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Michael J Martin

Publications and source records attributed to Michael J Martin.

8 recordsLinked to original sources
PubMed2006

Recent developments in the chemotherapeutic options for nonsmall cell lung cancer.

Lung cancer is one of the leading causes of cancer deaths in the developed world. It is grossly divided into small cell and nonsmall cell types. Depending on the stage at diagnosis, the principal means of treating nonsmall cell lung cancer are surgery, chemotherapy and/or radiotherapy. However, even when it is diagnosed at an early stage, the progression-free and overall survival rates have been disappointing compared with other cancers. In recent years, there have been a number of developments in the chemotherapeutic options for nonsmall cell lung cancer. The aim of this review is to summarize these developments, in a stage-specific manner, with respect to both standard chemotherapy and also the newer targeted therapies.

Antineoplastic Combined Chemotherapy Protocols↗
PubMed2006

Quality of life of lumbar stenosis-treated patients in whom the X STOP interspinous device was implanted.

OBJECT: This study was conducted to compare the quality of life (QOL) in patients with neurogenic intermittent claudication (NIC) secondary to lumbar spinal stenosis (LSS). Using the 36-Item Short Form (SF-36) questionnaire, the authors compared the results obtained in patients treated with the X STOP Interspinous Process Decompression (IPD) System with those obtained in patients who underwent nonoperative therapies. METHODS: Patients with LSS were enrolled in a prospective 2-year multicenter study and randomized either to the X STOP or nonoperative group. The SF-36 survey was used to assess the QOL before treatment and at 6 weeks, 6 months, 1 year, and 2 years posttreatment. An analysis of variance was used to compare individual pre- and posttreatment mean SF-36 domain scores between the two groups and within each treatment group. At all posttreatment time points, the authors observed the following: (1) mean domain scores in X STOP-treated patients were significantly greater than those in patients treated nonoperatively, with the exception of the mean General Health (GH), Role Emotional, and Mental Component Summary scores at 2 years; and (2) mean posttreatment domain scores documented in X STOP-treated patients were significantly greater than mean pretreatment scores, with the exception of mean GH scores at 6, 12, and 24 months. CONCLUSIONS: The results of this study demonstrate that the X STOP device is significantly more effective than nonoperative therapy in improving the QOL in patients with LSS. The results are comparable with those reported in other studies involving traditional decompressive techniques for LSS and suggest that the X STOP implant can provide an effective treatment compared with nonoperative and conventional surgical therapies.

Aged↗
PubMed2005

A multicenter, prospective, randomized trial evaluating the X STOP interspinous process decompression system for the treatment of neurogenic intermittent claudication: two-year follow-up results.

STUDY DESIGN: A randomized, controlled, prospective multicenter trial comparing the outcomes of neurogenic intermittent claudication (NIC) patients treated with the interspinous process decompression system (X STOP) with patients treated nonoperatively. OBJECTIVE: To determine the safety and efficacy of the X STOP interspinous implant. SUMMARY OF BACKGROUND DATA: Patients suffering from NIC secondary to lumbar spinal stenosis have been limited to a choice between nonoperative therapies and decompressive surgical procedures, with or without fusion. The X STOP was developed to provide an alternative therapeutic treatment. METHODS.: 191 patients were treated, 100 in the X STOP group and 91 in the control group. The primary outcomes measure was the Zurich Claudication Questionnaire, a patient-completed, validated instrument for NIC. RESULTS: At every follow-up visit, X STOP patients had significantly better outcomes in each domain of the Zurich Claudication Questionnaire. At 2 years, the X STOP patients improved by 45.4% over the mean baseline Symptom Severity score compared with 7.4% in the control group; the mean improvement in the Physical Function domain was 44.3% in the X STOP group and -0.4% in the control group. In the X STOP group, 73.1% patients were satisfied with their treatment compared with 35.9% of control patients. CONCLUSIONS: The X STOP provides a conservative yet effective treatment for patients suffering from lumbar spinal stenosis. In the continuum of treatment options, the X STOP offers an attractive alternative to both conservative care and decompressive surgery.

Aged↗
PubMed2005

Current stage-specific chemotherapeutic options in colon cancer.

Colorectal cancer is one of the most common cancers worldwide. Until recently, chemotherapeutic treatment options were limited to various 5-fluorouracil-leucovorin combinations. However, the last 10 years have seen rapid developments in the treatment of colon cancer. These include the introduction of two additional chemotherapeutic agents, irinotecan and oxaliplatin. Additional agents have been developed, namely the targeted therapies in the form of the monoclonal antibodies bevacizumab and cetuximab. The oral forms of chemotherapy (i.e., capecitabine and uracil-tegafur) have been demonstrated to be as efficacious as traditional intravenously administered 5-fluorouracil. As a result, the number of possible treatment options available to patients has increased dramatically. The aim of this review is to report the currently accepted stage-specific chemotherapeutic treatment options for colon cancer, the evidence for these regimens and future developments.

Antineoplastic Agents↗
PubMed2004

Evidence of enantioselective degradation of alpha-hexachlorocyclohexane in groundwater.

In the fall of 2000, 34 groundwater samples were collected from beneath an active pesticide reformulating and packaging facility in coastal northeastern Florida to measure the enantiomer fractions (EFs) of alpha-hexachlorocyclohexane (alpha-HCH) as an indicator of biodegradation of this chlorinated pesticide in groundwater. Concentrations of alpha-HCH as high as 500 microg/L were observed beneath the historical source area and decreased with distance downgradient. Seventy-eight percent of the EF values were greater than 0.504 and ranged up to 0.890, indicating that the (-)-alpha-HCH enantiomer is preferentially degraded relative to the (+)-alpha-HCH enantiomer at this site. Samples taken from the groundwater that flows north from the historical disposal facility to a local discharge point at a creek did not indicate enantioselective degradation (EF values ranged from 0.495 to 0.512). The acidity (pH 3.7-4.6) and short flow path to the creek for this lobe of the groundwater plume likely preclude biodegradation of alpha-HCH. In contrast, the neutral lobe of the groundwater plume, which flows eastward from the historical source area, demonstrated enantioselective degradation (EF values ranged from 0.500 to 0.890 and increased with distance from the source area). Groundwater conditions beneath this portion of the site are conducive to biodegradation of HCH owing to anaerobic reducing conditions and lengthy travel times, and the chiral signatures for alpha-HCH provide evidence that biological degradation is occurring beneath this portion of the site.

Biodegradation, Environmental↗
PubMed2003

Pig cells that lack the gene for alpha1-3 galactosyltransferase express low levels of the gal antigen.

BACKGROUND: The major antigen recognized on pig tissue by primate antibodies is a terminal galalpha1-3gal carbohydrate structure (gal antigen) present on glycolipids and glycoproteins. The production of animals from somatic cells allows for the inactivation of specific genes. It is anticipated that the complete inactivation of the gene encoding alpha1-3 galactosyltransferase, the enzyme that synthesizes the galalpha1-3gal linkage, will result in loss of that antigen from pig organs and tissue and will provide a survival benefit in pig-to-primate xenotransplants. METHODS: Positive-negative selection was used to produce fetal-pig fibroblasts that were a heterozygous knockout (+/-) of the alpha1-3 galactosyltransferase gene. Nuclear transfer of these cells generated pig embryos and live born pigs with the appropriate genotype. Using a novel selection method with cells from (+/-) embryos, we produced homozygous (-/-) fetal-pig fibroblast cells. RESULTS: Southern blot analysis of the alpha1-3 galactosyltransferase gene showed that we had produced (+/-) pig embryos, (+/-) live born pigs, and (-/-) pig-fetal fibroblast cells. Fluorescence-activated cell sorter (FACS) analysis with some, but not all, mouse anti-gal monoclonal antibodies and sensitized human serum showed that (-/-) cells still synthesized the gal antigen at 1 to 2% of the level of control heterozygous cells. CONCLUSIONS: Fetal-pig fibroblasts homozygous for the knockout of the alpha1-3 galactosyltransferase gene appear to express low but detectable levels of the gal antigen.

Animals↗
PubMed2003

Skin graft survival in genetically identical cloned pigs.

Nuclear transfer technology allows for the reprogramming of somatic cells, and the production of embryonic stem cells and animals that are genetically identical in terms of nuclear DNA to the parental somatic cell. It is assumed that these products of nuclear transfer technology will be immunologically compatible to each other in spite of the fact that there are data that show differences in the expression patterns and phenotypes between animals produced by nuclear transfer. We have produced a series of cloned pigs from embryonic fibroblasts. Microsatellite analysis was used to confirm that the clones were genetically identical. Skin transplants were performed to assess immunological reactivity. Skin transplants between genetically identical cloned pigs were accepted, whereas third party grafts were rejected. Histological analysis of the grafts showed edema and mononuclear cell infiltrates in the recipient's skin in rejected grafts and not in grafts that were accepted. Our data supports the notion that genetically identical cloned pigs are immunologically compatible.

Animals↗