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1.
Opt Express ; 27(9): 13479-13491, 2019 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-31052869

RESUMO

We present the design of an extreme ultraviolet (XUV) pulse shaper relying on reflective optics. The instrument will allow tailoring of the time-frequency spectrum of femtosecond pulses generated by seeded free-electron lasers (FEL) and high-harmonic generation (HHG) sources down to a central wavelength of ~15 nm. The device is based on the geometry of a 4f grating compressor that is a standard concept in ultrafast laser science and technology. We apply it to shorter wavelengths using grazing-incidence optics operated under ultra-high vacuum conditions. The design blaze angle and the line density of the gratings allow the manipulation of all different harmonics typical for seeded FEL and HHG photon sources without the need of realignment of the instrument and even simultaneously in multi-color experiments. A proof-of-principle pulse shaping experiment using 266 nm laser light has been performed, demonstrating relative phase-control of femtosecond UV pulses.

2.
Environ Monit Assess ; 191(5): 264, 2019 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-30953206

RESUMO

A baseline environmental characterization of Chrome and Dogfish bays on the Kenai Peninsula, Alaska, was conducted using a sediment quality triad approach. Resident fish and blue mussel body burdens were also assessed. The data was derived from a larger study that assessed seven distinct water bodies on the Kenai Peninsula's north side, draining into Kachemak Bay. Sampling sites for water quality measurements and sediment were randomized within each embayment. Concentrations of 140 organic and elemental contaminants were analyzed. Habitat parameters (depth, salinity, temperature, dissolved oxygen, sediment grain size, and organic carbon content) that influence elemental distribution were also measured at each sampling site. Chrome Bay and Dogfish Bay open into lower Cook Inlet and had coarser sediments than the other bays studied. Concentrations of chromium and nickel were extremely high in Chrome Bay. Concentrations were several times higher than observed concentrations seen throughout other locations in south-central Alaska. Other elemental concentrations varied between and within bays, with several locations exceeding lower sediment quality guidelines. Whole sediment amphipod toxicity bioassays were conducted with sediments from Chrome Bay. No sample exhibited significant mortality or sublethal effects. Body burdens of three species of fish and mussels collected in Chrome Bay did not exhibit elevated concentrations relative to other studies in Kachemak Bay or the Alaska Dept. of Environmental Conservation, Fish Monitoring Program. Despite the very high concentrations of Cr and Ni in the sediments, the metals do not appear to be bioavailable to resident biota.


Assuntos
Cromo/análise , Sedimentos Geológicos/química , Metaloides/análise , Metais/análise , Níquel/análise , Poluentes Químicos da Água/análise , Alaska , Animais , Baías , Bivalves/química , Carga Corporal (Radioterapia) , Ecossistema , Monitoramento Ambiental , Estuários , Peixes , Salinidade
3.
Environ Monit Assess ; 191(7): 427, 2019 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-31187265

RESUMO

A baseline environmental characterization of Seldovia Bay and harbor on the Kenai Peninsula, Alaska, was conducted using a sediment quality approach. The data was derived from a larger study that assessed seven distinct water bodies on the Kenai Peninsula's north side, draining into Kachemak Bay or into Lower Cook Inlet. Sampling sites for water quality measurements, sediment chemistry, and benthos were randomized within each embayment. Concentrations of 140 organic and elemental contaminants were analyzed. Habitat parameters (depth, salinity, grain size, organic carbon, etc.) that influence species and contaminant distribution were also measured at each sampling site. Concentrations of chlorinated pesticides and PCBs were uniformly low, with the exception of Seldovia Harbor, where total DDT and PCBs exceeded the lower sediment quality guidelines. Concentrations of PAHs were relatively low, except in Seldovia Harbor where concentrations exceeded lower sediment quality guidelines for PAHs, and in one location approached the upper limit. That concentration of PAHs exceeded all other measurements in the NOAA National Status & Trends database for the entire State of Alaska. Characteristics of the PAH compounds present indicate large contributions of pyrogenic sources (burned fuel and/or other organic matter). Seldovia Bay had much lower PAH concentrations than the harbor.


Assuntos
Baías/análise , Estuários , Poluentes Químicos da Água/análise , Alaska , DDT/análise , Monitoramento Ambiental , Sedimentos Geológicos/química , Praguicidas/análise , Bifenilos Policlorados/análise , Hidrocarbonetos Policíclicos Aromáticos/análise , Distribuição Aleatória , Salinidade
4.
Environ Monit Assess ; 190(5): 270, 2018 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-29633032

RESUMO

Nutrients and sedimentation were monitored for approximately 2 years at six sites in the St. Thomas East End Reserves (STEER), St. Thomas, USVI, as part of a NOAA project to develop an integrated environmental assessment. Concentrations of ammonium (NH4+) and dissolved inorganic nitrogen (DIN) were higher in Mangrove Lagoon and Benner Bay in the western portion of STEER than in the other sites further east (i.e., Cowpet Bay, Rotto Cay, St. James, and Little St. James). There was no correlation between rainfall and nutrient concentrations. Using a set of suggested nutrient thresholds that have been developed to indicate the potential for the overgrowth of algae on reefs, approximately 60% of the samples collected in STEER were above the threshold for orthophosphate (HPO4=), while 55% of samples were above the DIN threshold. Benner Bay had the highest sedimentation rate of any site monitored in STEER, including Mangrove Lagoon. There was also an east to west and a north to south gradient in sedimentation, indicative of higher sedimentation rates in the western, more populated areas surrounding STEER, and sites closer to the shore of the main island of St. Thomas. Although none of the sites had a mean or average sedimentation rate above a suggested sedimentation threshold, the mean sedimentation rate in Benner Bay was just below the threshold.


Assuntos
Monitoramento Ambiental , Poluentes Químicos da Água/análise , Ásia Oriental , Nitrogênio/análise , Fósforo/análise , Ilhas Virgens Americanas
5.
Environ Monit Assess ; 188(11): 642, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27787748

RESUMO

Tributyltin (TBT) concentrations near a marina complex in Benner Bay on St. Thomas, US Virgin Islands, were elevated relative to other areas in a larger study of the southeastern shore of the island. At the request of the USVI Coastal Zone Management Program, sediment cores and surface sediment samples were collected to better define the extent and history of TBT deposition in the vicinity of Benner Bay. The sediment cores were sectioned into 2-cm intervals and dated with 210Pb and 137Cs. The core sections and the surface samples were analyzed for butyltins and 16 elements. Deposition rates varied from 0.07-5.0 mm/year, and were highest in the marina complex. Core ages ranged from 54 to 200 years. The bottoms of the cores contained shell hash, but the top layers all consisted of much finer material. Surface concentrations of TBT exceeded 2000 ng Sn/g (dry weight) at two locations. At a depth of 8 cm TBT exceeded 8800 ng Sn/g in the marina complex sediment. Based on the ratio of tributyltin to total butyltins, it appears that the marina sediments are the source of contamination of the surrounding area. There is evidence that vessels from neighboring islands may also be a source of fresh TBT. Copper concentrations increase over time up to the present. Gradients of virtually all metals and metalloids extended away from the marina complex. NOAA sediment quality guidelines were exceeded for As, Pb, Cu, Zn, and Hg.


Assuntos
Sedimentos Geológicos/química , Metais/análise , Compostos de Trialquitina/análise , Poluentes Químicos da Água/análise , Monitoramento Ambiental , Ilhas Virgens Americanas
6.
Environ Monit Assess ; 186(8): 4793-806, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24744210

RESUMO

The St. Thomas East End Reserves or STEER is located on the southeastern end of the island of St. Thomas, USVI. The STEER contains extensive mangroves and seagrass beds, along with coral reefs, lagoons, and cays. Within the watershed, however, are a large active landfill, numerous marinas, resorts, various commercial activities, an EPA Superfund Site, and residential areas, all of which have the potential to contribute pollutants to the STEER. As part of a project to develop an integrated assessment for the STEER, 185 chemical contaminants were analyzed in sediments from 24 sites. Higher levels of chemical contaminants were found in Mangrove Lagoon and Benner Bay in the western portion of the study area. The concentrations of polychlorinated biphenyls (PCBs), dichlorodiphenyltrichloroethane (DDT), zinc, copper, lead, and mercury were above a NOAA Effects Range-Low (ERL) sediment quality guideline at one or more sites, indicating impacts may be present in more sensitive species or life stages. Copper at one site in Benner Bay was above a NOAA Effects Range-Median (ERM) guideline indicating effects on benthic organisms were likely. The antifoulant boat hull ingredient tributyltin (TBT) was found at the third highest concentration in the history of NOAA's National Status and Trends (NS&T) Program, which monitors the nation's coastal and estuarine waters for chemical contaminants and bioeffects. The results from this project will provide resource managers with key information needed to make effective decisions affecting coral reef ecosystem health and gauge the efficacy of restoration activities.


Assuntos
Monitoramento Ambiental , Sedimentos Geológicos/química , Poluentes Químicos da Água/análise , Baías/química , DDT/análise , Ecossistema , Hidrocarbonetos Clorados/análise , Bifenilos Policlorados/análise , Compostos de Trialquitina/análise , Poluição Química da Água/estatística & dados numéricos
7.
Environ Monit Assess ; 174(1-4): 605-23, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20490916

RESUMO

Benthic infaunal community structure, sediment contamination, and sediment toxicity data (Sediment Quality Triad) were condensed into a single index based on the area of tri-axial plots, which were examined in relation to various habitat parameters. The purpose was to assess its utility for evaluating the relative impact of contaminants versus other stressors on benthic communities. The regression relationship between the areal index and the Effects Range-Median quotient (ERMq) was used to separate contaminant-impacted sites from sites impacted by hypoxia in Chesapeake Bay. Regression using the areal index and bottom oxygen confirm the utility of the approach. Data from Delaware, Galveston, and Biscayne Bays were also examined to determine if the approach may be effective in other estuaries.


Assuntos
Sedimentos Geológicos/química , Pesquisa Empírica , Poluentes da Água/análise
8.
Mar Pollut Bull ; 152: 110873, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32479272

RESUMO

Baseline characterizations of estuarine sediments in Chukchi and Beaufort Seas, were conducted. Concentrations of 194 organic and elemental chemicals were analyzed in sediment and fish, plus stable isotopes of carbon and nitrogen. The estuaries are shallow embayments, with little shoreline relief. The water columns were turbid, high salinity, and not stratified. Concentrations of arsenic and nickel were elevated throughout the region. Arsenic in fish tissue was elevated. Concentrations of PAHs were relatively high for pristine locations, but did not include petroleum hydrocarbons. Characteristics of PAHs indicate large contributions of terrestrial organic matter. With the exception of Peard Bay, all the estuaries reflected the strong influence of terrestrial plant input with low δo/oo values for carbon and nitrogen. Chlorinated pesticides and PCBs were uniformly low, but detectable in fish tissue. PCB and cyclodiene concentrations were half that seen in southeast Bristol Bay. Hexachlorobenzene was detected in all fish samples.


Assuntos
Bifenilos Policlorados/análise , Hidrocarbonetos Policíclicos Aromáticos/análise , Poluentes Químicos da Água/análise , Animais , Regiões Árticas , Monitoramento Ambiental , Estuários , Sedimentos Geológicos , Oceanos e Mares
9.
Mar Environ Res ; 65(3): 199-217, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18082252

RESUMO

Sediment samples were collected to delineate the distribution of contaminants along the central California coast. Sampling included a variety of Canyons and shelf/slope areas to evaluate contaminant transport patterns and potential delivery to Canyons and the continental slope to a depth of 1200 m. Sediments were collected and analyzed for organic contaminants using standard techniques of the NOAA National Status and Trends Program (NS&T). DDT is distributed on the shelf within a zone of fine-grained sediments between Half Moon and Monterey Bays. DDT was found at higher concentrations in Ascension, Año Nuevo, and Monterey/Soquel Canyons than in Pioneer and Carmel Canyons, the Gulf of the Farallones, or the continental slope. The Monterey Bay watershed appears to be the primary source of DDT. In contrast, PAHs and PCBs on the shelf appear to be derived primarily from San Francisco Bay. DDT appears to be delivered to the deep ocean via the Canyons more than from cross-shelf sediment transport. Sediment budget estimates for the continental shelf north of Monterey Bay need further refinement and more data to account for the movement of material from Monterey Bay onto the shelf.


Assuntos
DDT/análise , Monitoramento Ambiental/estatística & dados numéricos , Poluentes Ambientais/análise , Sedimentos Geológicos/química , Poluentes Químicos da Água/análise , California , Movimentos da Água
10.
J Pharm Biomed Anal ; 37(5): 885-91, 2005 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-15862662

RESUMO

One problem in the international regulatory control of Echinacea, a therapeutic Nutraceutical, is recognition of caffeoyl solutes and alkamides in different products. Cyclodextrin-modified micellar electrokinetic chromatography (CD-MEKC) has been applied to Echinacea spp. in combination with pattern recognition of some caffeoyl solutes. A novel metric based on relative migration time (RMT) data has been developed in CE to address the problem of variable reported migration time. The CD-MEKC method of Gotti's group using hydroxypropyl-beta-cyclodexrin (HP-beta-CD; 100 mM) with sodium dodecyl sulphate (SDS; 110 mM), in a triacid background electrolyte (10 mM, pH 8) under 19 kV was adapted to identify two key hydrophilic solutes: chlorogenic acid and cichoric acid present in all commercial products. Two internal markers were taken as reference points to calculate the RMT of any target peak: RMT=t(m (target))/t(m (marker)). The RMT method was robust to temperature change from 20 to 40 degrees C, but sensitive to pH. The lateral shift and reproducibility of the target peak t(m (target)) were significantly reduced by this novel transformation. In the worst cases migration time variability ranged up to 12% (n=6); the RMT algorithm reduced this to less than 1%. In general, the RMT transformation reduced the variability of migration time data by a factor of 2-5. For systematic comparison of electrophoretic profiles for test sample and standard, a new pattern recognition algorithm permits sequential peak-by-peak comparison using specified segments of the electropherograms for comparison of test and Echinacea purpurea (root product) as a standard. This algorithm was capable of rapidly characterising the similarity of target peaks in a test sample relative to those in the reference standard. Combination of the RMT algorithm and pattern recognition in CE is expected to offer a robust approach to international regulatory characterisation and control of Nutraceuticals.


Assuntos
Cromatografia Capilar Eletrocinética Micelar/métodos , Ciclodextrinas/análise , Echinacea , Preparações Farmacêuticas/análise , Preparações Farmacêuticas/normas , Preparações Farmacêuticas/química
11.
Environ Toxicol Chem ; 24(7): 1816-34, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16050601

RESUMO

The objective of the present study was to explore the use of multivariate statistical methods as a means to discern relationships between contaminants and biological and/or toxicological effects in a representative data set from the National Status and Trends (NS&T) Program. Data from the National Oceanic and Atmospheric Administration, NS&T Program's Bioeffects Survey of Delaware Bay, USA, were examined using various univariate and multivariate statistical techniques, including cluster analysis. Each approach identified consistent patterns and relationships between the three types of triad data. The analyses also identified factors that bias the interpretation of the data, primarily the presence of rare and unique species and the dependence of species distributions on physical parameters. Sites and species were clustered with the unweighted pair-group method using arithmetic averages clustering with the Jaccard coefficient that clustered species and sites into mutually consistent groupings. Pearson product moment correlation coefficients, normalized for salinity, also were clustered. The most informative analysis, termed nodal analysis, was the intersection of species cluster analysis with site cluster analysis. This technique produced a visual representation of species association patterns among site clusters. Site characteristics, such as salinity and grain size, not contaminant concentrations, appeared to be the primary factors determining species distributions. This suggests the sediment-quality triad needs to use physical parameters as a distinct leg from chemical concentrations to improve sediment-quality assessments in large bodies of water. Because the Delaware Bay system has confounded gradients of contaminants and physical parameters, analyses were repeated with data from northern Chesapeake Bay, USA, with similar results.


Assuntos
Sedimentos Geológicos/química , Poluentes Químicos da Água/toxicidade , Animais , Análise por Conglomerados , Monitoramento Ambiental , Especificidade da Espécie , Poluentes Químicos da Água/análise
12.
Diabetes Care ; 8(4): 343-8, 1985.
Artigo em Inglês | MEDLINE | ID: mdl-4042800

RESUMO

High-density lipoprotein (HDL) cholesterol is known to be low in patients with diabetes mellitus. Low HDL levels are correlated with premature cardiovascular mortality in several major epidemiologic studies and many investigators believe increases in HDL cholesterol may reduce the risk of coronary heart disease. We evaluated dietary and exercise interventions in relation to HDL cholesterol in patients with type II diabetes mellitus. Sixty-five volunteers were randomly assigned to one of four experimental conditions: diet, exercise, diet plus exercise, or education control. Three months after entering the program, those exposed to the dietary intervention had significant increases in HDL cholesterol. HDL increases for the other two treatment groups did not differ significantly from the education control.


Assuntos
HDL-Colesterol/sangue , Diabetes Mellitus Tipo 2/sangue , Peso Corporal , Doença das Coronárias/prevenção & controle , Diabetes Mellitus Tipo 2/dietoterapia , Diabetes Mellitus Tipo 2/terapia , Dieta para Diabéticos , Terapia por Exercício , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
13.
Mar Environ Res ; 112(Pt A): 1-8, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26427342

RESUMO

Land based sources of pollution have the potential to negatively impact coral reef ecosystems. Many coral systems, including environmentally sensitive marine protected areas, do not have assessments of their chemical contaminant status (magnitude and extent). Without a status assessment, it is impossible to measure change in a system. This study presents surficial sediment data from Coral and Fish Bays (St. John, US Virgin Islands (USVI)). Portions of these bays are included in Virgin Islands National Park, and Virgin Islands Coral Reef National Monument. A suite of analytes (PCBs, PAHs, pesticides, heavy metals, butyltins) was quantified and compared against other regional data and against previously published sediment quality guidelines (SQG). Contamination from toxic contaminants in the system was generally low when compared to other similar studies and potential toxicity thresholds (SQG). Exceptions to this were copper and total chlordane which exceeded the Effects Range Low (ERL) sediment quality guideline, indicating possible sediment toxicity. This assessment will be useful to coastal managers for tracking environmental change, and ensuring that this marine protected area remains relatively free from toxic contamination.


Assuntos
Sedimentos Geológicos/análise , Poluentes Químicos da Água/análise , Ilhas Virgens Americanas
14.
Obstet Gynecol ; 51(5): 603-5, 1978 May.
Artigo em Inglês | MEDLINE | ID: mdl-652209

RESUMO

The incidence of Staphylococcus aureus recovered from cultures of anterior nares was determined for personnel and patients of an obstetric and a neonatal unit. Among the hospital personnel, 10.2% harbored S. aureus. On admission to the hospital, 4% of the obstetric patients were identified as carriers of S. aureus and only 1.3% of the patients acquired the microorganism during hospitalization. The neonates of these mothers with S. aureus were not colonized during hospitalization. Subsequent bacteriophage typing indicated that microbial isolates were primarily in the Group 1 and Group 3 classifications of S. aureus.


Assuntos
Portador Sadio/microbiologia , Nariz/microbiologia , Recursos Humanos em Hospital , Infecções Estafilocócicas/microbiologia , Staphylococcus aureus/isolamento & purificação , Infecção Hospitalar/microbiologia , Feminino , Humanos , Recém-Nascido , Berçários Hospitalares , Unidade Hospitalar de Ginecologia e Obstetrícia , Gravidez
15.
Health Psychol ; 6(5): 387-98, 1987.
Artigo em Inglês | MEDLINE | ID: mdl-3678167

RESUMO

Patients with non-insulin-dependent diabetes mellitus (NIDDM) were advised to comply with a complex behavioral regimen of diet and exercise. The relationship between social support satisfaction and social support network size was evaluated using the Social Support Questionnaire for 32 men and 44 women with a confirmed diagnosis of NIDDM. Control of diabetes, as measured by the glycosylated hemoglobin assay, was significantly correlated with social support satisfaction for women but negatively correlated with social support satisfaction for men. Social support network size differentially predicted success in a program for men and women. For women, network size was significantly correlated with failure to attend sessions and with failure to complete a diary. For these women, network size was not significantly correlated with weight loss, which was the goal of the program. For men, network size was correlated with increases in weight, cholesterol, and triglycerides over an 18-month period. We conclude that social support network size and satisfaction have different functions for men and women faced with a serious chronic illness. Network size adversely affects success in a program, whereas social support satisfaction has some benefits for women. The direction of the influence of social network may be determined by the similarity or dissimilarity of network norms to the desired behavior.


Assuntos
Diabetes Mellitus Tipo 2/psicologia , Cooperação do Paciente , Meio Social , Apoio Social , Adulto , Idoso , Glicemia/análise , Peso Corporal , Diabetes Mellitus Tipo 2/terapia , Feminino , Hemoglobinas Glicadas/análise , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais
16.
Pharmacol Biochem Behav ; 16(6): 915-7, 1982 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7111350

RESUMO

Essential metals are differentially accumulated within the brain and have been related to normal neurotransmitter metabolism. Hippocampal glutaminergic pathways have the highest zinc levels in the brain, and lesions to these pathways disrupt behaviors with a spatial component. Zinc distribution may thus reflect glutaminergic activity or innervation and may have functional consequences for spatial behavior. The present data support this hypothesis, indicating that the lateral distribution of zinc between the right and left hippocampus is strongly correlated with the spatial preference of the animal (r = + 0.72). Other parameters tested but shown not to be significantly correlated with spatial preference were zinc in corpus striatum and cortex, and copper in hippocampus corpus striatum and cortex.


Assuntos
Encéfalo/metabolismo , Cobre/metabolismo , Dominância Cerebral/fisiologia , Percepção Espacial/fisiologia , Zinco/metabolismo , Animais , Córtex Cerebral/metabolismo , Corpo Estriado/metabolismo , Aprendizagem por Discriminação/fisiologia , Hipocampo/metabolismo , Masculino , Muridae , Orientação/fisiologia
17.
Psychiatr Serv ; 52(2): 234-6, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11157126

RESUMO

Data from 169 mentally ill prison inmates who completed a three-month program to help them reenter the community were analyzed to compare the demographic and clinical characteristics of white, black, and Hispanic participants. A total of 107 were Caucasian, 35 were black, and 27 were Hispanic. Caucasian participants were more likely to have affective disorders and to report a history of substance use problems. Black and Hispanic participants were more likely to have thought disorders. Black participants released from prison tended to migrate to more urban areas than Caucasians. Of those engaged in the community at program completion, 60 percent were Caucasian, 22 percent were black, and 18 percent were Hispanic.


Assuntos
Transtorno da Personalidade Antissocial/etnologia , Negro ou Afro-Americano/psicologia , Hispânico ou Latino/psicologia , Transtornos Mentais/etnologia , Prisioneiros/psicologia , População Branca/psicologia , Adulto , Transtorno da Personalidade Antissocial/psicologia , Transtorno da Personalidade Antissocial/reabilitação , Comparação Transcultural , Feminino , Humanos , Masculino , Massachusetts , Transtornos Mentais/psicologia , Transtornos Mentais/reabilitação , Pessoa de Meia-Idade , Transtornos Psicóticos/etnologia , Transtornos Psicóticos/psicologia , Transtornos Psicóticos/reabilitação , Transtornos Relacionados ao Uso de Substâncias/etnologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Transtornos Relacionados ao Uso de Substâncias/reabilitação
18.
Psychiatr Serv ; 50(9): 1220-2, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10478911

RESUMO

On April 1, 1998, the Massachusetts Department of Mental Health established the forensic transition program for mentally ill offenders. The primary goal of the statewide program, which follows clients for three months after their release from correctional facilities, is to coordinate services and assist in community reintegration. In the first year of the program, 233 mentally ill offenders received services. Seventy-four clients had been discharged as of April 1, 1999. At discharge 42 of the 74 clients (57 percent) were living in the community and were receiving mental health services. The other clients were hospitalized immediately after release (20 percent), reincarcerated (10 percent), hospitalized after a brief stay in the community (3 percent), or lost to follow-up (11 percent).


Assuntos
Serviços Comunitários de Saúde Mental/organização & administração , Psiquiatria Legal , Transtornos Mentais/psicologia , Prisioneiros/psicologia , Adulto , Serviços Comunitários de Saúde Mental/normas , Relações Comunidade-Instituição , Feminino , Humanos , Masculino , Massachusetts , Pessoa de Meia-Idade
19.
Plast Reconstr Surg ; 57(2): 152-7, 1976 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1250885

RESUMO

Seventeen women who had had a mastectomy for cancer of the breast underwent reconstructions. Alloplastic implants were used in all. Preservation of the nipple and areola was possible in some of these patients. The normal (or uninvolved) breast sometimes required reduction in size or reshaping, to match as nearly as possible the reconstructed breast. The conditions suitable and unsuitable for mammary reconstruction, after mastectomy for cancer, are discussed.


Assuntos
Mama/cirurgia , Mastectomia , Cirurgia Plástica/métodos , Feminino , Humanos , Mamilos/cirurgia , Próteses e Implantes , Silicones
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