Impact of HPV testing, HPV vaccine development, and changing screening frequency on national Pap test volume: projections from the National Health Interview Survey (NHIS).

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Eltoum, Isam A; Roberson, Janie

2007-02-25

The frequently cited number of 50 million annual Papanicolaou cervical screening (Pap) tests performed in the US was based on the National Health Interview Survey (NHIS) of the 1980s. Since then, monumental changes have occurred. More change will soon follow when primary human papilloma virus (HPV) testing and/or HPV vaccine delivery are fully accepted and implemented. The objectives of this study were 1) to estimate the total annual Pap tests performed in the US based on recent NHIS surveys, and 2) to estimate the potential change in the total annual Pap volume produced by changing demographics, reduced screening frequency, HPV testing, and the HPV vaccine. In the NHIS 2000 and NHIS 2005, women were asked to report the frequency of their Pap tests for the 6 years prior to the interview and to report whether they had abnormal findings. The authors analyzed the survey respondents answers to these questions by using SAS Survey Procedures (SAS Institute, NC). The results were stratified by age, and the total national volume was then extrapolated from a similarly stratified 2000 US census. The projected increase of total Pap tests for the next 25 years was determined by using the projected census data. Potential reductions of Pap tests performed secondarily to HPV testing of women >30 years old and of HPV vaccination were also determined. Based on NHIS 2000 and NHIS 2005, 66 million (95% CI, 65-68) and 65 million (95% CI, 64-67) Pap tests were performed in the US, respectively. Had HPV testing been performed in women older than 30 years who had both negative HPV and negative 3-year Pap tests, then 30% (95% CI, 29-32%) of Pap tests would not have been performed. If both HPV testing and vaccination are performed, the total number of Pap tests performed annually is predicted to be reduced by 43% (95% CI, 35-38%). Therefore, despite an expected increase in the population of women eligible for Pap tests, the total number will likely decrease substantially in the future

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

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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.

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

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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

Cytomorphology of unusual infectious entities in the Pap test

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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.

A Shandon PapSpin liquid-based gynecological test: A split-sample and direct-to-vial test with histology follow-up study

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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

A Study on Cervical Cancer Screening Using Pap Smear Test and Clinical Correlation

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Pushp Lata Sachan

2018-01-01

Full Text Available Objective: The objective of the study is to evaluate the use of the Pap smear screening method for detection of precancerous lesions. Methods: All women who visited the outpatient gynecology clinic of the Department of Obstetrics and Gynaecology at King Georges Medical University, Lucknow, UP, India, over 1 year for different clinical problems were recruited for the study. A total of 1650 women who were sexually active and over 21 years of age were enrolled in the study. A clinical examination, an examination per speculum, and a vaginal examination were performed and a history taken for all women. A Pap smear was used for all women to screen for cervical cancer. The smear was obtained using an Ayre spatula and spread over a marked glass slide, which was placed in 95% ethyl alcohol and sent to the Department of Pathology for cytopathological examination. All data were recorded using a predetermined pro forma. Women who had visible malignant cervical lesions were excluded from the study. Results: Most women were in the age range of 30–50 years and multiparous. Vaginal discharge was the most common complaint, occurring in 36.96% of the women. An irregular menstrual cycle was the complaint of 12.78% and abdominal pain of 25.63% of women, while 15.15% were asymptomatic. The Pap smear test of 93.57% of the women was adequately taken, while 6.42% of the individuals had an inadequate sample. The test was negative for malignancy in 48.84%, and 42.66% had infection or inflammation. Atypical squamous cells of undetermined significance (ASCUS, low-grade squamous intraepithelial lesion (LSIL, and high-grade squamous intraepithelial lesion (HSIL were detected in 2.90%, 5.09%, and 0.48%, respectively. Women with Pap tests positive for ASCUS, LSIL, and HSIL underwent a colposcopy and guided biopsy. Conclusions: Women with an abnormal Pap test should undergo a colposcopy, and those with abnormal colposcopy findings should be advised to undergo a biopsy. A Pap

Mammography and Pap test screening among low-income foreign-born Hispanic women in the USA

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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.

Identification of Biomarkers of Exposure to FTOHs and PAPs in Humans Using a Targeted and Nontargeted Analysis Approach.

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Dagnino, Sonia; Strynar, Mark J; McMahen, Rebecca L; Lau, Christopher S; Ball, Carol; Garantziotis, Stavros; Webster, Thomas F; McClean, Michael D; Lindstrom, Andrew B

2016-09-20

Although historic perfluorinated compounds are currently under scrutiny and growing regulatory control in the world, little is known about human exposure to other polyfluorinated compounds presently in use. Fluorotelomer alcohols (FTOHs) and polyfluoroalkyl phosphate esters (PAPs) are known to degrade to terminal perfluorinated acids and toxic reactive intermediates through metabolic pathways. Therefore, it is important to characterize their human exposure by the identification of unique biomarkers. With the use of liquid chromatography-mass spectrometry-time-of-flight analysis (LC-MS-TOF), we developed a workflow for the identification of metabolites for the 8:2 FTOH and 8:2 diPAP. Analysis of serum and urine of dosed rats indicated the 8:2 FTOH-sulfate and the 8:2 diPAP as potential biomarkers. These compounds, as well as 25 other fluorinated compounds and metabolites, were analyzed in human serum and urine samples from the general population (n = 100) and office workers (n = 30). The 8:2 FTOH-sulfate was measured for the first time in human samples in 5 to 10% of the serum samples, ranging from 50 to 80 pg/mL. The 8:2 diPAP was measured in 58% of the samples, ranging from 100 to 800 pg/mL. This study indicates the FTOH-sulfate conjugate as a biomarker of exposure to FTOHs and PAPs in humans.

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

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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.

Evaluation of a low-cost liquid-based Pap test in rural El Salvador: a split-sample study.

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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.

[How does type of health insurance affect receipt of Pap testing in Peru?].

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Barrionuevo-Rosas, Leslie; Palència, Laia; Borrell, Carme

2013-12-01

Describe the association between receipt of cervical cytology and type of health insurance in Peruvian women, and determine the role of sociodemographic and sexual health variables in this relationship. A cross-sectional study using information on a sample of 12 272 women aged 30 to 49 years from the Demographic and Family Health Survey (ENDES), Peru, 2005-2008. The dependent variable was receipt of at least one Pap smear in the last five years. The primary independent variables were type of health insurance, educational level, household socioeconomic level, ethnicity, and place of residence. Prevalence ratio, obtained from Poisson regression with robust variance, was used to measure multivariate association. Among sexually active women, 62.7% had received at least one Pap test in the last five years. Percentage of women tested varied by type of health insurance. Women with public or private insurance had a greater probability of having received a Pap smear--1.27 (95% CI, 1.24-1.31) and 1.52 (95% CI, 1.46-1.58) times greater, respectively--than uninsured women. This association was primarily explained by socioeconomic status variables. In addition, women who participated the least in screening were characterized by illiteracy or only a primary education, low socioeconomic level, speaking an indigenous language, and living in a rural area. When they also lacked health insurance, the gap widened, rising to as much as one third compared to more advantaged social groups. Inequalities were found in receipt of Pap testing according to type of health insurance; women without insurance were least likely to be screened, implying existence of a barrier to cervical cancer screening in Peru.

The health beliefs of mothers about preventing cervical cancer and their intention to recommend the Pap test to their daughters: a cross-sectional survey

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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

HPV, Cervical Cancer and Pap Test Related Knowledge Among a Sample of Female Dental Students in India.

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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.

Barriers to Pap Smear Test for the Second Time in Women Referring to Health Care Centers in the South of Tehran: A Qualitative Approach

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Laleh Hassani

2017-10-01

Full Text Available Background: 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. Methods: 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. Results: 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. Conclusion: 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.

Evaluation of Antibiotic Resistance and Detection of papC and papG genes in Escherichia coli Strains Isolated from Patients with Urinary Tract Infection

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Mitra Alishah

2016-11-01

Full Text Available Abstract Background and Objectives: Escherichia coli is the most common etiologic factor of urinary tract infection, which its most important virulence factor is P fimbriae. Uropathogenic E. coli expresses various types of adhesins, such as pili adhesins (pyelonephritis-associated pili, Pap that mediates binding to the surface of epithelial cells of the urinary tract. This study aims to identify papC and papG genes and to evaluate antibiotic resistance level in the isolated E. coli samples. Methods: In this descriptive cross-sectional study, 50 samples were collected from patients with urinary tract infection and after isolation of bacteria and DNA extraction, antibiotic susceptibility tests was performed by disc diffusion method using related antibiotics. Presence of papG and papC genes (class I, II, and III was assessed by multiplex PCR method. Statistical data were analyzed using descriptive t-test. Results: The isolated E. coli samples were susceptible to amikacin (100% and cefepime (72% and resistant to ampicillin (100% and nitrofurantoin (94%. Eighteen samples (32.7% had papG gene, of which 17 (30.9% samples had papGII gene and 1 sample (1.8% had papGIII gene; papGI gene was not detected in any of the samples. Conclusion: The results of the present study showed that papC and papGI genes are the most common Pap fimbriae adhesion-encoding genes in E. coli isolated from urinary tract infection. The difference between the results of this study with those of other studies is due to geographic diversity. Keywords: Escherichia coli; Adhesion pap, Disk diffusion antimicrobial tests; Multiplex polymerase chain reaction.

Progression and regression of cervical pap test lesions in an urban AIDS clinic in the combined antiretroviral therapy era: a longitudinal, retrospective study.

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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.

The frequency of having pap-smear tests among women between 15-64 years old and the evaluation of the level of their knowledge

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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)

Factors related to failure to attend the consultation to receive the results of the Pap smear test

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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.

papA gene of avian pathogenic Escherichia coli.

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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.

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

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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.

Cervical Cancer Screening Preferences Among Trans-Masculine Individuals: Patient-Collected Human Papillomavirus Vaginal Swabs Versus Provider-Administered Pap Tests.

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

2017-08-01

Trans-masculine (TM, i.e., persons who have a masculine spectrum gender identity, but were assigned female sex at birth) individuals face disparities in cervical cancer screening rates compared to cisgender women. Some unique barriers to screening in this population are specific to Pap tests. Introduction of self-collected frontal (i.e., vaginal) swabs for human papillomavirus (HPV) testing as a screening strategy may obviate these barriers. This study elucidates cervical cancer screening preferences among TM individuals. TM individuals participated in in-depth interviews (n = 31) and online surveys (n = 32) to explore perceptions and experiences regarding cervical cancer screening, including the acceptability of self-collected frontal HPV swabs for cervical cancer screening compared to provider-administered Pap tests. Provider-collected frontal HPV swab acceptability was also explored. Most TM individuals (94% in-person and 91% online participants) preferred either the self- or provider-collected frontal HPV swab to the Pap test. Participants perceived self- and provider-collected frontal HPV swabs to be less invasive, provoke less gender discordance, and promote a greater sense of agency compared to Pap tests. However, some participants expressed concern about HPV swab accuracy and, regarding the self-collected swab, discomfort about the need to engage with genitals they may not want to acknowledge. Individuals who reported positive provider relationships found Pap tests and provider-collected frontal swabs more acceptable than those who did not. Frontal HPV swabs have the potential to promote regular cervical cancer screening among TM individuals and to narrow screening disparities. Work is ongoing to establish swab accuracy and develop shared decision-making tools.

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.

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.

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

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.

Practice Study Outpatient Psychotherapy - Switzerland (PAP-S) : Study design and feasibility (Revised edition)

OpenAIRE

Wyl, Agnes von; Crameri, Aureliano; Koemeda, Margit; Tschuschke, Volker; Schulthess, Peter

2016-01-01

Revised edition of Von Wyl, A., Crameri, A., Koemeda, M., Tschuchke, V. & Schulthess, P. (2013). The PAP-S (Practice of Ambulant Psychotherapy-Study), Switzerland: Study Design and Feasibility. Zurich University of Applied Sciences, Zurich. The original article was published in German: von Wyl, A., Crameri, A., Koemeda, M., Tschuschke, V. & Schulthess, P. (2013). Praxisstudie ambulante Psychotherapie Schweiz (PAP-S): Studiendesign und Machbarkeit. Psychotherapie-Wissenschaft, 1, 6-22; op...

Sviluppo e valutazione di test diagnostici per la sierodiagnosi di brucellosi suina

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Tiziana Di Febo

2012-06-01

Full Text Available Sono stati sviluppati una ELISA competitiva (c-ELISA, una ELISA indiretta (i-ELISA e un test immunologico DELFIA (Dissociation-Enhanced Lanthanide Fluorescence Immunoassay per la ricerca di anticorpi verso Brucella suis in sieri di maiale e cinghiale. I tre test prevedono l’utilizzo di un anticorpo monoclonale (MAb 4B5A verso l’LPS di Brucella (c-ELISA e DELFIA e di un anticorpo monoclonale (MAb 10C2G5 verso le IgG suine (i-ELISA. La specificità (Sp e la sensibilità (Se dei tre test sono le seguenti: per la c-ELISA Se e Sp = 100% con un valore di cut-off pari al 61.0% (B/B0%; per la i-ELISA Sp = 99.1% e Se = 100% con un valore di cut-off di 21.7% (PP%; per il DELFIA Sp = 91.0% e Se = 75% ponendo il valore di cut-off al 37.0% (B/B0%. Inoltre sono state valutate le performance, nei confronti di sieri suini, di un test FPA (Fluorescence Polarization Assay commerciale sviluppato per la ricerca di anticorpi anti-Brucella in sieri bovini; la specificità e la sensibilità ottenute sono entrambe del 100% al valore di cut-off di 99.5 (mP. Questi risultati suggeriscono che la combinazione di c-ELISA, i-ELISA e FPA può essere utilizzata per migliorare la diagnosi di brucellosi suina.

Pap smear receipt among Vietnamese immigrants: the importance of health care factors.

Science.gov (United States)

Taylor, Victoria M; Yasui, Yutaka; Nguyen, Tung T; Woodall, Erica; Do, H Hoai; Acorda, Elizabeth; Li, Lin; Choe, John; Jackson, J Carey

2009-12-01

Recent US data indicate that women of Vietnamese descent have higher cervical cancer incidence rates than women of any other race/ethnicity, and lower levels of Pap testing than white, black, and Latina women. Our objective was to provide information about Pap testing barriers and facilitators that could be used to develop cervical cancer control intervention programs for Vietnamese American women. We conducted a cross-sectional, community-based survey of Vietnamese immigrants. Our study was conducted in metropolitan Seattle, Washington, DC. A total of 1532 Vietnamese American women participated in the study. Demographic, health care, and knowledge/belief items associated with previous cervical cancer screening participation (ever screened and screened according to interval screening guidelines) were examined. Eighty-one percentage of the respondents had been screened for cervical cancer in the previous three years. Recent Pap testing was strongly associated (p<0.001) with having a regular doctor, having a physical in the last year, previous physician recommendation for testing, and having asked a physician for testing. Women whose regular doctor was a Vietnamese man were no more likely to have received a recent Pap smear than those with no regular doctor. Our findings indicate that cervical cancer screening disparities between Vietnamese and other racial/ethnic groups are decreasing. Efforts to further increase Pap smear receipt in Vietnamese American communities should enable women without a source of health care to find a regular provider. Additionally, intervention programs should improve patient-provider communication by encouraging health care providers (especially male Vietnamese physicians serving women living in ethnic enclaves) to recommend Pap testing, as well as by empowering Vietnamese women to specifically ask their physicians for Pap testing.

Development of an instrument based on the protection motivation theory to measure factors influencing women's intention to first pap test practice.

Science.gov (United States)

Hassani, Lale; Dehdari, Tahereh; Hajizadeh, Ebrahim; Shojaeizadeh, Davoud; Abedini, Mehrandokht; Nedjat, Saharnaz

2014-01-01

Given that there are many Iranian women who have never had a Pap smear, this study was designed to develop and validate a measurement tool based on the Protection Motivation Theory to assess factors influencing the Iranian women's intention to perform first Pap testing. In this psychometric research, to determine the Content Validity Index (CVI) and the Content Validity Ratio (CVR), a panel of experts (n=10) reviewed scale items. Reliability was estimated through the Intraclass Correlation Coefficient (n=30) and internal consistency (n=240). Also, factor analysis (exploratory and conformity) was performed on the data of the sample women who had never had a Pap smear test (n=240). A 26-item questionnaire was developed. The CVI and CVR scores of the scale were 0.89 and 0.90, respectively. Exploratory factor analysis loaded a 26-item with seven factors questionnaire (perceived vulnerability and severity, fear, response costs, response efficacy, self-efficacy, and protection motivation (or intention)) that jointly accounted for 72.76% of the observed variance. Confirmatory factor analysis indicated a good fit for the data. Internal consistency (range 0.70-0.93) and test-retest reliability (range 0.72-0.96) of sub-scales were acceptable. This study showed that the designed instrument was a valid and reliable tool for measuring the factors influencing the women's intention to perform their first Pap testing.

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

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.

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

International Nuclear Information System (INIS)

Konishi, Hiroyuki; Ogawa, Tokiko; Kawahara, Shinichi; Matsumoto, Sakiko; Kiyama, Hiroshi

2011-01-01

Research highlights: → We focused on the rat pituitary intermediate lobe (IL) under continuous stress (CS). → CS induced PAP-I and PAP-II expression in melanotrophs of the IL. → This gene induction was triggered by CS-related dopamine dysregulation. → 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 α-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.

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 (ptheory-based framework for developing educational interventions regarding Pap test practice in Iran.

Comparison of knowledge and attitudes toward human papillomavirus, HPV vaccine, pap tests, and cervical cancer between US and Peruvian women.

Science.gov (United States)

Han, Chi-Son; Ferris, Daron G; Waller, Jennifer; Tharp, Philip; Walter, Jessica; Allmond, Lynn

2012-04-01

The purpose of this study was to determine and compare the knowledge and attitudes toward human papillomavirus (HPV), HPV vaccine, Pap tests, and cervical cancer among US and Peruvian women. A convenience sample of 275 US women in Augusta, GA, and 702 Peruvian women living in or near Cusco, Peru, completed 22- or 21-item questionnaires, respectively. These questionnaires determined their knowledge about HPV, the HPV vaccine, Pap tests, and cervical cancer. Simple logistic regression was used to determine the relationship between location and language on the correct responses. Odds ratios (ORs) and 95% confidence intervals were calculated. US Spanish- (OR = 0.02), Quechua- (OR = 0.05), and Peru Spanish-speaking women (OR = 0.03) were significantly less likely to know that HPV causes cervical cancer compared with US non-Spanish-speaking women. US Spanish- (OR = 10.61, OR = 5.74), Quechua- (OR = 11.08, OR = 9.89), and Peru Spanish-speaking women (OR = 17.25, 14.43) were significantly more likely to be embarrassed and afraid, respectively, to get a Pap test compared with US non-Spanish-speaking women. US Spanish- (OR = 0.11), Quechua- (OR = 0.14), and Peru Spanish-speaking women (OR = 0.11) women were significantly less likely to know the HPV vaccine is safe and effective compared with US non-Spanish-speaking women. Education must be implemented to address serious misconceptions and worrisome attitudes toward Pap tests and the HPV vaccine to decrease the rate of cervical cancer in Peru and US Spanish-speaking women.

Pap Screening Goals and Perceptions of Pain among Black, Latina, and Arab Women: Steps toward Breaking down Psychological Barriers

Science.gov (United States)

Gauss, Julie W.; Mabiso, Athur; Williams, Karen Patricia

2013-01-01

BACKGROUND Understanding women’s psychological barriers to getting Papanicolaou (Pap) screening has potential to impact cancer disparities. This study examined pain perceptions of Pap testing among Black, Latina and Arab women and goal setting to receive Pap tests. METHODS Data on 420 women, a longitudinal study, were analyzed using Chi-square tests of differences and generalized linear mixed models. RESULTS At baseline, 30.3% of Black and 35.5% of Latina women perceived Pap tests to be very painful compared to 24.2% of Arab women. Perceptions of pain influenced goal settings, such as scheduling a first ever Pap test (Odds ratio = 0.58, 95% Confidence interval: 0.14-0.94). Immediately following the intervention, women’s perception that Pap tests are very painful significantly declined (P-valuetest is very painful significantly reduces the likelihood of Black, Latina and Arab women setting the goal to schedule their first ever Pap test. Latina women are the least likely to improve their perception that the Pap test is very painful, though national statistics show they have the highest rates of morbidity and mortality from cervical cancer. These findings are instructive for designing tailored interventions to break down psychological barriers to Pap screening among underserved women. PMID:23288606

Human papilloma virus testing knowledge and attitudes among women attending colposcopy clinic with ASCUS/LGSIL pap smears.

Science.gov (United States)

Le, T; Hicks, W; Menard, C; Boyd, D; Hewson, T; Hopkins, L; Kee Fung, M Fung

2004-09-01

To study women's knowledge regarding the role of human papilloma virus (HPV) in cervical intraepithelial neoplasia and their attitudes toward the integration of HPV testing as part of routine follow-up of atypical squamous cell of uncertain significance/low-grade squamous intraepithelial lesion (ASCUS/LGSIL) abnormalities. Over a 12-month period, all women attending the University of Ottawa colposcopy clinic for evaluation and follow-up of ASCUS/LGSIL Pap smears were recruited. Demographic data included age, nature of the Pap smear abnormality, gravidity, parity, occupation and education level, smoking history, previous history of abnormal smears, colposcopic examination and treatment, and current method of contraception. The women were asked to rate their level of concern over their Pap smear abnormality, from 0 (not concerned) to 10 (very concerned). Women's knowledge regarding the role of HPV in cervical intraepithelial neoplasia and the rationale behind the use of HPV testing was assessed by the clinic nurse as being minimal, moderate, or good, as defined by pre-specified criteria. Upon explanation by the nurses of the results of the recent ALTS (ASCUS/LGSIL Triage Study) trial, the women were asked to state whether they preferred to continue with regular colposcopic surveillance every 6 months, or to use the results of the HPV test, if negative, to reduce the number of colposcopy examinations to one annually. Descriptive statistics and logistic regression analysis were used to identify significant demographic factors associated with the women's preference for incorporation of HPV testing in their follow-up. All P values less than.10 were considered to be statistically significant, due to the exploratory nature of the study. Of the 100 women who participated in the study, 42% presented with ASCUS. The mean age (+/- SD) of the women was 33.63 +/- 11.25 years (range, 18-75 years); 66% were office workers with at least a community college degree, 86% reported

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)

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

Investigation of the Role of Training Health Volunteers in Promoting Pap Smear Test Use among Iranian Women Based on the Protection Motivation Theory.

Science.gov (United States)

Ghahremani, Leila; Harami, Zahra Khiyali; Kaveh, Mohammad Hossein; Keshavarzi, Sareh

2016-01-01

Cervical cancer is known as one of the most prevalent types of cancers and a major public health problem in developing countries which can be detected by Pap test, prevented, and treated. Despite the effective role of Pap test in decreasing the incidence and mortality due to cervical cancer, it is still one the most common causes of cancer-related deaths among women, especially in developing countries. Thus, this study aimed to examine the effect of educational interventions implemented by health volunteers based on protection motivation theory (PMT) on promoting Pap test use among women. This quasi-experimental study was conducted on 60 health volunteers and 420 women. The study participants were divided into an intervention and a control group. Data were collected using a valid self-reported questionnaire including demographic variables and PMT constructs which was completed by both groups before and 2 months after the intervention. Then, the data were entered into the SPSS statistical software, version 19 and were analyzed using Chi-square test, independent T-test, and descriptive statistical methods. P<0.05 was considered as statistically significant. The findings of this study showed that the mean scores of PMT constructs (i.e. perceived vulnerability, perceived severity, fear, response-costs, self-efficacy, and intention) increased in the intervention group after the intervention (P<0.001). However, no significant difference was found between the two groups regarding response efficacy after the intervention (P=0.06). The rate of Pap test use also increased by about 62.9% among the study women. This study showed a significant positive relationship between PMT-based training and Pap test use. The results also revealed the successful contribution of health volunteers to training cervical cancer screening. Thus, training interventions based on PMT are suggested to be designed and implemented and health volunteers are recommended to be employed for educational

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

Polyfluoroalkyl phosphate esters and perfluoroalkyl carboxylic acids in target food samples and packaging--method development and screening.

Science.gov (United States)

Gebbink, Wouter A; Ullah, Shahid; Sandblom, Oskar; Berger, Urs

2013-11-01

Polyfluoroalkyl phosphate mono-, di-, and tri-esters (mono-, di-, and triPAPs) are used to water- and grease-proof food packaging materials, and these chemicals are known precursors to perfluoroalkyl carboxylic acids (PFCAs). Existing analytical methods for PAPs lack sample clean-up steps in the sample preparation. In the present study, a method based on ultra performance liquid chromatography coupled to tandem mass spectrometry (UPLC/MS/MS) was developed and optimized for the analysis of mono-, di-, and triPAPs, including a clean-up step for the raw extracts. The method was applied to food samples and their PAP-containing packaging materials. The optimized UPLC/MS/MS method enabled the separation and identification of a total of 4 monoPAPs, 16 diPAPs, and 7 triPAPs in the technical mixture Zonyl®-RP. For sample clean-up, weak anion exchange solid phase extraction columns were tested. PAPs standard solutions spiked onto the columns were separated into a fraction containing neutral compounds (triPAPs) and a fraction with ionic compounds (mono- and diPAPs) with recoveries between 72-110%. Method limits of quantification for food samples were in the sub to low picogram per gram range. For quantitative analysis of PAPs, compound-specific labeled internal standards showed to be essential as sorption and matrix effects were observed. Mono-, di-, and/or triPAPs were detected in all food packaging materials obtained from the Swedish market. Up to nine diPAPs were detected in the food samples, with the 6:2/6:2 and 6:2/8:2 diPAPs as the dominant compounds. DiPAP concentrations in the food samples ranged from 0.9 to 36 pg/g, which was comparable to individual PFCA concentrations in the same samples. Consumption of food packed in PAP-containing materials could be an indirect source of human exposure to PFCAs.

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

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Rizwana B. Shaik

2012-11-01

Full Text Available 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.

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

[HPV-Hr detection by home self sampling in women not compliant with pap test for cervical cancer screening. Results of a pilot programme in Bouches-du-Rhône].

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Piana, Lucien; Leandri, François-Xavier; Le Retraite, Laurence; Heid, Patrice; Tamalet, Catherine; Sancho-Garnier, Hélène

2011-07-01

The non-participation to cervical screening is the major determinant in the risk of mortality due to cervical cancer. In France, around 40% of women do not participate to regular screening. The cultural or economic barriers for performing screening by Pap test are numerous; one of the most frequent is the refusal of gynaecological examination. A persistent HPV(HR) infection is a necessary factor for developing cervical cancer. The HPV(HR) testing has a high sensibility to detect high grade cervical intra-epithelial neoplasia (CIN 2-3) and a satisfactory specificity after 30-35 years old. The principal objective of this study was to compare the participation rates in women 35-69 years old who did not perform a Pap test after a first individual invitation, either when an HPV(HR) auto-test was offered to be performed at home or a second invitation to Pap test was sent. We also evaluated the quality of the two tests, the positive results obtained by age groups and the following histological type of lesions diagnosed in the women with positive results. The study included 9,334 women, 35-69 years old, who did not realized a Pap-test during the 2 previous years and who did not respond at a first individual invitation. These non-responders were randomized into two groups: one group (n=4,934) received a second individual invitation and the other (n=4,400) an offer of receiving and performing an HPV auto-test at home. In women 35-69 years the participation to the second invitation to Pap test was significantly lower (7.2%) than the participation to auto-test (26.4%) with Plaw rate is a consequence of an inversion of the ratio HPV 16 versus other types in women 60 years old and over. In this group, the follow-up of 36 women diagnosed five cases of CIN1, one of CIN2 and four of CIN3; 22 patients are lost of follow up at 6 months. Globally, in the studied population, an individual recall for pap test allowed to diagnose and treat 3 high grade lesions (7‰) and the dispatching

Relationship Between Pelvic Organ Prolapse and Non-Human Papillomavirus Pap Smear Abnormalities.

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Menhaji, Kimia; Harvie, Heidi S; Cheston, Emily; Levin, Pamela J; Arya, Lily A; Andy, Uduak U

2017-07-13

The aim of this study was to determine the association between pelvic organ prolapse (POP) and non-human papillomavirus (HPV) Papanicolaou (Pap) smear abnormalities. This was a retrospective cohort study of women aged 40 to 70 years who presented for consultation at our institution between 2010 and 2015 and had results of a Pap smear and HPV test available within 5 years of their visit. We extracted demographic information, medical and social history, Pap smear, and HPV results from the electronic medical record. Associations between the presence of POP and non-HPV Pap smear abnormalities were estimated using univariable and multivariable analyses. We reviewed 1590 charts and excluded 980 women, leaving 610 women in the study: 183 with POP and 427 without POP. Women with POP were significantly older (58.2 ± 7.2 vs 55.6 ± 6.6, P 10 year) history of abnormal Pap smear (24.0% vs 14.8%, P women with POP.

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...

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)

Educational intervention on knowledge of cervical cancer and uptake of Pap smear test among market women in Niger State, Nigeria.

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Gana, Godwin Jiya; Oche, Mansur O; Ango, Jessica Timane; Kaoje, Aminu Umar; Awosan, Kehinde Joseph; Raji, Ismail A

2017-12-31

Cervical cancer is the most common female genital tract carcinoma worldwide. It is increasingly becoming the leading carcinoma seen among women in the developing world. The aim of our study was to showcase the effect of educational intervention on the knowledge of cervical cancer and subsequently the uptake of Pap smear test amongst market women in Niger state, Nigeria. The state has a rich network of markets in all the local government areas because of the fishing activities, bountiful agricultural produce yearly and its situation to the North of the national capital, Abuja. This was a quasi-experimental study conducted in two groups with pre and post intervention data collection. Sample size was determined based on a previous similar study done in Nigeria. Multi stage sampling technique was used for recruiting the study participants. SPSS statistical software was used for data entry, editing and analysis. Respondents' knowledge of cervical cancer were comparable at pre-intervention but were statistically significantly better (P<0.0001) at post-intervention in the intervention group compared to the control group for every variable measured. However, there was only a (Fisher's exact, P=0.621) compared to the control group. This study showed an increase in knowledge about cervical cancer and Pap smear test however the uptake of Pap smear test remained low even after intervention. This underscores the need for sustained intervention programs to eventually translate knowledge acquired to habitual practice.

The clinical value of serum PSA and PAP determinations in prostate cancer patients

International Nuclear Information System (INIS)

Zeng Lei; Yu Renbo; Du Guowei; Pang Baozhong

2001-01-01

Objective: To investigate the clinical value of serum PSA and PAP determinations in diagnosis of prostate cancer patients. Methods: The serum PSA and PAP levels of 98 prostate cancer patients, 45 prostate benign disease patients and 40 normal subjects were tested by IRMA. Results: The serum PSA and PAP levels of prostate cancer patients were significantly higher than those in prostate benign disease patients and normal controls (P < 0.01). The diagnostic sensitivity and specificity of serum PSA for prostate cancer were 93.9% and 93.3% respectively. The diagnostic sensitivity and specificity of serum PAP for prostate cancer were 71.4% and 91.1% respectively. Conclusion: The determination of serum PSA and PAP was of high clinical value for diagnosis of early prostate cancer. It could be used as an important reference parameter for the clinical staging, follow-up of treatment result and prediction of prognosis

Evaluation and significance of hyperchromatic crowded groups (HCG in liquid-based paps

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Chivukula Mamatha

2007-01-01

Full Text Available Abstract Objective Hyperchromatic crowded groups (HCG, a term first introduced into the cytology literature by DeMay in 1995, are commonly observed in Pap tests and may rarely be associated with serious but difficult to interpret lesions. In this study, we specifically defined HCG as dark crowded cell groups with more than 15 cells which can be identified at 10× screening magnification. Methods We evaluated consecutive liquid-based (Surepath Pap tests from 601 women (age 17–74 years, mean age 29.4 yrs and observed HCG in 477 cases. In all 477 HCG cases, Pap tests were found to be satisfactory and to contain an endocervical sample. HCG were easily detectible at 10× screening magnification (size up to 400 um, mean 239.5 um and ranged from 1 to 50 (mean 19.5 per Pap slide. Results HCG predominantly represented 3-Dimensional groups of endocervical cells with some nuclear overlap (379/477 – 79%, reactive endocervical cells with relatively prominent nucleoli and some nuclear crowding (29/477 – 6%, clusters of inflammatory cells (25/477 – 5.2%, parabasal cells (22/477 – 4.6%, endometrial cells (1/477 – 0.2%. Epithelial cell abnormalities (ECA were present in only 21 of 477 cases (4.6%. 18 of 21 women with HCG-associated ECA were less than 40 years old; only 3 were =/> 40 years. HCG-associated final abnormal Pap test interpretations were as follows: ASCUS (6/21 – 28%, LSIL (12/21 – 57%, ASC-H (2/21 – 9.5%, and HSIL/CIN2-3 (3/21 – 14%. The association of HCG with ECA was statistically significant (p = 0.0174. chi-square test. In patients with ECA, biopsy results were available in 10 cases, and 4 cases of biopsy-proven CIN2/3 were detected. Among these four cases, HCG in the Pap tests, in retrospect represented the lesional high grade cells in three cases (one HSIL case and two ASC-H cases. Interestingly, none of the 124 cases without HCG were found to have an epithelial cell abnormality. Conclusion We conclude: a. HCG are observed

Papshop: Not a 'melon'choly Pap smear workshop!

African Journals Online (AJOL)

of cervical cancer will take several decades to be apparent. There are more effective ways of screening, such as HPV DNA testing,[2] ... ARTICLE. Papshop: Not a 'melon'choly Pap smear workshop! C Gordon, MB ChB, Diploma in HIV ...

Attitudes and factors affecting acceptability of self-administered cervicovaginal sampling for human papillomavirus (HPV) genotyping as an alternative to Pap testing among multiethnic Malaysian women

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Ma'som, Mahirah; Bhoo-Pathy, Nirmala; Nasir, Nazrila Hairizan; Bellinson, Jerome; Subramaniam, Shridevi; Ma, Yuntong; Yap, Siew-Hwei; Goh, Pik-Pin; Gravitt, Patti; Woo, Yin Ling

2016-01-01

Objective The objective of this study was to determine the attitudes and acceptability of self-administered cervicovaginal sampling compared with conventional physician-acquired Papanicolaou (Pap) smear among multiethnic Malaysian women. Method A cross-sectional study was carried out via interviewer-administered surveys from August 2013 through August 2015 at five government-run, urban health clinics in the state of Selangor. Subjects were participants from an ongoing community-based human papillomavirus (HPV) prevalence study who answered a standard questionnaire before and after self-sampling. The cervicovaginal self-sampling for HPV genotyping was performed using a simple brush (‘Just for Me’; Preventive Oncology International, Hong Kong). Detailed data on sociodemographics, previous Pap smear experience, and attitudes towards self-administered cervicovaginal sampling were collected and analysed. Acceptability was inferred using a five-item Likert scale that included six different subjective descriptives: experience, difficulty, convenience, embarrassment, discomfort or pain, and confidence in collecting one's own sample. Results Of the 839 participants, 47.9% were Malays, followed by 30.8% Indians, 18.8% Chinese and 2.5% from other ethnicities. The median age of the participants was 38 years (IQR 30–48). Some 68.2% of participants indicated a preference for self-sampling over the Pap test, with 95% indicating willingness to follow-up a positive result at the hospital. Age, ethnicity and previous Pap test experience were significant independent factors associated with preference for self-sampling. The older the individual, the less likely they were to prefer self-sampling (adjusted OR 0.94, 95% CI 0.90 to 0.98). The Chinese were less likely to prefer self-sampling (72.6%) than the Malays (85.1%) (adjusted OR 0.57, 95% CI 0.33 to 0.98, p=0.004). Participants who had never undergone a Pap smear were also more likely to prefer self-sampling (88.5%) than

Un modello e-learning di training per i test d'ingresso alla facoltà di scienze

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Manuela Moscucci

2011-12-01

Full Text Available Applicazione di un modello di interazione didattica in modalità e-learning, realizzato in una classe virtuale e finalizzato al superamento del test di ammissione all’Università.

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

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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.

Cervical pap smear- A prospective study in a tertiary hospital

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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.

Crystal structure of the P pilus rod subunit PapA.

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Denis Verger

2007-05-01

Full Text Available P pili are important adhesive fibres involved in kidney infection by uropathogenic Escherichia coli strains. P pili are assembled by the conserved chaperone-usher pathway, which involves the PapD chaperone and the PapC usher. During pilus assembly, subunits are incorporated into the growing fiber via the donor-strand exchange (DSE mechanism, whereby the chaperone's G1 beta-strand that complements the incomplete immunoglobulin-fold of each subunit is displaced by the N-terminal extension (Nte of an incoming subunit. P pili comprise a helical rod, a tip fibrillum, and an adhesin at the distal end. PapA is the rod subunit and is assembled into a superhelical right-handed structure. Here, we have solved the structure of a ternary complex of PapD bound to PapA through donor-strand complementation, itself bound to another PapA subunit through DSE. This structure provides insight into the structural basis of the DSE reaction involving this important pilus subunit. Using gel filtration chromatography and electron microscopy on a number of PapA Nte mutants, we establish that PapA differs in its mode of assembly compared with other Pap subunits, involving a much larger Nte that encompasses not only the DSE region of the Nte but also the region N-terminal to it.

Domain activities of PapC usher reveal the mechanism of action of an Escherichia coli molecular machine.

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Volkan, Ender; Ford, Bradley A; Pinkner, Jerome S; Dodson, Karen W; Henderson, Nadine S; Thanassi, David G; Waksman, Gabriel; Hultgren, Scott J

2012-06-12

P pili are prototypical chaperone-usher pathway-assembled pili used by Gram-negative bacteria to adhere to host tissues. The PapC usher contains five functional domains: a transmembrane β-barrel, a β-sandwich Plug, an N-terminal (periplasmic) domain (NTD), and two C-terminal (periplasmic) domains, CTD1 and CTD2. Here, we delineated usher domain interactions between themselves and with chaperone-subunit complexes and showed that overexpression of individual usher domains inhibits pilus assembly. Prior work revealed that the Plug domain occludes the pore of the transmembrane domain of a solitary usher, but the chaperone-adhesin-bound usher has its Plug displaced from the pore, adjacent to the NTD. We demonstrate an interaction between the NTD and Plug domains that suggests a biophysical basis for usher gating. Furthermore, we found that the NTD exhibits high-affinity binding to the chaperone-adhesin (PapDG) complex and low-affinity binding to the major tip subunit PapE (PapDE). We also demonstrate that CTD2 binds with lower affinity to all tested chaperone-subunit complexes except for the chaperone-terminator subunit (PapDH) and has a catalytic role in dissociating the NTD-PapDG complex, suggesting an interplay between recruitment to the NTD and transfer to CTD2 during pilus initiation. The Plug domain and the NTD-Plug complex bound all of the chaperone-subunit complexes tested including PapDH, suggesting that the Plug actively recruits chaperone-subunit complexes to the usher and is the sole recruiter of PapDH. Overall, our studies reveal the cooperative, active roles played by periplasmic domains of the usher to initiate, grow, and terminate a prototypical chaperone-usher pathway pilus.

Application of the Perceptual Factors, Enabling and Reinforcing Model on Pap Smaear Screening in Iranian Northern Woman

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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.

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....... The algorithms are methodologically similar, and are based on iterations of the form employed in the Levenberg-Marquardt (LM) method for non-linear least squares problems with the inclusion of an additional adaptive momentum term arising from the formulation of the training task as a constrained optimization...

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.

L’ELICITED ORAL IMITATION TEST COME STRUMENTO DI MISURAZIONE DELLE CONOSCENZE IMPLICITE E DELLE ABILITÁ DI PROCESSING

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Ilaria Borro

2016-02-01

Full Text Available Lo studio esamina la validità dell’Elicited Oral Imitation Test (EI nella misurazione delle conoscenze implicite e delle strategie di processing. Si basa sull’ipotesi elaborata da Erlam secondo il quale l’EI è ricostruttivo, cioè richiede agli apprendenti di processare l’input orale e non di ripeterlo meccanicamente. La struttura misurata nello studio è il participio passato: la scelta è motivata dal fatto che si tratta di una struttura problematica a diversi livelli di competenza e richiede la capacità di processare tratti morfologici e sintattici allo stesso tempo (Salvi, Vanelli, 2004.I partecipanti sono 26 studenti cinesi di livello A2 e B1 che, all'epoca, avevano frequentato per circa 400 ore un corso di lingua italiana all'Università degli Studi di Milano. Lo studio utilizza, oltre all’EI, altre due forme di valutazione: un Untimed Grammaticality Judgment Test (UGJT e un Metalinguistic Knowledge Test (MKT. Lo studio ha dimostrato che l'EI ha un debole correlazione con  l'UGJT e con l’MKT, a conferma del fatto che gli studenti hanno fatto affidamento su due tipi di competenze differenti che possono essere identificate con le conoscenze implicite e il processing nel caso dell'EI e con le conoscenze esplicite nel caso dell’UGJT e dell’MKT. I dati raccolti nello studio hanno anche evidenziato una correlazione tra UGJT e MKT a riprova che i due tipi di valutazione richiedono competenze basata su costrutti simili.  The elicited oral imitation test as a tool for measurement of knowledge and skills of implied processingThe study examined the validity of the Elicited Oral Imitation Test (EI in the measurement of implicit knowledge and processing strategies. It is based on the hypothesis developed by Erlam that EI is reconstructive, requiring learners to process oral input and not to repeat it mechanically. The structure measured in the study was the past participle: this choice was motivated by the fact that it is a

ThinPrep Pap-smear and cervical intraepithelial neoplasia in reproductive-aged Thai women.

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Rugpao, S; Koonlertkit, S; Ruengkrist, T; Lamlertkittikul, S; Pinjaroen, S; Limtrakul, A; Werawatakul, Y; Sinchai, W

2009-06-01

To estimate the incidence of abnormal cervical cytology by ThinPrep Pap-tests and cervical intraepithelial neoplasia (CIN) in young adult reproductive-aged Thai women. A total of 1254 women distributed in all regions of Thailand were monitored from 2002 through 2004. Women were screened for abnormal cervical cytology using the ThinPrep method every 6 months. Interpretation of cervical cytology was based on the Bethesda system, version 2001. Women who had the ThinPrep Pap results as atypical squamous cells of undetermined significance or worse underwent colposcopic examination. The ThinPrep and all cervical tissue samples obtained from diagnostic or therapeutic procedures were analyzed and reviewed by Covance Central Laboratory Service, Inc., Indianapolis, USA. The cumulative incidence of abnormal ThinPrep Pap-tests was as follows: 15.3 per 100 woman years (WY) (95% confidence interval [CI] 12.3, 18.9) at 6 months; 12.3 per 100 WY (95% CI 10.3, 14.6) at 12 months; and 11.6 per 100 WY (95% CI 10.0, 13.5) at 18 months. Of 1448.6 woman years of follow up, the incidence of CIN1 was 4.1 per 100 WY (95% CI 3.2, 5.3); CIN2 0.8 per 100 WY (95% CI 0.4, 1.4); and CIN3 0.6 per 100 WY (95% CI 0.3, 1.2). The incidence of abnormal ThinPrep Pap-test and CIN in young adult Thai women had been reported. No comparable data is available.

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

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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

First experiences with commercial RIA kits for prostatic acid phosphatase (PAP)

Energy Technology Data Exchange (ETDEWEB)

Boettger, I; Langhammer, H; Pabst, H W; Sintermann, R

1980-06-01

Five commercial PAP RIA kits were intercompared by common RIA quality control criteria. All RIAs performed basically well although some differences existed in respect to concentration range, specific and non-specific binding, 50%-intercept, sensitivity and measurements of serum PAP in male and female controls. The latter finding may have been due to differences in antigen purity, antiserum specificity and composition of the assay medium employed. Good correlation was found between PAP determination by RIA and by enzyme assay. First measurements of PAP in patients treated for prostatic carcinoma being performed for orientation purposes are demonstrated. The PAP RIA has been introduced into our routine diagnostic and follow-up of prostatic carcinoma.

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.

Bacterial vaginosis, aerobic vaginitis, vaginal inflammation and major Pap smear abnormalities.

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Vieira-Baptista, P; Lima-Silva, J; Pinto, C; Saldanha, C; Beires, J; Martinez-de-Oliveira, J; Donders, G

2016-04-01

The purpose of this investigation was to evaluate the impact of the vaginal milieu on the presence of abnormal Pap smears and a positive human papilloma virus (HPV) test. A cross-sectional study was conducted between June 2014 and May 2015, evaluating the vaginal discharge by fresh wet mount microscopy and comparing these data with Pap smear findings. Wet mount slides were scored for bacterial vaginosis (BV), aerobic vaginitis (AV), presence of Candida and Trichomonas vaginalis. Cytologic evaluation was done on all Pap smears according to the Bethesda criteria. The cobas© HPV Test (Roche) was performed for HPV detection. A total of 622 cases were evaluated. The mean age of the patients was 41.6 ± 10.65 years (range 21-75). Eighty-three women (13.3 %) had a cytology result worse than low-grade squamous intraepithelial lesion (LSIL). When comparing this group with the one with normal or minor [atypical squamous cells of undetermined significance (ASC-US) or LSIL] Pap smear abnormalities, there were no differences in the presence of Candida (32.5 % vs. 33.2 %, p = 1.0), absence of lactobacilli (38.6 % vs. 32.5 %, p = 0.32) or BV (20.5 % vs. 13.2 %, p = 0.09). On the other hand, moderate or severe inflammation (msI) (41.0 % vs. 28.8 %, p = 0,04), moderate or severe AV (msAV) (16.9 % vs. 7.2 %, p = 0.009) and msAV/BV (37.3 % vs. 20.0 %, p = 0.001) were more common in women with such major cervical abnormalities. No significant association was found between deviations of the vaginal milieu and high-risk HPV infection. The presence of msI or msAV, but not BV, is independently associated with an increased risk of major cervical cytological abnormalities, but not with HPV infection.

Roles of phagocytosis activating protein (PAP) in Aeromonas hydrophila infected Cyprinus carpio.

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Wonglapsuwan, Monwadee; Kongmee, Pataraporn; Suanyuk, Naraid; Chotigeat, Wilaiwan

2016-06-01

Cyprinus carpio (koi) is one of the most popular ornamental fish. A major problem for C. carpio farming is bacterial infections especially by Aeromonas hydrophila. Previously studies had shown that the Phagocytosis Activating Protein (PAP) gene was involved in the innate immune response of animals. Therefore, we attempted to identify a role for the PAP gene in the immunology of C. carpio. The expression of the PAP was found in C. carpio whole blood and increased when the fish were stimulated by inactivated A. hydrophila. In addition, PAP-phMGFP DNA was injected as an immunostimulant. The survival rate and the phagocytic index were significantly increased in the A. hydrophila infected fish that received the PAP-phMGFP DNA immunostimulant. A chitosan-PAP-phMGFP nanoparticle was then developed and feeded into fish which infected with A. hydrophila. These fish had a significantly lower mortality rate than the control. Therefore, this research confirmed a key role for PAP in protection fish from bacterial infection and the chitosan-PAP-phMGFP nanoparticle could be a good prototype for fish immunostimulant in the future. Copyright © 2016 Elsevier Ltd. All rights reserved.

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.

Prevalence of human papilloma virus in cervical smear by DNA PCR testing and its comparison with pap smear

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Sushil Kumar

2013-01-01

Discussion: The study reveals HPV prevalence rate of 28.3% in women attending gynaecology OPD of a tertiary care hospital and also prevalence of HPV was found to be highest in sexually active individuals with parity of 3 or more. These results are in agreement to many published national and international studies [12,13,14]. The study results also indicate lower sensitivity and higher specificity of Pap smear in detecting HPV infection, however it still remains the most important practicably available test in early detection of cervical carcinoma.

Evaluating the Pap Smear Reports of Pathology Laboratories in Ahvaz, Iran

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Shirin Zargar Shoushtari

2016-07-01

Full Text Available Background & aim: Pap smear is a screening procedure for cervical cancer. The incidence and mortality rate of cervical cancer has decreased up to 90% in the regular screening in women aged 20-65 years. This study aimed to investigate the Pap smear reports of pathology laboratories in Ahvaz, Iran. Methods: In this cross-sectional study, 1,006 Pap smear reports were collected from pathology laboratories via cluster sampling method. Data was analyzed by a self-structured questionnaire. In addition, variables such as age, type of infection, grade of inflammation, metaplastic changes, and epithelial cell abnormalities in cervix were studied in this study. Data analysis was performed in SPSS V.16.0 using descriptive analysis, ANOVA, Fisher’s exact, and Chi-square tests. Results: While no infection was reported in 94.43% (n=950 of cases, the highest incidence rate of infections in the remaining samples (5.56%, n=56 was related to Candida Albicans (4.77%, n=48. Various grades of inflammation were reported in 83.69% (n=842 of the samples. Moreover, the highest grade of inflammation in fungal infections was 2+, whereas the grades in Trichomonas and bacterial infections were 1+ and 3+, respectively. Cervical dysplasia and metaplasia were reported in 0.29% (n=3 and 1.19% (n=12 of the cases, respectively. Conclusion: The prevalence of cervical-vaginal infections, cervical metaplasia, and dysplasia were relatively low in Pap smear reports of laboratories in Ahvaz.

KLASIFIKASI INTI SEL PAP SMEAR BERDASARKAN ANALISIS TEKSTUR MENGGUNAKAN CORRELATION-BASED FEATURE SELECTION BERBASIS ALGORITMA C4.5

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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

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

[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.

.\tA Study on Cervical Pap Smear Examination in Patient Living with HIV.

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Dr. Devanshi Gosai

2016-12-01

Full Text Available Background: Extensive screening programme of cervical Pap smear examination can detect the precancerous and cancerous lesions at an early stage and mortality & morbidity due to these lesions can be reduced. HPV infection is a known etiological agent for cervical cancer. HIV infected women are at higher risk of contracting HPV infection due to immune compromised status. Objective: Present study has been undertaken mainly to detect precancerous & cancerous lesions as well as inflammatory lesions in female patients living with HIV & to emphasize the fact that Pap smear examination should be established as a part of routine protocol for examination in HIV infected women. Methods: The study was carried out on 369 HIV infected females attending Integrated Counselling &Testing Centre of government institute. As controls, 142 females (not falling under high risk category, attending the Obstetrics& Gynaecology OPD with various gynaecological complaints were taken & results were compared. Results: Squamous cell abnormalities were found about four times high as compared to control group. High incidences of squamous cell abnormalities were noted in patients with high parity (parity three or more. Conclusion: Regular gynaecological examination including Pap smear examinations is highly recommended for HIV infected females. Pap smear examination is a simple, cheap, safe & practical diagnostic tool for early detection of cervical cancer in high risk population.

Cobertura e motivos para a realização ou não do teste de Papanicolaou no Município de São Paulo Cervical cancer screening in the Municipality of São Paulo: coverage and factors involved in submitting to the Pap test

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Adriana de Araujo Pinho

2003-01-01

Full Text Available Investigou-se a prevalência da realização do teste de Papanicolaou alguma vez na vida e nos últimos três anos entre mulheres de 15 a 49 anos, o recebimento do resultado do último teste realizado e os motivos relatados para a realização ou não do exame. Um inquérito domiciliar foi realizado no Município de São Paulo em 2000, com uma amostra representativa de 1.172 mulheres selecionadas aleatoriamente em seus domicílios. Das mulheres que já tinham iniciado a vida sexual (n = 1.050, 86,1% (932 realizaram o teste alguma vez na vida e 77,3 % (839 nos últimos três anos. Das que já realizaram o teste, 806 (87,0% receberam o resultado do último exame. Os principais motivos para a realização do último teste foram: demanda espontânea (55,5%, recomendação médica (25% e presença de queixas ginecológicas (18,2%. As principais razões para a não realização do exame foram: ausência de problemas ginecológicos, vergonha ou medo e dificuldades de acesso. A despeito do relativo aumento na cobertura do teste de Papanicolaou e de mais da metade das mulheres demandarem espontaneamente pelo exame, sua realização foi menor entre aquelas com as piores condições sócio-econômicas e, portanto, de maior risco para o câncer cervical.This study estimated Pap smear coverage (at least one test in the lifetime and one in the last three years among women aged 15 to 49 years old. The study also discusses whether the women received the results of their last test, as well as self-reported reasons for and against submitting to the test. A population-based survey was conducted in the city of São Paulo in 2000 with a randomly selected representative sample of 1,172 women. Among the women who were already sexually active (n = 1,050, 86.1% reported having had at least one Pap smear during their lifetime, and 77.3% had undergone the test in the previous 3 years. Among those who reported having had at least one Pap smear, 87.0% had received the

High prevalence of abnormal Pap smears among young women co ...

African Journals Online (AJOL)

Standardised questionnaires were used to collect sociodemographic and clinical presentation data from women attending family planning and other reproductive health services. Pap smears were done using standard methods. Pap smear data were linked to HIV serostatus. Results. Four hundred and sixty-six women were ...

Rationale and design of the iPap trial: a randomized controlled trial of home-based HPV self-sampling for improving participation in cervical screening by never- and under-screened women in Australia

International Nuclear Information System (INIS)

Sultana, Farhana; Gertig, Dorota M; English, Dallas R; Simpson, Julie A; Brotherton, Julia ML; Drennan, Kelly; Mullins, Robyn; Heley, Stella; Wrede, C David; Saville, Marion

2014-01-01

Organized screening based on Pap tests has substantially reduced deaths from cervical cancer in many countries, including Australia. However, the impact of the program depends upon the degree to which women participate. A new method of screening, testing for human papillomavirus (HPV) DNA to detect the virus that causes cervical cancer, has recently become available. Because women can collect their own samples for this test at home, it has the potential to overcome some of the barriers to Pap tests. The iPap trial will evaluate whether mailing an HPV self-sampling kit increases participation by never- and under-screened women within a cervical screening program. The iPap trial is a parallel randomized controlled, open label, trial. Participants will be Victorian women age 30–69 years, for whom there is either no record on the Victorian Cervical Cytology Registry (VCCR) of a Pap test (never-screened) or the last recorded Pap test was between five to fifteen years ago (under-screened). Enrolment information from the Victorian Electoral Commission will be linked to the VCCR to determine the never-screened women. Variables that will be used for record linkage include full name, address and date of birth. Never- and under-screened women will be randomly allocated to either receive an invitation letter with an HPV self-sampling kit or a reminder letter to attend for a Pap test, which is standard practice for women overdue for a test in Victoria. All resources have been focus group tested. The primary outcome will be the proportion of women who participate, by returning an HPV self-sampling kit for women in the self-sampling arm, and notification of a Pap test result to the Registry for women in the Pap test arm at 3 and 6 months after mailout. The most important secondary outcome is the proportion of test-positive women who undergo further investigations at 6 and 12 months after mailout of results. The iPap trial will provide strong evidence about whether HPV self

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.

Impiego di materiali plastici nell'industria alimentare: rilascio di 'Endocrine Disruptors' valutato mediante test a breve termine in vitro

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D. Reali

2003-05-01

Full Text Available

Obiettivi: valutazione del rischio di esposizione della popolazione a composti chimici estrogenomimetici rilasciati da materiali plastici utilizzati nell’industria delle bevande e nel packaging di alimenti

Metodi: messa a punto di un metodo di estrazione di composti organici da flussi acquosi tramite l’uso di resine di amberlite® XAD®-2 con passaggio di matrice acquosa (50ml/min attraverso tubi di adduzione. L’analisi chimica di eventuali composti chimici migranti da tubi e contenitori per bevande è stata effettuata con GC/MS e arricchimento con tecnica SPME. L’attività estrogeno mimetica degli estratti è stata saggiata con un test biologico a breve termine, il Yeast Estrogen Screen. Il costrutto di Saccharomyces cerevisiae è vettore di sequenze di DNA che codificano il recettore estrogenico alfaumano e i rispettivi response elements legati alla regione promotrice del gene reporter LacZ per la ßgalattosidasi. L’induzione di sintesi di ß-galattosidasi dipende dall’attivazione del gene reporter conseguente all’affinità di legame ligando-recettore e viene misurata spettrofotometricamente. La potenza estrogenica viene calcolata in riferimento all’attività elicitata dall’ormone naturale 17ß-estradiolo nelle stesse condizioni sperimentali preso come controllo positivo di riferimento (RIE.

Risultati preliminari e Conclusioni: l’analisi tossicologica in vitro ha evidenziato che nell’acqua che è stata a contatto con silicone e PVC in condizioni dinamiche sono presenti composti chimici (1-10 μg/lt: con attività estrogeno-mimetica (RIE= 87.31;44.28. Sono emersi aspetti interessanti da studiare ulteriormente nell’ottica della promozione della sicurezza alimentare.

Screening mammography interpretation test: more frequent mistakes; Laboratorio di radiologia-Modulo di senologia: errori piu' frequenti

Energy Technology Data Exchange (ETDEWEB)

Gozzi, Gino; Ganzetti, Alessandra [U.O. Radiologia P.O. Sant' Anna, Como (Italy); Martinoli, Carlo; Bacigalupo, Lorenzo [Genova Univ., Genova (Italy). U.O. Radiologia Clinica; Conti, Giovanni Maria [Istituto di Radiologia Ospedali Riuniti, Parma (Italy); Bodini, Maria; Fiorentino, Carla; Marini, Ugo Paolo [P.O. Cremonese Azienda Istituti Ospedalieri, Cremona (Italy). Servizio di Radiologia; Santini, Dolores [Azienda USL Modena Poliambulatori Distretto 3, Modena (Italy). Screening Mammografico

2005-03-01

disease in 5 cases, surgical scar in 1 case, ABBI scar in 1 case, radial scar in 2 cases, microcalcifications that had remained stable for years in 2 cases, focal sclero-adenosis in 1 case and sclero-elastosis in 1 case. Conclusions: The errors were due to microcalcifications, benign disease simulating a neoplasm, overlapping tissue, visibility of a lesion in one projection only, lesion site in relation to the corpus mammae, missed areas of asymmetry. Attention must be paid to these signs of focal breast disease since, if correctly evaluated, they enable the early diagnosis of low-grade carcinomas that frequently carry a favourable prognosis. [Italian] Scopo: Analizzare i casi mammografici piu' errati fra i partecipanti al test di autovalutazione in mammografia (Mx) proposto al Congresso Nazionale della SIRM a Rimini nel 2002, verificandone i rilievi semeiologici che hanno indotto all'errore, discutendone le motivazioni e valutando gli eventuali errori di impostazione degli Organizzatori. Materiale e metodi: E' stata proposta una casistica mammografica di 160 casi (32 positivi e 128 negativi per patologia neoplasica all'istologia) basata sulle quattro proiezioni standard e disposta su quattro diafanoscopi a pannelli multipli, con 40 casi per uno ed equivalente proporzione benigno/maligno. I partecipanti disponevano di schede prestampate dove riportare il proprio giudizio diagnostico. Sono state valutate 134 schede compilate con completezza. Sono stati isolati i 23 casi piu' errati da oltre 15 partecipanti con percentuale variabile fra 40-90%. Di questi casi 10 erano lesioni maligne e 13 erano mammografie negative. Nella revisione si e' inoltre valutato l'apporto delle indagini complementari (non a disposizione dei partecipanti) alla corretta diagnosi. Risultati: Dall'analisi delle 134 schede compilate in maniera completa (tutti i 40 casi) e' risultato un numero complessivo di 5360 risposte, 1180 di esse (22,01%) risultate

Bone scintigraphy, plasma ALP, TAP and PAP in patients with prostatic cancer

International Nuclear Information System (INIS)

Imamura, Akihiko; Hoshi, Hiroaki; Jinnouchi, Seishi; Samejima, Masahiko; Watanabe, Katsushi

1988-01-01

This study assessed the ability of bone scintigraphy, alkaline phosphatase (ALP), total acid phosphatase (TAP), and prostatic acid phosphatase (PAP) to diagnose bone metastasis in a series of 62 patients with histologically proven prostatic cancer. Abnormal uptake was seen on the bone scan in 49 patients (79 %). A final diagnosis of bone metastasis was made in 40 patients (65 %). The sensitivity and specificity were 100 % and 59 %, respectively, for bone scintigraphy; 50 % and 96 % for ALP; 65 % and 82 % for TAP; and 73 % and 77 % for PAP. For 40 patients with bone metastasis, all of the ALP, TAP, and PAP were positive in 17 patients (43 %) and negative in 8 patients (20 %). Higher levels of ALP, TAP, and PAP tended to be associated with more extensive bone metastasis. Although serological examination showed lower sensitivity than bone scintigraphy in the diagnosis of bone metastasis, PAP may be most frequently used as a screening procedure of bone metastasis. (Namekawa, K.)

Time-dependent effect of p-Aminophenol (PAP) toxicity in renal slices and development of oxidative stress

International Nuclear Information System (INIS)

Harmon, R. Christopher; Terneus, Marcus V.; Kiningham, Kinsley K.; Valentovic, Monica

2005-01-01

p-Aminophenol (PAP), a metabolite of acetaminophen, is nephrotoxic. This study investigated PAP-mediated changes as a function of time that occur prior to loss of membrane integrity. Experiments further evaluated the development of oxidative stress by PAP. Renal slices from male Fischer 344 (F344) rats (N = 4-6) were exposed to 0.1, 0.25, and 0.5 mM PAP for 15-120 min under oxygen and constant shaking at 37 o C. Pyruvate-stimulated gluconeogenesis, adenine nucleotide levels, and total glutathione (GSH) levels were diminished in a concentration- and time-dependent manner prior to detection of a rise in lactate dehydrogenase (LDH) leakage. Glutathione disulfide (GSSG) levels were increased by PAP suggesting the induction of oxidative stress. Western blot analysis confirmed a rise in 4-hydroxynonenal (4-HNE)-adducted proteins in tissues exposed to 0.1 and 0.25 mM PAP for 90 min. The appearance of 4-HNE-adducted proteins at the 0.1 mM concentration of PAP occurred prior to development of increased LDH leakage. Pretreatment with 1 mM glutathione (GSH) for 30 min only partially reduced PAP toxicity as LDH values were less severely depleted relative to tissues not pretreated with GSH. In contrast, pretreatment for 15 min with 2 mM ascorbic acid completely protected against PAP toxicity. Further studies showed that ascorbic acid pretreatment prevented PAP-mediated depletion of GSH. In summary, PAP rapidly depletes GSH and adenine nucleotides and inhibits gluconeogenesis prior to a rise in LDH leakage. PAP induces oxidative stress as indicated by an increase in GSSG and 4-HNE-adducted proteins. Ascorbic acid pretreatment prevents PAP toxicity by maintaining GSH status

How group education impacts female factory workers' behavior and readiness to receive mammography and Pap smear.

Science.gov (United States)

Seven, Memnun; Bahar, Mine; Akyüz, Aygül; Erdoğan, Hatice

2015-01-01

The workplace has been deemed a suitable location for educating many women at once about cancer screening. To determine how group education about early diagnostic methods for breast and cervical cancer effects women's behavior and readiness to receive mammography and Pap smear. This semi-interventional study was conducted at a textile factory in Istanbul, Turkey. Female workers (n= 125) were included in the study. A participant identification form and knowledge evaluation form developed for this study, along with the transtheoretical model, were used to collect data. A 45-min interactive group education was given to the participants. Upon contacting participants 3 months after group education, 15.4% (n = 11) stated that they had since received a mammogram and 9.8% (n = 7) a Pap smear. As suggested by the transtheoretical model, group education increased participants' readiness to receive cancer screening, along with their knowledge of breast and cervical cancer. Group education positively impacted women's knowledge of cancer and their readiness to receive mammography and Pap smear. Group education can potentially create awareness of cancer screening tests among women and improve their readiness to receive such tests.

Cervical cytology screening - knowledge, attitudes and practice in a ...

African Journals Online (AJOL)

Rass Bailie, William Pick, Di Cooper ... Of these women, most had obtained their information from the midwife obstetric unit (MOU), and this was the most commonly reported facility where Pap tests were known to be done. ... More than onethird of interviewees reported haVing had a Pap test (37.2%; 95% Cl 29.8 - 44.8%).

Rates of initial acceptance of PAP masks and outcomes of mask switching.

Science.gov (United States)

Bachour, Adel; Vitikainen, Pirjo; Maasilta, Paula

2016-05-01

Recently, we noticed a considerable development in alleviating problems related to positive airway pressure (PAP) masks. In this study, we report on the initial PAP mask acceptance rates and the effects of mask switching on mask-related symptoms. We prospectively collected all cases of mask switching in our sleep unit for a period of 14 months. At the time of the study, we used ResMed™ CPAP devices and masks. Mask switching was defined as replacing a mask used for at least 1 day with another type of mask. Changing to a different size but keeping the same type of mask did not count as mask switching. Switching outcomes were considered failed if the initial problem persisted or reappeared during the year that followed switching. Our patient pool was 2768. We recorded 343 cases of mask switching among 267 patients. Of the 566 patients who began new PAP therapy, 108 (39 women) had switched masks, yielding an initial mask acceptance rate of 81 %. The reason for switching was poor-fit/uncomfortable mask in 39 %, leak-related in 30 %, outdated model in 25 %, and nasal stuffiness in 6 % of cases; mask switching resolved these problems in 61 %. Mask switching occurred significantly (p = 0.037) more often in women and in new PAP users. The odds ratio for abandoning PAP therapy within 1 year after mask switching was 7.2 times higher (interval 4.7-11.1) than not switching masks. The initial PAP mask acceptance rate was high. Patients who switched their masks are at greater risk for abandoning PAP therapy.

Awareness of cervical cancer and Pap smear among nursing staff at a rural tertiary care hospital in Central India.

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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.

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.

The effect of health education on the knowledge, attitude, and uptake of free Pap smear among female teachers in Birnin-Kebbi, North-Western Nigeria.

Science.gov (United States)

Adamu, A N; Abiola, A O; Ibrahim, Mto

2012-01-01

The Routine Pap smear test has successfully reduced the incidence of invasive cervical cancer in the presence of a proper structure for its implementation. This study was designed to assess the effect of health education on the knowledge, attitude, and uptake of Pap smear among female teachers. It was a quasi-experimental, controlled study with a pre-test, post-test design. A total of 100 respondents were recruited for each of the intervention and control groups, by the multistage sampling technique. The mean knowledge score of cervical cancer was low in both the interventions (25.5% ± 10.5) and control groups (18.9% ± 10.0) at baseline; a significant rise to 57.2% ± 20.7 was recorded after the intervention in the Intervention group (Pfree Pap smear was poor at the post-intervention phase in both the groups (P=0.45). Reported reasons for poor uptake included the respondents' dislike for the test (38.4%) and the belief that the test was not necessary (24.4%). About 20% of the respondents did not have any reason at all. Health education had no significant effect on the uptake of a free Pap smear among teachers. Despite the significant improvement in the attitude toward the test, many respondents did not like the test after than before the intervention. Sociocultural issues such as the gender of the sample collector, and system factors like few service delivery points, and the time required to access the service could have contributed to the poor uptake recorded in this study. A program designed to improve routine cervical cancer screening by Pap smear should therefore address not only the knowledge and cost, but also the sociocultural and systemic factors.

Metode Tracer Test untuk Mencari Hubungan Antar Sistem Sungai Bawah Tanah Di Akuifer Karst

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Harjito Harjito

2015-08-01

Full Text Available Problem yang umum dijumpai di kawasan karst adalah mengenai ketersediaan air, mengingat kondisi hidrologi kawasan karst yang berbeda dengan kawasan lain. Ditinjau dari sisi lain, masyarakat di sekitar kawasan rencana perluasan eksploitasi masih memanfaatkan mata air yang daerah tangkapannya berasal dari perbukitan batu gamping untuk memenuhi kebutuhan air domestik dan irigasi pertanian. Dengan demikian, perlu adanya penelitian hidrologi karst lebih lanjut terutama mengenai keberadaan sistem jaringan yang saling terhubung di dalam kawasan rencana perluasan eksploitasi dan sekitarnya. Studi ini diharapkan dapat menjadi pertimbangan terhadap kebijakan yang akan diambil sebagai upaya untuk dapat melakukan pengelolaan potensi tersebut sebaik-baiknya. Tracer test dilakukan sebagai bentuk follow-up dari survei gua dan sinkhole yang ada di sekitar area tambang. Tracer test dilakukan untuk mengetahui konektivitas aliran pada sistem gua berair dan mata air Cipintu. Berdasarkan hasil penelitian potensi debit air di Mata air Cipintu sebesar 18,55 liter/s dan mengindikasikan adanya konektivitas antara gua berair dengan Mata air Cipintu. Kata kunci : karst, hidrologi, tracer test, eksploitasi

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

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 ...

PAP-1, the mutated gene underlying the RP9 form of dominant retinitis pigmentosa, is a splicing factor

International Nuclear Information System (INIS)

Maita, Hiroshi; Kitaura, Hirotake; Keen, T. Jeffrey; Inglehearn, Chris F.; Ariga, Hiroyoshi; Iguchi-Ariga, Sanae M.M.

2004-01-01

PAP-1 is an in vitro phosphorylation target of the Pim-1 oncogene. Although PAP-1 binds to Pim-1, it is not a substrate for phosphorylation by Pim-1 in vivo. PAP-1 has recently been implicated as the defective gene in RP9, one type of autosomal dominant retinitis pigmentosa (adRP). However, RP9 is a rare disease and only two missense mutations have been described, so the report of a link between PAP-1 and RP9 was tentative. The precise cellular role of PAP-1 was also unknown at that time. We now report that PAP-1 localizes in nuclear speckles containing the splicing factor SC35 and interacts directly with another splicing factor, U2AF35. Furthermore, we used in vitro and in vivo splicing assays to show that PAP-1 has an activity, which alters the pattern of pre-mRNA splicing and that this activity is dependent on the phosphorylation state of PAP-1. We used the same splicing assay to examine the activities of two mutant forms of PAP-1 found in RP9 patients. The results showed that while one of the mutations, H137L, had no effect on splicing activity compared with that of wild-type PAP-1, the other, D170G, resulted in both a defect in splicing activity and a decreased proportion of phosphorylated PAP-1. The D170G mutation may therefore cause RP by altering splicing of retinal genes through a decrease in PAP-1 phosphorylation. These results demonstrate that PAP-1 has a role in pre-mRNA splicing and, given that three other splicing factors have been implicated in adRP, this finding provides compelling further evidence that PAP-1 is indeed the RP9 gene

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

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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.

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

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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.

Recombinant mouse PAP has pH-dependent ectonucleotidase activity and acts through A(1-adenosine receptors to mediate antinociception.

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Nathaniel A Sowa

Full Text Available Prostatic acid phosphatase (PAP is expressed in nociceptive neurons and functions as an ectonucleotidase. When injected intraspinally, the secretory isoforms of human and bovine PAP protein have potent and long-lasting antinociceptive effects that are dependent on A(1-adenosine receptor (A(1R activation. In this study, we purified the secretory isoform of mouse (mPAP using the baculovirus expression system to determine if recombinant mPAP also had antinociceptive properties. We found that mPAP dephosphorylated AMP, and to a much lesser extent, ADP at neutral pH (pH 7.0. In contrast, mPAP dephosphorylated all purine nucleotides (AMP, ADP, ATP at an acidic pH (pH 5.6. The transmembrane isoform of mPAP had similar pH-dependent ectonucleotidase activity. A single intraspinal injection of mPAP protein had long-lasting (three day antinociceptive properties, including antihyperalgesic and antiallodynic effects in the Complete Freund's Adjuvant (CFA inflammatory pain model. These antinociceptive effects were transiently blocked by the A(1R antagonist 8-cyclopentyl-1, 3-dipropylxanthine (CPX, suggesting mPAP dephosphorylates nucleotides to adenosine to mediate antinociception just like human and bovine PAP. Our studies indicate that PAP has species-conserved antinociceptive effects and has pH-dependent ectonucleotidase activity. The ability to metabolize nucleotides in a pH-dependent manner could be relevant to conditions like inflammation where tissue acidosis and nucleotide release occur. Lastly, our studies demonstrate that recombinant PAP protein can be used to treat chronic pain in animal models.

Perfluoroalkyl acids and their precursors in Swedish food: The relative importance of direct and indirect dietary exposure

International Nuclear Information System (INIS)

Gebbink, Wouter A.; Glynn, Anders; Darnerud, Per Ola; Berger, Urs

2015-01-01

We analyzed food market basket samples obtained in Sweden from 1999, 2005, and 2010 for perfluoroalkyl acids (PFAAs) and a range of precursor compounds. Perfluorooctane sulfonic acid (PFOS) precursors were detected in all food year pools with the highest concentrations in 1999. Six polyfluoroalkyl phosphate diesters (diPAPs, 4:2/6:2, 6:2/6:2, 6:2/8:2, 8:2/8:2, 6:2/10:2, and 10:2/10:2) were detected in the year pools with the highest ∑diPAP concentrations in 1999 and 2005. All precursors were predominantly found in meat, fish, and/or eggs based on analysis of individual food groups from 1999. Based on year pools, PFOS precursors contributed between 4 and 1% as an indirect source to total dietary PFOS intakes between 1999 and 2010. Perfluorohexanoic acid (PFHxA) exposure originated entirely from diPAPs, whereas for perfluorooctanoic acid (PFOA) and perfluorodecanoic acid (PFDA), diPAPs contributed between 1 and 19% to total exposure. The lowest precursor contributions were generally seen in food samples from 2010. - Highlights: • Three PFOS precursors and six diPAPs were detected in food pools. • Precursor concentrations were highest in 1999 and 2005 food pools, and lowest in 2010. • The relative importance of precursors to total PFOS dietary intake was <4%. • The relative importance of diPAPs as an indirect dietary source of PFCAs was chain length dependent. - The relative contribution of precursors to PFOS dietary intakes is small, whereas the contribution of diPAPs to PFCA dietary intakes varies with the PFCA chain length

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.

Pap Smear Abnormalities in Women Admitted to a Tertiary Health Center in Southeast Turkey

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Alev Ozer

2014-12-01

Full Text Available Aim: To analyze the cervical cytological abnormalities which are detected in women undergoing Pap screening in a tertiary health care center within Siirt, a southeastern province of Turkey. Material and Method: A total of 3000 women who underwent Pap screening at the study center between January 1, 2009 and December 31, 2009 were recruited for the study. The women who were diagnosed with benign epithelial changes, infectious alterations, as well as atypical squamous cells with undetermined significance (ASC-US, atypical squamous cells of high significance (ASC-H, and low-grade squamous intraepithelial lesion (LSIL were included. Results: Benign epithelial alterations, infectious changes, ASCUS, ASC-H, and LSIL were detected in 83.7%, 15.3%, 0.8%, 0.1% and 0.1% of the Pap smears respectively. A significant correlation was found between the patient age and the histopathological alterations in the Pap smears (r=0.072, p=0.001. Although no correlation could be detected between gravidity and Pap smear results (r=0.033, p=0.067, a significant correlation existed between parity and the histopathological findings within the Pap smears (r=0.051, p=0.005. Interestingly, the Pap smear results were found to be unrelated to socioeconomic status (r=0.088, p=0.168, education level (r=0.048, p=0.257, and smoking habit (r=0.086, p=0.077. Discussion: The present study has reported a value of 1.0% for the overall prevalence of cervical cytological abnormalities, which is much lower than in western countries. Thus, rather than being dependent on the data reported by clinical studies that have been conducted in western countries, Turkish health care policy should be based on the data obtained from national studies.

Meta-DiSc: a software for meta-analysis of test accuracy data.

Science.gov (United States)

Zamora, Javier; Abraira, Victor; Muriel, Alfonso; Khan, Khalid; Coomarasamy, Arri

2006-07-12

Systematic reviews and meta-analyses of test accuracy studies are increasingly being recognised as central in guiding clinical practice. However, there is currently no dedicated and comprehensive software for meta-analysis of diagnostic data. In this article, we present Meta-DiSc, a Windows-based, user-friendly, freely available (for academic use) software that we have developed, piloted, and validated to perform diagnostic meta-analysis. Meta-DiSc a) allows exploration of heterogeneity, with a variety of statistics including chi-square, I-squared and Spearman correlation tests, b) implements meta-regression techniques to explore the relationships between study characteristics and accuracy estimates, c) performs statistical pooling of sensitivities, specificities, likelihood ratios and diagnostic odds ratios using fixed and random effects models, both overall and in subgroups and d) produces high quality figures, including forest plots and summary receiver operating characteristic curves that can be exported for use in manuscripts for publication. All computational algorithms have been validated through comparison with different statistical tools and published meta-analyses. Meta-DiSc has a Graphical User Interface with roll-down menus, dialog boxes, and online help facilities. Meta-DiSc is a comprehensive and dedicated test accuracy meta-analysis software. It has already been used and cited in several meta-analyses published in high-ranking journals. The software is publicly available at http://www.hrc.es/investigacion/metadisc_en.htm.

A very rare case of HPV-53-related cervical cancer, in a 79-year-old woman with a previous history of negative Pap cytology.

Science.gov (United States)

Zappacosta, Roberta; Lattanzio, Giuseppe; Viola, Patrizia; Ianieri, Manuel Maria; Gatta, Daniela Maria Pia; Rosini, Sandra

2014-01-01

The introduction of organized cervical cancer (CC) screening programs has drastically reduced the prevalence of CC. However the incidence is still too high, especially among elderly women. All guidelines strongly recommend a regular Papanicolaou (Pap) testing for young and middle-aged patients. On the other hand, many international professional societies no longer advise screening in women who have undergone hysterectomy, and in women aged 65 years and above, who have a previous history of regular Pap smears. Here we report the case of poorly differentiated CC, involving the pelvic lymph nodes and urinary bladder, occurring in a 79-year-old woman who regularly underwent Pap tests, with no reported cytological abnormalities. In this very rare case, the CC cells, as well as cells from metastatic lymph nodes and cells from urinary specimens, molecularly showed human papilloma virus (HPV)-53. With the limitations of a single case, this report brings important information to prevent CC in elderly patients: the utility of molecular tests to increase sensitivity of Pap smears in postmenopausal women; the importance of HPV-53 as one of the four "emergent" genotypes having a possible role in oncogenesis; and the presence of HPV-53 in lymph node metastases from cervical carcinoma, which would support the role of this virus in the maintenance of malignant status.

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.

Genome-Wide Analysis of PAPS1-Dependent Polyadenylation Identifies Novel Roles for Functionally Specialized Poly(A Polymerases in Arabidopsis thaliana.

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Christian Kappel

2015-08-01

Full Text Available The poly(A tail at 3' ends of eukaryotic mRNAs promotes their nuclear export, stability and translational efficiency, and changes in its length can strongly impact gene expression. The Arabidopsis thaliana genome encodes three canonical nuclear poly(A polymerases, PAPS1, PAPS2 and PAPS4. As shown by their different mutant phenotypes, these three isoforms are functionally specialized, with PAPS1 modifying organ growth and suppressing a constitutive immune response. However, the molecular basis of this specialization is largely unknown. Here, we have estimated poly(A-tail lengths on a transcriptome-wide scale in wild-type and paps1 mutants. This identified categories of genes as particularly strongly affected in paps1 mutants, including genes encoding ribosomal proteins, cell-division factors and major carbohydrate-metabolic proteins. We experimentally verified two novel functions of PAPS1 in ribosome biogenesis and redox homoeostasis that were predicted based on the analysis of poly(A-tail length changes in paps1 mutants. When overlaying the PAPS1-dependent effects observed here with coexpression analysis based on independent microarray data, the two clusters of transcripts that are most closely coexpressed with PAPS1 show the strongest change in poly(A-tail length and transcript abundance in paps1 mutants in our analysis. This suggests that their coexpression reflects at least partly the preferential polyadenylation of these transcripts by PAPS1 versus the other two poly(A-polymerase isoforms. Thus, transcriptome-wide analysis of poly(A-tail lengths identifies novel biological functions and likely target transcripts for polyadenylation by PAPS1. Data integration with large-scale co-expression data suggests that changes in the relative activities of the isoforms are used as an endogenous mechanism to co-ordinately modulate plant gene expression.

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 ...

Factors related to the practice of breast self examination (BSE and Pap smear screening among Malaysian women workers in selected electronics factories

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Shamsuddin K

2003-05-01

Full Text Available Abstract Background The Malaysian Ministry of Health promotes breast self-examination (BSE for all women, and Pap smear screening every three years for all sexually active women ages 20 years and above. The objectives of this paper were to examine the practice of these two screening tests among women production workers in electronics factories, and to identify factors related to practice. Methods This was a cross-sectional survey of women production workers from ten electronics factories. Data was collected by a self-administered questionnaire from a total of 1,720 women. The chi-square test, odds ratio and binomial logistic regression were used in bivariate and multivariate analysis. Results Prevalence rates were 24.4% for BSE once a month, and 18.4% for Pap smear examination within the last three years. Women who were significantly more likely to perform BSE every month were 30 years and older, Malays, with upper secondary education and above, answered the BSE question correctly, and had a Pap smear within the last three years. The proportion of women who had a Pap smear within the last three years were significantly higher among those who were older, married, with young children, on the contraceptive pill or intra-uterine device, had a medical examination within the last five years, answered the Pap smear question correctly, and performed BSE monthly. Conclusion Screening practice rates in this study were low when compared to national rates. Socio-demographic and health care factors significantly associated with screening practice are indicative of barriers which should be further understood so that more effective educational and promotional strategies could be developed.

Cytomorphology of cervicovaginal melanoma: ThinPrep versus conventional Papanicolaou tests.

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Setia, Namrata; Goulart, Robert A; Leiman, Gladywn; Otis, Christopher N; Modem, Rukmini; Pantanowtiz, Liron

2010-12-31

Primary cervicovaginal melanoma is a rare malignancy associated with a high risk of recurrence. Prior studies discussing the cytomorphology of cervicovaginal melanoma have been based primarily on review of conventional Papanicolaou (Pap) smears. The aim of this study was to evaluate cervicovaginal melanomas identified in liquid-based Pap tests, in comparison with features seen on conventional Pap smear preparation. Cases of cervicovaginal melanoma identified on Pap tests with concurrent or subsequent histopathologic confirmation were collected from the Baystate Medical Center cytopathology files and personal archives of the authors over a total period of 34 years. All cytopathology (n = 6) and the available histology slides (n = 5) were reviewed. Cases were analyzed regarding clinical, histopathologic and cytomorphological findings. A total of six cases with invasive cervicovaginal melanoma diagnosed on Pap tests were identified. Most patients were postmenopausal with contact bleeding, correlating with surface ulceration (identified in biopsy/excision material in 5/5 cases). Most cases had deeply invasive tumors (5/5: modified Breslow's thickness > 5 mm and Chung's level of invasion IV/V). Pap tests included four ThinPrep and two conventional smears. Overall, ThinPrep Pap tests exhibited a higher ratio of tumor cells to background squamous cells. While all Pap tests were bloodstained, tumor diathesis was prominent only within conventional smears. Melanoma cells were present both as clusters and scattered single cells in each Pap test type. Both the preparations contained epithelioid tumor cells, whereas spindled tumor cells were seen in only two ThinPrep cases. Prominent nucleoli and binucleation of tumor cells were seen in both the preparations. Melanin pigment was identified in only ThinPrep (3/4) cases and nuclear pseudo-inclusions in one conventional Pap smear. Cell blocks were made in three ThinPrep cases and immunocytochemistry (S-100, HMB45, Melan

Influence of Hormonal Contraceptive Use and Health Beliefs on Sexual Orientation Disparities in Papanicolaou Test Use

Science.gov (United States)

Corliss, Heather L.; Missmer, Stacey A.; Frazier, A. Lindsay; Rosario, Margaret; Kahn, Jessica A.; Austin, S. Bryn

2014-01-01

Objectives. Reproductive health screenings are a necessary part of quality health care. However, sexual minorities underutilize Papanicolaou (Pap) tests more than heterosexuals do, and the reasons are not known. Our objective was to examine if less hormonal contraceptive use or less positive health beliefs about Pap tests explain sexual orientation disparities in Pap test intention and utilization. Methods. We used multivariable regression with prospective data gathered from 3821 females aged 18 to 25 years in the Growing Up Today Study (GUTS). Results. Among lesbians, less hormonal contraceptive use explained 8.6% of the disparities in Pap test intention and 36.1% of the disparities in Pap test utilization. Less positive health beliefs associated with Pap testing explained 19.1% of the disparities in Pap test intention. Together, less hormonal contraceptive use and less positive health beliefs explained 29.3% of the disparities in Pap test intention and 42.2% of the disparities in Pap test utilization. Conclusions. Hormonal contraceptive use and health beliefs, to a lesser extent, help to explain sexual orientation disparities in intention and receipt of a Pap test, especially among lesbians. PMID:23763393

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...

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

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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.

Species identification of processed animal proteins (PAPs) in animal feed containing feed materials from animal origin.

Science.gov (United States)

Axmann, Sonja; Adler, Andreas; Brandstettner, Agnes Josephine; Spadinger, Gabriela; Weiss, Roland; Strnad, Irmengard

2015-01-01

Since June 2013 the total feed ban of processed animal proteins (PAPs) was partially lifted. Now it is possible to mix fish feed with PAPs from non-ruminants (pig and poultry). To guarantee that fish feed, which contains non-ruminant PAPs, is free of ruminant PAPs, it has to be analysed with a ruminant PCR assay to comply with the total ban of feeding PAPs from ruminants. However, PCR analysis cannot distinguish between ruminant DNA, which originates from proteins such as muscle and bones, and ruminant DNA, which comes from feed materials of animal origin such as milk products or fat. Thus, there is the risk of obtaining positive ruminant PCR signals based on these materials. The paper describes the development of the combination of two analysis methods, micro-dissection and PCR, to eliminate the problem of 'false-positive' PCR signals. With micro-dissection, single particles can be isolated and subsequently analysed with PCR.

Temas das Brincadeiras de Papéis na Educação Infantil

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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.

Pneumocephalus with BiPAP use after transsphenoidal surgery☆,☆☆,★

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Kopelovich, Jonathan C.; de la Garza, Gabriel O.; Greenlee, Jeremy D.W.; Graham, Scott M.; Udeh, Chiedozie I.; O'Brien, Erin K.

2013-01-01

While the benefits of continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) for patients with obstructive sleep apnea are well described, reports in the literature of complications from its use are rare. A patient who received postoperative BiPAP after undergoing transsphenoidal craniopharyngioma resection developed severe pneumocephalus and unplanned intensive care unit admission. Although the pneumocephalus resolved with conservative management over two weeks, we propose caution in the use of CPAP postoperatively in patients undergoing procedures of the head and neck. PMID:22626688

COMPUTER AIDED DIAGNOSIS FOR DETECTION AND STAGE IDENTIFICATION OF CERVICAL CANCER BY USING PAP SMEAR SCREENING TEST IMAGES

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S. Athinarayanan

2016-05-01

Full Text Available The majority of the women of the world were affected by the disease of cervical cancer. As a result of this disease, their death rate was increase as hasty level. Hence so many number of research people was focused this notion as their research interest and also they have done so many number of solutions for finding this cancer by using some image processing technique and achieved a good results only in advanced and high cost techniques of LBC, biopsy or Colposcopy test Images. Therefore the reason, the authors have chosen this problem and also did not only to find whether the patient is affected by a cancer or not. In addition to the patient was affected by this cancer means and also to identify which severity stage of this disease the patient could be live. Then this work has done in based on the images of low cost pap smear screening test by using various image processing techniques with the help of Computerized Image Processing Software Interactive Data Language (IDL-Image Processing Language. Thus the final reports would be very useful to the pathologists for further analysis.

Hubungan Antara Dislipidemia Dengan Status Penyakit Arteri Perifer (Pap) Pada Pasien Diabetes Melitus Tipe 2 Terkontrol Sedang

OpenAIRE

Aryani, Eka; Nugroho HS, K. Heri; Margawati, Ani

2016-01-01

Latar Belakang: Penyakit arteri perifer adalah gangguan suplai darah ke ekstremitas atas atau bawah karena obstruksi yang disebabkan aterosklerosis. Pasien PAP memiliki risiko yang lebih besar terhadap kematian akibat stroke, infark miokard dan serangan jantung. Diabetes melitus dan dislipidemia merupakan faktor risiko PAP yang sering ditemukan. Belum terdapat penelitian mengenai hubungan dislipidemia dengan status PAP pada pasien DM tipe II terkontrol sedang.Tujuan: Membuktikan hubungan anta...

Studio di prevalenza delle polmoniti in un'Azienda opsedaliera di Bologna

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E. Leoni

2003-05-01

Full Text Available

Obiettivi: nell’ambito di un progetto di sorveglianza attiva dei casi di polmonite da legionella, è stata studiata la prevalenza di tutti i casi di polmonite ricoverati in un ospedale di Bologna, allo scopo di definirne la distribuzione per origine (comunitaria o nosocomiale, eziologia, caratteristiche individuali e di confrontarle con le polmoniti da legionella.

Metodi: per ogni caso con diagnosi clinica e/o radiologica di polmonite è stato compilato un questionario, raccogliendo le informazioni dalle cartelle cliniche. Tutti i casi di polmonite non specificata sono stati inoltre sottoposti al test per la ricerca dell’antigene di legionella nelle urine.

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

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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.

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...

[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

2018-05-01

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.

Evaluation of gaseous emissions produced in the tests on the demonstration plant for sludge drying and incineration; Valutazione delle emissioni gassose prodotte nelle prove sull'impianto dimostrativo di essiccamento e di incenerimento di fanghi

Energy Technology Data Exchange (ETDEWEB)

Lotito, V.; Spinosa, L.; Antonacci, R. [Consiglio Nazionale delle Ricerche, Istituto di Ricerca sulle Acque, Bari (Italy); Mininni, G. [Consiglio Nazionale delle Ricerche, Istituto di Ricerca sulle Acque, Rome (Italy)

2001-03-01

-current operation mode. This was depending on the excessive length of the drum designed also for counter-current mode, so that ashes melted in the first part solidify in the second part because of heat losses. In conclusion, plant operation resulted satisfactory, also under the environmental aspects, despite of the very severe test conditions, with high chlorine content and the presence of aromatic compounds and copper, which acts as catalyst in the novo-synthesis of dioxins. Incineration and co-incineration of sewage sludge and hazardous compounds were therefore demonstrated to be a safe and viable disposal option. [Italian] L' incenerimento dei fanghi di depurazione e' una valida altenativa ai sistemi utilizzati per lo smaltimento (utilizzazione agricola, discarica controllata) nei casi in cui si trovino difficolta' di applicazione per la presenza di inquinanti in concentrazione superiore ai limiti consentiti o per situazioni contingenti spesso non prevedibili. Tuttavia, esso puo' essere causa di emissione in atmosfera di microinquinanti inorganici (metalli pesanti) e organici (IPA, PCDD, PCDF), oltre che di materiale particolato e di ossidi di azoto e di carbonio (NO{sub x} e CO), e composti acidi; cio' ha ingenerato una forte avversione popolare che ha ostacolato la utilizzazione. L'Istituto di Ricerca sulle Acque del CNR ha pertanto realizzato, nell'area dell'impianto di depurazione di Bari Ovest, un impianto dimostrativo di incenerimento costituito essenzialmente da due forni, uno a letto fluido e uno a tamburo rotante, da un essiccatore, da un sistema di recupero termico e da una sezione di abbattimento delle polveri e degli altri macroinquinanti, e ha messo a punto un programma di ricerca per verificare la compatibilita' ambientale e il rispetto della normativa vigente nell'incenerimento dei fanghi con particolare riferimento alle emissioni di microinquinanti organici ed al destino dei metalli. I microinquinanti organici

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.

The Effect of an Educational Program Based on Protection Motivation Theory on Pap Smear Screening Behavior among Women Referring to Health Centers in Fasa

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Zahra Khiyali

2017-03-01

Full Text Available Background and Objectives: Despite the importance of pap smear in reducing the incidence of cervical cancer and its death, this cancer is still one of the leading causes of death among women around the world. Accordingly, in this study, we aimed to determine the effect of an educational program based on the protection motivation theory on Pap smear screening behavior. Materials and Methods: This quasi-experimental study was conducted on 200 women referring to Fasa health centers, Fasa, Iran. The participants were randomized into experimental and control groups (n=100 per group. The data collection tool, which consisted of demographic data and protection motivation theory constructs, was completed by both groups before and 2 months after the intervention. For the experimental group, the educational program was implemented during 4 sessions using group discussions and educational pamphlets. To analyze the data, chi-square test, independent t-test, and paired t-test were run in SPSS, version 22. Results: After the intervention, the mean scores of protection motivation theory constructs significantly increased in the experimental group compared to the control group (P<0.001. However, no significant difference was noted between the two groups regarding the response efficacy construct at the post-intervention stage (P=0.552. In addition, after the intervention, the rate of conducting Pap smear test significantly incremented in the experimental group (58%. Conclusions: The study results revealed the effectiveness of the educational intervention based on protection motivation theory in promoting Pap smear screening behavior. Therefore, we recommend designing educational interventions based on this theory to promote public health, especially in women.

A very rare case of HPV-53-related cervical cancer, in a 79-year-old woman with a previous history of negative Pap cytology

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Zappacosta R

2014-04-01

Full Text Available Roberta Zappacosta,1 Giuseppe Lattanzio,2 Patrizia Viola,2 Manuel Maria Ianieri,3 Daniela Maria Pia Gatta,1 Sandra Rosini11Cytopathology Unit, Experimental and Clinical Sciences Department, Gabriele d’Annunzio University of Chieti-Pescara, Chieti, Italy; 2Surgical Pathology Unit, 3Obstetrics and Gynecology Unit, SS Annunziata Hospital, Chieti, ItalyAbstract: The introduction of organized cervical cancer (CC screening programs has drastically reduced the prevalence of CC. However the incidence is still too high, especially among elderly women. All guidelines strongly recommend a regular Papanicolaou (Pap testing for young and middle-aged patients. On the other hand, many international professional societies no longer advise screening in women who have undergone hysterectomy, and in women aged 65 years and above, who have a previous history of regular Pap smears. Here we report the case of poorly differentiated CC, involving the pelvic lymph nodes and urinary bladder, occurring in a 79-year-old woman who regularly underwent Pap tests, with no reported cytological abnormalities. In this very rare case, the CC cells, as well as cells from metastatic lymph nodes and cells from urinary specimens, molecularly showed human papilloma virus (HPV-53. With the limitations of a single case, this report brings important information to prevent CC in elderly patients: the utility of molecular tests to increase sensitivity of Pap smears in postmenopausal women; the importance of HPV-53 as one of the four “emergent” genotypes having a possible role in oncogenesis; and the presence of HPV-53 in lymph node metastases from cervical carcinoma, which would support the role of this virus in the maintenance of malignant status.Keywords: old women, molecular tests, cervical cancer screening, HPV-DNA test, HPV genotypingA Letter to the editor has been received and published for this articleCorrigendum for this paper has been published

SPERIMENTAZIONE DI UNA PROVA INVALSI: PER COSTRUIRE UN CURRICOLO DI LETTURA

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Augusto Campagnolo

2013-01-01

Full Text Available Che cosa sono le prove INVALSI? Che cosa valutano e a che cosa servono? E ancora, quale contributo possono offrire alla didattica della lettura? Mentre la scuola italiana è investita da una fase di grandi cambiamenti, docenti e dirigenti devono confrontarsi anche con un nuovo sistema di valutazione che, attraverso le prove Invalsi, sta delineando la scuola del futuro. L’articolo offre un contributo di riflessione sul modello di valutazione proposto dalle prove e aiuta a chiarire il quadro teorico della lettura e comprensione del testo; analizza, infine, una prova di lettura e propone un possibile utilizzo delle prove somministrate di italiano nel curricolo scolastico. New INVALSI testing: building a curriculum for reading  What are INVALSI tests? What do they assess and what are they for? And again, what can they contribute to the teaching of reading? Italian schools are undergoing great change, and teachers and administrators are faced with a new evaluation system, the INVALSI tests, which are shaping the future of the school system. The article offers a reflection on the evaluation model proposed by the tests, helping to clarify the theoretical framework for reading and understanding texts and also analyzes a reading test.  Suggestions for a possible way to use the Italian language tests administered as part of the school curriculum are made.

Rilievo terrestre dell’ambiente urbano con tecnologie a scansione: un test sulla città-industria di Dalmine

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Luigi Colombo

2014-12-01

Full Text Available Il patrimonio edilizio urbano è un bene che caratterizza l’identità dell’uomo che con esso ha vissuto; la conoscenza della realtà originaria, la conservazione e valorizzazione nel tempo comportano interventi di tipo documentale che possono interessare sia gli aspetti costruttivi degli edifici, connessi a dimensioni e geo-localizzazione, sia quelli legati alla forma urbana, sia ancora altri più specifici di tipo storico-artistico e materico. Le nuove tecnologie laser di misura terrestre, integrate da sensori di posizionamento e fotografici, consentono di rilevare in tempi ridotti e di rappresentare anche spazialmente sia singole unità edilizie sia interi insediamenti urbani. Le grandi quantità di dati acquisiti costituiscono un arricchimento della conoscenza geometrica di base, fornita in genere da rappresentazioni cartografiche “vettoriali o raster”. Il lavoro descrive un test di scansione laser, statica e cinematica, avviato sul territorio di Dalmine (Bergamo nell’ambito di un programma di interventi comunali di tutela paesaggistica, conservazione dei caratteri costruttivi e valorizzazione degli insediamenti storici della città, realizzati negli anni venti del secolo scorso e identificativi del suo passato di città-industria. L’approccio al rilievo tende altresì a validare una procedura operativa, basata su componenti tecnologiche innovative, semplice, sufficientemente economica e convenientemente applicabile all’indagine su aree urbane.

The Prevalence of Abnormal Pap Smears in females Referred to Health Centers Affiliated to Medical Sciences During the Years 2012 to 2016

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Zahra Massomi

2016-06-01

Full Text Available Background and Objectives: Cervical cancer is one of the most important female reproductive system diseases. The aim of this study was to estimate the prevalence of abnormal Pap smears of pregnant females in public health centers and hospitals of Hamadan. Materials and Methods: In a retrospective study, 36046 Pap smears of females was extracted from the records referred to government health centers affiliated to Hamadan University of Medical Sciences and Fatemiyeh Hospital Hamadan, between 2012 and 2016. After checking the results of Pap smear, abnormal information (605 cases were collected and investigated. Data were then analyzed using the SPSS21-software and descriptive statistics and one-way Analysis of Variance (ANOVA. Results: The majority of females with abnormal Pap smear results (%30.4 were aged 45 to 36 years, and %48.6 of females with abnormal Pap smear had parity (1-3. From a total of 36046 cases, 605 cases of abnormal Pap smear were observed. The highest and lowest frequencies of abnormal Pap smear were related to ASCUS and LSIL, at a prevalence of %78 and %1, respectively. There was a positive relationship between abnormal Pap smear results and age (P = 0.037. Conclusions: The prevalence of abnormal Pap smear in Hamadan was %1.67. Malignant cervical cancer and invasive cancer risk increased with age, hence, screening and Pap smear, especially from age 35 and above, is recommended.

Fluorochemicals used in food packaging inhibit male sex hormone synthesis

Energy Technology Data Exchange (ETDEWEB)

Rosenmai, A.K., E-mail: akjro@food.dtu.dk [Division of Toxicology and Risk Assessment, National Food Institute, Technical University of Denmark, DK-2860 Søborg (Denmark); Nielsen, F.K. [Section of Toxicology, Department of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen, DK-2100 Copenhagen (Denmark); Pedersen, M. [Division of Food Chemistry, National Food Institute, Technical University of Denmark, DK-2860 Søborg (Denmark); Hadrup, N. [Division of Toxicology and Risk Assessment, National Food Institute, Technical University of Denmark, DK-2860 Søborg (Denmark); Trier, X. [Division of Food Chemistry, National Food Institute, Technical University of Denmark, DK-2860 Søborg (Denmark); Christensen, J.H. [Department of Basic Sciences and Environment, Faculty of Life Sciences, University of Copenhagen, DK-1871 Frederiksberg C. (Denmark); Vinggaard, A.M. [Division of Toxicology and Risk Assessment, National Food Institute, Technical University of Denmark, DK-2860 Søborg (Denmark)

2013-01-01

Polyfluoroalkyl phosphate surfactants (PAPS) are widely used in food contact materials (FCMs) of paper and board and have recently been detected in 57% of investigated materials. Human exposure occurs as PAPS have been measured in blood; however knowledge is lacking on the toxicology of PAPS. The aim of this study was to elucidate the effects of six fluorochemicals on sex hormone synthesis and androgen receptor (AR) activation in vitro. Four PAPS and two metabolites, perfluorooctanoic acid (PFOA) and 8:2 fluorotelomer alcohol (8:2 FTOH) were tested. Hormone profiles, including eight steroid hormones, generally showed that 8:2 diPAPS, 8:2 monoPAPS and 8:2 FTOH led to decreases in androgens (testosterone, dehydroepiandrosterone, and androstenedione) in the H295R steroidogenesis assay. Decreases were observed for progesterone and 17-OH-progesterone as well. These observations indicated that a step prior to progestagen and androgen synthesis had been affected. Gene expression analysis of StAR, Bzrp, CYP11A, CYP17, CYP21 and CYP19 mRNA showed a decrease in Bzrp mRNA levels for 8:2 monoPAPS and 8:2 FTOH indicating interference with cholesterol transport to the inner mitochondria. Cortisol, estrone and 17β-estradiol levels were in several cases increased with exposure. In accordance with these data CYP19 gene expression increased with 8:2 diPAPS, 8:2 monoPAPS and 8:2 FTOH exposures indicating that this is a contributing factor to the decreased androgen and the increased estrogen levels. Overall, these results demonstrate that fluorochemicals present in food packaging materials and their metabolites can affect steroidogenesis through decreased Bzrp and increased CYP19 gene expression leading to lower androgen and higher estrogen levels. -- Highlights: ► Fluorochemicals found in 57% of paper and board food packaging were tested. ► Collectively six fluorochemicals were tested for antiandrogenic potential in vitro. ► Three out of six tested fluorochemicals inhibited

Enhancement of Chlorogenic Acid Production in Hairy Roots of Platycodon grandiflorum by Over-Expression of An Arabidopsis thaliana Transcription Factor AtPAP1

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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.

Item Analysis di una prova di lettura a scelta multipla della certificazione di italiano per stranieri CILS (livello B1; sessione estiva 2012

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Paolo Torresan

2014-10-01

Full Text Available Nell’articolo presentiamo un’analisi degli item di una prova di lettura a scelta multipla di livello B1 della certificazione CILS (Università per Stranieri di Siena. L’indagine si muove da una prima ricognizione del testo su cui si basa la prova, con uno studio delle modifiche cui è andata soggetta per mano dell’item writer, per poi ragionare sull’analisi di ogni singolo item, grazie ai dati emersi dalla somministrazione della prova a 161 studenti di italiano di livello corrispondente sparsi per il pianeta. Dalla nostra ricerca si evince che si danno un item ambiguo (# 1, per via della presenza di due chiavi, e un item di difficile risoluzione, per via della mancanza di informazioni utili per desumere il significato del vocabolo cui si riferisce (# 4.In this article we present an analysis of items in a reading multiple-choice test, B1 level, of the CILS certification (Università per Stranieri di Siena. The research starts with a preliminary recognition of the text on which the test is based, with a study of the modifications it has undergone by the item writer’s hand, and proceeds to reason about the analysis of every single item, using data from the ministration of the test to 161 students of Italian in the corresponding level, from all over the planet. From our research it emerges that the test presents an ambiguous item (# 1, with two keys, and a difficult item, without enough information to make clear the meaning of the word it refers to (# 4.

Honouring Stories: Mi'kmaq Women's Experiences with Pap Screening in Eastern Canada.

Science.gov (United States)

MacDonald, Catherine; Martin-Misener, Ruth; Steenbeek, Audrey; Browne, Annette

2015-03-01

Mi'kmaq women are reported to have lower rates of Papanicolaou (Pap) screening and higher rates of cervical cancer than non-Aboriginal women. This qualitative participatory study used postcolonial feminist perspectives and Indigenous principles to explore Mi'kmaq women's experiences with Pap screening within the contexts that shaped their experiences. Community facilitators assisted with the research process. Talking circles and individual in-depth interviews were conducted with 16 Mi'kmaq women. Also, health-care providers were interviewed in 2 Mi'kmaq communities. The findings indicate that historical and social contexts are shaping Mi'kmaq women's screening experiences and that these experiences are diverse, as are their understandings about screening. Some women were accessing regular screening despite challenging personal circumstances. The results highlight the need for nurses and other health-care providers to understand the uniqueness of each woman's experiences with Pap screening. Improvements in screening rates depend on multifaceted nursing approaches developed in partnership with Mi'kmaq women. Copyright© by Ingram School of Nursing, McGill University.

Studio di prototipo di calorimetro per neutroni per l'esperimento ALICE

CERN Document Server

Arnaldi, R; Cicalò, C; Cortese, P; De Falco, A; Dellacasa, G; De Marco, N; Gallio, M; Macciotta, P; Masoni, A; Musso, A; Oppedisano, C; Piccotti, A; Puddu, G; Scomparin, E; Siddi, S; Serci, E; Soave, C; Usai, G L; Vercellin, Ermanno

1999-01-01

ALICE e uno dei quattro esperimenti previsti ad LHC, al CERN, il cui scopo e lo studio delle osservabili che danno informazioni rilevanti sulla formazione del quark gluon plasma, che potrebbe essere prodotto in collisioni centrali Pb-Pb, di energia nel centro di massa di 5.5 A TeV.Il parametro di impatto di tali collisioni verra determinato grazie ad un insieme di calorimetri per protoni e neutroni che misureranno l'energia portata in avanti dai nucleoni non interagenti(spettatori).E' stato costruito un prototipo di calometro per neutroni, formato da piani di fibre di quarzo, posti a 45 gradi rispetto all'asse del fascio e inframmezzati da piani di materiale passivo denso(tungsteno). La luce Cerenkov prodotta nelle fibre dallo sciame sviluppato nel materiale passivo,viene raccolta da guide ottiche in aria.Verranno presentati i rilustati di un test previsto al CERN SPS per il luglio 1999.

CIR, a corepressor of CBF1, binds to PAP-1 and effects alternative splicing

International Nuclear Information System (INIS)

Maita, Hiroshi; Kitaura, Hirotake; Ariga, Hiroyoshi; Iguchi-Ariga, Sanae M.M.

2005-01-01

We have reported that PAP-1, a product of a causative gene for autosomal retinitis pigmentosa, plays a role in splicing. In this study, CIR, a protein originally identified as a CBF1-interacting protein and reported to act as a transcriptional corepressor, was identified as a PAP-1 binding protein and its function as a splicing factor was investigated. In addition to a basic lysine and acidic serine-rich (BA) domain and a zinc knuckle-like motif, CIR has an arginine/serine dipeptide repeat (RS) domain in its C terminal region. The RS domain has been reported to be present in the superfamily of SR proteins, which are involved in splicing reactions. We generated CIR mutants with deletions of each BA and RS domain and studied their subcellular localizations and interactions with PAP-1 and other SR proteins, including SC35, SF2/ASF, and U2AF 35 . CIR was found to interact with U2AF 35 through the BA domain, with SC35 and SF2/ASF through the RS domain, and with PAP-1 outside the BA domain in vivo and in vitro. CIR was found to be colocalized with SC35 and PAP-1 in nuclear speckles. Then the effect of CIR on splicing was investigated using the E1a minigene as a reporter in HeLa cells. Ectopic expression of CIR with the E1a minigene changed the ratio of spliced isoforms of E1a that were produced by alternative selection of 5'-splice sites. These results indicate that CIR is a member of the family of SR-related proteins and that CIR plays a role in splicing regulation

Applying Sparse Machine Learning Methods to Twitter: Analysis of the 2012 Change in Pap Smear Guidelines. A Sequential Mixed-Methods Study.

Science.gov (United States)

Lyles, Courtney Rees; Godbehere, Andrew; Le, Gem; El Ghaoui, Laurent; Sarkar, Urmimala

2016-06-10

It is difficult to synthesize the vast amount of textual data available from social media websites. Capturing real-world discussions via social media could provide insights into individuals' opinions and the decision-making process. We conducted a sequential mixed methods study to determine the utility of sparse machine learning techniques in summarizing Twitter dialogues. We chose a narrowly defined topic for this approach: cervical cancer discussions over a 6-month time period surrounding a change in Pap smear screening guidelines. We applied statistical methodologies, known as sparse machine learning algorithms, to summarize Twitter messages about cervical cancer before and after the 2012 change in Pap smear screening guidelines by the US Preventive Services Task Force (USPSTF). All messages containing the search terms "cervical cancer," "Pap smear," and "Pap test" were analyzed during: (1) January 1-March 13, 2012, and (2) March 14-June 30, 2012. Topic modeling was used to discern the most common topics from each time period, and determine the singular value criterion for each topic. The results were then qualitatively coded from top 10 relevant topics to determine the efficiency of clustering method in grouping distinct ideas, and how the discussion differed before vs. after the change in guidelines . This machine learning method was effective in grouping the relevant discussion topics about cervical cancer during the respective time periods (~20% overall irrelevant content in both time periods). Qualitative analysis determined that a significant portion of the top discussion topics in the second time period directly reflected the USPSTF guideline change (eg, "New Screening Guidelines for Cervical Cancer"), and many topics in both time periods were addressing basic screening promotion and education (eg, "It is Cervical Cancer Awareness Month! Click the link to see where you can receive a free or low cost Pap test.") It was demonstrated that machine learning

Papéis de imprimir e escrever

OpenAIRE

Mattos, René Luiz Grion; Valença, Antonio Carlos de Vasconcelos

2001-01-01

Este trabalho analisa o comportamento recente da produção, do consumo e da comercialização de papéis de imprimir e escrever no Brasil e no mundo. Em sua parte final mostra as perspectivas de curto prazo do mercado mundial e do Brasil, que apontam para a necessidade de implantação de duas grandes novas máquinas produtoras de papel de imprimir e escrever.

Perfluoroalkyl Acids (PFAAs) and Selected Precursors in the Baltic Sea Environment: Do Precursors Play a Role in Food Web Accumulation of PFAAs?

Science.gov (United States)

Gebbink, Wouter A; Bignert, Anders; Berger, Urs

2016-06-21

The present study examined the presence of perfluoroalkyl acids (PFAAs) and selected precursors in the Baltic Sea abiotic environment and guillemot food web, and investigated the relative importance of precursors in food web accumulation of PFAAs. Sediment, water, zooplankton, herring, sprat, and guillemot eggs were analyzed for perfluoroalkane sulfonic acids (PFSAs; C4,6,8,10) and perfluoroalkyl carboxylic acids (PFCAs; C6-15) along with six perfluoro-octane sulfonic acid (PFOS) precursors and 11 polyfluoroalkyl phosphoric acid diesters (diPAPs). FOSA, FOSAA and its methyl and ethyl derivatives (Me- and EtFOSAA), and 6:2/6:2 diPAP were detected in sediment and water. While FOSA and the three FOSAAs were detected in all biota, a total of nine diPAPs were only detected in zooplankton. Concentrations of PFOS precursors and diPAPs exceeded PFOS and PFCA concentrations, respectively, in zooplankton, but not in fish and guillemot eggs. Although PFOS precursors were present at all trophic levels, they appear to play a minor role in food web accumulation of PFOS based on PFOS precursor/PFOS ratios and PFOS and FOSA isomer patterns. The PFCA pattern in fish could not be explained by the intake pattern based on PFCAs and analyzed precursors, that is, diPAPs. Exposure to additional precursors might therefore be a dominant exposure pathway compared to direct PFCA exposure for fish.

A negociação intersubjetiva de significados em Jogos de Interpretação de Papéis

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Danilo Silva Guimarães

Full Text Available Este artigo focaliza o processo de negociação intersubjetiva de significados por meio da análise microgenética de sessões de Jogos de Interpretação de Papéis (Role-Playing Games. Partiu-se da suposição de que a análise de interações eu - outro durante o jogo poderia evidenciar aspectos relevantes para a compreensão das relações entre intersubjetividade e alteridade em contextos interpessoais. Os resultados da análise microgenética dos diálogos entre os jogadores evidenciaram a participação de processos psicológicos relevantes para o desenvolvimento humano, em que momentos de tensão e inquietação, característicos das relações de alteridade, alternavam-se com momentos de convergência e compartilhamento sobre os temas da conversa e sobre as posições relativas dos interlocutores.

Factors Associated with Pap Smear Implementation among Women Referring to Healthcare Centers in Fasa, Iran: An Application of Theory of Planned Behavior

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Zahra Moradi

2017-06-01

Full Text Available Background and Objective: Cervical cancer is the second most common cancer among the females. This cancer is considered as a preventable disease due to having a long period before the invasion, availability of appropriate screening program, and effective treatment of primary lesions. The aim of this study was to determine the factors related to per forming regular Pap smear test based on the Theory of Planned Behavior (TPB among the females living in Fasa, Iran. Materials and Methods: This descriptive-analytic cross-sectional study was conducted on 700 married women in Fasa city in 2016. The study population was selected from the females referring to the healthcare centers of Fasa using simple random sampling technique. The data were collected by means of a three-part questionnaire, including demographic data, knowledge, and TPB constructs. Data analysis was performed using Pearson correlation coefficient test and logistic regression in SPSS, version 22. Results: According to the results, 45.7% of the patients had a history of undergoing a Pap smear test, and 20.7% of them performed this test regularly. The results indicated that knowledge, attitude, subjective norms, and perceived behavioral control were the predictors of intention and behavior of Pap smear test among the women (P<0.05. These components accounted for 57.4% and 31.6% of the intention and behavior variance, respectively. Conclusion: As the findings of this study indicated, it is possible to increase the level of screening behaviors among the women by improving their awareness, attitude, subjective norms, and perceived behavioral control. This measure in turn plays a significant role in the prevention and control of cervical cancer.

Cervical screening program and the psychological impact of an abnormal Pap smear: a self-assessment questionnaire study of 590 patients.

Science.gov (United States)

Thangarajah, Fabinshy; Einzmann, Thomas; Bergauer, Florian; Patzke, Jan; Schmidt-Petruschkat, Silke; Theune, Monika; Engel, Katja; Puppe, Julian; Richters, Lisa; Mallmann, Peter; Kirn, Verena

2016-02-01

Invasive cervical cancer is today the fourth most common cancer of women in western civilization. Screening programs have led to a continuously decrease. Nevertheless, both screening and a positive test result are known to be associated with a negative psychological impact. Screening programs in European countries differ and thus psychological impact might as well. The aim of this study was to evaluate the psychological impact of women with an abnormal Pap smear in a German cohort. Between July 2013 and May 2014, a self-assessment questionnaire was distributed to 595 patients that were referred to a special clinic for cervical dysplasia for further evaluation of an abnormal Pap smear. Patients were recruited in five different centers. Most patients (45.9 %) were informed about the test result via phone call by their doctor. 68.8 % of the patients felt anxious and 26.3 % even felt panic. After having talked to their physician, 51.4 % of our cohort still felt worried and only 24.4 % felt reassured. Concerning disease management, 48.4 % underwent a control Pap smear in 6 months. The preferred information source was the physician (63.9 %). Compared to the results in other European countries, our study cohort showed differences concerning age distribution, patients living in a partnership, number of children and especially disease management. Cancer screening itself and abnormal test results have an impact on patient's feelings. To reduce the psychological impact, patients need to be better informed about the risks and benefits of cancer screening programs and in case of cervical cancer screening about the meaning of an abnormal test result. Our results underline the importance of a trustful physician-patient relationship in that matter.

Utilization of industrial solid wastes able to generate calcium trisulphoaluminate and silicate hydrates in stabilization processes and for the manufacture of building materials; Utilizzazione di residui solidi industriali in grado di generare trisolfoalluminato e silicato di calcio idrati nei processi di stabilizzazione e nella produzione di materiali da costruzione

Energy Technology Data Exchange (ETDEWEB)

Santoro, L. [Naples, Univ. `Federico II` (Italy). Dipt. di Chimica; Cioffi, R. [Naples, Univ. `Federico II` (Italy). Ditp. di Ingegneria dei Materiali e della Produzione

1998-01-01

In this work the stabilization of hazardous solid wastes containing heavy metals has been studied by means of novel matrices able to generate calcium trisulphoaluminate and silicate hydrates. The process is based on the hydration of two different mixtures containing blast furnace slag, coal ashes, chemical gypsum and Portland cement. The stabilization capacity of the two mixtures has been checked with regard to both a residue from an incinerator of municipal solid wastes and model systems obtained by adding 5 and 10% of soluble nitrates of Cd, Cr, Cu, Ni, Pb and Zn. The stabilized products have been validated from the point of view of mechanical properties by determining the unconfined compressive strength, and from the environmental point of view by means of static and dynamic leaching tests. Both matrices have proved to have great potentiality for the stabilization of hazardous solid wastes, the one based on blast furnace slag being better. Finally, evidence is given that different leaching tests are necessary to fully understand the immobilization mechanism responsible for stabilization. [Italiano] In questo lavoro e` stata studiata la atbilizzazione di residui tossici e nocivi contenenti metalli pesanti per mezzo di matrici leganti innovative capaci di generare trisolfoalluminato e silicato di calcio idrati. Il processo e` basato sull`idratazione di due diverse miscele contenenti scoria d`alto forno, ceneri di carbone, gessi chimici e cemento Portland. Le capacita` stabilizzanti delle due miscele sono state verificate sia nei confronti di un residuo solido generato a seguito dell`incenerimento di RSU, che nei confronti di sistemi modello ottenuti aggiungendo singolarmente il 5 e 10% dei nitrati solubili di Cd, Cr, Cu, Ni, Pb e Zn. I prodotti solidi stabilizzati sono stati validati dal punto di vista delle prestazioni meccaniche mediante prove di resistenza a compressione, e dal punto di vista ambientale mediante test di rilascio sia statici che dinamici

["Where there's a woman, there's a Pap smear": the meanings assigned to cervical cancer prevention among women in Salvador, Bahia State, Brazil].

Science.gov (United States)

Rico, Ana María; Iriart, Jorge Alberto Bernstein

2013-09-01

This study focuses on the meanings assigned to practices for cervical cancer prevention among women from low-income neighborhoods in Salvador, Bahia State, Brazil. This was a qualitative study based on content analysis of semi-structured interviews with 15 women 24 to 68 years of age. The results showed high appreciation of the Pap smear test, performed as part of routine gynecological examination (but without the patient necessarily having biomedical knowledge of its role). Besides accessibility and quality of health services, other factors influence the way the women assign meaning to cervical cancer prevention. Moral values associated with sexuality and gender influence risk perception, adoption of preventive practices, and interpretation of cervical cytology results. The ongoing practice of the Pap smear test is part of the construction of femininity, which is associated with maturity and personal responsibility for self care in a context of medicalization of the female body.

Molecular testing of human papillomavirus in cervical specimens

International Nuclear Information System (INIS)

Gazzaz, Faten Salah B.

2007-01-01

Objective was to improve the diagnosis of cervical neoplasia by early detection of human papillomavirus (HPV) in uterine cervix, by adding molecular testing of HPV using hybrid capture 2 (HC2) and polymerase chain reaction (PCR) tests to Papanicoalou (Pap) test. One hundred women were enrolled in this study. The mean age (mean+-SD) was 41.97+- 8.76 years and range was 27-65 years. All women had undergone cervical cytological screening with cervical cytology, HPV DNA testing by HC2 and PCR, during the period from January to December 2006, at King Abdul-Aziz University Hospital (KAAUH) and King Fahd research Center, Jeddah, Saudi Arabia. The results were obtained by HC2 for detection of HPV were 5(5%) high-risk HPV, one low-risk HPV (1%) and 94(94%) negative cases. The PCR detected only 4(4%) cases. Using the HC2 test as a reference, sensitivity, specificity, positive predictive, negative predictive values and accuracy of base line Pap were 50, 85, 17.7, 96.4 and 83%; of final Pap smear were 100, 96.8, 66.7, 100, and 97% and for PCR were 66.7, 100, 100, 97.9 and 98%. The Pap test was repeated within a year for patients with abnormal Pap test with positive HPV DNA. Combined screening by cytology and HPV testing using both HC2 and PCR sensitively detects women with existing disease. The absence of HPV DNA provides reassurance that patients are unlikely to develop cancer for several years. We suggest using Pap with HC2 and PCR in screening programs to ensure that women with the double negative result at baseline might safely be screened at longer intervals. (author)

Reassurance against future risk of precancer and cancer conferred by a negative human papillomavirus test.

Science.gov (United States)

Gage, Julia C; Schiffman, Mark; Katki, Hormuzd A; Castle, Philip E; Fetterman, Barbara; Wentzensen, Nicolas; Poitras, Nancy E; Lorey, Thomas; Cheung, Li C; Kinney, Walter K

2014-08-01

Primary human papillomavirus (HPV) testing (without concurrent Pap tests) every 3 years is under consideration in the United States as an alternative to the two recommended cervical cancer screening strategies: primary Pap testing every 3 years, or concurrent Pap and HPV testing ("cotesting") every 5 years. Using logistic regression and Weibull survival models, we estimated and compared risks of cancer and cervical intraepithelial neoplasia grade 3 or worse (CIN3+) for the three strategies among 1011092 women aged 30 to 64 years testing HPV-negative and/or Pap-negative in routine screening at Kaiser Permanente Northern California since 2003. All statistical tests were two sided. Three-year risks following an HPV-negative result were lower than 3-year risks following a Pap-negative result (CIN3+ = 0.069% vs 0.19%, P < .0001; Cancer = 0.011% vs 0.020%, P < .0001) and 5-year risks following an HPV-negative/Pap-negative cotest (CIN3+ = 0.069% vs 0.11%, P < .0001; Cancer = 0.011% vs 0.014%, P = .21). These findings suggest that primary HPV testing merits consideration as another alternative for cervical screening. © Published by Oxford University Press 2014.

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.

GAMBARAN PENGGUNAAN RAPID DIAGNOSTIC TEST PARASIT MALARIA DI DESA PASIRMUKTI KECAMATAN CINEAM KABUPATEN TASIKMALAYA

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Hubullah Fuadzy

2013-12-01

Full Text Available Abstract. High mobility amongst mining workers, demanding officer of Cineam Public Health Center can perform rapid diagnosis to the workers. Nowadays, many techniques are developed to detect the early transmission of malaria, begins from the clinical to the molecular, one of that techniques are Rapid Diagnostic Tests (RDTs. This research has been conducted in the village of Pasirmukti district Cineam, Tasikmalaya in 2012. Objective of this paper is description RDT utilities as rapid diagnosing efforts on families who have family members as mine worker malaria endemic areas. Inclusion criteria for this study were family who have and do not have family members were working as workers in malaria-endemic areas at 2011 or 2012. Respondents were willing to participate in this study would be taken for examination RDT. Respondents were willing to participate in this study amounted to 256 people, and 5 of them positive Plasmodium malaria based on RDTs screening. Respondents who positive for malaria on RDTs test were 4 women with lower education background and work as a housewife, then a men with a background of secondary school education and are currently still as student. RDT is one of the malaria parasite tools which suitable for use in the Pasirmukti Village district Cineam - Tasikmalaya. However, keep in mind on how to storage and use in order to avoid errors both false-positive and false negatives test results.   Keywords: rapid diagnostic tests, malaria, Tasikmalaya Abstrak. Mobilitas yang tinggi penduduk Cineam  menuju wilayah pertambangan emas diluar pulau Jawa, menuntut tenaga kesehatan di Puskesmas Cineam dapat melakukan diagnosa dini penyakit malaria terhadap para pekerja tambang tersebut. Saat ini, banyak dikembangkan teknik untuk mendeteksi penularan penyakit malaria secara dini, mulai dari yang bersifat klinis hingga molekuler, diantaranya adalah Rapid Diagnostic Tests (RDTs. Untuk mengetahui gambaran pemanfaatan RDT di Cineam perlu

Plastic spatula with narrow long tip provides higher satisfactory smears for Pap test.

Science.gov (United States)

Kaur, Pervinder; Kushtagi, Pralhad

2013-07-01

Ayre spatula for cervical smear collection is being used despite the suggestion that different modified spatulas provide more satisfactory sampling. To see whether the cytological pickup improves with the use of long tipped spatula. Rurally based University Hospital; crossover study. 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. 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 (χ(2) = 1.5; P = 0.2). Proportion of satisfactory smears is higher when long tip plastic spatula is used for collection of sample.

Identification of Proteins and Peptide Biomarkers for Detecting Banned Processed Animal Proteins (PAPs) in Meat and Bone Meal by Mass Spectrometry.

Science.gov (United States)

Marbaix, Hélène; Budinger, Dimitri; Dieu, Marc; Fumière, Olivier; Gillard, Nathalie; Delahaut, Philippe; Mauro, Sergio; Raes, Martine

2016-03-23

The outbreak of bovine spongiform encephalopathy (BSE) in the United Kingdom in 1986, with processed animal proteins (PAPs) as the main vector of the disease, has led to their prohibition in feed. The progressive release of the feed ban required the development of new analytical methods to determine the exact origin of PAPs from meat and bone meal. We set up a promising MS-based method to determine the species and the source (legal or not) present in PAPs: a TCA-acetone protein extraction followed by a cleanup step, an in-solution tryptic digestion of 5 h (with a 1:20 protein/trypsin ratio), and mass spectrometry analyses, first without any a priori, with a Q-TOF, followed by a targeted triple-quadrupole analysis. Using this procedure, we were able to overcome some of the major limitations of the official methods to analyze PAPs, detecting and identifying prohibited animal products in feedstuffs by the monitoring of peptides specific for cows, pigs, and sheep in PAPs.

An institution-based cervical PAP smear study, correlation with clinical findings & histopathology in the Konkan region of Maharashtra state, India

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Bhushan M. Warpe

2016-08-01

Full Text Available Background: Cervical carcinoma is a common cause of death in India. It is presented by spectrum of precancerous lesions, called cervical intraepithelial neoplasia (CIN. Cervical cytological screening is designed to detect over 90% of cytological abnormalities. It has been established that cervical cancers can be diagnosed at the pre-invasive stage with adequate, repetitive cytological screening. Keeping in view of the importance of cervical PAP abnormalities & by classifying them by Bethesda terminology; correlation with clinical findings & histopathological findings was done. Methods: All cervical Pap smears reported in Department of Pathology from 1st August 2015 to 31st July 2016, were prospectively studied and classified according to revised Bethesda terminology, 2014. Also cytoradiological and clinico-cytological, cytohistological correlation was studied. Results: Due to increasing awareness among masses inculcated by social workers, most of the patients for PAP smear cytology came for routine screening to rule out cervical lesions followed by clinical finding of per-vaginal discharge. The 350 screened patients were in the third and fourth decades of life. 99/350 cases were subjected to USG study, with maximum number of cases (34 cases showing normal study, followed by cases with ovarian cysts and fatty liver disease. Negative for intra-epithelial lesion (NILM without any denotable organism was the pre-dominant cytological finding of PAP smear study followed by cases of NILM with bacterial vaginosis (30 cases with two malignancies. Intra-epithelial lesions (IELs were noted in 16.86%. ASCUS comprised 12.29%, ASC-H comprised 1.14%, L-SIL comprised 1.71%, HSIL comprised 1.43%, Atrophic cervical smears comprised 5.14%, Squamous cell carcinoma comprised 0.29% cases. ASC/LSIL ratio was 7.8 and inadequacy rate for PAP smear study was 7.43%. Cytologyhistopathology correlation was possible in 62 cases. Conclusion: Classification of cervical PAP

The role of compliance with PAP use on blood pressure in patients with obstructive sleep apnea: is longer use a key-factor?

Science.gov (United States)

Bouloukaki, I; Mermigkis, C; Tzanakis, N; Giannadaki, K; Mauroudi, E; Moniaki, V; Kallergis, E M; Schiza, S E

2017-02-01

Scientific data about the effects of positive airway pressure (PAP) treatment on blood pressure (BP) control are continuously increasing; however, they are controversial. We aimed to determine the long-term effects of compliance with PAP therapy on BP in both hypertensive and normotensive patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). One thousand one hundred sixty eight consecutive patients with newly diagnosed OSAHS, who had been recommended PAP therapy, were followed up for a minimum of 2 years. Patients with previous cardiovascular disease were excluded. BP was measured at baseline and after 2 years of PAP treatment. In addition, the correlation between the changes in BP with different levels of PAP compliance was assessed. At the end of the follow-up period, in the hypertensive group of patients (n=586), a significant decrease was shown in systolic (-11.2 mm Hg, P<0.001) and diastolic BP (-4.2 mm Hg, P<0.001). Furthermore, in the patients without hypertension (n=528), a significant decrease was noted both in systolic and diastolic BP (-3.6, P<0.001 and -2.4, P<0.001, respectively). A correlation between the magnitude of change in systolic and diastolic BP and hours of use of PAP (r=0.14, P=0.002 and r=0.1, P=0.025, respectively) was observed in all patients. Long-term use of PAP treatment, as well as increased hours of PAP in patients with OSAHS use showed significant reductions in BP not only in patients with hypertension, but also in normotensive patients. Therefore a significant potential reduction in cardiovascular mortality and morbidity should be expected in these patients.

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.

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...

Escherichia coli. A sanitary methodology for faecal water pollution tests; Escherichia coli nelle acque. Significato sanitario e metodologie di analisi

Energy Technology Data Exchange (ETDEWEB)

Bonadonna, L. [Istituto Superiore di Sanita' , Rome (Italy)

2001-02-01

Among the traditional indictors of faecal water pollution, Escherichia coli has shown to fit better with the definition of indicator organism. Till now its recovery has been time-consuming and needs confirmation tests. In this report more rapid and direct methods, based on enzymatic reactions, are presented. [Italian] Per talune peculiari caratteristiche, Escherichia coli sembra meglio soddisfare i requisiti insiti nella definizione di organismo indicatore, rispetto ai tradizionali indicatori di contaminazione fecale dell'acqua. Finora, i substrati disponibili per il suo rilevamento necessitano tutti di almeno una prova di conferma. Di qui l'esigenza di indicare metodi di rilevamento a riposta piu' rapida, anche in relazione all'inserimento, nelle piu' recenti normative nazionali ed europee, del microrganismo tra i parametri microbiologici da ricercare.

The pancreas responds to remote damage and systemic stress by secretion of the pancreatic secretory proteins PSP/regI and PAP/regIII.

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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.

Perfluoroalkyl acids and their precursors in Swedish food: The relative importance of direct and indirect dietary exposure.

Science.gov (United States)

Gebbink, Wouter A; Glynn, Anders; Darnerud, Per Ola; Berger, Urs

2015-03-01

We analyzed food market basket samples obtained in Sweden from 1999, 2005, and 2010 for perfluoroalkyl acids (PFAAs) and a range of precursor compounds. Perfluorooctane sulfonic acid (PFOS) precursors were detected in all food year pools with the highest concentrations in 1999. Six polyfluoroalkyl phosphate diesters (diPAPs, 4:2/6:2, 6:2/6:2, 6:2/8:2, 8:2/8:2, 6:2/10:2, and 10:2/10:2) were detected in the year pools with the highest ∑diPAP concentrations in 1999 and 2005. All precursors were predominantly found in meat, fish, and/or eggs based on analysis of individual food groups from 1999. Based on year pools, PFOS precursors contributed between 4 and 1% as an indirect source to total dietary PFOS intakes between 1999 and 2010. Perfluorohexanoic acid (PFHxA) exposure originated entirely from diPAPs, whereas for perfluorooctanoic acid (PFOA) and perfluorodecanoic acid (PFDA), diPAPs contributed between 1 and 19% to total exposure. The lowest precursor contributions were generally seen in food samples from 2010. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

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.

Arabidopsis AtPAP1 transcription factor induces anthocyanin production in transgenic Taraxacum brevicorniculatum.

Science.gov (United States)

Qiu, Jian; Sun, Shuquan; Luo, Shiqiao; Zhang, Jichuan; Xiao, Xianzhou; Zhang, Liqun; Wang, Feng; Liu, Shizhong

2014-04-01

This study developed a new purple coloured Taraxacum brevicorniculatum plant through genetic transformation using the Arabidopsis AtPAP1 gene, which overproduced anthocyanins in its vegetative tissues. Rubber-producing Taraxacum plants synthesise high-quality natural rubber (NR) in their roots and so are a promising alternative global source of this raw material. A major factor in its commercialization is the need for multipurpose exploitation of the whole plant. To add value to the aerial tissues, red/purple plants of the rubber-producing Taraxacum brevicorniculatum species were developed through heterologous expression of the production of anthocyanin pigment 1 (AtPAP1) transcription factor from Arabidopsis thaliana. The vegetative tissue of the transgenic plants showed an average of a 48-fold increase in total anthocyanin content over control levels, but with the exception of pigmentation, the transgenic plants were phenotypically comparable to controls and displayed similar growth vigor. Southern blot analysis confirmed that the AtPAP1 gene had been integrated into the genome of the high anthocyanin Taraxacum plants. The AtPAP1 expression levels were estimated by quantitative real-time PCR and were highly correlated with the levels of total anthocyanins in five independent transgenic lines. High levels of three cyanidin glycosides found in the purple plants were characterized by high performance liquid chromatography-mass spectrum analysis. The presence of NR was verified by NMR and infrared spectroscopy, and confirmed that NR biosynthesis had not been affected in the transgenic Taraxacum lines. In addition, other major phenylpropanoid products such as chlorogenic acid and quercetin glycosides were also enhanced in the transgenic Taraxacum. The red/purple transgenic Taraxacum lines described in this study would increase the future application of the species as a rubber-producing crop due to its additional health benefits.

Disinfection efficiency test (hypochlorite efficiency and hydrodynamic behaviour of the disinfection unit) in a large wastewater plant; Verifica del comportamento funzionale ed idrodinamico del processo di disinfezione con ipoclorito in un grande impianto di depurazione

Energy Technology Data Exchange (ETDEWEB)

Azzellino, A.; Volpe, G.; Vismara, R. [D.I.I.A.R. Sez. Ambientale, Politecnico di Milano, Milan (Italy); Bertoni, G. [Varese (Italy); Pezzana, A. [ARISTEA Legnano Srl, Sez. di Igiene Ambientale, Legnano (Italy)

2000-12-01

The latest Italian Water Act imposes for every wastewater treatment plant a disinfection facility. Testing the disinfection efficiency is even more important when considering the potential reuse of wastewater in agriculture. The new Water Act defines emission limits for surface water either in terms of microbiological indicators either in terms of chlorine residual levels. Particularly the actual law introduces a new bacteriological indicator (Escherichia coli) instead of the ones adopted by the previous legislation (mostly faecal coliform) but it does not indicate a standard method for its analytical determination. The presented paper concerns the testing of the hydrodynamic behaviour and the hypochlorite efficiency of a disinfection facility, located in S. Rocco Monza wastewater treatment plant. Tracer tests and different hypochlorite doses were applied in order to determine the disinfection efficiency of the contact reactor. As far as microbiological standards were concerned, it was chosen to use both the indicators E. coli and faecal coliforms in order to respect the actual legislation and the need of continuity with the past. The results did not show any difference in the sensitivity of the two microbiological indicators. [Italian] L'entrata in vigore del Decreto Legislativo 152/99 ha imposto che tutti gli impianti di depurazione delle acque reflue urbane, debbano obbligaoriamente dotarsi di un trattamento di disinfezione. La verifica dei processi di disinfezione diventa tanto piu' importante nel caso in cui si esamini la possibilita' di un potenziale riutilizzo delle acque reflue in agricoltura. Il recente decreto fissa nuovi valori limite d'emissione in acque superficiali sia in termini di organismi indice che di cloro libero residuo, introducendo alcuni elementi di novita'. In particolare, e' stato introdotto un nuovo organismo indice: l'Escherichia coli, in sostituzione di quelli precedentemente utilizzati (coliformi

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 ...

Proposta di utilizzo di metodologie termografiche per il controllo di qualità di componenti meccanici

Directory of Open Access Journals (Sweden)

Roberto D’Andrea

2010-04-01

Full Text Available In base all’esperienza maturata in anni di sperimentazione sull’analisi delle caratteristiche meccaniche dei materiali mediante indagine termografica, nel presente lavoro è proposta una procedura per il controllo di qualità di componenti meccanici in linea di produzione, che è già stata argomento di brevetto. Lo sviluppo di questo lavoro si colloca nell’ambito del progetto FIRB Smart Reflex “Sistemi di produzione intelligenti, flessibili e riconfigurabili”. L’attività svolta dal DIIM riguarda il controllo avanzato dell’affidabilità di componenti meccanici per l’industria automobilistica. Viene proposta, quindi, la realizzazione di una cella di controllo in linea di produzione capace di valutare la presenza di eventuali componenti difettosi attraverso l’analisi termica degli stessi, sollecitati secondo un modello predefinito. L’attività, svolta in questa prima fase in laboratorio, è facilmente trasferibile in linea di produzione, considerando la possibilità di realizzare celle di prova in ambiente controllato, con condizioni praticamente identiche a quelle di laboratorio, eliminando gli effetti di disturbo che possono influenzare la risposta dell’indagine termografica in ambiente non strutturato.

Psychological impact, support and information needs for women with an abnormal Pap smear: comparative results of a questionnaire in three European countries

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Jorge Anna

2011-05-01

Full Text Available Abstract Background Extensive information on cervical cancer is currently available. Its effectiveness in reducing anxiety in women receiving abnormal Pap tests is not clear. We investigated current practices of communicating abnormal Pap results to evaluate women's reactions and determine the sources of information they use subsequently. Methods A self-administered questionnaire-based study was performed in 1475 women in France, Spain and Portugal who had received an abnormal Pap smear result in the 12 months prior to completing the questionnaire. Questions covered methods of communication of the result, emotional reactions, support received (from the physician and entourage, and information sources, using pre-specified check box options and rating scales. Data were analyzed by country. Results Pap test results were mostly communicated by phone to Spanish women (76%, while physician letters were common in France (59% and Portugal (36%. Frequent reactions were anxiety, panic and stress, which were less common in Spanish women than their French and Portuguese counterparts. After discussing with their physician, half of the participants were worried, despite rating highly the psychological support received. Over 90% of women in each country discussed their results with family or friends. Partners provided a high level of support. Overall, the abnormal diagnosis and consequences had a low to medium impact on daily, professional and family life and their relationships with their partner. Impact was higher in Spanish women than the French or Portuguese. Information on the diagnosis and its treatment was rated average, and nearly 80% of participants wanted more information, notably French women. Preferred sources were the physician and the Internet. Conclusions Women expressed a strong wish for more information about cervical cancer and other HPV-related diseases, and that their physician play a major role in its provision and in support. There was a

Short term evaluation of respiratory effort by premature infants supported with bubble nasal continuous airway pressure using Seattle-PAP and a standard bubble device

Science.gov (United States)

Welty, Stephen E.; Rusin, Craig G.; Stanberry, Larissa I.; Mandy, George T.; Gest, Alfred L.; Ford, Jeremy M.; Backes, Carl H.; Richardson, C. Peter; Howard, Christopher R.; Hansen, Thomas N.

2018-01-01

Background Almost one million prematurely born infants die annually from respiratory insufficiency, predominantly in countries with limited access to respiratory support for neonates. The primary hypothesis tested in the present study was that a modified device for bubble nasal continuous positive airway pressure (Bn-CPAP) would provide lower work of spontaneous breathing, estimated by esophageal pressure-rate products. Methods Infants born CPAP with FiO2 CPAP, then 2 h with Bn-CPAP using a modified bubble device presently termed Seattle-PAP, which produces a different pattern of pressure fluctuations and which provided greater respiratory support in preclinical studies, then 2 h on standard Bn-CPAP. Results All 40 infants enrolled completed the study and follow-up through 36 wks post menstrual age or hospital discharge, whichever came first. No infants were on supplemental oxygen at completion of follow-up. No infants developed pneumothoraces or nasal trauma, and no adverse events attributed to the study were observed. Pressure-rate products on the two devices were not different, but effort of breathing, assessed by areas under esophageal pressure-time curves, was lower with Seattle-PAP than with standard Bn-CPAP. Conclusion Use of Seattle-PAP to implement Bn-CPAP lowers the effort of breathing exerted even by relatively healthy spontaneously breathing premature neonates. Whether the lower effort of breathing observed with Seattle-PAP translates to improvements in neonatal mortality or morbidity will need to be determined by studies in appropriate patient populations. PMID:29590143

Co-Testing of Cervical Screening Tests in Detection of High Grade Cervical Intraepithelial Neoplasia

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Smita Asthana

2017-10-01

Full Text Available Introduction: Co-testing performance for detection of high grade Cervical Intraepithelial Neoplasia (CIN has not been adequately addressed from Low Resource Countries (LRCs. Where isolated tests do not have adequate performance, further explorations are recommended. Aim: To evaluate the co-testing of conventional cervical screening tests such as Papanicolaou (Pap and Visual Inspection Cervix with Acetic Acid (VIA, with care HPV on Cervical Samples (CHPV or on Vaginal Samples (VHPV in the detection of high grade CIN. Materials and Methods: The cross-sectional study was conducted on ever married women of age 30 to 59 years in a rural community of Dadri. Women were screened by CHPV, VHPV, and Pap and VIA methods. Confirmation of screen positives was done by histology. Sensitivity, Specificity and likelihood ratios of different combinations of test determined to evaluate the performance. Results: Total eligible women, 66.2% (5032/7604 responded for screening. Analysis was performed on 4658, after excluding those who did not complete all screenings. Co-testing of CHPV (OR=246 or VHPV (OR=278 with Pap had highest association. Positive likelihood ratios of CHPV and VHPV with Pap in CIN II+ detection rates were 13.0 and 11.8 and in CIN III+ the detection rates were 18.0 and 16.0 respectively. Higher sensitivities and specificities were observed in co-testing for CIN III+ detection as against CIN II+ lesions. Conclusion: Choice of co-testing in a pair of tests for detection of high grade CIN is likely to depend on whether screening is targeted for developed or low resource country. VIA in isolation might not yield optimal results for LRCs.

Plastic spatula with narrow long tip provides higher satisfactory smears for Pap test

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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.

Comparison of bloody pap smear fixation by Carnoy’s and fixator spray in samples from women with abnormal uterine bleeding

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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, while identifying inflammatory cells(p=0.832 and microbial factors (p=1 in both methods showed no significant difference. Carnoy’s solution can be used as an effective fixative in bloody Pap smear from women with abnormal uterine bleeding.

The frequency of herpes simplex virus changes in anal Pap smear and its association with squamous intraepithelial lesions in high-risk male patients.

Science.gov (United States)

Greebon, Leslie J; Avery, Diane L; Prihoda, Thomas J; Valente, Philip T; Policarpio-Nicolas, Maria Luisa C

2014-06-01

While there are studies postulating a model of synergism between human papillomavirus (HPV) and herpes simplex virus (HSV) in cervical carcinogenesis, the frequency of anal herpes as well as its association with anal squamous intraepithelial lesions (ASILs) has been understudied in men. This study evaluates the frequency of HSV changes in anal Pap smears and its association with ASILs in a high-risk population. A computerized search for specimens associated with anal cytology that had positive findings of HSV was performed. The electronic medical records were examined for past diagnosis of herpes, HSV serology prior to or after cytology, and if the patient received treatment after cytologic diagnosis of HSV. Of the 470 anal Pap smears (Thin-prep) examined, seven had cellular changes consistent with HSV infection. All patients were asymptomatic human immunodeficiency virus (HIV) positive males with no prior HSV serology tests. Two patients had prior diagnoses of HSV infection. Cytologic abnormalities were identified in 86% ranging from atypical squamous cells of undetermined significance to high grade squamous intraepithelial lesion. Three patients were treated after the HSV cytologic diagnosis. The frequency of HSV changes in anal Pap smear is low (1.48%), but the presence of concomitant cytologic abnormalities is high (86%). While our findings suggest the possible role of HSV as a HPV co-factor in ASILs, larger studies are needed to support this. Identification of HSV infection on anal Pap smear is important for institution of patient treatment and subsequent reduction of transmission. Copyright © 2014 Wiley Periodicals, Inc.

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…

Caratterizzazione genetica di alcune popolazioni di cinghiale (Sus scrofa dell'Italia meridionale

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M.F. Caliendo

2003-10-01

Full Text Available In Italia il Cinghiale ha subito varie oscillazioni numeriche per immissioni d?esemplari provenienti soprattutto dall'est europeo o da paesi vicini (Massei & Toso, 1993 e incrocio con esemplari di maiale domestico, allevato allo stato brado o semi brado in molte zone d'Italia (Apollonio et al., 1988. Questi fattori sono stati responsabili anche di un impoverimento genetico della forma autoctona italiana Sus scrofa meridionalis e majori che sembrano persistere solo in Sardegna e Maremma (Apollonio et al., 1988. Tra le riserve in cui si ritiene possano trovarsi popolazioni ancora integre, figura la tenuta presidenziale di Castelporziano (Roma. Prendendo spunto da questo lavoro, con il nostro contributo riportiamo i risultati, a livello genetico, della ibridazione con il maiale da parte di cinghiali della Campania, basato sul DNA microsatellite di 4 loci polimorfi. Sono state studiate 9 popolazioni (allevate e libere, usando per riferimenti maiali allo stato brado e cinghiali di Castelporziano. Dall?analisi delle frequenze alleliche è stato eseguito il test di assignment (implementato in una sub routine del software Arlequin 2.0 che individua la possibile origine di un individuo, rispetto ad una rosa di probabili popolazioni di riferimento (Paetkau et al., 1998. Con i risultati del test di assignment si è costruito il grafico log-log genotype, rappresentato da un piano individuato dalle due variabili di riferimento (cinghiale e maiale brado. Le popolazioni esaminate evidenziano una generalizzata distribuzione a cavallo tra i due riferimenti con individui geneticamente simili al cinghiale ed altri al maiale. Questa ripartizione simmetrica è molto evidente nel caso dei cinghiali catturati a Punta Licosa e in quelli dell?allevamento di Polla. La distribuzione dei genotipi sul piano è spesso dispersa, ad eccezione dei cinghiali della Valle del Vento e quelli di Monteverde (individui

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.

Characteristic findings of cervical Papanicolaou tests from transgender patients on androgen therapy: Challenges in detecting dysplasia.

Science.gov (United States)

Adkins, B D; Barlow, A B; Jack, A; Schultenover, S J; Desouki, M M; Coogan, A C; Weiss, V L

2018-02-28

The characteristic features of Papanicolaou (Pap) tests collected from female-to-male (FTM) transgender patients on androgen therapy have not been well defined in the literature. FTM transgender patients require cervical cancer screening with the same recommended frequency as cis-gender females. Dysplasia remains challenging to differentiate from atrophy. Without pertinent history, the atrophic findings in younger transgender patients can be misinterpreted as high-grade dysplasia. A review of all cervical Pap tests of transgender patients receiving androgen therapy (2010-2017) was performed. Bethesda diagnosis, cytomorphological features, HPV testing and cervical biopsy results were reviewed. Eleven transgender patients receiving androgen therapy were identified with 23 cervical Pap tests, 11 HPV tests and five cervical biopsies performed. A review of the Pap tests demonstrated: 57% negative for intraepithelial lesion; 13% unsatisfactory; 13% atypical squamous cells of undetermined significance; 13% atypical squamous cells - cannot exclude high-grade squamous intraepithelial lesion; and 4% high-grade squamous intraepithelial lesion. The rates of abnormal tests were higher than our age-matched cis-gender atrophic cohort rates of unsatisfactory (0.5%), atypical squamous cells of undetermined significance (7%), atypical squamous cells-cannot exclude high-grade squamous intraepithelial lesion (0%) and high-grade squamous intraepithelial lesion (0.5%). The cytological findings from liquid-based preparations included dispersed and clustered parabasal-type cells, scattered degenerated cells, smooth evenly dispersed chromatin, and occasional mild nuclear enlargement and irregularity. Dysplastic cells had larger nuclei, hyperchromatic clumped chromatin, and more irregular nuclear contours. The evaluation of dysplasia can be challenging on Pap tests from transgender patients on androgen therapy. The cohort evaluated had higher rates of unsatisfactory and abnormal Pap tests

Taratura di un 'apparecchiatura per misura di piccole percentuali di uranio in soluzione acida di acqua distillata

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d. Diana

1965-06-01

Full Text Available Si descrive una tecnica elio permette di misurare ilnumero di atomi di Uranio di una soluzione, con un errore non superioreal 10%.Il sistema consiste in un tubo di Geiger (Philips 18503 sistemato inun contenitore di vetro nel quale viene diluita una certa quantità di peso dinitrato di Uranile, misurato con una precisione migliore dell'1%. Al variaredella diluizione si registra il numero di particelle che il Geiger conta, e quindisi riporta in grafico. Da questi per diverse quantità di sale sciolto si determinala retta di taratura.

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, ...

Storie di genere, storie di partito

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Elisa Bellè

2012-04-01

Full Text Available Lo studio delle narrazioni di genere all'interno di questo tipo di organizzazione desta inoltre un particolare interesse anche in ragione della sottorappresentazione delle donne nella sfera della politica. Si tratta di un deficit democratico che coinvolge i sistemi politici moderni nel loro complesso, ma che interessa l'Italia con una particolare gravità ed evidenza. La questione della sottorappresentazione politica delle donne è stata sinora affrontata prevalentemente in termini tecnico-legali (politiche di pari opportunità ed azione positiva, o di teoria politica (la dicotomia pubblico-maschile e privato-femminile come fondamento del contratto sessuale della politica. Mancano invece contributi che guardino ai partiti come organizzazioni largamente responsabili dei processi di selezione e promozione delle carriere politiche, dunque come luoghi di quotidiana produzione di pratiche e culture di genere, più o meno egualitarie o, viceversa, discriminatorie. Sulla base di tale vuoto di ricerca e riflessione, il presente articolo si propone di mettere in luce le pratiche e le culture di genere che emergono dai racconti di uomini e donne all'interno di due organizzazioni partitiche, una di destra e una di sinistra, situate nel contesto territoriale della provincia di Trento. La ricerca è stata condotta attraverso lo strumento dell'intervista semi-strutturata, coinvolgendo quattro donne e quattro uomini, divisi per coppie di età (un uomo ed una donna giovani ed un uomo ed una donna da lungo presenti nel partito, accostabili per quanto concerne ruolo e posizione nelle organizzazioni partitiche considerate. L'attenzione analitica si è concentrata sulla costruzione del genere di uomini e donne intervistati/e, intesa sia come dimensione ed esperienza individuale (le storie di genere dei/lle singoli/e, sia come dimensione organizzativa più ampia (le storie di genere delle organizzazioni, narrate dalle diverse voci. Un'ulteriore dimensione analitica

Increasing Pap smear rates at an urban Aboriginal Community Controlled Health Service through translational research and continuous quality improvement.

Science.gov (United States)

Dorrington, Melanie S; Herceg, Ana; Douglas, Kirsty; Tongs, Julie; Bookallil, Marianne

2015-01-01

This article describes translational research (TR) and continuous quality improvement (CQI) processes used to identify and address barriers and facilitators to Pap smear screening within an urban Aboriginal Community Controlled Health Service (ACCHS). Rapid Plan-Do-Study-Act (PDSA) cycles were conducted, informed by client surveys, a data collection tool, focus groups and internal research. There was a statistically significant increase in Pap smear numbers during PDSA cycles, continuing at 10 months follow up. The use of TR with CQI appears to be an effective and acceptable way to affect Pap smear screening. Community and service collaboration should be at the core of research in Aboriginal and Torres Strait Islander health settings. This model is transferrable to other settings and other health issues.

Comparison of HFNC, bubble CPAP and SiPAP on aerosol delivery in neonates: An in-vitro study.

Science.gov (United States)

Sunbul, Fatemah S; Fink, James B; Harwood, Robert; Sheard, Meryl M; Zimmerman, Ralph D; Ari, Arzu

2015-11-01

Aerosol drug delivery via high flow nasal cannula (HFNC), bubble continuous positive airway pressure (CPAP), and synchronized inspiratory positive airway pressure (SiPAP) has not been quantified in spontaneously breathing premature infants. The purpose of this study was to compare aerosol delivery via HFNC, bubble CPAP, and SiPAP in a model of a simulated spontaneously breathing preterm infant. The types of CPAP systems and nebulizer positions used during aerosol therapy will impact aerosol deposition in simulated spontaneously breathing infants. Quantitative, comparative, in-vitro study. A breath simulator was set to preterm infant settings (VT : 9 ml, RR: 50 bpm and Ti: 0.5 sec) and connected to the trachea of an anatomical upper airway model of a preterm infant via collecting filter distal to the trachea. The HFNC (Optiflow; Fisher & Paykel), Bubble CPAP (Fisher & Paykel), and SiPAP (Carefusion) were attached to the nares of the model via each device's proprietary nasal cannula and set to deliver a baseline of 5 cm H2 O pressure. Albuterol sulfate (2.5 mg/0.5 ml) was aerosolized with a mesh nebulizer (Aeroneb Solo) positioned(1) proximal to the patient and(2) prior to the humidifier (n = 5). The drug was eluted from the filter with 0.1 N HCl and analyzed via spectrophotometry (276 nm). Data were analyzed using descriptive statistics, t-tests, and one-way analysis of variance (ANOVA), with P CPAP (1.24 ± 0.24; p = 0.008). Placement of the nebulizer prior to the humidifier increased deposition with all devices (P < 0.05). Aerosol can be delivered via all three devices used in this study. Device selection and nebulizer position impacted aerosol delivery in this simulated model of a spontaneously breathing preterm infant. © 2014 Wiley Periodicals, Inc.

Exame citopatológico de colo uterino em mulheres com idade entre 20 e 59 anos em Pelotas, RS: prevalência, foco e fatores associados à sua não realização Pap smears of 20 - 59 year-old women in Pelotas, Southern Brazil: prevalence, approach and factors associated with not undergoing the test

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Arnildo A. Hackenhaar

2006-03-01

Full Text Available OBJETIVO: Determinar a prevalência e o foco de realização do exame citopatológico do colo uterino e também fatores associados à sua não realização em mulheres com idade entre 20 e 59 anos residentes na cidade de Pelotas, RS. MÉTODOS: Entre outubro e dezembro de 2003 foi realizado um estudo transversal de base populacional. Através de amostragem por conglomerados foram sorteados 144 setores censitários em múltiplos estágios. Foram investigadas variáveis sociodemográficas e a realização de exame citopatológico do colo uterino. RESULTADOS: Dentre as 1404 mulheres que constituem a população-alvo dos programas de prevenção do câncer do colo uterino, 83,0% realizaram o exame citopatológico do colo uterino nos três anos antecedentes a este estudo. Mostraram-se significativamente associadas (POBJECTIVE: This study aims to determine the prevalence of and approach of Pap smear tests, as well as associated factors in women living in Pelotas, RS, Southern Brazil, within the 20 - 59 age range, who did not undergo a Pap smear. METHODS: A cross-sectional population-based study was carried out from October to December 2003. 144 census tracts were sampled through a multiple-stage clustered method. Socio-demographic variables were investigated, as well as women's Pap smear tests. RESULTS: Among the 1,404 women who were the target population included in the early detection program of uterine cervix cancer, 83% had had Pap smears in the three years before the study. Variables statistically associated (p<0.05 with women not undergoing the test in the previous three years were: ages ranging from 20-29 to 50-59 years compared with 40-49 year-old women, lower schooling level, lower social level, mixed and black skin color, not having seen a gynecologist in the previous 12 months. CONCLUSIONS: Although this study presents a high coverage of women undergoing Pap smears, women that present higher risk factors for this type of cancer had fewer

DEVELOPMENT OF A PEROXIDASE-ANTIPEROXIDASE (PAP) TECHNIQUE FOR THE IDENTIFICATION OF HAEMOPHILUS-SOMNUS IN PNEUMONIC CALF LUNGS IN DENMARK

DEFF Research Database (Denmark)

Tegtmeier, Conny; Jensen, N.E.; Jensen, H.E.

1995-01-01

A peroxidase-antiperoxidase (PAP) technique was developed for the identification of Haemophilus somnus bacteria in lung tissues of calves. Antisera raised against somatic and wall antigens of a Danish and American strain of H. somnus were produced. Experimentally infected murine tissues were used...... strain of H. somnus revealed the highest sensitivity in the PAP technique and became specific following absorption. Heterologous absorption also rendered this antiserum specific in crossed immunoelectrophoresis. Subsequently, the PAP technique was applied on formalin-fixed pneumonic lung tissues of 86...... calves. An immunodiagnosis of H. somnus pneumonia was obtained in 15 of 17 lungs from which the bacterium had been isolated. Moreover, immunostained bacteria were also demonstrated in 20 lungs from which H. somnus had not been isolated. Thus, application of immunohistochemistry significantly enhanced...

An Evaluation Study of Enzyme-Linked Immunosorbent Assay (ELISA) Using Recombinant Protein Pap31 for Detection of Antibody against Bartonella bacilliformis Infection among the Peruvian Population

Science.gov (United States)

Angkasekwinai, Nasikarn; Atkins, Erin H.; Romero, Sofia; Grieco, John; Chao, Chien Chung; Ching, Wei Mei

2014-01-01

Reliable laboratory testing is of great importance to detect Bartonella bacilliformis infection. We evaluated the sensitivity and specificity of the enzyme-linked immunosorbent assay (ELISA) using recombinant protein Pap31 (rPap31) for the detection of antibodies against B. bacilliformis as compared with immunofluorescent assay (IFA). Of the 302 sera collected between 1997 and 2000 among an at-risk Peruvian population, 103 and 34 samples tested positive for IFA-immunoglobulin G (IgG) and IFA-IgM, respectively. By using Youden's index, the cutoff values of ELISA-IgG at 0.915 gave a sensitivity of 84.5% and specificity of 94%. The cutoff values of ELISA-IgM at 0.634 gave a sensitivity of 88.2% and specificity of 85.1%. Using latent class analysis, estimates of sensitivity and specificity of almost all the assays were slightly higher than those of a conventional method of calculation. The test is proved beneficial for discriminating between infected and non-infected individuals with the advantage of low-cost and high-throughput capability. PMID:24515944

Factors affecting compliance with clinical practice guidelines for pap smear screening among healthcare providers in africa: systematic review and meta-summary of 2045 individuals.

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Etienne Asonganyi

Full Text Available Although the importance of the Pap smear in reducing cancer incidence and mortality is known, many countries in Africa have not initiated yet widespread national cervical cancer screening programs. The World Health Organization (WHO has published Clinical Practice Guidelines (CPGs on cervical cancer screening in developing countries; however, there is a gap between expectations and clinical performance. Thus, the aim of this study was to conduct a systematic review and meta-summary to identify factors affecting compliance with CPGs for Pap screening among healthcare providers in Africa.And Findings: MEDLINE, Scirus, Opengate and EMBASE databases were searched in January 2012. Studies involving medical personnel practicing in Africa, whose outcome measured any factors that affect medical personnel from using a Pap smear to screen for cervical cancer, were included. Two reviewers independently evaluated titles and abstracts, then full-texts, extracted data and assessed quality of the included studies. A descriptive analysis of the included studies was conducted. We calculated Frequency effect sizes (FES for each finding and Intensity effect sizes (IES for each article to represent their magnitudes in the analyses. Of 1011 studies retrieved, 11 studies were included (2045 individuals. Six different themes related to the factors affecting compliance with CPGs were identified: Insufficient Knowledge/Lack of awareness (FES = 82%, Negligence/Misbeliefs (FES = 82%, Psychological Reasons (FES = 73%, Time/Cost Constraint (FES = 36%, Insufficient infrastructure/training (FES = 45% and also no reason given (FES = 36%. IES for articles ranged between 33 and 83%.These results suggest that prevention initiatives should be comprehensive to include education and resources needs assessments and improvement, Pap smear test training, strategies on costing, and practitioner time studies.

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.

Dai bisogni di salute al consumo di risorse sanitarie in provincia di Bergamo: profilo degli indicatori di bisogno, domanda, offerta

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A. Zucchi

2003-05-01

Full Text Available

Introduzione: la complessità interpretativa dei dati relativi ad alcuni fenomeni sanitari a livello territoriale impone la necessità di uno strumento semplice di lettura “epidemiologica”; tale lettura si fonda sull’utilizzo di una serie di “indicatori”, fondamenta di un processo dinamico di monitoraggio temporale e spaziale in grado di descrivere sinteticamente fenomeni di per sé complessi, al fine di fornire al decisore un supporto sintetico ma scientificamente solido.

Obiettivi: istituzione di un sistema di monitoraggio sanitario community-based; definizione di indicatori sanitari comparabili tramite un esame critico dei dati esistenti; sviluppo di metodologie per la raccolta e la validazione dei dati; supporto alla creazione di un sistema efficace e affidabile di trasferimento e scambio dei dati e degli indicatori stessi con uso spinto della tecnologia telematica; elaborazione di metodi e di strumenti necessari alla produzione di analisi e relazioni.

Materiali e metodi: gli indicatori analizzati fanno riferimento
all’elenco definito dal decreto ministeriale n. 27 del 12 dicembre 2001 “sistema di garanzie per il monitoraggio dell’assistenza sanitaria”. A questo elenco ne sono stati aggiunti altri, per un totale di 127, divisi in grandi capitoli tematici: assistenza sanitaria, assistenza distrettuale, assistenza ospedaliera, indicatori stato di salute, consumo di risorse sanitarie (cui è stato dato particolare enfasi, indicatori di domanda/accessibilità. Per definire infine un
profilo di sintesi di questi grandi capitoli e delle relative
eterogeneità territoriali si è successivamente applicata la tecnica statistica dello “z-score”.
Risultati: le differenze emerse a livello distrettuale hanno permesso di disegnare una ‘mappa’ degli indicatori sanitari in provincia di Bergamo.

Conclusioni:i risultati di

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.

RNA-seq analysis of antibiotic-producing Bacillus subtilis SC-8 in response to signal peptide PapR of Bacillus cereus.

Science.gov (United States)

Yeo, In-Cheol; Lee, Nam Keun; Yang, Byung Wook; Hahm, Young Tae

2014-01-01

Bacillus subtilis SC-8 produces an antibiotic that has narrow antagonistic activity against bacteria in the Bacillus cereus group. In B. cereus group bacteria, peptide-activating PlcR (PapR) plays a significant role in regulating the transcription of virulence factors. When B. subtilis SC-8 and B. cereus are co-cultured, PapR is assumed to stimulate antibiotic production by B. subtilis SC-8. To better understand the effect of PapR on this interspecies interaction, the global transcriptome profile of B. subtilis SC-8 was analyzed in the presence of PapR. Significant changes were detected in 12.8 % of the total transcripts. Genes related to amino acid transport and metabolism (16.5 %) and transcription (15 %) were mainly upregulated, whereas genes involved in carbohydrate transport and metabolism (12.7 %) were markedly downregulated. The expression of genes related to transcription, including several transcriptional regulators and proteins involved in tRNA biosynthesis, was increased. The expression levels of genes associated with several transport systems, such as antibiotic, cobalt, and iron complex transporters, was also significantly altered. Among the downregulated genes were transcripts associated with spore formation, the subtilosin A gene cluster, and nitrogen metabolism.

L’identificazione di virus citopatogeni isolati dall’ambiente:ricerca ed applicazione di protocolli analitici

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A. Carducci

2003-05-01

Full Text Available

Obiettivi: la ricerca dei virus enterici in matrici ambientali, soprattutto nei reflui urbani, risulta di grande interesse sia per la valutazione del rischio di natura virale sia per compiere studi epidemiologici.

Lo scopo di questo lavoro è stato l’applicazione parallela di diverse tecniche attualmente in uso in virologia clinica a isolati citopatogeni ambientali al fine di ottenere una precisa identificazione degli agenti rilevati.

Metodi: sono stati analizzati 21 campioni di aerosol, provenienti da impianti di depurazione di reflui civili a fanghi attivi, e risultati citopatogeni in colture di cellule BGM.

Dopo una nuova semina in “shell vials”, su tre linee cellulari continue per mettere in evidenza eventuali differenze nello spettro di citopatogenicità. Per l’identificazione degli isolati virali, sono state adottate in parallelo: microscopia elettronica, tecniche biomolecolari di amplificazione genica, elettroforesi su gel di poliacrilamide (PAGE, test immunoenzimatici, sieroneutralizzazione.

Risultati: la semina in “shell vials” ha confermato la
presenza di particelle virali infettive in tutti i campioni
tranne uno; inoltre ha permesso di ridurre il
tempo di comparsa dell’effetto citopatico a 3-4 giorni
contro i 6-8 giorni necessari seminando in fiasche.
La microscopia elettronica ha individuato la presenza
di particelle enterovirus-simili in 18 dei 21
campioni e di virioni della famiglia Reoviridae in 8.
La positività dei campioni è stata ottenuta, inoltre,
con la RT-PCR, per 2 campioni di enterovirus e 2 di
reovirus e con la PAGE in 6 campioni. Il presente
studio ha portato ad un’identificazione sufficientemente
certa di reovirus in 2 campioni e di enterovirus
in 1 campione.

Conclusioni: l’identificazione di isolati ambientali si

Sludge combustion in fluidized bed reactors at laboratory scale; Esperienze di combustione di fanghi in reattori a letto fluido in scala di laboratorio

Energy Technology Data Exchange (ETDEWEB)

Chirone, R.; Cammarota, A. [Consiglio Nazionale delle Ricerche, Istituto di Ricerche sulla Combustione, Naples (Italy)

2001-03-01

The combustion of a dried sewage sludge in laboratory scale fluidized bed has been studied in Naples by the Istituto di ricerche sulla combustione (Irc) in the framework of a National project named Thermal Process with Energy Recovery to be used in laboratory and pre-pilot scale apparatus. The attention has been focused on emissions of unreacted carbon as elutriated fines, on the emissions of pollutant gases and on the assessment of the inventory of fly- and bottom ashes. The combustion behaviour of sewage sludge has been compared with those of a market available Tyre Derived Fuel (TDF) and a biomass from Mediterranean area (Robinia Pseudoacacia) and with that of a South African bituminous coal. Stationary combustion tests were carried out at 850{sup 0} C by feeding particles in the size range 0-1 mm into a bed of silica sand without any sorbent addition. The fluidized bed combustor has been operated, at a superficial gas velocity of 0.4 m/s and different excesses of air ranging between 14 and 98%. Relatively high combustion efficiency, larger than 98.9% has been obtained in experiments carried out with sewage sludge and excess of air larger than 20%. These values, are comparable with those obtained in previously experimental activity carried out under similar operative conditions with a South Africa Bituminous coal (97-98%). It is larger than those obtained by using a Tyre Derived Fuel (89-90%) and the Robinia Pseudoacacia Biomass (93-93%). The relative importance of carbon fines elutriation, CO emissions and volatile bypassing the bed in determining the loss of combustion efficiency has been evaluated for the different fuels tested. [Italian] Il lavoro riporta l'attivita' di ricerca condotta presso l'Istituto di ricerche sulla combustione (Irc-Cnr) nell'ambito del Progetto Processi termici con recupero di energia per lo smaltimento di fanghi e rifiuti speciali, sottoprogetto Combustione in letti fluidi in scala di laboratorio e pre-pilota di

Cobertura e fatores associados à não realização do exame preventivo de Papanicolaou em São Luís, Maranhão Coverage and factors associated with not performing Pap smear screening tests in São Luís, Maranhão, Brazil

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Márcia Maria Hiluy Nicolau de Oliveira

2006-09-01

Full Text Available Com o objetivo de estimar a cobertura, a periodicidade, e identificar fatores associados à não realização do exame preventivo de Papanicolau, 465 mulheres de 25 a 49 anos residentes no município de São Luís foram entrevistadas em 1998. Foi realizado inquérito domiciliar pelo método de amostragem por conglomerados em três estágios. Na análise estatística foram calculados intervalos de confiança de 95% corrigidos pelo desenho do estudo, e os "odds ratio" brutos e ajustados por regressão logística. A cobertura do Papanicolaou pelo menos uma vez na vida foi de 82,4% (Intervalo de Confiança 95%, 76,6 - 87,0%, praticamente atingindo a cobertura mínima necessária de 85% para causar impacto epidemiológico na incidência e mortalidade por câncer cérvico-uterino. O intervalo entre a realização dos exames foi curto, pois 65,8% das mulheres repetiram o exame com até um ano. Após o ajuste para fatores de confundimento foram associados à não realização do Papanicolaou: não ter companheiro, ter cinco a oito anos de escolaridade, não ter realizado consulta médica nos três últimos meses e morar em domicílio cujo chefe de família tem ocupação manual não especializada. Ter tido de dois a quatro parceiros sexuais nos três últimos meses foi associado a menor risco de não realização do preventivo. Em capital do Nordeste, a cobertura do exame preventivo de Papanicolaou foi semelhante à relatada em outros estudos nacionais. Entretanto, algumas mulheres realizaram citologias desnecessárias a intervalos curtos, implicando em desperdício de recursos e dificultando o acesso aos grupos mais vulneráveis que apresentaram maiores riscos de não testagem.In 1998, 465 women from 25 to 49 years of age, inhabitants of the municipality of São Luís, Maranhão, Brazil were interviewed to estimate Pap smear coverage, interval between tests and to identify factors associated with not performing Pap smears. A three-stage household

Women’s experience with home-based self-sampling for human papillomavirus testing

International Nuclear Information System (INIS)

Sultana, Farhana; Mullins, Robyn; English, Dallas R.; Simpson, Julie A.; Drennan, Kelly T.; Heley, Stella; Wrede, C. David; Brotherton, Julia M. L.; Saville, Marion; Gertig, Dorota M.

2015-01-01

Increasing cervical screening coverage by reaching inadequately screened groups is essential for improving the effectiveness of cervical screening programs. Offering HPV self-sampling to women who are never or under-screened can improve screening participation, however participation varies widely between settings. Information on women’s experience with self-sampling and preferences for future self-sampling screening is essential for programs to optimize participation. The survey was conducted as part of a larger trial (“iPap”) investigating the effect of HPV self-sampling on participation of never and under-screened women in Victoria, Australia. Questionnaires were mailed to a) most women who participated in the self-sampling to document their experience with and preference for self-sampling in future, and b) a sample of the women who did not participate asking reasons for non-participation and suggestions for enabling participation. Reasons for not having a previous Pap test were also explored. About half the women who collected a self sample for the iPap trial returned the subsequent questionnaire (746/1521). Common reasons for not having cervical screening were that having Pap test performed by a doctor was embarrassing (18 %), not having the time (14 %), or that a Pap test was painful and uncomfortable (11 %). Most (94 %) found the home-based self-sampling less embarrassing, less uncomfortable (90 %) and more convenient (98 %) compared with their last Pap test experience (if they had one); however, many were unsure about the test accuracy (57 %). Women who self-sampled thought the instructions were clear (98 %), it was easy to use the swab (95 %), and were generally confident that they did the test correctly (81 %). Most preferred to take the self-sample at home in the future (88 %) because it was simple and did not require a doctor’s appointment. Few women (126/1946, 7 %) who did not return a self-sample in the iPap trial returned the questionnaire

Il crowdfunding finalizzato al co-finanziamento di progetti di valorizzazione di complessi di elevato valore storico architettonico: il caso di “Torino Esposizioni”

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Paola Marinò

2015-12-01

Full Text Available L’articolo affronta il tema del finanziamento degli interventi di restauro e riuso delle grandi architetture del ‘900, in un momento storico in cui le risorse finanziarie pubbliche sono sempre più scarse e difficili da reperire. La ricerca affronta la possibilità di ricorrere al crowdfunding attraverso il caso studio del progetto di “Torino Esposizioni”, un’architettura del ‘900, parzialmente utilizzata, in stato di degrado, nonostante sia riconosciuta dalla critica internazionale come un’opera di eccezionale valore. A partire dal Master Plan, messo a punto dal Politecnico di Torino in collaborazione con la Città di Torino, è stata simulata l’applicabilità del crowdfunding attraverso un’indagine che valuta la disponibilità a contribuire da parte dei potenziali fruitori del complesso di “Torino Esposizioni” e, quindi, a comprendere l’interesse dei cittadini nei confronti del valore storico del complesso di “Torino Esposizioni” e del progetto di riuso che dovrebbe valorizzarlo. Gli esiti della ricerca, nell’evidenziare un’inattesa scarsa disponibilità a contribuire al finanziamento collettivo del progetto, hanno messo in evidenza, non solo la scarsa conoscenza del crowdfunding come strumento di finanziamento, ma anche la scarsa consapevolezza del valore storico architettonico del patrimonio moderno della città di Torino, di cui “Torino Esposizioni” rappresenta un esempio eccezionale, seppur non l’unico.

Definition of dose intensity (DI), average relative DI and effective DI

International Nuclear Information System (INIS)

Alberto, P.

1995-01-01

The cytotoxic activity of cancer chemotherapy is related to the dose and to the amount of drug delivered per time unit. the significance of time in the effectiveness of a treatment program is frequently overlooked. The term of dose intensity (DI) is used to define the drug dose delivered per time unit and is expressed as mg/m 2 per week. A delay in the sequence of treatment cycles decreases the DI in the DI in the same proportion as a reduction of dose. Average relative DI corresponds to the mean DI of combined agents and is expressed as a fraction of a similar combination selected as a standard. Di is useful to compare the dose actually received with the prescribed dose. The relation of DI with tumor response or survival has not been fully demonstrated. A threshold DI level for therapeutic activity is evident. Above this threshold, a linear relationship of DI and effectiveness is not obvious, particularly regarding high-dose chemotherapy. The term of DI is more useful in its principle than in the significance of its calculated value. (authors). 19 refs., 3 tabs., 3 figs

Reti di città, mobilità e ambiente: il Preliminare di PTCP di Avellino

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Carmela Gargiulo

2010-02-01

Full Text Available  L’articolo propone la lettura dei contenuti del Preliminare del PTCP di Avellino, un piano per molti aspetti innovativo, soprattutto per aver coniugato pianificazione di area vasta di tipo tradizionale e logica “strategica”. In particolare, l’articolo descrive idee guida, contenuti e strategie del piano orientate, prevalentemente, a stimolare lo sviluppo sostenibile di un’area in ritardo di sviluppo come la provincia irpina, attraverso la salvaguardia e valorizzazione delle risorse naturali e storico-culturali, la costruzione di reti di medie e piccole città e reti di mobilità alle diverse scale, da quella urbana a quella internazionale, e interventi sul sistema della mobilità. Nel 2004, ormai più di cinque anni fa, è stato adottato, a maggioranza assoluta (solo due gli astenuti, il Preliminare di Piano Territoriale di Coordinamento della Provincia di Avellino, dopo un lavoro di oltre due anni che ha visto impegnati gli uffici provinciali con due dipartimenti universitari. Il lavoro, che va ben oltre il significato e la valenza di un preliminare e che coniuga due pratiche di piano diverse (quella tradizionale e quella strategica ruota attorno a tre idee di fondo, tra loro strettamente interrelate, che costituiscono i criteri guida che finora ha inteso seguire la provincia di Avellino nell’attività di governo delle trasformazioni. Tali idee, quindi, costituiscono le fondamenta su cui è stato costruito il Preliminare e sono la griglia di specificazione delle strategie e degli obiettivi di piano. Esse sono alla base delle scelte elaborate per lo sviluppo compatibile del territorio, e sono riferibili alle azioni operative di trasformazione del territorio che gli Enti locali, cui è demandato tale compito, nel prossimo futuro dovranno affrontare. Le tre idee forza del Preliminare, descritte nel seguito, sono riferibili ai sistemi di risorse principali della provincia di Avellino, oggetto di una indagine analitico

Physical Activity and Cervical Cancer Testing among American Indian Women

Science.gov (United States)

Muus, Kyle J.; Baker-Demaray, Twyla B.; Bogart, T. Andy; Duncan, Glen E.; Jacobsen, Clemma; Buchwald, Dedra S.; Henderson, Jeffrey A.

2012-01-01

Purpose: Studies have shown that women who engage in high levels of physical activity have higher rates of cancer screening, including Papanicalaou (Pap) tests. Because American Indian (AI) women are at high risk for cervical cancer morbidity and mortality, we examined Pap screening prevalence and assessed whether physical activity was associated…

Inequity of healthcare utilization on mammography examination and Pap smear screening in Thailand: Analysis of a population-based household survey.

Directory of Open Access Journals (Sweden)

Sukanya Chongthawonsatid

Full Text Available Healthcare in Thailand is not equally distributed, and not all people can equally access healthcare resources even if they are covered by health insurance. To examine factors associated with the utilization of mammography examination for breast cancer and Pap smear screening for cervical cancer, data from the national reproductive health survey conducted by the National Statistical Office of Thailand in 2009 was examined. The survey was carried out on 15,074,126 women aged 30-59 years. The results showed that the wealthier respondents had more mammograms than did the lower-income groups. The concentration index was 0.144. The data on Pap smears for cervical cancer also showed that the wealthier respondents were more likely to have had a Pap smear than their lower-income counterparts. The concentration index was 0.054. Determinants of mammography examination were education, followed by health welfare and wealth index, whereas the determinants of Pap smear screening were wealth index, followed by health welfare and education. The government should support greater education for women because education was associated with socioeconomic status and wealth. There should be an increase in the number of screening campaigns, mobile clinics, and low-cost mammograms and continued support for accessibility to mammograms, especially in rural areas and low-income communities.

Predictors of Iranian women's intention to first papanicolaou test practice: An application of protection motivation theory.

Science.gov (United States)

Dehdari, T; Hassani, L; Shojaeizadeh, D; Hajizadeh, E; Nedjat, S; Abedini, M

2016-01-01

Given the importance of papanicolaou (Pap) test in the early detection and timely treatment of cervical cancer, present study was designed to determine predictors of a sample of Iranian women's intention to first Pap test practice based on the protection motivation theory (PMT) variables. In this cross-sectional study, a total of 240 women referral to the 30 primary health care clinics were selected. They completed a developed scale based on PMT variables including intention, perceived vulnerability and severity, fear, response costs, response efficacy and self-efficacy. Path analysis was used to determine the association between predictive factors and intention. The results showed that PMT had goodness of fit with a χ2/df = 2.37, df = 28, P= 0.001 and RMSEA = 0.076. PMT explained 42% of the variance in women's intention to get first Pap smear test. Self-efficacy (b = 0.55, Ptheory-based educational interventions associated with Pap testing among women.

Le collezioni di Mammiferi del Museo Civico di Zoologia di Roma: una sintesi storica

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Gloria Svampa

2003-10-01

Full Text Available Il Museo Civico di Zoologia di Roma è sorto nel 1932 all?interno del Giardino Zoologico dell?allora Governatorato di Roma, di cui ha condiviso la direzione tecnica ed amministrativa sino al 1998. Il nucleo centrale delle collezioni è costituito dal materiale di proprietà universitaria, di quello che fu il Museo di Zoologia della Regia Università, a sua volta diretto discendente delle collezioni del Museo di Zoologia ed Anatomia Comparata del Pontificio Archiginnasio Romano. La quasi totalità degli esemplari tassidermizzati risale al periodo in cui l?Istituto di Zoologia fu diretto da Antonio Carruccio (1883-1914. Dal 1932, la collezione teriologica si è andata arricchendo, in particolare di materiale osteologico, soprattutto con acquisizioni provenienti dal Giardino Zoologico e da rare spedizioni scientifiche, come quella organizzata dal CNR nell?Alto Rio Negro del 1962-3, guidata da Ettore Biocca. Anche a causa del fatto che per molti anni il Museo è stato privo di curatori, mancano importanti collezioni teriologiche da studio, fatta eccezione per quella cetologica. In molti casi, singoli esemplari potenzialmente di grande valore scientifico, mancano di dati esatti sulla località di cattura. Nell?ambito di un programma di ricatalogazione della collezione recentemente intrapreso, particolare attenzione è stata posta all?acquisizione di tutti i dati legati alla storia dei singoli esemplari, rintracciabili attraverso i resoconti di viaggio dei singoli esploratori. Nel periodo universitario, infatti, il Museo della nuova capitale d?Italia fu oggetto di grande attenzione da parte di privati ed enti, a partire dai Savoia, che donarono le loro collezioni o il materiale raccolto durante le spedizioni effettuate. Il lavoro di revisione in corso sta mettendo in luce una serie di esemplari meritevoli di ulteriori, dettagliate ricerche. È probabile che molto del materiale del Museo, pervenuto a Roma attraverso donazioni della famiglia reale

76 FR 23973 - Certain Pasta From Italy: Notice of Partial Rescission of Antidumping Duty Administrative Review

Science.gov (United States)

2011-04-29

... S.r.L. (``Afeltra''), Pasta Zara SpA (``Zara''), Pastificio Di Martino Gaetano & F.lli SpA (``Di..., P.A.P., Riscossa, Rustichella, and Zara (collectively ``certain non-mandatory respondents..., dated November 24, 2010. On November 29, 2010, Di Martino, Felicetti, and Zara withdrew their requests...

Declining prevalence of cytological squamous intraepithelial lesions of the cervix among women living with well-controlled HIV - Most women living with HIV do not need annual PAP smear screening.

Science.gov (United States)

Aho, Inka; Kivelä, Pia; Haukka, Jari; Sutinen, Jussi; Heikinheimo, Oskari

2017-11-01

Cervical screening by means of annual Papanicolaou (PAP) smears has been recommended for all women living with HIV. We analysed the results of our annual PAP smear screening program to identify low-risk subgroups for less rigorous screening. The study comprised 369 women followed at the Helsinki University Hospital 2002-2013, with a total of 2033 PAP smear results. We analyzed the temporal changes in PAP smear findings. Logistic regression analysis for binominal dependent variables was used for assessing risk factors for ever having cytological squamous intraepithelial lesions (hereafter referred as SIL) using generalized estimating equations taking into account multiple observations of each patient. Most women had well-controlled HIV, especially towards the end of the study. PAP smear results improved substantially. At the time of each individual's last PAP smear, 90.0% of the findings displayed normal results. Conversely, the rate of SIL decreased from 16.8% to 4.6% from 2002 to 2013. In multivariate analysis the risk of SIL was significantly lower in women with consecutive normal PAP smear findings during the first two years of follow up [odds ratio (OR) 0.21, 95% confidence interval (CI) 0.10-0.45, p 500 cells/μL (OR 0.11, 95% CI 0.05-0.26, p < 0.001). Widespread use of combination antiretroviral therapy (cART) and systematic cervical screening has reduced the rate of abnormal PAP smears. It seems feasible to identify low-risk women by combining HIV-related information and PAP smear results. Screening low-risk women living with HIV at three-year intervals similar to HIV-negative women appears justified. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.

Papéis, comportamentos, atividades e relações entre membros da família baiana

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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.

Physical Activity on Prescription (PAP), in patients with metabolic risk factors. A 6-month follow-up study in primary health care.

Science.gov (United States)

Lundqvist, Stefan; Börjesson, Mats; Larsson, Maria E H; Hagberg, Lars; Cider, Åsa

2017-01-01

There is strong evidence that inadequate physical activity (PA) leads to an increased risk of lifestyle-related diseases and premature mortality. Physical activity on prescription (PAP) is a method to increase the level of PA of patients in primary care, but needs further evaluation. The aim of this observational study was to explore the association between PAP-treatment and the PA level of patients with metabolic risk factors and the relationship between changes in the PA level and health outcomes at the 6 month follow-up. This study included 444 patients in primary care, aged 27-85 years (56% females), who were physically inactive with at least one component of metabolic syndrome. The PAP-treatment model included: individualized dialogue concerning PA, prescribed PA, and a structured follow-up. A total of 368 patients (83%) completed the 6 months of follow-up. Of these patients, 73% increased their PA level and 42% moved from an inadequate PA level to sufficient, according to public health recommendations. There were significant improvements (p≤ 0.05) in the following metabolic risk factors: body mass index, waist circumference, systolic blood pressure, fasting plasma glucose, cholesterol, and low density lipoprotein. There were also significant improvements regarding health-related quality of life, assessed by the Short Form 36, in: general health, vitality, social function, mental health, role limitation-physical/emotional, mental component summary, and physical component summary. Regression analysis showed a significant association between changes in the PA level and health outcomes. During the first 6-month period, the caregiver provided PAP support 1-2 times. This study indicates that an individual-based model of PAP-treatment has the potential to change people's PA behavior with improved metabolic risk factors and self-reported quality of life at the 6 month follow-up. Thus, PAP seems to be feasible in a clinical primary care practice, with minimum effort

Physical Activity on Prescription (PAP, in patients with metabolic risk factors. A 6-month follow-up study in primary health care.

Directory of Open Access Journals (Sweden)

Stefan Lundqvist

Full Text Available There is strong evidence that inadequate physical activity (PA leads to an increased risk of lifestyle-related diseases and premature mortality. Physical activity on prescription (PAP is a method to increase the level of PA of patients in primary care, but needs further evaluation. The aim of this observational study was to explore the association between PAP-treatment and the PA level of patients with metabolic risk factors and the relationship between changes in the PA level and health outcomes at the 6 month follow-up. This study included 444 patients in primary care, aged 27-85 years (56% females, who were physically inactive with at least one component of metabolic syndrome. The PAP-treatment model included: individualized dialogue concerning PA, prescribed PA, and a structured follow-up. A total of 368 patients (83% completed the 6 months of follow-up. Of these patients, 73% increased their PA level and 42% moved from an inadequate PA level to sufficient, according to public health recommendations. There were significant improvements (p≤ 0.05 in the following metabolic risk factors: body mass index, waist circumference, systolic blood pressure, fasting plasma glucose, cholesterol, and low density lipoprotein. There were also significant improvements regarding health-related quality of life, assessed by the Short Form 36, in: general health, vitality, social function, mental health, role limitation-physical/emotional, mental component summary, and physical component summary. Regression analysis showed a significant association between changes in the PA level and health outcomes. During the first 6-month period, the caregiver provided PAP support 1-2 times. This study indicates that an individual-based model of PAP-treatment has the potential to change people's PA behavior with improved metabolic risk factors and self-reported quality of life at the 6 month follow-up. Thus, PAP seems to be feasible in a clinical primary care practice, with

Un test di confronto fra carte catastali e cartografia tecnica

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Giorgio Bezoari

2006-06-01

Full Text Available Uno dei problemi più gravi che affligge l’Italia (peraltro madre di cartografi, topografi e geodeti è la dubbia qualità delle mappe catastali che purtoppo ad oggi versano in uno stato ancora lontano dal poter essere classificata come cartografia di base, sconfinando invece in una sorta di cartografia tematica che affronta appunto il tema della proprietà e dei tributi connessi. Il problema è sentito da decenni e già nel 1945 il CNR aveva proposto l’intera riorganizzazione del servizio geografico dello stato proponendo che gli sforzi deivari enti cartografici (IGM, Catasto, Aeronautica, Marina eGeologico venissero uniti sotto un’unica egida per la realizzazione della Cartografia dello Stato. Purtroppo abbiamo visto che questo non è successo e i problemi sono oggi venuti tutti al pettine così come vengono evidenziati nel presente articolo.

Campagna di social marketing per sensibilizzare all'uso delle cinture di sicurezza e dispositivi per bambini

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S. Cinquetti

2003-05-01

Full Text Available

Obiettivi: aumento del 10% dell’uso delle cinture di sicurezza anteriori e posteriori e del 20% dei seggiolini per bambini nella Regione del Veneto.

Metodi: il Programma Regionale di Prevenzione dei Traumi da Traffico è stato varato nel 1998 e rifinanziato nel 2002 per un secondo triennio. Fa capo alla Direzione per la Prevenzione dell’Assessorato alle Politiche Sanitarie del Veneto, coinvolge i Dipartimenti di Prevenzione di tutte le Aziende ULSS del Veneto e ha come capofila l’azienda ULSS 7 di Pieve di Soligo (TV. Nell’ambito del programma, il 16 maggio 2003 è stata avviata una campagna di marketing sociale finanziata dalla fondazione CARIVERONA e commissionata ad un’ agenzia pubblicitaria leader del settore. La campagna è stata preceduta da ricerca formativa con 19 focus group e 12 interviste, volta ad analizzare il punto di vista dei diversi target, nonché degli attori principali coinvolti (Forze dell’Ordine, autoscuole, etc. Dopo un test di gradimento, la campagna è partita con spot televisivi e radiofonici, inserzioni nei giornali e manifesti informativi destinati alle scuole medie superiori, alle scuole guida nonché agli ambulatori dei medici di famiglia. Attraverso i media si sostiene una serie di azioni nel territorio che coinvolgeranno le amministrazioni comunali, le forze di polizia e le associazioni di volontariato.

Risultati: l’efficacia della campagna viene valutata attraverso due distinte rilevazioni dell’uso delle cinture di sicurezza/seggiolini, confrontando i dati raccolti prima della campagna e dopo.

Conclusioni: i traumi da traffico rappresentano nel Veneto un’importante causa di mortalità e morbosità. Il programma regionale ha utilizzato la tecnica innovativa del marketing sociale come strumento essenziale per sostenere i cambiamenti comportamentali necessari a prevenire l’incidentalità da traffico nel

Vaginal flora changes on Pap smears after insertion of levonorgestrel-releasing intrauterine device.

Science.gov (United States)

Donders, Gilbert G G; Berger, Judith; Heuninckx, Hélène; Bellen, Gert; Cornelis, Ann

2011-04-01

The levonorgestrel intrauterine system (LNG-IUS) combines a uterine foreign body and the continuous release of low-dose levonorgestrel for contraception. Its influence on the rate of vulvovaginal infections and flora disturbance is insufficiently known, but important for contraceptive advice in women, especially those who develop recurrent vaginosis or Candida vulvovaginitis. Slides of 286 women who had a Pap smear taken before and 1 to 2 years after placement of a LNG-IUS were blindly reviewed for the presence of abnormal vaginal flora (AVF), bacterial vaginosis (BV), aerobic vaginitis (AV) and Candida vaginitis (CV). Prior to insertion, there were no differences in vaginal flora abnormalities between women using different kinds of contraception. LNG-IUS users did not have different rates of AVF, BV, AV or CV, but the general risk to develop any infection was increased. Uterine bleeding after insertion did not seem to predict a different flora type. We found that Pap smears suggested more vaginal infections after 1 year of LNG-IUS use than prior to insertion of the device. Copyright © 2011 Elsevier Inc. All rights reserved.

OTTO-PAP: An alternative option to the PBMR fuelling philosophy

International Nuclear Information System (INIS)

Mulder, E.; Teuchert, E.

1997-01-01

Once Through Then Out, Power Adjusted by Poison (OTTO-PAP) fuelling of a high temperature pebble-bed reactor offers a simple alternative to the MEDUL (Mehrfachdurchlauf = German for multi-pass) fuelling regime followed in pebble bed reactor designs to date. The prerequisite for a modular reactor unit of maximum power output, subject to observing passive safety characteristics is a sufficiently flat axial neutron flux profile. This is achieved by introducing B 4 C coated particles of pre-calculated size and packing density within the fuel spheres. In accordance with AVR operating practise the temperature profile is radially equalised by introducing a 2-zone core loading. Adding pure graphite spheres loosely into the centre column area of the core effectively reduced the maximum power in the middle. Increasing the reactor diameter is enabled by the introduction of noses. A 3-D geometric modeller developed in cylindrical co-ordinates enables a given flow description of the pebbles adjacent to the nose boundaries and in the vicinity of the shut down/control rods. After translation of the geometric data the neutronic behaviour of the reactor is followed in 3-D by the CITATION code. This study is aimed towards achieving an optimal core layout with a LEU (Low Enriched Uranium) fuel cycle. Physical properties of the OTTO-PAP, 150 MWt reference design is reported, while computations performed observe results obtained by the reference HTR-MODUL design. (author)

Applicazione delle linee guida nazionali nell'attivitá di notifica di casi di legionellosi

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E. Corsano

2003-05-01

Full Text Available

Obiettivi: é noto che effettuare diagnosi di Legionellosi risulta difficile a causa della sovrapposizione della sintomatologia con altre forme di polmonite. Questo spiega, in parte, perché i casi di Legionellosi siano sottostimati. I metodi diagnostici disponibili, sebbene richiedano tempi relativamente lunghi, sono necessari per l’esatta stima di prevalenza della Legionellosi e per gli eventuali interventi preventivi.

Metodi: nell’Azienda Ospedaliera “G. Panico” di Tricase, seguendo i criteri delle Linee Guida della Legionellosi (G.U. 5 maggio 2000 n. 103 durante la degenza dei pazienti che presentavano segni clinici ed obiettivi di polmonite sono state eseguite indagini radiologiche (Rx Torace, TAC, esami di laboratorio (espettorato, sangue, urina ed avviata terapia antibiotica (macrolidi e cefalosporine di III generazione. L’antigene urinario e le IgG anti-Legionella (metodo IFA, sono stati determinati in collaborazione con il Laboratorio di riferimento Regionale.

Risultati: nel periodo ottobre 2001 gennaio 2003 sono stati notificati nel nostro ospedale 11 casi di Legionellosi accertati da indagini clinico-strumentali e di laboratorio: tutti i casi avevano titoli anticorpali abbastanza elevati, confermati poi da un secondo controllo a distanza di tempo. Solo due hanno presentato una positività per l’antigene urinario. All’atto della dimissione, per il 63.6% dei casi è stato documentato un miglioramento delle condizioni clinico-laboratoristico-strumentali, nel 18.2% si è avuta una effettiva guarigione. La letalità è stata pari al 18.2%. In tutti casi si è provveduto alla sorveglianza ambientale.

Considerazioni: i nostri dati evidenziano che i casi di Legionellosi registrati sono stati tutti di tipo comunitario. Una corretta applicazione delle Linee Guida nel sistema di notifica permette l’avvio dell’attività di prevenzione oltre

Additional collection devices used in conjunction with the SurePath Liquid-Based Pap Test broom device do not enhance diagnostic utility

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O'Connor Jason C

2004-09-01

Full Text Available Abstract Background We have previously shown that use of an EC brush device in combination with the Rovers Cervex-Brush (SurePath broom offered no significant improvement in EC recovery. Here we determine if use of additional collection devices enhance the diagnostic utility of the SurePath Pap for gynecologic cytology. Methods After informed consent, 37 women ages 18–56 receiving their routine cervical examinations were randomized into four experimental groups. Each group was first sampled with the SurePath broom then immediately re-sampled with an additional collection device or devices. Group 1: Rover endocervix brush (n = 8. Group 2: Medscand CytoBrush Plus GT (n = 7. Group 3: Rover spatula + endocervix brush (n = 11. Group 4: Medscand spatula + CytoBrush Plus GT (n = 11. Results Examination of SurePath broom-collected cytology yielded the following abnormal diagnoses: atypia (n = 2, LSIL (n = 5 and HSIL (n = 3. Comparison of these diagnoses to those obtained from paired samples using the additional collection devices showed that use of a second and or third device yielded no additional abnormal diagnoses. Importantly, use of additional devices did not improve upon the abnormal cell recovery of the SurePath broom and in 4/10 cases under-predicted or did not detect the SurePath broom-collected lesion as confirmed by cervical biopsy. Finally, in 36/37 cases, the SurePath broom successfully recovered ECs. Use of additional devices, in Group 3, augmented EC recovery to 37/37. Conclusions Use of additional collection devices in conjunction with the SurePath broom did not enhance diagnostic utility of the SurePath Pap. A potential but not significant improvement in EC recovery might be seen with the use of three devices.

Fenomeni d’interferenza nell’apprendimento dell’italiano da parte di parlanti spagnolo. Un’indagine a partire da un test a scelta multipla per gli studenti dell’Università Complutense di Madrid.

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Francesco Zurlo

2009-12-01

Full Text Available Normal 0 14 MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabella normale"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman";} È noto che nell’apprendimento di lingue affini come italiano e spagnolo, il fenomeno del transfer linguistico gioca spesso un ruolo fondamentale. La percezione di vicinanza e di congruenza tra i due sistemi linguistici è alla base del frequente trasferimento da parte degli apprendenti, di regole, espressioni ed abitudini proprie della loro L1 nella L2, che non inficiando in molti casi il successo comunicativo rischiano alla lunga di cristallizzarsi e fossilizzarsi. Nella ricerca, svolta a partire da un test a scelta multipla proposto ad alcuni alunni dei corsi di italiano dell’Università Complutense di Madrid, si rilevano e descrivono alcune delle tipologie più ricorrenti di errori dovuti ad interferenza della L1, mettendo in rilievo la loro incidenza e la loro influenza nel determinare la specificità del percorso di apprendimento dell’italiano da parte degli ispanofoni, contraddistinto da accelerazioni e rallentamenti, arresti e stabilizzazioni.  Normal 0 14 MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabella normale"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman";} It is known that when learning similar languages, such as Italian and Spanish, the phenomenon of linguistic transfer often plays a fundamental role.  The perception of the two language systems as close and congruent is at the basis of

The Effect of History of Abnormal Pap Smear or Preceding HPV infection on the Humoral Immune Response to Quadrivalent Human Papilloma virus (qHPV) Vaccine in Women with Systemic Lupus Erythematosus.

Science.gov (United States)

Dhar, J Patricia; Essenmacher, Lynnette; Dhar, Renee; Magee, Ardella; Ager, Joel; Sokol, Robert J

2018-04-30

To determine if natural human papillomavirus (HPV) infection would induce an anamnestic response to quadrivalent (qHPV) vaccine in women with Systemic Lupus Erythematosus (SLE). Thirty four women (19-50 years) with mild to moderate and minimally active or inactive SLE received standard qHPV vaccine. Neutralizing antibody titers to HPV 6, 11, 16 and18 were evaluated pre- and post- vaccine using HPV competitive Luminex Immunoassay. For each HPV type, logistic regressions were performed to explore the relationship between a positive titer at baseline with their final geometric mean titer and with the rise in titer. Fisher's Exact Test was used to assess the association of at least one positive HPV antibody test at baseline and history of abnormal pap. History of abnormal pap smear/cervical neoplasia occurred in 52.9%. Baseline anti HPV antibody titers: 21% = negative for all 4 HPV types, 79% = positive for ≥1 of the HPV types. Statistical analysis showed: those with a history of abnormal pap smear/cervical neoplasia were likely to have a positive anti-HPV antibody result pre-vaccine to ≥ 1 of the 4 types, p = 0.035 Fisher's Exact Test. In general, HPV exposed women showed higher post vaccine GMTs than HPV unexposed women with higher point estimates. However, when examining the rise in titers using logistic regression, there was no evidence of an anamnestic response. Prior HPV infection and cervical neoplasia in SLE are linked with no anamnestic response to HPV vaccine. This supports not checking HPV-antibodies pre-vaccine. Women with SLE should be vaccinated for HPV.

Sieropositivitá per HIV, HBV e HCV negli utenti del Servizio di Tossicodipendenza di Formia (ASL di Latina

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G. La Torre

2003-05-01

Full Text Available

Obiettivi: valutare la prevalenza sieropositività per HIV, HBV e HCV nei tossicodipendenti afferenti al Ser.T di Formia (LT.

Materiali e metodi: sono state consultate le cartelle cliniche degli afferenti al Ser.T. nel 2002, estraendo dati relativi ai parametri socio-demografici ed alle sieropositività. L’analisi statistica ha previsto l’impiego del test del χ2 e della regressione logistica multipla.

Risultati: sono stati presi in considerazione 135 tossicodipendenti, di cui 103 (76.3% maschi e 32 (23.7% femmine. L’età mediana dell’inizio della tossicodipendenza e della presa in carico presso il servizio erano, rispettivamente, di 18 e di 23 anni. Il 94.1% dei tossicodipendenti risulta dipendente primariamente da eroina, il 5.2% da cocaina e lo 0.7% da alcol. Relativamente alle positività per i virus considerati, 7 soggetti (5.2% sono risultati positivi all’HIV, 23 (17% sieropositivi per HBV e 50 (37% sieropositivi per HCV. L’analisi multivariata mostra che sono associate alla sieropositività per HCV la sieropositività per HBV (OR = 3.87 e l’età della presa in carico presso il servizio superiore a 25 anni (OR = 1.88; alla sieropositività per HBV l’occupazione saltuaria (OR = 4.58, la HCV positività (OR = 4.41 e la HIV positività (OR = 5.39; alla sieropositività per HIV l’età della presa in carico presso il servizio superiore a 25 anni (OR = 4.94.

Discussione: l’indagine ha messo in evidenza prevalenze di sieropositività per HCV, HBV e HIV decisamente inferiori a quelle registrate in altre realtà italiane ed internazionali. Una possibile spiegazione potrebbe essere ricercata nei bassi livelli di sieropositività per questi virus nella popolazione generale del Basso Lazio, o nella scarsa abitudine di scambiarsi le siringhe fra tossicodipendenti di questa area geografica.

DiAlert: a prevention program for overweight first degree relatives of type 2 diabetes patients: results of a pilot study to test feasibility and acceptability

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Heideman Wieke H

2012-09-01

Full Text Available Abstract Background Prevalence of type 2 diabetes mellitus is increasing due to lifestyle changes, particularly affecting those genetically at risk. We developed DiAlert as a targeted group-based intervention aimed to promote intrinsic motivation and action planning for lifestyle changes and weight loss in first degree relatives of patients with type 2 diabetes mellitus. The main objective of the pilot of the DiAlert intervention was to assess fidelity, feasibility and acceptability prior to starting the randomized controlled trial. Methods Individuals with a family history of type 2 diabetes mellitus were self-identified and screened for eligibility. DiAlert consists of two group sessions. Feasibility, fidelity, acceptability and self-reported perceptions and behavioral determinants were evaluated in a pre-post study using questionnaires and observations. Determinants of behavior change were analyzed using paired-samples t tests and Wilcoxon signed rank tests. Results DiAlert was delivered to two groups of first degree relatives of patients with type 2 diabetes mellitus (N = 9 and N = 12. Feasibility and fidelity were confirmed. Overall, the DiAlert group sessions were positively evaluated (8.0 on a scale of 1 to 10 by participants. The intervention did not impact perceived susceptibility or worry about personal diabetes risk. Action planning with regard to changing diet and physical activity increased. Conclusions DiAlert proved feasible and was well-accepted by participants. Positive trends in action planning indicate increased likelihood of actual behavior change following DiAlert. Testing the effectiveness in a randomized controlled trial is imperative. Trial registration Netherlands National Trial Register (NTR: NTR2036

Elementi di interfaccia per l’analisi di strutture murarie

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Jessica Toti

2009-04-01

Full Text Available Il presente articolo riguarda la modellazione del comportamento meccanico di elementi in muratura intesi come sistemi eterogenei composti da malta, blocchi ed interfacce di connessione. La strategiacomputazionale che viene adottata consiste nel modellare separatamente i blocchi, i letti di malta ed le interfacce responsabili di fenomeni di decoesione malta-blocco; a tale scopo, si propone uno speciale modello di interfaccia che combina il danneggiamento con l’attrito. Si sviluppa una procedura numerica, basata sull’algoritmo backward di Eulero, per risolvere il problema evolutivo; per il passo temporale si utilizza invece la tecnica predictor-corrector a controllo di spostamenti. Si effettuano alcune applicazioni numeriche con lo scopodi verificare la capacità del modello e dell’algoritmo proposto nel riprodurre la risposta non lineare della muratura dovuta a fenomeni di degrado localizzati. Infine, si conduce lo studio della modellazione di un arco murario, confrontando i risultati numerici con quelli sperimentali; si dimostra la abilità del modello proposto nel simulare il comportamento globale della struttura ad arco in termini di carico ultimo e di meccanismo di collasso.

The Escherichia coli P and Type 1 Pilus Assembly Chaperones PapD and FimC Are Monomeric in Solution

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Sarowar, Samema; Hu, Olivia J.; Werneburg, Glenn T.; Thanassi, David G.; Li, Huilin; Christie, P. J.

2016-06-27

The chaperone/usher pathway is used by Gram-negative bacteria to assemble adhesive surface structures known as pili or fimbriae. Uropathogenic strains ofEscherichia coliuse this pathway to assemble P and type 1 pili, which facilitate colonization of the kidney and bladder, respectively. Pilus assembly requires a periplasmic chaperone and outer membrane protein termed the usher. The chaperone allows folding of pilus subunits and escorts the subunits to the usher for polymerization into pili and secretion to the cell surface. Based on previous structures of mutant versions of the P pilus chaperone PapD, it was suggested that the chaperone dimerizes in the periplasm as a self-capping mechanism. Such dimerization is counterintuitive because the chaperone G1 strand, important for chaperone-subunit interaction, is buried at the dimer interface. Here, we show that the wild-type PapD chaperone also forms a dimer in the crystal lattice; however, the dimer interface is different from the previously solved structures. In contrast to the crystal structures, we found that both PapD and the type 1 pilus chaperone, FimC, are monomeric in solution. Our findings indicate that pilus chaperones do not sequester their G1 β-strand by forming a dimer. Instead, the chaperones may expose their G1 strand for facile interaction with pilus subunits. We also found that the type 1 pilus adhesin, FimH, is flexible in solution while in complex with its chaperone, whereas the P pilus adhesin, PapGII, is rigid. Our study clarifies a crucial step in pilus biogenesis and reveals pilus-specific differences that may relate to biological function.

IMPORTANCEPili are critical virulence factors for many bacterial pathogens. UropathogenicE. colirelies on P and type 1 pili assembled by the chaperone/usher pathway to

Lezioni di meccanica razionale con elementi di statica grafica

CERN Document Server

Sbrana, Francesco

1950-01-01

Elementi di calcolo vettoriale ; riduzione di un sistema qualunque di vettori applicati ; trattazione analitica dei sistemi di vettori applicati ; uso dei poligni funicolari per la composizione di più vettori applicati complanari ; vettori variabili ; cinematica del punto ; studio del moto di un punto in un piano in coordinate polari ; cinematica de sistemi rigidi ; moto di un sistema rigido con un punto fisso (moto rigido sferico) ; moto relativo ; sistemi di punti in general, vincoli ; concetti e postulati fondamentali della meccanica ; unità mecchaniche, omogeneità, modelli ; equilibrio di un punto e di un sistema di punti materiali ; statica dei solidi indeformabili (sistemi rigidi) ; sistemi deformabili, travature reticolari ; equilibrio dei poligoni funicolari e delle curve funicolari ; nozioni sull'attrito ; integrazione grafica ; baricentri ; momenti d'inerzia ; calcolo grafico dei momenti statici e dei momenti d'inerzia dei sistemi piani ; dinamica del punto libero ; dinamica del punto vincolato ;...

Analisa Meal Experience Dan Pengaruhnya Terhadap Minat Beli Ulang Di Restoran Jepang Di Surabaya

OpenAIRE

Nathania, Clairine; Tjandra, Catherine; Kristanti, Monika

2015-01-01

Penelitian ini dilakukan untuk menganalisa perbedaan meal experience yang dialami oleh konsumen dari gender dan kelompok usia yang berbeda, serta apakah meal experience memiliki pengaruh terhadap minat beli ulang di Restoran Jepang di Surabaya. Meal experience terdiri dari aspek makanan, minuman, pelayanan, kebersihan dan higienitas, suasana, serta harga dan nilai uang. Teknik analisa yang digunakan adalah deskriptif kuantitatif, One Way Anova, Independent Sample t-Test, serta regresi linier ...

Studio del comportamento di agenti di contrasto in campi ultracustici per tecniche di ecografia diagnostica

OpenAIRE

BIAGIONI, ANGELO

2011-01-01

Il presente lavoro di ricerca è stato articolato intorno a temi attinenti l’ingegneria biomedica, riguardando, in particolare, lo studio del comportamento di agenti di contrasto in campi ultracustici per tecniche di ecografia diagnostica. Nell’ambito di tale settore scientifico, un ruolo di fondamentale importanza è svolto dalla diagnostica medica per immagini e in particolare dalle tecniche ecografiche. Queste ultime rappresentano un ottimo compromesso tra la pericolosità per l’organismo e l...

Programmazione del Network di 'Virologia Ambientale': Stato di avanzamento

OpenAIRE

Carlesi, Carlo

2004-01-01

Presentazione 'Power Point' dell'intervento all'incontro di lavoro 'VIRAMB II incontro del Network di Virologia Ambientale', presso l'Istituto Zooprofilattico Sperimentale delle Regioni Lazio e Toscana. Nell'intervento si presenta lo stato di avanzamento dei lavori riguardo la realizzazione dell'infrastruttura telematica del 'Network di Virologia Ambientale' promosso dal 'Dipartimento di Patologia Sperimentale, Biotecnologie Mediche, Infettivologia ed Epidemiologia' dell'Universit? di Pisa.

Identificazione, caratterizzazione ed industrializzazione di ceppi di Streptococcus thermophilus per la produzione di yogurt

OpenAIRE

D'Alonges, Sara

2013-01-01

Il contesto globale del comparto agro-alimentare richiede ad oggi una ricerca continua per assicurare qualità e sicurezza degli alimenti. La produzione moderna di alimenti richiede elevato grado di standardizzazione, particolarmente la produzione gli alimenti fermentati che include un processo biotecnologico in cui la componente biotica gioca un ruolo fondamentale Di qui la necessità disporre di un’ampia gamma di microrganismi atti alla conduzione del processo fermentativo in modo da im...

Stress indotto dalla guida di autoveicoli: studio di parametri psicofisiologici

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R. Vivoli

2003-05-01

Full Text Available

La guida di un autoveicolo, specie in condizioni di intenso traffico o di cattive condizioni meteoclimatiche, è considerata uno dei principali fattori stressanti della vita odierna. Durante la guida si possono infatti osservare significative risposte simpatoadrenergiche e cardiovascolari con la comparsa anche di episodi coronarici. Tali risposte presentano un’ampia variabilità interindividuale in quanto sono influenzate da vari fattori (stile di vita, personalità etc..

In questa rassegna, vengono presentati i principali risultati degli studi da noi condotti sulle risposte psicofisiologiche indotte dalla guida di diversi tipi di autoveicoli. In conducenti di autobus urbani è stato registrato un sensibile aumento del tasso urinario di adrenalina durante il turno lavorativo rispetto alla stessa fascia oraria di un giorno di riposo. Tale risposta adrenergica era esaltata dall’abitudine tabagica e dall’assunzione di caffè e bevande alcoliche. In soggetti che alla guida di camion coprono lunghe distanze, i più elevati tassi urinari di catecolamine e i più alti livelli di frequenza cardiaca sono stati registrati quando la guida era particolarmente stressante per la presenza di nebbia o di intenso traffico. In soggetti che partecipano, a livello amatoriale, a manifestazioni agonistiche di velocità su pista, abbiamo osservato che durante la gara, rispetto al periodo pre-gara, l’escrezione urinaria di catecolamine aumenta in misura molto rilevante. Analogamente a quanto osservato in autisti di camion, l’attivazione del sistema adrenergico è risultata direttamente associata ai livelli di ansietà. Dall’elettrocardiogramma dinamico è emerso che durante la gara la frequenza cardiaca raggiunge un valore medio di 163.5±7.4 battiti/min. (range: 146,180 battiti/min..

Un significativo peggioramento della percezione visiva stereoscopica, con potenziale ricaduta negativa sulla performance dei guidatori, è stato osservato in

Role of p16 testing in cervical cancer screening among HIV-infected women.

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Christine J McGrath

Full Text Available p16 immunohistochemistry is used to evaluate for HPV-associated cervical intraepithelial neoplasia. The diagnostic performance of p16 in HIV infection is unclear.Between June-December 2009, HIV-infected women underwent Papanicolaou (Pap smear, human papillomavirus (HPV testing, visual inspection with acetic acid (VIA, and colposcopy-directed biopsy as the disease gold standard at a HIV clinic in Kenya. Pap smears were evaluated for p16 expression. Sensitivity, specificity, positive predictive value (PPV, and area under the receiver operating characteristic curve (AUC of p16 to detect CIN2/3 on histology and the impact of immunosuppression and ART was assessed.Of 331 cervical samples with p16 expression, p16 sensitivity and specificity to detect CIN2/3 was 54.1% and 72.4% respectively, which was lower than Pap and HPV in sensitivity, but higher in specificity than Pap, HPV, and VIA. Combining tests and p16 reduced sensitivity and increased specificity of Pap from 90.5% to 48.7% and 51.4% to 81.7%; of VIA from 59.5% to 37.8% and 67.6% to 89.9%; and of HPV from 82.4% to 50.0% and 55.3% to 84.8%. Combination p16 increased the PPV of Pap from 34.9% to 43.4%; of HPV from 34.7% to 48.7%; and VIA from 34.9% to 51.9%. Adjunctive p16 did not change AUC (P>0.05. P16 performance was not altered by immunosuppression or ART use. Combining p16 with HPV and VIA reduced the variation in HPV and VIA performance associated with CD4 and ART.As an adjunctive test in HIV-infected women, p16 immunohistochemistry increased specificity and PPV of HPV and VIA for CIN2/3, and was not altered in performance by immunosuppression, ART, or age.

Il controllo di gestione e operativo delle commesse per una impresa di costruzioni: nuovo impianto di trattamento e recupero di rifiuti urbani.

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Matteo Camprini

2013-10-01

Full Text Available Il mercato delle costruzioni in Italia soffre problemi di maturità da molto tempo. Dagli anni ’90, infatti, per superare i fatti di tangentopoli venne riformata la legislazione dei lavori pubblici per giungere a livelli di competizione maggiori e più simili a quelli esistenti in Europa.  In questo contesto le imprese che per la loro struttura culturale, organizzativa e produttiva mostravano maggiore sensibilità a tali aspetti avviarono processi di formazione e riorganizzazione introducendo specifiche procedure mirate alla gestione completa dei progetti trasformandosi così da imprese di sola produzione a imprese operanti per progetti.La presente memoria vuole descrivere il sistema di gestione attuato, le modifiche ed i miglioramenti che si sono susseguiti nel tempo,  la sua struttura organizzativa e gli strumenti di lavoro messi a disposizione.A conclusione verrà illustrata l’applicazione al caso concreto della costruzione del nuovo impianto di trattamento e recupero di rifiuti urbani.

Design e valutazione di una esperienza di mobile learning

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Marco Arrigo

2008-01-01

Full Text Available Analisi dello sviluppo scientifico e tecnologico nel campo di mobile learning, con particolare riferimento ai problemi di progettazione e valutazione nelle esperienze. Vengono analizzate le caratteristiche di metodologia didattica innovativa insieme a delle proposte per strumenti operativi concreti che consentano di progettare interventi didattici di mobile learning.

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.

Test facilities for hybrid and electric drive trains; Stazione di prova sistemi di trazione ibridi ed elettrici

Energy Technology Data Exchange (ETDEWEB)

Bernardini, G.; Ciancia, A.; De Andreis, L.; Pagni, G.; Pede, G.; Rossi, E.; Vellone, R. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dip. Energia

1998-12-31

ENEA (Italian National Agency for New Technologies, Energy and the Environment) is conducting a large research and development programme on innovative vehicles with high energy efficiency and low environmental impact. In particular conducts activities on electric and hybrid vehicles. Testing and evaluation activities play a strong role in this programme. A complete characterization chain has been then defined and set up with a network of facilities which covers main testing needs for single components, subsystems and complete vehicles, in simulated and real operating conditions. The test facility which has been realised is able to experiment and fully characterise complete drive-trains (and subsystems) for pure electric and hybrid vehicles. It is composed by a different section for each subsystem: 1) power generation; 2) energy storage and management; 3) driving motors. Each section acts as an experimental island, able to operate alone or jointly with the other sections. In fact, all the sections are remotely controlled and managed in order to create different assembly of the drive-train. The facility has been sized to allow the testing of drive-trains and subsystems of small and medium-sized vehicles (up to minibuses), but an extension to larger vehicles is possible. During 1996 and part of 1997 the Drive train Test Facility has been completed and made operative. This paper mainly presents the final configurations of these novel testing systems with peculiar features and characteristics. [Italiano] ENEA (Ente Nazionale per le nuove tecnologie, l`Energia e l`Ambiente) sta conducendo un vasto programma di ricerca e sviluppo sui veicoli innovativi ad alto rendimento energetico e basso impatto ambientale.

Aspetti di continuità di lungo periodo dell’architettura di Venezia e osservazione sulla tipicità di alcuni processi di stratificazione

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Trovò, Francesco

2010-12-01

Full Text Available In order to interpret the links between Venice and Byzantium, it is firstly described how earliest houses in Venice were decorated by using sculptures coming from trading places. It is described the use of disassembled elements and the replacement of others, such as cornices, windows’ elements, coats of arms, among others. These were used firstly as a revival (Neo-Byzantine, 15th century, and later as reflection of the Venetian society «prudence», related to its behaviours and traditions. This prudence is mainly shown in the Renaissance. Besides this, other aspects such as the type of building and the façades, which are the main transformed surface, are analysed with the aim of researching periodical and characteristic dynamics, mainly in those façades showing stylistic renewal and new elements. Some external façades have maintained specific and easy observable characteristics, so they can be associated to a determined stylistic and morphological period. Other façades are stratified, as it is shown by the presence of elements (windows, cornices, … of different building phases. After tracing the main stratifying processes in about 40 study-cases, thanks to a macroscopic analysis, some ways of new composition elements and different stratified units are described. According to this, it is clear that the main principle is the searching for symmetry. Finally, some ways of intervention on the façades are described, highlighting some significant cases.[it] Nella prima parte dell’articolo viene descritto il modo di adornare le prime case veneziane con sculture importate dai luoghi del commercio, come ricostruzione del legame fra Venezia e Bisanzio. Si descrive l’uso di disaggregare e riposizionare vari elementi, come cornici, elementi di finestre, stemmi, prima come un iniziale revival, sia esso neobizantino o riferito al XV secolo, poi come manifestazione di «prudenza» della società veneziana, legata ai costumi, alle tradizioni. La

I ministri di culto delle confessioni religiose di minoranza: problematiche attuali

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Matteo Carnì

2015-06-01

SOMMARIO: 1. I ministri di culto nell’ordinamento giuridico italiano - 2. I ministri di culto delle confessioni religiose dotate di intesa - 2.1. (segue L’individuazione dei ministri di culto - 2.2. (segue L’assistenza spirituale nelle strutture segreganti - 2.3.(segue Il matrimonio celebrato dai ministri di culto - 2.4 (segue Problematiche attinenti ai ministri di culto buddhisti – 3. I ministri di culto delle confessioni prive di intesa - 3.1. (segue In attesa della legge di approvazione: i ministri di culto della Congregazione cristiana dei Testimoni di Geova - 3.2. (segue Islam e ministri di culto - 4. Osservazioni conclusive.

A survey of awareness of Pap smear and cervical cancer vaccine among women at tertiary care centre in Eastern Uttar Pradesh India

OpenAIRE

Anjali Rani; Kalpana Singh; Shreya Thapa

2015-01-01

Background: Cervical cancer is very common in developing countries. In Uttar Pradesh the literacy rate of women is low as compared to other states of India. Poverty is very high. Most women report with advance stage of cervical cancer. It can be prevented by early screening with Pap smear. Aim of our study is to know about the awareness of Pap smear and cervical cancer vaccine among women attending a tertiary hospital in Eastern part of Uttar Pradesh India. Methods: A questionnaire based ...

OPTIMASI KLASIFIKASI SEL TUNGGAL PAP SMEAR MENGGUNAKAN CORRELATION BASED FEATURES SELECTION (CFS BERBASIS C4.5 DAN NAIVE BAYES

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Asti Herliana

2016-11-01

Full Text Available Abstract – Cervical cancer was the most dangerous disease and generally attacks women. Early detection through Pap Smear method was one way to prevent the desease to grow in womans cervival canal. Based on the result of Pap Smear methode, the single cell of data that known as herlev data is available. This data, then used as a reference by the experts to find the best level classification from each class of cervical cancer. The decision tree C4.5 and Naïve Bayes have proven to give the best result on 280 data trial of herlev with support by Correlation based Features Selection (CFS optimization method. The issues raised in the present study was does CFS optimization methode that combined with the classification method of C4.5 and Naïve Bayes can provide increased the accuracy results when it faced the 917 data of herlev. The results of this study show that CFS method that combined either with C4.5 methods and naïve bayes classification accuracy was decrease when compared without using CFS method. In terms of showing that CFS can not provide the best result when if confronted with big data. Keywords : optimization, classification, single cell of Pap Smear, Correlation based Features Selection, C4.5, Naïve Bayes   Abstrak – Kanker serviks merupakan penyakit yang sangat berbahaya dan pada umumnya menyerang kaum wanita. Deteksi sejak dini melalui metode Pap Smear merupakan salah satu cara untuk mencegah penyakit ini berkembang didalam saluran serviks wanita. Berdasarkan hasil dari metode Pap Smear, didapatkanlah data sel tunggal yang kini dikenal dengan data herlev. Data ini, kemudian dijadikan acuan dalam penelitian oleh para ahli dewasa ini untuk menemukan tingkat klasifikasi terbaik dari masing-masing kelas kanker serviks. Metode Decision tree C4.5 dan Naïve Bayes terbukti memberikan hasil yang terbaik pada ujicoba data herlev sebanyak 280 data dengan dukungan dari metode optimasi Correlation based Features Selection(CFS. Permasalahan

Il Servizio Intercultura dell’Istituto di Terapia Familiare di Firenze

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Giancarlo Francini

2013-12-01

Full Text Available Nel corso del presente articolo vengono descritte le premesse epistemologiche e le metodologie adottate dagli operatori del Servizio Intercultura dell’Istituto di Terapia Familiare di Firenze (ITFF nel lavoro con la popolazione migrante ed elencati gli interventi fatti nel territorio. Il Servizio Intercultura dell’ITFF si è interrogato in questi anni sul valore della cultura come porta d’ingresso nel rapporto con il migrante; nel chiedere loro di narrare aspetti della loro cultura condividiamo aspetti della nostra cultura. L’incontro con il malinteso, che come dice Jankelevitch «(… è un quasi niente» (Jankelevitch, 1987, p. 233, perché se fosse stato qualcosa di più ce ne saremmo accorti e se fosse qualcosa di meno non sarebbe significativo, ci permette di aprirci a un rapporto che cambia entrambi, operatore e migrante, nella relazione. È nella relazione e attraverso il racconto dell’evento migrazione e del ciclo di vita che si costruisce e si cerca un linguaggio comune per la descrizione e l’espressione del disagio. Il lavoro con i migranti deve fare i conti con le difficoltà legate all’impiego, alla casa, al permesso di soggiorno e non ultimo alla brevità di alcuni incontri, perché per alcuni la nostra città è solo una tappa di un percorso che continua alla ricerca di una sistemazione migliore. Nel territorio di Firenze sono stati messi a punto una serie di servizi: oltre alla clinica e a uno sportello di consulenza, ci si dedica alla formazione degli operatori che lavorano con i migranti. Esempi di queste attività sono: un progetto di peer tutoring in alcune scuole superiori, uno di formazione per le assistenti sociali al fine di proporre un protocollo più efficace di presa in carico dei migranti, una serie di focus group con dipendenti Asl all’interno del progetto “Mamma segreta” della regione Toscana; inoltre, la collaborazione con le associazioni presenti sul territorio ha permesso un contatto

Papīra darbi ka domāšanas veicinātāji pirmsskolā

OpenAIRE

Jevdokimova, Jūlija

2017-01-01

Jūlija J. (2017.) “Papīra darbi kā domāšanas veicinātāji pirmsskolā”. Kvalifikācijas darbs. Rīga: Latvijas Universitātes Pedagoģijas, psiholoģijas un mākslas fakultāte, 90 lpp, 16 att., 4 tab., bibl. 18 nos., latviešu, angļu val. Darbs sastāv no ievada, 5 nodaļām, secinājumiem un 16 pielikumiem. Autors ir vairākus mēnešus izgājis praksi pirmsskolas pedagoga amatā. Darbā ir veikts pētījums par domāšanas attīstību rokdarbu nodarbībās, veicot papīra darbus Darba mērķis ir izzināt un atklāt bēr...

Proposal of development of an advanced IORT system; Proposta di sviluppo di un sistema IORT di avanguardia

Energy Technology Data Exchange (ETDEWEB)

Ronsivalle, C [ENEA, Centro Ricerche Frascati, Rome (Italy). Unita tecnico scientifica Tecnologie Fisiche Avanzate; Casali, F [Bologna Univ., Bologna (Italy), Dipartimento di fisica; Colavita, E [Calabria Univ., Arcavacata (Italy). Diparimento di fisica; Lamanna, E [Magna Graecia Univ., Germaneto (Italy). Dipartimento di medicina sperimentale e clinica

2005-07-15

In the last years there has been an increasing interest on IORT (Intraoperative Radiation Therapy), also because of the development of dedicated accelerators. This technique represents a very effective oncological treatment consisting in delivering a single high dose on a tumour bed soon after surgery resection. In the following we present the proposal of development of a last generation IORT system based on the use of a linear accelerator with variable energy in the range 3-15 MeV, operating in C band (5712 MHz). Respect to the accelerator used in the commercial IORT systems operating at a typical frequency of 2998 MHz (S band) limited to a maximum energy of 12 MeV, the use of a higher RF frequency allows an increase of the maximum energy. This extends the use of the IORT technique to a wider field of tumors and an improvement of the system in terms of compactness and weight reduction. In addition the machine will be provided with a devoted absolute dosimetry system that will strongly simplify the procedures of dosimetric characterization. We intend to develop the system by a collaboration between ENEA, some Universities (Bologna, Catanzaro and Cosenza) and the national industry. [Italian] Negli ultimi anni si e sviluppato un sempre maggior interesse intorno alla Radioterapia IntraOperatoria (IORT), una particolare tecnica radioterapica che permette di irradiare la zona interessata da un tumore durante un intervento chirurgico utilizzando un fascio di elettroni prodotto da un acceleratore. La diffusione di questa metodica e stata favorita dalla presenza sul mercato di acceleratori installabili direttamente in sala operatoria. Come conseguenza di questa disponibilita sono emerse sia nuove esigenze legate alle particolari applicazioni cliniche, sia richieste di facilita di utilizzo e perfomances sempre piu sofisticate. Viene qui presentata una proposta di sviluppo di un sistema IORT di ultima generazione basato sull'utilizzo di un acceleratore lineare con energia

Proposal of development of an advanced IORT system; Proposta di sviluppo di un sistema IORT di avanguardia

Energy Technology Data Exchange (ETDEWEB)

Ronsivalle, C. [ENEA, Centro Ricerche Frascati, Rome (Italy). Unita tecnico scientifica Tecnologie Fisiche Avanzate; Casali, F. [Bologna Univ., Bologna (Italy), Dipartimento di fisica; Colavita, E. [Calabria Univ., Arcavacata (Italy). Diparimento di fisica; Lamanna, E. [Magna Graecia Univ., Germaneto (Italy). Dipartimento di medicina sperimentale e clinica

2005-07-15

In the last years there has been an increasing interest on IORT (Intraoperative Radiation Therapy), also because of the development of dedicated accelerators. This technique represents a very effective oncological treatment consisting in delivering a single high dose on a tumour bed soon after surgery resection. In the following we present the proposal of development of a last generation IORT system based on the use of a linear accelerator with variable energy in the range 3-15 MeV, operating in C band (5712 MHz). Respect to the accelerator used in the commercial IORT systems operating at a typical frequency of 2998 MHz (S band) limited to a maximum energy of 12 MeV, the use of a higher RF frequency allows an increase of the maximum energy. This extends the use of the IORT technique to a wider field of tumors and an improvement of the system in terms of compactness and weight reduction. In addition the machine will be provided with a devoted absolute dosimetry system that will strongly simplify the procedures of dosimetric characterization. We intend to develop the system by a collaboration between ENEA, some Universities (Bologna, Catanzaro and Cosenza) and the national industry. [Italian] Negli ultimi anni si e sviluppato un sempre maggior interesse intorno alla Radioterapia IntraOperatoria (IORT), una particolare tecnica radioterapica che permette di irradiare la zona interessata da un tumore durante un intervento chirurgico utilizzando un fascio di elettroni prodotto da un acceleratore. La diffusione di questa metodica e stata favorita dalla presenza sul mercato di acceleratori installabili direttamente in sala operatoria. Come conseguenza di questa disponibilita sono emerse sia nuove esigenze legate alle particolari applicazioni cliniche, sia richieste di facilita di utilizzo e perfomances sempre piu sofisticate. Viene qui presentata una proposta di sviluppo di un sistema IORT di ultima generazione basato sull'utilizzo di un acceleratore lineare con

Motivaciones de la expresión metafórica venezolana. El papá de los helados

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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.

Il concetto di Natura nella filosofia di Denis Diderot

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Francesco Consiglio

2014-03-01

Full Text Available L’immagine della Natura che emerge dalla lettura delle opere di Diderot, è quella di una sorta di organismo in cui tutto risulta legato da una rete di forze inquadrate in un ordine omogeneo e dinamico. Le leggi di quest’ordine sono riscontrabili in tutti gli eventi naturali ed ogni fenomeno non è mai frutto del caso, ma ordinato deterministicamente. Allo spinozismo di quest’ordine geometrico si coniuga un atomismo di matrice epicurea, speci camente nella versione lucreziana del De Rerum Natura: gli atomi che costituiscono la materia si combinano da sempre e all’in nito in un continuo divenire di forme normate da leggi intrinseche, e gli individui nascono dal cozzare e dall’ammassarsi di questi atomi. Non esiste uno stadio culmine di questa “evoluzione”, piuttosto esistono in nite varianti, nel tempo e nello spazio, di un unico modello prototipico che, secondo Diderot, evolve in una specie o in un'altra in maniera totalmente a- nalistica, sebbene assolutamente determinis- tica. La regolarità dell’ordine (per no nell’apparente caos di un turbine di pol- vere e il continuo farsi e rifarsi delle forme si connettono al principio di conti- nuità della natura: la natura non fa salti, tutto è connesso come in una ragnatela e la materia continua muta la sua disposizione in grumi di atomi che, secondo il principio dell’epigenesi, giungono a formare gli individui. Le opere in cui Diderot elabora in maniera più organica e precisa la sua concezione della natura sono particolarmente due: L’interpretazione della natura (1753 e Il sogno di d’Alembert (1769. In mezzo a queste stanno gli scritti sui Sa- lons, tra i quali è particolarmente saliente, per il discorso sulla natura, quello del 1767, in cui, con la Promenade Vernet, molti di questi temi vengono a rontati o ripresi nel pittoricismo della narrazione, attraverso limpide metafore. Natura e arte, in Diderot, sono strettamente connesse. La seconda imita la prima, ma non tenta

Responsiveness of the Countermovement Jump and Handgrip Strength to an Incremental Running Test in Endurance Athletes: Influence of Sex.

Science.gov (United States)

García-Pinillos, Felipe; Delgado-Floody, Pedro; Martínez-Salazar, Cristian; Latorre-Román, Pedro Á

2018-03-01

The present study analyzed the acute effects of an incremental running test on countermovement jump (CMJ) and handgrip strength performance in endurance athletes, considering the effect of post-exercise recovery time and sex. Thirty-three recreationally trained long-distance runners, 20 men and 13 women, participated voluntarily in this study. The participants performed the Léger test, moreover, the CMJ and handgrip strength tests were carried out before and after the running test and during different stages of recovery (at the 1st min of recovery (posttest1), 5th min of recovery (posttest2), and 10th min of recovery (posttest3)). Two-way analysis of variance revealed a significant improvement in the CMJ (pre-posttest1, p = 0.001) and handgrip strength (pre-posttest2, p = 0.017) during recovery time. The Pearson's Chi-2 test showed no significant relationship ( p ≥ 0.05) between sex and post-activation potentiation (PAP). A linear regression analysis pointed to heart rate recovery as a predictive factor of CMJ improvement (PAP). In conclusion, despite significant fatigue reached during the Léger test, the long-distance runners did not experience an impaired CMJ and handgrip strength performance, either men or women, achieving an improvement (PAP) in posttest conditions. The results obtained showed no significant relationship between sex and PAP. Moreover, significant effect of recovery after running at high intensity on CMJ performance and handgrip strength was found. Finally, the data suggest that PAP condition can be predicted by heart rate recovery in endurance runners.

La figura di Maria Maddalena nella tradizione agostiniana del XII secolo e l'allegoria nuziale in Bernardo di ClairvauxUn'ipotesi di interpretazione alla luce di categorie di ordine psicoanalitico

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Elena Cartotto

2008-07-01

La lettura viene condotta sulla base di categorie concettuali di carattere psicoanalitico, in quanto tali categorie trovano la propria origine, prima ancora che nel pensiero, nella più concreta e profonda esperienza umana. Ed è proprio il collocarsi all'interno di questa viva esperienza umana che consente di cogliere in modo più diretto la dimensione antropologica che pare emergere dagli scrittori monastici di questo periodo.

Prevalence of high-risk human papillomavirus and abnormal pap smears in female sex workers compared to the general population in Antwerp, Belgium

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Alex Vorsters

2016-06-01

Full Text Available Abstract Background Although female sex workers (FSWs are a well-known high-risk group for Human Papillomavirus (HPV infections, few tailored intervention programmes for HPV have been established worldwide. The lack of reliable data on the prevalence of HPV and related cervical lesions hampers the establishment of evidence-based intervention programmes. The objectives of this study were to describe the prevalence of high-risk Human Papillomavirus (hrHPV infections and abnormal pap smears in FSWs compared to a control group in Antwerp, Belgium. Methods HPV genotyping and cytology data were analysed from routine Pap smear tests that were collected from both FSWs and the general population (1334 samples for each group between June 2006 and June 2010. Within the laboratory database, all FSWs were matched 1:1 for age and testing date to determine the ORs of hrHPV genotypes, DNA and cytology outcome. Results The prevalence of hrHPV DNA in FSWs was 41.7 % compared to 19.8 % in the age-matched controls with an overall OR of 2.8 (95 % CI: 2.3–3.4. Significant differences were observed in all age groups, and the most significant differences were observed in the cohort under 21 years of age (prevalence of 64.4 % in FSWs versus 14.8 % in controls; OR 10.3 (95 % CI: 5.0–21.2. Significantly more cervical lesions were observed in FSWs, particularly in the 17- to 21-year old age group (OR for LSIL or HSIL: 10.3 (95 % CI: 3.2–33.8. In both groups, HPV 16 was the most prevalent at 12.1 and 6.6 % in the FSW and control groups, respectively. HPV 18 was the 8th and 7th most frequent genotype at 5.0 and 2.5 % in the FSW and control groups, respectively. Conclusions FSWs have a significantly higher prevalence of hrHPV and more abnormal Pap smears than does the general population in Antwerp, Belgium. The hrHPV prevalence in FSWs is similar to that reported in the literature. The need for tailored intervention programmes should be investigated further.

Papéis sociais no ensino superior: aluno-cliente, professor-gerente-educador, instituição de ensino-mercantil

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Cassia Helena Pereira Lima

2006-07-01

Full Text Available O objetivo deste artigo é fornecer subsídios para repensar o desafio da educação superior, especialmente o da pós-graduação na área da Administração, a partir da avaliação dos papéis dos atores sociais envolvidos no processo de ensino-aprendizagem e de suas expectativas em relação aos demais: o aluno-cliente, o professor-gerente-educador e a instituição de ensino-mercantil. Durante um ano realizou-se uma pesquisa qualitativa com alunos e professores de uma pós-graduação lato sensu em uma Instituição de Ensino Superior privada. Os dados foram tratados através de análise de conteúdo. Constatou-se que, por parte dos corpos docente e discente, há distorções e falta de clareza quanto aos papéis desempenhados por cada elemento, gerando conflitos de interesses e que os papéis socialmente estabelecidos estão profundamente influenciados pela relação comercial do negócio educação, por vezes chocando-se com objetivos pedagógicos da educação.

La logistica nei processi di trasformazione dell’area orientale di Napoli

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Adriana Galderisi

2010-07-01

Full Text Available Stoccaggio e trasporto merci hanno assunto, già da alcuni anni, un ruolo rilevante nell’area orientale di Napoli, con impatti significativi sulla qualità urbana ed ambientale dell’area. In quest’area, anche grazie alla sua vicinanza ai principali nodi della mobilità (porto, aeroporto, stazione ferroviaria e alla significativa presenza di aree produttive dismesse o in dismissione, trovano oggi spazio numerose attività di stoccaggio e spedizione merci, in molti casi localizzate all’interno di ex aree industriali, in assenza di una reale ottica “sistemica”. Pertanto, a partire da una breve disamina dell’evoluzione dell’area orientale e di quanto previsto dagli strumenti urbanistici vigenti per la sua trasformazione, il contributo focalizza l’attenzione sul ruolo attuale dslle attività di stoccaggio e trasporto merci nell’area. Quindi, sulla base di alcune recenti esperienze di italiane e in riferimento ad ipotesi già avanzate per l’organizzazione di una piattaforma logistica nell’area orientale di Napoli -quale strumento per ottimizzare le necessità di stoccaggio e trasporto merci riducendone le esternalità negative- valuta la compatibilità di tali scelte con le prospettive di evoluzione/trasformazione dell’area e il potenziale ruolo che l’area potrebbe svolgere in una prospettiva di ri-organizzazione del trasporto merci in ambito urbano.

Health hazards associated with the use of di-(2-ethylhexyl) phthalate (commonly referred to as DOP) in HEPA filter test

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-01-01

Di-(2-ethylhexyl) phthalate (DEHP), commonly referred to as di-octyl phthalate, is an important production chemical in the US. In addition to its major use as an additive in plastics, DEHP is widely used to evaluate the effectiveness of high efficiency particulate air (HEPA) filters. Historically, DEHP was also used in quantitative fit testing for respirators. Evaluations of this compound a decade ago showed that it can induce hepatocellular carcinomas in laboratory animals. Although most Department of Energy (DOE) facilities have since discontinued using DEHP in respirator fit testing, DEHP continues to be used for evaluating HEPA filters. This report summarizes available information on the toxicity, mutagenicity, carcinogenicity, and other hazards and problems posed by DEHP, specifically with reference to HEPA filter testing. Information on work practice improvements as well as the availability and suitability of DEHP substitutes are also presented. This material should assist the DOE in the safe use of this material.

Studio del comportamento di Acanthamoeba. polyphaga in presenza di Legionella pneumophila e di altri batteri ad habitat acquatico

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M. Bondi

2003-05-01

Full Text Available Le amebe a vita libera sono state oggetto di diversi studi negli ultimi anni, non solo per le loro potenzialità patogene nei confronti dell’uomo, ma anche per l’importante ruolo che svolgono in natura, dove agiscono come predatori in grado di controllare le popolazioni batteriche. Alcuni degli organismi fagocitati però possono evitare la lisi fagosomiale e mantenere la loro condizione vitale a livello intracellulare, divenendo endosimbionti. Le amebe fungono così da riserva per questi batteri, proteggendoli da difficili condizioni extracellulari e provvedendo ad un ambiente consono alla loro replicazione. Tale tipo di interazione è particolarmente studiata in Legionella pneumophila, dal momento che l’ampia diffusione di questo germe, nonché la sua virulenza, pare siano fortemente influenzate dalla capacità di parassitare protozoi appartenenti ai generi Acanthamoeba, Naegleria e Balamuthia. Al fine di ottenere maggiori informazioni sui fattori favorenti o inibenti lo sviluppo di questi protozoi, è stato studiato il comportamento di un ceppo di Acanthamoeba polyphaga coltivato, in solido e in liquido, in associazione con L. pneumophila ed altri batteri ad habitat acquatico (Pseudomonas, Aeromonas, Achromobacter, Burkholderia. Su tappeti di cellule batteriche allestiti in Non Nutrient Agar (NNA, A.polyphaga si è mostrata in grado di moltiplicarsi utilizzando come nutrimento tutti i ceppi testati, nonostante alcuni, come Burkholderia cepacia SSV6 e Achromobacter xylox SS28, risultino più idonei al suo sviluppo. In piastre a pozzetti addizionate di acqua condottata autoclavata, il protozoo ha mostrato una buona capacità di sopravvivenza, non risultando inoltre influenzato dalla presenza di legionella o dei batteri acquatici testati. Dal momento che, fra i batteri descritti come capaci di vita intra-amebica, sono inclusi patogeni quali Chlamydia, Legionella, Listeria e Rickettsiae, risulta necessario riconsiderare la rilevanza clinica

Book review. Manuale di ematologia veterinaria e medicina trasfusionale. (a cura di Magda Gerou-Ferriani

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Manuel Graziani

2013-09-01

Full Text Available Il volume curato dalla dott.ssa Magda Gerou-Ferriani dell'Ospedale veterinario "Portoni Rossi" di Bologna e dell'Università di Liverpool viene presentato come il primo manuale di ematologia veterinaria italiano. Un volume realizzato per essere utilizzato dagli studenti e dai veterinari nella pratica quotidiana. Da qui deriva la scelta della sua struttura organizzata per capitoli autonomi in modo che il lettore possa consultare le tematiche di proprio interesse indipendentemente dal resto. I primi due capitoli del manuale sono dedicati alle nozioni di base e forniscono informazioni concrete per ciò che riguarda i prelievi del sangue nella pratica veterinaria, l'allestimento e la corretta lettura del vetrino e tutto quanto è necessario sapere sulle trasfusioni. Nel terzo capitolo viene illustrata nel dettaglio l'interpretazione dell'eritrogramma, del leucogramma e del siderogramma. A seguire, nei capitoli 4 e 5, vengono trattate le patologie più spesso riscontrate dei globuli rossi, dei globuli bianchi e delle piastrine. Il sesto capitolo è dedicato alla coagulazione, un argomento spesso difficile da comprendere e da applicare, vengono illustrati i vari test, quando e come eseguirli ed interpretarli. Il manuale si conclude con un capitolo dedicato all'interpretazione dell'esame del midollo e con l'ultimo capitolo che contiene esempi pratici di casi clinici. Manuale di ematologia veterinaria e medicina trasfusionale è un testo pratico, di facile consultazione, ben curato sia sotto l'aspetto della presentazione dei contenuti che sotto l'aspetto editoriale: dal grande formato A4, alla copertina rigida. Alla curatrice Magda Gerou-Ferriani sono affiancati come autori Erika Carli, Stefano Comazzi, Silvia Tasca e Andrea Zoia, tutti medici veterinari.

Problemi di Fisica

CERN Document Server

Fazio, Michelangelo

2008-01-01

L’introduzione delle lauree triennali ha in molti casi costretto i docenti a ridurre drasticamente il numero di ore di insegnamento e quindi l’estensione dei programmi dei corsi di Fisica. In questo volumetto l'autore si è proposto di esporre sinteticamente ma con il massimo rigore possibile il corso di Fisica Generale I evitando le dimostrazioni delle leggi fisiche, ma dando la priorità alle applicazioni di tali leggi e allo svolgimento di esercizi che in genere viene trascurato in molti corsi. Ha cercato pertanto di presentare i fenomeni fisici sottolineando, dove possibile, la loro presenza nella vita quotidiana e le loro più semplici e immediate applicazioni, consentendo in tal modo agli studenti di vedere la Fisica non più come una interminabile serie di formule ma come un nuovo modo di interpretare e di capire i fenomeni naturali inanimati (del resto non dobbiamo dimenticare che il termine greco da cui deriva il suo nome è fisis, fisis, ovvero natura). Il contenuto è completo, comprendendo anc...

La necropoli neolitica a domus de janas di S. Pietro di Sorres in Comune di Borutta - Sassari

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Pier Paolo Soro

2009-05-01

Full Text Available La necropoli di Sorres si trova nel territorio del Comune di Borutta in provincia di Sassari. E’ ubicata lungo il versante SE del colle di Sorres, sul quale sorge imponente la chiesa in stile romanico di San Pietro di Sorres (XI-XII sec. sede dell’antica diocesi medievale. La necropoli è composta attualmente da cinque tombe a grotticella artificiale del tipo a domus de janas, scavate nella roccia calcara durante il neolitico recente ed in uso per tutto l’eneolitico. Si presume che fosse l’area sepolcrale dell’insediamento in grotta di Ulàri, una cavità carsica di notevoli dimensioni il cui ingresso si apre lungo il versante Nord del colle; la grotta ha restituito testimonianze archeologiche che vanno dal neolitico media fino al medioevo. La necropoli di Sorres, sebbene sia stata rimaneggiata nella forma degli ambienti ipogei e nella destinazione d’uso, costituisce una delle principali testimonianze del capillare tessuto insediativo del territorio del nord Sardegna.

A Interlocução de Narrativas: Um Estudo sobre Papéis de Gênero

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Maria Helena Fávero

Full Text Available RESUMO Retomamos a distinção entre sexo e gênero e entre papéis sexuais e de gênero na psicologia feminista. Referimos as contraposições à naturalização e discutimos a influência das ideologias da feminilidade e da masculinidade na socialização. Descrevemos um estudo sobre as concepções de quatro mulheres sobre os papéis de gênero, considerando a subjetividade na coleta e análise de dados. Utilizamos a narrativa e o grupo focal, tomando a proposição e os atos da fala como unidades de análise. Evidenciamos seis proposições articuladas a dois eixos principais: (a as condições de vida e o abandono e (b o significado e a prática da maternidade. Discutimos a identificação e o apego na socialização de gênero, defendendo o papel dos estudos psicológicos de gênero para as transformações sociais.

Rimozione Urbana: La Necessità di una Nuova Direzione di Attività di Pubblica Amministrazione

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Eneida Criscuolo Gabriel Bueno Silva

2015-12-01

Full Text Available Questo lavoro si propone di discutere la legitimità delle decisioni amministrative nel democratico Stato di diritto; il discorso e la democrazia sono correlati nel mondo contemporaneo, mostrando la necessità di discussione pubblica in attività amministrativa, in tale contesto, con il passare dell'atto amministrativo, la razionalità degli decisioni amministrativa dovrebbe essere dimostrata attraverso del processo amministrativo come mezzo di discussione in una prospettiva democratica. Pacifico che il discorso è un mezzo attraverso il quale la democrazia può avvenire, ma devono osservare qui: senza partecipazione sociale, senza coscienza politica, il discorso porta a una democrazia apparente. Questo articolo discute la relazione tra democrazia, discorso e attività amministrativa in processi di rimozione urbana, indagando gli aspette che riguardano, a fini de equilibrio nel rapporto tra stato e cittadino. Questo lavoro ha origine de una ricerca de 2232 documenti, utilizzando la tecnica di analisi di contenuto.

Peste equina: descrizione di focolai di malattia in Namibia

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Massimo Scacchia

2009-06-01

Full Text Available La peste equina è una malattia virale degli equidi trasmessa da vettori. Scopo di questo lavoro è di riferire su casi di malattia verificatisi in Namibia nel corso degli anni 2006-2008, osservati dal personale dell'Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise “G. Caporale” e del Central Veterinary Laboratory di Windhoek, Namibia e confermati dagli esami di laboratorio. Il lavoro è stato possibile anche grazie alla fattiva collaborazione stabilitasi con i veterinari pubblici, privati e allevatori Namibiani.

L'ISOLA DI ARTURO DI ELSA MORANTE

African Journals Online (AJOL)

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Vi è una curiosa atmosfera di attesa negli anni '50, ed è questa temperie morale che Elsa Morante rappresenta e interpreta nell'Isola di Arturo. Nel romanzo la Morante ci dà veramente un ritratto intero di quegli anni, nel senso che dal testo sorge una attitudine complessa, contenente in sè la percezione del tempo in corso, ...

Inventare l’altro. Forme di pseudo-traduzione nella scrittura di Salvatore Di Giacomo e Luigi Capuana.

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Valentina Fulginiti

2014-05-01

Full Text Available Being an extreme case of fictitious representation of linguistic otherness, pseudo-translation challenges the idea of a fatal and exclusive link between language and national ethos, a fundamental notion in the Nineteenth-century linguistic and literary culture. The present article compares two emblematic cases of pseudo-translation in post-Unification Italian culture: Luigi Capuana’s hoax Un poeta danese (published in 1882 and the earliest short stories published by Salvatore di Giacomo in 1878, mistakenly considered a plagiarizing translation from an uncredited German original. Their use of pseudo-translation is marked by opposite goals of parody and stylistic imitation; however, both authors challenge the fundamental assumption underlying the notion of «ethnicity of language». Pseudo-translation thus becomes a space of linguistic elaboration, complementary to the author’s direct involvement in translating major European works into Italian (such as Ibsen’s masterpiece A House of Dolls, which Capuana translated in 1891, and Edmond de Goncourt’s novel Sœur Philomèle, which Di Giacomo translated in 1892. Translation thus provides a free space for authors to experiment with new expressive solutions and challenge commonplaces about language and identity: such reflection on the limits of language and nations represent a direct contribution to the linguistic unification of Italy. Caso estremo di rappresentazione fittizia del- l’alterità linguistica, la pseudo-traduzione chiama in causa l’idea del legame unico e “fatale” fra lingua e nazione – concetto fondamentale nella cultura linguistica del XIX secolo. L’articolo mette a confronto due casi emblematici di pseudo-traduzione nella cultura meridionale post-unitaria: la beffa letteraria di Luigi Capuana Un poeta danese (1882 e le ‘tedescherie’ di Salvatore di Giacomo, gruppo di novelle pubblicate nel 1878 che molti considerarono (a torto un plagio da ignoto autore tedesco

The Effect of an Educational Program Based on Protection Motivation Theory on Pap Smear Screening Behavior among Women Referring to Health Centers in Fasa

OpenAIRE

Zahra Khiyali; Leila Ghahremani; Mohammad Hossein Kaveh; Sareh Keshavarzi

2017-01-01

Background and Objectives: Despite the importance of pap smear in reducing the incidence of cervical cancer and its death, this cancer is still one of the leading causes of death among women around the world. Accordingly, in this study, we aimed to determine the effect of an educational program based on the protection motivation theory on Pap smear screening behavior. Materials and Methods: This quasi-experimental study was conducted on 200 women referring to Fasa health centers, Fasa, Ira...

Synthesis and Characterization of New Amino Acid-Schiff Bases and Studies their Effects on the Activity of ACP, PAP and NPA Enzymes (In Vitro

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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.

Pap smear cytology and identification of Human Papillomavirus (HPV) type 16 and 18 in multiparity women at Aviati Clinic Padang Bulan Medan

Science.gov (United States)

Anggraini, D. R.; Feriyawati, L.; Fitrie, A. A.; Ginting, R. N. A.

2018-03-01

Cervical cancer is the second most frequent cancer in woman in developing countries and one of the most crucial health problems in the world. Human Papillomavirus (HPV) is an agent for sexually transmitted disease which is an act of cervical cancer, especially high-risk of HPV type 16 and 18. In this study, we investigated the Pap smear cytology features and identification of HPV types 16 and18 in multiparity women at Aviati Clinic Padang Bulan, Medan. Samples are cervical swabs of 50 multiparity women who met the inclusion criteria (childbirth ≥ three times) was included in the study. Pap smear examination was conducted using Papanicolaou staining and identification of HPV types 16 and 18 using the Polymerase Chain Reactive (PCR) methods. Pap smearcytology showed 80% Negative for intraepithelial lesion or malignancy (NILM) with inflammation and 20% NILM. The result of PCR amplification showed that there weren’t specific band DNA was found at band 414bp and 216bp. That means there weren’t cervical swabs sample had DNA of HPV type 16 and 18.

Test of numerical methods for the integration of kinetic equations in tropospheric chemistry; Confronto di metodi numerici per l'integrazione di sistemi di equazioni differenziali ordinarie di tipo STIFF inserite nel modello fotochimico Calgrid

Energy Technology Data Exchange (ETDEWEB)

Lorenzini, R.; Passoni, L. [ENEA, Centro Ricerche Ezio Clementel, Bologna (Italy). Dipt. Ambiente

1999-07-01

The integration of ordinary differential equations systems (ODEs) is of significant concern to tropospheric and stratospheric chemistry modelers. The solution of the ODEs requires a large computational effort because of their stiff nature; in a three-dimensional photochemical model the solution of the ODEs required at least 70% of the total CPU time. Several numerical integration techniques exist which attempt to provide accurate and computationally efficient solutions. In this work it is presented a comparison of some of the techniques in terms of solution accuracy and required computational time. It has been compared the Hybrid Solver (Young and Boris, 1977), the Quasi Steady-State Approximation method (Hesstvedt et al., 1978) and the Chemical Solver for Ordinary Differential Equations (Aro, 1996), by using the CALGRID photochemical model. The accuracy is evaluated by comparing the results of every method with the solutions obtained by the Livermore Solver for Ordinary Differential Equations (Hindmarsh, 1980). The comparison has been made varing the parameters of the error tolerances, and taking into account the trade-off between solution accuracy and computational efficiency. [Italian] L'integrazione di sistemi di equazioni differenziali ordinarie (ODEs), e' un problema significativo per i modellisti della chimica troposferica e stratosferica. A causa della loro natura stiff la soluzione degli ODEs richiese un notevole sforzo computazionale; in un modello fotochimico tridimensionale la soluzione degli ODEs richiede almeno il 70% del tempo totale di CPU. Esistono diverse tecniche di integrazione numerica che possono fornire soluzioni accurate e computazionalmente efficienti: in questo lavoro presentiamo un confronto fra alcune tecniche in termini di accuratezza della soluzione e tempo computazionale richiesto. Si sono confrontati il Solver Ibrido (Young and Boris, 1977), il metodo Quasi Steady-State Approximation (Hesstvedt et al., 1978) ed il Chemical

High throughput virtual screening and in silico ADMET analysis for rapid and efficient identification of potential PAP248-286 aggregation inhibitors as anti-HIV agents

Science.gov (United States)

Malik, Ruchi; Bunkar, Devendra; Choudhary, Bhanwar Singh; Srivastava, Shubham; Mehta, Pakhuri; Sharma, Manish

2016-10-01

Human semen is principal vehicle for transmission of HIV-1 and other enveloped viruses. Several endogenous peptides present in semen, including a 39-amino acid fragments of prostatic acid phosphatase (PAP248-286) assemble into amyloid fibrils named as semen-derived enhancer of viral infection (SEVI) that promote virion attachment to target cells which dramatically enhance HIV virus infection by up to 105-fold. Epigallocatechin-3-gallate (EGCG), a polyphenolic compound, is the major catechin found in green tea which disaggregates existing SEVI fibers, and inhibits the formation of SEVI fibers. The aim of this study was to screen a number of relevant polyphenols to develop a rational approach for designing PAP248-286 aggregation inhibitors as potential anti-HIV agents. The molecular docking based virtual screening results showed that polyphenolic compounds 2-6 possessed good docking score and interacted well with the active site residues of PAP248-286. Amino acid residues of binding site namely; Lys255, Ser256, Leu258 and Asn265 are involved in binding of these compounds. In silico ADMET prediction studies on these hits were also found to be promising. Polyphenolic compounds 2-6 identified as hits may act as novel leads for inhibiting aggregation of PAP248-286 into SEVI.

Overexpression of the PAP1 transcription factor reveals a complex regulation of flavonoid and phenylpropanoid metabolism in Nicotiana tabacum plants attacked by Spodoptera litura.

Science.gov (United States)

Mitsunami, Tomoko; Nishihara, Masahiro; Galis, Ivan; Alamgir, Kabir Md; Hojo, Yuko; Fujita, Kohei; Sasaki, Nobuhiro; Nemoto, Keichiro; Sawasaki, Tatsuya; Arimura, Gen-ichiro

2014-01-01

Anthocyanin pigments and associated flavonoids have demonstrated antioxidant properties and benefits for human health. Consequently, current plant bioengineers have focused on how to modify flavonoid metabolism in plants. Most of that research, however, does not consider the role of natural biotic stresses (e.g., herbivore attack). To understand the influence of herbivore attack on the metabolic engineering of flavonoids, we examined tobacco plants overexpressing the Arabidopsis PAP1 gene (encoding an MYB transcription factor), which accumulated anthocyanin pigments and other flavonoids/phenylpropanoids. In comparison to wild-type and control plants, transgenic plants exhibited greater resistance to Spodoptera litura. Moreover, herbivory suppressed the PAP1-induced increase of transcripts of flavonoid/phenylpropanoid biosynthetic genes (e.g., F3H) and the subsequent accumulation of these genes' metabolites, despite the unaltered PAP1 mRNA levels after herbivory. The instances of down-regulation were independent of the signaling pathways mediated by defense-related jasmonates but were relevant to the levels of PAP1-induced and herbivory-suppressed transcription factors, An1a and An1b. Although initially F3H transcripts were suppressed by herbivory, after the S. litura feeding was interrupted, F3H transcripts increased. We hypothesize that in transgenic plants responding to herbivory, there is a complex mechanism regulating enriched flavonoid/phenylpropanoid compounds, via biotic stress signals.

Overexpression of the PAP1 transcription factor reveals a complex regulation of flavonoid and phenylpropanoid metabolism in Nicotiana tabacum plants attacked by Spodoptera litura.

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Tomoko Mitsunami

Full Text Available Anthocyanin pigments and associated flavonoids have demonstrated antioxidant properties and benefits for human health. Consequently, current plant bioengineers have focused on how to modify flavonoid metabolism in plants. Most of that research, however, does not consider the role of natural biotic stresses (e.g., herbivore attack. To understand the influence of herbivore attack on the metabolic engineering of flavonoids, we examined tobacco plants overexpressing the Arabidopsis PAP1 gene (encoding an MYB transcription factor, which accumulated anthocyanin pigments and other flavonoids/phenylpropanoids. In comparison to wild-type and control plants, transgenic plants exhibited greater resistance to Spodoptera litura. Moreover, herbivory suppressed the PAP1-induced increase of transcripts of flavonoid/phenylpropanoid biosynthetic genes (e.g., F3H and the subsequent accumulation of these genes' metabolites, despite the unaltered PAP1 mRNA levels after herbivory. The instances of down-regulation were independent of the signaling pathways mediated by defense-related jasmonates but were relevant to the levels of PAP1-induced and herbivory-suppressed transcription factors, An1a and An1b. Although initially F3H transcripts were suppressed by herbivory, after the S. litura feeding was interrupted, F3H transcripts increased. We hypothesize that in transgenic plants responding to herbivory, there is a complex mechanism regulating enriched flavonoid/phenylpropanoid compounds, via biotic stress signals.

Overexpression of the PAP1 Transcription Factor Reveals a Complex Regulation of Flavonoid and Phenylpropanoid Metabolism in Nicotiana tabacum Plants Attacked by Spodoptera litura

Science.gov (United States)

Mitsunami, Tomoko; Nishihara, Masahiro; Galis, Ivan; Alamgir, Kabir Md; Hojo, Yuko; Fujita, Kohei; Sasaki, Nobuhiro; Nemoto, Keichiro; Sawasaki, Tatsuya; Arimura, Gen-ichiro

2014-01-01

Anthocyanin pigments and associated flavonoids have demonstrated antioxidant properties and benefits for human health. Consequently, current plant bioengineers have focused on how to modify flavonoid metabolism in plants. Most of that research, however, does not consider the role of natural biotic stresses (e.g., herbivore attack). To understand the influence of herbivore attack on the metabolic engineering of flavonoids, we examined tobacco plants overexpressing the Arabidopsis PAP1 gene (encoding an MYB transcription factor), which accumulated anthocyanin pigments and other flavonoids/phenylpropanoids. In comparison to wild-type and control plants, transgenic plants exhibited greater resistance to Spodoptera litura. Moreover, herbivory suppressed the PAP1-induced increase of transcripts of flavonoid/phenylpropanoid biosynthetic genes (e.g., F3H) and the subsequent accumulation of these genes' metabolites, despite the unaltered PAP1 mRNA levels after herbivory. The instances of down-regulation were independent of the signaling pathways mediated by defense-related jasmonates but were relevant to the levels of PAP1-induced and herbivory-suppressed transcription factors, An1a and An1b. Although initially F3H transcripts were suppressed by herbivory, after the S. litura feeding was interrupted, F3H transcripts increased. We hypothesize that in transgenic plants responding to herbivory, there is a complex mechanism regulating enriched flavonoid/phenylpropanoid compounds, via biotic stress signals. PMID:25268129

Tobacco expressing pap1 increases the responses to par and uv-a by enhancing soluble sugars and flavonoids and elevating plant protections

International Nuclear Information System (INIS)

Sompornpailin, K.; Kanthang, S.

2015-01-01

Five lines of transgenic tobacco over-expressing Production of Anthocyanin Pigment 1 (PAP1) cDNA were analysis of metabolic response against the radiation and their protection of the plant under tissue culture condition. PAP1 transgenic and wild type (WT) plants were treated with the radiations of photosynthetically activate radiation (PAR) or PAR combined with UV-A. All lines of transgenic significantly increased in amounts of p-coumaric acid, naringenin apigenin more than WT under both treatments. Additional UV-A radiating to plant rose up kaempferol content in WT plant (1.5 times) and in PAP1 transgenics (1.8 times). These transgenic plants treated under both conditions had also increased anthocyanin substances (pelargonidin) with significant value after compared to WT. Content of total soluble sugar (TSS) was related to the content of total flavonoids in transgenic. PAR combined with UV-A had a lower induction of the electrolyte leakage percentage and malondialdehyde (MDA) level in the transgenic leaf tissue compared to WT tissue. The metabolic substance levels were considered on its protection of plant cells. In transgenic tissue, the enhancement of apigenin level strongly diminished the increase level of electrolyte leakage while the levels of TSS, p-coumaric acid and naringinin less affected. Moreover, the increase levels of kaempferol and pelargonidin associated with the decrease level of MDA, while the TSS level reversely responded. The PAP1 transgenic increased response of light by adaptation of their metabolites (TSS, p-coumaric acid and flavonoids) consequently enhance parameter indicating protections of the cell. (author)

Il loricato acefalo di Rusellae (Roselle, GR: una proposta di identificazione

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Eleonora Romanò

2013-07-01

Full Text Available Lo studio è incentrato sul tentativo di comprendere la scena presente sulla lorica di una statua acefala di probabile fine età claudia rinvenuta nell'area archeologica di Rusellae (Roselle, GR all'interno di un edificio connesso al culto imperiale. La decorazione analizzata è composta da diversi elementi: un trofeo di armi ed un'aquila in posizione pressocchè centrale, ai loro lati si dispongono figure umane interpretabili come barbari e per le quali si propone l'identificazione con il britanno Caratacus accompagnato dai suoi familiari mentre rivolge una supplica di liberazione al Senato ed all'imperatore Claudio, secondo l'episodio riportato negli Annales di Tacito (12.33-40.

Psicoanalisi ed educazione: il lavoro di Vera Schmidt e di Sabina Spielrein nell’asilo sperimentale di Mosca (1921-1925

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Merete Amann Gainotti

2012-12-01

Full Text Available Negli anni 1921-1923 a Mosca, sulla scia delle profonde trasformazioni politiche e sociali innescate dalla Rivoluzione di ottobre si colloca un esperimento educativo originale, promosso da Vera Schmidt, una pedagogista formata alle idee psicoanalitiche, che si proponeva di cercare nuove vie educative per la prima infanzia sulla base delle recenti conquiste e conoscenze fornite dalla teoria psicoanalitica di S. Freud. Obiettivo di questo contributo è di fornire un breve excursus storico relativo alla diffusione della psicoanalisi in Unione sovietica e alla fondazione dell'asilo sperimentale di Mosca, di ricordare le figure delle due studiose Vera Schmidt e Sabina Spielrein che hanno animato l'iniziativa, il cui lavoro scientifico è rimasto in ombra rispetto a quello dei loro più famosi colleghi S. Freud e di C.G. Jung; infine si intende rendere conto dei principi educativi che esse cercarono di mettere in pratica nell'asilo sperimentale di Mosca.

[Pap smear for mass screening: Results of an African experiment].

Science.gov (United States)

Somé, O-R; Zongo, N; Ka, S; Wardini, R; Dem, A

2016-06-01

To assess the impact of smear test in the fight against cervix uteri cancer in Senegal. This was a descriptive cross-sectional study of 1836 Pap smears performed in patients over 15 years during several screening campaigns in Senegal conducted between June 2010 and June 2012. We analyzed epidemiological data, pathological smears, and the proposed management. In 69% of cases, the women were less than 45 years old. They were mostly multiparous and did not use contraceptive methods before. The smears were interpreted in 91.4% (n=1661) and were pathological in 5.2% of cases. They revealed mainly atypical squamous cells of undetermined significance, squamous intraepithelial low-grade lesions, and squamous intraepithelial high-grade lesions, respectively in 2.5% (n=46), 1.7% (n=30) and 1% (n=19) of cases. Multiparity, early marriages were the main risk factors. Patients with pathological smars had colposcopy with cryotherapy (23 cases), and colposcopy and biopsy (13 cases). A hysterectomy was performed in 4 cases. The pathological smear rate found in this study confirms the interest to continue cervical cancer screening with this practice. Strengthening of its geographical and financial access through a national prevention program will effectively help to lower cases of cervical cancer. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Integrazione rigorosa di dati provenienti da fonti di acquisizione differenti

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Leandro Bornaz

2011-04-01

Full Text Available La geomatica mette oggi a disposizione di esperti di diverse discipline un’ampia gamma di strumenti e tecniche che vengono utilizzate estensivamente come sostegno per l’acquisizione, la contestualizzazione e la georeferenziazione di informazioni molto diversificate come ad esempio dati georadar, geosismici, interferometrici, provenienti da strumenti di misura spesso utilizzati in diversi ambiti e con sistemi di riferimento differenti, talvolta non direttamente compatibili tra loro. Questa problematica, spesso trascurata utilizzando un approccio di tipo classico, è stata affrontata e risolta in modo rigoroso dagli autori permettendo così l’integrazione corretta di dati di differente natura e provenienza.Integration of data acquired from different sourcesGeomatics today offers to experts from different disciplines a wide range of tools and techniques, which are used extensively as technical support for the acquisition, context and geo-refer-encing data coming from different investigations: geo radar, interpherometry, geophysics analysis. Each technology gener-ally provide data with different reference systems, often not di-rectly compatible each other. This problem, often overlooked by using a classical approach, has been resolved in a rigorous way by the authors thus allowing proper integration of data of different nature.

Valutazione della sostenibilità ambientale tramite metodologia LCA di sistemi per lo sfruttamento di fonti alternative di energia e materiali

OpenAIRE

Chiavetta, Cristian

2013-01-01

La dissertazione ha riguardato l’analisi di sostenibilità di un sistema agronomico per la produzione di olio vegetale a fini energetici in terreni resi marginali dall’infestazione di nematodi. Il processo indagato ha previsto il sovescio di una coltura con proprietà biofumiganti (brassicacea) coltivata in precessione alla specie oleosa (soia e tabacco) al fine di contrastare il proliferare dell’infestazione nel terreno. Tale sistema agronomico è stato confrontato attraverso una analisi di cic...

Analisi dell'efficacia di un programma di prevenzione secondaria del carcinoma orale

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S. Iannazzo

2003-05-01

Full Text Available

In Italia i carcinomi del cavo orale (KCO sono diagnosticati
prevalentemente al II-IV stadio TNM con conseguenti basse sopravvivenza a 5 anni e qualità della vita. Una maggior frequenza di diagnosi allo stadio I porterebbe a migliorare ampiamente i valori medi dei suddetti parametri.
Scopo del presente lavoro è stato valutare l’efficacia di un programma di prevenzione secondaria del KCO in termini di aumento di diagnosi allo stadio I e di vite salvate.

Abbiamo stimato la prevalenza di casi istopatologicamente
accertati (livello C3 di leucoplachia, principale lesione precancerosa del KCO, nella ASL/RMA come prodotto tra la prevalenza stimata di leucoplachia diagnosticata clinicamente (livello C2 (2989,2Ĩ13077,7 e la proporzione, scelta arbitrariamente, di C3 tra i C2 (0,50.

Tenendo presente che nel campione studiato nella ASL/RMA la proporzione di KCO allo stadio I tra i C3 era 0,03, abbiamo stimato il numero di KCO.

Abbiamo stimato quanti KCO verrebbero diagnosticati allo stadio I se venisse attuato un programma di prevenzione secondaria, considerando diversi livelli di compliance, e sulla base di una sopravvivenza media a 5 anni, in Italia, del 53% per tutti gli stadi e del 79% per i KCO allo stadio I, abbiamo calcolato il numero di vite salvate. I valori sono stati espressi come IC95.

Le prevalenze di leucoplachia C3 e KCO sono risultate,
rispettivamente, 1494,6Ĩ6538,8 e 44,8Ĩ196,2. Con compliance del 10%, 40% e 75% verrebbero diagnosticati, rispettivamente, 4,5Ĩ19,6, 17,9Ĩ78,5 e 33,6Ĩ147,2 casi di KCO e le vite salvate sarebbero 1,1Ĩ5,1, 4,6Ĩ20,4 e 8,7Ĩ38,3 rispettivamente.
In termini di vite salvate i dati evidenziano la necessita di attuare programmi di screening del KCO, anche nell' eventualità di uno scarso coinvolgimento della popolazione a rischio.

Pianificazione urbana e comportamenti di viaggio: più di una relazione

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Elisabetta Vitale Brovarone

2010-04-01

Full Text Available L’influenza dei caratteri urbani sulla domanda di mobilità è un tema ampiamente dibattuto e studiato. Al di là delle assunzioni teoriche a riguardo, molti studiosi hanno tentato di individuare empiricamente nessi attestanti questo fenomeno. Gran parte della letteratura scientifica sul tema può essere ricondotta al dibattito sulla città compatta e sullo sprawl. Due principali obiettivi contraddistinguono questo dibattito: la comprensione delle complesse dinamiche che legano la domanda di mobilità ai caratteri urbani e l’individuazione di configurazioni sostenibili degli usi del suolo. Il fenomeno è dunque studiato al fine dello sviluppo di strategie fondate sull’integrazione tra i trasporti e gli usi del suolo, finalizzate a limitare l’uso dell’auto e ad ottenere una distribuzione modale degli spostamenti più equilibrata. Buona parte della ricerca scientifica, specialmente nell’ultimo decennio, è dunque focalizzata sull’identificazione di nessi causali tra gli usi del suolo e i trasporti, per supportare, o in alcuni casi mettere in discussione, esperienze e politiche integrate. Nonostante la quantità e varietà di studi dedicati al tema, il fenomeno è ancora lungi dall’essere compreso e dimostrato empiricamente. Il dibattito in proposito è ampio e l’impressione è che con l’aumentare degli studi in proposito e del livello di approfondimento delle analisi diminuisca la sensazione di chiarezza. Attraverso un’analisi della letteratura, l’articolo mette in evidenza i principali problemi emergenti dal dibattito. Senza negare l’importanza del riconoscimento di nessi causali tra i caratteri degli insediamenti e la domanda di mobilità, opinione di chi scrive è che l’individuazione di questi nessi non debba necessariamente costituire una condizione imprescindibile per la definizione e l’adozione di un approccio integrato.

Ipotesi progettuale di rigenerazione urbana: il caso di studio dell’ex Caserma Monti già Convento di S. Maria della Ripa nella città di Forlì

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Alessandro Castagnoli

2011-12-01

Full Text Available Un’ampia area dismessa nel centro della città storica, è stata considerata l’opportunità strategica per valorizzare e rigenerare anche interi brani di tessuto urbano circostante con l’obiettivo di riammagliare gli sfrangiamenti materiali e immateriali nel complesso rapporto fra passato, presente e futuro.Questo caso di studio ha consentito di approfondire un approccio meta progettuale più generale, puntando sulla ricerca di una metodologia appropriata rispetto alla progettazione dello spazio architettonico in quanto tale, con l’obiettivo di sviluppare ragionamenti di compatibilità nell’ambito della vasta tematica del riuso urbano ed edilizio.

Interplay of the modified nucleotide phosphoadenosine 5'-phosphosulfate (PAPS) with global regulatory proteins in Escherichia coli: modulation of cyclic AMP (cAMP)-dependent gene expression and interaction with the HupA regulatory protein.

Science.gov (United States)

Longo, Francesca; Motta, Sara; Mauri, Pierluigi; Landini, Paolo; Rossi, Elio

2016-11-25

In the bacterium Escherichia coli, some intermediates of the sulfate assimilation and cysteine biosynthesis pathway can act as signal molecules and modulate gene expression. In addition to sensing and utilization of sulphur sources, these signaling mechanisms also impact more global cell processes, such as resistance to antimicrobial agents and biofilm formation. In a recent work, we have shown that inactivation of the cysH gene, encoding phosphoadenosine-phosphosulfate (PAPS) reductase, and the consequent increase in intracellular PAPS concentration, strongly affect production of several cell surface-associated structures, enhancing surface adhesion and cell aggregation. In order to identify the molecular mechanism relaying intracellular PAPS concentration to regulation of cell surface-associated structures, we looked for mutations able to suppress the effects of cysH inactivation. We found that mutations in the adenylate cyclase-encoding cyaA gene abolished the effects of PAPS accumulation; consistent with this result, cyclic AMP (cAMP)-dependent gene expression appears to be increased in the cysH mutant. Experiments aimed at the direct identification of proteins interacting with either CysC or CysH, i.e. the PAPS-related proteins APS kinase and PAPS reductase, allowed us to identify several regulators, namely, CspC, CspE, HNS and HupA. Protein-protein interaction between HupA and CysH was confirmed by a bacterial two hybrid system, and inactivation of the hupA gene enhanced the effects of the cysH mutation in terms of production of cell surface-associated factors. Our results indicate that PAPS can modulate different regulatory systems, providing evidence that this molecule acts as a global signal molecule in E. coli. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Lezioni di fisica teorica

CERN Document Server

Caldirola, Piero

Richiami di meccanica analitica ; richiami di termodinamica ; richiami di elettromagnetismo ; appunti sulla teoria della relatività ; la non validità delle teorie classiche nel mondo microscopico ; la meccanica atomica di Bohr e Sommerfeld ; I fondamenti della meccanica quantistica ; applicazioni nell'equazione di Schroedinger ; meccanica quantistica dei sistemi l'atomo di idrogeno ; particella in un campo elettrico e magnetico ; il calcolo delle perturbazioni nella teoria quantistica ; teoria dell'emissione e dell'assorbimento della luce ; sistemi di particelle identiche ; il legame chimico omopolare nella molecola di idrogeno ; la teoria di Dirac.

Awareness and uptake of colorectal, breast, cervical and prostate cancer screening tests in Spain.

Science.gov (United States)

Carrasco-Garrido, Pilar; Hernandez-Barrera, Valentın; Lopez de Andres, Ana; Jimenez-Trujillo, Isabel; Gallardo Pino, Carmen; Jimenez-Garcıa, Rodrigo

2014-04-01

We aim to describe levels of awareness and uptake of colorectal, breast, cervical and prostate cancer screening tests and to analyze the association to socio-demographic and health-related variables. Population-based cross-sectional study conducted using a home-based personal interview survey on a nationwide representative sample (n = 7938) of population aged ≥18 years (Oncobarometro Survey). Awareness was assessed by asking participants: Now I am going to mention several medical tests for cancer detection, please tell me if you already know about them or if this is the first time you have heard of them? The tests mentioned were faecal occult blood test (FOBT), mammography, Pap smear and prostate-specific antigen (PSA). Cancer screening uptake was assessed by asking participants whether they had received tests within the previous 2 years. Awareness rates of 38.55% for FOBT, 95.03% for mammography, 70.84% for Pap smears and 54.72% for PSA were found. Uptake mammography was 74.46%, Pap smears 65.57%, PSA 35.19% and FOBT 9.40%. Factors such as immigration status, lower educational level or income and not suffering from chronic conditions are negative predictors for uptake. Awareness and uptake results showed acceptable figures for mammography, moderate for Pap smears and unacceptably low for FOBT. Inequalities exist in uptake of cancer screening. It is necessary to develop public health educational programmes, especially for the vulnerable populations, aiming to inform and motivate them to use screening services on a regular basis. Our data suggest that although PSA is not recommended, this opportunistic screening is frequently used in Spain.

Le tentazioni di un genere : sul fantastico nella narrativa di Tabucchi

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Patrizia Farinelli

2007-12-01

Full Text Available Nella rielaborazione di Tabucchi del genere fantastico, l'evento strano e inspiegabile non crea una sovrapposizione di due realtà inconciliabili, semmai richiama l'attenzione su una realtà già in partenza permeata di illogico e quindi inafferrabile. Anche l'esitazione del protagonista di fronte a tale evento appare ridotta e di conseguenza limitata la sua ricerca di spiegazioni razionali. La quete del personaggio tabucchiano non si indirizza ali' evento strano e inspiegabile, ma piuttosto al passato ìrrisolto che questo fa riaffiorare. In questo senso i criteri indicati da Todorov come basilari per i riconoscimento del genere non tengono più pienamente. Indubbio è tuttavia che, pur in presenza delle trasformazioni indicate, diverse strategie narrative del fantastico continuano ad essere utilizzate da Tabucchi per costruire una dimensione multipla, sia a livello di storia che di discorso. Proprio perché la scrittura postmodema fa delll' ambiguità momento centrale di riflessione, non può non essere tentata (e sedotta dal fantastico.

A cathepsin F-like peptidase involved in barley grain protein mobilization, HvPap-1, is modulated by its own propeptide and by cystatins

Science.gov (United States)

Diaz, Isabel

2012-01-01

Among the C1A cysteine proteases, the plant cathepsin F-like group has been poorly studied. This paper describes the molecular and functional characterization of the HvPap-1 cathepsin F-like protein from barley. This peptidase is N-glycosylated and has to be processed to become active by its own propeptide being an important modulator of the peptidase activity. The expression pattern of its mRNA and protein suggest that it is involved in different proteolytic processes in the barley plant. HvPap-1 peptidase has been purified in Escherichia coli and the recombinant protein is able to degrade different substrates, including barley grain proteins (hordeins, albumins, and globulins) stored in the barley endosperm. It has been localized in protein bodies and vesicles of the embryo and it is induced in aleurones by gibberellin treatment. These three features support the implication of HvPap-1 in storage protein mobilization during grain germination. In addition, a complex regulation exerted by the barley cystatins, which are cysteine protease inhibitors, and by its own propeptide, is also described PMID:22791822

Riconoscimento in Italia di sentenza straniera di adozione da parte di un single con effetti legittimanti: il Tribunale per i minorenni di Bologna supera la Cassazione

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Maria Astone

2015-01-01

Full Text Available L’adozione del minore da parte di una persona singola torna all’attenzione della giurisprudenza che, ancora una volta, viene investita della questione relativa al riconoscimento ed efficacia di una sentenza straniera di adozione con effetti legittimanti. Tribunale per i minorenni Bologna 17 aprile 2013 si è trovato ad affrontare il caso di un genitore single, non coniugato, cittadino italiano, che, avendo ottenuto negli Stati Uniti d’America, una sentenza di adozione di minore, ne ha chiesto il riconoscimento. Due i problemi sottoposti al Tribunale: il primo, relativo alla competenza territoriale del giudice adito, positivamente risolto ai sensi degli articoli 40 e 41 della legge n. 218 del 1995 ; il secondo, invece, più complesso, legato agli effetti che il riconoscimento della sentenza avrebbe avuto in Italia. In particolare, per il giudice di merito si è trattato di stabilire se il provvedimento straniero di adozione potesse produrre anche in Italia gli effetti legittimanti dell’adozione ordinaria dei minori, già prodottisi negli Stati Uniti d’America.

Lezioni di analisi matematica

CERN Document Server

Sbrana, Francesco

1951-01-01

Calcolo integrale delle funzioni di una variabile ; serie di funzioni di una variabile reale o complessa ; proprietà notevoli delle curve piane e sghembe ; ancora sulla intregazione delle funzioni di una variabile ; derivate e differenziali delle funzioni di più variabili ; integrali curvilinei, e di campo ; equazioni differenziali ordinarie ; cenni sulle equazioni alle derivate parziali ; cenni sulle serie di funzioni ortogonali.

Prospettive della reazione di idroformilazione nella sintesi di composti biologicamente attivi

OpenAIRE

Marchetti, Mauro

2000-01-01

Il nostro gruppo sta conducendo uno studio su complessi di rodio con una nuova classe di leganti idrosolubili di origine proteica, tali complessi impiegati nell’idroformilazione bifasica in solvente acquoso di diversi substrati hanno fornito buoni risultati.

Life cycle assessment applied to two different municipal solid waste processes; Analisi del ciclo di vita di due diverse possibilita' di smaltimento di rifiuti solidi urbani

Energy Technology Data Exchange (ETDEWEB)

Corti, A. [Florence Univ., Florence (Italy). Dipt. di Energetica Sergio Stecco; Sirini, P. [Florence Univ., Florence (Italy). Dipt. di Ingegneria Civile

2001-12-01

The application of Life Cycle Assessment (LCA) methodology as environmental balance tool is particularly suitable for the study of complex system such as municipal solid waste (MSW) collection, treatment and disposal systems. In this case a detailed analysis is carried out referring to an overall environmental balance based on two different waste treatments: land filling and incineration. The comparison carried out based on the LCA methodology and referring to specific process assumptions allowed to foreground that waste to energy treatments get a net overall balance lower than all the different land filling options, referring also to energy recovery from collected biogas. [Italian] La applicazione di metodologie di bilancio ambientale LCA (Life Cycle Assessment) si adatta particolarmente allo studio disistemi complessi quali quelli di raccolta, trattamento e smaltimento di rifiuti. In questo caso viene affrontata nel dettaglio la valutazione in termini di bilancio complessivo di diverse opzioni di trattamento basate su posa a discarica e trattamento termico. Il confronto effettuato mediante il percorso metodologico seguito, ha permesso di valutare, sulla base delle ipotesi di processi fatte, come il trattamento termico con recupero energetico abbia un bilancio netto ambientale inferiore rispetto a qualsiasi opzione di posa a discarica, anche dotata di recupero energetico dal biogas.

I problemi di matematica della Scuola Normale Superiore di Pisa

CERN Document Server

Profeti, Alessandro

1998-01-01

Nasce come aggiornamento del volume precedente ("I problemi di Matematica della Scuola Normale", 1984) e raccoglie gli esercizi di matematica assegnati all'esame di ammissione alla Scuola Normale Superiore di Pisa dal 1985 al 1997, con la loro risoluzione. Per rendere più efficace lo scopo didattico viene anche presentata una scelta di problemi relativi al periodo precedente (1905-1984). Il libro si rivolge a studenti e docenti della Scuola Secondaria, e si chiude con un Glossario in cui vengono richiamati i termini usati.

Analisi dell’utilizzo di Twitter nella costruzione di un seminario sperimentale

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Wolfgang Reinhardt

2013-03-01

Full Text Available Nonostante i massicci cambiamenti sociali e tecnologici che si sono verificati a causa del Web negli ultimi anni, i corsi universitari spesso enfatizzano metodi di insegnamento da tempo consolidati e basati su strumenti di apprendimento e risorse tradizionali. Durante tali corsi gli studenti spesso acquisiscono una conoscenza che non è aggiornata e che è lontana da un apprendimento realistico, basato su problemi. L'uso di strumenti e metodi più recenti spesso rimane fuori dalla padronanza degli studenti. In questo contributo si descrive brevemente l’impostazione sperimentale di un seminario in due università tedesche dove l’uso di Social Media per la comunicazione e la collaborazione è stato saldamente integrato alla progettazione di un percorso di apprendimento formale. Si illustra, inoltre, l'utilizzo di Twitter durante il seminario, usando metodologie riprese dalla Social Network Analysis.

Fleeing War. Due strategie di diserzione letteraria:I parenti del Sud di Carlo Montella e Going After Cacciato di Tim O’Brien

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Giulio Segato

2014-10-01

Full Text Available Il saggio indaga due diverse strategie di diserzione rappresentate in due romanzi di guerra: I parenti del sud di Carlo Montella e Going After Cacciato di Tim O’Brien. Nelle due opere analizzate la diserzione sembra essere collegata al conflitto che fa da sfondo al romanzo. Nel libro di Montella,il protagonista, ancora obnubilato dalle dottrine tautologiche fasciste, qualche settimana dopo l’armistizio di Cassibile decide di disertare e di fuggire nella villa di un’anziana parente, con lo scopo di rinsavire dall’ideologia del regime. Nel romanzo di O’Brien, invece, la fuga messa in scena dall’autore sembra avere gli stessi tratti grotteschi e assurdi del conflitto in cui è stato catapultato il protagonista,la Guerra del Vietnam.

Low-cost fabrication and performance testing of Polydimethylsiloxane (PDMS) micromixers using an improved print-and-Peel (PAP) method

Science.gov (United States)

Abagon, Ma. Victoria; Buendia, Neil Daniel; Jasper Caracas, Corine; July Yap, Kristian

2018-03-01

The research presents different configurations of microfluidic mixers made from polydimethylsiloxane (PDMS) fabricated using an improved, low-cost print-and-peel (PAP) method. Processes, such as mixing, operated in the micro scale allow decreased equipment size-to-production capacity ratio and decreased energy consumption per unit product. In the study, saturated solutions of blue and yellow food dyes were introduced inside the channels using a LEGO® improvised microsyringe pump. Scanning Electron Microscopy (SEM) was used to determine the average depth of the fabricated micromixers which was found to be around 14 ¼m. The flows were observed and images were taken using a light microscope. The color intensities of the images were then measured using MATLAB®. From the relationship between color intensity and concentration, the mixing indices were calculated and found to be 0.9435 to 0.9941, which falls within the standard mixing index range (0.8 - 1.0) regardless of the flow rate and the configuration of the micromixer as verified through the two-way ANOVA. From the cost analysis, the cost of the device fabricated in this study is a hundred-fold less than expenses from standard fabrication procedures. Hence, the fabricated device provides an alternative for micromixers produced from expensive and conventional lithographic methods.

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.

The Prevalence of Human Papilloma Virus (HPV) in Women using Liquid Base Pap Smear in Rasht, Northern of Iran.

Science.gov (United States)

Mehran, Seyed Mohamad Mohseni; Ghanaei, Mandana Mansour; Mojtehadi, Ali

2015-07-01

HPV is one of the most common sexually transmitted infections. However, little is known about its prevalence in the female population in Rasht, Northern of Iran. The aim of this study was to find the incidences of HPV viruses in high-risk women in Rasht by wet Pap smear from 2010 to 2015. This cross-sectional study investigated HPV prevalence and its genotype distribution among 103 apparently healthy and non- healthy women with abnormal cells in pap exam. DNA samples were extracted by boiling and phenol - chloroform methods, then used as template for amplifying of specific fragment of HPV genome by PCR using GP5+ / GP6+ primers. PCR products were electrophoresed in 1.5% agarose gel (Roche, Germany) containing Sybrsafe. DNA ladder (Roche Co, Germany) was used to detect the molecular weights of observed bands under UV lamp. Overall, 4/98 women (4.08%) with normal cells and 1/5 women (20%) with abnormal cells were positive for at least one of the high risk HPV types in wet Pap smear. The most HPV infection was found in 26 to 39-year-old individuals. We evidenced a moderate prevalence of HPV infection but needs to be given more attention because in apparently healthy women also, HPV infection was observed. Health officials should conduct the study and wider screening of this infection occurring in this province. Screening for this infection must be recommended in this region.

Allacciare i fili spezzati: analisi di tre autobiografie di persone divenute disabili

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Rosalba Perrotta

2011-04-01

Full Text Available Leggere autobiografie consente di conoscere esperienze e momenti della vita che restano ignoti a chi non li ha vissuti. Le autobiografie ci svelano un mondo e, nello stesso tempo, ci introducono in esso. Illustrano e spiegano senza illustrare e senza spiegare. Catturano il lettore nella narrazione e, rendendolo protagonista di quello che accade, gli fanno provare le emozioni di chi racconta e gli mostrano la realtà attraverso i suoi occhi. La corrente sociologica dell’Interazionismo simbolico, un approccio che dà particolare rilievo ai significati attribuiti dagli uomini agli oggetti di cui hanno esperienza, considera le storie di vita uno strumento di indagine prezioso. Il racconto di un tratto della vita, o della vita in genere, consente di raggiungere una conoscenza della realtà soggettiva di chi narra molto superiore rispetto a quella ottenuta attraverso questionari o interviste strutturate.

Operazioni topografiche per il collaudo di una passerella ciclo - pedonale

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Giorgio Bezoari

2013-02-01

Full Text Available Di norma, il collaudo di ponti, viadotti, cavalcavia, strutture quasi sempre in cemento armato (spesso presollecitato oppure in acciaio (a travi reticolari od a travate piene viene fatto con la ben nota livellazione geometrica di precisione ma se si desidera una analisi dei movimenti 3D si può procedere in altri modi.Surveying for testing a cycle– pedestrian bridgeAs a rule, the testing of bridges, viaducts, overpasses, almost always reinforced concrete structures (often prestressed or steel (trussgirders or in full is done with the well-known high precision geometric leveling butif you want a 3D movements analysis this can be achieved in other ways.

Penanganan Cyber Crime di Sektor Perbankan di Indonesia

OpenAIRE

Putra, Prima Agusdani

2011-01-01

Di dalam dunia perbankan perkembangan cyber crime cukup mengejutkan dengan terjadi beberapa kasus yang merugikan pihak perbankan seperti; kasus pembobolan BNI New York oleh mantan karyawannya sendiri, mutasi kredit fiktif melalui komputer di BDN Cabang Bintaro Jaya, pencurian dana di Bank Danamon Pusat. Sementara itu sejumlah nasabah pemegang credit card juga mengeluh, karena nomor kartu kreditnya telah dipakai pihak lain untuk melakukan transaksi e-commerce sehingga menimbu...

Buchi neri nel mio bagno di schiuma l’enigma di Einstein

CERN Document Server

Vishveshwara, C V

2008-01-01

"Le bolle stavano turbinando tutto intorno a me e massaggiavano il mio corpo ... Mentre me la godevo in questo fantastico bagno di bolle, i miei occhi si fecero pesanti e mi lasciaii trasportare in un dormiveglia sublimamente estatico". Così inizia l’incontro di Alfie con una vasca da bagno eccezionale e rivelatrice, acquistata da un vicino misterioso di nome Al. L’Enigma di Einstein, ovvero buchi neri nel mio bagno di schiuma, racconta la storia della teoria della gravitazione, dai suoi primordi fino agli ultimi sviluppi in astrofisica, focalizzandosi sulla teoria della relatività generale di Albert Einstein e sulla fisica dei buchi neri. Tramite conversazioni avvincenti e diagrammi scarabocchiati su tovaglioli di carta, si susseguono a ruota i rudimenti della relatività, dello spazio-tempo e di molti aspetti della fisica moderna. In scenette narrate con abilità pedagogica e notevole talento letterario, il lettore s’imbatterà nelle lezioni informali che un astrofisico cosmopolita tiene al suo amic...

[Waiting time for the first colposcopic examination in women with abnormal Papanicolaou test].

Science.gov (United States)

Nascimento, Maria Isabel do; Rabelo, Irene Machado Moraes Alvarenga; Cardoso, Fabrício Seabra Polidoro; Musse, Ricardo Neif Vieira

2015-08-01

To evaluate the waiting times before obtaining the first colposcopic examination for women with abnormal Papanicolaou smears. Retrospective cohort study conducted on patients who required a colposcopic examination to clarify an abnormal pap test, between 2002 January and 2008 August, in a metropolitan region of Brazil. The waiting times were defined as: Total Waiting Time (interval between the date of the pap test result and the date of the first colposcopic examination); Partial A Waiting Time (interval between the date of the pap test result and the date of referral); Partial B Waiting Time (interval between the date of referral and the date of the first colposcopic examination). Means, medians, relative and absolute frequencies were calculated. The Kruskal-Wallis test and Pearson's chi-square test were used to determine statistical significance. A total of 1,544 women with mean of age of 34 years (SD=12.6 years) were analyzed. Most of them had access to colposcopic examination within 30 days (65.8%) or 60 days (92.8%) from referral. Mean Total Waiting Time, Partial A Waiting Time, and Partial B Waiting Time were 94.5 days (SD=96.8 days), 67.8 days (SD=95.3 days) and 29.2 days (SD=35.1 days), respectively. A large part of the women studied had access to colposcopic examination within 60 days after referral, but Total waiting time was long. Measures to reduce the waiting time for obtaining the first colposcopic examination can help to improve the quality of care in the context of cervical cancer control in the region, and ought to be addressed at the phase between the date of the pap test results and the date of referral to the teaching hospital.

Incidenza di meningiti nell'ASL di Brescia nei primi mesi del 2003

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M. Magoni

2003-05-01

Full Text Available

Obiettivi: nell’ASLdi Brescia durante i mesi di gennaiomaggio 2003 si è verificato un consistente aumento di casi di meningite che ha allarmato oltre agli operatori sanitari anche l’opinione pubblica locale.

Metodi: i dati riguardanti i casi di meningite verificatisi dal gennaio 1999 al maggio 2003 sono stati raccolti dal Servizio Igiene Pubblica dell’ASLdi Brescia.

Tenuto conto della omogeneità dei dati nel quadriennio 1999- 2002 e della stagionalità che le meningiti possono avere, sono stati calcolati i tassi di incidenza per i primi cinque mesi dell’anno per tutte le meningiti in generale e per agente eziologico, durante il quadriennio 1999-2002. Tali tassi sono stati confrontati con i tassi corrispondenti nei primi mesi del 2003.

Risultati: nel primi 5 mesi del 2003 si sono registrati in tutto 48 casi, di cui 9 da meningocco, 13 da pneumococco, 14 virali, 3 da altri agenti batterici e 8 senza agente microbico identificato. Nei 4 anni precedenti erano stati notificati 66 casi di meningite nei primi 5 mesi dell’anno, con una media annua di 16.5. Il tasso di incidenza di meningite in gennaio-maggio è stato quindi il triplo nel 2003 (rischio relativo = 2.9 rispetto ai 4 anni precedenti (p=0.0001. L’eccesso di incidenza si è riscontrato per tutti i tipi di meningite considerati in base all’agente eziologico.

L’analisi per diverse età ha mostrato un aumento di incidenza sia nei bambini che nei giovani adulti e negli anziani. Non si è riscontrata alcuna differenza statisticamente significativa tra l’incidenza nel comune di Brescia (area urbana rispetto all’intera ASL nel periodo in studio.

Conclusioni: l’aumento di incidenza per meningiti
osservato nel 2003 non sembra spiegabile in termini di variabilità casuale del fenomeno da un anno all’altro e riguarda tutti i tipi di meningite e tutte le categorie d�

Principi di Marketing

OpenAIRE

P. Kotler; G. Armstrong; F. Ancarani; M. Costabile

2015-01-01

Principi di marketing propone un quadro dei processi di gestione del marketing relativamente innovativo, ispirato a un modello rigoroso e semplice al tempo stesso: il valore, dei clienti, per i clienti e delle relazioni con i clienti. È su questo modello che vengono declinati i princìpi del marketing e che se ne progettano le strategie – segmentazione, targeting e posizionamento – da cui hanno origine le scelte di differenziazione di prodotti, marche, modalità di distribuzione e comunicazione...

Castelli di carta. La piega per la costruzione di superfici articolate

Directory of Open Access Journals (Sweden)

Andrea Casale

2012-06-01

Full Text Available L’antica arte del piegare la carta, l’Origami, sta vivendo un rinnovato interesse che coinvolge molti aspetti della ricerca.  Con il termine origami, si intende lo studio del modo di piegare il foglio di carta per imporgli una specifica forma.  La superficie tassellata per mezzo di specifiche pieghe, si propone come un nuovo soggetto di studio: la superficie piegata articolata. La forma congiunta al movimento, assume un particolare interesse nella contemporanea ricerca geometrica e architettonica. Il panorama contemporaneo, propone opere di architettura “responsiva”, capaci di modificare le proprie caratteristiche per adeguarsi a nuove condizioni. La superficie piegata articolata sembra particolarmente adatta a descrivere questo modo d’intendere l’architettura, reagendo a diverse volontà e di conseguenza modificando la propria conformazione attraverso un attento controllo progettuale della forma.

Pap and HPV Testing

Science.gov (United States)

... 5):368-383. [PubMed Abstract] Wheeler CM. Natural history of human papillomavirus infections, cytologic and histologic abnormalities, and cancer. Obstetrics and Gynecology Clinics of North America 2008; 35( ...

Book review. Storie e geografie di un veterinario di campagna. Raffaele Mastrocola

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Manuel Graziani

2013-12-01

Full Text Available Una raccolta di racconti, o meglio di "storie" ma anche di "geografie" riprendendo l'azzeccato titolo scelto dal dott. Raffaele Mastrocola per la sua prima opera di narrativa autobiografica. Racconti di vita professionale e squarci di vita rurale nel solco del veterinario-scrittore britannico James Herriot. Qui, però, non siamo nell'elegante campagna inglese bensì in quella abruzzese, forte, gentile e certamente più genuina. Tra aneddoti comici, un'ironia delicata e a tratti debordante, l'autore ci racconta la sua vita professionale circondata da clienti pittoreschi, per lo più anziani, di un'umanità rurale oramai quasi dimenticata, con un'attenzione nostalgica per il periodo dell'infanzia e la formazione universitaria a Bologna (compresi i "rapporti" telefonici con Vasco Rossi e le cene "Da Vito". Una lettura gradevole e, perché no, utile ai giovani veterinari che troveranno tra le pagine consigli su diagnosi e terapie convalidate attraverso una lunga esperienza condotta sul campo, anche a beneficio umano, come nel caso del sedano selvatico che l'autore definisce un "antibiotico naturale, un toccasana per le vie urinarie". Un altro racconto di particolare interesse è quello intitolato "Quel benedetto femore" con Mastrocola che narra con trasporto come è riuscito a trovare la soluzione ad un caso complesso non attingendo ad un manuale di scienza veterinaria, bensì ad un libro di narrativa di James Herriot, suo vero e proprio faro personale: "Ho sempre avuto simpatie per i racconti di vita professionale. Il mio grande ispiratore è stato James Herriott! Oggi a distanza di oltre trenta anni dall'inizio della mia attività, sento la necessità di condividere le mie esperienze, le mie emozioni ed i miei ricordi con altri. La miscellanea dei miei racconti è una raccolta di 'ricordi giovanili', vita professionale ed il diario di un mio viaggio in moto d'epoca fatto in Australia." Sì perché l'autore, tra i suoi mille interessi, ha anche

Domotica e disabilità negli ambienti di apprendimento. Esiti di un progetto

Directory of Open Access Journals (Sweden)

Tamara Zappaterra

2013-11-01

Full Text Available In un lavoro sinergico ed interdisciplinare tra ricercatori dell’area pedagogica, dell’area ingegneristica e di quella medica, si è testata la possibilità di adattamento di dispositivi domotici all’ambiente scolastico, ambito non ancora esplorato dalla domotica, ed è stato progettato e realizzato un prototipo di dispositivo innovativo ed originale modellato sulle peculiarità dell’utente nel contesto scolastico. Per quanto riguarda i risultati raggiunti,sono state realizzate tre stazioni domotiche composte da un banco touch-screen collegato ad una LIM. Lo strumento si sta rivelando in grado di facilitare e motivare ad imparare, di trasmettere apprendimenti, di migliorare la qualità della vita del gruppo classe.

«Più saggia di Edipo». Su alcune fonti di «Ödipus und die Sphinx» di Hofmannsthal

Directory of Open Access Journals (Sweden)

Elena Raponi

2016-12-01

Full Text Available Il saggio analizza la tragedia Ödipus und die Sphinx (Edipo e la Sfinge, 1906 di Hugo von Hofmannsthal in relazione con le sue fonti, mostrando come la figura di Eleonora Duse, tanto venerata dal poeta austriaco da indurlo a plasmare su di lei il ruolo di Giocasta, abbia provocato sia l’allontanamento dell’opera dalla primitiva fonte francese OEdipe et le Sphinx di Joséphin Péladan (1903, sia il suo avvicinamento al mondo poetico dannunziano, di cui l’attrice italiana era stata ispiratrice e interprete. Allo stesso tempo il saggio mostra come Hofmannsthal affidi alla dialettica interna ai personaggi della sua tragedia e in particolare a Giocasta il compito di ridimensionare e correggere il superomismo dannunziano, lasciando emergere, qui appena accennato, il mondo di delicate relazioni che caratterizzerà le commedie della maturità.

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

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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.

La gestione dei flussi turistici tramite sistemi di trasporto innovativi: l’esempio di Perugia

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Leonardo Naldini

2010-10-01

Full Text Available La città di Perugia ha, fin dagli anni ’70, unito alla sua capacità di attrazione turistica, dovuta al patrimonio storico ambientale plurimillenario, una volontà di affrontare il tema della mobilità urbana in maniera profondamente innovativa ed ambientalmente sostenibile. Il concetto della creazione di parcheggi di attestazione, serviti da percorsi meccanizzati di risalita verso l’acropoli, è stato recentemente ampliato dalla creazione del Minimetro, mezzo di trasporto innovativo, dal ridottissimo impatto ambientale, che unisce in soli 12 minuti, con un servizio semicontinuo, l’area di valle di Pian di Massiano, dotata di un capace parcheggio da circa 2800 posti auto, al centro cittadino, servendo diversi quartieri urbani. Tale sistema di trasporto, corridoio forte del trasporto pubblico urbano, ha fornito lo spunto per attuare una nuova modalità di gestione dei flussi turistici, che individua nel Minimetro la modalità principale di accesso al centro storico sia per i gruppi a numero ridotto, sia per i gruppi organizzati in arrivo con i bus turistici. L’organizzazione della mobilità turistica che ne è derivata costituisce un ulteriore passo in avanti lungo quell’itinerario di gestione della città che cerca di coniugare l’attrattiva turistica, con le sue ricadute in termini di crescita economica, e la salvaguardia del patrimonio storico artistico e della qualità della vita dei cittadini. Gli scenari futuri vedono un’iniezione di tecnologia in questo contesto, con l’introduzione nella gestione dei flussi turistici dei concetti di accreditamento, dell’infomobilità come supporto alle politiche urbane, del controllo unito alla fornitura di servizi georeferenziati.

Il Realismo Socialista come forma di “non arte”. Alcune ipotesi di lettura a partire dalla XXXII Biennale di Venezia e dalla documenta 3 di Kassel del 1964

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Anna Zinelli

2016-11-01

Full Text Available Il 20 luglio del 1964 la Pravda pubblica un duro attacco alla Biennale di Venezia - che sancisce, con il premio assegnato a Rauschenberg, la consacrazione del New Dada e della Pop Art - accusandola di “ciarlataneria”. Analogamente da parte della critica italiana emerge una diffusa tendenza a non ammettere la stessa liceità estetica del Realismo Socialista, recuperando i termini di una contrapposizione tra “arte” e “kitsch” il cui antecedente fondamentale può essere identificato nel celebre testo di Greenberg del 1939. Sempre nel 1964 la terza edizione di documenta a Kassel propone una lettura del contemporaneo che esclude programmaticamente il realismo, assumendo una visione idealista che rifiuta ogni possibile tangenza tra ricerche estetiche e dimensione politica. L’articolo si propone di indagare l’affermazione di un modello di lettura del Realismo Socialista che risente profondamente delle politiche culturali in atto negli anni della guerra fredda, i cui retaggi continueranno a perpetuarsi nel dibattito successivo sul realismo, trovando solo in anni recenti, con autori come Boris Groys, una forma di problematizzazione.

The Cellient automated cell block system is useful in the differential diagnosis of atypical glandular cells in Papanicolaou tests.

Science.gov (United States)

Xing, Wei; Hou, April Y; Fischer, Andrew; Owens, Christopher L; Jiang, Zhong

2014-01-01

Atypical glandular cells (AGC) is a very important diagnosis in gynecological cytology. In the current study, the authors investigated the usefulness of Cellient cell blocks (CB) for characterizing AGC on Papanicolaou (Pap) tests. A total of 148 patients with an AGC diagnosis based on Pap tests by cytotechnologists and referred to cytopathologists were studied. Among these patients, there were 68 patients with CB preparations and 80 patients with Pap tests only (TP-AGC group). Follow-up results by Pap tests or biopsies were obtained in 117 of 148 patients. The median follow-up was 13 months (range, 1 month-36 months). Of the 68 patients with CBs, 31 (46%) were reclassified as negative for dysplasia or low-grade intraepithelial lesion; 30 patients (44%) retained a diagnosis of AGC (CB-AGC group); and 7 patients (10%) were given specific diagnoses of high-grade intraepithelial lesion (3 patients), endocervical adenocarcinoma in situ (1 patient), and invasive adenocarcinoma (3 patients). On follow-up, the CB-AGC group was found to have a significantly lower rate of negative/low-grade squamous intraepithelial lesion diagnoses compared with the TP-AGC group (55% vs 85%; P= .006). The CB-AGC group had a significantly higher rate of endocervical or endometrial adenocarcinoma compared with the TP-AGC group (36% vs 8%; P= .003) at the time of follow-up. The rates of high-grade squamous intraepithelial lesion were not found to be statistically different between these 2 groups (9% vs 7%; P= .66). The Cellient CB is a useful technique to further categorize a diagnosis of AGC on Pap tests. Using the Cellient CB system, the pathologist has the ability to improve the diagnostic accuracy of AGC so that unnecessary colposcopic evaluation or biopsies can be avoided. © 2013 American Cancer Society.

Esercizi scelti di algebra

CERN Document Server

Chirivì, Rocco; Dvornicich, Roberto

2017-01-01

Questo libro – primo di due volumi -  presenta oltre 250 esercizi scelti di algebra ricavati dai compiti d'esame dei corsi di Aritmetica tenuti dagli autori all'Università di Pisa. Ogni esercizio viene presentato con una o più soluzioni accuratamente redatte con linguaggio e notazioni uniformi. Caratteristica distintiva del libro è che gli esercizi proposti sono tutti diversi uno dall'altro e le soluzioni richiedono sempre una piccola idea originale; ciò rende il libro unico nel genere. Gli argomenti di questo primo volume sono: principio d'induzione, combinatoria, congruenze, gruppi abeliani, anelli commutativi, polinomi, estensioni di campi, campi finiti. Il libro contiene inoltre una dettagliata sezione di richiami teorici e può essere usato come libro di riferimento per lo studio. Una serie di esercizi preliminari introduce le tecniche principali da usare per confrontarsi con i testi d'esame proposti. Il volume è rivolto a tutti gli studenti del primo anno dei corsi di laur ea in Matematica e Inf...

Lezioni di Cosmologia Teorica

CERN Document Server

Gasperini, Maurizio

2012-01-01

Il libro è basato sulle lezioni attualmente tenute dall'autore presso l’Università di Bari, ed è progettato in modo da rappresentare un testo di riferimento il più possibile moderno, completo e autosufficiente per i corsi semestrale di Cosmologia, Astrofisica o Fisica Astroparticellare che compaiono nel piano di studi della Laurea Magistrale in Fisica e in Astronomia. Contiene gli elementi di base della cosmologia relativistica, del modello cosmologico standard e del suo completamento inflazionario. E' organizzato per servire da traccia ad un corso di cosmologia di stampo teorico, ma cerca di non perdere mai di vista il confronto con i principali risultati osservativi: molta attenzione viene infatti dedicata alla fenomenologia dei fondi cosmici, e in particolare alla  radiazione gravitazionale fossile perché la sua rivelazione, diretta o indiretta, potrebbe dare indicazioni  cruciali sulla scelta del corretto modello per l'Universo primordiale. Non mancano infine alcuni accenni ad argomenti di inter...

Toluidine blue-O is a Nissl bright-field counterstain for lipophilic fluorescent tracers Di-ASP, DiI and DiO.

Science.gov (United States)

Chelvanayagam, D K; Beazley, L D

1997-03-01

The stain toluidine blue-O (tol blue), applied to sections of neural tissue, is shown to be compatible with the vivid fluorescent lipophilic neural tracers 4-(4-dihexadecylaminostyryl)-N-methylpyridinium iodide (Di-ASP), 3,3'-dioctadecyloxacarbocyanine perchlorate (DiO) and 1,1'-dioctadecyl-3,3,3',3'-tetramethylindocarbocyanine perchlorate (DiI). As with other Nissl stains, toluidine blue-O fluoresces in the red end of the spectrum but such fluorescence quenches upon binding with tissue. Moreover, progressive staining occurs at concentrations low enough to minimise any background fluorescence attributable to non-specific residence of the stain. The bright yellow Di-ASP and vivid green DiO signals are spectrally removed from the red fluorescence of toluidine blue-O. With toluidine blue-O counterstaining, Di-ASP generally offers contrast superior to that with DiI, however, the latter is improved by viewing in a polarised green bright field. Visible Di-ASP emission, although broad, peaks at a more film-sensitive region of the spectrum than that for DiI, thus reducing the photographic exposure required.

La ricerca di un senso di sé: la narrazione nei social network come possibilità di ricostruzione del tessuto sociale

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Antonio Notarbartolo

2011-04-01

Full Text Available Diventa difficile, in questa situazione sfuggire alla logica della precarietà, così come riuscire a stabilire un discorso continuativo con una o più persone, se non ricorrendo a qualche trucco “tecnico” migliorativo. Rimane il grosso vantaggio rappresentato dalla comunicazione diretta, quasi in tempo reale, se le persone sono in quel momento collegate al programma, quindi sono in grado di replicare. Diventa quindi il possibile veicolo e motore di movimenti di opinione, di gruppi spontanei di persone, di emozioni che possono diventare “oceaniche”, come quando, in uno stadio gremito, tutti si muovono all’unisono sotto il segno della ola. Vengono così soddisfatte la partecipazione e la reciprocità nel bisogno di relazione, e viene soddisfatto il bisogno delle persone di narrazione, ovvero il bisogno di raccontare con leggerezza ad un possibile interlocutore, o ad una platea, la propria storia in frammenti, attraverso commenti puntuali, espressioni di intento, canzoni e immagini. La narrazione, oggi, è fenomeno sempre più raro, grazie al crollo del valore aggiunto rappresentato dall’esperienza, e si è trasformata in storytelling.

L’INCHIESTA ITALIANO 2010. ANTEPRIMA DI ALCUNI RISULTATI

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Claudio Giovanardi

2011-02-01

Full Text Available L’inchiesta Italiano 2010, promossa dal Ministero degli Esteri, mette in luce una forte crescita della domanda di lingua italiana nel mondo. I corsi svolti nel 2009-2010 dagli Istituti Italiani di Cultura sono in tutto 6.429, mentre dalla rilevazione eseguita nel 2000 sotto la guida di Tullio De Mauro (Italiano 2000 ne risultavano 3.548, poco più della metà. L’aumento dei corsi si riflette sul numero degli studenti, che in dieci anni è salito di 22.073 unità, ovvero di quasi il 50%, passando da 45.699 a 67.772. Fra le motivazioni che spingono gli stranieri a studiare l’italiano, prevale più nettamente che nel 2000 il fattore «Tempo libero e interessi vari» (56%, a conferma dell’immagine tradizionale della lingua italiana come lingua di cultura. Al secondo posto si colloca lo «Studio» (21%, seguita dal «Lavoro» (13% e dai «Motivi personali e familiari» (10%. Oggi più di ieri, la crescita dell’interesse per la lingua italiana nel mondo è in stretta relazione con la crescita dell’interesse per la nostra cultura. Rispetto alla precedente inchiesta Italiano 2000, il progetto Italiano 2010 ha aggiunto la somministrazione agli studenti universitari di due test linguistici di diverso livello. Grazie alla collaborazione dei lettori MAE si è potuto ricavare un corpus di oltre 1700 test che costituisce un importante contributo allo studio dei “punti di crisi” dell’italiano per gli apprendenti stranieri. Per questo articolo ci si sofferma sulle indicazioni linguistiche e testuali che si ricavano dal testo libero previsto per il livello avanzato: un riassunto tratto da un brano della Guida del Touring Club per la regione Abruzzo.     Italiano 2010: initial results of an enquiry   The survey Italiano 2010, promoted by the Foreign Ministry, highlights the strong demand for the Italian language in the world. There were 6,429 courses offered in 2009-2010 by the Italian Cultural Institutes, compared to the data collected in

Variabilità microsatellitare in popolazioni italiane di martora, Martes martes

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Licia Colli

2003-10-01

nelle componenti inter-gruppi (10,25% del valore totale ed intra-gruppi (89,75%, suggerendo l'esistenza di una differenziazione genetica tra i due pools di individui. È stato effettuato anche un test per l'assegnazione dei genotipi (genotype assignment test, Paetkau 1995, 1997; Waser & Strobeck, 1998, che ha prodotto risultati in stretto accordo con la provenienza geografica dei campioni analizzati: nonostante il piccolo numero d'individui provenienti dalla penisola, tutti i genotipi identificati sono stati assegnati con successo al gruppo d'origine. Tale risultato indica ulteriormente come la variabilità descritta dai 7 loci microsatellitari permetta di identificare con successo le differenze genetiche esistenti tra i due gruppi.

Note di fotonica

CERN Document Server

Degiorgio, Vittorio

2012-01-01

L’invenzione del laser ha generato una vera rivoluzione nella scienza e nella tecnologia e ha dato luogo alla nascita di una nuova disciplina chiamata Fotonica. Le più importanti applicazioni della Fotonica che hanno un impatto cruciale in molti ambiti della nostra vita sono le comunicazioni in fibra ottica su cui si basa il funzionamento di Internet e del traffico telefonico su grandi distanze, i dischi ottici (CD, DVD, Blue-ray), la sensoristica ottica di tipo industriale e ambientale, la lavorazione dei materiali, l’illuminazione con i LED e la chirurgia. Questo volume ha come obiettivo quello di colmare un vuoto nel panorama italiano di testi universitari riguardanti la Fotonica. Lo scopo principale è quello di esporre in modo sintetico ma rigoroso i concetti che stanno alla base del funzionamento del laser e della propagazione della luce nella materia, e di descrivere i principali componenti e dispositivi ottici e optoelettronici, quali le fibre ottiche, gli amplificatori, i modulatori e i rivelato...

Cacciatori di particelle

CERN Document Server

Ne'eman, Yuval

1988-01-01

Capostipite dei "cacciatori di particelle" fu J.J. Thomson, il quale nel 1897 scoprì la prima particella subatomica, l'elettrone. Poco dopo, negli anni tra il 1910 e il 1932, veniva rivelata la natura del nucleo atomico, grazie al lavoro di Rutherford. Partendo da queste prime storiche conquiste della fisica, gli autori introducono gradualmente il lettore nel micromondo delle particelle: dall'elettroscopio a foglie d'oro al dualismo onda-particella, all'enigma di una asimmetria destra-sinistra in natura, all'invenzione dei grandi acceleratori. Poi tra la fine degli anni cinquanta e i primi anni sessanta, l'esplosione di nuove specie particellari sembra vanificare ogni speranza di spiegazione. Lo schema di classificazione introdotto nel 1964 da Ne'eman (e, indipendentemente, da Gell-Mann), pone fine a tale confusione, consentendo una sistemazione coerente: quella che porta al concetto di quark e alle ultime conquiste, teoriche e sperimentali. Oggi, che i fisici sono divenuti più "coltivatori" che "cacciatori...

STUDY OF CERVICAL PAP SMEAR STUDY AND ITS UTILITY IN CANCER SCREENING- AN EXPERIENCE IN A TERTIARY CARE HOSPITAL OF TRIPURA, NORTH EASTERN STATE OF INDIA

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Sutanuka Khasnabish

2017-06-01

Full Text Available BACKGROUND Cancer of cervix is a global health problem and is a leading cause of morbidity and mortality of women in India. It is one of the most preventable and curable of all cancers. Simple, noninvasive screening procedures like Papanicolaou smears can help in detection and quick and effective timely treatment. The objective of the study is to assess the role of Pap smear in detecting premalignant, malignant and nonneoplastic lesions of cervix in our institute. MATERIALS AND METHODS This is a one year prospective and four year retrospective study of 1,349 women in age group of 20-80 years carried over a period of 5 years from January 2012-December 2016 in the cytology wing of Department of Pathology, Tripura Medical College. Patients clinically presenting with dyspareunia, postcoital bleeding, vaginal bleeding, frothy vaginal discharge with itching and pain in hypogastrium were included in the study. Samples were collected under direct vision of Cusco’s speculum and transferred to glass slides, fixed and stained by Papanicolaou stain and were examined and reported. Reporting was done as per Bethesda system. RESULTS A total of 1,349 number of cases were screened, out of which 639 number of patients had abnormal Pap smears and 13.63% had unsatisfactory or inadequate samples. LSIL was the most common premalignant lesion with 113 (8.37% number of cases, SCC in 39 (5.2% number of cases, ASCUS in 15 (1.11% and adenocarcinoma in 2 (0.14% number of cases. CONCLUSION It was found that premalignant and malignant lesion in cervix is not uncommon in our setup and Pap smear appears to be an elementary, economical, safe and yet highly sensitive screening test for early detection of various cervical lesions.

Fondamenti di fisica dei plasmi

CERN Document Server

Golant, V E; Sacharov, I E

1983-01-01

Introduzione ; collisioni del plasma ; equazioni cinetiche per particelle cariche ; plasmi in equilibrio termodinamico ; funzione di distribuzione di particelle cariche in un campo elettrico ; equazioni dei momenti della funzione di distribuzione ; processi di trasporto nel plasma in assenza di campi magnetici ; moto di particelle cariche nel plasma in presenza di campi magnetici ; processi di trasporto in campo magnetico ; confinamento del plasma mediante campi magnetici.

Equazione di Dirac

CERN Document Server

Monti, Dalida

1996-01-01

Relativamente poco noto al gran pubblico, il premio Nobel Paul Adrien Maurice Dirac appartiene a quel gruppo di uomini di ingegno che nei primi decenni del secolo contribuirono a dare alla nostra concezione del mondo fisico la sua impronta attuale. Assolutamente cruciali, per una valutazione dell'opera di Dirac, sono gli anni compresi tra il 1925 e il 1931: un periodo in cui il fisico fornisce la prima spiegazione chiara e coerente delle proprietà di spin dell'elettrone (equazione di Dirac) e perviene, in forza della pura deduzione matematica, alla scoperta dell'esistenza dell'elettrone positivo o positrone.

Autobiografia di un fisico

CERN Document Server

Born, Max

1980-01-01

Questa non è solo un'autobiografia scientifica. Il ritratto che Max Born ci offre di se stesso va oltre il profilo dell'uomo di scienza, che pure è stato tra i maggiori del nostro secolo. Di lui veniamo a sapere tutto ciò che occorre per accostarsi alle teorie che gli valsero il premio Nobel, ma anche i tratti di una normale vita borghese nella quale si intrecciavano le influenze dell'ambiente intellettuale e commerciale. Il tono è quello di una rievocazione piana e distesa che ci accompagna per le varie fasi della carriera dello studente, del docente, dello scienziato, nelle università tedesche e inglesi, negli anni delle persecuzioni naziste, alle quali l'ebreo Max Born ebbe la fortuna di sopravvivere, e nel dopoguerra, quando egli tornò in Germania e seppe dare un contributo di idee e di iniziative ai movimenti pacifisti. E' la lunga e operosa vita di un uomo di genio, del quale si ricorda la profonda umanità, la vastità degli interessi culturali, l'acutezza dei giudizi sulle persone, sulle vicend...

Introduzione alle teorie di gauge

CERN Document Server

Cabibbo, Nicola; Benhar, Omar

2016-01-01

"Introduzione alle Teorie di Gauge" completa la serie di tre volumi basati sulle lezioni dei corsi di Meccanica Quantistica Relativistica, Interazioni Elettrodeboli e Teorie di Gauge, impartite dagli autori agli studenti delle Lauree Magistrali in Fisica e Astronomia & Astrofisica dell'Universita "La Sapienza" di Roma, nell'arco di qualche decennio. L'obiettivo principale del volume è di introdurre i concetti di base della rinormalizzazione nella teoria quantistica dei campi e i fondamenti delle moderne teorie di Gauge. Anche se collegato ai volumi precedenti, il libro si presta ad una lettura indipendente, che presume solo conoscenze generali di relativita speciale, della seconda quantizzazione e della fenomenologia delle interazioni elettrodeboli. Lo strumento di base è l'integrale sui cammini di Feynman, introdotto nei capitoli iniziali e sistematicamente impiegato nel seguito. L'esposizione segue un percorso pedagogico, che parte dal caso semplice dell'ampiezza di transizione in meccanica quantistic...

Un sistema di supporto alla decisione per facilitare nuove azioni di finanziamento in ambito pubblico

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Maria Franca Norese

2014-12-01

Full Text Available Un approfondimento analitico sulle modalità di finanziamento che hanno interessato la Regione Piemonte, sviluppato con il contributo di chi vi ha operato direttamente, ha permesso di acquisire, codificare e organizzare importanti elementi di conoscenza e di proporne l’uso per accrescere la cultura valutativa in Regione. Un accresciuto interesse a rendere più efficienti le azioni di finanziamento pubblico ha spinto ad utilizzare i risultati dell’analisi effettuata in un modello multicriteri di valutazione e in un sistema di supporto alla decisione rivolto a facilitare i nuovi processi di finanziamento e rendere operative attività di monitoraggio in un contesto di apprendimento organizzativo.

Spazi d’autore. Riscrittura e passaggi di testo ne La strada di Levi

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Matteo Martelli

2016-07-01

Full Text Available L’articolo propone un percorso d’analisi sulle strategie di riscrittura e di ripresa di alcuni testi di Primo Levi nel film documentario La strada di Levi e nell’opera parallela La prova. Focalizzandosi sul secondo romanzo di Levi, La tregua, questi lavori evadono dalle consuete pratiche di adattamento, sviluppando forme di riscrittura nelle quali la manipolazione critica delle testualità pregresse è posta in tensione con nuovi testi messi in scena, immagini, video, riorientando la percezione dell’ipotesto entro ulteriori linguaggi. È attraverso tale spazio di circolazione di linguaggi artistici e di pratiche intermediali, che gli autori Davide Ferrario e Marco Belpoliti sembrano poter condurre una riflessione sulle forme culturali dello sguardo e delle odierne pratiche di lettura della realtà (nella sua temporalità e memoria come nella sua spazialità e della sua traduzione attraverso codici semiotici molteplici. In tale spostamento costante del proprio oggetto di riscrittura, La strada di Levi e La prova si mostrano così quali nodi o reti di un processo di lettura dialettico del presente e del passato, in un tentativo di tracciare alcune mappe del mondo contemporaneo.   The essay suggests an analysis of the documentary film La strada di Levi and the correlated work La prova. Focusing on Primo Levi’s book La tregua, these works show a different attitude about adaptation through a constant reorientation of the source text and its juxtaposition with new texts and images, and through a projection of these elements within additional languages. In this way, the authors, Davide Ferrario and Marco Belpoliti, offer an experience of an intermedial artistic practice that involves a reflection on the cultural forms through which the texts interpret the reality (and its temporality or memory and its translation through multiple semiotic codes. The effect of this kind of work is the perception of the documentary film as a network that

Utilisation of chlorine-dioxide and peracetic acid as disinfectants of effluents from Bologna waste water treatment plant; Sperimentazione di tecniche di disinfezione mediante biossido di cloro e acido peracetico applicate alle acque reflue dell'impianto di trattamento della citta' di Bologna

Energy Technology Data Exchange (ETDEWEB)

Mancini, M.L. [Bologna Univ., Bologna (Italy). Dipt. di Ingegneria delle Strutture, dei Trasporti, delle Acque, del Rilevamento e del Territorio; Sorrentino, M.

2000-01-01

The necessity to optimize the disinfection phase in the treatment plant of waste water of Bologna made possible an experimental survey about the efficacy of two disinfectant agents utilized: chlorine-dioxide and peracetic acid. Object of the survey is to verify the possibility of utilize, full scale, also peracetic acid as disinfection agent. The experimentation regarded the reals flows adduced and discharged from the plant and it may be an useful reference to verify performance of post-treatment constructed wetlands. Particularly it has been possible to assay the efficacy of the different treatment in waste water with residual concentrations of suspended solids. [Italian] La necessita' di ottimizzare la fase di disinfezione nell'impianto di trattamento acque reflue della citta' di Bologna, sia per il miglioramento delle rese di inattivazione, sia per la riduzione dei costi di esercizio, ha reso necessaria un'indagine sperimentale sull'efficacia di due agenti disinfettanti utilizzati: il biossido di cloro e l'acido peracetico. Scopo dell'indagine e' quello di verificare la possibilita' di impiegare, a scala reale, per il refluo tipico dell'impianto di Bologna, anche l'acido peracetico quale agente di disinfezione. La sperimentazione, condotta ha interessato le portate reali addotte e scaricate dall'impianto e puo' costituire un riferimento utile verificare la fattibilita' igienico-sanitaria di post-trattamenti di lagunaggio o fertirrigazione. In particolare si e' potuta saggiare l'efficacia dei diversi sistemi di trattamento sui reflui aventi concentrazioni residue non trascurabili di solidi sospesi.

Testimonianze di vittime degli anni di piombo

DEFF Research Database (Denmark)

Cecchini, Leonardo

Testimonianze di vittime degli anni di piombo In un articolo pubblicato nel 2008 sulla webzine Nazione indiana Christian Raimo criticava quello che poi Giovanni De Luna qualche anno dopo nel suo libro La Repubblica del dolore (2011) ha chiamato “paradigma vittimario”; cioè la presenza predominante...

Le soluzioni di logistica urbana sono sostenibili? L'esempio di Cityporto

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Jesus Gonzalez-Feliu

2010-07-01

Full Text Available La logistica urbana è un campo di riflessione volto ad approfondire le soluzioni ottimali per la distribuzione delle merci in ambito urbano e i relativi obiettivi ambientali. Ad oggi, molte azioni sono state intraprese dalle pubbliche autorità senza tenere conto, tuttavia, degli impatti che i nuovi schemi organizzativi possono avere sull’ attuale organizzazione delle imprese. Il contributo incentra la riflessione sul caso studio relativo alla città di Padova, in Italia: il sistema di logistica urbana CityPorto. In particolare, se ne analizzano le caratteristiche dal punto di vista della sostenibilità del sistema proposto, sia in riferimento alla dimensione imprenditoriale che a quella collettiva, mettendo in relazione le peculiarità della logistica urbana e le più estese catene distributive, di scala globale, di cui le prime sono parte integrante.

Obbligo di sicurezza del prestatore di lavoro ed effettività della tutela antinfortunistica

OpenAIRE

Alessia Gabriele

2012-01-01

Il saggio affronta il tema della sicurezza e della salute dei lavoratori quale diritto fondamentale. Dopo l'analisi del panoram­a normativo internazionale e comunitario, l'A. si sofferma sulla posi­zione di garanzia assegnata al prestatore di lavoro subordinato nell'ordinamento interno, con particolare attenzione ai diritti di for­mazione e di informazione intimamente connessi al correlati­vo obbli­go di sicurezza del prestatore di lavoro. Le conclusioni cui giunge una parte della giurisprude...

Pigments analysis on skin tomato fruits during ripening by mean fluorescence techniques; Analisi mediante utilizzo di tecniche di fluorescenza dei pigmenti presenti sulla superficie di bacche di pomodoro durante la maturazione

Energy Technology Data Exchange (ETDEWEB)

Lai, A; Fantoni, R [ENEA, Divisione Fisica Applicata, Centro Ricerche Frascati, Rome (Italy)

2000-07-01

Different spectroscopic techniques, based on visible fluorescence emission upon excitation in the same spectral region or in the ultraviolet, have been utilized to characterize tomato fruit ripening stages in order to analyze surface pigments which correspond to optimal conditions for fruit harvesting. The main fluorescence spectral features belonging to antochyanin, flavonoids, carotenoids and chlorophyll a after excitation of skin tomato pigments at different laser wavelength have been identified. For tomato ripening stage LIF detection, the {lambda}{sub e}xc266nm was established as the optimal laser wavelength. [Italian] Mediante diverse tecniche spettroscopiche, basate sulla emissione di fluorescenza visibile a seguito di eccitazione nella stessa regione o nell'ultravioletto, e' stato condotto uno studio su bacche di pomodoro a diversi stadi di maturazione Lo scopo del lavoro e' quello di potere attribuire, attraverso l'analisi degli spettri di fluorescenza dei pigmenti superficiali presenti nel frutto, lo stadio ottimale di maturazione al momento della raccolta. I risultati ottenuti hanno permesso di distinguere spettri di fluorescenza attribuiti ai principali gruppi di pigmenti fluorescenti presenti nella superficie esterna del pomodoro: antociani, flavonoidi, carotenoidi e clorofilla a.

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.

PhD Dissertations Tesi di dottorato

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Redazione Reti Medievali (a cura di

2005-12-01

Full Text Available Report of PhD Dissertations.Anna Airò La scrittura delle regole. Politica e istituzioni a Taranto nel Quattrocento, Tesi di dottorato di ricerca in Storia medievale, Università degli studi di Firenze, 2005 Pasquale Arfé La Clavis Physicae II (316-529 di Honorius Augustodunensis. Studio ed edizione critica, Tesi di dottorato in Storia della filosofia medievale, Università degli Studi di Napoli "L'Orientale", 2005 Alessandro Azzimonti Scrittura agiografica e strutture di potere nell'Italia centro-settentrionale (X-XII secolo, Tesi di dottorato di ricerca in Forme del sapere storico dal medioevo alla contemporaneità, Università degli Studi di Trieste, 2004 Domenico Cerami Il "Confine conteso". Uomini, istituzioni, culture a Monteveglio tra VIII-XII secolo, Tesi di dottorato di ricerca in Storia Medievale, Università degli studi di Bologna, 2005 Federica Chilà Ostaggi. Uno strumento di pacificazione e governo tra i secoli VIII e XII, Tesi di dottorato di ricerca in Istituzioni, società, religioni dal Tardo Antico alla fine del Medioevo, Università degli Studi di Torino, 2004 Enrico Faini Firenze nei secoli X-XIII: economia e società, Tesi di dottorato di ricerca in Storia medievale, Università degli studi di Firenze, 2005Alessio FioreStrutture e pratiche del potere signorile in area umbro-marchigiana (secoli XI-XIII, Tesi di dottorato ricerca in Storia, Università degli studi di Pisa, 2004Giampaolo FrancesconiTra Riforma, vescovo e clientes. Camaldoli e le società locali (secoli XI-XIII, Tesi di dottorato di ricerca in Storia medievale, Università degli studi di Firenze, 2005 [09/05] Giuseppe Gardoni "Episcopus et potestas". Vescovi e società a Mantova nella prima metà del Duecento, Tesi di dottorato di ricerca in Storia del Cristianesimo e delle Chiese (antichità, medioevo, età moderna, Università degli Studi di Padova, 2005 Nicola Mancassola La gestione delle campagne tra Langobardia e Romània in età carolingia e post

The influence of disinfectants on mutagenicity and on toxicity of urban waste water; Valutazione di trattamenti di disinfezione di acque reflue urbane mediante test di tossicita' e di mutagenesi

Energy Technology Data Exchange (ETDEWEB)

Monarca, S. [Brescia Univ., Brescia (IT). Dipt. di Medicina Sperimentale e Applicata] [and others

1999-12-01

The aim of the research was to study the influence of disinfectants alternative to chlorine, such as chlorine dioxide, ozone, peracetic acid and UV radiation, have on the formation of mutagenic and toxic compounds in waste water disinfection. Preliminary results are presented and discussed. [Italian] Scopo del lavoro e' stato lo studio dell'azione antimicrobica di diversi disinfettanti su acque reflue urbane dopo trattamento secondario, correlando tale parametro con l'attivita' tossica e genotossica prodotta dalla disinfezione. I risultati vengono presentati e discussi.

Narrazioni di narrazioni: orientamento narrativo e progetto di vita (Federico Batini, Gabriel Del Sarto

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Manuela Ladogana

2007-03-01

Full Text Available Il volume, denso di contenuti e ricco di riferimenti teorici, traccia con chiarezza le sue linee di sviluppo ed apre alla riflessione, anche pedagogica, sull’esigenza di recuperare la dimensione narrativa e autobiografica per la realizzazione di una pratica orientativa che guidi e sostenga il soggetto in orientamento verso la riscoperta e ricostruzione del proprio progetto di vita.

Sintesi stereoselettiva di piridilammine

OpenAIRE

Chelucci, Giorgio Adolfo; Baldino, Salvatore; Pinna, Gérard Aimé; Soccolini, Francesco

2006-01-01

Ammino piridine chirali hanno dimostrato la loro validità come leganti per la formazione di complessi metallici utilizzati nella catalisi asimmetrica. Tra i possibili approcci alla sintesi di questi composti noi abbiamo investigato la riduzione diastereoselettiva di N-sostituite (p-totil e tert-butil) piridil chetimmine con una serie di agenti riducenti (NaBH4, L-Selectride, DIBAL, 9-BBN) in diverse condizioni di reazione.

Point-Counterpoint: Cervical Cancer Screening Should Be Done by Primary Human Papillomavirus Testing with Genotyping and Reflex Cytology for Women over the Age of 25 Years

Science.gov (United States)

Zhao, Chengquan

2015-01-01

Screening for cervical cancer with cytology testing has been very effective in reducing cervical cancer in the United States. For decades, the approach was an annual Pap test. In 2000, the Hybrid Capture 2 human papillomavirus (HPV) test was approved by the U.S. Food and Drug Administration (FDA) for screening women who have atypical squamous cells of underdetermined significance (ASCUS) detected by Pap test to determine the need for colposcopy. In 2003, the FDA approved expanding the use of the test to include screening performed in conjunction with a Pap test for women over the age of 30 years, referred to as “cotesting.” Cotesting allows women to extend the testing interval to 3 years if both tests have negative results. In April of 2014, the FDA approved the use of an HPV test (the cobas HPV test) for primary cervical cancer screening for women over the age of 25 years, without the need for a concomitant Pap test. The approval recommended either colposcopy or a Pap test for patients with specific high-risk HPV types detected by the HPV test. This was based on the results of the ATHENA trial, which included more than 40,000 women. Reaction to this decision has been mixed. Supporters point to the fact that the primary-screening algorithm found more disease (cervical intraepithelial neoplasia 3 or worse [CIN3+]) and also found it earlier than did cytology or cotesting. Moreover, the positive predictive value and positive-likelihood ratio of the primary-screening algorithm were higher than those of cytology. Opponents of the decision prefer cotesting, as this approach detects more disease than the HPV test alone. In addition, the performance of this new algorithm has not been assessed in routine clinical use. Professional organizations will need to develop guidelines that incorporate this testing algorithm. In this Point-Counterpoint, Dr. Stoler explains why he favors the primary-screening algorithm, while Drs. Austin and Zhao explain why they prefer the

Valutazioni sul consumo di suolo mediante dati di copertura e telerilevati

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Michele Munafò

2013-04-01

Full Text Available La contrazione progressiva ed irreversibile delle superfici naturali ed agricole a favore delle aree urbanizzate è un fenomeno continuo con conseguenze di varia natura in termini ambientali, economici e sociali. Il fenomeno, conosciuto come “consumo di suolo” sta finalmente cominciando ad essereanalizzato e considerato. Oggi, la disponibilità di informazioni sull’uso/copertura del suolo multitemporali e di dati di monitoraggio satellitare permettono di quantificare il fenomeno a livello spaziale e temporale con diversi livelli di risoluzione.Agricultural and natural areas conversion into urban areas is a progressive and irreversible process that has various negative impacts on the environmental, economic and social sphere. Nowadays, the process named "land take" is becoming relevant and it is receiving finally adequate consideration from decision makers and therefore it is starting to be deeply analyzed. The availability of multi-temporal land use/cover and satellite imaging enables the spatiotemporal evaluation and measurement of the phenomenon with different degrees of resolution.

Il progetto “iVincoli” del Politecnico di Torino. Aspetti di innovazione tecnologica e digitale a supporto del processo di riforma della Pubblica Amministrazione

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Cristina Coscia

2011-12-01

Full Text Available Nello scritto si illustra l’esperienza condotta dal Politecnico di Torino nel 2007 - su istanza della Direzione Regionale per i Beni Culturali e Paesaggistici del Piemonte - denominata “Progetto iVincoli” (2007-2008: l’esito, nella sua versione prototipale, è la configurazione e realizzazione di una piattaforma tecnologica predisposta per la definizione di linee-guida destinate al monitoraggio e alla pubblicazione on line delle attività vincolistiche. Tale SIT ad accesso multiprofilo consente, tra le funzionalità previste: la consultazione pubblica delle informazioni relative agli edifici monitorati anche sottoposti a vincolo di tutela; il monitoraggio dell’iter delle pratiche di vincolo da parte della Direzione Regionale, degli Enti Locali e dei soggetti privati coinvolti, denominato “work flow delle pratiche amministrative”; la creazione di specifici percorsi tematici di tipo turistico. Tale esperienza parte da una precisa premessa: ogni architettura informativa a servizio di atti e processi della Pubblica Amministrazione viene a configurarsi quale strumento prototipale di supporto alla riforma della stessa PA e alla governance. A fronte di tali ragionamenti, le Pubbliche Amministrazioni al momento attuale si stanno confrontando, da una parte, con i processi e i dibattiti in corso sul trasferimento delle funzioni centrali; dall’altra, per l’aspetto di innovazione tecnologica con le direttive introdotte a partire dal Codice Unico della Pubblica Amministrazione Digitale. Di fatto, uno dei tasselli per la messa a punto di atti che innestino sinergie tra innovazione, efficienza amministrativa e gestione del territorio per una sua valorizzazione è costituito da processi d’implementazione di architetture informative configurate in SIT. In tale logica, il progetto “iVincoli” si incardina tra le attività dell’Osservatorio Immobiliare della Città di Torino (OICT, che rappresenta uno strumento attraverso cui innescare

Elaborazione didattica di Learning Objects.

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Luigi Guerra

2006-01-01

Full Text Available L’idea di un modello didattico problematico per la realizzazione di Learning Objects riprende i temi del problematicismo pedagogico e si impegna a definire un’ipotesi formativa complessa capace di valorizzare la possibile positiva compresenza integrata di strategie didattiche diverse (finanche antitetiche ma componibili in una logica appunto di matrice problematicista. Il punto di partenza del modello proposto è rappresentato dalla opportunità di definire tre tipologie fondamentali di Learning Objects, rispettivamente centrati sull’oggetto, sul processo e sul soggetto dell’apprendimento.

Book review, Igiene e Tecnologie degli Alimenti di Origine Animale Giampaolo Colavita (a cura di

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Manuel Graziani

2008-09-01

Full Text Available Igiene e Tecnologie degli Alimenti di Origine Animale si avvale del contributo di 33 autori, tutti soci dell’Associazione Italiana Veterinari Igienisti (AIVI, che garantiscono l’appropriata trattazione di una materia estremamente vasta e dinamica. Il manuale nasce da un’iniziativa finalizzata alla realizzazione di un testo che rifletta e possa soddisfare le esigenze didattiche degli insegnamenti di un’ampia serie di materie universitarie: Igiene e Tecnologie degli Alimenti di Origine Animale della Facoltà di Medicina Veterinaria, di Agraria, nei corsi di Scienze e Tecnologie Alimentari, di Scienze e Tecnologie delle Produzioni Animali, nel corso di laurea in Tecniche della Prevenzione nell’ambiente e nei Luoghi di Lavoro, nonché in altri corsi di studio dove si insegnano le discipline relative all’igiene e alla sicurezza degli alimenti.Sono stati trattati gran parte degli alimenti di origine animale, i prodotti a base di carne, il latte e i prodotti derivati, i prodotti della pesca freschi e trasformati, i prodotti dell’alveare, le uova e gli ovoprodotti. Di particolare interesse appare il capitolo riguardante la diagnostica analitica degli alimenti, considerato che le moderne metodologie analitiche risultano fondamentali per affrontare le tematiche legate all’igiene e alla sicurezza alimentare.Il volume ha una finalità prevalentemente didattica ma è comunque rivolto a tutti coloro che operano nel campo dell’Igiene e delle Tecnologie Alimentari. Infatti, visti gli argomenti trattati come le tossinfezioni e le intossicazioni alimentari, la conservazione, il confezionamento e l’etichettatura dei prodotti alimentari, anche i professionisti del settore possono trarre dal testo elementi utili per la loro attività. Per esempio argomenti quali l’analisi del rischio, le attività di audit ed i sistemi di accreditamento e di certificazione sono particolarmente utili per chi opera nelle Aziende Sanitarie Locali e negli Istituti

Pigments analysis on skin tomato fruits during ripening by mean fluorescence techniques; Analisi mediante utilizzo di tecniche di fluorescenza dei pigmenti presenti sulla superficie di bacche di pomodoro durante la maturazione

Energy Technology Data Exchange (ETDEWEB)

Lai, A.; Fantoni, R. [ENEA, Divisione Fisica Applicata, Centro Ricerche Frascati, Rome (Italy)

2000-07-01

Different spectroscopic techniques, based on visible fluorescence emission upon excitation in the same spectral region or in the ultraviolet, have been utilized to characterize tomato fruit ripening stages in order to analyze surface pigments which correspond to optimal conditions for fruit harvesting. The main fluorescence spectral features belonging to antochyanin, flavonoids, carotenoids and chlorophyll a after excitation of skin tomato pigments at different laser wavelength have been identified. For tomato ripening stage LIF detection, the {lambda}{sub e}xc266nm was established as the optimal laser wavelength. [Italian] Mediante diverse tecniche spettroscopiche, basate sulla emissione di fluorescenza visibile a seguito di eccitazione nella stessa regione o nell'ultravioletto, e' stato condotto uno studio su bacche di pomodoro a diversi stadi di maturazione Lo scopo del lavoro e' quello di potere attribuire, attraverso l'analisi degli spettri di fluorescenza dei pigmenti superficiali presenti nel frutto, lo stadio ottimale di maturazione al momento della raccolta. I risultati ottenuti hanno permesso di distinguere spettri di fluorescenza attribuiti ai principali gruppi di pigmenti fluorescenti presenti nella superficie esterna del pomodoro: antociani, flavonoidi, carotenoidi e clorofilla a.

Il concetto di storia della lingua nell'opera grammaticale di Benedetto Buommattei

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Gunver Skytte

1991-12-01

Full Text Available Che la storia della lingua sia una disciplina linguistica di data recente, fondata nell'800, soprattutto grazie alle ricerche pionieristiche di insigni filologi tedeschi, è un'opinione comunemente accettata, ed essa è probabilmente anche giustificata attraverso la classificazione datane di disciplina. A questo dato di fatto si deve senz'altro l'opinione altrettanto estesa che prima dell'800 non esistesse il concetto di linguistica diacronica o cambiamento linguistico in senso scientifico, come pure quella non meno erronea che la linguistica, come scienza, sia stata fondata solo nell'800.

Elementi di fisica teorica

CERN Document Server

Cini, Michele

2006-01-01

Le idee e le tecniche della Fisica Teorica del XX secolo (meccanica analitica, meccanica statistica, relatività e meccanica quantistica non relativistica) non sono più appannaggio esclusivo dei fisici. Ormai, specialmente con la recente introduzione di nuovi corsi di laurea, le conoscenze di base rientrano nel bagaglio culturale comune ai laureati in materie scientifiche e tecnologiche affini alla Fisica e alle sue applicazioni. Un laureato in queste materie non può non conoscere l’equazione E=mc2 e la media di Gibbs; inoltre deve avere i concetti e i metodi fondamentali della meccanica quantistica che ha cambiato la concezione del mondo ed è alla base della rivoluzione tecnologica in corso. Eppure quelle idee rimangono distanti dal comune modo di pensare e richiedono molto studio e un insegnamento ben mirato. La trattazione in questo libro, è meno formale rispetto ai tradizionali corsi di Istituzioni di Fisica Teorica. Lo scopo è comunque quello di raggiungere una reale comprensione dei concetti fisi...

Boro e Vanadio: requisiti di potabilitá e valori di parametro

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M. Ferrante

2003-05-01

Full Text Available

Obiettivi: i minerali, che costituiscono circa il 4% del peso corporeo e svolgono numerose ed importanti funzioni biodinamiche, si possono suddividere in due gruppi: elementi principali ed elementi essenziali. Gli elementi essenziali necessitano in quantità minime, dal millesimo di milligrammo fino a qualche decina di milligrammi e per la bassissima concentrazione nei tessuti del corpo umano vengono chiamati anche oligoelementi o minerali in traccia. I minerali in traccia sono stati molto attenzionati dalle normative per le acque potabili essendo per i suddetti motivi importanti requisiti di potabilità. Con l’evoluzione della normativa alcuni oligoelementi che prima erano citati solo per memoria adesso devono rientrare in precisi valori di parametro. Tra questi il boro e il vanadio. In questa nota riportiamo la problematica relativa alla presenza di boro e vanadio nelle acque utilizzate per il consumo umano nella zona etnea.

Metodi: le acque utilizzate nella zona etnea, in particolare quelle della provincia di Catania, sono state analizzate con spettrofometria in emissione (Inductively Coupled Plasma e con spettrofotometria per Assorbimento Atomico (A.A.con effetto Zeeman per il dosaggio del boro e del vanadio in esse contenuti.

Risultati: il boro e il vanadio essendo elementi naturalmente presenti nei vari comparti ambientali sono stati ritrovati nelle acque potabili della zona etnea in concentrazioni estremamente variabili che talvolta superano i valori di parametro.

Conclusioni: alla luce dei risultati ottenuti, non essendo ancora dimostrata la reale tossicità per assunzione di tali elementi attraverso il canale alimentare ed essendo molto difficile la loro eliminazione dalle acque, si propone un riesame delle concentrazioni massime ammissibili sulla base della percentuale di assorbimento gastro-enterico e dei relativi “tollerable intake” con

Matrimonio omosessuale e pubblico ufficiale: una nuova forma di obiezione di coscienza?

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Ludovica Decimo

2015-10-01

SOMMARIO: 1. La difesa dei valori culturali e religiosi attraverso il diritto all’obiezione di coscienza - 2. I casi di obiezione di coscienza sulle unioni omosessuali: uno sguardo d’insieme oltre i confini nazionali - 3. Il matrimonio omosessuale e il pubblico ufficiale nell’ordinamento giuridico italiano - 4. Lo scudo dell’obiezione di coscienza: un’opzione possibile per il pubblico ufficiale?

Inchiesta sulle condizioni di vita e sanitarie degli immigrati presenti nella cittá di Messina

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D. Alfino

2003-05-01

Full Text Available A Messina e nella sua provincia vivono circa 7328 stranieri con regolare permesso di soggiorno (dati aggiornati al 31/12/02 Questura di Messina Ufficio Immigrati ai quali si deve aggiungere una quota di soggetti, irregolari e clandestini, stimata intorno al 25% dei regolari (fonte dati Caritas, Kirone. Le Comunità maggiormente presenti sono quelle provenienti dalle Filippine, Marocco, Sri Lanka. Al fine di valutare il livello di assistenza sanitaria fornita agli immigrati, nel periodo compreso tra Dicembre 2002 e Maggio 2003, abbiamo intervistato un campione di immigrati relativamente alle loro abitudini di vita, sul tipo di lavoro svolto, sullo stato di salute attuale e pregresso, sull’eventuale ricorso alle strutture del Servizio Sanitario Locale e sulle vaccinazioni praticate nel Paese di origine e in Italia. Sono stati intervistati 1204 soggetti (42,19% Sri Lanka, 24,75% Marocco, 25,91% Filippine, 3,15% Tunisia, 1,82% Senegal, 0,16% Algeria. La comunità cinese, anch’essa significativamente presente nella città, si è dimostrata diffidente e non interessata alla nostra indagine. Sono state evidenziate notevoli carenze del Servizio Sanitario locale, per mancanza di un sistema di monitoraggio e prevenzione rivolto agli immigrati. Il 99% degli intervistati pur essendo iscritto al S.S.N.ed avendo nell’84% il medico di famiglia, non possiede il libretto sanitario, è stato sottoposto alle vaccinazioni obbligatorie del Paese di origine, ma non le ha integrate con quelle Italiane, ad eccezione del 2,3% di soggetti che ha praticato quella antiinfluenzale e dell’ 1,2% che si è sottoposto a quella antitifica ed antiepatite A per motivi occupazionali. Malgrado l’intervista mirasse a sondare il livello di assistenza sanitaria, ha svelato altri dettagli: il 79,2% dei soggetti cerca di mantenere le abitudini alimentari originarie; solo lo 0,5% ha dichiarato di aver subito un infortunio, mentre riguardo al tipo di attività svolta si rilevano

Detection system qualification for direct measurement of thyroid internal contamination by radioiodine; Qualificazione di un sistema di rilevazione trasportabile per misure dirette di contaminazione interna di radioiodio

Energy Technology Data Exchange (ETDEWEB)

Tiberi, V.; Battisti, P.; Gualdrini, G. [ENEA, Centro Ricerche Ezio Clementel, Bologna (Italy). Dipt. Ambiente

1999-07-01

The work deals with a detection system qualification for direct measurements of thyroid internal contamination by radioiodine. The isotopes {sup 131}I and {sup 125}I are the most frequently used in nuclear medicine. Because of their volatility they are very dangerous for thyroid contamination by inhalation. The system has been projected to be easily and fast used and above all transportable where the control is necessary. These characteristic make it able to realise supervision programs of internal contamination by radioiodine. In fact due the very high control frequencies (each 15 days for {sup 131}I), these programs are usually very expensive and demanding when they are executed in external measurement laboratories. The following steps are described: devices presentation, calculation of energy and efficiency parameters, minimum detectable activity, time system reliability, best operative conditions in the measurements. At the end an application example of the system is reported. [Italian] Il presente lavoro consiste nella qualificazione di un sistema di rivelazione per misure dirette di contaminazione interna da radioiodio in tiroide, progettato per essere maneggevole, di semplice e rapido impiego e trasportabile sul luogo dove e' richiesta la misura. Il sistema e' stato studiato per la realizzazione di programmi di sorveglianza della contaminazione interna da radioiodio che, richiedendo frequenze di controllo elevate (quindicinali per lo {sup 131}I), sono estremamente impegnativi ed onerosi, soprattutto se i controlli vengono effettuati in centri di misura esterni. Dopo la determinazione dei parametri della calibrazione in energia ed efficienza, la minima attivita' rivelabile, l'affidabilita' del sistema nel tempo e le condizioni operative ottimali da adottare in sede di misura, viene verificata la piena affidabilita' del sistema in un programma di sorveglianza della contaminazione interna da radioiodio.

Metodologie di rilievo tra ricerca e innovazione tecnologica per un caso di archeologia medievale: Torre Melissa in provincia di Crotone

Directory of Open Access Journals (Sweden)

Francesca Fatta

2017-12-01

Full Text Available   Il complesso di Torre Melissa è uno dei manufatti storici di pregio che si affacciano sulle coste calabresi del mare Jonio. Una torre-castello d’epoca aragonese sottoposta ad un restauro conservativo agli inizi degli anni duemila. In quella occasione, la torre fu rilevata con procedure manuali e l’ausilio di una stazione totale. Nel 2014 si è proceduto con un rilievo eseguito con strumenti digitali d’alta definizione (laser scanner, fotografia digitale e telecamera applicata a drone. La comparazione tra i due rilievi, effettuati con metodologie differenti, mostrano delle disuguaglianze semantiche evidenti che mettono in risalto i progressi delle odierne strumentazioni per la definizione di modelli 3D d’altissima precisione, fondamentali per le pratiche di tutela e valorizzazione di un patrimonio architettonico complesso e stratificato

Storia di un Vulcano I GPS di Trimble per monitorare Mount St. Helen

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Edoardo Carlucci

2005-10-01

Full Text Available Venticinque anni fa il peggior disastro vulcanico nella storia degli Stati Uniti attirò l’attenzione di tutto il mondo. L’esplosione, preceduta da un paio di mesi di piccole scosse di terremoto, squarciò il fianco Nord del vulcano St. Helens il 18 maggio 1980, provocando allo stesso tempo il più grande smottamento della storia. L’eruzione seguente all’esplosione cancellò tutta l’area circostante, facendo 57 vittime tra la popolazione e formando un profondo cratere a forma di ferro di cavallo; per sei anni si susseguirono altre piccole eruzioni che portarono alla formazione di un’altra cupola lavica dopodiché Loo-wit (il Guardiano del Fuoco, come i nativi americani usavano chiamare il vulcano St. Helens, si addormentò di nuovo. Prima del fatidico giorno Mount St. Helens era la nona cima per altezza negli Stati Uniti; dopo il 18 maggio essa diventava la trentesima.

Sviluppo di un nuovo trigger con identificazione di quark-b per il canale Z($\

CERN Document Server

Donato, Silvio

La ricerca del decadimento del bosone di Higgs H -> b b è uno dei canali più importanti per verificare se la particella di massa 125 GeV circa, recentemente scoperto da ATLAS e CMS, corrisponde effettivamente al bosone di Higgs previsto dal Modello Standard. Questo decadimento, insieme a H -> tau tau, è fondamentale per misurare l'accoppiamento del bosone con i fermioni. Il fondo di QCD rende poco sensibile l'osservazione di questo decadimento nella produzione diretta del bosone di Higgs. Per questo motivo il decadimento H -> b b viene ricercato quando l'Higgs è prodotto in associazione con i bosoni vettore W/Z, attraverso il cosiddetto processo di ``Higgs-strahlung''. Il decadimento leptonico dei bosoni vettore ad alto pT permette di ridurre il fondo di QCD e di realizzare trigger per osservare il canale. In questa tesi è stato realizzato un trigger per osservare il canale H + Z -> b b + nu nu nella regione a bassa EtMiss (fino a 80 GeV) con l'esperimento CMS. Per avere il trigger con un rate accettabi...

Diasporici metropolitani: nuovi scenari quotidiani di lotta di classe

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Sergio Straface

2009-04-01

Full Text Available Uno dei concetti su cui mi piace riflettere è quello della velocità. Più precisamente se sia possibile connettere l’intelligenza alla velocità. Oggi è necessario essere veloci e il vivere velocemente ha conquistato la quotidianità confondendosi strategicamente con la nozione di intelligenza. Le coordinate della surmodernità: l’accelerazione della storia, il restringimento dello spazio e l’individualizzazione dei destini pare abbiano imposto la velocità come conditio sine qua non sia improbabile conquistare un dignitoso ruolo sociale. Velocità come chiave di accesso, password obbligatoria, condizione connettiva con cui l’io finalmente accede all’attuale e soprattutto intelligente modo di vivere. La mia riflessione si concentrerà sull’esempio di lentezza proposto dai barboni, da ora in poi definiti diasporici metropolitani. Velocità vs lentezza, dunque, per una riflessione sulle contemporanee dinamiche del vivere metropolitano. Mi soffermerò su sensazioni, emozioni, ricordi e principalmente dubbi, per articolare una prima critica dell’equazione normativa “velocità uguale intelligenza” nonché per mostrare un esempio di resistenza, un modello altro in opposizione da quello dominate.

Profil Merokok pada Pelajar di Tiga SMP di Kota Padang

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Yessy Susanti Sabti

2015-09-01

Full Text Available Abstrak   Merokok merupakan kontributor utama kematian.  Jumlah perokok semakin meningkat di seluruh dunia dan sebagian besar berada dinegara berkembang, termasuk Indonesia. Sebagai negara dengan perokok terbanyak ketiga di dunia, prevalensi perokok remaja di Indonesia semakin meningkat setiap tahun. Dengan menggunakan kuesionerGlobal Youth Tobacco Survey, kami meneliti profil merokok pada pelajar di tida SMP di kota Padang. Desain peneitian adalah crossectional. Data diperoleh dari kuesioner Global Youth Tobacco Survey, berbahasa Indonesia. Didapatkan sampel 240  murid dari 3 SMP dipilih secara acak di Kota Padang. Hasil : 27,7% murid pernah merokok, dan semuanya adalah laki-laki. 29%  mencoba rokok pada usia kurang dari 10 tahun. 37%  murid masih merokok sampai sekarang, 46% diantaranya sudah ketagihan rokok. Sebanyak 77,1% murid yang pernah merokok mempunyai orang tua perokok. Sebagian besar dari total sampel terpapar asap rokok lingkungan baik di rumah dan di tempat-tempat umum. Kesimpulan: Lebih dari seperempat pelajar di tiga SMP di kota Padang pernah merokok dan semuanya laki laki, dan mencoba merokok padausia kurang dari 10 tahun. Hampir seperlima sudah ketagihan merokok.Kata kunci: Pelajar, Merokok, Global Youth Tobacco SurveyAbstract Smoking is the mayor contibutor of death, and the number of smoker is growing overworld. More of them live in the developing country, including Indonesia. As the third of most smoker number, the teenager smoker prevalence in Indonesia is increase over year. By using Indonesian language adapted of Global Youth Tobacco Survey quessionaires, we researched smoking teenager behaviour and realted factors at Junior High School of Padang. Design of study is crossectional, datas collected from 240 students of three randomized selected Junior High School, by  Global Youth Tobacco Survey quessionaires that has adapted to Indonesian language. Results : 27,7% of students reported that they ever smoked cigarettes

INDAGINI INTERNAZIONALI E NAZIONALI SULLA COMPETENZA DI LETTURA

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Daniela Bertocchi

2011-02-01

Full Text Available In questo articolo si analizzano le principali componenti della competenza di lettura: in altri termini, quali operazioni un individuo deve saper compiere con un e su un testo scritto per poter essere definito “lettore competente”? Le componenti della lettura sono identificate sulla base dei Quadri di riferimento di importanti indagini nazionali (INVALSI SNV e internazionali (OCSE PISA. I Quadri fianno riferimento a competenze di lettori madrelingua, ma le componenti di lettura, di per sé, devono essere sviluppate anche in L2. Vengono poi descritti i livelli di literacy (alfabetizzazione funzionale presi come base da OCSE PISA per descrivere le competenze di lettura degli studenti quindicenni.  Dopo un’analisi dei risultati ottenuti dagli studenti Italiani nell’indagine PISA 2006 e dei risultati della Prova Nazionale al termine del primo ciclo di istruzione (esame di stato 2008-2009, si formulano alcune proposte per il miglioramento delle competenze di lettura degli studenti italiani, certamente possibile attraverso una opportuna e coerente didattica nei dieci anni di istruzione obbligatoria.     National and international surveys of reading competence   This article studies the main components of reading competence: in other words, what operations an individual needs to carry out in order to be defined a “competent reader” with respect to a written text? The components of reading are identified based on the Reference Frameworks of important national (INVALSI SNV and International (OSCE PISA surveys.  The Frameworks refer to the competences of mother tongue readers, but the components of reading, for itself, also need to be developed in the L2.  The literacy levels are also described on which OSCE PISA is based, in order to discuss the reading competence of 15-year old students.  After analyzing the National results of Italian students in the PISA 2006 survey and the results from the National test at the end of the first

Polyfluorinated surfactants (PFS) in paper and board coatings for food packaging

DEFF Research Database (Denmark)

Trier, Xenia; Granby, Kit; Christensen, Jan H

2011-01-01

sulfonamide N-alkyl esters were analysed. Di- and trialkylated PAPS and S-diPAPS were found in migrates from European food contact materials. Conclusion This study highlights the need to monitor for more types of PFS in order to map the sources of PFAS in humans and the environment.......range of polyfluorinated surfactants (PFS) used for food contact materials, primarily to impart oil and water repellency on paper and board. PFS are of interest, as they can be precursors of poly- and perfluorinated alkyl substances (PFAS), of which several are persistent and are found worldwide...... in human blood and in the environment. Materials and methods To determine the elemental composition of PFS, we combined information from patents, chemical suppliers and analyses of industrial blends using ultra performance liquid chromatography-negative electrospray ionisation quadrupole time...

Utilizzo di laser scanner e camera digitale aviotrasportati nella progettazione di impianti fotovoltaici

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Nicola Santomauro

2012-04-01

Full Text Available La normativa nazionale nel perseguire le direttive impartite dalla CEE in materia di energia, hai ncentivato fin dal 2007 lo sviluppo delle energie rinnovabili e di conseguenza il sorgere della cosiddetta green-economy ove la Geocart ha deciso di investire nella progettazione di impianti fotovoltaici di microgenerazione, con potenza installata inferiore ad 1 MW. Di particolare rilevanza nella fase di progettazione è risultato un laser scanner ed una camera digitaleintegrati nella piattaforma aviotrasportata MAPPING nel processo di rilievo dei siti individuati come idonei alla installazione di impianti fotovoltaici.Using airborne laser scanner and digital camera in the design of photovoltaic power plantsThe design of ground-mounted photovoltaic power plants re-quires a deep knowledge of the territory where people work, mainly if the area of interest has a wide coverage and the survey is not smooth. In this article, it is described the experience gained by Geo-cart in the design of 4-MW photovoltaic solar power plants of micro-generation, developed also by means of airborne laser scanner and digital camera for aerial survey of large scale areas within the Matera and Oppido Lucano’s municipalities in Basilicata.

The use of the alluvial-lacustrine aquifer like a regulation reservoir. The example of the Oricola (Abruzzo); L'uso di acquiferi fluvio-lacustri quali serbatoi naturali di compenso. L'esempio della piana di Oricola (Abruzzo)

Energy Technology Data Exchange (ETDEWEB)

Celico, F. [Isernia Univ. degli Studi del Molise, Isernia (Italy). Dipt. di Scienze e Tecnologie per l' Ambiente e il Territorio; Habetswallner, F. [Naples Univ. Federico 2., Naples (Italy). Dipt. di Geofisica e Vulcanologia

2000-12-01

The hypothesis of using the Oricola Plane's alluvial-lacustrine aquifer (Abruzzo) like a regulation reservoir has been studied. The alluvial-lacustrine aquifer is constituted by silty and sandy deposits. The idea of using the aquifer like a regulation reservoir has been developed after the realization of a geophysical survey. Twenty six V.E.S. has been realised, with an AB distance of 300-400 metres. The volume of the reservoir, that is to say the volume of sand and gravel in the saturated medium, is about 3,8 x 10{sup 6} m{sup 3}. The results of this survey has been interpreted as a function of the drilling results near l'Immagine area. During the first test an effective porosity of 9,25% has been calculated for the medium-high portion of the reservoir. The results of a mathematical and physical model show that a mathematical transient model of groundwater flow can be implemented. [Italian] Lo studio condotto ha consentito di formulare un'ipotesi di utilizzo dell'aquifero fluvio-lacustre della piana di Oricola (Abruzzo) quale serbatoio naturale di compenso. E' stata infatti individuata una configurazione a catino della porzione centro-occidentale dell'aquifero, il cui volume e' pari a circa 3,8 x 10{sup 6} m{sup 3}. La determinazione sperimentale della porosita' efficace dei depositi fluvio-lacustri, oscillante tra il 4% ed il 9,5% circa, ha consentito a sua volta di calcolare il volume idrico invasato al di sotto del livello piezometrico di piena (pari a circa 0,28 x 10{sup 6} m{sup 3}), nonche' la sua variazione al progressivo decremento del livello di falda, prevalentemente indotto dagli emungimenti. Allo scopo di consentire una programmazione consapevole degli scenari di utilizzazione del serbatoio di compenso nel breve periodo, sono state messe a punto delle equazioni di correlazione tra le riserve permanenti presenti nel serbatoio stesso e la profondita' della falda dal piano campagna. Tutto quanto finora

Cagliari, Santa Lucia. Progetto di indagini archeologiche e di recupero di una delle più antiche chiese della città

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Rossana Martorelli (ed.

2017-11-01

Full Text Available Il contributo ripercorre alcune delle vicende che hanno caratterizzato la preparazione del progetto di ricerca storica e dell’indagine archeologica sulla chiesa di S. Lucia nel quartiere della Marina a Cagliari, avviato nel 2011 e proseguito sino al 2014. L’area d’interesse è racchiusa entro una moderna cancellata, che ricalca grosso modo il perimetro dell’ultimo impianto della chiesa, di cui si conserva in elevato la porzione nord-orientale. I dati scaturiti dalle indagini consentono di ricostruire le vicende storiche e architettoniche della chiesa. Lo scavo ha finora restituito alcune sepolture pressoché intatte, con corredo funerario povero e disarticolato (oggetti in metallo in uso sia nella cassa lignea, sia come accessori del vestiario del defunto o in accompagnamento di età postmedievale; brevi tratti delle pavimentazioni e dei rivestimenti messi in opera nel XVII e XVIII secolo (azulejos e mattonelle maiolicate e in cotto, lastre di ardesia. La scelta di un cantiere aperto, trasparente e in continuo dialogo con tutti, mediante la diffusione di notizie ed eventi, è legata al sito web. Infine, si propongono alcune considerazioni sul ruolo della chiesa rispetto alla città e qualche ipotesi in merito all’identificazione con l’antica chiesa omonima citata dai documenti dall'inizio del XII secolo.

Valutazioni sul consumo di suolo mediante dati di copertura e telerilevati

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Michele Munafò

2013-04-01

analizzato e considerato. Oggi, la disponibilità di informazioni sull’uso/copertura del suolo multitemporali e di dati di monitoraggio satellitare permettono di quantificare il fenomeno a livello spaziale e temporale con diversi livelli di risoluzione. Agricultural and natural areas conversion into urban areas is a progressive and irreversible process that has various negative impacts on the environmental, economic and social sphere. Nowadays, the process named "land take" is becoming relevant and it is receiving finally adequate consideration from decision makers and therefore it is starting to be deeply analyzed. The availability of multi-temporal land use/cover and satellite imaging enables the spatiotemporal evaluation and measurement of the phenomenon with different degrees of resolution.

A proposal to define when combined cycle can be classified as a cogeneration plants; Proposta di definizione di impianto di cogenerazione a ciclo combinato

Energy Technology Data Exchange (ETDEWEB)

Macchi, E. [Milan Politecnico, Milan (Italy)

1999-09-01

The recent decree on liberalization of the Italian electric market assigns to the authority for electric energy and natural gas the task of defining under which conditions a combined heat and power plant (CHP) obtains a significant primary energy saving when compared to separate productions. The present paper outlines and discusses the proposal made by a working group of CTI (Italian thermo-technical committee). The most significant features of the proposal are the following: i the use of IRE (Energy saving index), based upon net, annual energy production, certified by independent institutions; ii the adoption of an automatic procedure of yearly updating the reference performance related to conventional power generation, accounting for technology evolution; iii the assumption of a lower limit for the thermal/fuel energy ratio and iv correction procedures in case of usage of non-conventional fuels (municipal wastes, process gases, etc.) [Italian] Il recente decreto sulla liberalizzazione del mercato elettrico prevede che l'autorita per l'energie elettrica e il gas definisca le condizioni per cui un impianto di produzione combinata di energia elettrica e calore garantisce un significativo risparmio di energia rispetto alle produzioni separate. Nella presente nota viene descritta e commentata una proposta operativa avanzata da un gruppo di lavoro del Comitato Termotecnico Italiano (CTI). Elementi caratterizzanti la proposta sono: i) il riferimento all'indice IRE (indice di Risparmio di Energia primaria), valutato su prestazioni annue nette, a consuntivo e certificate da Enti indipendenti, ii) l'introduzione di un meccanismo automatico di revisione annuale di parametri di confronto relativi alla generazione separata che tenga conto dell'evoluzione tecnologica, iii) l'introduzione di un limite inferiore al rapporto fra la generazione di energia termica utile e l'energia introdotta con il combustibile e iv l'inserimento di

Problemi di traduzione della Politica di AristoteleIl caso della traduzione in francese di Nicole Oresme

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Claudio Fiocchi

2008-07-01

Full Text Available Necessità pratiche e riflessioni teoriche accompagnano il lavoro di Oresme, nella consapevolezza che la traduzione delle grandi opere è uno strumento fondamentale per la grandezza di un popolo.

Targets of industrial development and environmental indicators; Obiettivi di sviluppo industriale e indicatori di prestazioni ambientali. Relazioni di sintesi

Energy Technology Data Exchange (ETDEWEB)

Forni, A; Olivetti, I; Scipioni, F [ENEA, Div. Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Frascati, Frascati, RM (Italy); Orasi, A [Rome Univ. La Sapienza, Rome (Italy). Facolta' di Statistica

2001-07-01

representations. Conclusive lines regard not only the attitude of enterprises and their approach to environmental themes; the point of view is open to programming choices of regions and other local authorities regarding economic development and environmental protection, both their correlation with a very important national law referring to the funds for industrial development (which gives to regions remarkable role) and the answers of enterprises. [Italian] La ricerca ha inteso monitorare l'uso da parte delle imprese degli indicatori di performance ambientale, in relazione all'accesso a programmi di finanziamento nazionali e/o comunitari, e analizzare il rapporto tra programmazione dello sviluppo industriale e politiche territoriali degli enti locali e dello stato centrale. La ricerca ha focalizzato l'attenzione sulla Legge 488/92 che, tra gli strumenti di incentivazione diretta alle imprese, costituisce la legge di finanziamento piu' rilevante per diversi motivi. Anzitutto per l'impegno finanziario pubblico in quanto e perche' rappresenta la principale legge di finanziamento allo sviluppo dell'imprenditoria e di sostegno all'innovazione nelle aree depresse del Paese (ex aree ob. 1, 2 e 5 b.) Soprattutto, pero', la legge ricorre a degli indicatori ambientali per la valutazione del finanziamento ed ha un rinnovato e piu' ampio ruolo di strumento di attuazione della strategia ambientale del PON sviluppo imprenditoria locale nell'attuale periodo di programmazione dei fondi comunitari, 2000-2006. La delicatezza dell'argomento di studio che coinvolge piu' amministrazioni centrali dello stato e le istituzioni locali con ampie responsabilita', aggiunta alla sua complessita' (economica, sociologica ed ambientale) hanno indotto il gruppo di ricerca ad adottare un metodo di confronto il piu' ampio possibile con elementi scientifici e giuridici/programmatici gia' accettati ed in essere. Questi confronti sono stati inseriti in uno schema interpretativo tipico dei sistemi complessi

Targets of industrial development and environmental indicators; Obiettivi di sviluppo industriale e indicatori di prestazioni ambientali. Relazioni di sintesi

Energy Technology Data Exchange (ETDEWEB)

Forni, A.; Olivetti, I.; Scipioni, F. [ENEA, Div. Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Frascati, Frascati, RM (Italy); Orasi, A. [Rome Univ. La Sapienza, Rome (Italy). Facolta' di Statistica

2001-07-01

georeferenced representations. Conclusive lines regard not only the attitude of enterprises and their approach to environmental themes; the point of view is open to programming choices of regions and other local authorities regarding economic development and environmental protection, both their correlation with a very important national law referring to the funds for industrial development (which gives to regions remarkable role) and the answers of enterprises. [Italian] La ricerca ha inteso monitorare l'uso da parte delle imprese degli indicatori di performance ambientale, in relazione all'accesso a programmi di finanziamento nazionali e/o comunitari, e analizzare il rapporto tra programmazione dello sviluppo industriale e politiche territoriali degli enti locali e dello stato centrale. La ricerca ha focalizzato l'attenzione sulla Legge 488/92 che, tra gli strumenti di incentivazione diretta alle imprese, costituisce la legge di finanziamento piu' rilevante per diversi motivi. Anzitutto per l'impegno finanziario pubblico in quanto e perche' rappresenta la principale legge di finanziamento allo sviluppo dell'imprenditoria e di sostegno all'innovazione nelle aree depresse del Paese (ex aree ob. 1, 2 e 5 b.) Soprattutto, pero', la legge ricorre a degli indicatori ambientali per la valutazione del finanziamento ed ha un rinnovato e piu' ampio ruolo di strumento di attuazione della strategia ambientale del PON sviluppo imprenditoria locale nell'attuale periodo di programmazione dei fondi comunitari, 2000-2006. La delicatezza dell'argomento di studio che coinvolge piu' amministrazioni centrali dello stato e le istituzioni locali con ampie responsabilita', aggiunta alla sua complessita' (economica, sociologica ed ambientale) hanno indotto il gruppo di ricerca ad adottare un metodo di confronto il piu' ampio possibile con elementi scientifici e giuridici/programmatici gia' accettati ed in essere

Momenti di occupazione e ristrutturazione del nuraghe Orgono di Ghilarza (OR

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Alessandro Usai

2017-01-01

Full Text Available Riassunto: Recenti lavori di consolidamento del nuraghe Orgono di Ghilarza (OR sono stati affiancati dallo scavo delle due camere della singolare struttura. I risultati più importanti si sono avuti nell’indagine dei due focolari sovrapposti della camera superiore, pertinenti a due distinti momenti di frequentazione: età del ferro ed età romana (fine repubblica-inizio impero. Il primo era sigillato dalla sistemazione pavimentale di epoca storica, il secondo dal sopravvenuto crollo della volta. Entrambi propongono lo studio di alcuni manufatti ceramici di scarsa qualità, solo in parte ispirati ai repertori tipologici dei rispettivi periodi e pertanto difficilmente collocabili tra le produzioni ceramiche conosciute, che sembrano attestare la lunga sopravvivenza di tecniche di lavorazione domestica. Abstract: Besides recent consolidation works of nuraghe Orgono (Ghilarza - OR, both rooms of the uncommon structure have been excavated. The most important results come from the research of the two superimposed hearths of the upper room, which belong to two distinct occupation moments: Iron Age and Roman Age (Late Republic - Early Empire. The former was covered by the floor of historical period, the latter by the collapse of the vault. Both hearths propose the study of some pottery products of low quality, which are only partly inspired to the typologies of their respective periods and therefore can hardly be placed among the known pottery productions, which suggest a long survival of home working techniques.

Uno strumento per la creazione di valore nella realizzazione di edifici sostenibili: la certificazione LEED

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S. Rick Fedrizzi

2014-06-01

Full Text Available Il presente lavoro ha l’obiettivo di delineare gli aspetti chiave della sostenibilità in ambito edilizio focalizzando l’attenzione sul sistema di certificazione LEED® quale strumento “universale” di supporto per la realizzazione, gestione e valutazione di edifici sostenibili. Nella prima parte del lavoro si descrive la rapida diffusione della certificazione LEED nel recente passato quale diretta conseguenza della capacità di questo strumento di rating di adattarsi sia alle specifiche tipologie di edifici, sia alle diversità climatiche e morfologiche dei siti. Nella seconda parte si procede invece a presentare ed analizzare gli aspetti economico-finanziari degli edifici sostenibili con riferimento sia alle metodologie valutative applicabili, sia ai dati della letteratura. Partendo dalle esperienze internazionali in tema di sostenibilità, si procede successivamente a descrivere la situazione italiana, evidenziando la percezione del mercato e le opportunità di sviluppo future.

Fitotossine di Inula viscosa per il controllo di piante parassite

OpenAIRE

Avolio, Fabiana

2013-01-01

Le piante parassite sono incapaci di sintetizzare dagli elementi minerali e nutritivi materiali sufficienti per la loro crescita e sopperiscono a questa deficienza fisiologica utilizzando le sostanze elaborate dalle piante ospiti, che di conseguenza manifestano generalmente una crescita ridotta. Le Orobanche, la Striga e la Cuscuta sono le piante parassite più diffuse nelle regioni del Mediterraneo e del continente africano interessando colture di rilevanza strategica. Diverse strategie...

Un taccuino a forma di strada. Su "Einbahnstrasse" di Walter Benjamin

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Pier Giovanni Adamo

2016-05-01

Full Text Available La poetica di F. Schlegel ha realizzato una storicizzazione della teoria dei generi letterari sostituendo alla dicotomia del classicismo tra forma e contenuto una distinzione tra forma e spirito, secondo cui i materiali linguistico-tematici rappresentano i precipitati di quest’ultimo. Riprendendo questa intuizione di P. Szondi, potremmo affermare che, nella modernità letteraria, l’ibridazione è il processo di transizione dei materiali attraverso le forme. Un’opera tanto esemplare quanto strutturalmente rilevante, nell’orizzonte dell’ibridazione, è Einbahnstraße di Walter Benjamin, dove i materiali più disparati sono combinati a modellare una forma innovativa. Vi si mescolano stilemi della poesia in prosa, narrazione diaristica, (antimetodo surrealista, satira e intuizioni filosofiche. L’unicità, d’altra parte, risiede innanzitutto nell’essenza metacritica del procedimento organizzativo del libro: il frammentismo sistematico è un’applicazione pratica della teoria allegorica del montaggio, descritta nell’Ursprung des deutschen Trauerspiels. Il saggio si propone di leggere il testo come «un taccuino a forma di strada», anche per indagarne il valore di prologo al Passagenwerk, nato dall’avida lettura del Paysan de Paris di Aragon: istituisce un confronto per rilevare, nell’affinità di fondo, la  diversità di approccio tra il pensatore tedesco e il surrealismo, distinguendo tecniche di assemblaggio e ruolo dell’immaginario nell’uso di pubblicità e altri oggetti metropolitani. L’intenzione di una simile analisi di Einbahnstraße è dimostrare che Benjamin combina modelli letterari (Baudelaire, Proust, Kraus su tutti con i nuovi linguaggi artistici e le strategie discorsive della stampa per creare un’«immagine dialettica» dell’esistenza nel XX secolo.Friedrich Schlegel’s poetics realized a historicisation of literary genres theory by replacing classicist dichotomy between form and content with a

PhD Dissertations Tesi di dottorato

Directory of Open Access Journals (Sweden)

Redazione Reti Medievali (a cura di

2003-12-01

Full Text Available Report of PhD Dissertations.Guido Antonioli Conservator pacis et iustitie. La signoria di Taddeo Pepoli a Bologna (1337-1347, Tesi di dottorato di ricerca in Filologia romanza e cultura medievale (XIII ciclo, Università degli Studi di Bologna, 2001   Elisabetta Filippini «In vassallatico episcopi permanere debent». Rapporti vassallatici e concessioni beneficiali dei vescovi di Cremona fra X e XIII secolo, Tesi di dottorato di Ricerca in Storia Medievale (XV ciclo, Università Cattolica del Sacro Cuore di Milano, 2003   Marco Meschini, Innocenzo III e il "negotium pacis et fidei" in Linguadoca tra il 1198 e il 1215, Tesi di dottorato di ricerca in Storia medievale, Università Cattolica del Sacro Cuore, 2003   Fabrizio Ricciardelli The Politics of Exclusion in Florence (1215-1434, thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy in History, University of Warwick, Department of History, April 2003 Renata Salvarani Baptizare pueros et decimas dare. Cura delle anime, strutturazione ecclesiastica e organizzazione delle campagne in area gardesana fra VIII e XIII secolo (diocesi di Brescia, Verona, Mantova e Trento, Tesi di dottorato in Storia medievale (XV ciclo, Università Cattolica del Sacro Cuore di Milano, 2002-2003   Vito Sibilio Le parole della prima crociata, Tesi di dottorato di ricerca in Storia dei centri delle vie e della cultura dei pellegrinaggi nel medioevo euromediterraneo, Università degli studi di Lecce, 2003Segnalazione di tesi di dottorato. Guido Antonioli Conservator pacis et iustitie. La signoria di Taddeo Pepoli a Bologna (1337-1347, Tesi di dottorato di ricerca in Filologia romanza e cultura medievale (XIII ciclo, Università degli Studi di Bologna, 2001   Elisabetta Filippini «In vassallatico episcopi permanere debent». Rapporti vassallatici e concessioni beneficiali dei vescovi di Cremona fra X e XIII secolo, Tesi di dottorato di Ricerca in Storia Medievale (XV

PhD Dissertations Tesi di dottorato

Directory of Open Access Journals (Sweden)

Redazione Reti Medievali (a cura di

2004-06-01

Full Text Available

Report of PhD Dissertations.

Francesco Barone

Istituzioni, società ed economia a Catania nel tardo medioevo (XIV-XV secolo, Tesi di dottorato in Storia medievale (XVI ciclo, Università degli Studi di Firenze, 2004

Laura Berti Ceroni