[Kepek a Keleti-Karpatokbol... Bilder aus den Ostkarpaten... Budapest, Birkholz, Vayda und Preszburg, s.d. Album de 32 phot. des Carpathes orientales par K. Divald, donateur en 1888]

Comprend : Ó-Kemenczei gereb. Unghmagye ; A Popp Ivan (1940 m), Szerban (1795 m) és Poloninka (1625 m) a Precsulka elöhavasról. Máramorosmegye ; Szaláncz várromjai az Ujhely-Kassai vasut vonalán. Albanjmegye ; Crachyt szikla a "Szinnai kö" tetején (998 méter), Zemplén és Unghmegye Határán

[Album de 32 phot. de la ligne de chemin de fer de Voiron à Saint-Béron par Saint-Laurent-du-Pont, offert par le conseil d'administration du chemin de fer Voiron-Saint-Béron en 1897]

Donateur : Chemin de fer Voiron-Saint-Béron

A genetic risk score combining 32 SNPs is associated with body mass index and improves obesity prediction in people with major depressive disorder.

BACKGROUND: Obesity is strongly associated with major depressive disorder (MDD) and various other diseases. Genome-wide association studies have identified multiple risk loci robustly associated with body mass index (BMI). In this study, we aimed to investigate whether a genetic risk score (GRS) combining multiple BMI risk loci might have utility in prediction of obesity in patients with MDD. METHODS: Linear and logistic regression models were conducted to predict BMI and obesity, respectively, in three independent large case-control studies of major depression (Radiant, GSK-Munich, PsyCoLaus). The analyses were first performed in the whole sample and then separately in depressed cases and controls. An unweighted GRS was calculated by summation of the number of risk alleles. A weighted GRS was calculated as the sum of risk alleles at each locus multiplied by their effect sizes. Receiver operating characteristic (ROC) analysis was used to compare the discriminatory ability of predictors of obesity. RESULTS: In the discovery phase, a total of 2,521 participants (1,895 depressed patients and 626 controls) were included from the Radiant study. Both unweighted and weighted GRS were highly associated with BMI (P <0.001) but explained only a modest amount of variance. Adding 'traditional' risk factors to GRS significantly improved the predictive ability with the area under the curve (AUC) in the ROC analysis, increasing from 0.58 to 0.66 (95% CI, 0.62-0.68; χ(2) = 27.68; P <0.0001). Although there was no formal evidence of interaction between depression status and GRS, there was further improvement in AUC in the ROC analysis when depression status was added to the model (AUC = 0.71; 95% CI, 0.68-0.73; χ(2) = 28.64; P <0.0001). We further found that the GRS accounted for more variance of BMI in depressed patients than in healthy controls. Again, GRS discriminated obesity better in depressed patients compared to healthy controls. We later replicated these analyses in two independent samples (GSK-Munich and PsyCoLaus) and found similar results. CONCLUSIONS: A GRS proved to be a highly significant predictor of obesity in people with MDD but accounted for only modest amount of variance. Nevertheless, as more risk loci are identified, combining a GRS approach with information on non-genetic risk factors could become a useful strategy in identifying MDD patients at higher risk of developing obesity.

Mortality risk associated with underweight : a census-linked cohort of 31,578 individuals with up to 32 years of follow-up

BACKGROUND: In contrast to obesity, information on the health risks of underweight is sparse. We examined the long-term association between underweight and mortality by considering factors possibly influencing this relationship. METHODS: We included 31,578 individuals aged 25-74 years, who participated in population based health studies between 1977 and 1993 and were followed-up for survival until 2008 by record linkage with the Swiss National Cohort (SNC). Body Mass Index (BMI) was calculated from measured (53% of study population) or self-reported height and weight. Underweight was defined as BMI < 18.5 kg/m2. Cox regression models were used to determine mortality Hazard Ratios (HR) of underweight vs. normal weight (BMI 18.5- < 25.0 kg/m2). Covariates were study, sex, smoking, healthy eating proxy, sports frequency, and educational level. RESULTS: Underweight individuals represented 3.0% of the total study population (n = 945), and were mostly women (89.9%). Compared to normal weight, underweight was associated with increased all-cause mortality (HR: 1.37; 95% CI: 1.14-1.65). Increased risk was apparent in both sexes, regardless of smoking status, and mainly driven by excess death from external causes (HR: 3.18; 1.96-5.17), but not cancer, cardiovascular or respiratory diseases. The HR were 1.16 (0.88-1.53) in studies with measured BMI and 1.59 (1.24-2.05) with self-reported BMI. CONCLUSIONS: The increased risk of dying of underweight people was mainly due to an increased mortality risk from external causes. Using self-reported BMI may lead to an overestimation of mortality risk associated with underweight.

Repercussões da cicatriz uterina resultante de cesariana prévia na dopplervelocimetria das artérias uterinas entre 26 e 32 semanas

OBJETIVO: Avaliar as repercussões da cicatriz uterina na dopplervelocimetria das artérias uterinas, entre 26 e 32 semanas, em gestantes primíparas com uma cesariana prévia, considerando quando esta foi realizada fora (cesárea eletiva) ou durante o trabalho de parto. MATERIAIS E MÉTODOS: Estudo prospectivo transversal em 45 gestantes, divididas em três grupos: 17 gestantes com cicatriz prévia resultante de cesariana eletiva (grupo A); 14 gestantes com uma cicatriz prévia oriunda de cesariana executada em trabalho de parto (grupo B); 14 gestantes cujo único parto anterior foi realizado por via vaginal (grupo C). A dopplervelocimetria das artérias uterinas foi realizada pela via abdominal. Foram calculados as médias, medianas e desvios-padrão (DP) para cada grupo em estudo. Em relação ao índice de pulsatilidade, a comparação dos grupos foi conduzida pelo teste não paramétrico de Kruskal-Wallis. RESULTADOS: Os valores médios do índice de pulsatilidade no grupo A variaram de 0,60 a 1,60 (média: 0,90; DP: 0,29), no grupo B, de 0,53 a 1,43 (média: 0,87; DP: 0,24), e no grupo C, de 0,65 a 1,65 (média: 1,01; DP: 0,37); p = 0,6329. CONCLUSÃO: Não houve repercussões da cicatriz de cesariana prévia na dopplervelocimetria das artérias uterinas avaliadas de 26 a 32 semanas de gestação.

Chorali : [for 32 winds, percussion, harp and celesta]

Soitinnus: puhaltimet (32), lyömäsoittimet, harppu, celesta.

De genuina nominis Jehova [hepr.] origine

Arkit: 1 arkintunnukseton lehti, A-B4.

De Aegyptiis & Cuschaeis ad Deum conversis, Psal. LXVIII: v. 32

Invocatio: D.A.G.

Quod liber vitae naturalis Exod. XXXII. 32

Invocatio: [hepreaa].

Energiapalveludirektiivin 2006/32/EY toimeenpano ja vaikutukset

Euroopassa energiansäästöjen hakeminen on olennainen osa suurempaa ilmastostrate-giaa. Tämä työ tarkastelee direktiiviä 2006/32/EY energian loppukäytön tehokkuudes-ta ja energiapalveluista sekä sitä, millaisilla menetelmillä direktiivin esittämät toi-menpiteet otetaan osaksi kansallisia käytäntöjä Suomessa. Tämä diplomityö tarkastelee erityisesti elinkeinoelämän energiankäyttöä tehostavaa energiatehokkuussopimusjärjestelmää, koska se on keskeisin keino direktiivin toi-meenpanossa. Työ tarkastelee erityisesti energia-alaa painottaen sähkön tuotantoa sekä jakelua, koska sinne painottuvat myös direktiivin aiheuttamat lainsäädännön muu-tokset. Julkisen sektorin keskeistä roolia energiapalveludirektiivin toimeenpanossa käsitellään sekä esimerkillisenä energiankäyttäjänä, että suurena alihankintojen tilaajana. Myös energiapalveluyritysten liiketoimintaperiaatetta selvitetään tässä työssä.