Trends in incidence and prognosis in female breast cancer since 1955 : registry-based studies in south-east Netherlands

Indirect evidence forms the basis of our knowledge of the natural history of human breast cancer. It is assumed that breast cancer starts by subtle molecular changes within a cell, called the induction phase, leading to the creation of a malignant cell. This phase is followed by multiplication and progressive growth of the cancer cell, most often leading to disseminated disease and to the death of the patient. From clinical observation it can be concluded that the range in growth rates of breast cancer is wide, and probably also the moment and pattern of metastatic dissemination. Some cancers disseminate early, but others may disseminate late or not at all. From serial mammographies it appeared that growth rates, expressed as tumour volume doubling times, ranged from about two months to several years."" The site of metastasis is also highly variable, as well as the response to therapy. Together, this illustrates the heterogeneity of breast cancer

Long-term prognosis of breast cancer: An analysis of 462 patients in a general hospital in south east Netherlands

In this study the long-term prognosis was analysed of all 462 consecutive female breast cancer patients who were diagnosed and carefully staged between 1970 and 1980 in a 600-bed community hospital in Eindhoven, south east Netherlands. Follow-up of recurrence and causes of death was obtained until 1 January 1993. Observed survival rates at 5, 10 and 20 years were 66%, 45% and 32%, respectively, and the corresponding breast cancer-specific survival rates were 71%, 54% and 44%. The yearly risk for a recurrence of breast cancer after treatment steadily decreased from 10% the first year to 1% after 10 years. In a multivariate survival analysis both tumour size and nodal status appeared to be equally important prognostic factors in the first 5 years after diagnosis. After 5 years only tumour size had independent prognostic value, which was not significant any more after 10 years. In patients with a tumour size ⩽ 2 cm and without lymph node involvement at diagnosis, the risk for a recurrence was found to be negligible after 10 years. Those patients may be considered cured, although a search for early diagnosis of a second primary breast cancer in this group is still advisable

Infant arterial stiffness and maternal iron status in pregnancy: A UK birth cohort (Baby VIP study)

Background In animal studies, iron deficiency during pregnancy has been linked to increased offspring cardiovascular risk. No previous population studies have measured arterial stiffness early in life to examine its association with maternal iron status. Objective This study aimed to examine the association between maternal iron status in early pregnancy with infant brachio-femoral pulse wave velocity (PWV). Methods The Baby VIP (Baby’s Vascular health and Iron in Pregnancy) study is a UK-based birth cohort which recruited 362 women after delivery from the Leeds Teaching Hospitals postnatal wards. Ferritin and transferrin receptor levels were measured in maternal serum samples previously obtained in the first trimester. Infant brachio-femoral PWV was measured during a home visit at 2-6 weeks. Results Iron depletion (ferritin <15 ug/L) was detected in 79 (23%) women in early pregnancy. Infant PWV (m=6.7 m/s, sd=1.3, n=284) was not associated with maternal ferritin (adjusted change per 10 ug/L= 0.02, 95% CI -0.01, 0.1), nor with iron depletion (adjusted change = -0.2, 95% CI -0.6, 0.2). No evidence of association was observed between maternal serum transferrin receptor level or its ratio to ferritin with infant PWV. Maternal anaemia (<11 g/dL) at ≤20 weeks gestation was associated with a 1.0 m/s increase in infant PWV (adjusted 95% CI 0.1, 1.9). Conclusion This is the largest study to-date which assessed peripheral PWV as a measure of arterial stiffness in infants. There was no evidence of an association between markers of maternal iron status early in pregnancy and infant PWV

Women’s Fashion Consumption in Saudi Arabia

This study investigates the influence of the sociocultural factors affecting the fashion and clothing consumption of Saudi women. It is a multidisciplinary study that combines fashion and consumer behaviour approaches in order to define and explain the collective sociocultural norms that underlie the patterns of women’s fashion and clothing consumption in Saudi Arabia. It applies a mixed-method approach as a strategy for data collection, with primary data gathered through observation, a face-to-face questionnaire completed by 654 respondents and interviews with local retailers and experts in the fashion market. The analysis of the empirical data revealed significant findings related to consumption patterns and the characteristics of the local market. It identified that there are two main systems that define fashion consumption in female Saudi society. Each system operates in a different social setting (public and female-only social settings) that requires communicating or establishing a specific value or a set of values to meet social expectations. The research findings also indicate the structure of the market and its operational system used to respond to consumer demands. In the light of these findings, theoretical models were developed to define the particularities of fashion consumption in Saudi Arabia as outcomes of this study. This study could have a substantial influence in academia as it provides a broader insight into fashion consumption behaviour in Saudi Arabia compared to that available in the existing literature. It could also help retailers and investors to understand the particularities of Saudi women’s fashion consumption in more depth. This understanding could be applied to develop strategies to meet Saudi women’s fashion demands.Saudi Cultural Burea

Genome-wide Genotype Imputation-Aspects of Quality, Performance and Practical Implementation

Finding a relation between a particular phenotype and genotype is one of the central themes in medical genetics. Single-nucleotide polymorphisms are easily assessable markers allowing genome wide association (GWA) studies and meta-analysis. Hundreds of such analyses were performed in the last decades. Even though several tools for such analyses are available, an efficient SNP-data transformation tool was tool was necessary. We developed a data management tool fcGENE which allows us easy transformation of genetic data into different formats required by different GWA tools. Genotype imputation which is a common technique in GWA, allows us to study the relationship of a phenotype at markers that are missing and even at completely un-typed markers. Moreover this technique helps us to infer both common and rare variants that are not directly typed. We studied different aspects of the imputation processes especially focussing on its accuracy. More specifically, our focus lied on the impact of pre-imputation filtering on the accuracy of imputation results. To measure the imputation accuracy, we defined two new statistical sores, which allowed us the comparison between imputed and true genotypes directly. Our direct comparison between the true and imputed genotypes showed that strict quality filtering of SNPs prior to imputation process may be detrimental. We further studied the impact of differently selected reference panels from publicly available projects like HapMap and 1000 genome projects on the imputation quality. More specifically, we analysed the relationship between genetic distance of the reference and the resulting imputation quality. For this purpose, we considered different summary statistics of population differentiation (e.g. Reich’s , Nei’s and other modified scores) between the study data set and the reference panel used in imputation processes. In the third analysis, we compared two basic trends of using reference panels in imputation process: (1) use of genetically best-matched reference panel, and (2) use of an admixed reference panel that allows the use of individual reference panel from all possible type of populations, and let the software itself select the optimal references in a piece-wise manner or as complete sequences of SNPs for each individual separately. We have analysed in detail the performance of different imputation software and also the accuracy of the imputation processes in both cases. We found that the current trend of using software with admixed reference panel in all cases is not always the best strategy. Prior to imputation process, phasing of study data sets by using an external reference panel is also a common trend especially when it comes to the imputation of large datasets. We studied the performance of different imputation frameworks with or without pre-phasing. It turned out that pre-phasing clearly reduces the imputation quality for medium-sized data sets.:Table of Contents List of Tables IV List of Figures V 1 Overview of the Thesis 1 1.1 Abstract 1 1.2 Outlines 4 2 Introduction 5 2.1 Basics of genetics 5 2.1.1 Phenotype, genotype and haplotype 5 2.1.2 Hardy-Weinberg law 6 2.1.3 Linkage disequilibrium 6 2.1.4 Genome-wide association analysis 7 2.2 Phasing of Genotypes 7 2.3 Genotype imputation 8 2.3.1 Tools for Imputing genotype data 9 2.3.2 Reference panels 9 3 Results 11 3.1 Detailed Abstracts 11 3.1.1 First Research Paper 11 3.1.2 Second Research Paper 14 3.1.3 Third Research Paper 17 3.1.4 Fourth Research Paper 19 3.2 Discussion and Conclusion 22 4 Published Articles 27 4.1 First Research Paper 27 4.1.1 Supplementary Information 34 4.2 Second Research Paper 51 4.2.1 Supplementary Information 62 4.3 Third Research Paper 69 4.3.1 Supplementary Information 85 4.4 Fourth Research Paper 97 4.4.1 Supplementary Information 109 5 Zusammenfassung der Arbeit 117 6 Bibliography 120 7 Eigene Publikationen 124 8 Darstellung des eigenen Beitrags 125 8.1 First Research Paper 125 8.2 Second Research Paper 126 8.3 Third Research Paper 127 8.4 Fourth Research Paper 128 9 Erklärung über die eigenständige Abfassung der Arbeit 129 10 Danksagung 130 11 Curriculum Vitae 131 List of Tables IV List of Figures V 1 Overview of the Thesis 1 1.1 Abstract 1 1.2 Outlines 4 2 Introduction 5 2.1 Basics of genetics 5 2.1.1 Phenotype, genotype and haplotype 5 2.1.2 Hardy-Weinberg law 6 2.1.3 Linkage disequilibrium 6 2.1.4 Genome-wide association analysis 7 2.2 Phasing of Genotypes 7 2.3 Genotype imputation 8 2.3.1 Tools for Imputing genotype data 8 2.3.2 Reference panels 8 3 Results 8 3.1 Detailed Abstracts 8 3.1.1 First Research Paper 8 3.1.2 Second Research Paper 8 3.1.3 Third Research Paper 8 3.1.4 Fourth Research Paper 8 3.2 Discussion and Conclusion 8 4 Published Articles 8 4.1 First Research Paper 8 4.1.1 Supplementary Information 8 4.2 Second Research Paper 8 4.2.1 Supplementary Information 8 4.3 Third Research Paper 8 4.3.1 Supplementary Information 8 4.4 Fourth Research Paper 8 4.4.1 Supplementary Information 8 5 Zusammenfassung der Arbeit 8 6 Bibliography 8 7 Eigene Publikationen 8 8 Erklärung über die eigenständige Abfassung der Arbeit 8 9 Danksagung 8 10 Curriculum Vitae

Icy Satellite Tectonic, Geodynamic and Mass Wasting Surface Features: Constraints on Interior Processes and Evolution

Empirical data collected from mapping campaigns combined with modeling of geologic processes improves our understanding of planetary geology. Many planet- or satellite-scale processes cannot be reproduced in labs, thus analyzing surface features provides insights to confirm, discount, or improve models. I present the methods used to map and characterize the morphometry of several types of geologic features found on three icy satellites of Jupiter and Saturn, and the resulting data. Trends in the data provide insight into feature formation, and to both surface and interior processes occurring in icy satellites. Topics include: i) linear features and despinning stresses on Iapetus, ii) long-runout landslides and friction reduction on Iapetus, iii) pits, uplifts, and small chaos regions on Europa and what they reveal about ice shell thickness, iv) relaxed impact craters and the thermal history of Ganymede, and v) the size-velocity distribution of ejecta fragments from large cratering events on Europa and Ganymede