Lifetime Prevalence, age and gender distribution and age-of-onset of psychiatric disorders in the São Paulo Metropolitan Area, Brazil: results from the São Paulo Megacity Mental Health Survey

OBJECTIVES: To estimate prevalence, age-of-onset, gender distribution and identify correlates of lifetime psychiatric disorders in the São Paulo Metropolitan Area (SPMA). METHODS: The São Paulo Megacity Mental Health Survey assessed psychiatric disorders on a probabilistic sample of 5,037 adult residents in the SPMA, using the World Mental Health Survey Version of the Composite International Diagnostic Interview. Response rate was 81.3%. RESULTS: Lifetime prevalence for any disorder was 44.8%; estimated risk at age 75 was 57.7%; comorbidity was frequent. Major depression, specific phobias and alcohol abuse were the most prevalent across disorders; anxiety disorders were the most frequent class. Early age-of-onset for phobic and impulse-control disorders and later age-of-onset for mood disorders were observed. Women were more likely to have anxiety and mood disorders, whereas men, substance use disorders. Apart from conduct disorders, more frequent in men, there were no gender differences in impulse-control disorders. There was a consistent trend of higher prevalence in the youngest cohorts. Low education level was associated to substance use disorders. CONCLUSIONS: Psychiatric disorders are highly prevalent among the general adult population in the SPMA, with frequent comorbidity, early age-of-onset for most disorders, and younger cohorts presenting higher rates of morbidity. Such scenario calls for vigorous public health action.

Validação de uma escala de percepção do ambiente para a prática de atividade física em adultos de uma região de baixo nível socioeconômico

O objetivo do estudo foi verificar a validade de uma escala de percepção do ambiente para a prática de atividade física em adultos. Este estudo de validação teve duas amostras: 1) Comparação da escala com dados avaliados de forma objetiva e com a prática de atividade física (767 indivíduos com 18 anos ou mais); 2) Estudo de reprodutibilidade (30 indivíduos com 60 anos ou mais). Ambas as amostras residiam no Distrito de Ermelino Matarazzo, zona leste de São Paulo, SP. A escala de percepção do ambiente para a prática de atividade física foi composta por questões embasadas na escala NEWS e numa escala de apoio social para a prática de atividade física e a versão final foi composta de 38 questões. Análises de dados: a escala foi comparada com o ambiente avaliado de forma objetiva, com o nível de atividade física e por meio de medida repetida. Os coeficientes de correlação para as questões variaram de r=0,51 a até r=0,89 e para os escores de r=0,72 a até r=0,94. Houve diferença estatisticamente significativa na média do escore de percepção de facilidades/conveniências para a prática de atividade física segundo a classificação do ambiente avaliado de forma objetiva (p<0,01). As pessoas que praticavam alguma atividade física no tempo de lazer tiveram maiores médias nos escores de facilidades/conveniências (p<0,01), percepção de segurança geral (p=0,033) e de apoio social (p=0,001). A escala apresentou resultados satisfatórios de reprodutibilidade para a amostra de idosos e de validade para os adultos, principalmente, na percepção de facilidades/conveniências.

Estudo clínico-histológico da quelite actímica crônica tratada por dois protocolos de laser de CO2 de baixa morbidade

Objetivo: Este ensaio clínico-histológico teve por meta avaliar a resposta terapêutica de dois protocolos de reconhecida baixa morbidade em passagem única. Métodos: Pacientes com queilite actínica crônica multicêntrica (n=40) comprovada pela microscopia foram randomicamente submetidos a dois protocolos de laser de CO2 pulsátil através de modelo comparativo bilateral (protocolo de pulsos de 350 mJ, 3,5 W, amplitude de 0,1s versus protocolo de pulsos de 250 mJ, 5 W, amplitude de 0,05s). Realizou-se em 26 pacientes análise comparativa dos níveis de atipia epitelial de espécimes de biópsia entre o status quo e o período pós-operatório de ambos os protocolos e entre si. Foram avaliados outros fenômenos do espectro da doença. Resultados: Houve presença clínica pós-operatória de lesões em 10% dos pacientes para cada protocolo e uma significante redução dos níveis de atipia epitelial (p<0,001), por vezes completa. Conclusão: Não houve diferença de resultados entre os protocolos estudados (p> 0,05).

Importance of dietary n-3 hufa for eye development and cone formation along gilthead seabream sparus aurata larval development.

[EN] Being fish larvae visual feeders, vision plays an important role in larval orientation at first feeding (Blaxter, 1986). Larval trophic behaviour is closely related with the development of the visual capacity, which directly depends on retina organogenesis. In sparids, such as Pagrus major (Kawamura, 1984) and Pagrus auratus (Pankhurst, 1996), the most important changes in the eye structure occur along the lecitotrophic stage as a preparation for prey capture. Neuringer et al.,(1988) has established a critical role for n-3 polyunsaturated fatty acids and, particularly docosahexaenoic acid (DHA) in neural and retinal tissue functions in mammals. Similarly, in larval fish there is a high demand of DHA to form nervous membranes. Bell and Dick (1993) found photoreceptors in the eye, rods and cones accumulate and selectively retain DHA in external segments.Bell et al. (1995) found that feeding juvenile herring a DHA poor Artemia diet during the period of rod development resulted in impaired vision at low light intensities, when rod vision is essential.

Beziehungen zwischen den Xanthophyllzyklen und der Biosynthese von Lichtsammelxanthophyllen in Chlorophyll a/c-haltigen Algen

Zusammenfassung:In Chlorophyll(Chl) a/c-haltigen Algen leisten Xanthophylle einen wesentlichen Beitrag zur Lichtsammlung. Daneben finden sich weitere Xanthophylle, die an einem Schutzmechanismus bei überoptimalem Lichtangebot beteiligt sind, dem sog. Xanthophyllzyklus. Ein Teil der Chl a/c-haltigen Algen besitzt den auch bei Höheren Pflanzen anzutreffenden Violaxanthin/Antheraxanthin/Zeaxanthin-(Vx/Ax/Zx-)Zyklus. In anderen Gruppen wie den Dinophyta, Haptophyta und den Kieselalgen (Bacillariophyceae) ist statt dessen der Diadinoxanthin/Diatoxanthin-(Ddx/Dtx-)Zyklus zu finden. Die vorliegende Arbeit zeigt, daß schwachlichtadaptierte Turbidostatkulturen der Kieselalge Phaeodactylum tricornutum unter mehrstündiger Starklichtinkubation neben den Pigmenten des Ddx/Dtx-Zyklus auch die des Vx/Ax/Zx-Zyklus akkumulieren. Außerdem läßt sich ein dritter Xanthophyllzyklus zwischen beta-Cryptoxanthin (Cx) und beta-Cryptoxanthin-Epoxid (CxE) nachweisen, doch liegen diese beiden Pigmente nur in sehr geringen Konzentrationen vor. Für die Starklichtakkumulation von Zx ist eine hohe Deepoxidase-Aktivität und die de-novo-Synthese von Carotinoiden erforderlich. Aus Zx wird im anschließenden Schwachlicht über die Intermediate Vx und Ddx das Lichtsammelxanthophyll Fucoxanthin (Fx) synthetisiert. Dies bestätigt auch ein Vergleich der Kinetiken der einzelnen Umwandlungsschritte mit den anhand eines Modells der Xanthophyllbiosynthesewege ermittelten theoretischen Ratenkonstanten. Dieser Vergleich legt jedoch nahe, daß bei der Vx-Synthese aus beta-Carotin CxE anstelle von Zx involviert sein könnte. Eine Untersuchung weiterer Chl a/c-haltiger Algen mit Ddx/Dt-Zyklus ergab, daß sie unter Starklicht ebenfalls den Vx/Ax/Zx-Zyklus akkumulieren. Weiterhin sind, mit Einschränkungen bei den Dinophyten und Xanthophyceen, alle untersuchten Algen in der Lage, die unter Starklicht akkumulierten Xanthophyllzykluspigmente im nachfolgenden Schwachlicht zur Synthese des jeweiligen Lichtsammelxanthophylls zu nutzen. Unter energetischen Gesichtspunkten stellt dieses Pigment-Recycling insbesondere für die Fx-haltigen Algen einen Vorteil dar, da ihre Lichtsammelkomplexe im Vergleich zu denen der Höheren Pflanzen etwa die doppelte Anzahl an Xanthophyllen binden.

Phenotypic and molecular characterization of ethylene biosynthesis in apples

Ethylene plays an important role in apple fruit development. Its biosynthesis is catalyzed by two enzymes ACS and ACO. The first is considered to catalyzes the rate-limiting step of ethylene production and in apple two different alleles (MdACS1-1 and MdACS1-2) of this gene have been identified. The presence in the promoter region of MdACS1-2 allele of a SINE insertion is considered to be responsible for a low transcription level and a pronounced reduction in ethylene production in apple cultivar homozygous for this allele. However, the specific expression of each MdACS1 allele has never been reported as well as any in vivo analysis of its 5’-flanking region. With the present study we addressed these issues by developing a set of qPCR allele specific primers for MdACS1 and by a functional characterization of the MdACS1 promoters by transient expression analysis. qPCR analysis on different apple tissues and stages of development demonstrated that MdACS1-2 allele is never express and that MdACS1-1 allele is ripening-related and expresses predominantly but not exclusively in apple fruit. To test MdACS1 promoter in fruit the only protocol available in literature for transient transformation of apple fruit was evaluated and optimized. Twenty chimeric promoter::reporter constructs were generated and analyzed by Agrobacterium-transient transformation. The in vivo analysis allowed to identify an enhancer-like region of 261 bp in MdACS1 promoter and a region of 57 bp in MdACS1-2 responsible, also if not alone, in the inactivation of the MdACS1-2 allele. Through the assessment of ethylene production in a segregating progeny derived from the cross between Fuji and Mondial Gala (homozygous for MdACS1-2 allele) we demonstrated that at least two other genes may be involved in apple ethylene production. An hypothesis that could explain the difference between Fuji and Mondial Gala have been proposed.

The silent survival of Staphylococcus aureus phagocyted by HL-60 derived neutrophils

Staphylococcus aureus is a Gram positive pathogen that causes various human infections and represents one of the most common causes of bacteremia. S. aureus is able to invade a variety of non-professional phagocytes and that can survive engulfment by neutrophils, producing both secreted and surface components that compromise innate immune responses. In the contest of our study we evaluated the functional activity of vaccine specific antibodies by opsonophagocytosis killing assay (OPKA). Interestingly a low level of killing of the staphylococcal cells has been observed. In the meanwhile intracellular survival studies showed that S. aureus persisted inside phagocytes for several hours until a burst of growth after 5 hours in the supernatant. These data suggest that the strong ability of S. aureus to survive in the phagocytes could be the cause of the low killing measured by OPKA. Moreover parallel studies on HL-60 cells infected with S. aureus done by using transmission electron microscopy (TEM) interestingly showed that staphylococcal cells have an intracellular localization (endosomal vacuoles) and that they are able not only to maintain the integrity of their membrane but also to replicate inside vacuolar compartments. Finally in order to generate 3D volume of whole bacteria when present inside neutrophilic vacuoles, we collected a series of tomographic two-dimensional (2D) images by using a transmission electron microscope, generating 5 different tomograms. The three-dimensional reconstruction reveals the presence of intact bacteria within neutrophil vacuoles. The S. aureus membrane appears completely undamaged and integral in contrast with the physiological process of phagosytosis through vacuoles progression. S. aureus bacteria show a homogenous distribution of the density in all the three dimensions (X, Y, Z). All these evidences definitely explain the ability of the pathogen to survive inside the endosomal vacuoles and should be the cause of the low killing level.

The XENON1T experiment: Monte Carlo background estimation and sensitivity curves study

Despite the scientific achievement of the last decades in the astrophysical and cosmological fields, the majority of the Universe energy content is still unknown. A potential solution to the “missing mass problem” is the existence of dark matter in the form of WIMPs. Due to the very small cross section for WIMP-nuleon interactions, the number of expected events is very limited (about 1 ev/tonne/year), thus requiring detectors with large target mass and low background level. The aim of the XENON1T experiment, the first tonne-scale LXe based detector, is to be sensitive to WIMP-nucleon cross section as low as 10^-47 cm^2. To investigate the possibility of such a detector to reach its goal, Monte Carlo simulations are mandatory to estimate the background. To this aim, the GEANT4 toolkit has been used to implement the detector geometry and to simulate the decays from the various background sources: electromagnetic and nuclear. From the analysis of the simulations, the level of background has been found totally acceptable for the experiment purposes: about 1 background event in a 2 tonne-years exposure. Indeed, using the Maximum Gap method, the XENON1T sensitivity has been evaluated and the minimum for the WIMP-nucleon cross sections has been found at 1.87 x 10^-47 cm^2, at 90% CL, for a WIMP mass of 45 GeV/c^2. The results have been independently cross checked by using the Likelihood Ratio method that confirmed such results with an agreement within less than a factor two. Such a result is completely acceptable considering the intrinsic differences between the two statistical methods. Thus, in the PhD thesis it has been proven that the XENON1T detector will be able to reach the designed sensitivity, thus lowering the limits on the WIMP-nucleon cross section by about 2 orders of magnitude with respect to the current experiments.

Elektrochemische Desoxygenierung von Carbonsäureamiden und verwandten Verbindungen an der dekorierten Bleikathode

Zusammenfassung der Dissertation, Carolin Edinger, April 2015. Im Rahmen der Dissertation ist eine effiziente und zuverlässige Methode zur elektrochemischen Desoxygenierung von aromatischen Carbonsäureamiden entwickelt worden (Schema 1).[1] Unter galvanostatischen Bedingungen eignet sich das optimierte Elektrolytsystem bestehend aus 2%iger methanolischer H2SO4 und geringen Mengen an Additiv 1 in Kombination mit einer Bleikathode hervorragend in dem gewählten geteilten Zellaufbau. Schema 1: Elektrochemische Desoxygenierung aromatischer Carbonsäureamide. Untersuchungen an verschiedensten Amidsubstraten haben gezeigt, dass ein breites Spektrum an Aminen mit dieser Methode zugänglich ist und durch umfangreiche Studien konnten optimale Elektrolyseparameter gefunden werden. Außerdem wurde die Hochskalierung der Ansatzgröße an einem Testsubstrat mit hohen Aminausbeuten von bis zu 73% gewährleistet. Ein besonderes Merkmal der entwickelten Synthese ist neben milden Bedingungen und hoher Selektivität die Verwendung von Ammoniumsalzadditiven. Der positive Effekt dieser Additive auf die Desoxygenierungsreaktion ist vielfältig: Die Wasserstoffentwicklung als unerwünschte Nebenreaktion wird zu negativeren Potentialen verschoben und die Bleikathode wird durch Zurückdrängung der PbSO4-Bildung effektiv vor Korrosion geschützt. Dies konnte durch experimentelle Werte wie die Erhöhung der Produkt- und Stromausbeute durch Additivzusatz während der Elektrolyse hinreichend bestätigt werden. Aber auch zyklovoltammetrische Untersuchungen und Lichtmikroskopaufnahmen der Elektrodenoberfläche bekräftigen eindeutig diese Aussagen.[2,3] Die entwickelte elektrochemische Methode konnte zusätzlich erfolgreich auf Verbindungen übertragen werden, die mit Carbonsäureamiden verwandt sind. So gelang es, aromatische und aliphatische Sulfoxide in sehr guten Ausbeuten selektiv zu den entsprechenden Sulfiden umzusetzen. Zusätzlich konnten bereits bei weiteren, durch klassische Methoden schwer reduzierbare Stoffklassen erste Erfolge erzielt werden. So gelang es, den Grundstein zur Reduktion von Estern und Triphenylphosphinoxid zu legen und erste, vielversprechende Ergebnisse zu erlangen. Da Elektronen als Reduktionsmittel eingesetzt werden und lediglich Wasser als Nebenprodukt gebildet wird, zeichnet sich die entwickelte Desoxygenierungsmethode vor allem durch milde Bedingungen und hohe Selektivität aus. Da weder Reagenzien noch Katalysatoren verwendet werden müssen, werden Abfälle vermieden. Dadurch ist die gefundene Reduktionsmethode nicht nur kostengünstig, sondern erweist sich auch in der Reaktionsführung als vorteilhaft. Literatur: [1] C. Edinger, S. R. Waldvogel, Eur. J. Org. Chem. 2014, 2014, 5144–5148. [2] C. Edinger, V. Grimaudo, P. Broekmann, S. R. Waldvogel, ChemElectroChem 2014, 1, 1018–1022. [3] C. Edinger, S. R. Waldvogel, PCT Int. Appl. 2013, WO 2013030316A2.

MMP19 is upregulated during melanoma progression and increases invasion of melanoma cells

During the progression of cutaneous melanomas, matrix metalloproteinases (MMPs) facilitate the tumour cells to traverse the basement membrane and invade the dermis. In this study, we analysed the expression of MMP19 in the course of melanoma progression. Although MMP19 was absent in melanocytes and melanoma cells of early stages of melanoma development, its expression was strongly upregulated in the neighbouring keratinocytes that may facilitate the vertical outgrowth of melanoma cells. In contrast to early stages, MMP19 was upregulated during the vertical growth phase of melanoma and in metastases. The upregulation of MMP19 in melanoma of Clark levels IV and V correlates with that of MMP2 and also simultaneously with ceased expression of E-cadherin. To reveal whether MMP19 facilitates the invasion of melanomas, we examined adhesion and migratory capacity of selected melanoma cell lines. Melanoma cell lines with low expression of MMP19 exhibited increased adhesion to various substrates and lower migration in comparison with the cell line with higher expression of MMP19. Moreover, ectopic expression of MMP19 could restore the migratory capacity of melanoma cells with low endogenous level of MMP19. These results suggest that the increase of MMP19 expression hallmarks the progression of cutaneous melanoma and might augment melanoma growth by promoting the invasion of tumour cells.

Effects of a single administration of prostaglandin F2alpha, or a combination of prostaglandin F2alpha and prostaglandin E2, or placebo on fertility variables in dairy cows 3-5 weeks post partum, a randomized, double-blind clinical trial

BACKGROUND: Delayed uterine involution has negative effects on the fertility of cows; use of prostaglandin F2alpha alone as a single treatment has not been shown to consistently improve fertility. Combined administration of PGF2alpha and PGE2 increased uterine pressure in healthy cows. We hypothesized, that the combination of both prostaglandins would accelerate uterine involution and have, therefore, a positive effect on fertility variables. In commercial dairy farming, the benefit of a single post partum combined prostaglandin treatment should be demonstrated. METHODS: 383 cows from commercial dairy farms were included in this study. Uterine size and secretion were evaluated at treatment 21-35 days post partum and 14 days later. Cows were randomly allocated to one of three treatment groups: PGF2alpha and PGE2, PGF2alpha or placebo. For every animal participating in the study, the following reproduction variables were recorded: Interval from calving to first insemination, days open, number of artificial inseminations (AI) to conception; subsequent treatment of uterus, subsequent treatment of ovaries. Plasma progesterone level at time of treatment was used as a covariable. For continuous measurements, analysis of variance was performed. Fisher's exact test for categorical non-ordered data and exact Kruskal-Wallis test for ordered data were used; pairwise group comparisons with Bonferroni adjustment of significance level were performed. RESULTS: There was no significant difference among treatment groups in uterine size. Furthermore, there was no significant difference among treatments concerning days open, number of AI, and subsequent treatment of uterus and ovaries. Days from calving to first insemination tended to be shorter for cows with low progesterone level given PGF2alpha and PGE2 in combination than for the placebo-group (P = 0.024). CONCLUSION: The results of this study indicate that the administration of PGF2alpha or a combination of PGF2alpha and PGE2 21 to 35 days post partum had no beneficial effect upon measured fertility variables. The exception was a tendency for a shorter interval from calving to first insemination after administration of the combination of PGF2alpha and PGE2, as compared to the placebo group. Further research should be done in herds with reduced fertility and/or an increased incidence of postpartum vaginal discharge.

Multicentre evaluation of a new point-of-care test for the determination of NT-proBNP in whole blood

BACKGROUND: The Roche CARDIAC proBNP point-of-care (POC) test is the first test intended for the quantitative determination of N-terminal pro-brain natriuretic peptide (NT-proBNP) in whole blood as an aid in the diagnosis of suspected congestive heart failure, in the monitoring of patients with compensated left-ventricular dysfunction and in the risk stratification of patients with acute coronary syndromes. METHODS: A multicentre evaluation was carried out to assess the analytical performance of the POC NT-proBNP test at seven different sites. RESULTS: The majority of all coefficients of variation (CVs) obtained for within-series imprecision using native blood samples was below 10% for both 52 samples measured ten times and for 674 samples measured in duplicate. Using quality control material, the majority of CV values for day-to-day imprecision were below 14% for the low control level and below 13% for the high control level. In method comparisons for four lots of the POC NT-proBNP test with the laboratory reference method (Elecsys proBNP), the slope ranged from 0.93 to 1.10 and the intercept ranged from 1.8 to 6.9. The bias found between venous and arterial blood with the POC NT-proBNP method was < or =5%. All four lots of the POC NT-proBNP test investigated showed excellent agreement, with mean differences of between -5% and +4%. No significant interference was observed with lipaemic blood (triglyceride concentrations up to 6.3 mmol/L), icteric blood (bilirubin concentrations up to 582 micromol/L), haemolytic blood (haemoglobin concentrations up to 62 mg/L), biotin (up to 10 mg/L), rheumatoid factor (up to 42 IU/mL), or with 50 out of 52 standard or cardiological drugs in therapeutic concentrations. With bisoprolol and BNP, somewhat higher bias in the low NT-proBNP concentration range (<175 ng/L) was found. Haematocrit values between 28% and 58% had no influence on the test result. Interference may be caused by human anti-mouse antibodies (HAMA) types 1 and 2. No significant influence on the results with POC NT-proBNP was found using volumes of 140-165 muL. High NT-proBNP concentrations above the measuring range of the POC NT-proBNP test did not lead to false low results due to a potential high-dose hook effect. CONCLUSIONS: The POC NT-proBNP test showed good analytical performance and excellent agreement with the laboratory method. The POC NT-proBNP assay is therefore suitable in the POC setting.

Development, feasibility and performance of a health risk appraisal questionnaire for older persons

BACKGROUND: Health risk appraisal is a promising method for health promotion and prevention in older persons. The Health Risk Appraisal for the Elderly (HRA-E) developed in the U.S. has unique features but has not been tested outside the United States. METHODS: Based on the original HRA-E, we developed a scientifically updated and regionally adapted multilingual Health Risk Appraisal for Older Persons (HRA-O) instrument consisting of a self-administered questionnaire and software-generated feed-back reports. We evaluated the practicability and performance of the questionnaire in non-disabled community-dwelling older persons in London (U.K.) (N = 1090), Hamburg (Germany) (N = 804), and Solothurn (Switzerland) (N = 748) in a sub-sample of an international randomised controlled study. RESULTS: Over eighty percent of invited older persons returned the self-administered HRA-O questionnaire. Fair or poor self-perceived health status and older age were correlated with higher rates of non-return of the questionnaire. Older participants and those with lower educational levels reported more difficulty in completing the HRA-O questionnaire as compared to younger and higher educated persons. However, even among older participants and those with low educational level, more than 80% rated the questionnaire as easy to complete. Prevalence rates of risks for functional decline or problems were between 2% and 91% for the 19 HRA-O domains. Participants' intention to change health behaviour suggested that for some risk factors participants were in a pre-contemplation phase, having no short- or medium-term plans for change. Many participants perceived their health behaviour or preventative care uptake as optimal, despite indications of deficits according to the HRA-O based evaluation. CONCLUSION: The HRA-O questionnaire was highly accepted by a broad range of community-dwelling non-disabled persons. It identified a high number of risks and problems, and provided information on participants' intention to change health behaviour.

[Pancytopenia and hemolysis--diagnosis, differential diagnosis and therapy of pernicious anemia]

Pernicious anemia and Vitamin B12 deficiency have a wide range of symptoms and are a common finding in the elderly. A 73 year old female is admitted to the hospital because of dyspnea, fatigue and loss of appetite and weight. While previous medical history and physical examination are inconspicuous, laboratory findings show severe pancytopenia with macrocytosis, low reticulocyte count and marked signs of hemolysis. A very low serum level of vitamin B12 and chronic atrophic type A gastritis upon endoscopy with presence of parietal cell antibodies in the serum lead to the diagnosis of pernicious anemia. Complete restitution is achieved by parenteral vitamin B12 substitution. Nowadays, severe pernicious anemia is only rarely seen. The differential diagnosis of pancytopenia (with macrocytic anemia) combined with hemolysis and the essential hints to the diagnosis of pernicious anemia are discussed, and thereby practical aspects including therapy actualized.

Statistics of the received power for free space optical channels

Free space optical (FSO) communication links can experience extreme signal degradation due to atmospheric turbulence induced spatial and temporal irradiance fuctuations (scintillation) in the laser wavefront. In addition, turbulence can cause the laser beam centroid to wander resulting in power fading, and sometimes complete loss of the signal. Spreading of the laser beam and jitter are also artifacts of atmospheric turbulence. To accurately predict the signal fading that occurs in a laser communication system and to get a true picture of how this affects crucial performance parameters like bit error rate (BER) it is important to analyze the probability density function (PDF) of the integrated irradiance fuctuations at the receiver. In addition, it is desirable to find a theoretical distribution that accurately models these ?uctuations under all propagation conditions. The PDF of integrated irradiance fuctuations is calculated from numerical wave-optic simulations of a laser after propagating through atmospheric turbulence to investigate the evolution of the distribution as the aperture diameter is increased. The simulation data distribution is compared to theoretical gamma-gamma and lognormal PDF models under a variety of scintillation regimes from weak to very strong. Our results show that the gamma-gamma PDF provides a good fit to the simulated data distribution for all aperture sizes studied from weak through moderate scintillation. In strong scintillation, the gamma-gamma PDF is a better fit to the distribution for point-like apertures and the lognormal PDF is a better fit for apertures the size of the atmospheric spatial coherence radius ρ0 or larger. In addition, the PDF of received power from a Gaussian laser beam, which has been adaptively compensated at the transmitter before propagation to the receiver of a FSO link in the moderate scintillation regime is investigated. The complexity of the adaptive optics (AO) system is increased in order to investigate the changes in the distribution of the received power and how this affects the BER. For the 10 km link, due to the non-reciprocal nature of the propagation path the optimal beam to transmit is unknown. These results show that a low-order level of complexity in the AO provides a better estimate for the optimal beam to transmit than a higher order for non-reciprocal paths. For the 20 km link distance it was found that, although minimal, all AO complexity levels provided an equivalent improvement in BER and that no AO complexity provided the correction needed for the optimal beam to transmit. Finally, the temporal power spectral density of received power from a FSO communication link is investigated. Simulated and experimental results for the coherence time calculated from the temporal correlation function are presented. Results for both simulation and experimental data show that the coherence time increases as the receiving aperture diameter increases. For finite apertures the coherence time increases as the communication link distance is increased. We conjecture that this is due to the increasing speckle size within the pupil plane of the receiving aperture for an increasing link distance.