Screening for health risks: A social science perspective

Health screening promises to reduce risks to individuals via probabilistic sifting of populations for medical conditions. The categorisation and selection of 'conditions' such as cardiovascular events, dementia and depression for screening itself requires prior interpretive labour which usually remains unexamined. Screening systems can take diverse organisational forms and varying relationships to health status, as when purported disease precursors, for example 'pre-cancerous' polyps, or supposed risk factors, such as high cholesterol themselves, become targets for screening. Screening at best yields small, although not necessarily unworthwhile, net population health gains. It also creates new risks, leaving some individuals worse-off than if they had been left alone. The difficulties associated with attempting to measure small net gains through randomised controlled trials are sometimes underestimated. Despite endemic doubts about its clinical utility, bibliometric analysis of published papers shows that responses to health risks are coming to be increasingly thought about in terms of screening. This shift is superimposed on a strengthening tendency to view health through the lens of risk. It merits further scrutiny as a societal phenomenon

Dominant g(9/2)^2 neutron configuration in the 4+1 state of 68Zn based on new g factor measurements

The $g$ factor of the $4_1^+$ state in $^{68}$Zn has been remeasured with improved energy resolution of the detectors used. The value obtained is consistent with the previous result of a negative $g$ factor thus confirming the dominant $0g_{9/2}$ neutron nature of the $4_1^+$ state. In addition, the accuracy of the $g$ factors of the $2_1^+$, $2_2^+$ and $3_1^-$ states has been improved an d their lifetimes were well reproduced. New large-scale shell model calculations based on a $^{56}$Ni core and an $0f_{5/2}1pg_{9/2}$ model space yield a theoretical value, $g(4_1^+) = +0.008$. Although the calculated value is small, it cannot fully explain the experimental value, $g(4_1^+) = -0.37(17)$. The magnitude of the deduced B(E2) of the $4_1^+$ and $2_1^+$ transition is, however, rather well described. These results demonstrate again the importance of $g$ factor measurements for nuclear structure determination s due to their specific sensitivity to detailed proton and neutron components in the nuclear wave functions.Comment: 7 pages, 3 figs, submitted to PL

Estimación de las relaciones genéticas entre razas caprinas españolas y criollas utilizando microsatélites

We have analyzed three Creole goat populations from Peru, Mexico and Chile using microsatellite markers. We have also analyzed the genetic relationship between them and Murciano-Granadina and Malagueña Spanish goat breeds. The average number of alleles per locus was similar in all populations (7.3) except the Chilean Creole (5.1). This Creole goat population has presented the lowest value of observed (Ho) (0.53) and expected (He) heterozygosis (0.59). The Peruvian Creole has presented the highest values of Ho (0.70) and He (0.71). We have found a scarce level of genetic differentiation between goat populations (FST= 0.069) being more important the individual genetic differences due to crossbreed with several breeds. The Peruvian Creole was closed to analyzed Spanish breeds, followed by Mexican Creole. Finally the Chilean Creole was the most distant to the others populations

Parasitémies à Plasmodium falciparum ou P. malariae chez les porteurs du trait drépanocytaire dans différents biotopes du Bénin

La prévalence du paludisme en fonction du phénotype de l'hémoglobine et la fréquence du gène S ont été recherchées dans deux différents biotopes du Bénin. Dans aucun d'eux, la prévalence du paludisme n'est significativement différente entre les porteurs du trait drépanocytaire et les autres. De même, la prévalence du trait drépanocytaire n'est pas modifiée par l'âge. En revanche, en région holoendémique, la densité parasitaire moyenne à #P. falciparum$ est significativement plus faible chez les sujets AS que chez les sujets AA. La présence du trait drépanocytaire ne réduit pas le risque d'infection palustre mais semble diminuer l'importance de la parasitémie. (Résumé d'auteur

A Micromegas-based low-background x-ray detector coupled to a slumped-glass telescope for axion research

We report on the design, construction and operation of a low background x-ray detection line composed of a shielded Micromegas (micromesh gaseous structure) detector of the microbulk technique. The detector is made from radiopure materials and is placed at the focal point of a $\sim$~5 cm diameter, 1.3 m focal-length, cone-approximation Wolter I x-ray telescope (XRT) comprised of thermally-formed (or "slumped") glass substrates deposited with multilayer coatings. The system has been conceived as a technological pathfinder for the future International Axion Observatory (IAXO), as it combines two of the techniques (optic and detector) proposed in the conceptual design of the project. It is innovative for two reasons: it is the first time an x-ray optic has been designed and fabricated specifically for axion research, and the first time a Micromegas detector has been operated with an x-ray optic. The line has been installed at one end of the CERN Axion Solar Telescope (CAST) magnet and is currently looking for solar axions. The combination of the XRT and Micromegas detector provides the best signal-to-noise ratio obtained so far by any detection system of the CAST experiment with a background rate of 5.4$\times$10$^{-3}\;$counts per hour in the energy region-of-interest and signal spot area.Comment: 21 pages, 16 figure

Topotecan-vincristine-doxorubicin in stage 4 high risk neuroblastoma patients failing to achieve a complete metastatic response to rapid COJEC : a SIOPEN study

Purpose : Metastatic response to induction therapy for high-risk neuroblastoma is a prognostic factor. In the International Society of Paediatric Oncology Europe Neuroblastoma (SIOPEN) HR-NBL-1 protocol, only patients with metastatic complete response (CR) or partial response (PR) with <= three abnormal skeletal areas on iodine 123-metaiodobenzylguanidine ([I-123] mIBG) scintigraphy and no bone marrow disease proceed to high dose therapy (HDT). In this study, topotecan-vincristine-doxorubicin (TVD) was evaluated in patients failing to achieve these criteria, with the aim of improving the metastatic response rate. Materials and Methods : Patients with metastatic high-risk neuroblastoma who had not achieved the SIOPEN criteria for HDT after induction received two courses of topotecan 1.5 mg/m(2)/day for 5 days, followed by a 48-hour infusion of vincristine, 2 mg/m(2), and doxorubicin, 45 mg/m(2). Results : Sixty-three patients were eligible and evaluable. Following two courses of TVD, four (6.4%) patients had an overall CR, while 28 (44.4%) had a PR with a combined response rate of 50.8% (95% confidence interval [CI], 37.9 to 63.6). Of these, 23 patients achieved a metastatic CR or a PR with <= 3 mIBG skeletal areas and no bone marrow disease (36.5%; 95% CI, 24.7 to 49.6) and were eligible to receive HDT. Toxicity was mostly haematological, affecting 106 of the 126 courses (84.1%; 95% CI, 76.5 to 90.0), and dose reduction was necessary in six patients. Stomatitis was the second most common nonhematological toxicity, occurring in 20 patients (31.7%). Conclusion : TVD was effective in improving the response rate of high-risk neuroblastoma patients after induction with COJEC enabling them to proceed to HDT. However, the long-term benefits of TVD needs to be determined in randomized clinical trials

Organic and conventional dairy goat production systems in Andalusian mountainous areas

Organic goat production is poorly developed in Spain. Conventional dairy goat production systems located in Andalusian mountainous areas greatly depend on pasturing which implies that its transformation to organic model is not difficult. The objective of this paper is to evaluate the viability of organic dairy goat farms –as compared to conventional–, and to study the possibilities of transitioning from conventional to organic goat production. This study was carried out in 2006 in Sierra de Cádiz (Andalusia) with the autochthonous breed Payoya. To monitor technico-economic aspects of goat farms, FAO-CIHEAM method was implemented. Results indicate that organic farms are economically viable, due mainly to low costs of external feeds and income from European Union subsidies. For transitioning from conventional to organic dairy goat production a reduction of consumption of concentrates per animal and per year and/or cultivate grain on the farm are necessary.La production caprine biologique est encore peu développée en Espagne. Les systèmes caprins laitiers dans les zones de montagne de l’Andalousie disposent de grandes surfaces pour le pâturage, et, par conséquent, il est assez facile de transformer ces systèmes en systèmes biologiques. L’objectif de ce travail est d’évaluer la viabilité des systèmes caprins biologiques par rapport aux systèmes caprins conventionnels et d’étudier les possibilités de conversion des systèmes conventionnels en systèmes biologiques. L’étude a été réalisée en 2006 dans la Sierra de Cádiz (Andalousie) avec une race autochtone (Payoya). On a utilisé la méthodologie FAO-CIHEAM pour le suivi technico-économique des exploitations caprines. Les résultats montrent que les systèmes biologiques sont économiquement viables compte tenu surtout des moindres coûts alimentaires par rapport aux systèmes conventionnels et des aides de l’Union Européenne. Pour réussir la transformation des systèmes laitiers caprins conventionnels en systèmes biologiques, il faut réduire l’apport de concentrés et essayer de les produire dans l’exploitation.Junta Andalucí

Ecological study of aquatic midges and some related insects with special reference to feeding habits

Die Schweiz ist ein reiches Land. Sie verfügt über viele Millionäre. Der große Reichtum konzentriert sich auf wenige Familien und Personen. In der Schweiz leben aber auch eine halbe Million der Bevölkerung (7,5 Mio.) in Haushalten von Erwerbstätigen, die weniger als das Existenzminimum verdienen. Über 200‘000 Personen sind auf Sozialhilfe angewiesen. Bei den Vermögen und den verfügbaren Einkommen hat sich in den letzten Jahren die Kluft zwischen den obersten und untersten zehn Prozent verschärft. Die Zunahme der sozialen Ungleichheit erhöht die soziale Brisanz, was mehr zu ergründen ist. Die soziale Differenzierung dokumentiert Prozesse der Globalisierung. Sie reproduziert und spezifiziert alte soziale Ungleichheiten. Wichtig ist, dass die Soziale Arbeit das thematisiert und weiter theoretisiert