Alcohol consumption in heroin users, methadone-substituted and codeine-substituted patients - Frequency and correlates of use

This retrospective study aims to determine whether there is a difference in the additional consumption of alcohol between addicts treated with methadone or dihydrocodeine (DHC) and untreated addicts injecting heroin. 1,685 patients admitted for opioid withdrawal between 1991 and 1997 were reviewed. Cross-reference tables and multiple logistic regression analyses were carried out. 28% of patients take more than 40 g of alcohol daily (on average 176 g). We found that patients who are treated with methadone or DHC drink alcohol significantly more often daily than the heroin-dependent patients (p<0.01). Using multiple regression analyses, the results were confirmed. Additionally, we found that co-abuse of alcohol was predicted by male gender, longer duration of drug use, additional daily consumption of tetrahydrocannabinol and daily consumption of benzodiazepines. Alcohol consumption by opioid-addicted patients treated with methadone or DHC presents a serious medical problem. Co-abuse of alcohol will receive more attention Copyright (C) 2003 S. Karger AG, Basel

Episodic excursions of low-mass protostars on the Hertzsprung-Russell diagram

Following our recent work devoted to the effect of accretion on the pre-main-sequence evolution of low-mass stars, we perform a detailed analysis of episodic excursions of low-mass protostars in the Hertzsprung-Russell (H-R) diagram triggered by strong mass accretion bursts typical of FU Orionis-type objects (FUors). These excursions reveal themselves as sharp increases in the stellar total luminosity and/or effective temperature of the protostar and can last from hundreds to a few thousands of years, depending on the burst strength and characteristics of the protostar. During the excursions, low-mass protostars occupy the same part of the H-R diagram as young intermediate-mass protostars in the quiescent phase of accretion. Moreover, the time spent by low-mass protostars in these regions is on average a factor of several longer than that spent by the intermediate-mass stars in quiescence. During the excursions, low-mass protostars pass close to the position of most known FUors in the H-R diagram, but owing to intrinsic ambiguity the model stellar evolutionary tracks are unreliable in determining the FUor properties. We find that the photospheric luminosity in the outburst state may dominate the accretion luminosity already after a few years after the onset of the outburst, meaning that the mass accretion rates of known FUors inferred from the bolometric luminosity may be systematically overestimated, especially in the fading phase.Comment: 15 pages, 12 figure

Neighborhood Urban Environmental Quality Conditions Are Likely to Drive Malaria and Diarrhea Mortality in Accra, Ghana

Background. Urbanization is a process which alters the structure and function of urban environments. The alteration in the quality of urban environmental conditions has significant implications for health. This applies both to the ecology of insect vectors that may transmit diseases and the burden of disease. Study Objectives. To investigate the relationship between malaria and infectious diarrhea mortality and spatially varied neighborhood environmental quality conditions in a low-income economy. Design. A one time point spatial analysis of cluster-level environmental conditions and mortality data using principal component analysis (PCA), one-way analysis of variance (ANOVA) and generalized linear models (GLMs). Methods. Environmental variables were extracted from the Ghana Census 2000 database while mortality data were obtained from the Ghana Births and Deaths Registry in Accra over the period 1998–2002. Results. Whereas there was a strong evidence of a difference in relative mortality of malaria across urban environmental zones of differing neighborhood environmental conditions, no such evidence of mortality differentials was observed for diarrhea. In addition, whereas bivariate analyses showed a weak to strong evidence of association between the environmental variables and malaria mortality, no evidence of association was found between diarrhea mortality and environmental variables. Conclusion. We conclude that environmental management initiatives intended for infectious disease control might substantially reduce the risk of urban malaria mortality and to a less extent that for urban diarrhea mortality in rapidly urbanizing areas in a low-income setting

Parasite Infection, Carcinogenesis and Human Malignancy.

Cancer may be induced by many environmental and physiological conditions. Infections with viruses, bacteria and parasites have been recognized for years to be associated with human carcinogenicity. Here we review current concepts of carcinogenicity and its associations with parasitic infections. The helminth diseases schistosomiasis, opisthorchiasis, and clonorchiasis are highly carcinogenic while the protozoan Trypanosoma cruzi, the causing agent of Chagas disease, has a dual role in the development of cancer, including both carcinogenic and anticancer properties. Although malaria per se does not appear to be causative in carcinogenesis, it is strongly associated with the occurrence of endemic Burkitt lymphoma in areas holoendemic for malaria. The initiation of Plasmodium falciparum related endemic Burkitt lymphoma requires additional transforming events induced by the Epstein-Barr virus. Observations suggest that Strongyloides stercoralis may be a relevant co-factor in HTLV-1-related T cell lymphomas. This review provides an overview of the mechanisms of parasitic infection-induced carcinogenicity

Phase Ib/II Study of the Safety and Efficacy of Combination Therapy with Multikinase VEGF Inhibitor Pazopanib and MEK Inhibitor Trametinib In Advanced Soft Tissue Sarcoma.

Purpose: Pazopanib, a multireceptor tyrosine kinase inhibitor targeting primarily VEGFRs1–3, is approved for advanced soft tissue sarcoma (STS) and renal cell cancer. Downstream of VEGFR, trametinib is an FDA-approved MEK inhibitor used for melanoma. We hypothesized that vertical pathway inhibition using trametinib would synergize with pazopanib in advanced STS. Experimental Design: In an open-label, multicenter, investigator-initiated National Comprehensive Cancer Network (NCCN)-sponsored trial, patients with metastatic or advanced STS received pazopanib 800 mg and 2 mg of trametinib continuously for 28-day cycles. The primary endpoint was 4-month progression-free survival (PFS). Secondary endpoints were overall survival, response rate, and disease control rate. Results: Twenty-five patients were enrolled. The median age was 49 years (range, 22–77 years) and 52% were male. Median PFS was 2.27 months [95% confidence interval (CI), 1.9–3.9], and the 4-month PFS rate was 21.1% (95% CI, 9.7–45.9), which was not an improvement over the hypothesized null 4-month PFS rate of 28.3% (P ¼ 0.79). Median overall survival was 9.0 months (95% CI, 5.7–17.7). A partial response occurred in 2 (8%) of the evaluable patients (95% CI, 1.0–26.0), one with PIK3CA E542K-mutant embryonal rhabdomyosarcoma and another with spindle cell sarcoma. The disease control rate was 14/25 (56%; 95% CI, 34.9–75.6). The most common adverse events were diarrhea (84%), nausea (64%), and fatigue (56%). Conclusions: The combination of pazopanib and trametinib was tolerable without indication of added activity of the combination in STS. Further study may be warranted in RAS/RAF aberrant sarcomas. ©2017 AACR

Röntgenblick in der Nanowelt

For investigations of ordered nanometre structures and for high-precision measurement of the atomic order in crystalline solids, X-ray diffraction is the most important tool. With the aid of X-ray microscopy, unordered and even living objects can also be imaged directly. The resolution of these images, applying different contrast techniques representing the state of the art, reaches the nanometre range. In the future, a synthesis of both methods could yield a shift of the spectral resolution down to the atomic level.Für die Aufklärung geordneter Nanometer-Strukturen und die hochpräzise Vermessung der Atomanordnung in kristallinen Festkörpern ist die Röntgenstrahlbeugung das wichtigste Werkzeug. Mit Hilfe der Mikroskopie mit Röntgenstrahlung können auch ungeordnete und sogar lebende Objekte direkt abgebildet werden. Die Auflösung dieser Abbildungen unter Nutzung verschiedener Kontraste erreicht nach dem Stand der Technik gerade die Grenze des Nanometerbereiches. Für die Zukunft wird eine Synthese beider Methoden und so auch die weitere Verschiebung der Grenze der erreichbaren Auflösung erwartet