Perceptions and knowledge of breast cancer among African-American women residing in public housing.

OBJECTIVE: The purpose of this study, theoretically based on the Health Belief Model, was to assess breast cancer perceptions, knowledge, and screening behavior of low-income, African-American women residing in public housing. METHODS: One hundred twenty (120) randomly selected women were interviewed to determine their perceived susceptibility to breast cancer, perceived severity of the disease, perceived barriers to breast cancer screening, and perceived benefits of mammography. Knowledge about breast cancer causes, risk factors, symptoms, and screening was also assessed. Contingency tables and Student's t test were used to analyze the data. RESULTS: The results demonstrated that 80.7% of women aged 40 and older had a previous mammogram. Approximately 92% of women reported having a clinical breast examination, and 75.8% performed breast self-examination. Knowledge of breast cancer was poor among the women in this study. Most women did not perceive themselves or a particular racial or economic group to be more susceptible to breast cancer. Moreover, the women in the sample did not perceive breast cancer as a fatal disease. Overall, women in the sample endorsed the benefits of mammography and denied the relevance of commonly cited barriers to breast cancer screening. The constructs of the Health Belief Model were not significantly related to mammography or breast self-examination. However, perceived severity and perceived barriers were found to be significantly related to clinical breast examination. CONCLUSIONS: Rates of early detection behaviors in this sample are commendable. Future research should focus on actual determinants and facilitators of regular screening behavior within a theoretical framework that incorporates cultural, ethnic, and socioeconomic diversity.

The effect of isoflurane versus balanced anesthesia on rocuronium's pharmacokinetics and infusion requirement.

STUDY OBJECTIVE: To compare the effects of two anesthetic techniques, balanced and isoflurane anesthesia, on the response to an intubating dose and an infusion of rocuronium, and on rocuronium's pharmacokinetics. DESIGN: Randomized, open-label study. SETTING: A university-affiliated hospital. PATIENTS: Twenty-two healthy adults undergoing elective surgery. INTERVENTIONS: The patients were anesthetized with a balanced technique (nitrous oxide, fentanyl, midazolam) or isoflurane (nitrous oxide, isoflurane 0.5-1.0%). Rocuronium was administered initially as a 500-micrograms/kg bolus, then by infusion to maintain approximately 86-94% depression of twitch tension. Plasma samples to determine rocuronium concentrations were obtained before, during, and after the infusion. Pharmacokinetics were determined using a population-based approach. MEASUREMENTS AND MAIN RESULTS: Onset time and initial recovery after the bolus dose were similar for the two groups. Infusion requirements also were similar. Plasma clearance was greater during isoflurane than during balanced anesthesia (4.48 vs 3.49 ml/kg/min). Distribution clearances and volumes of distribution were similar for the two groups. CONCLUSIONS: The similarity of response to an intubating dose and an infusion of rocuronium suggests that clinicians need not alter the dose or rate of rocuronium administration during isoflurane anesthesia with a of duration less than 1 hour. However, the greater clearance of rocuronium, in light of the similarity of infusion requirements, suggests that isoflurane potentiates rocuronium compared with balanced anesthesia.

Determination of the distribution of cannabinoids in cannabis resin from the Lebanon using HPLC. Part III.

Samples taken from 61 slabs of cannabis resin originating in The Lebanon were examined by high performance liquid chromatography. The slabs were derived from seizures of cannabis resin made over a three-year period. From a study of 14 of these samples, taken from bags which bore a number of identical stamp marks, it was shown that there was a correlation between the cannabinoid distribution and the marks. The remaining 47 samples of cannabis resin, all of which were from bags with different marks, were each found to have a unique cannabinoid distribution. Such an examination can therefore be used to aid investigations where evidence of a common origin is sought.

Influence of pinealectomy and photoperiod on courtship and nest-building in male doves.

Sham-operated male doves displayed greater nesting activity under long days (16L:8D) than under short days (8L:16D). This difference was abolished by pinealectomy--the activity of long-day pinealectomized birds dropped to a level comparable to that seen on short days. Removal of the pineal had no effect under the short photoperiod. These results are not due to changes in peripheral androgen production as castrated, testosterone-implanted males also exhibited higher levels of nest-building on long days if sham-operated, but not if they were pinealectomized. Neither treatment had a significant effect on courtship or copulatory behavior. It is suggested that the pineal mediates the stimulatory effect of long photoperiods on hormonally-induced nest-building in doves.

Luteinizing hormone-releasing factor (LRF) and reproductive behavior in male doves exposed to long and short photoperiods.

In order to determine whether the variable degree of nest-building behavior displayed by male doves exposed to different photoregimes is related to differences in luteinizing hormone-releasing factor (LRF) levels, androgen-treated castrates held on long (16L:8D) or short (8L:16D) daylengths were treated with 20 microgram LRF or saline daily. Birds in both groups exhibited higher levels of initial courtship and nest-building when held on long days. LRF treatment had no effect on any of the behavior patterns examined. The results suggest that photoperiod does not affect reproductive behavior in male doves through changes in endogenous levels of LRF.

The effects of photoperiod on androgen-induced reproductive behavior in male ring doves, Streptopelia risoria.

The effect of photoperiod on reproductive behavior in male ring doves (Streptopelia risoria) was studied in androgen-injected castrates maintained under long (16L:8D) or short (86:16D) photoperiods. Behavioral recordings were made over a 2-week period during which each male was paired with a female for 6.5 hr/day. There was some indication that males held on long days display higher levels of courtship activity during the initial period following pairing, but the evidence was not conclusive. Day length had no effect upon copulatory behavior. Long-day males exhibited consistently higher levels of nest building than short-day males, indicating that photoperiod affects building through some mechanism other than changes in endogenous androgen levels.