bluuebunny/crossref_metadata_2025 huggingface dataset:
Quantitative Measurement of Epidermal Growth Factor Receptor Is a Negative Predictive Factor for Tamoxifen Response in Hormone Receptor–Positive Premenopausal Breast Cancer
Authors: Giltnane Jennifer M. , Rydén Lisa , Cregger Melissa , Bendahl Pär-Ola , Jirström Karin , Rimm David L.
Published: July 2007

Purpose

Although there is evidence for interaction between epidermal growth factor receptor (EGFR) and estrogen receptor (ER), it is still not clear how this affects response to endocrine therapies like tamoxifen. Here we assess the relationship between EGFR expression and tamoxifen response, with a new quantitative technology.

Patients and Methods

A tissue microarray was constructed from breast cancer from a cohort of 564 patients enrolled in a randomized clinical trial for adjuvant tamoxifen treatment in early breast cancer, with a median follow-up of 14 years. EGFR expression was measured using automated quantitative analysis, a fluorescence-based method for quantitative analysis of in situ protein expression.

Results

In ER-positive patients, tamoxifen-treated patients with low EGFR expression (n = 113) showed a significant effect by 2 years of adjuvant tamoxifen (P = .01), in contrast to no treatment effect in the EGFR-high group (n = 73, P = .69). The untreated group showed 49% v 57% 10-year recurrence-free survival for EGFR low versus high (P = .466) in the corresponding group of ER-positive patients. A significant beneficial effect of tamoxifen treatment was seen in the EGFR-low group (hazard ratio [HR] = 0.43 (95% CI, 0.22 to 0.84; P = .013) in contrast to no effect in the EGFR-high group (HR = 1.14; 95% CI, 0.59 to 2.22; P = .7) by using a Cox model.

Conclusion

This study provides clinical evidence that confirms the basic work that has shown high EGFR can indicate resistance to tamoxifen. It suggests that careful measurement of EGFR protein expression might define a subset of low-stage patients that could benefit from an alternative therapy.
Sexual Well-Being Among Partnered Women With Breast Cancer Recurrence
Authors: Andersen Barbara L. , Carpenter Kristen M. , Yang Hae-Chung , Shapiro Charles L.
Published: July 2007

Purpose

A woman's risk for sexual disruption after breast cancer recurrence has received little clinical or research attention.

Patients and Methods

Breast cancer patients recently diagnosed with recurrence (n = 60) were initially assessed at baseline and completed follow-ups at 4, 8, and 12 months. They were compared by age, stage, and duration and frequency of follow-up with matched patients who remained disease free (n = 120). Using linear mixed modeling, the groups were compared in their trajectories of change on measures of sexuality, relationship satisfaction, cancer-specific stress, and physical functioning. Recurrence subgroups, those with locoregional versus distant disease and those younger versus older than 52 years, were also compared.

Results

At baseline, the recurrence group had significantly lower intercourse frequency and physical functioning compared with the disease-free group and these differences were maintained. There were no significant differences in the frequencies of kissing or sexual and relationship satisfactions. For the recurrence group patients, the heightened stress of the diagnostic/early recurrence treatment period declined to the lower disease-free levels by 12 months. This effect was largely due to improvement of the patients with distant disease. Finally, sexual changes were most notable for younger patients.

Conclusion

To our knowledge, this is the first longitudinal, controlled study of sexuality—sexuality in the context of other quality of life domains—for women coping with recurrence. Despite disruption, patients maintained their sexual lives. Younger and distant recurrence patients, however, may have greatest risk of sexual disruption. The factors contributing to sexual disruption remain unknown, and studies investigating strategies to help patients maintain this aspect of quality of life are needed.
Results of a Phase II Study of High-Dose Thoracic Radiation Therapy With Concurrent Cisplatin and Etoposide in Limited-Stage Small-Cell Lung Cancer (NCCTG 95-20-53)
Authors: Schild Steven E. , Bonner James A. , Hillman Shauna , Kozelsky Timothy F. , Vigliotti Antonio P.G. , Marks Randolph S. , Graham David L. , Soori Gamini S. , Kugler John W. , Tenglin Richard C. , Wender Donald B. , Adjei Alex
Published: July 2007

Purpose

To evaluate the outcome of patients with limited-stage small-cell lung cancer (L-SCLC) treated with cisplatin and etoposide (PE), early prophylactic cranial irradiation (PCI), and high-dose twice-daily thoracic radiotherapy (bid RT).

Patients and Methods

A total of 76 assessable patients were treated on this phase II trial, which included six cycles of PE. PCI (25 Gy/10 fractions) was delivered during cycle 3 to responding patients. Cycles 4 and 5 included concurrent chemotherapy and thoracic RT (30 Gy/20 bid fractions, a 2-week break, and another 30 Gy/20 bid fractions).

Results

Of the 76 assessable patients, 74 patients (97%) suffered grade 3 or greater (3+) toxicity and 61 patients (80%) had grade 4 or greater (4+) toxicity. Of these adverse events, grade 3+ hematologic toxicity occurred in 72 patients (95%), and grade 3+ nonhematologic toxicity occurred in 55 patients (72%). Only one (2%) of the 61 patients who received PCI experienced treatment failure in the brain. The 5-year survival rate of the 76 assessable patients was 24% (median, 20 months). The 5-year survival rate of the 64 patients who received thoracic RT was 29% (median, 22 months). The 5-year cumulative incidence of in-field treatment failure was 34%.

Conclusion

This regimen included a high total dose of bid TRT, which resulted in a favorable 5-year survival rate. Local failure remains a problem that will require additional investigation. Newer technology should allow the safe administration of greater doses of RT, which should improve patient outcome. Data from eight trials were combined to demonstrate a relationship between RT dose fractionation and 5-year survival.
Androgen Receptor Structural and Functional Elements: Role and Regulation in Prostate Cancer
Authors: Dehm Scott M. , Tindall Donald J.
Published: July 2007

The androgen receptor (AR) is a nuclear receptor transcription factor that mediates the cellular actions of androgens, the male sex steroids. Androgen-dependent tissues, such as the prostate, rely on androgen action for their development as well as their maintenance in adulthood. This requirement is exploited during systemic therapy of prostate cancer, which is initially an androgen-dependent disease. Indeed, androgen ablation, which prevents the production or blocks the action of androgens, inhibits prostate cancer growth. Invariably, the disease recurs with a phenotype resistant to further hormonal manipulations. However, this so-called androgen depletion-independent prostate cancer remains dependent on a functional AR for growth. Many studies have focused on the mechanistic and structural basis of AR activation with the important goal of understanding how the AR is activated at this stage of the disease. In this review, we summarize how these studies have revealed important functional domains in the AR protein and have provided initial clues to their role in prostate cancer development and progression. A comprehensive understanding of the role and functional relationships between these AR domains could lead to the development of novel AR-directed therapies for prostate cancer.
CLIC4 mediates and is required for Ca2+-induced keratinocyte differentiation
Authors: Suh Kwang S. , Mutoh Michihiro , Mutoh Tomoko , Li Luowei , Ryscavage Andrew , Crutchley John M. , Dumont Rebecca A. , Cheng Christina , Yuspa Stuart H.
Published: July 2007

Keratinocyte differentiation requires integrating signaling among intracellular ionic changes, kinase cascades, sequential gene expression, cell cycle arrest, and programmed cell death. We now show that Cl– intracellular channel 4 (CLIC4) expression is increased in both mouse and human keratinocytes undergoing differentiation induced by Ca2+, serum and the protein kinase C (PKC)-activator, 12-O-tetradecanoyl-phorbol-13-acetate (TPA). Elevation of CLIC4 is associated with signaling by PKCδ, and knockdown of CLIC4 protein by antisense or shRNA prevents Ca2+-induced keratin 1, keratin 10 and filaggrin expression and cell cycle arrest in differentiating keratinocytes. CLIC4 is cytoplasmic in actively proliferating keratinocytes in vitro, but the cytoplasmic CLIC4 translocates to the nucleus in keratinocytes undergoing growth arrest by differentiation, senescence or transforming growth factor β (TGFβ) treatment. Targeting CLIC4 to the nucleus of keratinocytes via adenoviral transduction increases nuclear Cl– content and enhances expression of differentiation markers in the absence of elevated Ca2+. In vivo, CLIC4 is localized to the epidermis in mouse and human skin, where it is predominantly nuclear in quiescent cells. These results suggest that CLIC4 participates in epidermal homeostasis through both alterations in the level of expression and subcellular localization. Nuclear CLIC4, possibly by altering the Cl– and pH of the nucleus, contributes to cell cycle arrest and the specific gene expression program associated with keratinocyte terminal differentiation.
Regulation of otic vesicle and hair cell stereocilia morphogenesis by Ena/VASP-like (Evl) inXenopus
Authors: Wanner Sarah J. , Miller Jeffrey R.
Published: July 2007

The inner ear is derived from a thickening in the embryonic ectoderm, called the otic placode. This structure undergoes extensive morphogenetic movements throughout its development and gives rise to all components of the inner ear. Ena/VASP-like (Evl) is an actin binding protein involved in the regulation of cytoskeletal dynamics and organization. We have examined the role of Evl during the morphogenesis of the Xenopus inner ear. Evl (hereafter referred to as Xevl) is expressed throughout otic vesicle formation and is enriched in the neuroblasts that delaminate to form the vestibulocochlear ganglion and in hair cells that possess mechanosensory stereocilia. Knockdown of Xevl perturbs epithelial morphology and intercellular adhesion in the otic vesicle and disrupts formation of the vestibulocochlear ganglion, evidenced by reduction of ganglion size, disorganization of the ganglion, and defects in neurite outgrowth. Later in embryogenesis, Xevl is required for development of mechanosensory hair cells. In Xevl knockdown embryos, hair cells of the ventromedial sensory epithelium display multiple abnormalities including disruption of the cuticular plate at the base of stereocilia and disorganization of the normal staircase appearance of stereocilia. Based on these data, we propose that Xevl plays an integral role in regulating morphogenesis of the inner ear epithelium and the subsequent development of the vestibulocochlear ganglion and mechanosensory hair cells.
Cellular prion protein (PrPC) protects neuronal cells from the effect of huntingtin aggregation
Authors: Lee Kyung-Jin , Panzera Antony , Rogawski David , Greene Lois E. , Eisenberg Evan
Published: July 2007

The effect of normal cellular prion protein (PrPC) on abnormal protein aggregation was examined by transfecting huntingtin fragments (Htt) into SN56 neuronal-derived cells depleted of PrPC by RNA interference. PrPC depletion caused an increase in both the number of cells containing granules and the number of apoptotic cells. Consistent with the increase in Htt aggregation, PrPC depletion caused an decrease in proteasome activity and a decrease in the activities of cellular defense enzymes compared with control cells whereas reactive oxygen species (ROS) increased more than threefold. Therefore, PrPC may protect against Htt toxicity in neuronal cells by increasing cellular defense proteins, decreasing ROS and increasing proteasome activity thereby increasing Htt degradation. Depletion of endogenous PrPC in non-neuronal Caco-2 and HT-29 cells did not affect ROS levels or proteasome activity suggesting that only in neuronal cells does PrPC confer protection against Htt toxicity. The protective effect of PrPC was further evident in that overexpression of mouse PrPC in SN56 cells transfected with Htt caused a decrease in both the number of cells with Htt granules and the number of apoptotic cells, whereas there was no effect of PrPC expression in non-neuronal NIH3T3 or CHO cells. Finally, in chronically scrapie (PrPSc)-infected cells, ROS increased more than twofold while proteasome activity was decreased compared to control cells. Although this could be a direct effect of PrPSc, it is also possible that, since PrPC specifically prevents pathological protein aggregation in neuronal cells, partial loss of PrPC itself increases PrPSc aggregation.
C. elegansDisabled is required for cell-type specific endocytosis and is essential in animals lacking the AP-3 adaptor complex
Authors: Holmes Alex , Flett Aileen , Coudreuse Damien , Korswagen Hendrik C. , Pettitt Jonathan
Published: July 2007

Disabled proteins are a conserved family of monomeric adaptor proteins that in mammals are implicated in the endocytosis of lipoprotein receptors. Previous studies have shown that the sole Caenorhabditis elegans Disabled homologue, DAB-1, is involved in the lipoprotein receptor-mediated secretion of a fibroblast growth factor. We show here that DAB-1 is essential for the uptake of yolk protein by developing oocytes, and for the localisation of the yolk receptor RME-2. The localisation of DAB-1 in oocytes is itself dependent upon clathrin and AP2, consistent with DAB-1 acting as a clathrin-associated sorting protein during yolk protein endocytosis. DAB-1 is also required for the endocytosis of molecules from the pseudocoelomic fluid by the macrophage-like coelomocytes, and is broadly expressed in epithelial tissues, consistent with a general role in receptor-mediated endocytosis. We also show that dab-1 mutations are synthetic lethal in combination with loss-of-function mutations affecting the AP-1 and AP-3 complexes, suggesting that the reduced fluid and membrane uptake exhibited by dab-1 mutants sensitises them to defects in other trafficking pathways.
An NGF-induced Exo70-TC10 complex locally antagonises Cdc42-mediated activation of N-WASP to modulate neurite outgrowth
Authors: Pommereit Dagmar , Wouters Fred S.
Published: July 2007

NGF-induced differentiation of PC12 cells is mediated by actin-polymerisation-driven membrane protrusion, involving GTPase signalling pathways that activate actin nucleation promoting factors such as the neural Wiskott-Aldrich syndrome protein (N-WASP). Expression of the exocyst subunit Exo70 in PC12 cells and neurons leads to the generation of numerous membrane protrusions, an effect that is strongly potentiated upon NGF-induced differentiation. Förster resonance energy transfer (FRET) imaging by fluorescence lifetime microscopy (FLIM) reveals an NGF-induced interaction of activated TC10 with Exo70. Expression of dominant-negative mutants and siRNA-mediated knockdown implicates N-WASP in NGF-induced Exo70-TC10-mediated membrane protrusion. However, FRET imaging of N-WASP activation levels of cells expressing Exo70 and/or constitutively active TC10 reveals that this complex locally antagonises the NGF-induced activation of N-WASP in membrane protrusions. Experiments involving siRNA-mediated knockdown of Cdc42 and overexpression of constitutively active Cdc42 confirm that the Exo70-TC10 complex mainly targets the NGF-induced Cdc42-dependent activation of N-WASP. Our results show that Exo70 is responsible for the correct targeting of the Exo70-TC10 complex to sites of membrane protrusion. The functional uncoupling between both pathways represents a novel regulatory mechanism that enables switching between morphologically distinct – Cdc42- or TC10-dominated – forms of cellular membrane outgrowth.
An Analysis of the Out-of-Hours Demand and Treatment Provided by a General Dental Practice Rota over a Five-Year Period
Authors: Portman-Lewis Simon
Published: July 2007

Objective

To obtain information about the frequency of call-outs, relative frequency of different types of dental emergencies that presented, and treatment provided between 1999 and 2003 by an out-of-hours on-call rota run by a cooperative of 12 dentists in Herefordshire.

Method

A retrospective analysis was undertaken of the data recorded in the on-call log of the cooperative from March 1999 to December 2003. Data recorded were: date of call, time of call, dentist on call, contract type (National Health Service, Denplan, other capitation scheme, private fee-per-item-of-service, or unregistered), time seen, nature of complaint and treatment provided.

Results

The log produced 1070 usable entries. The gender mix of patients seeking care was 61% female and 39% male. Most call-outs were on Saturday; the next most frequent days were Sunday and Friday. The most common presenting complaint was ‘toothache’ in the form of acute pulpitis or periapical periodontitis, which together accounted for 52.3% of all calls. The next most frequent complaints were: broken or lost tooth, lost or fractured restorations and fractured teeth, which accounted for a further 27.7% of all calls. The most serious presenting complaints, avulsion or postoperative bleeding, accounted for 0.5% and 1.3% of the calls, respectively. One hundred and ninety-six (18.3%) of the callers were not subsequently seen in person, 39 of whom were not seen because they were private patients who declined to pay the call-out fee. The other 157 unseen patients (14.7%) appeared to be happy just to receive advice over the telephone. Of patients who were seen, 62.9% were seen within one hour and only 9.2% waited longer than two hours. Some patients who telephoned late on a Friday or Saturday were happy to wait until the next morning.

Conclusions

The most common dental emergency with which patients presented at an emergency rota service was periapical periodontitis, followed by pulpitis and fractured tooth. The treatments most commonly provided were extirpation of the pulp, temporary dressing or advice only.
Endpoint Stiffness of the Arm Is Directionally Tuned to Instability in the Environment
Authors: Franklin David W. , Liaw Gary , Milner Theodore E. , Osu Rieko , Burdet Etienne , Kawato Mitsuo
Published: July 2007

It has been shown that humans are able to selectively control the endpoint impedance of their arms when moving in an unstable environment. However, directional instability was only examined for the case in which the main contribution was from coactivation of biarticular muscles. The goal of this study was to examine whether, in general, the CNS activates the sets of muscles that contribute to selective control of impedance in particular directions. Subjects performed reaching movements in three differently oriented unstable environments generated by a robotic manipulandum. After subjects had learned to make relatively straight reaching movements in the unstable force field, the endpoint stiffness of the limb was measured at the midpoint of the movements. For each force field, the endpoint stiffness increased in a specific direction, whereas there was little change in stiffness in the orthogonal direction. The increase in stiffness was oriented along the direction of instability in the environment, which caused the major axis of the stiffness ellipse to rotate toward the instability in the environment. This study confirms that the CNS is able to control the endpoint impedance of the limbs and selectively adapt it to the environment. Furthermore, it supports the idea that the CNS incorporates an impedance controller that acts to ensure stability, reduce movement variability, and reduce metabolic cost.
The Operating Point of the Cortex: Neurons as Large Deviation Detectors
Authors: Ringach Dario L. , Malone Brian J.
Published: July 2007

Spiking neurons translate analog intracellular variables into a sequence of action potentials. A simplified model of this transformation is one in which an underlying “generator potential,” representing a measure of overall neuronal drive, is passed through a static nonlinearity to produce an instantaneous firing rate. An important question is how adaptive mechanisms adjust the mean and SD of the generator potential to define an “operating point” that controls spike generation. In early sensory pathways adaptation has been shown to rescale the generator potential to maximize the amount of transmitted information. In contrast, we demonstrate that the operating point in the cortex is tuned so that cells respond only when the generator potential executes a large excursion above its mean value. The distance from the mean of the generator potential to spike threshold is, on average, 1 SD of the ongoing activity. Signals above threshold are amplified linearly and do not reach saturation. The operating point is adjusted dynamically so that it remains relatively invariant despite changes in stimulus contrast. We conclude that the operating regimen of the cortex is suitable for the detection of signals in background noise and for enhancing the selectivity of spike responses relative to those of the generator potential (the so-called “iceberg effect”), but not to maximize the transmission of total information.
Presynaptic Contributions of Chordin to Hippocampal Plasticity and Spatial Learning
Authors: Sun Mu , Thomas Mark J. , Herder Rachel , Bofenkamp M. Lisa , Selleck Scott B. , O'Connor Michael B.
Published: July 2007

Recently, several evolutionary conserved signaling pathways that play prominent roles in regulating early neurodevelopment have been found to regulate synaptic remodeling in the adult. To test whether adult neuronal expression of bone morphogenic protein (BMP) signaling components also plays a postnatal role in regulating neuronal plasticity, we modulated BMP signaling in mice bothin vivoandin vitroby genetic removal of the BMP inhibitor chordin or by perfusing recombinant BMP signaling pathway components onto acute hippocampal slices. Chordin null mice exhibited a significant increase in presynaptic transmitter release from hippocampal neurons, resulting in enhanced paired-pulse facilitation and long-term potentiation. These mice also showed a decreased acquisition time in a water maze test along with less exploratory activity during Y-maze and open-field tests. Perfusion of BMP ligands onto hippocampal slices replicated the presynaptic phenotype of chordin null slices, but bath application of Noggin, another antagonist of BMP signaling pathway, significantly decrease the frequency of miniature EPSCs. These results demonstrate that the BMP signaling pathway contributes to synaptic plasticity and learning likely through a presynaptic mechanism.
Loss of Metabotropic Glutamate Receptor-Dependent Long-Term Depression via Downregulation of mGluR5 after Status Epilepticus
Authors: Kirschstein Timo , Bauer Michel , Müller Lorenz , Rüschenschmidt Christiane , Reitze Margit , Becker Albert J. , Schoch Susanne , Beck Heinz
Published: July 2007

Synaptic plasticity is thought to be a key mechanism of information storage in the CNS. Different forms of synaptic long-term potentiation have been shown to be impaired in neurological disorders. Here, we show that metabotropic glutamate receptor (mGluR)-dependent long-term depression (LTD), but not NMDA receptor-dependent LTD at Schaffer collateral–CA1 synapses, is profoundly impaired after status epilepticus. Brief application of the group I mGluR agonist (R,S)-3,5-dihydroxyphenylglycine (100 μm; 5 min) induced mGluR LTD in control, but not in pilocarpine-treated rats. Experiments in the presence of selective inhibitors of either mGluR5 [2-methyl-6-(phenylethynyl)-pyridine] or mGluR1 [7-(hydroxyimino)cyclopropachromen-carboxylate ethyl ester and (S)-(+)-α-amino-4-carboxy-2-methylbenzeneacetic acid] demonstrate that loss of mGluR LTD is most likely attributable to a loss of mGluR5 function. Quantitative real-time reverse transcription PCR revealed a specific downregulation of mGluR5 mRNA, but not of mGluR1 mRNA in the CA1 region. Furthermore, we detected a strong reduction in mGluR5 protein expression by immunofluorescence and quantitative immunoblotting. Additionally, the scaffolding protein Homer that mediates coupling of mGluR5 to downstream signaling cascades was downregulated. Thus, we conclude that the reduction of mGluR LTD after pilocarpine-induced status epilepticus is the result of the subtype-specific downregulation of mGluR5 and associated downstream signaling components.
Selective extinction of late Neogene bivalves on the temperate Pacific coast of South America
Authors: Rivadeneira Marcelo M. , Marquet Pablo A.
Published: July 2007

We assessed selective extinction patterns in bivalves during a late Neogene mass extinction event observed along the temperate Pacific coast of South America. The analysis of 99 late Neogene and Quaternary fossil sites (recorded from 7°S to 55°S), yielding ∼2800 occurrences and 118 species, revealed an abrupt decline in Lyellian percentages during the late Neogene–Pleistocene, suggesting the existence of a mass extinction that decimated ∼66% of the original assemblage. Using the late Neogene data set (n= 59 species, 1346 occurrences), we tested whether the extinction was nonrandom according to taxonomic structure, life habit, geographic range, and body size. Our results showed that the number of higher taxa that went extinct was not different than expected by random. At first sight, extinction was selective only according to life habit and geographic range. Nevertheless, when phylogenetic effects were accounted for, body size also showed significant selectivity. In general, epifaunal, small-sized (after phylogenetic correction), and short-ranged species tended to have increased probability of extinction. This is verified by strong interactions between the variables herein analyzed, suggesting the existence of nonlinear effects on extinction chances. In the heavily decimated epifaunal forms, survival was not enhanced by widespread ranges or larger body sizes. Conversely, the widespread and large-sized infaunal forms tended to have lower probability of extinction. Overall, the ultimate extinction of late Neogene bivalve species along the Pacific coast of South America seems to have been determined by a complex interplay of ecological and historical (phylogenetic) effects.
VIBRIO AND PHYTOPLANKTON DYNAMICS DURING THE SUMMER OF 2004 IN A EUTROPHYING ESTUARY
Authors: Hsieh Jennifer L. , Fries J. Stephen , Noble Rachel T.
Published: July 2007

Bacterioplankton response to eutrophication is a critical part of the transition from phytoplankton blooms to bottom‐water hypoxia in estuaries. This topic is of particular concern when endemic bacterial populations, such as Vibrio sp., may pose a health risk to local human populations using estuaries for recreation and food. The purpose of this study was to observe the dynamics of both Vibrio and phytoplankton in the Neuse River Estuary (NRE) in North Carolina, USA, during the summer of 2004. Vibrio concentrations, particle suspension characteristics, and chlorophyll a were measured in surface water collected at a series of stations along the estuarine gradient. Consistent with previous studies, a strong positive relationship between Vibrio concentration and salinity was found. Both Vibrio sp. and phytoplankton concentrations increased moving downstream, but beyond the salt front, phytoplankton declined while Vibrio sp. concentrations continued to increase. In surface waters, a large portion of suspensions was comprised of phytoplankton cells. The fraction of Vibrio cells attached to phytoplankton increased with phytoplankton concentration and decreased with increasing salinity. These observations of Vibrio dynamics in the NRE provide evidence that populations interact with phytoplankton populations in surface waters. This information may prove critical for models of estuarine bacterial dynamics in response to eutrophication.
ARTIFICIAL NEURAL NETWORK ANALYSIS OF FACTORS CONTROLLING ECOSYSTEM METABOLISM IN COASTAL SYSTEMS
Authors: Rochelle-Newall Emma. J. , Winter Christian , Barrón Cristina , Borges Alberto V. , Duarte Carlos M. , Elliott Mike , Frankignoulle Michel , Gazeau Fred , Middelburg Jack J. , Pizay Marie-Dominique , Gattuso Jean-Pierre
Published: July 2007

Knowing the metabolic balance of an ecosystem is of utmost importance in determining whether the system is a net source or net sink of carbon dioxide to the atmosphere. However, obtaining these estimates often demands significant amounts of time and manpower. Here we present a simplified way to obtain an estimation of ecosystem metabolism. We used artificial neural networks (ANNs) to develop a mathematical model of the gross primary production to community respiration ratio (GPP:CR) based on input variables derived from three widely contrasting European coastal ecosystems (Scheldt Estuary, Randers Fjord, and Bay of Palma). Although very large gradients of nutrient concentration, light penetration, and organic‐matter concentration exist across the sites, the factors that best predict the GPP:CR ratio are sampling depth, dissolved organic carbon (DOC) concentration, and temperature. We propose that, at least in coastal ecosystems, metabolic balance can be predicted relatively easily from these three predictive factors. An important conclusion of this work is that ANNs can provide a robust tool for the determination of ecosystem metabolism in coastal ecosystems.
Swiftlase Inferior Turbinoplasty
Authors: Papadakis Chariton E. , Skoulakis Charalambos E. , Nikolidakis Antonios A. , Velegrakis George A. , Bizakis John G. , Helidonis Emmanuel S.
Published: July 2007

The hypertrophied inferior turbinates are responsible for nasal obstruction in patients with chronic rhinitis. Several methods have been applied to solve this problem. Recently, laser methods have produced good results. We present the management of 387 patients with hypertrophy of the inferior turbinates mucosa, using CO2 laser in combination with the Swiftlase apparatus. CO2 laser energy delivered through the Swiftlase apparatus provides a char-free ablation of a superficial tissue layer. Swiftlase is easily installed onto the existing CO2 laser units and provides a high-power density. The 1-year postoperative follow-up revealed good results in 261 (81%) of 321 patients, thus establishing CO2 laser in combination with the Swiftlase apparatus as a promising new approach for the management of inferior turbinate hypertrophy. CO2 laser energy delivered through the Swiftlase apparatus offers a treatment modality capable of achieving excellent results in hypertrophy of the inferior turbinates with minimal morbidity.
Endoscopic Management of Sinonasal Inverted Papilloma
Authors: Tufano Ralph P. , Thaler Erica R. , Lanza Donald C. , Goldberg Andrew N. , Kennedy David W.
Published: July 2007

Since 1992, 42 patients at the University of Pennsylvania have been treated for inverted papilloma (IP). Thirty-three patients were managed endoscopically with or without a Caldwell Luc approach (CLA) and retrospectively analyzed. The CLA, which involves a gingivobuccal incision for access to the maxillary sinus, is distinguished from a formal Caldwell Luc procedure. These 33 patients with histologically confirmed IP were without evidence of malignancy. They also did not have evidence of intracranial, orbital, or frontal sinus IP. Seventeen of 33 patients (17/33) were without prior treatment (primary). Sixteen of 33 (16/33) presented from an outside institution with recurrent IP (secondary). The recurrence rate using this method to treat primary IP was 6% (1/17), and for secondary IP was 25% (4/16). Scheduled postoperative endoscopic surveillance permitted early detection of recurrence and continued endoscopic control of IP. All 33 patients were endoscopically free of disease at the end of the study. These preliminary data are encouraging for the use of intranasal endoscopy with and without CLA as a means of managing and controlling IP in selected cases.
Image-Guided Transnasal Endoscopic Surgery of the Paranasal Sinuses and Anterior Skull Base
Authors: Neumann Alfred M. , Pasquale-Niebles Kimberly , Bhuta Tarika , Sillers Michael J.
Published: July 2007

Image-guided surgery represents a new technology with applicability to patients undergoing functional endoscopic sinus surgery for medically refractory rhinosinusitis. It also shows promise in helping to safely expand minimally invasive transnasal endoscopic techniques for nonrhinosinusitis diagnoses of the paranasal sinuses, orbits, and anterior skull base. This report discusses the application of the InstaTrak, a commercially available image-guided surgical navigation system, in 109 consecutive operations. The device was useful for localization to within less than 3 mm in 106 (98%) cases. In the remaining three (2%) surgeries where the perceived accuracy was not within 3 mm, the device was not used. The acquisition of radiographic data, operating room set-up, intraoperative localization and complications, and indications for surgical navigation will be discussed.
A Pragmatic Neurological Screen for Patients With Suspected Cord Compressive Myelopathy
Authors: Cook Chad E , Hegedus Eric , Pietrobon Ricardo , Goode Adam
Published: July 2007

Physical therapists commonly use screening tests to identify upper motoneuron lesions such as cord compressive myelopathy (CCM), the presence of which necessitates appropriate medical referral. Signs and symptoms of CCM include sensory and ataxic changes of the lower extremities, poorly coordinated gait, weakness, tetraspasticity, clumsiness, spasticity, hyperreflexia, and primitive reflexes. Clinical tests and measures such as Hoffmann sign, clonus, Lhermitte sign, the grip and release test, the finger escape sign, the Babinski test, and the inverted supinator sign have historically been used as screens for CCM. For effectiveness as a screen, a clinical test or measure should demonstrate high sensitivity. Diagnostic accuracy studies have shown that clinical tests and measures for CCM often display low sensitivity, indicating that a negative finding may falsely suggest the absence of a condition or disease that actually is present. To counter the low levels of sensitivity, screening should include a combination of a thorough patient history, recognition of and appropriate referral for cauda equina symptoms, and clusters of any pertinent contributory tests and measures.
Biomechanical Considerations for Cycling Interventions in Rehabilitation
Authors: Johnston Therese E
Published: July 2007

Individuals with physical disabilities may benefit from cycling interventions, which could address impairments while potentially minimizing stress on joints. Improvements in impairments may then have an impact on mobility, activity, and participation. Cycling studies with adults and children who are healthy have shown that many factors can influence the biomechanics of cycling. These factors include seat height, crank arm length, foot position, cadence, and workload. Knowledge of these factors is important for rehabilitation professionals who prescribe cycling as an intervention for individuals with disabilities, because changing these factors can potentially influence the therapeutic outcomes. In addition, further research is needed to fully understand the effect of these factors on individuals with disabilities.
Locomotor Training Within an Inpatient Rehabilitation Program After Pediatric Incomplete Spinal Cord Injury
Authors: Prosser Laura A
Published: July 2007

Background and Purpose: The outcomes of intense locomotor training after incomplete spinal cord injury (SCI) have been described in adults with acute and chronic injuries and with various levels of ambulatory function. This case report describes a comprehensive inpatient rehabilitation program with a locomotor training component in a child with a severe incomplete SCI.

Case Description: A 5-year-old girl injured at C4 participated in locomotor training for 5 months during inpatient rehabilitation.

Outcomes: The patient's Functional Independence Measure for Children II (WeeFIM II) mobility score increased from 5/35 to 21/35. Her Walking Index for Spinal Cord Injury II (WISCI II) score improved from 0 to 12. The patient returned to walking in the community with assistive devices.

Discussion: It is feasible to include an intense locomotor training program in the clinical rehabilitation setting for a child with a severe SCI, and the outcomes were consistent with results in adults. Further investigation with experimental designs and more participants will determine the extent to which this intervention benefits the pediatric population with SCI.
Berg Balance Scale: Intrarater Test-Retest Reliability Among Older People Dependent in Activities of Daily Living and Living in Residential Care Facilities
Authors: Conradsson Mia , Lundin-Olsson Lillemor , Lindelöf Nina , Littbrand Håkan , Malmqvist Lisa , Gustafson Yngve , Rosendahl Erik
Published: July 2007

Background and Purpose: The Berg Balance Scale (BBS) is frequently used to assess balance in older people, but knowledge is lacking about the absolute reliability of BBS scores. The aim of this study was to investigate the absolute and relative intrarater test-retest reliability of data obtained with the BBS when it is used among older people who are dependent in activities of daily living and living in residential care facilities.

Subjects: The participants were 45 older people (36 women and 9 men) who were living in 3 residential care facilities. Their mean age was 82.3 years (SD=6.6, range=68–96), and their mean score on the Mini Mental State Examination was 17.5 (SD=6.3, range=4–30).

Methods: The BBS was assessed twice by the same assessor. The intrarater test-retest reliability assessments were made at approximately the same time of day and with 1 to 3 days in between assessments. Absolute reliability was calculated using an analysis of variance with a 95% confidence level, as suggested by Bland and Altman. Relative reliability was calculated using the intraclass correlation coefficient (ICC).

Results: The mean score was 30.1 points (SD=15.9, range=3–53) for the first BBS test and 30.6 points (SD=15.6, range=4–54) for the retest. The mean absolute difference between the 2 tests was 2.8 points (SD=2.7, range=0–11). The absolute reliability was calculated as being 7.7 points, and the ICC was calculated to .97.

Discussion and Conclusion: Despite a high ICC value, the absolute reliability showed that a change of 8 BBS points is required to reveal a genuine change in function among older people who are dependent in activities of daily living and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time in this group of older people.
Effect of Nickel Administration in vivo on the Testicular Structure in Male Mice
Authors: Massányi P. , Lukáč N. , Zemanová J. , Makarevich A. V. , Chrenek P. , Cigánková V. , Flešárová S. , Toman R. , Forgács Zs. , Somosy Z. , Lazor P.
Published: July 2007

The aim of this study was to describe the effects of nickel (NiCl2) on murine testicular structure. Experimental animals were injected intraperitoneally with a single dose of 20 mg NiCl2 per kg of body mass (group A, n = 5) and 40 mg NiCl2 per kg b. m. (group B, n = 5). The group without injection (n = 5) was the control (C). Animals were killed 48 hours after administration of nickel. The body mass of animals, the mass of testes and the testes : body mass ratio were not significantly affected. In both experimental groups a significant (p < 0.001) decrease of germinal epithelium in comparison with control group was observed. The relative volume of the interstitium was increased but not significantly in both experimental groups. An increase in the relative volume of the lumen was registered in both experimental groups in comparison with the control group. The qualitative analysis detected a dilatation of blood vessels in the interstitium, undulation of the basal membrane and several empty spaces in the germinal epithelium. The diameter (n = 150) of the seminiferous tubule was markedly (p < 0.05) decreased in both experimental groups (A, B) compared to control group. The height of the germinal epithelium showed a significant decrease (p < 0.05 - 0.001) after nickel administration. Evaluation of the lumen diameter in the seminiferous tubule showed a significant increase in both experimental groups. The data of the perimeter of seminiferous tubules corresponded with those of the seminiferous tubule diameter. TUNEL assay detected a higher frequency of localized apoptosis in the interstitium of nickel-administered animals compared to control group. Our findings clearly suggest a negative effect of nickel on the structure as well as on the function of the seminferous epithelium at the site of spermatozoa production.
Western Blot Analysis of the IgG-Antibody Response to Acid- Glycine-Extracted Antigens from Campylobacter fetus subsp. fetus and C. jejuni in Naturally Infected Sheep
Authors: Gürtürk K. , Ekin I. H. , Arslan A.
Published: July 2007

IgG-antibody response in aborting sheep and in apparently healthy sheep in a flock against acidglycine- extracted antigens from three strains for each C. fetus subsp. fetus and C. jejuni were analysed by Western blot. One strain of C. fetus subsp. fetus was isolated from aborting sheep. Western blot analysis of the sera revealed the presence of IgG antibody binding to the common antigens including proteins with the Mw of 63 kDa and 54 kDa in extracts from both C. fetus subsp. fetus and C. jejuni strains. In addition, IgG antibodies in sera from aborting sheep reacted more strongly with the antigens from C. fetus subsp. fetus strains with Mw of approximately 100, 95 and 86.5 kDa than those of apparently healthy sheep. The binding profile of the antibodies with these antigens appeared to be unique for each C. fetus subsp. fetus strain. On the other hand, IgG antibodies only in sera from aborting sheep recognized strongly the antigens of each C. fetus subsp. fetus strain at the Mw ranged from approximately 26 to 22 kDa. However, the antigenic components between 26 and 22 kDa were not detectable in coomassie blue stained gel and thought to have non-protein nature. These low molecular weight antigens of C. fetus subsp. fetus may be related to a recent infection in aborting sheep. These observations indicate that such speciesspecific antigens or conjugated protein antigens could be used for improving the specificity of the serological tests to detect C. fetus antibodies in sheep sera, and may be the candidates for subunit vaccines against ovine abortion.
Chondrocytic Potential of Allogenic Mesenchymal Stem Cells Transplanted without Immunosuppression to Regenerate Physeal Defect in Rabbits
Authors: Gál P. , Nečas A. , Plánka L. , Kecová H. , Křen L. , Krupa P. , Hlučilová J. , Usvald D.
Published: July 2007

Mesenchymal stem cells (MSCs) from bone marrow are multipotent cells capable of forming cartilage, bone, and other connective tissues. The objective of this study was to determine whether the use of allogenic mesenchymal stem cells could functionally heal a defect in the distal femoral physis in rabbits without the use of immunosuppressive therapy. A iatrogenic defect was created in the lateral femoral condyle of thirty-two New Zealand white rabbits, 7 weeks old, weighing 2.25 ± 0.24 kg. Each defect, 3.5 mm in width and 12 mm in length, in the right distal femoral physis was treated with allogenic mesenchymal stem cells in new composite hyaluronate/collagen type I/fibrin scaffold. The healing response was evaluated radiographically, by MRI (three weeks and four months after implantation) and also histologically, by Pearl’s reaction and with immunofluorescence (four months after implantation). The results were compared with the data for the control defects (without stem cell implantation) in left distal femoral physes. On average, right femurs with a damaged distal physis and transplanted MSCs grew more in length (0.55 ± 0.21 cm) compared with left femurs with a physeal defect without stem cell transplantation (0.46 ± 0.23 cm). Valgus deformity of right femurs with a physeal defect and transplanted MSCs was mild (0.2 ± 0.1 °). On the contrary, left femurs with a physeal defect without transplanted MSCs showed a significant valgus deformity (2.7 ± 1.6 °). For defects treated with allogenic mesenchymal stem cell implants, no adverse immune response and implant rejection were detected in this model. Histologically, no lymphocytic infiltration occurred. At four months after transplantation, hyaline cartilage had formed throughout the defects treated with allogenic MSCs. Labelled mesenchymal stem cells/differentiated chondrocytes were detected in the physeal defects based on magnetic resonance imaging and immunofluorescence. The results of this study demonstrated that allogenic mesenchymal stem cells in a new composite hyaluronate/collagen type I/fibrin scaffold repaired iatrogenic defects in the distal femoral physes in rabbits without the use of immunosuppressive therapy. The use of allogenic mesenchymal stem cells for the repair of physeal defects may be an alternative to autologous MSCs transplantation. An allogenic approach would enable mesenchymal stem cells to be isolated from any donor, providing a readily available source of cells for cartilage tissue repair.
Effects of Different Oxygen Saturation on Activity of Complex Biomass and Aqueous Crude Extract of Cyanobacteria During Embryonal Development in Carp (Cyprinus carpio L.)
Authors: Palíková M. , Krejčí R. , Hilscherová K. , Burýšková B. , Babica P. , Navrátil S. , Kopp R. , Bláha L.
Published: July 2007

This study evaluates the effects of different oxygen concentrations on the toxicity of complex cyanobacterial biomass and aqueous extract of two cyanobacterial samples (prepared with regard to the content of the most studied cyanobacterial toxin microcystin: biomass 1 with the content of microcystins 2 560 μg l-1 of dry weight and biomass 2 with the content of microcystins 70 μg l-1 of dry weight, i.e. almost 37-times lower concentration) during embryonal development of carp (Cyprinus carpio). Effects of complex biomass and aqueous extract were tested at concentrations 120, 80 and 40 mg l-1 in four replicates, two of them aerated and two without aeration. The studied endpoints included the beginning and the end of embryo hatching, the presence of eye points at 48 h after fertilization, filling of air bladder, cumulative mortality and glutathione-S-transferase (GST) activities in surviving embryos. There was a significant increase in mortality in all variants without aeration after exposure to cyanobacterial biomass and aqueous extract (p < 0.01). The variants with aeration at greater cyanobacterial concentrations also lead to a significant mortality increase (p < 0.05). There was a decreased number of hatched embryos or no hatching at all in the non-aerated exposure variants for both biomasses. The lack of eye pigmentation 48 h after fertilization was observed at biomass concentrations of 120 and 80 mg l-1 for all non-aerated biomass exposures. There were fewer individuals with filled air bladder at the greatest tested concentrations of the complex biomass (biomass 1 and 2) and concentration of 80 mg l-1 (biomass 1) in the aerated variants. The activity of detoxification enzyme GST was studied during the experiment. GST activity was increased in treatments compared to control group in all aerated variants, but the changes were not always significant. The results of the conducted experiments clearly showed the important impact of oxygen saturation in water on the extent of cyanobacterial biomass toxicity. Mortality of fish eggs and embryos in experimental groups without aeration was significantly higher than in groups with aeration. Apart from the influence of toxic substances contained in the cyanobacterial biomass and the crude extract, oxygen deficiency affected the mortality in the groups without aeration.