A marked increase in the rate of diagnosed prostate cancer in the Netherlands during 1990-1996

OBJECTIVE: To study the variation of the number of histologically detected adenocarcinomas of the prostate in the Netherlands during the period 1990-1996. DESIGN: Retrospective. SETTING: National study. METHOD: Use was made of data from the National Automated Morbid-Anatomical Record Department (PALGA), Utrecht. The following data were established for each year of the study period: the total number of histological examinations of the prostate, the number of men involved (often several histological examinations of the prostate of the same man in the same year), how often adenocarcinoma was diagnosed by these examinations and how many men were involved, as well as the age of all carcinoma patients. These data were compared with those concerning variation and incidence of cancer of the prostate obtained from the Netherlands. Cancer Registration and the Central Statistics Office. RESULTS: In 7 years a total of 205,525 histological examinations of the prostate were performed in 179,298 men; the diagnosis 'adenocarcinoma of the prostate' was made 52,964 times in 44,182 men. The number of tissue examinations with the diagnosis 'carcinoma of the prostate' increased by 63% (from 5,596 to 9,146), the number of men in whom this diagnosis was made increased by 62% (from 4,710 to 7,614). The relative frequency of prostate carcinoma in relation to all examinations of the prostate increased in 6 years (1991-1996) from 22% to 28%. In that period, the (uncorrected) incidence increased by 50%, while mortality corrected for age remained the same. CONCLUSION: Of the marked increase of the number of detected cases of carcinoma of the prostate in the study period, only a small part could be attributed to demographic changes. Since autopsies have shown that there exists a large 'stock' of subclinical carcinomas, most of the growth can probably be explained by the more intensive diagnostics with prostate-specific antigen and transrectal ultrasonography.     

Changes in Seasonal Cycle and Extremes in China during the Period 1960-2008

Recent trends in seasonal cycles in China are analyzed, based on a homogenized dataset of daily temperatures at 541 stations during the period 1960-2008. Several indices are defined for describing the key features of a seasonal cycle, including local winter/summer (LW/LS) periods and local spring/autumn phase (LSP/LAP). The Ensemble Empirical Mode Decomposition method is applied to determine the indices for each year. The LW period was found to have shortened by 2-6 d (10 yr)-1, mainly due to an earlier end to winter conditions, with the LW mean temperature having increased by 0.2℃-0.4℃ (10 yr)-1, over almost all of China. Records of the most severe climate extremes changed less than more typical winter conditions did. The LS period was found to have lengthened by 2-4 d (10 yr)-1, due to progressively earlier onsets and delayed end dates of the locally defined hot period. The LS mean temperature increased by 0.1℃-0.2℃ (10 yr)-1 in most of China, except for a region in southern China centered on the mid-lower reaches of the Yangtze River. In contrast to the winter cases, the warming trend in summer was more prominent in the most extreme records than in those of more typical summer conditions. The LSP was found to have advanced significantly by about 2 d (10 yr)-1 in most of China. Changes in the autumn phase were less prominent. Relatively rapid changes happened in the 1980s for most of the regional mean indices dealing with winter and in the 1990s for those dealing with summer.     

A clinical study on the incidence of retroperitoneal lymph node metastasis and its risk factors in ovarian cancer

BACKGROUND: The need to improve therapy regimes, determine prognosis, and study biological properties of tumors extracorporally led to development of different experimental systems. In order to approach the in vivo situation, specific properties of the tumors of origin should be retained by the cells in culture over relatively long periods. However, culture conditions may change expression of cellular antigens. METHODS: Cryosections of a hypopharyngeal carcinoma were compared in this respect with different cultivation systems (2-dimensional monolayers [ML], 3-dimensional multicellular tumor spheroids [MTS] and substrate cultures on Gelita) in regard to expression of cytokeratins (CK) 1, 7, 10, 14, 18 and 19, vimentin, neurofilament (NF) kD200 and 68, ganglioside GD2, oncogene products (P53 mutant and wild), and membrane-associated antigens (HLA-ABC and -DR, epidermal growth factor receptor EGFR). RESULTS: Semiquantitative immunohistochemical methods revealed differences in expression of CK1, 14 and 19, GD2, and P53 mutant between these systems. CONCLUSION: Pronounced expression of markers in MTS compared to original biopsy and monolayer emphasizes the importance of cell-cell contact and 3-dimensionality or metabolic stress. However, weak marker expression within substrate cultures may reflect loose cell-cell contact observed. In these experiments, the antigenic configuration of MTS resembled the one of the original tumor more than the other culture systems: monolayer and growth on substrate. As vimentin and NF are not expressed by healthy epithelial cells of adults, occurrence of intratumoral vimentin and NF could point to derepression of early differentiation antigens.     

Changes in Wind Speed and Extremes in Beijing during 1960-2008 Based on Homogenized Observations

Daily observations of wind speed at 12 stations in the Greater Beijing Area during 1960-2008 were homogenized using the Multiple Analysis of Series for Homogenization method. The linear trends in the regional mean annual and seasonal (winter, spring, summer and autumn) wind speed series were -0.26, -0.39, -0.30, -0.12 and -0.22 m s-1 (10 yr)-1, respectively. Winter showed the greatest magnitude in declining wind speed, followed by spring, autumn and summer. The annual and seasonal frequencies of wind speed extremes (days) also decreased, more prominently for winter than for the other seasons. The declining trends in wind speed and extremes were formed mainly by some rapid declines during the 1970s and 1980s. The maximum declining trend in wind speed occurred at Chaoyang (CY), a station within the central business district (CBD) of Beijing with the highest level of urbanization. The declining trends were in general smaller in magnitude away from the city center, except for the winter case in which the maximum declining trend shifted northeastward to rural Miyun (MY). The influence of urbanization on the annual wind speed was estimated to be about -0.05 m s-1 (10 yr)-1 during 1960-2008, accounting for around one fifth of the regional mean declining trend. The annual and seasonal geostrophic wind speeds around Beijing, based on daily mean sea level pressure (MSLP) from the ERA-40 reanalysis dataset, also exhibited decreasing trends, coincident with the results from site observations. A comparative analysis of the MSLP fields between 1966-1975 and 1992-2001 suggested that the influences of both the winter and summer monsoons on Beijing were weaker in the more recent of the two decades. It is suggested that the bulk of wind in Beijing is influenced considerably by urbanization, while changes in strong winds or wind speed extremes are prone to large-scale climate change in the region.     

Epidemiology of orofacial clefts in Slovenia, 1973-1993: comparison of the incidence in six European countries

For over 40 years, all children with orofacial clefts in Slovenia have been treated at the Department of Maxillofacial Surgery in Ljubljana, which maintains a register of these anomalies. Since 1987, clefts have also been registered within the framework of the perinatal Information System. An analysis of patients included in each of the two sources showed that an estimated 3.5% of cases were missing from the Cleft Register of the Department of Maxillofacial Surgery and 15% from the Perinatal Registry. The incidence of clefts in the period 1973-1993 was 1.64 per 1000 live births, with an increasing trend of 0.02 per year. Considerable differences were established among different geographic regions of Slovenia. Comparison with the data for Finland, Denmark, Hungary, Poland and Bohemia revealed some synchronicity of fluctuations in the incidence of clefting in these countries. The last two observations suggest that exogenous factors of two types play a part in the aetiology of orofacial clefts: some are limited in their action to a small geographical area, while others exert their influence simultaneously in areas several thousand kilometers apart.     

Measles and its complications in Hamburg from 1960 to 1973 (author's transl)

A study of measles was undertaken from the case histories of 3 093 children under 15 years of age, treated in the children's clinics of Hamburg between 1960 to 1973. 562 children were suffering from pneumonia (18,2%), 230 had otitis (7,4%) and 229 (7,4%) showed neural affections (143 cases with fits and 86 patients with encephalopathy or encephalitis), Various parameters were analysed: age, sex, seasonal distribution, fatality, age disposition to convulsions and measles encephalitis, "incubation period" of neural affections, sequelae. Permanent sequelae due to measles encephalitis were seen in 14% of the cases. A plea is made for an universal immunisation against measles.     

Childhood cancer incidence and trends in Minnesota, 1988-1994

Childhood cancer incidence patterns for Minnesota, obtained from the Minnesota Cancer Surveillance System, were compared with national rates as well as with historic data from eight Minnesota counties. In total, 1,140 neoplasms were diagnosed in children (ages 0 to 14) between 1988 and 1994. Leukemias were the most common diagnosis for boys (30.3%) and girls (29.6%), followed by central nervous system tumors. The average annual age-adjusted incidence rates for all cancer sites were 167.2 and 136.2 per million for boys and girls, respectively. These rates were somewhat higher than national rates. In particular, the incidence rate for astrocytoma in boys was significantly elevated. Childhood cancer incidence, particularly brain tumors, has increased in the eight-county region from 1969 to 1994. This analysis demonstrated the Minnesota's childhood cancer incidence patterns are similar to national patterns.     

Urban-rural variation in cancer incidence in Denmark 1943-1987

Urban and rural cancer incidence in Denmark in 1943-1987 was analysed. A consistent urban excess was found for all sites combined for individuals of each sex, irrespective of age at diagnosis. The capital:rural incidence ratio was 1.42 for men and 1.25 for women, and these ratios were not affected to any great extent using another definition of urban areas. Urban:rural ratios were highest for cancers of the respiratory, urinary and upper digestive tracts. The differences cannot be explained by tobacco and alcohol consumption alone. Other risk factors linked to urbanisation may contribute importantly to the "urban factor", and analytical studies of data at an individual level are required to establish their relative importance. Our findings contradict the generally accepted view that there is no urban-rural difference in cancer incidence in the relatively small, homogeneous population of Denmark.     

Low incidence of BRCA1 mutations among Italian families with breast and ovarian cancer

Most familial breast or ovarian cancers are thought to be due to highly penetrant mutations in the predisposing genes BRCA1 and BRCA2. The cloning of these genes has opened a new era for the genetic counseling of women with a family history of breast or ovarian cancer. To estimate the incidence of detectable BRCA1 mutations and to define the eligibility criteria for genetic testing in the Italian population, a total of 53 patients belonging to 46 families clustering multiple cases of breast and/or ovarian cancer were investigated. Seven families presented with ovarian cancer only, 16 had both ovarian and breast cancers, and 23 were characterized by breast cancer only. Using a combination of protein truncation test (PTT) and single strand conformational polymorphism (SSCP) analysis followed, when necessary, by direct sequencing, we found 8 distinct mutations, 2 of these not reported before. Five frameshift and 2 nonsense mutations led to a truncated protein. One mutation was a missense substitution involving a cysteine in the zinc finger domain. One variant creating an ETS binding site in intron I was found but its role was not defined. The percentage of families carrying mutations was 17%. Among the families characterized by ovarian cancer only and by breast and ovarian cancer, the percentage of BRCA1 mutations was 57% and 12.5%, respectively. In contrast, the percentage of altered BRCA1 in families with only breast cancers was 9%. In the 46 Italian families studied, BRCA1 mutations were detected in fewer kindreds than those previously hypothesized based on linkage analysis, especially when these were characterized by breast cancers only. Our results indicate that families with a low number of cancer patients should be referred for BRCA1 genetic testing mainly when ovarian cancer is present.     

A secular increase in the incidence of juvenile diabetes mellitus

Data from a 1973 survey of diabetes mellitus among schoolchildren in Michigan have been analyzed to derive age-specific incidence and prevalence rates. The annual incidence of new cases of diabetes is approximately 20/100,000 children from age four through age 17, with the highest incidence rates at age nine through age 12. The prevalence rates to be expected, if the most recent incidence rates persist, are approximately 50/100,000 at age five, 150/100,000 at age ten, 270/100,000 at age 15, and 325/100,000 by age 18. The incidence rate of diabetes in Michigan children appears to have doubled between 1959 and 1972. Data from Erie County, New York, suggest that this secular trend has been evident since 1949, and data from Norway suggest that the trend could be noted 50 to 70 years ago.     

1960～2009年民勤地区气候变化特征分析

利用民勤气象站1960～2009年逐日平均气温、平均最高气温、平均最低气温、平均风速、平均相对湿度、日照时数和降水量的观测数据,结合P-M模型所提供的最大可能蒸散量计算方法,运用一元线性回归分析了民勤地区气温、降水、最大可能蒸散量及湿润度的变化特征.结果表明,近50年来,民勤地区年平均气温以0.397℃/10 a的速率呈极显著上升趋势,和同时期西北干旱区年平均气温升温速率相当;各季节平均气温亦极显著上升,且以冬季上升幅度最为突出;年降水量以2.508 mm/10 a的速率呈不显著增加趋势,各季节降水量变化趋势亦不明显,但均略有增加;年最大可能蒸散量以-7.233 mm/10 a呈不显著减小趋势,各季节最大可能蒸散量均呈减小趋势,但均不显著;年湿润度以0.005/10 a的速率略增大趋势,各季节湿润度亦均呈增大趋势,但均不显著.     

Geographical Patterns and Temporal Variations of Regional Dry and Wet Heatwave Events in China during 1960-2008

Daily maximum/minimum temperatures and relative humidity records from 510 stations in China for the period 1960-2008 were used to investigate geographical patterns and temporal variations of heatwave (HW) events. Dry and wet HW events were compared by different definitions. Regionally, both dry and wet HW events are commonly located in southeastern China in the monsoon area, with neither type occurring in the northeast part of Northeast China and Southwest China, while the north-northwest region of the country experiences dry HW events and a few wet HW events. In the southeast of the country, site dry HW events occurred from April to September and mostly in June, while site wet HW events occurred from April to October and mostly in September. In total, 163 regional wet HW events were identified. The ten longest regional wet HW events lasted for more than 20 days, while the mean duration for 163 events was about 11 days. For the top ten events, six occurred after the 1990s, compared with four before this time. Global surface warming was clear since 1979, but the frequency and severity of regional wet HW events were relatively low in the 1980s, increasing remarkably since the 1990s. Possible reasons for this might be the strong interdecadal and interannual variations in regional atmospheric circulations, as well as water transport related directly to temperature contrasts in different regions, rather than global-mean temperature changes.     

Applications of tumor markers to the screening of endometrial and ovarian cancers

Several new trials, using tumor markers in the screening for gynecological malignancies, have been conducted. For assisting the cytological diagnosis of uterine endometrial cancers, the new EIA method using cytological specimens and the monoclonal antibody against endometrial cancer cells, MSN-1, was developed. This method could help to discriminate between cancer and normal cells, so this would result in decrease the numbers of suspicious cases on cytological diagnosis. For ovarian cancers, especially to identify high-risk groups, two carbohydrate-related antigens, CA602 and CA546, were employed. The combined use of these two markers showed a high potentiality to detect ovarian cancers. GAT (galactosyltransferase associated with tumor), an isoform of galactosyltransferase, could rescue the false-positive cases with endometriotic cysts. These new methods with tumor markers are supposed to be handy tools in the screening for gynecological malignancies.     

Dietary factors and the risk of endometrial cancer

BACKGROUND: Endometrial cancer is associated with overweight, but little is known on its possible relationship with specific aspects of diet. METHODS: The relationship between dietary factors and the risk of endometrial cancer was investigated in a case-control study conducted in Switzerland and Northern Italy on 274 patients with histologically confirmed endometrial cancers and 572 control subjects admitted to the hospital for acute nongynecologic disorders that were not hormone related, metabolic, or neoplastic. RESULTS: Significant direct associations were observed with (1) the total energy intake (odds ratio [OR] for the highest versus the lowest consumption tertile = 2.7) and, after allowance for energy intake, (2) the frequency of consumption of most types of meats, eggs, beans or peas, added fats (OR for total added fat = 2.5), and sugar (OR = 2.5). Significant protection, of the order of 40-60% reduction in the highest versus the lowest consumption tertile, was conferred by elevated intake of most vegetables and fresh fruit and whole grain bread and pasta. This was reflected in the low OR for the highest tertiles of intake of beta-carotene and ascorbic acid (OR for the highest versus the lowest consumption tertile after allowance for energy intake = 0.5). CONCLUSIONS: The current study suggests that, aside from the predictable adverse effects of overeating and consequent overweight, some qualitative aspects of the habitual diet may also be associated with the risk of endometrial cancer, chiefly, the intake of animal proteins and fat (directly) and of fresh fruit, vegetables, and fibers (inversely).