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Selected AbstractsRisk of endometrial cancer in relationship to cigarette smoking: Results from the EPIC studyINTERNATIONAL JOURNAL OF CANCER, Issue 12 2007Mustafa Al-Zoughool Abstract Current epidemiologic evidence indicates that cigarette smoking reduces the risk of endometrial cancer. We examined data from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort to analyze further aspects of the smoking-endometrial cancer relationship, such as possible modifying effects of menopausal status, HRT use, BMI and parity. In a total of 249,986 women with smoking exposure and menopausal status information, 619 incident endometrial cancer cases were identified during 1.56 million person-years of follow-up. Among postmenopausal women, the hazard ratio (HR) for current smokers versus never smokers was 0.70 (95% CI = 0.53,0.93), while it was 1.75 (95% CI = 1.13,2.70) among premenopausal women at recruitment. After adjustment for risk factors, the HR for postmenopausal women was slightly attenuated to 0.78 (95% CI = 0.59,1.03). No heterogeneity of effect was observed with HRT use or BMI. Among premenopausal women, current smokers of more than 15 cigarettes per day or who smoked for 30 years or more at the time of recruitment had a more than 2-fold increased risk of endometrial cancer compared to never smokers (HR = 2.54; 95% CI = 1.47,4.38 and HR = 2.23; 95% CI = 1.04,4.77, respectively). Past smoking was not associated with endometrial cancer risk, either among pre- or postmenopausal women. In this prospective study, we observed an increased risk of endometrial cancer with cigarette smoking in premenopausal women. The reduction of endometrial cancer risk observed among postmenopausal women does not have direct public health relevance since cigarette smoking is the main known risk factor for cancer. © 2007 Wiley-Liss, Inc. [source] Identification of Acipenseriformes species in tradeJOURNAL OF APPLIED ICHTHYOLOGY, Issue 2008A. Ludwig Summary Sturgeons and paddlefishes (Acipenseridae) are highly endangered freshwater fishes. Their eggs (sold as caviar) are one of the most valuable wildlife products in international trade. Concerns of overharvesting and the conservation status of many of the 27 extant species of Acipenseriformes led to all species being included on the CITES Appendices in 1998. Since then international trade in all products and parts from sturgeon and paddlefish has been regulated. However, despite the controls on trade, unsustainable harvesting continues to threaten many populations. Illegal fishing and trade continues to be a threat to the management of these fish. To enforce the regulation of legal trade and prevention of illegal trade, the development of a uniform identification system for parts and derivates of Acipenseriformes has been identified as an urgent requirement. Ideally this system should be suitable for (i) identification at the species-level of caviar and other products from Acipenseriformes; (ii) population identification; (iii) source identification (wild vs aquaculture); and (iv) determining the age of caviar because strict timeframes govern its international trade. This paper reviews the techniques currently available and their potential to be used in an identification system for Acipenseriformes species and their products in trade. A review of all available identification techniques has shown that there is not a single method that can meet all requirements (see i,iv), and it does not appear to be feasible to develop such a method in the near future therefore the most appropriate methods need to be developed for each. Considering the advantages and disadvantages of all techniques reviewed in this document, the following conclusions can be drawn: (i) for the identification of species, approaches are recommended that target mitochondrial cytochrome b sequences (RFLP, nested PCR or direct sequencing). However, they show limitations for the detection of hybrids (although natural hybrids are rare, the number of artificially produced hybrids in aquaculture is increasing) and for the differentiation of the following closely related species complexes: Acipenser gueldenstaedti,Acipenser baerii,Acipenser persicus,Acipenser naccarii; Acipenser medirostris,Acipenser mikadoi; and Scaphirhynchus albus,Scaphirhynchus plathorhynchus,Scaphirhynchus suttkusi; (ii) the identification of different populations of the same species is currently not feasible because genetic data are incomplete for most populations, and stocking and release programmes, which have become more and more common, often result in a mixture of phenotypes and genotypes, thereby impeding the creation and application of such a population identification system; (iii) source identification based on genetic approaches can be excluded at present because there are no genetic differences between wild and hatchery-raised fish. This is the result of the continuing restocking of natural populations with captive fish and vice versa. However, because rearing (i.e. environmental) conditions are different, methods focusing on differences in water quality or food seem to be more appropriate (for example differences in fatty acid composition). So far, very few studies have been conducted and therefore, source identification methods merit further exploration; and (iv) the age of a product in trade cannot be detected by DNA-based methods and protein profiling is undoubtedly impractical due to hard-to-perform, labour-and cost-intensive methods, which are highly susceptible to protein degradation. Arising from the limits discussed above, the next steps in the development of a uniform sturgeon identification system are proposed to be the following: (i) designation of qualified reference laboratories at national levels in (re-) exporting and importing countries. These should be approved through a standardized testing procedure, for instance a ring test on blind samples. Registered laboratories should be published and disseminated and their accreditations should be subject to certain guarantees regarding quality, economic independence and scientific rigour. Operational procedures have to be determined and standardized among reference laboratories; (ii) establishment of reference collections that are accessible to the reference laboratories containing DNA analyses results and information on the location and availability of tissue samples. This is highly recommended as an important step towards a population identification system and indispensable for a general species identification system; (iii) creation of a website access to the reference collections containing the reference database information about genetic samples, comparable to NCBI, which provides background data: sample location; population information; citation; available genetic data; location of archival storage; currently treated and distributed caviar and status of analysis. This website should also be a forum for the exchange of knowledge on and experiences with identification systems, species and population status information, relevant scientific research, etc.; and (iv) the outcome of the trade identification tests should be made available to the reference laboratories for future reference. The universal caviar labelling system could incorporate an indication of the verification of the consignment. In view of the lack of knowledge and the great need to develop a uniform identification system for Acipenseriformes with regard to the importance of the international caviar trade, further scientific guidance and appropriate research is strongly recommended. Progress should be assessed and exchanged on a regular basis. [source] Health characteristics and health services utilization in older adults with intellectual disability living in community residencesJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 4 2002M. P. Janicki Abstract Background The health status and health needs of adults with intellectual disability (ID) change with advancing age, and are often accompanied by difficulties with vision, hearing, mobility, stamina and some mental processes. Aim The present study collected health status information on a large cohort of adults with ID aged , 40 years living in small group, community-based residences in two representative areas of New York State, USA. Method Adult group home residents with ID aged between 40 and 79 years (n = 1371) were surveyed to determine their health status and patterns of morbidity. Results Most subjects were characterized as being in good health. The frequency of cardiovascular, musculoskeletal and respiratory conditions, and sensory impairments increased with age, while neurological, endocrine and dermatological diseases did not. Psychiatric and behavioural disorders declined with increasing age, at least through 70 years of age. Although most conditions increased with age, their frequency varied by sex and level of ID. Frequencies of age-related organ system morbidity were compared to data from the National Health and Nutrition Evaluation Survey III. It was found that adults with ID had a lower overall reported frequency of cardiovascular risk factors, including hypertension and hyperlipidaemia, and adult-onset diabetes. Inconsistencies with mortality data among older adults with ID were observed (which showed equal if not greater prevalence of deaths as a result of cardiovascular disease and cancer). Conclusion These results suggest that either a cohort effect is operating (i.e. contemporary populations are healthier than previous populations), or that there may be under-recognition of select risk factors and diseases. [source] Relationship of smoking and smoking cessation with number of teeth present: JPHC Oral Health Study,ORAL DISEASES, Issue 1 2009T Yanagisawa Background:, Smoking is associated with the number of teeth. The purpose of this study was to determine the relationship of number of teeth with smoking and smoking cessation. Methods:, Subjects included 547 males aged between 55 and 75 years. Oral examinations were conducted in 2005. Smoking status information was collected from questionnaire surveys conducted in 1990, 1995, 2000, and 2005. The relationship between having more than eight missing teeth and smoking status was estimated with adjusted odds ratio. Results:, Comparing with never smokers, odds ratios of having more than eight missing teeth among current and former smokers were 1.96 and 1.86, respectively. The odds ratios in those who had stopped smoking for ,10 years was 3.02, and for those who had ceased smoking for 11,20 years was 2.66. In those who stopped smoking for 21 years or more, there was no increase in the odds ratio. Conclusion:, Smoking had a positive association with the number of missing teeth and smoking cessation is beneficial for maintaining teeth. The odds of having more than eight missing teeth in those who had never smoked was equal to that of individuals who reported that they had stopped smoking for 21 years or more. [source] | ||||||||||