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Selected AbstractsChromogenic in situ hybridization for Her-2/neu-oncogene in breast cancer: comparison of a new dual-colour chromogenic in situ hybridization with immunohistochemistry and fluorescence in situ hybridizationHISTOPATHOLOGY, Issue 6 2009Doris Mayr Aims:, Her-2/neu testing is used as a marker for Herceptin® therapy. The aim was to investigate new dual-colour chromogenic in situ hybridization (CISH), in a large number of breast carcinomas (n = 205) with DNA-specific dual-colour probes (ZytoVision, Bremerhaven, Germany) and to compare the results with immunohistochemistry (n = 205) and fluorescence in situ hybridization (FISH) (n = 129). Methods and results:, Paraffin-embedded tissue of 205 patients was used. After immunohistochemistry with a focus on immunohistochemically uncertain cases, Her-2/neu amplification using dual-colour CISH (ZytoVision®) was analysed. Validation by FISH was performed. The results were: immunohistochemistry, 27.8% with strong expression, 53.7% with uncertain overexpression and 18.5% with no expression; FISH, 25.6% amplified and 74.4% negative; CISH, 35.6% amplified, 62.9% negative and 1.5% not evaluable. Comparison of immunohistochemistry with CISH: CISH negative in 100% with immunohistochemistry 0/1+, amplified in 82.5% with immunohistochemistry 3+; 5.9% contradictory results: 4.4% immunohistochemistry 3+ and negative by CISH, 1.5% negative in immunohistochemistry but amplified by CISH; FISH (129 cases), 8.5% contradictory results to immunohistochemistry, 6.2% immunohistochemistry 3+ and negative by FISH, 2.3% negative by immunohistochemistry and amplified by FISH; comparison of CISH and FISH, 94.6% same results, 3.9% different ones, 1.6% CISH not analysable. Conclusions:, CISH, using dual-colour probes (ZytoVision®) is as good as FISH for Her-2/neu analysis. The few discrepant results are likely to be caused by polysomy or tumour heterogeneity. [source] The "Return of the Subject" As a Historico-Intellectual ProblemHISTORY AND THEORY, Issue 1 2004Elías Palti abstract Recently, a call for the "return of the subject" has gained increasing influence. The power of this call is intimately linked to the assumption that there is a necessary connection between "the subject" and politics (and ultimately, history). Without a subject, it is alleged, there can be no agency, and therefore no emancipatory projects,and, thus, no history. This paper discusses the precise epistemological foundations for this claim. It shows that the idea of a necessary link between "the subject" and agency, and therefore between the subject and politics (and history) is only one among many different ones that appeared in the course of the four centuries that modernity spans. It has precise historico-intellectual premises, ones that cannot be traced back in time before the end of the nineteenth century. Failing to observe the historicity of the notion of the subject, and projecting it as a kind of universal category, results, as we shall see, in serious incongruence and anachronisms. The essay outlines a definite view of intellectual history aimed at recovering the radically contingent nature of conceptual formations, which, it alleges, is the still-valid core of Foucault's archeological project. Regardless of the inconsistencies in his own archeological endeavors, his archeological approach intended to establish in intellectual history a principle of temporal irreversibility immanent in it. Following his lead, the essay attempts to discern the different meanings the category of the subject has historically acquired, referring them back to the broader epistemic reconfigurations that have occurred in Western thought. This reveals a richness of meanings in this category that are obliterated under the general label of the "modern subject"; at the same time, it illuminates some of the methodological problems that mar current debates on the topic. [source] Constraints on the glacial operation of the atlantic ocean's conveyor circulationISRAEL JOURNAL OF CHEMISTRY, Issue 1 2002Wallace S. BroeckerArticle first published online: 8 MAR 2010 Circulation in the Atlantic Ocean is currently dominated by a northward flow of upper waters balanced by a return flow of deep water (i.e., the conveyor). Paleoproxies tell us that, unlike today, during the glacial age the deep Atlantic was stratified. Rather than being flooded with one nearly homogeneous water mass, there were two distinctly different ones. In this paper, the paleoproxy results are analyzed in an attempt to constrain the sources and ventilation rate of the deeper of these two glacial Atlantic water masses. Taken together, the cadmium and carbon isotope measurements on benthic foraminifera and the radiocarbon measurements on coexisting benthic and planktonic foraminifera appear to require a conveyor-like circulation no weaker than half of today's. This conclusion is at odds with geostrophic reconstructions. This seeming disagreement could be eliminated if, as suggested by Keigwin and Schlegel, the radiocarbon measurements by Broecker et al. significantly underestimate the difference between the 14C to C ratio for glacialage surface water and deep water in the equatorial Atlantic. [source] Insights into different results from different causal contrasts in the presence of effect-measure modification,PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, Issue 10 2006Til Stürmer Abstract Purpose Both propensity score (PS) matching and inverse probability of treatment weighting (IPTW) allow causal contrasts, albeit different ones. In the presence of effect-measure modification, different analytic approaches produce different summary estimates. Methods We present a spreadsheet example that assumes a dichotomous exposure, covariate, and outcome. The covariate can be a confounder or not and a modifier of the relative risk (RR) or not. Based on expected cell counts, we calculate RR estimates using five summary estimators: Mantel-Haenszel (MH), maximum likelihood (ML), the standardized mortality ratio (SMR), PS matching, and a common implementation of IPTW. Results Without effect-measure modification, all approaches produce identical results. In the presence of effect-measure modification and regardless of the presence of confounding, results from the SMR and PS are identical, but IPTW can produce strikingly different results (e.g., RR,=,0.83 vs. RR,=,1.50). In such settings, MH and ML do not estimate a population parameter and results for those measures fall between PS and IPTW. Conclusions Discrepancies between PS and IPTW reflect different weighting of stratum-specific effect estimates. SMR and PS matching assign weights according to the distribution of the effect-measure modifier in the exposed subpopulation, whereas IPTW assigns weights according to the distribution of the entire study population. In pharmacoepidemiology, contraindications to treatment that also modify the effect might be prevalent in the population, but would be rare among the exposed. In such settings, estimating the effect of exposure in the exposed rather than the whole population is preferable. Copyright © 2006 John Wiley & Sons, Ltd. [source] |