Weight gain in women with localized breast cancer--a descriptive study.

A retrospective study was undertaken of weight gain during the first year after diagnosis of breast cancer in three groups of women with localized disease. Group I consisted of 307 women with clinical or pathological node-negative breast cancer and Group II of 139 women with clinical or pathological node-positive breast cancer. Neither of these groups received systemic adjuvant therapy.

Methodologies for the measurement of bone density and their precision and accuracy.

Radiographic methods of determining bone density have been available for many years, but recently most of the efforts in this field have focused on the development of instruments which would accurately and automatically measure bone density by absorption, or by the use of x-ray computed tomography (CT). Single energy absorptiometers using I-125 have been available for some years, and have been used primarily for measurements on the radius, although recently equipment for measuring the os calcis has become available. Accuracy of single energy measurements is about 3% to 5%; precision, which has been poor because of the difficulty of exact repositioning, has recently been improved by automatic methods so that it now approaches 1% or better.

Critical appraisal of the evidence that dietary fat intake is related to breast cancer risk in humans.

A critical appraisal was undertaken of the evidence that dietary fat intake is related to breast cancer risk by application of the criteria for causal inference proposed by Bradford Hill to the published evidence that relates dietary fat to breast cancer risk in humans. These criteria concern the consistency, strength, and temporal relationships of possible causative associations and also require the existence of a biologic gradient and examine the extent to which the proposed causal association is in keeping with other biological and epidemiological knowledge. The published reports were inconsistent in their ability to detect a significant association between dietary fat and breast cancer risk, correlation studies that examined the effect of fat over large ranges being largely positive, and studies with stronger designs (case-control, cohort) that examined fat intake over much smaller ranges being largely negative.

SPECT instrumentation: performance, lesion detection, and recent innovations.

The use of a gamma camera for single photon emission computed tomography (SPECT) imaging places greater demand on camera performance than does planar imaging, since camera specifications that are adequate for planar imaging may produce serious image artifacts in SPECT. Manufacturers have responded to the challenge with improvements in both hardware and software, but the user must pay careful attention to quality control procedures. Field nonuniformity is caused mainly by spatial distortion, which may vary during rotation; some cameras incorporate a means of automatically correcting for angular changes.

Etoposide pharmacokinetics in patients with normal and abnormal organ function.

Precise guidelines for dose modification of etoposide in patients with hepatic dysfunction have not been determined. Etoposide pharmacokinetics were determined in 17 patients. Nine patients had bilirubin less than or equal to 1 mg/dL and eight had bilirubin ranging from 1.

Treatment of basal-cell carcinoma: comparison of radiotherapy and cryotherapy.

A prospective randomised trial to compare radiotherapy and cryotherapy in the treatment of basal-cell carcinomas was carried out in 93 patients. Two years after treatment, 4% of tumours treated with radiotherapy and 39% of those treated with cryotherapy had recurred. It is concluded that cryotherapy does not offer a satisfactory alternative to radiotherapy in the treatment of basal-cell carcinomas.

Measuring cochlear blood flow by laser Doppler spectroscopy.

Cochlear blood flow (CBF) was studied with a commercially available laser Doppler system in 20 guinea pigs. The cochlea was exposed to permit placement of the laser Doppler probe over the intact lateral wall of the basal turn. Ketamine and xylazine were used for anesthesia, and blood pressure was monitored from the femoral artery.

Differences in mutagenic and recombinational DNA repair in enterobacteria.

The incidence of recombinational DNA repair and inducible mutagenic DNA repair has been examined in Escherichia coli and 11 related species of enterobacteria. Recombinational repair was found to be a common feature of the DNA repair repertoire of at least 6 genera of enterobacteria. This conclusion is based on observations of (i) damage-induced synthesis of RecA-like proteins, (ii) nucleotide hybridization between E.

Interspecies regulation of the SOS response by the E. coli lexA+ gene.

A plasmid-encoded E. coli lexA+ gene was introduced into 6 species of Enterobacteria. Ultraviolet light-sensitization occurred in all species except P.

Symplast domains in extrastelar tissues of Egeria densa Planch.

A set of hydrophilic fluorescent dyes of known molecular weight has been used to determine the molecular exclusion limit and the extent of apical, epidermal and cortical symplasts in the root, stem and leaf of Egeria densa. These dyes are unable to pass the plasmalemma, so that any cell-to-cell movement of injected dye must occur via the symplast. The shoot-apex symplast has a high molecular exclusion limit, excluding dyes with a molecular weight of 749 dalton (fluorescein hexaglycine) and greater but allowing dyes of up to 665 dalton (fluorescein diglutamic acid) to pass.

Potential role of angiotensin II in noise-induced increases in inner ear blood flow.

Guinea pigs were exposed to 120 dB white noise for 30 min and evidenced a four-fold elevation in plasma concentration of the potent vasoconstricting hormone angiotensin II (AII). Anesthetized animals received intra-arterial injections of AII at doses that approximated the endogenous levels measured following noise exposure. A marked decrease in skin blood flow was observed with a concomitant increase in cochlear blood flow as measured by laser Doppler flowmeters.

The effects of nicotine on laser Doppler measures of cochlear blood flow.

Anesthetized guinea pigs were given arterial bolus injections of saline or varying nicotine concentrations. Blood flow through the cochlea and skin were measured via laser Doppler and arterial blood pressure via an arterial cannula. Cochlear blood flow increased with low doses of nicotine but decreased with the highest dose, while blood pressure increased and skin flow decreased with all doses of nicotine.

The laser Doppler: a non-invasive measure of cochlear blood flow.

The present investigation demonstrates the utility of the laser Doppler flowmeter to provide a measure of cochlear blood flow dynamics. Cochlear and cutaneous blood flow were compared with arterial blood pressure during and following exposure to Angiotensin II, 5% carbon monoxide, 100% oxygen, mannitol, and saline. The observations indicate that: 1) cochlear blood flow generally parallels cutaneous blood flow; however, 2) when cutaneous beds vasoconstrict (e.

Cochlear deoxyglucose uptake: relationship to stimulus intensity.

The relationship between stimulus intensity and the uptake of 2-deoxyglucose (2-DG) in the cochlea of the gerbil was studied using an autoradiographic technique. In silence, incorporation of labeled 2-DG into stria vascularis and the spiral ligament was significantly higher than for other inner ear structures. With increasing intensity of noise exposure, 2-DG uptake in the spiral ganglion and VIIIth nerve increased dramatically when compared to the lateral wall structures.

Inner ear blood flow measured with a laser Doppler system.

Cochlear blood flow was studied in guinea pigs, using a laser Doppler system during exposure to methoxamine hydrochloride and phentolamine hydrochloride, local cooling, or terminal asphyxia. Measurements were made through the intact lateral wall of the first turn of the cochlea. Observed changes in relationship to simultaneous measures of skin blood flow and BP indicated that this system provides a dynamic measure of inner ear blood flow.

Herpes simplex infections in pemphigus: an indication for urgent viral studies and specific antiviral therapy.

Four cases of herpes simplex virus infection in exacerbations of pemphigus are described. Three of these patients had severe generalized infection requiring systemic anti-viral therapy. The presenting features, methods for rapid viral diagnosis and appropriate treatment are discussed.

Skin pressure measurements on various mattress surfaces in cancer patients.

Twenty-eight patients with histologically proven carcinoma were studied on two dynamic and six static mattress surfaces to determine which mattress surface would provide the least skin surface pressure at the sacrum, dorsal spine, trochanter and heels. Measurements were taken with an especially designed inflatable bladder, and the mean of the maximum skin surface pressures was determined for the static and dynamic surfaces in the inflated and deflated state. Using less than or equal to 32 mm Hg as the skin surface pressure at which the arteriolarcapillary blood flow is interrupted, we concluded that the mud gel bed generally tended to record the lowest skin surface pressure for all of the sites.

Laser Doppler measurements of cochlear blood flow.

Blood flow to the inner ear was studied with a laser Doppler system in the acute guinea pig. Flow was measured through the lateral wall of the basal turn. Changes in simultaneous measures of cochlear and skin flow with rebreathing, epinephrine, phentolamine and terminal bleeding were studied.