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BACKGROUNDRecent studies of men with prostate carcinoma suggest that obesity may be associated with more advanced‐stage disease and lower overall survival rates. One possible link between body mass index (BMI) and prostate carcinoma prognosis may be disease ascertainment. Prostate‐specific antigen (PSA) is widely used to screen for prostate carcinoma.METHODSThe authors examined the association between BMI and PSA in a population‐based study of 2779 men without prostate carcinoma. Between 2001 and 2004, these men were enrolled in a study sponsored by the San Antonio Center of Biomarkers of Risk, a clinical and epidemiologic center of the Early Detection Research Network of the National Cancer Institute.RESULTSThe mean PSA value decreased in a linear fashion with an increase in BMI category, from 1.01 ng/mL in normal weight men to 0.69 ng/mL in obese (Class III) men, after adjusting for race/ethnicity and age.CONCLUSIONSLower levels of PSA in obese and overweight men could mask biologically consequential prostate carcinoma. Cancer 2005. Published 2005 by the American Cancer Society.

Abstract. We present UBVRI light curves of BL Lacertae from May 2000 to January 2001, obtained by 24 telescopes in 11 countries. More than 15 000 observations were performed in that period, which was the extension of the Whole Earth Blazar Telescope (WEBT) campaign originally planned for July-August 2000. The exceptional sampling reached allows one to follow the flux behaviour in fine detail. Two different phases can be distinguished in the light curves: a first, relatively low-brightness phase is followed by an outburst phase, after a more than 1 mag brightening in a few weeks. Both the time duration (about 100 d) and the variation amplitude (roughly 0.9 mag) are similar in the two phases. Rapid flux oscillations are present all the time, involving variations up to a few tenths of mag on hour time scales, and witnessing an intense intraday activity of this source. In particular, a half-mag brightness decrease in about 7 h was detected on August 8-9, 2000, immediately followed by a ∼0.4 mag brightening in 1.7 h. Colour indexes have been derived by coupling the highest precision B and R data taken by the same instrument within 20 min and after subtracting the host galaxy contribution from the fluxes. The 620 indexes obtained show that the optical spectrum is weakly sensitive to the long-term trend, while it strictly follows the short-term flux behaviour, becoming bluer when the brightness increases. Thus, spectral changes are not related to the host galaxy contribution, but they are an intrinsic feature of fast flares. We suggest that the achromatic mechanism causing the long-term flux base-level modulation can be envisaged in a variation of the relativistic Doppler beaming factor, and that this variation is likely due to a change of the viewing angle. Discrete correlation function (DCF) analysis reveals the existence of a characteristic time scale of variability of ∼7 h in the light curve of the core WEBT campaign, while no measurable time delay between variations in the B and R bands is found.

We evaluated recovery of erections and urinary continence following anatomical radical retropubic prostatectomy in a series of 784 consecutive patients with clinical stage A or B prostate cancer. Nerve sparing radical prostatectomy was performed in men deemed appropriate candidates. Recovery of erections sufficient for intercourse and urinary continence were analyzed controlling for patient age, pathological tumor stage and the performance of unilateral or bilateral nerve sparing surgery in men followed for a minimum of 18 months. Erections were regained in 149 of 236 preoperatively potent men (63%) treated with bilateral and 24 of 59 (41%) treated with unilateral nerve sparing surgery. Recovery of erections correlated with patient age and pathological tumor stage in patients treated with bilateral nerve sparing surgery. Continence was regained in 409 of 435 patients (94%) and did not correlate with patient age, tumor stage or nerve sparing surgery. Anatomical radical retropubic prostatectomy can be performed with favorable results in preserving potency and urinary continence. Better results are achieved in younger men with organ confined cancer.

Microbiome evaluation may provide patients with personalized data regarding the presence or absence of particular bacteria that have metabolic functions and implications regarding prostate cancer risk. The study provides a basis to investigate the manipulation of aberrant microbiomes to reduce prostate cancer risk.