Supercooling has recently emerged as a highly promising, multi-scale technique for low-temperature preservation of organs and tissues, preventing damaging ice formation while requiring relatively low doses of added cryoprotectants. However, current supercooling techniques are not thermodynamically stable; mild agitations can cause rapid and destructive ice formation throughout the system, rendering them unsuitable for transportation and sharply limiting applicability outside the controlled laboratory environment. In this experimental study, we report a simple thermodynamic alteration to standard supercooling protocols, the use of constant-volume (isochoric) conditions, which substantially increases the stability of the system in the face of various macroscopic perturbations, including drop-impact, vibration, ultrasonication, and thermal fluctuation. We identify this effect as driven by a possible combination of thermodynamic and kinetic factors, including reduction of microscopic density fluctuations, elimination of the air–water interface, and significant resistance to cavitation.
Background
This study evaluates the role of social isolation on inflammation and cancer mortality among women.
Methods
Data were abstracted from the U.S. National Health and Nutrition Examination Survey from 1988 to 1994. The Social Network Index was used to assess participants’ degree of social isolation. C-reactive protein and fibrinogen levels were included as markers of inflammation. We used the National Death Index to identify causes and dates of mortality. Chi-square and multivariable Cox regressions were employed for statistical analyses.
Results
Of 3360 women (median age: 54 years), the most isolated, very isolated, somewhat isolated, and not isolated comprised 14.5, 30.2, 37.1, and 18.2% of the sample, respectively. The most isolated participants were more likely to have low income (56.8% vs 12.2%, p < 0.001), have fewer years of education (40.8% vs 12.3%; p < 0.001), have low physical activity (27.3% vs 14.7%; p < 0.003), be obese (32.5% vs 24.4%; p = 0.02), and be current smokers (34.2% vs 10.3%; p < 0.001) compared to the not isolated ones. Mean fibrinogen levels increased with degree of social isolation (p = 0.003), but C-reactive protein showed no association (p = 0.52). Kaplan-Meier estimates indicated higher cancer mortality rates among participants with elevated fibrinogen levels, though not with statistical significance (p = 0.08). Furthermore, there was no association between social isolation and cancer mortality (p = 0.54). On multivariate analysis, obesity (HR = 1.56; 95% CI: 1.11–2.18), higher education (HR = 1.36; 95% CI: 1.01–1.83), and smoking (HR = 4.42, 95% CI: 2.84–6.88) were independent predictors for cancer mortality, while high physical activity predicted for lower mortality from cancer (HR = 0.67, 95% CI: 0.51–0.87). However, social isolation was not a predictor.
Conclusion
Social isolation among women was associated with an increased level of fibrinogen, but not associated with cancer mortality. The relationship between inflammation and cancer mortality warrants further investigation.
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