Acute promyelocytic leukemia: the study of t(15;17) translocation by fluorescent in situ hybridization, reverse transcriptase-polymerase chain reaction and cytogenetic techniques

Acute promyelocytic leukemia (AML M3) is a well-defined subtype of leukemia with specific and peculiar characteristics. Immediate identification of t(15;17) or the PML/RARA gene rearrangement is fundamental for treatment. The objective of the present study was to compare fluorescent in situ hybridization (FISH), reverse transcriptase-polymerase chain reaction (RT-PCR) and karyotyping in 18 samples (12 at diagnosis and 6 after treatment) from 13 AML M3 patients. Bone marrow samples were submitted to karyotype G-banding, FISH and RT-PCR. At diagnosis, cytogenetics was successful in 10 of 12 samples, 8 with t(15;17) and 2 without. FISH was positive in 11/12 cases (one had no cells for analysis) and positivity varied from 25 to 93% (mean: 56%). RT-PCR was done in 6/12 cases and all were positive. Four of 8 patients with t(15;17) presented positive RT-PCR as well as 2 without metaphases. The lack of RT-PCR results in the other samples was due to poor quality RNA. When the three tests were compared at diagnosis, karyotyping presented the translocation in 80% of the tested samples while FISH and RT-PCR showed the PML/RARA rearrangement in 100% of them. Of 6 samples evaluated after treatment, 3 showed a normal karyotype, 1 persistence of an abnormal clone and 2 no metaphases. FISH was negative in 4 samples studied and 2 had no material for analysis. RT-PCR was positive in 4 (2 of which showed negative FISH, indicating residual disease) and negative in 2. When the three tests were compared after treatment, they showed concordance in 2 of 6 samples or, when there were not enough cells for all tests, concordance between karyotype and RT-PCR in one. At remission, RT-PCR was the most sensitive test in detecting residual disease, as expected (positive in 4/6 samples). An incidence of about 40% of 5' breaks and 60% of 3' breaks, i.e., bcr3 and bcr1/bcr2, respectively, was observed.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de Hematologia e HemoterapiaUNIFESP, EPM, Disciplina de Hematologia e HemoterapiaSciEL

The need for nursing instruction in patients receiving steroid pulse therapy for the treatment of autoimmune diseases and the effect of instruction on patient knowledge

<p>Abstract</p> <p>Background</p> <p>Many patients who receive steroid pulse therapy go home the same day or the day after steroid administration. Nursing instructions are important for improving patient knowledge related to their diseases and treatments, but the short hospital stay often prevents complete education and guidance regarding the given therapy. The purpose of this study was to investigate the need for nursing instruction in patients receiving steroid pulse therapy for the treatment of autoimmune diseases and the effect of instruction on patient knowledge of their disease and treatment.</p> <p>Methods</p> <p>Patients with systemic lupus erythematosus (SLE) and systemic sclerosis receiving steroid pulse therapy (N = 63) were recruited from a medical center in Taipei. A structured questionnaire was used for data collection before and after nursing instruction, and 1 week as well as 2 weeks after therapy. The need for nursing instruction and knowledge levels were validated using Cronbach's α reliability test.</p> <p>Results</p> <p>There was a significant difference (<it>P </it>< 0.001) in the need for nursing instruction among the 4 time points. There was a positive correlation between the need for nursing instruction and body weight change, frequency of treatment, and distress, but there was a negative correlation with knowledge level (β = -0.012, <it>P </it>= 0.003) regarding symptoms. The knowledge level of subjects after nursing instruction was significantly higher than before nursing instruction (80 ± 14.31 vs. 70.06 ± 17.23, <it>P </it>< 0.001).</p> <p>Conclusions</p> <p>This study indicates that nursing instruction is needed by patients receiving steroid pulse therapy, and that by designing and administering nursing instructions according to the priority of patient symptoms, nurses can improve patient knowledge related to their diseases and treatments. In addition, the need for nursing instruction can be affected by patient characteristics.</p

Optimization search effort over the control landscapes for open quantum systems with Kraus-map evolution

A quantum control landscape is defined as the expectation value of a target observable $\Theta$ as a function of the control variables. In this work control landscapes for open quantum systems governed by Kraus map evolution are analyzed. Kraus maps are used as the controls transforming an initial density matrix $\rho_{\rm i}$ into a final density matrix to maximize the expectation value of the observable $\Theta$. The absence of suboptimal local maxima for the relevant control landscapes is numerically illustrated. The dependence of the optimization search effort is analyzed in terms of the dimension of the system $N$, the initial state $\rho_{\rm i}$, and the target observable $\Theta$. It is found that if the number of nonzero eigenvalues in $\rho_{\rm i}$ remains constant, the search effort does not exhibit any significant dependence on $N$. If $\rho_{\rm i}$ has no zero eigenvalues, then the computational complexity and the required search effort rise with $N$. The dimension of the top manifold (i.e., the set of Kraus operators that maximizes the objective) is found to positively correlate with the optimization search efficiency. Under the assumption of full controllability, incoherent control modelled by Kraus maps is found to be more efficient in reaching the same value of the objective than coherent control modelled by unitary maps. Numerical simulations are also performed for control landscapes with linear constraints on the available Kraus maps, and suboptimal maxima are not revealed for these landscapes.Comment: 29 pages, 8 figure

A novel Catalytic System for the Divergent Oxidative Carbonylation of Alkynes into Propiolic or Maleic Esters. (Inside Back Cover)

The inside cover picture shows a catalytic cycle, in which an in situ generated bis(2,6-diisopropyl)acenaphthenequinonediimine palladium catalyst is able to divergently convert terminal and internal alkynes into propiolic esters or maleic esters and their derivatives, respectively, with a wide range of alcohols, under oxidative alkoxycarbonylation conditions (4 bar of carbon monoxide, in the presence of benzoquinone as oxidant at 20\u2009\ub0C)

Acute promyelocytic leukemia: the study of t(15;17) translocation by fluorescent in situ hybridization, reverse transcriptase-polymerase chain reaction and cytogenetic techniques

Acute promyelocytic leukemia (AML M3) is a well-defined subtype of leukemia with specific and peculiar characteristics. Immediate identification of t(15;17) or the PML/RARA gene rearrangement is fundamental for treatment. The objective of the present study was to compare fluorescent in situ hybridization (FISH), reverse transcriptase-polymerase chain reaction (RT-PCR) and karyotyping in 18 samples (12 at diagnosis and 6 after treatment) from 13 AML M3 patients. Bone marrow samples were submitted to karyotype G-banding, FISH and RT-PCR. At diagnosis, cytogenetics was successful in 10 of 12 samples, 8 with t(15;17) and 2 without. FISH was positive in 11/12 cases (one had no cells for analysis) and positivity varied from 25 to 93% (mean: 56%). RT-PCR was done in 6/12 cases and all were positive. Four of 8 patients with t(15;17) presented positive RT-PCR as well as 2 without metaphases. The lack of RT-PCR results in the other samples was due to poor quality RNA. When the three tests were compared at diagnosis, karyotyping presented the translocation in 80% of the tested samples while FISH and RT-PCR showed the PML/RARA rearrangement in 100% of them. Of 6 samples evaluated after treatment, 3 showed a normal karyotype, 1 persistence of an abnormal clone and 2 no metaphases. FISH was negative in 4 samples studied and 2 had no material for analysis. RT-PCR was positive in 4 (2 of which showed negative FISH, indicating residual disease) and negative in 2. When the three tests were compared after treatment, they showed concordance in 2 of 6 samples or, when there were not enough cells for all tests, concordance between karyotype and RT-PCR in one. At remission, RT-PCR was the most sensitive test in detecting residual disease, as expected (positive in 4/6 samples). An incidence of about 40% of 5' breaks and 60% of 3' breaks, i.e., bcr3 and bcr1/bcr2, respectively, was observed

Nonlinear optical properties of polymers containing a new azophenylbenzoxazole chromophore

The synthesis of the new highly extended chromophore 2-[4-(N,N-dihydroxyethylaminophenylazo)-phenyl]benzoxazole is described. Two polymers obtained by the polycondensation of this chromophore with propyloxyterephthalic acid and 2,4-tolylenediisocyanate and one obtained by the polycondensation of 2-[4-N,N-bis(2-hydroxyethyl)aminophenyl]-6-nitro-benzoxazole with 2,4-tolylenediisocyanate have been prepared and characterized. The polymers are amorphous and exhibit good optical clarity, satisfactory thermal stability above the glass transition temperature and are soluble in common organic solvents. Second order nonlinear optical behavior of the polymers has been studied through measurement of the electrooptic coefficient on films poled between parallel electrodes. The maximum value measured for the electrooptic coefficient (r33) is 6.5 pm/V at an incident laser wavelength of 1.552 mm

Synthesis and electrooptic properties of side chain methacrylate polymers containing a new azophenylbenzoxazole chromophore

The synthesis and characterization of four methacrylate copolymers obtained by radical addition polymerization of methyl methacrylate as well as a new methacrylate azophenylbenzoxazole chromophore in percentages of 10, 30, 50, and 70% were explored. The copolymers were amorphous and showed glass-transition temperatures ranging from132 to 146 °C. High-quality polymer films were easily obtained by spin coating from N-methylpyrrolidone solutions. Polymer films spun cast on iridium tin oxide (ITO) substrates were used in the electro-optic (EO) experiments to evaluate the EO coefficients r33 using the reflection technique. The measured values fell in the range of 1.7–3.7 pm/V (laser incident wavelength of 1.552 mm) depending on the percentage of chromophore in the polymer

Synthesis and Electrooptic Properties of Side-Chain Methacrylate Polymers Containing a New Azophenylbenzoxazole Chromophore

The synthesis and characterization of four methacrylate copolymers ob- tained by radical addition polymerization of methyl methacrylate as well as a new methacrylate azophenylbenzoxazole chromophore in percentages of 10, 30, 50, and 70% were explored. The copolymers were amorphous and showed glass-transition temperatures ranging from 132 to 146 °C. High-quality polymer films were easily obtained by spin coating from N-methylpyrrolidone solutions. Polymer films spun cast on iridium tin oxide (ITO) substrates were used in the electro-optic (EO) experiments to evaluate the EO coefficients r33 using the reflection technique. The measured values fell in the range of 1.7–3.7 pm/V (laser incident wavelength of 1.552 microns) depending on the percentage of chromophore in the polymer