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Selected AbstractsHodgkin's lymphoma: Diagnostic difficulties in fine-needle aspiration cytologyDIAGNOSTIC CYTOPATHOLOGY, Issue 8 2009D.Sc., Dilip K. Das M.B.B.S., F.R.C.Path., Ph.D. Abstract It is commonly believed that cytodiagnosis of Hodgkin's lymphoma (HL) is much easier than that of non-Hodgkin lymphoma (NHL). However, recognition of certain NHL subtypes with Reed-Sternberg (R-S)-like cells and results of immunohistochemical studies point to the contrary. To study the limitations of cytology in diagnosis of HL, fine-needle aspiration (FNA) smears of 130 lymphoma or suspected lymphoma cases were reviewed. Initial and reviewed cytodiagnoses were compared with histopathology in 89 cases. Immunocytochemical and immunohistochemical studies were performed in 56 and 59 cases, respectively. Among histologically diagnosed HL cases, definitive cytodiagnosis of HL (initial as well as reviewed) was significantly less frequent than cytodiagnosis of NHL among histologically diagnosed NHL cases (P = 0.0328 and = 0.0001, respectively). On the other hand, cytologically diagnosed HL/NHL cases were significantly more frequent in the former group (P = 0.0001 and = 0.0018, respectively). ALCL and TCRBCL were the two NHL subtypes which created confusion with HL in FNA smears. Twenty-one cytohistological concordant HL cases and equal number of discordant cases were compared. When compared with discordant group, the patients in concordant group were significantly younger (P = 0.045). Hodgkin/Hodgkin-like cells and typical R-S cells were significantly more frequent in FNA smears of the concordant group (P = 0.0478 and = 0.0431, respectively). Immunocytochemical and immunohistochemical studies showed good correlation with histological diagnosis of HL. It is suggested that proper interpretation of cytologic features, together with use of immunocytochemical parameters can help in reducing the margin of error in cytodiagnois of HL. Diagn. Cytopathol. 2009. © 2009 Wiley-Liss, Inc. [source] Effects of contaminated sediment on the epidermis of mummichog, Fundulus heteroclitusENVIRONMENTAL TOXICOLOGY & CHEMISTRY, Issue 11 2000Laurent C. Mézin Abstract Secretion of mucus by epidermal goblet cells protects fish against many biological, physical, and chemical insults encountered in the environment. This study monitored changes in hemoglobin concentration in epidermal mucus and in the density, diameter, and mucus quality of epidermal goblet cells in the mummichog, Fundulus heteroclitus, following exposure to creosote-contaminated sediment from the Elizabeth River, Virginia, USA. Fish were exposed for 13 d in flow-through aquaria to either uncontaminated (US) or contaminated (CS) sediments and were sampled periodically. The condition index was lower and the mortality rate and the occurrence of epidermal lesions were higher in CS-exposed fish than in US-exposed fish. Hemoglobin contents in epidermal mucus from the former group were significantly higher than from the latter. Significant reductions in both size and density of goblet cells in CS-exposed fish suggested a mucus secretion rate exceeding its production rate. Significant changes in mucin types between treatments did not occur until day 13 and are not believed to be directly related to the creosote present in the contaminated sediment. These results all indicate that exposure to creosote-contaminated sediment had a profound and deleterious effect on fish health. [source] The effects of maximal treadmill graded exercise testing on haemorheological, haemodynamic and flow cytometry platelet markers in patients with systolic or diastolic heart failureEUROPEAN JOURNAL OF CLINICAL INVESTIGATION, Issue 3 2008I. Chung ABSTRACT Background, Acute exercise has been associated with activation of thrombosis, and this risk may be accentuated in patients with heart failure. Given the relation of platelets to atherothrombosis, we tested the hypothesis that acute exercise would adversely affect platelet indices and platelet activation markers in patients with systolic and diastolic heart failure. Materials and methods, We studied 20 patients with systolic heart failure (17 men, 3 women; mean age 64 ± 10 years, all with ejection fraction (EF) , 40%) and 20 patients with diastolic heart failure (14 men, 6 women; mean age 64 ± 8 years, mean EF = 66%) who were exercised to maximal intensity, who were compared to 13 healthy controls (6 men, 7 women; mean age 60 ± 4 years, mean EF = 73%). We measured platelet indices (platelet volume, mass and component) and platelet activation markers (platelet-bound CD62P%G, CD63%G and CD40L%G using flow cytometry, as well as plasma sCD40L and soluble P-selectin (sP-sel) levels). Results, Baseline Mean Platelet Volume (MPV), sP-sel, CD40L%G and CD63%G levels were significantly higher in patients with systolic and diastolic heart failure, when compared with controls. The mean exercise duration and VO2 peak in patients with systolic and diastolic heart failure were not significantly different, but lower than that seen in healthy controls. Following exercise, mean haematocrit, CD62P%G, and CD63%G significantly increased in all three subject groups (all P < 0·05). The proportional change in CD62P%G and CD63%G were not significantly different between healthy controls and heart failure patients (P > 0·05). Conclusion, Acute maximal graded exercise increases platelet activation markers, with no disproportionate differences between heart failure patients and healthy controls, despite the former group having a lower exercise tolerance and VO2 peak. [source] Effect of Ce, Sb, and Sn on Solarization and Crystallization of an X-Ray-Irradiated Photosensitive GlassINTERNATIONAL JOURNAL OF APPLIED CERAMIC TECHNOLOGY, Issue 1 2010Mohamad Hassan Imanieh The effect of Ce, Sb, and Sn photosensitive elements, individually and in combination with each other, on solarization and crystallization of an X-ray irradiated and a nonirradiated lithium silicate-based glass were investigated. According to the results, considering the crystallization behavior of the nonirradiated glasses, they were divided into Ce-bearing and Ce-free groups, in which the former group showed a clearer solarization tendency that manifested as an appearance of an absorbance peak at 318 nm in the spectrophotometry experiment. However, the results showed that in the irradiated glasses, the presence of Sb was more important in terms of improvement in crystallization view. Antimony decreased the differential thermal analysis (DTA) crystallization peak temperature from 655°C to 594°C and, in combination with the two other elements, changed the surface crystallization mechanism to a bulk one. The reactions that seemed to be responsible for the above-mentioned observations were discussed by spectrophotometry, DTA, X-ray diffraction, and scanning electron microscopic methods. [source] Debris flow and slide deposits at the top of the Internal Liguride ophiolitic sequence, Northern Apennines, Italy: A record of frontal tectonic erosion in a fossil accretionary wedgeISLAND ARC, Issue 1 2001Michele Marroni Abstract In the Northern Apennines, the Internal Liguride units are characterized by an ophiolite sequence that represents the stratigraphic base of a late Jurassic,early Paleocene sedimentary cover. The Bocco Shale represents the youngest deposit recognized in the sedimentary cover of the ophiolite and can be subdivided into two different groups of deep sea sediments. The first group is represented by slide, debris flow and high density turbidity current-derived deposits, whereas the second group consists of thin-bedded turbidites. Facies analysis and provenance studies indicate, for the former group, small and scarcely evoluted flows that rework an oceanic lithosphere and its sedimentary cover. We interpret the Bocco Shale as an ancient example of a deposit related to the frontal tectonic erosion of the accretionary wedge slope. The frontal tectonic erosion resulted in a large removal of materials, from the accretionary wedge front, that was reworked as debris flows and slide deposits sedimented on the lower plate above the trench deposits. The frontal tectonic erosion was probably connected with subduction of oceanic crust characterized by positive topographic relief. This interpretation can be also applied for the origin of analogous deposits of Western Alps and Corsica. [source] Coping strategies and health-related quality of life among spouses of continuous ambulatory peritoneal dialysis, haemodialysis, and transplant patientsJOURNAL OF ADVANCED NURSING, Issue 6 2000Ragny Lindqvist RN PhD Coping strategies and health-related quality of life among spouses of continuous ambulatory peritoneal dialysis, haemodialysis and transplant patients In the study reported here 55 spouses of patients living with end-stage renal disease (ESRD) were investigated with respect to coping strategies and health-related quality of life. Findings from the study were compared to two random samples of the Swedish general population (n = 454, and n = 1200). The study design was correlational and comparative. Coping was measured by the Jalowiec Coping Scale, and quality of life (QoL) by the Swedish Health-Related Quality of Life Survey (SWED-QUAL). Data were analysed using a number of statistical tests including Pearson's product moment correlations, Student's t -test and two way ANOVAs. The combined sample of spouses used significantly more optimistic and palliative coping than the general population, but less confrontative, self-reliant, evasive and emotive coping. In the study fatalistic, evasive and emotive coping was associated with low perceived efficiency in handling various aspects of the partners' situation. The male spouses used significantly less optimistic, supportive and palliative coping than did the female spouses. The spouses of transplant patients had better overall quality of life than the continuous ambulatory peritoneal dialysis and haemodialysis spouse groups, most likely due to the lower age of the former group. The study findings suggest that emotive, evasive and fatalistic coping are less than optimal ways to deal with problems occasioned by the partner's treatment. [source] A comparison of taiga flora in north-eastern Russia and Alaska/YukonJOURNAL OF BIOGEOGRAPHY, Issue 7 2003David K. Swanson Abstract Aim, To understand the similarities and differences between the taiga floras of far north-eastern Asia and north-western North America in the light of their Tertiary and Quaternary histories. Does the taiga flora follow the tundra pattern (Asian,American commonality of species as a result of continuity through the Quaternary), the temperate forest pattern (distinct species because of late Tertiary disjunction), a combination of these two patterns, or some pattern unique to the taiga? Location, The taiga regions of interior Alaska and the Yukon in North America (the ,Alaskan taiga'), and the Kolyma and eastern Indigirka River basins in Russia (the ,Kolyma taiga'). The study areas include both forested and unforested habitats below elevational treeline. The two regions have similar climate and topography and were linked via the Bering Land Bridge in the Tertiary and for several extended periods during Quaternary cold periods. Methods, Systematic comparison of the vascular floras of the two regions from published sources; and review of palaeoecological literature for the region. Results, Of the 796 species found in the study areas, 27% occur only in the Alaskan taiga, 35% occur only in the Kolyma taiga, and 38% occur in both the regions. The following subsets of species show a high proportion of species in common between the study areas (subsets are not mutually exclusive): plants that occur on the tundra and the taiga, non-flowering plants, abundant taiga understory plants, and wetland and aquatic plants. A lower proportion of shared plants was noted for warm, south-facing steppe communities. No tree species are common to both areas. Main conclusions, The Bering Strait region in the Quaternary has acted as a biogeographical filter for taiga plants. Significant divergence between northeast Asia and northwest North America has developed among the more southerly ranging fraction of the flora (e.g. trees), while the more cosmopolitan and the most cold-adapted elements of the taiga flora are common to both areas. Many plants in the former group have been disjunct between Asia and North America for millions of years, while many plants in the latter group have probably maintained continuity between the study areas via the Bering Land Bridge through much of the late Tertiary and Quaternary periods. Repeated extirpation of the less cold-adapted species from both study areas during Pleistocene cold periods has probably enhanced floristic differences between the two regions. [source] Avecor Trillium Oxygenator Versus Noncoated Monolyth Oxygenator: A Prospective Randomized Controlled StudyJOURNAL OF CARDIAC SURGERY, Issue 4 2008Frédéric Vanden Eynden M.D. This study was designed to study the effects of the surface coating of a hollow fiber membrane oxygenator on coagulation, inflammation markers, and clinical outcomes. The biomaterials used to coat the membrane include heparin, polyethylene oxide chains (PEO), and sulfate/sulfonate groups. The coated membrane was compared to an uncoated oxygenator made of polypropylene. Methods: Two hundred patients who were scheduled to undergo valve repair and/or replacement surgery with or without coronary surgery were enrolled in the study. The patients were randomized to undergo CPB with either the Avecor oxygenator with TrilliumÔ (Medtronic, Minneapolis, MN, USA), a biopassive surface, or the Monolyth (Sorin, Irvine, CA, USA) oxygenator without coating. The primary and secondary endpoints were the differences between these oxygenators in regard to patients' biochemistry, coagulation profiles, inflammatory mediators, and clinical outcomes, including blood loss and neurological events. Results: There were no differences between the two groups in terms of biochemistry, coagulation profile, inflammatory mediator release, and blood loss. Five patients in the Avecor group showed clinical evidence of a stroke confirmed with computerized tomography (CT) scan imaging, and none in the noncoated oxygenator group. Conclusion: The oxygenator Avecor offers similar results in terms of inflammation and coagulation profiles and blood loss during valvular surgery compared to a standard uncoated control oxygenator. The rate of neurological events was unusually elevated in the former group of patients, with only speculative explanation at this point. Further studies are warranted to clarify this aspect. [source] Gender, Work, and Intimate Violence: Men's Occupational Violence Spillover and Compensatory ViolenceJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2002Scott A. Melzer Researchers have rarely studied the effects of occupations on intimate violence, only occasionally distinguishing between blue-collar and white-collar work, and generally finding higher rates of reported abuse in the former group. This research incorporates ideas from feminist, work-family, and power or resource theories to examine the potential effects of occupations on men's violence toward wives and cohabiting female partners. Data from the 1988 National Survey of Families and Households (NSFH) were analyzed using logistic regression techniques. Hypotheses related to occupational spillover and compensation were tested with results suggesting that men in physically violent, female-dominated, professional specialty, and dangerous occupations are more likely to use violence against female partners, net of other commonly hypothesized predictors. The findings suggest that more detailed occupational data should be collected in future intimate violence research. [source] Detection of cytomegalovirus, parvovirus B19 and herpes simplex viruses in cases of intrauterine fetal death: Association with pathological findingsJOURNAL OF MEDICAL VIROLOGY, Issue 10 2008Garyfallia Syridou Abstract There are previous indications that transplacental transmission of cytomegalovirus (CMV), parvovirus B19 (PB19) and herpes simplex virus types 1 and 2 (HSV-1/2) cause fetal infections, which may lead to fetal death. In a prospective case,control study we examined the incidence of these viruses in intrauterine fetal death and their association with fetal and placenta pathological findings. Molecular assays were performed on placenta tissue extracts of 62 fetal deaths and 35 controls for the detection of CMV, PB19 and HSV-1/2 genomes. Formalin-fixed, paraffin-embedded liver, spleen and placenta tissues of fetal death cases were evaluated histologically. Thirty-four percent of placental specimens taken from intrauterine fetal deaths were positive for any of the three viruses (16%, 13%, and 5% positive for CMV, PB19, and HSV-1/2, respectively), whereas only 6% of those taken from full term newborns were positive (P,=,0.0017). No dual infection was observed. This difference was also observed when fetal deaths with a gestational age <20 weeks or a gestational age >20 weeks were compared with the controls (P,=,0.025 and P,=,0.0012, respectively). Intrauterine death and the control groups differed in the detection rate of CMV DNA (16% and 3%, respectively; P,=,0.047), which was more pronounced in a gestational age >20 weeks (P,=,0.03). Examination of the pathological findings among the PCR-positive and PCR-negative fetal deaths revealed that hydrops fetalis and chronic villitis were more common among the former group (P,=,0.0003 and P,=,0.0005, respectively). In conclusion, an association was detected between viral infection and fetal death, which was more pronounced in the advanced gestational age. Fetal hydrops and chronic villitis were evidently associated with viral DNA detection in cases of intrauterine death. J. Med. Virol. 80:1776,1782, 2008. © 2008 Wiley-Liss, Inc. [source] Partner Violence and Street Violence among Urban Adolescents: Do the Same Family Factors Relate?JOURNAL OF RESEARCH ON ADOLESCENCE, Issue 3 2001Deborah Gorman-Smith Few studies have evaluated how participation in violence that occurs on the streets as part of criminal or delinquent behavior relates to violence that occurs as part of dating or marital relationships (partner violence). Using longitudinal data from 141 African American and Latino male youth (15,19 years old), the relation between family characteristics and participation in one or both types of violent behavior was evaluated. The youth in this study were more likely to report use of violence in relationships if they were also participating in violence as part of other criminal behavior. However, there were distinct groups of offenders. Among those males reporting involvement in a dating or romantic relationship, four groups were identified: (1) those who had not participated in either type of violence, 57%; (2) those who had participated in partner violence only, 14%; (3) those who had participated in street violence only, 12%; and (4) those who had participated in both, 17%. Discriminate function analyses significantly differentiated the group who had participated in both types of violence from the nonviolent group, with the former group having poorer functioning families. These two groups were also differentiated from the partner violence-only and street violence-only groups. No differences were found between the partner violence-only and the street violence-only groups. Implications for intervention and prevention are discussed. [source] Quality of life assessment of treatment with dental appliance or UPPP in patients with mild to moderate obstructive sleep apnoea.JOURNAL OF SLEEP RESEARCH, Issue 3 2000A prospective randomized 1-year follow-up study The objectives of this study were: to evaluate the change in the three quality of life (QOL) dimensions of vitality, contentment and sleep before intervention and 1 year after treatment with a dental appliance or uvulopalatopharyngoplasty (UPPP); to compare the effect of treatment between these two treatment groups on these three dimensions; and to determine the relation between the QOL scores and somnographic values. Ninety-five patients with mild to moderate obstructive sleep apnoea (OSA) (AI > 5) were randomly allocated to either a dental appliance or UPPP treatment group. Seven patients withdrew after randomization but before treatment, leaving 88 patients eligible for treatment. The patients were examined using somnography and administered the Minor Symptoms Evaluation-Profile (MSE-P), a QOL questionnaire, before and 1 year after intervention. Thirty-seven patients in the dental appliance group and 43 in the UPPP group completed the 1-year follow-up. The mean values for the three dimensions vitality, contentment and sleep improved significantly 1 year after intervention in the dental appliance and UPPP groups. No difference in the QOL scores at baseline was noted between the groups. One year after intervention the UPPP group showed significantly more contentment than the dental appliance group. In contrast, vitality and sleep dimensions did not differ between the two treatment groups. No significant correlations were observed between the QOL scores and somnographic values. In conclusion, quality of life improved significantly in the dental appliance and UPPP groups 1 year after intervention. However, the dental appliance group showed a lower level of contentment than the UPPP group, even though the somnographic values were superior in the former group. [source] Measurement of hepatitis B virus core-related antigen is valuable for identifying patients who are at low risk of lamivudine resistanceLIVER INTERNATIONAL, Issue 1 2006Eiji Tanaka Abstract: Objective: The clinical usefulness of hepatitis B virus core-related antigen (HBVcrAg) assay was compared with that of HBV DNA assay in predicting the occurrence of lamivudine resistance in patients with chronic hepatitis B. Patients: Of a total of 81 patients who were treated with lamivudine, 25 (31%) developed lamivudine resistance during a median follow-up period of 19.3 months. Results: The pretreatment positive rate of HBe antigen, or pretreatment levels of HBVcrAg or HBV DNA did not differ between patients with and without lamivudine resistance. Levels of both HBVcrAg and HBV DNA decreased after the initiation of lamivudine administration; however, the level of HBVcrAg decreased significantly more slowly than that of HBV DNA. The occurrence of lamivudine resistance was significantly less frequent in the 56 patients whose HBV DNA level was less than 2.6 log copy/ml at 6 months of treatment than in the remaining 25 patients. The cumulative rate of lamivudine resistance was as high as 70% within 2 years in the latter group, while it was only 28% in the former group. Lamivudine resistance did not occur during the follow-up period in the 19 patients whose HBVcrAg level was less than 4.6 log U/ml at 6 months of treatment, while it did occur in 50% of the remaining patients within 2 years. Conclusion: These results suggest that measurement of HBV DNA is valuable for identifying patients who are at high risk of developing lamivudine resistance, and that, conversely, measurement of HBVcrAg is valuable for identifying those who are at low risk of lamivudine resistance. [source] Diversity of algal endosymbionts (zooxanthellae) in octocorals: the roles of geography and host relationshipsMOLECULAR ECOLOGY, Issue 8 2005M. J. H. VAN OPPEN Abstract The presence, genetic identity and diversity of algal endosymbionts (Symbiodinium) in 114 species from 69 genera (20 families) of octocorals from the Great Barrier Reef (GBR), the far eastern Pacific (EP) and the Caribbean was examined, and patterns of the octocoral,algal symbiosis were compared with patterns in the host phylogeny. Genetic analyses of the zooxanthellae were based on ribosomal DNA internal transcribed spacer 1 (ITS1) region. In the GBR samples, Symbiodinium clades A and G were encountered with A and G being rare. Clade B zooxanthellae have been previously reported from a GBR octocoral, but are also rare in octocorals from this region. Symbiodinium G has so far only been found in Foraminifera, but is rare in these organisms. In the Caribbean samples, only Symbiodinium clades B and C are present. Hence, Symbiodinium diversity at the level of phylogenetic clades is lower in octocorals from the Caribbean compared to those from the GBR. However, an unprecedented level of ITS1 diversity was observed within individual colonies of some Caribbean gorgonians, implying either that these simultaneously harbour multiple strains of clade B zooxanthellae, or that ITS1 heterogeneity exists within the genomes of some zooxanthellae. Intracladal diversity based on ITS should therefore be interpreted with caution, especially in cases where no independent evidence exists to support distinctiveness, such as ecological distribution or physiological characteristics. All samples from EP are azooxanthellate. Three unrelated GBR taxa that are described in the literature as azooxanthellate (Junceella fragilis, Euplexaura nuttingi and Stereonephthya sp. 1) contain clade G zooxanthellae, and their symbiotic association with zooxanthellae was confirmed by histology. These corals are pale in colour, whereas related azooxanthellate species are brightly coloured. The evolutionary loss or gain of zooxanthellae may have altered the light sensitivity of the host tissues, requiring the animals to adopt or reduce pigmentation. Finally, we superimposed patterns of the octocoral,algal symbiosis onto a molecular phylogeny of the host. The data show that many losses/gains of endosymbiosis have occurred during the evolution of octocorals. The ancestral state (azooxanthellate or zooxanthellate) in octocorals remains unclear, but the data suggest that on an evolutionary timescale octocorals can switch more easily between mixotrophy and heterotrophy compared to scleractinian corals, which coincides with a low reliance on photosynthetic carbon gain in the former group of organisms. [source] Obesity and associated modifiable environmental factors in Iranian adolescents: Isfahan Healthy Heart Program , Heart Health Promotion from ChildhoodPEDIATRICS INTERNATIONAL, Issue 4 2003RoYA Kelishadi Abstract Objective:,To evaluate the prevalence of overweight and obesity among Iranian adolescents and their relationship with modifiable environmental factors. Methods:,The subjects of the present study were 1000 girls and 1000 boys, aged between 11 and 18 years selected by multistage random sampling, their parents (n = 2000) and their school staff (n = 500 subjects) in urban and rural areas of two provinces in Iran. Data concerning body mass index (BMI), nutrition and the physical activity of the subjects were analyzed by SPSSV10/Win software. Results:,The prevalence of 85th percentile , body mass index (BMI) < 95th percentile and BMI > 95th percentile in girls was significantly higher than boys (10.7 ± 1.1 and 2.9 ± 0.1%vs 7.4 ± 0.9 and 1.9 ± 0.1%, respectively; P < 0.05). The mean BMI value was significantly different between urban and rural areas (25.4 ± 5.2 vs 23.2 ± 7.1 kg/m2, respectively; P < 0.05). A BMI> 85th percentile was more prevalent in families with an average income than in high-income families (9.3 ± 1.7 vs 7.2 ± 1.4%, respectively; P < 0.05) and in those with lower-educated mothers (9.2 ± 2.1 vs 11.5 ± 2.4 years of mothers education, respectively). The mean total energy intake was not different between overweight or obese and normal-weight subjects (1825 ± 90 vs 1815 ± 85 kCal, respectively; P > 0.05), but the percentage of energy derived from carbohydrates was significantly higher in the former group compared with the latter (69.4 vs 63.2%, respectively; P < 0.05). Regular extracurricular sports activities were significantly lower and the time spent watching television was significantly higher in overweight or obese than non-obese subjects (time spent watching telelvision: 300 ± 20 vs 240 ± 30 min/day, P < 0.05). A significant linear association was shown between the frequency of consumption of rice, bread, pasta, fast foods and fat/salty snacks and BMI (, = 0.05,0.06; P < 0.05). A significant correlation was shown between BMI percentiles and serum triglyceride, high-density lipoprotein,cholesterol and systolic blood pressure (Pearson's r = 0.38, ,0.32 and 0.47, respectively). Conclusions:,Enhanced efforts to prevent and control overweight from childhood is a critical national priority, even in developing countries. To be successful, social, cultural and economic influences should be considered. [source] Genetic counseling of adults with Williams syndrome: A first study,AMERICAN JOURNAL OF MEDICAL GENETICS, Issue 2 2010Katrina Farwig Abstract We report on a study of genetic counseling to 43 adults with Williams syndrome (WS). Participants were initially asked what they knew about how WS occurs. Genetic counseling was provided with a focus on the basic genetics of WS, recurrence risk, and on participants' attitudes toward socio-cultural topics. Forty-nine percent indicated that they would be okay or happy if their baby had WS, 44% said they would be sad or upset, and 5% were unsure. The sad/upset group was significantly older than the okay/happy group and a significantly higher proportion of the former group indicated that they did not plan to have children. During the post-counseling session participants were questioned to determine if they recalled the facts previously presented. Eighty-one percent correctly gave the odds that their child would have WS. Fifty-three percent considered the 50,50 odds to be a high chance. After genetic counseling, 61% were able to state something that had been taught and 88% indicated that they would want to test their baby for WS before birth. Ninety-eight percent would recommend genetic counseling to others. Findings indicate that based on the type of genetic counseling provided in this study, the majority of individuals with WS,a genetic disorder associated with intellectual disability but with relative strengths in (concrete) language and in verbal rote memory,are able to learn simple facts about the genetics of WS and are eager to respond to socio-cultural questions regarding topics typically included in genetic counseling sessions. © 2010 Wiley-Liss, Inc. [source] Petrochemistry of Volcanic Rocks in the Hishikari Mining Area of Southern Japan, with Implications for the Relative Contribution of Lower Crust and Mantle-derived BasaltRESOURCE GEOLOGY, Issue 4 2003Takahiro Hosono Abstract. This study presents the petrographical, mineralogical, and geochemical characteristics of Late Pliocene-Pleistocene volcanic rocks distributed in the Hishikari gold mining area of southern Kyushu, Japan, and discusses their origin and evolution. The Hishikari volcanic rocks (HVR), on the basis of age and chemical compositions, are divided into the Kurosonsan (2.4,1.0 Ma) and Shishimano (1.7,0.5 Ma) Groups, which occur in the northern and southern part of the area, respectively. Each group is composed of three andesites and one rhyodacite. HVR are characterized by high concentrations of incompatible elements compared with other volcanic rocks in southern Kyushu, and have low Sr/Nd and high Th/U, Th/Pb, and U/Pb ratios compared with typical subduction-related arc volcanic rocks. Modal and whole-rock compositions of the HVR change systematically with the age of the rocks. Mafic mineral and augite/hypersthene ratios of the andesites decrease with decreasing age in the Kurosonsan Group, whereas in the Shishimano Group, these ratios are higher in the youngest andesite. Similarly, major and trace element compositions of the younger andesites in the former group are enriched in felsic components, whereas in the latter group the youngest andesite is more mafic than older andesites. Moreover, the crystallization temperature of phenocryst minerals decreases with younger age in the former group, whereas the opposite trend is seen in the latter group. Another significant feature is that rhyodacite in the Shishimano Group is enriched in felsic minerals and incompatible elements, and exhibits higher crystallization temperatures of phenocryst minerals than the rhyodacite of the Kurosonsan Group. Geochemical attributes of the HVR and other volcanic rocks in southern Kyushu indicate that a lower subcontinental crust, characterized by so-called EMI-type Sr-Nd and DUPAL anomaly-like Pb isotopic compositions, is distributed beneath the upper to middle crust of the Shimanto Supergroup. The HVR would be more enriched in felsic materials derived from the lower crust by high-alumina basaltic magma from the mantle than volcanic rocks in other areas of southern Kyushu. The Kurosonsan Group advanced the degree of the lower crust contribution with decreasing age from 51 %, through 61 and 66 % to 77 %. In the Shishimano Group, the younger rhyodacite and andesite are derived from hotter magmas with smaller amounts of lower crust component (58 and 57 %) than the older two andesites (65 % and 68 %). We suggest that the Shishimano rhyodacite, which is considered to be responsible for gold mineralization, was formed by large degree of fractional crystallization of hot basaltic andesite magma with less lower crustal component. [source] Birth seasonality and interbirth interval of captive Rhinopithecus bietiAMERICAN JOURNAL OF PRIMATOLOGY, Issue 5 2006Liang-Wei Cui Abstract This study, which is based on 10 years of birth records, shows that black-and-white snub-nosed monkeys (Rhinopithecus bieti) in captivity display marked birth seasonality. The birth season starts in December and ends in June, with a peak from March to May, and a median birth date of April 10. More male infants than female ones are born in captivity. More males were born at the Kunming Institute of Zoology (KIZ) than at the Kunming Zoo (KZ). Of 17 interbirth intervals (IBIs), 29% were from females that had lost an infant at <1 year of age or experienced stillbirth, and 71% were from females whose infant survived more than 1 year. The mean IBI for the former group (428±SD 87 days) was significantly shorter than that for the latter group (706±71 days), in agreement with reports of other Colobine species. Infant mortality was lower in captivity than in the field, which may reflect the relatively stable food availability and climate in captivity compared to the harsh conditions in the wild. Am. J. Primatol. 68:1,7, 2006. © 2005 Wiley-Liss, Inc. [source] Basmati Rice: Geographical Indication or Mis-IndicationTHE JOURNAL OF WORLD INTELLECTUAL PROPERTY, Issue 2 2006Harsh V. Chandola Indian farmers may not understand the Lockean or the Hegelian justification for intellectual property. Neither do they understand the politics (realpolitik) of the negotiations of the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS). Many of them had no idea that in September 2003 their fate might have been decided in the Cancun Ministerial meeting of World Trade Organization (WTO) member countries. But they do understand simple economics, i.e. if the American company which has registered a patent for basmati rice continues to sell rice as American-style basmati rice, it may hurt their exports. If the Indian Government had a key to the past, they would have definitely renegotiated-TRIPS to protect $350 million export market of basmati rice. Even if we opprobrium TRIPS and characterize it as an instrument of exploitation used by developed countries to protect their own interest, the fact of the matter is, there is no escape from it. Withdrawing from TRIPS entails too many implications for the Indian economy, and it would be cynical to suggest such an idea. Developing and least developed countries have fallen to the economic and political pressure of the Developed countries, and the former group of countries will never be able to convince the latter to renegotiate TRIPS to bring a balance to it, even if their call is eloquent, justified and reflects reality. It would be like knocking on the lid of a coffin: knock, as much as you like, you will not wake him. Post-Cancun (WTO Ministerial Meeting), it is vital for the Indian Government to formulate strategies to protect its interest in TRIPS. The strategy should focus on the options available within the TRIPS framework. We might have lost advantage in the field of patents to western pharmaceutical companies, but if a proper strategy is formulated we will be able to protect our basmati exports. [source] Plasma Concentrations of Mycophenolic Acid Acyl Glucuronide Are Not Associated with Diarrhea in Renal Transplant RecipientsAMERICAN JOURNAL OF TRANSPLANTATION, Issue 7 2007T. Heller The aim of this study was to determine whether plasma concentrations of the acyl (AcMPAG) and phenolic (MPAG) glucuronide metabolites of mycophenolic acid (MPA) were related to diarrhoea in renal transplant patients on mycophenolate mofetil (MMF) with cyclosporine (CsA) or tacrolimus (TCL). Blood samples (0, 30, 120 min) were taken at days 3, 10, week 4, months 3, 6 and 12 for determination of MPA, MPAG and AcMPAG. MPA-AUC was estimated using validated algorithms. Two hour AUCs were calculated for MPAG and AcMPAG. Immunosuppressive therapy consisted of CsA/MMF (n= 110) and of TCL/MMF (n= 180). In 70/290 (24%) patients 86 episodes of diarrhoea were recorded during 12 months. Significantly more patients on TCL (31.1%) suffered from diarrhea compared to CsA (12.7%). MMF dose, MPA-AUC and the 2 h AUCs of MPAG and AcMPAG did not differ between patients with and without diarrhoea. Plasma AcMPAG and MPAG concentrations were substantially higher in patients on CsA compared with TCL, while MPA-AUC was lower in the former group. These data support the concept that CsA inhibits the biliary excretion of MPAG and AcMPAG, thereby potentially reducing the risk of intestinal injury through enterohepatic recycling of MPA and its metabolites. [source] A study of the occurrence of monochorionic and monozygotic twinning in the pigANIMAL GENETICS, Issue 1 2009D. Bjerre Summary In humans as well as in most farm animals, monozygotic twins have been described. Nevertheless, only a few reports of twinning in the pig have been published. It has been suggested that monozygotic twins are formed during the first 14 days of pregnancy. This monozygotic twin study includes the investigation of porcine monochorionic embryos from 76 sows at days 26,29 post-insemination (p.i.), as well as an examination of 10 whole litters at days 21,22 p.i. In the former group, 29% of the sows carried monochorionic embryos. Based on DNA profiling using microsatellite markers, one monozygotic twin pair was found among these embryos. In the latter group, three monozygotic twin pairs were identified. Thus, it can be concluded that although the occurrence of monozygotic twins in pigs is a sporadic event, the fusion of extra-embryonic membranes is relatively common. [source] Professional exposure to pesticides and Parkinson disease,ANNALS OF NEUROLOGY, Issue 4 2009Alexis Elbaz MD Objective We studied the relation between Parkinson disease (PD) and professional exposure to pesticides in a community-based case-control study conducted in a population characterized by a high prevalence of exposure. Our objective was to investigate the role of specific pesticide families and to perform dose-effect analyses. Methods PD cases (n = 224) from the Mutualité Sociale Agricole (France) were matched to 557 controls free of PD affiliated with the same health insurance. Pesticide exposure was assessed using a 2-phase procedure, including a case-by-case expert evaluation. Analyses of the relation between PD and professional exposure to pesticides were first performed overall and by broad category (insecticides, fungicides, herbicides). Analyses of 29 pesticide families defined based on a chemical classification were restricted to men. Multiple imputation was used to impute missing values of pesticide families. Data were analyzed using conditional logistic regression, both using a complete-case and an imputed dataset. Results We found a positive association between PD and overall professional pesticide use (odds ratio [OR] = 1.8, 95% confidence interval [CI] = 1.1,3.1), with a dose-effect relation for the number of years of use (p = 0.01). In men, insecticides were associated with PD (OR = 2.2, 95% CI = 1.1,4.3), in particular organochlorine insecticides (OR = 2.4, 95% CI = 1.2,5.0). These associations were stronger in men with older onset PD than in those with younger onset PD, and were characterized by a dose-effect relation in the former group. Interpretation Our results support an association between PD and professional pesticide exposure, and show that some pesticides (ie, organochlorine insecticides) may be more particularly involved. Ann Neurol 2009;66:494,504 [source] INSIGHTS INTO NORTH MESOPOTAMIAN ,METALLIC WARE'*ARCHAEOMETRY, Issue 2 2006T. BROEKMANS With the aim of shedding new light on the still poorly understood North Mesopotamian metallic ware, ceramic and soil samples from Tell Beydar (northeastern Syria, third millennium bc) were investigated using a range of analytical techniques, including optical microscopy, SR,XRD and SEM,EDX. The objective of this work was to differentiate calcareous metallic ware from non-calcareous ware without the aid of chemical analyses and to find further validation of the existing hypothesis that the former group is an imitation of the latter. A third group of metallic wares from Tell Beydar is believed to be of non-local, still regional origin. [source] Anti,U3 RNP autoantibodies in systemic sclerosisARTHRITIS & RHEUMATISM, Issue 4 2009Rohit Aggarwal Objective To describe the classification, demographic and clinical features, and survival in anti,U3 RNP autoantibody,positive patients with systemic sclerosis (SSc). Methods Medical records of 108 anti,U3 RNP,positive and 2,471 anti,U3 RNP,negative SSc patients first evaluated during 1985,2003 were reviewed. Anti,U3 RNP antibody was detected by protein and RNA immunoprecipitation. Disease classification, demographic and clinical features, organ system involvement, and survival were compared between the 2 patient groups, by Student's t -test, chi-square analysis, and Mantel-Haenszel test. Results The anti,U3 RNP,positive group had a higher proportion of African American patients (27% versus 5%; P < 0.001) and male patients (29% versus 19%; P = 0.021), and was younger at the time of first physician diagnosis (mean age 42.8 years versus 47.4 years; P = 0.001). The 2 groups had similar proportions of patients with diffuse cutaneous involvement (47% and 45% in those with and those without anti,U3 RNP, respectively). However, among patients with diffuse cutaneous involvement, the mean maximum modified Rodnan skin score was significantly lower in the anti,U3 RNP group (22.3 versus 27.9; P < 0.001). Skeletal muscle involvement was more frequent in anti,U3 RNP,positive patients (25% versus 14%; P = 0.002), as was "intrinsic" pulmonary arterial hypertension (PAH) (31% versus 13%; P < 0.001). The frequency of gastrointestinal involvement, cardiac involvement, pulmonary fibrosis, and "renal crisis" did not differ significantly between the 2 groups. Survival was worse in the anti,U3 RNP,positive group (hazard ratio 1.38 [95% confidence interval 1.05,1.82]). PAH was the most common known cause of death in patients with anti,U3 RNP (30%, versus 10% in the anti,U3 RNP,negative group; P < 0.001). Conclusion The present findings demonstrate that the frequencies of African American race and male sex are greater among SSc patients with anti,U3 RNP antibody than those without, and the former group is younger at SSc diagnosis. Anti,U3 RNP,positive patients have more frequent skeletal muscle involvement and PAH, the latter being the most common cause of death. [source] Elucidation of the relationship between synovitis and bone damage: A randomized magnetic resonance imaging study of individual joints in patients with early rheumatoid arthritisARTHRITIS & RHEUMATISM, Issue 1 2003Philip G. Conaghan Objective To simultaneously image bone and synovium in the individual joints characteristically involved in early rheumatoid arthritis (RA). Methods Forty patients with early, untreated RA underwent gadolinium-enhanced magnetic resonance imaging (MRI) of the second through fifth metacarpophalangeal joints of the dominant hand at presentation, 3 months, and 12 months. In the first phase (0,3 months), patients were randomized to receive either methotrexate alone (MTX) or MTX and intraarticular corticosteroids (MTX + IAST) into all joints with clinically active RA. The MTX-alone group received no further corticosteroids until the second phase (3,12 months), when both groups received standard therapy. Results In the first phase, MTX + IAST reduced synovitis scores more than MTX alone. There were significantly fewer joints with new erosions on MRI in the former group compared with the latter. During the second phase, the synovitis scores were equivalent and a similar number of joints in each group showed new erosions on MRI. In both phases, there was a close correlation between the degree of synovitis and the number of new erosions, with the area under the curve for MRI synovitis the only significant predictor of bone damage progression. In individual joints, there was a threshold effect on new bone damage related to the level of synovitis; no erosions occurred in joints without synovitis. Conclusion In early RA, synovitis appears to be the primary abnormality, and bone damage occurs in proportion to the level of synovitis but not in its absence. In the treatment of patients with RA, outcome measures and therapies should focus on synovitis. [source] Ethnicity affects the diagnostic validity of alpha-fetoprotein in hepatocellular carcinomaASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, Issue 2-3 2005Amal GAD Abstract Introduction: Hepatocellular carcinoma (HCC) is the fourth most common cancer worldwide with a high morbidity and mortality. Alpha-fetoprotein (AFP) is considered the main tumor marker for HCC diagnosis, but the variation in its diagnostic validity among studies justifies further investigation of the underlying contributing factors. Ethnic difference could be one of the factors that has not been well studied. We aimed at investigating the ethnic difference in AFP validity between Egyptian (representing Arabic North African) and Japanese (representing Asian) for HCC diagnosis. Methods: Four cohorts with chronic liver diseases (CLD) were studied: 171 Egyptian (65 HCC/106 non-HCC), and 173 Japanese (45 HCC/128 non-HCC). Laboratory tests including serum AFP, protein-induced vitamin K deficiency or absence (PIVKA-II), alanine aminotransferase (ALT), total bilirubin, platelet count, HBsAg, anti-HCV, and HCV core antigen were conducted using standard commercially available assays. Results: A significantly higher sensitivity of AFP in Egyptian in comparison with Japanese for HCC diagnosis (99 vs 67%, P < 0.001) was observed using an AFP cut-off point of 10 ng/mL, with a comparable specificity, (75,vs, 82%), While, a, sensitivity, of, 98, versus, 56%,,P < 0.001, and, a, specificity, of, 83, versus, 89% was found for AFP cut-off point of 20 ng/mL, respectively. The area under the receiver operating characteristic curve (ROC) was found to be 0.98 (95%CI = 0.969,0.997) for Egyptian and 0.77 (95%CI = 0.686,0.864) for Japanese. The highest sensitivity for the former group occurred at AFP = 20.5 ng/mL and at AFP = 10.2 ng/mL for the latter. Univariate analysis showed no effect for age, sex, underlying liver disease, cirrhosis, Child's class or tumor characteristics (size, pathological grade) on AFP sensitivity, while race significantly contributed to the higher sensitivity among Egyptians in comparison with the Japanese. Using ROC analysis, the AFP cut-off point for HCC detection in each subgroup of patients with and without each of the risk factors of interest was determined and the subgroups were again subclassified according to AFP positivity (< or , the decided cut-off point for each group). Logistic regression analysis of those factors combined showed that Egyptian ethnicity with an AFP level >20.5 ng/mL (P = 0.007), older age (>50 years) with an AFP level >26 ng/mL (P = 0.010), and cirrhosis with an AFP level >10.5 ng/mL (P = 0.014) were the independent risk factors for HCC. Conclusion: There is an ethnic variation in AFP validity between Egyptian and Japanese patients with a significantly lower sensitivity in the latter. Alpha-fetoprotein should not be the only marker used for screening HCC among Asian Japanese and younger age groups (<50 years) with CLD. In addition, an AFP cut-off point of 20 ng/mL is recommended when screening patients of Asian origin for HCC. [source] Does body-coil magnetic-resonance imaging have a role in the preoperative staging of patients with clinically localized prostate cancer?BJU INTERNATIONAL, Issue 4 2004Darrell J. Allen OBJECTIVE To investigate the accuracy and use of body-coil magnetic resonance imaging (MRI) in the local staging of prostate cancer before radical prostatectomy (RP). PATIENTS AND METHODS Fifty-six patients undergoing RP were staged before surgery using body-coil MRI; none was denied surgery on the basis of their scan results. All scans were reported before RP by one of three consultant radiologists and afterward by a colleague with a special interest in prostate MRI, unaware of the patients' clinical details. RESULTS The overall sensitivity of MRI at detecting extracapsular extension was 50% on general reporting and 72% when reported by the specialist radiologist; the respective specificities were 84% and 86%. Of the 55 patients included in the study, 18 (33%) had extracapsular disease on histological analysis. MRI was most accurate in the 17 patients at high-risk (prostate-specific antigen, PSA, >10 ng/mL and Gleason score ,,8) and eight at intermediate risk (PSA < 10 ng/mL and Gleason score 7). In the former group with specialist analysis, the sensitivity was 100%, although this decreased to 67% with general reporting. Both gave a specificity of 82%. Intermediate risk disease gave a sensitivity and specificity of 75%, irrespective of reporting method. The ability of MRI to detect extraprostatic tumour in the 30 low-risk patients (PSA < 10 ng/mL and Gleason score 2,6) was poor; the sensitivity was 25% with general and 50% on specialist review, although both methods gave a specificity of >90%. CONCLUSION Body-coil MRI is sensitive and specific for identifying extracapsular extension of prostate cancer in patients with high- or intermediate-risk disease. Patients at low risk frequently have microscopic extension which is not detected. Opinion from a radiologist with a special interest in prostate MRI can increase the reporting accuracy even when unaware of the patients' clinical details. [source] Clinical significance of residual disease during treatment in childhood acute myeloid leukaemiaBRITISH JOURNAL OF HAEMATOLOGY, Issue 2 2003Elaine Coustan-Smith Summary. In children with acute myeloid leukaemia (AML), morphological and karyotypic studies cannot precisely assess response to treatment, and less than one-third of patients have genetic markers for molecular studies of residual disease. We determined the usefulness of a four-colour flow cytometric strategy developed in our laboratory to study residual disease. We first compared the immunophenotypes of AML cells obtained from 54 children at diagnosis with those of cells from 59 normal or regenerating bone marrow samples. Forty-six of the 54 AML cases (85·2%) had immunophenotypes that allowed detection of 0·1,0·01% residual leukaemic cells. Of 230 bone marrow samples obtained from those 46 patients during and off treatment, 61 (26·5%) had ,,0·1% AML cells by flow cytometry. We found that core binding factor-associated AML had a significantly better early treatment response. Mean (± standard error) 2-year survival estimate was 33·1 ± 19·1% for patients with ,,0·1% AML cells by flow cytometry after induction therapy, but 72·1 ± 11·5% for those with <,0·1% AML cells (P = 0·022); overt recurrence of AML within the subsequent 6 months was significantly more likely in the former group. The assay described here holds promise for guiding the choice of post-remission treatment options in children with AML. [source] Hodgkin's disease in the elderly: a population-based studyBRITISH JOURNAL OF HAEMATOLOGY, Issue 2 2002Gail L. Stark Summary. This study evaluated the incidence and outcome of Hodgkin's disease (HD) in older patients using a population-based approach. In total, 102 patients (52 men, 50 women) aged , 60 years presented in the Northern Health Region of England (population of 3·09 million) between 1 January 1991 and 31 December 1998 and were studied prospectively. The age-specific incidence was 1·97/100 000 for those aged 60,69 years, and 2·18/100 000 for those aged 70 years or over. The median age of the cohort was 70 years (range 60,91) and the median follow up was 63 months (range 20,113). Out of 95 treated patients, 70 (74%) obtained complete or good partial (> 90% response) remissions. In the 60 to 69-year-old group, the disease-specific survival at 5 years was 100% for those presenting with early stage disease and 52% for those with advanced stage disease. In patients aged >70 years the 5 year disease-specific survival was 36% in patients with early stage and 14% for patients with advanced stage disease. The survival of patients with Epstein,Barr virus (EBV)-positive tumours was significantly poorer than that of patients with EBV-negative tumours (P = 0·007); median survival in the former group was 20 months versus undefined in the latter group. In total, 43 deaths were due to progressive HD and five were treatment-related. This study defined the incidence of HD in our population and demonstrated that the prognosis of elderly patients, particularly those with advanced stage disease, has not improved concurrently with that of patients aged < 60 years old. Novel approaches to assessment and treatment are necessary. [source] Phenotypic characteristics of temporal lobe epilepsy: the impact of hippocampal sclerosisACTA NEUROLOGICA SCANDINAVICA, Issue 2009K. Heuser Objectives , Whether mesial temporal lobe epilepsy with hippocampal sclerosis (MTLE-HS) is a condition with a unique biological background that can be delineated from other TLE, is unresolved. Here we performed a comparative analysis of two TLE patient cohorts , one cohort with HS and one without HS , in order to identify phenotypic characteristics specifically associated with MTLE-HS. Methods , Epidemiological data and clinical and diagnostic features were compared between patients with MTLE-HS and TLE patients without HS. When appropriate, data were compared with healthy controls. Results , Fifty-six (26%) patients were diagnosed with MTLE-HS and 162 (74%) with other TLE. Age at epilepsy onset was lower in patients with MTLE-HS (P = 0.003) than in TLE patients without HS. Incidence of simple partial seizures was higher in the MTLE-HS group (P = 0.006), as were complex partial seizures (P = 0.001), ictal psychiatric symptoms (P = 0.015), and autonomic symptoms (P < 0.001). Interictal psychiatric symptoms, including depression, were less frequent in MTLE-HS (P = 0.043). MTLE-HS patients had a higher incidence of childhood febrile seizures (FS; P = 0.043) than TLE patients without HS. In contrast, the former group had the lower frequency of first-grade family members with childhood FS (P = 0.019). Conclusions , We identified phenotypic characteristics that distinguish MTLE-HS from other types of TLE. These characteristics will be important in diagnostics, treatment, and determination of prognosis, and provide a basis for future phenotype,genotype studies. [source] | ||||||||||||||||||||||||||||||||||