Early-stage [123I]beta-CIT SPECT and long-term clinical follow-up in patients with an initial diagnosis of Parkinson's disease

beta-CIT binding in both caudate nuclei was lower than in the group of patients with IPD. In addition, putamen to caudate binding ratios were higher in the group of APS patients. In spite of these differences, individual binding values showed considerable overlap between the groups. CONCLUSION: [(123)I]beta-CIT SPECT scanning in early-stage, untreated parkinsonian patients revealed a relative sparing of the caudate nucleus in patients with IPD as compared to patients later (re)diagnosed with APS. Nevertheless, the pattern of striatal involvement appears to have little predictive value for a later re-diagnosis of APS in individual case

Evaluation of lymph node numbers for adequate staging of Stage II and III colon cancer

<p>Abstract</p> <p>Background</p> <p>Although evaluation of at least 12 lymph nodes (LNs) is recommended as the minimum number of nodes required for accurate staging of colon cancer patients, there is disagreement on what constitutes an adequate identification of such LNs.</p> <p>Methods</p> <p>To evaluate the minimum number of LNs for adequate staging of Stage II and III colon cancer, 490 patients were categorized into groups based on 1-6, 7-11, 12-19, and ≥ 20 LNs collected.</p> <p>Results</p> <p>For patients with Stage II or III disease, examination of 12 LNs was not significantly associated with recurrence or mortality. For Stage II (HR = 0.33; 95% CI, 0.12-0.91), but not for Stage III patients (HR = 1.59; 95% CI, 0.54-4.64), examination of ≥20 LNs was associated with a reduced risk of recurrence within 2 years. However, examination of ≥20 LNs had a 55% (Stage II, HR = 0.45; 95% CI, 0.23-0.87) and a 31% (Stage III, HR = 0.69; 95% CI, 0.38-1.26) decreased risk of mortality, respectively. For each six additional LNs examined from Stage III patients, there was a 19% increased probability of finding a positive LN (parameter estimate = 0.18510, p < 0.0001). For Stage II and III colon cancers, there was improved survival and a decreased risk of recurrence with an increased number of LNs examined, regardless of the cutoff-points. Examination of ≥7 or ≥12 LNs had similar outcomes, but there were significant outcome benefits at the ≥20 cutoff-point only for Stage II patients. For Stage III patients, examination of 6 additional LNs detected one additional positive LN.</p> <p>Conclusions</p> <p>Thus, the 12 LN cut-off point cannot be supported as requisite in determining adequate staging of colon cancer based on current data. However, a minimum of 6 LNs should be examined for adequate staging of Stage II and III colon cancer patients.</p

Contrasting effects of tropospheric ozone on five native herbs which coexist in calcareous grassland

The aim of this study was to examine the effects of increased tropospheric ozone concentrations on the growth and morphology of five native herbs commonly found to coexist in calcareous grassland in areas of Britain and continental Europe: Anthyllis vulneraria L., Cirsium acaule (L.) Scop., Festuca ovina L., Pilosella offtcinarum F. Shultz &amp; Shultz-Bip and Lotus comiculatus L.In a chronic fumigation (mean O3 concentration of 71 ppb (71 nl 1?1) for 7 h d?1 AOT40 4585 ppb-h) which lasted for 21 d, the effects of ozone were assessed using classical growth analysis. Large reductions in mean relative growth rates for shoot and root weight and root length were observed for the two legumes (Fabaceae) Lotus corniculatus and Anthyllis vulneraria, although these were only statistically significant for Lotus corniculatus. Significant reductions in specific root length (length per unit dry weight) were found for Cirsium acaule and Pilosella officinarum (Asteraceae), while for Festuca ovina (Poaceae) the allometric coefficient was reduced significantly following exposure to ozone.An acute fumigation (mean O3 concentration of 196 ppb, 7 h) resulted in a range of visible injury, from no injury (Festuca ovina and Pilosella officinarum) through moderate levels of injury (Cirsium acaule and Lotus corniculatus) to extensive and widespread injury (Anthyllis vulneraria). Scoring of visible damage showed that this was only statistically significant for the two legumes, Lotus corniculatus and Anthyllis vulneraria.These results suggest that native herbs may differ in their sensitivity to tropospheric ozone. Both chronic and acute exposures revealed that members of the Fabaceae may be most sensitive to ozone pollution, but the study also suggests that subtle changes in root morphology occurred for members of the Asteraceae. These findings are discussed in relation to the critical levels of ozone set recently for plants and the implications of increasing tropospheric ozone for the conservation of native plant communities