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1.
Mol Diagn ; 6(4): 217-25, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11774186

RESUMO

BACKGROUND: A method that provides standardized data and is relatively inexpensive and capable of high throughput is a prerequisite to the development of a meaningful gene expression database suitable for conducting multi-institutional clinical studies based on expression measurement. Standardized RT (StaRT)-PCR has all these characteristics. In addition, the method must be reproducible. StaRT-PCR has high intralaboratory reproducibility. The purpose of this study is to determine whether StaRT-PCR provides similar interlaboratory reproducibility. METHODS AND RESULTS: In a blinded interlaboratory study, expression of ten genes was measured by StaRT-PCR in a complementary DNA sample provided to each of four laboratories. The average coefficient of variation for interlaboratory comparison of the nine quantifiable genes was 0.48. In all laboratories, expression of one of the genes was too low to be measured. CONCLUSION: Because StaRT-PCR data are standardized and numerical and the method is reproducible among multiple laboratories, it will allow development of a meaningful gene expression database.


Assuntos
Perfilação da Expressão Gênica/normas , Reação em Cadeia da Polimerase Via Transcriptase Reversa/normas , Ligação Competitiva/genética , Linhagem Celular , DNA Complementar/genética , Bases de Dados Genéticas , Método Duplo-Cego , Expressão Gênica , Perfilação da Expressão Gênica/classificação , Perfilação da Expressão Gênica/estatística & dados numéricos , Humanos , Pulmão/química , Pulmão/citologia , Pulmão/metabolismo , RNA Mensageiro/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa/estatística & dados numéricos , Moldes Genéticos , Terminologia como Assunto
2.
Soc Secur Bull ; 64(1): 1-15, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-12428513

RESUMO

Widow benefits have been a part of the Social Security program since the 1939 amendments to the Social Security Act (widower benefits were added later). For many years, the Social Security law called for paying a widow(er) a fraction of the deceased worker's primary insurance amount (PIA). However, the worker--while alive--may have received the full PIA as his or her retirement benefit. Over time, arguments were made that a widow(er) should be treated as generously as his or her spouse was. The 1972 amendments to the Social Security Act allowed for a widow(er) to receive a full PIA, subject to actuarial reductions if the widow(er) benefit was claimed before the normal retirement age (NRA) and subject to a new provision of the law commonly referred to as the widow(er)'s limit. Generally, the widow(er)'s limit specifies that if a worker received reduced retirement benefits (because the worker claimed benefits before the NRA), then the worker's widow(er) cannot receive a monthly benefit equal to the full PIA. Rather, the widow(er)'s benefit is generally limited to the amount the worker would receive if he or she was still alive. The limit provision appears to be motivated by the overall intent of the 1972 Congress to pay a benefit to a widow(er) that was comparable with what the worker received. A number of changes to the limit provision have been discussed. This article looks at the following options: Abolishing the limit, Raising the limit by requiring that it never be set below the average PIA among all retired-worker beneficiaries. Adjusting the limit for some widow(er)s--that is, only persons who are widowed before the NRA (the ARLA option), Making a simpler adjustment to the limit by abolishing it for persons who are widowed before age 62 (the SARLA option), and A proposal by Robert J. Myers that would make modest adjustments to the limit for cases in which the worker died before the NRA. The most fundamental change--abolishing the limit--would increase benefits for about 2.8 million widow(er)s and would cost about $3.1 billion a year. Most of the additional government expenditures would not go to the poor and the near poor. Another change would be more successful in aiding low-income widow(er)s: requiring that the limit amount never be set below the average PIA among all retired-worker beneficiaries. About 58 percent of the government expenditures from that option would be received by the poor and the near poor. Overall, 1.2 million widow(er)s would be helped, and the cost would be about $816 million a year. Although the limit provision is consistent with the overall intent of the 1972 Congress, it can have effects that may have been unintended and that some policymakers might consider unusual. Persons who delay receipt of Social Security benefits usually receive higher monthly benefit amounts, but a widow(er) who faces a limit cannot increase his or her monthly benefit through delayed receipt of benefits. Thus, many persons who are widowed before the NRA face strong incentives to claim benefits early. That is somewhat unusual because the actuarial adjustments under Social Security are approximately fair, so there are no cost savings to the Social Security program from "forcing" a widow(er) to claim early benefits as opposed to allowing him or her to delay receipt of benefits in exchange for a higher monthly amount. And many widow(er)s would be better off if they could use the Social Security program to, in effect, save (that is, delay receipt of benefits in exchange for a higher amount later). This article analyzes two other options that would provide widow(er)s with additional filing options under Social Security. The ARLA option would ultimately help about 229,000 widow(er)s, and the cost would be small (about $69 million a year). The SARLA option would help about 117,000 widow(er)s, and the cost would be about $41 million a year. Robert J. Myers, a former Chief Actuary of Social Security, has offered a proposal that would provide relief from the widow(er)'s limit in cases in which the worker dies shortly after retirement. That proposal would help about 115,000 widow(er)s, and the cost would be low (about $57 million a year).


Assuntos
Benefícios do Seguro , Previdência Social/economia , Viuvez , Idoso , Custos e Análise de Custo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Previdência Social/legislação & jurisprudência , Estados Unidos
4.
Demography ; 37(3): 395-9, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10953812

RESUMO

Researchers have concluded that divorced persons often fail to report accurate marital information in surveys. I revisit this issue using surveys matched exactly to Social Security data. Older divorced persons frequently misreport their marital status, but there is evidence that the misreporting is unintentional. I offer some suggestions on how surveys can be improved.


Assuntos
Censos , Casamento/estatística & dados numéricos , Previdência Social/estatística & dados numéricos , Estudos Transversais , Divórcio , Características da Família , Feminino , Humanos , Estudos Longitudinais , Masculino , Viuvez
5.
Cancer Res ; 60(6): 1609-18, 2000 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-10749130

RESUMO

Normal bronchial epithelial cells (NBECs) are at risk for damage from inhaled and endogenous oxidative species and from epoxide metabolites of inhaled polycyclic aromatic hydrocarbons. Epidemiological and in vitro data suggest that interindividual variation in this risk may result from variation in NBEC expression of enzymes that inactivate reactive species by conjugating them to glutathione. Quantitative competitive reverse transcription-PCR was used to measure mRNA levels of glutathione transferases (GSTs) and glutathione peroxidases (GSHPxs) in primary NBECs from subjects with or without bronchogenic carcinoma. Mean expression levels (mRNA/10(3) beta-actin mRNA) in NBECs from 23 subjects without bronchogenic carcinoma compared to those from 11 subjects with bronchogenic carcinoma respectively (in parentheses) were: mGST (26.0, 6.11), GSTM3 (0.29, 0.09), combined GSTM1,2,4,5 (0.98, 0.60), GSTT1 (0.84, 0.76), GSTP1 (287, 110), GSHPx (140, 62.1), and GSHPxA (0.43, 0.34). Levels of GSTP1, GSTM3, and GSHPx were significantly (P < 0.05) lower in NBECs from subjects with bronchogenic carcinoma. Further, the gene expression index formed by multiplying the values for mGST x GSTM3 x GSHPx x GSHPxA x GSTP1 had a sensitivity (90%) and specificity (76%) for detecting NBECs from bronchogenic carcinoma subjects that was better than any individual gene. In cultured NBECs derived from eight individuals without bronchogenic carcinoma and incubated under identical conditions such that environmental effects were minimized, the mean level of expression and degree of interindividual variation for each gene evaluated was less than that observed in primary NBECs. Data from these studies support the hypotheses that (a) interindividual variation in risk for bronchogenic carcinoma results in part from interindividual variation in NBEC expression of antioxidant genes; (b) gene expression indices will better identify individuals at risk for bronchogenic carcinoma than individual gene expression values; and (c) both hereditary and environmental exposures contribute to the level of and interindividual variation in gene expression observed in primary NBECs. Many epidemiological studies have been designed to evaluate risk associated with polymorphisms or gene expression levels of putative susceptibility genes based on measurements in surrogate tissues, such as peripheral blood lymphocytes. Based on data presented here, it will be important to include the assessment of NBECs in future studies. Measurement of antioxidant gene expression in NBECs may identify the 5-10% of individuals at risk for bronchogenic carcinoma. Bronchoscopic sampling of NBECs from smokers and ex-smokers then will allow susceptible individuals to be entered into surveillance and/or chemoprevention studies.


Assuntos
Brônquios/enzimologia , Carcinoma Broncogênico/enzimologia , Glutationa Peroxidase/genética , Glutationa Transferase/genética , Neoplasias Pulmonares/enzimologia , Adolescente , Adulto , Fatores Etários , Idoso , Análise de Variância , Brônquios/citologia , Carcinoma Broncogênico/genética , Linhagem Celular , Células Cultivadas , Células Epiteliais/enzimologia , Feminino , Regulação Enzimológica da Expressão Gênica , Regulação Neoplásica da Expressão Gênica , Humanos , Neoplasias Pulmonares/genética , Masculino , Pessoa de Meia-Idade , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Reprodutibilidade dos Testes , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Fatores Sexuais , Fumar
6.
Carcinogenesis ; 21(2): 205-11, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10657959

RESUMO

Radon exposure is associated with increased risk for bronchogenic carcinoma. Mutagenesis analyses have revealed that radon induces mostly multi-locus chromosome deletions. Based on these findings, it was hypothesized that deletion analysis of multiple radon-induced malignant transformants would reveal common mutations in chromosomal regions containing tumor suppressor genes responsible for malignant transformation. This hypothesis was supported by a previous study in which tumorigenic derivatives of the human papillomavirus 18-immortalized human bronchial epithelial cell line BEP2D were established following irradiation with 30 cGy of high linear energy transfer radon-simulated alpha-particles. Herein, we describe the analyses of 10 additional tumorigenic derivative cell lines resulting from the irradiation of five additional independent BEP2D populations. The new transformants have common cytogenetic changes, including the loss of chromosome (ch)Y, one of three copies of ch8, one of two copies of ch11p15-pter and one of three copies of ch14. These changes are the same as those reported previously. Analysis of PCR-amplified short tandem repeats of informative loci confirmed the loss of heterozygosity (LOH) at 12 loci spanning the length of ch8 in cell lines from four of the total of eight irradiation treatments to date and the loss of chY in all cell lines (8 of 8). LOH analysis with a total of 17 informative loci confirmed loss on ch14 in transformants from seven of eight irradiation treatments and indicated a 0.5-1.7 cM region of common involvement centered around locus D14S306. No LOH was detected at any of the informative loci on ch11. The overall results support our stated hypothesis. Further studies are currently in progress to determine whether the ch8 and ch14 regions contain genes with tumor suppressor function in bronchial epithelial cells.


Assuntos
Brônquios/química , Cromossomos Humanos Par 14/genética , Cromossomos Humanos Par 8/genética , Cocarcinogênese , Genes Supressores de Tumor , Neoplasias Pulmonares/genética , Neoplasias Induzidas por Radiação/genética , Sequências Repetitivas de Ácido Nucleico , Partículas alfa , Aneuploidia , Animais , Brônquios/patologia , Brônquios/efeitos da radiação , Brônquios/virologia , Linhagem Celular Transformada/transplante , Transformação Celular Viral/efeitos da radiação , Aberrações Cromossômicas , Deleção Cromossômica , Cromossomos Humanos/efeitos da radiação , Cromossomos Humanos Par 14/efeitos da radiação , Cromossomos Humanos Par 8/efeitos da radiação , Células Epiteliais/química , Células Epiteliais/patologia , Células Epiteliais/efeitos da radiação , Células Epiteliais/transplante , Células Epiteliais/virologia , Predisposição Genética para Doença , Humanos , Perda de Heterozigosidade , Neoplasias Pulmonares/etiologia , Camundongos , Camundongos Nus , Transplante de Neoplasias , Papillomaviridae/fisiologia , Reação em Cadeia da Polimerase , Radônio , Cromossomo Y/efeitos da radiação
7.
Carcinogenesis ; 19(10): 1867-71, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9806171

RESUMO

Bronchogenic carcinomas arise from bronchial epithelial cells (BECs). Inhalation exposure of BECs to nitrosamines in cigarette smoke is an important exogenous risk factor for malignant transformation of BECs. Thus, an important endogenous risk factor is likely to be the capacity of BECs to metabolize nitrosamines. Among the cytochrome P450 enzymes capable of metabolizing nitrosamines, CYP2A6, CYP2E1 and CYP2B6 are expressed in BECs. In this study, we used quantitative RT-PCR to evaluate expression of CYP2A6 and CYP2E1 in primary human BECs from 12 non-smokers and eight smokers. CYP2A6 was expressed in 20/20 cases and quantifiable in 18/20 cases, with a mean level of 580 mRNA/10(6) beta-actin mRNA. CYP2E1 expression was observed in 9/20 cases, but in all cases it was expressed at levels below our limit of quantification (10 mRNA/10(6) beta-actin mRNA). There was significant (P < 0.05) 20-fold inter-individual variation in expression of CYP2A6. Further, the mean level of CYP2A6 among smokers (260 mRNA/10(6) beta-actin mRNA) was significantly lower than among non-smokers (740 mRNA/10(6) beta-actin mRNA). It is hypothesized that: (i) inter-individual variation in CYP2A6 gene expression may contribute to inter-individual variation in risk for bronchogenic carcinoma; (ii) smoking may reduce the level of expression of CYP2A6 in the BECs of some individuals; and (iii) CYP2A6 is more important than CYP2E1 for metabolic activation of nitrosamines in bronchial epithelial cells.


Assuntos
Hidrocarboneto de Aril Hidroxilases , Brônquios/enzimologia , Citocromo P-450 CYP2E1/genética , Sistema Enzimático do Citocromo P-450/genética , Expressão Gênica , Oxigenases de Função Mista/genética , Actinas/genética , Adulto , Sequência de Bases , Brônquios/citologia , Citocromo P-450 CYP2A6 , Primers do DNA , Células Epiteliais/enzimologia , Feminino , Humanos , Masculino , RNA Mensageiro/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa
8.
Am J Respir Cell Mol Biol ; 19(1): 6-17, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9651175

RESUMO

Progress toward complete sequencing of all human genes through the Human Genome Project has already resulted in a need for methods that allow quantitative expression measurement of multiple genes simultaneously. It is increasingly recognized that relative measurement of multiple genes will provide more mechanistic information regarding cell pathophysiology than measurement of individual genes one by one or by methods that do not allow direct intergene comparison. In this study, previously described quantitative reverse transcription-polymerase chain reaction methods were modified in an effort to provide a rapid, simple method for this purpose. Internal standard competitive templates (CTs) were prepared for each gene and were combined in a single solution containing CTs for more than 40 genes at defined concentrations relative to one another. Any subsequent dilution of the CT mixture did not alter the relationship of one CT to another. Because the same CT standard solution or a dilution of it was used in all experiments, data obtained from different experiments were easily compared. The use of multiple CT mixtures with different housekeeping gene to target gene ratios provided a linear dynamic range spanning the range of expression of all genes thus far evaluated. CT stock solutions were used to simultaneously quantify the expression of 25 genes relative to beta-actin and glyceraldehyde-3-phosphate dehydrogenase in normal and malignant bronchial epithelial cells. Because the CT concentrations were known, data in the form of both absolute messenger RNA (mRNA) copy number and mRNA relative to housekeeping gene mRNA were obtained. The methods and reagents described will allow rapid, quantitative measurement of multiple genes simultaneously, using inexpensive and widely available equipment. Furthermore, the CT standard solution may be distributed to other investigators for interlaboratory standardization of experimental conditions.


Assuntos
Brônquios/metabolismo , Expressão Gênica , Neoplasias Pulmonares/genética , Reação em Cadeia da Polimerase/métodos , Actinas/genética , Actinas/metabolismo , Adulto , Apoptose , Brônquios/citologia , Ciclo Celular , Diferenciação Celular , Células Cultivadas , Primers do DNA , Reparo do DNA , Células Epiteliais/metabolismo , Feminino , Gliceraldeído-3-Fosfato Desidrogenases/genética , Gliceraldeído-3-Fosfato Desidrogenases/metabolismo , Humanos , Neoplasias Pulmonares/metabolismo , Masculino , Pessoa de Meia-Idade , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Reprodutibilidade dos Testes , Moldes Genéticos , Células Tumorais Cultivadas
9.
Am J Respir Cell Mol Biol ; 19(1): 18-24, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9651176

RESUMO

Recent methodological developments allow expression measurement of many genes simultaneously, thereby revealing patterns of gene expression that can be related to phenotype. We hypothesized that through the use of such methods we could identify patterns of gene expression associated with the malignant phenotype in human bronchial epithelial cells (BEC). To test this hypothesis, a recently developed quantitative reverse transcriptase polymerase chain reaction method was used to assess simultaneously expression of 15 genes mechanistically associated with cell-cycle control (c-myc, E2F-1, p21, rb, PCNA, cyclin D2, cyclin D3, cyclin E, cdc2, CDK2, CDK4, mad, max p21, max p22, and p53) in normal cell cultures from five individuals and in nine different malignant BEC lines. Relative to the mean expression levels in cultured normal cell populations, expression of c-myc, E2F-1, PCNA, cyclin E, and CDK4 messenger RNA (mRNA) were significantly increased and expression of p21 and p53 mRNA were significantly decreased in one or two, but not all three subtypes (squamous, adenocarcinoma and small cell) of carcinoma cell lines evaluated. No single cell-cycle control gene discriminated all three subtypes from normal cell populations. In contrast, the gene expression index c-myc x E2F-1/p21 separated all carcinoma cell lines from all normal cell populations initially evaluated. This malignancy index was validated in an additional three cultured normal BEC and three carcinoma cell lines, as well as three pairs of matched primary normal bronchial epithelial and primary bronchogenic carcinoma samples, and three pairs of matched primary normal lung parenchyma and primary bronchogenic carcinoma tissue. Again, the c-myc x E2F-1/ p21 index successfully discriminated all cultured and primary normal from malignant samples and thereby had a predictive value of 1 (no false positives and no false negatives). We hypothesize that because of functional mutations in cell-cycle regulatory genes (e.g., p53 and/or rb), cells lose the ability to maintain a pattern of gene expression mechanistically associated with normal, division-limited homeostatic equilibrium. Because the c-myc x E2F-1/p21 gene expression index has high specificity for malignant tissue, it will allow confirmation that there is a significant amount of tumor tissue present in small (e.g., fine-needle) biopsy specimens prior to evaluating them for expression of other genes, such as those involved in chemoresistance or radioresistance. In addition, the goal of most gene therapy efforts is to alter levels of gene expression quantitatively. This index and others derived in a similar manner may better define potential gene therapy targets as well as response of targeted genes to therapy.


Assuntos
Brônquios/metabolismo , Carcinoma Broncogênico/genética , Proteínas de Transporte , Proteínas de Ciclo Celular , Ciclinas/genética , Proteínas de Ligação a DNA , Genes myc , Neoplasias Pulmonares/genética , Fatores de Transcrição/genética , Idoso , Brônquios/citologia , Brônquios/patologia , Carcinoma Broncogênico/patologia , Ciclo Celular/genética , Transformação Celular Neoplásica/genética , Células Cultivadas , Inibidor de Quinase Dependente de Ciclina p21 , Fatores de Transcrição E2F , Fator de Transcrição E2F1 , Células Epiteliais/metabolismo , Células Epiteliais/patologia , Feminino , Expressão Gênica , Humanos , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase/métodos , Proteína 1 de Ligação ao Retinoblastoma , Fator de Transcrição DP1 , Células Tumorais Cultivadas
10.
Am J Respir Cell Mol Biol ; 19(1): 25-9, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9651177

RESUMO

Expression of the small, proline-rich protein (spr1) squamous differentiation marker was measured in five cultured normal and 12 malignant human bronchial epithelial cell (BEC) populations by quantitative reverse transcriptase polymerase chain reaction (RT-PCR). Whereas spr1 expression was quantifiable and inducible in all five cultured normal cell populations, in all 12 carcinoma cell lines evaluated it was neither quantifiable nor inducible. Primers spanning the entire spr1 coding sequence amplified full-length PCR product from genomic DNA; therefore, large deletions in the coding region were not responsible for the loss of expression measurable by RT-PCR. This is the first molecular genetic marker reported that distinguishes all normal from all carcinoma cell populations evaluated. Because the spr1 protein is a component of the crosslinked envelope that forms during the squamous differentiation process, we hypothesize that the apparent loss of spr1 gene expression disrupts mechanisms for terminal squamous differentiation in the bronchial epithelium, thereby contributing to malignant transformation.


Assuntos
Carcinoma Broncogênico/genética , Expressão Gênica , Neoplasias Pulmonares/genética , Proteínas/genética , Brônquios/citologia , Brônquios/metabolismo , Brônquios/patologia , Carcinoma Broncogênico/patologia , Transformação Celular Neoplásica , Proteínas Ricas em Prolina do Estrato Córneo , Células Epiteliais/metabolismo , Células Epiteliais/patologia , Regulação da Expressão Gênica , Regulação Neoplásica da Expressão Gênica , Humanos , Neoplasias Pulmonares/patologia , Proteínas de Membrana , Reação em Cadeia da Polimerase/métodos , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Células Tumorais Cultivadas
11.
Carcinogenesis ; 18(6): 1251-7, 1997 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9214610

RESUMO

To establish a cell culture model for lung carcinogenesis, independent populations of the human papillomavirus 18-immortalized human bronchial epithelial cell line BEP2D were treated with high linear energy transfer radon-simulated alpha-particles, expanded and xenotransplanted into Nu/Nu mice. Six independent cell lines were established from tumors that developed from three separate radiation treatments as follows: treatment (Tx) 1 (30 cGy--two doses), H2BT, Tx 2 (30 cGy--single dose), R30T1L, R30T2 and R30T3L, Tx 3 (30 cGy--single dose), H1ATN and H1ATBA1. Cytogenetic analysis revealed common changes in all tumor lines: loss of the Y chromosome (ch), one of three copies of ch8, one of three copies of ch14, and one of two copies of ch4p16-pter and ch11p15-pter. Analysis of polymerase chain reaction-amplified short tandem repeats of informative loci confirmed the loss of chY in all lines and loss of heterozygosity (LOH) at eight loci spanning the length of ch8 in all lines from Tx's 1 and 2. Our data support previous studies indicating the presence of tumor suppressor genes on ch8. LOH also was confirmed on ch14 at locus D14S306 in all cell lines from Tx 2 and in one of two lines from Tx 3. This region, 14q12-q13, may contain changes in one of the five known somatostatin receptor genes (SSTR1). No LOH was detected at any of the informative loci tested for on ch4 or ch11.


Assuntos
Partículas alfa , Brônquios/fisiologia , Brônquios/efeitos da radiação , Neoplasias Brônquicas/genética , Carcinoma Broncogênico/genética , Neoplasias Pulmonares/genética , Neoplasias Induzidas por Radiação/genética , Radônio/toxicidade , Animais , Neoplasias Brônquicas/etiologia , Carcinoma Broncogênico/etiologia , Linhagem Celular , Transformação Celular Viral , DNA/análise , DNA/genética , DNA de Neoplasias/análise , DNA de Neoplasias/genética , Células Epiteliais , Epitélio/efeitos da radiação , Deleção de Genes , Genes Supressores de Tumor , Heterozigoto , Humanos , Cariotipagem , Neoplasias Pulmonares/etiologia , Camundongos , Camundongos Nus , Neoplasias Induzidas por Radiação/etiologia , Papillomaviridae , Reação em Cadeia da Polimerase , Sequências Repetitivas de Ácido Nucleico
12.
Soc Secur Bull ; 60(4): 3-17, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9483709

RESUMO

There are numerous types of benefits paid under the Social Security programs of the United States, with each type of benefit having its own set of eligibility rules and benefit formula. It is likely that there is an association between the type of benefit a person receives and the economic circumstances of the beneficiary. This article explores that association using records from the Current Population Survey exactly matched to administrative records from the Social Security Administration. Divorced beneficiaries are a particular focus of this article. Type of benefit is found to be a strong predictor of economic well-being. Two large groups of beneficiaries, retired-worker and aged married spouse beneficiaries, are fairly well-off. Other types of beneficiaries tend to resemble the overall U.S. population or are decidedly worse off. Divorced spouse beneficiaries have an unusually high incidence of poverty and an unusually high incidence of serious health problems. A proposal to increase benefits for these beneficiaries is evaluated. Results of the analyses indicate that much of the additional Government expenditures would be received by those with low income.


Assuntos
Divórcio , Pobreza/estatística & dados numéricos , Previdência Social/estatística & dados numéricos , Cônjuges , Adolescente , Adulto , Idoso , Pessoas com Deficiência , Definição da Elegibilidade , Feminino , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Aposentadoria , Estados Unidos , Viuvez
13.
Med Care ; 34(10): 989-1002, 1996 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8843926

RESUMO

OBJECTIVES: Between 1970 and 1983, the rate at which the elderly were hospitalized grew by more than 40%, whereas the rate of hospitalization for the younger population was fairly stable. Past attempts to explain the different patterns among the young and the old have focused on technology, insurance, health status, and the supply of hospital services. These attempts mostly have been unsuccessful. In this article, the author examines other possible explanations, namely, that the elderly, who experienced a decline in the rate of participation in the labor force and an increase in income over this period, used increases in available time (i.e., nonwork time) and increases in income to seek out and receive greater amounts of health care. METHODS: Using small-area data from the state of North Carolina and using the method of instrumental variables estimation, the author measures the effects of labor force participation and income on the use of short-term hospitals by the elderly. RESULTS: Areas where the elderly have high income and areas where the elderly are less likely to participate in the labor force are areas where the elderly have high rates of hospital use. CONCLUSIONS: The cross-sectional results of this study are consistent with recent labor force participation, income, and hospital-use trends associated with the elderly. The negative relation between hospital use and labor force participation suggests that public policies encouraging work at late ages, such as the scheduled increase in the normal retirement age of Social Security, may lead to a modest dampening of the demand for hospital care among the elderly.


Assuntos
Emprego/estatística & dados numéricos , Hospitais/estatística & dados numéricos , Renda/estatística & dados numéricos , Fatores Etários , Idoso , Estudos Transversais , Necessidades e Demandas de Serviços de Saúde , Humanos , Análise dos Mínimos Quadrados , Tempo de Internação/estatística & dados numéricos , North Carolina , Política Pública , Aposentadoria , Análise de Pequenas Áreas , Fatores de Tempo
14.
Soc Secur Bull ; 57(1): 3-24, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-8091273

RESUMO

This article reviews the economic literature on the work and retirement decisions of older women. Economic studies generally find that married women respond to the financial reward for work (for example, wages) in making their work and retirement decisions, but that they do not respond to unearned income and wealth (for example, the value of lifetime Social Security benefits). Unmarried women are found to respond to all types of financial variables. Most economic studies find that the family plays only a limited role in the work and retirement decisions of women. The retirement status of the husband does influence the wife's retirement decision, but the health status of the husband does not. The presence of dependents in the household, regardless of whether they are children or parents, is not found to influence work and retirement among women. The relevance of these results to Social Security policy is discussed. There are a number of reasons to be cautious about the results. The literature to date is small; it is based on data that are deficient in some respects, and it contains studies that have methodological problems. These problems are discussed and prospects for future research are explored.


Assuntos
Tomada de Decisões , Aposentadoria , Mulheres Trabalhadoras , Idoso , Emprego/economia , Emprego/estatística & dados numéricos , Família , Feminino , Humanos , Masculino , Casamento , Pessoa de Meia-Idade , Aposentadoria/economia , Aposentadoria/psicologia , Aposentadoria/estatística & dados numéricos , Salários e Benefícios , Previdência Social , Estados Unidos , Mulheres Trabalhadoras/psicologia , Mulheres Trabalhadoras/estatística & dados numéricos
15.
Environ Pollut ; 84(1): 53-8, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-15091724

RESUMO

Reproductive success and contaminant levels in 1986 and 1987 were compared between Barn Swallows nesting at selenium-contaminated Martin Lake, Texas, USA, and swallows nesting at a reference site. Nests were initiated about the same time or earlier at Martin Lake than at the reference site and clutch size was similar between the two locations. Nest success was significantly higher at Martin Lake than at the reference site and no embryo or chick deformities were documented. Selenium concentrations in 14 of 20 eggs from Martin Lake were above background (> 3 ppm, dry weight); two of 20 eggs contained > 5 ppm, a concentration associated with a 20% embryo mortality/deformity rate in some bird species. Selenium concentrations in the kidneys of adult swallows were higher at Martin Lake (mean = 14 ppm dry weight) than at the reference site (5.8 ppm). DDE, the only detected organochlorine compound, was in two of 10 eggs from Martin Lake; these concentrations were below those associated with chronic poisoning and reproductive problems. The maximum mercury concentration in livers of adult Barn Swallows (0.83 ppm, dry weight) was within the range for background levels (< 5 ppm).

16.
J Histochem Cytochem ; 41(3): 365-73, 1993 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8429199

RESUMO

We examined renin processing in cultured juxtaglomerular (JG) cells of the hydronephrotic mouse kidney with immunocytochemical and biochemical techniques. Compared with JG cells in normal kidneys, there was less intense labeling for renin protein in mature granules of cultured JG cells. However, pro-renin labeling of transport vesicles and juvenile granules was maintained, suggesting incomplete passage of pro-renin through intermediate and mature granules. Immunogold evidence of exocytosis of mature granules containing renin protein was present at all stages. Labeling of transport vesicles for pro-renin, together with the absence of exocytosis of pro-renin from juvenile granules, indicated that pro-renin was exclusively released by a constitutive process. Active renin release into supernatants decreased with time, whereas the ratio of total renin to active renin increased, indicating that pro-renin synthesis and release were maintained but that the processing of pro-renin to active renin was interrupted. Angiotensin II inhibited and verapamil stimulated active renin release in culture; neither substance affected pro-renin release. Application of secretagogues that act via intracellular calcium or cAMP resulted in depletion of mature granules and their deformation by myelin figures and vacuoles, findings consistent with an exocytosis from mature granules. The absence of effect of any secretagogues on pro-renin release suggests that these stimulatory mechanisms are exclusively post-Golgi. In cultured JG cells in renal explants, renin vesicular transport and granular exocytosis are maintained but a defect in pro-renin passage from juvenile to intermediate granules is apparent.


Assuntos
Hidronefrose/metabolismo , Sistema Justaglomerular/metabolismo , Renina/metabolismo , Angiotensina II/farmacologia , Animais , Colforsina/farmacologia , Grânulos Citoplasmáticos/ultraestrutura , Feminino , Hidronefrose/patologia , Técnicas Imunoenzimáticas , Imuno-Histoquímica , Sistema Justaglomerular/citologia , Sistema Justaglomerular/efeitos dos fármacos , Sistema Justaglomerular/ultraestrutura , Camundongos , Camundongos Endogâmicos BALB C , Microscopia Eletrônica , Técnicas de Cultura de Órgãos , Organelas/ultraestrutura , Teofilina/farmacologia , Verapamil/farmacologia
18.
J Hypertens ; 8(3): 229-38, 1990 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2159503

RESUMO

The short-term and long-term effects (for up to 98 days) of the angiotensin converting enzyme inhibitor enalapril were investigated in male and female BALB/c mice. In control animals, separate antisera to renin and its prosequence produced an identical pattern of staining in granular cells of the juxtaglomerular apparatus (JGA) a short distance from the glomerulus. After 1 day of the enalapril treatment there was a decrease in the number of JGA granular cells immunostained with antisera to both renin and its prosequence. Electron microscopy revealed degranulation of mature granules from JGA granular cells. Fusion of granules with the cell membrane was not observed, but numerous membrane-like structures (myelin figures) were identified in the cytoplasm and extracellular space, indicating possible secretion. In addition, the volume proportion of granulated cells in relation to the glomerular volume was decreased, as was renal renin content. With continuing enalapril treatment, separate antisera to renin and its prosequence stained the same granulated JGA cells with equal intensity. The cells so stained increased in number, extending down the wall of the afferent arteriole to cortical radial arteries (interlobular arteries) upstream from the glomerulus. Ultrastructural studies revealed a progressive development of cytoplasmic granulation in JGA granular cells and in smooth muscle cells extending into cortical radial arteries. Furthermore, the volume proportion of granulated cells in relation to the glomerular volume was significantly increased, as was renal renin content. Thus, short-term enalapril treatment in mice provoked rapid secretion of renin via degranulation of mature granules from JGA granular cells. In contrast, long-term enalapril treatment produced a continuing stimulus for renin synthesis, secretion and storage, resulting in an increased thickness of the afferent arteriolar wall. The mechanism for this change appears to be hypertrophy and hypergranulation of granular JGA cells and neogranulation of smooth muscle cells upstream from the glomerulus. Identification of the intrarenal mediators that induce these phenotypic changes presents an interesting challenge.


Assuntos
Enalapril/farmacologia , Precursores Enzimáticos/biossíntese , Sistema Justaglomerular/efeitos dos fármacos , Renina/biossíntese , Animais , Contagem de Células/efeitos dos fármacos , Degranulação Celular/efeitos dos fármacos , Grânulos Citoplasmáticos/efeitos dos fármacos , Grânulos Citoplasmáticos/metabolismo , Grânulos Citoplasmáticos/ultraestrutura , Enalapril/administração & dosagem , Precursores Enzimáticos/metabolismo , Feminino , Imuno-Histoquímica , Sistema Justaglomerular/citologia , Sistema Justaglomerular/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Músculo Liso Vascular/citologia , Músculo Liso Vascular/efeitos dos fármacos , Artéria Renal , Renina/metabolismo , Fatores de Tempo
20.
Brain Res ; 343(1): 16-23, 1985 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-4041850

RESUMO

Glucocorticoids bind with high affinity to intracellular receptors located in high density within discrete regions of the rodent and primate brain. The binding of [3H]corticosterone was compared in the brains of male vs female rats. The number and affinity of cytosol receptors in the hippocampus and hypothalamus were examined in vitro. The cytosolic binding capacity of the hippocampus is greater in the female than in the male. This difference in binding capacity is not dependent on the presence of gonadal steroids: the effect of gonadectomy was not significant for either sex. The difference is not due to transcortin since the binding capacity of [3H]dexamethasone is also greater in the female hippocampus. Receptor affinity in the female hippocampus is half that of the male value. In the hypothalamus, the dimorphism is in the opposite direction: the number of [3H]corticosterone cytosolic binding sites was found to be greater in the male. The male hypothalamus also showed a greater affinity for [3H]corticosterone than did the female. Ovariectomy increased the number of binding sites in the female hypothalamus. In vivo nuclear uptake of a tracer dose of [3H]corticosterone was determined in animals having intact gonads. The percent of tissue [3H]corticosterone present in cell nuclei from 4 brain regions, including the hippocampus and hypothalamus, was calculated per unit DNA. The concentrations of [3H]corticosterone in nuclei relative to tissue homogenates were higher in females than males for the 4 brain regions, but not for the pituitary or liver. The data are interpreted as suggesting that glucocorticoid secretion under basal conditions and during stress may differentially effect specific brain structures in male vs female rats.


Assuntos
Encéfalo/metabolismo , Corticosterona/metabolismo , Dexametasona/metabolismo , Tonsila do Cerebelo/metabolismo , Animais , Córtex Cerebral/metabolismo , Feminino , Hipocampo/metabolismo , Hipotálamo Médio/metabolismo , Masculino , Área Pré-Óptica/metabolismo , Ratos , Ratos Endogâmicos , Caracteres Sexuais
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