Alternative antibody for the detection of CA125 antigen: a European multicenter study for the evaluation of the analytical and clinical performance of the Access (R) OV Monitor assay on the UniCel (R) Dxl 800 Immunoassay System

Background: Cancer antigen CA125 is known as a valuable marker for the management of ovarian cancer. Methods: The analytical and clinical performance of the Access OV Monitor Immunoassay System (Beckman Coulter) was evaluated at five different European sites and compared with a reference system, defined as CA125 on the Elecsys System (Roche Diagnostics). Results: Total imprecision (%CV) of the OV Monitor ranged between 3.1% and 8.8%, and inter-laboratory reproducibility between 4.7% and 5.0%. Linearity upon dilution showed a mean recovery of 100% (SD+8.1%). Endogenous interferents had no influence on OV Monitor levels (mean recoveries: hemoglobin 107%, bilirubin 103%, triglycericles 103%). There was no high-dose hook effect up to 27,193 kU/L. Clinical performance investigated in sera from 1811 individuals showed a good correlation between the Access OV Monitor and Elecsys CA125 (R = 0.982, slope = 0.921, intercept = + 1.951). OV Monitor serum levels were low in healthy individuals (n = 267, median = 9.7 kU/L, 95th percentile = 30.8 kU/L), higher in individuals with various benign diseases (n = 549, medians = 10.9-16.4 kU/L, 95th percentiles = 44.2-355 kU/L) and even higher in individuals suffering from various cancers (n = 995, medians= 12.4-445 kU/L; 95th percentiles = 53.4-4664 kU/L). Optimal diagnostic accuracy for cancer detection against the relevant benign control group by the OV Monitor was found for ovarian cancer {[}area under the curve (AUC) 0.898]. Results for the reference CA125 assay were comparable (AUC 0.899). Conclusions: The Access OV Monitor provides very good methodological characteristics and demonstrates an excellent analytical and clinical correlation with Elecsys CA125. The best diagnostic accuracy for the OV Monitor was found in ovarian cancer. Our results also suggest a clinical value of the OV Monitor in other cancers

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Optimized stray-field-induced enhancement of the electron spin precession by buried Fe gates

The magnetic stray field from Fe gates is used to modify the spin precession frequency of InGaAs/GaAs quantum-well electrons in an external magnetic field. By using an etching process to position the gates directly in the plane of the quantum well, the stray-field influence on the spin precession increases significantly compared with results from previous studies with top-gated structures. In line with numerical simulations, the stray-field-induced precession frequency increases as the gap between the ferromagnetic gates is reduced. The inhomogeneous stray field leads to additional spin dephasing.Comment: 4 pages, 2 figure

Calcitonin gene-related peptide receptor antagonist BIBN 4096 BS for the acute treatment of migraine

Background: Calcitonin gene–related peptide (CGRP) may have a causative role in migraine. We therefore hypothesized that a CGRP-receptor antagonist might be effective in the treatment of migraine attacks. Methods: In an international, multicenter, double-blind, randomized clinical trial of BIBN 4096 BS, a highly specific and potent nonpeptide CGRP-receptor antagonist, 126 patients with migraine received one of the following: placebo or 0.25, 0.5, 1, 2.5, 5, or 10 mg of BIBN 4096 BS intravenously over a period of 10 minutes. A group-sequential adaptive treatment-assignment design was used to minimize the number of patients exposed. Results: The 2.5-mg dose was selected, with a response rate of 66 percent, as compared with 27 percent for placebo (P=0.001). The BIBN 4096 BS group as a whole had a response rate of 60 percent. Significant superiority over placebo was also observed with respect to most secondary end points: the pain-free rate at 2 hours; the rate of sustained response over a period of 24 hours; the rate of recurrence of headache; improvement in nausea, photophobia, phonophobia, and functional capacity; and the time to meaningful relief. An effect was apparent after 30 minutes and increased over the next few hours. The overall rate of adverse events was 25 percent after the 2.5-mg dose of the drug and 20 percent for the BIBN 4096 BS group as a whole, as compared with 12 percent for placebo. The most frequent side effect was paresthesia. There were no serious adverse events. Conclusions: The CGRP antagonist BIBN 4096 BS was effective in treating acute attacks of migraine

Hubble Space Telescope Ultraviolet Imaging and High-Resolution Spectroscopy of Water Photodissociation Products in Comet Hyakutake (C/1996 B2)

Comet Hyakutake (C/1996 B2) provided a target of opportunity for performing a systematic study of water photodissociation products in which we obtained data from three instruments on the Hubble Space Telescope (HST). The HST Goddard High Resolution Spectrograph (GHRS) was used to measure the line profile of hydrogen Lyα (H Lyα) at six locations around the coma of the comet, ranging from the nucleus to a displacement of 100,000 km, and covering different directions compared with the comet-sun line. GHRS yielded line profiles with a spectral resolution (FWHM ~4 km s^(-1)) that was a factor of 2-3 better than any previous H Lyα or Hα ground-based measurements. The Wide Field Planetary Camera 2 (WFPC2) and the Woods filter were used to obtain H Lyα images of the inner coma. The faint object spectrograph (FOS) was used to determine the OH production rate and monitor its variation throughout the HST observing sequence. The GHRS H Lyα line profiles show the behavior of a line profile that is optically thick in the core for positions near the nucleus (<5000 km) and gradually becoming more optically thin at larger displacements and lower column abundances. A composite H Lyα image constructed from four separate WFPC2 exposures is consistent with the relative fluxes seen in GHRS observations and clearly shows the dayside enhancement of a solar illuminated optically thick coma. These data were analyzed self-consistently to test our understanding of the detailed physics and chemistry of the expanding coma and our ability to obtain accurate water production rates from remote observations of gaseous hydrogen (H) and hydroxyl (OH), the major water dissociation products. Our hybrid kinetic/hydrodynamic model of the coma combined with a spherical radiative transfer calculation is able to account for (1) the velocity distribution of H atoms, (2) the spatial distribution of the H Lyα emission in the inner coma, and (3) the absolute intensities of H and OH emissions, giving a water production rate of (2.6 ± 0.4) × 10^(29) s^(-1) on 1996 April 4

Single-Electron Effects in a Coupled Dot-Ring System

Aharonov-Bohm oscillations are studied in the magnetoconductance of a micron-sized open quantum ring coupled capacitively to a Coulomb-blockaded quantum dot. As the plunger gate of the dot is modulated and tuned through a conductance resonance, the amplitude of the Aharonov-Bohm oscillations in the transconductance of the ring displays a minimum. We demonstrate that the effect is due to a single-electron screening effect, rather than to dephasing. Aharonov-Bohm oscillations in a quantum ring can thus be used for the detection of single charges.Comment: 5 pages, 3 figure