Differences in the expression of telomerase and prostate-specific membrane antigen in non-advanced prostatic cancer

Early recognition of prostate cancer (PC) based on biological markers could be helpful in identification of differences in benign and malignant lesions and facilitate further precise indication for more aggressive treatment. Therefore, the aim of our study was to assess expression of hTERT (human telomerase reverse transcriptase, a catalytic subunit of telomerase) and prostate-specific membrane antigen (PSMA), both considered to be markers of tumor aggressiveness. 140 low advanced PC specimens from patients who underwent radical prostatectomy were studied. Protein expression was assessed immunohistochemically on tumor sections and expressed as labeling index (LI), i.e. the percentage of positively stained cells. In case of telomerase, only nuclear staining and in case of PSMA, membrane and cytoplasmic staining, were considered as positive. The mean age of the patients was 62.9 ± 6.2 years. There were 75 (53.6%) well differentiated tumors (Gleason score ≤ 6), 52 (37.1%) moderately differentiated tumors (Gleason score of 7) and 13 (9.3%) poorly differentiated tumors (Gleason score 8-10). The mean pre-operative serum PSA was 9.9 ± SE 5.5 ng/mL, and the mean LI were 18.0 ± 1.5% and 44.1 ± 1.9%, for hTERT and PSMA, respectively. With increase of pathological tumor stage and tumor grade statistically significant increase of PSA serum concentration (P < 0.011) and PSMA (P < 0.004) expression was noticed, however, for expression of telomerase the relation was opposite one. The observed in higher pTNM stages and tumor grades decrease in nuclear expression of hTERT was caused by translocation of the subunit to the cytoplasm, what may indicate extranuclear telomerase activity independent of telomere lengthening, hence, it cannot be considered as a marker of malignancy. Higher PSMA expression in higher pTNM stages and tumor grades suggest that PSMA may be a good marker of biological aggressiveness suitable for patients’ selection for more aggressive treatment. (Folia Histochemica et Cytobiologica 2013, Vol. 51, No. 1, 66–72

Magiske samtaler i NAV. En litteraturstudie om anerkjennende relasjoner og makt

Anerkjennelse er et nøkkelbegrep i sosialt arbeid og et grunnlag for den gode relasjonen mellom hjelper og bruker. På et Nav-kontor blir anerkjennende praksis og det relasjonelle arbeidet utfordret av maktbruk og byråkratiske rammer der sosialarbeideren opptrer som såkalt bakkebyråkrat. Oppgavens siktemål er å undersøke sosialarbeiders rolle og hvordan man gjennom anerkjennelse kan skape en god relasjon til unge brukere – i en aktiveringspolitisk kontekst. Oppgaven diskuterer også hvilken betydning bruk av makt har for anerkjennende praksis. Samtidig drøftes det hvordan aktivitetsplikt påvirker relasjon og anerkjennende praksis spesifikt hos unge sosialhjelpsmottakere. For unge mottakere av sosialhjelp kan kvaliteten på relasjonen og måten de blir møtt av systemet på være avgjørende for om man oppnår anerkjennelse; både som et menneske, av hjelperen i apparatet og som en del av samfunnet

Visor Scratch Repair and Prevention

Severe eye injuries occur in 30 percent of demining accidents. Visors are known to be effective personal protective equipment when worn properly, but deminers often lift or remove their visors because scratches, glare or fog make them hard to see through, or because they are hot, heavy and uncomfortable to wear. Addressing each of these specific design problems could increase visor use and prevent a significant number of debilitating injuries. This paper presents methods for preventing and eliminating scratches on demining visors

Long-term effects of allergen sensitization and exposure in adult asthma: a prospective study.

BACKGROUND: : We investigated the effects of sensitization and exposure to common domestic allergens on longitudinal changes in lung function and bronchial hyperresponsiveness. METHODS: : Subjects attended 2 visits that were 4 years apart. Skin prick testing was performed and household dust samples were collected for quantification of mite, dog, and cat allergens at baseline. Measurements of lung function, exhaled nitric oxide, and bronchial hyperresponsiveness were completed at both visits. RESULTS: : Dust samples were collected in 165 of the 200 subjects completing both visits. Mean length of follow-up was 47 months. Bronchial hyperresponsiveness, measured at both visits in 86 subjects, deteriorated in those exposed to high mite allergen levels compared with those not exposed [mean (95% CI) doubling dose change PD20 = -0.44 (-1.07 to 0.19) vs 0.82 (0.27 to 1.36)], but improved in those exposed to high dog allergen levels compared with those not exposed [1.10 (0.33 to 1.86) vs 0.10 (-0.39 to 0.58)]. The associations were significant in the multivariate models. Cat allergen exposure was not associated with any changes in lung function, exhaled nitric oxide, or bronchial hyperresponsiveness. CONCLUSIONS: : In a 4-year prospective cohort of persons with asthma, exposure to high levels of dust mite allergens at baseline was associated with a subsequent increase in bronchial hyperresponsiveness

Endotoxin and House Dust Mite Allergen Levels on Synthetic and Buckwheat Pillows

Pillows are known to contain significant levels of indoor allergens and endotoxin, that are of importance to house dust mite sensitized asthmatics. Buckwheat pillows are commonly used in Korea. We studied the levels of the house dust mite allergen, Der f 1, and endotoxin on new synthetic and buckwheat pillows and their accumulation over three months. Endotoxin levels were significantly higher on new buckwheat pillows compared to synthetic pillows; geometric mean levels (95% CI) were 60,950 EU/g (30,270-122,700) and 4,887 EU/g (2,570-9,311) respectively (p<0.001). No Der f 1 was detected on the new pillows. After three months Der f 1 levels were similar on buckwheat and synthetic pillows, geometric mean levels (95% CI) were 1.16 µg/g (0.02-8.13) and 1.08 µg/g (0.19-1.68) respectively. These results indicate that buckwheat pillows are a source of very high endotoxin levels that may be of relevance to asthma severity of atopic asthmatics

Value of perfusion CT parameters, microvessl density and VEGF expression in differentiation of benign and malignant prostate tumours

The purpose of this study was to assess the correlation between parameters evaluated using computed tomography perfusion (CTP) and microvessel density (MVD), the vascular endothelial growth factor labelling index (VEGFLI), as well as known clinicopathological indicators of tumour malignancy, in non-advanced prostatic cancer. We included 110 patients with early stage prostate cancer who were subjected to CT examinations followed by radical prostatectomy between 2007 and 2011 (in this analysis we included only patients diagnosed with CT). Both in affected and in healthy tissue the following perfusion parameters were assessed: blood flow (BF), blood volume (BV), mean transit time (MTT) and permeability-surface area product (PS). After surgery in the resected prostate tumour tissue the MVD and VEGFLI were assessed. The mean BF and PS values were significantly higher in carcinomas with high histological grade (p = 0.02). The sensitivity, specificity and accuracy of the threshold BF value, for the distinction between malignant and healthy prostate tissue, were: 67%, 54% and 59% respectively. For BV sensitivity was 71%, specificity was 52%, and accuracy was 48%. Microvessel density significantly correlated with BV, MTT and PS (p < 0.05), while VEGFLI did not correlate with any of the perfusion parameters. Our results suggest that BF and PS might be helpful in discrimination between benign and malignant prostate tissue, while the positive correlation between BV, MTT, PS and MVD might suggest their potential utility in assessment of cancer angiogenesis

Occupational Asthma Induced by the Reactive Dye Synozol Red-K 3BS

Various reactive dyes can elicit occupational asthma in exposed textile industry workers. To date, there has been no report of occupational asthma caused by the red dye Synozol Red-K 3BS (Red-K). Here, we report a 38-year-old male textile worker with occupational asthma and rhinitis induced by inhalation of Red-K. He showed positive responses to Red-K extract on skin-prick testing and serum specific IgE antibodies to Red-K-human serum albumin conjugate were detected using an enzyme-linked immunosorbent assay. A bronchoprovocation test with Red-K extract resulted in significant bronchoconstriction. These findings suggest that the inhalation of the reactive dye Red-K can induce IgE-mediated occupational asthma and rhinitis in exposed workers

Perfusion CT is a valuable diagnostic method for prostate cancer: a prospective study of 94 patients

Purpose: The aim of this study is to assess the usefulness of perfusion computer tomography (pCT) in prostate cancer (PCa) diagnostics. Copyright:Materials and Methods: 94 patients with biopsy-proven PCa were enrolled in the study. Dynamic pCT of the prostate gland was performed for 50 seconds after an intravenous injection of contrast medium. Blood flow (BF), blood volume (BV), mean transit time (MTT) and permeability surface area product (PS) were computed in the suspected PCa area and in normal prostatic tissue.Results: PCa was visible in pCT in 90 of the 94 examined patients as a focal peripheral CT enhancement. When PCa was located in the peripheral zone (PZ), it was visible on perfusion maps, mostly showing an early peak followed by wash-out. The average values of all perfusion parameters were higher for tumour than for normal prostate tissue (p 7). In high-grade PCa, the mean BF value was significantly higher (p = 0.001) than the mean value of BF low- and medium-grade PCa (p = 0.011). Similar results were obtained regarding the mean values of BV; the more aggressive the cancer grade, the higher the mean BV value (p = 0.04).Conclusion: CT quantitative perfusion imaging allows PCa to be distinguished from normal prostate tissue. The highest values for BF and BV were observed in the most aggressive PCa grade

Allergies respiratoires, pollens et polluants

National audienceFor 30 years, an increased incidence of respiratory allergy and asthma has been observed, particularly in children and young people living in urban areas of developed countries. A genetic origin is unlikely due to the rapidity of this increase and environmental factors (diet, lifestyle, exposure to xenobiotics...) should be involved. Epidemiological studies have shown that atmospheric pollutants may play a role. They could have an effect on the respiratory tract by inducing irritation, inflammation, airway hyperresponsiveness or enhancing respiratory allergies (adjuvant effect) or they could have an effect on the aeroallergens, in particular the pollens. Experimental studies have shown that pollen exposure to pollutants induce enhanced deformation or fracture of the external envelope linking to an enhanced liberation of intracytoplasmic allergenic granules and induce also a qualitative and quantitative modification of allergens. However, few experimental studies have shown that pollutant-exposed pollens are more allergenic that "clean" pollens. One important point to consider is the enhanced granule liberation by exposed pollens. Due to the small size of the granules, the allergen bioavailability may increase, leading to higher incidence of respiratory allergies.Depuis 30 ans, une incidence accrue des allergies respiratoires est observée, notamment chez les enfants et les adolescents vivant dans les zones urbaines des pays industrialisés. Il est admis que cette augmentation est trop rapide pour être liée à des facteurs génétiques et que d'autres facteurs, notamment environnementaux (alimentation, mode de vie, contact avec des xénobiotiques...) sont impliqués. Les études épidémiologiques montrent que les polluants de l'air en particulier semblent jouer un rôle important dans l'incidence des allergies. Ils peuvent agir soit par action au niveau du système respiratoire, en provoquant une irritation, une inflammation, une augmentation de l'hyperréactivité bronchique non spécifique ou en potentialisant une réponse allergique pré-existante (effet adjuvant), soit par action au niveau des aéroallergènes, dont les pollens représentent la majeure partie. Les principaux effets observés expérimentalement sont une augmentation des déformations et fractures de l'enveloppe externe conduisant à une libération accrue de granules intracytoplasmiques, eux-mêmes allergisants et une modification quantitative et qualitative des allergènes. Peu de travaux ont toutefois clairement mis en évidence une augmentation du potentiel allergisant des pollens après exposition aux polluants. Une piste à explorer reste la libération plus importante des granules intrapolliniques qui, de part leur petite taille, pourraient augmenter la biodisponibilité des allergènes et donc la fréquence et la gravité des allergies respiratoires

A brief parenting intervention to enhance the parent-child relationship in Hong Kong: Harmony@Home

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