Smoking Behaviour in the Home and Incidence ARI symptoms in Cambodia, Timor Leste and Philippines

The belief that smoking reduces stress, which causes stressed smokers to increase their intensity of smoking, also influences the maintenance of smoking behaviour.This study aimed to determine indoor smoking behavior and ARI symptoms in Cambodia, Timor Leste, and the Philippines. This research uses secondary data, especially DHS data from 2015–2020, in Cambodia, Timor Leste, and the Philippines. This study uses household data with the variables of women's smoking behavior in the home and ARI symptoms in toddlers.The number of times a person smokes per day, week, or month will be given to urban and rural households and recorded.  The researcher will compare the number of times a mother smoked in the home with the number of times a child under five had symptoms of ARI.  Data analysis was conducted using JAPS software version 16 by conducting frequency distribution and percentage on each variable. Daily smoking at home is highest in Timor Leste (47.5%) compared to daily smoking behavior in the Philippines (47.5%) in urban households. Weekly smoking at home was highest in Timor Leste (11.2%) compared to weekly indoor smoking behavior in the Philippines (7%) in urban households. mothers who smoked in the home had a higher number of children under five with ARI symptoms (Philippines 2.2%, Cambodia 10%) than mothers who did not smoke had a higher number of children under five with ARI symptoms (Philippines 1.5%, Cambodia 5.4%).Mothers' daily smoking behavior in the home is still high in Cambodia, Timor Leste, and the Philippines, especially in rural areas compared to urban areas. Households with mothers who smoke in the home are likelier to have toddlers who experience ARI symptoms than households without mothers who smoke. Cambodia is a country that has a high number of mothers who smoke at home and toddlers who experience ARI symptoms. Keyword:   ARI Symptoms, Home,  Households, Smoking Behaviou

Prevalence of oropharynx cancer caused by HPV compared with genital cancer

Introduction: For a long time, the literature has established that HPV may be associated to pharynx cancer. Objective: To verify the number of publications in three different databases on the prevalence of oral, esophageal, penile, and cervical-vaginal cancer associated with HPV. Material and methods: The publications were verified in Pubmed, Lilacs, and Bireme databases; the keywords “mouth cancer”, “esophageal cancer”, “penile cancer”, and “cervical vaginal cancer”were associated with HPV. Data were tabulated in absolute numbers. Results: In all databases, the number of cervical carcinoma was much larger than that of other cancers. Conclusion: The number of cervical cancer was the most found associated with HPV because of the histological and specific functional conditions of this site.Introduction: For a long time, the literature has established that HPV may be associated to pharynx cancer. Objective: To verify the number of publications in three different databases on the prevalence of oral, esophageal, penile, and cervical-vaginal cancer associated with HPV. Material and methods: The publications were verified in Pubmed, Lilacs, and Bireme databases; the keywords “mouth cancer”, “esophageal cancer”, “penile cancer”, and “cervical vaginal cancer”were associated with HPV. Data were tabulated in absolute numbers. Results: In all databases, the number of cervical carcinoma was much larger than that of other cancers. Conclusion: The number of cervical cancer was the most found associated with HPV because of the histological and specific functional conditions of this site

Lymph node reactivity and microvessel density in neck metastases of unknown primary squamous cell carcinoma

BACKGROUND: neoangiogenesis and the immune response are important mechanisms in metastasis development. AIM: to evaluate lymph node reactivity and microvessel density in neck metastasis of occult primary squamous cell carcinoma considering their histological and clinical variables. STUDY DESIGN: retrospesctive case-series. METHOD: 19 patients with neck metastasis of occult primary squamous cell carcinoma who underwent neck dissection between 1983 and 2000 were selected. The lymph nodes were reevaluated on the type of reactivity in both the cortical and paracortical areas, and the metastasis were assessed as to grade, desmoplasia, necrosis and microvessel density (CD34). The relationship between histological and clinical variables was evaluated. RESULTS: the median microvessel density was 91 vessels/mm2, varying from 28 to 145. Paracortical hyperplasia was more common in patients below 55 years of age (90% x 44%, p= 0.05), but there was no relationship between reactivity patterns and microvessel density with prognosis. The disease-free survival was 52% in 3 years, being similar in both groups, with higher or lower microvessel densities. CONCLUSION: microvessel density in neck metastasis of occult primary squamous cell carcinoma had a great individual variability. It wasn t possible to establish the relationship between microvessel density and the clinical or histological variables studied.INTRODUÇÃO: A neoangiogênese e a resposta imunológica são mecanismos importantes no desenvolvimento das metástases. OBJETIVO: Avaliar a reatividade linfonodal e a densidade microvascular nas metástases cervicais de carcinoma epidermóide com tumor primário oculto, considerando a sua relação com outras variáveis histológicas e clínicas. TIPO DE ESTUDO: Série de casos, retrospectiva. CASUÍSTICA E MÉTODO: 19 pacientes submetidos a esvaziamento cervical entre 1983 e 2000. Os linfonodos foram reavaliados quanto ao tipo de reatividade, considerando a área cortical e paracortical. Nas metástases foi avaliado o grau de diferenciação, desmoplasia, necrose, e densidade microvascular (CD34). Foi estabelecida a relação entre as diferentes variáveis histológicas e clínicas, incluindo o estadiamento e a evolução dos pacientes. RESULTADOS: A densidade microvascular apresentou mediana de 91 vasos/mm2, variando de 28 a 145. A reatividade paracortical foi mais freqüente nos pacientes com menos de 55 anos (90% x 44%, p= 0,05). A sobrevida livre de doença foi de 52% em 3 anos, sendo similar entre os pacientes com maior ou menor densidade microvascular tumoral. CONCLUSÕES: A densidade microvascular nas metástases de tumor primário oculto apresenta grande variação individual. Não foi possível estabelecer relação entre a densidade microvascular e as variáveis clínicas e histológicas estudadas.Hospital HeliópolisCentro Universitário PositivoEscola Paulista de MedicinaUNIFESP, EPMSciEL

Improving the Health of African Americans in the USA: An Overdue Opportunity for Social Justice

Using a modified social ecological model, we conducted a review of the literature and nationwide statistics on African American health. We discuss the main social determinants of health and main health disparities, risk factors, the leading causes of morbidity and mortality, and access to health services for blacks in the USA. The mechanisms through which social determinants, including racism, exert their deleterious effects on black health are discussed at the macro and individual levels. Incarceration and mental health care issues are highlighted as priorities to be addressed. African Americans remain the least healthy ethnic group in the USA, a somber legacy of years of racial and social injustice and a formidable challenge to equitable health care for all. Systemic causes of suboptimal black health require equally systemic solutions; positive trends in black health indicators seem to be driven by social development programs, economic investment in education, participation of African Americans in policy, and decision-making and expansion of access to health care

Fermonic anyons: entanglement and quantum computation from a resource-theoretic perspective

Often quantum computational models can be understood via the lens of resource theories, where a computational advantage is achieved by consuming specific forms of quantum resources and, conversely, resource-free computations are classically simulable. For example, circuits of nearest-neighbor matchgates can be mapped to free-fermion dynamics, which can be simulated classically. Supplementing these circuits with nonmatchgate operations or non-gaussian fermionic states, respectively, makes them quantum universal. Can we similarly identify quantum computational resources in the setting of more general quasi-particle statistics, such as that of fermionic anyons? In this work, we develop a resource-theoretic framework to define and investigate the separability of fermionic anyons. We build the notion of separability through a fractional Jordan-Wigner transformation, leading to a Schmidt decomposition for fermionic-anyon states. We show that this notion of fermionic-anyon separability, and the unitary operations that preserve it, can be mapped to the free resources of matchgate circuits. We also identify how entanglement between two qubits encoded in a dual-rail manner, as standard for matchgate circuits, corresponds to the notion of entanglement between fermionic anyons. Though this does not coincide with the usual definition of qubit entanglement, it provides new insight into the limited capabilities of matchgate circuits.Comment: 7+19 pages, 3 figure

Manejo quirúrgico del cáncer de colón en el hospital Nacional dos de mayo

En el Perú, según estadísticas del año 2011, el cáncer constituye la segunda causa de muerte, sólo después de las enfermedades cardiovasculares. Asimismo, en nuestra realidad hospitalaria, el cáncer de colon constituye un problema en aumento, cuyo manejo quirúrgico es de vital importancia, sobretodo en el tratamiento con intención curativa. Afecta con mayor frecuencia a adultos mayores, a hombres y mujeres; pero, cada día se detectan más casos en gente más joven. De ahí la importancia de un adecuado manejo quirúrgico de estos pacientes, con la finalidad de aumentar la sobrevida y en lo posible, curar. El tenor del presente trabajo de investigación fue evaluar el manejo quirúrgico de los pacientes con diagnóstico de cáncer de colon, a fin de realizar recomendaciones al respecto en mejora de la atención de los pacientes que a diario acuden a nuestro hospital en busca de atención de calidad.Tesis de segunda especialida

El papel de las pruebas psicológicas de personalidad dentro del proceso de selección de personal .

Determinar la importancia de las pruebas psicológicas de personalidad dentro del proceso de selección de personal, se utilizaron cincuenta casos de postulantes que aspiran a obtener un empleo, sometiéndose dentro de una empresa de servicio a un proceso de selección de personal. En este estudio se define en primer lugar cuales son los factores involucrados en el proceso de selección de personal. Para esto se utilizaron observaciones, cuestionarios y diagramas de flujos. Las herramientas propias dentro del proceso de selección son: las pruebas psicológicas de personalidad, las pruebas de inteligencia y la entrevista. Como resultado de la investigación se acepta la hipótesis planteada que define a los resultados de las pruebas de personalidad como no determinantes en el proceso de selección de personal, ya que se encuentra que la parte principal del proceso es la entrevista. Esto se demostró con el seguimiento a los cincuenta procesos de selección, encontrándose que el 68% de los postulantes contratados poseían un tipo de personalidad diferente al necesario al puesto que aplicaban. También es importante señalar que solamente el 89% de los aspirantes poseían un CI dentro del rango medio, el cual es el requisito para ser aceptado en uno de los puestos administrativos u operativos