (SDoH) studies on laryngeal cancer (LC) have assessed individual factors of socioeconomic status and race/ethnicity but seldom investigate a wider breadth of SDoH-factors for their effects in the real-world. This study aims to delineate how a wider array of SDoH-vulnerabilities interactively associates with LC-disparities. MethodsThis retrospective cohort study assessed 74,495 LC-patients between 1975 and 2017 from the Surveillance-Epidemiology-End Results (SEER) database using the Social Vulnerability Index (SVI) from the CDC, total SDoH-vulnerability from 15 SDoH variables across specific vulnerabilities of socioeconomic status, minority-language status, household composition, and infrastructure/housing and transportation, which were measured across US counties. Univariate linear and logistic regressions were performed on length of care/follow-up and survival, staging, and treatment across SVI scores. ResultsSurvival time dropped significantly by 34.37% (from 72.83 to 47.80 months), and surveillance time decreased by 28.09% (from 80.99 to 58.24 months) with increasing overall social vulnerability, alongside advanced staging (OR 1.15; 95%CI 1.13–1.16), increased chemotherapy (OR 1.13; 95%CI 1.11–1.14), decreased surgical resection (OR 0.91; 95%CI 0.90–0.92), and decreased radiotherapy (OR 0.97; 95%CI 0.96–0.99). DiscussionIn this SDoH-study of LCs, detrimental care and prognostic trends were observed with increasing overall SDoH-vulnerability. 

Abstract We relate the Fukaya category of the symmetric power of a genus zero surface to deformed category$$\mathcal {O}$$ $O$of a cyclic hypertoric variety by establishing an isomorphism between algebras defined by Ozsváth–Szabó in Heegaard–Floer theory and Braden–Licata–Proudfoot–Webster in hypertoric geometry. The proof extends work of Karp–Williams on sign variation and the combinatorics of the$$m=1$$ $m=1$amplituhedron. We then use the algebras associated to cyclic arrangements to construct categorical actions of$$\mathfrak {gl}(1|1)$$ $\mathrm{gl}\left(1\right|1)$, and generalize our isomorphism to give a conjectural algebraic description of the Fukaya category of a complexified hyperplane complement. 

In a poorly understood yet recurring phenomenon, communities occupying diverse settings within a region may undertake large-scale migrations that cannot be easily attributed to single variables such as climate change. As a result, the study of these movements has increasingly focused on the distinct histories of localities to address how they may have articulated as large-scale abandonments. We adopt this micro-history perspective on the fourteenth to fifteenth century depopulation of a large portion of the North American Midwest and Southeast, popularly referred to as the Vacant Quarter. Our research on the Middle Cumberland drainage within the Vacant Quarter suggests that a significant exodus began slowly ca. 1300 CE, then accelerated extremely rapidly in the first half of the fifteenth century CE. This genesis of this trajectory seems to be related to a pattern of severe droughts, but it was brought to a close by social and demographic challenges such as endemic conflict and adverse health conditions. 

Declining Arctic sea ice is increasing polar bear land use. Polar bears on land are thought to minimize activity to conserve energy. Here, we measure the daily energy expenditure (DEE), diet, behavior, movement, and body composition changes of 20 different polar bears on land over 19–23 days from August to September (2019–2022) in Manitoba, Canada. Polar bears on land exhibited a 5.2-fold range in DEE and 19-fold range in activity, from hibernation-like DEEs to levels approaching active bears on the sea ice, including three individuals that made energetically demanding swims totaling 54–175 km. Bears consumed berries, vegetation, birds, bones, antlers, seal, and beluga. Beyond compensating for elevated DEE, there was little benefit from terrestrial foraging toward prolonging the predicted time to starvation, as 19 of 20 bears lost mass (0.4–1.7 kg•day−1). Although polar bears on land exhibit remarkable behavioral plasticity, our findings reinforce the risk of starvation, particularly in subadults, with forecasted increases in the onshore period. 

Abstract Multifunctional platforms that can dynamically modulate their color and appearance have attracted attention for applications as varied as displays, signaling, camouflage, anti-counterfeiting, sensing, biomedical imaging, energy conservation, and robotics. Within this context, the development of camouflage systems with tunable spectroscopic and fluorescent properties that span the ultraviolet, visible, and near-infrared spectral regions has remained exceedingly challenging because of frequently competing materials and device design requirements. Herein, we draw inspiration from the unique blue rings of theHapalochlaena lunulataoctopus for the development of deception and signaling systems that resolve these critical challenges. As the active material, our actuator-type systems incorporate a readily-prepared and easily-processable nonacene-like molecule with an ambient-atmosphere stability that exceeds the state-of-the-art for comparable acenes by orders of magnitude. Devices from this active material feature a powerful and unique combination of advantages, including straightforward benchtop fabrication, competitive baseline performance metrics, robustness during cycling with the capacity for autonomous self-repair, and multiple dynamic multispectral operating modes. When considered together, the described exciting discoveries point to new scientific and technological opportunities in the areas of functional organic materials, reconfigurable soft actuators, and adaptive photonic systems.