Incidence of breast cancer in first-degree female relatives of men with newly diagnosed prostate cancer

Prostate cancer is the most common incident cancer and the second leading cause of death in men in the United States. Although numerous attempts have been made to identify risk factors associated with prostate cancer, the results have been inconsistent and conflicting. The only established risk factors are age and ethnicity. A positive family history of prostate cancer has also been shown to increase the risk two- to three-fold among close relatives.^ There are several similarities between breast and prostate cancer that make the relationship between the two of interest. (1) Histologically, both cancers are predominantly adenocarcinomas, (2) both organs have a sexual and/or reproductive role, (3) both cancers occur in hormone-responsive tissue, (4) therapy often consists of hormonal manipulation, (5) worldwide distribution patterns of prostate and breast cancer are positively correlated.^ A family history study was conducted to evaluate the aggregation of prostate cancer and co-aggregation of breast cancer in 149 patients referred to The University of Texas, M.D. Anderson Cancer Center with newly diagnosed prostate cancer. All patients were white, less than 75 years of age at diagnosis and permanent residents of the United States. Through a personal interview with the proband, family histories were collected on 1,128 first-degree relatives. Cancer diagnoses were verified through medical records or death certificate. Standardized incidence ratios were calculated using a computer program by Monson incorporating data from Connecticut Tumor Registry.^ In this study, familial aggregation of prostate cancer was verified only among the brothers, not among fathers. Although a statistically significant excess of breast cancer was not found, the increased point estimates in mothers, sisters and daughters are consistent with a co-aggregation hypothesis. Rather surprising was the finding of a seven-fold increased risk of prostate cancer and a three-fold increased risk of breast cancer among siblings in the presence of a maternal history of any cancer. Larger family history studies including high risk (African-Americans) and lower-risk groups (Hispanics) and incorporating molecular genetic evaluations should be conducted to determine if genetic differences play a role in the differential incidence rates across ethnic groups. ^

End -of -life planning and decision -making: Implications for adults with mental retardation

This research focused on the topic of end-of-life planning and decision-making for adults affected by mental retardation. Adults with mental retardation have unique challenges in this regard, including difficulty communicating their wishes without assistance and diminished decision-making skills. The primary research objective was to identify factors that can affect opportunities for adults with mental retardation in community-based services settings (and their advocates) to be involved in planning and deciding about their own end-of-life experience. ^ A descriptive qualitative inquiry was designed to explore issues related to death and dying, and the notion of end-of-life planning, from the perspective of adults with mental retardation who receive publicly-funded community services ("clients") and family members of individuals who receive such services. Study participants were recruited from a single mental retardation service provider in a large urban setting (the "Agency"). Sixteen clients and 14 families of Agency clients took part. Client data collection was accomplished through face-to-face interviews, focus group meetings, and record reviews; family members were involved in a face-to-face interview only. ^ An initial coding scheme was developed based upon literature and policy reviews, and themes related to the research questions. Analysis involved extracting data from transcripts and records and placing it into appropriate thematic categories, building support for each theme with the accumulated data. Coding themes were modified to accommodate new data when it challenged existing themes. ^ Findings suggest that adults with mental retardation do have the requisite knowledge, interest, and ability to participate in decisions about their end-of-life experience and handling of affairs. Siblings are overwhelmingly the chosen future surrogates and they (or their children) will likely be the end-of-life advocates for their brothers and sisters affected by mental retardation. Findings further point to a need for increased awareness, accurate information, and improved communication about end-of-life issues, both in general and particular to adults affected by mental retardation. Also suggested by the findings is a need to focus on creating accommodations and adaptations that can best uncover a person's authentic views on life and death and related end-of-life preferences. Practical implications and suggestions for further research are also discussed. ^

El lenguaje de la estructura: Mies van der Rohe y la construcción con acero y hormigón

John Summerson, en El Lenguaje Clásico de la Arquitectura, defiende que los órdenes clásicos que empleaban los arquitectos romanos para decorar sus edificios, no tienen una función estructural pero hacen expresivos a los edificios. Les hacen hablar. Arthur Schopenhauer afirma que “el destino de la Bella Arquitectura es poner de manifiesto la lucha entre el peso y la rigidez de los elementos estructurales”. Y Auguste Perret define la Arquitectura como “el arte de hacer cantar al punto de apoyo”. El objetivo de esta Tesis Doctoral es profundizar en la capacidad de expresión de la estructura. A través del estudio de las estructuras históricas, que se realiza en la primera parte de la Tesis, podemos concluir que existen tres categorías, tres maneras de expresión de la Estructura. Estructuras Vistas, que hablan, Estructuras Ocultas, que se esconden y Estructuras Ilusorias, que fingen. El Partenón y la Sainte Chapelle de París se estudian en el apartado de Estructuras Vistas. El Panteón, el Palacio de Carlos V, la Catedral de San Pablo en Londres, y otras arquitecturas renacentistas y romanas, en el apartado de Estructuras Ocultas. Y como Estructuras Ilusorias, la Alhambra (Dos Hermanas, Comares, el Patio de los Leones), Santa Sofía, y otras arquitecturas del barroco italiano. En la segunda parte de la Tesis se analiza la obra completa de Mies van der Rohe desde el punto de vista de esas tres categorías. Lo visto, lo oculto y lo ilusorio en las estructuras de Mies. Se estudia la evolución en la estructura de la casa, desde las primeras casas con Estructura Oculta de muro de ladrillo, hasta las últimas casas con Estructura Vista y columnas adelantadas, pasando por una etapa intermedia de casas con estructura mixta de muro de ladrillo en la que el acero comienza a hacer su aparición. Se analizan también seis soluciones estructurales en los Bloques y en las Torres: Estructura Vista reverberante, expresiva o inexpresiva vs Estructura Oculta con vestido horizontal, vestido reticular o vestido vertical. Y por último, se estudian las tres soluciones de Estructura Ilusoria que emplea Mies en sus Pabellones. La metodología de trabajo que se ha empleado se divide en cuatro apartados: El análisis bibliográfico; el análisis in situ de los edificios, que nos permite comprobar, por ejemplo, los efectos lumínicos de la columna acanalada del Partenón, o el efecto reverberante de las columnas de la Weissenhofsiedlung; el análisis crítico de planos y detalles constructivos, que nos lleva a concluir que la disposición de pantallas del Pabellón de Barcelona anula la lectura de la crujía estructural, y que la columna del restaurante Cantor se dispone con su alma perpendicular a la cercha, y no paralela, como cabría suponer si se quisiera aprovechar toda la capacidad portante del perfil en H; y por último, el análisis numérico y estructural, que nos lleva a confirmar el sobredimensionado de la Estructura del Patio de los Leones de la Alhambra o el sobredimensionado de la Estructura de la Casa Farnsworth. Lo que se confirma con esta Tesis Doctoral es que la Estructura es algo más, mucho más, que sólo transmisión de las cargas. ABSTRACT John Summerson, in The Classic Language of Architecture, argues that the classic orders used by Roman architects in the decoration of their buildings did not have a structural function, but made buildings expressive. They make them speak. Arthur Schopenhauer affirms that “the goal of Great Architecture is to highlight the struggle between the gravity and rigidity of structural elements”. And Auguste Perret defines Architecture as “the art of making the points of support sing”. The objective of this Doctoral Thesis is to examine the expressive capacity of structure. Following a study of historic structures in the first part of the thesis, we conclude that three categories exist, three ways of expressing Structure. Visible Structures that speak, Concealed Structures that are hidden and Illusory Structures that pretend. The Parthenon and the Sainte Chapelle in Paris are studied in the section on Visible Structures. The Pantheon, the Palace of Charles V, Saint Paul’s Cathedral in London, and other Renaissance and Roman architectures are dealt with in the Concealed Structures section. And, as examples of Illusory Structures, we focus on the Alhambra (The Hall of the Two Sisters, the Comares and the Court of the Lions), Saint Sophia, and other Italian Baroque architectures. In the second part of the Thesis the complete work of Mies van der Rohe is analysed from the perspective of these three categories. The visible, the concealed and the illusory, in the structures of Mies. We study how the structure of the house evolves, from the first houses with the Hidden Structure of the brick wall, to the later houses with Visible Structures and columns, via an intermediate phase of mixed-structure houses with brick walls, where steel first began to make its appearance. We also analyse six structural solutions in the Blocks and Towers: reverberant, expressive or inexpressive Visible Structure vs Concealed Structure with horizontal cladding, reticular cladding or vertical cladding. And finally, we look at the three Illusory Structure solutions that Mies employs in his Pavilions. The methodology employed is divided into four sections: a bibliographic analysis; an analysis in situ of the buildings, which allows us to test, for example, the lighting effects of the fluted column in the Parthenon, or the reverberant effect of the Weissenhofsiedlung columns; a critical analysis of plans and constructive details, which leads us to conclude that the arrangement of panels in the Barcelona Pavilion cancels out the structural centreline, and that the column in the Cantor restaurant is placed with its web perpendicular to the truss, and not parallel to it, as one might expect if one wanted to avail of all the load-bearing capacity of the H beam; and lastly, a numeric and structural analysis, which confirms the oversizing of the Court of the Lions structure in the Alhambra or the oversized structure of Farnsworth House. All of which confirms in this Doctoral Thesis that structure is something more, much more, than a mere conveyor of loads.

CONTEXTUALIZAÇÃO E AS PERSPECTIVAS DA EDUCAÇÃO SALESIANA A PARTIR DO DOCUMENTO DAS LINHAS ORIENTADORAS DA MISSÃO EDUCATIVA DO INSTITUTO DAS FILHAS DE MARIA AUXILIADORA

A presente dissertação teve como objetivos contextualizar e analisar as perspectivas da educação salesiana a partir do documento das Linhas Orientadoras da Missão Educativa do Instituto das Filhas de Maria Auxiliadora, tendo em vista aprofundar o contexto histórico e sociocultural da fundação do Instituto das Filhas de Maria Auxiliadora e do desenvolvimento da missão educativa salesiana, com a finalidade de atuar no campo da educação, indicar os fundamentos interdisciplinares que compreendem os fundamentos teóricos para a prática educativa em relação aos aspectos sociológicos, antropológicos, teológicos e pedagógicos, além de algumas experiências práticas da educação salesiana. A pesquisa considera a contextualização da sua prática educativa a partir de diversas contribuições teóricas realizadas em torno da história do Instituto e dos conhecimentos interdisciplinares que integram seus propósitos e seus projetos educativos. Com a perspectiva de analisar as orientações e conteúdos do documento é utilizada a técnica da análise documental que permite interpretar o seu significado, analisar e indicar algumas perspectivas de educação salesiana presentes no documento e que envolvem os seus princípios, propósitos e as suas ações em relação à educação. Por meio da observação participante alguns aspectos práticos das perspectivas da educação salesiana foram demonstrados. Portanto, a investigação permite o mapeamento das perspectivas fundamentais da educação salesiana a partir das Linhas Orientadoras e a possibilidade de aprofundar a significatividade das perspectivas de referência para a prática educativa conforme são indicadas no documento: as dimensões cultural, evangelizadora, social e comunicativa da educação, que são os elementos e princípios fundamentais do Sistema Educativo Salesiano. A concepção de educação salesiana que se constrói a partir de uma visão interdisciplinar, complexa e dimensional, com uma perspectiva de uma estratégia projetual. Os seus princípios integram alguns valores que são considerados como fundamentais para a realização de uma educação integral: a comunidade educativa, o trabalho educativo realizado em equipe, a espiritualidade juvenil, a preventividade e a pedagogia do ambiente. Sobretudo, os núcleos centrais indicados pelo documento orientam as comunidades para a realização de um pensamento projetual, considerando as diversas dimensões da educação, com uma especial abertura para uma contínua projeção das suas intenções e da sua prática educativa. Enfim, encontramos algumas contribuições para a educação a partir do pensamento pedagógico e prático da educação salesiana, especialmente em relação à proposta de pensar a educação de forma complexa e multidimensional.

MANDRÁGORAS: MITOS E ASPECTOS DA CULTURA DE ISRAEL A PARTIR DE GÊNESIS 25 A 36

A sexualidade de Lea e Raquel, o útero, as mandrágoras e o corpo de Jacó são fatores que definem o alicerce do nosso texto como espaços de diálogo, mediação e estrutura do cenário. O destaque principal está sob o capítulo 30.14-16 que retrata a memória das mandrágoras. Como plantas místicas elas dominam o campo religioso e como plantas medicinais elas são utilizadas para solucionar problemas biológicos. As instituições e sociedades detentoras de uma ideologia e de leis que regulamentam uma existência apresentam na narrativa, duas irmãs, mas também esposas de um mesmo homem que, manipuladas por essa instituição que minimiza e oprime a mulher, principalmente a estéril, confina-as como simples objeto de sexualidade e mantenedoras da descendência por meio da maternidade. A memória das mandrágoras é sinal de que a prática existente circundava uma religião não monoteísta. Ela existia sociologicamente por meio de sincretismos, força e poderes sócio-culturais e religiosos. Era constituída das memórias de mulheres que manipulavam e dominavam o poder sagrado para controle de suas necessidades. O discurso dessas mulheres, em nossa unidade, prova que o discurso dessa narrativa não se encontra somente no plano individual, mas também se estende a nível comunitário, espaço que as define e lhes concede importância por meio do casamento e dádivas da maternidade como continuidade da descendência. São mulheres que dominaram um espaço na história com suas lutas e vitórias, com atos de amor e de sofrimento, de crenças e poderes numa experiência religiosa dominada pelo masculino que vai além do nosso conhecimento atual. As lutas firmadas na fé e na ideologia dessas mulheres definiram e acentuaram seu papel de protagonistas nas narrativas 9 bíblicas que estudamos no Gênesis. A conservação dessas narrativas, e do espaço teológico da época, definiu espaços, vidas, gerações e tribos que determinaram as gerações prometidas e fecharam um ciclo: o da promessa de Iahweh quanto à descendência desde Abraão. Os mitos e as crenças foram extintos para dar espaço a uma fé monoteísta, mas a experiência religiosa

Evidence for a genetic basis for hyperandrogenemia in polycystic ovary syndrome

Our preliminary family studies have suggested that some female first-degree relatives of women with polycystic ovary syndrome (PCOS) have hyperandrogenemia per se. It was our hypothesis that this may be a genetic trait and thus could represent a phenotype suitable for linkage analysis. To investigate this hypothesis, we examined 115 sisters of 80 probands with PCOS from unrelated families. PCOS was diagnosed by the combination of elevated serum androgen levels and ≤6 menses per year with the exclusion of secondary causes. The sisters were compared with 70 healthy age- and weight-comparable control women with regular menses, no clinical evidence of hyperandrogenemia, and normal glucose tolerance. Twenty-two percent of the sisters fulfilled diagnostic criteria for PCOS. In addition, 24% of the sisters had hyperandrogenemia and regular menstrual cycles. Circulating testosterone (T) and nonsex hormone-binding globulin-bound testosterone (uT) levels in both of these groups of sisters were significantly increased compared with unaffected sisters and control women (P < 0.0001 for both T and uT). Probands, sisters with PCOS, and hyperandrogenemic sisters had elevated serum luteinizing hormone levels compared with control women. We conclude that there is familial aggregation of hyperandrogenemia (with or without oligomenorrhea) in PCOS kindreds. In affected sisters, only one-half have oligomenorrhea and hyperandrogenemia characteristic of PCOS, whereas the remaining one-half have hyperandrogenemia per se. This familial aggregation of hyperandrogenemia in PCOS kindreds suggests that it is a genetic trait. We propose that hyperandrogenemia be used to assign affected status in linkage studies designed to identify PCOS genes.

Host–parasite relatedness shown by protein fingerprinting in a brood parasitic bird

Brood parasitism as an alternative female breeding tactic is particularly common in ducks, where hosts often receive eggs laid by parasitic females of the same species and raise their offspring. Herein, we test several aspects of a kin selection explanation for this phenomenon in goldeneye ducks (Bucephala clangula) by using techniques of egg albumen sampling and statistical bandsharing analysis based on resampling. We find that host and primary parasite are indeed often related, with mean r = 0.13, about as high as between first cousins. Relatedness to the host is higher in nests where a parasite lays several eggs than in those where she lays only one. Returning young females parasitize their birth nestmates (social mothers or sisters, which are usually also their genetic mothers and sisters) more often than expected by chance. Such adult relatives are also observed together in the field more often than expected and for longer periods than other females. Relatedness and kin discrimination, which can be achieved by recognition of birth nestmates, therefore play a role in these tactics and probably influence their success.

Relatedness threshold for the production of female sexuals in colonies of a polygynous ant, Myrmica tahoensis, as revealed by microsatellite DNA analysis.

The genetic relationships of colony members in the ant Myrmica tahoensis were determined on the basis of highly polymorphic microsatellite DNA loci. These analyses show that colonies fall into one of two classes. In roughly half of the sampled colonies, workers and female offspring appear to be full sisters. The remaining colonies contain offspring produced by two or more queens. Colonies that produce female sexuals are always composed of highly related females, while colonies that produce males often show low levels of nestmate relatedness. These results support theoretical predictions that workers should skew sex allocation in response to relatedness asymmetries found within colonies. The existence of a relatedness threshold below which female sexuals are not produced suggests a possible mechanism for worker perception of relatedness. Two results indicate that workers use genetic cues, not queen number, in making sex-allocation decisions. (i) The number of queens in a colony was not significantly correlated with either the level of relatedness asymmetry or the sex ratio. (ii) Sex-ratio shifts consistent with a genetically based mechanism of relatedness assessment were seen in an experiment involving transfers of larvae among unrelated nests. Thus workers appear to make sex-allocation decisions on the basis of larval cues and appear to be able to adjust sex ratios long after egg laying.

Um olhar sobre o grou, a felicidade, a neve e o mistério: as quatro irmãs Makioka

O Japão de meados do século XX apresentava um contexto em que influências advindas do ocidente desde a abertura dos portos mesclavam-se à tradição japonesa. Nesse contexto viviam as irmãs Makioka, personagens centrais do romance de Junichiro Tanizaki e objeto principal da presente pesquisa. Por meio da figura de cada uma delas temos acesso ao modo como essas influências adentraram no dia a dia de parte da sociedade japonesa, mais especificamente da família Makioka, tradicional da região de Osaka, e seu círculo social. Para desenvolver esse estudo, faremos a contextualização do período vivido pelo autor e pelas personagens por ele criadas, bem como de que maneira os acontecimentos tiveram participação na formação das mesmas. Também será feita uma análise das personagens secundárias a fim de ampliar a visão acerca das principais. E, finalmente, de acordo com conceitos a respeito da construção de personagem, faremos um estudo das quatro irmãs, levando em consideração aquilo que estava mais na superfície, acessível num primeiro olhar, além dos elementos que compunham o modo de ser de cada uma delas, com as amálgamas e sobreposições resultantes do período.

Hôtel-Dieu de París: reformas materiales, estructurales y funcionales entre los siglos XII y XVIII

El presente estudio tiene como objetivo conocer y divulgar la historia del Hôtel-Dieu de París entre los siglos XII y XVIII, periodo de tiempo en el que se llevaron a cabo grandes obras en sus instalaciones, se cambió el sistema de administración y se desarrolló una estructura funcional de las Hermanas Agustinas con la aparición de supervisoras y especialistas en diferentes áreas. La metodología usada para este estudio es de investigación cualitativo-descriptiva que se inicia con una búsqueda bibliográfica y continúa con el análisis hermenéutico de los documentos encontrados. Las conclusiones de este estudio versan sobre la problemática del paso de la gestión de la asistencia sanitaria caritativo-religiosa a la gestión laica de la misma con la pérdida del cariz altruista; del desarrollo de súper-estructuras físicas para la atención sanitaria y de las jerarquías organizativas y funcionales de esas súper-estructuras, todo esto en el amplio contexto temporal de seis siglos.

Nosocomios higienistas: el caso Florence Nightingale

Los impresionantes cambios surgidos tras el inicio de la Revolución Industrial ayudaron a que de manera reiterada se buscaran soluciones a los diferentes problemas que se sucedían, uno tras de otro, como resultado del hacinamiento y las modificaciones sociopolíticas y económicas. Los avances en el campo de la ciencia, y en particular en las ciencias de la salud, fueron innumerables, estableciéndose en la sociedad una preocupación marcada por solucionar los problemas de las clases más desfavorecidas. En el campo de la sanidad, progresivamente se fueron dejando atrás posturas ancladas en los modelos basados en los «miasmas», para pasar a fundamentarse en el modelo microbiano de la mano de Pasteur y Lister. Estos descubrimientos fueron trasladados a la arquitectura progresivamente, dando paso a edificios que buscaban mantener unas condiciones higiénicas adecuadas que exiliaran las enfermedades del interior de los «paramentos de los hospitales». Ejemplo de esta lucha fue la llevada a cabo por la enfermera Florence Nightingale, que gracias a la observación y a sus conocimientos adquiridos tanto en el Instituto de Diaconisas de Kaiserswerth en Alemania como en la Maison de la Providence de las Hermanas de la Caridad de París, logró establecer una serie de pautas que aplicó al establecimiento que gestionó, el Hospital Scutari, durante la Guerra de Crimea.

Half of a yellow sun

A beautiful sweeping story of two sisters caught up in the events of the Nigerian civil war, ending in chilling violence which shocked the entire world.

Letters to family members, 1799

Four letters dated March 11, 1799, written from debtors' prison ("Debtors' Apartment") in Philadelphia. Includes descriptions of his life in the prison and fellow prisoners.

Letter from William Abbot to William Tudor,

One letter from Tudor’s Phi Beta Kappa brother thanking him for a visit to Rockwood and commenting on the deportment of his sisters, as well as the progress his brother John was making at Harvard.

Letters from Benjamin Vaughan,

Six letters in which Vaughan writes about prominent scientists, artists, and musicians, such as violinist Louis Ostinelli and engraver Jacob Perkins. Other topics include social interactions with Tudor’s sisters Delia Tudor Stewart and Emma Tudor Gardiner, and Emma’s husband, Robert Hallowell Gardiner.