CRIMINOLOGY, Issue 3 2009
RALPH B. TAYLOR
The impacts of quarterly adult arrest rates on later male serious delinquency prevalence rates were investigated in Philadelphia police districts (N = 23) over several years using all male delinquents aged 10,15 years who were mandated to more than "straight" probation. An ecological deterrence model expects more arrests to lead to less delinquency later. A community justice or mass incarceration model, the ecological version of general strain theory, and an ecologized version of the procedural justice model, each anticipates more arrests lead to more delinquency later. Investigating quarterly lags from 3 to 24 months between adult arrests and later delinquency, the results showed a time-dependent relationship. Models with short lags showed the negative relationship expected by ecological deterrence theory. Models with lags of about a year and a half showed the positive relationship expected by the other three theories. Indicators needed so future works can gauge the relative merits of each theoretical perspective more accurately are described. The spatial distributions of current and 1920s delinquency rates were compared. [source]

A COMPARISON OF THE FAGERSTRÖM TEST FOR NICOTINE DEPENDENCE AND SMOKING PREVALENCE ACROSS COUNTRIES: UPDATED DATA FROM SPAIN

ADDICTION, Issue 2 2009
MARCELA FU
No abstract is available for this article. [source]

HIGHER DISEASE PREVALENCE CAN INDUCE GREATER SOCIALITY: A GAME THEORETIC COEVOLUTIONARY MODEL

EVOLUTION, Issue 9 2005
Matthew H. Bonds
Abstract There is growing evidence that communicable diseases constitute a strong selective force on the evolution of social systems. It has been suggested that infectious diseases may determine upper limits of host sociality by, for example, inducing territoriality or early juvenile dispersal. Here we use game theory to model the evolution of host sociality in the context of communicable diseases. Our model is then augmented with the evolution of virulence to determine coevolutionarily stable strategies of host sociality and pathogen virulence. In contrast to a controversial hypothesis by Ewald (1994), our analysis indicates that pathogens may become more virulent when contact rates are low, and their prevalence can ultimately induce greater sociality. [source]

PREVALENCE OF SUBCLINICAL HYPOTHYROIDISM IN OLDER PATIENTS WITH DIABETES MELLITUS WITH POORLY CONTROLLED DYSLIPIDEMIA IN CHINA

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 8 2009
Shao-Hua Wang PhD
No abstract is available for this article. [source]

PREVALENCE OF HYPERTENSION AND ITS AWARENESS, TREATMENT, AND SATISFACTORY CONTROL THROUGH TREATMENT IN ELDERLY JAPANESE

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 2 2008
Masayuki Ishine MD
No abstract is available for this article. [source]

THE PREVALENCE OF AT-RISK FOOT IN PATIENTS WITH DIABETES MELLITUS, PATIENTS WITHOUT DIABETES MELLITUS WITH NEUROLOGICAL DISORDERS, AND SUBJECTS WITHOUT KNOWN DIABETES MELLITUS OR LOWER LIMB SENSORY LOSS

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2008
Zoltan Pataky MD
No abstract is available for this article. [source]

RACIAL DIFFERENCES IN PRESSURE ULCER PREVALENCE IN NURSING HOMES

JOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 6 2005
Kate L. Lapane PhD
No abstract is available for this article. [source]

HIGH PREVALENCE OF EXTENDED-SPECTRUM ,-LACTAMASES ESCHERICHIA COLI AND VANCOMYCIN-RESISTANT ENTEROCOCCI ISOLATES FROM CHICKEN PRODUCTS.

JOURNAL OF FOOD SAFETY, Issue 1 2010
A PROBLEM OF PUBLIC HEALTH
ABSTRACT Twenty-nine chicken products were acquired from different supermarkets in Portugal during September to December 2007 and were analyzed for extended-spectrum ,-lactamases (ESBL) Escherichia coli and vancomycin-resistant enterococci (VRE). Cefotaxime-resistant E. coli isolates were recovered in 27 of 29 chicken samples representing 93% of the analyzed samples. The highest percentages of resistance (more than 50% of the isolates) were detected for ampicillin, nalidixic acid and tetracycline. VRE isolates were detected in 17 of 29 samples of chicken origin (59%) and were identified as Enterococcus durans (n = 15) and E. faecium (n = 2) with the highest percentages of resistance being detected for erythromycin, tetracycline, ampicillin and ciprofloxacin. Seven E. durans and the two E. faecium isolates recovered from chicken wings, gizzard and skin show gelatinase activity. The high rate of colonization of chicken products by these bacteria supports other studies suggesting that the food chain could be a source of ESBL and VRE colonization in humans representing a public health problem. PRACTICAL APPLICATIONS The data indicate that chicken products may be contaminated with a high prevalence of extended-spectrum ,-lactamases Escherichia coli and vancomycin-resistant enterococci (VRE). It is important to mention that the isolates present a diversity of phenotypes of antimicrobial resistance, and half of the VRE isolates show also gelatinase activity, indicating that these animals may be a reservoir of bacteria showing virulence and increased resistance to antimicrobial agents, raising special concerns about their transmission to humans through the food chain. [source]

PREVALENCE AND ANTIMICROBIAL RESISTANCE OF LISTERIA SPECIES IN FOOD PRODUCTS IN BANGKOK, THAILAND

JOURNAL OF FOOD SAFETY, Issue 1 2010
SIRIPORN STONSAOVAPAK
ABSTRACT A total of 380 meat and meat products, dairy and dairy products, fresh vegetables, fresh seafood, and ready-to-eat food samples from supermarkets in Bangkok, Thailand were collected and analyzed for the occurrence of Listeria spp. and of Listeria monocytogenes. The overall incidence of Listeria spp. was 16.8%, most of them were isolated from raw meat and vegetables. L. monocytogenes was isolated from 18 (4.7%) out of 380 studied samples. Other species isolated were L. innocua (6.6%), L. ivanovii (0.8%), L. seeligeri (0.5%), L. grayi (1.6%) and L. welshimeri (2.6%). The antimicrobial susceptibilities of the 64 isolate of Listeria spp. were also examined by the standard disk diffusion method. Listeria spp. were resistant to penicillin (6.3%), chloramphenicol (3.1%) and tetracycline (1.6%), but sensitive to amoxicillin, vancomycin, ampicillin, rifampicin and sulfamethoxazole. PRACTICAL APPLICATIONS Listeria monocytogenes prevalence in food products in Bangkok has been documented. More studies on the occurrence of L. monocytogenes are needed to establish microbiological criteria of foods in the country. The findings of our study, increases in antibiotic resistance among Listeria spp. will provide useful information for the development of public health policy in the use of antimicrobials in food animal production. [source]

A SURVEY OF THE PREVALENCE OF SALMONELLA AND OTHER ENTERIC PATHOGENS IN A COMMERCIAL POULTRY FEED MILL

JOURNAL OF FOOD SAFETY, Issue 1 2003
PAUL WHYTE
ABSTRACT A study of the prevalences of Salmonella, Listeria and thermophilic campylobacters in a dedicated commercial poultry feed mill was undertaken. Salmonella was frequently recovered in samples taken in the preheat and postheat treatment areas of the mill with the overall percentage of samples positive found to be 18.8% and 22.6%, respectively. Feed ingredients and dust collected in the preheat treatment locations within the mill were frequently contaminated with Salmonella (11.8% and 33.3% of samples, respectively). High prevalences of Salmonella were also detected in dust samples (24.2%) obtained from the postheat treatment area of the mill and from feed delivery vehicles (57.1%). Listeria was also recovered from samples at pre- and postheat treatment areas within the mill with overall isolation rates of 14.1% and 18.5% observed, respectively. The most frequently observed species of Listeria recovered from samples in both areas within the mill was L. innocua, L. monocytogenes, L. grayi and L. welshimeri. No thermophilic campylobacters were recovered from any of the samples analyzed in the current study. [source]

PREVALENCE AND RISK FACTORS IN CHRONIC POLYNEUROPATHY IN THE ELDERLY

JOURNAL OF THE PERIPHERAL NERVOUS SYSTEM, Issue 1 2002
E. Scarpini
The elderly are a population at high risk of polyneuropathy because there is a correlation between age and impairment of the peripheral nervous system and because the number of agents that can damage peripheral nerves, including chronic systemic disorders and neurotoxic drugs, increases with age. The Italian Longitudinal Study on Aging (ILSA), a multicenter project designed to study age-associated diseases, collected data from 8 Italian municipalities. For this study, the definition of peripheral neuropathy by P.J. Dyck (1982) was used. However, only peripheral neuropathies with distal and symmetrical involvement of lower limbs were considered. Diagnosis was articulated in two phases: Phase 1 or screening, administered to all participants. The criteria were: a) self reported diagnosis; b) presence of at least one neurological symptom; and c) presence of at least one positive test at short neurological evaluation. A validation of the screening instruments was performed. Phase 2 or clinical confirmation by a neurologist, based on: a) review of the clinical records; b) a neurological examination; c) a clinical history of the disease; and, d) when available, EMG, blood and spinal fluid examination, and a sural nerve biopsy. Three diagnostic categories were identified: possible, probable and definite DSNLL. The neuropathy was classified as definite only when confirmation by a positive EMG was available. A random sample of 5632 subjects aged 65,84 years was evaluated. A total number of 337 DSNLL were identified (possible, probable, defined). The prevalence is 6.5% (95% C.I. 5.8,7.2) in men and women; the rates by age, geographic area, and clinical severity are described, and the prevalence in the different groups of diabetic patients and non-diabetic subjects is analyzed. The prevalence obtained in our study is slightly lower than that in a similar recent multicentric study (IGPSG, 1995), but the diagnostic criteria were different. Diabetes is the most common associated disorder with the 20.8% of association, followed by toxic/drug exposure (5% of association). [source]

PREVALENCE OF SKIN DISEASES AMONG CHILDREN AND ADOLESCENTS LIVING IN AN ORPHANAGE IN ANTAKYA, TURKEY

PEDIATRIC DERMATOLOGY, Issue 5 2005
GAMZE SERARSLAN M.D.
No abstract is available for this article. [source]

HIERARCHICAL BAYESIAN MODELLING OF SOCIAL VARIATION IN THE AGE DEPENDENCE OF DISABILITY PREVALENCE

AUSTRALIAN & NEW ZEALAND JOURNAL OF STATISTICS, Issue 4 2005
Patrick Graham
Summary Motivated by a study of social variation in the relationship of functional limitation prevalence to age, this paper examines methods for modelling social variation in health outcomes. It is argued that, from a Bayesian perspective, modelling the dependence of functional limitation prevalence on age separately for each social group, corresponds to an implausible prior model, in addition to leading to imprecise estimates for some groups. The alternative strategy of fitting a single model, perhaps including some age-by-group interactions but omitting higher-order interactions, requires a strong prior commitment to the absence of such effects. Hierarchical Bayesian modelling is proposed as a compromise between these two analytical approaches. Under all hierarchical Bayes analyses there is strong evidence for an ethnic group difference in limitation prevalence in early- to mid-adulthood among tertiary-qualified males. In contrast, the single-model approach largely misses this effect, while the group-specific analyses exhibit an unrealistically large degree of heterogeneity in gender-education-specific ethnicity effects. The sensitivity of posterior inferences to prior specifications is studied. [source]

Prevalence of the Third and Fourth Heart Sound in Asymptomatic Adults

CONGESTIVE HEART FAILURE, Issue 5 2005
Sean P. Collins MD
The prevalence of abnormal diastolic heart sounds in asymptomatic adults has been the subject of great debate. The authors determined the prevalence of an electronically detected S3 and S4 in 1329 asymptomatic adults between the ages of 18 and 94. The authors also investigated the relationship between abnormal diastolic heart sounds, age, and electrocardiography. The overall prevalence of S3 was 10.0% (95% confidence interval [Cl], 8.1%,12.2%), S4 was 15.6% (95% Cl, 13.2%,18.2%), and both S3 and S4 were 3.5% (95% Cl, 2.4%,5.0%). Using multinomial logistic regression, increasing age was found to decrease the odds of an S3 being heard (odds ratio, 0.96; 95% Cl, 0.95,0.96) and increase the odds of an S4 being heard (odds ratio, 1.04; 95% Cl, 1.03,1.05). We conclude that the prevalence of an S3 is increased earlier in life, that an S4 is less common than previous studies suggest, and that its detection, even in the elderly, should not be ignored. [source]

Outcomes and Prognostic Factors of Systolic as Compared With Diastolic Heart Failure in Urban America

CONGESTIVE HEART FAILURE, Issue 1 2005
Peter A. McCullough MD
We sought to describe a large heart failure (HF) population with respect to systolic and diastolic abnormalities in terms of demographics, echocardiographic parameters, and survival. Using data abstracted from the Resource Utilization Among Congestive Heart Failure (REACH) study, a targeted subpopulation of 3471 patients had electrocardiographic, echocardiographic, and clinical data taken from automated sources during the first year of diagnosis. Among the HF population, 1811 (52.2%) had diastolic HF. Prevalence of diastolic HF trended with age, from 46.4% in those less than 45 years to 58.7% in those 85 years or older (p=0.001 for trend). Patients with diastolic HF had a higher mean ejection fraction (55.7% vs. 28.0%), lower left ventricular end-systolic diameter (3.11 vs. 4.74 cm), and lower left atrium: aortic outlet ratio (1.28 vs. 1.38) (p=0.001 for each comparison). Annualized age, sex, and race-adjusted mortality were 11.2% and 13.0% for those with diastolic and systolic HF, respectively (p=0.001). In a large, racially mixed, urban HF population, those with diastolic HF predominate and enjoy better-adjusted survival than counterparts with systolic HF. [source]

Prevalence of Sleep Disordered Breathing in a Heart Failure Program

CONGESTIVE HEART FAILURE, Issue 5 2004
Robin J. Trupp MSN
Recent data show that a high percentage of patients with systolic left ventricular dysfunction have sleep-disordered breathing (SDB), contributing to the incidence of morbidity and mortality in heart failure. This study examines the prevalence of sleep disorders in stable heart failure patients regardless of ejection fraction. On three consecutive days in a heart failure clinic, all patients were asked to participate in a screening for SDB. This screening involved the placement of an outpatient device (ClearPath, Nexan, Inc., Alpharetta, GA), which collects thoracic impedance, oxyhemoglobin saturation, and 2-lead electrocardiogram data. Sixteen patients (42%) had moderate or severe SDB, and 22 patients (55%) had mild or no significant SDB. Fourteen of the 16 patients with moderate or severe SDB subsequently received treatment by confirming SDB and the continuous positive airway pressure in a sleep lab. Forty-two percent of patients with stable heart failure presenting to a heart failure clinic screened positive for SDB, despite receiving optimal standard of care. [source]

Policy Advocacy in Science: Prevalence, Perspectives, and Implications for Conservation Biologists

CONSERVATION BIOLOGY, Issue 1 2007
J. MICHAEL SCOTT
First page of article [source]

Effects of Human Exclusion on Parasitism in Intertidal Food Webs of Central Chile

CONSERVATION BIOLOGY, Issue 1 2005
GÉRALDINE LOOT
Fissurella crassa; intermareal rocoso; parasitismo; Proctoeces lintoni; reservas marinas Abstract:,Numerous ecological studies have demonstrated the dramatic effects that humans have on coastal marine ecosystems. Consequently, marine reserves have been established to preserve biodiversity. Recent reviews show that this strategy has paid off because inside reserves, most species have rapidly increased in size and abundance. Even though these studies focused on free-living organisms and paid little attention to parasite populations, numerous authors support the hypothesis that parasitism levels could be good indicators of ecosystem stability. We examined harvesting effects on the dynamics of a parasitic trematode ( Proctoeces lintoni) that completes its life cycle in intertidal mussels ( Perumytilus purpuratus), keyhole limpets (Fissurella crassa), and clingfish ( Sicyases sanguineus). All of these species are directly or indirectly affected by humans. Prevalence and abundance of the trematode P. lintoni in the three host species were compared in four study sites that differed in the intensity of human harvest. Parasitism infection in limpets and mussels was significantly higher in areas protected from human harvesting than in open-access areas, which suggests a significant change in parasite dynamics inside reserves. Yet the average parasitic biomass found in the gonads of F. crassa did not differ between protected and open-access areas. These results show, then, that the parasite system responded by increasing infection rates in marine protected areas without implication for reproductive success of the intermediate host. Our findings show that the indirect effects of harvesting by humans on the embedded parasite communities of littoral ecosystems require further scientific investigation. Resumen:,Numerosos estudios ecológicos han demostrado los efectos dramáticos de la actividad humana sobre ecosistemas marinos costeros. Consecuentemente, se han establecido las reservas marinas para preservar la biodiversidad. Revisiones recientes muestran que esta estrategia es adecuada porque la mayoría de las especies dentro de las reservas han incrementado en tamaño y abundancia rápidamente. Aunque, estos estudios se han concentrado en organismos de vida libre y han puesto poca atención a poblaciones de parásitos, numerosos autores apoyan la hipótesis de que los niveles de parasitismo pueden ser buenos indicadores de la estabilidad del ecosistema. Examinamos los efectos de pesquería artesanal sobre la dinámica de un trematodo parásito ( Proctoeces lintoni) que completa su ciclo de vida en mitíldos intermareales ( Perumytilus purpuratus), lapas ( Fissurella crassa) y Sicyases sanguineus, los cuales son afectados por humanos directa o indirectamente. La prevalencia y abundancia del trematodo P. lintoni en las tres especies de hospedadores fueron comparadas en cuatro sitios de estudio que difieren en la intensidad de recolecta por humanos. La infección parasitaria en lapas y mitíldos fue significativamente mayor en áreas protegidas que en áreas de libre acceso, lo que sugiere un cambio significativo en la dinámica del parásito dentro de las reservas, pero, la biomasa promedio de parásitos en gónadas de F. crassa no fue diferente entre áreas protegidas y de libre acceso. Por lo tanto, los resultados muestran que el sistema parásito respondió incrementando tasas de infección en áreas marinas protegidas sin consecuencias sobre el éxito reproductivo del ho spedador intermediario. Nuestros hallazgos muestran que se requiere más investigación científica de los efectos indirectos de los humanos sobre las comunidades de parásitos en ecosistemas litorales. [source]

P01 Contact dermatitis from textile colours in three Spanish towns

CONTACT DERMATITIS, Issue 3 2004
Begoña Garcia-Bravo
Objective:, Prevalence of textile dye contact dermatitis (TD-CD) are lacking in many countries. Our aim is to know the frequency of TD-CD in three different areas of Spain. Methods:, 100 patients were tested with Spanish standard series and the five most frequent TD in each city. D. Orange 1, D. Orange 3, D. Blue 35, D. Blue 106, D. Blue 124 were included in Murcia and Seville, and the three last and D. Red 1, D. Red 17 in Santiago. Results:, 23/300 (15 women and 8 men) were positives to one or more TD. D. Blue 124 was the most frequent allergen (18/300), followed by D. Blue 106 (17/300). D. Red 1, D. Red 17 and D. Orange 1 were positives in 2/200. D. Orange 3 and D. Blue 35 were positives in 1/200. Eczema was located on hands in 13 cases. Clinical picture was variable. Origin of sensitization was clothing and occupational. Relevance was obtained in 20/23 cases. Conclusions:, The study confirm an high frequency of disperse dye allergy in Spain with a very different prevalence in the three areas: Seville 14%, Murcia 5% and Santiago 4%, that are probably due to social and cultural factors. We recommend the inclusion of D. Blue 106, D. Blue 124, D. Blue 35, D. Red 1, D. Red 17, D. Orange 1 and D. Orange 3 in standard series in order to detect sensitivity to textile colours that is most frequent than previously suspected. [source]

Prevalence and correlates of traumatic brain injury among delinquent youths

CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 4 2008
Brian E. Perron
Background,Delinquent youth frequently exhibit high-risk behaviours that can result in serious injury. However, little is known about traumatic brain injuries (TBIs) and their correlates in this population. Aims,To examine the period prevalence and correlates of TBIs in delinquent youths. Method,Interviews were conducted with 720 (97.3%) residents of 27 Missouri Division of Youth Services rehabilitation facilities between March 1 and May 31, 2003. Participants [mean age (Mage) = 15.5, standard deviation (SD) = 1.2, 87% male] completed measures assessing TBI, substance use, psychiatric symptoms, and antisocial traits/behaviours. TBI was defined as ever having sustained a head injury causing unconsciousness for more than 20 minutes. Results,Nearly one-in-five youths (18.3%) reported a lifetime TBI. Youths with TBIs were significantly more likely than youths without to be male, have received a psychiatric diagnosis, report an earlier onset of criminal behaviour/substance use and more lifetime substance use problems and past-year criminal acts, evidence psychiatric symptoms, report lifetime suicidality, be impulsive, fearless, and external in locus of control and criminally victimized in the year preceding incarceration. Male gender and frequency of own criminal victimization were important predictors of TBI in multivariate analyses. Regression analyses adjusted for demographic factors, indicated that youths with TBIs were at significantly elevated risk for current depressive/anxious symptoms, antisocial behaviour, and substance abuse problems. Conclusions,TBI is common among delinquent youth and associated with wide ranging psychiatric dysfunction; however, the causal role of TBIs in the pathogenesis of co-morbid conditions remains unclear. Copyright © 2008 John Wiley & Sons, Ltd. [source]

Risk factors for adult male criminality in Colombia

CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 2 2001
Joanne Klevens
Objectives This study sought to establish, in Colombia, the importance of factors alleged to be causes or correlates of adult criminality according to the published literature from other countries. Methods A comparison was made of arrested male offenders from ages 18 to 30 (n = 223) and similar community controls (n = 222) selected from five cities in Colombia as to their family background, exposure to abuse, family stressors, perceived care and history of childhood disruptive behaviour problems. Results Compared with neighbourhood controls from similar social classes, offenders were significantly more likely to report having had parents with less education, a mother under the age of 18 or over the age of 35 at time of birth, family members involved in crime, experiencing extreme economic deprivation, parental absence, family conflict, severe punishments, physical abuse, and maternal unavailability, rejection and lack of supervision. Prevalence of childhood disruptive behaviour problems was similar among offenders and controls. These findings appear to be independent of economic status, family size or type, birth order, or primary caregiver. Although the independent contribution of most of these factors is small, once all others have been controlled for, their cumulative effect is strong. Conclusions The findings obtained in this Latin American setting do not support the generalized view that adult antisocial behaviour is necessarily preceded by a history of childhood behaviour problems. However, they do add evidence for the importance of family factors in the risk for adult criminality. Copyright © 2001 Whurr Publishers Ltd. [source]

Trials update in wales

CYTOPATHOLOGY, Issue 2007
A. Fiander
Three ongoing studies will be presented and discussed. Prevalence of Human Papillomavirus Infection in a South Wales Screening population Methods: A total of 10 000 consecutive, anonymous liquid based cytology screening samples were collected over a five month period in 2004. Age, cytology result and social deprivation score was provided for each specimen. The methodology was chosen to ensure inclusion of all women attending routine cervical screening, avoiding potential constraints associated with obtaining individual informed consent. The liquid based cytology samples were processed and reported by the receiving cytology laboratory and the residual specimens sent to the HPV Research Laboratory, Wales College of Medicine, where they were processed and stored at -80°C until analysis. High risk and low risk HPV Typing was undertaken using PCR , EIA (Jacobs et al 1997). Full high risk typing was performed on HPV positive specimens. Results: The study population had a mean age of 38 years with 92% negative, 5% borderline and 3% dyskaryotic cytology. The average social deprivation score was 17.4 (based upon the Welsh Index of multiple deprivation). The following results will be presented: HPV prevalence by age. HPV prevalence by cytology result. Type specific HPV prevalence in single and multiple infection. Conclusion: This study represents the largest type specific HPV Prevalence Study in the UK to date. As such it will form a useful base line against which to access performance of marketed HPV tests and evaluating the impact following implementation of HPV vaccination. [Funded by Welsh Office for Research and Development] CRISP , 1 Study (Cervical Randomized Intervention Study Protocol -1) Background: Indole-3-carbinol (I3C) and Diindolylmethane (DIM) are found in cruciferous vegetables and have been identified as compounds that could potentially prevent or halt carcinogenesis. I3C spontaneously forms DIM in vivo during acid digestion. I3C has been shown to prevent the development of cervical cancer in HPV 16 transgenic mice and both I3C and DIM have been shown to promote cell death in cervical cancer cell models. DIM is the major active bi-product of I3C and preliminary data indicate that DIM is active in cervical dysplasia and may be better tolerated than I3C. Aim: To investigate chemoprevention of high grade cervical neoplasia using Diindolylmethane (DIM) supplementation in women with low grade cytological abnormalities on cervical cytology. Objectives: To observe any reduction in the prevalence of histological proven high-grade cervical intraepithelial neoplasia (CIN) after 6 months of supplementation. ,,To observe any reduction in the prevalence of cytological abnormalities. ,,To observe any changes in the clinical appearance of the cervix. To assess acceptability and monitor any side effects of DIM supplementation. ,,To assess whether any benefit is seen in relation to Human Papillomavirus (HPV) status including HPV Type, Viral load and integration. Methods: This is a double blind randomized placebo-controlled trial involving 600,700 women with low grade cytological abnormalities on a cervical smear. Randomization is in the ratio of 2 : 1 in favour of active medication. Women with first mildly dyskaryotic smear or second borderline smear are eligible. They are asked to take two capsules daily for 6 months. At the end of 6 months they undergo repeat cervical cytology, HPV testing and colposcopy. Results: A progress report will be given for this ongoing study. [Funded: - Cancer Research UK] Type Specific HPV Infection in Welsh Cervical Cancers Background: Whilst there have been numerous studies of HPV infection associated with cervical cancer and on prevalence of Human Papillomavirus in diverse populations there have been no studies of these variables in the same population. Against a background of prophylactic HPV vaccination it is important to assess potential protection against cervical cancer within a given population. The most comprehensive analysis of HPV type specific cervical cancer is a meta-analysis published by the IARC in 2003. This however included only three UK based studies, totalling 118 cases, 75 of which were only investigated by HPV type PCR for four high risk types. None of this data was presented with associated population based prevalence data. Therefore, the research objectives for this study in combination with the first study above, are as follows: To determine the frequency of specific HPV types in cervical cancers in Wales. To compare the distribution of specific HPV types amongst cervical cancers with their prevalence in the general population. This will allow accurate delineation of the relationship between prevalence of specific HPV types in the general population and their association with clinically relevant disease. This information is a pre-requisite to assess the potential impact of prophylactic vaccination against HPV infection in Wales. Methods: Welsh Cervical Cancer specimens from 2000,2005 will be identified from pathology departments within Wales. The pathology of each tumour will be reviewed by a single Gynaecological Pathologist. The age of the patient and pathological features of the tumour will be noted. DNA will be extracted from the paraffin sections and HPV typed by PCR-EIA. Results: A progress report will be given for this ongoing study. [Funded by Welsh Office for Research and Development] [source]

Prevalence and causes of fractured permanent incisors in 12-year-old suburban Nigerian schoolchildren

DENTAL TRAUMATOLOGY, Issue 3 2009
Comfort A. Adekoya-Sofowora
A dental trauma cross-sectional survey was carried out through clinical examination of upper and lower permanent incisors and interviews with 415 (212 boys, 203 girls) 12-year-old children attending private and public secondary schools in lle-Ife, in 2004/2005 by one calibrated examiner. Garcia-Godoy's classification was used. The prevalence of traumatic dental injuries was 12.8%. There was no statistical difference in the prevalence between boys and girls P > 0.05. The most common cause of injuries was falls (49.1%), followed by traffic accidents (13.2%), collision against objects or people (11.3%) and misuse of teeth 9.4%. The commonest type of injury was enamel fracture alone (9.9%), followed by enamel-dentine fracture (4.8%). Majority of the accidents occurred at home (60.4%), followed by school (26.4%). The prevalence of traumatic dental injuries was on the increase among suburban Nigerian children in Ile-Ife and it has a potential to be considered an emerging public health problem. [source]

Prevalence and risk of traumatic gingival recession following elective lip piercing

DENTAL TRAUMATOLOGY, Issue 1 2006
Jonathan W. Leichter
Abstract,,, The aims of this study were to evaluate the prevalence, risk and odds ratios of gingival recession defects associated with elective lip piercing and wearing of stud jewelry, and to attempt to identify risk factors that might permit the incidence of recession and its severity to be predicted, using Miller's classification. Ninety-one subjects with lip piercing and labrets were evaluated with regard to gender, age, smoking history, orthodontic history, and labret characteristics. An age-matched group of 54 individuals without peri-oral piercing provided the control. Gingival recession was recorded on teeth opposing a labret in 68.13% of pierced subjects. By contrast, only 22.2% of unpierced individuals demonstrated recession. The odds ratio between pierced and control groups indicates a likelihood of recession 7.5 times greater in a pierced individual wearing a labret than in an unpierced individual. Logistical regression analysis showed that age, gender, smoking and labret configuration did not significantly influence the development of recession. Furthermore, an illustrative example indicates that piercing and provision of a labret might typically increase the risk of recession occurring from 34.4% (pre-piercing) to 80.8 %. Recession severity was greater in the pierced group, with Miller's class 2 and 3 defects observed in 18.7% of the pierced but not at all in the unpierced group. Ordinal regression identified previous orthodontic treatment as the only significant predictor of Miller's grade. We concluded that a clear link exists between lip piercing, labret use and gingival recession. Belief that labret placement and configuration can be modified to provide protection is unfounded. [source]

Prevalence of oral trauma in children with bilateral clefts

DENTAL TRAUMATOLOGY, Issue 1 2005
Juliana Yassue Barbosa Da Silva
Abstract,,, The main object of this study is to analyze the prevalence of oral trauma in subjects with complete bilateral clefts, with anterior projection of the premaxilla. A total of 106 children aging 6 months to 9 years were analyzed. The caretakers answered a specific questionnaire, in order to report the presence or absence of trauma to the soft and/or hard tissues of the child's mouth. Whenever there was a history of trauma, the patients were submitted to clinical examination. The prevalence of oral trauma was 53%, being 91% of soft tissue lesions, 8.9% of avulsion, 7% of luxation and 1.8% of intrusion. For the males, the prevalence was 56% and for the females it was 47%, with no statistical significance. Regarding the following aspects:period of time spent with the parents and at school, and presence or absence of siblings, no statistical difference could be found. Among the traumatized individuals, 80% aged less than 3 years by the moment of the trauma, 89% suffered the trauma at home, 75% presented lesions in the soft tissue at the premaxilla, 16% in the maxillary incisors, and 8.9% presented lesions in both structures. It was noticed that 45% of the permanent incisors that succeeded the traumatized deciduous teeth presented alterations, being 48% of structure and 52% of structure and position. The prevalence of trauma in this sample was superior to that observed in the literature, without any positive associations between the evaluated aspects. These results suggest that the projection of the premaxilla brings about a higher risk of oral trauma around this area. [source]

Prevalence of crown fractures in 8,10 years old schoolchildren in Canoas, Brazil

DENTAL TRAUMATOLOGY, Issue 5 2004
Maximiano Ferreira Tovo
Abstract,,, The objective of this work was to evaluate the prevalence of children with crown fractures in permanent anterior teeth in 206 schoolchildren (104 girls and 102 boys) between the ages of 8 and 10 years, enrolled in three public schools in the city of Canoas, Brazil. The prevalence found was 17% with no significant difference between boys and girls, as well as between the ages. The most affected tooth was the maxillary central incisor, and a majority of the children showed only one affected tooth (88.6%). The types of fracture most commonly found were oblique and horizontal, and the portions of dental structures most affected were ,enamel only' and ,enamel and dentin'. Only seven children (20%) sought out dental treatment. [source]

Prevalence and handedness correlates of traumatic injuries to the permanent incisors in 13,17-year-old adolescents in Erzurum, Turkey

DENTAL TRAUMATOLOGY, Issue 5 2003
Varol Canakci
Abstract ,,,The objectives of the present study were to explore the relationship between dental trauma and handedness, and to assess the prevalence of traumatic injuries to the permanent incisors of 13,17-year-old patients, seeking treatment for various dental conditions in Erzurum, Turkey. A questionnaire focusing on handedness was administered to these patients. Handedness was assessed by the Edinburgh Handedness Inventory (Oldfield, 1971). Hand preference was divided into two classes for convenience in data analysis: (i) right-handers (GSc from 80 to 100); and (ii) left-handers (GSc from ,80 to ,100). This study included the 13,17-year-old group patients who had GSc as described above. Thus, the present study was carried out on 2180 (1252 male and 928 female, with a mean age of 14.9 years) out of 2392 patients. The clinical examinations and radiographic assessments were performed in full-designed dental chairs. Preliminary analysis showed no differences in rates of handedness with respect to sex and age. Overall, 10.4% of the patients were left-handers. A total of 292 (13.4%) of 2180 patients examined had one or more traumatized permanent incisors. The proportion of dental trauma was significantly higher in males than in females, 17.41% in males as compared to 7.97% in females; and ratio of the affected males to females was about 2.18. Sex difference in the prevalence of traumatized permanent incisors was statistically significant (P < 0.001). That is, males had a significantly higher risk of dental trauma than females (P < 0.001; odds ratio: 2.49; 95% confidence interval (CI) 1.88, 3.23). There was a higher level of traumatized permanent incisors among left-handers than among right-handers. 28.3% of left-handers and 11.7% of right-handers had dental trauma. This difference in the prevalence of traumatized permanent incisors for handedness was statistically significant (P < 0.001). Indeed, left-handers had a significantly higher risk on dental trauma than right-handers (P < 0.001; odds ratio: 3.09; 95% CI 2.23, 4.29). The primary causative factor in the occurrence of trauma was the fall (27.7%). Then came violence and fight as the second most frequent cause of trauma (24%), followed by sports injury (18.8%). Trauma resulting from collisions and traffic accidents were accounted as 13.7 and 11.3% of all cases, respectively. The other causes were 4.5%. In conclusion, the present study suggests that left-handed adolescents have more frequent permanent incisor tooth trauma than right-handed adolescents. Left-handedness, therefore, appears to be a risk factor for trauma in 13,17-year-old adolescents. [source]

Prevalence and predictors of recurrence of major depressive disorder in the adult population

ACTA PSYCHIATRICA SCANDINAVICA, Issue 3 2010
F. Hardeveld
Hardeveld F, Spijker J, De Graaf R, Nolen WA, Beekman ATF. Prevalence and predictors of recurrence of major depressive disorder in the adult population. Objective:, Knowledge of the risk of recurrence after recovery of a major depressive disorder (MDD) is of clinical and scientific importance. The purpose of this paper was to provide a systematic review of the prevalence and predictors of recurrence of MDD. Method:, Studies were searched in Medline en PsychINFO using the search terms ,recur*', ,relaps*', ,depress*', ,predict*' and course. Results:, Recurrence of MDD in specialised mental healthcare settings is high (60% after 5 years, 67% after 10 years and 85% after 15 years) and seems lower in the general population (35% after 15 years). Number of previous episodes and subclinical residual symptoms appear to be the most important predictors. Gender, civil status and socioeconomic status seem not related to the recurrence of MDD. Conclusion:, Clinical factors seem the most important predictors of recurrence. Data from studies performed in the general population and primary care on the recurrent course of MDD are scarce. [source]

Prevalence of dental trauma in 5,6- and 12,14-year-old boys in Riyadh, Saudi Arabia

DENTAL TRAUMATOLOGY, Issue 4 2001
Ibrahim Al-Majed
Abstract , This study involved 354 boys aged 5,6 years and 862 boys aged 12,14 years, attending 40 schools in Riyadh. All children were examined at school by a single dental examiner, using criteria similar to those employed in the survey of children's dental health in the United Kingdom. The prevalence of dental trauma in 354 Saudi boys aged 5,6 years was 33%. The most common type of dental trauma was fracture of enamel (71%) followed by loss of tooth due to trauma (13%), fracture into enamel and dentine (7%), discolouration (5%), pulp involvement (4%). No relationship between the degree of overjet and the occurrence of dental trauma in the primary dentition was observed. The prevalence of dental trauma in 862 12,14-year-old boys was 34%. The commonest dental trauma was fracture of enamel (74%) followed by fracture into enamel and dentine (15%), fracture into enamel-dentine and pulp (5%), loss of tooth due to trauma (3%), and discolouration (0.4%). A significant relationship (P=0.02) between the increased overjet (, 6 mm) and the occurrence of dental trauma in the permanent dentition was reported. The present study found no evidence of dental care provided for traumatised primary incisors in 5,6-year-old boys. The treatment of dental trauma in 12,14-year-old boys was negligible (2.4%). The present Saudi Arabian study showed higher prevalence of dental trauma in 5,6- and 12,14-year-old boys than the reported results of the United Kingdom Children's Dental Health Survey of the same age groups. [source]

Prevalence of social phobia and its comorbidity with psychiatric disorders in Iran

DEPRESSION AND ANXIETY, Issue 7 2006
Mohammad-Reza Mohammadi M.D.
Abstract This study explored the prevalence of social phobia (SP) in the general population of Iran, the sociodemographic characteristics of subjects with SP, and its comorbidity with the other lifetime psychiatric disorders. Our study was part of the nationwide study on the prevalence of psychiatric disorders in Iran. Overall, 25,180 Iranian subjects, age 18 years and over, from urban and rural areas of Iran were selected by a clustered random sampling method and interviewed face-to-face by 250 trained clinical psychologists using DSM-IV diagnostic criteria. Out of 12,398,235 households, 7,795 households in the form of 1,559 clusters of five households were selected. The statistical framework was based on the household lists available from the Department of Health in the provinces. The response rate was 90%. The lifetime prevalence of SP was 0.82%. The rate was 0.4% in males and 1.3% in females. The rate was higher in younger age groups and widows/widowers. It was not related to educational level and residential area. Specific phobia (66.7%), obsessive,compulsive disorder (17.4%), major depressive disorder (15%), and panic disorder (12.1%) were the most common lifetime psychiatric disorders among subjects with SP. The rate of SP in Iran is more similar to that in other Asian countries, and it is lower than that in Western countries. The rate of other psychiatric disorders among subjects with SP is more than that in the general population, and the most common psychiatric disorders were the other anxiety disorders and major depressive disorder. Depression and Anxiety 23:405,411, 2006 © 2006 Wiley-Liss, Inc. [source]