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1.
BMC Prim Care ; 25(1): 235, 2024 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-38961340

RESUMO

BACKGROUND: We initially reported on the cost-effectiveness of a 6-month randomized controlled implementation trial which evaluated Health TAPESTRY, a primary care program for older adults, at the McMaster Family Health Team (FHT) site and 5 other FHT sites in Ontario, Canada. While there were no statistically significant between-group differences in outcomes at month 6 post randomization, positive outcomes were observed at the McMaster FHT site, which recruited 40% (204/512) of the participants. The objective of this post-hoc study was to determine the cost-effectiveness of Health TAPESTRY based on data from the McMaster FHT site. METHODS: Costs included the cost to implement Health TAPESTRY at McMaster as well as healthcare resource consumed, which were costed using publicly available sources. Health-related-quality-of-life was evaluated with the EQ-5L-5L at baseline and at month 6 post randomization. Quality-adjusted-life-years (QALYs) were calculated under an-area-under the curve approach. Unadjusted and adjusted regression analyses (two independent regression analyses on costs and QALYs, seemingly unrelated regression [SUR], net benefit regression) as well as difference-in-difference and propensity score matching (PSM) methods, were used to deal with the non-randomized nature of the trial. Sampling uncertainty inherent to the trial data was estimated using non-parametric bootstrapping. The return on investment (ROI) associated with Health TAPESTRY was calculated. All costs were reported in 2021 Canadian dollars. RESULTS: With an intervention cost of $293/patient, Health TAPESTRY was the preferred strategy in the unadjusted and adjusted analyses. The results of our bootstrap analyses indicated that Health TAPESTRY was cost-effective compared to usual care at commonly accepted WTP thresholds. For example, if decision makers were willing to pay $50,000 per QALY gained, the probability of Health TAPESTRY to be cost effective compared to usual care varied from 0.72 (unadjusted analysis) to 0.96 (SUR) when using a WTP of $50,000/QALY gained. The DID and ROI analyses indicated that Health Tapestry generated a positive ROI. CONCLUSION: Health TAPESTRY was the preferred strategy when implemented at the McMaster FHT. We caution care in interpreting the results because of the post-hoc nature of the analyses and limited sample size based on one site.


Assuntos
Análise Custo-Benefício , Atenção Primária à Saúde , Anos de Vida Ajustados por Qualidade de Vida , Humanos , Atenção Primária à Saúde/economia , Idoso , Feminino , Masculino , Ontário , Qualidade de Vida , Idoso de 80 Anos ou mais , Análise de Custo-Efetividade
2.
Appl Radiat Isot ; 200: 110966, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37566947

RESUMO

The true coincidence summing correction factor for a Broad Energy Germanium detector has been calculated at far and close geometry set-up using radioactive γ-ray sources. The correction factors were calculated using both experimental and analytical methods. Geant4 simulation was done to calculate the full-energy peak and total efficiencies of the detector. Standard, as well as fabricated mono-energetic γ-ray sources, were used for the γ-ray efficiency measurements. The simulated efficiencies of mono-energetic γ-ray sources were matched to the experimental γ-ray efficiencies by optimizing the detector parameters. The same parameters were used to obtain the full-energy peak and total efficiencies for γ-rays of current interest. Analytical and experimental correction factors were found to agree well with each other. The coincidence summing effect is found to be significant for source-to-detector distances less than 5 cm.

3.
Br J Surg ; 107(1): 14-19, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31763684

RESUMO

A subset of patients with early gastric cancer demonstrate early recurrence and poor survival despite margin-negative resection. This study used an extremes-of-survivorship approach to identify an association between TP53 hotspot mutations co-occurring with loss of heterozygosity and unexpectedly poor survival in early gastric cancer. This distinct genomic profile may be a novel biomarker of poor survival in patients with completely resected early gastric cancer, and warrants large-scale validation. Promising, validation needed.


Assuntos
Mutação/genética , Neoplasias Gástricas/cirurgia , Proteína Supressora de Tumor p53/genética , Idoso , Biomarcadores Tumorais/genética , Feminino , Marcadores Genéticos/genética , Genômica , Humanos , Perda de Heterozigosidade/genética , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/genética , Recidiva Local de Neoplasia/mortalidade , Neoplasias Gástricas/genética , Neoplasias Gástricas/mortalidade , Sequenciamento Completo do Genoma
4.
BJOG ; 124(11): 1689-1697, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28120373

RESUMO

OBJECTIVE: To estimate the prevalence of painful sex among women in Britain, and to explore associated sexual, relationship and health factors that should be considered in assessment. DESIGN: Multi-stage, clustered and stratified population probability sample survey, using computer-assisted self-interview. Sample frame was the British Postcode Address File. SETTING: Participants interviewed at home between 2010 and 2012. SAMPLE: A total of 15 162 adults aged 16-74 years (8869 women). Data reported from 6669 sexually active women. METHODS: Age-adjusted logistic regressions to examine associations between painful sex and indicators of sexual, relational, mental and physical health. MAIN OUTCOME MEASURE: Physical pain as a result of sex for ≥3 months in the past year, plus measures of symptom severity. RESULTS: Painful sex was reported by 7.5% (95% CI 6.7-8.3) of sexually active women, of whom one-quarter experienced symptoms very often or always, for ≥6 months, and causing distress. Reporting painful sex was strongly associated with other sexual function problems, notably vaginal dryness (age adjusted odds ratio 7.9; 6.17-10.12), anxiety about sex (6.34; 4.76-8.46) and lacking enjoyment in sex (6.12; 4.81-7.79). It was associated with sexual relationship factors [such as not sharing same level of interest in sex (2.56; 1.97-3.33)], as well as with adverse experiences such as non-volitional sex (2.17; 1.68-2.80). Associations were also found with measures of psychological and physical health, including depressive symptoms (1.68; 1.28-2.21). CONCLUSION: Painful sex is reported by a sizeable minority of women in Britain. Health professionals should be supported to undertake holistic assessment and treatment which takes account of the sexual, relationship and health context of symptoms. TWEETABLE ABSTRACT: Painful sex-reported by 7.5% of women in Britain-is linked to poorer sexual, physical, relational and mental health.


Assuntos
Ansiedade/epidemiologia , Dispareunia/epidemiologia , Libido/fisiologia , Doenças Vaginais/epidemiologia , Saúde da Mulher , Adolescente , Adulto , Idoso , Ansiedade/complicações , Ansiedade/fisiopatologia , Dispareunia/etiologia , Dispareunia/fisiopatologia , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Pessoa de Meia-Idade , Razão de Chances , Prevalência , Qualidade de Vida , Saúde Sexual , Reino Unido , Doenças Vaginais/complicações , Doenças Vaginais/fisiopatologia , Adulto Jovem
5.
Eur J Cancer ; 69: 135-141, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27821316

RESUMO

BACKGROUND: Lymph node (LN) metastasis in patients with duodenal adenocarcinoma is associated with poor prognosis; however, the optimal extent of LN assessment and the interaction between LN assessment and adjuvant systemic therapy is poorly understood. METHODS: Resected non-metastatic duodenal adenocarcinoma patients (n = 1743) were identified in the National Cancer Database (1998-2011). Logistic regression analysis identified covariates associated with LN metastasis. The influence of increasing LN cut-off points on overall survival (OS) was analysed using the log-rank test and Cox proportional hazards modelling. Adjuvant chemotherapy (AC) and surgery alone cohorts were matched (1:1) by propensity scores based on the likelihood of nodal metastasis or survival hazard on Cox modelling. OS in the matched cohort was compared by Kaplan-Meier estimates. RESULTS: LN metastases were present in 865 (49.6%) patients. Increasing LN assessment was associated with an increased likelihood of nodal involvement (P = 0.008). In node-negative patients, increasing LN assessment was associated with a decreased risk of death, with the largest actuarial survival differences observed for ≥15 LN (hazard ratio [HR] 0.63, 95% confidence interval [CI] 0.48-0.82, P = 0.001). In the propensity score-matched cohort of node-negative patients, AC was associated with non-significant improvements in 5-year actuarial (66.1% versus 58.7%, HR 0.79, 95% CI 0.53-1.18, P = 0.249), and did not vary by adequacy of LN counts (<15 LNs: HR 0.79, 95% CI 0.51-1.24, P = 0.305; ≥15 LNs: HR 0.90, 95% CI 0.35-2.30, P = 0.900). CONCLUSIONS: The extent of LN identification has prognostic significance in resected node-negative duodenal adenocarcinoma, but cannot be implicated in the selection of node-negative patients for AC.


Assuntos
Adenocarcinoma/cirurgia , Neoplasias Duodenais/cirurgia , Excisão de Linfonodo/métodos , Linfonodos/patologia , Adenocarcinoma/patologia , Idoso , Estudos de Casos e Controles , Quimioterapia Adjuvante , Estudos de Coortes , Bases de Dados Factuais , Neoplasias Duodenais/patologia , Feminino , Humanos , Estimativa de Kaplan-Meier , Modelos Logísticos , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Estadiamento de Neoplasias , Prognóstico , Pontuação de Propensão , Modelos de Riscos Proporcionais , Estudos Retrospectivos , Taxa de Sobrevida , Resultado do Tratamento
6.
Hum Reprod ; 31(9): 2108-18, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27365525

RESUMO

STUDY QUESTION: What is the prevalence of infertility and of help seeking among women and men in Britain? SUMMARY ANSWER: One in eight women and one in ten men aged 16-74 years had experienced infertility, defined by unsuccessfully attempting pregnancy for a year or longer, and little more than half of these people sought medical or professional help. WHAT IS KNOWN ALREADY: Estimates of infertility and help seeking in Britain vary widely and are not easily comparable because of different definitions and study populations. STUDY DESIGN, SIZE, DURATION: A cross-sectional population survey was conducted between 2010 and 2012 with a sample of 15 162 women and men aged 16-74 years. PARTICIPANTS/MATERIALS, SETTING, METHODS: Participants completed the Natsal-3 questionnaire, using computer-assisted personal interviewing (CAPI) and computer-assisted self-interview (CASI). MAIN RESULTS AND THE ROLE OF CHANCE: The reported prevalence of infertility was 12.5% (CI 95% 11.7-13.3) among women and 10.1% (CI 95% 9.2-11.1) among men. Increased prevalence was associated with later cohabitation with a partner, higher socio-economic status and, for those who had a child, becoming parents at older ages. The reported prevalence of help seeking was 57.3% (CI 95% 53.6-61.0) among women and 53.2% (CI 95% 48.1-58.1) among men. Help seekers were more likely to be better educated and in higher status occupations and, among those who had a child, to have become parents later in life. LIMITATIONS, REASONS FOR CAUTION: These data are cross-sectional so it is not possible to establish temporality or infer causality. Self-reported data may be subject to recall bias. WIDER IMPLICATIONS OF THE FINDINGS: The study provides estimates of infertility and help seeking in Britain and the results indicate that the prevalence of infertility is higher among those delaying parenthood. Those with higher educational qualifications and occupational status are more likely to consult with medical professionals for fertility problems than others and these inequalities in help seeking should be considered by clinical practice and public health. STUDY FUNDING/COMPETING INTERESTS: Funding was provided by grants from the Medical Research Council and the Wellcome Trust, with support from the Economic and Social Research Council and the Department of Health. AMJ is a Governor of the Wellcome Trust. Other authors have no competing interests.


Assuntos
Infertilidade Feminina/epidemiologia , Infertilidade Masculina/epidemiologia , Aceitação pelo Paciente de Cuidados de Saúde , Adolescente , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Inquéritos e Questionários , Reino Unido/epidemiologia , Adulto Jovem
7.
BJOG ; 123(10): 1600-7, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27245637

RESUMO

OBJECTIVE: To examine the changes in the prevalence of, and the factors associated with, the use of emergency contraception (EC) in Britain between 2000 and 2010, spanning the period of deregulation and increase in pharmacy supply. DESIGN: Cross-sectional probability sample surveys. SETTING AND POPULATION: British general population. METHODS: Data were analysed from the second and third British National Surveys of Sexual Attitudes and Lifestyles (Natsal), undertaken in 1999-2001 and 2010-12. Univariate and logistic regression analyses were used to measure change in EC use amongst sexually active women aged 16-44 years not intending pregnancy. MAIN OUTCOME MEASURES: Prevalence of EC use and factors associated with use. RESULTS: Of the 5430 women surveyed in 1999-2001 and the 4825 women surveyed in 2010-12, 2.3 and 3.6%, respectively, reported using EC in the year prior to interview (P = 0.0019 for change over time). The prevalence of EC use increased amongst single women and those with higher educational attainment (adjusted odds ratio, aOR 1.51; 95% confidence interval, 95% CI 1.04-2.20; P = 0.0308). Increases in EC use were generally greater among women without behavioural risk factors, such as those with no history of abortion within 5 years (aOR 1.57; 95% CI 1.17-2.12; P = 0.0029), or those whose first heterosexual intercourse occurred after the age of 16 years (aOR 1.68; 95% CI 1.21-2.35; P = 0.0021). The increase in EC use was also more marked among women usually accessing contraception from retail sources than among those doing so from healthcare sources, which may reflect a use of condoms amongst EC users. CONCLUSION: The increase in EC use among women in Britain in the first decade of the 21st century was associated with some, but not all, risk factors for unplanned pregnancy. Advice and provision may need to be targeted at those at highest risk of unplanned pregnancy. TWEETABLE ABSTRACT: Despite pharmacy access, only a small rise in emergency contraception use has been seen in Britain over 10 years.


Assuntos
Aborto Induzido/estatística & dados numéricos , Atitude , Anticoncepção Pós-Coito/estatística & dados numéricos , Anticoncepção Pós-Coito/tendências , Estilo de Vida , Comportamento Sexual/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Gravidez , Prevalência , Fatores de Risco , Reino Unido/epidemiologia
8.
Indian J Nephrol ; 24(4): 246-8, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25097339

RESUMO

Spiders of the Loxosceles species can cause dermonecrosis and acute kidney injury (AKI). Hemolysis, rhabdomyolysis and direct toxin-mediated renal damage have been postulated. There are very few reports of Loxoscelism from India. We report a case of AKI, hemolysis and a "gravitational" pattern of ulceration following the bite of the brown recluse spider (Loxosceles spp).

9.
J Environ Biol ; 34(6): 1059-64, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24555337

RESUMO

The present study explores the potentiality of sugarcane charcoal for fluoride removal from synthetic fluoride solution. Column adsorption experiments with respect to variation of flow rate, pH, initial concentration, and column depths were carried out. Sugarcane charcoal exhibited almost consistent scavenging capacity at various bed depths with a flow rate 4.34 ml min(-1). Maximum adsorption capacity of sugarcane charcoal was recorded 7.33 mg g(-1). The adsorption studies were simulated using Thomas and Bed depth service time model. Both the models consistently predict its characteristic parameters and describe the breakthrough profiles in the whole range of sorption process.


Assuntos
Carvão Vegetal/química , Fluoretos/isolamento & purificação , Saccharum/química , Poluentes Químicos da Água/isolamento & purificação , Adsorção , Concentração de Íons de Hidrogênio , Modelos Químicos
10.
J Environ Biol ; 34(5): 963-6, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24558813

RESUMO

The objective of the present study was to access the pollutant generated from bio-fuels like bamboo sticks, cow dung, paddy straw, carbon dust cake, gobar gas, jute stick, and mustard stick and synthetic fuel like LPG during cooking in rural villages of Burdwan, West Bengal, India and its fluctuation in living room. The average SO2 released from the fuels was found in the following order: bamboo stick > cow dung > paddy straw > carbon cake > gobar gas > jute stick > LPG > mustard stick; NO2 emission was in the following order : mustard stick > carbon dust cake > paddy straw > cow dung cake > LPG, jute stick > gobar gas > bamboo stick > and SPM was obtained in the following sequence: cow dung cake > bamboo stick > carbon dust cake > gobar gas > LPG > mustard stick > paddy straw > jute stick, respectively. The highest living room to kitchen room (L/K) ratio of SO2, NO, and SPM was found in LPG, gobar gas, jute stick respectively in 2009 and followed by bamboo stick > paddy straw > jute stick > cow dung cake, respectively in 2010. Results of this study suggest that different fuels released different amount of air pollutants, but more extensive study is needed to confirm the relationship between fuels and released air pollutants.


Assuntos
Poluentes Atmosféricos/análise , Poluição do Ar em Ambientes Fechados/análise , Exposição Ambiental , Dióxido de Nitrogênio/análise , Material Particulado/análise , Dióxido de Enxofre/análise , Biocombustíveis , Culinária , Monitoramento Ambiental , Índia
11.
Cell Mol Biol (Noisy-le-grand) ; 58(1): 96-102, 2012 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-23273197

RESUMO

Plant phenolic compounds are known to play an important role in innate plant defense and are reported to show temporal and spatial changes in response to abiotic and biotic stress including invading pathogens. In the present study, spatial and temporal variations in phenolic compounds in response to infection by wilt pathogen, Fusarium oxysporum f. sp. ciceri (Foc) and Fusarium udum (Fud) were studied in wilt resistant and wilt susceptible cultivars of chickpea (Cicer arietinum L.) and pigeonpea (Cajanus cajan L. Millspaugh) (i) before the onset of wilt infection (S1 stage; 7 Days after sowing (DAS)), (ii) after the onset of wilt infection (S2 stage; 15 DAS) and (iii) at severe disease stage (S3 stage; 30 DAS), respectively and analyzed for association of total phenol with disease reaction. Under un—inoculated condition, maximum phenol content (21.8 mg gdw—1) was found in wilt resistant cultivars and minimum (16.5 mg gdw—1) in susceptible lines of chickpea. Wilt resistant cultivars of chickpea showed two fold increase in total phenolic content at the onset of infection. In case of pigeonpea, roots of resistant cultivars showed 2.27 fold increase in phenolics, but the increase was marginal in susceptible cultivars. In the present study, interaction between Fusarium and host plants was found to enhance defense responses against wilt disease in resistant cultivars of chickpea and pigeonpea.


Assuntos
Cajanus/metabolismo , Cajanus/microbiologia , Cicer/metabolismo , Cicer/microbiologia , Fusarium/patogenicidade , Fenóis/metabolismo , Doenças das Plantas/microbiologia , Interações Hospedeiro-Patógeno
12.
Cell Mol Biol (Noisy-le-grand) ; 58(1): 55-65, 2012 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-23273192

RESUMO

(foc) and Fusarium udum (Fud) collected from major pulse growing regions of India. Out of 247 bands produced by 24 Randomly Amplified Polymorphic DNA (RAPD) primers in Foc isolates, 210 (85%) were polymorphic. A maximum of 14 amplicons were generated by primer OPF 05 whereas minimum 7 amplicons were generated by primer K7. A total of 24 alleles were produced by twelve Simple Sequence Repeats (SSR) primers with an average of two alleles per marker in foc isolates. The maximum number of 4 alleles was obtained with primer SSR 12. SSR amplicon size ranged from 100 to 400 bp. The Unweighted Pair Group Method with Arithmetic average (UPGMA) cluster analysis based on RAPD and SSR profiles grouped the fourteen foc isolates into four major clusters. The universal Inter Transcribed Spacer (ITS) primer pair amplified 630 bp bands in all fourteen foc isolates while significant length polymorphism was obtained only when analysed by restriction digestion with EcoRI and MspI enzymes. The cluster analysis of ITS—RFLP grouped all 14 Foc isolates into three major clusters. Twenty four RAPD primers generated a total of 226 bands (ranging 0.3 to 3.0 kb) in Fusarium udum with an average of 9.4 bands per primer and a total of 27 alleles were produced by twelve SSR primers with an average of 2.25 alleles per marker. All isolates amplified a single band ranging from 100 to 450 bp. The universal ITS primer pair amplified 650 bp bands in all fourteen fud isolates while significant length polymorphism was obtained only when analysed by restriction digestion with EcoRI and Hind III enzymes. The cluster analysis of ITS—RFLP grouped all 14 Fud isolates into three major clusters. The cluster analysis using various markers show the grouping of Fusarium isolates strictly according to their cultural characteristics and degree of pathogenicity and not the geographical origin. This information will be helpful for pathologists and plant breeders to design effective resistance breeding programs in chickpea and pigeonpea taking into account the diversity in wilt pathogen.


Assuntos
Cajanus/microbiologia , Cicer/microbiologia , Fusarium/genética , Fusarium/patogenicidade , Biomarcadores , Variação Genética , Índia , Repetições de Microssatélites/genética , Polimorfismo de Fragmento de Restrição , Técnica de Amplificação ao Acaso de DNA Polimórfico
13.
Oncogene ; 31(36): 4045-53, 2012 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-22158047

RESUMO

Head and neck squamous cell carcinoma (HNSCC) is the sixth most prevalent cancer worldwide with about 600 000 new cases diagnosed each year. Understanding the molecular pathways that lead to HNSCC is crucial to identify new targets for anti-cancer drug development. Protein kinase Cɛ (PKCɛ) is elevated in HNSCC and regulates the activation of Akt, Stat3 and Rho GTPases. To date, the molecular mechanism of PKCɛ dysregulation in HNSCC remains to be elucidated. In silico analysis identified three putative microRNA-107 (miR-107) binding sites in the 3'-untranslated region (UTR) of PKCɛ. An inverse relationship was revealed between miR-107 and PKCɛ in HNSCC cell lines. Delivery of miR-107 reduced PKCɛ levels in SCC15, SCC25 and CAL27, three HNSCC cell lines with high PKCɛ and low miR-107. The activity of a luciferase reporter construct containing the 3'-UTR of PKCɛ was downregulated by miR-107 and mutations in the three cognate miR-107 binding sites completely ablated the regulation by miR-107. Treatment with miR-107 significantly blocked cell proliferation, DNA replication, colony formation and invasion in SCC25 and CAL27 cells. Ectopic expression of miR-resistant PKCɛ was sufficient to partially rescue the loss-of-function phenotype in miR-107-overexpressing SCC25 cells. Tumor growth in nude mice was retarded by 93±7% in CAL27/miR-107 cells compared with CAL27/miR-control cells. Last, human primary HNSCC tumors with elevated PKCɛ had reduced miR-107 expression. Our results demonstrate that PKCɛ is directly regulated by miR-107 and, moreover, suggest that miR-107 may be a potential anti-cancer therapeutic for HNSCC.


Assuntos
Carcinoma de Células Escamosas/genética , Regulação Neoplásica da Expressão Gênica , Genes Supressores de Tumor , Neoplasias de Cabeça e Pescoço/genética , MicroRNAs/fisiologia , Proteína Quinase C-épsilon/genética , Animais , Sequência de Bases , Carcinoma de Células Escamosas/enzimologia , Carcinoma de Células Escamosas/patologia , Linhagem Celular Tumoral , Movimento Celular , Proliferação de Células , Transformação Celular Neoplásica , Regulação para Baixo , Neoplasias de Cabeça e Pescoço/enzimologia , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Camundongos , Camundongos Nus , MicroRNAs/genética , MicroRNAs/metabolismo , Invasividade Neoplásica , Transplante de Neoplasias , Proteína Quinase C-épsilon/metabolismo , Carga Tumoral
14.
BMJ ; 343: d5604, 2011 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-21903692

RESUMO

OBJECTIVE: To explore compliance with the UK blood services' criterion that excludes men who have had penetrative sex with a man from donating blood, and to assess the possible effects of revising this policy. DESIGN: A random location, cross sectional survey followed by qualitative interviews. SETTING: Britain. PARTICIPANTS: 1028 of 32,373 men in the general population reporting any male sexual contact completed the survey. Additional questions were asked of a general population sample (n=3914). Thirty men who had had penetrative sex with a man participated in the qualitative interviews (19 who had complied with the blood services' exclusion criterion and 11 who had not complied). Main outcome measure Compliance with the blood services' lifetime exclusion criterion for men who have had penetrative sex with a man. RESULTS: 10.6% of men with experience of penetrative sex with a man reported having donated blood in Britain while ineligible under the exclusion criterion, and 2.5% had donated in the previous 12 months. Ineligible donation was less common among men who had had penetrative sex with a man recently (in previous 12 months) than among men for whom this last occurred longer ago. Reasons for non-compliance with the exclusion included self categorisation as low risk, discounting the sexual experience that barred donation, belief in the infallibility of blood screening, concerns about confidentiality, and misunderstanding or perceived inequity of the rule. Although blood donation was rarely viewed as a "right," potential donors were seen as entitled to a considered assessment of risk. A one year deferral since last male penetrative sex was considered by study participants to be generally feasible, equitable, and acceptable. CONCLUSIONS: A minority of men who have sex with men who are ineligible to donate blood under the current donor exclusion in Britain have nevertheless done so in the past 12 months. Many of the reasons identified for non-compliance seem amenable to intervention. A clearly rationalised and communicated one year donor deferral is likely to be welcomed by most men who have sex with men.


Assuntos
Doadores de Sangue/estatística & dados numéricos , Fidelidade a Diretrizes , Homossexualidade Masculina/estatística & dados numéricos , Cooperação do Paciente/estatística & dados numéricos , Adulto , Idoso , Atitude Frente a Saúde , Doadores de Sangue/legislação & jurisprudência , Estudos Transversais , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Risco , Autorrelato , Reino Unido/epidemiologia , Adulto Jovem
15.
Nepal J Ophthalmol ; 3(2): 210-3, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21876602

RESUMO

BACKGROUND: Orbital tuberculosis is rare even in endemic areas. The disease may involve soft tissue, lacrimal gland, or the periosteum or bones of the orbital wall. CASE: We present an Indian girl, who presented with a slowly growing left-sided superotemporal orbital mass, with no significant previous medical history. The swelling turned to an abscess and burst spontaneously giving rise to a discharging sinus. The discharge was negative for any organism on Gram and Giemsa staining. A tuberculin skin test was strongly positive. Incisional biopsy showed caseating granuloma and Langhan 's giant cells suggestive of tubercular aetiology. The patient responded well to tuberculous chemotherapy. CONCLUSION: Although tuberculous dacryoadenitis is a very rare manifestation of tuberculosis,still the possibility should be entertained in a slowly growing mass of the lacrimal gland, especially in developing countries where the prevalence of tuberculosis is high.


Assuntos
Dacriocistite/microbiologia , Tuberculoma/diagnóstico , Tuberculose Ocular/diagnóstico , Antituberculosos/uso terapêutico , Criança , Dacriocistite/tratamento farmacológico , Feminino , Humanos , Aparelho Lacrimal/microbiologia , Tuberculoma/tratamento farmacológico , Tuberculose Ocular/tratamento farmacológico
16.
J Environ Sci Eng ; 53(1): 57-64, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22324147

RESUMO

The present study deals with the biochemical responses of some selected tree species with respect to increased air pollution in Durgapur industrial city in India. Areas in vicinity to industries possess very high concentrations of suspended particulate matter (571 microg/m3), SOx (132 microg/m3) and NOx (97 microg/m3) which shows significant correlations (p < 0.05) with the biochemical constituents of stressed plants. Plants growing in industrial zone exhibit a considerable decline in total chlorophyll (34.97-59.81%), soluble sugars (23.85-33.16%) and protein content (21.59-47.13%) and increase in ascorbic acid (81.87-238.53%) and proline content (123.47-284.91%). Of the studied tree species, Shorea robusta (9.78 +/- 0.095), Alstonia scholaris (8.76 +/- 0.084), Peltophorum pterocarpum (8.99 +/- 0.13) and Albizia lebbeck (7.71 +/- 0.012) were found to be more tolerant with higher Air Pollution Toblerance Index (APTI) and Tectona grandis (6.13 +/- 0.276), Lagerstroemia speciosa (7.075 +/- 0.18) and Delonix regia (6.87 +/- 0.079) were sensitive with lower APTI values. Therefore, plant species with higher APTI value, being more resistant, can be used as pollutant absorbent to reduce the pollution level and are suitable for plantations in industrial areas.


Assuntos
Poluentes Atmosféricos/análise , Árvores , Índia , Árvores/classificação
17.
J Environ Biol ; 30(5 Suppl): 797-800, 2009 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20143708

RESUMO

Field experiment was carried out during November 2006 to February 2007 under old alluvial soil to evaluate the impact of combined dose of chemical fertilizer, biofertilizer in combination with compost for the yellow sarson (Brassica campestries cv. B9) in a randomized block design replicated thrice. Various morpho-physiological parameters viz., plant population, length of shoot and root, leaf area index (LAI), crop growth rate (CGR), net assimilation rate (NAR), yield attributes viz., number of siliquae per plant, number of seeds/siliquae, 1000 seed weight (test weight), seed yield, stover yield and physiological and biochemical parameters viz., pigment content, sugar, amino acid, protein, ascorbic acid content in physiologically active leaf were performed. The treatment T1 i.e., 40% less N fertilizer 25% less P fertilizer K fertilizer constant + 12 kg ha(-1) biofertilizer (Azophos) and organic manure (compost) @ 5Mt ha(-1), showed the maximum chlorophyll accumulation (10. 231 mg g(-1) freshweight), highest seed/siliquae (25.143), test weight of seeds (4. 861g) and highest seed yield (10.661 tha(-1)). A comparison between all the morphological, anatomical, physiological and biochemical parameters due to application of chemical fertilizer; bio-fertilizer and compost alone and in combination and their impact on soil microorganism, flora and fauna will throw a sound environmental information.


Assuntos
Brassica/crescimento & desenvolvimento , Fertilizantes , Solo , Brassica/fisiologia , Concentração de Íons de Hidrogênio , Folhas de Planta/anatomia & histologia , Folhas de Planta/crescimento & desenvolvimento , Folhas de Planta/fisiologia , Raízes de Plantas/anatomia & histologia , Raízes de Plantas/crescimento & desenvolvimento , Raízes de Plantas/fisiologia , Brotos de Planta/anatomia & histologia , Brotos de Planta/crescimento & desenvolvimento , Brotos de Planta/fisiologia , Sementes/crescimento & desenvolvimento , Temperatura
18.
Oncogene ; 27(22): 3156-64, 2008 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-18071317

RESUMO

Inactivation of the retinoblastoma (RB) tumor suppressor pathway, via elevated cyclin-dependent kinase (CDK) activity, is observed in majority of human cancers. Since CDK deregulation is evident in most cancer cells, pharmacological CDK inhibition has become an attractive therapeutic strategy in oncology. We recently showed that an oncogenic CDK4(R24C) mutation alters the subcellular localization of the normally nuclear RB phosphoprotein. Here, using 71 human cancer cell lines and over 300 primary human cancer tissues, we investigated whether changes in RB subcellular localization occur during human cancer progression. We uncover that diverse human cancers and their derived cell lines, particularly those with poor tumor differentiation, display significant cytoplasmic mislocalization of ordinarily nuclear RB. The nucleocytoplasmically distributed RB was derived via CDK-dependent and Exportin1-mediated nuclear export. Indeed, cytoplasmically mislocalized RB could be efficiently confined to the nucleus by pharmacologically reducing CDK activity or by inhibiting the Exportin1-mediated nuclear export pathway. Our observations uncover a post-translational CDK-dependent mechanism of RB inactivation and suggest that cytoplasmically localized RB may harbor a tumor promoting function. We propose that RB inactivation, via aberrant nucleocytoplasmic transport, may disrupt normal cell differentiation programs and accelerate the cancer process. These results are evidence that tumor cells modulate the protein transport machinery thereby making the protein transport process a viable therapeutic target.


Assuntos
Diferenciação Celular , Núcleo Celular/metabolismo , Neoplasias/metabolismo , Proteína do Retinoblastoma/metabolismo , Transporte Ativo do Núcleo Celular , Animais , Células Cultivadas , Quinases Ciclina-Dependentes/metabolismo , Progressão da Doença , Células HCT116 , Células HT29 , Humanos , Carioferinas/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Nus , Fosforilação , Receptores Citoplasmáticos e Nucleares/metabolismo , Proteína do Retinoblastoma/fisiologia , Transplante Heterólogo , Proteína Exportina 1
19.
J Environ Biol ; 28(1): 11-4, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17717978

RESUMO

In order to screen out the best variety of wheat (Triticum aestivum) out of eight varieties (viz., HP 1633, BW 11, NW 1014, Sonalika, HUW 468, K 9107, HP 1731 and HUW 234), a field experiment was conducted (from Dec. 2002 to April 2003) in a randomized block design replicated thrice at Crop Research and Seed Multiplication Farm, Burdwan University, West Bengal, India. Various morpho physiological parameters viz., plant population, length of shoot and root, leaf area index (LAI), crop growth rate (CGR), leaf area ratio (LAR), leaf area duration (LAD), net assimilation rate (NAR), yield attributes viz., length of panicles, number of grains per panicle, grain yield, straw yield, pigment content in flag leaf (chlorophyll a, b and total chlorophyll and carotenoid content) were estimated and analyzed statistically Soil bacterial populations were also estimated in the fallow land before sowing of seeds and after harvesting of crop. The HUW 468 variety records higher grain yield, maximum panicle length and maximum chlorophyll b and total chlorophyll content.


Assuntos
Triticum , Carotenoides/metabolismo , Clorofila/metabolismo , Contagem de Colônia Microbiana , Índia , Folhas de Planta/crescimento & desenvolvimento , Folhas de Planta/metabolismo , Raízes de Plantas/crescimento & desenvolvimento , Brotos de Planta/crescimento & desenvolvimento , Solo , Microbiologia do Solo , Triticum/classificação , Triticum/crescimento & desenvolvimento , Triticum/metabolismo
20.
J Environ Biol ; 27(3): 609-12, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17402259

RESUMO

Cities and towns of the world are now facing enormous rise of noise pollution problem due to very high population rise, transport congestion and associated commercial and industrial activities. Burdwan, a district headquarter (100 km away from Kolkata) is one such town where noise pollution is very frequent. In order to assess noise level, noise data were collected from various places of the town by sound level meter with a duration of 30 minutes/location during specified time like 6.00 am, 10.00 am, 1.00 pm, 4.00 pm and 6.00 pm. Most of the monitoring places either belongs to silence category or commercial category areas. From the tabulated data, it was found that sound level lies within the range of 64-85 dB or above in different time at different places. The locations that belong to the silence zone have the noise level up to 90 dB. Statistically noise level in all these zones differ significantly at their peak hours. Noise pollution adversely affects our environment as well as human beings. Sound causes both pathological and psychological disorders in human beings. Implementation of rules and regulations under section 20, 21J, 41, 68(I), 70, 90, 111A of Environment Protection Act, 1986 and of course various technological methods and public awareness are very essential to check noise pollution in Burdwan town.


Assuntos
Monitoramento Ambiental/métodos , Ruído , Índia
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