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1.
J Inorg Biochem ; 230: 111775, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35247855

RESUMO

Non-canonical heme oxygenases are enzymes that degrade heme to non-biliverdin products within bacterial heme iron acquisition pathways. These enzymes all contain a conserved second-sphere Trp residue that is essential for enzymatic turnover. Here, UV/Vis absorption (Abs) and circular dichroism (CD) spectroscopies were employed to show that the W67F variant of IsdG perturbs the heme substrate conformation. In general, a dynamic equilibrium between "planar" and "ruffled" substrate conformations exists within non-canonical heme oxygenases, and that the second-sphere Trp favors population of the "ruffled" substrate conformation. 1H nuclear magnetic resonance and magnetic CD spectroscopies were used to characterize the electronic structures of IsdG and IsdI variants with different substrate conformational distributions. These data revealed that the "ruffled" substrate conformation promotes partial porphyrin-to­iron electron transfer, which makes the meso carbons of the porphyrin ring susceptible to radical attack. Finally, UV/Vis Abs spectroscopy was utilized to quantify the enzymatic rates, and electrospray ionization mass spectrometry was used to identify the product distributions, for variants of IsdG with altered substrate conformational distributions. In general, the rate of heme oxygenation by non-canonical heme oxygenases depends upon the population of the "ruffled" substrate conformation. Also, the production of staphylobilin or mycobilin by these enzymes is correlated with the population of the "ruffled" substrate conformation, since variants that favor population of the "planar" substrate conformation yield significant amounts of biliverdin. These data can be understood within the framework of a concerted rearrangement mechanism for the monooxygenation of heme to meso-hydroxyheme by non-canonical heme oxygenases.


Assuntos
Heme , Staphylococcus aureus , Proteínas de Bactérias/química , Catálise , Heme/química , Heme Oxigenase (Desciclizante)/química , Ferro , Oxigenases/química , Staphylococcus aureus/metabolismo
2.
Nat Mater ; 21(1): 62-66, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34750539

RESUMO

Symmetry plays a central role in conventional and topological phases of matter, making the ability to optically drive symmetry changes a critical step in developing future technologies that rely on such control. Topological materials, like topological semimetals, are particularly sensitive to a breaking or restoring of time-reversal and crystalline symmetries, which affect both bulk and surface electronic states. While previous studies have focused on controlling symmetry via coupling to the crystal lattice, we demonstrate here an all-electronic mechanism based on photocurrent generation. Using second harmonic generation spectroscopy as a sensitive probe of symmetry changes, we observe an ultrafast breaking of time-reversal and spatial symmetries following femtosecond optical excitation in the prototypical type-I Weyl semimetal TaAs. Our results show that optically driven photocurrents can be tailored to explicitly break electronic symmetry in a generic fashion, opening up the possibility of driving phase transitions between symmetry-protected states on ultrafast timescales.

3.
Epidemiol Infect ; 148: e254, 2020 06 16.
Artigo em Inglês | MEDLINE | ID: mdl-32539900

RESUMO

Clusters of Salmonella Enteritidis cases were identified by the Minnesota Department of Health using both pulsed-field gel electrophoresis (PFGE) and whole genome sequencing (WGS) single nucleotide polymorphism analysis from 1 January 2015 through 31 December 2017. The median turnaround time for obtaining WGS results was 11 days longer than for PFGE (12 vs. 1 day). WGS analysis more than doubled the number of clusters compared to PFGE analysis, but reduced the total number of cases included in clusters by 34%. The median cluster size was two cases for WGS compared to four for PFGE, and the median duration of WGS clusters was 27 days shorter than PFGE clusters. While the percentage of PFGE clusters with a confirmed source (46%) was higher than WGS clusters (32%), a higher percentage of cases in clusters that were confirmed as outbreaks reported the vehicle or exposure of interest for WGS (78%) than PFGE (46%). WGS cluster size was a significant predictor of an outbreak source being confirmed. WGS data have enhanced S. Enteritidis cluster investigations in Minnesota by improving the specificity of cluster case definitions and has become an integral part of the S. Enteritidis surveillance process.


Assuntos
Genoma Bacteriano , Vigilância da População/métodos , Infecções por Salmonella/microbiologia , Salmonella enteritidis/genética , Sequenciamento Completo do Genoma , Surtos de Doenças , Humanos , Minnesota/epidemiologia , Infecções por Salmonella/epidemiologia , Salmonella enteritidis/isolamento & purificação
4.
Gene ; 720: 144081, 2019 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-31473322

RESUMO

Despite the existing research, the etiology of rheumatoid arthritis (RA), an autoimmune disease remains poorly understood with early and accurate diagnosis difficult to achieve. MicroRNAs (miRNAs) play an important role in biological processes as modulators of transcription and translation. Previous studies have demonstrated a downregulation of several genes in early RA stages and in addition, miRNAs may serve as early biomarkers of subclinical changes in early RA. When comparing the four groups (ANOVA P < 0.01, fold change > 4), we found 253 differentially expressed miRNAs. Of these, 97 miRNAs were identified as overexpressed in early rheumatoid arthritis. The validation of miRNA microarray expression was performed in a set by RT-qPCR and showed strong agreement with microarray expression data. The putative targets of overexpressed microRNAs in early RA were significantly enriched in apoptosis, tolerance loss and Wnt pathways. Moreover, ROC analysis showed values of AUC 0.76 and P < 0.05 for miR 361-5p, identifying this miRNA as a potential biomarker of disease. We identified specific microRNAs associated with early rheumatoid arthritis and proposed them as early biomarkers of disease. Our results provide novel insight into immune disease physiopathology and describe unreported microRNAs in RA with potential for clinical use.


Assuntos
Artrite Reumatoide/genética , Biomarcadores/análise , Genoma Humano , MicroRNAs/genética , Adulto , Artrite Reumatoide/patologia , Estudos de Casos e Controles , Feminino , Perfilação da Expressão Gênica , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Curva ROC
5.
Phys Rev Lett ; 122(19): 197401, 2019 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-31144919

RESUMO

We investigate polarization-dependent ultrafast photocurrents in the Weyl semimetal TaAs using terahertz (THz) emission spectroscopy. Our results reveal that highly directional, transient photocurrents are generated along the noncentrosymmetric c axis regardless of incident light polarization, while helicity-dependent photocurrents are excited within the ab plane. This is consistent with earlier static photocurrent experiments, and demonstrates on the basis of both the physical constraints imposed by symmetry and the temporal dynamics intrinsic to current generation and decay that optically induced photocurrents in TaAs are inherent to the underlying crystal symmetry of the transition metal monopnictide family of Weyl semimetals.

6.
Clin Radiol ; 72(11): 995.e1-995.e9, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28751038

RESUMO

AIM: To assess the prevalence of arterial phase (AP) ring-enhancing small hepatocellular carcinomas (HCC) on magnetic resonance imaging (MRI); detail additional MRI features that enable HCC diagnosis; and examine arterial timing as one possible cause of this appearance. MATERIALS AND METHODS: Patients undergoing HCC screening with both computed tomography (CT) and MRI within 40 days were examined at a single institution over a 7- year time period ending in 2013. From this initial group, small (1-3 cm), (AP) ring-enhancing HCC on MRI were studied. RESULTS: From the initial group of 64 patients with 129 HCC, 20 patients with 78 HCCs had a small diameter with 32 (41%) having an AP ring at MRI. The mean age of this latter group was 63-years old, with the average tumour diameter of 1.9 cm. Histopathology and secondary imaging supported a diagnosis of HCC in 20 (100%) patients and 31 (97%) lesions. Most of the ringed lesions had early AP timing. CONCLUSION: This study revealed a high prevalence (41%) of small, AP ring HCC with MRI. The use of other MRI sequences adds support in making the proper diagnosis with this appearance. Early AP timing may help create this pattern.


Assuntos
Carcinoma Hepatocelular/diagnóstico por imagem , Processamento de Imagem Assistida por Computador/métodos , Neoplasias Hepáticas/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Meios de Contraste , Feminino , Humanos , Aumento da Imagem/métodos , Fígado/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade
7.
Nat Commun ; 8: 14933, 2017 03 30.
Artigo em Inglês | MEDLINE | ID: mdl-28358027

RESUMO

Strong coupling between discrete phonon and continuous electron-hole pair excitations can induce a pronounced asymmetry in the phonon line shape, known as the Fano resonance. This effect has been observed in various systems. Here we reveal explicit evidence for strong coupling between an infrared-active phonon and electronic transitions near the Weyl points through the observation of a Fano resonance in the Weyl semimetal TaAs. The resulting asymmetry in the phonon line shape, conspicuous at low temperatures, diminishes continuously with increasing temperature. This behaviour originates from the suppression of electronic transitions near the Weyl points due to the decreasing occupation of electronic states below the Fermi level (EF) with increasing temperature, as well as Pauli blocking caused by thermally excited electrons above EF. Our findings not only elucidate the mechanism governing the tunable Fano resonance but also open a route for exploring exotic physical phenomena through phonon properties in Weyl semimetals.

8.
Occup Med (Lond) ; 67(1): 20-25, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27816911

RESUMO

BACKGROUND: Exposure to respirable crystalline silica (RCS) causes emphysema, airflow limitation and chronic obstructive pulmonary disease (COPD). Slate miners are exposed to slate dust containing RCS but their COPD risk has not previously been studied. AIMS: To study the cumulative effect of mining on lung function and risk of COPD in a cohort of Welsh slate miners and whether these were independent of smoking and pneumoconiosis. METHODS: The study was based on a secondary analysis of Medical Research Council (MRC) survey data. COPD was defined as forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC) ratio <0.7. We created multivariable models to assess the association between mining and lung function after adjusting for age and smoking status. We used linear regression models for FEV1 and FVC and logistic regression for COPD. RESULTS: In the original MRC study, 1255 men participated (726 slate miners, 529 unexposed non-miners). COPD was significantly more common in miners (n = 213, 33%) than non-miners (n = 120, 26%), P < 0.05. There was no statistically significant difference in risk of COPD between miners and non-miners when analysis was limited to non-smokers or those without radiographic evidence of pneumoconiosis. After adjustment for smoking, slate mining was associated with a reduction in %predicted FEV1 [ß coefficient = -3.97, 95% confidence interval (CI) -6.65, -1.29] and FVC (ß coefficient = -2.32, 95% CI -4.31, -0.33) and increased risk of COPD (odds ratio: 1.38, 95% CI 1.06, 1.81). CONCLUSIONS: Slate mining may reduce lung function and increase the incidence of COPD independently of smoking and pneumoconiosis.


Assuntos
Mineração , Exposição Ocupacional/efeitos adversos , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Dióxido de Silício/efeitos adversos , Adulto , Volume Expiratório Forçado , Humanos , Masculino , Pessoa de Meia-Idade , Mineração/estatística & dados numéricos , Exposição Ocupacional/estatística & dados numéricos , Pneumoconiose/diagnóstico , Pneumoconiose/epidemiologia , Pneumoconiose/etiologia , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Radiografia Torácica/estatística & dados numéricos , Fumar/efeitos adversos , Fumar/epidemiologia , Inquéritos e Questionários , Tórax/anormalidades , Capacidade Vital , País de Gales/epidemiologia , Recursos Humanos
9.
Nat Commun ; 5: 5832, 2014 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-25534775

RESUMO

A new approach to all-optical detection and control of the coupling between electric and magnetic order on ultrafast timescales is achieved using time-resolved second-harmonic generation (SHG) to study a ferroelectric (FE)/ferromagnet (FM) oxide heterostructure. We use femtosecond optical pulses to modify the spin alignment in a Ba(0.1)Sr(0.9)TiO3 (BSTO)/La(0.7)Ca(0.3)MnO3 (LCMO) heterostructure and selectively probe the ferroelectric response using SHG. In this heterostructure, the pump pulses photoexcite non-equilibrium quasiparticles in LCMO, which rapidly interact with phonons before undergoing spin-lattice relaxation on a timescale of tens of picoseconds. This reduces the spin-spin correlations in LCMO, applying stress on BSTO through magnetostriction. This then modifies the FE polarization through the piezoelectric effect, on a timescale much faster than laser-induced heat diffusion from LCMO to BSTO. We have thus demonstrated an ultrafast indirect magnetoelectric effect in a FE/FM heterostructure mediated through elastic coupling, with a timescale primarily governed by spin-lattice relaxation in the FM layer.

10.
Sci Rep ; 3: 2654, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24030661

RESUMO

The mechanisms producing strong coupling between electric and magnetic order in multiferroics are not always well understood, since their microscopic origins can be quite different. Hence, gaining a deeper understanding of magnetoelectric coupling in these materials is the key to their rational design. Here, we use ultrafast optical spectroscopy to show that the influence of magnetic ordering on quantum charge fluctuations via the double-exchange mechanism can govern the interplay between electric polarization and magnetism in the charge-ordered multiferroic LuFe2O4.

11.
Phys Rev Lett ; 111(5): 057402, 2013 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-23952443

RESUMO

Ultrafast optical spectroscopy is used to study the antiferromagnetic f-electron system USb(2). We observe the opening of two charge gaps at low temperatures (

Assuntos
Antimônio/química , Magnetismo , Urânio/química , Temperatura Baixa , Óptica e Fotônica/métodos , Análise Espectral/métodos
12.
Acta Biomater ; 9(8): 7865-73, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23624219

RESUMO

The extracellular matrix (ECM) of mammalian tissues has been isolated, decellularized and utilized as a scaffold to facilitate the repair and reconstruction of numerous tissues. Recent studies have suggested that superior function and complex tissue formation occurred when ECM scaffolds were derived from site-specific homologous tissues compared with heterologous tissues. The objectives of the present study were to apply a stringent decellularization process to demineralized bone matrix (DBM), prepared from bovine bone, and to characterize the structure and composition of the resulting ECM materials and DBM itself. Additionally, we sought to produce a soluble form of DBM and ECM which could be induced to form a hydrogel. Current clinical delivery of DBM particles for treatment of bone defects requires incorporation of the particles within a carrier liquid. Differences in osteogenic activity, inflammation and nephrotoxicity have been reported with various carrier liquids. The use of hydrogel forms of DBM or ECM may reduce the need for carrier liquids. DBM and ECM hydrogels exhibited sigmoidal gelation kinetics consistent with a nucleation and growth mechanism, with ECM hydrogels characterized by lower storage moduli than the DBM hydrogels. Enhanced proliferation of mouse primary calvarial cells was achieved on ECM hydrogels, compared with collagen type I and DBM hydrogels. These results show that DBM and ECM hydrogels have distinct structural, mechanical and biological properties and have the potential for clinical delivery without the need for carrier liquids.


Assuntos
Substitutos Ósseos/síntese química , Sistema Livre de Células/química , Matriz Extracelular/química , Hidrogéis/síntese química , Minerais/química , Minerais/isolamento & purificação , Tíbia/química , Tíbia/citologia , Animais , Bovinos , Células Cultivadas , Teste de Materiais
13.
Opt Express ; 21(7): 8763-72, 2013 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-23571965

RESUMO

We have developed a new imaging method, ultrafast optical wide field microscopy, capable of rapidly acquiring wide field images of nearly any sample in a non-contact manner with high spatial and temporal resolution. Time-resolved images of the photoinduced changes in transmission for a patterned semiconductor thin film and a single silicon nanowire after optical excitation are captured using a two-dimensional smart pixel array detector. These images represent the time-dependent carrier dynamics with high sensitivity, femtosecond time resolution and sub-micrometer spatial resolution.


Assuntos
Aumento da Imagem/instrumentação , Microscopia/instrumentação , Desenho de Equipamento , Análise de Falha de Equipamento
14.
Nano Lett ; 12(12): 6334-8, 2012 Dec 12.
Artigo em Inglês | MEDLINE | ID: mdl-23130749

RESUMO

Recent success in the fabrication of axial and radial core-shell heterostructures, composed of one or more layers with different properties, on semiconductor nanowires (NWs) has enabled greater control of NW-based device operation for various applications. (1-3) However, further progress toward significant performance enhancements in a given application is hindered by the limited knowledge of carrier dynamics in these structures. In particular, the strong influence of interfaces between different layers in NWs on transport makes it especially important to understand carrier dynamics in these quasi-one-dimensional systems. Here, we use ultrafast optical microscopy (4) to directly examine carrier relaxation and diffusion in single silicon core-only and Si/SiO(2) core-shell NWs with high temporal and spatial resolution in a noncontact manner. This enables us to reveal strong coherent phonon oscillations and experimentally map electron and hole diffusion currents in individual semiconductor NWs for the first time.


Assuntos
Microscopia/instrumentação , Nanofios/química , Dióxido de Silício/química , Silício/química , Difusão , Desenho de Equipamento , Microscopia/economia , Nanofios/ultraestrutura , Fatores de Tempo
15.
Intern Med J ; 42(1): 7-17, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21999843

RESUMO

Cardiac magnetic resonance imaging (CMR) has matured into a robust, accurate and highly reproducible imaging modality for the assessment of cardiac function and ischaemic heart disease. The unique physical properties of CMR permit depiction of pathology-specific tissue contrast based on differences in tissue composition, such as myocardial oedema, necrosis and fibrosis. This can be imaged at high spatial resolution allowing characterisation of the acuity of an ischaemic event, the presence and extent of myocardial ischaemia, necrosis and viability. Prognostically important information obtained from CMR evaluation of ischaemic heart disease, such as left ventricular ejection fraction, infarct size and transmurality, infarct location and the presence of intraventricular mechanical dyssynchrony may be used to guide coronary revascularisation, device and medical therapies.


Assuntos
Imageamento por Ressonância Magnética , Isquemia Miocárdica/diagnóstico , Síndrome Coronariana Aguda/diagnóstico , Adenosina , Meios de Contraste , Circulação Coronária , Desfibriladores Implantáveis , Edema Cardíaco/diagnóstico , Edema Cardíaco/etiologia , Edema Cardíaco/patologia , Gadolínio , Testes de Função Cardíaca/instrumentação , Testes de Função Cardíaca/métodos , Humanos , Imageamento por Ressonância Magnética/instrumentação , Imageamento por Ressonância Magnética/métodos , Imageamento por Ressonância Magnética/tendências , Microcirculação , Infarto do Miocárdio/complicações , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/patologia , Isquemia Miocárdica/patologia , Revascularização Miocárdica , Tamanho do Órgão , Cuidados Pré-Operatórios , Reprodutibilidade dos Testes , Vasodilatadores
16.
Exp Brain Res ; 213(1): 27-34, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21735247

RESUMO

In the antisaccade task, healthy participants often make errors by saccading towards the sudden onset target, despite instructions to saccade to the mirror image location. One interesting and relatively unexplored feature of antisaccade performance is that participants are typically unaware of a large proportion of the errors they make. Across two experiments, we explored the extent to which error awareness is altered by manipulations known to affect antisaccade error rate. In experiment 1, participants performed the antisaccade task under standard instructions, instructions to respond as quickly as possible or instructions to delay responding. Delay instructions significantly reduced antisaccade error rate compared to the other instructions, but this reduction was driven by a decrease only in the number of errors that participants were aware of-the number of errors of which participants were unaware remained constant across instruction condition. In experiment 2, participants performed antisaccades alone, or concurrently with two different distractor tasks-spatial tapping and random number generation task. Both the dual task conditions increased the number of errors of which participants were aware, but again, unaware error rates remained unchanged. These results are discussed in the light of recent models of antisaccade performance and the role of conscious awareness in error correction.


Assuntos
Conscientização/fisiologia , Desempenho Psicomotor/fisiologia , Movimentos Sacádicos/fisiologia , Adulto , Análise de Variância , Feminino , Humanos , Masculino , Memória de Curto Prazo/fisiologia , Testes Neuropsicológicos , Estimulação Luminosa/métodos , Tempo de Reação/fisiologia , Fatores de Tempo , Adulto Jovem
17.
Osteoporos Int ; 22(4): 1263-74, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20559818

RESUMO

UNLABELLED: Medicare claims data were used to investigate associations between history of previous fractures, chronic conditions, and demographic characteristics and occurrence of fractures at six anatomic sites. The study confirmed previously established associations for hip and spine fractures and identified several new associations of interest for nonhip, nonspine fractures. INTRODUCTION: This study investigates the associations of a history of fracture, comorbid chronic conditions, and demographic characteristics with incident fractures among Medicare beneficiaries. The majority of fracture incidence studies have focused on the hip and on white females. This study examines a greater variety of fracture sites and more population subgroups than prior studies. METHODS: We used Medicare claims data to examine the incidence of fracture at six anatomic sites in a random 5% sample of Medicare beneficiaries during the time period 2000 through 2005. RESULTS: For each type of incident fracture, women had a higher rate than men, and there was a positive association with age and an inverse association with income. Whites had a higher rate than nonwhites. Rates were lowest among African-Americans for all sites except ankle and tibia/fibula, which were lowest among Asian-Americans. Rates of hip and spine fracture were highest in the South, and fractures of other sites were highest in the Northeast. Fall-related conditions and depressive illnesses were associated with each type of incident fracture, conditions treated with glucocorticoids with hip and spine fractures and diabetes with ankle and humerus fractures. Histories of hip and spine fractures were associated positively with each site of incident fracture except ankle; histories of nonhip, nonspine fractures were associated with most types of incident fracture. CONCLUSIONS: This study confirmed previously established associations for hip and spine fractures and identified several new associations of interest for nonhip, nonspine fractures.


Assuntos
Fraturas Ósseas/epidemiologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Doença Crônica/epidemiologia , Métodos Epidemiológicos , Feminino , Fraturas Ósseas/etiologia , Fraturas do Quadril/epidemiologia , Fraturas do Quadril/etiologia , Humanos , Masculino , Medicare/estatística & dados numéricos , Fraturas por Osteoporose/epidemiologia , Fraturas por Osteoporose/etiologia , Fatores Sexuais , Fatores Socioeconômicos , Fraturas da Coluna Vertebral/epidemiologia , Fraturas da Coluna Vertebral/etiologia , Estados Unidos/epidemiologia
18.
Phys Rev Lett ; 104(22): 227002, 2010 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-20867199

RESUMO

We have examined the relaxation of photoinduced quasiparticles in the heavy-fermion superconductor PuCoGa5. The deduced electron-phonon coupling constant is incompatible with the measured superconducting transition temperature Tc=18.5 K, which speaks against phonon-mediated superconductivity. Upon lowering the temperature, we observe an order-of-magnitude increase of the quasiparticle relaxation time in agreement with the phonon bottleneck scenario--evidence for a hybridization gap in the electronic density of states. The modification of photoinduced reflectance in the superconducting state is consistent with the heavy character of the quasiparticles that participate in Cooper pairing.

19.
Phys Rev Lett ; 104(2): 027003, 2010 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-20366619

RESUMO

We report measurements of quasiparticle relaxation dynamics in the high-temperature superconductor (Ba,K)Fe2As2 in optimally doped, underdoped, and undoped regimes. In the underdoped sample, spin-density wave (SDW) order forms at approximately 85 K, followed by superconductivity at approximately 28 K. We find the emergence of a normal-state order that suppresses SDW at a temperature T{*} approximately 60 K and argue that this normal-state order is a precursor to superconductivity.

20.
Thorax ; 65(1): 70-6, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19996344

RESUMO

BACKGROUND: The risk of lung cancer is often reported to be increased for patients with cryptogenic fibrosing alveolitis (CFA). METHODS: Vital status was sought for all 588 members of the British Thoracic Society (BTS) cryptogenic fibrosing alveolitis (CFA) study 11 years after entry to the cohort. Observed deaths due to lung cancer were compared with expected deaths using age-, sex- and period-adjusted national rates. The roles of reported asbestos exposure and smoking were also investigated. RESULTS: 488 cohort members (83%) had died; 46 (9%) were certified to lung cancer (ICD9 162). The standardised mortality ratio (SMR) was 7.4 (95% CI 5.4 to 9.9). Stratified analysis showed increased lung cancer mortality among younger subjects, men and ever smokers. Using an independent expert panel, 25 cohort members (4%) were considered to have at least moderate exposure to asbestos; the risk of lung cancer was increased for these subjects (SMR 13.1 (95% CI 3.6 to 33.6)) vs 7.2 (95% CI 5.2 to 9.7) for those with less or no asbestos exposure). Ever smoking was reported by 448 (73%) of the cohort and was considerably higher in men than in women (92% vs 49%; p<0.001). Most persons who died from lung cancer were male (87%), and all but two (96%) had ever smoked. Ever smokers presented at a younger age (mean 67 vs 70 years; p<0.001) and with less breathlessness (12% smokers reported no breathlessness vs 5% never smokers; p = 0.02). CONCLUSIONS: These findings confirm an association between CFA and lung cancer although this relationship may not be causal. The high rate of smoking and evidence that smokers present for medical attention earlier than non-smokers suggest that smoking could be confounding this association.


Assuntos
Fibrose Pulmonar Idiopática/complicações , Neoplasias Pulmonares/etiologia , Idoso , Poluentes Atmosféricos/toxicidade , Amianto/toxicidade , Exposição Ambiental/efeitos adversos , Métodos Epidemiológicos , Feminino , Humanos , Fibrose Pulmonar Idiopática/mortalidade , Neoplasias Pulmonares/mortalidade , Masculino , Doenças Profissionais/etiologia , Doenças Profissionais/mortalidade , Exposição Ocupacional/efeitos adversos , Fumar/efeitos adversos , Fumar/mortalidade
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