July 23, 2011

Pages 30-3

Effectiveness of a Web-Based Colorectal Cancer Screening Patient Decision Aid: A Randomized Controlled Trial in a Mixed-Literacy Population

Colorectal cancer (CRC) screening reduces mortality yet remains underutilized. Low health literacy may contribute to this underutilization by interfering with patients’ ability to understand and receive preventive health services

Phase II double-blind placebo-controlled randomized study of armodafinil for brain radiation-induced fatigue

BACKGROUND: Common acute-term side effects of brain radiotherapy (RT) include fatigue, drowsiness, decreased physical functioning, and decreased quality of life (QOL). We hypothesized that armodafinil (a wakefulness-promoting drug known to reduce fatigue and increase cognitive function in breast cancer patients receiving chemotherapy) would result in reduced fatigue and sleepiness for patients receiving brain RT. METHODS: A phase II, multi-institutional, placebo-controlled randomized trial assessed feasibility of armodafinil 150 mg/day in participants receiving brain RT, from whom we obtained estimates of variability for fatigue, sleepiness, QOL, cognitive function, and treatment effect. RESULTS: From September 20, 2010, to October 20, 2012, 54 participants enrolled with 80% retention and 94% self-reported compliance. There were no grade 4-5 toxicities, and the incidence of grade 2-3 toxicities was similar between treatment arms, the most common of which were anxiety and nausea (15%), headaches (19%), and insomnia (20%). There were no statistically significant differences in end-RT or 4 week post-RT outcomes between armodafinil and placebo in any outcomes (Functional Assessment of Chronic Illness Therapy [FACIT]-Fatigue, Brief Fatigue Inventory, Epworth Sleepiness Scale, FACT-Brain, and FACIT-cognitive function). However, in participants with more baseline fatigue, those treated with armodafinil did better than those who received the placebo on the end-RT assessments for several outcomes. CONCLUSION: Armodafinil 150 mg/day was well tolerated in primary brain tumor patients undergoing RT with good compliance. While there was no overall significant effect on fatigue, those with greater baseline fatigue experienced improved QOL and reduced fatigue when using armodafinil. These data suggest that a prospective, phase III randomized trial is warranted for patients with greater baseline fatigue

Eccentric contractions induce rapid isometric torque drop in dystrophin-deficient dogs

We tested the hypothesis that eccentric contractions (ECCs) rapidly induce greater-than-normal isometric torque drop in dystrophin-deficient golden retriever muscular dystrophy (GRMD) muscles. ECCs were imposed by forcibly stretching activated muscles. The results indicate that isometric torque drop was greater in GRMD versus controls (P < 0.0001). Our findings support the hypothesis that ECCs induce greater-than-normal isometric torque drop in GRMD muscles. The magnitude of ECC-induced isometric torque loss may be an ideal clinical endpoint in the GRMD model

Mutagenicity of Ochratoxin A and Its Hydroquinone Metabolite in the SupF Gene of the Mutation Reporter Plasmid Ps189

Ochratoxin A (OTA) is a mycotoxin that enhances renal tumor formation in the outer medulla of male rat kidney. Direct DNA damage and subsequent mutagenicity may contribute to these processes. In this study we have determined whether OTA in the absence or presence of activated rat liver microsomes (RLM) or redox-active transition metals (Fe(III) or Cu(II)) causes promutagenic DNA damage in the supF gene of the mutation reporter plasmid pS189 replicating in human Ad293 cells. In addition, we have assessed the mutagenicity of the hydroquinone metabolite (OTHQ) of OTA in the absence or presence of cysteine without added cofactors. Our results show that oxidation of OTA, either by RLM or by transition metal ions, activates OTA to a directly genotoxic mutagen(s). The Fe(III)/OTA system was the most potent mutagen in our experimental system, causing a 32-fold increase in mutant fraction (MF) above the spontaneous control MF. The Cu(II)/OTA system caused a 9-fold increase in MF, while a 6–10-fold increase in MF was observed for OTA in the presence of RLM. The OTHQ metabolite is also mutagenic, especially in the presence of cysteine, in which a 6-fold increase in MF was observed. Our data provide further insight into OTA bioactivation that may account for its in vivo mutagenicity in male rat kidney

Veloce Rosso: Australia's new precision radial velocity spectrograph

Veloce is an ultra-stable fibre-fed R4 echelle spectrograph for the 3.9 m Anglo-Australian Telescope. The first channel to be commissioned, Veloce ‘Rosso’, utilises multiple low-cost design innovations to obtain Doppler velocities for sun-like and M-dwarf stars at 75,000 spectra over a 580-930 nm range for the Rosso channel. Simultaneous calibration is provided by a single-mode pulsed laser frequency comb in tandem with a traditional arc lamp. A bundle of 19 object fibres ensures full sampling of stellar targets from the AAT site. Veloce is housed in dual environmental enclosures that maintain positive air pressure at a stability of ±0.3 mbar, with a thermal stability of ±0.01 K on the optical bench. We present a technical overview and early performance data from Australia's next major spectroscopic machine

When a Standard Candle Flickers

The Crab is the only bright steady source in the X-ray sky. The Crab consists of a pulsar wind nebula, a synchrotron nebula, and a cloud of expanding ejecta. On small scales, the Crab is extremely complex and turbulent. X-ray astronomers have often used the Crab as a standard candle to calibrate instruments, assuming its spectrum and overall flux remains constant over time. Four instruments (Fermi/GBM, RXTE/PCA, Swift/BAT, INTEGRAL/ISGRI) show a approx.5% (50 m Crab) decline in the Crab from 2008-2010. This decline appears to be larger with increasing energy and is not present in the pulsed flux, implying changes in the shock acceleration, electron population or magnetic field in the nebula. The Crab is known to be dynamic on small scales, so it is not too surprising that its total flux varies as well. Caution should be taken when using the Crab for in-orbit calibrations

All-Sky Monitoring of Variable Sources with Fermi GBM

This slide presentation reviews the monitoring of variable sources with the Fermi Gamma Ray Burst Monitor (GBM). It reviews the use of the Earth Occultation technique, the observations of the Crab Nebula with the GBM, and the comparison with other satellite's observations. The instruments on board the four satellites indicate a decline in the Crab from 2008-2010