Evaluation of the interaction between netropsin and double stranded DNA by capillary zone electrophoresis

Capillary zone electrophoresis (CZE) was applied to study the interaction between netropsin and a 14mer double stranded DNA (dsDNA). The binding constant of this interaction calculated from Scatchard plot was (1.07+/-0.10) X 10(5) (mol/L)(-1). The binding stoichiometry was 1:1. The use of polyacrylamide coated capillary showed better effect in the analysis of DNA than noncoated capillary.

河南省春季降水日数变化趋势

气候变化问题越来越受到公众的关注,我国许多学者对中国近代气候变化规律等方面做了诸多研究。河南作为粮食大省和水资源缺乏的省份之一,影响粮食生产的降水量的具体变化研究尤显重要。通过分析河南省49个台站近50年来的日降水资料,对河南省春季降水量的变化进行统计分析。结果表明,河南省春季及其代表月4月份的平均降水日数均具有显著的下降趋势,且可以通过0.001的显著性检验;气候倾向率分别为-1.74和-1.07 d/10 a。利用滑动t检验法发现春季及其代表月4月份的降水日数均发生了均值突变,突变年份分别在1973和1977年。

Interaction between netropsin and double-stranded DNA in capillary zone electrophoresis and affinity capillary electrophoresis

Capillary zone electrophoresis (CZE) and affinity capillary electrophoresis (ACE) were applied to study the interaction between netropsin and a 14mer double-stranded DNA (dsDNA). The use of a polyacrylamide coated capillary can suppress the electroosmotic flow (EOF) and the adsorption of DNA onto the wall. Better analysis of the DNA was achieved in a coated capillary upon Tris-acetate. In CZE, the peak width broadened due to the affinity interaction between dsDNA and netropsin. In ACE, o-toluic acid, a negatively charged molecule was used as the indicator to monitor the changes of EOF when netropsin was added to the running buffer. The 14mer dsDNA showed different mobilities upon various concentrations of netropsin due to the affinity interaction between the dsDNA and netropsin. The binding constants of this interaction were (1.07 +/- 0.10) . 10(5) M-1 calculated from CZE and (4.75 +/- 0.30) . 10(4) M-1 from ACE using a Scatchard plot. The binding stoichiometry was 1:1 calculated from CZE which was superior to ACE in this study. (C) 2002 Elsevier Science B.V. All rights reserved.

高性能硅基锗光电探测器的研制

在信息产业、生物医学等科技领域越来越受关注的今天，新型光电子、光通信科技必将以更快的速度发展。Si基光电子集成采用成熟价廉的微电子加工工艺，将光学器件与多种功能的微电子电路集成，是实现光通信普及发展和光互连的有效途径。Si基光电探测器是Si基光通信系统的关键器件之一。随着近年来Si基Ge材料外延技术的突破性进展，Si基Ge光电探测器因为兼顾了Si基光电子集成和对光通讯波段(1.31和1.55μm)的高效探测，成为了当今研究的一大热点。
    半导体光电探测器的性能与其结构密切相关。PIN型光电探测器是最常见的探测器，可以普遍应用于光通讯光互连系统；雪崩光电二极管(APD)因为具有较高的响应度和内部增益，在实现单光子探测方面具备很大的优越性，适用于当今迅猛发展的生物光子学和量子信息学；共振腔增强型的光电探测器(RCE-PD)，集波长选择器、高速光信号接收器于一体，而且具备共振增强作用、高饱和功率输出等特点，是局域网、光纤入户和现代波分复用(Wavelength-Division Multiplexing,WDM)系统光通信网络的一种优选方案；波导结构探测器(Waveguide-PD)可以解除探测器的响应带宽和量子效率之间的矛盾，而且其结构特点更易于实现与调制器等光波导器件的集成，是片上光互连的首选探测器。
    本论文围绕高性能Si基Ge光电探测器这一研究目标，开展了多种结构的光电探测器的研制，包括PIN型PD的研制及其优化、吸收区与倍增区分离结构(SACM)的Ge-on-Si APD、RCE-PD和Waveguide-PD，主要研究结果如下：

1.                成功研制了PIN型Ge-on-Si光电探测器，器件在-1V外加偏压下暗电流密度为46.6mA/cm2，在1.31μm和1.55μm波长下器件的量子效率分别为40%和17%；然后改进了实验方法，在制作器件之前将Ge-on-Si材料在850℃条件下快速退火1分钟，从而改善材料质量，器件的暗电流密度降低至4mA/cm2，这是目前国际上报道的最好结果之一。

2.                研制出了PIN型Ge-on-SOI光电探测器，在1.31μm和1.55μm波长的量子效率分别为62%和25%。在-3V外加偏压下，器件的3dB带宽为12.6GHz。25μm直径器件，3dB带宽更是达到了13.4GHz。同时，制作了均匀性很好的1×4探测器阵列，单个器件的3dB带宽达13.3GHz。

3.                在国际上首次研究了硅基锗光电探测器的高饱和特性。在-1V和-2V外加偏压下，探测器的1-dB小信号压缩电流分别为22mA和40mA,相应的光功率分别为67.5mW和110.5mW。

4.                成功研制了吸收区和倍增区分离的Si基Ge雪崩光电二极管，器件的穿通电压Vpt约为29V，击穿电压Vbd(暗电流等于100μA时的电压)为39.5V。在击穿电压附近，如39V时，SACM-Ge-on-Si APD的增益为40。

5.                解决了背面ICP深刻蚀工艺难题，成功制备了中心波长在1.55μm，量子效应高达62%的共振腔增强型Si基Ge光电探测器。

Novel proton exchange membranes based on water resistant sulfonated poly[bis(benzimidazobenzisoquinolinones)]

Novel water resistant sulfonated poly[bis(benzimidazobenzisoquinolinones)] (SPBIBIs) were synthesized from 6,6'-disulfonic-4,4'-binaphthy]-1,1',8,8'-tetracarboxylic dianhydride (SBTDA) and various aromatic ether tetraamines. The resulting polymers with IEC in the range of 2.17-2.87 mequiv g(-1) have a combination of desired properties such as high solubility in common organic solvents, film-forming ability, and excellent thermal and mechanical properties. Flexible and tough membranes, obtained by casting from m-cresol solution, had tensile strength, elongation at break, and tensile modulus values in the range of 87.6-98.4 MPa, 35.8-52.8%, and 0.94-1.07 GPa. SPBIBI membranes with a high degree of sulfonation displayed high proton conductivity and a good resistance to water swelling as well. SPBIBI-b with IEC of 2.80 mequiv g(-1) displayed the conductivity of 1.74 x 10(-1) S cm(-1) at 100 degrees C, which was comparable to that of Nafion (R) 117 (1.78 x 10(-1) S cm(-1), at 100 degrees C).

Anodic voltammetric behavior of inosine on a glassy carbon electrode

The anodic voltammetric behavior of inosine (I) was investigated by linar-sweep voltammetry, differential-pulse voltammetry and cyclic voltammetry at a glassy carbon electrode. In a medium of 0.1 mol/L N2HPO4, inosine showed a well defined anodic peak. The peak potential was about 1.42 V (vs. Ag/AgCl). A linear relationship held between the peak current and the concentration of inosine in the rang of 5 x 10(-4) similar to 8 x 10(-2) g/L. The peak potential decreased with the decrease of the acidity of the solution. The four anodic peaks of inosine with hypoxanthine, xanthine and uric acid were obtained. Their peak potentials were about at 1.42, 1.07, 0.72 and 0.26 Vt vs. Ag/AgCl). The method has been used for the direct determination of inosine in injections. Recoveries of inosine in urine samples were about 85%. Experimental result proved that the electrode reaction was diffusion-controlled and irreversible.

尼龙1010骤冷样品的冷结晶与熔融

本文用DSC研究了尼龙1010熔体以—320K/min速率骤冷样品在不同升温速率(R)时的冷结晶与熔融过程。发现冷结晶温度不随R变化,冷结晶时间t_c=153R~(-1.07),冷结晶热ΔH_c=-19.1R~(-0.75);R对熔融温度无影响,当R≤40K/min时,熔融热ΔH_m变化不大;由ΔH_m和ΔH_c求得的结晶度有一定差值,是由于熔融过程伴有结晶作用所致,可定性地用熔融峰的ΔT_1=T_(onset)—T_i表征。

Element enrichment and U-series isotopic characteristics of the hydrothermal sulfides at Jade site in the Okinawa Trough

The geochemical and U-series isotopic characteristics of hydrothermal sulfide samples from the Jade site (127A degrees 04.5'E, 27A degrees 15'N, water depth 1300-1450 m) at Jade site in the Okinawa Trough were analyzed. In the hydrothermal sulfide samples bearing sulfate (samples HOK1 and HOK2), the LREEs are relatively enriched. All the hydrothermal sulfide samples except HOK1 belong to Zn-rich hydrothermal sulfide. In comparison with Zn-rich hydrothermal sulfides from other fields, the contents of Zn, Pb, Ag, Cd, Au and Hg are higher, the contents of Fe, Al, Cr, Co, Ni, Sr, Te, Cs, Ti and U lower, and the Pb-210 radioactivity ratios and Pb-210/Pb ratios very low. In the hydrothermal sulfide mainly composed of sphalerite, the correlations between rare elements Hf and U, and Hf and Mn as well as that between dispersive elements Ga and Zn, are strongly positive; also the contents of Au and Ag are related to Fe-sulfide, because the low temperature promotes enrichment of Au and Ag. Meanwhile, the positive correlations between Fe and Bi and between Zn and Cd are not affected by the change of mineral assemblage. Based on the Pb-210/Pb ratios of hydrothermal sulfide samples (3.99x10(-5)-5.42x10(-5)), their U isotopic composition (U-238 content 1.15-2.53 ppm, U-238 activity 1.07-1.87 dpm/g, U-234 activity 1.15-2.09 dpm/g and U-234/U-238 ratio 1.07-1.14) and their Th-232 and Th-230 contents are at base level, and the chronological age of hydrothermal sulfide at Jade site in the Okinawa Trough is between 200 and 2000 yr.

Seasonal variation of reproduction rates and body size of Calanus sinicus in the Southern Yellow Sea, China

Annual variations of egg production rate (EPR) and clutch size of Calanus sinicus, as well as body size of females (prosome length and dry weight), were investigated at a series of stations in the Southern Yellow Sea by onboard incubation. Calanus sinicus was spawning in all the 11 cruises investigated, and the annual variation of EPR was bimodal. Monthly average EPR was highest from May to July, respectively, 5.97, 5.36 and 6.30 eggs female(-1) d(-1), then decreased dramatically to only 1.37 eggs female(-1) d(-1) in August and attained the lowest 1.07 eggs female(-1) d(-1) in October. In November, average EPR increased again to 4.31 eggs female(-1) d(-1). Seasonal variation of clutch size was similar to EPR, except that it decreased gradually after August rather than dramatically as did EPR. Prosome length of females was maximum in May and minimum in October, but dry weight was highest in November. Monthly average EPR correlated better with prosome length than dry weight, while clutch size was rather determined by dry weight of females. It is suggested that egg production of C. sinicus was active during two discontinuous periods when both surface and bottom temperature fell into its favorite range (i.e. 10-23degreesC), and different reproductive strategies were adopted in these two reproductive peaks: other than the highest EPR, longer prosome length was also achieved by C. sinicus from May to July, while females in November developed shorter bodies but accumulated more energy for reproduction.

模拟增温对短穗兔耳草生长特征的影响

[目的]探讨短穗兔耳草个体对模拟增温的响应。[方法]采用国际冻原计划（ITEX）模拟增温对植物影响的研究方法,将温棚从小到大的顺序依次设为A、B、C、D、E5个温度梯度,分析不同温度梯度下短穗兔耳草个体生长特征的变化,研究模拟增温对短穗兔耳草生长特征的影响。[结果]随着温棚直径的减小,温度（地表温度和土壤温长）逐渐升高。与对照相比,A、B、C、D、E5个处理分别提高了2.68、1.57、1.20、1.07和0.69℃（地表气温）,1.74、1.06、0.80、0.60和0.30℃（土壤温度）。短穗兔耳草从对照至A温室随着温度的升高,叶片数、叶片高度逐渐增加,而匍匐茎逐渐减少。[结论]叶片数变化与温度（地表温度和地温）呈正相关关系,增温促进了短穗兔耳草的营养生长,抑制了它的克隆繁殖能力。

牦牛放牧率和放牧季节对小嵩草高寒草甸土壤养分的影响

经过两年牦牛放牧试验表明,夏季草场不同土壤层有机质、有机碳、全磷、全氮和速效磷的含量及0～20cm土壤层营养因子的平均含量与放牧率呈线性回归关系,速效氮含量与放牧率呈二次回归关系;冬季草场不同土壤层有机质、有机碳和全氮与放牧率呈线性回归关系,全磷、速效磷和速效氮的含量及0～20cm土壤层营养因子的平均含量与放牧率呈二次回归关系。随着放牧率的逐渐增加,夏季草场不同土壤深度速效氮含量也逐渐减小,当放牧率达到1.07、1.08和1.22头·hm-2时,0～5、5～10、10～20cm土壤速效氮含量依此达到最小;冬季草场不同土壤层全磷、速效磷和速效氮含量逐渐增加,当放牧率达到0.81、0.78和1.00头·hm-2,1.03、1.09和1.03头·hm-2,1.36、1.35和1.30头·hm-2时,0～5、5～10、10～20cm土壤层全磷、速效磷和速效氮含量分别依此达到最大。在夏季草场,0～20cm土壤层速效氮平均含量达到最小放牧率是1.07头·hm-2;冬季草场0～20cm土壤层全磷、速效磷和速效氮含量达到最大放牧率分别是0.90、0.83和1.21头·hm-2。

小嵩草高寒草甸土壤营养因子及水分含量对牦牛放牧率的响应Ⅰ夏季草场土壤营养因子及水分含量的变化

两年的牦牛放牧试验结果表明:随放牧率的增加, 夏季草场各土壤层有机质、有机碳、全氮和全磷的含量呈下降趋势,它们的含量与放牧率呈显著的线性回归关系, 速效氮的含量与放牧率呈二次回归关系, 各土壤营养因子平均含量与放牧率也有类似的关系.而且当放牧率分别达到1.07 heads/hm2、1.08 heads/hm2和1.22 heads/hm2时, 0～5 cm、 5～10 cm、 10～20 cm土壤速效氮含量依此达到最小,若放牧率继续增加,各土壤层速效氮的含量依此开始增加, 而速效氮的平均含量达到最小的放牧率是1.08 heads/hm2.在相同放牧率下, 有机质和有机碳的含量在各土壤层之间差异极显著(P<0.01),全磷差异显著(P<0.05),全氮和速效氮差异不显著(P>0.05),而且放牧率和土壤深度的交互作用对土壤各营养因子含量的影响极显著(P<0.01).放牧率对各土壤层的含水量有显著的影响(P<0.05),不同年度间同一土壤层含水量的差异不显著(P>0.05).

喀斯特石漠化区植物水分利用的时空变化研究----以贵州清镇王家寨小流域为例

本研究以西南喀斯特地区的王家寨小流域为研究对象，以植物叶片δ13C值为植物水分利用效率的指示值，结合利用氢氧同位素对植物的水分来源进行确认，通过研究小流域中不同土壤类型石漠化样地、不同季节、不同等级石漠化样地及喀斯特不同小生境中常见植物种水分利用效率及水分来源的差异，旨在从小生境、植物种、植物群落等不同尺度上探讨石漠化发生过程对植物长期水分利用的影响，了解不同水源的利用对植物水分利用效率的影响，了解喀斯特生态系统特有生境中植物对水分的竞争和利用策略，以加深对生态系统水分平衡的认识。通过研究，得出了以下几点认识： 1 喀斯特石漠化区植物叶片δ13C值的时空变化 （1）在本研究区，不同土壤类型区域植物群落δ13C值均随着石漠化的进行趋正，方差分析结果显示黄壤序列植物群落叶片δ13C值存在显著差异（F（3，80）0.01=2.720.05)。整个生长季中，常见种叶片δ13C值与土壤含水量的相关关系研究表明大多数种在大多数时间随土壤水分的减少其WUE提高。 （4）本研究区小生境类型主要有石面、石沟、石缝、及土面。各小生境内植物叶片δ13C值基本上随石漠化进行趋正，即小生境尺度上植物叶片δ13C值随石漠化进行趋正。基于石漠化梯度和小生境类别的双因素方差分析表明，生长于不同石漠化等级及不同小生境的植物叶片δ13C 值总体差异显著。土面上生长的植株叶片δ13C值最负，说明较厚的土层、较多的土量能供给植物较为充足的水分、养分，避免或减小了植物的水分胁迫。对各小生境植物叶片δ13C值与各小生境主要环境因子进行相关分析，结果表明植物叶片δ13C值与小生境土壤厚度、0-10cm土壤平均含水量以及日均大气相对湿度呈显著负相关，而与日均光照强度呈显著正相关。 （5）石漠化过程中常见植物种叶片解剖结构中的栅栏组织厚度、上角质层厚度、下角质层厚度、最大导管直径均呈现逐渐增大的趋势，而海绵组织厚度则呈现逐渐减少的趋势，方差分析结果显示各解剖结构均呈现显著性差异（p<0.05）。另外，对叶片解剖结构指标与叶片δ13C值的相关分析表明，所研究的植物种叶片上述解剖形态结构中除下角质层厚度与叶片δ13C值相关关系不显著（p>0.05）外，其余指标均与其叶片δ13C值呈现显著的正相关关系（p<0.05），说明植物的WUE与植物叶片解剖结构的变化存在着内在的相关关系。 2 喀斯特石漠化区植物水分来源的时空变化 （1）由于07年降雨丰富，其喀斯特皮下水显著低于06年，但是06年喀斯特皮下水的季节变化却不大，这是由于06年为特大欠水年，观测期内降雨仅721mm，为正常年份的60%，“活塞效应”不明显。2006年对各等级石漠化样地植物水分来源研究结果表明：（12月）土壤水及小枝木质部水分的δD及δ18O值明显高于夏季（7、9月）。降雨较多的7月，强、中度石漠化大多数植物主要利用土壤水，轻、无石漠化样地植物则利用土壤水和喀斯特皮下水。9月，由于干旱严重，各石漠化样地大多数植物均不同程度的利用了喀斯特皮下水。 （2）对研究区各小生境植物水分来源的研究表明：各小生境土壤水分δD、δ18O各不相同，石缝小生境土壤水分δD、δ18O最负，石面土壤水分δD、δ18O最正，土面、石沟居中。强度石漠化土壤剖面水分δD、δ18O值>中度石漠化样地>轻度石漠化样地>无石漠化样地，显示随着石漠化的进行，样地蒸发越强烈。整体上，石缝中植物比其他生境更容易利用喀斯特皮下水，无石漠化样地的植物比石漠化样地的植物更容易利用喀斯特皮下水，常绿植物比落叶植物利用更多的喀斯特皮下水，乔木比灌木利用更多的喀斯特皮下水。 3 植物稳定性氢氧同位素与碳同位素耦合 通过对研究区植物叶片δ13C值和不同水源和植物木质部δD、δ18O值的测定，结果表明无石漠化样地植物具有更负的δ13C值，即其水分利用效率（WUE）低于石漠化样地，这是由于无石漠化样地喀斯特水赋存的二元结构，植物除了可以利用浅薄土层的水分，还拥有稳定的浅层地下水即喀斯特皮下水，这已通过植物木质部水分δD、δ18O值的测定得到佐证。落叶种具有比常绿种更正的δ13C值，即其水分利用效率（WUE）高于常绿种，这是由于常绿种比较稳定的利用了浅层地下水，具有稳定的水分来源，使得常绿种的水分利用效率（WUE）较低。土面生境植物具有比其他生境更负的δ13C值，是因为较大的土面面积、较厚的土厚，较多的土量提够给植物较多的水分，养分，土壤水分较充足，避免或减少了植物的水分胁迫，植物WUE较低。

Pressure support versus T-tube for weaning from mechanical ventilation in adults

BackgroundMechanical ventilation is important in caring for patients with critical illness. Clinical complications, increased mortality, and high costs of health care are associated with prolonged ventilatory support or premature discontinuation of mechanical ventilation. Weaning refers to the process of gradually or abruptly withdrawing mechanical ventilation. the weaning process begins after partial or complete resolution of the underlying pathophysiology precipitating respiratory failure and ends with weaning success (successful extubation in intubated patients or permanent withdrawal of ventilatory support in tracheostomized patients).ObjectivesTo evaluate the effectiveness and safety of two strategies, a T-tube and pressure support ventilation, for weaning adult patients with respiratory failure that required invasive mechanical ventilation for at least 24 hours, measuring weaning success and other clinically important outcomes.Search methodsWe searched the following electronic databases: Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 6); MEDLINE (via PubMed) (1966 to June 2012); EMBASE (January 1980 to June 2012); LILACS (1986 to June 2012); CINAHL (1982 to June 2012); SciELO (from 1997 to August 2012); thesis repository of CAPES (Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior) (http://capesdw.capes.gov.br/capesdw/) (August 2012); and Current Controlled Trials (August 2012).We reran the search in December 2013. We will deal with any studies of interest when we update the review.Selection criteriaWe included randomized controlled trials (RCTs) that compared a T-tube with pressure support (PS) for the conduct of spontaneous breathing trials and as methods of gradual weaning of adult patients with respiratory failure of various aetiologies who received invasive mechanical ventilation for at least 24 hours.Data collection and analysisTwo authors extracted data and assessed the methodological quality of the included studies. Meta-analyses using the random-effects model were conducted for nine outcomes. Relative risk (RR) and mean difference (MD) or standardized mean difference (SMD) were used to estimate the treatment effect, with 95% confidence intervals (CI).Main resultsWe included nine RCTs with 1208 patients; 622 patients were randomized to a PS spontaneous breathing trial (SBT) and 586 to a T-tube SBT. the studies were classified into three categories of weaning: simple, difficult, and prolonged. Four studies placed patients in two categories of weaning. Pressure support ventilation (PSV) and a T-tube were used directly as SBTs in four studies (844 patients, 69.9% of the sample). in 186 patients (15.4%) both interventions were used along with gradual weaning from mechanical ventilation; the PS was gradually decreased, twice a day, until it was minimal and periods with a T-tube were gradually increased to two and eight hours for patients with difficult and prolonged weaning. in two studies (14.7% of patients) the PS was lowered to 2 to 4 cm H2O and 3 to 5 cm H2O based on ventilatory parameters until the minimal PS levels were reached. PS was then compared to the trial with the T-tube (TT).We identified 33 different reported outcomes in the included studies; we took 14 of them into consideration and performed meta-analyses on nine. With regard to the sequence of allocation generation, allocation concealment, selective reporting and attrition bias, no study presented a high risk of bias. We found no clear evidence of a difference between PS and TT for weaning success (RR 1.07, 95% CI 0.97 to 1.17, 9 studies, low quality of evidence), intensive care unit (ICU) mortality (RR 0.81, 95% CI 0.53 to 1.23, 5 studies, low quality of evidence), reintubation (RR 0.92, 95% CI 0.66 to 1.26, 7 studies, low quality evidence), ICU and long-term weaning unit (LWU) length of stay (MD -7.08 days, 95% CI -16.26 to 2.1, 2 studies, low quality of evidence) and pneumonia (RR 0.67, 95% CI 0.08 to 5.85, 2 studies, low quality of evidence). PS was significantly superior to the TT for successful SBTs (RR 1.09, 95% CI 1.02 to 1.17, 4 studies, moderate quality of evidence). Four studies reported on weaning duration, however we were unable to combined the study data because of differences in how the studies presented their data. One study was at high risk of other bias and four studies were at high risk for detection bias. Three studies reported that the weaning duration was shorter with PS, and in one study the duration was shorter in patients with a TT.Authors' conclusionsTo date, we have found evidence of generally low quality from studies comparing pressure support ventilation (PSV) and with a T-tube. the effects on weaning success, ICU mortality, reintubation, ICU and LWU length of stay, and pneumonia were imprecise. However, PSV was more effective than a T-tube for successful spontaneous breathing trials (SBTs) among patients with simple weaning. Based on the findings of single trials, three studies presented a shorter weaning duration in the group undergoing PS SBT, however a fourth study found a shorter weaning duration with a T-tube.

Estimating the magnitude of trastuzumab effects within patient subgroups in the HERA trial.

BACKGROUND: Trastuzumab (Herceptin(R)) improves disease-free survival (DFS) and overall survival for patients with human epidermal growth factor receptor 2 (HER2)-positive early breast cancer. We aimed to assess the magnitude of its clinical benefit for subpopulations defined by nodal and steroid hormone receptor status using data from the Herceptin Adjuvant (HERA) study. PATIENTS AND METHODS: HERA is an international multicenter randomized trial comparing 1 or 2 years of trastuzumab treatment with observation after standard chemotherapy in women with HER2-positive breast cancer. In total, 1703 women randomized to 1-year trastuzumab and 1698 women randomized to observation were included in these analyses. Median follow-up was 23.5 months. The primary endpoint was DFS. RESULTS: The overall hazard ratio (HR) for trastuzumab versus observation was 0.64 [95% confidence interval (CI) 0.54-0.76; P < 0.0001], ranging from 0.46 to 0.82 for subgroups. Estimated improvement in 3-year DFS in subgroups ranged from +11.3% to +0.6%. Patients with the best prognosis (those with node-negative disease and tumors 1.1-2.0 cm) had benefit similar to the overall cohort (HR 0.53, 95% CI 0.26-1.07; 3-year DFS improvement +4.6%, 95% CI -4.0% to 13.2%). CONCLUSIONS: Adjuvant trastuzumab therapy reduces the risk of relapse similarly across subgroups defined by nodal status and steroid hormone receptor status, even those at relatively low risk for relapse.