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Notes: Abstract: Relative risks computed from known breast cancer risk factors can be used to quantitate a woman's individual risk of developing breast cancer. However, among older women the absolute risk of developing breast cancer over a specified time interval may be more useful in risk-benefit counseling. The objective of this investigation is to characterize the relationships between relative risks and absolute risks of breast cancer among a population of rural, older African American women. Among 224 African American women aged 50–91 years, relative risks were computed from historical information on age at menarche, number of previous biopsies, age at first birth, and number of first-degree relatives with breast cancer. These estimates, combined with the woman's current age, average remaining life expectancy, age-specific mortality, and breast cancer incidence rates, were used to estimate lifetime probabilities of developing breast cancer. Most women in the cohort (72.8%) had weak relative risks of 1.01–1.5 and only 3.5% of the women had relative risks of greater than 3.0. The majority of the women (87.5%) had lifetime probabilities of developing breast cancer that were less than 5%. Although there is a marked increase in age-specific breast cancer incidence with age, the probability of developing breast cancer in this population is low, primarily due to the low relative risks and the effects of competing mortality at older ages. Screening mammography should be directed toward women with high risks who are not receiving regular screening mammograms.

Notes: Density, age structure, and growth rates of wild brook trout (Salvelinus fontinalis)and brown trout (Salmo trutta)in Whetstone Brook in northcentral Massachusetts were monitored for 4 years before and 3 years during limestone treatment to mitigate acidic conditions. The population density of brook trout increased significantly during treatment. Liming did not have any significant effects on the growth rates of brook trout or brown trout. Actual survival rates of brook trout and brown trout were not calculated due to the low density of both species, but more older individuals of both species were captured during the treatment period. Fulton condition factors (an index of fish condition) increased significantly for both brook trout and brown trout during treatment. Seven-day in situ bioassays of brown trout and rainbow trout demonstrated that liming improved the chemical environment for fish in Whetstone Brook. During a pretreatment bioassay in 1987, 100% rainbow trout mortality was observed at both the control and treatment stations in Whetstone Brook. Brown trout mortality was 67% in the control station and 70% in the treatment station. The pH during the 1987 bioassay averaged 4.90 in the control station and 4.99 in the treated station. During a bioassay conducted in 1990 after treatment began, rainbow trout mortality was 100% in the control station and 0% in the treatment station. Brown trout mortality was 17% in the control station and 0% in the treatment station. The pH during the 1990 bioassay averaged 5.23 in the control station and 6.60 in the treatment station. Analysis of total aluminum in the gills of fish from the 1990 bioassay revealed higher levels in fish from the control station than in those from the treatment station.

Notes: This article describes an application of a method for assessing risks associated with the introduction of an organism into a new environment. The test organism was a binucleate Rhizoctonia fungal isolate that has potential for commercial development as a biological control agent for damping-off diseases in bedding plants. A test sample of host plant species was selected using the centrifugal phylogenetic host range principles, but with an emphasis on economic species. The effect of the fungus on the plant was measured for each species and expressed on a logarithmic scale. The effects on weights of shoots and roots per container were not normally distributed, nor were the effects on the number of plants standing (those which survived). Statements about the effect on the number standing and the shoot weight per container involved using the observed (empirical) distribution. This is illustrated with an example. Problems were encountered in defining the population of species at risk, and in deciding how this population should be formally sampled. The limitations of the method are discussed.

Notes: Scar contraction following the healing of deep partial-thickness or full-thickness dermal injury is a leading cause of functional and cosmetic morbidity. The therapeutic use of interferon for the treatment of fibroproliferative disorders associated with scar contraction, including hypertrophic scar, has been suggested because of its antifibrotic properties. Treatment of fibroblasts with interferon has been shown to reduce the rate and extent of contraction using the in vitro fibroblast-populated collagen lattice model. In order to establish the effect of interferon-α2b on full-thickness wound contraction in vivo, osmotic pumps loaded with interferon or sterile saline were implanted intraperitoneally in guinea pigs. Seven days following implantation, six full-thickness punch biopsy wounds were created and were monitored by daily assessment of the wound. There was a significant reduction in the rate of wound contraction in the interferon-treated animals after day 3 (p 〈 0.01). Western blot analysis was used to quantitate selected cytoskeletal proteins in the normal skin and tissue biopsied from the wound at days 7, 14, and 21 postinjury. The amount of vimentin in the contracted wound increased following injury as compared with the amount present in normal skin (p 〈 0.0001); however, the relative amounts of the myofibroblast-associated cytoskeletal proteins α-smooth muscle actin and smooth muscle myosin were less than those found in normal, uninjured skin. By using vimentin to adjust the levels of cytoskeletal proteins for the increase in cellularity in the wounds, both α-smooth muscle actin and smooth muscle myosin significantly increased after closure of the wounds on day 14, as compared with the open-wound stage (day 7), before further reductions occurred with remodeling on day 21. Measurement of apoptotic cells using the terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling assay revealed an increase in apoptosis in the interferon-α2b-treated animals at 21 days following wounding (p 〈 0.001), which did not colocalize with α-smooth muscle actin staining. Taken together, these findings suggest that interferon-α2b inhibits wound contraction in vivo, not through an appreciable alteration in myofibroblast number or cytoskeletal protein expression, but possibly through a reduction in fibroblast cellularity by the induction of apoptosis.

Notes: We have recently shown that both interferon gamma (γ) and interferon alpha-2b (α-2b) markedly depress the expression of messenger RNA for type I procollagen and fibronectin in postburn hypertrophic scar and normal dermal fibroblasts. In this article we examine the effects of these cytokines on the expression of mRNA for collagenase and its natural inhibitor, tissue inhibitor of metalloproteinase-1. Twelve different fibroblast cell strains, six from postburn hypertrophic scar and six from the normal dermis of the same patients, were established in cell culture. The results of a dose response experiment showed increases in collagenase mRNA up to 4000 U/ml of interferon-α-2b, but maximal increases in tissue inhibitor of metalloproteinase mRNA expression and maximal decrease in mRNA for type I procollagen at 2000 U/ml. For subsequent experiments cells were treated with either interferon-α-2b (2000 U/ml) or -γ (1000 U/ml) for 96 hours. Quantitative analysis showed increases in tissue inhibitor of metalloproteinase-1 and collagenase mRNA (81% and 54%, respectively) in interferon-α-2b-treated hypertrophic scar fibroblasts. Under the same experimental conditions, interferon-α-2b had similar effects on normal dermal fibroblasts; however, interferon-γ had a differential effect on the expression of mRNA for collagenase and tissue inhibitor of metalloproteinase-1. Cells treated with interferon-γ showed increases in tissue inhibitor of metalloproteinase-1 mRNA (78% in hypertrophic scar and 56% in normal dermal fibroblasts) but decreases (59% and 42%, respectively) in collagenase mRNA. These effects appear to be selective because rehybridization of blots with a complementary DNA for tissue inhibitor of metalloproteinase-2 mRNA showed no marked alteration in the abundance of this transcript. Significantly greater collagenase activity was found in conditioned medium from interferon-α-2b-treated hypertrophic scar cells compared with that from interferon-γ-treated cells. These findings suggest that interferon α-2b would have some advantages over interferon-γ for the treatment of dermal fibroproliferative disorders, such as postburn hypertrophic scar.

Notes: Whetstone Brook is a trout stream located in north-central Massachusetts that is degraded by acid precipitation. The stream was treated with 56 tonnes of powdered limestone by a prototype, water-powered doser as part of the U.S. Fish and Wildlife Service's Acid Precipitation Mitigation Program. The goal of liming Whetstone Brook was to raise the pH to 6.5 and acid neutralizing capacity (ANC) to at least 50 μeq/1 in a 3.2-km reach. This goal was achieved despite the fact that during the 31 months of treatment stream flow was 37% higher than during the pretreatment period. During the treatment period, pH averaged 6.54 and ANC averaged 69.75. During the pretreatment period average pH was 5.97 and average ANC was 20.26. In the control section of Whetstone Brook, both pH and ANC were lower during the treatment period than during the pretreatment period. During treatment, monomeric aluminum, a form toxic to fish, declined in the treated section and increased in the control section. Total calcium, sediment calcium, and pore-water calcium increased in the treated section during treatment but declined in the control section. The other base anions and cations, nutrients, and physical parameters were not significantly affected by liming.

Notes: This study evaluates the short-term changes in coronary artery segments treated with high speed rotational atherectomy (HSRA). Quantitative coronary angiographic (QCA) analysis indices, such as degree of expected ablation, elastic recoil, and segmental spasm, were examined in 133 patients and restudied 24 hours after HSRA. The study was also designed to compare the early results of three different HSRA strategies: stand-alone (SA) HSRA; HSRA with adjunctive high (≥ 4 atm) pressure (HP BA) and low (≥ 2 atm) pressure balloon angioplasty (LP BA). Previous studies have suggested negligible elastic recoil after HSRA as well as demonstrated the possibility of further continuous improvement in vessel patency up to 24 hours postprocedure. From a total of 656 patients treated with HSRA, a cohort of 133 patients with successful HSRA of 167 lesions were restudied angiographically at 24 hours. Serial QCA evaluation of the treatment site was performed. Analysis of the relative gain in minimal luminal diameter (MLD) assessed at 24 hours postprocedure showed that the highest gain group (〉 40%) had narrower initial lesions compared to moderate gain (1%–40%), or MLD loss groups (MLD 0.5 ± 0.4 mm vs 1.0 ± 0.3 and 1.5 ± 0.4, respectively, P 〈 0.01). The initial percent diameter stenosis was also higher in the high gain group (77.1 ± 16.0 vs 61.9 ± 11.8 and 53.0 ± 11.9, P 〈 0.01). Immediately postprocedure there was a significant increase in MLD and a decrease in percent diameter stenosis. There was no difference in residual lesion characteristics postprocedure. While progressive MLD decrease was observed in the loss group (MLD postprocedure 1.6 ± 0.5 and 1.2 ± 0.6 at 24 hours, P 〈 0.01), a continuous increase in MLD was noted in the high gain group (MLD postprocedure 1.7 ± 0.5 mm vs at 24 hours 2.0 ± 0.5 mm, P 〈 0.01). The high gain group was characterized by the most lesion debulking, the most pronounced segmental spasm, and the least elastic recoil. Adjunctive HP BA was associated with the largest size vessels (D ref. in SA HSRA group was 2.6 ± 0.8 mm vs 2.9 ± 0.6 mm in LP BA and 3.0 ± 0.7 mm in HP BA groups, P 〈 0.01), the lowest elastic recoil (SA HSRA 23.8%± 20.9% vs LP BA 15%± 16.8% and HP BA 5.7%± 14.4%, P 〈 0.05), and the highest incidence of vessel dissection (SA HSRA 8.1% vs LP BA 14.7% and HP BA 34.0%, P 〈 0.05). However, these larger vessels underwent the least amount of lesion debulking (SA HSRA 46.4%± 27.2% vs LP BA 38.6%± 24.0% and HP BA 30.5%± 19.5%, P SA HSRA vs. HP BA 〈 0.001). There are measurable degrees of elastic recoil and local spasm observed after HSRA. HSRA of the most severe lesions yields the highest procedural gain, the lowest elastic recoil and the highest index of lesion ablation. In addition, some late increase in the MLD due to the resolution of spasm is observed at 24 hours postprocedure. SA HSRA is associated with higher degrees of expected lesion ablation. This is comparable to the degree of improvement in MLD, where adjunctive percutaneous transluminal coronary angioplasty is utilized as assessed at 24 hours postprocedure. HSRA with adjunctive HP BA yields immediate results showing the least elastic recoil and spasm at the expense of the highest incidence of dissection and side branch loss.

Notes: Integration of oxide thin films with semiconductor substrates is a critical technology for a variety of microelectronic memory and circuit applications. Patterned oxide thin film devices are typically formed by uniform deposition followed by postdeposition ion-beam or chemical etching in a controlled environment. This paper reports details of an ambient atmosphere technique which allows selective deposition of dielectric oxide thin layers without postdeposition etching. In this method, substrate surfaces are selectively functionalized with hydrophobic self-assembled monolayers of octadecyltrichlorosilane by microcontact printing (μ-CP). Sol-gel deposition of ceramic oxides on these functionalized substrates, followed by mild, nonabrasive polishing, yields high-quality, patterned oxide thin layers only on the unfunctionalized regions. A variety of micrometer-scale dielectric oxide devices have been fabricated by this process, with lateral resolutions as fine as 4 μm. In this paper, we describe the solution chemistry, evolution of microstructure, and electrical properties of Ta2O5 thin films, as well as the stress-related mechanism which enables selective de-adhesion and resultant patterning. Selectively deposited, 80-120 nm thick Ta2O5 thin film capacitors were crystallized on platinized silicon at 700-800°C, and had dielectric constants of 18-25 depending upon the processing conditions, with 1 V leakage current densities as low as 2 × 10−8 A/cm2. The ability to selectively deposit Ta2O5 and other electrical ceramics (such as LiNbO3 and PbTiO3) on a variety of technologically important substrate materials suggests broad potential for integrated circuit and hybrid microelectronics applications.

Notes: Sliding wear properties of ultra-fine-grained (180 nm) yttria-doped tetragonal zirconia (Y-TZP) ceramics were examined with porosities from 1.5% to 7%. On a pin-on-plate tribometer under dry-N2 conditions, e.g., wear rates of the material increase by a factor of 5 by increasing porosity with a factor of 5 (from 1.5 to 7.0 vol%). In all cases no (irreversible) phase transformation to monoclinic zirconia took place during wear tests. The results for the relatively dense nanostructured materials showed significant evidence of plastic deformation and less microcrack formation. The morphology of the wear tracks in these ceramics indicate that the degree and amount of microcracks on the contact surface increased with porosity. A change in wear mechanism is observed.