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Tumor suppressor genes (TSG).

In the last two decades the field of tumor suppressor genes (TSG) has developed from a novel epidemiology-based concept into one of the pillars of cancer research. New TSG are being discovered and although at a painstakingly slower pace, their functions are also being unravelled. These breakthroughs have not only brought about immediate benefits to clinical medicine such as genetic predictive testing for familial cancer syndromes, but have also introduced new strategies against cancer including early intervention, prevention and promising anti-cancer drugs. Despite that, we are still far from fully understanding the functional complexity of TSG with each discovery leading to even more queries. New developments that challenge the paradigm of TSG have also surfaced warranting verification and there is still a lack of consensual criteria and systematic cataloging for TSG. With the advent of high throughput sequencing and powerful bio-informatics, it is expected that the field of TSG will be expanding at an even faster pace. This review is to give a summary of the history, new concepts and recent advancements in the field of TSG in the hope that some of these concepts and works can be evaluated, expanded or even challenged.

Cell Transformation, Neoplastic↗

Selection of hospital information systems: user participation.

Motivated by economic and quality management issues, many hospitals strive for the introduction of information systems into the clinical environment. To introduce the most suitable software product, a systematic selection procedure is required involving all affected staff. The paper describes a methodology that guides the clinical users to an objective motivated decision. This semi-formal methodology is necessary in view of missing standard models for the description of hospital information systems and leads to high acceptance in practical use. The methodology consists of structured product demonstrations with a quantitative assessment, benefit-value-analyses based on step weights for the functions needed, and test installations. Prerequisite of this procedure was the definition of objectives and priorities in a standard catalog that was used as reference in the whole project. Selecting a software product following this systematic procedure establishes a sound basis for a successful application in the clinical environment.

Cost-Benefit Analysis↗

Racial and ethnic factors in the genetic pathogenesis of colorectal cancer.

Colorectal cancer can develop by two distinct pathogenic mechanisms: one involving chromosomal breakage and aneuploidy (called chromosomal instability) and one involving mutations at DNA micro-satellite sequences (termed micro-satellite instability). Relatively few reports consider these mechanisms of colorectal cancer development across racial or ethnic groups. Available data indicate a moderate increase in colorectal cancer risk among Ashkenazi Jews who have a mutational polymorphism at codon 1307 in the APC gene. In American blacks, there is evidence for a higher prevalence of right-sided colonic tumors and an earlier age of onset of colorectal cancer. In addition, blacks have the highest colon cancer incidence in the United States among ethnic groups and have poorer 5-year survival rates compared with whites. While some differences may be attributed to health care access and socioeconomic differences, these do not completely explain all the variances. In the chromosomal instability pathway, there are polymorphisms within the P53 gene that are more prevalent in blacks, but the significance of these polymorphisms is not fully known. Blacks are more likely to demonstrate micro-satellite instability in their tumors; however, the mechanism for this phenomenon in blacks is unexplored. Differences in diet among racial and ethnic groups and polymorphic variations in drug metabolizing or acetylation genes have not been adequately cataloged. Identification of genetic and environmental factors among racial and ethnic groups should offer some insights into the observed epidemiologic data and advance opportunities to better understand the control and development of colorectal cancer.

Adenoma↗

Genome-wide analysis of oral cancer--early results from the Cancer Genome Anatomy Project.

The Cancer Genome Anatomy Project (CGAP) is a large cooperative effort sponsored by the US National Institutes of Health designed to find, catalog and annotate genes that are expressed during cancer development. In the past 2 years, the CGAP has sequenced over 700,000 clones from approximately 140 cDNA libraries, resulting in the identification of over 30,000 new human genes. As a first step in applying this project to oral cancer we entered four cell lines--two from oral cancer, one from primary oral keratinocytes, and one from oral keratinocytes which had been immortalized by human papillomavirus. Libraries of cDNA were made and sequenced and the data were deposited in GenBank. The expressed genes were then identified where possible. The cell lines, and the total number of expressed genes that were cloned from each were: HN3 (oral cancer), 263 genes; HN4 (oral cancer), 550 genes; HN5 (primary keratinocytes), 237 genes; HN6 (immortalized keratinocytes), 408 genes. The total number of different genes that were found was 1160. A total of 38 new genes, of unknown function, were discovered. The data presented here represent a beginning of the application of the CGAP technology to oral cancer. Even though the data are still quite incomplete, they already represent a large quantity of new information and clones of potential utility to the oral cancer community, and provide a glimpse of the data sets to be forthcoming from the Project. It must therefore be expected that there will soon be a large expansion in the volume of data regarding the genetics of oral cancer. Those who study this disease must be prepared to develop new methods of analysis and storage for handling the oncoming volumes of information.

Clone Cells↗

Differences of disease characteristics between genders in emergency department elderly of a community hospital in Taiwan.

BACKGROUND: The purpose of this study was to catalog the chief complaints and diagnoses of elderly patients visiting to a Taiwanese emergency department (ED), and to compare gender differences. METHODS: ED computer log data of patients 65 years and older, who visited the ED from July 1995 to June 1996, were retrospectively reviewed. The computer log data for each patient was entered prospectively by the doctor providing the ED care. All patient data were separated by gender, and then subdivided into trauma and non-trauma groups for analysis. RESULTS: There were 8038 elderly patients treated during the study period. The most common male chief complaint was dyspnea, and for females, it was abdominal pain, followed by injuries for both genders. Falls were the most common mechanism of injury for both genders, but they were more common among females (63.2% vs. 46.1%, p < 0.001). Motorbike accidents, however, were 3 times as frequent among males (16.05% vs. 5.45%, p < 0.001). Males presented most commonly with COPD (12.2%), compared to only 4.16% for females (p < 0.001), with urinary retention the second most common diagnosis (5.04% vs. 0.72%, p < 0.001). Females suffered a greater number of urinary tract infections (5.42% vs. 2.03%, p < 0.001), presentations for renal failure (2.98% vs. 1.56% p < 0.001), and diabetes-associated problems (4.58% vs. 2.48%, p < 0.001). CONCLUSION: Elderly females presented to the ED more frequently with urinary tract and diabetic problems; while their male counterparts presented with complications of COPD, urinary retention, and motorbike accidents.

Aged↗

The future of clinical research.

The following commentary, written by David Robertson of Vanderbilt University, is based on the Presidential Address he delivered at the inaugural meeting of the Association for Patient-Oriented Research (APOR), held in Atlantic City, New Jersey, in April 1999. Dr. Robertson's views on the current crisis in clinical investigation are shared by many of us. He eloquently catalogs the problems faced by those attempting to develop and sustain careers whose centerpiece is human experimentation. These are issues that concern every member of the American Federation for Medical Research (AFMR), whether spending the day at the beach or in the clinic. One can argue about whether establishing a new association for patient-oriented research is necessary, but the fact that this group of esteemed academicians felt the need to take this step speaks volumes. I hope we can all benefit from their wisdom. AFMR will continue to fight for the interests of all physician-scientists, regardless of the type of research they conduct. Clinical research advocacy has become a priority for AFMR in the past few years. We were the major force behind the development and introduction of the Clinical Research Enhancement Act, which most believe stimulated the National Institutes of Health to establish the K30, K23, and K24 Awards referred to by Dr. Robertson. Together with APOR and the General Clinical Research Center Program Directors, we have established Clinical Research 2001, a joint meeting to be held in March 2001, which will bring together hundreds of clinical researchers to share scientific advances and begin to address many of the critical issues outlined by Dr. Robertson. AFMR continues to be an organization looking to the future, and the clinical investigator will be an important part of the future.

Clinical Medicine↗

A novel resource for the study of genes expressed in the adult human retina.

PURPOSE: To reconstruct the transcriptional profile of the human adult retina and the genomic map of the genes expressed in this tissue. METHODS: Original software was used for the retrieval and analysis of records from UniGene (http://www.ncbi.nlm.nih. gov/UniGene/) pertaining to selected cDNA libraries from adult human retina. RESULTS: The 4974 genes reported so far to be expressed in retina were included in a catalog available on the Internet. For each entry, an estimation of the level of expression of the corresponding gene in the retina was provided. A high-resolution genomic map of the human retina was built up by inclusion of 3152 genes showing a precise and unique map assignment. The correspondence was established between 53 gene-orphan retinal diseases and clusters of genes expressed in the retina. CONCLUSIONS: The in silico reconstruction of the transcriptional profile of the adult human retina provides preliminary information on the pattern of genomic expression in this tissue. The chromosomal location of many retinal genes, combined with their expression data, should speed up the identification of genes involved in retinal diseases.

Adult↗

Medical toxicology experience during emergency medicine residency

Medical toxicology (MT) is a core content area of emergency medicine (EM) as well as an American Board of Medical Specialties recognized subspecialty of EM. OBJECTIVE: To obtain information concerning MT education in EM residencies. METHODS: A questionnaire was sent to the director of each EM program in the Society for Academic Emergency Medicine (SAEM) Residency Catalog. Subsequent telephone contact was made to encourage participation. Information was obtained about program format, poison control center (PCC) location, and inclusion of a toxicologist on faculty as well as specifics about MT rotations and organized educational activities. RESULTS: Survey participation was 62 of 122 (51%) programs. A toxicologist is on faculty at 39 (63%) programs and 5 (26%) of the programs without a toxicologist intend to recruit one in the near future. A MT rotation is a requirement of 46 (76%), an elective at 12 (19%), and not available at 3 (5%) programs. The rotation is >/=4 weeks at 46 (78%) of the programs with a rotation. At 18 (31%), time is spent primarily at the hospital, while at 26 (44%) it is at the PCC. At 5 (8%) programs, equal/near equal time is spent at the hospital and PCC. The individual(s) providing resident supervision at PCCs is not uniform. Organized MT experience other than a rotation is included in 39 (63%) of programs. CONCLUSIONS: Due to suboptimal participation, many issues regarding MT education in EM residency remain uncertain. However, some findings are clear. While most participating programs have a specific MT rotation, resident experience is quite varied. Many programs do not have a toxicologist on faculty. Future surveys will help to assess the development of MT education in EM residency programs.

Journal Article↗

Mediation services with health information sources.

OBJECTIVES: To design and implement mediators dedicated to access various kinds of information sources in the framework of the project ARIANE. METHOD: Mediators are dynamically built thanks to three components: pieces of knowledge issued from the UMLS knowledge sources and from a catalog of information sources, processes that translate a query into the syntax of a target source, and communication services provided by operating systems. RESULTS: A scenario details the complete mediation process with an indexed web site. CONCLUSION: This approach mixes knowledge and software engineering. It benefits from services provided by operating systems and allows scalability and reusability of software components.

Computer Communication Networks↗

[A checklist of the mosquitoes (fam. Culicidae) in the European part of Russia].

The checklist of the European Russia Culicidae is presented for the first time in Russian literature. It includes 64 species. The distribution in Russia of 4 from 64 listed species (Culiseta fumipennis, Aedes rusticus, Ae. cretinus, Ae. aegypti) is doubtful. The classification and valid species names are listed according to the Catalog of the Mosquitoes of the World (Knight, Stone, 1977) and its supplements (Knight, 1978; Ward, 1984; 1992; Gaffigan, Ward, 1985), with the exceptions of 4 species. These species (Aedes duplex, Ae. pulchritarsis, Ae. rossicus, Ae. schtakelbergi) are regarded in comments to the checklist.

Animals↗

Searching for biomedical information on the World Wide Web.

The rapid growth of biomedical information available via the Internet and its most popular retrieval system, the World Wide Web, has fostered active research and development directed toward locating resources that are appropriate for answering specific queries. The goal is to create tools that optimize information retrieval (as measured by two quantities, precision and recall) while minimizing the effort required by the user. Existing Web retrieval tools can be divided into the following groups: manually maintained topical lists; automatically generated word-based indices; software agents and multi-index searching aids; network cataloging methods; and miscellaneous hybrid and newer approaches. Improvements in current methods should arise from further research into: methods of describing objects on the Web; improved ways of searching for (and within) collections of documents as opposed to single documents; the ability to search for fielded documents; and ways to describe resources that span intra- and interdisciplinary as well as cross-cultural linguistic differences. For this last problem, the U.S. National Library of Medicine's Unified Medical Language System (UMLS) will be of great help. As online information retrieval improves, efforts are underway to improve the online information itself; quality control over content is being addressed as the peer-review systems of traditional printed journals migrate into the realm of electronic publication.

Abstracting and Indexing↗

E-hubs: the new B2B (business-to-business) marketplaces.

Electronic hubs--Internet-based intermediaries that host electronic marketplaces and mediate transactions among businesses--are generating a lot of interest. Companies like Ariba, Chemdex, and Commerce One have already attained breathtaking stock market capitalizations. Venture capitalists are pouring money into more business-to-business start-ups. Even industrial stalwarts like GM and Ford are making plans to set up their own Web markets. As new entrants with new business models pour into the business-to-business space, it's increasingly difficult to make sense of the landscape. This article provides a blueprint of the e-hub arena. The authors start by looking at the two dimensions of purchasing: what businesses buy--manufacturing inputs or operating inputs--and how they buy--through systematic sourcing or spot sourcing. They classify B2B e-hubs into four categories: MRO hubs, yield managers, exchanges, and catalog hubs, and they discuss each type in detail. Drilling deeper into this B2B matrix, the authors look at how e-hubs create value--through aggregation and matching--and explain when each mechanism works best. They also examine the biases of e-hubs. Although many e-hubs are neutral--they're operated by independent third parties--some favor the buyers or sellers. The authors explain the differences and discuss the pros and cons of each position. The B2B marketplace is changing rapidly. This framework helps buyers, sellers, and market makers navigate the landscape by explaining what the different hubs do and how they add the most value.

Commerce↗

The mysteries of the human genome uncovered--medicine is changed forever.

It is impossible to overemphasize the significance of the recent announcement that 85% of the DNA of the human genome has been decoded. Physicians can now begin teasing out the secrets of human health and disease. Within the next 10 years, it may be possible to determine who may be vulnerable to illnesses like Alzheimer's disease, cancer, and diabetes. The world of medicine will be utterly transformed in a few decades. Even before decoding of the human genome is completed, scientists have begun a new and more challenging research in explaining the molecular basis of life. "Proteonomics," the cataloging and analysis of every protein in the human body looms as the next major scientific medical effort. Proteins are more varied and complex than DNA. Fifty years from now, our understanding of the human organism and its various ills will be transformed beyond recognition through genomics and proteonomics. Stay tuned!

Disease Management↗

Digital information evolution: the AIDS Library experience.

The AIDS Library evolved out of consumer health activism in response to the need for the latest HIV information, materials, and technology. In 1998, staff implemented a microcomputer-based integrated automated library system with Web publishing capability to link catalogs, databases of Philadelphia regional services, online publications, and fact sheets. The Web site, , became "live" December 1, 1998. History leading to its development and future plans are presented.

Acquired Immunodeficiency Syndrome↗

The old pillars of new retailing.

Despite the harsh realities of retailing, the illusion persists that magical tools can help companies overcome the problems of fickle consumers, price-slashing competitors, and mood swings in the economy. Such wishful thinking holds that retailers will thrive if only they communicate better with customers through e-mail, employ hidden cameras to learn how customers make purchase decisions, and analyze scanner data to tailor special offers and manage inventory. But the truth is, there are no quick fixes. In the course of his extensive research on dozens of retailers, Leonard Berry found that the best companies create value for their customers in five interlocking ways. Whether you're running a physical store, a catalog business, an e-commerce site, or a combination of the three, you have to offer your customers superior solutions to their needs, treat them with respect, and connect with them on an emotional level. You also have to set prices fairly and make it easy for people to find what they need, pay for it quickly, and then move on. None of these pillars is new, and each sounds exceedingly simple, but don't be fooled--implementing these axioms in the real world is surprisingly difficult. The author illustrates how some retailers have built successful operations by attending to these commonsense ways of dealing with their customers and how others have failed to do so.

Commerce↗

Interaction analysis of stakeholders in water supply systems.

An analysis of the characteristic goals, strategies and rules of behavior of relevant stakeholders allows the efficacy and potential risks of past and current engineering and management concepts to be estimated. The study is driven by the observable shift from security to cost-centered strategies by water utilities and the difficulties of balancing technical and financial needs in an uncertain future. Its benefits include a methodology with a twofold result. With the aid of domain knowledge from experts involved in a participatory process, the interactions of a subset of stakeholders are quantified and documented in a rule catalog. This leads to an improved understanding of their decision-making rules. An agent-based model comprising these stakeholders' rules of behavior in subsequently development. Once the model is validated with data sets from a real utility, multiple-scenario testing helps to explore different strategies and can be used to generate ideas for developing flexible management and design schemes. Despite the complexity of the system described, simple model rules which are repeated annually can replicate the general development of both capacity and cost-related parameters. Scenario simulations show the effects of different management strategies on key parameters such as capacity, water price and financial debt.

Cities↗

Implementing a data warehouse at Inglis Innovative Services.

Data warehouses, data marts, and data mining have been hot topics in the 1990s, offering the promise of a vault of corporate data ripe for decision making. As is true with all promising technologies, the key issue is how to get started. Implementation of a corporate data warehouse involves a lot more than spending a huge amount of money on hardware, software, and consultants. Successful implementation of a data warehouse involves a corporate treasure hunt--identifying and cataloging data. It involves data ownership, data integrity, and business process analysis to determine what the data are, who owns them, how reliable they are, and how they are processed. Finally, implementation of the warehouse drives the issue of how good the decisions are that are based on the information in the warehouse. This article presents a case study of how one healthcare facility dealt with the challenges of implementing a data warehouse.

Computer Communication Networks↗

A high galactic latitude survey of far-ultraviolet excess objects.

Optical spectra have been obtained for a selection of objects included in a catalog of far ultraviolet bright, high galactic latitude objects detected with a balloon-borne survey telescope. The observed objects provide a sample of subdwarf O and B stars, white dwarfs, and binary systems including a hot subluminous member. Model atmospheres analysis of the subdwarf sample is used to determine the temperature, gravity, and helium to hydrogen ratio of the individual objects. A smooth distribution of objects is found on the gravity versus temperature diagram near the theoretical location of the extended horizontal branch. A break between the helium rich and helium poor objects occurs at 40,000 K. Suspected binary objects were found and analyzed to determine the temperature and gravity of the hot subluminous member in each system. The number of subdwarf stars contained in binaries is determined to be from 65% to 100%. The number versus ultraviolet magnitude distribution of the subdwarf B sample is modeled to obtain a midplane density of 3.3 10(-6) pc-3 and a population scale height of 240 pc. The proportion of white dwarfs that experience the subdwarf phase of evolution is found to be 0.94%.

Astronomy↗