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1.
J Environ Manage ; 92(3): 788-95, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21056530

RESUMEN

Environmental Management System (EMS) has been one of the important tools for sustainable construction for around two decades. However, many issues concerning sustainable development have not been properly addressed, and there is a need for the introduction of green specifications to advance green performance in construction through contract management. This paper defines green specifications, identifies the reasons for adopting green specifications and highlights the environmental issues that may not be addressed by solely adopting EMS. It also presents the results of a recent survey of practitioners concerning their opinions towards green specifications and possible impacts arising from their adoption. From the results of the survey, a framework for developing green specifications is deemed valuable for the cities striving for sustainability. Interestingly, the level of acceptable changes brought about by green specifications as perceived by different industry stakeholders is found to be unrelated to whether they were from organizations implementing EMS or not.


Asunto(s)
Conservación de los Recursos Naturales , Industrias , Asignación de Recursos
2.
J Environ Manage ; 91(3): 654-61, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-19853367

RESUMEN

Green specifications constitute one of the important elements in green construction. New sustainability requirements and changing priorities in construction management have spurred the emerging green specifications to a faster pace of development. A cross-sectional survey has been conducted in Hong Kong in 2007 to identify principal factors leading to the success of preparing green specifications. Based on extensive construction management literature, 20 variables concerning sustainable construction were summarized. Using the Mann-Whitney U-test, the subtle differences between stakeholders in specifying construction work have been detected even with the high consistency of the responses among the groups. Moreover, five independent factors for successful specification of green construction have been categorized by factor analysis. They are related to (1) green technology and techniques, (2) reliability and quality of specification, (3) leadership and responsibility, (4) stakeholder involvement, and (5) guide and benchmarking systems. Whilst the first and fourth factors are generally more important, different stakeholder groups have different emphases. The results of the survey have been validated against established principles.


Asunto(s)
Conservación de los Recursos Naturales , Materiales de Construcción , Estudios Transversales , Recolección de Datos , Hong Kong , Industrias/normas , Estadísticas no Paramétricas
3.
J Environ Manage ; 90(11): 3616-28, 2009 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-19643527

RESUMEN

Sustainable development is forward-looking; it is a continuous mission for future developments of human society. A genuinely sustainable society is one that initiates developments in sustainable ways. The development of a genuinely sustainable society is supported by its citizens who think and act according to a recognized code of conduct - the sustainable culture. Similar to other forms of culture, sustainable culture of a society is not static, but changes over time. The changes found in a sustainable culture are reflections of the status of sustainability in a society and these changes should be measured from time to time. The resulting measurement gives very important information for decision-makers, in the government and in the private sector, to examine the magnitude of changes that have taken place in a given period of time. The results will also enable them to review and adjust policies in order to better accommodate changes according to the trends of society. This paper provides a method - the T-model, to investigate and measure the extent of change of sustainable culture through two extensive surveys among participants of the construction industry of Hong Kong. The change in sustainable culture is reflected by the change in attitude and practice among construction participants, this can be found in their performance in project development, design and construction operations. The data of these changes are collected and converted to numerical scores. The T-model synthesized these scores and revealed the change of sustainable culture within the specific study time frame.


Asunto(s)
Conservación de los Recursos Naturales , Materiales de Construcción , Toma de Decisiones , Hong Kong , Humanos , Industrias
4.
Waste Manag ; 29(2): 544-9, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18718749

RESUMEN

This research has applied different chemical activators to mechanically and thermally treated fine fraction (<14 mm) of incinerator bottom ash (IBA), in order to investigate the influences of chemical activators on this new pozzolanic material. IBA has been milled and thermally treated at 800 degrees C (TIBA). The TIBA produced was blended with Ca(OH)(2) and evaluated for setting time, reactivity and compressive strength after the addition of 0.0565 mole of Na(2)SO(4), K(2)SO(4), Na(2)CO(3), K(2)CO(3), NaOH, KOH and CaCl(2) into 100g of binder (TIBA+Ca(OH)(2)). The microstructures of activated IBA and hydrated samples have been characterized by X-ray diffraction (XRD) and thermogravimetry (TG) analysis. Thermal treatment is found to produce gehlenite (Ca(2)Al(2)SiO(7)), wollastonite (CaSiO(3)) and mayenite (Ca(12)Al(14)O(33)) phases. The thermally treated IBA samples are significantly more reactive than the milled IBA. The addition of Na(2)CO(3) can increase the compressive strength and calcium hydroxide consumption at 28-day curing ages. However, the addition of Na(2)SO(4), K(2)SO(4), K(2)CO(3), NaOH and KOH reduces the strength and hydration reaction. Moreover, these chemicals produce more porous samples due to increased generation of hydrogen gas. The addition of CaCl(2) has a negative effect on the hydration of TIBA samples. Calcium aluminium oxide carbonate sulphide hydrate (Ca(4)Al(2)O(6)(CO(3))(0.67)(SO(3))(0.33)(H(2)O)(11)) is the main hydration product in the samples with activated IBA, except for the sample containing CaCl(2).


Asunto(s)
Contaminantes Ambientales/química , Incineración , Hidróxido de Calcio , Contaminación Ambiental/prevención & control , Calor , Ensayo de Materiales , Mecánica , Microscopía Electrónica de Rastreo , Factores de Tiempo , Difracción de Rayos X
5.
Waste Manag ; 29(1): 309-20, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18434128

RESUMEN

As Hong Kong is a compact city with limited available land and high land prices, the construction of high-rise buildings is prevalent. The construction industry produces a significant amount of building waste. In 2005, about 21.5 million tonnes of construction waste were generated, of which 11% was disposed of in landfills and 89% in public filling areas. At the present rate, Hong Kong will run out of both public filling areas and landfill space within the next decade. The government is taking action to tackle the problem, such as by introducing a construction waste landfill charge, and promoting prefabrication to reduce on-site waste generation. This paper reports an ongoing study on the use of prefabrication in buildings and its impact on waste reduction in Hong Kong. A questionnaire survey was administered to experienced professionals, and case studies of recently completed building projects were conducted. The results revealed that construction waste reduction is one of the major benefits when using prefabrication compared with conventional construction. The average wastage reduction level was about 52%. This implies that a wider use of prefabrication could considerably reduce construction waste generation in Hong Kong and alleviate the burdens associated with its management.


Asunto(s)
Materiales de Construcción , Eliminación de Residuos/métodos , Conservación de los Recursos Naturales , Contaminación Ambiental , Hong Kong , Industrias
6.
Waste Manag ; 29(2): 621-8, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18691863

RESUMEN

This paper aims to investigate the fresh and hardened properties of lightweight aggregate concretes that are prepared with the use of recycled plastic waste sourced from scraped PVC pipes to replace river sand as fine aggregates. A number of laboratory prepared concrete mixes were tested, in which river sand was partially replaced by PVC plastic waste granules in percentages of 0%, 5%, 15%, 30% and 45% by volume. Two major findings are identified. The positive side shows that the concrete prepared with a partial replacement by PVC was lighter (lower density), was more ductile (greater Poisson's ratios and reduced modulus of elasticity), and had lower drying shrinkage and higher resistance to chloride ion penetration. The negative side reveals that the workability, compressive strength and tensile splitting strength of the concretes were reduced. The results gathered would form a part of useful information for recycling PVC plastic waste in lightweight concrete mixes.


Asunto(s)
Conservación de los Recursos Naturales/métodos , Materiales de Construcción/análisis , Cloruro de Polivinilo/química , Ensayo de Materiales , Tamaño de la Partícula
7.
Waste Manag ; 28(10): 1955-62, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18023169

RESUMEN

The fine fraction (<14 mm) of incinerator bottom ash (IBA) obtained from a UK energy from waste plant has been milled and thermally treated at 600, 700, 800 and 880 degrees C. Treated materials have been activated with Ca(OH)(2) (10 wt%) and the setting times and compressive strengths at different curing times measured. In addition to decomposition of CaCO(3) to CaO, thermal treatment increases the content of gehlenite (Ca(2)Al(2)SiO(7)), wollastonite (CaSiO(3)) and mayenite (Ca(12)Al(14)O(33)). Thermally treated samples were significantly more reactive than milled IBA and heating to 700 degrees C produced a material which rapidly set. Silica, gehlenite and wollastonite were the main crystalline phases present in hydrated samples and a mixed sulphate-carbonate AFm-type phase (Ca(4)Al(2)O(6)(CO(3))(0.67)(SO(3))(0.33).11H(2)O) formed. Significant volumes of gas were generated during curing and this produced a macro-porous microstructure that limited strength to 2.8 MPa. The new materials may have potential for use as controlled low-strength materials.


Asunto(s)
Incineración , Residuos Industriales/análisis , Compuestos de Calcio/análisis , Hidróxido de Calcio/química , Fuerza Compresiva , Calor , Ensayo de Materiales , Microscopía Electrónica de Rastreo , Factores de Tiempo , Volatilización , Difracción de Rayos X
8.
J Clin Pathol ; 60(3): 315-20, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16698948

RESUMEN

BACKGROUND: Histological differentiation of mammary papillary lesions can be difficult. The evaluation of myoepithelial cells can be helpful, with benign papilloma showing a continuous myoepithelial cell layer, which becomes attenuated or absent in malignant papillary lesions. METHODS: A large series of 100 papillomas (28 papillomas with florid epithelial hyperplasia) and 68 papillary carcinomas (9 invasive, 44 in situ, and 15 ductal carcinomas in situ (DCIS) involving papillomas) of the breast were stained for myoepithelial cells by immunohistochemistry using antibodies to smooth-muscle actin (SMA), p63, CD10 and cytokeratin (CK) 14. RESULTS: In the papillomas, using these four antibodies, myoepithelial cells were positive in 88%, 99%, 91% and 95% of cases, respectively, with SMA showing marked stromal component cell staining and CD10 showing epithelial and stromal staining. CK14 also showed epithelial staining in 71% of papillomas and 96% of papillomas with florid epithelial hyperplasia. In the papillary carcinomas, 36 (53%) cases showed staining of myoepithelial cells that were scattered, discontinuous and diminished in number and the remaining 32 (47%) cases did not show myoepithelial cells. Invasive papillary carcinoma has the lowest proportion (33%) with myoepithelial cells, and DCIS involving papillomas had the highest proportion (87%). CONCLUSIONS: p63 had the highest sensitivity and did not cross-react with stromal cells and only rarely with epithelial cells. CK14 has the added ability to distinguish between florid epithelial hyperplasia involving papilloma and DCIS involving papillomas. CK14 and p63 may be used as an adjunct in assessing difficult papillary lesions of the breast.


Asunto(s)
Biomarcadores de Tumor/metabolismo , Neoplasias de la Mama/metabolismo , Actinas/metabolismo , Adulto , Anciano , Anciano de 80 o más Años , Neoplasias de la Mama/patología , Carcinoma Intraductal no Infiltrante/metabolismo , Carcinoma Intraductal no Infiltrante/patología , Carcinoma Papilar/metabolismo , Carcinoma Papilar/patología , Proteínas de Unión al ADN/metabolismo , Diagnóstico Diferencial , Femenino , Humanos , Queratina-14/metabolismo , Persona de Mediana Edad , Proteínas de Neoplasias/metabolismo , Neprilisina/metabolismo , Papiloma/metabolismo , Papiloma/patología , Papiloma Intraductal/metabolismo , Papiloma Intraductal/patología , Transactivadores/metabolismo , Factores de Transcripción , Proteínas Supresoras de Tumor/metabolismo
9.
J Hazard Mater ; 139(2): 238-43, 2007 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-16839680

RESUMEN

This research studied the influence of individual heavy metal on the hydration reactions of major cement clinker phases in order to investigate the performance of cement based stabilization/solidification (S/S) system. Tricalcium silicate (C3S) and tricalcium aluminate (C3A) had been mixed with individual heavy metal hydroxide including Zn(OH)2, Pb(OH)2 and Cu(OH)2, respectively. The influences of these heavy metal hydroxides on the hydration of C3S and C3A have been characterized by X-ray diffraction (XRD) and differential scanning calorimetry-thermogravimetry (DSC-TG). A mixture of Zn(OH)2, Pb(OH)2 and Cu(OH)2 was blended with Portland cement (PC) and evaluated through compressive strength and dynamic leach test. XRD and DSC-TG data show that all the heavy metal hydroxides (Zn(OH)2, Pb(OH)2 and Cu(OH)2) have detrimental effects on the hydration of C3A, but only Zn(OH)2 does to the C3S at early curing ages which can completely inhibit the hydration of C3S due to the formation of CaO(Zn(OH)2).2H2O. Cu6Al2O8CO(3).12H2O, Pb2Al4O4(CO3)(4).7H2O and Zn6Al2O8CO(3).12H2O are formed in all the samples containing C3A in the presence of metal hydroxides. After adding CaSO4 into C3A, the detrimental effect of heavy metals increases due to the coating effect of both calcium aluminate sulphates and heavy metal aluminate carbonates. The influence of heavy metal hydroxide on the hydration of C3S and C3A can be used to predict the S/S performance of Portland cement.


Asunto(s)
Compuestos de Calcio/química , Materiales de Construcción , Hidróxidos/química , Metales Pesados/química , Silicatos/química , Agua/química , Absorción , Compuestos de Aluminio/química , Rastreo Diferencial de Calorimetría , Difracción de Rayos X
10.
J Natl Cancer Inst ; 84(10): 777-81, 1992 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-1573664

RESUMEN

BACKGROUND: Breast cancer exhibits wide international variation in incidence, which has led to the identification of several factors correlating with the risk of the disease. Magnetic resonance imaging (MRI) techniques can provide quantitative information about the biological and physical properties of tissue. PURPOSE: This work tested several magnetic resonance tissue parameters for their ability to distinguish quantitatively between breast tissues in subjects at substantially different risk for breast cancer as defined indirectly by their parenchymal pattern on mammograms. METHODS: Quantitative MRI parameters (relative water content, longitudinal relaxation time [T1], and transverse relaxation time [T2]) were measured for breast tissue using newly developed techniques in two groups of women with mammographic parenchymal appearance associated with high (Dy pattern [i.e., extensive nodular or diffuse density]; n = 12) or low (N1 pattern [i.e., breast containing mainly fat]; n = 11) risk of breast cancer. RESULTS: The two groups have significantly different average relative water content (P less than .0001) and average T1 (P less than .0001). Pixel histograms of T2 values show marked differences between the two groups which can be characterized with a fourth moment parameter. CONCLUSIONS: Quantitative MRI techniques exhibit good potential for assessing tissue characteristics in the breast that are associated with risk of breast cancer. IMPLICATIONS: Future work will address the direct correlation of MRI parameters with risk of breast cancer.


Asunto(s)
Neoplasias de la Mama/patología , Imagen por Resonancia Magnética , Mamografía , Adulto , Agua Corporal , Neoplasias de la Mama/diagnóstico por imagen , Femenino , Humanos , Persona de Mediana Edad , Proyectos Piloto
11.
J Hazard Mater ; 129(1-3): 290-6, 2006 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-16242843

RESUMEN

Stabilization/solidification (S/S) processes are routinely used for the final treatment of hazardous wastes prior to land disposal. Cement-based binder systems with partial replacement of cement by pulverized fuel ash (PFA) are common. In order to predict the long-term leaching characteristics of S/S wastes, it is important to understand the leaching mechanism. This paper presents experimental results from a study that has investigated the leaching behaviour of contaminants from cement-based S/S waste forms. A novel radial leach test (RLT) has been used to study the migration of heavy metals. The results show that contaminants migrate from the inner core of the S/S waste during leaching to the sample surface and accumulate near the edge of the S/S waste. The degree of accumulation is related to the contaminant species and the Ca(OH)2 content.


Asunto(s)
Residuos Peligrosos , Metales Pesados , Administración de Residuos , Materiales de Construcción
12.
Waste Manag ; 26(2): 141-9, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-15927458

RESUMEN

Stabilization/solidification (S/S) processes have been used as the final treatment step for hazardous wastes prior to land disposal. Fly ash is a by-product of coal-fired power generation; a significant proportion of this material is low-grade, reject material (rFA) that is unsuitable as a cement replacement due to its high carbon content and large particle size (>45 microm). Flue gas desulphurization (FGD) sludge is a by-product from the air pollution control systems used in coal-fired power plants. The objective of this work was to investigate the performance of S/S waste binder systems containing these two waste materials (rFA and FGD). Strength tests show that cement-based waste forms with rFA and FGD replacement were suitable for disposal in landfills. The addition of an appropriate quantity of Ca(OH)2 and FGD reduces the deleterious effect of heavy metals on strength development. Results of TCLP testing and the progressive TCLP test show that cement-rFA-Ca(OH)2 systems with a range of FGD additions can form an effective S/S binder. The Leachability Index indicates that cement-based waste forms with rFA replacement were effective in reducing the mobility of heavy metals.


Asunto(s)
Carbono , Conservación de los Recursos Naturales , Residuos Industriales , Centrales Eléctricas , Administración de Residuos/métodos , Hidróxido de Calcio/química , Carbón Mineral , Ceniza del Carbón , Fuerza Compresiva , Cobre/análisis , Plomo/análisis , Material Particulado , Aguas del Alcantarillado , Zinc/análisis
13.
Oncogene ; 18(32): 4643-6, 1999 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-10467410

RESUMEN

Inherited mutations in the BRCA1 gene confer increased susceptibility to breast and ovarian cancer. Its role in sporadic carcinogenesis is not well defined. Somatic mutations in breast cancers have not been reported and to date there are only three reports of somatic mutations in sporadic ovarian cancers. To investigate the contribution of BRCA1 mutations to sporadic breast and ovarian cancer in the Chinese population, we analysed 62 samples from Chinese women using the protein truncation test. There were 40 cases of breast cancer under age 50 and 22 cases of ovarian cancer, all unselected for family history. There was no age selection for the ovarian cancers. We found two somatic BRCA1 mutations in exon 11, one in a breast cancer and the other in an ovarian cancer, both of which result in truncated proteins. Our results indicate that somatic BRCA1 mutations, like somatic mutations in the BRCA2 gene, though very rare, can be found in both breast and ovarian cancers and support a tumor suppressor function for BRCA1 in sporadic tumors.


Asunto(s)
Pueblo Asiatico/genética , Proteína BRCA1/genética , Neoplasias de la Mama/genética , Mutación , Neoplasias Ováricas/genética , Adulto , China , Femenino , Humanos , Persona de Mediana Edad
14.
J Neurosci ; 20(9): RC73, 2000 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-10777815

RESUMEN

Mutant mice lacking NMDA receptor 1 subunit (NR1) showed marked depression of respiratory and suckling activities in vivo and overexpression of synaptic long-term depression (LTD) in a brainstem cardiorespiratory-related region (nucleus tractus solitarius) in vitro. Pharmacological blockade of NMDA receptors in normal newborn mice mimicked the depression in suckling activity but not respiratory depression in vivo or brainstem LTD in vitro. Results at the behavioral and cellular levels demonstrate that NMDA receptor deficiency during prenatal development may unleash an anomalous form of NMDA receptor-independent LTD along with life-threatening respiratory depression consequences in the newborn. These findings raise the specter of cardiorespiratory dysregulation with increased risks of morbidity and mortality in the infant as a result of premature births or genetic or drug-induced NMDA receptor antagonism during pregnancy.


Asunto(s)
Animales Recién Nacidos/fisiología , Plasticidad Neuronal/genética , Preñez/genética , Receptores de N-Metil-D-Aspartato/genética , Insuficiencia Respiratoria/genética , Animales , Animales Recién Nacidos/genética , Tronco Encefálico/fisiopatología , Femenino , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Ratones Mutantes , Embarazo , Preñez/fisiología , Receptores de N-Metil-D-Aspartato/antagonistas & inhibidores , Insuficiencia Respiratoria/fisiopatología
15.
J Clin Pathol ; 58(11): 1185-8, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16254109

RESUMEN

BACKGROUND/AIMS: CD44s, the standard form of CD44, has been shown to be downregulated during malignant transformation of breast cancers. It has also been reported recently to be a useful marker in differentiating between benign and malignant papillary lesions of the breast, with high expression in the former. CD44s expression in benign and malignant papillary lesions was evaluated. METHODS: CD44s expression was assessed by immunohistochemistry in 101 benign papillomas and 59 papillary carcinomas (seven invasive papillary carcinomas, 41 papillary ductal carcinomas in situ, and 11 ductal carcinomas involving papillomas). RESULTS: Patients' age and tumour size were significantly different between the papilloma and papillary carcinoma groups (p < 0.0001). CD44s showed positive staining in 45 papillomas (45%) and five papillary carcinomas (8%), and the difference was significant (p < 0.0001). The myoepithelial cells, when present, were also positive for CD44s in both groups, with no observable differences. Using CD44s positive staining to differentiate between benign and malignant papillary lesions gives a sensitivity, specificity, and accuracy of 45%, 92%, and 62%, respectively. CONCLUSIONS: CD44s may be useful as an adjunct in the evaluation of morphologically problematic cases of papillary lesion of the breast.


Asunto(s)
Biomarcadores de Tumor/metabolismo , Neoplasias de la Mama/diagnóstico , Carcinoma Papilar/diagnóstico , Receptores de Hialuranos/metabolismo , Papiloma Intraductal/diagnóstico , Adulto , Anciano , Anciano de 80 o más Años , Antígenos de Neoplasias/metabolismo , Neoplasias de la Mama/patología , Carcinoma Ductal de Mama/diagnóstico , Carcinoma Ductal de Mama/patología , Carcinoma Papilar/patología , Diagnóstico Diferencial , Femenino , Humanos , Persona de Mediana Edad , Papiloma Intraductal/patología , Sensibilidad y Especificidad
16.
Hum Mutat ; 19(3): 307-8, 2002 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11857749

RESUMEN

Previous mutational analysis for BRCA gene mutations in sporadic ovarian cancer occurring in Chinese patients in Hong Kong identified six germline BRCA1 mutations and one germline BRCA2 mutation, six of which were novel (Khoo et al., 2000). Knowledge of BRCA gene mutations in the Chinese population is relatively scant. In this study, we focussed on whether any of these mutations could be recurrent in our Chinese population, making use of archival paraffin embedded tissue. A consecutive series of 214 ovarian cancer cases, half of Southern Chinese origin from Hong Kong whilst the other half of Northern Chinese origin from Beijing were used for the study. We identified one further novel mutation, 1081delG, in BRCA1. This was found to occur in two unrelated individuals with shared haplotype as revealed by allelotype analysis, thus demonstrating founder effect. Two other recurrent mutations were also identified, the 2371-2372delTG mutation in BRCA1 and the 3337C>T mutation in BRCA2 recurring in two and three unrelated individuals respectively, giving an overall prevalence 4.7% of recurrent BRCA mutations in ovarian cancer in the Southern Chinese population. Most importantly, all our recurrent mutation carriers were identified from Southern Chinese patients from Hong Kong whilst such mutations were absent in samples from the Northern Chinese. Our findings indicate possible heterogeneity in the BRCA genotype between Northern and Southern Chinese. The identification of a founder mutation and two recurrent mutations moreover, has important implications towards screening strategies for breast and ovarian cancer among Chinese of southern ancestral origin who are now dispersed throughout the world.


Asunto(s)
Pueblo Asiatico/genética , Carcinoma/genética , Efecto Fundador , Genes BRCA1 , Genes BRCA2 , Mutación de Línea Germinal/genética , Neoplasias Ováricas/genética , Adulto , Anciano , Carcinoma/patología , China/etnología , Femenino , Genética de Población , Humanos , Persona de Mediana Edad , Neoplasias Ováricas/patología , España/epidemiología
17.
Cancer Lett ; 172(1): 93-8, 2001 Oct 22.
Artículo en Inglés | MEDLINE | ID: mdl-11595134

RESUMEN

An immuno-histochemical study of p21 and p27 expression in cervical carcinoma was performed in 73 patients. Positive p21 and p27 staining was detected in 35.6 and 11% of tumour tissues, respectively. p21 expression was significantly correlated with advanced disease stage and negative human papilloma virus infection whilst positive p27 staining was not correlated with any clinical and pathological parameters studied. Kaplan-Meier estimation indicated that survival might be related to disease stage, tumour grade and p21 expression. Cox regression analysis confirmed that advanced stage disease and poorly differentiated tumour are independent prognostic factors for cervical carcinoma.


Asunto(s)
Carcinoma/metabolismo , Proteínas de Ciclo Celular/biosíntesis , Ciclinas/biosíntesis , Proteínas Supresoras de Tumor , Neoplasias del Cuello Uterino/metabolismo , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Carcinoma/diagnóstico , Carcinoma/virología , Inhibidor p21 de las Quinasas Dependientes de la Ciclina , Inhibidor p27 de las Quinasas Dependientes de la Ciclina , Regulación hacia Abajo , Femenino , Humanos , Inmunohistoquímica , Persona de Mediana Edad , Modelos Estadísticos , Papillomaviridae/metabolismo , Pronóstico , Análisis de Regresión , Regulación hacia Arriba , Neoplasias del Cuello Uterino/diagnóstico , Neoplasias del Cuello Uterino/virología
18.
J Clin Pathol ; 56(7): 519-21, 2003 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-12835297

RESUMEN

AIMS: Granulomatous mastitis (GM) is an uncommon breast lesion that mimics carcinoma. The fine needle aspiration cytological (FNAC) features of GM have rarely been discussed in the literature. These features are reported in eight histologically confirmed cases of GM. METHODS: A retrospective study was undertaken in which a diagnosis of GM had been made on histopathology, and the FNAC slides were reviewed and assessed for the presence of granulomas, necrosis, multinucleated giant cells, and inflammatory background cells. Polymerase chain reaction (PCR) for Mycobacterium tuberculosis was performed on the histological material to exclude tuberculosis. RESULTS: All cases were confirmed histologically and PCR for mycobacterial DNA was negative. In the FNACs, varying numbers of granulomas composed of epithelioid histiocytes were present in four cases. The same four cases showed giant cells of either foreign body or Langhan's type. No necrosis was noted. Six cases showed many histiocytes, some plump and others epithelioid, in the background. The number of epithelioid histiocytes corresponded to the presence of granulomas. Neutrophils were the predominant background inflammatory cells in most cases (six). CONCLUSIONS: The cytological diagnosis of GM is difficult because the features overlap with other aetiologies, including tuberculosis. Specific features are absent. The absence of necrosis and a predominantly neutrophilic infiltrate in the background favour a diagnosis of GM. This diagnosis should also be considered when abundant epithelioid histiocytes are seen in smears, even in the absence of granulomas. However, the definitive diagnosis of GM depends on histology from fine needle biopsies and negative microbiological investigations.


Asunto(s)
Granuloma/patología , Histiocitos/patología , Mastitis/patología , Adulto , Biopsia con Aguja , Diagnóstico Diferencial , Femenino , Granuloma de Cuerpo Extraño/patología , Granuloma de Células Gigantes/patología , Humanos , Células de Langerhans/patología , Persona de Mediana Edad , Neutrófilos/patología , Estudios Retrospectivos
19.
Neuroreport ; 10(11): 2261-5, 1999 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-10439445

RESUMEN

Repetitive stimulation of the carotid sinus nerve (CSN) elicits a short-term potentiation (STP) of the reflex response in respiratory motor output in mammals. The input-output transformation approximates a leaky integrator with a time constant of several seconds. Here, we showed that STP induced by CSN stimulation in rats was manifested in the reflex response in the amplitude of rhythmic phrenic nerve activity as well as its duration. Moreover, pharmacological blockade of NMDA receptors (NMDAR) resulted in marked increases in the time constants of the equivalent neural integrator in both the STP induction phase (by 10- to 20-fold) and recovery phase (by 1- to 5-fold). Thus, NMDAR serves as a molecular switch that facilitates the integrative processing of CSN inputs by STP.


Asunto(s)
Seno Carotídeo/inervación , Células Quimiorreceptoras/fisiología , Reflejo/fisiología , Animales , Estimulación Eléctrica/métodos , Masculino , Modelos Neurológicos , Periodicidad , Nervio Frénico/fisiología , Ratas , Ratas Sprague-Dawley , Tiempo de Reacción , Receptores de N-Metil-D-Aspartato/fisiología , Fenómenos Fisiológicos Respiratorios
20.
J Appl Physiol (1985) ; 64(4): 1733-9, 1988 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-3379004

RESUMEN

A new method of analyzing inert gas data for recovery of the pulmonary ventilation-perfusion ration (VA/Q) distribution is proposed. It is shown that the conventional inert gas elimination equation takes the form of a convolution integral, and the relationship between VA/Q distribution and inert gas elimination resembles that of a noncausal low-pass filter with infinite zero-frequency gain. With the use of this formulation, characteristic features of VA/Q distribution may be represented in the frequency domain in terms of the corresponding energy spectrum. It is shown that the lack of resolution associated with finite data samples and measurement error is caused by distortions in the high-frequency contents of the resulting VA/Q distribution. With six inert gases, the technique cannot resolve a log SD less than 0.21 decade and a modal separation less than 0.87 decade. In the presence of measurement error, the degree of resolution is even less. It is suggested that for maximum resolution the number of discrete and duplicate data samples should be chosen so that the resulting noise and sampling cutoff frequencies are approximately equal.


Asunto(s)
Relación Ventilacion-Perfusión , Análisis de Fourier , Gases , Humanos , Matemática , Métodos , Modelos Biológicos
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