Past differential scanning calorimetry and dielectric relaxation measurements have established that polystyrene (PS)‐poly(vinyl methyl ether) (PVME) mixtures exhibit a degree of compatibility when cast from toluene, whereas they are incompatible when cast from chloroform or trichloroethylene. The present study reports that toluene‐cast mixtures can be phase‐separated by thermal treatment at temperatures exceeding 125°C. This is true for samples containing 20–80 wt‐% PS. The temperature of phase separation varies with heating rate; isothermal heating times needed to cause phase separation increase rapidly as the temperature approaches 125°C. Reversibility of the phase separation process depends upon such factors as cooling rate, annealing time, treatment temperature, and thermal history. By annealing and/or slow cooling, all thermally phase‐separated mixtures have been brought back to their original state of compatibility. That is, there is no evidence for true irreversiblity of phase separation in thermally treated samples. Quench‐cooled samples remain phase‐separated indefinitely at room temperature, but this is attributed to rapid cooling below the glass transition of the PS. Chloroform‐cast and trichloroethylene‐cast mixtures have not been brought to a compatible state by thermal treatment, even after lengthy annealing and slow cooling steps.
Infrared spectroscopic studies have been made of mixed crystals of linear polyethylene and perdeuteropolyethylene. On the basis of normal vibration analyses by Tasumi and Krimm it had been shown that the study of crystal splittings of internal chain modes in such mixed crystals could provide information on the geometry of chain folding. The present results, which include a study of n‐paraffin (C36) mixed crystals, confirm these predictions. They show that (110) folding predominates in dilute solution grown crystals, and that this is transformed to (200) folding in melt‐crystallized polymer. Folding with adjacent re‐entry is favored, a random re‐entry model being clearly eliminated.
The assignment of the 71 cm−1 band in the infrared spectrum of polyethylene to the B1u translational lattice vibration has been confirmed by dichroism studies on an a-axis oriented sample. This permits confident use of the Tasumi-Krimm calculations for the dependence of this frequency of unit-cell parameters. The results of these calculations have been applied to the analysis of the observed lattice frequency differences between odd and even n-paraffins, and it is shown that the frequency shifts are interpretable in terms of changes in unit cell parameters resulting from different methyl end-group packing. The variation of the lattice frequency with degree of branching observed in a series of low-density polyethylenes can be understood on the basis of incorporation of branches in the lattice. The dependence of the lattice frequency in high-density polyethylene on the physical state of the specimen can be correlated with different constraints imposed by the fold regions on the chain packing. These results indicate that the folds must be considered to be ``tight'' rather than ``loose.''
ImportanceAs the field of medicine strives for equity in care, research showing the association of social determinants of health (SDOH) with poorer health care outcomes is needed to better inform quality improvement strategies.ObjectiveTo evaluate the association of SDOH with prostate cancer–specific mortality (PCSM) and overall survival (OS) among Black and White patients with prostate cancer.Data SourcesA MEDLINE search was performed of prostate cancer comparative effectiveness research from January 1, 1960, to June 5, 2020.Study SelectionTwo authors independently selected studies conducted among patients within the United States and performed comparative outcome analysis between Black and White patients. Studies were required to report time-to-event outcomes. A total of 251 studies were identified for review.Data Extraction and SynthesisThree authors independently screened and extracted data. End point meta-analyses were performed using both fixed-effects and random-effects models. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline was followed, and 2 authors independently reviewed all steps. All conflicts were resolved by consensus.Main Outcomes and MeasuresThe primary outcome was PCSM, and the secondary outcome was OS. With the US Department of Health and Human Services Healthy People 2030 initiative, an SDOH scoring system was incorporated to evaluate the association of SDOH with the predefined end points. The covariables included in the scoring system were age, comorbidities, insurance status, income status, extent of disease, geography, standardized treatment, and equitable and harmonized insurance benefits. The scoring system was discretized into 3 categories: high (≥10 points), intermediate (5-9 points), and low (<5 points).ResultsThe 47 studies identified comprised 1 019 908 patients (176 028 Black men and 843 880 White men; median age, 66.4 years [IQR, 64.8-69.0 years]). The median follow-up was 66.0 months (IQR, 41.5-91.4 months). Pooled estimates found no statistically significant difference in PCSM for Black patients compared with White patients (hazard ratio [HR], 1.08 [95% CI, 0.99-1.19]; P = .08); results were similar for OS (HR, 1.01 [95% CI, 0.95-1.07]; P = .68). There was a significant race-SDOH interaction for both PCSM (regression coefficient, −0.041 [95% CI, –0.059 to 0.023]; P < .001) and OS (meta-regression coefficient, −0.017 [95% CI, –0.033 to –0.002]; P = .03). In studies with minimal accounting for SDOH (<5-point score), Black patients had significantly higher PCSM compared with White patients (HR, 1.29; 95% CI, 1.17-1.41; P < .001). In studies with greater accounting for SDOH variables (≥10-point score), PCSM was significantly lower among Black patients compared with White patients (HR, 0.86; 95% CI, 0.77-0.96; P = .02).Conclusions and RelevanceThe findings of this meta-analysis suggest that there is a significant interaction between race and SDOH with respect to PCSM and OS among men with prostate cancer. Incorporating SDOH variables into data collection and analyses are vital to developing strategies for achieving equity.
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