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1.
Epidemiol Psychiatr Sci ; 32: e49, 2023 Aug 04.
Artigo em Inglês | MEDLINE | ID: mdl-37539697

RESUMO

AIMS: Help-seeking for mental health problems is facilitated and hindered by several factors at the individual, interpersonal and community level. The most frequently researched factors contributing to differences in help-seeking behaviour are based on classical socio-demographic variables, such as age, gender and education, but explanations for the observed differences are often absent or remain vague. The present study complements traditional approaches in help-seeking research by introducing a milieu approach, focusing on values and political attitudes as a possible explanation for differences in help-seeking for emotional mental health problems. METHODS: A representative cross-sectional survey of N = 3,042 respondents in Germany was conducted through face-to-face interviews about past help-seeking for mental health problems, socio-demographic characteristics and values and political attitudes. RESULTS: Multivariate logistic regression analyses indicated that belonging to a cosmopolitan intellectual milieu group was significantly associated with an increased likelihood of past help-seeking for mental health issues (psychotherapeutic/psychological help-seeking [OR = 2.09, 95% CI: 1.11-3.93, p < 0.05) and primary care (OR = 2.21, 95% CI: 1.15-4.24, p < 0.05]), whereas members of individualist and conservative milieu groups were less likely to report having sought help from a psychotherapist, but not from a general practitioner. Increased odds ratios were also found for a number of socio-demographic variables, such as being aged 26 years and over, a female gender and more than 12 years of formal education. Associations between socio-demographic variables remained significant, and the explained variance of the used models improved considerably when milieu variables were added. CONCLUSIONS: We discuss how milieu-specific patterns were relevant for explaining differences in mental health service use in addition to socio-demographic factors. It seems promising to consider help-seeking from a milieu perspective to improve disparities in access to and the use of psychotherapy as well as to resource allocation.


Assuntos
Transtornos Mentais , Serviços de Saúde Mental , Humanos , Feminino , Saúde Mental , Estudos Transversais , Atitude , Grupos Populacionais , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Transtornos Mentais/psicologia , Estigma Social
2.
Epidemiol Psychiatr Sci ; 32: e11, 2023 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-36786061

RESUMO

AIMS: We will first examine whether seeking help for depression and schizophrenia from mental health professionals is nowadays more accepted among the German public than it used to be 30 years ago. Next, we will explore whether changes in help-seeking preferences between 1990 and 2020 are specific to mental health professions or are part of changes in attitudes to professional help-seeking in general. Finally, we will study whether a temporal relationship does exist between the advent of awareness-raising and anti-stigma campaigns after the turn of the millennium and changes in the acceptance of mental health care. METHODS: In 1990 (n = 2044), 2001 (n = 4005), 2011 (n = 1984) and 2020 (n = 2449) methodologically identical population-based surveys were conducted in Germany. After presentation of an unlabelled case vignette depicting someone with either schizophrenia or depression, we asked about help-seeking recommendations for the person described. RESULTS: The German public's readiness to recommend seeking help from mental health professionals has markedly grown over the past 30 years. In contrast, in the eyes of the public, turning to a general practitioner has become only slightly more, consulting a priest even less advisable than it used to be three decades ago. Seeing a naturopath is seen with markedly less disapproval today compared to 1990, but explicit recommendation of this helping source has not increased correspondingly in. The most pronounced increase in the German public's propensity to recommend seeking help from mental health professionals occurred already in the 1990s, i.e. before efforts to heighten public awareness had started. CONCLUSIONS: Today, the German public is more in favour of mental health professionals than it used to be three decades ago. This seems to be a specific trend, and not to reflecting an increasing propensity towards professional help-seeking in general. Our findings counter the narrative that mental health communication efforts and initiatives have created more favourable attitudes towards mental health care among the public, since the observed changes in attitudes have preceded any campaigns. Instead, we tend to interpret the rise of the popularity of mental health professionals as a reflection of general cultural changes that have taken place over the past decades in Germany, as in other western countries.


Assuntos
Transtornos Mentais , Esquizofrenia , Humanos , Saúde Mental , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Estigma Social , Alemanha , Transtornos Mentais/terapia , Transtornos Mentais/psicologia
3.
Opt Express ; 28(10): 15331-15346, 2020 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-32403563

RESUMO

We demonstrate the capability to measure the absolute power responsivity of optical fiber-coupled detectors at an expanded uncertainty of 0.1%, by direct comparison with a cryogenic primary standard. To facilitate synchronous power measurements, commercial all-fiber beam-splitters direct laser diode light simultaneously to the device under test and the primary standard. We investigate the use of single-mode, polarisation maintaining, and photonic crystal fibers to access the cryogenic standard, and report a reduction in the temperature dependent effective refractive index of these fibers of 0.1%, 0.15% and 0.3% respectively in going from room temperature to 5 K. We also evaluate the polarisation dependent loss of the beam-splitters, the stability of the beam-splitter ratio between the cryogenic detector and the device under test and the temporal and modal stability of the Fabry-Pérot laser diode sources. It is shown that the stability of the optical fiber beam-splitters limits the overall performance of the measurement system to an expanded uncertainty of 0.1%.

4.
Community Dent Health ; 36(3): 181-186, 2019 Aug 29.
Artigo em Inglês | MEDLINE | ID: mdl-31436926

RESUMO

Initial impetus for action: Oral cancer is still an underestimated disease in terms of incidence as well as mortality rates; it requires urgent prevention and early detection. At present, there is no best-practice systematic approach to raising awareness and informing the public about about this type of cancer in Germany. This article describes a framework that covers the significant stages of conceptual development and campaign design to promote oral cancer awareness in Germany. Solution: The challenges of the development, as well as evaluation of an oral cancer awareness campaign are shared in this article. Four key stages of the campaign are defined: (1) mass media, (2) target groups, (3) health care professionals, and (4) epidemiology. For each section, the following levels of assessment are proposed: (a) campaign development (formative assessment), (b) controlling and optimising campaign implementation (process assessment) and (c) measuring outcomes (summative assessment). Outcome: A process-oriented assessment concept for each of the four campaign sections was developed and merged to form a matrix, which includes each of the above sections regarding the prevention and early detection of oral cancer, as well as the three stages of campaign assessment. Future implications and learning points: The conceptual framework demonstrated that systematic planning and evaluation of different components helped to describe and evaluate an oral cancer campaign: For future campaigns, the use of a matrix covering different campaign targets as well as the entire campaign process, is recommended as a basis for campaign design and evaluation.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Promoção da Saúde , Meios de Comunicação de Massa , Neoplasias Bucais , Alemanha , Humanos , Incidência , Neoplasias Bucais/diagnóstico , Neoplasias Bucais/prevenção & controle , Avaliação de Resultados em Cuidados de Saúde
5.
J Occup Environ Hyg ; 16(8): 519-531, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31094667

RESUMO

Little is known about emissions and exposure potential from vat polymerization additive manufacturing, a process that uses light-activated polymerization of a resin to build an object. Five vat polymerization printers (three stereolithography (SLA) and two digital light processing (DLP) were evaluated individually in a 12.85 m3 chamber. Aerosols (number, size) and total volatile organic compounds (TVOC) were measured using real-time monitors. Carbonyl vapors and particulate matter were collected for offline analysis using impingers and filters, respectively. During printing, particle emission yields (#/g printed) ranged from 1.3 ± 0.3 to 2.8 ± 2.6 x 108 (SLA printers) and from 3.3 ± 1.5 to 9.2 ± 3.0 x 108 (DLP printers). Yields for number of particles with sizes 5.6 to 560 nm (#/g printed) were 0.8 ± 0.1 to 2.1 ± 0.9 x 1010 and from 1.1 ± 0.3 to 4.0 ± 1.2 x 1010 for SLA and DLP printers, respectively. TVOC yield values (µg/g printed) ranged from 161 ± 47 to 322 ± 229 (SLA printers) and from 1281 ± 313 to 1931 ± 234 (DLP printers). Geometric mean mobility particle sizes were 41.1-45.1 nm for SLA printers and 15.3-28.8 nm for DLP printers. Mean particle and TVOC yields were statistically significantly higher and mean particle sizes were significantly smaller for DLP printers compared with SLA printers (p < 0.05). Energy dispersive X-ray analysis of individual particles qualitatively identified potential occupational carcinogens (chromium, nickel) as well as reactive metals implicated in generation of reactive oxygen species (iron, zinc). Lung deposition modeling indicates that about 15-37% of emitted particles would deposit in the pulmonary region (alveoli). Benzaldehyde (1.0-2.3 ppb) and acetone (0.7-18.0 ppb) were quantified in emissions from four of the printers and 4-oxopentanal (0.07 ppb) was detectable in the emissions from one printer. Vat polymerization printers emitted nanoscale particles that contained potential carcinogens, sensitizers, and reactive metals as well as carbonyl compound vapors. Differences in emissions between SLA and DLP printers indicate that the underlying technology is an important factor when considering exposure reduction strategies such as engineering controls.


Assuntos
Poluição do Ar em Ambientes Fechados/análise , Material Particulado/análise , Impressão Tridimensional , Compostos Orgânicos Voláteis/análise , Carcinógenos , Metais , Tamanho da Partícula , Material Particulado/química , Polimerização
6.
Geophys Res Lett ; 44(9): 4280-4286, 2017 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-29225384

RESUMO

Stratospheric aerosols (SAs) are a variable component of the Earth's albedo that may be intentionally enhanced in the future to offset greenhouse gases (geoengineering). The role of tropospheric-sourced sulfur dioxide (SO2) in maintaining background SAs has been debated for decades without in-situ measurements of SO2 at the tropical tropopause to inform this issue. Here we clarify the role of SO2 in maintaining SAs by using new in-situ SO2 measurements to evaluate climate models and satellite retrievals. We then use the observed tropical tropopause SO2 mixing ratios to estimate the global flux of SO2 across the tropical tropopause. These analyses show that the tropopause background SO2 is about 5 times smaller than reported by the average satellite observations that have been used recently to test atmospheric models. This shifts the view of SO2 as a dominant source of SAs to a near-negligible one, possibly revealing a significant gap in the SA budget.

7.
J Dairy Sci ; 100(11): 9007-9019, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28888601

RESUMO

Potassium carbonate supplementation is known to improve milk fat synthesis and to modify milk mineral composition in dairy cows. The objective of the current experiment was to evaluate the effect of K2CO3 on production performance, biohydrogenation of fatty acids (FA), and mineral composition of milk in early-lactation dairy cows fed a high-concentrate diet with or without soybean oil (SBO), as a source of polyunsaturated FA. Twenty-eight ruminally fistulated Holstein cows were used in a randomized complete block design. The experiment lasted 33 d, including a 5-d pretreatment collection period used as a covariate. Experimental treatments were arranged as a 2 × 2 factorial with 0 or 1.5% K2CO3 and with 0 or 2% SBO, and balanced to contain 40% forage (57% corn silage + 43% grass silage) and 60% concentrate. Preplanned orthogonal contrasts were used to assess the effects of K2CO3, SBO, and their interaction. Feeding K2CO3 did not affect milk yield, but tended to increase 4% fat-corrected milk and fat yield when combined with SBO. However, adding SBO to diets increased milk yield. Dietary K2CO3 supplementation did not affect milk fat concentration of trans-10 18:1 or any other identified biohydrogenation intermediates. Soybean oil supplementation decreased milk fat concentration of C16 and de novo synthesized FA, and increased preformed FA. Among the other effects of SBO supplementation observed, concentrations of cis-9,trans-11 18:2 increased, as well as most of the cis and trans isomers of 18:1 and 18:0. Milk urea N decreased in cows fed K2CO3 as compared with unsupplemented diets. A positive relation was established between milk Cl concentration and milk yield, suggesting that the equilibrium of this ion is linked to the efficiency of lactogenesis. The effect of K2CO3 on this mineral equilibrium in the mammary gland remains to be established. Overall, results have shown that potential effect of K2CO3 on milk fat synthesis is dependent on the levels of dietary polyunsaturated FA.


Assuntos
Ração Animal , Carbonatos/farmacologia , Dieta/veterinária , Lactação/efeitos dos fármacos , Potássio/farmacologia , Óleo de Soja/farmacologia , Animais , Bovinos , Suplementos Nutricionais , Ácidos Graxos/farmacologia , Ácidos Graxos Insaturados/farmacologia , Feminino , Leite , Poaceae , Silagem/análise , Zea mays
8.
J Dairy Sci ; 99(8): 6311-6323, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27236757

RESUMO

Eight ruminally fistulated, multiparous Holstein cows were arranged in a double 4×4 Latin square with 14-d periods to investigate the effects of lipid supplementation on performance, rumen parameters, the milk odd- and branched-chain fatty acid (OBCFA) profile, and the relationships between milk OBCFA and rumen parameters. Lipid supplementation is known to inhibit microbial growth in the rumen, decrease de novo microbial fatty acid synthesis, and increase the uptake of circulating fatty acids by the mammary gland; treatments were selected to isolate these effects on the milk OBCFA profile. The 4 treatments were (1) a lipid-free emulsion medium infused in the rumen (CTL), (2) soybean oil as a source of polyunsaturated fatty acids infused in the rumen (RSO), (3) saturated fatty acids (38% 16:0, 40% 18:0) infused in the rumen (RSF), and (4) saturated fatty acids infused in the abomasum (ASF). Fat supplements were provided continuously as emulsions at a rate of 450g/d. Preplanned contrasts compared CTL to RSO, RSO to RSF, and RSF to ASF. Infusing RSO slightly decreased ruminal pH, but did not affect volatile fatty acids profile and milk fat concentration as compared with CTL. The yields of energy-corrected milk, fat, and protein were greater with RSF compared with RSO. The concentration of odd-chain fatty acids was decreased by RSO, whereas even-chain iso fatty acids were not affected. Milk fat concentration of 17:0 + cis-9 17:1 was higher for RSF than for RSO, due to the saturated fatty acids supplement containing 2% 17:0 + cis-9 17:1. Limited differences were observed in the milk OBCFA profile between RSF and ASF. A multiple regression analysis yielded the following equation for predicting rumen pH based on milk fatty acids: pH=6.24 - (0.56×4:0) + (1.67 × iso 14:0) + (4.22 × iso 15:0) + (9.41×22:0). Rumen propionate concentration was negatively correlated with milk fat concentration of iso 14:0 and positively correlated with milk 15:0, whereas the acetate-to-propionate ratio gave the opposite correlations with milk iso 14:0 and 15:0. Milk fat concentration of 17:0 + cis-9 17:1 was not related to rumen propionate or to acetate-to-propionate ratio, due to the presence of 17:0 and cis-9 17:1 in the saturated fatty acids supplement. The results suggest that although lipid supplementation can affect the profile of milk OBCFA, the promise remains of using these milk fatty acids to evaluate rumen function.


Assuntos
Leite/química , Rúmen/metabolismo , Animais , Bovinos , Dieta/veterinária , Suplementos Nutricionais , Ácidos Graxos , Ácidos Graxos Voláteis , Feminino , Fermentação , Lactação/efeitos dos fármacos , Lipídeos/farmacologia
9.
Rev Sci Instrum ; 86(8): 081301, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26329167

RESUMO

We describe the design, fabrication, and performance of a self-referenced, optically coherent frequency comb. The system robustness is derived from a combination of an optics package based on polarization-maintaining fiber, saturable absorbers for mode-locking, high signal-to-noise ratio (SNR) detection of the control signals, and digital feedback control for frequency stabilization. The output is phase-coherent over a 1-2 µm octave-spanning spectrum with a pulse repetition rate of ∼200 MHz and a residual pulse-to-pulse timing jitter <3 fs well within the requirements of most frequency-comb applications. Digital control enables phase coherent operation for over 90 h, critical for phase-sensitive applications such as timekeeping. We show that this phase-slip free operation follows the fundamental limit set by the SNR of the control signals. Performance metrics from three nearly identical combs are presented. This laptop-sized comb should enable a wide-range of applications beyond the laboratory.

10.
Opt Express ; 22(21): 24914-28, 2014 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-25401525

RESUMO

Non-contact surface mapping at a distance is interesting in diverse applications including industrial metrology, manufacturing, forensics, and artifact documentation and preservation. Frequency modulated continuous wave (FMCW) laser detection and ranging (LADAR) is a promising approach since it offers shot-noise limited precision/accuracy, high resolution and high sensitivity. We demonstrate a scanning imaging system based on a frequency-comb calibrated FMCW LADAR and real-time digital signal processing. This system can obtain three-dimensional images of a diffusely scattering surface at stand-off distances up to 10.5 m with sub-micrometer accuracy and with a precision below 10 µm, limited by fundamental speckle noise. Because of its shot-noise limited sensitivity, this comb-calibrated FMCW LADAR has a large dynamic range, which enables precise mapping of scenes with vastly differing reflectivities such as metal, dirt or vegetation. The current system is implemented with fiber-optic components, but the basic system architecture is compatible with future optically integrated, on-chip systems.


Assuntos
Imageamento Tridimensional , Lasers , Cactaceae/anatomia & histologia , Calibragem , Razão Sinal-Ruído , Propriedades de Superfície , Fatores de Tempo , Incerteza
11.
Langenbecks Arch Surg ; 399(7): 857-62, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25139068

RESUMO

INTRODUCTION: The adequate way of mesh fixation in laparoscopic ventral hernia repair is still subject to debate. So far, simulation has only been carried out in a static way, thereby omitting dynamic effects of coughing or vomiting. We developed a dynamic model of the anterior abdominal wall. MATERIALS AND METHODS: An aluminium cylinder was equipped with a pressure controlled, fluid-filled plastic bag, simulating the abdominal viscera. A computer-controlled system allowed the control of influx and efflux, thus creating pressure peaks of up to 200 mmHg to simulate coughing and 290 mmHg to simulate vomiting. We tested fixation with tacks (Absorbatack, Covidien Deutschland, Neustadt a. D., Germany). The model was controlled for the friction coefficient of the tissue against the mesh and the physiologic elasticity of the abdominal wall surrogate. RESULTS: The model was able to create pressure peaks equivalent to physiologic coughs or vomiting. Physiologic elasticity was thereby maintained. We could show that the friction coefficient is crucial to achieve a physiologic situation. The meshes showed a tendency to dislocate with an increasing number of coughs (Fig. 4). Nevertheless, when applied in a plain manner, the meshes withstood more cough cycles than when applied with a bulge as in laparoscopic surgery. CONCLUSIONS: The dynamic movement of the abdominal wall, the friction between tissue and mesh and the way of mesh application are crucial factors that have to be controlled for in simulation of ventral abdominal hernia closure. We could demonstrate that patient specific factors such as the frequency of coughing as well as the application technique influence the long term stability of the mesh.


Assuntos
Hérnia Ventral/cirurgia , Telas Cirúrgicas , Parede Abdominal/fisiopatologia , Fenômenos Biomecânicos , Tosse/fisiopatologia , Hérnia Ventral/fisiopatologia , Herniorrafia/métodos , Humanos , Modelos Biológicos
12.
Artigo em Alemão | MEDLINE | ID: mdl-24562710

RESUMO

In recent decades the numbers of cases of skin cancer have been increasing worldwide in light skinned populations. In Germany skin cancer is the most common form of cancer. To reduce the burden of skin cancer protection from ultraviolet radiation (primary prevention) and early detection (secondary prevention) of the disease play a decisive role. In this context information to the population about preventive behavior and the support of informed decision-making in skin cancer screening are important aspects in communication. This paper gives an overview about communicational aspects in the promotion of skin cancer prevention. In the development of communicational interventions it is important to identify the relevant target groups. Relevant key opinion leaders have to be included in the information process. Additionally, interventions should be based on a theoretical framework and be designed for the respective target group. Furthermore, different forms of communication and communication tools are provided for the realization of an information intervention. To appraise the intervention elements of summative and formal evaluation are available. The current results provide important findings about different effects of communicational aspects on knowledge and behavior of the population; however, due to the complexity of information interventions a particular effect cannot be explained by a single communicational element.


Assuntos
Detecção Precoce de Câncer/métodos , Comunicação em Saúde/métodos , Promoção da Saúde/métodos , Promoção da Saúde/organização & administração , Disseminação de Informação/métodos , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/prevenção & controle , Tomada de Decisões , Humanos , Medição de Risco/métodos
13.
Opt Lett ; 37(4): 638-40, 2012 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-22344132

RESUMO

We demonstrate a dual-comb spectrometer using stabilized frequency combs spanning 177 to 220 THz (1360 to 1690 nm) in the near infrared. Comb-tooth-resolved measurements of amplitude and phase generate over 4×10(5) individually resolved spectral elements at 100 MHz point spacing and kilohertz-level resolution and accuracy. The signal-to-noise ratio is 100 to 3000 per comb tooth. Doppler-broadened phase and amplitude spectra of CO(2), CH(4), C(2)H(2), and H(2)O in a 30 m multipass cell agree with established spectral parameters, achieving high-resolution measurements with optical bandwidth generally associated with blackbody sources.

14.
Actas dermo-sifiliogr. (Ed. impr.) ; 99(6): 464-468, jul. 2008. ilus, tab
Artigo em Es | IBECS | ID: ibc-66033

RESUMO

Introducción. La incidencia del melanoma ha aumentado más que la de ninguna otra neoplasia maligna. Nuestro objetivo fue analizar la evolución del melanoma cutáneo en los últimos años en una población mediterránea. Material y métodos. Los pacientes con melanoma diagnosticados entre 1988-2006 fueron incluidos en el estudio. Se comparan los datos de la primera mitad con la segunda mitad del periodo analizado. Resultados. El número de melanomas in situ pasó de 36/302 casos (11,92 %) en la primera mitad del periodo a224/724 (30,94 %) en la segunda. Los melanomas mayores de 4 mm pasaron de 29/302 casos (9,60 %) a 62/724(8,56 %). La media de la profundidad máxima fue 1,91 mm y se mantuvo estable a lo largo del periodo. Conclusiones. El aumento de incidencia del melanoma en nuestra población se debe mayoritariamente al incremento de casos incipientes. Sin embargo, se mantiene estable la proporción de melanomas mayores de 4 mm, y en números absolutos se ha duplicado el número anual de melanomas con estas dimensiones. Consideramos que hay que seguir insistiendo en campañas de prevención y detección precoz, especialmente dirigidas a la población de mayor edad (AU)


Introduction. The incidence of melanoma has increased more than that of any other type of malignant tumor. Our aim was to analyze the changes in incidence of cutaneous melanoma in recent years in a Mediterranean population. Material and methods. Patients with melanoma diagnosed between 1988 and 2006 were included in the study. Data from the first half of this period were compared with data from the second half. Results. The number of in situ melanomas increased from 36/302 cases (11.92 %) in the first half of the period to 224/724 (30.94 %) in the second half. Melanomas measuring more than 4 mm increased from 29/302 cases (9.60 %) to 62/724 (8.56 %). The mean maximum thickness for the whole study period was 1.91 mm and was similar for both halves. Conclusions. The increase in incidence of melanoma in our population was due mainly to an increase in incipient cases. The proportion of melanomas larger than 4 mm remained constant, although, in absolute terms, twice as many such melanomas were detected per year. We believe that campaigns for prevention and early detection must continue, and should focus in particular on the older population (AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Melanoma/diagnóstico , Melanoma/epidemiologia , Neoplasias Cutâneas/epidemiologia , Neoplasias Cutâneas/patologia , Espanha/epidemiologia , Neoplasias Primárias Múltiplas/epidemiologia , Monitoramento Epidemiológico
15.
Actas Dermosifiliogr ; 99(6): 464-8, 2008.
Artigo em Espanhol | MEDLINE | ID: mdl-18558054

RESUMO

INTRODUCTION: The incidence of melanoma has increased more than that of any other type of malignant tumor. Our aim was to analyze the changes in incidence of cutaneous melanoma in recent years in a Mediterranean population. MATERIAL AND METHODS: Patients with melanoma diagnosed between 1988 and 2006 were included in the study. Data from the first half of this period were compared with data from the second half. RESULTS: The number of in situ melanomas increased from 36/302 cases (11.92 %) in the first half of the period to 224/724 (30.94 %) in the second half. Melanomas measuring more than 4 mm increased from 29/302 cases (9.60 %) to 62/724 (8.56 %). The mean maximum thickness for the whole study period was 1.91 mm and was similar for both halves. CONCLUSIONS: The increase in incidence of melanoma in our population was due mainly to an increase in incipient cases. The proportion of melanomas larger than 4 mm remained constant, although, in absolute terms, twice as many such melanomas were detected per year. We believe that campaigns for prevention and early detection must continue, and should focus in particular on the older population.


Assuntos
Melanoma/epidemiologia , Neoplasias Cutâneas/epidemiologia , Feminino , Hospitais Universitários/estatística & dados numéricos , Humanos , Incidência , Masculino , Região do Mediterrâneo/epidemiologia , Melanoma/etiologia , Pessoa de Meia-Idade , Morbidade/tendências , Neoplasias Induzidas por Radiação/epidemiologia , Neoplasias Induzidas por Radiação/etiologia , Estudos Retrospectivos , Neoplasias Cutâneas/etiologia , Espanha/epidemiologia
16.
Bull Soc Pathol Exot ; 97(4): 271-3, 2004 Nov.
Artigo em Francês | MEDLINE | ID: mdl-17304750

RESUMO

Evaluation of Toxoplasmosis seroprevalence was conducted in 2416 women of childbearing age by Pasteur Institute of New-Caledonia. The estimated seroprevalence was 56.7%, significantly higher in the North-East part of the territory (79.1%), area characterized by strong precipitations, and in the Melanesian ethnic group (62.1%). The habits of this population could enhance contamination by ingestion of oocysts during childhood or adolescence, particularly in the North-East territory. Melanesian women living in the North-East and being not immunized against toxoplasmosis represent the population with the highest risk for Toxoplasma gondii infection.


Assuntos
Toxoplasmose/epidemiologia , Academias e Institutos/estatística & dados numéricos , Adolescente , Adulto , Etnicidade , Europa (Continente)/etnologia , Feminino , Humanos , Melanesia/etnologia , Pessoa de Meia-Idade , Nova Caledônia/epidemiologia , Polinésia/etnologia , Gravidez , Complicações Infecciosas na Gravidez/sangue , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/etnologia , Complicações Infecciosas na Gravidez/parasitologia , Complicações Infecciosas na Gravidez/prevenção & controle , Exames Pré-Nupciais/estatística & dados numéricos , Estudos Retrospectivos , Fatores de Risco , Estudos Soroepidemiológicos , Toxoplasmose/sangue , Toxoplasmose/etnologia , Toxoplasmose/parasitologia , Toxoplasmose/prevenção & controle , Vacinação/estatística & dados numéricos
17.
Clin Nephrol ; 58(3): 198-204, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12356188

RESUMO

AIM: It is suggested that the red blood cells (RBCs) of uremic patients have increased oxidative damage. The activities of different antioxidant enzymes and the levels of several antioxidants or lipid peroxidation products in RBCs are usually determined to estimate the oxidative stress in uremia. The autofluorescence of RBCs as measured by flow cytometry is caused by the formation of conjugated Schiff base compounds from aldehydes derived from lipid peroxidation and amino groups of phospholipids or cell proteins, and has been proposed as a marker of oxidative stress. The aim of this study was to evaluate if this method is suitable for estimation of oxidative stress in the RBCs of patients with different degrees of renal insufficiency. PATIENTS AND METHODS: To determine the oxidative damage in RBCs in uremia, the autofluorescence of RBCs was measured by flow cytometry in the following 3 groups of patients: group A: 16 patients with chronic renal failure (CRF); group B: 16 hemodialysis (HD) patients; group C: 16 patients with a well-functioning renal allograft. Twenty-four healthy volunteers served as controls. The basal value of RBC autofluorescence and the autofluorescence of RBCs after oxidative damage by treatment with 0.1 mM hydrogen peroxide (H2O2)/0.7 mM sodium azide were determined. RESULTS: In basal RBC autofluorescence values, no differences were found between the 3 groups and the controls. However, there was a significant correlation between the increase of serum creatinine and RBC autofluorescence in the group of patients with CRF (r = 0.521; p = 0.038). After H2O2 treatment, the RBC autofluorescence rose markedly in all individuals. This increase in RBC autofluorescence was significantly higher in the patients with CRF (p = 0.003) and in the HD patients (p = 0.001) compared to the controls. In contrast, there was no difference in RBC autofluorescence between the patients with renal allograft and the controls after H2O2 treatment. CONCLUSIONS: In conclusion, flow cytometry is a useful tool for determining oxidative damage in RBCs. The RBCs of uremic patients are more susceptible to oxidative damage induced by H2O2, likely caused by diminished antioxidant defense in the RBC membrane. Successful renal transplantation leads to a normal autofluorescence response in the RBCs after H2O2 treatment.


Assuntos
Eritrócitos/citologia , Citometria de Fluxo/métodos , Estresse Oxidativo , Uremia/sangue , Idoso , Biomarcadores , Feminino , Humanos , Falência Renal Crônica/sangue , Transplante de Rim , Masculino , Pessoa de Meia-Idade
19.
Environ Technol ; 22(3): 355-65, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11346293

RESUMO

This study explored the ferrous iron adsorption capacity of three synthesized lepidocrocites as well as their morphology and surface area. Their morphologies were observed using scanning electron microscopy (SEM) and their surface areas were measured by BET isotherm techniques using nitrogen gas at the liquid nitrogen temperature. The adsorption capacities of the three distinctive lepidocrocites were measured and the data were processed by multiple regression technique to obtain the adsorption constants in the proposed model. The microphotographs of the lepidocrocites revealed that lepidocrocites could have an acicular shape as well as the shape of agglomerated flocs. The surface areas of the synthesized lepidocrocites in this study varied widely from 48.98 m2 g(-1) to 150.28 m2 g(-1). Adsorption capacities of three distinctive lepidocrocites for ferrous iron were investigated at four different pH levels. It was observed that there was no correlation between the BET surface area and adsorption capacity. The sites accessible to nitrogen gas might not be available to ferrous iron in water. An adsorption model based on the Freundlich equation was built to predict the effect of pH and the equilibrium concentration of ferrous iron in water. Multiple regression of data revealed that the amount of ferrous iron adsorbed on the unit weight of lepidocrocite was proportional to the 0.57 power of the ferrous iron concentration and inversely proportional to the 0.66 power of the hydrogen ion concentration.


Assuntos
Reatores Biológicos , Compostos Ferrosos/química , Minerais/química , Adsorção , Humanos , Microscopia Eletrônica de Varredura , Análise de Regressão
20.
Anal Biochem ; 292(1): 22-5, 2001 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-11319813

RESUMO

In caseogram prints, a type of zymogram which is designed for the detection of acid proteases, enzyme activity is detected in an overlay gel of agarose containing skim milk. The use of this technique for protease quantification was investigated in this study using pepsinogen as an example protease. The area of caseogram bands was found to be logarithmically related to protease activity whereas the intensity of the bands was no reliable measure for activity. A reproducible quantification procedure was described. Accuracy and variation were acceptable over a 128-fold range whose lower border was the detection limit (35 pg pepsinogen).


Assuntos
Técnicas de Química Analítica/métodos , Pepsinogênio A/análise , Controle de Qualidade
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