79 (95% CI 1.30, 2.46); the disparity was greatest in the 50-64 age group (RR 2.88, 95% CI 1.89, 4.38). For uterine cancer, AI/AN women had similar incidence rates as NHW women but higher mortality rates (RR 1.35, 95% CI 1.03-1.75). Incidence and mortality for ovarian cancer were similar between groups. CONCLUSION Our analysis of gynecologic cancers among AI/AN in the PNW found significant disparities relative to NHW women in cervical cancer incidence and mortality. These disparities persist despite advances in prevention strategies. OBJECTIVES Neurocognitive function may be influenced by polyunsaturated fat intake. Many older adults consume omega-3 supplements hoping to prevent cognitive decline. We assessed effects of increasing omega-3, omega-6, or total polyunsaturated fats on new neurocognitive illness and cognition. DESIGN AND INCLUSION CRITERIA We carried out a systematic review and meta-analysis of randomized controlled trials (RCTs) in adults, with duration ≥24 weeks, assessing effects of higher vs lower omega-3, omega-6, or total polyunsaturated fats and outcomes new neurocognitive illness, newly impaired cognition, and/or continuous measures of cognition. METHODS We searched MEDLINE, Embase, Cochrane CENTRAL, and trials registers (final update of ongoing trials December 2018). We duplicated screening, data extraction, and risk of bias assessment. Neurocognitive measures were grouped to enable random effects meta-analysis. GRADE assessment, sensitivity analyses, and subgrouping by dose, duration, type of intervention, and replac or no effect on new neurocognitive outcomes or cognitive impairment. IMPLICATIONS Long-chain omega-3 supplements do not help older adults protect against cognitive decline. In decision making, different rewards such as money and food may lead to different behavioral outcomes and neural dynamics. In this study, we used event-related potential (ERP) techniques and delay discounting tasks with money and snacks as rewards to determine whether there are differences in behavior and neurophysiology across the two tasks. The results showed that participants not only behaved differently but also showed different neural patterns in the money and snack tasks. In particular, at the behavioral level, participants discounted snacks more than money. At the neural level, the N2 amplitudes in the snack task were more negative than those in the money task. It was also discovered that for females, the amplitudes of P3 in the snack task were larger than those in money, while there was no difference for males. The current study showed the essential roles of frontal cognitive control function during varied delay discounting processes on money and food rewards. Previous research has suggested that bilinguals may exhibit cognitive advantages over those who are monolingual, although conflicting results have been reported. This advantage may be heightened in older adults, because of age-related cognitive decline. However, the effects of bilingualism on working memory performance in older adults remain unknown. The current study uses electroencephalography to measure brain activity (event-related potential; ERP) differences between young and older monolinguals and bilinguals during a delayed matching-to-sample task. Although there were no effects of bilingualism in behavioral measures, differences were observed in electrophysiological measures. While no Age by Language interaction was observed, several main effects were identified. Compared to young adults, older adults exhibited smaller N2 amplitudes and larger P2 and P3b amplitudes in the medium and high load conditions. Older adults also displayed an increased slow wave amplitude that occurred in conjunction with increased reaction time. ERP differences during difficult tasks in older adults suggest the use of compensatory mechanisms to maintain similar performance to the young adults. Bilinguals exhibited smaller N2 and larger P2 and P3b amplitudes than monolinguals. ERP differences observed in bilinguals may reflect differences in cognitive processing. However, in the absence of performance differences between monolinguals and bilinguals, interpreting a bilingual advantage in working memory processing is difficult. A recent dual-stream model of language processing proposed that the postero-dorsal stream performs predictive sequential processing of linguistic information via hierarchically organized internal models. However, it remains unexplored whether the prosodic segmentation of linguistic information involves predictive processes. Here, we addressed this question by investigating the processing of word stress, a major component of speech segmentation, using probabilistic repetition suppression (RS) modulation as a marker of predictive processing. In an event-related acoustic fMRI RS paradigm, we presented pairs of pseudowords having the same (Rep) or different (Alt) stress patterns, in blocks with varying Rep and Alt trial probabilities. We found that the BOLD signal was significantly lower for Rep than for Alt trials, indicating RS in the posterior and middle superior temporal gyrus (STG) bilaterally, and in the anterior STG in the left hemisphere. https://www.selleckchem.com/products/azd-1208.html Importantly, the magnitude of RS was modulated by repetition probability in the posterior and middle STG. These results reveal the predictive processing of word stress in the STG areas and raise the possibility that words stress processing is related to the dorsal "where" auditory stream. BACKGROUND Nipple-sparing mastectomy (NSM) remains controversial in patients with high-risk breast cancer. The objective of this study was to assess surgical and oncologic outcomes of NSM and to evaluate associations of outcomes with high-risk features. METHODS A retrospective review was conducted of all NSM cases performed for breast cancer at 2 academic cancer centers between January 2013 and August 2018. RESULTS Of the 175 patients who underwent NSM, 13 (7.4%) had locally advanced breast cancer (LABC), 52 (29.2%) had previous neoadjuvant chemotherapy, 21 (12.0%) had previous radiation therapy, 40 (22.8%) received postmastectomy radiation, 27 (15.4%) had de-epithelialized skin reduction, and 13 (7.4%) had free nipple grafting. The median duration of follow-up was 24 months. Nipple necrosis (4 cases; 2.2%) was associated with previous radiation (9.5%; P = .018), skin reduction (11.1%; P = .001), and nipple grafting (15.4%; P = .001). The nipple-areolar complex margin (NAC) was involved with invasive disease in 1 case.