Metabolomic profiles of hepatocellular carcinoma in a European prospective cohort.

BACKGROUND Hepatocellular carcinoma (HCC), the most prevalent form of liver cancer, is difficult to diagnose and has limited treatment options with a low survival rate. Aside from a few key risk factors, such as hepatitis, high alcohol consumption, smoking, obesity, and diabetes, there is incomplete etiologic understanding of the disease and little progress in identification of early risk biomarkers. METHODS To address these aspects, an untargeted nuclear magnetic resonance metabolomic approach was applied to pre-diagnostic serum samples obtained from first incident, primary HCC cases (n = 114) and matched controls (n = 222) identified from amongst the participants of a large European prospective cohort. RESULTS A metabolic pattern associated with HCC risk comprised of perturbations in fatty acid oxidation and amino acid, lipid, and carbohydrate metabolism was observed. Sixteen metabolites of either endogenous or exogenous origin were found to be significantly associated with HCC risk. The influence of hepatitis infection and potential liver damage was assessed, and further analyses were made to distinguish patterns of early or later diagnosis. CONCLUSION Our results show clear metabolic alterations from early stages of HCC development with application for better etiologic understanding, prevention, and early detection of this increasingly common cancer.

A Nested Case-Control Study of Metabolically Defined Body Size Phenotypes and Risk of Colorectal Cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC).

BACKGROUND Obesity is positively associated with colorectal cancer. Recently, body size subtypes categorised by the prevalence of hyperinsulinaemia have been defined, and metabolically healthy overweight/obese individuals (without hyperinsulinaemia) have been suggested to be at lower risk of cardiovascular disease than their metabolically unhealthy (hyperinsulinaemic) overweight/obese counterparts. Whether similarly variable relationships exist for metabolically defined body size phenotypes and colorectal cancer risk is unknown. METHODS AND FINDINGS The association of metabolically defined body size phenotypes with colorectal cancer was investigated in a case-control study nested within the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Metabolic health/body size phenotypes were defined according to hyperinsulinaemia status using serum concentrations of C-peptide, a marker of insulin secretion. A total of 737 incident colorectal cancer cases and 737 matched controls were divided into tertiles based on the distribution of C-peptide concentration amongst the control population, and participants were classified as metabolically healthy if below the first tertile of C-peptide and metabolically unhealthy if above the first tertile. These metabolic health definitions were then combined with body mass index (BMI) measurements to create four metabolic health/body size phenotype categories: (1) metabolically healthy/normal weight (BMI < 25 kg/m2), (2) metabolically healthy/overweight (BMI ≥ 25 kg/m2), (3) metabolically unhealthy/normal weight (BMI < 25 kg/m2), and (4) metabolically unhealthy/overweight (BMI ≥ 25 kg/m2). Additionally, in separate models, waist circumference measurements (using the International Diabetes Federation cut-points [≥80 cm for women and ≥94 cm for men]) were used (instead of BMI) to create the four metabolic health/body size phenotype categories. Statistical tests used in the analysis were all two-sided, and a p-value of <0.05 was considered statistically significant. In multivariable-adjusted conditional logistic regression models with BMI used to define adiposity, compared with metabolically healthy/normal weight individuals, we observed a higher colorectal cancer risk among metabolically unhealthy/normal weight (odds ratio [OR] = 1.59, 95% CI 1.10-2.28) and metabolically unhealthy/overweight (OR = 1.40, 95% CI 1.01-1.94) participants, but not among metabolically healthy/overweight individuals (OR = 0.96, 95% CI 0.65-1.42). Among the overweight individuals, lower colorectal cancer risk was observed for metabolically healthy/overweight individuals compared with metabolically unhealthy/overweight individuals (OR = 0.69, 95% CI 0.49-0.96). These associations were generally consistent when waist circumference was used as the measure of adiposity. To our knowledge, there is no universally accepted clinical definition for using C-peptide level as an indication of hyperinsulinaemia. Therefore, a possible limitation of our analysis was that the classification of individuals as being hyperinsulinaemic-based on their C-peptide level-was arbitrary. However, when we used quartiles or the median of C-peptide, instead of tertiles, as the cut-point of hyperinsulinaemia, a similar pattern of associations was observed. CONCLUSIONS These results support the idea that individuals with the metabolically healthy/overweight phenotype (with normal insulin levels) are at lower colorectal cancer risk than those with hyperinsulinaemia. The combination of anthropometric measures with metabolic parameters, such as C-peptide, may be useful for defining strata of the population at greater risk of colorectal cancer.

Adubação verde na recuperação da fertilidade de um Latossolo Vermelho-Escuro degradado

O experimento foi conduzido na Fazenda Experimental Nova Baden, da Empresa de Pesquisa Agropecuária de Minas Gerais (EPAMIG), em Lambari, MG, objetivando avaliar o desempenho dos adubos verdes guandu (Cajanus cajan (L.) Millsp.) e crotalária-júncea (Crotalaria juncea L.), com e sem incorporação da biomassa, na recuperação da fertilidade de um solo (Latossolo Vermelho-Escuro distrófico) degradado, cultivado com braquiária (Brachiaria decumbens Stapf.). Empregou-se o delineamento experimental de blocos casualizados em esquema fatorial de parcelas subdivididas, com três repetições, colocando-se nas parcelas o manejo da biomassa, e nas subparcelas, as leguminosas e a braquiária. As três culturas foram manejadas na fase final de florescimento das leguminosas, quando se fizeram amostragens de biomassa para determinação de produção de matéria seca, concentração e conteúdo de nutrientes. Realizaram-se avaliações de amostras de solo em três épocas (90, 120 e 150 dias após o manejo) e seis profundidades (0-5, 5-10, 10-20, 20-40, 40-60 e 60-80 cm). O guandu se destacou na primeira avaliação quanto às melhorias na fertilidade do solo, e a crotalária-júncea, de mineralização mais lenta, na segunda. Na terceira avaliação, não foram encontrados benefícios dos adubos verdes nas propriedades químicas do solo.

Política externa brasileira e coalizações do Sul: o fórum de diálogo Índia-Brasil-África do Sul (IBSA)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Welche Typen von Autokratien sind leistungsfähiger und warum? : eine empirische Analyse auf Grundlage der Selektoratstheorie = Which type of autocracy performs better, and why?

Performanzunterschiede zwischen verschiedenen Autokratietypen wie Monarchien, Militär-, Ein-Parteien- und begrenzten Mehr-Parteien-Regimen sind bis auf wenige Ausnahmen bisher relativ unerforscht. Deshalb widmet sich diese Arbeit folgenden Forschungsfragen: Gibt es Performanzunterschiede zwischen verschiedenen Autokratietypen? Wenn ja, wie gestalten sich diese und wie lassen sie sich erklären? Auf Grundlage der Selektoratstheorie von Bueno de Mesquite et al. wird die Hypothese aufgestellt, dass die Performanz politischer Regime mit der Größe der Winning Coalition steigt. Da verschiedene Autokratietypen unterschiedlich große Winning Coalitions haben, wird angenommen, dass es deutliche Performanzunterschiede zwischen diesen Typen gibt. Als Performanzkriterien dienen in dieser Arbeit wirtschaftlicher Wohlstand, soziale Sicherheit und ökologische Nachhaltigkeit. Aus diesen drei Kriterien wird zusätzlich ein Indikator allgemeiner Performanz gebildet. Die empirische Untersuchung erfolgt mit den Daten des Quality-of-Governement-Datensatzes und erstreckt sich über 140 autokratische Länder im Zeitraum von 1972 bis 2010. Die Daten werden mittels Time-Series-Cross-Section-Regressionen analysiert. Die Ergebnisse der Analysen entsprechen nur teilweise den Erwartungen. Die Größe der Winning Coalition wirkt positiv auf die wirtschaftliche Wohlfahrt und die soziale Sicherheit und damit auch auf die allgemeine Performanz aus. Entgegen den Erwartungen sinkt die ökologische Performanz jedoch mit steigender Größe der Winning Coalition. Auch die Befunde bezüglich der Performanz verschiedener Autokratietypen entsprechen nicht den Erwartungen. So sind Ein-Parteien-Regime insgesamt leistungsfähiger als Mehr-Parteien-Regime, Militär-Regime und Monarchien. Militär-Regime sind leistungsfähiger als Monarchien und tendenziell auch als Mehr-Parteien-Regime.

Overweight duration in older adults and cancer risk: a study of cohorts in Europe and the United States

Recent studies have shown that cancer risk related to overweight and obesity is mediated by time and might be better approximated by using life years lived with excess weight. In this study we aimed to assess the impact of overweight duration and intensity in older adults on the risk of developing different forms of cancer. Study participants from seven European and one US cohort study with two or more weight assessments during follow-up were included (n = 329,576). Trajectories of body mass index (BMI) across ages were estimated using a quadratic growth model; overweight duration (BMI ≥ 25) and cumulative weighted overweight years were calculated. In multivariate Cox models and random effects analyses, a longer duration of overweight was significantly associated with the incidence of obesity-related cancer [overall hazard ratio (HR) per 10-year increment: 1.36; 95 % CI 1.12-1.60], but also increased the risk of postmenopausal breast and colorectal cancer. Additionally accounting for the degree of overweight further increased the risk of obesity-related cancer. Risks associated with a longer overweight duration were higher in men than in women and were attenuated by smoking. For postmenopausal breast cancer, increased risks were confined to women who never used hormone therapy. Overall, 8.4 % of all obesity-related cancers could be attributed to overweight at any age. These findings provide further insights into the role of overweight duration in the etiology of cancer and indicate that weight control is relevant at all ages. This knowledge is vital for the development of effective and targeted cancer prevention strategies.

Biologia reprodutiva, crescimento corporal e parâmetros demográficos de Cavia magna em uma ilha estuarina do extremo sul do Brasil

A teoria da história de vida tem como objetivo compreender os fatores que produzem variações na taxa de sobrevivência, tamanho no nascimento, idade de maturação, sazonalidade na reprodução, longevidade, razão sexual da prole. O gênero Cavia pallas 1776 apresenta a maior distribuição dentro da subfamília Cavinae, sendo composto por seis espécies, dentre elas Cavia magna, a qual habita regiões de restinga próximas a estuários ou lagos do norte do Uruguai ao sul do Brasil. Durante esse trabalho avaliamos os padrões da história de vida de uma população de Cavia magna da Ilha dos Marinheiros, RS, Brasil, devido ao fato de se tratar de uma espécie com baixa taxa reprodutiva, distribuição geográfica restrita, e estar exposta a alta pressão de predação. Para isso foi realizado um programa de captura-marcação-recaptura, durante 13 meses no qual foram capturados 129 animais, sendo 63 fêmeas e 66 machos. As longevidades máximas registradas, foram 233 dias para uma fêmea e 321 dias para um macho. Foram encontradas 13 fêmeas grávidas ou lactantes, dentre elas 9 estavam grávidas, sendo que 6 estavam prenhas de 2 filhotes e 3 estavam prenhas de 1 filhote apenas. Vários parâmetros foram testados, para estimar a taxa de sobrevivência e captura ,utilizamos o programa Mark, o método jacknife um modelo probabilístico, que permite heterogeneidade individual nas taxas de captura também foi utilizado. Não houve diferenças significativas no número de machos e fêmeas, a razão sexual foi 1:1. Em relação a estrutura etária, a população foi composta por adultos (82%) e a densidade populacional foi de 30 animais por hectare.

Efectos de una intervención educativa en la promoción de la actividad física, los conocimientos y comportamientos saludables para la prevención del cáncer colorrectal en jóvenes de una institución educativa secundaria en Bogotá Colombia

El cáncer colorrectal es un serio problema de salud pública a nivel mundial. Evidencias epidemiológicas han sugerido que al menos el 50% de la enfermedad puede ser prevenida mediante un estilo de vida saludable. Las intervenciones educativas surgen como una herramienta clave de movilización social para la prevención y han sido sugeridas desde las autoridades nacionales para el control del cáncer en el país.

A busca da experiência total do humano na poesia de Alexei Bueno

Pós-graduação em Estudos Literários - FCLAR

Extension of a Recent Method for Obtaining Exact Solutions of the Bruce and Klute Equation

A method based on a specific power-law relationship between the hydraulic head and the Boltzmann variable was recently presented. We generalized this relationship to a range of powers and extended the solution to include the saturated zone. As a result, the new solution satisfies the Bruce and Klute equation exactly.

Hepatites B e C em usuários de drogas injetáveis vivendo com HIV em São Paulo, Brasil

OBJETIVO: Descrever o perfil de usuários de drogas injetáveis vivendo com HIV/Aids e estimar a prevalência de hepatites B e C nesse grupo. MÉTODOS: Estudo transversal realizado com 205 pessoas vivendo com HIV/Aids, usuários de drogas injetáveis em acompanhamento em três unidades de atendimento da rede pública do Município de São Paulo, em 2003. Foi selecionada amostra não-probabilística, obtida de forma consecutiva e voluntária, nos dias em que compareciam para consulta nas unidades de atendimento. Por meio de entrevistas, foram levantados dados pessoais e informações sobre comportamento sexual, uso de drogas e conhecimento de hepatites. Foram realizados testes para detecção da infecção pelos vírus das hepatites B e C. RESULTADOS: Dos entrevistados, 81% eram homens e 19% mulheres, com idade média de 39 anos (dp=6,1) e seis anos de educação formal (dp=2,0). Não havia diferença em relação ao estado marital entre os sexos, 48% eram solteiros, 42% casados e 8% divorciados. A idade média do primeiro uso de tabaco, álcool e drogas ilícitas foi 13, 15 e 18 anos, respectivamente. Prevalências de hepatites B e C foram, respectivamente, de 55% (IC 95%: 49;63) e 83% (IC 95%: 78;88). Antes de usar droga injetável pela primeira vez, 80% dos respondentes não tinham ouvido falar de hepatites B e C. CONCLUSÕES: A alta prevalência de hepatites B e C e o baixo nível de conhecimento sobre a doença justificam a inclusão de esclarecimentos sobre as infecções hepáticas e de vacinação contra hepatite B nas estratégias de redução de danos pelo HIV.

Literacia de informação na Polícia de Segurança Pública

Orientadora: Doutora Anabela Mesquita Teixeira Sarmento