Iowa Motorcycle Operator's Manual, April 27, 2009

The rules and regulations for owning and operating a motorcycle in Iowa

Extremity exposure in nuclear medicine: preliminary results of a European study.

The Work Package 4 of the ORAMED project, a collaborative project (2008-11) supported by the European Commission within its seventh Framework Programme, is concerned with the optimisation of the extremity dosimetry of medical staff in nuclear medicine. To evaluate the extremity doses and dose distributions across the hands of medical staff working in nuclear medicine departments, an extensive measurement programme has been started in 32 nuclear medicine departments in Europe. This was done using a standard protocol recording all relevant information for radiation exposure, i.e. radiation protection devices and tools. This study shows the preliminary results obtained for this measurement campaign. For diagnostic purposes, the two most-used radionuclides were considered: (99m)Tc and (18)F. For therapeutic treatments, Zevalin(®) and DOTATOC (both labelled with (90)Y) were chosen. Large variations of doses were observed across the hands depending on different parameters. Furthermore, this study highlights the importance of the positioning of the extremity dosemeter for a correct estimate of the maximum skin doses.

MGMT promoter methylation in malignant gliomas: ready for personalized medicine?

The DNA repair enzyme O(6)-methylguanine-DNA methyltransferase (MGMT) antagonizes the genotoxic effects of alkylating agents. MGMT promoter methylation is the key mechanism of MGMT gene silencing and predicts a favorable outcome in patients with glioblastoma who are exposed to alkylating agent chemotherapy. This biomarker is on the verge of entering clinical decision-making and is currently used to stratify or even select glioblastoma patients for clinical trials. In other subtypes of glioma, such as anaplastic gliomas, the relevance of MGMT promoter methylation might extend beyond the prediction of chemosensitivity, and could reflect a distinct molecular profile. Here, we review the most commonly used assays for evaluation of MGMT status, outline the prerequisites for standardized tests, and evaluate reasons for difficulties in reproducibility. We critically discuss the prognostic and predictive value of MGMT silencing, reviewing trials in which patients with different types of glioma were treated with various chemotherapy schedules, either up-front or at recurrence. Standardization of MGMT testing requires comparison of different technologies across laboratories and prospectively validated cut-off values for prognostic or predictive effects. Moreover, future clinical trials will need to determine, for each subtype of glioma, the degree to which MGMT promoter methylation is predictive or prognostic, and whether testing should become routine clinical practice.

Manual de uso del software Ocean Data View (ODV)

El presente manual de uso del software de visualización de datos “Ocean Data View” (ODV) describe la exploración, análisis y visualización de datos oceanográficos según el formato de la colección mundial de base de datos del océano “World Ocean Database” (WOD). El manual comprende 6 ejercicios prácticos donde se describe paso a paso la creación de las metavariables, la importación de los datos y su visualización mediante mapas de latitud, longitud y gráficos de dispersión, secciones verticales y series de tiempo. Se sugiere el uso extensivo del ODV para la visualización de datos oceanográficos por el personal científico del IMARPE.

Operaciones de pesca con chinchorro manual en Huacho, 2003

En las playas de Atahuanca, Lobiños y Playa Chica de Huacho, del 24 de febrero al 2 de marzo 2003, se desarrolló la pesca con chinchorro manual, la captura total fue 312,77 kg, correspondiendo a lisa el mayor porcentaje (39,55%). La CPUE varió entre 500 kg.h-1 y 8,77 kg.h-1. El rango de tallas varió para lisa entre 22 y 39 cm, mismis entre 11 y 31 cm; la correlación entre longitud y peso fue altamente significativa para lisa con r=0,961 y mismis r=0,997. Las correlaciones de los parámetros de longitud y el perímetro a la marca de la red registraron valores significativos con un r = 0,961 para la lisa y r = 0,973 para el mismis. Las hembras de lisa estuvieron en estadio III (26,32%) y II (21,05%) y los machos en estadio II y IV (15,79%). Las hembras de mismis estuvieron en estadio III (7,41%) y los machos en estadios IV (44,44%) y V (18,52%). Las operaciones de pesca experimental se efectuaron a 6 m de profundidad. La presencia de los recursos costeros est uvo asociada a un rango de 17,1 a 17,4 °C.

Pesca exploratoria con redes chinchorro manual en la región Lambayeque

La pesca exploratoria se realizó del 26 de mayo al 5 de junio del 2009, efectuando 15 lances de pesca para evaluar el comportamiento del chinchorro manual. Se usó redes con copos convencionales de malla diamante de 50 mm y malla cuadrada de 60 mm y, una red con sobrecopo de 25 mm de malla. Del total de la captura el 73% fue bagre (Galeichthys peruvianus) y 12% lisa (Mugil cephalus). El bagre fue retenido en el copo (95%) con talla media de 27 cm y la captura de lisa fue por agallamiento en la sección de las alas de la red (92%) con talla media de 30 cm. El chinchorro es un arte de pesca que presenta baja selectividad debido a la diversidad de especies capturadas en estado juvenil y madurante (e.g. bagre).

Comportamiento y respuesta selectiva de la red manual chinchorro en Huarmey-Áncash

El estudio se realizó en otoño (30 de abril al 9 de mayo) e invierno (5 al 14 de julio) del 2009 con la finalidad de evaluar el comportamiento y respuesta selectiva de la red manual chinchorro manual en la zona de Huarmey - Región Áncash. Se realizaron 28 lances de pesca en las zonas de El Huaro, Culebras, Tuquillo, Huanchaquito, y para calamar en El Castillo, Gramadal, Las Zorras. La red manual chinchorro está dirigida a la pesquería multiespecífica, la composición de la capturas fue mayor en el copo (83% fase I, 92% fase II), seguido de las alas (13% fase I, 2% fase II) y el sobrecopo (4% fase I, 6% fase II), las principales especies capturadas fueron Doryteuthis gahi, Sciaena deliciosa, Odontesthes regia, Urotrygon asterias, Paralichthys adspersus, Mugil cephalus, Scomber japonicus. De las especies capturadas que cuentan con una talla mínima legal de captura (TMC), se registró más de 65% de ejemplares juveniles, lo que es un indicador de la baja respuesta selectiva y del impacto negativo al ecosistema.

Iowa Construction Site Erosion Control Manual, 2006

The purpose of this Iowa manual is to serve as a guide, provide solutions, and offer suggestions on construction sites to comply with Iowa's current soil erosion and storm water runoff regulations. This need is particularly important when land undergoes a land use change. Information provided in this manual will be helpful to land owners, developers, consultants, contractors, planners, local government, as well as the general public. This manual is intended to provide techniques that will meet the mandates of current legislation. Innovations that will benefit the user and still provide effective control are encouraged.

L'année 2012 de la perspective de l'interniste hospitalier [What is new in 2012 for the specialist in hospital internal medicine?].

The knowledge in internal medicine is constantly and so rapidly evolving that practices have to be updated and adjusted to recent scientific rules, in order to improve quality and efficiency in the day to day activities. Residents in the Service of internal medicine of the Lausanne University present several relevant papers published in 2012, whose results are susceptible to change the daily hospital practices. From modest impacts to real revolution, a variety of subjects are discussed in the perspective of evidence based medicine.

Motifs de consultation en médecine du travail [Reasons for consultation in occupational medicine].

The inability to characterize more precisely the extent of occupational diseases limits the implementation of an effective preventive policy. Furthermore, not all work-related conditions are reported by the Swiss workers' compensation system. A seven-year (1986 to 1992) retrospective study of medical visits in an Institute of Occupational Health Sciences is presented. The objective of this study is to expand data on occupational diseases for clinical and public health intervention. 298 patients have been examined for a possible work-related condition. In 140 cases (47%), an occupational disease according to the Swiss Law was found. Respiratory tract was the main target of industrial pollutants. Respiratory irritation , solvent intoxications, contact dermatitis and asthma were the most frequent conditions seen. 97 workplace visits (32% of all medical visits) were necessary for diagnostic purposes. Painters (construction, cars) and other solvent exposed workers were at particular risk. Rare alpha-1-antitrypsin phenotypes were found several times in workers with respiratory diseases confirming the value of this test in occupational medicine. Despite many referral biases, direct clinical and public health applications of the data are possible. This study confirms the hypothesis that occupational respiratory diseases and intoxications are probably underreported in the workers' compensation statistics. Activities with an increased risk of work-related diseases have been identified so workplace intervention could be highly targeted. This study shows also that a more intense collaboration between primary care physicians, hospital services and occupational medical specialists is necessary to improve clinical and epidemiological surveillance of work-related health conditions.

Médecine d'urgence [Emergency medicine: update 2008]

The emergency medicine appears more and more as a transversal discipline, leaning on specific competences regularly updated with evidence-based medicine concepts. This selection of recent articles presents an update on frequent conditions, including the place of neuroimaging for patients with seizures or minor head injuries, the management of acute cocaine intoxications, the diagnosis of aortic dissections, or the management of cardiopulmonary arrest. The primary care physician will find elements of diagnostic or therapeutic strategies. This selection reflects the dynamism of emergency medicine.