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1.
Diabetologia ; 56(10): 2231-7, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23797632

RESUMO

AIMS/HYPOTHESIS: South Asians have a disproportionately high risk of developing abdominal obesity, insulin resistance and type 2 diabetes. Brown adipose tissue (BAT) has been identified as a possible target to fight obesity and protect against metabolic disturbance. We explored whether lower BAT activity in South Asians compared with Europids may contribute to the high risk of metabolic disturbance. METHODS: We studied 20 healthy men (ten Europids/ten South Asians, BMI 19-25 kg/m(2), age 18-32 years). Following 2 h of cold exposure (16-18°C) after an overnight fast, (18)F-fluorodeoxyglucose ((18)F-FDG) positron-emission tomography-computed tomography (CT) and (123)I-metaiodobenzylguanidine ((123)I-MIBG) single-photon emission computed tomography-CT were performed to visualise metabolic BAT activity and sympathetic stimulation of BAT. Metabolic BAT activity was defined as maximal standardised uptake value (SUV(max)) of (18)F-FDG, and sympathetic stimulation of BAT as semiquantitative uptake value (SQUV) of (123)I-MIBG. We performed hyperinsulinaemic-euglycaemic clamps to assess insulin sensitivity. Spearman's correlations for SUV(max) of (18)F-FDG and both SQUV of (123)I-MIBG and insulin sensitivity were determined. RESULTS: The median (interquartile range) SUV(max) of (18)F-FDG in South Asians (7.5 [2.2-10.6] g/ml) was not different from the median SUV(max) obtained in Europids (4.5 [2.2-8.4] g/ml; p = 0.59). There was no correlation between BAT activity and insulin sensitivity. Correlations between SQUV of (123)I-MIBG and SUV(max) of (18)F-FDG were positive, both in the total population (ρ = 0.80, p < 0.001) and after stratification by ethnicity (Europids, ρ = 0.65, p = 0.04; South Asians, ρ = 0.83, p = 0.01). CONCLUSIONS/INTERPRETATION: This is the first study to prospectively investigate ethnic differences in metabolic BAT activity during cold exposure. We did not find differences in BAT activity between South Asians and Europids. Therefore, it seems unlikely that BAT plays an important role in the development of unfavourable metabolic profiles in South Asians.


Assuntos
Tecido Adiposo Marrom/metabolismo , Temperatura Baixa , 3-Iodobenzilguanidina , Tecido Adiposo Marrom/inervação , Adolescente , Adulto , Ásia/etnologia , Índice de Massa Corporal , Etnicidade , Europa (Continente)/etnologia , Jejum , Fluordesoxiglucose F18 , Técnica Clamp de Glucose , Humanos , Resistência à Insulina , Masculino , Tomografia por Emissão de Pósitrons/métodos , Sistema Nervoso Simpático/fisiologia , Tomografia Computadorizada de Emissão de Fóton Único/métodos , Tomografia Computadorizada por Raios X , Adulto Jovem
2.
Diabet Med ; 28(6): 668-72, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21569087

RESUMO

AIMS: To study differences in the association between physical inactivity and Type 2 diabetes among subjects from different ethnic groups. METHODS: We analysed data on 508 Caucasian, 596 African-Surinamese and 339 Hindustani-Surinamese participants, aged 35-60 years, in the population-based, cross-sectional Surinamese in the Netherlands Study on Health and Ethnicity (SUNSET) study. Physical inactivity was defined as the lowest quartile of reported activity, measured with the validated Short Questionnaire to Assess Health-Enhancing Physical Activity. Type 2 diabetes was defined as fasting plasma glucose levels ≥7.0 mmol/l or self-reported diagnosis. RESULTS: Physical inactivity was associated with Type 2 diabetes (OR 1.63, 95% CI 1.12-2.38) in the total group after adjustment for sex, age, BMI, ethnicity, resting heart rate, hypertension, smoking, history of cardiovascular disease, having a first-degree relative with Type 2 diabetes and educational level. However, this association was only significant in Caucasians (OR 3.17, 95% CI 1.37-7.30). Moreover, it appeared stronger in Caucasians than in Hindustani-Surinamese (OR 1.43, 95% CI 0.78-2.63) and African-Surinamese (OR 1.13, 95% CI 0.58-2.19), although the P-value for interaction was not significant. CONCLUSIONS: Physical inactivity was associated with Type 2 diabetes in the total group after adjustment for multiple risk factors, but this association was only significant in Caucasians. Also, it appeared stronger in Caucasians than in Hindustani and African-Surinamese, but formal testing for interaction provided no further evidence. These findings confirm the importance of exercise, but suggest that potential health gain may differ between ethnic groups. However, it should be noted that, in general, promotion of physical activity in populations with an increased a priori risk of Type 2 diabetes, remains of the utmost importance.


Assuntos
População Negra , Diabetes Mellitus Tipo 2/epidemiologia , Comportamento Sedentário/etnologia , População Branca , Adulto , Antropometria , Povo Asiático , Estudos Transversais , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/etnologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Fatores de Risco
3.
Ecotoxicology ; 19(4): 770-80, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20024616

RESUMO

The influence of eutrophication of fluvial ecosystems (caused by increased phosphorus concentrations) on periphyton Cu sensitivity is explored from a multi-scale perspective, going from the field to the laboratory. The study design included three tiers: a field study including the characterization of land use and the ecological state of the corresponding river sections in the Fluvià River watershed, an experimental investigation performed with natural periphyton from the previously studied stream sites in indoor channels, and finally a culture study in the laboratory. Results showed that differences in copper sensitivity of natural periphyton communities followed the gradient of nutrient concentration found in the field. Results from the culture experiments demonstrated that both, P-conditions during growth and P-content in the media are important factors modulating the toxicological response of algae to Cu. The observations from this study indicate that the ecological effects of metal pollution in rivers might be obscured by eutrophication.


Assuntos
Cobre/toxicidade , Ecossistema , Eucariotos/efeitos dos fármacos , Eutrofização/efeitos dos fármacos , Fósforo/toxicidade , Poluentes Químicos da Água/toxicidade , Biomassa , Cobre/metabolismo , Relação Dose-Resposta a Droga , Monitoramento Ambiental , Eucariotos/crescimento & desenvolvimento , Eucariotos/metabolismo , Água Doce/química , Fósforo/metabolismo , Análise de Componente Principal , Espanha , Poluentes Químicos da Água/metabolismo
4.
Environ Pollut ; 145(3): 884-94, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16782247

RESUMO

The aim of the present study was to investigate algal-bacterial interactions in a gradient of metal contaminated natural sediments. By means of multivariate techniques, we related the genetic structure (denaturing gradient gel electrophoresis, DGGE) and the physiological structure (community-level physiological profiling, CLPP) of the bacterial communities to the species composition of the algal communities and to the abiotic environmental variables, including metal contamination. The results revealed that genetic and physiological structure of the bacterial communities correlated with the species composition of the algal community, but hardly to the level of metal pollution. This must be interpreted as an indication for a strong and species-specific linkage of algal and bacterial species in floodplain sediments. Metals were, however, not proven to affect either the algal or the bacterial communities of the Dutch river floodplains.


Assuntos
Fenômenos Fisiológicos Bacterianos , Poluentes Ambientais/análise , Eucariotos/fisiologia , Sedimentos Geológicos , Metais Pesados/análise , Bactérias/genética , Bactérias/metabolismo , Cádmio/análise , Cobre/análise , Eletroforese em Gel de Poliacrilamida/métodos , Monitoramento Ambiental/métodos , Concentração de Íons de Hidrogênio , Chumbo/análise , Luz , Oxigênio/análise , Rios , Temperatura , Zinco/análise
5.
Environ Pollut ; 140(2): 231-8, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16168534

RESUMO

This study reports on the development and application of a whole sediment toxicity test using a benthic cladoceran Chydorus sphaericus, as an alternative for the use of pelagic daphnids. A C. sphaericus laboratory culture was started and its performance under control conditions was optimised. The test was firstly validated by determining dose-response relationships for aqueous cadmium and copper and ammonia, showing a sensitivity of C. sphaericus (96 h LC(50) values of 594 microg Cd/L, 191 microg Cu/L and 46 mg ammonia/L at pH 8) similar to that of daphnids. Next, sediment was introduced into the test system and a series of contaminated sediments from polluted locations were tested. A significant negative correlation between survival and toxicant concentrations was observed. It is concluded that the test developed in the present study using the benthic cladoceran C. sphaericus is suitable for routine laboratory sediment toxicity testing.


Assuntos
Cladocera/efeitos dos fármacos , Sedimentos Geológicos/análise , Poluentes Químicos da Água/análise , Amônia/análise , Amônia/toxicidade , Ração Animal , Animais , Cádmio/análise , Cádmio/toxicidade , Cobre/análise , Cobre/toxicidade , Monitoramento Ambiental/métodos , Concentração de Íons de Hidrogênio , Temperatura , Testes de Toxicidade/métodos , Poluentes Químicos da Água/toxicidade
6.
Aquat Toxicol ; 56(2): 93-101, 2002 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11755698

RESUMO

The effect of sediment-bound cadmium on several life history parameters of the benthic cladoceran Chydorus piger, was tested in the laboratory. It was investigated whether a test with C. piger is an ecologically realistic alternative for the Daphnia test applied to sediments. Therefore, a culture of C. piger was exposed to a control and five cadmium concentrations, equilibrated with natural detritus (0.036, 0.063, 0.26, 0.55 and 1.0 mmol/kg). Continuous records of growth and reproduction were made which took as long as 20 weeks. Longevity of C. piger declined markedly from 112 days to 20 days as cadmium concentrations increased. Intrinsic rate of increase and age at first reproduction (AFR) tended to be stimulated at very low doses but this effect was not significant. However, they were negatively influenced by moderate cadmium levels. While a significant cadmium effect was found for all traits investigated, the effective doses of cadmium varied strongly. C. piger was found to be even more sensitive to cadmium than for example Daphnia and Hyalella, naturally occurring cadmium levels in detritus being effective to C. piger. Experiments with a benthic cladoceran can therefore give important information about the ecological effect of cadmium and possibly other toxicants deposited in sediments.


Assuntos
Cádmio/toxicidade , Crustáceos/fisiologia , Sedimentos Geológicos/química , Fatores Etários , Animais , Daphnia/fisiologia , Relação Dose-Resposta a Droga , Reprodução/efeitos dos fármacos , Testes de Toxicidade/veterinária
7.
Environ Pollut ; 106(1): 115-21, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15093066

RESUMO

Invertebrate communities in polluted rivers are often exposed to a wide variety of compounds. Due to complex interactions, 'pollution tolerant' species are not necessarily the most tolerant species to toxicants tested under standard laboratory conditions. It was hypothesized that the distribution of species in polluted rivers is not only dependent on the tolerance of species to toxicants, but also on species-specific capacities to modify or compensate for negative effects of toxicants. To test this hypothesis, species-specific responses to metals in organically enriched river water were studied under controlled conditions. The zebra mussel Dreissena polymorpha and the midge Chironomus riparius were exposed to metal-polluted water from the River Dommel. Additionally, the (interactive) effects of metals and humic acids (HA) on both species were evaluated. In spite of a lower tolerance of Chironomus riparius to metals in laboratory studies, the midge was the most tolerant of the two test species to metal-polluted site water. The results indicated that the sensitivities of the two test species determined in laboratory tests were inversely related to their sensitivities to polluted river water. In accordance with these results, midge larvae were protected from copper (Cu) toxicity by HA, while metal toxicity was not reduced (Cu) or even amplified (cadmium) by HA for the zebra mussel. Thus, the presence of (naturally occurring) HA in site water may partly account for discrepancies between responses of species to bioassays and toxicity tests. It is suggested that these differences in responses to metals in site water are strongly influenced by species-specific preferences for organic compounds (like HA). It is concluded that the response to organic compounds present in site water largely determines whether a species is classified as 'pollution tolerant' or 'pollution sensitive'.

8.
Environ Pollut ; 95(1): 121-6, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-15093480

RESUMO

The toxicity of the nitrogen (N) heterocyclic polyaromatic hydrocarbon (PAH) acridine was tested for seven species of microalgae: Scenedesmus acuminatus, Selenastrum capricornutum, Chlamydomonas eugametos, Staurastrum chaetoceras, Staurastrum manfeldtii, Navicula salinarum and Nitzschia sigma. The effect of acridine on the algae was studied in a 96-h growth test, in which growth rates were determined using cell numbers and biovolume. The obtained EC50 values (for growth rates based on cell numbers) ranged from 0.08 mg litre(-1) for N. sigma to 0.78 mg litre(-1) for C. eugametos and N. salinarum. Effect concentrations based on biovolume were slightly higher for most species. Metabolism of acridine was observed for one species (S. capricornutum), but this capacity did not result in a very different tolerance. Acridine toxicity was neither related to taxonomical background (green algae versus diatoms) nor to original habitat of the species (planktonic or benthic, eutrophic or oligo-mesotrophic). The presence of near-UV radiation during the incubation might explain the higher toxicity of acridine than is expected on basis of QSAR derived narcotic toxicity.

9.
Environ Pollut ; 119(2): 195-202, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12152826

RESUMO

Toxic and genotoxic effects of alachlor, metolachlor, amitraz, chlordimeform, their respective environmentally stable degradation products 2,6-diethylaniline, 2-ethyl-4-methylaniline, 2,4-dimethylaniline, and two other related compounds, 3,4-dichloroaniline and aniline were compared. Acute toxicity tests with Chironomus riparius (96 h) and Vibrio fischeri (Microtox) and genotoxicity tests with a dark mutant of V. fischeri (Mutato) were carried out. Our results demonstrate that toxicity and genotoxicity of the pesticides are retained upon degradation to their alkyl-aniline metabolites. In the case of the herbicides alachlor and metolachlor, the toxicity to V. fischeri was enhanced upon degradation. Narcosis alone explains toxicity of the compounds to the midge, but not so for the bacteria suggesting a disparity in the selectivity of the test systems. All compounds showed direct genotoxicity in the Vibrio test. but amitraz and its metabolite were genotoxic at concentrations 10(3)-10(5) lower than all the other compounds. The observations indicate that stable aniline degradation products of the pesticides may contribute considerably to environmental risks of pesticides application and that genotoxic effects may arise upon degradation of pesticides.


Assuntos
Acetamidas/toxicidade , Amidinas/toxicidade , Chironomidae/efeitos dos fármacos , Praguicidas/toxicidade , Vibrio/efeitos dos fármacos , Acetamidas/metabolismo , Amidinas/metabolismo , Animais , Bioensaio/métodos , Relação Dose-Resposta a Droga , Herbicidas/metabolismo , Herbicidas/toxicidade , Medições Luminescentes , Testes de Mutagenicidade/métodos , Praguicidas/metabolismo
10.
Environ Pollut ; 112(1): 11-7, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11202649

RESUMO

Abiotic transformation of azaarenes in the environment has been analysed extensively, but metabolism is less well described. To further elucidate preliminary observations of interspecific differences in azaarene metabolism by aquatic organisms, phenanthridine biotransformation by midge larvae and carp was studied. In both experiments, 6(5H)-phenanthridinone (phenanthridone) was found as an important metabolite. The fish were clearly capable of metabolising phenanthridine, but in the midge experiment the metabolite was principally formed by bacteria growing on the food and not by the midges. Phenanthridone itself was further degraded to non-observed compounds in both experiments, due to bacteria and midges acting together in the midge experiment, and by carp in the fish experiment. Internal concentrations of phenanthridine and phenanthridone were non-detectable in the midge larvae, but concentrations of both compounds in carp organs suggested a major role of bile and liver. Since phenanthridone did not account for all phenanthridine loss, it was suggested that, apart from phenanthridone degradation, other metabolic pathways may play a role. This study clearly demonstrates the importance of interspecies differences in metabolism, which should not be neglected in risk assessment.


Assuntos
Carpas/metabolismo , Chironomidae/metabolismo , Fenantridinas/farmacocinética , Poluentes Químicos da Água/farmacocinética , Animais , Biotransformação , Larva/metabolismo
11.
Sci Total Environ ; 78: 59-75, 1989 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-2717927

RESUMO

General theories of stress ecology were applied to aquatic communities in the floodplain of the polluted River Rhine. These communities inhabited (i) a brackish section of the Ems-Dollard estuary with large intertidal flats, (ii) the coastal waters of the North Sea and the adjacent Wadden Sea, (iii) a former estuary of the Rivers Rhine and Meuse: the newly endiked Lake Grevelingen, (iv) the shallow Loosdrecht Lakes, and (v) the lower River Rhine. These systems are characterized by natural perturbations, such as suspension of sediments and flushing of the shallow waters. Organic pollution, eutrophication and chemical pollution reinforce the natural tendency to severe selection in the communities, in extreme cases leading to an abundance of small and opportunistic species participating in relatively simple food chains. Signs of ecosystem distress, as defined by Rapport et al., were detectable in all five ecosystems. The application of the theory of Odum et al. on stimulation and inhibition of ecosystems helped in identifying the positive impact of man. The role of stress in natural aquatic ecosystems in the delta, together with observations on ecological recovery under reduced man-made perturbation, suggest that there is scope for effective water management that exploits the resilience of these ecosystems.


Assuntos
Ecologia , Poluição da Água , Animais , Bactérias , Aves , Peixes , Água Doce , Países Baixos , Plâncton , Plantas
12.
Environ Pollut ; 109(2): 177-82, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15092888

RESUMO

This study reports the effects of two model toxicants, copper and diazinon, on two characteristic riverine insect species, the caddisfly Cyrnus trimaculatus and the mayfly Ephoron virgo. It was demonstrated that these species are very sensitive to both compounds in comparison with aquatic insects traditionally used in ecotoxicity tests. For diazinon, the 96-h LC(50) value of Cyrnus trimaculatus (1.1 microg/l) is lower than for any other insect species known from the literature and for copper it was demonstrated that Ephoron virgo is among the most sensitive aquatic insect species. The observed low LC(50) values stress the importance of using these indigenous species in assessing the risk of environmental contaminants in large European rivers and in defining conditions for ecological recovery.

13.
Chemosphere ; 41(1-2): 289-95, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10819213

RESUMO

Human activities in river catchments interfere with natural fluxes of water and materials. Diffuse inputs and point-sources of toxicants have modified the ecological state of riverine communities considerably, and sanitation schemes are now under development for various rivers. To improve analysis, monitoring and prospecting the role of toxicants in river ecosystems a review of the available methods is undertaken. Ecotoxicological techniques are discussed in relation to basic ecological principles that are thought to regulate the functioning of communities. The response to toxicants among species is highly diverse and therefore the choice of test species (e.g. of typical riverine insects as caddisflies or mayflies) is critical, as it is the use of test-batteries. Long-term exposure may lead to developmental disturbances that may be assessed through morphometric techniques like analysis of asymmetry. Multi-generation exposure, although rarely studied, provides a useful insight into the genetic consequences of pollution. Selection for tolerant species or varieties has been experimentally assessed for smaller organisms such as insects, micro-algae, and bacteria. There is also perspective for multivariate analysis of species distribution in relation to pollutant exposure. Furthermore, a system approach to benthic ecology and sediment testing is needed. Such an approach reflects the strong linkage of ecological and ecotoxicological processes. Toxicants are transformed by biological activity; in some cases this alleviates toxicant stress, but in other cases degradation products are toxic as well. The risk of transformation to mutagenic products in the environment is indicated. The re-assessment of some of the classical ecotoxicological techniques is needed to adequately fulfil the needs of ecological recovery programs. To this purpose integration of ecotoxicological and ecological tools is needed.


Assuntos
Conservação dos Recursos Naturais , Ecologia , Poluição da Água/prevenção & controle , Animais , Ecossistema , Monitoramento Ambiental/métodos , Cadeia Alimentar , Genética Populacional , Humanos , Modelos Teóricos , Toxicologia
14.
Arch Environ Contam Toxicol ; 36(4): 384-91, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10227857

RESUMO

The response of microbenthic communities to sustained metal stress was studied in three lowland rivers with different levels of pollution. Tolerance against zinc and cadmium was determined in short-term toxicity tests with microbenthic assemblages colonizing glass discs. Photosynthetic activity served as an endpoint in tests for algae, whereas for bacteria thymidine incorporation was determined. For bacterial assemblages from unpolluted locations, EC50 values in short-term tests ranged between 6.7 and 56.2 &mgr;M zinc, and 8.7 and 25.5 &mgr;M cadmium, respectively. Bacterial assemblages from the two most polluted sites were significantly more tolerant for zinc (EC50: 994 &mgr;M and >1,000 &mgr;M) and cadmium (EC50: 218 &mgr;M and 154 &mgr;M). Results indicated a shift in community composition toward pollution-adapted organisms when a threshold concentration of 1 &mgr;M zinc is exceeded. Although an increasing community tolerance was also indicated for algae, EC50 values for microbenthic algae from all sites exceeded in most cases the highest metal concentrations tested (Zn: 1,000 &mgr;M; Cd: 320 &mgr;M). Since species composition of algal assemblages was found to change at much lower metal levels, it is concluded that short-term toxicity tests measuring photosynthesis inhibition do not reflect well the long-term effects of these metals. Toxic effects of metals on both algal and bacterial assemblages are attenuated by precipitation and complexing capacities of the biofilm.

15.
Arch Environ Contam Toxicol ; 37(1): 19-28, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10341038

RESUMO

Effects of metal pollution from a zinc factory on microbenthic algal communities were assessed in three neighboring streams on the Dutch-Belgian border. Diatom species composition was experimentally related to water quality by transferring racks with colonized glass discs from a polluted stream to a reference stream and vice versa. The succession of species and the changes in biomass and metal accumulation were measured during experiments in spring, autumn, and winter. Metal concentrations and dry weight in translocated biofilms tended to conform with those in local biofilms within an incubation time of 14 to 18 days. Bray-Curtis similarity values from the different communities indicated that diatom communities responded more completely to the metal-polluted conditions than to the reference water quality. Cymbella minuta, Diatoma vulgare var. ehrenbergii, Navicula sp., and Melosira varians had a lower percentage in assemblages placed in the metal-polluted streams. In contrast, Pinnularia sp. and Neidium ampliatum decreased in assemblages from the polluted streams that were transferred to the reference stream. Achnanthes minutissima and Navicula seminulum (N. atomus) proliferated on any translocation, possibly reflecting an opportunistic strategy and a high tolerance for Zn and Cd. The behavior of the species in relation to metal pollution generally accorded with observations in the literature. However, it seems that metal tolerance is not the only selective factor, and other ecological variables may also influence the composition of microphytobenthic communities.http://link.springer-ny. com/link/service/journals/00244/bibs/37n1p19.html

16.
Br J Educ Psychol ; 70 ( Pt 1): 33-52, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10765565

RESUMO

BACKGROUND: When teachers employ ineffective ways of coping with stressful encounters with pupils, this may result in feelings of distress and diminished learning opportunities for pupils. In the case of beginning teachers, in particular, problematic classroom interactions cause feelings of distress and may result in dysfunctional teaching. AIM: This study examined the functional relationship between student teachers' coping behaviour and the immediate outcomes resulting from stressful encounters in the classroom. SAMPLE: About 300 responses related to problematic events were studied in a sample of 27 student teachers enrolled in a graduate teacher education programme. METHOD: We assessed the daily difficulties which the participants experienced in the classroom, the ways they coped with these events, and two immediate outcomes (the pupils' time-on-task and the student teachers' satisfaction with the outcome). RESULTS: In situations where pupil misbehaviour had been appraised as problematic, student teachers demonstrated effective coping behaviour when they consistently raised tension in the interaction with their pupils, and varied the intensity of activities. As expected, the relation between coping behaviour and pupils' time-on-task was less strong in other classroom events (e.g., instruction or classroom organisation). CONCLUSIONS: Student teachers have to be intrusive in order to change pupils' misbehaviour and get them working. Inactive behaviour on the part of student teachers was found to be ineffective in changing pupil misbehaviour. However, we cannot conclude that a particular coping behaviour employed by student teachers is effective or dysfunctional in changing pupils' time-on-task without examining long-term outcomes as well.


Assuntos
Adaptação Psicológica , Ensino , Adulto , Feminino , Humanos , Masculino , Estresse Psicológico/psicologia
17.
Ned Tijdschr Tandheelkd ; 98(10): 418, 1991 Oct.
Artigo em Holandês | MEDLINE | ID: mdl-1820542

RESUMO

Probably dentists will be sued more and more by patients because of errors. An adequate professionalism, good social abilities, some juridic knowledge and a comprehensive administration are the tools to prevent loss of money and psychological problems.


Assuntos
Administração da Prática Odontológica/legislação & jurisprudência , Gestão de Riscos , Humanos
18.
Ned Tijdschr Tandheelkd ; 101(3): 90-2, 1994 Mar.
Artigo em Holandês | MEDLINE | ID: mdl-11830957

RESUMO

Some brief remarks, partly based on Dutch legislation, are made on the dentists' attitude towards the use of dental amalgam. The patient is entitled to ask for dental restorative materials other than amalgam. On the other hand, the dentist is entitled to refuse to apply materials that are, according to the prevailing professional standards, inappropriate in a given situation.


Assuntos
Atitude do Pessoal de Saúde , Amálgama Dentário/efeitos adversos , Legislação Odontológica , Amálgama Dentário/uso terapêutico , Materiais Dentários/química , Restauração Dentária Permanente/métodos , Relações Dentista-Paciente , Humanos , Países Baixos , Segurança
19.
Ned Tijdschr Tandheelkd ; 97(12): 503-4, 1990 Dec.
Artigo em Holandês | MEDLINE | ID: mdl-2130269

RESUMO

In The Netherlands a new law, concerning the doctrine of informed consent, will be incorporated in the Dutch civil code. Some consequences for dental practitioners are discussed. The conclusion is that it is necessary that the dental profession has to re-examine its standards of conduct towards patients.


Assuntos
Consentimento Livre e Esclarecido/legislação & jurisprudência , Humanos , Legislação Odontológica , Países Baixos
20.
Diabetes Res Clin Pract ; 103(1): 127-32, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24355200

RESUMO

AIMS: Evidence of ethnic disparities in the conversion of prediabetes to type 2 diabetes is scarce. We studied the association of impaired fasting glucose (IFG) and fasting plasma glucose (FPG) with the 10-year cumulative incidence of type 2 diabetes in three ethnic groups. METHODS: We analyzed data for 90 South-Asian Surinamese, 190 African-Surinamese, and 176 ethnic Dutch that were collected in the periods 2001-2003 and 2011-2012. We excluded those with type 2 diabetes or missing FPG data. We defined baseline IFG as FPG of 5.7-6.9 mmol/L. We defined type 2 diabetes at follow-up as FPG ≥ 7.0 mmol/L, HbA1c ≥ 48 mmol/mol (6.5%), or self-reported type 2 diabetes. RESULTS: 10-Year cumulative incidences of type 2 diabetes were: South-Asian Surinamese, 18.9%; African-Surinamese, 13.7%; ethnic Dutch, 4.5% (p<0.05). The adjusted association of baseline IFG and FPG with the 10-year cumulative incidence of type 2 diabetes was stronger for South-Asian Surinamese than for African-Surinamese and ethnic Dutch. The IFG (compared to normoglycaemia) ORs were 11.1 [3.0-40.8] for South-Asian Surinamese, 5.1 [2.0-13.3] for African-Surinamese, and 2.2 [0.5-10.1] for ethnic Dutch. CONCLUSIONS: The 10-year cumulative incidence of type 2 diabetes was higher and associations with baseline IFG and FPG were stronger among South-Asian Surinamese and African-Surinamese than among ethnic Dutch. Our findings confirm the high risk of type 2 diabetes in South-Asians and suggest more rapid conversion in populations of South-Asian origin and (to a lesser extent) African origin than European origin.


Assuntos
Glicemia/análise , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/etnologia , Etnicidade , Disparidades nos Níveis de Saúde , Estado Pré-Diabético/sangue , Adulto , Povo Asiático , População Negra , Estudos Transversais , Diabetes Mellitus Tipo 2/etiologia , Jejum/sangue , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Fatores de Risco , Fatores de Tempo , População Branca
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