Review of contraceptive use among women seeking for repeat termination of pregnancy in Hong Kong

Termination of pregnancy (TOP) is one of the commonly performed gynaecological procedures. We carried out this retrospective review to study the contraceptive practice among women seeking for first-time versus repeat TOPs. We analysed the data of 596 women attending the Family Planning Association of Hong Kong for TOP during January to March 2005. Among them, 340 (57.0%) of cases were seeking first-time TOP, 161 (27.0%) were undergoing second TOP, and 95 (15.9%) undergoing TOP for the third or more times. Overall, 43% of the cases under review were having repeat …postprin

An integrative bioinformatic approach for identifying subtypes and subtype-specific drivers in cancer

Cancer is a complex disease and within a cancer, subtypes of patients with distinct behaviors often exist. The subtypes might have been caused by different hits, such as copy number aberrations (CNAs) and point mutations, on different pathways/cells-of-origin in a common tissue/organ. Identifying the subtypes with subtype-specific drivers, i.e., hits, is key to the understanding of cancer and development of novel treatments. Here, we report the development of an integrative method to identify the subtypes of cancer. Specifically, we consider CNAs and their impact on gene expressions. Based on these relations, we propose an iterative approach that alternates between kernel based gene expression clustering and gene signature selection. We applied the method to datasets of the pediatric cancer medulloblastoma (MB). The consensus number of clusters quickly converges to three; and for each of these three subtypes, the signature detection also converges to a consistent set of a few hundred highly functionally related genes. For each of the subtypes, we correlate its signature with the set of within-subtype recurrent CNA-affected genes for identifying drivers. The top-ranked driver candidates are found to be enriched with known pathways in certain subtypes of MB as well as containing novel genes that might reveal new understandings for other subtypes.published_or_final_versionThe 2012 IEEE Symposium on Computational Intelligence in Bioinformatics and Computational Biology (CIBCB’12), San Diego, CA., 9-12 May 2012. In IEEE CIBCB Proceedings, 2012, p. 169-17

A gene signature based method for identifying subtypes and subtype-specific drivers in cancer with an application to medulloblastoma

published_or_final_versio

Using Wavelet Entropy To Demonstrate How Mindfulness Practice Increases Coordination Between Irregular Cerebral And Cardiac Activities

In both the East and West, traditional teachings say that the mind and heart are somehow closely correlated, especially during spiritual practice. One difficulty in proving this objectively is that the natures of brain and heart activities are quite different. In this paper, we propose a methodology that uses wavelet entropy to measure the chaotic levels of both electroencephalogram (EEG) and electrocardiogram (ECG) data and show how this may be used to explore the potential coordination between the mind and heart under different experimental conditions. Furthermore, statistical parametric mapping (SPM) was used to identify the brain regions in which the EEG wavelet entropy was the most affected by the experimental conditions. As an illustration, the EEG and ECG were recorded under two different conditions (normal rest and mindful breathing) at the beginning of an 8-week standard mindfulness-based stress reduction (MBSR) training course (pretest) and after the course (posttest). Using the proposed method, the results consistently showed that the wavelet entropy of the brain EEG decreased during the MBSR mindful breathing state as compared to that during the closed-eye resting state. Similarly, a lower wavelet entropy of heartrate was found during MBSR mindful breathing. However, no difference in wavelet entropy during MBSR mindful breathing was found between the pretest and posttest. No correlation was observed between the entropy of brain waves and the entropy of heartrate during normal rest in all participants, whereas a significant correlation was observed during MBSR mindful breathing. Additionally, the most well-correlated brain regions were located in the central areas of the brain. This study provides a methodology for the establishment of evidence that mindfulness practice (i.e., mindful breathing) may increase the coordination between mind and heart activities

The comparison of thermal properties of protective clothing using dry and sweating manikins

The thermal insulation of clothing is commonly determined by dry thermal manikins either made of plastic or metal. For the determination of evaporative resistance of clothing ensemble, there exist three types of manikin methods: pre-wetted underwear or “skin” covered on dry manikins, the manikin with regulated constant water supply to the “skin” surface and the sweating fabric manikin based on a water filled body covered with waterproof but vapour permeable fabrics. The purpose of this study was to compare thermal insulation and moisture evaporative resistance of a set of protective clothing measured using different type of manikins. The total thermal insulation of seven EU project ensembles (Subzero A and B, Permeable (PERM), Impermeable (IMP), Nomex coverall (with two types of underwear) and Cotton coverall) were measured using the manikin Tore in Sweden, the sweating fabric manikin Walter in Hong Kong, and the manikin Newton in the UK. The results showed that total thermal insulation is reproducible for the seven clothing ensembles measured on the manikins Walter and Tore. The coefficient of variance is less than 8%. Nomex coverall with cotton underwear has 8-16% higher total insulation than that with polypropylene underwear. The apparent evaporative resistance of the impermeable coverall with cotton underwear measured on Newton was 44.5% lower than the evaporative resistance measured on Walter. The effect of condensation and conduction at room temperature environment and measuring time allowing full accumulation of moisture in clothing ensembles might be two important factors affecting the evaporative resistance

Ginseng: A panacea linking East Asia and North America?

The Supplement title: The Art and Science of Traditional Medicine Part 3: The Global Impact of Traditional Medicinepostprin

Association of proinflammatory cytokines and chemotherapy-associated cognitive impairment in breast cancer patients: a multi-centered, prospective, cohort study.

BackgroundExisting evidence suggests that proinflammatory cytokines play an intermediary role in postchemotherapy cognitive impairment. This is one of the largest multicentered, cohort studies conducted in Singapore to evaluate the prevalence and proinflammatory biomarkers associated with cognitive impairment in breast cancer patients.Patients and methodsChemotherapy-receiving breast cancer patients (stages I-III) were recruited. Proinflammatory plasma cytokines concentrations [interleukin (IL)-1β, IL-2, IL-4, IL-6, IL-8, IL-10, granulocyte-macrophage colony-stimulating factor, interferon-γ and tumor necrosis factor-α] were evaluated at 3 time points (before chemotherapy, 6 and 12 weeks after chemotherapy initiation). The FACT-Cog (version 3) was utilized to evaluate patients' self-perceived cognitive disturbances and a computerized neuropsychological assessment (Headminder) was administered to evaluate patients' memory, attention, response speed and processing speed. Changes of cognition throughout chemotherapy treatment were compared against the baseline. Linear mixed-effects models were applied to test the relationships of clinical variables and cytokine concentrations on self-perceived cognitive disturbances and each objective cognitive domain.ResultsNinety-nine patients were included (age 50.5 ± 8.4 years; 81.8% Chinese; mean duration of education = 10.8 ± 3.3 years). Higher plasma IL-1β was associated with poorer response speed performance (estimate: -0.78; 95% confidence interval (CI) -1.34 to -0.03; P = 0.023), and a higher concentration of IL-4 was associated with better response speed performance (P = 0.022). Higher concentrations of IL-1β and IL-6 were associated with more severe self-perceived cognitive disturbances (P = 0.018 and 0.001, respectively). Patients with higher concentrations of IL-4 also reported less severe cognitive disturbances (P = 0.022).ConclusionsWhile elevated concentrations of IL-6 and IL-1β were observed in patients with poorer response speed performance and perceived cognitive disturbances, IL-4 may be protective against chemotherapy-associated cognitive impairment. This study is important because cytokines would potentially be mechanistic mediators of chemotherapy-associated cognitive changes

A review of artificial intelligence in prostate cancer detection on imaging

A multitude of studies have explored the role of artificial intelligence (AI) in providing diagnostic support to radiologists, pathologists, and urologists in prostate cancer detection, risk-stratification, and management. This review provides a comprehensive overview of relevant literature regarding the use of AI models in (1) detecting prostate cancer on radiology images (magnetic resonance and ultrasound imaging), (2) detecting prostate cancer on histopathology images of prostate biopsy tissue, and (3) assisting in supporting tasks for prostate cancer detection (prostate gland segmentation, MRI-histopathology registration, MRI-ultrasound registration). We discuss both the potential of these AI models to assist in the clinical workflow of prostate cancer diagnosis, as well as the current limitations including variability in training data sets, algorithms, and evaluation criteria. We also discuss ongoing challenges and what is needed to bridge the gap between academic research on AI for prostate cancer and commercial solutions that improve routine clinical care

Regulatory subunits of PKA define an axis of cellular proliferation/differentiation in ovarian cancer cells

<p>Abstract</p> <p>Background</p> <p>The regulatory subunit of cAMP-dependent protein kinase (PKA) exists in two isoforms, RI and RII, which distinguish the PKA isozymes, type I (PKA-I) and type II (PKA-II). Evidence obtained from a variety of different experimental approaches has shown that the relative levels of type I and type II PKA in cells can play a major role in determining the balance between cell growth and differentiation. In order to characterize the effect of PKA type I and type II regulatory subunits on gene transcription at a global level, the PKA regulatory subunit genes for RIα and RIIβ were stably transfected into cells of the ovarian cancer cell line (OVCAR8).</p> <p>Results</p> <p>RIα transfected cells exhibit hyper-proliferative growth and RIIβ transfected cells revert to a relatively quiescent state. Profiling by microarray revealed equally profound changes in gene expression between RIα, RIIβ, and parental OVCAR cells. Genes specifically up-regulated in RIα cells were highly enriched for pathways involved in cell growth while genes up-regulated in RIIβ cells were enriched for pathways involved in differentiation. A large group of genes (~3600) was regulated along an axis of proliferation/differentiation between RIα, parental, and RIIβ cells. RIα/wt and RIIβ/wt gene regulation was shown by two separate and distinct gene set analytical methods to be strongly cross-correlated with a generic model of cellular differentiation.</p> <p>Conclusion</p> <p>Overexpression of PKA regulatory subunits in an ovarian cancer cell line dramatically influences the cell phenotype. The proliferation phenotype is strongly correlated with recently identified clinical biomarkers predictive of poor prognosis in ovarian cancer suggesting a possible pivotal role for PKA regulation in disease progression.</p