These observations are consistent with an allosteric response arising from changes in protein motion rather than conformation, and suggest ligands that modulate protein dynamics may be effective inhibitors of this enzyme.”
“Background: The sentinel lymph Screening Library node (SLN) technique aims at predicting the absence of regional nodal metastasis and seems promising in the management Of cervical cancer patients. Patients and Methods: Fort)? patients undergoing surgery

for early cervical cancer were submitted to the SLN procedure, using Blue Patente alone in 3, radiocolloid injection alone in 4 and both methods in 33 (82.5%). All patients underwent radical hysterectomy and pelvic lymphadenectomy. Results: The detection rate was as follows: overall 85%, blue dye alone 66%, radiocolloid alone YH25448 purchase 75%, dual method 87%. Detection was successful in 34 patients, with one false-negative result. No micrometastases were demonstrated during ultrastaging of the sentinels. The detection rate was higher in tumors <2 cm (94.1%)

than in larger tumors (78.2%, p>0.09). Significant negative correlation between lymphatic vascular space invasion (LVSI) and detection rate was found (p<0.001). Conclusion: SLN detection is feasible in early cervical cancer but presence of LVSI and a tumor size >2 cm negatively affect the detection rate and may increase the incidence of false negatives.”
“Objective: To explore the constructs underlying a self-report assessment of multimorbidity.\n\nStudy Design and Setting: We conducted a cross-sectional survey of 352 HMO members aged 65 years or more with, at a minimum, diabetes, depression, and osteoarthritis. We assessed self-reported ‘disease burden’ (a severity-adjusted count of conditions) as a function of biopsychosocial factors, two data-based comorbidity indices, and demographic variables.\n\nResults: In multivariate regression, age, ‘compound effects of conditions’ (treatments and symptoms interfering with each other), self-efficacy, financial constraints,

and physical functioning were significantly (p <= 0.05) associated with disease burden. An ICD-9-based morbidity index did not significantly contribute to disease burden, and buy JNJ-26481585 a pharmacy-data-based morbidity index was minimally significant.\n\nConclusion: This measure of self-reported disease burden represents an amalgamation of functional capabilities, social considerations, and medical conditions that are not captured by two administrative data-based measures of morbidity. This suggests that (a) self-reported descriptions of multimorbidity incorporate biopsychosocial constructs that reflect the perceived burden of multi morbidity, (b) a simple count of diagnoses should be supplemented by an assessment of activity limitations imposed by these conditions, and (c) choice of the morbidity measurement instrument should be based on the outcome of interest rather than on the most convenient method of measurement. (C) 2009 Elsevier Inc. All rights reserved.