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1.
Philos Trans A Math Phys Eng Sci ; 381(2249): 20220056, 2023 Jun 26.
Article in English | MEDLINE | ID: mdl-37150205

ABSTRACT

The Southern Ocean greatly contributes to the regulation of the global climate by controlling important heat and carbon exchanges between the atmosphere and the ocean. Rates of climate change on decadal timescales are therefore impacted by oceanic processes taking place in the Southern Ocean, yet too little is known about these processes. Limitations come both from the lack of observations in this extreme environment and its inherent sensitivity to intermittent processes at scales that are not well captured in current Earth system models. The Southern Ocean Carbon and Heat Impact on Climate programme was launched to address this knowledge gap, with the overall objective to understand and quantify variability of heat and carbon budgets in the Southern Ocean through an investigation of the key physical processes controlling exchanges between the atmosphere, ocean and sea ice using a combination of observational and modelling approaches. Here, we provide a brief overview of the programme, as well as a summary of some of the scientific progress achieved during its first half. Advances range from new evidence of the importance of specific processes in Southern Ocean ventilation rate (e.g. storm-induced turbulence, sea-ice meltwater fronts, wind-induced gyre circulation, dense shelf water formation and abyssal mixing) to refined descriptions of the physical changes currently ongoing in the Southern Ocean and of their link with global climate. This article is part of a discussion meeting issue 'Heat and carbon uptake in the Southern Ocean: the state of the art and future priorities'.

2.
Orthopade ; 45(11): 945-950, 2016 Nov.
Article in German | MEDLINE | ID: mdl-27725994

ABSTRACT

BACKGROUND: Scaphoid fractures represent the most common carpal fractures and are often problematic and frequently lead to nonunion with osteoarthritis and collapse of the wrist. The reasons for the nonunion are manifold. Therefore, the main goal of diagnosis and therapy of acute fractures is to achieve bony union and to restore the anatomic shape of the scaphoid. In the long run, only this can preserve the normal function of the wrist. METHODOLOGY: The given recommendations are based on the new S3-level guideline of the AWMF (Association of the Scientific Medical Societies). This guideline was established with involvement of all relevant medical societies based on a comprehensive and systematic review of the literature and after a process of formal consent. The focus of the guideline is recommendations regarding diagnosis and therapy of acute scaphoid fractures. MAIN STATEMENTS: After careful clinical examination consequent imaging must be performed, starting with X­rays in three standard projections. Computed tomography is indispensable for proof of a fracture and for therapy planning. The classification of Herbert and Krimmer is based on the CT under special consideration of instability and displacement of the fracture. Thus, indication for operative and non-operative treatment is mainly CT-dependent. Non-operative treatment may be indicated only for stable fractures (type A). However, operative treatment is strongly recommended for all unstable fractures (type B). For fixation, double-threaded headless screws are preferred. The operative technique depends on the fracture morphology. CONCLUSION: Diagnosis and therapy of acute scaphoid fractures are primarily aimed at the prevention of nonunion and arthritic carpal collapse with painful impairment of the wrist function. To achieve this, the S3-level guideline contains explicit recommendations.


Subject(s)
Fracture Fixation, Internal/standards , Fractures, Bone/diagnostic imaging , Fractures, Bone/therapy , Orthopedics/standards , Practice Guidelines as Topic , Scaphoid Bone/injuries , Acute Disease , Germany , Humans , Scaphoid Bone/diagnostic imaging , Scaphoid Bone/surgery
3.
Biol Bull ; 215(3): 243-52, 2008 Dec.
Article in English | MEDLINE | ID: mdl-19098145

ABSTRACT

The capacity of some corals and other cnidarians to form symbioses with multiple algae (Symbiodinium) is a candidate route by which these symbioses tolerate variable environmental conditions. On Bermuda, the coral reef dwelling anemone Condylactis gigantea bears Symbiodinium of clades A and B. At thermally variable inshore and nearshore sites, clade A predominates (as sole symbiont or in mixed infection with clade B), whereas animals at offshore sites with more uniform temperatures bear only clade B or mixed infections. Individual animals at one nearshore site monitored over a year by sampling tentacles showed increased prevalence of clade A in March-November, when sea waters were warm (average 26 degrees C), and increased clade B in November-March when cool waters prevailed (average 18.5 degrees C). In laboratory analyses of excised tentacles, the symbiosis with clade B, but not clade A, bleached at elevated temperature (32 degrees C), suggesting that thermal tolerance may contribute to the higher prevalence of clade A at inshore/nearshore sites and in the summer. The temporal changes in the algal complement were not accompanied by bleaching, and Symbiodinium density fluctuated in hosts with stable Symbiodinium composition but not in hosts with variable composition. This suggests that changes in the relative abundance of Symbiodinium clades do not require bleaching and may even protect the symbiosis from large fluctuations in algal density.


Subject(s)
Dinoflagellida/genetics , Eukaryota/genetics , Sea Anemones/microbiology , Symbiosis , Temperature , Amplified Fragment Length Polymorphism Analysis , Animals , Bermuda , Polymerase Chain Reaction , Time Factors , Tropical Climate
4.
Chirurg ; 78(8): 729-36, 2007 Aug.
Article in German | MEDLINE | ID: mdl-17440701

ABSTRACT

Despite the high prevalence of arterial occlusive disease, only a few studies have investigated the benefit of interventions to recanalize extremity arteries prior to plastic operations to close chronic wounds. The purpose of this study was to investigate the correlation of simple clinical examinations and apparative diagnostics of arterial occlusive disease of the lower extremity in patients with chronic wounds and to evaluate the benefit of vascular procedures to optimize wound perfusion before surgical closure. A total of 150 individuals with chronic wounds were included in this retrospective study. All patients underwent palpation of their foot pulses, Doppler sonography, and measurement of occlusive pressure. Positive results were tested by angiography. All patients with peripheral extremity vessel occlusion underwent vascular interventions prior to plastic operations for definitive wound closure. In all 34 patients with missing foot pulses, the clinical diagnosis of arterial occlusion could be confirmed by angiography. Peripheral recanalization and improved wound perfusion could be achieved in all patients. Arterial insufficiency could be diagnosed rapidly and safely using simple clinical examination such as palpation of foot pulses or measurement of occlusive pressures combined with Doppler sonography. Thus this simple and straightforward algorithm helped to secure the success of surgical therapy by shortening the time until wound-healing and reducing the psychosocial burden on the patient and financial costs to the health care system.


Subject(s)
Angioplasty, Balloon , Arterial Occlusive Diseases/surgery , Femoral Artery/surgery , Ischemia/surgery , Leg/blood supply , Microsurgery/methods , Popliteal Artery/surgery , Stents , Surgical Flaps/blood supply , Thrombectomy , Tibial Arteries/surgery , Wounds and Injuries/surgery , Aged , Amputation, Surgical , Angiography , Arterial Occlusive Diseases/diagnosis , Chronic Disease , Female , Humans , Ischemia/diagnosis , Male , Middle Aged , Ultrasonography, Doppler
5.
Trends Neurosci ; 13(6): 212-5, 1990 Jun.
Article in English | MEDLINE | ID: mdl-1694326

ABSTRACT

In a review of vertebrate olfaction, Getchell et al. coined the term 'perireceptor events' to denote processes, ancillary to both receptor activation and transduction, that influence the entry, exit or residence time of odorant molecules in the receptor environment. The present review describes recent advances in our understanding of perireceptor events and shows that these processes are integral components of chemical sensing systems of organisms as diverse as bacteria, slime molds, yeast, insects, crustaceans and mammals. Moreover, it emphasizes that perireceptor processes are essential components of chemical sensing systems, rather than simply interesting adjuncts to the 'main events' of receptor activation and transduction.


Subject(s)
Central Nervous System/physiology , Chemoreceptor Cells/physiology , Odorants , Olfactory Mucosa/physiology , Olfactory Pathways/physiology , Animals , Bacterial Proteins , Olfactory Mucosa/innervation , Olfactory Mucosa/metabolism , Olfactory Pathways/metabolism
6.
Eur J Surg Oncol ; 32(2): 201-7, 2006 Mar.
Article in English | MEDLINE | ID: mdl-16373084

ABSTRACT

AIMS: Transarterial chemoembolization (TACE) can be associated with considerable toxicity and treatment-associated mortality. Transient transarterial chemoocclusion (TACO) using degradable starch microspheres (DSM) has been proposed as a potentially safer alternative while maintaining anti-tumour efficiency. In a randomised phase II trial TACO was compared to transarterial chemoperfusion without DSM (TACP). METHODS: Seventy-four patients with advanced HCC were randomised to two treatment arms: (i) TACO (600-1200 mg DSM) and (ii) TACP. In both arms regional chemotherapy consisted of cisplatin (100 mg/m2) and doxorubicin (60 mg/m2). Both arms were corresponding in terms of age, gender, liver performance state, and tumour-stage. A maximum of six treatment cycles was applied in monthly intervals. Follow-up was performed in terms of tumour response, time to progression, survival and quality of life. RESULTS: Tumour response rates did not differ significantly between the two treatment arms, however, there was a tendency towards higher response rates in the TACO arm (TACO vs TACP): partial response: 26 vs 9%, stable disease: 41 vs 55%, progressive disease: 33 vs 36%. Time to tumour progression (32 vs 27 weeks), and overall survival (60 vs 69 weeks) were not significantly different. Grade 4 adverse events were rare in both arms and treatment-associated mortality was not observed. In addition, there was no significant difference in terms of quality of life under therapy (EORTC). CONCLUSION: TACO with DSM did not improve response or survival significantly compared to TACP in advanced non-resectable HCC.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carcinoma, Hepatocellular/therapy , Chemoembolization, Therapeutic , Chemotherapy, Cancer, Regional Perfusion , Liver Neoplasms/therapy , Starch/therapeutic use , Aged , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Carcinoma, Hepatocellular/drug therapy , Chemoembolization, Therapeutic/adverse effects , Chemotherapy, Cancer, Regional Perfusion/adverse effects , Cisplatin/administration & dosage , Disease Progression , Doxorubicin/administration & dosage , Female , Follow-Up Studies , Humans , Liver Neoplasms/drug therapy , Male , Middle Aged , Prospective Studies , Quality of Life , Starch/adverse effects , Survival Analysis , Treatment Outcome , Tumor Burden/drug effects
7.
Cancer Res ; 43(4): 1809-18, 1983 Apr.
Article in English | MEDLINE | ID: mdl-6831420

ABSTRACT

The LNCaP cell line was established from a metastatic lesion of human prostatic adenocarcinoma. The LNCaP cells grow readily in vitro (up to 8 x 10(5) cells/sq cm; doubling time, 60 hr), form clones in semisolid media, are highly resistant to human fibroblast interferon, and show an aneuploid (modal number, 76 to 91) human male karyotype with several marker chromosomes. The malignant properties of LNCaP cells are maintained. Athymic nude mice develop tumors at the injection site (volume-doubling time, 86 hr). Functional differentiation is preserved; both cultures and tumor produce acid phosphatase. High-affinity specific androgen receptors are present in the cytosol and nuclear fractions of cells in culture and in tumors. Estrogen receptors are demonstrable in the cytosol. The model is hormonally responsive. In vitro, 5 alpha-dihydrotestosterone modulates cell growth and stimulates acid phosphatase production. In vivo, the frequency of tumor development and the mean time of tumor appearance are significantly different for either sex. Male mice develop tumors earlier and at a greater frequency than do females. Hormonal manipulations show that, regardless of sex, the frequency of tumor development correlates with serum androgen levels. The rate of the tumor growth, however, is independent of the gender of hormonal status of the host.


Subject(s)
Adenocarcinoma/physiopathology , Prostatic Neoplasms/physiopathology , Animals , Castration , Cell Division , Cell Line , Cell Nucleus/metabolism , Chromosomes, Human/analysis , Female , Humans , Karyotyping , Kinetics , Male , Mice , Mice, Nude , Neoplasm Metastasis , Neoplasm Transplantation , Receptors, Androgen/metabolism , Receptors, Estrogen/metabolism , Transplantation, Heterologous
8.
Rofo ; 188(5): 459-69, 2016 May.
Article in English | MEDLINE | ID: mdl-27074424

ABSTRACT

Up to 30 % of acute scaphoid fractures are missed in conventional radiography. CT and MRI should be early performed in the diagnostic workflow, when radiograms (dorsopalmar, lateral and Stecher's views) are negative or inconclusive in fracture detection. Significance of CT is different from that of MRI: Sensitivity of CT imaging (85 to 95 %) is superior to conventional radiography (about 70 %), but inferior to MRI (almost 100 %). However, CT (specificity 95 to 100 %) is able to provide more detailed anatomic information of the fracture pattern when compared to MRI (specificity 80 to 90 %). Particularly, differentiation of bone contusion ("bone bruise") and non-displaced fracture can be difficult in MRI. Thus, CT indication is not only given for fracture detection, but also for assessing the morphology in scaphoid fractures (localization, fragment dislocation, comminuted zones) and the fragment instability, too. MRI should be limited to equivocal trauma cases presenting pain in the snuff box, but with inconclusive CT findings. In CT and MRI of scaphoid fractures, image display must be aligned along the longitudinal extension of the scaphoid, either by acquiring or reformatting oblique-sagittal and oblique-coronal planes. Key points • Radiography can be limited to the dorsopalmar, lateral and Stecher's views in scaphoid fractures.• In CT and MR imaging, the dedicated anatomy of the scaphoid has to be covered with oblique-sagittal and oblique-coronal images.• CT provides most detailed information of scaphoid fractures (localization, fragment dislocation and instability pattern). However, its capability in detecting non-displaced fractures is inferior to MRI.• All scaphoid fractures are seen in MRI. But differentiation of bone contusion (bone bruise) and a non-displaced fracture can be crucial.• This order is recommended in the diagnostic algorithm of scaphoid fractures: 1. radiography, 2. CT, and 3. MRI. Citation Format: • Schmitt R, Rosenthal H. Imaging of Scaphoid Fractures According to the New S3 Guidelines. Fortschr Röntgenstr 2016; 188: 459 - 469.


Subject(s)
Fractures, Bone/diagnostic imaging , Guideline Adherence , Scaphoid Bone/injuries , Biomechanical Phenomena/physiology , Follow-Up Studies , Fracture Healing/physiology , Fractures, Bone/physiopathology , Fractures, Bone/therapy , Humans , Magnetic Resonance Imaging , Radionuclide Imaging , Tomography, X-Ray Computed , Ultrasonography
9.
Cardiovasc Intervent Radiol ; 39(4): 547-56, 2016 Apr.
Article in English | MEDLINE | ID: mdl-26404629

ABSTRACT

PURPOSE: To analyse technical and clinical success of transjugular intrahepatic portosystemic shunt (TIPS) in patients with portal hypertension and compare a stent and a stentgraft with regard to clinical and technical outcome and associated costs. MATERIALS AND METHODS: 170 patients (56 ± 12 years, 32.9% females) treated with TIPS due to portal hypertension were reviewed. 80 patients received a stent (group 1) and 83 a stentgraft (group 2), and seven interventions were unsuccessful. Technical data, periprocedural imaging, follow-up ultrasound and clinical data were analysed with focus on technical success, patency, clinical outcome and group differences. Cost analysis was performed. RESULTS: Portal hypertension was mainly caused by ethyltoxic liver cirrhosis with ascites as dominant symptom (80%). Technical success was 93.5% with mean portosystemic gradient decrease from 16.1 ± 4.8 to 5.1 ± 2.1 mmHg. No significant differences in technical success and portosystemic gradient decrease between the groups were observed. Kaplan-Meier analysis yielded significant differences in primary patency after 14 days, 6 months and 2 years in favour of the stentgraft. Both groups showed good clinical results without significant difference in 1-year survival and hepatic encephalopathy rate. Costs to establish TIPS and to manage 2-year follow-up with constant patency and clinical success were 8876 € (group 1) and 9394 € (group 2). CONCLUSION: TIPS is a safe and effective procedure to manage portal hypertension. Stent and stentgraft enabled good technical and clinical results with a low complication rate. Primary patency rates are clearly in favour of the stentgraft, whereas the stent was more cost effective with similar clinical results in both groups.


Subject(s)
Hypertension, Portal/surgery , Portasystemic Shunt, Transjugular Intrahepatic/instrumentation , Adolescent , Adult , Aged , Aged, 80 and over , Biocompatible Materials , Female , Humans , Male , Middle Aged , Polytetrafluoroethylene , Prosthesis Implantation , Retrospective Studies , Stents , Treatment Outcome , Young Adult
10.
Biochim Biophys Acta ; 965(2-3): 106-13, 1988 May 12.
Article in English | MEDLINE | ID: mdl-2452658

ABSTRACT

Commercially available Coomassie Brilliant Blue R-250 (C.I. 42660) is a popular and useful dye that stains most proteins blue on polyacrylamide gels. Some proteins from brain (rubrophilin), collagens, histones and parotid gland proteins are distinctly red when stained with Coomassie Blue. Commonly used Coomassie Brilliant Blue R-250 preparations may contain more than 30 distinct colored and fluorescent components that can be separated on silica gel chromatographic columns. A specific component has been isolated on silica gel columns that stains rubrophilin and other proline-rich proteins a reddish color. Fast atom bombardment mass spectrometry of the isolated rubrophilin staining principle indicates a molecular weight of 634 as compared to 826 for the major dye in the original Coomassie Brilliant Blue R-250. Infrared spectrometry is consistent with a difference between the rubrophilin staining principle and Coomassie Brilliant Blue R-250 of a toluene sulfonic acid residue.


Subject(s)
Acrylic Resins , Nerve Tissue Proteins , Proteins , Rosaniline Dyes/analysis , Staining and Labeling , Chromatography , Chromatography, Thin Layer , Electrophoresis, Polyacrylamide Gel , Gels , Mass Spectrometry , Membrane Proteins , Spectrophotometry
11.
J Clin Oncol ; 12(11): 2345-50, 1994 Nov.
Article in English | MEDLINE | ID: mdl-7669102

ABSTRACT

PURPOSE AND METHODS: We reviewed 64 orthopedic stabilization procedures in 60 consecutive patients diagnosed with metastatic disease to previously unirradiated femurs, acetabula, and humeri with pathologic or impending pathologic fracture. Thirty-five patients who received adjuvant postoperative radiation therapy were compared with 29 patients who were treated with surgery alone. Many potential perioperative and tumor prognostic variables were evaluated. RESULTS: On univariate analysis, surgery plus radiation therapy and prefracture functional status were the only significant predictors of patients who achieved normal use of the extremity (with or without pain) after surgery; on Cox multivariate analysis, only postoperative radiation therapy was significant (P = .02). Surgery-related factors such as use of methylmethacrylate, location of fracture, and type of surgery were not associated with improved functional status. The estimated probability of achieving normal use of the extremity (with or without pain) any time was 53% for postoperative radiation therapy versus 11.5% for surgery alone (P < .01). Second orthopedic procedures to the same site were more frequent in the group that received surgery alone. The actuarial median survival duration of the surgery-alone group was 3.3 months, compared with 12.4 months for the postoperative radiation therapy group (P = .02). CONCLUSION: While this study is limited by possible unaccountable selection biases, only postoperative radiation therapy was associated with patients regaining normal use of their extremity (with or without pain) and undergoing fewer reoperations to the same site. The improved overall survival associated with postoperative radiation therapy may represent selection bias.


Subject(s)
Bone Neoplasms/radiotherapy , Bone Neoplasms/secondary , Fractures, Spontaneous/therapy , Adult , Aged , Aged, 80 and over , Analysis of Variance , Bone Neoplasms/surgery , Combined Modality Therapy , Female , Fracture Fixation , Fractures, Spontaneous/etiology , Humans , Male , Middle Aged , Postoperative Care , Prognosis , Retrospective Studies , Survival Analysis
12.
J Clin Endocrinol Metab ; 41(06): 1144-54, 1975 Dec.
Article in English | MEDLINE | ID: mdl-1206099

ABSTRACT

The binding of the 3 estradiol-17beta sulfates in solutions of human serum albumin (HSA) and in plasma has been studied by the method of centrifugal ultrafiltration. HSA has one binding site for the 17-sulfate with association constants of about 10(5) to 10(6)M-1 at either 4 degrees or 37 degrees and several sites with association constants of 10(3) to 10(4) M-1. HSA has 3 groups of binding sites for estradiol-17beta disulfate, one binding site with association constants of about 10(6) M-1 at either 4 C or 37 C, about 2 binding sites with association constants of about 10(4)M-1 and several sites with association constants of about 10(3)M-1. The binding data of the 3-sulfate of estradiol-17beta are best interpreted by the postulate of the existence of a tetramer in addition to the monomer of the sulfate in solution. With this postulate, HSA has one binding site with an association constant of about 5-10(5)M-1 and seven binding sites with association constants of about 10(3)M-1 at either 4 C or 37 C. More than 99% of the 17-sulfate or the disulfate of estradiol-17beta is bound in plasma at 37 degrees, with all of the binding accounted for by HSA. The estradiol-17beta sulfates compete with one another for binding to HSA. Strong displacement has also been found by androgen sulfates and, less, by estrogen glucosiduronates.


Subject(s)
Estradiol/blood , Plasma/metabolism , Serum Albumin/metabolism , Adult , Binding Sites , Female , Humans , Male , Middle Aged , Models, Chemical , Protein Binding
13.
Gene ; 129(2): 275-8, 1993 Jul 30.
Article in English | MEDLINE | ID: mdl-8100791

ABSTRACT

We report here the nucleotide (nt) sequence of clones from a lobster olfactory organ cDNA library encoding a protein homologous to glutamine synthetase (GS) from eukaryotes. The cDNA for the lobster putative GS is 2045 bp in length, and includes a 5'-untranslated region 55 nt in length, a 1083-nt open reading frame, and a 907-nt 3'-untranslated region. The encoded protein shows 65, 64, and 63% identity with the reported GS sequences of chicken, human and fruit fly, respectively.


Subject(s)
Chemoreceptor Cells , Glutamate-Ammonia Ligase/genetics , Nephropidae/enzymology , Nephropidae/genetics , Amino Acid Sequence , Animals , Base Sequence , Cloning, Molecular , Glutamate-Ammonia Ligase/chemistry , Molecular Sequence Data , Oligonucleotide Probes
14.
FEBS Lett ; 353(1): 29-32, 1994 Oct 10.
Article in English | MEDLINE | ID: mdl-7926016

ABSTRACT

Fallopian tube carcinoma is a lethal gynecologic malignancy. Etiologic factors are unknown. No experimental data on molecular alterations exist so far. For an in vitro model, we established the permanent human tubal carcinoma cell line FT-MZ-1. The median doubling time was 14 days with 24.2% in S phase. A point missense mutation of the p53 tumor suppressor gene resulting in the His175 mutant was identified. Aberrant p53 protein accumulated in nucleus and cytoplasm. FT-MZ-1 substantially secreted interleukin 6 (Il-6) coinciding with the inactivation of p53 as a transrepressor on the Il-6 gene promoter.


Subject(s)
Carcinoma/genetics , Fallopian Tube Neoplasms/genetics , Genes, p53 , Interleukin-6/metabolism , Point Mutation , Base Sequence , Carcinoma/metabolism , DNA Primers , Fallopian Tube Neoplasms/metabolism , Female , Histidine/genetics , Humans , Middle Aged , Molecular Sequence Data , Polymerase Chain Reaction , Polymorphism, Restriction Fragment Length , Tumor Cells, Cultured
15.
Int J Radiat Oncol Biol Phys ; 31(1): 43-9, 1995 Jan 01.
Article in English | MEDLINE | ID: mdl-7995767

ABSTRACT

PURPOSE: Although orthopedic stabilization is frequently performed for pathological fractures caused by metastatic disease, no data is available to support the value of postoperative radiation therapy (S+RT) in this setting. METHODS AND MATERIALS: We reviewed 64 orthopedic stabilization procedures in 60 consecutive patients with metastatic disease to previously unirradiated weight-bearing bones with pathological or impending pathological fracture (femur 91%). Thirty-five sites that received adjuvant S+RT were compared to 29 sites that were treated with surgery alone (SA). Many potential prognostic variables were evaluated. Endpoints were: functional status (FS) of the extremity (1 = normal pain free use; 2 = normal use with pain, 3 = significantly limited use; 4 = nonfunctional extremity), subsequent orthopedic procedures to the same site, and survival following surgery. RESULTS: At the univariate level, S+RT (p = 0.02) and prefracture FS (p = 0.04) were the only significant predictors of patients achieving an FS of 1 or 2 after surgery. On multivariate analysis, only postoperative RT was significantly (p = 0.02) associated with attaining FS of 1 or 2 after surgery. The predicted probability of achieving FS 1 or 2 at any time was 53% for S+RT vs. 11.5% or SA (multiple logistic regression, p < 0.01). Evaluation of FS following surgery revealed that S+RT group had significantly better function in the 1-3, 3-6, and 6-12 month postoperative periods (chi-square, p < 0.04 for each time period). Second orthopedic procedures to the same site were more common in the SA group than the S+RT group (log rank, p = 0.03). Actuarial median survival of S group was 3.3 months compared with 12.4 months for the S+RT group (log rank, p = 0.02), confirming the beneficial association with survival shown by the multivariate Cox regression analysis (p = 0.025). CONCLUSION: Although this retrospective study is subject to possible biases, several analyses adjusting for numerous prognostic factors uniformly indicate S+RT is the most important factor in patients achieving and maintaining normal functional status (+/- pain). Further, the S+RT group was associated with fewer orthopedic procedures as well as an improved overall survival. The improved survival may be due to (a) more favorable patients being referred for RT (possible section bias), or (b) improved functional status in the S+RT group. This study quantitatively supports the benefit of postoperative RT in this setting.


Subject(s)
Bone Neoplasms/radiotherapy , Bone Neoplasms/secondary , Fractures, Spontaneous/therapy , Adult , Aged , Female , Fracture Fixation , Fractures, Spontaneous/etiology , Fractures, Spontaneous/prevention & control , Humans , Male , Middle Aged , Neoplasm Metastasis , Retrospective Studies , Survival Analysis
16.
J Mol Diagn ; 3(1): 16-21, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11227067

ABSTRACT

Adamantinoma of long bones is a rare neoplasm predominantly involving the tibia. Cytogenetic studies of adamantinoma are few. Cytogenetic or molecular cytogenetic analysis of four adamantinomas, and a review of eleven cases in the literature reveals extra copies of chromosomes 7, 8, 12, 19, and 21 as recurrent in this neoplasm. Adamantinoma may be confused with a variety of primary and metastatic epithelial and mesenchymal neoplasms. Observation of these aneuploidies may be useful in establishing the diagnosis of adamantinoma.


Subject(s)
Ameloblastoma/genetics , Aneuploidy , Chromosomes, Human , Fibrous Dysplasia of Bone/genetics , Tibia/pathology , Adolescent , Adult , Ameloblastoma/pathology , Female , Fibrous Dysplasia of Bone/pathology , Fibula/pathology , Humans , Karyotyping , Male , Recurrence
17.
Am J Surg Pathol ; 25(5): 684-7, 2001 May.
Article in English | MEDLINE | ID: mdl-11342784

ABSTRACT

The cytogenetic findings for two epithelioid hemangioendotheliomas are reported. An identical chromosomal translocation involving chromosomes 1 and 3 [t(1;3)(p36.3;q25)] was detected in both cases of epithelioid hemangioendothelioma, possibly representing a characteristic rearrangement for this histopathologic entity. The presence of clonal karyotypic abnormalities supports a neoplastic origin for the epithelioid variant of hemangioendothelioma. Identification of the 1;3 translocation may be useful diagnostically. Should additional studies confirm these data, this could lead to the identification of the gene(s) central to this neoplastic process.


Subject(s)
Chromosomes, Human, Pair 1 , Chromosomes, Human, Pair 3 , Hemangioendothelioma, Epithelioid/genetics , Liver Neoplasms/genetics , Soft Tissue Neoplasms/genetics , Translocation, Genetic , Adult , Biomarkers, Tumor/analysis , Clone Cells , Female , Hemangioendothelioma, Epithelioid/chemistry , Hemangioendothelioma, Epithelioid/pathology , Humans , Immunohistochemistry , Karyotyping , Liver Neoplasms/chemistry , Liver Neoplasms/pathology , Middle Aged , Neoplasm Proteins/analysis , Platelet Endothelial Cell Adhesion Molecule-1/analysis , Soft Tissue Neoplasms/chemistry , Soft Tissue Neoplasms/pathology
18.
Antiviral Res ; 2(1-2): 41-52, 1982 May.
Article in English | MEDLINE | ID: mdl-6285818

ABSTRACT

A number of novel 5-substituted 2'deoxypyrimidine nucleosides exhibited antiviral activity against herpes simplex virus type 1 strain V3 (HSV-1-V3) when assayed under one-step conditions in primary human lung fibroblast j(PHLF) cell cultures, and compared with the reference compounds cytosine arabinoside (ara-C), 5-iodo-2'-deoxyuridine (IUdR), and 5-iodo-5'amino-2',5'-dideoxyuridine (AIU). The most effective of these were (in order of decreasing activity): (E)-5-(2-bromovinyl)-UdR (BrVUdR) greater than ara-C greater than IUdR greater than 5-azidomethyl-UdR (AMeUdR) greater than 5-formyl-UdR (fUdR) greater than 5-hydroxymethyl-UdR (HMeUdR) greater than AIU greater than 5-mercaptomethyl-UdR (MMeUdR) = 5-hydroxymethyl-2'-deoxy-cytidine (HMeCdR) greater than 5-benzyloxymethyl-UdR (BOMeUdR). In a multistep virus replication experiment (plaque reduction assay on Vero cells) the order of decreasing activity was as follows: BrVUdR = ara-C greater than HMeUdR greater than fUdR IUdR greater than HMeCdR greater than BOMeUdR greater than AMeUdR greater than AIU greater than MMeUdR. BrVUdR effected a 50% reduction in plaque formation of different strains of HSV-1 at a concentration of 0.06-0.22 microM, of pseudorabies virus (PRV) at 0.02-0.23 microM, and of herpes simplex virus type 2 (HSV-2) at 8 microM, whereas the ID50 values for adenovirus type 2 and type 5 were 100 and 50-100 microM, respectively. The growth of synchronied baby hamster kidney cells in suspension cultures was inhibited by 50% at concentrations of 100, 70, 20, 4, 8, and 0.2 microM for BrVUdR, HMeCdR, IUdR, fUdR, BOMeUdR, and HMeUdR, respectively.


Subject(s)
Antiviral Agents/pharmacology , Bromodeoxyuridine/analogs & derivatives , Pyrimidine Nucleosides/pharmacology , Simplexvirus/drug effects , Adenoviruses, Simian/drug effects , Animals , Bromodeoxyuridine/pharmacology , Cell Cycle/drug effects , Cells, Cultured , Chick Embryo , Chlorocebus aethiops , Cricetinae , Drug Evaluation, Preclinical , Fibroblasts , Humans , Lung/embryology , Pseudorabies/drug therapy , Structure-Activity Relationship
19.
Antiviral Res ; 2(5): 255-65, 1982 Oct.
Article in English | MEDLINE | ID: mdl-6295273

ABSTRACT

(E)-5-(2-Bromovinyl-2'-deoxyuridine (BrVUdR) showed strong antiviral activity against different laboratory strains and clinical isolates of herpes simplex virus type 1 (HSV-1) on primary rabbit testes (PRT) cells with a 50% inhibition of plaque formation (ID50) at 0.01-0.02 microM. One laboratory strain (HSV-1-S), however, was completely refractory even at concentrations as high as 100 microM. In contrast, the ID50S for all herpes simplex virus type 2 (HSV-2) strains were about 10(2) - 10(3) times higher (8-25 microM) than for the HSV-1 strains. No toxicity in mice treated with 140 mg BrVUdR/kg/day for 14 days was observed, and successful treatments of herpes encephalitis in mice induced experimentally by intracerebral infection with one laboratory strain (HSV-1-Kupka) and one clinical isolate (HSV-1-64) were achieved. Treatment of encephalitis in mice induced by the strain HSV-1-S insensitive to BrVUdR in cell culture failed to be effective. Similar antibody titers against HSV-1 were found in surviving mice of the control and of the BrVUdR-treated groups.


Subject(s)
Bromodeoxyuridine/analogs & derivatives , Encephalitis/drug therapy , Herpes Simplex/drug therapy , Simplexvirus/drug effects , Animals , Antibodies, Viral/analysis , Bromodeoxyuridine/pharmacology , Bromodeoxyuridine/therapeutic use , Cells, Cultured , Encephalitis/etiology , Female , Male , Mice , Rabbits , Rats , Simplexvirus/immunology , Testis , Viral Plaque Assay
20.
Invest Radiol ; 25(2): 173-8, 1990 Feb.
Article in English | MEDLINE | ID: mdl-2312252

ABSTRACT

High-field spectroscopic studies at 5.88 tesla (T) indicate significant T2* shortening of water in suspensions of powdered bone, interpreted to be a result of magnetic susceptibility differences between bone particles and water. The authors investigated the effects of magnetic susceptibility differences between trabecular bone and water on magnetic resonance (MR) images at 0.6 T. The phantom was constructed of macerated intact trabecular human bone immersed in water. Although susceptibility-induced magnetic field inhomogeneities were detected by spectral line broadening by using an asymmetric spin-echo technique, the results show only a modest T2* shortening at this field strength. As expected, no T1 effect of trabecular bone was observed. Although susceptibility effects of trabecular bone may have a small impact on the signal intensity of MR images of bone marrow at midfield strength, the observed field strength dependence of these effects would predict significant susceptibility effects on clinical images at higher field strength.


Subject(s)
Bone Marrow/anatomy & histology , Bone and Bones/anatomy & histology , Image Enhancement/methods , Magnetic Resonance Imaging , Humans , Magnetics , Models, Structural
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