Angiogenesis factor in endometrial carcinoma: A new prognostic indicator?

OBJECTIVE: Tumor angiogenesis is believed to be a prognostic indicator associated with tumor growth and metastasis. Studies of angiogenesis in breast, prostate, and lung cancer, as well as melanoma, have shown that neovascularization correlates with the likelihood of metastasis and recurrences. The purpose of this study was to evaluate microvessel density as a prognostic factor in endometrial cancer. METHODS: Between 1980 and 1991 the tumor registry identified 25 patients with a diagnosis of recurrent endometrial cancer. These patients were matched with 25 patients with nonrecurrent disease for age, stage, grade, and treatment. The histologic slides of the 50 patients were reviewed. The paraffin blocks were obtained, and the area of the deepest myometrial invasion was selected for staining. The microvessels within the invasive cancer were highlighted by means of immunocytochemical staining to detect factor VIII - related antigen. Microvessels were counted by two investigators who were blinded to the patients' clinical status. Survival data were analyzed with Kaplan-Meier survival curves. RESULTS: Microvessel count was related to likelihood of recurrence, although this trend did not reach statistical significance. Patients with tumors of low capillary density had a mean survival time of 123 months. Patients with tumors of high capillary density had a mean survival time of 75 months (p = 002). Among patients with recurrent disease, those with a low capillary count survived a mean of 64 months. Patients with recurrent disease with tumors of high capillary density survived a mean of 45 months (p = 0.002). CONCLUSION: Angiogenesis factor correlates with survival in endometrial carcinoma. (Am J Obstet Gynecol 1996;174:1879-84.)     

Invasive disease caused by Haemophilus influenzae: the sensitivity of statutory reporting

PURPOSE: The objective of the study was to investigate the sensitivity of the statutory reporting of Haemophilus influenzae invasive disease (HIID) during the period between 1996 and 1997 in Catalonia, Spain. METHODS: The incidence of HIID reported passively by clinicians was compared with the cases detected by a system of microbiological surveillance. In all cases isolated, the age of the patient, the clinical form and the serotype were investigated. RESULTS: Sixty-six cases were passively reported and 111 were detected by microbiological surveillance. Overall sensitivity of reporting was 59.5% (95% CI, 50.7-69.1), with differences being observed according to the variables studied. The highest values were obtained in children under 5 years (87.8%; 95% CI, 73.7-95.9), in cases with meningitis and/or sepsis (64.3%; 95% CI, 50.4-76.6) and in serotype b (73.0%; 95% CI, 60.3-83.4). In the logistical regression analysis, only age under 5 years was associated with greater reporting (OR= 9.8; 95% CI, 2.5-37.8). CONCLUSIONS: Reported morbidity in children under 5 years is a good estimate of the true incidence of HIID in Catalonia (underreporting was 12.2%), but not for those above this age in whom the underreporting was 57.2%.     

中医药抄本总合与类分

对《全国中医图书联合目录》中医药抄本进行梳理。总量为5083种,其中未刻抄本3928种,已属孤本的有3623部;清末前抄本1288种,其中未刻抄本924种;日本抄本227种,其中未刻抄本141种（清末前日本抄本71种,其中未刻抄本48种）。统计收藏中医药抄本种量前10位的国内图书馆,其中中国中医研究院与上海中医药大学的馆藏量合计约占全部抄本总量的45％。     

Future directions for the integrated CSFII-NHANES: What We Eat in America-NHANES

The history of the integration of the dietary data collection from the National Health and Nutrition Examination Survey (NHANES) and the Continuing Survey of Food Intakes by Individuals (CSFII) is reviewed. The purposes and process of the workshop are presented. The three key topics of the workshop are summarized. The key roles of cosponsors and participants are acknowledged.     

骨膦和153钐乙二胺四甲撑磷酸治疗头颈 肿瘤骨转移的随机对照临床观察

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A Review of: “An Individual Scholar's Sociological Perspective on the History of Euthanasia in the United States”

Abstract

As with people of the distant past, contemporary Americans inter funerary remains or “grave goods” with their dead. The analysis of contemporary artifact interment in the United States is an initial focus of this study. Survey data gathered from 22 morticians in seven states have been used to explain modern funerary trends and motives of the bereaved. A second and more sensitive questionnaire was distributed by morticians to individuals who had placed artifacts in a relative's burial. Their responses give direct personal insights from which scholars may gain an understanding of the importance of grave goods to those who bury them with their dead.