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Science News for July 20, 2004


Study examines effects of state-mandated reimbursement for clinical trials

A study found that state-mandated reimbursement policies were associated with an increase in phase II clinical trial enrollment, but not overall or phase III enrollment. The authors suggest that knowledge and attitudes about trials held by physicians and patients play a greater role in participation than state mandates.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateJul 20, 2004

Common therapy for HIV associated with cervical abnormality regression

A study by Johns Hopkins Bloomberg School of Public Health found that Highly Active Antiretroviral Therapy (HAART) improved the regression rates of cervical squamous intraepithelial lesions (SIL) in HIV-positive women. However, a significant proportion of high-risk lesions persisted even among those who received HAART.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateJul 20, 2004

High-dose chemotherapy not superior to conventional chemotherapy in high-risk breast cancer patients

A randomized trial of 605 patients with four or more positive lymph nodes found no difference in 5-year relapse-free survival and overall survival between conventional and high-dose chemotherapy. High-dose chemotherapy was shown to confer extra cost and toxicity without added anticancer benefit.

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateJul 20, 2004

Female & black legislators more likely than others to prioritize children's health

A Michigan Medicine study found that female and black legislators are more likely to sponsor child health bills, with proposals making up 37% of all child health bills. Child health bills were a small percentage of overall health bills, but states with higher legislative passage rates had more success in enacting these bills.

SourceMichigan Medicine - University of Michigan·JournalAmbulatory Pediatrics·DateJul 20, 2004

Other highlights in the July 21 JNCI

A study analyzing the Surveillance, Epidemiology, and End Results (SEER) database found that it is reasonably reliable for collecting cancer incidence and mortality data. Researchers compared histologic tumor types from patients reported to the SEER database with those obtained through an independent review, finding no difference in di...

SourceJournal of the National Cancer Institute·JournalJNCI Journal of the National Cancer Institute·DateJul 20, 2004

Patterning the face

The study reveals a mechanism by which cell signals induce specific patterns of cartilage and bone formation in the vertebrate head. The findings provide insight into craniofacial syndromes such as DiGeorge Syndrome, highlighting the importance of local, interconnected strategies of development.

SourcePLOS·JournalPLOS Biology·DateJul 20, 2004

Why some neonates need caffeine

A recent study found that caffeine treatment in premature neonates significantly increases ventilation during hyperoxia, with enhanced peripheral chemoreceptor activity. The findings suggest a direct effect of caffeine on central nervous structures controlling respiration, validating its anti-apneic effects.

SourceAmerican Physiological Society·JournalJournal of Applied Physiology·DateJul 20, 2004

West Nile takes its toll on rare bird

The West Nile virus has a devastating impact on small populations of sage-grouse, with a 25% decrease in late summer survival rates. The bird species lacks resistance to the virus, making it essential to improve habitats and implement effective mosquito control measures.

SourceUniversity of Alberta·JournalEcology Letters·DateJul 20, 2004

A pathway to blocking autoimmunity

The study found that increasing PPAR-gamma activity in dendritic cells can activate NKT cells specifically, which may slow down the process of type 1 diabetes. Researchers believe that modulating CD1d expression and NKT cell activation could provide insight into how to combat autoimmunity.

SourceHoward Hughes Medical Institute·JournalImmunity·DateJul 20, 2004

How wounds heal – Clues from flies

Researchers at Stanford University used Drosophila melanogaster to study wound healing, discovering that distinct genetic programs and signaling pathways control each stage of the process. This breakthrough could help identify molecular underpinnings of wound healing in humans.

SourcePLOS·JournalPLOS Biology·DateJul 20, 2004