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Sample records for early menarche results

  1. Early menarche is associated with increased risk of asthma

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    Lieberoth, Sofie; Gade, Elisabeth; Kyvik, Kirsten Ohm;

    2015-01-01

    AIM: To examine the association between early menarche and risk of post-menarcheal asthma. METHODS: Using data from two multidisciplinary questionnaire surveys, conducted eight years apart, we prospectively studied 10,648 female twins, 12-41 years of age, from the nationwide Danish Twin Registry...

  2. Early menarche, nulliparity and the risk for premature and early natural menopause

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    Mishra, Gita D; Pandeya, Nirmala; Dobson, Annette J

    2017-01-01

    STUDY QUESTION: Are parity and the timing of menarche associated with premature and early natural menopause? SUMMARY ANSWER: Early menarche (≤11 years) is a risk factor for both premature menopause (final menstrual period, FMP <40 years) and early menopause (FMP 40-44 years), a risk that is ampli...

  3. Lower age at menarche affects survival in older Australian women: results from the Australian Longitudinal Study of Ageing

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    Giles Lynne C

    2010-06-01

    Full Text Available Abstract Background While menarche indicates the beginning of a woman's reproductive life, relatively little is known about the association between age at menarche and subsequent morbidity and mortality. We aimed to examine the effect of lower age at menarche on all-cause mortality in older Australian women over 15 years of follow-up. Methods Data were drawn from the Australian Longitudinal Study of Ageing (n = 1,031 women aged 65-103 years. We estimated the hazard ratio (HR associated with lower age at menarche using Cox proportional hazards models, and adjusted for a broad range of reproductive, demographic, health and lifestyle covariates. Results During the follow-up period, 673 women (65% died (average 7.3 years (SD 4.1 of follow-up for decedents. Women with menses onset Conclusion Women with lower age at menarche may have reduced survival into old age. These results lend support to the known associations between earlier menarche and risk of metabolic disease in early adulthood. Strategies to minimise earlier menarche, such as promoting healthy weights and minimising family dysfunction during childhood, may also have positive longer-term effects on survival in later life.

  4. Consumption of caffeinated and artificially sweetened soft drinks is associated with risk of early menarche12

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    Mueller, Noel T; Jacobs, David R; MacLehose, Richard F; Demerath, Ellen W; Kelly, Scott P; Dreyfus, Jill G; Pereira, Mark A

    2015-01-01

    Background: Early menarche has been linked to risk of several chronic diseases. Prospective research on whether the intake of soft drinks containing caffeine, a modulator of the female reproductive axis, is associated with risk of early menarche is sparse. Objective: We examined the hypothesis that consumption of caffeinated soft drinks in childhood is associated with higher risk of early menarche. Design: The National Heart, Lung, and Blood Institute Growth and Health Study recruited and enrolled 2379 (1213 African American, 1166 Caucasian) girls aged 9–10 y (from Richmond, CA; Cincinnati, OH; and Washington, DC) and followed them for 10 y. After exclusions were made, there were 1988 girls in whom we examined prospective associations between consumption of caffeinated and noncaffeinated sugar- and artificially sweetened soft drinks and early menarche (defined as menarche age soft drinks was associated with a higher risk of early menarche (RR for 1 serving/d increment: 1.47; 95% CI: 1.22, 1.79). Consumption of artificially sweetened soft drinks was also positively associated with risk of early menarche (RR for 1 serving/d increment: 1.43; 95% CI: 1.08, 1.88). Consumption of noncaffeinated soft drinks was not significantly associated with early menarche (RR for 1 serving/d increment: 0.88; 95% CI: 0.62, 1.25); nor was consumption of sugar-sweetened soft drinks (RR for 1 serving/d increment: 1.15; 95% CI: 0.95, 1.39). Consistent with the beverage findings, intakes of caffeine (RR for 1-SD increment: 1.22; 95% CI: 1.08, 1.37) and aspartame (RR for 1-SD increment: 1.20; 95% CI: 1.10, 1.31) were positively associated with risk of early menarche. Conclusion: Consumption of caffeinated and artificially sweetened soft drinks was positively associated with risk of early menarche in a US cohort of African American and Caucasian girls. PMID:26178725

  5. Toward a New Understanding of Early Menarche: The Role of Environmental Stress in Pubertal Timing.

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    Wierson, Michelle; And Others

    1993-01-01

    Examined divorce and interparental conflict in light of theory that environmental stress may trigger early menarche in adolescents. Findings from 71 adolescent females and their mothers revealed that, compared to girls from intact families, those from divorced families had earlier onset of menarche. Higher maternal reports of interparental…

  6. Birth weight, early life weight gain and age at menarche: a systematic review of longitudinal studies.

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    Juul, F; Chang, V W; Brar, P; Parekh, N

    2017-11-01

    Adiposity in pre- and postnatal life may influence menarcheal age. Existing evidence is primarily cross-sectional, failing to address temporality, for which the role of adiposity in early life remains unclear. The current study sought to systematically review longitudinal studies evaluating the associations between birth weight and infant/childhood weight status/weight gain in relation to menarcheal age. PubMed, EMBASE, Web of Science, Global Health (Ovid) and CINAHL were systematically searched. Selected studies were limited to English-language articles presenting multi-variable analyses. Seventeen studies reporting risk estimates for birth weight (n = 3), infant/childhood weight gain/weight status (n = 4) or both (n = 10), in relation to menarcheal age were included. Lower vs. higher birth weight was associated with earlier menarche in nine studies and later menarche in one study, while three studies reported a null association. Greater BMI or weight gain over time and greater childhood weight were significantly associated with earlier menarche in nine of nine and six of seven studies, respectively. Studies suggested that lower birth weight and higher body weight and weight gain in infancy and childhood may increase the risk of early menarche. The pre- and postnatal period may thus be an opportune time for weight control interventions to prevent early menarche, and its subsequent consequences. © 2017 World Obesity Federation.

  7. Milk intake and total dairy consumption: associations with early menarche in NHANES 1999-2004.

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    Andrea S Wiley

    Full Text Available BACKGROUND: Several components of dairy products have been linked to earlier menarche. METHODS/FINDINGS: This study assessed whether positive associations exist between childhood milk consumption and age at menarche or the likelihood of early menarche (<12 yrs in a U.S sample. Data derive from the National Health and Nutrition Examination Survey (NHANES 1999-2004. Two samples were utilized: 2657 women age 20-49 yrs and 1008 girls age 9-12 yrs. In regression analysis, a weak negative relationship was found between frequency of milk consumption at 5-12 yrs and age at menarche (daily milk intake β = -0.32, P<0.10; "sometimes/variable milk intake" β = -0.38, P<0.06, each compared to intake rarely/never. Cox regression yielded no greater risk of early menarche among those who drank milk "sometimes/varied" or daily vs. never/rarely (HR: 1.20, P<0.42, HR: 1.25, P<0.23, respectively. Among the 9-12 yr olds, Cox regression indicated that neither total dairy kcal, calcium and protein, nor daily milk intake in the past 30 days contributed to early menarche. Girls in the middle tertile of milk intake had a marginally lower risk of early menarche than those in the highest tertile (HR: 0.6, P<0.06. Those in the lowest tertiles of dairy fat intake had a greater risk of early menarche than those in the highest (HR: 1.5, P<0.05, HR: 1.6, P<0.07, lowest and middle tertile, respectively, while those with the lowest calcium intake had a lower risk of early menarche (HR: 0.6, P<0.05 than those in the highest tertile. These relationships remained after adjusting for overweight or overweight and height percentile; both increased the risk of earlier menarche. Blacks were more likely than Whites to reach menarche early (HR: 1.7, P<0.03, but not after controlling for overweight. CONCLUSIONS: There is some evidence that greater milk intake is associated with an increased risk of early menarche, or a lower age at menarche.

  8. Age at menarche and its association with the metabolic syndrome and its components: results from the KORA F4 study.

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    Doris Stöckl

    Full Text Available OBJECTIVE: The metabolic syndrome is a major public health challenge and identifies persons at risk for diabetes and cardiovascular disease. The aim of this study was to examine the association between age at menarche and the metabolic syndrome (IDF and NCEP ATP III classification and its components. DESIGN: 1536 women aged 32 to 81 years of the German population based KORA F4 study were investigated. Data was collected by standardized interviews, physical examinations, and whole blood and serum measurements. RESULTS: Young age at menarche was significantly associated with elevated body mass index (BMI, greater waist circumference, higher fasting glucose levels, and 2 hour glucose (oral glucose tolerance test, even after adjusting for the difference between current BMI and BMI at age 25. The significant effect on elevated triglycerides and systolic blood pressure was attenuated after adjustment for the BMI change. Age at menarche was inversely associated with the metabolic syndrome adjusting for age (p-values: <0.001 IDF, 0.003 NCEP classification and additional potential confounders including lifestyle and reproductive history factors (p-values: 0.001, 0.005. Associations remain significant when additionally controlling for recollected BMI at age 25 (p-values: 0.008, 0.033 or the BMI change since age 25 (p-values: 0.005, 0.022. CONCLUSION: Young age at menarche might play a role in the development of the metabolic syndrome. This association is only partially mediated by weight gain and increased BMI. A history of early menarche may help to identify women at risk for the metabolic syndrome.

  9. Early Menarche is Associated With Preference for Masculine Male Faces and Younger Preferred Age to Have a First Child

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    Carlota Batres

    2016-04-01

    Full Text Available One developmental factor that is associated with variation in reproductive strategy is pubertal timing. For instance, women who experience earlier menarche have their first pregnancy earlier and prefer more masculinized male voices. Early menarche may also lead to preferences for masculine faces, but no study has shown such a link. We therefore investigated the relationships between pubertal timing, reproductive plans, sexual attitudes and behaviors, and masculinity preferences in nulliparous women aged 18–30 from the United Kingdom (N = 10,793. We found that women who experienced earlier menarche reported a younger preferred age to have a first child and showed stronger masculinity preferences. This provides evidence that women experiencing early menarche not only have children earlier but notably plan to have children earlier. Additionally, our findings provide evidence that age of menarche influences partner selection, which is instrumental for the implementation of reproductive strategies.

  10. Trends and differentials in menarcheal age in China.

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    Wang, Duolao; Murphy, Michael

    2002-07-01

    This study examines trends in menarcheal age of women born in China between 1950 and 1973, and explores the impact of relevant social background characteristics on the timing of first menarche. Data on recalled ages of menarche collected in the 1988 Chinese Two-per-Thousand Fertility Survey are used in a linear regression model where the covariates are transformed with the help of an Alternating Conditional Expectation (ACE) algorithm. The results indicate that a trend towards early menarche has evolved in China during recent decades. The pattern of early menarche is especially pronounced among women residing in urban areas, and those who are better educated.

  11. Age at menarche and current substance use among Canadian adolescent girls: results of a cross-sectional study

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    Al-Sahab Ban

    2012-03-01

    Full Text Available Abstract Background Substance use is among the key public health threats that find its genesis during adolescence. Timing of puberty has been lately researched as a potential predictor of subsequent substance abuse. The present study, therefore, aims to assess the effect of age at menarche on current practices of smoking, alcohol drinking and drug use among 14-15 year old Canadian girls. Methods The analysis of the study was based on all female respondents aged 14 to 15 years during Cycle 4 (2000/2001 of the National Longitudinal Survey of Children & Youth (NLSCY. The main independent variable was age at menarche assessed as the month and year of the occurrence of the first menstrual cycle. The dependent variables were current smoking, heavy alcohol drinking in the past 12 months and drug use in the past 12 months. Three logistic regression models were performed to investigate the association between age at menarche and each of the substance use outcomes, adjusting for possible confounders. Bootstrapping was performed to account for the complex sampling design. Results The total weighted sample included in the analysis represented 295,042 Canadian girls. The prevalence of current smokers, heavy drinkers (drunk in the past 12 months and drug users in the past 12 months was approximately 22%, 38% and 26%, respectively. After adjusting of all potential confounders, no association was found between age at menarche and any of the substance use outcomes. School performance and relationship with the father, however, stood out as the main variables to be associated with smoking, heavy drinking and drug use. Conclusions Qualitative studies understanding the social and psychological changes experienced by early maturing Canadian adolescents are warranted to identify other correlates or pathways to substance use in this higher risk population.

  12. Height Growth and Percentage of Body Fat in Relation to Early Menarche in Girls from Merida, Yucatan, Mexico.

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    Datta Banik, Sudip; Mendez, Nina; Dickinson, Federico

    2015-01-01

    Early menarche (EM) (i.e., age at menarche [AAM] Yucatan, height, body mass index (BMI), and percentage of body fat (BF%) were recorded at a one-year interval among 258 postmenarcheal (EM = 94) girls. Anthropometric measurements were recorded of the age cohorts in 2008-09 when participants were 13-17 years of age (baseline), and in the one-year follow-up study (± 6 days) the girls were 14-18 years of age. The BF% was estimated through bioelectrical impedance analysis. Mean AAM was 10.59 years in EM girls and 12.54 years in not early menarche (NEM) girls. Height growth (cm/year) was greater in NEM girls. Mean values of BMI, BF%, and frequencies of stunting (low height-for-age) and excess weight (overweight + obesity) were higher in EM girls than in their NEM age peers.

  13. Age at menarche in childhood cancer survivors: results of a nationwide survey in Germany.

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    Wessel, Theda; Balcerek, Magdalena; Reinmuth, Simone; Hohmann, Cynthia; Keil, Thomas; Henze, Guenter; Borgmann-Staudt, Anja

    2012-01-01

    With rising cure rates of childhood cancer, side effects of treatment are attracting increasing interest. The present analysis evaluates the influence of tumor localization, radiotherapy and chemotherapy on the age of menarche. 4,689 former pediatric oncology patients, diagnosed 1980-2004, were contacted in collaboration with the German Childhood Cancer Registry. 1,036 out of 1,461 female participants reported their age at menarche and had an oncological diagnosis before menarche. The median age at menarche was 13 years, compared to 12.8 years in the German general population. A significant delay of menarche was seen in patients with pituitary radiation doses of ≥30 Gy (mean 13.6 years, SD 2.2) compared to <30 Gy (mean 12.5 years, SD 1.4, p = 0.05). Patients with additional spinal radiation were even older at menarche (mean 14.4 years, SD 2.5). Pelvic and pelvic-near radiation significantly delayed onset of menarche (mean 14.0 years, SD 1.9 and mean 14.3, SD 2.6, respectively, p < 0.001). Only some chemotherapeutic agents (carboplatin/cisplatin, etoposide) were associated with a menarcheal delay of <1 year. Overall, female childhood cancer survivors showed a normal menarcheal age. Pituitary radiation dosage of ≥30 Gy, spinal and pelvic radiotherapy were associated with a moderate delay in the occurrence of menarche. Copyright © 2012 S. Karger AG, Basel.

  14. Trends and correlates of age at menarche in Colombia: Results from a nationally representative survey.

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    Jansen, Erica C; Herrán, Oscar F; Villamor, Eduardo

    2015-12-01

    Surveillance of age at menarche could provide useful information on the impact of changing environmental conditions on child health. Nevertheless, nationally representative data are exceedingly rare. The aim of this study was to examine trends and sociodemographic correlates of age at menarche of Colombian girls. The study sample included 15,441 girls born between 1992 and 2000 who participated in the Colombian National Nutrition Survey of 2010. We estimated median menarcheal age using Kaplan-Meier time-to-event analyses. Hazard ratios with 95% confidence intervals were estimated with Cox regression models. The median age at menarche was 12.6 years. There was an estimated decline of 0.54 years/decade (PColombia, especially in groups most likely to benefit from socioeconomic development.

  15. Timing of menarche in Norwegian girls: associations with body mass index, waist circumference and skinfold thickness.

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    Bratke, Heiko; Bruserud, Ingvild Særvold; Brannsether, Bente; Aßmus, Jörg; Bjerknes, Robert; Roelants, Mathieu; Júlíusson, Pétur B

    2017-06-06

    Research studies show conflicting results regarding the association between menarche and body weight. The purpose of the present study was to investigate if anthropometric indicators of body composition, body mass index (BMI), waist circumference (WC), triceps (TSF) and subscapular skinfold (SSF) thicknesses, were differentially associated with age at menarche in Norwegian girls. The association between menarche and BMI, WC, TSF and SSF was investigated in 1481 girls aged 8-15.5 years, and in a subgroup of 181 girls with menarche during the 12 months prior to examination. Anthropometric measures were categorized as low ( 1SDS), and menarche according to this classification was analysed with Kaplan-Meier curves and unadjusted and adjusted Cox regression. The median age at menarche in the total sample was 13.1 years. In the unadjusted models, low categories of all traits were associated with later menarche, and high categories with earlier menarche. When adjusted for other covariates, earlier menarche was only related with a high BMI (Hazard Ratio 1.41, 95% confidence interval (CI) 1.07, 1.85), and later menarche with a low BMI (HR 0.53, 95%CI 0.38, 0.75) and low SSF (HR 0.54, 95%CI 0.39, 0.75). In girls with recent menarche, early menarche was significantly associated with a high BMI in the final model (HR 1.79, 95%CI 1.23, 2.62). The timing of menarche was associated with the BMI, WC, TSF and SSF, but more strongly so with the BMI. These associations may be related to a common tempo of growth, as the mean age at menarche has remained stable during the last decades during a time period while the prevalence of overweight and obesity has increased significantly.

  16. Adult anthropometric measures and socio-demographic factors influencing age at menarche of university students in malaysia.

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    Hossain, Md Golam; Wee, Ai-Sze; Ashaie, Maeirah; Kamarul, T

    2013-09-01

    Early onset of menarche has been shown to be associated with breast cancer and ischaemic heart disease. Studies on age at menarche of the Malaysian population are poorly documented. This study aimed to determine the influence of anthropometric and socio-demographic factors on the age at menarche of university students in Malaysia. Data were obtained in 2010-11 from 961 students between the ages of 18 and 25 years from the University of Malaya using stratified sampling, and multiple regression analysis was applied. Sixty-three per cent of students reached menarche at the age of 12 or 13 years, with the mean and median of age at menarche being 12.45 ± 1.17 and 12.01 years, respectively. Menarcheal age was positively associated with height (p<0.05) and negatively associated with BMI (p<0.001). Students from urban areas attained menarche earlier than those from rural areas (p<0.05). Students from small-sized families attained menarche earlier than those from larger families (p<0.05). First-born students experienced menarche earlier than those who were seventh-born or later. Obese and overweight students reached menarche earlier than students who were underweight or of normal weight (p<0.01). The variations in age at menarche among the Malaysian ethnic groups were statistically insignificant. The results suggest that heavier and first-born students from small families are more likely to attain menarche earlier than their counterparts.

  17. Birth size and age at menarche: a twin perspective.

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    Sørensen, Kaspar; Juul, Anders; Christensen, Kaare; Skytthe, Axel; Scheike, Thomas; Kold Jensen, Tina

    2013-10-01

    Do birthweight (BW) and co-twin sex influence the age at menarche in twins? BW, but not co-twin sex, was associated with age at menarche in twins. However, BW was not associated with age at menarche after controlling for genetics and shared rearing environment. Nutritional deprivation during critical developmental periods can trigger long-term effects on health. A small size at birth has been associated with early age at menarche in singletons. However, the relative influence of genetics and environmental factors on this association remains unresolved. In total, 2505 twin pairs were included in this cohort study. All participants were recruited from the Danish Twin Register. Data on the age at menarche were collected by questionnaire and combined with data on BW, birth length (BL) and gestational age (GA) from the Danish Medical Birth register. The BW for GA standard deviation score (BW-SDS) was calculated. BW-SDS [hazard ratio (HR) 0.96; 95% confidence interval (CI): 0.93-0.00], P = 0.04], but not BW, BL or GA (P ≥ 0.15), was positively associated with age at menarche in all twins after adjustment for zygosity and year of birth. However, BW-SDS was not associated with menarcheal age within twin pairs (HR 1.01; 95% CI: 0.91-1.12, P = 0.88). No differences were found in the age at menarche or birth size between twin girls from same sex and twin girls from opposite-sex pregnancies. Heritability of menarcheal age and BW were estimated to be 0.61 (95% CI: 0.38-0.84) and 0.27 (95% CI: 0.18-0.38), respectively. Both BW and menarcheal age were influenced by genetic and environmental factors. A limitation of this study is recall bias on the age at menarche. It is also not clear how these results should be extrapolated to the non-twin population. lower BW for GA is associated with earlier age at menarche in twin girls. However, the lack of within-pair differences in menarcheal age between even markedly BW-discordant twins indicates that this association is governed by

  18. Association between age at menarche and diabetes in Korean post-menopausal women: results from the Korea National Health and Nutrition Examination Survey (2007-2009).

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    Hwang, Eunjung; Lee, Kyong Won; Cho, Yoonsu; Chung, Hye Kyung; Shin, Min-Jeong

    2015-01-01

    Early menarche is known to be associated with diabetes, however this association remains controversial. Our study aimed to investigate the possible association between age at menarche and diabetes prevalence in post-menopausal Korean women. This study included 3,254 post-menopausal Korean women aged 50-85 years from the Korea National Health and Nutrition Examination Survey IV (KNHANES 2007-2009). Logistic regression analyses were used to estimate odds ratios (ORs) for diabetes prevalence. Levels of biochemical markers were compared according to groups by age at menarche. Women in the earlier menarche age group (10-12 years) showed higher levels of fasting blood glucose (FBG) and scores of homeostatic model assessment in the insulin resistance (HOMA-IR) index than other groups (p <0.05). After adjusting for potential confounding factors, early age at menarche was significantly associated with a higher prevalence of diabetes (OR 1.86, 95% confidence intervals [CI] 1.07-3.23). The observed association remained significant despite additional adjustment for body mass index and waist circumference (OR 1.82, 95% CI 1.03-3.23) and despite further adjustments for FBG levels and HOMA-IR index (OR 2.25, 95% CI 1.11-4.55). Our findings strengthen the hypothesis that younger age at menarche is associated with increased diabetes prevalence in the Korean population.

  19. Do mental health and behavioural problems of early menarche persist into late adolescence? A three year follow-up study among adolescent girls in Oslo, Norway.

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    Lien, Lars; Haavet, Ole Rikard; Dalgard, Florence

    2010-08-01

    Early menarche has been linked to mental health and behavioural problems in several studies. Most of these studies are cross-sectional, the data gathered during puberty. Thus, there is a lack of research on the long-term effect of early menarche on mental health. The main aim of this study was to explore whether the differences in mental health problems between girls with early and late menarche persist into late adolescence. The data consisted of responses from a large school-based survey of all 10th grade girls (15 years of age) in Oslo, Norway. Of the 1860 participating girls in the 2001 survey, 1377 were included in the three year follow-up study in 2004, giving a response rate of 74%. Mental distress was measured with the Hopkins Symptom Check list 10-version. Additional items assessed were number of sexual partners, weight and body satisfaction. All information was self-reported, including age of menarche. We found a clear gradient in the cross sectional analyses at baseline of higher odds for mental distress at lower age of menarche even after adjustment for socio demographic and other factors. In the analysis of the follow-up data there was no statistically significant difference in mental distress across age of menarche, even though the differences in body and weight satisfaction and average body mass index remained at the same level between baseline and follow-up. We therefore conclude that the effects of age of menarche on mental health problems are a transitory problem during puberty.

  20. Association of age at menarche with metabolic syndrome and its components in rural Bangladeshi women

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    Akter Shamima

    2012-11-01

    Full Text Available Abstract Background Early age at menarche is associated with increased risk of metabolic syndrome in both China and the West. However, little is known about the impact of age at menarche and metabolic syndrome in South Asian women, including those from low-income country, where age at menarche is also falling. The aim of the present study was to investigate whether age at menarche is inversely associated with metabolic syndrome in Bangladeshi women, who are mostly poor and have limited access to and or poor health care facilities. Methods This community-based cross-sectional study was performed using 1423 women aged between 15–75 years from rural Bangladesh in 2009 and 2010. Metabolic syndrome was defined according to standard NCEP-ATP III criteria. Logistic regression was used to estimate the association between age at menarche and metabolic syndrome, with adjustment of potential confounding variables, including age, education, marital status, tobacco users, use of contraceptives and number of pregnancies. Results Early onset of menarche (13 years was found to be associated with a higher prevalence of metabolic syndrome (odds ratio=1.55; 95 % confidence interval =1.05-2.30. Age at onset of menarche was also inversely associated with prevalence of high triglycerides (P for trend P for trend = 0.01, but positively associated with prevalence of high fasting blood glucose (P for trend =0.02. However, no significant association was found between age at menarche, high blood pressure and elevated waist circumference. Conclusion Early onset of menarche might promote or trigger development of metabolic syndrome. Thus, knowledge of the history of age at onset of menarche may be critical in identifying women at risk of developing metabolic syndrome and those likely to benefit the most from early interventions.

  1. Genetic and environmental effects on age at menarche, and its relationship with reproductive health in twins.

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    Jahanfar, Shayesteh; Lye, Munn-Sann; Krishnarajah, Isthrinayagy S

    2013-04-01

    Menarche or first menstrual period is a landmark in reproductive life span and it is the most prominent change of puberty. The timing of menarche can be under the influence of genes as well as individual environmental factors interacting with genetic factors. Our study objectives were (a) to investigate the heritability of age of menarche in twins, (b) to obtain the association between age of menarche and childhood factors, and reproductive events/behavior, (c) to examine whether or not having a male co-twin affects early/late menarche. A group of female-female identical (n = 108, 54 pairs), non-identical twins (n = 68, 34 pairs) and 17 females from opposite-sex twin sets were identified from twin registries of Malaysia and Iran. Genetic analysis was performed via two methods of Falconers' formula and maximum likelihood. Heritability was found to be 66% using Falconers' formula and 15% using univariate twin analysis. Model analysis revealed that shared environmental factors have a major contribution in determining the age of menarche (82%) followed by non-shared environment (18%). Result of this study is consistent with that of the literature. Timing of menarche could be under the influence of shared and non-shared environmental effects. Hirsutism was found to have a higher frequency among subjects with late menarche. There was no significant difference in age of menarche between females of opposite-sex twins and females of same-sex twins. It is concluded that twin models provide a powerful means of examining the total genetic contribution to age of menarche. Longitudinal studies of twins may clarify the type of environmental effects that determine the age of menarche.

  2. ENDOTHELIAL NITRIC OXIDE SYNTHASE (ENOS GENE POLYMORPHISM IS ASSOCIATED WITH AGE ONSET OF MENARCHE IN SICKLE CELL DISEASE FEMALES OF INDIA

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    Sudhansu Sekhar Nishank

    2013-06-01

    Full Text Available ABSTRACT   Background and Objective :  Females with sickle cell disease (SCD often show late onset of menarche. In transgenic sickle cell mouse, deficiency of gene encoding endothelial nitric oxide synthase (eNOS has been reported to be associated with late onset of menarche. Thus to explore the possible association of eNOS gene polymorphism with age of onset of menarche in SCD females, 3 important eNOS gene polymorphism- eNOS 4a/b, eNOS 894G>T and eNOS-786 T>C  and  plasma nitrite levels were tested among three groups of females- SCD late menarche, SCD early menarche and control females. Methods : PCR-RFLP method for genotyping eNOS gene polymorphisms and quantification of plasma nitrite level by ELISA based commercial kits were used Results: SCD late menarche females showed significantly higher prevalence and higher association of heterozygous genotypes, higher frequency of mutant alleles ‘4a’, ‘T’ and ‘C’ as compared to that of control group and SCD early menarche group. The frequency of haplotype  ‘4a-G-C’ and haplotype’ 4b-G-C’ (alleles in order of  eNOS 4a/b, eNOS 894G>T and eNOS-786 T>C respectively were found to be significantly high in SCD late menarche compared to combined groups of SCD early menarche and controls. SCD late menarche group had significantly low level of plasma nitrite concentration for all 3 eNOS gene polymorphisms as compared to controls and SCD early menarche females. Conclusion: eNOS gene polymorphism may influence age of onset of menarche in SCD females.   Key words : eNOS gene, sickle cell disease, menarche, haplotype, nitric oxide

  3. Association between early menarche and physical fitness among adolescent girls in China%中国青春期女生月经初潮较早与身体素质的关系

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    付连国; 阳益德; 马军; 王海俊; 宋逸; 胡佩瑾; 李晓卉; 吴丽晶; 孟祥睿

    2013-01-01

    Objective To explore the association between early menarche and physical fitness among adolescent girls in China.Methods Research material was selected from the data of "2010 National Physical Fitness and Health Survey".Probability unit regression method was used to calculate the age of 10th percentile at menarche and menarche age before the l0th percentile was defined as early menarche (9.0-11.6 years old).A total of 1072 girls with early menarche were selected.Each girl with early menarche was matched with one girl from the same urban or rural locations who hadn't achieved menarche with the age difference less than 0.1 years.A total of 1072 girls without menarche were selected.Indicators of physical fitness included 50 m running,standing broad jump,50 m × 8 shuttle running and sit-ups.Differences of physical fitness between early menarche and without menarche were analyzed using t test stratified by age and urban/rural area.The multilevel models of single dependent variable and multiple dependent variables were used to analyze association between early menarche and physical fitness.Results A total of 2144 students were put in this research.Among girls (11.0-11.6 years old) in urban areas,50 m running,standing broad jump and sit-ups was (9.78 ± 0.85) s,(153.81 ± 18.59) cm,and 27.79 ± 10.25,respectively for those with early menarche,while in girls without menarche was (10.01 ± 0.90) s,(149.71 ± 18.72) cm and 26.28 ± 10.11,respectively.There were significant differences between two groups on all above variables (t values were 4.02,3.43 and 2.31,respectively with all P values <0.01).Among girls in rural,50 m × 8 shuttle-running and sit-ups was (125.22 ± 15.57) s and 24.96 ± 8.97 for those with early menarche,while it was (120.92 ± 13.06)s and 22.96 ± 9.83 for those without menarche.There were significant differences between two groups on both variables(t values were 3.89 and 2.77 with both P values <0.01).In addition,50 m ×8 shuttle-running in girls

  4. Age at Menarche and its Related Factors among School Girls, in Zanjan, Iran

    Directory of Open Access Journals (Sweden)

    Parisa Khoshnevisasl

    2017-04-01

    Full Text Available BackgroundThere are differences in the age at menarche in different countries and it seems that in recent decades gradually the age of puberty is declining. The aim of the present study was to determine the age at menarche and its related factors in school girls in Zanjan city, Iran.Materials and MethodsThis cross-sectional study was conducted on 1,500 healthy school girls between 6-17 years old who were selected on the basis of a multistage probability sampling. Age at menarche, birth weight, family size, Body Mass Index (BMI, fast food consumption, and physical activity, were recorded. Data were analyzed using SPSS version 16.0.ResultsOut of 1,500 students, 273 girls (18.2% had experienced menarche with a mean age of 12.6±1.6 (95% confidence interval [C]: 12.4-12.8, and a median age of 13 years. The prevalence of early menarche, was 10.3%, (95% CI: 6.6%-14.1%. A significant association between menarche and BMI, frequency of fast food consumption and birth rank was observed; however, we didn’t find a significant association between physical activity (P>0.05 and birth weight (P>0.05 with menarche. ConclusionThe mean age of menarche in our study was 12.6±1.6 years old, similar to other studies in Iran, and it was significantly associated with higher BMI.

  5. Serum dioxin concentration and age at Menarche

    Energy Technology Data Exchange (ETDEWEB)

    Warner, M.; Samuels, S.; Eskenazi, B. [Univ. of California at Berkeley (United States); Mocarelli, P.; Gerthoux, P.M. [Univ. of Milano-Biococca (Italy); Needham, L.; Patterson, D. Jr. [Centers for Disease Control and Prevention (United States)

    2004-09-15

    To date, no epidemiologic studies have examined the association of TCDD exposure and age at menarche. Three studies, however, have examined the relation of dioxin-like compounds to pubertal development, with inconsistent conclusions. A study of daughters of Michigan women who had consumed polybrominated biphenyls (PBB) in food in 1973, found an earlier age at menarche among daughters whose mothers had higher serum PBB levels 8. No differences were found in age at menarche of Taiwanese women who were exposed postnatally (but premenarche) to PCBs and PCDFs via consumption of contaminated rice oil (Yu-Cheng) compared to unexposed 9. In Flemish adolescents, there was no relation of age at menarche with current serum levels of dioxin-like compounds as measured by Chemical Activated LUciferase gene eXpression bioassay toxic equivalents (CALUX-TEQ) or individual PCB congeners 118, 153, and 180 10. On July 10, 1976, as a result of a chemical explosion, residents of Seveso, Italy experienced the highest levels of TCDD exposure in a human population. Twenty years later (1996-1998), the Seveso Women's Health Study (SWHS), a retrospective cohort study, was initiated to determine whether the women were at higher risk for reproductive disease. Among participants in SWHS, we have observed that TCDD levels are associated with an increase in menstrual cycle length among those who were premenarcheal at exposure, but not in those who were postmenarcheal at exposure 11. Consistent with animal studies 12, this suggests that females may be particularly susceptible to the effects of TCDD during early stages of development, e.g. in utero or pre-pubertal. Thus, here we examine the association of individual serum TCDD and age of menarche among women who were premenarcheal in 1976, at the time of explosion.

  6. Association between early onset of menarche and anthropometry measurements among adolescent girls in China%中国青春期女生月经初潮较早与形态发育的关系

    Institute of Scientific and Technical Information of China (English)

    阳益德; 马军; 付连国; 王海俊; 董彬; 宋逸; 尚晓瑞; 刘芳宏; 张子龙

    2013-01-01

    超重肥胖密切相关.%Objective To explore the association between early menarche with anthropometry measurements among adolescent girls in China.Methods Research material was selected from the data of 2010 Chinese National Surveys on Students Constitution and Health.Probability unit regression method was used to calculate the age of 10th percentile(P10) at menarche and menarche age before the P10 was defined as early menarche(9.0-11.6 years old).A total of 1072 girls with early menarche were screened.Each girl with early menarche was frequency matched with two girls who hadn't achieved menarche and with the age difference less than 0.1 yr and from the same urban or rural locations.A total of 2144 girls without menarche were screened.Participants' data of height,weight,sitting height,chest circumference,body mass index (BMI) and height and sitting height index were analyzed.t test and wilcoxon test were used to analyze the anthropometry measurements differences between the two groups,Chi square test was used to analyze the differences of overweight and obesity between the two groups.Multilevel model was used to explore the association between early menarche with anthropometry measurements and overweight and obesity.Results A total of 1072 girls with early menarche and 2144 girls without menarche.Early menarche girls' height,sitting height,chest circumference,weight and BMI were (151.42 ± 7.46) cm,(80.86 ± 4.21) cm,(73.88 ±7.72) cm,(44.32 ±9.35) kg,and (19.18 ±3.03) kg/m2,while they were (144.86 ±7.55)cm,(76.96 ± 4.05) cm,(67.25 ± 6.94) cm,(36.07 ± 7.88) kg and (16.64 ± 2.48) kg/m2 in girls without menarche.The difference between two groups were significant (Z values were-22.20,-23.69,-24.38,-23.12,-20.17,-6.33 respectively with all P values < 0.01).Multilevel analysis results showed that in 9.0-11.6 years old girls early menarche was associated with anthropometry measurements (all P values < 0.05).Compared with girls without menarche,girls with early menarche had a relative higher

  7. Food insecurity and age at menarche among adolescent girls in Jimma Zone Southwest Ethiopia: a longitudinal study

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    Getachew Yehenew

    2011-09-01

    Full Text Available Abstract Background Age at menarche is the reflection of cumulative pre-adolescent exposure of girls to either adverse environment such as food insecurity or affluent living conditions. Food insecurity could result in inadequate nutrient intake and stress, both of which are hypothesized to have opposing effects on the timing of menarche through divergent pathways. It is not known whether food insecure girls have delayed menarche or early menarche compared with their food secure peers. In this study we test the competing hypothesis of the relationship between food insecurity and age at menarche among adolescent girls in the Southwest Ethiopia. Methods We report on 900 girls who were investigated in the first two rounds of the five year longitudinal survey. The semi-parametric frailty model was fitted to determine the effect of adolescent food insecurity on time to menarche after adjusting for socio-demographic and economic variables. Results Food insecure girls have menarche one year later than their food secure peer (median age of 15 years vs 14 years. The hazard of menarche showed a significant decline (P = 0.019 as severity of food insecurity level increased, the hazard ratio (HR for mild food insecurity and moderate/severe food insecurity were 0.936 and 0.496, respectively compared to food secure girls. Stunted girls had menarche nearly one year later than their non-stunted peers (HR = 0.551, P Conclusion Food insecurity is associated with delay of age at menarche by one year among girls in the study area. Stunted girls had menarche one year later than their non-stunted peers. Age at menarche reflects the development of girls including the timing of sexual maturation, nutritional status and trajectory of growth during the pre-pubertal periods. The findings reflect the consequence of chronic food insecurity on the development and well-being of girls in the study area.

  8. The relationship between attitudes towards menarche and current attitudes towards menstruation of women: A comparative study

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    Nülüfer Erbil

    2015-11-01

    Full Text Available Purpose: The study was conducted to determine affecting factors and to investigate relationship  between  attitudes towards menarche and current attitudes towards menstruation of women and to compare characteristics of menarche and menstruation of women who were born and raised in the northeastern and western of Turkey.  Method and Materials: This descriptive and comparative study was participated totally 400 volunteer women. The data were collected using a questionnaire containing defined closed and open-ended questions. Results: The study results showed that women living in Ordu province than women living in Aydın province expressed positive attitudes toward menarche, and the difference was found significant. Nevertheless, attitudes towards current menstruation were similar in both provinces. When the data of 400 women were evaluated together; women’s attitudes towards menarche were compared with the current attitudes towards menstruation, and the difference was found statistically significant. Although attitudes of the women towards menarche varied according to where they lived, their current attitudes towards menstruation were similar. In addition, depending upon the province, there were statistically significant differences in women’s age at menarche, recollection of menarche, and feelings of shame or happiness at menarche, source and adequacy of information about menstruation, and regularity of their menstrual cycle.   Conclusions: Early menstrual experiences may be related to menstrual experiences later in life and women’s attitudes towards menstruation were not affected by geographical locations. In order to develop positive attitudes towards menarche and a woman’s future years of menstrual cycles, it is very important that accurate and adequate information for young girls be provided before menarche.

  9. The influence of climate on age at menarche: Augmented with the influence of ancestry.

    Science.gov (United States)

    Sohn, Kitae

    2016-08-01

    Samples representative of South Korea, Indonesia, and Peninsular Malaysia were analyzed and the influence of climate on age at menarche was investigated. The sample size was 24,651 for Korea (birth years 1941-1992), for Indonesia 8331 (birth years 1944-1988) plus 20,519 (birth years 1978-1997), and 2842 for Peninsular Malaysia (birth years 1927-1968). Respondents recalled their age at menarche. The mean age at menarche was calculated for each birth year by country, and for Malaysia, additionally by ancestry. It has been found that mean ages at menarche for the early birth years were much younger in Indonesia than in Korea despite similar levels of socioeconomic conditions (proxied by GDP per capita). For example, for the birth year 1944, the mean age at menarche was 14.45 years for Indonesia and 16.19 years for Korea-a difference of 1.74 years. It was necessary to double the Korean GDP per capita to make the Korean mean age at menarche the same as the Indonesian one. Chinese and Malay women in Peninsular Malaysia were further analyzed, and the results provided indirect evidence that the difference between Korea and Indonesia was not due to ancestry differences. Results in multivariate settings provided consistent results. It has been concluded that climate exerts a significant influence on age at menarche because the relatively easy availability of food in the tropics increases energy intake while the absence of cold weather decreases energy expenditure on maintenance and activity.

  10. Menarche i relation til infertilitet og voksen legemshøjde og vaegt

    DEFF Research Database (Denmark)

    Helm, P; Münster, K R; Schmidt, L

    1996-01-01

    of pelvic inflammatory disease and spontaneous abortion. On the other hand, no association was found between age at menarche and irregular bleedings, amenorrhoea, fertility, or fecundity. Early menarche was associated with excess weight, late menarche with underweight. A positive correlation was found...... between menarcheal age and final body height. It is concluded that menarche was not associated with fertility or fecundity, whereas early menarche was associated with pelvic inflammatory disease and spontaneous abortion. Age at menarche showed associations with height and weight. Udgivelsesdato: 1996-Nov...

  11. Critical anthropometry for menarche.

    Science.gov (United States)

    Gonzales, G F; Villena, A

    1996-08-01

    The objective of the study was to determine if any anthropometric measurements, including weight, height, and upper arm circumference, or the calculated body mass index observed at the time of menarche may be used as a threshold for menarche. The sample was randomly selected from 1133 girls aged 10-18 years from two groups, one residing in Lima, Peru, at 150 m above sea level, and the second in Cerro de Pasco, Peru, at 4340 m above sea level. For the purpose of this study, all girls who reached menarche at least 1 month before the study (n = 93) were considered as cases (girls at menarche); 88 girls without menarche at the time of the study were randomly matched by age and place of residence, and designated as controls. All subjects came from the same low socioeconomic status. Body weight at menarche was 44.6 +/- 5.09 kg (mean +/- SD; coefficient of variation [CV], 11.4%). Height at menarche was 151.6 +/- 5.5 cm (CV, 3.7%). Body mass index, defined as weight/height2.15, was 18.26 +/- 1.96 kg/m2.15 at menarche (CV, 10.7%). Upper arm circumference at menarche was 21.8 +/- 1.6 cm (CV, 7.3%). The logistic regression analysis showed that any of the four anthropometric measurements analyzed were critical for menarche; i.e., any of the four could be used as a threshold for menarche. Data from the present study do not support the hypothesis that there are anthropometric markers that are critical for menarche.

  12. Risk factors for overweight in urban and rural school girls in Iran: skipping breakfast and early menarche.

    Science.gov (United States)

    Maddah, Mohsen

    2009-08-14

    This study aimed to investigate the predictors of overweight among Iranian 14-17 years adolescent girls in urban and rural areas in Guilan, Iran. Between December 2005 and March 2006 a cross-sectional survey on 2090 high-school girls (1054 in urban and 1036 in rural areas) in Guilan, northern Iran was performed. Data on age, mother's education, age at menarche, physical activity, hours of TV viewing, birth weight, duration of any breast feeding and skipping breakfast were collected using questionnaire and body weight and height of the girls were measured. Logistic regression analysis showed that in urban residents, low age group (14 years) OR=13.9 (1.15-1.61), lower menarcheal age OR=0.76 (0.61-0.95) and skipping breakfast OR=1.96 (1.52-2.35) were independently related to overweight and obesity. In rural residents, low menarcheal age, OR=0.82 (0.69-0.98), skipping breakfast OR=2.23 (1.37-3.65), and high maternal education OR=2.01 (1.62-2.85) were predictors of overweight/obesity. In conclusion, these data indicated that skipping breakfast is a potential risk factor for overweight/obesity in both urban and rural girls. High maternal education as a risk factor for overweight in the rural girls is notable.

  13. The age of menarche.

    Science.gov (United States)

    Rees, M

    1995-01-01

    In females, the first menstrual period, menarche, signals the beginning of the capacity to reproduce and is associated with the development of secondary sexual characteristics. Menarche is one of the most significant milestones in a woman's life. The first cycles tend to be anovulatory and vary widely in length. They are usually painless and occur without warning. Menarche occurs between the ages of 10 and 16 years in most girls in developed countries. Although the precise determinants of menarcheal age remain to be understood, genetic influences, socioeconomic conditions, general health and well-being, nutritional status, certain types of exercise, seasonality, and family size possibly play a role. Over the past century the age at menarche has fallen in industrialized countries, but that trend has stopped and may even be reversing. The average age at menarche in 1840 was 16.5 years, now it is 13. The age at menopause, however, has remained relatively constant at approximately 50 years. The length of time during which women are exposed to endogenous estrogen has therefore been increasing. Reasons for the fall in menarcheal age remain unclear, but one interpretation considers it to be a reflection of the improvement in health and environmental conditions. The decline in menarcheal age appears to be leveling off in many countries such as Britain, Iceland, Italy, Poland, and Sweden, but continues in Germany and some other countries. Late menarche is associated with a decreased risk of developing breast cancer in later life, a decreased frequency of coronary heart disease, later first pregnancy, and reduction in teen pregnancy. Late menarche may, however, be positively associated with the risk of developing Alzheimer's disease.

  14. Age at menarche, schooling, and sexual debut in northern Malawi.

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    Judith R Glynn

    Full Text Available BACKGROUND: Age at sexual debut is a key behavioural indicator used in HIV behavioural surveillance. Early age at menarche may precipitate early sex through perceived readiness for sex, or through school drop-out, but this is rarely studied. We investigated trends and circumstances of sexual debut in relation to schooling and age at menarche. METHODS AND FINDINGS: A cross-sectional sexual behaviour survey was conducted on all individuals age 15-59 within a demographic surveillance site in Karonga District, Malawi. Time trends were assessed using birth cohorts. Survival analysis was used to estimate the median age at menarche, sexual debut and first marriage. The 25(th centile was used to define "early" sex, and analyses of risk factors for early sex were restricted to those who had reached that age, and were done using logistic regression. Of the 8232 women and 7338 men resident in the area, 88% and 78%, respectively, were seen, and, 94% and 92% of these were interviewed. The median reported age at first sex was 17.5 for women and 18.8 for men. For women, ages at menarche, sexual debut and first marriage did not differ by birth cohort. For men, age at sexual debut and first marriage decreased slightly in later birth cohorts. For both men and women increased schooling was associated with later sexual debut and a longer delay between sexual debut and first marriage, but the associations were stronger for women. Earlier age at menarche was strongly associated with earlier sexual debut and marriage and lower schooling levels. In women early sexual debut (<16 years was less likely in those with menarche at age 14-15 (odds ratio (OR 0.31, 95%CI 0.26-0.36, and ≥16 (OR 0.04, 95%CI 0.02-0.05 compared to those with menarche at <14. The proportion of women who completed primary school was 46% in those with menarche at <14, 60% in those with menarche at 14-15 and 70% in those with menarche at ≥16. The association between age at menarche and schooling

  15. Heterosexual romantic involvement and depressive symptoms in black adolescent girls: effects of menarche and perceived social support.

    Science.gov (United States)

    Carter, Rona; Caldwell, Cleopatra Howard; Matusko, Niki; Jackson, James S

    2015-04-01

    Research has accumulated to demonstrate that depressive symptoms are associated with heterosexual romantic involvement during adolescence, but relatively little work has linked this body of literature to the existing literature on associations between early pubertal timing and adolescent depressive symptoms. This study extends prior research by examining whether early menarche and heterosexual romantic involvement interact to predict depressive symptoms in a national sample of Black adolescent girls (N = 607; M age = 15 years; 32 % Caribbean Black and 68 % African American). We further examined whether the adverse effects of heterosexual romantic involvement and early menarche would be mediated by perceived social support from mothers, fathers, and peers. Path analysis results indicated that girls who report current involvement in a heterosexual romantic relationship also reported high levels of perceived peer support than girls with no romantic involvement. High levels of perceived peer support, in turn, predicted low levels of depressive symptoms. Romantically involved girls with an early menarche also reported significantly less depressive symptoms than girls not romantically involved with an early menarche. Neither perceived maternal support nor perceived paternal support mediated associations between heterosexual romantic involvement, menarche, and depressive symptoms. The findings suggest that individual and social factors can impede heterosexual romantic involvement effects on depressive symptoms in Black adolescent girls.

  16. Pre-menarcheal physical activity predicts post-menarcheal lean mass and core strength, but not fat mass.

    Science.gov (United States)

    Day, M A; Dowthwaite, J N; Rosenbaum, P F; Roedel, G G; Brocker, A A; Scerpella, T A

    2015-12-01

    Youth exercise is associated with improved body composition, but details regarding timing and persistence are limited. We examined pre- and circum-menarcheal organized physical activity exposure (PA) as a factor in development of early post-menarcheal lean mass, fat mass and muscle strength. Participants in a longitudinal study of musculoskeletal growth using dual energy X-ray absorptiometry (DXA) were included based on: 1) Whole body DXA scans: 0.5-1.5 years pre-menarche, 0.5-1.5 years post-menarche; 2) PA records for ⋝6 months preceding the first DXA (prePA) and for the inter-DXA interval (circumPA). Dominant arm grip strength and sit-ups tests coincided with DXA scans; PA, height and maturity were recorded semi-annually. Regressions correlated PA with lean mass/fat mass/strength, accounting for maturity, body size, and baseline values. Seventy girls [baseline: 11.8 yrs (sd 1.0), follow-up: 13.9 years (sd 1.0)] demonstrated circum-menarcheal gains of 25-29% for lean and fat mass and 33% for grip strength. PREPA correlated with pre- and post-menarcheal lean mass, sit-ups and pre-menarcheal fat mass (pstrength. CIRCUMPA correlated with only post-menarcheal sub-head lean mass (p=0.03). Lean mass and core strength at 1-year post-menarche were more strongly predicted by pre-menarcheal organized PA than by recent circum-menarcheal PA.

  17. The Decreasing Age at Menarche in Mexico.

    Science.gov (United States)

    Marván, M Luisa; Catillo-López, Rosa Lilia; Alcalá-Herrera, Verónica; Callejo, Diana Del

    2016-10-01

    To estimate the current age at menarche in 2 urban areas from Mexico and to analyze secular trends in the age at menarche in Mexico City. Cross-sectional survey and secondary data analyses. (1) Samples of female students from Mexico City and from the city of Xalapa; and (2) national health surveys. (1) Pre- and postmenarcheal students, aged 8-17 years; and (2) data for women born between 1904 and 1999 who grew up in Mexico City were obtained from 3 relevant national health surveys. (1) Students were asked if they had had their first period and when it occurred; (2) information on year of birth and age at menarche for the remaining women was obtained from the national surveys; data were divided in groups according to the decade in which the women were born. (1) The estimated mean age at menarche was 11.40 and 11.34 years in Mexico City and Xalapa respectively. (2) There were significant differences in age at menarche among women who were born in the different decades analyzed. Women who were born in the 1990s or later reported an earlier age at menarche than those who were born from the 1940s to 1980s (P < .0001). These results could be helpful to health and education professionals who should take into account that because there is currently a widening gap between the physical and psychosocial maturity of girls, they might need special support. Copyright © 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  18. Menarche delay and menstrual irregularities persist in adolescents with type 1 diabetes

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    McFann Kim

    2011-05-01

    Full Text Available Abstract Background Menarche delay has been reported in adolescent females with type 1 diabetes (T1DM, perhaps due to poor glycemic control. We sought to compare age at menarche between adolescent females with T1DM and national data, and to identify factors associated with delayed menarche and menstrual irregularity in T1DM. Methods This was a cross-sectional study and females ages 12- 24 years (n = 228 with at least one menstrual period were recruited during their outpatient diabetes clinic appointment. The National Health and Nutrition Examination Survey (NHANES 2001-2006 data (n = 3690 for females 12-24 years were used as a control group. Results Age at menarche was later in adolescent females with T1DM diagnosed prior to menarche (12.81 +/- 0.09 years (mean+/- SE (n = 185 than for adolescent females diagnosed after menarche (12.17 0.19 years, p = 0.0015 (n = 43. Average age of menarche in NHANES was 12.27 +/- 0.038 years, which was significantly earlier than adolescent females with T1DM prior to menarche (p p = 0.77. Older age at menarche was negatively correlated with BMI z-score (r = -0.23 p = 0.0029 but not hemoglobin A1c (A1c at menarche (r = 0.01, p = 0.91. Among 181 adolescent females who were at least 2 years post menarche, 63 (35% reported usually or always irregular cycles. Conclusion Adolescent females with T1DM had a later onset of menarche than both adolescent females who developed T1DM after menarche and NHANES data. Menarche age was negatively associated with BMI z-score, but not A1c. Despite improved treatment in recent decades, menarche delay and high prevalence of menstrual irregularity is still observed among adolescent females with T1DM.

  19. Menarche: Prior Knowledge and Experience.

    Science.gov (United States)

    Skandhan, K. P.; And Others

    1988-01-01

    Recorded menstruation information among 305 young women in India, assessing the differences between those who did and did not have knowledge of menstruation prior to menarche. Those with prior knowledge considered menarche to be a normal physiological function and had a higher rate of regularity, lower rate of dysmenorrhea, and earlier onset of…

  20. Relation of Obesity and Menarche Age among

    Directory of Open Access Journals (Sweden)

    Shila Berenjy

    2008-12-01

    Full Text Available Objective: The aim of this study was to investigate the relation between overweight and obesity among adolescent students and age of menarche.Materials and Methods: In a cross-sectional study 399 urban adolescent girls aged 11-14 years old were selected from schools of Kermanshah city in Iran. Anthropometric examinations including, triceps skin fold (TSF, mid arm circumference (MAC, body fat percentage (BF %, were measured and information on age of menarch and student’s demographics were collected. Results: The results showed that age, body mass index (BMI and menarche age were:12.63+1.01 year, 17.71+2.94 kg/m2 and 12.16+1.18 year respectively. Prevalence of overweight in respondents was 23.2%, however; prevalence of obesity was 23.2% for 11 years old , 22.4% for12 years olds , 24% of 13 years old  and 23.5% of 14 years old. Conclusion: There was a reverse relation  between BMI and age of menarche, however; it was not significant (p>0.1. This study suggests a high prevalence of obesity and relation between BMI and anthropometric parameters in adolesent girls.

  1. Analysis on Menarche Age of Chinese Reproductive Women

    Institute of Scientific and Technical Information of China (English)

    武俊青; 高尔生; 张子豹

    2000-01-01

    Objectives To analyze the age of menarche of Chinese reproductive women and some related factors.Material & Methods The data used in this paper was collected through “National Demography and Reproductive Health Survey” of China in 1997.Results The menarche age declined successively and dramatically, from 16. 45 years of the women born in 194 7~1949 to 13. 86 of those born in 1980~1982, decreasing by 0. 65 years per decade.Conclusions The results revealed that some factors such as residence, year of birth,nationality, education level and living region had effects on the menarche age.

  2. Analysis on Menarche Age of Chinese Reproductive Women

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objectives To analyze the age of menarche of Chinese reproductive women and some related factors. Material & Methods The data used in this paper was collected through "National Demography and Reproductive Health Survey" of China in 1997. Results The menarche age declined successively and dramatically, from 16. 45 years of the women born in 1947~1949 to 13. 86 of those born in 1980~1982, decreasing by 0. 65 years per decade. Conclusions The results revealed that some factors such as residence, year of birth, nationality, education level and living region had effects on the menarche age.

  3. Menarquia y factores asociados Menarche and associated factors

    Directory of Open Access Journals (Sweden)

    Wendy Valdés Gómez

    2013-04-01

    demographically the adolescents under study; to evaluate them from the nutritional viewpoint by using the body mass index and the waist circumference, as well as to identify the association among menarche, race, low birthweight, overweight, abdominal obesity and presence of acanthosis nigricans. Methods: a cross-sectional, observational and descriptive study was conducted in "Jose Maria Heredia" junior high school from June 2010 to January 2011. The population was made up of 85 adolescents, who were asked about menarche, were anthropometrically measured and searched for acanthosis nigricans. Results: the average age of female adolescents was 12.05 years. Menarche was experienced by 63.5% of them and the average age of onset was 11.00±0.801 years. In this group, 17.6 % presented with overweight, 34.1 % with abdominal adiposity and 12.9 % had acanthosis nigricans, all of these factors statistically associated with the onset of menarche. Conclusions: most of the female adolescents experienced menarche at early ages; they were Caucasians and showed a high risk of developing overweight, abdominal obesity and clinical signs of insulin-resistance. The onset of menarche was not affected by low birthweight.

  4. Association of Age at Menarche with Anthropometric Measures in Punjabi Bania Girls

    Science.gov (United States)

    Singh, Zora; Sethi, Gurmeet Kaur

    2016-01-01

    Introduction Menarcheal age is the age at which menstruation begins. Menarcheal age is regarded as a sensitive indicator of physical, biological and psychological environment. Aim 1) To determine the menarcheal age and to examine the relationship between current age at menarche with anthropometric measures in Punjabi bania girls. 2) To develop maturity standards for Bania girls. Materials and Methods The present cross-sectional survey was carried out on 200 bania girls at the age of onset of menarche. Menarcheal data was obtained by status quo method by asking about whether menarche has been experienced or not. In the present survey adolescent girls were interviewed with the help of pre-designed questionnaire. Statistical analysis was carried out in SPSS software, version 16.0. The data were analysed using descriptive statistics and one-way ANOVA. Pearson’s correlation coefficient was used for correlation studies. Results A total of 200 Punjabi bania girls were examined in the study. The median age of onset of menarche in these girls was 12.3 years. Menarcheal age was positively associated with bi-acromial width, bi-iliac width and arm span. Conclusion The present research has revealed secular trend in the age of onset of menarche as indicated by median age of 12.3 years in Bania girls. The bi-acromial width, bi-iliac width and arm span were also correlated with the age of menarche. PMID:28050402

  5. Maternal Age of Menarche and Blood Pressure in Adolescence: Evidence from Hong Kong’s “Children of 1997” Birth Cohort

    Science.gov (United States)

    Lai, Tsz Chun; Leung, Gabriel Matthew; Schooling, C. Mary

    2016-01-01

    Background Age of puberty has declined substantially in developed settings and is now declining in the rest of the world with economic development. Early age of puberty is associated with non-communicable diseases in adulthood, and may be a long-term driver of population health with effects over generations. In a non-Western setting, we examined the association of maternal age of menarche with blood pressure in late childhood/adolescence. Methods We used generalised estimating equations to estimate the adjusted association of maternal age of menarche with age-, sex- and height-adjusted blood pressure z-score from 10 to 16 years in Hong Kong’s population-representative birth cohort, “Children of 1997” (n = 8327). We also assessed whether associations were mediated by body mass index (BMI) or pubertal stage. Results Earlier maternal age of menarche was associated with higher systolic blood pressure in adolescence [-0.02 z-score per year older maternal age of menarche, 95% confidence interval (CI) -0.04 to -0.003]. The association of maternal age of menarche with systolic blood pressure was mediated by adiposity and/or pubertal stage at 11 years. Maternal age of menarche was not associated with diastolic blood pressure. Conclusion Earlier maternal age of puberty was associated with higher systolic blood pressure, largely mediated by adiposity, highlighting the importance of tackling childhood obesity as a public health priority in view of the secular trend of declining age of puberty. PMID:27454175

  6. Age at menarche and pregnancy-related pelvic pain

    DEFF Research Database (Denmark)

    Kirkeby, Mette J; Biering, Karin; Olsen, Jørn

    2013-01-01

    AIM: Menarcheal age is a predictor of several complications related to pregnancy and diseases later in life. We aimed to study if menarcheal age is a risk factor for pregnancy-related pelvic pain. MATERIAL AND METHODS: A nested case-control study was conducted within the Danish National Birth...... Cohort, a cohort of pregnant women, recruited during 1996-2002, and their children. In the second trimester of pregnancy the women provided information about age at menarche and potential confounders. Selection of cases (n = 2227) was based on self-reported pelvic pain during pregnancy from an interview...... done 6 months post-partum. The controls (n = 2588) were randomly selected among women who did not report pelvic pain. We used logistic regression analysis to calculate odds ratios (OR) for pregnancy-related pelvic pain according to age at menarche. RESULTS: In the cohort, 18.5% of all pregnant women...

  7. Hubungan Indeks Massa Tubuh (IMT dengan Usia Menarche pada Siswi SMP Negeri 1 Padang

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    Rahmat Nurul Yuda Putra

    2016-09-01

    Full Text Available AbstrakBeberapa dekade terakhir ini, telah terjadi kecenderungan onset menarche dini yang dikaitkan dengan nutrisi yang lebih baik. Penelitian yang telah ada menemukan penurunan usia menarche yang diiringi oleh peningkatan Indeks Massa Tubuh (IMT yang terjadi dalam 25 tahun terakhir. Onset menarche yang lebih cepat juga ditemukan pada anak yang gemuk dibandingkan yang kurus. IMT rendah menunjukkan tidak terpenuhinya nutrisi yang dapat mempengaruhi kecepatan tumbuh–kembang anak. Tujuan penelitian ini adalah menentukan hubungan  IMT dengan usia menarche. Penelitian cross-sectional study ini dilakukan terhadap 77 siswi yang dipilih melalui teknik proportional random sampling dan wawancara menggunakan kuesioner. Data yang telah terkumpul lalu dianalisis dengan uji korelasi spearman. Hasil studi ini adalah rata-rata IMT 19,93 (±3,162 kg/m2dan rata-rata usia menarche adalah 11,75 tahun dengan usia termuda 9 tahun dan tertua 14 tahun. Ditemukan adanya hubungan antara IMT dengan usia menarche dengan nilai p=0,000 (p<0,05 dan r=-0,429. Kesimpulan studi ini ialah semakin tinggi IMT, maka semakin cepat terjadi menarche.Kata kunci: IMT, usia menarche, menarche AbstractThe last decades, there has been a trend of earlier onset of menarche is associated with better nutrition. Several studies have found a decrease in age of menarche is accompanied by an increase in Basal Metabolism Index (BMI. Rapid onset of menarche also found in obese children than lean. Low BMI show no fulfillment of nutrients that can affect the growth and development speed in children. The objective of this study was to determine the relationship between BMI with age at menarche. This cross sectional study was conducted on 77 female students who were selected through proportional random sampling technique. The data was collected by questionnaires and interviews, than was analyzed by Spearman correlation test. The results of this study was the average BMI 19.93 (±3.162 kg / m2, and

  8. Secular trends in age at menarche among Chinese girls from 24 ethnic minorities, 1985 to 2010

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    Yi Song

    2015-07-01

    Full Text Available Background: Declining age at menarche has been observed in many countries. In China, a decrease of 4.5 months per decade in the average age at menarche among the majority Han girls has recently been reported. However, the trends in age at menarche among ethnic minority girls over the past 25 years remain unknown. Objectives: To compare the differences in median age at menarche among girls aged 9–18 years across 24 ethnic minorities in 2010 and to estimate the trends in age at menarche in different ethnic minorities from 1985 to 2010. Design: We used data from six cross-sectional Chinese National Surveys on Students’ Constitution and Health (1985, 1991, 1995, 2000, 2005, and 2010. The median age at menarche was estimated by using probit analysis. Results: In 2010, the ethnic minorities with the earliest age at menarche were the Koreans (11.79 years, Mongolians (12.44 years, and Zhuang (12.52 years. The three ethnic minorities with the latest age at menarche were the Sala (14.32 years, Yi (13.74 years, and Uighurs (13.67 years. From 1985 to 2010, the age at menarche declined in all 24 minority groups. The Lisu, Kazakh, and Korean minorities showed the largest reductions in age at menarche by 1.79 (p0.05, 0.15 (p>0.05, and 0.15 (p>0.05 years, respectively, in the same period. Conclusion: A large variation in age at menarche was observed among different ethnic minorities, with the earliest age at menarche found among Korean girls. A reduction in the average age at menarche appeared among most of the ethnic minorities over time, and the largest decrease was observed in Lisu, Kazakh, and Korean girls. Thus, health education should focus on targeting the specific needs of each ethnic minority group.

  9. Age of Menarche and Psychosocial Outcomes in a New Zealand Birth Cohort

    Science.gov (United States)

    Boden, Joseph M.; Fergusson, David M.; Horwood, L. John

    2011-01-01

    Objective: This study examined associations between age of menarche and psychosocial outcomes in early adulthood, including sexual behavior, mental health, criminal behavior, and education/employment, to identify the possible causal role of earlier age of menarche in increasing risks of adverse outcomes. Method: Data were gathered from 497 female…

  10. Perilaku Remaja Putri Menghadapi Menarche Berdasarkan Nilai Budaya Batak

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    Merida Simanjuntak

    2013-04-01

    interviews, observation and literature study. Six respondents were recruited using purposive sampling in East Jakarta. The collected data was analyzed using constant comparative analysis until data saturation was achieved. Result of this study showed that adolescent girl behavior encountering menarche phase according to Batak’s culture and traditional value was influenced by information adopted, mothering pattern in the family and parent’s angle of view about menarche phase. Regarding this, a nurse is expected to be able to give comprehensive information to adolescent girl aboutits reproductive system development and nursing in menarche phase. In addition, parent’s involvement is recommended in health education giving to children.

  11. Age at menarche and risk of asthma

    DEFF Research Database (Denmark)

    Lieberoth, Sofie; Gade, Elisabeth Juul; Brok, Jesper

    2014-01-01

    RevMan to calculate summary odds ratios. The risk of publication bias was assessed graphically by using a funnel plot and the robustness of the overall estimate obtained was assessed by using sensitivity analyses. RESULTS: The searches identified 61 potentially relevant articles of which seven......BACKGROUND: Several studies have suggested a relationship between the age at menarche and risk of asthma development. OBJECTIVE: To conduct a systematic review and meta-analysis of the relationship between the age at menarche and the risk of asthma. METHODS: This systematic review and meta......-analysis was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). A pre specified literature search strategy was used to identify studies of potential relevance and independent reviews were carried out by two authors. Raw data was pooled using the software package...

  12. Early results from ISO

    Science.gov (United States)

    1996-01-01

    First findings by Europe's new space telescope ISO (Infrared Space Observatory) will be announced at a press conference to be held at ESA's satellite tracking station in Villafranca, Apartado 50727 - 28080-Madrid, on Wednesday 14 February 1996 Astronomers responsible for ISO's instruments will show results ranging from materials in the planet Saturn, through the birth and death of stars, to the behaviour of colliding galaxies. All instruments are working well and even their preliminary results confirm that ISO is a unique observatory making an unprecedented exploration of the universe by infrared rays. Parallel press conferences will be held at ESA Headquarters in Paris, ESTEC Noordwijk (the Netherlands) and ESOC Darmstadt (Germany) where a live television link will be established with Villafranca and from where the media can participate in the discussion.

  13. Neighborhood-Level Poverty at Menarche and Prepregnancy Obesity in African-American Women.

    Science.gov (United States)

    Cassidy-Bushrow, Andrea E; Peters, Rosalind M; Burmeister, Charlotte; Bielak, Lawrence F; Johnson, Dayna A

    2016-01-01

    Introduction. Menarche is a critical time point in a woman's reproductive system development; exposures at menarche may influence maternal health. Living in a poorer neighborhood is associated with adult obesity; however, little is known if neighborhood factors at menarche are associated with prepregnancy obesity. Methods. We examined the association of neighborhood-level poverty at menarche with prepregnancy body mass index category in 144 pregnant African-American women. Address at menarche was geocoded to census tract (closest to year of menarche); neighborhood-level poverty was defined as the proportion of residents living under the federal poverty level. Cumulative logistic regression was used to examine the association of neighborhood-level poverty at menarche, in quartiles, with categorical prepregnancy BMI. Results. Before pregnancy, 59 (41%) women were obese. Compared to women in the lowest neighborhood-level poverty quartile, women in the highest quartile had 2.9 [1.2, 6.9] times higher odds of prepregnancy obesity; this was slightly attenuated after adjusting for age, marital status, education, and parity (odds ratio: 2.3 [0.9, 6.3]). Conclusions. Living in a higher poverty neighborhood at menarche is associated with prepregnancy obesity in African-American women. Future studies are needed to better understand the role of exposures in menarche on health in pregnancy.

  14. Association between menarche age and menstrual disorder with the incidence of uterine fibroid in medan, Indonesia: based on hospital data

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    Muhammad Fidel Ganis Siregar

    2015-08-01

    Full Text Available Background: Uterine fibroids are benign, monoclonal tumors of the smooth muscle cells found in the human uterus. The incidence of uterine fibroid in Indonesia is between 2.39% - 11.7% in all gynecology inpatient. Despite the fact that their cause is still unknown, there is considerable evidence that estrogens and progestogens proliferate tumor growth, as the fibroids rarely appear before menarche and regress after menopause. Methods: An observational analytic study with case control approach. Total sample from this study was 498 people, with 249 cases and 249 controls. The samples were collected through purposive sampling. The study was conducted in the medical record division of Adam Malik General Hospital Medan. Results from the study were analyzed with chi square. Results: The result of this study demonstrated an association between menarche age with uterine fibroid incidence, with a p-value < 0.05, and odds ratio = 2.487 (CI 1.585-3.902. This indicate that the incidence of uterine fibroid is 2.5 greater in women with menarche age of < 10 years old. P-value < 0.05 and odds ratio = 0.258 (CI 0.178-0.375 were obtained from the association between menstrual disorder and uterine fibroid incidence. Conclusions: The result of this study demonstrates a significant association correlation between menarche age and the development of uterine fibroid. Early menarche age increases risk of uterine fibroid incidence, whereas menstrual disorder is more likely a clinical manifestation of uterine fibroid, rather than a risk factor. [Int J Reprod Contracept Obstet Gynecol 2015; 4(4.000: 1025-1028

  15. Age at Menarche and Gallstone Disease in Middle-Aged Women.

    Science.gov (United States)

    Ryu, Seungho; Chang, Yoosoo; Choi, Yuni; Kwon, Min-Jung; Yun, Kyung Eun; Jung, Hyun-Suk; Kim, Bo-Kyoung; Kim, Yoo Jin; Kim, Kye-Hyun; Cho, Juhee; Chung, Eun Chul; Shin, Hocheol; Suh, Byung Seong

    2016-10-01

    The goal of this study was to explore the association between age at menarche and gallstone disease (GSD) in Korean women and to determine whether any of the observed associations were mediated by adult adiposity. A cross-sectional study was performed on 83 275 Korean women, aged 30 years or older, who underwent a health checkup examination between March 2011 and April 2013. Information regarding age at menarche was collected using standardized, self-administered questionnaires. Gallstone disease was defined as either having gallstones or having had a cholecystectomy based on ultrasound. Logistic regression models were used to evaluate the association between age at menarche and GSD. Of the 83 275 women evaluated in this study, 3341 had GSD. Age at menarche was negatively associated with the prevalence of GSD. In a multivariable-adjusted model adjusting for potential confounders including reproductive factors and body weight at age 20, the odds ratios (95% confidence intervals) for GSD comparing menarche at <12, 12, 14, 15, and 16 to 18 years to menarche at 13 years were 1.46 (1.23-1.75), 1.19 (1.04-1.35), 0.97 (0.87-1.09), 0.92 (0.82-1.03), and 0.89 (0.78-1.02), respectively (P for trend <.001). Adjusting for adult body mass index or percentage fat mass (%) partially reduced these associations; however, they remained statistically significant. Early menarche was associated with increasing prevalence of GSD in a large sample of middle-aged women. The findings of this study extend the range of adverse health outcomes associated with early menarche and suggest that obesity prevention strategies could be useful for reducing the risk of GSD in women who experience early menarche. © The Author(s) 2016.

  16. [The importance of memory bias in obtaining age of menarche by recall method in Brazilian adolescents].

    Science.gov (United States)

    Castilho, Silvia Diez; Nucci, Luciana Bertoldi; Assuino, Samanta Ramos; Hansen, Lucca Ortolan

    2014-06-01

    To compare the age at menarche obtained by recall method according to the time elapsed since the event, in order to verify the importance of the recall bias. Were evaluated 1,671 girls (7-18 years) at schools in Campinas-SP regarding the occurrence of menarche by the status quo method (menarche: yes or no) and the recall method (date of menarche, for those who mentioned it). The age at menarche obtained by the status quo method was calculated by logit, which considers the whole group, and the age obtained by the recall method was calculated as the average of the mentioned age at menarche. In this group, the age at menarche was obtained by the difference between the date of the event and the date of birth. Girls who reported menarche (883, 52.8%) were divided into four groups according to the time elapsed since the event. To analyze the results, we used ANOVA and logistic regression for the analysis, with a significance level of 0.05. The age at menarche calculated by logit was 12.14 y/o (95% CI 12.08 to 12.20). Mean ages obtained by recall were: for those who experienced menarche within the previous year 12.26 y/o (±1.14), between > 1-2 years before, 12.29 y (±1.22); between > 2-3 years before, 12.23 y/o (±1.27); and more than 3 years before, 11.55y/o (±1.24), p recall method was similar for girls who menstruated within the previous 3 years (and approaches the age calculated by logit); when more than 3 years have passed, the recall bias was significant.

  17. Childhood Hair Product Use and Earlier Age at Menarche in a Racially Diverse Study Population: A Pilot Study

    Science.gov (United States)

    James-Todd, Tamarra; Terry, Mary Beth; Rich-Edwards, Janet; Deierlein, Andrea; Senie, Ruby

    2013-01-01

    Purpose Previous studies suggest that hair products containing endocrine disrupting chemicals could alter puberty. We evaluated the association between childhood hair product use and age at menarche in a racially diverse study population. Methods We recruited 300 African-American, African-Caribbean, Hispanic, and white women from the New York City metropolitan area who were between 18 and 77 years of age. Data were collected retrospectively on hair oil, lotion, leave-in conditioner, perm, and other types of hair products used prior to age 13. Recalled age at menarche ranged from 8 to 19 years. We used multivariable binomial regression to evaluate the association between hair product use and age at menarche (=12), adjusting for potential confounders. Results African-Americans were more likely to use hair products and reached menarche earlier than other racial/ethnic groups. Women reporting childhood hair oil use had a risk ratio of 1.4 (95% CI: 1.1-1.9) for earlier menarche, adjusting for race/ethnicity and year of birth. Hair perm users had an increased risk for earlier menarche (adjusted risk ratio: 1.4, 95% CI: 1.1-1.8). Other types of hair products assessed in this study were not associated with earlier menarche. Conclusions Childhood hair oil and perm use were associated with earlier menarche. If replicated, these results suggest that hair product use may be important to measure in evaluating earlier age at menarche. PMID:21421329

  18. Growth patterns in early childhood and the onset of menarche before age twelve Patrones de crecimiento en la infancia precoz y ocurrencia de menarca antes de doce años de edad Padrões de crescimento na infância precoce e ocorrência de menarca antes de doze anos de idade

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    Jeovany Martínez

    2010-04-01

    Full Text Available OBJECTIVE: To examine the relationship between growth patterns in early childhood and the onset of menarche before age 12. METHODS: The study included 2,083 women from a birth cohort study conducted in the city of Pelotas, Southern Brazil, starting in 1982. Anthropometric, behavioral, and pregnancy-related variables were collected through home interviews. Statistical analyses were performed using Pearson's chi-square and chi-square test for linear trends. A multivariable analysis was carried out using Poisson regression based on a hierarchical model. RESULTS: Mean age of menarche was 12.4 years old and the prevalence of menarche before age 12 was 24.3%. Higher weight-for-age, height-for-age, and weight-for-height z-scores at 19.4 and 43.1 months of age were associated with linear tendencies of increased prevalence and relative risks of the onset of menarche before age 12. Girls who experienced rapid growth in weight-for-age z-score from birth to 19.4 months of age and in weight-for-age or height-for-age z-scores from 19.4 to 43.1 months of age also showed higher risk of menarche before age 12. Higher risk was seen when rapid growth in weight-for-age z-score was seen during these age intervals and the highest risk was found among those in the first tertile of Williams' curve at birth. Rapid growth in weight-for-height z-score was not associated with menarche before age 12. CONCLUSIONS: Menarche is affected by nutritional status and growth patterns during early childhood. Preventing overweight and obesity during early childhood and keeping a "normal" growth pattern seem crucial for the prevention of health conditions during adulthood.OBJETIVO: Evaluar la relación entre patrones de crecimiento en la infancia precoz y ocurrencia de menarca antes de 12 años de edad. MÉTODOS: El estudio incluyó 2.083 mujeres del estudio de cohorte de nacidos en Pelotas, 1982, Sur de Brasil. Variables antropométricas, comportamentales y relacionadas a la gestaci

  19. Nongenetic Determinants of Age at Menarche: A Systematic Review

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    Anna Yermachenko

    2014-01-01

    Full Text Available Background. The acceleration of pubertal development is an important medical and social problem, as it may result in increased morbidity and mortality in later life. This systematic review summarizes relevant data about nongenetic factors, which contribute to age at menarche (AAM, and suggests those which may be the most important. Methods. The available literature from 1980 till July 2013 was searched using PubMed and Google Scholar databases. Finally, 154 papers were selected for the analysis. Results. Environmental factors, which may affect AAM, vary in populations of different ethnicity. The prenatal, infancy, and early childhood periods are the most susceptible to these factors. Body weight, high animal protein intake, family stressors (e.g., single parenting, and physical activity seem to influence AAM in most populations. Conclusions. The data about influence of nongenetic factors on AAM are still inconsistent. The factors affecting prenatal and early childhood growth seem to have a larger effect on further sexual maturation. Further studies are needed in order to validate the association between other environmental determinants and AAM in different ethnical groups.

  20. Genome-wide association study of age at menarche in African-American women

    Science.gov (United States)

    Demerath, Ellen W.; Liu, Ching-Ti; Franceschini, Nora; Chen, Gary; Palmer, Julie R.; Smith, Erin N.; Chen, Christina T.L.; Ambrosone, Christine B.; Arnold, Alice M.; Bandera, Elisa V.; Berenson, Gerald S.; Bernstein, Leslie; Britton, Angela; Cappola, Anne R.; Carlson, Christopher S.; Chanock, Stephen J.; Chen, Wei; Chen, Zhao; Deming, Sandra L.; Elks, Cathy E.; Evans, Michelle K.; Gajdos, Zofia; Henderson, Brian E.; Hu, Jennifer J.; Ingles, Sue; John, Esther M.; Kerr, Kathleen F.; Kolonel, Laurence N.; Le Marchand, Loic; Lu, Xiaoning; Millikan, Robert C.; Musani, Solomon K.; Nock, Nora L.; North, Kari; Nyante, Sarah; Press, Michael F.; Rodriquez-Gil, Jorge L.; Ruiz-Narvaez, Edward A.; Schork, Nicholas J.; Srinivasan, Sathanur R.; Woods, Nancy F.; Zheng, Wei; Ziegler, Regina G.; Zonderman, Alan; Heiss, Gerardo; Gwen Windham, B.; Wellons, Melissa; Murray, Sarah S.; Nalls, Michael; Pastinen, Tomi; Rajkovic, Aleksandar; Hirschhorn, Joel; Adrienne Cupples, L.; Kooperberg, Charles; Murabito, Joanne M.; Haiman, Christopher A.

    2013-01-01

    African-American (AA) women have earlier menarche on average than women of European ancestry (EA), and earlier menarche is a risk factor for obesity and type 2 diabetes among other chronic diseases. Identification of common genetic variants associated with age at menarche has a potential value in pointing to the genetic pathways underlying chronic disease risk, yet comprehensive genome-wide studies of age at menarche are lacking for AA women. In this study, we tested the genome-wide association of self-reported age at menarche with common single-nucleotide polymorphisms (SNPs) in a total of 18 089 AA women in 15 studies using an additive genetic linear regression model, adjusting for year of birth and population stratification, followed by inverse-variance weighted meta-analysis (Stage 1). Top meta-analysis results were then tested in an independent sample of 2850 women (Stage 2). First, while no SNP passed the pre-specified P < 5 × 10−8 threshold for significance in Stage 1, suggestive associations were found for variants near FLRT2 and PIK3R1, and conditional analysis identified two independent SNPs (rs339978 and rs980000) in or near RORA, strengthening the support for this suggestive locus identified in EA women. Secondly, an investigation of SNPs in 42 previously identified menarche loci in EA women demonstrated that 25 (60%) of them contained variants significantly associated with menarche in AA women. The findings provide the first evidence of cross-ethnic generalization of menarche loci identified to date, and suggest a number of novel biological links to menarche timing in AA women. PMID:23599027

  1. Relation of Age at Menarche to Physical Activity

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    Egreta Peja

    2016-10-01

    Full Text Available The aim of this study is to determine whether regular physical activity during early puberty is influential in preventing early menarche. This cross sectional study was carried out on 102 post-menarcheal girls aged 11–20 (14.79±0.33. 51 of them were already engaged in competitive sport activities prior to the onset of menstruation (group 1, while the others got engaged in such activities after the onset of menstruation (group 2. All participants provided the year and the month of their first menstrual period. First, we estimated the equality of dispersion between the two groups, by conducting Two Samples for Variances F-test. Second, because no homogeneity of variances between groups was found, they were compared by using Two Samples Assuming Unequal Variances t-test. The difference between groups is statistically significant, as the t statistics (=2.883 is greater than both critical t statistics (one-tail=1.664 two-tail=1.990 and the p value less than 0.05 in both cases (one-tail=0.002 two-tail=0.005. None of the girls in the first group starts to menstruate before 11 years of age and 90% of them are menstruating by age 14, with a median age of 12.95±0.35 years. Age of menarche is lower in the second group with a median age of 12.25±0.31 years, thus approximately 8 months lower than median age for the first group. 11.76% of the girls in the second group start to menstruate before 11 years of age and 90% of them are menstruating by age 13. It is rather, the decline in early matures among those engaged in regular physical activity prior to the onset of menses, that makes the statistically significant correlation between physical activity and age at menarche practically meaningful. Relatively early matures (<11 years have been found to be slightly shorter but up to 5.5 kg heavier in adulthood than are late matures. In addition, a relatively young age at menarche has been associated with an increased risk for breast cancer and spontaneous

  2. [Increment in height of the upper segment and bi-iliac diameter after menarche in young girls. Longitudinal study of 40 adolescents].

    Science.gov (United States)

    Singleton, A; Patois, E; Pedron, G; Roy, M P

    1975-11-01

    The growth in height, upper segment and biiliac diameter after the menarche has been studied in 40 girls followed longitudinally until the mean age of 18 years 3 months. The mean increase in height after the menarch was 7.3 +/- 2 cm., with significant individual variations. The upper segment was responsible for much of the total increase, which was greater with an early menarche. The percentage of the final height attained by the menarche was constant: 95.5 % +/- 1,2 %. After cessation in height growth, the biiliac diameter still increased for 75 % of the children. The median value for this increase after the menarche was 2 cm., with a significant scatter. The increase in these three parameters was in indirect correlation with the bone age: the less the bone age at the menarche, the greater the increase in height, upper segment and biiliac diameter.

  3. Secular trends in menarcheal age in India-evidence from the Indian human development survey.

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    Praveen Kumar Pathak

    Full Text Available BACKGROUND: Evidence from a number of countries in Europe and North America point towards the secular declining trend in menarcheal age with considerable spatial variations over the past two centuries. Similar trends were reported in several developing countries from Asia, Africa and Latin America. However, data corroborating any secular trend in the menarcheal age of the Indian population remained sparse and inadequately verified. METHODS: We examined secular trends, regional heterogeneity and association of socioeconomic, anthropometric and contextual factors with menarcheal age among ever-married women (15-49 years in India. Using the pseudo cohort data approach, we fit multiple linear regression models to estimate secular trends in menarcheal age of 91394 ever-married women using the Indian Human Development Survey. RESULTS: The mean age at menarche among Indian women was 13.76 years (95 % CI: 13.75, 13.77 in 2005. It declined by three months from 13.83 years (95% CI: 13.81, 13.85 among women born prior to 1955-1964, to nearly 13.62 years (95% CI: 13.58, 13.67 among women born during late 1985-1989. However, these aggregate national figures mask extensive spatial heterogeneity as mean age at menarche varied from 15.0 years in Himachal Pradesh during 1955-1964 (95% CI: 14.89-15.11 to about 12.1 years in Assam (95% CI: 11.63-12.56 during 1985-1989. CONCLUSION: The regression analysis established a reduction of nearly one month per decade, suggesting a secular decline in age at menarche among Indian women. Notably, the menarcheal age was significantly associated with the area of residence, geographic region, linguistic groups, educational attainment, wealth status, caste and religious affiliations among Indian women.

  4. Secular Trends in Menarcheal Age in India-Evidence from the Indian Human Development Survey

    Science.gov (United States)

    Pathak, Praveen Kumar; Tripathi, Niharika; Subramanian, S. V.

    2014-01-01

    Background Evidence from a number of countries in Europe and North America point towards the secular declining trend in menarcheal age with considerable spatial variations over the past two centuries. Similar trends were reported in several developing countries from Asia, Africa and Latin America. However, data corroborating any secular trend in the menarcheal age of the Indian population remained sparse and inadequately verified. Methods We examined secular trends, regional heterogeneity and association of socioeconomic, anthropometric and contextual factors with menarcheal age among ever-married women (15–49 years) in India. Using the pseudo cohort data approach, we fit multiple linear regression models to estimate secular trends in menarcheal age of 91394 ever-married women using the Indian Human Development Survey. Results The mean age at menarche among Indian women was 13.76 years (95 % CI: 13.75, 13.77) in 2005. It declined by three months from 13.83 years (95% CI: 13.81, 13.85) among women born prior to 1955–1964, to nearly 13.62 years (95% CI: 13.58, 13.67) among women born during late 1985–1989. However, these aggregate national figures mask extensive spatial heterogeneity as mean age at menarche varied from 15.0 years in Himachal Pradesh during 1955–1964 (95% CI: 14.89–15.11) to about 12.1 years in Assam (95% CI: 11.63–12.56) during 1985–1989. Conclusion The regression analysis established a reduction of nearly one month per decade, suggesting a secular decline in age at menarche among Indian women. Notably, the menarcheal age was significantly associated with the area of residence, geographic region, linguistic groups, educational attainment, wealth status, caste and religious affiliations among Indian women. PMID:25369507

  5. Sugar-sweetened beverage consumption and age at menarche in a prospective study of US girls.

    Science.gov (United States)

    Carwile, J L; Willett, W C; Spiegelman, D; Hertzmark, E; Rich-Edwards, J; Frazier, A L; Michels, K B

    2015-03-01

    confounders, residual confounding is possible. We did not measure SSB consumption during early childhood, which may be an important window of exposure. More frequent SSB consumption may predict earlier menarche through mechanisms other than increased BMI. Our findings provide further support for public health efforts to reduce SSB consumption. The Growing up Today Study is supported by grant R03 CA 106238. J.L.C. was supported by the Breast Cancer Research Foundation; Training Grant T32ES007069 in Environmental Epidemiology from the National Institute of Environmental Health Sciences, National Institutes of Health; and Training Grant T32HD060454 in Reproductive, Perinatal and Pediatric Epidemiology from the National Institute of Child Health and Human Development, National Institutes of Health. A.L.F. is supported by the American Cancer Society, Research Scholar Grant in Cancer Control. K.B.M. was supported in part by the National Cancer Institute at the National Institutes of Health (Public Health Service grants R01CA158313 and R03CA170952). There are no conflicts of interest to declare. © The Author 2015. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. Flashbulb memories of menarche and adult menstrual distress.

    Science.gov (United States)

    Pillemer, D B; Koff, E; Rhinehart, E D; Rierdan, J

    1987-06-01

    Ninety-nine female college students completed a questionnaire in which they recounted their memories of menarche, described menarcheal circumstances, and completed the Menstrual Distress Questionnaire (MDQ). Consistent with previous research, inadequate emotional preparation for menstruation was associated with negative feelings at menarche. However, menarcheal circumstances were not strongly predictive of adult MDQ scores. Consistent with memory theory, the amount of information in memories of menarche was negatively related to adequacy of prior knowledge about menstruation: Women who reported feeling less knowledgeable at menarche provided more information about the first episode. While memories of menarche contain information that is relevant to subsequent menstrual experiences, the relationship between menarcheal events and adult menstrual distress appears to be minor.

  7. A study of menarcheal age in India.

    Science.gov (United States)

    Roberts, D F; Chinn, S; Girija, B; Singh, H D

    1977-03-01

    A study of menarcheal age was carried out in southern India. A logit method of analysis was applied to status quo data on 1267 Tamil and Telugu speaking girls aged 9 to 18 years in 3 schools catering for different socio-economic groups. There appears to be no relationship of menarcheal age with dietary pattern classified simply as vegetarian and non-vegetarian. Differences in median age at menarche between schools correspond well with the socio-economic differences between them. The median age in the most advantaged school (12-86 years) is comparable with that in recent studies in southern and eastern Europe, and may perhaps be in advance of some recent north-west European samples.

  8. [Day at menarche, "fiesta" expectancy and "memory bias"].

    Science.gov (United States)

    Valenzuela, Carlos Y

    2004-03-01

    The photoperiod and temperature were ruled out as main factors of the annual menarche rhythm. Vacations associate to peaks and study periods to troughs of menarche. Some months show contradictory behavior according to their vacation-study condition. To test the hypothesis that menarche occurs mainly in relation to fiesta or celebration (birthdays, holidays, and vacations) expectancies. To refute the memory bias in recording the day at menarche. Girls from Santiago, Chile (3,957) and Medellin, Colombia (3,616) were asked about the date of birth and menarche. In both cities, menarche occurred more commonly at birthday, Christmas-New Year, Day of the Independence, other holidays and days at vacation. The bias of memory was refuted because in both cities important holidays did not have excesses of menarche and some non-holidays had excesses; the distribution of menarches in the neighbor of peaks was often a left biased bell, with accessory peaks, and menarches/day over the expected mean (in agreement with the fiesta expectancy), and not a U shaped distribution (as expected by the memory bias); menarche distributed homogeneously on days of the week. The fiesta expectancy appears as a cause of the menarche rhythm. The bias of memory does not produce detectable effects. Evidence for recruitment of menarches and synergism between fiesta expectancy and vacations were found.

  9. Association between adolescent idiopathic scoliosis prevalence and age at menarche in different geographic latitudes

    Directory of Open Access Journals (Sweden)

    Mihas Constantinos

    2006-05-01

    Full Text Available Abstract Background Age at menarche is considered a reliable prognostic factor for idiopathic scoliosis and varies in different geographic latitudes. Adolescent idiopathic scoliosis prevalence has also been reported to be different in various latitudes and demonstrates higher values in northern countries. A study on epidemiological reports from the literature was conducted to investigate a possible association between prevalence of adolescent idiopathic scoliosis and age at menarche among normal girls in various geographic latitudes. An attempt is also made to implicate a possible role of melatonin in the above association. Material-methods 20 peer-reviewed published papers reporting adolescent idiopathic scoliosis prevalence and 33 peer-reviewed papers reporting age at menarche in normal girls from most geographic areas of the northern hemisphere were retrieved from the literature. The geographic latitude of each centre where a particular study was originated was documented. The statistical analysis included regression of the adolescent idiopathic scoliosis prevalence and age at menarche by latitude. Results The regression of prevalence of adolescent idiopathic scoliosis and age at menarche by latitude is statistically significant (p Conclusion Late age at menarche is parallel with higher prevalence of adolescent idiopathic scoliosis. Pubarche appears later in girls that live in northern latitudes and thus prolongs the period of spine vulnerability while other pre-existing or aetiological factors are contributing to the development of adolescent idiopathic scoliosis. A possible role of geography in the pathogenesis of idiopathic scoliosis is discussed, as it appears that latitude which differentiates the sunlight influences melatonin secretion and modifies age at menarche, which is associated to the prevalence of idiopathic scoliosis.

  10. The influence of age at menarche on the fertility of Chinese women.

    Science.gov (United States)

    McKibben, Sherry L; Poston, Dudley L

    2003-01-01

    This paper examines the effect of age at menarche on children ever born (CEB). We use data from the 1997 Sample Survey of Population and Reproductive Health conducted by the China Population Information and Research Center and the State Family Planning Commission. Poisson regression models are estimated for 10,919 ever married Chinese Han women. The influence of a woman's age at menarche on her CEB is examined while controlling for the social effects of rural/urban residency, education, her number of fecund years, whether her first birth occurred before or after the initiation of China's one child policy, and her age at first marriage. The results support our hypothesized positive association between age at menarche and CEB. That is, the later a woman's age at menarche, the greater her number of children ever born. Holding the other five independent variables constant, we show that for every additional month in age at menarche, a Chinese Han woman's mean number of children ever born increases by 0.5 percent. Some of the implications of these results are explored.

  11. Life-course origins of the ages at menarche and menopause.

    Science.gov (United States)

    Forman, Michele R; Mangini, Lauren D; Thelus-Jean, Rosenie; Hayward, Mark D

    2013-01-01

    A woman's age at menarche (first menstrual period) and her age at menopause are the alpha and omega of her reproductive years. The timing of these milestones is critical for a woman's health trajectory over her lifespan, as they are indicators of ovarian function and aging. Both early and late timing of either event are associated with risk for adverse health and psychosocial outcomes. Thus, the search for a relationship between age at menarche and menopause has consequences for chronic disease prevention and implications for public health. This article is a review of evidence from the fields of developmental biology, epidemiology, nutrition, demography, sociology, and psychology that examine the menarche-menopause connection. Trends in ages at menarche and menopause worldwide and in subpopulations are presented; however, challenges exist in constructing trends. Among 36 studies that examine the association between the two sentinel events, ten reported a significant direct association, two an inverse association, and the remainder had null findings. Multiple factors, including hormonal and environmental exposures, socioeconomic status, and stress throughout the life course are hypothesized to influence the tempo of growth, including body size and height, development, menarche, menopause, and the aging process in women. The complexity of these factors and the pathways related to their effects on each sentinel event complicate evaluation of the relationship between menarche and menopause. Limitations of past investigations are discussed, including lack of comparability of socioeconomic status indicators and biomarker use across studies, while minority group differences have received scant attention. Suggestions for future directions are proposed. As research across endocrinology, epidemiology, and the social sciences becomes more integrated, the confluence of perspectives will yield a richer understanding of the influences on the tempo of a woman's reproductive life

  12. Age at menarche and eruption of permanent second molars: an investigation to determine a possible correlation.

    Directory of Open Access Journals (Sweden)

    Taaniya Akhter

    2015-12-01

    Full Text Available Objective: Downward shifts in the mean menarcheal age and earlier emergence of permanent second molars have been observed worldwide during the past few decades. A positive correlation between the two would make menarche a biomarker for permanent second molar eruption or vice versa, making it a simple tool for monitoring oral status of adolescent girls. This study was conducted to find a correlation between attainment of menarche and eruption status of permanent second molars in girls aged 10-13 years. Material and Methods: A cross-sectional descriptive study was conducted on 470 female students from six randomly selected schools who consented to participate in the interview and oral examination. Data were analyzed using the Chi square (X2 test with a p-value of < 0.05 considered statistically significant. Results: Significant differences existed within the age groups with regard to attainment of menarche (p = 0.000 and eruption status of second molars (p = 0.000 for all four teeth. However, no correlation could be found between attainment of menarche and eruption status of the permanent second molars. Conclusion: Although this study failed to find a correlation between the two variables, a population based multicentric survey may give a concrete conclusion on this issue. [J Contemp Med 2015; 5(4.000: 210-214

  13. Secular trends in age at menarche and time to establish regular menstrual cycling in Japanese women born between 1930 and 1985

    Directory of Open Access Journals (Sweden)

    Hosokawa Michie

    2012-07-01

    Full Text Available Abstract Background Early life-stage exposure to estrogen increases the risk of breast cancer. The objective of this study was to investigate the age at menarche and time to onset of regular menstrual cycles for Japanese women born between 1930 and 1985. Methods A cross-sectional study was designed using data from the baseline survey of the Japan Nurses’ Health Study. The data from 48,104 female nurses were analyzed. To view trends in age at menarche, the distribution of age at menarche was calculated for each birth year cohort. The distribution of time to onset of regular menstrual cycles was calculated for each birth year cohort. To estimate whether high-risk group of the estrogenic dependent disorders increase with succeeding generations, we defined the women who experienced menarche at ten years old or younger and started a regular cycle within one year as early age onset of ovulatory cycles. Results Average ages at menarche were as follows: 13.8 years for those born in the 1930s (n = 113, 13.3 years for the 1940s (n = 4,751, 12.8 years for the 1950s (n = 15,844, 12.3 years for the 1960s (n = 20,547, 12.2 years for the 1970s (n = 6,568, and 12.2 years for the 1980s (n = 281. The proportion of women who experienced the onset of regular menstrual cycles 1 year after menarche was 29.3% for those born in the 1930s, but decreased to 11.9% for the 1980s. On the other hand, the proportion of women who did not have regular menstrual cycles was 10.4% for those born in the 1930s, but rose to 19.8% in 1980s. The proportion of women who experienced menarche at 10 years old and started regular menstrual cycles within one year increased over time: the percentage was 0.0%, 0.4%, 0.6%, 1.1%, 1.3%, and 2.1% for the women born in 1930s, 1940s, 1950s, 1960s, 1970s, and 1980s, respectively. Conclusions The age at menarche of Japanese women born between 1930 and 1985 decreased, but the onset of regular menstrual cycling

  14. The trend in age at menarche in Indonesia: birth cohorts 1944–1988.

    Science.gov (United States)

    Sohn, Kitae

    2015-05-01

    Employing the Indonesian Family Life Survey, this paper depicts the trend in age at menarche in Indonesia for women born in 1944–1988. Mean age at menarche decreased from 14.39 years for birth year 1944 to 13.18 years for birth year 1988. Subsequently, this trend is related to the improvement in material conditions, measured by GDP per capita in childhood. The OLS results indicate that this decrease is largely explained by the improvement in material conditions. If age at menarche is considered an indicator of biological standard of living, these results suggest that the improvement in material conditions during the period converted to an improvement in biological standard of living.

  15. Seasonal variations in menarche in Oslo.

    Science.gov (United States)

    Brundtland, G H; Liestøl, K

    1982-01-01

    Data from about 11,000 girls aged 10-18 years were used to study seasonal variations in menarche in Oslo, Norway. A statistical method which takes into account the changes over time in the age-structure of the sample is used to show that throughout the period 1965-1970, the menarche incidence varied according to a stable bimodal seasonal pattern with peaks in December-January and July-August. This pattern corresponds to those observed in Sweden and Finland, but deviates from other reported patterns, i.e. from the variations found in Copenhagen. It is argued that a possible cause of general lack of well supported hypotheses for seasonal variations is that an environmental factor may cause marked cyclic variations, without having a marked effect on the process determining maturation.

  16. The Cannabinoid Receptor 2 Q63R Variant Modulates the Relationship between Childhood Obesity and Age at Menarche.

    Directory of Open Access Journals (Sweden)

    Giulia Bellini

    Full Text Available The ovary is an important site where gene variants modulate pubertal timing. The cannabinoid receptor 2 (CB2 is expressed in the ovary, plays a role in folliculogenesis and ovulation, and can be modulated by estrogens. Obesity is strictly associated with early menarche and is characterized by sex hormone and endocannabinoid derangement.In this study, we investigated the role of the CB2 receptor in determining the age at menarche in obese girls.We studied a cohort of 240 obese girls (age 11.9±3 years; BMI z-score 2.8±0.8. The age at menarche (if it had already occurred was recorded at the time of the visit or via phonecall. The CNR2 rs35761398 polymorphism, which leads to the CB2 Q63R variant, was detected by the TaqMan assay.In total, 105 patients were homozygous for the R63-coding allele (RR, 113 were QR and 22 were QQ. Variance analysis revealed a significantly earlier age of menarche in subjects carrying the Q63 allele, which was also found after adjusting for BMI z-score (11±1.2 vs. 11.6±1.2 years, p = 0.0003. Logistic regression analysis demonstrated that patients homozygous for the Q allele had a 2.2-fold higher risk (odds ratio = 2.2; CI1.1-3.4; p = 0.02 of presenting with an early menarche (age at menarche <12 years.We demonstrated for the first time the association between the CB2 Q63R functional variant and the age at menarche in a cohort of Italian obese girls.

  17. Age at menarche and the menstrual pattern of secondary school adolescents in northwest Ethiopia

    Directory of Open Access Journals (Sweden)

    Megabiaw Berihun

    2009-10-01

    Full Text Available Abstract Background Population studies on normal and dysfunctional characteristics of menstrual cycles are scarce in Ethiopia. In addition variability in menarcheal age and menstrual characteristics are common. Knowledge on this variability is necessary for patient education and to guide clinical evaluation. Methods A cross sectional study was conducted in two small towns called Dabat and Kola Diba, northwest Ethiopia between April and May 2007. Systematic sampling method was used to select 622 school girls from two secondary schools. A pretested questionnaire prepared in Amharic was used to gather data. Selected girls cooperated in answering the questionnaire in their classrooms under the supervision of the research team. Only 612 of the adolescent females were included in the final analysis, of which 305 were from Koladiba High School and 307 from Dabat. Results The age of the study subjects ranges between 14 and 19 with a mean (standard deviation of 16.9 ± 1 years. About 92.2% had attained menarche by the time the survey was conducted. The probit analysis of the status quo data yielded a median (CI age at menarche of 14.8 (13.9-15.3 years. The average age at menarche by recall method was 15.8 ± 1 years. The mean age at menarche was 0.3 years younger for urban females compared with rural ones (p Conclusion In this study age of menarche was found to be delayed which is even higher than the findings indicated similar studies conducted in Ethiopia and other African countries. A significant number of students complain of abnormal menstrual cycle, dysmenorrhoea and premenstrual symptoms which call for appropriate counselling and management.

  18. Faktor-Faktor yang Berhubungan dengan Usia Menarche Siswi SMP Adabiah

    Directory of Open Access Journals (Sweden)

    Fitrah Umi Mutasya

    2016-01-01

    Full Text Available AbstrakMenarche (menars adalah haid pertama dari uterus yang merupakan awal dari fungsi menstruasi dan tanda telah terjadinya pubertas pada remaja putri. Pada dekade terakhir menunjukkan kecenderungan pergeseran usia menars ke arah umur yang lebih muda. Tujuan penelitian ini adalah menentukan faktor-faktor yang berhubungan dengan usia menars. Jenis penelitian ini adalah analitik observasional dalam bentuk rancangan cross sectional study. Populasi dalam penelitian ini adalah seluruh siswi SMP Adabiah kelas VII dan VIII tahun ajaran 2012/2013. Jumlah sampel sebanyak 72 siswi yang diambil secara Simple Random Sampling. Data dikumpulkan dengan angket dan pengukuran tinggi dan berat badan responden. Pengolahan data dilakukan secara komputerisasi dan analisis dengan uji chi-square pada α = 0,05. Hasil penelitian didapatkan bahwa usia menars rata-rata siswi SMP Adabiah adalah 12,29 ± 0,49 tahun. Uji statistik menunjukkan terdapat hubungan yang bermakna antara tingkat pendapatan per kapita dan status gizi dengan usia menars sedangkan tingkan pendidikan orang tua dan paparan media massa tidak terdapat hubungan yang bermakna dengan usia menars.Kata kunci: usia menars, pendapatan per kapita, status gizi AbstractMenarche is the first menstruation or bleeding of the uterus that is the beginning of the menstrual function and mark the occurrence of puberty in young girls. In the past decade shows a shift in the age of menarche trend toward younger age. The objective of this study was to determine the associated factors to age of menarche. This type of research is observational analytic with cross sectional study design. The population in this study were all junior high school students of class VII and VIII academic year 2012/2013. The total sample of 72 student were taken by simple random sampling. Data were collected by questionnaire and measurement of height and weight. Data was analyzed  by chi-square test at α = 0,005. The result showed that the

  19. Life-course origins of the ages at menarche and menopause

    Science.gov (United States)

    Forman, Michele R; Mangini, Lauren D; Thelus-Jean, Rosenie; Hayward, Mark D

    2013-01-01

    A woman’s age at menarche (first menstrual period) and her age at menopause are the alpha and omega of her reproductive years. The timing of these milestones is critical for a woman’s health trajectory over her lifespan, as they are indicators of ovarian function and aging. Both early and late timing of either event are associated with risk for adverse health and psychosocial outcomes. Thus, the search for a relationship between age at menarche and menopause has consequences for chronic disease prevention and implications for public health. This article is a review of evidence from the fields of developmental biology, epidemiology, nutrition, demography, sociology, and psychology that examine the menarche–menopause connection. Trends in ages at menarche and menopause worldwide and in subpopulations are presented; however, challenges exist in constructing trends. Among 36 studies that examine the association between the two sentinel events, ten reported a significant direct association, two an inverse association, and the remainder had null findings. Multiple factors, including hormonal and environmental exposures, socioeconomic status, and stress throughout the life course are hypothesized to influence the tempo of growth, including body size and height, development, menarche, menopause, and the aging process in women. The complexity of these factors and the pathways related to their effects on each sentinel event complicate evaluation of the relationship between menarche and menopause. Limitations of past investigations are discussed, including lack of comparability of socioeconomic status indicators and biomarker use across studies, while minority group differences have received scant attention. Suggestions for future directions are proposed. As research across endocrinology, epidemiology, and the social sciences becomes more integrated, the confluence of perspectives will yield a richer understanding of the influences on the tempo of a woman

  20. Planck Early Results: The Early Release Compact Source Catalog

    CERN Document Server

    Ade, P A R; Arnaud, M; Ashdown, M; Aumont, J; Baccigalupi, C; Balbi, A; Banday, A J; Barreiro, R B; Bartlett, J G; Battaner, E; Benabed, K; Benoît, A; Bernard, J -P; Bersanelli, M; Bhatia, R; Bonaldi, A; Bonavera, L; Bond, J R; Borrill, J; Bouchet, F R; Bucher, M; Burigana, C; Butler, R C; Cabella, P; Cantalupo, C M; Cappellini, B; Cardoso, J -F; Catalano, A; Cayón, L; Challinor, A; Chamballu, A; Chary, R -R; Chen, X; Chiang, L -Y; Chiang, C; Christensen, P R; Clements, D L; Colombi, S; Couchot, F; Coulais, A; Crill, B P; Cuttaia, F; Danese, L; Davis, R J; de Bernardis, P; de Rosa, A; de Zotti, G; Delabrouille, J; Delouis, J -M; Désert, F -X; Dickinson, C; Diego, J M; Dolag, K; Dole, H; Donzelli, S; Doré, O; Dörl, U; Douspis, M; Dupac, X; Efstathiou, G; En\\sslin, T A; Eriksen, H K; Finelli, F; Forni, O; Fosalba, P; Frailis, M; Franceschi, E; Galeotta, S; Ganga, K; Giard, M; Giraud-Héraud, Y; González-Nuevo, J; Górski, K M; Gratton, S; Gregorio, A; Gruppuso, A; Haissinski, J; Hansen, F K; Harrison, D; Helou, G; Henrot-Versillé, S; Hernández-Monteagudo, C; Herranz, D; Hildebrandt, S R; Hivon, E; Hobson, M; Holmes, W A; Hornstrup, A; Hovest, W; Hoyland, R J; Huffenberger, K M; Huynh, M; Jaffe, A H; Jones, W C; Juvela, M; Keihänen, E; Keskitalo, R; Kisner, T S; Kneissl, R; Knox, L; Kurki-Suonio, H; Lagache, G; Lähteenmäki, A; Lamarre, J -M; Lasenby, A; Laureijs, R J; Lawrence, C R; Leach, S; Leahy, J P; Leonardi, R; León-Tavares, J; Leroy, C; Lilje, P B; Linden-V\\ornle, M; López-Caniego, M; Lubin, P M; Macías-Pérez, J F; MacTavish, C J; Maffei, B; Maggio, G; Maino, D; Mandolesi, N; Mann, R; Maris, M; Marleau, F; Marshall, D J; Martínez-González, E; Masi, S; Massardi, M; Matarrese, S; Matthai, F; Mazzotta, P; McGehee, P; Meinhold, P R; Melchiorri, A; Melin, J -B; Mendes, L; Mennella, A; Mitra, S; Miville-Deschênes, M -A; Moneti, A; Montier, L; Morgante, G; Mortlock, D; Munshi, D; Murphy, A; Naselsky, P; Natoli, P; Netterfield, C B; N\\orgaard-Nielsen, H U; Noviello, F; Novikov, D; Novikov, I; O'Dwyer, I J; Osborne, S; Pajot, F; Paladini, R; Partridge, B; Pasian, F; Patanchon, G; Pearson, T J; Perdereau, O; Perotto, L; Perrotta, F; Piacentini, F; Piat, M; Piffaretti, R; Plaszczynski, S; Platania, P; Pointecouteau, E; Polenta, G; Ponthieu, N; Poutanen, T; Pratt, G W; Prézeau, G; Prunet, S; Puget, J -L; Rachen, J P; Reach, W T; Rebolo, R; Reinecke, M; Renault, C; Ricciardi, S; Riller, T; Ristorcelli, I; Rocha, G; Rosset, C; Rowan-Robinson, M; Rubi\; Rusholme, B; Sajina, A; Sandri, M; Santos, D; Savini, G; Schaefer, B M; Scott, D; Seiffert, M D; Shellard, P; Smoot, G F; Starck, J -L; Stivoli, F; Stolyarov, V; Sudiwala, R; Sunyaev, R; Sygnet, J -F; Tauber, J A; Tavagnacco, D; Terenzi, L; Toffolatti, L; Tomasi, M; Torre, J -P; Tristram, M; Tuovinen, J; Türler, M; Umana, G; Valenziano, L; Valiviita, J; Varis, J; Vielva, P; Villa, F; Vittorio, N; Wade, L A; Wandelt, B D; White, S D M; Wilkinson, A; Yvon, D; Zacchei, A; Zonca, A

    2011-01-01

    A brief description of the methodology of construction, contents and usage of the Planck Early Release Compact Source Catalogue (ERCSC), including the Early Cold Cores (ECC) and the Early Sunyaev-Zeldovich (ESZ) cluster catalogue is provided. The catalogue is based on data that consists of mapping the entire sky once and 60% of the sky a second time by Planck. A Monte-Carlo algorithm based on the injection and extraction of artificial sources into the Planck maps was implemented to select reliable sources among all extracted candidates such that the cumulative reliability of the catalogue is >=90%. As a result of the Monte-Carlo assessment of the reliability of sources from different techniques, the PowellSnakes source extraction technique was used at the 5 frequencies between 30 and 143 GHz while the SExtractor technique was used between 217 and 857 GHz. The 10 sigma photometric flux density limit of the catalogue at |b|>30 deg is 0.49, 1.0, 0.67, 0.5, 0.33, 0.28, 0.25, 0.47 and 0.82 Jy at each of the nine f...

  1. Relationship between menarche and psychosis onset in women with first episode of psychosis.

    Science.gov (United States)

    Rubio-Abadal, Elena; Usall, Judith; Barajas, Anna; Carlson, Janina; Iniesta, Raquel; Huerta-Ramos, Elena; Baños, Iris; Dolz, Montserrat; Sánchez, Bernardo; Ochoa, Susana

    2016-10-01

    The aim of this study was to explore the relationship between age at menarche and age at first episode of psychosis, as well as clinical severity and outcome, in a population of women with first-episode psychosis. Clinical and socio-demographical data, age at menarche and at first-episode psychosis, parental history of psychosis and cannabis-use habits were obtained from 42 subjects with a first episode of psychosis. Positive and Negative Syndrome Scale, Clinical Global Impression, Global Assessment Function, Disability Assessment Schedule, Wechsler Adult Intelligence Scale and Wechsler Intelligence Scale for Children, European Quality of Life, and Lewis and Murray Obstetric Complication Scales were administered. Statistical analysis was performed by means of zero-order correlations and Mann-Whitney U and Kruskal-Wallis tests using SPSS version 17.0. We found no significant correlation between age at menarche and age at first-episode psychosis, or with the clinical scores performed. We observed that subjects with earlier age at menarche had more parental history of psychosis. Our negative results do not support the theory of a possible protective role of oestrogen, which seems to be more complex than previously thought. We would suggest that further research is needed to investigate developmental influences of sex steroids on the onset of psychosis and potentially therapeutic benefits based upon oestrogen. © 2014 Wiley Publishing Asia Pty Ltd.

  2. Age at menarche and menopause and breast cancer risk in the International BRCA1/2 Carrier Cohort Study.

    NARCIS (Netherlands)

    Chang-Claude, J.; Andrieu, N.; Rookus, M.A.; Brohet, R.M.; Antoniou, A.C.; Peock, S.; Davidson, R.; Izatt, L.; Cole, T.; Nogues, C.; Luporsi, E.; Huiart, L.; Hoogerbrugge, N.; Leeuwen, F.E. van; Osorio, A.; Eyfjord, J.; Radice, P.; Goldgar, D.E.; Easton, D.F.

    2007-01-01

    BACKGROUND: Early menarche and late menopause are important risk factors for breast cancer, but their effects on breast cancer risk in BRCA1 and BRCA2 carriers are unknown. METHODS: We assessed breast cancer risk in a large series of 1,187 BRCA1 and 414 BRCA2 carriers from the International BRCA1/2

  3. Body mass index and age of menarche in young girls

    Directory of Open Access Journals (Sweden)

    Dina Olivia

    2012-11-01

    Full Text Available Background Currently the age at onset of menarche is earlier than in the past. Nutritional status has an important role in the onset of menarche. Past studies have shown an association between body mass index (BMI in young girls and earlier onset of menarche. Objective To assess an association between BMI and age at onset of menarche. Methods This cross-sectional study was conducted in young girls aged 10 to 15 years from Immanuel Elementary and Junior High School, Medan in June 2010. We used purposive sampling to recruit subjects. After subjects underwent height and weight measurements, we calculated their BMI. The association between BMI and initial age of menarche was assessed by Chi square test (P 95th percentile of BMI (obese. All obese subjects had an earlier onset of menarche at ages 10-11 years, compared to that of non-obese subjects (P=0.0001. Conclusion Young girls with BMI > 95th percentile had an earlier age at onset of menarche than young girls with lower BMI.

  4. Age at Menarche and Risk of Multiple Sclerosis

    DEFF Research Database (Denmark)

    Nielsen, Nete Munk; Harpsøe, Maria C; Simonsen, Jacob

    2017-01-01

    -2002). Information on menarcheal age was ascertained at the first interview, which took place in the 16th week of pregnancy. Women were followed for MS from the first interview to December 31, 2011. Associations between age at menarche and risk of MS were evaluated with hazard ratios and 95% confidence intervals...... using Cox proportional hazards regression models. Overall, 226 women developed MS during an average follow-up period of 11.7 years. Age at menarche among women with MS was generally lower than that among women without MS (Wilcoxon rank-sum test; P = 0.002). We observed an inverse association between age...

  5. Age at menarche in relation to anthropometric characteristics, competition level and boat category in elite junior rowers.

    Science.gov (United States)

    Claessens, A L; Bourgois, J; Beunen, G; Philippaerts, R; Thomis, M; Lefevre, J; Loos, R J E; Vrijens, J

    2003-01-01

    Within the context of the effects of training for sports on growth and maturation, there is very little menarcheal data for elite rowing athletes. Knowledge of the relationship of the maturational status with training level, different boat categories, and somatic features of the athletes will clarify the assumed impact of rowing training on the growth and maturational process of youngsters. The aim of this study was to determine the age at menarche in world top junior rowing athletes and to investigate its relationship with anthropometric characteristics, and competition level, rowing style and boat category. The sample consisted of 212 female junior rowers, with a mean chronological age of 17.6 +/- 0.8 years, all participants at the 1997 FISA World Junior Rowing Championships. Anthropometric dimensions, somatotype and body composition characteristics were measured, and age at menarche and training data were retrospectively obtained by questionnaires. Results revealed that the mean age at menarche of the total group of rowers was 12.8 +/- 1.2 years and did not differ from a non-athletic reference population. Rowers who started their rowing training before menarche (n = 78) showed a significant (p athletes.

  6. Age at menarche and risk of type 2 diabetes among African-American and white women in the Atherosclerosis Risk in Communities (ARIC) study

    Science.gov (United States)

    Lutsey, P. L.; Huxley, R.; Pankow, J. S.; Selvin, E.; Fernández-Rhodes, L.; Franceschini, N.; Demerath, E. W.

    2013-01-01

    Aims/hypothesis We examined race differences in the association between age at menarche and type 2 diabetes before and after adjustment for adiposity. Methods We analysed baseline and 9-year follow-up data from 8,491 women (n=2,505 African-American, mean age 53.3 years; n=5,986 white, mean age 54.0 years) in the Atherosclerosis Risk in Communities (ARIC) study. Stratifying by race, we used logistic regression to estimate the OR for prevalent diabetes at baseline, and Cox proportional hazard models to estimate the HR for incident diabetes over follow-up according to age at menarche category (8–11, 12, 13, 14 and 15–18 years). Results Adjusting for age and centre, we found that early age at menarche (8–11 vs 13 years) was associated with diabetes for white, but not African-American women in both the prevalent (white OR 1.72, 95% CI 1.32, 2.25; African-American OR 1.13, 95% CI 0.84, 1.51; interaction p = 0.043) and incident models (white HR 1.43, 95% CI 1.08, 1.89; African-American HR 1.20, 95% CI 0.87, 1.67; interaction p=0.527). Adjustment for adiposity and lifestyle confounders attenuated associations for prevalent (white OR 1.41, 95% CI 1.05, 1.89; African-American OR 0.94, 95% CI 0.68, 1.30; interaction p=0.093) and incident diabetes (white HR 1.22, 95% CI 0.92, 1.63; African-American HR 1.11, 95% CI 0.80, 1.56; interaction p=0.554). Conclusions/interpretation Early menarche was associated with type 2 diabetes in white women, and adulthood adiposity attenuated the relationship. We did not find a similar association in African-American women. Our findings suggest that there may be race/ethnic differences in the influence of developmental factors in the aetiology of type 2 diabetes, which merit further investigation. PMID:22760786

  7. Life-course origins of the ages at menarche and menopause

    Directory of Open Access Journals (Sweden)

    Forman MR

    2013-01-01

    Full Text Available Michele R Forman,1 Lauren D Mangini,1 Rosenie Thelus-Jean,2 Mark D Hayward31Nutritional Sciences, The University of Texas at Austin, Austin, TX, 2Office of the Surgeon General, Department of the Army, Washington DC, 3Population Research Center, The University of Texas at Austin, Austin, TX, USAAbstract: A woman's age at menarche (first menstrual period and her age at menopause are the alpha and omega of her reproductive years. The timing of these milestones is critical for a woman's health trajectory over her lifespan, as they are indicators of ovarian function and aging. Both early and late timing of either event are associated with risk for adverse health and psychosocial outcomes. Thus, the search for a relationship between age at menarche and menopause has consequences for chronic disease prevention and implications for public health. This article is a review of evidence from the fields of developmental biology, epidemiology, nutrition, demography, sociology, and psychology that examine the menarche–menopause connection. Trends in ages at menarche and menopause worldwide and in subpopulations are presented; however, challenges exist in constructing trends. Among 36 studies that examine the association between the two sentinel events, ten reported a significant direct association, two an inverse association, and the remainder had null findings. Multiple factors, including hormonal and environmental exposures, socioeconomic status, and stress throughout the life course are hypothesized to influence the tempo of growth, including body size and height, development, menarche, menopause, and the aging process in women. The complexity of these factors and the pathways related to their effects on each sentinel event complicate evaluation of the relationship between menarche and menopause. Limitations of past investigations are discussed, including lack of comparability of socioeconomic status indicators and biomarker use across studies, while

  8. Early Puberty Linked to Higher Type 2 Diabetes Risk

    Science.gov (United States)

    ... associated with early menarche was still apparent after accounting for adiposity. Around half of the increased risk ... Diabetes Pro: Professional Resources Shop Diabetes » Close nonprofit software

  9. Intake of dairy products, calcium, magnesium, and phosphorus in childhood and age at menarche in the Tehran Lipid and Glucose Study.

    Directory of Open Access Journals (Sweden)

    Fahimeh Ramezani Tehrani

    Full Text Available PURPOSE: Studies indicate that milk intake is associated with insulin-like growth factor 1 (IGF-1 concentrations and height in childhood, whether milk and other dairy products promote puberty remains unclear. This study aimed to investigate influences of pre-pubertal intakes of milk, yogurt and cheese on menarcheal age in Tehranian girls. The associations of total dietary calcium (Ca, magnesium (Mg, and phosphorus (P with menarcheal age were also examined. METHODS: This prospective study was conducted on 134 pre-pubertal girls, aged 4-12 years at baseline, who participated in the Tehran Lipid and Glucose Study (TLGS, and were followed for a median of 6.5 years. Dietary intakes were determined at initiation of the study using two non-consecutive 24-h dietary recalls and the age of menarche was documented during the follow-up. Logistic regression was used to calculate the risk of reaching menarche ≤ 12 years according to pre-pubertal levels of dairy or mineral intakes. RESULTS: The risk of earlier menarche was higher in girls with higher intakes of milk [OR: 2.28 (95% CI: 1.03-5.05], Ca [OR: 3.20 (95%CI: 1.39-7.42], Mg [OR: 2.43 (95% CI: 1.12-5.27] and P [OR: 3.37 (95 % CI: 1.44-7.87 after controlling for energy and protein intake, interval between the age at study initiation and the age of menarche, and maternal age at menarche (Model 1. Girls in the middle tertile of cheese intakes had a lower risk of reaching menarche ≤ 12 years than those in the lowest tertile after controlling for covariates in model 1. These associations remained significant after further adjustment of BMI Z-score at baseline. The relationship of Ca, Mg, and P with menarche remained after further adjustment for height Z-score at baseline, whereas the association between milk and cheese intakes became non-significant. CONCLUSIONS: Pre-pubertal intake of milk, but not cheese and yogurt, may hasten age at menarche.

  10. Nutritional Status and Age at Menarche on Female Students of Junior High School

    Science.gov (United States)

    Juliyatmi, Rihul Husnul; Handayani, Lina

    2015-01-01

    Menarche is the first menstrual period as one of the sign of puberty. There are many factors may affect the age at menarche such as nutritional status, genetic, environmental conditions, socioeconomic status, and education. The purpose of this research is to determine the relationship between nutritional status and age of menarche on female…

  11. Childhood Experience and the Onset of Menarche: A Test of a Sociobiological Model.

    Science.gov (United States)

    Moffitt, Terrie E.; And Others

    1992-01-01

    Used data from a longitudinal study of 16-year-old girls to test predictions about psychosocial factors in the onset of menarche. Found that family conflict and father's absence in childhood predicted an earlier age of menarche, and these factors in combination with weight showed some evidence of an additive influence on menarche. (Author/GLR)

  12. Planck early results. VII. The Early Release Compact Source Catalogue

    DEFF Research Database (Denmark)

    Ade, P. A. R.; Aghanim, N.; Arnaud, M.

    2011-01-01

    the entire sky once and 60% of the sky a second time by Planck, thereby comprising the first high sensitivity radio/submillimetre observations of the entire sky. Four source detection algorithms were run as part of the ERCSC pipeline. A Monte-Carlo algorithm based on the injection and extraction...... of artificial sources into the Planck maps was implemented to select reliable sources among all extracted candidates such that the cumulative reliability of the catalogue is ≤90%. There is no requirement on completeness for the ERCSC. As a result of the Monte-Carlo assessment of reliability of sources from...

  13. Interaction effects between estrogen receptor α and vitamin D receptor genes on age at menarche in Chinese women

    Institute of Scientific and Technical Information of China (English)

    Hong XU; Ji-rong LONG; Miao-xin LI; Hong-wen DENG

    2005-01-01

    Aim: To evaluate whether estrogen receptor α (ER-α) and vitamin D receptor (VDR) genes are associated with the age at menarche in Chinese women.Methods:A total of 390 pre-menopausal Chinese women were genotyped at the ER-α PvuⅡ,XbaⅠ, and VDR ApaⅠ loci using polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP).Results: Neither the ER-α gene nor the VDR gene individually had significant effects on the age at menarche in our subjects (P>0.10).However, evidence of interaction effects between the two genes were observed: with the aa genotype at the VDR ApaⅠ locus, subjects with haplotype PX at the ER-α gene had, on average, 6 months later onset of menarche than the non-carriers (P=0.01).Conclusion: We found that neither the ER-α gene or the VDR gene had a significant association with the age at menarche individually.However, potential interaction effects between the two genes were observed in Chinese women.

  14. Early Results from the Qweak Experiment

    Directory of Open Access Journals (Sweden)

    Androic D.

    2014-03-01

    Full Text Available A subset of results from the recently completed Jefferson Lab Qweak experiment are reported. This experiment, sensitive to physics beyond the Standard Model, exploits the small parity-violating asymmetry in elastic e→p$\\vec e{\\rm{p}}$ scattering to provide the first determination of the proton’s weak charge Qwp$Q_w^p$. The experiment employed a 180 μA longitudinally polarized 1.16 GeV electron beam on a 35 cm long liquid hydrogen target. Scattered electrons in the angular range 6° < θ < 12° corresponding to Q2 = 0.025 GeV2 were detected in eight Cerenkov detectors arrayed symmetrically around the beam axis. The goals of the experiment were to provide a measure of e→p$\\vec e{\\rm{p}}$ to 4.2% (combined statisstatistical and systematic error, which implies a measure of sin2(θw at the level of 0.3%, and to help constrain the vector weak quark charges C1u and C1d. The experimental method is described, with particular focus on the challenges associated with the world’s highest power LH2 target. The new constraints on C1u and C1d provided by the subset of the experiment’s data analyzed to date will also be shown, together with the extracted weak charge of the neutron.

  15. Early Results from the Qweak Experiment

    CERN Document Server

    Androic, D; Asaturyan, A; Averett, T; Balewski, J; Beaufait, J; Beminiwattha, R S; Benesch, J; Benmokhtar, F; Birchall, J; Carlini, R D; Cates, G D; Cornejo, J C; Covrig, S; Dalton, M M; Davis, C A; Deconinck, W; Diefenbach, J; Dowd, J F; Dunne, J A; Dutta, D; Duvall, W S; Elaasar, M; Falk, W R; Finn, J M; Forest, T; Gaskel, D; Gericke, M T W; Grames, J; Gray, V M; Grimm, K; Guo, F; Hoskins, J R; Johnston, K; Jones, D; Jones, M; Jones, R; Kargiantoulakis, M; King, P M; Korkmaz, E; Kowalski, S; Leacock, J; Leckey, J; Lee, A R; Lee, J H; Lee, L; MacEwan, S; Mack, D; Magee, J A; Mahurin, R; Mammei, J; Martin, J; McHugh, M J; Meekins, D; Mei, J; Michaels, R; Micherdzinska, A; Mkrtchyan, A; Mkrtchyan, H; Morgan, N; Myers, K E; Narayan, A; Ndukum, L Z; Nelyubin, V; Nuruzzaman,; van Oers, W T H; Opper, A K; Page, S A; Pan, J; Paschke, K; Phillips, S K; Pitt, M L; Poelker, M; Rajotte, J F; Ramsay, W D; Roche, J; Sawatzky, B; Seva, T; Shabestari, M H; Silwal, R; Simicevic, N; Smith, G R; Solvignon, P; Spayde, D T; Subedi, A; Subedi, R; Suleiman, R; Tadevosyan, V; Tobias, W A; Tvaskis, V; Waidyawansa, B; Wang, P; Wells, S P; Wood, S A; Yang, S; Young, R D; Zhamkochyan, S

    2013-01-01

    A subset of results from the recently completed Jefferson Lab Qweak experiment are reported. This experiment, sensitive to physics beyond the Standard Model, exploits the small parity-violating asymmetry in elastic ep scattering to provide the first determination of the protons weak charge Qweak(p). The experiment employed a 180 uA longitudinally polarized 1.16 GeV electron beam on a 35 cm long liquid hydrogen target. Scattered electrons corresponding to Q2 of 0.025 GeV2 were detected in eight Cerenkov detectors arrayed symmetrically around the beam axis. The goals of the experiment were to provide a measure of Qweak(p) to 4.2 percent (combined statistical and systematic error), which implies a measure of sin2(thetaw) at the level of 0.3 percent, and to help constrain the vector weak quark charges C1u and C1d. The experimental method is described, with particular focus on the challenges associated with the worlds highest power LH2 target. The new constraints on C1u and C1d provided by the subset of the experi...

  16. Age at Menarche and First Pregnancy Among Psychosocially At-Risk Adolescents

    Science.gov (United States)

    Dunbar, Jessica; Lezotte, Dennis; Dabelea, Dana; Stevens-Simon, Catherine

    2008-01-01

    We sought to determine which factors influence the association between menarche and conception among adolescent study participants (n = 1030), who demonstrated an earlier age of menarche than did national samples. Age at first sexual intercourse (coitarche) mediated the relationship between age at menarche and first pregnancy among White girls, whereas gynecologic age at coitarche (age at coitarche minus age at menarche) and age at menarche explained the timing of the first pregnancy among Black and Hispanic girls. Pregnancy prevention interventions to delay coitarche should also include reproductive education and contraception. PMID:18703451

  17. Age at menarche among school girls in Sokoto, Northern Nigeria

    African Journals Online (AJOL)

    The aims of the study were to compare the age at menarche between rural and urban girls ... of a higher socio-economic class tended to report a lower age of ... high socio-economic group. .... most (80.9%) of the urban girls were in social class.

  18. Age at Menarche, Level of Education, Parity and the Risk of Hysterectomy: A Systematic Review and Meta-Analyses of Population-Based Observational Studies.

    Directory of Open Access Journals (Sweden)

    Louise F Wilson

    Full Text Available Although rates have declined, hysterectomy is still a frequent gynaecological procedure. To date, there has been no systematic quantification of the relationships between early/mid-life exposures and hysterectomy. We performed a systematic review and meta-analyses to quantify the associations between age at menarche, education level, parity and hysterectomy.Eligible studies were identified by searches in PubMed and Embase through March 2015. Study-specific estimates were summarised using random effects meta-analysis. Heterogeneity was explored using sub-group analysis and meta-regression.Thirty-two study populations were identified for inclusion in at least one meta-analysis. Each year older at menarche was associated with lower risk of hysterectomy-summary hazard ratio 0.86 (95% confidence interval: 0.78, 0.95; I2 = 0%; summary odds ratio 0.88 (95% confidence interval: 0.82, 0.94; I2 = 61%. Low education levels conferred a higher risk of hysterectomy in the lowest versus highest level meta-analysis (summary hazard ratio 1.87 (95% confidence interval: 1.25, 2.80; I2 = 86%, summary odds ratio 1.51 (95% confidence interval: 1.35, 1.69; I2 = 90% and dose-response meta-analysis (summary odds ratio 1.17 (95% confidence interval: 1.12, 1.23; I2 = 85% per each level lower of education. Sub-group analysis showed that the birth cohort category of study participants, the reference category used for level of education, the year the included article was published, quality of the study (as assessed by the authors and control for the key variables accounted for the high heterogeneity between studies in the education level meta-analyses. In the meta-analyses of studies of parity and hysterectomy the results were not statistically significant.The present meta-analyses suggest that the early life factors of age at menarche and lower education level are associated with hysterectomy, although this evidence should be interpreted with some caution due to variance

  19. Vaginal microbiota of adolescent girls prior to the onset of menarche resemble those of reproductive-age women.

    Science.gov (United States)

    Hickey, Roxana J; Zhou, Xia; Settles, Matthew L; Erb, Julie; Malone, Kristin; Hansmann, Melanie A; Shew, Marcia L; Van Der Pol, Barbara; Fortenberry, J Dennis; Forney, Larry J

    2015-03-24

    Puberty is an important developmental stage wherein hormonal shifts mediate the physical and physiological changes that lead to menarche, but until now, the bacterial composition of vaginal microbiota during this period has been poorly characterized. We performed a prospective longitudinal study of perimenarcheal girls to gain insight into the timing and sequence of changes that occur in the vaginal and vulvar microbiota during puberty. The study enrolled 31 healthy, premenarcheal girls between the ages of 10 and 12 years and collected vaginal and vulvar swabs quarterly for up to 3 years. Bacterial composition was characterized by Roche 454 pyrosequencing and classification of regions V1 to V3 of 16S rRNA genes. Contrary to expectations, lactic acid bacteria, primarily Lactobacillus spp., were dominant in the microbiota of most girls well before the onset of menarche in the early to middle stages of puberty. Gardnerella vaginalis was detected at appreciable levels in approximately one-third of subjects, a notable finding considering that this organism is commonly associated with bacterial vaginosis in adults. Vulvar microbiota closely resembled vaginal microbiota but often exhibited additional taxa typically associated with skin microbiota. Our findings suggest that the vaginal microbiota of girls begin to resemble those of adults well before the onset of menarche. This study addresses longitudinal changes in vaginal and vulvar microbial communities prior to and immediately following menarche. The research is significant because microbial ecology of the vagina is an integral aspect of health, including resistance to infections. The physiologic changes of puberty and initiation of cyclic menstruation are likely to have profound effects on vaginal microbiota, but almost nothing is known about changes that normally occur during this time. Our understanding has been especially hampered by the lack of thorough characterization of microbial communities using techniques

  20. The relationship determination between menarche and the peak of skeletal maturation using hand wrist and cervical vertebrae index

    Directory of Open Access Journals (Sweden)

    Endah Mardiati

    2014-06-01

    Full Text Available Background: Menarche and skeletal maturation indices are physiological maturation indicators that can be used to establish the maturation stage of individual patient in orthodontic treatment, especially in orthodontic growth modification and orthognatic surgery. Purpose: The purpose of this study was to determine the relationship between menarche and the peak of skeletal maturation using hand-wrist and cervical vertebrae indexes. Methods: This was an observational diagnostic research with 220 female of Deutero-Malay Indonesian subjects aged 8-17 years from Dental Hospital Faculty of Dentistry Universitas Padjadjaran, and some privates orthodontic practice in Bandung. All subjects had hand-wrist radiograph and lateral cephalogram. Menarche data were collected through interview with the subjects and their parents. There were 89 subjects who already had menarche but only 84 of them remembered the month and year of their menarche. The stage of hand-wrist skeletal maturation was analyzed using Fishman method and cervical vertebrae maturation was analyzed using Baccetty et.al., method. Results: The result indicates that the menarche age of Indonesian DeuteroMalay subject were 12.47 ± 0.73 year. The youngest age of were 10.92 ± 0.0 year and the oldest were 13.83 ± 0.23 year. Conclusion: Menarche could be used as an indicator that the pubertal growth peak has been exceeded and to predict the end of the pubertal growth. This study showed that 0.49 years after MP3cap stage of hand-wrist skeletal maturation index and 0.69 years after CVMS2 stage of cervical vertebrae skeletal maturation index, the subject of Indonesian Deutero-Malay will have their menarche. Latar belakang: Menarke dan indeks maturasi skeletal merupakan indikator maturasi fisologis yang dapat digunakan untuk menentukan tahap maturasi pasien pada perawatan ortodonti modifikasi pertumbuhan dan bedah ortognati. Tujuan: Tujuan penelitian ini adalah menentukan hubungan antara menarke dengan

  1. Family Stress, Perception of Pregnancy, and Age of First Menarche among Pregnant Adolescents.

    Science.gov (United States)

    Ravert, April A; Martin, Jennifer

    1997-01-01

    Examines family-of-origin stress, age of first menarche, and the perceptions of pregnancy as a life event in 97 pregnant adolescents. Participants' reported high levels of family stress with only a moderate level of impact or stress attributed to the pregnancy. As a group, the girls' first menarche matched national averages. (RJM)

  2. Early Scientific Results from the Rejuvenated Hubble Space Telescope

    Science.gov (United States)

    Niedner, Malcolm

    2010-01-01

    With the complete success of Servicing Mission 4 (SM4) to the Hubble Space Telescope in May, 2009, the Observatory's capabilities are extremely broad and beyond anything it has previously been equipped with. I will present results on the important early science corning out of the telescope and discuss prospects for the future."

  3. Planck early results. XIV. ERCSC validation and extreme radio sources

    DEFF Research Database (Denmark)

    Lavonen, N.; León-Tavares, J.; Savolainen, P.

    2011-01-01

    Planck's all-sky surveys at 30-857 GHz provide an unprecedented opportunity to follow the radio spectra of a large sample of extragalactic sources to frequencies 2-20 times higher than allowed by past, large-area, ground-based surveys. We combine the results of the Planck Early Release Compact So...

  4. Skeletal Benefits of Pre-Menarcheal Gymnastics Are Retained After Activity Cessation

    Science.gov (United States)

    Scerpella, Tamara A.; Dowthwaite, Jodi N.; Gero, Nicole M.; Kanaley, Jill A.; Ploutz-Snyder, Robert J.

    2015-01-01

    Mechanical loading during childhood and adolescence may yield skeletal benefits that persist beyond activity cessation and menarche. At 1 year pre- and 2 years post-menarche, non-dominant forearm areal bone mineral density (aBMD), bone mineral content (BMC) and projected area (area) were compared in gymnasts (n=9), ex-gymnasts (n=8) and non-gymnasts (n=13). At both observations, gymnasts and ex-gymnasts had higher forearm aBMD, BMC and area than non-gymnasts. gymnasts had higher post-menarcheal means than ex-gymnasts for all three parameters. Childhood mechanical loading yields skeletal advantages that persist at least 24 months after loading cessation and menarche. Continued post-menarcheal loading yields additional benefit. PMID:20332537

  5. USIA MENARCHE, KONSUMSI PANGAN, DAN STATUS GIZI ANAK PEREMPUAN SEKOLAH DASAR DI BOGOR

    Directory of Open Access Journals (Sweden)

    Sanya Anda Lusiana

    2012-03-01

    Full Text Available 800x600 Normal 0 false false false IN X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; 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","serif";} The general objective of this research was to analyze the correlation between nutritional status, food consumption, and first menstruation age (menarche of female Elementary School children. The research was conducted using cross sectional study design from May to June 2007 in 14 Elementary Schools in Bogor. Sample criteria was: 5 grade student consist of pre menarche and post menarche students. A total of 120 students was chosen by purposive sampling. Spearman Correlation Test shows that there was no correlation between menarche age of mother and menarche age of the sample. Post menarche sample had sufficient energy intake but low iron intake. About 86.7% post menarche sample and 68.3% pre menarche sample had normal nutritional status. Spearman Correlation Test shows that nutritional status (BMI/Age has negative significant correlation to menarche age (r=-0.062; P Keyword: Nutritional status, food consumption and age of menarche

  6. Chinese women in Italy--menarche, pregnancy and maternity.

    Science.gov (United States)

    Argnani, Lisa; Toselli, Stefania; Gualdi-Russo, Emanuela

    2004-12-01

    The purpose of this study was to assess the well-being and health status of Chinese immigrant women in Italy. The subjects (mean 29.5 years) frequented the "Health Center for Foreign Women and their Children" in Bologna, Italy. Information on living conditions, biological characteristics and pregnancy or maternity was obtained through interviews of the women in the Center during normal medical visits. Data on menarche age were based on the retrospective method since all the women were in China at the onset of menarche. Social factors influencing the health and behavior of Chinese women in Italian society are discussed. The analysis on children sex ratio at birth indicates that the old cultural Chinese tradition of son preference still continues to exist. These women have achieved a socio-economic improvement and generally good health status in Italy. The difficult living conditions they faced in China are indirectly reflected in their delayed puberty (14.4 +/- 1.4 years). The delayed sexual development was probably due to the same situation of severe poverty that forced them to migrate.

  7. Early retinoic acid deprivation in developing zebrafish results in microphthalmia.

    Science.gov (United States)

    Le, Hong-Gam T; Dowling, John E; Cameron, D Joshua

    2012-09-01

    Vitamin A deficiency causes impaired vision and blindness in millions of children around the world. Previous studies in zebrafish have demonstrated that retinoic acid (RA), the acid form of vitamin A, plays a vital role in early eye development. The objective of this study was to describe the effects of early RA deficiency by treating zebrafish with diethylaminobenzaldehyde (DEAB), a potent inhibitor of the enzyme retinaldehyde dehydrogenase (RALDH) that converts retinal to RA. Zebrafish embryos were treated for 2 h beginning at 9 h postfertilization. Gross morphology and retinal development were examined at regular intervals for 5 days after treatment. The optokinetic reflex (OKR) test, visual background adaptation (VBA) test, and the electroretinogram (ERG) were performed to assess visual function and behavior. Early treatment of zebrafish embryos with 100 μM DEAB (9 h) resulted in reduced eye size, and this microphthalmia persisted through larval development. Retinal histology revealed that DEAB eyes had significant developmental abnormalities but had relatively normal retinal lamination by 5.5 days postfertilization. However, the fish showed neither an OKR nor a VBA response. Further, the retina did not respond to light as measured by the ERG. We conclude that early deficiency of RA during eye development causes microphthalmia as well as other visual defects, and that timing of the RA deficiency is critical to the developmental outcome.

  8. Successful Pregnancy and Delivery After Radiation With Ovarian Shielding for Acute Lymphocytic Leukemia Before Menarche.

    Science.gov (United States)

    Ishibashi, Naoya; Maebayashi, Toshiya; Aizawa, Takuya; Sakaguchi, Masakuni; Abe, Osamu; Saito, Tsutomu; Tanaka, Yoshiaki; Chin, Motoaki; Mugishima, Hideo

    2015-07-01

    Total body irradiation is performed as a preconditioning regimen to inhibit graft-versus-host disease after bone marrow transplantation and to eradicate remaining tumor cells. However, these regimens result in delayed secondary sex characteristics and failure of ovarian function recovery, leading to amenorrhea and infertility. Herein, we report a case of an 11-year-old girl diagnosed with acute lymphocytic leukemia who received induction chemotherapy and prophylactic cranial irradiation. For bone marrow transplantation, she received total body irradiation of 12 Gy with uterine and ovarian shielding at 13 years of age. The patient remained in remission and menarche began at 14 years of age. At 23, she became pregnant and delivered a baby naturally with no abnormalities.

  9. The Advanced Photon Source: Performance and results from early operation

    Energy Technology Data Exchange (ETDEWEB)

    Moncton, D.E. [Argonne National Lab., IL (United States). Advanced Photon Source

    1997-10-01

    The Advanced Photon Source at Argonne National Laboratory is now providing researchers with extreme-brilliance undulator radiation in the hard x-ray region of the spectrum. All technical facilities and components are operational and have met design specifications. Fourteen research teams, occupying 20 sectors on the APS experiment hall floor, are currently installing beamline instrumentation or actively taking data. An overview is presented for the first operational years of the Advanced Photon Source. Emphasis is on the performance of accelerators and insertion devices, as well as early scientific results and future plans.

  10. STATUS TINGGI BADAN PENDEK BERISIKO TERHADAP KETERLAMBATAN USIA MENARCHE PADA PEREMPUAN REMAJA USIA 10-15 TAHUN (STUNTING INCREASED RISK OF DELAYING MENARCHE ON FEMALE ADOLESCENT AGED 10-15 YEARS

    Directory of Open Access Journals (Sweden)

    Nurillah Amaliah

    2012-12-01

    Full Text Available ABSTRACT Age of first menstrual period (menarche, as a sign of puberty, was varies among female adolescents. Menarche in Indonesia was moving toward a younger age. However, some are still having menarche in later age. To analyze the relationship between the height status and age of menarche among female adolescents aged 10-15 years in Indonesia. The Basic Health Research (Riskesdas data 2010, a cross-sectional survey data, were analyzed using samples consisted of female adolescent aged 10-15 years. Data analysis was performed in univariate, bivariate with T test and Anova test. Of 13,550 respondents, 48.2 percent had experienced menarche at average age of 12.39 ± 1.08 years. The mean age of menarche of stunted female adolescents was significantly delayed than that of normal female adolescents. The mean age of menarche of female adolescents in higher economic status group was significantly earlier than that of the middle and lower economic status groups. In all age groups, the proportion of female adolescents had experienced menarche are greater in normal height group than that of stunted group. Therefore, the nutritional status of female adolescence should be paid serious attention. Keywords: menarcheal age, stunting, female adolescent ABSTRAK Usia menstruasi pertama (menarche, sebagai tanda pubertas, berbeda pada setiap perempuan remaja. Perkembangan usia menarche di Indonesia semakin menuju ke usia yang lebih muda. Namun, masih ada yang mengalami menarche lambat. Untuk mengetahui hubungan status tinggi badan dan menarche pada perempuan remaja usia 10-15 tahun. Data Riset Kesehatan Dasar (Riskesdas, data survey cross sectioanal dianalisis menggunakan sampel yang terdiri dari perempuan  dengan pendekatan kuantitatif dan desain cross-sectional. Sampel adalah perempuan remaja usia 10–15 tahun. Data dianalisis secara univariat, bivariat dengan uji T dan uji Anova. Dari 13.550 responden di Indonesia sebesar 48,2 persen sudah mengalami menarche

  11. Menarca, gravidez precoce e obesidade em mulheres brasileiras selecionadas em um Centro de Saúde de Belo Horizonte, Minas Gerais, Brasil Menarche, early pregnancy, and obesity in selected Brazilian women from a health care center in Belo Horizonte, Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Gilberto Kac

    2003-01-01

    Full Text Available O objetivo foi identificar fatores obstétricos potencialmente associados à obesidade em 486 mulheres brasileiras entre 15-59 anos, residentes na Região Metropolitana de Belo Horizonte, Minas Gerais, Brasil. A gordura corporal (GC foi aferida por meio de exame de bioimpedância e a obesidade foi definida como GC > 30%. A associação entre fatores obstétricos e a obesidade foi avaliada a partir da técnica de regressão logística. Permaneceram associadas com a obesidade no modelo final após controle para o efeito da renda, fumo, consumo de álcool e prática de atividade física: idade de menarca 30 e 40 anos (OR = 3,32; IC95%: 1,76-6,27, idade ao primeiro parto (OR = 1,99; IC95%: 1,07-3,68 e a seguinte interação significativa: faixa etária de 30-39 e idade de menarca (OR = 0,27; IC95%: 0,09-0,83. Os fatores obstétricos se manifestam na obesidade por meio de uma complexa rede de inter-relações entre as covariáveis estudadas. É importante que sejam implementadas políticas eficazes de combate à obesidade durante o ciclo reprodutivo, e de planejamento familiar que busquem diminuir a freqüência de mães adolescentes.The aim of this study was to investigate obstetric variables potentially associated with obesity among 486 Brazilian childbearing-age women aged 15-59 residing in the municipality of Belo Horizonte, Minas Gerais State. Body fat (BF was measured through impedance analysis, and obesity was defined as BF > 30%. The association between obstetrics factors and obesity was evaluated through multivariate logistic regression. The following variables remained in the logistic regression after adjustments for total income, smoking, alcohol consumption, and physical activity: age at menarche 30 and 40 years (OR = 3.32; 95% CI: 1.76-6.27, age at first childbirth (OR = 1.99; 95% CI: 1.07-3.68, and the following interaction: age group > 30 and < 39 and age at menarche (OR = 0.27; 95% CI: 0.09-0.83. It appears that obstetric factors

  12. Age of Menarche among Basic Level School Girls in Medina, Accra

    African Journals Online (AJOL)

    Erah

    policy formulation and program implementation. In 1989, Adadevoh and colleagues8 .... age at menarche among school children at 12.74 ± .... genetic effect could be modified by overweight status.27 .... Growth maturation and physical activity.

  13. Experiences and Constructions of Menarche and Menstruation Among Migrant and Refugee Women.

    Science.gov (United States)

    Hawkey, Alexandra J; Ussher, Jane M; Perz, Janette; Metusela, Christine

    2017-08-01

    Experiences and constructions of menarche and menstruation are shaped by the sociocultural environment in which women are embedded. We explored experiences and constructions of menarche and menstruation among migrant and refugee women resettled in Sydney, Australia, and Vancouver, Canada. Seventy-eight semistructured individual interviews and 15 focus groups comprised of 82 participants were undertaken with women from Afghanistan, Iraq, Somalia, South Sudan, Sudan, Sri Lanka, and varying South American countries. We analyzed the data using thematic decomposition, identifying the overall theme "cycles of shame" and two core themes. In "becoming a woman," participants constructed menarche as a marker of womanhood, closely linked to marriage and childbearing. In "the unspeakable," women conveyed negative constructions of menstruation, positioning it as shameful, something to be concealed, and polluting. Identifying migrant and refugee women's experiences and constructions of menarche and menstruation is essential for culturally safe medical practice, health promotion, and health education.

  14. Association between adolescent idiopathic scoliosis prevalence and age at menarche in different geographic latitudes

    OpenAIRE

    Mihas Constantinos; Mouzakis Vasilios; Vasiliadis Elias; Grivas Theodoros B; Koufopoulos Georgios

    2006-01-01

    Abstract Background Age at menarche is considered a reliable prognostic factor for idiopathic scoliosis and varies in different geographic latitudes. Adolescent idiopathic scoliosis prevalence has also been reported to be different in various latitudes and demonstrates higher values in northern countries. A study on epidemiological reports from the literature was conducted to investigate a possible association between prevalence of adolescent idiopathic scoliosis and age at menarche among nor...

  15. Early Results from the Juno Mission at Jupiter

    Science.gov (United States)

    Bolton, Scott; Juno Science Team

    2016-10-01

    The Juno mission is the second mission in NASA's New Frontiers program. Launched in August 2011, Juno arrived at Jupiter July 4, 2016. Juno science goals include the study of Jupiter's origin, interior structure, deep atmosphere, aurora and magnetosphere. Juno's orbit around Jupiter is a polar elliptical orbit with perijove approximately 5000 km above the visible cloud tops. The payload consists of a set of microwave antennas for deep sounding, magnetometers, gravity radio science, low and high energy charged particle detectors, electric and magnetic field radio and plasma wave experiment, ultraviolet imaging spectrograph, infrared imager and a visible camera. Early results from the mission will be presented as well as an overview of planned observations.

  16. Association of adiposity genetic variants with menarche timing in 92,105 women of European descent.

    Science.gov (United States)

    Fernández-Rhodes, Lindsay; Demerath, Ellen W; Cousminer, Diana L; Tao, Ran; Dreyfus, Jill G; Esko, Tõnu; Smith, Albert V; Gudnason, Vilmundur; Harris, Tamara B; Launer, Lenore; McArdle, Patrick F; Yerges-Armstrong, Laura M; Elks, Cathy E; Strachan, David P; Kutalik, Zoltán; Vollenweider, Peter; Feenstra, Bjarke; Boyd, Heather A; Metspalu, Andres; Mihailov, Evelin; Broer, Linda; Zillikens, M Carola; Oostra, Ben; van Duijn, Cornelia M; Lunetta, Kathryn L; Perry, John R B; Murray, Anna; Koller, Daniel L; Lai, Dongbing; Corre, Tanguy; Toniolo, Daniela; Albrecht, Eva; Stöckl, Doris; Grallert, Harald; Gieger, Christian; Hayward, Caroline; Polasek, Ozren; Rudan, Igor; Wilson, James F; He, Chunyan; Kraft, Peter; Hu, Frank B; Hunter, David J; Hottenga, Jouke-Jan; Willemsen, Gonneke; Boomsma, Dorret I; Byrne, Enda M; Martin, Nicholas G; Montgomery, Grant W; Warrington, Nicole M; Pennell, Craig E; Stolk, Lisette; Visser, Jenny A; Hofman, Albert; Uitterlinden, André G; Rivadeneira, Fernando; Lin, Peng; Fisher, Sherri L; Bierut, Laura J; Crisponi, Laura; Porcu, Eleonora; Mangino, Massimo; Zhai, Guangju; Spector, Tim D; Buring, Julie E; Rose, Lynda M; Ridker, Paul M; Poole, Charles; Hirschhorn, Joel N; Murabito, Joanne M; Chasman, Daniel I; Widen, Elisabeth; North, Kari E; Ong, Ken K; Franceschini, Nora

    2013-08-01

    Obesity is of global health concern. There are well-described inverse relationships between female pubertal timing and obesity. Recent genome-wide association studies of age at menarche identified several obesity-related variants. Using data from the ReproGen Consortium, we employed meta-analytical techniques to estimate the associations of 95 a priori and recently identified obesity-related (body mass index (weight (kg)/height (m)(2)), waist circumference, and waist:hip ratio) single-nucleotide polymorphisms (SNPs) with age at menarche in 92,116 women of European descent from 38 studies (1970-2010), in order to estimate associations between genetic variants associated with central or overall adiposity and pubertal timing in girls. Investigators in each study performed a separate analysis of associations between the selected SNPs and age at menarche (ages 9-17 years) using linear regression models and adjusting for birth year, site (as appropriate), and population stratification. Heterogeneity of effect-measure estimates was investigated using meta-regression. Six novel associations of body mass index loci with age at menarche were identified, and 11 adiposity loci previously reported to be associated with age at menarche were confirmed, but none of the central adiposity variants individually showed significant associations. These findings suggest complex genetic relationships between menarche and overall obesity, and to a lesser extent central obesity, in normal processes of growth and development.

  17. Early Commissioning Results of the NDCX-II Accelerator Facility

    Science.gov (United States)

    Lidia, Steve; Arbelaez, Diego; Greenway, Wayne; Jung, Jin-Young; Kwan, Joe; Roy, Prabir; Seidl, Peter; Takakuwa, Jeffrey; Waldron, William; Friedman, Alex; Grote, David; Sharp, William; Gilson, Erik; Ni, Pavel

    2012-10-01

    The Neutralized Drift Compression Experiment-II (NDCX-II) will generate ion beam pulses for studies of Warm Dense Matter science and heavy-ion-driven Inertial Fusion Energy. The machine accelerates 20-50 nC of Li+ to 1.2-3 MeV energy, starting from a 10.9-cm alumino-silicate ion source. At the end of the accelerator the ions are focused to a sub-mm spot size onto a thin foil (planar) target. The pulse duration is compressed from ˜500 ns at the source to sub-ns at the target following beam transport in a neutralizing plasma. We report on the results of early commissioning studies that characterize beam quality and beam transport, acceleration waveform shaping and beam current evolution. We present measurements of time-resolved beam phase space density and variation in transverse beam centroid position. We present simulation results to benchmark against the experimental measurements, and to predict performance in subsequent sections of the accelerator.

  18. Endovascular treatment of popliteal artery aneurysm. Early and midterm results

    Directory of Open Access Journals (Sweden)

    Rodrigo Borges Domingues

    2015-02-01

    Full Text Available OBJECTIVE: to evaluate the efficacy of endovascular repair of popliteal artery aneurysms on maintaining patency of the stent in the short and medium term. METHODS: this was a retrospective, descriptive and analytical study, conducted at the Integrated Vascular Surgery Service at the Hospital da Beneficência Portuguesa de São Paulo. We followed-up 15 patients with popliteal aneurysm, totaling 18 limbs, treated with stent from May 2008 to December 2012. RESULTS: the mean follow-up was 14.8 months. During this period, 61.1% of the stents were patent. The average aneurysm diameter was 2.5cm, ranging from 1.1 to 4.5cm. The average length was 5cm, ranging from 1.5 to 10 cm. In eight cases (47.1%, the lesion crossed the joint line, and in four of these occlusion of the prosthesis occurred. In 66.7% of cases, treatment was elective and only 33.3% were symptomatic patients treated on an emergency basis. The stents used were Viabahn (Gore in 12 cases (66.7%, Fluency (Bard in three cases (16.7%, Multilayer (Cardiatis in two cases (11.1% and Hemobahn (Gore in one case (5.6%. In three cases, there was early occlusion (16.6%. During follow-up, 88.2% of patients maintained antiplatelet therapy. There was no leakage at ultrasound (endoleak. No fracture was observed in the stents. CONCLUSION: the results of this study are similar to other published series. Probably, with the development of new devices that support the mechanical characteristics found on the thighs, there will be improved performance and prognosis of endovascular restoration.

  19. Experience of Menarche Among Jordanian Adolescent Girls: An Interpretive Phenomenological Analysis.

    Science.gov (United States)

    Al Omari, Omar; Abdel Razeq, Nadin M; Fooladi, Marjaneh M

    2016-06-01

    Menarche is a significant physical and emotional experience for adolescent girls, especially in certain cultures, where it is viewed as a rite of passage, affecting the meaning of lived experiences. The purpose of the study was to explore the menarche experience among Jordanian adolescent girls when they reach menarche. Interpretive phenomenological analysis. Az-Zarqa City, Jordan. A homogenous sample of 7 Jordanian girls, ages 12-14 years, who had their first menstruation within the past 6 months. Participants were asked to narrate their experiences through journal writing; their reports to be used for interpretive phenomenological analyses by 2 independent researchers, to ensure the findings' trustworthiness. Three major themes emerged as: (1) menstruation as a forbidden topic; (2) keeping the "topic" to oneself; and (3) no more secrets. Each theme was characterized according to distinct sets of emotions and knowledge-seeking patterns because Jordanian culture and Islamic teachings had greatly influenced the girls' experience of menarche. Menarche was considered a social taboo; not to be openly discussed. At the first signs of menarche, participants were shocked, scared, confused, and anxious. They had limited information and support from their family or school system. Therefore, they relied on self-perceptions about menarche, and viewed the experience of menstruation with profound negative emotions. Participants hesitated to share their experiences with their mothers and close friends. They felt alone and experienced their emotional turmoil in isolation and without support. Jordanian adolescent girls need formal health education to understand and manage the reproductive changes that occur in their bodies. Copyright © 2015 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  20. Early Results of Anatomic Double Bundle Anterior Cruciate Ligament Reconstruction

    Directory of Open Access Journals (Sweden)

    Demet Pepele

    2014-03-01

    Full Text Available Aim: The goal in anterior cruciate ligament reconstruction (ACLR is to restore the normal anatomic structure and function of the knee. In the significant proportion of patients after the traditional single-bundle ACLR, complaints of instability still continue. Anatomic double bundle ACLR may provide normal kinematics in knees, much closer to the natural anatomy. The aim of this study is to clinically assess the early outcomes of our anatomical double bundle ACLR. Material and Method: In our clinic between June 2009 and March 2010, performed the anatomic double bundle ACLR with autogenous hamstring grafts 20 patients were evaluated prospectively with Cincinnati, IKDC and Lysholm scores and in clinically for muscle strength and with Cybex II dynamometer. Results: The mean follow-up is 17.8 months (13-21 months. Patients%u2019 scores of Cincinnati, IKDC and Lysholm were respectively, preoperative 18.1, 39.3 and 39.8, while the post-op increased to 27.2, 76.3 and 86.3. In their last check, 17 percent of the patients according to IKDC scores (85% A (excellent and B (good group and 3 patients took place as C (adequate group. The power measurements of quadriceps and hamstring muscle groups of patients who underwent surgery showed no significant difference compared with the intact knees. Discussion: Double-bundle ACL reconstruction is a satisfactory method. There is a need comparative, long-term studies in large numbers in order to determine improving clinical outcome, preventing degeneration and restoring the knee biomechanics better.

  1. Limb salvage surgery for osteosarcoma- Early results in Indian patients

    Directory of Open Access Journals (Sweden)

    Akshay Tiwari

    2014-01-01

    Full Text Available Background: While limb salvage surgery has long been established as the standard of care for osteosarcoma, large studies from Indian centers are few. Given the diverse socio economic milieu of our patients, it becomes significant to determine the feasibility and outcome of management of osteosarcoma in our population. We analyzed the early outcome of limb salvage surgery with multimodality treatment of osteosarcoma of the extremity/girdle bones at a tertiary North Indian Cancer Centre. Materials and Methods: A total of 51 limb salvage surgeries performed during the months between November 2008 and November 2012 were studied. Neoadjuvant/adjuvant chemotherapy was given by the pediatric/adult medical oncology teams as applicable. The mean followup was 19.45 months (range 2-50 months. The oncological outcome was correlated with age, sex, size of tumor, stage at presentation, site, histological subtype, type of chemotherapy protocol followed and necrosis seen on postoperative examination of resected specimen. The functional outcome of the patients was evaluated using the musculoskeletal tumor society (MSTS scoring system. Results: Out of a total of 37 males and 14 females with an average age of 18.8 years, the 3 year overall survival was 66% and 3 year event free survival was 61.8%. In this group of patients with a short followup, a better oncological outcome was associated with good postoperative tumor necrosis, nonchondroblastic histology and age <14 years. The average MSTS score was highest in patients with proximal or distal femur prosthesis and the lowest in patients undergoing a knee arthrodesis. Conclusion: The present study shows oncological and functional outcomes of limb salvage combined with chemotherapy in Indian patients with osteosarcoma comparable to those in world literature. Larger studies on Indian population with longer followup are recommended.

  2. Comparing Menarche Age, Menstrual Regularity, Dysmenorrhea and Analgesic Consumption among Athletic and Non-athletic Female Students at Universities of Tabriz-Iran

    Directory of Open Access Journals (Sweden)

    Hasan Matin Homai

    2014-07-01

    Full Text Available Objectives: Although sport has many advantages, it sometimes causes disorders on women’s menstrual cycles. One of these can be delaying the menarche age and creating disorder in the menstrual cycle. On the other hand, sport is effective on dysmenorrhea and the pain resulted from it. This research aims at comparing the menarche age, menstrual regularity, dysmenorrhea and analgesic consumption among athletic and non-athletic students at the universities of Tabriz. Materials and Methods: This study is a causal comparative one which was done in 2010 on 360 girl students in 18-28 years old majoring in medicine and non-medicine at the universities of Tabriz. Samples were chosen selectively and completed the questionnaires, visual analogue scale (VAS, sport and menstrual record. The data were analyzed by SPSS 16 statistical software via descriptive and inferential statistical tests (Mann-Whitney U and Chi-square. P<0.05 was considered as significant. Results: In studying data, menarche age (P=0.001 and menstrual disorder (P=0.026 had significant difference which was higher in athletic group. The frequency of dysmenorrhea in athletic and non-athletic group did not have significant statistical difference (P=0.39 while the analgesic consumption was significantly lower in the athletic group (P=0.001. Conclusion: This study showed that sport can improve dysmenorrhea and decrease the need for analgesic for improving the dysmenorrhea among the people. Meanwhile, it is necessary to pay more attention to nutrition which is one of the important reasons of delayed menarche and menstrual disorder.

  3. Early and Midterm Results Following Interventional Coarctoplasty: Evaluation of Variables that Can Affect the Results

    Science.gov (United States)

    Bassiri, Hossein Ali; Shafe, Omid; Sarpooshi, Javad

    2017-01-01

    Background and Objectives Stent coarctoplasty has been approved as the treatment of choice for adult patients with coarctation of the aorta. We have evaluated the early and midterm clinical and procedural results after interventional coarctoplasty. Also, variables that can affect these results were evaluated. Subjects and Methods Gathering clinical, angiographic and procedural data, we evaluated the pre-specified outcomes, including procedural success, complications, the incidence of hypertension after coarctoplasty etc., after the procedure. The effect of pre-specified variables including aortic arch shape, coarctation type and etc. on the procedural result was evaluated. Results Between February 2005 through March 2014, 133 stent coarctoplasty procedures were performed. Median age was 23.5 years old (interquartile range [IQR]:19-28), and 105 (71.9%) were male. Nearly all of the patients were undergone stent coarctoplasty, mostly with cheatham platinum (CP) stents. There was no association between aortic arch morphology and acute procedural complications. Balloon length more than 40 mm (p=0.028), aorta diameter at the site of Coarctation larger than 2.35 mm (p=0.008) was associated with higher rate of restenosis during follow-up. Comparison between the prevalence of hypertension (HTN) before and after coarctoplasty showed a significant reduction in the prevalence of HTN (117 [91.4%] vs. 95 [74.2%] p<0.001). Conclusion Stent coarctoplasty is a low-risk procedure with favorable early and delayed outcomes. Most mortality is related to the patient's comorbid conditions and not to the procedure. PMID:28154597

  4. Planck early results. V. The Low Frequency Instrument data processing

    DEFF Research Database (Denmark)

    León-Tavares, J.; Falvella, M.C.; Stompor, R.

    2011-01-01

    We describe the processing of data from the Low Frequency Instrument (LFI) used in production of the Planck Early Release Compact Source Catalogue (ERCSC). In particular, we discuss the steps involved in reducing the data from telemetry packets to cleaned, calibrated, time-ordered data (TOD) and ...

  5. Planck early results. XVI. The Planck view of nearby galaxies

    DEFF Research Database (Denmark)

    Bucher, M.; Delabrouille, J.; Giraud-Héraud, Y.

    2011-01-01

    Theall-sky coverage of the Planck Early Release Compact Source Catalogue (ERCSC) provides an unsurpassed survey of galaxies at submillimetre (submm) wavelengths, representing a major improvement in the numbers of galaxies detected, as well as the range of far-IR/submm wavelengths over which they ...

  6. Planck early results. V. The Low Frequency Instrument data processing

    DEFF Research Database (Denmark)

    León-Tavares, J.; Falvella, M.C.; Stompor, R.;

    2011-01-01

    We describe the processing of data from the Low Frequency Instrument (LFI) used in production of the Planck Early Release Compact Source Catalogue (ERCSC). In particular, we discuss the steps involved in reducing the data from telemetry packets to cleaned, calibrated, time-ordered data (TOD) and ...

  7. Body mass index and age at menarche in Peruvian children living at high altitude and at sea level.

    Science.gov (United States)

    Gonzales, G F; Villena, A

    1996-04-01

    The present study was designed to determine the relationship between body mass index (BMI) and age at menarche in girls (aged 10-19 years) living in Lima (150 m) and in Cerro de Pasco (4340 m above sea level). The purpose of the study was to determine whether the relationships between BMI and both age at menarche and chronological age differ between girls living at low and at high altitude. The ratio weight/height (the Benn index) was used in the present study as a variant of BMI because the exponent minimizes the relationship with height and maximizes the relationship with weight. From 10 to 16 years of age the Benn index of highlander girls was lower than that for girls at sea level, but at 17-19 years the differences disappeared. A later age at menarche was observed at high altitude than at sea level after controlling for socioeconomic status and for the Benn index. The value of the Benn index at the time of menarche, after controlling for chronological age in the analysis, was significantly higher at high altitude than at sea level. It was also observed that the higher the chronological age, the lower the value of the Benn index at the time of menarche. Using the median ages at menarche in Lima and in Cerro de Pasco, we found that a higher Benn index at the time of menarche is still observed at high altitude compared with girls from sea level. In Lima body weight and height were directly related to age at menarche (p Cerro de Pasco only weight was related to age at menarche (p Cerro de Pasco is an independent effect of altitude. Because the Benn index for menarche was different at sea level and at high altitude, we conclude that regression equations to predict age at menarche must include altitude as an independent variable.

  8. 初潮和绝经年龄与心血管疾病、糖尿病和骨质疏松%Associations of age at menarche and menopause with cardiovascular disease, diabetes, and osteoporosis

    Institute of Scientific and Technical Information of China (English)

    陈刚; 陈宏杰; 温俊平

    2014-01-01

    Menarche and menopause are two important physiological periods that denote the beginning and the end of normal reproductive life.Studies have suggested that ages at menarche and menopause are important biological markers,and are also predictors of several chronic diseases.We published one manuscript in J Clin Endocrinol Metab titled "Associations between age at menarche and menopause with cardiovascular disease,diabetes,and osteoporosis in Chinese women",which suggested that ages at menarche and menopause are not associated with diabetes,delayed menarche and menopause are associated with decreased risk of cardiovascular disease risk and early menopause with high risk of osteoporosis.%初潮和绝经是女性两个重要的生理阶段,二者标志着女性生育能力的开始及终止.研究表明,初潮及绝经年龄是重要的生物学指标,同样也可作为某些慢性疾病的预测指标.本课题组2013年3月在《J Clin Endocrinol Metab》发表了“中国女性初潮年龄和绝经年龄与心血管疾病、糖尿病和骨质疏松的相关性研究”.该研究表明初潮年龄和绝经年龄与糖尿病患病风险之间并无显著相关;而初潮或者绝经推迟与心血管疾病低风险均呈显著相关;另外,绝经提前与骨质疏松高风险显著相关.

  9. Socioeconomic status and age at menarche in indigenous and non-indigenous Chilean adolescents Nivel socioeconómico y edad de la menarquia en adolescentes chilenas indígenas y no indígenas

    Directory of Open Access Journals (Sweden)

    Hugo Amigo

    2012-05-01

    Full Text Available The objective was to analyze the relationship between socioeconomic status and age at menarche among indigenous and non-indigenous girls in the Araucanía Region of Chile, controlling for nutritional status and mother's age at menarche. A total of 8,624 randomly selected girls from 168 schools were screened, resulting in the selection of 207 indigenous and 200 non-indigenous girls who had recently experienced menarche. Age at menarche was 149.6±10.7 months in the indigenous group and 146.6±10.8 months in the non-indigenous group. Among the non-indigenous, the analysis showed no significant association between age at menarche and socioeconomic status. In the indigenous group, age at menarche among girls with low socioeconomic status was 5.4 months later than among those with higher socioeconomic status. There were no differences in nutritional status according to socioeconomic level. Obesity was associated with earlier menarche. Menarche occurred earlier than in previous generations. An inverse relationship between socioeconomic status and age at menarche was seen in the indigenous group only; low socioeconomic status was associated with delayed menarche, regardless of nutritional status or mother's age at menarche.El objetivo fue analizar la relación entre nivel socioeconómico y edad de menarquia en adolescentes indígenas y no indígenas de la Región de la Araucanía, Chile, controlando el efecto del estado nutricional, y la edad de menarquia de las madres. Se estudiaron 8.624 niñas de 168 escuelas elegidas aleatoriamente, seleccionando 207 indígenas y 200 no indígenas que habían tenido recientemente la menarquia. La edad de menarquia ocurrió a los 149,6±10,7 meses en indígenas y a los 146,6±10,8 meses en no indígenas. En el grupo no indígena, hubo una relación significativa entre edad de menarquia y nivel socioeconómico. En el grupo indígena, edad de menarquia del nivel socioeconómico bajo fue de 5,4 meses más tarde que el

  10. Early results from NASA's SnowEx campaign

    Science.gov (United States)

    Kim, Edward; Gatebe, Charles; Hall, Dorothy; Misakonis, Amy; Elder, Kelly; Marshall, Hans Peter; Hiemstra, Chris; Brucker, Ludovic; Crawford, Chris; Kang, Do Hyuk; De Marco, Eugenia; Beckley, Matt; Entin, Jared

    2017-04-01

    SnowEx is a multi-year airborne snow campaign with the primary goal of addressing the question: How much water is stored in Earth's terrestrial snow-covered regions? Year 1 (2016-17) focuses on the distribution of snow-water equivalent (SWE) and the snow energy balance in a forested environment. The year 1 primary site is Grand Mesa and the secondary site is the Senator Beck Basin, both in western, Colorado, USA. Ten core sensors on four core aircraft will make observations using a broad suite of airborne sensors including active and passive microwave, and active and passive optical/infrared sensing techniques to determine the sensitivity and accuracy of these potential satellite remote sensing techniques, along with models, to measure snow under a range of forest conditions. SnowEx also includes an extensive range of ground truth measurements—in-situ samples, snow pits, ground based remote sensing measurements, and sophisticated new techniques. A detailed description of the data collected will be given and some early results will be presented. Seasonal snow cover is the largest single component of the cryosphere in areal extent (covering an average of 46M km2 of Earth's surface (31 % of land areas) each year). This seasonal snow has major societal impacts in the areas of water resources, natural hazards (floods and droughts), water security, and weather and climate. The only practical way to estimate the quantity of snow on a consistent global basis is through satellites. Yet, current space-based techniques underestimate storage of snow water equivalent (SWE) by as much as 50%, and model-based estimates can differ greatly vs. estimates based on remotely-sensed observations. At peak coverage, as much as half of snow-covered terrestrial areas involve forested areas, so quantifying the challenge represented by forests is important to plan any future snow mission. Single-sensor approaches may work for certain snow types and certain conditions, but not for others

  11. Skeletal benefits of pre-menarcheal gymnastics are retained after activity cessation.

    Science.gov (United States)

    Scerpella, Tamara A; Dowthwaite, Jodi N; Gero, Nicole M; Kanaley, Jill A; Ploutz-Snyder, Robert J

    2010-02-01

    Mechanical loading during childhood and adolescence may yield skeletal benefits that persist beyond activity cessation and menarche. At 1 year pre- and 2 years post-menarche, nondominant forearm areal bone mineral density (aBMD), bone mineral content (BMC) and projected area (area) were compared in gymnasts (n = 9), ex-gymnasts (n = 8) and nongymnasts (n = 13). At both observations, gymnasts and ex-gymnasts had higher forearm aBMD, BMC and area than nongymnasts. Gymnasts had higher postmenarcheal means than ex-gymnasts for all three parameters. Childhood mechanical loading yields skeletal advantages that persist at least 24 months after loading cessation and menarche. Continued postmenarcheal loading yields additional benefit.

  12. LOFAR: Early imaging results from commissioning for Cygnus A

    CERN Document Server

    McKean, John; van Weeren, Reinout J; Batejat, Fabien; Birzan, Laura; Bonafede, Annalisa; Conway, John; De Gasperin, Francesco; Ferrari, Chiara; Heald, George; Jackson, Neal; Macario, Giulia; Orrù, Emanuela; Pizzo, Roberto; Rafferty, David; Rottgering, Huub; Shulevski, Aleksandar; Tasse, Cyril; van der Tol, Sebastiaan; van Bemmel, Ilse; van Diepen, Ger; van Zwieten, Joris E

    2011-01-01

    The Low Frequency Array (LOFAR) will operate between 10 and 250 MHz, and will observe the low frequency Universe to an unprecedented sensitivity and angular resolution. The construction and commissioning of LOFAR is well underway, with over 27 of the Dutch stations and five International stations routinely performing both single-station and interferometric observations over the frequency range that LOFAR is anticipated to operate at. Here, we summarize the capabilities of LOFAR and report on some of the early commissioning imaging of Cygnus A.

  13. Physical activity from menarche to first pregnancy and risk of breast cancer

    Science.gov (United States)

    Liu, Ying; Tobias, Deirdre K.; Sturgeon, Kathleen M.; Rosner, Bernard; Malik, Vasanti; Cespedes, Elizabeth; Joshi, Amit D.; Eliassen, A. Heather; Colditz, Graham A.

    2017-01-01

    Breast tissue is particularly susceptible to exposures between menarche and first pregnancy, and a longer interval between these reproductive events is associated with elevated breast cancer risk. Physical activity during this time period may offset breast cancer risk, particularly for those at highest risk with longer menarche-to-first-pregnancy intervals. We used data from 65,576 parous women in the Nurses’ Health Study II free of cancer in 1989 (baseline) and recalled their leisure-time physical activity at ages 12–34 in 1997. Current activity was collected at baseline and over follow-up. Relative risks (RRs) were estimated using multivariable Cox proportional hazards regression models. Between 1989 and 2011, 2,069 invasive breast cancer cases were identified. Total recreational activity between menarche and first pregnancy was not significantly associated with the risk of breast cancer. However, physical activity between menarche and first pregnancy was associated with significantly lower breast cancer risk among women in the highest category of a menarche-to first-pregnancy interval (≥20 years; RR for the highest versus the lowest quartile = 0.73, 95% confidence interval = 0.55–0.97; Ptrend = 0.045; Pinteraction = 0.048). This was not observed in women with a shorter interval. Physical activity between menarche and first pregnancy was associated with a lower risk of breast cancer among women with at least 20 years between these reproductive events. This may provide a modifiable factor that women can intervene on to mitigate their breast cancer risk associated with a longer interval. PMID:27130486

  14. Physical activity from menarche to first pregnancy and risk of breast cancer.

    Science.gov (United States)

    Liu, Ying; Tobias, Deirdre K; Sturgeon, Kathleen M; Rosner, Bernard; Malik, Vasanti; Cespedes, Elizabeth; Joshi, Amit D; Eliassen, A Heather; Colditz, Graham A

    2016-09-15

    Breast tissue is particularly susceptible to exposures between menarche and first pregnancy, and a longer interval between these reproductive events is associated with elevated breast cancer risk. Physical activity during this time period may offset breast cancer risk, particularly for those at highest risk with longer menarche-to-first-pregnancy intervals. We used data from 65,576 parous women in the Nurses' Health Study II free of cancer in 1989 (baseline) and recalled their leisure-time physical activity at ages 12-34 in 1997. Current activity was collected at baseline and over follow-up. Relative risks (RRs) were estimated using multivariable Cox proportional hazards regression models. Between 1989 and 2011, 2,069 invasive breast cancer cases were identified. Total recreational activity between menarche and first pregnancy was not significantly associated with the risk of breast cancer. However, physical activity between menarche and first pregnancy was associated with significantly lower breast cancer risk among women in the highest category of a menarche-to first-pregnancy interval (≥20 years; RR for the highest versus the lowest quartile = 0.73, 95% confidence interval = 0.55-0.97; Ptrend  = 0.045; Pinteraction  = 0.048). This was not observed in women with a shorter interval. Physical activity between menarche and first pregnancy was associated with a lower risk of breast cancer among women with at least 20 years between these reproductive events. This may provide a modifiable factor that women can intervene on to mitigate their breast cancer risk associated with a longer interval.

  15. Premature Menarche Associated with Primary Hypothyroidism in a 5.5-Year-Old Girl

    Directory of Open Access Journals (Sweden)

    Dhrubajyoti Sharma

    2011-01-01

    Full Text Available Children with hypothyroidism generally have delayed pubertal development. Rare association with precocious puberty may occur especially in long standing untreated patients. The cardinal features of hypothyroidism induced pseudo precocious pubertal development include thelarche, galactorrhea and menarche. Other characteristics features are an absence of sexual hair and retardation of linear growth. Its manifestation as isolated menarche has been rarely reported. Recently, a five and half year old girl presented to us with history of one episode of vaginal bleeding. A pelvic ultrasonogram revealed multiple cysts in both ovaries and subsequent investigations led to a diagnosis of autoimmune hypothyroidism.

  16. Planck early results. VI. The High Frequency Instrument data processing

    Science.gov (United States)

    Planck HFI Core Team; Ade, P. A. R.; Aghanim, N.; Ansari, R.; Arnaud, M.; Ashdown, M.; Aumont, J.; Banday, A. J.; Bartelmann, M.; Bartlett, J. G.; Battaner, E.; Benabed, K.; Benoît, A.; Bernard, J.-P.; Bersanelli, M.; Bock, J. J.; Bond, J. R.; Borrill, J.; Bouchet, F. R.; Boulanger, F.; Bradshaw, T.; Bucher, M.; Cardoso, J.-F.; Castex, G.; Catalano, A.; Challinor, A.; Chamballu, A.; Chary, R.-R.; Chen, X.; Chiang, C.; Church, S.; Clements, D. L.; Colley, J.-M.; Colombi, S.; Couchot, F.; Coulais, A.; Cressiot, C.; Crill, B. P.; Crook, M.; de Bernardis, P.; Delabrouille, J.; Delouis, J.-M.; Désert, F.-X.; Dolag, K.; Dole, H.; Doré, O.; Douspis, M.; Dunkley, J.; Efstathiou, G.; Filliard, C.; Forni, O.; Fosalba, P.; Ganga, K.; Giard, M.; Girard, D.; Giraud-Héraud, Y.; Gispert, R.; Górski, K. M.; Gratton, S.; Griffin, M.; Guyot, G.; Haissinski, J.; Harrison, D.; Helou, G.; Henrot-Versillé, S.; Hernández-Monteagudo, C.; Hildebrandt, S. R.; Hills, R.; Hivon, E.; Hobson, M.; Holmes, W. A.; Huffenberger, K. M.; Jaffe, A. H.; Jones, W. C.; Kaplan, J.; Kneissl, R.; Knox, L.; Kunz, M.; Lagache, G.; Lamarre, J.-M.; Lange, A. E.; Lasenby, A.; Lavabre, A.; Lawrence, C. R.; Le Jeune, M.; Leroy, C.; Lesgourgues, J.; Macías-Pérez, J. F.; MacTavish, C. J.; Maffei, B.; Mandolesi, N.; Mann, R.; Marleau, F.; Marshall, D. J.; Masi, S.; Matsumura, T.; McAuley, I.; McGehee, P.; Melin, J.-B.; Mercier, C.; Mitra, S.; Miville-Deschênes, M.-A.; Moneti, A.; Montier, L.; Mortlock, D.; Murphy, A.; Nati, F.; Netterfield, C. B.; Nørgaard-Nielsen, H. U.; North, C.; Noviello, F.; Novikov, D.; Osborne, S.; Pajot, F.; Patanchon, G.; Peacocke, T.; Pearson, T. J.; Perdereau, O.; Perotto, L.; Piacentini, F.; Piat, M.; Plaszczynski, S.; Pointecouteau, E.; Ponthieu, N.; Prézeau, G.; Prunet, S.; Puget, J.-L.; Reach, W. T.; Remazeilles, M.; Renault, C.; Riazuelo, A.; Ristorcelli, I.; Rocha, G.; Rosset, C.; Roudier, G.; Rowan-Robinson, M.; Rusholme, B.; Saha, R.; Santos, D.; Savini, G.; Schaefer, B. M.; Shellard, P.; Spencer, L.; Starck, J.-L.; Stolyarov, V.; Stompor, R.; Sudiwala, R.; Sunyaev, R.; Sutton, D.; Sygnet, J.-F.; Tauber, J. A.; Thum, C.; Torre, J.-P.; Touze, F.; Tristram, M.; van Leeuwen, F.; Vibert, L.; Vibert, D.; Wade, L. A.; Wandelt, B. D.; White, S. D. M.; Wiesemeyer, H.; Woodcraft, A.; Yurchenko, V.; Yvon, D.; Zacchei, A.

    2011-12-01

    We describe the processing of the 336 billion raw data samples from the High Frequency Instrument (HFI) which we performed to produce six temperature maps from the first 295 days of Planck-HFI survey data. These maps provide an accurate rendition of the sky emission at 100, 143, 217, 353, 545 and 857 GHz with an angular resolution ranging from 9.9 to 4.4'. The white noise level is around 1.5 μK degree or less in the 3 main CMB channels (100-217 GHz). The photometric accuracy is better than 2% at frequencies between 100 and 353 GHz and around 7% at the two highest frequencies. The maps created by the HFI Data Processing Centre reach our goals in terms of sensitivity, resolution, and photometric accuracy. They are already sufficiently accurate and well-characterised to allow scientific analyses which are presented in an accompanying series of early papers. At this stage, HFI data appears to be of high quality and we expect that with further refinements of the data processing we should be able to achieve, or exceed, the science goals of the Planck project. Corresponding author: F. R. Bouchet, e-mail: bouchet@iap.fr

  17. Planck Early Results: The High Frequency Instrument data processing

    CERN Document Server

    Ade, P A R; Ansari, R; Arnaud, M; Ashdown, M; Aumont, J; Banday, A J; Bartelmann, M; Bartlett, J G; Battaner, E; Benabed, K; Benoît, A; Bernard, J -P; Bersanelli, M; Bock, J J; Bond, J R; Borrill, J; Bouchet, F R; Boulanger, F; Bradshaw, T; Bucher, M; Cardoso, J -F; Castex, G; Catalano, A; Challinor, A; Chamballu, A; Chary, R -R; Chen, X; Chiang, C; Church, S; Clements, D L; Colley, J -M; Colombi, S; Couchot, F; Coulais, A; Cressiot, C; Crill, B P; Crook, M; de Bernardis, P; Delabrouille, J; Delouis, J -M; Désert, F -X; Dolag, K; Dole, H; Doré, O; Douspis, M; Dunkley, J; Efstathiou, G; Filliard, C; Forni, O; Fosalba, P; Ganga, K; Giard, M; Girard, D; Giraud-Héraud, Y; Gispert, R; Górski, K M; Gratton, S; Griffin, M; Guyot, G; Haissinski, J; Harrison, D; Helou, G; Henrot-Versillé, S; Hernández-Monteagudo, C; Hildebrandt, S R; Hills, R; Hivon, E; Hobson, M; Holmes, W A; Huffenberger, K M; Jaffe, A H; Jones, W C; Kaplan, J; Kneissl, R; Knox, L; Kunz, M; Lagache, G; Lamarre, J -M; Lange, A E; Lasenby, A; Lavabre, A; Lawrence, C R; Jeune, M Le; Leroy, C; Lesgourgues, J; Lewis, A; Macías-Pérez, J F; MacTavish, C J; Maffei, B; Mandolesi, N; Mann, R; Marleau, F; Marshall, D J; Masi, S; Matsumura, T; McAuley, I; McGehee, P; Melin, J -B; Mercier, C; Mitra, S; Miville-Deschênes, M -A; Moneti, A; Montier, L; Mortlock, D; Murphy, A; Nati, F; Netterfield, C B; N\\orgaard-Nielsen, H U; North, C; Noviello, F; Novikov, D; Osborne, S; Pajot, F; Patanchon, G; Peacocke, T; Pearson, T J; Perdereau, O; Perotto, L; Piacentini, F; Piat, M; Plaszczynski, S; Pointecouteau, E; Ponthieu, N; Prézeau, G; Prunet, S; Puget, J -L; Reach, W T; Remazeilles, M; Renault, C; Riazuelo, A; Ristorcelli, I; Rocha, G; Rosset, C; Roudier, G; Rowan-Robinson, M; Rusholme, B; Saha, R; Santos, D; Savini, G; Schaefer, B M; Shellard, P; Spencer, L; Starck, J -L; Stolyarov, V; Stompor, R; Sudiwala, R; Sunyaev, R; Sutton, D; Sygnet, J -F; Tauber, J A; Thum, C; Torre, J -P; Touze, F; Tristram, M; Van Leeuwen, F; Vibert, L; Vibert, D; Wandelt, B D; White, S D M; Wiesemeyer, H; Woodcraft, A; Yurchenko, V; Yvon, D; Zacchei, A

    2011-01-01

    We describe the processing of the 334 billion raw data samples from the High Frequency Instrument (hereafter HFI) which we performed to produce six temperature maps from the first 295 days of Planck-HFI survey data. These maps provide an accurate rendition of the sky emission at 100, 143, 217, 353, 545 and 857GHz with an angular resolution ranging from 9.9 to 4.4 arcmin. The white noise level is around 1.5 microK.degree or less in the 3 main CMB channels (100-217GHz). The photometric accuracy is better than 2% at frequencies lower or equal to 353GHz, and around 7% at the two highest frequencies. The maps created by the HFI Data Processing Centre reach our goals in terms of sensitivity, resolution, and photometric accuracy. They are already sufficiently accurate and well-characterised to allow scientific analyses which are presented in an accompanying series of early papers. At this stage, HFI data appears to be of high quality and we expect that with further refinements of the data processing we should be abl...

  18. Planck Early Results: The Low Frequency Instrument data processing

    CERN Document Server

    Zacchei, A; Baccigalupi, C; Bersanelli, M; Bonaldi, A; Bonavera, L; Burigana, C; Butler, R C; Cuttaia, F; de Zotti, G; Dick, J; Frailis, M; Galeotta, S; González-Nuevo, J; Górski, K M; Gregorio, A; Keihänen, E; Keskitalo, R; Knoche, J; Kurki-Suonio, H; Lawrence, C R; Leach, S; Leahy, J P; López-Caniego, M; Mandolesi, N; Maris, M; Matthai, F; Meinhold, P R; Mennella, A; Morgante, G; Morisset, N; Natoli, P; Pasian, F; Perrotta, F; Polenta, G; Poutanen, T; Reinecke, M; Ricciardi, S; Rohlfs, R; Sandri, M; Suur-Uski, A -S; Tauber, J A; Tavagnacco, D; Terenzi, L; Tomasi, M; Valiviita, J; Villa, F; Zonca, A; Banday, A J; Barreiro, R B; Bartlett, J G; Bartolo, N; Bedini, L; Bennett, K; Binko, P; Borrill, J; Bouchet, F R; Bremer, M; Cabella, P; Cappellini, B; Chen, X; Colombo, L; Cruz, M; Curto, A; Danese, L; Davies, R D; Davis, R J; de Gasperis, G; de Rosa, A; de Troia, G; Dickinson, C; Diego, J M; Donzelli, S; Dörl, U; Efstathiou, G; En\\sslin, T A; Eriksen, H K; Falvella, M C; Finelli, F; Franceschi, E; Gaier, T C; Gasparo, F; Génova-Santos, R T; Giardino, G; Gómez, F; Gruppuso, A; Hansen, F K; Hell, R; Herranz, D; Hovest, W; Jewell, J; Juvela, M; Kisner, T S; Knox, L; Lähteenmäki, A; Lamarre, J -M; Leonardi, R; León-Tavares, J; Lilje, P B; Lubin, P M; Maggio, G; Marinucci, D; Martínez-González, E; Massardi, M; Matarrese, S; Meharga, M T; Melchiorri, A; Migliaccio, M; Mitra, S; Moss, A; N\\orgaard-Nielsen, H U; Pagano, L; Paladini, R; Paoletti, D; Partridge, B; Pearson, D; Pettorino, V; Pietrobon, D; Prézeau, G; Procopio, P; Puget, J -L; Quercellini, C; Rachen, J P; Rebolo, R; Robbers, G; Rocha, G; Rubi\; Salerno, E; Savelainen, M; Scott, D; Seiffert, M D; Silk, J I; Smoot, G F; Sternberg, J; Stivoli, F; Stompor, R; Tofani, G; Tuovinen, J; Türler, M; Umana, G; Vielva, P; Vittorio, N; Vuerli, C; Wade, L A; Watson, R; White, S D M; Wilkinson, A

    2011-01-01

    We describe the data processing pipeline employed by the Low Frequency Instrument (LFI) Data Processing Centre (DPC) to create and characterize the frequency maps used by the ERCSC (Early Release Compact Source Catalogue) first product of Planck to become public. In particular, we discuss the various steps involved in reducing the data, starting from telemetry (TM)packets through to the production of cleaned calibrated timelines and calibrated frequency maps. Data are continuously calibrated using the modulation induced on the mean temperature of the Cosmic Microwave Background Radiation by the proper motion of the spacecraft. The sky signals other than the dipole are removed by an iterative procedure based on simultaneous fitting of calibration parameters and sky maps. Noise properties are estimated from time-ordered data where the sky signal is removed using a Generalized Least Square map-making algorithm. The measured 1/f noise knee-frequencies range from \\sim 100 mHz at 30 GHz to a few tens of mHz at 70 G...

  19. Planck early results. V. The Low Frequency Instrument data processing

    Science.gov (United States)

    Zacchei, A.; Maino, D.; Baccigalupi, C.; Bersanelli, M.; Bonaldi, A.; Bonavera, L.; Burigana, C.; Butler, R. C.; Cuttaia, F.; de Zotti, G.; Dick, J.; Frailis, M.; Galeotta, S.; González-Nuevo, J.; Górski, K. M.; Gregorio, A.; Keihänen, E.; Keskitalo, R.; Knoche, J.; Kurki-Suonio, H.; Lawrence, C. R.; Leach, S.; Leahy, J. P.; López-Caniego, M.; Mandolesi, N.; Maris, M.; Matthai, F.; Meinhold, P. R.; Mennella, A.; Morgante, G.; Morisset, N.; Natoli, P.; Pasian, F.; Perrotta, F.; Polenta, G.; Poutanen, T.; Reinecke, M.; Ricciardi, S.; Rohlfs, R.; Sandri, M.; Suur-Uski, A.-S.; Tauber, J. A.; Tavagnacco, D.; Terenzi, L.; Tomasi, M.; Valiviita, J.; Villa, F.; Zonca, A.; Banday, A. J.; Barreiro, R. B.; Bartlett, J. G.; Bartolo, N.; Bedini, L.; Bennett, K.; Binko, P.; Borrill, J.; Bouchet, F. R.; Bremer, M.; Cabella, P.; Cappellini, B.; Chen, X.; Colombo, L.; Cruz, M.; Curto, A.; Danese, L.; Davies, R. D.; Davis, R. J.; de Gasperis, G.; de Rosa, A.; de Troia, G.; Dickinson, C.; Diego, J. M.; Donzelli, S.; Dörl, U.; Efstathiou, G.; Enßlin, T. A.; Eriksen, H. K.; Falvella, M. C.; Finelli, F.; Franceschi, E.; Gaier, T. C.; Gasparo, F.; Génova-Santos, R. T.; Giardino, G.; Gómez, F.; Gruppuso, A.; Hansen, F. K.; Hell, R.; Herranz, D.; Hovest, W.; Huynh, M.; Jewell, J.; Juvela, M.; Kisner, T. S.; Knox, L.; Lähteenmäki, A.; Lamarre, J.-M.; Leonardi, R.; León-Tavares, J.; Lilje, P. B.; Lubin, P. M.; Maggio, G.; Marinucci, D.; Martínez-González, E.; Massardi, M.; Matarrese, S.; Meharga, M. T.; Melchiorri, A.; Migliaccio, M.; Mitra, S.; Moss, A.; Nørgaard-Nielsen, H. U.; Pagano, L.; Paladini, R.; Paoletti, D.; Partridge, B.; Pearson, D.; Pettorino, V.; Pietrobon, D.; Prézeau, G.; Procopio, P.; Puget, J.-L.; Quercellini, C.; Rachen, J. P.; Rebolo, R.; Robbers, G.; Rocha, G.; Rubiño-Martín, J. A.; Salerno, E.; Savelainen, M.; Scott, D.; Seiffert, M. D.; Silk, J. I.; Smoot, G. F.; Sternberg, J.; Stivoli, F.; Stompor, R.; Tofani, G.; Toffolatti, L.; Tuovinen, J.; Türler, M.; Umana, G.; Vielva, P.; Vittorio, N.; Vuerli, C.; Wade, L. A.; Watson, R.; White, S. D. M.; Wilkinson, A.

    2011-12-01

    We describe the processing of data from the Low Frequency Instrument (LFI) used in production of the Planck Early Release Compact Source Catalogue (ERCSC). In particular, we discuss the steps involved in reducing the data from telemetry packets to cleaned, calibrated, time-ordered data (TOD) and frequency maps. Data are continuously calibrated using the modulation of the temperature of the cosmic microwave background radiation induced by the motion of the spacecraft. Noise properties are estimated from TOD from which the sky signal has been removed using a generalized least square map-making algorithm. Measured 1/f noise knee-frequencies range from ~100 mHz at 30 GHz to a few tens of mHz at 70GHz. A destriping code (Madam) is employed to combine radiometric data and pointing information into sky maps, minimizing the variance of correlated noise. Noise covariance matrices required to compute statistical uncertainties on LFI and Planck products are also produced. Main beams are estimated down to the ≈-10dB level using Jupiter transits, which are also used for geometrical calibration of the focal plane. Corresponding author: A. Zacchei, e-mail: zacchei@oats.inaf.it

  20. The K2 Mission: Characterization and Early results

    CERN Document Server

    Howell, Steve B; Haas, Michael; Still, Martin; Barclay, Thomas; Mullally, Fergal; Troeltzsch, John; Aigrain, Suzanne; Bryson, Stephen T; Caldwell, Doug; Chaplin, William J; Cochran, William D; Huber, Daniel; Marcy, Geoffrey W; Miglio, Andrea; Najita, Joan R; Smith, Marcie; Twicken, J D; Fortney, Jonathan J

    2014-01-01

    The K2 mission will make use of the Kepler spacecraft and its assets to expand upon Kepler's groundbreaking discoveries in the fields of exoplanets and astrophysics through new and exciting observations. K2 will use an innovative way of operating the spacecraft to observe target fields along the ecliptic for the next 2-3 years. Early science commissioning observations have shown an estimated photometric precision near 400 ppm in a single 30 minute observation, and a 6-hour photometric precision of 80 ppm (both at V=12). The K2 mission offers simultaneous observation of thousands of objects at a precision far better than is achievable from the ground. Ecliptic fields will be observed for approximately 75-days enabling a unique exoplanet survey which fills the gaps in duration and sensitivity between the Kepler and TESS missions, and offers pre-launch exoplanet target identification for JWST transit spectroscopy. Astrophysics observations with K2 will include studies of young open clusters, bright stars, galaxi...

  1. Planck early results. XXV. Thermal dust in nearby molecular clouds

    DEFF Research Database (Denmark)

    Bucher, M.; Delabrouille, J.; Giraud-Héraud, Y.

    2011-01-01

    , and the dust optical depth at 250 μm τ250. The temperature map illustrates the cooling of the dust particles in thermal equilibrium with the incident radiation field, from 16 - 17 K in the diffuse regions to 13 - 14 K in the dense parts. The distribution of spectral indices is centred at 1.78, with a standard......Planck allows unbiased mapping of Galactic sub-millimetre and millimetre emission from the most diffuse regions to the densest parts of molecular clouds. We present an early analysis of the Taurus molecular complex, on line-of-sight-averaged data and without component separation. The emission...... blackbody. Significant positive residuals are also detected in the molecular regions and in the 217 GHz and 100 GHz bands, mainly caused by the contribution of the J = 2 → 1 and J = 1 → 0 12CO and 13CO emission lines. We derive maps of the dust temperature T, the dust spectral emissivity index β...

  2. Early detection of ovarian cancer: preliminary results of the Yale Early Detection Program.

    Science.gov (United States)

    Schwartz, P. E.; Chambers, J. T.; Taylor, K. J.; Pellerito, J.; Hammers, L.; Cole, L. A.; Yang-Feng, T. L.; Smith, P.; Mayne, S. T.; Makuch, R.

    1991-01-01

    Eighty-four women at high risk for ovarian cancer by having first-degree relatives with epithelial ovarian cancer participated in a newly established, early ovarian cancer detection program at Yale University. Participants were to be evaluated with physical examinations and circulating tumor markers at entry and every six months thereafter. Endovaginal ultrasound and color Doppler flow studies were to be performed at three and nine months following entry into the program. In addition, women were encouraged to follow American Cancer Society guidelines for mammography. Stool was checked for occult blood. Endometrial sampling was offered to post-menopausal women. No participant has developed an ovarian cancer since entering the program. One woman has been diagnosed to have breast cancer. False-positive levels of circulating tumor markers (CA 125, 4/84 [4.8 percent]; lipid-associated sialic acid in plasma, 13/84 [15.5 percent]; NB/70K, 4/84 [4.8 percent]; and urinary gonadotropin fragment, 1/65 [1.5 percent]) were observed on entry into the program. Low resistive indices (less than 0.5) were documented in 8/91 (8.8 percent) ovaries studied by the color Doppler flow technique. One participant underwent a laparotomy based on a false-positive endovaginal ultrasound examination. Tests now being employed in community practice have a high likelihood of being associated with false-positive results. Therapeutic interventions based on isolated abnormal tumor markers or ultrasound studies obtained from women with family histories of ovarian cancer may lead to inappropriate surgery. It is necessary for cancer centers to develop expertise in ovarian cancer detection techniques to advise physicians in their geographic areas appropriately about the significance of the abnormal screening test. PMID:1810101

  3. The WHAM Hα Magellanic Stream Survey: Progress and Early Results

    Science.gov (United States)

    Smart, Brianna; Haffner, L. Matthew; Barger, Kat; Krishnarao, Dhanesh

    2017-01-01

    We present early analysis of the Hα survey of the Magellanic Stream using the Wisconsin H-Alpha Mapper (WHAM). The neutral component of the Stream extends some 200° across the sky (Nidever et al. 2010). However, the full extent of the ionized gas has not been mapped in detail. Previous studies (e.g., Putman et al. 2003; Weiner & Williams 1996) suggest that ionized gas is likely to be found all along the length of the Stream, and may extend beyond the current neutral boundaries as traced by 21 cm. Barger et al. (2013) used WHAM to map ionized gas throughout the Magellanic Bridge between the Magellanic Clouds. Although ionized emission tracks the neutral emission for the most part, it often spans a few degrees away from the H I at slightly offset velocities. Additionally, Fox et al. (2014) find evidence in an absorption line study that the tidal debris in the Magellanic System contains twice as much ionized gas as neutral material and may extend 30° away from 21-cm sensitivity boundaries. We are now compiling the first comprehensive picture of the ionized component of the Magellanic Stream using WHAM's unprecedented sensitivity to trace diffuse emission (~tens of mR), its velocity resolution (12 km/s) to separate the Stream from the Milky Way, and its multiwavelength capabilities (e.g., [S II] and [N II]) to examine the physical conditions of the gas. Much of the data along the primary axis of the Stream has been collected for the first phase of this extensive study, a complete kinematic Hα survey of the Stream. We present survey progress, challenges in extracting Stream emission, and first-look kinematic maps at select positions along the Stream.

  4. 15年间我国少数民族女生月经初潮年龄变化趋势%Change trend of menarche ages of the female students of minority nationalities in China from 1985 to 2000

    Institute of Scientific and Technical Information of China (English)

    赵继; 马亚娜; 陈次良

    2012-01-01

    目的:分析我国少数民族女生月经初潮平均年龄及从1985~2000年15年间其月经初潮年龄的变化趋势.方法:收集到1985年、1991年和2000年的部分少数民族女生月经初潮平均年龄,比较其总体的变化趋势,并用统计软件作出趋势图.结果:蒙古族、维吾尔族、壮族、朝鲜族女生月经初潮平均年龄在15年来是逐年提前的,回族在1991~2000年这段期间女生月经初潮年龄出现后退现象.这5个少数民族均呈现出乡村提前的速度快于城市.结论:我国少数民族女生月经初潮平均年龄的“生长长期变化”趋势依然存在,但增长趋势在减缓.%Objective: To analyze the average ages of menarche of the female students of minority nationalities in China and the change trend of menarche age from 1985 to 2000. Methods; The average ages of menarche of the female students of minority nationalities in China in 1985, 1991, and 2000 were collected, the total change trend was compared, and trend diagram was drawn by statistical software. Results; The average ages of menarche of the female students of Mongolian nationality, Uyghur nationality, Zhuang nationality, and Korean nationality from 1985 to 2000 decreased year by year, while the average age of menarche of the female students of Hui nationality from 1985 to 2000 increased. Among the female students of Mongolian nationality, Uyghur nationality, Zhuang nationality, Korean nationality, and Hui nationality, the average ages of menarche of the female students in villages were younger than those in cities. Conclusion; The trend of " secular growth changes" of average menarcheal ages of the female students of minority nationalities still remains in China, but the rising tendency is slowing down.

  5. Early results after robot-assisted colorectal surgery

    DEFF Research Database (Denmark)

    Eriksen, Jens Ravn; Helvind, Neel Maria; Jakobsen, Henrik Loft

    2013-01-01

    Implementation of robotic technology in surgery is challenging in many ways. The aim of this study was to present the implementation process and results of the first two years of consecutive robot-assisted laparoscopic (RAL) colorectal procedures.......Implementation of robotic technology in surgery is challenging in many ways. The aim of this study was to present the implementation process and results of the first two years of consecutive robot-assisted laparoscopic (RAL) colorectal procedures....

  6. Early results after robot-assisted colorectal surgery

    DEFF Research Database (Denmark)

    Eriksen, Jens Ravn; Helvind, Neel Maria; Jakobsen, Henrik Loft

    2013-01-01

    Implementation of robotic technology in surgery is challenging in many ways. The aim of this study was to present the implementation process and results of the first two years of consecutive robot-assisted laparoscopic (RAL) colorectal procedures.......Implementation of robotic technology in surgery is challenging in many ways. The aim of this study was to present the implementation process and results of the first two years of consecutive robot-assisted laparoscopic (RAL) colorectal procedures....

  7. Planck early results. VIII. The all-sky early Sunyaev-Zeldovich cluster sample

    DEFF Research Database (Denmark)

    Bucher, M.; Delabrouille, J.; Giraud-Héraud, Y.;

    2011-01-01

    We present the first all-sky sample of galaxy clusters detected blindly by the Planck satellite through the Sunyaev-Zeldovich (SZ) effect from its six highest frequencies. This early SZ (ESZ) sample is comprised of 189 candidates, which have a high signal-to-noise ratio ranging from 6 to 29. Its ...

  8. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche

    NARCIS (Netherlands)

    Perry, J.R.; Day, F.; Elks, C.E.; Sulem, P.; Thompson, D.J.; Ferreira, T.; He, C.; Chasman, D.I.; Esko, T.; Thorleifsson, G.; Albrecht, E.; Ang, W.Q.; Corre, T.; Cousminer, D.L.; Feenstra, B.; Franceschini, N.; Ganna, A.; Johnson, A.D.; Kjellqvist, S.; Lunetta, K.L.; McMahon, G.; Nolte, I.M.; Paternoster, L.; Porcu, E.; Smith, A.V.; Stolk, L.; Teumer, A.; Tsernikova, N.; Tikkanen, E.; Ulivi, S.; Wagner, E.K.; Amin, N.; Bierut, L.J.; Byrne, E.M.; Hottenga, J.J.; Koller, D.L.; Mangino, M.; Pers, T.H.; Yerges-Armstrong, L.M.; Zhao, J.; Andrulis, I.L.; Anton-Culver, H.; Atsma, F.; Bandinelli, S.; Beckmann, M.W.; Benitez, J.; Blomqvist, C.; Bojesen, S.E.; Bolla, M.K.; Bonanni, B.; Brauch, H.; Brenner, H.; Buring, J.E.; Chang-Claude, J.; Chanock, S.; Chen, J.; Chenevix-Trench, G.; Collee, J.M.; Couch, F.J.; Couper, D.; Coviello, A.D.; Cox, A; Czene, K.; D'Adamo, P.; Smith, G.; Vivo, I. De; Demerath, E.W.; Dennis, J.; Devilee, P.; Dieffenbach, A.K.; Dunning, A.M.; Eiriksdottir, G.; Eriksson, J.G.; Fasching, P.A.; Ferrucci, L.; Flesch-Janys, D.; Flyger, H.; Foroud, T.; Franke, L.; Garcia, M.E.; Garcia-Closas, M.; Geller, F.; Geus, E.E. de; Giles, G.G.; Gudbjartsson, D.F.; Gudnason, V.; Guenel, P.; Guo, S.; Hall, P.; Hamann, U.; Haring, R.; Hartman, C.A.; Heath, A.C.; Hofman, A.; Hooning, M.J.; Hopper, J.L.; Hu, F.B.; Hunter, D.J.; Karasik, D.; Kiel, D.P.

    2014-01-01

    Age at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-cause mortality. Studies of rare human disorders of puberty and animal

  9. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche

    NARCIS (Netherlands)

    J.R.B. Perry (John); F.R. Day (Felix); C.E. Elks (Cathy); P. Sulem (Patrick); D. Thompson (Deborah); T. Ferreira (Teresa); C. He (Chunyan); D.I. Chasman (Daniel); T. Esko (Tõnu); G. Thorleifsson (Gudmar); E. Albrecht (Eva); W.Q. Ang (Wei); T. Corre (Tanguy); D.L. Cousminer (Diana); B. Feenstra (Bjarke); N. Franceschini (Nora); A. Ganna (Andrea); A.D. Johnson (Andrew); S. Kjellqvist (Sanela); K.L. Lunetta (Kathryn); G. Mcmahon (George); I.M. Nolte (Ilja); L. Paternoster (Lavinia); E. Porcu (Eleonora); G.D. Smith; L. Stolk (Lisette); A. Teumer (Alexander); N. Tsernikova (Natalia); E. Tikkanen (Emmi); S. Ulivi (Shelia); E.K. Wagner (Erin K.); N. Amin (Najaf); L.J. Bierut (Laura); E.M. Byrne (Enda); J.J. Hottenga (Jouke Jan); D.L. Koller (Daniel); M. Mangino (Massimo); T.H. Pers (Tune); L.M. Yerges-Armstrong (Laura); J.H. Zhao; I.L. Andrulis (Irene); H. Anton-Culver (Hoda); F. Atsma (Femke); S. Bandinelli (Stefania); M.W. Beckmann (Matthias W.); J. Benítez (Javier); C. Blomqvist (Carl); S.E. Bojesen (Stig); M.K. Bolla (Manjeet); B. Bonnani (Bernardo); H. Brauch (Hiltrud); H. Brenner (Hermann); J.E. Buring (Julie); J. Chang-Claude (Jenny); S.J. Chanock (Stephen); J. Chen (Jinhui); G. Chenevix-Trench (Georgia); J.M. Collee (Margriet); F.J. Couch (Fergus); D.J. Couper (David); A.D. Coviello (Andrea); A. Cox (Angela); K. Czene (Kamila); P. d' Adamo (Pio); G.D. Smith; I. de Vivo (Immaculata); E.W. Demerath (Ellen); J. Dennis (Joe); P. Devilee (Peter); A.K. Dieffenbach (Aida Karina); A.M. Dunning (Alison); G. Eiriksdottir (Gudny); K. Hagen (Knut); P.A. Fasching (Peter); L. Ferrucci (Luigi); D. Flesch-Janys (Dieter); H. Flyger (Henrik); T. Foroud (Tatiana); L. Franke (Lude); M. Garcia (Melissa); M. García-Closas (Montserrat); F. Geller (Frank); E.E.J. De Geus (Eco E. J.); G.G. Giles (Graham); D.F. Gudbjartsson (Daniel); V. Gudnason (Vilmundur); P. Guénel (Pascal); S. Guo (Suiqun); P. Hall (Per); U. Hamann (Ute); R. Haring (Robin); C.A. Hartman (Catharina); A.C. Heath (Andrew); A. Hofman (Albert); M.J. Hooning (Maartje); J.L. Hopper (John); F.B. Hu (Frank); D. Hunter (David); D. Karasik (David); D.P. Kiel (Douglas P.); J.A. Knight (Julia); V-M. Kosma (Veli-Matti); Z. Kutalik (Zoltán); S. Lai (Sandra); D. Lambrechts (Diether); A. Lindblom (Annika); R. Mägi (Reedik); P.K. Magnusson (Patrik); A. Mannermaa (Arto); N.G. Martin (Nicholas); G. Masson (Gisli); P.F. McArdle (Patrick); W.L. McArdle (Wendy); M. Melbye (Mads); K. Michailidou (Kyriaki); E. Mihailov (Evelin); L. Milani (Lili); R.L. Milne (Roger L); H. Nevanlinna (Heli); P. Neven (Patrick); C. Nohr (Christian); A.J. Oldehinkel (Albertine); B.A. Oostra (Ben); A. Palotie (Aarno); M. Peacock (Munro); N.L. Pedersen (Nancy L.); P. Peterlongo (Paolo); J. Peto (Julian); P.D.P. Pharoah (Paul); D.S. Postma (Dirkje); A. Pouta (Anneli); K. Pykäs (Katri); P. Radice (Paolo); S.M. Ring (Susan); F. Rivadeneira Ramirez (Fernando); A. Robino (Antonietta); L.M. Rose (Lynda); A. Rudolph (Anja); V. Salomaa (Veikko); S. Sanna (Serena); D. Schlessinger (David); M.K. Schmidt (Marjanka); M.C. Southey (Mellissa C.); U. Sovio (Ulla); M.J. Stampfer (Meir J.); D. Stöckl (Doris); A.M. Storniolo (Anna M.); N. Timpson (Nicholas); J.P. Tyrer (Jonathan); J.A. Visser (Jenny); P. Vollenweider (Peter); H. Völzke (Henry); G. Waeber (Gérard); M. Waldenberger (Melanie); H. Wallaschofski (Henri); Q. Wang (Qing); G.A.H.M. Willemsen (Gonneke); R. Winqvist (Robert); B.H.R. Wolffenbuttel (Bruce H. R.); M.J. Wright (Margaret); D.I. Boomsma (Dorret); M.J. Econs (Michael); K.T. Khaw; R.J.F. Loos (Ruth); M.I. McCarthy (Mark); G.W. Montgomery (Grant); J.P. Rice (John); E.A. Streeten (Elizabeth); U. Thorsteinsdottir (Unnur); C.M. van Duijn (Cock); B.Z. Alizadeh (Behrooz); S.M. Bergmann (Sven); E.A. Boerwinkle (Eric); H.A. Boyd (Heather); L. Crisponi (Laura); P. Gasparini (Paolo); C. Gieger (Christian); T.B. Harris (Tamara); E. Ingelsson (Erik); M.-R. Jarvelin (Marjo-Riitta); P. Kraft (Peter); D.A. Lawlor (Debbie); A. Metspalu (Andres); C.E. Pennell (Craig); P.M. Ridker (Paul); H. Snieder (Harold); T.I.A. Sørensen; T.D. Spector (Timothy); D.P. Strachan (David P.); A.G. Uitterlinden (André); N.J. Wareham (Nick); E. Widen (Elisabeth); M. Zygmunt (Marek); A. Murray (Anna); D.F. Easton (Douglas); J-A. Zwart (John-Anker); J. Murabito (Joanne); K.K. Ong (Ken K.)

    2014-01-01

    textabstractAge at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-cause mortality. Studies of rare human disorders of puberty and

  10. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche

    NARCIS (Netherlands)

    Perry, John R. B.; Day, Felix; Elks, Cathy E.; Sulem, Patrick; Thompson, Deborah J.; Ferreira, Teresa; He, Chunyan; Chasman, Daniel I.; Esko, Toenu; Thorleifsson, Gudmar; Albrecht, Eva; Ang, Wei Q.; Corre, Tanguy; Cousminer, Diana L.; Feenstra, Bjarke; Franceschini, Nora; Ganna, Andrea; Johnson, Andrew D.; Kjellqvist, Sanela; Lunetta, Kathryn L.; McMahon, George; Nolte, Ilja M.; Paternoster, Lavinia; Porcu, Eleonora; Smith, Albert V.; Stolk, Lisette; Teumer, Alexander; Tsernikova, Natalia; Tikkanen, Emmi; Ulivi, Sheila; Wagner, Erin K.; Amin, Najaf; Bierut, Laura J.; Byrne, Enda M.; Hottenga, Jouke-Jan; Koller, Daniel L.; Mangino, Massimo; Pers, Tune H.; Yerges-Armstrong, Laura M.; Zhao, Jing Hua; Andrulis, Irene L.; Anton-Culver, Hoda; Atsma, Femke; Bandinelli, Stefania; Beckmann, Matthias W.; Benitez, Javier; Blomqvist, Carl; Bojesen, Stig E.; Bolla, Manjeet K.; Bonanni, Bernardo; Brauch, Hiltrud; Brenner, Hermann; Buring, Julie E.; Chang-Claude, Jenny; Chanock, Stephen; Chen, Jinhui; Chenevix-Trench, Georgia; Collee, J. Margriet; Couch, Fergus J.; Couper, David; Coviello, Andrea D.; Cox, Angela; Czene, Kamila; D'adamo, Adamo Pio; Smith, George Davey; De Vivo, Immaculata; Demerath, Ellen W.; Dennis, Joe; Devilee, Peter; Dieffenbach, Aida K.; Dunning, Alison M.; Eiriksdottir, Gudny; Eriksson, Johan G.; Fasching, Peter A.; Ferrucci, Luigi; Flesch-Janys, Dieter; Flyger, Henrik; Foroud, Tatiana; Franke, Lude; Garcia, Melissa E.; Garcia-Closas, Montserrat; Geller, Frank; de Geus, Eco E. J.; Giles, Graham G.; Gudbjartsson, Daniel F.; Gudnason, Vilmundur; Guenel, Pascal; Guo, Suiqun; Hall, Per; Hamann, Ute; Haring, Robin; Hartman, Catharina A.; Heath, AndrewC.; Hofman, Albert; Hooning, Maartje J.; Hopper, John L.; Hu, Frank B.; Hunter, David J.; Karasik, David; Kiel, Douglas P.; Knight, Julia A.; Kosma, Veli-Matti; Kutalik, Zoltan; Lai, Sandra; Lambrechts, Diether; Lindblom, Annika; Maegi, Reedik; Magnusson, Patrik K.; Mannermaa, Arto; Martin, Nicholas G.; Masson, Gisli; McArdle, Patrick F.; McArdle, Wendy L.; Melbye, Mads; Michailidou, Kyriaki; Mihailov, Evelin; Milani, Lili; Milne, Roger L.; Nevanlinna, Heli; Neven, Patrick; Nohr, Ellen A.; Oldehinkel, Albertine J.; Oostra, Ben A.; Palotie, Aarno; Peacock, Munro; Pedersen, Nancy L.; Peterlongo, Paolo; Peto, Julian; Pharoah, Paul D. P.; Postma, Dirkje S.; Pouta, Anneli; Pylkaes, Katri; Radice, Paolo; Ring, Susan; Rivadeneira, Fernando; Robino, Antonietta; Rose, Lynda M.; Rudolph, Anja; Salomaa, Veikko; Sanna, Serena; Schlessinger, David; Schmidt, Marjanka K.; Southey, Mellissa C.; Sovio, Ulla; Stampfer, Meir J.; Stoeckl, Doris; Storniolo, Anna M.; Timpson, Nicholas J.; Tyrer, Jonathan; Visser, Jenny A.; Vollenweider, Peter; Voelzke, Henry; Waeber, Gerard; Waldenberger, Melanie; Wallaschofski, Henri; Wang, Qin; Willemsen, Gonneke; Winqvist, Robert; Wolffenbuttel, Bruce H. R.; Wright, Margaret J.; Boomsma, Dorret I.; Econs, Michael J.; Khaw, Kay-Tee; Loos, Ruth J. F.; McCarthy, Mark I.; Montgomery, Grant W.; Rice, John P.; Streeten, Elizabeth A.; Thorsteinsdottir, Unnur; van Duijn, Cornelia M.; Alizadeh, Behrooz Z.; Bergmann, Sven; Boerwinkle, Eric; Boyd, Heather A.; Crisponi, Laura; Gasparini, Paolo; Gieger, Christian; Harris, Tamara B.; Ingelsson, Erik; Jaervelin, Marjo-Riitta; Kraft, Peter; Lawlor, Debbie; Metspalu, Andres; Pennell, Craig E.; Ridker, Paul M.; Snieder, Harold; Sorensen, Thorkild I. A.; Spector, Tim D.; Strachan, David P.; Uitterlinden, Andre G.; Wareham, Nicholas J.; Widen, Elisabeth; Zygmunt, Marek; Murray, Anna; Easton, Douglas F.; Stefansson, Kari; Murabito, Joanne M.; Ong, Ken K.

    2014-01-01

    Age at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-causemortality(1). Studies of rare human disorders of puberty and animal mo

  11. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche

    NARCIS (Netherlands)

    Perry, John R. B.; Day, Felix; Elks, Cathy E.; Sulem, Patrick; Thompson, Deborah J.; Ferreira, Teresa; He, Chunyan; Chasman, Daniel I.; Esko, Toenu; Thorleifsson, Gudmar; Albrecht, Eva; Ang, Wei Q.; Corre, Tanguy; Cousminer, Diana L.; Feenstra, Bjarke; Franceschini, Nora; Ganna, Andrea; Johnson, Andrew D.; Kjellqvist, Sanela; Lunetta, Kathryn L.; McMahon, George; Nolte, Ilja M.; Paternoster, Lavinia; Porcu, Eleonora; Smith, Albert V.; Stolk, Lisette; Teumer, Alexander; Tsernikova, Natalia; Tikkanen, Emmi; Ulivi, Sheila; Wagner, Erin K.; Amin, Najaf; Bierut, Laura J.; Byrne, Enda M.; Hottenga, Jouke-Jan; Koller, Daniel L.; Mangino, Massimo; Pers, Tune H.; Yerges-Armstrong, Laura M.; Zhao, Jing Hua; Andrulis, Irene L.; Anton-Culver, Hoda; Atsma, Femke; Bandinelli, Stefania; Beckmann, Matthias W.; Benitez, Javier; Blomqvist, Carl; Bojesen, Stig E.; Bolla, Manjeet K.; Bonanni, Bernardo; Brauch, Hiltrud; Brenner, Hermann; Buring, Julie E.; Chang-Claude, Jenny; Chanock, Stephen; Chen, Jinhui; Chenevix-Trench, Georgia; Collee, J. Margriet; Couch, Fergus J.; Couper, David; Coviello, Andrea D.; Cox, Angela; Czene, Kamila; D'adamo, Adamo Pio; Smith, George Davey; De Vivo, Immaculata; Demerath, Ellen W.; Dennis, Joe; Devilee, Peter; Dieffenbach, Aida K.; Dunning, Alison M.; Eiriksdottir, Gudny; Eriksson, Johan G.; Fasching, Peter A.; Ferrucci, Luigi; Flesch-Janys, Dieter; Flyger, Henrik; Foroud, Tatiana; Franke, Lude; Garcia, Melissa E.; Garcia-Closas, Montserrat; Geller, Frank; de Geus, Eco E. J.; Giles, Graham G.; Gudbjartsson, Daniel F.; Gudnason, Vilmundur; Guenel, Pascal; Guo, Suiqun; Hall, Per; Hamann, Ute; Haring, Robin; Hartman, Catharina A.; Heath, AndrewC.; Hofman, Albert; Hooning, Maartje J.; Hopper, John L.; Hu, Frank B.; Hunter, David J.; Karasik, David; Kiel, Douglas P.; Knight, Julia A.; Kosma, Veli-Matti; Kutalik, Zoltan; Lai, Sandra; Lambrechts, Diether; Lindblom, Annika; Maegi, Reedik; Magnusson, Patrik K.; Mannermaa, Arto; Martin, Nicholas G.; Masson, Gisli; McArdle, Patrick F.; McArdle, Wendy L.; Melbye, Mads; Michailidou, Kyriaki; Mihailov, Evelin; Milani, Lili; Milne, Roger L.; Nevanlinna, Heli; Neven, Patrick; Nohr, Ellen A.; Oldehinkel, Albertine J.; Oostra, Ben A.; Palotie, Aarno; Peacock, Munro; Pedersen, Nancy L.; Peterlongo, Paolo; Peto, Julian; Pharoah, Paul D. P.; Postma, Dirkje S.; Pouta, Anneli; Pylkaes, Katri; Radice, Paolo; Ring, Susan; Rivadeneira, Fernando; Robino, Antonietta; Rose, Lynda M.; Rudolph, Anja; Salomaa, Veikko; Sanna, Serena; Schlessinger, David; Schmidt, Marjanka K.; Southey, Mellissa C.; Sovio, Ulla; Stampfer, Meir J.; Stoeckl, Doris; Storniolo, Anna M.; Timpson, Nicholas J.; Tyrer, Jonathan; Visser, Jenny A.; Vollenweider, Peter; Voelzke, Henry; Waeber, Gerard; Waldenberger, Melanie; Wallaschofski, Henri; Wang, Qin; Willemsen, Gonneke; Winqvist, Robert; Wolffenbuttel, Bruce H. R.; Wright, Margaret J.; Boomsma, Dorret I.; Econs, Michael J.; Khaw, Kay-Tee; Loos, Ruth J. F.; McCarthy, Mark I.; Montgomery, Grant W.; Rice, John P.; Streeten, Elizabeth A.; Thorsteinsdottir, Unnur; van Duijn, Cornelia M.; Alizadeh, Behrooz Z.; Bergmann, Sven; Boerwinkle, Eric; Boyd, Heather A.; Crisponi, Laura; Gasparini, Paolo; Gieger, Christian; Harris, Tamara B.; Ingelsson, Erik; Jaervelin, Marjo-Riitta; Kraft, Peter; Lawlor, Debbie; Metspalu, Andres; Pennell, Craig E.; Ridker, Paul M.; Snieder, Harold; Sorensen, Thorkild I. A.; Spector, Tim D.; Strachan, David P.; Uitterlinden, Andre G.; Wareham, Nicholas J.; Widen, Elisabeth; Zygmunt, Marek; Murray, Anna; Easton, Douglas F.; Stefansson, Kari; Murabito, Joanne M.; Ong, Ken K.

    2014-01-01

    Age at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-causemortality(1). Studies of rare human disorders of puberty and animal

  12. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche

    NARCIS (Netherlands)

    J.R.B. Perry (John); F.R. Day (Felix); C.E. Elks (Cathy); P. Sulem (Patrick); D. Thompson (Deborah); T. Ferreira (Teresa); C. He (Chunyan); D.I. Chasman (Daniel); T. Esko (Tõnu); G. Thorleifsson (Gudmar); E. Albrecht (Eva); W.Q. Ang (Wei); T. Corre (Tanguy); D.L. Cousminer (Diana); B. Feenstra (Bjarke); N. Franceschini (Nora); A. Ganna (Andrea); A.D. Johnson (Andrew); S. Kjellqvist (Sanela); K.L. Lunetta (Kathryn); G. Mcmahon (George); I.M. Nolte (Ilja); L. Paternoster (Lavinia); E. Porcu (Eleonora); G.D. Smith; L. Stolk (Lisette); A. Teumer (Alexander); N. Tsernikova (Natalia); E. Tikkanen (Emmi); S. Ulivi (Shelia); E.K. Wagner (Erin K.); N. Amin (Najaf); L.J. Bierut (Laura); E.M. Byrne (Enda); J.J. Hottenga (Jouke Jan); D.L. Koller (Daniel); M. Mangino (Massimo); T.H. Pers (Tune); L.M. Yerges-Armstrong (Laura); J.H. Zhao; I.L. Andrulis (Irene); H. Anton-Culver (Hoda); F. Atsma (Femke); S. Bandinelli (Stefania); M.W. Beckmann (Matthias W.); J. Benítez (Javier); C. Blomqvist (Carl); S.E. Bojesen (Stig); M.K. Bolla (Manjeet); B. Bonnani (Bernardo); H. Brauch (Hiltrud); H. Brenner (Hermann); J.E. Buring (Julie); J. Chang-Claude (Jenny); S.J. Chanock (Stephen); J. Chen (Jinhui); G. Chenevix-Trench (Georgia); J.M. Collee (Margriet); F.J. Couch (Fergus); D.J. Couper (David); A.D. Coviello (Andrea); A. Cox (Angela); K. Czene (Kamila); P. d' Adamo (Pio); G.D. Smith; I. de Vivo (Immaculata); E.W. Demerath (Ellen); J. Dennis (Joe); P. Devilee (Peter); A.K. Dieffenbach (Aida Karina); A.M. Dunning (Alison); G. Eiriksdottir (Gudny); K. Hagen (Knut); P.A. Fasching (Peter); L. Ferrucci (Luigi); D. Flesch-Janys (Dieter); H. Flyger (Henrik); T. Foroud (Tatiana); L. Franke (Lude); M. Garcia (Melissa); M. García-Closas (Montserrat); F. Geller (Frank); E.E.J. De Geus (Eco E. J.); G.G. Giles (Graham); D.F. Gudbjartsson (Daniel); V. Gudnason (Vilmundur); P. Guénel (Pascal); S. Guo (Suiqun); P. Hall (Per); U. Hamann (Ute); R. Haring (Robin); C.A. Hartman (Catharina); A.C. Heath (Andrew); A. Hofman (Albert); M.J. Hooning (Maartje); J.L. Hopper (John); F.B. Hu (Frank); D. Hunter (David); D. Karasik (David); D.P. Kiel (Douglas P.); J.A. Knight (Julia); V-M. Kosma (Veli-Matti); Z. Kutalik (Zoltán); S. Lai (Sandra); D. Lambrechts (Diether); A. Lindblom (Annika); R. Mägi (Reedik); P.K. Magnusson (Patrik); A. Mannermaa (Arto); N.G. Martin (Nicholas); G. Masson (Gisli); P.F. McArdle (Patrick); W.L. McArdle (Wendy); M. Melbye (Mads); K. Michailidou (Kyriaki); E. Mihailov (Evelin); L. Milani (Lili); R.L. Milne (Roger L); H. Nevanlinna (Heli); P. Neven (Patrick); C. Nohr (Christian); A.J. Oldehinkel (Albertine); B.A. Oostra (Ben); A. Palotie (Aarno); M. Peacock (Munro); N.L. Pedersen (Nancy L.); P. Peterlongo (Paolo); J. Peto (Julian); P.D.P. Pharoah (Paul); D.S. Postma (Dirkje); A. Pouta (Anneli); K. Pykäs (Katri); P. Radice (Paolo); S.M. Ring (Susan); F. Rivadeneira Ramirez (Fernando); A. Robino (Antonietta); L.M. Rose (Lynda); A. Rudolph (Anja); V. Salomaa (Veikko); S. Sanna (Serena); D. Schlessinger (David); M.K. Schmidt (Marjanka); M.C. Southey (Mellissa C.); U. Sovio (Ulla); M.J. Stampfer (Meir J.); D. Stöckl (Doris); A.M. Storniolo (Anna M.); N. Timpson (Nicholas); J.P. Tyrer (Jonathan); J.A. Visser (Jenny); P. Vollenweider (Peter); H. Völzke (Henry); G. Waeber (Gérard); M. Waldenberger (Melanie); H. Wallaschofski (Henri); Q. Wang (Qing); G.A.H.M. Willemsen (Gonneke); R. Winqvist (Robert); B.H.R. Wolffenbuttel (Bruce H. R.); M.J. Wright (Margaret); D.I. Boomsma (Dorret); M.J. Econs (Michael); K.T. Khaw; R.J.F. Loos (Ruth); M.I. McCarthy (Mark); G.W. Montgomery (Grant); J.P. Rice (John); E.A. Streeten (Elizabeth); U. Thorsteinsdottir (Unnur); C.M. van Duijn (Cock); B.Z. Alizadeh (Behrooz); S.M. Bergmann (Sven); E.A. Boerwinkle (Eric); H.A. Boyd (Heather); L. Crisponi (Laura); P. Gasparini (Paolo); C. Gieger (Christian); T.B. Harris (Tamara); E. Ingelsson (Erik); M.-R. Jarvelin (Marjo-Riitta); P. Kraft (Peter); D.A. Lawlor (Debbie); A. Metspalu (Andres); C.E. Pennell (Craig); P.M. Ridker (Paul); H. Snieder (Harold); T.I.A. Sørensen; T.D. Spector (Timothy); D.P. Strachan (David P.); A.G. Uitterlinden (André); N.J. Wareham (Nick); E. Widen (Elisabeth); M. Zygmunt (Marek); A. Murray (Anna); D.F. Easton (Douglas); J-A. Zwart (John-Anker); J. Murabito (Joanne); K.K. Ong (Ken K.)

    2014-01-01

    textabstractAge at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-cause mortality. Studies of rare human disorders of puberty and

  13. Frequencies of spontaneous breast development and spontaneous menarche in Turner syndrome in Japan.

    Science.gov (United States)

    Tanaka, Toshiaki; Igarashi, Yutaka; Ozono, Keiichi; Ohyama, Kenji; Ogawa, Masamichi; Osada, Hisao; Onigata, Kazumichi; Kanzaki, Susumu; Kohno, Hitoshi; Seino, Yoshiki; Takahashi, Hiroaki; Tajima, Toshihiro; Tachibana, Katsuhiko; Tanaka, Hiroyuki; Nishi, Yoshikazu; Hasegawa, Tomonobu; Fujita, Keinosuke; Yorifuji, Tohru; Horikawa, Reiko; Yokoya, Susumu

    2015-10-01

    The Growject® database on human GH treatment in Turner syndrome was analyzed in the Turner Syndrome Research Collaboration, and the relationships of the frequencies of spontaneous breast development and spontaneous menarche with karyotype and GH treatment were investigated. One hundred and three cases started GH treatment with 0.5 IU/kg/ week (0.5 IU group), and their dose was increased to 0.35 mg/kg/wk midway through the treatment course. Another 109 cases started GH at a dose of 0.35 mg/kg/wk (0.35 mg group). Spontaneous breast development was observed in 77 (36.3%) of the 212 patients, and spontaneous menarche occurred in 31 patients (14.6%). The frequency of spontaneous breast development was significantly lower in patients with the 45,X karyotype and significantly higher in patients with a structural abnormality of the second X chromosome. The frequency of spontaneous menarche was significantly higher in patients with mosaicism characterized by X monosomy and a cellular line with no structural abnormality of the X chromosome. No significant differences in frequencies of spontaneous breast development and spontaneous menarche were observed between the two dose groups, indicating that GH treatment does not increase the frequency of spontaneous puberty.

  14. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche

    DEFF Research Database (Denmark)

    Perry, John R. B.; Day, Felix; Elks, Cathy E.

    2014-01-01

    . Menarche signals were enriched in imprinted regions, with three loci (DLK1-WDR25, MKRN3-MAGEL2 and KCNK9) demonstrating parent-of-origin-specific associations concordant with known parental expression patterns. Pathway analyses implicated nuclear hormone receptors, particularly retinoic acid and gamma...

  15. Trends in menarcheal age between 1955 and 2009 in the Netherlands

    NARCIS (Netherlands)

    Talma, H.; Schönbeck, Y.; Dommelen, P. van; Bakker, B.; Buuren, S. van; Hirasing, R.

    2013-01-01

    Aim: To assess and compare the secular trend in age at menarche in Dutch girls (1955-2009) and girls from Turkish and Moroccan descent living in the Netherlands (1997-2009). Methods: Data on growth and maturation were collected in 20,867 children of Dutch, Turkish and Moroccan descent in 2009 by

  16. Rare coding variants and X-linked loci associated with age at menarche

    NARCIS (Netherlands)

    Lunetta, Kathryn L.; Day, Felix R.; Sulem, Patrick; Ruth, Katherine S.; Tung, Joyce Y.; Hinds, David A.; Esko, Tonu; Elks, Cathy E.; Altmaier, Elisabeth; He, Chunyan; Huffman, Jennifer E.; Mihailov, Evelin; Porcu, Eleonora; Robino, Antonietta; Rose, Lynda M.; Schick, Ursula M.; Stolk, Lisette; Teumer, Alexander; Thompson, Deborah J.; Traglia, Michela; Wang, Carol A.; Yerges-Armstrong, Laura M.; Antoniou, Antonis C.; Barbieri, Caterina; Coviello, Andrea D.; Cucca, Francesco; Demerath, Ellen W.; Dunning, Alison M.; Gandin, Ilaria; Grove, Megan L.; Gudbjartsson, Daniel F.; Hocking, Lynne J.; Hofman, Albert; Huang, Jinyan; Jackson, Rebecca D.; Karasik, David; Kriebel, Jennifer; Lange, Ethan M.; Lange, Leslie A.; Langenberg, Claudia; Li, Xin; Luan, Jian'an; Maegi, Reedik; Morrison, Alanna C.; Padmanabhan, Sandosh; Pirie, Ailith; Polasek, Ozren; Porteous, David; Reiner, Alex P.; Rivadeneira, Fernando; Rudan, Igor; Sala, Cinzia F.; Schlessinger, David; Scott, Robert A.; Stoeckl, Doris; Visser, Jenny A.; Voelker, Uwe; Vozzi, Diego; Wilson, James G.; Zygmunt, Marek; Boerwinkle, Eric; Buring, Julie E.; Crisponi, Laura; Easton, Douglas F.; Hayward, Caroline; Hu, Frank B.; Liu, Simin; Metspalu, Andres; Pennell, Craig E.; Ridker, Paul M.; Strauch, Konstantin; Streeten, Elizabeth A.; Toniolo, Daniela; Uitterlinden, Andre G.; Ulivi, Sheila; Voelzke, Henry; Wareham, Nicholas J.; Wellons, Melissa; Franceschini, Nora; Chasman, Daniel I.; Thorsteinsdottir, Unnur; Murray, Anna; Stefansson, Kari; Murabito, Joanne M.; Ong, Ken K.; Perry, John R. B.; Forouhi, Nita G.; Kerrison, Nicola D.; Sharp, Stephen J.; Sims, Matt; Barroso, Ines; Deloukas, Panos; McCarthy, Mark I.; Arriola, Larraitz; Balkau, Beverley; Barricarte, Aurelio; Boeing, Heiner; Franks, Paul W.; Gonzalez, Carlos; Grioni, Sara; Kaaks, Rudolf; Key, Timothy J.; Navarro, Carmen; Nilsson, Peter M.; Overvad, Kim; Palli, Domenico; Panico, Salvatore; Ramon Quiros, J.; Rolandsson, Olov; Sacerdote, Carlotta; Sanchez, Maria-Jose; Slimani, Nadia; Tjonneland, Anne; Tumino, Rosario; van der A, Daphne L.; van der Schouw, Yvonne T.; Riboli, Elio; Smith, Blair H.; Campbell, Archie; Deary, Ian J.; McIntosh, Andrew M.

    2015-01-01

    More than 100 loci have been identified for age at menarche by genome-wide association studies; however, collectively these explain only similar to 3% of the trait variance. Here we test two overlooked sources of variation in 192,974 European ancestry women: low-frequency proteincoding variants and

  17. Rare coding variants and X-linked loci associated with age at menarche

    NARCIS (Netherlands)

    K.L. Lunetta (Kathryn); F.R. Day (Felix); P. Sulem (Patrick); K.S. Ruth (Katherine S.); J.Y. Tung (Joyce Y.); D.A. Hinds (David A.); T. Esko (Tõnu); C.E. Elks (Cathy); E.L. Altmaier (Elizabeth); C. He (Chunyan); J.E. Huffman (Jennifer); E. Mihailov (Evelin); E. Porcu (Eleonora); A. Robino (Antonietta); L.M. Rose (Lynda); U.M. Schick (Ursula); L. Stolk (Lisette); A. Teumer (Alexander); D. Thompson (Deborah); M. Traglia (Michela); C.A. Wang (Carol A.); L.M. Yerges-Armstrong (Laura); A.C. Antoniou (Antonis C.); C. Barbieri (Caterina); A.D. Coviello (Andrea); F. Cucca (Francesco); E.W. Demerath (Ellen); A.M. Dunning (Alison); I. Gandin (Ilaria); M.L. Grove (Megan L.); D.F. Gudbjartsson (Daniel); L.J. Hocking (Lynne); A. Hofman (Albert); J. Huang (Jian); R.D. Jackson (Rebecca); D. Karasik (David); J. Kriebel (Jennifer); E.M. Lange (Ethan); L.A. Lange (Leslie); C. Langenberg (Claudia); X. Li (Xin); J. Luan; R. Mägi (Reedik); A.C. Morrison (Alanna); S. Padmanabhan (Sandosh); A. Pirie (Ailith); O. Polasek (Ozren); D.J. Porteous (David J.); A. Reiner (Alexander); F. Rivadeneira Ramirez (Fernando); I. Rudan (Igor); C. Sala (Cinzia); D. Schlessinger (David); R.A. Scott (Robert); D. Stöckl (Doris); J.A. Visser (Jenny); U. Völker (Uwe); D. Vozzi (Diego); J.G. Wilson (James); M. Zygmunt (Marek); E.A. Boerwinkle (Eric); J.E. Buring (Julie); L. Crisponi (Laura); D.F. Easton (Douglas); C. Hayward (Caroline); F.B. Hu (Frank); S. Liu (Simin); A. Metspalu (Andres); C.E. Pennell (Craig); P.M. Ridker (Paul); K. Strauch (Konstantin); E.A. Streeten (Elizabeth); D. Toniolo (Daniela); A.G. Uitterlinden (André); S. Ulivi (Shelia); H. Völzke (Henry); N.J. Wareham (Nick); M. Wellons (Melissa); N. Franceschini (Nora); D.I. Chasman (Daniel); U. Thorsteinsdottir (Unnur); A. Murray (Anna); J-A. Zwart (John-Anker); J. Murabito (Joanne); K.K. Ong (Ken); J.R.B. Perry (John); N.G. Forouhi (Nita G.); N.D. Kerrison (Nicola D.); S.J. Sharp (Stephen J.); M.A. Sims (Matthew); I. Barroso (Inês); P. Deloukas (Panagiotis); M.I. McCarthy (Mark); L. Arriola (Larraitz); B. Balkau (Beverley); A. Barricarte (Aurelio); H. Boeing (Heiner); P.W. Franks; C. Gonzalez (Carlos); S. Grioni (Sara); R. Kaaks (Rudolf); T.J. Key (Timothy J.); C. Navarro (Carmen); P.M. Nilsson (Peter M.); K. Overvad (Kim); D. Palli (Domenico); S. Panico (Salvatore); J.R. Quirós; O. Rolandsson (Olov); C. Sacerdote (Carlotta); M.-J. Sánchez (María-José); N. Slimani (Nadia); A. Tjonneland (Anne); R. Tumino (Rosario); D.L. Van Der A (Daphne L.); Y.T. van der Schouw (Yvonne); E. Riboli (Elio); B.H. Smith (Blair); A. Campbell (Archie); I.J. Deary (Ian J.); A.M. McIntosh (Andrew)

    2015-01-01

    textabstractMore than 100 loci have been identified for age at menarche by genome-wide association studies; however, collectively these explain only ∼ 3% of the trait variance. Here we test two overlooked sources of variation in 192,974 European ancestry women: low-frequency protein-coding variants

  18. Menarche, oral contraceptives, pregnancy and progression of disability in relapsing onset and progressive onset multiple sclerosis

    NARCIS (Netherlands)

    D'hooghe, M. B.; Haentjens, P.; Nagels, G.; D'Hooghe, T.; De Keyser, J.

    2012-01-01

    Female gender and hormones have been associated with disease activity in multiple sclerosis (MS). We investigated age at menarche, use of oral contraceptives and pregnancy in relation to progression of disability in relapsing onset and progressive onset MS. We conducted a cross-sectional survey amon

  19. Early sexual maturity among Pumé foragers of Venezuela: fitness implications of teen motherhood.

    Science.gov (United States)

    Kramer, Karen L

    2008-07-01

    Because humans have slow life histories, discussions of the optimal age at first birth have stressed the benefits of delayed reproduction. However, given the diversity of ecological, fertility, and mortality environments in which humans live, reproductive maturity is expected to be highly variable. This article uses reproductive histories to examine a pattern of early menarche and first birth among the Pume, a group of South American foragers. Age at menarche and first birth are constructed using both retrospective and cross-sectional data for females over the age of 10 (n = 83). The objectives are first to define these patterns and then discuss their reproductive consequences. On average, Pume girls reach menarche at age 12.9, and give birth to their first child at age 15.3-15.5 (retrospective and cross-sectional data, respectively). This populational average falls several years prior to what often is considered the human norm. Two questions are then considered. What are the infant mortality costs across a mother's reproductive career? How does surviving fertility vary with age at first birth? Results indicate that the youngest of first-time mothers ( or =17). Given parity-specific mortality rates, the optimal strategy to minimize infant mortality and maximize reproductive span is to initiate childbearing in the midteens. Women gain no additional advantage in surviving fertility by delaying childbearing until their late teens.

  20. Mathematical Rigor vs. Conceptual Change: Some Early Results

    Science.gov (United States)

    Alexander, W. R.

    2003-05-01

    Results from two different pedagogical approaches to teaching introductory astronomy at the college level will be presented. The first of these approaches is a descriptive, conceptually based approach that emphasizes conceptual change. This descriptive class is typically an elective for non-science majors. The other approach is a mathematically rigorous treatment that emphasizes problem solving and is designed to prepare students for further study in astronomy. The mathematically rigorous class is typically taken by science majors. It also fulfills an elective science requirement for these science majors. The Astronomy Diagnostic Test version 2 (ADT 2.0) was used as an assessment instrument since the validity and reliability have been investigated by previous researchers. The ADT 2.0 was administered as both a pre-test and post-test to both groups. Initial results show no significant difference between the two groups in the post-test. However, there is a slightly greater improvement for the descriptive class between the pre and post testing compared to the mathematically rigorous course. There was great care to account for variables. These variables included: selection of text, class format as well as instructor differences. Results indicate that the mathematically rigorous model, doesn't improve conceptual understanding any better than the conceptual change model. Additional results indicate that there is a similar gender bias in favor of males that has been measured by previous investigators. This research has been funded by the College of Science and Mathematics at James Madison University.

  1. Secular trend in age at menarche in China: a case study of two rural counties in Anhui Province.

    Science.gov (United States)

    Graham, M J; Larsen, U; Xu, X

    1999-04-01

    There is increasing evidence that age at menarche has decreased in Europe and the United States during the last century and in Japan over the last several decades. Data from a community-based survey conducted in two rural counties of Anhui Province in China indicate a similar, downward secular trend in age at menarche for Chinese women. The present study shows the mean age at menarche decreased by 2.8 years, from 16.5 to 13.7, over an approximate 40-year time interval. This rapid decrease in age at menarche may partly be due to better nutrition and living standards reflected by the improved socioeconomic standards experienced in China over the past few decades. To test this hypothesis, a number of determinants of age at menarche were assessed; year of birth, literacy status, county of residence, amount of physical labour, general health status, pesticide exposure before age at menarche, and drinking water source were all found to be associated with age at menarche.

  2. Early detection of ovarian cancer: preliminary results of the Yale Early Detection Program.

    OpenAIRE

    Schwartz, P. E.; Chambers, J. T.; Taylor, K. J.; Pellerito, J.; Hammers, L.; Cole, L. A.; Yang-Feng, T L; Smith, P; Mayne, S T; Makuch, R.

    1991-01-01

    Eighty-four women at high risk for ovarian cancer by having first-degree relatives with epithelial ovarian cancer participated in a newly established, early ovarian cancer detection program at Yale University. Participants were to be evaluated with physical examinations and circulating tumor markers at entry and every six months thereafter. Endovaginal ultrasound and color Doppler flow studies were to be performed at three and nine months following entry into the program. In addition, women w...

  3. Zinc as an adjunct for childhood pneumonia - interpreting early results.

    Science.gov (United States)

    Natchu, Uma Chandra Mouli; Fataki, Maulidi R; Fawzi, Wafaie W

    2008-07-01

    Zinc supplementation has been consistently shown to reduce the incidence of childhood pneumonia, but its effect on the course of pneumonia when administered as an adjunct to antibiotic therapy is still unclear. Three trials published to date have shown mixed results, and a recent trial from India raises the possibility that zinc may be detrimental in some circumstances. Study sites and designs differ, particularly in the timing of zinc treatment and in determining recovery from pneumonia, which can explain the differences in study findings. Serum zinc concentrations are unreliable indicators of zinc status, particularly during acute infectious illnesses. Subgroup analyses, especially using serum zinc levels, must be cautioned against. Future studies are needed that are large enough to be sufficiently powered to accommodate larger treatment failure rates, an issue that ongoing trials will hopefully address.

  4. Early results and future challenges of the Danish Fracture Database

    DEFF Research Database (Denmark)

    Gromov, K.; Brix, Michael; Kallemose, T.

    2014-01-01

    (currently 15,000). 85% of all procedures were performed on adult fractures and 15% on paediatric fractures. Proximal femur (33%), distal radius (15%) and malleolar fractures (12%) were the three most common primary adult fractures. Pain and discomfort from orthopaedic hardware, infection and failure......INTRODUCTION: The Danish Fracture Database (DFDB) was established in 2011 to establish nationwide prospective quality assessment of all fracture-related surgery. In this paper, we describe the DFDB's setup, present preliminary data from the first annual report and discuss its future potential...... are registered. Indication for reoperation is also recorded. The reoperation rate and the one-year mortality are the primary indicators of quality. RESULTS: Approximately 10,000 fracture-related surgical procedures were registered in the database at the time of presentation of the first annual DFDB report...

  5. CMS tracking performance results from early LHC operation

    Energy Technology Data Exchange (ETDEWEB)

    Khachatryan, Vardan [Yerevan Physics Inst. (Armenia); et al.

    2010-11-24

    The first LHC pp collisions at centre-of-mass energies of 0.9 and 2.36 TeV were recorded by the CMS detector in December 2009. The trajectories of charged particles produced in the collisions were reconstructed using the all-silicon Tracker and their momenta were measured in the 3.8 T axial magnetic field. Results from the Tracker commissioning are presented including studies of timing, efficiency, signal-to-noise, resolution, and ionization energy. Reconstructed tracks are used to benchmark the performance in terms of track and vertex resolutions, reconstruction of decays, estimation of ionization energy loss, as well as identification of photon conversions, nuclear interactions, and heavy-flavour decays.

  6. Early Run 2 Hard QCD Results from the ATLAS Collaboration

    Directory of Open Access Journals (Sweden)

    Orlando Nicola

    2016-01-01

    Full Text Available We provide an overview of hard QCD results based on data collected with the ATLAS detector in proton-proton collision at √s = 13 TeV at the Large Hadron Collider. The production of high transverse momentum jets, photons and photon-pairs were studied; the inclusive jet cross section is found to agree well with the prediction of perturbative QCD calculations performed at next-to-leading accuracy. The production cross sections for W and Z bosons in their e and μ decays was measured; in general, agreement is found with the expectation of next-to-next-to leading order QCD calculations and interesting sensitivities to the proton structure functions are already observed. The top production cross sections were measured in different top decay channels and found to agree with the state of the art QCD predictions.

  7. Burrell-Optical-Kepler Survey (BOKS) II: Early Variability Results

    Science.gov (United States)

    Howell, Steve B.; Feldmeier, J.; von Braun, K.; Everett, M.; Mihos, C.; Harding, P.; Knox, C.; Sherry, W.; Lee, T.; Ciardi, D.; Rudick, C.; Proctor, M.; van Belle, G.

    2006-12-01

    We present preliminary results for the photometric time-series data obtained with the BOKS survey (see BOKS I poster Feldmeier et al.). The BOKS survey covers about 1 square degree in the constellation of Cygnus. We obtained nearly 2000 SDSS r-band images spanning a total time period of 39 days. Each point source in our BOKS survey is also present in the single epoch, 7-color photometric survey catalogue being produced by the NASA Discovery program Kepler mission. Light curves of approximately 60,000 point sources, spanning r=14 to 20, are examined and discussed. We will present variability demographics for the BOKS survey including characterization of the light curves into variable classes based on type, color, amplitude, and any extra-solar planet transit candidates.

  8. CMS Tracking Performance Results from Early LHC Operation

    CERN Document Server

    Khachatryan, Vardan; Tumasyan, Armen; Adam, Wolfgang; Bergauer, Thomas; Dragicevic, Marko; Erö, Janos; Fabjan, Christian; Friedl, Markus; Fruehwirth, Rudolf; Ghete, Vasile Mihai; Hammer, Josef; Haensel, Stephan; Hoch, Michael; Hörmann, Natascha; Hrubec, Josef; Jeitler, Manfred; Kasieczka, Gregor; Kiesenhofer, Wolfgang; Krammer, Manfred; Liko, Dietrich; Mikulec, Ivan; Pernicka, Manfred; Rohringer, Herbert; Schöfbeck, Robert; Strauss, Josef; Taurok, Anton; Teischinger, Florian; Waltenberger, Wolfgang; Walzel, Gerhard; Widl, Edmund; Wulz, Claudia-Elisabeth; Mossolov, Vladimir; Shumeiko, Nikolai; Suarez Gonzalez, Juan; Benucci, Leonardo; Ceard, Ludivine; De Wolf, Eddi A.; Janssen, Xavier; Maes, Thomas; Mucibello, Luca; Ochesanu, Silvia; Roland, Benoit; Rougny, Romain; Selvaggi, Michele; Van Haevermaet, Hans; Van Mechelen, Pierre; Van Remortel, Nick; Adler, Volker; Beauceron, Stephanie; Blyweert, Stijn; D'Hondt, Jorgen; Devroede, Olivier; Kalogeropoulos, Alexis; Maes, Joris; Maes, Michael; Tavernier, Stefaan; Van Doninck, Walter; Van Mulders, Petra; Villella, Ilaria; Chabert, Eric Christian; Charaf, Otman; Clerbaux, Barbara; De Lentdecker, Gilles; Dero, Vincent; Gay, Arnaud; Hammad, Gregory Habib; Marage, Pierre Edouard; Vander Velde, Catherine; Vanlaer, Pascal; Wickens, John; Costantini, Silvia; Grunewald, Martin; Klein, Benjamin; Marinov, Andrey; Ryckbosch, Dirk; Thyssen, Filip; Tytgat, Michael; Vanelderen, Lukas; Verwilligen, Piet; Walsh, Sinead; Zaganidis, Nicolas; Basegmez, Suzan; Bruno, Giacomo; Caudron, Julien; De Favereau De Jeneret, Jerome; Delaere, Christophe; Demin, Pavel; Favart, Denis; Giammanco, Andrea; Grégoire, Ghislain; Hollar, Jonathan; Lemaitre, Vincent; Militaru, Otilia; Ovyn, Severine; Pagano, Davide; Pin, Arnaud; Piotrzkowski, Krzysztof; Quertenmont, Loic; Schul, Nicolas; Beliy, Nikita; Caebergs, Thierry; Daubie, Evelyne; Alves, Gilvan; Pol, Maria Elena; Henrique Gomes E Souza, Moacyr; Carvalho, Wagner; Da Costa, Eliza Melo; De Jesus Damiao, Dilson; De Oliveira Martins, Carley; Fonseca De Souza, Sandro; Mundim, Luiz; Nogima, Helio; Oguri, Vitor; Santoro, Alberto; Silva Do Amaral, Sheila Mara; Sznajder, Andre; Torres Da Silva De Araujo, Felipe; De Almeida Dias, Flavia; Ferreira Dias, Marco Andre; Tomei, Thiago; De Moraes Gregores, Eduardo; Da Cunha Marinho, Franciole; Novaes, Sergio F.; Padula, Sandra; Darmenov, Nikolay; Dimitrov, Lubomir; Genchev, Vladimir; Iaydjiev, Plamen; Piperov, Stefan; Stoykova, Stefka; Sultanov, Georgi; Trayanov, Rumen; Vankov, Ivan; Dyulendarova, Milena; Hadjiiska, Roumyana; Kozhuharov, Venelin; Litov, Leander; Marinova, Evelina; Mateev, Matey; Pavlov, Borislav; Petkov, Peicho; Bian, Jian-Guo; Chen, Guo-Ming; Chen, He-Sheng; Jiang, Chun-Hua; Liang, Dong; Liang, Song; Wang, Jian; Wang, Jian; Wang, Xianyou; Wang, Zheng; Yang, Min; Zang, Jingjing; Zhang, Zhen; Ban, Yong; Guo, Shuang; Hu, Zhen; Mao, Yajun; Qian, Si-Jin; Teng, Haiyun; Zhu, Bo; Cabrera, Andrés; Carrillo Montoya, Camilo Andres; Gomez Moreno, Bernardo; Ocampo Rios, Alberto Andres; Osorio Oliveros, Andres Felipe; Sanabria, Juan Carlos; Godinovic, Nikola; Lelas, Damir; Lelas, Karlo; Plestina, Roko; Polic, Dunja; Puljak, Ivica; Antunovic, Zeljko; Dzelalija, Mile; Brigljevic, Vuko; Duric, Senka; Kadija, Kreso; Morovic, Srecko; Attikis, Alexandros; Fereos, Reginos; Galanti, Mario; Mousa, Jehad; Nicolaou, Charalambos; Ptochos, Fotios; Razis, Panos A.; Rykaczewski, Hans; Mahmoud, Mohammed; Hektor, Andi; Kadastik, Mario; Kannike, Kristjan; Müntel, Mait; Raidal, Martti; Rebane, Liis; Azzolini, Virginia; Eerola, Paula; Czellar, Sandor; Härkönen, Jaakko; Heikkinen, Mika Aatos; Karimäki, Veikko; Kinnunen, Ritva; Klem, Jukka; Kortelainen, Matti J.; Lampén, Tapio; Lassila-Perini, Kati; Lehti, Sami; Lindén, Tomas; Luukka, Panja-Riina; Mäenpää, Teppo; Sarkar, Subir; Tuominen, Eija; Tuominiemi, Jorma; Tuovinen, Esa; Ungaro, Donatella; Wendland, Lauri; Banzuzi, Kukka; Korpela, Arja; Tuuva, Tuure; Sillou, Daniel; Besancon, Marc; Dejardin, Marc; Denegri, Daniel; Descamps, Julien; Fabbro, Bernard; Faure, Jean-Louis; Ferri, Federico; Ganjour, Serguei; Gentit, François-Xavier; Givernaud, Alain; Gras, Philippe; Hamel de Monchenault, Gautier; Jarry, Patrick; Locci, Elizabeth; Malcles, Julie; Marionneau, Matthieu; Millischer, Laurent; Rander, John; Rosowsky, André; Rousseau, Delphine; Titov, Maksym; Verrecchia, Patrice; Baffioni, Stephanie; Bianchini, Lorenzo; Bluj, Michal; Broutin, Clementine; Busson, Philippe; Charlot, Claude; Dobrzynski, Ludwik; Elgammal, Sherif; Granier de Cassagnac, Raphael; Haguenauer, Maurice; Kalinowski, Artur; Miné, Philippe; Paganini, Pascal; Sabes, David; Sirois, Yves; Thiebaux, Christophe; Zabi, Alexandre; Agram, Jean-Laurent; Besson, Auguste; Bloch, Daniel; Bodin, David; Brom, Jean-Marie; Cardaci, Marco; Conte, Eric; Drouhin, Frédéric; Ferro, Cristina; Fontaine, Jean-Charles; Gelé, Denis; Goerlach, Ulrich; Greder, Sebastien; Juillot, Pierre; Karim, Mehdi; Le Bihan, Anne-Catherine; Mikami, Yoshinari; Speck, Joaquim; Van Hove, Pierre; Fassi, Farida; Mercier, Damien; Baty, Clement; Beaupere, Nicolas; Bedjidian, Marc; Bondu, Olivier; Boudoul, Gaelle; Boumediene, Djamel; Brun, Hugues; Chanon, Nicolas; Chierici, Roberto; Contardo, Didier; Depasse, Pierre; El Mamouni, Houmani; Fay, Jean; Gascon, Susan; Ille, Bernard; Kurca, Tibor; Le Grand, Thomas; Lethuillier, Morgan; Mirabito, Laurent; Perries, Stephane; Sordini, Viola; Tosi, Silvano; Tschudi, Yohann; Verdier, Patrice; Xiao, Hong; Roinishvili, Vladimir; Anagnostou, Georgios; Edelhoff, Matthias; Feld, Lutz; Heracleous, Natalie; Hindrichs, Otto; Jussen, Ruediger; Klein, Katja; Merz, Jennifer; Mohr, Niklas; Ostapchuk, Andrey; Perieanu, Adrian; Raupach, Frank; Sammet, Jan; Schael, Stefan; Sprenger, Daniel; Weber, Hendrik; Weber, Martin; Wittmer, Bruno; Actis, Oxana; Ata, Metin; Bender, Walter; Biallass, Philipp; Erdmann, Martin; Frangenheim, Jens; Hebbeker, Thomas; Hinzmann, Andreas; Hoepfner, Kerstin; Hof, Carsten; Kirsch, Matthias; Klimkovich, Tatsiana; Kreuzer, Peter; Lanske, Dankfried; Magass, Carsten; Merschmeyer, Markus; Meyer, Arnd; Papacz, Paul; Pieta, Holger; Reithler, Hans; Schmitz, Stefan Antonius; Sonnenschein, Lars; Sowa, Michael; Steggemann, Jan; Teyssier, Daniel; Zeidler, Clemens; Bontenackels, Michael; Davids, Martina; Duda, Markus; Flügge, Günter; Geenen, Heiko; Giffels, Manuel; Haj Ahmad, Wael; Heydhausen, Dirk; Kress, Thomas; Kuessel, Yvonne; Linn, Alexander; Nowack, Andreas; Perchalla, Lars; Pooth, Oliver; Sauerland, Philip; Stahl, Achim; Thomas, Maarten; Tornier, Daiske; Zoeller, Marc Henning; Aldaya Martin, Maria; Behrenhoff, Wolf; Behrens, Ulf; Bergholz, Matthias; Borras, Kerstin; Campbell, Alan; Castro, Elena; Dammann, Dirk; Eckerlin, Guenter; Flossdorf, Alexander; Flucke, Gero; Geiser, Achim; Hauk, Johannes; Jung, Hannes; Kasemann, Matthias; Katkov, Igor; Kleinwort, Claus; Kluge, Hannelies; Knutsson, Albert; Kuznetsova, Ekaterina; Lange, Wolfgang; Lohmann, Wolfgang; Mankel, Rainer; Marienfeld, Markus; Melzer-Pellmann, Isabell-Alissandra; Meyer, Andreas Bernhard; Mnich, Joachim; Mussgiller, Andreas; Olzem, Jan; Parenti, Andrea; Raspereza, Alexei; Schmidt, Ringo; Schoerner-Sadenius, Thomas; Sen, Niladri; Stein, Matthias; Tomaszewska, Justyna; Volyanskyy, Dmytro; Wissing, Christoph; Autermann, Christian; Bobrovskyi, Sergei; Draeger, Jula; Eckstein, Doris; Enderle, Holger; Gebbert, Ulla; Kaschube, Kolja; Kaussen, Gordon; Klanner, Robert; Mura, Benedikt; Naumann-Emme, Sebastian; Nowak, Friederike; Pietsch, Niklas; Sander, Christian; Schettler, Hannes; Schleper, Peter; Schröder, Matthias; Schum, Torben; Schwandt, Joern; Srivastava, Ajay Kumar; Stadie, Hartmut; Steinbrück, Georg; Thomsen, Jan; Wolf, Roger; Bauer, Julia; Buege, Volker; Cakir, Altan; Chwalek, Thorsten; Daeuwel, Daniel; De Boer, Wim; Dierlamm, Alexander; Dirkes, Guido; Feindt, Michael; Gruschke, Jasmin; Hackstein, Christoph; Hartmann, Frank; Heinrich, Michael; Held, Hauke; Hoffmann, Karl-Heinz; Honc, Simon; Kuhr, Thomas; Martschei, Daniel; Mueller, Steffen; Müller, Thomas; Niegel, Martin; Oberst, Oliver; Oehler, Andreas; Ott, Jochen; Peiffer, Thomas; Piparo, Danilo; Quast, Gunter; Rabbertz, Klaus; Ratnikov, Fedor; Renz, Manuel; Sabellek, Andreas; Saout, Christophe; Scheurer, Armin; Schieferdecker, Philipp; Schilling, Frank-Peter; Schott, Gregory; Simonis, Hans-Jürgen; Stober, Fred-Markus Helmut; Troendle, Daniel; Wagner-Kuhr, Jeannine; Zeise, Manuel; Zhukov, Valery; Ziebarth, Eva Barbara; Daskalakis, Georgios; Geralis, Theodoros; Kyriakis, Aristotelis; Loukas, Demetrios; Manolakos, Ioannis; Markou, Athanasios; Markou, Christos; Mavrommatis, Charalampos; Petrakou, Eleni; Gouskos, Loukas; Katsas, Panagiotis; Panagiotou, Apostolos; Evangelou, Ioannis; Kokkas, Panagiotis; Manthos, Nikolaos; Papadopoulos, Ioannis; Patras, Vaios; Triantis, Frixos A.; Aranyi, Attila; Bencze, Gyorgy; Boldizsar, Laszlo; Debreczeni, Gergely; Hajdu, Csaba; Horvath, Dezso; Kapusi, Anita; Krajczar, Krisztian; Laszlo, Andras; Sikler, Ferenc; Vesztergombi, Gyorgy; Beni, Noemi; Molnar, Jozsef; Palinkas, Jozsef; Szillasi, Zoltan; Veszpremi, Viktor; Raics, Peter; Trocsanyi, Zoltan Laszlo; Ujvari, Balazs; Bansal, Sunil; Beri, Suman Bala; Bhatnagar, Vipin; Jindal, Monika; Kaur, Manjit; Kohli, Jatinder Mohan; Mehta, Manuk Zubin; Nishu, Nishu; Saini, Lovedeep Kaur; Sharma, Archana; Sharma, Richa; Singh, Anil; Singh, Jas Bir; Singh, Supreet Pal; Ahuja, Sudha; Chauhan, Sushil; Choudhary, Brajesh C.; Gupta, Pooja; Jain, Sandhya; Jain, Shilpi; Kumar, Ashok; Ranjan, Kirti; Shivpuri, Ram Krishen; Choudhury, Rajani Kant; Dutta, Dipanwita; Kailas, Swaminathan; Kataria, Sushil Kumar; Mohanty, Ajit Kumar; Pant, Lalit Mohan; Shukla, Prashant; Suggisetti, Praveenkumar; Aziz, Tariq; Guchait, Monoranjan; Gurtu, Atul; Maity, Manas; Majumder, Devdatta; Majumder, Gobinda; Mazumdar, Kajari; Mohanty, Gagan Bihari; Saha, Anirban; Sudhakar, Katta; Wickramage, Nadeesha; Banerjee, Sudeshna; Dugad, Shashikant; Mondal, Naba Kumar; Arfaei, Hessamaddin; Bakhshiansohi, Hamed; Fahim, Ali; Hashemi, Majid; Jafari, Abideh; Mohammadi Najafabadi, Mojtaba; Paktinat Mehdiabadi, Saeid; Safarzadeh, Batool; Zeinali, Maryam; Abbrescia, Marcello; Barbone, Lucia; Colaleo, Anna; Creanza, Donato; De Filippis, Nicola; De Palma, Mauro; Dimitrov, Anton; Fedele, Francesca; Fiore, Luigi; Iaselli, Giuseppe; Lusito, Letizia; Maggi, Giorgio; Maggi, Marcello; Manna, Norman; Marangelli, Bartolomeo; My, Salvatore; Nuzzo, Salvatore; Pierro, Giuseppe Antonio; Pompili, Alexis; Pugliese, Gabriella; Romano, Francesco; Roselli, Giuseppe; Selvaggi, Giovanna; Silvestris, Lucia; Trentadue, Raffaello; Tupputi, Salvatore; Zito, Giuseppe; Abbiendi, Giovanni; Benvenuti, Alberto; Bonacorsi, Daniele; Braibant-Giacomelli, Sylvie; Capiluppi, Paolo; Castro, Andrea; Cavallo, Francesca Romana; Codispoti, Giuseppe; Cuffiani, Marco; Dallavalle, Gaetano-Marco; Fabbri, Fabrizio; Fanfani, Alessandra; Fasanella, Daniele; Giacomelli, Paolo; Giunta, Marina; Marcellini, Stefano; Masetti, Gianni; Montanari, Alessandro; Navarria, Francesco; Odorici, Fabrizio; Perrotta, Andrea; Rossi, Antonio; Rovelli, Tiziano; Siroli, Gianni; Albergo, Sebastiano; Cappello, Gigi; Chiorboli, Massimiliano; Costa, Salvatore; Tricomi, Alessia; Tuve, Cristina; Barbagli, Giuseppe; Broccolo, Giuseppe; Ciulli, Vitaliano; Civinini, Carlo; D'Alessandro, Raffaello; Focardi, Ettore; Frosali, Simone; Gallo, Elisabetta; Genta, Chiara; Lenzi, Piergiulio; Meschini, Marco; Paoletti, Simone; Sguazzoni, Giacomo; Tropiano, Antonio; Benussi, Luigi; Bianco, Stefano; Colafranceschi, Stefano; Fabbri, Franco; Piccolo, Davide; Fabbricatore, Pasquale; Musenich, Riccardo; Benaglia, Andrea; Cerati, Giuseppe Benedetto; De Guio, Federico; Di Matteo, Leonardo; Ghezzi, Alessio; Govoni, Pietro; Malberti, Martina; Malvezzi, Sandra; Martelli, Arabella; Massironi, Andrea; Menasce, Dario; Miccio, Vincenzo; Moroni, Luigi; Negri, Pietro; Paganoni, Marco; Pedrini, Daniele; Ragazzi, Stefano; Redaelli, Nicola; Sala, Silvano; Salerno, Roberto; Tabarelli de Fatis, Tommaso; Tancini, Valentina; Taroni, Silvia; Buontempo, Salvatore; Cimmino, Anna; De Cosa, Annapaola; De Gruttola, Michele; Fabozzi, Francesco; Iorio, Alberto Orso Maria; Lista, Luca; Noli, Pasquale; Paolucci, Pierluigi; Azzi, Patrizia; Bacchetta, Nicola; Bellan, Paolo; Bisello, Dario; Carlin, Roberto; Checchia, Paolo; Conti, Enrico; De Mattia, Marco; Dorigo, Tommaso; Dosselli, Umberto; Fanzago, Federica; Gasparini, Fabrizio; Gasparini, Ugo; Giubilato, Piero; Gresele, Ambra; Lacaprara, Stefano; Lazzizzera, Ignazio; Margoni, Martino; Mazzucato, Mirco; Meneguzzo, Anna Teresa; Perrozzi, Luca; Pozzobon, Nicola; Ronchese, Paolo; Simonetto, Franco; Torassa, Ezio; Tosi, Mia; Vanini, Sara; Zotto, Pierluigi; Zumerle, Gianni; Baesso, Paolo; Berzano, Umberto; Riccardi, Cristina; Torre, Paola; Vitulo, Paolo; Viviani, Claudio; Biasini, Maurizio; Bilei, Gian Mario; Caponeri, Benedetta; Fanò, Livio; Lariccia, Paolo; Lucaroni, Andrea; Mantovani, Giancarlo; Menichelli, Mauro; Nappi, Aniello; Santocchia, Attilio; Servoli, Leonello; Valdata, Marisa; Volpe, Roberta; Azzurri, Paolo; Bagliesi, Giuseppe; Bernardini, Jacopo; Boccali, Tommaso; Castaldi, Rino; D'Agnolo, Raffaele Tito; Dell'Orso, Roberto; Fiori, Francesco; Foà, Lorenzo; Giassi, Alessandro; Kraan, Aafke; Ligabue, Franco; Lomtadze, Teimuraz; Martini, Luca; Messineo, Alberto; Palla, Fabrizio; Palmonari, Francesco; Segneri, Gabriele; Serban, Alin Titus; Spagnolo, Paolo; Tenchini, Roberto; Tonelli, Guido; Venturi, Andrea; Verdini, Piero Giorgio; Barone, Luciano; Cavallari, Francesca; Del Re, Daniele; Di Marco, Emanuele; Diemoz, Marcella; Franci, Daniele; Grassi, Marco; Longo, Egidio; Organtini, Giovanni; Palma, Alessandro; Pandolfi, Francesco; Paramatti, Riccardo; Rahatlou, Shahram; Amapane, Nicola; Arcidiacono, Roberta; Argiro, Stefano; Arneodo, Michele; Biino, Cristina; Botta, Cristina; Cartiglia, Nicolo; Castello, Roberto; Costa, Marco; Demaria, Natale; Graziano, Alberto; Mariotti, Chiara; Marone, Matteo; Maselli, Silvia; Migliore, Ernesto; Mila, Giorgia; Monaco, Vincenzo; Musich, Marco; Obertino, Maria Margherita; Pastrone, Nadia; Pelliccioni, Mario; Romero, Alessandra; Ruspa, Marta; Sacchi, Roberto; Solano, Ada; Staiano, Amedeo; Trocino, Daniele; Vilela Pereira, Antonio; Ambroglini, Filippo; Belforte, Stefano; Cossutti, Fabio; Della Ricca, Giuseppe; Gobbo, Benigno; Montanino, Damiana; Penzo, Aldo; Kim, Hyunsoo; Chang, Sunghyun; Chung, Jin Hyuk; Kim, Dong Hee; Kim, Gui Nyun; Kim, Ji Eun; Kong, Dae Jung; Park, Hyangkyu; Son, Dohhee; Son, Dong-Chul; Kim, Jaeho; Kim, Jae Yool; Song, Sanghyeon; Choi, Suyong; Hong, Byung-Sik; Kim, Hyunchul; Kim, Ji Hyun; Kim, Tae Jeong; Lee, Kyong Sei; Moon, Dong Ho; Park, Sung Keun; Rhee, Han-Bum; Sim, Kwang Souk; Choi, Minkyoo; Kang, Seokon; Kim, Hyunyong; Park, Chawon; Park, Inkyu; Park, Sangnam; Choi, Young-Il; Choi, Young Kyu; Goh, Junghwan; Lee, Jongseok; Lee, Sungeun; Seo, Hyunkwan; Yu, Intae; Janulis, Mindaugas; Martisiute, Dalia; Petrov, Pavel; Sabonis, Tomas; Carrillo Moreno, Salvador; Salazar Ibarguen, Humberto Antonio; Casimiro Linares, Edgar; Morelos Pineda, Antonio; Reyes-Santos, Marco A.; Allfrey, Philip; Krofcheck, David; Tam, Jason; Butler, Philip H.; Signal, Tony; Williams, Jennifer C.; Ahmad, Muhammad; Ahmed, Ijaz; Asghar, Muhammad Irfan; Hoorani, Hafeez R.; Khan, Wajid Ali; Khurshid, Taimoor; Qazi, Shamona; Cwiok, Mikolaj; Dominik, Wojciech; Doroba, Krzysztof; Konecki, Marcin; Krolikowski, Jan; Frueboes, Tomasz; Gokieli, Ryszard; Górski, Maciej; Kazana, Malgorzata; Nawrocki, Krzysztof; Szleper, Michal; Wrochna, Grzegorz; Zalewski, Piotr; Almeida, Nuno; David Tinoco Mendes, Andre; Faccioli, Pietro; Ferreira Parracho, Pedro Guilherme; Gallinaro, Michele; Sá Martins, Pedro; Mini, Giuliano; Musella, Pasquale; Nayak, Aruna; Raposo, Luis; Ribeiro, Pedro Quinaz; Seixas, Joao; Silva, Pedro; Soares, David; Varela, Joao; Wöhri, Hermine Katharina; Belotelov, Ivan; Bunin, Pavel; Finger, Miroslav; Finger Jr., Michael; Golutvin, Igor; Kamenev, Alexey; Karjavin, Vladimir; Kozlov, Guennady; Lanev, Alexander; Moisenz, Petr; Palichik, Vladimir; Perelygin, Victor; Shmatov, Sergey; Smirnov, Vitaly; Volodko, Anton; Zarubin, Anatoli; Bondar, Nikolai; Golovtsov, Victor; Ivanov, Yury; Kim, Victor; Levchenko, Petr; Smirnov, Igor; Sulimov, Valentin; Uvarov, Lev; Vavilov, Sergey; Vorobyev, Alexey; Andreev, Yuri; Gninenko, Sergei; Golubev, Nikolai; Kirsanov, Mikhail; Krasnikov, Nikolai; Matveev, Viktor; Pashenkov, Anatoli; Toropin, Alexander; Troitsky, Sergey; Epshteyn, Vladimir; Gavrilov, Vladimir; Lychkovskaya, Natalia; Kaftanov, Vitali; Kossov, Mikhail; Krokhotin, Andrey; Kuleshov, Sergey; Oulianov, Alexei; Safronov, Grigory; Semenov, Sergey; Shreyber, Irina; Stolin, Viatcheslav; Vlasov, Evgueni; Zhokin, Alexander; Boos, Edouard; Dubinin, Mikhail; Dudko, Lev; Ershov, Alexander; Gribushin, Andrey; Kodolova, Olga; Lokhtin, Igor; Obraztsov, Stepan; Petrushanko, Sergey; Sarycheva, Ludmila; Savrin, Viktor; Snigirev, Alexander; Andreev, Vladimir; Dremin, Igor; Kirakosyan, Martin; Rusakov, Sergey V.; Vinogradov, Alexey; Azhgirey, Igor; Bitioukov, Sergei; Datsko, Kirill; Grishin, Viatcheslav; Kachanov, Vassili; Konstantinov, Dmitri; Krychkine, Victor; Petrov, Vladimir; Ryutin, Roman; Slabospitsky, Sergey; Sobol, Andrei; Sytine, Alexandre; Tourtchanovitch, Leonid; Troshin, Sergey; Tyurin, Nikolay; Uzunian, Andrey; Volkov, Alexey; Adzic, Petar; Djordjevic, Milos; Krpic, Dragomir; Maletic, Dimitrije; Milosevic, Jovan; Puzovic, Jovan; Aguilar-Benitez, Manuel; Alcaraz Maestre, Juan; Arce, Pedro; Battilana, Carlo; Calvo, Enrique; Cepeda, Maria; Cerrada, Marcos; Chamizo Llatas, Maria; Colino, Nicanor; De La Cruz, Begona; Diez Pardos, Carmen; Fernandez Bedoya, Cristina; Fernández Ramos, Juan Pablo; Ferrando, Antonio; Flix, Jose; Fouz, Maria Cruz; Garcia-Abia, Pablo; Gonzalez Lopez, Oscar; Goy Lopez, Silvia; Hernandez, Jose M.; Josa, Maria Isabel; Merino, Gonzalo; Puerta Pelayo, Jesus; Redondo, Ignacio; Romero, Luciano; Santaolalla, Javier; Willmott, Carlos; Albajar, Carmen; de Trocóniz, Jorge F; Cuevas, Javier; Fernandez Menendez, Javier; Gonzalez Caballero, Isidro; Lloret Iglesias, Lara; Vizan Garcia, Jesus Manuel; Cabrillo, Iban Jose; Calderon, Alicia; Chuang, Shan-Huei; Diaz Merino, Irma; Diez Gonzalez, Carlos; Duarte Campderros, Jordi; Fernandez, Marcos; Gomez, Gervasio; Gonzalez Sanchez, Javier; Gonzalez Suarez, Rebeca; Jorda, Clara; Lobelle Pardo, Patricia; Lopez Virto, Amparo; Marco, Jesus; Marco, Rafael; Martinez Rivero, Celso; Martinez Ruiz del Arbol, Pablo; Matorras, Francisco; Rodrigo, Teresa; Ruiz Jimeno, Alberto; Scodellaro, Luca; Sobron Sanudo, Mar; Vila, Ivan; Vilar Cortabitarte, Rocio; Abbaneo, Duccio; Auffray, Etiennette; Baillon, Paul; Ball, Austin; Barney, David; Beaudette, Florian; Bell, Alan James; Benedetti, Daniele; Bernet, Colin; Bialas, Wojciech; Bloch, Philippe; Bocci, Andrea; Bolognesi, Sara; Breuker, Horst; Brona, Grzegorz; Bunkowski, Karol; Camporesi, Tiziano; Cano, Eric; Cattai, Ariella; Cerminara, Gianluca; Christiansen, Tim; Coarasa Perez, Jose Antonio; Covarelli, Roberto; Curé, Benoît; Dahms, Torsten; De Roeck, Albert; Elliott-Peisert, Anna; Funk, Wolfgang; Gaddi, Andrea; Gennai, Simone; Gerwig, Hubert; Gigi, Dominique; Gill, Karl; Giordano, Domenico; Glege, Frank; Gomez-Reino Garrido, Robert; Gowdy, Stephen; Guiducci, Luigi; Hansen, Magnus; Hartl, Christian; Harvey, John; Hegner, Benedikt; Henderson, Conor; Hoffmann, Hans Falk; Honma, Alan; Innocente, Vincenzo; Janot, Patrick; Lecoq, Paul; Leonidopoulos, Christos; Lourenco, Carlos; Macpherson, Alick; Maki, Tuula; Malgeri, Luca; Mannelli, Marcello; Masetti, Lorenzo; Meijers, Frans; Mersi, Stefano; Meschi, Emilio; Moser, Roland; Mozer, Matthias Ulrich; Mulders, Martijn; Nesvold, Erik; Orsini, Luciano; Perez, Emmanuelle; Petrilli, Achille; Pfeiffer, Andreas; Pierini, Maurizio; Pimiä, Martti; Racz, Attila; Rolandi, Gigi; Rovelli, Chiara; Rovere, Marco; Sakulin, Hannes; Schäfer, Christoph; Schwick, Christoph; Segoni, Ilaria; Sharma, Archana; Siegrist, Patrice; Simon, Michal; Sphicas, Paraskevas; Spiga, Daniele; Spiropulu, Maria; Stöckli, Fabian; Stoye, Markus; Tropea, Paola; Tsirou, Andromachi; Veres, Gabor Istvan; Vichoudis, Paschalis; Voutilainen, Mikko; Zeuner, Wolfram Dietrich; Bertl, Willi; Deiters, Konrad; Erdmann, Wolfram; Gabathuler, Kurt; Horisberger, Roland; Ingram, Quentin; Kaestli, Hans-Christian; König, Stefan; Kotlinski, Danek; Langenegger, Urs; Meier, Frank; Renker, Dieter; Rohe, Tilman; Sibille, Jennifer; Starodumov, Andrei; Caminada, Lea; Chen, Zhiling; Cittolin, Sergio; Dissertori, Günther; Dittmar, Michael; Eugster, Jürg; Freudenreich, Klaus; Grab, Christoph; Hervé, Alain; Hintz, Wieland; Lecomte, Pierre; Lustermann, Werner; Marchica, Carmelo; Meridiani, Paolo; Milenovic, Predrag; Moortgat, Filip; Nardulli, Alessandro; Nef, Pascal; Nessi-Tedaldi, Francesca; Pape, Luc; Pauss, Felicitas; Punz, Thomas; Rizzi, Andrea; Ronga, Frederic Jean; Sala, Leonardo; Sanchez, Ann - Karin; Sawley, Marie-Christine; Schinzel, Dietrich; Stieger, Benjamin; Tauscher, Ludwig; Thea, Alessandro; Theofilatos, Konstantinos; Treille, Daniel; Weber, Matthias; Wehrli, Lukas; Weng, Joanna; Aguiló, Ernest; Amsler, Claude; Chiochia, Vincenzo; De Visscher, Simon; Favaro, Carlotta; Ivova Rikova, Mirena; Jaeger, Andreas; Millan Mejias, Barbara; Regenfus, Christian; Robmann, Peter; Rommerskirchen, Tanja; Schmidt, Alexander; Tsirigkas, Dimitrios; Wilke, Lotte; Chang, Yuan-Hann; Chen, Kuan-Hsin; Chen, Wan-Ting; Go, Apollo; Kuo, Chia-Ming; Li, Syue-Wei; Lin, Willis; Liu, Ming-Hsiung; Lu, Yun-Ju; Wu, Jing-Han; Yu, Shin-Shan; Bartalini, Paolo; Chang, Paoti; Chang, You-Hao; Chang, Yu-Wei; Chao, Yuan; Chen, Kai-Feng; Hou, George Wei-Shu; Hsiung, Yee; Kao, Kai-Yi; Lei, Yeong-Jyi; Lin, Sheng-Wen; Lu, Rong-Shyang; Shiu, Jing-Ge; Tzeng, Yeng-Ming; Ueno, Koji; Wang, Chin-chi; Wang, Minzu; Wei, Jui-Te; Adiguzel, Aytul; Ayhan, Aydin; Bakirci, Mustafa Numan; Cerci, Salim; Demir, Zahide; Dozen, Candan; Dumanoglu, Isa; Eskut, Eda; Girgis, Semiray; Gökbulut, Gül; Güler, Yalcin; Gurpinar, Emine; Hos, Ilknur; Kangal, Evrim Ersin; Karaman, Turker; Kayis Topaksu, Aysel; Nart, Alisah; Önengüt, Gülsen; Ozdemir, Kadri; Ozturk, Sertac; Polatöz, Ayse; Sahin, Ozge; Sengul, Ozden; Sogut, Kenan; Tali, Bayram; Topakli, Huseyin; Uzun, Dilber; Vergili, Latife Nukhet; Vergili, Mehmet; Zorbilmez, Caglar; Akin, Ilina Vasileva; Aliev, Takhmasib; Bilmis, Selcuk; Deniz, Muhammed; Gamsizkan, Halil; Guler, Ali Murat; Ocalan, Kadir; Ozpineci, Altug; Serin, Meltem; Sever, Ramazan; Surat, Ugur Emrah; Yildirim, Eda; Zeyrek, Mehmet; Deliomeroglu, Mehmet; Demir, Durmus; Gülmez, Erhan; Halu, Arda; Isildak, Bora; Kaya, Mithat; Kaya, Ozlem; Özbek, Melih; Ozkorucuklu, Suat; Sonmez, Nasuf; Levchuk, Leonid; Bell, Peter; Bostock, Francis; Brooke, James John; Cheng, Teh Lee; Cussans, David; Frazier, Robert; Goldstein, Joel; Hansen, Maria; Heath, Greg P.; Heath, Helen F.; Hill, Christopher; Huckvale, Benedickt; Jackson, James; Kreczko, Lukasz; Mackay, Catherine Kirsty; Metson, Simon; Newbold, Dave M.; Nirunpong, Kachanon; Smith, Vincent J.; Ward, Simon; Basso, Lorenzo; Bell, Ken W.; Belyaev, Alexander; Brew, Christopher; Brown, Robert M.; Camanzi, Barbara; Cockerill, David J.A.; Coughlan, John A.; Harder, Kristian; Harper, Sam; Kennedy, Bruce W.; Olaiya, Emmanuel; Petyt, David; Radburn-Smith, Benjamin Charles; Shepherd-Themistocleous, Claire; Tomalin, Ian R.; Womersley, William John; Worm, Steven; Bainbridge, Robert; Ball, Gordon; Ballin, Jamie; Beuselinck, Raymond; Buchmuller, Oliver; Colling, David; Cripps, Nicholas; Cutajar, Michael; Davies, Gavin; Della Negra, Michel; Foudas, Costas; Fulcher, Jonathan; Futyan, David; Guneratne Bryer, Arlo; Hall, Geoffrey; Hatherell, Zoe; Hays, Jonathan; Iles, Gregory; Karapostoli, Georgia; Lyons, Louis; Magnan, Anne-Marie; Marrouche, Jad; Nandi, Robin; Nash, Jordan; Nikitenko, Alexander; Papageorgiou, Anastasios; Pesaresi, Mark; Petridis, Konstantinos; Pioppi, Michele; Raymond, David Mark; Rompotis, Nikolaos; Rose, Andrew; Ryan, Matthew John; Seez, Christopher; Sharp, Peter; Sparrow, Alex; Tapper, Alexander; Tourneur, Stephane; Vazquez Acosta, Monica; Virdee, Tejinder; Wakefield, Stuart; Wardrope, David; Whyntie, Tom; Barrett, Matthew; Chadwick, Matthew; Cole, Joanne; Hobson, Peter R.; Khan, Akram; Kyberd, Paul; Leslie, Dawn; Reid, Ivan; Teodorescu, Liliana; Bose, Tulika; Carrera Jarrin, Edgar; Clough, Andrew; Fantasia, Cory; Heister, Arno; St. John, Jason; Lawson, Philip; Lazic, Dragoslav; Rohlf, James; Sulak, Lawrence; Andrea, Jeremy; Avetisyan, Aram; Bhattacharya, Saptaparna; Chou, John Paul; Cutts, David; Esen, Selda; Ferapontov, Alexey; Heintz, Ulrich; Jabeen, Shabnam; Kukartsev, Gennadiy; Landsberg, Greg; Narain, Meenakshi; Nguyen, Duong; Speer, Thomas; Tsang, Ka Vang; Borgia, Maria Assunta; Breedon, Richard; Calderon De La Barca Sanchez, Manuel; Cebra, Daniel; Chertok, Maxwell; Conway, John; Cox, Peter Timothy; Dolen, James; Erbacher, Robin; Friis, Evan; Ko, Winston; Kopecky, Alexandra; Lander, Richard; Liu, Haidong; Maruyama, Sho; Miceli, Tia; Nikolic, Milan; Pellett, Dave; Robles, Jorge; Schwarz, Thomas; Searle, Matthew; Smith, John; Squires, Michael; Tripathi, Mani; Vasquez Sierra, Ricardo; Veelken, Christian; Andreev, Valeri; Arisaka, Katsushi; Cline, David; Cousins, Robert; Deisher, Amanda; Erhan, Samim; Farrell, Chris; Felcini, Marta; Hauser, Jay; Ignatenko, Mikhail; Jarvis, Chad; Plager, Charles; Rakness, Gregory; Schlein, Peter; Tucker, Jordan; Valuev, Vyacheslav; Wallny, Rainer; Babb, John; Clare, Robert; Ellison, John Anthony; Gary, J William; Giordano, Ferdinando; Hanson, Gail; Jeng, Geng-Yuan; Kao, Shih-Chuan; Liu, Feng; Liu, Hongliang; Luthra, Arun; Nguyen, Harold; Pasztor, Gabriella; Satpathy, Asish; Shen, Benjamin C.; Stringer, Robert; Sturdy, Jared; Sumowidagdo, Suharyo; Wilken, Rachel; Wimpenny, Stephen; Andrews, Warren; Branson, James G.; Dusinberre, Elizabeth; Evans, David; Golf, Frank; Holzner, André; Kelley, Ryan; Lebourgeois, Matthew; Letts, James; Mangano, Boris; Muelmenstaedt, Johannes; Padhi, Sanjay; Palmer, Christopher; Petrucciani, Giovanni; Pi, Haifeng; Pieri, Marco; Ranieri, Riccardo; Sani, Matteo; Sharma, Vivek; Simon, Sean; Tu, Yanjun; Vartak, Adish; Würthwein, Frank; Yagil, Avraham; Barge, Derek; Bellan, Riccardo; Blume, Michael; Campagnari, Claudio; D'Alfonso, Mariarosaria; Danielson, Thomas; Garberson, Jeffrey; Incandela, Joe; Justus, Christopher; Kalavase, Puneeth; Koay, Sue Ann; Kovalskyi, Dmytro; Krutelyov, Vyacheslav; Lamb, James; Lowette, Steven; Pavlunin, Viktor; Rebassoo, Finn; Ribnik, Jacob; Richman, Jeffrey; Rossin, Roberto; Stuart, David; To, Wing; Vlimant, Jean-Roch; Witherell, Michael; Bornheim, Adolf; Bunn, Julian; Gataullin, Marat; Kcira, Dorian; Litvine, Vladimir; Ma, Yousi; Newman, Harvey B.; Rogan, Christopher; Shin, Kyoungha; Timciuc, Vladlen; Traczyk, Piotr; Veverka, Jan; Wilkinson, Richard; Yang, Yong; Zhu, Ren-Yuan; Akgun, Bora; Carroll, Ryan; Ferguson, Thomas; Jang, Dong Wook; Jun, Soon Yung; Liu, Yueh-Feng; Paulini, Manfred; Russ, James; Terentyev, Nikolay; Vogel, Helmut; Vorobiev, Igor; Cumalat, John Perry; Dinardo, Mauro Emanuele; Drell, Brian Robert; Edelmaier, Christopher; Ford, William T.; Heyburn, Bernadette; Luiggi Lopez, Eduardo; Nauenberg, Uriel; Smith, James; Stenson, Kevin; Ulmer, Keith; Wagner, Stephen Robert; Zang, Shi-Lei; Agostino, Lorenzo; Alexander, James; Blekman, Freya; Chatterjee, Avishek; Das, Souvik; Eggert, Nicholas; Fields, Laura Johanna; Gibbons, Lawrence Kent; Heltsley, Brian; Henriksson, Kristofer; Hopkins, Walter; Khukhunaishvili, Aleko; Kreis, Benjamin; Kuznetsov, Valentin; Nicolas Kaufman, Gala; Patterson, Juliet Ritchie; Puigh, Darren; Riley, Daniel; Ryd, Anders; Saelim, Michael; Shi, Xin; Sun, Werner; Teo, Wee Don; Thom, Julia; Thompson, Joshua; Vaughan, Jennifer; Weng, Yao; Wittich, Peter; Biselli, Angela; Cirino, Guy; Winn, Dave; Abdullin, Salavat; Albrow, Michael; Anderson, Jacob; Apollinari, Giorgio; Atac, Muzaffer; Bakken, Jon Alan; Banerjee, Sunanda; Bauerdick, Lothar A.T.; Beretvas, Andrew; Berryhill, Jeffrey; Bhat, Pushpalatha C.; Bloch, Ingo; Borcherding, Frederick; Burkett, Kevin; Butler, Joel Nathan; Chetluru, Vasundhara; Cheung, Harry; Chlebana, Frank; Cihangir, Selcuk; Demarteau, Marcel; Eartly, David P.; Elvira, Victor Daniel; Fisk, Ian; Freeman, Jim; Gao, Yanyan; Gottschalk, Erik; Green, Dan; Gutsche, Oliver; Hahn, Alan; Hanlon, Jim; Harris, Robert M.; Hirschauer, James; James, Eric; Jensen, Hans; Johnson, Marvin; Joshi, Umesh; Khatiwada, Rakshya; Kilminster, Benjamin; Klima, Boaz; Kousouris, Konstantinos; Kunori, Shuichi; Kwan, Simon; Limon, Peter; Lipton, Ron; Lykken, Joseph; Maeshima, Kaori; Marraffino, John Michael; Mason, David; McBride, Patricia; McCauley, Thomas; Miao, Ting; Mishra, Kalanand; Mrenna, Stephen; Musienko, Yuri; Newman-Holmes, Catherine; O'Dell, Vivian; Popescu, Sorina; Pordes, Ruth; Prokofyev, Oleg; Saoulidou, Niki; Sexton-Kennedy, Elizabeth; Sharma, Seema; Smith, Richard P.; Soha, Aron; Spalding, William J.; Spiegel, Leonard; Tan, Ping; Taylor, Lucas; Tkaczyk, Slawek; Uplegger, Lorenzo; Vaandering, Eric Wayne; Vidal, Richard; Whitmore, Juliana; Wu, Weimin; Yumiceva, Francisco; Yun, Jae Chul; Acosta, Darin; Avery, Paul; Bourilkov, Dimitri; Chen, Mingshui; Di Giovanni, Gian Piero; Dobur, Didar; Drozdetskiy, Alexey; Field, Richard D.; Fisher, Matthew; Fu, Yu; Furic, Ivan-Kresimir; Gartner, Joseph; Kim, Bockjoo; Klimenko, Sergey; Konigsberg, Jacobo; Korytov, Andrey; Kotov, Khristian; Kropivnitskaya, Anna; Kypreos, Theodore; Matchev, Konstantin; Mitselmakher, Guenakh; Muniz, Lana; Pakhotin, Yuriy; Piedra Gomez, Jonatan; Prescott, Craig; Remington, Ronald; Schmitt, Michael; Scurlock, Bobby; Sellers, Paul; Wang, Dayong; Yelton, John; Zakaria, Mohammed; Ceron, Cristobal; Gaultney, Vanessa; Kramer, Laird; Lebolo, Luis Miguel; Linn, Stephan; Markowitz, Pete; Martinez, German; Mesa, Dalgis; Rodriguez, Jorge Luis; Adams, Todd; Askew, Andrew; Chen, Jie; Diamond, Brendan; Gleyzer, Sergei V; Haas, Jeff; Hagopian, Sharon; Hagopian, Vasken; Jenkins, Merrill; Johnson, Kurtis F.; Prosper, Harrison; Sekmen, Sezen; Veeraraghavan, Venkatesh; Baarmand, Marc M.; Guragain, Samir; Hohlmann, Marcus; Kalakhety, Himali; Mermerkaya, Hamit; Ralich, Robert; Vodopiyanov, Igor; Adams, Mark Raymond; Anghel, Ioana Maria; Apanasevich, Leonard; Bazterra, Victor Eduardo; Betts, Russell Richard; Callner, Jeremy; Cavanaugh, Richard; Dragoiu, Cosmin; Garcia-Solis, Edmundo Javier; Gerber, Cecilia Elena; Hofman, David Jonathan; Khalatyan, Samvel; Lacroix, Florent; Shabalina, Elizaveta; Smoron, Agata; Strom, Derek; Varelas, Nikos; Akgun, Ugur; Albayrak, Elif Asli; Bilki, Burak; Cankocak, Kerem; Clarida, Warren; Duru, Firdevs; Lae, Chung Khim; McCliment, Edward; Merlo, Jean-Pierre; Mestvirishvili, Alexi; Moeller, Anthony; Nachtman, Jane; Newsom, Charles Ray; Norbeck, Edwin; Olson, Jonathan; Onel, Yasar; Ozok, Ferhat; Sen, Sercan; Wetzel, James; Yetkin, Taylan; Yi, Kai; Barnett, Bruce Arnold; Blumenfeld, Barry; Bonato, Alessio; Eskew, Christopher; Fehling, David; Giurgiu, Gavril; Gritsan, Andrei; Guo, Zijin; Hu, Guofan; Maksimovic, Petar; Rappoccio, Salvatore; Swartz, Morris; Tran, Nhan Viet; Whitbeck, Andrew; Baringer, Philip; Bean, Alice; Benelli, Gabriele; Grachov, Oleg; Murray, Michael; Radicci, Valeria; Sanders, Stephen; Wood, Jeffrey Scott; Zhukova, Victoria; Bandurin, Dmitry; Bolton, Tim; Chakaberia, Irakli; Ivanov, Andrew; Kaadze, Ketino; Maravin, Yurii; Shrestha, Shruti; Svintradze, Irakli; Wan, Zongru; Gronberg, Jeffrey; Lange, David; Wright, Douglas; Baden, Drew; Boutemeur, Madjid; Eno, Sarah Catherine; Ferencek, Dinko; Hadley, Nicholas John; Kellogg, Richard G.; Kirn, Malina; Lu, Ying; Mignerey, Alice; Rossato, Kenneth; Rumerio, Paolo; Santanastasio, Francesco; Skuja, Andris; Temple, Jeffrey; Tonjes, Marguerite; Tonwar, Suresh C.; Twedt, Elizabeth; Alver, Burak; Bauer, Gerry; Bendavid, Joshua; Busza, Wit; Butz, Erik; Cali, Ivan Amos; Chan, Matthew; D'Enterria, David; Everaerts, Pieter; Gomez Ceballos, Guillelmo; Goncharov, Maxim; Hahn, Kristan Allan; Harris, Philip; Kim, Yongsun; Klute, Markus; Lee, Yen-Jie; Li, Wei; Loizides, Constantinos; Luckey, Paul David; Ma, Teng; Nahn, Steve; Paus, Christoph; Roland, Christof; Roland, Gunther; Rudolph, Matthew; Stephans, George; Sumorok, Konstanty; Sung, Kevin; Wenger, Edward Allen; Wyslouch, Bolek; Xie, Si; Yang, Mingming; Yilmaz, Yetkin; Yoon, Sungho; Zanetti, Marco; Cole, Perrie; Cooper, Seth; Cushman, Priscilla; Dahmes, Bryan; De Benedetti, Abraham; Dudero, Phillip Russell; Franzoni, Giovanni; Haupt, Jason; Klapoetke, Kevin; Kubota, Yuichi; Mans, Jeremy; Rekovic, Vladimir; Rusack, Roger; Sasseville, Michael; Singovsky, Alexander; Cremaldi, Lucien Marcus; Godang, Romulus; Kroeger, Rob; Perera, Lalith; Rahmat, Rahmat; Sanders, David A; Sonnek, Peter; Summers, Don; Bloom, Kenneth; Bose, Suvadeep; Butt, Jamila; Claes, Daniel R.; Dominguez, Aaron; Eads, Michael; Keller, Jason; Kelly, Tony; Kravchenko, Ilya; Lazo-Flores, Jose; Lundstedt, Carl; Malbouisson, Helena; Malik, Sudhir; Snow, Gregory R.; Baur, Ulrich; Iashvili, Ia; Kharchilava, Avto; Kumar, Ashish; Smith, Kenneth; Zennamo, Joseph; Alverson, George; Barberis, Emanuela; Baumgartel, Darin; Boeriu, Oana; Chasco, Matthew; Reucroft, Steve; Swain, John; Wood, Darien; Zhang, Jinzhong; Anastassov, Anton; Kubik, Andrew; Ofierzynski, Radoslaw Adrian; Pozdnyakov, Andrey; Schmitt, Michael; Stoynev, Stoyan; Velasco, Mayda; Won, Steven; Antonelli, Louis; Berry, Douglas; Hildreth, Michael; Jessop, Colin; Karmgard, Daniel John; Kolb, Jeff; Kolberg, Ted; Lannon, Kevin; Lynch, Sean; Marinelli, Nancy; Morse, David Michael; Ruchti, Randy; Slaunwhite, Jason; Valls, Nil; Warchol, Jadwiga; Wayne, Mitchell; Ziegler, Jill; Bylsma, Ben; Durkin, Lloyd Stanley; Gu, Jianhui; Killewald, Phillip; Ling, Ta-Yung; Rodenburg, Marissa; Williams, Grayson; Adam, Nadia; Berry, Edmund; Elmer, Peter; Gerbaudo, Davide; Halyo, Valerie; Hunt, Adam; Jones, John; Laird, Edward; Lopes Pegna, David; Marlow, Daniel; Medvedeva, Tatiana; Mooney, Michael; Olsen, James; Piroué, Pierre; Stickland, David; Tully, Christopher; Werner, Jeremy Scott; Zuranski, Andrzej; Acosta, Jhon Gabriel; Huang, Xing Tao; Lopez, Angel; Mendez, Hector; Oliveros, Sandra; Ramirez Vargas, Juan Eduardo; Zatserklyaniy, Andriy; Alagoz, Enver; Barnes, Virgil E.; Bolla, Gino; Borrello, Laura; Bortoletto, Daniela; Everett, Adam; Garfinkel, Arthur F.; Gecse, Zoltan; Gutay, Laszlo; Jones, Matthew; Koybasi, Ozhan; Laasanen, Alvin T.; Leonardo, Nuno; Liu, Chang; Maroussov, Vassili; Merkel, Petra; Miller, David Harry; Neumeister, Norbert; Potamianos, Karolos; Shipsey, Ian; Silvers, David; Yoo, Hwi Dong; Zablocki, Jakub; Zheng, Yu; Jindal, Pratima; Parashar, Neeti; Cuplov, Vesna; Ecklund, Karl Matthew; Geurts, Frank J.M.; Liu, Jinghua H.; Morales, Jafet; Padley, Brian Paul; Redjimi, Radia; Roberts, Jay; Betchart, Burton; Bodek, Arie; Chung, Yeon Sei; de Barbaro, Pawel; Demina, Regina; Eshaq, Yossof; Flacher, Henning; Garcia-Bellido, Aran; Goldenzweig, Pablo; Gotra, Yury; Han, Jiyeon; Harel, Amnon; Miner, Daniel Carl; Orbaker, Douglas; Petrillo, Gianluca; Vishnevskiy, Dmitry; Zielinski, Marek; Bhatti, Anwar; Demortier, Luc; Goulianos, Konstantin; Hatakeyama, Kenichi; Lungu, Gheorghe; Mesropian, Christina; Yan, Ming; Atramentov, Oleksiy; Gershtein, Yuri; Gray, Richard; Halkiadakis, Eva; Hidas, Dean; Hits, Dmitry; Lath, Amitabh; Rose, Keith; Schnetzer, Steve; Somalwar, Sunil; Stone, Robert; Thomas, Scott; Cerizza, Giordano; Hollingsworth, Matthew; Spanier, Stefan; Yang, Zong-Chang; York, Andrew; Asaadi, Jonathan; Eusebi, Ricardo; Gilmore, Jason; Gurrola, Alfredo; Kamon, Teruki; Khotilovich, Vadim; Montalvo, Roy; Nguyen, Chi Nhan; Pivarski, James; Safonov, Alexei; Sengupta, Sinjini; Toback, David; Weinberger, Michael; Akchurin, Nural; Bardak, Cemile; Damgov, Jordan; Jeong, Chiyoung; Kovitanggoon, Kittikul; Lee, Sung Won; Mane, Poonam; Roh, Youn; Sill, Alan; Volobouev, Igor; Wigmans, Richard; Yazgan, Efe; Appelt, Eric; Brownson, Eric; Engh, Daniel; Florez, Carlos; Gabella, William; Johns, Willard; Kurt, Pelin; Maguire, Charles; Melo, Andrew; Sheldon, Paul; Velkovska, Julia; Arenton, Michael Wayne; Balazs, Michael; Boutle, Sarah; Buehler, Marc; Conetti, Sergio; Cox, Bradley; Hirosky, Robert; Ledovskoy, Alexander; Neu, Christopher; Yohay, Rachel; Gollapinni, Sowjanya; Gunthoti, Kranti; Harr, Robert; Karchin, Paul Edmund; Mattson, Mark; Milstène, Caroline; Sakharov, Alexandre; Anderson, Michael; Bachtis, Michail; Bellinger, James Nugent; Carlsmith, Duncan; Dasu, Sridhara; Dutta, Suchandra; Efron, Jonathan; Gray, Lindsey; Grogg, Kira Suzanne; Grothe, Monika; Herndon, Matthew; Klabbers, Pamela; Klukas, Jeffrey; Lanaro, Armando; Lazaridis, Christos; Leonard, Jessica; Lomidze, David; Loveless, Richard; Mohapatra, Ajit; Polese, Giovanni; Reeder, Don; Savin, Alexander; Smith, Wesley H.; Swanson, Joshua; Weinberg, Marc

    2010-01-01

    The first LHC pp collisions at centre-of-mass energies of 0.9 and 2.36 TeV were recorded by the CMS detector in December 2009. The trajectories of charged particles produced in the collisions were reconstructed using the all-silicon Tracker and their momenta were measured in the 3.8 T axial magnetic field. Results from the Tracker commissioning are presented including studies of timing, efficiency, signal-to-noise, resolution, and ionization energy. Reconstructed tracks are used to benchmark the performance in terms of track and vertex resolutions, reconstruction of decays, estimation of ionization energy loss, as well as identification of photon conversions, nuclear interactions, and heavy-flavour decays.

  9. Global inter-annual gravity changes from GRACE: Early results

    DEFF Research Database (Denmark)

    Andersen, Ole Baltazar; Hinderer, J.

    2005-01-01

    with an accuracy of 0.4 muGal corresponding to 9 mm water thickness on spatial scales longer than 1300 km. Four of the most widely used global hydrological models have been investigated for their spatial comparison with GRACE observations of inter-annual gravity field variations due to changes in continental water...... storage. The Global Land Data Assimilation System model has a spatial correlation coefficient with GRACE observations of 0.65 over the northern hemisphere. This demonstrates that the observed gravity field changes on these scales are largely related to changes in continental water storage.......Fifteen monthly gravity field solutions from the GRACE twin satellites launched more than two years ago have been studied to estimate gravity field changes between 2002 and 2003. The results demonstrate that GRACE is capable of capturing the changes in ground water on inter-annual scales...

  10. Early results from the Far Infrared Absolute Spectrophotometer (FIRAS)

    Science.gov (United States)

    Mather, J. C.; Cheng, E. S.; Shafer, R. A.; Eplee, R. E.; Isaacman, R. B.; Fixsen, D. J.; Read, S. M.; Meyer, S. S.; Weiss, R.; Wright, E. L.

    1991-01-01

    The Far Infrared Absolute Spectrophotometer (FIRAS) on the Cosmic Background Explorer (COBE) mapped 98 percent of the sky, 60 percent of it twice, before the liquid helium coolant was exhausted. The FIRAS covers the frequency region from 1 to 100/cm with a 7 deg angular resolution. The spectral resolution is 0.2/cm for frequencies less than 20/cm and 0.8/cm for higher frequencies. Preliminary results include: a limit on the deviations from a Planck curve of 1 percent of the peak brightness from 1 to 20/cm, a temperature of 2.735 +/- 0.06 K, a limit on the Comptonization parameter y of 0.001, on the chemical potential parameter mu of 0.01, a strong limit on the existence of a hot smooth intergalactic medium, and a confirmation that the dipole anisotropy spectrum is that of a Doppler shifted blackbody.

  11. Magellan - Early results from the Venus mapping mission

    Science.gov (United States)

    Saunders, R. S.

    1991-01-01

    Some results obtained with the Magellan Venus Radar Mapper are presented. Mapping was initiated on October 26, 1990 and has completed over 714 orbits of image data, covering 40 percent of the surface of Venus. Mapping began at 330 deg east longitude, mapping from the north pole to about 78 deg south latitude. Included are the regions of Ishtar Terra, Sedna, Guinevere and Lavinia Planitiae, and Lada Terra. Features discernable from the mapping include high and lowland plains, evidence of volcanic activity, and impact craters from 6 km to over 50 km across. Some Magellan scientific discoveries are listed, including evidence of a predominant role of ballistic volcanism, extensive and intensive tectonics, a moderate rate of volcanic and tectonic resurfacing, and a low rate of weathering and wind erosion. Other discoveries concerning techntonics, volcanism, impact cratering, and exogenous resurfacing are also listed. Magellan image coverage is discussed, and a chronology of the development of VOIR and Magellan is provided.

  12. Dissecting Causal Pathways Using Mendelian Randomization with Summarized Genetic Data: Application to Age at Menarche and Risk of Breast Cancer.

    Science.gov (United States)

    Burgess, Stephen; Thompson, Deborah J; Rees, Jessica M B; Day, Felix R; Perry, John R; Ong, Ken K

    2017-08-23

    Mendelian randomization is the use of genetic variants as instrumental variables to estimate causal effects of risk factors on outcomes. The total causal effect of a risk factor is the change in the outcome resulting from intervening on the risk factor. This total causal effect may potentially encompass multiple mediating mechanisms. For a proposed mediator, the direct effect of the risk factor is the change in the outcome resulting from a change in the risk factor keeping the mediator constant. A difference between the total effect and the direct effect indicates that the causal pathway from the risk factor to the outcome acts at least in part via the mediator (an indirect effect). Here, we show that Mendelian randomization estimates of total and direct effects can be obtained using summarized data on genetic associations with the risk factor, mediator, and outcome, potentially from different data sources. We perform simulations to test the validity of this approach when there is unmeasured confounding and/or bidirectional effects between the risk factor and mediator. We illustrate this method using the relationship between age at menarche and risk of breast cancer, with body mass index (BMI) as a potential mediator. We show an inverse direct causal effect of age at menarche on risk of breast cancer (independent of BMI) and a positive indirect effect via BMI. In conclusion, multivariable Mendelian randomization using summarized genetic data provides a rapid and accessible analytic strategy that can be undertaken using publicly-available data to better understand causal mechanisms. Copyright © 2017, Genetics.

  13. Early Results from the Q{sub weak} Experiment

    Energy Technology Data Exchange (ETDEWEB)

    Androic, D; Armstrong, D S; Asaturyan, A; Averett, T; Balewski, J; Beaufait, J; Beminiwattha, R S; Benesch, J; Benmokhtar, F; Birchall, J; Carlini, R D; Cates, G D; Cornejo, J C; Covrig, S; Dalton, M M; Davis, C A; Deconinck, W; Diefenbach, J; Dowd, J F; Dunne, J A; Dutta, D; Duvall, W S; Elaasar, M; Falk, W R; Finn, J M; Forest, T; Gaskel, D; Gericke, M T.W.; Grames, J; Gray, V M; Grimm, K; Guo, F; Hoskins, J R; Johnston, K; Jones, D; Jones, M; Jones, R; Kargiantoulakis, M; King, P M; Korkmaz, E; Kowalski, S; Leacock, J; Leckey, J; Lee, A R; Lee, J H; Lee, L; MacEwan, S; Mack, D; Magee, J A; Mahurin, R; Mammei, J; Martin, J; McHugh, M J; Meekins, D; Mei, J; Michaels, R; Micherdzinska, A; Mkrtchyan, A; Mkrtchyan, H; Morgan, N; Myers, K E; Narayan, A; Ndukum, L Z; Nelyubin, V; W T H, Nuruzzaman; Oers, van; Opper, A K; Page, S A; Pan, J; Paschke, K; Phillips, S K; Pitt, M L; Poelker, M; Rajotte, J F; Ramsay, W D; Roche, J; Sawatzky, B; Seva, T; Shabestari, M H; Silwal, R; Simicevic, N; Smith, G R; Solvignon, P; Spayde, D T; Subedi, A; Subedi, R; Suleiman, R; Tadevosyan, V; Tobias, W A; Tvaskis, V; Waidyawansa, B; Wang, P; Wells, S P; Wood, S A; Yang, S; Young, R D; Zhamkochyan, S

    2014-03-01

    A subset of results from the recently completed Jefferson Lab Q{sub weak} experiment are reported. This experiment, sensitive to physics beyond the Standard Model, exploits the small parity-violating asymmetry in elastic {vector e}p scattering to provide the first determination of the protons weak charge Q{sub w}{sup p}. The experiment employed a 180 {micro}A longitudinally polarized 1.16 GeV electron beam on a 35 cm long liquid hydrogen target. Scattered electrons corresponding to Q{sup 2} of 0.025 GeV{sup 2} were detected in eight Cerenkov detectors arrayed symmetrically around the beam axis. The goals of the experiment were to provide a measure of Q{sub w}{sup p} to 4.2 percent (combined statistical and systematic error), which implies a measure of sin2(thetaw) at the level of 0.3 percent, and to help constrain the vector weak quark charges C{sub 1u} and C{sub 1d}. The experimental method is described, with particular focus on the challenges associated with the worlds highest power LH{sub 2} target. The new constraints on C{sub 1u} and C{sub 1d} provided by the subset of the experiments data analyzed to date will also be shown, together with the extracted weak charge of the neutron.

  14. Early Science Results from SOFIA, the World's Largest Airborne Observatory

    CERN Document Server

    De Buizer, James M

    2013-01-01

    The Stratospheric Observatory For Infrared Astronomy, or SOFIA, is the largest flying observatory ever built,consisting of a 2.7-meter diameter telescope embedded in a modified Boeing 747-SP aircraft. SOFIA is a joint project between NASA and the German Aerospace Center Deutsches Zentrum fur Luft und-Raumfahrt (DLR). By flying at altitudes up to 45000 feet, the observatory gets above 99.9 percent of the infrared-absorbing water vapor in the Earth's atmosphere. This opens up an almost uninterrupted wavelength range from 0.3-1600 microns that is in large part obscured from ground based observatories. Since its 'Initial Science Flight' in December 2010, SOFIA has flown several dozen science flights, and has observed a wide array of objects from Solar System bodies, to stellar nurseries, to distant galaxies. This paper reviews a few of the exciting new science results from these first flights which were made by three instruments: the mid-infrared camera FORCAST, the far-infrared heterodyne spectrometer GREAT, and...

  15. Photodynamic therapy for locally advanced pancreatic cancer: early clinical results

    Science.gov (United States)

    Sandanayake, N. S.; Huggett, M. T.; Bown, S. G.; Pogue, B. W.; Hasan, T.; Pereira, S. P.

    2010-02-01

    Pancreatic adenocarcinoma ranks as the fourth most common cause of cancer death in the USA. Patients usually present late with advanced disease, limiting attempted curative surgery to 10% of cases. Overall prognosis is poor with one-year survival rates of less than 10% with palliative chemotherapy and/or radiotherapy. Given these dismal results, a minimally invasive treatment capable of local destruction of tumor tissue with low morbidity may have a place in the treatment of this disease. In this paper we review the preclinical photodynamic therapy (PDT) studies which have shown that it is possible to achieve a zone of necrosis in normal pancreas and implanted tumour tissue. Side effects of treatment and evidence of a potential survival advantage are discussed. We describe the only published clinical study of pancreatic interstitial PDT, which was carried out by our group (Bown et al Gut 2002), in 16 patients with unresectable locally advanced pancreatic adenocarcinoma. All patients had evidence of tumor necrosis on follow-up imaging, with a median survival from diagnosis of 12.5 months. Finally, we outline a phase I dose-escalation study of verteporfin single fibre PDT followed by standard gemcitabine chemotherapy which our group is currently undertaking in patients with locally advanced pancreatic cancer. Randomized controlled studies are also planned.

  16. Menarcheal age in Norway in the 19th century: a re-evaluation of the historical sources.

    Science.gov (United States)

    Brundtland, G H; Walloe, L

    1976-07-01

    A fall in the age of menarche during the last fifty years is well documented from many parts of the world, among them Norway. Tanner says that this trend can be extended back at least to the middle of the last century, and he uses Norwegian sources to support this hypothesis. Re-examination of these Norwegian sources indicates that there was no fall at all during the ninetheenth century, and that the age at menarche was constant at approximately 16.0 years for the lower social classes throughout this period. It is also suggested that the age at menarche was constant at approximately 14 years for the higher social classes.

  17. The earth radiation budget experiment: Early validation results

    Science.gov (United States)

    Smith, G. Louis; Barkstrom, Bruce R.; Harrison, Edwin F.

    The Earth Radiation Budget Experiment (ERBE) consists of radiometers on a dedicated spacecraft in a 57° inclination orbit, which has a precessional period of 2 months, and on two NOAA operational meteorological spacecraft in near polar orbits. The radiometers include scanning narrow field-of-view (FOV) and nadir-looking wide and medium FOV radiometers covering the ranges 0.2 to 5 μm and 5 to 50 μm and a solar monitoring channel. This paper describes the validation procedures and preliminary results. Each of the radiometer channels underwent extensive ground calibration, and the instrument packages include in-flight calibration facilities which, to date, show negligible changes of the instruments in orbit, except for gradual degradation of the suprasil dome of the shortwave wide FOV (about 4% per year). Measurements of the solar constant by the solar monitors, wide FOV, and medium FOV radiometers of two spacecraft agree to a fraction of a percent. Intercomparisons of the wide and medium FOV radiometers with the scanning radiometers show agreement of 1 to 4%. The multiple ERBE satellites are acquiring the first global measurements of regional scale diurnal variations in the Earth's radiation budget. These diurnal variations are verified by comparison with high temporal resolution geostationary satellite data. Other principal investigators of the ERBE Science Team are: R. Cess, SUNY, Stoneybrook; J. Coakley, NCAR; C. Duncan, M. King and A Mecherikunnel, Goddard Space Flight Center, NASA; A. Gruber and A.J. Miller, NOAA; D. Hartmann, U. Washington; F.B. House, Drexel U.; F.O. Huck, Langley Research Center, NASA; G. Hunt, Imperial College, London U.; R. Kandel and A. Berroir, Laboratory of Dynamic Meteorology, Ecole Polytechique; V. Ramanathan, U. Chicago; E. Raschke, U. of Cologne; W.L. Smith, U. of Wisconsin and T.H. Vonder Haar, Colorado State U.

  18. Age at menarche and menstrual cycle pattern among school adolescent girls in Central India.

    Science.gov (United States)

    Dambhare, Dharampal G; Wagh, Sanjay V; Dudhe, Jayesh Y

    2012-01-01

    The onset of menstruation is part of the maturation process. However, variability in menstrual cycle characteristics and menstrual disorders are common. The purpose of this study was to determine the age at menarche and patterns of menstruation among school adolescent girls and explore its variation across socio-economic and demographic factors. This is a cross-sectional descriptive study carried out on 1100 school adolescent girls in district Wardha, Central India. Data were collected using a self-administered structured questionnaire on menstruation. Data was entered and analyzed by using Epi Info 6.04 software package. Chi- square value was used for testing statistical significance. Mean ages of menarche were 13.51 + 1.04 years and 13.67 + 0.8 years for urban and rural areas respectively. Abnormal cycle length was common and affected 30.48%. The majority 56.15 experienced dysmenorrhoea and 56.16 percent had premenstrual syndrome. Self medication was practiced by 7.13% of the adolescent girls. The most common premenstrual symptom was headache 26.74%. Absenteeism from the school 13.9% was the effect of menstruation related problems on their daily routine. Dysmenorrhea and premenstrual symptoms were perceived as most distressing symptoms leading to school absenteeism. Majority of the girls 75.58% had discussed menstrual problems with someone, most commonly with their mothers 38.15%. There was a general lack of information about menstrual issues especially with regards to cycle length, duration of menses and age at menarche. Girls from families of high socio-economic class have significantly lower mean menarcheal age in both urban and rural area. The mean age of menarche was significantly higher in girls involved in vigorous sporting activity in urban area compared to their non-sporting counterparts. Age at menarche was delayed. The menstrual disorders among female adolescents are common. A school health education on menstrual problems targeting adolescent girls and

  19. Height, age at menarche and risk of hormone receptor-positive and -negative breast cancer: A cohort study

    NARCIS (Netherlands)

    Ritte, R.; Lukanova, A.; Tjonneland, A.; Olsen, A.; Overvad, K.; Mesrine, S.; Fagherazzi, G.; Dossus, L.; Teucher, B.; Duijnhoven, van F.J.B.

    2013-01-01

    Associations of breast cancer overall with indicators of exposures during puberty are reasonably well characterized; however, uncertainty remains regarding the associations of height, leg length, sitting height and menarcheal age with hormone receptor-defined malignancies. Within the European Prospe

  20. Height, age at menarche and risk of hormone receptor-positive and -negative breast cancer : A cohort study

    NARCIS (Netherlands)

    Ritte, Rebecca; Lukanova, Annekatrin; Tjonneland, Anne; Olsen, Anja; Overvad, Kim; Mesrine, Sylvie; Fagherazzi, Guy; Dossus, Laure; Teucher, Birgit; Steindorf, Karen; Boeing, Heiner; Aleksandrova, Krasimira; Trichopoulou, Antonia; Lagiou, Pagona; Trichopoulos, Dimitrios; Palli, Domenico; Grioni, Sara; Mattiello, Amalia; Tumino, Rosario; Sacerdote, Carlotta; Ramon Quiros, Jose; Buckland, Genevieve; Molina-Montes, Esther; Chirlaque, Maria-Dolores; Ardanaz, Eva; Amiano, Pilar; Bueno-de-Mesquita, Bas; van Duijnhoven, Franzel; van Gils, Carla H.; Peeters, Petra H. M.; Wareham, Nick; Khaw, Kay-Tee; Key, Timothy J.; Travis, Ruth C.; Krum-Hansen, Sanda; Gram, Inger Torhild; Lund, Eiliv; Sund, Malin; Andersson, Anne; Romieu, Isabelle; Rinaldi, Sabina; McCormack, Valerie; Riboli, Elio; Kaaks, Rudolf

    2013-01-01

    Associations of breast cancer overall with indicators of exposures during puberty are reasonably well characterized; however, uncertainty remains regarding the associations of height, leg length, sitting height and menarcheal age with hormone receptor-defined malignancies. Within the European Prospe

  1. Planck Early Results: The all-sky Early Sunyaev-Zeldovich cluster sample

    CERN Document Server

    Ade, P A R; Arnaud, M; Ashdown, M; Aumont, J; Baccigalupi, C; Balbi, A; Banday, A J; Barreiro, R B; Bartelmann, M; Bartlett, J G; Battaner, E; Battye, R; Benabed, K; Benoît, A; Bernard, J -P; Bersanelli, M; Bhatia, R; Bock, J J; Bonaldi, A; Bond, J R; Borrill, J; Bouchet, F R; Brown, M L; Bucher, M; Burigana, C; Cabella, P; Cantalupo, C M; Cardoso, J -F; Carvalho, P; Catalano, A; Cayón, L; Challinor, A; Chamballu, A; Chary, R -R; Chiang, L -Y; Chiang, C; Chon, G; Christensen, P R; Churazov, E; Clements, D L; Colafrancesco, S; Colombi, S; Couchot, F; Coulais, A; Crill, B P; Cuttaia, F; Da Silva, A; Dahle, H; Danese, L; Davis, R J; de Bernardis, P; de Gasperis, G; de Rosa, A; de Zotti, G; Delabrouille, J; Delouis, J -M; Désert, F -X; Dickinson, C; Diego, J M; Dolag, K; Dole, H; Donzelli, S; Doré, O; Dörl, U; Douspis, M; Dupac, X; Efstathiou, G; Eisenhardt, P; En\\sslin, T A; Feroz, F; Finelli, F; Flores, I; Forni, O; Fosalba, P; Frailis, M; Franceschi, E; Fromenteau, S; Galeotta, S; Ganga, K; Génova-Santos, R T; Giard, M; Giardino, G; Giraud-Héraud, Y; González-Nuevo, J; González-Riestra, R; Górski, K M; Grainge, K J B; Gratton, S; Gregorio, A; Gruppuso, A; Harrison, D; Heinämäki, P; Henrot-Versillé, S; Hernández-Monteagudo, C; Herranz, D; Hildebrandt, S R; Hivon, E; Hobson, M; Holmes, W A; Hovest, W; Hoyland, R J; Huffenberger, K M; Hurier, G; Hurley-Walker, N; Jaffe, A H; Jones, W C; Juvela, M; Keihänen, E; Keskitalo, R; Kisner, T S; Kneissl, R; Knox, L; Kurki-Suonio, H; Lagache, G; Lamarre, J -M; Lasenby, A; Laureijs, R J; Lawrence, C R; Jeune, M Le; Leach, S; Leonardi, R; Li, C; Liddle, A; Lilje, P B; Linden-V\\ornle, M; López-Caniego, M; Lubin, P M; Macías-Pérez, J F; MacTavish, C J; Maffei, B; Maino, D; Mandolesi, N; Mann, R; Maris, M; Marleau, F; Martínez-González, E; Masi, S; Matarrese, S; Matthai, F; Mazzotta, P; Mei, S; Meinhold, P R; Melchiorri, A; Melin, J -B; Mendes, L; Mennella, A; Mitra, S; Miville-Deschênes, M -A; Moneti, A; Montier, L; Morgante, G; Mortlock, D; Munshi, D; Murphy, A; Naselsky, P; Nati, F; Natoli, P; Netterfield, C B; N\\orgaard-Nielsen, H U; Noviello, F; Novikov, D; Novikov, I; Olamie, M; Osborne, S; Pajot, F; Pasian, F; Patanchon, G; Pearson, T J; Perdereau, O; Perotto, L; Perrotta, F; Piacentini, F; Piat, M; Pierpaoli, E; Piffaretti, R; Plaszczynski, S; Pointecouteau, E; Polenta, G; Ponthieu, N; Poutanen, T; Pratt, G W; Prézeau, G; Prunet, S; Puget, J -L; Rachen, J P; Reach, W T; Rebolo, R; Reinecke, M; Renault, C; Ricciardi, S; Riller, T; Ristorcelli, I; Rocha, G; Rosset, C; Rubi\; Rusholme, B; Saar, E; Sandri, M; Santos, D; Saunders, R D E; Savini, G; Schaefer, B M; Scott, D; Seiffert, M D; Shellard, P; Smoot, G F; Stanford, A; Starck, J -L; Stivoli, F; Stolyarov, V; Stompor, R; Sudiwala, R; Sunyaev, R; Sutton, D; Sygnet, J -F; Taburet, N; Tauber, J A; Terenzi, L; Toffolatti, L; Tomasi, M; Torre, J -P; Tristram, M; Tuovinen, J; Valenziano, L; Vibert, L; Vielva, P; Villa, F; Vittorio, N; Wade, L A; Wandelt, B D; Weller, J; White, S D M; White, M; Yvon, D; Zacchei, A; Zonca, A

    2011-01-01

    We present the first all-sky sample of galaxy clusters detected blindly by the Planck satellite through the Sunyaev-Zeldovich (SZ) effect from its six highest frequencies. This Early SZ (ESZ) sample of 189 candidates comprises high signal-to-noise clusters, from 6 to 29. Its high reliability (purity above 95%) is further insured by an extensive validation process based on Planck-internal quality assessments and external cross-identification and follow-up observations. Planck provides the first measured SZ signal for about 80% of the 169 ESZ known clusters. Planck further releases 30 new cluster candidates among which 20 are within the ESZ signal-to-noise selection criterion. Eleven of these 20 ESZ candidates are confirmed using XMM-Newton snapshot observations as new clusters, most of them with disturbed morphologies and low luminosities. The ESZ clusters are mostly at moderate redshifts (86% with z below 0.3) and span over a decade in mass, up to the rarest and most massive clusters with masses above 10^15 M...

  2. Serum inflammatory biomarkers fail to identify early axial spondyloarthritis: results from the SpondyloArthritis Caught Early (SPACE) cohort

    Science.gov (United States)

    Turina, Maureen C; Yeremenko, Nataliya; van Gaalen, Floris; van Oosterhout, Maikel; Berg, Inger J; Ramonda, Ramona; Lebre, Cristina (M C); Landewé, Robert; Baeten, Dominique

    2017-01-01

    Introduction Decreasing the diagnostic delay in axial spondyloarthritis (axSpA) remains a major challenge. Here, we assessed the value of serum inflammatory biomarkers to distinguish early axSpA from other pathologies in a large cohort of patients referred with early back pain. Methods Serum c reactive protein (CRP), erythrocyte sedimentation rate (ESR) and calprotectin were determined in the SPondyloArthritis Caught Early (SPACE) cohort (n=310), an early back pain inception cohort. Additionally, explorative serum biomarkers derived from the literature (interleukin-27 (IL-27), human β-defensin-2 (hBD-2) and lipcolin-2 (LCN-2)) were determined by ELISA in full-blown patients with ankylosing spondylitis (AS) (n=21) and healthy controls (n=20). Results Serum CRP and ESR levels were not elevated in early axSpA versus ‘control’ back pain patients. Serum calprotectin was elevated in early axSpA versus controls (p=0.01) but failed to identify early axSpA at the individual level (positive predictive value of 38.7%). As to explorative biomarkers, serum levels of IL-27 were not detectable, and hBD-2 and LCN-2 serum levels were not elevated in full-blown AS versus healthy controls (p=0.572, p=0.562, respectively). Therefore, these markers were not further determined in the SPACE cohort. Conclusions None of the candidate serum inflammatory markers were useful as diagnostic markers in the early phase of axSpA. PMID:28123777

  3. Association of Adiposity Genetic Variants With Menarche Timing in 92,105 Women of European Descent

    OpenAIRE

    Fernández-Rhodes, Lindsay; Demerath, Ellen W; Cousminer, Diana L; Tao, Ran; Dreyfus, Jill G.; Esko, Tõnu; Smith, Albert V.; Gudnason, Vilmundur; Harris, Tamara B; Launer, Lenore; McArdle, Patrick F; Yerges-Armstrong, Laura M; Elks, Cathy E; Strachan, David P.; Kutalik, Zoltán

    2013-01-01

    Obesity is of global health concern. There are well-described inverse relationships between female pubertal timing and obesity. Recent genome-wide association studies of age at menarche identified several obesity-related variants. Using data from the ReproGen Consortium, we employed meta-analytical techniques to estimate the associations of 95 a priori and recently identified obesity-related (body mass index (weight (kg)/height (m)2), waist circumference, and waist:hip ratio) single-nucleotid...

  4. Age at menarche and the menstrual pattern of secondary school adolescents in northwest Ethiopia

    OpenAIRE

    Megabiaw Berihun; Zegeye Desalegn; Mulu Abay

    2009-01-01

    Abstract Background Population studies on normal and dysfunctional characteristics of menstrual cycles are scarce in Ethiopia. In addition variability in menarcheal age and menstrual characteristics are common. Knowledge on this variability is necessary for patient education and to guide clinical evaluation. Methods A cross sectional study was conducted in two small towns called Dabat and Kola Diba, northwest Ethiopia between April and May 2007. Systematic sampling method was used to select 6...

  5. Parent-of-origin-specific allelic associations among 106 genomic loci for age at menarche.

    Science.gov (United States)

    Perry, John R B; Day, Felix; Elks, Cathy E; Sulem, Patrick; Thompson, Deborah J; Ferreira, Teresa; He, Chunyan; Chasman, Daniel I; Esko, Tõnu; Thorleifsson, Gudmar; Albrecht, Eva; Ang, Wei Q; Corre, Tanguy; Cousminer, Diana L; Feenstra, Bjarke; Franceschini, Nora; Ganna, Andrea; Johnson, Andrew D; Kjellqvist, Sanela; Lunetta, Kathryn L; McMahon, George; Nolte, Ilja M; Paternoster, Lavinia; Porcu, Eleonora; Smith, Albert V; Stolk, Lisette; Teumer, Alexander; Tšernikova, Natalia; Tikkanen, Emmi; Ulivi, Sheila; Wagner, Erin K; Amin, Najaf; Bierut, Laura J; Byrne, Enda M; Hottenga, Jouke-Jan; Koller, Daniel L; Mangino, Massimo; Pers, Tune H; Yerges-Armstrong, Laura M; Hua Zhao, Jing; Andrulis, Irene L; Anton-Culver, Hoda; Atsma, Femke; Bandinelli, Stefania; Beckmann, Matthias W; Benitez, Javier; Blomqvist, Carl; Bojesen, Stig E; Bolla, Manjeet K; Bonanni, Bernardo; Brauch, Hiltrud; Brenner, Hermann; Buring, Julie E; Chang-Claude, Jenny; Chanock, Stephen; Chen, Jinhui; Chenevix-Trench, Georgia; Collée, J Margriet; Couch, Fergus J; Couper, David; Coviello, Andrea D; Cox, Angela; Czene, Kamila; D'adamo, Adamo Pio; Davey Smith, George; De Vivo, Immaculata; Demerath, Ellen W; Dennis, Joe; Devilee, Peter; Dieffenbach, Aida K; Dunning, Alison M; Eiriksdottir, Gudny; Eriksson, Johan G; Fasching, Peter A; Ferrucci, Luigi; Flesch-Janys, Dieter; Flyger, Henrik; Foroud, Tatiana; Franke, Lude; Garcia, Melissa E; García-Closas, Montserrat; Geller, Frank; de Geus, Eco E J; Giles, Graham G; Gudbjartsson, Daniel F; Gudnason, Vilmundur; Guénel, Pascal; Guo, Suiqun; Hall, Per; Hamann, Ute; Haring, Robin; Hartman, Catharina A; Heath, Andrew C; Hofman, Albert; Hooning, Maartje J; Hopper, John L; Hu, Frank B; Hunter, David J; Karasik, David; Kiel, Douglas P; Knight, Julia A; Kosma, Veli-Matti; Kutalik, Zoltan; Lai, Sandra; Lambrechts, Diether; Lindblom, Annika; Mägi, Reedik; Magnusson, Patrik K; Mannermaa, Arto; Martin, Nicholas G; Masson, Gisli; McArdle, Patrick F; McArdle, Wendy L; Melbye, Mads; Michailidou, Kyriaki; Mihailov, Evelin; Milani, Lili; Milne, Roger L; Nevanlinna, Heli; Neven, Patrick; Nohr, Ellen A; Oldehinkel, Albertine J; Oostra, Ben A; Palotie, Aarno; Peacock, Munro; Pedersen, Nancy L; Peterlongo, Paolo; Peto, Julian; Pharoah, Paul D P; Postma, Dirkje S; Pouta, Anneli; Pylkäs, Katri; Radice, Paolo; Ring, Susan; Rivadeneira, Fernando; Robino, Antonietta; Rose, Lynda M; Rudolph, Anja; Salomaa, Veikko; Sanna, Serena; Schlessinger, David; Schmidt, Marjanka K; Southey, Mellissa C; Sovio, Ulla; Stampfer, Meir J; Stöckl, Doris; Storniolo, Anna M; Timpson, Nicholas J; Tyrer, Jonathan; Visser, Jenny A; Vollenweider, Peter; Völzke, Henry; Waeber, Gerard; Waldenberger, Melanie; Wallaschofski, Henri; Wang, Qin; Willemsen, Gonneke; Winqvist, Robert; Wolffenbuttel, Bruce H R; Wright, Margaret J; Boomsma, Dorret I; Econs, Michael J; Khaw, Kay-Tee; Loos, Ruth J F; McCarthy, Mark I; Montgomery, Grant W; Rice, John P; Streeten, Elizabeth A; Thorsteinsdottir, Unnur; van Duijn, Cornelia M; Alizadeh, Behrooz Z; Bergmann, Sven; Boerwinkle, Eric; Boyd, Heather A; Crisponi, Laura; Gasparini, Paolo; Gieger, Christian; Harris, Tamara B; Ingelsson, Erik; Järvelin, Marjo-Riitta; Kraft, Peter; Lawlor, Debbie; Metspalu, Andres; Pennell, Craig E; Ridker, Paul M; Snieder, Harold; Sørensen, Thorkild I A; Spector, Tim D; Strachan, David P; Uitterlinden, André G; Wareham, Nicholas J; Widen, Elisabeth; Zygmunt, Marek; Murray, Anna; Easton, Douglas F; Stefansson, Kari; Murabito, Joanne M; Ong, Ken K

    2014-10-02

    Age at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-cause mortality. Studies of rare human disorders of puberty and animal models point to a complex hypothalamic-pituitary-hormonal regulation, but the mechanisms that determine pubertal timing and underlie its links to disease risk remain unclear. Here, using genome-wide and custom-genotyping arrays in up to 182,416 women of European descent from 57 studies, we found robust evidence (P < 5 × 10(-8)) for 123 signals at 106 genomic loci associated with age at menarche. Many loci were associated with other pubertal traits in both sexes, and there was substantial overlap with genes implicated in body mass index and various diseases, including rare disorders of puberty. Menarche signals were enriched in imprinted regions, with three loci (DLK1-WDR25, MKRN3-MAGEL2 and KCNK9) demonstrating parent-of-origin-specific associations concordant with known parental expression patterns. Pathway analyses implicated nuclear hormone receptors, particularly retinoic acid and γ-aminobutyric acid-B2 receptor signalling, among novel mechanisms that regulate pubertal timing in humans. Our findings suggest a genetic architecture involving at least hundreds of common variants in the coordinated timing of the pubertal transition.

  6. Parent-of-origin specific allelic associations among 106 genomic loci for age at menarche

    Science.gov (United States)

    Thompson, Deborah J; Ferreira, Teresa; He, Chunyan; Chasman, Daniel I; Esko, Tõnu; Thorleifsson, Gudmar; Albrecht, Eva; Ang, Wei Q; Corre, Tanguy; Cousminer, Diana L; Feenstra, Bjarke; Franceschini, Nora; Ganna, Andrea; Johnson, Andrew D; Kjellqvist, Sanela; Lunetta, Kathryn L; McMahon, George; Nolte, Ilja M; Paternoster, Lavinia; Porcu, Eleonora; Smith, Albert V; Stolk, Lisette; Teumer, Alexander; Tšernikova, Natalia; Tikkanen, Emmi; Ulivi, Sheila; Wagner, Erin K; Amin, Najaf; Bierut, Laura J; Byrne, Enda M; Hottenga, Jouke-Jan; Koller, Daniel L; Mangino, Massimo; Pers, Tune H; Yerges-Armstrong, Laura M; Zhao, Jing Hua; Andrulis, Irene L; Anton-Culver, Hoda; Atsma, Femke; Bandinelli, Stefania; Beckmann, Matthias W; Benitez, Javier; Blomqvist, Carl; Bojesen, Stig E; Bolla, Manjeet K; Bonanni, Bernardo; Brauch, Hiltrud; Brenner, Hermann; Buring, Julie E; Chang-Claude, Jenny; Chanock, Stephen; Chen, Jinhui; Chenevix-Trench, Georgia; Collée, J. Margriet; Couch, Fergus J; Couper, David; Coveillo, Andrea D; Cox, Angela; Czene, Kamila; D’adamo, Adamo Pio; Smith, George Davey; De Vivo, Immaculata; Demerath, Ellen W; Dennis, Joe; Devilee, Peter; Dieffenbach, Aida K; Dunning, Alison M; Eiriksdottir, Gudny; Eriksson, Johan G; Fasching, Peter A; Ferrucci, Luigi; Flesch-Janys, Dieter; Flyger, Henrik; Foroud, Tatiana; Franke, Lude; Garcia, Melissa E; García-Closas, Montserrat; Geller, Frank; de Geus, Eco EJ; Giles, Graham G; Gudbjartsson, Daniel F; Gudnason, Vilmundur; Guénel, Pascal; Guo, Suiqun; Hall, Per; Hamann, Ute; Haring, Robin; Hartman, Catharina A; Heath, Andrew C; Hofman, Albert; Hooning, Maartje J; Hopper, John L; Hu, Frank B; Hunter, David J; Karasik, David; Kiel, Douglas P; Knight, Julia A; Kosma, Veli-Matti; Kutalik, Zoltan; Lai, Sandra; Lambrechts, Diether; Lindblom, Annika; Mägi, Reedik; Magnusson, Patrik K; Mannermaa, Arto; Martin, Nicholas G; Masson, Gisli; McArdle, Patrick F; McArdle, Wendy L; Melbye, Mads; Michailidou, Kyriaki; Mihailov, Evelin; Milani, Lili; Milne, Roger L; Nevanlinna, Heli; Neven, Patrick; Nohr, Ellen A; Oldehinkel, Albertine J; Oostra, Ben A; Palotie, Aarno; Peacock, Munro; Pedersen, Nancy L; Peterlongo, Paolo; Peto, Julian; Pharoah, Paul DP; Postma, Dirkje S; Pouta, Anneli; Pylkäs, Katri; Radice, Paolo; Ring, Susan; Rivadeneira, Fernando; Robino, Antonietta; Rose, Lynda M; Rudolph, Anja; Salomaa, Veikko; Sanna, Serena; Schlessinger, David; Schmidt, Marjanka K; Southey, Mellissa C; Sovio, Ulla; Stampfer, Meir J; Stöckl, Doris; Storniolo, Anna M; Timpson, Nicholas J; Tyrer, Jonathan; Visser, Jenny A; Vollenweider, Peter; Völzke, Henry; Waeber, Gerard; Waldenberger, Melanie; Wallaschofski, Henri; Wang, Qin; Willemsen, Gonneke; Winqvist, Robert; Wolffenbuttel, Bruce HR; Wright, Margaret J; Boomsma, Dorret I; Econs, Michael J; Khaw, Kay-Tee; Loos, Ruth JF; McCarthy, Mark I; Montgomery, Grant W; Rice, John P; Streeten, Elizabeth A; Thorsteinsdottir, Unnur; van Duijn, Cornelia M; Alizadeh, Behrooz Z; Bergmann, Sven; Boerwinkle, Eric; Boyd, Heather A; Crisponi, Laura; Gasparini, Paolo; Gieger, Christian; Harris, Tamara B; Ingelsson, Erik; Järvelin, Marjo-Riitta; Kraft, Peter; Lawlor, Debbie; Metspalu, Andres; Pennell, Craig E; Ridker, Paul M; Snieder, Harold; Sørensen, Thorkild IA; Spector, Tim D; Strachan, David P; Uitterlinden, André G; Wareham, Nicholas J; Widen, Elisabeth; Zygmunt, Marek; Murray, Anna; Easton, Douglas F

    2014-01-01

    Age at menarche is a marker of timing of puberty in females. It varies widely between individuals, is a heritable trait and is associated with risks for obesity, type 2 diabetes, cardiovascular disease, breast cancer and all-cause mortality1. Studies of rare human disorders of puberty and animal models point to a complex hypothalamic-pituitary-hormonal regulation2,3, but the mechanisms that determine pubertal timing and underlie its links to disease risk remain unclear. Here, using genome-wide and custom-genotyping arrays in up to 182,416 women of European descent from 57 studies, we found robust evidence (P<5×10−8) for 123 signals at 106 genomic loci associated with age at menarche. Many loci were associated with other pubertal traits in both sexes, and there was substantial overlap with genes implicated in body mass index and various diseases, including rare disorders of puberty. Menarche signals were enriched in imprinted regions, with three loci (DLK1/WDR25, MKRN3/MAGEL2 and KCNK9) demonstrating parent-of-origin specific associations concordant with known parental expression patterns. Pathway analyses implicated nuclear hormone receptors, particularly retinoic acid and gamma-aminobutyric acid-B2 receptor signaling, among novel mechanisms that regulate pubertal timing in humans. Our findings suggest a genetic architecture involving at least hundreds of common variants in the coordinated timing of the pubertal transition. PMID:25231870

  7. Height, weight and menarcheal age of Oslo schoolchildren during the last 60 years.

    Science.gov (United States)

    Brundtland, G H; Liestøl, K; Walløe, L

    1980-01-01

    Every 5th year since 1920 the heights and weights of all Oslo schoolchildren (aged 7 to 18 years) have been measured, and the measurements processed centrally. For ages between 8 and 14 the mean height increased by about 4 cm per decade between 1920 and 1940 for both sexes. A drop of about 1.5 cm occurred during World War II, followed by a rapid catch-up. Since 1950, height has increased only moderately. A weight increase of between 1.5 kg (8 years old) and 3.5 kg (13 years old) per decade before 1940 was followed by a drop during the war equivalent to somewhat less than one decade's gain. A rapid catch-up after the war was followed by a slight decrease since 1950, especially for ages above puberty. A stable difference in the social composition of the eastern and western districts of Oslo allowed comparison of the trends for lower and higher social strata. Before the war, children from higher strata were taller than children from lower strata, but this difference has now practically disappeared. Children from the higher strata weighed more until about 1955, but later those from the lower strata weighed markedly more, especially during adolescence. The difference in menarcheal age between social strata was examined in 1928, 1952, 1970 and 1975. The time trend parallels that for weight: menarcheal age was lowest among higher strata until the 1950s, but after that the lower strata experienced the lowest menarcheal age.

  8. GALLEX solar neutrino observations. The results from GALLEX I and early results from GALLEX II

    Science.gov (United States)

    Anselmann, P.; Hampel, W.; Heusser, G.; Kiko, J.; Kirsten, T.; Laubenstein, M.; Pernicka, E.; Pezzoni, S.; Plaga, R.; Rönn, U.; Sann, M.; Schlosser, C.; Wink, R.; Wojcik, M.; Ammon, R. V.; Ebert, K. H.; Fritsch, T.; Hellriegel, K.; Henrich, E.; Stieglitz, L.; Weyrich, F.; Balata, M.; Ferrari, N.; Lalla, H.; Bellotti, E.; Cattadori, C.; Cremonesi, O.; Fiorini, E.; Zanotti, L.; Altmann, M.; Feilitzsch, F. V.; Mößbauer, R.; Schanda, U.; Berthomieu, G.; Schatzman, E.; Carmi, I.; Dostrovsky, I.; Bacci, C.; Belli, P.; Bernabei, R.; D'Angelo, S.; Paoluzi, L.; Charbit, S.; Cribier, M.; Dupont, G.; Gosset, L.; Rich, J.; Spiro, M.; Stolarczyk, T.; Tao, C.; Vignaud, D.; Hahn, R. L.; Hartmann, F. X.; Rowley, J. K.; Stoenner, R. W.; Weneser, J.

    1993-09-01

    The first period (GALLEX I) of data taking in the GALLEX solar neutrino experiment has been completed. From 14 May 1991 to 29 April 1992, the experiment observed the solar neutrino flux using neutrino capture by 71Ga to form 71Ge. Counting ended on 2 November 1992. The final result from the 15 runs of this periodpis (81+/-17 [stat.]+/-9 [syst.]) SNU (1σ). The first 6 runs of GALLEX II recorded the neutrino signal from 19 August 1992 to 3 February 1993. The preliminary result for this period is (97+/-23 [stat.]+/-7 [syst.]) SNU (1σ). With counting data considered until 29 April 1993, the joint result for all 21 runs is (87+/-14 [stat.]+/-7 [syst.]) SNU (1σ). The present neutrino recording period GALLEX II is continuing with one solar exposure every four weeks. This work has been supported by the Office of High Energy and Nuclear Physics of the US Department of Energy, United States.

  9. Plant exploitation during the early Natufian in north-eastern Jordan: preliminary results from Shubayqa 1

    DEFF Research Database (Denmark)

    Otaegui, Amaia Arranz; Richter, Tobias

    -woody plant analyses from two in situ hearth structures, along with a summary of the available evidence at other contemporary early Natufian sites. In terms of past vegetation, the results show the presence of wetland species indicating a more forested and wet environment during the early Natufian, which...

  10. 安徽省汉族女生月经初潮与肥胖度关系的研究%Study on the relationship between menarche and obesity in school girls of Han nationality in Anhui province

    Institute of Scientific and Technical Information of China (English)

    唐玲; 陶芳标; 朱鹏; 徐红; 赵玉秋; 王惠; 张悦; 周露

    2012-01-01

    目的:了解安徽省汉族女生月经初潮年龄变化情况及不同经济状况地区月经初潮年龄的差异并进一步分析月经初潮年龄与肥胖度的关系.方法:按照2010年全国中小学生体质调研的相关要求,采用分层随机抽样和随机整群抽样方法对安徽省南、北、中3个地区的城乡7~18岁中小学女生共6 840人进行调查,测量身高、体重、腰围、臀围及腹部、上臂、肩胛下皮褶厚度等指标,并对她们是否有月经初潮进行了问卷调查.结果:安徽省汉族女生半数月经初潮平均年龄为12.44岁,与往年相比呈现提前趋势.城乡女生半数月经初潮平均年龄分别为12.39及12.49岁.体质指数、腰高比及3个部位皮下脂肪厚度等指标的均值来潮组均大于未来潮组,差异有统计学意义(P<0.05).结论:月经初潮年龄与体脂因素关系密切,呈现负相关;应该提前加强中小学生的性教育及让中小学生加强锻炼、控制饮食,减缓月经初潮年龄提前的长期趋势.%Objective: To understand the change of menarche age in school girls of Han nationality in Anhui province and the difference of age of menarche in them from areas with different economic conditions, and further analyze the relationship between menarche age and the degree of obesity. Methods: According to related requirements, stratified random sampling method and cluster random sampling method were used to survey 6 840 primary and middle school girls aged 7-18 years old from urban and rural areas in south, north, and central regions of Anhui province, body height, body weight, waist circumstance, hip circumstance, skin fold thicknesses of abdomen, upper arm, and subscapularis were measured, and a questionnaire was usod to survey whether they had menarche. Results: The mean menarche age of half of the school girls was 12. 44 years, showing a younger trend compared the data in the other years. The mean menarche ages of urban and rural girls

  11. Prevention of postmenopausal bone loss: six-year results from the Early Postmenopausal Intervention Cohort Study

    DEFF Research Database (Denmark)

    McClung, Michael R; Wasnich, Richard D; Hosking, David J;

    2004-01-01

    We report the effect of continuous treatment with alendronate for 6 yr vs. placebo in the Early Postmenopausal Intervention Cohort study. A total of 1609 healthy, early postmenopausal women were recruited; we describe results for the 585 women who received continuous placebo or alendronate (2.5 o.......5 mg alendronate, or 5 mg alendronate daily, respectively. Therapy with alendronate is an effective and promising strategy for the prevention of postmenopausal osteoporosis.......We report the effect of continuous treatment with alendronate for 6 yr vs. placebo in the Early Postmenopausal Intervention Cohort study. A total of 1609 healthy, early postmenopausal women were recruited; we describe results for the 585 women who received continuous placebo or alendronate (2...

  12. Design rationale and biomechanics of Maverick Total Disc arthroplasty with early clinical results.

    Science.gov (United States)

    Mathews, Hallett H; Lehuec, Jean-Charles; Friesem, Tai; Zdeblick, Thomas; Eisermann, Lukas

    2004-01-01

    This paper reviews the design criteria, biomechanical and biological (wear and safety) testing of this chrome cobalt metal-on-metal, ball and socket design prosthesis. The surgical technique and early clinical results of the initial implantations are also reviewed. Initial results of 7 Maverick implantations showed all 7 patients attaining a 15 point Oswestry improvement within 3 months after implantation. This early result in a small sample is significantly quicker in recovery and improvement when compared to the historical control of the LT cage with Infuse IDE study. Longer term results and more careful study are needed of this interesting and optimistic finding.

  13. The results of early operation in talipes quino-varus. A preliminary report.

    Science.gov (United States)

    Main, B J; Crider, R J; Polk, M; Lloyd-Roberts, G C; Swann, M; Kamdar, B A

    1977-08-01

    The results of operation performed within the first six months of life upon seventy-seven resistant club feet are presented. The indications for and the rationale of early operation are discussed. Particular attention has been paid to the relationship between the age at operation and the outcome more than four years later; the results were greatly superior when operation was undertaken early. Two surgical techniques are compared, the postero-medial release proving better than a simple posterior release. The relationship between clinical and radiological assessment is discussed, and also the influence of the results reported upon future practice.

  14. The effect of Ramadan fasting on thyroid hormones in 9‐13 years old pre‐menarche girls

    Directory of Open Access Journals (Sweden)

    Shohereh Bahrayni

    2013-12-01

    Full Text Available Introduction: Muslims fast from dawn to dusk during Ramadan. The effects of prolonged food deprivation on endocrine hormones have been studied in healthy adults but no previous study has investigated this effect on children. This study aimed to evaluate the feasible changes in serum level of thyroxin (T3, tetraiodothyronin (T4, thyroid stimulating hormone (TSH and body composition in pre-menarche girls. Methods: This cohort study was performed through Ramadan 2012. We enrolled fifty-eight 9-13years old girls (weight 34.20±7.96 kg, height 142.01±7.76 cm in two groups from (31  and 27 in fasted and non-fasted groups, respectively prior to Ramadan until afterwards. Weight and height of the subjects were measured using standard methods, and then Body Mass Index (BMI was calculated.  Body composition was measured using Bio Impedance Analyzer (BIA method.  Serum concentrations of T3, T4 and TSH hormones were measured by Radio Immunoassay (RIA. Paired t-test was used to compare result of each group before and after Ramadan. Independent t-test was used to compare two groups together. Tanner intervention variable was controlled by generalized linear models intervening test. SPSS.11 software was used for data analysis. Results: Ramadan fasting induces a significant decrease in BMI and weight on fasted group (p=0.005, p=0.044, respectively while a significant increase was observed in non-fasted group (p

  15. Early follow-up results of arteriovenous fistulae created for hemodialysis

    Directory of Open Access Journals (Sweden)

    Iyem H

    2011-05-01

    Full Text Available Hikmet IyemÇanakkale 18 Mart, Üniversitesi Tip Fakültesi, TurkeyBackground: The aim of this study was to evaluate the site, early results, and postoperative complications of arteriovenous fistula (AVF creation procedures for hemodialysis in our clinic.Methods: The hospital records of 384 patients who underwent 411 AVF creation procedures for hemodialysis by the same team at our clinic between February 2008 and January 2010 were included for retrospective analysis. All procedures were performed under local anesthesia with lidocaine. Vasospasm was treated by mechanical dilatation with a probe and topical papaverine.Results: Of our 384 patients, 58.5% were male and 41.5% were female. Mean age was 46 (range 12–72 years. Of the 411 AVF procedures performed, 106 (25.8% were created at the anatomical snuffbox, 264 (64.3% were Brescia–Cimino procedures, and 41 (9.9% were antecubital, brachiocephalic, or brachiobasilic procedures. Twenty-three patients (5.98% were subjected to more than one surgical intervention due to early thrombosis or failure of AVF. Early patency was found in 94.0% of the AVF created. Twenty-three patients underwent more than one surgical intervention due to early AVF thrombosis or failure. Early AVF failure occurred more often in females (60.8% than in males (39.2%. Complications were observed in a total of 11.4% patients.Conclusion: Mechanical dilatation of the artery and vein, before starting the anastomosis, as well as the use of vasodilatory agents, could decrease early thrombosis of the fistula, and this method has very high early patency.Keywords: end-stage renal failure, arteriovenous fistula, early patency, complications

  16. Insulin, androgen, and gonadotropin concentrations, body mass index, and waist to hip ratio in the first years after menarche in girls with regular menstrual cycles, irregular menstrual cycles, or oligomenorrhea

    NARCIS (Netherlands)

    Hooff, M.H.A. van; Voorhorst, F.J.; Kaptein, M.B.H.; Hirasing, R.A.; Koppenaal, C.; Schoemaker, J.

    2000-01-01

    Data on changes in hormone concentrations during the first years after menarche are scarce. We studied the relation between gynecological age (age minus age at menarche), hormone concentrations, and body measurements from the 1st to the 6th yr after menarche in 229 observations of girls with regular

  17. The Solar Radiation and Climate Experiment (SORCE) Mission Description and Early Results

    CERN Document Server

    Rottman, G; George, V

    2005-01-01

    This book describes the state-of-the art instruments for measuring the solar irradiance from soft x-ray to the near infrared and the total solar irradiance. Furthermore, the SORCE mission and early results on solar variability are presented along with papers that provide an overview of solar influences on Earth.

  18. Early and long term results of necrosectomy and planned re-exploration for infected pancreatic necrosis

    NARCIS (Netherlands)

    van Goor, Harry; Sluiter, WJ; Bleichrodt, RP

    1997-01-01

    Objective: To evaluate the early and long term results of necrosectomy, planned re-explorations and open drainage in patients with infected pancreatic necrosis. Design: Retrospective and case control study. Setting: University hospital, The Netherlands. Subjects: 10 patients with documented infected

  19. The JCMT Plane Survey: early results from the ℓ = 30° field

    NARCIS (Netherlands)

    Moore, T. J. T.; Plume, R.; Thompson, M. A.; Parsons, H.; Urquhart, J. S.; Eden, D. J.; Dempsey, J. T.; Morgan, L. K.; Thomas, H. S.; Buckle, J.; Brunt, C. M.; Butner, H.; Carretero, D.; Chrysostomou, A.; deVilliers, H. M.; Fich, M.; Hoare, M. G.; Manser, G.; Mottram, J. C.; Natario, C.; Olguin, F.; Peretto, N.; Polychroni, D.; Redman, R. O.; Rigby, A. J.; Salji, C.; Summers, L. J.; Berry, D.; Currie, M. J.; Jenness, T.; Pestalozzi, M.; Traficante, A.; Bastien, P.; diFrancesco, J.; Davis, C. J.; Evans, A.; Friberg, P.; Fuller, G. A.; Gibb, A. G.; Gibson, S.; Hill, T.; Johnstone, D.; Joncas, G.; Longmore, S. N.; Lumsden, S. L.; Martin, P. G.; Lu'o'ng, Q. Nguyê˜n.; Pineda, J. E.; Purcell, C.; Richer, J. S.; Schieven, G. H.; Shipman, R.; Spaans, M.; Taylor, A. R.; Viti, S.; Weferling, B.; White, G. J.; Zhu, M.

    2015-01-01

    We present early results from the JCMT (James Clerk Maxwell Telescope) Plane Survey (JPS), which has surveyed the northern inner Galactic plane between longitudes ℓ = 7° and ℓ = 63° in the 850-μm continuum with SCUBA-2 (Submm Common-User Bolometer Array 2), as part of the JCMT Legacy Survey programm

  20. Palaeomagnetic results from the southern Sierra Madre Oriental, Mexico: evidence for Early Cretaceous or Laramide remagnetization?

    Science.gov (United States)

    Böhnel, H.; Gose, W. A.; Testarmata, M. M.; Bocanegra Noriega, G.

    1990-12-01

    A large suite of samples from the Latest Triassic Huizachal and Early Jurassic Huayacocotla Groups and the Latest Jurassic Taman and Earliest Cretaceous Pimienta Formations was collected in the southern Sierra Madre Oriental for a palaeomagnetic study. Only the samples from three sites belonging to the Huizachal Group and the Las Juntas Formation possibly have retained their primary magnetization. If so, their pole position does not reveal any palaeomagnetically discernable motion relative to cratonic North America. All remaining sites were remagnetized as evidenced by a negative fold test at four sites and the fact that the pole positions cluster better at the 95% significance level if no structural corrections are applied. The tightness of the cluster ( α95 = 4.6 °) and the same polarity, suggest that the samples were remagnetized at some common time. These results permit two interpretations. (1) If the sampling region has not suffered any significant tectonic rotation, then the remagnetization can be dated by comparison with the polar wander path for North America as Early Cretaceous (≈ 130 Ma). This Early Cretaceous phase of deformation is not recognized in the northern Sierra Madre Oriental and clearly pre-dates the Early Tertiary Laramide orogeny. (2) If the southern Sierra Madre Oriental did rotate counterclockwise by ≈ 20 °, then the remagnetization could have originated in any Cretaceous or Early Tertiary time, and may indeed be related to the Laramide deformation. In either case, the data imply that the southern Sierra Madre Oriental constitutes an independent tectonic domain.

  1. {sup 18}F-FDG positron emission tomography in the early diagnosis of enterocolitis: preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Kresnik, E.; Gallowitsch, H.J.; Igerc, I.; Kumnig, G.; Gomez, I.; Lind, P. [Nuclear Medicine and Special Endocrinology, PET Centre, General Hospital, St. Veiterstrasse 47, 9020 Klagenfurt (Austria); Mikosch, P.; Alberer, D.; Hebenstreit, A. [Department of Internal Medicine and Gastroenterology, General Hospital, Klagenfurt (Austria); Wuertz, F. [Department of Pathology, General Hospital, Klagenfurt (Austria); Kogler, D.; Gasser, J. [Department of Radiology, General Hospital, Klagenfurt (Austria)

    2002-10-01

    Collagenous and eosinophilic colitis are rare diseases characterised by chronic watery diarrhoea. Radiographic evaluation of the gastrointestinal tract and colonoscopy are usually non-diagnostic since as many as one-third of patients will have minor abnormalities. To date a few investigators have reported increased fluorine-18 fluorodeoxyglucose ({sup 18}F-FDG) uptake on positron emission tomography (PET) in patients with acute enterocolitis, but there have been no reports on the use of {sup 18}F-FDG PET for the diagnosis of collagenous or eosinophilic colitis in an early clinical stage. The aim of this preliminary study was to evaluate the usefulness of {sup 18}F-FDG PET in the early diagnosis of patients with colitis. We investigated five women (mean age 61.2{+-}12.1 years) who had been diagnosed as having colitis in an early clinical stage. In all but one of the patients, the diagnosis of colitis was based on biopsy. Magnetic resonance colonography, ultrasonography and colonoscopy were performed in all but one of the patients. Two women were identified as having collagenous colitis in an early clinical stage. Another two patients had eosinophilic colitis. The morphological imaging methods, magnetic resonance colonography and ultrasonography, yielded no suspicious findings, and the results of colonoscopy similarly showed no abnormalities. One patient had colitis due to bacterial infection. In all patients {sup 18}F-FDG PET showed a pathological increase in tracer uptake in the large bowel, suggestive of colitis. In four of the five patients, colitis was confirmed by histology, and in one, by bacterial analysis. {sup 18}F-FDG PET was able to detect colitis in an early clinical stage, when morphological imaging methods and colonoscopy were non-diagnostic. The early performance of {sup 18}F-FDG PET imaging in patients with possible colitis is encouraging. (orig.)

  2. Age group, menarche and regularity of menstrual cycles as efficiency predictors in the treatment of overweight.

    Science.gov (United States)

    Kuzmar, Isaac; Cortés, Ernesto; Rizo, Mercedes

    2014-10-30

    To evaluate if there is a relation between age groups, menarche, menstrual cycles and previous pregnancies with the success of weight loss in obese patients at a nutrition clinic. A clinical intervention study was conducted among overweight and obese patients who consulted a nutrition clinic in Barranquilla (Colombia) for the purpose of nutritional assessment. They were subject to a personalized weekly follow-up consultation over the course of 16 weeks in which food consumption patterns, anthropometric measures, body image and self-perception were registered. A total of 135 patients were evaluated. 41 (30,4%) of whom did not complete the study. 69,6% patients did lose weight and 83,7% did lose waist. These losses are lower in older ages (95,5% at. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  3. Genome-wide association analyses identify SPOCK as a key novel gene underlying age at menarche.

    Directory of Open Access Journals (Sweden)

    Yao-Zhong Liu

    2009-03-01

    Full Text Available For females, menarche is a most significant physiological event. Age at menarche (AAM is a trait with high genetic determination and is associated with major complex diseases in women. However, specific genes for AAM variation are largely unknown. To identify genetic factors underlying AAM variation, a genome-wide association study (GWAS examining about 380,000 SNPs was conducted in 477 Caucasian women. A follow-up replication study was performed to validate our major GWAS findings using two independent Caucasian cohorts with 854 siblings and 762 unrelated subjects, respectively, and one Chinese cohort of 1,387 unrelated subjects--all females. Our GWAS identified a novel gene, SPOCK (Sparc/Osteonectin, CWCV, and Kazal-like domains proteoglycan, which had seven SNPs associated with AAM with genome-wide false discovery rate (FDR q<0.05. Six most significant SNPs of the gene were selected for validation in three independent replication cohorts. All of the six SNPs were replicated in at least one cohort. In particular, SNPs rs13357391 and rs1859345 were replicated both within and across different ethnic groups in all three cohorts, with p values of 5.09 x 10(-3 and 4.37 x 10(-3, respectively, in the Chinese cohort and combined p values (obtained by Fisher's method of 5.19 x 10(-5 and 1.02 x 10(-4, respectively, in all three replication cohorts. Interestingly, SPOCK can inhibit activation of MMP-2 (matrix metalloproteinase-2, a key factor promoting endometrial menstrual breakdown and onset of menstrual bleeding. Our findings, together with the functional relevance, strongly supported that the SPOCK gene underlies variation of AAM.

  4. Disruption of the Sec24d gene results in early embryonic lethality in the mouse.

    Directory of Open Access Journals (Sweden)

    Andrea C Baines

    Full Text Available Transport of newly synthesized proteins from the endoplasmic reticulum (ER to the Golgi is mediated by the coat protein complex COPII. The inner coat of COPII is assembled from heterodimers of SEC23 and SEC24. Though mice with mutations in one of the four Sec24 paralogs, Sec24b, exhibit a neural tube closure defect, deficiency in humans or mice has not yet been described for any of the other Sec24 paralogs. We now report characterization of mice with targeted disruption of Sec24d. Early embryonic lethality is observed in mice completely deficient in SEC24D, while a hypomorphic Sec24d allele permits survival to mid-embryogenesis. Mice haploinsufficient for Sec24d exhibit no phenotypic abnormality. A BAC transgene containing Sec24d rescues the embryonic lethality observed in Sec24d-null mice. These results demonstrate an absolute requirement for SEC24D expression in early mammalian development that is not compensated by the other three Sec24 paralogs. The early embryonic lethality resulting from loss of SEC24D in mice contrasts with the previously reported mild skeletal phenotype of SEC24D deficiency in zebrafish and restricted neural tube phenotype of SEC24B deficiency in mice. Taken together, these observations suggest that the multiple Sec24 paralogs have developed distinct functions over the course of vertebrate evolution.

  5. Early Hearing-Impairment Results in Crossmodal Reorganization of Ferret Core Auditory Cortex

    Directory of Open Access Journals (Sweden)

    M. Alex Meredith

    2012-01-01

    Full Text Available Numerous investigations of cortical crossmodal plasticity, most often in congenital or early-deaf subjects, have indicated that secondary auditory cortical areas reorganize to exhibit visual responsiveness while the core auditory regions are largely spared. However, a recent study of adult-deafened ferrets demonstrated that core auditory cortex was reorganized by the somatosensory modality. Because adult animals have matured beyond their critical period of sensory development and plasticity, it was not known if adult-deafening and early-deafening would generate the same crossmodal results. The present study used young, ototoxically-lesioned ferrets (n=3 that, after maturation (avg. = 173 days old, showed significant hearing deficits (avg. threshold = 72 dB SPL. Recordings from single-units (n=132 in core auditory cortex showed that 72% were activated by somatosensory stimulation (compared to 1% in hearing controls. In addition, tracer injection into early hearing-impaired core auditory cortex labeled essentially the same auditory cortical and thalamic projection sources as seen for injections in the hearing controls, indicating that the functional reorganization was not the result of new or latent projections to the cortex. These data, along with similar observations from adult-deafened and adult hearing-impaired animals, support the recently proposed brainstem theory for crossmodal plasticity induced by hearing loss.

  6. The Effect of Ramadan Fasting on Thyroid Hormones in 9‐13 Years Old Pre‐Menarche Girls

    Directory of Open Access Journals (Sweden)

    Shohereh Bahrayni

    2013-11-01

    Full Text Available Introduction: Muslims fast from dawn to dusk during Ramadan. The effects of prolonged food deprivation on endocrine hormones have been studied in healthy adults but no previous study has investigated this effect on children. This study aimed to evaluate the feasible changes in serum level of thyroxin (T3, tetraiodothyronin (T4, thyroid stimulating hormone (TSH and body composition in pre-menarche girls. Methods: This cohort study was performed through Ramadan 2012. We enrolled fifty-eight 9-13years old girls (weight 34.20±7.96 kg, height 142.01±7.76 cm in two groups from (31 and 27 in fasted and non-fasted groups, respectively prior to Ramadan until afterwards. Weight and height of the subjects were measured using standard methods, and then Body Mass Index (BMI was calculated. Body composition was measured using Bio Impedance Analyzer (BIA method. Serum concentrations of T3, T4 and TSH hormones were measured by Radio Immunoassay (RIA. Paired t-test was used to compare result of each group before and after Ramadan. Independent t-test was used to compare two groups together. Tanner intervention variable was controlled by generalized linear models intervening test. SPSS.11 software was used for data analysis. Results: Ramadan fasting induces a significant decrease in BMI and weight on fasted group (p=0.005, p=0.044, respectively while a significant increase was observed in non-fasted group (p<0.001. Although, T3 decreased significantly by fasting (p<0.001, it remained in the normal range. Hence, T4 decreased and TSH increased slightly in both groups. Conclusions: According to our findings, despite a significant reduction of T3 in fasting group, variation in thyroid hormones level remained in the normal range during Ramadan fasting.

  7. Significado da menarca segundo adolescentes El significado de la menarquia para adolescentes Meaning of menarche according to adolescents

    Directory of Open Access Journals (Sweden)

    José Roberto da Silva Brêtas

    2012-01-01

    sexualidad sean ampliadas, alcanzando a un número mayor de participantes a partir del grupo etáreo de 9 años.OBJECTIVE: To know the meaning of menarche for adolescents in schools in the region of Saint Edward, in the municipality of Embu das Artes, São Paulo (Brazil. METHODS: This was qualitative research, with data collected by a focus group technique and with the content of the narratives outlined by means of content analysis. RESULTS: The results were classified into five categories represented as: fertility; repercussions; menstruation and taboo; the fear of dying; and, misinformation and impact. CONCLUSION: For the adolescents interviewed, menarche was reported as a negative experience, related to feelings of fear and anguish. This view was attributed to social, historical and cultural constructs that do not value dialogue and questions relating to the body. Thus, it emphasizes the importance of demystifying the theme and recommends that sexuality education interventions should be expanded, to reach a larger number of participants beginning at the age of 9 years.

  8. Globular Cluster Populations: First Results from S$^4$G Early-Type Galaxies

    CERN Document Server

    Zaritsky, Dennis; Athanassoula, E; Bosma, Albert; Comerón, Sébastien; Elmegreen, Bruce G; Erroz-Ferrer, Santiago; Gadotti, Dimitri A; Hinz, Joannah L; Ho, Luis C; Holwerda, Benne; Knapen, Johan H; Laine, Jarkko; Laurikainen, Eija; Muñoz-Mateos, Juan Carlos; Salo, Heikki; Sheth, Kartik

    2014-01-01

    Using 3.6$\\mu$m images of 97 early-type galaxies, we develop and verify methodology to measure globular cluster populations from the S$^4$G survey images. We find that 1) the ratio, T$_{\\rm N}$, of the number of clusters, N$_{\\rm CL}$, to parent galaxy stellar mass, M$_*$, rises weakly with M$_*$ for early-type galaxies with M$_* > 10^{10}$ M$_\\odot$ when we calculate galaxy masses using a universal stellar initial mass function (IMF), but that the dependence of T$_{\\rm N}$ on M$_*$ is removed entirely once we correct for the recently uncovered systematic variation of IMF with M$_*$, and 2) for M$_* 10^{10}$ M$_\\odot$ and can be as large as $\\sim 0.02$ for less massive galaxies. These are the first results from the S$^4$G sample of galaxies, and will be enhanced by the sample of early-type galaxies now being added to S$^4$G and complemented by the study of later type galaxies within S$^4$G.

  9. Early results on wrist based heart rate monitoring using mechanical transducers.

    Science.gov (United States)

    Buxi, Dilpreet; Penders, Julien; van Hoof, Chris

    2010-01-01

    Heart rate monitoring has been a significant topic of interest in the areas of healthcare, sports and gaming. Compared to locations such as the neck, ear, or chest, the wrist is a convenient measurement point, as the measurement technology can be integrated into a wristwatch. However, key technical challenges exist, namely a small physiological SNR and large disturbances due to motion artifact. This paper reports early results on a packaging concept to monitor the heartrate during rest and motion using off-the-shelf piezoelectric PVDF film sensors. Evaluation has shown good results at rest and unsatisfactory results during motion. Results from this investigation will nonetheless be used as input for the development of a wrist-based heartrate monitor which could function during activities such as running, walking or typing on a keyboard.

  10. Long-term Results of Breast-conserving Surgery and Radiation Therapy in Early Breast Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Hee; Byun, Sang Jun [Dongsan Medical Center, Daegu (Korea, Republic of)

    2009-09-15

    To evaluate the long-term results after breast-conserving surgery and radiation therapy in early breast cancer in terms of failure, survival, and cosmesis. One hundred fifty-four patients with stage I and II breast cancer were treated with conservative surgery plus radiotherapy between January 1992 and December 2002 at the Keimyung University Dongsan Medical Center. According to TNM stage, 93 patients were stage I, 50 were IIa, and 11 were IIb. The affected breasts were irradiated with 6 MV photons to 50.4 Gy in 28 fractions over 5.5 weeks with a boost irradiation dose of 10{approx}16 Gy to the excision site. Chemotherapy was administered in 75 patients and hormonal therapy in 92 patients with tamoxifen. Follow-up periods were 13{approx}179 months, with a median of 92.5 months. The 5- and 10-year overall survival rates were 97.3% and 94.5%, respectively. The 5- and 10-year disease-free survival (5YDFS and 10YDFS, respectively) rates were 92.5% and 88.9%, respectively; the ultimate 5YDFS and 10YDFS rates after salvage treatment were 93.9% and 90.2%, respectively. Based on multivariate analysis, only the interval between surgery and radiation therapy ({<=}6 weeks vs. >6 weeks, p=0.017) was a statistically significant prognostic factor for DFS. The major type of treatment failure was distant failure (78.5%) and the most common distant metastatic site was the lungs. The cosmetic results were good-to-excellent in 96 patients (80.7%). Conservative surgery and radiation for early stage invasive breast cancer yielded excellent survival and cosmetic results. Radiation therapy should be started as soon as possible after breast-conserving surgery in patients with early breast cancer, ideally within 6 weeks.

  11. Relationship between the age of menarche and growth and development of Han girls%汉族女孩月经初潮年龄与生长发育的关系

    Institute of Scientific and Technical Information of China (English)

    赵继; 马亚娜

    2012-01-01

    目的:探讨月经初潮年龄与人体形态、机能、素质指标的相关关系,为采取干预措施和健康教育提供理论依据.方法:从文献中收集2005年全国30个省市汉族女生的生长发育指标共15项,对所有生长发育指标与汉族女生月经初潮年龄进行简单相关分析和多重线性回归分析.结果:在简单相关分析中,有5个因素与月经初潮年龄相关,其中有2个因素进入多重线性回归分析中,分别是体重和握力.结论:汉族女生的部分生长发育指标与青春期发育密切相关.%Objective: To explore the correlation between the age of menarche and indexes of human form, function, and quality, provide theoretical basis for adopting interventional measures and health education. Methods: Fifteen indexes of growth and development a-mong the Han girls in 30 provinces/cities of China in 2005 were collected from literatures, simple correlation analysis and multiple linear regression analysis were conducted between all the indexes of growth and development and the age of menarche of Han girls. Results: The results of simple correlation analysis showed that five factors were correlated with the age of menarche, and two factors ( body weight and the power of gripping) entered into multiple linear regression analysis. Conclusion: Partial indexes of growth and development of Han girls are correlated with adolescent development clusely.

  12. Early Period Results and Clinical Characteristics of Upper Gastrointestinal Endoscopy in Sivrihisar State Hospital

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    Ozgur Turk

    2014-12-01

    Full Text Available Aim: Our aim was to identify the characteristics of the patient that performed upper gastrointestinal endoscopy in a new established endoscopy unit of a state hospital. We want to present the spectrum of gastrointestinal diseases in our hospitals region. Material and Method: We analyzed patients upper endoscopy results according to age, sex, complaints, clinical characteristics, type of anesthesia, and the necessity of biopsy. We reviewed 256 patients data between 2013 December-2014 July. All endoscopies were performed by same surgeon. Results: The highest complaint was epigastric pain (n=112, 43, 8%. Other complaints were followed as dyspepsia (n=84, 32.8%, heartburn (n=42, 16.4%, nausea (n=4, 1.6%, vomiting (n=2, 0.8%, dysphagia (n=6, 2.3%. We determined 218 gastritis (85.2%, 64 hiatal hernia (25%, 120 esophagitis (46.9%, 76 duodenitis (29.7%, 4 gastric ulcer (1.6%, 18 duodenal ulcers (7%, 20 bile reflux (7.8%, 26 Gastro esophageal reflux disease (GERD in patients (10.2%. 10 patients reported as normal (3.9%. Biopsy was performed in 186 of the patients. Discussion: Endoscopy can become an early diagnostic examination by increasing the availability of endoscopy. Also alarm symptoms should not be ignored and endoscopy should perform immediately in symptomatic patients. As an early result of upper gastrointestinal endoscopies that performed in this study; gastritis, esophagitis, duodenitis and hiatal hernia are common gastrointestinal diseases in our region.

  13. Long-term results of early contact lens use in pediatric unilateral aphakia.

    Science.gov (United States)

    Chen, Ying-Chun Ellin; Hu, Annie C; Rosenbaum, Arthur; Spooner, Sharon; Weissman, Barry A

    2010-01-01

    To evaluate which factor(s) might predict excellent Snellen visual acuity results in unilateral nontraumatic pediatric aphakes. Retrospective review of all unilateral pediatric aphakic patients seen in a specialty contact lens clinic between 1982 and 2009. Inclusion criteria as follows: (1) cataract extraction before age 6 weeks, (2) no other health complications, (3) contact lens fitting within 3 weeks postsurgery, and (4) measurable subjective visual performance on a clinical Snellen acuity chart. Fifteen patients were identified: 10 patients with persistent fetal vasculature syndrome (PFV) and 5 patients with the diagnosis of idiopathic congenital cataract (ICC). Final Snellen acuity results showed seven patients (46.67%) developed excellent Snellen visual acuities (defined as 20/50 or better), four patients (26.67%) developed moderate Snellen visual acuities (20/125 to 20/60), and four total patients (26.67%) developed poor Snellen visual acuities (worse than 20/200). Analysis used descriptive statistics. Approximately 50% of our unilateral nontraumatic pediatric aphakic patients aged older than 5 years achieved excellent Snellen visual acuity in the aphakic eye. The amount of surgical or ocular complications seems to have an inverse relationship with Snellen visual acuity in PFV. Patching compliance, without implying cause-effect direction, also had a direct relationship with final Snellen visual acuity for patients. Early cataract extraction, good to moderate patching compliance, and aggressive early contact lens management can lead to moderate to excellent Snellen visual results in several unilateral pediatric aphakic patients.

  14. Planck early results. XIII. Statistical properties of extragalactic radio sources in the Planck Early Release Compact Source Catalogue

    DEFF Research Database (Denmark)

    Bucher, M.; Delabrouille, J.; Giraud-Héraud, Y.

    2011-01-01

    The data reported in Planck's Early Release Compact Source Catalogue (ERCSC) are exploited to measure the number counts (dN/dS) of extragalactic radio sources at 30, 44, 70, 100, 143 and 217 GHz. Due to the full-sky nature of the catalogue, this measurement extends to the rarest and brightest sou...

  15. GLOBULAR CLUSTER POPULATIONS: FIRST RESULTS FROM S{sup 4}G EARLY-TYPE GALAXIES

    Energy Technology Data Exchange (ETDEWEB)

    Zaritsky, Dennis [Steward Observatory, University of Arizona, 933 North Cherry Avenue, Tucson, AZ 85721 (United States); Aravena, Manuel [Núcleo de Astronomía, Facultad de Ingeniería, Universidad Diego Portales, Avenida Ejército 441, Santiago (Chile); Athanassoula, E.; Bosma, Albert [Aix Marseille Université, CNRS, LAM (Laboratoire d' Astrophysique de Marseille) UMR 7326, F-13388 Marseille (France); Comerón, Sébastien; Laine, Jarkko; Laurikainen, Eija; Salo, Heikki [Astronomy Division, Department of Physics, P.O. Box 3000, FI-90014 University of Oulu (Finland); Elmegreen, Bruce G. [IBM T. J. Watson Research Center, 1101 Kitchawan Road, Yorktown Heights, NY 10598 (United States); Erroz-Ferrer, Santiago; Knapen, Johan H. [Instituto de Astrofísica de Canarias, Vía Lácteas, E-38205 La Laguna (Spain); Gadotti, Dimitri A.; Muñoz-Mateos, Juan Carlos [European Southern Observatory, Casilla 19001, Santiago 19 (Chile); Hinz, Joannah L. [MMT Observatory, P.O. Box 210065, Tucson, AZ 85721 (United States); Ho, Luis C. [Kavli Institute for Astronomy and Astrophysics, Peking University, Beijing 100871 (China); Holwerda, Benne [Leiden Observatory, University of Leiden, Niels Bohrweg 4, NL-2333 Leiden (Netherlands); Sheth, Kartik, E-mail: dennis.zaritsky@gmail.com [National Radio Astronomy Observatory/NAASC, 520 Edgemont Road, Charlottesville, VA 22903 (United States)

    2015-02-01

    Using 3.6 μm images of 97 early-type galaxies, we develop and verify methodology to measure globular cluster populations from the S{sup 4}G survey images. We find that (1) the ratio, T {sub N}, of the number of clusters, N {sub CL}, to parent galaxy stellar mass, M {sub *}, rises weakly with M {sub *} for early-type galaxies with M {sub *} > 10{sup 10} M {sub ☉} when we calculate galaxy masses using a universal stellar initial mass function (IMF) but that the dependence of T {sub N} on M {sub *} is removed entirely once we correct for the recently uncovered systematic variation of IMF with M {sub *}; and (2) for M {sub *} < 10{sup 10} M {sub ☉}, there is no trend between N {sub CL} and M {sub *}, the scatter in T {sub N} is significantly larger (approaching two orders of magnitude), and there is evidence to support a previous, independent suggestion of two families of galaxies. The behavior of N {sub CL} in the lower-mass systems is more difficult to measure because these systems are inherently cluster-poor, but our results may add to previous evidence that large variations in cluster formation and destruction efficiencies are to be found among low-mass galaxies. The average fraction of stellar mass in clusters is ∼0.0014 for M {sub *} > 10{sup 10} M {sub ☉} and can be as large as ∼0.02 for less massive galaxies. These are the first results from the S{sup 4}G sample of galaxies and will be enhanced by the sample of early-type galaxies now being added to S{sup 4}G and complemented by the study of later-type galaxies within S{sup 4}G.

  16. Affect of surgical approaches on functional results of total hip arthroplasty in early postoperative period

    Directory of Open Access Journals (Sweden)

    D. V. Andreyev

    2013-01-01

    Full Text Available Minimally invasive approaches implies a less soft tissue damage and, therefore, more rapid recovery of the patient in the early postoperative period. The present study is a comparison of minimally invasive and standard approaches using biomechanical analysis of standing and walking patients before and after total hip arthroplasty, as well as an analysis of clinical outcomes in the early postoperative period. Fifty patients undergoing primary total hip arthroplasty using a minimally invasive and conventional techniques were divided into three groups. The first group consisted of patients operated on using the MIS AL (modified minimally invasive approach Watson-Jones (n = 17, the second - MDM (minimally invasive approach to the modified Mueller (n = 16 and in the third - with the use of transgluteal conventional approach by Harding (n = 17. The estimation of biomechanical parameters in static and dynamic patients before surgery and at 8-10 days after surgery. Also assessed clinical outcome postoperative visual analogue scale (VAS and Harris scale on day 10, 6 and 12 weeks and 1 year. When comparing the three groups of patients stabilometry best results were observed in groups of minimally invasive approaches MIS AL and MDM. When comparing the three groups significantly better (a moderate increase in the duration of the step, rolling the contralateral limb and a slight increase in the duration of the step the operated limb by increasing the duration of the roll-over were identified in the minimally invasive group MIS AL and MDM. In assessing the scale of Harris in the early postoperative period, higher rates were observed in groups of minimally invasive approaches. A year after the operation functional results become similar in all groups.

  17. First experiences with the Fitmore® hip stem: Early results of the 16-month monitoring

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    Mladenović Marko

    2017-01-01

    Full Text Available Background/Aim. Fitmore® hip stem belongs to the group of short stem prostheses with the metaphysar stabilization, with its shape and form that protects the bone mass in the greater trochanter region and the distal part of the femur. The aim of this paper was to present the early postoperative results in patients with implanted Fitmore® hip stem and point out some of the advantages. Methods. A series of 10 patients with implanted Fitmore® hip stem, was included in this study. The average age of the patients was 54.5 (48–65 years. There were 5 women and 5 men. The total monitoring time was 16 months. To rate the condition of the hip joint we used The Western Ontario and Mc Master Universities Arthritis Index (WOMAC score. We also monitored the degree of hip pain, hip flexion, heterotopic ossification and indentation in the stem of the prosthesis. Results. After 12 months of monitoring 9 (90% of the patients had no pain in the thigh region, and only 1 (10% experienced mild pain. The hip flexion rose from the average 89° to postoperative 114°. WOMAC score rose as well, from 49 to 94 average points. Indentation in the stem was registered 3 months after the operation in 2 (20% of the patients – in one of the patients the indentation was 3 mm and in the other patient 5 mm. After the 16-month monitoring, the results were excellent. The monitoring period was short though it should be continued and the results should be presented after 5 and then after 10 years. Conclusion. Early results of the implantation Fitmore stem showed good bone ingrowth with excellent functional result.

  18. Genome-wide association studies and epistasis analyses of candidate genes related to age at menarche and age at natural menopause in a Korean population.

    Science.gov (United States)

    Pyun, Jung-A; Kim, Sunshin; Cho, Nam H; Koh, InSong; Lee, Jong-Young; Shin, Chol; Kwack, KyuBum

    2014-05-01

    The aim of this study was to identify polymorphisms and gene-gene interactions that are significantly associated with age at menarche and age at menopause in a Korean population. A total of 3,452 and 1,827 women participated in studies of age at menarche and age at natural menopause, respectively. Linear regression analyses adjusted for residence area were used to perform genome-wide association studies (GWAS), candidate gene association studies, and interactions between the candidate genes for age at menarche and age at natural menopause. In GWAS, four single nucleotide polymorphisms (SNPs; rs7528241, rs1324329, rs11597068, and rs6495785) were strongly associated with age at natural menopause (lowest P = 9.66 × 10). However, GWAS of age at menarche did not reveal any strong associations. In candidate gene association studies, SNPs with P menopause, there was a significant interaction between intronic SNPs on ADAM metallopeptidase with thrombospondin type I motif 9 (ADAMTS9) and SMAD family member 3 (SMAD3) genes (P = 9.52 × 10). For age at menarche, there were three significant interactions between three intronic SNPs on follicle-stimulating hormone receptor (FSHR) gene and one SNP located at the 3' flanking region of insulin-like growth factor 2 receptor (IGF2R) gene (lowest P = 1.95 × 10). Novel SNPs and synergistic interactions between candidate genes are significantly associated with age at menarche and age at natural menopause in a Korean population.

  19. Early

    Directory of Open Access Journals (Sweden)

    Kamel Abd Elaziz Mohamed

    2014-04-01

    Conclusion: Early PDT is recommended for patients who require prolonged tracheal intubation in the ICU as outcomes like the duration of mechanical ventilation length of ICU stay and hospital stay were significantly shorter in early tracheostomy.

  20. Influence of early postoperative complication on the operative results in elderly intertrochanteric fractured patients

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Objective:Early complications were analyzed in those with Evans Ⅲ type of intertrochanteric fracture treated with operation or nonoperative approaches. Methods:59 cases with Evans Ⅲ type of intertrochanteric fracture between June, 1999 to July, 2006 were admitted in our department. 38 patients were complicated with cardiovascular diseases, such as hypertension and arrhythmia. All the cases were operated. Results:58 cases were operated successfully. One died of pulmonary interstitial fibrosis. Grade data of different age brackets indicated that early infective complications had apparent differences between the operation and the control group. Compared with the control group, the operation group had benefits such as fewer complications, especially the infective complications, and incidence of lower extremities venous thrombosis, and the results showed notable differences. Conclusion:In elderly patients with Evans Ⅲ type of intertrochanteric fracture, the incidence of pulmonary infection was the highest. Venous thrombosis in lower extremities was the most serious complication. So it will be helpful to perform the quadriceps femories function exercise. The postoperative effect is also related with the operation approach.

  1. Early results of large head metal-on-metal hip arthroplasties.

    Science.gov (United States)

    Kostensalo, I; Seppänen, M; Mäkelä, K; Mokka, J; Virolainen, P; Hirviniemi, J

    2012-01-01

    Total hip arthroplasty significantly improves patient's life quality. However, total joint replacement is associated with possible complications, such as dislocations, infections, fractures and periprosthetic osteolysis. The goal of this study was to evaluate a large head metal-on-metal total hip arthroplasties and analyse short term complications related to them. Between 9/2005 and 6/2009, a total of 691 hip replacements were performed on 635 patients with the use of Magnum M2 large head cementless metal-on-metal prosthesis in Turku University Hospital. All patients had a scheduled follow-up at two to three months, and at one year. The results were evaluated using X-rays, Harris Hip Score (HHS), and evaluating post-operative complications and reasons for re-operations. During our follow-up the HHS median raised from its preoperative value of 59.8 to 86.4 two to three months after the operation, and to 93.9 one year after the operation. As a complication we had five infections requiring single open debridement (early infection) or a two stage revision. Seven patients had a periprosthetic femoral fracture that was operated and 11 patients were reoperated because of acetabular component malposition, fracture or early loosening. We did not observe any dislocations, n. ischiadicus damages, squeeking or complications related to high metal ion release (ALVAL-reactions (Aseptic Lymphocyte-dominated Vasculitis-Associated Lesion) or pseudotumours). The metal-on-metal bearing pair allows large femoral head size, which decreases the risk for dislocation. It may also decrease the risk for osteolysis and aseptic loosening in a long run. Early complication rate related to the bearing surface is minimal. Metal-on-metal prosthesis is a good choice for young and active patients with good bone quality.

  2. Thirty new loci for age at menarche identified by a meta-analysis of genome-wide association studies

    NARCIS (Netherlands)

    C.E. Elks (Cathy); J.R.B. Perry (John); P. Sulem (Patrick); D.I. Chasman (Daniel); N. Franceschini (Nora); C. He (Chunyan); K.L. Lunetta (Kathryn); J.A. Visser (Jenny); E.M. Byrne (Enda); D.L. Cousminer (Diana); D.F. Gudbjartsson (Daniel); T. Esko (Tõnu); B. Feenstra (Bjarke); J.J. Hottenga (Jouke Jan); D.L. Koller (Daniel); Z. Kutalik (Zoltán); P. Lin (Peng); M. Mangino (Massimo); M. Marongiu (Mara); P.F. McArdle (Patrick); A.V. Smith (Albert Vernon); L. Stolk (Lisette); S. van Wingerden (Sophie); J.H. Zhao; E. Albrecht (Eva); T. Corre (Tanguy); E. Ingelsson (Erik); C. Hayward (Caroline); P.K. Magnusson (Patrik); S. Ulivi (Shelia); N. Warrington (Nicole); L. Zgaga (Lina); H. Alavere (Helene); N. Amin (Najaf); T. Aspelund (Thor); S. Bandinelli (Stefania); I. Barroso (Inês); G. Berenson (Gerald); S.M. Bergmann (Sven); H. Blackburn (Hannah); E.A. Boerwinkle (Eric); J.E. Buring (Julie); F. Busonero; H. Campbell (Harry); S.J. Chanock (Stephen); W. Chen (Wei); M. Cornelis (Marilyn); D.J. Couper (David); A.D. Coviello (Andrea); P. d' Adamo (Pio); U. de Faire (Ulf); E.J.C. de Geus (Eco); P. Deloukas (Panagiotis); A. Döring (Angela); D.F. Easton (Douglas); G. Eiriksdottir (Gudny); V. Emilsson (Valur); J.G. Eriksson (Johan); L. Ferrucci (Luigi); A.R. Folsom (Aaron); T. Foroud (Tatiana); M. Garcia (Melissa); P. Gasparini (Paolo); F. Geller (Frank); C. Gieger (Christian); V. Gudnason (Vilmundur); A.S. Hall (Alistair); S.E. Hankinson (Susan); L. Ferreli (Liana); A.C. Heath (Andrew); D.G. Hernandez (Dena); A. Hofman (Albert); F.B. Hu (Frank); T. Illig (Thomas); M.R. Järvelin; A.D. Johnson (Andrew); D. Karasik (David); K-T. Khaw (Kay-Tee); D.P. Kiel (Douglas); T.O. Kilpelänen (Tuomas); I. Kolcic (Ivana); P. Kraft (Peter); L.J. Launer (Lenore); J.S.E. Laven (Joop); S. Li (Shengxu); J. Liu (Jianjun); D. Levy (Daniel); N.G. Martin (Nicholas); M. Melbye (Mads); V. Mooser (Vincent); J.C. Murray (Jeffrey); M.A. Nalls (Michael); P. Navarro (Pau); M. Nelis (Mari); A.R. Ness (Andrew); K. Northstone (Kate); B.A. Oostra (Ben); M. Peacock (Munro); C. Palmer (Cameron); A. Palotie (Aarno); G. Paré (Guillaume); A.N. Parker (Alex); N.L. Pedersen (Nancy); L. Peltonen (Leena Johanna); C.E. Pennell (Craig); P.D.P. Pharoah (Paul); O. Polasek (Ozren); A.S. Plump (Andrew); A. Pouta (Anneli); E. Porcu (Eleonora); T. Rafnar (Thorunn); J.P. Rice (John); S.M. Ring (Susan); F. Rivadeneira Ramirez (Fernando); I. Rudan (Igor); C. Sala (Cinzia); V. Salomaa (Veikko); S. Sanna (Serena); D. Schlessinger; N.J. Schork (Nicholas); A. Scuteri (Angelo); A.V. Segrè (Ayellet); A.R. Shuldiner (Alan); N. Soranzo (Nicole); U. Sovio (Ulla); S.R. Srinivasan (Sathanur); D.P. Strachan (David); M.L. Tammesoo; E. Tikkanen (Emmi); D. Toniolo (Daniela); K. Tsui (Kim); L. Tryggvadottir (Laufey); J.P. Tyrer (Jonathan); M. Uda (Manuela); R.M. van Dam (Rob); J.B.J. van Meurs (Joyce); P. Vollenweider (Peter); G. Waeber (Gérard); N.J. Wareham (Nick); D. Waterworth (Dawn); H.E. Wichmann (Heinz Erich); G.A.H.M. Willemsen (Gonneke); J.F. Wilson (James); A.F. Wright (Alan); L. Young (Lauren); G. Zhai (Guangju); W.V. Zhuang; L.J. Bierut (Laura); D.I. Boomsma (Dorret); H.A. Boyd (Heather); L. Crisponi (Laura); E.W. Demerath (Ellen); P. Tikka-Kleemola (Päivi); M.J. Econs (Michael); T.B. Harris (Tamara); D. Hunter (David); R.J.F. Loos (Ruth); A. Metspalu (Andres); G.W. Montgomery (Grant); P.M. Ridker (Paul); T.D. Spector (Tim); E.A. Streeten (Elizabeth); K. Stefansson (Kari); U. Thorsteinsdottir (Unnur); A.G. Uitterlinden (André); E. Widen (Elisabeth); J. Murabito (Joanne); K. Ong (Ken); M.N. Weedon (Michael)

    2010-01-01

    textabstractTo identify loci for age at menarche, we performed a meta-analysis of 32 genome-wide association studies in 87,802 women of European descent, with replication in up to 14,731 women. In addition to the known loci at LIN28B (P = 5.4 × 10 -60) and 9q31.2 (P = 2.2 × 10 -33), we identified 30

  3. Thirty new loci for age at menarche identified by a meta-analysis of genome-wide association studies

    NARCIS (Netherlands)

    C.E. Elks (Cathy); J.R.B. Perry (John); P. Sulem (Patrick); D.I. Chasman (Daniel); N. Franceschini (Nora); C. He (Chunyan); K.L. Lunetta (Kathryn); J.A. Visser (Jenny); E.M. Byrne (Enda); D.L. Cousminer (Diana); D.F. Gudbjartsson (Daniel); T. Esko (Tõnu); B. Feenstra (Bjarke); J.J. Hottenga (Jouke Jan); D.L. Koller (Daniel); Z. Kutalik (Zoltán); P. Lin (Peng); M. Mangino (Massimo); M. Marongiu (Mara); P.F. McArdle (Patrick); A.V. Smith (Albert Vernon); L. Stolk (Lisette); S. van Wingerden (Sophie); J.H. Zhao; E. Albrecht (Eva); T. Corre (Tanguy); E. Ingelsson (Erik); C. Hayward (Caroline); P.K. Magnusson (Patrik); S. Ulivi (Shelia); N.M. Warrington (Nicole); L. Zgaga (Lina); H. Alavere (Helene); N. Amin (Najaf); T. Aspelund (Thor); S. Bandinelli (Stefania); I. Barroso (Inês); G. Berenson (Gerald); S.M. Bergmann (Sven); H. Blackburn (Hannah); E.A. Boerwinkle (Eric); J.E. Buring (Julie); F. Busonero; H. Campbell (Harry); S.J. Chanock (Stephen); W. Chen (Wei); M. Cornelis (Marilyn); D.J. Couper (David); A.D. Coviello (Andrea); P. d' Adamo (Pio); U. de Faire (Ulf); E.J.C. de Geus (Eco); P. Deloukas (Panagiotis); A. Döring (Angela); D.F. Easton (Douglas); G. Eiriksdottir (Gudny); V. Emilsson (Valur); J.G. Eriksson (Johan); L. Ferrucci (Luigi); A.R. Folsom (Aaron); T. Foroud (Tatiana); M. Garcia (Melissa); P. Gasparini (Paolo); F. Geller (Frank); C. Gieger (Christian); V. Gudnason (Vilmundur); A.S. Hall (Alistair); S.E. Hankinson (Susan); L. Ferreli (Liana); A.C. Heath (Andrew); D.G. Hernandez (Dena); A. Hofman (Albert); F.B. Hu (Frank); T. Illig (Thomas); M.R. Järvelin; A.D. Johnson (Andrew); D. Karasik (David); K-T. Khaw (Kay-Tee); D.P. Kiel (Douglas); T.O. Kilpelänen (Tuomas); I. Kolcic (Ivana); P. Kraft (Peter); L.J. Launer (Lenore); J.S.E. Laven (Joop); S. Li (Shengxu); J. Liu (Jianjun); D. Levy (Daniel); N.G. Martin (Nicholas); M. Melbye (Mads); V. Mooser (Vincent); J.C. Murray (Jeffrey); M.A. Nalls (Michael); P. Navarro (Pau); M. Nelis (Mari); A.R. Ness (Andrew); K. Northstone (Kate); B.A. Oostra (Ben); M. Peacock (Munro); C. Palmer (Cameron); A. Palotie (Aarno); G. Paré (Guillaume); A.N. Parker (Alex); N.L. Pedersen (Nancy); L. Peltonen (Leena Johanna); C.E. Pennell (Craig); P.D.P. Pharoah (Paul); O. Polasek (Ozren); A.S. Plump (Andrew); A. Pouta (Anneli); E. Porcu (Eleonora); T. Rafnar (Thorunn); J.P. Rice (John); S.M. Ring (Susan); F. Rivadeneira Ramirez (Fernando); I. Rudan (Igor); C. Sala (Cinzia); V. Salomaa (Veikko); S. Sanna (Serena); D. Schlessinger; N.J. Schork (Nicholas); A. Scuteri (Angelo); A.V. Segrè (Ayellet); A.R. Shuldiner (Alan); N. Soranzo (Nicole); U. Sovio (Ulla); S.R. Srinivasan (Sathanur); D.P. Strachan (David); M.L. Tammesoo; E. Tikkanen (Emmi); D. Toniolo (Daniela); K. Tsui (Kim); L. Tryggvadottir (Laufey); J.P. Tyrer (Jonathan); M. Uda (Manuela); R.M. van Dam (Rob); J.B.J. van Meurs (Joyce); P. Vollenweider (Peter); G. Waeber (Gérard); N.J. Wareham (Nick); D. Waterworth (Dawn); H.E. Wichmann (Heinz Erich); G.A.H.M. Willemsen (Gonneke); J.F. Wilson (James); A.F. Wright (Alan); L. Young (Lauren); G. Zhai (Guangju); W.V. Zhuang; L.J. Bierut (Laura); D.I. Boomsma (Dorret); H.A. Boyd (Heather); L. Crisponi (Laura); E.W. Demerath (Ellen); P. Tikka-Kleemola (Päivi); M.J. Econs (Michael); T.B. Harris (Tamara); D. Hunter (David); R.J.F. Loos (Ruth); A. Metspalu (Andres); G.W. Montgomery (Grant); P.M. Ridker (Paul); T.D. Spector (Tim); E.A. Streeten (Elizabeth); K. Stefansson (Kari); U. Thorsteinsdottir (Unnur); A.G. Uitterlinden (André); E. Widen (Elisabeth); J. Murabito (Joanne); K. Ong (Ken); M.N. Weedon (Michael)

    2010-01-01

    textabstractTo identify loci for age at menarche, we performed a meta-analysis of 32 genome-wide association studies in 87,802 women of European descent, with replication in up to 14,731 women. In addition to the known loci at LIN28B (P = 5.4 × 10 -60) and 9q31.2 (P = 2.2 × 10 -33), we identified 30

  4. Thirty new loci for age at menarche identified by a meta-analysis of genome-wide association studies

    DEFF Research Database (Denmark)

    Elks, Cathy E; Perry, John R B; Sulem, Patrick

    2010-01-01

    To identify loci for age at menarche, we performed a meta-analysis of 32 genome-wide association studies in 87,802 women of European descent, with replication in up to 14,731 women. In addition to the known loci at LIN28B (P = 5.4 × 10⁻⁶⁰) and 9q31.2 (P = 2.2 × 10⁻³³), we identified 30 new menarc...

  5. [Early rehabilitation care in the hospital--definition and indication. Results of the expert group "Early Rehabilitation Care in the Hospital"].

    Science.gov (United States)

    Leistner, K; Stier-Jarmer, M; Berleth, B; Braun, J; Koenig, E; Liman, W; Lüttje, D; Meindl, R; Pientka, L; Weber, G; Stucki, G

    2005-06-01

    As a result of the continuing development in recent medicine, and improvements of emergency services, an increasing number of patients are surviving serious disease and injury. This has increased the need for rehabilitation, starting already during the acute hospital stay. Early identification and rehabilitation may reduce overall costs and help patients to regain independence earlier. Since the eighties specialized early post-acute rehabilitation units have been increasingly implemented in German hospitals. With book 9 of the German Social Code (SGB IX) coming into effect in July 2001, early post-acute rehabilitation care in hospitals became accepted as a social right. However, the specifics of early rehabilitation care have not been defined. There is a lack of generally accepted indication criteria for early rehabilitation services. Similarly, the aims, objectives and methods need to be specified. It was the objective of a group of interested experts from different fields and backgrounds to achieve an interdisciplinary consensus in terms of conceptual definitions and terminology for all early rehabilitation care services in the acute hospital. The development of the definitions and criteria was achieved by using a modified Delphi-technique. By publishing this paper the group is providing information about its activities and results. Examples of typical cases from the various fields of early rehabilitation care were identified and described. Furthermore, the report points out a number of other problems in the area of early rehabilitation care, which have yet to be solved.

  6. Early arthritis in children – first results of prospective follow up

    Directory of Open Access Journals (Sweden)

    S. O. Salugina

    2007-01-01

    Full Text Available Objective. To perform a prospective investigation of clinico-laboratory and sonographic picture of juvenile arthritis (JA onset, to follow up its evolution during the first years of the disease, to prove the program of appropriate treatment.Material and methods. 128 pts with early JA (61% girls and 39% boys aged 1,5 to 16 years were included. Disease duration varied from 2 weeks to 6 months. General health, joint status, disease activity, functional class (Steinbroker, systemic and organ disturbances, laboratory activity indices, immunologic parameters (ANF, RF were assessed. Antibodies to cyclic citrullinated peptide (ACCP were evaluated in 38 pts by immunofluorescence method (IFM with commercial kits “Axis Shild Diagnostics Limited, UK”, antibodies to modified citrullinated vimentin (MCV were assessed in 60 pts by IFM with commercial kits “Orgentec” (Germany. Pts were examined every 3 months, the main investigations were repeated after 6, 12 and 24 months. Accuracy of the diagnosis was checked at every examination.Results. Mono- oligoarticular variant of onset was found in 68,6% polyarticular – in 21,4%, systemic – in 10% of pts. Knee and ankle joints were involved first (61% and 24% respectively, later – wrist (13% and hand joints (17%. Morning stiffness was absent in 85% of pts. 37% of pts had ANF and 13,2% - RF. 10,5% were ACCP positive and 28,3% – MCV positive. Antibodies correlated with polyarticular variant of JA and RF. Reactive arthritis was the preliminary diagnosis in 39% and JRA – in 21% of pts at inclusion. Later Juvenile chronic arthritis was the most frequent diagnosis (73-80%. Disease modifying antirheumatic drugs were prescribed early (before 6 months in 53% of pts. Exacerbations of the disease appeared in 1/3 of pts, more frequently – in pts with polyarthritis. After 12 months functional class 1 remained in 71,4% of pts.Conclusion. Stabilization of pathological process or remission can

  7. Thirty new loci for age at menarche identified by a meta-analysis of genome-wide association studies.

    Science.gov (United States)

    Elks, Cathy E; Perry, John R B; Sulem, Patrick; Chasman, Daniel I; Franceschini, Nora; He, Chunyan; Lunetta, Kathryn L; Visser, Jenny A; Byrne, Enda M; Cousminer, Diana L; Gudbjartsson, Daniel F; Esko, Tõnu; Feenstra, Bjarke; Hottenga, Jouke-Jan; Koller, Daniel L; Kutalik, Zoltán; Lin, Peng; Mangino, Massimo; Marongiu, Mara; McArdle, Patrick F; Smith, Albert V; Stolk, Lisette; van Wingerden, Sophie H; Zhao, Jing Hua; Albrecht, Eva; Corre, Tanguy; Ingelsson, Erik; Hayward, Caroline; Magnusson, Patrik K E; Smith, Erin N; Ulivi, Shelia; Warrington, Nicole M; Zgaga, Lina; Alavere, Helen; Amin, Najaf; Aspelund, Thor; Bandinelli, Stefania; Barroso, Inês; Berenson, Gerald S; Bergmann, Sven; Blackburn, Hannah; Boerwinkle, Eric; Buring, Julie E; Busonero, Fabio; Campbell, Harry; Chanock, Stephen J; Chen, Wei; Cornelis, Marilyn C; Couper, David; Coviello, Andrea D; d'Adamo, Pio; de Faire, Ulf; de Geus, Eco J C; Deloukas, Panos; Döring, Angela; Smith, George Davey; Easton, Douglas F; Eiriksdottir, Gudny; Emilsson, Valur; Eriksson, Johan; Ferrucci, Luigi; Folsom, Aaron R; Foroud, Tatiana; Garcia, Melissa; Gasparini, Paolo; Geller, Frank; Gieger, Christian; Gudnason, Vilmundur; Hall, Per; Hankinson, Susan E; Ferreli, Liana; Heath, Andrew C; Hernandez, Dena G; Hofman, Albert; Hu, Frank B; Illig, Thomas; Järvelin, Marjo-Riitta; Johnson, Andrew D; Karasik, David; Khaw, Kay-Tee; Kiel, Douglas P; Kilpeläinen, Tuomas O; Kolcic, Ivana; Kraft, Peter; Launer, Lenore J; Laven, Joop S E; Li, Shengxu; Liu, Jianjun; Levy, Daniel; Martin, Nicholas G; McArdle, Wendy L; Melbye, Mads; Mooser, Vincent; Murray, Jeffrey C; Murray, Sarah S; Nalls, Michael A; Navarro, Pau; Nelis, Mari; Ness, Andrew R; Northstone, Kate; Oostra, Ben A; Peacock, Munro; Palmer, Lyle J; Palotie, Aarno; Paré, Guillaume; Parker, Alex N; Pedersen, Nancy L; Peltonen, Leena; Pennell, Craig E; Pharoah, Paul; Polasek, Ozren; Plump, Andrew S; Pouta, Anneli; Porcu, Eleonora; Rafnar, Thorunn; Rice, John P; Ring, Susan M; Rivadeneira, Fernando; Rudan, Igor; Sala, Cinzia; Salomaa, Veikko; Sanna, Serena; Schlessinger, David; Schork, Nicholas J; Scuteri, Angelo; Segrè, Ayellet V; Shuldiner, Alan R; Soranzo, Nicole; Sovio, Ulla; Srinivasan, Sathanur R; Strachan, David P; Tammesoo, Mar-Liis; Tikkanen, Emmi; Toniolo, Daniela; Tsui, Kim; Tryggvadottir, Laufey; Tyrer, Jonathon; Uda, Manuela; van Dam, Rob M; van Meurs, Joyce B J; Vollenweider, Peter; Waeber, Gerard; Wareham, Nicholas J; Waterworth, Dawn M; Weedon, Michael N; Wichmann, H Erich; Willemsen, Gonneke; Wilson, James F; Wright, Alan F; Young, Lauren; Zhai, Guangju; Zhuang, Wei Vivian; Bierut, Laura J; Boomsma, Dorret I; Boyd, Heather A; Crisponi, Laura; Demerath, Ellen W; van Duijn, Cornelia M; Econs, Michael J; Harris, Tamara B; Hunter, David J; Loos, Ruth J F; Metspalu, Andres; Montgomery, Grant W; Ridker, Paul M; Spector, Tim D; Streeten, Elizabeth A; Stefansson, Kari; Thorsteinsdottir, Unnur; Uitterlinden, André G; Widen, Elisabeth; Murabito, Joanne M; Ong, Ken K; Murray, Anna

    2010-12-01

    To identify loci for age at menarche, we performed a meta-analysis of 32 genome-wide association studies in 87,802 women of European descent, with replication in up to 14,731 women. In addition to the known loci at LIN28B (P = 5.4 × 10⁻⁶⁰) and 9q31.2 (P = 2.2 × 10⁻³³), we identified 30 new menarche loci (all P < 5 × 10⁻⁸) and found suggestive evidence for a further 10 loci (P < 1.9 × 10⁻⁶). The new loci included four previously associated with body mass index (in or near FTO, SEC16B, TRA2B and TMEM18), three in or near other genes implicated in energy homeostasis (BSX, CRTC1 and MCHR2) and three in or near genes implicated in hormonal regulation (INHBA, PCSK2 and RXRG). Ingenuity and gene-set enrichment pathway analyses identified coenzyme A and fatty acid biosynthesis as biological processes related to menarche timing.

  8. Early embryonic chromosome instability results in stable mosaic pattern in human tissues.

    Directory of Open Access Journals (Sweden)

    Hasmik Mkrtchyan

    Full Text Available The discovery of copy number variations (CNV in the human genome opened new perspectives on the study of the genetic causes of inherited disorders and the aetiology of common diseases. Here, a single-cell-level investigation of CNV in different human tissues led us to uncover the phenomenon of mitotically derived genomic mosaicism, which is stable in different cell types of one individual. The CNV mosaic ratios were different between the 10 individuals studied. However, they were stable in the T lymphocytes, immortalized B lymphoblastoid cells, and skin fibroblasts analyzed in each individual. Because these cell types have a common origin in the connective tissues, we suggest that mitotic changes in CNV regions may happen early during embryonic development and occur only once, after which the stable mosaic ratio is maintained throughout the differentiated tissues. This concept is further supported by a unique study of immortalized B lymphoblastoid cell lines obtained with 20 year difference from two subjects. We provide the first evidence of somatic mosaicism for CNV, with stable variation ratios in different cell types of one individual leading to the hypothesis of early embryonic chromosome instability resulting in stable mosaic pattern in human tissues. This concept has the potential to open new perspectives in personalized genetic diagnostics and can explain genetic phenomena like diminished penetrance in autosomal dominant diseases. We propose that further genomic studies should focus on the single-cell level, to better understand the aetiology of aging and diseases mediated by somatic mutations.

  9. Evaluation of early results of quick-chop phacoemulsification in the patients with high myopic cataract

    Institute of Scientific and Technical Information of China (English)

    Ali; Akal; Tugba; Goncu; Sevin; Soker; Cakmak; Isa; Yuvaci; Mustafa; Atas; Süleyman; Demircan; Omer; Faruk; Yilmaz

    2014-01-01

    AIM:To assess the early surgical outcomes of quickchop phacoemulsification technique in patients with high myopia.METHODS:The data of patients with high myopia who underwent quick-chop phacoemulsification were reviewed retrospectively. There were 42 eyes of 31 patients. The axial length was more than 26 mm in all eyes. All eyes underwent quick-chop phacoemulsification surgery with the placement of an intraocular lens(IOL) in the capsular bag. Postoperative visits were performed at 1, 3d; 2wk,1mo. Early postoperative best corrected visual acuity(BCVA), preoperative and postoperative corneal endothelial cell density(ECD), central corneal thickness(CCT) and postoperative complications were assessed.Paired sample t-test or Wilcoxon tests were used to compare data between preoperative and postoperative data.· RESULTS:There was no statistically significant difference between preoperative and postoperative ECD and CCT. Retinal detachment was developed in one eye at postoperative first day. There was an iris prolapsus from side port insicion.· CONCLUSION:Quick-chop phacoemulsification technique is a safe surgical technique. However we can encounter some complications in high myopic eyes due to histopathological differences. Both side port and clear corneal tunnel insicion size is crucial for preventing postoperative complications. If any persistent leakage is noticed, suture should be placed.

  10. Post-impact climate conditions on early Mars: preliminary results from GCM simulations

    Science.gov (United States)

    Steakley, Kathryn; Murphy, Jim; Kahre, Melinda A.; Haberle, Robert

    2016-10-01

    Observations imply that liquid water was stable on Mars' surface during the late Noachian/early Hesperian era, with valley networks forming roughly 3.5-3.75 billion years ago, possibly from precipitation and runoff (Fassett & Head 2008, Icarus 195, 61; Hynek et al., 2010, JGR Planets, 115, E09008). Climate models, however, struggle to reproduce such warm conditions (Forget et al., 2013, Icarus 21, 81). Volcanism and impacts have been suggested as mechanisms of either inducing a warm and wet environment or causing local melting in a cold and wet environment. Comets and asteroids are capable of injecting into the atmosphere both kinetic energy from the impact and water from the object itself and from vaporized surface and subsurface ice. Segura et al. (2008, JGR Planets 113, E11007) find using a 1-D atmospheric model that significant rainfall and periods of above-freezing temperatures lasting months to years can follow impacts of objects between 30 and 100 km in diameter. We revisit this work utilizing a 3-D global climate model (GCM) to consider the effects of dynamics, topography, global surface ice variations, etc. We present preliminary results from the NASA ARC Mars GCM investigating global temperature and precipitation behavior in a post-impact, early Mars environment.

  11. Minimally Invasive Anal Fistula Treatment (MAFT)-An Appraisal of Early Results in 416 Patients.

    Science.gov (United States)

    Chowbey, P K; Khullar, R; Sharma, A; Soni, V; Najma, K; Baijal, M

    2015-12-01

    Minimally invasive anal fistula treatment (MAFT) was introduced to minimize early postoperative morbidity, preserve sphincter continence, and reduce recurrence. We report our early experience with MAFT in 416 patients. Preoperative MRI was performed in 150 patients initially and subsequently thereafter. The technique involves fistuloscope-aided localization of internal fistula opening, examination and fulguration of all fistula tracks, and secure stapled closure of internal fistula opening within anal canal/rectum. MAFT was performed as day-care procedure in 391 patients (93.9 %). During surgery, internal fistula opening could not be located in 100 patients (24 %). Seven patients required readmission to hospital. Mean visual analog scale scores for pain on discharge and at 1 week were 3.1 (1-6) and 1.6 (0-3), respectively. Mean duration for return to normal activity was 3.2 days (2-11 days). Fistula recurrence was observed in 35/134 patients (26.1 %) at 1 year follow-up. MAFT may be performed as day-care procedure with benefits of less pain, absence of perianal wounds, faster recovery, and preservation of sphincter continence. However, long-term results from more centers are needed especially for recurrence.

  12. Oceans Melting Greenland: Early Results from NASA's Ocean-Ice Mission in Greenland

    DEFF Research Database (Denmark)

    Fenty, Ian; Willis, Josh K.; Khazendar, Ala

    2016-01-01

    Melting of the Greenland Ice Sheet represents a major uncertainty in projecting future rates of global sea level rise. Much of this uncertainty is related to a lack of knowledge about subsurface ocean hydrographic properties, particularly heat content, how these properties are modified across...... the continental shelf, and about the extent to which the ocean interacts with glaciers. Early results from NASA's five-year Oceans Melting Greenland (OMG) mission, based on extensive hydrographic and bathymetric surveys, suggest that many glaciers terminate in deep water and are hence vulnerable to increased...... melting due to ocean-ice interaction. OMG will track ocean conditions and ice loss at glaciers around Greenland through the year 2020, providing critical information about ocean-driven Greenland ice mass loss in a warming climate....

  13. Early Scientific Results and Future Prospects for the Rejuvenated Hubble Space Telescope

    Science.gov (United States)

    Niedner, Malcolm B.

    2010-01-01

    Following the extraordinarily successful Servicing Mission 4 (SM4) of Hubble Space Telescope (HST) in May of 2009, the Observatory is now fully equipped with a broad array of powerful science instruments that put it at the pinnacle of its scientific power. Relevant to the subject matter of the Beyond 2010 Conference, HST will be well-placed over the next five-plus years to advance our knowledge of the formation of high-redshift galaxies and their growth with cosmic time; the emergence of structure in the early universe via Dark Matter-driven gravitational instability; and the universe's expansion history and any resulting implications for the temporal character of Dark Energy. These are fitting projects for the iconic facility now celebrating its 20th anniversary in orbit.

  14. Breast-conserving treatment of early breast cancer; Results in a common trial

    Energy Technology Data Exchange (ETDEWEB)

    Pirtoli, L. (Siena Univ. (Italy). Unita Operativa di Radioterapia); Bellezza, A. (Siena Univ. (Italy). Unita Operativa di Radioterapia); Pepi, F. (Siena Univ. (Italy). Unita Operativa di Radioterapia); Tucci, E. (Siena Univ. (Italy). Unita Operativa di Radioterapia); Crociani, M. (Siena Univ. (Italy). Unita Operativa di Radioterapia); Crastolla, A.M. (Siena Univ. (Italy). Unita Operativa di Radioterapia); Farzad, M. (Siena Univ. (Italy). Unita Operativa di Radioterapia); Bindi, M. (Siena Univ. (Italy). Unita Operativa di Radioterapia)

    1993-01-01

    Results of large prospective trials, often based on selected series and optimal treatment techniques, indicate that breast conserving therapy is appropriate for most patients with early breast cancer. Questions remain regarding the therapeutic outcome in common practice. We report on a series of 206 consecutive, unselected patients treated with current radiotherapy procedures. The Kaplan-Meier evaluation showed 5- and 8-year survival rates (93%, 91%), distant disease-free survival rates (87%, 85%) and local relapse-free survival rates (90%, 88%) that were comparable to those of the conservative arms in reported randomised trials and to the data from retrospective studies reported by authoritative institutions. However, subanalysis according to prognostic factors such as menopausal status, age and axillary nodal status was of limited value, due to the small number of cases. (orig.).

  15. Visualizing changes in circuit activity resulting from denervation and reinnervation using immediate early gene expression.

    Science.gov (United States)

    Temple, Meredith D; Worley, Paul F; Steward, Oswald

    2003-04-01

    We describe a novel strategy to evaluate circuit function after brain injury that takes advantage of experience-dependent immediate early gene (IEG) expression. When normal rats undergo training or are exposed to a novel environment, there is a strong induction of IEG expression in forebrain regions, including the hippocampus. This gene induction identifies the neurons that are engaged during the experience. Here, we demonstrate that experience-dependent IEG induction is diminished after brain injury in young adult rats (120-200 gm), specifically after unilateral lesions of the entorhinal cortex (EC), and then recovers with a time course consistent with reinnervation. In situ hybridization techniques were used to assess the expression of the activity-regulated cytoskeleton-associated protein Arc at various times after the lesion (4, 8, 12, 16, or 30 d). One group of rats was allowed to explore a complex novel environment for 1 hr; control operated animals remained in their home cage. In unoperated animals, exposure to the novel environment induced Arc mRNA levels in most pyramidal neurons in CA1, in many pyramidal neurons in CA3, and in a small number of dentate granule cells. This characteristic pattern of induction was absent at early time points after unilateral EC lesions (4 and 8 d) but recovered progressively at later time points. The recovery of Arc expression occurred with approximately the same time course as the reinnervation of the dentate gyrus as a result of postlesion sprouting. These results document a novel approach for quantitatively assessing activity-regulated gene expression in polysynaptic circuits after trauma.

  16. Early clinical results with cortically based pedicle screw trajectory for fusion of the degenerative lumbar spine.

    Science.gov (United States)

    Glennie, R Andrew; Dea, Nicolas; Kwon, Brian K; Street, John T

    2015-06-01

    This study reviews the outcomes and revision rates of degenerative lumbar fusion surgery using cortical trajectory pedicle screws in lieu of traditional pedicle screw instrumentation. Pedicle screw fixation can be a challenge in patients with low bone mineral density. Wide posterior approaches to the lumbar spine exposing lateral to the facet joints and onto transverse processes causes an additional degree of muscular damage and blood loss not present with a simple laminectomy. A cortical bone trajectory pedicle screw has been proposed as an alternative to prevent screw pullout and decrease the morbidity associated with the wide posterior approach to the spine. We present a series of eight consecutive patients using a cortical bone trajectory instead of traditional pedicle screw fixation for degenerative conditions of the lumbar spine. A retrospective review of our institutional registry data identified eight patients who had cortical screws placed with the assistance of O-arm Stealth navigation (Medtronic Sofamor Danek, Memphis, TN, USA) from 2010-2013. We analyzed the need for revision, the maintenance of reduction and the incidence of screw pullout or breakage. Our review demonstrated that two of eight patients were revised at an average of 12months. The reasons for these revisions were pseudarthrosis and caudal adjacent segment failure. All patients who were revised had frank screw loosening. We present early clinical results of a new technique that has been shown to have a better fixation profile in laboratory testing. Our less than favorable early clinical results should be interpreted with caution and highlight important technical issues which should be considered. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Early and midterm results of kissing stent technique in the management of aortoiliac obstructive disease.

    Science.gov (United States)

    Pulli, Raffaele; Dorigo, Walter; Fargion, Aaron; Angiletta, Domenico; Azas, Leonidas; Pratesi, Giovanni; Alessi Innocenti, Alessandro; Pratesi, Carlo

    2015-04-01

    To retrospectively analyze the early and the midterm results of endovascular management of aortoiliac obstructive disease with the kissing stent technique. From January 2005 to September 2012, 229 consecutive endovascular interventions for aortoiliac obstructive disease were performed; data from all the interventions were prospectively collected in a dedicated database. In 41 patients, the kissing stent technique at the level of aortic bifurcation was performed (group 1), whereas in the remaining 188 it was not (group 2). Perioperative results were compared with chi-squared test. Follow-up results were analyzed with Kaplan-Meier curves and compared with log-rank test. Trans-Atlantic Inter-Society Consensus II C and D lesions were present in 66% of patients in group 1 and in 28.5% in group 2 (P kissing stent technique provided satisfactory results in patients with obstructive aortoiliac diseases, without an increase in immediate and midterm complications, representing an effective solution in complex anatomies. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. From menarche to menopause: the fertile life span of celiac women.

    Science.gov (United States)

    Santonicola, Antonella; Iovino, Paola; Cappello, Carmelina; Capone, Pietro; Andreozzi, Paolo; Ciacci, Carolina

    2011-10-01

    We evaluated menopause-associated disorders and fertile life span in women with celiac disease (CD) under untreated conditions and after long-term treatment with a gluten-free diet. The participants were 33 women with CD after menopause (untreated CD group), 25 celiac women consuming a gluten-free diet at least 10 years before menopause (treated CD group), and 45 healthy volunteers (control group). The Menopause Rating Scale questionnaire was used to gather information on menopause-associated disorders. The International Physical Activity Questionnaire was used to acquire information on physical activity. Untreated celiac women had a shorter duration of fertile life span than did the control women because of an older age of menarche and a younger age of menopause (P menopause causes a shorter fertile period in untreated celiac women compared with control women. A gluten-free diet that started at least 10 years before menopause prolongs the fertile life span of celiac women. The perception of intensity of hot flushes and irritability is more severe in untreated celiac women than in controls. Low physical exercise and/or poorer quality of life frequently reported by untreated celiac women might be the cause of reduced discomfort tolerance, thus increasing the subjective perception of menopausal symptoms.

  19. Early maternal separation, nightmares, and bad dreams: results from the Hungarostudy Epidemiological Panel.

    Science.gov (United States)

    Csóka, Szilvia; Simor, Péter; Szabó, Gábor; Kopp, Mária S; Bódizs, Róbert

    2011-03-01

    Early maternal separation is a particularly stressful experience. Current models of nightmare production emphasize negative emotionality as having a central role in determining dream affect. Our aim is to test the hypothesis that persons who experienced early maternal separation (before one year of age and lasting at least one month) report more frequent nightmare experiences and bad dreams as adults. In the frame of the Hungarostudy Epidemiological Panel, 5020 subjects were interviewed. Significant associations were found between early maternal separation and both frequent nightmare experience in adulthood and increased frequency of oppressive and bad dreams. Current depression scores fully mediated the association between early separation and nightmares, but not the association between early separation and negative dream affect. We interpret these findings as a trait-like enhancement of negative emotionality in adults who experienced early maternal separation. This enhancement influences the content of dreams and, when it takes the form of depression, also influences the frequency of nightmares.

  20. Planck early results. XIII. Statistical properties of extragalactic radio sources in the Planck Early Release Compact Source Catalogue

    DEFF Research Database (Denmark)

    Bucher, M.; Delabrouille, J.; Giraud-Héraud, Y.;

    2011-01-01

    and ACT surveys over small fractions of the sky. An analysis of source spectra, exploiting Planck's uniquely broad spectral coverage, finds clear evidence of a steepening of the mean spectral index above about 70 GHz. This implies that, at these frequencies, the contamination of the CMB power spectrum......The data reported in Planck's Early Release Compact Source Catalogue (ERCSC) are exploited to measure the number counts (dN/dS) of extragalactic radio sources at 30, 44, 70, 100, 143 and 217 GHz. Due to the full-sky nature of the catalogue, this measurement extends to the rarest and brightest...... sources in the sky. At lower frequencies (30, 44, and 70 GHz) our counts are in very good agreement with estimates based on WMAP data, being somewhat deeper at 30 and 70 GHz, and somewhat shallower at 44 GHz. Planck's source counts at 143 and 217 GHz join smoothly with the fainter ones provided by the SPT...

  1. Early juvenile arthritis – results of two-year follow up

    Directory of Open Access Journals (Sweden)

    S O Salugina

    2009-01-01

    Full Text Available Objective. To study clinical and laboratory manifestations of different variants of juvenile arthritis (JA at the disease onset and during prospective two-year follow up. Material and methods. The study was performed as a part of Institute of Rheumatology early arthritis examination program RADIKAL. 130 pts with early JA (60,7% - girls with disease duration from 2 weeks to 6 months (mean 2,9±1,6 months aged 1,5- 16 years (mean 7,9±5,0 years were included. 13 (10% pts had systemic, 45 (34,6% – polyarticular and 72 (55,4% – olygoarticular variant of JA. General state, joint status, systemic and organ manifestation as well as immunological parameters (ANF, RF, disease activity, functional class (by Steinbrocker and CHAQ were assessed at baseline, and after 6, 12, 24 months of follow up. Results. Oligoarticular variant prevailed at onset and after 2 years (57,6%-55,6%. Systemic features were noted in reduced form as single manifestations. Morning stiffness was absent in half of children and lasted more than 1 hour in 16,4% of pts. After 2 years number of pts with morning stiffness significantly decreased and its duration diminished. Rheumatoid nodules appeared in 1 pt after 1 year. Uveitis developed in 7 children (5,3% and to the end of follow up it appeared in 2 more pts. Most of pts had minimal or moderate functional disability (FK 1,2 and CHAQ 0,1-1,5 during follow up. Disease activity at onset did not exceed 1 or 2 stage (80,2% and after 2 years the disease was not active in half of pts. To the end of follow up remission was achieved in 59% of pts, more often in those who received disease modifying anti-rheumatic drugs. In 23,2% of pts mostly in those with polyarthritis JA continued to recur independently on treatment. Conclusion. Timely administered complex therapy hampered disease progression, induced remission and improved quality of life in most children with JA. Pts with olygoarthritis had most favorable course of the disease. Pts

  2. Predictors of the early introduction of solid foods in infants: results of a cohort study

    Directory of Open Access Journals (Sweden)

    Graham Kathleen I

    2009-09-01

    Full Text Available Abstract Background The early introduction of solid foods before 4 months of age has been associated with an increased risk of diarrhoea in infancy and a greater risk of wheeze and increased percentage body fat and weight in childhood. The purpose of this study was to identify the level of compliance with national recommendations related to the timing of the introduction of solid foods and to describe the maternal and infant characteristics associated with the timing of the introduction of solids. Methods Subjects were 519 participants in the second longitudinal Perth Infant Feeding Study (PIFS II recruited from two maternity hospitals in Perth, Western Australia in 2002/3. Data collected prior to, or shortly after discharge from hospital, and at 4, 10, 16, 22, 32, 40 and 52 weeks postpartum included timing of the introduction of solid foods and a variety of maternal and infant characteristics associated with the introduction of solid foods. Multivariate logistic regression was used to identify those factors associated with the risk of introducing solid foods early, which for the purposes of this study was defined as being before 17 weeks. Results The median age of introduction of solid foods was 17.6 weeks. In total, 44% of infants had received solids before 17 weeks and 93% of infants had received their first solids before 26 weeks of age. The strongest independent predictors of the early introduction of solids were young maternal age, mother smoking prior to pregnancy and not fully breastfeeding at 4 weeks postpartum. In general, mothers introduced solids earlier than recommended because they perceived their baby to either need them or be ready for them. Conclusion This study showed a high level of non-compliance among Australian mothers with the infant feeding recommendation related to the timing of solids that was current at the time. In order to improve compliance health professionals need to be aware of those groups least likely to comply

  3. Early post-operative results of percutaneous needle fasciotomy in 451 patients with Dupuytren disease.

    Science.gov (United States)

    Molenkamp, Sanne; Schouten, Tanneke A M; Broekstra, Dieuwke C; Werker, Paul M N; Moolenburgh, J Daniel

    2017-02-13

    Percutaneous needle fasciotomy (PNF) is a minimally invasive treatment modality for Dupuytren disease (DD). In this study we analyzed the efficacy and complication-rate of PNF using a statistical method that takes the multi-level structure of data, regarding multiple measurements from the same patients, into account. The data of 470 treated rays from 451 patients with Dupuytren disease that underwent percutaneous needle fasciotomy (PNF) were analyzed retrospectively. We described the early postoperative results of PNF and we applied linear mixed models to compare mean correction of PED between joints and efficacy of primary versus secondary PNF. Mean preoperative PED's at the metacarpophalangeal (MCP), proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints were 37˚, 40˚ and 31˚ respectively. Mean preoperative TPED was 54˚. Results were excellent, with a mean TPED correction of 85%. PNF was most effective for MCP-joints and less effective for PIP and DIP-joints. Secondary PNF was as effective as primary PNF. Complications were rare and mostly minor. The results of this study confirm that PNF is an effective and safe treatment modality for patients with mild to moderate disease who prefer a minimally invasive procedure.

  4. Early Postoperative Results of Percutaneous Needle Fasciotomy in 451 Patients with Dupuytren Disease.

    Science.gov (United States)

    Molenkamp, Sanne; Schouten, Tanneke A M; Broekstra, Dieuwke C; Werker, Paul M N; Moolenburgh, J Daniel

    2017-06-01

    Percutaneous needle fasciotomy is a minimally invasive treatment modality for Dupuytren disease. In this study, the authors analyzed the efficacy and complication rate of percutaneous needle fasciotomy using a statistical method that takes the multilevel structure of data, regarding multiple measurements from the same patient, into account. The data of 470 treated rays from 451 patients with Dupuytren disease that underwent percutaneous needle fasciotomy were analyzed retrospectively. The authors described the early postoperative results of percutaneous needle fasciotomy and applied linear mixed models to compare mean correction of passive extension deficit between joints and efficacy of primary versus secondary percutaneous needle fasciotomy. Mean preoperative passive extension deficits at the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints were 37, 40, and 31 degrees, respectively. Mean preoperative total passive extension deficit was 54 degrees. Results were excellent, with a mean total passive extension deficit correction of 85 percent. Percutaneous needle fasciotomy was most effective for metacarpophalangeal joints and less effective for proximal interphalangeal and distal interphalangeal joints. Secondary percutaneous needle fasciotomy was as effective as primary percutaneous needle fasciotomy. Complications were rare and mostly minor. The results of this study confirm that percutaneous needle fasciotomy is an effective and safe treatment modality for patients with mild to moderate disease who prefer a minimally invasive procedure. Therapeutic, IV.

  5. Early postnatal nociceptive stimulation results in deficits of spatial memory in male rats.

    Science.gov (United States)

    Amaral, Cristiane; Antonio, Bruno; Oliveira, Maria Gabriela Menezes; Hamani, Clement; Guinsburg, Ruth; Covolan, Luciene

    2015-11-01

    Prematurely-born infants are exposed to multiple invasive procedures while in the intensive care unit. Newborn rats and humans have similar behavioral responses to noxious stimulation. Previous studies have shown that early noxious stimuli may alter dentate gyrus neurogenesis and the behavioral repertoire of adult rats. We evaluated the late effects of noxious stimulation administered during different phases of development on two spatial memory tests; object recognition (OR) and Morris water maze (WM) tests. Noxious stimulation was induced by an intra-plantar injection of complete Freund's adjuvant (CFA) on postnatal (P) day 1 (group P1) or 8 (P8). Control animals were not stimulated. Behavioral tests were conducted on P60 in both male and female animals. In the WM, three domains were evaluated: acquisition, probe trial performance and reversal re-acquisition. The number of Nissl stained cells in the dentate granule cell layer was assessed by stereological counting. The OR test revealed that P1 male rats had poor long-term memory compared to the control and P8 groups. In the WM, no short- or long-term memory differences were detected between early postnatal-stimulated male and female rats and their respective controls. However, the ability to find the hidden platform in a new position was reduced in P1 male rats. The number of dentate granule cells in P8 males was higher than in all other groups. This study demonstrates that noxious stimulation on P1 results in spatial learning deficits in male animals, but does not disrupt the development of the hippocampus-dependent strategies of learning and memory. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. Early result of hemiarthroplasty in elderly patients with fracture neck of femur

    Directory of Open Access Journals (Sweden)

    Mue Daniel

    2015-01-01

    Full Text Available Background: Fractured neck of femur is a frequent and severe injury in elderly patients with consequent high morbidity and mortality. Hemiarthroplasty is an established treatment modality for displaced intracapsular femoral neck fractures in elderly patients above 60 years. This study analysed the early functional outcome and complications of Austin Moore endoprosthesis in elderly patients above 60 years with fractured neck of femur. Materials and Methods: Retrospective data were obtained over a 5 year period from January 2007 to December 2012. Thirty-five elderly patients of 60 years and above with displaced intracapsular fracture neck of femur treated with hemiarthroplasty using Austin Moore endoprosthesis were included. Data were analysed using SPSS version 21. Results: A total of 35 patients were involved. The age-range was 60-90 years with mean age of 69.7 ΁ 7 years. The predominant mechanism of injury was trivial falls in 18 (66.7% patients. The commonest complication was pressure sore in 2 (5.7% patients, followed by surgical site infection in 1 (2.9% patient and periprosthetic fracture in 1 (2.9% patients. Early post-operative mortality was 2.9%. Post-operative hip functional status according to Postel and Merle d Aubigne revealed that majority (66.6% of patients had satisfactory hip function. Conclusion: Functional outcome of Austin Moore in elderly patients above 60 years with fracture neck of femur was satisfactory in most of the cases with minimal morbidity. Careful patient selection for hemiarthroplasty is vital and may decrease the incidence of complications and ameliorate the outcomes in the treatment of intracapsular femoral neck fractures.

  7. Acceptable results of early closure of loop ileostomy to protect low rectal anastomosis

    DEFF Research Database (Denmark)

    Perdawid, Sharafaden Karim; Andersen, Ole Bjørn; Perdawood, Sharaf

    2011-01-01

    INTRODUCTION: This was a pilot project performed prior to full implementation of early loop ileostomy closure (within two weeks) following low anterior resection of the rectum in a group of patients selected according to previously recommended criteria for safe, early ileostomy closure. MATERIAL ...

  8. Design, performance, and early results from extremely high Doppler precision instruments in a global network

    Science.gov (United States)

    Ge, Jian; Zhao, Bo; Groot, John; Chang, Liang; Varosi, Frank; Wan, Xiaoke; Powell, Scott; Jiang, Peng; Hanna, Kevin; Wang, Ji; Pais, Rohan; Liu, Jian; Dou, Liming; Schofield, Sidney; McDowell, Shaun; Costello, Erin; Delgado-Navarro, Adriana; Fleming, Scott; Lee, Brian; Bollampally, Sandeep R.; Bosman, Troy; Jakeman, Hali; Fletcher, Adam; Marquez, Gabriel

    2010-07-01

    We report design, performance and early results from two of the Extremely High Precision Extrasolar Planet Tracker Instruments (EXPERT) as part of a global network for hunting for low mass planets in the next decade. EXPERT is a combination of a thermally compensated monolithic Michelson interferometer and a cross-dispersed echelle spectrograph for extremely high precision Doppler measurements for nearby bright stars (e.g., 1m/s for a V=8 solar type star in 15 min exposure). It has R=18,000 with a 72 micron slit and a simultaneous coverage of 390-694 nm. The commissioning results show that the instrument has already produced a Doppler precision of about 1 m/s for a solar type star with S/N~100 per pixel. The instrument has reached ~4 mK (P-V) temperature stability, ~1 mpsi pressure stability over a week and a total instrument throughput of ~30% at 550 nm from the fiber input to the detector. EXPERT also has a direct cross-dispersed echelle spectroscopy mode fed with 50 micron fibers. It has spectral resolution of R=27,000 and a simultaneous wavelength coverage of 390-1000 nm.

  9. The JCMT Plane Survey: early results from the l = 30 degree field

    CERN Document Server

    Moore, T J T; Thompson, M A; Parsons, H; Urquhart, J S; Eden, D J; Dempsey, J T; Morgan, L K; Thomas, H S; Buckle, J; Brunt, C M; Butner, H; Carretero, D; Chrysostomou, A; deVilliers, H M; Fich, M; Hoare, M G; Manser, G; Mottram, J C; Natario, C; Olguin, F; Peretto, N; Polychroni, D; Redman, R O; Rigby, A J; Salji, C; Summers, L J; Berry, D; Currie, M J; Jenness, T; Pestalozzi, M; Traficante, A; Bastien, P; diFrancesco, J; Davis, C J; Evans, A; Friberg, P; Fuller, G A; Gibb, A G; Gibson, S J; Hill, T; Johnstone, D; Joncas, G; Longmore, S N; Lumsden, S L; Martin, P G; Luong, Q Nguyen; Pineda, J E; Purcell, C; Richer, J S; Schieven, G H; Shipman, R; Spaans, M; Taylor, A R; Viti, S; Weferling, B; White, G J; Zhu, M

    2015-01-01

    We present early results from the JCMT Plane Survey (JPS), which has surveyed the northern inner Galactic plane between longitudes l=7 and l=63 degrees in the 850-{\\mu}m continuum with SCUBA-2, as part of the James Clerk Maxwell Telescope Legacy Survey programme. Data from the l=30 degree survey region, which contains the massive star-forming regions W43 and G29.96, are analysed after approximately 40% of the observations had been completed. The pixel-to-pixel noise is found to be 19 mJy/beam, after a smooth over the beam area, and the projected equivalent noise levels in the final survey are expected to be around 10 mJy/beam. An initial extraction of compact sources was performed using the FellWalker method resulting in the detection of 1029 sources above a 5-{\\sigma} surface-brightness threshold. The completeness limits in these data are estimated to be around 0.2 Jy/beam (peak flux density) and 0.8 Jy (integrated flux density) and are therefore probably already dominated by source confusion in this relativ...

  10. Endurance training in early life results in long-term programming of heart mass in rats.

    Science.gov (United States)

    Wadley, Glenn D; Laker, Rhianna C; McConell, Glenn K; Wlodek, Mary E

    2016-02-01

    Being born small for gestational age increases the risk of developing adult cardiovascular and metabolic diseases. This study aimed to examine if early-life exercise could increase heart mass in the adult hearts from growth restricted rats. Bilateral uterine vessel ligation to induce uteroplacental insufficiency and fetal growth restriction in the offspring (Restricted) or sham surgery (Control) was performed on day 18 of gestation in WKY rats. A separate group of sham litters had litter size reduced to five pups at birth (Reduced litter), which restricted postnatal growth. Male offspring remained sedentary or underwent treadmill running from 5 to 9 weeks (early exercise) or 20 to 24 weeks of age (later exercise). Remarkably, in Control, Restricted, and Reduced litter groups, early exercise increased (P heart mass in adulthood. This was despite the animals being sedentary for ~4 months after exercise. Later exercise also increased adult absolute and relative heart mass (P early or later exercise. Phosphorylation of Akt Ser(473) in adulthood was increased in the early exercise groups but not the later exercise groups. Microarray gene analysis and validation by real-time PCR did not reveal any long-term effects of early exercise on the expression of any individual genes. In summary, early exercise programs the heart for increased mass into adulthood, perhaps by an upregulation of protein synthesis based on greater phosphorylation of Akt Ser(473).

  11. Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late cholecystectomy.

    Science.gov (United States)

    Acar, Turan; Kamer, Erdinç; Acar, Nihan; Atahan, Kemal; Bağ, Halis; Hacıyanlı, Mehmet; Akgül, Özgün

    2017-01-01

    Laparoscopic cholecystectomy has become the gold standard in the treatment of symptomatic gallstones. The common opinion about treatment of acute cholecystitis is initially conservative treatment due to preventing complications of inflamation and following laparoscopic cholecystectomy after 6- 8 weeks. However with the increase of laparoscopic experience in recent years, early laparoscopic cholecystectomy has become more common. We aimed to compare the outcomes of the patients to whom we applied early or late cholecystectomy after hospitalization from the emergency department with the diagnosis of AC between March 2012-2015. We retrospectively reviewed the files of totally 66 patients in whom we performed early cholecystectomy (within the first 24 hours) (n: 33) and to whom we firstly administered conservative therapy and performed late cholecystectomy (after 6 to 8 weeks) (n: 33) after hospitalization from the emergency department with the diagnosis of acute cholecystitis. The groups were made up of patients who had similar clinical and demographic characteristics. While there were no statistically significant differences between the durations of operation, the durations of hospitalization were longer in those who underwent early cholecystectomy. Moreover, more complications were seen in the patients who underwent early cholecystectomy although the difference was not statistically significant. Early cholecystectomy is known to significantly reduce the costs in patients with acute cholecystitis. However, switching to open surgery as well as increase of complications in patients who admitted with severe inflammation attack and who have high comorbidity, caution should be exercised when selecting patients for early operation.

  12. Early life exposure to allergen and ozone results in altered development in adolescent rhesus macaque lungs

    Energy Technology Data Exchange (ETDEWEB)

    Herring, M.J.; Putney, L.F.; St George, J.A. [California National Primate Research Center, Davis, CA (United States); Avdalovic, M.V. [Department of Internal Medicine, Division of Pulmonary and Critical Care, University of California, Davis, CA (United States); Schelegle, E.S.; Miller, L.A. [California National Primate Research Center, Davis, CA (United States); Hyde, D.M., E-mail: dmhyde@ucdavis.edu [California National Primate Research Center, Davis, CA (United States)

    2015-02-15

    In rhesus macaques, previous studies have shown that episodic exposure to allergen alone or combined with ozone inhalation during the first 6 months of life results in a condition with many of the hallmarks of asthma. This exposure regimen results in altered development of the distal airways and parenchyma (Avdalovic et al., 2012). We hypothesized that the observed alterations in the lung parenchyma would be permanent following a long-term recovery in filtered air (FA) housing. Forty-eight infant rhesus macaques (30 days old) sensitized to house dust mite (HDM) were treated with two week cycles of FA, house dust mite allergen (HDMA), ozone (O{sub 3}) or HDMA/ozone (HDMA + O{sub 3}) for five months. At the end of the five months, six animals from each group were necropsied. The other six animals in each group were allowed to recover in FA for 30 more months at which time they were necropsied. Design-based stereology was used to estimate volumes of lung components, number of alveoli, size of alveoli, distribution of alveolar volumes, interalveolar capillary density. After 30 months of recovery, monkeys exposed to HDMA, in either group, had significantly more alveoli than filtered air. These alveoli also had higher capillary densities as compared with FA controls. These results indicate that early life exposure to HDMA alone or HDMA + O{sub 3} alters the development process in the lung alveoli. - Highlights: • Abnormal lung development after postnatal exposure to ozone and allergen • This remodeling is shown as smaller, more numerous alveoli and narrower airways. • Allergen appears to have more of an effect than ozone during recovery. • These animals also have continued airway hyperresponsiveness (Moore et al. 2014)

  13. Spectroscopic analysis of metal-poor stars from LAMOST: early results

    CERN Document Server

    Li, Hai-Ning; Christlieb, Norbert; Wang, Liang; Wang, Wei; Zhang, Yong; Hou, Yonghui; Yuan, Hailong

    2015-01-01

    We report on early results from a pilot program searching for metal-poor stars with LAMOST and follow-up high-resolution observation acquired with the MIKE spectrograph attached to the Magellan~II telescope. We performed detailed abundance analysis for eight objects with iron abundances [Fe/H] < -2.0, including five extremely metal-poor (EMP; [Fe/H] < -3.0) stars with two having [Fe/H] < -3.5. Among these objects, three are newly discovered EMP stars, one of which is confirmed for the first time with high-resolution spectral observations. Three program stars are regarded as carbon-enhanced metal-poor (CEMP) stars, including two stars with no enhancement in their neutron-capture elements, which thus possibly belong to the class of CEMP-no stars; one of these objects also exhibits significant enhancement in nitrogen, and is thus a potential carbon and nitrogen-enhanced metal-poor star. The [X/Fe] ratios of the sample stars generally agree with those reported in the literature for other metal-poor stars...

  14. Upper Airway Stimulation for OSA: Early Adherence and Outcome Results of One Center.

    Science.gov (United States)

    Kent, David T; Lee, Jake J; Strollo, Patrick J; Soose, Ryan J

    2016-07-01

    To review outcome measures and objective adherence data for patients treated with hypoglossal nerve stimulation (HNS) therapy for moderate to severe obstructive sleep apnea (OSA). Case series with chart review. Academic sleep medicine center. The first 20 implanted patients to complete postoperative sleep laboratory testing were assessed. All patients had moderate to severe OSA, were unable to adhere to positive pressure therapy, and met previously published inclusion criteria for the commercially available implantable HNS system. Data included demographics, body mass index (BMI), apnea-hypopnea index (AHI), Epworth Sleepiness Score (ESS), nightly hours of device usage, and procedure- and therapy-related complications. Mean age was 64.8 ± 12.0 years, with 50% female. Mean BMI was unchanged postoperatively (26.5 ± 4.2 to 26.8 ± 4.5 kg/m(2); P > .05). Mean AHI (33.3 ± 13.0 to 5.1 ± 4.3; P stimulation amplitude was 1.89 ± 0.50 V after titration. Adherence monitoring via device interrogation showed high rates of voluntary device use (mean 7.0 ± 2.2 h/night). For a clinical and anatomical subset of patients with OSA, HNS therapy is associated with good objective adherence, low morbidity, and improved OSA outcome measures. Early results at one institution suggest that HNS therapy can be implemented successfully into routine clinical practice, outside of a trial setting. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2016.

  15. The Revival of Memory: Gardens and Avenues of Remembrance. Early Results of a Research in Abruzzo

    Directory of Open Access Journals (Sweden)

    Aldo Giorgio Pezzi

    2014-06-01

    Full Text Available The forthcoming centenary of the Great War (1914-1918 can be considered an important occasion to focus attention on the subject of memorials for the fallen in the War. Immediately after the War, this topic was considered so relevant that in each municipality of Italy, Gardens and Avenues of Remembrance were realized and soon became places of memory, characterized by strong values of identity, history and landscape. In these places, usually correspondent to the number of fallen in that neighbourhood and located in urban or peripheral areas, nature and anthropic elements coexisted. For their importance, from 1926 these places have been included among the National Monuments. After the Second World War, avenues and gardens, as well as toponyms, were gradually forgotten and, in many cases, radically transformed. Due to a form of damnatio memoriae, which locations considered symbols of past governments have had to pay, these places have been changed, radically transforming also their authentic significance. A century on, it is important to start a programme for protection and enhancement of this historic heritage (classification at a regional and national scale, measurements, archival research, definition of guide lines for conservation. The essay also describes the early results of the classification of Gardens and Avenues of Remembrance in Abruzzo.

  16. Adaptive multi-sensor biomimetics for unsupervised submarine hunt (AMBUSH): Early results

    Science.gov (United States)

    Blouin, Stéphane

    2014-10-01

    Underwater surveillance is inherently difficult because acoustic wave propagation and transmission are limited and unpredictable when targets and sensors move around in the communication-opaque undersea environment. Today's Navy underwater sensors enable the collection of a massive amount of data, often analyzed offtine. The Navy of tomorrow will dominate by making sense of that data in real-time. DRDC's AMBUSH project proposes a new undersea-surveillance network paradigm that will enable such a real-time operation. Nature abounds with examples of collaborative tasks taking place despite limited communication and computational capabilities. This publication describes a year's worth of research efforts finding inspiration in Nature's collaborative tasks such as wolves hunting in packs. This project proposes the utilization of a heterogeneous network combining both static and mobile network nodes. The military objective is to enable an unsupervised surveillance capability while maximizing target localization performance and endurance. The scientific objective is to develop the necessary technology to acoustically and passively localize a noise-source of interest in shallow waters. The project fulfills these objectives via distributed computing and adaptation to changing undersea conditions. Specific research interests discussed here relate to approaches for performing: (a) network self-discovery, (b) network connectivity self-assessment, (c) opportunistic network routing, (d) distributed data-aggregation, and (e) simulation of underwater acoustic propagation. We present early results then followed by a discussion about future work.

  17. Results of surgical treatment versus chemoradiation therapy in oropharyngeal early tumors

    Directory of Open Access Journals (Sweden)

    Chedid, Helma Maria

    2009-03-01

    Full Text Available Introduction: The epidermoid carcinoma of the upper aerodigestive tract is diagnosed in approximately 40% of the cases of advanced clinical stages. Objective: To evaluate the disease-free interval in patients with clinical stages I and II epidermoid carcinoma who were submitted to surgery or chemoradiation. Method: Retrospective study of the records of 139 patients treated for oropharyngeal epidermoid carcinoma submitted to treatment with curative intent. Among those patients, 38 were classified with early tumors clinical stages I and II. Twenty-seven (71.1% underwent surgical treatment whereas eleven (28.9% were treated with chemoradiation. The mean age was 56.4 years; 31 cases (81.6% were in men and seven (18.4% were in women. Results: Among the eleven patients who were submitted to chemoradiation, 72.7% obtained locoregional control of the disease and their disease-free survival was of 42%. Among the 27 patients operated, 19 remained in Clinical Stages I and II in the histological report and six underwent postoperative radiation therapy. The disease-free interval for two years was of 70%. Conclusion: The patients submitted to the surgery had a better disease-free interval as compared to those submitted to chemoradiation treatment.

  18. SPECTROSCOPIC ANALYSIS OF METAL-POOR STARS FROM LAMOST: EARLY RESULTS

    Energy Technology Data Exchange (ETDEWEB)

    Li, Hai-Ning; Zhao, Gang; Wang, Liang; Wang, Wei; Yuan, Hailong [Key Lab of Optical Astronomy, National Astronomical Observatories, Chinese Academy of Sciences, A20 Datun Road, Chaoyang, Beijing 100012 (China); Christlieb, Norbert [Zentrum für Astronomie der Universität Heidelberg, Landessternwarte, Königstuhl 12, D-69117 Heidelberg (Germany); Zhang, Yong; Hou, Yonghui, E-mail: lhn@nao.cas.cn, E-mail: gzhao@nao.cas.cn [Nanjing Institute of Astronomical Optics and Technology, National Astronomical Observatories, Chinese Academy of Sciences, Nanjing 210042 (China)

    2015-01-10

    We report on early results from a pilot program searching for metal-poor stars with LAMOST and follow-up high-resolution observation acquired with the MIKE spectrograph attached to the Magellan II telescope. We performed detailed abundance analysis for eight objects with iron abundances [Fe/H] < -2.0, including five extremely metal-poor (EMP; [Fe/H] < -3.0) stars with two having [Fe/H] < -3.5. Among these objects, three are newly discovered EMP stars, one of which is confirmed for the first time with high-resolution spectral observations. Three program stars are regarded as carbon-enhanced metal-poor (CEMP) stars, including two stars with no enhancement in their neutron-capture elements, which thus possibly belong to the class of CEMP-no stars; one of these objects also exhibits significant enhancement in nitrogen, and is thus a potential carbon and nitrogen-enhanced metal-poor star. The [X/Fe] ratios of the sample stars generally agree with those reported in the literature for other metal-poor stars in the same [Fe/H] range. We also compared the abundance patterns of individual program stars with the average abundance pattern of metal-poor stars and find only one chemically peculiar object with abundances of at least two elements (other than C and N) showing deviations larger than 0.5 dex. The distribution of [Sr/Ba] versus [Ba/H] agrees that an additional nucleosynthesis mechanism is needed aside from a single r-process. Two program stars with extremely low abundances of Sr and Ba support the prospect that both main and weak r-processes may have operated during the early phase of Galactic chemical evolution. The distribution of [C/N] shows that there are two groups of carbon-normal giants with different degrees of mixing. However, it is difficult to explain the observed behavior of the [C/N] of the nitrogen-enhanced unevolved stars based on current data.

  19. Comprehensive rehabilitation of patients with early rheumatoid arthritis: results of 6-month program

    Directory of Open Access Journals (Sweden)

    Evgenia Vladislavovna Orlova

    2013-01-01

    Full Text Available Objective: to evaluate the efficiency of a comprehensive rehabilitation program (CRP in patients with early rheumatoid arthritis (RA for 6 months. Subjects and methods. Sixty patients with early RA were examined. During medical therapy, 6-month CRP was implemented in 34 patients in the study group. The 2-week in-hospital stage involved ten sessions of 15-min local air cryotherapy (-60 °C of the hands, knee or ankle joints; ten classes of 45-min therapeutic exercises (TE under the supervision of a trainer; ten sessions of 45-min ergotherapy (training people how to therapeutically position their joints, to apply their protective methods, to lift and move things, to use assistive devices, and to do hand exercises; orthotics (working wrist orthoses, knee ones, or individual orthopedic insoles; and four 90-min educational program classes. The outpatient and domiciliary stages included 45-min TE thrice weekly; creation of a correct functional stereotype; and orthotics. Twenty-six patients received medical therapy only (a control group. The authors estimated tender joint count (TJC, swollen joint count (SJC, erythrocyte sedimentation rate (ESR, C-reactive protein (CRP, joint pain on 100-mm visual analog scale (VAS, DAS28, HAQ, RAPID3, hand grip strength, average maximum knee extension and ankle flexion by the EN-TreeM movement analysis, and compliance with drug and non-drug treatments. Results. The study group showed a stably high compliance with therapy with disease-modifying antirheumatic drugs, less need for symptomatic agents, higher adherence to the methods of creating a correct functional stereotype, orthotics, and regular TE. Twenty-two patients completed 6-month CRP; 12 patents did not complete the treatment because of non-compliance with nondrug methods, primarily TE. Upon completion of the in-hospital stage of CRP, the study group exhibited significant positive changes in pain and functional status and no significant impact on global

  20. Effects of menarcheal age on the anterior cruciate ligament injury risk factors during single-legged drop landing in female artistic elite gymnasts.

    Science.gov (United States)

    Kim, Kew-Wan; Lim, Bee-Oh

    2014-11-01

    Although numerous studies have demonstrated the relationship between maturation and lower extremity biomechanics during landing in team sport athletes, we are presently uninformed of any research that examined the single-legged drop landing biomechanics of gymnasts. The purpose of this study is to investigate the effects of the menarcheal age on the lower extremity biomechanics during a single-legged drop landing in female artistic elite gymnasts. Twenty-two female artistic elite gymnasts, between 9 and 36 years of age, participated in this study. The participants were divided into two groups pre- (n = 11) and post- (n = 11) menarche and asked to perform a single-legged drop landing on top of a 30 cm platform and land on a force plate. The statistical analysis consisted of the multivariate analysis with the level of significance set at p activity ratio compared with the pre-menarche group during the single-legged drop landing. The post-menarche group showed an increased noncontact anterior cruciate ligament injury risk, due to their greater knee loads, compared with the pre-menarche group.

  1. ``Hit and Run Research'' with ``Hit and Miss'' Results in Early Childhood Science Education

    Science.gov (United States)

    Fleer, Marilyn; Robbins, Jill

    2003-08-01

    Constructivism has provided us with a useful pedagogy and a powerful methodological framework for over twenty years. We now know a great deal about children's thinking. Can this research paradigm take us any further? Are we locked into a particular perspective about data gathering and categorising children's thinking? Have we tended to fit early childhood data into the 'accepted science education paradigm'? As early childhood researchers, we have found the wealth of research in science education research unable to provide solutions to some fundamental challenges we face when working with young children. This paper seeks to examine the established body of literature in science education research with a view to seeking out a more inclusive research approach to support early childhood science education. Examples of early childhood data within a range of contexts are presented to illustrate some of the challenges. Some of the issues that are raised may well be helpful to the field as a whole.

  2. A survey on female junior middle school students’ menarche age and its relative factors in Shaanxi Province%陕西省女初中生月经初潮年龄及其相关因素的调查

    Institute of Scientific and Technical Information of China (English)

    陈斌利; 杨文方; 曾令霞; 樊静; 马元春

    2016-01-01

    目的:调查陕西地区女初中生月经初潮年龄分布及其相关因素,为今后进一步开展青春期教育及卫生保健提供理论依据。方法2014年9月至2015年3月期间,采用随机分层抽样的方法对陕西地区6355名初中女学生进行问卷调查,调查的主要内容包括年龄、身高、体重、初潮年龄,城市与农村环境、平素饮食习惯,并对结果进行统计分析。结果调查人群平均月经初潮年龄为13.67±0.98岁;调查对象中城市2236人,农村4119人,城市女生初潮年龄显著早于农村女生(12.85±0.87岁 vs 13.69±0.96岁,t=34.4098,P<0.05);以面食为主的女生初潮年龄显著早于以大米为主的女生(12.49±0.74岁vs 13.55±0.85岁,t=76.1985,P<0.05);体重越重、身高越矮的女生,其初潮年龄越早(r值分别为-0.129、0.015,均P<0.05)。结论陕西地区初中女学生月经初潮年龄适中,月经初潮年龄与体重、身高、城乡生活环境及平日饮食有关。%Objective To explore the distribution of female junior middle school students ’ menarcheal age and its relative factors in Shaanxi Province , so as to provide a theoretical basis for further development of adolescence education and health care .Methods A total of 6 355 female students of junior middle school in Shaanxi area were selected by stratified random sampling method and investigated by questionnaire which included(age, height, weight, menarcheal age, urban and rural environment,and eating habits Results of the survey were analyzed.Results The average menarcheal age was 13.67 ±0.98 years old.Among the surveyed students , 2 236 lived in urban area while 4 119 in rural area.The average menarcheal age of city females was significantly younger than that of the rural ones (12.85 ±0.87 vs 13.69 ±0.96, t=34.4098, P<0.001).The average menarcheal age of female students who consumed flour as the

  3. Measurement of volume change in cementitious materials at early ages - Review of testing protocols and interpretation of results

    DEFF Research Database (Denmark)

    Sant, Gaurav; Lura, Pietro; Weiss, Jason

    2006-01-01

    Early-age cracking in concrete bridge decks, pavements, and superstructure elements has served as the impetus for substantial research on early-age shrinkage in cementitious materials. Much of this research has indicated how mixture proportions, constituent materials, and construction operations...... measurement in a rigid mold, and the ASTM C 157 standard. The results of the autogenous and chemical shrinkage tests are compared with one another to describe fully early-age length change. It is shown that through careful experimentation and interpretation, the results of these tests can be completely...

  4. Sentinel Lymph Node Biopsy Results in Early-Stage Breast Cancer

    Directory of Open Access Journals (Sweden)

    Ahmet Kocakuflak

    2011-06-01

    Full Text Available Aim: Sentinel lymph node biopsy (SLNB in breast cancer patients targets the evaluation of the initial lymph node (SLN which drains the primary tumor. The morbidity of unnecessary axillary dissection can be avoided by intensive preoperative assessment of SLN. Methods: Twenty-six consecutive patients who had been surgically treated for early-stage breast cancer between March 2005 and August 2007 were evaluated. Blue dye (methylene blue method was used to detect SLN. All patients underwent axillary lymph node dissection following SLNB. NCSS program was used for statistical analysis. Chi-square test was used in the comparison of binary groups. Results: Except for one, all patients were female. The mean age of the patients was 56 (29-76 years. While 13 patients underwent modified radical mastectomy (=mastectomy+axillary dissection, the remaining 13 patients underwent breast preserving surgery (lumpectomy+axillary dissection. SLN could not be found in 2 patients (7.6%.The male patient was one of these 2 patients and both of them were positive for axillary node metastases. The detection rate of SLN, specificity, negative predictive value, positive predictive value, sensitivity, false negativity, and reliability were 92.3%, 92.8%, 86%, 90.9%, 83.3%, 16.6%, and 88.4%, respectively. Conclusion: Our result support the hypothesis that SLNB with blue dye alone is a reliable technique and, surgery clinics should use it prior to axillary dissection to test their own success during the learning curve. (The Medical Bulletin of Haseki 2011; 49: 67-72

  5. PROBA-V Energetic Particle Telescope instrument and its early science results

    Science.gov (United States)

    Cyamukungu, Mathias; O'Brien, Paul; Benck, Sylvie; Evans, Hugh; Nieminen, Petteri; Mazur, Joseph; Daly, Eamonn; Borisov, Stanislav

    The Energetic Particle Telescope (EPT) is a science-class instrument designed to measure contamination-free spectra of electrons (0.5 - 10 MeV), protons (9 - 300 MeV) and He-ions (38 - 1200 MeV) within a 52 deg. Field Of View (FOV) angle and a 149 cm(2) sr aperture geometrical factor. The instrument is modular and it can be in-flight configured so as to provide up to 19 energy channels per particle type. The EPT dimensions are 210 mm x 162 mm x 128 mm, the total mass is 4.6 kgs and its power consumption amounts to 5.6 Watts. The satellite PROBA-V was launched on the 7th May 2013 onto a sun-synchronous circular Low Earth Orbit at 820 km altitude and 98.7 deg. inclination. Its local time at descending node is 10:30. The EPT has been accommodated onto the S/C so as to get its boresight oriented Eastwards during local night time and Westwards during local day time. However, the East/West orientation has been modified during the commissioning phase to allow measurements of Pitch Angle Distribution (PAD). The latters were part of a plan aimed at validating the EPT hardware and the data analysis software. The EPT is currently acquiring data that are used for (i) cross-validation of radiation monitors or spectrometers, (ii) cross-validation of space radiation models, (iii) development of steady-state electron and proton flux models and (iv) space weather studies. The EPT validation results along with early results of the ongoing science studies are presented in this paper.

  6. Results of the spine-to-rib-cage distraction in the treatment of early onset scoliosis

    Directory of Open Access Journals (Sweden)

    Teli Marco

    2010-01-01

    Full Text Available Background: Growing rod systems have been used in the last 30 years for the treatment of early onset scoliosis (EOS with variable success rates. We report the results of treatment of EOS with a newly developed hybrid rod distraction system applied to the rib cage and spine with a nonfusion technique in a prospective multicenter clinical trial. Materials and Methods: A total of 22 patients affected by progressive EOS resistant to cast and/or brace treatment were enrolled from 2004 to 2005 after informed consent into a trial of surgical treatment with a single spine-to-rib growing rod instrumentation growing spine profiler (GSP. Curves> 60° Cobb in the frontal plane or bending < 50% were addressed with staged anterior annulotomy and fusion and posterior implantation of a GSP rod. Less severe and rigid curves were treated with posterior implantation of GSP only. The elongation of GSP was planned according to spinal growth. Patients were kept in a brace between elongations. Results: A total of 20 patients were available to follow-up with complete data. The mean follow up is 4.1 years. Mean age at time of initial surgery was 5 years (3-8. Nine patients had staged antero-posterior surgeries, 11 posterior only surgeries. Mean spinal growth was 1.9 cm (1.5-2.3 or 0.5 cm per year. Mean coronal Cobb′s angle correction was from 56° to 45°. Major complications affected 40% of patients and included rod failure in 6/20 and crankshaft in 5/20 (all in the anteroposterior surgery group. Conclusion: Treatment of EOS with spine-to-rib growing rod in the present form provides similar correction and complication rates to those published in the series considering traditional single or dual growing rod systems. Based on this, the authors recommend revision of the GSP design and a new clinical trial to test safety and efficacy.

  7. Metal on metal hip resurfacing versus uncemented custom total hip replacement - early results

    Directory of Open Access Journals (Sweden)

    Muirhead-Allwood Sarah K

    2010-02-01

    Full Text Available Abstract Introduction There is no current consensus on the most appropriate prosthesis for treating symptomatic osteoarthritis (OA of the hip in young, active patients. Modern metal on metal hip resurfacing arthroplasty (HR has gained popularity as it is theoretically more stable, bone conserving and easier to revise than total hip arthroplasty. Early results of metal on metal resurfacing have been encouraging. We have compared two well matched cohorts of patients with regard to function, pain relief and patient satisfaction. Methods This prospective study compares 2 cohorts of young, active patients treated with hip resurfacing (137 patients, 141 hips and custom uncemented (CADCAM stems (134 patients, 141 hips. All procedures were performed by a single surgeon. Outcome measures included Oxford, WOMAC and Harris hip scores as well as an activity score. Statistical analysis was performed using the unpaired student's t-test. Results One hundred and thirty four and 137 patients were included in the hip replacement and resurfacing groups respectively. The mean age of these patients was 54.6 years. The mean duration of follow up for the hip resurfacing group was 19.2 months compared to 13.4 months for the total hip replacement group. Pre operative oxford, Harris and WOMAC scores in the THA group were 41.1, 46.4 and 50.9 respectively while the post operative scores were 14.8, 95.8 and 5.0. In the HR group, pre- operative scores were 37.0, 54.1 and 45.9 respectively compared to 15.0, 96.8 and 6.1 post operatively. The degree of improvement was similar in both groups. Conclusion There was no significant clinical difference between the patients treated with hip resurfacing and total hip arthroplasty in the short term.

  8. Early marriage, social networks and the transmission of norms

    OpenAIRE

    Asadullah, Niaz; Wahhaj, Zaki

    2016-01-01

    We investigate whether female early marriage is a conduit for the transmission of social norms, specifically norms relating to gender roles and rights within the household. We exploit differences in the age of onset of menarche between sisters as an exogenous source of variation in marriage age. This approach allows us to control for beliefs and attitudes that are transmitted from parents to children. We find that early marriage increases agreement with statements supportive of gender bias in...

  9. Acute Vs Delayed ACL Reconstruction. Early Differences and Preliminary Two Year Results

    Science.gov (United States)

    Eriksson, Karl; Barenius, Björn

    2016-01-01

    Objectives: Historically acute ACL reconstruction has been avoided due to reports of early rehabilitation problems with stiffness. Are these reports still valid today with modern arthroscopic techniques? Methods: 70 patients with a high recreational activity level (Tegner ≥6) who presented with a acute ACL injury were randomized to an acute reconstruction within 8 days from the injury or delayed reconstruction after 6-10 weeks. Four surgeons performed the ACL reconstructions with quadrupled semitendinosus tendon grafts and endobutton and metallic interference screw fixation. The rehabilitation training was performed at the same physiotherapy center for all patients. The follow up at 6 and 24 months included ROM, Lachman, Rolimeter, pivot shift, one leg hop, IKDC, KOOS, Lysholm and Tegner activity level. Results: There were no differences between the groups in ROM, IKDC, activity level or laxity at 6 months. Four patients had a combined extension and flexion deficit of more than 15 degrees, two from each group. In the acute group 79% had an objective IKDC grade A or B compared with 73% in the delayed group. The one leg hop index above 90% was found in 50% in the acute group and 24% in the delayed group (p=0.04). Functional data for the 2-year follow up are not available at the time of abstract writing. The median activity level according to Tegner was restored to pre-injury levels in both groups after one year, and was stationary at 2 years. The visual analogue scale (VAS) response to the question “How is your knee working on a scale from 0-100? (100 = best)” revealed 81 in the acute and 71 in the delayed group (p=0.1). To the question “How does your knee affect your activity level on a scale from 0-100? (100 = no affection)” the mean score was 75 in the acute group and 67 in the delayed group (p=0.3). At one and two years the KOOS was statistically similar between the groups but with slightly higher subscale “Sport and recreation” scores, 85 in the

  10. [Body composition at menarche. Estimation of total body weight, total body water, lean and fat body weight].

    Science.gov (United States)

    Zurlo de Mirotti, S M; Lesa, A M; Barrón de Carbonetti, M; Roitter, H; Villagra de Lacuara, S

    1995-01-01

    Our aim was to confirm in our environment what has been observed and described by other writers about the importance of achieving a "critical body weight'' and an adequate "fat percentage'' -on the basis of the calculation of total body water- for the initiation and development of pubertal events. This study included 92 girls, healthy, well nourished, belonging to upper middle class from a high school of The National University of Cordoba. The longitudinal method of control was used every 6 months and at the precise moment of menarche. Out of 20 antropometrical variables observed height, weight and height, TBW as percentage of body weight, lean body and fat weight, fat percentage and skin folds ppercentiles for each girl at menarche. A regression between fat percentage and skin folds was done. Percentiles 5 to 95 of fat percentage in relation to body water percentage were estimated. At menarche the average for the different variables are: Heigth 155.6 cm +/- 0.469; Weight 45.8 Kg +/- 0,5; TBW 25.216 lit. +/- 0.318; lean body weigth 35.02 Kg (S.D.2.98); fat weigth 10.86 Kg (S. D. 3.17). The addition of skin folds was correlated fat percentage, thus, an equation was obtained for the average calculation of such percentage %F= 12.16 + (0.313 x fold addition). The minium percentage for the onset of menstrual cycles is 17.3% and corresponds to percentile 10. However, there is a 5% of girls who start to menstruate with a 15.5% of fat and none of them is below that value. The reasons mentioned above suggest that is necessary to obtain a "critical body weigth'' as well as a "fat percentage'' minimum for the onset and maintenance of menstrual cycles, among our girls, similar o what has been obtained by doctor Frisch.

  11. Elevated early callose deposition results in complete penetration resistance to powdery mildew in Arabidopsis.

    Science.gov (United States)

    Ellinger, Dorothea; Naumann, Marcel; Falter, Christian; Zwikowics, Claudia; Jamrow, Torsten; Manisseri, Chithra; Somerville, Shauna C; Voigt, Christian A

    2013-03-01

    A common response by plants to fungal attack is deposition of callose, a (1,3)-β-glucan polymer, in the form of cell wall thickenings called papillae, at site of wall penetration. While it has been generally believed that the papillae provide a structural barrier to slow fungal penetration, this idea has been challenged in recent studies of Arabidopsis (Arabidopsis thaliana), where fungal resistance was found to be independent of callose deposition. To the contrary, we show that callose can strongly support penetration resistance when deposited in elevated amounts at early time points of infection. We generated transgenic Arabidopsis lines that express POWDERY MILDEW RESISTANT4 (PMR4), which encodes a stress-induced callose synthase, under the control of the constitutive 35S promoter. In these lines, we detected callose synthase activity that was four times higher than that in wild-type plants 6 h post inoculation with the virulent powdery mildew Golovinomyces cichoracearum. The callose synthase activity was correlated with enlarged callose deposits and the focal accumulation of green fluorescent protein-tagged PMR4 at sites of attempted fungal penetration. We observed similar results from infection studies with the nonadapted powdery mildew Blumeria graminis f. sp. hordei. Haustoria formation was prevented in resistant transgenic lines during both types of powdery mildew infection, and neither the salicylic acid-dependent nor jasmonate-dependent pathways were induced. We present a schematic model that highlights the differences in callose deposition between the resistant transgenic lines and the susceptible wild-type plants during compatible and incompatible interactions between Arabidopsis and powdery mildew.

  12. Early results of the Bernese periacetabular osteotomy for symptomatic dysplasia in Charcot-Marie-Tooth disease.

    Science.gov (United States)

    Stover, Michael D; Podeszwa, David A; De La Rocha, Adriana; Sucato, Daniel J

    2013-01-01

    Charcot-Marie-Tooth disease (CMTD) is one of the most common inherited neurologic disorders and can be associated with hip dysplasia. Little is known regarding outcomes of the PAO for patients with CMTD. Our purpose is to document the early results and complications of the PAO for hip dysplasia associated with CMTD. A two centre, retrospective clinical and radiographic review was performed. Demographic and surgical data were recorded. Pre- and postoperative lateral centre edge angle (LCEA), acetabular index (AI), ventral centre edge angle (VCEA), and Tönnis osteoarthritis grade were compared. Hips were classified according to Severin. The Harris Hip Score (HHS) and the Western Ontario and McMasters University (WOMAC) index documented self-reported function. Nineteen hips in 14 patients underwent PAO, mean age 16.2 (range 11.2-21 years). Thirteen concomitant procedures were performed, including seven proximal femoral osteotomies. Average follow-up was 3.4 years (range 0.9-8.5). Postoperative radiographic measurements significantly improved. Complications included femoral head AVN, transient complete bilateral peroneal nerve palsy, inferior rami fractures, and heterotopic ossification (Brooker stage 3). The HHS significantly improved from a mean 49.6 preoperatively to 82.2 at final follow-up of four patients. Seven subjects reported a mean postoperative WOMAC score of 94 (range 58.3-100). Most patients presented with severe dysplasia in the second decade of life. The PAO successfully corrected the radiographic abnormalities. Complications were common. The majority of patients reported improved outcomes, although seven showed signs of radiographic progression of osteoarthritis.

  13. The Multiple Sclerosis Risk Sharing Scheme Monitoring Study – early results and lessons for the future

    Directory of Open Access Journals (Sweden)

    Chilcott James B

    2009-01-01

    Full Text Available Abstract Background Risk sharing schemes represent an innovative and important approach to the problems of rationing and achieving cost-effectiveness in high cost or controversial health interventions. This study aimed to assess the feasibility of risk sharing schemes, looking at long term clinical outcomes, to determine the price at which high cost treatments would be acceptable to the NHS. Methods This case study of the first NHS risk sharing scheme, a long term prospective cohort study of beta interferon and glatiramer acetate in multiple sclerosis (MS patients in 71 specialist MS centres in UK NHS hospitals, recruited adults with relapsing forms of MS, meeting Association of British Neurologists (ABN criteria for disease modifying therapy. Outcome measures were: success of recruitment and follow up over the first three years, analysis of baseline and initial follow up data and the prospect of estimating the long term cost-effectiveness of these treatments. Results Centres consented 5560 patients. Of the 4240 patients who had been in the study for a least one year, annual review data were available for 3730 (88.0%. Of the patients who had been in the study for at least two years and three years, subsequent annual review data were available for 2055 (78.5% and 265 (71.8% patients respectively. Baseline characteristics and a small but statistically significant progression of disease were similar to those reported in previous pivotal studies. Conclusion Successful recruitment, follow up and early data analysis suggest that risk sharing schemes should be able to deliver their objectives. However, important issues of analysis, and political and commercial conflicts of interest still need to be addressed.

  14. Lack of Interleukin-1 Signaling Results in Perturbed Early Vein Graft Wall Adaptations

    Science.gov (United States)

    Yu, Peng; Nguyen, Binh T.; Tao, Ming; Jiang, Tianyu; Mauro, Christine R.; Wang, Yuqi; Ozaki, C. Keith

    2012-01-01

    Background Vein grafts fail due to wall mal-adaptations to surgical injury and hemodynamic perturbations. Interleukin-1 signaling has emerged as an important mediator of the vascular response to trauma and hemodynamically induced vascular lesions. We therefore hypothesized that interleukin-1 signaling drives early vein graft wall adaptations. Methods Using interleukin-1 type I receptor knockout (IL-1RI−/−) and wild-type (B6129SF2/J) mice, we investigated morphologic changes 28 days after interposition isograft from donor inferior vena cava to recipient carotid artery, without (n=19) or with (n=13) outflow restriction. The impact of mouse strain on the response to vein arterialization was also evaluated between B6129SF2/J (n=18) and C57BL/6J (n=19) mice. Results No significant differences were observed in the traditional endpoints of intimal thickness and calculated luminal area, yet media+adventitia thickness of the vein graft wall of IL-1RI−/− mice was 44-52% smaller than wild-type mice, at the both proximal (Pinterleukin-1 signaling, the vein graft wall adapts differently compared to the injured artery, showing typical intima hyperplasia though attenuated media+adventitia thickening. B6129SF2/J mice exhibit more media+adventitia response than C57BL/6J mice. The inflammatory networks that underlie the vein response to arterialization hold many roles in the adaptation of the total wall, thus the utility of anti-inflammatory approaches to extend the durability of vein grafts comes into question. PMID:22853857

  15. SADI-S WITH RIGHT GASTRIC ARTERY LIGATION: TECHNICAL SYSTEMATIZATION AND EARLY RESULTS

    Science.gov (United States)

    GEBELLI, Jordi Pujol; de GORDEJUELA, Amador Garcia Ruiz; RAMOS, Almino Cardoso; NORA, Mario; PEREIRA, Ana Marta; CAMPOS, Josemberg Marins; RAMOS, Manoela Galvão; BASTOS, Eduardo Lemos de Souza; MARCHESINI, João Batista

    2016-01-01

    ABSTRACT Background: Bariatric surgery is performed all over the world with close to 500.000 procedures per year. The most performed techniques are Roux-en-Y gastric bypass and sleeve gastrectomy. Despite this data, the most effective procedure, biliopancreatic diversion with or without duodenal switch, represents only no more than 1.5% of the procedures. Technical complexity, morbidity, mortality, and severe nutritional adverse effects related to the procedure are the main fears that prevent most universal acceptance. Aim: To explain the technical aspects and the benefits of the SADI-S with right gastric artery ligation as an effective simplification from the original duodenal switch. Methods: Were included all patients undergoing this procedure from the November 2014 to May 2016, describing and analysing aspects of this technique, the systematization and early complications associated with the procedure. Results: A series of 67 patients were operated; 46 were women (68.7%); mean age of the group was 44 years old (33-56); and an average BMI of 53.5 kg/m2 (50-63.5). Surgical time was 115 min (80-180). A total of five patients (7.5%) had any complication and two (2.9%) had to be reoperated. There were two patients with leak, one at the duodenal stump and other at the esophagogastric angle. There was no mortality. Patients stayed at the hospital a median of 2.5 days (1-25). Conclusions: SADI-S with right gastric artery ligation is a safe procedure with few preliminary complications. The technical variations introduced to the classical duodenal switch are reproducible and may allow this procedure to be more popular. All the complications in this series were not related to the ligation of the right gastric artery. PMID:27683784

  16. Bypass surgery for unresectable oesophageal cancer: early and late results in 124 cases.

    Science.gov (United States)

    Mannell, A; Becker, P J; Nissenbaum, M

    1988-03-01

    The early and late results of bypass surgery in 124 patients with unresectable oesophageal cancer are reported. Patients were grouped according to the extent of disease: group A, tumour localized to the oesophagus where severe pulmonary disease contra-indicated oesophagectomy (n = 9); group B, tumour less than or equal to 10 cm in length with mediastinal invasion (n = 81); group C, tumour greater than 10 cm in length with mediastinal invasion and/or fixed malignant lymph nodes (n = 33). Extent of disease was not recorded in one patient. The operative mortality was 4 per cent but 9 other patients died in hospital (hospital mortality, 11 per cent). Mortality was increased in patients undergoing colon bypass and in those with a large tumour load but these differences failed to reach statistical significance. The most frequent complication was neck sepsis, secondary to leakage from the proximal end of the excluded oesophagus. Eighty-nine per cent of the survivors could eat a normal, unrestricted diet on discharge and eighty-two per cent of survivors had complete and lasting relief from dysphagia. Median survival after bypass was 5 months but survival was significantly improved by radiotherapy to the tumour (P less than 0.001). Gastric bypass with radiotherapy is indicated in patients with extra-oesophageal spread of malignancy and in patients with tumours localized to the oesophagus who are unfit for resection. Bypass surgery may be contra-indicated in patients with a primary tumour greater than 10 cm in length and/or fixed lymph node metastases because mortality is increased and survival after operation is short.

  17. Extensively coated revision stems in proximally deficient femur: Early results in 15 patients

    Directory of Open Access Journals (Sweden)

    Marya SKS

    2008-01-01

    Full Text Available Background: Hip replacement following failed internal fixation (dynamic hip screw for intertrochanteric fractures or previous hip arthroplasty presents a major surgical challenge. Proximal fitting revision stems do not achieve adequate fixation. Distal fixation with long-stemmed extensively coated cementless implants (like the Solution™ system affords a suitable solution. We present our early results of 15 patients treated with extensively coated cementless revision stems. Materials and Methods: Fifteen patients with severely compromised proximal femora following either failed hip arthroplasty or failed internal fixation (dynamic hip screw fixation for intertrochanteric fractures were operated by the senior author over a two-year period. Eight patients had aseptic loosening of their femoral stems following cemented hip replacements, with severe thinning of their proximal cortices and impending stress fractures. Seven had secondary hip arthritis following failure of long implants for comminuted intertrochanteric or subtrochanteric femoral fractures. All patients were treated by removal of implant (cemented stems/DHS implants and insertion of long-stemmed extensively coated cementless revision (′ Solution™; DePuy, Warsaw (IN, US′ stems along with press-fit acetabular component (Duraloc Cup, DePuy, Warsaw (IN, US. All eight hip revisions needed extended trochanteric osteotomies. Results: All patients were primarily kept in bed on physiotherapy for six weeks and then gradually progressed to weight-bearing walking over the next six to eight weeks. The Harris Hip Scores and patient satisfaction were used for final evaluation. We achieved good results in the short term studied. In our first three patients (all following failed cemented total hip replacements, we resorted to cerclage wiring to hold osteotomised segments (done to facilitate stem removal. The subsequent 12 proceeded without the need for cerclage wiring. One patient had a

  18. Leflunomide monotherapy in patients with early rheumatoid arthritis: Results of the Russian national Arava mono study

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    Rimma Mikhailovna Balabanova

    2012-01-01

    Full Text Available The treatment of early rheumatoid arthritis (RA is usually started using one of the synthetic disease-modifying antirheumatic drugs. The choice of these drugs is very limited and leflunomide (LEF is one of the most promising agents. The present study assessed the results of using the standard LEF regimen for patients with early RA in the everyday clinical practice of Russian health care facilities. Subjects and methods. The study enrolled the patients followed up in 20 medical centers of the Russian Federation in May 2008 to January 2010. The RA patients who met the 1987 American College of Rheumatology (ACR classification criteria, had a less than 2-year history of the disease, and had not received LEF before were included. All the patients were above 18 years of age and they signed an informed consent form. The physicians were recommended to give the drug in a dose of 100 mg/day for the first 3 days, then 20 mg/day continuously. If adverse reactions occurred, the dose might be reduced to 10 mg/day. The patients were examined before and 12, 24, 36, and 48 weeks after LEF therapy. The efficiency of the treatment was evaluated by the European League Against Rheumatism (EULAR classification criteria using DAS 28 scores, by the ACR criteria, and functional changes using HAQ scores and quality of life using the EQ-5D questionnaire. Results. The study included 484 patients with RA. Its diagnosis corresponded to the 1987 ACR criteria. There were 80 men and 404 women in this group. The patients’ mean age was 48.1±13.4 years; the mean duration of the disease at its onset was 14.1±12.8 months. A significant decrease in the number of patients with high DAS 28 scores was recorded every 12 weeks during the treatment. It reduced from 355 (73.3% to 41 (8.5% by the end of the observation. At the same time, there was a significant increase in the number of patients with low activity and remission every 12 weeks (p < 0.01. During the last visit, a remission

  19. Results of Endoscopic Treatment for Early Gastric Cancer by Nd-YAG Laser

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    M. Tani

    1997-01-01

    Full Text Available We have introduced two endoscopic treatments for early gastric cancer: endoscopic mucosal resection using a cap-fitted panendoscope (EMRC, and endoscopic laser therapy using a Nd-YAG laser. Thirty-two patients (34 lesions with gastric cancer were treated by Nd-YAG laser; including 23 initial-therapy cases (25 lesions and 9 second-therapy cases representing failures of endoscopic mucosal resection or endoscopic ethanol injection. Endoscopic laser therapy was performed safely without complication in all patients. Three patients had residual cancer, and 2 of these required surgery. Six patients died from other disease. Endoscopic laser therapy can remove early gastric cancer even when the lesion has ulceration or submucosal invasion, and has a powerful hemostatic effect. It is a safe and effective treatment for early gastric cancer.

  20. Incidences of menstrual cycle abnormalities in adolescence, and matches between the age at menarche and the development of menstrual cycle abnormalities.

    Science.gov (United States)

    Art, Mercedes Juliana; Doerfler, Daniela

    2010-08-01

    In this study the clinical data of all girls who visited the ambulance for paediatric and adolescent gynaecology at the university clinic for gynaecology and obstetrics in Vienna between 2001 and 2008 because of menstrual cycle abnormalities were used (n = 255). Most frequently, the girls suffered from dysmenorrhoea (29%), tempoanomaly (24%) and metrorrhagia (19%). For 57%, it was possible to find an underlying cause, mainly (24%) a hormonal one. The therapy was in 54% of all cases hormonal. In a second step, the study analyses matches between the age at menarche and the development of menstrual cycle abnormalities. Girls with primary amenorrhoea were excluded (n = 219). The study shows that every age of menarche has its special kind of menstrual cycle abnormality. Only if the menarche had set in at the age of 16, two kinds were named with equal frequency.

  1. Early results of coronary artery bypass grafting with coronary endarterectomy for severe coronary artery disease

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    Toischer Karl

    2009-09-01

    failure: 3; stroke: 1; cancer: 1; unknown reasons: 3. NYHA-classification significantly improved after CABG with CE from 2.2 ± 0.9 preoperative to 1.7 ± 0.9 postoperative. CCS also changed from 2.4 ± 1.0 to 1.5 ± 0.8 Conclusion Early results of coronary endarterectomy are acceptable with respect to mortality, NYHA & CCS. This technique offers a valuable surgical option for patients with endstage coronary artery disease in whom complete revascularization otherwise can not be obtained. Careful patient selection will be necessary to assure the long-term benefit of this procedure.

  2. Early results of coronary artery bypass grafting with coronary endarterectomy for severe coronary artery disease

    Science.gov (United States)

    Schmitto, Jan D; Kolat, Philipp; Ortmann, Philipp; Popov, Aron F; Coskun, Kasim O; Friedrich, Martin; Sossalla, Samuel; Toischer, Karl; Mokashi, Suyog A; Tirilomis, Theodor; Baryalei, Mersa M; Schoendube, Friedrich A

    2009-01-01

    ; stroke: 1; cancer: 1; unknown reasons: 3). NYHA-classification significantly improved after CABG with CE from 2.2 ± 0.9 preoperative to 1.7 ± 0.9 postoperative. CCS also changed from 2.4 ± 1.0 to 1.5 ± 0.8 Conclusion Early results of coronary endarterectomy are acceptable with respect to mortality, NYHA & CCS. This technique offers a valuable surgical option for patients with endstage coronary artery disease in whom complete revascularization otherwise can not be obtained. Careful patient selection will be necessary to assure the long-term benefit of this procedure. PMID:19772645

  3. Early results of surgical intervention for elbow deformity in cerebral palsy based on degree of contracture.

    Science.gov (United States)

    Carlson, Michelle G; Hearns, Krystle A; Inkellis, Elizabeth; Leach, Michelle E

    2012-08-01

    Elbow flexion posture, caused by spasticity of the muscles on the anterior surface of the elbow, is the most common elbow deformity seen in patients with cerebral palsy. This study retrospectively evaluated early results of 2 surgical interventions for elbow flexion deformities based on degree of contracture. We hypothesized that by guiding surgical treatment to degree of preoperative contracture, elbow extension and flexion posture angle at ambulation could be improved while preserving maximum flexion. Eighty-six patients (90 elbows) were treated for elbow spasticity due to cerebral palsy. Seventy-one patients (74 elbows) were available for follow-up. Fifty-seven patients with fixed elbow contractures less than 45° were surgically treated with a partial elbow muscle lengthening, which included partial lengthening of the biceps and brachialis and proximal release of the brachioradialis. Fourteen patients (17 elbows) with fixed elbow contractures ≥ 45° had a more extensive full elbow release, with biceps z-lengthening, partial brachialis myotomy, and brachioradialis proximal release. Age at surgery averaged 10 years (range, 3-20 y) for partial lengthening and 14 years (range, 5-20 y) for full elbow release. Follow-up averaged 22 months (range, 7-144 mo) for partial lengthening and 18 months (range, 6-51 mo) for full elbow release. Both groups achieved meaningful improvement in flexion posture angle at ambulation, active and passive extension, and total range of motion. Elbow flexion posture angle at ambulation improved by 57° and active extension increased 17° in the partial lengthening group, with a 4° loss of active flexion. In the full elbow release group, elbow flexion posture angle at ambulation improved 51° and active extension improved 38°, with a loss of 19° of active flexion. Surgical treatment of spastic elbow flexion in cerebral palsy can improve deformity. We obtained excellent results by guiding the surgical intervention by the amount of

  4. Only fixation for cervical spondylosis: Report of early results with a preliminary experience with 6 cases

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    Atul Goel

    2013-01-01

    Full Text Available Aim: The author reports early post-operative outcome and preliminary experience with an alternative form of treatment of cervical degenerative or spondylotic disease leading to spinal canal stenosis that involves fixation-arthrodesis of the affected spinal segment using one or two (double insurance transarticular screws for each joint. Materials and Methods: During the period of months from March 2013 to July 2013, six patients having cervical spondylotic cord compression were treated with transarticular method of screw fixation of the involved segments. The operation involved section of the spinous process at its base, opening up of the facet joint, denuding of articular cartilage, placement of intraarticular cavity bone graft chips and insertion of either a single or two transarticular screws at each level. The fixation was done in four levels in four patients and at two levels in two patients. Japanese Orthopedic Association score, visual analog scale (neck pain and Odom′s criteria were used to monitor the clinical status of the patients before and after the surgery and at follow-up. Results: Immediate post-operative and a relatively short-term post-operative outcome was remarkably gratifying. During the average period of follow-up of 6 months (range: 3-8 months; there was varying degree of recovery of symptoms. The procedure resulted in firm stabilization and fixation of the spinal segment and provided a ground for arthrodesis. No patient worsened after treatment. During the period of follow-up, all patients showed remarkable and progressive recovery in symptoms. Conclusions: Vertical instability and telescoping, listhesis or overriding of the facets on physical activity seems to be the defining phenomenon in pathogenesis of cervical spondylotic disease. The clinical outcome in our patients suggest that only fixation of the spinal segment can be a rationale form of treatment. Transarticular method of treatment is a simple, safe and

  5. Early-onset type 2 diabetes in a Mexican survey. Results from the National Health and Nutrition Survey 2006

    OpenAIRE

    Aída Jiménez-Corona; Rosalba Rojas; Francisco J Gómez-Pérez; Aguilar-Salinas, Carlos A

    2010-01-01

    OBJECTIVE: To describe the characteristics of patients with type 2 diabetes diagnosed before age 40 (early-onset type 2 diabetes) identified in a nation-wide, population-based study. MATERIALS AND METHODS: The survey was done in Mexico during 2006. Medical history, anthropometric and biochemical measurements were obtained in every subject. RESULTS: Cases diagnosed before (n=181) and after age 40 (n=659) were included. Early-onset type 2 diabetes was present in 13.1% of the previously diagnose...

  6. Effect of Formative and Ability Test Results on Early Learning of Students

    Science.gov (United States)

    Kadir, Abdul; Ardi, Muhammad; Nurhayati, B.; Dirawan, Gufran Darma

    2016-01-01

    The objective of this study was to examine the relationship of formative tests to early learning ability of students in the science learning style. This research used an experimental method with a 2 x 2 factorial design. The participants comprised all the students in class VII of the Islamic Junior High School State of Kolaka, a total of 343…

  7. Exercise Effects on Fitness and Bone Mineral Density in Early Postmenopausal Women: 1-Year EFOPS Results.

    Science.gov (United States)

    Kemmler, Wolfgang; Engelke, Klaus; Lauber, Dirk; Weineck, Juergen; Hensen, Johannes; Kalender, Willi A.

    2002-01-01

    Investigated the effect of intense exercise training on physical fitness, coronary heart disease, bone mineral density (BMD), and parameters related to quality of life in early postmenopausal women with osteopenia. Data on woman in control and exercise training groups indicated that the intense exercise training program was effective in improving…

  8. Planck early results. XV. Spectral energy distributions and radio continuum spectra of northern extragalactic radio sources

    DEFF Research Database (Denmark)

    Aatrokoski, J.; Lavonen, N.; León-Tavares, J.

    2011-01-01

    Spectral energy distributions (SEDs) and radio continuum spectra are presented for a northern sample of 104 extragalactic radio sources, based on the Planck Early Release Compact Source Catalogue (ERCSC) and simultaneous multifrequency data. The nine Planck frequencies, from 30 to 857 GHz, are co...

  9. Planck early results. XV. Spectral energy distributions and radio continuum spectra of northern extragalactic radio sources

    DEFF Research Database (Denmark)

    Aatrokoski, J.; Lavonen, N.; León-Tavares, J.;

    2011-01-01

    Spectral energy distributions (SEDs) and radio continuum spectra are presented for a northern sample of 104 extragalactic radio sources, based on the Planck Early Release Compact Source Catalogue (ERCSC) and simultaneous multifrequency data. The nine Planck frequencies, from 30 to 857 GHz, are co...

  10. Early removal of odontoma resulting in spontaneous eruption of the impacted teeth

    Directory of Open Access Journals (Sweden)

    Achmad Harijadi

    2010-06-01

    Full Text Available Background: Compound odontomas in the anterior maxilla during mixed dentition frequently cause obstruction to the eruption pathway of permanent upper anterior teeth. Removal of the odontomas may or may not lead to spontaneous eruption of the impacted teeth depending on the age when the surgery is performed, the size of the lesion, and the stage of tooth development of the involved teeth. Purpose: This paper attempts to emphasize the importance of early removal of compound odontoma to enable spontaneous eruption of the affected teeth. Case: A case of odontoma in the anterior maxilla causing failure of eruption and delayed root formation of upper right permanent lateral incisor and canine in a 10-year-old male patient is presented. Case management: The odontoma was surgically removed under general anesthesia and histology result confirmed the diagnosis of compound odontoma. A three-year post surgical follow up showed spontaneous eruption as well as continued root formation of the two affected teeth. Conclusion: Removal of odontoma may lead to spontaneous eruption of the affected teeth if their root development are not completed.Latar belakang: Compound odontoma pada daerah anterior maksila pada masa geligi pergantian sering menyebabkan hambatan erupsi pada gigi permanen penggantinya. Kemungkinan terjadinya erupsi spontan gigi permanen yang impaksi setelah pengambilan odontoma tergantung dari: umur penderita pada saat dilakukan operasi, ukuran lesi odontoma dan tahapan perkembangan gigi permanen yang terlibat. Tujuan: Laporan kasus ini ingin menekankan pentingnya pengambilan compound odontoma sedini mungkin untuk memberi kesempatan tumbuhnya gigi permanen yang terlibat dan erupsi secara spontan. Kasus: Ditampilkan sebuah kasus compound odontoma pada regio maksila anterior menyebabkan gagalnya erupsi dan terlambatnya pembentukan akar gigi insisif kedua dan kaninus permanent rahang atas kanan pada penderita anak laki-laki berumur 10 tahun

  11. Early results of the Ponseti method for the treatment of clubfoot associated with myelomeningocele.

    Science.gov (United States)

    Gerlach, David J; Gurnett, Christina A; Limpaphayom, Noppachart; Alaee, Farhang; Zhang, Zhongli; Porter, Kristina; Kirchhofer, Melissa; Smyth, Matthew D; Dobbs, Matthew B

    2009-06-01

    Myelomeningocele is a common birth defect that is often accompanied by clubfoot deformity. Treatment of clubfoot associated with myelomeningocele traditionally has consisted of extensive soft-tissue release operations, which are associated with many complications. The purpose of the present study was to evaluate the early results of the Ponseti method for the treatment of clubfoot associated with myelomeningocele. Sixteen consecutive patients with myelomeningocele (twenty-eight clubfeet) and twenty consecutive patients with idiopathic clubfeet (thirty-five clubfeet) were followed prospectively while being managed with the Ponseti method. The average duration of follow-up was thirty-four months for the myelomeningocele group and thirty-seven months for the idiopathic group. Clubfoot severity was graded at the time of presentation with use of the Diméglio system. The initial correction that was achieved, casting and/or bracing difficulties, recurrences, and subsequent treatments were evaluated and compared between the two cohorts by means of appropriate statistical analysis. Eleven (39%) of the twenty-eight clubfeet in the myelomeningocele group were graded as Diméglio grade IV, compared with only four (11%) of the thirty-five clubfeet in the idiopathic group (p = 0.014). Initial correction was achieved in thirty-five clubfeet (100%) in the idiopathic group and in twenty-seven clubfeet (96.4%) in the myelomeningocele group (p = 0.16). Relapse of deformity was detected in 68% of the feet in the myelomeningocele group, compared with 26% of the feet in the idiopathic group (p = 0.001). Relapses were treated successfully without the need for extensive soft-tissue release surgery for all but four of the clubfeet in the myelomeningocele group and for all but one of the clubfeet in the idiopathic group (p = 0.16). Our data support the use of the Ponseti method for the initial treatment of clubfoot deformity associated with myelomeningocele, although attention to detail is

  12. Early Results of Chimney Technique for Type B Aortic Dissections Extending to the Aortic Arch

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Chen [Affiliated Hospital of Nantong University, Department of General Surgery (China); Tang, Hanfei; Qiao, Tong; Liu, Changjian; Zhou, Min, E-mail: 813477618@qq.com [The Affiliated Hospital of Nanjing University Medical School, Department of Vascular Surgery, Nanjing Drum Tower Hospital (China)

    2016-01-15

    ObjectiveTo summarize our early experience gained from the chimney technique for type B aortic dissection (TBAD) extending to the aortic arch and to evaluate the aortic remodeling in the follow-up period.MethodsFrom September 2011 to July 2014, 27 consecutive TBAD patients without adequate proximal landing zones were retrograde analyzed. Chimney stent-grafts were deployed parallel to the main endografts to reserve flow to branch vessels while extending the landing zones. In the follow-up period, aortic remodeling was observed with computed tomography angiography.ResultsThe technical success rate was 100 %, and endografts were deployed in zone 0 (n = 3, 11.1 %), zone 1 (n = 18, 66.7 %), and zone 2 (n = 6, 22.2 %). Immediately, proximal endoleaks were detected in 5 patients (18.5 %). During a mean follow-up period of 17.6 months, computed tomography angiography showed all the aortic stent-grafts and chimney grafts to be patent. Favorable remodeling was observed at the level of maximum descending aorta and left subclavian artery with expansion of true lumen (from 18.4 ± 4.8 to 25 ± 0.86 mm, p < 0.001 and 27.1 ± 0.62 to 28.5 ± 0.37 mm, p < 0.001) and depressurization of false lumen (from 23.7 ± 2.7 to 8.7 ± 3.8 mm, p < 0.001, from 5.3 ± 1.2 to 2.1 ± 2.1 mm, p < 0.001). While at the level of maximum abdominal aorta, suboptimal remodeling of the total aorta (from 24.1 ± 0.4 to 23.6 ± 1.5 mm, p = 0.06) and true lumen (from 13.8 ± 0.6 to 14.5 ± 0.4 mm, p = 0.08) was observed.ConclusionBased on our limited experience, the chimney technique with thoracic endovascular repair is demonstrated to be promising for TBAD extending to the arch with favorable aortic remodeling.

  13. High incidence of bacteriuria in early post-kidney transplantation; results from a randomized controlled study.

    Science.gov (United States)

    Parapiboon, W; Ingsathit, A; Jirasiritham, S; Sumethkul, V

    2012-04-01

    Since the incidence of bacteriuria in kidney transplant recipients varyes according to the study, we examined it among our cases. Our post hoc analysis of data from a single-center, parallel, randomized, controlled, open label study included 90 patients who underwent kidney transplantation at our hospital from April 2010 to January 2011. Patients were randomized to early ureteric stent removal at 8 days versus routine ureteric stent removal at 15 days after kidney transplantation. We identified the incidence of and causative organism for bacteriuria in the early posttransplant period. Seventy-Four patients (58% living donors) participated in this study. The overall incidence of bacteriuria was 56.7% during the first month after kidney transplantation. In patients who had bacteriuria, 48% showed symptomatic urinary tract infection, 40% asymptomatic bacteriuria and 12% urosepsis. The most common organism was Escherichia coli (40%) follow by Klebsiella pneumoniae (19%). The incidence of an ESBL producing organism was 34%. The incidence of bacteriuria was high during the early post-kidney transplant period, requiring increased awareness and surveillance. Copyright © 2012 Elsevier Inc. All rights reserved.

  14. Pre-menarche pubertal development following unique form of immigration: the case of girls adopted from China.

    Science.gov (United States)

    Tan, Tony Xing; Camras, Linda A

    2015-02-01

    Our study tested the hypothesis that drastic social-cultural change has an impact on girls' pre-menarche pubertal development. We focused on a unique group of Chinese immigrants who migrated out of China in infancy through international adoption. Our sample included 298 Chinese girls who were 7.3-11.1 years in 2011 (Mean = 8.8, SD = 0.9) and were adopted at 7-24 months (Mean = 12.6, SD = 3.4). We found that 34% showed at least one of four signs of pubertal development: Growth spurt, body fat increase, breast development, and body hair. Logistic regression analyses showed that the odds of growth spurt was raised by the girls' age in 2011, behavior problems in 2005, but lowered by the adoptive families' household income; the odds of body fat increase in 2011 was raised by the adopted Chinese girls' weight in 2007 and behavior problems in 2005, but was lowered by the adoptive mother's education level; the odds for breast development in 2011 was raised by the girls' age in 2011, weight in 2007, and behavior problems in 2009. For body hair, none of the factors predicted the odds. Prevalence of precocious puberty, based on the criterion of breast development before 8 years, was 3.5%. Overall, our study suggests that the pre-menarche pubertal development of adopted Chinese girls may be slightly advanced but also is affected by factors that affect non-adopted girls' pubertal development.

  15. Measurement of volume change in cementitious materials at early ages - Review of testing protocols and interpretation of results

    DEFF Research Database (Denmark)

    Sant, Gaurav; Lura, Pietro; Weiss, Jason

    2006-01-01

    measurement in a rigid mold, and the ASTM C 157 standard. The results of the autogenous and chemical shrinkage tests are compared with one another to describe fully early-age length change. It is shown that through careful experimentation and interpretation, the results of these tests can be completely...

  16. Surgery for Primary Cardiac Tumors in Children Early and Late Results in a Multicenter European Congenital Heart Surgeons Association Study

    NARCIS (Netherlands)

    Padalino, Massimo A.; Vida, Vladimiro L.; Boccuzzo, Giovanna; Tonello, Marco; Sarris, George E.; Berggren, Hakan; Comas, Juan V.; Di Carlo, Duccio; Di Donato, Roberto M.; Ebels, Tjark; Hraska, Viktor; Jacobs, Jeffrey P.; Gaynor, J. William; Metras, Dominique; Pretre, Rene; Pozzi, Marco; Rubay, Jean; Sairanen, Heikki; Schreiber, Christian; Maruszewski, Bohdan; Basso, Cristina; Stellin, Giovanni

    2012-01-01

    Background-To evaluate indications and results of surgery for primary cardiac tumors in children. Methods and Results-Eighty-nine patients aged Conclusions-Surgery for primary cardiac tumors in children has good early and long-term outcomes, with low recurrence rate. Rhabdomyomas are the most freque

  17. Lipid raft disarrangement as a result of neuropathological progresses: a novel strategy for early diagnosis?

    Science.gov (United States)

    Marin, R; Rojo, J A; Fabelo, N; Fernandez, C E; Diaz, M

    2013-08-15

    Lipid rafts are the preferential site of numerous membrane signaling proteins which are involved in neuronal functioning and survival. These proteins are organized in multiprotein complexes, or signalosomes, in close contact with lipid classes particularly represented in lipid rafts (i.e. cholesterol, sphingolipids and saturated fatty acids), which may contribute to physiological responses leading to neuroprotection. Increasing evidence indicates that alteration of lipid composition in raft structures as a consequence of neuropathologies, such as Alzheimer's disease (AD) and Parkinson's disease (PD), causes a dramatic increase in lipid raft order. These phenomena may correlate with perturbation of signalosome activities, likely contributing to neurodegenerative progression. Interestingly, significant disruption of stable raft microenvironments has been already observed in the first stages of either AD or PD, suggesting that these alterations may represent early events in the neuropathological development. In this regard, the search for biochemical markers, such as specific metabolic products altered in the brain at the first steps of the disease, presently represents an important challenge for early diagnostic strategies. Alterations of these biomarkers may be reflected in either plasma or cerebrospinal fluid, thus representing a potential strategy to predict an accurate diagnosis. We propose that pathologically-linked lipid raft markers may be interesting candidates to be explored at this level, although it has not been studied so far to what extent alteration of different signalosome components may be reflected in peripheral fluids. In this mini-review, we will discuss on relevant aspects of lipid rafts that contribute to the modulation of neuropathological events related to AD and PD. An interesting hypothesis is that anomalies on raft biomarkers measured at peripheral fluids might mirror the lipid raft pathology observed in early stages of AD and PD.

  18. The Role of Indocyanine Green for Robotic Partial Nephrectomy: Early Results, Limitations and Future Directions

    Directory of Open Access Journals (Sweden)

    Zachary Klaassen

    2014-07-01

    Full Text Available The surgical management of small renal masses has continued to evolve, particularly with the advent of the robotic partial nephrectomy (RPN. Recent studies at high volume institutions utilizing near infrared imaging with indocyanine green (ICG fluorescent dye to delineate renal tumor anatomy has generated interest among robotic surgeons for improving warm ischemia times and positive margin rate for RPN. To date, early studies suggest positive margin rate using ICG is comparable to traditional RPN, however this technology improves visualization of the renal vasculature allowing selective clamping or zero ischemia. The precise combination of fluorescent compound, dose, and optimal tumor anatomy for ICG RPN has yet to be elucidated.

  19. Early Results of Autologous Cultivated Limbal Stem Cell Transplantation in Total Limbal Stem Cell Deficiency

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Javadi

    2008-12-01

    Full Text Available

    PURPOSE: To report the early results of transplantation of autologous limbal stem cells cultivated on amniotic membrane (AM in patients with total unilateral limbal stem cell deficiency (LSCD. METHODS: Four eyes of 4 patients with total unilateral LSCD confirmed with impression cytology underwent transplantation of autologous limbal stem cell cultivated on AM. At each follow up visit, a complete eye examination with special attention to recurrence or regression of vascularization, corneal opacification, and epithelial defect healing was performed. Digital imaging was performed at each follow up visit. Impression cytology was repeated in all cases after surgery. RESULTS: The patients were followed for 5-13 months. Visual acuity improved in all cases. Decrease in corneal opacification and vascularization was obvious in 3 cases with coverage of the cornea with corneal epithelium. Sectoral conjunctivalization was evident in these 3 cases, however the corneas were ready for transplantation. The procedure failed in one case with total corneal conjunctivalization. CONCLUSION: Transplantation of autologous stem cells cultivated on AM seems to be an effective way for total LSCD. More definite judgment needs longer follow up together with long-term results of corneal transplantation in these patients.

  1. Disease activity trajectories in early axial spondyloarthritis: results from the DESIR cohort.

    Science.gov (United States)

    Molto, Anna; Tezenas du Montcel, Sophie; Wendling, Daniel; Dougados, Maxime; Vanier, Antoine; Gossec, Laure

    2017-06-01

    Disease activity may change over time in axial spondyloarthritis (axSpA). The objectives were to identify patterns of disease activity evolution in patients with early axSpA. Patients from the prospective early axSpA cohort (DEvenir des Spondyloarthrites Indifférenciées Récentes (DESIR)) who fulfilled the Assessment in SpondyloArthritis Society (ASAS) criteria for axSpA at baseline and with at least three Ankylosing Spondylitis Disease Activity Score (ASDAS) values available over the 3 years of follow-up were analysed. Statistical analyses: trajectories were estimated by group-based trajectory modelling; predisposing baseline factors for such trajectories were identified by univariate and multivariable multinomial (logit) regression; work disability over time was compared between the trajectories by Cox hazard model. In all, 370 patients were analysed: mean disease duration was 1.6 (±0.9) years. The five distinct trajectories of disease activity over the 3 years were (t1) 'persistent moderate disease activity' (n=134 (36.2%)); (t2) 'persistent inactive disease' (n=66 (17.8%); (t3) 'changing from very high disease activity to inactive disease' ((n=29 (7.8%)); (t4) 'persistent high disease activity' (n=126 (34.1%)) and (t5) 'persistent very high disease activity' (n=15 (4.1%)). After adjustment for other characteristics, t2 was associated with a white-collar job (OR=2.6 (95% CI 1.0 to 6.7)) and t3 with male gender (OR=7.1 (1.6 to 32.2)), higher education level (OR=9.4 (1.4 to 63.4)) and peripheral joint involvement (OR=6.2 (1.23 to 31.32)). Patients from (t4) and (t5) were more often declared work disabled over follow-up (HR=5.2 (1.5 to 18.0) and HR=8.0 (1.3 to 47.9), respectively). Trajectory modelling of disease activity was feasible in early axSpA: more than 30% patients (141/370) were in a trajectory with a persistent high disease activity. Persistent high disease activity trajectories were significantly associated with consequences on work. NCT01648907

  2. Planck early results: Spectral energy distributions and radio continuum spectra of northern extragalactic radio sources

    CERN Document Server

    Aatrokoski, J; Aghanim, N; Aller, H D; Aller, M F; Angelakis, E; Arnaud, M; Ashdown, M; Aumont, J; Baccigalupi, C; Balbi, A; Banday, A J; Barreiro, R B; Bartlett, J G; Battaner, E; Benabed, K; Benoît, A; Berdyugin, A; Bernard, J -P; Bersanelli, M; Bhatia, R; Bonaldi, A; Bonavera, L; Bond, J R; Borrill, J; Bouchet, F R; Bucher, M; Burigana, C; Burrows, D N; Cabella, P; Capalbi, M; Cappellini, B; Cardoso, J -F; Catalano, A; Cavazzuti, E; Cayón, L; Challinor, A; Chamballu, A; Chary, R -R; Chiang, L -Y; Christensen, P R; Clements, D L; Colafrancesco, S; Colombi, S; Couchot, F; Coulais, A; Cutini, S; Cuttaia, F; Danese, L; Davies, R D; Davis, R J; de Bernardis, P; de Gasperis, G; de Rosa, A; de Zotti, G; Delabrouille, J; Delouis, J -M; Dickinson, C; Dole, H; Donzelli, S; Doré, O; Dörl, U; Douspis, M; Dupac, X; Efstathiou, G; Enßlin, T A; Finelli, F; Forni, O; Frailis, M; Franceschi, E; Fuhrmann, L; Galeotta, S; Ganga, K; Gargano, F; Gasparrini, D; Gehrels, N; Giard, M; Giardino, G; Giglietto, N; Giommi, P; Giordano, F; Giraud-Héraud, Y; González-Nuevo, J; Górski, K M; Gratton, S; Gregorio, A; Gruppuso, A; Harrison, D; Henrot-Versillé, S; Herranz, D; Hildebrandt, S R; Hivon, E; Hobson, M; Holmes, W A; Hovest, W; Hoyland, R J; Huffenberger, K M; Jaffe, A H; Juvela, M; Keihänen, E; Keskitalo, R; King, O; Kisner, T S; Kneissl, R; Knox, L; Krichbaum, T P; Kurki-Suonio, H; Lagache, G; Lähteenmäki, A; Lamarre, J -M; Lasenby, A; Laureijs, R J; Lavonen, N; Lawrence, C R; Leach, S; Leonardi, R; León-Tavares, J; Linden-V\\ornle, M; Lindfors, E; López-Caniego, M; Lubin, P M; Macías-Pérez, J F; Maffei, B; Maino, D; Mandolesi, N; Mann, R; Maris, M; Martínez-González, E; Masi, S; Massardi, M; Matarrese, S; Matthai, F; Max-Moerbeck, W; Mazziotta, M N; Mazzotta, P; Melchiorri, A; Mendes, L; Mennella, A; Michelson, P F; Mingaliev, M; Mitra, S; Miville-Deschênes, M -A; Moneti, A; Monte, C; Montier, L; Morgante, G; Mortlock, D; Munshi, D; Murphy, A; Naselsky, P; Natoli, P; Nestoras, I; Netterfield, C B; Nieppola, E; Nilsson, K; N\\orgaard-Nielsen, H U; Noviello, F; Novikov, D; Novikov, I; O'Dwyer, I J; Osborne, S; Pajot, F; Partridge, B; Pasian, F; Patanchon, G; Pavlidou, V; Pearson, T J; Perdereau, O; Perotto, L; Perri, M; Perrotta, F; Piacentini, F; Piat, M; Plaszczynski, S; Platania, P; Pointecouteau, E; Polenta, G; Ponthieu, N; Poutanen, T; Prézeau, G; Prunet, S; Puget, J -L; Rachen, J P; Rainó, S; Reach, W T; Readhead, A; Rebolo, R; Reeves, R; Reinecke, M; Reinthal, R; Renault, C; Ricciardi, S; Richards, J; Riller, T; Riquelme, D; Ristorcelli, I; Rocha, G; Rosset, C; Rowan-Robinson, M; Rubi\; Rusholme, B; Saarinen, J; Sandri, M; Savolainen, P; Scott, D; Seiffert, M D; Sievers, A; Sillanpää, A; Smoot, G F; Sotnikova, Y; Starck, J -L; Stevenson, M; Stivoli, F; Stolyarov, V; Sudiwala, R; Sygnet, J -F; Takalo, L; Tammi, J; Tauber, J A; Terenzi, L; Thompson, D J; Toffolatti, L; Tomasi, M; Tornikoski, M; Torre, J -P; Tosti, G; Tramacere, A; Tristram, M; Tuovinen, J; Türler, M; Turunen, M; Umana, G; Ungerechts, H; Valenziano, L; Valtaoja, E; Varis, J; Verrecchia, F; Vielva, P; Villa, F; Vittorio, N; Wandelt, B D; Wu, J; Yvon, D; Zacchei, A; Zensus, J A; Zhou, X; Zonca, A

    2011-01-01

    Spectral energy distributions (SEDs) and radio continuum spectra are presented for a northern sample of 104 extragalactic radio sources, based on the Planck Early Release Compact Source Catalog (ERCSC) and simultaneous multifrequency data. The nine Planck frequencies, from 30 to 857 GHz, are complemented by a set of simultaneous observations ranging from radio to gamma-rays. This is the first extensive frequency coverage in the radio and millimetre domains for an essentially complete sample of extragalactic radio sources, and it shows how the individual shocks, each in their own phase of development, moving in the relativistic jet, shape the radio spectra. The SEDs presented in this paper were fitted with second and third degree polynomials to estimate the frequencies of the synchrotron and inverse Compton (IC) peaks, and the spectral indices of low and high frequency radio data, including the Planck ERCSC data, were calculated. SED modelling methods are discussed, with an emphasis on proper, physical modelli...

  3. Early Clinical and Radiographic Results of Minimally Invasive Anterior Approach Hip Arthroplasty

    Directory of Open Access Journals (Sweden)

    Tamara Alexandrov

    2014-01-01

    consecutive patients with 43 total hip arthroplasties performed through an anterior muscle sparing minimally invasive approach. We found the early complication rates and radiographic outcomes comparable to those reported from arthroplasties performed via traditional approaches. Complications included dislocation (2%, femur fracture (2%, greater trochanteric fracture (12%, postoperative periprosthetic intertrochanteric fracture (2%, femoral nerve palsy (5%, hematoma (2%, and postoperative iliopsoas avulsion (2%. Radiographic analysis revealed average cup anteversion of 19.6°±6.6, average cup abduction angle of 48.4°±7, stem varus of 0.9°±2, and a mean leg length discrepancy of 0.7 mm. The anterior approach to the hip is an attractive alternative to the more traditional approaches. Acceptable component placement with comparable complication rates is possible using a muscle sparing technique which may lead to faster overall recovery.

  4. Genomic analyses identify hundreds of variants associated with age at menarche and support a role for puberty timing in cancer risk

    DEFF Research Database (Denmark)

    Day, Felix R; Thompson, Deborah J; Helgason, Hannes

    2017-01-01

    The timing of puberty is a highly polygenic childhood trait that is epidemiologically associated with various adult diseases. Using 1000 Genomes Project-imputed genotype data in up to ∼370,000 women, we identify 389 independent signals (P < 5 × 10(-8)) for age at menarche, a milestone in female p...

  5. Genomic analyses identify hundreds of variants associated with age at menarche and support a role for puberty timing in cancer risk

    NARCIS (Netherlands)

    Day, Felix R.; Thompson, Deborah J.; Helgason, Hannes; Chasman, Daniel I.; Finucane, Hilary; Sulem, Patrick; Ruth, Katherine S.; Whalen, Sean; Sarkar, Abhishek K.; Albrecht, Eva; Altmaier, Elisabeth; Amini, Marzyeh; Barbieri, Caterina M.; Boutin, Thibaud; Campbell, Archie; Demerath, Ellen; Giri, Ayush; He, Chunyan; Hottenga, Jouke J.; Karlsson, Robert; Kolcic, Ivana; Loh, Po-Ru; Lunetta, Kathryn L.; Mangino, Massimo; Marco, Brumat; McMahon, George; Medland, Sarah E.; Nolte, Ilja M.; Noordam, Raymond; Nutile, Teresa; Paternoster, Lavinia; Perjakova, Natalia; Porcu, Eleonora; Rose, Lynda M.; Schraut, Katharina E.; Segre, Ayellet V.; Smith, Albert V.; Stolk, Lisette; Teumer, Alexander; Andrulis, Irene L.; Bandinelli, Stefania; Beckmann, Matthias W.; Benitez, Javier; Bergmann, Sven; Bochud, Murielle; Boerwinkle, Eric; Bojesen, Stig E.; Bolla, Manjeet K.; Brand, Judith S.; Brauch, Hiltrud; Brenner, Hermann; Broer, Linda; Bruning, Thomas; Buring, Julie E.; Campbell, Harry; Catamo, Eulalia; Chanock, Stephen; Chenevix-Trench, Georgia; Corre, Tanguy; Couch, Fergus J.; Cousminer, Diana L.; Cox, Angela; Crisponi, Laura; Czene, Kamila; Smith, George Davey; de Geus, Eco J. C. N.; de Mutsert, Renee; De Vivo, Immaculata; Dennis, Joe; Devilee, Peter; dos-Santos-Silva, Isabel; Dunning, Alison M.; Eriksson, Johan G.; Fasching, Peter A.; Fernandez-Rhodes, Lindsay; Ferrucci, Luigi; Flesch-Janys, Dieter; Franke, Lude; Gabrielson, Marike; Gandin, Ilaria; Giles, Graham G.; Grallert, Harald; Gudbjartsson, Daniel F.; Guenel, Pascal; Hall, Per; Hallberg, Emily; Hamann, Ute; Harris, Tamara B.; Hartman, Catharina A.; Heiss, Gerardo; Hooning, Maartje J.; Hopper, John L.; Hu, Frank; Hunter, David J.; Ikram, M. Arfan; Im, Hae Kyung; Jarvelin, Marjo-Riitta; Joshi, Peter K.; Karasik, David; Kellis, Manolis; Kutalik, Zoltan; LaChance, Genevieve; Lambrechts, Diether; Langenberg, Claudia; Launer, Lenore J.; Laven, Joop S. E.; Lenarduzzi, Stefania; Li, Jingmei; Lind, Penelope A.; Lindstrom, Sara; Liu, YongMei; Luan, Jian'an; Magi, Reedik; Mannermaa, Arto; Mbarek, Hamdi; McCarthy, Mark I.; Meisinger, Christa; Meitinger, Thomas; Menni, Cristina; Metspalu, Andres; Michailidou, Kyriaki; Milani, Lili; Milne, Roger L.; Montgomery, Grant W.; Mulligan, Anna M.; Nalls, Mike A.; Navarro, Pau; Nevanlinna, Heli; Nyholt, Dale R.; Oldehinkel, Albertine J.; O'Mara, Tracy A.; Padmanabhan, Sandosh; Palotie, Aarno; Pedersen, Nancy; Peters, Annette; Peto, Julian; Pharoah, Paul D. P.; Pouta, Anneli; Radice, Paolo; Rahman, Iffat; Ring, Susan M.; Robino, Antonietta; Rosendaal, Frits R.; Rudan, Igor; Rueedi, Rico; Ruggiero, Daniela; Sala, Cinzia F.; Schmidt, Marjanka K.; Scott, Robert A.; Shah, Mitul; Sorice, Rossella; Southey, Melissa C.; Sovio, Ulla; Stampfer, Meir; Steri, Maristella; Strauch, Konstantin; Tanaka, Toshiko; Tikkanen, Emmi; Timpson, Nicholas J.; Traglia, Michela; Truong, Therese; Tyrer, Jonathan P.; Uitterlinden, Andre G.; Edwards, Digna R. Velez; Vitart, Veronique; Voelker, Uwe; Vollenweider, Peter; Wang, Qin; Widen, Elisabeth; van Dijk, Ko Willems; Willemsen, Gonneke; Winqvist, Robert; Wolffenbuttel, Bruce H. R.; Zhao, Jing Hua; Zoledziewska, Magdalena; Zygmunt, Marek; Alizadeh, Behrooz Z.; Boomsma, Dorret I.; Ciullo, Marina; Cucca, Francesco; Esko, Tonu; Franceschini, Nora; Gieger, Christian; Gudnason, Vilmundur; Hayward, Caroline; Kraft, Peter; Lawlor, Debbie A.; Magnusson, Patrik K. E.; Martin, Nicholas G.; Mook-Kanamori, Dennis O.; Nohr, Ellen A.; Polasek, Ozren; Porteous, David; Price, Alkes L.; Ridker, Paul M.; Snieder, Harold; Spector, Tim D.; Stoeckl, Doris; Toniolo, Daniela; Ulivi, Sheila; Visser, Jenny A.; Voelzke, Henry; Wareham, Nicholas J.; Wilson, James F.; Spurdle, Amanda B.; Thorsteindottir, Unnur; Pollard, Katherine S.; Easton, Douglas F.; Tung, Joyce Y.; Chang-Claude, Jenny; Hinds, David; Murray, Anna; Murabito, Joanne M.; Stefansson, Kari; Ong, Ken K.; Perry, John R. B.; Study, LifeLines Cohort

    The timing of puberty is a highly polygenic childhood trait that is epidemiologically associated with various adult diseases. Using 1000 Genomes Project-imputed genotype data in up to similar to 370,000 women, we identify 389 independent signals (P <5 x 10(-8)) for age at menarche, a milestone in

  6. Menarche, menopause, and breast cancer risk: individual participant meta-analysis, including 118 964 women with breast cancer from 117 epidemiological studies

    DEFF Research Database (Denmark)

    Beral, V.; Bull, D.; Pirie, K.

    2012-01-01

    Background Menarche and menopause mark the onset and cessation, respectively, of ovarian activity associated with reproduction, and affect breast cancer risk. Our aim was to assess the strengths of their effects and determine whether they depend on characteristics of the tumours or the affected w...

  7. Early mobilisation versus plaster immobilisation of simple elbow dislocations: results of the FuncSiE multicentre randomised clinical trial.

    Science.gov (United States)

    Iordens, Gijs I T; Van Lieshout, Esther M M; Schep, Niels W L; De Haan, Jeroen; Tuinebreijer, Wim E; Eygendaal, Denise; Van Beeck, Ed; Patka, Peter; Verhofstad, Michael H J; Den Hartog, Dennis

    2017-03-01

    To compare outcome of early mobilisation and plaster immobilisation in patients with a simple elbow dislocation. We hypothesised that early mobilisation would result in earlier functional recovery. From August 2009 to September 2012, 100 adult patients with a simple elbow dislocation were enrolled in this multicentre randomised controlled trial. Patients were randomised to early mobilisation (n=48) or 3 weeks plaster immobilisation (n=52). Primary outcome measure was the Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) score. Secondary outcomes were the Oxford Elbow Score, Mayo Elbow Performance Index, pain, range of motion, complications and activity resumption. Patients were followed for 1 year. Quick-DASH scores at 1 year were 4.0 (95% CI 0.9 to 7.1) points in the early mobilisation group versus 4.2 (95% CI 1.2 to 7.2) in the plaster immobilisation group. At 6 weeks, early mobilised patients reported less disability (Quick-DASH 12 (95% CI 9 to 15) points vs 19 (95% CI 16 to 22); p<0.05) and had a larger arc of flexion and extension (121° (95% CI 115° to 127°) vs 102° (95% CI 96° to 108°); p<0.05). Patients returned to work sooner after early mobilisation (10 vs 18 days; p=0.020). Complications occurred in 12 patients; this was unrelated to treatment. No recurrent dislocations occurred. Early active mobilisation is a safe and effective treatment for simple elbow dislocations. Patients recovered faster and returned to work earlier without increasing the complication rate. No evidence was found supporting treatment benefit at 1 year. NTR 2025. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  8. The SNS Machine Protection System Early Commissioning Results and Future Plans

    CERN Document Server

    Sibley, Coles; Jones, Alan; Justice, Thomas A; Thompson, Dave H

    2005-01-01

    The Spallation Neutron Source under construction in Oak Ridge TN has commissioned low power beam up to 187 Mev. The number of MPS inputs is about 20% of the final number envisioned. Start-up problems, including noise and false trips, have largely been overcome by replacing copper with fiber and adding filters as required. Initial recovery time from Machine Protection System (MPS) trips was slow due to a hierarchy of latched inputs in the system: at the device level, at the MPS input layer, and at the operator interface level. By reprogramming the MPS FPGA such that all resets were at the input devices, MPS availability improved to acceptable levels. For early commissioning MPS inputs will be limited to beam line devices that will prohibit beam operation. For later operation, the number of MPS inputs will increase both software alarms and less intrusive MPS inputs such as steering magnets are implemented. Two upgrades to SNS are on the horizon: a 3 MW upgrade and a second target station. Although these are yea...

  9. Disease management of early childhood caries: results of a pilot quality improvement project.

    Science.gov (United States)

    Ng, Man Wai; Torresyap, Gay; White, Alex; Melvin, Patrice; Graham, Dionne; Kane, Daniel; Scoville, Richard; Ohiomoba, Henry

    2012-08-01

    The purpose is to report findings of a quality improvement (QI) project implemented at two hospital-based dental clinics that care for children with early childhood caries (ECC). We tested a disease management (DM) approach in children younger than age 60 months with ECC. After 30 months, for the 403 and 234 DM patients at Children's Hospital Boston (CHB) and Saint Joseph Hospital (SJH) who returned for at least two visits, rates of new cavitation, pain, and referrals to the OR were 26.1, 13.4 and 10.9% for CHB and 41.0, 7.3 and 14.9% for SJH. Rates of new cavitation, pain, and referrals to the OR for historical controls were 75.2, 21.7, and 20.9% for CHB and 71.3, 31.3, and 25.0% for SJH. A risk-based DM approach utilizing QI strategies to address ECC can be implemented into practice and has the potential to improve care and health outcomes.

  10. Early benefit assessment of new drugs in Germany - results from 2011 to 2012.

    Science.gov (United States)

    Hörn, Helmut; Nink, Katrin; McGauran, Natalie; Wieseler, Beate

    2014-06-01

    Rising drug costs in Germany led to the Act on the Reform of the Market for Medicinal Products (AMNOG) in January 2011. For new drugs, pharmaceutical companies have to submit dossiers containing all available evidence to demonstrate an added benefit versus an appropriate comparator therapy. The Federal Joint Committee (G-BA), the main decision-making body of the statutory healthcare system, is responsible for the overall procedure of "early benefit assessment". The Institute for Quality and Efficiency in Health Care (IQWiG) largely conducts the dossier assessments, which inform decisions by the G-BA on added benefit and support price negotiations. Of the 25 dossiers (excluding orphan drugs) assessed until 31 December 2012, 14 contained sufficient data from randomized active-controlled trials investigating patient-relevant outcomes or at least acceptable surrogates; 11 contained insufficient data. The most common indications were oncology (6) and viral infections (4). For the 14 drugs assessed, the extent of added benefit was rated as minor, considerable, and non-quantifiable in 3, 8, and 2 cases; the remaining drug showed no added benefit. Despite some shortcomings, for the first time it has been possible in Germany to implement a systematic procedure for assessing new drugs at market entry, thus providing support for price negotiations and informed decision-making for patients, clinicians and policy makers.

  11. gPhoton: A Time-Tagged Database of Every GALEX Photon and Early Science Results

    Science.gov (United States)

    Fleming, Scott W.; Million, Chase; Shiao, Bernie; Thompson, Randy; Tseng, Shui-Ay; Rogers, Anthony; Smith, Myron; White, Richard L.; Levay, Karen

    2014-06-01

    The Galaxy Evolution Explorer (GALEX) mission observed a large fraction of the sky in FUV and NUV at time resolutions of five thousandths of a second, spanning a decade of operation. Due to technical limitations when the data were first archived, the ability to use GALEX data at such high time resolutions was limited: the primary data products were images that were combined into several-minute integrations, along with source catalogs.MAST is pleased to introduce gPhoton, a time-tagged database of every photon event detected by GALEX during its lifetime; some 1.5 trillion events in total. This database is accompanied by both a python-based software package and a web interface. These tools allow users to create calibrated lightcurves, intensity maps, and animated movies from any set of photons selected across any tile. Users can specify custom apertures sizes, coordinates, and time steps down to the level of seconds. We present some early science cases with gPhoton, which include studies of flare stars, Be stars, and unique opportunities with objects in the Kepler field.

  12. Exposure to Early Life Stress Results in Epigenetic Changes in Neurotrophic Factor Gene Expression in a Parkinsonian Rat Model

    Directory of Open Access Journals (Sweden)

    Thabisile Mpofana

    2016-01-01

    Full Text Available Early life adversity increases the risk of mental disorders later in life. Chronic early life stress may alter neurotrophic factor gene expression including those for brain derived neurotrophic factor (BDNF and glial cell derived neurotrophic factor (GDNF that are important in neuronal growth, survival, and maintenance. Maternal separation was used in this study to model early life stress. Following unilateral injection of a mild dose of 6-hydroxydopamine (6-OHDA, we measured corticosterone (CORT in the blood and striatum of stressed and nonstressed rats; we also measured DNA methylation and BDNF and GDNF gene expression in the striatum using real time PCR. In the presence of stress, we found that there was increased corticosterone concentration in both blood and striatal tissue. Further to this, we found higher DNA methylation and decreased neurotrophic factor gene expression. 6-OHDA lesion increased neurotrophic factor gene expression in both stressed and nonstressed rats but this increase was higher in the nonstressed rats. Our results suggest that exposure to early postnatal stress increases corticosterone concentration which leads to increased DNA methylation. This effect results in decreased BDNF and GDNF gene expression in the striatum leading to decreased protection against subsequent insults later in life.

  13. Cancer early detection program based on awareness and clinical breast examination: Interim results from an urban community in Mumbai, India.

    Science.gov (United States)

    Gadgil, Anita; Sauvaget, Catherine; Roy, Nobhojit; Muwonge, Richard; Kantharia, Surita; Chakrabarty, Anuradha; Bantwal, Kanchan; Haldar, Indrani; Sankaranarayanan, Rengaswamy

    2017-02-01

    Indian women with breast cancer are usually diagnosed in advanced stages leading to poor survival. Improving breast awareness and increasing access to early diagnosis and adequate treatment has been advocated for breast cancer control. We implemented a program to increase awareness on breast cancer and access to its early detection in an occupational health care scheme in Mumbai, India. Breast awareness brochures were mailed annually between June 2013 and June 2016 to a cohort of 22,500 eligible women aged 30-69 years old receiving universal health care from an occupational health care scheme comprising of primary health centres and a referral secondary care hospital in Mumbai. Women with suspected breast cancers were provided with diagnostic investigations and treatment. Socio-demographic information and tumour characteristics were compared between the breast awareness pre-intervention period (Jan 2005-May 2013) and the breast awareness intervention period after four rounds of mailers (June 2013-June 2016). The proportion of women with early tumours and axillary lymph node negative cancers increased from 74% to 81% and 46% to 53% respectively, between the two periods. While the proportion of patients receiving breast conserving surgery increased from 39% to 51%, the proportion receiving chemotherapy decreased from 84% to 56%. Interim results following efforts to improve breast awareness and access to care in a cohort of women in an occupational health care scheme indicate early detection and more conservative treatment of breast cancers. Creating awareness and improving access to care may result in cancer down-staging.

  14. Very prolonged stay in the intensive care unit after cardiac operations: early results and late survival.

    Science.gov (United States)

    Silberman, Shuli; Bitran, Daniel; Fink, Daniel; Tauber, Rachel; Merin, Ofer

    2013-07-01

    Prolonged intensive care unit (ICU) stay is a surrogate for advanced morbidity or perioperative complications, and resource utilization may become an issue. It is our policy to continue full life support in the ICU, even for patients with a seemingly grim outlook. We examined the effect of duration of ICU stay on early outcomes and late survival. Between 1993 and 2011, 6,385 patients were admitted to the ICU after cardiac surgery. Patients were grouped according to length of stay in the ICU: group 1, 2 days or less (n = 4,631; 73%); group 2, 3 to 14 days (n = 1,423; 22%); group 3, more than 14 days (n = 331; 5%). Length of stay in ICU for group 3 patients was 38 ± 24 days (range, 15 to 160; median 31). Clinical profile and outcomes were compared between groups. Patients requiring prolonged ICU stay were older, underwent more complex surgery, had greater comorbidity, and a higher predicted operative mortality (p < 0.0001). They had a higher incidence of adverse events and increased mortality (p < 0.0001). Of the 331 group 3 patients, 60% were discharged: survival of these patients at 1, 3, and 5 years was 78%, 65%, and 52%, respectively. Operative mortality as well as late survival of discharged patients was proportional to duration of ICU stay. Current technology enables keeping sick patients alive for extended periods of time. Nearly two thirds of patients requiring prolonged ICU leave hospital, and of these, 50% attain 5-year survival. These data support offering full and continued support even for patients requiring very prolonged ICU stay. Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  15. Loss of transcription factor early growth response gene 1 results in impaired endochondral bone repair.

    Science.gov (United States)

    Reumann, Marie K; Strachna, Olga; Yagerman, Sarah; Torrecilla, Daniel; Kim, Jihye; Doty, Stephen B; Lukashova, Lyudmila; Boskey, Adele L; Mayer-Kuckuk, Philipp

    2011-10-01

    Transcription factors that play a role in ossification during development are expected to participate in postnatal fracture repair since the endochondral bone formation that occurs in embryos is recapitulated during fracture repair. However, inherent differences exist between bone development and fracture repair, including a sudden disruption of tissue integrity followed by an inflammatory response. This raises the possibility that repair-specific transcription factors participate in bone healing. Here, we assessed the consequence of loss of early growth response gene 1 (EGR-1) on endochondral bone healing because this transcription factor has been shown to modulate repair in vascularized tissues. Model fractures were created in ribs of wild type (wt) and EGR-1(-/-) mice. Differences in tissue morphology and composition between these two animal groups were followed over 28 post fracture days (PFDs). In wt mice, bone healing occurred in healing phases characteristic of endochondral bone repair. A similar healing sequence was observed in EGR-1(-/-) mice but was impaired by alterations. A persistent accumulation of fibrin between the disconnected bones was observed on PFD7 and remained pronounced in the callus on PFD14. Additionally, the PFD14 callus was abnormally enlarged and showed increased deposition of mineralized tissue. Cartilage ossification in the callus was associated with hyper-vascularity and -proliferation. Moreover, cell deposits located in proximity to the callus within skeletal muscle were detected on PFD14. Despite these impairments, repair in EGR-1(-/-) callus advanced on PFD28, suggesting EGR-1 is not essential for healing. Together, this study provides genetic evidence that EGR-1 is a pleiotropic regulator of endochondral fracture repair. Copyright © 2011 Elsevier Inc. All rights reserved.

  16. [Results of applying a paediatric early warning score system as a healthcare quality improvement plan].

    Science.gov (United States)

    Rivero-Martín, M J; Prieto-Martínez, S; García-Solano, M; Montilla-Pérez, M; Tena-Martín, E; Ballesteros-García, M M

    2016-06-01

    The aims of this study were to introduce a paediatric early warning score (PEWS) into our daily clinical practice, as well as to evaluate its ability to detect clinical deterioration in children admitted, and to train nursing staff to communicate the information and response effectively. An analysis was performed on the implementation of PEWS in the electronic health records of children (0-15 years) in our paediatric ward from February 2014 to September 2014. The maximum score was 6. Nursing staff reviewed scores >2, and if >3 medical and nursing staff reviewed it. Monitoring indicators: % of admissions with scoring; % of complete data capture; % of scores >3; % of scores >3 reviewed by medical staff, % of changes in treatment due to the warning system, and number of patients who needed Paediatric Intensive Care Unit (PICU) admission, or died without an increased warning score. The data were collected from all patients (931) admitted. The scale was measured 7,917 times, with 78.8% of them with complete data capture. Very few (1.9%) showed scores >3, and 14% of them with changes in clinical management (intensifying treatment or new diagnostic tests). One patient (scored 2) required PICU admission. There were no deaths. Parents or nursing staff concern was registered in 80% of cases. PEWS are useful to provide a standardised assessment of clinical status in the inpatient setting, using a unique scale and implementing data capture. Because of the lack of severe complications requiring PICU admission and deaths, we will have to use other data to evaluate these scales. Copyright © 2016 SECA. Published by Elsevier Espana. All rights reserved.

  17. Early complications after laparoscopic gastric bypass surgery: results from the Scandinavian Obesity Surgery Registry.

    Science.gov (United States)

    Stenberg, Erik; Szabo, Eva; Agren, Göran; Näslund, Erik; Boman, Lars; Bylund, Ami; Hedenbro, Jan; Laurenius, Anna; Lundegårdh, Göran; Lönroth, Hans; Möller, Peter; Sundbom, Magnus; Ottosson, Johan; Näslund, Ingmar

    2014-12-01

    To identify risk factors for serious and specific early complications of laparoscopic gastric bypass surgery using a large national cohort of patients. Bariatric procedures are among the most common surgical procedures today. There is, however, still a need to identify preoperative and intraoperative risk factors for serious complications. From the Scandinavian Obesity Surgery Registry database, we identified 26,173 patients undergoing primary laparoscopic gastric bypass operation for morbid obesity between May 1, 2007, and September 30, 2012. Follow-up on day 30 was 95.7%. Preoperative data and data from the operation were analyzed against serious postoperative complications and specific complications. The overall risk of serious postoperative complications was 3.4%. Age (adjusted P = 0.028), other additional operation [odds ratio (OR) = 1.50; confidence interval (CI): 1.04-2.18], intraoperative adverse event (OR = 2.63; 1.89-3.66), and conversion to open surgery (OR = 4.12; CI: 2.47-6.89) were all risk factors for serious postoperative complications. Annual hospital volume affected the rate of serious postoperative complications. If the hospital was in a learning curve at the time of the operation, the risk for serious postoperative complications was higher (OR = 1.45; CI: 1.22-1.71). The 90-day mortality rate was 0.04%. Intraoperative adverse events and conversion to open surgery are the strongest risk factors for serious complications after laparoscopic gastric bypass surgery. Annual operative volume and total institutional experience are important for the outcome. Patient related factors, in particular age, also increased the risk but to a lesser extent.

  18. Early results of revision acetabular cup using antiprotrusio reconstruction rings and allografts

    Directory of Open Access Journals (Sweden)

    Krzysztof Kmiec

    2015-01-01

    Conclusion: A modified, antiprotrusion cage provides an acceptable survival rate and radiological results, but complications could still be expected. It seems that the observed massive bone loss with pelvic discontinuity and an insufficient fixation of the cage to the ischium may result in implant loosening. Stable fixation of the ischial ring flange with screws is an essential condition to expect a good outcome.

  19. Breast cancer risk accumulation starts early – Prevention must also

    Science.gov (United States)

    Colditz, Graham A; Bohlke, Kari; Berkey, Catherine S.

    2014-01-01

    Purpose Nearly 1 in 4 breast cancers is diagnosed before the age of 50, and many early-stage premalignant lesions are present but not yet diagnosed. Therefore, we review evidence to support the strategy that breast cancer prevention efforts must begin early in life. Methods Literature review Results Exposures during childhood and adolescence affect a woman’s long-term risk of breast cancer, but have received far less research attention than exposures that occur later in life. Breast tissue undergoes rapid cellular proliferation between menarche and first full-term pregnancy, and risk accumulates rapidly until the terminal differentiation that accompanies first pregnancy. Evidence on childhood diet and growth in height, and adolescent alcohol intake, among other adolescent factors are related to breast cancer risk and risk of premalignant proliferative benign lesions. Conclusion Breast cancer prevention efforts will have the greatest effect when initiated at an early age and continued over a lifetime. Gaps in knowledge are identified and deserve increase attention to inform prevention. PMID:24820413

  20. Medial column stabilization improves the early result of calcaneal lengthening in children with cerebral palsy.

    Science.gov (United States)

    Huang, Che-Nan; Wu, Kuan-Wen; Huang, Shier-Chieg; Kuo, Ken N; Wang, Ting-Ming

    2013-05-01

    Calcaneal lengthening is a popular surgical treatment for pronated foot deformity. The aim of this study is to assess the effectiveness of medial column stabilization in improving the results of calcaneal lengthening for pronated foot deformity in ambulatory children with cerebral palsy. Twenty-one consecutive (37 feet) children with cerebral palsy with pronated foot deformity who received calcaneal lengthening from 2004 to 2009 were reviewed. Talonavicular stabilizations were performed by either stapling alone or fusion depending on the children's age and correctability of midfoot deformity. Satisfaction rates were assessed using Mosca's radiographic, Mosca's clinical, and Yoo's clinical criteria. Talonavicular coverage angle was also measured. Results between groups with and without stabilization of the talonavicular joint were compared. Group 1 included 11 children (19 feet) who had no talonavicular stabilization. Group 2 included 10 children (18 feet) who had talonavicular fixation. Groups were further divided into subgroups A [Gross Motor Function Classification System (GMFCS)≤II] and B (GMFCS≥III). Factors including demography, geographical classification, functional status, and preoperative degree of deformity were similar between the two groups. After the operation, all four radiographic parameters improved significantly. The talonavicular coverage angle was better in group 2 than in group 1. Mosca's radiographic results were satisfactory in 73.68% of cases in group 1 and 100% in group 2; the difference was statistically significant (P=0.027). As for Mosca's clinical results, 63.16% in group 1 and 83.33% in group 2 achieved satisfactory results (P=0.156). On the basis of Yoo's criteria, the results were satisfactory in 57.89% of cases in group 1 and in 94.44% of cases in group 2 (P=0.012). Further analysis on the satisfaction rates between the subgroups showed similar results between the patients in subgroup 1A and 2A, and significantly better results

  1. Early Results from the Advanced Radiation Protection Thick GCR Shielding Project

    Science.gov (United States)

    Norman, Ryan B.; Clowdsley, Martha; Slaba, Tony; Heilbronn, Lawrence; Zeitlin, Cary; Kenny, Sean; Crespo, Luis; Giesy, Daniel; Warner, James; McGirl, Natalie; hide

    2017-01-01

    The Advanced Radiation Protection Thick Galactic Cosmic Ray (GCR) Shielding Project leverages experimental and modeling approaches to validate a predicted minimum in the radiation exposure versus shielding depth curve. Preliminary results of space radiation models indicate that a minimum in the dose equivalent versus aluminum shielding thickness may exist in the 20-30 g/cm2 region. For greater shield thickness, dose equivalent increases due to secondary neutron and light particle production. This result goes against the long held belief in the space radiation shielding community that increasing shielding thickness will decrease risk to crew health. A comprehensive modeling effort was undertaken to verify the preliminary modeling results using multiple Monte Carlo and deterministic space radiation transport codes. These results verified the preliminary findings of a minimum and helped drive the design of the experimental component of the project. In first-of-their-kind experiments performed at the NASA Space Radiation Laboratory, neutrons and light ions were measured between large thicknesses of aluminum shielding. Both an upstream and a downstream shield were incorporated into the experiment to represent the radiation environment inside a spacecraft. These measurements are used to validate the Monte Carlo codes and derive uncertainty distributions for exposure estimates behind thick shielding similar to that provided by spacecraft on a Mars mission. Preliminary results for all aspects of the project will be presented.

  2. [Vitrectomy in ocular complications of diabetes. I. Early and late results of vitrectomy].

    Science.gov (United States)

    Dziegielewski, K; Nawrocki, J; Pikulski, Z

    1996-01-01

    Results of 168 pars plana vitrectomies (ppV) of 144 diabetics are presented. In 26.2% of eyes before surgery, vitreous hemorrhage without detachment of the retina was present. In the remaining eyes, different stages of tractional detachment occurred. Visual acuity worse than 1/50 was observed in 83.9% of eyes before surgery. Results of ppV were evaluated on the 7th day and after the 3rd, 6th, 12th and 18th month following the procedure. Anatomical and functional success was achieved in about 80% and 67% of treated eyes, respectively, over the whole follow-up period.

  3. Distal Femoral Locking Compression Plate Fixation in Distal Femoral Fractures: Early Results

    Directory of Open Access Journals (Sweden)

    EJ Yeap

    2007-05-01

    Full Text Available We conducted a retrospective review on eleven patients who were treated for Type A and C distal femoral fractures (based on AO classification between January 2004 and December 2004. All fractures were fixed with titanium distal femoral locking compression plate. The patient’s ages ranged from 15 to 85 with a mean of 44. Clinical assessment was conducted at least 6 months post-operatively using the Schatzker scoring system. Results showed that four patients had excellent results, four good, two fair and one failure.

  4. Diagnosis, prognosis and classification of early arthritis: results of a systematic review informing the 2016 update of the EULAR recommendations for the management of early arthritis

    Science.gov (United States)

    Hua, Charlotte; Daien, Claire I; Combe, Bernard; Landewe, Robert

    2017-01-01

    Objective To update the evidence pertaining to the diagnosis, prognosis and classification of patients with early arthritis (EA), and to inform the 2016 European League Against Rheumatism (EULAR) recommendations for the management of patients with EA. Methods MEDLINE, EMBASE and Cochrane databases were searched up to October 2015. The first part of the systematic literature review (SLR) involved a search for studies investigating the recognition and referral of EA. The second part involved a search for studies to identify the place of laboratory and imaging tests in establishing a diagnosis and a prognosis in patients with EA. Results Regarding the issue of referral of patients with EA (1643 hits), 4 studies were included. These studies were in support of early referral for patients with EA. Regarding the issue of diagnosis and prognosis of patients with EA (11 435 hits), 88 studies were included, evaluating mainly the value of rheumatoid factor (RF) and anticitrullinated-peptide antibodies (ACPAs). Sensitivity of these antibodies for a RA diagnosis in patients with EA was moderate (40–80%). Specificity was higher, notably for ACPAs (frequently >80%). ACPAs also showed better prognostic performance than RF (negative predictive values around 80%). We confirmed that structural damage on baseline X-rays is predictive of further radiographic progression in patients with EA. Regarding other imaging modalities, data are sparse. Conclusions This SLR highlights the importance of early referral for patients with EA and confirms that RF and mainly ACPAs as well as a search for structural X-rays changes may help in the diagnosis and prognosis of patients with EA. PMID:28155923

  5. Association of Anti-Porphyromonas gingivalis Antibody Titers With Nonsmoking Status in Early Rheumatoid Arthritis: Results From the Prospective French Cohort of Patients With Early Rheumatoid Arthritis.

    Science.gov (United States)

    Seror, Raphaèle; Le Gall-David, Sandrine; Bonnaure-Mallet, Martine; Schaeverbeke, Thierry; Cantagrel, Alain; Minet, Jacques; Gottenberg, Jacques-Eric; Chanson, Philippe; Ravaud, Philippe; Mariette, Xavier

    2015-07-01

    To investigate the possible link between Porphyromonas gingivalis infection and rheumatoid arthritis (RA), according to antibody profile, genetic and environmental factors, and RA severity. For assessing P gingivalis infection, serum levels of antibodies directed against P gingivalis lipopolysaccharide were measured in 694 patients with early RA who were not exposed to steroids or disease-modifying antirheumatic drugs. Anti-P gingivalis antibody titers were compared between patients with early RA and various control groups, and according to various patient characteristics. Anti-P gingivalis antibody titers did not significantly differ between patients with RA and controls and did not significantly differ with anti-citrullinated protein antibody (ACPA), rheumatoid factor (RF), or HLA shared epitope status. Anti-P gingivalis antibody titers were significantly higher among patients who had never smoked compared to patients who had ever smoked (P = 0.0049). Among nonsmokers, high anti-P gingivalis antibody levels were associated with a higher prevalence of erosive change (47.5% versus 33.3% with modified Sharp/van der Heijde score erosion subscale ≥1; P = 0.0135). In this large early RA cohort, we did not detect any association of anti-P gingivalis antibodies with RA or with ACPA status. These results suggest that the association of periodontitis and RA could be linked to bacterial species other than P gingivalis or to a mechanism other than citrullination. Nevertheless, we found higher anti-P gingivalis antibody titers in nonsmokers. In addition, in this population of nonsmokers, high anti-P gingivalis antibody titers were associated with more severe disease. We hypothesize that the role of tobacco in RA pathogenesis is so high that the effect of P gingivalis could be revealed only in a population not exposed to tobacco. © 2015, American College of Rheumatology.

  6. The characteristic black hole mass resulting from direct collapse in the early Universe

    Science.gov (United States)

    Latif, M. A.; Schleicher, D. R. G.; Schmidt, W.; Niemeyer, J. C.

    2013-12-01

    Black holes of a billion solar masses are observed in the infant Universe a few hundred million years after the big bang. The direct collapse of protogalactic gas clouds in primordial haloes with Tvir ≥ 104 K provides the most promising way to assemble massive black holes. In this study, we aim to determine the characteristic mass scale of seed black holes and the time evolution of the accretion rates resulting from the direct collapse model. We explore the formation of supermassive black holes via cosmological large eddy simulations (LES) by employing sink particles and following their evolution for 20 000 yr after the formation of the first sink. As the resulting protostars were shown to have cool atmospheres in the presence of strong accretion, we assume here that UV feedback is negligible during this calculation. We confirm this result in a comparison run without sinks. Our findings show that black hole seeds with characteristic mass of 105 M⊙ are formed in the presence of strong Lyman-Werner flux which leads to an isothermal collapse. The characteristic mass is about two times higher in LES compared to the implicit large eddy simulations. The accretion rates increase with time and reach a maximum value of 10 M⊙ yr-1 after 104 yr. Our results show that the direct collapse model is clearly feasible as it provides the expected mass of the seed black holes.

  7. Learning Communities for Developmental Education Students: Early Results from Randomized Experiments at Three Community Colleges

    Science.gov (United States)

    Weiss, Michael J.; Visher, Mary; Weissman, Evan

    2011-01-01

    This paper presents results from a rigorous random assignment study of Learning Communities programs operated at three of six community colleges participating in the National Center for Postsecondary Research's (NCPR) Learning Communities Demonstration. The demonstration's focus is on determining whether Learning Communities are an effective…

  8. Nras Overexpression Results in Granulocytosis, T-Cell Expansion and Early Lethality in Mice

    DEFF Research Database (Denmark)

    Lassen, Louise Berkhoudt; Gonzalez, Borja Ballarin; Schmitz, Alexander;

    2012-01-01

    NRAS is a proto-oncogene involved in numerous myeloid malignancies. Here, we report on a mouse line bearing a single retroviral long terminal repeat inserted into Nras. This genetic modification resulted in an increased level of wild type Nras mRNA giving the possibility of studying the function ...

  9. Planck early results. XXI. Properties of the interstellar medium in the Galactic plane

    DEFF Research Database (Denmark)

    Bucher, M.; Delabrouille, J.; Giraud-Héraud, Y.

    2011-01-01

    templates allows us to create distinct spectral energy distributions (SEDs) per Galactocentric ring and in each of the gaseous tracers from 1.4 GHz to 25 THz (12μm). The resulting SEDs allow us to explore the contribution of various emission mechanisms to the Planck signal. Apart from the thermal dust...

  10. The RCT Approach for Cell Coverage Prediction ( Ⅱ ): Experiment and Early Results

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    We study on the implementation flow of the radio computerized tomography (RCT) prediction method. A case in real cellular mobile radio (CMR) system together with the prediction results are also presented. As shown by the results, the RCT prediction method is marked for its convenience and rapidity, as well as its relative high precision even when the prediction procedure is highly simplified. Since it is developed according to the characteristics of wireless communication environments of our country and has concurrently merits from both statistical and deterministic prediction models, the RCT prediction method is in good agreement with engineering practices in cellular mobile communication in cities at home. Optimized by combining with other techniques, further improvement could be achieved in the stability and precision of the RCT prediction method which now serves as the core part of a software tool for commercial use in CMR system analysis and optimization.

  11. Upper Atmosphere Research Satellite (UARS) Microwave Limb Sounder (MLS) mapping - Validation, early results and applications

    Science.gov (United States)

    Elson, Lee S.; Froidevaux, Lucien; Waters, Joe

    1992-01-01

    The results of limitation studies performed with the UARS MLS are presented. A consistent set of algorithms allows the extraction of the spectral coefficients in time and longitude from asynoptically sampled satellite data and the subsequent reconstruction of synoptic maps from that spectral information. In addition to providing synoptic maps, the asynoptic technique allows the use of standard spectral analysis tools such as autocorrelation and cross correlation.

  12. The characteristic black hole mass resulting from direct collapse in the early universe

    CERN Document Server

    Latif, M A; Schmidt, W; Niemeyer, J C

    2013-01-01

    Black holes of a billion solar masses are observed in the infant universe a few hundred million years after the Big Bang. The direct collapse of protogalactic gas clouds in primordial halos with $\\rm T_{vir} \\geq 10^{4} K$ provides the most promising way to assemble massive black holes. In this study, we aim to determine the characteristic mass scale of seed black holes and the time evolution of the accretion rates resulting from the direct collapse model. We explore the formation of supermassive black holes via cosmological large eddy simulations (LES) by employing sink particles and following their evolution for twenty thousand years after the formation of the first sink. As the resulting protostars were shown to have cool atmospheres in the presence of strong accretion, we assume here that UV feedback is negligible during this calculation. We confirm this result in a comparison run without sinks. Our findings show that black hole seeds with characteristic mass of $\\rm 10^{5} M_{\\odot}$ are formed in the pr...

  13. Exploring the uncertainties of early detection results: model-based interpretation of mayo lung project

    Directory of Open Access Journals (Sweden)

    Berman Barbara

    2011-03-01

    Full Text Available Abstract Background The Mayo Lung Project (MLP, a randomized controlled clinical trial of lung cancer screening conducted between 1971 and 1986 among male smokers aged 45 or above, demonstrated an increase in lung cancer survival since the time of diagnosis, but no reduction in lung cancer mortality. Whether this result necessarily indicates a lack of mortality benefit for screening remains controversial. A number of hypotheses have been proposed to explain the observed outcome, including over-diagnosis, screening sensitivity, and population heterogeneity (initial difference in lung cancer risks between the two trial arms. This study is intended to provide model-based testing for some of these important arguments. Method Using a micro-simulation model, the MISCAN-lung model, we explore the possible influence of screening sensitivity, systematic error, over-diagnosis and population heterogeneity. Results Calibrating screening sensitivity, systematic error, or over-diagnosis does not noticeably improve the fit of the model, whereas calibrating population heterogeneity helps the model predict lung cancer incidence better. Conclusions Our conclusion is that the hypothesized imperfection in screening sensitivity, systematic error, and over-diagnosis do not in themselves explain the observed trial results. Model fit improvement achieved by accounting for population heterogeneity suggests a higher risk of cancer incidence in the intervention group as compared with the control group.

  14. Early results of the Bernese periacetabular osteotomy: the learning curve at an academic medical center.

    Science.gov (United States)

    Peters, Christopher L; Erickson, Jill A; Hines, Jerod L

    2006-09-01

    Most reports on the results of the Bernese periacetabular osteotomy for the treatment of developmental dysplasia of the hip have been by the originators of the procedure. In 1997, we began to use this osteotomy without direct training from the originators of the procedure. Seventy-three patients (eighty-three hips) underwent a Bernese periacetabular osteotomy between 1997 and 2003 and were followed prospectively with use of the Harris hip score to assess clinical results and with use of anteroposterior pelvic and false-profile lateral plain radiographs to assess radiographic results. The three-dimensional position of the acetabulum was recorded preoperatively and postoperatively. The mean duration of follow-up was forty-six months. The average Harris hip score improved from 54 to 87 points (p Bernese periacetabular osteotomy have been encouraging, with a 92% survival rate at thirty-six months. The occurrence of complications demonstrates a substantial learning curve. Recognition of the true preoperative acetabular version and reorientation of the acetabulum into an appropriately anteverted position have become important factors in surgical decision-making. Therapeutic Level IV.

  15. OPUS BBM: Its performance and early results of ground-based measurements

    Science.gov (United States)

    Kuze, A.; Shibasaki, K.; Sano, T.; Kawashima, T.; Miyamura, N.; Tange, Y.; Yui, Y.; Suzuki, M.; Ogawa, T.

    2003-04-01

    OPUS(Ozone and Pollution measuring Ultraviolet Spectrometer) is the satellite-borne instrument for future Japanese mission. Its scientific goal is to monitor the tropospheric urban and severely polluted chemical species such as SO2 and NO2 as well as total and tropospheric ozone. Now its BBM has been constructed and under performance check. Several checks are now being made on performances under thermal and vacum environments suffered in orbit. The OPUS BBM showed very stable perfomance as expected. The CMOS type array detector reveals very low noise and high quantum efficiency suitable for space use. In this paper we show the results of performance check of OPUS BBM. We also carried out the ground-based, zenith sky (scatter light) measurement for checking the S/N ratio of OPUS BBM as well as for demonstrating its ability to derive NO2 in the atmosphere. A preliminary analysis result is shown, and also shown is the result of algorithm study for space mission.

  16. Implementation and Operational Research: Expedited Results Delivery Systems Using GPRS Technology Significantly Reduce Early Infant Diagnosis Test Turnaround Times.

    Science.gov (United States)

    Deo, Sarang; Crea, Lindy; Quevedo, Jorge; Lehe, Jonathan; Vojnov, Lara; Peter, Trevor; Jani, Ilesh

    2015-09-01

    The objective of this study was to quantify the impact of a new technology to communicate the results of an infant HIV diagnostic test on test turnaround time and to quantify the association between late delivery of test results and patient loss to follow-up. We used data collected during a pilot implementation of Global Package Radio Service (GPRS) printers for communicating results in the early infant diagnosis program in Mozambique from 2008 through 2010. Our dataset comprised 1757 patient records, of which 767 were from before implementation and 990 from after implementation of expedited results delivery system. We used multivariate logistic regression model to determine the association between late result delivery (more than 30 days between sample collection and result delivery to the health facility) and the probability of result collection by the infant's caregiver. We used a sample selection model to determine the association between late result delivery to the facility and further delay in collection of results by the caregiver. The mean test turnaround time reduced from 68.13 to 41.05 days post-expedited results delivery system. Caregivers collected only 665 (37.8%) of the 1757 results. After controlling for confounders, the late delivery of results was associated with a reduction of approximately 18% (0.44 vs. 0.36; P < 0.01) in the probability of results collected by the caregivers (odds ratio = 0.67, P < 0.05). Late delivery of results was also associated with a further average increase in 20.91 days of delay in collection of results (P < 0.01). Early infant diagnosis program managers should further evaluate the cost-effectiveness of operational interventions (eg, GPRS printers) that reduce delays.

  17. Some Early Results from the Rossi X-ray Timing Explorer (RXTE)

    CERN Document Server

    Bradt, H V

    1997-01-01

    The Rossi X-ray Timing Explorer (RXTE) was successfully launched on 1995 December 30 and has been operational since that time. Its three instruments are probing regions close to compact objects, degenerate dwarfs, neutron stars, stellar black holes and the central engines of AGN. Temporal studies with the ASM and PCA have already yielded rich results which pertain to the environs, evolution, and nature of the compact objects in galactic systems. Here I review some selected results from these instruments, as obtained by various RXTE observers. The ASM is providing detailed light curves of about 60 detected sources and has uncovered new temporal/spectral states of galactic binary systems. The bizarre behavior of the possibly very young binary system, Cir X-1, is being revealed in detail by both the ASM and the PCA. A rare high/soft state of the black-hole candidate, Cyg X-1 provides new insight into the nature of the low/high transitions in black-hole binaries. The PCA has made possible the discovery of oscilla...

  18. Percutaneous Intraductal Radiofrequency Ablation is a Safe Treatment for Malignant Biliary Obstruction: Feasibility and Early Results

    Energy Technology Data Exchange (ETDEWEB)

    Mizandari, Malkhaz [Tbilisi State Medical University, Department of Radiology (Georgia); Pai, Madhava, E-mail: madhava.pai@imperial.ac.uk; Xi Feng [Imperial College, London, Hammersmith Hospital Campus, Department of Surgery (United Kingdom); Valek, Vlastimil; Tomas, Andrasina [University Hospital Brno Bohunice, Department of Radiology (Czech Republic); Quaretti, Pietro [IRCCS Policlinico San Matteo, Department of Radiology (Italy); Golfieri, Rita; Mosconi, Cristina [University of Bologna, Department of Radiology, Policlinico S. Orsola-Malpighi (Italy); Ao Guokun [The 309 Hospital of Chinese PLA, Department of Radiology (China); Kyriakides, Charis [Imperial College, London, Hammersmith Hospital Campus, Department of Surgery (United Kingdom); Dickinson, Robert [Imperial College London, Department of Bioengineering (United Kingdom); Nicholls, Joanna; Habib, Nagy, E-mail: nagy.habib@imperial.ac.uk [Imperial College, London, Hammersmith Hospital Campus, Department of Surgery (United Kingdom)

    2013-06-15

    Purpose. Previous clinical studies have shown the safety and efficacy of this novel radiofrequency ablation catheter when used for endoscopic palliative procedures. We report a retrospective study with the results of first in man percutaneous intraductal radiofrequency ablation in patients with malignant biliary obstruction. Methods. Thirty-nine patients with inoperable malignant biliary obstruction were included. These patients underwent intraductal biliary radiofrequency ablation of their malignant biliary strictures following external biliary decompression with an internal-external biliary drainage. Following ablation, they had a metal stent inserted. Results. Following this intervention, there were no 30-day mortality, hemorrhage, bile duct perforation, bile leak, or pancreatitis. Of the 39 patients, 28 are alive and 10 patients are dead with a median survival of 89.5 (range 14-260) days and median stent patency of 84.5 (range 14-260) days. One patient was lost to follow-up. All but one patient had their stent patent at the time of last follow-up or death. One patient with stent blockage at 42 days postprocedure underwent percutaneous transhepatic drain insertion and restenting. Among the patients who are alive (n = 28) the median stent patency was 92 (range 14-260) days, whereas the patients who died (n = 10) had a median stent patency of 62.5 (range 38-210) days. Conclusions. In this group of patients, it appears that this new approach is feasible and safe. Efficacy remains to be proven in future, randomized, prospective studies.

  19. Arthroscopic subcapital realignment osteotomy in chronic and stable slipped capital femoral epiphysis: early results

    Directory of Open Access Journals (Sweden)

    Bruno Dutra Roos

    Full Text Available ABSTRACT OBJECTIVE: This study aimed to evaluate the clinical and radiographic outcomes, as well as the complications of arthroscopic subcapital realignment osteotomy in chronic and stable slipped capital femoral epiphysis (SCFE. As indicated by the literature review, this is the first time this type of arthroscopic osteotomy was described. METHODS: Between June 2012 and December 2014, seven patients were submitted to arthroscopic subcapital realignment osteotomy in chronic and stable SCFE. The mean age was 11 years and 4 months, and the mean follow-up period was 16.5 months (6-36. Clinical results were evaluated using the Modified Harris Hip Score (MHHS, which was measured pre- and postoperatively. Radiographs were evaluated using the Southwick quantitative classification and the epiphysis-diaphysis angle (pre- and postoperatively. Complications were assessed. RESULTS: The mean preoperative MHHS was 35.8 points, and 97.5 points post-operatively (p < 0.05. Radiographically, five patients were classified as Southwick classification grade II and two as grade III. The mean correction of the epiphysis-diaphysis angle was 40°. No immediate postoperatively complications were observed. One patient presented femoral head avascular necrosis, without collapse or chondrolysis at the most recent follow-up (22 months. CONCLUSION: The arthroscopic technique presented for subcapital realignment osteotomy in chronic and stable SCFE showed satisfactory clinical and radiographic outcomes in a 16.5 months follow-up period.

  20. Cryopreserved allograft veins as alternative coronary artery bypass conduits: early phase results.

    Science.gov (United States)

    Laub, G W; Muralidharan, S; Clancy, R; Eldredge, W J; Chen, C; Adkins, M S; Fernandez, J; Anderson, W A; McGrath, L B

    1992-11-01

    Traditional autologous conduits are sometimes unavailable or unsuitable to permit total revascularization during coronary artery bypass grafting. In these patients the results of using nonautologous alternative conduits has been disappointing. Encouraged by the excellent long-term results seen with cryopreserved allograft valves, a clinical protocol was developed to evaluate the use of a commercially cryopreserved allograft saphenous vein (CPV). Our protocol consisted of using CPV when left internal mammary arteries and autologous saphenous vein grafts were unavailable or unsuitable for complete revascularization. Blood group (ABO) typed CPVs were thawed and implanted as required using standard surgical techniques. From December 1989 through June 1991, 19 of 1,602 patients who underwent coronary revascularization had CPVs implanted (1.2%). There were no operative deaths. An attempt was made to evaluate the patency of all grafts with coronary arteriography or ultrafast computed tomographic scans. Fourteen patients were available for patency evaluation. Patency rate in the 14 patients studied at a mean of 7 +/- 2 months (range, 2 to 16 months) were: internal mammary artery, 93% (14/15); saphenous vein graft, 80% (4/5); and CPV, 41% (7/17). The patency of the CPV was significantly less than the patency rate for the saphenous vein and internal mammary artery (p = 0.004). We conclude that the short-term patency rate of CPVs is inferior to that of autologous vessels. Due to its poor patency, we recommend that CPV should only be used when no other autologous conduit is available.

  1. Accelerometers for the GOCE Mission: on-ground verification and in-orbit early results

    Science.gov (United States)

    Foulon, B.; Christophe, B.; Marque, J.-P.

    2009-04-01

    The six accelerometers of the ESA GOCE mission have been developed by ONERA under contract with ThalesAleniaSpace France as Prime Contractor of the Gradiometer. These instruments are based on a principle similar to the ones flying from several years on board the CHAMP and the twin GRACE satellites but with some technological evolution to improve their resolution by 2 orders of magnitude in order to guarantee a level of noise acceleration lower than 2E-12 ms-2 Hz-1/2 as required by the GOCE mission scientific performance. Their contribution to the mission is double by providing the Satellite with the linear accelerations as input to the continuous drag compensation system and with the scientific data measurements to be on-ground processed. The presentation will first shortly describe the accelerometer together with a summary of on-ground test plan philosophy and results, including free fall tests in the Bremen drop tower. Then, if available at that time, the first and preliminary results of the in orbit performance of the accelerometers will be presented and compared. Such instrument can also contribute to improve the performance of some new geodetic mission by measuring more accurately the non gravitational forces acting on the satellites, as corner-stone instrument in some gradiometer arms or as sensor for drag compensation system of low orbit spacecrafts.

  2. Early results of an in vivo trial of ESS in thyroid cancer

    Science.gov (United States)

    Rosen, Jennifer E.; Goukassian, Ilona D.; A'Amar, Ousama M.; Bigio, Irving J.; Lee, Stephanie L.

    2012-02-01

    Introduction: Thyroid cancer is the most common endocrine malignancy. The current gold standard for diagnosis, fine-needle aspiration (FNA) biopsy, yields 10-25% of indeterminate cytology results, leading to patients undergoing thyroidectomy for diagnosis. We assessed the technical potential of a miniaturized in vivo ESS (elastic light scattering spectroscopy) probe, built into an FNA needle assembly, to differentiate benign from malignant thyroid nodules. Methods: Under IRB approval, 15 patients in the endocrine clinic undergoing FNAB of a thyroid nodule had collection of ESS data using our novel miniaturized FNA probe. Using final surgical pathology as our gold standard, data post processing and visual inspection was completed. Results: 225 spectra were grouped and analyzed (120 benign, 30 malignant and 75 from indeterminate cytology). ESS probes demonstrated excellent reproducibility in use. Initial analysis of these preliminary data is promising, indicating distinction of spectral ESS features between malignant and benign conditions. Conclusion(s): An in vivo trial of an invasive miniaturized integrated ESS biopsy probe is acceptable to patients, and collection of ESS data is feasible and reliable. With development of a disease-specific algorithm, ESS could potentially be used as an in-situ real time intra-operative diagnostic tool or as a minimally invasive adjunct to conventional FNA cytology.

  3. Carbon and Water Flux Observations from AmeriFlux and Fluxnet: Some Early Results

    Science.gov (United States)

    Law, B. E.

    2001-12-01

    Flux networks provide a means for scientists to make common measurements of carbon, water, and energy exchange, to share advancements in methods, and synthesize results across the network. AmeriFlux objectives are to: Determine how environmental factors and climate regulate ecosystem CO2 and H2O exchange over the short- and long-term, evaluate impacts of anthropogenic factors, and provide data and new understanding for incorporation into models. AmeriFlux is part of the larger international network, Fluxnet. Among Fluxnet sites, we investigated seasonal and annual CO2 and water vapor exchange, and relations with environmental variables to elucidate generalities within and among biomes. The data showed a strong linkage between carbon gain and water loss, with the highest water-use efficiency values for grasslands, and lowest values for tundra. Ecosystem respiration was only weakly correlated with mean annual temperature across biomes, in spite of sensitivity within site over shorter temporal scales. Mean annual temperature and site water balanced explained much of the variation in gross photosynthesis, whereby water availability limits LAI over the long-term, and inter-annual climate variability limits carbon uptake below the potential of the leaf area available for photosynthesis. We compared BIOME-BGC model results among AmeriFlux coniferous forests, and the model showed that variation in net ecosystem carbon exchange (NEE) is mostly a function of disturbance history, with important secondary effects from site climate, ecophysiology, and changing atmospheric CO2 and nitrogen deposition.

  4. Planck early results. IV. First assessment of the High Frequency Instrument in-flight performance

    DEFF Research Database (Denmark)

    Bréelle, E.; Bucher, M.; Cressiot, C.

    2011-01-01

    The Planck High Frequency Instrument (HFI) is designed to measure the temperature and polarization anisotropies of the cosmic microwave background and Galactic foregrounds in six ~30% bands centered at 100, 143, 217, 353, 545, and 857 GHz at an angular resolution of 10′ (100 GHz), 7′ (143 GHz...... as the ones chosen during ground testing. Observations of Mars, Jupiter, and Saturn have confirmed that the optical beams and the time responses of the detection chains are in good agreement with the predictions of physical optics modeling and pre-launch measurements. The Detectors suffer from a high flux...... heat load on the sub-Kelvin stage. Temporal variation and the inhomogeneous distribution of the flux results in thermal fluctuations that are a probable source of low frequency noise. The removal of systematic effects in the time ordered data provides a signal with an average noise equivalent power...

  5. Learning neuroendoscopy with an exoscope system (video telescopic operating monitor): Early clinical results

    Science.gov (United States)

    Parihar, Vijay; Yadav, Y. R.; Kher, Yatin; Ratre, Shailendra; Sethi, Ashish; Sharma, Dhananjaya

    2016-01-01

    Context: Steep learning curve is found initially in pure endoscopic procedures. Video telescopic operating monitor (VITOM) is an advance in rigid-lens telescope systems provides an alternative method for learning basics of neuroendoscopy with the help of the familiar principle of microneurosurgery. Aims: The aim was to evaluate the clinical utility of VITOM as a learning tool for neuroendoscopy. Materials and Methods: Video telescopic operating monitor was used 39 cranial and spinal procedures and its utility as a tool for minimally invasive neurosurgery and neuroendoscopy for initial learning curve was studied. Results: Video telescopic operating monitor was used in 25 cranial and 14 spinal procedures. Image quality is comparable to endoscope and microscope. Surgeons comfort improved with VITOM. Frequent repositioning of scope holder and lack of stereopsis is initial limiting factor was compensated for with repeated procedures. Conclusions: Video telescopic operating monitor is found useful to reduce initial learning curve of neuroendoscopy.

  6. Planck Early Results: Dust in the diffuse interstellar medium and the Galactic halo

    CERN Document Server

    Abergel, A; Aghanim, N; Arnaud, M; Ashdown, M; Aumont, J; Baccigalupi, C; Balbi, A; Banday, A J; Barreiro, R B; Bartlett, J G; Battaner, E; Benabed, K; Benoit, A; Bernard, J -P; Bersanelli, M; Bhatia, R; Blagrave, K; Bock, J J; Bonaldi, A; Bond, J R; Borrill, J; Bouchet, F R; Boulanger, F; Bucher, M; Burigana, C; Cabella, P; Cantalupo, C M; Cardoso, J -F; Catalano, A; Cayon, L; Challinor, A; Chamballu, A; Chiang, L -Y; Chiang, C; Christensen, P R; Clements, D L; Colombi, S; Couchot, F; Coulais, A; Crill, B P; Cuttaia, F; Danese, L; Davies, R D; Davis, R J; de Bernardis, P; de Gasperis, G; de Rosa, A; de Zotti, G; Delabrouille, J; Delouis, J -M; Desert, F -X; Dickinson, C; Donzelli, S; Dore, O; Dorl, U; Douspis, M; Dupac, X; Efstathiou, G; Ensslin, T A; Eriksen, H K; Finelli, F; Forni, O; Frailis, M; Franceschi, E; Galeotta, S; Ganga, K; Giard, M; Giardino, G; Giraud-Heraud, Y; Gonzalez-Nuevo, J; Gorski, K M; Gratton, S; Gregorio, A; Gruppuso, A; Hansen, F K; Harrison, D; Helou, G; Henrot-Versille, S; Herranz, D; Hildebrandt, S R; Hivon, E; Hobson, M; Holmes, W A; Hovest, W; Hoyland, R J; Huffenberger, K M; Jaffe, A H; Joncas, G; Jones, A; Jones, W C; Juvela, M; Keihanen, E; Keskitalo, R; Kisner, T S; Kneissl, R; Knox, L; Kurki-Suonio, H; Lagache, G; Lamarre, J -M; Lasenby, A; Laureijs, R J; Lawrence, C R; Leach, S; Leonardi, R; Leroy, C; Linden-Vornle, M; Lockman, F J; Lopez-Caniego, M; Lubin, P M; Macias-Perez, J F; MacTavish, C J; Maffei, B; Maino, D; Mandolesi, N; Mann, R; Maris, M; Marshall, D J; Martin, P; Martinez-Gonzalez, E; Masi, S; Matarrese, S; Matthai, F; Mazzotta, P; McGehee, P; Meinhold, P R; Melchiorri, A; Mendes, L; Mennella, A; Miville-Deschenes, M -A; Moneti, A; Montier, L; Morgante, G; Mortlock, D; Munshi, D; Murphy, A; Naselsky, P; Nati, F; Natoli, P; Netterfield, C B; Norgaard-Nielsen, H U; Noviello, F; Novikov, D; Novikov, I; O'Dwyer, I J; Osborne, S; Pajot, F; Paladini, R; Pasian, F; Patanchon, G; Perdereau, O; Perotto, L; Perrotta, F; Piacentini, F; Piat, M; Goncalves, D Pinheiro; Plaszczynski, S; Pointecouteau, E; Polenta, G; Ponthieu, N; Poutanen, T; Prezeau, G; Prunet, S; Puget, J -L; Rachen, J P; Reach, W T; Reinecke, M; Renault, C; Ricciardi, S; Riller, T; Ristorcelli, I; Rocha, G; Rosset, C; Rowan-Robinson, M; Rubino-Martin, J A; Rusholme, B; Sandri, M; Santos, D; Savini, G; Scott, D; Seiffert, M D; Shellard, P; Smoot, G F; Starck, J -L; Stivoli, F; Stolyarov, V; Stompor, R; Sudiwala, R; Sygnet, J -F; Tauber, J A; Terenzi, L; Toffolatti, L; Tomasi, M; Torre, J -P; Tristram, M; Tuovinen, J; Umana, G; Valenziano, L; Vielva, P; Villa, F; Vittorio, N; Wade, L A; Wandelt, B D; Wilkinson, A; Yvon, D; Zacchei, A; Zonca, A

    2011-01-01

    This paper presents the first results of comparison of Planck along with IRAS data with Green Bank Telescope 21 cm observations in 14 fields covering more than 800 square degrees at high Galactic latitude. Galactic dust emission for fields with average column density lower than 2 x 10^20 cm^-2 is well correlated with 21 cm emission. The residual emission in these fields, once the HI-correlated emission is removed, is consistent with the expected statistical properties of the cosmic infrared background fluctuations. Fields with larger average column densities show significant excess dust emission compared to the HI column density. Regions of excess lie in organized structures that suggest the presence of hydrogen in molecular form, though they are not always correlated with CO emission. Dust emission from intermediate-velocity clouds is detected by this correlation analysis with high significance. Its spectral properties are consistent with, compared to the local ISM values, significantly hotter dust (T ~ 20 K...

  7. Planck early results. XI. Calibration of the local galaxy cluster Sunyaev-Zeldovich scaling relations

    DEFF Research Database (Denmark)

    Bucher, M.; Delabrouille, J.; Giraud-Héraud, Y.;

    2011-01-01

    corresponding to a total density contrast of 500. Combining these high quality Planck measurements with deep XMM-Newton X-ray data, we investigate the relations between DA2 Y500, the integrated Compton parameter due to the SZ effect, and the X-ray-derived gas mass M g,500, temperature TX, luminosity LX,500, SZ...... signal analogue YX,500 = Mg,500 × TX, and total mass M500. After correction for the effect of selection bias on the scaling relations, we find results that are in excellent agreement with both X-ray predictions and recently-published ground-based data derived from smaller samples. The present data yield......We present precise Sunyaev-Zeldovich (SZ) effect measurements in the direction of 62 nearby galaxy clusters (z mass, 2 × 1014 M mass...

  8. Early Results from a Multi-Thermal Model for the Cooling of Post-Flare Loops

    Science.gov (United States)

    Reeves, K. K.; Warren, H. P.

    2002-01-01

    We have developed a multi-thermal model for the cooling of post-flare loops. The model consists of an arcade of many nested loops that reconnect and begin cooling at slightly different times, and have different cooling profiles because of the different loop lengths across the arcade. Cooling due to both conductive and radiative processes is taken into account. The free parameters in the model include initial temperature and density in the loop, loop width and the initial loop length. The results from the model are then compared to TRACE and SXT observations. Our many-loop model does a much better job of predicting the SXT and TRACE light curves than a similar model with only one loop.

  9. Early results of the posterior saggital anorectoplasty in the treatment of anorectal malformations in Nigerian children

    Directory of Open Access Journals (Sweden)

    Sowande O

    2006-01-01

    Full Text Available CONTEXT: The ultimate goal of reconstruction in anorectal malformations (ARM in children, is to create a functional and anatomically aesthetic neoanus. AIMS: To document our experience with the technique of PSARP in ARM and the immediate anatomical and functional outcome SETTINGS AND DESIGN: A retrospective study 39 patients with high and intermediate ARM, managed by the posterior saggital approach, at the Obafemi Awolowo University Teaching Hospital in Ile Ife, Nigeria MATERIALS AND METHODS: Patient′s bio-data were collected, as well as, the presentation, investigations, associated malformations, complications, average bowel opening per day and follow up. RESULTS: There were 17 males and 22 females (male: female ratio 1: 1.3. Twenty-three patients (59% and 15 patients (38.5%, had intermediate and high malformations respectively, while 1(2.5% had cloaca malformation. The mean age at presentation was 13.9±30.1 month (range 2 day to 15 years, while the mean age at PSARP was 21.6±29.9 months (range 2.5 days to 15 years. 3(7.6% patients required laparotomy to mobilize the rectal pouch from the abdomen. Mucosal prolapse was the most common significant postoperative problem, occurring in 4(10.3% patients. The average bowel motion was 3 times daily (range 1 to 8 times per day. CONCLUSIONS: The PSARP is a useful procedure for the correction of ARM, in children in developing countries, even in the absence of muscle stimulators. The immediate anatomical outcome is satisfactory, but functional results are difficult to access because of poor follow up.

  10. Human amyloidogenic light chain proteins result in cardiac dysfunction, cell death, and early mortality in zebrafish

    Science.gov (United States)

    Mishra, Shikha; Guan, Jian; Plovie, Eva; Seldin, David C.; Connors, Lawreen H.; Merlini, Giampaolo; Falk, Rodney H.; MacRae, Calum A.

    2013-01-01

    Systemic amyloid light-chain (AL) amyloidosis is associated with rapidly progressive and fatal cardiomyopathy resulting from the direct cardiotoxic effects of circulating AL light chain (AL-LC) proteins and the indirect effects of AL fibril tissue infiltration. Cardiac amyloidosis is resistant to standard heart failure therapies, and, to date, there are limited treatment options for these patients. The mechanisms underlying the development of cardiac amyloidosis and AL-LC cardiotoxicity are largely unknown, and their study has been limited by the lack of a suitable in vivo model system. Here, we establish an in vivo zebrafish model of human AL-LC-induced cardiotoxicity. AL-LC isolated from AL cardiomyopathy patients or control nonamyloidogenic LC protein isolated from multiple myeloma patients (Con-LC) was directly injected into the circulation of zebrafish at 48 h postfertilization. AL-LC injection resulted in impaired cardiac function, pericardial edema, and increased cell death relative to Con-LC, culminating in compromised survival with 100% mortality within 2 wk, independent of AL fibril deposition. Prior work has implicated noncanonical p38 MAPK activation in the pathogenesis of AL-LC-induced cardiotoxicity, and p38 MAPK inhibition via SB-203580 rescued AL-LC-induced cardiac dysfunction and cell death and attenuated mortality in zebrafish. This in vivo zebrafish model of AL-LC cardiotoxicity demonstrates that antagonism of p38 MAPK within the AL-LC cardiotoxic signaling response may serve to improve cardiac function and mortality in AL cardiomyopathy. Furthermore, this in vivo model system will allow for further study of the molecular underpinnings of AL cardiotoxicity and identification of novel therapeutic strategies. PMID:23624626

  11. The Early Results of a New Health Care Program Implementation in HBV Screening: an Iranian Experience.

    Science.gov (United States)

    Sharifian, Afsaneh; Naderi, Nostratollah; Sanati, Azar; Mohebi, Seyed Reza; Azimzadeh, Pedram; Golmohamadi, Ali; Nori, Simin; Khanyaghma, Mahsa; Sheikhesmaeili, Farshad; Zali, Mohamad Reza

    2015-10-01

    BACKGROUND According to the reports of World Health Organization (WHO) and Centers for Disease Control and Prevention, the prevalence of chronic hepatitis B infection in Iran has decreased from 2-7% in 2001 to 1.3-0.8% in children aged 2-14 years. In 2010 the Institute of Medicine recommended more comprehensive screening by primary care physicians (PCPs) for evaluation, vaccination, and management of infected patients for further decrease in the prevalence of chronic HBV infection. Thus, with contribution of the Health Department, we developed a practical flowchart for PCPs to start active screening of hepatitis B virus (HBV) in all visited patients and refer the positive cases for further evaluation and management to Taleghani Hospital. METHODS With collaboration of Health Department of Shahid Beheshti University of Medical Sciences), physicians of health centers were asked to screen all their patients for HBsAg. Positive cases were referred to Taleghani Hospital. They were first registered and educated about their disease, life style, and prevention methods. Their first degree families were screened for HBV infection too and were referred for vaccination if needed. According to the results of lab tests, appropriate management was done by a hepatologist. RESULTS Since implementation of this program, we have encountered a significant rise in patient detection (even in high risk groups). Many of them were not aware of their disease and most of those who were aware of their disease were not managed appropriately. Family screening and vaccination were inadequate and need more emphasis. CONCLUSION Although health system is active about screening of HBV infection in high risk populations, it is not perfect. It seems that health system needs to upgrade the screening and management programs of HBV infection.

  12. Optimal Geoid Modelling to determine the Mean Ocean Circulation - Project Overview and early Results

    Science.gov (United States)

    Fecher, Thomas; Knudsen, Per; Bettadpur, Srinivas; Gruber, Thomas; Maximenko, Nikolai; Pie, Nadege; Siegismund, Frank; Stammer, Detlef

    2017-04-01

    The ESA project GOCE-OGMOC (Optimal Geoid Modelling based on GOCE and GRACE third-party mission data and merging with altimetric sea surface data to optimally determine Ocean Circulation) examines the influence of the satellite missions GRACE and in particular GOCE in ocean modelling applications. The project goal is an improved processing of satellite and ground data for the preparation and combination of gravity and altimetry data on the way to an optimal MDT solution. Explicitly, the two main objectives are (i) to enhance the GRACE error modelling and optimally combine GOCE and GRACE [and optionally terrestrial/altimetric data] and (ii) to integrate the optimal Earth gravity field model with MSS and drifter information to derive a state-of-the art MDT including an error assessment. The main work packages referring to (i) are the characterization of geoid model errors, the identification of GRACE error sources, the revision of GRACE error models, the optimization of weighting schemes for the participating data sets and finally the estimation of an optimally combined gravity field model. In this context, also the leakage of terrestrial data into coastal regions shall be investigated, as leakage is not only a problem for the gravity field model itself, but is also mirrored in a derived MDT solution. Related to (ii) the tasks are the revision of MSS error covariances, the assessment of the mean circulation using drifter data sets and the computation of an optimal geodetic MDT as well as a so called state-of-the-art MDT, which combines the geodetic MDT with drifter mean circulation data. This paper presents an overview over the project results with focus on the geodetic results part.

  13. The Results and Prognostic Factors of Postoperative Radiation Therapy in the Early Stages of Endometrial Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kyung Ja [Ewha Womans University College of Medicine, Seoul (Korea, Republic of)

    2008-09-15

    To evaluate the results and prognostic factors for postoperative adjuvant radiation therapy in patients at stages I and II of endometrial cancer. Materials and Methods: Between January 1991 and December 2006, 35 patients with FIGO stages I and II disease, who received adjuvant radiation therapy following surgery for endometrial cancer at Ewha Womans University Hospital, were enrolled in this study. A total of 17 patients received postoperative pelvic external beam radiation therapy; whereas, 12 patients received vaginal brachytherapy alone, and 6 patients received both pelvic radiation therapy and vaginal brachytherapy. Results: The median follow-up period for all patients was 54 months. The 5-yr overall survival and disease-free survival rates for all patients were 91.4% and 81.7%, respectively. The 5-yr overall survival rates for low-risk, intermediate-risk, and high-risk groups were 100%, 100% and 55.6%, respectively. In addition, the 5-yr disease-free survival rates were 100%, 70.0%, and 45.7%, respectively. Although no locoregional relapses were identified, distant metastases were observed in 5 patients (14%). The most common site of distant metastases was the lung, followed by bone, liver, adrenal gland, and peritoneum. A univariate analysis revealed a significant correlation between distant metastases and risk-group (p=0.018), pathology type (p=0.001), and grade (p=0.019). A multivariate analysis also revealed that distant metastases were correlated with pathology type (p=0.009). Papillary, serous and clear cell carcinoma cases demonstrated a poor patient survival rate compared to cases of endometrioid adenocarcinoma or adenosquamous carcinoma. The most common complication of pelvic external beam radiation therapy was enteritis (30%), followed by proctitis, leucopenia, and lymphedema. All these complications were of RTOG grades 1 and 2; no grades 3 and 4 were observed. Conclusion: For the low-risk and intermediate-risk groups (stages 1 and 2) endometrial

  14. Adenocarcinoma of the esophagogastric junction. Neoadjuvant radiochemotherapy and radical surgery. Early results and toxicity

    Energy Technology Data Exchange (ETDEWEB)

    Leibl, Bernhard J. [Klinikum Coburg (Germany). Dept. of Surgery; Coburg Cancer Center, Coburg (Germany); Vitz, Stephanie; Schaefer, Wolfgang; Alfrink, Martin; Grabenbauer, Gerhard G. [DiCura Coburg, Coburg (Germany). Dept. of Radiation Oncology; Coburg Cancer Center, Coburg (Germany); Geschwendtner, Andreas [Klinikum Coburg (Germany). Dept. of Pathology; Coburg Cancer Center, Coburg (Germany)

    2011-04-15

    Purpose: To retrospectively evaluate treatment results and toxicity following a combined approach consisting of neoadjuvant radiochemotherapy and radical surgery in advanced adenocarcinoma of the esophagus and gastroesophageal junction. Patients and Methods: Between 2005 and 2009, a total of 41 consecutive patients with newly diagnosed nonmetastatic adenocarcinoma of the esophagus and the esophagogastric junction were evaluated, of whom 23 received neoadjuvant radiochemo-therapy (RCT). A total dose of 50.4 Gy with 2 cycles of simultaneous cisplatin/5-fluorouracil (FU) or Taxol/FU-chemotherapy were applied. A radical transthoracic subtotal esophageal and proximal gastric resection through a right thoracoabdominal laparotomy with intrathoracic anastomosis was performed 6-8 weeks following RCT. This was combined with a two-field lymphadenectomy of mediastinal and abdominal lymph nodes. Standard histopathological evaluation included the application of regression grading according to Werner and Hoefler. Toxicity was recorded on the basis of CTC criteria; survival curves were calculated according to Kaplan-Meier. V10, V15, and V20 data were correlated with pulmonary toxicity. Results: Overall survival for all 23 patients was 61% at 3 years. Of the original 23 patients, 18 (78%) patients proceeded to radical surgery. Reasons for no surgery included advanced age of 79, 82, and 86 years (n = 3), severe comorbidity (n = 1), and progression during radiochemotherapy (n = 1). Surgical morbidity (grade 3-4) and mortality rates were 35% and 6%, respectively. Resurgery was necessary in 3 cases (18%). Clear resection margins were achieved in 17 of 18 patients (94%). Twelve of 18 (67%) patients initially diagnosed with T3 tumors and 3 of 3 patients with T4 tumors experienced downstaging. The ypN0 rate was 12 of 18 patients (67%). Out of a total of 18 patients, regression grading revealed < 10% viable cells in 8 (44%) including 3 cases (17%) with complete regression, 10-50% viable

  15. Lack of IL-6 during coxsackievirus infection heightens the early immune response resulting in increased severity of chronic autoimmune myocarditis.

    Directory of Open Access Journals (Sweden)

    Maya C Poffenberger

    Full Text Available BACKGROUND: Chronic myocarditis is often initiated by viral infection, the most common of which is coxsackievirus infection. The precise mechanism by which viral infection leads to chronic autoimmune pathology is poorly understood, however it is clear that the early immune response plays a critical role. Previous results have shown that the inflammatory cytokine interleukin (IL-6 is integral to the development of experimental-induced autoimmune myocarditis. However, the function of IL-6 during viral-mediated autoimmunity has yet to be elucidated. METHODS AND RESULTS: To address the requirement of IL-6 during disease induction, IL-6 deficient mice were infected with coxsackievirus B3 (CB3. Following infection, mice lacking IL-6 developed increased chronic autoimmune disease pathology compared to wild type controls without a corresponding change in the level of viral replication in the heart. This increase in disease severity was accompanied by elevated levels of TNF-alpha, MCP-1, IL-10, activated T cells and cardiac infiltrating macrophage/monocytes. Injection of recombinant IL-6 early following infection in the IL-6 deficient mice was sufficient to lower the serum cytokines TNF-alpha and IL-10 as well as the serum chemokines MCP-1, MIP-1beta, RANTES and MIG with a corresponding decrease in the chronic disease pathology strongly suggests an important regulatory role for IL-6 during the early response. CONCLUSIONS: While IL-6 plays a pathogenic role in experimental-induced autoimmune disease, its function following viral-induced autoimmunity is not reprised. By regulating the early immune response and thereby controlling the severity of chronic disease, IL-6 directs the outcome of chronic autoimmune myocarditis.

  16. Early results of the use of oblong S-ROM cementless acetabular component

    Directory of Open Access Journals (Sweden)

    Popović Zoran

    2003-01-01

    Full Text Available Massive deficiency of acetabular bone stock is a challenging problem in the increasing number of patients who need a revision of the failed hip arthroplasty. Oblong acetabular cup has been presented as an alternative reconstruction technique for hips with extensive acetabular bone loss. The aim of this study was to present our results with the use of a bilobed acetabular component inserted during revisional surgery, to define indications, and to introduce this method into our orthopaedic practice. Seven patients underwent revisional hip arthroplasty with a cementless oblong acetabular component between September 2000 and June 2002. Six patients underwent revisional hip arthroplasty, and in one primary hip arthroplasty by oblong acetabular component was performed because of bone defect of acetabulum after gunshot fracture. The average follow up was thirteen months. Radiographic analysis in all patients demonstrated stable bone incorporated acetabular component with the restored hip. All the patients walked with full weight bearing and were without pain. On the basis of our experience we find this method statisfactory in certain types of bone defefects of acetabulum, and that it provides stable reconstruction of acetabulum with the correction of hip joint.

  17. Planck Early Results: Calibration of the local galaxy cluster Sunyaev-Zeldovich scaling relations

    CERN Document Server

    Ade, P A R; Arnaud, M; Ashdown, M; Aumont, J; Baccigalupi, C; Balbi, A; Banday, A J; Barreiro, R B; Bartelmann, M; Bartlett, J G; Battaner, E; Benabed, K; Benoît, A; Bernard, J -P; Bersanelli, M; Bhatia, R; Bock, J J; Bonaldi, A; Bond, J R; Borrill, J; Bouchet, F R; Bourdin, H; Brown, M L; Bucher, M; Burigana, C; Cabella, P; Cardoso, J -F; Catalano, A; Cayón, L; Challinor, A; Chamballu, A; Chiang, L -Y; Chiang, C; Chon, G; Christensen, P R; Churazov, E; Clements, D L; Colafrancesco, S; Colombi, S; Couchot, F; Coulais, A; Crill, B P; Cuttaia, F; Da Silva, A; Dahle, H; Danese, L; de Bernardis, P; de Gasperis, G; de Rosa, A; de Zotti, G; Delabrouille, J; Delouis, J -M; Désert, F -X; Diego, J M; Dolag, K; Donzelli, S; Doré, O; Dörl, U; Douspis, M; Dupac, X; Efstathiou, G; En\\sslin, T A; Finelli, F; Flores, I; Forni, O; Frailis, M; Franceschi, E; Fromenteau, S; Galeotta, S; Ganga, K; Génova-Santos, R T; Giard, M; Giardino, G; Giraud-Héraud, Y; González-Nuevo, J; Górski, K M; Gratton, S; Gregorio, A; Gruppuso, A; Harrison, D; Henrot-Versillé, S; Hernández-Monteagudo, C; Herranz, D; Hildebrandt, S R; Hivon, E; Hobson, M; Holmes, W A; Hovest, W; Hoyland, R J; Huffenberger, K M; Jaffe, A H; Jones, W C; Juvela, M; Keihänen, E; Keskitalo, R; Kisner, T S; Kneissl, R; Knox, L; Kurki-Suonio, H; Lagache, G; Lamarre, J -M; Lanoux, J; Lasenby, A; Laureijs, R J; Lawrence, C R; Leach, S; Leonardi, R; Liddle, A; Lilje, P B; Linden-V\\ornle, M; López-Caniego, M; Lubin, P M; Macías-Pérez, J F; MacTavish, C J; Maffei, B; Maino, D; Mandolesi, N; Mann, R; Maris, M; Marleau, F; Martínez-González, E; Masi, S; Matarrese, S; Matthai, F; Mazzotta, P; Melchiorri, A; Melin, J -B; Mendes, L; Mennella, A; Mitra, S; Miville-Deschênes, M -A; Moneti, A; Montier, L; Morgante, G; Mortlock, D; Munshi, D; Murphy, A; Naselsky, P; Natoli, P; Netterfield, C B; N\\orgaard-Nielsen, H U; Noviello, F; Novikov, D; Novikov, I; Osborne, S; Pajot, F; Pasian, F; Patanchon, G; Perdereau, O; Perotto, L; Perrotta, F; Piacentini, F; Piat, M; Pierpaoli, E; Piffaretti, R; Plaszczynski, S; Pointecouteau, E; Polenta, G; Ponthieu, N; Poutanen, T; Pratt, G W; Prézeau, G; Prunet, S; Puget, J -L; Rachen, J P; Rebolo, R; Reinecke, M; Renault, C; Ricciardi, S; Riller, T; Ristorcelli, I; Rocha, G; Rosset, C; Rubiño-Martín, J A; Rusholme, B; Sandri, M; Santos, D; Savini, G; Schaefer, B M; Scott, D; Seiffert, M D; Shellard, P; Smoot, G F; Starck, J -L; Stivoli, F; Stolyarov, V; Sudiwala, R; Sunyaev, R; Sygnet, J -F; Tauber, J A; Terenzi, L; Toffolatti, L; Tomasi, M; Torre, J -P; Tristram, M; Tuovinen, J; Valenziano, L; Vibert, L; Vielva, P; Villa, F; Vittorio, N; Wade, L A; Wandelt, B D; White, S D M; White, M; Yvon, D; Zacchei, A; Zonca, A

    2011-01-01

    We present precise Sunyaev-Zeldovich (SZ) effect measurements in the direction of 62 nearby galaxy clusters (z <0.5) detected at high signal-to-noise in the first Planck all-sky dataset. The sample spans approximately a decade in total mass, 10^14 < M_500 < 10^15, where M_500 is the mass corresponding to a total density contrast of 500. Combining these high quality Planck measurements with deep XMM-Newton X-ray data, we investigate the relations between D_A^2 Y_500, the integrated Compton parameter due to the SZ effect, and the X-ray-derived gas mass M_g,500, temperature T_X, luminosity L_X, SZ signal analogue Y_X,500 = M_g,500 * T_X, and total mass M_500. After correction for the effect of selection bias on the scaling relations, we find results that are in excellent agreement with both X-ray predictions and recently-published ground-based data derived from smaller samples. The present data yield an exceptionally robust, high-quality local reference, and illustrate Planck's unique capabilities for a...

  18. Verbal Fluency and Early Memory Decline: Results from the Wisconsin Registry for Alzheimer's Prevention

    Science.gov (United States)

    Mueller, Kimberly Diggle; Koscik, Rebecca L.; LaRue, Asenath; Clark, Lindsay R.; Hermann, Bruce; Johnson, Sterling C.; Sager, Mark A.

    2015-01-01

    This study examined the relationship between phonemic and semantic (category) verbal fluency and cognitive status in the Wisconsin Registry for Alzheimer’s Prevention (WRAP), a longitudinal cohort enriched for family history of Alzheimer’s disease. Participants were 283 WRAP subjects (age 53.1[6.5] years at baseline); who had completed three waves of assessment, over ∼6 years and met psychometric criteria either for “cognitively healthy” (CH) or for psychometric amnestic mild cognitive impairment (aMCI) using an approach that did not consider fluency scores. CH and aMCI groups differed significantly on phonemic total scores, category total scores, phonemic switching, and category mean cluster size. These results suggest that measures of both phonemic and semantic fluency yield lower scores in persons with evidence of psychometric aMCI compared with those who are CH. Differences have not previously been reported in a group this young, and provide evidence for the importance of including multiple verbal fluency tests targeting preclinical Alzheimer’s disease. PMID:26025231

  19. Status and Early Commissioning Results for the PEP-IIB-Factory High Energy Ring

    Science.gov (United States)

    Wienands, H.-Ulrich

    1997-05-01

    The PEP-II B-Factory High Energy Ring (HER) is a 2.2 km 9 GeV electron ring for 1 A beam current, construction of which is currently being completed at SLAC. The HER beam will collide with positrons from the 3.1 GeV, 2 A Low Energy Ring which is on a one-year later schedule. The SLAC linac will serve as high-intensity, low-emittance injector for the facility. By March 1997 the HER magnet and power system will have been installed and checked out. The vacuum system---capable of absorbing 10 MW of synchrotron radiation---will be closed and evacuated. Two initial rf stations with four cavities each, sufficient to support beams up to several hundred mA, will have been installed. The beam-position monitor (BPM) system consists of about 300 button-type BPM and is capable of single-turn data acquisition. A sophisticated beam-loss monitor system using Cherenkov detectors is capable of localizing losses over a 10-6 intensity range. A phased commissioning plan has been adopted with initial beam commissioning activities scheduled to commence in spring 1997, focusing on lattice optics diagnosis and tuning. We will present our experience checking out the various accelerator systems and our beam commissioning plans. First results of beam commissioning will be presented as they are available.

  20. Early marriage, premarital fertility, and marital dissolution: results for Blacks and Whites.

    Science.gov (United States)

    Teachman, J D

    1983-03-01

    Based on data from the marital histories contained in the 1973 National Survey of Family Growth, this research investigates the impact of age at 1st marriage and premarital fertility status on subsequent marital dissolution for both black women and white women 1st married between 1950 and 1970. Results, using multivariate proportional hazards models, indicate that 1) premarital births, but not premarital pregnancies, increase the risk of marital dissolution; 2) an increasing age at the 1st marriage reduces the risk of marital separation and divorce, but not monotonically; 3) blacks differ from whites in that they are less responsive to the effects of a premarital birth or a young age at 1st marriage in increasing the likelihood of marital instability; and 4) an older age at 1st marriage offsets somewhat the destabilizing effects of a premarital birth. Variables used in the analysis include husband/wife age difference at marriage, education at marriage, farm versus nonfarm background, stability of parental marriage, religion, religiosity, work before marriage, number of siblings, urban or rural residence, western versus nonwestern region, 1st marriage cohort, premarital fertility status and age at 1st marriage. Policy implications include reducing the level of premarital births, and establishing support programs for those having a premarital birth without a legitimating marriage which will delay subsequent marriage, especially if the birth occurred at a young age.

  1. Early results of sarcomeric gene screening from the Egyptian National BA-HCM Program.

    Science.gov (United States)

    Kassem, Heba Sh; Azer, Remon S; Saber-Ayad, Maha; Ayad, Maha S; Moharem-Elgamal, Sarah; Magdy, Gehan; Elguindy, Ahmed; Cecchi, Franco; Olivotto, Iacopo; Yacoub, Magdi H

    2013-02-01

    The present study comprised sarcomeric genotyping of the three most commonly involved sarcomeric genes: MYBPC3, MYH7, and TNNT2 in 192 unrelated Egyptian hypertrophic cardiomyopathy (HCM) index patients. Mutations were detected in 40 % of cases. Presence of positive family history was significantly (p=0.002) associated with a higher genetic positive yield (49/78, 62.8 %). The majority of the detected mutations in the three sarcomeric genes were novel (40/62, 65 %) and mostly private (47/62, 77 %). Single nucleotide substitution was the most frequently detected mutation type (51/62, 82 %). Over three quarters of these substitutions (21/27, 78 %) involved CpG dinucleotide sites and resulted from C>T or G>A transition in the three analyzed genes, highlighting the significance of CpG high mutability within the sarcomeric genes examined. This study could aid in global comparative studies in different ethnic populations and constitutes an important step in the evolution of the integrated clinical, translational, and basic science HCM program.

  2. Endovascular stents for coarctation of aorta in children and adolescents: early and intermediate- term results

    Directory of Open Access Journals (Sweden)

    Mortezaeian Langroodi H

    2010-09-01

    Full Text Available "nBackground: Coarctation of aorta is narrowing of proximal descending aorta. Interventional procedures such as balloon angioplasty & stent implantation has been progressively in use as alternatives for surgery in increasing number of children with diagnosis of coarctation of aorta. The aim of this study was to evaluate the use of endovascular stent in children with coarctation of aorta."n "nMethods: We evaluated effectiveness and safety of stenting in all patients younger than 18 years old with coarctation and re-coarctation of aorta which treated by stenting between years 2004-9 at rajaei - heart centre in Tehran, Iran. "n "nResults: we studied 53 patients younger than 18 years old with a follow up of six months. Totally 54 stents were implanted. Mean (±SD age of the patients was 11.6±4.2yrs. Seventeen cases (32% were younger than 10 years old, and 36 cases (68% were 10 years and older. Mean (±SD weight was 39.24±18kg. 16 cases weighting less than 25kg. Peak systolic pressure gradient (SPG decreased from 46.26±17.07 to 1.03±0.19mmHg after procedure (p<0.001. There was no significant difference (p<0.001 in the gradient before and after stenting in the patients with native coarctation (Vs re-coarctation cases, less than 25 kg and under 10 years old groups. Complications developed in 44% of cases while dominantly were minor except in two cases re-dilatation of stent was not needed during six month of follow-up of the patients."n "nConclusions: Stenting of coarctation of aorta can decrease complications and can be used safely in children weighing bellow 25kg and in children below 10yrs old.

  3. Development and preliminary results of an in vivo Raman probe for early lung cancer detection

    Science.gov (United States)

    Short, Michael A.; Lam, Stephen; McWilliams, Annette; Zhao, Jianhua; Lui, Harvey; Zeng, Haishan

    2008-02-01

    Our previous results from Raman spectroscopy studies on ex vivo lung tissue showed the technique had great potential to differentiate between samples with different pathologies. In this work, a fast dispersive-type near-infrared (NIR) Raman spectroscopy system was developed to collect real-time, noninvasive, in vivo human lung spectra. The 785 nm excitation, and the collection of tissue emission were accomplished by using a reusable fiber optic catheter which passed down the instrument channel of a bronchoscope. Filters in two stages blocked laser emission other than 785 nm from reaching the tissue surface, and reduced fiber fluorescence and elastically scattered excitation light from being passed to the spectrometer. The spectrometer itself consisted of one of two holographic gratings with usable frequency ranges of: 700 to 2000 cm -1 and 1500 to 3400 cm -1. The dispersed light was detected by a cooled CCD array consisting of 400 by 1340 pixels. To increase the resolution of the system, while maximizing the throughput, a second fiber bundle, consisting of 54×100 μm diameter fibers connected the catheter to the spectrometer. The fibers in this second bundle were spread out to form a parabolic arc which replaced the conventional entrance slit. This geometry corrected for image aberrations, permitting complete CCD vertical binning, thereby yielding up to a 20-fold improvement in signal-to-noise ratio. The estimated spectral resolution of the system was 9 cm -1 for both gratings. So far we have measured spectra from 20 patients and have seen clear differences between spectra from tumor and normal tissue.

  4. Similar results comparing early and late surgery in open repair of traumatic rotator cuff tears.

    Science.gov (United States)

    Zhaeentan, Soheila; Von Heijne, Anders; Stark, André; Hagert, Elisabet; Salomonsson, Björn

    2016-12-01

    The purpose was to investigate whether surgical repair earlier or later than 3 months after injury may result in similar outcomes and patient satisfaction. Seventy-three patients (75 shoulders, 58 males, mean age 59) who had undergone surgical intervention for traumatic rotator cuff tears from 1999 to 2011 were assessed by MRI, clinical examination and Western Ontario Rotator Cuff Index (WORC) as a primary outcome measure and Oxford Shoulder score (OSS), Constant-Murley score (CS) and EQ-5D as secondary. The patients treated less than 3 months after injury (n = 39) were compared with patients treated more than 3 months after injury (n = 36). The average follow-up time was 56 months (range 14-149), and the average time from injury to repair for all patients was 16 weeks (range 3-104). A single senior radiologist performed a blinded evaluation of all the MRIs. Rotator cuff integrity, presence of arthritis, fatty degeneration and muscle atrophy were evaluated. No differences were found for any of the assessed outcomes (WORC, OSS, CS and EQ-5D) between the two groups. The mean WORC % was 77 % for both groups. Re-tear frequency was 24 %, nine in both groups. Patients with re-tear reported less satisfaction with their outcome. The surgical treatment of symptomatic traumatic rotator cuff tears repairable later than 3 months after injury yields a good functional outcome, a high level of subjective patient satisfaction, and at the same level for patients receiving earlier treatment. Based on our findings, surgical repair could be encouraged whenever technically possible. Retrospective Comparative Study, Level III.

  5. Early results of thoraco lumbar burst fracture treatment using selective corpectomy and rectangular cage reconstruction

    Science.gov (United States)

    Liang, Bowei; Huang, Guofeng; Ding, Luobing; Kang, Liangqi; Sha, Mo; Ding, Zhenqi

    2017-01-01

    Background: Subsidence and late fusion are commonly observed in anterior subtotal corpectomy and reconstruction for treating thoracolumbar burst fractures. The subsidence rate of this surgical method was reported from 19.6% to 75% in the literatures, which would cause treatment failure. Thus, an improvement of anterior surgery technique should be studied to reduce these complications. Materials and Methods: 130 patients of thoracolumbar burst fractures treated by minimal corpectomy, decompression and U cage, between January 2009 and December 2010 were included in this study. The hospital Ethical Committee approved the protocols. The American Spinal Injury Association (ASIA) scale, visual analog scales, and Oswestry Disability Index (ODI) scores were used for clinical evaluation. The local kyphosis angle, vertebral height (one level above the fractured vertebral to one level below), canal stenosis, and fusion status were used to assess radiological outcome. All complications and demographic data such as number of male/female patients, average age, mode of trauma, burst level involved, mean surgery time and blood lost were reported. Results: 120 patients were followed up for 24 months. Most patients had improvement of at least 1 ASIA grade, and all experienced pain reduction. The mean ODI score steadily decreased after the surgery (P 0.05). The average canal stenosis index was increased from 39% to 99% after surgery. No cage subsidence or implant failure was observed. Conclusions: The clinical outcomes described here suggest that the selective corpectomy and rectangular cage reconstruction can effectively promote solid fusion and eliminate complications related to subsidence or implant failure. PMID:28216750

  6. The Design of a Remote Sensing Data Acquisition Campaign for Precision Agriculture and Some Early Results

    Science.gov (United States)

    Rickmanl, D.; Luvall, J. C.; Wersinger, J. M.; Mask, P.; Kissel, D. E.

    1999-01-01

    harvest! Soil images show significant within field variation in clay, soil brightness and emissivity. Light wind has been found to effect the reflectance and temperature of broad leaf crops, including soybeans, cotton and peanuts. Clearly, this work has already demonstrated some very important results. With continued development of the remote sensing technology there is good reason to believe this research will soon be able to help the individual farmer.

  7. Early Evolved Gas Results from the Curiosity Rover’s SAM Investigation at Gale Crater

    Science.gov (United States)

    Mahaffy, Paul R.; Franz, H.; McAdam, A.; Brunner, A.; Eigenbrode, J.; Stern, J.; SAM Science Team; MSL Science Team

    2013-10-01

    The Mars Science Laboratory Mission is designed to explore the habitability of the selected landing site at Gale crater. The Sample Analysis at Mars (SAM) instrument suite contributes to this study with a search for organic compounds, an analysis of the composition of inorganic volatiles, and measurements of the isotopic composition light elements. Both atmospheric and solid samples are analyzed. The layers in the central mound (Mt. Sharp) of Gale crater are important targets for the MSL mission. However, in situ measurements made during the past year of interesting regions close to the Bradbury landing site have revealed a diverse geology and several primary mission objectives have already been realized. SAM is located in the interior of the Curiosity rover. The MSL cameras, a laser induced breakdown spectrometer, and elemental analysis instrumentation serves to locate sampling sites and interogate candidate materials before solid sample is collected either with a drill or a scoop for delivery to SAM and the XRD instrument CheMin. SAM integrates a quadrupole mass spectrometer (QMS), a tunable laser spectrometer (TLS), and a 6-column gas chromatograph (GC) with a solid sample transport system and a gas processing and enrichment system. Results of SAM atmospheric composition analyses have already been reported (1,2). To date, multiple SAM evolved gas experiments have examined samples from fines scooped from an aeolian drift and from two drilled samples of a mudstone. Major evolved gases are H2O, CO2, O2, SO2, H2S, H2, and a number of minor species. These data help confirm the likely presence of perchlorates, the presence of phylosillicates, and both reduced and oxidized compounds evolved from the same sample. 1) P.R. Mahaffy et al., Abundance and Isotopic Composition of Gases in the Martian Atmosphere from the Curiosity Rover, Science 343, (2013). 2) C.R. Webster et al., Isotope Ratios of H, C and O in Martian Atmospheric Carbon Dioxide and Water Measured by the

  8. Evaluation of the Early Results of the Initial 500 Cardiac Operations Performed in a New Center

    Directory of Open Access Journals (Sweden)

    Turan Erdoğan

    2011-12-01

    Full Text Available Background: The initial 500 cases of a new center which is established in a province having no history of open heart surgery are evaluated with respect to mortality especially.Methods: A total of 500 patients underwent operations at our clinic between March 2008 and November 2009. Of these patients 373 (74.6% were male, 127 (25.4% were female and the mean age was 64.15±11.54. Four hundred eleven patients had coronary artery disease (19 had left ventricular aneurysm, 46 patients had coronary artery disease together with heart valve disease (of these 2 had ascending aortic aneurysm, 1 had left ventricular aneurysm, 1 had rupture of sinus valsalva aneurysm, 30 patients had valvular disease ( 1 had also patent ductus arteriosus, 4 patients had type 1 aortic dissection, 4 patients had ascending aortic aneurysm (3 had aortic valve disease, 4 patients had coarctation of the aorta, and 1 of the patients underwent surgery with the diagnosis of secundum atrial septal defect. Results: In-hospital mortality rate was 2% with 10 patients. The reasons of deaths were; low cardiac output in 3, renal insufficiency in 2, peroperative myocardial infarction in 2, bleeding in 1, lung complications in 1 and cardiac tamponade in 1. Fifteen patients (3% due to bleeding caused for surgical re-exploration. Postoperative atrial fibrillation developed in 97 patients (19.4%. Four patients (0.8% suffered wound infections on saphenous vein region, one patient (0.2% developed mediastinitis. Three patients (0.6% had neurological complications (two patients developed hemiplegia, one suffered from persistent tonic-clonic convultion. Prolonged entubation, prolonged intensive care unit stay and readmission to intensive care were other complications with rates of 20 (4%, 31(6.2% and 13(2.6% respectively. Conclusion: Our study showed that there is a strong relationship between peroperative myocard infarction and mortality, and patients who had diminished renal functions

  9. Maternal Early Life Factors Associated with Hormone Levels and the Risk of Having a Child with an Autism Spectrum Disorder in the Nurses Health Study II

    Science.gov (United States)

    Lyall, Kristen; Pauls, David L.; Santangelo, Susan; Spiegelman, Donna; Ascherio, Alberto

    2011-01-01

    It is not known whether reproductive factors early in the mother's life influence risk of autism spectrum disorders (ASD). We assessed maternal age at menarche, menstrual cycle characteristics during adolescence, oral contraceptive use prior to first birth, body shape, and body mass index (BMI) in association with ASD using binomial regression in…

  10. Maternal Early Life Factors Associated with Hormone Levels and the Risk of Having a Child with an Autism Spectrum Disorder in the Nurses Health Study II

    Science.gov (United States)

    Lyall, Kristen; Pauls, David L.; Santangelo, Susan; Spiegelman, Donna; Ascherio, Alberto

    2011-01-01

    It is not known whether reproductive factors early in the mother's life influence risk of autism spectrum disorders (ASD). We assessed maternal age at menarche, menstrual cycle characteristics during adolescence, oral contraceptive use prior to first birth, body shape, and body mass index (BMI) in association with ASD using binomial regression in…

  11. The dementia and disability project in Thai elderly: rational, design, methodology and early results

    Directory of Open Access Journals (Sweden)

    Senanarong Vorapun

    2013-01-01

    Full Text Available Abstract Background A strong inverse relationship of functional limitation and socioeconomic status has been established in western ageing society. Functional limitation can be related to chronic diseases, disuse, cognitive decline, and ageing. Among chronic diseases in the Thai population, cerebrovascular diseases, diabetes, and arthritis are common. These factors are known to contribute to disability and poor quality of life in the elder population. Neuropsychiatric problems, cognitive decline, dementia, and cultural issues in elderly people also can alter the quality of life of the elderly. Methods The Dementia and Disability Project in Thai Elderly (DDP aims at comprehensively assessing community dwelling Thai elderly to understand the relationship between disability and motor function, neuropsychiatric symptoms, cognitive function, and chronic diseases. The DDP is the first study to look at the prevalence and etiology of dementia and of mild cognitive impairment (MCI in Thai elders and to explore the relationship of cognition, disability, small vessel diseases and cortical degeneration with neuroimaging in Thai elderly people. 1998 Thai elders were screened in 2004–2006 and diagnosed as having MCI or dementia. 223 elders with MCI or dementia and cognitively normal elderly had brain magnetic resonance imaging (MRI or at baseline. 319 elders from the 3 groups had blood tests to investigate the risks and possible etiologies of dementia including genotyping at baseline. Results The mean age of elders in this study is 69.51(SD=6.71, min=60, max=95 years. 689(34.9% are men and 1284(65.1% are women. Mean body weight was 58.36(SD=11.20 kgs. The regression model reveals that performance on gait and balance and serum triglyceride predicts activity of daily living performance (adjusted r2 = 0.280, f=2.644, p=0.003. The majority of abnormal gait in Thai elders was lower level gait disturbance. Only 1.5% (29/1952 had highest level gait disorders. 39

  12. P17 - Early Menopause Influences Osteopenic or Osteoporotic Status in Postmenopausal Women: Preliminary Results from the Prof Project

    Science.gov (United States)

    Piscitelli, P.; Rigliano, V.; Neglia, C.; Chitano, G.; Argentiero, A.; Paladini, D.; Mundi, S.; Paladini, L.; Greco, M.; Girasoli, C.; Gianicolo, M. E.; Pantile, V.; Argentiero, D.; De Padova, G.; Nibio, L.; Pansa, L.; Di Giuseppe, P.; Minosi, A.; Cirasino, L.; Laselva, G.; Scialpi, M.; D’Angela, D.; Benvenuto, M.; Brandi, M. L.; Distante, A.

    2010-01-01

    Aims: There is evidence that demographic trends in Southern Apulia are characterised by a huge proportion of elderly people relative to the general population, resulting in an ageing index which is higher than that recorded in other Southern Italian regions and/or sub-regions. Within the PROF (Prevention of Osteoporotic Fractures) project, which aims to foster synergistic efforts between researchers and clinicians, we investigated the correlation between early menopause and osteopenic or osteoporotic status in postmenopausal women by quantitative bone ultrasound evaluation (QUS). Methods: In a period of almost six years (2004–2010), 5665 postmenopausal women (mean age 55, ranging from 39 to 84) were screened by QUS at either the heel or the phalanx. Demographic and anamnestic data were recorded for all the patients, including BMI, nutrition, menopause, physical activity, previous fractures, familial fragility fractures. Three categories of demineralisation were identified: a) Demineralisation, when any T-score <−1.0 SD was observed; b) Severe demineralisation, whenever a T-score <−2.0 was observed, corresponding to a higher risk of fracture; c) Osteoporosis, whenever a T-score <−2.5±0.2 (for the heel) or T-score <−3.2±0.2 (for the phalanx) was observed. Descriptive statistical analyses were performed in order to assess the correlation between early menopause (<45 years of age) and the osteopenic or osteoporotic status of the patients. Results: Of the 5665 subjects examined overall, demineralisation was observed in 4487 subjects (79%), with severe osteopenia or osteoporotic status being documented in 2823 women (50%) and frank osteoporotic status in 846 (15%). In total, of 1169 women reporting an early menopause, 937 showed demineralisation corresponding to at least an osteopenic status (80%). In 605 of these patients (65%), there was a severe osteopenic or osteoporotic status, while 182 women experiencing an early menopause were found to be frankly

  13. Bulletin Survey - Early Results

    CERN Multimedia

    2002-01-01

    There was a good response to our questionnaire on the Bulletin (around 450 so far). Many thanks to all of you - your views are invaluable to us. Pending publication of the full figures, which will give latecomers time to take part in the survey, here we give here answers some of your most frequent comments. Thank you for the many warm tributes and messages of encouragement we received. We also received criticisms about the way information is handled in the Bulletin and on its circulation. In today's issue we reply to these two points. Why is the Bulletin politically correct ? Many respondents reproach the Bulletin for a lack of objectivity and for being too politically correct to the point of being a propaganda organ. It is true that the Bulletin is not a newspaper, but rather a bulletin of communication (like SLAC's Beam Line). What is the difference ? A newspaper is objectively independent of the subjects it reports on, and when its reporters write stories they dig around for information from all parties...

  14. Early Child Care and Adolescent Functioning at the End of High School: Results from the NICHD Study of Early Child Care and Youth Development

    Science.gov (United States)

    Vandell, Deborah Lowe; Burchinal, Margaret; Pierce, Kim M.

    2016-01-01

    Relations between early child care and adolescent functioning at the end of high school (EOHS; M age = 18.3 years) were examined in a prospective longitudinal study of 1,214 children. Controlling for extensive measures of family background, early child care was associated with academic standing and behavioral adjustment at the EOHS. More…

  15. Bicuspid pulmonary valve implantation using polytetrafluoroethylene membrane: early results and assessment of the valve function by magnetic resonance imaging.

    Science.gov (United States)

    Lee, Cheul; Lee, Chang-Ha; Kwak, Jae Gun; Song, Jin Young; Shim, Woo-Sup; Choi, Eun Young; Lee, Sang Yun; Kim, Yang Min

    2013-03-01

    The durability of bioprosthetic valves in the pulmonary position is suboptimal. The objectives of this study were to evaluate the early results of polytetrafluoroethylene (PTFE) bicuspid pulmonary valve (PV) implantation and to better define the function of this valve by magnetic resonance imaging (MRI). Fifty-six patients who underwent PTFE bicuspid PV implantation between June 2009 and August 2011 were retrospectively analysed. The median age was 17.5 years and median valve size was 26 mm. Fundamental diagnoses were tetralogy of Fallot (n = 38), pulmonary atresia with ventricular septal defect (n = 8), double outlet right ventricle (n = 7) and absent PV syndrome (n = 3). Thirty-two patients with pulmonary regurgitation (PR) underwent MRI preoperatively and 22 of them underwent follow-up MRI at a median of 6.7 months postoperatively. There was one early death. Postoperative echocardiography (n = 53) showed no or trivial PR in 49 patients and mild PR in 4. Median follow-up duration was 15.2 months. There was no late death or reoperation. Follow-up echocardiography (n = 41) performed at a median of 7.5 months postoperatively showed no or trivial PR in 33 patients and mild PR in 8 patients. Follow-up MRI showed a significant reduction in right ventricular volumes and improvement in biventricular function. The median PR fraction of this valve was 10%. Early results of bicuspid PV implantation using PTFE membrane were satisfactory. PTFE bicuspid PV demonstrated excellent performance for the short term as evidenced by echocardiography and MRI. Long-term follow-up is mandatory to determine the durability of this valve.

  16. Rotational Acetabular Osteotomy for Pre- and Early Osteoarthritis Secondary to Dysplasia Provides Durable Results at 20 Years.

    Science.gov (United States)

    Yasunaga, Yuji; Ochi, Mitsuo; Yamasaki, Takuma; Shoji, Takeshi; Izumi, Sotaro

    2016-10-01

    Hip dysplasia is a common cause of secondary osteoarthritis (OA). Periacetabular osteotomy or rotational acetabular osteotomy has been used as joint-preserving procedures. However, only a few reports of long-term results with these operations have been reported. (1) Would satisfactory clinical and radiographic outcomes be maintained at a mean duration of 20 years after rotational acetabular osteotomy for pre- and early-stage OA; and (2) could we identify risk factors for radiographic progression of OA? Between 1987 and 2001, we treated 159 patients (173 hips) with rotational acetabular osteotomies for the diagnosis of pre-OA or early-stage OA according to the technique of Ninomiya and Tagawa. During that period, our general indications for this approach were age younger than 60 years, center-edge angle less than 20°, and improved femoral head coverage and joint congruency on preoperative AP plain radiographs of the hip in abduction; we did not use this approach when joint congruency was not improved or no widening of the joint space was noted on preoperative AP plain radiographs of the hip in abduction. Of those patients, 21 patients with pre-OA (followup rate: 84% [27 hips]) and 110 patients in the early-stage group (followup rate: 82% [118 hips]) were available at a minimum of 15 years for a total patient group of 131 (followup rate: 82% [145 hips]). The mean age at the time of surgery was 22 years in the pre-OA group and 38 years in the early-stage group. The mean followup was 21 years in the pre-OA group and 20 years in the early-stage group. Clinical evaluation was performed with the Merle d'Aubigne and Postel rating scale, and radiographic analyses included measurements of the center-edge angle, acetabular roof angle, and head lateralization index on preoperative and postoperative AP radiographs of the pelvis. Postoperative joint congruency was also evaluated. The cumulative probabilities of radiographic signs of OA progression were estimated with use of the

  17. Early treatment of a child with NAGS deficiency using N-carbamyl glutamate results in a normal neurological outcome.

    Science.gov (United States)

    Van Leynseele, Anouk; Jansen, Anna; Goyens, Philippe; Martens, Geert; Peeters, Stefaan; Jonckheere, An; De Meirleir, Linda

    2014-12-01

    Acute hyperammonemia has a variety of etiologies and clinical manifestations. If not treated early in neonates, it leads to irreversible brain damage or death. We present a 7-day-old female patient who was brought to the emergency department with drownsiness and vomiting. Metabolic work-up revealed a blood ammonia level of 290 μmol/L (normal carbamylglutamate (NCG) was added resulting in a rapid normalisation of ammonemia. Feedings were progressively reintroduced, the ammonia levels remained low. The results of the metabolic work-up were compatible with carbamyl phosphate synthase 1 (CPS1) or N-acetyl glutamate synthase (NAGS) deficiency. Genetic analysis confirmed the latter diagnosis with a homozygous mutation c. 1450T > C (p.W484R) in exon 6 of the NAGS gene in the patient and a carrier state in both parents. At the age of 9 months, the child is growing well with normal neurological development, under treatment with NCG 100 mg/kg/day and a normal diet. Conclusion: This case highlights the importance of keeping a high index of suspicion and early testing for ammonia levels in neonates/children with unexplained encephalopathy. In neonates with congenital hyperammonemia, NCG should always be started together with the standard management of hyperammonemia until all laboratory investigations are complete or indicate another disease.

  18. Early results on energetic particle dynamics and structure from the Energetic Ion Spectrometer (EIS) on the Magnetospheric Multiscale (MMS) mission

    Science.gov (United States)

    Cohen, I. J.; Mauk, B.; Westlake, J. H.; Anderson, B. J.; Turner, D. L.; Fennell, J. F.; Spence, H. E.; Baker, D. N.; Pollock, C. J.; Torbert, R. B.; Blake, J. B.; Sibeck, D. G.

    2015-12-01

    The cluster of four, formation-flying spacecraft, comprising the Magnetospheric Multiscale (MMS) mission, launched on 13 March 2015 into near equatorial 1.2 x 12 RE orbits, provides an important new asset for assessing the transport of energy and matter from the distant regions of Earth's magnetosphere into the inner regions. Here we report on early results from the Energetic Ion Spectrometer (EIS) instrument on each of the MMS Spacecraft. EIS provides nearly all-sky energetic ion energy, angle and elemental compositional distributions for 1 MeV. It also measures energetic electrons from 25 keV to > 0.5 MeV in support and coordination with the electron-focused Fly's Eye Energetic Particle Spectrometer (FEEPS). During the early phase of the MMS mission, while the full complement of instruments was being commissioned prior to the prime mission phase beginning 1 September 2015, EIS observed dynamic energetic particle injections at the root of the magnetotail between the post-midnight regions and dawn in association with numerous dipolarization fronts and related processes. Here we report on coordinated measurements between MMS's EIS instrument and EIS's sister instrument on the Van Allen Probes, RBSPICE, to further address the relationship between dynamic injections and depolarization fronts in the magnetotail and injections observed deep within the magnetosphere's ring current regions. We also report preliminary result on using energetic particle gradients and anistotropies to diagnose magnetopause structures near mission-identified reconnection sites.

  19. Immediate vs. early loading of SLA implants in the posterior mandible: 5-year results of randomized controlled clinical trial.

    Science.gov (United States)

    Kokovic, Vladimir; Jung, Ronald; Feloutzis, Andreas; Todorovic, Vladimir S; Jurisic, Milan; Hämmerle, Christoph H F

    2014-02-01

    The aim of this study was to compare clinical results of immediate and early loading (EL) self-tapping implants placed in posterior mandibles. Twelve patients with bilateral edentulous posterior mandibular were randomly assigned to treatment either with immediate (test) or early loaded implants (control). Seventy-two self-tapping implants with SLA surface (Ø 4, 1/4, 8 mm; length 8 and 10 mm) were analyzed in this study. Test implants (36) were loaded on the day of surgery and control implants 6 weeks later. The measuring of implant stability quotient (ISQ) was performed on 0, 6th, 12th, and 52nd week after implant insertion. The bone resorption, modified plaque, and bleeding index were notified at 1 and 5 years later. After 5 years, survival in the both groups was 100%. The mean value of primary implant stability was 76.92 ± 0.79 ISQ. In the first 6 weeks, ISQ values significantly increased in the test group (77.92 ± 1.16 vs. 79.61 ± 0.90) as well as in the control group (7.92 ± 1.05 vs. 77.55 ± 0.99). A significant longitudinal increase in ISQ value was recorded in test and control group. The differences between immediate and early loaded implants were statistically insignificant (P > 0.05). At the 5 years, no statistically significant differences were found between immediate and early loaded implants with respect to mean crestal bone loss measurements (0.4 ± 0.24 vs. 0.8 ± 0.15 mm), mean bleeding index (0.22 ± 0.11 vs. 0.25 ± 0.11), and mean plaque index (0.17 ± 0.15 vs. 0.19 ± 0.20). Based on these results, the self-tapping implants inserted in posterior mandible can provide adequate primary stability value as the main factor for immediate and EL protocol. © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.

  20. The Breast International Group 1-98 trial: big results for women with hormone-sensitive early breast cancer.

    Science.gov (United States)

    Monnier, Alain M

    2007-05-01

    As there is a risk for relapse in early breast cancer, especially at 1-3 years post surgery, the need for adjuvant therapy is clear. In terms of disease-free survival, aromatase inhibitors have emerged as superior to tamoxifen for the adjuvant treatment of hormone-sensitive breast cancer in several Phase III clinical trials. Of these trials, the Breast International Group (BIG) 1-98 trial stands out as unique in design, as it is the only trial to address whether an aromatase inhibitor is more effective as initial adjuvant therapy or as sequential therapy with an aromatase inhibitor and tamoxifen in either order and in rigor of end points and safety evaluations. When compared with tamoxifen, letrozole has been shown to significantly reduce recurrence risk in the overall population by 19% and also significantly reduced recurrence risk in the patient subgroups at increased risk: node-positive and previously chemotherapy-treated patients. Letrozole is the only aromatase inhibitor to demonstrate a significant 27% reduction in the risk of distant metastases (p = 0.001) in the clinically relevant, hormone receptor-positive population in the initial adjuvant setting. Recent results also suggest that letrozole in particular reduces the risk of distant metastases early on after initial surgery for breast cancer. This is important, as early distant metastatic events compose the majority of early recurrences and are a well-recognized predictor of breast cancer death. Letrozole has been found to be well tolerated in the initial adjuvant treatment setting, and these data have been confirmed by long-term safety data from the monotherapy analysis in the BIG 1-98 study. Thus far, the results from the BIG 1-98 trial provide clear support for the use of letrozole in the initial adjuvant treatment of breast cancer. Future studies will provide the definitive answer to questions of which initial adjuvant therapy is superior (i.e., anastrozole or letrozole) and information as to the

  1. I-FABP as biomarker for the early diagnosis of acute mesenteric ischemia and resultant lung injury.

    Directory of Open Access Journals (Sweden)

    Rachel G Khadaroo

    Full Text Available Acute mesenteric ischemia (AMI is a life-threatening condition that can result in multiple organ injury and death. A timely diagnosis and treatment would have a significant impact on the morbidity and mortality in high-risk patient population. The purpose of this study was to investigate if intestinal fatty acid binding protein (I-FABP and α-defensins can be used as biomarkers for early AMI and resultant lung injury. C57BL/6 mice were subjected to intestinal ischemia by occlusion of the superior mesenteric artery. A time course of intestinal ischemia from 0.5 to 3 h was performed and followed by reperfusion for 2 h. Additional mice were treated with N-acetyl-cysteine (NAC at 300 mg/kg given intraperitoneally prior to reperfusion. AMI resulted in severe intestinal injury characterized by neutrophil infiltrate, myeloperoxidase (MPO levels, cytokine/chemokine levels, and tissue histopathology. Pathologic signs of ischemia were evident at 1 h, and by 3 h of ischemia, the full thickness of the intestine mucosa had areas of coagulative necrosis. It was noted that the levels of α-defensins in intestinal tissue peaked at 1 h and I-FABP in plasma peaked at 3 h after AMI. Intestinal ischemia also resulted in lung injury in a time-dependent manner. Pretreatment with NAC decreased the levels of intestinal α-defensins and plasma I-FABP, as well as lung MPO and cytokines. In summary, the concentrations of intestinal α-defensins and plasma I-FABP predicted intestinal ischemia prior to pathological evidence of ischemia and I-FABP directly correlated with resultant lung injury. The antioxidant NAC reduced intestinal and lung injury induced by AMI, suggesting a role for oxidants in the mechanism for distant organ injury. I-FABP and α-defensins are promising biomarkers, and may guide the treatment with antioxidant in early intestinal and distal organ injury.

  2. Lava heating and loading of ice sheets on early Mars: Predictions for meltwater generation, groundwater recharge, and resulting landforms

    Science.gov (United States)

    Cassanelli, James P.; Head, James W.

    2016-06-01

    Recent modeling studies of the early Mars climate predict a predominantly cold climate, characterized by the formation of regional ice sheets across the highland areas of Mars. Formation of the predicted "icy highlands" ice sheets is coincident with a peak in the volcanic flux of Mars involving the emplacement of the Late Noachian - Early Hesperian ridged plains unit. We explore the relationship between the predicted early Mars "icy highlands" ice sheets, and the extensive early flood volcanism to gain insight into the surface conditions prevalent during the Late Noachian to Early Hesperian transition period. Using Hesperia Planum as a type area, we develop an ice sheet lava heating and loading model. We quantitatively assess the thermal and melting processes involved in the lava heating and loading process following the chronological sequence of lava emplacement. We test a broad range of parameters to thoroughly constrain the lava heating and loading process and outline predictions for the formation of resulting geological features. We apply the theoretical model to a study area within the Hesperia Planum region and assess the observed geology against predictions derived from the ice sheet lava heating and loading model. Due to the highly cratered nature of the Noachian highlands terrain onto which the volcanic plains were emplaced, we predict highly asymmetrical lava loading conditions. Crater interiors are predicted to accumulate greater thicknesses of lava over more rapid timescales, while in the intercrater plains, lava accumulation occurs over longer timescales and does not reach great thicknesses. We find that top-down melting due to conductive heat transfer from supraglacial lava flows is generally limited when the emplaced lava flows are less than ∼10 m thick, but is very significant at lava flow thicknesses of ∼100 m or greater. We find that bottom-up cryosphere and ice sheet melting is most likely to occur within crater interiors where lavas

  3. Early results following the Nuss operation for pectus excavatum - a single-institution experience of 383 patients

    DEFF Research Database (Denmark)

    Pilegaard, Hans; Licht, Peter B

    2008-01-01

    The prevalence of pectus excavatum is low but many patients are disabled from this thoracic deformity. The Nuss operation is a well-established surgical correction, however, until recently it has been rarely used in Europe. We have performed the Nuss operation regularly between 2001 and 2006 where...... a total of 383 patients were operated on for pectus excavatum. The indication for surgery was disabling cosmetic appearance as described by the patient. Patient records were reviewed for retrospective analysis. The median age was 16 years (range 7-43) and 86% were males. A satisfactory peri...... in 73 patients and their final result was excellent in all but one. The Nuss procedure for pectus excavatum can be implemented with excellent early results and few complications. There is a surprisingly high demand for surgical correction of pectus excavatum and the number of referred patients continues...

  4. Do diagnosis delays impact receipt of test results? Evidence from the HIV early infant diagnosis program in Uganda.

    Directory of Open Access Journals (Sweden)

    Melissa Latigo Mugambi

    Full Text Available BACKGROUND: There is scant evidence on the association between diagnosis delays and the receipt of test results in HIV Early Infant Diagnosis (EID programs. We determine the association between diagnosis delays and other health care system and patient factors on result receipt. METHODS: We reviewed 703 infant HIV test records for tests performed between January 2008 and February 2009 at a regional referral hospital and level four health center in Uganda. The main outcome was caregiver receipt of the test result. The primary study variable was turnaround time (time between sample collection and result availability at the health facility. Additional variables included clinic entry point, infant age at sample collection, reported HIV status and receipt of antiretroviral prophylaxis for prevention of mother-to-child transmission. We conducted a pooled analysis in addition to separate analyses for each facility. We estimated the relative risk of result receipt using modified Poisson regression with robust standard errors. RESULTS: Overall, the median result turnaround time, was 38 days. 59% of caregivers received infant test results. Caregivers were less likely to receive results at turnaround times greater than 49 days compared to 28 days or fewer (ARR = 0.83; 95% CI = 0.70-0.98. Caregivers were more likely to receive results at the PMTCT clinic (ARR = 1.81; 95% CI = 1.40-2.33 and less likely at the pediatric ward (ARR = 0.54; 95% CI = 0.37-0.81 compared to the immunization clinic. At the level four health center, result receipt was half as likely among infants older than 9 months compared to 3 months and younger (ARR= 0.47; 95% CI = 0.25-0.93. CONCLUSION: In this study setting, we find evidence that longer turnaround times, clinic entry point and age at sample collection may be associated with receipt of infant HIV test results.

  5. [Changes in radiotherapy indication for early-stage operated endometrial cancer. Revised staging, predictive factors. Conclusions from our own results].

    Science.gov (United States)

    Póti, Zsuzsa; Katona, Csilla; Szalai, Tibor; Mayer, Árpád

    2016-07-03

    Optimal postoperative radiotherapy indications for early-stage operated endometrial cancers have drastically changed with the new imaging generation (magnetic resonance imaging, positron emission tomography/computed tomography) and more detailed pathomorphology. The depth and growth of tumor invasion, presence or absence of the lymph node metastases, grading and lymphovascular invasion are the most important factors to predict the progression and to influence the prognosis. In 2016, on the basis of these, the European Gynecologist Oncology and Radiotherapy Society published a report in which they proposed unanimously indications for postoperative radio- and/or radiochemotherapy. The basis of their work was prospective multilevel randomized investigations which could avoid over- or undertreatment hazards. The results obtained by the authors of this article from 164 operated patients in early-stage endometrium carcinoma seem to be acceptable, in spite of the fact that their earlier radiotherapy indication was different and in the pathological description lymphovascular invasion was not included and the grading was not always applied.

  6. Feasibility and Acceptability of an Early Childhood Obesity Prevention Intervention: Results from the Healthy Homes, Healthy Families Pilot Study

    Directory of Open Access Journals (Sweden)

    Akilah Dulin Keita

    2014-01-01

    Full Text Available Background. This study examined the feasibility and acceptability of a home-based early childhood obesity prevention intervention designed to empower low-income racially/ethnically diverse parents to modify their children’s health behaviors. Methods. We used a prospective design with pre-/posttest evaluation of 50 parent-child pairs (children aged 2 to 5 years to examine potential changes in dietary, physical activity, and sedentary behaviors among children at baseline and four-month follow-up. Results. 39 (78% parent-child pairs completed evaluation data at 4-month follow-up. Vegetable intake among children significantly increased at follow-up (0.54 cups at 4 months compared to 0.28 cups at baseline, P=0.001 and ounces of fruit juice decreased at follow-up (11.9 ounces at 4 months compared to 16.0 ounces at baseline, P=0.036. Sedentary behaviors also improved. Children significantly decreased time spent watching TV on weekdays (P<0.01 and also reduced weekend TV time. In addition, the number of homes with TV sets in the child’s bedroom also decreased (P<0.0013. Conclusions. The findings indicate that a home-based early childhood obesity prevention intervention is feasible, acceptable and demonstrates short-term effects on dietary and sedentary behaviors of low-income racially/ethnically diverse children.

  7. The effects of Ramadan fasting on the level of sex hormones in pre-menarche girls in Mashhad, Iran

    Directory of Open Access Journals (Sweden)

    Shohreh Bahreyni

    2015-03-01

    Full Text Available The present study aimed to evaluate the effects of Ramadan fasting on the level of sex hormones in girls between 9-13 years before age at menarche.This study was conducted on a sample of 58 subjects (age range: 9-13 years, who were divided intotwo groups of fasting (N=31 and non-fasting (N=27. The levels of follicle-stimulating hormone(FSH, luteinizing hormone (LH, progesterone and estradiol were measured in all the subjectsbefore and after Ramadan. Measurements were carried out three days before the start of Ramadan,and one day afterwards.In this study, FSH levels significantly increased in the non-fasting group (P=0.01, and the level ofDehydroepiandrostenedione (DHEA had a significant decrease during the time of study in bothgroups (P=0.001, P=0.006. In addition, serum levels of LH significantly increased in the non-fastinggroup after Ramadan (P=0.006, and estradiol significantly increased in both groups (P=0.008,P=0.004.Given the similar changes in the levels of DHEA, progesterone and estradiol in both study groups, itcould be concluded that fasting has no effects on these parameters, and the changes in LH and FSHlevels could be due to other contributing factors.

  8. Bivariate genome-wide association study suggests that the DARC gene influences lean body mass and age at menarche.

    Science.gov (United States)

    Hai, Rong; Zhang, Lei; Pei, Yufang; Zhao, Lanjuan; Ran, Shu; Han, Yingying; Zhu, Xuezhen; Shen, Hui; Tian, Qing; Deng, Hongwen

    2012-06-01

    Lean body mass (LBM) and age at menarche (AAM) are two important complex traits for human health. The aim of this study was to identify pleiotropic genes for both traits using a powerful bivariate genome-wide association study (GWAS). Two studies, a discovery study and a replication study, were performed. In the discovery study, 909622 single nucleotide polymorphisms (SNPs) were genotyped in 801 unrelated female Han Chinese subjects using the Affymetrix human genome-wide SNP array 6.0 platform. Then, a bivariate GWAS was performed to identify the SNPs that may be important for LBM and AAM. In the replication study, significant findings from the discovery study were validated in 1692 unrelated Caucasian female subjects. One SNP rs3027009 that was bivariately associated with left arm lean mass and AAM in the discovery samples (P=7.26×10(-6)) and in the replication samples (P=0.005) was identified. The SNP is located at the upstream of DARC (Duffy antigen receptor for chemokines) gene, suggesting that DARC may play an important role in regulating the metabolisms of both LBM and AAM.

  9. Developing differential height, weight and body mass index references for girls that reflect the impact of the menarche.

    Science.gov (United States)

    Mumm, R; Scheffler, C; Hermanussen, M

    2014-07-01

    Growth is both a matter of amplitude and tempo. We aimed to develop references for body height, body weight and body mass index (BMI) with respect to tempo of maturity. Data obtained from the German KiGGS study (2003-2006) on body height, body weight and presence or absence of the menarche were re-analysed in 3776 girls, aged 10-17 years. We developed smoothed centiles for BMI-, body-height- and body-weight-for-age using the LMS method for premenarcheal and postmenarcheal girls. Body height, body weight and BMI differed significantly between premenarcheal and postmenarcheal girls. On average, postmenarcheal girls aged 11-17 years were 5.3 cm taller and 9.7 kg heavier, and their BMI was 2.9 kg/m² higher than in premenarcheal girls of the same calendar age. Adolescent BMI rises with calendar age and biological age. New reference charts for adolescent girls aged 10-18 years were generated to be inserted into the currently used references to avoid misclassifying underweight and overweight pubertal girls. © 2014 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  10. Skin-sparing mastectomy and immediate reconstruction: oncologic risks and aesthetic results in patients with early-stage breast cancer.

    Science.gov (United States)

    Slavin, S A; Schnitt, S J; Duda, R B; Houlihan, M J; Koufman, C N; Morris, D J; Troyan, S L; Goldwyn, R M

    1998-07-01

    Skin-sparing mastectomy has been advocated as an oncologically safe approach for the management of patients with early-stage breast cancer that minimizes deformity and improves cosmesis through preservation of the skin envelope of the breast. Because chest wall skin is the most frequent site of local failure after mastectomy, concerns have been raised that inadequate skin excision could result in an increased risk of local recurrence. Precise borders of the skin resection have not been well established, and long-term local recurrence rates after skin-sparing mastectomy are not known. The purpose of this study was to evaluate the oncologic safety and aesthetic results for skin-sparing mastectomy and immediate breast reconstruction with a latissimus dorsi myocutaneous flap and saline breast prosthesis. Fifty-one patients with early-stage breast cancer (26 with ductal carcinoma in situ and 25 with invasive carcinoma) undergoing primary mastectomy and immediate reconstruction with a latissimus flap were studied from 1991 through 1994. For 32 consecutive patients, skin-sparing mastectomy was defined as a 5-mm margin of skin designed around the border of the nipple-areolar complex. After the mastectomy, biopsies were obtained from the remaining native skin flap edges. Patients were followed for 44.8 months. Histologic examination of 114 native skin flap biopsy specimens failed to demonstrate breast ducts in the dermis of any of the 32 consecutive patients studied. One of 26 patients with ductal carcinoma in situ had metastases to the skin of the lateral chest wall and back. Four other patients, one with stage I disease and three with stage II-B disease, had recurrent breast carcinoma. The stage I patient had a local recurrence in the subcutaneous tissues near the mastectomy specimen. Two patients suffered axillary relapse, and one had distant metastases to the spine. The findings of this study support the technique of skin-sparing mastectomy as an oncologically safe one

  11. Postoperative versus definitive chemoradiation in early-stage anal cancer. Results of a matched-pair analysis

    Energy Technology Data Exchange (ETDEWEB)

    Berger, B.; Menzel, M.; Bamberg, M.; Weinmann, M. [Tuebingen Univ. (Germany). Dept. of Radiation Oncology; Breucha, G. [Kreiskrankenhaus Hechingen, Tuebingen Univ. (Germany). Dept. of Surgery

    2012-07-15

    Background and purpose: The goal of the present study was to comparatively assess the results of definitive chemoradiation (CRT) with or without previous macroscopically complete resection in patients with early-stage node-negative (T1-2 N0) anal carcinoma. Patients and methods: A total of 20 patients with T1-2 N0 anal carcinoma who received radiotherapy (RT) with or without chemotherapy following incidental R0/1 tumor resection (S/CRT group) were selected. These were matched to 20 comparable patients who underwent definitive chemoradiation without previous surgery (CRT group). Major objectives of this analysis were treatment outcomes in terms of locoregional tumor control (LRC), overall survival (OS), colostomy-free survival, and toxicity. Results: Patients treated postoperatively received significantly lower RT doses (median 54.0 Gy vs. 59.7 Gy; p < 0.001) and less frequently concomitant chemotherapy than those treated definitely. The 5-year LRC and 5-year OS rates were 97.5% and 90.0%, respectively, without significant differences between the S/CRT and the CRT groups. The distribution of acute and late toxicities was comparable, and the 5-year colostomy-free survival was 95% in both groups. Conclusion: This matched-pair comparison of incidental R0/1 resection plus dose-reduced CRT with standard definitive CRT of early-stage anal cancer shows similar treatment results. Thus, dose-reduced RT with or without chemotherapy may be considered in R0/1 resected patients with T1-2 N0 anal carcinoma. (orig.)

  12. Early results from an angiosome-directed open surgical technique for venous arterialization in patients with critical lower limb ischemia

    DEFF Research Database (Denmark)

    Houlind, Kim Christian; Hallenberg, Christian; Christensen, Johnny

    2013-01-01

    Background: Patients with critical lower limb ischemia without patent pedal arteries cannot be treated by the conventional arterial reconstruction. Venous arterialization has been suggested to improve limb salvage in this subgroup of patients but has not gained wide acceptance. We report our early...... experience after implementing deep and superficial venous arterialization of the lower limb. Materials and methods: Ten patients with critical ischemia and without crural or pedal arteries available for conventional bypass surgery or angioplasty were treated with distal venous arterialization. Inflow...... of the ischemic lesion. Venous valves were destroyed using antegrade valvulotomes, guide wires, knob needles, or retrograde valvulotomes via an extra incision. Results: Seven of the operated limbs were amputated after 23 (1256) days (median [range]). The main reasons for amputation were lack of healing of either...

  13. A Multi-Institutional Study of Feasibility, Implementation, and Early Clinical Results With Noninvasive Breast Brachytherapy for Tumor Bed Boost

    Energy Technology Data Exchange (ETDEWEB)

    Hamid, Subarna, E-mail: shamid@tuftsmedicalcenter.org [Department of Radiation Oncology, Tufts Medical Center, Tufts University School of Medicine, Boston, MA (United States); Department of Radiation Oncology, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI (United States); Rocchio, Kathy [Department of Radiation Oncology, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI (United States); Arthur, Douglas; Vera, Robyn [Department of Radiation Oncology, Virginia Commonwealth University, Richmond, VA (United States); Sha, Sandra; Jolly, Michele [Central Florida Cancer Institute, Davenport, FL (United States); Cavanaugh, Sean; Wooten, Eric [Atlanta Oncology Associates, Hawkinsville, GA (United States); Benda, Rashmi; Greenfield, Brad [Department of Radiation Oncology, Boca Raton Community Hospital, Boca Raton, FL (United States); Prestidge, Bradley [Texas Cancer Clinic, San Antonio, TX (United States); Ackerman, Scot [First Coast Oncology, Jacksonville, FL (United States); Kuske, Robert; Quiet, Coral; Snyder, Margaret [Arizona Breast Cancer Specialists, Phoenix, AZ (United States); Wazer, David E. [Department of Radiation Oncology, Tufts Medical Center, Tufts University School of Medicine, Boston, MA (United States); Department of Radiation Oncology, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI (United States)

    2012-08-01

    Purpose: To evaluate the feasibility, implementation, and early results of noninvasive breast brachytherapy (NIBB) for tumor bed boost with whole breast radiation therapy (WBRT). Methods and Materials: NIBB is a commercially available (AccuBoost, Billerica, MA) mammography-based, brachytherapy system in which the treatment applicators are centered on the planning target volume (PTV) to direct {sup 192}Ir emissions along orthogonal axes. A privacy-encrypted online data registry collected information from 8 independent academic and community-based institutions. Data were from 146 consecutive women with early-stage breast cancer after lumpectomy and WBRT receiving boost with NIBB between July 2007 and March 2010. Toxicity and cosmesis were graded according to the Common Toxicity Criteria (v. 3.0) and the Harvard scale. Median follow-up was 6 months (1-39 months). Results: Grade 1-2 skin toxicity was observed in 64%, 48%, and 21% during the acute (1-3 weeks), intermediate (4-26 weeks), and late-intermediate (>26 weeks) periods. There was no Grade 4 toxicity. At 6 months, for the entire cohort, cosmesis was excellent/good in 62%/38%. The subset receiving NIBB before WBRT had cosmetic scores of 32% and 63%, whereas during WBRT, 58% and 37% were rated as excellent and good, respectively. Breast compression was scored as 'uncomfortable' in 12%, 29%, and 59% when NIBB was delivered before, during, or after WBRT. For each patient, the fraction-to-fraction variability in PTV was low. Skin flash was associated with a higher proportion of excellent cosmesis (58% vs. 42%) relative to having the applicator all within breast tissue. Conclusions: These data indicate that NIBB is feasible and can be consistently implemented in a broad array of practice settings. Preliminary evaluation suggests that NIBB is associated with acceptably mild normal tissue toxicity and favorable early cosmesis. The application of NIBB before WBRT may be associated with better patient tolerance

  14. Early results of experimental 222Rn flux campaign carried out at a mountain Spanish region and comparison with available radon flux inventories results

    Science.gov (United States)

    Nofuentes, Manel; Grossi, Claudia; Morguí, Josep Anton; Curcoll, Roger; Cañas, Lidia; Occhipinti, Paola; Borràs, Silvia; Vazquez, Eusebi; Rodó, Xavier

    2015-04-01

    The atmospheric concentrations of components impacting the greenhouse effect (CO2, CH4, N2O, O3, and aerosols) have increased significantly in the last two centuries, leading to a direct impact on our climate. These climatic changes deeply affect the geochemistry and the dynamics of the main reservoirs such as the atmosphere, the ocean, and the biosphere. Therefore, reductions of the emissions are needed for all four of the most important anthropogenic GHGs: CO2, CH4, N2O and SF6. Particularly, the relative contribution of human induced CH4 in the atmosphere to the total human direct greenhouse effect is about 25%. Furthermore, the CH4 has the shortest lifetime in the atmosphere (about 9 years), so that emissions reduction measures for CH4 will lead to changes in concentration growth rates, or even a concentration decline, at relatively shor time scales. All these reasons make the CH4 an attractive compound to reduce the greenhouse gas emissions. Nowadays, the study and attribution of categories for GHGs sources is carried out by using bottom-up inventories and top-down techniques. The atmospheric concentrations and the fluxes of the noble and radioactive 222Rn gas are widely used for retriving indirectly GHGs fluxes, improving top-down techniques and analysing different type of sources. In the frame of the "Methane exchange between soil and atmosphere over the Iberian Peninsula" (MIP) project (Reference: CGL2013-46186-R, Spanish Ministry of Economy and Competitiveness) four experimental radon flux campaigns are carried out at mountain as well as at coastal Spanish regions using integrated and continuous monitors. The early results of first radon flux campaign carried out at the Gredos and Iruelas climate station (GIC3) of the Catalan Institute of Climate Science (IC3) are presented and compared with available radon flux inventories maps.

  15. [Early and long term results of mechanical aortic valve replacement at the Instituto Nacional del Torax in Chile].

    Science.gov (United States)

    Villavicencio, Mauricio; Turner, Eduardo; Naranjo, Lorenzo

    2005-10-01

    Mechanical aortic valve replacement (AVR) results have been published extensively in industrialized countries. To assess our immediate and late results in patients subjected to AVR. We retrospectively studied 194 patients subjected to isolated AVR between 1995 and 2003. Mean age was 57 +/- 13 years and 119 (61%) were male. One hundred thirty nine (73%) were in functional class III-IV, 20 (10%) had a previous cardiac operation and 25 (13%) were operated as an emergency. Surgical indication was stenosis in 110 (58%), regurgitation in 49 (26%) and stenosis/regurgitation in 31 (16%). Etiology was bicuspid valve 56 (29%), degenerative lesions 55 (28%), rheumatic valve disease 38 (20%) and endocarditis 27 (14%). Medtronic Hall was the most common prosthesis used in 157 patients (81%). Mean cardiopulmonary bypass time 97 +/- 29 min and mean cross clamp time was 69 +/- 21 min. Operative mortality was 4.6% (3% in elective surgery, 16% in emergency surgery and 0% in reoperations). Follow-up was complete in 100% of cases, totalizing 636 patients-year. Survival was 91 +/- 2%, 80 +/- 4% and 73 +/- 6%, at 1, 5 and 7 years, respectively. Multivariate risk analysis identified renal failure and endocarditis as predictors of early and late mortality. During follow up, the linear incidence rate for hemorrhage was 3.29% /patients-year, thromboembolism 2.04% patients-year and endocarditis 1.1% patients-year. AVR has low overall and elective mortality. Midterm survival is good but linear event rates related to anticoagulant treatment are higher than those previously published in industrialized countries. Renal failure and endocarditis were risk factors for early and late death.

  16. Disruption of planar cell polarity signaling results in congenital heart defects and cardiomyopathy attributable to early cardiomyocyte disorganization.

    Science.gov (United States)

    Phillips, Helen M; Rhee, Hong Jun; Murdoch, Jennifer N; Hildreth, Victoria; Peat, Jonathan D; Anderson, Robert H; Copp, Andrew J; Chaudhry, Bill; Henderson, Deborah J

    2007-07-20

    The Drosophila scribble gene regulates apical-basal polarity and is implicated in control of cellular architecture and cell growth control. Mutations in mammalian Scrib (circletail; Crc mutant) also result in abnormalities suggestive of roles in planar cell polarity regulation. We show that Crc mutants develop heart malformations and cardiomyopathy attributable to abnormalities in cardiomyocyte organization within the early heart tube. N-Cadherin is lost from the cardiomyocyte cell membrane and cell-cell adhesion is disrupted. This results in abnormalities in heart looping and formation of both the trabeculae and compact myocardium, which ultimately results in cardiac misalignment defects and ventricular noncompaction. Thus, these late abnormalities arise from defects occurring at the earliest stages of heart development. Mislocalization of Vangl2 in Crc/Crc cardiomyocytes suggests Scrib is acting in the planar cell polarity pathway in this tissue. Moreover, double heterozygosity for mutations in both Scrib and Vangl2 can cause cardiac defects similar to those found in homozygous mutants for each gene but without other major defects. We propose that heterozygosity for mutations in different genes in the planar cell polarity pathway may be an important mechanism for congenital heart defects and cardiomyopathy in humans.

  17. EARLY FUNCTIONAL RESULTS OF UNSTABLE PERTROCHANTERIC FRACTURES TREATED WITH PROXIMAL FEMORAL NAILS IN A PERIPHERAL TERTIARY CARE CENT RE

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    Bharath Kumar

    2015-05-01

    Full Text Available BACKGROUND : Pertrochanteric fractures forms a major share of proximal femoral fractures in young and old . Proper implant selection and surgical planning plays a pivotal role in providing fracture union and early rehabilitation of patients to prevent complications due to recumbency . AIM : The aim of this retrospective study is to assess the results of proximal femoral nails in unstable pertrochanteric f ractures . MATERIALS AND METHODS : This study was performed in the Department of Orthopaedic Surgery , Chettinad hospital and research institute , Kelambakkam between November 2012 and December 2014 . 15 patients with pertrochanteric fractures were retrospectively followed . Among the fifteen 9 were male and 6 were female with an average age of 43 . Eleven patients sustained Intertrochanteric fractures , 8 of A2 type and 3 of A3 type according to AO classification . 4 patients had subtroch anteric fractures of seinseimer Type 5 . RESULTS : Short PFN was used in all the 11 Intertrochanteric fractures and long PFN was used in the 4 subtrochanteric fractures . All fractures healed by around 3 . 5 months . There is one case of varus malunion and one c ase of screw pullout which required implant removal . The limitations of this study are its retrospective nature , small sample size and short follow up . CONCLUSION : Our results show that proximal femoral nails being load sharing implants form an ideal choic e for stabil ising pertrochanteric fractures . Minimally invasive technique of insertion with less blood loss make it an ideal choice in such complex scenarios .

  18. Effects of Cognitive Enhancement Therapy on Employment Outcomes in Early Schizophrenia: Results from a 2-Year Randomized Trial

    Science.gov (United States)

    Eack, Shaun M.; Hogarty, Gerard E.; Greenwald, Deborah P.; Hogarty, Susan S.; Keshavan, Matcheri S.

    2011-01-01

    Objective: To examine the effects of psychosocial cognitive rehabilitation on employment outcomes in a randomized controlled trial for individuals with early course schizophrenia. Method: Early course schizophrenia outpatients (N = 58) were randomly assigned to cognitive enhancement therapy (CET) or an enriched supportive therapy (EST) control and…

  19. Effects of Cognitive Enhancement Therapy on Employment Outcomes in Early Schizophrenia: Results from a 2-Year Randomized Trial

    Science.gov (United States)

    Eack, Shaun M.; Hogarty, Gerard E.; Greenwald, Deborah P.; Hogarty, Susan S.; Keshavan, Matcheri S.

    2011-01-01

    Objective: To examine the effects of psychosocial cognitive rehabilitation on employment outcomes in a randomized controlled trial for individuals with early course schizophrenia. Method: Early course schizophrenia outpatients (N = 58) were randomly assigned to cognitive enhancement therapy (CET) or an enriched supportive therapy (EST) control and…

  20. Microgravity Effects on the Early Events of Biological Nitrogen Fixation in Medicago Truncatula: Results from the SyNRGE Experiment

    Science.gov (United States)

    Stutte, Gary W.; Roberts, Michael S.

    2013-02-01

    SyNRGE (Symbiotic Nodulation in a Reduced Gravity Environment) was a sortie mission on STS-135 in the Biological Research in Canisters (BRIC) hardware to study the effect of μg on a plant-microbe symbiosis resulting in biological nitrogen fixation. Medicago truncatula, a model species for the legume family, was inoculated with its bacterial symbiont, Sinorhizobium meliloti, to observe early biomolecular events associated with infection and nodulation in Petri Dish Fixation Units (PDFU’s). Two sets of experiments were conducted in orbit and in 24-hour delayed ground controls. Experiments were designed to determine if S. meliloti would infect M. truncatula and initiate biomolecular changes associated with nodule formation and if the μg environment altered the host plant and/or bacteria to induce nodule formation upon return to 1g. Initial analysis results demonstrate that the legumes and bacteria cultivated in μg have potential to develop a symbiotic interaction, but suggest that μg alters their ability to form nodules upon return to 1g. (Research supported by NASA ESMD/ Advance Capabilities Division grant NNX10AR09A)

  1. Promoting research in advanced dementia: early clinical results of the Alzheimer Center Reina Sofía Foundation.

    Science.gov (United States)

    Olazarán, Javier; Agüera-Ortiz, Luis; Osorio, Ricardo S; León-Salas, Beatriz; Dobato, José Luis; Cruz-Orduña, Isabel; González, Belén; Valentí, Meritxell; Gil-Ruiz, Nuria; Frades, Belén; Ramos-García, M I; Martínez-Martín, Pablo

    2012-01-01

    The Alzheimer Center Reina Sofía Foundation (ACRSF) was envisaged to address the complex and multi-disciplinary research and care needs posed by Alzheimer's disease (AD) and other neurodegenerative dementias. Patients may be admitted at ACRSF either as inpatients (i.e., nursing home) or outpatients (i.e., day-care center). The research program includes clinical, social, biochemical, genetic, and magnetic resonance investigations, as well as brain donation. We present the inception of the clinical research protocol for the ACRSF, the early results, and the amendments to the protocol. Foreseen as distinct populations, inpatient and outpatient results are presented separately. Data were collected from 180 patients (153 inpatients, 27 outpatients) (86% AD), with informed consent for participation in the research program of the ACRSF. Most patients (95%) had moderate to severe dementia. Nursing home patients were older, displayed marked gait dysfunction, and were significantly more dependent in the activities of daily living (ADL), compared to the day-care patients (p dementia. New measurements were added for evaluation of cognition, apathy, agitation, depression, ADL, motor function, and QoL. The final assessment is expected to be sensitive to change in all the clinical aspects of advanced degenerative dementia, to promote multidisciplinary and, desirably, inter-center collaborative research and, eventually, to contribute to the improvement of treatment and care for these patients.

  2. Prenatal and early-life predictors of atopy and allergic disease in Canadian children: results of the Family Atherosclerosis Monitoring In earLY life (FAMILY) Study.

    Science.gov (United States)

    Batool, T; Reece, P L; Schulze, K M; Morrison, K M; Atkinson, S A; Anand, S S; Teo, K K; Denburg, J A; Cyr, M M

    2016-12-01

    Prenatal and early-life environmental exposures play a key role in the development of atopy and allergic disease. The Family Atherosclerosis Monitoring In earLY life Study is a general, population-based Canadian birth cohort that prospectively evaluated prenatal and early-life traits and their association with atopy and/or allergic disease. The study population included 901 babies, 857 mothers and 530 fathers. Prenatal and postnatal risk factors were evaluated through questionnaires collected during the antenatal period and at 1 year. The end points of atopy and allergic diseases in infants were evaluated through questionnaires and skin prick testing. Key outcomes included atopy (24.5%), food allergy (17.5%), cow's milk allergy (4.8%), wheezing (18.6%) and eczema (16%). The association between infant antibiotic exposure [odds ratio (OR): 2.04, 95% confidence interval (CI): 1.45-2.88] and increased atopy was noted in the multivariate analysis, whereas prenatal maternal exposure to dogs (OR: 0.60, 95% CI: 0.42-0.84) and acetaminophen (OR: 0.68, 95% CI: 0.51-0.92) was associated with decreased atopy. This population-based birth cohort in Canada demonstrated high rates of atopy, food allergy, wheezing and eczema. Several previously reported and some novel prenatal and postnatal exposures were associated with atopy and allergic diseases at 1 year of age.

  3. Uptake of platinum by zebrafish (Danio rerio) and ramshorn snail (Marisa cornuarietis) and resulting effects on early embryogenesis.

    Science.gov (United States)

    Osterauer, Raphaela; Haus, Nadine; Sures, Bernd; Köhler, Heinz-R

    2009-11-01

    Platinum group elements (PGEs), platinum, palladium and rhodium are widely used in automobile catalytic converters. PGEs are emitted into the environment and enter the aquatic ecosystem via runoff rainwater. The present study investigated the bioavailability of platinum chloride for the zebrafish (Danio rerio) and the ramshorn snail (Marisa cornuarietis) and determined the bioaccumulation rate of platinum. Applying the fish early life stage assay for D. rerio (DarT) and the Marisa embryo toxicity test ("Mariett") for M. cornuarietis, effects of platinum chloride on the embryonic development were investigated. Platinum concentrations tested in this study ranged from environmentally relevant concentrations of 38 ng L(-1) up to a concentration of 74.2 microg L(-1) for D. rerio and of 200 ngL(-1) up to 98.7 microg L(-1) for M. cornuarietis. Platinum was found to be accumulated in both organisms. Bioaccumulation factors (BAFs) were in the range of 5-55 for D. rerio and of 218.4-723.9 for M. cornuarietis, depending on the tested Pt concentrations. During the embryonic development, platinum was shown to alter the heart rate of both organisms already at the lowest tested concentration. At higher concentrations, platinum decelerated the hatching rate of the embryos of both species. Additionally, a retardation of the general development and a loss of weight due to platinum exposure was observed in M. cornuarietis. Results of this study contribute important data on the ecotoxicity of a rarely studied element.

  4. Early stimulation results in children with Retinopathy of Prematurity in Sancti Spíritus. 2007-2012.

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    Miriam Rodríguez Rodríguez

    2014-06-01

    Full Text Available A descriptive retrospective study with a longitudinal projection was made, since January 2007 until December 2010, in Retinopathy of prematurity and early stimulation consultations inside of Low vision´s department in Camilo Cienfuegos´ Hospital, with the objective to describe the result of laser treatment for retinopathy of prematurity, in order to avoid blindness in children who developed this illness. The data base used was the one of the provincial program of retinopathy. The population of the study was conformed by 36 children who developed retinopathy in the studied period, 11 children were taken as a sample, the one that received laser treatment because they have suffer stage III of the illness. Males prevailed, coming from five different municipalities of the province, must of them were rehabilitated with glasses for their residual ametropia after the treatment was employed. All of these made possible an adequate visual development and an economical saving of 58800 pesos for all the cases who didn´t develop a visual disability because of Retinopathy from the prematurity, and did not register in the Blind and low visual children´s School.

  5. Radiotherapy in early-stage Dupuytren's contracture. Long-term results after 13 years

    Energy Technology Data Exchange (ETDEWEB)

    Betz, Nicolas; Ott, Oliver J.; Sauer, Rolf; Fietkau, Rainer [Dept. of Radiation Oncology, Univ. Hospital Erlangen (Germany); Adamietz, Boris [Radiologic Inst., Univ. Hospital Erlangen (Germany); Keilholz, Ludwig [Dept. of Radiation Oncology, Univ. Hospital Erlangen (Germany); Dept. of Radiotherapy, Klinikum Bayreuth GmbH (Germany)

    2010-02-15

    Background and Purpose: In early-stage Dupuytren's contracture, radiotherapy is applied to prevent disease progression. Long-term outcome and late toxicity of the treatment were evaluated in a retrospective analysis. Patients and Methods: Between 12/1982 and 02/2006, 135 patients (208 hands) were irradiated with orthovoltage (120 kV; 20 mA; 4-mm Al filter), in two courses with five daily fractions of 3.0 Gy to a total dose of 30 Gy; separated by a 6- to 8-week interval. The extent of disease was described according to a modified classification of Tubiana et al. Long-term outcome was analyzed at last follow-up between 02/2008 and 05/2008 with a median follow-up of 13 years (range, 2-25 years). Late treatment toxicity and objective reduction of symptoms as change in stage and numbers of nodules and cords were evaluated and used as evidence to assess treatment response. Results: According to the individual stages, 123 cases (59%) remained stable, 20 (10%) improved, and 65 (31%) progressed. In stage N 87% and in stage N/I 70% remained stable or even regressed. In more advanced stages, the rate of disease progression increased to 62% (stage I) or 86% (stage II). 66% of the patients showed a long-term relief of symptoms (i.e., burning sensations, itching and scratching, pressure and tension). Radiotherapy did not increase the complication rate after surgery in case of disease progression and only minor late toxicity (skin atrophy, dry desquamation) could be observed in 32% of the patients. There was no evidence for a second malignancy induced by radiotherapy. Conclusion: After a mean follow-up of 13 years radiotherapy is effective in prevention of disease progression and improves patients' symptoms in early-stage Dupuytren's contracture (stage N, N/I). In case of disease progression after radiotherapy, a ''salvage'' operation is still feasible. (orig.)

  6. Antropometria, maturação sexual e idade da menarca de acordo com o nível socioeconômico de meninas escolares de Cascavel (PR Antropometry, sexual maturation and menarcheal age according to socioeconomic status of schoolgirls from Cascavel (PR

    Directory of Open Access Journals (Sweden)

    Everton Paulo Roman

    2009-01-01

    Full Text Available OBJETIVO: Avaliar a idade da menarca e a antropometria de meninas escolares de diferentes níveis socioeconômicos em Cascavel (Estado do Paraná -Região Sul do Brasil. MÉTODOS: Estudo transversal realizado no ano de 2006 com 2.761 meninas em 27 escolas públicas e particulares. A idade da menarca foi obtida pelo método status quo. Para a avaliação da maturação sexual foi realizada a autoavaliação de acordo com os critérios descritos por Tanner. O nível socioeconômico foi obtido por meio do questionário da ABEP (2003. Avaliou-se o peso e a estatura, obtendo-se o índice de massa corporal (IMC. Foram utilizados a análise estatística descritiva e o teste de Mann-Whitney, com nível de significância de 5%. RESULTADOS: A idade da menarca geral foi 12,2±1,2 anos e 12,1±1,1; 12,3±1,2 e 12,4±1,2 anos para os tercis alto, médio e baixo de nível socioeconômico, respectivamente. Foram constatados valores superiores para as meninas pós-menarca no peso e na estatura dos 10 aos 17 anos de idade e no IMC dos 11 aos 14 anos de idade. CONCLUSÕES: As meninas de nível socioeconômico alto apresentaram idade da menarca em idade inferior aos demais níveis socioeconômicos. Embora estas diferenças tenham sido observadas em níveis socioeconômicos distintos, biologicamente foram consideradas pequenas.OBJECTIVE: To evaluate age of menarche and anthropometric data of schoolgirls of different socioeconomic levels in Cascavel, state of Parana, in Southern Brazil. METHODS: A cross-sectional study was carried out in 2006 with 2,761 girls evaluated in 27 private and public schools. Age at menarche was obtained by the status quo method. Sexual maturity was assessed by self evaluation, according to Tanner's criteria. Socioeconomic level was obtained through the ABEP (2003 questionnaire. Data of weight, stature and Body Mass Index (BMI were obtained. Data were analyzed by descriptive statistics and Mann-Whitney test at 5% significance. RESULTS: Age

  7. 中国9~18岁少数民族女生月经初潮与形态发育关系研究%Association between age at menarche and physical development among minority nationality girls aged 9-18 in China

    Institute of Scientific and Technical Information of China (English)

    宋逸; 马军; 胡佩瑾; 张冰

    2011-01-01

    目的 了解我国9~18岁少数民族女生月经初潮年龄及与形态发育之间的关系,为研究少数民族女生生长发育规律和开展青春期教育提供依据.方法 利用2005年全国学生体质健康调研数据,对蒙、回、壮、朝鲜族9~18岁女生的月经初潮年龄、身高、体重、胸围和BMI等指标进行比较和统计检验.结果 2005年蒙、回、壮和朝鲜族女生月经初潮年龄分别为12.78,13.28,12.71,12.35岁.18岁组蒙、回、壮和朝鲜族女生身高分别为159.0,159.0,155.1和157.5 cm,体重分别为54.7,53.3,47.6和52.3 kg,胸围分别为78.7,78.8,75.7和79.4 cm.11~14岁已来潮女生形态发育情况要好于未来潮女生(P值均<0.01).结论 朝鲜族女生月经初潮年龄早于蒙、回、壮族,蒙古族和回族女生成年身高较高,月经初潮与形态发育关系密切.%Objective To know the association between age at menarche ( AAM ) and physical development among the Mongolian, Hui,Zhuang and Korean Nationality girls in China. Methods The AAMs, height, weight, chest circumference and BMI were compared in minority groups of Chinese girls who participated in National Physical Fitness and Health Surveillance in 2005. Results AAMs were 12.78, 13.28,12.71 and 12.35 years old for the Mongolian, Hui, Zhuang and Korean Nationality girls, respectively. At the age of 18 years old Mongolian, Hui, Zhuang and Korean Nationality girls, the heights were 159.0, 159.0,155.1 and 157.5cm; the weights were 54.7,53.3, 47.6 and 52.3kg; and the chest circumferences were 78.7,78.8, 75.7 and 79.4cm, respectively. The physical indicators at the age of 11 to 14 years old of the menstruation menarche girls were significantly higher than those of the non-menstruation menarche girls ( P < 0. 0l ). Conclusion The onset of menarche is earlier in Korean Nationality girls than in other three minority groups. The heights were higher in the Mongolian and Hui girls than Zhuang and Korean Nationality girls

  8. A late Eocene-early Oligocene transgressive event in the Golfo San Jorge basin: palynological results and stratigraphic implications

    OpenAIRE

    Paredes, José M.; Foix, Nicolas; Guerstein, Gladys Raquel; Guler, Maria Veronica; Irigoyen, Martin; Moscoso, Pablo; Giordano, Sergio

    2016-01-01

    A new Cenozoic dataset in the subsurface of the South Flank of the Golfo San Jorge Basin (Santa Cruz province) allowed to identify a non-previously recognized transgressive event of late Eocene to early Oligocene age. Below of a marine succession containing a dinoflagellate cyst assemblage that characterizes the C/G palynological zone of the Chenque Formation (early Miocene), a 80–110 m thick marine succession contains a palynological assemblage integrated by Gelatia inflata, Diphyes colliger...

  9. Early life ozone exposure results in dysregulated innate immune function and altered microRNA expression in airway epithelium.

    Science.gov (United States)

    Clay, Candice C; Maniar-Hew, Kinjal; Gerriets, Joan E; Wang, Theodore T; Postlethwait, Edward M; Evans, Michael J; Fontaine, Justin H; Miller, Lisa A

    2014-01-01

    Exposure to ozone has been associated with increased incidence of respiratory morbidity in humans; however the mechanism(s) behind the enhancement of susceptibility are unclear. We have previously reported that exposure to episodic ozone during postnatal development results in an attenuated peripheral blood cytokine response to lipopolysaccharide (LPS) that persists with maturity. As the lung is closely interfaced with the external environment, we hypothesized that the conducting airway epithelium of neonates may also be a target of immunomodulation by ozone. To test this hypothesis, we evaluated primary airway epithelial cell cultures derived from juvenile rhesus macaque monkeys with a prior history of episodic postnatal ozone exposure. Innate immune function was measured by expression of the proinflammatory cytokines IL-6 and IL-8 in primary cultures established following in vivo LPS challenge or, in response to in vitro LPS treatment. Postnatal ozone exposure resulted in significantly attenuated IL-6 mRNA and protein expression in primary cultures from juvenile animals; IL-8 mRNA was also significantly reduced. The effect of antecedent ozone exposure was modulated by in vivo LPS challenge, as primary cultures exhibited enhanced cytokine expression upon secondary in vitro LPS treatment. Assessment of potential IL-6-targeting microRNAs miR-149, miR-202, and miR-410 showed differential expression in primary cultures based upon animal exposure history. Functional assays revealed that miR-149 is capable of binding to the IL-6 3' UTR and decreasing IL-6 protein synthesis in airway epithelial cell lines. Cumulatively, our findings suggest that episodic ozone during early life contributes to the molecular programming of airway epithelium, such that memory from prior exposures is retained in the form of a dysregulated IL-6 and IL-8 response to LPS; differentially expressed microRNAs such as miR-149 may play a role in the persistent modulation of the epithelial innate

  10. Early results of pediatric appendicitis after adoption of diagnosis-related group-based payment system in South Korea

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    Moon SB

    2015-11-01

    Full Text Available Suk-Bae MoonDepartment of Surgery, Kangwon National University Hospital, Kangwon National School of Medicine, Kangwon National University, Chuncheon, South KoreaPurpose: As an alternative to the existing fee-for-service (FFS system, a diagnosis-related group (DRG-based payment system has been suggested. The aim of this study was to investigate the early results of pediatric appendicitis treatment under the DRG system, focusing on health care expenditure and quality of health care services.Patients and methods: The medical records of 60 patients, 30 patients before (FFS group, and 30 patients after adoption of the DRG system (DRG, were reviewed retrospectively.Results: Mean hospital stay was shortened, but the complication and readmission rates did not worsen in the DRG. Overall health care expenditure and self-payment decreased from Korean Won (KRW 2,499,935 and KRW 985,540, respectively, in the FFS group to KRW 2,386,552 and KRW 492,920, respectively, in the DRG. The insurer’s payment increased from KRW 1,514,395 in the FFS group to KRW 1,893,632 in the DRG. For patients in the DRG, calculation by the DRG system yielded greater overall expenditure (KRW 2,020,209 vs KRW 2,386,552 but lower self-payment (KRW 577,803 vs KRW 492,920 than calculation by the FFS system.Conclusion: The DRG system worked well in pediatric patients with acute appendicitis in terms of cost-effectiveness over the short term. The gradual burden on the national health insurance fund should be taken into consideration.Keywords: appendicitis, child, fee-for-service plans, diagnosis-related groups, quality of health care, health care expenditures

  11. Early life ozone exposure results in dysregulated innate immune function and altered microRNA expression in airway epithelium.

    Directory of Open Access Journals (Sweden)

    Candice C Clay

    Full Text Available Exposure to ozone has been associated with increased incidence of respiratory morbidity in humans; however the mechanism(s behind the enhancement of susceptibility are unclear. We have previously reported that exposure to episodic ozone during postnatal development results in an attenuated peripheral blood cytokine response to lipopolysaccharide (LPS that persists with maturity. As the lung is closely interfaced with the external environment, we hypothesized that the conducting airway epithelium of neonates may also be a target of immunomodulation by ozone. To test this hypothesis, we evaluated primary airway epithelial cell cultures derived from juvenile rhesus macaque monkeys with a prior history of episodic postnatal ozone exposure. Innate immune function was measured by expression of the proinflammatory cytokines IL-6 and IL-8 in primary cultures established following in vivo LPS challenge or, in response to in vitro LPS treatment. Postnatal ozone exposure resulted in significantly attenuated IL-6 mRNA and protein expression in primary cultures from juvenile animals; IL-8 mRNA was also significantly reduced. The effect of antecedent ozone exposure was modulated by in vivo LPS challenge, as primary cultures exhibited enhanced cytokine expression upon secondary in vitro LPS treatment. Assessment of potential IL-6-targeting microRNAs miR-149, miR-202, and miR-410 showed differential expression in primary cultures based upon animal exposure history. Functional assays revealed that miR-149 is capable of binding to the IL-6 3' UTR and decreasing IL-6 protein synthesis in airway epithelial cell lines. Cumulatively, our findings suggest that episodic ozone during early life contributes to the molecular programming of airway epithelium, such that memory from prior exposures is retained in the form of a dysregulated IL-6 and IL-8 response to LPS; differentially expressed microRNAs such as miR-149 may play a role in the persistent modulation of the

  12. Migrant background and weight gain in early infancy: results from the German study sample of the IDEFICS study.

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    Anna Reeske

    Full Text Available OBJECTIVE: To examine variations in infant weight gain between children of parents with and without migrant background and to investigate how these differences are explained by pre- and perinatal factors. METHODS: We used data on birth weight and weight at six months from well-child check-up books that were collected from a population-based German sample of children in the IDEFICS study (n = 1,287. We calculated unadjusted and adjusted means for weight z-scores at birth and six months later. We applied linear regression for change in weight z-score and we calculated odds ratios and 95% confidence intervals (95% CI for rapid weight gain by logistic regression, adjusted for biological, social and behavioural factors. RESULTS: Weight z-scores for migrants and Germans differed slightly at birth, but were markedly increased for Turkish and Eastern European infants at age six months. Turkish infants showed the highest change in weight z-score during the first 6 months (ß = 0.35; 95% CI 0.14-0.56 and an increased probability of rapid weight gain compared with German infants. Examination of the joint effect of migrant and socioeconomic status (SES showed the greatest change in weight z-scores in Turkish infants from middle SES families (ß = 0.77; 95% CI 0.40-1.14 and infants of parents from Eastern European countries with high SES (ß = 0.72; 95% CI 0.13-1.32. CONCLUSIONS: Our results support the hypothesis that migrant background is an independent risk factor for infant weight gain and suggest that the onset of health inequalities in overweight starts in early infancy.

  13. Endovenous laser ablation of great saphenous vein with ultrasound-guided perivenous tumescence:early and midterm results

    Institute of Scientific and Technical Information of China (English)

    CHEN Jia-quan; XIE Hui; DENG Hao-yu; YUAN Kai; ZHANG Ji-wei; ZHANG Hao; ZHANG Lan

    2013-01-01

    Background Endovenous laser ablation (EVLA) is an improved method to treat varicose great saphenous veins (GSV)with a high satisfactory rate.This study aimed to evaluate the efficiency and safety of treatment by EVLA procedures with ultrasound-guided perivenous tumescence.Methods Thirty-one patients (31 limbs) with symptomatic varicose vein primary to chronic venous insufficiency (CVI) treated with EVLA were prospectively studied.The entire procedure was performed under ultrasound-guided tumescent local anesthesia.The patients were evaluated with a 18 month follow-up postoperation using clinical examination and venous duplex ultrasonography.Pain scores and quality of life (QOL) were recorded using visual analog scale (VAS) and the chronic venous insufficiency questionnaire (CIVIQ) at 1 week,1 month,and 12 months after operation.Results All patients tolerated EVLA procedure well.The overall success occlusion rates of GSV were 92%,94%,and 94% at 1,12,and 18 months follow-up,respectively.The score of CIVIQ one week preoperation was 69.14±11.44 while that of CIVIQ one month postoperation was 85.32±4.89.The life quality has significantly improved after the operation of EVLA (t=12.71,P <0.05).The VAS one month after treatment was lower than 1 week before therapy (t=8.048,P <0.05).Major complications such as deep vein thrombosis and skin bums were not found.Most of the complications were minor and improved quickly.Conclusions This refinement type of EVLA procedure is a safe and effective treatment with a high satisfaction rate; it displayed noteworthy features including shortening hospitalization,early ambulant activity,and preferable occlusion rates.

  14. Increasing access to institutional deliveries using demand and supply side incentives: early results from a quasi-experimental study

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    Serwadda David

    2011-03-01

    Full Text Available Abstract Background Geographical inaccessibility, lack of transport, and financial burdens are some of the demand side constraints to maternal health services in Uganda, while supply side problems include poor quality services related to unmotivated health workers and inadequate supplies. Most public health interventions in Uganda have addressed only selected supply side issues, and universities have focused their efforts on providing maternal services at tertiary hospitals. To demonstrate how reforms at Makerere University College of Health Sciences (MakCHS can lead to making systemic changes that can improve maternal health services, a demand and supply side strategy was developed by working with local communities and national stakeholders. Methods This quasi-experimental trial is conducted in two districts in Eastern Uganda. The supply side component includes health worker refresher training and additions of minimal drugs and supplies, whereas the demand side component involves vouchers given to pregnant women for motorcycle transport and the payment to service providers for antenatal, delivery, and postnatal care. The trial is ongoing, but early analysis from routine health information systems on the number of services used is presented. Results Motorcyclists in the community organized themselves to accept vouchers in exchange for transport for antenatal care, deliveries and postnatal care, and have become actively involved in ensuring that women obtain care. Increases in antenatal, delivery, and postnatal care were demonstrated, with the number of safe deliveries in the intervention area immediately jumping from Conclusions Transport and service vouchers appear to be a viable strategy for rapidly increasing maternal care. MakCHS can design strategies together with stakeholders using a learning-by-doing approach to take advantage of community resources.

  15. Early Results of the “Clamp and Sew” Fontan Procedure Without the Use of Circulatory Support

    Science.gov (United States)

    Shinkawa, Takeshi; Anagnostopoulos, Petros V.; Johnson, Natalie C.; Presnell, Laura; Watanabe, Naruhito; Sapru, Anil; Azakie, Anthony

    2017-01-01

    Background A modification of the Fontan operation was recently applied, which includes anastomoses of the extra-cardiac conduit to the right pulmonary artery and inferior vena cava using simple clamping with no additional circulatory support, venous shunting, pulmonary artery preparation, or prior maintenance of azygos vein patency. The objective of this study is to assess the outcomes of this novel off-pump “clamp and sew” Fontan procedure. Methods This is a retrospective review of all patients having a Fontan procedure between January 2009 and October 2010 at a single institution. Results Twelve patients had a Fontan procedure with the use of cardiopulmonary bypass (CPB group), and 12 had an off-pump Fontan procedure (off-pump group). Preoperative demographic and hemodynamic data were similar except for higher mean pulmonary artery pressure in the CPB group (12.2 ± 1.6 mm Hg versus 9.9 ± 2.4 mm Hg; p = 0.02). No patients in the off-pump group required conversion to CPB. The mean inferior vena cava clamp time in the off-pump group patients was 10 ± 3 minutes. There were no early or midterm deaths. No patients exhibited postoperative hepatic or renal dysfunction. Postoperative maximal serum creatinine and aspartate transaminase were significantly lower in the off-pump group compared with the CPB group (0.59 ± 0.12 versus 0.77 ± 0.22 mg/dL; p = 0.03 and 35.5 ± 8.3 versus 53.1 ± 19.0 U/L; p = 0.02, respectively). At median follow-up of 13 months (range, 1 to 20 months), all but 1 patient in the CPB group are in New York Heart Association class I with unobstructed Fontan circulation. Conclusions The clamp and sew technique for completion of an extracardiac conduit Fontan procedure appears safe and feasible for selected patients. PMID:21524454

  16. Early results of first versus second generation Amplatzer occluders for left atrial appendage closure in patients with atrial fibrillation.

    Science.gov (United States)

    Gloekler, Steffen; Shakir, Samera; Doblies, Janosch; Khattab, Ahmed A; Praz, Fabien; Guerios, Ênio; Koermendy, Dezsoe; Stortecky, Stefan; Pilgrim, Thomas; Buellesfeld, Lutz; Wenaweser, Peter; Windecker, Stephan; Moschovitis, Aris; Jaguszewski, Milosz; Landmesser, Ulf; Nietlispach, Fabian; Meier, Bernhard

    2015-08-01

    Transcatheter left atrial appendage (LAA) occlusion has been proven to be an effective treatment for stroke prophylaxis in patients with atrial fibrillation. For this purpose, the Amplatzer cardiac plug (ACP) was introduced. Its second generation, the Amulet, was developed for easier delivery, better coverage, and reduction of complications. To investigate the safety and efficacy of first generation versus second generation Amplatzer occluders for LAA occlusion. Retrospective analysis of prospectively collected data from the LAA occlusion registries of the Bern and Zurich university hospitals. Comparison of the last consecutive 50 ACP cases versus the first consecutive 50 Amulet cases in patients with non-valvular atrial fibrillation. For safety, a periprocedural combined endpoint, which is composed of death, stroke, cardiac tamponade, and bailout by surgery was predefined. For efficacy, the endpoint was procedural success. There were no differences between the two groups in baseline characteristics. The percentage of associated interventions during LAA occlusion was high in (78% with ACP vs. 70% with Amulet p = ns). Procedural success was similar in both groups (98 vs. 94%, p = 0.61). The combined safety endpoint for severe adverse events was reached by a similar rate of patients in both groups (6 vs. 8%, p = 0.7). Overall complication rate was insignificantly higher in the ACP group, which was mainly driven by clinically irrelevant pericardial effusions (24 vs. 14%, p = 0.31). Death, stroke, or tamponade were similar between the groups (0 vs. 2%, 0 vs. 0%, or 6 vs. 6%, p = ns). Transcatheter LAA occlusion for stroke prophylaxis in patients with atrial fibrillation can be performed with similarly high success rates with first and second generations of Amplatzer occluders. According to this early experience, the Amulet has failed to improve results of LAA occlusion. The risk for major procedural adverse events is acceptable but has to be taken into account when

  17. Co-occurring development of early childhood communication and motor skills: results from a population-based longitudinal study.

    Science.gov (United States)

    Wang, M V; Lekhal, R; Aarø, L E; Schjølberg, S

    2014-01-01

    Communicative and motor development is frequently found to be associated. In the current study we investigate to what extent communication and motor skills at 1½ years predict skills in the same domains at 3 years of age. This study is based on the Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institute of Public Heath. Data stem from 62,944 children and their mothers. Mothers completed questionnaires on their child's communication and motor skills at ages 1½ and 3. Associations between communication and motor skills were estimated in a cross-lagged model with latent variables. Early communication skills were correlated with early motor skills (0.72). Stability was high (0.81) across time points for motor skills and somewhat lower (0.40) for communication skills. Early motor skills predicted later communication skills (0.38) whereas early communication skills negatively predicted later motor skills (-0.14). Our findings provide support for the hypothesis that these two difficulties are not symptoms of separate disorders, but might rather be different manifestations of a common underlying neurodevelopmental weakness. However, there also seem to be specific developmental pathways for each domain. Besides theoretical interest, more knowledge about the relationship between these early skills might shed light upon early intervention strategies and preventive efforts commonly used with children with problems in these areas. Our findings suggest that the relationship between language and motor skills is not likely to be simple and directional but rather to be complex and multifaceted. © 2012 John Wiley & Sons Ltd.

  18. Long-term results of patients with clinical stage C prostate cancer treated by photontherapy and early orchiectomy

    Energy Technology Data Exchange (ETDEWEB)

    Wiegel, T. [Univ. Hospital Eppendorf, Hamburg (Germany). Dept. of Radiotherapy]|[Dept. of Radiotherapy, Univ. Hospital Benjamin Franklin, Freie Univ. Berlin (Germany); Tepel, J. [Univ. Hospital Eppendorf, Hamburg (Germany). Dept. of Radiotherapy; Schmidt, R. [Univ. Hospital Eppendorf, Hamburg (Germany). Dept. of Radiotherapy; Klosterhalfen, H. [Univ. Hospital Eppendorf, Hamburg (Germany). Dept. of Urology; Arps, H. [General Hospital Fulda (Germany). Inst. of Pathology; Berger, P. [Univ. Hospital Eppendorf, Hamburg (Germany). Inst. of Medical Statistics; Franke, H.D. [Univ. Hospital Eppendorf, Hamburg (Germany). Dept. of Radiotherapy

    1996-11-01

    Background: To evaluate the value of radiotherapy and immediate hormonal therapy in the treatment of stage C prostate cancer. Patients and Method: From 1977 to 1986, 169 patients with clinically stage C prostate cancer underwent irradiation with curative intent following early orchiectomy. Sixty-four patients had a transurethral resection, 22 patients a prostatectomy and 83 patients had only a biopsy. In 38 patients a grade Ia/b tumor was found, in 78 patients a grade IIa/b tumor and in 43 patients a grade IIIa/b tumor using the German grade of malignancy. Treatment fields included the prostate, the seminal vesicles and the locoregional lymphatics. Until 1979 the dose was 60 Gy for the tumor encompassing isodose and from then on 65 Gy with a single dose of 2 Gy. Results: With a median follow-up of 98 months, the overall survival rate for 8 and 10 years was 51% and 37% and the cause-specific survival rate was 84% and 77%, respectively. Thirty-two patients (19%) developed distant metastases. Patients with local tumor control (n=148) had a significantly better overall survival rate of 45% for 10 years compared to patients with clinical local progression of disease (n=21) of 22% (p<0.05). Multivariate analysis showed the grade of malignancy and local control as independent factors for overall survival and cause-specific survival (p<0.05). Twenty-three patients (14%) had at least one late side effect for the rectum or the bladder, in almost all cases grade I or II. Five patients (3%) showed severe late side effects RTOG grade III (n=2) or IV (n=3). One patient had a colostomy, in 2 patients a severe haemorrhagic cystitis was seen. Conclusions: Radiotherapy with photons and early orchiectomy for patients with stage C prostate cancer achieves high local control rates and a 30% to 40% 10-year survival rate with a low incidence of late side effects. The value of the radiotherapy of the locoregional lymphatics remains controversial. (orig.) [Deutsch] Zwischen 1977 und 1986

  19. Early Mission Orbit Determination Error Analysis Results for Low-Earth Orbiting Missions using TDRSS Differenced One-way Doppler Tracking Data

    Science.gov (United States)

    Marr, Greg C.

    2003-01-01

    Differencing multiple, simultaneous Tracking and Data Relay Satellite System (TDRSS) one-way Doppler passes can yield metric tracking data usable for orbit determination for (low-cost) spacecraft which do not have TDRSS transponders or local oscillators stable enough to allow the one-way TDRSS Doppler tracking data to be used for early mission orbit determination. Orbit determination error analysis results are provided for low Earth orbiting spacecraft for various early mission tracking scenarios.

  20. Seasonality of reproductive events and early mortality in a colony of hamadryas baboons (Papio hamadryas hamadryas) over a 30-year period: Capital breeding and life history patterns in a food-provisioned population seasonally thermally stressed.

    Science.gov (United States)

    Polo, Pablo; Colmenares, Fernando

    2016-11-01

    In environments where energy demands and resource availability vary seasonally, individuals are expected to time the optimal allocation of resources to support survival and reproduction. Although female baboons are regarded as all year round, capital breeders, we wondered how they would respond in an ecological scenario where food were not limiting, foraging effort were negligible, and they were thermally stressed during the cold winter. This study analyzes a 30-year database of conceptions, births, resumptions of postlactational ovarian activity, menarches, and prenatal and early postnatal reproductive failures recorded in a food-provisioned colony of hamadryas baboons located in a temperate zone (40°25'N) to search for seasonal patterns in their life-history patterns and explore its fitness consequences. The results show that the study females exhibited moderate seasonality and behaved like capital breeders; ovarian activity peaked during the period of benign weather conditions (spring and early summer) and births and lactation peaked during the period when they were thermally stressed and faced a negative energy balance (winter). Mistimed conceptions were more likely to fail than timed conceptions were, although this association could be artefactual due to the difficulty to accurately detect prenatal losses. Insolation and, to a lesser extent, temperature were positively associated with conceptions, resumptions of postlactational ovarian activity and onsets of menarche, and negatively associated with births. These findings highlight the extent of plasticity (width of peaks) and resiliency (retention of a capital breeding tactic even under highly seasonally thermally stressful cold conditions) in how primates can adjust their life history patterns and solve tradeoffs in a scenario of strong seasonal variation. Am. J. Primatol. 78:1149-1164, 2016. © 2016 Wiley Periodicals, Inc.

  1. Early pregnancy exposure to antihistamines and risk of congenital heart defects : results of two case-control studies

    NARCIS (Netherlands)

    Smedts, Huberdina P. M.; de Jonge, Linda; Bandola, Sarah J. G.; Baardman, Marlies E.; Bakker, Marian K.; Stricker, Bruno H. C.; Steegers-Theunissen, Regine P. M.

    2014-01-01

    UNLABELLED: We aimed to study the association between use of antihistamines in early pregnancy and congenital heart defects (CHD) in the offspring. DESIGN: Two case-control studies. SETTING: HAVEN study, Erasmus MC, University Medical Centre, Rotterdam, and Eurocat Northern Netherlands (NNL), Univer

  2. Age at menarche and digit ratio (2D:4D): relationships with body dissatisfaction, drive for thinness, and bulimia symptoms in women.

    Science.gov (United States)

    Oinonen, Kirsten A; Bird, Jessica L

    2012-03-01

    This study examined the hypothesis that lower prenatal androgen exposure and earlier puberty are associated with more dysfunctional eating attitudes and behaviors. Relationships between both age at menarche (AAM) and 2D:4D (a marker of prenatal androgen exposure), and EDI-2-Body Dissatisfaction, EDI-2-Drive for Thinness, and EDI-2-Bulimia scores, were examined in women using correlations and regressions. Earlier menarche was associated with higher drive for thinness after controlling for BMI and negative affect, but only in women who were not exclusively heterosexual. Higher 2D:4D was associated with higher Bulimia and Body Dissatisfaction scores, but only in exclusively heterosexual women, and relationships disappeared when covariates were controlled. Later AAM and higher 2D:4D were unique predictors of higher Bulimia scores for exclusive heterosexuals when BMI was controlled. These findings suggest future research should examine sexual orientation as a mediator or moderator of prenatal and postnatal organizational hormonal effects on women's disordered eating attitudes and behaviors. Copyright © 2011 Elsevier Ltd. All rights reserved.

  3. Genomic analyses identify hundreds of variants associated with age at menarche and support a role for puberty timing in cancer risk.

    Science.gov (United States)

    Day, Felix R; Thompson, Deborah J; Helgason, Hannes; Chasman, Daniel I; Finucane, Hilary; Sulem, Patrick; Ruth, Katherine S; Whalen, Sean; Sarkar, Abhishek K; Albrecht, Eva; Altmaier, Elisabeth; Amini, Marzyeh; Barbieri, Caterina M; Boutin, Thibaud; Campbell, Archie; Demerath, Ellen; Giri, Ayush; He, Chunyan; Hottenga, Jouke J; Karlsson, Robert; Kolcic, Ivana; Loh, Po-Ru; Lunetta, Kathryn L; Mangino, Massimo; Marco, Brumat; McMahon, George; Medland, Sarah E; Nolte, Ilja M; Noordam, Raymond; Nutile, Teresa; Paternoster, Lavinia; Perjakova, Natalia; Porcu, Eleonora; Rose, Lynda M; Schraut, Katharina E; Segrè, Ayellet V; Smith, Albert V; Stolk, Lisette; Teumer, Alexander; Andrulis, Irene L; Bandinelli, Stefania; Beckmann, Matthias W; Benitez, Javier; Bergmann, Sven; Bochud, Murielle; Boerwinkle, Eric; Bojesen, Stig E; Bolla, Manjeet K; Brand, Judith S; Brauch, Hiltrud; Brenner, Hermann; Broer, Linda; Brüning, Thomas; Buring, Julie E; Campbell, Harry; Catamo, Eulalia; Chanock, Stephen; Chenevix-Trench, Georgia; Corre, Tanguy; Couch, Fergus J; Cousminer, Diana L; Cox, Angela; Crisponi, Laura; Czene, Kamila; Davey Smith, George; de Geus, Eco J C N; de Mutsert, Renée; De Vivo, Immaculata; Dennis, Joe; Devilee, Peter; Dos-Santos-Silva, Isabel; Dunning, Alison M; Eriksson, Johan G; Fasching, Peter A; Fernández-Rhodes, Lindsay; Ferrucci, Luigi; Flesch-Janys, Dieter; Franke, Lude; Gabrielson, Marike; Gandin, Ilaria; Giles, Graham G; Grallert, Harald; Gudbjartsson, Daniel F; Guénel, Pascal; Hall, Per; Hallberg, Emily; Hamann, Ute; Harris, Tamara B; Hartman, Catharina A; Heiss, Gerardo; Hooning, Maartje J; Hopper, John L; Hu, Frank; Hunter, David J; Ikram, M Arfan; Im, Hae Kyung; Järvelin, Marjo-Riitta; Joshi, Peter K; Karasik, David; Kellis, Manolis; Kutalik, Zoltan; LaChance, Genevieve; Lambrechts, Diether; Langenberg, Claudia; Launer, Lenore J; Laven, Joop S E; Lenarduzzi, Stefania; Li, Jingmei; Lind, Penelope A; Lindstrom, Sara; Liu, YongMei; Luan, Jian'an; Mägi, Reedik; Mannermaa, Arto; Mbarek, Hamdi; McCarthy, Mark I; Meisinger, Christa; Meitinger, Thomas; Menni, Cristina; Metspalu, Andres; Michailidou, Kyriaki; Milani, Lili; Milne, Roger L; Montgomery, Grant W; Mulligan, Anna M; Nalls, Mike A; Navarro, Pau; Nevanlinna, Heli; Nyholt, Dale R; Oldehinkel, Albertine J; O'Mara, Tracy A; Padmanabhan, Sandosh; Palotie, Aarno; Pedersen, Nancy; Peters, Annette; Peto, Julian; Pharoah, Paul D P; Pouta, Anneli; Radice, Paolo; Rahman, Iffat; Ring, Susan M; Robino, Antonietta; Rosendaal, Frits R; Rudan, Igor; Rueedi, Rico; Ruggiero, Daniela; Sala, Cinzia F; Schmidt, Marjanka K; Scott, Robert A; Shah, Mitul; Sorice, Rossella; Southey, Melissa C; Sovio, Ulla; Stampfer, Meir; Steri, Maristella; Strauch, Konstantin; Tanaka, Toshiko; Tikkanen, Emmi; Timpson, Nicholas J; Traglia, Michela; Truong, Thérèse; Tyrer, Jonathan P; Uitterlinden, André G; Edwards, Digna R Velez; Vitart, Veronique; Völker, Uwe; Vollenweider, Peter; Wang, Qin; Widen, Elisabeth; van Dijk, Ko Willems; Willemsen, Gonneke; Winqvist, Robert; Wolffenbuttel, Bruce H R; Zhao, Jing Hua; Zoledziewska, Magdalena; Zygmunt, Marek; Alizadeh, Behrooz Z; Boomsma, Dorret I; Ciullo, Marina; Cucca, Francesco; Esko, Tõnu; Franceschini, Nora; Gieger, Christian; Gudnason, Vilmundur; Hayward, Caroline; Kraft, Peter; Lawlor, Debbie A; Magnusson, Patrik K E; Martin, Nicholas G; Mook-Kanamori, Dennis O; Nohr, Ellen A; Polasek, Ozren; Porteous, David; Price, Alkes L; Ridker, Paul M; Snieder, Harold; Spector, Tim D; Stöckl, Doris; Toniolo, Daniela; Ulivi, Sheila; Visser, Jenny A; Völzke, Henry; Wareham, Nicholas J; Wilson, James F; Spurdle, Amanda B; Thorsteindottir, Unnur; Pollard, Katherine S; Easton, Douglas F; Tung, Joyce Y; Chang-Claude, Jenny; Hinds, David; Murray, Anna; Murabito, Joanne M; Stefansson, Kari; Ong, Ken K; Perry, John R B

    2017-06-01

    The timing of puberty is a highly polygenic childhood trait that is epidemiologically associated with various adult diseases. Using 1000 Genomes Project-imputed genotype data in up to ∼370,000 women, we identify 389 independent signals (P < 5 × 10(-8)) for age at menarche, a milestone in female pubertal development. In Icelandic data, these signals explain ∼7.4% of the population variance in age at menarche, corresponding to ∼25% of the estimated heritability. We implicate ∼250 genes via coding variation or associated expression, demonstrating significant enrichment in neural tissues. Rare variants near the imprinted genes MKRN3 and DLK1 were identified, exhibiting large effects when paternally inherited. Mendelian randomization analyses suggest causal inverse associations, independent of body mass index (BMI), between puberty timing and risks for breast and endometrial cancers in women and prostate cancer in men. In aggregate, our findings highlight the complexity of the genetic regulation of puberty timing and support causal links with cancer susceptibility.

  4. The Saharan Aerosol Long-range Transport and Aerosol-Cloud-Interaction Experiment SALTRACE 2013 - Overview and Early Results (Invited)

    Science.gov (United States)

    Weinzierl, B.; Ansmann, A.; Reitebuch, O.; Freudenthaler, V.; Müller, T.; Kandler, K.; Althausen, D.; Busen, R.; Dollner, M.; Dörnbrack, A.; Farrell, D. A.; Gross, S.; Heimerl, K.; Klepel, A.; Kristensen, T. B.; Mayol-Bracero, O. L.; Minikin, A.; Prescod, D.; Prospero, J. M.; Rahm, S.; Rapp, M.; Sauer, D. N.; Schaefler, A.; Toledano, C.; Vaughan, M.; Wiegner, M.

    2013-12-01

    Chantal in the dusty environment. We give an overview of the SALTRACE measurements and show early results covering profiles of dust size distributions, dust optical properties and the investigation of the impact of dust aging processes between the Cape Verde region and Florida.

  5. Estimation of the {beta}+ dose to the embryo resulting from {sup 18}F-FDG administration during early pregnancy

    Energy Technology Data Exchange (ETDEWEB)

    Zanotti-Fregonara, P.; Trebossen, R.; Maroy, R. [CEA, DSV, I2BM, SHFJ, LIME, Orsay (France); Champion, C. [Univ Paul Verlaine Metz, Inst Phys, Lab Phys Mol et Collis, Metz (France); Hindie, E. [Univ Paris 07, IUH, Ecole Doctorale B2T, Paris (France); Hindie, E. [Hop St Louis, AP-HP, Nucl Med Serv, F-75475 Paris 10 (France)

    2008-07-01

    Although {sup 18}F-FDG examinations are widely used, data are lacking on the dose to human embryo tissues in cases of exposure in early pregnancy. Although the photon component can easily be estimated from available data on the pharmacokinetics of {sup 18}F-FDG in female organs and from phantom measurements (considering the uterus as the target organ), the intensity of embryo tissue uptake, which is essential for deriving the {beta}+ dose, is not known. We report the case of a patient who underwent {sup 18}F-FDG PET/CT for tumor surveillance and who was later found to have been pregnant at the time of the examination(embryo age, 8 wk). Methods: The patient received 320 MBq of {sup 18}F-FDG. Imaging started with an unenhanced CT scan 1 h after the injection, followed by PET acquisition. PET images were used to compute the total number of {beta}+ emissions in embryo tissues per unit of injected activity, from standardized uptake value (SUV) measurements corrected for partial-volume effects. A Monte Carlo track structure code was then used to derive the {beta}+ self-dose and the {beta}+ cross-dose from amniotic fluid. The photon and CT doses were added to obtain the final dose received by the emb