Classic Kaposi's sarcoma in Italy, 1985–1998

To evaluate incidence rates (IRs) of classic Kaposi's sarcoma (CKS) in Italy after the spread of AIDS, we distinguished CKS from AIDS-related KS (AKS) using an ‘ad hoc' record linkage procedure between 15 Cancer Registries (CRs) (21% of the Italian population) and the national AIDS Registry. Between 1985 and 1998, 874 cases of CKS and 634 cases of AKS were diagnosed in the study areas. CKS accounted for 16 and 27% of KS cases below 55 years of age in men and women, respectively, but for 91 and 100% of those above age 55. The IRs for CKS were 1.0/ in men and 0.4/100 000 in women, but they varied between 0.3 in Umbria and 4.7 in Sassari in men, and between 0.1 in Parma and 1.7 in Sassari in women. IRs of CKS in both genders were stable between 1985–1987 and 1993–1998. In Northern and Central CRs the IR (adjusted for age and gender) for CKS was 0.5 in individuals born in the same area, but 1.6 in individuals born in Southern Italy or in the Islands (rate ratio=3.2) suggesting that KS-associated herpesvirus, the cause of KS, is acquired early in life

Mastectomy rates are decreasing in the era of service screening: a population-based study in Italy (1997–2001)

We enrolled all 2162 in situ and 21 148 invasive cases of breast cancer in 17 areas of Italy, diagnosed in 1997–2001. Rates of early cancer increased by 13.7% in the screening age group (50–69 years), and breast conserving surgery by 24.6%. Advanced cancer rates decreased by 19.4%, and mastectomy rates by 24.2%. Service screening did not increase mastectomy rates in the study population

Effectiveness of service screening: a case–control study to assess breast cancer mortality reduction

The aim of this study was the evaluation of the impact of service screening programmes on breast cancer mortality in five regions of Italy. We conducted a matched case–control study with four controls for each case. Cases were defined as breast cancer deaths occurred not later than 31 December 2002. Controls were sampled from the local municipality list and matched by date of birth. Screening histories were assessed by the local, computerised, screening database and subjects were classified as either invited or not-yet-invited and as either screened or unscreened. There were a total of 1750 breast cancer deaths within the 50 to 74-year-old breast cancer cases and a total of 7000 controls. The logistic conditional estimate of the cumulative odds ratios comparing invited with not-yet-invited women was 0.75 (95% CI: 0.62–0.92). Restricting the analyses to invited women, the odds ratio of screened to never-respondent women corrected for self-selection bias was 0.55 (95% CI: 0.36–0.85). The introduction of breast cancer screening programmes in Italy is associated with a reduction in breast cancer mortality attributable to the additional impact of service screening over and above the background access to mammography

Reply: An inverse association between tumour size and overdiagnosis may explain the results by Bucchi et al

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Screen-detected vs clinical breast cancer: the advantage in the relative risk of lymph node metastases decreases with increasing tumour size

Screen-detected (SD) breast cancers are smaller and biologically more indolent than clinically presenting cancers. An often debated question is: if left undiagnosed during their preclinical phase, would they become more aggressive or would they only increase in size? This study considered a registry-based series (1988–1999) of 3329 unifocal, pT1a-pT3 breast cancer cases aged 50–70 years, of which 994 were SD cases and 2335 clinical cases. The rationale was that (1) the average risk of lymph node involvement (N+) is lower for SD cases, (2) nodal status is the product of biological aggressiveness and chronological age of the disease, (3) for any breast cancer, tumour size is an indicator of chronological age, and (4) for SD cases, tumour size is specifically an indicator of the duration of the preclinical phase, that is, an inverse indicator of lead time. The hypothesis was that the relative protection of SD cases from the risk of N+ and, thus, their relative biological indolence decrease with increasing tumour size. The odds ratio (OR) estimate of the risk of N+ was obtained from a multiple logistic regression model that included terms for detection modality, tumour size category, patient age, histological type, and number of lymph nodes recovered. A term for the detection modality-by-tumour size category interaction was entered, and the OR for the main effect of detection by screening vs clinical diagnosis was calculated. This increased linearly from 0.05 (95% confidence interval: 0.01–0.39) in the 2–7 mm size category to 0.95 (0.64–1.40) in the 18–22 mm category. This trend is compatible with the view that biological aggressiveness of breast cancer increases during the preclinical phase

Pattern of cancer risk in persons with AIDS in Italy in the HAART era

A record-linkage study was carried out between the Italian AIDS Registry and 24 Italian cancer registries to compare cancer excess among persons with HIV/AIDS (PWHA) before and after the introduction of highly active antiretroviral therapy (HAART) in 1996. Standardised incidence ratios (SIR) were computed in 21951 AIDS cases aged 16–69 years reported between 1986 and 2005. Of 101 669 person-years available, 45 026 were after 1996. SIR for Kaposi sarcoma (KS) and non-Hodgkin lymphoma greatly decreased in 1997–2004 compared with 1986–1996, but high SIRs for KS persisted in the increasingly large fraction of PWHA who had an interval of <1 year between first HIV-positive test and AIDS diagnosis. A significant excess of liver cancer (SIR=6.4) emerged in 1997–2004, whereas the SIRs for cancer of the cervix (41.5), anus (44.0), lung (4.1), brain (3.2), skin (non-melanoma, 1.8), Hodgkin lymphoma (20.7), myeloma (3.9), and non-AIDS-defining cancers (2.2) were similarly elevated in the two periods. The excess of some potentially preventable cancers in PWHA suggests that HAART use must be accompanied by cancer-prevention strategies, notably antismoking and cervical cancer screening programmes. Improvements in the timely identification of HIV-positive individuals are also a priority in Italy to avoid the adverse consequences of delayed HAART use

Biotecnología, sostenibilidad y mejoramiento genético * ITANOA

En un contexto mundial de cambio climático y aumento poblacional preocupante, la ciencia y el desarrollo tecnológico deberán aportar la ayuda necesaria paramitigar la creciente necesidad de alimentos y energía renovable.Este escenario plantea grandes desafíos para la producción agrícola en las próximas décadas. La ONU estimó que para el año 2030 se necesitarán mil millonesde toneladas más de cereales por año (UNDP, 2015). Esta cifra es preocupante si se piensa en lograr estos incrementos mediante la utilización de las estrategias empleadas hasta el momento, es decir, expandir la superficie cultivada avanzandosobre ecosistemas naturales e intensificando el uso de fertilizantes y otros productos agroquímicos sintéticos, ya que conduciría indefectiblemente a profundizar el daño a la salud humana y ambiental.Fil: Pardo, Esteban Mariano. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Tecnología Agroindustrial del Noroeste Argentino. Provincia de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial "Obispo Colombres" (p). Instituto de Tecnología Agroindustrial del Noroeste Argentino; ArgentinaFil: Rocha, C. M. L.. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Tecnología Agroindustrial del Noroeste Argentino. Provincia de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial "Obispo Colombres" (p). Instituto de Tecnología Agroindustrial del Noroeste Argentino; ArgentinaFil: Garcia, M.G. M.. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Tecnología Agroindustrial del Noroeste Argentino. Provincia de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial "Obispo Colombres" (p). Instituto de Tecnología Agroindustrial del Noroeste Argentino; ArgentinaFil: Pérez Borroto, Lucía Sandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Tecnología Agroindustrial del Noroeste Argentino. Provincia de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial "Obispo Colombres" (p). Instituto de Tecnología Agroindustrial del Noroeste Argentino; ArgentinaFil: Toum, L. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Tecnología Agroindustrial del Noroeste Argentino. Provincia de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial "Obispo Colombres" (p). Instituto de Tecnología Agroindustrial del Noroeste Argentino; ArgentinaFil: Filippone, María Paula. Universidad Nacional de Tucuman. Facultad de Agronomia y Zootecnia. Departamento de Ecología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Tecnología Agroindustrial del Noroeste Argentino. Provincia de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial "Obispo Colombres" (p). Instituto de Tecnología Agroindustrial del Noroeste Argentino; ArgentinaFil: Castagnaro, Atilio Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Tecnología Agroindustrial del Noroeste Argentino. Provincia de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial "Obispo Colombres" (p). Instituto de Tecnología Agroindustrial del Noroeste Argentino; Argentin

Patógenos detectados en semillas de garbanzo (Cicer arietinum) en Tucumán y áreas de influencia

Muchos hongos, bacterias y virus son transmitidos por las semillas en los diferentes cultivos. Algunos de estos son patógenos importantes, mientras que otros son saprófitos que tienen poco o ningún efecto sobre la viabilidad de las semillas. Sin embargo, los niveles altos de semillas infectadas por microorganismos patógenos y/o saprofitos pueden afectar la calidad, vigor y longevidad de las mismas. Las semillas son una vía de transporte de patógenos, permitiendo su dispersión en espacio y tiempo. La identificación de microorganismos patógenos asociados a semillas brinda información valiosa sobre qué problemas podría llegar a afrontar el productor en los cultivos originados de esas semillas. El objetivo del presente trabajo es presentar los resultados de las detecciones de patógenos en semillas de garbanzo (Cicer arietinum L.) destinadas a la siembra en Tucumán y áreas de influencia. Asimismo, se detallan las características más importantes de los principales patógenos encontrados. Mediante observaciones macro y/o microscópicas de las características morfológicas y de las estructuras de reproducción asexual (fructificaciones y conidios), se identificaron en el laboratorio de la Sección Fitopatología los siguientes géneros y especies de hongos fitopatógenos: Ascochyta rabiei, Fusarium oxysporum, Alternaria sp., Colletotrichum sp., Rhizoctonia sp. y Macrophomina phaseolina. La mayoría de los hongos saprofitos que fueron aislados se encontraban sobre la superficie de las semillas aunque algunos se encontraron internamente. Entre los hongos asociados con el deterioro de semillas se detectó: Aspergillus niger, Aspergillus spp., Penicillium spp., Rhizopus sp., Nigrospora sp. y levaduras.Fil: Aguaysol, N. Catalina. Gobierno de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial Obispo Colombres; ArgentinaFil: Acosta, M. Eugenia. Gobierno de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial Obispo Colombres; ArgentinaFil: González, Victoria. Gobierno de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial Obispo Colombres; ArgentinaFil: Fogliata, Gabriela. Gobierno de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial Obispo Colombres; ArgentinaFil: de Lisi, Vicente. Gobierno de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial Obispo Colombres; ArgentinaFil: Ploper, Leonardo Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tucumán. Instituto de Tecnología Agroindustrial del Noroeste Argentino. Provincia de Tucumán. Ministerio de Desarrollo Productivo. Estación Experimental Agroindustrial "Obispo Colombres"(p). Instituto de Tecnología Agroindustrial del Noroeste Argentino; Argentin

Isolated HBsAg positivity in a Mexican patient with newly diagnosed lupus nephritis

Abstract Introduction: Hepatitis B surface antigen (HBsAg) is usually regarded as a marker of hepatitis B virus (HBV) infection. The concurrence of lupus nephritis (LN) and HBsAg-positivity is a challenge for the clinician, since immunosuppressant use may be associated with an increase in viral replication and an exacerbation of liver disease. Case presentation: Here, we describe the case of a 30-year-old Mexican woman with newly diagnosed focal proliferative LN who also tested repeatedly positive for HBsAg by chemiluminescent microparticle immunoassay (CMIA). She had no clinical features of hepatitis and her liver function tests were within normal limits. Her abdominal ultrasound was also normal. While waiting for further results, she was started on lamivudine (100 mg daily). However, total HBV core antibody test was negative. Owing to the infrequency of this serological pattern, an in vitro polymerase chain reaction (PCR) assay was performed and HBV was not detected. Overall, we interpreted these results as a false-positive screening. Methylprednisolone pulse therapy was subsequently given (1 g daily for three doses) without hepatic repercussion, neither clinically nor biochemically. Conclusions: Isolated HBsAg positivity may result from multiple causes, one of which is crossreactivity. To the best of our knowledge, this is the first report of a false-positive reading using CMIA technique in an active lupus patient. It is reasonable to stress that lupus patients with a positive screening for HBV should undergo a confirmatory assay (such as genomic detection), since this diagnosis may have important therapeutic implications. � 2016 Egyptian Society of Rheumatic Diseases. Publishing services provided by Elsevier. B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/

Uji Antifungi Ekstrak Bayam Merah (Amaranthus tricolor L.) terhadap Pertumbuhan Candida albicans

Candidiasis is starting to increase globally in line with the increase in the immunocompromised population such as people with HIV (Human Immunodeficiency Virus), diabetes mellitus, antibiotic consumption, and pregnant women. The incidence of candidiasis in pregnant women increased by 40%. Candidiasis is caused by a Candida yeast infection such as Candida albicans. Red spinach (Amaranthus tricolor L.) is a plant that has antifungal effects because it contains alkaloids, tannins, saponins, and flavonoids. The research was conducted in a laboratory experimental manner using the disc diffusion method to determine the effectiveness of red spinach (Amaranthus tricolor L.) as an antifungal against Candida albicans in vitro. Analysis of the data used is Anova One Way and Pearson correlation. Based on the results of the study, the highest inhibition zone was at a concentration of 100%, namely 16.4 mm, this means that red spinach (Amaranthus tricolor L.) has strong antifungal power to inhibit the growth of Candida albicans. Researchers hope that these results can be a general reference material for further research to prevent candidiasis so as to improve maternal health rates.Kandidiasis mulai meningkat secara global sejalan dengan meningkatnya populasi immunocompromised seperti penderita HIV (Human Immunodeficiency Virus), diabetes melitus, pengonsumsi antibiotik, maupun ibu hamil. Kejadian kandidiasis pada ibu hamil meningkat sebesar 40%. Kandidiasis diakibatkan oleh infeksi jamur Candida seperti Candida albicans. Bayam merah (Amaranthus tricolor L.) adalah tanaman yang mempunyai efek antifungi karena mengandung senyawa alkaloid, tanin, saponin, dan flavonoid. Penelitian dilakukan secara eksperimental laboratorik dengan menggunakan metode disc diffusion untuk mengetahui efektivitas bayam merah (Amaranthus tricolor L.) sebagai antifungi terhadap Candida albicans secara in vitro. Analisa data yang digunakan yaitu Anova One Way serta korelasi Pearson. Berdasarkan hasil penelitian yang diperoleh zona hambat tertinggi pada konsentrasi 100% yaitu 16,4 mm, hal ini berarti bahwa bayam merah (Amaranthus tricolor L.)  memiliki daya antifungi yang kuat terhadap menghambat pertumbuhan Candida albicans. Peneliti berharap hasil ini bisa menjadi bahan referensi umum bagi peneilitian lanjutan untuk dapat mencegah kandidiasis sehingga dapat meningkatkan angka kesehatan ibu