Breast cancer in systemic lupus.

Objective There is a decreased breast cancer risk in systemic lupus erythematosus (SLE) versus the general population. We assessed a large sample of SLE patients, evaluating demographic and clinical characteristics and breast cancer risk. Methods We performed case-cohort analyses within a multi-center international SLE sample. We calculated the breast cancer hazard ratio (HR) in female SLE patients, relative to demographics, reproductive history, family history of breast cancer, and time-dependent measures of anti-dsDNA positivity, cumulative disease activity, and drugs, adjusted for SLE duration. Results There were 86 SLE breast cancers and 4498 female SLE cancer-free controls. Patients were followed on average for 7.6 years. Versus controls, SLE breast cancer cases tended to be white and older. Breast cancer cases were similar to controls regarding anti-dsDNA positivity, disease activity, and most drug exposures over time. In univariate and multivariate models, the principal factor associated with breast cancers was older age at cohort entry. Conclusions There was little evidence that breast cancer risk in this SLE sample was strongly driven by any of the clinical factors that we studied. Further search for factors that determine the lower risk of breast cancer in SLE may be warranted.

Breast cancer in systemic lupus erythematosus.

OBJECTIVE: Evidence points to a decreased breast cancer risk in systemic lupus erythematosus (SLE). We analyzed data from a large multisite SLE cohort, linked to cancer registries. METHODS: Information on age, SLE duration, cancer date, and histology was available. We analyzed information on histological type and performed multivariate logistic regression analyses of histological types according to age, SLE duration, and calendar year. RESULTS: We studied 180 breast cancers in the SLE cohort. Of the 155 cases with histology information, 11 were referred to simply as 'carcinoma not otherwise specified'. In the remaining 144 breast cancers, the most common histological type was ductal carcinoma (n = 95; 66%) followed by lobular adenocarcinoma (n = 11; 8%), 15 cancers were of mixed histology, and the remaining ones were special types. In our regression analyses, the independent risk factors for lobular versus ductal carcinoma was age [odds ratio (OR) 1.07, 95% confidence interval (CI) 1.01-1.14] and for the 'special' subtypes it was age (OR 1.06, 95% CI 1.01-1.10) and SLE duration (OR 1.05, 95% CI 1.00-1.11). CONCLUSIONS: Generally, up to 80% of breast cancers are ductal carcinomas. Though our results are not definitive, in the breast cancers that occur in SLE, there may be a slight decrease in the ductal histological type. In our analyses, age and SLE duration were independent predictors of histological status.

Social environment shapes female settlement decisions in a solitary carnivore.

How and where a female selects an area to settle and breed is of central importance in dispersal and population ecology as it governs range expansion and gene flow. Social structure and organization have been shown to influence settlement decisions, but its importance in the settlement of large, solitary mammals is largely unknown. We investigate how the identity of overlapping conspecifics on the landscape, acquired during the maternal care period, influences the selection of settlement home ranges in a non-territorial, solitary mammal using location data of 56 female brown bears (Ursus arctos). We used a resource selection function to determine whether females' settlement behavior was influenced by the presence of their mother, related females, familiar females, and female population density. Hunting may remove mothers and result in socio-spatial changes before settlement. We compared overlap between settling females and their mother's concurrent or most recent home ranges to examine the settling female's response to the absence or presence of her mother on the landscape. We found that females selected settlement home ranges that overlapped their mother's home range, familiar females, that is, those they had previously overlapped with, and areas with higher density than their natal ranges. However, they did not select areas overlapping related females. We also found that when mothers were removed from the landscape, female offspring selected settlement home ranges with greater overlap of their mother's range, compared with mothers who were alive. Our results suggest that females are acquiring and using information about their social environment when making settlement decisions.

Movement and habitat selection of a large carnivore in response to human infrastructure differs by life stage.

BACKGROUND: The movement extent of mammals is influenced by human-modified areas, which can affect population demographics. Understanding how human infrastructure influences movement at different life stages is important for wildlife management. This is true especially for large carnivores, due to their substantial space requirements and potential for conflict with humans. METHODS: We investigated human impact on movement and habitat selection by GPS-collared male brown bears (Ursus arctos) in two life stages (residents and dispersers) in central Sweden. We identified dispersers visually based on their GPS locations and used hidden Markov models to delineate dispersal events. We used integrated step selection analysis (iSSA) to infer movement and habitat selection at a local scale (availability defined by hourly relocations), and resource selection functions (RSFs) to infer habitat selection at a landscape scale (availability defined by the study area extent). RESULTS: Movement of residents on a local scale was facilitated by small forestry roads as they moved faster and selected areas closer to forestry roads, and they avoided areas closer to larger public roads and buildings on both scales. Dispersers were more ambivalent in their response to human infrastructure. Dispersers increased their speed closer to small forestry roads and larger public roads, did not exhibit selection for or against any road class, and avoided areas closer to buildings only at local scale. Dispersers did not select for any features on the landscape, which is likely explained by the novelty of the landscape or their naivety towards it. CONCLUSION: Our results show that movement in male brown bears is life stage-dependent and indicate that connectivity maps derived from movement data of dispersing animals may provide more numerous and more realistic pathways than those derived from resident animal data alone. This suggests that data from dispersing animals provide more realistic models for reconnecting populations and maintaining connectivity than if data were derived from resident animals alone.

Calculating gambling odds and lung ages for smokers.

Interpreting spirometry as normal or abnormal using 95% confidence limits can obscure milder airflow decreases. Other analyses might better persuade cigarette smokers to quit. High-quality spirometric data of ambulatory never- and current-smokers of African-, European- and Latin-American ethnicity from the Third National Health and Nutrition Evaluation Survey (n>9000) were analysed. We desired to calculate, for each decade of life, the odds that specific ratios of forced expiratory volume in 1 s to 6 s (%FEV(1)/FEV(6)) and to forced vital capacity (%FEV(1)/FVC) values came from a current- or never-smoker. We also desired to develop new, simpler and better formulas to estimate changes in physiological lung age (Deltalung age) for males and females. For each decade of life, odds increase strikingly that smoking decreases %FEV(1)/FEV(6) and %FEV(1)/FVC. At least for these three ethnicities, Deltalung age can be easily calculated as the product of (predicted - actual) %FEV(1)/FEV(6) x 4 or (predicted - actual) %FEV(1)/FVC x 3. Through the sixth decade of life, smokers' Deltalung age increase rapidly but little thereafter, presumably due to the inabilities of older smokers to participate in the survey or their deaths. Using odds and Deltalung ages rather than traditional 95% confidence limits might better persuade smokers to quit.

Clouds of venus: evidence for their nature.

The linear polarization of sunlight multiply scattered by the atmosphere, and cloud particles of Venus has been computed and compared with observations over the wavelength range from the ultraviolet to the infrared region. The following properties of the visible cloud layer are derived: the refractive index of the cloud particles is 1.45 +/- 0.02 at a wavelength of 0.55 micron, and there is an indication of a slight decrease in the value from the ultraviolet to the near-infrared region; the mean particle radius is very near 1 micron, and most of the particles are spherical; the cloud layer occurs high in the atmosphere where the pressure is about 50 millibars (equivalent to an altitude of approximately 20 kilometers on the earth). The results for the index of refraction eliminate the possibility that the visible clouds are composed of pure water or ice.

Atmosphere of venus: implications of venera 8 sunlight measurements.

Venera 8 measurements of solar illumination within the atmnosphere of Venus are quantitatively analyzed by using a multilayer model atmosphere. The analysis shows that there are at least three different scattering layers it the atmosphere of Venus and the total cloud optical thickness is [unknown] 10. However, because of the nature of the observations it is not possible to determine the vertical distributiont of absorbed solar energy, which would reveal the drive for the atmospheric dynamics and the strength of the greenhouse effect. Future spacecraft observations should be designed to (i) measure both upward and downward solar fluxes, (ii) include measurements of the highest clold lavers. and (iii) employ narrow-band and broad-banzd sensors.

Mount agung eruption provides test of a global climatic perturbation.

The Mount Agung volcanic eruption in 1963 provides the best-documented global radiative perturbation to the earth's atmosphere currently available. Data on stratospheric aerosols produced by this eruption have been used as input to a model for the atmospheric thermal structure. The computed magnitude, sign, and phase lag of the temperature changes in both the stratosphere and the troposphere are in good agreement with observations, providing evidence that the climatic response to a global radiative perturbation is significant, as well as support for the use of theoretical models to predict climatic effects.

Greenhouse Effects due to Man-Mad Perturbations of Trace Gases.

Nitrous oxide, methane, ammonia, and a number of other trace constituents in the earth's atmosphere have infrared absorption bands in the spectral region 7 to 14 microm and contribute to the atmospheric greenhouse effect. The concentrations of these trace gases may undergo substantial changes because of man's activities. Extensive use of chemical fertilizers and combustion of fossil fuels may perturb the nitrogen cycle, leading to increases in atmospheric N(2)O, and the same perturbing processes may increase the amounts of atmospheric CH(4) and NH(3). We use a one-dimensional radiative-convective model for the atmospheric thermal structure to compute the change in the surface temperature of the earth for large assumed increases in the trace gas concentrations; doubling the N(2)O, CH(4), and NH(3) concentrations is found to cause additive increases in the surface temperature of 0.7 degrees , 0.3 degrees , and 0.1 degrees K, respectively. These systematic effects on the earth's radiation budget would have substantial climatic significance. It is therefore important that the abundances of these trace gases be accurately monitored to determine the actual trends of their concentrations.

Climate forcing by anthropogenic aerosols.

Although long considered to be of marginal importance to global climate change, tropospheric aerosol contributes substantially to radiative forcing, and anthropogenic sulfate aerosol in particular has imposed a major perturbation to this forcing. Both the direct scattering of shortwavelength solar radiation and the modification of the shortwave reflective properties of clouds by sulfate aerosol particles increase planetary albedo, thereby exerting a cooling influence on the planet. Current climate forcing due to anthropogenic sulfate is estimated to be -1 to -2 watts per square meter, globally averaged. This perturbation is comparable in magnitude to current anthropogenic greenhouse gas forcing but opposite in sign. Thus, the aerosol forcing has likely offset global greenhouse warming to a substantial degree. However, differences in geographical and seasonal distributions of these forcings preclude any simple compensation. Aerosol effects must be taken into account in evaluating anthropogenic influences on past, current, and projected future climate and in formulating policy regarding controls on emission of greenhouse gases and sulfur dioxide. Resolution of such policy issues requires integrated research on the magnitude and geographical distribution of aerosol climate forcing and on the controlling chemical and physical processes.

Cloud images from the pioneer venus orbiter.

Ultraviolet images of Venus over a 3-month period show marked evolution of the planetary scale features in the cloud patterns. The dark horizontal Y feature recurs quasi-periodically, at intervals of about 4 days, but it has also been absent for periods of several weeks. Bow-shaped features observed in Pioneer Venus images are farther upstream from the subsolar point than those in Mariner 10 images.

Orbiter cloud photopolarimeter investigation.

The first polarization measurements of the orbiter cloud photopolarimeter have detected a planet-wide layer of submicrometer aerosols of substantial visible optical thickness, of the order of 0.05 to 0.1, in the lower stratosphere well above the main visible sulfuric acid cloud layer. Early images show a number of features observed by Mariner 10 in 1974, including planetary scale markings that propagate around the planet in the retrograde sense at roughly 100 meters per second and bright- and dark-rimmed cells suggesting convective activity at low latitudes. The polar regions are covered by bright clouds down to latitudes aproximately 50 degrees, with both caps significantly brighter (relative to low latitudes) than the south polar cloud observed by Mariner 10. The cellular features, often organized into clusters with large horizontal scale, exist also at mid-latitudes, and include at least one case in which a cell cuts across the edge of the bright polar cloud of the northern hemisphere.

Hyperoxic attenuation of exercise-induced bronchospasm in asthmatics.

To investigate the mechanism of exercise-induced bronchospasm, we measured specific airway conductance before and after exercise in 7 healthy normals, 12 asthmatics with intact carotid bodies, and 5 asthmatics who had had bilateral carotid body resection. The subjects breathed either air or oxygen (randomly assigned) during cycle ergometer exercise. Post-exercise bronchodilation was the usual pattern in normals, whereas post-exercise bronchospasm occurred in all asthmatics who breathed air during exercise. Oxygen breathing during exercise markedly attenuated the post-exercise bronchospasm in those asthmatics with intact carotid bodies, but had no significant effect in those without effect in those without carotid bodies. The attenuation of the bronchospasm with oxygen occurred with either incremental or constant load exercise of high intensity. The degree of attenuation did not correlate significantly with changes in end-tidal PCO2, maximum work rate, maximum exercise ventilation, or maximum heart rate. These studies indicate that oxygen attenuates exercise-induced bronchospasm in asthmatics through its action on the carotid bodies.

Exercise pathophysiology in patients with primary pulmonary hypertension.

BACKGROUND: Patients with primary pulmonary hypertension (PPH) have a pulmonary vasculopathy that leads to exercise intolerance due to dyspnea and fatigue. To better understand the basis of the exercise limitation in patients with PPH, cardiopulmonary exercise testing (CPET) with gas exchange measurements, New York Heart Association (NYHA) symptom class, and resting pulmonary hemodynamics were studied. METHODS AND RESULTS: We retrospectively evaluated 53 PPH patients who had right heart catheterization and cycle ergometer CPET studies to maximum tolerance as part of their clinical workups. No adverse events occurred during CPET. Reductions in peak O(2) uptake (VO(2)), anaerobic threshold, peak O(2) pulse, rate of increase in VO(2), and ventilatory efficiency were consistently found. NYHA class correlated well with the above parameters of aerobic function and ventilatory efficiency but less well with resting pulmonary hemodynamics. CONCLUSIONS: Patients with PPH can safely undergo noninvasive cycle ergometer CPET to their maximal tolerance. The CPET abnormalities were consistent and characteristic and correlated well with NYHA class.

A double-blind, randomized clinical trial of methylprednisolone in status asthmaticus.

Twenty-five consecutive patients admitted with status asthmaticus were blindly randomized to receive intravenous (IV) methylprednisolone every six hours for three days at one of the following dosages: (1) low, 15 mg; (2) medium, 40 mg; or (3) high, 125 mg. All other therapy, including IV and inhaled bronchodilators, was kept constant. We measured forced expiratory volume in 1 s (FEV1) to quantitate response. The high-dose group improved significantly by the end of the first day, the medium-dose group improved by the middle of the second day, but the low-dose group did not improve significantly in three days. Together, the high- and medium-dose groups were significantly improved (FEV1 greater than 50% of predicted) compared with the low-dose group. No serious steroid side effects were encountered. We conclude that the greater benefit of higher doses of steroids, such as 125 mg of methylprednisolone every six hours, justifies their use in severe asthma.

Instrument for precision long-term ß-decay rate measurements.

We describe an experimental setup for making precision measurements of relative ß-decay rates of (22)Na, (36)Cl, (54)Mn, (60)Co, (90)Sr, (133)Ba, (137)Cs, (152)Eu, and (154)Eu. The radioactive samples are mounted in two automated sample changers that sequentially position the samples with high spatial precision in front of sets of detectors. The set of detectors for one sample changer consists of four Geiger-Müller (GM) tubes and the other set of detectors consists of two NaI scintillators. The statistical uncertainty in the count rate is few times 0.01% per day for the GM detectors and about 0.01% per hour on the NaI detectors. The sample changers, detectors, and associated electronics are housed in a sealed chamber held at constant absolute pressure, humidity, and temperature to isolate the experiment from environmental variations. The apparatus is designed to accumulate statistics over many years in a regulated environment to test recent claims of small annual variations in the decay rates. We demonstrate that absent this environmental regulation, uncontrolled natural atmospheric pressure variations at our location would imprint an annual signal of 0.1% on the Geiger-Müller count rate. However, neither natural pressure variations nor plausible indoor room temperature variations cause a discernible influence on our NaI scintillator detector count rate.

Correlation between carbohydrate structures on the envelope glycoprotein gp120 of HIV-1 and HIV-2 and syncytium inhibition with lectins.

The binding of 13 different lectins to gp120 partially purified from two HIV-1 isolates and one HIV-2 isolate was studied by in situ staining on electrophoretically separated and electroblotted HIV antigens. The lectins concanavalin A, wheat germ agglutinin, Lens culinaris agglutinin, Vicia faba agglutinin, Pisum sativum agglutinin and phytohaem(erythro)agglutinin bound to gp120 of all three isolates. The carbohydrate of gp120 recognized by lectins was thus arranged in at least four types of glycans: a high mannose type glycan, a bisected hybrid or complex type glycan, a biantennary fucosylated complex type glycan and a triantennary bisected complex type glycan. Only lectins which bound at least one of the four types of glycans were capable of inhibiting fusion of HIV-infected cells with CD4 cells by a carbohydrate-specific interaction with the HIV-infected cells. Thus, several different glycan structures may be implicated in CD4-gp120 binding.

Antibody to histo-blood group A antigen neutralizes HIV produced by lymphocytes from blood group A donors but not from blood group B or O donors.

Three virus isolates HTLV-IIIB/lyA, HTLV-IIIB/lyB and HTLV-IIIB/lyO, obtained by passaging and propagating the HTLV-IIIB/H9 isolate in three separate cultures of mixed peripheral blood mononuclear cells (PBMC) from donors of blood type A, B or O, respectively, were tested for susceptibility for virus neutralization by the monoclonal antibody (MAb) AH16 directed against the blood group A epitope. MAb AH16 was previously shown to inhibit cell-free virus infection using HTLV-IIIB propagated in H9 cells. AH16 showed a concentration-dependent inhibition of the HTLV-IIIB/lyA isolate but did not inhibit the HTLV-IIIB/lyB or the HTLV-IIIB/lyO isolate. Specificity of the MAb-mediated inhibition was shown using A-antigen (tetrasaccharide). Thus, HIV infection of PBMC from donors with blood type A appears to induce expression of host-cell-encoded carbohydrate blood group A epitope on HIV which can be a target for MAb-mediated virus neutralization.

Thyrotropin receptor antibodies and Graves' disease, a side-effect of 131I treatment in patients with nontoxic goiter.

The use of 131I treatment in patients with benign nontoxic goiter is increasing, and the described side-effects are few. In this paper we describe appearance of TSH receptor antibodies (TRAb) and concomitant development of hyperthyroidism as a side-effect of 131I treatment in patients with nontoxic goiter. In this retrospective study, 191 consecutive patients with 131I-treated nontoxic goiter are described. Nine patients (5%) developed hyperthyroidism 3 months after 131I treatment, and 5 patients (3%) developed radiation thyroiditis within the first month. Frozen sera were analyzed for thyroid peroxidase antibodies (anti-TPO) in 130 patients before 131I treatment. In 21% of these, serum levels of anti-TPO were over 200 U/mL. The complication frequency of Graves'-like hyperthyroidism and hypothyroidism was 51% in patients with elevated anti-TPO (n = 27) and 15% in patients with normal serum anti-TPO levels (P < 0.00005). TRAb, anti-TPO, and thyroglobulin were followed in patients developing hyperthyroidism or radiation thyroiditis and in 10 control patients remaining euthyroid. At the time of 131I treatment, all patients had serum TRAb values within the normal range. Three months after administration of 131I, the patients developing hyperthyroidism had a transient extensive rise in serum TRAb and anti-TPO levels parallel to a rise in the serum free T4 index. In patients developing radiation thyroiditis, serum TRAb values were normal. In control patients, serum TRAb and anti-TPO values were both within the normal range throughout the observation period. In conclusion, hyperthyroidism can be triggered by 131I in patients with nontoxic goiter, not only related to radiation thyroiditis but also as a Graves'-like hyperthyroidism induced by TRAb. Elevated anti-TPO pretreatment is a marker of an increased risk of side-effects to 131I treatment in nontoxic goiter.