Oncological outcomes of operative treatment of subcutaneous soft-tissue sarcomas of the extremities

We reviewed the cases of sixty-two patients who had had a subcutaneous sarcoma to determine the effect of tumor and treatment-related variables on the rates of survival and local recurrence. Fifty-nine (95 per cent) of the patients had had an operation at another hospital before being referred to us. Twenty-nine (47 per cent) of the sixty-two tumors were high-grade, forty-two (68 per cent) were small (five centimeters or less), and thirty (48 per cent) were malignant fibrous histiocytomas. We followed a treatment strategy that consisted of repeat excision with the goal of obtaining wide margins. Excluding thirteen patients who had had a palpable local recurrence at the time of presentation, twenty (49 per cent) of forty-one patients who had had a marginal excision at another hospital had microscopic residual tumor on repeat excision. At a median of fifty-six months after the repeat excision, fifty (81 per cent) of the sixty-two patients had been continuously disease-free, one had no evidence of disease, eight had died of the disease, and three had died of other causes. The five-year rate of disease-free survival was 85 per cent (fifty-three of sixty-two patients). There were three local recurrences, all in patients who had had a marginal resection. No recurrences were noted in patients who had had a wide local excision of the tumor or of the previous operative field. Multivariate analysis revealed that a large tumor (greater than five centimeters), a marginal excision, and adjuvant radiation therapy were associated with a worse prognosis. Excellent rates of survival for patients who have a subcutaneous sarcoma, including those who have a large or high-grade tumor and those who have residual tumor following a previous operation, can be obtained with carefully planned operative treatment alone. We recommend operative excision or repeat excision with wide margins because of the high prevalence of residual tumor. Size is the most important tumor-related factor, and the operative margin is the most important treatment-related factor. The additional value of adjuvant radiation therapy remains unproved.     

Detection of anti-HIV-1 IgG antibodies in whole saliva by GACELISA and Western blot assays

The present study, based on 158 HIV seropositives and 167 HIV seronegatives, demonstrates that saliva collected with the Omni-SAL device and tested with GACELISA (an IgG antibody capture ELISA) is an effective non-invasive alternative to serum for anti-HIV IgG antibody screening. The study also shows that a conventional serum Western blot kit can be used, with slight modifications, for confirmatory testing of saliva specimens. Collecting saliva with the Omni-SAL device had a very good acceptance rate among Tanzanian subjects, and although this diagnostic method is not yet known by the general public, 65% of the study participants preferred to give saliva instead of blood for HIV testing.     

Perceived intragroup homogeneity in minority-majority contexts.

Examined how the factors relative in-group size and relative outgroup size (i.e., minority vs. nonminority) affect the perception of in-group and out-group homogeneity. On the basis of social identity theory, we hypothesized that (a) members of minorities would perceive the in-group as more homogeneous than the out-group, whereas members of nonminorities would perceive the reverse; (b) this effect would be strongest on dimensions most strongly correlated with the social categorization; and (c) members of minorities would identify more strongly with their in-group than would members of nonminorities. 192 13–15 yr olds participated in the experiment. On the presumed basis of a perceptual task, approximately half were randomly allocated to minimal social categories, which differed in perceived size relative to an out-group (which also differed in perceived size). They were asked to estimate the homogeneity of the two groups on a number of dimensional attributes. The remaining (control) subjects gave similar estimates under identical conditions, except that they were not allocated to a category. The data confirmed all but the second hypothesis, which was only partially supported. The results were interpreted in terms of social identification processed. Results tend to rule out alternative explanations in terms of an inverse relation between group size and perceived group homogeneity, rating extremity, and in-group favoritism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stimulatory effects of tannins and cholic acid on tryptic hydrolysis of proteins: Ecological implications

The biochemical basis for considering tannins as digestion inhibitors has been reexamined. Both stimulatory and inhibitory effects of tannins on tryptic hydrolysis are reported. We show how stimulation may result from tannin-induced structural changes in the substrate protein, effectively denaturing it. The surfactant and bile constituent cholic acid also produced similar stimulatory effects. These results have considerable implications for normal digestive physiology as well as for the impact of tannins on argicultural and natural herbivore populations.