Association of exogenous hormonal intake with the risk of development of hepatocellular carcinoma in women

Background. Primary liver cancer, the majority of which is hepatocellular carcinoma, is the third most common cause of mortality from cancer. It has one of the worst prognosis outcomes and an overall 5-year survival of only 5-6%. Hepatocellular carcinoma has been shown to have wide variations in geographic distribution and there is a marked difference in the incidence between different races and gender. Previously low-rate countries, including the US, have shown to have doubled the incidence of HCC during the past two decades. Even though the incidence of HCC is higher in males as compared to females, female hormones, especially estrogens have been postulated to have a role in the development of hepatocellular carcinoma on a molecular level. Despite the frequent usage of oral contraceptive pills (OCP) and previously, hormone replacement therapy (HRT), their role on HCC development has not been studied thoroughly. We aim to examine the association between exogenous hormone intake (oral contraceptives and post-menopausal hormone replacement therapy) and the development of HCC. Methods. This study is part of an ongoing hospital-based case-control study which is conducted at the Department of Gastrointestinal Oncology at The University of Texas M. D. Anderson Cancer Center. From January 2005 up to January 2008, a total of 77 women with pathologically confirmed hepatocellular carcinoma (cases) and 277 healthy women (controls) were included in the investigation. Information about the use of hormonal contraceptives, hormone replacement therapy and risk factors of hepatocellular cancer was collected by personal interview. Univariate and multivariate logistic regression analyses were done to estimate the crude odds ratios (OR) and adjusted odds ratios (AOR). Results. We found statistically significant protective effect for the use of HRT on the development of HCC, AOR=0.42 (95% CI, 0.21, 0.81). The significance was observed for estrogen replacement, AOR=0.43 (95% CI, 0.22, 0.83) and not for progesterone replacement, AOR=0.49 (95% CI, 0.10, 2.35). On the other hand, any hormonal contraceptive use, which encompasses oral contraceptive pills, implants and injections, did not show a statistical significance either in the crude OR=0.58 (95% CI, 0.33, 1.01) or AOR=0.56 (95% CI 0.26, 1.18). Conclusions. As corroborated by previous studies, HRT confers 58% HCC risk reduction among American women. The more important question of the association between hormonal contraceptives and HCC remains controversial. Further studies are warranted to explore the mechanism of the protective effect of HRT and the relationship between hormonal contraception and HCC.^

Study of rural leadership and implications for community participation and development in the health and family planning programs in Bangladesh

The vast majority of Bangladesh are poor and are unable even to provide for the most basic human needs. These are the landless and marginal farmers of Bangladesh. They constitute 70% of the rural population, which in turn constitute about 90% of the country's population.^ Effective development of Bangladesh would largely mean the development of the landless and marginal farmers. Past efforts of development in this section of the population, including that of the government, have not succeeded. One of the development goals of the government of Bangladesh is to improve the quality of life of the rural population through health and population control measures. Overpopulation, malnutrition and diarrhea are the major impediments to socioeconomic development in Bangladesh.^ The current study was designed to identify whether there is effective opinion leadership among the marginal and landless peasants affecting decisions on acceptance or nonacceptance of family planning methods and oral rehydration therapy (ORT) in the selected rural areas of Bangladesh. The study was conducted in eight randomly selected villages with funding from the Ministry of Health and Family Planning, government of Bangladesh. One hundred twenty-five opinion leaders were interviewed after they were identified by 408 rural couples owning land less than 2 acres and wives' age below 50. The study was conducted in two phases; couples' interview preceded that of the leaders.^ Findings of the study reveal that the opinion leaders influencing adoption of health and family planning among the landless and marginal farmers belong to the same class. Theses opinion leaders own land much less than the rich farmers and the formal leaders in the rural areas. Majority of these of opinion leaders are friends, neighbors and relatives, some are other persons who are businessmen and professionals like doctors, while the rest few are the field workers of health and family planning. Source of influence as a factor contribute most in differentiating use and non-use of family planning and ORT among both couples and leaders. The most frequent sources of influence referred by the couples and the leaders are the field workers of health and family planning, followed by the peer opinion leaders (friends, neighbors, relatives) and spouse.^ The opinion leaders do not differ much from the poor couples on land holding, a strong indicator of economic status, they however differ considerably on social factors such as family planning practice, education, and exposure to mass media.^ The study suggests that future development efforts in Bangladesh have to ensure community participation by the landless and marginal farmers and opinion leaders belonging to their class. ^

Experimental models for p53, hepatitis B and aflatoxin hepatocarcinogenesis

The major risk factors for liver cancer in Southeast Asia: HBV infection, aflatoxin exposure and p53 expression/mutation, were examined in experimental models. Four groups were examined for development of hepatocellular carcinoma (HCC) with and without neonatal exposure to aflatoxin (AFB$\sb1)$: (Group I.) Transgenic HBsAg mice with one p53 allele. (Group II) Transgenic HBsAg mice with two p53 alleles. (Group III) Non-transgenic litter mates with one p53 allele. (Group IV) Non-transgenic litter mates with two p53 alleles. HCC developed in Group I animals exposed to aflatoxin at an earlier time and were of a higher grade than those seen later in other groups. These results provide an explanation for as to why p53 is a target for deletion and/or mutation in human HCC especially when found in high risk areas where HBV infection and Aflatoxin B1 food contamination is high, and nicely illustrates a synergistic interaction among these three factors. None of the tumors analyzed had loss or mutation in the p53 gene.^ To determine the significance of the specific p53ser249 mutation found in HBV/aflatoxin associated human hepatomas in an in-vivo experimental model using transgenic mice, a two-nucleotide change in the mouse p53 gene at amino acid position 246, which is equivalent to that of 249 in human p53, was introduced. Transgenic mice with mutant p53 controlled by the albumin promoter were generated and shown to express the p53ser246 mutant RNA and protein specifically in liver. Three groups were examined for development of HCC with and without neonatal exposure to aflatoxin: (Group V) Transgenic p53ser246 mice with two p53 alleles. (Group VI) Transgenic p53ser246 mice with one p53 allele. (Group VII) Double transgenic for p53ser246 and HBsAg with two p53 alleles. One hundred percent of male mice with the three risk factors injected with aflatoxin developed high grade liver tumors, compared to 66.6% from group VI and only 14.2% of group V suggesting synergistic interaction between HBsAg and this particular ser246 p53 mutation.^ In order to examine the growth properties of hepatocytes and correlation with p53 loss and/or mutation, cell proliferation and ploidy analysis of liver from normal heterozyous, homozygous null mice and from transgenic mutant p53ser246, mice were studied. Loss of wild-type p53 increased G1/G0 ratios of cells as well as proliferation and decreased cell ploidy. The mutant p53ser246 did not show a significant effect on cell ploidy or proliferation. However a striking 5-10X increase in G1/G0 ratio suggests that this specific mutation specifically induces G0 to G1 transition, which in turn further predisposes hepatocytes to the damaging effect of Aflatoxin. (Abstract shortened by UMI.) ^

Hitze - Studentisches Medienprojekt zur Internationalen REKLIM Konferenz in Kooperation mit der DEKRA-Hochschule Berlin, Links zum Dokumentarfilm in unterschiedlichen Auflösungen

Karlsruhe gilt als der im mittleren Wert heißeste Ort Deutschlands. Der Film trifft Bewohner auf der Strasse und fragt sie nach den Folgen die diese Phänomen für ihren Alltag hat. Es werden aber auch Lösungsmodelle angeboten, die ein Städtebauplaner in seinem Büro für die Architektur der Zukunft entwickelt.

Ecological investigations in the wadden area off Borkum, East Frisian Islands, Germany

Die Bodentiergemeinschaft des Wattenmeeres ist von Frühjahr bis Herbst eines jeden Jahres durch extrem hohe Dichten von Jungtieren charakterisiert. Die Kenntnisse über die Ansiedlung von fplanktischen Larven im Wattenmeer, sowie die Dynamik postlarvaler Stadien sind aufgrund der üblicherweise verwendeten, großen Siebmaschenweiten gering. Gerade aber diesen Altersstadien kommt möglicherweise eine besondere Stellung im Energiefluß des Wattenmeeres zu. An 5 Stationen (von NWL bis HWL, B1-B5) im Rückseitenwatt der ostfriesischen Insel Borkum wurden 1986 Ansiedlung, räumliche Verteilung, Wachstum, Mortalität und Produktion der Altersklasse 0 von Macoma balthica, Mya arenaria und Cerastoderma edule untersucht. Um die Ansiedlung der planktotrophen Larven dieser Arten zu beschreiben, wurden ihre Dichten in Plankton und Bodenproben miteinander verglichen. Die Untersuchungen zur Dynamik der benthischen Stadien wurden mit zwei in der Probenfläche und der Siebmaschenweite unterschiedlichen Probenserien durchgeführt. Die Drift postlarvaler Stadien wurde durch bodennahe Planktonfänge innerhalb des Eulitorals nachgewiesen. Parallel zu den Untersuchungen an der Endofauna wurden das Vorkommen und die Größe epibenthischer Räuber im Untersuchungsgebiet erfaßt. Die Hauptansiedlung von M. balthica- und M. arenaria-Larven erfolgte nahezu gleichzeitig Ende Mai/Anfang Juni. Die meisten Larven beider Arten gingen an der prielnächsten (tiefsten) Station (B1) zum Bodenleben über, gefolgt von der nächst höher gelegenen Station B2. Während frühe Bodenstadien von M. arenaria nicht im oberen Bereich des Watts (B3,B4) gefunden wurden, ist eine geringfügige Erstansiedlung von M. balthica in diesem Gebiet nicht auszuschließen. Ein die Ansiedlung limitierender Einfluß der relativ dichten Mya arenaria-Siedlung an den Stationen B1 und B2 sowie der Alttiere von M. balthica konnte nicht festgestellt werden. Die Ähnlichkeit des Ansiedlungsprozesses bei beiden Arten, die sich im Zahlenverhältnis Larvenangebot zu Anzahl der ersten Bodenstadien widerspiegelt, kann ein Hinweis auf eine überwiegend passive Ansiedlung der Larven am Boden sein. Der Ort der Hauptansiedlung von C. edule wurde durch den Transekt nicht erfaßt. Die Station B2 war zwar durch ein Herzmuschelfeld charakterisiert, dieses war aber nach zwei Eiswintern nahezu vollständig eliminiert. Der Abundanz der planktischen Larven zufolge war der Hauptansiedlungszeitraum ebenfalls Ende Mai/Anfang Juni. Zu dieser Zeit wurden nur vereinzelt frühe Bodenstadien an den Stationen B1 und B2 gefunden, keine an den Stationen B3 und B4. Während die frühen postlarvalen Stadien von M. arenaria überwiegend am Ort der Ansiedlung blieben, verbreiteten sich die von M. balthica bis in den oberen Bereich des Untersuchungsgebietes (B3-B5). Analog zu der Besiedlung dieser Gebiete durch postlarvale M. balthica wurde die im Verlauf des Untersuchungsjahres stattfindende Kolonisierung der Station B1 durch C. edule ebenfalls postlarvalem Transport zugeschrieben. Demzufolge spielt bei beiden Muschelarten postlarvaler Transport eine wichtige Rolle bei der Besiedlung von Habitaten. Planktonfänge innerhalb der bodennahen Wasserschicht bestätigten, daß im Untersuchungsgebiet M. balthica die am stärksten verdriftende Muschelart war, gefolgt von C. edule. Mortalität, Wachstum, mittlere Biomasse, Produktion und P/B-Verhältnis wurden für M. balthica an den Stationen B1, B3 und B4 sowie für M. arenaria an der Station B1 bestimmt. Wachstum und damit auch Produktion beider Arten erwiesen sich hier - wie an den höher gelegen Stationen (nur M. balthica) - als durch größenselektiven Feinddruck beeinflußt. Der Effekt postlarvalen Transports auf Wachstum wird diskutiert. Übergreifend über die auf Artebene diskutierten Ergebnisse wird die Bedeutung der Dispersion postlarvaler Stadien und die Wirkung epibenthischen Feinddrucks im Wattenmeer erörtert. Der Vergleich postlarvalen Transportes mit der Dispersion planktischer Larvenstadien, der Dispersion von Meiofauna und der Mobilität adulter Stadien der Makrofauna verdeutlicht, daß es sich hierbei um eine Strategie handeln kann, innerhalb eines unvorhersagbaren Biotops freiwerdende Ressourcen zu nutzen und dadurch Konkurrenz zu vermeiden. Es wird die Hypothese aufgestellt, daß Initialansiedlung und Immigration einerseits sowie Feinddruck und Emigration andererseits einen Regelkreis darstellen, der in verschiedenen Teilbereichen des Watts mit unterschiedlicher Geschwindigkeit abläuft.

Wächter am Watt - Studentisches Medienprojekt zur Internationalen REKLIM Konferenz in Kooperation mit der DEKRA-Hochschule Berlin, Links zum Dokumentarfilm in unterschiedlichen Auflösungen

In der Nordsee sind vor allem die friesischen Inseln vom Meeresspiegelanstieg betroffen, u.a. auch die ostfriesische Insel Norderney. Welche Herausforderungen kommen durch den ansteigenden Meeresspiegel auf die Insel zu und wie kann man ihnen begegnen? Sind kurzfristige Lösungen überhaupt sinnvoll? Den Menschen vor Ort wird mehr und mehr klar, dass die Konsequenzen des Klimawandels selbst durch aktives Gegensteuern nur verlangsamt, aber nicht mehr aufgehalten werden können. Die heutige Generation wird die Auswirkungen wohl kaum noch erleben doch Entscheidungen, die heute getroffen werden, sind wegweisend für die Zukunft unserer Enkel.

Dissecting Arabidopsis Gß signal transduction on the protein surface.

The heterotrimeric G-protein complex provides signal amplification and target specificity. The Arabidopsis (Arabidopsis thaliana) G?-subunit of this complex (AGB1) interacts with and modulates the activity of target cytoplasmic proteins. This specificity resides in the structure of the interface between AGB1 and its targets. Important surface residues of AGB1, which were deduced from a comparative evolutionary approach, were mutated to dissect AGB1-dependent physiological functions. Analysis of the capacity of these mutants to complement well-established phenotypes of G?-null mutants revealed AGB1 residues critical for specific AGB1-mediated biological processes, including growth architecture, pathogen resistance, stomata-mediated leaf-air gas exchange, and possibly photosynthesis. These findings provide promising new avenues to direct the finely tuned engineering of crop yield and traits.

Decarbonization of toll plazas: impact assessment of toll collection system management

Transport climate change impacts have become a worldwide concern. The use of Intelligent Transport Systems (ITS) could contribute to a more effective use of resources in toll road networks. Management of toll plazas is central to the reduction of greenhouse gas (GHG) emissions, as it is there that bottlenecks and congestion occur. This study focuses on management strategies aimed at reducing climate change impacts of toll plazas by managing toll collection systems. These strategies are based on the use of different collection system technologies – Electronic Toll Collection (ETC) and Open Road Tolling (ORT) – and on queue management. The carbon footprint of various toll plazas is determined by a proposed integrated methodology which estimates the carbon dioxide (CO2) emissions of the different operational stages at toll plazas (deceleration, service time, acceleration, and queuing) for the different toll collection systems. To validate the methodology, two main-line toll plazas of a Spanish toll highway were evaluated. The findings reveal that the application of new technologies to toll collection systems is an effective management strategy from an environmental point of view. The case studies revealed that ORT systems lead to savings of up to 70% of CO2 emissions at toll plazas, while ETC systems save 20% comparing to the manual ones. Furthermore, queue management can offer a 16% emissions savings when queue time is reduced by 116 seconds. The integrated methodology provides an efficient environmental management tool for toll plazas. The use of new technologies is the future of the decarbonization of toll plazas.

Segundo centenario de los años de la canonizacion del valenciano apostol San Vicente Ferrer, concluydo el ... 29 de Iunio, del año 1655, celebrado por la ... ciudad de Valencia...

Sign.: [calderón]-4[calderón]4, 5[calderón]2, A-Z4, 2A-2Y4

Solenidad festiua, con que en la ... ciudad de Valencia se celebró la feliz nueua de la canonizacion de su milagroso arçobispo Santo Tomas de Villanueva ...

Sign.: [ ]2, *8, *-***4, A-Z4, Aa-Yy4, A-Z4, Aa-Nn4

Fiestas centenarias, con que la insigne, noble, leal, y coronada ciudad de Valencia celebrò en el dia 9 de Octubre de 1738. La quinta centuria de su christiana conquista

Índice

Historia de la milagrosa imagen de el Santo Christo de San Salvador de Valencia : que vino por los años 1250 ... a esta dichosa Ciudad ...

Índice

Historia de la sagrada imagen de Maria Santissima de los inocentes y desamparados...

El Censor era Agustin Sales y Alcala

Memorias historicas de la fundacion, y progressos de la insigne Universidad de Valencia

Contiene: Prólogo ; Tabla de los capítulos ; Indice de las cosas más notables ; Indice de los sujetos ilustres