48 results on '"R, Creech"'
Search Results
2. Verbal Final Exam in Introductory Biology Yields Gains in Student Content Knowledge and Longitudinal Performance
- Author
-
Douglas B. Luckie, Aaron M. Rivkin, Jacob R. Aubry, Ryan D. Sweeder, Leah R. Creech, and Benjamin J. Marengo
- Subjects
Male ,Educational measurement ,Cell Respiration ,education ,General Biochemistry, Genetics and Molecular Biology ,Absorption ,Feedback ,Education ,Mathematics education ,Quantitative assessment ,Animals ,Humans ,Insulin ,Learning ,Longitudinal Studies ,Photosynthesis ,Students ,Biology ,Curriculum ,Articles ,Test (assessment) ,Knowledge ,Digestion ,Female ,Educational Measurement ,Self Report ,Tracking (education) ,Medical assessment ,Content knowledge ,Psychology ,Knowledge transfer - Abstract
The authors studied gains in student learning when curriculum was changed to include an optional verbal final exam (VF). Students who passed the VF outscored peers on MCAT questions (66.4% [n=160] and 62% [n=285], respectively; p < 0.001), and passing the VF also correlated with higher performance in a range of upper-level science courses., We studied gains in student learning over eight semesters in which an introductory biology course curriculum was changed to include optional verbal final exams (VFs). Students could opt to demonstrate their mastery of course material via structured oral exams with the professor. In a quantitative assessment of cell biology content knowledge, students who passed the VF outscored their peers on the medical assessment test (MAT), an exam built with 40 Medical College Admissions Test (MCAT) questions (66.4% [n = 160] and 62% [n = 285], respectively; p < 0.001);. The higher-achieving students performed better on MCAT questions in all topic categories tested; the greatest gain occurred on the topic of cellular respiration. Because the VF focused on a conceptually parallel topic, photosynthesis, there may have been authentic knowledge transfer. In longitudinal tracking studies, passing the VF also correlated with higher performance in a range of upper-level science courses, with greatest significance in physiology, biochemistry, and organic chemistry. Participation had a wide range but not equal representation in academic standing, gender, and ethnicity. Yet students nearly unanimously (92%) valued the option. Our findings suggest oral exams at the introductory level may allow instructors to assess and aid students striving to achieve higher-level learning.
- Published
- 2013
- Full Text
- View/download PDF
3. Large-scale characterization of promoters from grapevine (Vitis spp.) using quantitative anthocyanin and GUS assay systems
- Author
-
Matthew R. Creech, Zhijian T. Li, Dennis J. Gray, KyungHee Kim, and Jonathan R Jasinski
- Subjects
Untranslated region ,Transgene ,GUS reporter system ,Plant Science ,Biology ,Anthocyanins ,Gene Expression Regulation, Plant ,Tobacco ,Gene expression ,Genetics ,Vitis ,Transgenes ,Promoter Regions, Genetic ,Gene ,Phylogeny ,Glucuronidase ,Plant Proteins ,Regulation of gene expression ,Ubiquitin ,Intron ,Promoter ,General Medicine ,Plants, Genetically Modified ,Genetic Engineering ,Agronomy and Crop Science - Abstract
Successful implementation of cisgenic/intragenic/ingenic technology for crop improvement necessitates a better understanding of the function of native promoters for driving desired gene expression in host plant. Although the genome of grapevine (Vitis vinifera) has been determined, efforts to explore promoter resources for the development of cisgenics are still lacking. Particularly, there is a shortage of constitutive promoters for marker and/or target gene expression in this species. In this work, we utilized an anthocyanin-based color histogram analysis method to evaluate quantitatively a large number of promoters for their ability to activate transgene expression. Promoter fragments corresponding to known genes were amplified from various genotypes and used to drive the VvMybA1 gene of 'Merlot' for anthocyanin production in non-pigmented somatic embryo (SE) explants to infer transcriptional activity. Results revealed that among 15 tested promoters belonging to seven ubiquitin genes, at least three promoters generated constitutive activities reaching up to 100% value of the d35S promoter. In particular, the high activity levels of VvUb6-1 and VvUb7-2 promoters were verified by transient GUS quantitative assay as well as stable anthocyanin expression in sepal and corolla of transgenic tobacco. Variations in promoter activity of different ubiquitin genes in grapevine did not correlate with the presence and sizes of 5' UTR intron, but seemed to be related positively and negatively to the number of positive cis-acting elements and root-specific elements respectively. In addition, several of the 13 promoters derived from a PR1 gene and a PAL gene produced a higher basal activity as compared to previously reported inducible promoters and might be useful for further identification of strong inducible promoters. Our study contributed invaluable information on transcriptional activity of many previously uncharacterized native promoters that could be used for genetic engineering of grapevine.
- Published
- 2012
- Full Text
- View/download PDF
4. Gene Expression Profiling of the PPAR-alpha Agonist Ciprofibrate in the Cynomolgus Monkey Liver
- Author
-
Donald R Creech, Steven P. Anderson, Neal F. Cariello, Warren Casey, Debie J. Hoivik, J. Greg Falls, Heidi M. Colton, Lawrence Yoon, Gina R. Benavides, Hong Ni, Elizabeth H. Romach, Roger H. Brown, and Richard T. Miller
- Subjects
Male ,Agonist ,Transcription, Genetic ,medicine.drug_class ,Peroxisome proliferator-activated receptor ,Peroxisome Proliferation ,Pharmacology ,Mitochondrion ,Biology ,Toxicology ,Clofibric Acid ,Species Specificity ,Downregulation and upregulation ,Gene expression ,medicine ,Animals ,Humans ,PPAR alpha ,Oligonucleotide Array Sequence Analysis ,chemistry.chemical_classification ,Dose-Response Relationship, Drug ,Gene Expression Profiling ,Fatty Acids ,Fibric Acids ,Molecular biology ,Gene expression profiling ,Macaca fascicularis ,Gene Expression Regulation ,Liver ,chemistry ,Peroxisome Proliferators ,Ciprofibrate ,medicine.drug - Abstract
Fibrates, such as ciprofibrate, fenofibrate, and clofibrate, are peroxisome proliferator-activated receptor-alpha (PPARalpha) agonists that have been in clinical use for many decades for treatment of dyslipidemia. When mice and rats are given PPARalpha agonists, these drugs cause hepatic peroxisome proliferation, hypertrophy, hyperplasia, and eventually hepatocarcinogenesis. Importantly, primates are relatively refractory to these effects; however, the mechanisms for the species differences are not clearly understood. Cynomolgus monkeys were exposed to ciprofibrate at various dose levels for either 4 or 15 days, and the liver transcriptional profiles were examined using Affymetrix human GeneChips. Strong upregulation of many genes relating to fatty acid metabolism and mitochondrial oxidative phosphorylation was observed; this reflects the known pharmacology and activity of the fibrates. In addition, (1) many genes related to ribosome and proteasome biosynthesis were upregulated, (2) a large number of genes downregulated were in the complement and coagulation cascades, (3) a number of key regulatory genes, including members of the JUN, MYC, and NFkappaB families were downregulated, which appears to be in contrast to the rodent, where JUN and MYC are reported to upregulated after PPARalpha agonist treatment, (4) no transcriptional signal for DNA damage or oxidative stress was observed, and (5) transcriptional signals consistent with an anti-proliferative and a pro-apoptotic effect were seen. We also compared the primate data to literature reports of hepatic transcriptional profiling in PPARalpha-treated rodents, which showed that the magnitude of induction in beta-oxidation pathways was substantially greater in the rodent than the primate.
- Published
- 2005
- Full Text
- View/download PDF
5. Etomoxir-Induced Oxidative Stress in HepG2 Cells Detected by Differential Gene Expression Is Confirmed Biochemically
- Author
-
Hong Ni, Laura M Hahn, Padma K. Narayanan, Kevin T. Morgan, Catherine X. Hu, Mark Tirmenstein, Gina R. Benavides, David C. McFarland, Lawrence W. Yoon, Marilyn Easton, Christine L. Merrill, Heath C. Thomas, and Donald R Creech
- Subjects
Thioredoxin Reductase 1 ,Carcinoma, Hepatocellular ,Thioredoxin-Disulfide Reductase ,Cell Survival ,Thioredoxin reductase ,Glutathione reductase ,SOD2 ,Toxicology ,medicine.disease_cause ,Superoxide dismutase ,chemistry.chemical_compound ,Tumor Cells, Cultured ,medicine ,Humans ,Hypoglycemic Agents ,RNA, Messenger ,Oligonucleotide Array Sequence Analysis ,Dose-Response Relationship, Drug ,biology ,Reverse Transcriptase Polymerase Chain Reaction ,GCLM ,DNA ,Glutathione ,Molecular biology ,Enzymes ,Oxidative Stress ,Gene Expression Regulation ,chemistry ,Biochemistry ,Hepatocytes ,biology.protein ,Epoxy Compounds ,Oxidative stress ,Etomoxir - Abstract
Although they are known to be effective antidiabetic agents, little is published about the toxic effects of carnitine palmitoyltransferase-1 (CPT-1) inhibitors, such as etomoxir (ET). These compounds inhibit mitochondrial fatty acid beta-oxidation by irreversibly binding to CPT-1 and preventing entry of long chain fatty acids into the mitochondrial matrix. Treatment of HepG2 cells with 1 mM etomoxir for 6 h caused significant modulations in the expression of several redox-related and cell cycle mRNAs as measured by microarray analysis. Upregulated mRNAs included heme oxygenase 1 (HO1), 8-oxoguanine DNA glycosylase 1 (OGG1), glutathione reductase (GSR), cyclin-dependent kinase inhibitor 1A (CDKN1 [p21(waf1)]) and Mn+ superoxide dismutase precursor (SOD2); while cytochrome P450 1A1 (CYP1A1) and heat shock 70kD protein 1 (HSPA1A) were downregulated. Real time quantitative PCR (RT-PCR) confirmed the significant changes in 4 of 4 mRNAs assayed (CYP1A1, HO1, GSR, CDKN1), and identified 3 additional mRNA changes; 2 redox-related genes, gamma-glutamate-cysteine ligase modifier subunit (GCLM) and thioredoxin reductase (TXNRD1) and 1 DNA replication gene, topoisomerase IIalpha (TOP2A). Temporal changes in selected mRNA levels were examined by RT-PCR over 11 time points from 15 min to 24 h postdosing. CYP1A1 exhibited a 38-fold decrease by 4 h, which rebounded to a 39-fold increase by 20 h. GCLM and TXNRD1 exhibited 13- and 9-fold increases, respectively at 24 h. Etomoxir-induced oxidative stress and impaired mitochondrial energy metabolism were confirmed by a significant decrease in reduced glutathione (GSH), reduced/oxidized glutathione ratio (GSH/GSSG), mitochondrial membrane potential (MMP), and ATP levels, and by concurrent increase in oxidized glutathione (GSSG) and superoxide generation. This is the first report of oxidative stress caused by etomoxir.
- Published
- 2002
- Full Text
- View/download PDF
6. An optimized procedure for plant recovery from somatic embryos significantly facilitates the genetic improvement of Vitis
- Author
-
Zhijian T. Li, Matthew R. Creech, Dennis J. Gray, Jonathan R Jasinski, Sadanand A. Dhekney, and KyungHee Kim
- Subjects
Sucrose ,Somatic embryogenesis ,fungi ,food and beverages ,Plant Science ,Horticulture ,Biology ,Biochemistry ,Vitis rotundifolia ,Article ,Genetically modified organism ,chemistry.chemical_compound ,Murashige and Skoog medium ,chemistry ,Germination ,Shoot ,Botany ,Genetics ,wine ,Cultivar ,wine.grape_variety ,Biotechnology - Abstract
Plant regeneration from grapevine (Vitis spp.) via somatic embryogenesis typically is poor. Recovery of plants from Vitis rotundifolia Michx. (muscadine grape) is particularly problematic due to extremely low efficiency, including extended culture durations required for embryo-plant conversion. Poor plant recovery is an obstacle to the selection of improved genetically modified lines. Somatic embryos (SEs) of V. rotundifolia cultivar Delicious (Del-HS) and Vitis vinifera L cultivar Thompson Seedless (TS) were used to identify culture media and conditions that promoted embryo differentiation and plant conversion; this resulted in a two-step culture system. In comparative culture experiments, C2D medium containing 6% sucrose was the most effective, among four distinct formulae tested, for inducing precocious SE germination and cell differentiation. This medium, further supplemented with 4 µM 6-benzylaminopurine (C2D4B), was subsequently determined to enhance post-germinative growth of SE. MS medium supplemented with 0.5 µM 1-naphthaleneacetic acid (MSN) was then utilized to stimulate root and shoot growth of germinated SE. An average of 35% and 80% 'Del-HS' and 'TS' SE, respectively, developed into plants. All plants developed robust root and shoot systems and exhibited excellent survival following transfer to soil. Over 150 plants of 'Del-HS' were regenerated and established within 2.5 months, which is a dramatic reduction from the 6- to 12-month time period previously required. Similarly, 88 'TS' plant lines were obtained within the same time period. Subsequently, seven out of eight Vitis cultivars exhibited significantly increased plant conversion percentages, demonstrating broad application of the two-step culture system to produce the large numbers of independent plant lines needed for selection of desired traits.
- Published
- 2014
7. 1156: CHARACTERIZATION OF NON-ATTENDANCE IN AN INTENSIVE CARE UNIT RECOVERY CLINIC
- Author
-
Oksana R Creech, Michael T. Kenes, Rebecca Bookstaver, Daniel Files, Rita N. Bakhru, James F Davidson, and Matthew Watson
- Subjects
medicine.medical_specialty ,business.industry ,law ,Emergency medicine ,Medicine ,Critical Care and Intensive Care Medicine ,business ,Intensive care unit ,Non attendance ,law.invention - Published
- 2016
- Full Text
- View/download PDF
8. Analysis of student performance in large-enrollment life science courses
- Author
-
Leah R. Creech and Ryan D. Sweeder
- Subjects
Male ,Class size ,Michigan ,Universities ,education ,050109 social psychology ,Predictor variables ,Academic achievement ,General Biochemistry, Genetics and Molecular Biology ,Biological Science Disciplines ,Education ,Mathematics education ,Humans ,0501 psychology and cognitive sciences ,Students ,Biological sciences ,4. Education ,05 social sciences ,Multilevel model ,050301 education ,Articles ,Linear Models ,Female ,Curriculum ,Educational Measurement ,Psychology ,0503 education - Abstract
This study examined the historical performance of students at Michigan State University in 12 life sciences courses over 13 yr to find variables impacting student success. Hierarchical linear modeling predicted 25.0–62.8% of the variance in students’ grades in the courses analyzed. The primary predictor of a student's course grade was his or her entering grade point average; except for the second course in a series (i.e., Biochemistry II), in which the grade for the first course in the series (i.e., Biochemistry I) was often the best predictor, as judged by β values. Student gender and major were also statistically significant for a majority of the courses studied. Female students averaged grades 0.067–0.303 lower than their equivalent male counterparts, and majors averaged grades were 0.088–0.397 higher than nonmajors. Grades earned in prerequisite courses provided minimal predictive ability. Ethnicity and involvements in honors college or science residential college were generally insignificant.
- Published
- 2012
9. Visualization and quantitation of peroxisomes using fluorescent nanocrystals: treatment of rats and monkeys with fibrates and detection in the liver
- Author
-
Puntipa Kwanyuen, Neal F. Cariello, Heidi M. Colton, Hong Ni, Warren Casey, Edward McNeil, James Greg Falls, Donald R Creech, and G. Hamilton
- Subjects
Male ,Immunoblotting ,Peroxisome Proliferation ,Fluorescent Antibody Technique ,Biology ,Toxicology ,Immunofluorescence ,Immunolabeling ,Fenofibrate ,Species Specificity ,Gene expression ,Quantum Dots ,medicine ,Peroxisomes ,Animals ,Frozen Sections ,Humans ,Clofibrate ,Rats, Wistar ,medicine.diagnostic_test ,Dose-Response Relationship, Drug ,Membrane Proteins ,Peroxisome ,Molecular biology ,Rats ,Macaca fascicularis ,Microscopy, Electron ,Biochemistry ,Membrane protein ,Liver ,Ciprofibrate ,medicine.drug - Abstract
Peroxisome proliferation in the liver is a well-documented response that occurs in some species upon treatment with hypolipidemic drugs, such as fibrates. Typically, liver peroxisome proliferation has been estimated by direct counting via electron microscopy, as well as by gene expression, enzyme activity, and immunolabeling. We have developed a novel method for the immunofluorescent labeling of peroxisomes, using an antibody to the 70-kDa peroxisomal membrane protein (PMP70) coupled with fluorescent nanocrystals, Quantum Dots. This method is applicable to standard formalin-fixed, paraffin-embedded tissues. Using this technique, a dose-dependent increase in PMP70 labeling was evident in formalin-fixed liver sections from fenofibrate-treated rats. In formalin-fixed liver sections from cynomolgus monkeys given ciprofibrate, quantitative image analysis showed a statistically significant increase in PMP70 labeling compared to control; the increase in hepatic PMP70 protein levels was corroborated by immunoblotting using total liver protein. An increase in hepatic peroxisome number in ciprofibrate-treated monkeys was confirmed by electron microscopy. An advantage of the Quantum Dot/PMP70 method is that a single common protocol can be used to label peroxisomes from several different species, and many of the common problems that arise with immunolabeling, such as fading and low signal strength, are eliminated.
- Published
- 2004
10. Common Sense Planning for Emergency Feeding by Institutional Food Services
- Author
-
MSpC Colonel Kathleen R. Creech Usaf
- Subjects
Nutrition and Dietetics ,business.industry ,Food supply ,media_common.quotation_subject ,Medicine ,Food service ,Common sense ,Marketing ,business ,Food Science ,media_common - Published
- 1962
- Full Text
- View/download PDF
11. Cyclophosphamide and CCNU in the treatment of inoperable small cell carcinoma and adenocarcinoma of the lung
- Author
-
J H, Edmonson, S W, Lagakos, O S, Selawry, C P, Perlia, J M, Bennett, F M, Muggia, G, Wampler, H S, Brodovsky, J, Horton, J, Colsky, E G, Mansour, R, Creech, L, Stolbach, E M, Greenspan, M, Levitt, L, Israel, E Z, Ezdinli, and P P, Carbone
- Subjects
Adult ,Male ,Lung Neoplasms ,Carcinoma ,Adenocarcinoma ,Middle Aged ,Prognosis ,Nitrosourea Compounds ,Lomustine ,Humans ,Drug Therapy, Combination ,Female ,Cyclophosphamide ,Aged - Abstract
Two hundred and fifty-eight patients with small cell carcinoma and 185 patients with adenocarcinoma were centrally randomized to receive either cyclophosphamide (1000 mg/m2 every 3 weeks) iv or cyclophosphamide (700 mg/m2 every 3 weeks) iv plus CCNU (70 mg/m2 every 6 weeks) orally. Those patients who were initially treated with the single agent were then treated with CCNU (130 mg/m2 every 6 weeks) at the time of cyclophosphamide failure. Objective tumor regression occurred more frequently with the combination regimen in patients with small cell carcinoma (43% vs 22%, P = 0.002), but no difference in response rates was apparent in patients with adenocarcinoma. In both cell types patients survived somewhat longer following treatment with the combination. The overall incidence of severe toxicity was equal for the two regimens in both cell types; however, the therapeutic index of the combination was superior to that of the single agent in small cell carcinoma. Severe drug toxicity was more frequent in small cell carcinoma patients with extensive disease, and survival was reduced in both cell types with extensive disease. Survival was better for ambulatory patients in both cell types and women survived longer than men. In women with small cell carcinoma, ambulatory status also was associated with a higher incidence of tumor regression. In patients with small cell carcinoma those who had prior lung surgery survived longer than those without prior surgery. Previous radiation therapy was associated with a reduced incidence of objective regression in men with small cell carcinoma. In both cell types patients with tumor regression lived longer than nonresponders; however, objective disease stability was associated with improved survival only in patients with adenocarcinoma. Stratification in future studies should consider extent of disease, performance status, sex, and prior therapy.
- Published
- 1976
12. Megestrol acetate v tamoxifen in advanced breast cancer: correlation of hormone receptors and response
- Author
-
D S, Ettinger, J, Allegra, J R, Bertino, P, Bonomi, H, Browder, P, Byrne, J, Carpenter, R, Catalano, R, Creech, and B, Dana
- Subjects
Random Allocation ,Tamoxifen ,Neoplasms, Hormone-Dependent ,Receptors, Estrogen ,Megestrol Acetate ,Humans ,Antineoplastic Agents ,Breast Neoplasms ,Female ,Receptors, Cell Surface ,Megestrol ,Middle Aged ,Receptors, Progesterone - Abstract
This report describes the preliminary results from a randomized study comparing megestrol acetate with tamoxifen in the treatment of postmenopausal women with advanced breast cancer, correlating estrogen receptors (ER) and progesterone receptor (PgR) status with response. Patients received megestrol acetate (40 mg) orally four times daily or tamoxifen (10 mg) orally twice daily. If the initial therapy failed, patients were crossed over to the alternate treatment. Of 197 patients entered in the study, 190 were considered evaluable. The overall response rates were 35% with megestrol acetate and 42% with tamoxifen. Twenty-three percent (7/30) of patients responded to megestrol acetate after being crossed over from tamoxifen, while 22% (6/27) responded to tamoxifen after being crossed over from megestrol acetate. Response did not correlate significantly with combined receptor (ie, ER plus PgR) levels. A significant trend was seen between ER level and response only in the tamoxifen group. There was no association between PgR levels and response for either tamoxifen or megestrol acetate.
- Published
- 1986
13. Comparison of adriamycin with cyclophosphamide in patients with advanced endometrial cancer
- Author
-
J, Horton, C B, Begg, J, Arseneault, H, Bruckner, R, Creech, and R G, Hahn
- Subjects
Bone Marrow ,Doxorubicin ,Remission, Spontaneous ,Uterine Neoplasms ,Humans ,Female ,Adenocarcinoma ,Neoplasm Metastasis ,Cyclophosphamide - Published
- 1978
14. Cytogenetic studies of bone marrow in breast cancer patients after adjuvant chemotherapy
- Author
-
P, Nowell, J H, Glick, A, Bucolo, J, Finan, and R, Creech
- Subjects
Chromosome Aberrations ,Risk ,Alkylating Agents ,Leukemia ,Bone Marrow ,Karyotyping ,Humans ,Antineoplastic Agents ,Breast Neoplasms ,Female ,Middle Aged ,Aged ,Clone Cells - Abstract
Bone marrow chromosome studies were done on three patients who developed acute nonlymphocytic leukemia 5 to 19 months after completion of adjuvant chemotherapy for breast cancer, and on 17 breast cancer patients without hematologic disease 2 to 30 months after similar adjuvant therapy. Clones of cells with multiple cytogenetic abnormalities were demonstrated in two of the three leukemic patients. No chromosomally abnormal clones or evidence of increased chromosome damage was found in the 17 nonleukemic individuals. Although leukemias induced by chemotherapy, and particularly by alkylating agents, typically show multiple cytogenetic alterations, it appears that patients recently exposed to these agents, but without obvious hematopoietic disorders, do not have a high frequency of aberrant marrow clones. Additional approaches may be needed for early identification of patients at increased risk for chemotherapy-induced leukemia.
- Published
- 1981
15. Consumers speak out on the life of the nonspeaker: attitude as a misfortune
- Author
-
R, Creech
- Subjects
Male ,Attitude ,Cerebral Palsy ,Humans ,Speech Disorders - Published
- 1981
16. Breast cancer without axillary metastases. Are there high-risk biologic subpopulations?
- Author
-
H F, Sears, C, Janus, W, Levy, R, Hopson, R, Creech, and P, Grotzinger
- Subjects
Adult ,Time Factors ,Age Factors ,Breast Neoplasms ,Middle Aged ,Prognosis ,Receptors, Estrogen ,Lymphatic Metastasis ,Axilla ,Humans ,Lymph Node Excision ,Female ,Neoplasm Recurrence, Local ,Mastectomy ,Aged ,Neoplasm Staging ,Retrospective Studies - Abstract
Two hundred seventy-five patients with breast cancer and no axillary metastases had mastectomies and axillary node dissection performed during the period between 1970 and 1979 at The Fox Chase Cancer Center. They had a mean age of 60 years (range, 21-91) and 38 (14%) patients have had recurrence to date. Poor histologic differentiation and skin involvement were related to a high risk of recurrence. Those patients with skin infiltration by tumor or a poorly differentiated tumor had a 53 +/- 9% expected five-year tumor-free survival, whereas patients without these had a 90 +/- 2% expected five-year tumor-free survival. Tumor involvement of the lymphatic vessels within the breast and estrogen receptor protein positivity or negativity were not helpful for identifying a subpopulation at increased risk of recurrence. Large tumor size was not a poor prognostic indicator for a patient subpopulation. These factors should be considered as indicators for inclusion in clinical trials and adjuvant therapy and used as stratification points for the analysis of the data developed in these trials.
- Published
- 1982
17. Metastatic breast cancer: preliminary results with oral hormonal therapy
- Author
-
J C, Allegra, J, Bertino, P, Bonomi, P, Byrne, J, Carpenter, R, Catalano, R, Creech, B, Dana, H, Durivage, and L, Einhorn
- Subjects
Adult ,Clinical Trials as Topic ,Random Allocation ,Tamoxifen ,Megestrol Acetate ,Administration, Oral ,Humans ,Breast Neoplasms ,Female ,Megestrol ,Middle Aged ,Neoplasm Metastasis ,Aged - Abstract
Hormonal therapy is very effective in the treatment of patients with metastatic breast cancer. Response to various therapies leads to improved quality of life and prolonged survival. This clinical trial compared two commonly utilized additive hormonal agents, tamoxifen citrate and megestrol acetate (Megace). Preliminary data indicate equal efficacy and equal toxicity of these two hormones and suggests that both are suitable for first-line hormonal treatment of stage IV breast cancer.
- Published
- 1985
18. Mechlorethamine (NSC-762) plus CCNU (NSC-79037) in the treatment of inoperable squamous and large cell carcinoma of the lung
- Author
-
J H, Edmonson, S, Lagakos, L, Stolbach, C P, Perlia, J M, Bennett, E G, Mansour, J, Horton, W, Regelson, F J, Cummings, L, Israel, I, Brodsky, B I, Shnider, R, Creech, and P P, Carbone
- Subjects
Lung Neoplasms ,Lomustine ,Minnesota ,Carcinoma, Squamous Cell ,Humans ,Drug Therapy, Combination ,Mechlorethamine ,Carcinoma, Small Cell ,Nitrosourea Compounds - Published
- 1976
19. Controlled prospective trial of combination chemotherapy with cyclophosphamide, adriamycin, and 5-fluorouracil for the treatment of advanced ovarian cancer: a preliminary report
- Author
-
H W, Bruckner, M, Pagano, G, Falkson, R, Creech, J C, Arseneau, J, Horton, H, Brodovsky, T E, Davis, R W, Slayton, and E, Greenspan
- Subjects
Ovarian Neoplasms ,Clinical Trials as Topic ,Remission, Spontaneous ,Organothiophosphorus Compounds ,Middle Aged ,Methotrexate ,Doxorubicin ,Drug Evaluation ,Humans ,Drug Therapy, Combination ,Female ,Fluorouracil ,Cyclophosphamide ,Melphalan - Published
- 1979
20. Rick Creech: pioneer in technology for nonspeaking individuals
- Author
-
R, Creech
- Subjects
Male ,Communication Aids for Disabled ,Microcomputers ,Mutism ,Humans ,Self-Help Devices - Published
- 1983
21. Comparative trial of adriamycin and 5-fluorouracil in advanced prostatic cancer--progress report
- Author
-
W D, DeWys, M, Bauer, J, Colsky, R A, Cooper, R, Creech, and P P, Carbone
- Subjects
Male ,Clinical Trials as Topic ,Doxorubicin ,Humans ,Prostatic Neoplasms ,Fluorouracil ,Illinois ,Adenocarcinoma - Published
- 1977
22. Phase II study of single-agent therapy with megestrol acetate, VP-16-213, cyclophosphamide, and dianhydrogalactitol in advanced renal cell cancer
- Author
-
R G, Hahn, M, Bauer, J, Wolter, R, Creech, J M, Bennett, and G, Wampler
- Subjects
Adult ,Clinical Trials as Topic ,Megestrol ,Adenocarcinoma ,Middle Aged ,Kidney Neoplasms ,Sugar Alcohols ,Drug Evaluation ,Humans ,Dianhydrogalactitol ,Neoplasm Metastasis ,Cyclophosphamide ,Aged ,Etoposide ,Podophyllotoxin - Abstract
One hundred and forty-four patients with advanced renal cell cancer were evaluated for objective response to single-agent treatment with megestrol acetate, VP-16-213, cyclophosphamide, or dianhydrogalactitol. In view of the low order of response observed, these agents do not appear to be effective in the treatment of metastatic renal cell cancer. Performance status and a relatively long interval from onset of primary symptoms to study entry were the most favorable prognostic variables affecting time to progression and survival for patients in this study.
- Published
- 1979
23. Limited insulin responses in older non-obese control subjects without glucose intolerance
- Author
-
D G, Corredor, Y, Jung, R C, Khurana, R, Creech, W, Christy, T, Nealis, and T S, Danowski
- Subjects
Adult ,Age Factors ,Diabetes Mellitus ,Humans ,Aged - Published
- 1971
24. Common sense planning for emergency feeding by institutional food services
- Author
-
K R, CREECH
- Subjects
Disasters ,Food Services ,Humans ,Health Facilities ,Emergencies ,Food Supply - Published
- 1962
25. Preparedness for emergency feeding
- Author
-
K R, CREECH
- Subjects
Disasters ,Nutritional Sciences ,Humans ,Nutritional Status ,Nutritional Physiological Phenomena ,Emergencies - Published
- 1963
26. KNOCK! KNOCK!
- Author
-
ARABELLA R. CREECH
- Subjects
General Medicine ,General Nursing - Published
- 1936
- Full Text
- View/download PDF
27. Betaine and L-Carnitine Synergistically Influence the Metabolome and Immune Response in Dogs.
- Author
-
Jewell DE, Tavener SK, Creech R, and Panickar KS
- Abstract
This study used thirty-two dogs, which were assigned to a preferred period of 14 days and then assigned to one of the four treatment foods: control (containing no added betaine, no added L-carnitine), control with 0.5% added betaine (Treatment 2), control with no added betaine and 300 ppm added L-carnitine (Treatment 3), or control with 0.5% added betaine and 300 ppm added L-carnitine (Treatment 4). All treatment foods were fed for ninety days. Untargeted blood metabolomic analysis and immune response were measured at the beginning and end of the 90-day feeding trial. Feeding betaine increased single-carbon metabolites while decreasing many carnitine-containing metabolites. Feeding L-carnitine increased many carnitine metabolites, while the combination synergistically influenced the metabolome. The combination of betaine and L-carnitine increased the cytokines released in a Tru-culture system in response to stimulation while numerically decreasing their release when unstimulated. Therefore, the combination of dietary betaine and L-carnitine could have the dual positive effects of reducing cytokine stimulation, controlling inflammation during health, and providing a robust response to bacterial infection.
- Published
- 2024
- Full Text
- View/download PDF
28. Acute care patient falls: evaluation of a revised fall prevention program following comparative analysis of psychiatric and medical patient falls.
- Author
-
Yates KM and Creech Tart R
- Subjects
- Accidental Falls statistics & numerical data, Adult, Aged, Aged, 80 and over, Attitude of Health Personnel, Hospitals, Community, Humans, Inpatients, Middle Aged, Program Evaluation, Psychiatric Department, Hospital, Regression Analysis, Retrospective Studies, Risk Factors, Accidental Falls prevention & control, Guideline Adherence organization & administration, Risk Management
- Abstract
Eliminating falls and fall-associated injuries are priorities in health care. This study examined the impact of revised fall prevention interventions on psychiatric and medical patient falls. After policy revisions were well established, psychiatric falls diminished and medical falls increased. A contributing factor to the medical population finding was policy intervention noncompliance., (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Published
- 2012
- Full Text
- View/download PDF
29. Placebo-controlled study of quetiapine monotherapy in ambulatory bipolar spectrum disorder with moderate-to-severe hypomania or mild mania.
- Author
-
McElroy SL, Martens BE, Winstanley EL, Creech R, Malhotra S, and Keck PE Jr
- Subjects
- Adult, Antipsychotic Agents adverse effects, Bipolar Disorder diagnosis, Bipolar Disorder psychology, Dibenzothiazepines adverse effects, Double-Blind Method, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales statistics & numerical data, Psychometrics, Quetiapine Fumarate, Treatment Outcome, Affect drug effects, Ambulatory Care, Antipsychotic Agents therapeutic use, Bipolar Disorder drug therapy, Dibenzothiazepines therapeutic use
- Abstract
Background: There are no randomized, placebo-controlled data for quetiapine in outpatients with bipolar spectrum disorder (ambulatory BSD) and moderate-to-severe hypomanic or mild manic symptoms (hypomania/mild mania)., Methods: An 8-week, randomized, double-blind, placebo-controlled trial of quetiapine in ambulatory BSD with hypomanic/mild manic symptoms, defined operationally as a score of >or=3 but <5 on the mania subscale of the Clinical Global Impressions Scale Modified for Bipolar Illness (CGI-BP) at baseline and one prior study visit, at least 3 days but no more than 2 weeks apart. The primary outcome measure was the rate of change in the Young Mania Rating Scale score (YMRS)., Results: During the 8-week study period, patients receiving quetiapine (average daily dose=232mg) had a marginally greater rate of reduction in mean total YMRS score than patients receiving placebo (p=0.06). Additionally, CGI-BP mania (p=0.01) and the CGI-BP overall (p<0.001) scores were significantly reduced and the CGI-depression score (p=0.08) was marginally reduced in the quetiapine group. Six (32%) quetiapine patients and 8 (40%) placebo patients did not complete the trial., Limitations: Small sample size and high attrition (36%)., Conclusion: Quetiapine was marginally more effective than placebo in reducing hypomanic/mild manic symptoms in ambulatory BSD as assessed by the YMRS. It was more effective than placebo in reducing manic symptoms and global bipolar symptoms as assessed by the CGI-BP. The drug's discontinuation rate was similar to placebo's. Controlled trials of quetiapine and other compounds with mood stabilizing properties in larger groups of ambulatory BSD patients with hypomanic/mild manic symptoms appear warranted.
- Published
- 2010
- Full Text
- View/download PDF
30. Sharps injury reduction using Sharpsmart--a reusable sharps management system.
- Author
-
Grimmond T, Rings T, Taylor C, Creech R, Kampen R, Kable W, Mead P, Mackie P, and Pandur R
- Subjects
- Environmental Exposure prevention & control, Humans, Infection Control methods, Needlestick Injuries etiology, Accidents, Occupational prevention & control, Medical Waste Disposal instrumentation, Needles adverse effects, Needlestick Injuries prevention & control, Personnel, Hospital
- Abstract
Sharps containers are associated with 11-13% of total sharps injuries (SI) yet have received little attention as a means of SI reduction. A newly developed reusable sharps containment system (Sharpsmart) was trialed in eight hospitals in three countries. The system was associated with an 86.8% reduction of container-related SI (CRSI) (P=0.012), a 25.7% reduction in non-CRSI (P=0.003), and a 32.6% reduction in total SI (P=0.002) compared with historical data. The study concludes that the Sharpsmart system is an effective engineered control in reducing SI.
- Published
- 2003
- Full Text
- View/download PDF
31. Prophylactic versus no brain irradiation in regional small cell lung carcinoma.
- Author
-
Seydel HG, Creech R, Pagano M, Salazar O, Rubin P, Concannon J, Carbone P, Mohuiddin M, Perez C, and Matthews M
- Subjects
- Brain Neoplasms prevention & control, Humans, Prospective Studies, Time Factors, Brain Neoplasms secondary, Carcinoma, Small Cell radiotherapy, Lung Neoplasms radiotherapy
- Abstract
Among 104 complete responders entered in a randomized prospective trial of treatments for regional small cell undifferentiated carcinoma of the lung, 52 received prophylactic irradiation of the brain, 3,000 rad in 10 fractions, and 52 did not. The median survivals were 53 and 52 weeks respectively, and the incidences of brain metastases were 5% and 20%. Prophylactic brain irradiation was not associated with significant long-term toxicity.
- Published
- 1985
- Full Text
- View/download PDF
32. Breast cancer without axillary metastases. Are there high-risk biologic subpopulations?
- Author
-
Sears HF, Janus C, Levy W, Hopson R, Creech R, and Grotzinger P
- Subjects
- Adult, Age Factors, Aged, Axilla, Breast Neoplasms metabolism, Breast Neoplasms surgery, Female, Humans, Lymph Node Excision, Lymphatic Metastasis, Mastectomy, Middle Aged, Neoplasm Recurrence, Local, Neoplasm Staging, Prognosis, Receptors, Estrogen analysis, Retrospective Studies, Time Factors, Breast Neoplasms pathology
- Abstract
Two hundred seventy-five patients with breast cancer and no axillary metastases had mastectomies and axillary node dissection performed during the period between 1970 and 1979 at The Fox Chase Cancer Center. They had a mean age of 60 years (range, 21-91) and 38 (14%) patients have had recurrence to date. Poor histologic differentiation and skin involvement were related to a high risk of recurrence. Those patients with skin infiltration by tumor or a poorly differentiated tumor had a 53 +/- 9% expected five-year tumor-free survival, whereas patients without these had a 90 +/- 2% expected five-year tumor-free survival. Tumor involvement of the lymphatic vessels within the breast and estrogen receptor protein positivity or negativity were not helpful for identifying a subpopulation at increased risk of recurrence. Large tumor size was not a poor prognostic indicator for a patient subpopulation. These factors should be considered as indicators for inclusion in clinical trials and adjuvant therapy and used as stratification points for the analysis of the data developed in these trials.
- Published
- 1982
- Full Text
- View/download PDF
33. Mechlorethamine (NSC-762) plus CCNU (NSC-79037) in the treatment of inoperable squamous and large cell carcinoma of the lung.
- Author
-
Edmonson JH, Lagakos S, Stolbach L, Perlia CP, Bennett JM, Mansour EG, Horton J, Regelson W, Cummings FJ, Israel L, Brodsky I, Shnider BI, Creech R, and Carbone PP
- Subjects
- Carcinoma, Small Cell mortality, Carcinoma, Squamous Cell mortality, Drug Therapy, Combination, Humans, Lomustine adverse effects, Lung Neoplasms mortality, Mechlorethamine adverse effects, Minnesota, Carcinoma, Small Cell drug therapy, Carcinoma, Squamous Cell drug therapy, Lomustine therapeutic use, Lung Neoplasms drug therapy, Mechlorethamine therapeutic use, Nitrosourea Compounds therapeutic use
- Published
- 1976
34. Rick Creech: pioneer in technology for nonspeaking individuals.
- Author
-
Creech R
- Subjects
- Humans, Male, Microcomputers, Communication Aids for Disabled, Mutism rehabilitation, Self-Help Devices
- Published
- 1983
35. Combined modality treatment of regional small cell undifferentiated carcinoma of the lung: a cooperative study of the RTOG and ECOG.
- Author
-
Seydel HG, Creech R, Pagano M, Salazar O, Rubin P, Concannon J, Carbone P, Mohuiddin M, Perez C, and Matthews M
- Subjects
- Brain Neoplasms prevention & control, Brain Neoplasms secondary, Carcinoma, Small Cell drug therapy, Carcinoma, Small Cell radiotherapy, Clinical Trials as Topic, Cyclophosphamide administration & dosage, Female, Humans, Lomustine administration & dosage, Lung Neoplasms drug therapy, Lung Neoplasms radiotherapy, Male, Middle Aged, Prospective Studies, Random Allocation, Carcinoma, Small Cell therapy, Lung Neoplasms therapy
- Abstract
Between 1975 and 1979, 271 patients with regional small cell undifferentiated (including oat cell) carcinoma of the lung were entered into a study involving treatment by radiation therapy (4500 cGy (rad) in five weeks) to the primary tumor, mediastinum and supraclavicular lymph nodes, and a randomization to receive or not receive prophylactic treatment of the brain (3000 cGy in two weeks) and a randomization to prophylactic or delayed chemotherapy (cyclophosphamide and CCNU). Analysis of the data indicates that the median survival for responders (53 weeks) was significantly longer than that of the non-responders and partial responders (37 and 34 weeks). Median survival by treatment arm was 48 weeks for thoracic irradiation (TI), brain irradiation (BI), and early chemotherapy (CT), 44 weeks for TI alone, 41 weeks for TI and CT, 38 weeks for TI and BI. Regional complete and partial tumor responses were 52 and 25% for prophylactic chemotherapy and 44 and 35% for delayed chemotherapy. The site of first failure was regional in 12%, regional and distant simultaneously in 21%, and distant only in 46%. Elective brain irradiation significantly reduced the incidence of brain metastases from 21 and 5%, but did not improve survival.
- Published
- 1983
- Full Text
- View/download PDF
36. A comparative clinical trial of adriamycin and 5-fluorouracil in advanced prostatic cancer: prognostic factors and response.
- Author
-
DeWys WD, Begg CB, Brodovsky H, Creech R, and Khandekar J
- Subjects
- Acid Phosphatase blood, Adenocarcinoma blood, Clinical Trials as Topic, Doxorubicin adverse effects, Fluorouracil adverse effects, Humans, Male, Prognosis, Prostatic Neoplasms blood, Adenocarcinoma drug therapy, Doxorubicin therapeutic use, Fluorouracil therapeutic use, Prostatic Neoplasms drug therapy
- Abstract
In patients with metastatic hormone-relapsed adenocarcinoma of the prostate, adriamycin was compared to 5-fluorouracil in a randomized trial in 99 patients and adriamycin alone was studied in an open trial in 48 patients. Response to adriamycin was superior as judged by response of measurable disease (25 vs 8%; P less than 0.05) and survival (median 29 vs 24 weeks; Cox analysis, P less than 0.03), but comparable as judged by acid phosphatase response. Ambulatory status and site of metastases influenced rate of response to chemotherapy. Activity level, site of metastases, weight loss, and the symptom of protein aversion were prognostic factors for survival. Hematologic and gastrointestinal toxicity were frequent but were tolerated satisfactorily. Adriamycin therapy may be beneficial in patients with prostatic cancer after hormone therapy.
- Published
- 1983
- Full Text
- View/download PDF
37. Combination chemotherapy for advanced endometrial cancer. An evaluation of three regimens.
- Author
-
Horton J, Elson P, Gordon P, Hahn R, and Creech R
- Subjects
- Antineoplastic Agents adverse effects, Cyclophosphamide administration & dosage, Doxorubicin administration & dosage, Drug Administration Schedule, Drug Therapy, Combination, Female, Fluorouracil administration & dosage, Humans, Megestrol administration & dosage, Melphalan administration & dosage, Antineoplastic Agents administration & dosage, Uterine Neoplasms drug therapy
- Abstract
In patients with advanced uterine corpus carcinoma treated with the combination chemotherapy of megestrol, cyclophosphamide, and doxorubicin (MCA) or with this combination and 5-fluorouracil (MCAF), the overall response rate was 22%. There was no significant difference in response rates between the two regimens. There is some indication that survival was longer in ambulatory patients who were treated with MCA, but this combination produced more hematologic toxicity than MCAF. Patients unsuitable for treatment with doxorubicin received megestrol, 1-phenylalanine mustard, and 5-fluorouracil (MLF), which produced objective responses in 2 of 12 patients.
- Published
- 1982
- Full Text
- View/download PDF
38. Comparative trial of adriamycin and 5-fluorouracil in advanced prostatic cancer--progress report.
- Author
-
DeWys WD, Bauer M, Colsky J, Cooper RA, Creech R, and Carbone PP
- Subjects
- Adenocarcinoma mortality, Clinical Trials as Topic, Humans, Illinois, Male, Prostatic Neoplasms mortality, Adenocarcinoma drug therapy, Doxorubicin therapeutic use, Fluorouracil therapeutic use, Prostatic Neoplasms drug therapy
- Published
- 1977
39. Cytogenetic studies of bone marrow in breast cancer patients after adjuvant chemotherapy.
- Author
-
Nowell P, Glick JH, Bucolo A, Finan J, and Creech R
- Subjects
- Aged, Alkylating Agents adverse effects, Breast Neoplasms complications, Chromosome Aberrations, Clone Cells, Female, Humans, Karyotyping, Leukemia chemically induced, Leukemia complications, Middle Aged, Risk, Antineoplastic Agents adverse effects, Bone Marrow ultrastructure, Breast Neoplasms drug therapy
- Abstract
Bone marrow chromosome studies were done on three patients who developed acute nonlymphocytic leukemia 5 to 19 months after completion of adjuvant chemotherapy for breast cancer, and on 17 breast cancer patients without hematologic disease 2 to 30 months after similar adjuvant therapy. Clones of cells with multiple cytogenetic abnormalities were demonstrated in two of the three leukemic patients. No chromosomally abnormal clones or evidence of increased chromosome damage was found in the 17 nonleukemic individuals. Although leukemias induced by chemotherapy, and particularly by alkylating agents, typically show multiple cytogenetic alterations, it appears that patients recently exposed to these agents, but without obvious hematopoietic disorders, do not have a high frequency of aberrant marrow clones. Additional approaches may be needed for early identification of patients at increased risk for chemotherapy-induced leukemia.
- Published
- 1981
- Full Text
- View/download PDF
40. Comparison of adriamycin with cyclophosphamide in patients with advanced endometrial cancer.
- Author
-
Horton J, Begg CB, Arseneault J, Bruckner H, Creech R, and Hahn RG
- Subjects
- Bone Marrow drug effects, Cyclophosphamide adverse effects, Doxorubicin adverse effects, Female, Humans, Neoplasm Metastasis drug therapy, Remission, Spontaneous, Adenocarcinoma drug therapy, Cyclophosphamide therapeutic use, Doxorubicin therapeutic use, Uterine Neoplasms drug therapy
- Published
- 1978
41. Phase II study of single-agent therapy with megestrol acetate, VP-16-213, cyclophosphamide, and dianhydrogalactitol in advanced renal cell cancer.
- Author
-
Hahn RG, Bauer M, Wolter J, Creech R, Bennett JM, and Wampler G
- Subjects
- Adult, Aged, Clinical Trials as Topic, Cyclophosphamide adverse effects, Dianhydrogalactitol adverse effects, Drug Evaluation, Humans, Middle Aged, Neoplasm Metastasis, Adenocarcinoma drug therapy, Cyclophosphamide therapeutic use, Dianhydrogalactitol therapeutic use, Etoposide therapeutic use, Kidney Neoplasms drug therapy, Megestrol therapeutic use, Podophyllotoxin analogs & derivatives, Sugar Alcohols therapeutic use
- Abstract
One hundred and forty-four patients with advanced renal cell cancer were evaluated for objective response to single-agent treatment with megestrol acetate, VP-16-213, cyclophosphamide, or dianhydrogalactitol. In view of the low order of response observed, these agents do not appear to be effective in the treatment of metastatic renal cell cancer. Performance status and a relatively long interval from onset of primary symptoms to study entry were the most favorable prognostic variables affecting time to progression and survival for patients in this study.
- Published
- 1979
42. Controlled prospective trial of combination chemotherapy with cyclophosphamide, adriamycin, and 5-fluorouracil for the treatment of advanced ovarian cancer: a preliminary report.
- Author
-
Bruckner HW, Pagano M, Falkson G, Creech R, Arseneau JC, Horton J, Brodovsky H, Davis TE, Slayton RW, and Greenspan E
- Subjects
- Clinical Trials as Topic, Drug Evaluation, Drug Therapy, Combination, Female, Humans, Melphalan administration & dosage, Methotrexate administration & dosage, Middle Aged, Organothiophosphorus Compounds administration & dosage, Remission, Spontaneous, Cyclophosphamide administration & dosage, Doxorubicin administration & dosage, Fluorouracil administration & dosage, Ovarian Neoplasms drug therapy
- Published
- 1979
43. Consumers speak out on the life of the nonspeaker: attitude as a misfortune.
- Author
-
Creech R
- Subjects
- Cerebral Palsy complications, Humans, Male, Attitude, Speech Disorders psychology
- Published
- 1981
44. Megestrol acetate v tamoxifen in advanced breast cancer: correlation of hormone receptors and response.
- Author
-
Ettinger DS, Allegra J, Bertino JR, Bonomi P, Browder H, Byrne P, Carpenter J, Catalano R, Creech R, and Dana B
- Subjects
- Breast Neoplasms metabolism, Female, Humans, Megestrol therapeutic use, Megestrol Acetate, Middle Aged, Neoplasms, Hormone-Dependent metabolism, Random Allocation, Receptors, Estrogen metabolism, Receptors, Progesterone metabolism, Antineoplastic Agents therapeutic use, Breast Neoplasms drug therapy, Megestrol analogs & derivatives, Neoplasms, Hormone-Dependent drug therapy, Receptors, Cell Surface metabolism, Tamoxifen therapeutic use
- Abstract
This report describes the preliminary results from a randomized study comparing megestrol acetate with tamoxifen in the treatment of postmenopausal women with advanced breast cancer, correlating estrogen receptors (ER) and progesterone receptor (PgR) status with response. Patients received megestrol acetate (40 mg) orally four times daily or tamoxifen (10 mg) orally twice daily. If the initial therapy failed, patients were crossed over to the alternate treatment. Of 197 patients entered in the study, 190 were considered evaluable. The overall response rates were 35% with megestrol acetate and 42% with tamoxifen. Twenty-three percent (7/30) of patients responded to megestrol acetate after being crossed over from tamoxifen, while 22% (6/27) responded to tamoxifen after being crossed over from megestrol acetate. Response did not correlate significantly with combined receptor (ie, ER plus PgR) levels. A significant trend was seen between ER level and response only in the tamoxifen group. There was no association between PgR levels and response for either tamoxifen or megestrol acetate.
- Published
- 1986
45. Metastatic breast cancer: preliminary results with oral hormonal therapy.
- Author
-
Allegra JC, Bertino J, Bonomi P, Byrne P, Carpenter J, Catalano R, Creech R, Dana B, Durivage H, and Einhorn L
- Subjects
- Administration, Oral, Adult, Aged, Clinical Trials as Topic, Female, Humans, Megestrol adverse effects, Megestrol therapeutic use, Megestrol Acetate, Middle Aged, Neoplasm Metastasis, Random Allocation, Tamoxifen adverse effects, Breast Neoplasms drug therapy, Megestrol analogs & derivatives, Tamoxifen therapeutic use
- Abstract
Hormonal therapy is very effective in the treatment of patients with metastatic breast cancer. Response to various therapies leads to improved quality of life and prolonged survival. This clinical trial compared two commonly utilized additive hormonal agents, tamoxifen citrate and megestrol acetate (Megace). Preliminary data indicate equal efficacy and equal toxicity of these two hormones and suggests that both are suitable for first-line hormonal treatment of stage IV breast cancer.
- Published
- 1985
46. Cyclophosphamide and CCNU in the treatment of inoperable small cell carcinoma and adenocarcinoma of the lung.
- Author
-
Edmonson JH, Lagakos SW, Selawry OS, Perlia CP, Bennett JM, Muggia FM, Wampler G, Brodovsky HS, Horton J, Colsky J, Mansour EG, Creech R, Stolbach L, Greenspan EM, Levitt M, Israel L, Ezdinli EZ, and Carbone PP
- Subjects
- Adult, Aged, Cyclophosphamide adverse effects, Drug Therapy, Combination, Female, Humans, Lomustine adverse effects, Male, Middle Aged, Prognosis, Adenocarcinoma drug therapy, Carcinoma drug therapy, Cyclophosphamide therapeutic use, Lomustine therapeutic use, Lung Neoplasms drug therapy, Nitrosourea Compounds therapeutic use
- Abstract
Two hundred and fifty-eight patients with small cell carcinoma and 185 patients with adenocarcinoma were centrally randomized to receive either cyclophosphamide (1000 mg/m2 every 3 weeks) iv or cyclophosphamide (700 mg/m2 every 3 weeks) iv plus CCNU (70 mg/m2 every 6 weeks) orally. Those patients who were initially treated with the single agent were then treated with CCNU (130 mg/m2 every 6 weeks) at the time of cyclophosphamide failure. Objective tumor regression occurred more frequently with the combination regimen in patients with small cell carcinoma (43% vs 22%, P = 0.002), but no difference in response rates was apparent in patients with adenocarcinoma. In both cell types patients survived somewhat longer following treatment with the combination. The overall incidence of severe toxicity was equal for the two regimens in both cell types; however, the therapeutic index of the combination was superior to that of the single agent in small cell carcinoma. Severe drug toxicity was more frequent in small cell carcinoma patients with extensive disease, and survival was reduced in both cell types with extensive disease. Survival was better for ambulatory patients in both cell types and women survived longer than men. In women with small cell carcinoma, ambulatory status also was associated with a higher incidence of tumor regression. In patients with small cell carcinoma those who had prior lung surgery survived longer than those without prior surgery. Previous radiation therapy was associated with a reduced incidence of objective regression in men with small cell carcinoma. In both cell types patients with tumor regression lived longer than nonresponders; however, objective disease stability was associated with improved survival only in patients with adenocarcinoma. Stratification in future studies should consider extent of disease, performance status, sex, and prior therapy.
- Published
- 1976
47. Using infrared scanning to decrease nighttime falls on a psychogeriatric unit.
- Author
-
Dubner NP and Creech R
- Subjects
- Aged, Humans, Virginia, Accident Prevention, Accidental Falls prevention & control, Dementia complications, Infrared Rays instrumentation, Psychiatric Department, Hospital
- Published
- 1988
- Full Text
- View/download PDF
48. Limited insulin responses in older non-obese control subjects without glucose intolerance.
- Author
-
Corredor DG, Jung Y, Khurana RC, Creech R, Christy W, Nealis T, and Danowski TS
- Subjects
- Adult, Age Factors, Aged, Humans, Diabetes Mellitus diagnosis
- Published
- 1971
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.