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Biomedical subjects

J S Grove

Publications and source records attributed to J S Grove.

At least 37 records · Page 2Linked to original sources
PubMed1991

Estimating the sensitivity of breast cancer screening--experience with the Honolulu BCDDP data.

The 'capture-recapture' models for estimating breast cancer screening sensitivity can be generalized to include factors that affect sensitivity such as cancer size. Including such factors can help reduce the covariance between mammographic and physical exam sensitivity, which will improve the estimates. One model relating sensitivity to cancer length is presented and tested using data from the Honolulu Breast Cancer Detection Demonstration Project (BCDDP). The model predicts sensitivity fairly well for large breast cancers, but underestimates sensitivity for small cancers. Using both mammography and physical examination, the total screening sensitivity is estimated as 0.91 +/- 0.03 for cancers longer than 12 mm (for the second through fifth screenings for Honolulu and Tucson screening data combined). Limited data suggest similar screening sensitivities for Orientals and Caucasians in Hawaii. Shortcomings of the BCDDP data include inaccurate measurements of cancer length. Suggestions to improve data for future work are given.

Breast Neoplasms↗
PubMed1990

A prospective study of stomach cancer and its relation to diet, cigarettes, and alcohol consumption.

From 1965 to 1968 in Hawaii, 7990 American men of Japanese ancestry were interviewed and examined in a cohort study. The intake of 20 separate foods in a food frequency questionnaire and the intake of carbohydrate and other nutrients, based on a 24-h diet recall history, were recorded. Since then, 150 incident cases of stomach cancer have been identified. Although men with stomach cancer (cases) consumed pickles and ham/bacon/sausages more often and fruits and fried vegetables less often than men without cancer (noncases), none of the differences was statistically significant. Current cigarette smokers had an increased risk (relative risk = 2.7; 95% confidence interval = 1.8 to 4.1) compared with nonsmokers, but there was no dose-response effect with heavier cigarette smoking. The consumption of alcohol, either from beer, spirits, or wine, did not affect the incidence of stomach cancer. The failure to detect an association with dietary foods in this study may be due to the omission of many oriental foods in the questionnaire and the limitations of the 24-h diet recall history.

Age Factors↗
PubMed1989

A prospective study of demographics, diet, and prostate cancer among men of Japanese ancestry in Hawaii.

Prostate cancer incidence was prospectively studied among 7999 men of Japanese ancestry who were first examined between 1965 and 1968 and then followed through 1986. During this surveillance period, 174 incident cases of prostate cancer were recorded. Prostate cancer was not associated with any measure of socioeconomic status, including amount of education, type of occupation, and type of residence. There was also no relationship with the number of children, as a surrogate measure of sexual activity. Increased consumption of rice and tofu were both associated with a decreased risk of prostate cancer, while consumption of seaweeds was associated with an increased risk of prostate cancer. There was no relationship between prostate cancer and the intake of various nutrients, including total fat and total protein. Etiological implications of these associations are discussed, but more research is needed on these dietary factors and the subsequent development of prostate cancer before any firm conclusions can be drawn.

Diet↗
PubMed1989

A prospective analysis of physical activity and cancer.

Previous studies have suggested that increased physical activity may be protective against colon cancer. Most of these studies measured activity indirectly. The present study evaluated several direct measurements of physical activity and also resting heart rate as determined from an electrocardiogram. Increased activity was consistently associated with a decreased relative risk of colon cancer for each measure of activity. The colon cancer relative risk estimates for the middle and upper tertiles of a physical activity index (compared with the lower tertile) were 0.56 (95% confidence interval (CI) 0.39-0.80) and 0.71 (95% CI 0.51-0.99), respectively. Relative risk of colon cancer associated with moderate or heavy activity at home/recreation (compared with mostly sitting) was 0.66 (95% CI 0.49-0.88). A similar comparison of activity at work resulted in a relative risk estimate of 0.72 (95% CI 0.52-1.00). Relative risk of colon cancer increased significantly (p = 0.027) with increasing resting heart rate. Relative risks associated with physical activity were also evaluated for cancers of the stomach, rectum, lung, prostate, and urinary bladder. An increased relative risk of stomach cancer was associated with several measures of increased activity, but these results are preliminary and additional research is necessary to further evaluate this finding.

Colonic Neoplasms↗
PubMed1988

Body mass and prostatic cancer: a prospective study.

Previous studies have suggested that increased body mass is associated with an increased risk of prostatic cancer, but these studies have been limited by the fact that they were based on a few simple measurements such as height and weight. Similar results were found in a prospective study of the incidence of prostatic cancer in a cohort of Japanese men born in 1900-19 and living in Hawaii. Further evaluation of the extensive anthropomorphic measurements made in this cohort suggested that the association between measures of body mass and prostatic cancer might be accounted for more by lean tissue than by fat tissue. There was a significant positive association of the risk of prostatic cancer with area of muscle in the arm but not with area of fat in the arm. Further research is needed on the biological mechanisms of carcinogenesis that may be related to both lean and fat tissue and the development of prostatic cancer.

Adipose Tissue↗
PubMed1986

Correlation of survival rates of Anopheles dirus A (Diptera: Culicidae) with different infection densities of Plasmodium cynomolgi.

The survival rates are described for 36 paired replicates of Anopheles dirus A mosquitos that had been allowed to engorge themselves on rhesus monkeys that were either infected or non-infected with Plasmodium cynomolgi. The survival rates of infected mosquitos with a mean number of oocysts less than 10 did not differ significantly from those that were non-infected; however, there was a significant difference in the survival rates of non-infected groups and those with a mean number of oocysts in the range 10-40, 41-70, or >/=71.Daily survival rates for non-infected and infected mosquitos did not differ significantly during the first 8 days of extrinsic incubation. In contrast, for the period 9-30 days the survival rates of mosquitos with mean number of oocysts >/=41 were significantly different from those of non-infected mosquitos. The cumulative daily survival rates of mosquitos with mean number of oocysts up to 40, 41-70, or >/=71 decreased with the oocyst count. Mosquitos with a mean number of oocysts >/=71 frequently exhibited excessive numbers of bacteria and deterioration of both their guts and salivary glands.

Animals↗
PubMed1985

Wolfe's mammographic classification and breast cancer risk: the effect of misclassification on apparent risk ratios.

The effect of misclassification of Wolfe's mammographic classifications was investigated using data from two radiologists. If there are only two risk groups (high and low), the apparent relative risk expected from typical surveys would be around 2 or 3, even if the true relative risk is very high. If each of Wolfe's four classes has its own risk, the difference between N1 and P1, on the one hand, and P2 and DY on the other, would be almost lost due to misclassification. Published surveys in which the observed relative risks for the high-risk group (P2 and DY) are low are not inconsistent with Wolfe's original finding of a high relative risk: misclassification can greatly distort estimates of relative risks. If misclassification can be managed by restricting uncertain mammograms to one class (or by removing them from the study altogether), the bias can be greatly reduced.

Breast Neoplasms↗
PubMed1985

Factors associated with mammographic pattern.

Wolfe's criteria were assigned to mammograms of 202 women without breast cancer. Parity decreased the frequency of P2 patterns but not DY. P1 and N1 patterns apparently increased at the expense of P2 patterns. For every birth, the probability that a P2 pattern changed to P1 or N1 was roughly 7 or 8%. This effect was not limited to the first pregnancy, but also held for additional pregnancies. Low body weight was associated with dysplasia and prominent duct patterns. Reported declines of radiographic density with increasing age and/or menopause were confirmed. Ethnic group was unrelated to parenchymal pattern.

Body Height↗
PubMed1979

Factors associated with breast structure in breast cancer patients.

The breast duct patterns and radiographic density, or dysplasia, of 104 breast cancer patients in Hawaii were examined by mammography. The proportions of the four types of breast structure were analyzed for possible relation with age, menopausal state, height, weight, and race. Multiple regression analysis indicated that menopausal state appears to be more important than age per se for the general change in breast structure. Low body weight, but not race, is associated with prominent duct patterns and dysplasia.

Adult↗
PubMed1978

Age at menopause in relation to reproductive history in Japanese, Caucasian, Chinese and Hawaiian women living in Hawaii.

A multiple regression analysis was undertaken to examine the relationship between age at menopause and selected biological and sociological variables in the reproductive history of Caucasian, Japanese, Chinese and part-Hawaiian post-menopausal women living in Hawaii. The analysis was conducted using the medical history records of 196 Caucasian, 181 Japanese, 72 Chinese and 60 Hawaiian women. Age at menarche, parity and months spent breast-feeding were found to have no significant effect on age at menopause. Regression models were not found to be heterogeneous among ethnic groups and no substantial interaction of ethnic group was found with age at menarche, parity or months spent breast-feeding.

Asian People↗
PubMedDate not supplied

Age at first pregnancy in relation to age at menarche and year of birth in Caucasian, Japanese, Chinese and part-Hawaiian women living in Hawaii.

A multiple regression analysis was undertaken to examine the relationship between age at first pregnancy and recollected age at menarche and sociological variables in Caucasian, Japanese, Chinese and part-Hawaiian parous women living in Hawaii. The analysis was conducted using the medical history records of 1198 Caucasian, 1770 Japanese, 453 Chinese and 578 part-Hawaiian women. Age at first pregnancy varied significantly among ethnic groups. Initial results showed an apparent heterogeneity among ethnic groups in the effect of age at menarche on age at first pregnancy. Once appropriate controls for the linear and non-linear effects of year of birth were made, the effects of age at menarche on age at first pregnancy no longer varied significantly among ethnic groups. The observed secular trends in age at first pregnancy have varied widely among the four ethnic groups studied and appear unrelated to genetic background.

Adult↗
PubMedDate not supplied

Recalled characteristics of menstruation in relation to reproductive history among Caucasian, Japanese and Chinese women living in Hawaii.

Characteristics of menstruation and reproductive history were studied in 2331 Caucasian, 4097 Japanese and 1003 Chinese women living in Hawaii and born between 1900 and 1940. Irregular periods, heavy flow and menses lasting more than five days were reported significantly more often in Caucasians than in the other two groups. Canonical correlation and multiple-regression procedures revealed that parity, recalled age at menarche and year of birth were significantly associated to the menstrual descriptions reported, in complex ways, distinctive in each ethnic group. Some similarities in the relationship of reproductive history variables with particular menstruation characteristics were found in the Caucasian and Japanese groups. For example, increased parity was associated with increased menstrual bleeding in both Caucasians and Japanese, and later age at menarche was significantly correlated with irregular menses in these two groups.

Age Factors↗