The evolving definition of carcinogenic human papillomavirus

Thirteen human papillomavirus (HPV) genotypes have been judged to be carcinogenic or probably carcinogenic, and the cause of virtually all cervical cancer worldwide. Other HPV genotypes could possibly be involved. Although the inclusion of possibly carcinogenic HPV genotypes may hurt test specificity, it may indirectly increase the reassurance following a negative HPV test (i.e. the negative predictive value of an HPV test for cervical precancer and cancer). The future of cervical cancer screening in low-resource setting, however, may include once-in-a-lifetime, low-cost and rapid HPV testing. However, the tradeoff of more false positives for greater reassurance may not be acceptable if the local infrastructure cannot manage the screen positives. Now is the time for the community of scientists, doctors, and public health advocates to use the data presented at the 100th International Agency for Research on Cancer monograph meeting to rationally decide the target HPV genotypes for the next generation of HPV tests for use in high-resource and low-resource settings. The implications of including possibly HPV genotypes on HPV test performance, also for guidance on the use of these tests for cervical cancer prevention programs, are discussed

Modeling the power flow in normal conductor-insulator-superconductor junctions

Normal conductor-insulator-superconductor (NIS) junctions promise to be interesting for x-ray and phonon sensing applications, in particular due to the expected self-cooling of the N electrode by the tunneling current. Such cooling would enable the operation of the active element of the sensor below the cryostat temperature and at a correspondingly higher sensitivity. It would also allow the use of MS junctions as microcoolers. At present, this cooling has not been realized in large area junctions (suitable for a number of detector applications). In this article, we discuss a detailed modeling of the heat flow in such junctions; we show how the heat flow into the normal electrode by quasiparticle back-tunneling and phonon absorption from quasiparticle pair recombination can overcompensate the cooling power. This provides a microscopic explanation of the self-heating effects we observe in our large area NIS junctions. The model suggests a number of possible solutions

In-flight absolute radiometric calibration of the thematic mapper

The TM multispectral scanner system was calibrated in an absolute manner before launch. To determine the temporal changes of the absolute radiometric calibration of the entire system, spectroradiometric measurements of the ground and the atmosphere were made simultaneously with TM collections over White Sands, New Mexico. By entering the measured values in an atmospheric radiative transfer program, the radiance levels of the in four of the spectral bands of the TM were determined. Tables show values for the reflectance of snow at White Sands measured by a modular 8 channel radiometer, and values for exoatmospheric irradiance within the TM passbands, calculated for the Earth-Sun distance using a solar radiometer

In-flight absolute radiometric calibration of the thematic mapper

In order to determine temporal changes of the absolute radiometric calibration of the entire TM system in flight spectroradiometric measurements of the ground and the atmosphere were made simultaneously with TM image collections over the White Sands, New Mexico area. By entering the measured values in an atmospheric radiative transfer program, the radiance levels in four of the spectral bands of the TM were determined, band 1:0.45 to 0.52 micrometers, band 2:0.53 to 0.61 micrometers band 3:0.62 to 0.70 micrometers and 4:0.78 to 0.91 micrometers. These levels were compared to the output digital counts from the detectors that sampled the radiometrically measured ground area, thus providing an absolute radiometric calibration of the entire TM system utilizing those detectors

Types of patients in a psychiatric intensive care unit

Objective: This paper reports the findings of a descriptive study of a patient populationover a three-month period on an eight bed psychiatric intensive care unit (PICU) in Western Australia. The report provides a quantitative insight into the profile of patients in PICUs. It provides information on patients' diagnoses, presenting signs, symptoms and/or behaviours,legal codes assigned to patients, treatment interventions and management. Method: Data were collected prospectively from August to October 1999. A total of 122 patients were admitted to the PICU during the review period. Data were entered into an Access program then exported to SPSS (Version 9 for Windows) for analysis and frequency distributions were obtained. Results: The results confirmed that the majority of patients admitted to the PICU were assessed as a high level of risk or needed containment. This finding is in line with the admission criteria developed by staff working in the PICU. It also supports the view that staffworking in these units require expertise and confidence to communicate with and manage potentially aggressive and highly aroused patients. Conclusion: This study demonstrates the importance of ongoing evaluations of patient populations in promoting best practice initiatives in psychiatric care

Acute study of dose-dependent effects of (-)-epicatechin on vascular function in healthy male volunteers: a randomized controlled trial

BACKGROUND & AIMS There is convincing clinical evidence to suggest that flavanol-containing foods/beverages are capable of inducing improvements in human vascular function. However, whilst (-)-epicatechin has been tested for efficacy, a full dose-dependency has yet to be established, particularly at doses below 1 mg/kg BW. The current study examined the dose-dependent effects of (-)-epicatechin on human vascular function with concurrent measurement of plasma (-)-epicatechin metabolites and levels of circulating nitrite and nitrate species, NOx. METHODS An acute, double-blind, placebo-controlled, crossover intervention trial was conducted in 20 healthy males with 4 treatment arms: water-based (-)-epicatechin (0.1, 0.5 and 1.0 mg/kg BW) and a water only as control. Vascular function was assessed by flow-mediated dilatation (FMD) measured at the brachial artery, laser Doppler imaging with iontophoresis (LDI) at the subcutaneous capillaries of the forearm (response to Ach and SNP) and peripheral blood pressure (BP) at baseline, 1, 2, 4 and 6 h post-intervention. Plasma analysis of epicatechin metabolites was conducted by LC-MS and circulating plasma of nitrite and nitrate species were performed using an HPLC-based system (ENO-30). RESULTS Significant increases in % FMD were found to occur at 1 and 2 h following intake of 1 mg/kg BW, and at 2 h for the 0.5 mg/kg BW intake. There were no significant changes in LDI or BP at any time-points or intake levels. Increases in FMD over the 6 h timeframe were closely paralleled by the appearance of total plasma (-)-epicatechin metabolites. Non-significant changes in circulating NOx was observed. CONCLUSIONS Our data add further evidence that (-)-epicatechin is a causal vasoactive molecule within flavanol-containing foods/beverages. In addition, we show for the first time that intake levels as low as 0.5 mg/kg BW are capable of inducing acute improvements in vascular function (FMD) in healthy volunteers

A sequential protocol combining dual neuroanatomical tract-tracing with the visualization of local circuit neurons within the striatum

We describe here an experimental approach designed to aid in the identification of complex brain circuits within the rat corpus striatum. Our aim was to characterize in a single section (i) striatal thalamic afferents, (ii) striatopallidal projection neurons and (iii) striatal local circuit interneurons. To this end, we have combined anterograde tracing using biotinylated dextran amine and retrograde neuroanatomical tracing with Fluoro-Gold. This dual tracing protocol was further implemented with the visualization of different subpopulations of striatal interneurons. The subsequent use of three different peroxidase substrates enabled us to unequivocally detect structures that were labeled within a three-color paradigm

Basic science research to support the nuclear material focus area

The Department of Energy's (DOE'S) Office of Environmental Management (EM) is responsible for managing more than 760,000 metric tons of nuclear material that is excess to the current DOE weapons program, as a result of shutdown of elements of the weapons program, mainly during the 1990s. EMowned excess nuclear material comprises a variety of material types, including uranium, plutonium, other actinides and other radioactive elements in numerous forms, all of which must be stabilized for storage and ultimate disposition. Much of this quantity has been in storage for many years. Shutdown of DOE sites and facilities requires removal of nuclear material and consolidation at other sites, and may be delayed by the lack of available technology. Within EM, the Office of Science and Technology (OST) is dedicated to providing timely, relevant technology to accelerate completion and reduce cleanup cost of the DOE environmental legacy. OST is organized around five focus areas, addressing crucial areas of end-user-defined technology need. The Focus Areas regularly identify potential technical solutions for which basic scientific research is needed to determine if the technical solution can be developed and deployed. To achieve a portfolio of projects that is balanced between near-term priorities driven by programmatic risks (such as site closure milestones) and long-term, high-consequence needs that depend on extensive research and development, OST has established the Environmental Management Science Program (EMSP) to develop the scientific basis for solutions to long-term site needs. The EMSP directs calls for proposals to address scientific needs of the focus areas. Needs are identified and validated annually by individual sites in workshops conducted across the complex. The process captures scope and schedule requirements of the sites, so that focus areas can identify technology that can be delivered to sites in time to complete site cleanup. The Nuclear Material Focus Area (NMFA) has identified over two hundred science and technology needs, of which more than thirty are science needs

Risk Factors for Cervical Precancer and Cancer in HIV-Infected, HPV-Positive Rwandan Women

Although cervical cancer is an AIDS-defining condition, infection with human immunodeficiency virus (HIV) may only modestly increase the risk of cervical cancer. There is a paucity of information regarding factors that influence the natural history of human papillomavirus (HPV) in HIV-infected women. We examined factors associated with cervical intraepithelial neoplasia grade 3 or cancer (CIN3+) in Rwandan women infected with both HIV and HPV (HIV+/HPV+).In 2005, 710 HIV+ Rwandan women ≥25 years enrolled in an observational cohort study; 476 (67%) tested HPV+. Each woman provided sociodemographic data, CD4 count, a cervical cytology specimen and cervicovaginal lavage (CVL), which was tested for >40 HPV genotypes by MY09/MY11 PCR assay. Logistic regression models calculated odds ratios (OR) and 95% confidence intervals (CI) of associations of potential risk factors for CIN3+ among HIV+/HPV+ women.Of the 476 HIV+/HPV+ women 42 (8.8%) were diagnosed with CIN3+. Factors associated with CIN3+ included ≥7 (vs. 0-2) pregnancies, malarial infection in the previous six months (vs. never), and ≥7 (vs. 0-2) lifetime sexual partners. Compared to women infected by non-HPV16 carcinogenic HPV genotypes, HPV16 infection was positively associated and non-carcinogenic HPV infection was inversely associated with CIN3+. CD4 count was significantly associated with CIN3+ only in analyses of women with non-HPV16 carcinogenic HPV (OR = 0.62 per 100 cells/mm(3), CI = 0.40-0.97).In this HIV+/HPV+ population, lower CD4 was significantly associated with CIN3+ only in women infected with carcinogenic non-HPV16. We found a trend for higher risk of CIN3+ in HIV+ women reporting recent malarial infection; this association should be investigated in a larger group of HIV+/HPV+ women