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1.
Phys Rev Lett ; 121(26): 261801, 2018 Dec 28.
Article in English | MEDLINE | ID: mdl-30636113

ABSTRACT

We present first evidence that the cosine of the CP-violating weak phase 2ß is positive, and hence exclude trigonometric multifold solutions of the Cabibbo-Kobayashi-Maskawa (CKM) Unitarity Triangle using a time-dependent Dalitz plot analysis of B^{0}→D^{(*)}h^{0} with D→K_{S}^{0}π^{+}π^{-} decays, where h^{0}∈{π^{0},η,ω} denotes a light unflavored and neutral hadron. The measurement is performed combining the final data sets of the BABAR and Belle experiments collected at the ϒ(4S) resonance at the asymmetric-energy B factories PEP-II at SLAC and KEKB at KEK, respectively. The data samples contain (471±3)×10^{6}BB[over ¯] pairs recorded by the BABAR detector and (772±11)×10^{6}BB[over ¯] pairs recorded by the Belle detector. The results of the measurement are sin2ß=0.80±0.14(stat)±0.06(syst)±0.03(model) and cos2ß=0.91±0.22(stat)±0.09(syst)±0.07(model). The result for the direct measurement of the angle ß of the CKM Unitarity Triangle is ß=[22.5±4.4(stat)±1.2(syst)±0.6(model)]°. The measurement assumes no direct CP violation in B^{0}→D^{(*)}h^{0} decays. The quoted model uncertainties are due to the composition of the D^{0}→K_{S}^{0}π^{+}π^{-} decay amplitude model, which is newly established by performing a Dalitz plot amplitude analysis using a high-statistics e^{+}e^{-}→cc[over ¯] data sample. CP violation is observed in B^{0}→D^{(*)}h^{0} decays at the level of 5.1 standard deviations. The significance for cos2ß>0 is 3.7 standard deviations. The trigonometric multifold solution π/2-ß=(68.1±0.7)° is excluded at the level of 7.3 standard deviations. The measurement resolves an ambiguity in the determination of the apex of the CKM Unitarity Triangle.

2.
Phys Rev Lett ; 115(12): 121604, 2015 Sep 18.
Article in English | MEDLINE | ID: mdl-26430984

ABSTRACT

We report a measurement of the time-dependent CP asymmetry of B[over ¯]^{0}→D_{CP}^{(*)}h^{0} decays, where the light neutral hadron h^{0} is a π^{0}, η, or ω meson, and the neutral D meson is reconstructed in the CP eigenstates K^{+}K^{-}, K_{S}^{0}π^{0}, or K_{S}^{0}ω. The measurement is performed combining the final data samples collected at the ϒ(4S) resonance by the BABAR and Belle experiments at the asymmetric-energy B factories PEP-II at SLAC and KEKB at KEK, respectively. The data samples contain (471±3)×10^{6} BB[over ¯] pairs recorded by the BABAR detector and (772±11)×10^{6} BB[over ¯] pairs recorded by the Belle detector. We measure the CP asymmetry parameters -η_{f}S=+0.66±0.10(stat)±0.06(syst) and C=-0.02±0.07(stat)±0.03(syst). These results correspond to the first observation of CP violation in B[over ¯]^{0}→D_{CP}^{(*)}h^{0} decays. The hypothesis of no mixing-induced CP violation is excluded in these decays at the level of 5.4 standard deviations.

3.
J Virol ; 87(6): 3130-42, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23283947

ABSTRACT

Conformational changes in the glycoproteins of enveloped viruses are critical for membrane fusion, which enables viral entry into cells and the pathological cell-cell fusion (syncytia) associated with some viral infections. However, technological capabilities for identifying viral glycoproteins and their conformational changes on actual enveloped virus surfaces are generally scarce, challenging, and time-consuming. Our model, Nipah virus (NiV), is a syncytium-forming biosafety level 4 pathogen with a high mortality rate (40 to 75%) in humans. Once the NiV attachment glycoprotein (G) (NiV-G) binds the cell receptor ephrinB2 or -B3, G triggers conformational changes in the fusion glycoprotein (F) that result in membrane fusion and viral entry. We demonstrate that confocal micro-Raman spectroscopy can, within minutes, simultaneously identify specific G and F glycoprotein signals and receptor-induced conformational changes in NiV-F on NiV virus-like particles (VLPs). First, we identified reproducible G- and F-specific Raman spectral features on NiV VLPs containing M (assembly matrix protein), G, and/or F or on NiV/vesicular stomatitis virus (VSV) pseudotyped virions via second-derivative transformations and principal component analysis (PCA). Statistical analyses validated our PCA models. Dynamic temperature-induced conformational changes in F and G or receptor-induced target membrane-dependent conformational changes in F were monitored in NiV pseudovirions in situ in real time by confocal micro-Raman spectroscopy. Advantageously, Raman spectroscopy can identify specific protein signals in relatively impure samples. Thus, this proof-of-principle technological development has implications for the rapid identification and biostability characterization of viruses in medical, veterinary, and food samples and for the analysis of virion glycoprotein conformational changes in situ during viral entry.


Subject(s)
Nipah Virus/chemistry , Nipah Virus/physiology , Spectrum Analysis, Raman/methods , Viral Envelope Proteins/chemistry , Virology/methods , Virus Attachment , Humans , Protein Binding , Protein Conformation , Receptors, Virus/metabolism , Viral Envelope Proteins/metabolism , Virion/chemistry , Virion/physiology
4.
J Clin Microbiol ; 50(9): 2932-46, 2012 Sep.
Article in English | MEDLINE | ID: mdl-22740711

ABSTRACT

A novel strategy for the rapid detection and identification of traditional and emerging Campylobacter strains based upon Raman spectroscopy (532 nm) is presented here. A total of 200 reference strains and clinical isolates of 11 different Campylobacter species recovered from infected animals and humans from China and North America were used to establish a global Raman spectroscopy-based dendrogram model for Campylobacter identification to the species level and cross validated for its feasibility to predict Campylobacter-associated food-borne outbreaks. Bayesian probability coupled with Monte Carlo estimation was employed to validate the established Raman classification model on the basis of the selected principal components, mainly protein secondary structures, on the Campylobacter cell membrane. This Raman spectroscopy-based typing technique correlates well with multilocus sequence typing and has an average recognition rate of 97.21%. Discriminatory power for the Raman classification model had a Simpson index of diversity of 0.968. Intra- and interlaboratory reproducibility with different instrumentation yielded differentiation index values of 4.79 to 6.03 for wave numbers between 1,800 and 650 cm(-1) and demonstrated the feasibility of using this spectroscopic method at different laboratories. Our Raman spectroscopy-based partial least-squares regression model could precisely discriminate and quantify the actual concentration of a specific Campylobacter strain in a bacterial mixture (regression coefficient, >0.98; residual prediction deviation, >7.88). A standard protocol for sample preparation, spectral collection, model validation, and data analyses was established for the Raman spectroscopic technique. Raman spectroscopy may have advantages over traditional genotyping methods for bacterial epidemiology, such as detection speed and accuracy of identification to the species level.


Subject(s)
Campylobacter/classification , Campylobacter/isolation & purification , Multilocus Sequence Typing/methods , Spectrum Analysis, Raman/methods , Animals , Campylobacter/chemistry , Campylobacter/genetics , Campylobacter Infections/microbiology , Campylobacter Infections/veterinary , China , Humans , North America , Reproducibility of Results
5.
J Appl Microbiol ; 113(4): 952-63, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22734855

ABSTRACT

AIMS: To investigate inactivation effect and mechanism of zinc oxide nanoparticles (ZnO NPs) activity against Campylobacter jejuni biofilms. METHODS AND RESULTS: ZnO NPs with concentrations of 0, 0·6, 1·2 and 6 mmol l(-1) were employed in antimicrobial tests against Camp. jejuni planktonic cells and biofilms. Campylobacter jejuni sessile cells in biofilms were more resistant to a low concentration of ZnO NPs when compared to planktonic cells. The ZnO NPs penetrated the extracellular polymeric substance (EPS) without damage to the EPS and directly interacted with the sessile bacterial cells, as determined using infrared spectroscopy and scanning electron microscopy. Raman spectroscopy shows alterations in quinone structures and damage to nucleic acids following Camp. jejuni treatment with ZnO NPs. The mechanism of DNA damage is most likely due to the generation of reactive oxygen species (ROS). Spectroscopic-based partial least squares regression (PLSR) models could predict the number of surviving sessile cell numbers within a bacterial biofilm (≥log 4 CFU, root mean square error of estimation <0·36) from Fourier transform infrared (FT-IR) spectral measurements. CONCLUSIONS: ZnO NPs were found to have antimicrobial activity against Camp. jejuni biofilms. ZnO NPs penetrated the biofilm EPS within 1 h without damaging it and interacted directly with sessile cells in biofilms. Alterations in the DNA/RNA bases, which are owing to the generation of ROS, appear to result in Camp. jejuni cell death. SIGNIFICANCE AND IMPACT OF THE STUDY: ZnO NPs may offer a realistic strategy to eliminate Camp. jejuni biofilms in the environment.


Subject(s)
Biofilms/drug effects , Campylobacter jejuni/drug effects , Nanoparticles , Zinc Oxide/pharmacology , Biofilms/growth & development , Campylobacter jejuni/growth & development , DNA Damage , DNA, Bacterial/drug effects , Microbial Viability , Microscopy, Electron, Scanning , Quinones/chemistry , Spectroscopy, Fourier Transform Infrared , Spectrum Analysis, Raman
6.
Sci Technol Adv Mater ; 13(2): 025008, 2012 Apr.
Article in English | MEDLINE | ID: mdl-27877486

ABSTRACT

Rheological and micro-Raman time-series characterizations were used to investigate the chemical evolutionary changes of silica sol-gel mixtures for electrospinning fibers to immobilize an enzyme (tyrosinase). Results of dynamic rheological measurements agreed with the expected structural transitions associated with reacting sol-gel systems. The electrospinning sols exhibited shear-thinning behavior typical of a power law model. Ultrafine (200-300 nm diameter) fibers were produced at early and late times within the reaction window of approximately one hour from initial mixing of sol solutions with and without enzyme; diameter distributions of these fibers showed much smaller deviations than expected. The enzyme markedly increased magnitudes of both elastic and viscous moduli but had no significant impact on final fiber diameters, suggesting that the shear-thinning behavior of both sol-gel mixtures is dominant in the fiber elongation process. The time course and scale for the electrospinning batch fabrication show strong correlations between the magnitudes in rheological property changes over time and the chemical functional group evolution obtained from micro-Raman time-series analysis of the reacting sol-gel systems.

7.
Anal Chem ; 83(11): 4137-46, 2011 Jun 01.
Article in English | MEDLINE | ID: mdl-21553849

ABSTRACT

The antimicrobial effects of garlic (Allium sativum) extract (25, 50, 75, 100, and 200 µL/ml) and diallyl sulfide (5, 10, and 20 µM) on Listeria monocytogenes and Escherichia coli O157:H7 cultivated in tryptic soy broth at 4, 22, and 35 °C for up to 7 days were investigated. L. monocytogenes was more resistant to garlic extract and diallyl compounds treatment than E. coli O157:H7. Fourier transform infrared (FT-IR) spectroscopy indicated that diallyl constituents contributed more to the antimicrobial effect than phenolic compounds. This effect was verified by Raman spectroscopy and Raman mapping on single bacteria. Scanning electron microscope (SEM) and transmission electron microscope (TEM) showed cell membrane damage consistent with spectroscopic observation. The degree of bacterial cell injury could be quantified using chemometric methods.


Subject(s)
Allyl Compounds/pharmacology , Anti-Infective Agents/pharmacology , Garlic/chemistry , Plant Extracts/pharmacology , Spectroscopy, Fourier Transform Infrared/methods , Spectrum Analysis, Raman/methods , Sulfides/pharmacology , Escherichia coli O157/drug effects , Food Microbiology , Listeria monocytogenes/drug effects , Microscopy, Electron, Transmission , Phenols/pharmacology
8.
Appl Environ Microbiol ; 77(15): 5257-69, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21642409

ABSTRACT

Fourier transform infrared (FT-IR) spectroscopy and Raman spectroscopy were used to study the cell injury and inactivation of Campylobacter jejuni from exposure to antioxidants from garlic. C. jejuni was treated with various concentrations of garlic concentrate and garlic-derived organosulfur compounds in growth media and saline at 4, 22, and 35°C. The antimicrobial activities of the diallyl sulfides increased with the number of sulfur atoms (diallyl sulfide < diallyl disulfide < diallyl trisulfide). FT-IR spectroscopy confirmed that organosulfur compounds are responsible for the substantial antimicrobial activity of garlic, much greater than those of garlic phenolic compounds, as indicated by changes in the spectral features of proteins, lipids, and polysaccharides in the bacterial cell membranes. Confocal Raman microscopy (532-nm-gold-particle substrate) and Raman mapping of a single bacterium confirmed the intracellular uptake of sulfur and phenolic components. Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) were employed to verify cell damage. Principal-component analysis (PCA), discriminant function analysis (DFA), and soft independent modeling of class analogs (SIMCA) were performed, and results were cross validated to differentiate bacteria based upon the degree of cell injury. Partial least-squares regression (PLSR) was employed to quantify and predict actual numbers of healthy and injured bacterial cells remaining following treatment. PLSR-based loading plots were investigated to further verify the changes in the cell membrane of C. jejuni treated with organosulfur compounds. We demonstrated that bacterial injury and inactivation could be accurately investigated by complementary infrared and Raman spectroscopies using a chemical-based, "whole-organism fingerprint" with the aid of chemometrics and electron microscopy.


Subject(s)
Anti-Bacterial Agents/pharmacology , Campylobacter jejuni/drug effects , Garlic/chemistry , Garlic/metabolism , Allyl Compounds/pharmacology , Antioxidants/pharmacology , Campylobacter jejuni/chemistry , Campylobacter jejuni/growth & development , Campylobacter jejuni/ultrastructure , Microscopy, Electron , Spectroscopy, Fourier Transform Infrared , Spectrum Analysis, Raman , Sulfides/pharmacology , Sulfur/pharmacology
9.
Langmuir ; 26(16): 13550-5, 2010 Aug 17.
Article in English | MEDLINE | ID: mdl-20695603

ABSTRACT

Titania-poly(vinylpyrrolidone) (PVP) core-shell nano/microfibers are electrospun on substrates of differing hydrophilicity and conductivity in order to investigate the connection between these substrate properties and the apparent water contact angles against the fiber mats. The focus of this study compares current data from silicon- and aluminum foil-supported mats to extant data from ITO and glass-supported fibers to detail the complexities of apparent contact angle dependence on mat structure related to substrate properties. Electrospinning time and collection distance were controlled parameters for producing thicker and denser mats. In all cases, contact angles increased with collection time for a given substrate series. A morphological wettability study of the fiber mat surface was conducted by applying Rhodamine B dye solution droplets. Using fluorescence microscopy, the stained fibers indicate the extent of true wetting contact and the lack of penetration into the fiber layers. Image comparisons with bright-field illumination confirms that even some fibers of the top layers are not wetted.


Subject(s)
Polymers/chemistry , Povidone/chemistry , Titanium/chemistry , Microscopy, Confocal , Nanofibers/chemistry , Nanostructures , Nanotechnology , Wettability
10.
Nanotechnology ; 21(22): 225704, 2010 Jun 04.
Article in English | MEDLINE | ID: mdl-20453278

ABSTRACT

Bending tests with atomic force microscopes (AFM) is a common method for elasticity measurements on 1D nanomaterials. Interpretation of the force and deflection data is necessary to determine the Young's modulus of the tested material and has been done assuming either of two classic boundary conditions that represent two extreme possibilities for the rigidity of the sample-anchor interface. The elasticity results from the two boundary conditions differ by a factor of four. Furthermore, both boundary conditions ignore the effects of deflections in the anchors themselves. The Winkler model for beams on elastic foundations is developed here for three-point bending tests to provide a more realistic representation. Equations for computing sample elasticity are derived from two sets of boundary conditions for the Winkler model. Application of this model to interpret the measurement of mechanical stiffness of a silica nanowire at multiple points in a three-point bending is discussed. With the correct choice of boundary conditions, the Winkler model gives a better fit for the observed stiffness profile than the classical beam models while providing a result that differs from both by a factor of two and is comparable to the bulk elasticity.

11.
Adv Colloid Interface Sci ; 120(1-3): 57-67, 2006 Jun 30.
Article in English | MEDLINE | ID: mdl-16712762

ABSTRACT

With increasing interest in nanoscience and nanotechnology, the fundamental underpinnings of what makes materials strong and durable are under critical investigation. Recent findings suggest that when materials are reduced in extent to nanoscopic proportions, they exhibit enhanced strength, specifically in the form of higher moduli than are measured on macroscopic objects of the same composition. Force-deformation behavior of nanostructures subjected to concentrated loads, such as with atomic force microscopy (AFM), can yield detailed information and insight about their local mechanical properties. We review and evaluate the effectiveness of deformation and indentation tests used in determining the elastic modulus of nanobeams, nanosprings, thin films, biological samples, dendrimers, and fluid droplets. Obstacles yet remain in the determination of absolute, quantitative modulus data at the nanoscale. In spite of basic limitations, recent developments in advanced nanomechanical techniques will facilitate improvement in our understanding of material strength and aging from molecules and colloids to the macroscale.

12.
J Natl Cancer Inst ; 81(22): 1726-31, 1989 Nov 15.
Article in English | MEDLINE | ID: mdl-2810388

ABSTRACT

We conducted a study of 126 patients with anal and rectal squamous cell carcinoma and 372 randomly selected control subjects in the San Francisco Bay Area (CA) to test the hypothesis that these tumors are related to a history of anal intercourse, the presence of sexually transmitted diseases and other conditions of the anal area, treatment of these diseases or conditions, and history of use of cigarettes or other substances. The relative risk (RR) of cancer was elevated for men with a history of homosexual activity (RR = 12.4, P less than .001). However, after adjustment for other risk factors, this risk was reduced to 2.7 (P = .28). Risk was elevated for homosexual male patients who reported a history of genital warts (RR = 12.6, P = .03), anal fissure or fistula (RR = 9.1, P = .05), and cigarette smoking (RR = 1.9 for 20 pack-yr, P less than .001; RR = 5.2 for 50 pack-yr, P less than .001). (Pack-year is a unit of cigarette use equal to 365 packs.) There was also elevated risk for heterosexual male and female patients who reported a history of genital warts (RR = 4.4, P = .003), anal fissure or fistula (RR = 2.4, P = .03), and more than 12 episodes of hemorrhoids (RR = 2.6, P less than .001). These findings suggest that anal cancer risk is etiologically related to human papillomaviruses that cause genital warts. In addition, constant irritation, chronic inflammatory changes, and repeated epithelial regeneration that accompany noninfectious conditions may be related to risk of anal cancer. The higher risk among homosexual men is related to the higher prevalence of anal cancer risk factors for this group.


Subject(s)
Anus Neoplasms/etiology , Carcinoma, Squamous Cell/etiology , Genital Diseases, Male/complications , Precancerous Conditions , Rectal Neoplasms/etiology , Tumor Virus Infections/complications , Warts/complications , Adult , Age Factors , Aged , Analysis of Variance , Anus Neoplasms/epidemiology , Carcinoma, Squamous Cell/epidemiology , Case-Control Studies , Female , Fissure in Ano/complications , Fissure in Ano/epidemiology , Genital Diseases, Male/epidemiology , Hemorrhoids/complications , Hemorrhoids/epidemiology , Homosexuality , Humans , Male , Middle Aged , Precancerous Conditions/epidemiology , Rectal Fistula/complications , Rectal Fistula/epidemiology , Rectal Neoplasms/epidemiology , Retrospective Studies , Sampling Studies , San Francisco , Smoking/adverse effects , Tumor Virus Infections/epidemiology , Warts/epidemiology
13.
Cancer Res ; 51(5): 1370-2, 1991 Mar 01.
Article in English | MEDLINE | ID: mdl-1997174

ABSTRACT

In a case-control study, we explored a potential association between uveal melanoma and reproductive factors in women. Responses from telephone interviews of 186 women diagnosed with uveal melanoma were compared with responses of 423 women without this disease. All women resided in 11 U.S. western states. We observed a decreased risk of uveal melanoma for women who had ever been pregnant [relative risk (RR) = 0.60, 95% confidence interval (CI) = 0.37 -0.95], with an increase in this protective effect with more live births after adjustment for age, menopausal status, eye color, and skin sensitivity to the sun (1-2 births, RR = 0.47,95% CI 0.29-0.78; 3-4 births, RR = 0.38, 95% CI = 0.22-0.64; 5 or more births, RR = 0.33, 95% CI = 0.15-0.71). The largest effect was observed between nulliparous and parous women. No other reproductive factors, including use of oral contraceptives or postmenopausal estrogens, were shown to be related to risk for uveal melanoma. We conclude that most reproductive factors in this population play little or no role in the etiology of uveal melanoma. The association with number of live births must be confirmed in other studies to assure that it is unrelated to confounding factors not measured in this study.


Subject(s)
Melanoma/etiology , Reproduction , Uveal Neoplasms/etiology , Adult , Age Factors , Aged , Case-Control Studies , Estrogens/pharmacology , Female , Humans , Middle Aged , Parity , Pregnancy , Risk
14.
Cancer Res ; 50(18): 5773-7, 1990 Sep 15.
Article in English | MEDLINE | ID: mdl-2393851

ABSTRACT

We conducted a case-control interview study among 1277 subjects (407 patients, 870 controls selected by using random digit dial) in 11 western United States to determine whether uveal melanoma and cutaneous melanoma shared common risk factors. After adjustment for other factors, the risk of uveal melanoma was increased for those with green, gray, or hazel eyes [relative risk (RR) = 2.5, P less than 0.001] or blue eyes (RR = 2.2, P less than 0.001) when compared to brown. A tendency to sunburn after 0.5 h midday summer sun exposure increased risk for uveal melanoma (burn with tanning RR = 1.5, P = 0.02; burn with little tanning RR = 1.8, P less than 0.001; burn with no tanning RR = 1.7, P = 0.002); as did exposure to UV or black lights (RR = 3.7, P = 0.003); and welding burn, sunburn of the eye, or snow blindness (RR = 7.2, P less than 0.001). An association with uveal melanoma was also noted with an increasing number of large nevi (P = 0.04 for trend), although the individual risk estimates were not remarkable. These data suggest that host factors and exposure to UV light are risk factors for uveal melanoma.


Subject(s)
Melanoma/etiology , Neoplasms, Radiation-Induced/etiology , Ultraviolet Rays/adverse effects , Uveal Neoplasms/etiology , Adult , Aged , Case-Control Studies , Coffee/adverse effects , Eye Color , Eyeglasses , Female , Hair Color , Humans , Male , Middle Aged , Nevus/complications , Risk Factors , Sunburn/complications
15.
Cancer Res ; 46(7): 3722-7, 1986 Jul.
Article in English | MEDLINE | ID: mdl-3458531

ABSTRACT

Forty-two evaluable endomyocardial biopsies were obtained from 29 patients treated with epirubicin, the 4'-epimer of doxorubicin in cumulative doses ranging from 147 mg/m2 to 888 mg/m2. In this study of the Northern California Oncology Group, myofibrillar loss and sarcoplasmic vacuolization were identified and shown to be identical to those previously described for doxorubicin. However, when these biopsies were compared to 119 biopsies obtained from 98 patients treated with doxorubicin, milligram for milligram, epirubicin caused less endomyocardial injury than doxorubicin (P = 0.0013). Age, sex, type of primary malignancy, prior cardiac disease, and hypertension did not influence the degree of histologically demonstrated anthracycline injury induced by epirubicin.


Subject(s)
Cardiomyopathies/pathology , Heart/drug effects , Adult , Aged , Biopsy , Cardiomyopathies/chemically induced , Doxorubicin , Endocardium/drug effects , Endocardium/ultrastructure , Epirubicin , Female , Heart/radiation effects , Humans , Male , Microscopy, Electron , Middle Aged , Myocardium/ultrastructure
16.
J Clin Oncol ; 5(1): 125-30, 1987 Jan.
Article in English | MEDLINE | ID: mdl-3806155

ABSTRACT

Tumor characteristics thought to predict for development of deep muscle invasion after resection of superficial bladder cancer were retrospectively analyzed in 252 patients with transitional cell carcinoma of the bladder at Stanford University Medical Center. Stage 0 patients accounted for 190 of the patient population (75.5%), while stage A and B1 comprised 51 (20%) and 11 (4.5%), respectively. The median follow-up time was 62 months. Forty-three patients subsequently developed deep muscle invasion; these included 24 (12.6%), 14 (27.5%), and 5 (45.5%) of stage 0, A, and B1 patients (P = .002), or 15 (10%), 15 (9%), and 13 (33%) of grade 1, 2, and 3 tumors (P = .001), respectively. When analyzed by univariate logistic regression, grade (P = .0001) and stage (P = .0118) were significant predictors for invasive disease. Site of tumor and number of tumors at presentation were not significant factors for invasion deep into the bladder wall. When multiple logistic regression was performed, only grade remained as a significant tumor variable to predict for invasive disease (P less than .0091). Risk of invasive disease did not appear to increase with increasing number of recurrences, remaining at approximately an 11% invasion rate through 12 recurrences. In this analysis, grade was the most significant tumor variable in superficial bladder cancer predicting for the development of invasive carcinoma. Future clinical trials for definitive or adjuvant therapy of this disease must stratify for this variable.


Subject(s)
Neoplasm Invasiveness/pathology , Urinary Bladder Neoplasms/pathology , Adult , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Male , Middle Aged , Neoplasm Invasiveness/surgery , Neoplasm Recurrence, Local , Neoplasm Staging , Regression Analysis , Urinary Bladder Neoplasms/surgery
17.
J Clin Oncol ; 1(8): 477-82, 1983 Aug.
Article in English | MEDLINE | ID: mdl-6668511

ABSTRACT

Twenty-five patients with endocrine-refractory prostatic carcinoma were treated with doxorubicin, 20 mg/m2 given weekly. All patients had prior hormonal therapy (68% had two or more prior hormonal maneuvers), and 21 (84%) had prior therapeutic or palliative irradiation. Median Karnofsky performance status at the time of entry was 70. Hemoglobin was less than 12.0 g/dL in 15 patients. Bidimensional tumors were present in 12 patients in 19 disease sites; four of the 12 patients (33%) responded in eight of the 19 sites (42%); and three of eight patients had a 75% decrease in prostatic nodule size. Ten of 20 evaluable patients had an improvement of 20% or greater in Karnofsky performance status and 67% (14 of 21) had marked improvement in pain. A greater than 50% reduction or normalization of acid phosphatase occurred in 19% and of alkaline phosphatase in 53%. The overall response rate by National Prostatic Cancer Project criteria was 84%. Gastrointestinal toxicity and alopecia were minimal and myelosuppression was not life threatening in any patient.


Subject(s)
Doxorubicin/administration & dosage , Prostatic Neoplasms/drug therapy , Aged , Bone Marrow/drug effects , Digestive System/drug effects , Doxorubicin/adverse effects , Humans , Male , Middle Aged , Neoplasm Metastasis
18.
Article in English | MEDLINE | ID: mdl-1302562

ABSTRACT

To better understand why smokers are more likely to develop cervical cancer than nonsmokers, we investigated laboratory and demographic differences between the two groups. Women between the ages of 18 and 49 who attended eleven community clinics in the San Francisco Bay Area were studied to investigate differences between smokers and nonsmokers. The 332 smokers and 365 nonsmokers were queried about smoking habits, sexual and reproductive history, and recent diet. Cervical mucus specimens were cultured for yeast, lactobacillus, and other microorganisms. Results showed that white Hispanic women were less likely to smoke than white non-Hispanic women. Smokers, when compared to nonsmokers, consumed larger quantities of coffee, soft drinks, liquor, and beer in the 24 h prior to the interview. Women who smoked were more likely than those who did not smoke to have had first sexual intercourse before age 16, had a greater number of lifetime sexual partners, and were more likely than nonsmokers to have been pregnant. After controlling for number of sexual partners, smokers reported a history of chlamydia, gonorrhea, and/or pelvic inflammatory disease more often than did nonsmokers, and cervical mucus of smokers was more likely than that from nonsmokers to contain greater than 8500 microorganisms/ml.


Subject(s)
Smoking/epidemiology , Uterine Cervical Neoplasms/epidemiology , Adolescent , Adult , Age Factors , Beverages/statistics & numerical data , Cervix Mucus/microbiology , Cervix Uteri/microbiology , Colony Count, Microbial , Educational Status , Ethnicity , Feeding Behavior , Female , Humans , Life Style , Middle Aged , Risk Factors , San Francisco/epidemiology , Sexual Behavior , Sexual Partners , Sexually Transmitted Diseases, Bacterial/epidemiology , Time Factors , Tobacco Smoke Pollution/statistics & numerical data , Vaginal Smears
19.
Article in English | MEDLINE | ID: mdl-8318874

ABSTRACT

The Salmonella mutagenicity test was used to analyze cervical mucus specimens from 364 smokers and 333 nonsmokers to determine whether the association between smoking and mutagenic cervical mucus that we reported previously among women diagnosed with dysplasia would apply to a larger group of healthy women (E. A. Holly et al., J. Natl. Cancer Inst., 76: 983-986, 1986). Women smokers and nonsmokers between the ages of 18 and 49 who attended eleven clinics and physicians' offices in the San Francisco Bay area for a routine Pap smear were examined to determine whether smokers were more likely to have mutagenic substances in their cervical mucus. About 4% of smokers and 8% of nonsmokers had positive mutagenicity test results (P = 0.02). Cervical mucus with a large number of microorganisms was more likely to have a positive mutagenicity test result than that with fewer microorganisms (test for trend, P = 0.01). Mutagenicity results varied by race and clinic location but were not associated with smoking behavior, sexual behavior, gynecological diagnosis, or diet. Further work is needed to develop methods to detect mutagens in specific body fluids.


Subject(s)
Cervix Mucus/chemistry , Mutagens/analysis , Papanicolaou Test , Smoking/pathology , Vaginal Smears , Adolescent , Adult , Cervix Mucus/microbiology , Diet , Female , Humans , Logistic Models , Middle Aged , Mutagenicity Tests , Racial Groups , Risk Factors , San Francisco/epidemiology , Smoking/adverse effects , Uterine Cervical Neoplasms/epidemiology , Uterine Cervical Neoplasms/etiology
20.
Neurology ; 57(8): 1389-91, 2001 Oct 23.
Article in English | MEDLINE | ID: mdl-11673577

ABSTRACT

OBJECTIVE: To determine the relative contribution of genetics and environment to essential tremor using a twin study method. METHODS: Twins with postural or kinetic tremor were identified by movement disorders specialists during the conduct of a study investigating PD in members of the National Academy of Sciences and National Research Council World War II Veteran Twins Registry. The diagnosis of essential tremor was made by consensus using established diagnostic criteria. RESULTS: A total of 196 twins had postural or kinetic tremor on examination. Of these, 137 had PD or had a twin with PD and were excluded from this study. Thirty-three others were excluded because of incomplete data for their twin. Sixteen twin pairs were identified in which at least one twin had essential tremor. Pairwise concordance in monozygotic twins was approximately two times that in dizygotic twins (0.60 monozygotic, 0.27 dizygotic). CONCLUSION: This pattern is consistent with a genetic cause of essential tremor. Because monozygotic concordance is not 100%, environmental factors may also play a role in the cause of the disease.


Subject(s)
Essential Tremor/epidemiology , Essential Tremor/genetics , Environment , Essential Tremor/etiology , Genetic Predisposition to Disease , Humans , Registries , Twins, Dizygotic/statistics & numerical data , Twins, Monozygotic/statistics & numerical data
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