Science.gov

Sample records for hormonas tiroideas 1996-1999

  1. [Spatial distribution of leptospirosis in the city of Rio de Janeiro, Brazil, 1996-1999].

    PubMed

    Tassinari, Wagner de Souza; Pellegrini, Débora da Cruz Payão; Sabroza, Paulo Chagastelles; Carvalho, Marilia Sá

    2004-01-01

    Leptospirosis, one of the most widely disseminated zoonoses in the world, is endemic in Brazil and is characterized by outbreaks during seasons with the greatest rainfall. In 1996 the city of Rio de Janeiro experienced one of the largest urban epidemics in the country, shortly after heavy rainstorms in the month of February, with 1,732 reported cases and 51 deaths. The objective of this work was to describe the spatial distribution of leptospirosis in the city of Rio de Janeiro during the period 1996-1999. Data were from the National Information System for Reportable Diseases. The kernel ratio for cases and population generated a smoothed surface, which estimates the intensity of the leptospirosis incidence rate. In the resulting maps over the course of the study period, the sites with the highest leptospirosis intensity were not repeated, and the sites normally considered as having the highest risk -- slum areas and flooded areas -- were not always the most heavily affected. The techniques used can represent an important methodological acquisition for establishing territory-based surveillance.

  2. Incidence and risk factors for concussion in high school athletes, North Carolina, 1996-1999.

    PubMed

    Schulz, Mark R; Marshall, Stephen W; Mueller, Frederick O; Yang, Jingzhen; Weaver, Nancy L; Kalsbeek, William D; Bowling, J Michael

    2004-11-15

    A prospective cohort study was used to quantify risk factors for sports concussions. Analysis was based on a stratified cluster sample of North Carolina high school athletes followed during 1996-1999. Clustering was by school and sport, and the sample included 15,802 athletes with 1-8 seasons of follow-up per athlete. Concussion rates were estimated for 12 sports, and risk factors were quantified using generalized Poisson regression. Concussion rates ranged from 9.36 (95% confidence interval: 1.93, 16.80) per 100,000 athlete-exposures in cheerleading to 33.09 (95% confidence interval: 24.74, 41.44) per 100,000 athlete-exposures in football, where "athlete-exposure" is one athlete participating in one practice or game. The overall rate of concussion was 17.15 (95% confidence interval: 13.30, 21.00) per 100,000 athlete-exposures. Cheerleading was the only sport for which the practice rate was greater than the game rate. Almost two thirds of cheerleading concussions involved two-level pyramids. Concussion rates were elevated for athletes with a history of concussion, and they increased with the increasing level of body contact permitted in the sport. After adjustment for sport, body mass index, and year in school, history of concussion(s) remained a moderately strong risk factor for concussion (rate ratio = 2.28, 95% confidence interval: 1.24, 4.19). The fact that concussion history is an important predictor of concussion incidence, even in this young population, underscores the importance of primary prevention efforts, timely identification, and careful clinical management of these injuries.

  3. Infrared Photometry of Sakurai's Object (V4334 Sgr) in 1996-1999

    NASA Astrophysics Data System (ADS)

    Tatarnikov, A. M.; Shenavrin, V. I.; Yudin, B. F.; Whitelock, P. A.; Feast, M. W.

    2000-08-01

    The infrared photometric observations of V4334 Sgr in 1996-1999 are presented. Together with optical data, they have allowed us to accurately estimate the bolometric flux from this star and to investigate the structure of its dust envelope over the above period. The star is shown to have passed through four well-defined stages in these four years as it moved backward along the post-AGB track, and it now appears to have started moving forward after a halt. At the first stage (1996), there was no dust in the star's envelope. Its visual brightness slightly increased, and it reddened in the entire observed spectral range. The bolometric flux also gradually rose. At the second stage (1997), an optically thick dust envelope condensed around the star, which, however, essentially did not manifest itself at optical wavelengths. The bolometric flux continued to rise through an increase in the star's infrared brightness alone; the rate of its rise also increased. At the third stage (1998-March 1999), V4334 Sgr entered the R CrB phase. First two shallow minima and then two deep minima were observed at optical wavelengths. The star appreciably reddened during the deep minima. The bolometric flux ceased to rise and began to gradually fall in the second half of 1998. At the fourth stage (since March 1999 up until now), V4334 Sgr has been at a protracted deep minimum, which is atypical of the R CrB stars. The bolometric flux between March and October underwent no significant variations. We describe the structure of the dust envelope around V4334 Sgr since its formation. From June 1997 until July 1998, the optical depth of the dust shell, its inner and outer radii, and its mass increased by factors of 2.2, 2.0, 2.3, and 10, respectively. In July 1998, tau(V) was approximately equal to 2.3, R_{d, in} = 7.4 x 1014 cm, R_{d, in}/R_{d, out} = 0.7 (R_{d, in}/R_* = 47), and M_dust = 1.6 x 10^{-7} M_solar.

  4. Reduction of elevated blood lead levels in children in North Carolina and Vermont, 1996-1999.

    PubMed

    Dignam, Timothy A; Lojo, Jose; Meyer, Pamela A; Norman, Ed; Sayre, Amy; Flanders, W Dana

    2008-07-01

    Few studies have examined factors related to the time required for children's blood lead levels (BLLs) > or = 10 microg/dL to decline to < 10 microg/dL. We used routinely collected surveillance data to determine the length of time and risk factors associated with reducing elevated BLLs in children below the level of concern of 10 microg/dL. From the North Carolina and Vermont state surveillance databases, we identified a retrospective cohort of 996 children < 6 years of age whose first two blood lead tests produced levels > or = 10 microg/dL during 1996-1999. Data were stratified into five categories of qualifying BLLs and analyzed using Cox regression. Survival curves were used to describe the time until BLLs declined below the level of concern. We compared three different analytic methods to account for children lost to follow-up. On average, it required slightly more than 1 year (382 days) for a child's BLL to decline to < 10 microg/dL, with the highest BLLs taking even longer. The BLLs of black children [hazard ratio (HR) = 0.84; 95% confidence interval (CI), 0.71-0.99], males (HR(male) = 0.83; 95% CI, 0.71-0.98), and children from rural areas (HR(rural) = 0.83; 95% CI, 0.70-0.97) took longer to fall below 10 microg/dL than those of other children, after controlling for qualifying BLL and other covariates. Sensitivity analysis demonstrated that including censored children estimated a longer time for BLL reduction than when using linear interpolation or when excluding censored children. Children with high confirmatory BLLs, black children, males, and children from rural areas may need additional attention during case management to expedite their BLL reduction time to < 10 microg/dL. Analytic methods that do not account for loss to follow-up may underestimate the time it takes for BLLs to fall below the recommended target level.

  5. [Frostbites amongst service men, participants of contreterroristic operations on North Caucasus (1994-1996, 1999-2001)].

    PubMed

    Shelepov, A M; Sidel'nikov, V O; Karaĭlanov, M G; Kazar'ian, S M; Chmyrev, I V; Tkachuk, I V

    2007-10-01

    In clause the analysis of the rendering medical help military is reflected in article with frostbites in military conflict on North Caucasus (1994-1996, 1999-2001). Efficient rendering medical help military with frostbites possible only under simultaneous observance united principle on terminological glances and provision to receivership approach to organizations of the rendering medical help damaged military. It is generalised and analysed own experience of the rendering medical help military with frostbites during military conflict on territory of the Chechen Republic (2003-2005).

  6. Ambient air quality for the territory of the Czech Republic in 1996-1999 expressed by three essential factors.

    PubMed

    Hůnová, Iva

    2003-03-01

    A new method for spatial interpretation and visualisation of measured air quality data developed and introduced in 1998 is used for ambient air quality assessment in the Czech Republic. The data from a countrywide air quality monitoring network is collated into the least possible number of factors describing the overall air quality in 1996-1999. The factors identified as 'ambient air pollution', 'ground-level ozone' and 'wet atmospheric deposition' represent three different aspects of ambient air quality and their impact on receptors' evaluation. The monitoring stations are classified for each factor using five categories clearly distinguishing the sites over the Czech Republic territory within the 'best-worst' scale range. The results are presented in maps with spot symbols produced in Arc/View system. The problem areas within the country are identified clearly for each factor. The air quality picture differs considerably for the respective factors within one calendar year. Categorisation of each factor for the entire period under review, however, remains strikingly similar, indicating that in spite of partial improvement and some decreases in air pollutant concentration, the problem areas have remained more or less the same for each factor. Comparison of all three factors shows that the southern part of the country is in a certain simplification very clean as to the 'ambient air pollution' and 'wet atmospheric deposition' factors, while it is impacted as to the 'ground-level ozone' factor. In contrast, the northern part of the country impacted as to the 'ambient air pollution' along with the 'wet atmospheric deposition' and 'ground-level ozone' factors at the higher elevations.

  7. Changes in admission to long-term care institutions in the Netherlands: comparing two cohorts over the period 1996-1999 and 2006-2009.

    PubMed

    Alders, Peter; Comijs, Hannie C; Deeg, Dorly J H

    2017-06-01

    Using data from two cohorts, we examine to what extent a decline in institutional care in the Netherlands is associated with changes in the need for care and/or societal factors. We compared older adults, aged 65-89, who were admitted to a long-term care (LTC) institution in the period 1996-1999 and 2006-2009. Using the Andersen model, we tested per block of predisposing, enabling and need factors, which factors were significant predictors of admission to institutional care. With a Blinder-Oaxaca decomposition regression, we decomposed the difference in admission to an LTC institution between the period 1996-1999 and 2006-2009 into a part that is due to differences in health needs and other factors such as effect of policy, social values, and technology. Between 1996 and 2006, the percentage of co-residing partners and income increased and the average level of loneliness decreased significantly. The prevalence of disability, chronic diseases, however, increased. Whereas the care by partners declined, the formal care by professionals increased. Although the observed decline in the admission rate to institutional care was relatively small across the 10 years (from 5.3 % in 1996-1999 to 4.5 % in 2006-2009, a 15 % decrease), the probability of admission in 2006-2009 was relatively much lower when accounting for changes in the health and social conditions of the participants: the probability was 1.7-2.1 % point lower for adults in the period 2006-2009 compared to 1996-1999, a 32-40 % decrease. Our results show that the decline in the admission rate to LTC institutions is not the result of changes in need. The decline is suggested to be the combined effect of changes in policy, technological advances and changes in social norms.

  8. Analysis of selected anthropometric parameters of 6-year-old children in Warsaw compared to the peer population in the years 1996-1999.

    PubMed

    Trzcińska, Dorota; Tabor, Piotr; Olszewska, Elżbieta

    2012-01-01

    Beside the positive tendencies in somatic development seen in the population of children and adolescents in Poland (e.g. the trend of increasing body height that has continued over many years), certain unfavorable phenomena are also observed. In recent decades, disorders connected with a deficiency or excess of body mass - excessive adiposity in particular - have become important health and social problems. This poses a considerable threat for being overweight, for obesity, and for other diseases of civilization. The research targeted the evaluation of selected anthropometric parameters: height-weight indices, circumferences, and skinfold thicknesses in the population of 6-year-old children in Warsaw in comparison with their peer population in 1996-1999, as well as estimation of the frequency of abnormal percentile values of the aforementioned anthropometric parameters: values below the 10th percentile and above the 90th percentile. The research included a sample of 160 randomly chosen children (81 boys and 79 girls) born in 2005 who attended public and private kindergartens in Warsaw. The average age of this group was 5.71 ± 0.28 years. The study was carried out in the first quarter of 2011. The following somatic parameters were measured: body height, body mass, chest and arm circumference, triceps, and subscapular and abdominal skinfold thickness. The height-weight indices including Rohrer's Index and Body Mass Index (BMI) were calculated. Using a method of normalization of numerical data, the obtained measurements were compared to the measurements of the peer population (n=233) from 1996 to 1999, and the significance of differences between mean values in both groups was assessed with Student's t-tests. The percentage tables with the ranges of the below normative (<10th percentile) and above normative (>90th percentile) percentile values of the studied parameters and indices were prepared on the basis of the percentile charts that presented the anthropometric

  9. Potential exposure to Australian bat lyssavirus, Queensland, 1996-1999.

    PubMed Central

    McCall, B. J.; Epstein, J. H.; Neill, A. S.; Heel, K.; Field, H.; Barrett, J.; Smith, G. A.; Selvey, L. A.; Rodwell, B.; Lunt, R.

    2000-01-01

    Two human deaths caused by Australian bat lyssavirus (ABL) infection have been reported since 1996. Information was obtained from 205 persons (mostly adults from south Brisbane and the South Coast of Queensland), who reported potential ABL exposure to the Brisbane Southside Public Health Unit from November 1,1996, to January 31, 1999. Volunteer animal handlers accounted for 39% of potential exposures, their family members for 12%, professional animal handlers for 14%, community members who intentionally handled bats for 31%, and community members with contacts initiated by bats for 4%. The prevalence of Lyssavirus detected by fluorescent antibody test in 366 sick, injured, or orphaned bats from the area was 6%. Sequelae of exposure, including the requirement for expensive postexposure prophylaxis, may be reduced by educating bat handlers and the public of the risks involved in handling Australian bats. PMID:10827115

  10. The Bill of Rights in Action, 1996-1999.

    ERIC Educational Resources Information Center

    Hayes, Bill, Ed.

    1999-01-01

    These newsletter volumes deal with topics in U.S. history, world history, and U.S. government relating to the Bill of Rights. The newsletters present background information for classroom reading, in some instances provide a list of topical issues, and offer activities for discussion and writing. Some of the topics considered in the newsletters…

  11. Forest Health Monitoring in Maryland 1996-1999

    Treesearch

    Northeastern Research Station

    2003-01-01

    The National Forest Health Monitoring (FHM) program monitors the long-term status, changes and trends in the health of forest ecosystems and is conducted in cooperation with individual states. In Maryland, 40 FHM plots were established in 1991. Beginning in 1998, 95 plots were added. Each plot is a series of four fixed-area circular plots. Most tree measurements are...

  12. Research in Mathematics Education in Australasia, 1996-1999.

    ERIC Educational Resources Information Center

    Owens, Kay, Ed.; Mousley, Judy, Ed.

    This volume presents different issues and views on research in mathematics education in Australia. Chapters include: (1) "An Introduction to This Review" (Kay Owens); (2) "Recent Research Monographs" (Kay Owens and editors of the monographs); (3) "Language Factors in Mathematics Education" (Nerida Ellerton, Ken…

  13. Forest Health Monitoring in New Hampshire, 1996-1999

    Treesearch

    Northeastern Research Station

    2002-01-01

    New Hampshire has mature forests dominated by hardwood species but with significant softwood resources. The majority of the trees are healthy with full crowns (low transparency, high density), little dieback and little damage. Red maple had higher dieback and more damage than other species. Eastern white pine had lower crown densities and little damage.

  14. Forest Health Monitoring in Massachusetts, 1996-1999

    Treesearch

    Northeastern Research Station

    2002-01-01

    Massachusetts has mature forests dominated by hardwood species. Most of the trees are healthy, with full crowns (low transparency, high density), little dieback and little damage. Red maple trees made up almost one quarter of the trees and had slightly higher amounts of dieback, thinner crowns, and more damage than other common tree species.

  15. Forest Health Monitoring in Connecticut, 1996-1999

    Treesearch

    Northeastern Research Station

    2002-01-01

    Connecticut has mature forests dominated by hardwoods. Most trees are healthy with full crowns (low transparency and high density), little dieback and little damage. The exception is eastern hemlock, which was in poor condition, with thin crowns, more dieback and more damage, especially broken tops. These conditions are likely the result of attack by the hemlock woolly...

  16. Forest Health Monitoring in New York, 1996-1999

    Treesearch

    Northeastern Research Station

    2002-01-01

    New York has mature forests dominated by hardwood species, but with a significant and varied softwood resource. Most of the trees are healthy, with full crowns (low transparency, high density), little dieback and little damage. American beech tends to be in poorer condition, with thin crowns, higher dieback, and more damage, especially broken and dead branches.

  17. Forest Health Monitoring in Vermont, 1996-1999

    Treesearch

    Northeastern Research Station

    2002-01-01

    Vermont forests vary in size and age class. Trees are distributed evenly between hardwood and softwood species but hardwood dominated the seedling sample. Most of the trees are healthy, with full crowns (low transparency, high density), little dieback and little damage. White and green ash had higher transparencies and lower crown densities possibly explained by the...

  18. Forest Health Monitoring in Maine, 1996-1999.

    Treesearch

    Northeastern Research Station

    2002-01-01

    Maine has mixed-age forests dominated by softwood species. Most of the trees are healthy, with full crowns (low transparency, high density), little dieback and little damage. Red maple had higher amounts of dieback but seemed to maintain crown fullness. Eastern white pine and northern white cedar had lower densities as well as higher rates of damage.

  19. Multicultural Early Childhood Team Training: Outreach 1996-1999. Final Report.

    ERIC Educational Resources Information Center

    George Mason Univ., Fairfax, VA. Helen A. Kellar Inst. for Human disAbilities.

    This final report summarizes the activities and outcomes of a grant-funded project designed to infuse cultural competence in early childhood programs by disseminating and replicating a proven parent and professional inservice training module, Multicultural Early Childhood Team Training (MECTT). During the 3 years of the project, the following…

  20. Council Connections: A Newsletter of the Reading Recovery Council of North America, 1996-1999.

    ERIC Educational Resources Information Center

    Council Connections, 1999

    1999-01-01

    This document consists of three years' worth (8 issues) of "Council Connections," the newsletter of the Reading Recovery Council of North America. Each issue offers brief articles, updates of Reading Recovery programs in various countries, messages from the organization's president, past president, and/or the executive director, updates…

  1. Interseismic strain accumulation in south central Chile from GPS measurements, 1996-1999

    NASA Astrophysics Data System (ADS)

    Ruegg, J. C.; Campos, J.; Madariaga, R.; Kausel, E.; de Chabalier, J. B.; Armijo, R.; Dimitrov, D.; Georgiev, I.; Barrientos, S.

    2002-06-01

    Two campaigns of Global Positioning System (GPS) measurements were carried out in the Concepción-Constitución area of Chile in 1996 and 1999. It is very likely that this area is a mature seismic gap, since no subduction earthquake has occurred there since 1835. In 1996, 32 sites were occupied in the range 35°S-37°S, between the Pacific coast of Chile and the Andes near the Chile-Argentina border. In 1999, the network was extended by the installation of 9 new points in the Arauco region whereas 13 points among the 1996 stations were reoccupied. The analysis of this campaign data set, together with the data recorded at eight continuous GPS sites (mostly IGS stations) in South America and surrounding regions, indicates a velocity of about 40 +/- 10 mm/yr in the direction N80-90°S for the coastal sites with respect to stable cratonic South America. This velocity decreases to about 20-25 mm/yr towards the Andes. We interpret this result as reflecting interseismic strain accumulation above the Nazca-South America subduction zone, due to a locked thrust zone extending down to about 60 km depth.

  2. Habitat Evaluation Procedures (HEP) Report : Grand Coulee Dam Mitigation, 1996-1999 Technical Report.

    SciTech Connect

    Kieffer, B.; Singer, Kelly; Abrahamson, Twa-le

    1999-07-01

    The purpose of this Habitat Evaluation Procedures (HEP) study was to determine baseline habitat units and to estimate future habitat units for Bonneville Power Administration (BPA) mitigation projects on the Spokane Indian Reservation. The mitigation between BPA and the Spokane Tribe of Indians (STOI) is for wildlife habitat losses on account of the construction of Grand Coulee Dam. Analysis of the HEP survey data will assist in mitigation crediting and appropriate management of the mitigation lands.

  3. Antimicrobial susceptibility patterns of urinary pathogens in Trinidad, 1996-1999.

    PubMed Central

    Orrett, F. A.

    2003-01-01

    The prevalence of antimicrobial resistance among urinary pathogens has been increasing worldwide. Laboratory diagnosed urinary tract infections were retrospectively evaluated for the years 1996 through 1999, to document the common pathogens and their changing antimicrobial profiles. From 14,853 hospital specimens, an isolation rate of 6.1% was found; and from 5330 community specimens, the isolation rate was 27.9%. E. coli was the predominant cause of urinary tract infections in both hospital and community practices. The rate of isolation of the other pathogens was relatively stable except for citrobacter species, which increased from 1.3% in 1996 to 20.1% in 1999 (p < 0.001) among community isolates. Significant changes in the susceptibility patterns of uropathogens also were observed. E. coli strains from hospitals were significantly more resistant to cefuroxime than community strains (p < 0.001), while resistance to ampicillin and nalidixic acid was high in both practices. No substantial changes in susceptibility to gentamicin and tetracycline were noticed during the four-year period compared to the 99% resistance to tetracycline in 1995. In relation to nitrofurantoin, no significant changes were noted in both practices where resistant rates remained low, but susceptibility to augmentin showed much improvement among all isolates, including E. coli. Urinary isolates were more commonly recovered from the paediatric age group (1-10 years) and those older than 50 years of age, and males were the predominant gender in both age groups. The study showed that the antibiotics useful in the treatment of UTI in decreasing order of effectiveness in community practice were gentamicin, norfloxacin, nitrofurantoin and cefuroxime. For nosocomial UTI, the drugs most effective include norfloxacin, nitrofurantoin, gentamicin, co-trimoxazole and amoxicillin-clavulanic acid. PMID:12793792

  4. Forest Health Monitoring in the Interior West: A baseline summary of forest issues, 1996-1999

    Treesearch

    Paul Rogers; David Atkins; Michelle Frank; Douglas Parker

    2001-01-01

    Although forest health may be difficult to define and measure, a strong demand exists for assessment of forest conditions at various state, regional, and national scales. Forest Health Monitoring (FHM) is a national program designed to measure the status, changes, and trends of forest conditions annually. This report presents a broad view of forest health issues...

  5. Sharing Our Pathways: A Newsletter of the Alaska Rural Systemic Initiative, 1996-1999.

    ERIC Educational Resources Information Center

    Sharing Our Pathways: A Newsletter of the Alaska Rural Systemic Initiative, 1999

    1999-01-01

    In 1995 the National Science Foundation funded the Alaska Rural System Initiative (RSI), a joint effort of the Alaska Federation of Natives and the University of Alaska Fairbanks. Among its goals, the RSI aims to increase the presence of Alaska Native knowledge and perspectives in all areas of science and education in rural Alaska, develop…

  6. Progress toward poliomyelitis eradication--Democratic Republic of Congo, 1996-1999.

    PubMed

    2000-03-31

    In 1988, the World Health Assembly resolved to eradicate poliomyelitis by December 31, 2000 (1). Although progress has been extraordinary (2), full implementation of polio eradication strategies has been delayed in several countries affected by war. The Democratic Republic of Congo (DRC) has experienced continual armed conflict since October 1996. As a result, DRC is the last country in the African Region of the World Health Organization (WHO) to implement National Immunization Days (NIDs*). DRC is an important global reservoir for wild poliovirus and shares more than 5580 miles (9000 km) of border with nine countries; in at least seven of these countries polio is endemic. The large area of DRC, substantial amount of poverty, weak health-care infrastructure, poor transportation and communication, and competing demands for resources present considerable challenges to polio eradication. This report summarizes information on the existing health-care infrastructure and routine coverage, information from NIDs carried out in 1999, and results from the recently established surveillance system for acute flaccid paralysis (AFP).

  7. The Safe Futures Substance Abuse and Violence Prevention Program at Chief Leschi Elementary School, 1996-1999.

    ERIC Educational Resources Information Center

    Guilmet, George M.; Whited, David L.

    A 3-year intervention project focused on preventing substance abuse, violence, gang violence, and truancy among K-12 students at the Chief Leschi School in Tacoma, Washington, a tribally controlled, urban school for high risk and adjudicated Native youth. This paper reports the elementary school results. The Positive Reinforcement in Drug…

  8. Geochemical Data on Waters, gases, scales, and rocks from the Dixie Valley Region, Nevada (1996-1999)

    SciTech Connect

    Goff, Fraser; Bergfeld, Deborah; Janik, C.J.; et al

    2002-08-01

    This report tabulates an extensive geochemical database on waters, gases, scales, rocks, and hot-spring deposits from the Dixie Valley region, Nevada. The samples from which the data were obtained were collected and analyzed during 1996 to 1999. These data provide useful information for ongoing and future investigations on geothermal energy, volcanism, ore deposits, environmental issues, and groundwater quality in this region.

  9. Patterns of brachytherapy practice for patients with carcinoma of the cervix (1996-1999): A Patterns of Care Study

    SciTech Connect

    Erickson, Beth . E-mail: berickson@radonc.mcw.edu; Eifel, Patricia; Moughan, Jennifer; Rownd, Jason M.S.; Iarocci, Thomas; Owen, Jean

    2005-11-15

    Purpose/Objective: To analyze the details of brachytherapy practice in patients treated for carcinoma of the cervix in the United States between 1996 and 1999. Methods and Materials: Radiation facilities were selected from a stratified random sample. Patients were randomly selected from lists of eligible patients treated at each facility. A total of 442 patients' records were reviewed in 59 facilities to obtain data about patients' characteristics, evaluation, tumor extent, and treatment. National estimates were made using weights that reflected the relative contribution of each institution and of each patient within the sampled institutions. From our survey we estimate that 16,375 patients were treated in the United States during this study period. Unless otherwise specified, brachytherapy practice was based on the 408 patients who had their brachytherapy or all their treatment at the surveyed facility. Results: A total of 91.5% of patients underwent brachytherapy at the initial treating institution; 8.5% were referred to a second site for brachytherapy. Forty-two percent of U.S. facilities referred at least some patients to a second facility for brachytherapy. Of U.S. facilities that treated {<=}2 eligible patients per year, 61% referred all of their patients to a second facility for brachytherapy or treated with external RT alone; none of the U.S. facilities with larger experience (>2 eligible patients per year) referred all their patients to a second facility for brachytherapy treatment, but 28% referred some patients to an outside facility for brachytherapy. Overall, 94% of patients who completed treatment with curative intent received brachytherapy. Of these patients who had brachytherapy, 77.8%, 13.3%, and 0.9%, respectively, were treated with low-dose-rate (LDR), high-dose-rate (HDR), or a combination of HDR and LDR brachytherapy; 7.9% had interstitial brachytherapy (5.7% LDR and 1.9% HDR, 0.3% mixed). In facilities that treated >2 patients per year, 15.5% and 9.4% of brachytherapy procedures included HDR or interstitial, respectively; in facilities that treated fewer patients, 3.4% had HDR brachytherapy, and only 1.2% had interstitial brachytherapy. Patients treated with LDR intracavitary radiotherapy had one (23.5%), two (74.1%), or three (2.4%) implants. For patients treated with curative intent who completed radiation therapy with LDR intracavitary radiation therapy without hysterectomy, the median brachytherapy dose to Point A was 40.3 Gy, and the median total dose to Point A was 82.9 Gy. Patients were treated with HDR intracavitary radiation therapy using a variety of treatment schedules using 1-2 fractions (7.5%), 3-4 fractions (17.4%), 5-6 fractions (38.5%), 7-9 fractions (33.5%), or 12 fractions (3%). Fraction sizes were <500 cGy (29.5%), 500-<600 (25.2%), 600 (28.1%), >600 (8%), or unknown (9.2%). For patients treated with HDR, the median total dose to Point A (corrected for fraction size using a {alpha}/{beta} = 10) was 85.8 Gy (range: 56.2-116.1 Gy). At institutions treating <500 new patients per year, the percentage of patients receiving a brachytherapy dose <40 Gy was significantly higher than at institutions treating {>=}500 new patients per year (p < 0.0001). For LDR intracavitary radiation therapy, 5.8% had neither bladder nor rectal doses recorded for any of their implants, whereas in HDR intracavitary radiation therapy, 73.4% had neither bladder nor rectal doses recorded for any of their implants. The median total duration of radiation therapy was identical for patients who had HDR or LDR intracavitary radiation therapy (57 days). For LDR at institutions treating <500 new patients per year, the percentage of patients with treatment duration >56 days was significantly greater than at institutions {>=}500 new patients per year (p = 0.002). Of the patients who had LDR intracavitary radiation therapy implants, 65% were treated using tandem and shielded Fletcher-Suit-Delclos colpostats; other patients had mini ovoids (10.9%), cylinders (3.9%), Henschke (3.7%), or other/mixed applicators (16.5%) . In contrast, of patients treated with HDR intracavitary radiation therapy, 68.7% had tandem and rings, 18.2% Fletcher-Suit-Delclos ovoids, 7.5% mini ovoids, 2.3% cylinders, and 3.2% other or mixed applicators. Conclusions: The median duration of treatment and median Point A dose were very similar for patients treated with HDR or LDR. Patients with HDR were treated using a variety of treatment schedules. Different applicator types were favored for LDR vs. HDR. Of patients treated with HDR, 73.4% had no brachytherapy bladder or rectal doses recorded, suggesting that full dosimetric calculations were performed only for the first fraction in many institutions. Facility size significantly impacted on referral to another institution for brachytherapy, brachytherapy dose, and treatment duration.

  10. Evolution of 1996-1999 La Nina and El Nino conditions off the western coast of South America: a remote sensing perspective

    NASA Technical Reports Server (NTRS)

    Carr, M. E.; Strub, P. T.; Thomas, A. C.; Blanco, J. L.

    2002-01-01

    We present the evolution of oceanographic conditions off the western coast of South America between 1996 and 1999, including the cold periods of 1996 and 1998??9 and the 1997??8 El Nino, using satellite observations of sea level, winds, sea surface temperature (SST), and chlorophyll concentration. Following a period of cold SST and low sea levels in 1996, both were anomalously high between March 1997 and May 1998.

  11. [Average body weight and height gain rate in children from 2 to 10 years old in a rural area of the Marinilla municipality, Antioquia, Colombia. 1996-1999].

    PubMed

    Alvarez Uribe, Martha Cecilia; Montoya Puerta, Elizabeth Cristina

    2004-01-01

    The objective of the present study was to evaluate the average growth rate (AGR) in 2 to 10 years old children (n = 259) belonging to rural families from the municipality of Marinilla (Colombia). The results will be taking into account in order to define public health polices aimed to improve the life quality conditions in rural communities. In a descriptive longitudinal prospective study a representative sample from rural horticulture families having children aged 2 to 10 years old were selected. The confidence interval, alpha error, and over sample were 95.5 and 20%, respectively. The AGR for weight and high were evaluated according to the method by Baumgarthner, and the results were compared with the Fels Longitudinal Study reference values. For AGR for weight 26.8 and 28.9% of boys and girls classified in the lower 25 percentile, respectively: 60.9 and 62.8% within the 25 and 75 percentiles, and 12.3 and 8.2% in the upper percentile of boys and girls, respectively. On the other hand, for AGR for high 44.9 and 33.1% of boys and girls classified in the lower 25 percentile, 44.9 and 52.9% within the 25 and 75 percentiles, and 10.2 and 14.1% in the upper percentile of boys and girls, respectively. These results showed that the AGR of children in this study could not overcome their delayed weight and high measures.

  12. [Incidence of HIV infection in consultants reviewed after a first negative test in an anonymous and free screening center at the Institut Pasteur of Cambodia, 1996-1999].

    PubMed

    Kruy, S L; Glaziou, P; Flye Sainte Marie, F; Buisson, Y

    2001-12-01

    A retrospective study was performed to determine the incidence of HIV seroconversion among repeat consultants attending the voluntary testing and counselling centre of the Institut Pasteur of Cambodia as well as factors associated with HIV seroconversion. From 1996 to 1999, 5541 repeat consultants were selected for the study. Exclusion criteria included being aged under 15 years, having initially tested positive or inconclusive and a time span of fewer than 30 days since the last test. In all, 276 persons had seroconverted to HIV, giving an incidence rate of 5.56 per 100 person-years. The seroconversion rate declined from 8.46% in 1996, to 3.06% in 1999 (chi 2 test for trend, p = 10(-5)). Among the risk factors analysed, 3 were significantly associated with lack of seroconversion: being a student (RR = 0.53, p = 0.032) or a civil servant (RR = 0.63, p = 0.012) and systematic condom use with causal partners (RR = 0.37, p = 10(-5)). The decline of HIV seroconversion among repeat consultants attending the VCT centre over the study period may reflect changes in risk behaviour and the beneficial impact of counselling.

  13. The role of community acceptance over time for costs of HIV and STI prevention interventions: analysis of the Masaka Intervention Trial, Uganda, 1996-1999.

    PubMed

    Terris-Prestholt, Fern; Kumaranayake, Lilani; Foster, Susan; Kamali, Anatoli; Kinsman, John; Basajja, Vincent; Nalweyso, Nora; Quigley, Maria; Kengeya-Kayondo, Jane; Whitworth, James

    2006-10-01

    The objective of this study is to estimate the annual costs of information, education, and communication (IEC), both community- and school-based; strengthened public and private sexually transmitted infections treatment; condom social marketing (CSM); and voluntary counseling and testing (VCT) implemented in Masaka, Uganda, over 4 years, and to explore how unit costs change with varying population use/uptake. Total economic provider's costs and intervention outputs were collected annually to estimate annual unit costs between 1996 and 1999. In early intervention years, uptake of all activities grew dramatically and continued to grow for public STI treatment, CSM, and VCT. Attendance at IEC performances started to drop in year 4. Unit costs dropped rapidly with increasing uptake of and participation in interventions. When implementing long-term community-based interventions, it is important to take into account that it takes time for communities to scale up their participation, since this can lead to large variations in unit costs.

  14. Evolution of 1996-1999 La Nina and El Nino conditions off the western coast of South America: a remote sensing perspective

    NASA Technical Reports Server (NTRS)

    Carr, M. E.; Strub, P. T.; Thomas, A. C.; Blanco, J. L.

    2002-01-01

    We present the evolution of oceanographic conditions off the western coast of South America between 1996 and 1999, including the cold periods of 1996 and 1998??9 and the 1997??8 El Nino, using satellite observations of sea level, winds, sea surface temperature (SST), and chlorophyll concentration. Following a period of cold SST and low sea levels in 1996, both were anomalously high between March 1997 and May 1998.

  15. The association of selenium status with thyroid hormones and anthropometric values in dyslipidemic patients.

    PubMed

    Carvalho, Roberta F; Rosa, Glorimar; Huguenin, Grazielle V B; Luiz, Ronir R; Moreira, Annie S B; Oliveira, Glaucia M M

    2015-04-01

    Contexto: El selenio (Se) es un micronutriente esencial que realiza las funciones fisiológicas en el metabolismo de la hormona tiroidea y pueden tener una asociación con las variables antropométricas pertinentes a la enfermedad cardiovascular. Objetivo: Estudiar la asociación entre el estado de Se, hormonas tiroideas y las variables antropométricas en pacientes con dislipidemia. Métodos: Ochenta y tres pacientes fueron evaluados en un estudio transversal. Se analizaron muestras de sangre para Se y hormonas tiroideas. Las medidas antropométricas fueron tomadas, y la ingesta de la dieta Se fue investigado. Resultados: La media de las concentraciones de Se en plasma fueron bajas en los pacientes, a 88,7 ± 16,7 mg / l. Se encontró que los pacientes con niveles plasmáticos de Se ≥ 95 mg / L de tener un índice de masa corporal (IMC) (30.74 ± 4.31 vs 27.68 ± 5.63 kg / m 2, P = 0,02) y la relación cintura-estatura (0,65 ± 0,05 vs 0,59 ± 0,07, P = 0,003) en comparación con aquellos con concentraciones entre 80 y 94 g / l. Ingesta de Se asoció positivamente con relación T3L / T4L (r = 0,273, p = 0,03), índice de masa corporal (r = 0,257, P = 0,04) y WC (r = 0,299, P = 0,02). Conclusión: Se encontró que los pacientes con las más altas concentraciones de Se en plasma normal tener incrementos en las variables antropométricas que investigamos. Hay una necesidad de un mayor estudio para dilucidar estos hallazgos. Además, se encontró una asociación positiva entre el consumo de Se y la forma más metabólicamente activa de las hormonas tiroideas.

  16. EFFECT OF SELENIUM SUPPLEMENTATION VIA BRAZIL NUT (BERTHOLLETIA EXCELSA, HBK) ON THYROID HORMONES LEVELS IN HEMODIALYSIS PATIENTS: A PILOT STUDY.

    PubMed

    Barcza Stockler-Pinto, Milena; Carrero, Juan Jesús; De Carvalho Cardoso Weide, Luciene; Franciscato Cozzolino, Silvia Maria; Mafra, Denise

    2015-10-01

    Introducción: la funcion tiroidea depende de minerales traza de selenio (Se), que esta en el centro activo de la deiodinasa yodotironina, que cataliza la conversion de la tiroxina (T4) a la forma activa de la hormona tiroidea, triyodotironina (T3). Hemodialisis (HD) de los pacientes ha reducido los niveles de T3 de los pacientes, debido en parte a la conversion hormonal alterada que puede estar relacionada con la deficiencia de Se, una caracteristica comun en estos pacientes. Este estudio evaluo el efecto de las nueces de Brasil (la mas rica fuente de Se) en los niveles de hormonas tiroideas en pacientes en HD. Métodos: se realizo una intervencion no controlada con 40 pacientes en HD (53,3 } 16,1 anos, dialisis vendimia 62,0 (8,0 - 207,0 meses)), que recibieron una nuez (≈ 5, promedio 58,1 mg Se/g) por dia durante tres meses. Determinaron los niveles plasmaticos de Se por espectrofotometria de absorcion atomica con generacion de hidruros y los niveles de T3, T4 libre (FT4), TSH en suero, asi como la actividad de la glutation peroxidasa (GPx) por ELISA. Resultados: todos los pacientes tenian niveles bajos de Se y T3 al inicio del estudio. Despues de la intervencion, los niveles plasmaticos de Se (de 17,6 } 11,6 a 153,4 } 86,1 mg/L), actividad GPx (de 33,7 } 5,9 a 41,4 } 11,2 nmol/min/ml), T3 (de 27,3 } 8,8 a 50,2 } 4,8 ng/dL) y T4L (0,87 } 0,2 a 0,98 } 0,4 ng/dL) se incrementaron significativamente (p < 0,05), mientras que los niveles de TSH se redujeron (de 2,17 } 1,3 a 1,96 } 1,1 IUU/ml), pero no de forma significativa. Conclusión: en conclusion, el aumento de los niveles de Se via suplementacion con nuez brasilena se asocia con una mejoria en los niveles de hormonas tiroideas en pacientes en HD, aunque la cantidad de Se dada no fue capaz de restablecer la T3 a los niveles normales.

  17. Final technical report to Department of Energy, Basic Energy Sciences. ''Oxide ceramic alloys and microlaminates'' (1996-1999) and ''Low temperature processing and kinetics of ceramics and ceramic matrix composites with large interfacial areas'' (1999-2000)

    SciTech Connect

    Chen, I-Wei

    2001-03-26

    We have discovered a novel two-step sintering method that opened up a low temperature processing window within which fully dense nanocrystalline yttrium oxide was obtained with no concurrent grain growth during final-stage sintering. We have developed a new method of processing laminate ceramics using deformation processing in the green state. We have lastly developed a colloidal processing technique to encapsulate biomolecules at ambient, neutral-pH, aqueous conditions.

  18. [Is attention deficit hyperactivity disorder associated with other prevalent pathologies of early childhood?].

    PubMed

    Cardo, Esther; Amengual-Gual, Marta

    2015-02-25

    Objetivo. Revisar si el trastorno por deficit de atencion/hiperactividad (TDAH) se asocia con otras patologias medicas prevalentes de la edad pediatrica. Desarrollo. Se han seleccionado varias patologias pediatricas con el objetivo de revisar su asociacion con TDAH: en neumologia pediatrica, asma y otros procesos alergicos; en neurologia pediatrica, cefalea y convulsion febril; en gastroenterologia pediatrica, diarrea, estreñimiento, dolor abdominal, reflujo gastroesofagico e infeccion por Helicobacter pylori; en nefrologia pediatrica, enuresis; en cardiologia pediatrica, soplos y cardiopatias congenitas; en endocrinologia pediatrica, alteraciones tiroideas y obesidad, y en oftalmologia pediatrica, ametropia y estrabismo. Conclusion. Se han encontrado varios estudios que relacionan el TDAH con procesos alergicos, sobrepeso/obesidad, resistencia periferica a la hormona tiroidea, enuresis, convulsion febril, cefalea, cardiopatias congenitas, alteraciones oftalmologicas y caries, con algunas controversias y detalles por definir. Se puede concluir que son necesarios mas estudios interdisciplinarios para esclarecer las asociaciones y los mecanismos subyacentes implicados, con la finalidad de conocer mejor la compleja entidad TDAH y plantearse intervenciones preventivas, diagnosticas y terapeuticas en cuanto a sus comorbilidades se refiere.

  19. Hormonas juveniles y su aplicacion en la tecnica del insecto esteril

    USDA-ARS?s Scientific Manuscript database

    Control in SIT is achieved by the massive release of sterile males which copulate with wild females. Females mated by sterile males produce no offspring and rarely copulate again. For the optimization of SIT sterile males must compete equally with wild males for females. Detailed studies have shown ...

  20. [MCT8-specific thyroid hormone cell transporter deficiency: a case report and review of the literature].

    PubMed

    López-Marín, Laura; Martín-Belinchón, Mónica; Gutiérrez-Solana, Luis G; Morte-Molina, Beatriz; Duat-Rodríguez, Anna; Bernal, Juan

    2013-06-16

    Introduccion. El MCT8 es un transportador especifico para las hormonas tiroideas T4 y T3, que permite su entrada en el cerebro y otros organos. La deficiencia de MCT8, o sindrome de Allan-Herndon-Dudley, es un trastorno ligado a X que, generalmente, se presenta como un cuadro neurologico grave de inicio precoz, con un perfil tiroideo caracteristico (aumento de T3 y disminucion de T4 y rT3). Objetivo. Se presenta el primer caso diagnosticado en España con este sindrome y se revisa la bibliografia publicada, las distintas formas de presentacion clinica, los avances geneticos, el diagnostico diferencial y las perspectivas terapeuticas, y se propone un algoritmo diagnostico. Caso clinico. Varon de 5 años con un cuadro clinico compatible con una enfermedad de Pelizaeus-Merzbacher. La secuenciacion del gen PLP1 no mostro alteraciones. Todos los estudios metabolicos y geneticos realizados fueron normales. Finalmente, un estudio completo del perfil tiroideo revelo alteraciones compatibles con una deficiencia del transportador MCT8. La secuenciacion del gen SLC16A2 (MCT8) mostro una mutacion en el exon 3 y el estudio celular confirmo que esta mutacion cambia las propiedades de la proteina. Conclusiones. En los ultimos años se han multiplicado las publicaciones sobre este sindrome, con la identificacion de mas de 50 familias en el mundo. Es importante conocer este sindrome y sospecharlo, porque el diagnostico es facil, economico y accesible (perfil tiroideo), y, aunque no tiene tratamiento especifico, el diagnostico precoz evita pruebas innecesarias y permite ofrecer consejo genetico a las familias afectadas.

  1. Overactive Thyroid: What You Need to Know

    MedlinePlus

    ... o problemas de tiroides, como bocio • tiene una historia familiar de enfermedad tiroidea • tiene anemia perniciosa, una ... de los Estados Unidos. Esta publicación no tiene derechos de autor. El NIDDK otorga su permiso a ...

  2. Menopause

    MedlinePlus

    ... Help You Menopause and Hormones: Common Questions La menopausia y las hormonas: Preguntas más frecuentes Compounded Bio- ... Menopause and Hormones Card (PDF - 1.3MB) La menopausia y las hormonas tarjeta (PDF - 1.6MB) Order ...

  3. Bovine leukemia virus seroprevalence among cattle presented for slaughter in the United States

    USDA-ARS?s Scientific Manuscript database

    Infection with bovine leukemia virus (BLV) results in economic loss due reduced productivity, especially the reduction of milk production and early culling. In the USA.,USA, previous studies in 1996, 1999 and 2007 showed BLV infections widespread, especially in the dairy herds. The goal of this stud...

  4. Compliance and Support for Smoke-Free School Policies

    ERIC Educational Resources Information Center

    Trinidad, D. R.; Gilpin, E. A.; Pierce, J. P.

    2005-01-01

    Our objective was to examine factors associated with compliance and support for a smoke-free campus before and after a 1995 campus-wide smoking ban for everyone, including teachers and visitors, in California. Adolescent (12-17 years) data from the 1993, 1996, 1999 and 2002 (N approximately 6000 each year) California Tobacco Surveys…

  5. Effects of Professional Development on Teachers' Instruction: Results from a Three-year Longitudinal Study.

    ERIC Educational Resources Information Center

    Desimone, Laura M.; Porter, Andrew C.; Garet, Michael S.; Yoon, Kwang Suk; Birman, Beatrice F.

    2002-01-01

    Examined the effects of professional development on teachers' instruction using a purposeful sample of about 207 teachers across 5 states for 1996-1999. Professional development focused on specific instructional practices increased teachers' use of those practices in the classroom, and specific features, such as active learning opportunities,…

  6. Prescribed fire effects on the herbaceous layer of mixed-oak forests

    Treesearch

    Todd F. Hutchinson; Ralph E.J. Boerner; Steve Sutherland; Elaine Kennedy Sutherland; Marilyn Ortt; Louis R. Iverson; Louis R. Iverson

    2005-01-01

    In 1994, a multidisciplinary project was established to study the effects of prescribed fire on oak forests in southern Ohio. Here we describe the herbaceous layer response to fires over a 5-year period. In four study sites, treatments imposed were unburned, periodic (1996 and 1999), and annual (1996-1999) fires. Sample plots (n = 108) were stratified by an integrated...

  7. Changing Coverage of Domestic Violence Murders: A Longitudinal Experiment in Participatory Communication

    ERIC Educational Resources Information Center

    Ryan, Charlotte; Anastario, Mike; DaCunha, Alfredo

    2006-01-01

    Stressing relation-building and participatory communication approaches, the Rhode Island Coalition against Domestic Violence worked with journalists to develop a best practices handbook on news coverage of domestic violence murders. This study compares print coverage of domestic violence murders prehandbook (1996-1999) and posthandbook…

  8. What Contributes to Talent Development in Eminent Women?

    ERIC Educational Resources Information Center

    Kronborg, Leonie

    2010-01-01

    The lives of ten eminent Australian women across seven talent domains were explored for factors that contributed to the development of their talent. Nine themes and related sub-themes emerged that were linked to the Model of Adult Female Talent Development (MAFTD) developed by Noble, Subotnik & Arnold (1996, 1999). Results provided support for…

  9. Effects of Focused Feedback on the Acquisition of Two English Articles

    ERIC Educational Resources Information Center

    Kao, Chian-Wen

    2013-01-01

    It has been debated whether teachers should treat students' grammatical errors in second language writing instruction (Truscott, 1996, 1999, 2010; Ferris, 1999, 2004, 2010). Several meta-analyses have investigated correction effects (e.g. Russell & Spada, 2006; Truscott, 2007). Their findings, however, have been conflicting. A recent trend to…

  10. Payload flight assignments: NASA mixed fleet

    NASA Technical Reports Server (NTRS)

    Starkey, Norman

    1993-01-01

    This mixed fleet manifest, which serves as the baseline for planning purposes, includes payload flight assignments for the Space Shuttle through FY 1995 and NASA expendable launch vehicle (EVL) missions through FY 1999. The FY 1996-1999 Shuttle manifest planning is omitted pending Space Station redesign. Also included in this document are a list of previous flights, payload requests, and payload/acronyms.

  11. Inhibition of Embryonic Genes to Control Colorectal Cancer Metastasis

    DTIC Science & Technology

    2013-09-01

    Russia BIFIP, Russia UAB, Alabama B.S./M.S. Ph.D. Postdoctoral training 1982 1997 1999- 2000 Biology/Biochemistry Biology... Biotechnology Gene Therapy RESEARCH AND PROFESSIONAL EXPERIENCE: Concluding with present position, list in chronological order, previous employment...Biology, Institute of Cytology and Genetics, Novosibirsk, Russia 1992-1996 Research Scientist 1996-1999 Senior Research Scientist, Laboratory of

  12. EVALUATION OF ESTROGENIC ACTIVITY FROM A MUNICIPAL WASTEWATER TREATMENT PLANT WITH PREDOMINANTLY DOMESTIC INPUT

    EPA Science Inventory

    The purpose of this study was to survey estrogenic releases from two primarily domestic wastewater treatment plants over three seasons (1996-1999). Mature male channel catfish were maintained at two sites within each WWTP and a reference site for 21 days. Estrogenic activity of e...

  13. The National Strategic Plan and Action Agenda for Agricultural Education: Reinventing Agricultural Education for the Year 2020. Creating the Preferred Future for Agricultural Education.

    ERIC Educational Resources Information Center

    National Council for Agricultural Education, Alexandria, VA.

    The Reinventing Agricultural Education for the Year 2020 initiative, a project conducted during 1996-1999 with a diverse group of more than 10,000 people from across the United States, resulted in this strategic plan designed to achieve the mission set by the initiative. That mission has a two-part focus: preparing students for career success in…

  14. Implementing Learning Communities in American Higher Education: A Meta-Ethnographic Study

    ERIC Educational Resources Information Center

    Noga, Michael A.

    2012-01-01

    Using meta-ethnography as a research method, this study identified, organized, and synthesized efforts to implement learning communities at the 19 American colleges and universities that prepared written reports at the conclusion of the 1996-1999 National Learning Communities Dissemination Project (FIPSE). The researcher used 10 research questions…

  15. Changing Coverage of Domestic Violence Murders: A Longitudinal Experiment in Participatory Communication

    ERIC Educational Resources Information Center

    Ryan, Charlotte; Anastario, Mike; DaCunha, Alfredo

    2006-01-01

    Stressing relation-building and participatory communication approaches, the Rhode Island Coalition against Domestic Violence worked with journalists to develop a best practices handbook on news coverage of domestic violence murders. This study compares print coverage of domestic violence murders prehandbook (1996-1999) and posthandbook…

  16. The Mental Space Function of BUT as a Lexical Discourse Marker in American Sign Language Lectures

    ERIC Educational Resources Information Center

    Garrow, William George

    2012-01-01

    This dissertation centers on the application of the mental space theory to expand our understanding of the role lexical discourse markers (LDMs) play in discourse. LDMs have been recognized by many researchers for their discourse connective function(s) (Levinson, 1983; Schiffrin, 1987; Blakemore, 1989, 2000, 2001, 2002; Fraser, 1996, 1999, 2006).…

  17. Compliance and Support for Smoke-Free School Policies

    ERIC Educational Resources Information Center

    Trinidad, D. R.; Gilpin, E. A.; Pierce, J. P.

    2005-01-01

    Our objective was to examine factors associated with compliance and support for a smoke-free campus before and after a 1995 campus-wide smoking ban for everyone, including teachers and visitors, in California. Adolescent (12-17 years) data from the 1993, 1996, 1999 and 2002 (N approximately 6000 each year) California Tobacco Surveys…

  18. Riverside: A Case Study of Social Capital and Cultural Reproduction and Their Relationship to Leadership Development

    ERIC Educational Resources Information Center

    Zacharakis, Jeff; Flora, Jan

    2005-01-01

    This case study research is based on a 3-year project (1996-1999) in which Iowa State University Extension developed and implemented a long-term community development project based on strengthening social capital using participatory research. The results of this mapping were initially interpreted as indicating a high level of social capital, but…

  19. Why (Urban) Mathematics Teachers Need Political Knowledge

    ERIC Educational Resources Information Center

    Gutiérrez, Rochelle

    2013-01-01

    Rochelle Gutiérrez has spent 15 years researching effective, urban high school mathematics departments that served Black, Latin@ and low-income adolescents (see, e.g., Gutiérrez, 1996, 1999a, 1999b, 2000, 2002). These were schools where students took more mathematics than was required by their district; where English learners, recent immigrants,…

  20. Pakistan's Primary Education Quality Improvement Program: Local Partners Work with Rural Communities to Support High Quality Education for Girls

    ERIC Educational Resources Information Center

    Afridi, Zahid A.

    2006-01-01

    This document describes the contributions made by the Primary Education Quality Improvement Program (1996-1999) to the broad goals of improved access, equity, and quality in girls' primary education in Pakistan. In Balochistan, the largest but least developed province of Pakistan, an innovative approach to educational development was successfully…

  1. Student Nurse Attrition: Use of an Exit-Interview Procedure To Determine Students' Leaving Reasons.

    ERIC Educational Resources Information Center

    Glossop, Christine

    2002-01-01

    Attrition from a nursing program in Wales was studied through exit interviews with 105 students who left from 1996-1999. Academic difficulties, wrong career choice, and family, health, and financial problems were key reasons. Almost half had at least two reasons for leaving, suggesting a complex interplay of factors. (Contains 39 references.) (SK)

  2. EVALUATION OF ESTROGENIC ACTIVITY FROM A MUNICIPAL WASTEWATER TREATMENT PLANT WITH PREDOMINANTLY DOMESTIC INPUT

    EPA Science Inventory

    The purpose of this study was to survey estrogenic releases from two primarily domestic wastewater treatment plants over three seasons (1996-1999). Mature male channel catfish were maintained at two sites within each WWTP and a reference site for 21 days. Estrogenic activity of e...

  3. Response of white-footed mice (Peromyscus leucopus) to coarse woody debris and microsite use in southern Appalachian treefall gaps

    Treesearch

    Cathryn H. Greenberg

    2002-01-01

    The influence of treefall gaps and coarse woody debris (CWD) on white-footed mouse (Peromyxus leucopus) abundance was tested experimentally during 1996-1999 in a southern Appalachian hardwood forest. I compared the relative abundance and body size of P. leucopus among unsalvaged gaps that were created by wind disturbance and...

  4. Effects of Professional Development on Teachers' Instruction: Results from a Three-year Longitudinal Study.

    ERIC Educational Resources Information Center

    Desimone, Laura M.; Porter, Andrew C.; Garet, Michael S.; Yoon, Kwang Suk; Birman, Beatrice F.

    2002-01-01

    Examined the effects of professional development on teachers' instruction using a purposeful sample of about 207 teachers across 5 states for 1996-1999. Professional development focused on specific instructional practices increased teachers' use of those practices in the classroom, and specific features, such as active learning opportunities,…

  5. The Mental Space Function of BUT as a Lexical Discourse Marker in American Sign Language Lectures

    ERIC Educational Resources Information Center

    Garrow, William George

    2012-01-01

    This dissertation centers on the application of the mental space theory to expand our understanding of the role lexical discourse markers (LDMs) play in discourse. LDMs have been recognized by many researchers for their discourse connective function(s) (Levinson, 1983; Schiffrin, 1987; Blakemore, 1989, 2000, 2001, 2002; Fraser, 1996, 1999, 2006).…

  6. Women in Vocational Education and Training: An Analysis of 1996 and 1999 Data.

    ERIC Educational Resources Information Center

    Phan, Oanh

    The participation of women in vocational education and training (VET) in Australia in 1996-1999 was examined. Data for the analysis were obtained from annual national VET data collections and relevant reports. The analysis focused on the following areas: general trends, fields of study, qualifications, areas of learning, module outcomes,…

  7. Implementing Learning Communities in American Higher Education: A Meta-Ethnographic Study

    ERIC Educational Resources Information Center

    Noga, Michael A.

    2012-01-01

    Using meta-ethnography as a research method, this study identified, organized, and synthesized efforts to implement learning communities at the 19 American colleges and universities that prepared written reports at the conclusion of the 1996-1999 National Learning Communities Dissemination Project (FIPSE). The researcher used 10 research questions…

  8. Women in Vocational Education and Training: An Analysis of 1996 and 1999 Data.

    ERIC Educational Resources Information Center

    Phan, Oanh

    The participation of women in vocational education and training (VET) in Australia in 1996-1999 was examined. Data for the analysis were obtained from annual national VET data collections and relevant reports. The analysis focused on the following areas: general trends, fields of study, qualifications, areas of learning, module outcomes,…

  9. What's New in Chapter Books.

    ERIC Educational Resources Information Center

    Jones, Glenowyn

    Listing 81 chapter books for children published between 1996-1999, this annotated bibliography gives interest level ratings, reading level ratings, a brief summary, and theme assignments. The 13 theme categories listed in alphabetical order include Adventure-Survival, Autobiography-Biography, Death, Divorce, Good Reading, Handicaps, Historical…

  10. Ansaldo programs on fuel cell vehicles

    SciTech Connect

    Marcenaro, B.G.; Federici, F.

    1996-12-31

    The growth in traffic and the importance of maintaining a stable ecology at the global scale, particularly with regard to atmospheric pollution, raises the necessity to realize a new generation of vehicles which are more efficient, more economical and compatible with the environment. At European level, the Car of Tomorrow task force has identified fuel cells as a promising alternative propulsion system. Ansaldo Ricerche has been involved in the development of fuel cell vehicles since the early nineties. Current ongoing programs relates to: (1) Fuel cell bus demonstrator (EQHEPP BUS) Test in 1996 (2) Fuel cell boat demonstrator (EQHHPP BOAT) Test in 1997 (3) Fuel cell passenger car prototype (FEVER) Test in 1997 (4) 2nd generation Fuel cell bus (FCBUS) 1996-1999 (5) 2nd generation Fuel cell passenger car (HYDRO-GEN) 1996-1999.

  11. Microbial Reduction of Structural Fe3+ in Nontronite by a Thermophilic Bacterium and its Role in Promoting the Smectite to Illite Reaction

    DTIC Science & Technology

    2007-01-01

    structural Fe1* was investigated by using a thermophilic metal -reducing bacterium, Thermoanaerobacter ethanolicus, isolated from the deep subsurface...of microbes in promoting the smectite to illite reaction (Kim ct al. 2004; Zhang et al. 2007). The microbially promoted smec- tite-illite reaction...established that microbes can reduce Fe1’ in the smectite structure (Stucki et al. 1987: Wu et al. 1988; Gates etal. 1993; Kostkaetal. 1996.1999a

  12. [Provocative tests in the diagnosis of childhood onset growth hormone insufficiency].

    PubMed

    Gonçalves, Jean-Pierre; Correia, Filipa; Cardoso, Helena; Borges, Teresa; Oliveira, Maria João

    2014-01-01

    Introdução: A incidência da deficiência de hormona do crescimento é de 1:4000 a 1:10000, sendo a principal indicação para tratamento com hormona do crescimento recombinante.Objectivos: Avaliar os resultados dos testes de estimulação da hormona do crescimento e identificar factores preditivos para o diagnóstico da deficiência de hormona do crescimento.Material e Métodos: Estudo observacional, analítico e transversal. Foram analisados dados clínicos e auxológicos e os resultados dos exames de diagnóstico de crianças e adolescentes submetidos a testes de estimulação farmacológica da hormona do crescimento (01/01/2008 a 31/05/2012). O diagnóstico definitivo de deficiência de hormona do crescimento foi efectuado mediante dois testes com estímulos farmacológicos diferentes negativos (pico máximo da hormona do crescimento < 7 ng/mL) ou um teste negativo associado à presença de alterações anatómicas da região hipotálamo-hipofisária, observadas na ressonância magnética cerebral. Para análise estatística, foram realizados o testes de t student, do qui- quadrado, correlação de Pearson e a regressão logística. Foi considerado como nível de significância estatística (p) um valor igual ou menor que 0,05.Resultados: Realizaram-se testes de estimulação em 89 doentes, com mediana de idade igual a 10 [3-17] anos, 67% do sexo masculino e 77% pré-púberes. Os fármacos utilizados no primeiro teste de estimulação foram a clonidina (n = 85) e a insulina (n = 4). Foram diagnosticados 22 casos de deficiência de hormona do crescimento. Nos casos submetidos a dois testes, os valores máximos de hormona do crescimento apresentaram uma correlação moderada entre si (r = 0,593, p = 0,01). Verificou-se que as variáveis estatura (z-score) e pico máximo de hormona do crescimento obtido no primeiro teste têm valor preditivo no diagnóstico de deficiência de hormona do crescimento.Discussão: A determinação do IGF-1 não demonstrou ser

  13. Maternal age and low birth weight: a reinterpretation of their association under a demographic transition in southern Brazil.

    PubMed

    da Silva, C Homrich; Hernandez, A R; Agranonik, M; Goldani, M Z

    2013-04-01

    To evaluate the relationship between changes in fecundity rates and maternal age and the impact of maternal age on low birth weight (LBW) rates in a developed region in southern Brazil. A time series study evaluating birth weight and maternal ages through the born alive information system (SINASC) in Porto Alegre from 1996 to 2008. The Chi-square test for trends was used to evaluate the trend of LBW and fecundity rates at each maternal age. Population attributed risk (PAR) was used to calculate the impact of maternal age on LBW rates. The study included 271,100 newborns. There was a significant reduction in fecundity rates in all age groups younger than 34 years, but especially in the groups between 20 and 29 years. Overall LBW increased from 9.3 to 10.7 % (P < 0.001). The PAR for LBW showed a reduction in the group from 17 to 19 years (from 1.7 % in 1996-1999 to 0.1 % in 2004-2008), and an increase in the groups from 35 to 39 years (from 2.0 % in 1996-1999 to 2.3 % in 2004-2008) and above 40 (from 1.1 % in 1996-1999 to 1.5 % in 2004-2008). There was a significant change in fecundity pattern in the last 12 years in southern Brazil. Adolescent mothers were surpassed by mothers over 30 years of age in terms of vulnerability for LBW babies. The results show a change in the maternal age distribution towards older mothers, accompanied by an increasing incidence of LBW. This demographic transition also involved a paradoxical pattern with a remarkable reduction in fecundity rates in intermediate maternal age groups with concomitant increase in their risk for LBW.

  14. PREVALENCE OF AUTOIMMUNE THYROIDITIS AND THYROID DYSFUNCTION IN HEALTHY ADULT MEXICANS WITH A SLIGHTLY EXCESSIVE IODINE INTAKE.

    PubMed

    Flores-Rebollar, Armando; Moreno-Castañeda, Lidia; Vega-Servín, Norman S; López-Carrasco, Guadalupe; Ruiz-Juvera, Aída

    2015-08-01

    Objetivo: el objetivo del presente estudio fue evaluar la prevalencia de tiroiditis autoinmune y disfunción tiroidea en individuos sanos sin enfermedad tiroidea conocida, de un área urbana de la ciudad de México. Material y métodos: el estudio se realizó en voluntarios sin enfermedad tiroidea conocida. Se reclutaron 427 individuos entre personal médico y administrativo del hospital. A todos se les realizó ultrasonido (US) tiroideo, TSH, T4 libre (FT4), T3 total (TT3), anticuerpos anti-peroxidasa tiroidea (TPOAb) y anti tiroglobulina (TgAb). Dentro de la evaluación por US se incluyó la hipoecogenicidad y el volumen tiroideo. También se midió la excreción urinaria de yodo (UI). Resultados: la frecuencia de tiroiditis autoinmune fue de 8,4% (36/427), las mujeres fueron más afectadas que los hombres (11,6 vs. 4,3%, respectivamente, P = 0,008), cuando se sumó la tiroides atrófica, esta frecuencia se elevó al 15,7% (67/427) de los estudiados. El hipotiroidismo clínico fue detectado en el 1,2% (5/427) y el subclínico en el 5,6%. El hipertiroidismo clínico solo se observó en el 0,5% (2/427) y el subclínico en el 1,9%. El bocio se identificó en el 5,9% (25/427) de los voluntarios. La mediana de la UI fue de 267 μg/L, RIQ (161,3 – 482,5). Conclusiones: a pesar de las limitaciones de nuestro estudio, es clara la frecuencia incrementada de tiroiditis autoinmune en la población estudiada. Son necesarios más estudios que definan tanto la prevalencia de enfermedad tiroidea autoinmune como el estatus nutricional de yodo actual en nuestro país.

  15. Sandflies (Diptera: Psychodidae) in the Bar area of Montenegro (Yugoslavia).

    PubMed

    Ivović, V; Ivović, M; Miscević, Z

    2003-03-01

    The species and ecology of sandflies present in the coastal district of Bar, which lies in Montenegro, an endemic focus of visceral leishmaniasis (VL), were investigated in 1996-1999. A mean of 10 cases of VL and a greater number of viral infections (some of which are attributed to pathogens transmitted by sandflies) are diagnosed each year in this district. Phlebotomus papatasi, P. perfiliewi, P. tobbi, P. neglectus and Sergentomyia minuta were collected, P. perfiliewi being recorded for the first time in Montenegro. The ecology and distribution of each of these five species are described and their role, if any, in the transmission of Leishmania to humans is discussed.

  16. Notes and Discussion: White-tailed deer (Odocoileus virginianus) predation on grassland songbird nestlings

    USGS Publications Warehouse

    Pietz, P.J.; Granfors, D.A.

    2000-01-01

    White-tailed deer (odocoileus virginianus) were videotaped depredating four songbird nests in grassland habitats in southeastern and northcentral North Dakota, 1996-1999. Deer ate two Savannah sparrow (Passerculus sandwichensis), two grasshopper sparrow (Ammodramus savannarum), one clay-colored sparrow (Spizella pallida), one red-winged blackbird (Agelaius phoeniceus) and three brown-headed cowbird (Molothrus ater) nestlings. Deer removed nestlings quickly (5-19 sec/nest) at night (22:00 to 05:17 Central Daylight Time) and left no evidence of predation. Although probably opportunistic, deer predations clearly were deliberate and likely are more common than generally believed.

  17. White-tailed deer (Odocoileus virginianus) predation on grassland songbird nestlings

    USGS Publications Warehouse

    Pietz, Pamela J.; Granfors, Diane A.

    2000-01-01

    White-tailed deer (Odocoileus virginianus) were videotaped depredating four songbird nests in grassland habitats in southeastern and northcentral North Dakota, 1996-1999. Deer ate two Savannah sparrow (Passerculus sandwichensis), two grasshopper sparrow (Ammodramus savannarum), one clay-colored sparrow (Spizella pallida), one red-winged blackbird (Agelaius phoeniceus) and three brown-headed cowbird (Molothrus ater) nestlings. Deer removed nestlings quickly (5-19 sec/nest) at night (22:00 to 05:17 Central Daylight Time) and left no evidence of predation. Although probably opportunistic, deer predations clearly were deliberate and likely are more common than generally believed.

  18. Dwarf galaxies: quantity and varietyÂ

    NASA Astrophysics Data System (ADS)

    Cellone, S. A.; Buzzoni, A.

    The structural properties and stellar populations of 79 low- and intermediate-luminosity galaxies in the NGC5044 Group are analized. The galaxies in the sample are re-classified into different morphological subgroups, with emphasis on the identification of objects showing a bulge+disk structure. The behaviour of their properties against their (projected) position within the group is addressed, looking for evidences for possible environmental effects. The observations were obtained at ESO (1999-2000) and CASLEO (1996-1999). Nearly 50% of the data presented here are new. FULL TEXT IN SPANISH

  19. Prince Edward Island Heart Health Dissemination Research Project: establishing a sustainable community mobilization initiative.

    PubMed

    White, R; Mitchell, T; Gyorfi-Dyke, E; Sweet, L; Hebert, R; Moase, O; MacPhee, R; MacDonald, B

    2001-01-01

    This paper provides an overview of the Prince Edward Island Heart Health Program (PEIHHP) Dissemination Research Project. Prince Edward Island (PEI) is a small province in the Atlantic region of Canada with a population of 137,980. The Island's economy is dependent on the fishery, agriculture, and tourism industries. Although unemployment rates are high (14.4%), Prince Edward Island has the lowest poverty rate in the country at 15.2%, high levels of social support (86%), and the second lowest rate of high chronic stress (Report on the Health of Canadians, 1996, 1999).

  20. First record of Megacydnus secundus J. A. Lis, 2002, a representative of Afrotropical endemic burrower bug genus from Uganda, and an annotated checklist of Ugandan Cydnidae (Hemiptera: Heteroptera).

    PubMed

    Lis, Jerzy A; Lis, Barbara

    2014-05-14

    The Cydnidae (Hemiptera: Heteroptera: Pentatomoidea) is a true bug family with almost 700 species distributed worldwide (Lis 1996, 1999, 2006). These bugs usually dig in the ground (e.g., sand, soil, litter) and, therefore, are commonly known as the burrower bugs or burrowing bugs. Digging in the ground is possible because of several morphological adaptations, including well-developed tibial combs (Lis and Schaefer 2005), coxal combs (Lis 2010), and strong hair-like and peg-like setae on the head margins in larval and adult stages (Lis and Pluot-Sigwalt 2002) (see: Fig. 1A).

  1. A case study of carbon fluxes from land change in the southwest Brazilian Amazon

    USGS Publications Warehouse

    Barrett, K.; Rogan, J.; Eastman, J.R.

    2009-01-01

    Worldwide, land change is responsible for one-fifth of anthropogenic carbon emissions. In Brazil, three-quarters of carbon emissions originate from land change. This study represents a municipal-scale study of carbon fluxes from vegetation in Rio Branco, Brazil. Land-cover maps of pasture, forest, and secondary growth from 1993, 1996, 1999, and 2003 were produced using an unsupervised classification method (overall accuracy = 89%). Carbon fluxes from land change over the decade of imagery were estimated from transitions between land-cover categories for each time interval. This article presents new methods for estimating emissions reductions from carbon stored in the vegetation that replaces forests (e.g., pasture) and sequestration by new (>10-15 years) forests, which reduced gross emissions by 16, 15, and 22% for the period of 1993-1996, 1996-1999, and 1999-2003, respectively. The methods used in the analysis are broadly applicable and provide a comprehensive characterization of regional-scale carbon fluxes from land change.

  2. National trends in the antipsychotic treatment of psychiatric outpatients with anxiety disorders.

    PubMed

    Comer, Jonathan S; Mojtabai, Ramin; Olfson, Mark

    2011-10-01

    The purpose of the present study was to examine patterns and recent trends in the antipsychotic medication treatment of anxiety disorders among visits to office-based psychiatrists in the United States. Annual data from the 1996-2007 National Ambulatory Medical Care Survey were analyzed to examine the patterns and trends in antipsychotic medication treatment within a nationally representative sample of 4,166 visits to office-based psychiatrists in which an anxiety disorder was diagnosed. Across the 12-year period, antipsychotic prescriptions in visits for anxiety disorders increased from 10.6% (1996-1999) to 21.3% (2004-2007). Over the study period, the largest increase in antipsychotic prescribing occurred among new patient visits. Antipsychotic prescribing also significantly increased among privately insured visits and visits in which neither antidepressants nor sedative/hypnotics were prescribed. Among the common anxiety disorder diagnoses, the largest increase in antipsychotic medication treatment was observed in visits for panic disorder. Antipsychotic prescribing rose from 6.9% (1996-1999) to 14.5% (2004-2007) among visits for anxiety disorders in which there were no co-occurring diagnoses with an indication approved by the Food and Drug Administration for antipsychotic medications. Although little is known about their effectiveness for anxiety disorders, antipsychotic medications are becoming increasingly prescribed to psychiatric outpatients with these disorders.

  3. [Serum hormones that regulate the reproductive axis in men with testicular germ cell cancer and its impact on fertility].

    PubMed

    Tovar-Rodríguez, José María; Chávez-Zúñiga, Irma; Bañuelos-Ávila, Leticia; Vargas-Hernández, Víctor Manuel; Acosta-Altamirano, Gustavo

    2014-01-01

    Antecedentes: los estudios epidemiológicos tratan al cáncer germinal de testículo como una sola patología, el comportamiento de los dos tipos histológicos: el seminoma y no seminoma tienen diferencias en la secreción de hormonas reproductivas y alteran la fertilidad de forma diferente. Objetivo: demostrar que la concentración sérica de las hormonas hipofisarias que intervienen en la fertilidad y espermatogénesis en el varón afectado es diferente en los dos tipos histológicos. Material y métodos: estudio clínico, prospectivo, transversal, comparativo de tres grupos de pacientes. Por medio de radioinmunoensayo o ensayo inmunorradiométrico se determinaron las concentraciones de: hormona luteinizante, hormona folículo estimulante, testosterona total, prolactina, estradiol, gonadotropina coriónica humana y alfa feto proteína en suero de 37 pacientes (15 seminoma, y 22 no seminoma) y 35 controles. Se analizó el semen de los pacientes y se les interrogó acerca de su satisfacción de paternidad antes del diagnóstico de cáncer. Resultados: los pacientes con cáncer tipo seminoma fueron de mayor edad, se encontró disminución de: hormona luteinizante, hormona folículo estimulante y testosterona; aumento de: estradiol y prolactina en cáncer no seminoma, en comparación con seminoma. En los pacientes con no seminoma 9 ya tenían hijos, 5 eran oligozoospérmicos, 3 azoospérmicos y 6 con concentración normal 8 no proporcionaron muestra; en el grupo de seminona, 8 ya tenían hijos, sólo 1 azoospérmico; 9 concentración normal, y 5 no proporcionaron muestra. Conclusiones: el comportamiento hormonal es diferente en los hombres con cáncer no seminoma en comparación con los de seminoma, por lo que la repercusión negativa en el eje reproductor y fertilidad es mayor en los casos de no seminoma.

  4. Antiretroviral Regimen Durability and Success in Treatment-Naive and Treatment-Experienced Patients by Year of Treatment Initiation, United States, 1996-2011.

    PubMed

    Sheth, Anandi N; Ofotokun, Ighovwerha; Buchacz, Kate; Armon, Carl; Chmiel, Joan S; Hart, Rachel L D; Baker, Rose; Brooks, John T; Palella, Frank J

    2016-01-01

    Although modern combination antiretroviral therapy (cART) regimens are better tolerated and less complex than earlier treatments, regimen modification or discontinuation remains a concern. We studied HIV Outpatient Study (HOPS) participants who initiated the first or second cART regimens during: 1996-1999, 2000-2003, 2004-2007, and 2008-2011. We analyzed regimen durability (time to regimen modification) and success (achieving undetectable plasma HIV RNA) for the first and second cART regimens using Kaplan-Meier curves and log-rank tests, and examined factors associated with durability and success of the first cART regimen using proportional hazards models. Durability of cART was progressively longer for cART regimens initiated in more recent periods: median first cART regimen durations were 1.0, 1.1, 2.1, and 4.6 years in 1996-1999, 2000-2003, 2004-2007, and 2008-2011, and the median second cART durations were 0.9, 1.2, 2.8, and 3.9 years, respectively (both P < 0.001). Comparing 1996-1999 and 2008-2011, the percentage of patients who achieved an undetectable HIV RNA within 6 months of first cART initiation increased from 65% to 81% and from 63% to 80% on second cART (both P < 0.001). Among patients initiating first cART during 2008-2011, black non-Hispanic/Latino race/ethnicity and ≥ twice-daily dosing were significantly associated with higher rates of regimen modification (P < 0.05), and higher baseline HIV RNA levels were associated with failure to achieve an undetectable HIV RNA (P < 0.001). Among HIV-infected U.S. adults in routine HIV care, durability of the first and second cART regimens and the likelihood of prompt virological suppression increased during 1996-2011, coincident with the availability of more tolerable, less complex cART options.

  5. [Programme review of somatropin deficit in pediatrics at the Hospital Universitario Virgen del Rocío].

    PubMed

    Lavaredas, A; de la Puerta, R; Álvarez del Vayo, C

    2013-01-01

    Objetivo: Elaborar una revisión del programa de déficit de somatropina aplicado en pediatría en el Hospital Universitario Virgen del Rocío, utilizando dos grupos de pacientes, los diagnosticados con déficit de esta hormona y los nacidos pequeños para edad gestacional, con la intención de evaluar su efectividad en el primer año de tratamiento. Método: Realización de un estudio retrospectivo de la cohorte de pacientes en tratamiento con la hormona del crecimiento bajo los diagnósticos mencionados, con metodología observacional y transversal, a los cuales se aplicó un análisis estadístico con el programa Statistical Package for Social Sciences®. Resultados: Tras inicio del tratamiento la velocidad de crecimiento y la talla aumentaron y la edad ósea se aproximó a la edad cronológica. En los dos grupos tratados, en el primer año de tratamiento fueron los pacientes del sexo femenino con edad comprendida entre los 0 a 12 años con déficit de la hormona del crecimiento que respondieron mejor a la terapéutica establecida. Conclusiones: Pudimos observar que el tratamiento instituido se presentó altamente efectivo en ambos grupos de pacientes, permitiendo obtener un aumento favorable de estatura.

  6. [Hypothyroidism incidence and thyrotropin serum levels in newborns].

    PubMed

    Topete-González, Luz Rosalba; Ramirez-Garcia, Sergio Alberto; Macías-López, Griselda Guadalupe; Troyo-Sanromán, Rogelio; Ramos-Ramírez, Irma Mirella; Elizondo-Rueda, María Elizabeth Margarita; Dávalos-Rodríguez, Nory; González-Gamez, Jaime Guillermo; Cabrera-Pivaral, Carlos Enrique

    2013-01-01

    Introducción: el hipotiroidismo congénito ocupa el tercer lugar de las enfermedades hereditarias subclínicas en México. Los neonatos con hipofunción total o parcial de la glándula tiroides presentan concentraciones altas de la tirotropina, lo que permite identificar los casos probables con riesgo para desarrollar hipotiroidismo mediante las pruebas de tamiz. El objetivo de esta investigación fue determinar la incidencia de hipotiroidismo congénito neonatal en los recién nacidos y establecer el valor de corte en el ensayo de la prueba de tamiz. Métodos: se procesaron 4049 muestras de sangre de cordón umbilical de recién nacidos. Se cuantificó la hormona estimulante de la tiroides mediante ELISA. A los niños con valores elevados se les realizó la prueba confirmatoria mediante ensayo inmunoenzimático de micropartículas. Resultados: se identificó una incidencia de hipotiroidismo de 1.2 por cada 1000 recién nacidos. El valor de corte para la hormona estimulante de la tiroides fue de 26.63 mUI/L en la prueba de tamiz. Conclusiones: los valores de la hormona estimulante de la tiroides mostraron una distribución diferente a los de otras investigaciones en población mexicana, así como una incidencia más elevada de hipotiroidismo.

  7. Characterization of yield reduction in Ethiopia using a GIS-based crop water balance model

    USGS Publications Warehouse

    Senay, G.B.; Verdin, J.

    2003-01-01

    In many parts of sub-Saharan Africa, subsistence agriculture is characterized by significant fluctuations in yield and production due to variations in moisture availability to staple crops. Widespread drought can lead to crop failures, with associated deterioration in food security. Ground data collection networks are sparse, so methods using geospatial rainfall estimates derived from satellite and gauge observations, where available, have been developed to calculate seasonal crop water balances. Using conventional crop production data for 4 years in Ethiopia (1996-1999), it was found that water-limited and water-unlimited growing regions can be distinguished. Furthermore, maize growing conditions are also indicative of conditions for sorghum. However, another major staple, teff, was found to behave sufficiently differently from maize to warrant studies of its own.

  8. Final Technical Report, Grant DE-FG02-87ER13714, "Fundamental Studies of Metastable Liquids"

    SciTech Connect

    Pablo G. Debenedetti

    2009-03-09

    Grant DE-FG02-87ER13714 supported fundamental work on the physical properties of metastable liquids from 6/1/87 to 4/30/08. Renewal proposals were submitted every three years (1990, 1993, 1996, 1999, 2002, 2005), and included, in every case, a detailed Final Technical Report on the previous three years. Accordingly, the bulk of this report covers the final 2-year period 5/1/06 to 4/30/08 of this grant, which is not covered in any of the previous Final Technical Reports. This is preceded by a brief overview of the main research objectives and principal accomplishments during these very fruitful and productive 21 years of DOE-funded research.

  9. [Military medicine and medicine of accidents].

    PubMed

    Chizh, I M

    2010-09-01

    The article presents an observe of such parts of military medicine as intensive aid and operative treatment on the place of case, contestation against infectious diseases, preservation of psychic health, medical and social rehabilitation. Were lighted successful activity of military physicians during liquidation of Chernobyl accident (1986), earthquakes in Armenia (1988), railway accident in Bashkiria (1989) and other accidents. Experience of military medicine (particularly using medical units of special purposes) was used in proving of conception of medicine of accidents, and in organization of medical supply of troops in armed conflicts of restricted scale--in effectuating of antiterrorist operations in Northern Caucasus (1994-1996, 1999-2002), in effectuating of peacemaking operation in Kosovo (1999-2003), natural disasters.

  10. Legal Status and Wage Disparities for Mexican Immigrants

    PubMed Central

    Hall, Matthew; Greenman, Emily; Farkas, George

    2014-01-01

    This paper employs a unique method of imputing the legal status of Mexican immigrants in the 1996-1999 and 2001-2003 panels of the Survey of Income and Program Participation to provide new evidence of the role of legal authorization in the U.S. on workers’ wages. Using growth curve techniques, we estimate wage trajectories for four groups: documented Mexican immigrants, undocumented Mexican immigrants, U.S-born Mexican Americans, and native non-Latino whites. Our estimates reveal a 17 percent wage disparity between documented and undocumented Mexican immigrant men, and a 9 percent documented-undocumented wage disparity for Mexican immigrant women. We also find that in comparison to authorized Mexicans, undocumented Mexican immigrants have lower returns to human capital and slower wage growth. PMID:25414526

  11. Youth and AIDS--a study of attitudes, knowledge, behavior and risks in the post-war Croatia.

    PubMed

    Pavicić, Dino; Oresković, Stipe; Rudan, Igor; Rudan, Diana; Bozicević, Ivana; Bistrović, Dragica; Vrdoljak, Andrea; Vorko-Jović, Ariana; Biloglav, Zrinka; Kolarić, Branko; Kujundzić-Tiljak, Mirjana; Sonicki, Zdenko; Vuletić, Gorka; Fajdić, Josip; Polasek, Ozren; Kolcić, Ivana; Serdar, Svjetlana; Troskot, Rosana; Saftić, Vanja; Rudan, Pavao

    2003-06-01

    According to the latest reports, the Eastern Europe currently exhibits the greatest relative increase in the number of newly registered HIV infections in the world. At the same time, Central Europe remains relatively spared from the epidemic, with reported rates significantly lower than those in both Eastern and Western Europe. Croatia geographically affiliates to Central Europe, but it has two specific potential risk factors in comparison to neighboring countries: recent War events and a summer season when immigration of large number of tourists from Central and Eastern Europe is expected. Therefore, it is critical to examine AIDS attitudes in young people, increase their knowledge, monitor their behavior and warn on risks in order to prevent larger spread of epidemics from Eastern Europe to Croatia. In this study, we report on a large related survey and education program among 17-year-old high school pupils that was conducted in years immediately following the War (1996-1999).

  12. Pacific and Atlantic Ocean influences on multidecadal drought frequency in the United States

    PubMed Central

    McCabe, Gregory J.; Palecki, Michael A.; Betancourt, Julio L.

    2004-01-01

    More than half (52%) of the spatial and temporal variance in multidecadal drought frequency over the conterminous United States is attributable to the Pacific Decadal Oscillation (PDO) and the Atlantic Multidecadal Oscillation (AMO). An additional 22% of the variance in drought frequency is related to a complex spatial pattern of positive and negative trends in drought occurrence possibly related to increasing Northern Hemisphere temperatures or some other unidirectional climate trend. Recent droughts with broad impacts over the conterminous U.S. (1996, 1999–2002) were associated with North Atlantic warming (positive AMO) and northeastern and tropical Pacific cooling (negative PDO). Much of the long-term predictability of drought frequency may reside in the multidecadal behavior of the North Atlantic Ocean. Should the current positive AMO (warm North Atlantic) conditions persist into the upcoming decade, we suggest two possible drought scenarios that resemble the continental-scale patterns of the 1930s (positive PDO) and 1950s (negative PDO) drought. PMID:15016919

  13. Evaluation of the agreement between modeled and monitored ambient hazardous air pollutants in California.

    PubMed

    Garcia, Erika; Hurley, Susan; Nelson, David O; Gunier, Robert B; Hertz, Andrew; Reynolds, Peggy

    2014-08-01

    Elevated breast cancer incidence rates in urban areas have led to speculation regarding the potential role of air pollution. In order to inform the exposure assessment for a subsequent breast cancer study, we evaluated agreement between modeled and monitored hazardous air pollutants (HAPs). Modeled annual ambient concentrations of HAPs in California came from the US Environmental Protection Agency's National Air Toxics Assessment database for 1996, 1999, 2002, and 2005 and corresponding monitored data from the California Air Resources Board's air quality monitoring program. We selected 12 compounds of interest for our study and focused on evaluating agreement between modeled and monitored data, and of temporal trends. Modeled data generally underestimated the monitored data, especially in 1996. For most compounds agreement between modeled and monitored concentrations improved over time. We concluded that 2002 and 2005 modeled data agree best with monitored data and are the most appropriate years for direct use in our subsequent epidemiologic analysis.

  14. An Overview of hydrogen production from KRW oxygen-blown gasification with carbon dioxide recovery

    SciTech Connect

    Doctor, R. D.; Brockmeier, N. F.; Molburg, J. C.; Thimmapuram, P.; Chess, K. L.

    2000-08-31

    All the process elements are commercially available to operate coal gasification so that it can produce electricity, hydrogen, and carbon dioxide while delivering the same quantity of power as without H{sub 2} and CO{sub 2} recovery. To assess the overall impact of such a scheme, a full-energy cycle must be investigated (Figure 1). Figure 2 is a process flow diagram for a KRW oxygen-blown integrated gasification combined-cycle (IGCC) plant that produces electricity, H{sub 2}, and supercritical CO{sub 2}. This system was studied in a full-energy cycle analysis, extending from the coal mine to the final destination of the gaseous product streams [Doctor et al. 1996, 1999], on the basis of an earlier study [Gallaspy et al. 1990]. The authors report the results of updating these studies to use current turbine performance.

  15. Pacific and Atlantic Ocean influences on multidecadal drought frequency in the United States

    USGS Publications Warehouse

    McCabe, G.J.; Palecki, M.A.; Betancourt, J.L.

    2004-01-01

    More than half (52%) of the spatial and temporal variance in multidecadal drought frequency over the conterminous United States is attributable to the Pacific Decadal Oscillation (PDO) and the Atlantic Multidecadal Oscillation (AMO). An additional 22% of the variance in drought frequency is related to a complex spatial pattern of positive and negative trends in drought occurrence possibly related to increasing Northern Hemisphere temperatures or some other unidirectional climate trend. Recent droughts with broad impacts over the conterminous U.S. (1996, 1999-2002) were associated with North Atlantic warming (positive AMO) and north-eastern and tropical Pacific cooling (negative PDO). Much of the long-term predictability of drought frequency may reside in the multidecadal behavior of the North Atlantic Ocean. Should the current positive AMO (warm North Atlantic) conditions persist into the upcoming decade, we suggest two possible drought scenarios that resemble the continental-scale patterns of the 1930s (positive PDO) and 1950s (negative PDO) drought.

  16. Occupational exposures of nuclear power plant workers in Finland.

    PubMed

    Alm-Lytz, K; Riihiluoma, V; Hyvönen, H

    2001-01-01

    In Finland, the Radiation and Nuclear Safety Authority (STUK) maintains a central dose register where all occupational doses of radiation workers are recorded. The computerised register enables easy control of personal doses, including annual, 5 year and lifetime doses. The type of radiation work is also recorded in the dose register. Finland was one of the first countries in the world to introduce dose limits based on the recommendations of ICRP 60. In this article, the radiation dose data of the Finnish nuclear power plant workers are analysed. The majority of the radiation doses are received during the maintenance outages. The trend of the 5 year doses and their distribution are presented. Doses received during different work assignments were averaged over the years 1996-1999 and they are also discussed in this article.

  17. Tropical Tropospheric Ozone: A Multi-Satellite View From TOMS and Other Instruments

    NASA Technical Reports Server (NTRS)

    Thompson, Anne M.; Hudson, Robert D.; Guo, Hua; Witte, Jacquelyn C.; Kucsera, Tom L.; Seybold, Matthew G.; Einaudi, Franco (Technical Monitor)

    2000-01-01

    New tropospheric ozone and aerosol products from the TOMS (Total Ozone Mapping Spectrometer) satellite instrument can resolve episodic pollution events in the tropics and interannual and seasonal variability. Modified-residual (MR) Nimbus 7 tropical tropospheric ozone (TTO), two maps/month (1979-1992, 1-deg latitude by 2-deg longitude) within the region in which total ozone displays a tropical wave-one pattern (maximum 20S to 20N), are available in digital form at http://metosrv2.umd.edu/tropo. Also available are preliminary 1996-1999 MR-TTO maps based on real-time Earth-Probe (EP)/TOMS observations. Examples of applications are given.

  18. Influence of contaminated drinking water on perfluoroalkyl acid levels in human serum--A case study from Uppsala, Sweden.

    PubMed

    Gyllenhammar, Irina; Berger, Urs; Sundström, Maria; McCleaf, Philip; Eurén, Karin; Eriksson, Sara; Ahlgren, Sven; Lignell, Sanna; Aune, Marie; Kotova, Natalia; Glynn, Anders

    2015-07-01

    In 2012 a contamination of drinking water with perfluoroalkyl acids (PFAAs) was uncovered in the City of Uppsala, Sweden. The aim of the present study was to determine how these substances have been distributed from the contamination source through the groundwater to the drinking water and how the drinking water exposure has influenced the levels of PFAAs in humans over time. The results show that PFAA levels in groundwater measured 2012-2014 decreased downstream from the point source, although high ΣPFAA levels (>100ng/L) were still found several kilometers from the point source in the Uppsala aquifer. The usage of aqueous film forming fire-fighting foams (AFFF) at a military airport in the north of the city is probably an important contamination source. Computer simulation of the distribution of PFAA-contaminated drinking water throughout the City using a hydraulic model of the pipeline network suggested that consumers in the western and southern parts of Uppsala have received most of the contaminated drinking water. PFAA levels in blood serum from 297 young women from Uppsala County, Sweden, sampled during 1996-1999 and 2008-2011 were analyzed. Significantly higher concentrations of perfluorobutane sulfonic acid (PFBS) and perfluorohexane sulfonic acid (PFHxS) were found among women who lived in districts modeled to have received contaminated drinking water compared to unaffected districts both in 1996-1999 and 2008-2011, indicating that the contamination was already present in the late 1990s. Isomer-specific analysis of PFHxS in serum showed that women in districts with contaminated drinking water also had an increased percentage of branched isomers. Our results further indicate that exposure via contaminated drinking water was the driving factor behind the earlier reported increasing temporal trends of PFBS and PFHxS in blood serum from young women in Uppsala.

  19. Transient hyperthyroidism after total laryngectomy for laryngeal cancer.

    PubMed

    Salazar Thieroldt, Eduardo; Boado Lama, Jorge; Molinero Abad, Sheila; Miján de la Torre, Alberto

    2014-10-24

    Introducción: La tiroitidis postquirúrgica es una complicación de la laringectomía total (TL) y pueden ser causada por manipulación de la glándula. Existen descripciones aisladas en la literatura referentes a hipertiroidismo transitorio (HT) en el postoperatorio de cirugía de cabeza y cuello. El objetivo del presente estudio es relacionar la frecuencia de HT tras TL y evaluar su relación con el procedimiento quirúrgico. Métodos: Estudio de cohorte retrospectiva. Se incluyeron 44 pacientes y se estratificaron en Grupo 1 (TL y faringectomía), y grupo 2 (TL y disección cervical). Se midió la función tiroidea postoperatoria a todos los pacientes. Los resultados fueron analizados con el test de chi cuadrado con corrección de Yates y OR (p.

  20. Calibration of remotely sensed, coarse resolution NDVI to CO2 fluxes in a sagebrush-steppe ecosystem

    USGS Publications Warehouse

    Wylie, B.K.; Johnson, D.A.; Laca, Emilio; Saliendra, Nicanor Z.; Gilmanov, T.G.; Reed, B.C.; Tieszen, L.L.; Worstell, B.B.

    2003-01-01

    The net ecosystem exchange (NEE) of carbon flux can be partitioned into gross primary productivity (GPP) and respiration (R). The contribution of remote sensing and modeling holds the potential to predict these components and map them spatially and temporally. This has obvious utility to quantify carbon sink and source relationships and to identify improved land management strategies for optimizing carbon sequestration. The objective of our study was to evaluate prediction of 14-day average daytime CO2 fluxes (Fday) and nighttime CO2 fluxes (Rn) using remote sensing and other data. Fday and Rn were measured with a Bowen ratio-energy balance (BREB) technique in a sagebrush (Artemisia spp.)-steppe ecosystem in northeast Idaho, USA, during 1996-1999. Micrometeorological variables aggregated across 14-day periods and time-integrated Advanced Very High Resolution Radiometer (AVHRR) Normalized Difference Vegetation Index (iNDVI) were determined during four growing seasons (1996-1999) and used to predict Fday and Rn. We found that iNDVI was a strong predictor of Fday (R2 = 0.79, n = 66, P < 0.0001). Inclusion of evapotranspiration in the predictive equation led to improved predictions of Fday (R2= 0.82, n = 66, P < 0.0001). Crossvalidation indicated that regression tree predictions of Fday were prone to overfitting and that linear regression models were more robust. Multiple regression and regression tree models predicted Rn quite well (R2 = 0.75-0.77, n = 66) with the regression tree model being slightly more robust in crossvalidation. Temporal mapping of Fday and Rn is possible with these techniques and would allow the assessment of NEE in sagebrush-steppe ecosystems. Simulations of periodic Fday measurements, as might be provided by a mobile flux tower, indicated that such measurements could be used in combination with iNDVI to accurately predict Fday. These periodic measurements could maximize the utility of expensive flux towers for evaluating various carbon

  1. Macro determinants of cause-specific injury mortality in the OECD countries: an exploration of the importance of GDP and unemployment.

    PubMed

    Muazzam, Sana; Nasrullah, Muazzam

    2011-08-01

    Gross Domestic Product (GDP) and unemployment has a strong documented impact on injury mortality. The aim of our study is to investigate the relationship of GDP per capita and unemployment with gender- and cause-specific injury mortalities in the member nations of Organization for Economic Cooperation and Development (OECD). Country-based data on injury mortality per 100,000 population, including males and females aged 1-74, for the 4 year period 1996-1999, were gathered from the World Health Organization's Statistical Information System. We selected fourteen cause-specific injury mortalities. Data on GDP, unemployment rate and population growth were taken from World Development Indicators. GDP and unemployment rate per 100 separately were regressed on total and cause-specific injury mortality rate per 100,000 for males and females. Overall in the OECD countries, GDP per capita increased 12.5% during 1996-1999 (P = 0.03) where as unemployment rate decreased by 12.3% (P = 0.05). Among males, most cause-specific injury mortality rates decreased with increasing GDP except motor vehicle traffic crashes (MTC) that increased with increasing GDP (coefficient = 0.75; P < 0.001). Similar trend was found in females, except suicidal injury mortalities that also increased with increasing GDP (coefficient = 0.31; P = 0.04). When we modeled cause-specific injury mortality rates with unemployment, injuries due to firearm missiles (coefficient = 0.53; P < 0.001), homicide (coefficient = 0.36; P < 0.001), and other violence (coefficient = 0.41; P < 0.001) increased with increase in unemployment rate among males. However, among females only accidental falls (coefficient = 0.36; P = 0.01) were found significantly associated with increasing unemployment rate. GDP is more related to cause-specific injury mortality than unemployment. Injury mortality does not relate similarly to each diagnosis-specific cause among males and females. Further research on

  2. Survival of wood duck ducklings and broods in Mississippi and Alabama

    USGS Publications Warehouse

    Davis, J.B.; Cox, R.R.; Kaminski, R.M.; Leopold, B.D.

    2007-01-01

    Although North American wood ducks (Aix sponsa) are well-studied throughout their range, researchers know little about demographic and environmental factors influencing survival of ducklings and broods, which is necessary information for population management. We studied radiomarked female and duckling wood ducks that used nest boxes and palustrine wetlands at Noxubee National Wildlife Refuge (NNWR) in Mississippi, USA, in 1996-1999, and riverine wetlands of the Tennessee-Tombigbee Rivers and Waterway (TTRW) system in Alabama in 1998-1999. We estimated survival of ducklings and broods and evaluated potentially important predictors of duckling survival, including age and body mass of brood-rearing females, hatch date of ducklings, duckling mass, brood size at nest departure, inter-day travel distance by ducklings, site and habitat use, and daily minimum air temperature and precipitation. At NNWR, survival of 300 radiomarked ducklings ranged from 0.15 (95% CI = 0.04-0.27) to 0.24 (95% CI = 0.13-0.38) and was 0.21 (95% CI = 0.15-0.28) for 1996-1999. Our overall estimate of brood survival was 0.64 (n = 91; 95% CI = 0.54-0.73). At TTRW, survival of 129 radiomarked ducklings was 0.29 in 1998 (95% CI = 0.20-0.41) and 1999 (95% CI = 0.13-0.45) and was 0.29 (95% CI = 0.20-0.40) for 1998-1999. Our overall estimate of brood survival was 0.71 (n = 38; 95% CI = 0.56-0.85). At NNWR, models that included all predictor variables best explained variation in duckling survival. Akaike weight (wi) for the best model was 0.81, suggesting it was superior to other models (<0.01 ??? wi ???0.18). We detected 4 competing models for duckling survival at TTRW. Inter-day distance traveled by ducklings was important as this variable appeared in all 4 models; duckling survival was positively related to this variable. Patterns of habitat-related survival were similar at both study areas. Ducklings in broods that used scrub-shrub habitats disjunct from wetlands containing aggregations of nest

  3. [Chronic hypocalcemia due to anti-calcium sensing receptor antibodies].

    PubMed

    Marques, Pedro; Santos, Rita; Cavaco, Branca; Leite, Valeriano

    2014-01-01

    Introdução: O hipoparatiroidismo cursa com hipocalcemia e é mais frequentemente registado após cirurgia cervical. A etiologia autoimune é mais rara e difícil de diagnosticar. Caso clínico: Mulher, 52 anos, sem antecedentes pessoais, medicamentosos ou familiares relevantes, referenciada por hipocalcemia e calcificação dos núcleos da base, detetados no decurso de investigação de quadro de mialgias. Além de hipocalcemia (4,6 mg/dL), foi verificada hiperfosfatemia (8,7 mg/dL), hormona paratiroideia indetetável, calciúria, fosfatúria e magnesúria baixas. A análise molecular do gene CaSR excluiu mutações germinais. A pesquisa de anticorpos anti-receptor sensível do cálcio (anti-CaSR) foi positiva. Atualmente está assintomática e normocalcémica sob terapêutica com cálcio e vitamina D. Discussão: Embora rara, a hipocalcemia por hipoparatiroidismo autoimune deve ponderar-se em adultos sem antecedentes de cirurgia cervical, medicação hipocalcemiante, história familiar ou fenótipo sugestivo de doença genética. Hormona paratiroideia diminuída ou indetetável exclui pseudohipoparatiroidismo e a positividade para anti-CaSR confirma o diagnóstico.

  4. Exposure to motor vehicle emissions: An intake fraction approach

    SciTech Connect

    Marshall, Julian D.

    2002-05-22

    Motor vehicles are a significant source of population exposure to air pollution. Focusing on California's South Coast Air Basin as a case study, the author combines ambient monitoring station data with hourly time-activity patterns to determine the population intake of motor vehicle emissions during 1996-1999. Three microenvironments are considered wherein the exposure to motor vehicle emissions is higher than in ambient air: in and near vehicles, inside a building that is near a freeway, and inside a residence with an attached garage. Total motor vehicle emissions are taken from the EMFAC model. The 15 million people in the South Coast inhale 0.0048% of primary, nonreactive compounds emitted into the basin by motor vehicles. Intake of motor vehicle emissions is 46% higher than the average ambient concentration times the average breathing rate, because of microenvironments and because of temporal and spatial correlation among breathing rates, concentrations, and population densities. Intake fraction (iF) summarizes the emissions-to-intake relationship as the ratio of population intake to total emissions. iF is a population level exposure metric that incorporates spatial, temporal, and interindividual variability in exposures. iFs can facilitate the calculation of population exposures by distilling complex emissions-transport-receptor relationships. The author demonstrates this point by predicting the population intake of various primary gaseous emissions from motor vehicles, based on the intake fraction for benzene and carbon monoxide.

  5. The association between mountaintop mining and birth defects among live births in central Appalachia, 1996-2003.

    PubMed

    Ahern, Melissa M; Hendryx, Michael; Conley, Jamison; Fedorko, Evan; Ducatman, Alan; Zullig, Keith J

    2011-08-01

    Birth defects are examined in mountaintop coal mining areas compared to other coal mining areas and non-mining areas of central Appalachia. The study hypothesis is that higher birth-defect rates are present in mountaintop mining areas. National Center for Health Statistics natality files were used to analyze 1996-2003 live births in four Central Appalachian states (N=1,889,071). Poisson regression models that control for covariates compare birth defect prevalence rates associated with maternal residence in county mining type: mountaintop mining areas, other mining areas, or non-mining areas. The prevalence rate ratio (PRR) for any birth defect was significantly higher in mountaintop mining areas compared to non-mining areas (PRR=1.26, 95% CI=1.21, 1.32), after controlling for covariates. Rates were significantly higher in mountaintop mining areas for six of seven types of defects: circulatory/respiratory, central nervous system, musculoskeletal, gastrointestinal, urogenital, and 'other'. There was evidence that mountaintop mining effects became more pronounced in the latter years (2000-2003) versus earlier years (1996-1999.) Spatial correlation between mountaintop mining and birth defects was also present, suggesting effects of mountaintop mining in a focal county on birth defects in neighboring counties. Elevated birth defect rates are partly a function of socioeconomic disadvantage, but remain elevated after controlling for those risks. Both socioeconomic and environmental influences in mountaintop mining areas may be contributing factors. Copyright © 2011 Elsevier Inc. All rights reserved.

  6. Seismic Reflection Image Under The Eastern Uplift Zone of Songliao Basin

    NASA Astrophysics Data System (ADS)

    Yang, Baojun; Liu, Cai

    Songliao Basin is the most important base of oil/gas industry in China. The basin includes 2 uplift zones: the northeastern and southeastern uplifts. In order to understand the formation's mechanism of the basin, 4 nearly vertical reflection profiles were required in these two uplifts during 1996-1999, 2 East-West reflecting profiles were undertaken in the northeastern uplift, and one East-West and another one nearly South-North profile were taken in the southeastern uplift. After seismic processing of thes e seismic data, we obtained the seismic reflection images of the crustal structure with two-way traveltime of 15s under these 4 profiles. There are two or three strong reflection events on these migrated sections. In the northeastern uplift, the two-way traveltime of Moho varies within the range of 9.6-11.3s for the northeastern uplift, and 9.7 -10.3s for the southeastern uplift. In this paper, we present the seismic features of these seismic profiles, and make some discussion about the crustal structure, geodynamic process in these uplifts of Songliao basin.

  7. Local health department perspectives on linkages among birthing hospitals.

    PubMed

    Strobino, Donna M; Silver, Gillian Beth; Allston, Adam A; Grason, Holly A

    2003-12-01

    To describe perinatal linkages among hospitals, changes in their numbers and their impact on relationships among high-risk providers in local communities. Data were obtained about the organization of perinatal services in 1996-1999 from a cross-sectional study evaluating fetal and infant mortality review (FIMR) programs nationwide. Geographic areas were sampled based on region, population density, and the presence of a FIMR. A local health department representative was interviewed in 76% (N=193) of eligible communities; 188 provided data about hospitals. Linkages among all hospitals were reported in 143 communities and with a subspecialty hospital in 122. All but 12 communities had a maternity hospital, and changes in the number of hospitals occurred in 49 communities. Decreases in the number of Level II hospitals were related to changes in relationships among providers of high-risk care for mothers and newborns; they were associated with changing relationships only for mothers in Level I hospitals. These relations were noted only where established provider relationships existed. Decreases in the number of maternity hospitals affect provider relationships in communities, but only where there are established linkages among hospitals.

  8. Economic-environmental modeling of point source pollution in Jefferson County, Alabama, USA.

    PubMed

    Kebede, Ellene; Schreiner, Dean F; Huluka, Gobena

    2002-05-01

    This paper uses an integrated economic-environmental model to assess the point source pollution from major industries in Jefferson County, Northern Alabama. Industrial expansion generates employment, income, and tax revenue for the public sector; however, it is also often associated with the discharge of chemical pollutants. Jefferson County is one of the largest industrial counties in Alabama that experienced smog warnings and ambient ozone concentration, 1996-1999. Past studies of chemical discharge from industries have used models to assess the pollution impact of individual plants. This study, however, uses an extended Input-Output (I-O) economic model with pollution emission coefficients to assess direct and indirect pollutant emission for several major industries in Jefferson County. The major findings of the study are: (a) the principal emission by the selected industries are volatile organic compounds (VOC) and these contribute to the ambient ozone concentration; (b) the direct and indirect emissions are significantly higher than the direct emission by some industries, indicating that an isolated analysis will underestimate the emission by an industry; (c) while low emission coefficient industries may suggest industry choice they may also emit the most hazardous chemicals. This study is limited by the assumptions made, and the data availability, however it provides a useful analytical tool for direct and cumulative emission estimation and generates insights on the complexity in choice of industries.

  9. Gastrointestinal parasites of working donkeys of Ethiopia.

    PubMed

    Getachew, M; Trawford, A; Feseha, G; Reid, S W J

    2010-01-01

    The general prevalence and population composition of gastrointestinal and pulmonary helminths of working donkeys were studied. For the purpose 2935 working donkeys were coprologically examined for nematode and cestode, and 215 donkeys for trematode infections. Seven donkeys that died due to various health problems or were euthanased on a welfare ground were necropsied and the parasites were recovered and identified to the species level. The study was conducted during the periods 1996-1999.Coprological examination revealed 99% strongyle, 80% Fasciola, 51% Parascaris, 30% Gastrodiscus, 11% Strongyloides westeri, 8% cestodes and 2% Oxyuris equi infection prevalence. Over 55% of donkeys had more than 1000 eggs per gram of faeces (epg). Forty two different species of parasites consisting of 33 nematodes, 3 trematodes, 3 cestodes and 3 arthropod larvae were identified from postmortem examined donkeys. Among the nematodes 17 species of Cyathostominae and 7 species of Strongylinae were identified. Other parasites identified include, Habronema muscae, Draschia megastoma, Trichostrongylus axei, Strongyloides westeri, Anoplocephala perfoliata, Anoplocephala magna, Anoplocephaloides (Paranoplocephala) mamillana, Parascaris equorum, Fasciola hepatica, Fasciola gigantica, Gastrodiscus aegyptiacus, Dictyocaulus arnfieldi, Oxyuris equi, Probstmayria vivipara, Gasterophilus intestinalis, Gasterophilus nasalis, Rhinoestrus uzbekistanicus and Setaria equina. This study revealed that working donkeys in Ethiopia are infected with a range of helminths and arthropod larvae, which are representatives of the important pathogenic parasites found in equids worldwide.

  10. Learning dementia care in three contexts: practical training in day-care, group dwelling and nursing home.

    PubMed

    Skog, M; Negussie, B; Grafström, M

    2000-07-01

    During the period 1996-1999, 18 licensed practical nurses (LPNs) received specialized training to become caregivers and mentors in the field of dementia care at the Silvia Home Foundation in Stockholm, Sweden. The aim of the study was to illuminate how the trainees utilized their practical training to learn about dementia care. The trainees gained practical training within three care models for elderly persons with dementia. The three forms of care and the context for practical training included the school's integrated day-care, a group dwelling and a nursing home. The findings show that the trainees made use of each training context in a similar fashion but there were differences between the contexts. A perspective of human dignity characterized the day-care. This was an opportunity for the nursing philosophy taught by the programme to be put to practical use, and for reflection and experiences pertaining to the individual patient to be developed. In the group dwelling, the trainees encountered patients with different forms of dementia and studied how the care-giving could be adapted to the individual patient's symptoms - the disease perspective. In the nursing home, the trainees chose a staff perspective in which they focused on organization, management and working conditions as well as staff attitudes and the effects of these factors on patient care.

  11. Critical analysis of soil invertebrate biomarkers: a field case study in Avonmouth, UK.

    PubMed

    Weeks, Jason M; Spurgeon, David J; Svendsen, Claus; Hankard, Peter K; Kammenga, Jan E; Dallinger, Reinhard; Köhler, Heinz-R; Simonsen, Vibeke; Scott-Fordsmand, Janeck

    2004-11-01

    During the period 1996-1999 a joint field research programme (BIOPRINT-II) funded by the European Union was undertaken. The main objective of this project was the deployment of biochemical fingerprint techniques of soil invertebrate biomarkers for assessing the exposure and effect of toxicants on soil invertebrates in the field. The aim was to apply these techniques in the field focusing on a a chronically polluted field near a lead and zinc smelter in Avonmouth (UK). Therefore six sites were selected from which organisms were either sampled or transplanted to or from the laboratory. The project has provided a unique opportunity to apply a series of biological test methodologies in order to determine the hazard posed to soil sustainability and by inference soil biodiversity and function. This work has attempted to understand the linkage between effects measured at the molecular or cellular level and relate these to changes at higher levels of biological organisation. Here we evaluated the links between biomarkers and soil function parameters. The paper aims to summarize and explore the necessary caveats that must be understood before soil biomarker test systems may be used to strengthen the risk assessment process.

  12. Occurrence and molecular genotyping of Cryptosporidium spp. in surface waters in Northern Ireland.

    PubMed

    Lowery, C J; Moore, J E; Millar, B C; McCorry, K A; Xu, J; Rooney, P J; Dooley, J S

    2001-11-01

    To investigate the incidence and genotype of Cryptosporidium parvum oocysts in drinking water sources in Northern Ireland for the period 1996-1999, and to compare conventional and molecular methods of detection. Four hundred and seventy-four waters were investigated by conventional methods, namely immuno-fluorescent antibody detection (IFA; 380) and immuno-magnetic separation-IFA (IMS-IFA; 94), of which 14/474 (3%) were positive. Two hundred and fourteen samples (214/474) were also investigated by PCR techniques, targeting both the 18S rRNA and TRAP-C2 genes, of which 11/214 (5.1%) were positive. These 11 samples were classified as genotype II following sequence analysis of the TRAP-C2 amplicon. This study demonstrated the low incidence of oocysts of C. parvum in water sources in Northern Ireland. Such molecular-based techniques offer a number of advantages over conventional detection methodologies, namely greater sensitivity and specificity as well as the ability to provide accurate genotyping data rapidly, which may be valuable in directing operational management in potential outbreak situations.

  13. Is disease an important mortality factor for Pacific herring?

    USGS Publications Warehouse

    Hershberger, Paul

    2005-01-01

    Marine pelagic forage fishes, including sardines, anchovies, and herring, undergo large oscillations in population abundance. Although over-fishing can have a dramatic impact in reducing population size, this anthropogenic perturbation cannot fully account for all population declines because natural oscillations in marine pelagic fish biomasses occurred prior to the onset of commercial fishing. Among the herring metapopulation in Puget Sound / Straight of Georgia, the mean estimated annual mortality, exclusive of commercial fishing, increased from 20% in the late 1970’s and early 1980’s to 64-87% during 1996-1999. This natural mortality affects primarily the older age cohorts and resulted in recent decreased median ages of adult herring from age 4-6 cohorts to age 2-3 cohorts that die prior to iteroparous spawning. Surveys of wild herring from the region indicate that the protozoan parasite Ichthyophonus sp., is currently ubiquitous among Pacific herring populations in Washington and British Columbia, and prevalence of infection increase directly with herring age, from 12% among juveniles to 58% among the underrepresented age 6+ cohorts. Ichthyophonus can be highly pathogenic to immunologically naïve Pacific herring, causing 80% mortality 2 mo. after exposure in the laboratory. Current laboratory-based studies are underway to determine whether natural Ichthyophonus infections are terminal for the host, and whether these infections account for the decreasing median age of wild Pacific herring populations in recent years.

  14. Temporal and spatial variation of early mortality syndrome in salmonids from Lakes Michigan and Huron

    USGS Publications Warehouse

    Wolgamood, M.; Hnath, J.G.; Brown, S.B.; Moore, K.; Marcquenski, S.V.; Honeyfield, D.C.; Hinterkopf, J.P.; Fitzsimons, J.D.; Tillitt, D.E.

    2005-01-01

    To assess the extent that early mortality syndrome (EMS) impacts different Pacific salmonid stocks and the association of EMS with thiamine, we collected eggs of coho salmon Oncorhynchus kisutch from three Lake Michigan tributaries (Platte River, Thompson Creek, and Root River) in 1996-2001. We also obtained eggs of Chinook salmon O. tshawytscha from Lake Michigan (Little Manistee River) and Lake Huron (Swan River) in 1998-2001. Unfertilized eggs from individual females were frozen for thiamine analysis, and the remainder were fertilized and reared until first feeding. We observed a high incidence of EMS in offspring when total egg thiamine levels were less than 1.7 nmol/g in both coho and Chinook salmon. In Lake Michigan strain coho salmon from the Platte River, EMS occurred in more than 70% of monitored families in 1996, 1999, 2000, and 2001, while 1997 and 1998 were years when EMS was low (70%) in 1999, 2000, and 2001. Chinook salmon from Lake Huron exhibited high (>70%) EMS in 2001, moderate (40-60%) EMS in 1999, and low (<25%) EMS in 1998. Our data suggest that the incidence of EMS in salmonids varies by species, location, and year. The data support the general contention that EMS in salmonids is associated with low egg thiamine content. ?? Copyright by the American Fisheries Society 2005.

  15. Marked decline in malaria prevalence among pregnant women and their offspring from 1996 to 2010 on the south Kenyan Coast.

    PubMed

    Kalayjian, Benjamin C; Malhotra, Indu; Mungai, Peter; Holding, Penny; King, Christopher L

    2013-12-01

    Expanded malaria control in Kenya since the early 2000s has resulted in marked reduction in hospital admissions for malaria; however, no studies have reported changes in malaria infection rates in the same population over this period. Randomly selected archived blood samples from four cohorts of pregnant women and their children from 1996 to 2010 in Kwale District, Coast Province, Kenya, were examined for Plasmodium falciparum (Pf), P. malariae, P. ovale, and Plasmodium vivax by quantitative polymerase chain reaction (PCR) and microscopy. Maternal delivery Pf prevalence by PCR declined from 40% in 2000-2005 to 1% in 2009-2010, concordant with increased bed net and malaria chemoprophylaxis use. Individual risk of Pf infection in children from birth to 3 years in serial longitudinal cohort studies declined from almost 100% in 1996-1999 to 15% in 2006-2010. Declines in P. malariae and P. ovale infections rates were also observed. These results show a profound reduction in malaria transmission in coastal Kenya.

  16. Diet and gut morphology of male mallards during winter in North Dakota

    USGS Publications Warehouse

    Olsen, R.E.; Cox, R.R.; Afton, A.D.; Ankney, C.D.

    2011-01-01

    A free-ranging Mallard (Anas platyrhynchos) population was investigated during winter (December-January 1996-1999) below the Garrison Dam, North Dakota, USA, to relate diet to gut morphology variation in males. Four explanatory variables (fish consumption, male age, winter, and body size) were evaluated as to whether they influenced five response variables associated with gut characteristics of Mallards. Response variables were lower gastro-intestinal tract mass (LGIT), dry liver mass, dry gizzard mass, small intestine length, and ceca length. Diets of Mallards were comprised primarily of Rainbow Smelt (Osmerus mordax) and concomitantly variation in gizzard mass was small. LGIT mass of juveniles was larger than that of adults, greater for those that consumed fish, and greater during the coldest and snowiest winter. Liver mass and small intestine length of Mallards that consumed fish were greater than those that did not. Mallards may maintain lengthy intestines to increase digestive efficiency. Gut size variation was not entirely attributable to dietary composition but also influenced by body size and environmental conditions such that over-winter survival is maximized.

  17. Scientific impact of studies published in temporarily available radiation oncology journals: a citation analysis.

    PubMed

    Nieder, Carsten; Geinitz, Hans; Andratschke, Nicolaus H; Grosu, Anca L

    2015-01-01

    The purpose of this study was to review all articles published in two temporarily available radiation oncology journals (Radiation Oncology Investigations, Journal of Radiosurgery) in order to evaluate their scientific impact. From several potential measures of impact and relevance of research, we selected article citation rate because landmark or practice-changing research is likely to be cited frequently. The citation database Scopus was used to analyse number of citations. During the time period 1996-1999 the journal Radiation Oncology Investigations published 205 articles, which achieved a median number of 6 citations (range 0-116). However, the most frequently cited article in the first 4 volumes achieved only 23 citations. The Journal of Radiosurgery published only 31 articles, all in the year 1999, which achieved a median number of 1 citation (range 0-11). No prospective randomized studies or phase I-II collaborative group trials were published in these journals. Apparently, the Journal of Radiosurgery acquired relatively few manuscripts that were interesting and important enough to impact clinical practice. Radiation Oncology Investigations' citation pattern was better and closer related to that reported in several previous studies focusing on the field of radiation oncology. The vast majority of articles published in temporarily available radiation oncology journals had limited clinical impact and achieved few citations. Highly influential research was unlikely to be submitted during the initial phase of establishing new radiation oncology journals.

  18. The variation of ionospheric slab thickness over equatorial ionization area crest region

    NASA Astrophysics Data System (ADS)

    Chuo, Y. J.

    2007-06-01

    The GPS-derived total electron content (TEC) and NmF2 are measured at the Chung-Li ionosonde station (24.9°N, 121°E) in order to study the variations in slab thickness (τ) of the ionosphere at low-latitudes ionosphere during 1996 1999, corresponding to half of the 23rd solar cycle. This study presents the diurnal, seasonal, and solar flux variations in τ for different solar phases. The seasonal variations show that the average daily value is greater during summer and the reverse is true during equinox in the equatorial ionization anomaly (EIA) region. Moreover, the τ values are greater during the daytime (0800 1600 LT) and nighttime (2000 0400 LT) for summer and winter, respectively. The diurnal variation shows two abnormal peaks that appear during the pre-sunrise and post-sunset hours. The peak values decrease as the sunspot number increases particularly for the pre-sunrise peak. Furthermore, the variation in the F-peak height (hpF2) indicates that a thermospheric wind toward the equator leads to an increase in hpF2 and an enhancement in τ during the pre-sunrise period. Furthermore, the study shows the variations of τ values for different geophysical conditions such as the geomagnetic storm and earthquake. A comprehensive discussion about the relation between τ and the geophysical events is provided in the paper.

  19. Improving cancer treatment with cyclotron produced radionuclides. Comprehensive progress report, February 1, 1992--July 15, 1995

    SciTech Connect

    Larson, S.M.; Finn, R.D.

    1995-07-17

    This research continues the long term goals of promoting nuclear medicine applications by improving the scientific basis for tumor diagnosis, treatment and treatment follow-up based on the use of cyclotron produced radiotracers in oncology. This program fits into the nuclear medicine component of DOE`s mission, which is aimed at enhancing the beneficial applications of radiation, radionuclides, and stable isotopes in the diagnosis, study and treatment of human diseases. The grant includes 3 interactive components: Radiochemistry/Cyclotron; Pharmacology/Immunology; and Imaging Physics. An essential strategy is as follows: novel radionuclides and radiotracers developed in the Radiochemistry/Section under the DOE grant during the 1992--1995 will be employed in the Pharmacology/Immunology component in the period 1996--1999. Imaging Physics resolves relevant imaging related physics issues that arise during the experimentation that results. In addition to the basic research mission, this project also provides a basis for training of research scientists in radiochemistry, immunology, bioengineering and imaging physics.

  20. DOES EXPOSURE TO STRESSORS PREDICT CHANGES IN PHYSIOLOGICAL DYSREGULATION?

    PubMed Central

    Glei, Dana A.; Goldman, Noreen; Wu, Chih-Hsun; Weinstein, Maxine

    2013-01-01

    Background The allostatic load framework implies that cumulative exposure to stressors results in multi-system physiological dysregulation. Purpose To investigate the effect of stress burden on subsequent changes (2000-2006) in physiological dysregulation. Methods Data came from a population-based cohort study in Taiwan (n=521, aged 54+ in 2000, re-examined in 2006). Measures of stressful events and chronic strain were based on questions asked in 1996, 1999, and 2000. A measure of trauma was based on exposure to the 1999 earthquake. Dysregulation was based on 17 biomarkers (e.g., metabolic, inflammatory, neuroendocrine). Results There were some small effects among men: chronic strain was associated with subsequent increases in dysregulation (standardized β=0.08, 95% CI = 0.01 to 0.20), particularly inflammation; life events were also associated with increased inflammation (β=0.10, CI = 0.01 to 0.26). There were no significant effects in women. Conclusions We found weak evidence that stress burden is associated with changes in dysregulation. PMID:23526059

  1. Tendency for age-specific mortality with hypertension in the European Union from 1980 to 2011.

    PubMed

    Tao, Lichan; Pu, Cunying; Shen, Shutong; Fang, Hongyi; Wang, Xiuzhi; Xuan, Qinkao; Xiao, Junjie; Li, Xinli

    2015-01-01

    Tendency for mortality in hypertension has not been well-characterized in European Union (EU). Mortality data from 1980 to 2011 in EU were used to calculate age-standardized mortality rate (ASMR, per 100,000), annual percentage change (APC) and average annual percentage change (AAPC). The Joinpoint Regression Program was used to compare the changes in tendency. Mortality rates in the most recent year studied vary between different countries, with the highest rates observed in Slovakia men and Estonia women. A downward trend in ASMR was demonstrated over all age groups. Robust decreases in ASMR were observed for both men (1991-1994, APC = -13.54) and women (1996-1999, APC = -14.80) aged 55-65 years. The tendency of systolic blood pressure (SBP) from 1980 to 2009 was consistent with ASMR, and the largest decrease was observed among Belgium men and France women. In conclusion, SBP associated ASMR decreased significantly on an annual basis from 1980 to 2009 while a slight increase was observed after 2009. Discrepancies in ASMR from one country to another in EU are significant during last three decades. With a better understanding of the tendency of the prevalence of hypertension and its mortality, efforts will be made to improve awareness and help strict control of hypertension.

  2. Tendency for age-specific mortality with hypertension in the European Union from 1980 to 2011

    PubMed Central

    Tao, Lichan; Pu, Cunying; Shen, Shutong; Fang, Hongyi; Wang, Xiuzhi; Xuan, Qinkao; Xiao, Junjie; Li, Xinli

    2015-01-01

    Tendency for mortality in hypertension has not been well-characterized in European Union (EU). Mortality data from 1980 to 2011 in EU were used to calculate age-standardized mortality rate (ASMR, per 100,000), annual percentage change (APC) and average annual percentage change (AAPC). The Joinpoint Regression Program was used to compare the changes in tendency. Mortality rates in the most recent year studied vary between different countries, with the highest rates observed in Slovakia men and Estonia women. A downward trend in ASMR was demonstrated over all age groups. Robust decreases in ASMR were observed for both men (1991-1994, APC = -13.54) and women (1996-1999, APC = -14.80) aged 55-65 years. The tendency of systolic blood pressure (SBP) from 1980 to 2009 was consistent with ASMR, and the largest decrease was observed among Belgium men and France women. In conclusion, SBP associated ASMR decreased significantly on an annual basis from 1980 to 2009 while a slight increase was observed after 2009. Discrepancies in ASMR from one country to another in EU are significant during last three decades. With a better understanding of the tendency of the prevalence of hypertension and its mortality, efforts will be made to improve awareness and help strict control of hypertension. PMID:25932090

  3. Does human capital raise earnings for immigrants in the low-skill labor market?

    PubMed

    Hall, Matthew; Farkas, George

    2008-08-01

    We use monthly Survey of Income and Program Participation data from 1996-1999 and 2001-2003 to estimate the determinants of differentiation in intercepts and slopes for age/earnings profiles of low-skill immigrant and native male workers. Our findings provide further depth of understanding to the "mixed"picture of earnings determination in the low-skill labor market that has been reported by others. On the positive side, many immigrants are employed in similar occupations and industries as natives. Both groups show substantial wage gains over time and generally receive similar returns to years of schooling completed. Immigrants also receive substantial returns to acculturation, measured as age at arrival and English language skill. These results cast doubt on the strong version of segmented labor market theory, in which low-skill immigrants are permanently consigned to dead-end jobs with no wage appreciation. On the negative side, immigrants earn approximately 24% less than natives and are less likely to occupy supervisory and managerial jobs. Latino immigrants receive lower returns to education than do white immigrants. Furthermore, age at arrival and language ability do not explain the lower returns to education experienced by Latino immigrants. These results suggest that Latino immigrants in particular may suffer from barriers to mobility and/or wage discrimination. Whether these negative labor market experiences occur primarily for illegal immigrants remains unknown.

  4. Update on inflation of journal prices: Brandon/Hill list journals and the scientific, technical, and medical publishing market*

    PubMed Central

    Schlimgen, Joan B.; Kronenfeld, Michael R.

    2004-01-01

    Objective: The original study of journal prices, using the “Brandon/ Hill Selected List of Books and Journals for the Small Medical Library,” was first published in 1980 and periodically updated. This research continues to measure price increases for these titles for the periods 1996 to 1999 and 1999 to 2002. Methodology: The 111 journal titles that have appeared in each published list from 1967 to 2001 were included in the study. Institutional subscription price data were gathered for each journal for the years 1996, 1999, and 2002 and were compared to the Consumer Price Index (CPI) for the same years. Results: The average journal price continues to rise significantly and is independent of the CPI. The study found that prices have jumped 51.9% from 1996 to 1999 and 32% from 1999 to 2002, which is consistent with nearly every recent journal price study. Conclusion: The unprecedented rise in journal prices negatively affects the purchasing power of medical libraries. This paper examines the economic and technological pressures on the science, technology, and medical journals market that contribute to high prices and identifies a number of initiatives in the biological and health sciences that utilize alternative models for disseminating scientific research. PMID:15243636

  5. Resilience and stability of Cymodocea nodosa seagrass meadows over the last four decades in a Mediterranean lagoon

    NASA Astrophysics Data System (ADS)

    Garrido, Marie; Lafabrie, Céline; Torre, Franck; Fernandez, Catherine; Pasqualini, Vanina

    2013-09-01

    Understanding what controls the capacity of a coastal lagoon ecosystem to recover following climatic and anthropogenic perturbations and how these perturbations can alter this capacity is critical to efficient environmental management. The goal of this study was to examine the resilience and stability of Cymodocea nodosa-dominated seagrass meadows in Urbino lagoon (Corsica, Mediterranean Sea) by characterizing the spatio-temporal dynamics of seagrass meadows over a 40-year period and comparing (anthropogenic and climatic) environmental fluctuations. The spatio-temporal evolution of seagrass meadows was investigated using previous maps (1973, 1979, 1990, 1994, 1996, 1999) and a 2011 map realized by aerial photography-remote sensing combined with GIS technology. Environmental fluctuation was investigated via physical-chemical parameters (rainfall, water temperature, salinity, turbidity, dissolved oxygen) and human-impact changes (aquaculture, artificial channel). The results showed a severe decline (estimated at -49%) in seagrass meadows between 1973 and 1994 followed by a period of strong recovery (estimated to +42%) between 1994 and 2011. Increased turbidity, induced either by rainfall events, dredging or phytoplankton growth, emerged as the most important driver of the spatio-temporal evolution of Cymodocea nodosa-dominated meadows in Urbino lagoon over the last four decades. Climate events associated to increased turbidity and reduced salinity and temperature could heavily impact seagrass dynamics. This study shows that Urbino lagoon, a system relatively untouched by human impact, shelters seagrass meadows that exhibit high resilience and stability.

  6. [Research ethics and developing countries].

    PubMed

    Dieudonné, Désiré Adiogo

    2007-12-01

    Developing countries are a breeding ground for research, especially for infectious diseases and HIV. On one hand, due to the prevalence of these diseases in this part of the world, and on the other, due to its needs in terms of research, disease prevention and heath care. The actions taken in the fight against HIV infection over the past years, considering that the urgent state of the health care situation has been a sensitive issue for ethical deviation evident in the following examples: Nonoxynol 9 trial (1996-1999) in Cameroon; Tenofovir trial (2003-2005) in Cameroon; Trials of fusion inhibitors in Latin America. No sanctions were imposed due to these deviations, and there was no possibility of recourse. What can these poor states do faced with health care emergencies, the extreme vulnerability of these populations and the big powerful pharmaceutical companies whose turnover or even profits are higher than the GDP of these countries? It is of the utmost importance that an international court of appeal be established to handle litigation regarding research related issues and the fair sharing of the profits resulting from research. The protection of vulnerable populations and the strict respect of ethical rules can only be implemented to the fullest if sanctions are applied to abusers.

  7. Population size, survival, and movements of white-cheeked pintails in Eastern Puerto Rico

    USGS Publications Warehouse

    Collazo, J.A.; Bonilla-Martinez, G.

    2001-01-01

    We estimated numbers and survival of White-cheeked Pintails (Anas bahamensis) in eastern Puerto Rico during 1996-1999. We also quantified their movements between Culebra Island and the Humacao Wildlife Refuge, Puerto Rico. Mark-resight population size estimates averaged 1020 pintails during nine, 3-month sampling periods from January 1997 to June 1999. On average, minimum regional counts were 38 % lower than mark-resight estimates (mean = 631). Adult survival was 0.51 ?? 0.09 (SE). This estimate is similar for other anatids of similar size but broader geographic distribution. The probability of pintails surviving and staying in Humacao was hiher (67 %) than for counterparts on Culebra (31 %). The probability of surviving and moving from Culebra to Humacao (41 %) was higher than from Humacao to Culebra (20 %). These findings, and available information on reproduction, indicate that the Humacao Wildlife Refuge refuge has an important role in the regional demography of pintails. Our findings on population numbers and regional survival are encouraging, given concerns about the species' status due to habitat loss and hunting. However, our outlook for the species is tempered by the remaining gaps in the population dynamics of pintails; for examples, survival estimates of broods and fledglings (age 0-1) are needed for a comprehensive status assessment. Until additional data are obtianed, White-cheeked Pintails should continue to be protectd from hunting in Puerto Rico.

  8. [Changes in antidepressants consumption in the health area of Zamora from 1996 to 1999].

    PubMed

    Díaz Madero, A; López Ferreras, A; Ruiz-Clavijo Díez, M; Vargas Aragón, M

    2001-09-30

    To describe the evolution of antidepressants outside hospital consumption (therapeutic subgroup N06A) in the health area of Zamora since 1996 to 1999, and also to rate the impact of the most recently marketed drugs introduction. Retrospective observational study. Primary care. All antidepressants containers dispensed in Zamora with prescription of the Seguridad Social in the 1996-1999 period are obtained from SIFAR (Pharmacy Management Informatic System), computing defined daily doses per 1000 inhabitants day (DHD) for each drug. An increase of 47% in antidepressants whole consumption is observed, progressively since 1996 to 1999: 18.91 DHD (1996); 22.09 DHD (1997); 24.67 DHD (1998); 27.85 DHD (1999).ISRS (88%) and heterocyclics (56%) increase in this period, whereas IMAO (71%) and tricyclic antidepressants (14%) decrease. Antidepressant whole consumption experiments an outstanding increase in the area of Zamora. Recently marketed drugs utilisation increases as well, superseding classical antidepressants. The five most used drugs in 1999 were, in decreasing order, paroxetine, fluoxetine, sertraline, citalopram and venlafaxine. These last three ones got the most outstanding rise in the reviewed period.

  9. Applying downscaled global climate model data to a hydrodynamic surface-water and groundwater model

    USGS Publications Warehouse

    Swain, Eric; Stefanova, Lydia; Smith, Thomas

    2014-01-01

    Precipitation data from Global Climate Models have been downscaled to smaller regions. Adapting this downscaled precipitation data to a coupled hydrodynamic surface-water/groundwater model of southern Florida allows an examination of future conditions and their effect on groundwater levels, inundation patterns, surface-water stage and flows, and salinity. The downscaled rainfall data include the 1996-2001 time series from the European Center for Medium-Range Weather Forecasting ERA-40 simulation and both the 1996-1999 and 2038-2057 time series from two global climate models: the Community Climate System Model (CCSM) and the Geophysical Fluid Dynamic Laboratory (GFDL). Synthesized surface-water inflow datasets were developed for the 2038-2057 simulations. The resulting hydrologic simulations, with and without a 30-cm sea-level rise, were compared with each other and field data to analyze a range of projected conditions. Simulations predicted generally higher future stage and groundwater levels and surface-water flows, with sea-level rise inducing higher coastal salinities. A coincident rise in sea level, precipitation and surface-water flows resulted in a narrower inland saline/fresh transition zone. The inland areas were affected more by the rainfall difference than the sea-level rise, and the rainfall differences make little difference in coastal inundation, but a larger difference in coastal salinities.

  10. Application of the Scenario Planning Process - a Case Study: The Technical Information Department at the Lawrence Livermore National Laboratory

    SciTech Connect

    Schuster, John A.

    2001-11-01

    When the field of modern publishing was on a collision course with telecommunications, publishing organizations had to come up to speed in fields that were, heretofore, completely foreign and technologically forbidding to them. For generations, the technology of publishing centered on offset lithography, typesetting, and photography--fields that saw evolutionary and incremental change from the time of Guttenberg. But publishing now includes making information available over the World Wide Web--Internet publishing--with its ever-accelerating rate of technological change and dependence on computers and networks. Clearly, we need a methodology to help anyone in the field of Internet publishing plan for the future, and there is a well-known, well-tested technique for just this purpose--Scenario Planning. Scenario Planning is an excellent tool to help organizations make better decisions in the present based on what they identify as possible and plausible scenarios of the future. Never was decision making more difficult or more crucial than during the years of this study, 1996-1999. This thesis takes the position that, by applying Scenario Planning, the Technical Information Department at LLNL, a large government laboratory (and organizations similar to it), could be confident that moving into the telecommunications business of Internet publishing stood a very good chance of success.

  11. Effect of an exceptional rainfall event on the sea urchin ( Paracentrotus lividus) stock and seagrass distribution in a Mediterranean coastal lagoon

    NASA Astrophysics Data System (ADS)

    Fernandez, Catherine; Pasqualini, Vanina; Boudouresque, Charles-François; Johnson, Monique; Ferrat, Lila; Caltagirone, Angela; Mouillot, David

    2006-06-01

    A shallow Mediterranean brackish lagoon (Urbinu, Corsica), 700 ha in surface area, characterized by low freshwater input and permanent communication with the open sea, and therefore by relatively stable salinity (usually 30-38), was subject in late 1993 to an exceptional rainfall event occurring on an average once every 50 years: 450 mm in 48 h (compared to the average annual precipitation of 650 mm). The volume of freshwater that poured into the lagoon corresponds to 36% of its volume. As a result, salinity dramatically dropped while turbidity increased. The seagrass Cymodocea nodosa and other habitats were mapped before (1990) and after (1994, 1996, 1999) the rainfall event, and the sea urchin Paracentrotus lividus stock was estimated together with its population structure. In 1994, after the rainfall event, the surface area of seagrass meadows moderately declined, but it cannot be ruled out that this loss may be within their usual inter-annual fluctuations. The sea urchin stock dropped by 50% (6-3 million individuals). Low salinity, turbidity and siltation were probably the reasons for the changes in sea urchin population in addition to variability of dynamic population parameters (e.g. recruitment, mortality). The recovery of sea urchin stock was completed within a few years (six years or less). The high population dynamics and the high recruitment potential of sea urchins may act as a mechanism to maintain sea urchin populations in this highly variable habitat. These results reflect the resilience and high adjustment stability of the system.

  12. Quality control by cocaine users: underdeveloped harm reduction strategies.

    PubMed

    Decorte, T

    2001-12-01

    The use of any drug involves both values and rules of conduct (social sanctions) and patterns of behavior (social rituals). Based on an ethnographic study (1996-1999) among 111 cocaine users from the metropolitan area of Antwerp (Belgium), the self-regulatory mechanisms surrounding the methods of controlling the quality of a drug are described. Users' perceptions of reliable and unreliable sources of cocaine, quality and adulteration of cocaine and quality control techniques are confronted with objective information. It is argued that these informal control mechanisms may be crucial factors in the controlled use of any intoxicant, but myths are an important ingredient of the observed rituals, which indicates that knowledge about certain drugs and the best ways to use them in a safe way is still underdeveloped. Users are left to their own folk-experimental devices for testing tools or techniques, and many aspects of the natural processes of social learning are generally not based on objective information. Future harm reduction interventions should therefore also stimulate the development and dissemination of effective informal control mechanisms among illicit drug users. Copyright 2001 S. Karger AG, Basel

  13. High-resolution marine seismic reflection data from the San Francisco Bay area

    USGS Publications Warehouse

    Childs, Jonathan R.; Hart, Patrick; Bruns, Terry R.; Marlow, Michael S.; Sliter, Ray

    2000-01-01

    Between 1993 and 1997, the U.S. Geological Survey acquired high-resolution, marine seismic-reflection profile data across submerged portions of known and inferred upper crustal fault zones throughout the greater San Francisco Bay area. Surveys were conducted oversouth San Francisco Bay in the vicinity of the San Bruno shoal (roughly between the San Francisco and Oakland airports), over the offshore extension of the San Andreas fault system west of the Golden Gate, over the Hayward fault to Rodgers Creek fault step-over in San Pablo Bay, and over the Kirby Hills fault where it crosses the western Sacramento Delta. Reconnaissance profiles were acquired elsewhere throughout the San Francisco and San Pablo Bays. These data were acquired by the U.S. Geological Survey, Western Coastal and Marine Geology Team, under the auspices of the Central California/San Francisco Bay Earthquake Hazards Project. Analysis and interpretation of some of these profiles has been published by Marlow and others (1996, 1999). Further analysis and interpretation of these data are available in a USGS. Professional Paper Crustal Structure of the Coastal and Marine San Francisco Bay Region, T. Parsons, editor, http://geopubs.wr.usgs.gov/prof-paper/pp1658/ [link added 2012 mfd].

  14. Using sickness absence records to predict future depression in a working population: prospective findings from the GAZEL cohort.

    PubMed

    Melchior, Maria; Ferrie, Jane E; Alexanderson, Kristina; Goldberg, Marcel; Kivimaki, Mika; Singh-Manoux, Archana; Vahtera, Jussi; Westerlund, Hugo; Zins, Marie; Head, Jenny

    2009-08-01

    We tested the hypothesis that sickness absence from work predicts workers' risk of later depression. Study participants (n = 7391) belonged to the French GAZEL cohort of employees of the national gas and electricity company. Sickness absence data (1996-1999) were obtained from company records. Participants' depression in 1996 and 1999 was assessed with the Center for Epidemiologic Studies-Depression (CES-D) scale. The analyses were controlled for baseline age, gender, marital status, occupational grade, tobacco smoking status, alcohol consumption, subthreshold depressive symptoms, and work stress. Among workers who were free of depression in 1996, 13% had depression in 1999. Compared with workers with no sickness absence during the study period, those with sickness absence were more likely to be depressed at follow-up (for 1 period of sickness absence, fully adjusted odds ratio [OR] = 1.53, 95% confidence interval [CI] = 1.28, 1.82; for 2 or more periods, fully adjusted OR = 1.95, 95% CI = 1.61, 2.36). Future depression was predicted both by psychiatric and nonpsychiatric sickness absence (fully adjusted OR = 3.79 [95% CI = 2.81, 5.10] and 1.41 [95% CI = 1.21, 1.65], respectively). Sickness absence records may help identify workers vulnerable to future depression.

  15. Challenges of Fusion Power Plant Licensing: Differences and Commonalities with Existing Systems

    SciTech Connect

    L. El-Guebaly; L. Cadwallader; W. Sowder

    2011-08-01

    At present, there are no regulatory guidelines to follow for US fusion power plant construction and operation. Thus far, the Department of Energy (DOE) has been regulating existing fusion experiments, following the 1996-1999 DOE Fusion Standards and using the spirit of the ASME (American Society of Mechanical Engineers) code. Considering this reality, a few options emerged for licensing ARIES-type power plants and the like. Developing new fusion-specific regulations stands out as the most logical option, but requires well-coordinated effort between DOE, regulatory agencies, and the fusion community with considerable funding and long lead-time. Nevertheless, a few recent developments seem promising: (1) The US Nuclear Regulatory Commission (NRC) plans to assert regulatory jurisdiction over commercial fusion devices, and (2) the ongoing effort within ASME will develop rules for the construction of fusion-energy-related components. The most recent NRC, ASME and fusion licensing developments are reviewed in this paper. In addition, an interesting comparison with ITER was made to foresee how US fusion power plants could leverage from ITER.

  16. SWORD '99: surveillance of work-related and occupational respiratory disease in the UK.

    PubMed

    Meyer, J D; Holt, D L; Chen, Y; Cherry, N M; McDonald, J C

    2001-05-01

    Systematic reports from chest and occupational physicians under the SWORD and OPRA (Occupational Physicians Reporting Activity) surveillance schemes continue to provide a picture of the incidence of occupational respiratory disease in the UK. An estimated total of 4393 incident cases (comprising 4530 diagnoses) were reported during the 1999 calendar year, an increase of 1427 cases over the previous year. Benign pleural disease was the single most frequently reported condition (28% of all diagnoses reported). Occupational asthma cases (1168; 26%) remained high, as did mesothelioma (1032; 23%). Analysis of trends over the past 8 years shows an increase in mesothelioma cases, but little change in asthma. The annual incidence per 100,000 employed people, 1996-1999, for mesothelioma, lung cancer and pneumoconiosis was high amongst construction workers (28.7), miners and quarrymen (26.5), woodworkers (18.9) and gas, coal and chemical workers (15.2). Trends in mesothelioma incidence by birth cohort continue to show an increase in construction workers and a continuing decline in shipyard and insulation workers. The relative proportion of pneumoconiosis cases attributed to coal mining has fallen steadily in workers born since approximately 1920 and most cases are now in men who have been employed in quarrying and rock drilling.

  17. Quality of dredged material in the River Seine basin (France). I. Physico-chemical properties.

    PubMed

    Carpentier, S; Moilleron, R; Beltran, C; Hervé, D; Thévenot, D

    2002-08-05

    In rivers, sediments are frequently accumulating persistent chemicals, especially for those that are more contaminated as a consequence of pressure related to environmental pollution and human activity. The Seine river basin (France) is heavily polluted from nearby industrial activities, and the urban expansion of Paris and its suburbs within the Ile de France region and the sediments present in the Seine river basin are contaminated. To ensure safe, navigable waters, rivers and waterways must be dredged. In this paper, the quality of the sediment dredged in 1996, 1999 and 2000 is discussed. Physico-chemical characteristics of the sediment itself and of the pore-water are presented. Seine basin sediments show very diverse compositions depending on the sampling site. Nevertheless, a geographic distribution study illustrated that the Paris impact is far from being the only explanation to this diversity, the quality of this sediment is also of great concern. The sediment once dredged is transported via barges to a wet disposal site, where the dredged material is mixed with Seine water in order to be pumped into the receiving site. This sort of dumping might be responsible for the potential release of contaminants to the overlying water from the significantly contaminated sediments.

  18. Rhythmic oscillations in quantitative EEG measured during a continuous performance task.

    PubMed

    Arruda, James E; Zhang, Hongmei; Amoss, R Toby; Coburn, Kerry L; Aue, William R

    2009-03-01

    The objective of the present investigation was to determine if cyclic variations in human performance recorded during a 30 min continuous performance task would parallel cyclic variations in right-hemisphere beta-wave activity. A fast fourier transformation was performed on the quantitative electroencephalogram (qEEG) and the performance record of each participant (N = 62), producing an individual periodogram for each outcome measure. An average periodogram was then produced for both qEEG and performance by combining (averaging) the amplitudes associated with each periodicity in the 62 original periodograms. Periodicities ranging from 1.00 to 2.00 min and from 4.70 to 5.70 min with amplitudes greater than would be expected due to chance were retained (Smith et al. 2003). The results of the present investigation validate the existence of cyclic variations in human performance that have been identified previously (Smith et al. 2003) and extend those findings by implicating right-hemisphere mediated arousal in the process (Arruda et al. 1996, 1999, 2007). Significant cyclic variations in left-hemisphere beta-wave activity were not observed. Taken together, the findings of the present investigation support a model of sustained attention that predicts cyclic changes in human performance that are the result of cyclic changes in right-hemisphere arousal.

  19. GCIP Water and Energy Budget Synthesis (WEBS)

    NASA Astrophysics Data System (ADS)

    Roads, J. O.

    2002-12-01

    As part of the World Climate Research Program's (WCRP's) Global Energy and Water-Cycle Experiment (GEWEX) Continental-scale International Project (GCIP), a water and energy budget synthesis (WEBS) has been developed from the "best available" observations and models for the period 1996-1999. This WEBS includes a general description of the Mississippi River Basin climate, physiographic characteristics, available observations, representative types of models used for GCIP investigations, and a comparison of water and energy variables and budgets from models and observations. Besides this summary paper, a companion CD-ROM with more extensive discussion, figures, tables, and raw data is also available to the interested researcher. Observations cannot adequately "close" budgets since too many fundamental processes are missing. Models that properly represent the many complicated atmospheric and near-surface interactions are required for overall descriptions of the budgets. Models will also be needed for eventual predictions of these water and energy processes. Therefore, different classes of models have also been compared with available observations. The comparison includes a representative global general circulation model, regional climate model, and a macroscale hydrologic model. There does appear to be a clear advantage to using a regional analysis over a global analysis or a regional simulation over a global simulation to describe the Mississippi River Basin budgets. There also appears to be some advantage to using a macroscale hydrologic model for at least the surface water budgets.

  20. GCIP water and energy budget synthesis (WEBS)

    NASA Astrophysics Data System (ADS)

    Roads, J.; Lawford, R.; Bainto, E.; Berbery, E.; Chen, S.; Fekete, B.; Gallo, K.; Grundstein, A.; Higgins, W.; Kanamitsu, M.; Krajewski, W.; Lakshmi, V.; Leathers, D.; Lettenmaier, D.; Luo, L.; Maurer, E.; Meyers, T.; Miller, D.; Mitchell, K.; Mote, T.; Pinker, R.; Reichler, T.; Robinson, D.; Robock, A.; Smith, J.; Srinivasan, G.; Verdin, K.; Vinnikov, K.; Vonder Haar, T.; VöRöSmarty, C.; Williams, S.; Yarosh, E.

    2003-08-01

    As part of the World Climate Research Program's (WCRPs) Global Energy and Water-Cycle Experiment (GEWEX) Continental-scale International Project (GCIP), a preliminary water and energy budget synthesis (WEBS) was developed for the period 1996-1999 from the "best available" observations and models. Besides this summary paper, a companion CD-ROM with more extensive discussion, figures, tables, and raw data is available to the interested researcher from the GEWEX project office, the GAPP project office, or the first author. An updated online version of the CD-ROM is also available at http://ecpc.ucsd.edu/gcip/webs.htm/. Observations cannot adequately characterize or "close" budgets since too many fundamental processes are missing. Models that properly represent the many complicated atmospheric and near-surface interactions are also required. This preliminary synthesis therefore included a representative global general circulation model, regional climate model, and a macroscale hydrologic model as well as a global reanalysis and a regional analysis. By the qualitative agreement among the models and available observations, it did appear that we now qualitatively understand water and energy budgets of the Mississippi River Basin. However, there is still much quantitative uncertainty. In that regard, there did appear to be a clear advantage to using a regional analysis over a global analysis or a regional simulation over a global simulation to describe the Mississippi River Basin water and energy budgets. There also appeared to be some advantage to using a macroscale hydrologic model for at least the surface water budgets.

  1. The Application of Urban System Analysis To The Seismic Risk Assessment of Barcelona

    NASA Astrophysics Data System (ADS)

    Irizarry, J.; Marturia, J.; Mena, U.

    The Urban System Analysis methodology developed by an international team directed by the BRGM (France) within the GEMITIS research program (1996-1999) consists of a global and integrated risk reduction strategy in order to improve the risk assessment effectiveness through the use of a geographical information system (GIS). A typical seismic risk analysis evaluates only the direct impacts of the earthquake, but gives few information about how to improve preventive effectiveness because it does not provide any data about the indirect consequences of an earthquake. This new methodology proposes to complete the scenario generation process by focusing physical vulnerability assessment on the essential elements for urban functioning. Besides it gives rational bases for the definition of appropriate risk management and preventive action plans. This study presents a first stage of the application of the Urban System Analysis method to the city of Barcelona. The elements at risk in the city like the residential, commercial, administrative, and industrials areas are identified and analyzed to define the weak points within its urban system. Then the most critical elements within the city's urban system will be identified to establish priorities for risk managements plans in the city.

  2. Fluvial processes and passive rehabilitation of the Lisbon Bottom side-channel chute, Lower Missouri River

    USGS Publications Warehouse

    Jacobson, Robert B.; Laustrup, Mark S.; Chapman, Michael D.

    2001-01-01

    Multiple large floods in 1993-1997 on the Lower Missouri River carved a side-channel chute through the river bottom at Lisbon, Missouri. Although similar in some respects to engineered side-channel chutes designed for habitat rehabilitation projects, the Lisbon Bottom chute has been unique in that it was allowed to evolve for more than four years with minimal stabilization. During the wet years, 1996-1999, the chute was subjected to abnormally high discharges and passed as much as 20% of the total discharge of the Missouri River. Relatively unrestrained fluvial processes during this time created a wide channel with highly diverse habitats. The upper one-half of the chute established a shallow, braided channel morphology similar to the pre-managed Missouri River. The lower half established a dynamically migrating, single-thread channel, and an incipient flood plain. Compared to the adjacent navigation channel, the chute established substantial areas of shallow, slow-velocity aquatic habitat that is considered to be in short supply in the present-day Lower Missouri River. The shortterm biological benefits have been mixed: the chute has fewer waterbird and benthic macroinvertebrate taxa than adjacent riverine habitats, but greater numbers of fish species compared to the navigation channel.

  3. Does a minimum-age law for purchasing tobacco make any difference? Swedish experiences over eight years.

    PubMed

    Sundh, M; Hagquist, C

    2007-04-01

    The purpose was to study possible changes in adolescents' opportunities for purchasing tobacco during the period 1996-2005. The study also investigated regional differences in adolescents' opportunities for purchasing tobacco, and elucidated the efforts by the authorities to affect the compliance with the minimum-age law of 18. In 1996, 1999, 2002, and 2005, 3150 test purchases of tobacco were conducted in controlled forms by 48 adolescents in three regions of Sweden. In addition, in 2005, 28 structured telephone interviews were conducted with key people in tobacco prevention work. In 1996, 84% of all test purchases in shops with a voluntary age-limit ended with the test purchasers succeeding in purchasing tobacco. This may be compared with 48% in 2005, 8 years after the age-limit law was introduced. The result of the test purchases and of the interviews showed differences between the three regions in compliance and in activities connected with the minimum-age tobacco law. The study shows that the minimum-age law for the purchase of tobacco has had an effect on adolescents' opportunities for purchasing tobacco and that compliance has improved since its introduction in 1997. The result also indicates avenues for further improving compliance with the age-limit law.

  4. Quality of dredged material in the river Seine basin (France). II. Micropollutants.

    PubMed

    Carpentier, S; Moilleron, R; Beltran, C; Hervé, D; Thévenot, D

    2002-11-01

    Dredging rivers is needed to ensure safe navigable waters, rivers and waterways. To anticipate the management of dredged materials in the case of the river Seine basin, the quality of the sediments in the river is checked every 3 years before dredging operations. The river Seine Basin is heavily submitted to pollution pressure from nearby industrial activities and urban expansion of Paris and its region. Here, the micropollutant content of the sediment sampled in 1996, 1999 and 2000 before dredging is discussed compared to regulatory standards. The results indicate that most of the sediment samples from the river Seine basin are lightly to moderately contaminated with organic and inorganic micropollutants (heavy metals, PAH, PCB), which makes the management after dredging easier. This pollution is strongly correlated with the organic matter content and to the fine fraction (<50 microm) of the sediment. These results can lead to other management options than the ones already used in the river Seine basin: (1) dumping of lightly to moderately polluted sediments in quarries; and (2) physical treatment (sieving, hydrocycloning) of contaminated sediments issued from 'hot spots'.

  5. The potential impact of new diagnostic criteria on the frequency of gestational diabetes mellitus in Sweden.

    PubMed

    Claesson, Rickard; Ekelund, Magnus; Berntorp, Kerstin

    2013-10-01

    The International Association of Diabetes and Pregnancy Study Groups (IADPSG) has suggested new diagnostic criteria for gestational diabetes mellitus. Many centers in Europe still use the World Health Organization (WHO) criteria. In southern Sweden we use the 2-h threshold of the European Association for the Study of Diabetes criteria based on universal screening with a 75-g oral glucose tolerance test. We have retrospectively scrutinized oral glucose tolerance tests in a subset of 174 women included in a previous study, diagnosed with gestational diabetes mellitus 1996-1999. A complete repeat oral glucose tolerance test was performed directly after diagnosis in 120 women. When applying the current Swedish criteria, and the IADPSG and the WHO criteria to the material, gestational diabetes mellitus was confirmed in 67% (80/120), 84% (101/120), and 80% (96/120), respectively. Hence, 26% (101/80) more women were identified by the IADPSG criteria and 20% (96/80) more women by the WHO criteria, compared with the criteria presently in use.

  6. Directly observed short course therapy for tuberculosis--a preliminary report of a three-year experience in a teaching hospital.

    PubMed Central

    Erhabor, Gregory E.; Adewole, Olufemi; Adisa, Adewale O.; Olajolo, Olufadeke A.

    2003-01-01

    SETTING: The Chest Clinic of Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, southwest Nigeria is a referral center for tuberculosis patients in the region. Directly Observed Treatment Short Course (DOTS) has been in operation in the center since 1996. OBJECTIVE: To review the outcome of patients on DOTS with the aim of determining factors that may influence compliance. METHODS: Tuberculosis patients were placed on different treatment regimens according to the recommendation of the International Union Against Tuberculosis and Lung Disease (IUATLD) and the Nigerian Tuberculosis and Leprosy Control Program (NTBLCP). The results were recorded and evaluated periodically by the clinic staff under central supervision. The outcome of treatment over a three-year period (1996-1999) was reviewed. RESULTS: Five-hundred-seventy-one patients were treated during this period. Cure/treatment completed rate was 86.1%, and compliance rate was 93.8%. Age, sex category of treatment, and distance from hospital had no significant influence on drug compliance. CONCLUSION: DOTS is an effective means of administering anti-TB drugs. Efforts should be channeled towards developing strategies for implementing DOTS in a more efficient way. PMID:14651375

  7. Update on inflation of journal prices: Brandon/Hill list journals and the scientific, technical, and medical publishing market.

    PubMed

    Schlimgen, Joan B; Kronenfeld, Michael R

    2004-07-01

    The original study of journal prices, using the "Brandon/ Hill Selected List of Books and Journals for the Small Medical Library," was first published in 1980 and periodically updated. This research continues to measure price increases for these titles for the periods 1996 to 1999 and 1999 to 2002. The 111 journal titles that have appeared in each published list from 1967 to 2001 were included in the study. Institutional subscription price data were gathered for each journal for the years 1996, 1999, and 2002 and were compared to the Consumer Price Index (CPI) for the same years. The average journal price continues to rise significantly and is independent of the CPI. The study found that prices have jumped 51.9% from 1996 to 1999 and 32% from 1999 to 2002, which is consistent with nearly every recent journal price study. The unprecedented rise in journal prices negatively affects the purchasing power of medical libraries. This paper examines the economic and technological pressures on the science, technology, and medical journals market that contribute to high prices and identifies a number of initiatives in the biological and health sciences that utilize alternative models for disseminating scientific research.

  8. Genetic Analysis of Snake River Sockeye Salmon (Oncorhynchus Nerka), 2003 Technical Report.

    SciTech Connect

    Faler, Joyce; Powell, Madison

    2003-12-01

    A total of 1720 Oncorhynchus nerka tissue samples from 40 populations were characterized using mitochondrial DNA RFLPs (Restriction Fragment Length Polymorphisms). Analysis of anadromous sockeye populations indicated the historical presence of four major maternal lineages. Thirty-five composite mitochondrial haplotypes were observed from the 40 populations of O. nerka sampled throughout the Pacific Northwest. Six of these composite haplotypes ranged in frequency from 7-26% overall and were commonly observed in most populations. The six haplotypes together comprised 90% of the sampled O. nerka. An average of 4.6 composite haplotypes were observed per population. Genetic markers used were satisfactory in separating Redfish Lake anadromous sockeye, residual sockeye and outmigrants from the sympatric kokanee population that spawns in the Fishhook Creek tributary. Outmigrants appear to be primarily composed of progeny from resident residual sockeye, and captively-reared progeny of the captive broodstock program. Thus, residual sockeye may be considered a suitable source of genetic variation to maintain genetic diversity among captive broodstocks of anadromous sockeye. Fishhook Creek kokanee are genetically diverse and during spawning, are temporally and spatially isolated from the residual sockeye population. Eleven composite haplotypes were observed in the kokanee population. The unusually high number of haplotypes is most likely a consequence of periodic stocking of Redfish Lake with kokanee from other sources. Genetic data from Redfish Lake creel samples taken during 1996-1999 putatively indicate the incidental take of a listed resident sockeye.

  9. Polychlorinated biphenyl congeners as markers of toxic equivalents of polychlorinated biphenyls, dibenzo-p-dioxins and dibenzofurans in breast milk.

    PubMed

    Glynn, A W; Atuma, S; Aune, M; Darnerud, P O; Cnattingius, S

    2001-07-01

    In breast milk, concentrations of polychlorinated biphenyls (PCBs) are higher than those of polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs), making PCB analyses less time-consuming and expensive. We searched for PCB "markers" of PCDD/DF concentrations, by studying associations between concentrations of PCB and PCDD/DFs (expressed as toxic equivalents, TEQs) in breast milk from 27 women (primiparas, 22-35 years). These women donated breast milk in 1996-1999 together with 183 other primiparas from Uppsala County, Sweden. Regression analyses showed that both dioxin-like and non-dioxin-like penta- to hepta-chlorinated PCBs could be used as markers of TEQ concentrations in this group of women, in some cases after age adjustment of the regressions. The strong positive association between concentrations of dioxin-like PCB/DD/DFs and non-dioxin-like PCBs will in future epidemiological studies make it difficult to separate Ah receptor-dependent effects from non-Ah receptor-dependent effects. With the use of regression equations and concentrations in breast milk samples collected in 1994, TEQ concentrations were estimated in the 1994 samples. Comparisons between estimated and measured concentrations indicated that associations between concentrations of marker substances and TEQs should be determined separately within each study population, in order to obtain reliable TEQ exposure assessments from PCB markers.

  10. Developmental trajectories of multisite musculoskeletal pain and depressive symptoms: the effects of job demands and resources and individual factors.

    PubMed

    Airila, Auli; Hakanen, Jari J; Luukkonen, Ritva; Lusa, Sirpa; Punakallio, Anne; Leino-Arjas, Päivi

    2014-01-01

    To investigate developmental paths in multisite musculoskeletal pain (MPS) and depressive symptoms (DPS) and the effects of job demands (JD), job resources (JR), optimism and health-related lifestyle on these paths. We expected to find four trajectories--Low Symptoms, High Pain, High Depression and High Symptoms--and hypothesised that high JDs, low JRs, low optimism and adverse lifestyle predict belonging to trajectories with high symptom levels. Data on Finnish firefighters (N = 360) were collected in 1996, 1999 and 2009. The effects of JDs (mental and physical workload), JRs (supervisory relations, interpersonal relations, task resources), optimism and lifestyle (alcohol consumption, smoking, physical exercise, sleeping) on MPS and DPS were assessed. Latent class growth modelling and multinomial logistic regression were applied. Three trajectories emerged: Low Symptoms; High Pain; and High Depression. In a multivariable model, high mental workload (OR 2.9, 95% CI 1.5-5.5), poor interpersonal relations (2.6, 1.4-5.0), sleeping problems (2.7, 1.4-5.2) and low optimism (2.0, 1.0-3.7) predicted belonging to High Depression. Alcohol consumption (2.4, 1.4-4.1) and sleeping problems (2.1, 1.3-3.6) were related to High Pain. Different developmental paths in MPS and DPS are possible. Partly different factors predict the development of pain and depressive symptoms.

  11. Deformations along the Caribbean - South American Plate Boundary From Nine Years Repeated GPS Observations in the CASA Project

    NASA Astrophysics Data System (ADS)

    Drewes, H.; Kaniuth, K.; Stuber, K.; Tremel, H.; Hernandez, J. N.; Hoyer, M.

    2002-05-01

    The first GPS observations along the Caribbean - South American plate boundary were carried out within the Central and South American Geodynamics Project (CASA UNO) in 1988. The precision of the results was quite poor due to the imperfect operation of the GPS system at that time. Since 1993 regular re-measurements of more than 20 stations in the eastern part of the network along the Bocono - El Pilar fault system in Venezuela have been performed. The paper presents the continuous deformations derived from the 1993, 1996, 1999 and 2002 complete network observations and some additional partial measurements. The long-term deformations in the order of one to two centimeters per year are now significantly confirmed and may be interpreted in the context of regional plate tectonics and geodynamics. The co-seismic displacements during the Cariaco (Sucre) 1997 earthquake are analyzed separately using detailed GPS observations in 1997. They are discussed as well as the local post-seismic deformations from 1997 to 2002.

  12. Mid-Pliocene Planktic Foraminifer Census Data from Ocean Drilling Program Hole 847C

    USGS Publications Warehouse

    Dowsett, Harry; Caballero, Rocio

    2007-01-01

    Introduction The U.S. Geological Survey is conducting a long-term study of mid-Pliocene climatic and oceanographic conditions. One of the key elements of the study involves the use of quantitative composition of planktic foraminifer assemblages in conjunction with other proxies to constrain estimates of sea-surface temperature (SST) and to identify major oceanographic boundaries and water masses. Raw census data are made available as soon as possible after analysis through a series of reports that provide the basic data for future work. In this report we present raw census data (table 1) for planktic foraminifer assemblages in 25 samples from Ocean Drilling Program (ODP) Hole 847C. Ocean Drilling Program Hole 847C is located at 0.19?N., 95.32?W., in 3334.3 meters of water (fig. 1). A variety of statistical methods have been developed to transform foraminiferal census data in Pliocene sequences into quantitative estimates of Pliocene SST. Details of statistical techniques, taxonomic groupings, and oceanographic interpretations are presented in more formal publications (Dowsett and Poore, 1990, 1991; Dowsett, 1991, 2007; Dowsett and Robinson, 1998, 2007; Dowsett and others, 1996, 1999).

  13. Mid-Pliocene Planktic Foraminifer Census Data from Ocean Drilling Program Hole 1237C

    USGS Publications Warehouse

    Caballero, Rocio; Dowsett, Harry

    2008-01-01

    INTRODUCTION The U.S. Geological Survey is conducting a long-term study of mid-Pliocene climatic and oceanographic conditions. One of the key elements of the study involves the use of quantitative composition of planktic foraminifer assemblages in conjunction with other proxies to constrain estimates of sea-surface temperature (SST) and to identify major oceanographic boundaries and water masses. Raw census data are made available as soon as possible after analysis through a series of reports that provide the basic data for future work. In this report we present raw census data (table 1) for planktic foraminifer assemblages in 19 samples from Ocean Drilling Program (ODP) Hole 1237C. ODP Hole 1237C is located on the Peruvian margin at 16? 0.4216'S., 76? 22.6854'W., in 3211.9 meters of water (fig. 1). A variety of statistical methods have been developed to transform foraminiferal census data in Pliocene sequences into quantitative estimates of Pliocene SST. Details of statistical techniques, taxonomic groupings, and oceanographic interpretations are presented in more formal publications (Dowsett and Poore, 1990, 1991; Dowsett, 1991, 2007; Dowsett and Robinson, 1998, 2007; Dowsett and others, 1996, 1999).

  14. Mid-Pliocene Planktic Foraminifer Census Data and Alkenone Unsaturation Indices from Ocean Drilling Program Hole 677A

    USGS Publications Warehouse

    Robinson, Marci; Caballero, Rocio; Pohlman, Emily; Herbert, Timothy; Peck, Victoria; Dowsett, Harry

    2008-01-01

    The U.S. Geological Survey is conducting a long-term study of mid-Pliocene climatic and oceanographic conditions. One of the key elements of the study involves the use of quantitative composition of planktic foraminifer assemblages in conjunction with other proxies to constrain estimates of sea-surface temperature (SST) and to identify major oceanographic boundaries and water masses. Raw census data are made available as soon as possible after analysis through a series of reports that provide the basic data for future work. In this report we present raw census data (table 1) for planktic foraminifer assemblages in 14 samples from Ocean Drilling Program (ODP) Hole 677A. We also present alkenone unsaturation index (UK'37) analyses for 89 samples from ODP Hole 677A (table 2). ODP Hole 677A is located in the Panama basin, due west of Ecuador at 1?12.138'N., 83?44.220'W., in 3461.2 meters of water (fig. 1). A variety of statistical methods have been developed to transform foraminiferal census data in Pliocene sequences into quantitative estimates of Pliocene SST. Details of statistical techniques, taxonomic groupings, and oceanographic interpretations are presented in more formal publications (Dowsett and Poore, 1990, 1991; Dowsett, 1991, 2007a,b; Dowsett and Robinson, 1998, 2007; Dowsett and others, 1996, 1999).

  15. Greater years of maternal schooling and higher scores on academic achievement tests are independently associated with improved management of child diarrhea by rural Guatemalan mothers.

    PubMed

    Webb, Aimee L; Ramakrishnan, Usha; Stein, Aryeh D; Sellen, Daniel W; Merchant, Moeza; Martorell, Reynaldo

    2010-09-01

    Appropriate home management can alleviate many of the consequences of diarrhea including malnutrition, impaired development, growth faltering, and mortality. Maternal cognitive ability, years of schooling, and acquired academic skills are hypothesized to improve child health by improving maternal child care practices, such as illness management. Using information collected longitudinally in 1996-1999 from 466 rural Guatemalan women with children <36 months, we examined the independent associations between maternal years of schooling, academic skills, and scores on the Raven's Progressive Matrices and an illness management index (IMI). Women scoring in the lowest and middle tertiles of academic skills scored lower on the IMI compared to women in the highest tertile (-0.24 [95% CI: -0.54, 0.07]; -0.30 [95% CI: -0.54, -0.06], respectively) independent of sociodemographic factors, schooling, and Raven's scores. Among mothers with less than 1 year of schooling, scoring in the lowest tertile on the Raven's Progressive Matrices compared to the highest was significantly associated with scoring one point lower on the IMI (-1.18 [95% CI: -2.20, -0.17]). Greater academic skills were independently associated with maternal care during episodes of infant diarrhea. Schooling of young girls and/or community based programs that provide women with academic skills such as literacy, numeracy and knowledge could potentially improve mothers' care giving practices.

  16. Morphometric and genetics properties of pea crops grown in space greenhouse Lada"

    NASA Astrophysics Data System (ADS)

    Levinskikh, M.; Sychev, V.; Podolsky, I.; Gostimsky, S.; Bingham, G.

    Results of the experiments with higher plants performed in greenhouse Svet aboard the MIR space station in 1996-1999 made it evident that the main biological characteristics of plants growth development reproduction and metabolism did not undergo modifications in consequence of microgravity It was shown that at least two ontogenetic cycles of plants could pass in the normal way in this environment However the initial experimental data was insufficient for fiducial conclusions on the delayed effects of cultivating a sequence of plant generations on the background of spaceflight factors Hence these investigations are given precedence in the space life sciences research programs In the period from March 2003 to April 2005 we fulfilled five experimental cultivations of genetically marked dwarf pea species in greenhouse Lada installed in the Russian segment of the International space station The purpose of this series of experiments was to make morphologic and genetic analysis of pea plants grown in successive generations According to our results pea growth and development over the full cycle of ontogenesis from seed to seed taking place in space greenhouse Lada were not different as compared with the ground control plants In addition four successive pea crops gathered in space flight did not loose their reproductive functions and formed viable seeds Genetic analysis of the plants grown from the space and ground seeds produced by the first to fourth successive crops was performed using the methods of

  17. Ecotoxicological evaluation of wastewater treatment plant effluent discharges: a case study in Prato (Tuscany, Italy).

    PubMed

    Lanciotti, E; Galli, S; Limberti, A; Giovannelli, L

    2004-01-01

    Textile wastewaters, which contain numerous chemicals such as dyes, surfactants, solvents, organic and inorganic salts, can cause severe pollution problems for the receiving freshwaters. The ecotoxicity of wastewaters in Prato, where there are about 14,000 textile and related factories, was investigated from 1996-1999 by means of bioassays. 147 samples of reclaimed wastewater were collected at the outlets of 4 centralized wastewater treatment plants. The acute and chronic toxicity of the effluents was measured with bioassays using three different target organisms: green algae (Pseudokirchneriella subcapitata), crustaceans (Daphnia magna) and bioluminescent bacteria (Vibrio fischeri). Toxicity was expressed as Effective Concentration 50 (EC50) and Toxic Units (TU). The results indicated that the effluents did not have significant acute toxicity: only 2.74% (EC50<100%, TU>1) of the 146 samples tested with crustaceans and 6.52% (EC50<50%, TU>2) of the 78 tested with bioluminescent bacteria showed toxic effects. With algae, slight chronic toxicity was found in 49.33% (mean EC50 value=86.56%, mean TU=1.16) of the 140 samples tested. The highest relative response was found with the algal assay using Pseudokirchneriella subcapitata: 49.33% of 140 samples showed chronic toxicity at 96 hours (EC50<100%).

  18. Resonance and nonlinear properties of a crack filled with a drop of liquid

    NASA Astrophysics Data System (ADS)

    Didenkulov, I. N.; Yoon, S. W.

    2000-07-01

    An investigation of the vibroacoustic response of a crack is very important for the development of methods of nondestructive evaluation (NDE). Several models of linear and nonlinear elastic properties of a dry crack have been developed earlier. A recently suggested model of the capillary nonlinear elasticity of a crack partially filled in with a drop of liquid (V. E. Nazarov, 1996, 1999) does not take into account inertial properties of the oscillatory motion of the liquid inside a crack. A new crack model filled in with a drop of liquid is proposed and studied in this paper. The model accounts for the oscillatory motion of the liquid in a breathing crack. Both linear and nonlinear elastic properties of such a crack are analytically studied. It is shown that the crack with a drop of non-wetting liquid inside shows resonance behavior while that with a wetting liquid does not. The resonance properties as well as the nonlinear elasticity of a crack filled in with a drop of liquid may find application in NDE of modern materials.

  19. Muscle dysmorphia: detection of the use-abuse of anabolic adrogenic steroids in a Spanish sample.

    PubMed

    González-Martí, Irene; Fernández-Bustos, Juan Gregorio; Contreras Jordán, Onofre Ricardo; Sokolova, Marina

    2017-07-14

    Debido a una distorsión en la imagen corporal, las personas que padecen Dismorfia Muscular se perciben menos musculosas de lo que son en realidad. Con el fin de aumentar su musculatura, algunas de estas personas hacen uso de hormonas cuya función principal es la del aumento del tamaño muscular. Por lo que el objetivo de este estudio es conocer la prevalencia del uso de hormonas en personas afectadas por Dismorfia Muscular. 562 hombres y 172 mujeres fisicoculturistas y levantadores de pesas, a los que se le administraron diferentes cuestionarios para conocer, primero si padecían el trastorno, y después en qué porcentaje usaban hormonas la muestra afectada. Para la creación de los modelos de regresión de la dismorfia muscular fueron empleadas las técnicas estadísticas de árboles de decisión (R = 0.78 y R2 = 0.62). Los resultados indican que casi un 50% de participantes, afectados por este trastorno, hacen uso de estas drogas. Due to a distortion in the body image, the people who suffer from muscle dysmorphia have the self-perception of being less muscular than they currently are. With the aim of increasing their muscular development, they resort to the use of AAS. The purpose of the present study is to know the prevalence of the use of AAS in a Spanish sample affected by muscle dysmorphia. 562 male and 172 female bodybuilders and weightlifters were provided with different questionnaires in order to know, firstly, if they suffered from this disorder and, secondly, the percentage of the participants affected who use these substances. Decision trees and regression was applied to create explanatory models for muscle dysmorphia (R = 0.78 and R2 = 0.62). The results show that almost 50% of the participants, male and female, affected by this disorder use this kind of drugs.

  20. The replacement of serum by hormones in cell culture media.

    PubMed

    Sato, G; Hayashi, I

    1976-12-01

    The replacement of serum by hormones in cell culture media. (Reemplazo del suero por hormonas en el medio de cultivo de células). Arch. Biol. Med. Exper. 10: 120-121, 1976. The serum used in cell culture media can be replaced by a mixture of hormones and some accesory blood factors. The pituitary cell line GH3 can be grown in a medium in which serum is replaced by triiodothyronine, transferrin, parathormone, tyrotrophin releasing hormone and somatomedins. Hela and BHK cell strains can also be grown in serum free medium supplemented with hormones. Each cell type appears to have different hormonal requirements yet it may found that some hormones are required for most cell types.

  1. Socioeconomic position predicts long-term depression trajectory: a 13-year follow-up of the GAZEL cohort study.

    PubMed

    Melchior, M; Chastang, J-F; Head, J; Goldberg, M; Zins, M; Nabi, H; Younès, N

    2013-01-01

    Individuals with low socioeconomic position have high rates of depression; however, it is not clear whether this reflects higher incidence or longer persistence of disorder. Past research focused on high-risk samples, and risk factors of long-term depression in the population are less well known. Our aim was to test the hypothesis that socioeconomic position predicts depression trajectory over 13 years of follow-up in a community sample. We studied 12 650 individuals participating in the French GAZEL study. Depression was assessed by the Center for Epidemiological Studies-Depression scale in 1996, 1999, 2002, 2005 and 2008. These five assessments served to estimate longitudinal depression trajectories (no depression, decreasing depression, intermediate/increasing depression, persistent depression). Socioeconomic position was measured by occupational grade. Covariates included year of birth, marital status, tobacco smoking, alcohol consumption, body mass index, negative life events and preexisting psychological and non-psychological health problems. Data were analyzed using multinomial regression, separately in men and women. Overall, participants in intermediate and low occupational grades were significantly more likely than those in high grades to have an unfavorable depression trajectory and to experience persistent depression (age-adjusted ORs: respectively 1.40, 95% confidence interval (CI) 1.16-1.70 and 2.65, 95% CI 2.04-3.45 in men, 2.48, 95% CI 1.36-4.54 and 4.53, 95% CI 2.38-8.63 in women). In multivariate models, the socioeconomic gradient in long-term depression decreased by 21-59% in men and women. Long-term depression trajectories appear to follow a socioeconomic gradient; therefore, efforts aiming to reduce the burden of depression should address the needs of the whole population rather than exclusively focus on high-risk groups.

  2. Comprehensive Analysis of the Incidence and Survival Patterns of Lung Cancer by Histologies, Including Rare Subtypes, in the Era of Molecular Medicine and Targeted Therapy: A Nation-Wide Cancer Registry-Based Study From Taiwan.

    PubMed

    Chang, Jeffrey S; Chen, Li-Tzong; Shan, Yan-Shen; Lin, Sheng-Fung; Hsiao, Sheng-Yen; Tsai, Chia-Rung; Yu, Shu-Jung; Tsai, Hui-Jen

    2015-06-01

    Lung cancer is the third most common cancer in the world and has the highest cancer mortality rate. A worldwide increasing trend of lung adenocarcinoma has been noted. In addition, the identification of epidermal growth factor receptor (EGFR) mutations and the introduction of EGFR inhibitors to successfully treat EGFR mutated non-small cell lung cancers are breakthroughs for lung cancer treatment. The current study evaluated the incidence and survival of lung cancer using data collected by the Taiwan Cancer Registry between 1996 and 2008. The results showed that the most common histologic subtype of lung cancer was adenocarcinoma, followed by squamous cell carcinoma, small cell carcinoma, large cell carcinoma, neuroendocrine tumors, lymphoma, and sarcoma. Overall, the incidence of lung cancer in Taiwan increased significantly from 1996 to 2008. An increased incidence was observed for adenocarcinoma, particularly for women, with an annual percentage change of 5.9, whereas the incidence of squamous cell carcinoma decreased. Among the subtypes of lung cancer, the most rapid increase occurred in neuroendocrine tumors with an annual percentage change of 15.5. From 1996-1999 to 2005-2008, the 1-year survival of adenocarcinoma increased by 10% for men, whereas the 1-, 3-, and 5-year survivals of adenocarcinoma for women increased by 18%, 11%, and 5%, respectively. Overall, the incidence of lung cancer has been increasing in Taiwan, although the trends were variable by subtype. The introduction of targeted therapies was associated with a significantly improved survival for lung adenocarcinoma in Taiwan; however, more studies are needed to explain the rising incidence of lung adenocarcinoma. In addition, it is important to investigate the molecular pathogenesis of the various subtypes of lung cancer to develop novel therapeutic agents.

  3. Distribution, population status and trends of kittlitz's murrelet brachyramphus brevirostris in lower cook inlet and kachemak bay, Alaska

    USGS Publications Warehouse

    Kuletz, Kathy J.; Speckman, Suzann G.; Piatt, John F.; Labunski, E.A.

    2011-01-01

    Lower Cook Inlet (LCI) in south-central Alaska is unusual among the breeding areas of Kittlitz's Murrelet Brachyramphus brevirostris because of human impacts on the marine and terrestrial environments and because of the lack of tidewater glaciers. In LCI the Kittlitz's Murrelet co-exists with the more abundant Marbled Murrelet, which complicates abundance estimates because of the difficulty of species identification. We compared survey data for an area with overlapping coverage in LCI (Core area) in 1993 (June) and from 1996 to 1999 (July-early August). Within this LCI Core area, the surveys in 1996-1999 estimated ~1600 Kittlitz's Murrelets and ~17 000 Marbled Murrelets, including prorated unidentified murrelets. The Kittlitz's Murrelet population declined between 1993 and 1999 at 26% per annum (84% overall). Simultaneously, Marbled Murrelets declined by 12% per annum (56% overall), though the decline was not statistically significant. Declines were estimated conservatively because the 1993 survey was conducted in June, when both murrelet species are less abundant on the water. We also surveyed Kachemak Bay, a large embayment of LCI, during mid-summer (July) of 2005-2007 and estimated a population of 2047 Kittlitz's Murrelets (SD 1120, n = 3 years) residing primarily in the inner bay. Marbled Murrelets numbered 11 040 (SD 1306) and were found throughout the bay. On one transect set in inner Kachemak Bay, Kittlitz's Murrelet density in late summer (1-16 August) declined 7.5% per annum between 1988 and 2007 (n = 6 years), and Marbled Murrelet density increased 4.9% per annum. On two other transect sets in the inner bay, however, neither murrelet species showed a change in density between 1996 and 2007. Inner Kachemak Bay is a persistent hotspot for Kittlitz's Murrelet and may attract murrelets from LCI and beyond. We recommend monitoring murrelet populations in Kachemak Bay, although Kittlitz's Murrelets likely move between the main body of Cook Inlet and Kachemak

  4. Systolic Blood Pressure and Vascular Disease in Men Aged 65 Years and Over: The HIMS (Health in Men Study).

    PubMed

    Lacey, Ben; Golledge, Jonathan; Yeap, Bu B; Lewington, Sarah; McCaul, Kieran A; Norman, Paul E; Flicker, Leon; Almeida, Osvaldo P; Hankey, Graeme J

    2017-06-01

    There is uncertainty about the relation between blood pressure and vascular disease at older age. We assessed the association of systolic blood pressure (SBP) and major vascular events in a prospective cohort study of 7564 men aged 65 to 94 years, recruited in 1996-1999 from the general population in Perth, Western Australia. SBP was measured at baseline and again at resurvey in 2001-2004. Participants were monitored for fatal and nonfatal vascular events. To limit the effect of reverse causality, analyses were restricted to men without previous vascular disease at baseline. Hazard ratios were estimated by Cox regression, with adjustment for age and education (further adjustment did not materially change the associations). During a mean follow-up of 11 years, there were 1557 major vascular events. Continuous log-linear associations were found between usual SBP and risk of major vascular events throughout the SBP range examined (145-170 mm Hg). Overall, 10 mm Hg higher usual SBP was associated with ≈20% higher risk of major vascular events (hazard ratio, 19%; 95% confidence interval, 13%-26%; mean age at event 80 years). There was evidence of positive associations with both ischemic heart disease and stroke and effect modification by age, with shallower associations at older ages. Even at 85 to 94 years, however, there was evidence of a positive association: 10 mm Hg higher usual SBP was associated with 14% (95% confidence interval, 1%-30%) higher risk of major vascular events. © 2017 American Heart Association, Inc.

  5. Factors associated with physicians' choice of a career in research: a retrospective report 15 years after medical school graduation.

    PubMed

    Krupat, Edward; Camargo, Carlos A; Strewler, Gordon J; Espinola, Janice A; Fleenor, Thomas J; Dienstag, Jules L

    2017-03-01

    Relatively little is known regarding factors associated with the choice of a research career among practicing physicians, and most investigations of this issue have been conducted in the absence of a theoretical/conceptual model. Therefore we designed a survey to identify the determinants of decisions to pursue a biomedical research career based upon the Theory of Planned Behavior and the concept of stereotype threat. From October 2012 through January 2014 electronic surveys were sent to four consecutive Harvard Medical School graduating classes, 1996-1999. Respondents provided demographic information, indicated their current research involvement, and provided retrospective reports of their experiences and attitudes when they were making career choices as they completed medical school. Multivariable ordinal regression was used to identify factors independently associated with current research involvement. Completed questionnaires were received from 358 respondents (response rate 65 %). In unadjusted analyses, variables associated with more extensive research involvement included non-minority status, male gender, lower debt at graduation, strong attitudes toward research at time of graduation, and greater social pressures to pursue research (all P < .001). These associations remained significant in multivariable regression analysis (all P < 0.01). However, an interaction between sex and prior research publications was also detected, indicating that more extensive research involvement during medical school doubled the likelihood of a research career for women (OR 2.53, 95 % CI 1.00-6.40; P = 0.05). Most of the factors predicting research career choice involve factors that are potentially modifiable, suggesting that appropriately designed behavioral interventions may help to expand the size and diversity of the biomedical research community.

  6. Doctors’ enjoyment of their work and satisfaction with time available for leisure: UK time trend questionnaire-based study

    PubMed Central

    Surman, Geraldine; Lambert, Trevor W; Goldacre, Michael

    2016-01-01

    Introduction Doctors’ job satisfaction is important to the health service to ensure commitment, effective training, service provision and retention. Job satisfaction matters to doctors for their personal happiness, fulfilment, service to patients and duty to employers. Monitoring job satisfaction trends informs workforce planning. Materials and methods We surveyed UK-trained doctors up to 5 years after graduation for six graduation year cohorts: 1996, 1999, 2002, 2005, 2008, 2012. Doctors scored their job enjoyment (Enjoyment) and satisfaction with time outside work (Leisure) on a scale from 1 (lowest enjoyment/satisfaction) to 10 (highest). Results Overall, 47% had a high level of Enjoyment (scores 8–10) 1 year after graduation and 56% after 5 years. For Leisure, the corresponding figures were 19% and 37% at 1 and 5 years, respectively. For Leisure at 1 year, high scores were given by about 10% in the 1990s, rising to about 25% in the mid-2000s. Low scores (1–3) for Enjoyment were given by 15% of qualifiers of 1996, falling to 5% by 2008; corresponding figures for Leisure were 42% and 19%. At 5 years, the corresponding figures were 6% and 4%, and 23% and 17%. Enjoyment and Leisure were scored higher by general practitioners than doctors in other specialties. Both measures varied little by sex, ethnicity or medical school attended. Conclusions Scores for Enjoyment were generally high; those for Leisure were lower. Policy initiatives should address why this aspect of satisfaction is low, particularly in the first year after graduation but also among hospital doctors 5 years after graduation. PMID:26783328

  7. Career choices for radiology: national surveys of graduates of 1974-2002 from UK medical schools.

    PubMed

    Turner, G; Lambert, T W; Goldacre, M J

    2006-12-01

    To report on trends in career choices for radiology among UK medical graduates. One and 3 years after graduation, and at longer time intervals thereafter, postal questionnaire surveys were sent to all doctors who graduated from UK medical schools in 1974, 1977, 1980, 1983, 1993, 1996, 1999, 2000 and 2002. Doctors were asked to specify their choice of long-term career and to identify factors influencing their choice. Employment details were also collected. Results were analysed using chi(2) statistics and binary logistic regression. Seventy-four percent (24,621/33,412) and 73% (20,720/28,459) of doctors responded 1 and 3 years after graduation. Choices for radiology in year 1 increased significantly over time (1.7% of 1974 graduates to 3.2% of 2002 graduates; chi(2) test for trend=15.3, p<0.001). In particular, there has been a steady increase from the cohorts of 1993 onwards. Thirty-eight percent of those who chose radiology in year 1, and 80% who chose radiology in year 3, were still working in radiology 10 years after graduation. Hours and working conditions influenced long-term career choices more for radiology than for other careers. The proportion of UK trained junior doctors who want to become radiologists has increased in recent years. However, although medical school intake and the numbers making an early choice for radiology have risen, it is unclear whether sufficient UK graduates will be attracted to radiology to fulfil future service requirements from UK trained graduates alone.

  8. GCIP water and energy budget synthesis (WEBS)

    USGS Publications Warehouse

    Roads, J.; Lawford, R.; Bainto, E.; Berbery, E.; Chen, S.; Fekete, B.; Gallo, K.; Grundstein, A.; Higgins, W.; Kanamitsu, M.; Krajewski, W.; Lakshmi, V.; Leathers, D.; Lettenmaier, D.; Luo, L.; Maurer, E.; Meyers, T.; Miller, D.; Mitchell, Ken; Mote, T.; Pinker, R.; Reichler, T.; Robinson, D.; Robock, A.; Smith, J.; Srinivasan, G.; Verdin, K.; Vinnikov, K.; Vonder, Haar T.; Vorosmarty, C.; Williams, S.; Yarosh, E.

    2003-01-01

    As part of the World Climate Research Program's (WCRPs) Global Energy and Water-Cycle Experiment (GEWEX) Continental-scale International Project (GCIP), a preliminary water and energy budget synthesis (WEBS) was developed for the period 1996-1999 fromthe "best available" observations and models. Besides this summary paper, a companion CD-ROM with more extensive discussion, figures, tables, and raw data is available to the interested researcher from the GEWEX project office, the GAPP project office, or the first author. An updated online version of the CD-ROM is also available at http://ecpc.ucsd.edu/gcip/webs.htm/. Observations cannot adequately characterize or "close" budgets since too many fundamental processes are missing. Models that properly represent the many complicated atmospheric and near-surface interactions are also required. This preliminary synthesis therefore included a representative global general circulation model, regional climate model, and a macroscale hydrologic model as well as a global reanalysis and a regional analysis. By the qualitative agreement among the models and available observations, it did appear that we now qualitatively understand water and energy budgets of the Mississippi River Basin. However, there is still much quantitative uncertainty. In that regard, there did appear to be a clear advantage to using a regional analysis over a global analysis or a regional simulation over a global simulation to describe the Mississippi River Basin water and energy budgets. There also appeared to be some advantage to using a macroscale hydrologic model for at least the surface water budgets. Copyright 2003 by the American Geophysical Union.

  9. Incidence of dementia in very elderly individuals: a clinical, neuropathological and molecular genetic study.

    PubMed

    Polvikoski, Tuomo; Sulkava, Raimo; Rastas, Sari; Sutela, Annamaija; Niinistö, Leena; Notkola, Irma-Leena; Verkkoniemi, Auli; Viramo, Petteri; Juva, Kati; Haltia, Matti

    2006-01-01

    To evaluate the effect of medical record use on figures for the incidence of dementia and the effect of apolipoprotein E (APOE) polymorphism on this incidence and neuropathologically defined Alzheimer's disease (AD) in very elderly individuals. Cognitive functions were examined in a cohort of 328 (92% of the very elderly people of a town participated in this study) nondemented Finnish elderly individuals 85 years of age or more in 1991. The examination was repeated in survivors in 1994, 1996, 1999 and 2001. Medical notes and social work records were evaluated. All these individuals were genotyped for APOE. Neuropathological analysis of AD-type pathology was performed on 159 of 303 subjects who died during the follow-up. Age group, gender or APOE did not significantly affect the incidence of dementia, which was over 20% higher (85 vs. 69 per 1,000 person-years) if the cognitive status at death was ascertained by medical and social work records than without this evaluation. The APOE upsilon4 allele was highly significantly (p=0.002) and age almost significantly (p=0.06) associated with neuropathological AD in nondemented individuals. Medical records should be analyzed in studies on the incidence of dementia in very elderly individuals. APOE polymorphism does not affect the incidence of dementia in this age group. However, clinical dementia diagnosis in very elderly individuals does not necessarily correlate well with the presence of neuropathological AD which, even in this age group, is significantly associated with the APOE upsilon4 allele. Copyright (c) 2006 S. Karger AG, Basel.

  10. Dairy consumption and calcium intake and risk of breast cancer in a prospective cohort: the Norwegian Women and Cancer study.

    PubMed

    Hjartåker, Anette; Thoresen, Magne; Engeset, Dagrun; Lund, Eiliv

    2010-11-01

    To study the association between consumption of dairy products and calcium intake and risk of breast cancer risk according to menopausal status. In a population-based prospective cohort study of 64,904 Norwegian women followed from 1996/1999 through 2006, we examined total dairy consumption and consumption of various dairy products in relation to pre- and postmenopausal breast cancer risk. We also examined breast cancer in relation to calcium intake and to milk consumption during childhood and performed additional analyses corrected for measurement errors in the dietary data. In total, 218 premenopausal and 1,189 postmenopausal incident breast cancer cases were diagnosed during follow-up. Total dairy, adult, and childhood milk consumption was not associated with either pre- or postmenopausal breast cancer risk. Premenopausal women with the highest consumption of white cheese had half the risk of breast cancer compared to those with the lowest consumption (hazard rate ratio in the 4th quartile vs. the 1st quartile 0.50, 95% confidence interval 0.29-0.87). Total calcium intake tended to be inversely related to premenopausal (hazard rate ratio in the 4th quartile vs. the 1st quartile 0.65, 95% confidence interval 0.39-1.08) and postmenopausal breast cancer (hazard rate ratio in the 4th quartile vs. the 1st quartile 0.85, 95% confidence interval 0.70-1.04). Correcting for measurement errors did not alter the results substantially, nor did exclusion of early cancer cases. Dairy consumption is not strongly related to breast cancer risk in this prospective study. A non-significant negative association between calcium intake and breast cancer risk was seen, particularly among premenopausal women.

  11. Spatial and temporal variability of snow accumulation rate at East Antarctic ice sheet in 1993-2010

    NASA Astrophysics Data System (ADS)

    Motoyama, H.; Suzuki, K.; Yamanouchi, T.; Kawamura, K.

    2012-04-01

    Snow stakes along the traverse routes have been observed for long term monitoring program 'the variation of ice sheet surface mass balance' from the 1960's by the Japanese Antarctic Research Expedition in Shirase glacier drainage basin, East Antarctica. During the traverse route between coastal S16 point (69 02'S, 40 03'E, 580m a.s.l.) to inland Dome Fuji (77 22'S, 39 42'E, 3,810m a.s.l.), the snow stake observations every 2 km have been carried out from 1993. Latest stake heights were measured in January 2011 and February 2011. Yearly net snow accumulations from S16 to Dome Fuji were calculated. Heavy snow events were shown in 1998, 2004, 2005, 2008-2009 and 2010. Otherwise, in 1994, 1996, 1999, 2000, 2001, 2002 and 2006, light snow events were observed. They were different in way accumulating spatial pattern depending on places. The yearly accumulation rates were compared with seasonal change of AAO-index (SAM). As a result, yearly accumulation rate and AAO-index showed the positive correlation. We would indicate the spatial distributions of air parcel origins. So we calculate air transport by using the NITRAM trajectory model (Tomikawa and Sato, 2005) and ERA-Interim meteorological data set in 1990-2009. The time duration is 5 days and we suppose the origin of air parcel is the point of trajectory at 5 days ago. The starting points are distributed on 1 deg. x 1 deg. grids over Antarctica and its altitude is 1,300m above the surface. We indicate the spatial distributions of air parcel origins to Antarctica. If there were high ratios of sea origin atmosphere in the inland, there was much snow. It is indicated that the humid air from the sea is the main origin of snowfall. But such relations were not seen on the coast. We try to understand the cause of heavy snow and light snow event.

  12. Mortality due to respiratory diseases in the elderly after influenza vaccination campaigns in the Federal District, Brazil, 1996-2009 *

    PubMed Central

    Scoralick, Francisca Magalhães; Piazzolla, Luciana Paganini; Pires, Liana Laura; Neri, Cleudsom; de Paula, Wladimir Kummer

    2013-01-01

    OBJECTIVE: To compare mortality rates due to respiratory diseases among elderly individuals residing in the Federal District of Brasília, Brazil, prior to and after the implementation of a national influenza vaccination campaign. METHODS: This was an ecological time series analysis. Data regarding the population of individuals who were over 60 years of age between 1996 and 2009 were obtained from official databases. The variables of interest were the crude mortality rate (CMR), the mortality rate due to the respiratory disease (MRRD), and the proportional mortality ratio (PMR) for respiratory diseases. We performed a qualitative analysis of the data for the period prior to and after the implementation of the vaccination campaign (1996-1999 and 2000-2009, respectively). RESULTS: The CMR increased with advancing age. Over the course of the study period, we observed reductions in the CMR in all of the age brackets studied, particularly among those aged 80 years or older. Reductions in the MRRD were also found in all of the age groups, especially in those aged 80 years or older. In addition, there was a decrease in the PMR for respiratory diseases in all age groups throughout the study period. The most pronounced decrease in the PMR for respiratory diseases in the ≥ 70 year age bracket occurred in 2000 (immediately following the implementation of the national vaccination campaign); in 2001, that rate increased in all age groups, despite the greater adherence to the vaccination campaign in comparison with that recorded for 2000. CONCLUSIONS: Influenza vaccination appears to have a positive impact on the prevention of mortality due to respiratory diseases, particularly in the population aged 70 or over. PMID:23670505

  13. The American College of Radiology's BI-RADS 3 Classification in a Nationwide Screening Program: current assessment and comparison with earlier use.

    PubMed

    Monticciolo, Debra L; Caplan, Lee S

    2004-01-01

    The Breast Imaging Reporting and Data System allows radiologists to classify lesions as "probably benign-short interval follow-up suggested" (category 3). The purpose of this study is to evaluate the recent use of the category 3 designation in a national cancer detection program. We analyzed data from the National Breast and Cervical Cancer Early Detection Program, a nationwide collaboration between the Centers for Disease Control and Prevention (CDC) and local health agencies that provides cancer screening for low-income, uninsured women. The study population included all women at least 40 years old who had mammograms in the program through September 1999 (n = 826,424). Of the 826,424 mammograms, the percentage classified as category 3 in the initial phase (1991-1996, previously reported, n = 372,760) was 7.7%; of the most recent 453,664 mammograms (1996-1999), 6.0% were given this designation. During the same periods, the percentage of abnormal mammograms decreased from 2.6% to 2.1% and those needing "additional imaging" (category 0) increased from 5.0% to 6.9%. The percentage receiving a category 3, category 0, or abnormal designation decreased with increasing age for each classification. The percentage of category 3 mammograms varied by site from 1.1% to 12.2%. Overall the proportions of category 3 mammograms decreased over time, while requests for additional examinations increased. This suggests that patients were more likely than before to receive additional examinations prior to their final designation. The persistent wide variability in category 3 indicates further education and attention to the use of this category is warranted.

  14. The effect of crop protection strategy on pest and beneficials incidence in protected crops.

    PubMed

    Lourenço, I; Rodrigues, S; Figueiredo, E; Godinho, M C; Marques, C; Amaro, F; Mexia, A

    2002-01-01

    This study took place in the Oeste region from 1996-1999 and it intended to analyse if the crop protection strategy followed by the farmer influenced the arthropod incidence and the natural control in protected vegetable crops under Mediterranean conditions. The observations were made fortnightly (Autumn/Winter) or weekly (Spring/Summer) in 30-60 plants/parcel (1 plant/35 m2) in order to evaluate incidences. Samples of pests and natural enemies were collected for systematic identification in two greenhouses for each protection strategy (traditional chemical control (TCC), integrated pest management (IPM) and pest control allowed in organic farming (OF)) in lettuce, tomato, green beans and cucumber. Data on incidence of mites, aphids, caterpillars, leafminers, whiteflies, thrips and respective natural enemies were registered as well as phytosanitary treatments performed (farmers' information and/or in loco traces). The leafminers were the pest whose incidence more often presented significant statistical differences between the studied protection strategies. In relation to this pest, the main results obtained were: a higher feeding punctures incidence in TCC than in IPM; higher incidence of adults, mines and feeding punctures in TCC than in OF; and a higher mines' incidence in IPM than in OF. Both in TCC and IPM high percentages of plants with mines were found although without an adult proportional presence. In the first case this was due to the repeatedly phytosanitary treatments applied; in the second case it was due to the natural control, since in IPM and OF greenhouses the collected larvae were mostly parasitized or dead. In spite of the fact these two strategies have as final result a similar mines and adults incidence, their production and environmental costs are quite different. Significant differences at the beneficials' population level between TCC greenhouses and IPM or OF greenhouses were found. As the farmers did no biological treatments these

  15. Correlation between the Mayan calendar and ours: Astronomy helps to answer why the most popular correlation (GMT) is wrong

    NASA Astrophysics Data System (ADS)

    Klokočník, J.; Kostelecký, J.; Böhm, V.; Böhm, B.; Vondrák, J.; Vítek, F.

    2008-05-01

    The Maya used their own very precise calendar. When transforming data from the Mayan calendar to ours, or vice versa, a surprisingly large uncertainty is found. The relationship between the two calendars has been investigated by many researchers during the last century and about 50 different values of the transformation coefficient, known as the correlation, have been deduced. They can differ by centuries, potentially yielding an incredibly large error in the relation of Mayan history to the history of other civilizations. The most frequently used correlation is the GMT one (of Goodman-Martínez-Thompson), based largely on historical evidence from colonial times. Astronomy (celestial mechanics) may resolve the problem of the correlation, provided that historians have correctly decoded the records of various astronomical phenomena discovered, namely, in one extremely important and rare Mayan book, the Dresden Codex (DC). This describes (among other matters) observations of various astronomical phenomena (eclipses, conjunctions, maximum elongations, heliacal aspects, etc), made by the Maya. Modern celestial mechanics enables us to compute exactly when the phenomena occurred in the sky for the given place on the Earth, even though far back in time. Here we check (by a completely independent method), confirming the value of the correlation obtained by Böhm & Böhm (1996, 1999). In view of these tests, we advocate rejecting the GMT correlation and replacing it by the Böhm's correlation. We also comment on the criticism of GMT by some investigators. The replacement of GMT by another correlation seems, however, unacceptable to many Mayanists, as they would need to rewrite the whole history of Mesoamerica. The history of the Maya would be - for example with Böhm's correlation - closer to our time by 104 years.

  16. Impact of generic antiretroviral therapy (ART) and free ART programs on time to initiation of ART at a tertiary HIV care center in Chennai, India.

    PubMed

    Solomon, Sunil S; Lucas, Gregory M; Kumarasamy, Nagalingeswaran; Yepthomi, Tokugha; Balakrishnan, Pachamuthu; Ganesh, Aylur K; Anand, Santhanam; Moore, Richard D; Solomon, Suniti; Mehta, Shruti H

    2013-08-01

    Antiretroviral therapy (ART) access in the developing world has improved, but whether increased access has translated to more rapid treatment initiation among those who need it is unknown. We characterize time to ART initiation across three eras of ART availability in Chennai, India (1996-1999: pregeneric; 2000-2003: generic; 2004-2007: free rollout). Between 1996 and 2007, 11,171 patients registered for care at the YR Gaitonde Centre for AIDS Research and Education (YRGCARE), a tertiary HIV referral center in southern India. Of these, 5726 patients became eligible for ART during this period as per Indian guidelines for initiation of ART. Generalized gamma survival models were used to estimate relative times (RT) to ART initiation by calendar periods of eligibility. Time to initiation of ART among patients in Chennai, India was also compared to an HIV clinical cohort in Baltimore, USA. Median age of the YRGCARE patients was 34 years; 77% were male. The median CD4 at presentation was 140 cells/µl. After adjustment for demographics, CD4 and WHO stage, persons in the pregeneric era took 3.25 times longer (95% confidence interval [CI]: 2.53-4.17) to initiate ART versus the generic era and persons in the free rollout era initiated ART more rapidly than the generic era (RT: 0.73; 95% CI: 0.63-0.83). Adjusting for differences across centers, patients at YRGCARE took longer than patients in the Johns Hopkins Clinical Cohort (JHCC) to initiate ART in the pregeneric era (RT: 4.90; 95% CI: 3.37-7.13) but in the free rollout era, YRGCARE patients took only about a quarter of the time (RT: 0.31; 95% CI: 0.22-0.44). These data demonstrate the benefits of generic ART and government rollouts on time to initiation of ART in one developing country setting and suggests that access to ART may be comparable to developed country settings.

  17. Metabolically healthy obesity and depressive symptoms: 16-year follow-up of the Gazel cohort study.

    PubMed

    Hinnouho, Guy-Marino; Singh-Manoux, Archana; Gueguen, Alice; Matta, Joane; Lemogne, Cedric; Goldberg, Marcel; Zins, Marie; Czernichow, Sébastien

    2017-01-01

    The health correlates of the metabolically healthy obese (MHO) phenotype, particularly in relation to depressive symptoms remains unclear. Accordingly, we examined the risk of depressive symptoms in this phenotype using a 16-year follow-up prospective study. A sample of 14 475 participants (75% men), aged 44-59 years in 1996, was drawn from the Gazel cohort. Obesity was defined as body mass index (BMI) ≥ 30 kg/m2 and metabolic health as having none of the self-reported following cardiovascular risk factors: hypertension, type 2 diabetes and dyslipidemia. Depressive symptoms were assessed by the Center for Epidemiologic Studies Depression (CES-D) scale in 1996, 1999, 2002, 2005, 2008 and 2012. Generalized Estimating Equations (GEE) were used to estimate the risk of depressive symptoms during a follow-up of 16 years. In multivariate analyses, metabolically unhealthy normal weight [Odds Ratio (OR) = 1.37; 95% Confidence Interval (CI): 1.25-1.51], overweight [1.44 (1.31-1.59)] and obese [1.30 (1.10-1.54)] but not MHO participants [1.04 (0.81-1.32)] had higher risk of depressive symptoms at the start of follow-up compared to metabolically healthy normal weight individuals. Depressive symptoms decreased over time in metabolically healthy normal weight individuals [0.52 (0.50-0.55)], this decrease was less marked only in metabolically unhealthy obese participants [1.22 (1.07-1.40)]. Compared to MHO participants, metabolically unhealthy obese individuals were at increased risk of depression at the start of follow-up, but with a similar reduction of this risk over time. Poor metabolic health, irrespective of BMI was associated with greater depressive symptoms at the start of follow-up, whereas a poorer course of depressive symptoms over time was observed only in those with both obesity and poor metabolic health.

  18. Prostate cancer changes in clinical presentation and treatments in two decades: an Italian population-based study.

    PubMed

    Trama, Annalisa; Botta, Laura; Nicolai, Nicola; Rossi, Paolo Giorgi; Contiero, Paolo; Fusco, Mario; Lodde, Michele; Pannozzo, Fabio; Piffer, Silvano; Puppo, Antonella; Seeber, Andreas; Tumino, Rosario; Valdagni, Riccardo; Gatta, Gemma

    2016-11-01

    The incidence of prostate cancer is on the rise in many industrialised countries, including Italy, most likely because of the spread of PSA testing. In Italy, prostate cancer mortality has been dropping since 2000, but it is difficult to understand whether PSA testing is the main reason, considering the role of treatment in prognosis. The objectives of this study were: (1) to describe Italian trends of prostate cancer risk categories and corresponding changes in treatment patterns and (2) to interpret changes in survival over time. We made a retrospective observational study using population-based cancer registries. We examined two periods, 1996-1999 and 2005-2007, analysing the distribution of patients among risk groups and treatment changes in those intervals. We estimated 7- and 15-year relative survival with the cohort approach, Ederer II method. We analysed 4635 cases. There was downward risk migration from the first to the second period. In patients younger than 75 years, there was an increase in radical prostatectomy but not radiotherapy; patients older than 75 years rarely had treatment with radical intent. We noted an improvement of prostate cancer survival in the high-risk group. These findings raise several questions: the possible overtreatment of low-risk patients undergoing radical treatment; the utility of more aggressive treatment for elderly patients with high-risk disease; and the importance of a multidisciplinary clinical approach to ensure multiple and alternative treatment options. The increase in survival, with the decrease in mortality, suggests an effect of radical treatments on prognosis. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Making clinical academic careers more attractive: views from questionnaire surveys of senior UK doctors

    PubMed Central

    Lambert, Trevor W; Goldacre, Michael J

    2015-01-01

    Summary Objectives To report on doctors’ reasons, as expressed to our research group, for choosing academic careers and on factors that would make a career in clinical academic medicine more attractive to them. Design Postal, email and web questionnaires. Setting UK. Participants A total of 6936 UK-trained doctors who graduated in 1996, 1999 and 2000. Main outcome measures Open-ended comments about a career in clinical academic medicine. Results Of doctors who provided reasons for pursuing a long-term career in clinical academic medicine, the main reasons were enjoyment of academic work and personal satisfaction, whether expressed directly in those terms, or in terms of intellectual stimulation, enjoyment of research, teaching and the advancement of medicine, and the job being more varied than and preferable to clinical work alone. Doctors’ suggestions for making clinical academic medicine more attractive included improved pay and job security, better funding of research, greater availability of academic posts, more dedicated time for research (and less service work) and more support and mentoring. Women were more likely than men to prioritise flexible working hours and part-time posts. Conclusions Medical schools could provide more information, as part of student teaching, about the opportunities for and realities of a career in clinical academic medicine. Women, in particular, commented that they lacked the role models and information which would encourage them to consider seriously an academic career. Employers could increase academic opportunities by allowing more time for teaching, research and study and should assess whether job plans make adequate allowance for academic work. PMID:26380103

  20. Interannual Variability In the Atmospheric CO2 Rectification Over Boreal Forests Based On A Coupled Ecosystem-Atmosphere Model

    NASA Astrophysics Data System (ADS)

    Chen, B.; Chen, J. M.; Worthy, D.

    2004-05-01

    Ecosystem CO2 exchange and the planetary boundary layer (PBL) are correlated diurnally and seasonally. The simulation of this atmospheric rectifier effect is important in understanding the global CO2 distribution pattern. A 12-year (1990-1996, 1999-2003), continuous CO2 measurement record from Fraserdale, Ontario (located ~150 km north of Timmons), along with a coupled Vertical Diffusion Scheme (VDS) and ecosystem model (Boreal Ecosystem Productivity Simulator, BEPS), is used to investigate the interannual variability in this effect over a boreal forest region. The coupled model performed well in simulating CO2 vertical diffusion processes. Simulated annual atmospheric rectifier effects, (including seasonal and diurnal), quantified as the variation in the mean CO2 concentration from the surface to the top of the PBL, varied from 2.8 to 4.1 ppm, even though the modeled seasonal variations in the PBL depth were similar throughout the 12-year period. The differences in the interannual rectifier effect primarily resulted from changes in the biospheric CO2 uptake and heterotrophic respiration. Correlations in the year-to year variations of the CO2 rectification were found with mean annual air temperatures, simulated gross primary productivity (GPP) and heterotrophic respiration (Rh) (r2=0.5, 0.46, 0.42, respectively). A small increasing trend in the CO2 rectification was also observed. The year-to-year variation in the vertical distribution of the monthly mean CO2 mixing ratios (reflecting differences in the diurnal rectifier effect) was related to interannual climate variability, however, the seasonal rectifier effects were found to be more sensitive to climate variability than the diurnal rectifier effects.

  1. Interannual variability in the atmospheric CO2 rectification over a boreal forest region

    NASA Astrophysics Data System (ADS)

    Chen, Baozhang; Chen, Jing M.; Worthy, Douglas E. J.

    2005-08-01

    Ecosystem CO2 exchange with the atmosphere and the planetary boundary layer (PBL) dynamics are correlated diurnally and seasonally. The strength of this kind of covariation is quantified as the rectifier effect, and it affects the vertical gradient of CO2 and thus the global CO2 distribution pattern. An 11-year (1990-1996, 1999-2002), continuous CO2 record from Fraserdale, Ontario (49°52'29.9″N, 81°34'12.3″W), along with a coupled vertical diffusion scheme (VDS) and ecosystem model named Boreal Ecosystem Productivity Simulator (BEPS), are used to investigate the interannual variability of the rectifier effect over a boreal forest region. The coupled model performed well (r2 = 0.70 and 0.87, at 40 m at hourly and daily time steps, respectively) in simulating CO2 vertical diffusion processes. The simulated annual atmospheric rectifier effect varies from 3.99 to 5.52 ppm, while the diurnal rectifying effect accounted for about a quarter of the annual total (22.8˜28.9%).The atmospheric rectification of CO2 is not simply influenced by terrestrial source and sink strengths, but by seasonal and diurnal variations in the land CO2 flux and their interaction with PBL dynamics. Air temperature and moisture are found to be the dominant climatic factors controlling the rectifier effect. The annual rectifier effect is highly correlated with annual mean temperature (r2 = 0.84), while annual mean air relative humidity can explain 51% of the interannual variation in rectification. Seasonal rectifier effect is also found to be more sensitive to climate variability than diurnal rectifier effect.

  2. The effect of non-steroidal anti-inflammatory drugs on risk of benign prostatic hyperplasia.

    PubMed

    Nygård, Lotta H; Talala, Kirsi; Taari, Kimmo; Tammela, Teuvo L J; Auvinen, Anssi; Murtola, Teemu J

    2017-06-01

    Inflammation may play a role in pathogenesis of benign prostatic hyperplasia (BPH). However, the role of non-steroidal anti-inflammatory drugs (NSAIDs) as BPH risk factor is unclear. The objective of this study was to examine risk of BPH by NSAID use in a population-based cohort. A total of 74 754 Finnish men without previous BPH at baseline in 1996-1999 were linked to national medication reimbursement database for information on physician-prescribed NSAID purchases during 1995-2009. Information on BPH procedures and diagnoses was obtained from national Care Register for Health Care. Cox regression with adjustment for age and use of cholesterol-lowering, antidiabetic and antihypertensive medication, with NSAID use as time-dependent variable was used to analyse the risk of BPH surgery, medication use, and recorded diagnosis. Of the subjects 57 707 men (77.2%) used prescription NSAIDs. The risk of BPH was elevated among NSAID users compared to non-users: HR 2.04, 95% CI 1.97-2.10 for BPH medication use, HR 1.59, 95% CI 1.47-1.71 for recorded diagnosis and HR 1.61, 95% CI 1.49-1.74 for surgery. The risk increase correlated with duration of NSAID usage, less with annual dosage. Nevertheless, the risk increase was observed already at short-term and low-dosage use. NSAID use is associated with an increased risk of BPH. The association is affected by systematic differences by NSAID use as the risk increase was observed already at short-term use. Nevertheless, the association correlated with duration of use, suggesting that NSAID usage or the conditions indicating it may increase BPH risk. © 2017 Wiley Periodicals, Inc.

  3. Observational test of empirical magnetopause location models using geosynchronous satellite data

    NASA Astrophysics Data System (ADS)

    Park, Eunsu; Moon, Y.-J.; Lee, Kangjin

    2016-11-01

    In this study, we identify 123 geosynchronous magnetopause crossings using geosynchronous satellite observation data from 1996 to 2010 as well as make an observational test of magnetopause location models using the identified events. For this, we consider three models: Petrinec and Russell (1996), Shue et al. (1998), and Lin et al. (2010). To evaluate the models, we estimate a probability of detection (PoD) and a critical success index (CSI) as a function of year. To examine the effect of solar cycle phase, we consider three different time periods: (1) ascending phase (1996-1999), (2) maximum phase (2000-2002), and (3) descending phase (2003-2008). Major results from this study are as follows. First, the PoD values of all models range from 0.4 to 0.8 for the most of years. Second, the PoD values of Lin et al. (2010) are noticeably higher than those of the other models. Third, the CSI values of all models range from 0.1 to 0.3, and those of Shue et al. (1998) are slightly higher than those of the other models. Fourth, the predicted magnetopause radii based on Lin et al.(2010) well match the observed ones within 1 Earth radius, while those on Shue et al. (1998) overestimate the observed ones by about 2 Earth radii. Fifth, the PoD and critical success index (CSI) values of all the models are better for the solar maximum phase than those for the other phases, implying that the models are more optimized for the phase.

  4. Glomalin content of forest soils in relation to fire frequency and landscape position.

    PubMed

    Knorr, Melissa A; Boerner, R E J; Rillig, Matthias C

    2003-08-01

    Low-intensity, dormant season fires were frequent and widespread in oak-hickory ( Quercus-Carya) forests of eastern North America until widespread fire suppression began in the mid-1900s. To assess how reintroduction of fire into such ecosystems might affect the activity of arbuscular mycorrhizal (AM) fungi and, thereby, predict the long-term responses of plants and soils to fire, we analyzed the content of the immunoreactive fractions of the AM-fungus-specific glycoprotein glomalin in soils taken in 1994 and 2000 from three forested watersheds in southern Ohio, USA. One watershed remained unburned, one was burned annually from 1996-1999 and one was burned twice, in 1996 and 1999. In addition, to account for the strong landscape-scale gradients of microclimate and soil that typify these watersheds, we stratified each watershed-scale treatment area into three microclimatic zones (=landscape positions) using a GIS-based integrated moisture index (IMI). In the unburned control, the concentrations of immunoreactive, easily-extractable glomalin (IREEG) and immunoreactive total glomalin (IRTG) did not change significantly over the 6-year interval between sampling times, either overall or within any of the three IMI classes. IRTG content was greatest in the mesic landscape positions and lowest in the relatively xeric landscape positions, but IREEG did not vary among landscape positions. Neither IREEG nor IRTG contents were affected by fire, nor were there significant interactions between fire and landscape position in glomalin content. Both correlation and regression analyses demonstrated significant linkages between soil glomalin content, the density/diversity of herbaceous plants, and soil N availability. Despite significant effects of fires on soil N availability and root growth, we resolved no effect of fire on AM fungal activity at this spatial scale.

  5. On the importance of atmospheric inputs of inorganic nitrogen species on the productivity of the Eastern Mediterranean Sea

    NASA Astrophysics Data System (ADS)

    Kouvarakis, G.; Mihalopoulos, N.; Tselepides, A.; Stavrakakis, S.

    2001-12-01

    To assess the importance of the atmospheric deposition of nitrogen (N) on the productivity of the eastern Mediterranean Sea, measurements of both wet and dry deposition of dissolved inorganic nitrogen (DIN) have been performed at a remote coastal area in the island of Crete (Finokalia) during a 3-year period (1996-1999). The estimation of dry deposition of DIN is based on measurements of both gaseous (HNO3 and NH3) and particulate phase (NO3- and NH4+) nitrogen compounds. The results of the wet and dry deposition obtained at Finokalia have been compared with data of particulate organic nitrogen (PON) obtained during two yearly (1994-1995 and 1997-1998) surveys (CINCS and MATER) in the Cretan Sea by using sediment traps deployed at 200 and 500 m depths. Our results show that the atmospheric deposition of DIN can account for up to 370% of the measured PON in the sediment traps, indicating that atmospheric pathway alone can sufficiently account for the measured new nitrogen production. On the basis of the primary productivity induced by the imported DIN and the productivity of the southeastern Mediterranean derived from in situ measurements a mean f ratio of 0.24 is calculated indicating that from the N point of view, the eastern Mediterranean can no longer be considered as among the most oligotrophic seas of the world. Other elements, most probably phosphorus (P), can account for the oligotrophic character of the eastern Mediterranean Sea. To our knowledge this is the first attempt to understand the role of the atmospheric input of nitrogen on the productivity of the eastern Mediterranean Sea.

  6. Interseismic strain accumulation in seismic gap of south central Chile from GPS measurements

    NASA Astrophysics Data System (ADS)

    Rudloff, A.; Vigny, C.; Ruegg, J. C.; Campos, J.

    2003-04-01

    Three campaigns of Global Positioning System (GPS) measurements were carried out in the Concepcion-Constitucion seismic gap in South Central Chile in 1996, 1999, and 2002. We observed a network of about 40 sites, made of 2 east-west transects roughly perpendicular to the trench ranging from the coastal area to the Argentina border and 1 north-south profile along the coast. Data sets were processed with MIT's GAMIT/GLOBK package. Horizontal velocities have formal uncertainties around 1 to 2 mm/yr in average. Vertical velocities are also determined and have uncertainties around 2 to 5 mm/yr. We find that the convergence between Nazca and South-America plates better matches the pole previously estimated by (Larson et al, 1997) than the Nuvel-1A estimate. Our estimate predicts a convergence of 72 mm/yr at N70 to be compared with Nuvel-1A 80 mm/yr at N79. With respect to stable South America, horizontal velocities decrease from 35 mm/yr on the coast to 14 mm/yr in the Cordillera. Vertical velocities help constraint lithospheric flecture. Partionning of the slightly oblique convergence will be investigated. The gradient of convergent parallel velocities reflects aseismic elastic loading on a zone of about 400 km width. Interestingly enough, this gradient exhibit a linear pattern, marginally compatible with the expected arctangent shape. 70 mm/yr of motion accumulated since the last big event in this area (1835 Earthquake described by Darwin) represent more than 10 m of displacement. Therefore, this area is probably mature for a next large earthquake, the magnitude of which could reach 8.5.

  7. Glacier surface elevation change by field surveys 1996-2008 in Langtang Himal, Nepal Himalaya

    NASA Astrophysics Data System (ADS)

    Nuimura, T.; Fujita, K.; Okamoto, S.; Takenaka, S.; Hoshina, Y.; Nagai, H.

    2012-04-01

    Larger parts of glacier surface in the Himalayas are covered with debris. Changes in elevation are essential for monitoring fluctuations in debris-covered glaciers because the supraglacial debris mantle makes it difficult to detect changes in area. Therefore, an approach using remotely sensed (RS) digital elevation models (DEMs) is feasible solutions to evaluate how fast Himalayan glaciers are changing in volume. Because the RS-DEMs generally include various errors, validation and calibration using field measurements data are necessary for accurate estimation of elevation. However, few ground-based observational studies have been available because of remoteness and high altitude in the regions. We calculate changes in elevation of the glacier surface using field geodetically measurement (theodolite with laser distance finder) in 1996, 1999, and differential GPS (DGPS) measurements in 2008 at Lirung Glacier in Langtang Himal, Nepal Himalaya. Individual surveys were co-registered by referring to benchmarks installed on bedrock around the glacier in 1996. Those points data were converted to 30-m-grid DEMs for calculating changes in elevation. We also calculated changes in elevation of the glacier surface using multi-temporal RS-DEMs calibrated with DGPS data in 2008. The calibration is co-registration of each RS-DEM against DGPS derived DEM in 2008 by minimizing the root mean square error over glacier-free terrain, where no elevation change is expected. RS-DEMs used in this study are topographical map derived DEM in 1992, SRTM DEM in 2000, and ASTER DEMs between 2001 and 2004. Temporal changes in elevation is calculated by generating a weighted least square linear regression model. We will show the result in presentation.

  8. The third space: The use of self-study to examine the culture of a science classroom

    NASA Astrophysics Data System (ADS)

    Magee, Dashia M.

    Science educators are in the position to create bridges between their students and the world of science (Aikenhead, 1996, 1999). This connection has often been described as the third space (Bhabha, 1994; Moje, Collazo, Carrillo, & Marx, 2001; Wallace, 2004), which is represented as a combination or a meeting of the students' world and the world of science. In this study, I examined my role in creating the third space through the use of self-study. Self-study is a form of research, educators use to understand their practice (Austin & Senese, 2004; Loughran, 2004; Northfield & Loughran, 1996). It is a means of describing, analyzing, and interpreting a teacher's actions within his or her classroom (Tidwell, 2002). The focal point of this self-study is to understand my actions found within my past and present teaching experiences and the underlying beliefs that are expressed through those actions. In this self-study, I collected data from my life history, classroom observations, and member check interview. My life history described my influences that shaped my philosophy of teaching and learning, while the classroom observations provided a means of understanding my interactions with the science curriculum and my English Language Learner (ELL) students. And finally, a member check focus group interview occurred to confirm the results occurring in the classroom observations. Once the data were collected, I used grounded theory methods to analyze my results and answer the research questions. This self-study became the means of exploring my philosophy of teaching and learning and my teaching practices as they occurred in an ELL science classroom. I examined my own practice through a comparison between my past experiences and my current teaching situation and through this exploration, I identified my actions and the beliefs associated with those actions as they informed my teaching practices.

  9. Are mortality rates for different operations related?: implications for measuring the quality of noncardiac surgery.

    PubMed

    Dimick, Justin B; Staiger, Douglas O; Birkmeyer, John D

    2006-08-01

    Except in cardiac surgery, measuring quality with procedure-specific mortality rates is unreliable because of small sample sizes at individual hospitals. Statistical power can be improved by combining mortality data from multiple operations. We sought to determine whether this approach would still be useful in understanding performance with individual procedures. We studied 11 high-risk operations performed in the national Medicare population (1996-1999). For each operation, we calculated 1) the risk-adjusted mortality rate for the procedure and 2) the mortality rate with up to 10 other operations combined ("other" mortality). To test for an association between these mortality rates, we calculated the correlation coefficient adjusting for random variation. We then collapsed hospitals into quintiles of other mortality and calculated procedure-specific mortality rates within each of these quintiles. Mortality with specific operations was modestly correlated with other mortality: coefficients ranged from 0.14 for pneumonectomy to 0.35 for esophagectomy. Despite small to moderate correlations, other mortality was a good predictor of procedure-specific mortality for 10 of the 11 operations. Pancreatic resection had the strongest relationship, with procedure-specific mortality rates at hospitals in the worst quintile of other mortality 3-fold higher than those in the best quintile (15.2% vs. 6.3%, P < 0.001). Pneumonectomy had the weakest relationship with no significant relationship between other mortality and procedure-specific mortality. Hospitals with low mortality rates for 1 operation tend to have lower mortality rates for other operations. These relationships suggest that different operations share important structures and processes of care related to performance. Future efforts aimed at predicting procedure-specific performance should consider incorporating data from other operations at that hospital.

  10. DOT for patients with limited access to health care facilities in a hill district of eastern Nepal.

    PubMed

    Wares, D F; Akhtar, M; Singh, S

    2001-08-01

    The hill district in Nepal, where access to health care facilities is difficult. To compare results before and after a decentralised directly observed treatment (DOT) intervention. Prospective study of patients registered in Dhankuta district, Nepal, 1996-1999. Patients received their intensive phase treatment under health worker supervision via one of three DOT options: 1) ambulatory from the peripheral government health facilities; 2) ambulatory from an international non-governmental organisation (INGO) TB clinic in district centre; or 3) resident in INGO TB hostel in district centre. Historical data from 1995-1996, with unsupervised short-course chemotherapy, were used for comparison. Of 307 new cases, respectively 126 (41%), 86 (28%) and 95 (31%) took their intensive phase treatment via options 1, 2 and 3. Smear conversion (at 2 months) and cure rates in new smear-positive pulmonary tuberculosis cases were respectively 81.6% (vs. 58.8% historical, P = 0.001) and 84.9% (vs. 76.7% historical, P = 0.03). Overall costs to the INGO provider fell by 7%, mainly as a result of staffing reductions in the INGO services made possible by rationalisation with government services during the intervention. By offering varied DOT delivery routes, including an in-patient option, satisfactory results are possible with DOT even in areas where access to health care facilities is difficult. Provision of in-patient care via an INGO TB hostel allowed a significant proportion of new cases (31%) to receive their intensive phase treatment who otherwise may have had difficulty accessing treatment, due either to the distance to the nearest health facility or to disease severity. Substitution of government hospital beds or local hotel beds for the INGO hostel beds may allow the model to be reproduced elsewhere in similar geographical conditions in Nepal, but further studies should be performed in a non-INGO supported district beforehand.

  11. Does type of gatekeeping model affect access to outpatient specialty mental health services?

    PubMed

    Hodgkin, Dominic; Merrick, Elizabeth L; Horgan, Constance M; Garnick, Deborah W; McLaughlin, Thomas J

    2007-02-01

    To measure how a change in gatekeeping model affects utilization of specialty mental health services. Secondary data from health insurance claims for services during 1996-1999. The setting is a managed care organization that changed gatekeeping model in one of its divisions, from in-person evaluation to the use of a call-center. We evaluate the impact of the change in gatekeeping model by comparing utilization during the 2 years before and 2 years after the change, both in the affected division and in another division where gatekeeping model did not change. The design is thus a controlled quasi-experimental one. Subjects were not randomized. Key dependent variables are whether each individual had any specialty mental health visits in a year; the number of visits; and the proportion of users exceeding eight visits in a year. Key explanatory variables include demographic variables and indicators for patient diagnoses and their intervention status (time-period, study group). Claims data were aggregated to create analytic files with one record per member per year, with variables reporting demographic characteristics and mental health service use. After controlling for secular trends at the other division, the division which changed gatekeeping model eventually experienced an increase in the proportion of enrollees receiving specialty mental health treatment, of 0.5 percentage point. Similarly, there was an increase of about 0.6 annual visits per user, concentrated at the low end of the distribution. These changes occurred only in the second year after the gatekeeping changes. The results of this study suggest that the gatekeeping changes did lead to increases in utilization of mental health care, as hypothesized. At the same time, the magnitude of the increase in access and mean number of visits that we found was relatively modest. This suggests that while the change from face-to-face specialty gatekeeping to call-center intake does increase utilization, it is unlikely

  12. Detection of secular acceleration pulses from magnetic observatory data

    NASA Astrophysics Data System (ADS)

    Soloviev, Anatoly; Chulliat, Arnaud; Bogoutdinov, Shamil

    2017-09-01

    Geomagnetic secular variation (SV) models for the epochs before the space era are based on magnetic observatory data, which represent relatively rough and noisy time series due to magnetic storms, anthropogenic spikes and gaps. These models are often strongly regularized in time, so that fast variations in the SV are smoothed out. However, recent studies show that at least some of the geomagnetic jerks observed at the Earth's surface emanate from increasing and decreasing phases of secular acceleration (SA) pulses at the core surface. The latter ones are direct manifestation of the dynamic processes taking place in the liquid core. They were first detected from satellite data, which are both of higher quality and more homogeneous in terms of geographical coverage than ground data. Herein we attempt to carry out similar studies based on observatory data available for a longer period. The proposed method of SV modeling and recognition of SA pulses relies on a new technique of processing time series based on fuzzy mathematics. Comparison with the SV modeling results derived from satellite data shows their high conformity with the proposed method. Stability and reliability of the SA pulse recognition are demonstrated by the examples of well-studied SA pulses in 2006, 2009 and 2012. Moreover, several new SA pulses around 1996, 1999, 2002 and 2014 are discovered as a result of the new approach application to multi-observatory data analysis. The latter provides a basis for applying the method to older historical data and investigate SA pulses and geomagnetic jerks further back in time.

  13. A comparison of self-reported analgesic use and detection of urinary ibuprofen and acetaminophen metabolites by means of metabonomics: the INTERMAP Study.

    PubMed

    Loo, Ruey Leng; Chan, Queenie; Brown, Ian J; Robertson, Claire E; Stamler, Jeremiah; Nicholson, Jeremy K; Holmes, Elaine; Elliott, Paul

    2012-02-15

    Information on dietary supplements, medications, and other xenobiotics in epidemiologic surveys is usually obtained from questionnaires and is subject to recall and reporting biases. The authors used metabolite data obtained from hydrogen-1 (or proton) nuclear magnetic resonance ((1)H NMR) analysis of human urine specimens from the International Study of Macro-/Micro-Nutrients and Blood Pressure (INTERMAP Study) to validate self-reported analgesic use. Metabolic profiling of two 24-hour urine specimens per individual was carried out for 4,630 participants aged 40-59 years from 17 population samples in Japan, China, the United Kingdom, and the United States (data collection, 1996-1999). (1)H NMR-detected acetaminophen and ibuprofen use was low (∼4%) among East Asian population samples and higher (>16%) in Western population samples. In a comparison of self-reported acetaminophen and ibuprofen use with (1)H NMR-detected acetaminophen and ibuprofen metabolites among 496 participants from Chicago, Illinois, and Belfast, Northern Ireland, the overall rate of concordance was 81%-84%; the rate of underreporting was 15%-17%; and the rate of underdetection was approximately 1%. Comparison of self-reported unspecified analgesic use with (1)H NMR-detected acetaminophen and ibuprofen metabolites among 2,660 Western INTERMAP participants revealed similar levels of concordance and underreporting. Screening for urinary metabolites of acetaminophen and ibuprofen improved the accuracy of exposure information. This approach has the potential to reduce recall bias and other biases in epidemiologic studies for a range of substances, including pharmaceuticals, dietary supplements, and foods.

  14. Reasons why doctors choose or reject careers in general practice: national surveys

    PubMed Central

    Lambert, Trevor; Goldacre, Raph; Smith, Fay; Goldacre, Michael J

    2012-01-01

    Background Less than one-third of newly qualified doctors in the UK want a career in general practice. The English Department of Health expects that half of all newly qualified doctors will become GPs. Aim To report on the reasons why doctors choose or reject careers in general practice, comparing intending GPs with doctors who chose hospital careers. Design and setting Questionnaire surveys in all UK medical graduates in selected qualification years. Method Questions about specialty career intentions and motivations, put to the qualifiers of 1993, 1996, 1999, 2000, 2002, 2005, 2008, and 2009, 1 year after qualification, and at longer time intervals thereafter. Results ‘Enthusiasm for and commitment to the specialty’ was a very important determinant of choice for intending doctors, regardless of chosen specialty. ‘Hours and working conditions’ were a strong influence for intending GPs (cited as having had ‘a great deal’ of influence by 75% of intending GPs in the first year after qualification), much more so than for doctors who wanted a hospital career (cited by 30%). Relatively few doctors had actually considered general practice seriously but then rejected it; 78% of the doctors who rejected general practice gave ‘job content’ as their reason, compared with 32% of doctors who rejected other specialties. Conclusion The shortfall of doctors wanting a career in general practice is not accounted for by doctors considering and rejecting it. Many do not consider it at all. There are very distinctive factors that influence choice for, and rejection of, general practice. PMID:23211266

  15. Enhancement of oceanic parameters associated with dust storms using satellite data

    NASA Astrophysics Data System (ADS)

    Singh, Ramesh P.; Prasad, Anup K.; Kayetha, Vinay K.; Kafatos, Menas

    2008-11-01

    Atmospheric aerosols play a vital role on the dynamics of climate processes through direct and indirect effects. Dust storms originating over the world's arid regions contribute a large fraction of aerosols in the atmosphere. Using remote sensing data, an anomalous enhancement in the biological productivity of sea was observed in the Gulf of Oman which was attributed only to cold sea surface temperature (SST) eddies (during November to early December months of 1996-1999), whereas recent study has shown that during dust storms (June-July-August and October-November-December months of 1997-2004), major nutrient supply is from atmospheric dust deposition. We have carried out a study of individual cases of major dust storms over the Arabian Sea during the entire year (December 2003-December 2006) to quantify role of dust storms and changes in ocean surface due to chlorophyll bloom. Using Moderate Resolution Imaging Spectroradiometer (MODIS) Aqua, we have found that the deposition of dust along the passage of major dust storms (aerosol optical depth (AOD) ˜0.25-0.41) occuring over the Arabian Sea causes chlorophyll blooming (usually 10-22.43 mg/m3) within a period of 1-2 to up to 3-4 days. However, we have also found significant anomalous cooling of the ocean surface (SST) and relatively higher ocean wind speeds (QuikSCAT) during dust storms that may lead to favorable conditions for blooming. Exact nature and cause of chlorophyll bloom in the semienclosed northern Arabian Sea, surrounded by one of the world's major sources of dust storms (Africa, Middle East, Iran, and Afghanistan), are very important in understanding the productivity and the biogeochemical cycles of the marine ecosystem. The results have been validated using the Indian Remote Sensing Polar-4 Ocean Color Monitor (IRS P4 OCM) data.

  16. Mortality trends among migrant groups living in Amsterdam.

    PubMed

    Uitenbroek, Daan G

    2015-11-27

    The main aim of this paper is to see to what extent mortality patterns between migrants living in the Netherlands converge. This might be an indicator of health and health care acculturation. This is an observational study on the basis of standard mortality registration data collected between 1996 and 2007. Eight ethnic groups living in Amsterdam are examined to see if mortality converges or diverges over time. Trends in mortality are studied using Poisson regression. The life expectancy between groups is compared for three time periods. The data showed that for males and females the life expectancy and death rates improved between 1996-1999 and 2004-2007. Most ethnic groups, both males and females, followed this positive trend. For most indicators the ethnic groups converged in terms of mortality. The data also shows the healthy migrant effect with those in Amsterdam from Dutch origin having a relatively high mortality and low life expectancy. In this paper the "healthy migrant effect" can be clearly observed. An important cause is the emigration of the original and relatively affluent and healthy Dutch population to suburban areas. Mortality trends tend to converge between ethnic groups during the period 1997-2000 and 2004-2007. The data presented here shows further that trends in mortality and life expectancy which apply to all ethnic groups are much more powerful as this convergence. One wonders if bridging the mortality gap between groups is of much benefit for minority groups, or that minority groups would benefit more from an overall decrease in mortality. Mortality trends that apply to all groups tend to be much stronger compared with trends for individual groups. This shows that dynamics affecting all groups similarly have a considerably stronger effect on mortality outcomes in various ethnic groups compared with possible convergence.

  17. Working as a doctor when acutely ill: comments made by doctors responding to United Kingdom surveys

    PubMed Central

    Smith, Fay; Goldacre, Michael J

    2016-01-01

    Summary Objectives We undertook multi-purpose surveys of doctors who qualified in the United Kingdom between 1993 and 2012. Doctors were asked specific questions about their careers and were asked to comment about any aspect of their training or work. We report doctors’ comments about working whilst acutely ill. Design Self-completed questionnaire surveys. Setting United Kingdom. Participants Nine cohorts of doctors, comprising all United Kingdom medical qualifiers of 1993, 1996, 1999, 2000, 2002, 2005, 2008, 2009 and 2012. Main outcome measures Comments made by doctors about working when ill, in surveys one, five and 10 years after graduation. Results The response rate, overall, was 57.4% (38,613/67,224 doctors). Free-text comments were provided by 30.7% (11,859/38,613). Three-hundred and twenty one doctors (2.7% of those who wrote comments) wrote about working when feeling acutely ill. Working with Exhaustion/fatigue was the most frequent topic raised (195 doctors), followed by problems with Taking time off for illness (112), and general comments on Physical/mental health problems (66). Other topics raised included Support from others, Leaving or adapting/coping with the situation, Bullying, the Doctor’s ability to care for patients and Death/bereavement. Arrangements for cover due to illness were regarded as insufficient by some respondents; some wrote that doctors were expected to work harder and longer to cover for colleagues absent because of illness. Conclusions We recommend that employers ensure that it is not unduly difficult for doctors to take time off work when ill, and that employers review their strategies for covering ill doctors who are off work. PMID:27066264

  18. Personality Moderates the Improvement of Depressive Symptoms After Retirement: Evidence from the GAZEL Cohort.

    PubMed

    Airagnes, Guillaume; Lemogne, Cédric; Consoli, Silla M; Schuster, Jean-Pierre; Zins, Marie; Limosin, Frédéric

    2015-09-01

    Previous studies have suggested a positive effect of retirement on depressive symptoms. The present study took advantage of the large-scale, prospective Gaz et Electricité (GAZEL) cohort to examine whether personality could influence this effect. Depressive symptoms were assessed in 1993, 1996, 1999, 2002, 2005, and 2008 with the Center for Epidemiologic Studies Depression Scale (CES-D). Among the participants for which changes in depressive symptoms after retirement could be computed, 9,755 had completed the Buss and Durkee Hostility Inventory and the Bortner Type A Rating Scale in 1993. Covariates included age, gender, occupational grade, history of sickness absences for depression, and alcohol consumption. The effect of hostility and type A personality on changes in depressive symptoms after retirement were assessed with general linear models. Adjusting for all covariates, higher scores of total (p <0.001; η(2) = 0.017), cognitive (p <0.001; η(2) = 0.021), and behavioral hostility (p <0.001; η(2) = 0.004) as well as type A personality (p <0.001; η(2) = 0.002) were each associated with a smaller improvement of depressive symptoms after retirement. Regarding hostility subscales, only the association with cognitive hostility remained significant (p <0.001; η(2) = 0.018) when both were simultaneously entered in the model. Among participants meeting the CES-D threshold of clinical depression before retirement, those in the lowest quartile of cognitive hostility were two times more likely than those in the highest to fall short of this threshold after retirement (odds ratio: 1.99; 95% confidence interval: 1.54-2.58). Individuals with high levels of cognitive hostility display less improvement of depressive symptoms after retirement. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  19. Invasive Pneumococcal Disease Among HIV-Infected and HIV-Uninfected Adults in a Large Integrated Healthcare System.

    PubMed

    Marcus, Julia L; Baxter, Roger; Leyden, Wendy A; Muthulingam, Dharushana; Yee, Arnold; Horberg, Michael A; Klein, Daniel B; Towner, William J; Chao, Chun R; Quesenberry, Charles P; Silverberg, Michael J

    2016-10-01

    It is unclear whether HIV-infected individuals remain at higher risk of invasive pneumococcal disease (IPD) compared with HIV-uninfected individuals. We conducted a cohort study of HIV-infected and demographically matched HIV-uninfected adults within Kaiser Permanente Northern California during the period 1996-2011. We used Poisson models to obtain rate ratios (RRs) for incident IPD associated with HIV infection and other risk factors. Among 13,079 HIV-infected and 137,643 HIV-uninfected adults, the IPD rate per 100,000 person-years was 160 (n = 109 events) for HIV-infected and 8 (n = 75 events) for HIV-uninfected subjects, with an adjusted RR of 13.0 [95% confidence interval (CI): 9.1-18.7]. For HIV-infected individuals, IPD incidence per 100,000 person-years decreased by 71% during study follow-up, from 305 in 1996-1999 to 88 in 2010-2011 (p < 0.001), with an adjusted RR of 6.6 (95% CI: 2.7-16.1) compared with HIV-uninfected subjects in 2010-2011. Risk factors for IPD among HIV-infected individuals included black compared with white race/ethnicity, smoking, cancer, and higher HIV RNA levels. The 23-valent pneumococcal polysaccharide vaccination was not associated with a reduced risk of IPD in HIV-infected or HIV-uninfected individuals. Among HIV-infected IPD cases, the most common serotype was 19A (33%), and 59% of serotypes were covered by the 13-valent pneumococcal conjugate vaccine (PCV13). Despite a dramatic decline in IPD incidence for HIV-infected adults since 1996, IPD rates were nearly sevenfold higher compared with HIV-uninfected adults in recent years, even after adjustment for risk factors. Timely antiretroviral therapy initiation, risk reduction strategies, and recent guidelines recommending PCV13 use may further reduce IPD incidence among HIV patients.

  20. The human cortical areas V6 and V6A.

    PubMed

    Pitzalis, Sabrina; Fattori, Patrizia; Galletti, Claudio

    2015-01-01

    In macaque, it has long been known since the late nineties that the medial parieto-occipital sulcus (POS) contains two regions, V6 and V6A, important for visual motion and action. While V6 is a retinotopically organized extrastriate area, V6A is a broadly retinotopically organized visuomotor area constituted by a ventral and dorsal subdivision (V6Av and V6Ad), both containing arm movement-related cells active during spatially directed reaching movements. In humans, these areas have been mapped only in recent years thanks to neuroimaging methods. In a series of brain mapping studies, by using a combination of functional magnetic resonance imaging methods such as wide-field retinotopy and task-evoked activity, we mapped human areas V6 (Pitzalis et al., 2006) and V6Av (Pitzalis et al., 2013 d) retinotopically and defined human V6Ad functionally as a pointing-selective region situated anteriorly in the close proximity of V6Av (Tosoni et al., 2014). Like in macaque, human V6 is a motion area (e.g., Pitzalis et al., 2010, 2012, 2013 a, b , c ), while V6Av and V6Ad respond to pointing movements (Tosoni et al., 2014). The retinotopic organization (when present), anatomical position, neighbor relations, and functional properties of these three areas closely resemble those reported for macaque V6 (Galletti et al., 1996, 1999 a), V6Av, and V6Ad (Galletti et al., 1999 b; Gamberini et al., 2011). We suggest that information on objects in depth which are translating in space, because of the self-motion, is processed in V6 and conveyed to V6A for evaluating object distance in a dynamic condition such as that created by self-motion, so to orchestrate the eye and arm movements necessary to reach or avoid static and moving objects in the environment.

  1. Carbon dioxide exchange in high arctic north-eastern Greenland related to recent climatic fluctuations

    NASA Astrophysics Data System (ADS)

    Soegaard, H.; Toudal, L.; Hansen, B. U.; Friborg, T.; Rennermalm, A.; Nordstroem, C.; Hinkler, J.

    2003-04-01

    Since 1996 continuous measurements of CO2-exchange have been conducted at Zackenberg research station in the North-Eastern Greenland (74.5N, 20.5W) covering the growing season from the beginning of June to the end of August. Two different ecosystems have been monitored: wetland (1996-1999) and heath (1997, 2000-2002). For both systems a considerable interannual variability in carbon sequestration has been observed. For the wetland the average three month net ecosystem exchange (NEE) calculated on the basis of the above mentioned periods has been -53 g C m-2 covering a range from -96 to -30 g C m-2 , whereas for the heath site the corresponding figures are average = -10 g C m-2 and range from -19 to -3 g C m-2. The sensitivity of the NEE with respect to climate is evaluated by use of a combined photosynthesis/soil respiration model. For both ecosystems the density and duration of the snow cover is found to be a key parameter for interpreting the year-to-year variation. The denser the snow pack the more CO2 is released during the early melting season whereas a delayed snowmelt shortens the length of the growing season and thereby the summertime CO2 uptake. With respect to soil water balance the two systems responds differently; where the wetland suffer from waterlogged soil in most of the growing season, the CO2 uptake at the drier heat lands may be reduced due to water stress. Finally, the impact of large scale climatic fluctuations is discussed. This is done with focus on the variation in extension and duration of sea ice along the north-eastern coast of Greenland and the higher temperatures observed in the growing season 2002.

  2. Molecular epidemiology of malaria in Cameroon. XXIV. Trends of in vitro antimalarial drug responses in Yaounde, Cameroon.

    PubMed

    Basco, Leonardo K; Ringwald, Pascal

    2007-01-01

    In vitro response to chloroquine, monodesethylamodiaquine, mefloquine, lumefantrine, and dihydroartemisinin was assessed by the radioisotopic microtest in Yaoundé, Cameroon, during 2000-2004 and compared with our previous data obtained during 1996-1999. Based on the cut-off value of 100 nmol/L, 36.3% of isolates were chloroquine-susceptible (N = 175; geometric mean IC(50), 40.3 nmol/L) and 63.7% were chloroquine-resistant (N = 307; geometric mean IC(50), 211 nmol/L). There was no significant difference (P > 0.05) in the mean IC(50)s from 1996 to 2004, but a significant linear trend (P < 0.05) toward an increased proportion of chloroquine-resistant isolates was observed from 1996 (49%) to 2004 (69%). All chloroquine-susceptible isolates and most chloroquine-resistant isolates were susceptible to monodesethylamodiaquine (i.e., IC(50) < 60 nmol/L). Despite the positive correlation between chloroquine and monodesethylamodiaquine (r = 0.739, P < 0.05), the IC(50)s for monodesethylamodiaquine remained stable during 1997-2004, with no increase in the proportion of monodesethylamodiaquine-resistant isolates. Mefloquine, lumefantrine, and dihydroartemisinin were equally active against the chloroquine-susceptible and chloroquine-resistant parasites. The responses to these three drugs were positively correlated, and a significant decrease (P < 0.05) in the mean IC(50)s was observed during the study period compared with our earlier data in 1997-1999, probably because of their inverse relationship with chloroquine response. The in vitro results were in general agreement with the in vivo response to chloroquine and amodiaquine. In vitro drug susceptibility assay is a useful, complementary laboratory tool for determining the trend of response to drugs for which there is still no established molecular marker and may serve as an early warning system for emerging drug resistance.

  3. Insulin-like growth factor-1, insulin-like growth factor-binding protein-3, growth hormone, and mammographic density in the Nurses' Health Studies.

    PubMed

    Rice, Megan S; Tworoger, Shelley S; Rosner, Bernard A; Pollak, Michael N; Hankinson, Susan E; Tamimi, Rulla M

    2012-12-01

    Higher circulating insulin-like growth factor I (IGF-1) levels have been associated with higher mammographic density among women in some, but not all studies. Also, few studies have examined the association between mammographic density and circulating growth hormone (GH) in premenopausal women. We conducted a cross-sectional study among 783 premenopausal women and 436 postmenopausal women who were controls in breast cancer case-control studies nested in the Nurses' Health Study (NHS) and NHSII. Participants provided blood samples in 1989-1990 (NHS) or in 1996-1999 (NHSII), and mammograms were obtained near the time of blood draw. Generalized linear models were used to assess the associations of IGF-1, IGF-binding protein-3 (IGFBP-3), IGF-1:IGFBP-3 ratio, and GH with percent mammographic density, total dense area, and total non-dense area. Models were adjusted for potential confounders including age and body mass index (BMI), among others. We also assessed whether the associations varied by age or BMI. In both pre- and postmenopausal women, percent mammographic density was not associated with plasma levels of IGF-1, IGFBP-3, or the IGF-1:IGFBP-3 ratio. In addition, GH was not associated with percent density among premenopausal women in the NHSII. Similarly, total dense area and non-dense area were not significantly associated with any of these analytes. In postmenopausal women, IGF-1 was associated with higher percent mammographic density among women with BMI <25 kg/m(2), but not among overweight/obese women. Overall, plasma IGF-1, IGFBP-3, and GH levels were not associated with mammographic density in a sample of premenopausal and postmenopausal women.

  4. Immunoassay and Nb2 lymphoma bioassay prolactin levels and mammographic density in premenopausal and postmenopausal women the Nurses' Health Studies.

    PubMed

    Rice, Megan S; Tworoger, Shelley S; Bertrand, Kimberly A; Hankinson, Susan E; Rosner, Bernard A; Feeney, Yvonne B; Clevenger, Charles V; Tamimi, Rulla M

    2015-01-01

    Higher circulating prolactin levels have been associated with higher percent mammographic density among postmenopausal women in some, but not all studies. However, few studies have examined associations with dense area and non-dense breast area breast or considered associations with prolactin Nb2 lymphoma cell bioassay levels. We conducted a cross-sectional study among 1,124 premenopausal and 890 postmenopausal women who were controls in breast cancer case-control studies nested in the Nurses' Health Study (NHS) and NHSII. Participants provided blood samples in 1989-1990 (NHS) or 1996-1999 (NHSII) and mammograms were obtained from around the time of blood draw. Multivariable linear models were used to assess the associations between prolactin levels (measured by immunoassay or bioassay) with percent density, dense area, and non-dense area. Among 1,124 premenopausal women, percent density, dense area, and non-dense area were not associated with prolactin immunoassay levels in multivariable models (p trends = 0.10, 0.18, and 0.69, respectively). Among 890 postmenopausal women, those with prolactin immunoassay levels in the highest versus lowest quartile had modestly, though significantly, higher percent density (difference = 3.01 percentage points, 95 % CI 0.22, 5.80) as well as lower non-dense area (p trend = 0.02). Among women with both immunoassay and bioassay levels, there were no consistent differences in the associations with percent density between bioassay and immunoassay levels. Postmenopausal women with prolactin immunoassay levels in the highest quartile had significantly higher percent density as well as lower non-dense area compared to those in the lowest quartile. Future studies should examine the underlying biologic mechanisms, particularly for non-dense area.

  5. Working as a doctor when acutely ill: comments made by doctors responding to United Kingdom surveys.

    PubMed

    Smith, Fay; Goldacre, Michael J; Lambert, Trevor W

    2016-04-01

    We undertook multi-purpose surveys of doctors who qualified in the United Kingdom between 1993 and 2012. Doctors were asked specific questions about their careers and were asked to comment about any aspect of their training or work. We report doctors' comments about working whilst acutely ill. Self-completed questionnaire surveys. United Kingdom. Nine cohorts of doctors, comprising all United Kingdom medical qualifiers of 1993, 1996, 1999, 2000, 2002, 2005, 2008, 2009 and 2012. Comments made by doctors about working when ill, in surveys one, five and 10 years after graduation. The response rate, overall, was 57.4% (38,613/67,224 doctors). Free-text comments were provided by 30.7% (11,859/38,613). Three-hundred and twenty one doctors (2.7% of those who wrote comments) wrote about working when feeling acutely ill. Working with Exhaustion/fatigue was the most frequent topic raised (195 doctors), followed by problems with Taking time off for illness (112), and general comments on Physical/mental health problems (66). Other topics raised included Support from others, Leaving or adapting/coping with the situation, Bullying, the Doctor's ability to care for patients and Death/bereavement. Arrangements for cover due to illness were regarded as insufficient by some respondents; some wrote that doctors were expected to work harder and longer to cover for colleagues absent because of illness. We recommend that employers ensure that it is not unduly difficult for doctors to take time off work when ill, and that employers review their strategies for covering ill doctors who are off work.

  6. The unionid (Bivalvia) fauna of the Sipsey River in northwestern Alabama, an aquatic hotspot

    USGS Publications Warehouse

    McCullagh, W. Henry; Williams, James D.; McGregor, Stuart W.; Pierson, J. Malcom; Lydeard, Charles

    2002-01-01

    Recent surveys for unionid bivalves were conducted in the mainstem of the Sipsey River and headwater tributaries (Tombigbee River drainage) during the summer and autumn of 1996-1999. A total of 35 species and 22 genera were found. Museum records from the upper Sipsey, based largely on the efforts of H. H. Smith during 1910-11, raised the total number of recorded unionids in the Sipsey to 42. Smith documented 25 species in the river; however, most of his collections were made in the mid- to upper-Sipsey, which has lower diversity. The three most common recently observed species in descending order of abundance were Quadrula asperata (I. Lea, 1861), Pleurobema decisum (I. Lea, 1831), and Tritogonia verrucosa (Rafinesque, 1820). Federally listed species observed recently include Lampsilis perovalis (Conrad, 1834) (threatened), Medionidus acutissimus (I. Lea, 1831) (threatened), P. decisum (endangered), P. perovatum (Conrad, 1834) (endangered), and Potamilus inflatus (I. Lea, 1831) (threatened). Species not observed recently but recorded in prior surveys include Anodontoides radiatus (Conrad, 1834), Arcidens confragosus (Say, 1829), Plectomerus dombeyanus (Valenciennes, 1827), Q. metanevra (Rafinesque, 1820), Q. stapes (I. Lea, 1831) (federally endangered), P. taitianum (I. Lea, 1834) (federally endangered), and Toxolasma parvus (Barnes, 1823). Many, species are known recently or historically by only five or fewer recorded specimens including: A. radiatus, Elliptio arctata (Conrad, 1834), Ligumia recta (Lamarck, 1819), P. taitianum, P. inflatus, Q. aspera (Lea, 1831), Q. metanevra, Q. stapes, T. parvus, Truncilla donaciformis (I. Lea, 1828), Uniomerus tetralasmus (Say, 1831), Utterbackia imbecillis (Say, 1829), A. confragosus, and P. dombeyanus. Unlike the mussel fauna of most Alabama streams, that of the Sipsey River is still relatively intact in terms of species richness despite impacts from mining, silvicultural, and agricultural activities. A concerted effort

  7. Nationwide trends in incidence, treatment and survival of colorectal cancer patients with synchronous metastases.

    PubMed

    van der Geest, Lydia G M; Lam-Boer, Jorine't; Koopman, Miriam; Verhoef, Cees; Elferink, Marloes A G; de Wilt, Johannes H W

    2015-06-01

    The aim of this study was to determine trends in incidence, treatment and survival of colorectal cancer (CRC) patients with synchronous metastases (Stage IV) in the Netherlands. This nationwide population-based study included 160,278 patients diagnosed with CRC between 1996 and 2011. We evaluated changes in stage distribution, location of synchronous metastases and treatment in four consecutive periods, using Chi square tests for trend. Median survival in months was determined, using Kaplan-Meier analysis. The proportion of Stage IV CRC patients (n = 33,421) increased from 19 % (1996-1999) to 23 % (2008-2011, p < 0.001). This was predominantly due to a major increase in the incidence of lung metastases (1.7-5.0 % of all CRC patients). During the study period, the primary tumor was resected less often in Stage IV patients (65-46 %) and the use of systemic treatment has increased (29-60 %). Also an increase in metastasectomy was found in patients with one metastatic site, especially in patients with liver-only disease (5-18 %, p < 0.001). Median survival of all Stage IV CRC patients increased from 7 to 12 months. Especially in patients with metastases confined to the liver or lungs this improvement in survival was apparent (9-16 and 12-24 months respectively, both p < 0.001). In the last two decades, more lung metastases were detected and an increasing proportion of Stage IV CRC patients was treated with systemic therapy and/or metastasectomy. Survival of patients has significantly improved. However, the prognosis of Stage IV patients becomes increasingly diverse.

  8. Prospective Associations Between Leisure-Time Physical Activity and Cognitive Performance Among Older Adults Across an 11-Year Period

    PubMed Central

    Ku, Po-Wen; Stevinson, Clare; Chen, Li-Jung

    2012-01-01

    Background Few studies have explored the relations between naturally occurring changes in physical activity and cognitive performance in later life. This study examined prospective associations between changes in physical activity and cognitive performance in a population-based sample of Taiwanese older adults during an 11-year period. Methods Analyses were based on nationally representative data from the Taiwan Health and Living Status of the Elderly Survey collected in 1996, 1999, 2003, and 2007. Data from a fixed cohort of 1160 participants who were aged 67 years or older in 1996 and followed for 11 years were included. Cognitive performance (outcome) was assessed using 5 questions from the Short Portable Mental Status Questionnaire. Physical activity (exposure) was self-reported as number of sessions per week. The latent growth model was used to examine associations between changes in physical activity and cognitive performance after controlling for sociodemographic variables, lifestyle behaviors, and health status. Results With multivariate adjustment, higher initial levels of physical activity were significantly associated with better initial cognitive performance (standardized coefficient β = 0.17). A higher level of physical activity at baseline (1996) was significantly related to slower decline in cognitive performance, as compared with a lower level of activity (β = 0.22). The association between changes in physical activity and changes in cognitive performance was stronger (β = 0.36) than the previous 2 associations. The effect remained after excluding participants with cognitive decline before baseline. Conclusions Physical activity in later life is associated with slower age-related cognitive decline. PMID:22343329

  9. Naturally occurring radioactivity in some Swedish concretes and their constituents - Assessment by using I-index and dose-model.

    PubMed

    Döse, M; Silfwerbrand, J; Jelinek, C; Trägårdh, J; Isaksson, M

    2016-05-01

    The reference level for effective dose due to gamma radiation from building materials and construction products used for dwellings is set to 1 mSv per year (EC, 1996, 1999), (CE, 2014). Given the specific conditions presented by the EC in report 112 (1999) considering building and construction materials, an I-index of 1 may generate an effective dose of 1 mSv per year. This paper presents a comparison of the activity concentrations of (4)(0)K, (226)Ra and (232)Th of aggregates and when these aggregates constitute a part of concrete. The activity concentration assessment tool for building and construction materials, the I-index, introduced by the EC in 1996, is used in the comparison. A comparison of the I-indices values are also made with a recently presented dose model by Hoffman (2014), where density variations of the construction material and thickness of the construction walls within the building are considered. There was a ∼16-19% lower activity index in concretes than in the corresponding aggregates. The model by Hoffman further implies that the differences between the I-indices of aggregates and the concretes' final effective doses are even larger. The difference is due, mainly to a dilution effect of the added cement with low levels of natural radioisotopes, but also to a different and slightly higher subtracted background value (terrestrial value) used in the modeled calculation of the revised I-index by Hoffman (2014). Only very minimal contributions to the annual dose could be related to the water and additives used, due to their very low content of radionuclides reported.

  10. Doctors' enjoyment of their work and satisfaction with time available for leisure: UK time trend questionnaire-based study.

    PubMed

    Surman, Geraldine; Lambert, Trevor W; Goldacre, Michael

    2016-04-01

    Doctors' job satisfaction is important to the health service to ensure commitment, effective training, service provision and retention. Job satisfaction matters to doctors for their personal happiness, fulfilment, service to patients and duty to employers. Monitoring job satisfaction trends informs workforce planning. We surveyed UK-trained doctors up to 5 years after graduation for six graduation year cohorts: 1996, 1999, 2002, 2005, 2008, 2012. Doctors scored their job enjoyment (Enjoyment) and satisfaction with time outside work (Leisure) on a scale from 1 (lowest enjoyment/satisfaction) to 10 (highest). Overall, 47% had a high level of Enjoyment (scores 8-10) 1 year after graduation and 56% after 5 years. For Leisure, the corresponding figures were 19% and 37% at 1 and 5 years, respectively. For Leisure at 1 year, high scores were given by about 10% in the 1990s, rising to about 25% in the mid-2000s. Low scores (1-3) for Enjoyment were given by 15% of qualifiers of 1996, falling to 5% by 2008; corresponding figures for Leisure were 42% and 19%. At 5 years, the corresponding figures were 6% and 4%, and 23% and 17%. Enjoyment and Leisure were scored higher by general practitioners than doctors in other specialties. Both measures varied little by sex, ethnicity or medical school attended. Scores for Enjoyment were generally high; those for Leisure were lower. Policy initiatives should address why this aspect of satisfaction is low, particularly in the first year after graduation but also among hospital doctors 5 years after graduation. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. [Surgical care rendered to the wounded in the antiterrorist operations on the Northern Caucasus: premedical and initial medical care in the combat zone (Report II)].

    PubMed

    Gumanenko, E K; Samokhvalov, I M; Trusov, A A; Golovko, K P

    2005-03-01

    The analysis of organization and contents of the first aid, premedical and initial medical care rendered to the wounded in the armed conflicts on the Northern Caucasus (1994-1996, 1999-2002) was conducted. It was established that the first aid was rendered to the most casualties who needed it (65% in the first conflict and 79% in the second conflict). The mean terms of rendering the first aid in the second conflict as compared with the conflict of 1994-1996 were decreased from 29 +/- 2 min to 18 +/- min. The role of premedical care was minimal in both conflicts: it was rendered to 3% casualties only. The premedical care was rendered in those cases when the first aid appeared to be ineffective, had obvious defects or in the delay of further evacuation of the wounded. The initial medical care became the central type or pre-hospital care in the combat zone. It was rendered to 56% casualties in the first conflict and to 59% in the second conflict. The mean terms of initial medical care rendered in the second armed conflict were 1.5 +/- 0.2 h. They have considerably decreased as compare with the first conflict (2.5 +/- 0.4 h). The introduction of the physicians with initial surgery and intensive care training in the staffs of regimental medical companies was resulted in significant improvement of initial medical care quality. It provided the adequate preparedness of the wounded for aeromedical evacuation to multipurpose military hospitals of the first level.

  12. Prevalence of transmitted HIV-1 drug resistance and the role of resistance algorithms: data from seroconverters in the CASCADE collaboration from 1987 to 2003.

    PubMed

    Masquelier, Bernard; Bhaskaran, Krishnan; Pillay, Deenan; Gifford, Robert; Balestre, Eric; Jørgensen, Louise Bruun; Pedersen, Court; van der Hoek, Lia; Prins, Maria; Balotta, Claudia; Longo, Benedetta; Kücherer, Claudia; Poggensee, Gabriele; Ortiz, Marta; de Mendoza, Carmen; Gill, John; Fleury, Hervé; Porter, Kholoud

    2005-12-15

    To examine factors influencing the rate of transmitted drug resistance (TDR) among seroconverters, with particular emphasis on 3 widely used genotypic drug resistance algorithms. The study used data from CASCADE (Concerted Action on Seroconversion to AIDS and Death in Europe), a collaboration of seroconverter cohorts in Europe and Canada. Genotypic resistance data were derived within 18 months of the last seronegative test or date of laboratory evidence of acute infection and before the initiation of antiretroviral therapy. The Stanford algorithm was used to analyze each individual's nucleotide sequence. A multivariate logistic model was used to assess independent relationships between the presence of TDR and exposure category, sex, age at seroconversion, and year of seroconversion. The paper also describes 3 alternative definitions of resistance: the Stanford algorithm, the key resistance mutations defined by the International AIDS Society, and the Agence Nationale de Recherches sur le Sida (ANRS) algorithm. Forty-five of 438 patients (10.3%) seroconverting between 1987 and 2003 were infected with a drug-resistant HIV-1 variant. Forty patients (9.1%) showed resistance mutations to only 1 class of antiretroviral drugs, 2 (0.5%) to 2 classes, and 3 (0.7%) to 3 classes of antiretroviral therapy. It was suggested that individuals seroconverting later in calendar time were more likely to have TDR (relative risk 3.89 and 95% CI: 0.84 to 18.02, and relative risk 4.69 and 95% CI: 1.03 to 21.31, for 1996-1999 and 2000-2003, respectively, compared with pre-1996; P trend = 0.08). This trend was apparent regardless of the definition of TDR used. The total estimated proportion of individuals with TDR varied between 10.3% and 15.5% according to which definition was used. Evidence was found for the rise of TDR over time. A specific definition of what constitutes TDR rather than a simple list of mutations is needed.

  13. Microwave Palaeointensity Experiments On Terrestrial and Martian Material

    NASA Astrophysics Data System (ADS)

    Shaw, J.; Hill, M.; Gratton, M.

    The microwave palaeointensity technique was developed in Liverpool University (Walton et al 1996) and has successfully been applied to archaeological ceramics and recent lavas (Shaw et al 1996, 1999.; Hill et al 1999,2000). These published results show that microwave analysis provides accurate palaeointensity determinations com- bined with a very high success rate. Most recently the technique has been successfully applied to Martian material (Shaw et al, 2001) to look for the existence of an internal Martian dynamo early in Martian history. New experiments have been carried out us- ing microwaves to demagnetise synthetic muti-component TRM's and new palaeoin- tensity experiments providing a comparison between microwave analysis of laboratory TRM's and conventional thermal Thellier analysis of microwave generated mTRM's. These experiments demonstrate the equivalence of microwave and thermally gener- ated TRM's. D. Walton, S Snape, T.C. Rolph, J. Shaw and J.A. Share, Application of ferromagnetic resonance heating to palaeointensity determinations.1996, Phys Earth Planet Int,94, 183-186. J. Shaw, D. Walton, S Yang, T.C.Rolph, and J.A. Share. Microwave Archaeointensities from Peruvian Ceramics. 1996, Geophys. J. Int,124,241-244 J. Shaw, S. Yang, T. C. Rolph, and F. Y. Sun. A comparison of archaeointensity results from Chinese ceramics using Microwave and conventional ThellierSs and ShawSs methods.,1999, G J Int.136, 714-718 M. Hill, and J. Shaw, 1999, Palaeointensity results for Historic Lavas from Mt. Etna using microwave demagnetisation/remagnetisation in a modified Thellier type exper- iment. G. J. Int, 139, 583-590 M. J. Hill, and J. Shaw, 2000. Magnetic field intensity study of the 1960 Kilauea lava flow, Hawaii, using the microwave palaeointensity technique, Geophys. J. Int., 142, 487-504. J. Shaw, M. Hill, and S. J. Openshaw, 2001, Investigating the ancient Martian magnetic field using microwaves, Earth and Planetary Science Letters 190 (2001) 103-109

  14. Bone regeneration using rhBMP-2 induction in hemimandibulectomy type defects of elderly sub-human primates.

    PubMed

    Boyne, Philip J; Salina, Sergio; Nakamura, Atsushi; Audia, Franco; Shabahang, Shahrokh

    2006-01-01

    Our previous work has shown that total osseous reconstruction of large discontinuity hemimandibulectomy, critical-sized defects can be achieved easily in 8-year-old Macaca fascicularis monkeys (Boyne 1996). However the literature has indicated that animal aging decreases the BMP induction of stem cells in rats and in other rodent species. It was necessarily important that the rhBMP-2 be demonstrated in non-human primates to determine if this reduction in effectiveness also existed in the higher animals phylogenetically. The purpose of this study was to operate aged non-human primates duplicating the model used in middle-aged animals to demonstrate regeneration of hemimandibulectomy defects. This age group could be extrapolated to the 80-year-old clinic patient. Six non-human primates aged 20 years were rendered edentulous posteriorly and the mandibles allowed to heal. Three months postoperatively bilateral hemimandibulectomies were performed. The defects received BMP in a collagen sponge (Helistat) using a dose level of 0.75 mg of rhBMP-2. After the manner previously reported by Boyne (1996, 1999), at the end of four months the surgical sites were exposed by mucoperiosteal flap demonstrating complete regeneration of the critical-sized defects. The animals received two dental implants in restored areas. The implants were brought into function approximately four months later, and were allowed to function for eight months in all cases. The results indicate that the regeneration of mandibular critical-sized defects by the use of rhBMP-2 in aged animals is comparable to that of the middle-aged group. This study indicates that aged non-human primates, chronologically comparable to 80-year-old humans, respond as favorably to rhBMP-2 as do the middle-aged animals. Extrapolating the results to the clinical level, one would expect that rhBMP-2 would produce a comparable result in the regeneration of large hemimandibulectomy-type defects in clinical human patients.

  15. Antiretroviral use in Italian children with perinatal HIV infection over a 14-year period.

    PubMed

    Chiappini, Elena; Galli, Luisa; Tovo, Pier-Angelo; Gabiano, Clara; Lisi, Catiuscia; Giacomet, Vania; Bernardi, Stefania; Esposito, Susanna; Rosso, Raffaella; Giaquinto, Carlo; Badolato, Raffaele; Guarino, Alfredo; Maccabruni, Anna; Masi, Massimo; Cellini, Monica; Salvini, Filippo; Di Bari, Cesare; Dedoni, Maurizio; Dodi, Icilio; de Martino, Maurizio

    2012-07-01

    Information on the use of new antiretroviral drugs in children in the real setting of clinical fields is largely unknown. Data from 2554 combined antiretroviral therapy (cART) regimens administered to 911 children enrolled in the Italian Register for HIV infection in children, between 1996 and 2009, were analysed. Factors potentially associated with undetectable viral load and immunological response to cART were explored by Cox regression analysis. Proportion of protease inhibitor (PI)-based regimens significantly decreased from 88.0% to 51.2% and 54.9%, while proportion on non-nucleoside reverse transcriptase inhibitor (NNRTI)-based regimens increased from 4.5% to 38.8% and 40.2% in 1996-1999, 2000-2004 and 2005-2009, respectively (p < 0.0001). Significant change in the use of each antiretroviral drug occurred over the time periods (p < 0.0001). Factors independently associated with virological and immunological success were as follows: later calendar periods, younger age at regimen (only for virological success) and higher CD4(+) T-lymphocyte percentage at baseline. Use of unboosted PI was associated with lower adjusted hazard ratio (aHR) of virological or immunological success with respect to NNRTI- and boosted PI-based regimens, with no difference among these two latter types. Use of new generation antiretroviral drugs in Italian HIV-infected children is increasing. No different viro-immunological outcomes between NNRTI- and boosted PI-based cART were observed. © 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.

  16. Four-year follow-up of long-stay patients settled in the community after closure of Italy's psychiatric hospitals.

    PubMed

    Furlan, Pier Maria; Zuffranieri, Marco; Stanga, Ferruccio; Ostacoli, Luca; Patta, Jessica; Picci, Rocco L

    2009-09-01

    This study reports on the final phase (1996-1999) of closure of Italy's psychiatric hospitals. In this phase the last group of patients was resettled in community-based care. These patients were particularly difficult to resettle, and many hospital staff considered their discharge impossible or inappropriate. Shorter-stay inpatients who were previously resettled in community facilities showed improvement in quality of life and socialization and apparent stability of psychotic symptoms. Compulsory resettlement, implemented by community-based practitioners, provided an opportunity to determine whether it could be considered positive for all patients. A total of 176 patients were discharged in 1998 from two psychiatric hospitals in Northern Italy until 2002. All patients had been hospitalized for more than 20 years (median stay of 37 years). Patients were resettled in sheltered communities with 24-hour staff (N=101), in apartments with daily support (N=24), in residential health care facilities (N=49), and to their previous homes (N=2). Follow-up evaluations were at three and six months and then yearly (total of six). Psychological condition was evaluated with the 18-item Brief Psychiatric Rating Scale. Autonomy and relational skills were assessed with scales developed for the closure project. Analyses of variance were used to assess data. Clinical condition steadily improved and substantial improvements were noted in autonomy, socialization, and expression of volition. No worsening occurred in any category. Even among patients with very long hospital stays, resettlement in community-based care and changes in the social framework can have positive results in psychological and social functioning and quality of life.

  17. Who Enrolls Onto Clinical Oncology Trials? A Radiation Patterns of Care Study Analysis

    SciTech Connect

    Movsas, Benjamin . E-mail: bmovsas1@hfhs.org; Moughan, Jennifer; Owen, Jean; Coia, Lawrence R.; Zelefsky, Michael J.; Hanks, Gerald; Wilson, J. Frank

    2007-07-15

    Purpose: To identify factors significantly influencing accrual to clinical protocols by analyzing radiation Patterns of Care Study (PCS) surveys of 3,047 randomly selected radiotherapy (RT) patients. Methods and Materials: Patterns of Care Study surveys from disease sites studied for the periods 1992-1994 and 1996-1999 (breast cancer, n = 1,080; prostate cancer, n = 1,149; esophageal cancer, n = 818) were analyzed. The PCS is a National Cancer Institute-funded national survey of randomly selected RT institutions in the United States. Patients with nonmetastatic disease who received RT as definitive or adjuvant therapy were randomly selected from eligible patients at each institution. To determine national estimates, individual patient records were weighted by the relative contribution of each institution and patients within each institution. Data regarding participation in clinical trials were recorded. The factors age, gender, race, type of insurance, and practice type of treating institution (academic or not) were studied by univariate and multivariate analyses. Results: Overall, only 2.7% of all patients were accrued to clinical protocols. Of these, 57% were enrolled on institutional review board-approved institutional trials, and 43% on National Cancer Institute collaborative group studies. On multivariate analysis, patients treated at academic facilities (p = 0.0001) and white patients (vs. African Americans, p = 0.0002) were significantly more likely to participate in clinical oncology trials. Age, gender, type of cancer, and type of insurance were not predictive. Conclusions: Practice type and race significantly influence enrollment onto clinical oncology trials. This suggests that increased communication and education regarding protocols, particularly focusing on physicians in nonacademic settings and minority patients, will be essential to enhance accrual.

  18. Transport of airborne pollen into the city of Thessaloniki: the effects of wind direction, speed and persistence

    NASA Astrophysics Data System (ADS)

    Damialis, Athanasios; Gioulekas, Dimitrios; Lazopoulou, Chariklia; Balafoutis, Christos; Vokou, Despina

    2005-01-01

    We examined the effect of the wind vector analyzed into its three components (direction, speed and persistence), on the circulation of pollen from differe nt plant taxa prominent in the Thessaloniki area for a 4-year period (1996- 1999). These plant taxa were Ambrosia spp., Artemisia spp., Chenopodiaceae, spp., Cupressaceae, Olea europaea, Pinaceae, Platanus spp., Poaceae, Populus spp., Quercus spp., and Urticaceae. Airborne pollen of Cupressaceae, Urticaceae, Quercus spp. and O. europaea make up approximately 70% of the total average annual pollen counts. The set of data that we worked with represented days without precipitation and time intervals during which winds blew from the same direction for at least 4 consecutive hours. We did this in order to study the effect of the different wind components independently of precipitation, and to avoid secondary effects produced by pollen resuspension phenomena. Factorial regression analysis among the summed bi-hourly pollen counts for each taxon and the values of wind speed and persistence per wind direction gave significant results in 22 cases (combinations of plant taxa and wind directions). The pollen concentrations of all taxa correlated significantly with at least one of the three wind components. In seven out of the 22 taxon-wind direction combinations, the pollen counts correlated positively with wind persistence, whereas this was the case for only two of the taxon-wind speed combinations. In seven cases, pollen counts correlated with the interaction effect of wind speed and persistence. This shows the importance of wind persistence in pollen transport, particularly when weak winds prevail for a considerable part of the year, as is the case for Thessaloniki. Medium/long-distance pollen transport was evidenced for Olea (NW, SW directions), Corylus (NW, SW), Poaceae (SW) and Populus (NW).

  19. The evaluation of QT intervals during diagnosis and after follow-up in acromegaly patients.

    PubMed

    Baser, Husniye; Akar Bayram, Nihal; Polat, Burcak; Evranos, Berna; Ersoy, Reyhan; Bozkurt, Engin; Cakir, Bekir

    2014-01-01

    Introdução: O estudo teve como objectivo a determinação do intervalo QT em doentes com acromegália e a análise da correlação entre o intervalo QT e a concentração de hormona do crescimento e de IGF-1 (insulin-like growth factor-1). Material e Métodos: O estudo englobou 41 doentes com acromegália. O grupo de controlo englobou 41 indivíduos com características semelhantes no que se refere a comorbilidades, idade e género. A electrocardiografia de doentes com acromegália foi obtida no início do estudo e após o follow-up. Foi apenas obtido um electrocardiograma no grupo de controlo. Foram calculados o QT máximo, QT mínimo, dispersão do intervalo QT, QT máximo corrigido, QT mínimo corrigido e dispersão do intervalo QT corrigido. Resultados: Os valores do QT máximo basal, dispersão do intervalo QT, QT máximo corrigido e dispersão do QT corrigido foram significativamente mais prolongados no grupo de doentes com acromegália do que nos controlos. O QT máximo corrigido e a dispersão do QT corrigido foram significativamente mais curtos durante o seguimento clínico, quando comparados com os valores basais dos doentes. O QT máximo, dispersão do QT, QT máximo corrigido e dispersão do QT corrigido durante o seguimento clínico não foram estatisticamente diferentes dos valores obtidos nos controlos. Com excepção de uma correlação negativa entre os valores da hormona do crescimento e a dispersão do QT corrigido em doentes durante o seguimento clínico, nenhuma outra correlação foi assinalada entre os valores do intervalo QT e as concentrações de hormona do crescimento e de IGF-1. Concluiu-se que a dispersão do intervalo QT está correlacionada com a duração da doença nos doentes com acromegália. Discussão: Em doentes com acromegália, é importante a detecção de preditores clínicos de arritmia cardíaca. A dispersão do intervalo QT é considerada um preditor relevante de arritmias ventriculares. Os doentes com acromeg

  20. Attachment Strategies and Neuroendocrine Biomarkers in Obese Children.

    PubMed

    Pinto, Inês; Wilkinson, Simon; Virella, Daniel; Alves, Marta; Calhau, Conceição; Coelho, Rui

    2016-05-01

    Introdução: A qualidade da relação pais-filho influencia o desenvolvimento do sistema fisiológico de regulação do stress da criança. Exploraram-se eventuais associações entre estratégias de vinculação e o cortisol e a hormona estimulante da tiróide, respectivamente como possíveis mediador e variável interveniente na relação mãe-filho, na criança obesa. Material e Métodos: Foi recrutada na Consulta de Obesidade uma amostra de conveniência de 83 crianças obesas com 10,9 (1,8) anos de idade (46 rapazes). A obesidade foi definida pelo percentil do índice de massa corporal para idade e género e os biomarcadores neuroendócrinos foram medidos pelos métodos de rotina. As estratégias de vinculação foram avaliadas através dos questionários (IACA) para pais e crianças. O funcionamento familiar foi classificado através do preenchimento pelos pais do FACES-III. Foram analisados modelos multivariáveis de regressão linear. Resultados: As estratégias de vinculação insegura do tipo evitante (tipo A) apresentaram uma associação significativa positiva com os níveis de hormona estimulante da tiróide e negativa com os níveis de cortisol (R2 = 0,352). As estratégias de vinculação segura (tipo B) associaram-se positivamente ao hipotiroidismo e ao percentil de índice de massa corporal, ambas com significado estatístico (R2 = 0,541). As estratégias de vinculação insegura apresentaram alguma evidência de associação positiva com a hormona estimulante da tiróide (R2 = 0,250). Discussão: Estes achados sugerem a existência de factores comuns na regulação dos eixos hipotálamo-hipófise-adrenal e hipotálamo-hipófise-tiróide. Os processos envolvidos no desenvolvimento das estratégias de vinculação do tipo A parecem associar-se aos mecanismos regulatórios do eixo HPA. Conclusão: Diferentes estratégias de vinculação estão associadas a diferentes padrões metabólicos em crianças obesas. Desconhece-se qual a sua contribui

  1. The effects of lauromacrogol on thyroid tissue in rabbits. Is this a safe option for the treatment of nodular thyroid disease?

    PubMed

    Idiz, Ufuk Oguz; Aysan, Erhan; Can, Ismail; Buyukpinarbasili, Nur; Yardimci, Erkan Yardimci; Bektasoglu, Huseyin

    2016-01-01

    Lo studio è finalizzato al rilevamento degli effetti del lauromacroglo, un agente sclerosante, sul tessuto tiroideo del coniglio, utilizzando 12 conigli divisi in due gruppi di sei ciascuno. Nel gruppo di studio è stato iniettato nel tessuto tiorideo 0,1 ml di lauromacrogolo, ed in quello di controllo lo stesso volume di soluzione fisiologica. Al controllo postoperatorio sono stati valutati il tasso di FT3, FT4, TSH, la presenza di aderenze e le differenze istopatologiche dei tessuti tiroidei. Non sono risultate differenza significative nel livelli di FT3, FT4, TSH (p>0,05) ma i livelli di , la presenza di aderenze e le differenze istopatologiche dei tessuti tiroidei. Ai controlli i valori di FT3, FT4 ed TSH non sono risultati significativamente differenti (p>0,05), mentre i livelli di FT3 sono stati significativamente differenti all’interno dei due gruppi (p=0,20). Non sono state riscontrate differenze macroscopicamente significative delle aderenze postoperatorie (p>0,05), ma flogosi e fibrosi sono risultate istologicamente più elevate nel gruppo di studio (p=0,003). Due sono i risultati importanti dello studio: la differenza non signifcativa dei test di funzione tiroidea tra i due gruppi, suggerendo che il lauromacrogol può essere usato con sicurezza senza rischi di ipo- o ipertiroidismo; la valutazione istopatologica su modello Erlich-Hunt ha dimostrato che flogosi e fibrosi sono significativamente accresciute nel gruppo di studio, indicando che il lauromacrogol più essere usato efficacemente e con sicurezza per il trattamento dei noduli tiroidei per provocare fibrosi, senza significative aderenze peritiroidee e differenze della funzione.

  2. Minimal effective dose of povidone-iodine in abdominal surgery Our clinical experience.

    PubMed

    Gozeneli, Orhan; Yucel, Yusuf; Akal, Ali; Terzi, Alpaslan; Ozgonul, Abdullah; Tatli, Faik; Ciftci, Resit; Gumer, Mehmet; Uzunkoy, Ali

    2016-01-01

    Scopo di questo studio è quello di valutare i test di funzione tiroidea per indagare se una soluzione di Povidone- Iodine (PI) al 10%, che usiamo nella diluizione 1/5 con 0,9% NaCl in area addominale durante interventi puliti- contaminati, contaminati e sporchi in caso di idatidosi in organi parenchimatosi, al fine di evitare la formazione di ascessi e la disseminazione, raggiunge la circolazione sistemica. In questo studio sono stati inclusi 7 uomini e 6 donne in maniera prospettica. L’età media era di 33,69 (± 13.49). Preoperatoriamente ed al terzo giorno postoperatorio sono stati dosati i livelli ormonali di TSH, T3 libero (FT3) e T4 libero (FT4). È stata presa nota della quantità di PI usata per ogni paziente. Dall’analisi statistica non sono risultati valori significativamente differenti tra il preoperatorio ed il postoperatorio relativamente al livello degli ormoni tiroidei (preTSH vs postTSH: p= 0.984; preFT3 vs postFT3: p= 0.101; preFT4 vs postFT4: p=0.146). Così si è dimostrato che la dose di PI usata è efficace e non entra, o quanto meno a livello piuttosto basso, nella circolazione sistemica. I pazienti in cui tale procedura è stata usata non sono andati incontro in questa nostra esperienza ad ascessi addominali o aderenze intestinali. Raccomnadiamo dunque l’uso di queste dosi suggerite di PI in caso di perforazioni intestinali o ascessi, o in caso di possibile rischio di disseminazione in area intraaddominale di cisti idatidee.

  3. Expectant management of severe preterm preeclampsia: is intrauterine growth restriction an indication for immediate delivery?

    PubMed

    Chammas, M F; Nguyen, T M; Li, M A; Nuwayhid, B S; Castro, L C

    2000-10-01

    Expectant management of severe preterm preeclampsia is gaining widespread acceptance in clinical practice. The objective of our study was 2-fold-to determine the frequency of fetal deterioration with expectant management of severe preterm preeclampsia and to evaluate whether the presence of intrauterine growth restriction on admission is associated with a shorter admission-to-delivery interval or more deliveries resulting from nonreassuring fetal status in comparison with pregnancies with preeclampsia but without intrauterine growth restriction. This was an observational study of women with singleton pregnancies at <34 completed weeks' gestation who were admitted to the hospital with the diagnosis of severe preeclampsia and managed expectantly. Fetal status on admission, admission-to-delivery interval, indication for delivery, and neonatal outcome were examined. Forty-seven women were studied during a 3-year period (1996-1999). Gestational age at admission was 29.8 +/- 2.6 weeks. The mean admission-to-delivery interval for the entire group was 6.0 +/- 5.1 days; in 42.5% delivery was for fetal indications. In comparison with the absence of intrauterine growth restriction, the presence of intrauterine growth restriction at admission resulted in a significantly shorter admission-to-delivery interval (3.1 +/- 2.1 vs 6.6 +/- 6.1 days; P <.05). Most fetuses with intrauterine growth restriction (85.7%) were delivered before 1 week. Although 57% of fetuses with intrauterine growth restriction were delivered for fetal indications, versus 39% of fetuses without intrauterine growth restriction, these rates were not found to be significantly different. Neonatal outcomes, as reflected by Apgar scores, number of admissions to and duration of stay in the neonatal intensive care unit, and neonatal mortality rates, were similar. Pregnancies complicated by severe preterm preeclampsia and the presence of intrauterine growth restriction at admission may not benefit from expectant

  4. Dust Activity during Winter Time in East Asia and Snowfall Obervations and Simulations in Taiwan

    NASA Astrophysics Data System (ADS)

    Tsai, L.

    2013-12-01

    Taiwan has relatively frequent snowfall in mountain during winter among regions of the same latitude. The phenomenon is contributed by Taiwan's unique topography - high and steep mountains, and geographical location - sitting on the route the continental polar air mass travels from its birthplace to the ocean, contribute to this phenomenon. Snow occurence, in addition to the freezing-point temperature, when two requirements are met: sufficient vapor and the condensation nuclei in the air. This study pursues the causes of the snowfall activity in Taiwan, the relations between the East Asian dust aerosol and the snowfall activity in Taiwan, and the impacts the climate changes have on the snowfall activity in Taiwan. In this study, Yushan snowfall activity from 1995~2011 and related atmosphere circulations were examined using SYNOP data, NCEP/DOE reanalysis atmospheric data, the observations of the Central Weather Bureau's Yushan Weather Station and the Taiwan Air Quality Monitoring Network of the Environment Protect Administration, Executive Yuan. To provide a quantitative measure of snowfall events and dust activity, a snowfall activity index (SAI) and the DAI Index by Yu et al. (2010) were defined. The time series of yearly SAI and DAI show that East Asian dust storm activity and Taiwan snowfall marked interannual variations during 1995 ~ 2011. For active years such as 2008, 2010, and 2011, SAI was hundreds of times larger than that for inactive years such as 1996, 1999 and 2003; and DAI in active years such as 2001 and 2002 was several tens of times larger than that in inactive years such as 1997 and 2003. In active years when the EAT (East Asian Trough) was shifted eastward, the strength of WPH (West Pacific High) increased in the south and an anticyclone thus occurred. This anticyclone introduced anomalous southwesterly flows along the southeastern coast of mainland China and over Taiwan, resulting in a wetter-than-normal atmosphere in support of snowfall

  5. Limited Evolution of Inferred HIV-1 Tropism while Viremia Is Undetectable during Standard HAART Therapy

    PubMed Central

    Lee, Guinevere Q.; Dong, Winnie; Mo, Theresa; Knapp, David J. H. F.; Brumme, Chanson J.; Woods, Conan K.; Kanters, Steve; Yip, Benita; Harrigan, P. Richard

    2014-01-01

    Background HIV patients on suppressive antiretroviral therapy have undetectable viremia making it impossible to screen plasma HIV tropism if regimen change is required during suppression. We investigated the prevalence and predictors of tropism switch from CCR5-using (“R5”) to non-CCR5-using (“non-R5”) before and after viral suppression in the initially therapy-naïve HOMER cohort from British Columbia, Canada. Methods We compared pre-therapy and post-suppression viral genotypic tropism in patients who initiated on PI/NNRTI-based antiretroviral regimens between 1996-1999 (n = 462). Virologic suppression was defined as having two consecutive viral loads of <500 copies/mL, which was the sensitivity limit of most viral load assays at the time. Viral tropism was inferred by V3-loop-population-sequencing and geno2pheno[coreceptor] with cutoff at 5.75% false positive rate (FPR). Results When virologic suppression was defined as two-consecutive viral loads <500 copies/mL, 34 (9%) of the 397 patients with pre-therapy R5-virus switched to non-R5 at viral load rebound after a median of 19 months (IQR 8–41 months) of undetectable viremia. Duration of viral load suppression was not a predictor of switch, but lower CD4 count during suppression (median 400 versus 250 cells/mL) and an increased prevalence of pre-therapy non-R5 HIV by “deep” sequencing (median 0.2% versus 3.2%) were independently associated with switch (p = 0.03 and p<0.0001, respectively). Conclusion R5-to-non-R5 tropism switches in plasma virus after undetectable viremia were relatively rare events especially among patients with higher CD4 counts during virologic suppression. Our study supports the use of pre-suppression tropism results if maraviroc is being considered during virologic suppression in this subgroup of patients. PMID:24905411

  6. Temporal changes (1989-1999) in deep-sea metazoan meiofaunal assemblages on the Porcupine Abyssal Plain, NE Atlantic

    NASA Astrophysics Data System (ADS)

    Kalogeropoulou, V.; Bett, B. J.; Gooday, A. J.; Lampadariou, N.; Martinez Arbizu, P.; Vanreusel, A.

    2010-08-01

    Trends among major metazoan meiofaunal taxa were investigated based on 56 deployments of a multicorer at 10 time points over a period of 11 years (1989-1999) at the Porcupine Abyssal Plain Sustained Observatory site (PAP-SO: 48°50'N 16°30'W, 4850 m depth). This area is characterised by a strong seasonality in the deposition of organic matter to the seafloor and by the massive increase in the density of holothurian species since 1996, the so-called ' Amperima event'. Total meiofaunal densities ranged from 346 to 1074 ind.×10 cm -2 and showed a significant increase with time when time was represented by cruises, years and the ' Amperima period' (1996-1999) vs. the pre- Amperima period (1989-1994). This pattern was driven mainly by the nematodes, which were the dominant taxon (˜90% of total abundance). The third most abundant group, the polychaetes, also increased significantly in abundance over the time series, while the ostracods showed a significant decrease. Most other taxa, including the second-ranked group, the copepods (harpacticoids and nauplii), did not exhibit significant temporal changes in abundance. Ordination of taxon composition showed a shift from the pre- Amperima to the Amperima periods, a trend supported by the significant correlation between the x-ordinate and time. The majority (52-75%) of meiofaunal animals inhabited the top 2 cm of the 5 cm sediment cores analysed. There were significant increases in the proportion of total meiofauna, nematodes and copepods (but not polychaetes) inhabiting the 0-1 cm layer over time (represented by cruises) and between the pre- Amperima and Amperima periods in the case of copepods and polychaetes. During the intensively sampled period (1996-1997), there were indications of seasonal changes in the vertical distribution patterns of total meiofauna and nematodes within the sediment. We discuss the potential link between temporal variations in organic matter flux to the seafloor and meiofaunal populations

  7. Cosmic ray energy spectrum around the knee obtained by the Tibet Experiment and future prospects

    NASA Astrophysics Data System (ADS)

    Katayose, Yusaku

    The measurement of the energy spectrum and the chemical composition of cosmic rays at the 'Knee' energy region have been made in the Tibet-AS experiment since 1990. The 1st phase of the Tibet hybrid experiment(1996-1999) consisted of Tibet II air-shower array(AS), Emulsion Chamber(EC) and burst detector(BD). The EC was used to detect high energy-gamma-families of the energy greater than 20 TeV at the core of ASs of which more than 80% are induced by light nuclei like protons or helium. Due to the high spatial resolution of the EC, proton and helium events were separated from others and we obtained the energy spectrum of each of them using 177 family events. We also obtained all-particle energy spectrum of primary cosmic rays in a wide range from 1014 eV to 1017 eV by the Tibet-III air-shower array. The size spectrum exhibits a sharp knee at a corresponding primary energy around 4 PeV. These results strongly indicated that the fraction of the light component to the all particle spectrum is decreasing around the knee.The observation of the AS core has been continued with upgraded Tibet III array and burst detectors without using X-ray films, which still works as the selector for the air showers induced by light component (pHe). This second phase experiment shows that the dominance of the heavy elements at the knee reported by the first phase experiment is confirmed with higher statistics by one order.Our results suggest that the main component at the knee is heavy elements (heavier than helium) because of the low intensities of observed proton and helium fluxes, whose summed flux are less than 30% of all particles. A new air-shower-core detector(YAC) will be added to the Tibet AS array to explicitly measure the heavy elements around the knee and beyond. In this paper, the results of composition study with the Tibet experiment are summarized and the prospects for the next phase experiment are described.

  8. Long term exposure to respirable volcanic ash on Montserrat: a time series simulation

    NASA Astrophysics Data System (ADS)

    Hincks, T. K.; Aspinall, W. P.; Baxter, P. J.; Searl, A.; Sparks, R. S. J.; Woo, G.

    2006-01-01

    Frequent ash fallout from long-lived eruptions (with active phases greater than 5 years) may lead to local populations experiencing unacceptably high cumulative exposures to respirable particulate matter. Ash from Montserrat has been shown to contain significant levels of cristobalite and other reactive agents that are associated with an increased risk of developing pneumoconiosis (including silicosis) and other long-term health problems. There are a number of difficulties associated with estimating risks in populations due to uncertain and wide ranging individual exposures, change in behaviour with time and the natural variation in individual response. Present estimates of risk in workers and other population groups are simplifications based on a limited number of exposure measurements taken on Montserrat (1996-1999), and exposure-response curves from epidemiological studies of coal workers exposed to siliceous dust. In this paper we present a method for calculating the long-term cumulative exposure to cristobalite from volcanic ash by Monte Carlo simulation. Code has been written to generate synthetic time series for volcanic activity, rainfall, ash deposition and erosion to give daily ash deposit values and cristobalite fraction at a range of locations. The daily mean personal exposure for PM10 and cristobalite is obtained by sampling from a probability distribution, with distribution parameters dependent on occupation, ground deposit depth and daily weather conditions. Output from multiple runs is processed to calculate the exceedance probability for cumulative exposure over a range of occupation types, locations and exposure periods. Results are interpreted in terms of current occupational standards, and epidemiological exposure-response functions for silicosis are applied to quantify the long-term health risk. Assuming continuing volcanic activity, median risk of silicosis (profusion 1/0 or higher) for an average adult after 20 years continuous exposure is

  9. Opioid consumption in hospitals of the Friuli-Venezia Giulia region: a four-year retrospective study.

    PubMed

    Bortolussi, Roberto; Spazzapan, Simon; Lombardi, Davide; Colussi, Anna Maria; Veronesi, Andrea; Matovic, Mira; De Cicco, Marcello

    2004-01-01

    Opioid consumption for analgesic purposes is considered an important indicator of the quality of cancer pain treatment. Italy's consumption ranks among the lowest in economically developed countries. A lack of systematic education of health care professionals regarding pain control and a sort of "opiophobia" induced by measures designed to control the improper use of drugs have been indicated as possible reasons for this trend. The aim of this study was firstly to evaluate the level of opioid consumption at inpatient institutions (where opioid prescription rules have never been subjected to any restriction) and secondly to survey the attitude of the physicians working in general hospitals and specialized oncology institutions (oncology centers and hospices) towards opioid administration. The authors performed a four-year survey (1996-1999) on the consumption of major opioids (morphine, meperidine, buprenorphine, transdermal fentanyl) among all the inpatient institutions (six regional/provincial hospitals, eleven district hospitals, the Aviano Oncology Institute and two hospices) of the Friuli-Venezia Giulia region in North-Eastern Italy. To facilitate data interpretation, all the opioids were converted to milligrams equivalent of oral morphine (mg OME). Data on the number of days of hospitalization of oncological patients in every institution were also collected. The overall consumption of opioids was 9,299,177 mg OME (83.3%) and 1,845,060 mg OME (16.7%) in general hospitals and specialized oncology institutions, respectively. Overall, the number of days of hospitalization of oncological patients was 1,121,142 (87%) and 167,665 (13%) in general hospitals and specialized oncology institutions, respectively. The ratio between the total dosage of mg OME administered and the total number of hospitalization days in general hospitals and specialized oncology institutions was 8.29 mg OME/day and 11 mg OME/day, respectively. Our data show that in specialized oncology

  10. Cruise report; RV Coastal Surveyor Cruise C1-99; multibeam mapping of the Long Beach, California continental shelf; April 12 through May 19, 1999

    USGS Publications Warehouse

    Gardner, James V.; Hughes-Clarke, John E.; Mayer, Larry A.

    1999-01-01

    The greater Los Angeles area of California is home to more than 10 million people. This large population puts increased pressure on the adjacent offshore continental shelf and margin with activities such as ocean disposal for dredged spoils, explosive disposal, waste-water outfall, and commercial fishing. The increased utilization of the shelf and margin in this area has generated accelerated multi-disciplinary research efforts in all aspects of the environment of the coastal zone. Prior to 1996 there were no highly accurate base maps of the continental shelf and slope upon which the research activities could be located and monitored. In 1996, the United States Geological Survey (USGS) Pacific Seafloor Mapping Project began to address this problem by mapping the Santa Monica shelf and margin (Fig. 1) using a state-of-the-art, high-resolution multibeam sonar system (Gardner, et al., 1996; 1999). Additional seafloor mapping in 1998 provided coverage of the continental margin from south of Newport to the proximal San Pedro Basin northwest of Palos Verdes Peninsula (Gardner, et al., 1998) (Fig. 1). The mapping of the seafloor in the greater Los Angeles continental shelf and margin was completed with a 30-day mapping of the Long Beach shelf in April and May 1999, the subject of this report. The objective of Cruise C-1-99-SC was to completely map the broad continental shelf from the eastern end of the Palos Verdes Peninsula to the narrow shelf south of Newport Beach, from the break in slope at about 120-m isobath to the inner shelf at about the 10-m isobath. Mapping the Long Beach shelf was jointly funded by the U.S. Geological Survey and the County of Orange (CA) Sanitation District and was conducted under a Cooperative Agreement with the Ocean Mapping Group from the University of New Brunswick (OMG/UNB). The OMG/UNB contracted with C&C Technologies, Inc. of Lafayette, LA for use of the RV Coastal Surveyor and the latest evolution of high-resolution multibeam sonars, a

  11. Interseismic strain accumulation measured by GPS in the seismic gap between Constitución and Concepción in Chile

    NASA Astrophysics Data System (ADS)

    Ruegg, J. C.; Rudloff, A.; Vigny, C.; Madariaga, R.; de Chabalier, J. B.; Campos, J.; Kausel, E.; Barrientos, S.; Dimitrov, D.

    2009-06-01

    The Concepción-Constitución area [35-37°S] in South Central Chile is very likely a mature seismic gap, since no large subduction earthquake has occurred there since 1835. Three campaigns of global positioning system (GPS) measurements were carried out in this area in 1996, 1999 and 2002. We observed a network of about 40 sites, including two east-west transects ranging from the coastal area to the Argentina border and one north-south profile along the coast. Our measurements are consistent with the Nazca/South America relative angular velocity (55.9°N, 95.2°W, 0.610°/Ma) discussed by Vigny et al. (2008, this issue) which predicts a convergence of 68 mm/year oriented 79°N at the Chilean trench near 36°S. With respect to stable South America, horizontal velocities decrease from 45 mm/year on the coast to 10 mm/year in the Cordillera. Vertical velocities exhibit a coherent pattern with negative values of about 10 mm/year on the coast and slightly positive or near zero in the Central Valley or the Cordillera. Horizontal velocities have formal uncertainties in the range of 1-3 mm/year and vertical velocities around 3-6 mm/year. Surface deformation in this area of South Central Chile is consistent with a fully coupled elastic loading on the subduction interface at depth. The best fit to our data is obtained with a dip of 16 ± 3°, a locking depth of 55 ± 5 km and a dislocation corresponding to 67 mm/year oriented 78°N. However in the northern area of our network the fit is improved locally by using a lower dip around 13°. Finally a convergence motion of about 68 mm/year represents more than 10 m of displacement accumulated since the last big interplate subduction event in this area over 170 years ago (1835 earthquake described by Darwin). Therefore, in a worst case scenario, the area already has a potential for an earthquake of magnitude as large as 8-8.5, should it happen in the near future.

  12. Avoidable mortality measured by years of potential life lost (YPLL) aged 5 before 65 years in Kyrgyzstan, 1989-2003.

    PubMed

    Bozgunchievz, Maratbek; Ito, Katsuki

    2007-01-01

    There is considerable willingness in the entire medical society of Kyrgyzstan, which was directly involved in the reform process, to obtain reliable information about changes in population health that have occurred in the last decade, as well as about changes in mortality, which is the basic component of population health. The objective of this paper is to introduce the Year of Potential Life Lost (YPLL) in Kyrgyzstan caused by avoidable mortality in the population between 5 and 65 years of age during 1989-2003, and to provide a basis for setting the priorities for the reducing YPLL in the coming years. YPLL was calculated using data from the annual mortality tables according to causes of deaths and age for 1989, 1996, 1999 and 2003. YPLL is defined as the summation of the difference between 65 years of age and the age at death from the age of 5 and before 65. In 2003, the total number of YPLL due to avoidable mortality among those who died was 216,860, which represents a decline of 5.0% in comparison with 228,266 in 1989. During the study years, the largest proportion of YPLL in the population between 5 and 65 years of age resulted from injury and poisoning. In 2003, this proportion represented 41.5% of the total amount of YPLL due to all the causes studied here, followed by infections and parasitic diseases (12.0%), circulatory disturbance of the brain (11.5%), chronic liver diseases and cirrhosis (11.4%), diseases of the respiratory system (9.2%), and malignant neoplasm of the upper airways and digestive tract (4.6%). The decline in avoidable mortality caused by injury and poisoning, infections disease, malignant neoplasm of the female breast and uterus has to be priority-driven direction for developing Health Policy in the coming years in Kyrgyzstan. Attention also has to be given to reducing of avoidable mortality caused by malignant neoplasm of the female breast by implementing screening programs.

  13. Geomagnetic storms link to the mortality rate in the Smolyan region for the period 1988--2009

    NASA Astrophysics Data System (ADS)

    Simeonova, Siyka G. 1; Georgieva, Radostina C. 2; Dimitrova, Boryana H. 2; Slavcheva, Radka G. 2; Kerimova, Bojena P. 2; Georgiev, Tsvetan B. 34

    We present correlations and trends of 10 parameters of annual mortality rate (1 to common mortality rate, 5 to cardiovascular reasons and 4 to "accidental" reasons (car accidents, suicides, infections)) with respect to 6 parameters of annual solar and geomagnetic activity (Wolf index, number of geomagnetic storms, duration of the storms, amplitude of the storms). During the period of observation, characterized by a 3-4-fold decrease of the mean geomagnetic activity (in terms of the number and the duration of the storms) and with a strong variations of the amplitude of the storms (about an almost constant mean values for the period), there is a 1.3-fold decrease in the urban population, a 1.5-fold increase of the common mortality rate, a 1.8-fold increase of the cardiovascular mortality rate and a 1.1-fold decrease of the "accidental" mortality rates. During the years 2003-2005 we observe about 2-fold temporary increase in the storm amplitudes. During the years 2007-2008, characterized by extremely low geomagnetic activity, we observe a surprising temporary increase of the common and the cardiovascular mortality rates 1.1 and 1.3-fold, respectively (Figures 1-4). We point out 3 main results. (1) The available data shows notable increase in the mortality rates while there is generally a decrease of the solar or geomagnetic activity during the studied period (Figures 5-9). We explain this anti-correlation with the domination of the increasing mortality rates as an effect of the advance in the mean age of the population (due to immigration of young people and decrease of new-borns), hiding an eventual display of the solar and geomagnetic influence on the mortality rates. Using this data we can not reveal influence of the long-time (10-20 years) change of the average solar and geomagnetic activity on the mortality rate. (2) Excluding the unusual years 2007 and 2008, we establish that with respect to the years with low geomagnetic activity (1993, 1995, 1996, 1999), in

  14. Characteristics of the fractional cloud cover and its altitude distribution over the Indian Ocean region derived from NOAA14-AVHRR

    NASA Astrophysics Data System (ADS)

    Suresh Raju, C.; Rajeev, K.; Parameswaran, K.

    The climatic impact of clouds and their role in energy and radiation budget of earth-atmosphere system largely depends on the cloud properties and its altitude of occurrence. The quantitative estimates of spatio-temporal variations of cloud fraction and cloud properties are limited over the tropical Indian Oceanic region. Cloudiness and its radiative properties over this region is significantly different from other tropical regions indicating the need for their detailed studies. This has an important role in the Indian summer monsoon which is also a part of the global climate system. Daily, monthly, seasonal and yearly mean frequency of occurrence of total and high altitude clouds are derived from the brightness temperature (TB) obtained from NOAA14-AVHRR data during the period of 1996-1999, and their spatio-temporal variations are investigated. The inversion algorithm used here is similar to the CLIVAR algorithm applied by ISCCP. All clouds with TB quad < 250 K are classified as high clouds, as their altitude of occurrence will be above ˜ 6 km. The clouds above ˜ 10 km (with TB<220K) are also classified separately to study the deep convective events. The geographical distribution of monthly, seasonal and annual mean frequency of occurrence of total cloud (Ftot) and high cloud (Fh) are remarkably consistent from year to year, though the absolute magnitude of the frequency of occurrence can vary by as much as 30%. The highest annual variations in Ftot and Fh are observed near the eastern parts of Bay of Bengal. The average amplitude of the annual cycle in Ftot in this region is ˜ 40%. During the south-west monsoon season, the monthly mean of Ftot shows very large spatial gradients in the western Arabian Sea. In July, the Ftot varies from less than 20% near Arabian coastal regions to more than 75% at a location 10 degrees east of the Arabian coast. Similar gradients in Ftot are also observed between the equator and 10 S. One of the very striking features in Ftot

  15. Interaction of lightning with power distribution lines

    NASA Astrophysics Data System (ADS)

    Mata, Carlos Tomas

    Triggered-lightning experiments were conducted in 1996, 1999, and 2000 to study the responses of overhead power distribution lines to lightning at the International Center for Lightning Research and Testing (ICLRT) at Camp Blanding, Florida. The lightning was artificially initiated (triggered) from natural thunderclouds using the rocket-and-wire technique, and its current was directed to a phase conductor at midspan or at a pole near the center of the line. Experimental results and associated EMTP modeling are presented in this dissertation for the following line configurations: (1)a two-conductor, 740-m overhead distribution line with 2 arrester stations in 1996; (2)a four- conductor, 245-m overhead distribution line with 2 arrester stations in 1999; and (3)a four-conductor, 829-m overhead distribution line with 6 arrester stations in 2000. The three-phase lines tested in 1999 and 2000 were standard designs of a major Florida power company. Lightning peak currents injected into the lines ranged from 7 to 57 kA. Voltages and currents were measured at various locations along the line. Video and photographic cameras were used to image lightning channels and detect line flashovers. The significant results of the research are (1)flashovers between conductors were observed, both accompanied and not accompanied by arrester failures, (2)an arrester failed on seven of eight direct lightning strikes to the line in 2000, (3)arcing between conductors may prevent failures of arresters connected to the struck phase, (4)the bulk of the lightning current flows from the struck phase to neutral through the arresters closest to the strike point, (5)the withstand energy of the arresters can be exceeded due to the contribution from multiple strokes and/or relatively low-level, long-lasting current components, (6)the distribution of charge transferred to ground among multiple neutral grounds, which is determined by low-frequency, low-current grounding resistances is different from the

  16. Analyzing spatial clustering and the spatiotemporal nature and trends of HIV/AIDS prevalence using GIS: the case of Malawi, 1994-2010.

    PubMed

    Zulu, Leo C; Kalipeni, Ezekiel; Johannes, Eliza

    2014-05-23

    Although local spatiotemporal analysis can improve understanding of geographic variation of the HIV epidemic, its drivers, and the search for targeted interventions, it is limited in sub-Saharan Africa. Despite recent declines, Malawi's estimated 10.0% HIV prevalence (2011) remained among the highest globally. Using data on pregnant women in Malawi, this study 1) examines spatiotemporal trends in HIV prevalence 1994-2010, and 2) for 2010, identifies and maps the spatial variation/clustering of factors associated with HIV prevalence at district level. Inverse distance weighting was used within ArcGIS Geographic Information Systems (GIS) software to generate continuous surfaces of HIV prevalence from point data (1994, 1996, 1999, 2001, 2003, 2005, 2007, and 2010) obtained from surveillance antenatal clinics. From the surfaces prevalence estimates were extracted at district level and the results mapped nationally. Spatial dependency (autocorrelation) and clustering of HIV prevalence were also analyzed. Correlation and multiple regression analyses were used to identify factors associated with HIV prevalence for 2010 and their spatial variation/clustering mapped and compared to HIV clustering. Analysis revealed wide spatial variation in HIV prevalence at regional, urban/rural, district and sub-district levels. However, prevalence was spatially leveling out within and across 'sub-epidemics' while declining significantly after 1999. Prevalence exhibited statistically significant spatial dependence nationally following initial (1995-1999) localized, patchy low/high patterns as the epidemic spread rapidly. Locally, HIV "hotspots" clustered among eleven southern districts/cities while a "coldspot" captured configurations of six central region districts. Preliminary multiple regression of 2010 HIV prevalence produced a model with four significant explanatory factors (adjusted R2 = 0.688): mean distance to main roads, mean travel time to nearest transport, percentage that had

  17. Hypertensive disorders in pregnancy: a 5-year analysis of the wartime and postwar period in South-Western region of Bosnia and Herzegovina.

    PubMed

    Tomić, Vajdana; Petrović, Oleg; Petrov, Bozo; Bjelanović, Vedran; Naletilić, Mladenka

    2009-12-01

    Hypertensive disorders are among the most common complications in pregnancy and a major cause of perinatal morbidity and mortality. The aim of this study was to investigate the risk factors and adverse perinatal outcomes of pregnancies in mothers with hypertensive disorders, as well as the adequacy of prenatal care during the wartime and postwar period in South-Western region of Bosnia and Herzegovina. This study included a total of 542 pregnancies with hypertensive disorders during 5-year study period (1995-1999) and 1559 randomly selected controls. Data on risk factors, adverse perinatal outcomes (for singleton pregnancies only) and prenatal care on pregnant women were extracted from the medical records and compared with controls. Chi-square test and crude odds ratio (OR) with 95% confidence interval (95% CI) were used in statistical analysis. The average five-year incidence of hypertensive pregnancy disorders was 6.5% and it was significantly higher in 1995, the last year of the war, than in the postwar period (1996-1999) (p = 0.02). Factors significantly associated with hypertensive pregnancy disorders were maternal age > 34, nulliparity, multifetal gestation and male newborn (p < 0.001; except p = 0.002 for male newborn). Severe forms of hypertensive disorders were significantly associated with adverse perinatal outcomes: preterm birth (OR 2.6, 95% CI 1.08-6.3), cesarean delivery (OR 9.2, 95% CI 5.4-15.6), fetal growth restriction (OR 63.8, 95% CI 34.8-117.0), and stillbirth (OR 5.5, 95% CI 2.1-14.1). Women with hypertensive pregnancy disorders had significantly lower number of prenatal care visits than controls (p < 0.001). There was a high proportion of normally formed macerated stillbirths in the study (27 out of 30 or 90%) and in the control group (10 out of 12 or 83%). In conclusion, severity of the disorder and adequacy of prenatal care are strongly associated with adverse perinatal outcome related to hypertensive pregnancy disorders.

  18. Factors associated with less-than-full-time working in medical practice: results of surveys of five cohorts of UK doctors, 10 years after graduation.

    PubMed

    Lachish, Shelly; Svirko, Elena; Goldacre, Michael J; Lambert, Trevor

    2016-10-13

    The greater participation of women in medicine in recent years, and recent trends showing that doctors of both sexes work fewer hours than in the past, present challenges for medical workforce planning. In this study, we provide a detailed analysis of the characteristics of doctors who choose to work less-than-full-time (LTFT). We aimed to determine the influence of these characteristics on the probability of working LTFT. We used data on working patterns obtained from long-term surveys of 10,866 UK-trained doctors. We analysed working patterns at 10 years post-graduation for doctors of five graduating cohorts, 1993, 1996, 1999, 2000 and 2002 (i.e. in the years 2003, 2006, 2009, 2010 and 2012, respectively). We used multivariable binary logistic regression models to examine the influence of a number of personal and professional characteristics on the likelihood of working LTFT in male and female doctors. Across all cohorts, 42 % of women and 7 % of men worked LTFT. For female doctors, having children significantly increased the likelihood of working LTFT, with greater effects observed for greater numbers of children and for female doctors in non-primary care specialties (non-GPs). While >40 % of female GPs with children worked LTFT, only 10 % of female surgeons with children did so. Conversely, the presence of children had no effect on male working patterns. Living with a partner increased the odds of LTFT working in women doctors, but decreased the odds of LTFT working in men (independently of children). Women without children were no more likely to work LTFT than were men (with or without children). For both women and men, the highest rates of LTFT working were observed among GPs (~10 and 6 times greater than non-GPs, respectively), and among those not in training or senior positions. Family circumstances (children and partner status) affect the working patterns of women and men differently, but both sexes respond similarly to the constraints of their

  19. Geomorphic Analysis Supporting Restoration of the Walker River, Nevada

    NASA Astrophysics Data System (ADS)

    Lauer, J. W.; Echterling, C.; Majerova, M.; Wilcock, P.

    2012-12-01

    Agricultural water diversions have degraded the Walker River, Nevada, and have led to a reduction of water level at its terminus, Walker Lake. The geomorphic response of the river to water reallocation is an important issue associated with restoration of the system. To address this issue, we performed a geomorphic assessment of the portions of the river passing through the two main agricultural valleys in the watershed, Smith and Mason Valleys, Nevada. The project involved field data collection, analysis of remotely sensed data, and numerical modeling. Fieldwork focused primarily on characterizing bed and bank sediment grain size distributions and on delineating geomorphically similar reaches. The remote sensing analysis used LiDAR and air photograph mosaics from 1938, 1950, 1996, 1999, and 2006 to quantify historic changes in the active channel geometry and to identify banks that represent potential sediment sources or sinks. Polygons representing in-channel features (here defined as the scoured region between vegetation lines) were delineated by hand on each photograph. Channel centerlines were then derived from this data set and were used to identify locations of active channel movement by measuring either direct centerline offsets or local sinuosity increase rates. Both active bar area and channel migration were focused on reaches near the head of each agricultural valley, where slope decreases as the channel emerges from an upstream bedrock-controlled canyon. These same reaches also experienced large increases in width during the 1997 flood of record. The gage record shows that attenuation of this flood was most pronounced in the lower of the two agricultural valleys, Mason Valley. Surprisingly little attenuation occurred in the upstream Smith Valley, despite the relatively low relief of the valley floor, which consists primarily of Pleistocene lake deposits. The major difference between the two valleys is that the meander belt through Smith Valley is incised

  20. Steroid-free immunosuppression in renal transplantation: a long-term follow-up of 100 consecutive patients.

    PubMed

    Birkeland, S A

    2001-04-27

    Our goal in clinical renal transplantation is to establish a steroid-free immunosuppressive protocol that not only promotes long-term patient and graft survival, but also improves the overall well-being of the patients. In a prospective, nonrandomized, clinical study 100 consecutive patients transplanted with first and second grafts were discharged from our center with functioning grafts 1996-1999 and followed for up to 4 1/2 years. Patients received steroid-free immunosuppression with an initial 10-day antithymocyte (ATG) induction and maintenance therapy with cyclosporine (CsA) and mycophenolate mofetil (MMF). No steroids were given. After an observation time of up to 4 1/2 years, 1-, 2-, 3-, and 4-year graft survivals of 97, 96, 90, and 82% were observed, with no correlation to HLA-matching, kidney disease, donor age or type, or number of transplants. Ninety-nine patients (1 died or peritonitis after returning to dialysis) were alive and well. Ninety grafts were functioning well, 9 patients returned to dialysis due to recurrence of hemolytic uremic syndrome, and glomerulonephritis in 2 and chronic rejection in 7 grafts after 7-36 months (3 due to non-compliance after 7-30 months). All 7 children below the age of 15 are alive, with well-functioning grafts, except 1 with recurrence of glomerulonephritis who returned to dialysis after 2 1/2 years. There were 13 acute rejections (13%), 10 early (first 3 months) (10%), and 3 late (6-42 months) (3%). All acute rejection episodes were successfully reversed. No lymphomas were observed. Our first-line, steroid-free immunosuppressive protocol allows initial graft function, provides a safe level of long-term graft survival and function with a very low rejection rate, gives an acceptable rate of side effects, and possesses the potential for lowering the incidence of chronic rejection over the long-term. Compared with protocols that discontinue steroids after the initial posttransplant period, a steroid-free protocol avoids

  1. Metabolically healthy obesity and depressive symptoms: 16-year follow-up of the Gazel cohort study

    PubMed Central

    Gueguen, Alice; Matta, Joane; Lemogne, Cedric; Goldberg, Marcel; Zins, Marie

    2017-01-01

    Aims The health correlates of the metabolically healthy obese (MHO) phenotype, particularly in relation to depressive symptoms remains unclear. Accordingly, we examined the risk of depressive symptoms in this phenotype using a 16-year follow-up prospective study. Methods A sample of 14 475 participants (75% men), aged 44–59 years in 1996, was drawn from the Gazel cohort. Obesity was defined as body mass index (BMI) ≥ 30 kg/m2 and metabolic health as having none of the self-reported following cardiovascular risk factors: hypertension, type 2 diabetes and dyslipidemia. Depressive symptoms were assessed by the Center for Epidemiologic Studies Depression (CES-D) scale in 1996, 1999, 2002, 2005, 2008 and 2012. Generalized Estimating Equations (GEE) were used to estimate the risk of depressive symptoms during a follow-up of 16 years. Results In multivariate analyses, metabolically unhealthy normal weight [Odds Ratio (OR) = 1.37; 95% Confidence Interval (CI): 1.25–1.51], overweight [1.44 (1.31–1.59)] and obese [1.30 (1.10–1.54)] but not MHO participants [1.04 (0.81–1.32)] had higher risk of depressive symptoms at the start of follow-up compared to metabolically healthy normal weight individuals. Depressive symptoms decreased over time in metabolically healthy normal weight individuals [0.52 (0.50–0.55)], this decrease was less marked only in metabolically unhealthy obese participants [1.22 (1.07–1.40)]. Compared to MHO participants, metabolically unhealthy obese individuals were at increased risk of depression at the start of follow-up, but with a similar reduction of this risk over time. Conclusion Poor metabolic health, irrespective of BMI was associated with greater depressive symptoms at the start of follow-up, whereas a poorer course of depressive symptoms over time was observed only in those with both obesity and poor metabolic health. PMID:28384219

  2. Participation, characteristics and retention rates of HIV-positive immigrants in the Swiss HIV Cohort Study.

    PubMed

    Thierfelder, C; Weber, R; Elzi, L; Furrer, H; Cavassini, M; Calmy, A; Bernasconi, E; Gutmann, C; Ledergerber, B

    2012-02-01

    Data from observational cohorts may be influenced by population structure and loss to follow-up (LTFU). Quality of care may be associated with participation in cohort networks. We aimed to study the participation, characteristics and retention rates of immigrants in the Swiss HIV Cohort Study (SHCS). We compared enrolment over time (1996-1999, 2000-2003 and 2004-2008) and LTFU between individuals from different geographical regions. In 2008, we performed a cross-sectional survey to investigate the proportion of individuals not participating in the SHCS but who were in care at SHCS institutions. Predictors for LTFU were analysed using Cox proportional hazard models, and those for nonparticipation using logistic regression. A total of 7840 individuals entered the SHCS during the observation period. The proportion of immigrants increased over time, especially the proportion of women from sub-Saharan Africa, which increased from 21 to 48% during the observation period. Overall LTFU was 3.76 [95% confidence interval (CI) 3.58-3.95]/100, with the highest hazard ratio in men from sub-Saharan Africa (2.82/100 patient-years; 95% CI 2.30-3.46/100), compared with men from northwestern countries. Other predictors for LTFU were age <30 years, lower education, injecting drug use, and higher baseline CD4 cell counts. Participants taking antiretroviral therapy had reduced LTFU. The survey showed that 84% of HIV-infected patients in care at SHCS institutions were enrolled in the cohort. Nonparticipation was more likely among men from non-European regions (odds ratio 2.73; 95% CI 2.29-3.24), women from sub-Saharan Africa (odds ratio 3.01; 95% CI 2.40-3.77) and women from Latin America/Caribbean (odds ratio 2.10; 95% CI 1.30-3.39). Numbers of HIV-infected immigrants are increasing but they are underrepresented in the SHCS, and immigrants are more likely to be lost to follow-up. © 2011 British HIV Association.

  3. Hierarchical sampling of multiple strata: an innovative technique in exposure characterization.

    PubMed

    Ericson, Jonathon E; Gonzalez, Elisabeth J

    2003-07-01

    Sampling of multiple strata, or hierarchical sampling of various exposure sources and activity areas, has been tested and is suggested as a method to sample (or to locate) areas with a high prevalence of elevated blood lead in children. Hierarchical sampling was devised to supplement traditional soil lead sampling of a single stratum, either residential or fixed point source, using a multistep strategy. Blood lead (n=1141) and soil lead (n=378) data collected under the USEPA/UCI Tijuana Lead Project (1996-1999) were analyzed to evaluate the usefulness of sampling soil lead from background sites, schools and parks, point sources, and residences. Results revealed that industrial emissions have been a contributing factor to soil lead contamination in Tijuana. At the regional level, point source soil lead was associated with mean blood lead levels and concurrent high background, and point source soil lead levels were predictive of a high percentage of subjects with blood lead equal to or greater than 10 micro g/dL (pe 10). Significant relationships were observed between mean blood lead level and fixed point source soil lead (r=0.93; P<0.05; R(2)=0.72 using a quadratic model) and between residential soil lead and fixed point source soil lead (r=0.90; P<0.05; R(2)=0.86 using a cubic model). This study suggests that point sources alone are not sufficient for predicting the relative risk of exposure to lead in the urban environment. These findings will be useful in defining regions for targeted or universal soil lead sampling by site type. Point sources have been observed to be predictive of mean blood lead at the regional level; however, this relationship alone was not sufficient to predict pe 10. It is concluded that when apparently undisturbed sites reveal high soil lead levels in addition to local point sources, dispersion of lead is widespread and will be associated with a high prevalence of elevated blood lead in children. Multiple strata sampling was shown to be

  4. The learning curve in laparoscopic liver resection: improved feasibility and reproducibility.

    PubMed

    Vigano, Luca; Laurent, Alexis; Tayar, Claude; Tomatis, Mariano; Ponti, Antonio; Cherqui, Daniel

    2009-11-01

    To evaluate the "learning curve" effect on feasibility and reproducibility of laparoscopic liver resection (LLR). LLR is currently limited to few centers and to few procedures. Its reproducibility is still debated. : Patients undergoing LLR between 1996 and 2008 were included. Indications and type of hepatectomies were compared with those of open resections performed in the same period, considering 3 periods (1996-1999, 2000-2003, and 2004-2008). LLRs were divided into 3 equal groups of 58 cases and technical data and outcomes were compared. Risk-adjusted Cumulative Sum model was used for determining the learning curve based on the need for conversion. Of 782, 174 (22.3%) patients underwent LLR. Proportion of LLR progressively increased (17.5%, 22.4%, and 24.2%), such as hepatocellular carcinoma (17.6%, 25.6%, and 39.4%, P < 0.05), colorectal metastases (0%, 6.5%, and 13.1%, P < 0.05), major hepatectomies (1.1%, 9.1%, 8.5%, P < 0.05), and right hepatectomies (0%, 13.2%, and 13.1%, P < 0.05). Comparing groups, results of LLR significantly improved in terms of conversion rate (15.5%, 10.3%, and 3.4%, P < 0.05), operative time (210, 180, and 150 minutes, P < 0.05), blood loss (300, 200, and 200 mL, P < 0.05), and morbidity (17.2%, 22.4%, and 3.4%, P < 0.05). Pedicle clamping was less used over time (77.6%, 62.1%, and 17.2%, P < 0.05) and for shorter durations (45, 30, and 20 minutes, P < 0.05). Having adjusted for case-mix, the Cumulative Sum analysis demonstrated a learning curve for laparoscopic hepatectomies of 60 cases. A slow but constant evolution of LLR occurred: indications and magnitude of procedures increased and technical outcomes improved. The learning curve demonstrated in this study suggests that LLR is reproducible in liver units but specific training to advanced laparoscopy is required.

  5. Combined treatment with high-dose methotrexate, vincristine and procarbazine, without intrathecal chemotherapy, followed by consolidation radiotherapy for primary central nervous system lymphoma in immunocompetent patients.

    PubMed

    Ferreri, A J; Reni, M; Dell'Oro, S; Ciceri, F; Bernardi, M; Camba, L; Ponzoni, M; Terreni, M R; Tomirotti, M; Spina, M; Villa, E

    2001-01-01

    To assess the feasibility and the activity, as well as the efficacy to treat meninges, of chemotherapy (CHT) containing high-dose methotrexate (HD-MTX) followed by radiation therapy (RT), without intrathecal CHT, in patients with primary central nervous system lymphoma. Eligibility criteria were histologically proven diagnosis, disease limited to the CNS, age < or = 70, ECOG performance status < or = 3, HIV-negative and no prior treatment. Thirteen patients (1996-1999; median age 54 years) received two courses of vincristine 1.4 mg/m2 day 1, MTX 3 g/m2 days 3 and 10 and procarbazine 100 mg/m2 days 1-14 every 4 weeks. Patients who achieved a complete remission were referred to RT, those with progressive disease were excluded from further study; all the remaining patients received a third course of CHT followed by RT. Twelve patients responded to CHT (overall response rate = 92%, complete response rate = 77%): 9 underwent consolidation RT, 3 did not. Two patients experienced severe acute toxicity; lethal pulmonary thromboembolism and transient renal failure. Five patients relapsed: 2 after CHT and 3 after RT. Relapse was local in all cases, with a case of concomitant hepatic involvement. No cases of ocular or meningeal relapse were observed. In contrast to high-dose cytarabine-containing CHT, salvage therapy with temozolomide produced good results. Two patients died of treatment-related neurotoxicity. Six patients are alive with a median follow-up of 17 months, and a 2-year overall survival (OS) of 61%. The median survival of the 9 patients who completed the planned treatment is 25+ months with a 2-year OS of 80%. HD-MTX, procarbazine and vincristine followed by RT, without intrathecal therapy, produce similar results with respect to other HD-MTX-containing regimens. These results seem to suggest that adequate meningeal treatment is possible without intrathecal drug delivery, even in CSF-positive patients. Corroborating data from a larger series are, however

  6. Analyzing spatial clustering and the spatiotemporal nature and trends of HIV/AIDS prevalence using GIS: the case of Malawi, 1994-2010

    PubMed Central

    2014-01-01

    Background Although local spatiotemporal analysis can improve understanding of geographic variation of the HIV epidemic, its drivers, and the search for targeted interventions, it is limited in sub-Saharan Africa. Despite recent declines, Malawi’s estimated 10.0% HIV prevalence (2011) remained among the highest globally. Using data on pregnant women in Malawi, this study 1) examines spatiotemporal trends in HIV prevalence 1994-2010, and 2) for 2010, identifies and maps the spatial variation/clustering of factors associated with HIV prevalence at district level. Methods Inverse distance weighting was used within ArcGIS Geographic Information Systems (GIS) software to generate continuous surfaces of HIV prevalence from point data (1994, 1996, 1999, 2001, 2003, 2005, 2007, and 2010) obtained from surveillance antenatal clinics. From the surfaces prevalence estimates were extracted at district level and the results mapped nationally. Spatial dependency (autocorrelation) and clustering of HIV prevalence were also analyzed. Correlation and multiple regression analyses were used to identify factors associated with HIV prevalence for 2010 and their spatial variation/clustering mapped and compared to HIV clustering. Results Analysis revealed wide spatial variation in HIV prevalence at regional, urban/rural, district and sub-district levels. However, prevalence was spatially leveling out within and across ‘sub-epidemics’ while declining significantly after 1999. Prevalence exhibited statistically significant spatial dependence nationally following initial (1995-1999) localized, patchy low/high patterns as the epidemic spread rapidly. Locally, HIV “hotspots” clustered among eleven southern districts/cities while a “coldspot” captured configurations of six central region districts. Preliminary multiple regression of 2010 HIV prevalence produced a model with four significant explanatory factors (adjusted R2 = 0.688): mean distance to main roads, mean travel time

  7. Long-term effects of lowering the alcohol minimum purchasing age on traffic crash injury rates in New Zealand.

    PubMed

    Kypri, Kypros; Davie, Gabrielle; McElduff, Patrick; Langley, John; Connor, Jennie

    2017-03-01

    In December 1999, New Zealand lowered the alcohol minimum purchasing age from 20 to 18 years. We tested hypotheses that this change was associated with long-term increases in traffic injury attributable to alcohol-impaired driving among 18- to 19-year-olds (target age group) and 15- to 17-year-olds (affected by 'trickle-down'). We undertook a controlled before-and-after comparison of rates of fatal and non-fatal traffic injury to persons of any age attributable to impaired drivers aged 18-19 years and 15-17 years, versus 20- to 21-year-olds. Crash data including assessment of driver alcohol impairment were recorded by New Zealand Police. The pre-change period was 1996-1999. Post-change periods were 2000-2003, 2004-2007 and 2008-2010. Outcomes were population-based and vehicle travel-based rates. Compared with the change in injury rates attributable to alcohol-impaired 20- to 21-year-old male drivers, injuries attributable to 18- to 19-year-old male drivers increased in all post-change periods and significantly so in the second post-change period (incidence rate ratio [IRR] 1.3, 95% confidence interval [CI] 1.1 to 1.5). For 15- to 17-year-old male drivers, rates increased in all post-change periods compared with 20- to 21-year-olds, and more so in the second (IRR 1.2, 95% CI 1.1 to 1.4) and third (IRR 1.2, 95% CI 1.1 to 1.4) periods. There was a short-term relative increase in harm attributable to 18- to 19-year-old female drivers (IRR 1.5; 1.1 to 2.0). Results were similar for vehicle travel-based rates. Reducing the alcohol minimum purchasing age was followed by long-term increases in the incidence of traffic injury attributable to male 15- to 19-year-old alcohol-impaired drivers. [Kypri K, Davie G, McElduff P, Langley J, Connor J. Long-term effects of lowering the alcohol minimum purchasing age on traffic crash injury rates in New Zealand. Drug Alcohol Rev 2017;36:178-185]. © 2016 Australasian Professional Society on Alcohol and other Drugs.

  8. The spectroscopic orbit of Capella revisited

    NASA Astrophysics Data System (ADS)

    Weber, M.; Strassmeier, K. G.

    2011-07-01

    Context. Capella is among the few binary stars with two evolved giant components. The hotter component is a chromospherically active star within the Hertzsprung gap, while the cooler star is possibly helium-core burning. Aims: The known inclination of the orbital plane from astrometry in combination with precise radial velocities will allow very accurate masses to be determined for the individual Capella stars. This will constrain their evolutionary stage and possibly the role of the active star's magnetic field on the dynamical evolution of the binary system. Methods: We obtained a total of 438 high-resolution échelle spectra during the years 2007-2010 and used the measured velocities to recompute the orbital elements. Our double-lined orbital solution yields average residuals of 64 m s-1 for the cool component and 297 m s-1 for the more rapidly rotating hotter component. Results: The semi-amplitude of the cool component is smaller by 0.045 km s-1 than the orbit determination of Torres et al. from data taken during 1996-1999 but more precise by a factor of 5.5, while for the hotter component it is larger by 0.580 km s-1 and more precise by a factor of 3.6. This corresponds to masses of 2.573 ± 0.009 M⊙ and 2.488 ± 0.008 M⊙ for the cool and hot component, respectively. Their relative errors of 0.34% and 0.30% are about half of the values given in Torres et al. for a combined literature-data solution but with absolute values different by 4% and 2% for the two components, respectively. The mass ratio of the system is therefore q = MA/MB = 0.9673 ± 0.0020. Conclusions: Our orbit is the most precise and also likely to be the most accurate ever obtained for Capella. Based on data obtained with the STELLA robotic telescope in Tenerife, an AIP facility jointly operated by AIP and IAC.Full Table 1 is only available at the CDS via anonymous ftp to cdsarc.u-strasbg.fr (130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/531/A89

  9. [Studies on the status of immune memory after completion of hepatitis B vaccination].

    PubMed

    Li, Yan-ping; Li, Rong-cheng; Fang, Kong-xiong; Li, He-min; Hu, Zhong-yu; He, Peng; Wu, Xiao-yin; Zhang, Rui; Liang, Zheng-lun; Zhuang, Hui

    2007-04-01

    To study the immune memory in vaccinees after the completion of a full schedule hepatitis B immunization. One thousand and two hundred one infants born in 1987 -1989 were immunized with 3 doses of plasma derived hepatitis B vaccine, while 2484 newborn babies during 1996-1999 were injected with 3 doses of the yeast recombinant hepatitis B vaccine. All of the infants under observation were tested for HBsAg, anti-HBs and anti-HBc, in 2005. Of 959 individuals negative for anti-HBs (< 10 mIU/ml), HBsAg and anti-HBc, 228 were immunized with plasma-derived vaccine and 731 with yeast recombinant vaccine after birth. All of them were detected for anti-HBs 15 days after a booster of 10 Ipg yeast recombinant vaccine. In addition, interleukin-2 (IL-2) was detected in 11 non-responders and 22 responders after boostering, using an enzyme-linked immunospot (ELISPOT). The anti-HBs levels of 190 individuals (91 with plasma derived vaccine and 99 with yeast recombinant vaccine) who had had quantitative data on their antibody status after the primary hepatitis B vaccination, were compared with that after the boostering. Among the individuals who received plasma derived vaccine 16-18 years ago, 79.82% of them showed the signs of immune memory after one booster, with a geometric mean titer (GMT)of 325.69 mIU/ml. Of the individuals who received the yeast recombinant vaccine 6-9 years ago, 95.62% showed immune memory after one booster,with its GMT of 745.18 mIU/ml. Anti-HBs levels induced by the booster were associated with that after the primary immunization. The positive rate of IL-2 was 40.91% in subjects with good immune memory. However, IL-2 was not detected in non-responders after the booster (P < 0.01). Most of the individuals who had received a completed schedule of primary hepatitis B vaccination and seroconverted from anti-HBs positive to negative,showed the signs of having immune memory after the booster. Only a small proportion of the vaccinees had lost their immune memory

  10. Effect of age and season on semen quality parameters in Sahiwal bulls.

    PubMed

    Bhakat, Mukesh; Mohanty, T K; Raina, V S; Gupta, A K; Khan, H M; Mahapatra, R K; Sarkar, M

    2011-08-01

    The objective of the study was to determine the effect of season, period, age, bull, and ejaculate on semen quality in Sahiwal bulls. Semen production records from 1996 to 2006 of 5,483 ejaculates from 46 Sahiwal bulls maintained at Artificial Breeding Complex, NDRI, Karnal, India were analyzed using least square analysis of variance by LSML software package. The overall least squares means of ejaculate volume (VOL), total volume per day (VOLD), mass activity (MA), initial motility (IM), sperm concentration per ml (SPC), and sperm concentration per ejaculate (SPCE) were 3.79 ± 0.02 ml, 5.81 ± 0.06 ml, 2.32 ± 0.01, 55.47 ± 0.001%, 766.69 ± 5.50 × 10(6)/ml and 3023.25 ± 30.15 × 10(6), respectively. All semen traits (VOL, VOLD, MA, IM and SPCE) were significantly (P < 0.01) affected by age groups, season and period, whereas season had significant effect on VOL at 5% level. During hot-humid season, highest value of VOL, VOLD, MA, IM, SPC, and SPCE were observed followed by summer and cold season. Highest value of VOL, VOLD, IM, and SPCE were observed during period-3 (2004-2006), whereas highest value of MA and SPC were observed during period-1 (1996-1999). However, lowest magnitude of MA, IM, SPC, and SPCE during period-2 (2000-2003) was observed. Ejaculate characteristics like VOL, VOLD, and SPCE increased with the increasing age of bull up to 5 years and then decreased. Significant (P < 0.01) bull to bull variation was found in VOL, VOLD, MA, IM, SPC, and SPCE traits. First ejaculate had significantly (P < 0.01) higher MA, IM, SPC, and SPCE. Hence, it could be concluded that during rainy season and period-1 and period-3 the quality of semen is quantitatively and qualitatively good. Better quality semen was obtained up to 5 years of age in Sahiwal bulls.

  11. Land subsidence monitoring in central Taiwan by using PS-InSAR technique

    NASA Astrophysics Data System (ADS)

    Hu, J.-C.; Tung, H.; Huang, M.-H.

    2009-04-01

    Ground subsidence induced by heavy withdrawal of underground water has resulted in environmental hazard and potential risk in Taiwan, particularly in the Choushui River alluvial fan where the Yunlin section of the Taiwan High Speed Rail had been constructed. The Yunlin County located in the southwestern coastal region of Taiwan is one of the most counties with serious land subsidence because of the agricultural needs. Yunlin County is one of the important agricultural production regions located in the southwestern coastal region of Taiwan where the irrigated area is up to 123,000 hectares and agricultural water consumption reaches approximate 90 percents of all available water resources in the Choshui River Basin. Moreover, since there is no sufficient surface water supplied, groundwater becomes a vital resource for every water consumption targets. Seasonal effects of land subsidence occurring in the study area had been estimated using a regression analysis of a series of weekly GPS height solutions. These results demonstrated the average rate of ground subsidence in this area over the period of 1995-2001 was 3 cm/yr. Based on data collected at the piezometer, the variation of land subsidence rate appears to be associated with an unstable underground water level, which drop gradually during winter and either remains constant or rises during summer time. Consequently, land subsidence rates vary considerably from 1.5 cm/yr for the summer time to 9.0 cm/yr for the winter time. In addition, anthropogenic ground subsidence due to massive pumping of groundwater is one of problems in Taiwan. In this study, we represented a both stacking D-InSAR and PS-InSAR results deduced from 1996-1999 time spans for monitoring of land subsidence in this area. Both D-InSAR and PS-InSAR results show the Baojhou, Tuku Township and northern Mailiao reveal a maximum subsidence rate of about 6 cm/yr along LOS and the Taishi Township located on the coastal area reveals a subsidence rate of 1

  12. Historical gaseous and primary aerosol emissions in the United States from 1990 to 2010

    NASA Astrophysics Data System (ADS)

    Xing, J.; Pleim, J.; Mathur, R.; Pouliot, G.; Hogrefe, C.; Gan, C.-M.; Wei, C.

    2013-08-01

    An accurate description of emissions is crucial for model simulations to reproduce and interpret observed phenomena over extended time periods. In this study, we used an approach based on activity data to develop a consistent series of spatially resolved emissions in the United States from 1990 to 2010. The state-level anthropogenic emissions of SO2, NOx, CO, NMVOC (non-methane volatile organic compounds), NH3, PM10 and PM2.5 for a total of 49 sectors were estimated based on several long-term databases containing information about activities and emission controls. Activity data for energy-related stationary sources were derived from the State Energy Data System. Corresponding emission factors reflecting implemented emission controls were calculated back from the National Emissions Inventory (NEI) for seven years (i.e., 1990, 1995, 1996, 1999, 2001, 2002 and 2005), and constrained by the AP-42 (US EPA's Compilation of Air Pollutant Emissions Factors) dataset. Activity data for mobile sources including different types of highway vehicles and non-highway equipment were obtained from highway statistics reported by the Federal Highway Administration. The trends in emission factors for highway mobile source were informed by the 2011 National Transportation Statistics. Emissions for all non-energy-related sources were either scaled by the growth ratio of activity indicators or adjusted based on the NEI trends report. Because of the strengthened control efforts, particularly for the power sector and mobile sources, emissions of all pollutants except NH3 were reduced by half over the last two decades. The emission trends developed in this study are comparable with the NEI trend report and EDGAR (Emissions Database for Global Atmospheric Research) data, but better constrained by trends in activity data. Reductions in SO2, NOx, CO and EC (speciation of PM2.5 by SMOKE, Sparse Matrix Operator Kernel Emissions) emissions agree well with the observed changes in ambient SO2, NO2

  13. The seasonal cycle revisited: interannual variation and ecosystem consequences

    NASA Astrophysics Data System (ADS)

    Bertram, Douglas F.; Mackas, David L.; McKinnell, Stewart M.

    The annual seasonal cycle accounts for much of the total temporal variability of mid- and high-latitude marine ecosystems. Although the general pattern of the seasons repeats each year, climatic variability of the atmosphere and the ocean produce detectable changes in intensity and onset timing. We use a combination of time series data from oceanographic, zooplankton and seabird breeding data to ask if and how these variations in the timing of the spring growing season affect marine populations. For the physical environment, we develop an annual index of spring timing by fitting a non-linear 2-parameter periodic function to the average weekly SST data observed in British Columbia from 1 January to the end of August each year. For each year, the phase parameter describes the timing of seasonal warming (the timing index) and the amplitude parameter describes the magnitude of the temperature increase between the fitted winter minimum and summer maximum. For the zooplankton, which have annual and strongly synchronous cycles of biomass, productivity, and developmental sequence, we use copepodite stage composition to index the timing of the annual maximum. For seabirds, we examine (1975-1999) the timing of hatching, nestling growth performance, and diet for four species of alcids at Triangle Island, British Columbia's largest seabird colony and the world's largest population of the planktivorous Cassin's auklet. Temperature, zooplankton, and seabirds have all shown recent decadal trends toward ‘earlier spring’, but the magnitudes of the timing perturbations have differed from variable to variable and from year to year. Recent (1996-1999) extreme interannual variation in spring timing and April SST helped to facilitate a mechanistic investigation of oceanographic features that affect the reproductive performance of seabirds. Our results demonstrate a significant negative relationship between the annual spring timing index (and April mean SST) and nestling growth rates

  14. Vitamin d deficiency is associated with insulin resistance independent of intracellular calcium, dietary calcium and serum levels of parathormone, calcitriol and calcium in premenopausal women.

    PubMed

    Ferreira, Thaís da Silva; Rocha, Tatiana Martins; Klein, Márcia Regina Simas Torres; Sanjuliani, Antonio Felipe

    2015-04-01

    Introducción: Hay evidencias de que la deficiencia de vitamina D se asocia con mayor riesgo de enfermedad cardiovascular. Sin embargo, no se sabe si esta asociación es independiente de calcio en la dieta, el calcio intracelular y los niveles séricos de hormona paratiroidea, calcitriol y calcio. Objetivos: investigar la relación independiente de la deficiencia de vitamina D con resistencia a la insulina, el perfil lipídico, el estado inflamatorio, la presión arterial y la función endotelial. Métodos: Estudio transversal realizado con 73 mujeres pre menopáusicas sanas brasileñas con edad 18-50 años. Todos los participantes fueron evaluados para: niveles séricos de 25 hidroxivitamina D, parámetros antropométricos, la composición corporal, metabolismo del calcio, resistencia a la insulina, el perfil de lipoproteínas, estado inflamatorio, la presión arterial y la función endotelial. La función endotelial fue evaluada por el índice de hiperemia reactiva mediante el uso de Endo-PAT 2000®. Las mujeres fueron estratificados en dos grupos: con deficiencia de vitamina D (25 hidroxivitamina D.

  15. [Epidemiologic features in patients with antihistamine-resistant chronic urticaria].

    PubMed

    Sánchez Borges, Mario; Tassinari, Stefano; Flores, Adriana

    2015-01-01

    Antecedentes: en la actualidad, la información disponible acerca de las características particulares de los pacientes que padecen urticaria crónica espontánea resistente a tratamiento es muy limitada. Objetivo: investigar las características demográficas y clínicas de los pacientes con urticaria crónica espontánea resistente a tratamiento. Material y método: estudio descriptivo, retrospectivo, de la información clínica y demográfica de pacientes que consultaron en los servicios de Alergología de dos hospitales de Caracas, Venezuela, que padecían urticaria espontánea de más de seis semanas de evolución y que no habían respondido a por lo menos un curso de tratamiento con antihistamínicos. Resultados: la urticaria crónica espontánea resistente a tratamiento fue más frecuente en pacientes de sexo femenino, de edades entre 20 y 59 años, de raza caucásica americana, con predominio de síntomas moderados, duración de las lesiones individuales de menos de tres horas y diámetro de los habones entre 1 y 3 cm. El angioedema solo o asociado con urticaria afectó a 14% de los pacientes. Las enfermedades asociadas con mayor frecuencia fueron: asma, rinitis y rinosinusitis, enfermedades tiroideas e hipertensión arterial. Conclusión: la urticaria crónica espontánea resistente a tratamiento constituye un subgrupo muy frecuente de urticaria crónica y representa un importante desafío terapéutico. En este estudio no se demostraron características diferenciales en comparación con las de los pacientes con urticaria crónica espontánea que responden al tratamiento con antihistamínicos.

  16. [Electrical status epilepticus during sleep: a retrospective multi-centre study of 29 cases].

    PubMed

    Lorenzo-Ruiz, María; Miguel-Martin, Beatriz; García-Pérez, Asunción; Martínez-Granero, Miguel A; Aguilera-Albesa, Sergio; Yoldi-Petri, M Eugenia; Sánchez-Ruiz de Gordoa, Javier; Castro-De Castro, Pedro; Sánchez-Carpintero, Rocío

    2015-02-01

    Introduccion. El estado epileptico electrico durante el sueño (ESES) es un sindrome epileptico caracterizado por la presencia de descargas epilepticas tipo punta-onda lenta de manera muy persistente durante el sueño no REM. En la actualidad, el manejo de esta patologia es heterogeneo y no hay estudios controlados con los tratamientos utilizados, ni se ha comprobado si estos mejoran la evolucion cognitiva de los pacientes. Pacientes y metodos. Se revisan los pacientes diagnosticados de ESES durante 15 años en cuatro centros hospitalarios, se recoge la presentacion clinica, el manejo terapeutico y la evolucion clinica, y se compara con la bibliografia. Resultados. Se seleccionaron 29 pacientes con ESES, 20 de ellos idiopatico y 26 de ellos generalizado. Los farmacos con los que se consiguio mayor control de la actividad electrica fueron los corticoides/hormona adrenocorticotropa (ACTH), el clobazam y el levetiracetam. La mediana de duracion del ESES en los casos primarios fue de seis meses, y en los secundarios, el doble. El 45% de los pacientes mantuvo un cociente intelectual normal y un 40% presento en la evolucion discapacidad cognitiva de diferente grado. Conclusiones. El pronostico neuropsicologico evolutivo suele ser desfavorable y la evolucion cognitiva parece estar en relacion con la duracion del ESES y el area donde este concentrada la actividad epileptica, lo que sugiere que el mal pronostico, si se trata precozmente, se puede evitar. Los antiepilepticos mas frecuentemente utilizados son el acido valproico, la etosuximida y el levetiracetam, y en nuestra muestra tambien se utilizaron con frecuencia el clobazam y la lamotrigina. Los farmacos mas eficaces para el control del ESES fueron los corticoides/ACTH, el clobazam y el levetiracetam.

  17. Gender and the circadian pattern of body temperature in normoxia and hypoxia.

    PubMed

    Mortola, Jacopo P

    2016-11-17

    Circadian patterns are at the core of many physiological processes, and their disruption can have short- and long-term consequences. This essay focuses on one of the best known patterns, the daily oscillation of body temperature (Tb), and the possibility of its difference between genders. From human and animal studies globally considered, the tentative conclusion is reached that differences in Tb circadian pattern between genders are very small and probably limited to the timing of the Rhythm, not to its amplitude. Such similarity between genders, despite the differences in hormona rhythm (small r) l systems, presumably testifies to the importance that the Tb circadian pattern plays in the economy of the organism and its survival against environmental challenges. The second part of the article presents some previously unpublished experimental data from behaving male and female rats during hypoxia in synchronized conditions. In adult rats hypoxia (10.5% O2 for three days) caused a profound drop of the Tb daily oscillations; by day 3 they were 55% (♀) and 22% (♂) of the normoxic amplitudes, with a statistically significant gender difference. In pre-puberty rats (26-day old) hypoxia caused a major disruption of the circadian pattern qualitatively similar to the adults but not different between genders. Hence, on the basis of this preliminary set of data, it seems that sex-hormones may be a factor in how the Tb daily pattern responds to hypoxia. The implications of the effects of hypoxia on the circadian patterns, and the possibility that such effects may differ between genders, are matters that could have biological and clinical implications and deserve further investigations.

  18. NUTRITIONAL SUPPORT FOR FULMINANT HEPATITIS.

    PubMed

    Ramos Figueira, Estela Regina; Rocha Filho, Joel Avancini; Souto Nacif, Lucas; Carneiro D'Albuquerque, Luiz; Linetzky Waitzberg, Dan

    2015-12-01

    Introducción: la hepatitis fulminante se asocia a un exacerbado hipercatabolismo, la hipoglicemia y la hiperamonemia están acompañadas por la liberación de citocinas proinflamatorias y hormonas catabólicas en la circulación sistémica, empeorando la condición clínica del paciente. El apoyo nutricional es un elemento crucial para la recuperación de estos pacientes. Objetivos: el objetivo de esta revisión es actualizar el apoyo nutricional para la hepatitis fulminante. Métodos: la revisión se llevó a cabo mediante la búsqueda electrónica en Medline-PubMed, utilizando malla de términos. Resultados y discusión: no hay muchos datos disponibles sobre el apoyo nutricional para lahepatitis fulminante o fallo hepático agudo. Las estrategias de intervención nutricional inicial se centran en el control de los trastornos metabólicos de la hepatitis fulminante descritos anteriormente, que deben ser individualizadas de acuerdo a la gravedad de la situación clínica del paciente. Energía y proteína se pueden proporcionar en cantidades de 25‑40 kcal / kg / día y 0,8-1,2 g / kg / día, respectivamente. La terapia nutricional enteral está indicada en pacientes con encefalopatía avanzada o para aquellos que no pueden ser adecuadamente alimentados por vía oral. Se debe obtener una euglicemia y la ingesta de proteínas puede estar basada en fórmulas de BCAA. Los lípidos se pueden administrar como suplemento energético con precaución. Una terapia nutricional adecuada puede potencialmente reducir la morbilidad y la mortalidad de los pacientes con hepatitis fulminante.

  19. How common problems with estimating surface radiative fluxes impact snow simulations

    NASA Astrophysics Data System (ADS)

    Lapo, K. E.; Lundquist, J. D.; Hinkelman, L. M.

    2012-12-01

    temporal variability such as when using a daily cloud cover fraction. To understand the effect of these systematic errors, we simulated SWE at three study sites using snow models of varying complexity in the representation of snow pack internal energy. Artificial errors, representing the four scenarios above, were created and used to force the snow models in place of the original observations and compared to the original simulations. The models used were the Utah Energy Balance model, which has a skin temperature and a bulk temperature, and the Modular Snow Model, which is a multi-layer model. These models were chosen to demonstrate the interaction of model complexity with different error structures. This study was conducted at three sites with full energy balance observations: the Reynolds Creek Experimental Watershed in Idaho operated by the USDA with a record 25 years long (1983-2008); Umpqua National Forest, Oregon, operated as part of the Demonstration for Ecosystem Management Options during the winters between 1996-1999, and Lake O'Hara, British Columbia, operated as part of the Improved Processes and Parameterization for Prediction in Cold Regions research network over the water year 2008. The results from this study highlight which errors have the most impact on snow modeling and thus where efforts should be concentrated for improving estimates of surface radiative fluxes.

  20. A bibliography of terrain modeling (geomorphometry), the quantitative representation of topography: supplement 4.0

    USGS Publications Warehouse

    Pike, Richard J.

    2002-01-01

    Terrain modeling, the practice of ground-surface quantification, is an amalgam of Earth science, mathematics, engineering, and computer science. The discipline is known variously as geomorphometry (or simply morphometry), terrain analysis, and quantitative geomorphology. It continues to grow through myriad applications to hydrology, geohazards mapping, tectonics, sea-floor and planetary exploration, and other fields. Dating nominally to the co-founders of academic geography, Alexander von Humboldt (1808, 1817) and Carl Ritter (1826, 1828), the field was revolutionized late in the 20th Century by the computer manipulation of spatial arrays of terrain heights, or digital elevation models (DEMs), which can quantify and portray ground-surface form over large areas (Maune, 2001). Morphometric procedures are implemented routinely by commercial geographic information systems (GIS) as well as specialized software (Harvey and Eash, 1996; Köthe and others, 1996; ESRI, 1997; Drzewiecki et al., 1999; Dikau and Saurer, 1999; Djokic and Maidment, 2000; Wilson and Gallant, 2000; Breuer, 2001; Guth, 2001; Eastman, 2002). The new Earth Surface edition of the Journal of Geophysical Research, specializing in surficial processes, is the latest of many publication venues for terrain modeling. This is the fourth update of a bibliography and introduction to terrain modeling (Pike, 1993, 1995, 1996, 1999) designed to collect the diverse, scattered literature on surface measurement as a resource for the research community. The use of DEMs in science and technology continues to accelerate and diversify (Pike, 2000a). New work appears so frequently that a sampling must suffice to represent the vast literature. This report adds 1636 entries to the 4374 in the four earlier publications1. Forty-eight additional entries correct dead Internet links and other errors found in the prior listings. Chronicling the history of terrain modeling, many entries in this report predate the 1999 supplement

  1. Constraints on the mechanism of long-term, steady subsidence at Medicine Lake volcano, northern California, from GPS, leveling, and InSAR

    USGS Publications Warehouse

    Poland, Michael P.; Burgmann, Roland; Dzurisin, Daniel; Lisowski, Michael; Masterlark, Timothy; Owen, Susan; Fink, Jonathan

    2006-01-01

    Leveling surveys across Medicine Lake volcano (MLV) have documented subsidence that is centered on the summit caldera and decays symmetrically on the flanks of the edifice. Possible mechanisms for this deformation include fluid withdrawal from a subsurface reservoir, cooling/crystallization of subsurface magma, loading by the volcano and dense intrusions, and crustal thinning due to tectonic extension (Dzurisin et al., 1991 [Dzurisin, D., Donnelly-Nolan, J.M., Evans, J.R., Walter, S.R., 1991. Crustal subsidence, seismicity, and structure near Medicine Lake Volcano, California. Journal of Geophysical Research 96, 16, 319-16, 333.]; Dzurisin et al., 2002 [Dzurisin, D., Poland, M.P., Bürgmann, R., 2002. Steady subsidence of Medicine Lake Volcano, Northern California, revealed by repeated leveling surveys. Journal of Geophysical Research 107, 2372, doi:10.1029/2001JB000893.]). InSAR data that approximate vertical displacements are similar to the leveling results; however, vertical deformation data alone are not sufficient to distinguish between source mechanisms. Horizontal displacements from GPS were collected in the Mt. Shasta/MLV region in 1996, 1999, 2000, 2003, and 2004. These results suggest that the region is part of the western Oregon block that is rotating about an Euler pole in eastern Oregon. With this rotation removed, most sites in the network have negligible velocities except for those near MLV caldera. There, measured horizontal velocities are less than predicted from ∼10 km deep point and dislocation sources of volume loss based on the leveling data; therefore volumetric losses simulated by these sources are probably not causing the observed subsidence at MLV. This result demonstrates that elastic models of subsurface volume change can provide misleading results where additional geophysical and geological constraints are unavailable, or if only vertical deformation is known. The deformation source must be capable of causing broad vertical deformation

  2. Constraints on the mechanism of long-term, steady subsidence at Medicine Lake volcano, northern California, from GPS, leveling, and InSAR

    NASA Astrophysics Data System (ADS)

    Poland, Michael; Bürgmann, Roland; Dzurisin, Daniel; Lisowski, Michael; Masterlark, Timothy; Owen, Susan; Fink, Jonathan

    2006-02-01

    Leveling surveys across Medicine Lake volcano (MLV) have documented subsidence that is centered on the summit caldera and decays symmetrically on the flanks of the edifice. Possible mechanisms for this deformation include fluid withdrawal from a subsurface reservoir, cooling/crystallization of subsurface magma, loading by the volcano and dense intrusions, and crustal thinning due to tectonic extension (Dzurisin et al., 1991 [Dzurisin, D., Donnelly-Nolan, J.M., Evans, J.R., Walter, S.R., 1991. Crustal subsidence, seismicity, and structure near Medicine Lake Volcano, California. Journal of Geophysical Research 96, 16, 319-16, 333.]; Dzurisin et al., 2002 [Dzurisin, D., Poland, M.P., Bürgmann, R., 2002. Steady subsidence of Medicine Lake Volcano, Northern California, revealed by repeated leveling surveys. Journal of Geophysical Research 107, 2372, doi:10.1029/2001JB000893.]). InSAR data that approximate vertical displacements are similar to the leveling results; however, vertical deformation data alone are not sufficient to distinguish between source mechanisms. Horizontal displacements from GPS were collected in the Mt. Shasta/MLV region in 1996, 1999, 2000, 2003, and 2004. These results suggest that the region is part of the western Oregon block that is rotating about an Euler pole in eastern Oregon. With this rotation removed, most sites in the network have negligible velocities except for those near MLV caldera. There, measured horizontal velocities are less than predicted from ˜10 km deep point and dislocation sources of volume loss based on the leveling data; therefore volumetric losses simulated by these sources are probably not causing the observed subsidence at MLV. This result demonstrates that elastic models of subsurface volume change can provide misleading results where additional geophysical and geological constraints are unavailable, or if only vertical deformation is known. The deformation source must be capable of causing broad vertical deformation

  3. Trends in mortality due to motor vehicle traffic accident injuries between 1987 and 2011 in a Spanish region (Comunitat Valenciana).

    PubMed

    Melchor, Inmaculada; Nolasco, Andreu; Moncho, Joaquín; Quesada, José A; Pereyra-Zamora, Pamela; García-Senchermés, Carmen; Tamayo-Fonseca, Nayara; Martínez-Andreu, Purificación; Valero, Socorro; Salinas, Manuel

    2015-04-01

    To analyse the time evolution of the rates of mortality due to motor vehicle traffic accidents (MVTA) injuries that occurred among the general population of Comunitat Valenciana between 1987 and 2011, as well as to identify trend changes by sex and age group. An observational study of annual mortality trends between 1987 and 2011. We studied all deaths due to MVTA injuries that occurred during this period of time among the non-institutionalised population residing in Comunitat Valenciana (a Spanish Mediterranean region that had a population of 5,117,190 inhabitants in 2011). The rates of mortality due to MVTA injuries were calculated for each sex and year studied. These rates were standardised by age for the total population and for specific age groups using the direct method (age-standardised rate - ASR). Joinpoint regression models were used in order to detect significant trend changes. Additionally, the annual percentage change (APC) of the ASRs was calculated for each trend segment, which is reflected in statistically significant joinpoints. For all ages, ASRs decrease greatly in both men and women (70% decrease between 1990 and 2011). In 1990 and 2011, men have rates of 36.5 and 5.2 per 100,000 men/year, respectively. In the same years, women have rates of 8.0 and 0.9 per 100,000 women/year, respectively. This decrease reaches up to 90% in the age group 15-34 years in both men and women. ASR ratios for men and women increased over time for all ages: this ratio was 3.9 in 1987; 4.6 in 1990; and 5.8 in 2011. For both men and women, there is a first significant segment (p<0.05) with an increasing trend between 1987 and 1989-1990. After 1990, there are 3 segments with a significant decreasing APC (1990-1993, 1993-2005 and 2005-2011, in the case of men; and 1989-1996, 1999-2007 and 2007-2011, in the case of women). The risk of death due to motor vehicle traffic accidents injuries has decreased significantly, especially in the case of women, for the last 25 years in

  4. Miocene lava flows and domes, cooling fractures, carapace breccia, and avalanche deposits near Goldstone, California

    NASA Astrophysics Data System (ADS)

    Buesch, D.

    2013-12-01

    Mapping and petrography of volcanic rocks in western Fort Irwin (FI), California, provide insights into the cooling history of lava flows and domes and the formation of associated carapace breccia and avalanche deposits. The rocks formed on the eastern margin of the 19-16 Ma Eagle Crags volcanic field (Sabin and others, 1994). Lava compositions range from porphyritic olivine basalt to aphyric rhyolite. Basalt flows are 1-5 m thick and <1-2 km long, and sequences 5-50 m thick are traceable for >7 km. Andesite to rhyolite flows are 30-80 m thick and <1-3 km long, and domes have 100-300 m relief and radial length of 0.6-1.2 km. Cooling fractures, identified by occurrence of margins and geometry, are in all lava flows and domes. Similar to a 'rim' (Buesch and others, 1996 & 1999; Buesch, 2006), a 'margin' is a region along a fracture wall with a finer texture or different type of crystallinity or vesicularity compared to rock inward from the fracture. At FI, margins occur on many fractures and typically are 0.5-3 mm wide. They indicate that a fracture formed during initial cooling, before the bulk of the rock crystallized. Planarity and surface roughness are used to analyze fractures (Buesch and others, 1996). Typically at FI, cooling fractures are planar and smooth, and post-cooling fractures are slightly irregular and slightly rough. Typically, plan views of cooling fractures are 5-6 sided in olivine basalt, and 4-sided in andesite to rhyolite. Fracture sets are mostly perpendicular to the original surface of a flow, and some bend toward the interior. Many lava flows and domes have lateral and capping breccias referred to as carapace breccia. Similar breccia also cloaks individual lobes of composite domes. Carapace breccia can grade down into a non-brecciated interior, but in some cases, compositionally similar late-stage flow-banded lava was injected beneath the breccia, Breccia fragments are vitric or crystallized, and many have margins that do not match those of

  5. Spatio-temporal evolution of anthropogenic deformation around Cerro Prieto geothermal field in the Mexicali Valley, B.C., Mexico, between 1993 and 2009 from DInSAR and leveling.

    NASA Astrophysics Data System (ADS)

    Sarychikhina, Olga; Glowacka, Ewa; Robles, Braulio; Mojarro, Jose

    2014-05-01

    Land subsidence is an environmental hazard which could be caused by withdrawal of large amounts of fluid from beneath the earth's surface. Land subsidence is an issue in several geothermal fields worldwide (e.g., Geysers, USA (Mossop and Segall, 1997), Wairakei-Tauhara, New Zealand (Allis et al., 2009)). Cerro Prieto geothermal field (CPGF), located in the Mexicali Valley, northwest Mexico, is the oldest and largest Mexican geothermal field in operation and has been producing electricity since 1973. The large amount of geothermal fluids extracted to supply steam to the power plants has resulted in considerable deformation in and around the field (e.g. Glowacka et al., 1996, 1999; Carnec and Fabriol, 1999; Sarychikhina et al., 2011). The deformation includes land subsidence and related ground fissuring and faulting. These phenomena have produced severe damages to the local infrastructure such as roads, irrigation canals and other facilities. Detection of land subsidence and monitoring of the spatial and temporal changes of its pattern and magnitude can provide important information about the dynamics of this process and controlling geological structures. The technique of Differential Synthetic Aperture Radar Interferometry (DInSAR) has been demonstrated to be a very effective technique for measuring ground deformation. This study presents an application of DInSAR interferogram stacking technique to investigate the land subsidence in the Mexicali Valley near CPGF. C-band ENVISAR ASAR images acquired between 2003 and 2009 from the ascending (track 306, frame 639) and descending track (track 84, frame 2961), obtained from the European Space Agency (ESA), as part of ESA CAT-1 project (ID - C1P3508), were used. Gamma ISP and DIFF/GEO software packages were used to calculate differential interferograms from SLC data and for differential interferograms stacking (Wegmüller and Werner, 1997). Eight average annual deformation rate maps were generated for 2005 (descending

  6. THE ACTION OF AVOCADO OIL ON THE LIPIDOGRAM OF WISTAR RATS SUBMITTED TO PROLONGED ANDROGENIC STIMULUM.

    PubMed

    de Souza Abboud, Renato; Alves Pereira, Vivian; Soares da Costa, Carlos Alberto; Teles Boaventura, Gilson; Alves Chagas, Mauricio

    2015-08-01

    Introducción: el uso abusivo de hormonas esteroides administradas crónicamente puede ocasionar cambios en el perfil lipídico, lo que lleva a un aumento de LDL y niveles reducidos de HDL. El promedio (53,44%) de la composición de lípidos de la pulpa de aguacate está compuesto por ácido oleico (que es un fitosterol), y el estudio del efecto hipolipemiante de estas sustancias se ha celebrado para la prevención y el control de la dislipemia. Objetivo: evaluar el potencial de reducción de lípidos del aceite de aguacate en ratones Wistar machos adultos sometidos a hiperestimulación androgénica prolongada. Material y métodos: veintiocho ratas se dividieron en 4 grupos de 7 animales: Grupo Control (GC); Grupo de Aceite de Aguacate (GOA), alimentado a base de aceite de aguacate; Grupo Inducido (GI) y el grupo alimentado con base de aceite de aguacate inducida por la dieta (GIOA). La indución fue hecha mediante perdigones de silicona subcutáneos, implantados por cirugía, llenos de 1 ml de propionato de testosterona, que fueron cambiados cada 4 semanas. Resultados: VLDL (GIOA: 28,14 ± 4,45; GI: 36,83 ± 5,56 mg/ml); triglicéridos (GIOA: 140.07 ± 22.66, GI 187: 2 ± 27 mg/ml); HDL (GIOA: 40,67 ± 1,2; GI: 35,09 ± 0,8; GOA: 32,31 ± 2,61 eGC: 32,36 ± 4,93 mg/ml); testosterona (GIOA: 1,42 ± 0,46; GI: 2,14 ± 0,88; GOA: 2,97 ± 1,34 eGC: 1,86 ± 0,79 ng/ml). Conclusión: El aceite de aguacate ha tenido un efecto regulador directo sobre el perfil lipídico, actuando eficazmente en los animales sometidos a estimulación de andrógenos durante períodos prolongados.

  7. [Treatment with urea as an alternative to tolvaptan for the syndrome of inappropriate secretion of antidiuretic hormone].

    PubMed

    Gómez Valbuena, I; Alonso Pérez, L; Alioto, D; Cañamares Orbis, I; Ferrari Piquero, J M

    2014-07-01

    El síndrome de secreción inadecuada de la hormona antidiurética (SIADH) es una afectación que cursa con hiponatremia entre otros síntomas. Actualmente la familia de fármacos de elección para este síndrome son los vaptanes, entre ellos el tolvaptán, antagonistas de la vasopresina. La urea actúa como diurético osmótico produciendo la retención de sodio. Se presenta un caso en el que el cambio desde el tratamiento con tolvaptán a urea en el SIADH permitió mantener la respuesta, a un coste muy inferior. La paciente tenía 83 años, ingresó en nuestro Hospital al diagnosticarle una hiponatremia grave (108 mEq/L) durante una exploración por una caída en su casa. Durante el ingreso ante la sospecha de SIADH se le prescribió sucesivamente tres tipos de tratamientos: Restricción hídrica y suero salino, seguido de tolvaptán 15 mg y para finalizar se le prescribió 15 gr de urea cada 12 horas. Durante el primer tratamiento los niveles de sodio sérico no aumentaron lo suficiente, por lo que se cambió al tolvaptán, durante el cual los niveles de sodio sérico subieron a rangos normales. Al considerar que el tratamiento iba a ser de larga duración se decidió cambiar a la urea, durante el mismo los niveles de sodio sérico tuvo un ligero aumento. La paciente es dada de alta con la pauta de urea de forma indefinida. El coste diario del tratamiento de tolvaptán es de 66,91 euros; el de urea supone 0,30 euros. En casos como el descrito, el uso de urea preparada como fórmula magistral por el área de farmacotécnia del Servicio de Farmacia, es una alternativa al tolvaptán con un coste marcadamente inferior.

  8. [Male hormonal profile in workers exposed to toluene in an industrial packaging plant].

    PubMed

    Miranda-Figueroa, Genezareth; Paz-Román, María del Pilar; Aguilar-Madrid, Guadalupe; Juárez-Pérez, Cuauhtémoc Arturo; Basurto-Acevedo, Lourdes; Haro-García, Luis

    2013-01-01

    Objetivo: identificar cambios en el perfil hormonal masculino (PHM), integrado por las hormonas luteinizante (LH), folículo-estimulante (FSH) y testosterona, de trabajadores expuestos a tolueno. Métodos: estudio transversal que incluyó a 42 trabajadores. Se constituyeron dos grupos: con exposición alta (EAT) y con exposición baja (EBT) a tolueno. Se midió la concentración sérica de FSH, LH y testosterona, así como el ácido hipúrico en orina. Resultados: ácido hipúrico en sujetos con EBT: 2.53 ± 1.20 g/g creatinina; con EAT: 6.31 ± 3.83 g/g creatinina (p = 0.02). Concentración sérica de FSH: 5.12 ± 0.77 y 3.55 ± 0.3 mU/mL (p = 0.02) en EBT y EAT, respectivamente; de LH: 2.66 ± 0.45 y 2.77 ± 0.21 (p = 0.81); y testosterona: 3.91 ± 0.34 y 4.86 ± 0.23 ng/mL (p = 0.04). Por análisis de regresión, el coeficiente de correlación de FSH con ácido hipúrico fue de r = -0.33 (p = 0.031), con coeficiente de determinación de 11%; el de LH: r = -0.037 (p = 0.88) y 0.05 % respectivamente, y el de testosterona: r = 0.61 (p = 0.0001) y 34 %. Conclusiones: en el grupo EAT, los niveles séricos de la FSH y LH disminuyeron; la testosterona muestra una respuesta contraria, lo cual quizás se explique por una diferente sensibilidad de gónadas masculinas a la exposición del tolueno.

  9. [Laparoscopic adrenalectomy: the best surgical option].

    PubMed

    Maestre-Maderuelo, Maria; Candel-Arenas, Marife; Terol-Garaulet, Emilio; González-Valverde, Francisco Miguel; Marín-Blazquez, Antonio Albarracin

    2013-01-01

    Antecedentes: la vía de acceso laparoscópico es la técnica de elección en el tratamiento quirúrgico de la glándula suprarrenal, excepto del carcinoma suprarrenal. Objetivo: revisar nuestra experiencia en suprarrenalectomías laparoscópicas por vía lateral transperitoneal efectuadas entre los años 2005 y 2012. Material y método: estudio descriptivo y retrospectivo efectuado mediante la revisión de historias clínicas de 37 pacientes con diagnóstico, al alta, de tumor adrenal y a quienes se hizo adrenalectomía laparoscópica entre abril de 2005 y abril de 2012. Se consideraron los siguientes datos: edad, sexo, lateralidad, indicación quirúrgica, resultados anatomopatológicos, tamaño de la lesión, estancia hospitalaria, tasa de conversión y complicaciones perioperatorias. Resultados: durante el periodo de estudio se intervinieron 37pacientes (19 varones y 18 mujeres) con edad media de 51.72 ± 14.42 años. Se realizaron 22adrenalectomías izquierdas (59.45%) y 15 derechas (40.54%). Las indicaciones de suprarrenalectomía fueron: incidentaloma mayor de 4 cm o con crecimiento rápido y tumores productores de hormonas. El diagnóstico se confirmó con tomografía computada, resonancia magnética, o ambas, y con gammagrafía metaiodobencilguanidina en el caso de sospecha de feocromocitoma y estudio hormonal completo en todos los pacientes. Conclusiones: la suprarrenalectomía laparoscópica sigue siendo la técnica de elección en el tratamiento de pacientes con afectación de la glándula suprarrenal porque ha demostrado ser segura y eficaz, como quedó confirmado en nuestra serie, que tuvo resultados similares a los de la bibliografía.

  10. Kootenai River White Sturgeon Recovery Implementation Plan and Schedule; 2005-2010, Technical Report 2004-2005.

    SciTech Connect

    Anders, Paul

    2007-03-01

    Kootenai River white sturgeon have been declining for at least 50 years and extinction of the wild population is now imminent (Paragamian et al. 2005). Only 630 adults were estimated to remain in 2002 from a population ten times that size just 20 years ago. Significant recruitment of young sturgeon has not been observed since the early 1970s and consistent annual recruitment has not been seen since the 1950s. The remaining wild population consists of a cohort of large, old fish that is declining by about 9% per year as fish die naturally and are not replaced. At this rate, the wild population will disappear around the year 2040. Numbers have already reached critical low levels where genetic and demographic risks are acute. The Kootenai River White Sturgeon Recovery Team was convened in 1994, provided a draft Recovery Plan in 1996 and the first complete Recovery Plan for Kootenai River white sturgeon in 1999 (USFWS 1996, 1999). The Plan outlined a four part strategy for recovery, including: (1) measures to restore natural recruitment, (2) use of conservation aquaculture to prevent extinction, (3) monitoring survival and recovery, and (4) updating and revising recovery plan criteria and objectives as new information becomes available. Sturgeon recovery efforts are occurring against a backdrop of a broader ecosystem protection and restoration program for the Kootenai River ecosystem. With abundance halving time of approximately 8 years, the Kootenai River white sturgeon population is rapidly dwindling, leaving managers little time to act. Decades of study consistently indicate that recruitment failure occurs between embryo and larval stages. This assertion is based on four key observations. First, almost no recruitment has occurred during the last 30 years. Second, thousands of naturally produced white sturgeon embryos, most viable, have been collected over the past decade, resulting from an estimated 9 to 20 spawning events each year. Third, Kootenai River white

  11. EDITORIAL: 50th anniversary issue

    NASA Astrophysics Data System (ADS)

    Beddoe, Alun H.

    2006-07-01

    1972, firstly on behalf of the Hospital Physicists' Association and then on behalf of the Institute of Physics and Engineering in Medicine (IPEM). I wish to pay tribute to the staff at the IOP Publishing Office for the continuing excellent quality and short publication times for articles appearing in PMB. There can be no doubt that this contributes to the popularity with authors and readers alike. It almost goes without saying but I should also thank all the contributors, referees, Editorial Board members and International Advisory Board members who have, collectively, made PMB the success that it is. For historical interest I list below the 11 editors of PMB since its inception. Three of these editors have contributed papers to this issue. 1956-1961 Professor J E Roberts, Middlesex Hospital, London 1961-1972 Professor Sir Joseph Rotblat, St Bartholomew's Hospital, London 1973-1978 Professor H A B Simons, Royal Free Hospital, London 1979-1982 Mr J Clifton, University College Hospital, London 1983-1985 Professor R P Parker, University of Leeds, Leeds 1986-1987 Dr M J Day, Newcastle General Hospital, Newcastle 1988-1991 Professor S C Lillicrap, Royal United Hospital, Bath 1992-1995 Professor B L Diffey, Dryburn Hospital, Durham 1996-1999 Professor M O Leach, Royal Marsden NHS Foundation Trust, London 2000-2005 Professor A H Beddoe, University Hospital, Birmingham 2006- Professor S Webb, Royal Marsden NHS Foundation Trust, London Finally, apart from noting the usual caveat that the Guest Editor, Editor-in Chief, IOP and IPEM take no responsibility for opinions expressed by authors, I would like to conclude by wishing Professor Steve Webb and future editors every success. While I may not be around for the centenary issue in July 2056 I have every reason to believe that it will be a good one.

  12. El papel del ácido gamma-aminobutírico en la depresión de la mujer.

    PubMed

    Flores-Ramos, Mónica; Salinas, Margus; Carvajal-Lohr, Armando; Rodríguez-Bores, Lorena

    2017-01-01

    La depresión es un trastorno psiquiátrico frecuente e incapacitante. Es causada por diferentes factores, entre los que figura el aspecto neurobiológico. En el presente trabajo presentamos evidencias acerca del papel del ácido gamma-aminobutírico (GABA) en la etiopatogenia de la depresión, con énfasis en la mujer. Los estudios en animales fundamentan la implicación del GABA en la depresión, mientras que los estudios clínicos han demostrado que el GABA se encuentra disminuido en líquido cefalorraquídeo (LCR) y plasma en pacientes con depresión. Estudios con espectroscopia muestran una disminución del GABA en diferentes áreas cerebrales. Tras la administración de antidepresivos, se incrementa y se observa mejoría clínica. Se ha visto que la depresión se presenta con mayor frecuencia en las mujeres que en los hombres, y se ha sugerido que existe una relación entre la depresión y los cambios hormonales. De igual manera, se ha visto que las hormonas gonadales tienen un efecto regulador del estrés sobre el eje hipotálamo-hipófisis-adrenal mediante receptores GABAérgicos, haciendo a las mujeres más vulnerables a sufrir estrés y por tanto depresión. Por lo anterior, se propone estudiar con mayor profundidad la implicación del GABA en la depresión, para buscar nuevas estrategias terapéuticas. Depression is a common psychiatric disorder and a leading cause of disability worldwide. Multiple and diverse factors are involved in its cause although biologic factors are prominent. The present study reviews the evidence about the role that gamma-aminobutyric acid plays in the complex pathogenesis of depression, particularly in women. The implication of gamma-aminobutyric acid (GABA) is based mainly from animal models whereas clinical studies in depressed patients show alterations of GABA levels in plasma and cerebrospinal fluid. Neuroimaging studies using spectroscopy indicate also decreased GABA levels in different brain areas which in turn may

  13. [Diabetes mellitus and its influence on the success of endodontic treatment: a retrospective clinical study].

    PubMed

    Ferreira, Manuel Marques; Carrilho, Eunice; Carrilho, Francisco

    2014-01-01

    Introdução: A diabetes mellitus é uma doença endócrina onde estão envolvidas as hormonas produzidas pelos ilhéus de Langerhans. A diabetes mellitus pode afetar várias funções do sistema imunitário do indivíduo, predispondo-o para a inflamação crónica, degradação progressiva dos tecidos e diminuição da reparação tecidular. Das alterações provocadas por esta doença ao nível da cavidade oralpode-se destacar a xerostomia, disgeusia, alterações periodontais, aumento da suscetibilidade à infeção e alterações tanto ao nível da polpa dentária como nos tecidos periapicais.Objetivos: O objetivo deste trabalho é avaliar a influência da diabetes mellitus ao nível dos tecidos periapicais e no sucesso dos tratamentos endodônticos nestes doentes.Material e Métodos: Foram analisados 737 casos clínicos tratados na consulta da Área de Medicina Dentária, a que foram feitos tratamentos endodônticos não cirúrgicos, entre os anos de 2003 e 2012. Destes foram selecionados os doentes com diabetes mellitus, num total de 32, dos quais 23 se dispuseram a vir à consulta e a participar neste estudo. Os dados recolhidos foram analisados no software Statistical Package for the Social Sciences, versão 19, a um nível de significância de 5%.Resultados: Foram avaliados 37 dentes no grupo teste e 25 no grupo controlo. Para os parâmetros analisados relativos ao diagnóstico pulpar, mobilidade, presença de fístula, dor à percussão horizontal e vertical, avaliação da restauração definitiva e intervalo de tempo entre a consulta de obturação e a restauração definitiva e/ou a consulta de controlo, não foram verificadas diferenças estatisticamente significativas (p > 0,05). Em relação à avaliação do sucesso dos tratamentos endodônticos realizados, este foi de 62% nogrupo de teste e de 80% no grupo controlo (p > 0,05).Conclusões: Os resultados deste estudo não são conclusivos em relação ao aumento da prevalência da periodontite

  14. Single-dose systemic methotrexate vs expectant management for treatment of tubal ectopic pregnancy: a placebo-controlled randomized trial.

    PubMed

    Jurkovic, D; Memtsa, M; Sawyer, E; Donaldson, A N A; Jamil, A; Schramm, K; Sana, Y; Otify, M; Farahani, L; Nunes, N; Ambler, G; Ross, J A

    2017-02-01

    una concentración sérica baja de la β hormona coriónica gonadotrópica (β-hCG) inferior a 1500 UI/L. Las mujeres fueron asignadas aleatoriamente a una sola inyección sistémica de 50 mg/m2 de metotrexate o a placebo. El resultado primario fue un indicador binario del éxito del tratamiento conservador, definido como la resolución de los síntomas clínicos y la disminución en el suero de la β-hCG a <20 UI/L o una prueba de embarazo negativa en orina sin la necesidad de ninguna intervención médica adicional. Se hizo un análisis por intención de tratar. Se reclutó un total de 80 mujeres; a 42 de ellas se les asignó el metotrexate y a 38 el placebo. Los grupos del estudio se realizaron en función de la edad, el origen étnico, los antecedentes obstétricos, las características del embarazo y los niveles séricos de la β-hCG y la progesterona. Las tasas de éxito fueron similares para los dos grupos de estudio: 83% con metotrexate y 76% con placebo. En el análisis univariante, esta diferencia no fue estadísticamente significativa (χ2 (1 grado de libertad) = 0,53; P = 0,47). En la regresión logística multivariante, el nivel sérico de la β-hCG fue la única covariable que se encontró significativamente asociada con el resultado. Las probabilidades de fracaso aumentaron en un 0,15% por cada unidad de aumento de la β-hCG (cociente de probabilidad 1,0015 (IC 95%, 1,0002-1,003); P = 0,02). La tasa de éxito en las 14 mujeres con un nivel sérico de la β-hCG de 1000-1500 UI/L fue del 33% en las tratadas con conducta expectante frente al 62% en las que recibieron metotrexate. Esta diferencia no fue estadísticamente significativa, por lo que se necesitaría un tamaño de muestra mayor, lo suficiente como para poder detectar diferencias en el subgrupo de mujeres con una β-hCG más elevada. En las mujeres en las que el tratamiento conservador tuvo éxito, no hubo una diferencia significativa en la mediana de los tiempos de resolución de la