639 research outputs found
Isotopic Composition of Solar Wind Calcium: First in Situ Measurement by CELIAS/MTOF on Board SOHO
We present first results on the Ca isotopic abundances derived from the high
resolution Mass Time-of-Flight (MTOF) spectrometer of the charge, element, and
isotope analysis system (CELIAS) experiment on board the Solar and Heliospheric
Observatory (SOHO). We obtain isotopic ratios 40Ca/42Ca = (128+-47) and
40Ca/44Ca = (50+-8), consistent with terrestrial values. This is the first in
situ determination of the solar wind calcium isotopic composition and is
important for studies of stellar modeling and solar system formation since the
present-day solar Ca isotopic abundances are unchanged from their original
isotopic composition in the solar nebula.Comment: 14 pages, 3 figure
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Estrogen receptor negative/progesterone receptor positive breast cancer is not a reproducible subtype
Introduction: Estrogen receptor (ER) and progesterone receptor (PR) testing are performed in the evaluation of breast cancer. While the clinical utility of ER as a predictive biomarker to identify patients likely to benefit from hormonal therapy is well-established, the added value of PR is less well-defined. The primary goals of our study were to assess the distribution, inter-assay reproducibility, and prognostic significance of breast cancer subtypes defined by patterns of ER and PR expression. Methods: We integrated gene expression microarray (GEM) and clinico-pathologic data from 20 published studies to determine the frequency (n = 4,111) and inter-assay reproducibility (n = 1,752) of ER/PR subtypes (ER+/PR+, ER+/PR-, ER-/PR-, ER-/PR+). To extend our findings, we utilized a cohort of patients from the Nurses’ Health Study (NHS) with ER/PR data recorded in the medical record and assessed on tissue microarrays (n = 2,011). In both datasets, we assessed the association of ER and PR expression with survival. Results: In a genome-wide analysis, progesterone receptor was among the least variable genes in ER- breast cancer. The ER-/PR+ subtype was rare (approximately 1 to 4%) and showed no significant reproducibility (Kappa = 0.02 and 0.06, in the GEM and NHS datasets, respectively). The vast majority of patients classified as ER-/PR+ in the medical record (97% and 94%, in the GEM and NHS datasets) were re-classified by a second method. In the GEM dataset (n = 2,731), progesterone receptor mRNA expression was associated with prognosis in ER+ breast cancer (adjusted P <0.001), but not in ER- breast cancer (adjusted P = 0.21). PR protein expression did not contribute significant prognostic information to multivariate models considering ER and other standard clinico-pathologic features in the GEM or NHS datasets. Conclusion: ER-/PR+ breast cancer is not a reproducible subtype. PR expression is not associated with prognosis in ER- breast cancer, and PR does not contribute significant independent prognostic information to multivariate models considering ER and other standard clinico-pathologic factors. Given that PR provides no clinically actionable information in ER+ breast cancer, these findings question the utility of routine PR testing in breast cancer
On the bulk isotopic composition of magnesium and silicon during the May 1998 CME: ACE/SWIMS
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95217/1/grl11855.pd
Synovial sarcomas usually metastasize after >5 years: a multicenter retrospective analysis with minimum follow-up of 10 years for survivors
In SS, metastases develop late with high mortality. Patients with SS should be followed for >10 year
Simultaneous high Fe charge state measurements by solar energetic particle and solar wind instruments
During the May 2–3, 1998 CME event, iron charge state distributions were observed on the ACE spacecraft simultaneously in both solar energetic particles and the solar wind. Surprisingly, common signatures were found, even though the energy of these two particle populations differ by about two orders of magnitude. At the beginning of the event a substantial shift towards higher charge states (Q ≥ 14)(Q⩾14) was detected for Fe nearly simultaneously in solar energetic particles by SEPICA, and in the solar wind by SWICS. The onset in the solar wind was somewhat more gradual, beginning approximately two hours before the rather sudden onset in the solar energetic particles. The high iron charge states coincided approximately with the magnetic cloud associated with the CME. Later, during the cloud passage, periods of high and unusually low, iron ionization states were observed in the solar wind. Just after the passage of the cloud, iron with high charge states again appeared in both energetic particles and the solar wind. Transport and acceleration scenarios will be discussed as possible explanations of this unusual event. © 2000 American Institute of Physics.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87339/2/139_1.pd
The cell adhesion molecule L1 regulates the expression of choline acetyltransferase and the development of septal cholinergic neurons
Mutations in the L1 gene cause severe brain malformations and mental retardation. We investigated the potential roles of L1 in the regulation of choline acetyltransferase (ChAT) and in the development of septal cholinergic neurons, which are known to project to the hippocampus and play key roles in cognitive functions. Using stereological approaches, we detected significantly fewer ChAT-positive cholinergic neurons in the medial septum and vertical limb of the diagonal band of Broca (MS/VDB) of 2-week-old L1-deficient mice compared to wild-type littermates (1644 ± 137 vs. 2051 ± 165, P = 0.038). ChAT protein levels in the septum were 53% lower in 2-week-old L1-deficient mice compared to wild-type littermates. ChAT activity in the septum was significantly reduced in L1-deficient mice compared to wild-type littermates at 1 (34%) and 2 (40%) weeks of age. In vitro, increasing doses of L1-Fc induced ChAT activity in septal neurons with a significant linear trend (*P = 0.0065). At 4 weeks of age in the septum and at all time points investigated in the caudate-putamen (CPu), the number of ChAT-positive neurons and the levels of ChAT activity were not statistically different between L1-deficient mice and wild-type littermates. The total number of cells positive for the neuronal nuclear antigen (NeuN) in the MS/VDB and CPu was not statistically different in L1-deficient mice compared to wild-type littermates, and comparable expression of the cell cycle marker Ki67 was observed. Our results indicate that L1 is required for the timely maturation of septal cholinergic neurons and that L1 promotes the expression and activity of ChAT in septal neurons
Fragebogen zur Behandlungszufriedenheit in der stationären Kinder- und Jugendpsychiatrie (FBZ-KJP) [Questionnaire on Treatment Satisfaction in Inpatient Child and Adolescent Psychiatry (FBZ-KJP) - Results of a Swiss Pilot Study]
Questionnaire on Treatment Satisfaction in Inpatient Child and Adolescent Psychiatry (FBZ-KJP) - Results of a Swiss Pilot Study Abstract. Objectives: Patient satisfaction is an established indicator for medical interventions. Existing questionnaires for the assessment of patient satisfaction in child and adolescent psychiatry are too global to target quality improvement in child and adolescent psychiatric hospitals. The assessment of patient satisfaction in child and adolescent psychiatry is very challenging because specific demands (development status, role of parents in treatment) have been taken into account. Therefore, an expert team leaded by the Swiss Society of Child and Adolescent Psychiatry developed a targeted instrument to assess patient satisfaction in both language regions (i. e., German and French). Methods: The article reviews the development of a new child and adolescent psychiatric questionnaire for the assessment of patient satisfaction as well as the findings of a survey conducted in a representative sample of 174 patients and 145 parents in six hospitals. Results: The internal consistency (Cronbach's α = .93) is excellent. The questionnaire has high levels of both convergence and face validity, and the correlation with the Client Satisfaction Questionnaire (CSQ-8) is ρ = .80 (patient-report) and .83 (parent-report). Furthermore, this questionnaire reveals the relative strengths and weaknesses of individual hospitals. The correlation between patient and parent assessment is, as expected, moderate (ρ = .29, for the total score and ρ = .39 for the CSQ-8). Conclusions: The Patient Satisfaction Questionnaire can be recommended to professionals as a standard for collecting data on client satisfaction within child and adolescent psychiatry
Anterior cruciate ligament integrity in osteoarthritis of the knee in patients undergoing total knee replacement
Unusual composition of the solar wind in the 2–3 May 1998 CME observed with SWICS on ACE
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/95193/1/grl11810.pd
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