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Biomedical subjects

G Mangan

Publications and source records attributed to G Mangan.

7 recordsLinked to original sources

Comparison of PathVysion and INFORM fluorescence in situ hybridization kits for assessment of HER-2/neu status in breast carcinoma.

BACKGROUND: Fluorescence in situ hybridization is advocated for precise assessment of HER-2/neu status in breast carcinoma; however, few objective data compare available kits for clinical laboratories contemplating development of the test. METHODS AND RESULTS: Thirty breast carcinomas were analyzed for HER-2/neu amplification with the PathVysion kit (Vysis, Downers Grove, IL) and INFORM kit (Ventana Medical Systems, Tucson, AZ). Each kit was evaluated for morphology, background staining, technical and interpretation time, and cost. PathVysion detected amplification in seven of 30 cases (23.3%); INFORM detected six of 30 cases (20%). A greater percentage of PathVysion cases showed good morphology and lower background staining than INFORM. Technical and interpretation times, as well as cost, were less with PathVysion than INFORM. CONCLUSION: PathVysion is superior to INFORM because it produces better morphology and less background staining and is faster and less expensive than the INFORM kit. It also includes a chromosome 17 probe that serves as an internal control and enables correction for chromosome 17 aneuploidy.

Breast Neoplasms↗

HER-2/neu assessment in breast cancer by immunohistochemistry and fluorescence in situ hybridization: comparison of results and correlation with survival.

BACKGROUND: HER-2/neu immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) results guide breast cancer therapy; however, few studies compared the results and no published studies have correlated them with patient outcome. METHODS AND RESULTS: We compared results, cost, and turnaround time in 117 archival, invasive breast carcinomas and compared 50-month survival in 65 of these cases using commercial HER-2/neu IHC and FISH assays. Twenty-one of 112 FISH (19%) and 33 of 117 IHC cases (28%) were positive. Concordance was high overall (88%; 98 of 112 cases) and in IHC 3+ cases (88%; 14 of 16 cases) but low in IHC 2+ cases (35%; six of 17 cases). Survival correlated with IHC results in 3+ cases (P =.02) and FISH cases with signal ratio greater than 4.0 (P =.03), but not in IHC 2+ cases (P=.7). Cost and turnaround time were greater for FISH. CONCLUSION: IHC is appropriate for initial HER-2/neu assessment; however, patients with tumors scored less than 3+, particularly those interpreted as 2+, would benefit from FISH to more accurately assess HER-2/neu status and avoid inaccurate prognostication and inappropriate treatment.

Breast Neoplasms↗

Smoking, processing speed and attention in a choice reaction time task.

Nineteen subjects performed a choice reaction time task in which two levels of choice (two and four stimuli), and two levels of spatial attention (narrow and wide) were manipulated under each of two smoking conditions: sham smoking (denicotinised cigarette) or regular smoking (0.8 mg nicotine cigarette). All three factors significantly affected reaction time, with the smallest reaction times being recorded to the two-choice narrow grouped stimuli recorded under the high nicotine condition. Nicotine appears to speed decision time for both complex and hard-to-attend tasks, which is compatible with a role for nicotinic receptors in systems jointly mediating attention, memory and processing speed.

Adolescent↗

Effects of nicotine on perceptual speed.

Two experiments investigating the effects of nicotine on performance in the inspection time (IT) procedure are reported. Experiment 1 compared ITs in smoking (0.8 mg nicotine cigarette), sham-smoking, and no-smoking conditions. IT was significantly shorter in the smoking condition as compared to both the no-smoking or sham-smoking conditions, suggesting that nicotine enhances early information processing. This result is of particular interest because of the correlation between IT and IQ reported in previous experiments. The nicotine related decrease in IT raises the possibility that nicotine enhances at least a subset of the physiological processes underlying intellectual performance. Experiment 2 examined the persistence of this nicotine related enhancement in IT, and investigated the effects of nicotine across 480 IT trials. Results suggested that ITs derived from the last third of the 480 trials were significantly shorter in the 0.8 mg cigarette condition than in no-smoking condition. The results from these two experiments, taken together with recent work examining the effects of nicotine on the string length measure of AEP waveform complexity and Hick decision time (DT), and studies investigating cognitive functioning and cholinergic system dysfunction in dementia, suggest a role of the cholinergic system in intellectual performance.

Adolescent↗

Effects of smoking on simple and choice reaction time.

Twenty-nine subjects performed a reaction time task with four levels of choice-task complexity under non-smoking, sham smoking, and low, medium and high nicotine cigarette conditions. Nicotine reduced decision time, while sham smoking increased decision time. This effect was independent of subjects' habitual levels of cigarette consumption. No effect of smoking was found on movement time.

Adolescent↗

Smoking and Raven IQ.

Nicotine has recently been shown to enhance measures of information processing speed including the decision time (DT) component of simple and choice reaction time and the string length measure of evoked potential waveform complexity. Both (DT and string length) have been previously demonstrated to correlate with performance on standard intelligence tests (IQ). We therefore hypothesised that nicotine is acting to improve intellectual performance on the elementary information processing correlates of IQ. In the current experiment we tested this hypothesis using the Raven Advanced Progressive Matrices (APM) test. APM scores were significantly higher in the smoking session compared to the non-smoking session, suggesting that nicotine acts to enhance physiological processes underlying performance on intellectual tasks.

Adolescent↗

[Typology of the nervous system and personality].

The paper deals with structural organization of psycho-physiological and psychological characteristics of personality. The following characteristics were estimated: psychomotor, intellectual, creative abilities, features of imagination as well as basic properties of personality: extraversion--introversion, and neuroticism. Using the Q-technique of factor analysis of the 1-st, 2-nd and 3rd orders, the authors singled out three types of psychophysiological and psychological human organization. Each type was given a generalized interpretation. Conclusion is made that these types reflect more generalized processes than factors derived with R-technique of factor analysis.

Adolescent↗