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1.
Sci Total Environ ; 857(Pt 1): 159285, 2023 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-36216074

RESUMO

The rapid development of blue economy and human use of offshore space triggered the concept of co-location of marine activities and is causing diverse local pressures on the environment. These pressures add to, and interact with, global challenges such as ocean acidification and warming. This study investigates the combined pressures of climate change and the planned co-location of offshore wind farm (OWF) and aquaculture zones on the carbon flow through epifaunal communities inhabiting wind turbines in the North Sea. A 13C-labelled phytoplankton pulse-chase experiment was performed in mesocosms (4 m3) holding undisturbed hard-substrate (HS) communities, natural sediment with infauna, and mobile invertebrate predators. Carbon assimilation was quantified under current and predicted future-climate conditions (+3 °C and -0.3 pH units), as well as a future-climate co-use scenario with blue mussel (Mytilus edulis) aquaculture. Climate change induced an increase in macrofaunal carbon assimilation as well as an organic enrichment of underlying sediments. Dynamic (non-)trophic links between M. edulis and other HS epifauna resulted in shifts among the species contributing most to the phytoplankton-derived carbon flow across climate scenarios. Increased inter- and intraspecific resource competition in the presence of M. edulis aquaculture prevented a large increase in the total assimilation of phytoplankton by HS fauna. Lower individual carbon assimilation rates by both mussels and other epifauna suggest that if filter capacity by HS epifauna would approach renewal by advection/mixing, M. edulis individuals would likely grow to a smaller-than-desired commercial size. In the same scenario, benthic organic carbon mineralisation was significantly boosted due to increased organic matter deposition by the aquaculture set-up. Combining these results with in situ OWF abundance data confirmed M. edulis as the most impactful OWF AHS species in terms of (total) carbon assimilation as well as the described stress responses due to climate change and the addition of bivalve aquaculture.


Assuntos
Ecossistema , Mytilus edulis , Animais , Humanos , Concentração de Íons de Hidrogênio , Água do Mar , Aquicultura , Mytilus edulis/fisiologia , Carbono
2.
J Environ Radioact ; 182: 108-116, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29222990

RESUMO

Beryllium-7 (7Be) has been used as a sediment tracer to evaluate soil redistribution rates at hillslopes and as a tool to estimate sediment residence time in river systems. A key assumption for the use of 7Be as a sediment tracer is the rapid and irreversible sorption of 7Be upon contact with the soil particles. However, recent studies have raised questions about the validity of these assumptions. Seven soil types were selected to assess the adsorption rate of 7Be on the soil particles, subsequently an extraction experiment was performed to assess the rate of desorption. Next, different treatments were applied to assess the impact of soil pH, fertilizer, humic acid and organic matter on the adsorption of Be. Finally, the influence of regularly occurring cations present on the soil complex on the adsorption of Be on pure clay minerals was evaluated. The adsorption rate experiment showed a rapid and nearly complete sorption of Be for Luvisols and Cambisols under agriculture. For a temperate climate Stagnosol under forest and two highly weathered tropical Ferralsols sorption of Be was less rapid and less complete. This may result in an incomplete adsorption of 7Be on these three soils when runoff initiates, which could lead to an overestimation of erosion rates and sediment residence time. Additional observations were made during the extraction experiment, showing a significant loss of Be from the forest Stagnosol and a stable binding of Be to the arable soils. Of the different treatments applied, only pH showed to be of influence. Finally, Ca2+ and NH4+ on the soil complex had only a limited effect on the adsorption of Be, while Al3+ in combination with a low pH inhibits the adsorption of Be on the exchange complex of the pure clay minerals. All these findings more rigorously support the use of 7Be as a soil redistribution tracer in arable soils in a temperate climate at a hillslope scale. The use of 7Be in highly weathered Ferralsols or forest rich environments should be limited to avoid overestimations of erosion rates. The spatially extended use of 7Be to evaluate residence times of sediments should be avoided in catchments with rapid changing environmental parameters as they might influence the sorption behavior of 7Be.


Assuntos
Berílio/análise , Monitoramento de Radiação/métodos , Radioisótopos/análise , Poluentes Radioativos do Solo/análise , Adsorção , Modelos Químicos
3.
Drug Discov Today Technol ; 26: 33-42, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29249241

RESUMO

In this review we provide an overview of recent developments in the field of cell penetrating peptides (CPPs) on research that aims to achieve better control over their transduction properties - one of the big challenges - by means of restraining them. Three different constraining strategies are presented: triggerable activation, backbone rigidification and macrocyclization. Each of these methods have their opportunities in gaining control over CPP activity and selectivity.


Assuntos
Peptídeos Penetradores de Células/química , Peptídeos Cíclicos/química , Animais , Peptídeos Penetradores de Células/metabolismo , Humanos , Peptídeos Cíclicos/metabolismo
4.
J Mater Chem B ; 3(15): 2954-2961, 2015 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-32262495

RESUMO

Sensing cell adhesion by means of a colourimetric response provides an intuitive measure of cell binding. In this study polydiacetylene-containing peptide amphiphiles fibres were designed to sense cell adhesion by means of a colour change. The diacetylene-containing peptide amphiphiles were functionalised with the cell-binding motif RGDS, and subsequently mixed with non-functionalised diacetylene-containing spacer amphiphiles. The diacetylenes in the backbone of these fibres were polymerised using UV-light to give dark blue fibre solutions. Subsequent cell adhesion induced a colour change from blue to pink. The propensity of the RGDS fibres to change colour upon cell adhesion could be tuned by varying the C-terminal amino acid of the spacer amphiphile. In addition to this, by varying the RGDS density we found that the optimum colourimetric response was obtained for fibres with a 6 : 1 ratio of non-RGDS to RGDS amphiphiles.

6.
Eur J Phys Rehabil Med ; 47(4): 569-77, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21508919

RESUMO

BACKGROUND: Limited research exists on rehabilitative techniques focused on reducing disabilities after cerebral hemispherectomy despite persistent hemiparesis. OBJECTIVES: The efficacy of Intensive Mobility Training (IMT) for improving gait, balance and mobility was evaluated in patients after cerebral hemispherectomy and compared with clinical variables for signs of developmental neuroplasticity. METHODS: Participants (N.=19; 13.8±5.7 years) postcerebral hemispherectomy received IMT, three hours/day for 10 days. Outcomes measures were assessed pre- and post-intervention using the GAITRite electronic walkway® (velocity, toe in/out, step length of affected an unaffected leg), Dynamic Gait Index, Fugl-Meyer Scale, Berg Balance Scale, Timed Up and Go and Six-Minute Walk Test. Six of the nine measures that showed moderate effect sizes were incorporated into a Combined Functional Index (CFI) to assess global impact of therapy. RESULTS: After IMT, improvements were identified for toe in/out, step length of unaffected leg, Dynamic Gait Index, Berg Balance Scale and Six-Minute Walk (P<0.05; Effect Size 0.36-0.50). Using CFI for these six measures, patients improved from 77.3% to 82.7% (+5.3±3.7%) of normal following IMT. Improvements in CFI were greater in patients five years or younger at time of surgery (+7.7±3.6%) compared with older patients (+3.2±2.5%), and this accounted for 22% of variability in the change in score. CONCLUSION: The younger the participant at time of surgery correlated with the greatest improvements following IMT. These findings support the concept that the remaining hemisphere retains greater neuroplasticity if the contralateral surgery occurs earlier in cerebral development.


Assuntos
Terapia por Exercício/métodos , Marcha/fisiologia , Hemisferectomia/reabilitação , Equilíbrio Postural/fisiologia , Caminhada/fisiologia , Adolescente , Adulto , Fatores Etários , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Los Angeles , Masculino , Plasticidade Neuronal/fisiologia , Recuperação de Função Fisiológica , Adulto Jovem
7.
Mol Phylogenet Evol ; 54(2): 542-52, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19703573

RESUMO

The persistence of asexual reproduction in many taxa depends on a balance between the origin of new asexual lineages and the extinction of old ones. This turnover determines the diversity of extant asexual populations and so influences the interaction between sexual and asexual modes of reproduction. Species with mixed reproduction, like the freshwater ostracod (Crustacea) morphospecies Eucypris virens, are a good model to examine these dynamics. This species is also a geographic parthenogen, in which sexual females and males co-exist with asexual females in the circum-Mediterranean area only, whereas asexual females occur all over Europe. A molecular phylogeny of E. virens based on the mitochondrial COI and 16S fragments is presented. It is characterised by many distinct clusters of haplotypes which are either exclusively sexual or asexual, with only one exception, and are often separated by deep branches. Analysis of the phylogeny reveals an astonishing cryptic diversity, which indicates the existence of a species complex with more than 40 cryptic taxa. We therefore suggest a revision of the single species status of E. virens. The phylogeny indicates multiple transitions from diverse sexual ancestor populations to asexuality. Although many transitions appear to be ancient, we argue that this may be an artefact of the existence of unsampled or extinct sexual lineages.


Assuntos
Crustáceos/genética , Evolução Molecular , Especiação Genética , Partenogênese/genética , Filogenia , Animais , Teorema de Bayes , Análise por Conglomerados , Crustáceos/classificação , DNA Mitocondrial/genética , Europa (Continente) , Feminino , Geografia , Haplótipos , Masculino , Região do Mediterrâneo , Modelos Genéticos , Análise de Sequência de DNA
8.
Pharmazie ; 62(6): 470-1, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17663198

RESUMO

The stability of benzoic acid, one of the model compounds recommended for skin absorption studies in the OECD guidelines, in Franz diffusion cell receptor fluids was studied. According to the results, addition of a preservative (sodium azide) to the solution is recommended for long-term skin permeation experiments.


Assuntos
Ácido Benzoico/análise , Cromatografia Líquida de Alta Pressão , Cultura em Câmaras de Difusão , Estabilidade de Medicamentos , Humanos , Técnicas In Vitro , Absorção Cutânea , Espectrofotometria Ultravioleta , Temperatura
9.
J Chromatogr B Analyt Technol Biomed Life Sci ; 850(1-2): 213-20, 2007 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-17141583

RESUMO

The analysis of iodinated peptides resulting from chloramine-T (CAT), Iodo-Beads, Iodo-Gen and lactoperoxidase iodination reactions in the preparation of nanomole quantities 125I and 123I labelled tracers is described. Seven different model peptides were evaluated, varying in molecular weight from 294 (LY-dipeptide) to 2518 (obestatin containing 23 amino acid residues). Two different RP-C18 columns were used, each with a different gradient system based on aqueous formic acid and acetonitrile. Electrospray ionization (ESI) ion trap mass spectrometry was used for identification of the chromatographic eluting components of the reaction mixtures, while UV (DAD) served quantitative purposes. Non-, mono-, di-, tri- and tetra-iodinated peptides (respectively NIP, MIP, DIP, 3IP and 4IP) eluted in that order and were well separated from each other. An empirical model was derived. The applicability of this approach was demonstrated by the analysis of different reaction mixtures.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Iodo/química , Peptídeos/análise , Espectrometria de Massas por Ionização por Electrospray/métodos , Peptídeos/química
10.
Spectrochim Acta A Mol Biomol Spectrosc ; 61(10): 2349-56, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16029856

RESUMO

Raman spectroscopy has been applied to the examination of wall painting fragments from the archaeological site of Ek'Balam (Yucatán, Mexico). Thirty-three samples have been studied, all originating from room 23 of the Acropolis, and being representative of the painting technique at Ek'Balam during the late Classic Maya period. Several pigments such as haematite, calcite, carbon, cinnabar and indigo were identified in these samples. The latter pigment was presumed to be present as 'Maya blue', which is an intercalation product of indigo and palygorskite clay. The observed Raman spectra are reported and some band assignments have been made. This survey is the first Raman spectroscopic examination of a whole set of pigments in archaeological Maya wall painting fragments.


Assuntos
Pintura/história , Pinturas/história , Pigmentos Biológicos/história , Análise Espectral Raman , História Antiga , História Medieval , Habitação/história , Humanos , Indígenas Norte-Americanos/história , México , Análise Espectral Raman/métodos
11.
Neurology ; 62(10): 1712-21, 2004 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-15159467

RESUMO

OBJECTIVE: To compare hemispherectomy patients with different pathologic substrates for hospital course, seizure, developmental, language, and motor outcomes. METHODS: The authors compared hemispherectomy patients (n = 115) with hemimegalencephaly (HME; n = 16), hemispheric cortical dysplasia (hemi CD; n = 39), Rasmussen encephalitis (RE; n = 21), infarct/ischemia (n = 27), and other/miscellaneous (n = 12) for differences in operative management, postsurgery seizure control, and antiepilepsy drug (AED) usage. In addition, Vineland Adaptive Behavior Scale (VABS) developmental quotients (DQ), language, and motor assessments were performed pre- or postsurgery, or both. RESULTS: Surgically, HME patients had the greatest perioperative blood loss, and the longest surgery time. Fewer HME patients were seizure free or not taking AEDs 1 to 5 years postsurgery, but the differences between pathologic groups were not significant. Postsurgery, 66% of HME patients had little or no language and worse motor scores in the paretic limbs. By contrast, 40 to 50% of hemi CD children showed near normal language and motor assessments, similar to RE and infarct/ischemia cases. VABS DQ scores showed +5 points or more improvement postsurgery in 57% of patients, and hemi CD (+12.7) and HME (+9.1) children showed the most progress compared with RE (+4.6) and infarct/ischemia (-0.6) cases. Postsurgery VABS DQ scores correlated with seizure duration, seizure control, and presurgery DQ scores. CONCLUSIONS: The pathologic substrate predicted pre- and postsurgery differences in outcomes, with hemimegalencephaly (but not hemispheric cortical dysplasia) patients doing worse in several domains. Furthermore, shorter seizure durations, seizure control, and greater presurgery developmental quotients predicted better postsurgery developmental quotients in all patients, irrespective of pathology.


Assuntos
Deficiências do Desenvolvimento/cirurgia , Epilepsia/cirurgia , Hemisferectomia/estatística & dados numéricos , Transtornos do Desenvolvimento da Linguagem/cirurgia , Transtornos dos Movimentos/cirurgia , Anticonvulsivantes/uso terapêutico , Perda Sanguínea Cirúrgica , Transfusão de Sangue , Encéfalo/anormalidades , Dano Encefálico Crônico/epidemiologia , Isquemia Encefálica/complicações , Isquemia Encefálica/cirurgia , Córtex Cerebral/anormalidades , Infarto Cerebral/complicações , Infarto Cerebral/cirurgia , Pré-Escolar , Estudos de Coortes , Terapia Combinada , Deficiências do Desenvolvimento/etiologia , Encefalite/complicações , Encefalite/cirurgia , Epilepsias Parciais/tratamento farmacológico , Epilepsias Parciais/etiologia , Epilepsias Parciais/cirurgia , Epilepsia/tratamento farmacológico , Epilepsia/etiologia , Feminino , Hemisferectomia/efeitos adversos , Hemisferectomia/mortalidade , Humanos , Lactente , Transtornos do Desenvolvimento da Linguagem/etiologia , Imageamento por Ressonância Magnética , Masculino , Transtornos dos Movimentos/etiologia , Substitutos do Plasma/uso terapêutico , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Cuidados Pré-Operatórios , Estudos Retrospectivos , Índice de Gravidade de Doença , Resultado do Tratamento
13.
Brain Lang ; 79(3): 379-96, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11781049

RESUMO

We analyzed postsurgery linguistic outcomes of 43 hemispherectomy patients operated on at UCLA. We rated spoken language (Spoken Language Rank, SLR) on a scale from 0 (no language) to 6 (mature grammar) and examined the effects of side of resection/damage, age at surgery/seizure onset, seizure control postsurgery, and etiology on language development. Etiology was defined as developmental (cortical dysplasia and prenatal stroke) and acquired pathology (Rasmussen's encephalitis and postnatal stroke). We found that clinical variables were predictive of language outcomes only when they were considered within distinct etiology groups. Specifically, children with developmental etiologies had lower SLRs than those with acquired pathologies (p =.0006); age factors correlated positively with higher SLRs only for children with acquired etiologies (p =.0006); right-sided resections led to higher SLRs only for the acquired group (p =.0008); and postsurgery seizure control correlated positively with SLR only for those with developmental etiologies (p =.0047). We argue that the variables considered are not independent predictors of spoken language outcome posthemispherectomy but should be viewed instead as characteristics of etiology.


Assuntos
Encéfalo/cirurgia , Lateralidade Funcional , Transtornos da Linguagem/diagnóstico , Procedimentos Neurocirúrgicos , Convulsões/etiologia , Convulsões/cirurgia , Comportamento Verbal , Adolescente , Fatores Etários , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Testes de Linguagem , Masculino , Período Pós-Operatório , Valor Preditivo dos Testes , Resultado do Tratamento
14.
Brain Cogn ; 43(1-3): 135-8, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10857680

RESUMO

We studied the spoken language of 49 children who had undergone hemispherectomy as part of the UCLA Pediatric Epilepsy Surgery Research Program and analyzed, among a number of clinical factors, the relation between acquired vs developmental pathology and spoken language outcomes. In this paper we will briefly review the results of our study and attempt to explain (1) why "the early" is not always better, (2) why so many right hemispherectomies fail to develop language, and (3) why some left hemispherectomized children develop remarkably good language despite removal of the "language" hemisphere. This account will rest on the proposed model of brain maturation and progressive lateralization.


Assuntos
Encéfalo/cirurgia , Lateralidade Funcional/fisiologia , Transtornos do Desenvolvimento da Linguagem/diagnóstico , Procedimentos Neurocirúrgicos/métodos , Complicações Pós-Operatórias/diagnóstico , Criança , Pré-Escolar , Epilepsia/cirurgia , Humanos
15.
Dev Neurosci ; 21(3-5): 174-81, 1999 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-10575240

RESUMO

We report on the effects of etiology and age on the linguistic outcomes in a large pediatric hemispherectomy population. Four populations were considered separately: cortical dysplasia (multilobar involvement), Rasmussen's encephalitis, infarction as a primary etiology and, fourth, children who failed to develop language, regardless of etiology. We argue against the 'the-earlier-the-better' hypothesis and propose our own hypothesis that weds maturational factors to etiological factors to predict language outcomes following pervasive brain insult. The implications of our 'critical impact point' hypothesis are discussed.


Assuntos
Envelhecimento/fisiologia , Encéfalo/cirurgia , Epilepsia/etiologia , Epilepsia/cirurgia , Desenvolvimento da Linguagem , Idade de Início , Córtex Cerebral/anormalidades , Infarto Cerebral/complicações , Pré-Escolar , Encefalite/complicações , Epilepsia/epidemiologia , Epilepsia/psicologia , Feminino , Humanos , Lactente , Masculino , Período Pós-Operatório , Resultado do Tratamento
16.
Med Sci Sports Exerc ; 31(3): 449-55, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10188751

RESUMO

PURPOSE: Backward walking to running progressions are becoming a popular, nontraditional component of functional knee rehabilitation programs. The purpose of this electromyographic (EMG) and motion analysis study was to compare the activation duration of the vastus medialis, vastus lateralis, rectus femoris, medial hamstrings, lateral hamstring, tibialis anterior, and gastrocnemius muscles during forward and backward cycling. We hypothesized that the hamstrings would demonstrate greater activation duration during backward cycling. METHODS: The right lower extremity of 12 healthy subjects (6 male and 6 female) was instrumented with surface EMG electrodes and retroreflective markers to confirm lower extremity kinematic consistency between conditions. RESULTS: Statistical analysis of hip, knee, and ankle kinematics (200 Hz sampling rate) and gender failed to reveal significant differences between conditions (P > 0.05). Quadrant analysis of muscle activation duration with Bonferroni corrections for multiple comparisons revealed that medial and lateral hamstring activation duration was greater during the early recovery phase (quadrant III) of backward cycling than forward cycling (P < 0.00156). Rectus femoris activation duration was greater in the early propulsive phase of backward cycling (quadrant 1) (P < 0.00156) and in the early recovery phase of forward cycling (quadrant III) (P < 0.00156). CONCLUSIONS: These findings lend support for the use of backward cycling during the early recovery phase (quadrant III) to achieve a selective hamstring muscle response of relatively decreased patellofemoral stress and anterior cruciate ligament strain.


Assuntos
Ciclismo/fisiologia , Músculo Esquelético/fisiologia , Adulto , Fenômenos Biomecânicos , Eletromiografia , Exercício Físico/fisiologia , Feminino , Humanos , Perna (Membro)/fisiologia , Masculino
17.
Breast Cancer Res Treat ; 49(2): 145-54, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9696397

RESUMO

Patients with an elevated level of cathepsin D in breast cancer tissue have an adverse prognosis. This study evaluated the prognostic relevance of cathepsin D detection in disseminated tumour cells in bone marrow. Bone marrow was sampled intraoperatively from both anterior iliac crests in 290 patients with primary breast cancer. Interphase cells were enhanced and stained immunocytologically with two antibodies: BM2, which detects tumour-associated glycoprotein TAG 12, which is typically expressed by almost all breast cancer cells, and the anti-cathepsin D antibody. 67 of 149 BM2-positive women (45%) developed metastatic disease (median follow-up time: 69 months). Of these, 15 were cathepsin D-positive (22%). Patients with cathepsin D-positive cells in bone marrow (n = 26; 9%) had a significantly shorter metastasis-free interval (38 months) compared with women who were cathepsin D-negative (64.5 months). The worst prognosis was seen in patients positive for both markers (30.5 months), followed by those who were cathepsin D-negative and BM2-positive (48 months). The detection of cathepsin D on disseminated tumour cells characterises a subgroup of patients with a poorer prognosis who should undergo more aggressive adjuvant systemic therapy.


Assuntos
Neoplasias da Medula Óssea/secundário , Medula Óssea/enzimologia , Neoplasias da Mama/enzimologia , Catepsina D/análise , Neoplasias da Medula Óssea/enzimologia , Neoplasias da Mama/patologia , Feminino , Humanos , Imuno-Histoquímica , Pessoa de Meia-Idade , Prognóstico
18.
Ugeskr Laeger ; 160(14): 2100-4, 1998 Mar 30.
Artigo em Dinamarquês | MEDLINE | ID: mdl-9604680

RESUMO

The purpose was: 1) to determine annual incidence rates of adult coeliac disease, 2) to calculate the risk of having developed coeliac disease in adult life, and 3) to calculate the life time prevalence by five-year birth cohorts. All patients fulfilling defined criteria for adult coeliac disease living in the county of Copenhagen and diagnosed during the years 1976-1991 were included. The reference population consisted of 503,283 subjects. The overall incidence had been stable during the period, and was 1.27/10(5). The figures for females and males were 1.55/10(5) and 0.96/10(5), respectively (p = 0.04). The median (range) age at the time of diagnosis was 40.1 (16-81). Age specific incidence rates varied considerably, with the peak rate located in the middle-aged population. The incidence rates were influenced by age at diagnosis (p = 0.01) and sex (p = 0.04), but not by the year when diagnosed. For a subject aged 89 years, the risk was 0.88/1000. The overall prevalence was 45.9/10(5). In conclusion, this incidence/prevalence is one of the lowest reported, and is definitely lower than prevalences reported from our neighbouring Scandinavian countries. Nothing points to higher incidence rates being present in Danish adults to compensate for the previously demonstrated very low rates in Danish children.


Assuntos
Doença Celíaca/epidemiologia , Adolescente , Adulto , Idoso , Doença Celíaca/etiologia , Estudos de Coortes , Dinamarca/epidemiologia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco
19.
Br J Cancer ; 76(6): 812-8, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9310251

RESUMO

Patients with an elevated level of urokinase plasminogen activator (uPA) in breast cancer tissue have an adverse prognosis. This study evaluated the prognostic relevance of uPA detection in disseminated tumour cells in bone marrow. Bone marrow was sampled intraoperatively from both iliac crests in 280 patients with primary breast cancer. Interphase cells were enhanced and stained immunocytologically with two antibodies: 2E11, which detects TAG 12--a tumour-associated glycoprotein typically expressed by almost all breast cancer cells--and the anti-uPA antibody HD-UK9. Thirty-five of the 2E11-positive women (n = 132, 47%) developed metastatic disease (median follow-up time 44 months). Of these, most were uPA positive (n = 23, 65%) and only 12 were uPA negative. Patients with uPA-positive cells in bone marrow (n = 98, 35%) had a significantly shorter metastasis-free interval (36 months) than women who were uPA negative (44.5 months). The worst prognosis was seen in patients positive for both markers (29.5 months), followed by those who were uPA negative and 2E11 positive (37 months). The detection of uPA on disseminated tumour cells characterizes a subgroup of patients with an even worse prognosis, who should undergo more aggressive adjuvant systemic therapy. For the first time, it was possible to evaluate an important qualitative parameter involved in the process of breast cancer metastases.


Assuntos
Neoplasias da Medula Óssea/secundário , Neoplasias da Mama/enzimologia , Ativador de Plasminogênio Tipo Uroquinase/metabolismo , Anticorpos Monoclonais , Anticorpos Antineoplásicos , Antígenos Glicosídicos Associados a Tumores/metabolismo , Medula Óssea/enzimologia , Neoplasias da Medula Óssea/enzimologia , Neoplasias da Mama/patologia , Intervalo Livre de Doença , Feminino , Humanos , Imuno-Histoquímica , Mucoproteínas/metabolismo , Metástase Neoplásica , Prognóstico , Análise de Sobrevida
20.
Scand J Gastroenterol ; 31(7): 694-9, 1996 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8819220

RESUMO

BACKGROUND: In childhood coeliac disease highly varying incidence rates have recently been disclosed. Very low incidence rates (0.09/1000) were found in Denmark, in contrast to our neighbouring country Sweden (2.93/1000). Whether this was accounted for by the diagnosis being delayed until adult life was unknown. No studies concerning the epidemiology of adult coeliac disease in Denmark have been published so far. METHODS: The annual incidence rates of adult coeliac disease were determined in the county of Copenhagen during the years 1976-91. The risk of having developed coeliac disease in adult life, on the basis of age and sex, was calculated. The life time prevalences by 5-year birth cohorts were calculated. RESULTS: The overall incidence had been stable during the period and was 1.27/10(5). The figures for females and males were 1.55/10(5) and 0.96/10(5), respectively (p = 0.04). The median (range) age at the time of diagnosis was 40.1 (16-81) years. Age-specific incidence rates varied considerably, with the peak rate located in the middle-aged population. Low incidence rates were demonstrated in teenagers and young adults, and increasing rates was seen again in old age. The incidence rates were influenced by age at diagnosis (p = 0.01) and sex (p = 0.04) but not by the year when diagnosed. For a subject aged 89 years the risk was 0.88/1000. The corresponding figures for males and females, were 0.75/1000 and 1.0/1000, respectively. The overall prevalence was 45.9/10(5); males and females, 35.3/10(5) and 55.8/410(5), respectively. CONCLUSION: This incidence/prevalence is one of the lowest reported and is definitely lower than prevalences reported in our neighbouring Scandinavian countries. Nothing points to higher incidence rates being present in Danish adults to compensate for the previously demonstrated very low rates in Danish children.


Assuntos
Doença Celíaca/epidemiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Dinamarca/epidemiologia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Prevalência
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