Radioimmunodetection of melanoma: preliminary results of a prospective study

A prospective study to evaluate the clinical usefulness of radioimmunodetection of melanoma in clinical practice is ongoing at the National Cancer Institute of Milan, Italy. Technical conditions for the application of the method were previously reported. In this trial, 99mTc-labelled F(ab')2 fragments of the 225.28S monoclonal antibody were used against a high molecular weight melanoma associated antigen (HMW-MAA). Retrospective studies on radioimmunodetection of melanoma have already been made by our group and by other Centers in about 300 patients. This study concerns the evaluation of the regional extension of primary melanoma. 23 patients with 32 suspected lymphatic involvements of melanoma on the trunk and arms underwent immunoscintigraphy. No false positive results were observed; 3 false negatives, one corresponding to a micrometastasis, were noticed. Specificity corresponds to 100% and sensitivity to 78.6%.     

Psychiatrists' attitudes regarding genetic testing and patient safeguards: a preliminary study

AIMS: A probability sample of U.S. psychiatrists (n = 93) was invited to complete a mail survey regarding the likely impact of genetic testing on psychiatry; the clinical utility of pharmacogenetic, diagnostic, and susceptibility genetic testing; and 14 proposed ethical and legal safeguards for clinical genetic testing. RESULTS: Forty-five psychiatrists participated in the survey (response rate = 48%). The majority (80% and 60%, respectively) believed that genetic testing would benefit many psychiatric patients and would dramatically change the way psychiatry is practiced. Many psychiatrists (73-85%) also stated that pharmacogenetic, diagnostic, and susceptibility tests for common psychiatric disorders would be somewhat useful or extremely useful in the clinical setting. Nearly all (98-100%) believed that psychiatrists should obtain informed consent before genetic testing, should keep test results confidential, should provide pre- and posttest counseling, and should demonstrate competence in interpreting test results. Nearly all (96-100%) supported laws and regulations to prevent discrimination based on genetic test results and to protect consumers from misleading advertisements for testing. Ninety-one percent endorsed restrictions on the sale of genetic tests directly to consumers. CONCLUSIONS: This probability sample of U.S. psychiatrists expressed a strongly positive view of genetic testing in psychiatry, while voicing nearly unanimous support for seven ethical and legal safeguards.     

First-year family medicine residents' use of computers: knowledge,skills and attitudes.

OBJECTIVE: To identify the computer knowledge, skills and attitudes of first-year family medicine residents. DESIGN: Cross-sectional survey of family medicine residents during the academic year 1993-94; sampling began in July 1993 and ended in October 1993. SETTING: Canada. PARTICIPANTS: All 727 first-year family medicine residents, of whom 433 (60%) responded. OUTCOME MEASURES: Previous computer experience or training, current use, barriers to use, and comfort with and attitudes regarding computers. RESULTS: There was no difference in age or sex between the respondents and all first-year family medicine residents in Canada. French-speaking respondents from Quebec were underrepresented (p < 0.001). Only 56 respondents (13%) felt extremely or very comfortable with computer use. The most commonly cited barriers to obtaining computer training were lack of time (243 respondents [56%]) and the high cost of computers (214 [49%]) but not lack of interest (69 [16%]). Most residents wanted more computer training (367 [85%]) and felt that computer training should be a mandatory component of family medicine training programs (308 [71%]). CONCLUSIONS: Computer knowledge and skills and comfort with computer use appear low among first-year family medicine residents in Canada, and barriers to acquisition of computer knowledge are impressive. Computer training should become an integral part of family medicine training in Canada, and user-friendly applicable computer systems are needed.     

A preliminary study on the family Styracaceae from China

The present paper is a result of taxonomic study of Chinese Styracaceae plants. It contains 9 genera, 48 species, of which 2 species, 2 varieties are described as new and 2 new combinations are made, 21 species or varieties previously known to botanists distinctly are here reduced to synonyms. Besides the author also discuss about itsgeographical distribution in China and the main systematic characteristics of Styrax.     

Protein structure calculation with data imputation: the use of substitute restraints

The amount of experimental restraints e.g., NOEs is often too small for calculating high quality three-dimensional structures by restrained molecular dynamics. Considering this as a typical missing value problem we propose here a model based data imputation technique that should lead to an improved estimation of the correct structure. The novel automated method implemented in AUREMOL makes a more efficient use of the experimental information to obtain NMR structures with higher accuracy. It creates a large set of substitute restraints that are used either alone or together with the experimental restraints. The new approach was successfully tested on three examples: firstly, the Ras-binding domain of Byr2 from Schizosaccharomyces pombe, the mutant HPr (H15A) from Staphylococcus aureus, and a X-ray structure of human ubiquitin. In all three examples, the quality of the resulting final bundles was improved considerably by the use of additional substitute restraints, as assessed quantitatively by the calculation of RMSD values to the “true” structure and NMR R-factors directly calculated from the original NOESY spectra or the published diffraction data.     

Freedom from restraint: consequences of reducing physical restraints in the management of the elderly.

Physical restraint is commonly used in the management of elderly people in North American hospitals and nursing homes. Between December 1981 and March 1982 the Department of Geriatric Medicine, St. Boniface General Hospital, Winnipeg, changed its practice regarding the use of such restraints. In the fiscal year 1980-81 the rate of application of physical restraints was 52 per 1000 patient-days and the frequency of falls 7 per 1000 patient-days. By 1986-87 the figures were 0.3 and 8.7 per 1000 patient-days respectively; the increase in falls was not clinically significant. During the study period there was a 40% reduction in the use of chemical restraints (psychotropic drugs other than hypnotic and antidepressant agents). Here we record how this change in practice occurred and persisted.     

The use of lectins to characterize and separate living canine spermatozoa: A preliminary study

This study was designed as a preliminary attempt to develop a methodology for relating the glucidic structure of the sperm membrane to sperm morphology. Differences in plasma membrane glycoconjugates between motile and nonmotile spermatozoa were studied by using 7 lectins. Fresh spermatozoa from 3 dogs were analyzed by fluorescein isothiocyanate (FITC) labeled lectins. The binding of lectins to the sperm membrane and the capability of the lectins to agglutinate spermatozoa were estimated semi-quantitatively by observation with either an epifluorescence or a phase contrast microscope, respectively. All the lectins tested bound to non motile spermatozoa, with Helix pomatia , Pisum sativum and Arachis hypogaea showing intense fluorescence, Triticum vulgare and Glycine maxima showing moderate fluorescence, and Phaseolus vulgaris and Phytolacca americana showing low fluorescence. However, Helix pomatia . and Triticum vulgare also bound to rapid and slow moving spermatozoa, and were the only 2 lectins that induced sperm agglutination. These results suggest that lectins could be a possible tool for characterizing and separating spermatozoa with different rates of motility.     

新疆木灵藓科植物的初步研究

在研究标本和文献的基础上,报道了新疆产木灵藓科植物３属１４种,即：瓶藓属Ａｍｐｈｉｄｕｉｍ（１种）,木棂藓属Ｏｒｔｈｏｔｒｉｃｈｕｍ（１２种）和木衣藓属Ｄｒｕｍｍｏｎｄｉａ,对它们的生境、识别特征和地理分布作了初步讨论,并编制了新疆木灵藓科植物的分属、分种检索表。     

鄂西青少年体质发育初步研究

目前,研究青少年体质发育的方法较多,作者试图用逐步回归分析法对此作些研究。 按照我国正常儿童青少年体格发育调查研究实施方案(儿童体格发育调查研究工作学习班,1976)和活体测量方法(黄新美,1983)的有关规定,对鄂西7—17岁的1533名青少年(男863人,女670人)进行了直接测量:1.身高;2.体重;3.上肢长;4.下肢长(由地面至大转子尖的距离)(靳仕信,1981);5.上半身长(身高—下肢长);6.上半身长与下肢长的比值。以上各项均值和标准差见表1.另外,还计算了下肢长指数（下肢长/身高×100）和上半身长指数（上半身长/身高×100）。将以上数据按性别、年龄逐个输入AppleII电子计算机（Basic语言）,对数据进行分析处理,用回归分析法（上海第二医学院数学教研室,1979;杨树勤,1985）分析青少年体重的变化与年龄、身高等七个因素的相关关系（见表2）,并对已进入方程式中的各项指标进行反复检查,最后,建立了推算青少年体重变化与年龄、身高的多元回归方程。     

Multidimensional slit-scan prescreening system: preliminary results of a single blind clinical study

A multidimensional slit-scan flow system was developed to serve as an automated prescreening instrument for gynecological cytology. A 2-year single blind clinical study was carried out to evaluate system performance. Cellular material was collected by scraping the uterine cervix and stained in suspension with acridine orange. Seven hundred and forty specimens (701 patients) including 156 abnormal specimens representing a broad spectrum of abnormality were analyzed. Approximately 50,000 cells were analyzed for each specimen. The system false-positive rate was 17.6% while the false-negative rate was 2.8%. All misclassified abnormals were specimens with cellular changes consistent with a slight dysplasia of nonkeratinizing type. The instrument in its present configuration appeared sensitive to the entire spectrum of abnormality existing in the female genital tract and it classified as abnormal any specimen containing on the order of 0.1% (or greater) abnormal cells.     

Acoustic neuroma risk in relation to mobile telephone use: results of the INTERPHONE international case-control study

Background: The rapid increase in mobile telephone use has generated concern about possible health risks of radiofrequency electromagnetic fields from these devices. Methods: A case–control study of 1105 patients with newly diagnosed acoustic neuroma (vestibular schwannoma) and 2145 controls was conducted in 13 countries using a common protocol. Past mobile phone use was assessed by personal interview. In the primary analysis, exposure time was censored at one year before the reference date (date of diagnosis for cases and date of diagnosis of the matched case for controls); analyses censoring exposure at five years before the reference date were also done to allow for a possible longer latent period. Results: The odds ratio (OR) of acoustic neuroma with ever having been a regular mobile phone user was 0.85 (95% confidence interval 0.69–1.04). The OR for ≥10 years after first regular mobile phone use was 0.76 (0.52–1.11). There was no trend of increasing ORs with increasing cumulative call time or cumulative number of calls, with the lowest OR (0.48 (0.30–0.78)) observed in the 9th decile of cumulative call time. In the 10th decile (≥1640 h) of cumulative call time, the OR was 1.32 (0.88–1.97); there were, however, implausible values of reported use in those with ≥1640 h of accumulated mobile phone use. With censoring at 5 years before the reference date the OR for ≥10 years after first regular mobile phone use was 0.83 (0.58–1.19) and for ≥1640 h of cumulative call time it was 2.79 (1.51–5.16), but again with no trend in the lower nine deciles and with the lowest OR in the 9th decile. In general, ORs were not greater in subjects who reported usual phone use on the same side of the head as their tumour than in those who reported it on the opposite side, but it was greater in those in the 10th decile of cumulative hours of use. Conclusions: There was no increase in risk of acoustic neuroma with ever regular use of a mobile phone or for users who began regular use 10 years or more before the reference date. Elevated odds ratios observed at the highest level of cumulative call time could be due to chance, reporting bias or a causal effect. As acoustic neuroma is usually a slowly growing tumour, the interval between introduction of mobile phones and occurrence of the tumour might have been too short to observe an effect, if there is one.     

Effectiveness of family meetings for family caregivers on delaying time to nursing home placement of dementia patients: a randomized trial

Background

Interventions relieving the burden of caregiving may postpone or prevent patient institutionalization. The objective of this study was to determine whether a family meetings intervention was superior to usual care in postponing nursing home placement of patients with dementia.

Methods

A randomized multicenter trial was conducted among 192 patients with a clinical diagnosis of dementia living at home at enrolment and their primary family caregiver. Dyads of caregivers and patients were randomized to the family meetings intervention (n = 96) or usual care (n = 96) condition. The intervention consisted of two individual sessions with the primary caregiver and four family counseling sessions that included family members and friends. The primary outcome measure was the time until institutionalization of the patient. Intention-to-treat as well as per protocol analyses were performed. Survival analyses were carried out to evaluate the effectiveness of the intervention.

Results

During 18 months follow-up 23 of 96 relatives with dementia of caregivers in the intervention group and 18 of 96 relatives with dementia of caregivers in the usual care group were institutionalized. No significant difference between the intervention and the usual care group was found in time until institutionalization (adjusted hazard ratio (HR) 1.46, 95% confidence interval (CI) 0.78 to 2.74). The per-protocol analysis revealed no significant effect either (adjusted HR 0.57, 95% CI 0.21 to 1.57), although the number of placements among the adherers was relatively low (9.4%). A subgroup effect was found for patients’ age, with a significantly higher risk of institutionalization for ‘younger’ patients in the intervention group compared with the usual care group (adjusted HR = 4.94, 95% CI 1.10 to 22.13).

Conclusion

This family meetings intervention for primary caregivers of patients with dementia did not postpone patient institutionalization more than usual care.

Trial Registration: Controlled-Trials.com ISRCTN90163486

     

Wastewater use in algae production for generation of renewable resources: a review and preliminary results

Microalgae feedstock production can be integrated with wastewater and industrial sources of carbon dioxide. This study reviews the literature on algae grown on wastewater and includes a preliminary analysis of algal production based on anaerobic digestion sludge centrate from the Howard F. Curren Advanced Wastewater Treatment Plant (HFC AWTP) in Tampa, Florida and secondary effluent from the City of Lakeland wastewater treatment facilities in Lakeland, Florida. It was demonstrated that a mixed culture of wild algae species could successfully be grown on wastewater nutrients and potentially scaled to commercial production. Algae have demonstrated the ability to naturally colonize low-nutrient effluent water in a wetland treatment system utilized by the City of Lakeland. The results from these experiments show that the algae grown in high strength wastewater from the HFC AWTP are light-limited when cultivated indoor since more than 50% of the outdoor illumination is attenuated in the greenhouse. An analysis was performed to determine the mass of algae that can be supported by the wastewater nutrients (mainly nitrogen and phosphorous) available from the two Florida cities. The study was guided by the growth and productivity data obtained for algal growth in the photobioreactors in operation at the University of South Florida. In the analysis, nutrients and light are assumed to be limited, while CO₂ is abundantly available. There is some limitation on land, especially since the HFC AWTP is located at the Port of Tampa. The temperature range in Tampa is assumed to be suitable for algal growth year round. Assuming that the numerous technical challenges to achieving commercial-scale algal production can be met, the results presented suggest that an excess of 71 metric tons per hectare per year of algal biomass can be produced. Two energy production options were considered; liquid biofuels from feedstock with high lipid content, and biogas generation from anaerobic digestion of algae biomass. The total potential oil volume was determined to be approximately 337,500 gallons per year, which may result in the annual production of 270,000 gallons of biodiesel when 80% conversion efficiency is assumed. This production level would be able to sustain approximately 450 cars per year on average. Potential biogas production was estimated to be above 415,000 kg/yr, the equivalent of powering close to 500 homes for a year.     

GPS telemetry of forest elephants in Central Africa: results of a preliminary study

Few data exist on the ranging behaviour of forest elephants. A feasibility study on the use of GPS telemetry as a tool to study ranging, seasonal movements and distribution was implemented in the Dzanga‐Sangha and Nouabalé‐Ndoki National Parks Complex of Central African Republic and Congo. The study consisted of two parts – a thorough hand‐held testing of an elephant GPS telemetry collar under tropical forest conditions and the deployment of collars on two elephants. During the feasibility study the system performance was satisfactory; GPS fix acquisition success rate, VHF and UHF collar–researcher communications were adequate. Two elephants, a mature bull and an adult female, were immobilized and fitted with GPS collars in October 1998. After deployment, the female's GPS collar performed well initially, but in less than a month the GPS within the collar stopped acquiring fixes. She was subsequently located using VHF tracking. The male was never relocated strongly suggesting complete failure of the collar. Despite these setbacks, the small amount of data retrieved provide an important first insight into forest elephant ranging and daily activity patterns, with significant conservation implications. When technical difficulties of reliability are overcome, GPS telemetry will provide an exceptionally useful tool in forest elephant research and management.     

A preliminary study of two species of flatfish (family: Bothidae) from the south-west Atlantic

Two species of the family Bothidae (lefteye flounders), Mancopsetta maculata metadata and M. milfordi occur in the south-west Atlantic but are caught rarely by commercial bottom trawlers. Little is therefore known about their general biology from this area. A total of 251 M. maculata and 276 M. milfordi were sampled during deep-water exploratory fishing conducted in November 1994 within the Falkland Islands Interim and Outer Conservation Zones, at depths of 400-1000 m, using standard commercial bottom trawling gear. The two species were found to have similar geographical distributions between 48.30'-53.30'S and 55°-62° W and were often obtained at the same stations in depths of 400-900 m on the continental slope. Mancopsetta maculata maculata showed a uni-modal cohort structure with a modal length at the 29-cm total length size-class. Males of M. m. maculata outnumbered females in a ratio of 3.5 : 1. Mancopsetta milfordi showed a tri-modal length distribution, the main mode at the 37-cm total length size-class, with females outnumbering males in a ratio of 1.1 : 1. Length-weight relationships and length-at-age information are presented for the two species. Diet was determined from the analysis of stomach contents and, although the major prey type for both species consisted of crustaceans, the morid fish Austrophycis marginata also formed an important part of the diet of M. milfordi. Key words: Mancopsetta maculata maculata; Mancopsetta milfordi; distribution; south-west Atlantic; size; diet.