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1.
J Cancer Res Clin Oncol ; 148(7): 1559-1567, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35254518

RESUMO

PURPOSE: Every year, about 4.6 million people are diagnosed with cancer in Europe. However, based on preclinical changes and using appropriate examination procedures certain cancers can be detected in symptom-free patients at an early stage and treatment initiated. In Germany, various cancer screening examinations are currently offered to the relevant age groups and sexes free of charge. Participation rates are affected by a number of factors and barriers. The study aimed at identifying potential obstacles and barriers to uptake, taking into account demographic and socio-economic variables. MATERIALS AND METHODS: Data collection was conducted in the context of routine examination appointments at the City of Kiel Occupational Health Department from September 2013 to September 2014 using an anonymised questionnaire. In addition to recording socio-demographic data and tobacco consumption, the questionnaire also catalogued participation in statutory health insurance cancer screening examinations using the "stages of change" from the Transtheoretical Model. Eight potential barriers to participation were recorded. RESULTS: The results are based on 718 completed questionnaires. It was found that women, older age, and non-smoking status were associated with a higher probability of participating in cancer screening. It was also found that various barriers affecting (regular) participation were perceived significantly different according to the individual stages of change. This influence of the stages was moderated by gender. CONCLUSION: The results showed interesting trends in the different barriers and how they are influenced by socioeconomic factors and the stages of change. Especially the stages require different gender-specific approaches to mobilisation for cancer screening.


Assuntos
Detecção Precoce de Câncer , Neoplasias , Feminino , Alemanha/epidemiologia , Humanos , Programas de Rastreamento/métodos , Programas Nacionais de Saúde , Neoplasias/diagnóstico , Neoplasias/epidemiologia , Neoplasias/prevenção & controle , Fatores Socioeconômicos , Inquéritos e Questionários
2.
Naturwissenschaften ; 101(12): 1099-106, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25324015

RESUMO

CT scanning analysis applied to vertebrate palaeontology is providing an increasing number of data of great interest. This method can be used in many branches of palaeontology such as the investigation of all the fossilized elements in a hard matrix and the hidden structures in the bones. A large number of pathologies are "hidden", completely or partially invisible on the external surface of the bones because their development took place within the bones. However, the study of these diseases and abnormalities plays a crucial role in our understanding of evolutionary and adaptive processes of extinct taxa. The analysis of a partial skeleton of the sabre-toothed felid Megantereon whitei from the Early Pleistocene karst filling deposits of Monte Argentario (Tuscany, Italy) has been carried out. The CT scanning analysis put in evidence the presence of supernumerary teeth (P(2)) and the absence of P3 in the mandible. The occurrence of P(2) can be considered as an evidence of atavism. Such an archaic feature is recorded for the first time in Megantereon.


Assuntos
Dente Pré-Molar/diagnóstico por imagem , Carnívoros/anatomia & histologia , Fósseis , Tomografia Computadorizada por Raios X , Dente Supranumerário/diagnóstico por imagem , Animais , Dente Pré-Molar/anatomia & histologia , Itália
3.
Naturwissenschaften ; 100(3): 235-43, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23371350

RESUMO

Evidence of diseases on vertebrate fossil bones can provide detailed information on many aspects of extinct animals. This study focused on pathological craniodental remains (left maxilla and dentary) referred to the canid Cuon alpinus unearthed from a Late Pleistocene karst filling deposit at San Sidero (Apulia, southern Italy). These fossils show clear evidence of a chronic periodontitis that caused the animal's death. Clinical diagnosis of the disease and the timing of its development have been defined on the basis of a veterinary odontostomatology approach, in addition to radiographic and tomographic techniques. From the initiation of the infection until death, a time span of at least 6 months occurred, and three main steps have been defined: (1) the bacterial infections of the buccal cavity turning into severe periodontitis, (2) the fracture of the lower carnassial and (3) the loss of teeth due to the worsening infection that deformed and/or eroded maxillary and mandibular bones and enlarged alveoli. The analysis of the palaeopathology also provides information about the biomechanics of the bite, on the feeding behaviour and on the relationships of injured members in a pack of Late Pleistocene canids.


Assuntos
Canidae/anatomia & histologia , Canidae/fisiologia , Comportamento Alimentar/fisiologia , Fósseis , Maxila/anatomia & histologia , Periodontite/patologia , Dente/anatomia & histologia , Animais , Itália
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