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Recent Review (recent + review)

Distribution by Scientific Domains

Medical Sciences	45%
Life Sciences	27%
Psychology	9%
Humanities and Social Sciences	6%
Chemistry	6%
2 Other Domains	7%

Selected Abstracts

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]

THE ECONOMICS OF HOMELAND SECURITY EXPENDITURES: FOUNDATIONAL EXPECTED COST-EFFECTIVENESS APPROACHES

CONTEMPORARY ECONOMIC POLICY, Issue 1 2007
SCOTT FARROW
While most economists expect some marginal conditions to result from basic expected value models involving government expenditures and homeland security investments, such models are not readily found in the literature. The article presents six basic models that all incorporate uncertainty; they also capture various problems involving technological limits, behavioral interactions, false negatives and false positives, and decision making with uncertainty and irreversibility. Recent reviews of homeland security programs by the U.S. Government Accountability Office are used to illustrate the relevance of the models.(JEL H100) [source]

Comparison of desipramine and citalopram treatments for depression in Parkinson's disease: A double-blind, randomized, placebo-controlled study

MOVEMENT DISORDERS, Issue 6 2008
David Devos MD
Abstract Depression is one of the most common psychiatric disturbances in Parkinson's disease (PD). Recent reviews have highlighted the lack of controlled trials and the ensuing difficulty in formulating recommendations for antidepressant use in PD. We sought to establish whether antidepressants provide real benefits and whether tricyclic and selective serotonin reuptake inhibitor (SSRI) antidepressants differ in their short-term efficacy, because the time to onset of therapeutic benefit remains an important criterion in depression. The short-term efficacy (after 14 and 30 days) of two antidepressants (desipramine, a predominantly noradrenergic reuptake inhibitor tricyclic and citalopram, a SSRI) was assessed in a double-blind, randomized, placebo- controlled study of 48 nondemented PD patients suffering from major depression. After 14 days, desipramine prompted an improvement in the Montgomery Asberg Depression Rating Scale (MADRS) score, compared with citalopram and placebo. Both antidepressants produced significant improvements in the MADRS score after 30 days. Mild adverse events were twice as frequent in the desipramine group as in the other groups. A predominantly noradrenergic tricyclic antidepressant induced a more intense short-term effect on parkinsonian depression than did an SSRI. However, desipramine's lower tolerability may outweigh its slight short-term clinical advantage. © 2008 Movement Disorder Society [source]

Non-consumptive effects of predatory mites on thrips and its host plant

OIKOS, Issue 6 2009
Andreas Walzer
Recent reviews on trait-mediated interactions in food webs suggest that trait-mediated effects are as important in triggering top,down trophic cascades as are density-mediated effects. Trait-mediated interactions between predator and prey result from non-consumptive predator effects changing behavioural and/or life history traits of prey. However, in biological control the occurrence of trait-mediated interactions between predators, prey and plants has been largely ignored. Here, we show that non-consumptive predator effects on prey cascade down to the plant in an agro-ecological food chain. The study system consisted of the predatory mites P. persimilis and N. californicus, the herbivorous non-target prey western flower thrips F. occidentalis and the host plant bean. Irrespective of predator species and risk posed to prey, the presence of predator eggs led to increased ambulation, increased mortality and decreased oviposition of thrips. Furthermore, the presence of predator eggs reduced leaf damage caused by thrips. To our knowledge this is the first experimental evidence suggesting a positive trophic cascade triggered by non-consumptive predator effects on non-target prey in an augmentative biological control system. [source]

Brief communication: Evidence bearing on the status of Homo habilis at Olduvai Gorge

AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 3 2008
Randall L. Susman
Abstract Students of the early hominin career have debated the status of Homo habilis since its discovery in 1960. Today discussion centers on which specimens should be included in the species and what constitutes the holotype. Recent reviews of early Homo suggest that the Olduvai Hominid 8 foot may sample Paranthropus while the OH 7 skull bones, mandible, and hand sample H. habilis. Moreover, some suggest that while H. habilis in Middle Bed I at Olduvai is craniodentally Homo -like, the postcranial skeleton of H. habilis is more like that of Australopithecus. Evidence presented here indicates not only that OH 7 and OH 8 represent H. habilis but also that they come from a single individual. The association of OH 35 with OH 7 and OH 8 is less certain. Morphological, pathological, and taphonomic evidence favors the inclusion of OH 35 in the holotype. However, stratigraphic evidence suggests that OH 35 and OH 8 are not coterminous. With or without OH 35, the holotype of H. habilis ranks as one of the most complete early hominin skeletons and the most complete and functionally informative specimen of early Homo. Am J Phys Anthropol, 2008. © 2008 Wiley-Liss, Inc. [source]

Treatment of Breast Cancer in Medically Underserved Women: A Review

THE BREAST JOURNAL, Issue 1 2004
Lisa C. Richardson MD
Abstract: Women at risk of being undertreated for breast cancer include women who are older, from minority groups, from lower socioeconomic backgrounds, and those without health insurance or insured by Medicaid. Recent reviews of the cancer care experience of medically underserved populations indicate that breast cancer care may be even less optimal for these populations than the majority of women. These are the same women who may experience difficulty obtaining access to medical care once they are diagnosed with breast cancer. Indirect proof of problems with access is manifested as higher recurrence rates of breast cancer and differences in breast cancer-specific survival among medically underserved women. Multiple factors have been shown to affect access to medical care, and therefore quality of care, including patient-level factors, provider-level factors, and health system factors. This article reviews the current state of these factors in explaining breast cancer care in medically underserved women. [source]

A survey of New Zealand RANZCOG Fellows on their use of the levonorgestrel intrauterine device in adolescents

AUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 2 2009
Helen PATERSON
Background: The levonorgestrel intrauterine device (LNG-IUD) is an established treatment for adult women. Although it is being used in adolescents, there is little published research in this age group to date. Recent reviews and editorials have challenged the long-held views that intrauterine devices should not be used in young women. Aims: This study aimed to identify the patterns of use, including indications and contraindications of the LNG-IUD in adolescents by RANZCOG Fellows practising in New Zealand. Methods: A postal survey of New Zealand RANZCOG Fellows on their use of the LNG-IUD in females aged 10,19 years. Results: There was a 72% response rate. Half of the respondents had inserted the LNG-IUD in adolescents. Non-inserters identified a significantly greater number of contraindications than inserters (,2, P < 0.0001). Over half of those respondents who had inserted a device in an adolescent did so fewer than three times per year. Intellectual disability and endometriosis, both unlicensed indications, were the two most commonly identified circumstances for insertion by respondents. Conclusions: Patterns of insertion of the LNG-IUD in adolescents by RANZCOG Fellows in New Zealand differ and there was equipoise over its use. Further research is required to establish the efficacy, safety and acceptability of the LNG-IUD in adolescents. [source]

Publication bias in ecology and evolution: an empirical assessment using the ,trim and fill' method

BIOLOGICAL REVIEWS, Issue 2 2002
MICHAEL D. JENNIONS
ABSTRACT Recent reviews of specific topics, such as the relationship between male attractiveness to females and fluctuating asymmetry or attractiveness and the expression of secondary sexual characters, suggest that publication bias might be a problem in ecology and evolution. In these cases, there is a significant negative correlation between the sample size of published studies and the magnitude or strength of the research findings (formally the ,effect size'). If all studies that are conducted are equally likely to be published, irrespective of their findings, there should not be a directional relationship between effect size and sample size; only a decrease in the variance in effect size as sample size increases due to a reduction in sampling error. One interpretation of these reports of negative correlations is that studies with small sample sizes and weaker findings (smaller effect sizes) are less likely to be published. If the biological literature is systematically biased this could undermine the attempts of reviewers to summarise actual biology relationships by inflating estimates of average effect sizes. But how common is this problem? And does it really effect the general conclusions of literature reviews? Here, we examine data sets of effect sizes extracted from 40 peer-reviewed, published meta-analyses. We estimate how many studies are missing using the newly developed ,trim and fill' method. This method uses asymmetry in plots of effect size against sample size (,funnel plots') to detect ,missing' studies. For random-effect models of meta-analysis 38% (15/40) of data sets had a significant number of ,missing' studies. After correcting for potential publication bias, 21% (8/38) of weighted mean effects were no longer significantly greater than zero, and 15% (5/34) were no longer statistically robust when we used random-effects models in a weighted meta-analysis. The mean correlation between sample size and the magnitude of standardised effect size was also significantly negative (rs=-0.20, P < 0-0001). Individual correlations were significantly negative (P < 0.10) in 35% (14/40) of cases. Publication bias may therefore effect the main conclusions of at least 15,21% of meta-analyses. We suggest that future literature reviews assess the robustness of their main conclusions by correcting for potential publication bias using the ,trim and fill' method. [source]

Prevalence of alcohol use disorders in schizophrenia , a systematic review and meta-analysis

ACTA PSYCHIATRICA SCANDINAVICA, Issue 2 2009
J. Koskinen
Objective:, Our aim was to present recent studies of alcohol use disorders (AUDs) in patients with schizophrenia, estimate overall prevalence and characteristics affecting the prevalence of AUDs. Method:, We conducted a search using three literature databases and a manual search on articles published in 1996,2008. Meta-regression was used to study how prevalence is affected by different study characteristics. Articles that reported diagnoses according to DSM or ICD diagnostic systems were included. Results:, Altogether 60 studies met our criteria. The median of current AUD prevalence was 9.4% (inter-quartile range, IQR 4.6,19.0, 18 studies) and median of lifetime AUD prevalence 20.6% (IQR 12.0,34.5, 47 studies). In studies using DSM-III-R median prevalence was higher than that in studies using DSM-IV, ICD-9 or ICD-10 (32/17/11/6%). Conclusion:, Approximately every fifth patient with schizophrenia had lifetime AUD diagnosis. When contrasted with the most recent review, there might be a descending trend in AUD prevalence in patients with schizophrenia. [source]

Compensating for wetland losses in the United States

IBIS, Issue 2004
Joy B. Zedler
Impacts of climate change on US wetlands will add to those of historical impacts due to other causes. In the US, wetland losses and degradation result from drainage for agriculture, filling for urbanization and road construction. States that rely heavily on agriculture (California, Iowa, Illinois, Missouri, Ohio, Indiana) have lost over 80% of their historical area of wetlands, and large cities, such as Los Angeles and New York City, have retained only tiny remnants of wetlands, all of which are highly disturbed. The cumulative effects of historical and future degradation will be difficult to abate. A recent review of mitigation efforts in the US shows a net loss of wetland area and function, even though ,no net loss' is the national policy and compensatory measures are mandatory. US policy does not include mitigation of losses due to climate change. Extrapolating from the regulatory experience, one can expect additional losses in wetland areas and in highly valued functions. Coastal wetlands will be hardest hit due to sea-level rise. As wetlands are increasingly inundated, both quantity and quality will decline. Recognition of historical, current and future losses of wetland invokes the precautionary principal: avoid all deliberate loss of coastal wetland area in order to reduce overall net loss. Failing that, our ability to restore and sustain wetlands must be improved substantially. [source]

Management of advanced HIV disease with no other complications in women and in Africans

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, Issue 1 2007
I. Williams
Summary The number of patients who present with advanced human immunodeficiency virus (HIV) disease [defined as a helper lymphocyte (CD4) count <50 cells/mm3 or the presence of an acquired immunodeficiency syndrome (AIDS)-defining illness] is increasing. In the USA during 1994,1999, a relatively stable proportion of 43% of people diagnosed with HIV infection were tested late in the infection (had AIDS diagnosed within 1 year of diagnosis). A recent review of newly diagnosed infections in 2003 found that 301/977 (31%) of patients in the UK and Ireland presented late (<200 CD4 cells/mm3). Before a diagnosis is made, patients with advanced disease do not benefit from antiretroviral therapy and may continue to transmit the infection to others. Furthermore, when antiretroviral therapy is initiated in patients with CD4 counts of 201,350 cells/mm3, the risk of death is lower than when treatment is started at lower CD4 cell counts. With the increasing prevalence of HIV in women and African immigrants, some doctors are concerned that different management approaches need to be used in these groups. This article reviews the evidence and some clinical scenarios for patients with advanced disease without complications and women and Africans who may present with advanced HIV disease. The aim is to offer practical advice on therapeutic options for treatment-naïve patients who present with advanced HIV disease on the basis of available clinical evidence. [source]

Parabens, oestrogenicity, underarm cosmetics and breast cancer: a perspective on a hypothesis

JOURNAL OF APPLIED TOXICOLOGY, Issue 5 2003
Philip W. Harvey
Abstract A recent review by Darbre (2003) published in this journal (J. Appi. Toxicol. 23: 89,95) has attracted public and scienti,c interest that requires perspective, particularly on the use of esters of p -hydroxybenzoic acid (parabens) as preservatives in underarm cosmetics. Although parabens are generally regarded as safe, recent reports suggest that they are oestrogenic in a variety of in vitro (including MCF7 and ZR-75-1 human breast cancer cell lines) and in vivo tests for oestrogenicity (uterotrophic assays in both rat and mouse). There are also recent reports of adverse reproductive and developmental outcomes in rodent toxicity studies. Of interest is the lack of activity by the oral route but clear activity by the subcutaneous and topical routes, which is of some relevance to the use of underarm cosmetics. There would seem to be a case now to supplement these emerging toxicity data with longer term regulatory standard tests examining other oestrogenic endpoints and at least to consider these ,ndings in more up-to-date risk assessments speci,c for cosmetic use. Further, there are few data on the use of underarm cosmetics and the risk of breast cancer, and although one recent retrospective interview-based study found no association there is a need for more thorough investigation taking into account the type of chemicals used. Darbre has forwarded a hypothesis and called for further work to establish whether or not the use of underarm cosmetics (particularly containing oestrogenic formulants) contributes to the rising incidence of breast cancer. It would seem prudent to conduct this work because the current database is sparse and the effects of long-term low-level exposures to weakly oestrogenic chemicals on human health, particularly their application to the underarm and the risks of breast cancer, are unknown. The role of oestrogens in breast cancer, however, is undisputed. Copyright © 2003 John Wiley & Sons, Ltd. [source]

Biological images of geological history: through a glass darkly or brightly face to face?

JOURNAL OF BIOGEOGRAPHY, Issue 2 2003
Jeremy D. Holloway
Abstract Aim, To explore the implications for historical biogeography of a recent review of island biogeographical theory in three main thematic areas and to suggest ways in which a synthesis between the two approaches might be achieved to the benefit of both. Location, The Indo-Australian tropics. Theme 1, discusses the relationship of species number to area, and how the nestedness of faunas may influence the methodology used for some types of analysis and also the quality of data expected from an archipelago embracing an extreme range of island sizes. Theme 2, examines the way in which the processes of speciation may lead to development of biogeographical patterns through a complex archipelago, illustrated in particular with reference to Sulawesi where biotic enrichment from different lepidopteran groups follows predictions from island biogeographical theory. This also has implications for patterns of endemism in the archipelago, another constraint on the quality of data available for historical biogeography. Theme 3, addresses ecological determinism as an influence in development of biogeographical pattern, focusing on the theme of specificity in insect,plant relationships and the potential for parallel development of pattern in an insect group and its particular plant host group. This theme is developed with particular reference to moth and plant groups that may represent Gondwanan elements in the Oriental fauna, with an analysis of Sarcinodes, a geometrid moth genus associated with Proteaceae. Main conclusions, Prospects are assessed for the synthesis of the two approaches of island biogeography and historical biogeography. Modelling pattern development with the former may complement the methods of analysis of the latter, particularly if some satisfactory method for dating events of pattern development can also be incorporated. [source]

Assessment of a semi-quantitative method for estimation of the rejection of organic compounds in aqueous solution in nanofiltration

JOURNAL OF CHEMICAL TECHNOLOGY & BIOTECHNOLOGY, Issue 7 2006
Bart Van der Bruggen
Abstract A large number of different mechanisms describing the retention of dissolved organic compounds in nanofiltration have been proposed. A recent review identified the parameters possibly involved in the separation performance and suggested a qualitative classification of dissolved compounds. Continuing this approach, a semi-quantitative assessment of the observed rejections in nanofiltration is given in this paper, based on threshold values of key parameters such as molecular weight and molecular weight cut-off (MWCO), molecular size, pH and pKa, hydrophobicity (logKow) and membrane charge. Experimental values and literature data were used to provide a broad basis for comparison. It was concluded that (a) all categories that contain hydrophobic components are badly defined, in particular for small components, with rejections varying from low to very high, (b) all components that contain hydrophilic components have relatively high rejections and (c) all categories that contain charged components have well-defined, high rejections (intermediate for membranes with low surface charge). In all cases, the average rejection is higher when the component's molecular weight is larger than the MWCO of the membrane and when the molecular size is larger than the pore size of the membrane. Copyright © 2006 Society of Chemical Industry [source]

Model choice in time series studies of air pollution and mortality

JOURNAL OF THE ROYAL STATISTICAL SOCIETY: SERIES A (STATISTICS IN SOCIETY), Issue 2 2006
Roger D. Peng
Summary., Multicity time series studies of particulate matter and mortality and morbidity have provided evidence that daily variation in air pollution levels is associated with daily variation in mortality counts. These findings served as key epidemiological evidence for the recent review of the US national ambient air quality standards for particulate matter. As a result, methodological issues concerning time series analysis of the relationship between air pollution and health have attracted the attention of the scientific community and critics have raised concerns about the adequacy of current model formulations. Time series data on pollution and mortality are generally analysed by using log-linear, Poisson regression models for overdispersed counts with the daily number of deaths as outcome, the (possibly lagged) daily level of pollution as a linear predictor and smooth functions of weather variables and calendar time used to adjust for time-varying confounders. Investigators around the world have used different approaches to adjust for confounding, making it difficult to compare results across studies. To date, the statistical properties of these different approaches have not been comprehensively compared. To address these issues, we quantify and characterize model uncertainty and model choice in adjusting for seasonal and long-term trends in time series models of air pollution and mortality. First, we conduct a simulation study to compare and describe the properties of statistical methods that are commonly used for confounding adjustment. We generate data under several confounding scenarios and systematically compare the performance of the various methods with respect to the mean-squared error of the estimated air pollution coefficient. We find that the bias in the estimates generally decreases with more aggressive smoothing and that model selection methods which optimize prediction may not be suitable for obtaining an estimate with small bias. Second, we apply and compare the modelling approaches with the National Morbidity, Mortality, and Air Pollution Study database which comprises daily time series of several pollutants, weather variables and mortality counts covering the period 1987,2000 for the largest 100 cities in the USA. When applying these approaches to adjusting for seasonal and long-term trends we find that the Study's estimates for the national average effect of PM10 at lag 1 on mortality vary over approximately a twofold range, with 95% posterior intervals always excluding zero risk. [source]

Problem-based learning: why curricula are likely to show little effect on knowledge and clinical skills

MEDICAL EDUCATION, Issue 9 2000
Mark Albanese
Objectives A recent review of problem-based learning's effect on knowledge and clinical skills updated findings reported in 1993. The author argues that effect sizes (ES) seen with PBL have not lived up to expectations (0.8,1.0) and the theoretical basis for PBL, contextual learning theory, is weak. The purposes of this study were to analyse what constitutes reasonable ES in terms of the impacts on individuals and published reports, and to elaborate upon various theories pertaining to PBL. Design Normal theory is used to demonstrate what various ESs would mean for individual change and a large meta-analysis of over 10 000 studies is referred to in identifying typical ESs. Additional theories bearing upon PBL are presented. Results Effect sizes of 0.8,1.0 would require some students to move from the bottom quartile to the top half of the class or more. The average ES reported in the literature was 0.50 and many commonly used and accepted medical procedures and therapies are based upon studies with ESs below 0.50. Conclusions Effect sizes of 0.8,1.0 are an unreasonable expectation from PBL because, firstly, the degree of changes that would be required of individuals would be excessive, secondly, leading up to medical school, students are groomed and selected for success in a traditional curriculum, expecting them to do better in a PBL curriculum than a traditional curriculum is an unreasonable expectation, and, thirdly, the average study reported in the literature and many commonly used and accepted medical procedures and therapies are based upon studies having lesser ESs. Information-processing theory, Cooperative learning, Self-determination theory and Control theory are suggested as providing better theoretical support for PBL than Contextual learning theory. Even if knowledge acquisition and clinical skills are not improved by PBL, the enhanced work environment for students and faculty that has been consistently found with PBL is a worthwhile goal. [source]

Can the Mediterranean diet prevent prostate cancer?

MOLECULAR NUTRITION & FOOD RESEARCH (FORMERLY NAHRUNG/FOOD), Issue 2 2009
Catherine Itsiopoulos
Abstract Prostate cancer is the second most common cancer in men worldwide. Despite the global importance of this cancer, until recently little was known about risk factors apart from the well-established factors: age, family history and country of birth. The large worldwide variation in prostate cancer risk and increased risk in migrants moving from low to high risk countries provides strong support for modifiable environmental factors. We have based our review on the findings of a systematic review undertaken by an expert panel on behalf of the World Cancer Research Fund and the American Institute for Cancer Research, and new data since then, linking identified foods and nutrients with prostate cancer. Evidence indicates that foods containing lycopene, as well as selenium and foods containing it, probably protect against prostate cancer, and excess consumption of foods or supplements containing calcium are a probable cause of this cancer. The expert panel also concluded that it is unlikely that ,-carotene (whether from foods or supplements) has a substantial effect on the risk of this cancer. A recent review on environmental factors in human prostate cancer also found that there were protective effects of vitamin E, pulses, soy foods and high plasma 1,25-dihydroxyvitamin D levels. The Mediterranean diet is abundant in foods that may protect against prostate cancer and is associated with longevity and reduced cardiovascular and cancer mortality. Compared with many Western countries Greece has lower prostate cancer mortality and Greek migrant men in Australia have retained their low risk for prostate cancer. Consumption of a traditional Mediterranean diet, rich in bioactive nutrients, may confer protection to Greek migrant men, and this dietary pattern offers a palatable alternative for prevention of this disease. [source]

The content of optometric eye examinations for a young myope with headaches

OPHTHALMIC AND PHYSIOLOGICAL OPTICS, Issue 5 2008
Rakhee Shah
Abstract Background:, A recent review found standardised patient (SP) methodology to be the gold standard methodology for evaluating clinical care. We used this to investigate the content of optometric eye care for a young myopic patient with headaches suggestive of migraine. Methods:, We recruited 100 community optometrists who consented to be visited by an unannounced actor for an eye examination and to have that eye examination recorded. The actor received extensive training to enable accurate reporting of the content of the eye examinations, via an audio recording and a checklist completed for each clinical encounter. The actor presented as a 20-year-old student seeking a private eye examination and complaining of symptoms suggestive of migraine headaches. The results of each clinical encounter were recorded on a pre-designed checklist based on evidence-based reviews on headaches, clinical guidelines and the views of an expert panel of optometrists. Results:, The presence of headache was detected in 98% of cases. Eight standard headache questions were considered to be the gold standard for primary care headache investigation. Although none of the optometrists asked all of these questions, 22% asked at least four of the eight questions. Sixty-nine per cent of practitioners asked the patient to seek a medical opinion regarding the headaches. The proportion of the tests recommended by the expert panel that was carried out varied from 33% to 89% and the durations of the eye examination varied from 5 to 50 min. Conclusion:, SP encounters are an effective way of measuring clinical care within optometry and should be considered for further comparative measurements of quality of care. As in research using SPs in other healthcare disciplines, our study has highlighted substantial differences between different practitioners in the duration and depth of their clinical investigations. This highlights the fact that not all eye examinations are the same and that there is no such thing as a ,standard sight test'. We recommend that future optometric continuing education could usefully focus on migraine diagnosis and assessment. [source]

Cone-beam computed tomography of the maxillofacial region,an update

THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, Issue 4 2009
Chung How Kau
Abstract Background During the last few years, craniomaxillofacial diagnosis of the head has been confronted with an increasing number of innovations and improvements. The main progress occurred following the introduction of cone-beam technology in computed tomography in the 1990s. The number of manufacturers and devices using this technology for the maxillofacial region is growing rapidly and they are now becoming readily available. Materials This article focuses on cone-beam computed tomography (CBCT) devices applied to the maxillofacial region. CBCT serves as a bridge from two dimensions (2D) to three dimensions (3D), with lower irradiation than conventional CT. Different manufacturers and models are now available to satisfy the different needs of clinicians. Results A recent review of the manufacturers found 23 CBCT devices on the market. The specifications, applications and other issues of currently available CBCT devices are presented and discussed. Conclusions 3D imaging is developing at a very fast pace. New technologies and machines are emerging and CBCT is becoming readily available. Due to the growing demand for the technology based on the needs of clinicians, there is now a wide and growing selection of devices on the market. Some of the new advances now mean that CBCT imaging should be a well-considered option in maxillofacial imaging. Copyright © 2009 John Wiley & Sons, Ltd. [source]

The difficulty with experience: Does practice increase susceptibility to premature closure?

THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, Issue 3 2006
Kevin W. Eva PhD
Abstract Introduction: A recent review of the physician performance literature concluded that the risk of prematurely closing one's diagnostic search increases with years of experience. To minimize confounding variables and gain insight into cognitive issues relevant to continuing education, the current study was performed to test this conclusion. Methods: Physician participants were shown a series of case histories and asked to judge the probability of a pair of diagnoses. The order in which features were presented was manipulated across participants and the probabilities compared to determine the impact of information order. Two groups of participants were recruited, 1 older than and 1 younger than 60 years. Results: The probability assigned to a diagnosis tended to be greater when features consistent with that diagnosis preceded those consistent with an alternative than when the same features followed those consistent with the alternative. Older participants revealed a greater primacy effect than less experienced participants across 4 experimental conditions. Discussion: Physicians with greater experience appear to weigh their first impressions more heavily than those with less experience. Educators should design instructional activities that account for experience-specific cognitive tendencies. [source]

Some boundary conditions of the expressor culture effect in emotion recognition: Evidence from Hong Kong Chinese perceivers

ASIAN JOURNAL OF SOCIAL PSYCHOLOGY, Issue 3 2005
Sau-Lai Lee
In a recent review of the emotion recognition literature, Elfenbein and Ambady (2002) found that recognition is generally more accurate for perceivers from the same cultural group as the emotion expressors. In two studies conducted in Hong Kong, we found little evidence for such expressor culture effect. In contrast, a reverse trend was found in the recognition of several emotions. We interpret these findings in terms of the unique display and decoding rules of emotions in Asian contexts. In addition, the effects of expressor culture were observed only in non-pleasant emotions, but not in happiness. Finally, reaction time data revealed that identification of happiness is an automatic, holistic process, identification of non-pleasant emotions is a relatively capacity-consuming, piecemeal process. [source]

Cutaneous Wegener's granulomatosis: A variant or atypical localized form?

AUSTRALASIAN JOURNAL OF DERMATOLOGY, Issue 2 2003
Johanna Kuchel
Summary A 74-year-old woman presented with an antineutrophil cytoplasmic antibody titre-negative, treatment-responsive Wegener's granulomatosis confined to the integument. She initially presented with a painful left postauricular nodulo-ulcerative lesion with chronically discharging sinuses. This lesion was effectively treated with a short, 3-month course of cyclophosphamide and 24 months of oral prednisone. After 5 months in remission, she developed further similar ulcers, in addition to painless nodules on her ankles and feet bilaterally. These lesions resolved with an extra 32 months of high-dose oral prednisone therapy before complete remission. At most recent review, there was no evidence of disease recurrence 21 months after ceasing all active treatment. Histology demonstrated a granulomatous inflammation. No systemic disease progression to the upper respiratory tract, lung or kidney was detected. This case highlights the importance of being aware of atypical or partial presentations of Wegener's granulomatosis. This diagnosis needs to be considered with patients presenting with a culture-negative chronic ulcer, where malignancy and trauma have been excluded. This will avoid unnecessary surgery and ensure early diagnosis and effective treatment of a disease that is disfiguring and usually fatal if inappropriately treated. [source]

Strategy of the review

AUSTRALASIAN JOURNAL ON AGEING, Issue 2 2005
Warren P Hogan
This offering is about the ways in which the work of the recent review into aged care was conducted. The account is not exhaustive but is illustrative of some of the major issues experienced. Some of the policy themes and outcomes were explored in the recent Shann Memorial Lecture [1]. The circumstances with which the review was confronted are treated in the second part of the paper. This comes in two segments with the first explaining the measures in place and the second exploring some of the important questions arising from initial considerations of those measures. The onerous nature of the queries should be acknowledged. The following part is about the activities of the review in an effort to cast light on questions raised by the measures in place in relation to the Terms of Reference. The dual task of the review reflected the very substantial lack of empirical work on the aged care industry as well as evidence on the efforts of boards and managements of entities providing aged care services. This coverage is taken further in the final segment which deals with some of the major issues which the review was seeking to address. Some are of the greatest strategic moment. [source]

Cognitive Processes in Cognitive Therapy: Evaluation of the Mechanisms of Change in the Treatment of Depression

CLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 3 2007
Genevieve Garratt
A central theoretical principle guiding cognitive therapy is that mediation by cognitive processes is linked to the successful treatment of depression. The most recent review of the literature on this question is over a decade old and was suggestive of cognitive mediation for cognitive therapy, but was not conclusive. Since this review, a number of studies have been published that address cognitive mediation. The mediation hypothesis can be broadly defined as encompassing two related questions: cognitive mediation framed as "are cognitive changes associated with therapeutic improvement," and cognitive specificity from the perspective of "are changes in cognition specific to cognitive therapy?" This latter question is particularly important when cognitive therapy is compared to pharmacotherapy. This article reviews the current literature associated with these questions. Our review indicates that the current body of research generally supports cognitive mediation, but is considerably more mixed for cognitive specificity. However, some evidence suggests that cognitive changes associated with pharmacotherapy are more superficial than those associated with cognitive therapy. [source]

A review of the acute subjective effects of MDMA/ecstasy

ADDICTION, Issue 7 2006
Chelsea A. Baylen
ABSTRACT Aim Although several relatively recent reviews have summarized the neuropsychiatric effects associated with chronic ecstasy use, there is no published comprehensive review of studies on the acute subjective effects (ASEs) of MDMA/ecstasy. Design The present study reviewed the prevalence, intensity and duration of ASEs collected from 24 studies that provided frequency data on the prevalence of self-reported ecstasy effects and/or provided data on the intensity of ecstasy effects. Findings Although hundreds of ASEs have been reported following MDMA consumption, we identified a subset of effects reported repeatedly by meaningful proportions and large numbers of participants across multiple investigations, most of which were either emotional (e.g. anxiety, depression, closeness, fear, euphoria, calmness) or somatic (e.g. nausea/vomiting, bruxism, muscle aches/headache, sweating, numbness, body temperature changes, fatigue, dizziness, dry mouth, increased energy). Only one sexual ASE (sexual arousal/increased sensual awareness), one cognitive ASE (confused thought), one sensory,perceptual ASE (visual effects/changes in visual perception), one sleep-related ASE (sleeplessness) and one appetite-related ASE (decreased appetite) were reported across five or more investigations. Three factors,number of hours between ingestion and assessment, dose level, and gender,have been associated with the acute subjective experience of MDMA/ecstasy., Conclusions This review provides useful information for clinicians and researchers who want to understand the desirable and undesirable ASEs that may motivate and restrain ecstasy use, for public health advocates who seek to reduce biomedical harms (e.g. fainting, dehydration, shortness of breath, bruxism) associated with recreational use of MDMA/ecstasy, and for educators who wish to design credible prevention messages that neither underestimate nor exaggerate users' experiences of this drug. [source]

Functional connexin "hemichannels": A critical appraisal

GLIA, Issue 7 2006
David C. Spray
Abstract "Hemichannels" are defined as the halves of gap junction channels (also termed connexons) that are contributed by one cell; "hemichannels" are considered to be functional if they are open in nonjunctional membranes in the absence of pairing with partners from adjacent cells. Several recent reviews have summarized the blossoming literature regarding functional "hemichannels", in some cases encyclopedically. However, most of these previous reviews have been written with the assumption that all data reporting "hemichannel" involvement really have studied phenomena in which connexons actually form the permeability or conductance pathway. In this review, we have taken a slightly different approach. We review the concept of "hemichannels", summarize properties that might be expected of half gap junctions and evaluate the extent to which the properties of presumptive "hemichannels" match expectations. Then we consider functions attributed to hemichannels, provide an overview of other channel types that might fulfill similar roles and provide sets of criteria that might be applied to verify involvement of connexin hemichannels in cell and tissue function. One firm conclusion is reached. The study of hemichannels is technically challenging and fraught with opportunities for misinterpretation, so that future studies must apply rigorous standards for detection of hemichannel expression and function. At the same time there are reasons to expect surprises, including the possibility that some time honored techniques for studying gap junctions may prove unsuitable for detecting hemichannels. We advise hemichannel researchers to proceed with caution and an open mind. © 2006 Wiley-Liss, Inc. [source]

Executive Selection,What's Right , and What's Wrong

INDUSTRIAL AND ORGANIZATIONAL PSYCHOLOGY, Issue 2 2009
GEORGE P. HOLLENBECK
Although recent reviews of executive selection have catalogued much that we as industrial,organizational (I,O) psychologists are doing right in our research and practice, we are confronted with the facts that executive selection decisions are often, if not usually, wrong and that I,O psychologists seldom have a place at the table when these decisions are made. This article suggests that in our thinking we have failed to differentiate executive selection from selection at lower levels and that we have applied the wrong models. Our hope for the future lies not in job analyses, developing new tests, meta-analyses, or seeking psychometric validity, but in viewing executive selection as a judgment and decision-making problem. With the right focus, applying our considerable methodological skills should enable us to contribute toward making better judgments. When we have a better mousetrap, organizations (if not the world) will beat a path to our door. [source]

Geographies of Gender and Migration: Spatializing Social Difference1

INTERNATIONAL MIGRATION REVIEW, Issue 1 2006
Rachel Silvey
This article provides a review of the contributions that the discipline of geography is making to gender and migration research. In geographic analyses of migration, gender differences are examined most centrally in relation to specific spatialities of power. In particular, feminist geographers have developed insight into the gender dimensions of the social construction of scale, the politics of interlinkages between place and identity, and the socio-spatial production of borders. Supplementing recent reviews of the gender and migration literature in geography, this article examines the potential for continued cross-fertilization between feminist geography and migration research in other disciplines. The advances made by feminist geographers to migration studies are illustrated through analysis of the findings and debates tied to the subfield's central recent conceptual interventions. [source]

Improving the quality of reporting acupuncture interventions: describing the collaboration between STRICTA, CONSORT and the Chinese Cochrane Centre

JOURNAL OF EVIDENCE BASED MEDICINE, Issue 1 2009
Hugh MacPherson
Background First published in 2001, STRICTA (STandards for Reporting Interventions in Controlled Trials of Acupuncture) was designed to expand on the reporting of one item within the CONSORT (Consolidated Standards of Reporting Trials) Statement checklist, the item relating to the intervention. Two recent reviews had found that STRICTA was highly regarded in the field and that there was a need for minor revisions. Objective To revise STRICTA within the CONSORT family of reporting guidelines. Design A collaborative effort involving the STRICTA Group, the CONSORT Group and the Chinese Cochrane Centre was agreed. A consultation process with 47 international experts provided detailed feedback on an initial draft of a revised checklist. These data, along with the two review studies, comprised the documentation for a consensus meeting in Freiburg, Germany in October 2008. A total of 21 participants attended the meeting, bringing their expertise as research methodologists, reporting guideline developers, acupuncturists, physicians and journal editors. Results At the workshop, a revised draft checklist was agreed. There was general consensus that STRICTA should continue to function as a stand-alone guideline as well as an extension to CONSORT. It was agreed that STRICTA should be sufficiently broad to cover all type of clinical studies, from case reports through uncontrolled studies to randomised controlled trials. It was also decided that explanations and examples, as with other CONSORT reporting guidelines, would provide a useful way of supporting the uptake to the new recommendations when published. Discussion The checklist will be subjected to further revision processes in order to further its impact and support wider dissemination. Journals that regularly publish acupuncture trials will be encouraged to adopt the revised STRICTA, include it in their guidelines for authors, and promote the adoption of its recommendations for clinical studies of acupuncture. [source]

Cover Picture , Mol.

MOLECULAR NUTRITION & FOOD RESEARCH (FORMERLY NAHRUNG/FOOD), Issue S1 2008
Nutr.
Cancer chemoprevention has been defined as the use of drugs, vitamins, or other agents to try to reduce the risk of, or delay the development or recurrence of, cancer. Phytochemicals from food as well as medicinal plants are recognized as agents that play a role in cancer prevention. In this Special Issue of "Natural Products and Dietary Prevention of Cancer" recent reviews on selected natural products present in food, beverages and condiments, and their putative role in the prevention of various types of cancer are provided. [source]