Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 74
Filter
1.
Forensic Sci Int Genet ; 5(1): 33-42, 2011 Jan.
Article in English | MEDLINE | ID: mdl-20457082

ABSTRACT

The domestic cat is the one of the most popular pets throughout the world. A by-product of owning, interacting with, or being in a household with a cat is the transfer of shed fur to clothing or personal objects. As trace evidence, transferred cat fur is a relatively untapped resource for forensic scientists. Both phenotypic and genotypic characteristics can be obtained from cat fur, but databases for neither aspect exist. Because cats incessantly groom, cat fur may have nucleated cells, not only in the hair bulb, but also as epithelial cells on the hair shaft deposited during the grooming process, thereby generally providing material for DNA profiling. To effectively exploit cat hair as a resource, representative databases must be established. The current study evaluates 402 bp of the mtDNA control region (CR) from 1394 cats, including cats from 25 distinct worldwide populations and 26 breeds. Eighty-three percent of the cats are represented by 12 major mitotypes. An additional 8.0% are clearly derived from the major mitotypes. Unique sequences are found in 7.5% of the cats. The overall genetic diversity for this data set is 0.8813±0.0046 with a random match probability of 11.8%. This region of the cat mtDNA has discriminatory power suitable for forensic application worldwide.


Subject(s)
Cats/genetics , DNA, Mitochondrial/genetics , Databases, Nucleic Acid , Forensic Medicine/methods , Animals , Base Sequence , DNA Fingerprinting/methods , Genetic Variation , Genotype , Hair/chemistry , Locus Control Region/genetics , Mitochondria/genetics , Repetitive Sequences, Nucleic Acid , Sequence Analysis, DNA
2.
J Environ Radioact ; 101(5): 338-44, 2010 May.
Article in English | MEDLINE | ID: mdl-20227801

ABSTRACT

An 11-year lysimeter study was established to monitor the movement of Pu through vadose zone sediments. Sediment Pu concentrations as a function of depth indicated that some Pu moved upward from the buried source material. Subsequent numerical modeling suggested that the upward movement was largely the result of invading grasses taking up the Pu and translocating it upward. The objective of this study was to determine if the Pu of surface sediments originated from atmosphere fallout or from the buried lysimeter source material (weapons-grade Pu), providing additional evidence that plants were involved in the upward migration of Pu. The (240)Pu/(239)Pu and (242)Pu/(239)Pu atomic fraction ratios of the lysimeter surface sediments, as determined by Thermal Ionization Mass Spectroscopy (TIMS), were 0.063 and 0.00045, respectively; consistent with the signatures of the weapons-grade Pu. Our numerical simulations indicate that because plants create a large water flux, small concentrations over multiple years may result in a measurable accumulation of Pu on the ground surface. These results may have implications on the conceptual model for calculating risk associated with long-term stewardship and monitored natural attenuation management of Pu contaminated subsurface and surface sediments.


Subject(s)
Geologic Sediments/chemistry , Plutonium/analysis , Mass Spectrometry , Plants/metabolism , Plutonium/metabolism
3.
Anim Genet ; 35(1): 14-7, 2004 Feb.
Article in English | MEDLINE | ID: mdl-14731224

ABSTRACT

DNA analysis of microsatellite markers has become a common tool for verifying parentage in breed registries and identifying individual animals that are linked to a database or owner. Panels of markers have been developed in canines, but their utility across and within a wide range of breeds has not been reported. The American Kennel Club (AKC) authorized a study to determine the power to exclude non-parents and identify individuals using DNA genotypes of 17 microsatellite markers in two panels. Cheek swab samples were voluntarily collected at Parent Breed Club National Specialty dog shows and 9561 samples representing 108 breeds were collected, averaging 88.5 dogs per breed. The primary panel of 10 markers exceeded 99% power of exclusion for canine parentage verification of 61% of the breeds. In combination with the secondary panel of seven markers, 100% of the tested breeds exceeded 99% power of exclusion. The minimum probability match rate of the first panel was 3.6 x 10(-5) averaged across breeds, and with the addition of the second panel, the probability match rate was 3.2 x 10(-8); thus the probability of another random, unrelated dog with the same genotype is very low. The results of this analysis indicated that, on average, the primary panel meets the AKC's needs for routine parentage testing, but that a combination of 10-15 genetic markers from the two panels could yield a universal canine panel with enhanced processing efficiency, reliability and informativeness.


Subject(s)
Breeding/methods , Dogs/genetics , Pedigree , Animals , Gene Frequency , Genotype , Microsatellite Repeats/genetics
4.
Heredity (Edinb) ; 90(1): 17-24, 2003 Jan.
Article in English | MEDLINE | ID: mdl-12522421

ABSTRACT

The identification of hybrids is often a subject of primary concern for the development of conservation and management strategies, but can be difficult when the hybridizing species are closely related and do not possess diagnostic genetic markers. However, the combined use of mitochondrial DNA (mtDNA), autosomal and Y chromosome genetic markers may allow the identification of hybrids and of the direction of hybridization. We used these three types of markers to genetically characterize one possible wolf-dog hybrid in the endangered Scandinavian wolf population. We first characterized the variability of mtDNA and Y chromosome markers in Scandinavian wolves as well as in neighboring wolf populations and in dogs. While the mtDNA data suggested that the target sample could correspond to a wolf, its Y chromosome type had not been observed before in Scandinavian wolves. We compared the genotype of the target sample at 18 autosomal microsatellite markers with those expected in pure specimens and in hybrids using assignment tests. The combined results led to the conclusion that the animal was a hybrid between a Scandinavian female wolf and a male dog. This finding confirms that inter-specific hybridization between wolves and dogs can occur in natural wolf populations. A possible correlation between hybridization and wolf population density and disturbance deserves further research.


Subject(s)
Dogs/genetics , Hybridization, Genetic , Wolves/genetics , Animals , Genetic Markers , Microsatellite Repeats , Mitochondria/genetics , Y Chromosome
5.
Am J Public Health ; 91(9): 1499-506, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11527788

ABSTRACT

OBJECTIVES: This study analyzed coronary heart disease (CHD) mortality trends from 1985 to 1995, by race and sex, among Black and White adults 35 years and older to determine whether adverse trends were evident in any US localities. METHODS: Log-linear regression models of annual age-adjusted death rates provided a quantitative measure of local mortality trends. RESULTS: Increasing trends in CHD mortality were observed in 11 of 174 labor market areas for Black women, 23 of 175 areas for Black men, 10 of 394 areas for White women, and 4 of 394 areas for White men. Nationwide, adverse trends affected 1.7% of Black women, 8.0% of Black men, 1.1% of White women, and 0.3% of White men. CONCLUSIONS: From 1985 to 1995, moderate to strong local increases in CHD mortality were observed, predominantly in the southern United States. Black men evidenced the most unfavorable trends and were 25 times as likely as White men to be part of a local population experiencing increases in coronary heart disease mortality.


Subject(s)
Black or African American/statistics & numerical data , Coronary Disease/ethnology , Coronary Disease/mortality , White People/statistics & numerical data , Adult , Age Distribution , Aged , Death Certificates , Employment/statistics & numerical data , Female , Humans , Linear Models , Male , Middle Aged , Population Surveillance , Prevalence , Residence Characteristics/statistics & numerical data , Risk Factors , Rural Health/statistics & numerical data , Sex Distribution , Socioeconomic Factors , United States/epidemiology , Urban Health/statistics & numerical data
7.
J Clin Psychol ; 56(9): 1207-20, 2000 Sep.
Article in English | MEDLINE | ID: mdl-10987692

ABSTRACT

Therapeutic realizations are one of five universal, session-level change processes explicated in the Generic Model of Psychotherapy. Realizations refer to session impacts, the moment-to-moment accomplishments that patients experience within sessions. This study establishes the psychometric characteristics and factor structure of a modified patient-rated measure of session-level effects, the Therapeutic Realization Scale-Revised (TRS-R). In addition, it shows the relationship of the TRS-R to treatment process and outcome from the perspective of both patients and therapists. The findings provide support for the TRS-R as a reliable and valid, multidimensional index of session-level treatment effects.


Subject(s)
Awareness , Outcome and Process Assessment, Health Care/statistics & numerical data , Personality Inventory/statistics & numerical data , Psychotherapy , Adolescent , Adult , Ambulatory Care , Female , Humans , Male , Psychometrics , Reproducibility of Results
8.
Public Health Rep ; 115(1): 52-64, 2000.
Article in English | MEDLINE | ID: mdl-10968586

ABSTRACT

OBJECTIVES: Regional and urban-rural disparities in premature coronary heart disease (CHD) mortality were evident in the US as early as 1950. Recent favorable trends at the national level may obscure less favorable outcomes for certain regions and localities. The authors examined trends in premature CHD mortality for 1985-1995 for black and white adults ages 35-64 years for four categories of urbanicity in two regions of the US (South and non-South). METHODS: All counties in the US (excluding Alaskan counties) were grouped by urbanicity and region. Annual age-adjusted CHD mortality rates were calculated for adults ages 35-64 by racial category (African American or white) and gender for each geographic area for the years 1985- 1995. Loglinear regression models were used to estimate average annual percent declines in mortality for each of 28 geo-demographic groups. Data were also collected on selected socioeconomic resources by urbanicity for the non-South (excluding Alaska) and South. RESULTS: For both white and black adults ages 35-64, the highest rates of premature CHD mortality and slowest mortality declines were observed in the rural South. For white men and women, marked disparities in premature CHD mortality across categories of urbanicity were noted in the South but not outside the South. Unexpectedly high rates of premature CHD mortality were observed for African Americans in major metropolitan areas outside the South despite favorable levels of socioeconomic resources. CONCLUSIONS: Disparities in premature CHD mortality by region and urbanicity appear to have widened between 1985 and 1995. Residents of the rural South had the highest rates of premature CHD mortality, and rural communities in the South face significant barriers to effective heart disease prevention and control.


Subject(s)
Coronary Disease/mortality , Urban Population/statistics & numerical data , Adult , Age of Onset , Demography , Female , Geography , Humans , Male , Middle Aged , Racial Groups , Socioeconomic Factors , United States/epidemiology
9.
Ann Epidemiol ; 10(6): 370-9, 2000 Aug.
Article in English | MEDLINE | ID: mdl-10964003

ABSTRACT

OBJECTIVES: In this article, we report on metropolitan and non-metropolitan trends in coronary heart disease (CHD) mortality within the Appalachian Region for the period 1980 to 1997. We hypothesized that trends in CHD mortality would be less favorable in non-metropolitan populations with diminished access to social, economic, and medical care resources at the community level. METHODS: Our study population consisted of adults aged 35 years and older who resided within the 399 counties of the Appalachian Region between 1980 and 1997. We examined mortality trends for sixteen geo-demographic groups, defined by gender, age, race, and metropolitan status of county of residence. For each geo-demographic group, we calculated annual age-adjusted CHD mortality rates. Line graphs of these temporal trends were created, and log-linear regression models provided estimates of the average annual percent change in CHD mortality from 1980 to 1997. Data on social, economic, and medical care resources for metropolitan vs. non-metropolitan counties were also analyzed. RESULTS: Rates of CHD mortality were consistently higher in non-metropolitan areas compared with metropolitan areas for blacks of all ages and for younger whites. CHD mortality declined among almost all geo-demographic groups, but rates of decline were slower among non-metropolitan vs. metropolitan residents, blacks vs. whites, women vs. men, and older vs. younger adults. Non-metropolitan areas had fewer socioeconomic and medical care resources than metropolitan areas in 1990. CONCLUSIONS: Appalachia, particularly non-metropolitan Appalachia, needs policies and programs that will enhance both primary and secondary prevention of CHD, and help diminish racial inequalities in CHD mortality trends.


Subject(s)
Coronary Disease/mortality , Health Services Accessibility , White People , Adult , Age Factors , Aged , Appalachian Region/epidemiology , Black People , Coronary Disease/ethnology , Epidemiologic Studies , Female , Humans , Male , Middle Aged , Mortality/trends , Retrospective Studies , Rural Population , Urban Population
11.
J Mol Evol ; 50(5): 443-7, 2000 May.
Article in English | MEDLINE | ID: mdl-10824087

ABSTRACT

Whether the mutation rate differs between sexes has been a matter of discussion for years. Molecular analyses of mammals have indicated that males mutate more often than females, as manifested by the faster rate of neutral sequence evolution on the Y chromosome than on the X chromosome. However, these observations can as well be interpreted as specific reduction of the X chromosome mutation rate, which would be adaptive because of reducing the number of slightly deleterious recessive mutations exposed in hemizygote males. Recently, data from birds have suggested that vertebrate mutation rates may indeed be male-biased. In birds, females are the heterogametic sex (ZW), and analyses of the Z-linked CHD1Z gene have shown that it evolves faster than its W-linked and thus female-specific homologue, CHD1W. We have now studied the second avian gene known to exist in a copy on the nonrecombining regions of both the Z and the W chromosome, viz., the ATP synthase alpha-subunit (ATP5A1). In independent comparisons of three pairs of bird species from divergent lineages, intron sequences of the Z-linked copy (ATP5A1Z) were consistently found to evolve faster than the W-linked copy (ATP5A1W). From these data we calculated male-to-female mutation rate ratios (alpha) of 1.8, 2.3, and 5.0 in Galliform, Anseriform, and Ciconiiform lineages, respectively. Therefore, this study provides independent support for a male-biased mutation rate in birds.


Subject(s)
Birds/genetics , Evolution, Molecular , Mutation , Proton-Translocating ATPases/genetics , Sex Chromosomes , Animals , Base Sequence , DNA Primers , Female , Male , Polymerase Chain Reaction
12.
Health Phys ; 77(6): 668-76, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10568546

ABSTRACT

During the summer of 1993, seawater in the Bering and Chukchi Seas was sampled on a joint Russian-American cruise [BERPAC] of the RV Okean to determine concentrations of tritium, 239Pu and 240Pu. Concentrations of tritium were determined by electrolytic enrichment and liquid scintillation counting. Tritium levels ranged up to 420 mBq L(-1) and showed no evidence of inputs other than those attributed to atmospheric nuclear weapons testing. Plutonium was recovered from water samples by ferric hydroxide precipitation, and concentrations were determined by thermal ionization mass spectrometry. 239+240Pu concentrations ranged from < 1 to 5.5 microBq L(-1). These concentrations are lower than those measured in water samples from other parts of the ocean during the mid-1960's to the late 1980's. The 240Pu:239Pu ratios, although associated with large uncertainties, suggest that most of the plutonium is derived from world-wide fallout. As points of comparison, the highest concentrations of tritium and plutonium observed here were about five orders of magnitude lower than the maximum permissible concentrations allowed in water released to the off-site environs from licensed nuclear facilities in the United States. This study and others sponsored by the International Atomic Energy Agency and the Office of Naval Research's Arctic Nuclear Waste Assessment Program are providing data for the assessment of potential radiological impacts in the Arctic regions associated with nuclear waste disposal by the former Soviet Union.


Subject(s)
Plutonium/analysis , Seawater/analysis , Tritium/analysis , Water Pollutants, Radioactive/analysis , Oceans and Seas , Radiation Monitoring , Radioactive Waste , Russia , USSR , Water Pollution, Radioactive
13.
Cancer Epidemiol Biomarkers Prev ; 8(10): 867-72, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10548314

ABSTRACT

Breast epithelial response to estradiol may play an important role in breast cancer etiology. We have examined the relationship between serum estradiol and progesterone levels and normal breast epithelial expression of estrogen receptor (ER) alpha, progesterone receptor (PgR), and epithelial proliferation (as reflected by the Ki-67 labeling index) in 121 women (50 newly diagnosed breast cancer cases and 71 benign breast disease controls). Simultaneous samples of grossly normal breast tissue and venous blood were obtained from women undergoing breast surgery. Serum estradiol and progesterone levels were measured by radioimmunoassay; breast epithelial ER, PgR, and Ki-67 expression was measured by immunohistochemistry. Linear regression, controlled for patient age and ductal and lobular composition of the tissue, showed that the breast epithelium of control women displayed an inverse correlation between serum estradiol and ER-alpha, which was not seen in case women (P for the difference in regression slopes = 0.001). PgR expression displayed a significant positive correlation with serum estradiol in cases, but not in controls. Epithelial proliferation had no relationship to either estradiol or progesterone in both cases and controls but showed an inverse relationship with ER in controls and a direct relationship in cases (P for the difference in regression slopes = 0.066). These results suggest a dysregulation of hormonal response in the normal breast epithelium of high-risk women, with lack of regulation of ER by estradiol, increased estrogen responsiveness as reflected by PgR expression, and a dissociation of ER expression and proliferative response.


Subject(s)
Breast Neoplasms/pathology , Estradiol/blood , Ki-67 Antigen/metabolism , Neoplasms, Hormone-Dependent/pathology , Progesterone/blood , Receptors, Estrogen/metabolism , Adult , Biomarkers, Tumor/metabolism , Breast/pathology , Cell Division/physiology , Cell Transformation, Neoplastic/pathology , Epithelium/pathology , Female , Humans , Immunoenzyme Techniques , Middle Aged
14.
J Forensic Sci ; 44(3): 623-6, 1999 May.
Article in English | MEDLINE | ID: mdl-10408119

ABSTRACT

The analysis of biological trace evidence from a reopened investigation into a 1991 murder from Vernon, B.C. revealed mixed human and dog bloodstains on blue jean pants that contained a PCR inhibitory substance. The presence of the inhibitory substance was detected by the inhibition caused from adding a small aliquot of the test DNA extract into a PCR reaction designed to produce a known standard product. The removal of the PCR inhibitory substance was accomplished by treating the extracted DNA with Thiopropyl Sepharose 6B beads. DNA profiles from two human contributors and a canine were obtained using species specific polymorphic STR markers. The two human DNA profiles obtained from blue jean pants were resolved, one matched the suspect and the other matched the victim. The DNA profile from the canine component matched that obtained from the known sample of the victim's dog who was also slain during the assault. This evidence along with other DNA typing evidence was critical in obtaining a resolution of the case.


Subject(s)
Blood Stains , DNA/analysis , Polymerase Chain Reaction/methods , Tandem Repeat Sequences , Aged , Animals , Clothing , Dogs , Fluorescent Dyes , Humans , Male
15.
J Postgrad Med ; 45(3): 87-9, 1999.
Article in English | MEDLINE | ID: mdl-10734343

ABSTRACT

Duodenocolic fistula is a rare complication of malignant and inflammatory bowel disease. It presents as diarrhoea and faeculent vomiting. The diagnosis is established with upper and lower gastrointestinal tract contrast studies. A case is reported and the optimal operative procedure is discussed.


Subject(s)
Adenocarcinoma/complications , Duodenal Diseases/etiology , Intestinal Fistula/etiology , Liver Neoplasms/complications , Adenocarcinoma/surgery , Duodenal Diseases/surgery , Humans , Intestinal Fistula/surgery , Liver Neoplasms/surgery , Male , Middle Aged
16.
Surg Endosc ; 12(12): 1442-4, 1998 Dec.
Article in English | MEDLINE | ID: mdl-9822476

ABSTRACT

BACKGROUND: The treatment of the morbidly obese patient is difficult because compliance with dietary regimens is poor. As a result, most weight reduction programs fail very quickly. Surgical treatment, on the other hand, provides a reliable method for sustained weight reduction. The most frequently performed procedure has been the vertical banded gastroplasty. Adaptation of the standard open procedure to laparoscopic techniques has been technically difficult and imprecise. We have developed, in the laboratory, an anterior wall banded gastroplasty that can be performed precisely and reproducibly using laparoscopic techniques. METHODS: Five Yorkshire pigs were used in attempt to laparoscopically perform the standard vertical banded gastroplasty. The procedure was difficult and was associated with a risk of staple line leak and with bleeding along the lesser curvature of the stomach. Furthermore, a reproducible pouch of proper dimension could not be created reliably. Fifteen animals were then used to develop a new technique using a small gastric pouch based on the anterior gastric wall. RESULTS: A reproducible pouch, 4 cm in length, was created over an 18-Fr nasogastric tube. A standard polyproylene band of 5.2 cm in length was utilized at the gastric pouch outlet. CONCLUSIONS: This operation can be reproduced accurately and has not demonstrated any leaks on postmortem examination.


Subject(s)
Gastroplasty/methods , Laparoscopy/methods , Abdominal Muscles/surgery , Animals , Disease Models, Animal , Obesity, Morbid/surgery , Sensitivity and Specificity , Swine
17.
Proc Natl Acad Sci U S A ; 95(14): 8147-52, 1998 Jul 07.
Article in English | MEDLINE | ID: mdl-9653155

ABSTRACT

Among the mechanisms whereby sex is determined in animals, chromosomal sex determination is found in a wide variety of distant taxa. The widespread but not ubiquitous occurrence, not even within lineages, of chromosomal sex determination suggests that sex chromosomes have evolved independently several times during animal radiation, but firm evidence for this is lacking. The most favored model for this process is gradual differentiation of ancestral pairs of autosomes. As known for mammals, sex chromosomes may have a very ancient origin, and it has even been speculated that the sex chromosomes of mammals and birds would share a common chromosomal ancestry. In this study we showed that the two genes, ATP5A1 and CHD1, so far assigned to the female-specific W chromosome of birds both exist in a very closely related copy on the Z chromosome but are not pseudoautosomal. This indicates a common ancestry of the two sex chromosomes, consistent with the evolution from a pair of autosomes. Comparative mapping demonstrates, however, that ATP5A1 and CHD1 are not sex-linked among eutherian mammals; this is also not the case for the majority of other genes so far assigned to the avian Z chromosome. Our results suggest that the evolution of sex chromosomes has occurred independently in mammals and birds.


Subject(s)
Biological Evolution , Chromosome Mapping , Sex Chromosomes/genetics , Animals , Chickens , Genetic Linkage , In Situ Hybridization, Fluorescence , Molecular Sequence Data
18.
Surg Clin North Am ; 76(5): 1175-81, 1996 Oct.
Article in English | MEDLINE | ID: mdl-8841371

ABSTRACT

The treatment of small bowel fistulas remains a difficult problem. Spontaneous closure rates of 30% are currently being achieved after 4 to 6 weeks of conservative therapy with bowel rest, TPN, octreotide, and control of sepsis. Resection of the fistulous bowel is warranted if fistula closure has not occurred by 4 to 6 weeks.


Subject(s)
Intestinal Fistula/therapy , Enteral Nutrition , Humans , Intestinal Fistula/complications , Intestinal Fistula/diagnosis , Intestinal Fistula/physiopathology , Parenteral Nutrition, Total
19.
Mol Ecol ; 5(2): 289-93, 1996 Apr.
Article in English | MEDLINE | ID: mdl-8673274

ABSTRACT

A central biological parameter in the study of any animal population is the accurate assignment of sex. Indeed any ecological study of a population requires information on sex composition in relation to such biological factors as behaviour, movement, mortality and birth rate. However, our ability to assign the sex of adults of many avian species is poor and the sexing of young is universally difficult. We report here the successful application of a molecular technique for the assignment of sex in the communally breeding pukeko or purple swamphen (Porphyrio porphyrio melanotus). W- and Z-linked chromosome fragments in digested genomic DNA of pukeko were detected with the DNA probe pMg1. We consequently show that this species breeds in polyandrous, polygynous and polygynandrous groups. Finally we discuss why recent molecular methods represent important new tools in ecology.


Subject(s)
Birds/genetics , Sex Determination Analysis/methods , Animals , Birds/anatomy & histology , DNA/genetics , DNA Probes , Ecosystem , Female , Genetic Variation , Male , New Zealand
20.
J Pediatr Hematol Oncol ; 17(2): 145-50, 1995 May.
Article in English | MEDLINE | ID: mdl-7749764

ABSTRACT

PURPOSE: To determine whether the addition of dexamethasone to ondansetron (OND + DEX) is a more effective antiemetic regimen than ondansetron (OND) alone in children receiving chemotherapy. PATIENTS AND METHODS: Children who had solid tumors and who were receiving highly emetogenic chemotherapy, including cisplatin, carboplatin, cyclophosphamide, and ifosfamide, were randomized (1:1) in a double-blind fashion to receive either OND 0.15 mg/kg intravenously (i.v.) 30 min before and 4 and 8 h after chemotherapy and placebo, or OND + DEX (same OND doses plus DEX 8 mg/m2 i.v. 30 min before chemotherapy, followed by 16 mg/m2 in divided doses) as antiemetics. The patients were crossed over to the other antiemetic regimen when receiving an identical course of chemotherapy. Patients were monitored for emetic episodes, nausea, appetite, sense of well-being, and antiemetic adverse events. RESULTS: A total of 33 patients were evaluated. Sixty-one percent of the patients receiving OND + DEX regimens had a complete response for emetic episodes as compared with 23% with OND alone. Combined complete and major responses (two or less emetic episodes) were 86% for OND + DEX and 67% for OND. Failure for emetic episodes (more than five vomitings/day) were seen only in 7-10% of the total population. Minimal or no nausea was experienced in 74% of OND + DEX courses and in 52% of the OND courses. Appetite was better in OND + DEX courses (p = 0.006). Both antiemetic arms had similar adverse events. Mild to moderate sedation occurred in about half of the courses, followed by restlessness (29%), headache (17%), diarrhea (17%), and hiccups (2%). CONCLUSION: The combination of ondansetron and dexamethasone is superior to ondansetron alone to control emetic episodes in children receiving highly emetogenic chemotherapy (p = 0.04).


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/adverse effects , Dexamethasone/therapeutic use , Nausea/chemically induced , Nausea/prevention & control , Neoplasms/drug therapy , Ondansetron/therapeutic use , Vomiting/chemically induced , Vomiting/prevention & control , Adolescent , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carboplatin/adverse effects , Carboplatin/therapeutic use , Child , Child, Preschool , Cross-Over Studies , Double-Blind Method , Drug Synergism , Drug Therapy, Combination , Female , Humans , Male , Placebos
SELECTION OF CITATIONS
SEARCH DETAIL
...