Asymptomatic persons 50 years of age or older who have polyps in the distal colon are more likely to have advanced proximal neoplasia than are persons without distal polyps. However, if colonoscopic screening is performed only in persons with distal polyps, about half the cases of advanced proximal neoplasia will not be detected.

Colonoscopic detection of colorectal cancer is uncommon in asymptomatic persons 40 to 49 years of age. The noncancerous lesions are equally distributed proximally and distally. The low yield of screening colonoscopy in this age group is consistent with current recommendations about the age at which to begin screening in persons at average risk.

Based on an analysis of 1509 patients with HCC in Taiwan, immunization of infants against HBV reduces their risk of developing HCC as children and young adults. Improving HBV vaccination strategies and overcoming risk factors could reduce the incidence of liver cancer.

This clinical index stratifies the risk for advanced proximal neoplasia and identifies a subgroup at very low risk. If it is validated in other cohorts or groups, the index could be used to tailor endoscopic screening for colorectal cancer.

Clinical features of 84 patients with V. vulnificus infection are analyzed and molecular features of isolates are described.

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The van der Waals (vdW) materials with low dimensions have been extensively studied as a platform to generate exotic quantum properties [1][2][3][4][5][6]. Advancing this view, a great deal of attention is currently paid to topological quantum materials with vdW structures, which give new concepts in designing the functionality of materials. Here, we present the first experimental realization of a higher-order topological insulator by investigating a quasi-one-dimensional (quasi-1D) bismuth bromide Bi 4 Br 4 [7][8][9][10][11] built from a vdW stacking of quantum spin Hall insulators (QSHI) [12] with angle-resolved photoemission spectroscopy (ARPES). The quasi-1D bismuth halides can select various topological phases by different stacking procedures of vdW chains, offering a fascinating playground for engineering topologically non-trivial edge-states toward future spintronics applications.The Z 2 weak topological insulator (WTI) phases have been confirmed in the materials with stacked QSHI layers, where the side-surface becomes topologically non-trivial by accumulating helical edge states of QSHI layers [13,14]. Similarly, higher-order topological insulators (HOTIs) are expected to be built from stacking QSHIs, which, however, accumulate the 1D edge-states to develop 1D helical hinge-states in a 3D crystal [15,16]. Such HOTI phases have been theoretically predicted recently in materials previously regarded as trivial insulators under the Z 2 criterion by extending the topological classification to the Z 4 topological index [17][18][19][20][21][22]. To date, only one material has been experimentally confirmed to be in the higher-order topological phase, which is bulk bismuth [23]. However, bulk bismuth is a semimetal, which cannot become insulating even by carrier doping. Materials science is, therefore, awaiting the first experimental realization of a HOTI, which enables one to explore various quantum phenomena including spin currents around hinges and quantized conductance under the external fields.A quasi-1D bismuth bromide, Bi 4 Br 4 , with a bilayer structure of chains (Fig. 1b) is theoretically predicted to be a topological crystalline insulator of Z 2,2,2,4 = {0, 0, 0, 2}, protected by the C 2 -rotation symmetry [10,11,[19][20][21]. This state should develop 2D topological surface states in the cross-section (010) of the chains [24,25]. Significantly, theory also categorizes this system as a HOTI, and expects that 1D helical hinge-states emerge between the top-surface (001) and the side-surface (100) of a crystal due to the second-order bulk-boundary correspondence [10,11]. Nevertheless, the topological phase of Bi 4 Br 4 has

BackgroundTo examine unintentional drowning mortality by age and body of water across 60 countries, to provide a starting point for further in-depth investigations within individual countries.MethodsThe latest available three years of mortality data for each country were extracted from WHO Health Statistics and Information Services (updated at 13 November 2013). We calculated mortality rate of unintentional drowning by age group for each country. For countries using International Classification of Disease 10 (ICD-10) detailed 3 or 4 Character List, we further examined the body of water involved.ResultsA huge variation in age-standardised mortality rate (deaths per 100 000 population) was noted, from 0.12 in Turkey to 9.19 in Guyana. Of the ten countries with the highest age-standardised mortality rate, six (Belarus, Lithuania, Latvia, Russia, Ukraine and Moldova) were in Eastern Europe and two (Kazakhstan and Kyrgyzstan) were in Central Asia. Some countries (Japan, Finland and Greece) had a relatively low rank in mortality rate among children aged 0–4 years, but had a high rank in mortality rate among older adults. On the contrary, South Africa and Colombia had a relatively high rank among children aged 0–4 years, but had a relatively low rank in mortality rate among older adults. With regard to body of water involved, the proportion involving a bathtub was extremely high in Japan (65%) followed by Canada (11%) and the USA (11%). Of the 13 634 drowning deaths involving bathtubs in Japan between 2009 and 2011, 12 038 (88%) were older adults aged 65 years or above. The percentage involving a swimming pool was high in the USA (18%), Australia (13%), and New Zealand (7%). The proportion involving natural water was high in Finland (93%), Panama (87%), and Lithuania (85%).ConclusionsAfter considering the completeness of reporting and quality of classifying drowning deaths across countries, we conclude that drowning is a high-priority public health problem in Eastern Europe, Central Asia, Japan (older adults involving bathtubs), and the USA (involving swimming pools).