22 research outputs found

    Anti-Müllerian Hormone Serum Concentrations of Women with Germline BRCA1 or 2 BRCA2 Mutations

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    Study funding/competing interest(s): kConFab is supported by a grant from the Australian National Breast Cancer Foundation, and previously by the National Health and Medical Research Council (NHMRC), the Queensland Cancer Fund, the Cancer Councils of New South Wales, Victoria, Tasmania and South Australia, and the Cancer Foundation of Western Australia. KAP is an Australian National Breast Cancer Foundation Practitioner Fellow. JLH is a NHMRC Senior Principal Research Fellow. MH is a NHMRC Practitioner Fellow. RA reports personal fees from Roche Diagnostics & Beckman Coulter outside the submitted work and CS reports other from Melbourne IVF outside the submitted work. The remaining authors have nothing to declare and no conflicts of interest.Study question: Do women with BRCA1 and BRCA2 mutations have reduced ovarian reserve, as measured by circulating anti-müllerian hormone (AMH) concentration?  Summary answer: Women with a germline mutation in BRCA1 have reduced ovarian reserve as measured by AMH.  What is known already: The DNA repair enzymes encoded by BRCA1 and BRCA2 are implicated in reproductive aging. Circulating AMH is a biomarker of ovarian reserve and hence reproductive lifespan.  Study design, size, duration: Cross-sectional study of AMH concentrations of 693 women at the time of enrolment into the Kathleen Cuningham Foundation Consortium for research into Familial Breast Cancer (kConFab) cohort study (recruitment from 19/08/1997 until 18/9/2012). AMH was measured on stored plasma samples between November 2014 and January 2015 using an electrochemiluminescence immunoassay platform.  Participants/materials, setting, methods: Eligible women were from families segregating BRCA1 or BRCA2 mutations and had known mutation status. Participants were aged 25 to 45 years, had no personal history of cancer, retained both ovaries and were not pregnant or breastfeeding at the time of plasma storage. Circulating AMH was measured for 172 carriers and 216 non-carriers from families carrying BRCA1 mutations, and 147 carriers and 158 non-carriers from families carrying BRCA2 mutations. Associations between plasma AMH concentration and carrier status were tested by linear regression, adjusted for age at plasma storage, oral contraceptive use, body mass index and cigarette smoking.  Main results and the role of chance: Mean AMH concentration was negatively associated with age (P < 0.001). Mutation carriers were younger at blood draw than non-carriers (P ≤ 0.031). BRCA1 mutation carriers had, on average, 25% (95% CI: 5% - 41%, P = 0.02) lower AMH concentrations than non-carriers and were more likely to have AMH concentrations in the lowest quartile for age (OR 1.84, 95% CI: 1.11-303, P=0.02). There was no evidence of an association between AMH concentration and BRCA2 mutation status (P = 0.94).  Limitations, reasons for caution: The clinical implications of the lower AMH concentrations seen in BRCA1 mutation carriers cannot be assessed by this study design.  Wider implications of the findings: Women with a germline mutation in BRCA1 may have reduced ovarian reserve. This is consistent with other smaller studies in the literature and has potential implications for fertility and reproductive lifespan. Publisher PDFPeer reviewe

    Between text and stage: the theatrical adaptations of J.M. Coetzee’s Foe

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    Several of J.M. Coetzee’s novels have been adapted successfully for the stage, both as theatrical and operatic versions, but these adaptations have not received much critical attention. This article examines the ways in which Peter Glazer and Mark Wheatley have adapted Coetzee’s novel Foe (1986), resulting in two different and distinct stage productions, performed in the US and the UK respectively. In order to explore the complex relationship between the published text and the play versions, the article will ground itself in theories of adaptation, drawing extensively on work by Linda Hutcheon and Robert Stam and Alessandra Raengo. One of the key ideas in adaptation theory is that adaptive fidelity to the source text is neither possible nor desirable, but that adaptation is a more complex, multi-layered intertextual and intermedial interplay of fictional material. The article discusses the two play scripts and analyses the adaptive choices which underpin them and how these structure their meaning-making. Finally, the article also suggests that these scripts can be used to throw more light on Coetzee’s enigmatic novel.DHE

    Innovative applications of the MLS10 for developing pavement design systems

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    Please help us populate SUNScholar with the post print version of this article. It can be e-mailed to: [email protected] Ingenieurswes

    A Well-Being Approach to Soil Health—Insights from Aotearoa New Zealand

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    This paper explores the concept of soil health from a human well-being perspective in Aotearoa New Zealand. Globally, soils play an integral role in wider society and the environment by maintaining a large range of ecosystem services and benefits. As populations and resource constraints increase and food production and food security become growing issues globally, there is a recognition of the importance of defining soil condition or soil health for sustaining all ecosystems, including services and benefits to humans, plants, animals, and micro-organisms. While the ecosystem services approach has helped to illuminate the varied services soils provide, an understanding of the complex human&ndash;soil relationships and values has been missing. Those seeking to understand and form concepts about soil health have concentrated on the more inherent biochemical, physical and economic (e.g., productivity) aspects of soils, but not on the human, social or cultural dimensions. It is argued in this paper that soils form an integral part of our social and cultural fabric and are fundamentally important to human and societal well-being. The way humans interact with, value and use soil is a critical part of determining the health and sustainability of soil ecosystems. We discuss how a well-being approach can improve understanding of soil health with respect to societal goals and needs. We believe this type of approach, which includes social and cultural dimensions, provides a more diverse and inclusive knowledge base and perspective to better inform the development of integrative policy. This would lead to improved management and decision-making of land resources and soils in Aotearoa New Zealand and globally
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