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Sample records for abyssal plain pap

  1. Spatio-temporal changes in the distribution of phytopigments and phytoplanktonic groups at the Porcupine Abyssal Plain (PAP) site

    Science.gov (United States)

    Smythe-Wright, Denise; Boswell, Stephen; Kim, Young-Nam; Kemp, Alan

    2010-08-01

    We have made a comprehensive study of pigment distributions and microscopically determined phytoplankton abundances within the Porcupine Abyssal Plain (PAP) location in the North Atlantic to better understand phytoplankton variability, and make some suggestions regarding the composition of the material falling to the sea bed and its impacts on benthic organisms such as Amperima rosea. The area has been the focus of many studies of ocean fluxes and benthic communities over recent years, but little attention has been given to the spatio-temporal variability in the surface waters. Dawn casts over a 12-day period at the PAP mooring site (48.83°N 16.5°W) revealed the presence of only one species, the diatom Actinocyclus exiguus, at bloom concentrations for just 5 days. Smaller populations of other diatoms and the dinoflagellates Gymnodinium and Gyrodinium were also present at this time. Following this 5-day interval, a mixed population of small-sized dinoflagellates, prymnesiophytes, prasinophytes, chrysophytes and cyanobacteria occurred. It is clear from concomitant CTD/bottle surveys that rapid changes in phytoplankton community structure at a fixed time series position do not necessarily reflect a degradation or manifestation of one particular species but rather represent the movement of eddies and other water masses within very short timescales. These cause substantial variability in the species class and size fraction that may explain the variability in carbon export that has been seen at the PAP site. We also make some suggestions on the variable composition of the material falling to the seabed and its impact on benthic organisms such as Amperima rosea.

  2. Biogeochemical variations at the Porcupine Abyssal Plain Sustained Observatory (PAP-SO) in the northeast Atlantic Ocean

    Science.gov (United States)

    Hartman, Susan; Lampitt, Richard; Schuster, Ute; Jiang, Zongpei; Frigstad, Helene; Ostle, Clare

    2016-04-01

    We examine high-resolution autonomous measurements of carbon dioxide partial pressure p(CO2) taken in situ at the FixO3 Porcupine Abyssal Plain sustained observatory (PAP-SO) site in the northeast Atlantic (49° N, 16.5° W; water depth of 4850 m) for the period 2010 to 2012. Measurements of p(CO2) made at 30 m depth on a sensor frame are compared with other autonomous biogeochemical measurements at that depth (including chlorophyll a-fluorescence and nitrate concentration data) to analyze weekly to seasonal controls on p(CO2) flux in the inter-gyre region of the North Atlantic. Comparisons are also made with in situ regional time-series data from a ship of opportunity and mixed layer depth (MLD) measurements from profiling Argo floats. There is a persistent under saturation of CO2 in surface waters throughout the year which gives rise to a perennial CO2 sink. Comparison with an earlier dataset collected at the site (2003 to 2005) confirms seasonal and inter-annual changes in surface seawater chemistry. There is year-to-year variability in the timing of deep winter mixing and the intensity of the spring bloom.

  3. Late Quarternary evolution of the northern Hatteras Abyssal Plain

    International Nuclear Information System (INIS)

    Dickson, S.M.; Laine, E.P.

    1986-05-01

    The sedimentary history and seismic structure of a deep-water turbidite basin in the Western North Atlantic Ocean has been investigated to understand further the evolution of abyssal plains. This study integrates analyses of sedimentary and seismic facies in order to examine the temporal and spatial patterns of sedimentation on the northern Hatteras Abyssal Plain during the Late Quaternary. Forty deep-sea sediment cores and 6000 km of high resolution (3.5 kHz) seismic reflection profiles from within 31-34 0 N and 69-74 0 W include portions of the Hatteras Outer Ridge, Lower Continental Rise and Bermuda Rise as well as the northern Hatteras Abyssal Plain. Seismic profiles (within 32-33 0 N, 70-71.5 0 W) define two acoustically-transparent seismic units beneath the Plain. The composition of these seismic units has been investigated with sediment cores. This study has found two notable features in the sedimentary framework of the Plain that appear to have resulted from temporal changes in sediment supply. The most recent change, a postglacial decline in turbidity current activity, produced a diagenetic iron enrichment at the Pleistocene-Holocene boundary. The stratigraphic thickness affected by diagenesis is related spatially to patterns of turbidite sedimentation. An earlier change, discovered in this research, occurred during the Wisconsinian glaciation and brought coarser-grained turbidity currents to the northern Plain. Deposition of sands from these flows appears to have been locally controlled by a broad topographic feature with less than ten meters relief. As a result of the topographic influence, there are abrupt boundaries, both verically and laterally, between an older mud facies and a younger sandy turbidite facies of the Plain

  4. Suspended particulate studies over the Madeira Abyssal Plain

    International Nuclear Information System (INIS)

    Simpson, W.R.

    1987-01-01

    Various aspects relating to suspended matter over the Madeira Abyssal Plain are discussed. Special attention is paid to the nepheloid layer including resuspension and transport processes; time variabilities in particle concentrations and fluxes; particle morphology, microbiology and chemical composition; phase association of metals. Also, tentative predictions of the behaviour of some radionuclides are made based on theory and data on rare earth elements. Instrumentation developed for the project is detailed - the deep water particle sampler. (author)

  5. Landscape scale ecology at the Porcupine Abyssal Plain

    Science.gov (United States)

    Ruhl, H.; Morris, K. J.; Bett, B. J.; Jones, D.; Huvenne, V. A. I.; Robert, K.; Gooday, A. J.; Durden, J. M.; Laguionie-Marchais, C.; Stefanoudis, P. V.; Benoist, N. M.; Paterson, G. L.; Wolff, G. A.; Milligan, R. J.; Bailey, D. M.

    2016-02-01

    The distribution and abundance of life on the seafloor is set to some extent by the supply of sinking particulate organic matter from overlying surface water. However, the habitat landscape of the seafloor can also exert important ecological influences at local scales. Community differences on the scales of centimeters upwards can arise from drivers including changes in seafloor sediments, slope, and lateral movement of particulate organic matter. Here we use photographic survey data covering an extent on the order of 100 km2 to examine relationships between megafauna density, biomass, diversity, and community composition, as well as food availability and habitat type across landscape scales. The surveyed area at the Porcupine Abyssal Plain has a maximum water depth of about 4850 m and includes a range of topographic features from slight undulations of the seafloor to exposed bedrock scarps on an abyssal hill rising more than 200 m above the surrounding plain. We first examine community descriptors across the entire area and then sequentially break the analytical units into smaller units including variants based on habitat types and spatial extent. We repeat the examination of seafloor community descriptors with finer and finer analytical unit scales, as well as for different habitat types, and changing levels of phytodetritus coverage. We then examine the scales at which diversity and community composition go from statistically indistinguishable between analytical units to significantly different and which factors best explain these observations. Lastly, we relate the results from this megafauna study to other recent spatial studies at the Porcupine Abyssal Plain, from foraminifera to fishes, to build a landscape view of the ecology of the area.

  6. Dispersion measurements from Sofar floats on the Iberian Abyssal plain

    International Nuclear Information System (INIS)

    Rees, J.M.; Gmitrowicz, M.

    1989-01-01

    Tracks of SOFAR floats launched on the Iberian Abyssal Plain are presented. The floats were launched in two groups in early October 1984 and mid-February 1985 to a nominal depth of 2500 m. Of these floats, 4 from the first deployment and 2 from the second functioned properly. Float signals were recorded by four autonomous listening stations at a depth of 1900 m. These preliminary results show the tracks of floats up to July 1986 and represent 3600 float days of information. The main task of the experiment was to especially study the dispersion of radioactive substances

  7. Ocean-Bottom Topography: The Divide between the Sohm and Hatteras Abyssal Plains.

    Science.gov (United States)

    Pratt, R M

    1965-06-18

    A compilation of precision echo soundings has delineated the complex topography between the Sohm and Hatteras abyssal plains off the Atlantic coast of the United States. At present the divide between the two plains is a broad, flat area about 4950 meters deep; however, the configuration of channels and depressions suggests spillage of turbidity currents from the Sohm Plain into the Hatteras Plain and a shifting of the divide toward the northeast. Hudson Canyon terminates in the divide area and has probably fed sediment into both plains.

  8. Moored current meter data from the Madeira Abyssal Plain (GME). 1. deployment (1984)

    International Nuclear Information System (INIS)

    Saunders, P.M.

    1986-01-01

    Near bottom current have been measured at three closely spaced sites in the N.E. Atlantic for 13 months. Locations were selected in the Great Meteor East study site area, near 31 0 30'N 25 0 W, one on the abyssal plain, one on top of a small abyssal hill about 400 m high and one on its flank just above the plain. Current meters were moored 10, 100, and 1000 m above the local bottom (5438 m, 5398 m and 4999 m) in January 1984 and recovered in February 1985. This report displays the characteristics of the currents in numerous tables and figures. In the mean they ar found to be very weak and though adjacent moorings are separated by only 12 km and 27 km the year-long current directions differ radically. Current variations are principally due to semi-diurnal tides, inertial oscillations and eddies the latter of which migrate over the moorings. The tidal energy meets expectations as does the eddy energy with magnitude 2-3 cm 2 s -2 . Horizontal (isopycnal) diffusivity is estimated as about 2x10 2 m 2 s -1 . Currents 10 m above the bottom exceed 10 cm/s least frequently on the plain and most frequently at the hill-foot. The influence of the hill is surprisingly large. At all three sites the strongest currents are found near the sea bed. Speeds also show a Weibull distribution and rough 50 year return currents are inferred. (author)

  9. Moored current meter data from the Madeira Abyssal Plain (GME). 2. deployment (1984)

    International Nuclear Information System (INIS)

    Saunders, P.M.

    1986-01-01

    Near bottom currents have been measured at three closely spaced sites in the N.E. Atlantic for 22 months. This report describes the results for the period 13-22 months and closely follows the pattern used in describing the first 13 months of data (IOS Report No. 221, 1986). The three locations were in the Great Meteor East study site area, near 31 0 30'N 25 0 W, one on the abyssal plain, one on top of a small abyssal hill about 400 m high and one on its eastern flank. For the period of this report current meters were moored 10,100 and 1000 m above the local bottom (5438 m, 5433 m and 4989 m) between February and November 1985. The characteristics of the currents are displayed in numerous tables and figures: the mean currents for the 9 months are strikingly similar to those measured for the first 13 months. The variations in current strengths are also similar and yield eddy energies of between 2 and 3 cm 2 s -2 and horizontal (isopycnal) diffusivity of 2x10 2 m 2 s -1 . Currents in excess of 10 cm/s were considerably less frequent than found for the earlier data set. (author)

  10. Heat flow measurements in Great Meteor East, Madeira Abyssal Plain, during Discovery Cruise 144

    International Nuclear Information System (INIS)

    Noel, M.

    1984-01-01

    This report describes 21 closely spaced heat flow measurements which were made along two survey lines in an area of faulted sediments east of Great Meteor Seamount in the Madeira Abyssal Plain. The heat flow was found to be correlated with basement topography as mapped by seismic reflection profiling. Data modelling suggests that this is due both to the thermal conductivity contrast between sediments and basement rocks and to the presence of hydrothermal circulation within basement highs. The existence of non-linear temperature profiles in sediments covering basement highs suggests that the underlying circulation is causing an upward movement of porewater. There is no firm evidence to show that the sediment faults act as preferred pathways for porewater advection. (author)

  11. Geochemistry of the near surface sediments of the Nares Abyssal Plain

    International Nuclear Information System (INIS)

    Carpenter, M.S.N.; Colley, S.; Elderfield, H.; Kennedy, H.A.; Thomson, J.; Wilson, T.R.S.

    1983-01-01

    The geochemistry of a suite of box and 2m gravity cores from the Nares Abyssal Plain has been characterised by means of pore water analyses, XRF determination of major and trace element concentrations, mineralogy and 230 Thsub(excess) dating. The interstitial fluid environment of those deep-sea clays is mildly reducing, although one site exhibits manganese remobilisation and precipitation. Despite their marked colour differences, there is a similarity in clay mineralogy between the grey silt/clay turbidites and the brown clays found in the area. Sediment accumulation rates of pelagic brown clays range between 0.5 and 1.0 cm/10 3 yr. These pelagic brown clays are metal-rich relative to the grey clays, and a model is used to estimate the hydrogenous metal fluxes on the assumption that they are constant over the Plain. This model gives values of approx. 1300 μg/cm 2 /10 3 yr for Mn, approx. 2600 μg/cm 2 /10 3 yr for Fe and Co, Ni, Cu, V and Zn in the range 6 to 26 μg/cm 2 /10 3 yr. An associated model-derived estimate of the detrital contents of the same elements agrees well with the mean values of the grey clays and of average shale. Metal-poor brown clays and assorted minor lithologies are intermediate in composition between these two end-members. (author)

  12. Ferromanganese oxides from Mid-Indian ridge, seamounts and abyssal plains from the Indian Ocean

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, P.S.; Pattan, J.N.

    .47%) in the seamount crusts. The ferromanganese oxides from the Mid-Indian Ridge, seamount crusts and abyssal nodules appear to be of hydrothermal, hydrogenous and early-diagenetic in origin respectively...

  13. Great Meteor East (distal Madeira Abyssal Plain): geological studies of its suitability for disposal of heat-emitting radioactive wastes

    International Nuclear Information System (INIS)

    Searle, R.C.; Schultheiss, P.J.; Weaver, P.P.E.; Noel, M.; Kidd, R.B.; Jacobs, C.L.; Huggett, Q.J.

    1985-01-01

    This report summarises geological and geophysical studies carried out by the Institute of Oceanographic Sciences up to December 1983 in an area of the Madeira Abyssal Plain in order to assess its suitability for the disposal of heat-emitting radioactive waste. The results of work carried out in the same area by the Rijks Geologische Dienst of the Netherlands are also reviewed in the report. Other oceanographic studies in the area in the fields of geochemistry, biology and oceanography are briefly touched upon. (author)

  14. Elemental analysis of sediments and organisms from the Cape Verde abyssal plain (CV 1 and CV 2 sites)

    International Nuclear Information System (INIS)

    Germain, P.; Boust, D.; Sibuet, M.; Philippot, J.C.; Hemon, G.

    1984-08-01

    Some 20 stable elements were determined by neutron activation analysis in epibenthic organisms and sediments from the Cape Verde abyssal plain. The levels measured in two Plesiopenaeus sp. (shrimp) individuals and one Barathrites sp. (fish) individual are similar to those found in others crustaceans and fish from oceanic and coastal areas. Concentration factors were calculated for the elements whose radioactive isotopes should be considered in the case of subseabed waste disposal ( 90 Sr, 135 Cs, 79 Se). The sediments are biogenous marly oozes. The levels measured reflect the variations of terrigenous inputs since the last glacial maximum 18,000 B.P [fr

  15. Heat flow measurements in the vicinity of Great Meteor East, Madeira Abyssal Plain, during Darwin Cruise CD9B

    International Nuclear Information System (INIS)

    Noel, M.; Hounslow, M.W.

    1986-12-01

    This report describes 37 new measurements of heat flow in the Madeira Abyssal Plain. These have comprised 22 values in the Great Meteor East Study Area and 15 measurements in the newly defined ''10 km Box'' to the southeast of this region. The aim of the project has been to examine in more detail than hitherto the thermal and fluid processes operating in the oceanic crust. For this purpose, a new thermistor string, with 1/2 m sensor spacing was used. Also, the heat flux data have been compared to the output from a finite element model for heat conduction. No non-linear sediment temperature profiles were discovered indicating that vertical advection of water through the sediment is absent or slow. The results of numerical modelling imply that the variability of measured heat flow cannot be explained entirely on the basis of basement topography. It is necessary to invoke either vertical basement intrusions of differing conductivity or basement hydrothermal circulation. (author)

  16. High-resolution sub-bottom seismic and sediment core records from the Chukchi Abyssal Plain reveal Quaternary glaciation impacts on the western Arctic Ocean

    Science.gov (United States)

    Joe, Y. J.; Seokhoon, Y.; Nam, S. I.; Polyak, L.; Niessen, F.

    2017-12-01

    For regional context of the Quaternary history of Arctic marine glaciations, such as glacial events in northern North America and on the Siberian and Chukchi margins, we used CHIRP sub-bottom profiles (SBP) along with sediment cores, including a 14-m long piston core ARA06-04JPC taken from the Chukchi abyssal plain during the RV Araon expedition in 2015. Based on core correlation with earlier developed Arctic Ocean stratigraphies using distribution of various sedimentary proxies, core 04JPC is estimated to extend to at least Marine Isotope Stage 13 (>0.5 Ma). The stratigraphy developed for SBP lines from the Chukchi abyssal plain to surrounding slopes can be divided into four major seismostratigraphic units (SSU 1-4). SBP records from the abyssal plain show well preserved stratification, whereas on the surrounding slopes this pattern is disrupted by lens-shaped, acoustically transparent sedimentary bodies interpreted as glaciogenic debris flow deposits. Based on the integration of sediment physical property and SBP data, we conclude that these debris flows were generated during several ice-sheet grounding events on the Chukchi and East Siberian margins, including adjacent ridges and plateaus, during the middle to late Quaternary.

  17. Lagrangian circulation of the North Atlantic Central Water over the abyssal plain and continental slopes of the Bay of Biscay: description of selected mesoscale features

    Directory of Open Access Journals (Sweden)

    Alain Serpette

    2006-06-01

    Full Text Available Between 1994 and 2001, several experiments (ARCANE, SEFOS, INTERAFOS were conducted to directly measure the general and mesoscale Lagrangian circulations over the Bay of Biscay abyssal plain and slopes. Two levels (~100 m and ~450 m were selected to cover the North Atlantic Central Water range. Two types of Lagrangian instruments, drogued surface drifters tracked by satellite (Surdrift and acoustically tracked subsurface floats (Rafos and Marvor, were used. Overall, more than 36 instrument-years were collected in the Bay of Biscay region (43-49°N, 01-12°W. The weak general circulation in the Bay of Biscay is seen to be highly influenced by the occurrence of several mesoscale coherent features, notably slope currents and eddies, and these affect the exchanges between the abyssal plain and the slopes. The objective of this paper is to depict some specific examples of the observed mesoscale field. Selected float trajectories are shown and used to discuss observations of slope currents and of both anticyclonic and cyclonic eddies. Slope currents exhibit alternation of poleward and equatorward directions, depending on both the period and the geographic area considered. Although the generation process of mesoscale eddies is difficult to observe unambiguously from Lagrangian instruments, eddies are nevertheless ubiquitous over the abyssal plain. Some characteristics of the observed cyclonic and anticyclonic eddies are presented. Smaller anticyclones, localised over the outer shelf and interpreted in terms of ajustment of slope water intrusions, are also depicted.

  18. The Kefalonia Transform Zone (offshore Western Greece) with special emphasis to its prolongation towards the Ionian Abyssal Plain

    Science.gov (United States)

    Kokinou, E.; Papadimitriou, E.; Karakostas, V.; Kamberis, E.; Vallianatos, F.

    2006-12-01

    Information concerning two seismic lines, the first located northwest of the Lefkada Island and the second from the deep Ionian basin to the gulf of Patras, is used to trace the Kefalonia Transform Zone (KTZ) and to explore its relation with the sedimentary sequences and the deeper geologic structures in the study area. In addition, sea bottom topography and fault plane solutions are combined in order to explore the prolongation of the KTZ into the Ionian Abyssal Plain (IoAP) and to describe its properties. The boundary between the subduction of the eastern Mediterranean oceanic crust under the overriding continental crust and the KTZ is well constrained by the seismic data in association with seismicity and regional stress field. The southern prolongation of the KTZ is located in the IoAP towards the direction between Kefalonia and Zakynthos Islands at depth greater than 15 km. The southern part of the KTZ exhibits a strike slip motion with a thrust component according to fault plane solutions of moderate and strong earthquakes. The seismic section mostly confirms the existence of the thrust component and gives information about the tectonic status east and west of the KTZ.

  19. Long-term selective degradation of organic-walled dinoflagellate cysts in a Maderia Abyssal Plain turbidite

    Science.gov (United States)

    Gray, Daniel D.; Versteegh, Gerard J. M.; Zonneveld, Karin A. F.

    2017-04-01

    Post-depositional sedimentary dinoflagellate cyst degradation is well documented under oxic conditions, a process characterised by the preferential loss of "S-cysts" at elevated ambient oxygen concentrations. Establishing a quantitative relationship between degradation rates and aerobic exposure would allow paleo-bottom oxygen water profiles to be reconstructed. Here we trace the long-term (centennial-millennial scale) degradation pattern of a dinocyst assemblage from the F-turbidite of core GeoB20305-7 retrieved at Maderia Abyssal Plain (MAP), with reference to a suite of inorganic and organic geochemical profiles. A downward-migrating oxidation front advances through the the upper part of the depositional unit, resulting in a near-total loss of the Peridiniales cyst fraction dominated by Brigantedinium spp. and Echinidinium spp. specimens. In contrast, Gonyaulacales species have subdued degradation responses resulting in the progressive reconstitution of the cyst assemblage away from its source signal. Assuming a diffusion-dominated migration of the oxidation front and a basic parameterisation of boundary conditions we estimate the oxygen exposure time (OET) of the oxidised section to be 5000 years. The resulting degradation profile is well-fitted by an exponential decay curve. Implications of these observations are discussed with regard to existing schemes for dinoflagellate based proxy interpretation in oxic environments.

  20. Evidences of intraplate deformation in the West Madeira Abyssal Plain (eastern North Atlantic) from seismic reflection and multibeam swath bathymetry data

    Science.gov (United States)

    Roque, C.; Simões, M.; Lourenço, N.; Pinto de Abreu, M.

    2009-04-01

    The West Madeira Abyssal Plain is located in the eastern North Atlantic off Madeira Islands, forming part of the Canary Basin and reaching a mean water depth of 5300 m. This region is also located within Africa plate at about 500 km southwards from the Açores-Gibraltar plate boundary, and for that reason lacks seismic activity. Although this region being located in an intraplate setting, the presence of faulted sediments was reported in several works published during the eighties of last century following a study conducted in late 1970s to evaluate the feasibility of disposal of high-level radioactive wastes in the ocean. According these works, the Madeira Abyssal Plain sediments are cut by many normal growth faults and this deformation is a result of compaction and dewatering of the sediments. Evidences of tectonic deformation of oceanic sediments in intraplate settings are uncommon, but folded sediments and reverse faults extending into the basement, were recognized in the equatorial Indian Ocean and in the West African continental margin. Recently, during 2006 multi-channel seismic reflection and multibeam swath bathymetry surveys were carried out in the West Madeira Abyssal Plain by EMEPC in order to prepare the Portuguese proposal for the extension of the continental shelf. The seismic lines were acquired onboard R/V Akademik Shatskiy using a source of 5720 cu in bolt gun array, cable length of 7950 m and shot interval of 50.00 m. The multibeam swath bathymetry was acquired onboard NRP Gago Coutinho, and allowed a high resolution mapping of the main geomorphological features. The multichannel seismic lines, oriented WNW-ESE, image the Madeira island lower slope located at about 4000 m water depth and the almost flat abyssal plain at about 5300 m water depth. These seismic lines show a thick sedimentary succession that reaches a maximum thickness of about 1.5 sec twt in the deepest parts of the West Madeira Abyssal Plain, overlying an irregular diffractive

  1. Fatty acid compositions and trophic relationships of shelled molluscs from the Kuril-Kamchatka Trench and the adjacent abyssal plain

    Science.gov (United States)

    Kharlamenko, Vladimir I.; Würzberg, Laura; Peters, Janna; Borisovets, Evgeny E.

    2015-01-01

    Fatty acid (FA) compositions of 12 species of shelled molluscs (gastropods, bivalves, and scaphopods) from the Kuril-Kamchatka Trench and the adjacent abyssal plain were studied. According to the results of multivariate statistical analysis, molluscs were divided into three groups. Group I consisted of three scaphopod species, the bivalve Nucula profundorum and the gastropod Solariella delicata. FA compositions of this group were characterized by high levels of 20:4(n-6). We suggest that the FA pattern found in scaphopods with high values of 20:4(n-6) is most likely typical for that of benthic organisms feeding preferentially on foraminiferans. Group II included the bivalves Neilonella politissima, Bentharca asperula, and Rhinoclama filatovae. Bivalves from the second group had elevated concentrations of 22:6(n-3), and the ratio of 20:4(n-6) to 20:5(n-3) was lower than 1. Bivalves from the second group had elevated concentrations of 22:6(n-3). We propose that high concentrations of this FA can be used as a specific marker for a carnivorous feeding mode of deep-sea benthic invertebrates. The bivalve Bathyspinula calcarella as well as the scaphopod Polyschides sakuraii could not unambiguously be assigned to one group. Within the similarity analysis they rather clustered together with the foraminiferans feeders (group I), but forming an own subgroup. In the PCA on the other hand, P. sakuraii showed a position close to the other bivalves, while B. calcarella had an intermediate position between all three groups. Group III consisted of the gastropods Tacita holoserica and Paracteocina sp., which contained high concentrations of 20:5(n-3) and 22:5(n-3). Both are known to exhibit a carnivorous/scavenging feeding strategy. The very low content of DHA in both species is on first sight not consistent with the suggested carnivorous feeding behavior. A characteristic feature of Paracteocina sp. and T. holoserica was a high level of 22:5(n-3), and HUFA ratios indicate that DHA

  2. Deep-sea epibiotic hydroids from the abyssal plain adjacent to the Kuril-Kamchatka Trench with description of Garveia belyaevi sp. nov. (Hydrozoa, Bougainvilliidae)

    Science.gov (United States)

    Stepanjants, Sofia D.; Chernyshev, Alexey V.

    2015-01-01

    Examination of material collected by the German-Russian KuramBio Deep-Sea Expedition to the abyssal plain adjacent to the Kuril-Kamchatka Trench revealed about 17 hydroid species, including two species presumably new to science. Before the KuramBio Expedition only fragments of the unidentified hydroids and Cryptolaria sp. were collected in the Kuril-Kamchatka Trench from depths exceeding 3000 m. Descriptions of three species of epibiotic hydroids (including one new species, Garveia belyaevi sp. nov.) are presented herein. A colony of G. belyaevi sp. nov. (the third deep-sea and deepest species of the wide distributed genus Garveia) was attached to the spines of unidentified irregular sea urchins from depths 5217 to 5229 m. Нalitholus (?) sp. (Hydrozoa, Anthoathecata) colonized the skin of spoon worms (Echiura) but could not be identified to species level because the mature medusa stage was absent in the material. An unidentified juvenile polyp (Pandeidae) was found on the bryozoan Tricitella minini attached to spines of irregular sea urchins Echinosigra amphora. Colonial sedentary organisms inhabiting abyssal plains with soft bottoms may colonize invertebrates which are seldom used as substrates for epibiota in shallow waters. Epibiosis among abyssal colonial invertebrates, though extremely poorly studied, appears to be rather frequent.

  3. Pap test

    Science.gov (United States)

    Papanicolaou test; Pap smear; Cervical cancer screening - Pap test; Cervical intraepithelial neoplasia - Pap; CIN - Pap; Precancerous changes of the cervix - Pap; Cervical cancer - Pap; Squamous intraepithelial lesion - Pap; LSIL - Pap; HSIL - Pap; ...

  4. A discussion of non-linear temperature profiles at six closely spaced heat flow sites, southern Sohm Abyssal Plain, northwest Atlantic Ocean

    Science.gov (United States)

    Burgess, M. M.

    1986-09-01

    Six heat flow measurement sites were occupied in June 1980 in a 10 x 10 km 2 flat area of the southern Sohm Abyssal Plain, western North Atlantic Ocean. Non-linear sediment temperature profiles, measured to depths of 5 m, indicate perturbations in the temperature field in sediments overlying 90 Ma ocean floor. Temperature gradients average 59.0 mK m -1 in the lower half of the profile and decrease by 25% to an average of 44.24 mK m -1 in the upper half. Thermal conductivities of sediment cores down to 12 m ranged from 0.74 to 2.12 W m -1 K -1 and averaged 1.06 W m -1K -1. The non-linearity of sediment temperature profiles cannot be accounted for by the variations in thermal conductivity. Vertical fluid convection in the sediments, with a predominantly downward migration on the order of 5 x 10 -8 ms -1 in the upper 3 m, could explain the perturbations. However, in this study area of high abyssal kinetic energy and abyssal storms, bottom-water temperature fluctuations are the likely source of observed sediment temperature perturbations. A bottom-water temperature change of 50 mK occurring 3 months prior to the cruise could produce sediment temperature perturbations similar to those observed. Heat flow determined from the lower gradient (3-5 m sediment depth interval), assuming the non-linearity in the upper sensors to be principally due to bottom-water temperature fluctuations, averages 59.2 mW m -2, a slightly higher value than that predicted for 90 Ma crust.

  5. Depth-related distribution and abundance of seastars (Echinodermata: Asteroidea) in the Porcupine Seabight and Porcupine Abyssal Plain, N.E. Atlantic

    Science.gov (United States)

    Howell, Kerry L.; Billett, David S. M.; Tyler, Paul A.

    2002-10-01

    The depth-related distribution of seastar (Echinodermata: Asteroidea) species between 150 and 4950 m in the Porcupine Seabight and Porcupine Abyssal Plain is described. 47 species of asteroid were identified from ˜14,000 individuals collected. The bathymetric range of each species is recorded. What are considered quantitative data, from an acoustically monitored epibenthic sledge and supplementary data from otter trawls, are used to display the relative abundance of individuals within their bathymetric range. Asteroid species are found to have very narrow centres of distribution in which they are abundant, despite much wider total adult depth ranges. Centres of distribution may be skewed. This might result from competition for resources or be related to the occurrence of favourable habitats at particular depths. The bathymetric distributions of the juveniles of some species extend outside the adult depth ranges. There is a distinct pattern of zonation with two major regions of faunal change and six distinct zones. An upper slope zone ranges from 150 to ˜700 m depth, an upper bathyal zone between 700 and 1100 m, a mid-bathyal zone from 1100 to1700 m and a lower bathyal zone between 1700 and 2500 m. Below 2500 m the lower continental slope and continental rise have a characteristic asteroid fauna. The abyssal zone starts at about 2800 m. Regions of major faunal change are identified at the boundaries of both upper and mid-bathyal zones and at the transition of bathyal to abyssal fauna. Diversity is greatest at ˜1800 m, decreasing with depth to ˜2600 m before increasing again to high levels at ˜4700 m.

  6. Polychaete composition from the abyssal plain adjacent to the Kuril-Kamchatka Trench with the description of a new species of Sphaerephesia (Polychaeta: Sphaerodoridae)

    Science.gov (United States)

    Alalykina, Inna L.

    2015-01-01

    During the KuramBio expedition, the abyssal plain adjacent to the Kuril-Kamchatka Trench was sampled in July-August 2012. More than 5200 individuals of Polychaeta belonging to 38 families, 108 genera and about 144 species were found. Six genera have been reported for the Northwest Pacific for the first time. About 50% of the collected polychaete species are considered as new to science. One of these, Sphaerephesia lesliae sp. n., is described herein. The detailed description of the new species is presented and its differences from similar species are shown. This eighth species of the genus is characterized by the presence of macrotubercles with two paired terminal papillae. The genus Sphaerephesia Fauchald, 1972 is newly recorded in the Northwest Pacific. An updated key to the species of the genus Sphaerephesia is provided.

  7. Bioturbation, geochemistry and geotechnics of sediments affected by the oxygen minimum zone on the Oman continental slope and abyssal plain, Arabian Sea

    Science.gov (United States)

    Meadows, Azra; Meadows, Peter S.; West, Fraser J. C.; Murray, John M. H.

    2000-01-01

    We investigate the way the oxygen minimum zone (OMZ) alters interactions between bioturbation and sediment geochemistry, and geotechnical properties. Sediments are compared within and below the OMZ on the Oman continental slope and adjacent abyssal plain during the post monsoonal autumn season. Quantitative measurements were made of Eh and pH, of total organic matter (TOM) and carbonate, of water content and shear strength, and of bioturbation structures in vertical profiles of subcores taken from spade-box core samples. The OMZ stations had distinctively low redox conditions and high carbonate content, and different geotechnical properties and different bioturbation structures than stations below the OMZ on the abyssal plain. These differences are related to the degree of anoxia and to water depth. Within the OMZ, Eh, pH and carbonate increased with water depth, and TOM and water content decreased. We also noted the presence of subsurface sediment heterogeneity on the continental slope within the OMZ. In the OMZ, Eh, water content and bioturbation decreased with increasing sediment depth. There was a slight decrease in pH in the top 5 cm at all stations. Shear strength nearly always increased with increasing sediment depth. At each water depth correlations show down-core trends in these parameters, while across all water depths correlations were significant at deeper sediment depths (20-30 cm). An Eh-pH diagram identified two water-depth groupings: 391-1008 and 1265-3396 m. Cluster analysis showed the upper and lower sediment depths form separate clusters, the break occurring at 4-7.5 cm; while there are also distinct clusters related to water depth. We relate our results to bottom-water oxygen concentrations reported by other investigators, and to regional-scale geochemical processes.

  8. Structural Iron (II) of Basaltic Glass as an Energy Source for Zetaproteobacteria in an Abyssal Plain Environment, Off the Mid Atlantic Ridge.

    Science.gov (United States)

    Henri, Pauline A; Rommevaux-Jestin, Céline; Lesongeur, Françoise; Mumford, Adam; Emerson, David; Godfroy, Anne; Ménez, Bénédicte

    2015-01-01

    To explore the capability of basaltic glass to support the growth of chemosynthetic microorganisms, complementary in situ and in vitro colonization experiments were performed. Microbial colonizers containing synthetic tholeitic basaltic glasses, either enriched in reduced or oxidized iron, were deployed off-axis from the Mid Atlantic Ridge on surface sediments of the abyssal plain (35°N; 29°W). In situ microbial colonization was assessed by sequencing of the 16S rRNA gene and basaltic glass alteration was characterized using Scanning Electron Microscopy, micro-X-ray Absorption Near Edge Structure at the Fe-K-edge and Raman microspectroscopy. The colonized surface of the reduced basaltic glass was covered by a rind of alteration made of iron-oxides trapped in a palagonite-like structure with thicknesses up to 150 μm. The relative abundance of the associated microbial community was dominated (39% of all reads) by a single operational taxonomic unit (OTU) that shared 92% identity with the iron-oxidizer Mariprofundus ferrooxydans PV-1. Conversely, the oxidized basaltic glass showed the absence of iron-oxides enriched surface deposits and correspondingly there was a lack of known iron-oxidizing bacteria in the inventoried diversity. In vitro, a similar reduced basaltic glass was incubated in artificial seawater with a pure culture of the iron-oxidizing M. ferrooxydans DIS-1 for 2 weeks, without any additional nutrients or minerals. Confocal Laser Scanning Microscopy revealed that the glass surface was covered by twisted stalks characteristic of this iron-oxidizing Zetaproteobacteria. This result supported findings of the in situ experiments indicating that the Fe(II) present in the basalt was the energy source for the growth of representatives of Zetaproteobacteria in both the abyssal plain and the in vitro experiment. In accordance, the surface alteration rind observed on the reduced basaltic glass incubated in situ could at least partly result from their activity.

  9. Structural iron (II of basaltic glass as an energy source for Zetaproteobacteria in an abyssal plain environment, off the Mid Atlantic Ridge

    Directory of Open Access Journals (Sweden)

    Pauline Audrey Henri

    2016-01-01

    Full Text Available To explore the capability of basaltic glass to support the growth of chemosynthetic microorganisms, complementary in situ and in vitro colonization experiments were performed. Microbial colonizers containing synthetic tholeitic basaltic glasses, either enriched in reduced or oxidized iron, were deployed off-axis from the Mid Atlantic Ridge on surface sediments of the abyssal plain (35°N; 29°W. In situ microbial colonization was assessed by sequencing of the 16S rRNA gene and basaltic glass alteration was characterized using Scanning Electron Microscopy, micro-X-ray Absorption Near Edge Structure at the Fe-K-edge and Raman microspectroscopy. The colonized surface of the reduced basaltic glass was covered by a rind of alteration made of iron-oxides trapped in a palagonite-like structure with thicknesses up to 150 µm. The relative abundance of the associated microbial community was dominated (39% of all reads by a single operational taxonomic unit (OTU that shared 92% identity with the iron-oxidizer Mariprofundus ferrooxydans PV-1. Conversely, the oxidized basaltic glass showed the absence of iron-oxides enriched surface deposits and correspondingly there was a lack of known iron-oxidizing bacteria in the inventoried diversity. In vitro, a similar reduced basaltic glass was incubated in artificial seawater with a pure culture of the iron-oxidizing M. ferrooxydans DIS-1 for 2 weeks, without any additional nutrients or minerals. Confocal Laser Scanning Microscopy revealed that the glass surface was covered by twisted stalks characteristic of this iron-oxidizing Zetaproteobacteria. This result supported findings of the in situ experiments indicating that the Fe(II present in the basalt was the energy source for the growth of representatives of Zetaproteobacteria in both the abyssal plain and the in vitro experiment. In accordance, the surface alteration rind observed on the reduced basaltic glass incubated in situ could at least partly result from

  10. The role of tectonic inheritance in the morphostructural evolution of the Galicia continental margin and adjacent abyssal plains from digital bathymetric model (DBM) analysis (NW Spain)

    Science.gov (United States)

    Maestro, A.; Jané, G.; Llave, E.; López-Martínez, J.; Bohoyo, F.; Druet, M.

    2017-09-01

    The identification of recent major tectonic structures in the Galicia continental margin and adjacent abyssal plains was carried out by means of a quantitative analysis of the linear structures having bathymetric expression on the seabed. It was possible to identify about 5800 lineaments throughout the entire study area, of approximately 271,500 km2. Most lineaments are located in the Charcot and Coruña highs, in the western sector of the Galicia Bank, in the area of the Marginal Platforms and in the northern sector of the margin. Analysis of the lineament orientations shows a predominant NE-SW direction and three relative maximum directions: NW-SE, E-W and N-S. The total length of the lineaments identified is over 44,000 km, with a mode around 5000 m and an average length of about 7800 m. In light of different tectonic studies undertaken in the northwestern margin of the Iberian Peninsula, we establish that the lineaments obtained from analysis of the digital bathymetric model of the Galicia continental margin and adjacent abyssal plains would correspond to fracture systems. In general, the orientation of lineaments corresponds to main faults, tectonic structures following the directions of ancient faults that resulted from late stages of the Variscan orogeny and Mesozoic extension phases related to Triassic rifting and Upper Jurassic to Early Cretaceous opening of the North Atlantic Ocean. The N-S convergence between Eurasian and African plates since Palaeogene times until the Miocene, and NW-SE convergence from Neogene to present, reactivated the Variscan and Mesozoic fault systems and related physiography.

  11. Sedimentology of the Argo and Gascoyne abyssal plains, NW Australia: Report on Ocean Drilling Program Leg 123 (Sept. 1–Nov. 1, 1988)

    Science.gov (United States)

    Thurow, Jürgen

    1988-01-01

    Ocean Drilling Program Leg 123 drilled two sites in the Indian Ocean in order to study the rifting and early spreading of one of the world’s oldest ocean basins.Site 765 was drilled in 5714 meters of water on the Argo Abyssal Plain northwest of Australia. The sedimentary succession records the opening of an ocean basin, from the first sediments deposited atop young oceanic crust, to the present day. The oldest sediments are microlaminated brown silty claystones, locally rich in calcareous bioclasts. Most of the sequence is dominated by turbidites (primarily calcareous) which probably originated within canyons cut into the margin of the drowned platform of the North West Shelf of Australia.Site 766 is located in 3998 meters of water, at the base of the steep western margin of the Exmouth Plateau. The oldest sediments penetrated are glauconitic, volcaniclastic, and bioclastic sandstones and siltstones, which are interbedded with inclined basaltic sills. These sediments were deposited by a prograding submarine fan system which shed shallow marine sediments westward or northwestward off of the western rim of the Exmouth Plateau. Sandstones are succeeded by silty claystones, recording gradual abandonment or redirection of the fan system. An overlying sequence of pelagic and hemipelagic clayey and zeolitic calcareous oozes and chalks is succeeded by featureless and homogeneous pelagic nannofossil oozes.

  12. CeDAMar global database of abyssal biological sampling

    OpenAIRE

    Stuart, Carol T.; Arbizu, Pedro Martinez; Smith, Craig R.; Molodtsova, Tina; Brandt, Angelika; Etter, Ron J.; Escobar-briones, Elva; Fabri, Marie-claire; Rex, Michael A.

    2008-01-01

    The Census of the Diversity of Abyssal Marine Life (CeDAMar), a division of the Census of Marine Life, has compiled the first comprehensive global database of biological samples taken in the abyssal plains of the world ocean. It is an essential resource for planning future exploration of the abyss, for synthesizing patterns of biogeography and biodiversity, and for environmentally safe exploitation of natural resources. The database is described in this article, and made available to investig...

  13. Magnetic anomalies across the transitional crust of the passive conjugate margins of the North Atlantic: Iberian Abyssal Plain/Northern Newfoundland Basin

    Science.gov (United States)

    Srivastava, S.; Sibuet, J.; Manatschal, G.

    2005-12-01

    The magma starved Iberia Abyssal Plain (IAP) margin off Iberia is probably one of the most studied non-volcanic continental margin in the world. Numerous multi-channel seismic cruises, detailed refraction surveys, and ODP drilling (Legs 149 and 173) have been carried out across it. Yet serious disagreement exists about the nature and mode of emplacement of the transitional crust which lies between true continental and true oceanic crusts in this region. One group regards this crust to be excessively thinned continental crust through which mantle was exhumed while the other group regards it to be oceanic crust, a mixture of basalt and mantle material, formed during ultraslow seafloor spreading. However, neither the drilling, which was carried out only on the basement highs and recovered serpentinized peridotites together with some gabbroic material, nor the detailed refraction measurements have been of much help in solving this dispute because the velocity values in this region neither correspond to true volcanic materials nor to true continental rocks. Similarly the magnetic anomalies in this region have been also interpreted differently by the two groups. One group negates the existence of any seafloor spreading type anomalies over the transition zone. On the other hand, examination of surface and deep-tow magnetic data from conjugate sections of the margins across this part of the North Atlantic shows a good correlation between them. The prime reason for such differences in the interpretation of magnetic data lies in the low amplitude of the surface magnetic anomalies forming the M sequence anomalies in this region compared to those of similar age present in the Central Atlantic. We demonstrate here that the symmetrical magnetic anomalies identified within the transitional zones between Iberia and North America, and across passive margins in general where separation between plates has been very slow, are caused by the serpentinization of the exhumed mantle rocks

  14. A census of abyssal polychaetes

    Science.gov (United States)

    Paterson, Gordon L. J.; Glover, Adrian G.; Barrio Froján, Christopher R. S.; Whitaker, Amoret; Budaeva, Nataliya; Chimonides, Jim; Doner, Stacy

    2009-09-01

    As part of the Census of Marine Life's programme of summarising existing knowledge of the oceans, records of all polychaete species collected below 2000 m have been collated from the literature. A total of 3633 records was assembled into a database, revealing that 768 species, 358 of which were new to science, have been reported from the deep sea over the past 200 years. The limitations of the dataset are also discussed. Most of the records were obtained from between 2000 m, the upper depth range of the study, and 4000 m. Analyses of the distribution of records with time reveals that the majority of records were added in the 1960s to early 1980s, coincidental with the introduction of new collecting technologies. However, following this period there was a gap between the collecting of samples and the publication of taxonomic results. To reduce this time lag we are encouraging the use of the world-wide web with new tools and protocols to bring together taxonomists working on different sample sets and allow them to share and compare taxonomic data. As this is the first collation of abyssal polychaetes, the records were analysed to determine whether there is a distinct hadal fauna and whether the fauna of individual trenches was distinctive or a subset of the abyssal plain fauna. The results suggest that the hadal fauna contains few endemic species and that the majority are elements of the abyssal fauna that have extended their bathymetric range.

  15. Pap Smears

    Science.gov (United States)

    ... Things That Help Feelings Expert Answers Q&A Movies & More for Teens Teens site Sitio para adolescentes ... smears as a way to monitor her health. Women in their 20s with normal Pap smear results ...

  16. Large-scale patterns in biodiversity of microbial eukaryotes from the abyssal sea floor.

    Science.gov (United States)

    Scheckenbach, Frank; Hausmann, Klaus; Wylezich, Claudia; Weitere, Markus; Arndt, Hartmut

    2010-01-05

    Eukaryotic microbial life at abyssal depths remains "uncharted territory" in eukaryotic microbiology. No phylogenetic surveys have focused on the largest benthic environment on this planet, the abyssal plains. Moreover, knowledge of the spatial patterns of deep-sea community structure is scanty, and what little is known originates primarily from morphology-based studies of foraminiferans. Here we report on the great phylogenetic diversity of microbial eukaryotic communities of all 3 abyssal plains of the southeastern Atlantic Ocean--the Angola, Cape, and Guinea Abyssal Plains--from depths of 5,000 m. A high percentage of retrieved clones had no close representatives in genetic databases. Many clones were affiliated with parasitic species. Furthermore, differences between the communities of the Cape Abyssal Plain and the other 2 abyssal plains point to environmental gradients apparently shaping community structure at the landscape level. On a regional scale, local species diversity showed much less variation. Our study provides insight into the community composition of microbial eukaryotes on larger scales from the wide abyssal sea floor realm and marks a direction for more detailed future studies aimed at improving our understanding of deep-sea microbes at the community and ecosystem levels, as well as the ecological principles at play.

  17. Geothermal influences on the abyssal ocean

    Science.gov (United States)

    Emile-Geay, J.; Madec, G.

    2017-12-01

    Long considered a negligible contribution to ocean dynamics, geothermal heat flow (GHF) is now increasingly recognized as an important contributor to the large scale ocean's deep structure and circulation. This presentation will review the history of theories regarding geothermal influences on the abyssal ocean. Though the contribution to the thermal structure was recognized early on, its potential in driving a circulation [Worthington, 1968] was largely ignored on the grounds that it could not materially affect potential vorticity. Huang [JPO, 1999] proposed that GHF may provide 30-50% of the energy available for deep mixing, a calculation that later proved too optimistic [Wunsch & Ferrari ARFM 2004]. Model simulations suggested that a uniform GHF of 50 mW/m2 could drive an abyssal of a few Sverdrups (1 Sv = 106 m3.s-1) [Adcroft et al, GRL 2001], but it was not until Emile-Geay & Madec [OS, 2009] (EM09) that GHF began to be taken seriously [Mashayek et al, GRL 2013; Voldoire et al. Clim. Dyn. 2013; Dufresnes et al., Clim. Dyn. 2013]. Using analytical and numerical approaches, the study made 3 main points: GHF brings as much energy to the deep ocean as intense diapycnal mixing (1 cm2/s). GHF consumes the densest water masses, inducing a deep circulation of 5 Sv even without mixing. This circulation varies in inverse proportion to abyssal stratification. The spatial structure of GHF, highest at mid-ocean ridges and lowest in abyssal plains, matters far less than the fact that it bathes vast fractions of the ocean floor in a relatively low, constant flux. EM09 concluded that GHF "is an important actor of abyssal dynamics, and should no longer be neglected in oceanographic studies". Recent work has confirmed that geothermal heat flow is of comparable importance to ocean circulation as bottom-intensified mixing induced by internal wave breaking [De Lavergne et al, JPO 2016a,b]. Thus, including GHF in ocean general circulation models improves abyssal structure and

  18. Morphological and ecological parallels between sublittoral and abyssal foraminiferal species in the NE Atlantic: a comparison of Stainforthia fusiformis and Stainforthia sp.

    Science.gov (United States)

    Gooday, Andrew J.; Alve, Elisabeth

    Dead specimens of a minute fusiform rotaliid foraminifer are common in the 28-63 μm fraction of multiple corer samples from a 4850 m-deep site on the Porcupine Abyssal Plain (PAP). Their test morphology is remarkably similar to small specimens of Stainforthia fusiformis ( Williamson, 1858), a species which is well known from coastal settings (intertidal to outer shelf) around NW Europe and North America. A detailed comparison of the PAP form with typical individuals of S. fusiformis from Norwegian waters (55-203 m depth), however, reveals slight but consistent morphological differences. The PAP specimens are smaller (test length 40-140 μm) than those from Norway (test length 80-380 μm), the chambers tend to be rather less elongate, the density of pores in the test wall is much lower, and there are differences in apertural features. We therefore conclude that the diminutive abyssal form is a distinct species, here referred to as Stainforthia sp. This interpretation is consistent with increasing evidence for genetic differentiation in deep-sea organisms, particularly along bathymetric gradients. Stainforthia sp. was previously illustrated by Pawlowski as Fursenkoina sp. and appears to be widespread and abundant in the abyssal North Atlantic (>4000 m depth). Stainforthia fusiformis, on the other hand, is most abundant in continental shelf and coastal settings. It extends onto the continental slope in the North Atlantic but has not been reported reliably from depths greater than about 2500 m. We suggest that the striking morphological convergence between these two species reflects the adoption of similar ecological strategies in widely separated habitats. Both are enrichment opportunists, a life-style which may explain the rather broad bathymetric range of Stainforthia fusiformis. This is a dominant species in organically-enriched and sometimes extremely oxygen-depleted environments on the continental shelf, and is a rapid coloniser of formerly azoic habitats. Live

  19. High resolution study of the spatial distributions of abyssal fishes by autonomous underwater vehicle.

    Science.gov (United States)

    Milligan, R J; Morris, K J; Bett, B J; Durden, J M; Jones, D O B; Robert, K; Ruhl, H A; Bailey, D M

    2016-05-16

    On abyssal plains, demersal fish are believed to play an important role in transferring energy across the seafloor and between the pelagic and benthic realms. However, little is known about their spatial distributions, making it difficult to quantify their ecological significance. To address this, we employed an autonomous underwater vehicle to conduct an exceptionally large photographic survey of fish distributions on the Porcupine Abyssal Plain (NE Atlantic, 4850 m water depth) encompassing two spatial scales (1-10 km(2)) on and adjacent to a small abyssal hill (240 m elevation). The spatial distributions of the total fish fauna and that of the two dominant morphotypes (Coryphaenoides sp. 1 and C. profundicolus) appeared to be random, a result contrary to common expectation but consistent with previous predictions for these fishes. We estimated total fish density on the abyssal plain to be 723 individuals km(-2) (95% CI: 601-844). This estimate is higher, and likely more precise, than prior estimates from trawl catch and baited camera techniques (152 and 188 individuals km(-2) respectively). We detected no significant difference in fish density between abyssal hill and plain, nor did we detect any evidence for the existence of fish aggregations at any spatial scale assessed.

  20. Unique 16S rRNA sequences of Eurythenes gryllus (Crustacea: Amphipoda: Lysianassidae from the Gulf of Mexico abyssal plain Secuencias únicas 16SrRNA de Eurythenes gryllus (Crustacea: Amphipoda: Lysianassidae de la planicie abisal del Golfo de México

    Directory of Open Access Journals (Sweden)

    Elva Escobar-Briones

    2010-10-01

    Full Text Available Amphipods of the species Eurythenes gryllus were collected at 2 locations on the abyssal plain (~3 400 m of the Gulf of Mexico in order to test whether or not these scavenger amphipods are isolated in this peripheral sea or show connectivity by their predominant swimming behavior, moving horizontally along the abyssal water masses in the region. Partial sequences of the mitochondrial 16S rRNA gene from 2 individuals of E. gryllus were determined and showed small differences when compared to sequences of other amphipods of the same species from the Atlantic Ocean (3.6 to 3.9% and Pacific Ocean (4.0 to 4.1% and increasing (4.2 to 9.5% when compared to sequences of specimens from sites of less than 500 m. The largest differences (18% were observed when the sequences were compared to that of Eurythenes from the Tongue of the Ocean in spite of its closer geographical distance in the region. Isolation in the deep Gulf of Mexico could be attributed to limited genetic exchange with the western tropical Atlantic through the Caribbean over the 2 040 m deep sill and inexistent at abyssal depth through the Florida Straits.Se recolectaron ejemplares de los anfípodos de la especie Eurythenes gryllus en 2 localidades de la planicie abisal (~3 400 m en el golfo de México con el objeto de evaluar si estos carroñeros se encuentran aislados en el mar marginal o presentan cierta conectividad por su conducta natatoria, desplazándose horizontalmente en las masas de agua que caracterizan la región. Las secuencias parciales del gen mitocondrial 16S rRNA que se obtuvieron de 2 individuos de E. gryllus mostraron diferencias ligeras al compararse con las secuencias de otros anfípodos de la misma especie procedentes de otras zonas del Atlántico (3.6 a 3.9% y del Pacífico (4.0 a 4.1%, incrementándose (4.2 a 9.5% al compararse con secuencias de organismos de aguas someras (<500 m. Las diferencias mayores (18% se observan en la comparación de ejemplares de

  1. Species diversity in the cryptic abyssal holothurian Psychropotes longicauda (Echinodermata)

    Science.gov (United States)

    Gubili, Chrysoula; Ross, Elizabeth; Billett, David S. M.; Yool, Andrew; Tsairidis, Charalampos; Ruhl, Henry A.; Rogacheva, Antonina; Masson, Doug; Tyler, Paul A.; Hauton, Chris

    2017-03-01

    Despite the plethora of studies on swallow-water invertebrates, almost nothing is known about the evolution and population structure of deep-sea species at the global scale. The aim of this study was to assess phylogeographic patterns of a common and cosmopolitan, predominantly abyssal sea cucumber, Psychropotes longicauda, based on samples from the Atlantic, Southern, Indian and Pacific oceans. Sequences of the mitochondrial COI and 16S genes were analysed for 128 specimens of P. longicauda. In addition, temporal genetic variation was investigated at one site, the Porcupine Abyssal Plain, NE Atlantic Ocean over a period of 34 years. Two distinct lineages within the global distribution were identified. The sister clades probably could be classified as separate species based on the observed genetic divergence (>5.0%) and phylogenetic reconstruction with indications of a Southern Hemisphere origin. Moreover, significant population differentiation was detected between the North Atlantic and localities in both the Pacific and Indian oceans. No bathymetric structuring was detected among lineages. Temporal genetic shifts were detected in a time series of samples from 1977 to 2011. Our data confirm the previously suspected cryptic species diversity throughout the wide distributional range previously attributed to the single species P. longicauda. The presence of sympatric species in the North Pacific and Indian Oceans has been underestimated by previous morphological analyses. The differentiation at the population level detected in the main lineages among the four oceans could suggest restricted gene flow despite wide-scale dispersal potential of the species.

  2. Orogenic, Ophiolitic, and Abyssal Peridotites

    Science.gov (United States)

    Bodinier, J.-L.; Godard, M.

    2003-12-01

    "Tectonically emplaced" mantle rocks include subcontinental, suboceanic, and subarc mantle rocks that were tectonically exhumed from the upper mantle and occur:(i) as dispersed ultramafic bodies, a few meters to kilometers in size, in suture zones and mountain belts (i.e., the "alpine," or "orogenic" peridotite massifs - De Roever (1957), Thayer (1960), Den Tex (1969));(ii) as the lower ultramafic section of large (tens of kilometers) ophiolite or island arc complexes, obducted on continental margins (e.g., the Oman Ophiolite and the Kohistan Arc Complex - Coleman (1971), Boudier and Coleman (1981), Burg et al. (1998));(iii) exhumed above the sea level in ocean basins (e.g., Zabargad Island in the Red Sea, St. Paul's islets in the Atlantic and Macquarie Island in the southwestern Pacific - Tilley (1947), Melson et al. (1967), Varne and Rubenach (1972), Bonatti et al. (1981)).The "abyssal peridotites" are samples from the oceanic mantle that were dredged on the ocean floor, or recovered from drill cores (e.g., Bonatti et al., 1974; Prinz et al., 1976; Hamlyn and Bonatti, 1980).Altogether, tectonically emplaced and abyssal mantle rocks provide insights into upper mantle compositions and processes that are complementary to the information conveyed by mantle xenoliths (See Chapter 2.05). They provide coverage to vast regions of the Earth's upper mantle that are sparsely sampled by mantle xenoliths, particularly in the ocean basins and beneath passive continental margins, back-arc basins, and oceanic island arcs.Compared with mantle xenoliths, a disadvantage of some tectonically emplaced mantle rocks for representing mantle compositions is that their original geodynamic setting is not exactly known and their significance is sometimes a subject of speculation. For instance, the provenance of orogenic lherzolite massifs (subcontinental lithosphere versus upwelling asthenosphere) is still debated (Menzies and Dupuy, 1991, and references herein), as is the original setting

  3. Pap and HPV Testing

    Science.gov (United States)

    ... testing has largely replaced conventional Pap tests. One advantage of liquid-based testing is that the same ... National Institutes of Health FOLLOW US Facebook Twitter Instagram YouTube Google+ LinkedIn GovDelivery RSS CONTACT INFORMATION Contact ...

  4. Abyssal fauna of the UK-1 polymetallic nodule exploration claim, Clarion-Clipperton Zone, central Pacific Ocean: Echinodermata.

    Science.gov (United States)

    Glover, Adrian G; Wiklund, Helena; Rabone, Muriel; Amon, Diva J; Smith, Craig R; O'Hara, Tim; Mah, Christopher L; Dahlgren, Thomas G

    2016-01-01

    We present data from a DNA taxonomy register of the abyssal benthic Echinodermata collected as part of the Abyssal Baseline (ABYSSLINE) environmental survey cruise 'AB01' to the UK Seabed Resources Ltd (UKSRL) polymetallic-nodule exploration claim 'UK-1' in the eastern Clarion-Clipperton Zone (CCZ), central Pacific Ocean abyssal plain. Morphological and genetic data are presented for 17 species (4 Asteroidea, 4 Crinoidea, 2 Holothuroidea and 7 Ophiuroidea) identified by a combination of morphological and genetic data. No taxa matched previously published genetic sequences, but 8 taxa could be assigned to previously-described species based on morphology, although here we have used a precautionary approach in taxon assignments to avoid over-estimating species ranges. The Clarion-Clipperton Zone is a region undergoing intense exploration for potential deep-sea mineral extraction. We present these data to facilitate future taxonomic and environmental impact study by making both data and voucher materials available through curated and accessible biological collections.

  5. Cost assessment for abyssal seafloor waste isolation

    Science.gov (United States)

    Jin, Di; Kite-Powell, Hauke L.

    1998-05-01

    We develop an integrated model for estimating the internal cost of abyssal seafloor waste isolation. The model captures the major economic, engineering, geographic and social factors that influence the management cost for sewage sludge and municipal incinerator ash. Considering five representative metropolitan areas and five proposed abyssal study sites, we apply this model to produce cost estimates for four deep-ocean waste delivery system concepts. The results show that the unit cost depends primarily on regional waste volume, the marine delivery system and transportation distance. Based on available data, the abyssal ocean option may be competitive with present land-based disposal costs in New York City. The option is less competitive in other metropolitan areas.

  6. Landscape-scale spatial heterogeneity in phytodetrital cover and megafauna biomass in the abyss links to modest topographic variation.

    Science.gov (United States)

    Morris, Kirsty J; Bett, Brian J; Durden, Jennifer M; Benoist, Noelie M A; Huvenne, Veerle A I; Jones, Daniel O B; Robert, Katleen; Ichino, Matteo C; Wolff, George A; Ruhl, Henry A

    2016-09-29

    Sinking particulate organic matter (POM, phytodetritus) is the principal limiting resource for deep-sea life. However, little is known about spatial variation in POM supply to the abyssal seafloor, which is frequently assumed to be homogenous. In reality, the abyss has a highly complex landscape with millions of hills and mountains. Here, we show a significant increase in seabed POM % cover (by ~1.05 times), and a large significant increase in megafauna biomass (by ~2.5 times), on abyssal hill terrain in comparison to the surrounding plain. These differences are substantially greater than predicted by current models linking water depth to POM supply or benthic biomass. Our observed variations in POM % cover (phytodetritus), megafauna biomass, sediment total organic carbon and total nitrogen, sedimentology, and benthic boundary layer turbidity, all appear to be consistent with topographically enhanced current speeds driving these enhancements. The effects are detectable with bathymetric elevations of only 10 s of metres above the surrounding plain. These results imply considerable unquantified heterogeneity in global ecology.

  7. Landscape-scale spatial heterogeneity in phytodetrital cover and megafauna biomass in the abyss links to modest topographic variation

    Science.gov (United States)

    Morris, Kirsty J.; Bett, Brian J.; Durden, Jennifer M.; Benoist, Noelie M. A.; Huvenne, Veerle A. I.; Jones, Daniel O. B.; Robert, Katleen; Ichino, Matteo C.; Wolff, George A.; Ruhl, Henry A.

    2016-09-01

    Sinking particulate organic matter (POM, phytodetritus) is the principal limiting resource for deep-sea life. However, little is known about spatial variation in POM supply to the abyssal seafloor, which is frequently assumed to be homogenous. In reality, the abyss has a highly complex landscape with millions of hills and mountains. Here, we show a significant increase in seabed POM % cover (by ~1.05 times), and a large significant increase in megafauna biomass (by ~2.5 times), on abyssal hill terrain in comparison to the surrounding plain. These differences are substantially greater than predicted by current models linking water depth to POM supply or benthic biomass. Our observed variations in POM % cover (phytodetritus), megafauna biomass, sediment total organic carbon and total nitrogen, sedimentology, and benthic boundary layer turbidity, all appear to be consistent with topographically enhanced current speeds driving these enhancements. The effects are detectable with bathymetric elevations of only 10 s of metres above the surrounding plain. These results imply considerable unquantified heterogeneity in global ecology.

  8. Abyssal fiction: common shares, colonial cleavages

    Directory of Open Access Journals (Sweden)

    Alexandre Montaury

    2016-12-01

    Full Text Available The paper aims to develop a reflection on the interaction between the legacies of colonialism and traditional symbolic and cultural practices in African Portuguese-speaking spaces. From a preliminary analysis of fictional texts of wide circulation in Brazil, aims to examine the cleavages, or “abyssal lines” that constitute experiences printed in the daily life of the former Portuguese colony of Cape Verde, Mozambique and Angola.---DOI: http://dx.doi.org/10.21881/abriluff.2016n17a378

  9. Comparative feeding ecology of abyssal and hadal fishes through stomach content and amino acid isotope analysis

    Science.gov (United States)

    Gerringer, M. E.; Popp, B. N.; Linley, T. D.; Jamieson, A. J.; Drazen, J. C.

    2017-03-01

    The snailfishes, family Liparidae (Scorpaeniformes), have found notable success in the hadal zone from 6000-8200 m, comprising the dominant ichthyofauna in at least five trenches worldwide. Little is known about the biology of these deepest-living fishes, nor the factors that drive their success at hadal depths. Using recent collections from the Mariana Trench, Kermadec Trench, and neighboring abyssal plains, this study investigates the potential role of trophic ecology in structuring fish communities at the abyssal-hadal boundary. Stomach contents were analyzed from two species of hadal snailfishes, Notoliparis kermadecensis and a newly-discovered species from the Mariana Trench. Amphipods comprised the majority (Kermadec: 95.2%, Mariana: 97.4% index of relative importance) of stomach contents in both species. Decapod crustaceans, polychaetes (N. kermadecensis only), and remains of carrion (squid and fish) were minor dietary components. Diet analyses of abyssal species (families Macrouridae, Ophidiidae, Zoarcidae) collected from near the trenches and the literature are compared to those of the hadal liparids. Stomachs from abyssal fishes also contained amphipods, however macrourids had a higher trophic plasticity with a greater diversity of prey items, including larger proportions of carrion and fish remains; supporting previous findings. Suction-feeding predatory fishes like hadal liparids may find an advantage to descending into the trench - where amphipods are abundant. More generalist feeders and scavengers relying on carrion, such as macrourids, might not benefit from this nutritional advantage at hadal depths. Compound specific isotope analysis of amino acids was used to estimate trophic level of these species (5.3±0.2 Coryphaenoides armatus, 5.2±0.2 C. yaquinae, 4.6±0.2 Spectrunculus grandis, 4.2±0.2 N. kermadecensis, 4.4±0.2 Mariana snailfish). Source amino acid δ15N values were especially high in hadal liparids (8.0±0.3‰ Kermadec, 6.7±0.2

  10. Pap Smear: MedlinePlus Lab Test Information

    Science.gov (United States)

    ... most treatable. Other names for a Pap smear: Pap test, cervical cytology, Papanicolaou test, Pap smear test, vaginal ... org/cancer/cervical-cancer/prevention-and-early-detection/pap-test.html Centers for Disease Control and Prevention [Internet]. ...

  11. Factors Infuencing Women in Pap Smear Uptake

    Science.gov (United States)

    Wijayanti, K. E.; Alam, I. G.

    2017-03-01

    Objective: Pap smear has proven can decrease death caused by cervical cancer. However, in Indonesia, only few woman who already did pap smear. The aim of this study was to investigate women’s knowledge about pap smear cervical cancer, and to investigate factors influence women to do pap smear test. Methods: Quantitative data colected through questionairre towards 31 women who did pap smear and 55 women who did not do pap smear. Questionairre was made using Health Belief model as a guideline to examine percieved susceptibility, perceived serioussnes, perceived benefits and perceived barriers. Chi square and multiple logistic regresion were used to investigate difference in knowledge and what the most factor that influence women to take pap smear test. Results: There’s significance knowledge difference betweeen women who did and did not do pap smear. But furthermore, by using Multiple Logistic Regression test, appearantly knowledge was not a strong predictor factor for women to take pap smear test (koefisiensi β = -0,164) Conclusion: Perceived barriers were factors that affected pap smear uptake in women in Indonesia. Few respondents get the wrong informations about pap smear, cevical cancer and its symptoms

  12. Abyssal fauna of the UK-1 polymetallic nodule exploration claim, Clarion-Clipperton Zone, central Pacific Ocean: Echinodermata

    Science.gov (United States)

    Glover, Adrian G; Wiklund, Helena; Rabone, Muriel; Amon, Diva J; Smith, Craig R; O'Hara, Tim; Mah, Christopher L

    2016-01-01

    Abstract We present data from a DNA taxonomy register of the abyssal benthic Echinodermata collected as part of the Abyssal Baseline (ABYSSLINE) environmental survey cruise ‘AB01’ to the UK Seabed Resources Ltd (UKSRL) polymetallic-nodule exploration claim ‘UK-1’ in the eastern Clarion-Clipperton Zone (CCZ), central Pacific Ocean abyssal plain. Morphological and genetic data are presented for 17 species (4 Asteroidea, 4 Crinoidea, 2 Holothuroidea and 7 Ophiuroidea) identified by a combination of morphological and genetic data. No taxa matched previously published genetic sequences, but 8 taxa could be assigned to previously-described species based on morphology, although here we have used a precautionary approach in taxon assignments to avoid over-estimating species ranges. The Clarion-Clipperton Zone is a region undergoing intense exploration for potential deep-sea mineral extraction. We present these data to facilitate future taxonomic and environmental impact study by making both data and voucher materials available through curated and accessible biological collections. PMID:26929713

  13. Influence of internal tides on Antarctic Bottom Water propagation through abyssal channels

    Science.gov (United States)

    Morozov, Eugene

    2010-05-01

    Antarctic Bottom Water (AABW) propagates in the Atlantic Ocean from the Weddell Sea to the north through narrow passages in submarine ridges. Submarine ridges are regions of strong internal tide generation in the ocean that causes mixing and eventually AABW loses its distinguishing properties such as low temperature and salinity. The Vema Fracture Zone (11 N) and Romanche Fracture Zone (equator) in the Mid-Atlantic Ridge (MAR) are pathways for AABW to the Northeast Atlantic. The deep basin of the Northeast Atlantic (Canary Basin and Gambia Abyssal Plain) are filled with the bottom water propagating through the Vema FZ rather than through the equatorial fracture zones because strong internal tides and mixing over the slopes of the MAR near the equator cause warming of AABW and decrease of its density. Further propagation of AABW through the Kane Gap is low. Recent field measurements in the fracture zones confirm this concept based on modeling results. Results of recent cruises are presented.

  14. Abyssal fauna of the UK-1 polymetallic nodule exploration area, Clarion-Clipperton Zone, central Pacific Ocean: Cnidaria.

    Science.gov (United States)

    Dahlgren, Thomas G; Wiklund, Helena; Rabone, Muriel; Amon, Diva J; Ikebe, Chiho; Watling, Les; Smith, Craig R; Glover, Adrian G

    2016-01-01

    We present data from a DNA taxonomy register of the abyssal Cnidaria collected as part of the Abyssal Baseline (ABYSSLINE) environmental survey cruise 'AB01' to the UK Seabed Resources Ltd (UKSRL) polymetallic-nodule exploration area 'UK-1' in the eastern Clarion-Clipperton Zone (CCZ), central Pacific Ocean abyssal plain. This is the second paper in a series to provide regional taxonomic data for a region that is undergoing intense deep-sea mineral exploration for high-grade polymetallic nodules. Data were collected from the UK-1 exploration area following the methods described in Glover et al. (2015b). Morphological and genetic data are presented for 10 species and 18 records identified by a combination of morphological and genetic data, including molecular phylogenetic analyses. These included 2 primnoid octocorals, 2 isidid octocorals, 1 anemone, 4 hydroids (including 2 pelagic siphonophores accidentally caught) and a scyphozoan jellyfish (in the benthic stage of the life cycle). Two taxa matched previously published genetic sequences (pelagic siphonophores), two taxa matched published morphological descriptions (abyssal primnoids described from the same locality in 2015) and the remaining 6 taxa are potentially new species, for which we make the raw data, imagery and vouchers available for future taxonomic study. We have used a precautionary approach in taxon assignments to avoid over-estimating species ranges. The Clarion-Clipperton Zone is a region undergoing intense exploration for potential deep-sea mineral extraction. We present these data to facilitate future taxonomic and environmental impact study by making both data and voucher materials available through curated and accessible biological collections. For some of the specimens we also provide image data collected at the seabed by ROV, wich may facilitate more accurate taxon designation in coming ROV or AUV surveys.

  15. [Pap Smear after 65 years].

    Science.gov (United States)

    Enderle, I; Le Baccon, F-A; Pinsard, M; Joueidi, Y; Lavoué, V; Levêque, J; Nyangoh Timoh, K

    2017-09-01

    The French recommendations (in favor of stopping cervical cancer screening by cervico-uterine smear from 65 years of age) are logical in the context of organized screening; however, it is not yet generalized in France. The proportion of invasive cervical cancer in the oldest patients is high and these cancers are more evolved and have a more pejorative prognosis. The prevalent infection with high-risk HPV virus remains important in elderly patients: if the HPV infection does not appear to be more risky in the elderly, HPV-induced lesions appear to be more evolving. Unfortunately, pap smear coverage rates are low in the most advanced age groups. Patients without adequate follow-up are exposed to invasive cancer after age 65: all studies insist on the protective effect of two or more normal pap smears between 50 and 65 years that would allow to stop screening. Recent publications in Europe insist, however, on the value of continuing screening beyond the age of 65 in populations that live longer. For the clinician, in France, patients who could benefit from systematic FCU after age 65 could be those: (1) who request it, (2) who have an HPV history, (3) who have not had more than 3 consecutive normal pap smears or (4) who have an associated pathogenic condition. The place of the HPV test deserves to be considered: because of its very high negative predictive value, it could be performed as an exit test or as an alternative test to the pap smear. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  16. Growth, reproduction and possible recruitment variability in the abyssal brittle star Ophiocten hastatum (Ophiuroidea: Echinodermata) in the NE Atlantic

    Science.gov (United States)

    Gage, John D.; Anderson, Roslyn M.; Tyler, Paul A.; Chapman, Rachel; Dolan, Emily

    2004-06-01

    Growth was studied from skeletal growth markers in the cosmopolitan abyssal brittle star Ophiocten hastatm. Samples for analysis were taken at five sites located in the southern (2900 m) and central (2000 m) Rockall Trough, at ca. 3000 and 4000 m in the Porcupine Seabight, and at 4850 m on the Porcupine Abyssal Plain. Growth bands were assumed to reflect an annual cycle in skeletal growth. Band measurements on arm vertebrae, standardised to disc diameter, were used to provide size-at-age data and size-increment data that took into account overgrowth of early bands in older individuals. The Richards growth function marginally provides best fit to pooled size-at-age data, although the asymptote-less Tanaka function and the Gompertz growth function also provided good fit to size-at-age data which showed a rather linear growth pattern with little indication of a growth asymptote. Log e transformed size-increment data were linearised by applying the Ford-Walford method to approximate Gompertz growth so that growth could be compared at the five sites. Grouped linear regression and analysis of covariance showed no significant differences between growth at the sites and a common fitted regression. However, pairwise comparisons suggest growth differences with increasing bathymetric separation. Oocyte size frequencies measured from histological preparations of the gonad of specimens from the Porcupine Abyssal Plain indicate marked reproductive periodicity, with spawn-out in late winter that is likely followed by planktotrophic early development in spring with benthic settlement in summer. Although usually rare in the trawl and epibenthic sled samples, several years of successful recruitment followed by a period when recruitment was low or absent might explain size structure observed in a single unusually large sample from the Rockall Trough. This is consistent with previous observations during the late 1990s of a large population increase on the Porcupine Abyssal Plain

  17. Periodic abstinence from Pap (PAP) smear study: women's perceptions of Pap smear screening.

    Science.gov (United States)

    Smith, Mindy; French, Linda; Barry, Henry C

    2003-01-01

    The purpose of this study was to explore attitudes, beliefs, and perceived barriers to risk-based cervical cancer screening through focus group interviews of patients. We conducted 8 focus group interviews of women using semistructured interviews. The investigators independently reviewed the focus group transcripts and identified the overall themes and themes unique to each question using an immersion and crystallization approach. Women are in agreement that cervical cancer screening is important and that women should get Pap smears regularly as an important way of protecting their health. They are not open to the idea of reducing the frequency of Papanicolaou (Pap) smears, however, because they perceive annual screening to be successful in reducing cervical cancer mortality. Additionally, they have concerns about test accuracy. Women are distrustful of the rationale for reducing the frequency of Pap smears. Women's previous bad experiences have reinforced their need for self-advocacy. Women are reluctant to engage in risk-based cervical cancer screening. In this environment, risk-based cervical cancer screening recommendations are likely to be met with resistance.

  18. Internal wave structures in abyssal cataract flows

    Science.gov (United States)

    Makarenko, Nikolay; Liapidevskii, Valery; Morozov, Eugene; Tarakanov, Roman

    2014-05-01

    We discuss some theoretical approaches, experimental results and field data concerning wave phenomena in ocean near-bottom stratified flows. Such strong flows of cold water form everywhere in the Atlantic abyssal channels, and these currents play significant role in the global water exchange. Most interesting wave structures arise in a powerful cataract flows near orographic obstacles which disturb gravity currents by forced lee waves, attached hydraulic jumps, mixing layers etc. All these effects were observed by the authors in the Romanche and Chain fracture zones of Atlantic Ocean during recent cruises of the R/V Akademik Ioffe and R/V Akademik Sergei Vavilov (Morozov et al., Dokl. Earth Sci., 2012, 446(2)). In a general way, deep-water cataract flows down the slope are similar to the stratified flows examined in laboratory experiments. Strong mixing in the sill region leads to the splitting of the gravity current into the layers having the fluids with different densities. Another peculiarity is the presence of critical layers in shear flows sustained over the sill. In the case under consideration, this critical level separates the flow of near-bottom cold water from opposite overflow. In accordance with known theoretical models and laboratory measurements, the critical layer can absorb and reflect internal waves generated by the topography, so the upward propagation of these perturbations is blocked from above. High velocity gradients were registered downstream in the vicinity of cataract and it indicates the existence of developed wave structures beyond the sill formed by intense internal waves. This work was supported by RFBR (grants No 12-01-00671-a, 12-08-10001-k and 13-08-10001-k).

  19. Cross-equatorial flow through an abyssal channel under the complete Coriolis force: Two-dimensional solutions

    Science.gov (United States)

    Stewart, A. L.; Dellar, P. J.

    The component of the Coriolis force due to the locally horizontal component of the Earth's rotation vector is commonly neglected, under the so-called traditional approximation. We investigate the role of this "non-traditional" component of the Coriolis force in cross-equatorial flow of abyssal ocean currents. We focus on the Antarctic Bottom Water (AABW), which crosses from the southern to the northern hemisphere through the Ceara abyssal plain in the western Atlantic ocean. The bathymetry in this region resembles a northwestward channel, connecting the Brazil Basin in the south to the Guyana Basin in the north. South of the equator, the AABW leans against the western continental rise, consistent with a northward flow in approximate geostrophic balance. The AABW then crosses to the other side of the abyssal channel as it crosses the equator, and flows into the northern hemisphere leaning towards the east against the Mid-Atlantic Ridge. The non-traditional component of the Coriolis force is strongest close to the equator. The traditional component vanishes at the equator, being proportional to the locally vertical component of the Earth's rotation vector. The weak stratification of the abyssal ocean, and subsequent small internal deformation radius, defines a relatively short characteristic horizontal lengthscale that tends to make non-traditional effects more prominent. Additionally, the steep gradients of the channel bathymetry induce large vertical velocities, which are linked to zonal accelerations by the non-traditional components of the Coriolis force. We therefore expect non-traditional effects to play a substantial role in cross-equatorial transport of the AABW. We present asymptotic steady solutions for non-traditional shallow water flow through an idealised abyssal channel, oriented at an oblique angle to the equator. The current enters from the south, leaning up against the western side of the channel in approximate geostrophic balance, and crosses the

  20. Anxiety and borderline PAP smear results

    NARCIS (Netherlands)

    Korfage, Ida J.; van Ballegooijen, Marjolein; Huveneers, Hans; Essink-Bot, Marie-Louise

    2010-01-01

    Purpose: Low-grade abnormalities after cervical cancer screening, i.e. borderline (Pap 2) or mildly (Pap 3a1) dyskaryotic (BMD) smear results, are found in considerable numbers of women annually We compared quality of life and anxiety in women with BMD and a reference group of screening participants

  1. Short Communication Abyssal scavenging demersal fauna at two ...

    African Journals Online (AJOL)

    The area to the east of the Crozet Islands experiences high levels of surface productivity during the austral summer due to natural iron enrichment from terrestrial ... A modelled arrival and departure curve for the abyssal grenadier Coryphaenoides armatus suggests a region of low food availability compared to other regions ...

  2. Geochemistry of abyssal peridotites from the super slow-spreading ...

    Indian Academy of Sciences (India)

    E were investigated. Abyssal peridotites recovered from this site were comprised mainly of lizardite, chlorite, carbonate and magnetite with minor amounts of talc, pyroxene phenocrysts and sparse olivines. Serpentinites exhibit talc veins and major serpentine derived from serpentinization with relict olivine granuloblasts.

  3. Persistent inflammation on Pap smear: Does it warrant evaluation?

    OpenAIRE

    K Bhutia; M Puri; N Gami; K Aggarwal; S S Trivedi

    2011-01-01

    Objective: Due to the low sensitivity of Pap smear, premalignant lesions of the cervix can be missed in women with inflammatory Pap smears. However, it is not practically possible to subject all women with inflammatory Pap smear to colposcopy. This study was carried out with the aim to evaluate whether women with persistent inflammation on Pap smear need further evaluation with colposcopy. Materials and Methods: Four hundred and twenty women were screened at a tertiary level hospital with Pap...

  4. Abyssal Solenogastres (Mollusca, Aplacophora from the Northwest Pacific: Scratching the Surface of Deep-Sea Diversity Using Integrative Taxonomy

    Directory of Open Access Journals (Sweden)

    Franziska S. Bergmeier

    2017-12-01

    Full Text Available Solenogastres (Aplacophora is a small clade of marine, shell-less worm-molluscs with close to 300 valid species. Their distribution ranges across all oceans, and whereas the vast majority of species has been collected and described from the continental shelf and slope, only few species are known from depths below 4,000 m. Following traditional taxonomy, identification of specimens to species level is complex and time-consuming and requires detailed investigations of morphology and anatomy—often resulting in the exclusion of the clade in biodiversity or biogeographic studies. During the KuramBio expedition (Kuril-Kamchatka Biodiversity Studies to the abyssal plain of the Northwest Pacific and the Kuril-Kamchatka Trench, 33 solenogaster specimens were sampled from 4,830 m to 5,397 m. Within this study we present an efficient workflow to address solenogaster diversity, even when confronted with a high degree of singletons and minute body sizes, hampering the use of single individuals for multiple morphological and molecular approaches. We combine analyses of external characters and scleritome with molecular barcoding based on a self-designed solenogaster specific set of mitochondrial primers. Overall we were able to delineate at least 19 solenogaster lineages and identify 15 species to family level and beyond. Based on our approach we identified three key lineages from the two regionally most species-rich families (Acanthomeniidae and Pruvotinidae for deeper taxonomic investigations and describe the novel abyssal species Amboherpia abyssokurilensis sp. nov. (Cavibelonia, Acanthomeniidae using microanatomical 3D-reconstructions. Our study more than doubles the previous records of solenogaster species from the Northwest Pacific and its marginal seas. Almost all lineages are reported for the first time from the region of the (Northwest Pacific, vastly expanding distribution ranges of the respective clades. Moreover it doubles the number of

  5. Women's understanding of the term 'Pap smear'.

    Science.gov (United States)

    Howard, David L; Hostetter, Sarah Smith; Hunter, Jennifer; Johnson, Nicole; Cooper, Saladin; Malnar, Gerard

    2015-07-01

    To assess the understanding of the term 'Pap smear' among women across the entire adult lifespan after recent changes to the guidelines on cervical cancer screening. Women attending the Obstetrics and Gynecology clinic at a large safety net teaching hospital in a Midwestern city were provided one of two versions of a confidential and anonymous survey to complete. The difference between the two versions was the way the primary research question was worded. There were 174 participants ranging in age from 15 to 69 (mean = 33.9) years. Of the 73 women who completed version A of the survey, 74 % were able to identify at least one correct descriptor for the term 'Pap smear.' Women who could identify at least one correct descriptor for the term 'Pap smear' were on average older than those who could not (mean = 36.9 vs. 28.7 years; p = 0.012). Of the 94 patients completing survey version B, 67 % could not differentiate a pelvic exam from a Pap smear. There was no association between age and ability to differentiate a pelvic exam from a Pap smear. The majority of women cannot distinguish a Pap smear from a pelvic exam. The unexpected finding of less understanding among younger women prompts a need for further research and invites discussion of whether more cervical cancer prevention education, with more emphasis on HPV vaccines in recent years, has neglected the importance of Pap smears-which is beginning to show up in knowledge of younger women. Both these findings suggest a need for increased patient education during female preventive health clinic visits.

  6. papA gene of avian pathogenic Escherichia coli.

    Science.gov (United States)

    Kariyawasam, Subhashinie; Nolan, Lisa K

    2011-12-01

    P fimbrial adhesins may be associated with the virulence of avian pathogenic Escherichia coli (APEC). However, most APECs are unable to express P fimbriae even when they are grown under conditions that favor P fimbrial expression. This failure can be explained by the complete absence of the pap operon or the presence of an incomplete pap operon in Pap-negative APEC strains. In the present study, we analyzed the pap operon, specifically the papA gene that encodes the major fimbrial shaft, to better understand the pap gene cluster at the genetic level. First, by PCR, we examined a collection of 500 APEC strains for the presence of 11 genes comprising the pap operon. Except for papA, all the other genes of the operon were present in 38% to 41.2% of APEC, whereas the papA was present only in 10.4% of the APEC tested. Using multiplex PCR to probe for allelic variants of papA, we sought to determine if the low prevalence of papA among APEC was related to genetic heterogeneity of the gene itself. It was determined that the papA of APEC always belongs to the F11 allelic variant. Finally, we sequenced the 'papA region' from two papA-negative strains, both of which contain all the other genes of the pap operon. Interestingly, both strains had an 11,104-bp contig interruptingpapA at the 281-bp position. This contig harbored a streptomycin resistance gene and a classic Tn10 transposon containing the genes that confer tetracycline resistance. However, we noted that the papA gene of every papA-negative APEC strain was not interrupted by an 11,104-bp contig. It is likely that transposons bearing antibiotic resistance genes have inserted within pap gene cluster of some APEC strains, and such genetic events may have been selected for by antibiotic use.

  7. An Abyssal Current in the Central Labrador Sea

    Science.gov (United States)

    Hall, M. M.; Yashayaev, I.; Torres, D. J.

    2012-12-01

    Lowered acoustic Doppler current profiler (LADCP) data collected along the repeat hydrographic section AR7W in the Labrador Sea has unveiled a new abyssal current, confined to a narrow trench extending from NW to SE over the entire abyssal basin and crossing AR7W in the center of the basin at about 57.8°N, 51.3°W. Maximum water depth in the trough is 75 - 100 m greater depth than the surrounding topography, and the current extends from about 160 m above the bottom to the bottom (3610 m), headed in a south to southeasterly direction. Maximum speeds of 10-20 cm s-1 occur in the deepest part of the current, implying a net transport of as much as 0.2 Sv of Denmark Strait Overflow Water (DSOW). Potential temperature and salinity in the bottom-intensified current tend to be well mixed below 3520 m, suggesting that the mixed bottom boundary layer is about 100 m thick. This V-shaped trench is part of the Northwest Atlantic Mid-Ocean Channel (NAMOC), which has been recognized as a turbidity current pathway by petrologists (Chough and Hesse, 1980; Chough et al., 1986). Another small trough intersects the main branch of the NAMOC where the abyssal current is observed, which may account for the varying direction of the current. This network of abyssal channels may provide a pathway for DSOW, entering the Labrador Sea around the southern tip of Greenland, to reach the central Labrador Sea with little delay. Indeed, Yashayaev and Dickson (2008) have noted the rapidity with which signals of hydrographic change in DSOW spread across the entire abyssal basin, reaching the central Labrador Sea within several months after their first appearance at the eastern boundary. Chough, S. K. and R. Hesse (1980). The Northwest Atlantic Mid-Ocean Channel of the Labrador Sea: III. Head spill vs. body spill deposits from turbidity currents on natural levees. J. of Sedimentary Petrology 50, 227-234. Chough, S. K., R. Hesse, and J. Muller (1987). The Northwest Atlantic Mid-Ocean Channel of the

  8. Utopia Plain

    Science.gov (United States)

    2006-01-01

    5 March 2006 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a dark-toned, cratered plain in southwest Utopia Planitia. Large, light-toned, windblown ripples reside on the floors of many of the depressions in the scene, including a long, linear, trough. Location near: 30.3oN, 255.3oW Image width: 3 km (1.9 mi) Illumination from: lower left Season: Northern Winter

  9. Pap Tests and Foreign-Born Women

    Centers for Disease Control (CDC) Podcasts

    2007-11-26

    Foreign-born women living in the U.S. are less likely to have Pap tests to detect cervical cancer than women born in this country. The problem is worse for women from certain countries or regions. Find out why this is a disturbing trend, who these women are and why they are less likely to get a Pap test, and what CDC is doing about it.  Created: 11/26/2007 by National Breast and Cervical Cancer Early Detection Program.   Date Released: 12/7/2007.

  10. Trends in Pap Test Practices and Results: An 11-Year Review of the Annual ACHA Pap Test and STI Survey

    Science.gov (United States)

    Eastman-Mueller, Heather P.; Oswalt, Sara B.

    2017-01-01

    Objective: To conduct a trend analysis of Pap test practices, Pap test results and related women's services and guidelines of college health centers. Participants: College health centers who participated in the annual ACHA Pap Test and STI (sexually transmitted infection) Survey years 2004-2014 (n ranged from 127 to 181 depending on year).…

  11. Microbial diversity and stratification of South Pacific abyssal marine sediments.

    Science.gov (United States)

    Durbin, Alan M; Teske, Andreas

    2011-12-01

    Abyssal marine sediments cover a large proportion of the ocean floor, but linkages between their microbial community structure and redox stratification have remained poorly constrained. This study compares the downcore gradients in microbial community composition to porewater oxygen and nitrate concentration profiles in an abyssal marine sediment column in the South Pacific Ocean. Archaeal 16S rRNA clone libraries showed a stratified archaeal community that changed from Marine Group I Archaea in the aerobic and nitrate-reducing upper sediment column towards deeply branching, uncultured crenarchaeotal and euryarchaeotal lineages in nitrate-depleted, anaerobic sediment horizons. Bacterial 16S rRNA clone libraries revealed a similar shift on the phylum and subphylum level within the bacteria, from a complex community of Alpha-, Gamma- and Deltaproteobacteria, Actinobacteria and Gemmatimonadetes in oxic surface sediments towards uncultured Chloroflexi and Planctomycetes in the anaerobic sediment column. The distinct stratification of largely uncultured bacterial and archaeal groups within the oxic and nitrate-reducing marine sediment column provides initial constraints for their microbial habitat preferences. © 2011 Society for Applied Microbiology and Blackwell Publishing Ltd.

  12. Geothermal heating, diapycnal mixing and the abyssal circulation

    Directory of Open Access Journals (Sweden)

    J. Emile-Geay

    2009-06-01

    Full Text Available The dynamical role of geothermal heating in abyssal circulation is reconsidered using three independent arguments. First, we show that a uniform geothermal heat flux close to the observed average (86.4 mW m−2 supplies as much heat to near-bottom water as a diapycnal mixing rate of ~10−4 m2 s−1 – the canonical value thought to be responsible for the magnitude of the present-day abyssal circulation. This parity raises the possibility that geothermal heating could have a dynamical impact of the same order. Second, we estimate the magnitude of geothermally-induced circulation with the density-binning method (Walin, 1982, applied to the observed thermohaline structure of Levitus (1998. The method also allows to investigate the effect of realistic spatial variations of the flux obtained from heatflow measurements and classical theories of lithospheric cooling. It is found that a uniform heatflow forces a transformation of ~6 Sv at σ4=45.90, which is of the same order as current best estimates of AABW circulation. This transformation can be thought of as the geothermal circulation in the absence of mixing and is very similar for a realistic heatflow, albeit shifted towards slightly lighter density classes. Third, we use a general ocean circulation model in global configuration to perform three sets of experiments: (1 a thermally homogenous abyssal ocean with and without uniform geothermal heating; (2 a more stratified abyssal ocean subject to (i no geothermal heating, (ii a constant heat flux of 86.4 mW m−2, (iii a realistic, spatially varying heat flux of identical global average; (3 experiments (i and (iii with enhanced vertical mixing at depth. Geothermal heating and diapycnal mixing are found to interact non-linearly through the density field, with geothermal heating eroding the deep stratification supporting a downward diffusive flux, while diapycnal mixing acts to map

  13. Property Changes of Abyssal Waters in the Western Tropical Atlantic

    Science.gov (United States)

    Herrford, Josefine; Brandt, Peter; Zenk, Walter

    2017-04-01

    Flowing northward towards the equator, Antarctic Bottom Water (AABW) encounters the lighter overlying North Atlantic Deep Water (NADW), both water masses creating an abyssal stratification and gradually mixing across their interface. Changes in the associated water mass formation and/or along-path transformation, observable in the evolution of water mass volume and characteristics, might impact the deep oceans uptake of anthropogenic CO2 or its contribution to global sea level rise. We compile historic and recent shipboard measurements of hydrography and velocity to provide a comprehensive view on water mass distribution, pathways, along-path transformation and long-term temperature changes of abyssal waters in the western South and Equatorial Atlantic. We are able to confirm previous results showing that the northwest corner of the Brazil Basin represents a splitting point for the southward/northward flow of NADW/AABW. The available measurements sample water mass transformation along the two major routes for deep and bottom waters in the tropical to South Atlantic - along the deep western boundary and eastward, parallel to the equator - as well as the hot spots of extensive mixing. We find lower NADW and lighter AABW to form a highly interactive transition layer in the northern Brazil Basin. The AABW north of 5°S is relatively homogeneous with only lighter AABW being able to pass through the Equatorial Channel (EQCH) into the North Atlantic. Spanning a period of 26 years, our data also allow an estimation of long-term temperature trends in abyssal waters. We find a warming of 2.5 ± 0.7•10-3 °C yr-1 of the waters in the northern Brazil Basin being colder than 0.6 °C throughout the period 1989-2014 and can relate that warming to a thinning of the dense AABW layer. While isopycnal heave is the dominant effect defining the vertical distribution of temperature trends on isobars, we also find temperature changes on isopycnals in the transition layer the lower NADW

  14. The value of Pap test in women with endometrial cancer

    OpenAIRE

    Aleksandra Petrić; Vekoslav Lilić; Radomir Živadinović; Predrag Vukomanović; Olivera Dunjić; Radmila Ignjatović; Goran Lilić

    2011-01-01

    Introduction: Endometrial cancer is the second most common gynecological tumor. There is still no recommended screening method for endometrial cancer. The application of transvaginal sonography, hysteroscopy and Pap test may prove useful in screening for this disease. Atypical glandular cells represent an important finding in Pap tests and they are related to histopathological verification of the endometrium. The aim of the study was to determine the usefulness of the Pap test in assessing th...

  15. Epithermal neutron activation analysis investigation of Clarion-Clipperton abyssal plane clay and polymetallic micronodules.

    Science.gov (United States)

    Duliu, O G; Cristache, C I; Culicovc, O A; Frontasyeva, M V; Szobotca, S A; Toma, M

    2009-05-01

    The content of seven major (Na, Al, Cl, Mn, K, Ca, Ti, Fe) and 30 trace (Sc, V, Cr, Ni, Co, Zn, Cu, As, Sr, Rb, Zr, Mo, Sn, In, Sb, Ba, Cs, La, Ce, Nd, Eu, Sm, Tb, Dy, Yb, Hf, Ta, W, Th, U) elements determined by INAA in 13 samples of abyssal clay and two samples of micronodules collected from the North pacific Ocean Clarion-Clipperton abyssal plane is presented and discussed with respect to some rocks models.

  16. Epithermal neutron activation analysis investigation of Clarion-Clipperton abyssal plane clay and polymetallic micronodules

    International Nuclear Information System (INIS)

    Duliu, O.G.; Cristache, C.I.; Culicovc, O.A.; Frontasyeva, M.V.; Szobotca, S.A.; Toma, M.

    2009-01-01

    The content of seven major (Na, Al, Cl, Mn, K, Ca, Ti, Fe) and 30 trace (Sc, V, Cr, Ni, Co, Zn, Cu, As, Sr, Rb, Zr, Mo, Sn, In, Sb, Ba, Cs, La, Ce, Nd, Eu, Sm, Tb, Dy, Yb, Hf, Ta, W, Th, U) elements determined by INAA in 13 samples of abyssal clay and two samples of micronodules collected from the North pacific Ocean Clarion-Clipperton abyssal plane is presented and discussed with respect to some rocks models.

  17. Epithermal neutron activation analysis investigation of Clarion-Clipperton abyssal plane clay and polymetallic micronodules

    Energy Technology Data Exchange (ETDEWEB)

    Duliu, O.G. [University of Bucharest, Department of Atomic and Nuclear Physics, P.O. Box MG-11, 077125 Magurele, Ilfov (Romania)], E-mail: duliu@b.astral.ro; Cristache, C.I. [National Institute of Research and Development for Physics and Nuclear Engineering ' Horia-Hulubei' , P.O. Box MG-6, 077125 Magurele, Ilfov (Romania)], E-mail: ocarmen@ifin.nipne.ro; Culicovc, O.A. [Joint Institute of Nuclear Research, 6, Joliot Curie str., 141980 Dubna (Russian Federation)], E-mail: otilia_culicov@yahoo.com; Frontasyeva, M.V. [Joint Institute of Nuclear Research, 6, Joliot Curie str., 141980 Dubna (Russian Federation)], E-mail: marina@nf.jinr.ru; Szobotca, S.A. [National Institute of Geoecology and Marine Geology, 34 Dimitrie Onciul str., 024504 Bucharest (Romania)], E-mail: szobi@geoecomar.ro; Toma, M. [National Institute of Research and Development for Physics and Nuclear Engineering ' Horia-Hulubei' , P.O. Box MG-6, 077125 Magurele, Ilfov (Romania)

    2009-05-15

    The content of seven major (Na, Al, Cl, Mn, K, Ca, Ti, Fe) and 30 trace (Sc, V, Cr, Ni, Co, Zn, Cu, As, Sr, Rb, Zr, Mo, Sn, In, Sb, Ba, Cs, La, Ce, Nd, Eu, Sm, Tb, Dy, Yb, Hf, Ta, W, Th, U) elements determined by INAA in 13 samples of abyssal clay and two samples of micronodules collected from the North pacific Ocean Clarion-Clipperton abyssal plane is presented and discussed with respect to some rocks models.

  18. Bacillary haemoglobinuria diagnosis by the peroxidase-antiperoxidase (PAP) technique.

    Science.gov (United States)

    Uzal, F A; Belak, K; Rivera, E; Robles, C A; Feinstein, R E

    1992-10-01

    A peroxidase-antiperoxidase (PAP) technique was used to diagnose bacillary haemoglobinuria in formalin-fixed, paraffin-embedded liver tissues of cattle. The PAP method revealed Clostridium haemolyticum in the zone of liver necrosis characteristic of the disease and also in culture smears of this microorganism, but C. novyi type B, C. chauvoei, C. septicum and C. perfringens types B and C remained unstained by the PAP reaction. The PAP technique performed provides a specific, simple and rapid method to diagnose bacillary haemoglobinuria.

  19. Knowledge about Cervical Cancer and Pap Smear and the Factors Influencing the Pap test Screening among Women.

    Science.gov (United States)

    Ashtarian, Hossein; Mirzabeigi, Elaheh; Mahmoodi, Elham; Khezeli, Mehdi

    2017-04-01

    Although the Pap smear is known as one of the effective methods to detect the cervical cancer, a large group of women are reluctant to do the test because of various reasons. Therefore, we carried out this study to determine the level of knowledge about cervical cancer and Pap smear and the factors influencing the Pap test screening among women. In this cross-sectional study, 355 women referred to the health centers of Gilan-e gharb city were randomly recruited in 2015. The participants asked to complete a self-administered questionnaire including five parts (questions about: demographic factors, knowledge about cervical cancer and Pap smear, Pap smear performance, barriers and facilitators related to Pap smear and the sources of information). Data were analyzed through SPSS version 19, using descriptive statistics, Independent T-test, and logistic regression. The mean age of the participants was 34.08±7.81 years. Almost 50.4% of the subjects had a history of Pap smear test. Pap test performance was significantly higher in those who had higher knowledge (PPap smear and age was the most important predictors of the Pap test performance (PPap smear test were inadequate knowledge and the recommendations received from family, friends and healthcare professionals (44.3% and 40.2%, respectively). Knowledge about Pap smear and cervical cancer was important in predicting Pap test doing. In addition, inadequate knowledge was introduced as the most important barrier to screening test from the perspective of women. Therefore, we suggest that health education and health promotion studies as interdisciplinary and targeted interventions should be implemented to improve the women's knowledge.

  20. Who is getting Pap smears in urban Peru?

    OpenAIRE

    Paz Soldan, Valerie A; Lee, Frank H; Carcamo, Cesar; Holmes, King K; Garnett, Geoff P; Garcia, Patricia

    2008-01-01

    Background Cervical cancer, although usually preventable by Pap smear screening, remains the leading cause of cancer-related deaths among women in Peru. The percentages and characteristics of women in Peru who have or have not had a Pap smear have not been defined.

  1. Decision Making for Pap Testing among Pacific Islander Women

    Science.gov (United States)

    Weiss, Jie W.; Mouttapa, Michele; Sablan-Santos, Lola; DeGuzman Lacsamana, Jasmine; Quitugua, Lourdes; Park Tanjasiri, Sora

    2016-01-01

    This study employed a Multi-Attribute Utility (MAU) model to examine the Pap test decision-making process among Pacific Islanders (PI) residing in Southern California. A total of 585 PI women were recruited through social networks from Samoan and Tongan churches, and Chamorro family clans. A questionnaire assessed Pap test knowledge, beliefs and…

  2. Three new species and one new genus of abyssal Cumacea (Crustacea, Malacostraca, Peracarida) from the Kuril-Kamchatka Trench area

    Science.gov (United States)

    Lavrenteva, Anna V.; Mühlenhardt-Siegel, Ute

    2015-01-01

    Only two species of crustacean Cumacea have been reported in publications for the Kuril-Kamchatka Trench area after nine expeditions on board of the RV "Vityaz". During the KuramBio expedition 2012 to the Kuril-Kamchatka Trench and the adjacent abyssal plain at depths 4830-5780 m no less than 72 species of cumaceans from 23 genera and 6 families were sampled. Five genera were recorded for the first time in the studied region: the genera Pseudoleptostyloides and Platycuma were detected for the first time for the Pacific Ocean; Cyclaspoides, Bathylamprops and Styloptocuma were firstly sampled in North Pacific. About 90% of the sampled species appear to be new to science. Three new deep-sea cumacean species and one new genus from the Kurile Kamchatka area are described in the present paper: Abyssoleucon tzarevae gen. n., sp. n. belonging to the family Leuconidae, Cyclaspoides borisovetsi sp. n. and Bathycuma sonne sp. n. of the family Bodotriidae. A distribution map for the species of the genus Cyclaspoides is provided.

  3. Quantitative characterization of abyssal seafloor with transit multibeam backscatter data

    Science.gov (United States)

    Pockalny, R. A.; Ferrini, V. L.

    2014-12-01

    The expanding volume of deep-water multibeam echosounder data provides emerging opportunities for the improved characterization of the abyssal seafloor. Nearly 500 cruises criss-cross the oceans with modern wide-swath multibeam systems, and these cruise tracks have imaged a variety of morphologic, tectonic and magmatic environments. The qualitative analysis of the seafloor backscatter data strongly suggests a local and regional variability that correlates with sediment thickness, sediment type and/or depositional environment. We present our initial attempts to develop a method that quantifies this observed seafloor backscatter variability and to explore the causes and potential implications of this variability. Our approach is rooted in the Angular Range Analysis methodology, which utilizes changes in backscatter amplitude observed as a function of grazing angle, to characterize the seafloor. The primary difference in our approach is that we do not invert for geo-acoustical parameters, but rather explores empirical relationships between geological observations and stacked slope and y-intercept values. In addition, we also include the mean and the variance of detrended backscatter measurements. Our initial results indicate intriguing relationships between backscatter parameters and the CaCO3 content of surface sediments. Seafloor regions reported to have high manganese nodule concentrations also tend to have characteristic trends in backscatter parameters. We will present these regional correlations as well as some preliminary statistical analyses of the backscatter parameters and key environmental factors.

  4. The abyssal and deep circulation of the Northeast Pacific Basin

    Science.gov (United States)

    Hautala, Susan L.

    2018-01-01

    Three-dimensional abyssal and deep circulation of the region to the east and north of the Emperor Seamount Chain/Hawaiian Ridge is determined from a compilation of CTD and Argo float data, using a new overdetermined inverse technique for the geostrophic reference velocity and diapycnal/lateral mixing coefficients. The Northeast Pacific Basin is primarily sourced from its northern boundary, at a rate of 3.5 Sv across 47°N below 3000 m. Bottom water in the western subarctic gyre recirculates cyclonically between the Emperor Seamount Chain and 155°W. Bottom water east of 155°W takes a more direct path southward along the flank of a broad topographic slope. In the deep water, a ridge of potential vorticity lying along the Mendocino Fracture Zone separates circulation systems north and south of ∼40°N. The region has very weak diapycnal and lateral mixing, and an aspect ratio for the overturning circulation that is correspondingly flat, with bottom water parcels rising less than 1 km during their long transit from the Aleutian Trench to the latitude of Hawaii.

  5. Accuracy of Screening Tools for Pap Smears in General Practice

    Directory of Open Access Journals (Sweden)

    Catherine Harding

    2016-09-01

    Full Text Available Background Data extraction tools (DETs are increasingly being used for research and audit of general practice, despite their limitations. Objective This study explores the accuracy of Pap smear rates obtained with a DET compared to that of the Pap smear rate obtained with a manual file audit. Method A widely available DET was used to establish the rate of Pap smears in a large multi-general practice (multi-GP in regional New South Wales followed by a manual audit of patient files. The main outcome measure was identification of possible discrepancies between the rates established. Results The DET used significantly underestimated the level of cervical screening compared to the manual audit. In some instances, the patient file contained phone/specialist record of Pap smear conducted elsewhere, which accounted for the failure of the DET to detect some smears. Those patients who had Pap smears whose pathology codes differed between time intervals, i.e. from different pathology providers or from within the same provider but using a different code, were less likely to have had their most recent Pap smear detected by the DET (p < 0.001. Conclusion Data obtained from DETs should be used with caution as they may not accurately reflect the rate of Pap smears from electronic medical records. How this fits in DETs are increasingly being used for research and audit of general practice. This study explores the accuracy of Pap smear rates obtained with a DET compared to that of the Pap smear rate obtained with a manual file audit The DET tested significantly underestimated the level of cervical screening compared to manual screening. Data obtained from DETs should be used with caution as they may not accurately reflect the rate of Pap smears from electronic medical records

  6. Aerobic biotransformation of polyfluoroalkyl phosphate esters (PAPs) in soil

    International Nuclear Information System (INIS)

    Liu, Chen; Liu, Jinxia

    2016-01-01

    Microbial transformation of polyfluoroalkyl phosphate esters (PAPs) into perfluorocarboxylic acids (PFCAs) has recently been confirmed to occur in activated sludge and soil. However, there lacks quantitative information about the half-lives of the PAPs and their significance as the precursors to PFCAs. In the present study, the biotransformation of 6:2 and 8:2 diPAP in aerobic soil was investigated in semi-dynamics reactors using improved sample preparation methods. To develop an efficient extraction method for PAPs, six different extraction solvents were compared, and the phenomenon of solvent-enhanced hydrolysis was investigated. It was found that adding acetic acid could enhance the recoveries of the diPAPs and inhibit undesirable hydrolysis during solvent extraction of soil. However 6:2 and 8:2 monoPAPs, which are the first breakdown products from diPAPs, were found to be unstable in the six solvents tested and quickly hydrolyzed to form fluorotelomer alcohols. Therefore reliable measurement of the monoPAPs from a live soil was not achievable. The apparent DT 50 values of 6:2 diPAP and 8:2 diPAP biotransformation were estimated to be 12 and > 1000 days, respectively, using a double first-order in parallel model. At the end of incubation of day 112, the major degradation products of 6:2 diPAP were 5:3 fluorotelomer carboxylic acid (5:3 acid, 9.3% by mole), perfluoropentanoic acid (PFPeA, 6.4%) and perfluorohexanoic acid (PFHxA, 6.0%). The primary product of 8:2 diPAP was perfluorooctanoic acid (PFOA, 2.1%). The approximately linear relationship between the half-lives of eleven polyfluoroalkyl and perfluoroalkyl substances (PFASs, including 6:2 and 8:2 diPAPs) that biotransform in aerobic soils and their molecular weights suggested that the molecular weight is a good indicator of the general stability of low-molecular-weight PFAS-based compounds in aerobic soils. - Highlights: • Biotransformation of 6:2 and 8:2 diPAPs in an aerobic soil was investigated.

  7. Aerobic biotransformation of polyfluoroalkyl phosphate esters (PAPs) in soil.

    Science.gov (United States)

    Liu, Chen; Liu, Jinxia

    2016-05-01

    Microbial transformation of polyfluoroalkyl phosphate esters (PAPs) into perfluorocarboxylic acids (PFCAs) has recently been confirmed to occur in activated sludge and soil. However, there lacks quantitative information about the half-lives of the PAPs and their significance as the precursors to PFCAs. In the present study, the biotransformation of 6:2 and 8:2 diPAP in aerobic soil was investigated in semi-dynamics reactors using improved sample preparation methods. To develop an efficient extraction method for PAPs, six different extraction solvents were compared, and the phenomenon of solvent-enhanced hydrolysis was investigated. It was found that adding acetic acid could enhance the recoveries of the diPAPs and inhibit undesirable hydrolysis during solvent extraction of soil. However 6:2 and 8:2 monoPAPs, which are the first breakdown products from diPAPs, were found to be unstable in the six solvents tested and quickly hydrolyzed to form fluorotelomer alcohols. Therefore reliable measurement of the monoPAPs from a live soil was not achievable. The apparent DT50 values of 6:2 diPAP and 8:2 diPAP biotransformation were estimated to be 12 and > 1000 days, respectively, using a double first-order in parallel model. At the end of incubation of day 112, the major degradation products of 6:2 diPAP were 5:3 fluorotelomer carboxylic acid (5:3 acid, 9.3% by mole), perfluoropentanoic acid (PFPeA, 6.4%) and perfluorohexanoic acid (PFHxA, 6.0%). The primary product of 8:2 diPAP was perfluorooctanoic acid (PFOA, 2.1%). The approximately linear relationship between the half-lives of eleven polyfluoroalkyl and perfluoroalkyl substances (PFASs, including 6:2 and 8:2 diPAPs) that biotransform in aerobic soils and their molecular weights suggested that the molecular weight is a good indicator of the general stability of low-molecular-weight PFAS-based compounds in aerobic soils. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Effectiveness of nursing interventions to increase pap smear test screening.

    Science.gov (United States)

    Guvenc, Gulten; Akyuz, Aygul; Yenen, Mufit Cemal

    2013-04-01

    The purpose of this study was to determine the effect of a three-stage nursing intervention to increase Turkish women's participation in Pap smear testing. Knowledge and beliefs about cervical cancer screening and barriers to Pap smears also were explored. In a quasi-experimental study in a target population of 2,500 women, 237 completed pre-test measures to inform the intervention, and an educational brochure was distributed to all 2,500. As a result, 510 women (20.4%) accepted free Pap smears. Of the remaining 1,990 women, 417 were randomly selected for telephone interviews, 302 participated, and 158 of these (52.3%) participated in free Pap smear testing. Of the 144 who did not have Pap smears after participating in telephone interviews, 54 were then interviewed face-to-face, and 20 (37.0%) decided to accept free Pap smears. A total of 668 women had accepted free Pap smears by the end of the intervention period. Copyright © 2013 Wiley Periodicals, Inc.

  9. Origin of salt giants in abyssal serpentinite systems

    Science.gov (United States)

    Scribano, Vittorio; Carbone, Serafina; Manuella, Fabio C.; Hovland, Martin; Rueslåtten, Håkon; Johnsen, Hans-K.

    2017-10-01

    Worldwide marine salt deposits ranging over the entire geological record are generally considered climate-related evaporites, derived from the precipitation of salts (mainly chlorides and sulfates) from saturated solutions driven by solar evaporation of seawater. This explanation may be realistic for a salt thickness ≤100 m, being therefore inadequate for thicker (>1 km) deposits. Moreover, sub-seafloor salt deposits in deep marine basins are difficult to reconcile with a surface evaporation model. Marine geology reports on abyssal serpentinite systems provide an alternative explanation for some salt deposits. Seawater-driven serpentinization consumes water and increases the salinity of the associated aqueous brines. Brines can be trapped in fractures and cavities in serpentinites and the surrounding `country' rocks. Successive thermal dehydration of buried serpentinites can mobilize and accumulate the brines, forming highly saline hydrothermal solutions. These can migrate upwards and erupt onto the seafloor as saline geysers, which may form salt-saturated water pools, as are currently observed in numerous deeps in the Red Sea and elsewhere. The drainage of deep-seated saline brines to seafloor may be a long-lasting, effective process, mainly occurring in areas characterized by strong tectonic stresses and/or igneous intrusions. Alternatively, brines could be slowly expelled from fractured serpentinites by buoyancy gradients and, hence, separated salts/brines could intrude vertically into surrounding rocks, forming salt diapirs. Serpentinization is an ubiquitous, exothermic, long-lasting process which can modify large volumes of oceanic lithosphere over geological times. Therefore, buried salt deposits in many areas of the world can be reasonably related to serpentinites.

  10. In situ experimental evidence of the fate of a phytodetritus pulse at the abyssal sea floor

    DEFF Research Database (Denmark)

    Witte, U.; Wenzhofer, F.; Sommer, S.

    2003-01-01

    More than 50% of the Earth's surface is sea floor below 3,000 m of water. Most of this major reservoir in the global carbon cycle and final repository for anthropogenic wastes is characterized by severe food limitation. Phytodetritus is the major food source for abyssal benthic communities...... very important for initial carbon degradation. The retarded response of bacteria and Foraminifera, the restriction of microbial carbon degradation to the sediment surface, and the low total carbon turnover distinguish abyssal from continental-slope 'deep-sea' sediments....

  11. Northern Plains Buried Craters

    Science.gov (United States)

    2004-01-01

    22 December 2003This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows three circular features on the martian northern plains near 70.7oN, 311.7oW. These circular features are the locations of meteor impact craters that have been buried beneath the plains. Much of the northern plains shares this story, in which thousands of old craters have been filled or partially filled and then thinly buried beneath textured plains. The picture covers an area 3 km (1.9 mi) wide. Sunlight illuminates the scene from the lower left.

  12. Knowledge about Cervical Cancer and Pap Smear and the Factors Influencing the Pap test Screening among Women

    OpenAIRE

    Ashtarian, Hossein; Mirzabeigi, Elaheh; Mahmoodi, Elham; Khezeli, Mehdi

    2017-01-01

    ABSTRACT Background: Although the Pap smear is known as one of the effective methods to detect the cervical cancer, a large group of women are reluctant to do the test because of various reasons. Therefore, we carried out this study to determine the level of knowledge about cervical cancer and Pap smear and the factors influencing the Pap test screening among women. Methods: In this cross-sectional study, 355 women referred to the health centers of Gilan-e gharb city were randomly recruited i...

  13. Bacteriological quality of retail pap prepared from maizeand ...

    African Journals Online (AJOL)

    These included Acetobacter, Bacillus, Corynebacterium, E. coli, Citrobacter, Enterobacter, Klebsiella, Leuconostoc, Lactobacillus, Micrococcus, Neisseriae, Proteus, Pseudomonas, Staphylococcus and Streptococcus. The isolated genera that contaminated 24 pap samples prepared from guinea corn and their percentage ...

  14. [Future of gynecological exfoliative cytology specimen, the Pap test].

    Science.gov (United States)

    Nieminen, Pekka; Timonen, Tuomo

    2014-01-01

    Screenings of cervical cancer in Finland by using the Pap test have decreased the incidence of the disease by approx. 80%. Automation-assisted cytology and liquid-based Pap test have improved the technical quality of cytological examination. The HPV test allows the prevention of more cancers and its negative predictive value is crucially better than that of the Pap test. Its problem is the modest specificity in young age groups. When the HPV-vaccinated age groups reach the screening age, the HPV test should be adopted as the first-line screening test in all age groups. The Pap test will continue to have an important role as a further investigation and diagnostic specimen.

  15. Knowledge, attitude and practice of Pap smear among Omani women

    OpenAIRE

    Nasar Yousuf Alwahaibi; Nasra Mohammed Alramadhani; Atheer Mohammed Alzaabi; Waad Abdullah Alsalami

    2017-01-01

    Background: Absence or low uptake of Pap smear is probably the main barrier for high incidence of cervical cancer. Aim: To assess the knowledge, practice, attitude, main barriers and motivating factors of Pap smear among Omani women. Methods: Cross-secal survey in a tertiary referral hospital. The participants were divided into three groups: the patients who attended Outpatient Gynecology Department in Sultan Qaboos University Hospital (SQUH), Oman, the female staff from SQUH, College of Medi...

  16. Decision making for Pap testing among Pacific Islander women

    OpenAIRE

    Weiss, Jie W.; Mouttapa, Michele; Sablan-Santos, Lola; DeGuzman Lacsamana, Jasmine; Quitugua, Lourdes; Park Tanjasiri, Sora

    2016-01-01

    This study employed a Multi-Attribute Utility (MAU) model to examine the Pap test decision-making process among Pacific Islanders (PI) residing in Southern California. A total of 585 PI women were recruited through social networks from Samoan and Tongan churches, and Chamorro family clans. A questionnaire assessed Pap test knowledge, beliefs and past behaviour. The three MAU parameters of subjective value, subjective probability and momentary salience were measured for eight anticipated conse...

  17. Oxygen Fugacity of Abyssal Peridotites Along the Gakkel Ridge

    Science.gov (United States)

    Said, M.; Birner, S.; Cottrell, E.

    2015-12-01

    The oxygen budget of the Earth's mantle is important in understanding how our planet evolves chemically over time. The Gakkel Ridge is the world's slowest spreading ridge [1], and exposes peridotites along its axis that record the activity of oxygen in the upper mantle. Our samples comprise relatively fertile lherzolites and harzburgites (Cr#=0.13-0.17, 3.1-8.3% modal cpx [2]) as well as refractory harzburgites (Cr#=0.43-0.55, 0.2-1.0% modal cpx [2]). Using spinel peridotite oxygen barometry [3], we calculated the oxygen fugacity (fO2) of a suite of 10 peridotites from the Gakkel Ridge in order to investigate how melt processes affect the oxygen budget of the Earth's interior. We show that the low-Cr# lherzolites and harzburgites range from -0.1 to +0.6 log units relative to the QFM buffer, consistent with the global abyssal peridotite array, whereas high-Cr# refractory harzburgites have low fO2 values, ranging from -0.7 to -2.7 log units below QFM, with the most refractory samples falling significantly lower than the global array. Because D'Errico et al. (submitted) interprets the refractory samples as recording ancient melt extraction, the low fO2 recorded by these samples may originate in the geologic past, perhaps even in a different tectonic setting. While LREE enrichment in the refractory harzburgites [2] provides evidence for refertilization by an infiltrating melt that could have recently imprinted reducing conditions, we see no corresponding increase in TiO2 content in the spinels, which weakens this hypothesis. Further research on additional refractory harzburgites is needed to constrain whether the reduced nature of these samples is telling us something about the effect of extreme melt extraction on fO2 at ridges, or whether these samples record a unique history that obscures processes operating at ridges today. [1] Coakley and Cochran, EPSL (1998), [2] D'Errico et al., submitted, [3] Bryndzia and Wood, American Journal of Science (1990)

  18. Is there a relationship between abyssal scleractinian corals and the global oceanic conveyor belt?

    Science.gov (United States)

    Keller, N. B.; Oskina, N. S.; Savilova, T. A.

    2017-07-01

    The investigation data on Scleractinia of the abyssal zone have been generalized. Based on an analysis of maps of the distribution pattern of these corals, it can be concluded that there is a close correlation between the spread of their species and the position of the ocean currents that form the global oceanic conveyor belt. The maps were compiled from published and our own data collected on expeditions of the Shirshov Institute of Oceanology of the Russian Academy of Sciences. We analyzed data on 106 stations. The location of the global oceanic conveyor belt was shown in the maps. The distribution pattern of abyssal coral species confirms our assumption that there are two possible ways of origin of abyssal fauna. We suppose that the genera Fungiacyathus and Leptopenus are ancient and have evolved in deep oceanic layers, while the species D. parvulus obviously originated from shallow-water ancestors and then migrated deep into the abyssal zone as a result of the transition to neotenic development.

  19. Why the Pap test? Awareness and use of the Pap test among women in the United States.

    Science.gov (United States)

    Hawkins, Nikki A; Cooper, Crystale Purvis; Saraiya, Mona; Gelb, Cynthia A; Polonec, Lindsey

    2011-04-01

    To inform campaign development by assessing awareness, previous receipt, and knowledge of the purpose of Papanicolaou (Pap) testing among women aged ≥ 18 years and to identify differences in awareness, receipt, and knowledge by demographic characteristics. Data were analyzed from the 2008 HealthStyles survey, an annual mail survey conducted in the United States covering trends in health-related behavior. Women were asked questions on awareness, past use, and knowledge of the purpose of the Pap test and other gynecologic tests and procedures; 2991 women participated. Although 96.7% of the women had heard of and 93.0% reported having received a Pap test, these proportions were lower among those who were 18-34 years old and among those who had lower levels of education and income. Over 80% knew the Pap test was used to screen for cervical cancer, but 63.3% believed it also was used to screen for vaginal cancer (44.9%), sexually transmitted diseases (STDs) other than human papillomavirus (HPV) (41.7%), ovarian cancer (40.6%), and other cancers and infections. General familiarity and past receipt of the Pap test were high, but misconceptions about its purpose were prevalent. It is important that women understand what a routine Pap test is and is not capable of detecting so that signs and symptoms of gynecologic conditions other than cervical cancer may be recognized and addressed appropriately.

  20. Fate of corrosion products released from stainless steel in marine sediments and seawater. Part 4: Hatteras abyssal red clay

    International Nuclear Information System (INIS)

    Schmidt, R.L.

    1982-07-01

    A study in which neutron-activated 347 stainless steel was exposed to surficial sediment from a site in the Hatteras Abyssal Plain of the Northwest Atlantic Ocean is described. This sediment consists of approx. 20% CaCO 3 , which could lead to the formation of calcareous scale on the metal surface and reduce the corrosion rate. The distribution of indigenous metals among different chemical fractions shows that extractable Cr, Mn, Fe, Co, and Zn were associated with amorphous Mn and Fe oxides. Most of the remaining extractable Cr, and about a third of the extractable Cu appear to have been weakly complexed. Major fractions (25 to 36%) of extractable Mn, Co and Ni were present as adsorbed cations. Organic complexation appears to account for a large amount of extractable Fe, Ni, Cu and Zn. Neutron-activated 347 stainless steel specimens were exposed to sediment slurry under aerobic and non-oxygenated conditions for a period of 94 days. The redox potential measurements for air-sparged and N 2 , CO 2 -sparged sediment slurries were +410 and +60 mv, respectively. The presence of 0 2 produced increased amounts of corrosion products. Chemical extraction showed that relatively labile substances constituted about 84% of the 60 Co activity released in aerated sediment. Relatively labile substances constitute about 82% of the total 60 Co activity released under non-oxygenated conditions. A large fraction of 60 Co which was in the soluble or easily dissolved forms under non-oxygenated conditions appears to have been more strongly adsorbed to the sediment under aerated conditions

  1. Fate of corrosion products released from stainless steel in marine sediments and seawater. Part 4: Hatteras abyssal red clay

    Energy Technology Data Exchange (ETDEWEB)

    Schmidt, R.L.

    1982-07-01

    A study in which neutron-activated 347 stainless steel was exposed to surficial sediment from a site in the Hatteras Abyssal Plain of the Northwest Atlantic Ocean is described. This sediment consists of approx. 20% CaCO/sub 3/, which could lead to the formation of calcareous scale on the metal surface and reduce the corrosion rate. The distribution of indigenous metals among different chemical fractions shows that extractable Cr, Mn, Fe, Co, and Zn were associated with amorphous Mn and Fe oxides. Most of the remaining extractable Cr, and about a third of the extractable Cu appear to have been weakly complexed. Major fractions (25 to 36%) of extractable Mn, Co and Ni were present as adsorbed cations. Organic complexation appears to account for a large amount of extractable Fe, Ni, Cu and Zn. Neutron-activated 347 stainless steel specimens were exposed to sediment slurry under aerobic and non-oxygenated conditions for a period of 94 days. The redox potential measurements for air-sparged and N/sub 2/, CO/sub 2/-sparged sediment slurries were +410 and +60 mv, respectively. The presence of 0/sub 2/ produced increased amounts of corrosion products. Chemical extraction showed that relatively labile substances constituted about 84% of the /sup 60/Co activity released in aerated sediment. Relatively labile substances constitute about 82% of the total /sup 60/Co activity released under non-oxygenated conditions. A large fraction of /sup 60/Co which was in the soluble or easily dissolved forms under non-oxygenated conditions appears to have been more strongly adsorbed to the sediment under aerated conditions.

  2. Variability Study between Pap Smear, Colposcopy and Cervical Histopathology Findings

    International Nuclear Information System (INIS)

    Akhter, S.; Bari, A.; Hayat, Z.

    2015-01-01

    Objective: To determine the agreement/variability between colposcopic findings, Pap smear cytology and histopathological diagnosis in gynaecology patients. Methods: The cross-sectional cohort study was conducted from October 2010 to September 2011 at the Fauji Foundation Hospital, Rawalpindi, and comprised women who presented to the out-patient department with various gynaecological complaints. Colposcopy was performed in all women with unhealthy cervix during gynaecological examination, abnormal Pap smear report, recurrent vaginal discharge and postcoital bleeding. Pap smear was performed before colposcopy if not done earlier. Colposcopic findings were recorded on a specially-designed proforma. Biopsies from abnormal areas were taken and sent for histopathology. Colposcopic findings were compared with histopathology and Pap smear reports The agreement between the methods was evaluated by using Kappa coefficient and chi square test at a significance level of 5 percent. Results: The mean age of the 143 women was 44 8.5 years (range: 25-72 years). Colposcopic findings were normal in 66(46 percent) women, while 77(54 percent) had abnormal findings and among the latter, 62(80.5 percent) had abnormal histopathology, indicating strong agreement (K=0.65; p<0.001). Pap smear report was abnormal in 48(33.5 percent) cases and among them histopathology was abnormal in 28(58 percent). In the remaining 95(66.4 percent) patients with normal Pap smear, histopathology was abnormal in 44((46 percent), indicating weak agreement between Pap smear and histopathological diagnosis (K=0.10; p=0.08). Conclusion: There was a strong agreement between colposcopic findings and histopathological diagnosis. However, agreement between cytological findings and colposcopic findings and cytology and histopathological diagnosis remained weak. (author)

  3. Turbidite pathways in Cascadia Basin and Tufts abyssal plain, Part A, Astoria Channel, Blanco Valley, and Gorda Basin

    Science.gov (United States)

    Wolf, Stephen C.; Hamer, Michael R.

    1999-01-01

    This open-file report was prepared in support of the USGS Earthquake Hazards of Cascadia Project. The primary objective of this phase of the project is to determine recurrence intervals of turbidites in Cascadia basin-floor channel systems and evaluate implications of this event record for the paleoseismic history of the Cascadia subduction zone. The purpose of this study is to determine whether the canyon/channel systems themselves are blocked or deformed in such a way that the downstream turbidite stratigraphy might be biased. To accomplish this investigation approximately 7500 kilometers of pre-existing 3.5 KHz seismic data were evaluated to determine the direction and extent of the Astoria Channel/pathway system, which originates at the base of the Astoria Fan. Additionally, distribution and thickness of turbidite sediment sequences were determined along each identified pathway. Bathymetery and distance were used to determine gradients along the main pathway axis and for each of the secondary pathways that feed into it. Channel pathways were identified on the basis of channel phyisiography, where visible at the seafloor, subbottom channel configuration, and acoustic packets of sediments that might represent turbidite deposits. A principal result of this study is that the Astoria Channel/pathway extends continuously from the base of the Astoria Fan southward along the base of the continental slope through the Blanco Valley, then heads southwestward through the Gorda Basin and into the region of the Escanaba Trough. Additionally it was determined that the Astoria Channel is filled and basically buried for it's full length south of 44 degrees latitude. The 44 North Slump, as defined by Goldfinger (1999, see Map 3 ref.), may have been instrumental in blocking the pathway and thus contributed to the filling of the channel/pathway. Sheets 1 and 2 show the Astoria and secondary turbidite pathways highlighted in blue. Ship survey tracklines are shown for the area studied; they are time and date coded, and color keyed to each ship ID data base listed at the bottom of each sheet. The first letter in the cruise ID is an abbreviation letter for the ship name, the following numbers represent the consecutive cruise number of that year, followed by the year number. The letters at the end of the ID represent the survey area, ie. NC- northern California, NP- north Pacific. Locations of selected sample seismic sections illustrated on sheets 3-5 also are shown. Scales for each of the sheets are the same as for sheets 3-5, which allows for overlaying of track data onto the interpretations shown on Maps A-C. Sheets 3 (MAP A), 4 (MAP B), and 5 (MAP C) show channel pathway location, bathymetric depth based on the USGS COW data base (Ca/Or/Wa), pathway morphology, and thickness of turbidite sediment fill at various locations. The interpreted turbidite sediments are color highlighted on the selected seismic sections to differentiate them from the typical deep sea sediments below and to the side of the turbidite pathways. Thickness of sediment fill, in meters, is shown along major pathways in white circular highlights. The data and interpretations rest on a background of USGS GLORIA side scan sonar imagery (1984) to illustrate the relationship of pathway position to sub sea features. Channel distance points are plotted along channel centerlines at 20,000 m intervals. These points begin at the start of each interpreted channel pathway. A bathymetric depth was assigned to each distance point. These data points were then used to construct channel gradient curves for the Astoria, Eel, Bear Valley, and Mendocino channel pathways. These gradients are plotted on sheet 6 of this report and illustrate the similarities and differences between each of the pathways. Sheet 7 shows various views of the Mendocino/Mattole Canyon heads as an example of useful derivative information of the Seabeam bathymetric data. These views illustrate that the Mendocino pathway probably was directed from it's canyon mouth, to the northwest at an earlier time, but was diverted to the west along the base of the Mendocino Ridge by a major fault event in the recent past. Offset of the southwest channel wall is readily evident in views B and D. This apparent disruption complicates the turbidite history of the Mendocino pathway.

  4. RSS Discovery Cruise 341, 08 Jul – 13 Aug 2009. Porcupine Abyssal Plain time series process study

    OpenAIRE

    Sanders, R.; et al, .

    2010-01-01

    The Biological Carbon Pump (BCP) is a major feature of the global carbon transporting approximately 10GT C yr-1 from the ocean surface to the interior mainly via the sinking of particles with an organic component. The scale of the BCP requires good year-round measurements of its functioning. Moreover, the BCP’s susceptibility to global change means that we need better information on how its climate sensitive elements function and how its poorly parameterised elements operate. These three requ...

  5. Cytological Features Associated with Ureaplasma Urealyticum in Pap Cervical Smear

    Science.gov (United States)

    Okodo, Mitsuaki; Kawamura, Jumpei; Okayama, Kaori; Kawai, Kenji; Fukui, Tadasi; Shiina, Natsuko; Caniz, Timothy; Yabusaki, Hiromi; Fujii, Masahiko

    2017-08-27

    Purpose: Ureaplasma urealyticum is associated with several obstetric complications and increases the importance of risk management in pregnant women. Furthermore, U. urealyticum has been identified as a cofactor that interacts with human papillomavirus infection in cervical cancer onset. The aim of this study was to assess specific cytological features of U. urealyticum infection in Pap smears to determine whether additional microbiological testing should be performed for pregnant women with a high possibility of U. urealyticum infection. Methods: Liquid-based cytology specimens (LBC) from cervical swabs of a total of 55 women, including 33 pregnant women who were negative for intraepithelial lesion or malignancy (NILM) on Pap testing and with U. urealyticum diagnosed without any other infectious microbes and 22 U. urealyticum-negative controls, were used in this study. We evaluated the localization of U. urealyticum by immunofluorescence, cytological features of secondary changes in squamous cells caused by inflammation, and the specimen background in Pap smears. Results: Based on analysis of Pap smears, a significant relationship was observed between U. urealyticum infection and cannonballs (p Pap smears of U. urealyticum infected samples, which have hardly been understood thus far, were assessed. The cytological features included cannonballs and predominance of coccoid bacteria. Our results might help in determining whether additional microbiological testing should be performed for pregnant women with a high possibility of U. urealyticum infection. Creative Commons Attribution License

  6. Cervical pap smear- A prospective study in a tertiary hospital

    Directory of Open Access Journals (Sweden)

    S Pudasaini

    2015-09-01

    Full Text Available Background: Cervical cancer is a leading cause of mortality and morbidity among women worldwide and most common gynaecological cancer in developing countries. Papanicolaou smear is a simple and cost effective screening test for cervical cancer. The aim of this study is to evaluate and interpret the cervical pap smear cytology in a tertiary hospital. The interpretation and reporting of the pap smear is based on 2001Bethesda system.Materials and methods: This is a prospective study conducted in a tertiary hospital, Nepal Medical College over a period of two and a half years (January 2013 to June 2015. All cervical pap smears received in the department of Pathology in the study period were included.Results: A total of 4160 cervical pap smears were reported in the study period. Majority of the cases were Negative for Intraepithelial lesion or malignancy (87.9%. Bacterial vaginosis, atrophy and reactive cellular changes associated with inflammation were seen in 5.3%, 2.4% and 1.5% cases respectively.   Epithelial cell abnormalities (0.5% include Atypical squamous cells of undetermined significance, Low grade squamous intraepithelial lesion and High grade intraepithelial lesion. 88% of Low grade squamous intraepithelial lesion was seen in reproductive age group (20-45 years.Conclusion: Cervical cancer is the most common gynaecological cancer in the developing countries. Pap smear is the simple and cost effective screening tool to detect pre invasive cervical epithelial lesions.

  7. Cytomorphology of unusual primary tumors in the Pap test.

    Science.gov (United States)

    Khalbuss, Walid E; Pantanowitz, Liron; Monaco, Sara E

    2013-08-30

    Rare entities in the Pap test, which include neoplastic and non-neoplastic conditions, pose challenges due to the infrequent occurrence of many of these entities in the daily practice of cytology. Furthermore, these conditions give rise to important diagnostic pitfalls to be aware of in the Pap test. For example, cases with adenoma malignum (AM) have been called benign. Recognition of these conditions can help correctly interpret Pap tests as abnormal and thereby ensure that patients get appropriately diagnosed. In this paper, we illustrate and discuss selected uncommon primary neoplastic lesions of the cervix and the vagina that may be seen in Pap test, with a focus on cytomorphology, differential diagnosis and the role of possible ancillary studies. These cases include high-grade squamous intraepithelial lesion cells with small cell morphology; small cell carcinoma; large neuroendocrine carcinoma; glassy cell carcinoma; AM; malignant mixed Müllerian tumor; clear cell carcinoma and primary malignant melanoma. Recognition of these rare variants/neoplasms is important so that involved Pap tests are not diagnosed as benign and that patients with these conditions get additional follow-up.

  8. Impact of pap test compliance and cervical cancer screening intervals on human papillomavirus vaccine acceptance.

    Science.gov (United States)

    Ferris, Daron G; Waller, Jennifer; Dickinson, Ashley; McCracken, Courtney; Goebel, Angela

    2012-01-01

    The objective of this study was to determine the impact of Pap test compliance and cervical cancer screening intervals on human papillomavirus (HPV) vaccination acceptance. A convenience sample of 499 women 21 to 65 years old completed a 37-question survey in Augusta and Savannah, GA. The survey assessed their knowledge about HPV, cervical cancer, and the HPV vaccine. The questionnaire also determined their Pap test compliance and how longer Pap test intervals would influence their willingness to receive the HPV vaccine. Differences between categorical variables and knowledge scores were examined using χ test and unequal-variance t tests, respectively. Pap test-noncompliant women were more likely to get the HPV vaccine if they only needed a Pap test every 10 years compared with Pap test-compliant women (27.6% vs 14.6%, p = .02). A greater number (83.5%) of Pap test-noncompliant women preferred the HPV vaccine plus every 10-year Pap test option compared with Pap test-compliant women (31.3%, p Pap testing. Women are receptive to getting the HPV vaccine in exchange for longer cervical cancer screening intervals. Moreover, Pap test-noncompliant women are more likely to get the HPV vaccine if Pap testing was needed less frequently. Increasing the Pap testing interval may be an excellent method to improving HPV vaccine acceptance in women at highest risk for cervical cancer.

  9. Ship Track for Estuary to the Abyss 2004: Exploring Along the Latitude 31-30 Transect - Office of Ocean Exploration

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Ship track of the R/V Seward Johnson during the "Estuary to the Abyss 2004" expedition sponsored by the National Oceanic and Atmospheric Administration (NOAA) Office...

  10. The Plains of Venus

    Science.gov (United States)

    Sharpton, V. L.

    2013-12-01

    Volcanic plains units of various types comprise at least 80% of the surface of Venus. Though devoid of topographic splendor and, therefore often overlooked, these plains units house a spectacular array of volcanic, tectonic, and impact features. Here I propose that the plains hold the keys to understanding the resurfacing history of Venus and resolving the global stratigraphy debate. The quasi-random distribution of impact craters and the small number that have been conspicuously modified from the outside by plains-forming volcanism have led some to propose that Venus was catastrophically resurfaced around 725×375 Ma with little volcanism since. Challenges, however, hinge on interpretations of certain morphological characteristics of impact craters: For instance, Venusian impact craters exhibit either radar dark (smooth) floor deposits or bright, blocky floors. Bright floor craters (BFC) are typically 100-400 m deeper than dark floor craters (DFC). Furthermore, all 58 impact craters with ephemeral bright ejecta rays and/or distal parabolic ejecta patterns have bright floor deposits. This suggests that BFCs are younger, on average, than DFCs. These observations suggest that DFCs could be partially filled with lava during plains emplacement and, therefore, are not strictly younger than the plains units as widely held. Because the DFC group comprises ~80% of the total crater population on Venus the recalculated emplacement age of the plains would be ~145 Ma if DFCs are indeed volcanically modified during plains formation. Improved image and topographic data are required to measure stratigraphic and morphometric relationships and resolve this issue. Plains units are also home to an abundant and diverse set of volcanic features including steep-sided domes, shield fields, isolated volcanoes, collapse features and lava channels, some of which extend for 1000s of kilometers. The inferred viscosity range of plains-forming lavas, therefore, is immense, ranging from the

  11. Cervical cancer and pap smear awareness and utilization of pap smear test among Federal civil servants in North Central Nigeria.

    Science.gov (United States)

    Hyacinth, Hyacinth I; Adekeye, Oluwatoyosi A; Ibeh, Joy N; Osoba, Tolulope

    2012-01-01

    Cervical cancer is a leading cause of cancer death in women in developing countries. A key factor linked to the relatively high levels of cervical cancer in these populations is the lack of awareness and access to preventive methods. This study aimed to determine the level of awareness of cervical cancer and Papanicolaou test (Pap smear test) and factors associated with the utilization of Pap test among female civil servants in Jos. Data was obtained from female workers (n = 388) aged 18-65 years in a Nigerian Federal establishment. Participants were randomly approached and instructed to complete validated questionnaires. Data was analyzed using Chi-square, t-tests and logistic regression analysis to determine if there was an association between variables and identify any predictors of awareness and utilization of the Pap test. Cervical cancer and Pap smear test awareness was 50.9% and 38.6% respectively, with the media as the major source of information. Pap smear test utilization rate was 10.2%, with routine antenatal care (ANC) as the major reason for getting screened. Personal barriers to screening include the lack of awareness, and belief that cervical cancer is not preventable. Opportunistic screening, mass media campaigns and ANC education were suggested as ways of improving awareness and utilization of cervical cancer screening services.

  12. Psychosocial Correlates of Ever Having a Pap Test and Abnormal Pap Results in a Sample of Rural Appalachian Women.

    Science.gov (United States)

    Mark, Kristen P; Crosby, Richard A; Vanderpool, Robin C

    2018-03-01

    Despite known prevention and screening efforts, there are higher invasive cervical cancer rates in Appalachia than in other areas of the United States and higher mortality rates in the Appalachian region of Kentucky compared to Appalachian regions of other states. The primary purpose of this study was to investigate the association of psychosocial factors relevant to cervical cancer and the outcome of ever having a Pap test in a rural sample of women. The secondary purpose was to determine whether any of the same psychosocial factors were also associated with ever having an abnormal Pap test result among women with a self-reported history of having one or more Pap tests in their lifetime. Data were collected in fall of 2013 from 393 women in 8 economically distressed counties of rural Appalachian Kentucky. Women completed an interviewer-administered survey assessing sociodemographic and health information as well as beliefs about cervical cancer. Multivariate logistic regression results indicated that low income and greater perceived local fatalism were significant predictors of never having a Pap test. Lack of personal control over prevention, and peer and family influences were significant predictors of ever having an abnormal Pap test result. Educational efforts targeted in rural Appalachia would be supported by encouraging the benefits of early and consistent screening, altering the established norms of community fatalism and lack of personal control over prevention, and creating targeted messages through public campaigns that convince rural Appalachian women that cervical cancer is highly preventable and screenable. © 2017 National Rural Health Association.

  13. Knowledge and Awareness Among Iranian Women Regarding the Pap Smear

    Directory of Open Access Journals (Sweden)

    Farideh Dadkhah

    2008-08-01

    Full Text Available Background:Screening is a necessity for country health systems. In undeveloped countries that have no screening programs, cervical carcinoma is one of the major causes of mortality and morbidity. Although cervical cancer is preventable it is poorly controlled in some countries. The main cause of it is unawareness of people from cervical cancer and screening methods. Methods:The target population consisted of a consecutive sample of 1002 female patients, 15-45 years old, visiting the city health care centers in Tehran for any reason between January 2006 and January 2007. We used a self-administered,written, anonymous, multiple choice questionnaire that was developed by the study authors. Statistical significance was defined as P<0.05.Results: The mean of age was 31.23 ± 4.3 years. Five-hundred and twentytwo cases (52.1% had knowledge about Pap smear test. Only 230 cases (44.1%knew the correct time of the first Pap smear that should be done in women.And 408 cases (77.9% knew Pap smear can detect cancer of the cervix. 364 cases (71.9% had heard about cervical cancer,314 cases (59.9% had heard something about symptoms of cervical cancer. Conclusion: It is obvious that in Iran (and especially in Tehran, Pap smear awareness (52.1% is statistically similar to other developing countries, and only 45.9% had had at least one Pap smear test till the time of the interview. Thus, there is a need for an awareness campaign to increase the uptake of Pap smear testing.

  14. Continuous stress-induced dopamine dysregulation augments PAP-I and PAP-II expression in melanotrophs of the pituitary gland

    Energy Technology Data Exchange (ETDEWEB)

    Konishi, Hiroyuki, E-mail: konishi@med.osaka-cu.ac.jp [Department of Anatomy and Neurobiology, Osaka City University Graduate School of Medicine, Osaka (Japan); The 21st Century COE Program ' Base to Overcome Fatigue' , Osaka City University Graduate School of Medicine, Osaka (Japan); Department of Anatomy and Neuroscience, Nagoya University, Graduate School of Medicine, Nagoya (Japan); Ogawa, Tokiko, E-mail: togawa@med.osaka-cu.ac.jp [Department of Anatomy and Neurobiology, Osaka City University Graduate School of Medicine, Osaka (Japan); The 21st Century COE Program ' Base to Overcome Fatigue' , Osaka City University Graduate School of Medicine, Osaka (Japan); Kawahara, Shinichi, E-mail: kawahara@med.osaka-cu.ac.jp [Department of Anatomy and Neurobiology, Osaka City University Graduate School of Medicine, Osaka (Japan); Matsumoto, Sakiko, E-mail: s-matsumoto@med.osaka-cu.ac.jp [Department of Anatomy and Neurobiology, Osaka City University Graduate School of Medicine, Osaka (Japan); Department of Anatomy and Neuroscience, Nagoya University, Graduate School of Medicine, Nagoya (Japan); Kiyama, Hiroshi, E-mail: kiyama@med.osaka-cu.ac.jp [Department of Anatomy and Neurobiology, Osaka City University Graduate School of Medicine, Osaka (Japan); The 21st Century COE Program ' Base to Overcome Fatigue' , Osaka City University Graduate School of Medicine, Osaka (Japan); Department of Anatomy and Neuroscience, Nagoya University, Graduate School of Medicine, Nagoya (Japan)

    2011-04-01

    Research highlights: {yields} We focused on the rat pituitary intermediate lobe (IL) under continuous stress (CS). {yields} CS induced PAP-I and PAP-II expression in melanotrophs of the IL. {yields} This gene induction was triggered by CS-related dopamine dysregulation. {yields} PAP-I and PAP-II may sustain homeostasis of the IL under CS. -- Abstract: Under continuous stress (CS) in rats, melanotrophs, the predominant cell-type in the intermediate lobe (IL) of the pituitary, are hyperactivated to secrete {alpha}-melanocyte-stimulating hormone and thereafter degenerate. Although these phenomena are drastic, the molecular mechanisms underlying the cellular changes are mostly unknown. In this study, we focused on the pancreatitis-associated protein (PAP) family members of the secretory lectins and characterized their expression in the IL of CS model rats because we had identified two members of this family as up-regulated genes in our previous microarray analysis. RT-PCR and histological studies demonstrated that prominent PAP-I and PAP-II expression was induced in melanotrophs in the early stages of CS, while another family member, PAP-III, was not expressed. We further examined the regulatory mechanisms of PAP-I and PAP-II expression and revealed that both were induced by the decreased dopamine levels in the IL under CS. Because the PAP family members are implicated in cell survival and proliferation, PAP-I and PAP-II secreted from melanotrophs may function to sustain homeostasis of the IL under CS conditions in an autocrine or a paracrine manner.

  15. CKI isoforms α and ε regulate Star–PAP target messages by controlling Star–PAP poly(A) polymerase activity and phosphoinositide stimulation

    Science.gov (United States)

    Laishram, Rakesh S.; Barlow, Christy A.; Anderson, Richard A.

    2011-01-01

    Star–PAP is a non-canonical, nuclear poly(A) polymerase (PAP) that is regulated by the lipid signaling molecule phosphatidylinositol 4,5 bisphosphate (PI4,5P2), and is required for the expression of a select set of mRNAs. It was previously reported that a PI4,5P2 sensitive CKI isoform, CKIα associates with and phosphorylates Star–PAP in its catalytic domain. Here, we show that the oxidative stress-induced by tBHQ treatment stimulates the CKI mediated phosphorylation of Star–PAP, which is critical for both its polyadenylation activity and stimulation by PI4,5P2. CKI activity was required for the expression and efficient 3′-end processing of its target mRNAs in vivo as well as the polyadenylation activity of Star–PAP in vitro. Specific CKI activity inhibitors (IC261 and CKI7) block in vivo Star–PAP activity, but the knockdown of CKIα did not equivalently inhibit the expression of Star–PAP targets. We show that in addition to CKIα, Star–PAP associates with another CKI isoform, CKIε in the Star–PAP complex that phosphorylates Star–PAP and complements the loss of CKIα. Knockdown of both CKI isoforms (α and ε) resulted in the loss of expression and the 3′-end processing of Star–PAP targets similar to the CKI activity inhibitors. Our results demonstrate that CKI isoforms α and ε modulate Star–PAP activity and regulates Star–PAP target messages. PMID:21729869

  16. On the possible ''normalization'' of experimental curves of 230Th vertical distribution in abyssal oceanic sediments

    International Nuclear Information System (INIS)

    Kuznetsov, Yu.V.; Al'terman, Eh.I.; Lisitsyn, A.P.; AN SSSR, Moscow. Inst. Okeanologii)

    1981-01-01

    The possibilities of the method of normalization of experimental ionic curves in reference to dating of abyssal sediments and establishing their accumulation rapidities are studied. The method is based on using correlation between ionic curves extrema and variations of Fe, Mn, C org., and P contents in abyssal oceanic sediments. It has been found that the above method can be successfully applied for correction of 230 Th vertical distribution data obtained by low-background γ-spectrometry. The method leads to most reliable results in those cases when the vertical distribution curves in sediments of elements concentrators of 230 Th are symbasic between themselves. The normalization of experimental ionic curves in many cases gives the possibility to realize the sediment age stratification [ru

  17. Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility.

    Science.gov (United States)

    Soccio, Jacqui; Brown, Margaret; Comino, Elizabeth; Friesen, Emma

    2015-12-01

    To compare rates of late- screening, abnormal Pap smears and prevalence of psychosocial factors for cervical cancer between women in the community and women attending a residential drug and alcohol facility. Women with drug and alcohol addiction experience higher rates of abnormal Pap smears, late- or under- screening and psychosocial risk factors including domestic violence and sexual assault. A descriptive cross-sectional study of women attending publically funded women's health clinics in the community or in a live-in residential drug and alcohol rehabilitation facility. The study was approved in May 2012. Data were collected between October 2012-December 2013 using standardized women's health questionnaires, domestic violence screening tools and Pap smear tests. Women attending the rehabilitation facility had higher rates of abnormal Pap smears (16·7% vs. 1·6%) and self-reported history of abnormal Pap smears (44·4% vs. 20·6%). They also reported higher rates of smoking (72·2% vs. 29·2%), experience of sexual assault (44·1% vs. 16·9%), experience of domestic violence (65·7% vs. 10·9%) and other psychosocial risk factors, than women living in the general community. Unexpectedly, women in the rehabilitation facility reported similar levels of late screening as women in the community (52·8% vs. 55·4%). Women with drug and alcohol addiction have significantly higher incidence of risk factors for cervical cancer and abnormal Pap smears. Provision of opportunistic cervical cancer screening during residential treatment appears to reduce incidence of late-screening. Roles of Women's Health Nurses in providing services to vulnerable women should be explored further. © 2015 John Wiley & Sons Ltd.

  18. Cervical Cancer and Pap Smear Awareness and Utilization of Pap Smear Test among Federal Civil Servants in North Central Nigeria

    OpenAIRE

    Hyacinth, Hyacinth I.; Adekeye, Oluwatoyosi A.; Ibeh, Joy N.; Osoba, Tolulope

    2012-01-01

    Cervical cancer is a leading cause of cancer death in women in developing countries. A key factor linked to the relatively high levels of cervical cancer in these populations is the lack of awareness and access to preventive methods. This study aimed to determine the level of awareness of cervical cancer and Papanicolaou test (Pap smear test) and factors associated with the utilization of Pap test among female civil servants in Jos. Data was obtained from female workers (n = 388) aged 18-65 y...

  19. Rare earth elements during diagenesis of abyssal sediments: analogies with a transuranic element americium

    International Nuclear Information System (INIS)

    Boust, D.

    1987-03-01

    One of the possibilities for the storage of high-level radioactive wastes consists in burying them into abyssal sediments, the sediments being supposed to barrier out radionuclides migration. The objective of the work was to estimate the efficiency of sediment barrier with respect to americium. As there is no americium in abyssal sediments, an indirect approach was used: the behaviour of the rare earth elements, the best natural analogs of americium. They were analysed in a 15 m long core, from the Cap Verde abyssal plateau. The terrigenous phase derived from the African continent was modified by short-term processes (1-1000 years); the intermediate rare earth elements were dissolved. Mineral coatings, enriched in rare earth appeared. After burial, the evolution continued at a much slower rate (10 5 - 10 6 years). The rare elements of the mineral coatings derived from the dissolution of the terrigenous phase and from an additional source, deeper in the sediment column. The fluxes of rare earth elements from sediment to water column were estimated. In suboxic sediments, the dissolved particulate equilibrium was related to redox conditions. The short-term reactivity of americium was studied in laboratory experiments. Simple americium migration models showed that the sediments barrier was totally efficient with respect to americium. In the conditions, neptunium 237 a daughter product of americium 241 could induce fluxes of 10 16 atoms per year per ton of stored waste (10 -8 Ci y-1), during millions years, towards the water column [fr

  20. Demographic indicators of change in a deposit-feeding abyssal holothurian community (Station M, 4000 m)

    Science.gov (United States)

    Huffard, Christine L.; Kuhnz, Linda A.; Lemon, Larissa; Sherman, Alana D.; Smith, Kenneth L.

    2016-03-01

    Holothurians are among the most abundant benthic megafauna at abyssal depths, and important consumers and bioturbators of organic carbon on the sea floor. Significant fluctuations in abyssal holothurian density are often attributed to species-specific responses to variable particulate organic carbon flux (food supply) stemming from surface ocean events. We report changes in densities of 19 holothurian species at the abyssal monitoring site Station M in the northeast Pacific, recorded during 11 remotely operated vehicle surveys between Dec 2006 and Oct 2014. Body size demographics are presented for Abyssocucumis abyssorum, Synallactidae sp. 1, Paelopatides confundens, Elpidia sp. A, Peniagone gracilis, Peniagone papillata, Peniagone vitrea, Peniagone sp. A, Peniagone sp. 1, and Scotoplanes globosa. Densities were lower and species evenness was higher from 2006-2009 compared to 2011-2014. Food supply of freshly-settled phytodetritus was exceptionally high during this latter period. Based on relationships between median body length and density, numerous immigration and juvenile recruitment events of multiple species appeared to take place between 2011 and 2014. These patterns were dominated by elpidiids (Holothuroidea: Elasipodida: Elpidiidae), which consistently increased in density during a period of high food availability, while other groups showed inconsistent responses. We considered minimum body length to be a proxy for size at juvenile recruitment. Patterns in density clustered by this measure, which was a stronger predictor of maximum density than median and mean body length.

  1. Can neap-spring tidal cycles modulate biogeochemical fluxes in the abyssal near-seafloor water column?

    Science.gov (United States)

    Turnewitsch, Robert; Dale, Andrew; Lahajnar, Niko; Lampitt, Richard S.; Sakamoto, Kei

    2017-05-01

    Before particulate matter that settles as 'primary flux' from the interior ocean is deposited into deep-sea sediments it has to traverse the benthic boundary layer (BBL) that is likely to cover almost all parts of the seafloor in the deep seas. Fluid dynamics in the BBL differ vastly from fluid dynamics in the overlying water column and, consequently, have the potential to lead to quantitative and compositional changes between primary and depositional fluxes. Despite this potential and the likely global relevance very little is known about mechanistic and quantitative aspects of the controlling processes. Here, results are presented for a sediment-trap time-series study that was conducted on the Porcupine Abyssal Plain in the abyssal Northeast Atlantic, with traps deployed at 2, 40 and 569 m above bottom (mab). The two bottommost traps were situated within the BBL-affected part of the water column. The time series captured 3 neap and 4 spring tides and the arrival of fresh settling material originating from a surface-ocean bloom. In the trap-collected material, total particulate matter (TPM), particulate inorganic carbon (PIC), biogenic silica (BSi), particulate organic carbon (POC), particulate nitrogen (PN), total hydrolysable amino acids (AA), hexosamines (HA) and lithogenic material (LM) were determined. The biogeochemical results are presented within the context of time series of measured currents (at 15 mab) and turbidity (at 1 mab). The main outcome is evidence for an effect of neap/spring tidal oscillations on particulate-matter dynamics in BBL-affected waters in the deep sea. Based on the frequency-decomposed current measurements and numerical modelling of BBL fluid dynamics, it is concluded that the neap/spring tidal oscillations of particulate-matter dynamics are less likely due to temporally varying total free-stream current speeds and more likely due to temporally and vertically varying turbulence intensities that result from the temporally varying

  2. Northern Plains 'Crater'

    Science.gov (United States)

    2004-01-01

    10 December 2004 The lower left (southwest) corner of this Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows the location of a somewhat filled and buried meteor impact crater on the northern plains of Mars. The dark dots are boulders. A portion of a similar feature is seen in the upper right (northeast) corner of the image. This picture, showing landforms (including the odd mound north/northeast of the crater) that are typical of the martian northern lowland plains, was obtained as part of the MGS MOC effort to support the search for a landing site for the Phoenix Mars Scout lander. Phoenix will launch in 2007 and land on the northern plains in 2008. This image is located near 68.0oN, 227.4oW, and covers an area approximately 3 km (1.9 mi) wide. The scene is illuminated by sunlight from the lower left.

  3. Missed Opportunities for Health Education on Pap Smears in Peru

    Science.gov (United States)

    Bayer, Angela M.; Nussbaum, Lauren; Cabrera, Lilia; Paz-Soldan, Valerie A.

    2011-01-01

    Despite cervical cancer being one of the leading causes of cancer-related deaths among women in Peru, cervical Pap smear coverage is low. This article uses findings from 185 direct clinician observations in four cities of Peru (representing the capital and each of the three main geographic regions of the country) to assess missed opportunities for…

  4. Women's experiences of abnormal Pap smear results - A qualitative study.

    Science.gov (United States)

    Rask, Marie; Swahnberg, Katarina; Lindell, Gunnel; Oscarsson, Marie

    2017-06-01

    To describe women's experiences of abnormal Pap smear result. Ten women were recruited from a women's health clinic. Qualitative interviews based on six open-ended questions were conducted, transcribed verbatim, and analyzed by content analysis. The women believed that their abnormal Pap smear result was indicative of having cancer. This created anxiety in the women, which resulted in the need for emotional support and information. Testing positive with human papillomavirus (HPV) also meant consequences for the relatives as well as concerns about the sexually transmitted nature of the virus. Finally, the women had a need to be treated with respect by the healthcare professionals in order to reduce feelings of being abused. In general, women have a low level of awareness of HPV and its relation to abnormal Pap smear results. Women who receive abnormal Pap smear results need oral information, based on the individual women's situation, and delivered at the time the women receive the test result. It is also essential that a good emotional contact be established between the women and the healthcare professionals. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. [Is the PAP smear era coming to an end?].

    Science.gov (United States)

    Nowak-Markwitz, Ewa; Spaczyński, Marek

    2015-12-01

    After the discovery of the role human papilloma virus (HPV) plays in the development of cervical cancer we are witnesses to a change in the conception and interpretation of cervical cancer prevention processes. Primary prevention gained a new tool in the form of HPV vaccines. Secondary prevention, i.e. detection of cervical intraepithelial neoplasia (GIN), acquired a new diagnostic method--the HPV test. Studies were initiated in order to determine the usefulness of HPV tests in cervical cancer prevention and screening. They revealed that the DNA HPV test used in screening has higher sensitivity in CIN detection than PAP smear and that HPV-negative patients are better and longer protected against developing cervical cancer in comparison to women with normal PAP smear results. HPV tests also possess a predictive value, which detects women more susceptible to developing cervical cancer in the future. PAP smear does not have a predictive value. Instead, it only detects a presence or an absence of neoplasia at that particular time. These results clearly indicate that the era of classic PAP smear is indeed coming to an end, replaced by a new primary CIN screening tool--HPV test. The entire cervical cancer screening system must therefore be redefined and reorganized.

  6. Pap-smear Benchmark Data For Pattern Classification

    DEFF Research Database (Denmark)

    Jantzen, Jan; Norup, Jonas; Dounias, Georgios

    2005-01-01

    This case study provides data and a baseline for comparing classification methods. The data consists of 917 images of Pap-smear cells, classified carefully by cyto-technicians and doctors. Each cell is described by 20 numerical features, and the cells fall into 7 classes. A basic data analysis in...

  7. Pap smear screening in women under 30 in the Norwegian Coordinated Cervical Cancer Screening Program, with a comparison of immediate biopsy vs Pap smear triage of moderate dysplasia.

    Science.gov (United States)

    Nygård, Jan F; Nygård, Mari; Skare, Gry Baadstrand; Thoresen, Steiner Osterbø

    2006-01-01

    Top provide population based estimates of Pap smear screening results among women under 30 and to compare the outcomes of 2 triage options for women under 30 with a moderate dysplastic Pap smear: immediate biopsy vs. Pap smear follow-up. All Pap smears, histologically verified cervical intraepithelial lesion (CIN) 2/3 and invasive cervical cancer in 1999-2002 from women in Norway under 30 in 2000-2002 were analyzed. Due to different triage recommendations in different laboratories, 836 women under 30 with a moderately dysplastic Pap smear were recommended for immediate biopsy, while 109 were recommended for a Pap smear within 6 months. Risk estimates for triage outcome were estimated by multinominal logistic regression. The prevalence of squamous intraepithelial lesion was highest around 20 years. The first moderate dysplasia was diagnosed at age 16, as was CIN 2/3. Of the women with Pap smear triage, one third were diagnosed with a CIN 2+ lesion, one third had a normal outcome, while the last third were in uncertain state 12 months later. Among those recommended for immediate biopsy, nearly 70% were diagnosed with a CIN 2+, thus having odds of 4.2 (95% CI 2.5-7.1) higher than did women with Pap smear triage of being diagnosed with CIN2+ 12 months later. The choice of triage has a profound impact on the proportion of young women diagnosed with CIN 2+ after a moderately dysplastic Pap smear.

  8. Tietkens Plain karst - Maralinga

    International Nuclear Information System (INIS)

    James, J.M.

    1988-09-01

    The Tietkens Plain karst is located to the north of Maralinga village which is on the crest of the Ooldea Range on the north and east margin of the Nullarbor Plain in western South Australia. The geology of the carbonate rocks in the Maralinga area is summarised. On Tietkens Plain from 1955 to 1963 nuclear weapons tests dispersed radioactive materials over the Maralinga area. Six nuclear devices were detonated in the air and one was exploded a few metres below the surface. The effect such explosions have on the karst and the possible rate of recovery of its surface are discussed. This report is the record of a visit to the Maralinga area from the 15th -21st November 1986 which involved an inspection of the karst surface together with collection of water, soil and rock samples. Results of the measurements made in order to assess water quality and water contamination by radioactive nuclides are presented. The implications arising from the presence of radioactive materials on the surface and the possibility of their entering and contaminating the groundwater in the area are discussed in the context of the chemistry of uranium and plutonium. The potential for transmission of contaminants through groundwater conduits and aquifers in the dolomite is discussed. Evidence is produced to show that the caves of the Nullabor Plain are not contaminated at present and are unlikely to be so in the future. 21 refs., 2 figs. 3 tabs., ills

  9. Study of 2 years follow-up of referral patients with abnormal Pap smear.

    Science.gov (United States)

    Behnamfar, Fariba; Zafarbakhsh, Azam; Allameh, Taj-Alsadat

    2015-12-01

    Abnormal Pap smear consists of premalignant or malignant cervical lesions. Many of premalignant cervical lesions will never progress to invasive malignancy, or even may regress over the time. Thus, there is always a risk of overtreatment of patients with an abnormal Pap smear. A long-term follow-up of these patients can reveal final events associated with each subtype of abnormal Pap smear, and, therefore, help us to prevent unnecessary interventions. The aim of our study was to present 2 years follow-up of referral patients with abnormal Pap smear. A total of 334 consecutive women aged more than 16 who were referred with an abnormal Pap smear were entered into the study. Patients were followed with biannual Pap smear and annual colposcopy and biopsy for 2 years. At baseline, the majority of patients with abnormal Pap smear were normal on colposcopy and biopsy (68% and 86%, respectively). Six months after first abnormal Pap smear majority of patients in each group showed a significant regress to normal or less invasive lesion (P Pap smear, whereas 313 (94%) had at least one stage improvement. Only nine (3%) patients had deteriorated Pap smear after 6 months. All 308 patients who underwent colposcopy and biopsy had normal Pap smear 24 months after the first abnormal Pap smear. Pap smear is associated with a high rate of false-positive results. In addition, the majority of low-grade cervical lesions can spontaneously regress. A long-term follow-up of a patient with abnormal Pap smear can help us to avoid needless interventions.

  10. Improved abnormal Pap smear triage using cervical cancer biomarkers.

    Science.gov (United States)

    Killeen, Jeffrey L; Dye, Timothy; Grace, Chelestes; Hiraoka, Mark

    2014-01-01

    The current system of Pap smear screening and management of abnormal cytology has resulted in a marked reduction in invasive cervical cancer. Many women, however, are not found to have significant precursor lesions. This is due to the poor specificity of high-risk human papillomavirus (HPV) triage. More specific cervical cancer biomarkers may be more effective triage tools than hr-HPV. We evaluated whether a dual stain for p16 and Ki-67 might improve the triage of abnormal Pap smears. p16/Ki-67 immunostaining was performed on additional slides prepared from 515 women with abnormal Pap smears (301 atypical squamous cells of undetermined significance [ASCUS], 169 low-grade squamous intraepithelial lesion [LSIL], 29 atypical squamous cells-cannot exclude high-grade lesion [ASC-H], 16 high-grade squamous intraepithelial lesion [HSIL]). High-risk HPV typing was performed on all cases. Immunostaining and hr-HPV were compared in relation to their diagnostic accuracy for the detection of biopsy-proven cervical intraepithelial neoplasia (CIN) 2/3. A cost analysis comparing hr-HPV versus immunostaining as the initial triage tool used for abnormal Pap smears was also performed. High-risk HPV was positive in 127 (42.2%) ASCUS, 129 (76.3%) LSIL, 20 (69.0%) ASC-H, and 15 (93.8%) HSIL. p16/Ki-67 was positive in 54 (17.9%) ASCUS, 73 (43.2%) LSIL, 19 (65.5%) ASC-H, and 15 (93.8%) HSIL. For detection of CIN 2/3, sensitivity/specificity of hr-HPV and p16/Ki-67 was 89.29%/14.94% and 96.43%/60.92%, respectively. Overall, diagnostic accuracy was statistically significantly higher for p16/Ki-67 compared with hr-HPV. Compared to HPV, immunostain triage could have generated approximately $46,000 savings in the study population. The triage of abnormal Pap smears by p16/Ki-67 immunostaining shows comparable sensitivity, improved specificity, and significantly improved diagnostic performance when compared to hr-HPV. Immunostaining is of value in triaging LSIL and ASC-H Pap smears in addition

  11. Cytomorphology of unusual infectious entities in the Pap test

    Directory of Open Access Journals (Sweden)

    Walid E Khalbuss

    2012-01-01

    Full Text Available Rare entities in the Pap test, including neoplastic and non-neoplastic conditions, pose challenges due to their infrequent occurrence in the daily practice of cytology. Furthermore, these conditions give rise to important diagnostic pitfalls. Infections such as tuberculosis cervicitis may be erroneously diagnosed as carcinoma, whereas others, such as schistosomiasis, are associated with squamous cell carcinoma. These cases include granuloma inguinale (donovanosis, tuberculosis, coccidioidomycosis, schistosomiasis, taeniasis, and molluscum contagiosum diagnosed in Pap tests. Granuloma inguinale shows histiocytes that contain intracytoplasmic bacteria (Donovan bodies. Tuberculosis is characterized by necrotizing granulomatous inflammation with Langhans-multinucleated giant cells. Coccidioidomycosis may show large intact or ruptured fungal spherules associated with endospores. Schistosoma haematobium is diagnosed by finding characteristic ova with a terminal spine. Molluscum contagiosum is characterized by the appearance of squamous cells with molluscum bodies. This article reviews the cytomorphology of selected rare infections and focuses on their cytomorphology, differential diagnosis, and role of ancillary diagnostic studies.

  12. Loaded hip thrust-based PAP protocol effects on acceleration and sprint performance of handball players.

    Science.gov (United States)

    Dello Iacono, Antonio; Padulo, Johnny; Seitz, Laurent D

    2018-06-01

    This study aimed to investigate the acute effects of two barbell hip thrust-based (BHT) post-activation potentiation (PAP) protocols on subsequent sprint performance. Using a crossover design, eighteen handball athletes performed maximal 15-m sprints before and 15s, 4min and 8min after two experimental protocols consisting of BHT loaded with either 50% or 85% 1RM (50PAP and 85PAP, respectively), in order to profile the transient PAP effects. The resulting sprint performances were significantly impaired at 15s only after the 85PAP protocol, which induced likely and very likely greater decreases compared to the 50PAP. At 4min and 8min, significant improvements and very likely beneficial effects were observed in the 10m and 15m performances following both protocols. Significant differences were found when comparing the two PAPs over time; the results suggested very likely greater performance improvements in 10m following the 85PAP after 4min and 8min, and possible greater performance improvements in 15m after 4min. Positive correlations between BHT 1RMs values and the greatest individual PAP responses on sprint performance were found. This investigation showed that both moderate and intensive BHT exercises can induce a PAP response, but the effects may differ according to the recovery following the potentiating stimulus and the individual`s strength level.

  13. Association of knowledge, attitude and demographic variables with cervical Pap smear practice in Nepal.

    Science.gov (United States)

    Ranabhat, Sabin; Tiwari, Mamta; Dhungana, Govinda; Shrestha, Reshmi

    2014-01-01

    Coverage of cervical pap smear test in Nepal is below general global values. One of the reasons may be that cervical cancer prevention policy of Nepal has 'Visual Inspection of Cervix with Acetic Acid' as the only screening tool. The focus of present study was to find out association of demographic factors, knowledge and attitude regarding cervical Pap smear test with its practice by women in Nepal. This cross sectional analytical observational study was conducted between February 1, 2013 and April 30, 2013. Participants were interviewed with the help of a structured questionnaire. Chi square and multivariate logistic regression tests were used to detect associations of variables with pap smear practice. Chi square test showed that practice was significantly associated with knowledge about pap smear test and cervical cancer, having favourable attitude towards the test, urban residency and 36-50 years age-group. Pap smear utilization was not associated with age-at-marriage, parity and age-at-first-child-birth. Multivariate logistic regression showed favorable attitude towards pap smear test as the only variable which significantly influenced pap smear practice (p=0.006, OR: 2.4). Pap smear coverage has been found to be 15.7% which is lower than global average and that for developing countries. Health education programs which are effective not only in increasing knowledge about cervical cancer and pap smear test but also effective in positively changing attitude towards the test should be organized to increase pap smear coverage.

  14. Adolescents' intention and self-efficacy to follow Pap testing recommendations after receiving the HPV vaccine.

    Science.gov (United States)

    Higgins, Lisa M; Dirksing, Kelsie N; Ding, Lili; Morrow, Charlene D; Widdice, Lea A; Kahn, Jessica A

    2016-06-02

    Human papillomavirus (HPV) vaccines are recommended in the US for girls and women 11-26 y of age. Because these vaccines do not prevent all cervical cancers, Papanicolaou (Pap) screening is still recommended after vaccination. Young women who have been vaccinated may perceive themselves at lower risk for HPV infection and cervical cancer, which could lead to lower intention and self-efficacy to follow cervical cancer screening guidelines, and subsequent nonadherence to Pap testing. The aim of this study was to examine whether perceived risk of human papillomavirus (HPV) after vaccination and other factors are associated with adolescents' intention and self-efficacy to get Pap testing after HPV vaccination. Women 13-21 y of age (N = 339) receiving their first HPV vaccine dose completed a survey. Multivariable logistic regression examined associations between perceived risk of HPV and intention/self-efficacy to get a Pap test while adjusting for other factors. Approximately half of participants reported high intention and half reported high self-efficacy to get a Pap test. Factors significantly associated with high intention were Pap testing history and knowledge about HPV/HPV vaccines; factors significantly associated with high self-efficacy included insurance plan, Pap testing history, communication with clinician about needing a Pap test after vaccination, lifetime number of male sexual partners, and recent smoking. In conclusion, educating adolescents about HPV/HPV vaccines and the need for Pap testing may increase self-efficacy/intention to get a Pap test after vaccination.

  15. The pap-smear test experience of women in Turkey: a qualitative study.

    Science.gov (United States)

    Arabaci, Zeynep; Ozsoy, Suheyla

    2012-01-01

    The study was planned with the purpose of examining the attitude of women who have pap-smear test for the early diagnosis of cervical cancer, factors affecting their decisions and their feelings and experiences during this period. A phenomenological method was used. Data were collected between March 2012 and April 2012 using standard and purposive samplings from 17 women. A detailed interview with women were held in their houses and recorded. The data collection tool consisted of two parts, one of which is information form with 17 questions identifying sociodemographic and cervical cancer risk factors of women and the second part is made up of semi-structured interview form with 15 alternative questions taking literature and the pap-smear test into consideration. Collected data were put into a written document. Content analysis was held by loading the documents into NVIVO 8 Statistical Programme. The study comprised themes such as cervical risk factor, decision of taking pap-smear test, taking pap-smear test, knowledge about pap-smear test, relieving factors during pap-smear test, obstructive factors during pap-smear test, gynecological examination and feelings of women during and after pap-smear test while waiting for the results. As women perceive gynaecological examinations differently from other examinations, they have different feelings in each process of the Pap smear test. Medical staff should advise women more clearly on the nature and advantages of the Pap-smear test.

  16. Does knowledge influence pap test screening among young African-American women?

    Science.gov (United States)

    Bynum, Shalanda A; Guillaume, Daphnee A; Brandt, Heather M; Fletcher, Faith E

    2014-09-01

    Pap test screening among African-American women has substantially increased. However, African-American women continue to bear the burden of cervical cancer as compared to White women. The objective of this study was to assess the influence of Pap test knowledge on cervical screening history among young African-American women. Between January and April 2009, 320 women from historically black colleges and universities located in the southeastern United States who met study inclusion criteria completed an anonymous self-report questionnaire to assess their awareness, knowledge, and behaviors related to human papillomavirus and cervical cancer prevention and control. Seventy-six percent of women reported ever having a Pap test, 54 % reported having a Pap test less than 1 year ago, and 25 % reported ever having an abnormal Pap test result. The overall mean score on the six-point Pap test knowledge scale was 4.46 ± 1.02. Women who reported having an abnormal Pap test (4.96 ± 0.82) had significantly higher Pap test knowledge compared to those never having an abnormal result (4.49 ± 1.04), p Pap test knowledge among all women, including those with no prior abnormal Pap test history, are critical to cervical cancer prevention and control over the life course. Such efforts should include creating information that is relevant to the population and enables informed decision making about cervical health.

  17. Changes in cervical cancer screening behavior for women attending Pap Test Week clinics.

    Science.gov (United States)

    Poliquin, V; Decker, K; Altman, Ad; Lotocki, R

    2013-01-01

    This retrospective study of all women who accessed the 2006 Manitoba Pap Test Week clinics was designed to determine factors associated with inadequate cervical cancer screening and changes in cervical cancer screening behavior. Data were acquired using the CervixCheck Manitoba registry and an ancillary database of demographic information collected from clinic attendees. The study included 1124 women. Of these, 53% (n = 598) were under-screened (no Pap test in the previous 2 years) prior to accessing the clinics. Logistic regression analyses demonstrated that older age (odds ratio [OR] = 1.02, 95% confidence interval [CI] 1.01-1.03), no doctor (OR = 1.4, 95% CI 1.05-1.54), and living in Canada Pap Test Week clinics. Thirty-seven percent (n = 223) of under-screened women demonstrated improved screening status subsequent to the 2006 Pap Test Week (had a subsequent Papanicolaou [Pap] test performed within 2 years) and these women were more likely to live in an urban setting (P = 0.003), be younger (P Pap test result in 2006 (P Pap test performed at a Pap Test Week clinic compared to having a Pap test performed elsewhere (37% versus 60%, P Pap Test Week clinics whose screening status might be most modifiable.

  18. Young Singaporean women's knowledge of cervical cancer and pap smear screening: a descriptive study.

    Science.gov (United States)

    Shea, Juanna; Klainin-Yobas, Piyanee; Mackey, Sandra

    2013-12-01

    To assess the knowledge of young female Singaporeans regarding cervical cancer and pap smear, the intention to participate in pap smear and whether there is any relationship between knowledge and intention to participate in pap smear screening. While cervical cancer has poor prognosis in the later stages, pap smear is effective in identifying precancerous lesions, which are more treatable. Pap smear screening is available to women in Singapore, but its uptake is opportunistic. Research has shown that knowledge about pap smear and cervical cancer is important determinant of screening behaviour in Singaporean women. Cross-sectional descriptive correlational design was used. Three hundred and ninety-three young Singaporean undergraduates, aged 18-25 years, were recruited via convenience sampling from a local university over a four-month period. Data were collected through self-administered questionnaires. Majority of the participants knew the term 'pap smear' and its function. However, knowledge of the risk factors for cervical cancer was lacking among the young women. Knowledge of pap smear and cervical cancer had a weak correlation with the intention to go for the future uptake of pap smear. Educational efforts among younger Singaporean women on the knowledge of pap smear and risk factors for cervical cancer are needed. Improving knowledge will enable them to understand the importance of reducing exposure to risk factors and regular pap smear screening. All health professionals working with young Asian women should be prepared to educate and counsel young women to participate in pap smear screening according to current guidelines. In particular, knowledge of the age to attend the first pap smear and the recommended frequency for screening need to be targeted for health education. © 2013 John Wiley & Sons Ltd.

  19. Cracked Plain, Buried Craters

    Science.gov (United States)

    2004-01-01

    4 September 2004 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a cracked plain in western Utopia Planitia. The three circular crack patterns indicate the location of three buried meteor impact craters. These landforms are located near 41.9oN, 275.9oW. The image covers an area approximately 3 km (1.9 mi) across. Sunlight illuminates this scene from the lower left.

  20. Misinterpretation Rates of High-Grade Squamous Intraepithelial Lesion in the College of American Pathologists Gynecologic PAP Education and PAP Proficiency Test Program.

    Science.gov (United States)

    Zhao, Chengquan; Crothers, Barbara A; Ghofrani, Mohiedean; Li, Zaibo; Souers, Rhona J; Hussain, Mujtaba; Fan, Fang; Ocal, Idris Tolgay; Davey, Diane D

    2016-08-23

    Context .- Misinterpretation of high-grade squamous intraepithelial lesion (HSIL) is an important problem in daily practice and in the College of American Pathologists (CAP) PAP Proficiency Test (PAP-PT). Objective .- To investigate factors related to misinterpretation of HSIL through responses in a proficiency test versus an educational environment. Design .- We retrospectively evaluated 28 000 responses in the PAP Education Program (PAP-Edu) and 59 140 responses in PAP-PT from 1147 field-validated HSIL slides from 2007 to 2014. The related factors, such as program types, preparation types, participant types, and program years, were evaluated. Results .- Overall, 4.0% (2379 of 59 140) of responses for HSIL slides from PAP-PT were misinterpreted as either low-grade squamous intraepithelial lesion (LSIL) or negative, significantly more than those from PAP-Edu (3.2%; 898 of 28 000). However, the false-negative rate (misinterpreted as negative) was 0.9% (519 of 59 140) for PAP-PT, lower than that for PAP-Edu (1.0%; 266 of 28 000). The misinterpretation rates in PAP-PT trended down with time. Misinterpretation rates did not vary significantly by preparation methods. The misinterpretation rate for HSIL in the pathologists' responses was lower than that in cytotechnologists' in PAP-PT. More HSIL was misinterpreted as LSIL than as benign in both programs. Cytotechnologists interpreted HSIL as LSIL twice as much as pathologists. The most common false-negative misinterpretations were negative for intraepithelial lesion or malignancy and reparative change. Conclusions .- The higher LSIL misinterpretation rate by cytotechnologists may be related to the differences in reporting responsibilities and proficiency test grading criteria. The trend of gradually decreasing misinterpretation rates of a reference diagnosis of HSIL in the PAP-PT program may be related to higher test-taking confidence and better preparation through educational programs. The fact that

  1. Revision of the genus Nybelinella (Teleostei, Bythitidae) with a new Atlantic, abyssal species.

    Science.gov (United States)

    Nielsen, Jørgen G

    2017-03-23

    The genus Nybelinella belongs to the aphyonid clade within the Bythitidae. This mainly abyssal genus is known from 30 specimens. The present revision is based on 24 specimens, of which a scientific examination of four specimens has been published earlier. As a consequence, the generic diagnosis from Nielsen et al. (1999) is here modified. Of the 24 specimens 22 are referred to N. erikssoni (Nybelin, 1957), one to N. brevidorsalis Shcherbachev, 1976 and one to a new species, N. brevianalis n. sp., herein described.

  2. Rate of Opportunistic Pap Smear Screening and Patterns of Epithelial Cell Abnormalities in Pap Smears in Ajman, United Arab Emirates

    Science.gov (United States)

    Al Eyd, Ghaith J.; Shaik, Rizwana B.

    2012-01-01

    Objectives: The aim of this study was to estimate the proportion of women undergoing Papanicolaou (Pap) smear examinations, and the frequency of epithelial cell abnormalities in a teaching hospital in one emirate of the United Arab Emirates (UAE) during a three-year period. Methods: A retrospective study of 602 patient records from July 2007 to July 2010 was done in a teaching hospital in Ajman, UAE. The variables studied were age, ethnicity, menopausal status, and abnormalities in the Pap smear. Data were analysed using the Statistical Package for the Social Sciences and presented mainly as percentages; to assess associations, the chi-square test was used. Results: The total number of outpatients who attended the Obstetrics & Gynaecology Department from July 2007 to July 2010 was 150,111 patients, of which 602 (0.4% of the total) had a Pap smear test. The sample was 50.1% Arabs and 49.9% other nationalities. While 73% of the outpatients had specific complaints, 27% came for a routine screening. Epithelial cell abnormalities were seen in 3.3% of the sample, with atypical squamous cells of undetermined significance (ASCUS) found in 1.8%, low-grade squamous intraepithelial lesions (LSILs) found in 1.2%, and high-grade squamous intraepithelial lesions (HSILs) found in 0.3%. There were no cases of squamous cell carcinoma. Conclusion: Voluntary routine Pap smear screening was remarkably low in the study group. ASCUS was the most common epithelial cell abnormality. Community health education and opportunistic screening for cervical cancer are recommended for both national and expatriate women in the region. PMID:23275844

  3. Variation horizontale du flux particulaire à micro- et méso-échelle dans la plaine abyssale de Californie (4 100 m de profondeur)

    OpenAIRE

    Crassous, Philippe; Khripounoff, Alexis

    1994-01-01

    Nine sediment traps were assembled in triplicate on a frame and deployed at 100 m above the bottom in the California abyssal plain (4 100 m depth) for ten days. The distances between traps were from 30 cm to 11 km. The main flux measured during this period was 167 mg m(-2) day(-1) with a minimum of 43 mg m(-2) d(-1) and a maximum of 283 mg m(-2) d(-1). This high variation of the particulate flux at the kilometric scale was also observed at a metric scale: for example, the particulate flux mea...

  4. Evidence for deep-water deposition of abyssal Mediterranean evaporites during the Messinian salinity crisis

    Science.gov (United States)

    Christeleit, Elizabeth C.; Brandon, Mark T.; Zhuang, Guangsheng

    2015-10-01

    Scientific drilling of the abyssal evaporites beneath the deepest parts of the Mediterranean basin gave rise to the idea that the Mediterranean sea completely evaporated at the end of the Messinian. Herein, we show, using new organic geochemical data, that those evaporites were deposited beneath a deep-water saline basin, not in a subaerial saltpan, as originally proposed. Abundant fossil organic lipids were extracted from evaporites in Mediterranean Deep Sea Drilling Project cores. The archaeal lipid distribution and new analyses, using the ACE salinity proxy and TEX86 temperature proxy, indicate that surface waters at the time of evaporite deposition had normal marine salinity, ranging from ∼26 to 34 practical salinity units, and temperatures of 25-28 °C. These conditions require a deep-water setting, with a mixed layer with normal marine salinity and an underlying brine layer at gypsum and halite saturation. After correction for isostatic rebound, our results indicate maximum drawdown of ∼2000 m and ∼2900 m relative to modern sea level in the western and eastern Mediterranean basins, respectively. Our results are consistent with previously proposed scenarios for sea level drawdown based on both subaerial and submarine incision and backfilling of the Rhone and Nile rivers, which require Messinian sea level drops of ∼1300 m and ∼200 m, respectively. This study provides new evidence for an old debate and also demonstrates the importance of further scientific drilling and sampling of deeper part of the abyssal Messinian units.

  5. Cost-effectiveness analysis for Pap smear screening and human papillomavirus DNA testing and vaccination.

    Science.gov (United States)

    Chen, Meng-Kan; Hung, Hui-Fang; Duffy, Stephen; Yen, Amy Ming-Fang; Chen, Hsiu-Hsi

    2011-12-01

    As the effectiveness of cytology-based screening programme for cervical cancer in mortality reduction has reached a plateau, various preventive strategies have been considered, including intensive Pap smear screening and the supplemental use of human papillomavirus (HPV) DNA test or HPV vaccination. Cost and effectiveness of these various preventive strategies are therefore of great concern for health policy makers. We intended to assess whether the combination of HPV DNA testing or HPV vaccination with Pap smear screening programme or the sole annual Pap smear screening is more effective and cost-effective in prevention of cervical cancer than the existing triennial Pap smear screening programme. A Markov decision model was constructed to compare total costs and effectiveness between different preventive strategies (including annual Pap smear, HPV DNA testing or HPV vaccination together with Pap smear screening programme) as opposed to the triennial Pap smear screening alone (the comparator). Probabilistic cost-effectiveness (C-E) analysis was adopted to plot a series of simulated incremental C-E ratios scattered over C-E plane and also to yield the acceptability curve for different comparisons of strategies. The threshold of vaccine cost and the influence of attendance rate were also investigated. Compared with triennial Pap smear screening programme, most of preventive strategies cost more but gain additional life years (quadrant I of C-E plane) except HPV DNA testing with Pap smear every 5 years dominated by triennial Pap smear screening programme. The most cost-effective strategy was annual Pap smear (incremental C-E ratio = $31 698), followed by HPV DNA testing with Pap smear every 3 years ($36 627), and vaccination programme with triennial Pap smear screening ($44 688) with the corresponding cost-effective probabilities by the acceptability curve being 65.52%, 52.08% and 35.84% given the threshold of $40 000 of willingness to pay. Vaccination combined with

  6. Comparison of Visual Inspection with Acetic Acid and the Pap Smear for Cervical Cancer Screening.

    Science.gov (United States)

    Sinha, Parul; Srivastava, Pritika; Srivastava, Anand

    2018-01-01

    To evaluate the efficacy of visual inspection with acetic acid (VIA) in the early detection of cervical cancer and compare it with the Pap smear. This was a cross-sectional study conducted over a period of 3 months. A total of 316 patients who attended the Gynecology Outpatient Department of Era's Lucknow Medical College and Hospital, fulfilled the inclusion criteria, and gave their informed consent were included. VIA was found positive in 38 patients (12.6%). Pap smear was positive in 31 patients (10.3%). Twenty-eight patients had a positive VIA and a positive Pap smear, 3 had a negative VIA and a positive Pap smear, 10 had a positive VIA and a negative Pap smear, and 34 had a negative VIA and a negative Pap smear. The sensitivity of VIA and the Pap smear was found to be nearly equal, 93.3 and 93.8%, respectively. The Pap smear was found to be more specific than VIA, i.e., 72.9 versus 60%. In terms of test accuracy, the Pap smear was found to have greater test accuracy, i.e., 77.3 versus 66.7% for VIA. © 2017 S. Karger AG, Basel.

  7. Adolescents with obstructive sleep apnea adhere poorly to positive airway pressure (PAP, but PAP users show improved attention and school performance.

    Directory of Open Access Journals (Sweden)

    Dean W Beebe

    2011-03-01

    Full Text Available Obstructive Sleep Apnea (OSA is associated with medical and neurobehavioral morbidity across the lifespan. Positive airway pressure (PAP treatment has demonstrated efficacy in treating OSA and has been shown to improve daytime functioning in adults, but treatment adherence can be problematic. There are nearly no published studies examining functional outcomes such as academic functioning in adolescents treated with PAP. This study was conducted as an initial step towards determining whether PAP treatment improves daytime functioning among adolescents with OSA.Self-reported academic grades, self- and parent-reported academic quality of life, and objectively-measured attention were assessed before and after PAP was clinically initiated in a sample of 13 obese adolescents with OSA, as well as 15 untreated obese Controls without OSA. Based on adherence data, the treated group was divided into PAP Users (n = 6 and Non-Adherent participants (n = 7.Though demographically similar, the three groups significantly differed in how their academic performance and attention scores changed from baseline to follow-up. Non-Adherent participants showed worsening functioning over time, while PAP Users showed stable or improved functioning, similar to controls.Although many adolescents prescribed PAP for OSA are non-adherent to the treatment, those who adhere to treatment can display improved attention and academic functioning.

  8. Adolescents with obstructive sleep apnea adhere poorly to positive airway pressure (PAP), but PAP users show improved attention and school performance.

    Science.gov (United States)

    Beebe, Dean W; Byars, Kelly C

    2011-03-17

    Obstructive Sleep Apnea (OSA) is associated with medical and neurobehavioral morbidity across the lifespan. Positive airway pressure (PAP) treatment has demonstrated efficacy in treating OSA and has been shown to improve daytime functioning in adults, but treatment adherence can be problematic. There are nearly no published studies examining functional outcomes such as academic functioning in adolescents treated with PAP. This study was conducted as an initial step towards determining whether PAP treatment improves daytime functioning among adolescents with OSA. Self-reported academic grades, self- and parent-reported academic quality of life, and objectively-measured attention were assessed before and after PAP was clinically initiated in a sample of 13 obese adolescents with OSA, as well as 15 untreated obese Controls without OSA. Based on adherence data, the treated group was divided into PAP Users (n = 6) and Non-Adherent participants (n = 7). Though demographically similar, the three groups significantly differed in how their academic performance and attention scores changed from baseline to follow-up. Non-Adherent participants showed worsening functioning over time, while PAP Users showed stable or improved functioning, similar to controls. Although many adolescents prescribed PAP for OSA are non-adherent to the treatment, those who adhere to treatment can display improved attention and academic functioning.

  9. Three new species of deep-sea Gromia (Protista, Rhizaria) from the bathyal and abyssal Weddell Sea, Antarctica

    DEFF Research Database (Denmark)

    Rothe, Nina; Gooday, Andrew J.; Cedhagen, Tomas

    2009-01-01

    We describe three new species of the genus Gromia from bathyal and abyssal depths in the Weddell Sea. The new species are characterized by a combination of morphological and molecular criteria. All three species possess a distinct oral capsule and a layer of ‘honeycomb membranes’, which form the ...

  10. Modifying and Pilot Testing the Pap Smear Belief Questionnaire

    Directory of Open Access Journals (Sweden)

    Kelly Ackerson

    2014-12-01

    Full Text Available This study is a report on modifications and pilot testing of a measurement tool to predict Pap testing based on the Interaction Model of Client Health Behavior. Women have been found to avoid routine cervical cancer screening (CCS due to personal influencing factors. For this study, the Pap Smear Belief Questionnaire (PSBQ was modified by adding items and evaluated through content validity index (CVI = .89 and cognitive interviews (think-aloud protocol, resulting in a 31-item instrument with four subscales (Benefits, Barriers, Vulnerability, Experiences. Pilot testing the modified PSBQ was conducted at a local agency. Fifty-three women completed and returned the PSBQ, which had good internal consistency, with a Cronbach’s alpha coefficient of .81 (Benefits α = .51; Barriers α = .85; Vulnerability α = .78; Experiences α = .87. Test–retest reliability of the 31-item PSBQ was also good (.878. Univariate logistic regression indicated that the only significant predictor of seeking/avoiding routine screening by women’s background characteristics was social influence (p = .04. Subscales found to be significant predictors in Pap testing were Barriers (p = .003 and Gynecological Exam Experiences (p = .04. The refined 31-item PSBQ has good psychometric data supporting its use in predicting CCS. However, this research should be replicated in a larger sample enabling further validity and reliability testing of the PSBQ. Understanding women’s attitudes toward CCS will help health care providers, who deal with gynecological health, develop more effective screening programs and interventions facilitating better experiences for women contributing to an increase in routine screening.

  11. Is there a language divide in pap test use?

    Science.gov (United States)

    Ponce, Ninez A; Chawla, Neetu; Babey, Susan H; Gatchell, Melissa S; Etzioni, David A; Spencer, Benjamin A; Brown, E Richard; Breen, Nancy

    2006-11-01

    We sought to determine whether primary language use, measured by language of interview, is associated with disparities in cervical cancer screening. We undertook a secondary data analysis of a pooled sample of the 2001 and 2003 California Health Interview Surveys. The surveys were conducted in English, Spanish, Cantonese, Mandarin, Korean, and Vietnamese. The study was a cross-sectional analysis of 3-year Pap test use among women ages 18 to 64, with no reported cervical cancer diagnosis or hysterectomy (n = 38,931). In addition to language of interview, other factors studied included race/ethnicity, marital status, income, educational attainment, years lived in the United States, insurance status, usual source of care, smoking status, area of residence, and self-rated health status. We fit weighted multivariate logit models predicting 3-year Pap test use as a function of language of interview, adjusting for the effects of specified covariates. Compared with the referent English interview group, women who interviewed in Spanish were 1.65 times more likely to receive a Pap test in the past 3 years. In contrast, we observed a significantly reduced risk of screening among women who interviewed in Vietnamese (odds ratio [OR] 0.67; confidence interval [CI] 0.48-0.93), Cantonese (OR 0.44; 95% CI 0.30-0.66), Mandarin (OR 0.48; 95% CI 0.33-0.72), and Korean (OR 0.62; 0.40-0.98). Improved language access could reduce cancer screening disparities, especially in the Asian immigrant community.

  12. Comparative Analysis of PvPAP Gene Family and Their Functions in Response to Phosphorus Deficiency in Common Bean

    Science.gov (United States)

    Liang, Cuiyue; Sun, Lili; Yao, Zhufang; Liao, Hong; Tian, Jiang

    2012-01-01

    Background Purple acid phosphatases (PAPs) play a vital role in adaptive strategies of plants to phosphorus (P) deficiency. However, their functions in relation to P efficiency are fragmentary in common bean. Principal Findings Five PvPAPs were isolated and sequenced in common bean. Phylogenetic analysis showed that PvPAPs could be classified into two groups, including a small group with low molecular mass, and a large group with high molecular mass. Among them, PvPAP3, PvPAP4 and PvPAP5 belong to the small group, while the other two belong to the large group. Transient expression of 35S:PvPAPs-GFP on onion epidermal cells verified the variations of subcellular localization among PvPAPs, suggesting functional diversities of PvPAPs in common bean. Quantitative PCR results showed that most PvPAPs were up-regulated by phosphate (Pi) starvation. Among them, the expression of the small group PvPAPs responded more to Pi starvation, especially in the roots of G19833, the P-efficient genotype. However, only overexpressing PvPAP1 and PvPAP3 could result in significantly increased utilization of extracellular dNTPs in the transgenic bean hairy roots. Furthermore, overexpressing PvPAP3 in Arabidopsis enhanced both plant growth and total P content when dNTPs were supplied as the sole external P source. Conclusions The results suggest that PvPAPs in bean varied in protein structure, response to P deficiency and subcellular localization. Among them, both PvPAP1 and PvPAP3 might function as utilization of extracellular dNTPs. PMID:22662274

  13. Human Papillomavirus Vaccination and Pap Smear Uptake Among Young Women in the United States: Role of Provider and Patient.

    Science.gov (United States)

    Guo, Fangjian; Hirth, Jacqueline M; Berenson, Abbey B

    2017-10-01

    It has been reported that Pap smear use is higher among U.S. women who received the human papillomavirus (HPV) vaccine than unvaccinated women. This study assessed the role of provider and patient in the difference of Pap smear use by vaccination status. We conducted a cross-sectional study of 5416 young women (21-30 years of age) with detailed information on Pap smear use and HPV vaccination status from the National Health Interview Survey (NHIS) 2013-2015. Vaccinated women received at least one dose of HPV vaccine. Main outcomes included Pap smear in the past year, provider's recommendation for Pap smear, and patient-initiated Pap smear. The prevalence of Pap smear in the past year was much higher among vaccinated women than unvaccinated women (67.5% vs. 52.8%, p Pap testing (60.8% vs. 50.8%, p Pap testing after receiving a provider's recommendation (75.1% vs. 67.9%, p = 0.004), and to initiate Pap testing themselves (57.7% vs. 38.2%, p Pap smear recommendation and uptake vanished. Unvaccinated women who have not visited an OB/GYN in the past year are less likely to receive a recommendation for Pap testing from their providers or to initiate Pap testing themselves without a provider's recommendation. They should be encouraged to visit an OB/GYN provider for cervical cancer screening.

  14. Engineering concepts for the placement of wastes on the abyssal seafloor

    Science.gov (United States)

    Valent, Philip J.; Palowitch, Andrew W.; Young, David K.

    1998-05-01

    The Naval Research Laboratory (NRL), with industry and academic participation, has completed a study of the concept of isolating industrial wastes (i.e., sewage sludge, fly ash from municipal incinerators, and dredged material) on the abyssal seafloor. This paper presents results of the technical and economic assessment of this waste management concept. The results of the environmental impacts portion of the study are presented in a companion paper. The technical assessment began with identification of 128 patents addressing waste disposal in the ocean. From these 128 patents, five methods for transporting wastes through the water column and emplacing wastes within an easily monitored area on the abyssal seafloor were synthesized for technical assessment. In one method waste is lowered to the seafloor in a bucket of 190 m 3. In a second method waste is pumped down to the seafloor in pipes, 1.37 m in diameter and 6100 m in length. In a third method waste is free-fallen from the ocean surface in 380-m 3 geosynthetic fabric containers (GFCs). In the fourth and fifth methods, waste is carried to near the seafloor in GFCs transported in (a) a 20,000 metric ton displacement (loaded), unpowered, unmanned submersible glider, or (b) a 2085 metric ton displacement (loaded) disk-shaped transporter traversing to and from the seafloor much like an untethered elevator. In the last two methods the transporter releases the GFCs to free-fall the last few hundred meters to the seafloor. Two reliability analyses, a Fault Tree Analysis (FTA), and a Failure Modes, Effects, and Criticality Analysis (FMECA), showed that the free-fall GFC method posed the least overall relative risk, provided that fabric container and transporter designs eliminate the potential for tearing of the containers on release from the surface transporter. Of the five methods, the three GFC methods were shown to offer cost-effective waste management options when compared with present-day waste management

  15. Life history of abyssal and hadal fishes from otolith growth zones and oxygen isotopic compositions

    Science.gov (United States)

    Gerringer, M. E.; Andrews, A. H.; Huss, G. R.; Nagashima, K.; Popp, B. N.; Linley, T. D.; Gallo, N. D.; Clark, M. R.; Jamieson, A. J.; Drazen, J. C.

    2018-02-01

    Hadal trenches are isolated habitats that cover the greatest ocean depths (6,500-11,000 m) and are believed to host high levels of endemism across multiple taxa. A group of apparent hadal endemics is within the snailfishes (Liparidae), found in at least five geographically separated trenches. Little is known about their biology, let alone the reasons for their success at hadal depths around the world. This study investigated the life history of hadal liparids using sagittal otoliths of two species from the Kermadec (Notoliparis kermadecensis) and Mariana (Pseudoliparis swirei) trenches in comparison to successful abyssal macrourids found at the abyssal-hadal transition zone. Otoliths for each species revealed alternating opaque and translucent growth zones that could be quantified in medial sections. Assuming these annuli represent annual growth, ages were estimated for the two hadal liparid species to be from five to 16 years old. These estimates were compared to the shallower-living snailfish Careproctus melanurus, which were older than described in previous studies, expanding the potential maximum age for the liparid family to near 25 years. Age estimates for abyssal macrourids ranged from eight to 29 years for Coryphaenoides armatus and six to 16 years for C. yaquinae. In addition, 18O/16O ratios (δ18O) were measured across the otolith using secondary ion mass spectrometry (SIMS) to investigate the thermal history of the three liparids, and two macrourids. Changes in δ18O values were observed across the otoliths of C. melanurus, C. armatus, and both hadal liparids, the latter of which may represent a change of >5 °C in habitat temperature through ontogeny. The results would indicate there is a pelagic larval stage for the hadal liparids that rises to a depth above 1000 m, followed by a return to the hadal environment as these liparids grow. This result was unexpected for the hadal liparids given their isolated environment and large eggs, and the biological

  16. From the epipelagic zone to the abyss: Trophic structure at two seamounts in the subtropical and tropical Eastern Atlantic - Part I zooplankton and micronekton

    Science.gov (United States)

    Denda, Anneke; Stefanowitsch, Benjamin; Christiansen, Bernd

    2017-12-01

    Specific mechanisms, driving trophic interactions within the pelagic community may be highly variable in different seamount systems. This study investigated the trophic structure of zooplankton and micronekton above and around Ampère and Senghor, two shallow seamounts in the subtropical and tropical Eastern Atlantic, and over the adjacent abyssal plains. For the identification of food sources and trophic positions stable isotope ratios (δ13C and δ15N) were used. δ13C ranged from -24.7‰ to -15.0‰ and δ15N covered a total range of 0.9-15.9‰. Based on epipelagic particulate organic matter, zooplankton and micronekton usually occupied the 1st-3rd trophic level, including herbivorous, omnivorous and carnivorous taxa. δ13C and δ15N values were generally lower in zooplankton and micronekton of the subtropical waters as compared to the tropical region, due to the differing nutrient availability and phytoplankton communities. Correlations between δ13C and δ15N values of particulate organic matter, zooplankton, micronekton and benthopelagic fishes suggest a linear food chain based on a single energy source from primary production for Ampère Seamount, but no evidence was found for an autochthonus seamount production as compared to the open ocean reference site. Between Senghor Seamount and the open ocean δ13C signatures indicate that hydrodynamic effects at seamounts may modify the energy supply at times, but evidence for a seamount effect on the trophic structure of the pelagic communities was weak, which supports the assumption that seamount communities rely to a large extent on advected food sources.

  17. Inequalities in Pap smear screening for cervical cancer in Brazil.

    Science.gov (United States)

    Martínez-Mesa, Jeovany; Werutsky, Gustavo; Campani, Raquel Barth; Wehrmeister, Fernando César; Barrios, Carlos Henrique

    2013-10-01

    To examine the risk factors associated with never being screened for cervical cancer (CC) in Brazil. Using the National Household Sample Survey 2008 (PNAD), we analyzed data from 102,108 Brazilian women ages 25-64years. The patients were analyzed as having been or never having been screened with a Pap smear (Yes/No). Age-adjusted prevalence of never-screening was analyzed using a Chi-squared test. Crude and adjusted models using Poisson regression were performed. The prevalence of never-screened women for CC was 12.9%, 11.5% and 22.2% in Brazil in general, urban and rural areas, respectively. The Brazilian region with the highest prevalence of never-screening was the North (17.4%, 14.7% and 27.3% in general, urban and rural areas, respectively). The factors associated with a higher risk for never being screened were the following: poverty, younger age, lower educational level, non-white skin color, a greater number of children, no supplemental health insurance and not having visited a doctor in the past 12months. Socioeconomic and demographic conditions lead to inequalities in access to Pap smear screening in Brazil. Public health policy addressing these risk groups is necessary. © 2013.

  18. Divergent coverage, frequency and costs of organised and opportunistic Pap testing in Finland.

    Science.gov (United States)

    Salo, Heini; Nieminen, Pekka; Kilpi, Terhi; Auranen, Kari; Leino, Tuija; Vänskä, Simopekka; Tiihonen, Petri; Lehtinen, Matti; Anttila, Ahti

    2014-07-01

    We evaluated the overall coverage, frequency and costs of Pap testing by screening modality and health care provider in Finland. Information about Pap testing in the Finnish female population of 2.7 million was obtained from nationwide population-based registry data. Among women aged 25-69 years, 87% had had a Pap test taken within or outside the organised programme at least once during the last 5 years and half of those screened in the organised programme had also had at least one Pap test taken outside the programme. Of the annual average of 530,000 Pap tests taken, 84% were taken for screening purposes and 16% as follow-up. Forty percent of the 446,000 annual screening tests were taken in the organised programme, 55% as opportunistic tests in public primary or student health care or by private providers and 5% in public secondary health care. One-fifth of all opportunistic screening Pap tests were taken from women aged cost of all screening Pap tests was €22.4 million, of which 71% incurred in opportunistic screening. Of the 84,000 annual follow-up Pap tests and their €8.3 million total costs, ∼60% incurred in organised screening or in secondary health care. © 2013 UICC.

  19. [Cloning and sequencing of the papA gene from uropathogenic Escherichia coli 4030 strain].

    Science.gov (United States)

    Wu, Qinggang; Zhang, Jingping; Zhao, Chuncheng; Zhu, Jianguo

    2008-09-01

    Cloning and sequencing of the papA gene from uropathogenic Escherichia coli 4030 strain to investigate the differences of the sequences of the papA of UPEC4030 strain and the ones of related genes, in order to make whether or not it was a new genotype. Cloning and sequencing methods were used to analyze the sequence of the papA of UPEC4030 strain in comparison with related sequences. The sequence analysis of papA revealed a 722 bp gene and encode 192 amino acid polypeptide. The overall homology of the papA genes between UPEC4030 and the standard strains of ten F types were 36.11%-77.95% and 22.20%-78.34% at nucleotide and deduced amino acid levels. The homology between the sequence of the reverse primers and the corresponding sequence of UPEC4030 papA was 10%-66.67%. The results confirmed that UPEC4030 strain contained a novel papA variant. UPEC4030 strain could contain an unknown papA variant or the novel genotype. The pathogenic mechanism and epidemiology related need to be further studied.

  20. Iodamoeba butschlii in an anal pap test confirmed by iodine stain.

    Science.gov (United States)

    Schuetz, Audrey N; Pritt, Bobbi S; Schreiner, Andrew M

    2014-09-01

    We report the finding of Iodamoeba butschlii amebic cysts on a liquid-based anal Pap smear from an HIV-positive male. Iodine staining of the smear confirmed the diagnosis. It is important to distinguish I. butschlii from pathogenic ameobae and other organisms seen on anal Pap smears. Copyright © 2013 Wiley Periodicals, Inc.

  1. Personal influencing factors associated with pap smear testing and cervical cancer.

    Science.gov (United States)

    Ackerson, Kelly; Pohl, Joanne; Low, Lisa Kane

    2008-02-01

    Pap smear is a screening test that detects abnormal cells before they advance to cancer. Unfortunately, not all women obtain routine screening. The method used was a qualitative study exploring personal influences regarding Pap smears. Face-to-face interviews with 7 low-income African American women who do and do not obtain Pap smears (between 21 and 37 years of age) were conducted at a health department about their social influence, previous health care experience, and cognitive appraisal regarding Pap smears and cervical cancer. Women were found to be socially influenced by their family and their physician. Previous health care experience with the Pap and pelvic was perceived as negative. Cognitively, Pap smears were believed to test for sexually transmitted diseases, including HIV, and the women also felt that if one took good care of oneself it reduced the risk for cervical cancer. It was concluded that exploring beliefs associated with Pap smears and perceptions of vulnerability to cervical cancer and giving correct information and counseling may increase Pap smear screening in women.

  2. Age distribution of abnormal pap smear in a secondary hospital in ...

    African Journals Online (AJOL)

    Age distribution of abnormal pap smear in a secondary hospital in south-west Nigeria. ... Objective: To determine the age distribution pattern of abnormal Paps smear in women in our environment in order to have a basis for the points of entry and exit for cervical cancer screening protocol. Materials and Method: In this ...

  3. Factors associated with receiving Pap tests among married immigrant women of Vietnamese origin in southern Taiwan.

    Science.gov (United States)

    Lee, Fang-Hsin; Wang, Hsiu-Hung; Tsai, Hsiu-Min; Lin, Miao-Ling

    2016-01-01

    The purpose of this study was to explore the factors associated with Pap testing among married immigrant women of Vietnamese origin residing in Taiwan, including demographics, knowledge of cervical cancer, knowledge of Pap tests, fatalism, attitudes toward cervical cancer, and barriers to receiving Pap tests. A cross-sectional correlational design was used. Data were collected from July 2012 to January 2013. Participants were recruited through snowball sampling in two communities in Southern Taiwan. A total of 451 married immigrant women of Vietnamese origin aged 30 years and over were invited to participate in the study and 427 participated. Data analysis included descriptive statistics and multivariate logistic regression. Participants with no children were significantly less likely to have received a Pap test (odds ratio = 0.278, 95% confidence interval [CI] = 0.135-0.569); each additional point of knowledge about Pap tests increased the likelihood of having a Pap test by 19% (odds ratio = 1.190, 95% CI = 1.093-1.297), and each additional point in barriers to receiving Pap tests decreased the chances of having received a Pap test (odds ratio = 0.714, 95% CI = 0.637-0.800). The results can provide governments with a reference for developing policies for cervical cancer prevention among married immigrant Vietnamese women.

  4. Pap Smear Test Prevalence within Three Years (Age 18+) - Small Area Estimates

    Science.gov (United States)

    For Pap smear test, a woman 18 years of age or older must have reported having at least one Pap smear test in her life. Furthermore, she should have had one within the last three years by the time of interview.

  5. The utilization of Pap test services of women: a nationwide study in Taiwan.

    Science.gov (United States)

    Lee, Fang H; Wang, Hsiu H

    2011-01-01

    Papanicolaou test (Pap test) is the most effective screening tool to prevent cervical cancer. In Taiwan, the National Health Insurance offers women older than 30 years free Pap test; however, the screening rate is merely 52.6%. The purposes of this study were to understand the status quo of Taiwanese women undertaking Pap test and to investigate relevant factors affecting women having Pap tests by applying Andersen's health-service utilization model. This study adopted data from the Taiwan's National Health Insurance Research Database from 2004 to 2008, in which 241,843 women having Pap tests were analyzed. The following groups have a higher odds ratio of participating in Pap tests: indigenous women, low-income women, elderly women, women who visit obstetrics and gynecology departments more frequently, less urbanized women, women with less access to medical resources, women with severe diseases, disabled women, women with chronic illnesses, women with cancer, women with gynecological diseases, women with acute diseases who have longer length of hospital stay, and women with chronic diseases who have shorter length of hospital stay. This study provides the status quo and influential factors of women undergoing Pap tests. The results can assist medical personnel to offer appropriate information and intervention and can be a reference for making relevant health policies to raise the screening rates of Pap tests.

  6. How Often to Get a Pap Test (A Cup of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2013-01-10

    Cervical cancer has declined in the U.S., and the decline is largely due to Pap testing and follow-up. Screening recommendations have changed. In this podcast, Meg Watson discusses Pap testing.  Created: 1/10/2013 by MMWR.   Date Released: 1/10/2013.

  7. Deep ocean communities impacted by changing climate over 24 y in the abyssal northeast Pacific Ocean.

    Science.gov (United States)

    Smith, Kenneth L; Ruhl, Henry A; Kahru, Mati; Huffard, Christine L; Sherman, Alana D

    2013-12-03

    The deep ocean, covering a vast expanse of the globe, relies almost exclusively on a food supply originating from primary production in surface waters. With well-documented warming of oceanic surface waters and conflicting reports of increasing and decreasing primary production trends, questions persist about how such changes impact deep ocean communities. A 24-y time-series study of sinking particulate organic carbon (food) supply and its utilization by the benthic community was conducted in the abyssal northeast Pacific (~4,000-m depth). Here we show that previous findings of food deficits are now punctuated by large episodic surpluses of particulate organic carbon reaching the sea floor, which meet utilization. Changing surface ocean conditions are translated to the deep ocean, where decadal peaks in supply, remineralization, and sequestration of organic carbon have broad implications for global carbon budget projections.

  8. Policy, law, and public opposition: the prospects for abyssal ocean waste disposal in the United States

    Science.gov (United States)

    Kite-Powell, Hauke L.; Hoagland, Porter; Jin, Di

    1998-05-01

    The ocean is one of several media available for the disposal of society's wastes. Recently, its use for this purpose has been curtailed sharply. In this paper, we describe the potential role of the ocean in an economically optimal multimedia waste disposal framework, review international agreements and U.S. laws regulating ocean disposal, and discuss the role of public perceptions and environmental agendas in present policies governing ocean disposal. Our focus is on the disposal in the abyssal ocean of wastes such as sewage sludge. We conclude that while the U.S. ban on ocean waste disposal may be reasonable in view of uncertainties about environmental costs, the effective ban on limited disposal for research purposes is more difficult to justify. A restoration of public trust in government institutions and in the waste management industry is a likely prerequisite for the relaxation of public opposition to any change in the present prohibitions.

  9. Speculations about the upper Miocene change in abyssal Pacific dissolved bicarbonate delta13C

    International Nuclear Information System (INIS)

    Bender, M.L.; Keigwin, L.D. Jr

    1979-01-01

    New data from three Tasman Sea cores support Kleigwin's observation that the delta 13 C of Pacific benthic foraminifera (and by inference bottom-water TCO 2 ) decreased by 0.7 per thousand at about 6.5 Myr B.P. Simple box models are developed and used to test several hypotheses about the cause of the delta 13 C decrease. The authors favor the idea that the delta 13 C shift was due to a rapid change in TCO 2 cycling within the oceans (such as would result from either a decrease in upwelling rate, or an increase in the fraction of PO 4 3- reaching the deep oceans in particulate organic matter and a corresponding drop in the performed PO 4 3- concentration). The delta 13 C decrease across the shift might reflect either a global decrease in upwelling rate, or a different abyssal circulation pattern before the shift. (Auth.)

  10. Late Pliocene Changes in Abyssal Southern Ocean Ventilation: New Insights from the Subantarctic Pacific

    Science.gov (United States)

    Waddell, L. M.; Hendy, I. L.; Moore, T. C.; Lyle, M. W.

    2008-12-01

    New stable isotope records from subantarctic southeast Pacific cores MV0502-4JC (50°20'S, 148°08'W, 4286m) and ELT 25-11 (50°02'S, 127°31'W, 3969m) suggest that the late Pliocene climate transition (LPCT) at ~2.75 Ma marked a dramatic increase in cold, poorly ventilated water in the deepest portion of the Southern Ocean. This conclusion is based on a striking vertical stable isotopic gradient that developed between MV0502-4JC and shallower South Atlantic ODP Site 704 (46°52'S, 7°5'E, 2532 m) in the late Pliocene, a sharp contrast to the comparable benthic δ13C and δ18O values recorded at the two sites during the late Miocene. Similar to existing shallower records from the South Atlantic, benthic stable isotope records from MV0502-4JC and ELT 25-11 record a significant decrease in δ13C accompanied by an increase in δ18O in the Late Pliocene. While the δ13C decrease and δ18O increase recorded at the South Atlantic sites appears to represent the onset of a glacial pattern of oxygen isotope enrichment and reduced deep water ventilation in the Southern Ocean, the transition in MV0502-4JC and ELT 25-11 signals a far more dramatic shift in conditions at abyssal depths. First, the benthic δ13C shift appears to be more extensive and prolonged in the deep subantarctic Pacific than in the South Atlantic, and second, the δ13C decrease was accompanied by an equally dramatic increase in benthic δ18O that stands out amongst other deep sea records prior to the late Pleistocene. In MV0502-4JC these δ13C and δ18O shifts amount to -1.05‰ and +1.1‰, respectively, over the period ~2.7 to 1.9 Ma (9.6-7.3 MBSF) and are followed by a dramatic return of the benthic δ13C values to pre-LPCT values after ~1.7 Ma that is also recorded in the planktonic record. These benthic δ13C and δ18O shifts likely indicate the accumulation of an ever-larger percentage of cold, poorly-ventilated AABW in the abyssal Southern Ocean during the late Pliocene, probably due to sea ice

  11. Influence of Melting and Hydrothermal Alteration on Lead in Abyssal Peridotites

    Science.gov (United States)

    Warren, J. M.; D'Errico, M. E.; Godard, M.; Coble, M. A.; Horan, M.

    2017-12-01

    The lead isotopic system is a key tracer of mantle convection, yet the abundance and mineralogical hosts of Pb in the upper mantle are poorly constrained. To address this, we analyzed the concentration of Pb in minerals and bulk rock powders of abyssal peridotites. These samples represent the oceanic upper mantle following melt extraction. They can be used to explore the mantle Pb budget, assuming that the amount of Pb lost during mantle melting and gained during seafloor alteration can be determined. We performed in situ analysis of the three main silicate phases (olivine, orthopyroxene, and clinopyroxene), which yield Pb concentrations of 2-30 ppb. Olivine is the main mineralogical host of Pb, unlike other trace elements, which are predominantly hosted in clinopyroxene. Sulfide contains an average of 3 ppm Pb, but these high concentrations are offset by low modal abundances (100 ppb [1, 2], measured by inductively-coupled plasma mass spectrometry. The higher values among literature data may reflect a combination of lower analytical sensitivity and effects of alteration. Samples in this study include an unaltered peridotite from the Gakkel Ridge, which shows the closest agreement between reconstructed and measured whole rock values. We estimate that our peridotites have undergone 5 to 9% melting [3], based on non-modal fractional melt modeling of rare earth element abundances. Assuming 18 to 23 ppb Pb in the depleted source mantle [4, 5], expected concentrations in abyssal peridotites after melting are Pet.; [2] Paulick et al., 2006, Chem. Geol.; [3] D'Errico et al., 2016, GCA; [4] Salters and Stracke, 2004, G-Cubed; [5] Workman and Hart, 2005 EPSL.

  12. Access to Adequate Healthcare for Hmong Women: A Patient Navigation Program to Increase Pap Test Screening

    Directory of Open Access Journals (Sweden)

    Moon S. Chen, Jr

    2010-01-01

    Full Text Available This paper describes the development and implementation of a Hmong Cervical Cancer Intervention Program utilizing a patient navigation model to raise cervical cancer awareness for Hmong women through educational workshops and to assist Hmong women in obtaining a Pap test. Out of 402 women who participated in a baseline survey, the Patient Navigation Program was able to enroll 109 participants who had not had a Pap test in the past 3 years and had never had a Pap test. Through utilization of outreach, an awareness campaign and patient navigation support, at least 38 percent of 109 participants obtained a Pap test. Overall, 21 workshops and 43 outreach activities were conducted by the Hmong Women’s Heritage Association, leading to 63 percent of those enrolled in the Patient Navigation Program who could be contacted to obtain a Pap test.

  13. Suppression of the biosynthesis of proanthocyanidin in Arabidopsis by a chimeric PAP1 repressor.

    Science.gov (United States)

    Matsui, Kyoko; Tanaka, Hideo; Ohme-Takagi, Masaru

    2004-11-01

    Flavonoids are secondary metabolites that are specific to higher plants. PAP1, a member of the family of MYB domain transcription factors in Arabidopsis, is a positive regulator of the biosynthesis of anthocyanin. We show here that a chimeric PAP1 repressor, in which the EAR-motif repression domain from SUPERMAN was fused to PAP1, suppressed the expression of four flavonoid biosynthetic genes, namely CHS, DFR, LDOX, and BAN, in siliques, and inhibited the accumulation of proanthocyanidin, even in the presence of an endogenous positive regulator, such as TT2. This suppression resulted in the formation of light yellow seeds in 35S::PAP1SRDX transgenic plants. Our results indicate that PAP1 has the potential ability to regulate the biosynthesis not only of anthocyanin but also of proanthocyanidin. Our gene silencing system, using chimeric repressors, appears to be a useful tool for the manipulation of the biosynthesis of secondary metabolites in plants.

  14. Molecular dynamics studies of the P pilus rod subunit PapA.

    Science.gov (United States)

    Vitagliano, Luigi; Ruggiero, Alessia; Pedone, Carlo; Berisio, Rita

    2009-03-01

    Adhesion of uropathogenic Escherichia coli to host tissues is mediated by pili, which extend from the outer cell membrane of the bacterium. Here we report molecular dynamics (MD) characterizations of the major constituent of P pili from the uropathogenic E. coli, PapA, in unliganded state and in complex with the G1 strand of the chaperone PapD. To mimic the PapA response to the gradual dissociation of the PapD G1 strand and to evaluate the role of PapA chaperone recognition sites, we also carried out MD simulations of complexes of PapA with fragments of PapD G1 strand, that leave either the P4 or both P3 and P4 sites unoccupied. Data on the unbound form of PapA indicate that, upon release of the chaperone, PapA evolves toward compact states that are likely not prone to subunit-subunit association. In line with recent experimental reports, this finding implies that chaperone release and subunit-subunit association must be concerted. Our data also indicated that the gradual unbinding of the chaperone from the PapA groove has increasingly strong structural consequences. Indeed, the release of the chaperone from the site P4, which is closest to the initiation site (P5), does not have dramatic effects on the domain structure, whereas its release from both the P4 and the adjacent P3 sites induces a quick structural transition toward a collapsed state, where the subunit groove is obstructed.

  15. Nuclear Phosphatidylinositol-Phosphate Type I Kinase α-Coupled Star-PAP Polyadenylation Regulates Cell Invasion.

    Science.gov (United States)

    A P, Sudheesh; Laishram, Rakesh S

    2018-03-01

    Star-PAP, a nuclear phosphatidylinositol (PI) signal-regulated poly(A) polymerase (PAP), couples with type I PI phosphate kinase α (PIPKIα) and controls gene expression. We show that Star-PAP and PIPKIα together regulate 3'-end processing and expression of pre-mRNAs encoding key anti-invasive factors ( KISS1R , CDH1 , NME1 , CDH13 , FEZ1 , and WIF1 ) in breast cancer. Consistently, the endogenous Star-PAP level is negatively correlated with the cellular invasiveness of breast cancer cells. While silencing Star-PAP or PIPKIα increases cellular invasiveness in low-invasiveness MCF7 cells, Star-PAP overexpression decreases invasiveness in highly invasive MDA-MB-231 cells in a cellular Star-PAP level-dependent manner. However, expression of the PIPKIα-noninteracting Star-PAP mutant or the phosphodeficient Star-PAP (S6A mutant) has no effect on cellular invasiveness. These results strongly indicate that PIPKIα interaction and Star-PAP S6 phosphorylation are required for Star-PAP-mediated regulation of cancer cell invasion and give specificity to target anti-invasive gene expression. Our study establishes Star-PAP-PIPKIα-mediated 3'-end processing as a key anti-invasive mechanism in breast cancer. Copyright © 2018 A.P. and Laishram.

  16. Ship Sensor Observations for Estuary to the Abyss 2004: Exploring Along the Latitude 31-30 Transect - Office of Ocean Exploration

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Hourly measurements made by selected ship sensors on the R/V Seward Johnson during the "Estuary to the Abyss 2004" expedition sponsored by the National Oceanic and...

  17. Paediatric ED BiPAP continuous quality improvement programme with patient analysis: 2005-2013.

    Science.gov (United States)

    Abramo, Thomas; Williams, Abby; Mushtaq, Samaiya; Meredith, Mark; Sepaule, Rawle; Crossman, Kristen; Burney Jones, Cheryl; Godbold, Suzanne; Hu, Zhuopei; Nick, Todd

    2017-01-16

    In paediatric moderate-to-severe asthmatics, there is significant bronchospasm, airway obstruction, air trapping causing severe hyperinflation with more positive intraplural pressure preventing passive air movement. These effects cause an increased respiratory rate (RR), less airflow and shortened inspiratory breath time. In certain asthmatics, aerosols are ineffective due to their inadequate ventilation. Bilevel positive airway pressure (BiPAP) in acute paediatric asthmatics can be an effective treatment. BiPAP works by unloading fatigued inspiratory muscles, a direct bronchodilation effect, offsetting intrinsic PEEP and recruiting collapsed alveoli that reduces the patient's work of breathing and achieves their total lung capacity quicker. Unfortunately, paediatric emergency department (PED) BiPAP is underused and quality analysis is non-existent. A PED BiPAP Continuous Quality Improvement Program (CQIP) from 2005 to 2013 was evaluated using descriptive analytics for the primary outcomes of usage, safety, BiPAP settings, therapeutics and patient disposition. PED BiPAP CQIP descriptive analytics. Academic PED. 1157 patients. A PED BiPAP CQIP from 2005 to 2013 for the usage, safety, BiPAP settings, therapeutic response parameters and patient disposition was evaluated using descriptive analytics. Safety, usage, compliance, therapeutic response parameters, BiPAP settings and patient disposition. 1157 patients had excellent compliance without complications. Only 6 (0.5%) BiPAP patients were intubated. BiPAP median settings: IPAP 18 (16,20) cm H 2 O range 12-28; EPAP 8 cmH 2 O (8,8) range 6-10; inspiratory-to-expiratory time (I:E) ratio 1.75 (1.5,1.75). Pediatric Asthma Severity score and RR decreased (pimproved therapeutics times, very low intubations and decreased PICU admissions. CQIP analysis demonstrated that using a higher IPAP, low EPAP with longer I:E optimises the patient's BiPAP settings and showed a significant improvement in PAS, RR and tidal volume. BiPAP

  18. Pap smears for men: a vision of the future?

    LENUS (Irish Health Repository)

    Oon, S F

    2012-02-01

    BACKGROUND: Anal intraepithelial neoplasia (AIN) rarely receives as much publicity as its neighbouring orifice, the cervix. As in the cervix, intraepithelial neoplasias are precursors to cancer in the anal canal. AIN and cervical interstitial neoplasia (CIN) undergo dysplasia as a consequence of human papillomavirus (HPV) infection. Since the advent of screening with the Pap smear in CIN, cervical cancer has plummeted to a fifth of its initial incidence. Anal cancer, however, has been rising, with a predilection for human immunodeficiency virus-infected men. HPV causes a squamous epithelial dysplasia and converts healthy tissue into AINs of increasing severity until anal cancer manifests. CLINICAL CASE: This article describes a clinical case of anogenital HPV infection refractory to medical and surgical therapy. It also describes an effective surgical excision technique associated with a good cosmetic outcome. CONCLUSIONS: The paper concludes by briefly discussing the implications of a national screening programme against AIN in the future.

  19. Use of and attitudes and knowledge about pap smears among women in Kuwait.

    Science.gov (United States)

    El-Hammasi, Khadija; Samir, Ola; Kettaneh, Soania; Al-Fadli, Athari; Thalib, Lukman

    2009-11-01

    To estimate the lifetime prevalence of Pap smear among women in Kuwait and to assess their knowledge about and attitude toward Pap smears. This was a descriptive cross-sectional study using a multistage cluster sampling method. We interviewed 299 women attending polyclinics in Kuwait using a self-administered questionnaire. Factors related to history of having a Pap smear, knowledge level, and willingness to participate in a screening program were evaluated. The lifetime prevalence of Pap smear was found to be 37% (95% CI 33-43). Forty-four percent of women in our study had a Pap smear only once in their lives. History of having at least one Pap smear was significantly related to such factors as age, total family income, marital status, history of cervical infection, and knowledge. The level of knowledge about cervical cancer varied among the participants. Forty-six percent of women were uncertain about the symptoms of cervical cancer. About half the women recognized cervical infection, smoking, and having multiple sexual partners as risk factors for cervical cancer; however, only 10% recognized early sexual intercourse as a risk factor. Willingness to participate in a future screening program varied significantly according to educational level, employment status, and total family income. Although cervical cancer incidence and mortality are relatively low in Kuwait, they may be underreported in the absence of a screening program. Moreover, lifetime prevalence of having a Pap smear was found to be considerably lower in Kuwait compared with developed countries.

  20. International Network Performance and Security Testing Based on Distributed Abyss Storage Cluster and Draft of Data Lake Framework

    Directory of Open Access Journals (Sweden)

    ByungRae Cha

    2018-01-01

    Full Text Available The megatrends and Industry 4.0 in ICT (Information Communication & Technology are concentrated in IoT (Internet of Things, BigData, CPS (Cyber Physical System, and AI (Artificial Intelligence. These megatrends do not operate independently, and mass storage technology is essential as large computing technology is needed in the background to support them. In order to evaluate the performance of high-capacity storage based on open source Ceph, we carry out the network performance test of Abyss storage with domestic and overseas sites using KOREN (Korea Advanced Research Network. And storage media and network bonding are tested to evaluate the performance of the storage itself. Additionally, the security test is demonstrated by Cuckoo sandbox and Yara malware detection among Abyss storage cluster and oversea sites. Lastly, we have proposed the draft design of Data Lake framework in order to solve garbage dump problem.

  1. Perception and opinion of medical students about Pap smear test: a qualitative study.

    Science.gov (United States)

    Al-Naggar, Redhwan Ahmed; Isa, Zaleha Md

    2010-01-01

    the objective of this study is to explore the perceptions of medical students regarding the Pap smear test. Focus group discussion was held with twenty three medical students. The students were divided into three focus groups; two groups of female participants consisting of 9 and 8 students; respectively. The third group consisted of 6 male students. Questions regarding Pap smear testing included barriers that prevented women from taking the test, gender preference for the physician to conduct the cervical screening test, willingness to suggest Pap smear test to the family or friends. The data obtained were classified into various categories and analyzed manually. Most of the study participants mentioned that the main barriers for women to not perform Pap smear test is lack of awareness 16 (70%), followed by shyness 12 (52%) and the cost of the test 12 (52%). Most agreed that the gender of the physician will affect the women decision to do Pap smear test. All mentioned that the advantage of a regular Pap smear test is to detect the abnormality at the early stage of cervical cancer. Some of the participants 9 (39%) mentioned that the disadvantages are expense, possible injury in the vagina due to the test procedures 8 (35%), associated infection 7(30.4%) and pain 7(30.4%) . The majority, 20 (87%) mentioned that the most effective prevention methods for cervical cancer are having sex only after getting married with the spouse only, HPV vaccination 15 (65%) and Pap smear 14 (61%). The main barriers for women to not perform Pap smear test is lack of awareness, shyness and the cost of the test. Gender of the physician will affect the women decision to do Pap smear test.

  2. Pattern of epithelial cell abnormality in Pap smear: A clinicopathological and demographic correlation

    Directory of Open Access Journals (Sweden)

    Urmila Banik

    2011-01-01

    Full Text Available Background: In the low resource settings of a developing country, a conventional Papanicolaou (Pap test is the mainstay screening system for cervical cancer. In order to counsel women and to organize a public health system for cervical cancer screening by Pap smear examination, it is imperative to know the pattern of premalignant and malignant lesions. This study was undertaken to find out the prevalence of an abnormal Pap smear, in a tertiary hospital of a developing country, and to carry out a clinicopathological and demographical analysis for establishing the pattern of epithelial cell abnormality in a Pap smear. Materials and Methods: A cross-sectional descriptive study was carried out in a total of 1699 patients who underwent Pap smear examination. The prevalence of epithelial cell abnormality in the Pap smear was calculated in proportions / percentages. Specimen adequacy and reporting was assessed according to the revised Bethesda system. Results: Among the total of 1699 patients who had their Pap smear done, 139 (8.18% revealed epithelial cell abnormality. Altogether 26 smears revealed high-grade lesions and malignancy, most of which were found to be in women belonging to the 30 - 39 and ≥ 45 age group. A total of 75 (53.96% women were in the 20 - 44 age group and 64 (46.04% were in the ≥ 45 age group. A bimodal age distribution was detected in the epithelial cell abnormality, with the bulk being diagnosed in patients aged 45 or above. Overall one-third of the patients with an abnormal Pap smear result showed healthy cervix in per vaginal examination. Conclusions: A raised prevalence of epithelial cell abnormality reflects the lack of awareness about cervical cancer screening. Women aged 45 or above harbor the bulk of premalignant and malignant lesions in the Pap smear, signifying that these women are among the under users of cytological screening.

  3. Influencing Factors of Intention to Receive Pap Tests in Vietnamese Women who Immigrated to Taiwan for Marriage.

    Science.gov (United States)

    Lee, Fang-Hsin; Wang, Hsiu-Hung; Yang, Yung-Mei; Huang, Joh-Jong; Tsai, Hsiu-Min

    2016-09-01

    This study aimed to explore the factors associated with the intention to receive a Pap test among married immigrant women of Vietnamese origin living in Taiwan. This was a cross-sectional community-based study. We enrolled 281 women aged 30 years and over in the study, from July 2013 to January 2014. The participants' characteristics, cervical cancer knowledge, Pap test knowledge, attitudes toward cervical cancer, barriers to receiving a Pap test, fatalism, and intention to receive a Pap test, were measured using self-report questionnaires. Hierarchical multiple regression analyses were performed to examine the variables associated with participants' intentions to receive a Pap test. Vietnamese women with low scores on the measures of cervical cancer knowledge and perceived barriers to receiving a Pap test were more willing to receive the test, as were those with high scores on the measures of Pap test knowledge and fatalism. Women who received a Pap test in the previous year were more willing to receive a Pap test within the next 3 years. Preventive healthcare for immigrant women should be a focus of nurses. The development of culturally appropriate health education and strategies should enhance their knowledge of Pap tests and reduce perceived barriers to Pap test participation. This study's results can be a reference for nurses who work with immigrant women. Copyright © 2016. Published by Elsevier B.V.

  4. Dynamics of Melting and Melt Migration as Inferred from Incompatible Trace Element Abundance in Abyssal Peridotites

    Science.gov (United States)

    Peng, Q.; Liang, Y.

    2008-12-01

    To better understand the melting processes beneath the mid-ocean ridge, we developed a simple model for trace element fractionation during concurrent melting and melt migration in an upwelling steady-state mantle column. Based on petrologic considerations, we divided the upwelling mantle into two regions: a double- lithology upper region where high permeability dunite channels are embedded in a lherzolite/harzburgite matrix, and a single-lithology lower region that consists of partially molten lherzolite. Melt generated in the single lithology region migrates upward through grain-scale diffuse porous flow, whereas melt in the lherzolite/harzburgite matrix in the double-lithology region is allowed to flow both vertically through the overlying matrix and horizontally into its neighboring dunite channels. There are three key dynamic parameters in our model: degree of melting experienced by the single lithology column (Fd), degree of melting experienced by the double lithology column (F), and a dimensionless melt suction rate (R) that measures the accumulated rate of melt extraction from the matrix to the channel relative to the accumulated rate of matrix melting. In terms of trace element fractionation, upwelling and melting in the single lithology column is equivalent to non-modal batch melting (R = 0), whereas melting and melt migration in the double lithology region is equivalent to a nonlinear combination of non-modal batch and fractional melting (0 abyssal peridotite, we showed, with the help of Monte Carlo simulations, that it is difficult to invert for all three dynamic parameters from a set of incompatible trace element data with confidence. However, given Fd, it is quite possible to constrain F and R from incompatible trace element abundances in residual peridotite. As an illustrative example, we used the simple melting model developed in this study and selected REE and Y abundance in diopside from abyssal peridotites to infer their melting and melt migration

  5. An autoregulatory feedback loop involving PAP1 and TAS4 in response to sugars in Arabidopsis.

    Science.gov (United States)

    Luo, Qing-Jun; Mittal, Amandeep; Jia, Fan; Rock, Christopher D

    2012-09-01

    miR828 in Arabidopsis triggers the cleavage of Trans-Acting SiRNA Gene 4 (TAS4) transcripts and production of small interfering RNAs (ta-siRNAs). One siRNA, TAS4-siRNA81(-), targets a set of MYB transcription factors including PAP1, PAP2, and MYB113 which regulate the anthocyanin biosynthesis pathway. Interestingly, miR828 also targets MYB113, suggesting a close relationship between these MYBs, miR828, and TAS4, but their evolutionary origins are unknown. We found that PAP1, PAP2, and TAS4 expression is induced specifically by exogenous treatment with sucrose and glucose in seedlings. The induction is attenuated in abscisic acid (ABA) pathway mutants, especially in abi3-1 and abi5-1 for PAP1 or PAP2, while no such effect is observed for TAS4. PAP1 is under regulation by TAS4, demonstrated by the accumulation of PAP1 transcripts and anthocyanin in ta-siRNA biogenesis pathway mutants. TAS4-siR81(-) expression is induced by physiological concentrations of Suc and Glc and in pap1-D, an activation-tagged line, indicating a feedback regulatory loop exists between PAP1 and TAS4. Bioinformatic analysis revealed MIR828 homologues in dicots and gymnosperms, but only in one basal monocot, whereas TAS4 is only found in dicots. Consistent with this observation, PAP1, PAP2, and MYB113 dicot paralogs show peptide and nucleotide footprints for the TAS4-siR81(-) binding site, providing evidence for purifying selection in contrast to monocots. Extended sequence similarities between MIR828, MYBs, and TAS4 support an inverted duplication model for the evolution of MIR828 from an ancestral gymnosperm MYB gene and subsequent formation of TAS4 by duplication of the miR828* arm. We obtained evidence by modified 5'-RACE for a MYB mRNA cleavage product guided by miR828 in Pinus resinosa. Taken together, our results suggest that regulation of anthocyanin biosynthesis by TAS4 and miR828 in higher plants is evolutionarily significant and consistent with the evolution of TAS4 since the dicot

  6. A qualitative study exploring factors associated with Pap test use among North Korean refugees.

    Science.gov (United States)

    Kim, Kyounghae; Kim, Soohyun; Chung, Yoonkyung

    2017-10-01

    Lack of medical care in North Korea and vulnerability to human trafficking during their migration increase risks of cervical cancer among North Korean refugees. To better understand factors influencing Pap test use, we conducted a qualitative study of eight North Korean refugees in South Korea. Individual barriers were limited knowledge, lack of perceived need for preventive services, and concerns about costs. Environmental facilitators included having female providers, receiving family support, and free screenings. Refugees' health outlook, including viewing cancers as fatal diseases, hindered seeking Pap tests. Multi-faceted approaches to address individual and environmental factors in promoting Pap tests are warranted.

  7. Abyssal intimacies and temporalities of care: How (not) to care about deformed leaf bugs in the aftermath of Chernobyl.

    Science.gov (United States)

    Schrader, Astrid

    2015-10-01

    Prompted by a classroom discussion on knowledge politics in the aftermath of the Chernobyl disaster, this article offers a reading of Hugh Raffles' Insectopedia entry on Chernobyl. In that entry, Raffles describes how Swiss science-artist and environmental activist Cornelia Hesse-Honegger collects, studies, and paints morphologically deformed leaf bugs that she finds in the proximity of nuclear power plants. In exploring how to begin to care about beings, such as leaf bugs, this article proposes a notion of care that combines an intimate knowledge practice with an ethical relationship to more-than-human others. Jacques Derrida's notion of 'abyssal intimacy' is central to such a combination. Hesse-Honegger's research practices enact and her paintings depict an 'abyssal intimacy' that deconstructs the oppositions between concerns about human suffering and compassion for seemingly irrelevant insects and between knowledge politics and ethics. At the heart of such a careful knowledge production is a fundamental passivity, based on a shared vulnerability. An abyssal intimacy is not something we ought to recognize; rather, it issues from particular practices of care that do not identify their subjects of care in advance. Caring or becoming affected thus entails the dissociation of affection not only from the humanist subject, but also from movements in time: from direct helping action and from the assumption that advocacy necessarily means speaking for an other, usually assumed to be inferior.

  8. The Horoman Peridotite Massif: an Example of Ancient Ultraslow-Spreading Ridge Abyssal Peridotites?

    Science.gov (United States)

    Shimizu, N.; Warren, J. M.; Frey, F. A.; Takazawa, E.

    2006-12-01

    Ultraslow-spreading ridges (full spreading rate less than 20 mm per year) comprise about one third (lengthwise) of the global ridge system today, and might also have been important in the geologic past, particularly after breakup of large continents. Geochemical studies of abyssal peridotites show that large local- scale (single-dredge to hand specimen scales) variations in isotopic composition, modal abundance of clinopyroxene (CPX), and trace element abundance in CPX are distinct characteristics of ultraslow-spreading ridge peridotites. It is suggested that these local-scale variabilities are produced by melt-rock reaction during melt migration in the mantle (e.g., Warren et al., 2006). We explored using these geochemical characteristics to identify ancient ultraslow-spreading ridge peridotites among "orogenic lherzolite massifs". The Horoman peridotite massif in Hokkaido, Japan, possesses DMM-like initial Nd and Sr isotopic characteristics at the time of melt extraction, and displays large variations in modal CPX (13.2 - 5.2%, only for lherzolites and plagioclase lherzolites) and in trace elements in CPX (e.g., Nd ranges from 0.3 to 10 times C1 chondrite) over a sampling scale length of 150 m. Additionally, there is ample evidence for chromatographic melt-rock reaction in the presence of garnet (Takazawa et al., 1996; Yoshikawa and Nakamura, 2000). These geochemical characteristics are very similar to those observed for the present-day ultraslow-spreading ridge peridotites such as those from the SWIR and Gakkel ridge. A whole-rock Sm-Nd isochron age for the plagioclase lherzolites of 830+/-78 Ma (Yoshikawa and Nakamura, 2000) and a suggestion by Saal et al. (2001) that refertilization of depleted peridotites by a MORB-like magma occurred around 900 Ma, based on the Re-Os systematics, indicate that melt extraction and melt-rock reaction formed the Horoman peridotite massif at 800 to 900 Ma. This time is similar to that, 750 Ma, estimated for formation of the

  9. Environmental and bathymetric influences on abyssal bait-attending communities of the Clarion Clipperton Zone

    Science.gov (United States)

    Leitner, Astrid B.; Neuheimer, Anna B.; Donlon, Erica; Smith, Craig R.; Drazen, Jeffrey C.

    2017-07-01

    The Clarion-Clipperton Zone (CCZ) is one of the richest manganese nodule provinces in the world and has recently become a focus area for manganese nodule mining interests. However, this vast area remains poorly studied and highly undersampled. In this study, the abyssal bait-attending fauna is documented for the first time using a series of baited camera deployments in various locations across the CCZ. A bait-attending community intermediate between those typical of the California margin and Hawaii was found in the larger CCZ area, generally dominated by rattail fishes, dendrobranchiate shrimp, and zoarcid and ophidiid fishes. Additionally, the western and eastern ends of the CCZ had different communities, with the western region characterized by decreased dominance of rattails and small shrimps and increased dominance of ophidiids (especially Bassozetus sp. and Barathrites iris) and large shrimps. This trend may be related to increasing distance from the continental margin. We also test the hypothesis that bait-attending communities change across the CCZ in response to key environmental predictors, especially topography and nodule cover. Our analyses showed that higher nodule cover and elevated topography, as quantified using the benthic positioning index (BPI), increase bait-attending community diversity. Elevated topography generally had higher relative abundances, but taxa also showed differing responses to the BPI metric and bottom temperature, causing significant community compositional change over varying topography and temperatures. Larger individuals of the dominant scavenger in the CCZ, Coryphaenoides spp., were correlated with areas of higher nodule cover and with abyssal hills, suggesting these areas may be preferred habitat. Our results suggest that nodule cover is important to all levels of the benthic ecosystem and that nodule mining could have negative impacts on even the top-level predators and scavengers in the CCZ. Additionally, there is

  10. Negative HPV screening test predicts low cervical cancer risk better than negative Pap test

    Science.gov (United States)

    Based on a study that included more than 1 million women, investigators at NCI have determined that a negative test for HPV infection compared to a negative Pap test provides greater safety, or assurance, against future risk of cervical cancer.

  11. Why Do Chilean Women Choose to Have or Not Have Pap Tests?

    Science.gov (United States)

    Urrutia, María-Teresa; Araya, Alejandra; Jaque, Maria-Fernanda

    To describe the perceptions of Chilean women about why women choose to have or not have Pap test screening. Qualitative research using content analysis according to Krippendorf. Four urban health clinics in Santiago, Chile. Fifty-seven Chilean women. Audiotaped focus groups. Six themes emerged: Reasons that make it difficult for women to schedule appointments, Characteristics of health professionals that make it difficult to have a Pap test, Characteristics of the test that are barriers to having a Pap test, The relationship of the test with cancer, Family context, and Each woman's personal characteristics. Primary health care providers play an important role in promoting adherence to cervical cancer screening. Nurses should proactively address women's perceptions and knowledge about screening and openly and uniformly discuss the importance and benefits of Pap test screening. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  12. Light and the E3 ubiquitin ligase COP1/SPA control the protein stability of the MYB transcription factors PAP1 and PAP2 involved in anthocyanin accumulation in Arabidopsis.

    Science.gov (United States)

    Maier, Alexander; Schrader, Andrea; Kokkelink, Leonie; Falke, Christian; Welter, Bastian; Iniesto, Elisa; Rubio, Vicente; Uhrig, Joachim F; Hülskamp, Martin; Hoecker, Ute

    2013-05-01

    Anthocyanins are natural pigments that accumulate only in light-grown and not in dark-grown Arabidopsis plants. Repression of anthocyanin accumulation in darkness requires the CONSTITUTIVELY PHOTOMORPHOGENIC1/SUPPRESSOR OF PHYA-105 (COP1/SPA) ubiquitin ligase, as cop1 and spa mutants produce anthocyanins also in the dark. Here, we show that COP1 and SPA proteins interact with the myeloblastosis (MYB) transcription factors PRODUCTION OF ANTHOCYANIN PIGMENT1 (PAP)1 and PAP2, two members of a small protein family that is required for anthocyanin accumulation and for the expression of structural genes in the anthocyanin biosynthesis pathway. The increased anthocyanin levels in cop1 mutants requires the PAP1 gene family, indicating that COP1 functions upstream of the PAP1 gene family. PAP1 and PAP2 proteins are degraded in the dark and this degradation is dependent on the proteasome and on COP1. Hence, the light requirement for anthocyanin biosynthesis results, at least in part, from the light-mediated stabilization of PAP1 and PAP2. Consistent with this conclusion, moderate overexpression of PAP1 leads to an increase in anthocyanin levels only in the light and not in darkness. Here we show that SPA genes are also required for reducing PAP1 and PAP2 transcript levels in dark-grown seedlings. Taken together, these results indicate that the COP1/SPA complex affects PAP1 and PAP2 both transcriptionally and post-translationally. Thus, our findings have identified mechanisms via which the COP1/SPA complex controls anthocyanin levels in Arabidopsis that may be useful for applications in biotechnology directed towards increasing anthocyanin content in plants. © 2013 The Authors The Plant Journal © 2013 John Wiley & Sons Ltd.

  13. Strong Flows of Bottom Water in Abyssal Channels of the Atlantic

    Science.gov (United States)

    Morozov, E. G.

    Analysis of bottom water transport through the abyssal channels of the Atlantic Ocean is presented. The study is based on recent observations in the Russian expeditions and historical data. A strong flow of Antarctic Bottom Water from the Argentine Basin to the Brazil Basin through the Vema Channel is observed on the basis of lowered profilers and anchored buoys with current meters. The further flow of bottom water in the Brazil Basin splits in the northern part of the basin. Part of the bottom water flows to the East Atlantic through the Romanche and Chain fracture zones. The other part follows the bottom topography and flows to the northwester into the North American Basin. Part of the northwesterly flow propagates through the Vema Fracture Zone into the Northeastern Atlantic. This flow generally fills the bottom layer in the Northeastern Atlantic basins. The flows of bottom waters through the Romanche and Chain fracture zones do not spread to the Northeast Atlantic due to strong mixing in the equatorial zone and enhanced transformation of bottom water properties.

  14. Perceptions and concerns of women undergoing Pap smear examination in a tertiary care hospital of India.

    Science.gov (United States)

    Tiwari, A; Kishore, J; Tiwari, A

    2011-01-01

    Cervical cancer is one of the major causes of deaths due to cancer among women in India. Pap smear is one of the best methods to detect early changes in cervix. However, there is lack of data on awareness level of women about Pap smear and various risk factors for cervical cancer. To study the awareness about various risk factors for cervical cancer, health-seeking behavior and hygienic practices among women and to assess the distress experienced by these women before the Pap smear examination. This cross-sectional study was carried out on women coming for a Pap smear examination in a tertiary teaching hospital in New Delhi. A pretested interview schedule was used to get information after obtaining their informed consent. Fifty-seven percent stated that they did not consult a doctor when they noticed the symptoms the first time. Sixty-one percent did not know what a cervical cancer is and a same percentage of women did not know what a Pap smear examination was. Older age group, Muslim and literate women had higher number of abnormal Pap smear results. Women who reported being stressed in their lives had higher number of abnormal smears as compared to women who claimed to lead a stress free life. Poor hygienic practices among these women from urban areas were also associated with abnormal Pap smear results. The study concluded that factors such as poor awareness, shyness, poor hygiene, and old age could be responsible for abnormal Pap smears and this needs special attention in cancer prevention activities of the government.

  15. Cervical cancer: developments in screening and evaluation of the abnormal Pap smear.

    OpenAIRE

    Walsh, J M

    1998-01-01

    Of the more than 50 million Pap smears performed annually in the United States, about 5% of them are abnormal. Although the need for treatment of high-grade lesions is clear, the appropriate management of low-grade lesions remains controversial. New methods of screening for cervical cancer have become available, including testing for the human papilloma virus and improved methods of administering and evaluating the Pap smear. This review addresses new developments in cervical cancer screening...

  16. Abnormal Vaginal Pap Test After Hysterectomy in Human Immunodeficiency Virus-Infected Women.

    Science.gov (United States)

    Smeltzer, Stephanie; Yu, Xiaoying; Schmeler, Kathleen; Levison, Judy

    2016-05-01

    To evaluate the prevalence of abnormal vaginal cytology and vaginal intraepithelial neoplasia (VAIN) and vaginal cancer in human immunodeficiency virus (HIV)-infected women with no history of abnormal cytologic screening who had a hysterectomy for conditions other than cervical dysplasia and cancer; and to explore the risk factors associated with VAIN and vaginal cancer. A retrospective cohort study was performed identifying 238 women between January 2000 to January 2015 with a history of HIV, previous hysterectomy, and no previous abnormal Pap tests. Medical records from patients with both HIV and history of hysterectomy were reviewed from Thomas Street Health Center and Northwest Community Health Center. Among 238 women, 164(69%) had normal Pap test results, 12(5%) had results showing atypical cells of undermined significance and human papillomavirus-positive, 55(23.1%) had results showing low-grade squamous intraepithelial lesion, and 7(2.9%) had results showing high-grade squamous intraepithelial lesion. No demographic risk factor was associated with abnormal Pap test after hysterectomy. Median follow-up time for the Pap test was 16 years. Of those who underwent vaginal biopsies for an abnormal Pap test, 15(28%) were normal, 23(43%) were VAIN1, 9(16%) were VAIN2, and 7(13%) were VAIN3. No patients had invasive vaginal cancer. Over 30% of HIV-infected women who had no pre-hysterectomy history of an abnormal Pap test had abnormal vaginal Pap tests. Among those who had vaginal biopsies, 29% had VAIN2 or VAIN3, suggesting that Pap tests post-hysterectomy in the HIV population may be indicated.

  17. Decision making about Pap test use among Korean immigrant women: A qualitative study.

    Science.gov (United States)

    Kim, Kyounghae; Kim, Soohyun; Gallo, Joseph J; Nolan, Marie T; Han, Hae-Ra

    2017-08-01

    Understanding how individuals make decisions about Pap tests concerning their personal values helps health-care providers offer tailored approaches to guide patients' decision making. Yet research has largely ignored decision making about Pap tests among immigrant women who experience increased risk of cervical cancer. To explore decision making about Pap tests among Korean immigrant women. We conducted a qualitative descriptive study using 32 semi-structured, in-depth interviews with Korean immigrant women residing in a north-eastern metropolitan area. Data were audio-recorded, transcribed verbatim and analysed using inductive coding. Although most women with positive decisions made their own decisions, some women deferred to their providers, and others made decisions in collaboration with their providers and significant others. While women making positive decisions tended to consider both barriers to and facilitators of having Pap tests, women making negative decisions predominantly discussed the barriers to having Pap tests, such as modesty and differences between the South Korean and US health-care systems. The women's reflections on their decisions differed regarding their Pap test decisions. Women's desired roles in the decision-making process and reflection on their decision outcome appeared to vary, although most participants with positive decisions made their own decisions and were satisfied with their decisions. Future research should conduct longitudinal, quantitative studies to test our findings regarding decision-making processes and outcomes about Pap tests. The findings should be incorporated into cervical cancer screening practices to fulfil the unmet needs of immigrant women in patient-provider communication and to facilitate women's decision making about Pap tests. © 2016 The Authors. Health Expectations published by John Wiley & Sons Ltd.

  18. Abnormal Vaginal Pap Test Results After Hysterectomy in Human Immunodeficiency Virus-Infected Women.

    Science.gov (United States)

    Smeltzer, Stephanie; Yu, Xiaoying; Schmeler, Kathleen; Levison, Judy

    2016-07-01

    To evaluate the prevalence of abnormal vaginal cytology and vaginal intraepithelial neoplasia (VAIN) and vaginal cancer in human immunodeficiency virus (HIV)-infected women with no history of abnormal cytologic screening who had a hysterectomy for conditions other than cervical dysplasia and cancer and to explore the risk factors associated with VAIN and vaginal cancer. A retrospective cohort study was performed identifying 238 women between January 2000 and January 2015 with a history of HIV, previous hysterectomy, and no previous abnormal Pap test results. Medical records from patients with both HIV and a history of hysterectomy were reviewed from Thomas Street Health Center and Northwest Community Health Center. Among 238 women, 164 (69%) had normal Pap test results, 12 (5%) had results showing atypical cells of undermined significance and human papillomavirus-positive, 55 (23.1%) had results showing low-grade squamous intraepithelial lesion, and seven (2.9%) had results showing high-grade squamous intraepithelial lesion. No demographic risk factor was associated with abnormal Pap test results after hysterectomy. Median follow-up time for the Pap test was 16 years. Of those who underwent vaginal biopsies for abnormal Pap test results, 15 (28%) had normal results, 23 (43%) had VAIN 1, nine (16%) had VAIN 2, and seven (13%) had VAIN 3. No patients had invasive vaginal cancer. More than 30% of HIV-infected women who had no prehysterectomy history of abnormal Pap test results had abnormal vaginal Pap test results. Among those who had vaginal biopsies, 29% had VAIN 2 or 3, suggesting that Pap testing posthysterectomy in the HIV population may be indicated.

  19. Trends in Pap Testing Over Time for Women With and Without Chronic Disability.

    Science.gov (United States)

    Iezzoni, Lisa I; Kurtz, Stephen G; Rao, Sowmya R

    2016-02-01

    Data from 20 years ago--shortly after passage of the Americans with Disabilities Act--showed that women with significant mobility disability had 40% lower Pap test rates than other women. To examine whether disability disparities in Pap test rates have diminished over time, this study analyzed National Health Interview Survey responses from selected years between 1998 and 2010 from women aged 21-65 years without histories of cervical cancer or hysterectomy. Seven chronic disability types were identified using self-reported functional impairments or participation limitations. Self-reported Pap testing within the previous 3 years was studied. Bivariable analyses and multivariable logistic regression analyses controlling for sociodemographic variables were conducted in 2014. Rates of all chronic disability types increased over time. Pap test rates remained relatively constant over time for all women, holding around 84%-87%. Bivariable analyses found statistically significantly lower rates of Pap testing for women with disability compared with nondisabled women. Multivariable analyses failed to find consistent evidence of lower Pap test rates among women across disability types compared with nondisabled women. In 2010, the AOR for reporting Pap testing for women noting the most severe movement difficulty compared with nondisabled women was 0.35 (95% CI=0.15, 0.79). However, the AOR for this disability type varied over time. Little has changed over time in Pap test rates for all women. Women with certain disabilities continue to experience disparities compared with nondisabled women in receipt of this important screening test. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  20. PULSATILE ARTERIAL PRESSURE (PAP AND VASCULAR REMODELLING INDICES: SEARCH OF EARLY SYMPTOMS OF CARDIOVASCULAR PATHOLOGY IN CHILDREN

    Directory of Open Access Journals (Sweden)

    O. V. Kozhevnikova

    2015-01-01

    Full Text Available Objective: To determine the standards of pulsatile arterial pressure (PAP in healthy children and the possibility to use PAP as an indicator of the condition of vessels in children with increased body mass index (BMI. Methods: The results of non-invasive arteriography in children aged 3–17 years with normal (apparently healthy children, n =291 and increased BMI (n =211 are presented. A group of children with normal BMI was formed by dispensary examinations in schools and kindergartens. Children with increased BMI (secondary nature of overweight and obesity are excluded were observed as outpatients. The PAP analysis was carried out in regard to age, sex, height, and BMI. The interaction of PAP with other hemodynamics and vascular remodelling indices was investigated. Results: PAP percentile tables in healthy children by age and growth groups are obtained. PAP above the 90th percentile is diagnosed in 7.2% of apparently healthy children, in 7.7% of overweight and in 22.4% of obese children. The dependence of the PAP rate on age, height and BMI is shown. The connection of high PAP in overweight children with signs of the vascular wall remodelling is established. Conclusion: The presented percentile tables of PAP rates in healthy children with normal BMI can be used to detect increased PAP in children at risk of cardiovascular disease developing.

  1. Age and Pattern of Pap Smear Abnormalities: Implications for Cervical Cancer Control in a Developing Country.

    Science.gov (United States)

    Akinfolarin, Adepiti Clement; Olusegun, Ajenifuja Kayode; Omoladun, Okunola; Omoniyi-Esan, G O; Onwundiegu, Uche

    2017-01-01

    To characterize the age and pattern of Pap smear abnormalities in a major teaching hospital in Southwestern Nigeria. This is a review of medical records of patients that came for cervical cancer screening. The Pap smear results of women between May 2013 and April 2015 were retrieved. A total of 2048 Pap smear results were retrieved during the study period and analyzed with Statistical Package for Social Sciences (SPSS) version 20. A total of 252 (12.3%) samples were excluded from the analysis. The mean age of the women was 45.77 ± 9.9 years and the mode was 50 years. Normal Pap smear result was reported in 728 (40.6%) women. Only 20 women has had more than one more than one Pap smear done. The most common abnormality was inflammatory smear result as this was reported in 613 (29.9%) women. Atypical squamous cell of undetermined significance, low-grade squamous intraepithelial lesion (LGSIL), and high-grade squamous intraepithelial lesion (HGSIL) were reported in 117 (5.7%), 209 (10.2%), and 111 (5.4%) women, respectively. Atypical glandular cell and squamous cell carcinoma were reported in 12 (6.0%) and 3 (1.0%), respectively. There is a high incidence of abnormal Pap smear in this environment and women start cervical cancer screening late in their reproductive life, past the age at which cervical premalignant lesions peak. This may be a contributing factor to the high burden of cervical cancer in developing countries.

  2. Health Belief Model Scale for Cervical Cancer and Pap Smear Test: psychometric testing.

    Science.gov (United States)

    Guvenc, Gulten; Akyuz, Aygul; Açikel, Cengiz Han

    2011-02-01

    This study is a report of the development and psychometric testing of the Health Belief Model Scale for Cervical Cancer and the Pap Smear Test. While the Champion Health Belief Model scales have been tested extensively for breast cancer and screening for this, evaluation of these scales in explaining the beliefs of women with regard to cervical cancer and the Pap Smear Test has only received limited attention. This methodological research was carried out in Turkey in 2007. The data were collected with 237 randomly selected women who met the criteria for inclusion and agreed to participate in this study. The Champion Health Belief Model scales were translated into Turkish, adapted for cervical cancer, validated by professional experts, translated back into English and pilot-tested. Factor analysis yielded five factors: Pap smear benefits and health motivation, Pap smear barriers, seriousness, susceptibility and health motivation. Cronbach's alpha reliability coefficients for the five subscales ranged from 0·62 to 0·86, and test-retest reliability coefficients ranged from 0·79 to 0·87 for the subscales. The Health Belief Model Scale for Cervical Cancer and the Pap Smear Test was found to be a valid and reliable tool in assessing the women's health beliefs. Understanding the beliefs of women in respect of cervical cancer and the Pap Smear Test will help healthcare professionals to develop more effective cervical cancer screening programmes. © 2010 Blackwell Publishing Ltd.

  3. Knowledge and attitude of women attending Subharti Medical College towards Pap smear.

    Science.gov (United States)

    Prateek, Shashi; Gupta, Smriti; Gupta, Akanksha; Choudhary, Sonam; Prakash, Diksha; Nain, Geetika

    2018-03-19

    The aim of this prospective study was to assess the knowledge and attitude of women towards the Pap smear. It was carried out on the women coming to the Department of Obstetrics and Gynaecology at our University, with the help of a pre-formed questionnaire. We found that only 33% of the women were aware of the Pap smear, and of these hardly (10%) had the correct information. Sixty-five percent of the women said that they would have gotten the Pap smear done, if they had known about it earlier. Unless this knowledge amongst women is improved and their attitude is changed, the indices of cervical cancer cannot be improved. Impact statement What is already known on this subject? A Pap smear is used as a screening test to detect not only early stages of cervical cancer but also the precancerous conditions. A Pap smear is done every three years for routine screening, or every five years along with an HPV DNA test. What do the results of this study add? Despite the efforts from the medical fraternity and governments, the number of women undergoing this test in Uttar Pradesh is very minimal. This study analysed the knowledge and attitude of women towards the Pap smear. What are the implications of these findings for clinical practice and/or further research? The results have brought into light the many factors hindering an effective cervical cancer screening in India. Further actions need to be directed in the direction to address these issues.

  4. Factors Related to Regular Undergoing Pap-smear Test: Application of Theory of Planned Behavior.

    Science.gov (United States)

    Jalilian, Farzad; Emdadi, Shohreh

    2011-11-04

    Cervical cancer is the second most common cancer among women in the world and the most common cancer in developing countries. Pap smear is and effective tool that can prevent death due to cervical cancer. The aim of this study was to determine the factors related to doing regular Pap-smear test based on the theory of planned behavior. In this cross-sectional study, conducted in Hamadan County, the west of Iran, during 2009, a total of 400 women's aged 20 to 70 years old, were ran-domly selected to participate voluntarily in the study. Participants filled out a self-administered questionnaire including the expanded theory of planned behavior components. Data were analyzed by SPSS version 13 using chi-square, t-test, and logistic regression statistical tests at 95% significant level. Almost 63.8% of the participants had already done Pap-smear test at least once. About 28.3% of volunteers had followed a regular Pap-smear pro-gram. There was a significant correlation (PPap-smear test. In addition, there was a significant correlation (PPap-smear test. The best predictor for regular Pap-smear testing was subjective norms with odds ratio estimate of 1.14 [95% CI: 1.04, 1.23]. Based on our findings, subjective norms may be one of the most effective factors among women for doing regular Pap-smear test.

  5. Patient-provider communication with HIV-positive women about abnormal Pap test results.

    Science.gov (United States)

    Wigfall, Lisa T; Bynum, Shalanda A; Friedman, Daniela B; Brandt, Heather M; Richter, Donna L; Glover, Saundra H; Hébert, James R

    2017-01-01

    In this article, the authors examine communication between women living with human immunodeficiency virus (WLH) and health care providers (HCPs) regarding abnormal Pap tests. During the period of March 2011 through April 2012, 145 WLH were recruited from Ryan White funded clinics and community-based AIDS service organizations located in the southeastern United States. WLH who had an abnormal Pap test (69%, n = 100/145) were asked if their HCP shared and explained information about abnormal Pap tests. The authors performed chi-square tests and multivariable logistic regression analyses using Stata I/C 13. HCPs shared information about abnormal Pap tests with 60% of participants, and explained the information they shared to 78% of those. Health literate participants were more than three times as likely to have read the information received about abnormal Pap tests (adjusted odds ratio [aOR] = 3.49, 95% confidence interval [CI] 1.19-10.23), and almost five times as likely to have understood the cancer information they read (aOR = 4.70, 95% CI 1.55-14.24). Knowing other women who had had an abnormal Pap test was not significantly associated with cancer information seeking or processing after controlling for confounding factors. The present findings underscore the need to increase WLH's health literacy as an intermediate step to improving patient-provider communication among WLH. Lay sources of cancer information for WLH warrant further study.

  6. Knowledge, attitudes and practices regarding the Pap test among women in Northeastern Brazil.

    Science.gov (United States)

    Albuquerque, Carla Lorenna Ferreira de; Costa, Marla da Paschoa; Nunes, Felipe Moreira; Freitas, Roberto Wagner Junior Freire de; Azevedo, Paulo Roberto Medeiros de; Fernandes, José Veríssimo; Rego, Juciane Vaz; Barreto, Humberto Medeiros

    2014-01-01

    The Papanicolaou (Pap) test has been shown to be effective in preventing cervical cancer. However, both the national and international literature shows that Pap testing has not reached the level of coverage desired. The objective of this study was to assess women's knowledge, attitudes and practices regarding the Pap test and to investigate whether there are any associations between these three factors and the women's sociodemographic characteristics. Cross-sectional descriptive study conducted in Floriano, Piauí. The study was conducted among 493 women between November 2009 and December 2010. A questionnaire with precoded questions was sed, and the responses were analyzed in terms of appropriateness in relation to the Pap test. The degrees of adequacy of knowledge, attitudes and practices regarding the Pap test were 36.7%, 67.2% and 69.6%, respectively. Among the main barriers against testing, absence of symptoms and a sense of embarrassment were the most notable. Women who visit doctors periodically had the most appropriate practices regarding the Pap test, but their knowledge of the procedure was poor. This suggests that these women were not receiving adequate information about the benefits of periodic testing.

  7. Knowledge, attitudes and practices regarding the Pap test among women in northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Carla Lorenna Ferreira de Albuquerque

    Full Text Available CONTEXT AND OBJECTIVE: The Papanicolaou (Pap test has been shown to be effective in preventing cervical cancer. However, both the national and international literature shows that Pap testing has not reached the level of coverage desired. The objective of this study was to assess women's knowledge, attitudes and practices regarding the Pap test and to investigate whether there are any associations between these three factors and the women's sociodemographic characteristics. DESIGN AND SETTING: Cross-sectional descriptive study conducted in Floriano, Piauí. METHODS : The study was conducted among 493 women between November 2009 and December 2010. A questionnaire with precoded questions was sed, and the responses were analyzed in terms of appropriateness in relation to the Pap test. RESULTS : The degrees of adequacy of knowledge, attitudes and practices regarding the Pap test were 36.7%, 67.2% and 69.6%, respectively. Among the main barriers against testing, absence of symptoms and a sense of embarrassment were the most notable. CONCLUSIONS: Women who visit doctors periodically had the most appropriate practices regarding the Pap test, but their knowledge of the procedure was poor. This suggests that these women were not receiving adequate information about the benefits of periodic testing.

  8. PENYULUHAN METODE PAP SMEAR TERHADAP TINGKAT PENGETAHUAN DAN SIKAP WANITA TUNA SUSILA DALAM PENDETEKSIAN KANKER SERVIKS

    Directory of Open Access Journals (Sweden)

    Ismi Wulandari AS

    2015-03-01

    Full Text Available Abstract: The Effectiveness Of Pap smear Test’s Counseling Regarding To The Level Of Knowledge And Behaviour In Prostitution Worker For Detection Of Cervical Cancer In Bintang Mas Kubu Raya 2014. The aim of this study is to evaluate the effectivity of counseling toward knowledge and behavior. in prostitution worker about pap smear and cervical cancer. This research was quasi-experimental with one group pretest-postest design. There are 38 respondents. McNemar test showed there are significant. improvement of knowledge (p<0.05, and significance behavior change (p<0.05 in all respondents before and after counseling. Keyword : knowledge, behaviour, cervical cancer, pap smear Abstrak : Penyuluhan Metode Pap smear Terhadap Tingkat Pengetahuan Dan Sikap Wanita Tuna Susila Dalam Pendeteksian Kanker Serviks. Tujuan penelitian ini yaitu untuk melihat efektivitas terhadap pengetahuan dan sikap melalui penyuluhan mengenai pap smear kepada para wanita tuna susila. Rancangan penelitian yang digunakan dalam penelitian ini adalah quasi eksperimental dengan rancangan one group pretest-postest design. Besar sampel berjumlah 38 orang. Hasil menunjukkan uji McNemar menunjukkan terdapat signifikansi yang bermakna untuk pengetahuan (p < 0,05 dan signifikansi untuk perubahan sikap (p<0.05 pada responden sebelum dan setelah penyuluhan. Kata kunci : pengetahuan, sikap, kanker serviks, pap smear

  9. Comparison of visual inspection of cervix and pap smear for cervical cancer screening

    International Nuclear Information System (INIS)

    Tayyeb, R.; Khawaja, N.P.; Malik, N.

    2003-01-01

    Objective: To evaluate the performance of visual inspection of cervix (VIA) after application of 3% acetic acid in cervical cancer screening in comparison with PAP smear. Results: Out of 540 subjects, 356 were negative with both screening techniques. One hundred and fifty-six subjects were positive with VIA (28.9%) while PAP smear was positive in seventy-eight subjects (14.4%). The sensitivity of VIA was 93.9% and of PAP smear was 46.9%. Corresponding specificities were 30.4% and 69.5%. There was no significant difference between the positive predictive value (PPV) of both test (p<0.05). The accuracy of VIA was 77.5% compared to 52.8% of PAP smear. The difference was highly significant (p < 0.01). Conclusion: These results indicate that VIA is more sensitive and has a higher accuracy as compared to PAP smear. It could, therefore, be valuable in detection of precancerous lesions of cervix. Low cost, easy applicability and immediate results make VIA a useful screening test in developing countries like Pakistan as compared to PAP smear. (author)

  10. Nutritional Composition of Five Varieties of Pap Commonly Consumed in Maroua (Far-North, Cameroon

    Directory of Open Access Journals (Sweden)

    Ponka Roger

    2015-09-01

    Full Text Available The aim of this study was to determine the nutritional composition of five varieties of pap (cereal product commonly consumed in Maroua, city of the Far-North Region of Cameroon. The proximate composition (moisture, ash, protein, lipid, and crude fibre was determined by standard AOAC methods. Minerals (calcium, magnesium, sodium, potassium, iron, zinc, copper and manganese were determined by atomic absorption spectrophotometry and phosphorus was determined colorimetrically. Amino acid composition was determined by ion-exchange chromatography. All the pap varieties had a very high carbohydrate content (79.47-85.29 g/100 g dry matter. Appreciable levels of phosphorus and potassium were recorded in all the pap varieties (137.5-231.0 mg/100 g dry matter and 198.20-322.22 mg/100 g dry matter, respectively. Consumption of each pap (100 g by children 1-2 year old would meet 9.86-17.46% and 0.08-19.51% of their daily recommended intake respectively for protein and minerals. Leucine and glutamic acid were the most abundant essential amino acids and non-essential amino acids respectively in the pap. Essential amino acids in most of the pap samples met the recommended children requirement of the FAO/WHO/UNU for 1-2 year old children except methionine+cysteine and lysine.

  11. Awareness of Pap testing and factors associated with intent to undergo Pap testing by level of sexual experience in unmarried university students in Korea: results from an online survey

    Science.gov (United States)

    2014-01-01

    Background Young and unmarried women have not been a target group for cervical cancer prevention in Korea. No previous studies have investigated the awareness of Pap testing, the intention to undergo Pap testing, or the factors associated with that intention, in this group of women. This information would be useful for an expansion in the focus of primary cervical cancer prevention. This study aimed to compare the awareness of Pap testing between groups of unmarried university students in Korea, and to investigate the factors associated with the intention to undergo Pap testing, by level of sexual experience. Methods A total of 475 unmarried university students who had never undergone a Pap test completed a web-based survey. Differences in awareness of the importance of the Pap test, confidence in Pap testing, intention to undergo the test, attitudes, subjective norms, perceived control, stigma, and shame by level of sexual experience were analysed using independent t-tests. Associations between measurement variables and intention to undergo Pap testing were analysed using correlation analysis. Variables yielding significant associations (p Pap testing. Results Most participants perceived that the need for regular Pap testing was less important (score, 77.76) than other methods of cervical cancer prevention. They were not confident that is was an effective method of cervical cancer prevention for themselves (score, 59.56). There were differences in confidence in Pap testing and in the factors associated with intention to undergo Pap testing between sexually experienced and sexually inexperienced students. Regardless of level of sexual experience, the subjective norm was the most important predictor of intention to undergo Pap testing. Conclusions There was a low level of Pap screening awareness among the students. The factors associated with intention to undergo Pap testing differed by level of sexual experience. Social influence was an important factor that

  12. Awareness of Pap testing and factors associated with intent to undergo Pap testing by level of sexual experience in unmarried university students in Korea: results from an online survey

    OpenAIRE

    Kim, Hae Won

    2014-01-01

    Background Young and unmarried women have not been a target group for cervical cancer prevention in Korea. No previous studies have investigated the awareness of Pap testing, the intention to undergo Pap testing, or the factors associated with that intention, in this group of women. This information would be useful for an expansion in the focus of primary cervical cancer prevention. This study aimed to compare the awareness of Pap testing between groups of unmarried university students in Kor...

  13. The utilization and barriers of Pap smear among women with visual impairment.

    Science.gov (United States)

    Fang, Wen-Hui; Yen, Chia-Feng; Hu, Jung; Lin, Jin-Ding; Loh, Ching-Hui

    2016-04-12

    Many evidences illustrate that the Pap smear screening successfully reduces if the cervical cancer could be detected and treated sufficiently early. People with disability were higher comorbidity prevalence, and less likely to use preventive health care and health promotion activities. There were also to demonstrate that people with visual impairment has less access to appropriate healthcare services and is less likely to receive screening examinations. In Taiwan, there was no study to explore utilization of Pap smear, associated factors and use barriers about Pap smear screening test among women with visual impairment. The purpose is to explore the utilization and barriers of using Pap smear for women with visual impairment in Taiwan. To identify the barriers of women with visual from process of receiving Pap smear screening test. The cross-sectional study was conducted and the totally 316 participators were selected by stratified proportional and random sampling from 15 to 64 year old women with visual impairment who lived in Taipei County during December 2009 to January 2010. The data was been collected by phone interview and the interviewers were well trained before interview. The mean age was 47.1 years old and the highest percentage of disabled severity was mile (40.2 %). Totally, 66.5 % of participators were ever using Pap smear and 38.9 % used it during pass 1 year. Their first time to accept Pap smear was 38.8 year old. There was near 50 % of them not to be explained by professionals before accepting the Pap smear. For non-using cases, the top two percentage of barriers were "feel still younger" (22.3 %), the second was "there's no sexual experience" (21.4 %). We found the gynecology experiences was key factor for women with visual impairment to use Pap smear, especially the experiences was during 1 year (OR = 4). Associated factors and barriers to receive Pap smear screening test for women with visual impairment can be addressed through interventions

  14. Factors contributing to high ThinPrep® Pap test unsatisfactory rates in an academic medical center laboratory.

    Science.gov (United States)

    Selvaggi, Suzanne M

    2014-05-01

    Specimen adequacy is a key component in the cytologic evaluation of cervical Pap tests. At our institution, yearly unsatisfactory rates continue to be high, placing our laboratory in the 95th percentile for CAP benchmark data for unsatisfactory Pap test rates. Using the 2001 Bethesda System criteria, unsatisfactory Pap test rates were calculated over a ten year period (January 2002 to December 2011) and contributing factors were analyzed. Of the 124,457 ThinPrep Pap tests performed, 4,163 (3.3%) were unsatisfactory for evaluation, the majority (90%) due to too few squamous epithelial cells. Peri/postmenopausal women and those who had received radiation/chemotherapy had the highest unsatisfactory rates; 55% and 25%, respectively. Higher unsatisfactory Pap test rates are related to the patient population served. Defined, reproducible adequacy criteria need to be defined for Pap tests from patients in certain clinical conditions. Copyright © 2013 Wiley Periodicals, Inc.

  15. Scales and Causes of Chemical Heterogeneity in the Oceanic Mantle: Abyssal Peridotites from Gakkel Ridge

    Science.gov (United States)

    Hellebrand, E.; Snow, J. E.; Dick, H.; von der Handt, A.; Michael, P.

    2003-04-01

    We have obtained major and trace element mineral data on 80 residual abyssal peridotites from 19 dredge hauls, collected along Gakkel Ridge (spreading rate W to E: 13-10 mm/yr full). This data set allows us to address the extent and causes of along-ridge chemical variation as well as small- to local-scale heterogeneities. Gakkel Ridge can be divided into 3 regions: (1) the western region (west of 3^oE), characterized by normal-fault ridge morphology and complete basaltic crust; (2) a magma-poor region (3-19^oE), consisting mainly of abyssal peridotites and some basalts; and (3) the eastern region (east of 19^oE), dominated by basalts and subordinate peridotites. A giant point-source volcano at 20^oE divides the magma-poor from the eastern region. The magma-poor region can be divided into 4 domains from W to E. Domains A and B are devoid of basalts. Spinel Cr# in lhz varies between 0.14 and 0.21 (5 dr., n=23, 60 km along axis). In the easternmost B dredge haul, dunites were sampled (spinel Cr# 0.41-0.43), as yet the only evidence for local heterogeneity. Cpx are homogeneous on a dredge scale, but there is a clear distinction between the 3 western (A) and 2 eastern (B) dredges. In domain A, Na_2O is higher (˜0.9 vs ˜0.4 wt%) and REE patterns are less fractionated ((La/Nd)N: ˜1 vs ˜0.02). Domain C is basalt-dominated. Peridotites display large compositional variation (lhz, hzb, dun; Cr#: 0.15-0.53; LREE-depleted and -enriched within 1 dredge). The lowest Cr# in each dredge haul, which is relevant for estimating the regional degree of melting, varies from 0.16 to 0.21 and is therefore similar to domains A and B. Domain D consists exclusively of virtually cpx-free hzb and dun (4 dr., n=11, 40 km). The change from C to D is abrupt (<20 km). Cr#s between 0.53 and 0.60 are among the most depleted on the ocean floor, and not at all consistent with a spreading-rate dependent degree of melting. Most cpx REE patterns are LREE-enriched, 1 dunite is LREE-depleted, 2 hzb have

  16. Abyssal and deep circulation in the Eastern Mediterranean Sea (Ionian Sea)

    Science.gov (United States)

    Artale, Vincenzo; Bensi, Manuel; Falcini, Federico; Marullo, Salvatore; Rubino, Angelo

    2016-04-01

    In the mid-1990s, experimental evidences on the Eastern Mediterranean Transient (EMT) were presented and it was shown that the Mediterranean abyssal circulation is not in a steady state but can be subjected to episodic sudden changes (Roether et al., 1996). In the last 10 years the Ionian Sea, the central and deepest part of the Mediterranean Sea, was subjected to relevant scientific interests from a theoretical and experimental point of view. Among these, there is the discovery of the BiOS (Bimodal Oscillating System), one new mechanism that drives a periodic (almost decadal) redistribution of surface and subsurface waters in the Eastern Mediterranean, with considerable feedbacks in the variability of the deep-water formation both in the southern Adriatic and in the Levantine and Aegean sub-basins (Gačić et al., 2010). In the Ionian Sea, numerous recent observational campaigns have been conducted to investigate the behaviour of deep and abyssal waters, at depths between 2000-4000m that are comparable to the mean global ocean depth (Rubino and Hainbucher, 2007; Bensi et al., 2013). There, advection, diffusion and vertical stability of the water masses can assume an important role on the internal quasi-periodical variability, creating the preconditions for catastrophic events such as the EMT or reversals of the Ionian circulation (Pisacane et al., 2006). Since there are no significant deep heat sources in the world ocean, waters that fill the deep ocean can only return to the sea surface as a result of downward mixing of heat from the sea surface to the bottom and vice versa and this occurs through eddy diffusion. Along our presentation, mainly through the analysis of the deepest CTD casts taken from 2009 to 2011 in the eastern basins and in particular in the Ionian Sea, we will show a significant change in the deep thermohaline structure (including its biogeochemical and hydrological characteristics), giving an indication on the time scale of the renewal of deep

  17. 49 CFR 229.64 - Plain bearings.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Plain bearings. 229.64 Section 229.64 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION....64 Plain bearings. A plain bearing box shall contain visible free oil and may not be cracked to the...

  18. Relationships between Self-Efficacy and Pap Smear Screening in Iranian Women.

    Science.gov (United States)

    Majdfar, Zahra; Khodadost, Mahmoud; Majlesi, Freshteh; Rahimi, Abbas; Shams, Mohsen; Mohammadi, Gohar

    2016-01-01

    Cervical cancer is the fourth common cancer among women worldwide. Pap smear screening has resulted in deceasing incidence of cervical cancer in developed countries but low uptake of Pap smear screening among women in developing countries is still a public health challenge. The aim of this cross-sectional study was to assess the relationship between self-efficacy and timely uptake of Pap smear among Iranian women. A total of 580 married women referred to primary health care centers covered administratively by Shahid Beheshti University of Medical Sciences in Tehran were administered a questionnaire by trained staff. Data were analyzed with SPSS (version 16) software, using univariate and multivariate logistic regression. The mean age for participants was 33.1±8.8 years. There was a significant association between self-efficacy and Pap smear screening (Pcorrelation between duration of marriage and husband's education with Pap smear uptake (Pself-efficacy (OR = 15.3 for intermediate and OR=7.4 for good level), duration of marriage (OR = 5.7 for 5-14 years and OR=10.4 for more than 15), age (OR =2.7 for 27-34 years and OR=7.4 for more than 35 years) and husband education level (OR=2.3 for more than 12 years of education). In multivariate analysis, significant associations persisted between Pap smear uptake and self-efficacy (OR = 23.8; 95% CI: 8.7, 65.5), duration of marriage (OR = 5.9; 95% CI: 2.8, 12.2), age (OR = 3.9; 95% CI: 1.2, 12.9) and husband's education (OR = 2.5; 95% CI: 2.0, 10.3). Efforts are needed to increase women's knowledge about cervical cancer and improve their self-efficacy and perceptions of the Pap smear screening in order to reduce cervical cancer incidence and mortality rates.

  19. Regulation of anthocyanin biosynthesis in Arabidopsis thaliana red pap1-D cells metabolically programmed by auxins.

    Science.gov (United States)

    Liu, Zhong; Shi, Ming-Zhu; Xie, De-Yu

    2014-04-01

    Red pap1-D cells of Arabidopsis thaliana have been cloned from production of anthocyanin pigmentation 1-Dominant (pap1-D) plants. The red cells are metabolically programmed to produce high levels of anthocyanins by a WD40-bHLH-MYB complex that is composed of the TTG1, TT8/GL3 and PAP1 transcription factors. Here, we report that indole 3-acetic acid (IAA), naphthaleneacetic acid (NAA) and 2,4-dichlorophenoxyacetic acid (2,4-D) regulate anthocyanin biosynthesis in these red cells. Seven concentrations (0, 0.2, 0.4, 2.2, 9, 18 and 27 μM) were tested for the three auxins. IAA and 2,4-D at 2.2-27 μM reduced anthocyanin levels. NAA at 0-0.2 μM or above 9 μM also decreased anthocyanin levels, but from 0.4 to 9 μM, it increased them. HPLC-ESI-MS analysis identified seven cyanin molecules that were produced in red pap1-D cells, and their levels were affected by auxins. The expression levels of ten genes, including six transcription factors (TTG1, EGL3, MYBL2, TT8, GL3 and PAP1) and four pathway genes (PAL1, CHS, DFR and ANS) involved in anthocyanin biosynthesis were analyzed upon various auxin treatments. The resulting data showed that 2,4-D, NAA and IAA control anthocyanin biosynthesis by regulating the expression of TT8, GL3 and PAP1 as well as genes in the anthocyanin biosynthetic pathway, such as DFR and ANS. In addition, the expression of MYBL2, PAL1 and CHS in red pap1-D and wild-type cells differentially respond to the three auxins. Our data demonstrate that the three auxins regulate anthocyanin biosynthesis in metabolically programmed red cells via altering the expression of transcription factor genes and pathway genes.

  20. Cervical Cancer Prevention Knowledge and Abnormal Pap Test Experiences Among Women Living with HIV/AIDS.

    Science.gov (United States)

    Wigfall, Lisa T; Bynum, Shalanda A; Brandt, Heather M; Friedman, Daniela B; Bond, Sharon M; Lazenby, Gweneth B; Richter, Donna L; Glover, Saundra H; Hébert, James R

    2015-06-01

    Cervical cancer prevention knowledge deficits persist among women living with HIV/AIDS (WLHA) despite increased risk of developing cervical dysplasia/cancer. We examined associations between WLHA's cervical cancer prevention knowledge and abnormal Pap test history. We recruited 145 urban and rural WLHA from Ryan White-funded clinics and AIDS service organizations located in the southeastern USA between March 2011 and April 2012. For this analysis, women who reported a history of cervical cancer (n = 3) or had a complete hysterectomy (n = 14) and observations with missing data (n = 22) were excluded. Stata/IC 13 was used to perform cross-tabulations and chi-squared tests. Our sample included 106 predominantly non-Hispanic Black (92%) WLHA. Mean age was 46.3 ± 10.9 years. Half (50%) had ≤ high school education. One third (37%) had low health literacy. The majority (83 %) had a Pap test Pap test every year, once two tests are normal. Many (68%) have had an abnormal Pap test. Abnormal Pap test follow-up care knowledge varied. While 86% knew follow-up care could include a repeat Pap test, only 56% knew this could also include an HPV test. Significantly, more women who had an abnormal Pap test knew follow-up care could include a biopsy (p = 0.001). For WLHA to make informed/shared decisions about their cervical health, they need to be knowledgeable about cervical cancer care options across the cancer control continuum. Providing WLHA with prevention knowledge beyond screening recommendations seems warranted given their increased risk of developing cervical dysplasia/neoplasia.

  1. Dietary exposure to brominated flame retardants and abnormal Pap test results.

    Science.gov (United States)

    Jamieson, Denise J; Terrell, Metrecia L; Aguocha, Nnenna N; Small, Chanley M; Cameron, Lorraine L; Marcus, Michele

    2011-09-01

    This study examined a possible association of dietary exposure to polybrominated biphenyls (PBBs), a brominated flame retardant, and self-reported abnormal Pap test results and cervical dysplasia as a precursor to cervical cancer. Women in Michigan who ingested contaminated poultry, beef, and dairy products in the early 1970s were enrolled in a population-based cohort study in Michigan. Serum PBB and serum polychlorinated biphenyl (PCB) concentrations were measured. Reproductive history and health information, including Pap test results, were self-reported by participants. Of the women, 23% (223 of 956) reported an abnormal Pap test. In unadjusted analyses, self-reporting an abnormal Pap test was associated with younger age, current smoking (hazard ratio [HR] 1.61, 95% confidence interval [CI] 1.19-2.17), and longer duration of lifetime use of oral contraceptives (≥10 years; HR 1.92, 95% CI 1.21-3.06). When adjusting for PCB exposure, age at the interview, and smoking history, there was a slightly elevated risk of self-reporting an abnormal Pap test among the highly exposed women compared to women with nondetectable PBB concentrations (PBB≥13 μg/L, HR 1.23, 95% CI 0.74-2.06); however, the CI was imprecise. When breastfeeding duration after the initial PBB measurement was taken into account, there was a reduced risk of self-reporting an abnormal Pap test among the highly exposed women who breastfed for ≥12 months (HR 0.41, 95% CI 0.06-3.03; referent group: women with nondetectable PBB concentrations who did not breastfeed). It remains important to evaluate the potential reproductive health consequences of this class of chemicals as well as other potential predictors of abnormal Pap tests.

  2. National assessment of HPV and Pap tests: Changes in cervical cancer screening, National Health Interview Survey.

    Science.gov (United States)

    Watson, Meg; Benard, Vicki; King, Jessica; Crawford, Anatasha; Saraiya, Mona

    2017-07-01

    Major organizations recommend cytology screening (Pap test) every 3years for women aged 21-65; women aged 30 to 65 have the option of adding the HPV test (co-test) every 5years. We examined national percentages of cervical cancer screening, and we examined use of co-testing as an option for screening. We used 2015 U.S. National Health Interview Survey (NHIS) data to examine recent cervical cancer screening (Pap test within 3years among women aged 21-65 without a hysterectomy; N=10,596) and co-testing (N=9,125). We also conducted a multivariable analysis to determine odds of having had a Pap test or co-test by demographic variables. To evaluate changes in screening over time, we examined Pap testing during the years 2000, 2005, 2008, 2010, 2013 and 2015. Analysis completed in Atlanta, GA during 2016. Overall, 81.1% of eligible women reported having a Pap test within 3years; percentages declined over time among all age groups. An estimated 14 million women aged 21-65 had not been screened within the past 3years. Recent immigrants to the United States, women without insurance, and women without a usual source of healthcare had lower odds of being up to date with screening. About 1/3 of women up to date on Pap testing reported having a co-test with their most recent Pap test. Declines in screening among women aged 21-65 are cause for concern. More research is needed on co-testing practices. Provider and patient education efforts may be needed to clarify recommended use of HPV tests. Published by Elsevier Inc.

  3. Importance of a 5′ Stem-Loop for Longevity of papA mRNA in Escherichia coli

    OpenAIRE

    Bricker, Angela L.; Belasco, Joel G.

    1999-01-01

    High-level expression of the major pilus subunit (PapA) of uropathogenic strains of Escherichia coli results in part from the unusually long lifetime of the mRNA that encodes this protein. Here we report that the longevity of papA mRNA derives in large measure from the protection afforded by its 5′ untranslated region. This papA RNA segment can prolong the lifetime of an otherwise short-lived mRNA to which it is fused. In vivo alkylation studies indicate that, in its natural milieu, the papA ...

  4. Persistent disparities in pap test use: assessments and predictions for Asian women in the U.S., 1982-2010.

    Science.gov (United States)

    Yu, Tzy-Chyi; Chou, Chiu-Fang; Johnson, Pamela Jo; Ward, Andrew

    2010-08-01

    Disparities in cancer screening among U.S. women are well documented. However, little is known about Pap test use by Asian women living in the U.S. Data for women, ages 18 and older, living in the U.S. were obtained from National Health Interview Survey (NHIS) files from 1982 to 2005. Outcomes were ever having a Pap test and having a Pap test within the preceding 3 years. Pap test prevalence trends were estimated by race and ethnicity and for Asian subgroups. Fractional logit models were used to predict Pap test use in 2010. Although the rate of having a Pap test within the preceding 3 years increased slightly from 1982 to 2005 for all U.S. women, Asian women continue to have the lowest rate. Pap test use also varied within Asian subpopulations living in the U.S. None of the races and ethnicities are predicted to reach the Pap test targets of Healthy People 2010. To reduce or eliminate continuing disparities in Pap test use requires targeted policy interventions.

  5. Agroecologia: Potencializando os papéis das mulheres rurais

    Directory of Open Access Journals (Sweden)

    Fabiana da Silva Andersson

    2017-04-01

    Full Text Available O artigo analisa se e como a agroecologia potencializa os papéis das mulheres rurais, em sua maioria agricultoras, dos municípios de Arroio do Padre e São Lourenço do Sul (RS. Através da realização de entrevistas em profundidade e da observação participante, o artigo analisa as percepções dessas mulheres a respeito das realidades por elas vivenciadas tanto no âmbito produtivo (lavoura como reprodutivo (doméstico. É importante destacar que, em Arroio do Padre, há um processo incipiente de “agroecologização”, ou seja, as unidades familiares encontram-se nos níveis iniciais da transição agroecológica. Já em São Lourenço do Sul, observou-se que essas mulheres atuam na agroecologia há mais de 40 anos. Estas distintas trajetórias conferem percepções de mundo diferenciadas entre os dois contextos sociais. Enquanto para as interlocutoras de Arroio do Padre a agroecologia pouco interfere em suas escolhas dentro e fora de casa, já para as entrevistadas de São Lourenço do Sul é essencial no repensar das relações estabelecidas no lar e no seu entorno, especialmente nos assuntos que tangem aos mercados e a sua valorização enquanto “agricultora”.

  6. Correlation of Cervical Pap Smear with Biopsy in the Lesion of Cervix.

    Science.gov (United States)

    Dhakal, R; Makaju, R; Sharma, S; Bhandari, S; Shrestha, S; Bastakoti, R

    Background Cervical cancer can be controlled to a greater extent by screening to improve morbidity and mortality. Pap smear is important screening method, which has proven to be highly effective in reducing the number of cases and the mortality from cervical carcinoma. Any abnormality detected in pap smear has to be confirmed with cervical biopsy, which remains the reference investigation. Objective To find the changes of cervical cytology by pap smear, to classify cervical lesions into malignant and benign groups on cytological and histopathological basis and to correlate the changes observed in cervical cytology with cervical biopsy. Method This is a prospective cross sectional study done in between July 2014 and July 2015 in Dhulikhel Hospital, Kathmandu University Hospital. During the period, all the samples requested for pap smear were studied. The cases who had undergone both pap smear and cervical biopsy were compared. Clinical data were obtained from requisition submitted along with the cytology and tissue specimens received in the department. Result During the study period, total 1922 pap smears were performed and out of them 75 patients were advised to do cervical biopsy. On cytology, out of total 1922 number of cases, 67.90% were normal, 27.90% were inflammatory smears, 3.80% were unsatisfactory (inadequate) and 0.40% were high grade intraepithelial lesions. Highest numbers of patients screened for pap smear ranged from 31 to 40 years. On histopathology, 78.70% had chronic cervicitis, 8% had normal findings, 1.30% had moderate and 6.70% had severe squamous intraepithelial lesions. The frank malignancy was found in 5.30%. The mean age ± SD for carcinoma was 52.75±6.29. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value of pap smear were 77.80%, 100%, 100% and 97% respectively considering cervical biopsy as the gold standard Conclusion This study revealed a good correlation of cervical cytology with cervical biopsy

  7. Implementasi Algoritma PSO Dan Teknik Bagging Untuk Klasifikasi Sel Pap Smear

    Directory of Open Access Journals (Sweden)

    Toni Arifin

    2017-09-01

      Abstract Cancer is one of the leading causes of death in worldwide. In Indonesia cervical cancer and breast cancer is a cancer disease with most patients. The cause of cervical cancer is HPV virus (Human Papilloma Virus types 16 and 18. Pap Smear test is one of the prevention of cervical cancer early. On Pap Smear examination the cells will be observed under a microscope to distinguish normal and abnormal cells, on this examination Pathologists sometimes find it difficult to observe cells because of the almost identical cell shape, and examination are time-consuming and sometimes faulty. The purpose of this research is to propose a classification model for Pap Smear to facilitate Pathologists. The method is used a combination of Particle Swarm Optimization for selection feature and Bagging technique to overcome an unbalanced of classes. From the combination of the two methods, we tested the classification method of Decision Tree, Naïve Bayes and K-NN to find out the comparison of each classification method.  The result of this research indicate that the incorporation of Particle Swarm Optimization method and Bagging Technique proved effective for classification of Pap Smear cells, it is viewed from the accuracy shown results. Classification with K-NN method gives the best accuracy for normal and abnormal cell classification of 95,05%, while classification method with best accuracy for classification 7 class is Decision Tree with 64,24%.   Keywords: Cervical Cancer, Pap Smear and Classification.

  8. "It Can Promote an Existential Crisis": Factors Influencing Pap Test Acceptability and Utilization Among Transmasculine Individuals.

    Science.gov (United States)

    Peitzmeier, Sarah M; Agénor, Madina; Bernstein, Ida M; McDowell, Michal; Alizaga, Natalie M; Reisner, Sari L; Pardee, Dana J; Potter, Jennifer

    2017-12-01

    Transmasculine (i.e., female-to-male transgender) individuals have lower rates of cervical cancer screening than nontransgender women and often report negative experiences with the Pap test. Deciding to undergo screening and the test experience itself are characterized by the following processes: negotiating identity as the patient, provider, and insurance company wrestle with the degree of (in)congruence between a patient's masculine gender identity and their conception of the Pap test as feminine; bargaining for health as a Pap test may be required to obtain medical transition services or avoid undesired health outcomes; withstanding acute challenges during the Pap test to body, identity, and privacy; or reframing challenges as affirmation. The degree of distress triggered by the Pap test varied from "routine" to traumatic. Participants affirmed that a trusted, trans-competent health care provider could significantly reduce barriers to regular and satisfactory cervical cancer screening. Data are from 32 in-depth interviews conducted in Boston, Massachusetts, with transmasculine individuals; a modified grounded theory approach informed the analysis.

  9. Beliefs about cervical cancer and Pap test: a new Chilean questionnaire.

    Science.gov (United States)

    Urrutia, Maria-Teresa; Hall, Rosemary

    2013-06-01

    The purpose of this study was to develop and validate a questionnaire to examine women's beliefs about cervical cancer and the Pap test in Chilean women. The questionnaire, developed following the guidelines by Robert de Vellis, is based on the Health Belief Model. The content validity index was 0.93 upon review by 10 Chilean experts. A cross-sectional design was implemented to validate the questionnaire. The sample included 333 women recruited from a women's healthcare center in Santiago, Chile. Exploratory factor analysis was used to evaluate validity and coefficient α to evaluate reliability. After six models were computed, the questionnaire was reduced from 53 to 28 items. The new questionnaire, CPC-28 (in Spanish, Creencias, Papanicolaou, Cancer -28), includes six domains: the barriers domain to take a Pap test, the cues to action domain, the severity domain, the need to have a Pap test domain, the susceptibility to cervical cancer domain, and the benefit domain. The unexpected salient factor "need to have a Pap test" was found as part of the susceptibility domain proposed in the initial questionnaire. This finding is an important topic for future research. The CPC-28 questionnaire explained 49% of the total variance, and the reliability was .735. It was concluded that the CPC-28 questionnaire will have important implications on research, education, and administration across disciplines. Nursing curricula and healthcare providers must stress the importance and reinforce the importance of prevention of cervical cancer and regular Pap test screenings. © 2013 Sigma Theta Tau International.

  10. Potential effects of updated pap test screening guidelines and adenocarcinoma in situ of the cervix.

    Science.gov (United States)

    Barroilhet, Lisa; Van Hanegem, Lennie; Bernstein, Marilyn; Feldman, Sarah

    2013-04-01

    To review cases of adenocarcinoma in situ (AIS) at our institution to examine how updated guidelines affect the timing of diagnosis. We identified patients with AIS diagnosed between 1998 and 2010 using the International Classification of Diseases, 9 Revision, Clinical Modification, code 233.1. Diagnosis was confirmed by pathology review. We abstracted demographic data, dysplasia history, and modalities utilized for diagnosis and treatment. We identified 242 patients who met selection criteria. Two hundred eight (86%) had Pap test abnormalities at presentation. One hundred thirty-seven out of 208 (66%) patients with abnormal Pap test results had a squamous, rather than glandular, abnormality. The mean time from abnormal Pap test to diagnosis of AIS was 29 months in patients older than 30 years and was 21 months in patients 30 years or younger. In patients younger than 21 years, 16 out of 17 had abnormal screening Pap test results showing squamous lesions. Their subsequent treatment for squamous dysplasia ultimately led to the diagnosis of AIS. : Updated screening guidelines may prevent the expeditious diagnosis of AIS in females younger than 21 years and those aged 21-29 years, many of whom had normal Pap test results within 3 years of diagnosis. II.

  11. Effects of State Cervical Cancer Insurance Mandates on Pap Test Rates.

    Science.gov (United States)

    Bitler, Marianne P; Carpenter, Christopher S

    2017-02-01

    To evaluate the effects of state insurance mandates requiring insurance plans to cover Pap tests, the standard screening for cervical cancer that is recommended for nearly all adult women. Individual-level data on 600,000 women age 19-64 from the CDC's Behavioral Risk Factor Surveillance System. Twenty-four states adopted state mandates requiring private insurers in the state to cover Pap tests from 1988 to 2000. We performed a difference-in-differences analysis comparing within-state changes in Pap test rates before and after adoption of a mandate, controlling for the associated changes in other states that did not adopt a mandate. Difference-in-differences estimates indicated that the Pap test mandates significantly increased past 2-year cervical cancer screenings by 1.3 percentage points, with larger effects for Hispanic and non-Hispanic white women. These effects are plausibly concentrated among insured women. Mandating more generous insurance coverage for even inexpensive, routine services with already high utilization rates such as Pap tests can significantly further increase utilization. © Health Research and Educational Trust.

  12. Metastatic urinary tract cancers in pap test: Cytomorphologic findings and differential diagnosis.

    Science.gov (United States)

    Allison, Derek B; Olson, Matthew T; Maleki, Zahra; Ali, Syed Z

    2016-12-01

    Although the cervical Pap test was devised for the detection of primary cervical neoplasia, it can provide additional diagnostic information, and in some cases, be diagnostic for noncervical processes. The diagnosis of metastatic extrauterine cervical cancers on the Pap test is extremely rare; and in most cases, it is the result of an ovarian or fallopian tube primary. Further, urinary tract cancers, including renal and urinary primaries are exceedingly rare. To our knowledge, six surgical cases of metastatic clear cell renal cell carcinoma (RCC) have been described. We report the first case of metastatic clear cell RCC detected on the cervical Pap test. Additionally, to our knowledge, we report the second case of metastatic high-grade urothelial carcinoma detected on the cervical Pap test. Both patients had a history of malignancy, which underscore the importance of broadening the differential diagnosis to rule out cytomorphologic features consistent with a patient's primary diagnosis when interpreting the cervical Pap test. Diagn. Cytopathol. 2016;44:1078-1081. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  13. Plain Polynomial Arithmetic on GPU

    International Nuclear Information System (INIS)

    Haque, Sardar Anisul; Maza, Marc Moreno

    2012-01-01

    As for serial code on CPUs, parallel code on GPUs for dense polynomial arithmetic relies on a combination of asymptotically fast and plain algorithms. Those are employed for data of large and small size, respectively. Parallelizing both types of algorithms is required in order to achieve peak performances. In this paper, we show that the plain dense polynomial multiplication can be efficiently parallelized on GPUs. Remarkably, it outperforms (highly optimized) FFT-based multiplication up to degree 2 12 while on CPU the same threshold is usually at 2 6 . We also report on a GPU implementation of the Euclidean Algorithm which is both work-efficient and runs in linear time for input polynomials up to degree 2 18 thus showing the performance of the GCD algorithm based on systolic arrays.

  14. Southern Great Plains Safety Orientation

    Energy Technology Data Exchange (ETDEWEB)

    Schatz, John

    2014-05-01

    Welcome to the Atmospheric Radiation Measurement (ARM) Climate Research Facility (ARM) Southern Great Plains (SGP) site. This U.S. Department of Energy (DOE) site is managed by Argonne National Laboratory (ANL). It is very important that all visitors comply with all DOE and ANL safety requirements, as well as those of the Occupational Safety and Health Administration (OSHA), the National Fire Protection Association, and the U.S. Environmental Protection Agency, and with other requirements as applicable.

  15. Intensity of pelagic-benthic coupling in different regions along the Antarctic Polar Front - Clues from abyssal megafauna

    Science.gov (United States)

    Würzberg, Laura; Zinkann, Ann-Christine; Brandt, Angelika; Janussen, Dorte; Bohn, Jens M.; Schwabe, Enrico

    2014-10-01

    The zone surrounding the Antarctic Polar Front is a region characterized by elevated seasonal primary production. Studies on the implications for the fauna inhabiting the underlying deep-sea floor, however, are rare. The present study focuses on the abundance of megafaunal organisms caught by means of an Agassiz Trawl during the SYSTem COupling in the Southern Ocean II (SYSTCO II) expedition (RV Polarstern cruise ANT XXVIII/3). Biomass estimates in terms of volume as well as species richness of echinoderms were additionally taken into account. Abyssal stations (ca. 4000 m depth) located in three different regions along the Antarctic Polar Front characterized by different primary production regimes and oceanographic features were sampled. One shallower station (337 m depth) was used as reference station. Highest megafaunal abundances were found at the shallow station (147 individuals per 1000 m2). Megafaunal abundances were low to moderate at the abyssal stations (7.2-23.5 individuals per 1000 m2) with the exception of the region northwest of South Georgia, where distinctly higher abundances were found (up to 119.7 individuals per 1000 m2). The same pattern was observed for biomass estimates. At the other regions, magnitude of megafaunal abundances and echinoderm biomasses were found not to be linked to the surface levels of primary production. This indicates that strong pelagic-benthic coupling likely occurs only downstream of South Georgia. Echinoderm species richness does not appear to be directly related to the environmental conditions as it does not differ statistically between the considered areas.

  16. Abyssal near-bottom dispersal stages of benthic invertebrates in the Clarion-Clipperton polymetallic nodule province

    Science.gov (United States)

    Kersten, Oliver; Smith, Craig R.; Vetter, Eric W.

    2017-09-01

    Growing interest in polymetallic nodule mining has intensified the need to characterize the abundance, community structure and vertical flux of meroplankton in the Clarion-Clipperton Zone (CCZ) to facilitate the estimation of larval supply and potential connectivity of benthic populations. These ecological parameters are essential to predict recolonization processes following the expected large-scale, high intensity disturbances associated with nodule extraction. Here, we present the first description of the composition, abundance, temporal variability, and mesoscale distribution of dispersing stages of the benthos in two study areas in the eastern CCZ. Samples from free-vehicle plankton pumps showed little variation in meroplankton diversity and abundance over scales of 30-100 km for time scales of days to weeks. However, sediment-trap samples revealed high temporal variability in vertical flux over weeks to months. Larval abundances and fluxes measured in the abyssal CCZ are 1-2 orders of magnitude lower than observed at deep-sea ridge and hydrothermal-vent habitats. We found significantly higher downward larval fluxes at 11 m above the bottom (mab) than at 146 mab, indicating accumulation or retention of meroplankton within the Benthic Boundary Layer (BBL). The high abundance of meroplankton in the BBL emphasizes its importance to dispersing stages and suggests that the creation of large sediment plumes in the BBL during nodule mining could compromise the dispersal and recruitment abilities of the abyssal benthos, potentially slowing rates and altering patterns of benthic community recovery following mining disturbance.

  17. Ventilation of the abyssal Southern Ocean during the late Neogene: A new perspective from the subantarctic Pacific

    Science.gov (United States)

    Waddell, Lindsey M.; Hendy, Ingrid L.; Moore, Theodore C.; Lyle, Mitchell W.

    2009-09-01

    Benthic foraminiferal stable carbon isotope records from the South Atlantic show significant declines toward more "Pacific-like" values at ˜7 and ˜2.7 Ma, and it has been posited that these shifts may mark steps toward increased CO2 sequestration in the deep Southern Ocean as climate cooled over the late Neogene. We generated new stable isotope records from abyssal subantarctic Pacific cores MV0502-4JC and ELT 25-11. The record from MV0502-4JC suggests that the Southern Ocean remained well mixed and free of vertical or interbasinal δ13C gradients following the late Miocene carbon shift (LMCS). According to the records from MV0502-4JC and ELT 25-11, however, cold, low δ13C bottom waters developed in the Southern Ocean in the late Pliocene and persisted until ˜1.7 Ma. These new data suggest that while conditions in the abyssal Southern Ocean following the LMCS were comparable to the present day, sequestration of respired CO2 may have increased in the deepest parts of the Southern Ocean during the late Pliocene, a critical period for the growth and establishment of the Northern Hemisphere ice sheets.

  18. Pap Test Reporting Rates for Conventional Smear and Liquid-Based Cervical Cytology from the Largest Academic Women's Hospital in China: Analysis of 1,248,785 Pap Test Reports.

    Science.gov (United States)

    Tao, Xiang; Austin, R Marshall; Zhang, Hao; Zhang, Lihong; Xiao, Jianan; Wang, Li; Zhou, Xianrong; Zhao, Chengquan

    2015-01-01

    The Obstetrics and Gynecology Hospital of Fudan University (OGHFU) in Shanghai is the largest academic women's hospital in China. Between 2009 and 2014, the use of liquid-based cytology (LBC) significantly increased while gradually adopting the Bethesda System (TBS), and in 2012 local regulations mandated that pathologists replace technicians to sign out Pap tests. A retrospective OGHFU database search documented all Pap test reports between 2009 and 2014 by specimen type, either LBC or conventional Pap smears (CPS), and final reporting category. A total of 1,224,785 Pap reports were analyzed to document variations in Pap test reporting during a period of major change in cervical screening in China. LBC gradually replaced CPS, which declined from over 65% of Pap tests in 2010 to 6.4% in 2014. Of 514,811 Pap reports using the traditional class system, class I (negative) reports accounted for 98.3% of results. With the introduction of TBS reporting, pathologist reviews and substantial replacement of CPS by LBC, the laboratory abnormal Pap test rate increased significantly to almost 5%. Changes in cervical cytology reporting between 2009 and 2014 in China's largest academic women's hospital reflected both increased use of LBC and the introduction of pathologist TBS reporting. Abnormality rates increased significantly and fell within CAP benchmark ranges. © 2016 S. Karger AG, Basel.

  19. Environmental regulation of leaf colour in red 35S:PAP1 Arabidopsis thaliana.

    Science.gov (United States)

    Rowan, Daryl D; Cao, Mingshu; Lin-Wang, Kui; Cooney, Janine M; Jensen, Dwayne J; Austin, Paul T; Hunt, Martin B; Norling, Cara; Hellens, Roger P; Schaffer, Robert J; Allan, Andrew C

    2009-01-01

    * High-temperature, low-light (HTLL) treatment of 35S:PAP1 Arabidopsis thaliana over-expressing the PAP1 (Production of Anthocyanin Pigment 1) gene results in reversible reduction of red colouration, suggesting the action of additional anthocyanin regulators. High-performance liquid chromatography (HPLC), liquid chromatography mass spectrometry (LCMS) and Affimetrix-based microarrays were used to measure changes in anthocyanin, flavonoids, and gene expression in response to HTLL. * HTLL treatment of control and 35S:PAP1 A. thaliana resulted in a reversible reduction in the concentrations of major anthocyanins despite ongoing over-expression of the PAP1 MYB transcription factor. Twenty-one anthocyanins including eight cis-coumaryl esters were identified by LCMS. The concentrations of nine anthocyanins were reduced and those of three were increased, consistent with a sequential process of anthocyanin degradation. Analysis of gene expression showed down-regulation of flavonol and anthocyanin biosynthesis and of transport-related genes within 24 h of HTLL treatment. No catabolic genes up-regulated by HTLL were found. * Reductions in the concentrations of anthocyanins and down-regulation of the genes of anthocyanin biosynthesis were achieved by environmental manipulation, despite ongoing over-expression of PAP1. Quantitative PCR showed reduced expression of three genes (TT8, TTG1 and EGL3) of the PAP1 transcriptional complex, and increased expression of the potential transcriptional repressors AtMYB3, AtMYB6 and AtMYBL2 coincided with HTLL-induced down-regulation of anthocyanin biosynthesis. * HTLL treatment offers a model system with which to explore anthocyanin catabolism and to discover novel genes involved in the environmental control of anthocyanins.

  20. Comparison of Pap Smear and Colposcopy in Screening for Cervical Cancer in Patients with Secondary Immunodeficiency.

    Science.gov (United States)

    Karimi-Zarchi, Mojgan; Zanbagh, Leila; Shafii, Alireza; Taghipour-Zahir, Shokouh; Teimoori, Soraya; Yazdian-Anari, Pouria

    2015-11-01

    Cervical cancer is the second most common cancer among women worldwide. The sensitivity of conventional Pap smear in detecting cervical lesions before cervical cancer is 51%, which means the false negative value is 49%. The aim of this study was to compare two methods for screening for cervical cancer in patients with secondary immunodeficiency, i.e., the conventional Pap smear and colposcopy. This cross-sectional study was conducted on 101 immunodeficient patients who were referred to the Gynecologic Clinic at Shahid Sadughi Hospital in Yazd from March 2011 to August 2012. All patients underwent the Pap test, a colposcopy, and a cervical biopsy, with the latter being considered as the gold-standard test. The most frequency of immunodeficiency was noted among patients with rheumatoid arthritis (53.3%), and this was followed by patients who were undergoing chemotherapy (30.7%), patients with lupus erythematosus (12.9%), and patients with AIDS (3%). The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of the Pap smear were 18.2, 98.5, 85.5, 71.3, and 72.2%, respectively. The respective values for colposcopy were 66.7, 98.94, 80, 97.9, and 97%, respectively. In this study the accuracy, sensitivity, specificity, and negative predictive values of colposcopy were higher than those for the Pap smear in detecting high-grade, cervical, pre-malignant lesions (cervical intraepithelial neoplasia: CIN ≥ 2). Therefore, an annual colposcopy is advised for secondary immunodeficient patients instead of a Pap smear.

  1. Age and pattern of Pap smear abnormalities: Implications for cervical cancer control in a developing country

    Directory of Open Access Journals (Sweden)

    Adepiti Clement Akinfolarin

    2017-01-01

    Full Text Available Aim: To characterize the age and pattern of Pap smear abnormalities in a major teaching hospital in Southwestern Nigeria. Design: This is a review of medical records of patients that came for cervical cancer screening. Materials and Methods: The Pap smear results of women between May 2013 and April 2015 were retrieved. A total of 2048 Pap smear results were retrieved during the study period and analyzed with Statistical Package for Social Sciences (SPSS version 20. A total of 252 (12.3% samples were excluded from the analysis. Results: The mean age of the women was 45.77 ± 9.9 years and the mode was 50 years. Normal Pap smear result was reported in 728 (40.6% women. Only 20 women has had more than one more than one Pap smear done. The most common abnormality was inflammatory smear result as this was reported in 613 (29.9% women. Atypical squamous cell of undetermined significance, low-grade squamous intraepithelial lesion (LGSIL, and high-grade squamous intraepithelial lesion (HGSIL were reported in 117 (5.7%, 209 (10.2%, and 111 (5.4% women, respectively. Atypical glandular cell and squamous cell carcinoma were reported in 12 (6.0% and 3 (1.0%, respectively. Conclusion: There is a high incidence of abnormal Pap smear in this environment and women start cervical cancer screening late in their reproductive life, past the age at which cervical premalignant lesions peak. This may be a contributing factor to the high burden of cervical cancer in developing countries.

  2. Perception and use of Pap smear screening among rural and urban women in Romania.

    Science.gov (United States)

    Grigore, Mihaela; Popovici, Razvan; Pristavu, Anda; Grigore, Ana Maria; Matei, Mioara; Gafitanu, Dumitru

    2017-12-01

    In 2012 the National Screening Program for all women between 25 and 64 years of age was launched in Romania. Public awareness is an important factor in the success of a screening program. For this reason, we intended to assess the perception and the level of awareness of Romanian women regarding the Pap test in the prevention of cervical cancer. A cross-sectional study was conducted among 454 women from rural and urban areas. For our study, we used a questionnaire covering general characteristics, awareness, knowledge and practices regarding cervical cancer and Pap smear. 431 participants (95%) had heard of cervical cancer and Pap smear but only 71.8% knew the exact role of it. Bivariate analysis showed that knowledge about the importance of the Pap smear, early detection and treatment of early-stage cervical cancer was reduced among women with low socio-economic status, mainly living in rural area. The most frequent reasons for avoiding Pap smear screening were: lack of money, embarrassment or fear of gynaecological consultation and pain, the feeling that they don't need it, misconceptions about cervical cancer, fatalistic attitude, perceived low susceptibility to cervical cancer. Because the uptake and the success of cervical cancer screening are determined by women's knowledge and awareness of Pap smear, it is critical to improve these perceptions in the near future especially in rural area characterized by a low socio-economic status. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  3. HPV DNA and Pap smear test results in cases with and without cervical pathology.

    Science.gov (United States)

    Ozalp, Sabit Sinan; Us, Tercan; Arslan, Emine; Oge, Tufan; Kaşifoğlu, Nilgün

    2012-01-01

    The aim of the study was to determine the HPV prevalance and its relation to Pap smear, colposcopy and colposcopy directed biopsy in our region of Eskisehir, Turkey. A total of 615 women who applied to the outpatient clinic between December 2009 and December 2010 constituted our study population. All patients underwent pelvic examination and Pap smear sampling. Patients who had pathological cervical appearance or Pap smear results of ASCUS, AGUS, LSIL or HSIL were referred to colposcopy. Cervical samples for HPV DNA were taken from the patients before Pap smear sampling during the routine examination or before the colposcopic evaluation. Twenty six of 615 patients (4%) were HPV positive. Of these 26 patients, 12 were positive for HPV type 16, 3 for type 18, 3 for type 51, 2 for type 6, 1 for type 52, 1 for type 33, 1 for type 16 and type 31, 1 for type 6 and 52, 1 for type 56 and 90, 1 for type 39 and 66. In 4 patients with cervical cancer, and in 3 of 4 CIN III cases both HPV DNA and Pap smear were positive. In the Pap smear examination of 615 patients, cytology revealed 35 ASCUS (5.6%) 4 AGUS (0.6%), 2 CIN I (0.3%) results who were negative for HPV DNA. These patients with abnormal cytology (n=41) underwent colposcopy directed biopsy, there were 3 CIN I and 1 CIN III and all the other cervical biopsy results of these patients were benign (inflammation, chronic cervicitis). HPV positivity in our hospital setting is low which is compatible with other studies in Turkey. In positive HPV cases there is a good correlation between HPV type and positive cervical biopsy results.

  4. Awareness and practice of cervical cancer and Pap smear testing in a teaching hospital in Tehran

    Directory of Open Access Journals (Sweden)

    Mansoureh Ghaoomi

    2016-06-01

    Full Text Available Background: Cervical cancer is known to be preventable because of long period of pre-invasive stage, availability of screening tools, and effective treatments for early invasive cervical lesions. Screening is main measures to prevent the disease and Pap smear is a screening strategy for cervical cancer. Current paper aimed to evaluate levels of awareness and practice regarding Pap smear screening among women aged between 20 to 65 years in Tehran (Iran. Methods: This was a descriptive-analytical study conducted in Tehran City of Iran in 2015 at Firoozgar Hospital. The research population included all married, widowed and divorced women aged 20-65 years. Data analysis was performed using the Pearson correlation and Student’s t-tests in SPSS, ver. 23 (Chicago, IL, USA. Results: Among 90 individuals who have fill questionnaire completely, 66.6% subjects had Pap smear tests. 40% of the individuals aged between 30 to 39 and the education level is distributed equally between Intermediate, Diploma and graduate and only 3 percent of them, continue their education to higher level. There was a significant relationship between the awareness of Pap smear and educational level (of both wives and husbands. The people who have graduate degree, have the best awareness. Working women revealed higher level of awareness about Pap smear. Shame and fear of taking the cancer were the most common reasons which lead to avoidance in doing the test by the women, while the most encouraging factors for performing the test were the information mostly provided by physicians and after that, the information provided by friends. Conclusion: The awareness of Pap smear test which was measured by weighting different questions in the questionnaire by experts, prove that the women aged above 39, have an average level of awareness of Pap smear test. Due to high prevalence of cervical cancer and prolonged pre invasive course, role of Pap smear for early diagnosis necessitate the use

  5. Pap-smear Classification Using Efficient Second Order Neural Network Training Algorithms

    DEFF Research Database (Denmark)

    Ampazis, Nikolaos; Dounias, George; Jantzen, Jan

    2004-01-01

    In this paper we make use of two highly efficient second order neural network training algorithms, namely the LMAM (Levenberg-Marquardt with Adaptive Momentum) and OLMAM (Optimized Levenberg-Marquardt with Adaptive Momentum), for the construction of an efficient pap-smear test classifier. The alg......In this paper we make use of two highly efficient second order neural network training algorithms, namely the LMAM (Levenberg-Marquardt with Adaptive Momentum) and OLMAM (Optimized Levenberg-Marquardt with Adaptive Momentum), for the construction of an efficient pap-smear test classifier...

  6. Comparison of Pap smear screening results between Akha hill tribe and urban women in Chiang Rai province, Thailand.

    Science.gov (United States)

    Kritpetcharat, Onanong; Wutichouy, Wiwat; Sirijaichingkul, Suchat; Kritpetcharat, Panutas

    2012-01-01

    Cervical cancer is an important woman's health problems worldwide, especially in low socio-economic countries. The aim of this study was to compare the Pap smear screening results between Akha hill tribe and urban women who live in Chiang Rai province, Thailand. Screening was conducted for 1,100 Akha women and 1,100 urban women who came to have the Pap smear at Chiangrai Prachanukroh Hospital and 1 private cytology laboratory from January to June 2008. The demographic characteristics and factors related to abnormal Pap smears of these women were gathered using closed model questionnaires. Abnormal Rap smears were defined according to the Bethesda 2001 system. The results showed that the prevalence of abnormal Pap smears was 12.2% in Akha women and 4.5% in urban women. The highest prevalence of Pap abnormalities was found in the 41-50 years age group in both populations (4.5% in Akha and 1.7% in urban women). In both populations, abnormal Pap smears were found in education level. In conclusion, cervical cancer control by education and early detection by Pap smear screening is necessary for hill tribe women. More Pap smear screening service units should be set to improve the coverage for the risk group women who got married in young age, especial in ethnic groups.

  7. CNS activity of Pokeweed Anti-viral Protein (PAP in mice infected with Lymphocytic Choriomeningitis Virus (LCMV

    Directory of Open Access Journals (Sweden)

    Tibbles Heather E

    2005-02-01

    Full Text Available Abstract Background Others and we have previously described the potent in vivo and in vitro activity of the broad-spectrum antiviral agent PAP (Pokeweed antiviral protein against a wide range of viruses. The purpose of the present study was to further elucidate the anti-viral spectrum of PAP by examining its effects on the survival of mice challenged with lymphocytic choriomeningitis virus (LCMV. Methods We examined the therapeutic effect of PAP in CBA mice inoculated with intracerebral injections of the WE54 strain of LCMV at a 1000 PFU dose level that is lethal to 100% of mice within 7–9 days. Mice were treated either with vehicle or PAP administered intraperitoneally 24 hours prior to, 1 hour prior to and 24 hours, 48 hours 72 hours and 96 hours after virus inoculation. Results PAP exhibits significant in vivo anti- LCMV activity in mice challenged intracerebrally with an otherwise invariably fatal dose of LCMV. At non-toxic dose levels, PAP significantly prolonged survival in the absence of the majority of disease-associated symptoms. The median survival time of PAP-treated mice was >21 days as opposed to 7 days median survival for the control (p = 0.0069. Conclusion Our results presented herein provide unprecedented experimental evidence that PAP exhibits antiviral activity in the CNS of LCMV-infected mice.

  8. Influencing Factors of Intention to Receive Pap Tests in Vietnamese Women who Immigrated to Taiwan for Marriage

    Directory of Open Access Journals (Sweden)

    Fang-Hsin Lee, PhD, RN

    2016-09-01

    Conclusions: Preventive healthcare for immigrant women should be a focus of nurses. The development of culturally appropriate health education and strategies should enhance their knowledge of Pap tests and reduce perceived barriers to Pap test participation. This study's results can be a reference for nurses who work with immigrant women.

  9. The characteristics and relevant factors of Pap smear test use for women with intellectual disabilities in Taiwan.

    Science.gov (United States)

    Yen, Suh-May; Kung, Pei-Tseng; Tsai, Wen-Chen

    2014-06-02

    This study examines the Pap smear usage conditions and relevant influential factors for 18,204 women aged 30 years and above with intellectual disabilities, using nationwide data from 2008. The research method of this study is secondary data analysis. The data was obtained from three nationwide databases from 2006 to 2008. This study employed descriptive statistics to analyze the use and rate of Pap smear testing by women with intellectual disabilities. Chi-square test was used to assess the correlation between Pap smear test usage and several variables. Logistic regression analysis was employed to explore the factors that influence Pap smear test usage. The results show that 4.83% (n =880) of women with intellectual disabilities underwent Pap smear tests. Pap smear test usage rates exhibit a declining trend with increases in age. Factors that significantly influence Pap smear test use include age, urbanization level of resident area, monthly salary, aboriginal status, marital status, existence of DM, severity of disability. The women with intellectual disabilities had a low use rate of Pap smear test, which is significantly less than the 28.8% usage rate for the general population of women aged 30 years and above.

  10. Star-PAP Control of BIK Expression and Apoptosis Is Regulated by Nuclear PIPKIα and PKCδ Signaling

    Science.gov (United States)

    Li, Weimin; Laishram, Rakesh S.; Ji, Zhe; Barlow, Christy A.; Tian, Bin; Anderson, Richard A.

    2012-01-01

    SUMMARY BIK protein is an initiator of mitochondrial apoptosis and BIK expression is induced by pro-apoptotic signals including DNA damage. Here we demonstrate that 3′-end processing and expression of BIK mRNA are controlled by the nuclear PI4,5P2-regulated poly(A) polymerase Star-PAP downstream of DNA damage. Nuclear PKCδ is a key mediator of apoptosis and DNA damage stimulates PKCδ association with the Star-PAP complex where PKCδ is required for Star-PAP-dependent BIK expression. PKCδ binds the PI4,5P2-generating enzyme PIPKIα, which is essential for PKCδ interaction with the Star-PAP complex and PKCδ activity is directly stimulated by PI4,5P2. Features in the BIK 3′-UTR uniquely define Star-PAP specificity and may block canonical PAP activity toward BIK mRNA. This reveals a nuclear phosphoinositide signaling nexus where PIPKIα, PI4,5P2 and PKCδ regulate Star-PAP control of BIK expression and induction of apoptosis. This pathway is distinct from the Star-PAP-mediated oxidative stress pathway indicating signal-specific regulation of mRNA 3′-end processing. PMID:22244330

  11. “First” abyssal record of Stenosemus exaratus (G.O. Sars, 1878 (Mollusca, Polyplacophora in the North-Atlantic Ocean

    Directory of Open Access Journals (Sweden)

    Louise Allcock

    2013-04-01

    Full Text Available The first proven abyssal record of Stenosemus exaratus (G.O. Sars, 1878 is presented on the basis of an ROV study in the Irish Sea. For the first time in situ images of the species and data on the environmental parameters are provided.

  12. [Health technology assessment report: Computer-assisted Pap test for cervical cancer screening].

    Science.gov (United States)

    Della Palma, Paolo; Moresco, Luca; Giorgi Rossi, Paolo

    2012-01-01

    HEALTH PROBLEM: Cervical cancer is a disease which is highly preventable by means of Pap test screening for the precancerous lesions, which can be easily treated. Furthermore, in the near future, control of the disease will be enhanced by the vaccination which prevents the infection of those human papillomavirus types that cause the vast majority of cervical cancers. The effectiveness of screening in drastically reducing cervical cancer incidence has been clearly demonstrated. The epidemiology of cervical cancer in industrialised countries is now determined mostly by the Pap test coverage of the female population and by the ability of health systems to assure appropriate follow up after an abnormal Pap test. Today there are two fully automated systems for computer-assisted Pap test: the BD FocalPoint and the Hologic Imager. Recently, the Hologic Integrated Imager, a semi-automated system, was launched. The two fully automated systems are composed of a central scanner, where the machine examines the cytologic slide, and of one or more review stations, where the cytologists analyze the slides previously centrally scanned. The softwares used by the two systems identify the fields of interest so that the cytologists can look only at those points, automatically pointed out by the review station. Furthermore, the FocalPoint system classifies the slides according to their level of risk of containing signs of relevant lesions. Those in the upper classes--about one fifth of the slides--are labelled as « further review », while those in the lower level of risk, i.e. slides that have such a low level of risk that they can be considered as negative with no human review, are labelled as « no further review ». The aim of computer-assisted Pap test is to reduce the time of slide examination and to increase productivity. Furthermore, the number of errors due to lack of attention may decrease. Both the systems can be applied to liquidbased cytology, while only the BD Focal

  13. Non-chondritic HSE budget in Earth's upper mantle evidenced by abyssal peridotites from Gakkel ridge (Arctic Ocean)

    Science.gov (United States)

    Liu, Chuan-Zhou; Snow, Jonathan E.; Brügmann, Gerhard; Hellebrand, Eric; Hofmann, Albrecht W.

    2009-06-01

    Constraints on the highly siderophile element (HSE: including Os, Ir, Ru, Pt, Pd and Re) budget of the upper mantle upwelling beneath mid-ocean ridges have until now been based on samples that have experienced varying degrees of alteration, partial melting and secondary igneous processes. Here we present results from a set of abyssal peridotites that have been relatively unaffected by these phenomena. Eighteen abyssal peridotites from two localities along the ultra-slow spreading Gakkel Ridge (Arctic Ocean) were selected for this study. Samples from one locality (PS66-238) are extremely fresh, while those from HLY0102-D70 are typical abyssal serpentinites. Comparison of HSE data between fresh peridotites and weathering products supports the contention that HSE are stable during serpentinization, but that Pd and Re are mobile during subsequent weathering. HSE budgets of spinel lherzolites suggest that all platinum group elements (PGEs: including Os, Ir, Ru, Pt and Pd) are compatible during very low degree of partial melting (5-8%), whereas Re behaves as an incompatible element. Harzburgites from each locality were subjected to ~ 12% fractional partial melting, which is lower than that expected for total consumption of sulfides in mantle peridotites (ca. 16%). The harzburgites are depleted in PPGE (Pt, Pd) and Re relative to IPGE (Os, Ir, Ru), which reflects the extraction of sulfide melt along with the silicate melt. Low bulk-rock contents of both Na 2O and TiO 2 in the fresh PS66-238 lherzolites indicate that they were not transformed from harzburgites through melt refertilization, but represent pristine fertile mantle rocks. Their systematic suprachondritic Ru/Ir and Pd/Ir ratios, but chondritic Pt/Ir ratios, cannot be ascribed to partial melting or secondary igneous processes. This signature may reflect the primary HSE signature of the Earth's upper mantle. Non-chondritic HSE patterns discovered in PS66-238 lherzolites are consistent with the primitive upper

  14. The Os isotopic variation of abyssal peridotites revised: A study from the ultra-slow spreading Gakkel Ridge

    Science.gov (United States)

    Büchl, A.; Snow, J. E.

    2003-04-01

    It is generally thought that the Os isotopic variation of abyssal peridotites (187Os/188Os varies from 0.120 to 0.129 after [1,2,3,4]) only exceeds the chondritic value of 0.127 [5] because of secondary alteration by seawater. In contrast supra-chondritic 187Os/188Os ratios in peridotites from ophiolites [6] and xenoliths from a subduction zone setting [7] have been ascribed to exchange of Os with radiogenic melts. We analysed the Os isotopic composition of 16 peridotites from the ultra-slow spreading Gakkel Ridge. The samples are unusually fresh for abyssal peridotites. The Os isotopic composition varies from 0.1208 to 0.1344 in the spinel-lherzolites, from 0.1176 to 0.1360 in the harzburgites and from 0.1325 to 0.1400 in the dunites. The reason for the supra-chondritic Os isotopic ratios could be (a) secondary alteration by seawater, (b) radiogenic ingrowth due to the decay of Re to Os, or (c) exchange with a radiogenic magmatic component. The fact that the degree of alteration does not correlate with Os isotopic composition, together with the high Os concentration in the peridotites compared with seawater, implies that the supra-chondritic 187Os/188Os ratios cannot be explained by secondary alteration processes. The similar and low Re and high Os concentrations in all samples rule out the ingrowth of 187Os as source for the supra-chondritic values. World-wide volcanic rocks mostly have supra-chondritic 187Os/188Os ratios. In addition it was shown recently that during melt percolation the peridotites can inherit the signature of percolating melts [6]. This suggests that the supra-chondritic 187Os/188Os ratios are due to the exchange with a magmatic component. This is supported by the observation that the dunites, which are expected to have the highest melt/rock ratio of all lithologies, have the most radiogenic signatures. We therefore suggest that the 187Os/188Os variation of abyssal peridotites is much larger than previously considered. However the origin of

  15. Metabolic enzyme activities of abyssal and hadal fishes: pressure effects and a re-evaluation of depth-related changes

    Science.gov (United States)

    Gerringer, M. E.; Drazen, J. C.; Yancey, P. H.

    2017-07-01

    Metabolic enzyme activities of muscle tissue have been useful and widely-applied indicators of whole animal metabolic capacity, particularly in inaccessible systems such as the deep sea. Previous studies have been conducted at atmospheric pressure, regardless of organism habitat depth. However, maximum reaction rates of some of these enzymes are pressure dependent, complicating the use of metabolic enzyme activities as proxies of metabolic rates. Here, we show pressure-related rate changes in lactate and malate dehydrogenase (LDH, MDH) and pyruvate kinase (PK) in six fish species (2 hadal, 2 abyssal, 2 shallow). LDH maximal reaction rates decreased with pressure for the two shallow species, but, in contrast to previous findings, it increased for the four deep species, suggesting evolutionary changes in LDH reaction volumes. MDH maximal reaction rates increased with pressure in all species (up to 51±10% at 60 MPa), including the tide pool snailfish, Liparis florae (activity increase at 60 MPa 44±9%), suggesting an inherent negative volume change of the reaction. PK was inhibited by pressure in all species tested, including the hadal liparids (up to 34±3% at 60 MPa), suggesting a positive volume change during the reaction. The addition of 400 mM TMAO counteracted this inhibition at both 0.5 and 2.0 mM ADP concentrations for the hadal liparid, Notoliparis kermadecensis. We revisit depth-related trends in metabolic enzyme activities according to these pressure-related rate changes and new data from seven abyssal and hadal species from the Kermadec and Mariana trenches. Results show that, with abyssal and hadal species, pressure-related rate changes are another variable to be considered in the use of enzyme activities as proxies for metabolic rate, in addition to factors such as temperature and body mass. Intraspecific increases in tricarboxylic acid cycle enzymes with depth of capture, independent of body mass, in two hadal snailfishes suggest improved nutritional

  16. Papshop: Not a 'melon'choly Pap smear workshop! | Gordon | South ...

    African Journals Online (AJOL)

    As Head of Undergraduate Education in the Department of Obstetrics and Gynaecology at the University of Cape Town, South Africa, I have a particular interest in the competencies needed to perform primary care gynaecological procedures, one of which is the Pap smear. I was approached by a group of keen volunteer ...

  17. Pap screening as preventive tool against cervical cancer: a report of ...

    African Journals Online (AJOL)

    The incidence of cervical cancer in the developed countries has significantly reduced as a result of well-organized and coordinated Pap screening program, which is aimed at detection of pre-invasive lesions that are then promptly treated. We report a 45-year old woman whose immediate elder sister had breast carcinoma, ...

  18. No increased risk for cervical cancer after a broader definition of a negative pap smear

    NARCIS (Netherlands)

    M. Rebolj (Matejka); M. van Ballegooijen (Marjolein); F.J. van Kemenade (Folkert); C.W.N. Looman (Caspar); R. Boer (Rob); J.D.F. Habbema (Dik)

    2008-01-01

    textabstractThe definition of minimal relevant Pap smear abnormality is crucial for balancing the beneficial effects of screening (prevented mortality) with negative side-effects (the high positivity rate). After inflammation ceased to be defined as a borderline abnormal smear outcome in The

  19. Pap Tests Every Three Years: Cost-Effective in the Long Run?

    Science.gov (United States)

    Amschler, Denise Hope

    1983-01-01

    The American Cancer Society's guidelines, recommending that having Pap tests at three-year intervals is safe for many women, are questioned. Dangers to women with a high risk of cervical cancer, problems with faulty test results, and other gynecological problems that may be detected during pelvic examinations are discussed. (PP)

  20. Having a Pap smear, quality of life before and after cervical screening: a questionnaire study

    NARCIS (Netherlands)

    Korfage, I. J.; van Ballegooijen, M.; Wauben, B.; Looman, C. W. N.; Habbema, J. D. F.; Essink-Bot, M.-L.

    2012-01-01

    Please cite this paper as: Korfage I, van Ballegooijen M, Wauben B, Looman C, Habbema J, Essink-Bot M. Having a Pap smear, quality of life before and after cervical screening: a questionnaire study. BJOG 2012;119:936944. Objective To assess the health-related quality of life (HRQoL) impact of

  1. The role of Pap test screening against cervical cancer: a systematic review and meta-analysis.

    Science.gov (United States)

    Meggiolaro, A; Unim, B; Semyonov, L; Miccoli, S; Maffongelli, E; La Torre, G

    2016-01-01

    The first aim of this article is to quantify the role of Pap test in cervical cancer prevention, updating the pool of available studies included in a previous meta-analysis. Potential sources of meta-analysis heterogeneity were investigated as second aim. Further evidence of cost-effectiveness has been provided about age and best time interval to perform Pap test screening. The articles' search was conducted using four medical electronic databases: PubMed, Google Scholar, ISI Web, and Scopus. Papers published until the 30th November 2013 were included. The research on Google Scholar was limited to the first 10 pages of web for each study design. A systematic review/meta-analysis was performed according to PRISMA Statement. New-Castle-Ottawa Scale and Jadad have been adopted for articles quality assessment. From 4143 screened articles, 34 met eligibility criteria and 30 case-control studies were included in meta-analysis. Meta-analysis was carried out using StatsDirect2.8.0. Heterogeneity was investigated with qualitative and quantitative approaches in sensitivity-analysis. Despite a great heterogeneity (Cochran Q=504.466, df=29, pPap test has been identified (OR=0.33; 95%CI=0.268-0.408, P Pap test against cervical cancer has been confirmed especially among women <40 years. Annual screening still remains the most cost-effective preventive strategy.

  2. Expression Pattern of Class B Gene PAP3 in Flower Development of Pepper

    Directory of Open Access Journals (Sweden)

    Xin Li

    2013-12-01

    Full Text Available Class B gene APETALA3 (AP3 plays a key role in the development of petals and stamens. Here, we investigated the expression pattern of PAP3 gene (genbank accession number: HM104635 in the buds of cytoplasmic male sterility line 121A and its near-isogenic restorer line 121C at four developmental stages and analyzed the possible association between Class B genes and cytoplasmic male sterility of pepper. Semi-quantitative PCR and quantitative real-time RT-PCR (qRT-PCR as well as RNA in situ hybridization showed increased expression of PAP3 at late phase of anther development and its higher expression in restorer line compared with sterility line indicating PAP3’s role at late developmental stage of anther and suppressed expression in sterility line. RNA in situ hybridization showed Class B gene features: high abundance in stamen and petal; lower expression in pistil; no expression in sepal. Results of transient expression in onion epidermal cells also showed PAP3 localized in the nucleus, which is consistent with the expression pattern of transcription factors of MADS-box gene family.

  3. How Often to Get a Pap Test (A Minute of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2013-01-10

    Cervical cancer has declined in the U.S., however every year over 12,000 women are diagnosed and 4,000 die. This podcast discusses the importance of Pap testing.  Created: 1/10/2013 by MMWR.   Date Released: 1/10/2013.

  4. Utilization of pap smear in the prevention of cervical cancer among ...

    African Journals Online (AJOL)

    Context: Cervical carcinoma is a preventable disease, yet it remains the leading genital tract malignancy among women in sub-Saharan Africa. Objective: To assess awareness, knowledge and utilization of Pap smear as a screening modality for cancer of the cervix among female health workers at Federal Teaching ...

  5. PapG Gene cloning, Escherichia coli uropathogen and examination of its subsequence diversity

    Directory of Open Access Journals (Sweden)

    Faezeh Hamidiyeh

    2013-04-01

    Full Text Available infections are one of the most prevalent human infections. Despite different antigens and toxins of interfering bacteria in infection, one of the important agents in the infections arising from Escherichia coli and the other gram negative bacteria is bacterial binding to host cell surface, so inhibiting the bacterial binding is an appropriate strategy to inhibit the infection. Whereas PapG protein acts as adhesion, it can be an appropriate candidate for developingvaccine. Material and Methods: A Genomic DNA of Escherichia coli bacterium extracted from clinical strain containing PapGII gene. Upon designing primer for PapGII gene, the PCR reaction was applied. The product of PCR was cloned in pBluescript (SK- plasmid. Using Clustal W and MEGA4 software, the gained subsequence was alignmented with the gene subsequence existing in gene bank and its gene diversity was studied. Results: Based on was down alignment, N terminal on the protein surface and DNA are protected. Conclusion: N terminal domain of PapG gene is a conserved sequence among clinical straines? And it could be used for designing a vaccine against urinary tract infection.

  6. Frequency and patterns of abnormal Pap smears in Sudanese women with infertility: What are the perspectives?

    Directory of Open Access Journals (Sweden)

    Ahmed O Almobarak

    2013-01-01

    Conclusions: Epithelial cell abnormalities are significantly higher in women with infertility as compared with fertile women. Importantly, inflammatory smears were reported two times more than in the controls. We recommend pap smear as a routine practice for all women assessed for infertility problems. Further studies are necessary to evaluate the incidence of human papilloma virus infections in infertile women with abnormal cervical cytology.

  7. Public Awareness and Knowledge of Pap Smear as a Screening Test for Cervical Cancer among Saudi Population in Riyadh City.

    Science.gov (United States)

    Al Khudairi, Hassan; Abu-Zaid, Ahmed; Alomar, Osama; Salem, Hany

    2017-01-17

    To explore the public awareness, knowledge, and attitudes of Saudi women towards Pap smear as a screening test for cervical cancer. A descriptive cross-sectional study took place in four major secondary and tertiary healthcare hospitals located in the capital city Riyadh between January 2016 and June 2016. A self-administered, coded, close-ended survey was randomly distributed to 1000 non-single women attending the obstetrics/gynecology outpatient clinics or inpatient wards. Five hundred and seven women participated in the survey (overall response rate: 50.7%). The vast majority of respondents aged between 20-40 years (88%) and were married (94.1%), Saudi citizens (96.5%), university educated (45.6%) and housewives (64.5%). A total of 234 women (46.2%) did not hear whatsoever about Pap smear previously. Only 273 women (53.9%) heard about it, mostly during their hospital visits for obstetric/gynecologic purposes (57.1%). A sum of 381 women (75.2%) did not do a single Pap smear previously. A sum of 383 women (75.5%) reported that their physicians never advised them to do Pap smear. Regarding knowledge of Pap smear, 415 women (82%) did not know when to start doing Pap smear, 471 women (92.9%) did not know how frequently they should do Pap smear and 476 women (93.9%) did not know when to stop doing Pap smear. Moreover, 456 women (89.9%) did not know the difference between Pap smear and high vaginal swap. A total of 429 women (84.6%) never requested their physician to do Pap smear. Almost all women (95.3%) expressed an interest in knowing more information about the Pap smear screening test. The awareness and knowledge of Pap smear as a screening test for cervical cancer among Saudi population living in Riyadh is unsatisfactory. There is an urgent necessity to educate and foster awareness concerning cervical cancer and its screening through Pap smear.

  8. Spatial structure of oligopeptide PAP(248-261), the N-terminal fragment of the HIV enhancer prostatic acid phosphatase peptide PAP(248-286), in aqueous and SDS micelle solutions

    Science.gov (United States)

    Blokhin, Dmitriy S.; Filippov, Andrei V.; Antzutkin, Oleg N.; Karataeva, Farida Kh.; Klochkov, Vladimir V.

    2014-07-01

    Prostatic acid phosphatase (PAP) is an enzyme that facilitates infection of cells by HIV. Its peptide fragment PAP(248-286) forms amyloid fibrils known as SEVI, which enhance attachment of the virus by viral adhesion to the host cell prior to receptor-specific binding via reducing the electrostatic repulsion between the membranes of the virus and the target cell. The secondary structure of PAP(248-286) in aqueous and SDS solutions can be divided into an N-terminal disordered region, an α-helical central part and an α/310-helical C-terminal region (Nanga et al., 2009). In this work, we used NMR spectroscopy to study the spatial structure of the isolated N-terminal fragment of PAP(248-286), PAP(248-261) (GIHKQKEKSRLQGG), in aqueous and SDS micelle solutions. Formation of a PAP(248-261)-SDS complex was confirmed by chemical shift alterations in the 1H NMR spectra of the peptide, as well as by the signs and values of Nuclear Overhauser Effect (NOE). In addition, the PAP(248-261) peptide does not form any specified secondary structure in either aqueous or SDS solutions.

  9. Pap test use and cervical cancer incidence in First Nations women living in Manitoba.

    Science.gov (United States)

    Decker, Kathleen M; Demers, Alain A; Kliewer, Erich V; Biswanger, Natalie; Musto, Grace; Elias, Brenda; Griffith, Jane; Turner, Donna

    2015-01-01

    This study examined Papanicolaou (Pap) test utilization, Pap test results, and cervical cancer incidence among First Nations (FN) women living in Manitoba, Canada taking into account age group, time period, and area of residence. Six population-based data sources were linked at an individual level. Negative binomial regression was used to compare Pap test utilization and results between FN and all other Manitoba (AOM) women. Poisson regression was used to compare cervical cancer incidence. Among women younger than 25 years, FN were more likely than AOM women to have had a Pap test [rate ratio (RR) = 1.37, 95% confidence intervals (CI), 1.22-1.53, 18-19 year olds; RR = 1.17, 95% CI, 1.05-1.31, 20-24 year olds]. There was no difference in Pap test use for women 25 to 29 or 30 to 39 years. FN 40 years and older were less likely to have a Pap test than AOM women (RR = 0.84, 95% CI, 0.75-0.93, 40-49 years old; RR = 0.71, 95% CI, 0.63-0.79, 50-59 years old; RR = 0.59, 95% CI, 0.52-0.66, 60-69 years old). FN were more likely than AOM women to have a high (RR = 1.88, 95% CI, 1.65-2.13) or low-grade Pap test result (RR = 1.60, 95% CI, 1.48-1.73). The invasive cervical cancer incidence rate was double for FN women 25 to 39 years of age (21.9 per 100,000, FN; 10.2 per 100,000, AOM, P = 0.006) and 40 to 69 years of age (24.3 per 100,000, FN; 12.3 per 100,000, AOM, P = 0.007). In conclusion, cervical cancer screening among FN women over 40 years of age must be increased to address the higher cervical cancer incidence. ©2014 American Association for Cancer Research.

  10. Petrological, magnetic and chemical properties of basalt dredged from an abyssal hill in the North-east pacific

    Science.gov (United States)

    Luyendyk, B.P.; Engel, C.G.

    1969-01-01

    OVER the years, samples of basalt from the oceanic crust have been taken mainly from seamounts, fracture zones and ridge and rise crests1-6, and rarely from the vast fields of abyssal hills which cover a large part of the deep-sea floor. The basalt sampled from the deeper regions of the oceanic crust (for example, on fault scarps) is a distinct variety of tholeiitic basalt, while alkali basalt is restricted to the volcanic edifices4. Oceanic tholeiitic basalt differs from alkali basalt and continental tholeiite chiefly in having a relatively low percentage of K2O (0.2 weight per cent)4. Some authors have speculated that this type of tholeiitic basalt is the major extrusion from the upper mantle and constitutes the predominant rock type in the upper oceanic crust. ?? 1969 Nature Publishing Group.

  11. “One Should Have Two Homelands”: Discord and Hope in Soma Morgenstern’s Sparks in the Abyss

    Directory of Open Access Journals (Sweden)

    Kata Gellen

    2017-02-01

    Full Text Available Soma Morgenstern’s three-part novel Sparks in the Abyss, written between 1930 and 1943, exudes a spirit of serenity and optimism at the same time that its narrative is structured by repeated scenes of conflict and violence. This paper seeks to account for the place of discord in the trilogy. Morgenstern uses the interwar Galician homeland as a site to articulate the possibility of traditional Jewish life in modern Europe. By inhabiting two homes—East and West, Galicia and Vienna, secularism and piety—Jews will be able to negotiate the inevitable discord and occasional brutality that they face in the world. The lessons learned by a Western secular Jew in pluralist Galicia create hope for the negotiation of difference, if not for the complete overcoming of violence, on the eve of World War II.

  12. Factors associated with Mexican women's familiarity with the purpose of the Pap test.

    Science.gov (United States)

    Nájera Aguilar, P; Lazcano Ponce, E C; de Ruíz, P A; Ramírez Sánchez, T; Cantoral Uriza, L; Hernández Avila, M

    1996-12-01

    Use of health services is usually associated with a variety of factors, including the socioeconomic characteristics of the users, their familiarity with the usefulness of the services provided, and the acceptability and accessibility of those services. To study the factors associated with women's familiarity with the Pap test, a population-based study was carried out in Mexico City and two rural areas in the state of Oaxaca by means of household interviews. The sample consisted of 4208 women 15 to 49 years of age. Univariate, bivariate, and multivariate analyses were done using unconditional logistic regression; the independent variables were access to social security health services, age, education, housing quality, and place of residence (urban or rural); the dependent variable was the interview subject's familiarity with the purpose of the Pap test. The results were expressed as odds ratios with 95% confidence intervals. It was found that 41.5% of the women surveyed did not know the purpose of the Pap test, and that within this latter group, 97% had never had one. Factors found to be associated with not knowing the test's purpose were lack of access to the social security health services (OR = 1.9; 95% CI: 1.5-2.3); illiteracy (OR = 36.1; 95% CI: 17.9-72.7); and low socioeconomic level (OR = 2.9; 95% CI: 2.3-3.7). Also, rural dwellers had less familiarity with the Pap test than urban dwellers (OR = 0.5; 95% CI: 0.4-0.7). These results highlight the need to develop strategies for making the benefits of the Pap test known, bearing in mind the socioeconomic and cultural diversity of the populations involved.

  13. A new approach in the diagnosis of upper airway resistance syndrome (UARS): PAP method.

    Science.gov (United States)

    Köktürk, Oğuz; Baha, Ayşe; Kanbay, Asiye

    2015-01-01

    Upper airway resistance syndrome (UARS) is characterized by repeated number of arousals at night, and excessive daytime sleepiness or somnolence (EDS). It is often missed in classical polysomnographic diagnostic approaches and misdiagnosed as simple snoring or idiopathic hypersomnia, thereby is often left untreated. We propose that positive airway pressure (PAP), which has shown to be effective against UARS, can be used as a diagnostic tool as well. The study designed to test whether patients with high titration pressures can be diagnosed for UARS, and whether this pressure can be used as the treatment pressure in UARS. This study is a retrospective cohort study. The patients with the following selection criteria: apnea hypopnea index (AHI) 20, excessive daytime sleepiness or somnolence (EDS) without nocturnal oxygen desaturation levels were included to the study. After diagnostic polysomnography (PSG), PAP titrarion was applied to diagnose and treatment. Fourteen (%46.7) of the patients were male, 16 (%53.3) were female, with a mean age of 46.4 ± 9.9 and mean body mass index (BMI) of 26 ± 3.3. The patiens had a mean Epworth sleepiness scale 15.3 ± 3.9, mean AHI: 2.3 ± 1.4 and average RERA: 26.1 ± 4.9. The mean CPAP titration pressure was 7.1 ± 1.1 cmH2O. In the light of current findings, during PAP titration patients required high pressures is the evidence of increased upper airway resistance in UARS. Using the from therapy to diagnosis protocol, the PAP protocol determines the individual therapeutic pressures needed by patients. Following up the clinical outcomes of these patients under the PAP treatment, and including a larger cohort will contribute greatly to treating this syndrome, defined as one of the "unresolved problems in years".

  14. The degree of agreement between HPV testing, pap smear and colposcopy in cervical dysplasia diagnosis.

    Science.gov (United States)

    Melinte-Popescu, Alina; Costăchescu, G

    2012-01-01

    The current study analyzed the degree of agreement between HPV testing, Pap smear, and colposcopic directed cervical biopsies. The study was performed on a group of 332 patients diagnosed and treated for cervical dysplasia at Cuza-Vodă Obstetrics-Gynecology Clinic Hospital and Suceava County Hospital between 2006 and 2011. 190 patients (57.23%) were positive for HPV, 56 (35%) were positive for two HPV types and 42 (22.10%) for three or more HPV types. High grade cervical squamous intraepithelial lesion (HSIL) accounted for 88 (26.5%), low grade cervical squamous intraepithelial lesion (LSIL) for 92 (27.71%), atypical squamous cells of undetermined significance (ASC-US) for 69 (20.78%) and squamous cell carcinoma accounted for 5 (1.5%) of referral Pap smears. Colposcopic directed cervical biopsies reported no pathological abnormality (negative) in 64 (19.28%), HSIL in 105 (31.62%), LSIL in 83 (25%) and other lesions in 80 (24.1%) women. Exact degree of agreement between Pap smear and cervical biopsy was fair (k = 0.5) when analyzing for high grade cervical squamous intraepithelial lesion. The high-risk HPV types 16, 18, 66 and 68 and the low-risk HPV types 11, 54, 83, and 61 were the most frequently detected HPV types. The current study showed the fair agreement between Pap smear and colposcopic biopsy. Incorporation of HPV testing into the present Pap screening program has the potential to make screening for cervical cancer more effective, and a necessary prelude to assessing this is determining the prevalence of the high-risk types.

  15. Temas das Brincadeiras de Papéis na Educação Infantil

    Directory of Open Access Journals (Sweden)

    Suzana Marcolino

    Full Text Available O objetivo do artigo é discutir os temas da brincadeira de papéis sociais na Educação Infantil, revelados por meio de análise conduzida com base nos estudos da Psicologia Histórico-Cultural. Para Elkonin, na idade pré-escolar a brincadeira atinge o auge de seu desenvolvimento, e se caracteriza pela criação de uma situação imaginária, pela presença de regras e de papéis sociais. Foram observadas situações de brincadeira de crianças de quatro anos e meio a cinco anos e meio em 11 escolas da rede municipal de uma cidade de médio porte do interior paulista. A partir do registro das observações, foram identificadas 27 cenas de brincadeira de papéis. A análise dos dados colhidos confirma a tese de Elkonin de que o desenvolvimento da brincadeira de papéis relaciona-se com o que a criança conhece de sua realidade, e indica a necessidade do estabelecimento de certas condições para que esse desenvolvimento ocorra na Educação Infantil. Nesse sentido, discute-se a necessidade de uma mediação do professor calcada na compreensão da riqueza de implicações que a brincadeira de papéis tem para a formação da pessoa.

  16. Examination of abyssal sea floor and near-bottom water mixing processes using Ra-226 and Rn-222

    International Nuclear Information System (INIS)

    Key, R.M.

    1981-01-01

    Since Broecker's (1965) original work, extensive studies have been made on abyssal near-bottom water-mixing processes using the radioactive parent-daughter pair radium-226 (Ra) - radon-222 (Rn). One assumption critical to all of these studies is that sediments immediately under a given water column are the source of excess radon (=Rn concentration - Ra concentration) found in bottom waters. Since 1965 theoretical works of increasing complexity have tried to explain areal variations of excess radon and radium. However, Key et al. (1979b) have reported the only extensive measurements of radium and radon in bottom water and sediments at the same location. This dissertation is an expansion of that work both in theory and in scope. A diagenetic sediment model based on the work of Schink and Guinasso (1978), Cochran (1979), and Key et al. (1979b) was developed to model Ra-Rn in near-surface abyssal sediments. In order to maximize model application information, the degrees of freedom were minimized by measuring as many of the model parameters as possible. The most glaring discrepancy found was that measured near-surface total radium profiles could not be fit using plutonium-derived bioturbation rates. There is an implication that plutonium profiles modeled with currently accepted bioturbation models do not give a true indication of the real biologically induced mixing process. After adjusting for this problem in the source function, diagenetic theory explains near-surface radon-distributions adequately. Using both the adjusted diagenetic model and the empirical model developed by Key et al. (1979b), reasonable agreement was found between the sedimentary radon deficit and near-bottom water surplus. Inadequacy of present diagenetic theory makes any attempt to differentiate sedimentary radium sources academic

  17. The rôle of the complete Coriolis force in cross-equatorial flow of abyssal ocean currents

    Science.gov (United States)

    Stewart, A. L.; Dellar, P. J.

    Ocean currents flowing close to or across the equator are strongly constrained by the change in sign of f, the locally vertical component of the Earth's rotation vector, across the equator. We investigate these currents using a shallow water model that includes both the locally vertical and locally horizontal components of the Earth's rotation vector, thus accounting for the complete Coriolis force. We therefore avoid making the so-called "traditional approximation" that retains only the part of the Coriolis force associated with the locally vertical component of the rotation vector. Including the complete Coriolis force contributes an additional term to the fluid's potential vorticity, which may partially balance the change in sign of f as fluid crosses the equator over suitably shaped bathymetry. We focus on the Antarctic Bottom Water, which crosses the equator northwards in the western Atlantic ocean where the local bathymetry forms an almost-zonal channel. We show that this bathymetry facilitates the current's equatorial crossing via the action of the "non-traditional" component of the Coriolis force. We illustrate this process using both analytical and numerical solutions for flow of an abyssal current over idealised equatorial topography. We also consider the one-dimensional geostrophic adjustment of a body of fluid across the equator, and show that the "non-traditional" contribution to the fluid's angular momentum permits a larger cross-equatorial transport. These results underline the importance of including the complete Coriolis force in studies of the equatorial ocean, particularly in the weakly-stratified abyssal ocean where the non-traditional component is most pronounced.

  18. Abyssal fauna of the UK-1 polymetallic nodule exploration area, Clarion-Clipperton Zone, central Pacific Ocean: Mollusca.

    Science.gov (United States)

    Wiklund, Helena; Taylor, John D; Dahlgren, Thomas G; Todt, Christiane; Ikebe, Chiho; Rabone, Muriel; Glover, Adrian G

    2017-01-01

    We present the first DNA taxonomy publication on abyssal Mollusca from the Clarion-Clipperton Zone (CCZ), central Pacific ocean, using material collected as part of the Abyssal Baseline (ABYSSLINE) environmental survey cruise 'AB01' to the UK Seabed Resources Ltd (UKSRL) polymetallic-nodule exploration area 'UK-1' in the eastern CCZ. This is the third paper in a series to provide regional taxonomic data for a region that is undergoing intense deep-sea mineral exploration for high-grade polymetallic nodules. Taxonomic data are presented for 21 species from 42 records identified by a combination of morphological and genetic data, including molecular phylogenetic analyses. These included 3 heterodont bivalves, 5 protobranch bivalves, 4 pteriomorph bivalves, 1 caudofoveate, 1 monoplacophoran, 1 polyplacophoran, 4 scaphopods and 2 solenogastres. Gastropoda were recovered but will be the subject of a future study. Seven taxa matched published morphological descriptions for species with deep Pacific type localities, and our sequences provide the first genetic data for these taxa. One taxon morphologically matched a known cosmopolitan species but with a type locality in a different ocean basin and was assigned the open nomenclature ' cf ' as a precautionary approach in taxon assignments to avoid over-estimating species ranges. One taxon is here described as a new species, Ledella knudseni sp. n. For the remaining 12 taxa, we have determined them to be potentially new species, for which we make the raw data, imagery and vouchers available for future taxonomic study. The Clarion-Clipperton Zone is a region undergoing intense exploration for potential deep-sea mineral extraction. We present these data to facilitate future taxonomic and environmental impact study by making both data and voucher materials available through curated and accessible biological collections.

  19. Abyssal fauna of the UK-1 polymetallic nodule exploration area, Clarion-Clipperton Zone, central Pacific Ocean: Mollusca

    Directory of Open Access Journals (Sweden)

    Helena Wiklund

    2017-10-01

    Full Text Available We present the first DNA taxonomy publication on abyssal Mollusca from the Clarion-Clipperton Zone (CCZ, central Pacific ocean, using material collected as part of the Abyssal Baseline (ABYSSLINE environmental survey cruise ‘AB01’ to the UK Seabed Resources Ltd (UKSRL polymetallic-nodule exploration area ‘UK-1’ in the eastern CCZ. This is the third paper in a series to provide regional taxonomic data for a region that is undergoing intense deep-sea mineral exploration for high-grade polymetallic nodules. Taxonomic data are presented for 21 species from 42 records identified by a combination of morphological and genetic data, including molecular phylogenetic analyses. These included 3 heterodont bivalves, 5 protobranch bivalves, 4 pteriomorph bivalves, 1 caudofoveate, 1 monoplacophoran, 1 polyplacophoran, 4 scaphopods and 2 solenogastres. Gastropoda were recovered but will be the subject of a future study. Seven taxa matched published morphological descriptions for species with deep Pacific type localities, and our sequences provide the first genetic data for these taxa. One taxon morphologically matched a known cosmopolitan species but with a type locality in a different ocean basin and was assigned the open nomenclature ‘cf’ as a precautionary approach in taxon assignments to avoid over-estimating species ranges. One taxon is here described as a new species, Ledella knudseni sp. n. For the remaining 12 taxa, we have determined them to be potentially new species, for which we make the raw data, imagery and vouchers available for future taxonomic study. The Clarion-Clipperton Zone is a region undergoing intense exploration for potential deep-sea mineral extraction. We present these data to facilitate future taxonomic and environmental impact study by making both data and voucher materials available through curated and accessible biological collections.

  20. A Comparison of 3 Ways of Conventional Pap Smear, Liquid-Based Cytology and Colposcopy vs Cervical Biopsy for Early Diagnosis of Premalignant Lesions or Cervical Cancer in Women with Abnormal Conventional Pap Test.

    Science.gov (United States)

    Karimi-Zarchi, Mojgan; Peighmbari, Fateme; Karimi, Neda; Rohi, Mitra; Chiti, Zohre

    2013-12-01

    The most cost effective method of prevention and detection of cervical cancer is the Pap smear. In abnormal Pap smear, colposcopy, endocervical curettage and biopsy will be done. Gold standard method in detecting cervical lesion is biopsy. Now in two ways conventional Pap smear and liquid base are routine diagnostic technique in Iran and given easily and cost-effectiveness of this method in the detection of cervical lesions to determine the sensitivity the objective of this study was compare three methods of Pap smear and colposcopy in detection of any lesion to gold standard biopsy in the positive ASC cases who referred to gynecologic Oncology Clinic of shahid Sadoughi University of Medical Science. This study is a descriptive analytic in 2009-2010 years on 150 cases of patients with Atypical Squamose Cell (ASC) results in previous pap smear ,conventional pap smear, liquid based pap smear, colposcopy and cervical biopsy had been done for all patient and finally data were analyzed with chi-square statistical test on spss ver 16 saftware. Average age of patients in this study was, 42 ± 9.9 year and reason for referring patients in 35.4% of cases was due to follow-up of abnormal results of previous Pap smear, in 30% bleeding, 12% Pain and 2.6% percent of cases was checking-up. In final results of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy any of the methods conventional and liquid based Pap smear and colposcopy were compared with cervical biopsy as a gold standard. The conventional Pap smear method had a sensitivity 51%, specificity 66.6%, PPV 96%, NPV was 8% and accuracy was 92%, about the liquid base Pap smear method, sensitivity was 55.3%, specificity was 77.7%, PPV was 97.5%, NPV was 10% and accuracy was 56/6%. About the colposcopy, sensitivity was70/9 % specificity 44/4%, PPV was 95.2%, NPV was 8/8% and accuracy was 69.3%. The relationship between sensitivity results of conventional Pap smear and

  1. Knowledge and acceptability of pap smears, self-sampling and HPV vaccination among adult women in Kenya.

    Directory of Open Access Journals (Sweden)

    Anne F Rositch

    Full Text Available Our study aimed to assess adult women's knowledge of human papillomavirus (HPV and cervical cancer, and characterize their attitudes towards potential screening and prevention strategies.Women were participants of an HIV-discordant couples cohort in Nairobi, Kenya. An interviewer-administered questionnaire was used to obtain information on sociodemographic status, and sexual and medical history at baseline and on knowledge and attitudes towards Pap smears, self-sampling, and HPV vaccination at study exit.Only 14% of the 409 women (67% HIV-positive; median age 29 years had ever had a Pap smear prior to study enrollment and very few women had ever heard of HPV (18%. Although most women knew that Pap smears detect cervical cancer (69%, very few knew that routine Pap screening is the main way to prevent ICC (18%. Most women reported a high level of cultural acceptability for Pap smear screening and a low level of physical discomfort during Pap smear collection. In addition, over 80% of women reported that they would feel comfortable using a self-sampling device (82% and would prefer at-home sample collection (84%. Nearly all women (94% reported willingness to be vaccinated to prevent cervical cancer if offered at no or low cost.These findings highlight the need to educate women on routine use of Pap smears in the prevention of cervical cancer and demonstrate that vaccination and self-sampling would be acceptable modalities for cervical cancer prevention and screening.

  2. Knowledge and Acceptability of Pap Smears, Self-Sampling and HPV Vaccination among Adult Women in Kenya

    Science.gov (United States)

    Rositch, Anne F.; Gatuguta, Ann; Choi, Robert Y.; Guthrie, Brandon L.; Mackelprang, Romel D.; Bosire, Rose; Manyara, Lucy; Kiarie, James N.; Smith, Jennifer S.; Farquhar, Carey

    2012-01-01

    Objectives Our study aimed to assess adult women’s knowledge of human papillomavirus (HPV) and cervical cancer, and characterize their attitudes towards potential screening and prevention strategies. Methods Women were participants of an HIV-discordant couples cohort in Nairobi, Kenya. An interviewer-administered questionnaire was used to obtain information on sociodemographic status, and sexual and medical history at baseline and on knowledge and attitudes towards Pap smears, self-sampling, and HPV vaccination at study exit. Results Only 14% of the 409 women (67% HIV-positive; median age 29 years) had ever had a Pap smear prior to study enrollment and very few women had ever heard of HPV (18%). Although most women knew that Pap smears detect cervical cancer (69%), very few knew that routine Pap screening is the main way to prevent ICC (18%). Most women reported a high level of cultural acceptability for Pap smear screening and a low level of physical discomfort during Pap smear collection. In addition, over 80% of women reported that they would feel comfortable using a self-sampling device (82%) and would prefer at-home sample collection (84%). Nearly all women (94%) reported willingness to be vaccinated to prevent cervical cancer if offered at no or low cost. Conclusions These findings highlight the need to educate women on routine use of Pap smears in the prevention of cervical cancer and demonstrate that vaccination and self-sampling would be acceptable modalities for cervical cancer prevention and screening. PMID:22808257

  3. Comparative study between Pap smear and visual inspection using acetic acid as a method of cervical cancer screening.

    Science.gov (United States)

    Begum, S A; Rashid, M H; Nessa, A; Aziz, M A; Zakaria, S M; Roy, J S

    2012-01-01

    This prospective study was done for the comparison of visual inspection using acetic acid (VIA) and Pap smear as a method of cervical cancer screening. This study was also done to determine the proportion of women screened positive with VIA and proportion of women screened positive with Pap smear. Another aim was to compare the sensitivity and specificity of VIA and Pap smear. A total of 300 women attended to the outpatient gynecologic clinic and cervical cancer screening programme at Bangabandhu Sheikh Mujib Medical University (BSMMU) were included. On VIA, 23 out of 300 women screened had aceto-white lesions. On Pap smear, 14 out of the 300 women had ASCUS or worse lesions. Of the 300 enrolled women, 11 were positive on both VIA and cytology; 12 were positive on VIA only; and 3 were positive on cytology only. Those women (n=26) who showed positive test result with either VIA or Pap smear or both tests were further subjected to colposcopy directed biopsy. Histology was taken as gold standard to compare the performance of VIA and cytology (Pap's smear). Histological diagnosis of CIN/cancer was made in 18 Positive cases out of the total 26 patients who underwent biopsy. Pap smear picked up 10 out of the 18 biopsy-proven cases whereas VIA could identify 17 out of the 18 CIN/carcinoma cervices. VIA was more sensitive (94.44%) than pap smear (55.55%), which was statistically significant. However, the specificity of VIA was slightly lower (97.87%) than that of cytology (98.58%). The PPV of VIA was 73.91% versus 71.42 % for Pap smear.

  4. Associations of demographic variables and the Health Belief Model constructs with Pap smear screening among urban women in Botswana

    Directory of Open Access Journals (Sweden)

    McFarl

    2013-10-01

    Full Text Available Ditsapelo M McFarland College of Nursing and Public Health, Adelphi University, Garden City, NY, USA Purpose: Papanicolaou (Pap smear services are available in most urban areas in Botswana. Yet most women in such areas do not screen regularly for cancer of the cervix. The purpose of this article is to present findings on the associations of demographic variables and Health Belief Model constructs with Pap smear screening among urban women in Botswana. Sample and methods: The study included a convenience sample of 353 asymptomatic women aged 30 years and older who were living in Gaborone, Botswana. Data were collected using a demographic questionnaire and items of the Health Belief Model. Data analysis included descriptive statistics for demographic variables and bivariate and ordinal (logit regression to determine the associations of demographic variables. Results: Having health insurance and having a regular health care provider were significant predictors of whether or not women had a Pap smear. Women with health insurance were more likely to have had a Pap smear test than women without health insurance (91% vs 36%. Similarly, women who had a regular health care provider were more likely to have had a Pap smear test than women without a regular health care provider (94% vs 42%. Major barriers to screening included what was described as "laziness" for women who had ever had a Pap smear (57% and limited information about Pap smear screening for women who had never had a Pap smear (44%. Conclusion: There is a need for more information about the importance of the Pap smear test and for increased access to screening services in Botswana. Keywords: cervical, screening, barriers, access, beliefs

  5. Van Mother-Child Health and Family Planning Center Pap Smear Clinics of Information, Evaluation of Applicants

    Directory of Open Access Journals (Sweden)

    Sebahat Gucuk

    2011-10-01

    Full Text Available Objective: In this study of women admitted to our center with information on pap smear test, to evaluate the attitudes and behavior. Materials and Methods: This descriptive study of Van Mother-Child Health and Family Planning Center on a voluntary basis, women aged 15-49 were admitted to the control. The education level of participants, age at first marriage, before the presence of vaginal infection, the story, and motivations pap smear level of information availability, and a family history of cancer, administered a questionnaire asking the state to have a regular income. Results: The study included 362 women with age and hear the pap smear test was significantly increased (p = 0.01. Working women and pap smear level of knowledge (p = 0.04 and pap smears than women not working for International rates significantly higher (p = 0.02. Treatment of vaginal infection at least once before to get there was a significant relationship between the pap smear motivations (p>0.05. Family history of gynecologic cancer or non-gynecologic cancer smears have significantly increased the level of motivations (p = 0.0001. Pap smear information, regular the economic income of those levels, significantly higher than those without regular income (p = 0.0001. Conclusion: We serve the region, with low socio-economic characteristics that are considered, gynecological examination by health workers or women from the home visits, pap smear test for what purpose and how often you get the work done and the importance of explaining and giving more space to this issue suggest that the written and visual media. Keywords: Pap smears, health care, education [TAF Prev Med Bull 2011; 10(5.000: 527-532

  6. Associations of demographic variables and the Health Belief Model constructs with Pap smear screening among urban women in Botswana

    Science.gov (United States)

    McFarland, Ditsapelo M

    2013-01-01

    Purpose Papanicolaou (Pap) smear services are available in most urban areas in Botswana. Yet most women in such areas do not screen regularly for cancer of the cervix. The purpose of this article is to present findings on the associations of demographic variables and Health Belief Model constructs with Pap smear screening among urban women in Botswana. Sample and methods The study included a convenience sample of 353 asymptomatic women aged 30 years and older who were living in Gaborone, Botswana. Data were collected using a demographic questionnaire and items of the Health Belief Model. Data analysis included descriptive statistics for demographic variables and bivariate and ordinal (logit) regression to determine the associations of demographic variables. Results Having health insurance and having a regular health care provider were significant predictors of whether or not women had a Pap smear. Women with health insurance were more likely to have had a Pap smear test than women without health insurance (91% vs 36%). Similarly, women who had a regular health care provider were more likely to have had a Pap smear test than women without a regular health care provider (94% vs 42%). Major barriers to screening included what was described as “laziness” for women who had ever had a Pap smear (57%) and limited information about Pap smear screening for women who had never had a Pap smear (44%). Conclusion There is a need for more information about the importance of the Pap smear test and for increased access to screening services in Botswana. PMID:24179380

  7. Drastic anthocyanin increase in response to PAP1 overexpression in fls1 knockout mutant confers enhanced osmotic stress tolerance in Arabidopsis thaliana.

    Science.gov (United States)

    Lee, Won Je; Jeong, Chan Young; Kwon, Jaeyoung; Van Kien, Vu; Lee, Dongho; Hong, Suk-Whan; Lee, Hojoung

    2016-11-01

    KEY MESSAGE : pap1 - D/fls1ko double mutant plants that produce substantial amounts of anthocyanin show tolerance to abiotic stress. Anthocyanins are flavonoids that are abundant in various plants and have beneficial effects on both plants and humans. Many genes in flavonoid biosynthetic pathways have been identified, including those in the MYB-bHLH-WD40 (MBW) complex. The MYB gene Production of Anthocyanin Pigment 1 (PAP1) plays a particularly important role in anthocyanin accumulation. PAP1 expression in many plant systems strongly increases anthocyanin levels, resulting in a dark purple color in many plant organs. In this study, we generated double mutant plants that harbor fls1ko in the pap1-D background (i.e., pap1-D/fls1ko plants), to examine whether anthocyanins can be further enhanced by blocking flavonol biosynthesis under PAP1 overexpression. We also wanted to examine whether the increased anthocyanin levels contribute to defense against osmotic stresses. The pap1-D/fls1ko mutants accumulated higher anthocyanin levels than pap1-D plants in both control and sucrose-treated conditions. However, flavonoid biosynthesis genes were slightly down-regulated in the pap1-D/fls1ko seedlings as compared to their expression in pap1-D seedlings. We also report the performance of pap1-D/fls1ko seedlings in response to plant osmotic stresses.

  8. Frequency and organization of papA homologous DNA sequences among uropathogenic digalactoside-binding Escherichia coli strains.

    OpenAIRE

    Denich, K; Craiu, A; Rugo, H; Muralidhar, G; O'Hanley, P

    1991-01-01

    The frequency of selected papA DNA sequences among 89 digalactoside-binding, uropathogenic Escherichia coli strains was evaluated with 12 different synthetic 15-base probes corresponding to papA genes from four digalactoside-binding piliated recombinant strains (HU849, 201B, and 200A). The papA probes encode amino acids which are common at the carboxy terminus of all strains, adjacent to the proximal portion of the intramolecular disulfide loop of strain 210B, or predicted to constitute the t...

  9. Three-year risk of high-grade CIN for women aged 30 years or older who undergo baseline Pap cytology and HPV co-screening.

    Science.gov (United States)

    Guo, Ming; Khanna, Abha; Wang, Jianping; Dawlett, Marilyn A; Kologinczak, Teresa L; Lyons, Genevieve R; Bassett, Roland L; Sneige, Nour; Gong, Yun; Bevers, Therese B

    2017-08-01

    Papanicolaou (Pap) cytology and high-risk human papillomavirus (HPV) DNA cotesting for women aged ≥30 years are recommended for the prevention of cervical cancer. The objective of the current study was to evaluate the efficacy of this cotesting for predicting the risk of high-grade cervical intraepithelial neoplasia 3 (CIN3) during a 3-year follow-up period. A retrospective database search identified women aged ≥30 years who had baseline HPV and Pap cytology cotesting results in 2007 or 2008 and for whom 3-year follow-up results were available. The cumulative 3-year risks of developing CIN-3 were calculated. The 3-year follow-up data after baseline Pap/HPV cotesting were available for 1986 women (mean age, 53 years). Of the 1668 women who had a baseline Pap-negative (Pap-)/HPV- cotesting result, 1561 (93.6%) had a follow-up Pap cytology result that was negative for intraepithelial lesions or malignancy. Of the 1530 women who had follow-up Pap/HPV cotesting, 1504 (98.3%) had a Pap-/HPV- result. The 3-year cumulative risk of developing CIN-3 was found to be highest for women with a baseline Pap-positive (Pap+)/HPV+ cotesting result (12.5%); the risk of CIN-3 was lower in those with a Pap-/HPV+ result (1.5%; P = .0032) or a Pap-/HPV- result (0.06%; PPap cytology and HPV cotesting are valuable for stratifying CIN-3 risk. Pap cytology and HPV co-screening at a 3-year screening interval appears to carry a low risk of CIN-3 for women who have a baseline Pap-/HPV- cotesting result. Cancer Cytopathol 2017;125:644-51. © 2017 American Cancer Society. © 2017 American Cancer Society.

  10. Climate variability and Great Plains agriculture

    International Nuclear Information System (INIS)

    Rosenberg, N.J.; Katz, L.A.

    1991-01-01

    The ways in which inhabitants of the Great Plains, including Indians, early settlers, and 20th century farmers, have adapted to climate changes on the Great Plains are explored. The climate of the Great Plains, because of its variability and extremes, can be very stressful to plants, animals and people. It is suggested that agriculture and society on the Great Plains have, during the last century, become less vulnerable to the stresses imposed by climate. Opinions as to the sustainability of agriculture on the Great Plains vary substantially. Lockeretz (1981) suggests that large scale, high cost technologies have stressed farmers by creating surpluses and by requiring large investments. Opie (1989) sees irrigation as a climate substitute, however he stresses that the Ogallala aquifer must inevitably become depleted. Deborah and Frank Popper (1987) believe that farming on the Plains is unsustainable, and destruction of shelterbelts, out-migration of the rural population and environmental problems will lead to total collapse. With global warming, water in the Great Plains is expected to become scarcer, and although improvements in irrigation efficiency may slow depletion of the Ogallala aquifer, ultimately the acreage under irrigation must decrease to levels that can be sustained by natural recharge and reliable surface flows. 23 refs., 2 figs

  11. Can visual inspection with acetic acid be used as an alternative to Pap smear in screening cervical cancer?

    Directory of Open Access Journals (Sweden)

    Hend S. Saleh

    2014-09-01

    Conclusion: VIA a good screening, simple test, has low cost and high sensitivity in comparison to Pap smear. So, it can be used as alternative screening modality for cervical cancer in low resource locations.

  12. Abnormal pap tests among women living in a Hispanic migrant farmworker community: A narrative of health literacy.

    Science.gov (United States)

    Vamos, Cheryl A; Lockhart, Elizabeth; Vázquez-Otero, Coralia; Thompson, Erika L; Proctor, Sara; Wells, Kristen J; Daley, Ellen M

    2016-08-01

    This study explored narrative responses following abnormal Pap tests among Hispanic migrant farmworkers ( N = 18; ages 22-50 years) via in-depth interviews in Florida. Qualitative analyses utilized health literacy domains (obtain/process/understand/communicate) as a conceptual framework. Participants described how they (1) obtained information about getting a Pap test, (2) processed positive and negative reactions following results, (3) understood results and recommended health-promoting behaviors, and (4) communicated and received social support. Women had disparate reactions and understanding following an abnormal Pap result. Health literacy was a meaningful conceptual framework to understand assets and gaps among women receiving an abnormal Pap test result. Future interventions should incorporate health literacy domains and facilitate patient-provider communications and social support to assist women in decision-making and health-promoting behaviors, ultimately decreasing cancer disparities.

  13. Pap smear: understanding of rural women about the purpose and access

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    Igho Leonardo do Nascimento Carvalho

    2016-01-01

    Full Text Available Objective: todescribe the understanding of rural women about the purpose and access to Pap smear. Methods:qualitative study conducted with 15 women. Data collection was carried out through a semi-structured interview script, by adopting content analysis. Results: the study found that women had insufficient understanding about the reason to perform the examination, both in the matter of prevention and regarding diagnosis of cervical cancer. Women have also demonstrated difficulties to perform the examination by the difficult access to the cytological examination and by the little frequency of the Family Health Strategy team in going the rural communities evaluated. Conclusion: the understanding of the purpose of Pap smear is insufficient and access is inappropriate. This condition is a risk to the onset of cervical cancer in rural women.

  14. Comparing the results of Pap smear and Direct Visual Inspection (DVI) with 5% acetic acid in cervical cancer screening.

    Science.gov (United States)

    Pourasad-Shahrak, Shakiba; Salehi-Pourmehr, Hanieh; Mostafa-Garebaghi, Parvin; Asghari-Jafarabadi, Mohammad; Malakouti, Jamileh; Haghsay, Monireh

    2015-01-01

    Cervical cancer is the most second common cancer among Iranian women. This study was carried out to compare the results of Pap smear method and Direct Visual Inspection (DVI) with 5% acetic acid in cervical cancer screening in Tabriz, Iran. This cross-sectional study was carried out in Alzahra Therapeutic-Educational Centre, Tabriz, Iran in 2013 on 1000 women. First, Pap smear was done for all women, and then the cervix exposed with 5% acetic acid by cotton swab for 30 seconds and observed under adequate light. At the end, women with abnormal results in Pap smear or DVI method were referred to colposcopy and biopsy. Test's sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), LR+, LR- and confidence interval (CI) were determined (P Pap smear or DVI test. Twelve women had abnormal Pap smear (nine women with atypical squamous cells of undetermined significance, ASCUS, three women with dysplasia, atypical endocervical, and low-grade squamous intraepithelial lesion, LSIL results) and 14 women had positive DVI (four women with human papillomavirus, HPV or koilocyte,) and one women with abnormality in both method had carcinoma in biopsy that referred to oncologist. In this study the sensitivity, specificity, PPV and NPV for DVI were 71.4%, 50%, 35.7%, and 81.8% respectively in comparison with 14.3%, 50%, 10%, and 60% for Pap smear. As the DVI method has higher sensitivity and positive predictive value than Pap smear, it could be used as a useful method beside the Pap smear.

  15. Low uptake of Pap smear testing among medical clinic attendees in a tertiary care hospital in Sri Lanka.

    Science.gov (United States)

    Shivanthan, Mitrakrishnan C; Arunakiri, Komakal; Wickramasinghe, Sumudu I; Sumanasekera, Rukshala D N; Jayasinghe, Saroj; Rajapakse, Senaka

    2014-06-01

    The Papanicolaou (Pap) smear test is a safe and effective screening test for pre-invasive cervical cancer. The test is offered free of charge through well-woman clinics in Sri Lanka, but previous studies have shown poor awareness and uptake. We used an interviewer administered validated questionnaire to conduct a cross sectional survey among ever-married women between the ages of 25 and 65 years attending a medical clinic at the National Hospital of Sri Lanka. We obtained data on socio-demographic characteristics, awareness/knowledge and uptake status of Pap smear testing. A total of 188/280 eligible women were interviewed (67.1%). Participant ages ranged from 29-65 years. Awareness about Pap smear testing was found in 111 (59.0%) women of whom 41 (36.9%) did not know that the Pap smear was used to detect pre-cancerous lesions. Only 34 (18.1%) subjects had ever had a Pap smear taken. Univariate associations related to Pap smear uptake were: prior awareness of the test (pcervical carcinoma (pPap smear testing was poor. Pap smear uptake was very low, and did not parallel prior knowledge, although knowledge did influence uptake. Parity and contact with patients with cervical cancer correlated with uptake. There is an urgent need to increase uptake through a multi-pronged campaign. © The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  16. Modeling the impact of quadrivalent HPV vaccination on the incidence of Pap test abnormalities in the United States.

    Science.gov (United States)

    Chesson, Harrell W; Flagg, Elaine W; Koutsky, Laura; Hsu, Katherine; Unger, Elizabeth R; Shlay, Judith C; Kerndt, Peter; Ghanem, Khalil G; Zenilman, Jonathan M; Hagensee, Michael; Weinstock, Hillard; Datta, S Deblina

    2013-06-24

    We present data on Pap test results and HPV prevalence from the HPV Sentinel Surveillance project, a multiyear surveillance project enrolling women from a diverse set of 26 clinics throughout the US from 2003 to 2005. We use mathematical modeling to illustrate the potential timing and magnitude of decreases in Pap test abnormalities in sexually transmitted disease (STD), family planning, and primary care clinics in the US as a result of HPV vaccination. The probability of an abnormal Pap result was based on three factors: (1) infection with HPV 16/18, or both; (2) infection with high-risk HPV types other than HPV 16/18; and (3) infection with HPV 6/11, or both. We estimated the relative reduction in the probability of an abnormal Pap result over the first 25 years of a female-only, quadrivalent HPV vaccination program, compared to a scenario of no HPV vaccination in which the probability of abnormal Pap results was assumed constant. The probability of an abnormal Pap result ranged from 7.0% for the lowest risk group (those without any high-risk HPV types and without HPV 6/11) to 45.2% for the highest risk group (those with HPV 16/18 and at least one other high-risk HPV type). Estimated reductions in abnormal Pap results among women in the 21- to 29-year age group were 0.8%, 10.2%, and 11.3% in years 5, 15, and 25 of the vaccine program respectively, in the lower vaccine coverage scenario, and 7.4%, 21.4%, and 22.2%, respectively, in the higher coverage scenario. Our results suggest that HPV vaccination will have a discernable impact on the probability of Pap abnormalities, but the timing and magnitude of the reduction will depend substantially on vaccine coverage and the degree of cross-protection against high risk HPV types other than HPV 16/18. Published by Elsevier Ltd.

  17. The characteristics and relevant factors of Pap smear test use for women with intellectual disabilities in Taiwan

    OpenAIRE

    Yen, Suh-May; Kung, Pei-Tseng; Tsai, Wen-Chen

    2014-01-01

    Background This study examines the Pap smear usage conditions and relevant influential factors for 18,204 women aged 30 years and above with intellectual disabilities, using nationwide data from 2008. Methods The research method of this study is secondary data analysis. The data was obtained from three nationwide databases from 2006 to 2008. This study employed descriptive statistics to analyze the use and rate of Pap smear testing by women with intellectual disabilities. Chi-square test was ...

  18. Too much of a good thing? Physician practices and patient willingness for less frequent pap test screening intervals.

    Science.gov (United States)

    Meissner, Helen I; Tiro, Jasmin A; Yabroff, K Robin; Haggstrom, David A; Coughlin, Steven S

    2010-03-01

    Recent guidelines recommend longer Pap test intervals. However, physicians and patients may not be adopting these recommendations. Identify (1) physician and practice characteristics associated with recommending a less frequent interval, and (2) characteristics associated with women's willingness to adhere to a 3-year interval. We used 2 national surveys: (1) a 2006/2007 National Survey of Primary Care Physicians for physician cervical cancer screening practices (N = 1114), and (2) the 2005 Health Information Trends Survey for women's acceptance of longer Pap intervals (N = 2206). MEASURES AND METHODS: Physician recommendation regarding Pap intervals was measured using a clinical vignette involving a 35-year-old with no new sexual partners and 3 consecutive negative Pap tests; associations with independent variables were evaluated with logistic regression. In parallel models, we evaluated women's willingness to follow a 3-year Pap test interval. A minority of physicians (32%) have adopted-but more than half of women are willing to adopt-3-year Pap test intervals. In adjusted models, physician factors associated with less frequent screening were: serving a higher proportion of Medicaid patients, white, non-Hispanic race, fewer years since medical school graduation, and US Preventive Services Task Force being very influential in physician clinical practice. Women were more willing to follow a 3-year interval if they were older, but less willing if they had personal or family experiences with cancer or followed an annual Pap test schedule. Many women are accepting of a 3-year interval for Pap tests, although most primary care physicians continue to recommend shorter intervals.

  19. A Construção dos Papéis Parentais em Casais Homoafetivos Adotantes

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    Jéssica Moraes Rosa

    Full Text Available Resumo Este estudo teve por objetivo compreender como se dá a construção do papel parental em casais homoafetivos adotantes, considerando o contexto singular da adoção e suas implicações psicológicas, sociais e legais. Trata-se de um estudo descritivo e exploratório, do qual participaram dois adultos que se encontravam em união homoafetiva e que adotaram legalmente uma criança. Foram realizadas entrevistas semiestruturadas, com roteiro que abordava questões direcionadoras à investigação do desejo de ter filhos, os trâmites legais da adoção e a transição para a parentalidade. Os dados foram submetidos à análise temática, balizada pela compreensão da questão de pesquisa: a assunção do papel parental. Emergiram os seguintes temas: tomando a decisão de adotar; tecendo narrativas da adoção; aprendendo a exercer os papéis parentais; organizando a rotina doméstica. Os resultados apontam para uma definição mais igualitária de papéis parentais na família homoafetiva. A construção desses papéis, ainda que sofra influência cultural, é uma elaboração criativa da díade conjugal e da família que se constitui. Ficou evidenciado que os papéis parentais tendem a ser incorporados e exercidos de formas peculiares nas famílias homoafetivas constituídas pela via da adoção.

  20. Knowledge of cervical cancer and Pap smear among Uyghur women from Xinjiang, China.

    Science.gov (United States)

    Abulizi, Guzhalinuer; Abulimiti, Tangnuer; Li, Hua; Abuduxikuer, Guzhalinuer; Mijiti, Patiman; Zhang, Su-Qin; Maimaiti, Ayinuer; Tuergan, Muyasier; Simayi, Ayiguli; Maimaiti, Miherinisha

    2018-01-17

    Cervical cancer is a significant public health issue in Xinjiang China. In order to provide scientific basis for cervical cancer intervention in Xinjiang, women's knowledge of cervical cancer was investigated in this study. Besides, relations between Uyghur women's awareness and their age, educational background, yearly household were evaluated. Questionnaire survey was conducted to 7100 Uyghur women from Karkax Hotan and Payzivat Kashgar during 2008 and 2009. Women aged 21 to 70 years, had sexual activity, no history of cervical lesion or cervical cancer were considered to be eligible to the study. Information include participants' socio-demographic background, personal data, awareness about Pap smear, about cervical cancer and HPV, sources of information acquisition was investigated. 65.1% of the 7100 respondents with primary education level, and 95.0% participants were farmers. Only 7.4% had undertaken Pap smears before, not aware of the importance of the test (97.4% of 7100) was the main reason for not performing Pap smears. 29.3% of total participants had heard about cervical cancer, and only 0.14% (10 out of 7100) had heard about HPV. Top three route of knowledge acquire were television advertises (39.1%), neighbors (21.0%) and health care providers (15.0%). Women younger than 40 years, with higher educational levels and higher income had better awareness of cervical cancer and more willing to accept regular Pap smears. Uyghur women in Xinjiang had poor knowledge of cervical cancer and HPV infection. Low awareness of women was associated with less household income and lower educational levels. TV shows and education from health care providers may increase women's participation in cervical cancer control and prevention.

  1. Knowledge, opinions and attitudes of Italian mothers towards HPV vaccination and Pap test.

    Science.gov (United States)

    La Torre, Giuseppe; De Vito, Elisabetta; Ficarra, Maria Giovanna; Firenze, Alberto; Gregorio, Pasquale; Miccoli, Silvia; Giraldi, Guglielmo; Unim, Brigid; De Belvis, Giulio; Boccia, Antonio; Saulle, Rosella; Semyonov, Leda; Ferrara, Maria; Langiano, Elisa; Capizzi, Silvio; Nardella, Rosaria; Marsala, Maria Grazia Laura; Bonanno, Valentina; Ferrara, Clara; Guidi, Enrica; Bergamini, Mauro; Lupi, Silvia

    2015-01-01

    This study evaluated the knowledge and attitudes of Italian mothers - whose daughters had been vaccinated in 2012 - towards primary (anti-HPV vaccination) and secondary (Pap test screening) cervical cancer prevention, as well as sources of information and mother-daughter communication on health issues. The survey - part of a multicenter study carried out in 4 Italian cities (Ferrara, Rome, Cassino and Palermo) - was conducted through self-administered questionnaires. The first univariate analysis evaluated differences between mothers of under-18s and over-18s relative to knowledge and attitudes on HPV vaccination and Pap test. The second univariate analysis evaluated differences between the 2 groups of mothers and possible geographical variations regarding the sources of information on HPV and Pap test. The sample proved knowledgeable about the correlation between HPV and cervical cancer (>85%) but less aware of other HPV-related diseases. HPV vaccination should be administered before first sexual intercourse according to mothers of over-18s, and to 14- to 17-year-olds according to mothers of under-18s. Up to 88% of mothers of under-18s and 80% of mothers of over-18s declared that the vaccine should be given free of charge. More mothers of under-18s consulted a general practitioner (GP) or gynecologist before deciding to vaccinate their daughters. Mothers of under-18s received information on HPV vaccination mainly from GPs and gynecologists, while mothers of over-18s were informed through TV and books/journals. Over 80% of the sample declared satisfaction with the information received from their gynecologist during the Pap test. The findings provide useful information for the development of effective public health interventions that may help improve acceptance of HPV vaccination among mothers.

  2. Follow-up of Women With Negative Pap Test Results and Abnormal Clinical Signs or Symptoms.

    Science.gov (United States)

    Ocque, Rebecca; Austin, R Marshall

    2016-04-01

    Abnormal signs or symptoms recorded on Papanicolaou (Pap) test requisitions may reflect disease not detected with Pap testing. Since 2009, these cases have been reviewed in our laboratory by a second cytotechnologist and a cytopathologist. The objective of this study was to document follow-up findings on these patients. A search for Pap test results of "Negative for intraepithelial lesion or malignancy, abnormal clinical signs or symptoms" was performed for cases from January 1, 2009, to October 10, 2013. Clinical information and follow-up findings were documented. 1,104 cases were identified. Signs and symptoms were abnormal bleeding 897 (81%), polyps 83 (8%), pelvic mass 54 (5%), visible cervical lesions 48 (4%), vaginal lesions 17 (2%) and endometrial masses 6 (0.5%). Six hundred sixty-seven (60%) had follow-up results, including 517 with histopathologic diagnoses. Two-hundred thirty-three (45%) had nonspecific benign diagnoses, 216 (42%) had benign tumor-like conditions, 28 (4%) had insufficient specimens, 16 (3%) had precancerous diagnoses and 23 (4%) had malignancies. Endometrial malignancy was identified in 14 (61%), ovarian in 6 (26%), and miscellaneous in 3 (13%). No cervical cancers were identified. We report follow-up findings from patients with abnormal clinical signs or symptoms, negative Pap test results, and follow-up recommendations highlighting reported abnormal signs or symptoms. Abnormal clinical signs and symptoms should routinely be considered in assessment and management of patients with negative cervical screening test results. © American Society for Clinical Pathology, 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Knowledge, Attitudes and Practices of Sudanese Women Regarding the Pap Smear Test and Cervical Cancer.

    Science.gov (United States)

    Almobarak, Ahmed O; Elbadawi, Ayman A; Elmadhoun, Wadie M; Elhoweris, Mohammed H; Ahmed, Mohammed H

    2016-01-01

    Despite the established role of the Pap smear test (PST) in prevention and early detection of cervical cancer, it is still rarely practiced in Sudan. Many challenges hinder the establishment of an effective cervical cancer screening program, including socio-cultural factors. Therefore, this study aimed to investigate the knowledge, attitudes and practices (KAP) of Sudanese women with regard to the Pap smear test and cervical cancer. A total of 500 married women aged 14 to 58 years were recruited from obstetric clinics, hospitals and universities in Khartoum in 2014. Data were collected using a standardized, pretested questionnaire that inquired socio-demographic characteristics and their KAP about cervical cancer and the PST. More than 52% of participating women were above 30 years of age, and the majority (78.8%) were university degree holders. A total of 486 (97.2 %) of participants were resident in urban areas of Khartoum State. However about 48% of the respondents had never heard about PST, and only 15.8% of the participants had undergone a Pap smear test previously; 46.6% (233/500) knew that the human papilloma virus (HPV) was the causative agent, but only 39.2% (196/500) had heard about HPV vaccination, and only 11.4% (57/500) had received the vaccine. However 68% of the respondents agreed to do Pap smear if properly informed about the test and 75.4% of the respondents agreed to participate in a cervical cancer screening program. Despite a high educational level, less than half of our participants had accurate knowledge about cervical cancer, HPV, and cervical cancer screening. Health education about cervical cancer, HPV and sexually transmitted infections and the role of PST in cervical cancer prevention are crucial when designing interventions aimed at improving cervical cancer screening for Sudanese women.

  4. Behaviour of fluid mobile elements during subduction and exhumation of abyssal peridotites: Example of serpentinites from Cuba and Dominican Republic

    Science.gov (United States)

    Deschamps, F.; Guillot, S.; Godard, M.; Chauvel, C.; Andreani, M.

    2009-04-01

    Seawater interaction with abyssal peridotites at the sea floor is an important process for chemical exchange between lithosperic mantle and ocean at slow-spreading ridge. Serpentinites from oceanic lithosphere are known to represent an important sink for fluid mobile element, notably boron. In parallel we know extreme enrichment in fluid mobile element (As, Sb, B, U, Li) in high-pressure serpentine minerals (antigorite) coming from part of mantle wedge hydrated by slab's fluids released (Himalaya, Deschamps et al., in prep.). In order to constrain geochemical behaviour of fluid mobile element hosted by serpentine during subduction processes, we examined abyssal serpentinites coming from the accretionary wedge of Greater Carribean (Cuba and Dominican Republic). They represent subducted Atlantic oceanic lithosphere, which have experienced low to high- metamorphism (greenschist to eclogite facies), before being exhumed. These rocks are an opportunity to understand the chemical mobility of fluid mobile element during prograde metamorphism occurring along subduction surface. Here we present bulk-rock and in-situ composition of serpentinites and their primary and alteration-related phase obtained on (LA-)HR-ICP-MS. Except for a few cumulates, serpentinites have depleted compositions in agreement with a refractory mantle, but also strong enrichment in U, Pb, Th, Sr, and other fluid mobile element (e.g., U up to 10xPM) indicating extensive fluid-rock intercation. In-situ composition allows the distinction of two groups of serpentine. Group 1 is characterized by relatively flat and depleted REE patterns (Yb ≈ 0.5xChondrite) reflecting formation after olivine, while group 2 formed after pyroxene is characterized by slightly higher HREE content (Yb ≈ 1xChondrite) but light LREE depleted patterns and displays higher content in Sc, V, Ti and Co. Both groups are strongly enriched in B (up to 120 ppm), and reach values already observed in serpentinites from mantle wedge

  5. Cervical cancer screening attitudes and beliefs of Malaysian women who have never had a pap smear: a qualitative study.

    Science.gov (United States)

    Wong, L P; Wong, Y L; Low, W Y; Khoo, E M; Shuib, R

    2008-01-01

    Attitudes toward cervical cancer and participation in early detection and screening services are well known to be profoundly affected by cultural beliefs and norms. This study explored the attitudes and sociocultural beliefs on cervical cancer screening among Malaysian women. In this qualitative study, in-depth interviews were conducted with 20 Malaysian women, ages 21 to 56 years, who have never had a Papanicolaou (Pap) smear. Respondents generally showed a lack of knowledge about cervical cancer screening using Pap smear, and the need for early detection for cervical cancer. Many believed the Pap smear was a diagnostic test for cervical cancer, and since they had no symptoms, they did not go for Pap screening. Other main reasons for not doing the screening included lack of awareness of Pap smear indications and benefits, perceived low susceptibility to cervical cancer, and embarrassment. Other reasons for not being screened were related to fear of pain, misconceptions about cervical cancer, fatalistic attitude, and undervaluation of own health needs versus those of the family. Women need to be educated about the benefits of cervical cancer screening. Health education, counseling, outreach programs, and community-based interventions are needed to improve the uptake of Pap smear in Malaysia.

  6. Treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS with positive airway pressure (PAP

    Directory of Open Access Journals (Sweden)

    Felipe Campo

    2017-08-01

    Full Text Available In order to treat any disease, an adequate multidisciplinary management and involving the patient in the long term are necessary, since not treating patients implies an enormous burden for the health system and the society. Currently, different treatments for patients with obstructive sleep apnea-hypopnea syndrome (OSAHS can be found, being PAP (positive airway pressure the most frequently chosen after ruling out anatomical abnormalities susceptible to surgery. Indications for PAP therapy include patients with apnea-hypopnea index (AHI ≥15 events/hour or ≥5 and ≤14 events/hour and complaints of excessive daytime sleepiness, cognitive impairment and affective disorder or insomnia, documented arterial hypertension, coronary artery disease, or cerebrovascular event history. It is important to remember that AHI should be based on polysomnographic recording of sleep ≥2 hours. There are different modalities of treatment with PAP and intervention should be sought to improve adherence to the device, which is the main limiting factor for achieving efficacy in the treatment. The impact of OSAHS treatment has been investigated, but most of the reported studies are observational.

  7. Pap screening clinics with native women in Skidegate, Haida Gwaii. Need for innovation.

    Science.gov (United States)

    Calam, B; Norgrove, L; Brown, D; Wilson, M A

    1999-02-01

    First Nations women in British Columbia, especially elders, are underscreened for cancer of the cervix compared with the general population and are much more likely to die of the disease than other women. To develop a pilot program, in consultation with community representatives, to address the Pap screening needs of First Nations women 40 years and older on a rural reserve. Identification of key links to the population; consultation with the community to design an outreach process; identification of underscreened women; implementation of community Pap screening clinics; evaluation of the pilot program. We developed a Pap screening outreach program that marked a departure from the usual screening approach in the community. First Nations community health representatives were key links for the process that involved family physicians and office staff at a local clinic on a rural reserve. Participation rate for the pilot program was 48%, resulting in an increase of 15% over the previously recorded screening rate for this population. More screening clinics of this type and evaluation for sustainability are proposed.

  8. Long-term cycling of mantle Pb: A trace element study of the major mantle mineral phases in abyssal peridotites

    Science.gov (United States)

    D'Errico, M. E.; Warren, J. M.; Godard, M.; Ildefonse, B.

    2012-12-01

    Peridotites from ultraslow-spreading ridges preserve signatures of the depleted mantle, while also reflecting the fine scale compositional variability present in the mantle. Traditional analyses of these depleted rocks have focused on clinopyroxene, the main trace element host in spinel peridotites. However, key isotopic systems, such as lead and osmium, are hosted in other phases at low but significant concentration levels. The amount of lead contained within mantle mineral phases is of critical importance to understanding the long-term evolution of the Earth, because the radiogenic isotopes of lead are sensitive to past material cycling and melt-rock interaction. Sulfides have long been suggested as the main host for lead (Pb) in the mantle, but recent studies have demonstrated that Pb is not exclusively hosted in this trace phase. Therefore, the Pb contents of the major peridotite mineral phases (olivine, orthopyroxene, and clinopyroxene) need to be reassessed. Lead concentration data is available for orogenic and xenolith peridotite samples, which are typically more enriched than abyssal peridotites, but these do not provide direct information on the oceanic upper mantle. Direct measurement of Pb in abyssal peridotites has so far been limited because of its extremely low concentration (often spreading Gakkel and Southwest Indian Ridges (SWIR), with samples coming from segments with full spreading rates Gakkel and SWIR samples are relatively unaltered (Gakkel. A total of five Gakkel and six SWIR peridotites were analyzed by LA-ICP-MS, with a subset of samples also analyzed for bulk rock trace elements by solution ICP-MS. Combined with mineral modal data, this study provides a direct comparison of measured and calculated bulk rock Pb concentrations to determine a comprehensive assessment of the distribution of Pb among upper mantle phases Results indicate that all three of the main mantle mineral phases have similar Pb concentrations, ranging from 2-20 ppb, which

  9. Southern Great Plains Atmospheric Radiation Measurement Site

    Data.gov (United States)

    Federal Laboratory Consortium — The Southern Great Plains Atmospheric Radiation Measurement Site (SGP-ARM) is the oldest and largest of DOE's Arm sites. It was established in 1992. It consists of...

  10. Targeting the Plains of Venus from Orbit

    Science.gov (United States)

    Sharpton, V. L.

    2014-05-01

    Lowland plains house a spectacular array of poorly understood volcanic, tectonic, and impact features that are key to settling the continuing global stratigraphy debate and resolving how the only other accessible Earth-sized planet has evolved.

  11. Plain Language: Getting Started or Brushing Up

    Science.gov (United States)

    ... Institutes at NIH » NIH Office of the Director » Office of Communications & Public Liaison » Clear Communication » Plain ... This website consists of five sections and a checklist you can print. In each section, you will ...

  12. 44 CFR 10.14 - Flood plains and wetlands.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Flood plains and wetlands. 10... Flood plains and wetlands. For any action taken by FEMA in a flood plain or wetland, the provisions of... Executive Order 11988, Flood Plain Management, and Executive Order 11990, Protection of Wetlands (44 CFR...

  13. Defining 'plain language' in contemporary South Africa | Cornelius ...

    African Journals Online (AJOL)

    Defining the concept 'plain language' has been hugely problematic since the origins of the socalled Plain Language Movement in the 1970s in the United States and elsewhere in the world. Definitions of 'plain language' abound, yet James (2008: 6) warns, in relation to plain language practitioners, that “we can't yet call ...

  14. Carbon isotopic changes in benthic foraminifera from the western South Atlantic: Reconstruction of glacial abyssal circulation patterns

    Science.gov (United States)

    Curry, W. B.; Lohmann, G. P.

    1982-09-01

    Oxygen- and carbon-isotopic analyses have been performed on the benthic foraminifer Planulina wuellerstorfi in seven Late Quaternary cores from the Vema Channel-Rio Grande Rise region. The cores are distributed over the water-depth interval of 2340 to 3939 m, which includes the present transition from North Atlantic Deep Water (NADW) to Antarctic Bottom Water (AABW). The carbon-isotopic records in the cores vary as a function of water depth. The shallowest and deepest cores show no significant glacial-interglacial difference in δ 13C. Four of the five cores presently located in the NADW have benthic foraminiferal δ 13C that is lower during glacial isotopic stages. Based on bathymetric gradients in δ 13C, we conclude that, like today, there were two water masses present in the Vema Channel during glacial intervals: a water mass enriched in 13C overlying another water mass depleted in 13C. The largest gradient of change of δ 13C with depth, however, occurred at 2.7 km, ˜ 1 km shallower than the present position of this gradient. On the basis of paleontologic and sedimentologic evidence, we consider it unlikely that the NADW:AABW transition shallowed to this level. Reduced carbon-isotopic gradients between the deep basins of the North Atlantic and Pacific Oceans during the last glaciation suggest that production of NADW was reduced. Lower production of NADW may have modified the local abyssal circulation pattern in the Vema Channel region.

  15. Chemistry and mineralogy of pyrite-enriched sediments at a passive margin sulfide brine seep: abyssal Gulf of Mexico

    Science.gov (United States)

    Commeau, Robert F.; Paull, Charles K.; Commeau, Judith A.; Poppe, Lawrence J.

    1987-03-01

    Pyrite is rapidly accumulating at the contact between the Cretaceous limestones of the Florida Platform and the hemipelagic sediments of the abyssal Gulf of Mexico. Sediments sampled with the submersible "Alvin" in 3266 m of water are associated with a dense community of organisms that depend on chemosynthetic primary production as a food source. Analysis of the chemistry, mineralogy, and textural composition of these sediments indicate that iron sulfide mineralization is occurring at the seafloor within an anoxic micro-habitat sustained by the advection of hydrogen sulfide-charged saline brines from the adjacent platform. The chemosynthetic bacteria that directly overlie the sediments oxidize hydrogen sulfide for energy and provide elemental sulfur that reacts with iron monosulfide to form some of the pyrite. The sediments are mixtures of pyrite (˜ 30 wt.%), Ba sbnd Sr sulfates (˜ 4 wt.%), clays, and locally derived biogenic carbonates and are progressively being cemented by iron sulfides. Oxidation of hydrogen sulfide produces locally acidic conditions that corrode the adjacent limestones. Potential sources of S, H 2S, Fe, Ba, and Sr are discussed.

  16. Hiding video in plain sight

    Science.gov (United States)

    Rosiene, Carolyn P.; Rosiene, Joel A.

    2000-05-01

    With the increasing number of digital transmissions, there is an opportunity to utilize existing broadcast channels to send hidden video transmissions. This presentation outlines and demonstrates a technique to insert a hidden video channel within a larger standard video feed, or 'hide in plain sight.' The approach outlined consists of three parts: data (or video) insertion, data security, and data recovery. These three components are essential to complete a secured digital transmission. To insert the data, knowledge of the standard (for example, MPEG 1, 2, or 4) is used to place the information to be hidden into the compressed data stream post quantization. Since the encoder has perfect knowledge of the receiver's model, it is possible to place the data in the compressed data in a manner that is visually un-intrusive. The technique to hide the data will be presented and an example given. Since, the data (or video) to be inserted may be of a sensitive nature, it is necessary to provide a level of security, which will render the video stream useless if its presence is detected. Both, spatial and temporal dispersion are used to reduce the likelihood of detection with the addition of a modulation of the signal to reduce the image to noise unless the key is known. The intended viewer of the embedded data (or video stream), with knowledge of the key recovers the data by encoding the incoming video stream with the appropriate standard, and extracting the data prior to quantization. While the work in this paper focuses on the insertion of hidden video into a broadcast signal, the same technique serves to prevent tampering to the broadcast signal, since modification of the image data will corrupt the hidden signal. In this way, this provides a level of tamper protection/detection for video, which may be used in legal proceedings.

  17. Kadın doktorların Pap smear testi konusunda bilgi tutum ve davranışlarının belirlenmesi

    OpenAIRE

    Işık, Oğuz; Çelik, Mustafa; Keten, Hamit; Dalgacı, Ahmet; Yıldırım, Fatiş

    2016-01-01

    Purpose: Pap smear test is a cytological screening test based on collecting and examining shedded cervical cells. The aim of this study was to determine knowledge, attitudes, and behaviors of female physicians in Pap smear test. Material and Methods: In the present study, a total of 197 female physicians who worked in Kahramanmaras province were included. After obtaining informed consents, questionnaire was applied to participants. Knowledge level of participants in Pap smear test were ev...

  18. Interactive surface in the PapD chaperone cleft is conserved in pilus chaperone superfamily and essential in subunit recognition and assembly.

    OpenAIRE

    Slonim, L N; Pinkner, J S; Brändén, C I; Hultgren, S J

    1992-01-01

    The assembly of adhesive pili in Gram-negative bacteria is modulated by specialized periplasmic chaperone systems. PapD is the prototype member of the superfamily of periplasmic pilus chaperones. Previously, the alignment of chaperone sequences superimposed on the three dimensional structure of PapD revealed the presence of invariant, conserved and variable amino acids. Representative residues that protruded into the PapD cleft were targeted for site directed mutagenesis to investigate the pi...

  19. Application of flood index in monitoring Flood-plain ecosystems (by the example of the Middle Ob flood-plain)

    OpenAIRE

    Bolotnov, V. P.

    2007-01-01

    The concept of regional hydroecological monitoring has been developed for the flood-plain of the Middle Ob. Its object is to control the state of flood-plain ecosystem productivity for organization of scientific, regional-adopted and ecologically regulated nature management. For this purpose hydroecological zoning of flood-plain territory performed, the most representative stations of water-gauge observations for each flood-plain zone organized, the scheme of flood-plain flooding was prepared...

  20. Does Cytological Laboratory Holds the Responsibility for the Low Sensitivity of the PAP Test in Detecting Endometrial Cancer?

    Science.gov (United States)

    Milicić, Valerija; Matić, Tereza Solocki; Martinek, Vjenceslav; Tomasković, Igor; Ramljak, Vesna

    2015-09-01

    Endometrial cancer is the most common gynecological cancer but there is no economically justified screening method. Although we can detect endometrial cells in the sample using PAP test, many studies show low sensitivity and positive predictive value of PAP test for the diagnosis of endometrial cancer. The goal of this research was to determine significance of PAP test for the diagnostics of endometrial carcinoma. Sensitivity and specificity were analyzed with statistical parameters. VCE (vaginal, cervical, endocervical) smears of patients with histologically proven endometrial carcinoma were re-examined in order to determine the proportion of false negative results for endometrial cancer cells in the VCE samples. Study group consisted of all consecutive patients with PAP test performed at the Department of Clinical Cytology of the University Hospital Center Osijek from 2002 until the end of 2014. There was one inclusion criteria: subsequent hysterectomy or curettage within the six month after the PAP test, regardless of histological finding. From a total of 263 patients with previous PAP test and histologically proven endometrial cancer, endometrial cancer was cytologicaly diagnosed in 24.7% (including suspicious and positive findings), while 66.2% patients had normal cytological findings. The diagnostic value of PAP test in detection of endometrial cancer was statistically revealed with 25% sensitivity and 99% specificity. To determine false negative rate VCE samples were reviewed for patients with histologically proven endometrial cancer and negative VCE findings. There were a total of five negative results. In one case revision did not changed the original negative diagnosis, but benign endometrial cells, a lot of blood and inadequate cytohormonal status were found. In three out of four reviewed samples there were missed cells of endometrial adenocarcinoma. Review of remaining VCE sample upgraded the diagnosis from negative to suspicious for endometrial cancer

  1. Comparative study between pap smear and visual inspection with acetic acid (via) in screening of CIN and early cervical cancer.

    Science.gov (United States)

    Bhattacharyya, Ashish Kumar; Nath, Jyan Dip; Deka, Harajyoti

    2015-01-01

    Cervical cancer is the second most common among women globally. In most cases of Assam, Ca Cervix is detected late due to lack of effective screening programme. To screen the patient at Gynaecology OPD at the age 18-60 yrs by doing pap smear, VIA (Visual Inspection with Acetic Acid) and to detect sensitivity and specificity for detecting CIN and early Ca Cervix. It is a cross sectional study of 300 women (18- 60 yrs) who fulfill selection criteria. The pap smear and VIA are done in these cases. In positive cases, cervical biopsy and histopathological studies are done, The sensitivity and specificity of each test are determined and compared. The positive result detected from cytology are 22, VIA was positive in 52 cases. The histology of 19 cases are suggestive of CIN and Ca Cervix. The findings were compared with other studies and evaluated. The most common finding in per speculum examination is cervical erosion. The sensitivity of VIA is 89% (versus pap smear-52%) the specificity of VIA is 87% (versus pap smear-95%). The accuracy VIA is 87% compared to pap smear-93%. The lack of effective and implementable screening programme lead to reporting of advanced cases of Ca Cervix. If detected at CIN or early Ca cervix stage, effective treatment can be provided with encouraging results. Therefore effective & implementable Ca Cervix screening need to be provided in our country.

  2. Evaluation of a worksite cervical screening initiative to increase Pap smear uptake in Malaysia: a cluster randomized controlled trial.

    Science.gov (United States)

    Abdullah, Fauziah; O'Rorke, Michael; Murray, Liam; Su, Tin Tin

    2013-01-01

    Despite the significant burden of cervical cancer, Malaysia like many middle-income countries relies on opportunistic cervical screening as opposed to a more organized population-based program. The aim of this study was to ascertain the effectiveness of a worksite screening initiative upon Papanicolaou smear test (Pap test) uptake among educated working women in Malaysia. 403 female teachers who never or infrequently attended for a Pap test from 40 public secondary schools in Kuala Lumpur were recruited into a cluster randomized trial conducted between January and November 2010. The intervention group participated in a worksite cervical screening initiative whilst the control group received usual care from the existing cervical screening program. Multivariate logistic regression was performed to determine the impact of the intervention program on Pap smear uptake after 24 weeks of followup. The proportion of women attending for a Pap test was significantly higher in the intervention than in the control group (18.1% versus 10.1%, P value Pap smear uptake, adjusted odds ratio 2.44 (95% CI: 1.29-4.62). Worksite health promotion interventions can effectively increase cervical smear uptake rates among eligible workers in middle-income countries. Policy makers and health care providers in these countries should include such interventions in strategies for reducing cervical cancer burden. This trial is registered with IRCT201103186088N1.

  3. Evaluation of a Worksite Cervical Screening Initiative to Increase Pap Smear Uptake in Malaysia: A Cluster Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Fauziah Abdullah

    2013-01-01

    Full Text Available Background. Despite the significant burden of cervical cancer, Malaysia like many middle-income countries relies on opportunistic cervical screening as opposed to a more organized population-based program. The aim of this study was to ascertain the effectiveness of a worksite screening initiative upon Papanicolaou smear test (Pap test uptake among educated working women in Malaysia. Methods. 403 female teachers who never or infrequently attended for a Pap test from 40 public secondary schools in Kuala Lumpur were recruited into a cluster randomized trial conducted between January and November 2010. The intervention group participated in a worksite cervical screening initiative whilst the control group received usual care from the existing cervical screening program. Multivariate logistic regression was performed to determine the impact of the intervention program on Pap smear uptake after 24 weeks of followup. Results. The proportion of women attending for a Pap test was significantly higher in the intervention than in the control group (18.1% versus 10.1%, P value < 0.05 with the worksite screening initiative doubling the Pap smear uptake, adjusted odds ratio 2.44 (95% CI: 1.29–4.62. Conclusion. Worksite health promotion interventions can effectively increase cervical smear uptake rates among eligible workers in middle-income countries. Policy makers and health care providers in these countries should include such interventions in strategies for reducing cervical cancer burden. This trial is registered with IRCT201103186088N1.

  4. Self-sampling for cervical screening: could it overcome some of the barriers to the Pap test?

    Science.gov (United States)

    Mullins, Robyn; Scalzo, Katherine; Sultana, Farhana

    2014-12-01

    To determine which groups of women would be most likely to take part in self-sampling for cervical screening, and what they perceive as the key barriers and benefits to self-sampling. A random sample of 3000 women aged 18-69 in Victoria, Australia, were asked questions about "taking their own Pap test" in a telephone survey about cervical screening; 2526 answered the questions about self-sampling. The terminology "Pap test" was used in questions, due to the very low understanding of HPV and its link to cervical cancer. One-third of women (34.0%) indicated they would prefer to self-sample, 57.2% would not and 8.7% were unsure. Preference for self-sampling was significantly stronger among women who had not had a Pap test for more than three years (64.8%, p Pap test, and could potentially reach some women who are not participating appropriately in cervical screening. Key barriers to participation could be addressed by providing information about the test being for HPV, and being easier to do properly than a Pap test. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  5. Frequency of Adequate Endometrial Biopsy in Evaluation of Postmenopausal Women With Benign Endometrial Cells on Pap Test.

    Science.gov (United States)

    Hastings, Jeffrey W; Alston, Meredith J; Mazzoni, Sara E; Stickrath, Elaine

    2017-10-01

    The aim of the study was to determine the frequency that endometrial biopsies (EMBs) performed on postmenopausal (PMP) women with benign endometrial cells (BECs) on Pap test are adequate for assessing malignancy or hyperplasia. This is a case series including all PMP women older than 55 years at a single academic institution between January 2008 and September 2015 with a Pap test result including BEC. Patients were identified via an internal cytology database. Patient data, the ability to obtain an EMB, and the result of the EMB were collected. An adequate EMB was defined as the presence of glands and stroma sufficient to assess for endometrial hyperplasia and/or malignancy. Descriptive statistics were performed, and then univariable and logistic regression analyses were used to evaluate associations of patient factors and adequacy of EMB. One hundred sixteen women met inclusion criteria. One hundred seven had an EMB scheduled (92%) and of those 91 EMBs were obtained (85%). Of the obtained biopsies, 63 were inadequate to rule out the diagnosis of hyperplasia and/or malignancy (69%). Of these, 19 patients underwent pelvic ultrasound (30%), 12 followed up with repeat Pap test (19%), and 4 underwent dilation and curettage (6%). Of the adequate biopsies, 5 had a diagnosis of hyperplasia (18%) and 5 with malignancy (18%). In PMP women with BEC on Pap test, adequate EMB was only obtained in 31% of patients. Most patients without an adequate biopsy had no further workup of their abnormal Pap test.

  6. Evaluation of a Worksite Cervical Screening Initiative to Increase Pap Smear Uptake in Malaysia: A Cluster Randomized Controlled Trial

    Science.gov (United States)

    O'Rorke, Michael; Murray, Liam; Su, Tin Tin

    2013-01-01

    Background. Despite the significant burden of cervical cancer, Malaysia like many middle-income countries relies on opportunistic cervical screening as opposed to a more organized population-based program. The aim of this study was to ascertain the effectiveness of a worksite screening initiative upon Papanicolaou smear test (Pap test) uptake among educated working women in Malaysia. Methods. 403 female teachers who never or infrequently attended for a Pap test from 40 public secondary schools in Kuala Lumpur were recruited into a cluster randomized trial conducted between January and November 2010. The intervention group participated in a worksite cervical screening initiative whilst the control group received usual care from the existing cervical screening program. Multivariate logistic regression was performed to determine the impact of the intervention program on Pap smear uptake after 24 weeks of followup. Results. The proportion of women attending for a Pap test was significantly higher in the intervention than in the control group (18.1% versus 10.1%, P value < 0.05) with the worksite screening initiative doubling the Pap smear uptake, adjusted odds ratio 2.44 (95% CI: 1.29–4.62). Conclusion. Worksite health promotion interventions can effectively increase cervical smear uptake rates among eligible workers in middle-income countries. Policy makers and health care providers in these countries should include such interventions in strategies for reducing cervical cancer burden. This trial is registered with IRCT201103186088N1. PMID:24073411

  7. False-positive Papanicolaou (PAP) test rates in the College of American Pathologists PAP education and PAP proficiency test programs: evaluation of false-positive responses of high-grade squamous intraepithelial lesion or cancer to a negative reference diagnosis.

    Science.gov (United States)

    Crothers, Barbara A; Booth, Christine Noga; Darragh, Teresa Marie; Zhao, Chengquan; Souers, Rhona J; Thomas, Nicole; Moriarty, Ann T

    2014-05-01

    In cytology proficiency testing (PT), participants fail for incorrectly interpreting a high-grade squamous intraepithelial lesion or cancer (HSIL+) Papanicolaou test result as negative. This penalty may lead to a false-positive interpretation of negative slides as HSIL+ to avoid failure. To investigate factors related to false-positive responses in a PT versus an educational environment. We analyzed 420,079 responses from 9414 validated negative reference slides in the College of American Pathologists Interlaboratory Comparison Program in Gynecologic Cytopathology (PAP Education) and compared them with responses from the Gynecologic Cytology Proficiency Testing Program for the percentage of false-positive (HSIL+) interpretations in each of 7 negative subcategories. We evaluated the influence of preparation type (ThinPrep, SurePath, and conventional Papanicolaou test), participant type (pathologist or cytotechnologist), and program time interval (preproficiency test or PT) on a false-positive response. Reference diagnosis and participant type, but not preparation type, were statistically correlated to false-positive responses. The interaction between program time interval and participant type was also significant. Pathologists had higher rates of false-positive results on preproficiency test (1.2% [800 of 68,690]) than they did on PT (0.8% [993 of 129,857]). Cytotechnologists had no differences between program time intervals (preproficiency, 0.9% [515 of 63,281] versus PT, 1.0 [1231 of 121,621]; P = .91). Negative subcategories frequently mistaken for HSIL+ were reparative changes (4.7% [427 of 9069]), atrophic vaginitis (1.8% [18 of 987]), and negative for intraepithelial lesion or malignancy (1.2% [2143 of 178,651]), but during PT, false-positive rates were significantly increased only for the negative for intraepithelial lesion or malignancy and herpes simplex virus (P Testing Program than they did in PAP Education, but participants were more likely to report a

  8. Pap, Mammography, and Clinical Breast Examination Screening Among Women with Disabilities: A Systematic Review

    Science.gov (United States)

    Andresen, Elena M.; Peterson-Besse, Jana J.; Krahn, Gloria L.; Walsh, Emily S.; Horner-Johnson, Willi; Iezzoni, Lisa I.

    2015-01-01

    Background Research has found some disparities between U.S. women with and without disabilities in receiving clinical preventive services. Substantial differences may also exist within the population of women with disabilities. The current study examined published research on Pap smears, mammography, and clinical breast examinations across disability severity levels among women with disabilities. Methods: Informed by an expert panel, we followed guidelines for systematic literature reviews and searched MEDLINE, PsycINFO, and Cinahl databases. We also reviewed in-depth four disability- or preventive service-relevant journals. Two reviewers independently extracted data from all selected articles. Findings Five of 74 reviewed publications of met all our inclusion criteria and all five reported data on Pap smears, mammography, and clinical breast examination. Articles classified disability severity groups by functional and/or activity levels. Associations between disability severity and Pap smear use were inconsistent across the publications. Mammography screening fell as disability level increased according to three of the five studies. Results demonstrated modestly lower screening, but also were inconsistent for clinical breast examinations across studies. Conclusion Evidence is inconsistent concerning disparities in these important cancer screening services with increasing disability levels. Published studies used differing methods and definitions, adding to concerns about the evidence for screening disparities rising along with increasing disability. More focused research is required to determine whether significant disparities exist in cancer screening among women with differing disability levels. This information is essential for national and local public health and health care organizations to target interventions to improve care for women with disabilities. PMID:23816150

  9. Barriers to follow-up of an abnormal Pap smear in Latina women referred for colposcopy.

    Science.gov (United States)

    Percac-Lima, Sanja; Aldrich, Leslie S; Gamba, Gloria B; Bearse, Adriana M; Atlas, Steven J

    2010-11-01

    Lower rates of follow-up after an abnormal Pap smear in racial and ethnic minorities may contribute to the higher incidence and mortality rates of cervical cancer seen in these groups. To identify patient-perceived barriers to follow-up after an abnormal Pap smear result among Latina women. DESIGN, PARTICIPANTS AND APPROACH: Qualitative, semi-structured, one-on-one interviews were conducted with patients from an academic hospital-affiliated urban community health center. Three groups of women were interviewed: new colposcopy clinic patients, patients who had previous colposcopies and patients enrolled in the health center's patient navigator program. Open-ended questions explored their knowledge, beliefs and experiences with colposcopy. Content analysis of transcripts was performed using established qualitative techinques. Of 40 Latina women recruited, 75% spoke only Spanish. The average age was 31.5 (range 18-55). Personal and system barriers identified were categorized into four themes: (1) anxiety/fear of procedure and diagnosis; (2) scheduling/availability of appointments interfering with work and/or child care; (3) inadequate communication about appointments, including lack of explanation regarding diagnosis, procedure and results; and (4) pain. New patients more commonly reported problems with scheduling and communication. Follow-up patients were more concerned about pain, and navigated women most often reported fear of results but had fewer concerns about inadequate communication. Anxiety/fear was the most common personal barrier, while difficulty scheduling appointments and inadequate communication were the major systems barriers identified in these Latina women. Interventions to lower these barriers to colposcopy among Latina women may increase adherence to follow-up of abnormal Pap smears.

  10. Awareness of Cervical Cancer and Pap Smear Testing Among Omani Women

    Science.gov (United States)

    Nasar, Alwahaibi; Waad, Alsalami; Atheer, Alzaabi; Nasra, Alramadhani

    2016-11-01

    Background: In developed countries, awareness of cervical cancer screening is well documented. In contrast, in Oman as a developing country, public responses regarding cervical screening are unclear. This study aimed to assess the level of awareness about cervical cancer and Papanicolau (Pap) smear testing and to establish any correlations between knowledge and demographic factors among Omani women. Methods: In this cross-sectional survey, participants were divided into three groups: patients who attended the Outpatient Gynecology Department in Sultan Qaboos University Hospital (SQUH), Oman, female staff from SQUH, College of Medicine and College of Nursing at Sultan Qaboos University (SQU) and graduating female students at SQU. Data collection was through interview-based and online self-administered questionnaires. Cumulative scoring was used for data analysis. Results: There were 204 outpatients, 133 staff and 157 students. Outpatients (79.4%), staff (97.7%) and students (75.2%) had heard of cervical cancer. Nevertheless, their specific knowledge, regarding signs and symptoms, risk factors and Pap smear, was low at 38.7%, 35.3% and 7.6% among outpatients, staff and students, respectively. Some 39.9% of the married outpatients had adequate overall knowledge as compared to none of the single women. Educational level was found to be significantly associated with outpatient knowledge with the highest awareness levels among postgraduates and medical university graduates (61.5%). Conclusion: Specific knowledge of cervical cancer, its risk factors and cervical Pap smear is generally poor among Omani women. This lack of knowledge may be one of the contributing factors for the high incidence of cervical cancer in Oman relative to that in developed countries. Creative Commons Attribution License

  11. N-BiPAP treatment in infants with respiratory distress syndrome: A population study.

    Science.gov (United States)

    Solevåg, Anne Lee; Kann, Inger Cathrine

    2015-10-01

    Since November 1st 2008, our Norwegian neonatal intensive care unit has used nasal biphasic positive airway pressure (n-BiPAP) instead of invasive mechanical ventilation as first-line treatment after nasal continuous positive airway pressure (n-CPAP) failure in infants with respiratory distress syndrome (RDS). To assess utility of a national patient register to compare outcomes of infants in our unit before and after November 1st 2008 as well as to hospitals that did not utilize n-BiPAP during the observation period. A retrospective study, using a national patient register and a difference-in-difference (DID) statistical approach, adjusting for confounders. Infants with RDS admitted to hospital 2002-2010. We compared our unit before and after November 1st 2008 and to other hospitals with regards to morbidity, mortality, and number of hospital days (NHD). Infants with RDS in our unit had a significantly lower risk of bronchopulmonary dysplasia (BPD) (odds ratio (OR) 0.59, p<0.05), retinopathy of prematurity (ROP) (OR 0.57, p<0.05), and intraventricular hemorrhage (IVH) (OR 0.37, p<0.001); as well as the combined outcome of periventricular leukomalacia (PVL), necrotizing enterocolitis (NEC), ROP, IVH, and/or BPD (OR 0.53, p<0.05) after November 1st 2008 and compared to other hospitals. PVL, NEC, and mortality did not change. NHD was reduced by 8. Increasing use of n-BiPAP was associated with reduced morbidity and NHD in infants with RDS. Using a patient register and DID analyses may be a health economic and ethically sound way of generating hypotheses and knowledge about disease and treatment. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. No increased risk for cervical cancer after a broader definition of a negative Pap smear

    DEFF Research Database (Denmark)

    Rebolj, Matejka; van Ballegooijen, Marjolein; van Kemenade, Folkert

    2008-01-01

    The definition of minimal relevant Pap smear abnormality is crucial for balancing the beneficial effects of screening (prevented mortality) with negative side-effects (the high positivity rate). After inflammation ceased to be defined as a borderline abnormal smear outcome in The Netherlands...... developed cervical cancer within 11,210,675 woman-years at risk. The cumulative incidence after the definition change was not significantly higher than before: e.g. at 6 years, the cumulative incidence for smears made in 1990-1995 was 46 per 100,000 (95% CI: 41-52), and for smears in 1998-2006 was 48 per...

  13. Serpentinization of abyssal peridotites from the MARK area, Mid-Atlantic Ridge: Sulfur geochemistry and reaction modeling

    Science.gov (United States)

    Alt, J.C.; Shanks, Wayne C.

    2003-01-01

    The opaque mineralogy and the contents and isotope compositions of sulfur in serpentinized peridotites from the MARK (Mid-Atlantic Ridge, Kane Fracture Zone) area were examined to understand the conditions of serpentinization and evaluate this process as a sink for seawater sulfur. The serpentinites contain a sulfur-rich secondary mineral assemblage and have high sulfur contents (up to 1 wt.%) and elevated ??34Ssulfide (3.7 to 12.7???). Geochemical reaction modeling indicates that seawater-peridotite interaction at 300 to 400??C alone cannot account for both the high sulfur contents and high ??34Ssulfide. These require a multistage reaction with leaching of sulfide from subjacent gabbro during higher temperature (???400??C) reactions with seawater and subsequent deposition of sulfide during serpentinization of peridotite at ???300??C. Serpentinization produces highly reducing conditions and significant amounts of H2 and results in the partial reduction of seawater carbonate to methane. The latter is documented by formation of carbonate veins enriched in 13C (up to 4.5???) at temperatures above 250??C. Although different processes produce variable sulfur isotope effects in other oceanic serpentinites, sulfur is consistently added to abyssal peridotites during serpentinization. Data for serpentinites drilled and dredged from oceanic crust and from ophiolites indicate that oceanic peridotites are a sink for up to 0.4 to 6.0 ?? 1012 g seawater S yr-1. This is comparable to sulfur exchange that occurs in hydrothermal systems in mafic oceanic crust at midocean ridges and on ridge flanks and amounts to 2 to 30% of the riverine sulfate source and sedimentary sulfide sink in the oceans. The high concentrations and modified isotope compositions of sulfur in serpentinites could be important for mantle metasomatism during subduction of crust generated at slow spreading rates. ?? 2003 Elsevier Science Ltd.

  14. Tectonic origin of serpentinites on Syros, Greece: Geochemical signatures of abyssal origin preserved in a HP/LT subduction complex

    Science.gov (United States)

    Cooperdock, Emily H. G.; Raia, Natalie H.; Barnes, Jaime D.; Stockli, Daniel F.; Schwarzenbach, Esther M.

    2018-01-01

    This study combines whole rock trace and major element geochemistry, and stable isotope (δD and δ18O) analyses with petrographic observations to deduce the origin and tectonic setting of serpentinization of ultramafic blocks from the exhumed HP/LT Aegean subduction complex on Syros, Greece. Samples are completely serpentinized and are characterized by mineral assemblages that consist of variable amounts of serpentine, talc, chlorite, and magnetite. δD and δ18O values of bulk rock serpentinite powders and chips (δD = - 64 to - 33‰ and δ18O = + 5.2 to + 9.0‰) reflect hydration by seawater at temperatures < 250 °C in an oceanic setting pre-subduction, or by fluids derived from dehydrating altered oceanic crust during subduction. Fluid-mobile elements corroborate the possibility of initial serpentinization by seawater, followed by secondary fluid-rock interactions with a sedimentary source pre- or syn-subduction. Whole rock major element, trace element, and REE analyses record limited melt extraction, exhibit flat REE patterns, and do not show pronounced Eu anomalies. The geochemical signatures preserved in these serpentinites argue against a mantle wedge source, as has been previously speculated for ultramafic rocks on Syros. Rather, the data are consistent with derivation from abyssal peridotites in a hyper-extended margin setting or mid-ocean ridge and fracture zone environment. In either case, the data suggest an extensional and/or oceanic origin associated with the Cretaceous opening of the Pindos Ocean and not a subduction-related derivation from the mantle wedge.

  15. Mountains and plains Denver's geologic setting

    Science.gov (United States)

    ,

    1967-01-01

    A slice of geologic history is exposed to view in the Denver, Colorado area. Denver is situated on the High Plains near the east front of the Rocky Mountains. As one travels westward from Denver toward the mountains, successively older rocks are crossed from the geologically young rocks of the High Plains and the South Platte River valley to the older rocks of the foothills and the ancient rocks of the mountains. Thus, within a few miles,the journey turns back the pages of time in a lifesized textbook that vividly illustrates the geologic events that shaped the landscape.

  16. Plain packaging policy: Preventing industry innovations.

    Science.gov (United States)

    Al-Hamdani, Mohammed

    2017-04-20

    The pack is a marketing tool for the tobacco industry - its shape, colour, fonts, descriptors and logos attract and mislead smokers. Health warnings on cigarette packs serve as a knowledge reminder for smokers to quit smoking. Plain packaging eliminates brand imagery elements from cigarette packs and has many benefits, including the reduction of intention to smoke and the denormalization of smoking behaviour. The tobacco industry has devised pack and product marketing innovations that thwart the effectiveness of health warnings. Plain packaging policy needs to address these innovations by restricting their use and preventing them from undermining health warnings.

  17. Pap smear follow-up of possible role of mucopurulent exudate as a prognosticator of a negative pregnancy outcome.

    Science.gov (United States)

    Bedrossian, U K; Fairfax, M R; Ayers, M

    1999-07-01

    Our objective was to study a cohort of women by various means to detect sexually transmitted diseases (STD) and to correlate the presence of mucopurulent exudate (PEX) on Papanicolaou (Pap) smears with pregnancy outcome. Bacteriologic cultures taken from swabs for chlamydia and gonorrhea were correlated with Gen-Probe results. Smears were examined for trichomonas, yeast, HPV, obscuring mucopurulent exudate, and squamous intraepithelial abnormalities. There was no positive correlation between STD and negative pregnancy outcome. Mucopurulent exudate on Pap smears was very high in this population. Continuing study of this population of women is needed to see if larger cohorts will demonstrate any positive correlations between PEX and pregnancy outcome. Placing women with obscuring mucopurulent exudate in a "high-risk" category for complications may prevent adverse side effects to the birth product. The Pap smear works as well as the Gram stain for detection of bacterial vaginosis and cervicitis. Eliminating the Gram stain from routine pelvic exam results in cost savings.

  18. Geomicrobiology of Archaeal Communities Isolated from an Off-axis Abyssal Hill Fault Scarp on the East Pacific Rise Flank at 9° 27'N

    Science.gov (United States)

    Ehrhardt, C. J.; Haymon, R.; Holden, P.; Lamontagne, M.

    2003-12-01

    Although heat flow studies suggest that ~70% of the hydrothermal heat loss in the oceans occurs in the abyssal hill terrain on the flanks of mid-ocean ridges, very few off-axis hydrothermal sites have been discovered. In May 2002, sedimentary blowout structures of probable hydrothermal origin were discovered along East Pacific Rise at 9° 27'N on an off-axis abyssal hill bounded by a fault scarp covered with orange-brown microbial flocculations. Recovered samples of these flocculations have presented an opportunity to study the unknown nature and role of thermophilic and hyperthermophilic microbial communities on the ridge flanks. Furthermore, the archaeal communities that we have identified in the samples are useful "microbial tracers" which can be used to locate off-axis areas of moderate-to-high temperature fluid flow (>50° C). In this study, we used molecular techniques to isolate, amplify, and sequence community archaeal RNA sequences from fault scarp flocculations collected with a slurp pump system mounted in the Alvin basket. Molecular phylogenies based on 16S rRNA were constructed. Phylogenetic relationships of isolated clones were used to infer temperature preferences of archaeal communities. We identified 12 clones that clustered within thermophilic or hyperthermophilic clades within Archaea suggesting that moderately high temperature fluid (>50° C) exited the seafloor along this abyssal hill fault scarp. Our studies also suggest that these communities mediate the formation of Fe-sulfide mineral phases. Analysis of the samples with an Environmental Scanning Electron Microscope (ESEM) and X-ray energy dispersive analysis (EDS) revealed unique iron sulfide mineral phases with anomalously low Fe/S ratios in direct association with microbial communities.

  19. HPV, Cervical Cancer and Pap Test Related Knowledge Among a Sample of Female Dental Students in India.

    Science.gov (United States)

    Doshi, Dolar; Reddy, B Srikanth; Karunakar, P; Deshpande, Kopparesh

    2015-01-01

    The present study was designed to ascertain knowledge about HPV, cervical cancer (CC) and the Pap test among female dental students of Panineeya Institute of Dental Sciences and Hospital, Hyderabad, India. A self-administered questionnaire covering demographic details, knowledge relating to human papilloma virus (HPV) (8 items), cervical cancer (4 items) and the Pap smear (6 items) was employed. Responses were coded as "True, False and Don't Know". Mean and standard deviation (SD) for correct answers and levels of knowledge were determined. Based on the year of study, significant differences in knowledge of HPV were noted for questions on symptoms (p=0.01); transmission from asymptomatic partners (p=0.002); treatment with antibiotics (p=0.002); start of sexual activity (p=0.004); and recommended age for HPV vaccination (p=0.01). For knowledge regarding CC, significance was observed for the age group being affected (p=0.008) and symptoms of the disease in early stages (p=0.001). Indications for Pap smear tests like symptoms' of vaginal discharge (p=0.002), marital status (p=0.01) and women with children (p=0.02) had significant difference based on the year of study. Based on religion, transmission of HPV via pregnancy, HPV related diseases except CC and preventive measures except condom use and oral contraceptives showed significant differences. However, significant variation with religion was observed only for two preventive measures of CC (Pap test; p=0.004) and HPV vaccination (p=0.003). Likewise, only the frequency of Pap test showed a significant difference for religion (p=0.001). This study emphasizes the lack of awareness with regard to HPV, CC and screening with pap smear even among health professionals. Hence, regular health campaigns are essential to reduce the disease burden.

  20. Star-PAP controls HPV E6 regulation of p53 and sensitizes cells to VP-16.

    Science.gov (United States)

    Li, W; Anderson, R A

    2014-02-13

    Cervical cancer is the most common genital malignancy and the high-risk human papillomaviruses (HPV type 16, 18 and 31, and so on) are major agents for its cause. A key switch for the onset of cervical cancers by HPVs is the cellular degradation of the tumor-suppressor p53 that is mediated by the HPV-generated E6 protein. E6 forms a complex with the E3 ubiquitin-ligase E6-associated protein (E6AP) leading to p53 degradation. The components that control E6 expression and the mechanisms for regulation of the expression in host cells remain undefined. Here we show that the nuclear noncanonical poly(A) polymerase (PAP) speckle targeted PIPKIα regulated PAP (Star-PAP) controls E6 mRNA polyadenylation and expression and modulates wild-type p53 levels as well as cell cycle profile in high-risk HPV-positive cells. In the absence of Star-PAP, treatment of cells with the chemotherapeutic drug VP-16 dramatically reduced E6 and increased p53 levels. This diminished both cell proliferation and anchorage-independent growth required for cancer progression, indicating a synergism between VP-16 treatment and the loss of Star-PAP. This identifies Star-PAP as a potential drug target for the treatment of HPV-positive cancer cells. These data provide a mechanistic basis for increasing the sensitivity and efficiency of chemotherapy in the treatment of cancers that have low levels of wild-type p53.

  1. Application of the Perceptual Factors, Enabling and Reinforcing Model on Pap Smaear Screening in Iranian Northern Woman

    Directory of Open Access Journals (Sweden)

    Abolhassan Naghibi

    2016-03-01

    Full Text Available Background and Purpose: Cervical cancer is the most prevalent cancer among women in the world. Cervical cancer is no symptoms and can be treated if diagnosed in the first stage of the disease. The aim of this study was to survey the affecting factors of the Pap smears test on perceptual factors, enabling and reinforcing (PEN-3 model constructs in women. Materials and Methods: This study was a descriptive cross-sectional study. The sample size was 416 married women with random sampling. The questionnaire had 50 questions based on PEN-3 model structures. Data were analyzed by descriptive statistics and logistic regression method in software SPSS 20. Results: The mean age of women was 32.70 ± 21.00 years. The knowledge of risk factors and screening methods for cervical cancer was 37.2. About 40% of women had a history of Pap smears. The most important of perception factors were effective, family history of the disease, encourage people to Pap smear, and fear of detecting of cervical cancer. The most important enabling factors were the presence of expert health personnel to provide training and Pap smear test (50.3%, lack of time and too busy to do Pap smear test (23.2%. The reinforcing factors were the media advice (41.3%, doctor’s advice (32.5% and neglect and forgetfulness (36.2%. Conclusion: This study has shown the Pap smear screening behavior affected by personal factors, family, cultural and economic. Application of PEN-3 can effective in planning and designing intervention programs for cervical cancer screening.

  2. Genital involvement in pemphigus vulgaris (PV): correlation with clinical and cervicovaginal Pap smear findings.

    Science.gov (United States)

    Kavala, Mukaddes; Topaloğlu Demir, Filiz; Zindanci, Ilkin; Can, Burce; Turkoğlu, Zafer; Zemheri, Ebru; Cam, Osman Halit; Teksen, Ahmet

    2015-10-01

    The frequency of genital involvement in pemphigus vulgaris (PV) has not been clearly defined. We sought to evaluate the frequency of cervical, vaginal, and vulvar involvement in PV and to determine their association with genital symptoms, clinical involvement, and cytological status. The current study's sample included 34 female patients with PV. Gynecologic and ear, nose, and throat examinations and indirect immunofluorescence analyses were performed, and Pap smears were collected. Genital involvement was observed in 44.1% of patients. It was significantly associated with disease severity and clinical involvement. Pharyngeal involvement was observed in 61.8% of patients and was the second-most frequently involved mucosal region. Genital involvement was significantly associated with nasal mucosa involvement. Cervicovaginal Pap smears showed acantholytic cells of PV in 35.3% of patients. The sample size is small. Genital involvement in PV is not rare. Genital mucosa is the most affected mucosal region after oral and pharyngeal mucosa. Furthermore, genital involvement is significantly associated with nasal involvement and genital symptoms. The need for complete gynecologic evaluations of patients with PV, nasal involvement, and genital symptoms is emphasized. Copyright © 2015 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  3. Pemphigus vulgaris of the cervix: diagnostic difficulties associated with the Pap test.

    Science.gov (United States)

    Munhoz de Paula Alves Coelho, Karina; Stall, Jaqueline; Henrique Condeixa de França, Paulo; Cristina de Carvalho Tavares, Lara; Stefanello Bublitz, Giuliano; Loos, Beliza; Carvalho Costa, Luciana; Fronza Júnior, Hercílio

    2015-08-01

    Pemphigus vulgaris (PV) is a rare mucocutaneous disease caused by the abnormal production of antibodies against epithelial cell surface glycoproteins, resulting in loss of cell adhesion and intraepithelial blister formation. Cervical involvement in PV has been poorly reported, and there is little information regarding the criteria about consequential cytological changes identified in a Papanicolaou-stained cervicovaginal smear (Pap smear). Here, we report a case of PV manifesting in the cervix as well as the difficulty associated with the cytomorphological identification and interpretation of acantholytic cells. This case involved a 40-year-old patient with no history of Pap test abnormalities and no prior diagnosis of PV. In the cytological assessment, cells were identified both in isolation and in clusters that exhibited round nuclei of increased volume, inconspicuous nucleoli, and perinuclear halos. The patient underwent a cervical biopsy that revealed vesiculobullous lesions and morphological pattern consistent with PV. A skin biopsy confirmed this diagnosis. We concluded that knowledge of PV cytomorphology is important because difficulties associated with the identification and interpretation of acantholytic cells might be responsible for false positive diagnoses of cervical neoplasia. However, a suspected diagnosis of PV is possible if the cytological findings are carefully correlated with the clinical data. © 2015 Wiley Periodicals, Inc.

  4. Health technology assessment of computer-assisted pap test screening in Italy.

    Science.gov (United States)

    Dalla Palma, Paolo; Moresco, Luca; Giorgi Rossi, Paolo

    2013-01-01

    To assess the introduction of computer-assisted Pap test screening in cervical cancer screening. Various scenarios are considered: conventional and liquid-based cytology (LBC) slides, fully automatic instrumentation (Becton Dickinson FocalPoint™ Slide Profiler and Hologic ThinPrep® Imaging System), and semiautomatic scanner (Hologic Integrated Imager I-Squared). A working group was formed that included researchers from the largest centers already using instrumentation. A questionnaire on laboratory management and on social/ethical issues and annual workload was proposed. Prices for the technology were obtained directly from the producers; costs were calculated from observed and literature data. The scope of the report and final draft were submitted to a consulting committee of stakeholders. The break-even point was found to be 49,000 cases/year, if conventional slides were used, while it was near the theoretical maximum capacity, 70,000 cases/year, with LBC slides. Efficiency increased with the volume of slides. Screening time decreased by two thirds for conventional slides and by less than half for LBC slides. Acceptance of the instrumentation by the users was good. Computer-assisted screening may increase productivity even if in most situations it will mean additional costs. Furthermore, primary screening with human papillomavirus tests will drastically reduce the need for Pap test reading. Copyright © 2013 S. Karger AG, Basel.

  5. Circular shape constrained fuzzy clustering (CiscFC) for nucleus segmentation in Pap smear images.

    Science.gov (United States)

    Saha, Ratna; Bajger, Mariusz; Lee, Gobert

    2017-06-01

    Accurate detection and segmentation of cell nucleus is the precursor step towards computer aided analysis of Pap smear images. This is a challenging and complex task due to degree of overlap, inconsistent staining and poor contrast. In this paper, a novel nucleus segmentation method is proposed by incorporating a circular shape function in fuzzy clustering. The proposed method was evaluated quantitatively and qualitatively using the Overlapping Cervical Cytology Image Segmentation Challenge - ISBI 2014 challenge dataset comprised of 945 overlapping Pap smear images. It achieved superior performance in terms of Dice similarity coefficient of 0.938, pixel-based recall 0.939 and object based precision 0.968. The results were compared with the standard fuzzy c-means (FCM) clustering, ISBI 2014 challenge submissions and recent state-of-the-art methods. The outcome shows that the new approach can produce more accurate nucleus boundaries while keeping high level of precision and recall. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Accurate Cervical Cell Segmentation from Overlapping Clumps in Pap Smear Images.

    Science.gov (United States)

    Song, Youyi; Tan, Ee-Leng; Jiang, Xudong; Cheng, Jie-Zhi; Ni, Dong; Chen, Siping; Lei, Baiying; Wang, Tianfu

    2017-01-01

    Accurate segmentation of cervical cells in Pap smear images is an important step in automatic pre-cancer identification in the uterine cervix. One of the major segmentation challenges is overlapping of cytoplasm, which has not been well-addressed in previous studies. To tackle the overlapping issue, this paper proposes a learning-based method with robust shape priors to segment individual cell in Pap smear images to support automatic monitoring of changes in cells, which is a vital prerequisite of early detection of cervical cancer. We define this splitting problem as a discrete labeling task for multiple cells with a suitable cost function. The labeling results are then fed into our dynamic multi-template deformation model for further boundary refinement. Multi-scale deep convolutional networks are adopted to learn the diverse cell appearance features. We also incorporated high-level shape information to guide segmentation where cell boundary might be weak or lost due to cell overlapping. An evaluation carried out using two different datasets demonstrates the superiority of our proposed method over the state-of-the-art methods in terms of segmentation accuracy.

  7. Gravidez do primeiro filho: papéis sexuais, ajustamento conjugal e emocional

    Directory of Open Access Journals (Sweden)

    José Augusto Evangelho Hernandez

    Full Text Available Esta investigação examinou as relações entre papéis sexuais, ajustamento conjugal e emocional de mulheres no período de gravidez da transição para a parentalidade. Participaram 135 mulheres recrutadas na rede pública de saúde (SUS. As gestantes estavam esperando os seus primeiros filhos e coabitavam com seus parceiros, independentemente de serem formalmente casadas. Os instrumentos utilizados foram o Bem Sex-Role Inventory (Bem, 1974, a Dyadic Adjustment Scale (Spanier, 1976 e a Escala Fatorial de Neuroticismo (Hutz & Nunes, 2001. A coleta foi individual e, em geral, os instrumentos foram preenchidos na presença do entrevistador. Um número pequeno de questionários foi respondido no domicílio dos sujeitos e, posteriormente, devolvido aos pesquisadores. Os resultados mostraram relações significativas entre Papéis Sexuais e Ajustamento Conjugal. Os dados são discutidos à luz da Teoria de Esquema de Gênero e do conhecimento produzido na linha de pesquisa da transição para a parentalidade.

  8. Simulation of bright-field microscopy images depicting pap-smear specimen.

    Science.gov (United States)

    Malm, Patrik; Brun, Anders; Bengtsson, Ewert

    2015-03-01

    As digital imaging is becoming a fundamental part of medical and biomedical research, the demand for computer-based evaluation using advanced image analysis is becoming an integral part of many research projects. A common problem when developing new image analysis algorithms is the need of large datasets with ground truth on which the algorithms can be tested and optimized. Generating such datasets is often tedious and introduces subjectivity and interindividual and intraindividual variations. An alternative to manually created ground-truth data is to generate synthetic images where the ground truth is known. The challenge then is to make the images sufficiently similar to the real ones to be useful in algorithm development. One of the first and most widely studied medical image analysis tasks is to automate screening for cervical cancer through Pap-smear analysis. As part of an effort to develop a new generation cervical cancer screening system, we have developed a framework for the creation of realistic synthetic bright-field microscopy images that can be used for algorithm development and benchmarking. The resulting framework has been assessed through a visual evaluation by experts with extensive experience of Pap-smear images. The results show that images produced using our described methods are realistic enough to be mistaken for real microscopy images. The developed simulation framework is very flexible and can be modified to mimic many other types of bright-field microscopy images. © 2015 The Authors. Published by Wiley Periodicals, Inc. on behalf of ISAC.

  9. KLASIFIKASI INTI SEL PAP SMEAR BERDASARKAN ANALISIS TEKSTUR MENGGUNAKAN CORRELATION-BASED FEATURE SELECTION BERBASIS ALGORITMA C4.5

    Directory of Open Access Journals (Sweden)

    Toni Arifin

    2014-09-01

    Full Text Available Abstract - Pap Smear is an early examination to diagnose whether there’s indication cervical cancer or not, the process of observations were done by observing pap smear cell under the microscope. There’s so many research has been done to differentiate between normal and abnormal cell. In this research presents a classification of pap smear cell based on texture analysis. This research is using the Harlev image which amounts to 280 images, 140 images are used as training data and 140 images other are used as testing. On the texture analysis used Gray level Co-occurance Matrix (GLCM method with 5 parameters that is correlation, energy, homogeneity and entropy added by counting the value of brightness. For choose which the best attribute used correlation-based feature selection method and than used C45 algorithm for produce classification rule. The result accuracy of the classification normal and abnormal used decision tree C45 is 96,43% and errors in predicting is 3,57%. Keywords : Classification, Pap Smear cell image, texture analysis, Correlation-based feature selection, C45 algorithm. Abstrak - Pap Smear merupakan pemeriksaan dini untuk mendiagnosa apakah ada indikasi kanker serviks atau tidak, proses pengamatan dilakukan dengan mengamati sel pap smear dibawah mikroskop. Banyak penelitian yang telah dilakukan untuk membedakan antara sel normal dan abnormal. Dalam penelitian ini menyajikan klasifikasi inti sel pap smear berdasarkan analisis tektur. Citra yang digunakan dalam penelitian ini adalah citra Harlev yang berjumlah 280 citra, 140 citra digunakan sebagai data training dan 140 citra lain digunakan sebagai testing. Pada analisis tekstur mengunakan metode Gray level Co-occurrence Matrix (GLCM menggunakan 5 parameter yaitu korelasi, energi, homogenitas dan entropi ditambah dengan menghitung nilai brightness. Untuk memilih mana atribut terbaik digunakan metode correlation-based feature selection lalu digunakan algoritma C45 untuk

  10. Barriers to Pap Smear Test for the Second Time in Women Referring to Health Care Centers in the South of Tehran: A Qualitative Approach.

    Science.gov (United States)

    Hassani, Laleh; Dehdari, Tahereh; Hajizadeh, Ebrahim; Shojaeizadeh, Davoud; Abedini, Mehrandokht; Nedjat, Saharnaz

    2017-10-01

    Cervical cancer is a preventable disease with a regular screening program. Many studies have reported a large number of barriers that women had for the first time, but this study decided to find other barriers for the second time pap smear. In this qualitative research, data were gathered through in-depth interviews and expressed through conventional content analysis in the form of constant comparison. The participants were 15 women with family profile at 30 health care centers who lived in the south of Tehran and had done Pap smear for one time but didn't do it for the second time. Three main themes emerged from the analysis of the interviews: negative experiences of the first Pap test were as follows: results of the first time test, readiness for performing the test, getting the test itself, and the site of the first Pap test. Personal barriers to getting the second Pap test were: inattention to time, physical barriers to the second Pap test, and inhibitory beliefs. Perceived social barriers to getting the second Pap test with two sub-themes included social supports and abstract norms. This study provided other barriers about Pap smear including lack of the spouse's support, the role of health care providers and physicians in screening program for early diagnosis in women.

  11. The pancreas responds to remote damage and systemic stress by secretion of the pancreatic secretory proteins PSP/regI and PAP/regIII.

    Science.gov (United States)

    Reding, Theresia; Palmiere, Cristian; Pazhepurackel, Clinsyjos; Schiesser, Marc; Bimmler, Daniel; Schlegel, Andrea; Süss, Ursula; Steiner, Sabrina; Mancina, Leandro; Seleznik, Gitta; Graf, Rolf

    2017-05-02

    In patients with infection and sepsis serum levels of Pancreatic Stone protein/regenerating protein I (PSP) are highly elevated. The origin of PSP during these conditions is presumably the pancreas, however, an intestinal origin cannot be excluded. Similarly, pancreatitis-associated protein (PAP) was identified in the pancreas. These proteins were also localized in intestinal organs. Here we aim to elucidate the bio-distribution of PSP and PAP in animal models of sepsis and in healthy humans. PSP and PAP responded to remote lesions in rats although the pancreatic response was much more pronounced than the intestinal. Tissue distribution of PSP demonstrated a 100-fold higher content in the pancreas compared to any other organ while PAP was most abundant in the small intestine. Both proteins responded to CLP or sham operation in the pancreas. PSP also increased in the intestine during CLP. The distribution of PSP and PAP in human tissue mirrored the distribution in the murine models. Distribution of PSP and PAP was visualized by immunohistochemistry. Rats and mice underwent midline laparotomies followed by mobilization of tissue and incision of the pancreatic duct or duodenum. Standard cecum-ligation-puncture (CLP) procedures or sham laparotomies were performed. Human tissue extracts were analyzed for PSP and PAP. The pancreas reacts to remote lesions and septic insults in mice and rats with increased PSP synthesis, while PAP is selectively responsive to septic events. Furthermore, our results suggest that serum PSP in septic patients is predominantly derived through an acute phase response of the pancreas.

  12. Enhancement of Chlorogenic Acid Production in Hairy Roots of Platycodon grandiflorum by Over-Expression of An Arabidopsis thaliana Transcription Factor AtPAP1

    Directory of Open Access Journals (Sweden)

    Pham Anh Tuan

    2014-08-01

    Full Text Available To improve the production of chlorogenic acid (CGA in hairy roots of Platycodon grandiflorum, we induced over-expression of Arabidopsis thaliana transcription factor production of anthocyanin pigment (AtPAP1 using an Agrobacterium rhizogenes-mediated transformation system. Twelve hairy root lines showing over-expression of AtPAP1 were generated. In order to investigate the regulation of AtPAP1 on the activities of CGA biosynthetic genes, the expression levels of seven P. grandiflorum CGA biosynthetic genes were analyzed in the hairy root line that had the greatest accumulation of AtPAP1 transcript, OxPAP1-1. The introduction of AtPAP1 increased the mRNA levels of all examined CGA biosynthetic genes and resulted in a 900% up-regulation of CGA accumulation in OxPAP1-1 hairy roots relative to controls. This suggests that P. grandiflorum hairy roots that over-express the AtPAP1 gene are a potential alternative source of roots for the production of CGA.

  13. Cardiac Arrest Following Spinal Anaesthesia With Plain ...

    African Journals Online (AJOL)

    year old woman who was admitted for an elective caesarean section. After preoperative evaluation and premedication she received a spinal anaesthesia in the L3-4 interspace with plain bupivacaine 0.5%. After being replaced in the supine ...

  14. Plain language as alternative textualisation | Cornelius | Southern ...

    African Journals Online (AJOL)

    Plain language is a form of intra-lingual translation, a process during which particular interventions are brought to bear on a complex text, such as an act, in order to fit the linguistic competence of a particular target audience (Bhatia, 1983; 1993). In this way, complicated content is unlocked and meaning mediated. The aim is ...

  15. Radiocesium in wheat of the Po plain

    International Nuclear Information System (INIS)

    Dominici, G.; Malvicini, A.

    1988-01-01

    The Cs-137 measurements of many wheat samples, which was cultivated in Po plain during 1986 and 1987, are reported. A relationship is also shown between the quantity of Cs-137, which is contained in total fall-out, and that in the wheat by direct deposition

  16. Porosity Prediction of Plain Weft Knitted Fabrics

    Directory of Open Access Journals (Sweden)

    Muhammad Owais Raza Siddiqui

    2014-12-01

    Full Text Available Wearing comfort of clothing is dependent on air permeability, moisture absorbency and wicking properties of fabric, which are related to the porosity of fabric. In this work, a plug-in is developed using Python script and incorporated in Abaqus/CAE for the prediction of porosity of plain weft knitted fabrics. The Plug-in is able to automatically generate 3D solid and multifilament weft knitted fabric models and accurately determine the porosity of fabrics in two steps. In this work, plain weft knitted fabrics made of monofilament, multifilament and spun yarn made of staple fibers were used to evaluate the effectiveness of the developed plug-in. In the case of staple fiber yarn, intra yarn porosity was considered in the calculation of porosity. The first step is to develop a 3D geometrical model of plain weft knitted fabric and the second step is to calculate the porosity of the fabric by using the geometrical parameter of 3D weft knitted fabric model generated in step one. The predicted porosity of plain weft knitted fabric is extracted in the second step and is displayed in the message area. The predicted results obtained from the plug-in have been compared with the experimental results obtained from previously developed models; they agreed well.

  17. Hydrogeochemical analysis for Tasuj plain aquifer, Iran

    Indian Academy of Sciences (India)

    Therefore, groundwater quality monitoring and protection are essential to sustain the Tasuj plain aquifer. For this purpose, a fundamental understanding of hydrogeochemi- cal processes and hydrogeological conditions for an aquifer system is important (Adams et al. 2001;. Keywords. Graphical method; hydrogeochemistry ...

  18. Necrotizing fasciitis : plain radiographic and CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Chang Dae; Park, Jeong Hee; Jeon, Hae Jeong; Lim, Jong Nam; Heo, Tae Haeng; Park, Dong Rib [Konkuk Univ. College of Medicine, Seoul (Korea, Republic of)

    1996-11-01

    To evaluate the plain radiographic and CT findings of the necrotizing fasciitis. We retrospectively reviewed the radiologic findings of 4 cases with necrotizing fasciitis. Three cases were proven pathologically. We evaluated pattern and extent of the gas shadows in plain films. CT findings were analysed, with emphasis on : (a) gas pattern, (b) extent, (c) location and involved site, (d) associated focal abscess, and (e) swelling of the adjacent muscles. On plain radiographs, four cases showed streaky or mottled gas densities in the pelvis, three cases in the perineum, one case in the abdomen, and two cases in the thigh. On CT images, gas pattern was mottled and streaky appearance with swelling of the adjacent muscles. Gas shadows located in the extraperitoneal space in four cases, fascial layer in four cases, and subcutaneous layer in four cases. There were gas shadows in pelvic wall, perineum, abdominal wall, buttock, thigh, and scrotum. Focal low density lesion suggestive of focal abscess was not visualized. Plain radiography is useful for early diagnosis of the necrotizing fasciitis and CT is very useful for detection of precise location and extent of the disease. CT is also useful for differentiation of necrotizing fasciitis from focal abscess and cellulitis.

  19. Defining 'plain language' in contemporary South Africa

    African Journals Online (AJOL)

    Kate H

    a problem, as Kimble (1992: 14-15) argues in the following quote: […] It is no criticism that Plain .... Formulas do not consider the motivation, interests, purpose, and social and cultural background and context of .... way that gives a cooperative, motivated person a good chance of understanding the document at first reading, ...

  20. Unusual plain film appearance of extrapleural hematoma

    International Nuclear Information System (INIS)

    Ranner, G.; Kullnig, P.; Dirnhofer, R.; Sigrist, T.

    1986-01-01

    Two cases of extrapleural hematoma, proven during autopsy, are presented. Plain chest films did not demonstrate the typical signs of an extrapleural mass lesion. The roentgenologic differential diagnosis of a free or partially encapsulated pleural effusion, as well as the pathogenesis of extrapleural hematoma is discussed. (orig.) [de

  1. Great plains regional climate assessment technical report

    Science.gov (United States)

    The Great Plains region (GP) plays important role in providing food and energy to the economy of the United States. Multiple climatic and non-climatic stressors put multiple sectors, livelihoods and communities at risk, including agriculture, water, ecosystems and rural and tribal communities. The G...

  2. FLEXURAL IMPROVEMENT OF PLAIN CONCRETE BEAMS ...

    African Journals Online (AJOL)

    As a result, this study carryout experimental, numerical and analytical investigation to study the behaviour of plain concrete (PC) beams strengthened with High Performance Fibre Reinforced Concrete (HPFRC) layer using three different jacketing configurations and tested in flexure. Results show significant improvement in ...

  3. Writing Government Policies and Procedures in Plain Language

    Science.gov (United States)

    Byrne, Don

    2008-01-01

    Plain language involves more than just a few simple techniques, such as using everyday words, short sentences, and active voice. Although there is no single definition, "plain language" basically stands for several dozen well-established principles of clear communication. In this article, the author discusses the significance of plain language…

  4. 49 CFR 215.111 - Defective plain bearing.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Defective plain bearing. 215.111 Section 215.111... § 215.111 Defective plain bearing. A railroad may not place or continue in service a car, if the car has a plain bearing— (a) That is missing, cracked, or broken; (b) On which the bearing liner— (1) Is...

  5. 49 CFR 230.102 - Tender plain bearing journal boxes.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Tender plain bearing journal boxes. 230.102... Locomotives and Tenders Running Gear § 230.102 Tender plain bearing journal boxes. Plain bearing journal boxes... expected to damage the bearing; or have a detrimental effect on the lubrication of the journal and bearing...

  6. 7 CFR 650.25 - Flood-plain management.

    Science.gov (United States)

    2010-01-01

    ... delineates the base flood plain by using detailed HUD flood insurance maps and other available data, as... practicable alternatives to the proposed project that would not cause adverse effects on the base flood plain... beneficial values in base (100-year) flood plains as part of technical and financial assistance in the...

  7. 49 CFR 215.113 - Defective plain bearing wedge.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Defective plain bearing wedge. 215.113 Section 215... Suspension System § 215.113 Defective plain bearing wedge. A railroad may not place or continue in service a car, if a plain bearing wedge on that car is— (a) Missing; (b) Cracked; (c) Broken; or (d) Not located...

  8. Plains Energy Services Ltd. 1998 annual report

    International Nuclear Information System (INIS)

    1999-01-01

    Plains Energy Services Ltd. (Plains) is a two year old public company in the oil and gas service industry. It provides an integrated pool of services, concentrating on the life cycle of oil and gas wells as the driver for its expansion. Although the industry saw a marked decrease in well drilling activity for 1998, Plains was able to sustain a consistent income and cash flow because of its focus on ensuring access to the well during drilling, completion, production and abandonment. For 1998, revenue reached a record $93.3 million, an 85 per cent increase over 1997. This report presented Plain's major achievements for 1998. These included the completed construction of a technical, machining and manufacturing facility to enhance the development and implementation of technology and equipment among all business units. The company also introduced coiled tubing drilling services in the North American marketplace, as well as the first commercial version of a casing inspection tool. Plain's also introduced production logging through their wireline services business and applied for four new patents in relation to downhole tool development. In 1998, the company consolidated their operations into four divisions including consolidation of administration, benefits, banking and related overhead services. This report also described the company's efforts in addressing the year 2000 challenge. The company's consolidated financial statements were presented for the benefit of shareholders. These included statements of earnings and deficit, balance sheets, as well as statements of changes in financial position. Notes to the consolidated financial statements included highlights of significant accounting policies, changes in accounting policies, acquisitions, discontinued operations, and capital assets. tabs., figs

  9. History of high-risk HPV and Pap test results in a large cohort of patients with invasive cervical carcinoma: experience from the largest women's hospital in China.

    Science.gov (United States)

    Tao, Xiang; Griffith, Christopher C; Zhou, Xiangrong; Wang, Zhiheng; Yan, Yabin; Li, Zaibo; Zhao, Chengquan

    2015-07-01

    Current cervical cancer screening guidelines recommend screening with a Papanicolaou (Pap) test or by cotesting (Pap and human papillomavirus [HPV]). Given the importance of high-risk HPV (hrHPV) infection in the development of cervical cancer, some studies are now suggesting the use of primary hrHPV testing as a possible screening modality. To gain further insight into the role of both Pap testing and hrHPV testing, the authors examined prior screening results in a population of Chinese patients with invasive cervical carcinoma. Cases with a histologic diagnosis of invasive cervical carcinoma were retrieved from the Obstetrics and Gynecology Hospital of Fudan University from January 2011 to October 2014. Prior hrHPV testing and Pap test results within 3 years before the cancer diagnosis were recorded. Of 3714 patients with invasive cervical carcinoma, over a 46-month period, 525 had prior hrHPV testing using Hybrid Capture 2 within 3 years and 238 patients had Pap cytology testing within 1 year before the histological diagnosis. Within the 1-year period before diagnosis, the overall hrHPV-negative rate was 15.5% (74 of 477 patients) and the Pap-negative rate was also 15.5% (37 of 238 patients). Only 9 of 231 patients with both hrHPV testing and Pap testing (3.9%) had a double-negative result. Compared with squamous cell carcinoma, adenocarcinoma has significantly higher rates of prior negative results with both hrHPV and Pap cytology. The results of the current study demonstrated prior results of hrHPV testing and Pap cytology in a population of women in China who had not undergone intensive prior screening. Both hrHPV testing and Pap cytology were found to have similar negative rates in this population and, not surprisingly, there were fewer women who had negative testing results using both testing modalities. © 2015 American Cancer Society.

  10. Insights into the abundance and diversity of abyssal megafauna in a polymetallic-nodule region in the eastern Clarion-Clipperton Zone.

    Science.gov (United States)

    Amon, Diva J; Ziegler, Amanda F; Dahlgren, Thomas G; Glover, Adrian G; Goineau, Aurélie; Gooday, Andrew J; Wiklund, Helena; Smith, Craig R

    2016-07-29

    There is growing interest in mining polymetallic nodules in the abyssal Clarion-Clipperton Zone (CCZ) in the Pacific. Nonetheless, benthic communities in this region remain poorly known. The ABYSSLINE Project is conducting benthic biological baseline surveys for the UK Seabed Resources Ltd. exploration contract area (UK-1) in the CCZ. Using a Remotely Operated Vehicle, we surveyed megafauna at four sites within a 900 km(2) stratum in the UK-1 contract area, and at a site ~250 km east of the UK-1 area, allowing us to make the first estimates of abundance and diversity. We distinguished 170 morphotypes within the UK-1 contract area but species-richness estimators suggest this could be as high as 229. Megafaunal abundance averaged 1.48 ind. m(-2). Seven of 12 collected metazoan species were new to science, and four belonged to new genera. Approximately half of the morphotypes occurred only on polymetallic nodules. There were weak, but statistically significant, positive correlations between megafaunal and nodule abundance. Eastern-CCZ megafaunal diversity is high relative to two abyssal datasets from other regions, however comparisons with CCZ and DISCOL datasets are problematic given the lack of standardised methods and taxonomy. We postulate that CCZ megafaunal diversity is driven in part by habitat heterogeneity.

  11. Insights into the abundance and diversity of abyssal megafauna in a polymetallic-nodule region in the eastern Clarion-Clipperton Zone

    Science.gov (United States)

    Amon, Diva J.; Ziegler, Amanda F.; Dahlgren, Thomas G.; Glover, Adrian G.; Goineau, Aurélie; Gooday, Andrew J.; Wiklund, Helena; Smith, Craig R.

    2016-07-01

    There is growing interest in mining polymetallic nodules in the abyssal Clarion-Clipperton Zone (CCZ) in the Pacific. Nonetheless, benthic communities in this region remain poorly known. The ABYSSLINE Project is conducting benthic biological baseline surveys for the UK Seabed Resources Ltd. exploration contract area (UK-1) in the CCZ. Using a Remotely Operated Vehicle, we surveyed megafauna at four sites within a 900 km2 stratum in the UK-1 contract area, and at a site ~250 km east of the UK-1 area, allowing us to make the first estimates of abundance and diversity. We distinguished 170 morphotypes within the UK-1 contract area but species-richness estimators suggest this could be as high as 229. Megafaunal abundance averaged 1.48 ind. m-2. Seven of 12 collected metazoan species were new to science, and four belonged to new genera. Approximately half of the morphotypes occurred only on polymetallic nodules. There were weak, but statistically significant, positive correlations between megafaunal and nodule abundance. Eastern-CCZ megafaunal diversity is high relative to two abyssal datasets from other regions, however comparisons with CCZ and DISCOL datasets are problematic given the lack of standardised methods and taxonomy. We postulate that CCZ megafaunal diversity is driven in part by habitat heterogeneity.

  12. Has Phytodetritus Processing by an Abyssal Soft-Sediment Community Recovered 26 Years after an Experimental Disturbance?

    Directory of Open Access Journals (Sweden)

    Tanja Stratmann

    2018-02-01

    Full Text Available The potential harvest of polymetallic nodules will heavily impact the abyssal, soft sediment ecosystem by removing sediment, hard substrate, and associated fauna inside mined areas. It is therefore important to know whether the ecosystem can recover from this disturbance and if so at which rate. The first objective of this study was to measure recovery of phytodetritus processing by the benthic food web from a sediment disturbance experiment in 1989. The second objective was to determine the role of holothurians in the uptake of fresh phytodetritus by the benthic food web. To meet both objectives, large benthic incubation chambers (CUBEs; 50 × 50 × 50 cm were deployed inside plow tracks (with and without holothurian presence and at a reference site (holothurian presence, only at 4100 m water depth. Shortly after deployment, 13C- and 15N-labeled phytodetritus was injected in the incubation chambers and during the subsequent 3-day incubation period, water samples were taken five times to measure the production of 13C-dissolved inorganic carbon over time. At the end of the incubation, holothurians and sediment samples were taken to determine biomass, densities and incorporation of 13C and 15N into bacteria, nematodes, macrofauna, and holothurians. For the first objective, the results showed that biomass of bacteria, nematodes and macrofauna did not differ between reference sites and plow track sites when holothurians were present. Additionally, meiofauna and macrofauna taxonomic composition was not significantly different between the sites. In contrast, total 13C uptake by bacteria, nematodes and holothurians was significantly lower at plow track sites compared to reference sites, though the number of replicates was low. This result suggests that important ecosystem functions such as organic matter processing have not fully recovered from the disturbance that occurred 26 years prior to our study. For the second objective, the analysis indicated

  13. Mammography and Pap test screening among low-income foreign-born Hispanic women in the USA

    Directory of Open Access Journals (Sweden)

    Maria E. Fernandez

    Full Text Available Little is known about the factors influencing screening among low-income Hispanic women particularly among recent immigrants. A sample of 148 low-income, low-literate, foreign-born Hispanic women residing in the Washington DC metropolitan area participated in the study. The mean age of the sample was 46.2 (SD = 11.5, 84% reported annual household incomes<=$15,000. All women were Spanish speakers and had low acculturation levels. Ninety six percent had reported having a Pap smear, but 24% were not in compliance with recommended screening (Pap test within the last 3 years. Among women 40 and older, 62% had received a mammogram, but only 33% were compliant with age appropriate recommended mammography screening guidelines. Women in this study had more misconceptions about cancer than Hispanics in other studies. Multivariate logistic models for correlates of Pap test and mammography screening behavior indicate that factors such as fear of the screening test, embarrassment, and lack of knowledge influenced screening behavior. In conclusion, women in this study had lower rates of mammography screening than non-Hispanic women and lower rates of compliance with recommended Mammography and Pap test screening guidelines.

  14. Women's knowledge about cervical cancer, Pap smear and human papillomavirus and its relation to screening in Argentina.

    Science.gov (United States)

    Paolino, Melisa; Arrossi, Silvina

    2011-01-01

    The purpose of this study was to evaluate women's knowledge about cervical cancer, Pap smears, and human papilloma virus in relation to their cervical cancer screening behavior. This hospital-based study was conducted with a sample of 200 women: 100 women screened in the last three years and 100 non-screened women who attended a hospital located in the metropolitan area of Buenos Aires, between September 2008 and February 2009. Women at the hospital were surveyed using a structured questionnaire. Multiple logistic regression models were used to evaluate the relation of women's knowledge about Pap smears to screening behavior, controlling for socio-demographic characteristics. Of the women who had been screened, 49% compared to 73% of those not screened had inadequate knowledge about Pap smears (P = 0.001), and 47% of screened and 30% of non-screened women reported that they had ever heard about human papilloma virus (P = 0.013). In multivariate analysis, having adequate knowledge about Pap smears (odds ratio: 2.6 or 95%, confidence interval: 1.4-4.8) having health insurance (odds ratio: 2.6 or 95%, confidence interval: 1.1-6.4) and being married (odds ratio: 1.8 or 95%, confidence interval: 1.1-3.4) were the factors related to being screened in the previous three years. Knowledge was related to screening. Comprehensive educational approaches may enhance screening for cervical cancer prevention.

  15. Awareness of cervical cancer and Pap smear among nursing staff at a rural tertiary care hospital in Central India.

    Science.gov (United States)

    Jain, S M; Bagde, M N; Bagde, N D

    2016-01-01

    Cancer cervix is the leading cause of cancer deaths in females in developing countries and one in five women suffering from cervical cancer lives in India. The aim of this study is to determine the awareness about cervical cancer and Pap smear among nurses working in a tertiary care institute. Study Setting and Design: Cross-sectional survey in a tertiary care institute. Nurses working at our institute excluding those who have worked or working in the Obstetrics and Gynecology department were provided with a pre-designed questionnaire testing their knowledge about cervical cancer. Approximately, 86% were aware about cancer cervix and 69% were aware of a pre-cancerous stage. 42.3% were not aware of any risk factor and 27.6% were not aware of any symptom of cancer cervix. 86.2% were aware about Pap smear, but only 58.6% were aware that facilities of Pap smear were available at our hospital. Knowledge about cervical cancer and awareness of Pap smear as screening test was inadequate in nursing staff. Awareness programs about cervical cancer and screening are needed to increase awareness for this preventable condition. There is a need to arrange reorientation programs to sensitize nurses and establish cytology clinics to offer facilities for easily accessible and affordable screening.

  16. A heterodimer of human 3'-phospho-adenosine-5'-phosphosulphate (PAPS) synthases is a new sulphate activating complex

    International Nuclear Information System (INIS)

    Grum, Daniel; Boom, Johannes van den; Neumann, Daniel; Matena, Anja; Link, Nina M.; Mueller, Jonathan W.

    2010-01-01

    3'-Phospho-adenosine-5'-phosphosulphate (PAPS) synthases are fundamental to mammalian sulphate metabolism. These enzymes have recently been linked to a rising number of human diseases. Despite many studies, it is not yet understood how the mammalian PAPS synthases 1 and 2 interact with each other. We provide first evidence for heterodimerisation of these two enzymes by pull-down assays and Foerster resonance energy transfer (FRET) measurements. Kinetics of dimer dissociation/association indicates that these heterodimers form as soon as PAPSS1 and -S2 encounter each other in solution. Affinity of the homo- and heterodimers were found to be in the low nanomolar range using anisotropy measurements employing proteins labelled with the fluorescent dye IAEDANS that - in spite of its low quantum yield - is well suited for anisotropy due to its large Stokes shift. Within its kinase domain, the PAPS synthase heterodimer displays similar substrate inhibition by adenosine-5'-phosphosulphate (APS) as the homodimers. Due to divergent catalytic efficacies of PAPSS1 and -S2, the heterodimer might be a way of regulating PAPS synthase function within mammalian cells.

  17. A molecular monopoly? HPV testing, the Pap smear and the molecularisation of cervical cancer screening in the USA.

    NARCIS (Netherlands)

    Hogarth, Stuart; Hopkins, Michael M.; Rodriguez, V.F.

    2011-01-01

    DNA-based molecular testing for human papillomavirus has emerged as a novel approach to cervical cancer screening in the context of well-entrenched existing technology, the Pap smear. This article seeks to elucidate the process of molecularisation in the context of screening programmes. We

  18. Mammography and Pap test screening among low-income foreign-born Hispanic women in the USA

    Directory of Open Access Journals (Sweden)

    Fernandez Maria E.

    1998-01-01

    Full Text Available Little is known about the factors influencing screening among low-income Hispanic women particularly among recent immigrants. A sample of 148 low-income, low-literate, foreign-born Hispanic women residing in the Washington DC metropolitan area participated in the study. The mean age of the sample was 46.2 (SD = 11.5, 84% reported annual household incomes<=$15,000. All women were Spanish speakers and had low acculturation levels. Ninety six percent had reported having a Pap smear, but 24% were not in compliance with recommended screening (Pap test within the last 3 years. Among women 40 and older, 62% had received a mammogram, but only 33% were compliant with age appropriate recommended mammography screening guidelines. Women in this study had more misconceptions about cancer than Hispanics in other studies. Multivariate logistic models for correlates of Pap test and mammography screening behavior indicate that factors such as fear of the screening test, embarrassment, and lack of knowledge influenced screening behavior. In conclusion, women in this study had lower rates of mammography screening than non-Hispanic women and lower rates of compliance with recommended Mammography and Pap test screening guidelines.

  19. Pap Smear Diagnosis Using a Hybrid Intelligent Scheme Focusing on Genetic Algorithm Based Feature Selection and Nearest Neighbor Classification

    DEFF Research Database (Denmark)

    Marinakis, Yannis; Dounias, Georgios; Jantzen, Jan

    2009-01-01

    The term pap-smear refers to samples of human cells stained by the so-called Papanicolaou method. The purpose of the Papanicolaou method is to diagnose pre-cancerous cell changes before they progress to invasive carcinoma. In this paper a metaheuristic algorithm is proposed in order to classify t...... other previously applied intelligent approaches....

  20. Women's Behaviors Toward Mammogram and Pap Test: Opportunities to Increase Cervical Cancer Screening Participation Rates among Older Women.

    Science.gov (United States)

    Tavasoli, Simon M; Kane, Eli; Chiarelli, Anna M; Kupets, Rachel

    Screening rates for cervical cancer remain moderate among women over 50 years of age. Because cervical and breast screening interventions can be linked, evaluating screening factors relating to both is important. This study evaluates factors associated with breast and cervical screening participation in women aged 52 to 69. A cross-sectional study was used to describe characteristics associated with screening behaviors of 1,173,456 eligible women in Ontario, Canada. Overdue for screening was defined as more than 2.5 years from last mammogram or more than 3.5 years from last Pap test. Factors that might influence uptake of mammogram or Pap test were included as covariates in a multivariable multinomial logistic regression model. Overall, 52.4% of eligible women were up-to-date for both, 21.3% were overdue for both, 14.4% were overdue for Pap test but were up-to-date with mammogram, and 11.9% were overdue for mammogram but were up-to-date with Pap test. There was an opposite effect of age on likelihood of being overdue for Pap test only versus mammogram only. Women aged 67 to 69 compared with those 52 to 54 were more likely to be overdue for Pap test only (adjusted odds ratio, 2.3; 95% confidence interval, 2.3-2.4) and less likely to be overdue for mammogram only (adjusted odds ratio, 0.5; 95% confidence interval, 0.5-0.6). A greater proportion of women rostered to a female physician versus a male physician were up-to-date for both (63.7% vs. 51.5%). Comparing screening patterns may provide physician- and patient-directed strategies to increase cervical screening participation by recruiting women who are overdue for Pap test but undergoing breast cancer screening. Copyright © 2017 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  1. Non-invasive mechanical ventilation: the benefits of the BiPAP system.

    Science.gov (United States)

    Teba, L; Marks, P; Benzo, R

    1996-01-01

    Many of the complications with endotracheal intubation and invasive mechanical ventilation can be avoided with the use of non-invasive mechanical ventilation (NIMV). This technique has been especially successful in treating patients with acute respiratory failure (ARF). NIMV improves gas exchange, avoids complications caused by endotracheal intubation, and allows patients to talk and take medications orally. This article reviews our experiences treating 27 patients with ARF with a BiPAP (bi-level positive airway pressure) ventilator. This is a portable unit which allows for selection of different modes of ventilation and adjustment of inspiratory and expiratory pressures. Non-invasive mechanical ventilation should be considered in patients presenting with ARF who are hemodynamically stable and in whom spontaneous breathing is preserved.

  2. Fluorescence Spectrum and Decay Measurement for Hsil VS Normal Cytology Differentiation in Liquid Pap Smear Supernatant

    Science.gov (United States)

    Vaitkuviene, A.; Gegzna, V.; Juodkazis, S.; Jursenas, S.; Miasojedovas, S.; Kurtinaitiene, R.; Rimiene, J.; Vaitkus, J.

    2009-06-01

    Cervical smear material contains endo and exocervical cells, mucus and inflammative, immune cells in cases of pathology. Just not destroyed keratinocytes lay on the glass for microscopy. Liquid cytology supernatant apart other diagnostics could be used for photodiagnostic. The spectroscopic parameters suitable for Normal and HSIL cytology groups supernatant differentiation are demonstrated. The dried liquid PAP supernatant fractions—sediment and liquid were investigated. Excitation and emission matrices (EEM), supernatant fluorescence decay measured under 280 nm diode short pulse excitation and fluorescence spectroscopy by excitation with 355 nm laser light were analyzed. The differences between Normal and HSIL groups were statistically proven in the certain spectral regions. Fluorescence decay peculiarities show spectral regions consisting of few fluorophores. Obtained results on fluorescence differences in Normal and HSIL groups' supernatant shows the potency of photodiagnosis application in cervical screening.

  3. Knowledge About Cervical Cancer Risk Factors and Practices of Pap Testing Among Turkish Immigrant Women in the United States.

    Science.gov (United States)

    Uysal Toraman, Aynur; Yildirim, Nilufer

    2017-09-19

    The objective of this study was to examine knowledge about cervical cancer risk factors and practices of Pap testing among female Turkish immigrants in the state of Florida in the United States of America (USA). This descriptive study was conducted between April and September 2012. The study sampling was consist of 156 Turkish women living in the state of Florida. A questionnaire-based survey was conducted among the population of Turkish immigrant women. On the survey form comprised of a total of 37 questions and three sections there are questions pertaining to the socio-demographic characteristics of the individuals, their knowledge on the cervical cancer risk factors and their approach to getting Pap smear tests. Statistical Package for Social Sciences (version 16.0) was used to compute frequency and descriptive statistics related to demographic data. The average age of the women is 35.67 ± 10.0. More than half of women (66%) women reported cervical cancer screening at least one. Over two-thirds knew that having abnormal vaginal bleeding (85.8%) and vaginal infections (78.2%), having sexual activity with a man who has had multiple sexual partners (61.5%), and having multiple sexual partners (61.5%) increase the risk of cervical cancer. The result of the multivariate regression analysis have determined that the age of immigrant women (OR 11.3, 95 % CI 5.1-25.2, p:0.000) and the number of children ( OR 3.4, 95 % CI 1.7-6.9, p:0.000) are factors that impact pap smear testing behavior. Our study findings confirm low levels of Pap testing and show important knowledge deficits about cervical cancer risk factors and the importance of Pap testing among Turkish immigrant women. It is recommended that the immigrant women be educated about cervical cancer by means of organizing conferences in their own language and preparing informative materials.

  4. Limited Understanding of Pap Smear Testing among Women, a Barrier to Cervical Cancer Screening in the United Arab Emirates

    Science.gov (United States)

    AL-Hammadi, Fatima Ahmed; Al-Tahri, Fatema; Al-Ali, Asma; Nair, Satish C; Abdulrahman, Mahera

    2017-12-29

    Global data indicate that cervical cancer is the fourth most common cancer among women worldwide. Important factors that affect interventions for early diagnosis of cervical cancer include social beliefs and values and poor knowledge. These may contribute to women’s participation in screening for cervical cancer and have a significant impact on decisions to take preventive action. The present study was conducted with 599 women in the UAE between September 2016 and March 2017. A cross-sectional survey was conducted to determine knowledge about cervical cancer and screening, demographic characteristics and perceived barriers. Knowledge about the Pap smear test was limited, and awareness that they should undergo the Pap smear test every three years even with an initial negative/normal Pap smear result was abysmal. In spite of the positive attitude of the women towards the Pap smear test, almost 80% of the women surveyed had no knowledge of precancerous lesions. Having higher income (21/29, 72%, p=0.027) and more miscarriages were associated with better practice of Pap smears (19/26, 73%, p=0.010). Knowledge levels were significantly higher (66.3±22.2,) that values for attitude (60.5±20.9, p= 0.03, 95% CI {0.22-11.3}, Chi-square 4.38) and practice (53.7 24.1, p= 0.001, 95% CI {6.9-18.1}, Chi-square 19.7). A well-designed health education programme on cervical cancer and benefits of screening should increase the awareness among women in UAE. One point to stress is that better communication with health professionals and improvement of access to health care services should increase the rate of cervical cancer screening. Creative Commons Attribution License

  5. Delayed diagnoses of cervical intraepithelial neoplasia and cancer after negative evaluation for atypical glandular cell pap smear: does age matter?

    Science.gov (United States)

    Valdini, Anthony F; Augart, Carolyn L; Olivieri, Michelle

    2013-10-01

    At initial evaluation, 1 in 6 women with atypical glandular cells (AGCs) on Pap smear has cervical intraepithelial neoplasia (CIN) or cancer. Years later, a greater-than-expected incidence of "significant delayed diagnoses" has been reported in women who had negative initial evaluation results. This study aimed to test the premise that AGC represents a lesser future risk for CIN 2/CIN 3/carcinoma in situ (CIS) and cancer after negative evaluation results in a population diagnosed at a young age (Pap smears (1997-2010); 213 were diagnosed with AGC, and 117 met inclusion criteria. Completed evaluation was consistent with American Society for Colposcopy and Cervical Pathology guidelines without finding CIN 2/CIN 3/CIS or cancer. Follow-up lasted for longer than 1 year. Categorical data were evaluated with χ. During the follow-up period that averaged for 85.3 months, the cohort had 4.5 mean Pap smears and reported 46 cytological diagnoses of low-grade squamous intraepithelial lesions, 3 diagnoses of high-grade squamous intraepithelial lesions, and 10 repeated diagnoses of AGCs. Two CIN 2/CIN 3/CIS lesions, 1 cervical cancer, and 1 endometrial intraepithelial neoplasia were confirmed on biopsy. Average age of patients at index Pap smear was 34.2 years (range = 15-64 years). Compared with a published report where the average age at index Pap smear was 41.5 years, our cohort developed a total of 4.3% significant delayed diagnoses versus 10.8% (significant difference, p = .046). During a 7-year follow-up, this cohort of 117 women with AGC and negative initial evaluation findings developed fewer significant delayed diagnoses than expected when compared with an older reported group and had no new extragynecological cancers. Age seems to be a risk factor for delayed diagnoses in patients with AGC.

  6. Biotransformation of 6:2 polyfluoroalkyl phosphates (6:2 PAPs): Effects of degradative bacteria and co-substrates.

    Science.gov (United States)

    Lewis, Matthew; Kim, Myung Hee; Liu, Ellen J; Wang, Ning; Chu, Kung-Hui

    2016-12-15

    Polyfluoroalkyl phosphates (PAPs), a group of fluorotelomer alcohol (FTOH)-based surfactants commonly used in water- and grease-proof food contact paper, have been suggested as a direct source of human exposure to health-concerned perfluoroalkyl carboxylic acids (PFCAs). This study investigated factors affecting biotranformation of 6:2 polyfluoroalkyl phosphates (6:2 PAPs) by three known FTOH-degrading Pseudomonas strains (Pseudomonas butanovora, P. oleovorans, and P. fluorescens DSM 8341) under different co-substrate conditions and compared to that by activated sludge samples. The three pure strains transformed 6:2 PAPs into eight different per- and poly-fluoroalkyl carboxylic acids (PFCAs) and/or PFCA precursors. P. fluorescens DSM 8341 produced 5:2 sFTOH [CF 3 (CF 2 ) 4 CH(OH)CH 3 ] and P. oleovorans produced 5:2 ketone [CF 3 (CF 2 ) 4 C(O)CH 3 ] as the primary transformation product, respectively, with citrate having a minimal impact on the transformation. P. butanovora with lactate produced more diverse transformation products than those by any two strains. Activated sludge was more efficient at transforming 6:2 PAPs and produced more transformation products including PFHpA [CF 3 (CF 2 ) 5 COOH] and PFPeA [CF 3 (CF 2 ) 3 COOH], with 5:2 sFTOH as the most abundant product on day 30. The abundance of the alkane hydroxylase (alkB) gene related to alkane oxidation, the changes of total microbial population as well as their community structure in activated sludge during 6:2 PAPs biotransformation were also investigated. Copyright © 2016 Elsevier B.V. All rights reserved.

  7. Cervical Precancer Risk in HIV-Infected Women Who Test Positive for Oncogenic Human Papillomavirus Despite a Normal Pap Test.

    Science.gov (United States)

    Keller, Marla J; Burk, Robert D; Massad, L Stewart; Eltoum, Isam-Eldin; Hessol, Nancy A; Castle, Philip E; Anastos, Kathryn; Xie, Xianhong; Minkoff, Howard; Xue, Xiaonan; D'Souza, Gypsyamber; Flowers, Lisa; Levine, Alexandra M; Colie, Christine; Rahangdale, Lisa; Fischl, Margaret A; Palefsky, Joel M; Strickler, Howard D

    2015-11-15

    Determining cervical precancer risk among human immunodeficiency virus (HIV)-infected women who despite a normal Pap test are positive for oncogenic human papillomavirus (oncHPV) types is important for setting screening practices. A total of 2791 HIV-infected and 975 HIV-uninfected women in the Women's Interagency HIV Study were followed semiannually with Pap tests and colposcopy. Cumulative risks of cervical intraepithelial neoplasia grade 2 or greater (CIN-2+; threshold used for CIN treatment) and grade 3 or greater (CIN-3+; threshold to set screening practices) were measured in HIV-infected and HIV-uninfected women with normal Pap tests, stratified by baseline HPV results, and also in HIV-infected women with a low-grade squamous intraepithelial lesion (LSIL; benchmark indication for colposcopy). At baseline, 1021 HIV-infected and 518 HIV-uninfected women had normal Pap tests, of whom 154 (15%) and 27 (5%), respectively, tested oncHPV positive. The 5-year CIN-2+ cumulative risk in the HIV-infected oncHPV-positive women was 22% (95% confidence interval [CI], 9%-34%), 12% (95% CI, 0%-22%), and 14% (95% CI, 2%-25%) among those with CD4 counts Pap result who test HPV16 positive have high precancer risk (similar to those with LSIL), possibly warranting immediate colposcopy. Repeat screening in 1 year may be appropriate if non-16 oncHPV is detected. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  8. Type-specific HPV and Pap test results among low-income, underserved women: providing insights into management strategies.

    Science.gov (United States)

    Saraiya, Mona; Benard, Vicki B; Greek, April A; Steinau, Martin; Patel, Sonya; Massad, L Stewart; Sawaya, George F; Unger, Elizabeth R

    2014-10-01

    The primary cervical cancer screening strategy for women over age 30 is high-risk human papillomavirus (HPV) testing combined with Papanicolaou (Pap) testing (cotesting) every 5 years. This combination strategy is a preventive service that is required by the Affordable Care Act to be covered with no cost-sharing by most health insurance plans. The cotesting recommendation was made based entirely on prospective data from an insured population that may have a lower proportion of women with HPV positive and Pap negative results (ie, discordant results). The discordant group represents a very difficult group to manage. If the frequency of discordant results among underserved women is higher, health care providers may perceive the cotesting strategy to be a less favorable screening strategy than traditional Pap testing every 3 years. The Centers for Disease Control and Prevention's Cervical Cancer Study was conducted at 15 clinics in 6 federally qualified health centers across Illinois. Providers at these clinics were given the option of cotesting for routine cervical cancer screening. Type-specific HPV detection was performed on residual extracts using linear array. Pap test results were abnormal in 6.0% and HPV was positive in 7.2% of the underserved women screened in this study (mean age, 45.1 years). HPV prevalence decreased with age, from 10.3% among 30- to 39-year-olds to 4.5% among 50- to 60-year-olds. About 5% of the women had a combination of a positive HPV test and normal Pap test results; HPV 16/18 was identified in 14% of discordant women. The rate of discordant results among underserved women was similar to those reported throughout the US in a variety of populations. Typing for HPV 16/18 appears to assist in the management in a small proportion of women with discordant results. Published by Elsevier Inc.

  9. Evaluation of a low-cost liquid-based Pap test in rural El Salvador: a split-sample study.

    Science.gov (United States)

    Guo, Jin; Cremer, Miriam; Maza, Mauricio; Alfaro, Karla; Felix, Juan C

    2014-04-01

    We sought to test the diagnostic efficacy of a low-cost, liquid-based cervical cytology that could be implemented in low-resource settings. A prospective, split-sample Pap study was performed in 595 women attending a cervical cancer screening clinic in rural El Salvador. Collected cervical samples were used to make a conventional Pap (cell sample directly to glass slide), whereas residual material was used to make the liquid-based sample using the ClearPrep method. Selected samples were tested from the residual sample of the liquid-based collection for the presence of high-risk Human papillomaviruses. Of 595 patients, 570 were interpreted with the same diagnosis between the 2 methods (95.8% agreement). There were comparable numbers of unsatisfactory cases; however, ClearPrep significantly increased detection of low-grade squamous intraepithelial lesions and decreased the diagnoses of atypical squamous cells of undetermined significance. ClearPrep identified an equivalent number of high-grade squamous intraepithelial lesion cases as the conventional Pap. High-risk human papillomavirus was identified in all cases of high-grade squamous intraepithelial lesion, adenocarcinoma in situ, and cancer as well as in 78% of low-grade squamous intraepithelial lesions out of the residual fluid of the ClearPrep vials. The low-cost ClearPrep Pap test demonstrated equivalent detection of squamous intraepithelial lesions when compared with the conventional Pap smear and demonstrated the potential for ancillary molecular testing. The test seems a viable option for implementation in low-resource settings.

  10. Genetics, medicine, and the Plain people.

    Science.gov (United States)

    Strauss, Kevin A; Puffenberger, Erik G

    2009-01-01

    The Old Order Amish and Old Order Mennonite populations of Pennsylvania are descended from Swiss Anabaptist immigrants who came to the New World in the early eighteenth century. Today they live in many small endogamous demes across North America. Genetically, these demes have dissimilar allele frequencies and disease spectra owing to unique founders. Biological and social aspects of Old Order communities make them ideal for studies in population genetics and genomic medicine, and over the last 40 years, advances in genomic science coincided with investigational studies in Plain populations. Newer molecular genetic technologies are sufficiently informative, rapid, and flexible to use in a clinical setting, and we have successfully integrated these tools into a rural pediatric practice. Our studies with the Pennsylvania Plain communities show that population-specific genetic knowledge provides a powerful framework in which to prevent disease, reduce medical costs, and create new insights into human biology.

  11. Does 'Plain Packaging' of Tobacco matter?

    Directory of Open Access Journals (Sweden)

    Luke Clancy

    2016-03-01

    Full Text Available The incremental tightening of the tobacco industry’s advertising capabilities led to the investment of billions of dollars into increasingly creative packaging. Today, packing remains one of the industry’s sole methods of promotion and marketing. The size, shape, colour, and font on cigarette packs serve to differentiate brands and promote a certain image associated with the given cigarette package Many studies in recent years have tested the association between pack standardisation and peoples’ attitudes, behaviours, and perceptions of tobacco packaging. The results show that plain packs are thought to be less attractive and associated with less positive characteristics, the health warnings are more salient, and smokers report feelings of wanting to smoke less when using standardised packs. Now we have the real life results from Australia, which show the tobacco control advances that are possible with standardised packaging. This must increase the pressure to have 'plain packaging' introduced throughout the EU.

  12. Endometrial cells on Pap tests: ideal reporting is more complex than just finding the right age.

    Science.gov (United States)

    Fischer, Gabor; Haddad, Maha; Cormier, Karen

    2017-07-01

    The age for reporting normal endometrial cells (EMCs) on Pap tests was changed to ≥ 45 years in the latest Bethesda update (2014). This recommendation is solely based on age with no consensus on optimal reporting guidelines. Pap tests with EMCs for women ≥40 years were retrieved from our Laboratory Information System (LIS). Patient age, last menstrual period (LMP) and available follow-up histology were recorded. Follow-up diagnoses were categorized as: no significant pathology, benign, hyperplasia ± atypia, or malignant. The Fisher's exact test was used to assess the association between categorical variables, p test) was considered significant. Of the 352 cases with EMCs, 155 had surgical follow-up. They showed no malignancy in the 89 women between 40-49 years, compared with five malignancies in the 66 women 50+ years (p = .016). The number of cases with significant pathology (hyperplasia and malignant) was 4 (40-49 years) vs. 11 (50+ years) (p = 0.029). The LMP was inconsistently provided (57%) and women identified as postmenopausal on requisition comprised all the malignancies and half the hyperplasias. Combined effort by pathologists and clinicians necessitates determining the best standardized clinicopathologic guidelines to report EMCs and appropriate follow-up. Increasing the required age to ≥50 years would provide more optimal patient management; however, there are other considerations beyond age. Reporting EMCs in postmenopausal women is a reasonable alternative requiring consistent and accurate recording of LMP. Improving provided information for pathologists, determining reporting requirements for EMCs and standardizing clinical follow-up should be a multidisciplinary effort. Diagn. Cytopathol. 2017;45:587-591. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  13. A COMPARATIVE STUDY TO SEE THE UTILITY OF MODIFIED ULTRAFAST PAPANICOLAOU (MUFP STAIN OVER STANDARD PAP STAIN IN ROUTINE FNA SMEARS

    Directory of Open Access Journals (Sweden)

    Ruchi Khajuria

    2016-07-01

    Full Text Available BACKGROUND Pap stain is an excellent method to review the cytological specimen; however, it is time consuming and costly. Various modifications have been developed in Pap stain of which latest is Modified Ultrafast Pap (MUFP stain which is hybrid of the technique by Romanowsky and conventional Pap stain to reduce the staining time to 90 seconds. AIM Aim of this study was to assess the feasibility and applicability of MUFP stain in fine needle aspiration smears of various organs. MATERIAL AND METHODS This prospective study was carried out in the cytopathology laboratory of GMC, Jammu for a period of 6 months from December 2015 to May 2016. A total no of 200 specimens were collected. The samples included 80 lymph node aspiration samples, 40 thyroid FNA samples, 50 breast FNA samples, 25 soft tissue aspirations and 5 salivary gland aspirations. Two smears were kept for fixation in 95% ethanol for staining with standard Pap stain and 2 were air dried for MUFP staining. RESULTS A correct diagnosis was achieved in all the cases. Background was similar in both staining methods. However, well-preserved cell morphology, crisp nuclear outline, good overall staining were well seen with MUFP method when compared with the standard Pap method. CONCLUSION The findings of this study support the use of MUFP method in cytology laboratory over standard Pap method.

  14. Ages of plains volcanism on Mars

    Science.gov (United States)

    Hauber, Ernst; Jagert, Felix; Broz, Petr

    2010-05-01

    Plain-style volcanism [1] is widespread in the Tharsis and Elysium volcanic provinces on Mars, [2,3]. Detailed images and topographic data reveal the morphology and topography of clusters of low shields and associated lava flows. The landforms of plains volcanism on Mars have all well-known terrestrial analogues in basaltic volcanic regions, such as Hawaii, Iceland, and in particular the Snake River Plains [4]. The very gentle flank slopes (J. (1981) Icarus, 45, 586-601. [3] Hodges C.A. and Moore H.J. (1994) Atlas of volcanic features on Mars: USGS Prof. Paper 1534, 194 p. [4] Hauber E. et al. (2009) J. Volcanol. Geotherm. Res. 185, 69-95. [5] Wilson L. et al. (2009) J. Volcanol. Geotherm. Res. 185, 28-46. [6] Vaucher, J. et al. (2009) Icarus 204, 418-442. [7] Baratoux D. et al. (2009) J. Volcanol. Geotherm. Res. 185, 47-68. [8] Bleacher J.E. et al. (2009) J. Volcanol. Geotherm. Res. 185, 96-102. [9] Ivanov B.A. (2001) Space Sci. Rev. 96, 87-104. [10] Hartmann W.H. and Neukum G. (2001) Space Sci. Rev. 96, 165-194 [11] Kneissl T. et al. (2010) LPS XVI, submitted. [12] Michael, G.G. and Neukum G. (2010) Earth Planet. Sci. Lett., in press. . [13] Malin M.C. et al. (2007) JGR 112, E05S04, doi: 10.1029/2006JE002808.

  15. Cost-effectiveness analysis of human papillomavirus DNA testing and Pap smear for cervical cancer screening in a publicly financed health-care system.

    Science.gov (United States)

    Chow, I H-I; Tang, C-H; You, S-L; Liao, C-H; Chu, T-Y; Chen, C-J; Chen, C-A; Pwu, R-F

    2010-12-07

    to evaluate the long-term cost-effectiveness of different strategies for human papillomavirus (HPV) DNA testing combined with Pap smear for cervical cancer screening in Taiwan. this study adopts a perspective of Department of Health in cost-effectiveness analysis to compare a no-screening strategy with nine different screening strategies. These strategies comprise three screening tools (Pap smear alone, HPV DNA testing followed by Pap smear triage, and HPV DNA testing combined with Pap smear), and three screening intervals (annually, every 3 years, and every 5 years). Outcomes are life expectancy, quality-adjusted life years (QALYs), lifetime costs, and incremental cost-effectiveness ratios (ICERs). Probabilistic sensitivity analyses (PSAs) were conducted to assess parameter uncertainty. when three times gross domestic product per capita is used as the decision threshold, all nine screening strategies were cost-effective compared with the no-screening strategy. Compared with the current screening strategy (an annual Pap smear), HPV DNA testing followed by Pap smear triage every 5 years and every 3 years were cost-effective. Results of PSA also indicated that a HPV DNA testing followed by Pap smear triage every 5 or every 3 years achieved the highest expected net benefits. possible economic advantages are associated with extending the cervical cancer screening interval from one Pap smear annually to HPV DNA testing followed by Pap smear triage every 5 years with an ICER $1 247 000 per QALY gained, especially in a country with a publicly financed health-care system. 2010 Cancer Resaerch UK.

  16. ABYSSES OF FIRE

    Directory of Open Access Journals (Sweden)

    Rafael Santana

    2015-11-01

    Full Text Available The aim of this paper is to think the genesis of the poetry in the artistic universe of Mário de Sá-Carneiro, a poet who undertakes literary criticism from within his own writings while reckoning with the specificities of art. Following the path of some of the iconic figures of modern times, such as Baudelaire, Rimbaud and Mallarmé, Sá-Carneiro inscribes his poetry in a tradition of a whole lineage of poets for whom writing is above all a hand-to-hand with language.

  17. Biochemical characterization of the triticale TsPAP1, a new type of plant prolyl aminopeptidase, and its impact on proline content and flowering time in transgenic Arabidopsis plants.

    Science.gov (United States)

    Zdunek-Zastocka, Edyta; Grabowska, Agnieszka; Branicki, Tomasz; Michniewska, Beata

    2017-07-01

    Proline aminopeptidase (PAP, EC 3.4.11.5) is the only enzyme that effectively releases proline from the N-termini of peptides. The amino acid sequence of the PAP from Triticosecale, TsPAP1, comprises conserved regions, characteristic of the monomeric forms of PAP found in bacteria but not yet identified in plants. Therefore, we aimed to obtain and biochemically characterize the TsPAP1 protein. The recombinant TsPAP1 protein was received through heterologous expression of the TsPAP1 coding sequence in a bacterial expression system and purified with affinity chromatography. Gel filtration chromatography and SDS electrophoresis revealed that TsPAP1 is a monomer with a molecular mass of 37.5 kDa. TsPAP1 prefers substrates with proline at the N-terminus but is also capable of hydrolyzing β-naphthylamides of hydroxyproline and alanine. Among the peptides tested, the most preferred were di- and tripeptides, especially those with glycine in the Y position. The use of diagnostic inhibitors indicated that TsPAP1 is a serine peptidase; however, further characterization revealed that the SH residues are also important for maintaining its activity. To examine the role of TsPAP1 under physiological conditions, we developed transgenic Arabidopsis plants overexpressing TsPAP1. Compared with wild-type plants, the transgenic lines accumulated more proline, flowered an average of 3.5 days earlier, and developed more siliques than did untransformed controls. Our paper is the first to describe the biochemical properties of a novel monomeric plant PAP and contributes to the functional characterization of PAP proteins in plants. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  18. Multi-Stage Partial Melting Beneath Gakkel Ridge: Evidence From PGE And Os Isotopic Compositions Of Fresh Abyssal Peridotites

    Science.gov (United States)

    Liu, C.; Bruegmann, G.; Hellebrand, E.; Snow, J. E.; von der Handt, A.

    2006-12-01

    Eleven fresh spinel peridotites from the ultra-slow spreading Gakkel Ridge (dredge PS66-238, ten lherzolites and one harzburgite) have been analyzed for major and trace elements, PGE and Os isotopes. The low Cr# in spinel (Cr#=15-28) indicates that these rocks are among the most fertile abyssal peridotites suggesting 5- 12% of partial melting. The degree of partial melting calculated from the Yb contents in the cpx (Yb=1.02-1.33 ppm) ranges between 3-8%, which is lower than that estimated by the Cr# in spinel. The high relative concentrations of LREE in the cpx, i.e., (Ce/Yb)N=0.04-1.48, from all the samples suggest that they have been enriched during metasomatism after partial melting. All PGE are well correlated with each other, but not with Re. Os/Ir ratios in all lherzolites are chondritic (Os/Ir=1.01±0.08), but both Ru/Ir and Pd/Ir ratios are supra-chondritic (1.20±0.09 and 1.28±0.31, respectively). These features and the PGE patterns are similar to those recently estimated for the primitive upper mantle (PUM)[1]. The average normalized PGE concentration, however, is higher than the PUM value (0.01 vs. 0.008 × CI, respectively). The PGEs/Ir ratios do not show any correlation with the partial melting indices (spinel Cr# or bulk Al2O3). This suggests that the PGEs are not fractionated and behave compatibly during low degrees of partial melting, probably due to the presence of residual sulfide. Interestingly, the Re/Os varies systematically and correlates well with indices of partial melting. This indicates that Re has not been significantly added or removed - like the LREE - during recent metasomatism and also implies that Re essentially behaves like a lithophile element during partial melting. The Os isotopic composition of the Gakkel peridotites varies from very depleted (^{187}Os/^{188}Os=0.1139) in the harzburgite to relatively radiogenic (^{187}Os/^{188}Os=0.1286) in the lherzolites indicating a heterogeneous upper mantle beneath the Gakkel Ridge

  19. Awareness and knowledge regarding of cervical cancer, Pap smear screening and human papillomavirus infection in Gabonese women.

    Science.gov (United States)

    Assoumou, Samira Zoa; Mabika, Barthelemy Mabika; Mbiguino, Angelique Ndjoyi; Mouallif, Mustapha; Khattabi, Abdelkim; Ennaji, My Mustapha

    2015-04-19

    Cervical cancer is the commonest cancer and the leading cause of cancer mortality in women in Gabon. The age-standardized incidence of cervical cancer is 19.9 per 100 000 women and the mortality rate is 8.4 per 100 000. Various international studies have identified the lack of awareness and knowledge about cervical cancer as barriers to use preventive methods. This article assesses the awareness and knowledge about cervical cancer, Pap smear testing and its use and HPV among women living in Libreville, Gabon. This study was conducted in October 2014 in Libreville. A total of 452 women aged 16 years and above were recruited from different town locations. Logistic regression analysis was used to identify the effect of demographic characteristics on the level of knowledge about cervical cancer, Pap smear testing and HPV. Odds ratio and 95% confidence intervals were used to identify the strength of association. Associations were considered statistically significant at p cervical cancer and only 27.9% (126/452) had heard of Pap smear test. Of these 126 women, only 65.1% (82/126) had done cervical cancer screening and 68.3% (56/82) on the suggestion of a doctor. The most common reason for not undergoing Pap smear testing was neglect (50%, 22/44) followed by lack of financial resources (13.6%, 6/44), fear of discovering a serious disease (13.6%, 6/44) and deeming it unimportant (13.6%, 6/44). Only 8% (40/452) of the participants had heard about HPV and their knowledge of HPV was fair. There is a very poor level of knowledge about cervical cancer among Gabonese women. This study demonstrates a very low level of knowledge about cervical cancer, Pap smear testing and HPV in a sample of Gabonese women. There is a critical need for Gabonese women to be informed about cervical cancer and the Pap smear test to improve the use of this preventive method. The implication of health staff and Gabonese media should be included as a centerpiece in the effort to inform the population in

  20. CBPR-Informed Recruitment and Retention Adaptations in a Randomized Study of Pap Testing Among Pacific Islanders in Southern California.

    Science.gov (United States)

    Tanjasiri, Sora Park; Weiss, Jie W; Santos, Lola; Flores, Peter; Flores, Preciosa; Lacsamana, Jasmine DeGuzman; Paige, Ciara; Mouttapa, Michele; Quitugua, Lourdes; Taito, Peniamina; May, Vanessa Tui; Tupua, Marina; Vaikona, Elenoa; Vaivao, Dorothy; Vunileva, Isileli

    2015-01-01

    Pacific Islanders (PIs) experience high cervical cancer rates in the United States. Stage of diagnosis is also later for PIs than non-Hispanic Whites. The Pap test is severely underutilized among PIs: only 71% of Asian American and Pacific Islander women age 25 years or older received a Pap test within the last 3 years (U.S. average, 82%). Community-based participatory research (CBPR) is increasingly seen as an essential approach in designing and conducting culturally relevant and appropriate studies that reduce cancer incidence and other health disparities among minority and other medically underserved populations. The purpose of this article is to describe the lessons learned thus far regarding the identification, recruitment, and retention of PI community organizations and members into a CBPR-informed, randomized, community trial promoting Pap testing. This 5-year study used CBPR to develop and test the efficacy of a social support intervention for Chamorro, Samoan, and Tongan women to increase Pap testing in southern California. Eligible women were between the ages of 21 and 65, and married or in a long-term relationship with a man for at least 5 years. Women and their husbands or significant others received a 2-hour, culturally tailored workshop that include a group activity, information on Pap testing, a video, and corresponding materials. Comparison participants received a brochure about Pap testing. Three waves of data are collected from all participants: pretest (before workshop or brochure), posttest 1 (immediately after workshop or brochure), and posttest 2 (6 months follow-up). Of the 76 organizations approached to participate in the study, 67 (88.2%) eventually agreed to participate. Thus far, 473 women and 419 men completed the study pretest, post-test, education, and 6-month follow-up. Only 242 women and 204 men of the eligible participants have completed the follow-up survey (63.5% of women and 60.5% of men retained after 6 months). The main

  1. Reproduction among protobranch bivalves of the family Nuculidae from sublittoral, bathyal, and abyssal depths off the New England coast of North America

    Science.gov (United States)

    Scheltema, Rudolf S.; Williams, Isabelle P.

    2009-09-01

    Protobranch bivalve species of the family Nuculidae pass through either a planktonic lecithotrophic larval stage or a direct non-planktonic development. Oogenesis of the three sublittoral species examined is synchronous. Deposition of egg masses by Nucula delphinodonta and spawning by Nucula annulata and Nucula proxima occur only during summer months. Among the four bathyal and abyssal species, Ennucula similis, Ennucula granulosa, Deminucula atacellana, and Brevinucula verrilli, oogenesis is asynchronous and there is no discernable pattern of periodicity of spawning. Absence of periodicity in reproduction in these deep-sea species is confirmed by examination of individuals from dredge samples taken at different times of the year. The median apparent fecundity among both sublittoral and deep-sea species is directly related to size (i.e. shell length) and age. Among the Nuculidae the median apparent fecundity is greater among sublittoral than bathyal and abyssal species. The geographic distribution of a species depends on its capacity to disperse. The dispersal of the planktonic lecithotrophic larvae of the sublittoral species N. annulata and N. proxima is limited to the continental shelf of the northwestern Atlantic by inshore bottom circulation and because these very small planktonic larvae (lecithotrophic larvae have a very wide amphi-Atlantic distribution extending from 60°N to 40°S latitude along the North and South American coasts and from 55°N to ca. 19°S from off Europe southwards to the coast of West Africa as a consequence of dispersal by planktonic lecithotrophic larvae along the seafloor. The amphi-Atlantic dispersal must occur stepwise between deep-sea populations (e.g., off Greenland). Such a geographic distribution indicates a widespread dispersal and is supported by the genetic similarity that has been described between North American and western European populations of D. atacellana.

  2. Radiocarbon dating of sediment cores from Hachinohe, the Kamikita Plain

    International Nuclear Information System (INIS)

    Hitoki, Eri; Nakamura, Toshio; Matsumoto, Yui; Tsuji, Sei-ichiro; Fujine, Hisashi

    2013-01-01

    We investigated stratigraphy and chronology by analyses of Holocene sediments and radiocarbon dating of sediment cores from the Kamikita Plain. On the Kamikita Plain, which faces the Pacific coast of Northeast Japan, marine and fluvial terraces covered with tephras derived from Towada and Hakkoda volcanoes are well developed. We clarified that Towada Chuseri tephra and fluvial deposits consisted of volcanic sediments influenced an alluvial depositional system in the Kamikita Plain after a maximum of the Jomon Transgression. (author)

  3. Epigallocatechin-3-gallate rapidly remodels PAP85-120, SEM1(45-107, and SEM2(49-107 seminal amyloid fibrils

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    Laura M. Castellano

    2015-09-01

    Full Text Available Semen harbors amyloid fibrils formed by proteolytic fragments of prostatic acid phosphatase (PAP248-286 and PAP85-120 and semenogelins (SEM1 and SEM2 that potently enhance HIV infectivity. Amyloid but not soluble forms of these peptides enhance HIV infection. Thus, agents that remodel these amyloid fibrils could prevent HIV transmission. Here, we confirm that the green tea polyphenol, epigallocatechin-3-gallate (EGCG, slowly remodels fibrils formed by PAP248-286 termed SEVI (semen derived enhancer of viral infection and also exerts a direct anti-viral effect. We elucidate for the first time that EGCG remodels PAP85-120, SEM1(45-107, and SEM2(49-107 fibrils more rapidly than SEVI fibrils. We establish EGCG as the first small molecule that can remodel all four classes of seminal amyloid. The combined anti-amyloid and anti-viral properties of EGCG could have utility in preventing HIV transmission.

  4. Effects of an educational intervention based on the protection motivation theory and implementation intentions on first and second pap test practice in Iran.

    Science.gov (United States)

    Dehdari, Tahereh; Hassani, Laleh; Hajizadeh, Ebrahim; Shojaeizadeh, Davoud; Nedjat, Saharnaz; Abedini, Mehrandokht

    2014-01-01

    Few Iranian women take the Papanicolaou test despite its important role in preventing cervical cancer. This study aimed to determine the effectiveness of an educational intervention based on the protection motivation theory (PMT) variables and implementation intentions in the first and second Pap test practice among Iranian women. In this quasi-randomized controlled trial, 200 women who were referred to 30 primary health care clinics in Tehran were randomly selected. PMT variables and Pap test practice were measured at baseline and again after 3 and 15 months. The 4-week educational intervention program was conducted for the intervention group. Following the intervention, the mean scores of self-efficacy, perceived vulnerability, and behavior intention variables were significantly higher in the intervention group when compared to the control group (pPap test compared to the controls. The PMT and implementation intentions provide a suitable theory-based framework for developing educational interventions regarding Pap test practice in Iran.

  5. A feasibility study to identify proteins in the residual Pap test fluid of women with normal cytology by mass spectrometry-based proteomics.

    Science.gov (United States)

    Boylan, Kristin Lm; Afiuni-Zadeh, Somaieh; Geller, Melissa A; Hickey, Kayla; Griffin, Timothy J; Pambuccian, Stefan E; Skubitz, Amy Pn

    2014-01-01

    The proteomic analysis of body fluids is a growing technology for the identification of protein biomarkers of disease. Given that Papanicolaou tests (Pap tests) are routinely performed on over 30 million women annually in the U.S. to screen for cervical cancer, we examined the residual Pap test fluid as a source of protein for analysis by mass spectrometry (MS). In the liquid-based Pap test, cervical cells are collected from the ectocervix and placed into an alcohol-based fixative prior to staining and pathologic examination. We hypothesized that proteins shed by cells of the female genital tract can be detected in the Pap test fixative by MS-based proteomic techniques. We examined the feasibility of using residual fluid from discarded Pap tests with cytologically "normal" results to optimize sample preparation for MS analysis. The protein composition of the cell-free Pap test fluid was determined by silver staining of sodium dodecyl sulfate -polyacrylamide gels, and the abundance of serum proteins was examined by Western immunoblot using an antibody against human serum albumin. Both pooled and individual samples were trypsin digested and analyzed by two-dimensional MS/MS. Proteins were identified by searching against the Human Uniprot database, and characterized for localization, function and relative abundance. The average volume of the residual Pap test fluid was 1.5 ml and the average protein concentration was 0.14 mg/ml. By Western immunoblot we showed that the amount of albumin in each sample was significantly reduced compared to normal serum. By MS/MS, we identified 714 unique proteins in pooled Pap test samples and an average of 431 proteins in individual samples. About 40% of the proteins identified were extracellular or localized to the plasma membrane. Almost 20% of the proteins identified were involved in immunity and defense, characteristic of the healthy cervical-vaginal proteome. By merging the protein sets from the individual and pooled Pap test

  6. Plain Language Summary: Benign Paroxysmal Positional Vertigo.

    Science.gov (United States)

    Bhattacharyya, Neil; Hollingsworth, Deena B; Mahoney, Kathryn; O'Connor, Sarah

    2017-03-01

    This plain language summary serves as an overview in explaining benign paroxysmal positional vertigo, abbreviated BPPV. This summary applies to patients ≥18 years old with a suspected or potential diagnosis of BPPV and is based on the 2017 "Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)." The evidence-based guideline includes research to support more effective diagnosis and treatment of BPPV. The guideline was developed as a quality improvement opportunity for managing BPPV by creating clear recommendations to use in medical practice.

  7. Perception of cervical cancer screening among Japanese university students who have never had a pap smear: a qualitative study.

    Science.gov (United States)

    Oshima, Sumiko; Maezawa, Masaji

    2013-01-01

    This study aimed to explore attitudes towards cervical cancer screening among Japanese university students who had never had a Pap smear. Four focus-group discussions, each with 15 female university students, took place in November and December 2009. Discussions were recorded and transcripts were analyzed to extract attitudes of young women towards cervical cancer screening. The four themes that emerged were: i) a low sense of reality about cervical cancer; ii) a lack of knowledge about both cervical cancer and Pap smears; iii) a lack of motivation to get screened, and iv) a reluctance to visit the gynecologist. Participants who were interested in undergoing screening for cervical cancer cited the influence of conversations with friends and family, a diagnosis of cancer within their family, and relevant information from the media. The results indicate the importance of getting young women more interested in cervical cancer screening and overcoming their tendency to avoid visiting a gynecologist.

  8. Predicting Human Papilloma Virus Vaccination and Pap Smear Screening Intentions Among Young Singaporean Women Using the Theory of Planned Behavior

    Directory of Open Access Journals (Sweden)

    Evangeline I. Chirayil

    2014-10-01

    Full Text Available We used the Theory of Planned Behavior (TPB to analyze the role of attitudes, subjective norms, and perceived behavioral control as predictors of intentions to obtain Human Papillomavirus (HPV vaccinations or a Papanicolaou (Pap smear in a sample of young Singaporean women. A further aim was to evaluate knowledge of cervical cancer and preventive measures as a possible additional predictor of intentions. A purpose-designed TPB and knowledge questionnaire was completed by 206 women aged 18 to 26 years living in Singapore. Descriptive analyses and structural equation modeling revealed subjective norm as the best predictor, while perceived behavioral control had moderate predictive power. Attitude and knowledge were not significant predictors of intentions. The findings suggest the importance of focusing on subjective norms, rather than factual knowledge, in educational and awareness campaigns that encourage HPV vaccination and Pap smear screening in Singapore.

  9. Factors associated with Pap smear screening among French women visiting a general practitioner in the Rhône-Alpes region.

    Science.gov (United States)

    Oussaid, N; Lutringer-Magnin, D; Barone, G; Haesebaert, J; Lasset, C

    2013-10-01

    To help prevent cervical cancer, three yearly opportunistic Pap smear screening is recommended in France for women aged 25-65 years. Pap smear screening coverage varies with age and socioeconomic level. The aim of this cross-sectional study was to identify factors associated with a low uptake of Pap smear screening among women with no limited access to healthcare. We analyzed data from women aged 25-65 living in the Rhône-Alpes region who completed a self-administered questionnaire given to them by general practitioners between June and August 2008. The questionnaire covered knowledge about cervical cancer and its prevention as well as the women's history of Pap smear screening and other health-related behaviors. The relationship between low uptake of Pap smear screening--defined as not having had the test within the past 3 years--and a range of possible contributing factors was investigated using logistic regression. Of 1186 women with an intact uterus who completed the questionnaire, 89.1% said they had had a Pap smear within the past 3 years. On multivariate analysis, the 10.9% who had not were significantly more likely to live alone (1.76 [1.13-2.74]), to have no children (2.17 [1.31-3.62]), to have never used contraception (5.35 [2.98-9.62]), to have less knowledge about Pap smear screening (3.40 [1.55-7.49]), and to be unvaccinated against hepatitis B (0.55 [0.35-0.87]). Despite high overall compliance with Pap smear screening recommendations among women who consulted general practitioners, several factors were significantly associated with a low uptake of the service. Considering these factors may help to refine messages aimed at cervical cancer prevention. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  10. Progression and regression of cervical pap test lesions in an urban AIDS clinic in the combined antiretroviral therapy era: a longitudinal, retrospective study.

    Science.gov (United States)

    Lofgren, Sarah M; Tadros, Talaat; Herring-Bailey, Gina; Birdsong, George; Mosunjac, Marina; Flowers, Lisa; Nguyen, Minh Ly

    2015-05-01

    Our objective was to evaluate the progression and regression of cervical dysplasia in human immunodeficiency virus (HIV)-positive women during the late antiretroviral era. Risk factors as well as outcomes after treatment of cancerous or precancerous lesions were examined. This is a longitudinal retrospective review of cervical Pap tests performed on HIV-infected women with an intact cervix between 2004 and 2011. Subjects needed over two Pap tests for at least 2 years of follow-up. Progression was defined as those who developed a squamous intraepithelial lesion (SIL), atypical glandular cells (AGC), had low-grade SIL (LSIL) followed by atypical squamous cells-cannot exclude high-grade SIL (ASC-H) or high-grade SIL (HSIL), or cancer. Regression was defined as an initial SIL with two or more subsequent normal Pap tests. Persistence was defined as having an SIL without progression or regression. High-risk human papillomavirus (HPV) testing started in 2006 on atypical squamous cells of undetermined significance (ASCUS) Pap tests. AGC at enrollment were excluded from progression analysis. Of 1,445 screened, 383 patients had over two Pap tests for a 2-year period. Of those, 309 had an intact cervix. The median age was 40 years and CD4+ cell count was 277 cells/mL. Four had AGC at enrollment. A quarter had persistently normal Pap tests, 64 (31%) regressed, and 50 (24%) progressed. Four developed cancer. The only risk factor associated with progression was CD4 count. In those with treated lesions, 24 (59%) had negative Pap tests at the end of follow-up. More studies are needed to evaluate follow-up strategies of LSIL patients, potentially combined with HPV testing. Guidelines for HIV-seropositive women who are in care, have improved CD4, and have persistently negative Pap tests could likely lengthen the follow-up interval.

  11. Self-reported history of Pap-smear in HIV-positive women in Northern Italy: a cross-sectional study

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    Ghinelli Florio

    2010-06-01

    Full Text Available Abstract Background The incidence of invasive cervical cancer in HIV-positive women is higher than in the general population. There is evidence that HIV-positive women do not participate sufficiently in cervical cancer screening in Italy, where cervical cancer is more than 10-fold higher in women with AIDS than in the general population. The aim of the present study was to evaluate the history of Pap-smear in HIV-positive women in Italy in recent years. We also examined the sociodemographic, clinical, and organizational factors associated with adherence to cervical cancer screening. Methods A cross-sectional study was conducted between July 2006 and June 2007 in Emilia-Romagna region (Northern Italy. All HIV-positive women who received a follow-up visit in one of the 10 regional infectivology units were invited to participate. History of Pap-smear, including abnormal smears and subsequent treatment, was investigated through a self-administered anonymous questionnaire. The association between lack of Pap-smear in the year preceding the interview and selected characteristics was assessed by means of odds ratios (OR and 95% confidence intervals adjusted for study centre and age. Results A total of 1,002 HIV-positive women were interviewed. Nine percent reported no history of Pap-smear, and 39% had no Pap-smear in the year prior to the date of questionnaire (last year. The lack of Pap-smear in the last year was significantly associated with age Three hundred five (34% women reported a previous abnormal Pap-smear, and of the 178 (58% referred for treatment, 97% complied. Conclusions In recent years the self-reported history of Pap-smear in HIV-positive women, in some public clinics in Italy, is higher than previously reported, but further efforts are required to make sure cervical cancer screening is accessible to all HIV-positive women.

  12. Encouraging Vietnamese-American women to obtain Pap tests through lay health worker outreach and media education.

    Science.gov (United States)

    Lam, Tram K; McPhee, Stephen J; Mock, Jeremiah; Wong, Ching; Doan, Hiep T; Nguyen, Thoa; Lai, Ky Q; Ha-Iaconis, Tuyet; Luong, Thien-Nhien

    2003-07-01

    Five times more Vietnamese-American women develop cervical cancer than white women. Few studies have examined whether community-based participatory research can effectively address Asian immigrants' health problems. This article reports the preliminary evaluation of 1 such project. A coalition of 11 organizations in Santa Clara County, California worked with university researchers to design and simultaneously implement a media education (ME) campaign and a lay health worker outreach (LHWO) program to increase Vietnamese-American women's cervical cancer awareness, knowledge, and screening. Two agencies each recruited 10 lay health workers (LHWs), who, in turn, each recruited 20 women who were then randomized into 2 groups: 10 to LHWO+ME (n = 200) and 10 to ME alone (n = 200). LHWs organized meetings with women to increase their knowledge and to motivate them to obtain Pap tests. Participants completed pre- and post-intervention questionnaires. At post-intervention, significantly more LHWO+ME women understood that human papillomavirus and smoking cause cervical cancer. The number of women who had obtained a Pap test increased significantly among women in both LHWO+ME and ME groups, but substantially more in the LHWO+ME group. Significantly more LHWO+ME women said they intended to have a Pap test. Media education campaigns can increase Vietnamese women's awareness of the importance of Pap tests, but lay health workers are more effective at encouraging women to actually obtain the tests. Lay health workers are effective because they use their cultural knowledge and social networks to create change. Researchers, community members, and community-based organizations can share expert knowledge and skills, and build one another's capacities.

  13. The Impact of the American College of Obstetricians and Gynecologists Guideline Changes in Pap Tests on Annual Chlamydia Test Rates.

    Science.gov (United States)

    Hsieh, Hsien-Lin; Huppert, Jill; Patel, Chirag G; Tao, Guoyu

    2017-10-01

    To assess impact of the 2009 American College of Obstetricians and Gynecologists (ACOG) Pap guideline changes on chlamydia testing rates among sexually active young women. The study included sexually active women aged 15-25 years enrolled in commercial health plans from 2005 to 2014. We identified sexually active women by diagnosis, procedure, and drug codes in inpatient, outpatient, and drug claims databases. We identified Pap tests and chlamydia tests among sexually active adolescents (15-20 years) and young adults (21-25 years) over time. Using piecewise regression models, we compared the change in chlamydia testing rates before and after 2009 ACOG guidelines. From 2005 to 2014, chlamydia testing rates in sexually active women increased from 23% to 37% among adolescents and from 24% to 43% among young adults. Although the overall increase in chlamydia testing was positive, the annual rate of change in chlamydia testing (slope) decreased significantly after the 2009 ACOG guideline change from 1.9% before to 1.0% after for adolescents (p test rates are increasing among sexually active women aged 15-25 years from 2005 to 2014, the slower growth in chlamydia testing rate after 2009 may relate to the change in the Pap testing guidelines. Our finding that more than half of sexually active women aged 15-25 years did not have chlamydia testing and that the rate of increased chlamydia testing slowed after 2009 suggests that interventions to improve chlamydia testing apart from combining with Pap testing are still needed. Published by Elsevier Inc.

  14. Estimation of Pap-test coverage in an area with an organised screening program: challenges for survey methods

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    Raggi Patrizio

    2006-03-01

    Full Text Available Abstract Background The cytological screening programme of Viterbo has completed the second round of invitations to the entire target population (age 25–64. From a public health perspective, it is important to know the Pap-test coverage rate and the use of opportunistic screening. The most commonly used study design is the survey, but the validity of self-reports and the assumptions made about non respondents are often questioned. Methods From the target population, 940 women were sampled, and responded to a telephone interview about Pap-test utilisation. The answers were compared with the screening program registry; comparing the dates of Pap-tests reported by both sources. Sensitivity analyses were performed for coverage over a 36-month period, according to various assumptions regarding non respondents. Results The response rate was 68%. The coverage over 36 months was 86.4% if we assume that non respondents had the same coverage as respondents, 66% if we assume they were not covered at all, and 74.6% if we adjust for screening compliance in the non respondents. The sensitivity and specificity of the question, "have you ever had a Pap test with the screening programme" were 84.5% and 82.2% respectively. The test dates reported in the interview tended to be more recent than those reported in the registry, but 68% were within 12 months of each other. Conclusion Surveys are useful tools to understand the effectiveness of a screening programme and women's self-report was sufficiently reliable in our setting, but the coverage estimates were strongly influenced by the assumptions we made regarding non respondents.

  15. A Peptide Derived from the HIV-1 gp120 Coreceptor-Binding Region Promotes Formation of PAP248-286 Amyloid Fibrils to Enhance HIV-1 Infection.

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    Jinquan Chen

    Full Text Available Semen is a major vehicle for HIV transmission. Prostatic acid phosphatase (PAP fragments, such as PAP248-286, in human semen can form amyloid fibrils to enhance HIV infection. Other endogenous or exogenous factors present during sexual intercourse have also been reported to promote the formation of seminal amyloid fibrils.Here, we demonstrated that a synthetic 15-residue peptide derived from the HIV-1 gp120 coreceptor-binding region, designated enhancing peptide 2 (EP2, can rapidly self-assemble into nanofibers. These EP2-derivated nanofibers promptly accelerated the formation of semen amyloid fibrils by PAP248-286, as shown by Thioflavin T (ThT and Congo red assays. The amyloid fibrils presented similar morphology, assessed via transmission electron microscopy (TEM, in the presence or absence of EP2. Circular dichroism (CD spectroscopy revealed that EP2 accelerates PAP248-286 amyloid fibril formation by promoting the structural transition of PAP248-286 from a random coil into a cross-β-sheet. Newly formed semen amyloid fibrils effectively enhanced HIV-1 infection in TZM-bl cells and U87 cells by promoting the binding of HIV-1 virions to target cells.Nanofibers composed of EP2 promote the formation of PAP248-286 amyloid fibrils and enhance HIV-1 infection.

  16. Timely reminder interventions to improve annual Papanicolaou (Pap) smear rates among HIV-infected women in an outpatient center of southern Nevada: a short report.

    Science.gov (United States)

    Ganta, Vimala; Moonie, Sheniz; Patel, Dina; Hunt, Aaron T; Richardson, Jan; Di John, David; Ezeanolue, Echezona E

    2017-09-01

    Current guidelines recommend annual Papanicolaou (Pap) smears for human immunodeficiency virus (HIV)-infected women for cervical cancer screening. Rates for such screening in Nevada are below the national rate. Our cohort includes 485 eligible HIV-infected adult women from an outpatient center in Southern Nevada of which only 12 women had obtained a Pap smear in the past year. An intervention was conducted from June 2015 to September 2015, in which reminders to schedule a Pap smear were sent to the remaining cohort of 473 women via sequential text messaging, followed by phone call attempts. Of all subjects, 94% contacted by text messages and 41% contacted by phone calls were successfully reached. There was an increase in the rate of completed Pap smears from 2.5% (12/485) at baseline to 11.8% (56/473) after interventions (p < 0.0001) in a period of three months. Out of the 68 Pap smear results, 20 (29.4%) were abnormal. Our intervention, utilizing methods of communication such as text messaging and phone calls, markedly increased the rate of completed Pap smear screening in our population.

  17. Knowledge and awareness of cervical cancer and screening among Malaysian women who have never had a Pap smear: a qualitative study.

    Science.gov (United States)

    Wong, L P; Wong, Y L; Low, W Y; Khoo, E M; Shuib, R

    2009-01-01

    Cervical cancer is one of the commonest cancers in women worldwide. Despite the existence of effective screening using Pap smear, the uptake of screening is poor. A qualitative study was undertaken using face-to-face in-depth interviews to investigate knowledge, attitudes and beliefs on cervical cancer screening of Malaysian women. In-depth interviews were conducted with 20 Malaysian women aged 21-56 years and who have never had a Pap smear test, with the aim to explore their knowledge and awareness of cervical cancer and its screening. A lack of knowledge on cervical cancer and the Pap smear test was found among the respondents. Many women did not have a clear understanding of the meaning of an abnormal cervical smear and the need for the early detection of cervical cancer. Many believe the purpose of the Pap smear test is to detect existing cervical cancer, leading to the belief that Pap smear screening is not required because the respondents had no symptoms. Despite considerable awareness of a link between cervical cancer and sexual activity, as well as the role of a sexually-transmitted infection, none of the respondents had heard of the human papillomavirus. The findings highlight the importance of emphasising accurate information about cervical cancer and the purpose of Pap smear screening when designing interventions aimed at improving cervical cancer screening for Malaysian women.

  18. The relationship between four health-related quality of life indicators and use of mammography and Pap test screening in US women

    Science.gov (United States)

    Gandhi, Pranav K.; Gentry, William M.; Kibert, Jeffery L.; Lee, Erica Y.; Jordan, Whitney; Bottorff, Michael B.; Huang, I-Chan

    2015-01-01

    Purpose Limited evidence is available to explain the role of four components of health-related quality of life (HRQoL) on breast and cervical cancer screening. The objective of this study was to determine the relationship between four HRQoL aspects and use of mammography and Pap test screening in US women. Methods Data were obtained from the 2012 Behavioral Risk Factor Surveillance System (BRFSS). The outcome variables were receiving mammogram Pap test test the role of four HRQoL aspects (general health status, physical HRQoL, mental HRQoL, and activity limitation) on the two screening variables, after adjusting for covariates. Statistical analysis accounted for the complex sampling design of the BRFSS and the a priori alpha error was set at p ≤ 0.05. Results Among respondents, approximately 74% and 78% of the women received mammography and Pap test, respectively. Three HRQoL aspects (general health status, physical HRQoL, and activity limitation) were significantly associated with mammography use (all p-valuesPap test (p-values≤0.05). All significant relationships demonstrated higher cancer screening rates among individuals with better HRQoL. Conclusions HRQoL is an important factor associated with use of mammography and Pap test. Future studies should explore the mechanisms associated with an individual's HRQoL and use HRQoL assessment as an avenue to influence adherence to use of mammography and Pap tests. PMID:25804316

  19. The relationship between four health-related quality-of-life indicators and use of mammography and Pap test screening in US women.

    Science.gov (United States)

    Gandhi, Pranav K; Gentry, William M; Kibert, Jeffery L; Lee, Erica Y; Jordan, Whitney; Bottorff, Michael B; Huang, I-Chan

    2015-09-01

    Limited evidence is available to explain the role of four components of health-related quality of life (HRQoL) on breast and cervical cancer screening. The objective of this study was to determine the relationship between four HRQoL aspects and use of mammography and Pap test screening in US women. Data were obtained from the 2012 Behavioral Risk Factor Surveillance System (BRFSS). The outcome variables were receiving mammogram Pap test test the role of four HRQoL aspects (general health status, physical HRQoL, mental HRQoL, and activity limitation) on the two screening variables, after adjusting for covariates. Statistical analysis accounted for the complex sampling design of the BRFSS, and the a priori alpha error was set at p ≤ 0.05. Among respondents, approximately 74 and 78 % of the women received mammography and Pap test, respectively. Three HRQoL aspects (general health status, physical HRQoL, and activity limitation) were significantly associated with mammography use (all p values Pap test (p values ≤ 0.05). All significant relationships demonstrated higher cancer screening rates among individuals with better HRQoL. HRQoL is an important factor associated with use of mammography and Pap test. Future studies should explore the mechanisms associated with an individual's HRQoL and use HRQoL assessment as an avenue to influence adherence to use of mammography and Pap tests.

  20. Diacyltransferase Activity and Chain Length Specificity of Mycobacterium tuberculosis PapA5 in the Synthesis of Alkyl β-Diol Lipids

    Energy Technology Data Exchange (ETDEWEB)

    Touchette, Megan H.; Bommineni, Gopal R.; Delle Bovi, Richard J.; Gadbery, John; Nicora, Carrie D.; Shukla, Anil K.; Kyle, Jennifer E.; Metz, Thomas O.; Martin, Dwight W.; Sampson, Nicole S.; Miller, W. T.; Tonge, Peter J.; Seeliger, Jessica C.

    2015-09-08

    Although classified as Gram-positive bacteria, Corynebacterineae possess an asymmetric outer membrane that imparts structural and thereby physiological similarity to more distantly related Gram-negative bacteria. Like lipopolysaccharide in Gram-negative bacteria, lipids in the outer membrane of Corynebacterineae have been associated with the virulence of pathogenic species such as Mycobacterium tuberculosis (Mtb). For example, Mtb strains that lack long, branched-chain alkyl esters known as dimycocerosates (DIMs) are significantly attenuated in model infections. The resultant interest in the biosynthetic pathway of these unusual virulence factors has led to the elucidation of many of the steps leading to the final esterification of the alkyl beta-diol, phthiocerol, with branched-chain fatty acids know as mycocerosates. PapA5 is an acyltransferase implicated in these final reactions. We here show that PapA5 is indeed the terminal enzyme in DIM biosynthesis by demonstrating its dual esterification activity and chain-length preference using synthetic alkyl beta-diol substrate analogues. Applying these analogues to a series of PapA5 mutants, we also revise a model for the substrate binding within PapA5. Finally, we demonstrate that the Mtb Ser/Thr kinase PknB modifies PapA5 on three Thr residues, including two (T196, T198) located on an unresolved loop. These results clarify the DIM biosynthetic pathway and suggest possible mechanisms by which DIM biosynthesis may be regulated by the post-translational modification of PapA5.

  1. Factors related to failure to attend the consultation to receive the results of the Pap smear test1

    Science.gov (United States)

    Vasconcelos, Camila Teixeira Moreira; Cunha, Denise de Fátima Fernandes; Coelho, Cássia Fernandes; Pinheiro, Ana Karina Bezerra; Sawada, Namie Okino

    2014-01-01

    Objective to identify the factors related to the failure of women to attend the follow-up consultation to receive the results of the Pap smear test. Method a cross-sectional study, carried out with 775 patients who underwent the Pap smear test in the Centro de Saúde da Família of Fortaleza, between September 2010 and February 2011. Results the majority of the women studied were young (≤35 years), had low levels of education (≤7 years of study), and commenced sexual activity early (≤20 years), with 17.0% of them failing to return to receive the test results. Statistically significant results for the failure to return were related to: young women (p=0.001); early onset of sexual activity (p=0.047); and inadequate knowledge about the Pap smear test (p=0.029). Conclusion the fact that the women failed to return for the result is a problem for the control of cervical cancer and must be addressed through educational strategies that reinforce the importance of the return for the early detection of this cancer. PMID:25029050

  2. Papéis, comportamentos, atividades e relações entre membros da família baiana

    Directory of Open Access Journals (Sweden)

    Elaine Pedreira Rabinovich

    2012-04-01

    Full Text Available Este estudo objetivou comparar os dados sobre papéis, comportamentos, atividades e relações entre os membros da família obtidos por Georgas, Berry, Vijver, Kagitçibasi e Poortinga (2006, com dados da família baiana. Para tanto, 170 universitários baianos responderam questionário com questões fechadas enfocando papéis, comportamentos, atividades e relações entre os seguintes membros da família: pai, mãe, avô, avó, tio/tia, menino e menina de 10 anos, moça e rapaz de 20 anos. Os dados foram analisados utilizando o programa Statistical Package for the Social Sciences (SPSS. Em conformidade com o estudo de referência, a mãe é a figura central nas famílias baianas e o pai compartilha o poder financeiro com ela, porém, as atividades domésticas de limpar, cozinhar e lavar ficam mais a cargo dos membros femininos. As avós sucedem aos pais na importância nos papéis familiares e há mais uma interdependência emocional do que econômica/funcional com relação à criança.

  3. Modified PAP method to detect heteroresistance to vancomycin among methicillin resistant Staphylococcus aureus isolates at a tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Iyer R

    2008-01-01

    Full Text Available This study was an attempt at developing, establishing, validating and comparing the modified PAP method for detection of hetero-vancomycin resistant Staphylococcus aureus (h-VRSA with the routine antimicrobial susceptibility testing (using the BSAC standardized disc diffusion method, minimum inhibitory concentrations of vancomycin using standard E-test methodology and the Hiramatsu′s screening method. A total of 50 methicillin resistant Staphylococcus aureus obtained from various clinical specimens, along with the Mu 3 and Mu 50 strains as controls, were studied. No VRSA isolates were obtained. However, four of the test strains were positive by the Hiramatsu′s screening method, of which only one isolate could be confirmed by the modified PAP analysis method. This isolate was a coloniser from the drain fluid of a liver transplant recipient. The sensitivity, specificity, positive predictive value and the overall efficiency of the Hiramatsu′s screening method with the modified PAP analysis as the gold standard were found to be 100, 93.8, 25 and 94%, respectively. It is very essential for clinical laboratories to screen for h-VRSA, given the increasing use of glycopeptide antibiotics in therapy and the potential for failed therapy in patients infected with these strains.

  4. Factors related to failure to attend the consultation to receive the results of the Pap smear test

    Directory of Open Access Journals (Sweden)

    Camila Teixeira Moreira Vasconcelos

    2014-06-01

    Full Text Available OBJECTIVE: to identify the factors related to the failure of women to attend the follow-up consultation to receive the results of the Pap smear test.METHOD: a cross-sectional study, carried out with 775 patients who underwent the Pap smear test in the Centro de Saúde da Família of Fortaleza, between September 2010 and February 2011.RESULTS: the majority of the women studied were young (≤35 years, had low levels of education (≤7 years of study, and commenced sexual activity early (≤20 years, with 17.0% of them failing to return to receive the test results. Statistically significant results for the failure to return were related to: young women (p=0.001; early onset of sexual activity (p=0.047; and inadequate knowledge about the Pap smear test (p=0.029. Conclusion the fact that the women failed to return for the result is a problem for the control of cervical cancer and must be addressed through educational strategies that reinforce the importance of the return for the early detection of this cancer.

  5. The Effect of Health Belief Model-Based Education through Telegram Instant Messaging Services on Pap smear performance

    Science.gov (United States)

    Khademolhosseini, Farzaneh; Noroozi, Azita; Tahmasebi, Rahim

    2017-08-27

    Background: Pap smear is an effective screening method for early detection of cervical cancer. This study aimed to investigate the effect of education based on Health Belief Model (HBM) through Telegram instant messaging services on the Pap smear test. Material and methods: This research was a quasi-experimental study which was performed on 106 eligible women (48 participants in the intervention group and 47 participants in the control group). The patients in both groups completed the written consent form and questionnaires at the beginning of the study. In intervention group, the educational content based on HBM was regularly sent via Telegram during one month. After education and three months later, both groups completed questionnaires. Then, the data was analyzed with using SPSS version 22. Results: The findings showed that the two groups at first were similar in demographic characteristics. In the intervention group, the mean difference of the scores before and immediate post training on the knowledge and all of the constructs were significant (Pbelief and behavior regarding Pap smear test. Creative Commons Attribution License

  6. The Effect of Education on Women's Practice Based on the Health Belief Model About Pap Smear Test.

    Science.gov (United States)

    Pirzadeh, Asiyeh; Mazaheri, Maryam Amidi

    2012-08-01

    Cervical cancer is the most common gynecological cancer in Iran. The single most effective tool in reducing death due to cervical cancer is the use of pap smear as a screening tool. Therefore, the aim of this study was to determine the effectiveness of education based on Health Belief Model about giving pap smear in women. This quasi-experimental study was performed on 70 women who referred to two health center in Kouhdasht (Lorestan- Iran). The samples were randomly divided in two groups (35 in intervention group and 35 in control group). The data were collected by a validated and reliable questionnaire. Interventions were run based on Health Belief Model during three sessions only for intervention group. Each educational session was for 45-60 min. The independent t-test and paired t-test were used to analyze data. A two-tailed P value lower than 0.05 was considered statistically significant. According to results, the mean scores of knowledge were significantly different between two groups after intervention (P model variables (perceived susceptibility and severity, perceived benefits, and barriers) had no significant difference in the two groups before intervention, but after intervention had significant difference between the two groups (P health education programs based on health belief model can promote the practice of women regarding to pap smear tests.

  7. Plain chest radiographic findings of smoke inhalation

    International Nuclear Information System (INIS)

    Lee, Shin Ho; Lee, Eil Weong; Kim, Hyun Suk; Park, Ju Youn; Kim, Soo Hyun; Hong, Sung Hwan; Park, Hong Suk; Lee, Kwan Seop; Kang Ik Won

    2000-01-01

    To evaluate the plain chest radiographic findings of smoke inhalation. Our study included 72 burn patients who had suffered smoke inhalation. On admission, all underwent serial portable chest AP radiography. We retrospectively reviewed the plain chest radiographs taken between admission and pootburn day five, evaluating the pattern, distribution, and time onset of direct injury to the respiratory system by smoke inhalation. The lesions were also assessed for change. In 16 of 72 patients (22%), abnormal findings of direct injury to the respiratory system by smoke inhalation were revealed by the radiographs. Abnormal findings were 15 pulmonary lesions and one subglottic tracheal narrowing. Findings of pulmonary lesions were multiple small patchy consolidations (10/15), peribronchial cuffing (8/15), and perivascular fuzziness (6/15). Patterns of pulmonary lesions were mixed alveolar and interstitial lesion (n=3D9), interstitial lesion (n=3D5), and alveolar lesion (n=3D1). No interlobular septal thickening was observed. Pulmonary edema was distributed predominantly in the upper lung zone and perihilar region, with asymmetricity. Its time of onset was within 24 hours in 13 cases, 24-48 hours in two cases, and 48-72 hours in one. Five of 16 patients progressed to ARDS. Chest radiographs showed that pulmonary lesions caused by inhalation injury were due to pulmonary edema, which the pattern of which was commonly mixed alveolar and interstitial. (author)

  8. The health beliefs of mothers about preventing cervical cancer and their intention to recommend the Pap test to their daughters: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Hae Won Kim

    2016-05-01

    Full Text Available Abstract Background Mothers have a primary role in the prevention of cervical cancer in Korea. This study aimed to determine the awareness and health beliefs of mothers about preventing cervical cancer in their daughters, their intention to recommend the Pap test to their daughters, and the factors influencing this intention. Methods A cross-sectional survey design was employed, and the study enrolled mothers (n = 1,581 of pubescent girls aged 13 to 18 years who were living nationwide in Korea. The six health-beliefs variables related to preventing cervical cancer in their daughters, awareness of the importance of cervical cancer prevention methods, and the intention to recommend the Pap test to daughters were investigated. The impacts of these health beliefs of the mothers and the sociodemographic factors influencing their intention to recommend the Pap test to their daughters were assessed using multiple logistic regression analysis. Results Almost one-quarter (23.7 % of the mothers had talked about the Pap test, 69.2 % were intending to recommend the Pap test to their daughters, and 38.5 % considered that the Pap test could be necessary if their daughters became sexually active. The significant health beliefs influencing the intention to recommend the Pap test were the perceived barriers [odds ratio (OR = 1.47, 95 % confidence interval (95 % CI = 1.03–2.11] and benefits (OR = 2.25, 95 % CI = 1.55–3.25. The significant sociodemographic factors of mothers were their education (OR = 1.52, 95 % CI = 1.08–2.13, their experience of talking about the Pap test with their daughters (OR = 2.11, 95 % CI = 1.23–3.64, their regularity of undergoing the Pap test themselves (OR = 1.98, 95 % CI = 1.30–3.03, and their age when they first underwent the Pap test (OR = 1.60, 95 % CI = 1.43–0.82. Conclusions The mothers perceived HPV vaccination as the most important of the five methods

  9. The health beliefs of mothers about preventing cervical cancer and their intention to recommend the Pap test to their daughters: a cross-sectional survey.

    Science.gov (United States)

    Kim, Hae Won

    2016-05-03

    Mothers have a primary role in the prevention of cervical cancer in Korea. This study aimed to determine the awareness and health beliefs of mothers about preventing cervical cancer in their daughters, their intention to recommend the Pap test to their daughters, and the factors influencing this intention. A cross-sectional survey design was employed, and the study enrolled mothers (n = 1,581) of pubescent girls aged 13 to 18 years who were living nationwide in Korea. The six health-beliefs variables related to preventing cervical cancer in their daughters, awareness of the importance of cervical cancer prevention methods, and the intention to recommend the Pap test to daughters were investigated. The impacts of these health beliefs of the mothers and the sociodemographic factors influencing their intention to recommend the Pap test to their daughters were assessed using multiple logistic regression analysis. Almost one-quarter (23.7 %) of the mothers had talked about the Pap test, 69.2 % were intending to recommend the Pap test to their daughters, and 38.5 % considered that the Pap test could be necessary if their daughters became sexually active. The significant health beliefs influencing the intention to recommend the Pap test were the perceived barriers [odds ratio (OR) = 1.47, 95 % confidence interval (95 % CI) = 1.03-2.11] and benefits (OR = 2.25, 95 % CI = 1.55-3.25). The significant sociodemographic factors of mothers were their education (OR = 1.52, 95 % CI = 1.08-2.13), their experience of talking about the Pap test with their daughters (OR = 2.11, 95 % CI = 1.23-3.64), their regularity of undergoing the Pap test themselves (OR = 1.98, 95 % CI = 1.30-3.03), and their age when they first underwent the Pap test (OR = 1.60, 95 % CI = 1.43-0.82). The mothers perceived HPV vaccination as the most important of the five methods for preventing cervical cancer in their daughters. Mothers perceived the

  10. Plastic spatula with narrow long tip provides higher satisfactory smears for Pap test

    Directory of Open Access Journals (Sweden)

    Pervinder Kaur

    2013-01-01

    Full Text Available Background: Ayre spatula for cervical smear collection is being used despite the suggestion that different modified spatulas provide more satisfactory sampling. Aims: To see whether the cytological pickup improves with the use of long tipped spatula. Setting and Design: Rurally based University Hospital; crossover study. Materials and Methods: Pap smear using Ayre spatula in 500 and with plastic narrow long tip (Szalay spatula in 500 clinic attending women was taken and analyzed. Crossover smears were taken with modified spatula in 163 and using Ayre spatula in 187 women after 2 weeks of initial smears. The same pathologist made cytological reporting for all smears and was unaware of the type of spatula used. Results: Smears from Ayre spatula had significantly higher reports of inadequate smears (94 of 500 vs. 68 of 500 for Ayre and Szalay, respectively; P = 0.032 and it remained so even after crossover (94 of 187 vs. 70 of 163 for Ayre and Szalay, respectively; P = 0.2. Cellular quality appeared better with smears taken using Szalay spatula, but the overall abnormal smear detection rate remained similar with either collection tool (χ2 = 1.5; P = 0.2. Conclusions: Proportion of satisfactory smears is higher when long tip plastic spatula is used for collection of sample.

  11. 18 CFR 801.8 - Flood plain management and protection.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Flood plain management... COMMISSION GENERAL POLICIES § 801.8 Flood plain management and protection. (a) Periodic inundation of lands along waterways has not discouraged development of flood hazards areas. Major floods cause loss of life...

  12. Dermatology nursing in the community: The Mitchell's Plain ...

    African Journals Online (AJOL)

    250 CME July 2013 Vol. 31 No. 7. Dermatology nursing in the community: The Mitchell's Plain experience. Dermatology is an important element of community nursing. J Stevens, RN, RM, CPN, PG Dip Derm Nursing. Clinical and Dermatology Nurse Practitioner, Mitchell's Plain Community Health Centre, Cape Town, South ...

  13. Analyzing the Various Approaches of Plain Language Laws.

    Science.gov (United States)

    Bowen, Betsy A., And Others

    1986-01-01

    Proposes a two-phase evaluation of the plain language laws that are designed to ensure that consumers can understand and use the personal business contracts they sign so that the best model for plain language legislation can be identified. (DF)

  14. Clinical and Plain Radiograph Pattern of Joint Dislocations and ...

    African Journals Online (AJOL)

    Plain radiograph is an integral part of early assessment of patients' evaluation, though newer imaging modalities such as magnetic resonance imaging (MRI), ... Conclusion: The shoulder joint is the most frequently dislocated and a conventional plain radiograph is still valuable as a first line investigative modality in ...

  15. Effect of an antepartum Pap smear on the coverage of a cervical cancer screening programme: a population-based prospective study

    Science.gov (United States)

    Nygård, Mari; Daltveit, Anne-Kjersti; Thoresen, Steinar Ø; Nygård, Jan F

    2007-01-01

    Background Almost one-third of Norwegian women aged 25–69 years invited to have a Pap smear do not attend during the recommended period, and thus constitute a population with high-risk of cervical cancer (CC). Since the incidence of precancerous lesions of the cervix peak with occurrence of pregnancies within the same decade in women aged 25 to 35 years of age, antepartum care presents an opportunity to offer a Pap smear thereby increasing the coverage of the programme. The study objective was to describe the effect of the antepartum Pap smear on the coverage of a cytological CC screening programme. Methods Among 2 175 762 women resident in Norway in 31.12.1996, all women who gave birth in 1996–7 were identified from the Medical Birth Registry of Norway. Attendance to the cervical cancer screening was assessed by linkage to the Cytology Registry separately for the pregnant and non-pregnant women cohorts. The results were stratified by age, history of previous Pap smear and history of invitation to the CC screening programme. Logistic regression was used to estimate the relative probabilities of having a Pap smear adjusted for age, screening history, and time since invitation, for pregnant and non-pregnant women, respectively. Results 69% of the pregnant women had a Pap smear during one year of follow-up since beginning of the pregnancy with the majority taken during the antepartum period. Irrespectively of age or history of having a Pap smear, pregnant women were 4.3 times more likely to have a Pap smear during follow-up compared to non-pregnant women. 63.2% of the pregnant women had a smear as response to the invitation letter compared to 28.7% of the non-pregnant women, OR = 2.1 (95% CI 1.9 to 2.4). As an indication of "over-screening", 5397 pregnant women (57.8%) with a smear shortly before the start of follow-up also had a new Papsmear, compared to 83 023 (32.3%) in non-pregnant. Conclusion Pap smear screening during pregnancy increases the coverage of the

  16. Self-reported history of Pap-smear in HIV-positive women in Northern Italy: a cross-sectional study.

    Science.gov (United States)

    Dal Maso, Luigino; Franceschi, Silvia; Lise, Mauro; De' Bianchi, Priscilla Sassoli; Polesel, Jerry; Ghinelli, Florio; Falcini, Fabio; Finarelli, Alba C

    2010-06-21

    The incidence of invasive cervical cancer in HIV-positive women is higher than in the general population. There is evidence that HIV-positive women do not participate sufficiently in cervical cancer screening in Italy, where cervical cancer is more than 10-fold higher in women with AIDS than in the general population. The aim of the present study was to evaluate the history of Pap-smear in HIV-positive women in Italy in recent years. We also examined the sociodemographic, clinical, and organizational factors associated with adherence to cervical cancer screening. A cross-sectional study was conducted between July 2006 and June 2007 in Emilia-Romagna region (Northern Italy). All HIV-positive women who received a follow-up visit in one of the 10 regional infectivology units were invited to participate. History of Pap-smear, including abnormal smears and subsequent treatment, was investigated through a self-administered anonymous questionnaire. The association between lack of Pap-smear in the year preceding the interview and selected characteristics was assessed by means of odds ratios (OR) and 95% confidence intervals adjusted for study centre and age. A total of 1,002 HIV-positive women were interviewed. Nine percent reported no history of Pap-smear, and 39% had no Pap-smear in the year prior to the date of questionnaire (last year). The lack of Pap-smear in the last year was significantly associated with age or =45 years), lower education level (OR = 1.3), first HIV-positive test in the last 2 years (OR = 1.4), and CD4 count Pap-smear in the last year were found in women born in Central-Eastern Europe (OR = 1.8) and Africa (OR = 1.3). No difference in history of Pap-smear emerged by mode of HIV-acquisition or AIDS status.Three hundred five (34%) women reported a previous abnormal Pap-smear, and of the 178 (58%) referred for treatment, 97% complied. In recent years the self-reported history of Pap-smear in HIV-positive women, in some public clinics in Italy, is

  17. Effect of an antepartum Pap smear on the coverage of a cervical cancer screening programme: a population-based prospective study

    Directory of Open Access Journals (Sweden)

    Thoresen Steinar Ø

    2007-01-01

    Full Text Available Abstract Background Almost one-third of Norwegian women aged 25–69 years invited to have a Pap smear do not attend during the recommended period, and thus constitute a population with high-risk of cervical cancer (CC. Since the incidence of precancerous lesions of the cervix peak with occurrence of pregnancies within the same decade in women aged 25 to 35 years of age, antepartum care presents an opportunity to offer a Pap smear thereby increasing the coverage of the programme. The study objective was to describe the effect of the antepartum Pap smear on the coverage of a cytological CC screening programme. Methods Among 2 175 762 women resident in Norway in 31.12.1996, all women who gave birth in 1996–7 were identified from the Medical Birth Registry of Norway. Attendance to the cervical cancer screening was assessed by linkage to the Cytology Registry separately for the pregnant and non-pregnant women cohorts. The results were stratified by age, history of previous Pap smear and history of invitation to the CC screening programme. Logistic regression was used to estimate the relative probabilities of having a Pap smear adjusted for age, screening history, and time since invitation, for pregnant and non-pregnant women, respectively. Results 69% of the pregnant women had a Pap smear during one year of follow-up since beginning of the pregnancy with the majority taken during the antepartum period. Irrespectively of age or history of having a Pap smear, pregnant women were 4.3 times more likely to have a Pap smear during follow-up compared to non-pregnant women. 63.2% of the pregnant women had a smear as response to the invitation letter compared to 28.7% of the non-pregnant women, OR = 2.1 (95% CI 1.9 to 2.4. As an indication of "over-screening", 5397 pregnant women (57.8% with a smear shortly before the start of follow-up also had a new Papsmear, compared to 83 023 (32.3% in non-pregnant. Conclusion Pap smear screening during pregnancy

  18. Five-year risks of CIN 3+ and cervical cancer among women who test Pap-negative but are HPV-positive.

    Science.gov (United States)

    Katki, Hormuzd A; Schiffman, Mark; Castle, Philip E; Fetterman, Barbara; Poitras, Nancy E; Lorey, Thomas; Cheung, Li C; Raine-Bennett, Tina; Gage, Julia C; Kinney, Walter K

    2013-04-01

    Current US guidelines for cotesting recommend that the large numbers of women who test Pap-negative, but human papillomavirus (HPV)-positive, return in 1 year, and those who remain HPV-positive or have low-grade squamous intraepithelial lesion (LSIL) or worse Pap results be referred for colposcopy. However, the performance of these guidelines in routine clinical practice has not been evaluated. We estimated cumulative 5-year risks of cervical intraepithelial neoplasia grade 3 or worse (CIN 3+) among 32,374 women aged 30 to 64 years with HPV-positive/Pap-negative cotest results at Kaiser Permanente Northern California during 2003 to 2010. The 5-year CIN 3+ risk after an HPV-positive/Pap-negative cotest result, which was found in 3.6% of women, was 4.5% (95% confidence interval [CI] = 4.2%-4.8%). The 5-year cancer risk was 0.34% (95% CI = 0.26%-0.45%), and half of the cases were adenocarcinoma. Overall, 48% of the women remained HPV-positive on return (median = 418 days after baseline), a percentage that varied little over ages 30 to 64 years. At the return after a baseline HPV-positive/Pap-negative result, almost every repeat cotest result predicted greater subsequent 5-year CIN 3+ risk than the same cotest result had at baseline (HPV-positive/LSIL, 9.2% vs 6.1%, p = .01; HPV-positive/atypical squamous cells of undetermined significance [ASC-US], 7.9% vs 6.8%, p = .2; HPV-positive/Pap-negative, 7.4% vs 4.5%, p Pap-negative, 0.93% vs 0.08%, p testing HPV-positive/Pap-negative had a subsequent CIN 3+ risk consistent with risk thresholds for a 1-year return. However, on returning in approximately 1 year, about one-half of women will be referred for colposcopy because of continued HPV positivity or Pap abnormality. Clinicians should keep in mind that cotest results at the return after a baseline HPV-positive/Pap-negative finding are riskier than the same baseline cotest results in the general population, supporting intensified clinical management at return testing.

  19. Impact of {Os(pap)2} in fine-tuning the binding modes and non-innocent potential of deprotonated 2,2'-bipyridine-3,3'-diol.

    Science.gov (United States)

    Ghosh, Prabir; Lahiri, Goutam Kumar

    2016-03-28

    The reaction of ctc-Os(II)(pap)2Cl2 (pap = 2-phenylazopyridine, ctc = cis-trans-cis with respect to chlorides and pyridine/azo nitrogens of pap, respectively) and ambidentate 2,2'-bipyridine-3,3'-diol (H2L) leads to the simultaneous formation of isomeric [Os(II)(pap)2(HL(-))](+) ((2+)/(3+)), seven-membered chelate containing Os(II)(pap)2(L(2-)) (4) and diastereomeric [{Os(II)(pap)2}2(μ-L(2-))](2+) (5a(2+) (meso, ΔΛ)/5b(2+) (rac, ΔΔ/ΛΛ)). The reaction of 2,2'-biphenol (H2L') and ctc-Os(II)(pap)2Cl2 yields Os(II)(pap)2(L'(2-)) (6), an analogue of 4. The identities of the newly designed complexes have been established by different analytical, spectroscopic and X-ray diffraction techniques. (1)H-NMR spectra of the complexes and single crystal X-ray structures of selective derivatives [2]ClO4, [3]ClO4, [5a](ClO4)2, and 6 establish the retention of the tc-configuration of the precursor {Os(pap)2}. In isomeric 2(+) and 3(+), monodeprotonated HL(-) is linked to the {Os(II)(pap)2} fragment through N,N and N,O(-) donors, resulting in nearly planar five- and six-membered chelates with O-HO(-) and O-HN hydrogen bonds at its back face, respectively. The O(-),O(-) donating L'(2-) extends a severely twisted seven-membered chelate with the {Os(pap)2} unit in 6. The N,O(-)/O(-),N donors of deprotonated L(2-) bridge the two {Os(II)(pap)2} units in a symmetric fashion in 5a(2+), forming two moderately twisted six-membered chelates. Though the deprotonation of the O-HN hydrogen bond in (+) by another unit of {Os(II)(pap)2} generates a diastereomeric mixture of 5a(2+) and 5b(2+), attempts to deprotonate the relatively stronger O-H···O(-) hydrogen bond in 2(+) have failed. The isomeric 2(+)/3(+), seven-membered chelate containing 4/6 and diastereomeric 5a(2+)/5b(2+) exhibit distinctive (1)H-NMR and absorption spectra as well as electrochemical responses. The pap (N[double bond, length as m-dash]N) based two successive reductions and the participation of HL(-), L(2-), L'(2-) in

  20. A Shandon PapSpin liquid-based gynecological test: A split-sample and direct-to-vial test with histology follow-up study

    Directory of Open Access Journals (Sweden)

    Rimiene J

    2010-01-01

    Full Text Available Background: Studies for liquid-based Papanicolaou (Pap tests reveal that liquid-based cytology (LBC is a safe and effective alternative to the conventional Pap smear. Although there is research on ThinPrep and SurePath systems, information is lacking to evaluate the efficiency and effectiveness of systems based on cytocentrifugation. This study is designed to determine the sensitivity and specificity of the Shandon PapSpin (ThermoShandon, Pittsburgh, Pennsylvania, USA liquid-based gynecological system. We used split-sample and direct-to-vial study design. Materials and Methods: 2,945 women referred to prophylactic check-up were enrolled in this study. Split sample design was used in 1,500 women and residual cervical cytology specimen from all these cases was placed in fluid for PapSpin preparation after performing conventional smear. The direct-to-vial study was carried out in another cohort of 1,445 women in whom the entire cervical material was investigated using only the PapSpin technique. Follow up histological diagnoses for 141 women were obtained from both study arms following 189 abnormal cytology cases. 80 LBC cases from the split sample group and 61 LBC cases in the direct-to-vial group were correlated with the histology results. The sensitivity and secificity of the conventional smear and PapSpin tests in both study arms were compared. Results: In the split sample group, conventional smears showed a higher proportion of ASC-US (atypical cells undetermined significance: 31 (2.1% vs 10 (0.7% in PapSpin (P = 0.001. A higher proportion of unsatisfactory samples was found in the conventional smear group: 25 (1.7% vs 6 (0.4% cases (P = 0.001. In the split sample group, the sensitivity of the conventional and PapSpin tests was 68.7% vs 78.1%, and the specificity 93.8% vs 91.8%, respectively. In the direct to vial group PapSpin sensitivity was 75.9% and specificity 96.5%. The differences in sensitivity and specificity were not significant. The

  1. Two depositional models for Pliocene coastal plain fluvial systems, Goliad Formation, south Texas Gulf Coastal plain

    International Nuclear Information System (INIS)

    Hoel, H.D.; Galloway, W.E.

    1983-01-01

    The Goliad Formation consists of four depositional systems-the Realitos and Mathis bed-load fluvial systems in the southwest and the Cuero and Eagle Lake mixed-load fluvial systems in the northeast. Five facies are recognized in the Realitos and Mathis bed-load fluvial systems: (1) primary channel-fill facies, (2) chaotic flood channel-fill facies, (3) complex splay facies, (4) flood plain facies, and (5) playa facies. A model for Realitos-Mathis depositional environments shows arid-climate braided stream complexes with extremely coarse sediment load, highly variable discharge, and marked channel instability. Broad, shallow, straight to slightly sinuous primary channels were flanked by wide flood channels. Flood channels passed laterally into broad, low-relief flood plains. Small playas occupied topographic lows near large channel axes. Three facies are recognized in the Cuero and Eagle Lake mixed-load fluvial systems: (1) channel-fill facies, (2) crevasse splay facies, and (3) flood plain facies. A model for Cuero-Eagle Lake depositional environments shows coarse-grained meander belts in a semi-arid climate. Slightly to moderately sinuous meandering streams were flanked by low, poorly developed natural levees. Crevasse splays were common, but tended to be broad and ill-defined. Extensive, low-relief flood plains occupied interaxial areas. The model proposed for the Realitos and Mathis fluvial systems may aid in recognition of analogous ancient depositional systems. In addition, since facies characteristics exercise broad controls on Goliad uranium mineralization, the proposed depositional models aid in defining target zones for Goliad uranium exploration

  2. Knowledge, attitude and practice of the pap smear as a screening procedure among nurses in a tertiary hospital in north eastern India.

    Science.gov (United States)

    Thippeveeranna, Chamaraja; Mohan, Surekha Sadhana; Singh, Laiphrakpam Ranjit; Singh, Naorem Nabakishore

    2013-01-01

    Cancer of the uterine cervix is one of the most common cancers among women worldwide. Industrialized countries have dramatically reduced the incidence of mortality from cervical carcinoma in the last 50 years through aggressive screening programs utilizing pelvic examinations and Papanicolaou (Pap) smears but it still remains a major problem in the developing world. This study was performed to determine knowledge, attitude and practice of Pap smear as a screening procedure among nurses in a tertiary hospital in north eastern India. This cross sectional study was carried out with a questionnaire survey covering the socio demographic factors, knowledge, attitude and practices about Pap smear screening among 224 nurses in Regional Institute of Medical Sciences, Imphal, Manipur, India during December 2011. Two hundred and twenty one participants (98.6%) had heard about cervical carcinoma but 18.3% lacked adequate knowledge regarding risk factors. Knowledge about the Pap smear was adequate in 88.8% of the respondents. Out of these, only 11.6% had Pap smear at least once previously. The most common reasons for non-participation in screening were lack of any symptoms (58.4%), lack of counselling (42.8%), physician does not request (29.9%) and fear of vaginal examination (20.5%). Although knowledge of Pap smear as a screening procedure for cervical cancer is high, practice is still low. The nurses who should be responsible for opportunistic screening of women they care for are not keen on getting screened themselves. If we can improve the practice of Pap smear screening in such experts, they should be able to readily provide appropriate and accurate information and motivate the general population to join screening programs.

  3. The frequency of having pap-smear tests among women between 15-64 years old and the evaluation of the level of their knowledge

    International Nuclear Information System (INIS)

    Sevil, S.; Kevser, O.; Aleattin, U.

    2013-01-01

    Objective: To determine the frequency of Pap smear testing among women and to evaluate their level of knowledge about the test and other relevant factors. Methods: The study comprised women who presented to the Gynaecology and Obstetrics Polyclinic of Sakarya Training and Research Hospital, Turkey, between April 1 and 30, 2012. The questionnaire was developed in line with the objectives of the study. They were filled by the participants who were supervised during the process. Women who had had at least one Pap smear test in life were considered to have taken a Pap smear test , and those who had heard of the test were accepted as women who k new of the Pap smear test . Data was analysed using SPSS 15.0. Chi-square test was used for analyses, and statistical significance was set at p<0.05. Results: The age of 601 subjects ranged between 15 and 64 years, with a mean of 31.09+-10.49 years. Of the total, 115 (19.1%) had taken a Pap smear test before and 293 (48.8%) knew of the test. The proportion of the women who had had a Pap smear test was higher among those who were over 30 years of age (n=73; 63.47%), had post-high school educational degrees (n=68; 59.13%), had moderate familial income status (n=74; 64.34%), were married (n=109; 94.78%), had first sexual experience after 25 years of age(n=42; 36.52%), and were not using a contraceptive method (n=97; 84.34%) (p<0.05 for each). Besides, more women with previous knowledge of the test had taken the test (p<0.05). Conclusion: The subjects did not have sufficient information on Pap smear and the frequency of having a test was low. Raising awareness would prove beneficial. (author)

  4. Secretion of biologically active pancreatitis-associated protein I (PAP) by genetically modified dairy Lactococcus lactis NZ9000 in the prevention of intestinal mucositis.

    Science.gov (United States)

    Carvalho, Rodrigo D; Breyner, Natalia; Menezes-Garcia, Zelia; Rodrigues, Nubia M; Lemos, Luisa; Maioli, Tatiane U; da Gloria Souza, Danielle; Carmona, Denise; de Faria, Ana M C; Langella, Philippe; Chatel, Jean-Marc; Bermúdez-Humarán, Luis G; Figueiredo, Henrique C P; Azevedo, Vasco; de Azevedo, Marcela S

    2017-02-13

    Mucositis is one of the most relevant gastrointestinal inflammatory conditions in humans, generated by the use of chemotherapy drugs, such as 5-fluoracil (5-FU). 5-FU-induced mucositis affects 80% of patients undergoing oncological treatment causing mucosal gut dysfunctions and great discomfort. As current therapy drugs presents limitations in alleviating mucositis symptoms, alternative strategies are being pursued. Recent studies have shown that the antimicrobial pancreatitis-associated protein (PAP) has a protective role in intestinal inflammatory processes. Indeed, it was demonstrated that a recombinant strain of Lactococcus lactis expressing human PAP (LL-PAP) could prevent and improve murine DNBS-induced colitis, an inflammatory bowel disease (IBD) that causes severe inflammation of the colon. Hence, in this study we sought to evaluate the protective effects of LL-PAP on 5-FU-induced experimental mucositis in BALB/c mice as a novel approach to treat the disease. Our results show that non-recombinant L. lactis NZ9000 have antagonistic activity, in vitro, against the enteroinvasive gastrointestinal pathogen L. monocytogenes and confirmed PAP inhibitory effect against Opportunistic E. faecalis. Moreover, L. lactis was able to prevent histological damage, reduce neutrophil and eosinophil infiltration and secretory Immunoglobulin-A in mice injected with 5-FU. Recombinant lactococci carrying antimicrobial PAP did not improve those markers of inflammation, although its expression was associated with villous architecture preservation and increased secretory granules density inside Paneth cells in response to 5-FU inflammation. We have demonstrated for the first time that L. lactis NZ9000 by itself, is able to prevent 5-FU-induced intestinal inflammation in BALB/c mice. Moreover, PAP delivered by recombinant L. lactis strain showed additional protective effects in mice epithelium, revealing to be a promising strategy to treat intestinal mucositis.

  5. Knowledge of cervical cancer, attitude and husband’s support of Pap smear among multiparous women which have Pap’s smear examination in Aviati clinic Padang Bulan Medan

    Science.gov (United States)

    Feriyawati, L.; Anggraini, D. R.; Fitrie, A. A.; Anggreini, R. N.

    2018-03-01

    Cervical cancer is a serious health problem and stated as the second cause of death of woman worldwide. Several studies have noted a higher incidence of cervical cancer with increasing parity. Early detection with Pap smear is proven to reduce mortality of patients. Knowledge, attitude and husband’s support contributed to theled womanto follow Pap smear examination. This study explores the knowledge of cervical cancer, attitude and husband’ s support of Pap smearin multiparous women that have Pap smear examination. This research is a quantitative study with cross sectional approach recruited 50 respondents as multiparous women that have Pap smear examination inAviati Clinic, Padang Bulan, Medan. The data were collected by self-reports using structured objectives by questionnaires. The result of this study showed that 66% respondents have high knowledge of cervical cancer and 76% respondents have ahigh attitude of Pap smear, but they almost have low husband’s support of Pap smear including information support (62%), emotional support (46%) and real support (50%). This study has revealed that multiparous women that had Pap smear examination generally had high knowledge about cervical cancer and positive attitude about Pap smear, even most of them had low husband’s support.

  6. Potential application of electronic nose in processed animal proteins (PAP detection in feedstuffs

    Directory of Open Access Journals (Sweden)

    Dell'Orto V.

    2004-01-01

    Full Text Available Electronic nose and olfactometry techniques represent a modern analytical approach in food industry since they could potentially improve quality and safety of food processing. The aim of this study was to evaluate possible application of electronic nose in PA P detection and recognition in feed. For this purpose 6 reference feedstuffs (CRA-W / UE STRAT F E E D Project were used. The basis of the test samples was a compound feed for bovine fortified with processed animal proteins ( PAP consisting of meat and bone meal (MBM and/or fish meal at different concentrations. Each feed sample was tested in glass vials and the odour profile was determined by the ten MOS (metal oxide semi-conductor sensors of the electronic nose. Ten different descriptors, representing each ten sensors of electronic nose, were used to characterise the odour of each sample. In the present study, electronic nose was able to discriminate the blank sample from all other samples containing PA P ( M B M , fish meal or both. Samples containing either 0.5% of MBM or 5% of fish meal were identified, while samples containing a high fish meal content (5% associated with a low MBM content (0.5% were not discriminated from samples containing solely fish meal at that same high level (5%. This latter indicates that probably the high fish meal level, in samples containing both MBM and fish meal, tended to mask MBM odour. It was also evident that two odour descriptors were enough to explain 72.12% of total variability in odour pattern. In view of these results, it could be suggested that electronic nose and olfactometry techniques can provide an interesting approach for screening raw materials in feed industry, even though further studies using a wider set of samples are needed.

  7. [Sexual risk behaviours and PAP testing in university women vaccinated against human papillomavirus].

    Science.gov (United States)

    Fernández-Feito, Ana; Antón-Fernández, Raquel; Paz-Zulueta, María

    2017-08-31

    To estimate the association between the human papillomavirus (HPV) vaccine and sexual risk behaviour, as well as the participation in the Cervical Cancer Screening Program (CCSP). Cross-sectional study. School of Medicine and Health Sciences, School of Law, and School of Economics and Business (University of Oviedo). Female university students. Information was collected about contraceptive methods, sexual behaviours, HPV knowledge, and participation in the CCSP. Furthermore, proportions and odds ratio (OR) were estimated with their corresponding 95% confidence intervals (95%CI). Approximately two-thirds (67.7%) of the sample was vaccinated against HPV, and 216 women (65.3%) were sexually active. Barrier contraceptive methods were used by 67.6% during their current intimate relationships, being less frequent in non-vaccinated women (54.9% vs. 75.4% in vaccinated female students) (P=.002). The risk of having at least one sexual risk behaviour was higher in non-vaccinated women: OR2.29 (95%CI: 1.29-4.07). In addition, the probability of having a PAP test within the CCSP was higher in non-vaccinated women: OR2.18 (95%CI: 1.07-4.47). The prevalence of sexual risk behaviours in non-vaccinated women is elevated, and it is related to the lack of use of barrier contraceptive methods. The vaccination against HPV could affect sexual behaviours and the participation in the CCSP. Therefore, the information received by young people about contraceptive methods, sexually transmitted diseases, and cancer prevention should be reinforced. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  8. An End-to-End DNA Taxonomy Methodology for Benthic Biodiversity Survey in the Clarion-Clipperton Zone, Central Pacific Abyss

    Directory of Open Access Journals (Sweden)

    Adrian G. Glover

    2015-12-01

    Full Text Available Recent years have seen increased survey and sampling expeditions to the Clarion-Clipperton Zone (CCZ, central Pacific Ocean abyss, driven by commercial interests from contractors in the potential extraction of polymetallic nodules in the region. Part of the International Seabed Authority (ISA regulatory requirements are that these contractors undertake environmental research expeditions to their CCZ exploration claims following guidelines approved by the ISA Legal and Technical Commission (ISA, 2010. Section 9 (e of these guidelines instructs contractors to “…collect data on the sea floor communities specifically relating to megafauna, macrofauna, meiofauna, microfauna, nodule fauna and demersal scavengers”. There are a number of methodological challenges to this, including the water depth (4000–5000 m, extremely warm surface waters (~28 °C compared to bottom water (~1.5 °C and great distances to ports requiring a large and long seagoing expedition with only a limited number of scientists. Both scientists and regulators have recently realized that a major gap in our knowledge of the region is the fundamental taxonomy of the animals that live there; this is essential to inform our knowledge of the biogeography, natural history and ultimately our stewardship of the region. Recognising this, the ISA is currently sponsoring a series of taxonomic workshops on the CCZ fauna and to assist in this process we present here a series of methodological pipelines for DNA taxonomy (incorporating both molecular and morphological data of the macrofauna and megafauna from the CCZ benthic habitat in the recent ABYSSLINE cruise program to the UK-1 exploration claim. A major problem on recent CCZ cruises has been the collection of high-quality samples suitable for both morphology and DNA taxonomy, coupled with a workflow that ensures these data are made available. The DNA sequencing techniques themselves are relatively standard, once good samples have been

  9. Chemical weathering outputs from the flood plain of the Ganga

    Science.gov (United States)

    Bickle, Michael J.; Chapman, Hazel J.; Tipper, Edward; Galy, Albert; De La Rocha, Christina L.; Ahmad, Talat

    2018-03-01

    Transport of sediment across riverine flood plains contributes a significant but poorly constrained fraction of the total chemical weathering fluxes from rapidly eroding mountain belts which has important implications for chemical fluxes to the oceans and the impact of orogens on long term climate. We report water and bedload chemical analyses from the Ganges flood-plain, a major transit reservoir of sediment from the Himalayan orogen. Our data comprise six major southern tributaries to the Ganga, 31 additional analyses of major rivers from the Himalayan front in Nepal, 79 samples of the Ganga collected close to the mouth below the Farakka barrage every two weeks over three years and 67 water and 8 bedload samples from tributaries confined to the Ganga flood plain. The flood plain tributaries are characterised by a shallow δ18O - δD array, compared to the meteoric water line, with a low δDexcess from evaporative loss from the flood plain which is mirrored in the higher δDexcess of the mountain rivers in Nepal. The stable-isotope data confirms that the waters in the flood plain tributaries are dominantly derived from flood plain rainfall and not by redistribution of waters from the mountains. The flood plain tributaries are chemically distinct from the major Himalayan rivers. They can be divided into two groups. Tributaries from a small area around the Kosi river have 87Sr/86Sr ratios >0.75 and molar Na/Ca ratios as high as 6. Tributaries from the rest of the flood plain have 87Sr/86Sr ratios ≤0.74 and most have Na/Ca ratios caused by dissolution of Na carbonate salts. The compositions of the carbonate and silicate components of the sediments were determined from sequential leaches of floodplain bedloads and these were used to partition the dissolved cation load between silicate and carbonate sources. The 87Sr/86Sr and Sr/Ca ratios of the carbonate inputs were derived from the acetic-acid leach compositions and silicate Na/Ca and 87Sr/86Sr ratios derived from

  10. Plain packaging of cigarettes: do we have sufficient evidence?

    Science.gov (United States)

    Smith, Collin N; Kraemer, John D; Johnson, Andrea C; Mays, Darren

    2015-01-01

    Tobacco industry marketing is a primary factor influencing cigarette smoking behavior and the cigarette pack has become an important marketing vehicle for tobacco companies. Standardized "plain" cigarette packaging is advocated as a public health policy to prevent and reduce morbidity and mortality caused by smoking by reducing youth smoking initiation and promoting cessation among smokers. Plain packaging was implemented in Australia in December 2012, and several other countries are considering doing so, but each faces foreseeable legal resistance from opponents to such measures. Tobacco companies have challenged these public health policies, citing international trade agreements and intellectual property laws. Decision-making in these court cases will hinge in part on whether the evidence indicates the public health benefits of plain packaging outweigh any potential harm to tobacco manufacturers' interests. We reviewed the available evidence in support of plain packaging, finding evidence from observational, experimental, and population-based studies. Results indicate that plain packaging can reduce positive perceptions of smoking and dissuade tobacco use. Governments deciding to implement plain cigarette packaging measures can rely on this evidence to help make a strong case that plain packaging plays an important role in the context of comprehensive smoking prevention efforts.

  11. Tobacco plain packaging: Evidence based policy or public health advocacy?

    Science.gov (United States)

    McKeganey, Neil; Russell, Christopher

    2015-06-01

    In December 2012, Australia became the first country to require all tobacco products be sold solely in standardised or 'plain' packaging, bereft of the manufacturers' trademarked branding and colours, although retaining large graphic and text health warnings. Following the publication of Sir Cyril Chantler's review of the evidence on the effects of plain tobacco packaging, the Ministers of the United Kingdom Parliament voted in March 2015 to implement similar legislation. Support for plain packaging derives from the belief that tobacco products sold in plain packs have reduced appeal and so are more likely to deter young people and non-smokers from starting tobacco use, and more likely to motivate smokers to quit and stay quit. This article considers why support for the plain packaging policy has grown among tobacco control researchers, public health advocates and government ministers, and reviews Australian survey data that speak to the possible introductory effect of plain packaging on smoking prevalence within Australia. The article concludes by emphasising the need for more detailed research to be undertaken before judging the capacity of the plain packaging policy to deliver the multitude of positive effects that have been claimed by its most ardent supporters. Copyright © 2015 Elsevier B.V. All rights reserved.

  12. IMPLEMENTASI HASIL PAP SMEARS PADA PENGEMBANGAN SURVEILANS TERPADU INFEKSI MENULAR SEKSUAL DI JAWA TIMUR (ANALISIS UNTUK MENGEMBANGKAN SURVEILANS-RESPONS IMS

    Directory of Open Access Journals (Sweden)

    Widjiartini Widjiartini

    2012-12-01

    Full Text Available Background: The implementation analysis of Pap Smears result to the integrated Surveillance development of sexual infection in order to respond the IMS and HIV/AIDS cases which increased especially among the housewife and its aim to the implementation Pap Smears result. Results: The Analysis result: 1. Based on the Pap Smears analysis result when its managed properly might be benefited the information not merely detected service cancer which is tend to increase but its also detected fungal infection and 5 types of IMS data: Haemavilus Vaginalis (HV, Gonococoes (Cocen, Trichomonas Vaginalis (TV, Herpes and Virus Papiloma Humanus (HPV which is Cocen and TV tend to increase every years. This data might be used for Surveillance Respond of Pap Smears intended to the productive housewife who is representing susceptible age group against sexual infection and HIV/AIDS. 2. The integrated Surveillance activity of HIV and sexual infection along with eight steps of respond Pap Smears, the structure is matching up with Surveillance of WHO respond and the system and mechanism base on decision of Minister of Health number 1116/2003 to instruct the formation of Surveillance technical implementation and the formation Surveillance technical implementation and the formation Surveillance networking among those units. 3. Developing the integrated Surveillance of sexual infection and HIV/AIDS through the uphold unit Pap Smears is required the determination of basis function, the Surveillance uphold unit, the Respond Surveillance uphold and function, formulation of Protap and Instruction, Training, Monitoring and Evaluation Surveillance System, Communication, Procurement of Coordination and Resources. Exceptional the above mentioned it is necessary pay attention as well as Surveillance structure and quality. Suggestion: 1. Improving the Surveillance Respond System by improving the users of culture information and data for making a decision the unit of Pap Smears

  13. Cervical cancer screening in primary health care setting in Sudan: a comparative study of visual inspection with acetic acid and Pap smear.

    Science.gov (United States)

    Ibrahim, Ahmed; Aro, Arja R; Rasch, Vibeke; Pukkala, Eero

    2012-01-01

    To determine the feasibility of visual inspection with the use of acetic acid (VIA) as a screening method for cervical cancer, an alternative to the Pap smear used in primary health care setting in Sudan, and to compare sensitivity, specificity, positive and negative predictive values, and histological diagnosis of positive cases of both tests. A cross-sectional study of 934 asymptomatic women living in Khartoum, Sudan, was conducted during 2009-2010. A semi-structured questionnaire containing socio-economic and reproductive variables was used to collect data from each participant. Methods of screening used were VIA and conventional Pap smear, followed by colposcopy and biopsy for confirmation of the positive results of both screening tests. The tests identified altogether 119 (12.7%) positive women. VIA detected significantly more positive women than Pap smear (7.6% versus 5.1%; P = 0.004), with an overlap between the two screening tests in 19% of positive results. There was no significant difference between VIA and Pap smear findings and sociodemographic and reproductive factors among screened women. Use of colposcopy and biopsy for positive women confirmed that 88/119 (73.9%) were positive for cervical intraepithelial neoplasia. VIA had higher sensitivity than Pap smear (74.2% versus 72.9%; P = 0.05) respectively. Out of 88 confirmed positive cases, 22 (25.0%) cases were invasive cervical cancer in stage 1, of which 19 versus three were detected by VIA and Pap smear respectively (P = 0.001). VIA had higher sensitivity and lower specificity than Pap smear (60.2% versus 47.7%) and (41.9% versus 83.8%) respectively. The combination of VIA/Pap has better sensitivity and specificity than each independent test (82.6% and 92.2%). The findings of this study showed that VIA has higher sensitivity and lower specificity compared to Pap smear, but a combination of both tests has greater sensitivity and specificity than each test independently. It indicates that VIA is

  14. Evaluation of diagnostic value of AgNOR and PAP in early detection of dysplastic changes in leukoplakia and lichen planus - a preliminary case-control study.

    Science.gov (United States)

    Rao, Dhanya S; Ali, I M; Annigeri, Rajeshwari G

    2017-01-01

    Early detection of oral cancer has been the most effective approach to reduce morbidity and mortality of cancer patients. If a lesion is clinically considered suspicious, an easily practicable, non-invasive, painless, safe, and accurate screening method for detection of the dysplastic changes is necessary. In an attempt to procure this, a study was conducted with the aim of determining the diagnostic accuracy of rapid Papanicolaou stain (PAP) and silver-stained nucleolar organizer regions (AgNOR) in brush biopsies of potentially malignant lesions for early detection of oral cancer. Brush biopsies taken from 25 cases of leukoplakia and lichen planus each were stained with rapid PAP and silver nitrate stains. Histopathological correlation was performed and further compared with rapid PAP and AgNOR for its diagnostic validity. Statistically significant increase in the mean AgNOR count was seen from normal epithelium to lichen planus to that of leukoplakia. When compared with rapid PAP, a linear correlation was seen in AgNOR counts and stages of dysplasia in leukoplakia which was also found to be statistically significant. Diagnostic accuracy for AgNOR in leukoplakia was found to be 84%, lichen planus 73%, whereas RAPID PAP showed 72% accuracy. AgNOR analysis may be useful as a quantitative marker of incipient cellular alterations and hence would be helpful in assessing suspicious lesions and thus can be regarded as a valuable adjunct. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. Sustainable Authorship in Plain Text using Pandoc and Markdown

    Directory of Open Access Journals (Sweden)

    Dennis Tenen

    2014-03-01

    Full Text Available In this tutorial, you will first learn the basics of Markdown—an easy to read and write markup syntax for plain text—as well as Pandoc, a command line tool that converts plain text into a number of beautifully formatted file types: PDF, .docx, HTML, LaTeX, slide decks, and more.1 With Pandoc as your digital typesetting tool, you can use Markdown syntax to add figures, a bibliography, formatting, and easily change citation styles from Chicago to MLA (for instance, all using plain text.

  16. Motivaciones de la expresión metafórica venezolana. El papá de los helados

    Directory of Open Access Journals (Sweden)

    MAIKEL RAMÍREZ ÁLVAREZ

    2016-01-01

    Full Text Available El objetivo de esta investigación fue explicar las motivaciones de la expresión metafórica del habla cotidiana venezolana “el papá de los helados”. Teóricamente, se sustenta en Cuenca y Hilferty (1999, Johnson (2006, Díaz (2006, Lakoff y Johnson (2009 y Kövecses (2010. En cuanto a la metodología, es una investigación descriptiva e interpretativa. Los resultados son los siguientes: (a la imagen esquemática de la metáfora conceptual EL PODER ES ARRIBA se proyecta sobre la imagen esquemática de un helado en virtud de su verticalidad y acumulación hacia arriba; (b se recurre al helado, además, dado que lo dulce metaforiza a lo sublime; (c el dominio del padre se emplea, debido a que es el miembro que encabeza una familia, la autoridad simbólica; (d la imagen esquemática de el papá de los helados, a saber, el helado más grande de todos se proyecta sobre un hombre que destaque en determinado aspecto. En conclusión, la expresión metafórica “el papá de los helados” es motivada por un conjunto complejo de metáforas primarias, imágenes esquemáticas y metáforas cotidianas que surgen de las experiencias concretas y corrientes de los individuos, para designar a un hombre con poder sobre otros en algún aspecto de la vida diaria.

  17. Over-expression of AtPAP2 in Camelina sativa leads to faster plant growth and higher seed yield

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    Zhang Youjun

    2012-04-01

    Full Text Available Abstract Background Lipids extracted from seeds of Camelina sativa have been successfully used as a reliable source of aviation biofuels. This biofuel is environmentally friendly because the drought resistance, frost tolerance and low fertilizer requirement of Camelina sativa allow it to grow on marginal lands. Improving the species growth and seed yield by genetic engineering is therefore a target for the biofuels industry. In Arabidopsis, overexpression of purple acid phosphatase 2 encoded by Arabidopsis (AtPAP2 promotes plant growth by modulating carbon metabolism. Overexpression lines bolt earlier and produce 50% more seeds per plant than wild type. In this study, we explored the effects of overexpressing AtPAP2 in Camelina sativa. Results Under controlled environmental conditions, overexpression of AtPAP2 in Camelina sativa resulted in longer hypocotyls, earlier flowering, faster growth rate, higher photosynthetic rate and stomatal conductance, increased seed yield and seed size in comparison with the wild-type line and null-lines. Similar to transgenic Arabidopsis, activity of sucrose phosphate synthase in leaves of transgenic Camelina was also significantly up-regulated. Sucrose produced in photosynthetic tissues supplies the building blocks for cellulose, starch and lipids for growth and fuel for anabolic metabolism. Changes in carbon flow and sink/source activities in transgenic lines may affect floral, architectural, and reproductive traits of plants. Conclusions Lipids extracted from the seeds of Camelina sativa have been used as a major constituent of aviation biofuels. The improved growth rate and seed yield of transgenic Camelina under controlled environmental conditions have the potential to boost oil yield on an area basis in field conditions and thus make Camelina-based biofuels more environmentally friendly and economically attractive.

  18. Diagnostic Impacts of Serum CA-125 Levels, Pap Smear Evaluation, and Endometrial Sampling in Women with Endometrial Clear Cell Carcinoma.

    Science.gov (United States)

    Cetinkaya, Nilufer; Selcuk, İlker; Ozdal, Bulent; Meydanli, Mehmet M; Gungor, Tayfun

    2016-01-01

    Endometrial clear cell carcinoma (ECCC) is a rare variant of endometrial cancer with an unfavorable prognosis. The aim of this study was to determine the relationships, if any, between preoperative serum cancer antigen 125 (CA-125) levels, the last Papanicolaou (Pap) smear, the results of endometrial biopsy and tumor histology, and disease-stage according to permanent histopathology. The data of 26 women with ECCC were collected from their medical records to compare demographics, preoperative serum CA-125 levels, Pap test results, histological diagnosis of the endometrial biopsy, and tumor histology, as well as the disease stage according to permanent histopathology. The mean age at diagnosis was 64.0 years. There were 17 (65.3%) women with pure ECCC and 8 (30.7%) women with a mixed histology. Stage III-IV disease was diagnosed in 12 (46.2%) women and occurred more frequently in pure ECCC (n = 11, 91.7%). CA-125 values were significantly higher in advanced stage disease. Cytological evaluation indicated the presence of 71.4% (10/14) cytological abnormalities in pure ECCC. The overall sensitivity of endometrial sampling for the detection of malignancy was 92.3% (24/26), whereas the accurate diagnosis of ECCC was only 34.7% (8/23) with the Pipelle sampler. Pap test abnormalities are frequent in ECCC. Although it is less accurate in the diagnosis of ECCC than in the detection of malignancy, endometrial sampling is still the main procedure for the diagnosis of ECCC. Higher preoperative CA-125 concentrations imply the presence of advanced stage ECCC. © 2016 S. Karger GmbH, Freiburg.

  19. Ius Chasma Tributary Valleys and Adjacent Plains

    Science.gov (United States)

    2006-01-01

    This image covers valley tributaries of Ius Chasma, as well as the plains adjacent to the valleys. Ius Chasma is one of several canyons that make up the Valles Marineris canyon system. Valles Marineris likely formed by extension associated with the growth of the large volcanoes and topographic high of Tharsis to the northwest. As the ground was pulled apart, large and deep gaps resulted in the valleys seen in the top and bottom of this HiRISE image. Ice that was once in the ground could have also melted to create additional removal of material in the formation of the valleys. HiRISE is able to see the rocks along the walls of both these valleys and also impact craters in the image. Rock layers that appear lower down in elevation appear rougher and are shedding boulders. Near the top of the walls and also seen in patches along the smooth plains are brighter layers. These brighter layers are not shedding boulders so they must represent a different kind of rock formed in a different kind of environment than those further down the walls. Because they are highest in elevation, the bright layers are youngest in age. HiRISE is able to see dozens of the bright layers, which are perhaps only a meter in thickness. Darker sand dunes and ripples cover most of the plains and fill the floors of impact craters. Image PSP_001351_1715 was taken by the High Resolution Imaging Science Experiment (HiRISE) camera onboard the Mars Reconnaissance Orbiter spacecraft on November 9, 2006. The complete image is centered at -8.3 degrees latitude, 275.4 degrees East longitude. The range to the target site was 254.3 km (158.9 miles). At this distance the image scale ranges from 25.4 cm/pixel (with 1 x 1 binning) to 101.8 cm/pixel (with 4 x 4 binning). The image shown here has been map-projected to 25 cm/pixel and north is up. The image was taken at a local Mars time of 3:32 PM and the scene is illuminated from the west with a solar incidence angle of 59 degrees, thus the sun was about 31

  20. San Andreas Fault in the Carrizo Plain

    Science.gov (United States)

    2000-01-01

    The 1,200-kilometer (800-mile)San Andreas is the longest fault in California and one of the longest in North America. This perspective view of a portion of the fault was generated using data from the Shuttle Radar Topography Mission (SRTM), which flew on NASA's Space Shuttle last February, and an enhanced, true-color Landsat satellite image. The view shown looks southeast along the San Andreas where it cuts along the base of the mountains in the Temblor Range near Bakersfield. The fault is the distinctively linear feature to the right of the mountains. To the left of the range is a portion of the agriculturally rich San Joaquin Valley. In the background is the snow-capped peak of Mt. Pinos at an elevation of 2,692 meters (8,831 feet). The complex topography in the area is some of the most spectacular along the course of the fault. To the right of the fault is the famous Carrizo Plain. Dry conditions on the plain have helped preserve the surface trace of the fault, which is scrutinized by both amateur and professional geologists. In 1857, one of the largest earthquakes ever recorded in the United States occurred just north of the Carrizo Plain. With an estimated magnitude of 8.0, the quake severely shook buildings in Los Angeles, caused significant surface rupture along a 350-kilometer (220-mile) segment of the fault, and was felt as far away as Las Vegas, Nev. This portion of the San Andreas is an important area of study for seismologists. For visualization purposes, topographic heights displayed in this image are exaggerated two times.The elevation data used in this image was acquired by SRTM aboard the Space Shuttle Endeavour, launched on February 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on Endeavour in 1994. SRTM was designed to collect three-dimensional measurements of Earth's land surface. To collect the 3-D SRTM data, engineers added a mast 60

  1. Motivaciones de la expresión metafórica venezolana. El papá de los helados

    OpenAIRE

    MAIKEL RAMÍREZ ÁLVAREZ; ANA MARÍA RAMÍREZ DÍAZ

    2016-01-01

    El objetivo de esta investigación fue explicar las motivaciones de la expresión metafórica del habla cotidiana venezolana “el papá de los helados”. Teóricamente, se sustenta en Cuenca y Hilferty (1999), Johnson (2006), Díaz (2006), Lakoff y Johnson (2009) y Kövecses (2010). En cuanto a la metodología, es una investigación descriptiva e interpretativa. Los resultados son los siguientes: (a) la imagen esquemática de la metáfora conceptual EL PODER ES ARRIBA se proyecta sobre la imagen esquemáti...

  2. Detection of in situ and invasive endocervical adenocarcinoma on ThinPrep Pap Test: Morphologic analysis of false negative cases

    Directory of Open Access Journals (Sweden)

    Michael Chaump

    2016-01-01

    Full Text Available Background: The goal of this study was to calculate the sensitivity and false negative (FN rate of ThinPrep Pap Test (TPPT and carefully analyze missed cases for educational purposes. Materials and Methods: Patients with histologically proven adenocarcinoma in-situ (AIS or invasive endocervical adenocarcinoma (EAC over a 17-year-period (1998-2015 were identified. The TPPT immediately preceding the histological diagnosis of AIS/ECA was designated as index Pap (IP. Paps up to 122 months before histologic diagnosis of AIS/ECA were considered for this study. All available negative and unsatisfactory TPPT were re-reviewed. Results: There were 78 patients with histologically-proven AIS (56 or ECA (22 with 184 TPPTs, and 95 of these TPPTs were abnormal. Of the abnormal cases, 55.7% TPPTs were diagnosed as endocervical cell abnormality (atypical endocervical cells/AIS/ECA. Notably, 44.2% of abnormal TPPTs were diagnosed as squamous cell abnormality (atypical squamous cells of undetermined significance/low-grade squamous intraepithelial lesion/high grade squamous intraepithelial lesion. Including the diagnoses of squamous cell abnormality, the sensitivity of index TPPT for histologically-confirmed AIS/ECA was 88%. Eighty-eight of 184 TPPT, including 10 IP, were negative = 87, or unsatisfactory = 1. Forty-two of these slides were available for re-review. Upon review, 21 TPPT (50% were confirmed negative and 21 TPPT (50% were reclassified as abnormal = 20, or unsatisfactory = 1. Of the FN cases, the main difficulty in correct diagnosis was the presence of few diagnostic cell clusters which had less "feathering," and consisted of smaller, rounder cells in small and tighter clusters, with nuclear overlap. In particular, nuclear overlap in three-dimensional groups precluded the accurate diagnosis. Rare FN cases showed squamous cell abnormality on re-review, and rare cases showed obscuring blood or inflammation. Conclusion: A significant proportion of AIS

  3. Detection of in situ and invasive endocervical adenocarcinoma on ThinPrep Pap Test: Morphologic analysis of false negative cases.

    Science.gov (United States)

    Chaump, Michael; Pirog, Edyta C; Panico, Vinicius J A; D Meritens, Alexandre Buckley; Holcomb, Kevin; Hoda, Rana

    2016-01-01

    The goal of this study was to calculate the sensitivity and false negative (FN) rate of ThinPrep Pap Test (TPPT) and carefully analyze missed cases for educational purposes. Patients with histologically proven adenocarcinoma in-situ (AIS) or invasive endocervical adenocarcinoma (EAC) over a 17-year-period (1998-2015) were identified. The TPPT immediately preceding the histological diagnosis of AIS/ECA was designated as index Pap (IP). Paps up to 122 months before histologic diagnosis of AIS/ECA were considered for this study. All available negative and unsatisfactory TPPT were re-reviewed. There were 78 patients with histologically-proven AIS (56) or ECA (22) with 184 TPPTs, and 95 of these TPPTs were abnormal. Of the abnormal cases, 55.7% TPPTs were diagnosed as endocervical cell abnormality (atypical endocervical cells/AIS/ECA). Notably, 44.2% of abnormal TPPTs were diagnosed as squamous cell abnormality (atypical squamous cells of undetermined significance/low-grade squamous intraepithelial lesion/high grade squamous intraepithelial lesion). Including the diagnoses of squamous cell abnormality, the sensitivity of index TPPT for histologically-confirmed AIS/ECA was 88%. Eighty-eight of 184 TPPT, including 10 IP, were negative = 87, or unsatisfactory = 1. Forty-two of these slides were available for re-review. Upon review, 21 TPPT (50%) were confirmed negative and 21 TPPT (50%) were reclassified as abnormal = 20, or unsatisfactory = 1. Of the FN cases, the main difficulty in correct diagnosis was the presence of few diagnostic cell clusters which had less feathering, and consisted of smaller, rounder cells in small and tighter clusters, with nuclear overlap. In particular, nuclear overlap in three-dimensional groups precluded the accurate diagnosis. Rare FN cases showed squamous cell abnormality on re-review, and rare cases showed obscuring blood or inflammation. A significant proportion of AIS/EAC is discovered after Pap showing squamous cell abnormality. FN

  4. Great Plains Wind Energy Transmission Development Project

    Energy Technology Data Exchange (ETDEWEB)

    Brad G. Stevens, P.E.; Troy K. Simonsen; Kerryanne M. Leroux

    2012-06-09

    In fiscal year 2005, the Energy & Environmental Research Center (EERC) received funding from the U.S. Department of Energy (DOE) to undertake a broad array of tasks to either directly or indirectly address the barriers that faced much of the Great Plains states and their efforts to produce and transmit wind energy at the time. This program, entitled Great Plains Wind Energy Transmission Development Project, was focused on the central goal of stimulating wind energy development through expansion of new transmission capacity or development of new wind energy capacity through alternative market development. The original task structure was as follows: Task 1 - Regional Renewable Credit Tracking System (later rescoped to Small Wind Turbine Training Center); Task 2 - Multistate Transmission Collaborative; Task 3 - Wind Energy Forecasting System; and Task 4 - Analysis of the Long-Term Role of Hydrogen in the Region. As carried out, Task 1 involved the creation of the Small Wind Turbine Training Center (SWTTC). The SWTTC, located Grand Forks, North Dakota, consists of a single wind turbine, the Endurance S-250, on a 105-foot tilt-up guyed tower. The S-250 is connected to the electrical grid on the 'load side' of the electric meter, and the power produced by the wind turbine is consumed locally on the property. Establishment of the SWTTC will allow EERC personnel to provide educational opportunities to a wide range of participants, including grade school through college-level students and the general public. In addition, the facility will allow the EERC to provide technical training workshops related to the installation, operation, and maintenance of small wind turbines. In addition, under Task 1, the EERC hosted two small wind turbine workshops on May 18, 2010, and March 8, 2011, at the EERC in Grand Forks, North Dakota. Task 2 involved the EERC cosponsoring and aiding in the planning of three transmission workshops in the midwest and western regions. Under Task

  5. Seven new and four known species of the genus Acantholaimus (Nematoda: Chromadoridae) from the abyssal manganese nodule field (Clarion-Clipperton Fracture Zone, North-Eastern Tropical Pacific)

    Science.gov (United States)

    Miljutina, Maria A.; Miljutin, Dmitry M.

    2012-09-01

    The descriptions of seven new and supplemental descriptions of four known species of the genus Acantholaimus (Nematoda: Chromadoridae) from about 5,000 m depth in the abyssal manganese nodule field of the French Claim of the Clarion-Clipperton Fracture Zone (north-eastern tropical Pacific) are given. A. arthrochaeta sp. n. differs from other Acantholaimus species in having jointed cephalic setae. A. barbatus sp. n. is characterized by long cephalic setae and the presence of numerous somatic setae at the level of the pharynx. A. cornutus sp. n. possesses strong onchia and rugae and short cephalic setae. A. robustus sp. n. is characterized by a very large body size, two very large onchia, strongly developed rugae, and cervical setae grouped in threes. A. sieglerae sp. n. is a comparatively small species, though with very large onchia. A. tchesunovi sp. n. can be differentiated from the other species by the lateral differentiation of the body cuticle, consisting of 6-7 longitudinal rows of pores. A. veitkoehlerae sp. n. has a narrow elongate anterior end, two cervical setae, and strong onchia. A. angustus and A. occultus were found about 5,200 km from their type localities in the Peru Basin, south-east Pacific. A. iubilus and A. maks were previously found in different parts of the Atlantic and in the Peru Basin.

  6. Placentation in the plains zebra (Equus quagga).

    Science.gov (United States)

    Allen, W R Twink; Stansfield, Fiona; Wilsher, Sandra

    2017-10-01

    The placenta and fetal gonads of 12 pregnant plains zebra (Equus quagga), estimated to be between 81 and 239 days of gestation, were examined. The diffuse, microcotyledonary zebra placenta appeared, developmentally, to be 3-4 weeks behind its counterpart in horse pregnancy and this, together with the presence of small and long-lived endometrial cups, low levels of zebra chorionic gonadotrophin in maternal serum and few accessory corpora lutea in the maternal ovaries during the first half of gestation, made zebra pregnancy more similar to donkey than horse pregnancy. Zebra fetal gonads enlarged after 80 days of gestation and their interstitial cells stained positively for 3β hydroxysteroid dehydrogenase and 17,20 lyase steroid enzymes while the trophoblast stained for aromatase. This confirmed that zebra fetal gonads, like those of the horse and donkey, can synthesise C19 androgens, which can then be aromatised by the placenta to C18 oestrogens. It is remarkable that such unusual feto-placental mechanisms of production of gonadotrophic and steroid hormones has persisted unchanged within the genus Equus despite the many physical adaptations and the considerable loss of chromosomes that have occurred during the evolution of its member species.

  7. Nonlinear Dynamical Analysis for a Plain Bearing

    Directory of Open Access Journals (Sweden)

    Ali Belhamra

    2014-03-01

    Full Text Available This paper investigates the nonlinear dynamic behavior for a plain classic bearing (fluid bearing lubricated by a non-Newtonian fluid of a turbo machine rotating with high speed; this type of fluid contains additives viscosity (couple-stress fluid film. The solution of the nonlinear dynamic problem of this type of bearing is determined with a spatial discretisation of the modified Reynolds' equation written in dynamic mode by using the optimized short bearing theory and a temporal discretisation for equations of rotor motion by the help of Euler's explicit diagram. This study analyzes the dynamic behavior of a rotor supported by two couple-stress fluid film journal lubricant enhances the dynamic stability of the rotor-bearing system considerably compared to that obtained when using a traditional Newtonian lubricant. The analysis shows that the dynamic behavior of a shaft which turns with high velocities is strongly nonlinear even for poor eccentricities of unbalance; the presence of parameters of couple stress allows strongly attenuating the will synchrony (unbalance and asynchrony (whipping amplitudes of vibrations of the shaft which supports more severe conditions (large unbalances.

  8. A velhice nas telas do cinema: um olhar sobre a mudança dos papéis ocupacionais dos idosos

    Directory of Open Access Journals (Sweden)

    Carla da Silva Santana

    2013-12-01

    Full Text Available Dado o aumento da produção cinematográfica sobre a velhice, este estudo buscou identificar as modificações nos papéis ocupacionais dos idosos e como estes são representados nos filmes. Trata-se de um estudo documental, qualitativo, que utilizou filmes tendo como personagem principal um sujeito velho. Estes foram classificados por gênero e aplicou-se a Lista de Papéis Ocupacionais. Dos 23 filmes analisados, identificaram-se os papéis perdidos, mantidos e incorporados na velhice, assim como os conflitos diante da mudança como a falta de projetos de vida.  

  9. Synthesis and Characterization of New Amino Acid-Schiff Bases and Studies their Effects on the Activity of ACP, PAP and NPA Enzymes (In Vitro

    Directory of Open Access Journals (Sweden)

    Zahraa Salim M. Al-Garawi

    2012-01-01

    Full Text Available In this study, two new Schiff base compounds derived from the condensation reaction of L-glycine and L-tryptophan with 4-methylbenzal-dehyde have been synthesized. The Schiff base compounds were characterized by FT-IR, UV and 1H NMR spectroscopy. Their effects on the activity of total (ACP, prostatic (PAP and non prostatic (NPA acid phosphatase enzymes were studied. The Schiff base derived from L-glycine (A demonstrated inhibition effect on the ACP and NPA activities and activation effect on PAP activity. The Schiff base derived from L-tryptophan (B demonstrated semi fixed inhibition effects on the ACP and NPA activities at high concentrations (5.5×10-2, 5.5×10-3 and 5.5×10-4 M and activator effect at low concentration (5.5×10-5 M while it was exhibits as activator on PAP activity.

  10. Social and Cultural Barriers to Women's Participation in Pap Smear Screening Programs in Low- and Middle-Income Latin American and Caribbean Countries: An Integrative Review.

    Science.gov (United States)

    Liebermann, Erica J; VanDevanter, Nancy; Hammer, Marilyn J; Fu, Mei R

    2018-01-01

    Pap smear screening programs have been ineffective in reducing cervical cancer mortality in most Latin American and Caribbean countries, in part due to low screening rates. The purpose of this review was to analyze recent studies to identify demographic, social, and cultural factors influencing women's participation in Pap screening programs in Latin America and the Caribbean. For this integrative review, cervical cancer screening in Latin America and the Caribbean was searched using PubMed, CINAHL, EMBASE, and PsycINFO databases. Findings/Results: Demographic barriers to screening were socioeconomic status, education, race/ethnicity, and geography. Social barriers included lack of uniformity in screening guidelines, lack of knowledge regarding cervical cancer, and lack of preventive culture. Cultural barriers were fear/embarrassment and gender roles. There are multilevel barriers to Pap smear utilization among women in Latin America and the Caribbean. Findings highlight a need for health system engagement, promotion of preventive care, and community-generated educational programs and solutions.

  11. Moessbauer studies on ancient Jizhon plain Temmoku porcelains

    International Nuclear Information System (INIS)

    Yu Zhengfang; Zheng Yufang; Lin Yongqiang

    1994-01-01

    Three kinds of ancient Jizhou plain Temmoku wares and their several ware-making raw materials were studied by means of X-ray diffraction (XRD) and Moessbauer spectroscopy. The firing technique of ancient Jizhou Temmoku porcelains is discussed. (orig.)

  12. Study on ecological regulation of coastal plain sluice

    Science.gov (United States)

    Yu, Wengong; Geng, Bing; Yu, Huanfei; Yu, Hongbo

    2018-02-01

    Coastal plains are densely populated and economically developed, therefore their importance is self-evident. However, there are some problems related with water in coastal plains, such as low flood control capacity and severe water pollution. Due to complicated river network hydrodynamic force, changeable flow direction and uncertain flood concentration and propagation mechanism, it is rather difficult to use sluice scheduling to realize flood control and tackle water pollution. On the base of the measured hydrological data during once-in-a-century Fitow typhoon in 2013 in Yuyao city, by typical analysis, theoretical analysis and process simulation, some key technologies were researched systematically including plain river network sluice ecological scheduling, “one tide” flood control and drainage scheduling and ecological running water scheduling. In the end, single factor health diagnostic evaluation, unit hydrograph of plain water level and evening tide scheduling were put forward.

  13. Types, harms and improvement of saline soil in Songnen Plain

    Science.gov (United States)

    Wang, Zhengjun; Zhuang, Jingjing; Zhao, Anping; Li, Xinxin

    2018-03-01

    Saline soil is an extremely difficult and modified soil, widely distributed around the world. According to UN-UNESCO and FAO, the world’s saline soil area is about 9.54×108hm2, and there is a growing trend, every year in 1.0×106-1.5×106hm2 speed growth, the effective utilization of land resources to the world is the most serious threat. The total area of saline-alkali land in China is about 9.91×107hm2, including the Songnen Plain, which is called one of the three major saline soil concentrations in the world. The Songnen plain is an important grain producing area in China, and the saline soil occupies most of the Songnen plain, so it is of great significance to study the saline soil and improvement in Songnen plain.

  14. Recognition of Plain Objects Using Local Region Matching

    Science.gov (United States)

    Mansur, Al; Sakata, Katsutoshi; Das, Dipankar; Kuno, Yoshinori

    Conventional interest point based matching requires computationally expensive patch preprocessing and is not appropriate for recognition of plain objects with negligible detail. This paper presents a method for extracting distinctive interest regions from images that can be used to perform reliable matching between different views of plain objects or scene. We formulate the correspondence problem in a Naive Bayesian classification framework and a simple correlation based matching, which makes our system fast, simple, efficient, and robust. To facilitate the matching using a very small number of interest regions, we also propose a method to reduce the search area inside a test scene. Using this method, it is possible to robustly identify objects among clutter and occlusion while achieving near real-time performance. Our system performs remarkably well on plain objects where some state-of-the art methods fail. Since our system is particularly suitable for the recognition of plain object, we refer to it as Simple Plane Object Recognizer (SPOR).

  15. Intracavitary pulmonary aspergilloma: comparison of CT with plain chest radiograph

    International Nuclear Information System (INIS)

    Han, Chun Hwan; Im, Jung Gi; Yu, Eun Ju; Han, Man Chung

    1991-01-01

    Saprophytic intracavitary fungus ball is the most common form of pulmonary involvement of aspergillosis. Crescent-shaped air shadow surrounded by a creativity wall is known to be a characteristic of pulmonary aspergilloma on plain chest radiograph. However, in case of early lesion in which intracavitary aspergilloma is overlapped with adjacent destroyed lung or mediastinal and hilar density, the air meniscus can not be demonstrated on plain radiograph. In such a case, CT scan might provide additional information that suggests fungus ball. The aim of this study is to describe the variable CT appearances of pulmonary aspergilloma in addition to air meniscus sign and to correlate the findings on CT with those of plain radiograph and pathology. The diagnosis of intracavitary aspergilloma was suggested on both CT and plain radiograph in case that air-meniscus sign was visible. CT scans could add more diagnostic information over chest radiographs such as small peripheral air density or sponge-like air shadow

  16. Level IV Ecoregions of the Mississippi Alluvial Plain

    Data.gov (United States)

    U.S. Environmental Protection Agency — Ecoregions for the Mississippi Alluvial Plain were extracted from the seamless national shapefile. Ecoregions denote areas of general similarity in ecosystems and in...

  17. Level III Ecoregions of the Mississippi Alluvial Plain

    Data.gov (United States)

    U.S. Environmental Protection Agency — Ecoregions for the Mississippi Alluvial Plain were extracted from the seamless national shapefile. Ecoregions denote areas of general similarity in ecosystems and in...

  18. Analysis of High Plains Resource Risk and Economic Impacts

    Energy Technology Data Exchange (ETDEWEB)

    Tidwell, Vincent C. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Vargas, Vanessa N [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Jones, Shannon M [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Dealy, Bern Caudill [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Shaneyfelt, Calvin [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Smith, Braeton James [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Moreland, Barbara Denise [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-04-01

    The importance of the High Plains Aquifer is broadly recognized as is its vulnerability to continued overuse. T his study e xplore s how continued depletions of the High Plains Aquifer might impact both critical infrastructure and the economy at the local, r egional , and national scale. This analysis is conducted at the county level over a broad geographic region within the states of Kansas and Nebraska. In total , 140 counties that overlie the High Plains Aquifer in these two states are analyzed. The analysis utilizes future climate projections to estimate crop production. Current water use and management practices are projected into the future to explore their related impact on the High Plains Aquifer , barring any changes in water management practices, regulat ion, or policy. Finally, the impact of declining water levels and even exhaustion of groundwater resources are projected for specific sectors of the economy as well as particular elements of the region's critical infrastructure.

  19. The innovation of nuclear science and technology supporting for the central plains economic zone construction

    International Nuclear Information System (INIS)

    Yang Xiaowei

    2014-01-01

    This paper discusses the nuclear agronomy support for the central plains economic zone construction, radiation chemical new material support for the central plains economic zone construction, nuclear medical support for the central plains economic zone construction, nuclear instrument and meter industry support for the central plains economic zone construction and the development trend of related disciplines. (author)

  20. The Great Plains IDEA Gerontology Program: An Online, Interinstitutional Graduate Degree

    Science.gov (United States)

    Sanders, Gregory F.

    2011-01-01

    The Great-Plains IDEA Gerontology Program is a graduate program developed and implemented by the Great Plains Interactive Distance Education Alliance (Great Plains IDEA). The Great Plains IDEA (Alliance) originated as a consortium of Colleges of Human Sciences ranging across the central United States. This Alliance's accomplishments have included…

  1. No (more) logo: plain packaging and communicative agency

    OpenAIRE

    Alain Pottage

    2013-01-01

    The tobacco industry’s archives suggest that the global campaign for the plain packaging of tobacco products originated in 1986, when the Canadian Medical Association passed a resolution calling for cigarettes to be sold in packages bearing only a brand name and the health message ‘this product is injurious to your health’. In most jurisdictions, regulations requiring the apposition of health warnings to cigarette packs have been in force for decades. Proposals for plain packaging aim to go f...

  2. Comparison of bloody pap smear fixation by Carnoy’s and fixator spray in samples from women with abnormal uterine bleeding

    Directory of Open Access Journals (Sweden)

    Keshavarz Najmeh

    2016-05-01

    Full Text Available Abnormal uterine bleeding is a serious problem among women of late reproductive age. Cervical cancer is one of the reasons of AUB and Pap smear is the best way to diagnose it. Blood has negative effects on Pap smear especially in AUB with great blood. One of the effective solutions for lysing RBC is Carnoy’s. This study aims to compare two methods of fixation in bloody Pap smear by Carnoy’s and normal spray in samples from women with AUB. This study was done on 204 bloody Pap smear from 102 women with AUB that referred to Zeinabieh and Faghihi hospitals of Shiraz University of Medical Sciences from2012-2013. After observing uterine bleeding in each subject, two samples were provided using usual Pap smear method; one of the slides was fixed by normal spray and the other slide fixed by Carnoy’s solution for20 minutes. After staining (Papanicolaou method, two pathologists performed a double-blind trial to analyze them. Data analysis was done using SPSS. 82 samples did not have cell adequacy. Squamous cells in Carnoy’s-fixed slides were more than spray-fixed ones (p=0.024. The decrease in the number of RBC on slides and the increase in the clarity of slides in Carnoy’s-fixed samples were more than sprayfixed slides (p=0.001, whil