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1.
Phys Rev E ; 109(1-1): 014107, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38366493

RESUMEN

One of the main issues that real energy converters present, when they produce effective work, is the inevitable entropy production. Within the context of nonequilibrium thermodynamics, entropy production tends to energetically degrade human-made or living systems. On the other hand, it is not useful to think about designing an energy converter that works in the so-called minimum entropy production regime since the effective power output and efficiency are zero. In this paper we establish some energy conversion theorems similar to Prigogine's theorem with constrained forces. The purpose of these theorems is to reveal trade-offs between design and the so-called operation modes for (2×2)-linear isothermal energy converters. The objective functions that give rise to those thermodynamic constraints show stability. A two-mesh electric circuit was built as an example to demonstrate the theorems' validity. Likewise, we reveal a type of energetic hierarchy for power output, efficiency, and dissipation function when the circuit is tuned to any of the operating regimes studied here. These are maximum power output (MPO), maximum efficient power (MPη), maximum omega function (MΩ), maximum ecological function (MEF), maximum efficiency (Mη), and minimum dissipation function (mdf).

2.
Ann Dyslexia ; 69(2): 186-203, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-30989486

RESUMEN

In transparent orthographic systems, the main characteristic of developmental dyslexia is poor reading fluency. Several studies have reported that children with dyslexia have difficulties forming orthographic representations of words, which hampers good reading fluency. This study aimed at evaluating whether the semantic-phonological training prior to word reading could facilitate the formation of orthographic representations and leading an improvement in reading fluency. Twenty-four native Spanish-speaking children with developmental dyslexia carried out two different reading tasks. In one of them, participants previously received semantic and phonological information about stimuli whereas in the other task no previous information was provided. Eight different unfamiliar words (four short and four long) were used in each reading task and the reduction of the length effect across reading blocks was taken as a formation index of new orthographic representations. Results showed low accuracy, slow speed reading, and difficulties in developing orthographic representations despite of repeated reading, probably due to the instability in decoding processes. However, the previous phonological and semantic training had a facilitator effect in the formation of orthographic representations, as indicated by the decrease in the length effect.


Asunto(s)
Dislexia , Lectura , Semántica , Niño , Recolección de Datos , Femenino , Humanos , Masculino , España
3.
Trop Anim Health Prod ; 50(8): 1797-1805, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-29948775

RESUMEN

The study evaluated small-scale dairy systems with continuous grazing of pastures based on three temperate grasses festulolium (FL), tall fescue (TF), and perennial ryegrass (RG), compared with subtropical kikuyu grass (KG). All pastures were associated with white clover (Trifolium repens L.). Twelve multiparous Holstein cows were assigned to a 4 × 4 Latin square replicated three times with 14-day experimental periods. Sampling and analyses of pastures, concentrates, and animal variables followed standard procedures. FL showed a significantly (p < 0.05) higher mean sward height, but there were no differences (p > 0.05) in net herbage accumulation. There were significant differences (p < 0.05) among pastures for CP, NDF, ADF, in vitro digestibility of OM (IVOMD), and estimated metabolizable energy (eME). There were no differences (p > 0.05) between treatments for milk yield and composition, live weight, or body condition score. There were significant differences (p < 0.05) in fatty acid values for pastures in C14:0, C16:1, and C18:3n3. There were significant differences between treatments (p < 0.05) in milk contents for C18:0, C18:1t11, and C18:2c9t11. Grazing FL, TF, RG, or KY pastures showed no differences in milk yields. Higher values for C18:0, C18:1t11, and C18:2c9t11 were detected in KY, RG, and TF. RG had significantly higher MUFA than FL and higher PUFA than TF. A value under 65% of SFA, a ratio of n-6/n-3 lower than 4, and an atherogenic index of 1.7 are indicators of milk with beneficial effects for human health.


Asunto(s)
Alimentación Animal/análisis , Industria Lechera/métodos , Ácidos Grasos/química , Leche/química , Poaceae , Animales , Bovinos , Femenino , Lactancia , Ácidos Linoleicos Conjugados/química , Lolium , México , Lluvia , Distribución Aleatoria , Estaciones del Año , Trifolium
4.
Radiología (Madr., Ed. impr.) ; 59(3): 264-269, mayo-jun. 2017. ilus
Artículo en Español | IBECS | ID: ibc-162819

RESUMEN

En los últimos años, el uso de vacunas se encuentra estandarizado dentro de los programas de vacunación. Los efectos adversos en el sitio de punción suelen ser leves y transitorios. Sin embargo, en algunos casos se pueden desarrollar nódulos subcutáneos persistentes, los cuales son a menudo infradiagnosticados debido a su rareza y al largo periodo de tiempo que puede transcurrir entre la vacunación y su aparición. Histológicamente, consisten en una hiperplasia folicular linfoide reactiva a partículas de aluminio usadas normalmente como adyuvante en algunas vacunas. No hemos encontrado bibliografía radiológica que haga referencia a estos nódulos de partes blandas secundarios a vacunas. Describimos los hallazgos ecográficos característicos de estas lesiones, que permitirán al radiólogo su reconocimiento y elaborar un diagnóstico de alta sospecha, evitando la realización de pruebas de imagen innecesarias que podrían llevar a confusión y por tanto a un manejo inadecuado de estos pacientes (AU)


In recent years, the use of vaccines has been standardized within vaccination programs. Adverse effects at the puncture site are usually mild and transient. Nevertheless, in some cases, persistence subcutaneous nodules can develop; these are often underdiagnosed because they are so rare and because of the long time that can transpire between the vaccination and their appearance. Histologically, they consist of a lymphoid follicular hyperplasia that occurs as a reaction to the aluminum particles usually used as an adjuvant in some vaccines. We were unable to find any reference in the radiological literature to these soft-tissue nodules secondary to vaccination. We report the characteristic ultrasound findings that will enable radiologists to identify or strongly suspect these lesions and thereby avoid unnecessary imaging tests that might lead to confusion and inadequate management of these patients (AU)


Asunto(s)
Humanos , Femenino , Adulto , Enfermedad de Castleman/inducido químicamente , Enfermedad de Castleman , Vacunas/efectos adversos , Seudolinfoma , Ultrasonografía/instrumentación , Ultrasonografía
5.
Radiologia ; 59(3): 264-269, 2017.
Artículo en Inglés, Español | MEDLINE | ID: mdl-27771017

RESUMEN

In recent years, the use of vaccines has been standardized within vaccination programs. Adverse effects at the puncture site are usually mild and transient. Nevertheless, in some cases, persistence subcutaneous nodules can develop; these are often underdiagnosed because they are so rare and because of the long time that can transpire between the vaccination and their appearance. Histologically, they consist of a lymphoid follicular hyperplasia that occurs as a reaction to the aluminum particles usually used as an adjuvant in some vaccines. We were unable to find any reference in the radiological literature to these soft-tissue nodules secondary to vaccination. We report the characteristic ultrasound findings that will enable radiologists to identify or strongly suspect these lesions and thereby avoid unnecessary imaging tests that might lead to confusion and inadequate management of these patients.


Asunto(s)
Ganglios Linfáticos/diagnóstico por imagen , Ganglios Linfáticos/patología , Ultrasonografía , Vacunación/efectos adversos , Adolescente , Femenino , Humanos , Hiperplasia , Tejido Subcutáneo , Adulto Joven
6.
Int J Food Sci ; 2016: 3926847, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27597950

RESUMEN

A protein concentrate (PC) was obtained from Grouper fish skin and it was used to prepare films with different amounts of sorbitol and glycerol as plasticizers. The best performing films regarding resistance were then modified with various concentrations of CaCl2, CaSO4 (calcium salts), and glucono-δ-lactone (GDL) with the purpose of improving their mechanical and barrier properties. These films were characterized by determining their mechanical properties and permeability to water vapor and oxygen. Formulations with 5% (w/v) protein and 75% sorbitol and 4% (w/v) protein with a mixture of 15% glycerol and 15% sorbitol produced adequate films. Calcium salts and GDL increased the tensile fracture stress but reduced the fracture strain and decreased water vapor permeability compared with control films. The films prepared represent an attractive alternative for being used as food packaging materials.

7.
Bioresour Technol ; 203: 32-41, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26720137

RESUMEN

This study was performed to identify suitable conditions for the in-situ reduction of excess sludge production by intercalated digesters in recycle-activated sludge (RAS) flow. The objective was to compare and model biological sludge mass reduction and the biodegradation of endogenous residues (XP) by digestion under hypoxic, aerobic, anaerobic, and five intermittent-aeration conditions. A mathematical model based on the heterotrophic endogenous decay constant (bH) and including the biodegradation of XP was used to fit the long-term data from the digesters to identify and estimate the parameters. Both the bH constant (0.02-0.05 d(-1)) and the endogenous residue biodegradation constant (bP, 0.001-0.004 d(-1)) were determined across the different mediums. The digesters with intermittent aeration cycles of 12 h-12 h and 5 min-3 h (ON/OFF) were the fastest, compared to the aerobic reactor. The study provides a basis for rating RAS-digester volumes to avoid the accumulation of XP in aeration tanks.


Asunto(s)
Reactores Biológicos , Modelos Biológicos , Aguas del Alcantarillado , Administración de Residuos/métodos , Aerobiosis , Anaerobiosis , Biodegradación Ambiental , Reciclaje
9.
Bioresour Technol ; 173: 291-300, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25310865

RESUMEN

Long-term aerobic digestion batch tests were performed on a sludge that contained mainly two fractions, a heterotrophic biomass XH and its endogenous residues XP, which were cultivated in conditions known to favor bio-storage (XSto). The objective was to model the stabilization of the sludge and determine the parameters of the endogenous decay processes, based on simultaneous measurements of the chemical oxygen demand (COD) and oxygen uptake rates (OUR). The respirograms were shown to have a two-phase structure that was describable with activated sludge model 3 (ASM3), but not with ASM1. Comparing the information from the COD and OUR data suggested the presence of two different groups of heterotrophs (XHa and XHb), one that decays with oxygen consumption and another without using O2. A modified ASM3 model was proposed, which was able to fit the OUR and COD data from the digesters, as well as cases from the literature.


Asunto(s)
Aerobiosis , Análisis de la Demanda Biológica de Oxígeno , Modelos Teóricos , Aguas del Alcantarillado
10.
Bioresour Technol ; 166: 112-9, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24907570

RESUMEN

Aerobic digestion batch tests were run on a sludge model that contained only two fractions, the heterotrophic biomass (XH) and its endogenous residue (XP). The objective was to describe the stabilization of the sludge and estimate the endogenous decay parameters. Modeling was performed with Aquasim, based on long-term data of volatile suspended solids and chemical oxygen demand (VSS, COD). Sensitivity analyses were carried out to determine the conditions for unique identifiability of the parameters. Importantly, it was found that the COD/VSS ratio of the endogenous residues (1.06) was significantly lower than for the active biomass fraction (1.48). The decay rate constant of the studied sludge (low bH, 0.025 d(-1)) was one-tenth that usually observed (0.2d(-1)), which has two main practical significances. Digestion time required is much more long; also the oxygen uptake rate might be <1.5 mg O2/gTSSh (biosolids standards), without there being significant decline in the biomass.


Asunto(s)
Bacterias Aerobias/metabolismo , Glucógeno/metabolismo , Modelos Biológicos , Aguas del Alcantarillado/microbiología , Eliminación de Residuos Líquidos/métodos , Análisis de la Demanda Biológica de Oxígeno , Biomasa , Cinética
12.
Rev Gastroenterol Mex ; 78(1): 12-20, 2013.
Artículo en Español | MEDLINE | ID: mdl-23374541

RESUMEN

BACKGROUND: Helicobacter pylori (Hp) is recognized as a type 1 carcinogen for gastric cancer associated with pre-neoplastic lesions (atrophy and intestinal metaplasia [IM]). Its relation with p53, which intervenes in the cell cycle, has had contradictory results. AIMS: To analyze p53 expression in gastric mucosa and its relation with Hp infection. METHODS: A 3-month prospective, observational, cross-sectional study was conducted. Patients that had no evidence of acute or clinically significant gastric pathology had biopsies taken according to the Sydney system at the Hospital Juárez de México and the histopathologic studies were done at the Hospital Español de México. RESULTS: Hp prevalence was 32.7% in 104 patients. There were no cases of atrophy or dysplasia. A total of 91% of the infected patients were positive for p53. Of the non-infected patients, 14% were positive for p53 and 60% of them had IM. Of the IM patients, 75% presented with positive p53. Of the patients without IM, 31 presented with positive p53, and Hp was positive in 85% of them. There was association between Hp and p53 and between p53 and IM (P<.0001 and P<.0006, respectively). CONCLUSIONS: Significant association was shown between Hp and p53 expression, even in patients with pre-neoplastic lesions that no longer presented with Hp. Given that the identification of pre-neoplastic lesions is important for the prevention of cancer, immunohistochemistry could benefit routine biopsy carried out during endoscopy for the detection of Hp, by identifying patients with expression of the important oncogene regulator, p53.


Asunto(s)
Mucosa Gástrica/metabolismo , Expresión Génica/fisiología , Genes p53/fisiología , Infecciones por Helicobacter/metabolismo , Helicobacter pylori , Proteína p53 Supresora de Tumor/biosíntesis , Adulto , Biopsia , Estudios Transversales , Femenino , Mucosa Gástrica/patología , Expresión Génica/genética , Genes p53/genética , Infecciones por Helicobacter/genética , Infecciones por Helicobacter/microbiología , Humanos , Inmunohistoquímica , Masculino , Persona de Mediana Edad , Estudios Prospectivos
13.
J Environ Manage ; 95 Suppl: S349-54, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21071132

RESUMEN

The objective of this study is to investigate the effect of incorporation of ash from biomass incinerator as raw material on the production of ceramic bricks for their application in construction. So, for the fabrication of bricks, compositions were prepared with addition of increasing amounts of waste ash (0%, 10%, 20%, 30%, 40% and 50% in wt.) in the clay body. The mixed samples were sintered using conventional powder processing based on powder compaction at 54.5 MPa and firing them at 950 °C without the addition of additives. Effect on apparent density, water absorption and mechanical properties were investigated. The results showed that water absorption increased and apparent density and compressive strength decreased with higher amounts of ash. Bricks with an ash content up to 20% meet the UNE standards compressive strength. As a result, since interesting performances were observed, the potential use of ashes from biomass incinerator up to 20 wt.% in ceramic formulations of industrial interest was confirmed. In this sense, incorporating ashes into clay body reduces environmental problems and total cost of raw material disposition.


Asunto(s)
Materiales de Construcción , Incineración , Reciclaje , Residuos , Silicatos de Aluminio , Biomasa , Cerámica , Arcilla , Fuerza Compresiva , Material Particulado
14.
J Environ Manage ; 95 Suppl: S343-8, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21723033

RESUMEN

The main aim of this study is to assess the effect of incorporating waste sludge on the properties and microstructure of clay used for bricks manufacturing. Wastewater treatment plants produce annually a great volume of sludge. Replacing clay in a ceramic body with different proportions of sludge can reduce the cost due to the utilization of waste and, at the same time, it can help to solve an environmental problem. Compositions were prepared with additions of 1%, 2.5%, 5%, 7.5%, 10% and 15% wt% waste sludge in body clay. In order to determine the technological properties, such as bulk density, linear shrinkage, water suction, water absorption and compressive strength, press-moulded bodies were fired at 950 °C for coherently bonding particles in order to enhance the strength and the other engineering properties of the compacted particles. Thermal heating destroys organic remainder and stabilizes inorganic materials and metals by incorporating oxides from the elemental constituent into a ceramic-like material. Results have shown that incorporating up to 5 wt% of sludge is beneficial for clay bricks. By contrast, the incorporation of sludge amounts over 5 wt% causes deterioration on the mechanical properties, therefore producing low-quality bricks.


Asunto(s)
Cerámica/química , Aguas del Alcantarillado/química , Eliminación de Residuos Líquidos/métodos , Absorción , Fuerza Compresiva , Industrias
15.
Acta Biomater ; 6(7): 2572-9, 2010 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-20080217

RESUMEN

The objective of this work was to evaluate the potential use of less stiff materials based on acrylic copolymers of methyl methacrylate/2-ethylhexyl acrylate (MMA/EHA) as devices to correct, stabilize and improve the effect of poly(methyl methacrylate) (PMMA) intracorneal ring segments. MMA/EHA and PMMA intracorneal ring segments were surgically implanted in the corneas of Lohmann Classic hens. The effects of the intracorneal ring segments were assessed by optical measurements and corneal tolerance was evaluated through biomicroscopic examination over a 90-day observation period and by conventional histology. The experimental results demonstrated that the intracorneal ring segments made of MMA/EHA copolymers provided a significant change in the corneal curvature and an improved in vivo response compared to those obtained for PMMA rings, which was attributed to the higher flexibility of the copolymeric materials, indicating that these systems might be considered suitable as an alternative to those currently used, for application in clinical practice.


Asunto(s)
Córnea/cirugía , Metacrilatos , Animales , Células Cultivadas , Pollos , Córnea/patología , Femenino , Humanos
16.
Cancer Causes Control ; 17(8): 1033-43, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16933054

RESUMEN

OBJECTIVE: Women with a moderate intake of alcohol have higher concentrations of sex steroids in serum, and higher risk of developing breast cancer, compared to non-drinkers. In the present study, we investigate the relationships between alcohol consumption and serum levels of sex steroids and sex-hormone binding globulin (SHBG) in 790 pre- and 1,291 post-menopausal women, who were part of the European Prospective Investigation into Cancer and Nutrition (EPIC). METHODS: Serum levels of testosterone (T), androstenedione (Delta4), dehydroepiandrosterone sulphate (DHEAS), estrone (E1), estradiol (E2) and SHBG were measured by direct immunoassays. Free T (fT) and free E2 (fE2) were calculated according to mass action laws. Current alcohol intake exposure to alcohol was assessed from dietary questionnaires. RESULTS: Pre-menopausal women who consumed more than 25 g/day of alcohol had about 30% higher DHEAS, T and fT, 20% higher Delta4 and about 40% higher E1, concentrations compared to women who were non-consumers. E2, fE2 and SHBG concentrations showed no association with current alcohol intake. In post-menopausal women, DHEAS, fT, T, Delta4, and E1 concentrations were between 10% and 20% higher in women who consumed more than 25 g/day of alcohol compared to non-consumers. E2 or fE2 were not associated with alcohol intake at all. SHBG levels were about 15% lower in alcohol consumers compared to non-consumers. CONCLUSION: This study supports the hypothesis of an influence of alcohol intake on sex hormone concentrations in blood.


Asunto(s)
Consumo de Bebidas Alcohólicas/sangre , Hormonas Esteroides Gonadales/sangre , Neoplasias/sangre , Neoplasias/patología , Fenómenos Fisiológicos de la Nutrición , Posmenopausia/sangre , Premenopausia/sangre , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Biológicos , Globulina de Unión a Hormona Sexual/metabolismo
17.
Br J Cancer ; 94(2): 299-307, 2006 Jan 30.
Artículo en Inglés | MEDLINE | ID: mdl-16404426

RESUMEN

Insulin-like growth factor I (IGF-I) stimulates cell proliferation and can enhance the development of tumours in different organs. Epidemiological studies have shown that an elevated level of circulating IGF-I is associated with increased risk of breast cancer, as well as of other cancers. Most of circulating IGF-I is bound to an acid-labile subunit and to one of six insulin-like growth factor binding proteins (IGFBPs), among which the most important are IGFBP-3 and IGFBP-1. Polymorphisms of the IGF1 gene and of genes encoding for the major IGF-I carriers may predict circulating levels of IGF-I and have an impact on cancer risk. We tested this hypothesis with a case-control study of 807 breast cancer patients and 1588 matched control subjects, nested within the European Prospective Investigation into Cancer and Nutrition. We genotyped 23 common single nucleotide polymorphisms in IGF1, IGFBP1, IGFBP3 and IGFALS, and measured serum levels of IGF-I and IGFBP-3 in samples of cases and controls. We found a weak but significant association of polymorphisms at the 5' end of the IGF1 gene with breast cancer risk, particularly among women younger than 55 years, and a strong association of polymorphisms located in the 5' end of IGFBP3 with circulating levels of IGFBP-3, which confirms previous findings. Common genetic variation in these candidate genes does not play a major role in altering breast cancer risk in Caucasians.


Asunto(s)
Neoplasias de la Mama/genética , Proteína 3 de Unión a Factor de Crecimiento Similar a la Insulina/sangre , Proteínas de Unión a Factor de Crecimiento Similar a la Insulina/genética , Factor I del Crecimiento Similar a la Insulina/genética , Polimorfismo de Nucleótido Simple , Adulto , Anciano , Neoplasias de la Mama/sangre , Estudios de Casos y Controles , Femenino , Humanos , Proteínas de Unión a Factor de Crecimiento Similar a la Insulina/sangre , Factor I del Crecimiento Similar a la Insulina/análisis , Masculino , Persona de Mediana Edad , Factores de Riesgo
18.
Eur J Clin Nutr ; 59(12): 1397-408, 2005 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-16160701

RESUMEN

OBJECTIVE: The aim of this study was to assess the ability of a single 24-h dietary recall (24HDR) and food questionnaires (FQ) to predict plasma carotenoid levels at the ecological level by assessing the relationship between mean plasma carotenoid levels and mean intake of fruit and vegetables measured by 24HDR and FQ across 16 European regions. DESIGN: A random subsample of 3089 subjects was included, stratified by age and gender. They provided blood samples and dietary information between 1992 and 2000 as part of the European Prospective Investigation into Cancer and Nutrition. RESULTS: Using Spearman's correlation coefficients, the correlations between mean regional 24HDR fruit and vegetable variables and corresponding mean plasma carotenoid levels were generally higher than the correlations using FQ means. The highest correlation was between the 24HDR citrus fruit variable and beta-cryptoxanthin (r = 0.90). For 24HDR, total fruits and vegetables were highly correlated with lutein, zeaxanthin, and beta-cryptoxanthin (r = 0.83-0.87), while vegetables were more closely related with lutein (r = 0.69) and zeaxanthin (r = 0.68), and fruits correlated with zeaxanthin (r = 0.87) and beta-cryptoxanthin (r = 0.84). Root vegetables (r = 0.81) and total carrots (r = 0.71) were well correlated with alpha-carotene. In the multivariate models adjusting for age, body mass index, and season, and using observations of means stratified by sex and region, the association was generally higher for 24HDR compared to FQ. CONCLUSION: Mean regional intakes of fruits and vegetables in several European countries were closely correlated with corresponding mean plasma levels of individual carotenoids. Fruits and vegetables measured by 24HDR were generally better able to predict plasma carotenoids at the ecological level.


Asunto(s)
Antioxidantes/metabolismo , Carotenoides/sangre , Frutas , Recuerdo Mental , Encuestas y Cuestionarios/normas , Verduras , Biomarcadores/sangre , Calibración , Estudios de Cohortes , Europa (Continente) , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Estudios Prospectivos , Sensibilidad y Especificidad
19.
Cancer Causes Control ; 16(5): 561-72, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15986111

RESUMEN

OBJECTIVES: The risk of some cancers is positively associated with body weight, which may influence circulating levels of sex-steroid hormones, insulin and IGF-I. Interrelationships between these hormones and the associations with adiposity were evaluated in healthy women participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). METHODS: A cross-sectional analysis was performed on anthropometric and hormonal data from 743 pre- and 1217 postmenopausal women. Body mass index (BMI) and waist circumference were used as indicators of adiposity. C-peptide, Insulin Growth Factor (IGF)-I, Insulin Growth Factor binding protein (IGFBP)-3, androgens, estrogens and sex hormone binding globulin (SHBG) were measured by immunoassays; free sex steroid concentrations were calculated. RESULTS: BMI and waist circumference were positively correlated with estrogens in postmenopausal women and with C-peptide, free testosterone and inversely with SHBG in all women. C-peptide and IGF-I were inversely correlated with SHBG, and positively with free sex steroids in postmenopausal women. IGF-I was positively associated with postmenopausal estrogens and androgen concentrations in all women. CONCLUSIONS: Sex-steroid concentrations appear to be regulated along several axes. Adiposity correlated directly with estrogens in postmenopausal women and with insulin, resulting in lower SHBG and increased levels of free sex steroids. Independent of adiposity and insulin, IGF-I was associated with decreased SHBG levels, and increased concentrations of androgens and postmenopausal estrogens.


Asunto(s)
Índice de Masa Corporal , Péptido C/sangre , Factor I del Crecimiento Similar a la Insulina/análisis , Relación Cintura-Cadera , Andrógenos/sangre , Estudios Transversales , Estrógenos/sangre , Femenino , Humanos , Proteína 3 de Unión a Factor de Crecimiento Similar a la Insulina/sangre , Persona de Mediana Edad , Posmenopausia , Premenopausia , Estudios Prospectivos , Globulina de Unión a Hormona Sexual/análisis
20.
Gut ; 54(2): 268-73, 2005 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15647193

RESUMEN

BACKGROUND: Population based colorectal cancer survival among patients diagnosed in 1985-89 was lower in Europe than in the USA (45% v 59% five year relative survival). AIMS: To explain this difference in survival using a new analytic approach for patients diagnosed between 1990 and 1991. SUBJECTS: A total of 2492 European and 11 191 US colorectal adenocarcinoma patients registered by 10 European and nine US cancer registries. METHODS: We obtained clinical information on disease stage, number of lymph nodes examined, and surgical treatment. We analysed three year relative survival, calculating relative excess risks of death (RERs, referent category US patients) adjusted for age, sex, site, surgery, stage, and number of nodes examined, using a new multivariable approach. RESULTS: We found that 85% of European patients and 92% of US patients underwent surgical resection. Three year relative survival was 69% for US patients and 57% for European patients. After adjustment for age, sex, and site, the RER was significantly high in all 10 European populations, ranging from 1.07 (95% confidence interval 0.86-1.32) (Modena, Italy) to 2.22 (1.79-2.76) (Thames, UK). After further adjustment for stage, surgical resection, and number of nodes examined (a determinant of stage), RERs ranged from 0.77 (0.62-0.96) to 1.59 (1.28-1.97). For some European registries the excess risk was small and not statistically significant. CONCLUSIONS: US-Europe survival differences in colorectal cancer are large but seem to be mostly attributable to differences in stage at diagnosis. There are wide variations in diagnostic and surgical practice between Europe and the USA.


Asunto(s)
Adenocarcinoma/mortalidad , Neoplasias Colorrectales/mortalidad , Adenocarcinoma/patología , Adenocarcinoma/cirugía , Adulto , Anciano , Neoplasias Colorrectales/patología , Neoplasias Colorrectales/cirugía , Europa (Continente)/epidemiología , Femenino , Humanos , Metástasis Linfática , Masculino , Persona de Mediana Edad , Estadificación de Neoplasias , Sistema de Registros , Análisis de Supervivencia , Estados Unidos/epidemiología
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