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1.
Nature ; 578(7793): 60-65, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31996851

RESUMEN

Precision spectroscopy of atomic systems1 is an invaluable tool for the study of fundamental interactions and symmetries2. Recently, highly charged ions have been proposed to enable sensitive tests of physics beyond the standard model2-5 and the realization of high-accuracy atomic clocks3,5, owing to their high sensitivity to fundamental physics and insensitivity to external perturbations, which result from the high binding energies of their outer electrons. However, the implementation of these ideas has been hindered by the low spectroscopic accuracies (of the order of parts per million) achieved so far6-8. Here we cool trapped, highly charged argon ions to the lowest temperature reported so far, and study them using coherent laser spectroscopy, achieving an increase in precision of eight orders of magnitude. We use quantum logic spectroscopy9,10 to probe the forbidden optical transition in 40Ar13+ at a wavelength of 441 nanometres and measure its excited-state lifetime and g-factor. Our work unlocks the potential of highly charged ions as ubiquitous atomic systems for use in quantum information processing, as frequency standards and in highly sensitive tests of fundamental physics, such as searches for dark-matter candidates11 or violations of fundamental symmetries2.

2.
Phys Rev Lett ; 131(2): 020601, 2023 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-37505962

RESUMEN

We present a new method for coherent control of trapped ion qubits in separate interaction regions of a multizone trap by simultaneously applying an electric field and a spin-dependent gradient. Both the phase and amplitude of the effective single-qubit rotation depend on the electric field, which can be localized to each zone. We demonstrate this interaction on a single ion using both laser-based and magnetic-field gradients in a surface-electrode ion trap, and measure the localization of the electric field.

3.
Avian Pathol ; 44(4): 269-77, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25921827

RESUMEN

An outbreak of neurological disease was investigated in red-legged partridges between 8 and 28 days of age. Clinical signs included torticollis, head tilt and incoordination and over an initial eight day period approximately 30-40 fatalities occurred per day. No significant gross post mortem findings were detected. Histopathological examination of the brain and bacterial cultures followed by partial sequencing confirmed a diagnosis of encephalitis due to Listeria monocytogenes. Further isolates were obtained from follow-up carcasses, environmental samples and pooled tissue samples of newly imported day-old chicks prior to placement on farm. These isolates had the same antibiotic resistance pattern as the isolate of the initial post mortem submission and belonged to the same fluorescent amplified fragment length polymorphism (fAFLP) subtype. This suggested that the isolates were very closely related or identical and that the pathogen had entered the farm with the imported day-old chicks, resulting in disease manifestation in partridges between 8 and 28 days of age. Reports of outbreaks of encephalitic listeriosis in avian species are rare and this is to the best of our knowledge the first reported outbreak in red-legged partridges.


Asunto(s)
Enfermedades de las Aves/patología , Brotes de Enfermedades/veterinaria , Galliformes/microbiología , Encefalitis Infecciosa/veterinaria , Listeria/aislamiento & purificación , Listeriosis/veterinaria , Análisis del Polimorfismo de Longitud de Fragmentos Amplificados/veterinaria , Animales , Antibacterianos/farmacología , Enfermedades de las Aves/microbiología , Enfermedades de las Aves/mortalidad , Encefalitis Infecciosa/microbiología , Encefalitis Infecciosa/mortalidad , Encefalitis Infecciosa/patología , Listeria/efectos de los fármacos , Listeria/genética , Listeria/inmunología , Listeriosis/microbiología , Listeriosis/mortalidad , Listeriosis/patología , Londres/epidemiología , Pruebas de Sensibilidad Microbiana , Filogenia , Análisis de Secuencia de ADN/veterinaria
4.
J Intellect Disabil Res ; 59(8): 767-83, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25712675

RESUMEN

BACKGROUND: Many children and adolescents with Down syndrome fail to achieve proficiency in mathematics. Researchers have suggested that tailoring interventions based on the behavioural phenotype may enhance efficacy. METHOD: The research questions that guided this review were (1) what types of mathematics interventions have been empirically evaluated with children and adolescents with Down syndrome?; (2) do the studies demonstrate sufficient methodological rigor?; (3) is there evidence of efficacy for the evaluated mathematics interventions?; and (4) to what extent have researchers considered aspects of the behavioural phenotype in selecting, designing and/or implementing mathematics interventions for children and adolescents with Down syndrome? Nine studies published between 1989 and 2012 were identified for inclusion. RESULTS: Interventions predominantly focused on early mathematics skills and reported positive outcomes. However, no study met criteria for methodological rigor. Further, no authors explicitly considered the behavioural phenotype. CONCLUSIONS: Additional research using rigorous experimental designs is needed to evaluate the efficacy of mathematics interventions for children and adolescents with Down syndrome. Suggestions for considering the behavioural phenotype in future research are provided.


Asunto(s)
Logro , Síndrome de Down/psicología , Síndrome de Down/rehabilitación , Matemática/educación , Adolescente , Adulto , Niño , Preescolar , Síndrome de Down/fisiopatología , Evaluación Educacional/estadística & datos numéricos , Femenino , Humanos , Masculino , Adulto Joven
5.
Phys Rev Lett ; 113(21): 210801, 2014 Nov 21.
Artículo en Inglés | MEDLINE | ID: mdl-25479482

RESUMEN

Singly ionized ytterbium, with ultranarrow optical clock transitions at 467 and 436 nm, is a convenient system for the realization of optical atomic clocks and tests of present-day variation of fundamental constants. We present the first direct measurement of the frequency ratio of these two clock transitions, without reference to a cesium primary standard, and using the same single ion of 171Yb+. The absolute frequencies of both transitions are also presented, each with a relative standard uncertainty of 6×10(-16). Combining our results with those from other experiments, we report a threefold improvement in the constraint on the time variation of the proton-to-electron mass ratio, µ/µ=0.2(1.1)×10(-16) yr(-1), along with an improved constraint on time variation of the fine structure constant, α/α=-0.7(2.1)×10(-17) yr(-1).

6.
Avian Pathol ; 42(2): 171-8, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23581445

RESUMEN

Outbreaks of respiratory disease were investigated in reared pheasants (Phasianus colchicus) aged approximately 18 to 32 weeks, released into the semi-wild on four shooting estates in southern England. The clinical signs in the affected birds included swelling of the face and eyes, loss of condition, gasping respirations and coughing. The gross pathology findings included sinusitis, airsacculitis, pleural oedema and lung lesions. The histopathological findings in the affected lungs were characterized by a granulomatous pneumonia. Ornithobacterium rhinotracheale (ORT) was isolated from respiratory tract tissues, and 16S rRNA gene sequencing on three isolates revealed two distinct genotypes, one previously associated with some electrophoretic type (ET) 1 strains and the other a novel genotype that clustered among sequences previously associated with ET 3, ET 4, ET 5 and ET 6 isolates. The localization of ORT within the lung tissue was demonstrated by fluorescent in-situ hybridization in the bronchial exudate of three cases, although not within the granulomatous lesions themselves. In each case, ORT was identified as part of a complex of other respiratory agents including avian paramyxovirus type 2, avian coronavirus, Mycoplasma gallisepticum, Mycoplasma synoviae and other Mycoplasma species, Escherichia coli, Pasteurella multocida, other Pasteurellaceae and Syngamus trachea, suggesting synergism with other agents. Exposure to other intercurrent factors, including adverse weather conditions and internal parasitism, may also have exacerbated the severity of disease.


Asunto(s)
Enfermedades de las Aves/epidemiología , Enfermedades de las Aves/microbiología , Brotes de Enfermedades/veterinaria , Infecciones por Flavobacteriaceae/veterinaria , Galliformes , Ornithobacterium , Infecciones del Sistema Respiratorio/veterinaria , Sacos Aéreos/microbiología , Sacos Aéreos/patología , Animales , Enfermedades de las Aves/patología , Inglaterra/epidemiología , Ensayo de Inmunoadsorción Enzimática/veterinaria , Infecciones por Flavobacteriaceae/epidemiología , Infecciones por Flavobacteriaceae/patología , Hibridación Fluorescente in Situ/veterinaria , Pulmón/microbiología , Pulmón/patología , Oligonucleótidos/genética , Infecciones del Sistema Respiratorio/epidemiología , Infecciones del Sistema Respiratorio/patología , Pruebas Serológicas/veterinaria
7.
Rev Sci Instrum ; 92(8): 083203, 2021 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-34470420

RESUMEN

We present a novel ultrastable superconducting radio-frequency (RF) ion trap realized as a combination of an RF cavity and a linear Paul trap. Its RF quadrupole mode at 34.52 MHz reaches a quality factor of Q ≈ 2.3 × 105 at a temperature of 4.1 K and is used to radially confine ions in an ultralow-noise pseudopotential. This concept is expected to strongly suppress motional heating rates and related frequency shifts that limit the ultimate accuracy achieved in advanced ion traps for frequency metrology. Running with its low-vibration cryogenic cooling system, electron-beam ion trap, and deceleration beamline supplying highly charged ions (HCIs), the superconducting trap offers ideal conditions for optical frequency metrology with ionic species. We report its proof-of-principle operation as a quadrupole-mass filter with HCIs and trapping of Doppler-cooled 9Be+ Coulomb crystals.

8.
Rev Sci Instrum ; 90(6): 065104, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31254988

RESUMEN

In vacuo cryogenic environments are ideal for applications requiring both low temperatures and extremely low particle densities. This enables reaching long storage and coherence times, for example, in ion traps, essential requirements for experiments with highly charged ions, quantum computation, and optical clocks. We have developed a novel cryostat continuously refrigerated with a pulse-tube cryocooler and providing the lowest vibration level reported for such a closed-cycle system with 1 W cooling power for a <5 K experiment. A decoupling system suppresses vibrations from the cryocooler by three orders of magnitude down to a level of 10 nm peak amplitudes in the horizontal plane. Heat loads of about 40 W (at 45 K) and 1 W (at 4 K) are transferred from an experimental chamber, mounted on an optical table, to the cryocooler through a vacuum-insulated massive 120 kg inertial copper pendulum. The 1.4 m long pendulum allows installation of the cryocooler in a separate, acoustically isolated machine room. At the experimental chamber, we measured the residual vibrations using an interferometric setup. The positioning of the 4 K elements is reproduced to better than a few micrometer after a full thermal cycle to room temperature. Extreme high vacuum on the 10-15 mbar level is achieved. In collaboration with the Max-Planck-Institut für Kernphysik, such a setup is now in operation at the Physikalisch-Technische Bundesanstalt for a next-generation optical clock experiment using highly charged ions.

9.
Rev Sci Instrum ; 90(7): 073201, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31370455

RESUMEN

A cryogenic radio-frequency ion trap system designed for quantum logic spectroscopy of highly charged ions (HCI) is presented. It includes a segmented linear Paul trap, an in-vacuum imaging lens, and a helical resonator. We demonstrate ground state cooling of all three modes of motion of a single 9Be+ ion and determine their heating rates as well as excess axial micromotion. The trap shows one of the lowest levels of electric field noise published to date. We investigate the magnetic-field noise suppression in cryogenic shields made from segmented copper, the resulting magnetic field stability at the ion position and the resulting coherence time. Using this trap in conjunction with an electron beam ion trap and a deceleration beamline, we have been able to trap single highly charged Ar13+ (Ar XIV) ions concurrently with single Be+ ions, a key prerequisite for the first quantum logic spectroscopy of a HCI. This major stepping stone allows us to push highly-charged-ion spectroscopic precision from the gigahertz to the hertz level and below.

10.
J Natl Cancer Inst ; 80(9): 626-55, 1988 Jul 06.
Artículo en Inglés | MEDLINE | ID: mdl-3286880

RESUMEN

High-dose methotrexate (MTX) is one of the agents currently used in intensive adjuvant chemotherapy regimens for nonmetastatic osteosarcoma. To elucidate the role of high-dose MTX in this disease, we present the history of trials conducted with MTX from the first single-agent studies through progressively complex combination regimens. With this background, some of the basic issues concerning MTX therapy in osteosarcoma are discussed.


Asunto(s)
Metotrexato/uso terapéutico , Osteosarcoma/tratamiento farmacológico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Ensayos Clínicos como Asunto , Terapia Combinada , Relación Dosis-Respuesta a Droga , Humanos , Metotrexato/administración & dosificación , Osteosarcoma/cirugía
11.
J Natl Cancer Inst ; 80(16): 1313-8, 1988 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-2971817

RESUMEN

Trimetrexate, an investigational antifol, has been associated with marked variability in drug tolerance among patients. The agent is extensively protein bound, and hepatic biotransformation plays a major role in its elimination. In early phase II testing, nine of 15 patients who experienced life-threatening or fatal toxic effects from trimetrexate had albumin levels less than or equal to 3.5 g/dL prior to treatment. This prompted a review of the data base on 272 patients entered in phase I clinical trails. The incidence of severe or life-threatening anemia, leukopenia, neutropenia, thrombocytopenia, mucositis, and hepatic toxic effects during the first course of trimetrexate was analyzed according to dose, schedule, prior treatment, and baseline protein and albumin levels. The schedules using doses given by short infusions of 30-60 minutes daily for 5 days or weekly for 3 weeks were generally associated with higher incidence of toxic effects than the schedules using doses given every other week by short infusions or those using continuous infusion. The occurrence of leukopenia and mucositis was dose related. Patients with baseline albumin levels less than or equal to 3.5 g/dL had higher incidence of all types of severe or life-threatening toxic effects than those with albumin levels greater than or equal to 3.6 g/dL, and the differences were significant for the development of anemia, thrombocytopenia, and mucositis. Similar correlations were noted for pretreatment protein levels less than or equal to 6.0 g/dL. The small cohort of patients with leukemia experienced substantial toxic effects and tended to have low protein and albumin levels. Performance status and prior therapy did not emerge as strong predictors of severe toxic effects in the univariate analysis. Multivariate analysis confirmed that the type of cancer (leukemia vs. solid tumor), dose, schedule, and baseline albumin level were significant and independent predictors of severe and life-threatening toxic effects in the phase I patient population. Multivariate analysis including only patients with solid tumors indicated that albumin level, dose, and schedule remained significant predictors of toxic effects. Since normal liver function as reflected by bilirubin and transaminase values were a requirement for eligibility, the results suggest that albumin and protein levels may provide a more sensitive index of hepatic function. Patients with hypoalbuminemia and hypoproteinemia are at increased risk of experiencing severe or life-threatening toxic effects from trimetrexate and should be treated cautiously.


Asunto(s)
Antineoplásicos/efectos adversos , Antagonistas del Ácido Fólico/efectos adversos , Quinazolinas/efectos adversos , Adulto , Antineoplásicos/farmacocinética , Evaluación de Medicamentos , Antagonistas del Ácido Fólico/farmacocinética , Humanos , Quinazolinas/farmacocinética , Albúmina Sérica/análisis , Trombocitopenia/inducido químicamente , Trimetrexato
12.
J Natl Cancer Inst ; 80(14): 1095-103, 1988 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-3045335

RESUMEN

Clinical trials conducted in the People's Republic of China and the United States of the antileukemic efficacy of the cephalotaxine esters are reviewed. Harrington has been incorporated into combination regimens for the treatment of newly diagnosed acute nonlymphocytic leukemia (ANLL) in China, and activity with cephalotaxine esters has also been noted in chronic myelogenous leukemia. While the investigational agent homoharringtonine has shown some activity in the United States in ANLL, investigator interest in the United States has waned because of toxicity and inconvenient schedules. The Chinese trials have used different schedules than have U.S. studies and have been associated with less toxicity. These trials provide new information that may lead to further investigations of the cephalotaxine esters in the United States.


Asunto(s)
Alcaloides/uso terapéutico , Harringtoninas/uso terapéutico , Leucemia/tratamiento farmacológico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , China , Ensayos Clínicos como Asunto , Harringtoninas/administración & dosificación , Humanos , Estados Unidos
13.
J Natl Cancer Inst ; 81(6): 448-53, 1989 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-2783980

RESUMEN

An analysis of the clinical outcomes in 66 patients with hairy cell leukemia treated with pentostatin under the Special Exception mechanism of the Division of Cancer Treatment, National Cancer Institute, between 1983 and 1987 has revealed a favorable balance of risk and benefit. Hematologic parameters and performance status were improved in most patients treated outside the clinical trials mechanism. The treating physicians considered 37 patients (56%) to be complete responders and 15 patients (23%) to be partial responders. Four patients (6%) died while receiving pentostatin. Life-threatening leukopenia (wbc count, less than 1,000/mm3) was reported in 24% of patients, and severe or life-threatening infection occurred in 11%. The experience gained with these patients supplements the information presently being collected from the controlled clinical trials and supports the development of a group C treatment protocol.


Asunto(s)
Antineoplásicos/uso terapéutico , Coformicina/uso terapéutico , Leucemia de Células Pilosas/tratamiento farmacológico , Ribonucleósidos/uso terapéutico , Adulto , Anciano , Anciano de 80 o más Años , Antineoplásicos/efectos adversos , Coformicina/efectos adversos , Coformicina/análogos & derivados , Femenino , Humanos , Leucemia de Células Pilosas/patología , Masculino , Persona de Mediana Edad , Pentostatina
14.
Cancer Res ; 47(15): 3911-9, 1987 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-3300957

RESUMEN

The role of thymidine in the treatment of cancer has been under clinical investigation for nearly a decade. Clinical trials have demonstrated that it lacks antitumor activity in its own right. In this review, the mechanism of action and rationale for the use of thymidine as a biochemical modulator of standard agents such as 5-fluorouracil, 1-beta-D-arabinofuranosylcytosine, and methotrexate are summarized. With this background, the clinical trials which have been conducted with thymidine, either alone or in combination, are described. We suggest a number of further studies of the role of thymidine in the biochemical modulation of antimetabolites.


Asunto(s)
Antimetabolitos Antineoplásicos/farmacología , Neoplasias/tratamiento farmacológico , Timidina/farmacología , Animales , Antimetabolitos Antineoplásicos/administración & dosificación , Antimetabolitos Antineoplásicos/metabolismo , Protocolos de Quimioterapia Combinada Antineoplásica/farmacología , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Ácido Aspártico/administración & dosificación , Ácido Aspártico/análogos & derivados , Ácido Aspártico/farmacología , Citarabina/administración & dosificación , Citarabina/metabolismo , Replicación del ADN/efectos de los fármacos , ADN de Neoplasias/biosíntesis , Desoxicitidina Quinasa/antagonistas & inhibidores , Evaluación de Medicamentos , Sinergismo Farmacológico , Fluorouracilo/administración & dosificación , Fluorouracilo/metabolismo , Antagonistas del Ácido Fólico , Humanos , Interfase/efectos de los fármacos , Cinética , Leucemia/tratamiento farmacológico , Metotrexato/administración & dosificación , Metotrexato/farmacología , Ratones , Neoplasias/metabolismo , Neoplasias Experimentales/tratamiento farmacológico , Neoplasias Experimentales/metabolismo , Inhibidores de la Síntesis del Ácido Nucleico , Nucleótidos/metabolismo , Ácido Fosfonoacético/administración & dosificación , Ácido Fosfonoacético/análogos & derivados , Ácido Fosfonoacético/farmacología , ARN Neoplásico/biosíntesis , Especificidad de la Especie , Timidina/administración & dosificación , Timidina/efectos adversos , Timidina/metabolismo
15.
Cancer Res ; 57(3): 513-5, 1997 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-9012483

RESUMEN

Previous allelotyping studies of epithelial ovarian carcinoma suggest that loss of heterozygosity on chromosome 14q may be a common genetic alteration in this tumor type. The purpose of this study was to determine a precise frequency of chromosome 14q allelic loss in ovarian carcinomas and to define a minimal region(s) of deletion. Seventy-six ovarian carcinomas representative of the complete spectrum of grade, stage, and histological subtype were selected for PCR-based deletion mapping analysis using 15 highly polymorphic microsatellite markers spanning the length of this chromosome arm. Loss of heterozygosity was observed in 49% of the tumors studied, placing 14q among the most frequently affected chromosomal regions in ovarian cancer. Deletions were observed in all tumor grades and stages and in all histological subtypes except tumors of low malignant potential. Deletion of the entire chromosome arm was rare; the majority of tumors displayed partial losses, providing an informative basis for detailed deletion mapping. Two distinct minimal regions of deletion were delineated. One region was defined by markers D14S80 and D14S75 at 14q12-13, and the other region was defined by markers D14S65 and D14S267 at 14q32. These data implicate the involvement of two tumor suppressor genes on chromosome 14q in a substantial fraction of ovarian carcinomas.


Asunto(s)
Deleción Cromosómica , Cromosomas Humanos Par 14 , Genes Supresores de Tumor , Neoplasias Ováricas/genética , Mapeo Cromosómico , Femenino , Humanos
16.
Cancer Res ; 56(12): 2738-41, 1996 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-8665505

RESUMEN

Inherited mutations in the recently discovered BRCA2 gene are believed to be responsible for a significant fraction of early-onset hereditary breast cancers. Unlike BRCA1, however, which confers a high risk to both breast and ovarian cancer, the incidence of ovarian cancer appears to be much lower In BRCA2-linked families, causing uncertainty as to the relevance of BRCA2 to hereditary ovarian cancer. Numerous allelotype studies indicate that allelic deletions Including the BRCA2 locus on chromosome 13q are common in ovarian cancers in general, suggesting that somatic mutations of this gene may be involved in sporadic ovarian tumorigenesis. The purpose of this study was to test the hypothesis that germline or somatic mutations of BRCA2 are associated with hereditary and/or sporadic ovarian cancers, respectively. The entire 10.2-kb coding region of BRCA2 was screened for mutations in 130 consecutive ovarian tumors, the only selection criterion being a pathological diagnosis of epithelial ovarian carcinoma. Loss of heterozygosity at markers flanking BRCA2 was observed in 56% of the tumors. Four germline mutations and two somatic mutations were identified; two of the germline mutations are recurrent, having been previously described. Remarkably, the patients with germline mutations were late-onset cases with no medical or family histories suggestive of hereditary cancer. These data suggest that mutations of BRCA2 are rare in sporadic ovarian cancers, and that the proportion of ovarian cancers resulting from hereditary predisposition may be higher than previously suspected based on estimates derived from studies of highly penetrant genetic loci.


Asunto(s)
Genes Supresores de Tumor/genética , Neoplasias Ováricas/genética , Anciano , Proteína BRCA2 , Secuencia de Bases , Análisis Mutacional de ADN , Femenino , Mutación del Sistema de Lectura , Marcadores Genéticos , Humanos , Persona de Mediana Edad , Datos de Secuencia Molecular , Proteínas de Neoplasias/genética , Reacción en Cadena de la Polimerasa , Polimorfismo Conformacional Retorcido-Simple , Factores de Transcripción/genética
17.
Artículo en Inglés | MEDLINE | ID: mdl-26863657

RESUMEN

We used precise point positioning, a well-established GPS carrier-phase frequency transfer method to perform a direct remote comparison of two optical frequency standards based on single laser-cooled [Formula: see text] ions operated at the National Physical Laboratory (NPL), U.K. and the Physikalisch-Technische Bundesanstalt (PTB), Germany. At both institutes, an active hydrogen maser serves as a flywheel oscillator which is connected to a GPS receiver as an external frequency reference and compared simultaneously to a realization of the unperturbed frequency of the (2)S1/2(F=0)-(2)D3/2(F=2) electric quadrupole transition in [Formula: see text] via an optical femtosecond frequency comb. To profit from long coherent GPS-link measurements, we extrapolate the fractional frequency difference over the various data gaps in the optical clock to maser comparisons which introduces maser noise to the frequency comparison but improves the uncertainty from the GPS-link instability. We determined the total statistical uncertainty consisting of the GPS-link uncertainty and the extrapolation uncertainties for several extrapolation schemes. Using the extrapolation scheme with the smallest combined uncertainty, we find a fractional frequency difference [Formula: see text] of -1.3×10(-15) with a combined uncertainty of 1.2×10(-15) for a total measurement time of 67 h. This result is consistent with an agreement of the frequencies realized by both optical clocks and with recent absolute frequency measurements against caesium fountain clocks within the corresponding uncertainties.

18.
J Clin Oncol ; 4(8): 1262-9, 1986 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-3525769

RESUMEN

An analysis of hypersensitivity reactions to teniposide was approached using three methods: investigator survey, adverse drug reaction analysis, and literature search. By the survey method, hypersensitivity incidence was 6.5% with the majority of the reactions (82%) occurring in brain tumor or neuroblastoma patients. By the second method, 43 cases of hypersensitivity that were reported to the National Cancer Institute (NCI) between January 1983 and October 1985 were analyzed in detail. Reaction onset was unpredictable according to the number of drug doses. The majority of the patients (65%) experiencing the reaction had neuroblastoma or brain tumors, and these patients also tended to react earlier in the course of drug administration than those with hematologic malignancies. Clinical presentation was not correlated with the patient's diagnosis. All patients recovered. However, only six of 13 were successfully rechallenged with the drug. The third approach, the literature search, provided information on 82 hypersensitivity reactions among 2,250 patients (3.6% incidence). Forty-five percent of these reactions were linked to neuroblastoma or brain tumor patients. The analysis of hypersensitivity to teniposide by these three methods provides insight into the true incidence of hypersensitivity reactions in the general patient population. The frequency of the reactions is substantially higher in patients with neuroblastoma and brain tumors. This population should be considered for future trials of aggressive prophylactic therapy.


Asunto(s)
Hipersensibilidad a las Drogas , Hipersensibilidad Inmediata/inducido químicamente , Podofilotoxina/análogos & derivados , Tenipósido/efectos adversos , Adolescente , Adulto , Anciano , Bibliografías como Asunto , Presión Sanguínea/efectos de los fármacos , Neoplasias Encefálicas/tratamiento farmacológico , Niño , Preescolar , Recolección de Datos/métodos , Evaluación de Medicamentos , Edema/inducido químicamente , Humanos , Lactante , Leucemia/tratamiento farmacológico , Masculino , Persona de Mediana Edad , Neuroblastoma/tratamiento farmacológico , Encuestas y Cuestionarios , Urticaria/inducido químicamente
19.
J Clin Oncol ; 6(2): 351-79, 1988 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-3276827

RESUMEN

Teniposide, a semisynthetic epipodophyllotoxin, was found to be highly active against murine leukemias, and the combination of teniposide with cytosine arabinoside (ara-C) was curative in murine leukemia models. The antitumor activity in preclinical models prompted introduction of teniposide into the clinic in 1971. Although teniposide as a single agent rarely produced a complete remission in heavily pretreated leukemia patients, teniposide plus ara-C produced complete remissions in some patients with refractory and relapsed acute lymphoblastic leukemia (ALL). Innovative front-line and salvage regimens using teniposide have been developed that incorporate a multi-drug strategy with early intensification, rotation of drug combinations in maintenance, and regional therapy in an effort to improve the cure rate in leukemia. However, as the complexity of these regimens increases, the contribution of an individual component such as teniposide becomes less clear. Although some of these regimens for newly diagnosed and relapsed ALL are now thought to represent the best available therapy, teniposide remains an investigational agent. In this review, we outline and discuss the conflicts arising from the need to answer drug-specific issues, and, at the same time, facilitate the implementation of innovative, curative regimens.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Leucemia Linfoide/tratamiento farmacológico , Podofilotoxina/análogos & derivados , Tenipósido/uso terapéutico , Terapia Combinada , Citarabina/administración & dosificación , Esquema de Medicación , Humanos , Leucemia Linfoide/mortalidad , Tenipósido/administración & dosificación
20.
J Thromb Haemost ; 3(10): 2149-53, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16194192

RESUMEN

BACKGROUND: As arterial thrombosis accounts for the vast majority of cardiovascular complications in obese, insulin resistant patients, we hypothesized that improving insulin sensitivity may be effective in reducing the thrombotic response following vascular injury. OBJECTIVES: We investigated the effect of the thiazolidinedione drug, pioglitazone, on the thrombotic response to injury in obese, insulin resistant mice. METHODS: Insulin-resistant, obesity-prone mice (KK strain) were treated with pioglitazone, placebo, or the sulfonylurea compound, glipizide, for 2.5 weeks and then subjected to photochemical injury of the carotid artery. RESULTS: KK mice have a significant increase in adiposity (7 weeks: 25.6%; 15 weeks: 34.4%; P < 0.0001) and thrombotic tendency (7 weeks: 21.2 +/- 1.9 min; 15 weeks: 13.7 +/- 1.7 min; P < 0.01) with age. Pioglitazone provided significant protection from thrombosis at both time points, prolonging the time to occlusive thrombosis by 40% and 68%, at 7 and 15 weeks of age, respectively (P < 0.05). Similarly, following a diet-challenge to promote diabetes, pioglitazone provided protection from occlusive thrombus formation (Placebo: 11.3 +/- 1.0 min; Pioglitazone: 22.3 +/- 3.9 min; P < 0.05). However, despite a salient effect of glipizide on the hyperglycemia of the mice, there was no effect on the time to occlusive thrombus formation (13.2 +/- 0.9 min, n = 4) compared with placebo-treated mice. The pioglitazone protection was paralleled by significantly lower soluble P-selectin and platelet P-selectin expression providing evidence of an antiplatelet effect. CONCLUSIONS: We conclude that pioglitazone treatment provides protection against arterial thrombosis in an obese, insulin resistant, prothrombotic mouse model.


Asunto(s)
Resistencia a la Insulina , Obesidad/complicaciones , Tiazolidinedionas/uso terapéutico , Trombosis/prevención & control , Animales , Arterias Carótidas , Modelos Animales de Enfermedad , Evaluación Preclínica de Medicamentos , Glipizida/farmacología , Glipizida/uso terapéutico , Ratones , Selectina-P/sangre , Pioglitazona , Inhibidores de Agregación Plaquetaria , Tiazolidinedionas/farmacología , Trombosis/tratamiento farmacológico
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