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1. Book Review: Art. [1978]
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Hausman, Patricia R., Sisson, Jacqueline D., DeCandido, GraceAnne A., Bond, Randall I., Huemer, Christina, Kaplan, Robin, Pollard, Elizabeth B., Miller, Marjorie, von Khrum, Paul, and Reister, Willa
Library Journal . 6/1/1978, Vol. 103 Issue 11, p1162. 3p.
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Edington, Jacqueline, Geekie, Moira, Carter, Robin, Benfield, Lisa, Fisher, Karen, Ball, Madeleine, and Mann, Jim
British Medical Journal (Clinical Research Edition) . 2/7/1987, Vol. 294 Issue 6568, p333-336. 4p. 1 Diagram, 4 Charts.
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LOW-fat diet and BLOOD cholesterol
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Examines the effect of dietary cholesterol on plasma cholesterol concentration in subjects following low fat diet in Great Britain. Ratio of polyunsaturated to saturated fatty acids; Comparison of the cholesterol concentration among subjects; Importance of dietary cholesterol for the reduction of saturated fats.
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Silver, Annabelle, Combs, Allan, McConnellogue, Janet, Johnson, Robin, Pickering, John, and Hicks, Jacqueline
- Perceptual and Motor Skills. April 1989, Vol. 68 Issue 2, p522, 1 p.
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Edington, Jacqueline D., Geekie, Moira, Carter, Robin, Benfield, Lisa, Ball, Madeleine, and Mann, Jim
- American Journal of Clinical Nutrition. July 1989, Vol. 50 Issue 1, p58, 5 p.
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Schindehette, Susan, Micheli, Robin, Sheff, Vicki, Savaiano, Jacqueline, Knapp, Dan, Bacon, Doris, Demaret, Kent, McNeil, Liz, and Waggoner, Dianna
People . 8/7/89, Vol. 32 Issue 6, p68. 1p.
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Christopher MM, Pereira JL, and Brigmon RL
Veterinary clinical pathology [Vet Clin Pathol] 1992; Vol. 21 (1), pp. 3-8.
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An automated method for measuring beta-hydroxybutyrate was adapted to the Ciba-Corning 550 Express trade mark random access analyzer. The assay was based on a kinetic reaction utilizing hydroxybutyrate-dehydrogenase. Beta-hydroxybutyrate concentration (mmol/L) was calculated ratiometrically using a 1.0 mmol/l standard. Canine serum, plasma, and urine were used without prior deproteinization and only a 30-microliter sample was required. The method demonstrated good linearity between 0 to 2 mmol/l of beta-hydroxybutyrate. Analytical recovery (accuracy) within these concentrations ranged from 85.8 to 113.3%. Both within-run and day-to-day precision were determined, as was specificity of the assay in the presence of a variety of interfering substances. The automated assay was rapid and economical, with reagent stability maintained for at least 2 weeks at 4 degrees C. This assay can readily be applied toward the assessment of ketoacidosis in dogs, and with further validation, other species.
7. NEWS & Political Review. [1992]
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Kingman, Sharon, Yamauchi, Masaya, Dorozynski, Alexander, Swan, Norman, McBride, Gail, Karcher, Helmut L., Godlee, Fiona, Annis, Jacqueline, Gloag, Daphne, Lowry, Stella, Warden, John, Dyer, Clare, Williams, Robin, Greenhill, Sally, and Greenhill, Richard
BMJ: British Medical Journal (International Edition) . 3/7/92, Vol. 304 Issue 6827, p591. 6p. 4 Black and White Photographs, 1 Diagram.
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MEDICINE, FETAL tissue research, POPULATION & the environment, FETAL death, and POLITICAL science
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Presents global developments on the political aspects of medicine as of March 1992. Progress on fetal tissue research and transplants in Australia, Europe, and the United States; Increase in human population; Disposal of fetuses and fetus remains.
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Scull, Christopher, Ager, Barry, Bourn, Robert, Cameron, Esther, Clogg, P. W., Creighton, John, Edwards, Glynis, Gelling, Margaret, Gilmour, Brian, Harman, Mary, Henry, Pippa, Holgate, Robin, Huntley, Jacqueline P., Johnson, Paul, Linford, Neil, Marlow, C. A., Mortimer, Catherine, Mudd, Andrew, Odenstedt, Bengt, and Page, R. I.
Archaeological Journal . 1992, Vol. 149, p124-281. 158p. 13 Black and White Photographs, 66 Diagrams, 12 Charts, 2 Graphs, 2 Maps.
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ARCHAEOLOGICAL excavations, ARCHAEOLOGICAL surveying, ARCHAEOLOGY, INTERMENT, and IRON Age
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Geophysical survey and excavation have demonstrated that iron age settlement features and early Anglo-Saxon burials discovered during road construction in 1983 were part o[ an extensive multi-period site, now a Scheduled Ancient Monument. This paper presents the results of the archaeological investigations. The bulk of the report is concerned with the early Anglo-Saxon burials, which included a grave containing a balance, weights and runic inscription. The evidence for late mesolithic, neolithic -- early bronze age, iron age and post-medieval activity is also discussed, and the site is considered in its regional and wider context. [ABSTRACT FROM AUTHOR]
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Ackland, Jacqueline F., Schwartz, Neena B., Mayo, Kelly E., and Dodson, Robin E.
- Physiological Reviews. July 1992, Vol. 72 Issue 3, p731, 57 p.
10. On winning friends and influencing people: action identification and self-presentation success [1992]
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Vallacher, Robin R., Wegner, Daniel M., McMahan, Susan C., Cotter, Jacqueline, and Larsen, Kathleen A.
- Social Cognition. Fall, 1992, Vol. 10 Issue 3, p335, 21 p. graph
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John, Esther M., Whittemore, Alice S., Harris, Robin, and Itnyre, Jacqueline
- Journal of the National Cancer Institute. Jan 20, 1993, Vol. 85 Issue 2, p142, 6 p.
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Ferris, Jacqueline, Room, Robin, and Giesbrecht, Norman
- Alcohol Health & Research World. Summer 1993, Vol. 17 Issue 3, p235, 7 p.
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Beitler, Jonathan J., Mahadevia, Panna S., Silver, Carl E., Wadler, Scott, Rubin, John S., Bello, Jacqueline A., Mitnick, Robin J., and Vikram, Bhadrasain
- Cancer. May 15, 1994, Vol. 73 Issue 10, p2648, 5 p.
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Weir R, Browne G, Roberts J, Tunks E, and Gafni A
Pain [Pain] 1994 Sep; Vol. 58 (3), pp. 377-386.
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Adaptation, Psychological, Adult, Chronic Disease, Factor Analysis, Statistical, Female, Humans, Male, Regression Analysis, Social Support, Socioeconomic Factors, Surveys and Questionnaires, Life Change Events, Pain psychology, and Quality of Life
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Cognitive appraisal processes or the meaning a person gives a stressful event are believed to mediate an individual's reaction to an event and, as such, have been demonstrated to explain adjustment to illness. The purpose of this paper is to test this cognitive as well as other social and illness variables to explain the variance in a person's adjustment to chronic pain. Two hundred and twenty-two patients, who were randomly selected from an original sample of referrals to a chronic pain specialty clinic, completed a questionnaire by telephone interview or mail. The questionnaire consisted of psychosocial scales (PAIS-SR; Social Support) and cognitions including the Meaning of Illness Questionnaire (MIQ). Fifty-six percent of the sample had poor psychosocial adjustment to their pain problem. Seventy percent of the variance in adjustment was explained by social and cognitive variables which corroborates their importance. The MIQ 5-factor structure was supported and provides credible evidence of the role of cognitions in differentiating between the poor and well adjusted.
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Ohlendieck, Kay, Partin, Jacqueline S., Stears, Robin L., and Lennarz, William J.
- Developmental Biology. Sept, 1994, Vol. 165 Issue 1, p53, 10 p. photograph
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Room, Robin, Bondy, Susan J., and Ferris, Jacqueline
Addiction . Apr1995, Vol. 90 Issue 4, p499-513. 16p. 4 Charts, 5 Graphs.
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ALCOHOL drinking
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In a national sample of 11 634 Canadians aged 15 years and above, risk curves for harm to six life-areas from one's own drinking and for assault by another drinker rose steadily with the respondent's volume of alcohol consumption. While drinking five or more drinks on an occasion at least once a month substantially raised the risk at a given volume of drinking, the risk rose with volume even among those not regularly drinking five or more drinks. These relationships remained in logistic regressions which controlled for gender, age and educational level. Younger respondents, those without higher education and men reported more harm for a given level of their own drinking although differences by gender disappeared above one-third of one drink per day. Three sets of guidelines for low-risk drinking-two from Canada, and one generally used in Britain-were compared in terms of the proportions of respondents reporting harm from their own drinking among those who had kept within the guideline in the previous 7 days' drinking. More restrictiveness in the guidelines was associated with substantial reductions in reported drinking-related harm. [ABSTRACT FROM AUTHOR]
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17. Ambiguity and underwriter decision processes [1995]
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Kunreuther, Howard, Meszaros, Jacqueline, Hogarth, Robin M., and Spranca, Mark
- Journal of Economic Behavior & Organization. May 1995, Vol. 26 Issue 3, p337, 1 p.
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18. Three tips for saving mice. [1995]
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Seewald, Jacqueline and Harris, Robin
Technology Connection . Oct95, Vol. 2 Issue 6, p8. 1/2p.
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MICE (Computers)
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Offers advice on how to prevent removal of a computer mouse's trackball. Dabbing super glue on the inside lid; Locking the trackball retaining ring into the mouse.
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Kurtz, Jacqueline R., Robins, Thomas G., and Schork, M. Anthony
- Journal of Occupational and Environmental Medicine. July 1997, Vol. 39 Issue 7, p661, 11 p.
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Boshoff, Chris, Endo, Yoshio, Collins, Paul D., Takeuchi, Yasuhiro, Reeves, Jacqueline D., Schweickart, Vicki L., Siani, Michael A., Sasaki, Takuma, Williams, Timothy J., Gray, Patrick W., Moore, Patrick S., Chang, Yuan, and Weiss, Robin A.
- Science. Oct 10, 1997, Vol. 278 Issue 5336, p290, 5 p.
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Halsey, Neal A., Coberly, Jacqueline S., Desormeaux, Julio, Atkinson, Joan, Moulton, Lawrence H., Contave, Mireil, Johnson, Michael, Davis, Homer, Geiter, Lawrence, Johnson, Erica, Huebner, Robin, Boulos, Reginald, and Chaisson, Richard E.
Lancet . 3/14/1998, Vol. 351 Issue 9105, p786. 7p. 1 Diagram, 5 Charts, 3 Graphs.
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TUBERCULOSIS prevention, MEDICAL care of HIV-positive persons, ISONIAZID, PTERIDINES, and DRUG efficacy
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Studies the effectiveness of isoniazid versus rifampicin with pyrazinamide for prevention of tuberculosis in HIV-1 positive individuals. Methods for comparing efficacy of the chemoprophylaxis regimens; Findings; Interpretation. INSET: Disease categories.
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22. Latanoprost treatment for glaucoma: effects of treating for 1 year and of switching from timolol [1998]
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Camras, Carl B., Wax, Martin B., Ritch, Robert, Weinreb, Robert, Robin, Alan L., Higginbotham, Eve J., Lustgarten, Jacqueline, Stewart, William C., Sherwood, Mark, Krupin, Theodore, Wilensky, Jacob, Cioffi, George A., Katz, L. Jay, Schumer, Robert A., Kaufman, Paul L., Minckler, Don, Zimmerman, Thom, and Stjernschantz, Johan
- American Journal of Ophthalmology. Sept 1998, Vol. 126 Issue 3, p390, 10 p.
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23. Anger-Related Traits and Response to Interpersonal Conflict Among New York City Traffic Agents. [1998]
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Brondolo, Elizabeth, Masheb, Robin, Stores, Jacqueline, Stockhammer, Tanya, Tunick, Wendy, Melhado, Elizabeth, Karlin, William A., Schwartz, Joseph, Harburg, Ernest, and Contrada, Richard J.
Journal of Applied Social Psychology . 11/16/98, Vol. 28 Issue 22, p2089-2118. 30p.
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PERSONALITY, ANGER, CITY traffic, AFRICAN Americans, AUTOMOBILE drivers, ATTITUDE (Psychology), and PSYCHOLOGICAL burnout
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This study evaluates the psychosocial correlates of anger-related traits. Participants include New York City traffic enforcement agents (TEAs), who issue summonses for vehicular and parking violations and are frequently confronted by angry motorists. This sample of TEAs is 53% African American and 57% female. Participants completed surveys at 2 points, 4 months apart, which measured attitudinal, affective, and expressive components of hostility and anger, as well as dimensions of workplace psychosocial response. Results indicate that trait anger-in was positively associated with frequency of conflict, anger intensity, and burnout in cross-sectional analyses; and positively associated with frequency of conflict in prospective analyses. Trait anger was positively associated with an increase in burnout over a 4-month period. These findings provide support for the transactional model of hostility and health and have implications for worksite interventions promoting cardiovascular health. [ABSTRACT FROM AUTHOR]
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24. LETTERS. [1999]
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Brand, William, Rudnick, David, Dunphy, Brendan, Moen, Gerald, Rutelli, Francesco, Fadiman, Jeffrey, Sivasubramanian, M. N., Desmond, Marc, Harris, Robin, Lamont, Lord, Talekar, N. S., Mounteer, Carl, Fitzpatrick, Maurice, Richards, Ian, Teo, Jacqueline, Sass, Edgar, and Dussolier, Maurice
Economist . 2/13/1999, Vol. 350 Issue 8106, p6-8. 2p.
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LETTERS to the editor, DAY trading (Securities), BUBBLE gum, ECONOMICS, and ECONOMIC policy
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Several letters to the editor are presented in response to articles in previous issues including "When the Bubble Bursts," in the January 30, 1999 issue, "Blame It on the Bubbles," in the January 23, 1999 issue, and "A Nervous Shuffle in Malaysia," in the January 16, 1999 issue.
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Browne, Gina, Roberts, Jacqueline, Gafni, Amiram, Byrne, Carolyn, Weir, Robin, Majumdar, Basanti, and Watt, Susan
Journal of Evaluation in Clinical Practice . Dec1999, Vol. 5 Issue 4, p367-385. 19p.
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COMMUNITY health services, NATIONAL health insurance, and MEDICAL care
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A series of 12 studies (five historic cohort and seven randomized trials) examined clients in community settings in Southern Ontario suffering from a variety of chronic physical and mental health conditions. These studies are appraised using a framework for evaluating possible outcomes of economic evaluation. In the 12 studies, sample composition and size varied. Each study was designed to quantify the well-being outcomes and expenditures associated with different community-based approaches to care provided in the context of a system of national health insurance. As a collective, these studies represent increasing methodological rigour. Multiple-perspective client well-being outcome measures were used. In two studies, caregiver burden also was analysed. A common approach to quantification and evaluation of expenditures for service consumption was used in all 12 studies. The nature of community-based health services (health vs. disease care orientation) was found to have direct and measurable impact on total expenditures for health service utilization and client well-being outcomes. In most cases, a recurring pattern of equal or better client outcomes, yet lower expenditures for use of community based health services, was associated with well-integrated health oriented services. Integrated services aimed at factors which determine health are superior when compared to individual, fragmented, disease oriented, and focused approaches to care. The main lessons from the 12 studies are that it is as or more effective and as or less expensive to offer complete, proactive, community health services to persons living with chronic circumstance than to provide focused, on-demand, piecemeal services. Complete services would have a psychosocial and mental health focus included with the physical care approach. Furthermore, people with coexisting risk factors (age, living arrangements, mental distress and problem-solving ability) are the ones who most benefit at lower expense... [ABSTRACT FROM AUTHOR]
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Toomes, Carmel, James, Jacqueline, Wood, A. Joseph, Wu, Chu Lee, McCormick, Derek, Lench, Nicholas, Hewitt, Chelsee, Moynihan, Leanne, Roberts, Emma, Woods, C. Geoffrey, Markham, Alexander, Wong, Melanie, Widmer, Richard, Ghaffar, Khaled Abdul, Pemberton, Michael, Hussein, Ibtessam Ramzy, Temtamy, Samia A., Davies, Robin, and Read, Andrew P.
Nature Genetics . Dec99, Vol. 23 Issue 4, p421. 4p.
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PERIODONTAL disease and KERATOSIS
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Papillon-Lefèvre syndrome, or keratosis palmoplantaris with periodontopathia (PLS, MIM 245000), is an autosomal recessive disorder that is mainly ascertained by dentists because of the severe periodontitis that afflicts patients. Both the deciduous and permanent dentitions are affected, resulting in premature tooth loss. Palmoplantar keratosis, varying from mild psoriasiform scaly skin to overt hyperkeratosis, typically develops within the first three years of life. Keratosis also affects other sites such as elbows and knees. Most PLS patients display both periodontitis and hyperkeratosis. Some patients have only palmoplantar keratosis or periodontitis, and in rare individuals the periodontitis is mild and of late onset. The PLS locus has been mapped to chromosome 11q14-q21 (refs 7-9). Using homozygosity mapping in eight small consanguineous families, we have narrowed the candidate region to a 1.2-cM interval between DllS4082 and D11S931. The gene (CTSC) encoding the lysosomal protease cathepsin C (or dipeptidyl aminopeptidase I) lies within this interval. We defined the genomic structure of CTSC and found mutations in all eight families. In two of these families we used a functional assay to demonstrate an almost total loss of cathepsin C activity in PLS patients and reduced activity in obligate carriers. [ABSTRACT FROM AUTHOR]
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Resnicow, Ken, Soler, Robin, Braithwaite, Ronald L., Ahluwalia, Jasjit S., and Butler, Jacqueline
Journal of Community Psychology . May2000, Vol. 28 Issue 3, p271-290. 20p.
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SUBSTANCE abuse prevention, ETHNICITY, MEDICAL communication, ETHNIC groups, PATHOLOGICAL psychology, and SOCIAL psychology
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The rationale for targeted and tailored substance use prevention programs derives from essentially three observations: 1) differences in substance use prevalence rates across racial/ethnic groups; 2) differences in the prevalence of the risk factors for substance use across racial/ethnic groups; and 3) differences in the predictors of substance use across groups. This article provides a model for understanding cultural sensitivity as it pertains to substance use prevention. Cultural sensitivity is defined by two dimensions, surface and deep structure. Surface structure involves matching intervention materials and messages to observable, “superficial” characteristics of a target population. This may involve using people, places, language, product brands, music, food, locations, and clothing familiar to, and preferred by, the target audience. Surface structure refers to how well interventions fit within a specific culture. Deep structure involves incorporating the cultural, social, historical, environmental, and psychologic forces that influence the target health behavior in the proposed target population. For example, peer influences may exert a greater influence on substance use initiation among White and Hispanic than among African American youth, while parental influences may be stronger among African Americans. Whereas surface structure generally increases the "receptivity" or "acceptance" of messages, deep structure conveys salience. Techniques for developing culturally sensitive interventions, borrowed from social marketing and health communication theory, are described. © 2000 John Wiley & Sons, Inc. [ABSTRACT FROM AUTHOR]
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28. Reviews. [2001]
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Young, Robin Darling, Marina, Jacqueline, Rae, Murray, Wainwright, Geoffrey, Lipton, Diana, Griffiths, Paul J., Collinge, William J., Fowl, Stephen, Valliere, Paul, and Tanner, Kathryn
Modern Theology . Jul2001, Vol. 17 Issue 3.
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DYING for God (Book), KANT the Problem of God (Book), and SUFFERING Divine Things (Book)
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Books reviewed: Daniel Boyarin Dying for God: Martyrdom and the Making of Christianity and Judaism . Gordon E. Michalson, Jr. Kant and the Problem of God . Reinhard Hütter Suffering Divine Things: Theology as Church Practice . Boris Bobrinskoy The Mystery of the Trinity: Trinitarian Experience and Vision in the Biblical and Patristic Tradition . Tod Linafelt Surviving Lamentations: Catastrophe, Lament and Protest in the Afterlife of a Biblical Book . F. Samuel Brainard Reality and Mystical Experience . Sandra Lee Dixon Augustine: The Scattered and Gathered Self . Elisabeth Schüssler Fiorenza Rhetoric and Ethic: The Politics of Biblical Studies . Vladimir Wozniuk (Ed.) Politics, Law, and Morality: Essays by V. S. Soloviev . Rowan Williams Lost Icons: Reflections on Cultural Bereavement [ABSTRACT FROM AUTHOR]
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Schmidt S, Barcellos LF, DeSombre K, Rimmler JB, Lincoln RR, Bucher P, Saunders AM, Lai E, Martin ER, Vance JM, Oksenberg JR, Hauser SL, Pericak-Vance MA, and Haines JL
American journal of human genetics [Am J Hum Genet] 2002 Mar; Vol. 70 (3), pp. 708-17. Date of Electronic Publication: 2002 Feb 11.
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Adolescent, Adult, Age of Onset, Alleles, Child, Disease Progression, Female, Haplotypes genetics, Heterozygote, Humans, Male, Middle Aged, Molecular Sequence Data, Multiple Sclerosis pathology, Phenotype, Polymorphism, Single Nucleotide genetics, Probability, Survival Analysis, Apolipoproteins E genetics, Genetic Predisposition to Disease, Multiple Sclerosis genetics, Multiple Sclerosis physiopathology, and Polymorphism, Genetic genetics
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Multiple sclerosis (MS) is a chronic inflammatory disorder of the central nervous system, with a complex etiology that includes a strong genetic component. The contribution of the major histocompatibility complex (MHC) has been established in numerous genetic linkage and association studies. In addition to the MHC, the chromosome 19q13 region surrounding the apolipoprotein E (APOE) gene has shown consistent evidence of involvement in MS when family-based analyses were conducted. Furthermore, several clinical reports have suggested that the APOE-4 allele may be associated with more-severe disease and faster progression of disability. To thoroughly examine the role of APOE in MS, we genotyped its functional alleles, as well as seven single-nucleotide polymorphisms (SNPs) located primarily within 13 kb of APOE, in a data set of 398 families. Using family-based association analysis, we found statistically significant evidence that an SNP haplotype near APOE is associated with MS susceptibility (P=.005). An analysis of disease progression in 614 patients with MS from 379 families indicated that APOE-4 carriers are more likely to be affected with severe disease (P=.03), whereas a higher proportion of APOE-2 carriers exhibit a mild disease course (P=.02).
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30. Toxic equivalency factors for PAH and their applicability in shellfish pollution monitoring studies. [2002]
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Law RJ, Kelly C, Baker K, Jones J, McIntosh AD, and Moffat CF
Journal of environmental monitoring : JEM [J Environ Monit] 2002 Jun; Vol. 4 (3), pp. 383-8.
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Animals, Carcinogens, Environmental toxicity, Environmental Monitoring, Gasoline toxicity, Mollusca, Petroleum toxicity, and Polycyclic Aromatic Hydrocarbons toxicity
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Fish and shellfish are exposed to a wide range of polycyclic aromatic hydrocarbons (PAH) following oil spills at sea, and can become contaminated as a result. Finfish have a more effective mixed-function oxidase enzyme system than shellfish, and are therefore able to metabolise and excrete PAH more effectively than the invertebrates. Thus, contamination by high-molecular weight PAH, including those with carcinogenic potential and so of concern with regard to human consumers, is therefore usually observed in shellfish, and particularly in bivalve molluscs. Oil spills are not the sole source of PAH, however, as parent compounds are also generated by a wide range of combustion processes. In this paper, consideration is given to monitoring data gathered following recent oil spills (both of crude oil and diesel fuel), alongside data from other studies. These include studies conducted around a former gasworks site and downstream of an aluminium smelter in the UK, and from mussel monitoring studies undertaken in the UK and the USA (including the Exxon Valdez oil spill and the National Status and Trends programme), and in other countries in Europe. For comparative purposes the PAH concentrations are summed and also expressed as benzo[a]pyrene equivalents, their relative concentrations being weighted in relation to the carcinogenic potential of individual PAH compounds using toxic equivalency factors (TEF). Our aim was to assess the utility of this approach in fishery resource monitoring and control following oil spills. Certainly this approach seems useful from the data assessed in this study. and the relative ranking of the various studies seems to reflect the relative degree of concern for human consumers due to the differing contamination sources. As a simple tool for control purposes it is equally applicable to PAH derived from oil spills, and from industrial and combustion sources.
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31. Myogenic reactivity is reduced in small renal arteries isolated from relaxin-treated rats. [2002]
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Novak J, Ramirez RJ, Gandley RE, Sherwood OD, and Conrad KP
American journal of physiology. Regulatory, integrative and comparative physiology [Am J Physiol Regul Integr Comp Physiol] 2002 Aug; Vol. 283 (2), pp. R349-55.
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Animals, Dose-Response Relationship, Drug, Drug Administration Schedule, Endothelin Receptor Antagonists, Endothelium, Vascular physiology, Enzyme Inhibitors pharmacology, Female, In Vitro Techniques, Infusion Pumps, Implantable, Nitric Oxide Synthase antagonists inhibitors, Peptides, Cyclic pharmacology, Pregnancy, Rats, Rats, Long-Evans, Receptor, Endothelin B, Vascular Patency drug effects, Vasoconstrictor Agents pharmacology, Vasodilator Agents pharmacology, Vasomotor System physiology, Arteries drug effects, Arteries physiology, Kidney blood supply, Relaxin pharmacology, and Vasomotor System drug effects
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Administration of the ovarian hormone relaxin to nonpregnant rats vasodilates the renal circulation comparable to pregnancy. This vasodilation is mediated by endothelin (ET), the ET(B) receptor, and nitric oxide. Furthermore, endogenous relaxin mediates the renal vasodilation and hyperfiltration that occur during gestation. The goal of this study was to investigate whether myogenic reactivity of small renal and mesenteric arteries is reduced in relaxin-treated rats comparable to the pregnant condition. Relaxin or vehicle was administered to virgin female Long-Evans rats for 5 days at 4 microg/h, thereby producing midgestational blood levels of the hormone. The myogenic responses of small renal arteries (200-300 microm in diameter) isolated from these animals were evaluated in an isobaric arteriograph system. Myogenic reactivity was significantly reduced in the small renal arteries from relaxin-treated compared with vehicle-treated rats. The reduced myogenic responses were mediated by the ET(B) receptor and nitric oxide since the selective ET(B) receptor antagonist RES-701-1 and the nitric oxide synthase inhibitor N(G)-nitro-L-arginine methyl ester restored myogenic reactivity to virgin levels. The influence of relaxin was not limited to the renal circulation because myogenic reactivity was also reduced in small mesenteric arteries isolated from relaxin-treated rats. Thus relaxin administration to nonpregnant rats mimics pregnancy, insofar as myogenic reactivity of small renal and mesenteric arteries is reduced in both conditions.
32. Myogenic reactivity is reduced in small renal arteries isolated from relaxin-treated rats [2002]
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Novak, Jacqueline, Ramirez, Rolando J.J., Gandley, Robin E., Sherwood, O. David, and Conrad, Kirk P.
- American Journal of Physiology (Consolidated). August 2002, Vol. 283 Issue 2, pR349, 7 p.
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Mushunje A, Zhou A, Huntington JA, Conard J, and Carrell RW
Thrombosis and haemostasis [Thromb Haemost] 2002 Sep; Vol. 88 (3), pp. 436-43.
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Animals, Antithrombin III metabolism, Binding Sites, Brain Ischemia blood, Cattle, DNA Mutational Analysis, Factor Xa Inhibitors, Family Health, Genetic Variation, Humans, Hypercholesterolemia blood, Male, Middle Aged, Mutation, Missense, Protein Binding genetics, Antithrombin III chemistry, Antithrombin III genetics, and Heparin metabolism
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Here we report the finding of a new natural antithrombin mutation that confirms the critical contribution of lysine 114 to the binding of the core heparin pentasaccharide, with the replacement of lysine 114 by glutamate causing a complete loss in affinity. The variant was identified in a father and son, the father having been investigated for an episode of cerebral ischaemia associated with hypercholesterolaemia. The variant forms SDS-stable complexes with activated factor X (fXa) and its thermal stability and rate of factor Xa inhibition in the absence of heparin are identical to those of normal antithrombin. Normal antithrombin binds to the high affinity heparin pentasaccharide with a Kd of 1nM, as detected by a 45% change in intrinsic fluorescence, resulting in a 230-fold increase in rate of factor Xa inhibition. However, no change in fluorescence was detected for the variant when titrated with heparin or the heparin pentasaccharide, nor was there detectable activation towards factor Xa, indicating a complete loss of heparin binding.
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Caro, Bertrand, Le Poul, Pascal, Robin-Le Guen, Françoise, Saillard, Jean-Yves, Kahlal, Samia, Moinet, Claude, Le Poul, Nicolas, and Vaissermann, Jacqueline
Tetrahedron . Sep2002, Vol. 58 Issue 37, p7519. 12p.
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CONDENSATION, PYRYLIUM compounds, and CARBANIONS
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The condensation reaction between γ-unsubstituted pyrylium salts and carbanions of Fischer-type carbene complexes allowed the synthesis of new γ-methylenepyran carbene complexes. NMR data, single crystal X-ray analysis, and DFT calculations suggest that these complexes have a partial pyrylium character due to the π electron-accepting ability of the carbenic fragment and to the electron-releasing properties of the methylenepyran part. [Copyright &y& Elsevier]
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Haines JL, Bradford Y, Garcia ME, Reed AD, Neumeister E, Pericak-Vance MA, Rimmler JB, Menold MM, Martin ER, Oksenberg JR, Barcellos LF, Lincoln R, and Hauser SL
Human molecular genetics [Hum Mol Genet] 2002 Sep 15; Vol. 11 (19), pp. 2251-6.
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Chromosomes, Human, Pair 13, Chromosomes, Human, Pair 6, Chromosomes, Human, Pair 7, Genetic Heterogeneity, HLA-DR2 Antigen genetics, Humans, Lod Score, Multiple Sclerosis etiology, Genetic Linkage, Genetic Predisposition to Disease, and Multiple Sclerosis genetics
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Multiple sclerosis (MS) is a common and frequently disabling autoimmune disorder mediated by autoaggressive T cells and autoantibodies that target central nervous system myelin. While numerous studies have demonstrated a strong genetic component to MS, it has been difficult to identify the specific genes involved. Several genomic screens have been undertaken to locate such genes, but have not provided consistent gene localization, except for the MHC on chromosome 6p21 and a locus on chromosome 19q13. To determine which of the original genomic locations presented in the US genome screen could be replicated, a more detailed analysis of additional families was performed. The results, derived from a population of 266 affected individuals belonging to 98 multiplex families, continue to support linkage to chromosomes 6p21, 6q27, and 19q13 with LOD scores>3.0, and suggest that regions on chromosomes 12q23-24 and 16p13 may also harbor susceptibility loci for MS. Analysis taking into account the known HLA-DR2 association identified two additional potential linkage regions on chromosomes 7q21-22 and 13q33-34. These regions can now be targeted for detailed study to identify the underlying MS susceptibility genes.
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36. Standards for hospital libraries 2002. [2002]
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Gluck JC, Hassig RA, Balogh L, Bandy M, Doyle JD, Kronenfeld MR, Lindner KL, Murray K, Petersen J, and Rand DC
Journal of the Medical Library Association : JMLA [J Med Libr Assoc] 2002 Oct; Vol. 90 (4), pp. 465-72.
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Consultants, Humans, Librarians, Personnel Staffing and Scheduling standards, Societies, Workforce, Information Management standards, Libraries, Hospital standards, Library Services standards, and Professional Role
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The Medical Library Association's "Standards for Hospital Libraries 2002" have been developed as a guide for hospital administrators, librarians, and accrediting bodies to ensure that hospitals have the resources and services to effectively meet their needs for knowledge-based information. Specific requirements for knowledge-based information include that the library be a separate department with its own budget. Knowledge-based information in the library should be directed by a qualified librarian who functions as a department head and is a member of the Academy of Health Information Professionals. The standards define the role of the medical librarian and the links between knowledge-based information and other functions such as patient care, patient education, performance improvement, and education. In addition, the standards address the development and implementation of the knowledge-based information needs assessment and plans, the promotion and publicity of the knowledge-based information services, and the physical space and staffing requirements. The role, qualifications, and functions of a hospital library consultant are outlined. The health sciences library is positioned to play a key role in the hospital. The increasing use of the Internet and new information technologies by medical, nursing, and allied health staffs; patients; and the community require new strategies, strategic planning, allocation of adequate resources, and selection and evaluation of appropriate information resources and technologies. The Hospital Library Standards Committee has developed this document as a guideline to be used in facing these challenges.
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37. Letters. [2002]
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Atkinson, Jacqueline M, Wells, Frank O, Oliver, James, Webb, David J, Patole, Sanjay, Travadi, Javeed, von Kaehne, Peter, Jones, Graham A, Mathy, Robin M, Rushton, D Hugh, Dover, Robin, Sainsbury, Anthony W, Norris, Michael J, Gilkes, Jeremy J H, Ramsay, Ian D, Navein, John F, Simey, Piers W, Skelton, Dawn, and Dinan, Susie
BMJ: British Medical Journal (International Edition) . 11/16/2002, Vol. 325 Issue 7373, p1174. 4p. 1 Chart, 1 Graph.
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LETTERS to the editor, MEDICAL personnel, CLINICAL medicine, and PHYSICIANS' correspondence
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Presents letters to the editor and correspondence between medical practitioners as of November 16, 2002. Undisclosed payments in research; Use of sildenafil for so-called blue babies; Making the best of health advocates and interpreters; Homosexual-related legislation and suicidal intent among sexual minority groups; Iron deficiency in women's health; Others.
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Levin S, Herbert R, Skloot G, Szeinuk J, Teirstein A, Fischler D, Milek D, Piligian G, Wilk-Rivard E, and Moline J
American journal of industrial medicine [Am J Ind Med] 2002 Dec; Vol. 42 (6), pp. 545-7.
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Air Pollutants analysis, Aircraft, Humans, Musculoskeletal Diseases etiology, Musculoskeletal Diseases psychology, New York City, Occupational Diseases psychology, Occupational Health, Pilot Projects, Respiratory Tract Diseases psychology, Air Pollutants adverse effects, Occupational Diseases etiology, Occupational Exposure adverse effects, Rescue Work, Respiratory Tract Diseases etiology, and Terrorism
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Lokman BC, Joosten V, Hovenkamp J, Gouka RJ, Verrips CT, and van den Hondel CA
Journal of biotechnology [J Biotechnol] 2003 Jun 26; Vol. 103 (2), pp. 183-90.
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Aspergillus genetics, Aspergillus growth development, Blotting, Northern, Blotting, Southern, Fermentation, Heme metabolism, Mitosporic Fungi genetics, Peroxidase metabolism, Plasmids, Promoter Regions, Genetic, Aspergillus enzymology, Biotechnology methods, Mitosporic Fungi enzymology, and Peroxidase genetics
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The heterologous production of Arthromyces ramosus peroxidase (ARP) was analysed in the filamentous fungus Aspergillus awamori under control of the inducible endoxylanase promoter. Secretion of active ARP was achieved up to 800 mg l(-1) in shake flask cultures. Western blot analysis showed that an rARP product of the correct molecular weight was produced. In contrast to several other studies about heterologous production of heme containing peroxidases, our results suggest that in A. awamori no heme limitation exists during overproduction of ARP.
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Koen L, Oosthuizen PP, Niehaus DJ, Emsley RA, Muller JE, Stein DJ, Keyter N, Lochner C, and Seedat S
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde [S Afr Med J] 2003 Jul; Vol. 93 (7), pp. 517-8.
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Adult, Comorbidity, Cross-Sectional Studies, Humans, Male, Obsessive-Compulsive Disorder complications, Prevalence, Racial Groups, Schizophrenia complications, South Africa epidemiology, Obsessive-Compulsive Disorder ethnology, and Schizophrenia ethnology
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Lévy P, Robin H, Bertrand F, Kornprobst M, and Capeau J
Journal of cellular physiology [J Cell Physiol] 2003 Dec; Vol. 197 (3), pp. 336-47.
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Apoptosis drug effects, Butyrates pharmacology, Caco-2 Cells, Carcinoma drug therapy, Carcinoma metabolism, Carcinoma physiopathology, Caspase 3, Caspases drug effects, Caspases metabolism, Cell Adhesion drug effects, Cell Differentiation drug effects, Colonic Neoplasms drug therapy, Colonic Neoplasms metabolism, Colonic Neoplasms physiopathology, Down-Regulation drug effects, Down-Regulation physiology, Focal Adhesion Kinase 1, Focal Adhesion Protein-Tyrosine Kinases, Humans, Integrin beta1 drug effects, Integrin beta1 metabolism, Integrins drug effects, Intestinal Mucosa drug effects, NF-kappa B drug effects, NF-kappa B metabolism, Phosphatidylinositol 3-Kinases drug effects, Phosphatidylinositol 3-Kinases metabolism, Phosphorylation drug effects, Protein-Tyrosine Kinases drug effects, Protein-Tyrosine Kinases metabolism, Proto-Oncogene Proteins drug effects, Proto-Oncogene Proteins metabolism, Proto-Oncogene Proteins c-akt, Proto-Oncogene Proteins c-bcl-2 drug effects, Proto-Oncogene Proteins c-bcl-2 metabolism, Signal Transduction drug effects, Signal Transduction physiology, Sucrase drug effects, Sucrase metabolism, Apoptosis physiology, Cell Adhesion physiology, Cell Differentiation physiology, Integrins metabolism, Intestinal Mucosa metabolism, and Protein Serine-Threonine Kinases
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We previously reported that the enterocytic differentiation of human colonic Caco-2 cells correlated with alterations in integrin signaling. We now investigated whether differentiation and apoptosis of Caco-2 cells induced by the short-chain fatty acid butyrate (NaBT) was associated with alterations in the integrin-mediated signaling pathway with special interest in the expression and activity of focal adhesion kinase (FAK), of the downstream phosphatidylinositol 3'-kinase (PI 3-kinase)-Akt pathway and in the role of the nuclear factor kappaB (NF-kappaB). NaBT increased the level of sucrase. It induced apoptosis as shown by: (1) decreased Bcl-2 and Bcl-X(L) proteins and increased Bax protein; (2) activation of caspase-3; and (3) increased shedding of apoptotic cells in the medium. This effect was associated with defective integrin-mediated signaling as shown by: (1) down-regulation of beta1 integrin expression; 2) decreased FAK expression and tyrosine phosphorylation; (3) concerted alterations in cytoskeletal and structural focal adhesions proteins (talin, ezrin); and (4) decreased FAK ability to associate with PI 3-kinase. However, in Caco-2 cells, beta1-mediated signaling failed to be activated downstream of FAK and PI 3-kinase at the level of Akt. Transfection studies show that NaBT treatment of Caco-2 cells promoted a significant activation of the NF-kappaB which was probably involved in the NaBT-induced apoptosis. Our results indicate that the prodifferentiating agent NaBT induced apoptosis of Caco-2 cells probably through NF-kappaB activation together with a defective beta1 integrin-FAK-PI 3-kinase pathways signaling.
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Peggy Lévy, Hélène Robin, France Bertrand, Michel Kornprobst, and Jacqueline Capeau
Journal of Cellular Physiology . Dec2003, Vol. 197 Issue 3, p336. 12p.
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CELL differentiation, APOPTOSIS, FATTY acids, and PROTEINS
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We previously reported that the enterocytic differentiation of human colonic Caco-2 cells correlated with alterations in integrin signaling. We now investigated whether differentiation and apoptosis of Caco-2 cells induced by the short-chain fatty acid butyrate (NaBT) was associated with alterations in the integrin-mediated signaling pathway with special interest in the expression and activity of focal adhesion kinase (FAK), of the downstream phosphatidylinositol 3'-kinase (PI 3-kinase)Akt pathway and in the role of the nuclear factor κB (NF-κB). NaBT increased the level of sucrase. It induced apoptosis as shown by: (1) decreased Bcl-2 and Bcl-XL proteins and increased Bax protein; (2) activation of caspase-3; and (3) increased shedding of apoptotic cells in the medium. This effect was associated with defective integrin-mediated signaling as shown by: (1) down-regulation of β1 integrin expression; 2) decreased FAK expression and tyrosine phosphorylation; (3) concerted alterations in cytoskeletal and structural focal adhesions proteins (talin, ezrin); and (4) decreased FAK ability to associate with PI 3-kinase. However, in Caco-2 cells, β1-mediated signaling failed to be activated downstream of FAK and PI 3-kinase at the level of Akt. Transfection studies show that NaBT treatment of Caco-2 cells promoted a significant activation of the NF-κB which was probably involved in the NaBT-induced apoptosis. Our results indicate that the prodifferentiating agent NaBT induced apoptosis of Caco-2 cells probably through NF-κB activation together with a defective β1 integrin-FAK-PI 3-kinase pathways signaling. J. Cell. Physiol. 197: 336347, 2003© 2003 Wiley-Liss, Inc. [ABSTRACT FROM AUTHOR]
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Reid MA, Flores-Otero J, and Davis RL
The Journal of neuroscience : the official journal of the Society for Neuroscience [J Neurosci] 2004 Jan 21; Vol. 24 (3), pp. 733-42.
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Action Potentials physiology, Animals, Cells, Cultured, Cochlear Nerve physiology, Culture Techniques, Electric Stimulation methods, Immunohistochemistry, Kv1.1 Potassium Channel, Mice, Mice, Inbred CBA, Neurons classification, Neurons metabolism, Patch-Clamp Techniques, Potassium Channels biosynthesis, Protein Subunits biosynthesis, Reaction Time physiology, Neurons physiology, Potassium Channels, Voltage-Gated, and Spiral Ganglion cytology
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Type I and type II spiral ganglion neurons convey auditory information from the sensory receptors in the cochlea to the CNS. The numerous type I neurons have been extensively characterized, but the small population of type II neurons with their unmyelinated axons are undetectable with most recording methods. Despite the paucity of information about the type II neurons, it is clear that they must have a significant role in sound processing because they innervate the large number of outer hair cells that are critical for maintaining normal responses to stimuli. To elucidate the function of type II neurons, we have developed an approach for studying their electrophysiological features in vitro. Type II neurons obtained from postnatal day 6-7 mice displayed distinctly different firing properties than type I neurons. They showed slower accommodation, lower action potential thresholds, and more prolonged responses to depolarizing current injection than the type I neurons. These differences were most evident in neurons from the basal, high-frequency region of the cochlea. The basal type I neurons displayed uniformly fast firing features, whereas the basal type II neurons showed particularly slow accommodation and responses to depolarization. Interestingly, neurons from the apical, low-frequency region of the cochlea showed the opposite trend. These data suggest that the type I and type II neurons have specialized electrophysiological characteristics tailored to their different roles in auditory signal processing. In particular, the type II neuron properties are consistent with cells in other sensory systems that receive convergent synaptic input for high-sensitivity stimulus detection.
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Pericak-Vance MA, Rimmler JB, Haines JL, Garcia ME, Oksenberg JR, Barcellos LF, Lincoln R, Hauser SL, Cournu-Rebeix I, Azoulay-Cayla A, Lyon-Caen O, Fontaine B, Duhamel E, Coppin H, Brassat D, Roth MP, Clanet M, Alizadeh M, Yaouanq J, Quelvennec E, Semana G, Edan G, Babron MC, Genin E, and Clerget-Darpoux F
Neurogenetics [Neurogenetics] 2004 Feb; Vol. 5 (1), pp. 45-8. Date of Electronic Publication: 2003 Nov 01.
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Chromosomes, Human, Pair 1, Chromosomes, Human, Pair 19, Chromosomes, Human, Pair 3, Cooperative Behavior, France, Genetic Predisposition to Disease, HLA-DR Antigens genetics, HLA-DR Serological Subtypes, Humans, United States, Genetic Linkage genetics, and Multiple Sclerosis genetics
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Multiple sclerosis (MS) is a demyelinating autoimmune disease with a strong yet complex genetic component. To date only the HLA-DR locus, and specifically the HLA-DR15 allele, has been identified and confirmed as influencing the risk of developing MS. Genomic screens on several datasets have been performed and have identified several chromosomal regions with interesting results, but none have yet been confirmed. We tested seven of the most-promising regions (on chromosomes 1p, 2p, 3p, 3q, 5q, 19q, and Xp) identified from several genomic screens in a dataset of 98 multiplex MS families from the United States and 90 multiplex MS families from France. The results did not confirm linkage to 2p, 3q, 5q, or Xp in the overall dataset, or in subsets defined by geographic origin or HLA-DR15 status. Regions on 1p34, 3p14, and 19q13 produced lod scores >0.90 in at least one subset of the data, suggesting that these regions should be examined in more detail.
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Frair, Jacqueline L., Nielsen, Scott E., Merrill, Evelyn H., Lele, Subhash R., Boyce, Mark S., Munro, Robin H. M., Stenhouse, Gordon B., and Beyer, Hawthorne L.
Journal of Applied Ecology . Apr2004, Vol. 41 Issue 2, p201-212. 12p.
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HABITAT selection, GLOBAL Positioning System, HABITATS, VEGETATION & climate, RADIO telemetry, and ANIMAL radio tracking
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Journal of Applied Ecology (2004) 41, 201–212 [ABSTRACT FROM AUTHOR]
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46. Anxiety disorders and schizophrenia [2004]
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Muller, Jacqueline E., Koen, Liezl, Seedat, Soraya, Emsley, Robin A., and Stein, Daniel J.
- Current Psychiatry Reports. July, 2004, Vol. 6 Issue 4, p255, 7 p.
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Marazita ML, Murray JC, Lidral AC, Arcos-Burgos M, Cooper ME, Goldstein T, Maher BS, Daack-Hirsch S, Schultz R, Mansilla MA, Field LL, Liu YE, Prescott N, Malcolm S, Winter R, Ray A, Moreno L, Valencia C, Neiswanger K, Wyszynski DF, Bailey-Wilson JE, Albacha-Hejazi H, Beaty TH, McIntosh I, Hetmanski JB, Tunçbilek G, Edwards M, Harkin L, Scott R, and Roddick LG
American journal of human genetics [Am J Hum Genet] 2004 Aug; Vol. 75 (2), pp. 161-73. Date of Electronic Publication: 2004 Jun 04.
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Genetic Linkage, Genetic Markers, Genetic Predisposition to Disease, Humans, Lod Score, Chromosomes, Human, Pair 2, Chromosomes, Human, Pair 9, Cleft Lip genetics, and Cleft Palate genetics
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Isolated or nonsyndromic cleft lip with or without cleft palate (CL/P) is a common birth defect with a complex etiology. A 10-cM genome scan of 388 extended multiplex families with CL/P from seven diverse populations (2,551 genotyped individuals) revealed CL/P genes in six chromosomal regions, including a novel region at 9q21 (heterogeneity LOD score [HLOD]=6.6). In addition, meta-analyses with the addition of results from 186 more families (six populations; 1,033 genotyped individuals) showed genomewide significance for 10 more regions, including another novel region at 2q32-35 (P=.0004). These are the first genomewide significant linkage results ever reported for CL/P, and they represent an unprecedented demonstration of the power of linkage analysis to detect multiple genes simultaneously for a complex disorder.
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Monkman SL, Andersen CC, Nahmias C, Ghaffer H, Bourgeois JM, Roberts RS, Schmidt B, and Kirpalani HM
Critical care medicine [Crit Care Med] 2004 Dec; Vol. 32 (12), pp. 2471-5.
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Animals, Animals, Newborn, Biopsy, Needle, Cell Movement, Disease Models, Animal, Female, Immunohistochemistry, Lung Compliance, Male, Positron-Emission Tomography, Probability, Pulmonary Ventilation, Random Allocation, Respiratory Distress Syndrome diagnostic imaging, Sensitivity and Specificity, Tidal Volume, Neutrophils physiology, Positive-Pressure Respiration methods, Respiratory Distress Syndrome pathology, and Respiratory Distress Syndrome therapy
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Objectives: To compare the effects of low vs. high tidal volume (Vt) with three positive end-expiratory pressure (PEEP) strategies on activated neutrophil influx into the lung.
Design: Prospective, randomized controlled animal study.
Setting: Animal laboratory in a university hospital.
Subjects: Newborn piglets.
Interventions: Surfactant-depleted piglets were randomized in littermate pairs; to PEEP of either 0 (zero end-expiratory pressure [ZEEP]; n = 6), 8 cm H2O (PEEP 8; n = 5), or 1 cm H2O above the lower inflection point (LIP) (PEEP>LIP; n = 6). Within each pair piglets were randomized to a low VT (5-7 mL/kg) or high VT strategy (17-19 mL/kg). After 4 hrs of mechanical ventilation, 18-fluorodeoxyglucose (18FDG) was injected and positron emission tomography scanning was performed.
Measurements and Main Results: VT and PEEP changes on influx constants of 18FDG were assessed by analysis of variance. A within-litter comparison of Vt was nonsignificant (p = .50). A between-litter comparison, ordered in linear trend rank, from ZEEP, to PEEP 8, to PEEP>LIP, showed a strong effect of PEEP on influx constant (p = .019).
Conclusions: PEEP set above the LIP on the inspiratory limb of the pressure-volume curve affords a stronger lung protection than VT strategy.
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Niehaus DJ, Koen L, Muller J, Laurent C, Stein DJ, Lochner C, Seedat S, Mbanga I, Deleuze JF, Mallet J, and Emsley RA
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde [S Afr Med J] 2005 Feb; Vol. 95 (2), pp. 120-2.
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Adult, Comorbidity, Ethnicity, Female, Humans, Interview, Psychological, Male, Obsessive-Compulsive Disorder complications, Prevalence, Schizophrenia epidemiology, Schizophrenia ethnology, Schizophrenic Psychology, South Africa epidemiology, Obsessive-Compulsive Disorder epidemiology, and Schizophrenia complications
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Obsessive compulsive disorder (OCD) has been reported in up to 31% of schizophrenia sufferers. This study evaluated the presence of OCD in a Xhosa-speaking schizophrenia group. Xhosa patients (N = 509, including 100 sibships) with schizophrenia were recruited from hospital and community settings. The patients underwent a structured clinical interview for the presence of lifetime co-morbid schizophrenia and OCD. Only 3 patients (0.5%) fulfilled criteria for OCD. No concordance for OCD was noted in the sibship group. Our findings differ from those in other parts of the world, and if replicated, might suggest unique protective environmental or genetic factors for OCD in certain ethnic groups.
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Williams P, Narciso L, Browne G, Roberts J, Weir R, and Gafni A
AIDS education and prevention : official publication of the International Society for AIDS Education [AIDS Educ Prev] 2005 Apr; Vol. 17 (2), pp. 119-30.
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Adaptation, Psychological, Adult, Age Distribution, Comorbidity, Female, HIV Infections psychology, Health Care Costs statistics numerical data, Health Care Surveys, Health Expenditures statistics numerical data, Health Services statistics numerical data, Health Status, Health Surveys, Humans, Male, Middle Aged, Ontario epidemiology, Prevalence, Quality of Life, Risk Factors, Sex Distribution, Socioeconomic Factors, Depression economics, Depression epidemiology, HIV Infections economics, and HIV Infections epidemiology
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As new technologies extend the lives of people living with HIV/AIDS (PHA), the need increases for services that optimize their quality-of-life cost effectively. This study of PHAs (n = 297) in Ontario, Canada, examined the prevalence of depression, and its association with quality-of-life, coping strategies, social support, and use of health and social services. Results showed that depression was widespread (54.2%) and largely unrelated to demographic characteristics, but associated with diminished health status, health-related quality-of-life, and coping strategies. Depressed PHAs used significantly more crisis health care and related services, and community-based HIV/AIDS service organizations (ASOs). Findings suggest quality-of-life of PHAs may be improved by expanding the capacity of ASO workers to recognize and address depression, including helping depressed PHA access appropriate medication and sustain medication regimes.
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Hassig RA, Balogh L, Bandy M, Doyle JD, Gluck JC, Lindner KL, Reich B, and Varner D
Journal of the Medical Library Association : JMLA [J Med Libr Assoc] 2005 Apr; Vol. 93 (2), pp. 282-3.
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Humans, Information Management standards, Library Associations standards, Professional Role, United States, Information Storage and Retrieval standards, Librarians, Libraries, Hospital standards, and Library Services standards
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52. Over- and underdosage of SOX3 is associated with infundibular hypoplasia and hypopituitarism. [2005]
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Woods KS, Cundall M, Turton J, Rizotti K, Mehta A, Palmer R, Wong J, Chong WK, Al-Zyoud M, El-Ali M, Otonkoski T, Martinez-Barbera JP, Thomas PQ, Robinson IC, Lovell-Badge R, Woodward KJ, and Dattani MT
American journal of human genetics [Am J Hum Genet] 2005 May; Vol. 76 (5), pp. 833-49. Date of Electronic Publication: 2005 Mar 30.
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Adolescent, Base Sequence, Child, Child, Preschool, Choristoma genetics, Chromosomes, Human, X, Gene Duplication, Human Growth Hormone deficiency, Humans, Infant, Male, Molecular Sequence Data, Mutation, Pedigree, Phenotype, Pituitary Gland, Anterior, Polymorphism, Genetic, SOXB1 Transcription Factors, DNA-Binding Proteins genetics, High Mobility Group Proteins genetics, Hypopituitarism genetics, Pituitary Gland, Posterior abnormalities, and Transcription Factors genetics
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Duplications of Xq26-27 have been implicated in the etiology of X-linked hypopituitarism associated with mental retardation (MR). Additionally, an expansion of a polyalanine tract (by 11 alanines) within the transcription factor SOX3 (Xq27.1) has been reported in patients with growth hormone deficiency and variable learning difficulties. We report a submicroscopic duplication of Xq27.1, the smallest reported to date (685.6 kb), in two siblings with variable hypopituitarism, callosal abnormalities, anterior pituitary hypoplasia (APH), an ectopic posterior pituitary (EPP), and an absent infundibulum. This duplication contains SOX3 and sequences corresponding to two transcripts of unknown function; only Sox3 is expressed in the infundibulum in mice. Next, we identified a novel seven-alanine expansion within a polyalanine tract in SOX3 in a family with panhypopituitarism in three male siblings with an absent infundibulum, severe APH, and EPP. This mutation led to reduced transcriptional activity, with impaired nuclear localization of the mutant protein. We also identified a novel polymorphism (A43T) in SOX3 in another child with hypopituitarism. In contrast to findings in previous studies, there was no evidence of MR or learning difficulties in our patients. We conclude that both over- and underdosage of SOX3 are associated with similar phenotypes, consisting of infundibular hypoplasia and hypopituitarism but not necessarily MR.
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Williams P, Narciso L, Browne G, Roberts J, Weir R, and Gafni A
The Journal of the Association of Nurses in AIDS Care : JANAC [J Assoc Nurses AIDS Care] 2005 Jul-Aug; Vol. 16 (4), pp. 50-63.
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Adaptation, Psychological, Chi-Square Distribution, Community Health Services economics, Cross-Sectional Studies, Depression virology, Female, Financing, Personal statistics numerical data, HIV Infections complications, HIV Infections epidemiology, Health Care Surveys, Health Expenditures statistics numerical data, Health Services Needs and Demand, Health Status, Health Surveys, Humans, Karnofsky Performance Status, Male, Ontario epidemiology, Poverty psychology, Poverty statistics numerical data, Quality of Life, Social Work statistics numerical data, Socioeconomic Factors, Surveys and Questionnaires, Community Health Services statistics numerical data, HIV Infections psychology, Patient Acceptance of Health Care psychology, and Patient Acceptance of Health Care statistics numerical data
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Community-based AIDS service organizations (CBAOs) direct services to multiple-needs people living with HIV/AIDS who are less likely to use mainstream health promotion services. As people live longer with HIV, the potential to enhance quality of life increases, yet little is known about who uses CBAOs or how this use affects other health and social services. This study of people living with AIDS in Ontario, Canada (n = 297) examined the demographic and health-related characteristics of people with AIDS who do and do not use CBAOs and their patterns of mainstream service utilization. It found that users of CBAOs were significantly less healthy, less able to sustain normal activities, and more often depressed. They reported physical disabilities significantly more often. Their quality of life was also lower along certain dimensions. They were significantly poorer and more reliant on government income supports. They consumed significantly more nonhospital health and social services and had significantly higher out-of-pocket costs. These results suggest CBAOs are being accessed appropriately by those most vulnerable. In an effort to strengthen CBAO capacity to recognize and address depression and physical health problems prevalent among their clients, links to other mainstream health promotion and social services is recommended.
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Sawcer S, Ban M, Maranian M, Yeo TW, Compston A, Kirby A, Daly MJ, De Jager PL, Walsh E, Lander ES, Rioux JD, Hafler DA, Ivinson A, Rimmler J, Gregory SG, Schmidt S, Pericak-Vance MA, Akesson E, Hillert J, Datta P, Oturai A, Ryder LP, Harbo HF, Spurkland A, Myhr KM, Laaksonen M, Booth D, Heard R, Stewart G, Lincoln R, Barcellos LF, Hauser SL, Oksenberg JR, Kenealy SJ, and Haines JL
American journal of human genetics [Am J Hum Genet] 2005 Sep; Vol. 77 (3), pp. 454-67. Date of Electronic Publication: 2005 Jul 29.
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Australia, Chromosome Mapping, Europe, Family, Genetic Markers genetics, Genomics methods, Humans, Middle Aged, United States, Chromosomes, Human genetics, Genetic Linkage, Genetic Predisposition to Disease genetics, Genetic Testing methods, and Multiple Sclerosis genetics
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To provide a definitive linkage map for multiple sclerosis, we have genotyped the Illumina BeadArray linkage mapping panel (version 4) in a data set of 730 multiplex families of Northern European descent. After the application of stringent quality thresholds, data from 4,506 markers in 2,692 individuals were included in the analysis. Multipoint nonparametric linkage analysis revealed highly significant linkage in the major histocompatibility complex (MHC) on chromosome 6p21 (maximum LOD score [MLS] 11.66) and suggestive linkage on chromosomes 17q23 (MLS 2.45) and 5q33 (MLS 2.18). This set of markers achieved a mean information extraction of 79.3% across the genome, with a Mendelian inconsistency rate of only 0.002%. Stratification based on carriage of the multiple sclerosis-associated DRB1*1501 allele failed to identify any other region of linkage with genomewide significance. However, ordered-subset analysis suggested that there may be an additional locus on chromosome 19p13 that acts independent of the main MHC locus. These data illustrate the substantial increase in power that can be achieved with use of the latest tools emerging from the Human Genome Project and indicate that future attempts to systematically identify susceptibility genes for multiple sclerosis will have to involve large sample sizes and an association-based methodology.
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Blackman-Weinberg C, Crook J, Roberts J, and Weir R
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2005 Sep; Vol. 86 (9), pp. 1782-7.
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Adult, Aged, Cohort Studies, Disability Evaluation, Female, Humans, Inpatients, Longitudinal Studies, Male, Middle Aged, Ontario, Patient Transfer, Predictive Value of Tests, Probability, Prospective Studies, Recovery of Function, Risk Factors, Socioeconomic Factors, Treatment Outcome, Activities of Daily Living, Continuity of Patient Care organization administration, Patient Discharge, Physical Therapy Modalities, and Rehabilitation Centers organization administration
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Objective: To determine which sociodemographic and clinical characteristics of patients admitted to a general activation service (GAS) are predictive of discharge to patients' discharge goal locations (DGLs).
Design: Prospective cohort study.
Setting: Rehabilitation and complex continuing care hospital in southern Ontario, Canada.
Participants: Patients admitted from January 2000 to December 2002 (N=154).
Intervention: The GAS.
Main Outcome Measure: Patients indicated on their service applications where they wanted to be discharged. This is termed the DGL.
Results: Fifty-three percent of the sample were discharged to their DGLs. Ninety-eight percent of these patients were discharged by 9 months. Eighty-seven percent who were discharged to their DGLs were discharged to their own home. Predictors of being discharged to the DGL were better activities of daily living scores, good vision, and having sufficient help at home. Expert clinician opinion of the likelihood of each patient being discharged to his/her DGL, based on initial assessment, was also predictive of each patient's eventual discharge to his/her DGL.
Conclusions: The GAS has a 53% success rate in discharging patients to their DGLs. Variables have been identified that should be useful in predicting whether patients will be discharged to their DGLs. Our findings are meaningful and informative in determining future admission criteria for the service.
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Niehaus DJ, Stein DJ, Koen L, Lochner C, Muller JE, Mbanga NI, Emsley RA, and Gorman JM
Journal of psychiatric practice [J Psychiatr Pract] 2005 Nov; Vol. 11 (6), pp. 411-3.
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Adult, Antipsychotic Agents therapeutic use, Humans, Hysteria drug therapy, Male, Religion and Psychology, South Africa, Syndrome, Culture, Hysteria psychology, and Hysteria rehabilitation
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Niehaus DJ, Koen L, Laurent C, Muller J, Deleuze JF, Mallet J, Seller C, Jordaan E, and Emsley R
Schizophrenia research [Schizophr Res] 2005 Nov 15; Vol. 79 (2-3), pp. 239-49. Date of Electronic Publication: 2005 Jul 01.
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Adult, Chi-Square Distribution, Demography, Factor Analysis, Statistical, Family Health, Female, Humans, Male, Middle Aged, Schizophrenia complications, Severity of Illness Index, South Africa epidemiology, Psychiatric Status Rating Scales, Schizophrenia diagnosis, Schizophrenia epidemiology, Schizophrenic Psychology, and Sibling Relations
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Careful phenotyping and the identification of subtypes of schizophrenia can contribute significantly to the success of genetic studies in schizophrenia. The phenomenology of schizophrenia in affected sib pairs has been well-described in Caucasian populations, however a paucity of data exists for African populations. This study therefore investigated symptom dimensions in a sizeable group of affected Xhosa sib pairs as a means of evaluating the role of shared familial factors in the psychosis of schizophrenia. Five hundred and thirteen participants were interviewed with the Diagnostic Interview for Genetic Studies (DIGS), which included the Schedules for the Assessment of Negative and Positive symptoms (SANS/SAPS). One hundred and four sib pairs were then extracted (N = 208) for analysis of concordance for lifetime psychotic symptoms and an exploratory factor analysis of the SANS/SAPS. Concordance analysis of life-time symptoms indicated a significant concordance for olfactory hallucinations, persecutory delusions, jealousy, somatic, reference and control delusions as well as thought insertion and withdrawal. The factor analysis of the global scores of the SAPS and SANS revealed a five factor best-fit model and accounted for 92.5% of variance. The factors included a negative symptom factor, a positive symptom factor, a positive thought disorder and a bizarre behaviour component. The core symptomatology of schizophrenia in this sib pair sample was similar to that reported in Caucasian populations with the exception of higher rates of auditory hallucinations and delusions of persecution. In summary therefore; although the factor analysis only supported the concept of the universality of psychotic symptoms in schizophrenia, the concordance analysis of these symptoms did reveal hallucinations as well as delusions of control as possible candidates relevant for future research into genotype-phenotype relationships.
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Ouyang X, Chen X, Piatnitski EL, Kiselyov AS, He HY, Mao Y, Pattaropong V, Yu Y, Kim KH, Kincaid J, Smith L 2nd, Wong WC, Lee SP, Milligan DL, Malikzay A, Fleming J, Gerlak J, Deevi D, Doody JF, Chiang HH, Patel SN, Wang Y, Rolser RL, Kussie P, Labelle M, and Tuma MC
Bioorganic & medicinal chemistry letters [Bioorg Med Chem Lett] 2005 Dec 01; Vol. 15 (23), pp. 5154-9. Date of Electronic Publication: 2005 Sep 28.
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Antineoplastic Agents chemical synthesis, Humans, Microtubules drug effects, Molecular Structure, Structure-Activity Relationship, Triazoles chemical synthesis, Tubulin Modulators chemical synthesis, Tumor Cells, Cultured, Antineoplastic Agents chemistry, Antineoplastic Agents pharmacology, Triazoles chemistry, Triazoles pharmacology, Tubulin Modulators chemistry, and Tubulin Modulators pharmacology
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A novel triazole-containing chemical series was shown to inhibit tubulin polymerization and cause cell cycle arrest in A431 cancer cells with EC(50) values in the single digit nanomolar range. Binding experiments demonstrated that representative active compounds of this class compete with colchicine for its binding site on tubulin. The syntheses and structure-activity relationship studies for the triazole derivatives are described herein.
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Roberts JC, Krueger RL, Peak KK, Veguilla W, Cannons AC, Amuso PT, and Cattani J
Journal of clinical microbiology [J Clin Microbiol] 2006 Jan; Vol. 44 (1), pp. 225-6.
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Community-Acquired Infections epidemiology, Drug Resistance, Bacterial, Electrophoresis, Gel, Pulsed-Field, Florida epidemiology, Humans, Staphylococcus aureus isolation purification, Washington epidemiology, Wound Infection epidemiology, Wound Infection microbiology, Community-Acquired Infections microbiology, Methicillin pharmacology, Methicillin Resistance, Staphylococcal Infections epidemiology, and Staphylococcus aureus drug effects
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We examined 299 methicillin-resistant, community-associated Staphylococcus aureus isolates from Florida and Washington State for the presence of the USA300 epidemic clone. Pulsed-field gel electrophoresis demonstrated the epidemic clone in 43% of our S. aureus strains and in isolates from both states. The majority of the USA300 isolates (88%) were from wound infections.
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Ouyang X, Piatnitski EL, Pattaropong V, Chen X, He HY, Kiselyov AS, Velankar A, Kawakami J, Labelle M, Smith L 2nd, Lohman J, Lee SP, Malikzay A, Fleming J, Gerlak J, Wang Y, Rosler RL, Zhou K, Mitelman S, Camara M, Surguladze D, Doody JF, and Tuma MC
Bioorganic & medicinal chemistry letters [Bioorg Med Chem Lett] 2006 Mar 01; Vol. 16 (5), pp. 1191-6. Date of Electronic Publication: 2006 Jan 11.
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Animals, Antimitotic Agents chemistry, Antimitotic Agents classification, Biopolymers chemistry, Biopolymers metabolism, Cell Line, Tumor, Humans, Inhibitory Concentration 50, Mice, Molecular Structure, Oxadiazoles chemical synthesis, Oxadiazoles classification, Protein Conformation drug effects, Structure-Activity Relationship, Antimitotic Agents chemical synthesis, Antimitotic Agents pharmacology, Oxadiazoles chemistry, Oxadiazoles pharmacology, Tubulin chemistry, and Tubulin metabolism
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Oxadiazole derivatives were synthesized and evaluated for their ability to inhibit tubulin polymerization and to cause mitotic arrest in tumor cells. The most potent compounds inhibited tubulin polymerization at concentrations below 1 microM. Lead analogs caused mitotic arrest of A431 human epidermoid cells and cells derived from multi-drug resistant tumors (10, EC(50)=7.8 nM). Competition for the colchicine binding site and pharmacokinetic properties of selected potent compounds were also investigated and are reported herein, along with structure-activity relationships for this novel series of antimitotic agents.
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Ramirez RJ, Hubel CA, Novak J, DiCianno JR, Kagan VE, and Gandley RE
Hypertension (Dallas, Tex. : 1979) [Hypertension] 2006 Mar; Vol. 47 (3), pp. 454-60. Date of Electronic Publication: 2006 Jan 23.
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Administration, Oral, Animals, Antioxidants administration dosage, Ascorbic Acid administration dosage, Dose-Response Relationship, Drug, Female, Fetal Weight drug effects, Gestational Age, Methacholine Chloride pharmacology, Phenylephrine pharmacology, Pregnancy, Rats, Rats, Mutant Strains, Vasoconstrictor Agents pharmacology, Vasodilator Agents pharmacology, Vasomotor System drug effects, Antioxidants pharmacology, Ascorbic Acid pharmacology, Ascorbic Acid Deficiency physiopathology, Mesenteric Arteries physiopathology, Pregnancy Complications physiopathology, and Vasomotor System physiopathology
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Plasma ascorbic acid is decreased in women with the pregnancy disorder preeclampsia. We used a mutant strain of rats (Osteogenic Disorder Shionogi), dependent on dietary sources of vitamin C, to investigate whether reduced intake of the vitamin would differentially affect vascular function in late-pregnant (day 19) and age-matched virgin rats. The animals were given either 1 mg/mL of ascorbic acid ad libitum in drinking water [fully supplemented (FS)] or 0.25 mg/mL [marginally supplemented (MS)]. Fetal weights were 21% lower in MS than FS rats, whereas mean maternal weights and pup numbers did not differ. Small mesenteric arteries (diameter, 268+/-7 microm) were mounted in a pressurized arteriograph. Myogenic reactivity (contractile response to step increases in intraluminal pressure) was increased in arteries from MS pregnant compared with FS pregnant rats to levels observed in virgin rats. Ascorbic acid intake did not affect myogenic responses of arteries from virgin rats. Hence, the normal pregnancy-induced reduction in myogenic reactivity was abrogated in MS pregnant animals. Inhibition of nitric oxide synthase had no effect on the myogenicity of arteries from virgin or MS pregnant rats but increased myogenicity of FS pregnant rats to the level of MS pregnant rats. Free radical scavengers reversed the accentuated myogenicity of MS pregnant rats without affecting FS pregnant or virgin rat arteries. These data indicate that moderate ascorbate deprivation increases mesenteric artery myogenic responsiveness during pregnancy. This increase may result from a decrease in nitric oxide-mediated modulation of the myogenic contractile response.
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Smith L 2nd, Piatnitski EL, Kiselyov AS, Ouyang X, Chen X, Burdzovic-Wizemann S, Xu Y, Pan W, Chen X, Wang Y, Rosler RL, Patel SN, Chiang HH, Milligan DL, Columbus J, Wong WC, Doody JF, and Hadari YR
Bioorganic & medicinal chemistry letters [Bioorg Med Chem Lett] 2006 Mar 15; Vol. 16 (6), pp. 1643-6. Date of Electronic Publication: 2006 Jan 18.
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Adenosine Triphosphate metabolism, Azepines chemistry, Binding Sites, Cell Proliferation drug effects, Cells, Cultured, Humans, Molecular Structure, Phosphorylation drug effects, Protein Kinase Inhibitors chemistry, Protein Serine-Threonine Kinases antagonists inhibitors, Protein-Tyrosine Kinases antagonists inhibitors, Receptor, ErbB-2 antagonists inhibitors, Structure-Activity Relationship, Substrate Specificity, Azepines chemical synthesis, Azepines pharmacology, ErbB Receptors antagonists inhibitors, Protein Kinase Inhibitors chemical synthesis, and Protein Kinase Inhibitors pharmacology
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A novel class of pyrimido[4,5-b]-1,4-benzoxazepines is described as inhibitors of epidermal growth factor receptor (EGFR) tyrosine kinase. Two compounds display potent EGFR inhibitory activity of less than 1 microM in cellular phosphorylation assays (IC(50) 0.47-0.69 microM) and are highly selective against a small kinase panel. Such compounds demonstrate anti-EGFR activity within a class that is different from any known EGFR inhibitor scaffolds. They also provide a basis for the design of kinase inhibitors with the desired selectivity profile.
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Moline J, Herbert R, and Nguyen N
Cancer investigation [Cancer Invest] 2006 Apr-May; Vol. 24 (3), pp. 294-301.
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Anxiety epidemiology, Asbestos adverse effects, Construction Materials adverse effects, Depression epidemiology, Dust, Humans, Inhalation Exposure adverse effects, Mineral Fibers adverse effects, Neoplasms epidemiology, Particle Size, Polycyclic Aromatic Hydrocarbons adverse effects, Respiratory Tract Diseases epidemiology, Respiratory Tract Diseases etiology, Risk Factors, Stress Disorders, Post-Traumatic epidemiology, Stress Disorders, Post-Traumatic etiology, Air Pollutants adverse effects, Environmental Exposure adverse effects, Occupational Exposure adverse effects, and September 11 Terrorist Attacks psychology
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In the aftermath of the September 11 World Trade Center (WTC) attack, a large number of people sustained potential exposures to smoke, dust, particulate matter, and a variety of toxins, including asbestos, pulverized concrete, glass fibers, polycyclic aromatic hydrocarbons (PAHs), and polychlorinated furans and dioxins. Additionally, many had exposure to psychological traumatogens. The most common effects seen to date are respiratory and mental health consequences. The long-term consequences of exposures are not yet known, and there remains concern about the potential for late-emerging diseases such as cancers. This article reviews WTC-related health effects, the spectrum of exposures and how they were documented, and discusses future preventive efforts.
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Markle-Reid M, Weir R, Browne G, Roberts J, Gafni A, and Henderson S
Journal of advanced nursing [J Adv Nurs] 2006 May; Vol. 54 (3), pp. 381-95.
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Adaptation, Psychological, Aged, Aged, 80 and over, Depression psychology, Emotions, Female, Health Care Costs, Health Promotion economics, Health Status, Home Nursing economics, Humans, Male, Mental Health, Patient Acceptance of Health Care, Patient Dropouts, Quality of Life, Single-Blind Method, Social Support, Frail Elderly psychology, Health Promotion methods, and Home Nursing methods
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Aim: This paper reports a study evaluating the comparative effects and costs of a proactive nursing health promotion intervention in addition to usual home care for older people compared with usual home care services alone.
Background: An ageing population, budget constraints and technological advances in many countries have increased the pressure on home care resources. The result is a shift in nursing services from health promotion to meet the more pressing need for postacute care. For frail older people with long-term needs, these changes combine to create a fragmented system of health service delivery, characterized by providing nursing on demand rather than proactively.
Methods: A two-armed, single-blind, randomized controlled trial was carried out with older people > or =75 years and eligible for personal support services through a home care programme in Ontario, Canada. Participants were randomly allocated either to usual home care (control) or to a nursing (experimental) group. In addition to usual home care, the nursing group received a health assessment combined with regular home visits or telephone contacts, health education about management of illness, coordination of community services, and use of empowerment strategies to enhance independence. The data were collected in 2001-2002.
Results: Of the 288 older people who were randomly allocated at baseline, 242 (84%) completed the study (120 nursing group; 122 control group). Proactively providing older people with nursing health promotion, compared with providing nursing services on-demand, resulted in better mental health functioning (P = 0.009), a reduction in depression (P = 0.009), and enhanced perceptions of social support (P = 0.009) at no additional cost from a societal perspective.
Conclusions: Home based nursing health promotion, proactively provided to frail older people with chronic health needs, enhances quality of life while not increasing the overall costs of health care. The results underscore the need to re-invest in nursing services for health promotion for older clients receiving home care.
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Friedman JN, Hurley RA, and Taber KH
The Journal of neuropsychiatry and clinical neurosciences [J Neuropsychiatry Clin Neurosci] 2006 Summer; Vol. 18 (3), pp. 296-301.
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Bipolar Disorder diagnostic imaging, Bipolar Disorder physiopathology, Humans, Limbic System physiopathology, Magnetic Resonance Imaging, Mood Disorders physiopathology, Positron-Emission Tomography, Bipolar Disorder pathology, and Bipolar Disorder psychology
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Smith, Leon, Piatnitski, Evgueni L., Kiselyov, Alexander S., Ouyang, Xiaohu, Chen, Xiaoling, Burdzovic-Wizemann, Sabina, Xu, Yongjiang, Pan, Weitao, Chen, Xin, Wang, Ying, Rosler, Robin L., Patel, Sheetal N., Chiang, Hui-Hsien, Milligan, Daniel L., Columbus, John, Wong, Wai C., Doody, Jacqueline F., and Hadari, Yaron R.
Bioorganic & Medicinal Chemistry Letters . Jul2006, Vol. 16 Issue 14, p3869-3869. 1p.
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Smith L 2nd, Wong WC, Kiselyov AS, Burdzovic-Wizemann S, Mao Y, Xu Y, Duncton MA, Kim K, Piatnitski EL, Doody JF, Wang Y, Rosler RL, Milligan D, Columbus J, Balagtas C, Lee SP, Konovalov A, and Hadari YR
Bioorganic & medicinal chemistry letters [Bioorg Med Chem Lett] 2006 Oct 01; Vol. 16 (19), pp. 5102-6. Date of Electronic Publication: 2006 Aug 02.
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Antineoplastic Agents pharmacology, Azepines chemistry, Cell Line, Tumor, Heterocyclic Compounds, 3-Ring chemistry, Humans, Inhibitory Concentration 50, Neoplasm Proteins antagonists inhibitors, Phosphorylation drug effects, Structure-Activity Relationship, Vascular Endothelial Growth Factor Receptor-2 antagonists inhibitors, Antineoplastic Agents chemical synthesis, Azepines chemical synthesis, Azepines pharmacology, ErbB Receptors antagonists inhibitors, Heterocyclic Compounds, 3-Ring chemical synthesis, and Heterocyclic Compounds, 3-Ring pharmacology
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Novel tricyclic derivatives containing an oxazepine, thiazepine, or diazepine ring were studied for their EGFR tyrosine kinase inhibitory activity. While the oxazepines were in general more potent than thiazepines, the diazepines displayed somewhat different structure-activity relationships. Moreover, the diazepines, in contrast to the oxazepines, showed appreciable inhibitory activity against the KDR tyrosine kinase. Furthermore, both oxazepines and diazepines demonstrated significant ability to inhibit autophosphorylation of EGFR in DiFi cells (generally, IC(50) values in the single-digit micromolar to submicromolar range).
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Zucker DR, Ruthazer R, Schmid CH, Feuer JM, Fischer PA, Kieval RI, Mogavero N, Rapoport RJ, Selker HP, Stotsky SA, Winston E, and Goldenberg DL
The Journal of rheumatology [J Rheumatol] 2006 Oct; Vol. 33 (10), pp. 2069-77.
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Adult, Cross-Over Studies, Double-Blind Method, Drug Therapy, Combination, Female, Humans, Male, Middle Aged, Practice Patterns, Physicians', Research Design, Rheumatology trends, Sickness Impact Profile, Surveys and Questionnaires, Treatment Outcome, Amitriptyline therapeutic use, Antidepressive Agents therapeutic use, Fibromyalgia drug therapy, Fluoxetine therapeutic use, and Randomized Controlled Trials as Topic statistics numerical data
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Objective: Applying population research to individual treatment requires understanding the connections between patient-specific characteristics, population-based studies, and treatment responses. Conducting practice-based research using individual-focused (N-of-1) trials may aid this process. We combined N-of-1 trials to compare fibromyalgia therapies and to assess the feasibility and outcomes of this approach for practice-based effectiveness research.
Methods: Community- and center-based rheumatologists enrolled patients with fibromyalgia syndrome in randomized, double-blind, multi-crossover, N-of-1 trials comparing amitriptyline and the combination amitriptyline and fluoxetine. Fibromyalgia Impact Questionnaire outcomes were used for the individuals' treatment and combined across patients for sample-based analyses. Outcomes were compared with results from more standard trial designs.
Results: Eight rheumatologists enrolled 58 patients in N-of-1 trials. Most physicians and patients had not previously participated in clinical trials. Using several analytic methods, the pooled results showed a better outcome score (mean difference: -6.1 +/- 2.0 to -8.0 +/- 3.7 points) in patients taking combination therapy. These population results are similar to published outcomes from a more traditional crossover trial. Neither practice type nor patient characteristics were significantly associated with the observed treatment-effect variation. Most participants, irrespective of selected treatment, felt their individual N-of-1 trials were helpful.
Conclusion: Implementation of the combined N-of-1 methodology is feasible in rheumatology practices and results confirm greater fibromyalgia improvement with combination therapy. This research approach broadens participation, although our trials' specifics likely influenced enrollment eligibility. In addition to individual benefits, combining N-of-1 trial data provides population research benefits. This patient-focused approach should be further explored to bridge research and practice.
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Markle-Reid M, Browne G, Weir R, Gafni A, Roberts J, and Henderson SR
Medical care research and review : MCRR [Med Care Res Rev] 2006 Oct; Vol. 63 (5), pp. 531-69.
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Aged, House Calls, Humans, Randomized Controlled Trials as Topic, Geriatric Nursing, Health Promotion, Home Care Services, and Program Evaluation
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Despite the large potential role that community nurses have in providing individualized health promotion to older people, there is a lack of consensus in the literature regarding this role's effectiveness and efficiency. This article presents a literature review and synthesis of 12 randomized controlled trials selected from 344 published studies on preventive home visitation programs for older people. The findings suggest that a diversity of home visiting interventions carried out by nurses can favorably affect health and functional status, mortality rates, use of hospitalization and nursing homes, and costs. Further research is needed that focuses on the outcomes of quality of life, mental health, social support, caregiver burden, the acceptability of intervention, and specific subgroups of clients who benefit most. Findings also indicate the need for a theoretical foundation, increased emphasis on health-promotion strategies, and more research using a more complete economic evaluation to establish efficiency.
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Herbert R, Moline J, Skloot G, Metzger K, Baron S, Luft B, Markowitz S, Udasin I, Harrison D, Stein D, Todd A, Enright P, Stellman JM, Landrigan PJ, and Levin SM
Environmental health perspectives [Environ Health Perspect] 2006 Dec; Vol. 114 (12), pp. 1853-8.
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Adolescent, Adult, Aged, Aged, 80 and over, Air Pollution adverse effects, Air Pollution analysis, Dust analysis, Female, Humans, Male, Mass Screening methods, Middle Aged, Occupational Diseases etiology, Occupational Diseases physiopathology, Respiratory Tract Diseases etiology, Respiratory Tract Diseases physiopathology, Spirometry, Time Factors, Occupational Diseases diagnosis, Occupational Exposure adverse effects, Respiratory Tract Diseases diagnosis, and September 11 Terrorist Attacks
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Background: Approximately 40,000 rescue and recovery workers were exposed to caustic dust and toxic pollutants following the 11 September 2001 attacks on the World Trade Center (WTC). These workers included traditional first responders, such as firefighters and police, and a diverse population of construction, utility, and public sector workers.
Methods: To characterize WTCrelated health effects, the WTC Worker and Volunteer Medical Screening Program was established. This multicenter clinical program provides free standardized examinations to responders. Examinations include medical, mental health, and exposure assessment questionnaires; physical examinations; spirometry; and chest X rays.
Results: Of 9,442 responders examined between July 2002 and April 2004, 69% reported new or worsened respiratory symptoms while performing WTC work. Symptoms persisted to the time of examination in 59% of these workers. Among those who had been asymptomatic before September 11, 61% developed respiratory symptoms while performing WTC work. Twenty-eight percent had abnormal spirometry; forced vital capacity (FVC) was low in 21%; and obstruction was present in 5%. Among nonsmokers, 27% had abnormal spirometry compared with 13% in the general U.S. population. Prevalence of low FVC among nonsmokers was 5-fold greater than in the U.S. population (20% vs. 4%). Respiratory symptoms and spirometry abnormalities were significantly associated with early arrival at the site.
Conclusion: WTC responders had exposure-related increases in respiratory symptoms and pulmonary function test abnormalities that persisted up to 2.5 years after the attacks. Longterm medical monitoring is required to track persistence of these abnormalities and identify late effects, including possible malignancies. Lessons learned should guide future responses to civil disasters.
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Herbert, Robin, Skloot, Gwen, Metzger, Kristina, Landrigan, Philip J., Moline, Jacqueline, Stein, Diane, Todd, Andrew, Levin, Stephen M., Baron, Sherry, and Udasin, Iris
- Environmental Health Perspectives. Feb 2007, Vol. 115 Issue 2, pA72, 2 p.
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72. Letters. [2007]
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Fisher, Trevor, Karp, Jacqueline, Addington, Jim, Arrand, Peter, Cowley, George, Green, Colin, Hamel, Noel, Clark, Roy, Wendt, Robin, Sturgeon, Nicola, Reed, Jamie, Burns-Cox, Chris, and McKenna, Peter
New Statesman . 5/21/2007, Vol. 136 Issue 4845, p6-7. 2p. 1 Illustration.
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LETTERS to the editor
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Several letters to the editor are presented in response to articles in previous issues including an editorial, a column by John Pilger concerning Robert F. Kennedy and Gordon Brown and the article "Inside Track" by Philip Gould. All of these items appeared in the May 14, 2007 issue.
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Palace J, Lashley D, Newsom-Davis J, Cossins J, Maxwell S, Kennett R, Jayawant S, Yamanashi Y, and Beeson D
Brain : a journal of neurology [Brain] 2007 Jun; Vol. 130 (Pt 6), pp. 1507-15. Date of Electronic Publication: 2007 Apr 23.
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Adult, Alleles, Amino Acid Sequence, Biopsy, Cholinesterase Inhibitors therapeutic use, DNA Mutational Analysis, Female, Humans, Male, Middle Aged, Molecular Sequence Data, Muscle, Skeletal pathology, Muscular Dystrophies, Limb-Girdle drug therapy, Muscular Dystrophies, Limb-Girdle genetics, Muscular Dystrophies, Limb-Girdle pathology, Myasthenic Syndromes, Congenital drug therapy, Myasthenic Syndromes, Congenital pathology, Pedigree, Polymerase Chain Reaction methods, Sequence Alignment, Treatment Outcome, Muscle Proteins genetics, Mutation, Myasthenic Syndromes, Congenital genetics, and Neuromuscular Junction pathology
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Mutations in DOK7 have recently been shown to underlie a recessive congenital myasthenic syndrome (CMS) associated with small simplified neuromuscular junctions ('synaptopathy') but normal acetylcholine receptor and acetylcholinesterase function. We identified DOK7 mutations in 27 patients from 24 kinships. Mutation 1124_1127dupTGCC was common, present in 20 out of 24 kinships. All patients were found to have at least one allele with a frameshift mutation in DOK7 exon 7, suggesting that loss of function(s) associated with the C-terminal region of Dok-7 underlies this disorder. In 15 patients, we were able to study the clinical features in detail. Clinical onset was usually characterized by difficulty in walking developing after normal motor milestones. Proximal muscles were usually more affected than distal, leading to a 'limb-girdle' pattern of weakness; although ptosis was often present from an early age, eye movements were rarely involved. Patients did not show long-term benefit from anticholinesterase medication and sometimes worsened, and where tried responded to ephedrine. The phenotype can be distinguished from 'limb-girdle' myasthenia associated with tubular aggregates, where DOK7 mutations were not detected and patients respond to anticholinesterase treatments. CMS due to DOK7 mutations are common within our UK cohort and is likely to be under-diagnosed; recognition of the phenotype will help clinical diagnosis, targeted genetic screening and appropriate management.
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Jacqueline Palace, Daniel Lashley, John Newsom-Davis, Judy Cossins, Susan Maxwell, Robin Kennett, Sandeep Jayawant, Yuji Yamanashi, and David Beeson
Brain: A Journal of Neurology . Jun2007, Vol. 130 Issue 6, p1507-1507. 1p.
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NEUROMUSCULAR diseases, HUMAN chromosome abnormality diagnosis, GENETIC mutation, and GENETIC testing
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Mutations in DOK7 have recently been shown to underlie a recessive congenital myasthenic syndrome (CMS) associated with small simplified neuromuscular junctions (‘synaptopathy’) but normal acetylcholine receptor and acetylcholinesterase function. We identified DOK7 mutations in 27 patients from 24 kinships. Mutation 1124_1127dupTGCC was common, present in 20 out of 24 kinships. All patients were found to have at least one allele with a frameshift mutation in DOK7 exon 7, suggesting that loss of function(s) associated with the C-terminal region of Dok-7 underlies this disorder. In 15 patients, we were able to study the clinical features in detail. Clinical onset was usually characterized by difficulty in walking developing after normal motor milestones. Proximal muscles were usually more affected than distal, leading to a ‘limb-girdle’ pattern of weakness; although ptosis was often present from an early age, eye movements were rarely involved. Patients did not show long-term benefit from anticholinesterase medication and sometimes worsened, and where tried responded to ephedrine. The phenotype can be distinguished from ‘limb-girdle’ myasthenia associated with tubular aggregates, where DOK7 mutations were not detected and patients respond to anticholinesterase treatments. CMS due to DOK7 mutations are common within our UK cohort and is likely to be under-diagnosed; recognition of the phenotype will help clinical diagnosis, targeted genetic screening and appropriate management. [ABSTRACT FROM AUTHOR]
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Easton, Douglas F., Pooley, Karen A., Dunning, Alison M., Pharoah, Paul D. P., Thompson, Deborah, Ballinger, Dennis G., Struewing, Jeffery P., Morrison, Jonathan, Field, Helen, Luben, Robert, Wareham, Nicholas, Ahmed, Shahana, Healey, Catherine S., Bowman, Richard, Luccarini, Craig, Conroy, Don, Shah, Mitul, Munday, Hannah, Jordan, Clare, Perkins, Barbara, West, Judy, Redman, Karen, Driver, Kristy, Meyer, Kerstin B., Haiman, Christopher A., Kolonel, Laurence K., Henderson, Brian E., Le Marchand, Loic, Brennan, Paul, Sangrajrang, Suleeporn, Gaborieau, Valerie, Odefrey, Fabrice, Shen, Chen-Yang, Wu, Pei-Ei, Wang, Hui-Chun, Eccles, Diana, Evans, D. Gareth, Peto, Julian, Fletcher, Olivia, Johnson, Nichola, Seal, Sheila, Stratton, Michael R., Rahman, Nazneen, Chenevix-Trench, Georgia, Bojesen, Stig E., Nordestgaard, Borge G., Axelsson, Christen K., Garcia-Closas, Montserrat, Brinton, Louise, Chanock, Stephen, Lissowska, Jolanta, Peplonska, Beata, Nevanlinna, Heli, Fagerholm, Rainer, Eerola, Hannaleena, Kang, Daehee, Yoo, Keun-Young, Noh, Dong-Young, Ahn, Sei-Hyun, Hunter, David J., Hankinson, Susan E., Cox, David G., Hall, Per, Wedren, Sara, Liu, Jianjun, Low, Yen-Ling, Bogdanova, Natalia, Schurmann, Peter, Dork, Thilo, Tollenaar, Rob A. E. M., Jacobi, Catharina E., Devilee, Peter, Klijn, Jan G. M., Sigurdson, Alice J., Doody, Michele M., Alexander, Bruce H., Zhang, Jinghui, Cox, Angela, Brock, Ian W., MacPherson, Gordon, Reed, Malcolm W. R., Couch, Fergus J., Goode, Ellen L., Olson, Janet E., Meijers-Heijboer, Hanne, van den Ouweland, Ans, Uitterlinden, Andre, Rivadeneira, Fernando, Milne, Roger L., Ribas, Gloria, Gonzalez-Neira, Anna, Benitez, Javier, Hopper, John L., McCredie, Margaret, Southey, Melissa, Giles, Graham G., Schroen, Chris, Justenhoven, Christina, Brauch, Hiltrud, Hamann, Ute, Ko, Yon-Dschun, Spurdle, Amanda B., Beesley, Jonathan, Chen, Xiaoqing, Aghmesheh, Morteza, Amor, David, Andrews, Lesley, Antill, Yoland, Armes, Jane, Armitage, Shane, Arnold, Leanne, Balleine, Rosemary, Begley, Glenn, Beilby, John, Bennett, Ian, Bennett, Barbara, Berry, Geoffrey, Blackburn, Anneke, Brennan, Meagan, Brown, Melissa, Buckley, Michael, Burke, Jo, Butow, Phyllis, Byron, Keith, Callen, David, Campbell, Ian, Clarke, Christine, Colley, Alison, Cotton, Dick, Cui, Jisheng, Culling, Bronwyn, Cummings, Margaret, Dawson, Sarah-Jane, Dixon, Joanne, Dobrovic, Alexander, Dudding, Tracy, Edkins, Ted, Eisenbruch, Maurice, Farshid, Gelareh, Fawcett, Susan, Field, Michael, Firgaira, Frank, Fleming, Jean, Forbes, John, Friedlander, Michael, Gaff, Clara, Gardner, Mac, Gattas, Mike, George, Peter, Giles, Graham, Gill, Grantley, Goldblatt, Jack, Greening, Sian, Grist, Scott, Haan, Eric, Harris, Marion, Hart, Stewart, Hayward, Nick, Hopper, John, Humphrey, Evelyn, Jenkins, Mark, Jones, Alison, Kefford, Rick, Kirk, Judy, Kollias, James, Kovalenko, Sergey, Lakhani, Sunil, Leary, Jennifer, Lim, Jacqueline, Lindeman, Geoff, Lipton, Lara, Lobb, Liz, Maclurcan, Mariette, Mann, Graham, Marsh, Deborah, McKay, Michael, Anne McLachlan, Sue, Meiser, Bettina, Milne, Roger, Mitchell, Gillian, Newman, Beth, O'Loughlin, Imelda, Osborne, Richard, Peters, Lester, Phillips, Kelly, Price, Melanie, Reeve, Jeanne, Reeve, Tony, Richards, Robert, Rinehart, Gina, Robinson, Bridget, Rudzki, Barney, Salisbury, Elizabeth, Sambrook, Joe, Saunders, Christobel, Scott, Clare, Scott, Elizabeth, Scott, Rodney, Seshadri, Ram, Shelling, Andrew, Spurdle, Amanda, Suthers, Graeme, Taylor, Donna, Tennant, Christopher, Thorne, Heather, Townshend, Sharron, Tucker, Kathy, Tyler, Janet, Venter, Deon, Visvader, Jane, Walpole, Ian, Ward, Robin, Waring, Paul, Warner, Bev, Warren, Graham, Watson, Elizabeth, Williams, Rachael, Wilson, Judy, Winship, Ingrid, Young, Mary Ann, Bowtell, David, Green, Adele, deFazio, Anna, Gertig, Dorota, Webb, Penny, Mannermaa, Arto, Kosma, Veli-Matti, Kataja, Vesa, Hartikainen, Jaana, Day, Nicholas E., Cox, David R., and Ponder, Bruce A. J.
- Nature. June 28, 2007, Vol. 447 Issue 7148, p1087, 7 p.
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76. Characterization of human embryonic stem cell lines by the International Stem Cell Initiative [2007]
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Adewumi, Oluseun, Aflatoonian, Behrouz, Ahrlund-Richter, Lars, Amit, Michal, Andrews, Peter W, Beighton, Gemma, Bello, Paul A, Benvenisty, Nissim, Berry, Lorraine S, Bevan, Simon, Blum, Barak, Brooking, Justin, Chen, Kevin G, Choo, Andre B H, Churchill, Gary A, Corbel, Marie, Damjanov, Ivan, Draper, Jon S, Dvorak, Petr, Emanuelsson, Katarina, Fleck, Roland A, Ford, Angela, Gertow, Karin, Gertsenstein, Marina, Gokhale, Paul J, Hamilton, Rebecca S, Hampl, Ales, Healy, Lyn E, Hovatta, Outi, Hyllner, Johan, Imreh, Marta P, Itskovitz-Eldor, Joseph, Jackson, Jamie, Johnson, Jacqueline L, Jones, Mark, Kee, Kehkooi, King, Benjamin L, Knowles, Barbara B, Lako, Majlinda, Lebrin, Franck, Mallon, Barbara S, Manning, Daisy, Mayshar, Yoav, Mckay, Ronald D G, Michalska, Anna E, Mikkola, Milla, Mileikovsky, Masha, Minger, Stephen L, Moore, Harry D, Mummery, Christine L, Nagy, Andras, Nakatsuji, Norio, O'Brien, Carmel M, Oh, Steve K W, Olsson, Cia, Otonkoski, Timo, Park, Kye-Yoon, Passier, Robert, Patel, Hema, Patel, Minal, Pedersen, Roger, Pera, Martin F, Piekarczyk, Marian S, Pera, Renee A Reijo, Reubinoff, Benjamin E, Robins, Allan J, Rossant, Janet, Rugg-Gunn, Peter, Schulz, Thomas C, Semb, Henrik, Sherrer, Eric S, Siemen, Henrike, Stacey, Glyn N, Stojkovic, Miodrag, Suemori, Hirofumi, Szatkiewicz, Jin, Turetsky, Tikva, Tuuri, Timo, van den Brink, Steineke, Vintersten, Kristina, Vuoristo, Sanna, Ward, Dorien, Weaver, Thomas A, Young, Lesley A, and Zhang, Weidong
- Nature Biotechnology. July 2007, Vol. 25 Issue 7, p803, 14 p.
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Robinson, Leah E., Goodway, Jacqueline D., Dunn, Robin, Johnson, Erica, and Devins, Lori
Journal of Sport & Exercise Psychology . Jul2007 Supplement, Vol. 29, pS42-S43. 2p.
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HEALTH of poor children, MOTOR ability in children, PHYSIOLOGICAL control systems, LOCOMOTOR control, AFRICAN American children, MOTOR ability research, SOCIOECONOMIC factors, and PHYSIOLOGY
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Children from poor, urban, and disadvantaged environments often demonstrate poor motor skill competence in both object control (OC) and locomotor skills (Goodway & Rudisill, 1996; Hamilton et al., 1999). This study examined the motor skill competence of disadvantaged, African American preschoolers. Further, it investigated the effects of a 9-week OC intervention on OC competence. Two instructional approaches were compared: low autonomy (LA) consisting of direct-instruction and a mastery motivational climate (MMC). Participants were randomly assigned to a LA (n = 36), MMC (n = 38), or comparison (no motor intervention) group (n = 39). The LA and MMC groups participated in 18 30-min OC sessions and the comparison group participated in the same amount of unstructured recess. All children were pre-and posttested on the OC subscale of the TGMD-2 (Ulrich, 2001). Preintervention OC competence was low based on percentile ranks (LA = 23%, MMC = 20%, comparison = 20%). A 3 (Group) x 2 (Sex) ANOVA on pre-OC scores revealed no significant group differences (p = .90) or Group x Sex interaction (p = .60). However, a significant sex main effect was found with boys having greater OC competence than girls, F(1, 107) = 29.34, p < .001. A 3 (Group) x 2 Time x 2 (Sex) ANOVA with repeated measures revealed a significant Group x Time interaction, F(2, 107) = 210.97, p < .001, indicating the OC intervention was effective. Post hoc Tukey HSD analysis reported the LA (p ≤ = < .001) and MMC (p ≤ = < .001) groups had significantly better OC competence than the Comparison group from pre- to postintervention. There was no difference between the LA and MMC groups (p = .88). A nonsignificant Group x Time x Sex interaction (p = .94) showed that there were no sex differences within groups from pre- to postintervention. Clearly, disadvantaged preschoolers had low OC competence and needed motor intervention. When instruction was provided by either LA or MMC, preschool children improved their OC skills. [ABSTRACT FROM AUTHOR]
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Bin L, Thorburn J, Thomas LR, Clark PE, Humphreys R, and Thorburn A
The Journal of biological chemistry [J Biol Chem] 2007 Sep 21; Vol. 282 (38), pp. 28189-94. Date of Electronic Publication: 2007 Jul 31.
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Binding, Competitive, Cell Line, Tumor, Dose-Response Relationship, Drug, Electroporation, Humans, Ligands, Models, Biological, Protein Binding, Signal Transduction, Subcellular Fractions metabolism, Gene Expression Regulation, Neoplastic, Mutation, Neoplasms metabolism, and Receptors, TNF-Related Apoptosis-Inducing Ligand metabolism
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TRAIL (tumor necrosis factor-related apoptosis-inducing ligand) is a cytokine that preferentially induces apoptosis in tumor cells compared with normal cells through two receptors (DR4 and DR5). Somatic mutations in these receptors have been found in different kinds of cancer; however, it is poorly understood how the mutations affect signaling. We found that point mutations (L334F, E326K, E338K, and K386N) that were identified in human tumors result in the DR5 receptor losing its ability to form a functional death-inducing signaling complex and induce apoptosis. The mutant receptors also have a "dominant negative" effect whereby they inhibit the ability of TRAIL to induce apoptosis through functional DR4 receptors. This dominant negative mechanism is achieved through competition for TRAIL binding as shown by experiments where the ability of the mutant DR5 receptor to bind with the ligand was abolished, thus restoring TRAIL signaling through DR4. The inhibitory effect on signaling through the wild-type DR4 protein can be overcome if the inhibitory mechanism is bypassed by using a DR4-agonistic antibody that is not subject to this competition. This study provides a molecular basis for the use of specific therapeutic agonists of TRAIL receptors in people whose tumors harbor somatic DR5 mutations.
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Lianghua Bin, Thorburn, Jacqueline, Thomas, Lance R., Clark, Peter E., Humphreys, Robin, and Thorburn, Andrew
Journal of Biological Chemistry . 9/21/2007, Vol. 282 Issue 38, p28189-28194. 6p.
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CYTOKINES, CELLULAR immunity, APOPTOSIS, CELL death, GENETIC mutation, and LIGANDS (Biochemistry)
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TRAIL (tumor necrosis factor-related apoptosis-inducing ligand) is a cytokine that preferentially induces apoptosis in tumor cells compared with normal cells through two receptors (DR4 and DR5). Somatic mutations in these receptors have been found in different kinds of cancer; however, it is poorly under- stood how the mutations affect signaling. We found that point mutations (L334F, E326K, E338K, and K386N) that were identified in human tumors result in the DR5 receptor losing its ability to form a functional death-inducing signaling complex and induce apoptosis. The mutant receptors also have a ‘dominant negative’ effect whereby they inhibit the ability of TRAIL to induce apoptosis through functional DR4 receptors. This dominant negative mechanism is achieved through competition for TRAIL binding as shown by experiments where the ability of the mutant DR5 receptor to bind with the ligand was abolished, thus restoring TRAIL signaling through DR4. The inhibitory effect on signaling through the wild-type DR4 protein can be overcome if the inhibitory mechanism is bypassed by using a DR4-agonistic antibody that is not subject to this competition. This study provides a molecular basis for the use of specific therapeutic agonists of TRAIL receptors in people whose tumors harbor somatic DR5 mutations. [ABSTRACT FROM AUTHOR]
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Ragin CC, Taioli E, McFarlane-Anderson N, Avery G, Bennett F, Bovell-Benjamin A, Thompson AB, Carrington A, Campbell-Everett L, Ford J, Hennis A, Jackson M, Lake S, Leske MC, Magai C, Nemesure B, Neugut A, Odedina F, Okobia M, Patrick A, Plummer WB, Reams RR, Roberts R, Scott-Hastings S, Sharma S, Wheeler V, Wu SY, and Bunker C
Infectious agents and cancer [Infect Agent Cancer] 2007 Sep 24; Vol. 2, pp. 17. Date of Electronic Publication: 2007 Sep 24.
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This is a short summary of a meeting of the "African-Caribbean Cancer Consortium", jointly organized by the University of Pittsburgh, Department of Epidemiology and the University of Pittsburgh Cancer Institute, held in Montego Bay, Jamaica as a satellite meeting at the Caribbean Health Research Council, 52nd Annual Council and Scientific meeting on May 4, 2007.
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Doody JF, Wang Y, Patel SN, Joynes C, Lee SP, Gerlak J, Rolser RL, Li Y, Steiner P, Bassi R, Hicklin DJ, and Hadari YR
Molecular cancer therapeutics [Mol Cancer Ther] 2007 Oct; Vol. 6 (10), pp. 2642-51. Date of Electronic Publication: 2007 Oct 03.
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Animals, Antibodies, Monoclonal, Humanized, Apoptosis, Blotting, Western, Cell Line, Tumor, Cetuximab, Dimerization, ErbB Receptors metabolism, Female, Fluorescent Antibody Technique, Humans, Immunoblotting, Immunoprecipitation, Mice, Mice, Nude, Phosphorylation, Protein Kinase Inhibitors pharmacology, Ubiquitin metabolism, Antibodies, Monoclonal pharmacology, Antineoplastic Agents pharmacology, Carcinoma, Non-Small-Cell Lung genetics, ErbB Receptors genetics, Lung Neoplasms genetics, and Mutation drug effects
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Mutations in the kinase domain of the epidermal growth factor receptor (EGFR) were identified in approximately 15% of all patients with non-small cell lung cancer (NSCLC). These mutations have been established as an indicator of superior response to gefitinib and erlotinib, small molecule inhibitors of the EGFR kinase domain. Whether these mutations would also render patients more susceptible to treatment with cetuximab (Erbitux), an EGFR-neutralizing antibody, is yet to be determined. In this study, we attempted to evaluate the effect of cetuximab on several NSCLC lines harboring some of the more common EGFR mutations (L858R and delL747-T753insS), as well as the recently identified kinase inhibitor-resistant mutation, T790M. We could show that the kinase activity of the abovementioned EGFR mutants was hindered by cetuximab, as detected by both cell-based phosphorylation and proliferation assays. Interestingly, cetuximab also induced enhanced degradation of the EGFR mutants as compared with the wild-type receptor. Most importantly, cetuximab successfully inhibited the growth of NSCLC lines in xenograft models. These results indicate the promising potential of cetuximab as a regimen for patients with NSCLC bearing these mutations.
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Deterding RR, Wong S, Faries G, Glover JJ, Garrington TP, Wang M, Anderson MS, and Krugman RD
The Journal of pediatrics [J Pediatr] 2007 Nov; Vol. 151 (5 Suppl), pp. S32-6.
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Child, Clinical Clerkship methods, Colorado, Faculty, Medical organization administration, Humans, Schools, Medical organization administration, Curriculum, Education, Medical, Undergraduate methods, Pediatrics education, and Program Development methods
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The University of Colorado School of Medicine has developed an innovative 4-year undergraduate curriculum. As a strong advocate for education and curriculum reform, Dr M. Douglas Jones Jr. created an environment for pediatrics to flourish in this new curriculum. Pediatric content has increased in all years of the curriculum, and pediatric faculty have had greater opportunities to teach and seek career development in medical education. In this report, we review the process that led to curriculum reform, provide an overview of the new curriculum design, and highlight examples of the positive impact this process has had on education in pediatrics. We hope that sharing our experience, may benefit others in medical education.
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Herlands RA, William J, Hershberg U, and Shlomchik MJ
European journal of immunology [Eur J Immunol] 2007 Dec; Vol. 37 (12), pp. 3339-51.
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Animals, Autoimmunity genetics, Chromatin immunology, Disease Models, Animal, Genetic Predisposition to Disease, Lupus Erythematosus, Systemic genetics, Lupus Erythematosus, Systemic immunology, Lymphocyte Cooperation, Mice, Mice, Inbred BALB C, Mice, Inbred MRL lpr immunology, Mice, Transgenic, Nucleosomes immunology, Organ Specificity, Particle Size, Specific Pathogen-Free Organisms, Spleen ultrastructure, Toll-Like Receptors immunology, Antibodies, Antinuclear immunology, Autoimmunity immunology, B-Lymphocyte Subsets immunology, Immunoglobulin G immunology, Lymphocyte Activation immunology, Rheumatoid Factor immunology, Somatic Hypermutation, Immunoglobulin immunology, and Spleen immunology
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A dominant type of spontaneous autoreactive B cell activation in murine lupus is the extrafollicular generation of plasmablasts. The factors governing such activation have been difficult to identify due to the stochastic onset and chronic nature of the response. Thus, the ability to induce a similar autoreactive B cell response with a known autoantigen in vivo would be a powerful tool in deciphering how autoimmune responses are initiated. We report here the establishment and characterization of a system to initiate autoreactive extrafollicular B cell responses, using IgG anti-chromatin antibodies, that closely mirrors the spontaneous response. We demonstrate that exogenously administered anti-chromatin antibody, presumably by forming immune complexes with released nuclear material, drives activation of rheumatoid factor B cells in AM14 Tg mice. Anti-chromatin elicits autoreactive B cell activation and development into antibody-forming cells at the T zone/red pulp border. Plasmablast generation occurs equally in BALB/c, MRL/+ and MRL/lpr mice, indicating that an autoimmune-prone genetic background is not required for the induced response. Importantly, infused IgG anti-chromatin induces somatic hypermutation in the absence of a GC response, thus proving the extrafollicular somatic hypermutation pathway. This system provides a window on the initiation of an autoantibody response and reveals authentic initiators of it.
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Flores-Otero J, Xue HZ, and Davis RL
The Journal of neuroscience : the official journal of the Society for Neuroscience [J Neurosci] 2007 Dec 19; Vol. 27 (51), pp. 14023-34.
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Animals, Animals, Newborn, Cells, Cultured, Membrane Proteins ultrastructure, Mice, Mice, Inbred CBA, Nerve Growth Factors ultrastructure, Presynaptic Terminals chemistry, Presynaptic Terminals physiology, Presynaptic Terminals ultrastructure, Spiral Ganglion cytology, Spiral Ganglion physiology, Membrane Proteins physiology, Nerve Growth Factors physiology, Presynaptic Terminals metabolism, and Spiral Ganglion metabolism
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A unifying principle of sensory system organization is feature extraction by modality-specific neuronal maps in which arrays of neurons show systematically varied response properties and receptive fields. Only beginning to be understood, however, are the mechanisms by which these graded systems are established. In the peripheral auditory system, we have shown previously that the intrinsic firing features of spiral ganglion neurons are influenced by brain-derived neurotrophic factor (BDNF) and neurotrophin-3 (NT-3). We now show that is but a part of a coordinated package of neurotrophin actions that also includes effects on presynaptic and postsynaptic proteins, thus encompassing the input, transmission, and output functions of the spiral ganglion neurons. Using immunocytochemical methods, we determined that proteins targeted to opposite ends of the neuron were organized and regulated in a reciprocal manner. AMPA receptor subunits GluR2 and GluR3 were enriched in base neurons compared with their apex counterparts. This distribution pattern was enhanced by exposure to BDNF but reduced by NT-3. SNAP-25 and synaptophysin were distributed and regulated in the mirror image: enriched in the apex, enhanced by NT-3 and reduced by BDNF. Moreover, we used a novel coculture to identify potential endogenous sources of neurotrophins by showing that sensory receptors from different cochlear regions were capable of altering presynaptic and postsynaptic protein levels in these neurons. From these studies, we suggest that BDNF and NT-3, which are systematically distributed in complementary gradients, are responsible for orchestrating a comprehensive set of electrophysiological specializations along the frequency contour of the cochlea.
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Samuelsson S, Byrne B, Olson RK, Hulslander J, Wadsworth S, Corley R, Willcutt EG, and Defries JC
Learning and individual differences [Learn Individ Differ] 2008; Vol. 18 (3), pp. 289-295.
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Genetic and environmental influences on early reading and spelling at the end of kindergarten and Grade 1 were compared across three twin samples tested in the United States, Australia, and Scandinavia. Proportions of variance due to genetic influences on kindergarten reading were estimated at .84 in Australia, .68 in the U.S., and .33 in Scandinavia. The effects of shared environment on kindergarten reading were estimated at .09 in Australia, .25 in the U.S., and .52 in Scandinavia. A similar pattern of genetic and environmental influences was obtained for kindergarten spelling. One year later when twins in all three samples had received formal literacy instruction for at least one full school year, heritability was similarly high across country, with estimated genetic influences varying between .79 and .83 for reading and between .62 and .79 for spelling. These findings indicate that the pattern of genetic and environmental influences on early reading and spelling development varies according to educational context, with genetic influence increasing as a function of increasing intensity of early instruction. Longitudinal analyses revealed genetic continuity for both reading and spelling between kindergarten and Grade 1 across country. However, a new genetic factor comes into play accounting for independent variance in reading at Grade 1 in the U.S. and Scandinavia, suggesting a change in genetic influences on reading. Implications for response-to-instruction are discussed.
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Sahhar M, Bogwitz M, Brown E, Forbes R, Greenberg J, Hossack L, and Menezes M
Journal of genetic counseling [J Genet Couns] 2008 Feb; Vol. 17 (1), pp. 139-40; author reply 141-2. Date of Electronic Publication: 2007 Oct 18.
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Humans, Workforce, Burnout, Professional, Genetic Counseling, and Health Personnel psychology
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Byrne, Brian, Coventry, William L., Olson, Richard K., Hulslander, Jacqueline, Wadsworth, Sally, DeFries, John C., Corley, Robin, Willcutt, Erik G., and Samuelsson, Stefan
Journal of Research in Reading . Feb2008, Vol. 31 Issue 1, p8-21. 14p. 1 Diagram, 5 Charts.
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ORTHOGRAPHY & spelling, LEARNING, LITERACY, SECOND grade (Education), SCHOOL children, TEACHING, and GENES
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As part of a longitudinal twin study of literacy and language, we conducted a behaviour-genetic analysis of orthographic learning, spelling and decoding in Grade 2 children (225 identical and 214 fraternal twin pairs) in the United States and Australia. Each variable showed significant genetic and unique environment influences. Multivariate analyses revealed very high genetic correlations among the variables, indicating that the same genes are involved in their aetiology. These genes are partly independent of those contributing to intelligence. A further analysis indicated that the covariation between decoding and orthographic learning is mediated by shared genes rather than by a direct causal path. The authors argue that a learning parameter, most directly assessed by orthographic learning in this study, underlies all three literacy variables. The results are also discussed in relation to Share's self-teaching hypothesis, which may require modification. [ABSTRACT FROM AUTHOR]
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Moline JM, Herbert R, Levin S, Stein D, Luft BJ, Udasin IG, and Landrigan PJ
The Mount Sinai journal of medicine, New York [Mt Sinai J Med] 2008 Mar-Apr; Vol. 75 (2), pp. 67-75.
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Humans, Inhalation Exposure adverse effects, Mass Screening, New York City epidemiology, Occupational Diseases etiology, Occupational Exposure adverse effects, Particulate Matter adverse effects, Monitoring, Physiologic, Occupational Diseases epidemiology, Population Surveillance, Program Development, Relief Work, and September 11 Terrorist Attacks
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The attack on the World Trade Center (WTC) on September 11th, 2001 exposed thousands of individuals to an unprecedented mix of chemicals, combustion products and micronized building materials. Clinicians at the Mount Sinai Irving Selikoff Center for Occupational and Environmental Medicine, in partnership with affected stakeholder organizations, developed a medical screening program to evaluate the health status of workers and volunteers who spent time at the WTC site and thus sustained exposure in the aftermath of September 11th. Standardized questionnaires were adapted for use in this unique population and all clinicians underwent training to ensure comparability. The WTC Worker and Volunteer Medical Screening Program (MSP) received federal funding in April 2002 and examinations began in July 2002. The MSP and the follow up medical monitoring program has successfully recruited nearly 22,000 responders, and serves as a model for the rapid development of a medical screening program to assess the health of populations exposed to environmental hazards as a result of natural and man-made disasters. The MSP constitutes a successful screening program for WTC responders. We discuss the challenges that confronted the program; the absence of a prior model for the rapid development of a program to evaluate results from mixed chemical exposures; little documentation of the size of the exposed population or of who might have been exposed; and uncertainty about both the nature and potential severity of immediate and long-term health effects.
(Copyright (c) 2008 Mount Sinai School of Medicine)
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Savitz DA, Oxman RT, Metzger KB, Wallenstein S, Stein D, Moline JM, and Herbert R
The Mount Sinai journal of medicine, New York [Mt Sinai J Med] 2008 Mar-Apr; Vol. 75 (2), pp. 77-87.
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Air Pollution adverse effects, Epidemiologic Methods, Humans, Inhalation Exposure adverse effects, New York City epidemiology, Occupational Diseases etiology, Occupational Health, Particulate Matter adverse effects, Program Evaluation, Relief Work, Disaster Planning, Occupational Diseases epidemiology, Occupational Exposure adverse effects, Population Surveillance, Public Health, September 11 Terrorist Attacks, and Volunteers
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Studies of long-term health consequences of disasters face unique methodologic challenges. The authors focused on studies of the health of cleanup and recovery workers, who are often poorly enumerated at the outset and difficult to follow over time. Comparison of the experience at the World Trade Center disaster with 4 past incidents of chemical and radiation releases at Seveso, Italy; Bhopal, India; Chernobyl, Ukraine; and Three Mile Island, USA, provided useful contrasts. Each event had methodologic advantages and disadvantages that depended on the nature of the disaster and the availability of records on area residents, and the emergency-response and cleanup protocol. The World Trade Center Worker Monitoring Program has well-defined eligibility criteria but lacks information on the universe of eligible workers to characterize response proportions or the potential for distortion of reported health effects. Nonparticipation may result from lack of interest, lack of awareness of the program, availability of another source of medical care, medical conditions precluding participation, inability to take time off from work, moving out of the area, death, or shift from initially ineligible to eligible status. Some of these considerations suggest selective participation by the sickest individuals, whereas others favor participation by the healthiest. The greatest concern with the validity of inferences regarding elevated health risks relative to external populations is the potential for selective enrollment among those who are affected. If there were a large pool of nonparticipating workers and those who suffered ill health were most motivated to enroll, the rates of disease among participants would be substantially higher than among all those eligible for the program. Future disaster follow-up studies would benefit substantially by having access to accurate estimates of the number of workers and information on the individuals who contributed to the cleanup and recovery effort.
(Copyright (c) 2008 Mount Sinai School of Medicine)
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90. Mental health of workers and volunteers responding to events of 9/11: review of the literature. [2008]
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Bills CB, Levy NA, Sharma V, Charney DS, Herbert R, Moline J, and Katz CL
The Mount Sinai journal of medicine, New York [Mt Sinai J Med] 2008 Mar-Apr; Vol. 75 (2), pp. 115-27.
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Humans, New York City epidemiology, Stress Disorders, Post-Traumatic epidemiology, United States epidemiology, Mental Health, Mental Health Services organization administration, Relief Work, September 11 Terrorist Attacks, Stress Disorders, Post-Traumatic diagnosis, and Volunteers psychology
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Background: Disaster workers responding to the events of September 11th were exposed to traumatic events. No study has systematically investigated the diverse mental health status and needs of the heterogeneous population of disaster workers responding to the events of September 11th.
Methods: Using PubMed and Medline and the search terms of "September 11, 2001" or "September 11" or "9/11"or "WTC" or "World Trade Center", the authors reviewed all articles that examined the mental health outcomes of workers at one of the three September 11th crash sites or the Fresh Kills landfill in New York City.
Results: In total, 25 articles met study inclusion criteria, often using different methodologies. The articles described varying degrees of mental health symptomatology, risk factors for adverse mental health outcomes, and utilization of mental health services.
Conclusions: The mental health needs of workers exposed to the events of September 11th ranged from little to no care to pharmacotherapy. A range of risk factors, including exposures at the WTC site and occupational activities, impacted on these needs but the role of specific mental health interventions was less clear. These findings suggest the need for a future program for disaster workers consisting of an accessible mental health treatment service supported by comprehensive postdisaster surveillance and emphasis on pre-disaster mental wellness. A number of areas for further consideration and study were identified, including the need for a more diverse exploration of involved responder populations as well as investigation of potential mental health outcomes beyond post-traumatic stress disorder (PTSD).
(Copyright (c) 2008 Mount Sinai School of Medicine)
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Emery S, Neuhaus JA, Phillips AN, Babiker A, Cohen CJ, Gatell JM, Girard PM, Grund B, Law M, Losso MH, Palfreeman A, and Wood R
The Journal of infectious diseases [J Infect Dis] 2008 Apr 15; Vol. 197 (8), pp. 1133-44.
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AIDS-Related Opportunistic Infections immunology, AIDS-Related Opportunistic Infections mortality, Adult, CD4 Lymphocyte Count, Cohort Studies, Drug Administration Schedule, Female, HIV Infections immunology, HIV Infections mortality, HIV Infections virology, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Treatment Outcome, Anti-HIV Agents administration dosage, HIV immunology, and HIV Infections drug therapy
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Background: The SMART study randomized 5,472 human immunodeficiency virus (HIV)-infected patients with CD4+ cell counts >350 cells/microL to intermittent antiretroviral therapy (ART; the drug conservation [DC] group) versus continuous ART (the viral suppression [VS] group). In the DC group, participants started ART when the CD4+ cell count was <250 cells/microL. Clinical outcomes in participants not receiving ART at entry inform the early use of ART.
Methods: Patients who were either ART naive (n=249) or who had not been receiving ART for >or= 6 months (n=228) were analyzed. The following clinical outcomes were assessed: (i) opportunistic disease (OD) or death from any cause (OD/death); (ii) OD (fatal or nonfatal); (iii) serious non-AIDS events (cardiovascular, renal, and hepatic disease plus non-AIDS-defining cancers) and non-OD deaths; and (iv) the composite of outcomes (ii) and (iii).
Results: A total of 477 participants (228 in the DC group and 249 in the VS group) were followed (mean, 18 months). For outcome (iv), 21 and 6 events occurred in the DC (7 in ART-naive participants and 14 in those who had not received ART for >or= 6 months) and VS (2 in ART-naive participants and 4 in those who had not received ART for 6 months) groups, respectively. Hazard ratios for DC vs. VS by outcome category were as follows: outcome (i), 3.47 (95% confidence interval [CI], 1.26-9.56; p=.02); outcome (ii), 3.26 (95% CI, 1.04-10.25; p=.04); outcome (iii), 7.02 (95% CI, 1.57-31.38; p=.01); and outcome (iv), 4.19 (95% CI, 1.69-10.39; p=.002 ).
Conclusions: Initiation of ART at CD4+ cell counts >350 cells/microL compared with <250 cells/microL may reduce both OD and serious non-AIDS events. These findings require validation in a large, randomized clinical trial.
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Strategies for Management of Antiretroviral Therapy (SMART) Study Group, Emery, Sean, Neuhaus, Jacqueline A, Phillips, Andrew N, Babiker, Abdel, Cohen, Calvin J, Gatell, Jose M, Girard, Pierre-Marie, Grund, Birgit, Law, Matthew, Losso, Marcelo H, Palfreeman, Adrian, and Wood, Robin
Journal of Infectious Diseases . 4/15/2008, Vol. 197 Issue 8, p1133-1144. 12p.
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Background: The SMART study randomized 5,472 human immunodeficiency virus (HIV)-infected patients with CD4+ cell counts >350 cells/microL to intermittent antiretroviral therapy (ART; the drug conservation [DC] group) versus continuous ART (the viral suppression [VS] group). In the DC group, participants started ART when the CD4+ cell count was <250 cells/microL. Clinical outcomes in participants not receiving ART at entry inform the early use of ART.Methods: Patients who were either ART naive (n=249) or who had not been receiving ART for >or= 6 months (n=228) were analyzed. The following clinical outcomes were assessed: (i) opportunistic disease (OD) or death from any cause (OD/death); (ii) OD (fatal or nonfatal); (iii) serious non-AIDS events (cardiovascular, renal, and hepatic disease plus non-AIDS-defining cancers) and non-OD deaths; and (iv) the composite of outcomes (ii) and (iii).Results: A total of 477 participants (228 in the DC group and 249 in the VS group) were followed (mean, 18 months). For outcome (iv), 21 and 6 events occurred in the DC (7 in ART-naive participants and 14 in those who had not received ART for >or= 6 months) and VS (2 in ART-naive participants and 4 in those who had not received ART for 6 months) groups, respectively. Hazard ratios for DC vs. VS by outcome category were as follows: outcome (i), 3.47 (95% confidence interval [CI], 1.26-9.56; p=.02); outcome (ii), 3.26 (95% CI, 1.04-10.25; p=.04); outcome (iii), 7.02 (95% CI, 1.57-31.38; p=.01); and outcome (iv), 4.19 (95% CI, 1.69-10.39; p=.002 ).Conclusions: Initiation of ART at CD4+ cell counts >350 cells/microL compared with <250 cells/microL may reduce both OD and serious non-AIDS events. These findings require validation in a large, randomized clinical trial. [ABSTRACT FROM AUTHOR]
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White R, Gonsior C, Krämer-Albers EM, Stöhr N, Hüttelmaier S, and Trotter J
The Journal of cell biology [J Cell Biol] 2008 May 19; Vol. 181 (4), pp. 579-86.
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Animals, Cell Adhesion Molecules, Neuronal metabolism, Cell Line, Contactins, Enzyme Activation, Genes, Reporter, Luciferases metabolism, Mice, Neural Cell Adhesion Molecules metabolism, Phosphorylation, Protein Binding, RNA, Messenger genetics, RNA, Messenger metabolism, Recombinant Fusion Proteins metabolism, Response Elements genetics, Cytoplasmic Granules metabolism, Heterogeneous-Nuclear Ribonucleoprotein Group A-B metabolism, Oligodendroglia enzymology, Protein Biosynthesis, Proto-Oncogene Proteins c-fyn metabolism, and RNA Transport
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Central nervous system myelination requires the synthesis of large amounts of myelin basic protein (MBP) at the axon-glia contact site. MBP messenger RNA (mRNA) is transported in RNA granules to oligodendroglial processes in a translationally silenced state. This process is regulated by the trans-acting factor heterogeneous nuclear ribonucleoprotein (hnRNP) A2 binding to the cis-acting A2 response element (A2RE). Release of this repression of MBP mRNA translation is thus essential for myelination. Mice deficient in the Src family tyrosine kinase Fyn are hypomyelinated and contain reduced levels of MBP. Here, we identify hnRNP A2 as a target of activated Fyn in oligodendrocytes. We show that active Fyn phosphorylates hnRNP A2 and stimulates translation of an MBP A2RE-containing reporter construct. Neuronal adhesion molecule L1 binding to oligodendrocytes results in Fyn activation, which leads to an increase in hnRNP A2 phosphorylation. These results suggest that Fyn kinase activation results in the localized translation of MBP mRNA at sites of axon-glia contact and myelin deposition.
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94. External beam boost for cancer of the cervix uteri when intracavitary therapy cannot be performed. [2008]
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Barraclough LH, Swindell R, Livsey JE, Hunter RD, and Davidson SE
International journal of radiation oncology, biology, physics [Int J Radiat Oncol Biol Phys] 2008 Jul 01; Vol. 71 (3), pp. 772-8. Date of Electronic Publication: 2008 Jan 22.
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Adult, Aged, Aged, 80 and over, Brachytherapy, Female, Humans, Middle Aged, Radiotherapy Dosage, Retrospective Studies, Treatment Outcome, Radiotherapy, Conformal methods, and Uterine Cervical Neoplasms radiotherapy
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Purpose: To assess the outcome of patients treated with radical radiotherapy for cervical cancer who received an external beam boost, in place of intracavitary brachytherapy (ICT), after irradiation to the whole pelvis.
Methods and Materials: Case notes were reviewed for all patients treated in this way in a single center between 1996 and 2004. Patient and tumor details, the reasons why ICT was not possible, and treatment outcome were documented.
Results: Forty-four patients were identified. The mean age was 56.4 years (range, 26-88 years). Clinical International Federation of Gynecology and Obstetrics or radiologic stage for Stages I, II, III, and IV, respectively, was 16%, 48%, 27%, and 7%. A total radiation dose of 54-70 Gy was given (75% received > or =60 Gy). Reasons for ICT not being performed were technical limitations in 73%, comorbidity or isolation limitations in 23%, and patient choice in 4%. The median follow-up was 2.3 years. Recurrent disease was seen in 48%, with a median time to recurrence of 2.3 years. Central recurrence was seen in 16 of the 21 patients with recurrent disease. The 5-year overall survival rate was 49.3%. The 3-year cancer-specific survival rate by stage was 100%, 70%, and 42% for Stages I, II, and III, respectively. Late Grades 1 and 2 bowel, bladder, and vaginal toxicity were seen in 41%. Late Grade 3 toxicity was seen in 2%.
Conclusion: An external beam boost is a reasonable option after external beam radiotherapy to the pelvis when it is not possible to perform ICT.
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Wallis D, Lacbawan F, Jain M, Der Kaloustian VM, Steiner CE, Moeschler JB, Losken HW, Kaitila II, Cantrell S, Proud VK, Carey JC, Day DW, Lev D, Teebi AS, Robinson LK, Hoyme HE, Al-Torki N, Siegel-Bartelt J, Mulliken JB, Robin NH, Saavedra D, Zackai EH, and Muenke M
American journal of medical genetics. Part A [Am J Med Genet A] 2008 Aug 01; Vol. 146A (15), pp. 2008-12.
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DNA genetics, Female, Humans, Male, Polymerase Chain Reaction, Sequence Analysis, DNA, Syndrome, Chromosomes, Human, X, Craniosynostoses genetics, Ephrin-B1 genetics, and Mutation
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Stellman JM, Smith RP, Katz CL, Sharma V, Charney DS, Herbert R, Moline J, Luft BJ, Markowitz S, Udasin I, Harrison D, Baron S, Landrigan PJ, Levin SM, and Southwick S
Environmental health perspectives [Environ Health Perspect] 2008 Sep; Vol. 116 (9), pp. 1248-53.
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Adult, Depression epidemiology, Female, Humans, Male, Middle Aged, Panic Disorder epidemiology, Prevalence, Stress Disorders, Post-Traumatic epidemiology, Surveys and Questionnaires, United States epidemiology, Depression diagnosis, Mental Health, Occupational Exposure, Panic Disorder diagnosis, September 11 Terrorist Attacks, and Stress Disorders, Post-Traumatic diagnosis
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Background: The World Trade Center (WTC) attacks exposed thousands of workers to hazardous environmental conditions and psychological trauma. In 2002, to assess the health of these workers, Congress directed the National Institute for Occupational Safety and Health to establish the WTC Medical Monitoring and Treatment Program. This program has established a large cohort of WTC rescue, recovery, and cleanup workers. We previously documented extensive pulmonary dysfunction in this cohort related to toxic environmental exposures.
Objectives: Our objective in this study was to describe mental health outcomes, social function impairment, and psychiatric comorbidity in the WTC worker cohort, as well as perceived symptomatology in workers' children.
Methods: Ten to 61 months after the WTC attack, 10,132 WTC workers completed a self-administered mental health questionnaire.
Results: Of the workers who completd the questionnaire, 11.1% met criteria for probable post-traumatic stress disorder (PTSD), 8.8% met criteria for probable depression, 5.0% met criteria for probable panic disorder, and 62% met criteria for substantial stress reaction. PTSD prevalence was comparable to that seen in returning Afghanistan war veterans and was much higher than in the U.S. general population. Point prevalence declined from 13.5% to 9.7% over the 5 years of observation. Comorbidity was extensive and included extremely high risks for impairment of social function. PTSD was significantly associated with loss of family members and friends, disruption of family, work, and social life, and higher rates of behavioral symptoms in children of workers.
Conclusions: Working in 9/11 recovery operations is associated with chronic impairment of mental health and social functioning. Psychological distress and psychopathology in WTC workers greatly exceed population norms. Surveillance and treatment programs continue to be needed.
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Healy DL, Bell R, Robertson DM, Jobling T, Oehler MK, Edwards A, Shekleton P, Oldham J, Piessens S, Teoh M, Mamers P, Taylor N, and Walker F
Menopause (New York, N.Y.) [Menopause] 2008 Nov-Dec; Vol. 15 (6), pp. 1109-14.
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Adult, Aged, Aged, 80 and over, CA-125 Antigen blood, Cohort Studies, Female, Humans, Inhibins blood, Mass Screening, Middle Aged, Ovarian Neoplasms blood, Ovarian Neoplasms prevention control, Ovary pathology, Ultrasonography, Ovarian Neoplasms diagnostic imaging, Ovary diagnostic imaging, and Postmenopause
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Objective: There are currently no programs to assess ovarian health in postmenopausal women. The aim of this study was to describe the ovaries in healthy women at least 5 years after menopause by questionnaire, transvaginal ultrasonography, and blood ovarian cancer markers.
Design: A total of 515 women who were asymptomatic and at the Stages of Reproductive Aging Workshop +2 stage of menopause (>5 y postmenopause) were recruited by advertisement. Clinical history was obtained by questionnaire, and biophysical assessment by a transvaginal ultrasound investigation and biochemical assessment by serum CA-125 and inhibin were performed. Abnormal findings were confirmed and then reviewed.
Results: Both ovaries were identified by transvaginal ultrasonography in 71% of women. The right ovary was visualized in 86.3% of these volunteers, and the left ovary was visualized in 78%. The presence of small unilocular cysts and echogenic foci facilitated identification of the ovary in some women. Ovarian/paraovarian lesions were present in 12.6% of women. Abnormalities of the endometrium and uterus were also common, prompting surgery in 7.2% of the women. Total serum inhibin concentrations were normal for postmenopausal women, whereas serum CA-125 was elevated in two women.
Conclusions: We find that the description and detection of postmenopausal ovaries by transvaginal ultrasonography allows the identification of both ovaries in most postmenopausal women. Ultrasonography-detected abnormalities of the ovary and/or the uterus/endometrium are common in women at this stage of life. The potential need for surgical intervention after the detection of such abnormalities needs to be carefully evaluated when considering transvaginal ultrasonography as a screening tool for ovarian cancer.
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Kouakou P, Ghalfi H, Destain J, Duboisdauphin R, Evrard P, and Thonart P
Meat science [Meat Sci] 2008 Nov; Vol. 80 (3), pp. 640-8. Date of Electronic Publication: 2008 Feb 26.
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This work focused on Listeria monocytogenes growth inhibition and growth rebound in raw and cooked pork meat inoculated with Lactobacillus curvatus strains. During storage of raw meat homogenates in the presence of the bacteriocin-producing strain Lactobacillus curvatus CWBI-B28wt, the Listeria monocytogenes cfu count was initially reduced to an undetectable level, but a growth rebound occurred after two weeks, coinciding with loss of 70% of the bacteriocin activity present at the end of week 2. The Listeria growth rebound was suppressed when proteolysis of bacteriocin was countered by the absence of proteases (bacteriocin addition to cooked meat) or the presence of 1% soy flour (added to provide competing substrates). Further experiments confirmed that bacteriocin is sensitive to the action of proteolytic enzymes isolated from both Lactobacillus curvatus CWBI-B28wt and the meat matrix. Bacteriocin proteolysis thus emerges as a cause of Listeria growth rebound.
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Duncton MA, Piatnitski Chekler EL, Katoch-Rouse R, Sherman D, Wong WC, Smith LM 2nd, Kawakami JK, Kiselyov AS, Milligan DL, Balagtas C, Hadari YR, Wang Y, Patel SN, Rolster RL, Tonra JR, Surguladze D, Mitelman S, Kussie P, Bohlen P, and Doody JF
Bioorganic & medicinal chemistry [Bioorg Med Chem] 2009 Jan 15; Vol. 17 (2), pp. 731-40. Date of Electronic Publication: 2008 Nov 24.
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Administration, Oral, Animals, Biological Availability, Female, Isoquinolines chemical synthesis, Isoquinolines pharmacokinetics, Mice, Mice, Inbred Strains, Phthalazines administration dosage, Phthalazines chemical synthesis, Piperidines, Quinazolines, Vascular Endothelial Growth Factor Receptor-1 antagonists inhibitors, Phthalazines pharmacokinetics, and Vascular Endothelial Growth Factor Receptor-2 antagonists inhibitors
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A series of arylphthalazine derivatives were synthesized and evaluated as antagonists of VEGF receptor II (VEGFR-2). IM-094482 57, which was prepared in two steps from commercially available starting materials, was found to be a potent inhibitor of VEGFR-2 in enzymatic, cellular and mitogenic assays (comparable activity to ZD-6474). Additionally, 57 inhibited the related receptor, VEGF receptor I (VEGFR-1), and showed excellent exposure when dosed orally to female CD-1 mice.
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Chiquet BT, Hashmi SS, Henry R, Burt A, Mulliken JB, Stal S, Bray M, Blanton SH, and Hecht JT
European journal of human genetics : EJHG [Eur J Hum Genet] 2009 Feb; Vol. 17 (2), pp. 195-204. Date of Electronic Publication: 2008 Aug 20.
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Female, Humans, Male, Pedigree, Polymorphism, Single Nucleotide, Cleft Lip genetics, Cleft Palate genetics, Molecular Motor Proteins genetics, and Myosin Heavy Chains genetics
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Nonsyndromic cleft lip with or without cleft palate (NSCLP) is a common birth anomaly that requires prolonged multidisciplinary rehabilitation. Although variation in several genes has been identified as contributing to NSCLP, most of the genetic susceptibility loci have yet to be defined. To identify additional contributory genes, a high-throughput genomic scan was performed using the Illumina Linkage IVb Panel platform. We genotyped 6008 SNPs in nine non-Hispanic white NSCLP multiplex families and a single large African-American NSCLP multiplex family. Fourteen chromosomal regions were identified with LOD>1.5, including six regions not previously reported. Analysis of the data from the African-American and non-Hispanic white families revealed two likely chromosomal regions: 8q21.3-24.12 and 22q12.2-12.3 with LOD scores of 2.98 and 2.66, respectively. On the basis of biological function, syndecan 2 (SDC2) and growth differentiation factor 6 (GDF6) in 8q21.3-24.12 and myosin heavy-chain 9, non-muscle (MYH9) in 22q12.2-12.3 were selected as candidate genes. Association analyses from these genes yielded marginally significant P-values for SNPs in SDC2 and GDF6 (0.01
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