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Long DOP-PCR of rare archival anthropological samples.

The application of molecular DNA technologies to anthropological questions has meant that rare or archival samples of human remains, including blood, hair, and bone, can now be used as a source of material for genetic analysis. Often, these samples are irreplaceable, and/or yield very small quantities of DNA, so methods for preamplifying as much of the whole genome as possible would greatly enhance their usefulness. DOP-PCR (degenerate oligonucleotide-primed polymerase chain reaction) is an amplification method that uses a degenerate primer and very low initial annealing temperatures to amplify the whole genome. We adapted a published DOP-PCR protocol to long PCR enzyme and amplification conditions. The effectiveness of these modifications was tested by PCR amplification of DOP-PCR products at a mixture of genomic targets including 66 different microsatellites, 11 Alu insertion polymorphisms, and variable-length segments of the human lipoprotein lipase gene (LPL). The selected microsatellite markers were chosen to represent every chromosome, with expected product sizes ranging from 150 base pairs to 8,000 base pairs in length, while the 22 Alu insertion polymorphisms were selected to reveal biases in the recovery of alleles of different sizes. To determine nucleotide sequence variation, 2 kilobases (kb) of the LPL gene in 30 Mongolian individuals were sequenced. All gene-specific targets from DOP-PCR product template were amplified. No unexpected polymorphisms in the sequence results attributable to the DOP-PCR step were found, and 93% to 95% of Alu genotypes that have been amplified from total genomic DNA were replicated. The incorrect typings were all due to the preferential amplification of the shorter of two possible alleles in individuals heterozygous for an Alu insertion and were all correctly typed on subsequent reamplification of the gene-specific PCR products. This method of whole-genome amplification promises to be an efficient way to maximize the genetic use of rare anthropological samples.

Alu Elements↗

[The psychoanalytic movement during the years of the war (1939-1941) according to the archives of the I.P.A].

This is an overview of the activities and developments within the twelve component Societies of the International Psychoanalytic Association from the outbreak of the Second World War to its end in 1945. The author describes how the war had deeply affected the activities of the societies within Europe, as compared with other parts of the world. He notes how in the United States of America psychoanalysis was in a comparatively bouyant state, to some extent owing to migration of psychoanalysts from Europe, whilst in South America and Australia new societies were formed. In view of the scarcity of material to be found in the Archives of the I.P.A., the author has made full use of relevant literature whenever it was concerned with contemporary world affairs, and the manner in which the war situation affected individuals and groups in various countries.

History, 20th Century↗

RADARS, a bioinformatics solution that automates proteome mass spectral analysis, optimises protein identification, and archives data in a relational database.

RADARS, a rapid, automated, data archiving and retrieval software system for high-throughput proteomic mass spectral data processing and storage, is described. The majority of mass spectrometer data files are compatible with RADARS, for consistent processing. The system automatically takes unprocessed data files, identifies proteins via in silico database searching, then stores the processed data and search results in a relational database suitable for customized reporting. The system is robust, used in 24/7 operation, accessible to multiple users of an intranet through a web browser, may be monitored by Virtual Private Network, and is secure. RADARS is scalable for use on one or many computers, and is suited to multiple processor systems. It can incorporate any local database in FASTA format, and can search protein and DNA databases online. A key feature is a suite of visualisation tools (many available gratis), allowing facile manipulation of spectra, by hand annotation, reanalysis, and access to all procedures. We also described the use of Sonar MS/MS, a novel, rapid search engine requiring 40 MB RAM per process for searches against a genomic or EST database translated in all six reading frames. RADARS reduces the cost of analysis by its efficient algorithms: Sonar MS/MS can identifiy proteins without accurate knowledge of the parent ion mass and without protein tags. Statistical scoring methods provide close-to-expert accuracy and brings robust data analysis to the non-expert user.

Amino Acid Sequence↗

Picture archiving and communication systems.

Picture archiving and communication systems (PACS) are highly versatile data storage and retrieval systems that facilitate the transfer of digital images and patient data throughout a healthcare enterprise. Typically, they process images from diagnostic imaging modalities and are interfaced to radiology information systems (RISs) and hospital information systems (HISs) to help create a single patient record and improve overall workflow. For this Update Evaluation, we tested eight PACS from eight major suppliers. Ideally, a PACS should allow the facility to achieve a fully automated workflow, in which patient data could move seamlessly from one system to another in a single electronic medical record. Although our testing found that this ideal has not yet been realized, many of the evaluated systems have taken significant steps in that direction. Three of the systems covered in this issue were originally tested for our November 2000 Evaluation. Because PACS technology evolves so rapidly, we haven't simply provided updated data on these three systems, as we customarily would for an Update Evaluation. Instead, we have reexamined the systems from top to bottom and are presenting the results in brand-new Product Profiles, alongside the profiles for the five other systems evaluated here for the first time.

Computer Communication Networks↗

A technical note on microsatellite DNA instability studied in archival paraffin-embedded tissues.

The authors present brief overview of problems associated with analysis of microsatellite sequences in DNA from archival paraffin-embedded tissue. This methodology can serve several diagnostic and research purposes provided appropriate precautions are taken to extract DNA of acceptable quality with small admixture of contaminants. Also PCR amplification step requires some modifications compared to routine reactions involving DNA from fresh or freshly-frozen tissues.

DNA↗

Picture archiving and computing systems: the key to enterprise digital imaging.

The utopian view of the electronic medical record includes the digital transformation of all aspects of patient information. Historically, imagery from the radiology, cardiology, ophthalmology, and pathology departments, as well as the emergency room, has been a morass of paper, film, and other media, isolated within each department's system architecture. In answer to this dilemma, picture archiving and computing systems have become the focal point of efforts to create a single platform for the collection, storage, and distribution of clinical imagery throughout the health care enterprise.

Decision Making, Organizational↗

Lessons learned from a whole hospital PACS installation. Picture Archiving and Communication System.

The Norfolk and Norwich University Hospital has incorporated a fully filmless Picture Archiving and Communication System (PACS) as part of a new hospital provision using PFI funding. The PACS project has been very successful and has met with unanimous acclaim from radiologists and clinicians. A project of this size cannot be achieved without learning some lessons from mistakes and recognising areas where attention to detail resulted in a successful implementation. This paper considers the successes and problems encountered in a large PACS installation.

England↗

[Spermiologic parameters in Czech men from 1950 to 1984 (analysis of data from the archives of the Sexology Institute of the First Medical School of Charles University and the General Medical School Hospital in Prague].

Reports maintaining that sperm concentration in male ejaculates had decreased markedly over the past decades captured mind-share all over the world. However, literary data diverge about such a lasting trend. Our objective has been to contribute to the ongoing debate by presenting results of our own research. We have studied semen analyses of 5,363 men who had been tested at an outpatient care unit of the Prague Institute of Sexology between 1950 and 1984. These semen analyses measured volume of the ejaculate, sperm concentration, sperm motility, and a share of sperms with morphological abnormalities. None of these values showed statistically significant deterioration among seven groups of patients, each spanning five years. Therefore, our data did not confirm the above-mentioned lasting trend in semen analysis values. Research teams from all over the world have recently attracted a lot of attention by reporting a no-table decrease over the past decades in sperm concentration in the male ejaculates. However, literary data diverge about such a lasting trend. Our objective has been to contribute to the ongoing debate by presenting results of our own research. We have analysed semen tests filed in the archives of the Institute of Sexology at the 1st Faculty of Medicine of Charles University. We have studied a set of 5,363 men who had undergone their first sperm analysis between 1950 and 1984. We have gathered our data from medical records, using a uniform pattern of investigation. The set was divided into seven five-year groups based on the year of the first analysis. Volume of the ejaculate: The groups showed the following average volume of the ejaculate: 3.9-3.8-3.8-3.8-3.8-3.7-3.7 (ml). Neither the distribution nor the mean value of this variable has changed much over time. Sperm concentration: The groups showed the following mean sperm concentration: 32.9-42.3-56.2-57.9-72.2-70.8-72.3 (million per ml). It is obvious from these results that the mean sperm concentration increased over time in our set. Sperm motility: The groups showed the following mean sperm motility: 34.7-46.4-53.3-57.7-59.6-58.5-58.2 (per cent). Sperm morphology: The share of ejaculates with a high percentage of morphologically abnormal sperm cells has not grown much. Our data did not confirm the hypothesis that sperm analysis results have been gradually worsening. We have not found deteriorating trends in any of the sperm quality measures in the five-year intervals between 1950 and 1984. Although our results cannot close the debate about purported deterioration of sperm analysis results, they seem to indicate that we should take reports of universal decrease in sperm concentration in the seminal fluid with a grain of salt.

Adolescent↗

Unsupervised imaging, registration and archiving of tissue microarrays.

Tissue microarray (TMA) technology offers several advantages over traditional methods of specimen preparation by maximizing limited tissue resources and providing the means for visualizing molecular targets. Currently, the primary methods used to evaluate arrays involves the interactive review of TMA samples while they are viewed by microscope and are subjectively evaluated and scored. The process is slow, tedious and prone to error. In order to facilitate large-scale, multi-institutional studies a more automated and reliable means for processing tissue microarrays is needed. We have developed a web-based prototype which features automated imaging, registration and intelligent archiving of tissue microarrays in multi-user, network environments.

Databases, Factual↗

Cardiac picture archiving and communication systems and telecardiology--technologies awaiting adoption.

Diagnostic and therapeutic procedures associated with cardiology are heavily supported by diagnostic imaging technology. The management of such images, including radiographs, echocardiography examinations and cardiac angiography studies, requires a suitable means of handling the data. A number of manufacturers are now offering picture archiving and communication systems (PACS) and telecardiology options. These could greatly improve the efficiency of data management for cardiac examinations, including linkage to radiology and hospital information systems and electronic patient records. A barrier to the implementation of cardiac PACS has been the relatively high capital cost. There have also been technical difficulties in implementing a suitable interface. Historical problems have included 'turf wars' between different specialist groups and a reluctance to shift from well established practice patterns. Early cooperative work between radiologists and cardiologists in the development of coronary arteriography has been replaced by contention between cardiologists, radiologists and vascular surgeons, often driven by economic considerations rather than the needs of the patient. At this stage, cardiac PACS and telecardiology have great potential for improving the coordinated care of cardiac patients in Australia.

Attitude of Health Personnel↗

Optimising restriction enzyme cleavage of DNA derived from archival histopathological samples: an improved HUMARA assay.

AIMS: Our aim was to evaluate and optimise methylation-sensitive restriction enzyme assays for use in formalin-fixed, paraffin-embedded tissue (FFPET) samples, in order to improve the application of the HUMARA X-chromosome inactivation assay to FFPET samples. METHODS: We extracted DNA from normal male colon and thyroid FFPET. Several DNA clean-up procedures and restriction enzyme buffer compositions were tested for two methylation-sensitive enzymes, HhaI and HpaII and a non-methylation-sensitive isoschizomere, MspI. RESULTS: By including both a non-methylation-sensitive control enzyme and DNA from male archival specimens in our experiments, we were able to detect even subtle degrees of incomplete digestion. We showed that FFPET-derived DNA is a poor substrate for restriction enzymes, especially for methylation-sensitive restriction endonucleases. An optimised DNA clean-up protocol and restriction enzyme buffer-mix allowed us to achieve complete digestion. CONCLUSIONS: The combination of multiple, rigorous controls, DNA clean-up and restriction buffer optimisation increases the reliability of HUMARA-based X-chromosome inactivation analysis of FFPET samples. Analogous approaches are likely to allow optimisation of other restriction enzyme-based assays of FFPET samples.

Colon↗

Determination of DNA ploidy in archival tissue from non-Hodgkin's lymphoma using flow and image cytometry.

Paraffin-embedded tissue from a series of 40 cases of diffuse, large cell lymphoma was analyzed by both flow and image cytometry to compare the ability of these techniques to detect DNA aneuploid populations. Image cytometry (ICM) was performed both on nuclear suspensions and tissue sections. Twenty cases (50%) were non-diploid by at least one method of analysis. Twenty-five percent of the cases were aneuploid by flow cytometry (FCM) alone. The majority of these cases were near-diploid tumors which could not be resolved by ICM. Peri-tetraploid peaks were identified by ICM of tissue sections alone in 15% of the cases. There was an apparent loss of these peri-tetraploid cells during the preparation of the nuclear suspensions. The remaining cases showed a good correlation between all three methods in the determination of DNA ploidy. Flow and image cytometry are complimentary techniques when applied to archival tissue, however aneuploid populations may be missed if ICM is not performed on tissue sections.

Aneuploidy↗

Applications of experimental techniques to epidemiological studies of non-Hodgkin's lymphoma: use of archival tissues.

Archival tissues, particularly formalin-fixed paraffin-embedded tumors, have become increasingly valuable in studies of the etiology of cancer. In non-Hodgkin's lymphoma, subclassification of tumors by immunophenotyping and identification of oncogenic viruses has allowed more accurate interpretation of associated epidemiological information. One such example is adult T-cell leukemia/lymphoma, which is not a single histopathological entity and usually is associated with human T-cell lymphotropic virus, type I. In addition to confirming the diagnosis, the pattern of virus distribution, utilized recently in studies of Epstein-Barr virus and human herpesvirus-6-associated lymphoma, has suggested which tumors are more likely to have the virus playing a passenger role (virus detected in uninvolved tissues) and in which tumors the virus may have an etiological role (virus restricted to tumor cells). Preservation and cataloguing of tumors and relevant clinical and demographic data may play an increasingly important role in demographic studies.

Humans↗

HER2 testing in gastric cancer: molecular morphology and storage time-related changes in archival samples.

Seventy-two archival specimens of advanced gastric adenocarcinoma were analyzed by fluorescence in situ hybridization and immunohistochemistry for HER2 gene status. Gene amplification and concomitant protein overexpression were detected in 15.2% of cases. Intratumor topographical variability of HER2 amplification was observed, indicative of the late involvement of HER gene in gastric tumorigenesis. No significant correlations were found between HER2 status and histopathologic type, grade of differentiation, and Goseki classification of carcinomas, suggesting that HER2 gene is variably linked with the morphogenesis of gastric adenocarcinoma. A significant decrease of the incidence of HER2 amplified carcinomas in function of the duration of the storage of paraffin blocks was observed: 42-33% for tumor specimens paraffin-embedded in 2002-2001; 8.3%, 15.7%, 11.1% for the years 2000, 1999, 1998, respectively; 0% for cases embedded during 1997. According to these results, the reliability of the FISH and immunohistochemical assays decreases after prolonged storage of paraffin-embedded specimens.

Adenocarcinoma↗

Swelling archives warrant closer look at compression.

Image compression is broadly categorized as lossless or lossy. With lossless compression, a compressed image can be decompressed and displayed as an exact digital replica of the original. With lossy compression, redundant pixel data are discarded during the compression process so that the compressed image is only an approximation of the original, therefore it cannot be returned to an original state. Although both types of compression are commonly used within the medical imaging community, institutions are much more likely to depend upon lossless compression for diagnostic purposes, even though lossy images, saved as a fraction of the original file size, are often diagnostically equivalent. With more and more digital modalities coming online and image studies growing ever larger, institutions failing to take full advantage of lossy compression are missing an opportunity to slow the growth of their image archives and IT infrastructure costs. Today, most PACS vendors include some form of image compression technology within their product offerings. Of 13 vendors sampled during an informal survey in June 2003, eight employ JPEG 2000 compression, which was incorporated into the DICOM standard in 2001, while the remainder use wavelet compression, which is the underlying methodology used in JPEG 2000. JPEG 2000 is an industry standard that enables image sharing across platforms and product lines. It also provides a single mechanism for creating lossless and lossy images, and gives institutions the flexibility to apply unique rates of compression to individual images based on modality, patient history, image size or other factors. Although it can be used judificiously to great advantage, compression is most often applied in an "across the board" manner to all images. The incorporation of JPEG 2000 within the DICOM standard does little to guarantee its longevity, or the quality of every JPEG 2000 implementation. At some point in time, especially as the demand for more compact, higher-quality lossy images grows, institutions will begin experimenting with and employing more advanced compression methods.

Data Compression↗

A possible source of reference DNA from archived treated adhesive lifters.

During the course of a double murder trial, it became apparent that the two adhesive lifters from the two cadavers had been mislabeled before being presented in court. The question was raised whether DNA testing from the biological material remaining attached to the lifters could resolve this mix-up. In fatal shooting cases where a bullet has been fired through a body surface, an adhesive lifter is applied directly to the entrance wound. The total nitrite residues, as well as biological material surrounding the wound (blood, hair, tissue) are transferred to the adhesive lifter. The nitrite residues are used for estimating firing distance. In a worst-case scenario, the biological material on the lifter may be the only remaining reference material from a victim. In this paper, we examined whether the biological material retrieved from adhesive lifters could be used for DNA typing after the lifters had been treated for GSR pattern. In as much as the biological material found on the lifters can be typed and profiled following physical and chemical treatment, we submit that archived adhesive lifters can be used as a future source of reference DNA from cadavers where no other sample is available.

Alkalies↗

Picture archiving and communication systems in the United States.

Picture archiving and communication systems (PACS) are expected to replace film in the years to come. PACS acquire, store, transmit, and display medical images. Although there are several clinical PACS in operation today, there are significant problems slowing their introduction. PACS are limited in spatial and contrast resolution and the workstation's displays present difficulties due to low light levels, slow image presentation, and poorly designed software. Standard interfaces are still lacking for most of the imaging equipment currently in use, making connections to these devices nearly impossible. Cost is a major issue as well. Yet limited implementations, often called mini-PACS, offer advantages such as faster image presentation to radiologists and referring physicians, reduced portable retake rates, the capability for viewing images at home off-hours, and transmission from remote sites. More development is needed for interfaces with the radiology information system and for sophisticated network and image management.

Radiology Information Systems↗

European picture archiving and communication systems projects.

Picture archiving and communication systems (PACS) are among the most promising information technologies in health care. They are, however, still in the development phase, and their implementation is taking longer than was predicted in the 1980s. Evaluation of these PACS implementations is also much more difficult than was expected. Local, very specific settings and lack of standard methodology make a comparison of tangible and intangible factors very cumbersome. This difficulty has resulted in very divergent opinions in the literature regarding the objectives, realizations, and achievements of PACS. Different approaches for image acquisition, processing, communication, and display have been supported in a wide variety of conferences and in a few key publications. Different approaches are particularly noticeable in Europe and are exemplified by a spectrum of single and multivendor PACS realizations. Some of the most significant of these developments are reviewed.

Europe↗