“Reactive extrusion was employed to graft itaconic anhydri

“Reactive extrusion was employed to graft itaconic anhydride (IA) onto polyethylene, using thermally induced peroxide decomposition. It was found that an increase in IA concentration lead to an increase in the degree of grafting (DOG), but only up to 6 wt % IA. Using di-cumyl peroxide (DCP)

as the initiator resulted in a higher Selleck SC75741 DOG compared to di-tert-butyl peroxide (DTBP) and required less reaction time to achieve the same DOG. However, raising the IA concentration also resulted in an increase in cross-linking. Increasing the initiator concentration from 0.2 to 2 wt % resulted in a higher DOG. However, 5 wt To initiator showed similar results compared to using 0.2 wt % due to termination by disproportionation, which has been shown to be more prevalent at high initiator concentrations. Degradation was clearly observed by the inability to form a continuous extrudate during extrusion as well as discolouration. A residence time of more than 50 seconds, using DCP and 120

s for DTBP didn’t offer any further selleck chemicals llc increase in the DOG and also resulted in more pronounced degradation. Optimizing grafting is therefore a trade-off between maximal DOG and minimizing side reactions. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 116: 3118-3126, 2010″
“Purpose: The Functional Assessment of Cancer Therapy-Epidermal Growth Factor Receptor Inhibitor 18 (FACT-EGFRI-18) is a patient-reported outcomes questionnaire developed to assess the effect of EGFRI on patients. The FACT-EGER-18 was translated into Dutch and evaluated in order to document that the translation adequately captures the concepts of the original English-language version of the questionnaire and is readily understood by subjects in the target population.

Method: Translation of www.selleckchem.com/products/vx-661.html the FACT-EGFRI-18 from English to Dutch was accomplished by employing the Functional Assessment of Chronic Illness Therapy (FACIT) multilingual translation methodology. Ten native-speaking residents of the target country who reported

EGFRI associated dermatological adverse events (dAEs) were asked to review the translation of the harmonized FACT-EGFRI-18.

Results: Participants generally found the Dutch FACT-EGFRI-18 easy to understand and complete. In addition, the translation retained the original meaning of the FACT-EGFRI-18 items and instructions. Based on the results of the cognitive debriefing interviews, no changes to improve clarity and comprehension of translations were identified.

Conclusions: The Dutch FACT-EGFRI-18 demonstrates content validity and linguistic validity, and was found conceptually equivalent to its English source, thus confirming linguistic validation. The results suggest that the Dutch FACT-EGFRI-18 can be applied to measure dAE related health related quality of life in Dutch-speaking patients undergoing EGFRI therapy. Formal validation of the Dutch FACT-EGFRI-18 is ongoing. (C) 2013 Elsevier Ltd. All rights reserved.

“Atopic dermatitis, also known as atopic eczema, is a chro

“Atopic dermatitis, also known as atopic eczema, is a chronic pruritic skin condition affecting approximately 17.8 million persons in the United States. It can lead to significant morbidity. GS-9973 supplier A simplified version of the U.K. Working Party’s Diagnostic Criteria can help make the diagnosis. Asking about the presence and frequency of symptoms can allow physicians to grade the severity of the disease and response to treatment. Management consists of relieving symptoms and lengthening time between flare-ups. Regular,

liberal use of emollients is recommended. The primary pharmacologic treatment is topical corticosteroids. Twice-daily or more frequent application has not been shown to be more effective than once-daily application. A maintenance regimen of GNS-1480 topical corticosteroids may reduce relapse rates in patients who have recurrent moderate to severe atopic dermatitis. Pimecrolimus and tacrolimus are calcineurin inhibitors that are recommended as second-line treatment for persons with moderate to severe atopic dermatitis and who are at risk of atrophy from topical corticosteroids. Although the U.S. Food

and Drug Administration has issued a boxed warning about a possible link between these medications and skin malignancies and lymphoma, studies have not demonstrated a clear link. Topical and oral antibiotics may be used to treat secondary bacterial infections, but are not effective in preventing atopic dermatitis flare-ups. The effectiveness of alternative therapies, such as Chinese herbal preparations, homeopathy, hypnotherapy/biofeedback, and massage therapy, has not been established. (Am Fam Physician. 2012;86(1):35-42. Copyright (c) 2012 American Academy of Family Physicians.)”
“In BV-6 order to explore the response of photosynthetic electron transport chain to heat stress, chlorophyll

a fluorescence and modulated 820 nm reflection transients were examined in the leaves of Jerusalem artichoke (Helianthus tuberosus L.). J step was elevated at 43 degrees C, suggesting that electron transport beyond primary quinone electron acceptor of photosystem II (Q(A)) was inhibited. I step was elevated at 45 degrees C due to the lowered plastoquinol re-oxidation rate. Significant decrease in the QA reducing reaction centers per photosystem II (PSII) antenna chlorophyll and marked increase in relative variable fluorescence intensity at 300 mu s also occurred at 45 degrees C, indicating that the electron transport chain from PSII donor side to QA was injured. Overall, the fragment between QA and plastoquinol is the most susceptible to heat in the electron transport chain before photosystem I (PSI). The maximal photochemical capacity of PSI was not affected by heat stress even at 48 degrees C, and the interaction between PSII and PSI become unbalanced, when temperature rose to 45 degrees C.

Anchoring strength was varied by adding a homeotropic surfactant

Anchoring strength was varied by adding a homeotropic surfactant AZD0530 inhibitor (sodium dodecyl sulfate) to strongly planar de-ionized water. The transition can be controlled using sensor parameters such as well depth and aspect ratio. (C) 2009

American Institute of Physics. [DOI: 10.1063/1.3148861]“
“Aim: To look at the association of total and high molecular weight (HMW) adiponectin with markers of fat distribution, oxidative stress and inflammation in Asian Indians.

Methods: A total of 120 subjects were chosen randomly from Chennai Urban Rural Epidemiological Study. Fasting HMW adiponectin levels, TNF-alpha and oxidized LDL were measured using ELISA. High sensitivity C reactive protein (hsCRP) was measured by a high sensitive nephelometric assay. Lipid peroxidation was measured selleck compound by Tbars assay and protein carbonyl content was assessed by DNPH assay. Visceral and subcutaneous fat areas were assessed by computed tomography (CT) scan.

Results: When stratified based on the tertiles of visceral fat, the levels of total (p = 0.03) and HMW adiponectin(p = 0.007) were highest in the first tertile followed by tertiles 2 and 3 whereas in tertiles

of subcutaneous fat, there was no such trend. With increasing tertiles of Tbars, the levels of total (p = 0.03) and HMW adiponectin decreased (p = 0.002). The levels of HMW (p < 0.001) but not total adiponectin was also found to decrease with increasing tertiles of Protein carbonyl content. The levels of Total (p = 0.02) and HMW adiponectin (p = 0.004) were highest in the first tertile of oxidized LDL Geneticin cost followed by tertile 2 and tertile 3. With increasing tertiles of TNF-alpha total (p = 0.01) and HMW adiponectin (p = 0.004) was found to decrease. With increasing tertiles of hs-CRP,

Total (p = 0.005) and HMW adiponectin (p = 0.007) was found to decrease.

Conclusion: Oxidative stress markers, visceral but not subcutaneous fat and inflammation are associated with total and HMW adiponectin levles in Asian Indians.”
“Background: Implantable cardioverter-defibrillators (ICDs) for primary prevention became standard of care after the publication of the second Multicenter Automatic Defibrillator Implantation Trial (MADIT-II) and Sudden Cardiac Death in Heart Failure Trial (SCD-HeFT).

Objective: To determine the percentage of patients in a Veterans Affairs medical center appropriately referred for primary prophylaxis ICD and to further categorize the reasons patients are not being referred.

Methods: Echocardiograms obtained since the release of MADIT-II in 2002 were searched for a left ventricular ejection fraction (LVEF) <= 35% and <= 30%. We randomly selected 120 patients per year from 2002 to 2006, for a total of 600 patients in each group. Data were reviewed to determine the number of ICD recipients and the reasons patients were not referred.

The solution of the CHP showed a unique phase transition around 3

The solution of the CHP showed a unique phase transition around 30 mg/ml and formed gel phase over this critical concentration. This gel phase consists of the weak hydrophobic interactions between the cholesterols could be easily deformed by external forces, and thus, loading process of the CHP nanogels into microchannels became easier. The high concentration of the CHP nanogels provided excellent resolutions especially for small DNA fragments from 100 to 1500 bp. The separation mechanism

was discussed based on Ogston and Reptation models which had developed in gels or polymer solutions. The result of a single molecule imaging gave us an insight of the separation mechanism and the nanogel structures as well. (C) 2010 American Institute of Physics. [doi:10.1063/1.3479997]“
“Optoelectrofluidic field separation PX-478 Angiogenesis inhibitor (OEFS) of particles under light-intensity gradient (LIG) is reported, where the LIG illumination on the photoconductive layer converts the short-ranged

eFT508 dielectrophoresis (DEP) force to the long-ranged one. The long-ranged DEP force can compete with the hydrodynamic force by alternating current electro-osmosis (ACEO) over the entire illumination area for realizing effective field separation of particles. In the OEFS system, the codirectional illumination and observation induce the levitation effect, compensating the attenuation of the DEP force under

LIG illumination by slightly floating particles from the surface. Results of the field separation and concentration of Autophagy Compound Library diverse particle pairs (0.82-16 mu m) are well demonstrated, and conditions determining the critical radius and effective particle manipulation are discussed. The OEFS with codirectional LIG strategy could be a promising particle manipulation method in many applications where a rapid manipulation of biological cells and particles over the entire working area are of interest. (C) 2010 American Institute of Physics. [doi:10.1063/1.3463716]“
“DNA molecules in a solution can be immobilized and stretched into a highly ordered array on a solid surface containing micropillars by molecular combing technique. However, the mechanism of this process is not well understood. In this study, we demonstrated the generation of DNA nanostrand array with linear, zigzag, and fork-zigzag patterns and the microfluidic processes are modeled based on a deforming body-fitted grid approach. The simulation results provide insights for explaining the stretching, immobilizing, and patterning of DNA molecules observed in the experiments. (C) 2010 American Institute of Physics. [doi:10.1063/1.3474639]“
“This work presents the development of an array of bioreactors where finely controlled stirring is provided at the microliter scale (100-300 mu l).

While useful for exposition and for generating first-order estima

While useful for exposition and for generating first-order estimates of planetary heat transports, it has too low a resolution to investigate

climate systems with strong feedbacks. A two-box MEP model agrees well with the observed day : night temperature contrast observed on the extrasolar planet HD 189733b.”
“Apoptosis controls the adaptive immune system through regulation of central and peripheral lymphocyte deletion. Therefore, substances that selectively interact with the intrinsic apoptosis pathway in lymphocytes offer unexplored opportunities to pharmacologically modulate the immune response. Here, we present evidence that the BH3-mimetic ABT-737 suppresses LY2835219 chemical structure allogeneic immune responses. In vitro, ABT-737 prevented allogeneic T-cell activation, selleck kinase inhibitor proliferation, and cytotoxicity by apoptosis induction, but without impairing the physiological functions of remaining viable T cells. In vivo, ABT-737 was highly selective for lymphoid cells and inhibited

allogeneic T- and B-cell responses after skin transplantation. The immunosuppressive effect of ABT-737 was markedly increased in combination with low-dose cyclosporine A, as shown by the induction of long-term skin graft survival without significant inflammatory infiltrates in 50% of the recipients in an MHC class I single antigen mismatched model. Thus, pharmacological targeting of Bcl-2 proteins represents a novel immunosuppressive approach to prevent rejection of solid organ allografts.”
“Despite recent advancements in the treatment of coronary artery disease (CAD), it remains the number one cause of death in the world. While traditional risk factors partially account for the development of CAD, other novel risk factors have recently been implicated. Specifically, chronic inflammation has been postulated to play a role in the development and propagation of this disease. The purpose

of this systematic review is to examine the available evidence to determine if patients with chronic inflammatory diseases have higher rates of click here cardiovascular disease. A MEDLINE search was conducted for articles published between 1980-2009. We focused on studies that assessed hard cardiovascular endpoints in subjects with chronic inflammatory conditions such as systemic lupus erythematosus, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, polymyositis/dermatomyositis, and inflammatory bowel disease. Although largely based on small studies, our review indicates that patients with chronic inflammatory conditions are likely at elevated risk for the development of CAD. Further research consisting of prospective cohort studies is needed to better quantify this risk.”
“A two-box model for equator-to-pole planetary heat transport is extended to include simple atmospheric dynamics.

Eighty subjects (41 female and 39 male subjects; age range, 1-80

Eighty subjects (41 female and 39 male subjects; age range, 1-80 years) were examined at 1.5 T. For each subject, R2* values were calculated. Curves for R2* versus age were obtained for globus pallidus ( GP), putamen, caudate nucleus, substantia nigra (SN), and frontal white matter (FWM). To highlight possible differences in iron concentration among the age decades, VBR was applied. Signal intensity values were estimated on T1-weighted fast low-angle shot images, and regions of interest were drawn in each nucleus. R2* values were also compared with iron

concentrations reported in a postmortem study. Statistical analysis was performed (t test), and a difference with P < .05 (FDR corrected) was significant.

Results: The curves for R2* versus age showed BGJ398 cell line an exponential increase with increasing age in buy GS-9973 all the basal ganglia. VBR demonstrated significant differences ( P < .05, corrected) in the comparison between the 2nd and the following decades for lenticular nuclei. Good correlation coefficients were found for GP (R(2) = 0.64), putamen (R(2) = 0.51), and SN (R(2) = 0.53) when compared with findings in the postmortem study. Signal intensity

curves were similar to the R2* curves.

Conclusion: R2* measurements can be used to quantify brain iron accumulation and thus may allow better evaluation of neurodegenerative diseases associated with iron deposition.”
“The GIARIR study group has made a critical analysis of the most recent scientific literature on acute bacterial exacerbations of chronic bronchitis

(ABECB) with the aim of proposing therapeutic recommendations applicable to the current epidemiological situation in Italy. The learn more international literature has indicated the scarcity of studies on the treatment of ABECB compared to an abundance of information regarding chronic obstructive pulmonary disease (COPD), of which ABECB is often considered the initial ore predisposing stage, even though a precise evolutionary correlation between these pathologies has not yet been demonstrated.

ABECB is the principle cause of doctor visits, hospitalization and death in COPD patients. The natural course of the disease is characterized by the appearance of exacerbation episodes (a mean of two yearly). For this reason it is indispensable to prevent exacerbations, to treat them as quickly as possible, in order to minimize their negative effects on the respiratory tract and the patient’s general health.

The routine use of antibiotic therapy is controversial because at least 20% of exacerbations do not have an infectious origin and about 30% are viral. In most cases the choice of antibiotic is empiric, in both ABECB patients without risk factors (mild form) and in those with risk factors such as cigarette smoking or constant exposure to air pollutants (moderate form).

Female chronic HT patients had the lowest serum 25OHD levels (10

Female chronic HT patients had the lowest serum 25OHD levels (10.3 +/-

4.58 ng/mL), and male control subjects had the highest (19.3 +/- 5.9 ng/mL, P<.001).

Conclusions: We demonstrated that serum 25OHD levels of HT patients were significantly lower than controls, and 25OHD deficiency severity correlated with duration of HT, thyroid volume, and antibody levels. These findings may suggest a potential role of 25OHD in development of HT and/or its progression to hypothyroidism.”
“Background: Loss of cardiomyocytes after myocardial infarction (MI) causes heart failure. In this study, we investigate whether the in situ cardiomyocytes can re-enter the cell cycle and to what extent cell division of cardiomyocytes occurs after acute MI (AMI) in rats. Methods: Selleckchem MK-4827 Sprague Dawley (SD) rats were CB-5083 cost used in this study; the left anterior descending coronary artery was ligated. At time points (3 days, 1 week, 2 weeks, 3 weeks, and 4 weeks) after the operation, five rats were euthanized, respectively. An additional five sham-operated rats serves as a control group and were euthanized at 3 days post-operation. The expressions of cyclin A2, Ki-67, phospho-histone H3 (H3P), and Aurora B

in myocardial tissues were detected by Western blot and immunofluorescence. Results: The expression levels of cyclin A2 were significantly higher in all groups with AMI except the 4-week group than those found in the sham-operated group (P < 0.01). The percentage of Ki-67-positive nuclei in the border

zones was significantly higher than the percentage in the distant normal myocardium (P < 0.01). Conclusions: our results demonstrate that cardiomyocytes re-enter the cell cycle after AMI and that cyclin A2 is a reliable marker for the detection of cell cycle activity in cardiomyocytes.”
“Purpose: The objective of this study was to assess whether sex differences exist in plaque OSI-744 inhibitor burden and plaque subtype as assessed by coronary computed tomography angiography (CCTA). Methods: The study cohort included 937 consecutive patients who underwent CCTA between 2008 and 2010. Stenosis was quantified using the Society of Cardiovascular Computed Tomography stenosis grading scale and a total stenosis score (TSS) was generated. Plaque morphology (PM) was reported as predominantly calcified (CP), noncalcified (NCP), or mixed (MP) plaque, and CP, NCP, and MP percentages were calculated. Results: On multivariate analysis, men were significantly more likely to have plaque (65.9% of men vs. 44.6% of women, p<0.001), at least one segment with 50% stenosis (22.7% of men vs. 10.3% of women, p<0.001) and higher TSS (mean score=2.81 for men vs. 1.58 for women, p<0.001). Sex was the strongest predictor in all models (odds ratio [OR]=2.55, 95% confidence interval [CI] 1.78-3.67, p<0.001 for any plaque; OR=2.48, 95% CI 1.48-4.16, p<0.01 for segments with 50% stenosis; =1.46, 95% CI 0.69-2.22, p<0.001 for TSS).

Bleeding occurred in 1 96% (n = 23) of cases, mainly gastrointest

Bleeding occurred in 1.96% (n = 23) of cases, mainly gastrointestinal, urinary tract, and vitreous body bleeding. In short-term (up to SB431542 2 weeks) treatment, bleeding and VTE were more frequent than in long-term treatment. Results from this study suggest that prolonged enoxaparin thromboprophylaxis in neurological rehabilitation is safe and effective.”
“The present study investigated the effects of hydrocortisone on the pharmacokinetics of loratadine in rats after intravenous and

oral administration. A single dose of loratadine was administered either orally (4 mg/kg) or intravenously (1 mg/kg) with or without oral hydrocortisone (0.3 or 1.0 mg/kg). Compared to the control group (without hydrocortisone), after oral administration of loratadine, the area under the plasma concentration-time curve (AUC) was significantly increased by 30.2-81.7% in the presence of hydrocortisone (p<0.05). PP2 ic50 The peak plasma concentration (C(max)) was significantly increased by 68.4% in the presence of 1.0 mg/kg hydrocortisone

after oral administration of loratadine (p<0.05). Hydrocortisone (1.0 mg/kg) significantly increased the terminal plasma half-life (t(1/2)) of loratadine by 20.8% (p<0.05). Consequently, the relative bioavailability of loratadine was increased by 1.30- to 1.82-fold. In contrast, oral hydrocortisone had no effects on any pharmacokinetic parameters of loratadine given intravenously. Dactolisib inhibitor This suggests that hydrocortisone may improve the oral bioavailability of loratadine by reducing first-pass metabolism of loratadine, most likely mediated by P-gp and/or CYP3A4 in the intestine and/or liver. In conclusion,

hydrocortisone significantly enhanced the bioavailability of orally administered loratadine in rats, which may have been due to inhibition of both CYP 3A4-mediated metabolism and P-gp in the intestine and/or liver by the presence of hydrocortisone.”
“The underlying mechanisms of polarization sensitivity (PS) have long remained elusive. For rhabdomeric photoreceptors, questions remain over the high levels of PS measured experimentally. In ciliary photoreceptors, and specifically cones, little direct evidence supports any type of mechanism. In order to promote a greater interest in these fundamental aspects of polarization vision, we examined a varied collection of studies linking membrane biochemistry, protein-protein interactions, molecular ordering and membrane phase behaviour. While initially these studies may seem unrelated to polarization vision, a common narrative emerges. A surprising amount of evidence exists demonstrating the importance of protein-protein interactions in both rhabdomeric and ciliary photoreceptors, indicating the possible long-range ordering of the opsin protein for increased PS.

It is employed a technique previously developed in our laboratory

It is employed a technique previously developed in our laboratory consisting in using the nozzle as a large-sized SN-38 Langmuir probe. Based on the behavior of the ion current signal and simple estimations, it is concluded that (1) the non-equilibrium plasma inside the nozzle is far from the steady state

in time, in contrast to what is frequently assumed. The power supply ripple was identified as the main fluctuations source and (2) large-scale plasma fluctuations inside the nozzle could cause transient (total duration of the order of 100 mu s) Townsend avalanches developing in the space-charge layer located between the arc plasma and the nozzle wall. Such events trigger the so called non-destructive double-arcing phenomena without appealing to the presence of insulating films deposited

BMS202 mw inside the nozzle orifice, as was previously proposed in the literature. (C) 2011 American Institute of Physics. [doi:10.1063/1.3651398]“
“When a homogeneous hot liquid of poly(e-caprolactone) (PCL) with (R)-12-hydroxystearic acid (HSA) or N-carbobenzyloxy-L-isoleucylaminooctadecane (CIA) was gradually cooled to room temperature, the mixture became gelatinous material and then solidified to give a PCL/HSA or PCL/CIA composite. The rheological measurements of the mixtures of PCL with HSA and CIA revealed that the organogels are formed at around 70-50 degrees C and 100-73 degrees C during the cooling process, respectively. Furthermore, the formation of supramolecular fibrillar networks was confirmed by the microscopic and differential scanning calorimetric analyses. The tensile moduli of both the PD0332991 solubility dmso composites were improved by the addition of CIA and HSA. Both the composites showed so high biodegradability as PCL. The fibrillar networks of the composites were also regenerated during

the repeated cooling process from the isotropic liquid. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci, 2012″
“The present study was undertaken to assess the relevance of increasing the daily provision of dietary vitamins on vitamin metabolic status and semen characteristics of boars under controlled and commercial conditions as well as to evaluate the efficiency of this vitamin supplement to allow boars to cope with intensive semen collection frequency. In the first experiment, 39 boars were allocated to 2 dietary treatments, a basal diet (control) and the basal diet supplemented with extra fat- and water-soluble vitamins (Vit). Within each treatment, boars were submitted to 2 regimens of semen collection frequency: 3 times per 2 wk (3/2) and 3 times per week (3/1) over a 12-wk period. Afterwards, all boars were intensively collected (daily) for 2 wk. A resting period of 4 wk followed, and all boars were collected 2 times per week. Thereafter, collection frequencies were reversed, and the same procedure was followed until the end of the intensive collection period.

9 +/- 6 7%) The exclusion criteria were: creatinine


9 +/- 6.7%). The exclusion criteria were: creatinine

> 2.0 mg/dl, cardiac pacemaker, serum K+ > 5.5 mEq/l, and systolic blood pressure < 70 mmHg. Patients either received 150 mg/d aliskiren for 7 days (aliskiren group, n = 10) or did not receive aliskiren (control group, n = 6). Primary end points were systemic vascular resistance and cardiac index values. Repeated-measures analysis of variance (ANOVA) was used to assess variables before and after intervention. A two-sided p-value < 0.05 was considered statistically significant.

Results: Compared to pre-intervention levels, systemic vascular resistance was reduced by 20.4% in aliskiren patients, but it increased by 2.9% in control patients (p = 0.038). The cardiac index was not significantly increased by 19.0% H 89 solubility dmso in aliskiren patients, but decreased by 8.4% in control patients (p = 0.127). No differences in the pulmonary capillary or systolic blood Vorasidenib concentration pressure values were observed between the groups.

Conclusion: Aliskiren use reduced systemic vascular resistance in patients with decompensated heart failure taking ACE inhibitors.”
“Background. Adjuvant therapy improves breast cancer survival but is underutilized by Black women. Few interventions have addressed this problem. This preliminary

report describes the process we used to develop a decision-support intervention for Black women eligible for adjuvant therapy. Aims were to use qualitative methods to describe factors that influence Black women’s adjuvant therapy decisions, use these formative data to develop messages for a treatment decision-support intervention, and pilot test the acceptability and utility of the intervention with community members and newly diagnosed women.

Methods: Thirty-four in-depth interviews were conducted with breast cancer patients in active treatment, survivors and cancer providers to gather qualitative data. Participant ages Mdivi-1 supplier ranged from 38 to 69 years. A cultural framework

was used to analyze the data and to inform intervention messages. Most women relied on their providers for treatment recommendations. Several women reported problems communicating with providers and felt unprepared to ask questions and discuss adjuvant treatment options. Other factors related to treatment experiences were: spiritual coping, collectivism and sharing breast cancer experiences with other Black survivors.

Results: Using these formative data, we developed an intervention that is survivor-based and includes an in-person session which incorporates sharing personal stories, communication skills training and decision support. Intervention materials were reviewed by community members, researchers/clinicians and patients newly diagnosed with breast cancer.

Conclusion: Patients reported satisfaction with the intervention and felt better prepared to talk with providers.