Search

Chronic stress is associated with hormonal changes that are known to affect multiple systems, including the immune and endocrine systems, but the effects of stress on cancer growth and progression are not fully understood. Here, we demonstrate that human ovarian cancer cells exposed to either norepinephrine or epinephrine exhibit lower levels of anoikis, the process by which cells enter apoptosis when separated from ECM and neighboring cells. In an orthotopic mouse model of human ovarian cancer, restraint stress and the associated increases in norepinephrine and epinephrine protected the tumor cells from anoikis and promoted their growth by activating focal adhesion kinase (FAK). These effects involved phosphorylation of [FAK.sup.Y397], which was itself associated with actin-dependent Src interaction with membrane-associated FAK. Importantly, in human ovarian cancer patients, behavioral states related to greater adrenergic activity were associated with higher levels of [pFAK.sup.Y397], which was in turn linked to substantially accelerated mortality. These data suggest that FAK modulation by stress hormones, especially norepinephrine and epinephrine, can contribute to tumor progression in patients with ovarian cancer and may point to potential new therapeutic targets for cancer management., Introduction There is growing evidence supporting the role of stress biology in cardiovascular (1), cancer (2), (3), and other disease states. Several epidemiological and experimental studies have suggested that behavioral [...]

Major UK floods over the last decade have motivated significant technological and scientific advances in operational flood forecasting and warning. New joint forecasting centres between the national hydrological and meteorological operating agencies have been formed that issue a daily, national Flood Guidance Statement (FGS) to the emergency response community. The FGS is based on a Flood Risk Matrix approach that is a function of potential impact severity and likelihood. It has driven an increased demand for robust, accurate and timely forecast and alert information on fluvial and surface water flooding along with impact assessments. The Grid-to-Grid (G2G) distributed hydrological model has been employed across Britain at a 1km resolution to support the FGS. Novel methods for linking dynamic gridded estimates of river flow and surface runoff with more detailed offline flood risk maps have been developed to obtain real-time probabilistic forecasts of potential impacts, leading to operational trials. Examples of the national-scale G2G application are provided along with case studies of forecast flood impact from (i) an operational Surface Water Flooding (SWF) trial during the Glasgow 2014 Commonwealth Games, (ii) SWF developments under the Natural Hazards Partnership over England & Wales, and (iii) fluvial applications in Scotland.

Flooding events that impede railway infrastructure can cause severe travel delays for the general public and large fines in delayed minutes for the rail industry. Early warnings of flood inundation can give more time to implement mitigation measures which help reduce cancellations, delays and fines. Initial work is reported on the development of a real-time flood inundation forecasting and mapping system for the Cowley Bridge track area near Exeter, UK. This location is on one of the main access routes to South West England and has suffered major floods in the past resulting in significant transport impacts. Flood forecasting systems in the UK mainly forecast river level/flow rather than extent and depth of flood inundation. Here, the development of a chain of coupled models is discussed that link rainfall to river flow, river level and flood extent for the rail track area relating to Cowley Bridge. Historical events are identified to test model performance in predicting inundation of railway infrastructure. The modelling system will operate alongside a series of in-situ sensors chosen to enhance the flood mapping forecasting system. Sensor data will support offline model calibration/verification and real-time data assimilation as well as monitoring flood conditions to inform track closure decisions.

The preparation of routine flood guidance statements and formulation of incident management strategies requires national operating agencies to have a firm understanding of the performance of flood forecasting models. Studies of flood forecasting model performance are commonly evaluated on a groupedcatchment or local basis and can lack the analytical consistency required for integration into coherent national assessments. Here, the first nationally consistent analysis of flood forecasting model performance across England and Wales is presented. Application of the assessment framework, accounting for regional and model-type differences, yields a national overview of relative forecasting capability for models in current operational use. To achieve extensive site coverage, information from many existing local performance studies are pooled into a single structure for analysis under a national framework. The performance information spanning a variety of local models is also compared against the area-wide national G2G (Grid-to-Grid) distributed model. An integrated national assessment gives an evidence base of model performance useful for guiding strategic planning and investment in flood forecasting models. A concise single-page Performance Summary has been created for each site model that contains performance statistics, forecast hydrographs and catchment properties to aid operational use. A prototype web portal has been developed to make information on forecasting model performance more accessible and understandable for end-users.

The growing demand for improved risk-based Surface Water Flooding (SWF) warning systems is evident in EU directives and in the UK Government’s Pitt Review of the 2007 summer floods. This paper presents a novel approach for collating receptor and vulnerability datasets via the concept of an Impact Library, developed by the Health and Safety Laboratory as a depository of pre-calculated impact information on SWF risk for use in a real-time SWF Hazard Impact Model (HIM). This has potential benefits for the Flood Forecasting Centre (FFC) as the organisation responsible for the issuing of flood guidance information for England and Wales. The SWF HIM takes a pixel-based approach to link probabilistic surface water runoff forecasts produced by CEH’s Grid-to-Grid hydrological model with Impact Library information to generate impact assessments. These are combined to estimate flood risk as a combination of impact severity and forecast likelihood, at 1km pixel level, and summarised for counties and local authorities. The SWF HIM takes advantage of recent advances in operational ensemble forecasting of rainfall by the Met Office and of SWF by the Environment Agency and CEH working together through the FFC. Results are presented for a case study event which affected the North East of England during 2012. The work has been developed through the UK’s Natural Hazards Partnership (NHP), a group of organisations gathered to provide information, research and analysis on natural hazards for civil contingencies, government and responders across the UK.

To purchase or authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1552-6569.2007.00118.x Byline: Michael I. Weintraub (1), Andre Khoury (1), Steven P. Cole (1) Keywords: Cognitive changes; high and ultra-high MRI; magnetic fields; magnetophosphenes; metallic taste; pain; vertigo Abstract: ABSTRACT Background. The recent use of high and ultra-high magnetic field (MF) systems (3.0 T and above) have raised concerns about biologic effects and safety. Sensory symptoms (magnetophosphenes, dizziness/vertigo, headaches, metallic taste, pain changes, and cognitive effects) have been reported. We monitored 1023 consecutive outpatients undergoing MRI after recent introduction of a 3 T MR unit in our community. Methods/Design. Observational study utilizing a pretest and posttest symptom rating scale (0-10) questionnaire presented to subjects undergoing MRI at three different facilities with five MRI machines, specifically a 3 T (Philips), three units with 1.5 T (GE, GE, Philips), and one 0.6 T (Fonar) unit to record symptoms before and after study. Results. 147 subjects (14%) experienced either new (N= 69; 6.7%) or changes (N= 78; 8%) in symptoms. New onset symptoms occurred predominantly with 3 T and female preponderance (75%) [P= .002]. Vertigo/dizziness (N= 28, 5.6%) [P= .001], headache (N= 8), spine pain (N= 11) occurred more frequently on 3 T, whereas magnetophosphenes (N= 8) and metallic mouth symptoms (N= 4) occurred principally in 1.5 T. Seventy-eight subjects (8%) experienced pain symptoms ↑↓ with 75% occurring with 1.5 T. Females were 60%. Forty-three percent of individuals had brain MRIs. Symptoms of vertigo/dizziness, headaches, and magnetophosphenes were more commonly seen in individuals undergoing brain MRIs but other body sites were also represented. Conclusions. Although no harmful effects were reported in 1023 cases, an unexpected high rate of 14% of individuals experienced sensory stimulation in both 3 T and 1.5 T units. Females appear to be more magnetically sensitive. Author Affiliation: (1)From the Department of Neurology and Medicine, New York Medical College, Valhalla, New York (MIW); Department of Radiology, White Plains Hospital (AK); and Research Design Associates, Inc., Yorktown Heights, New York (SPC). Article History: Received December 12, 2006 and in revised form December 12, 2006. Accepted for publication December 19, 2006. Article note: Address correspondence to Michael I. Weintraub, MD, FACP, FAAN, 325 South Highland Avenue, Briarcliff Manor, New York 10510. E-mail: miwneuro@pol.net.

A cross-sectional analysis is used to assess the association of HIV infection and treatment with lipoprotein levels in a cohort of American women of diverse ethnic background. The results have shown that a dyslipidemic pattern is associated with HIV infection itself, is more severe in users of protease inhibitor (PI)-containing highly active anti-retroviral therapy (HAART), but is not present in women taking non-PI HAART.