Proceedings of the international collaborative effort on injury statistics, Volume 1

Called "Volume I" as it is the proceedings of the first meeting."On May 18-20, 1994 the National Center for Health Statistics (NCHS) convened the first symposium of the International Collaborative Effort (ICE) on Injury Statistics. This symposium was co-sponsored by the National Institute of Child Health and Human Development (NICHD), National Institutes of Health"--p. iii.Also available via the World Wide Web.Includes bibliographic references

Proceedings of the International Collaborative Effort on Automating Mortality Statistics, Volume II

Arialdi M. Minino and Harry M. Rosenberg, editors."September 2001.""Second plenary meeting of the International Collaborative Effort on Automating Mortality Statistics held in Bethesda, Maryland, September 7-10, 1999"--Pref.Sponsored by the Centers for Disease Control and Prevention, National Center for Health Statistics.Also available via the World Wide Web.Includes bibliographical references

Proceedings of the International Collaborative Effort on Perinatal and Infant Mortality, Volume 1: papers presented at the International Symposium on Perinatal and Infant Mortality, 1984 ; Bethesda, Maryland

On August 6-9, 1984, the International Collaborative Effort (ICD) on Perinatal and Infant Mortality of the National Center for Health Statistics (NCHS) convened an International Symposium for the purpose of coordinating research activities of NCHS with parallel activities in selected industrialized countries. The results of these activities are expected to provide guidance for Public Health Service programs and activities designed to improve infant health and reduce the disparities that currently exist between racial, ethnic and socioeconomic groups in the United States. The ICE Planning Group is comprised of members from the National Center for Health Statistics, the Center for Environmental Health of the Centers for Disease Control, the Division of Maternal and Child Health of the Health Resources and Services Administration, the National Institute of Child Health and Human Development of the National Institutes of Health and the Association of Vital Records and Health Statistics. This group also includes two eminent researchers from each of six countries: the Federal Republic of Germany, Great Britain, Israel, Japan, Norway and Sweden. The participants of the Symposium included as well epidemiologists, physicians, researchers, health statisticians and health planners experienced in the areas of perinatal and infant health and mortality conditions. The Symposium devoted the first 2 days to presentations describing recent trends and levels, health care systems, and current research and developments related to perinatal and infant mortality in each country represented. On the third day, the participants divided into 4 working groups on: . Risk factors affecting pregnancy outcome; Clinical interventions related to fetal health; Clinical interventions related to infant health; Community interventions. Reports were prepared and presented on the fourth and final day. Recommendations for research activities of mutual concern were made. By publishing these Proceedings, it is hoped that the communication and collaboration will continue far beyond this Symposium.sponsored by National Center for Health Statistics.Includes bibliographical references

Travel Illness Outbreak Investigation and Treatment among Interprofessional Health Team Members in Guatemala

Purpose: Americans travel each year and acquire illnesses. Gastrointestinal illness is a common self-reported illness and has many associated risk factors. Students from a medical school in Virginia traveled to Guatemala to provide medical care. Overall, 1,250 patients were seen by the student doctors. An outbreak investigation was initiated when members of the medical team began experiencing illness. Methods: Food and water safety was inspected and inquiries were made about the health of other travelers staying at the same host. Furthermore, a voluntary brief survey was completed after returning to the United States. The index patient had seen a patient in the clinic with similar symptoms. An incubation period of 24-36 hours was established. Results: After an adequate kitchen inspection including both food and water distribution, it was determined the illness was being spread from person to person. The survey was administered to 93 travelers and 69 completed the survey. Symptoms were reported by 74% of survey respondents. There was no correlation to consumption of food and water. Conclusions: Prevention measures such as hand hygiene practices should be emphasized to prevent spread of the illness among medical travelers. Limitations include recall bias

Proceedings of 1988 International Symposium on Data on Aging

The International Symposium was convened from December 7 to 9, 1988, in Bethesda, Maryland, to develop proposals for research in measuring the health and health care of the aging, The Proceedings include papers from the plenary sessions, where measurement issues were identified, and the workshops, where specific proposals for research were outlined, Speakers and participants were distinguished International experts from a dozen different countries and a variety of organizations, They were selected for their expertise in the six topics addressed by the International Symposium: Common chronic diseases, health promotion, vitality, functioning, mortallty statistics, and outcomes of nursing home care.Part I. Introduction -- 1. Measuring the health and health care of the aging / by Manning Feinleib. -- 2. My grandmother said, "If you have your health, you have everything." What did she mean? / by Harvey Jay Cohen -- -- Part II. Comparing cardiovascular and cancer statistics -- Introduction / by Harry M. Rosenberg. -- 3. Morbidity and mortality information on old age: Comments on availability, validity, and comparability / by Thomas Strasser -- 4. Validity of diagnosis of cancer in the elderly / by C.S. Muir -- 5. Causes of death among the elderly: Information from the death certificate / by Harry Rosenberg, Frances Chevarley, Eve Powell-Griner, Kenneth Kochanek, and Manning Feinleib -- 6. Diagnosisofcardiovascular diseaseinelderlypopulations / by Millicent W. Higgins -- -- Part III.. Health promotion and disease prevention among the aged -- Introduction / by Gerry E. Hendershot. -- 7. Statistics on health promotion and dsease prevention in The Netherlands / by Henk Swinkels. -- 8. Health promotion among the aged in the United States / by Gerry E. Hendershot -- 9. Optimal survey research methods for studying health-related behaviors of older people / by John B. McKinlay -- -- Part IV. Functional disability -- Introduction / by Mary Grace Kovar -- 10. Functional ability and the need for care: Issues for measurement research / by Mary Grace Kovar -- ll. Surveys of the situation of the elderly in Hungary / by Andads Klinger -- 12. A comparison of demographic, health, and housing variables in studies of elderly populations in Canada and the United States / by W.F. Forbes, L.M. Hayward, and B.D.McPherson -- 13. Functioning old age: Measurement, comparability, and service planning / by A. Michael Davies -- 14. Functional disability issues / by Mary Grace Kovar -- -- Part V. International health care research -- Introduction / by Jacob J. Feldman -- 15. Cross-national research in health care / by Gary Robert Andrews -- -- Part VI. Comparative analysis of health statistics for selected diseases common in older persons in the United States -- Introduction / by Tamara Harris -- 16. Opportunities for international collaboration: Comparisons of morbidity and mortality for chronic diseases in older persons by Jacob A. Brody -- 17. Epidemiology of aging in Hong Kong: Health status of the Hong Kong Chinese elderly / by Suzanne C. Ho -- 18. The utility of cross-national comparisons of diseases of older persons / by Tamara Harris -- 19. Utility of cross-national comparisons of diseases of older persons: Osteoporosis as an example / by Jennifer L. Kelsey -- -- Part VII. Measuring risk factors and outcomes of institutional long-term care -- Introduction/ by Joan F. Van Nostrand. -- 20. Research on institutional long-term care in Australia / by Anna L. Howe -- 21. Long-term care in the United States: Issues in measuring nursing home outcomes / by Joan F. Van Nostrand -- 22. Measuring outcomes of institutional long-term care: The problem of both the dependent and independent variables / by Rosalie A. Kane -- 23. Outcomes of community and institutional long-term care / by Betty Havens -- -- Part VIII. Assessment of vitality and aging -- Introduction / by Richard J. Havlik -- 24. Quality of life among the elderly in Veneto, Italy: across-sectional study / by Stefania Maggi, Trudy L . Bush, Giuliano Enzi, and Gaetano Crepaldi -- 25. Physical, social, and mental vitality / by Richard J. Havlik. -- 26. Measurement of vitality in the Americans' Changing Lives study / by A. Regula Herzog -- -- Part IX. Special activities related to measuring health and health care -- 27. Contribution of the World Health Organization Program for Research on Aging to activities related to measuring health and health care / by Jorge Liwak -- 28. Health for the elderly by the year 2000: statistical needs / by Ronald G. Blankenbaker -- -- Part X. Summary -- 29. Overview / by Manning Feinleib -- 30. Comparing cardiovascular and cancer statistics / by Harry M Rosenberg -- 31. Health promotion and disease prevention among the aged / by Gerry E. Hendershot -- 32. Functional disability / by Mary Grace Kovar -- 33. Comparative analysis of health statistics for selected diseases common in older persons in the United States / by Tamara Harris -- 34. International collaboration in measuring outcomes of nursing home care / by Joan F. Van Nostrand -- 35. Assessment of vitality and aging / by Richard J. HavlikManning Feinleib, editor."Symposium ... convened from December 7 to 9, 1988, in Bethesda, Maryland."Also available via the World Wide Web as an Acrobat .pdf file (20.57 MB, 243 p.).Includes bibliographical references

Proceedings of the International Collaborative Effort on Perinatal and Infant Mortality, volume III: papers presented at the International Symposium on Perinatal and Infant Mortality, 1990, Bethesda, Maryland, sponsored by the National Center for Health Statistics

These are the papers presented at the International Symposium on Perinatal and Infant Mortality, held in Bethesda, Maryland, in 1990. The meeting was sponsored by the International Collaborative Effort on Perinatal and Infant Mortality, created by the National Center for Health Statistics to examine reasons for the relatively poor international ranking of the United States in perinatal and infant mortality. Most of the papers are based on a standardized, birth-weight specific, data set covering birth cohorts from 1980 to 1985. They provide insights into sources of differences in infant and perinatal mortality among participating developed countries, and are grouped under the headings: health care and services; relation of cultural and social factors to pregnancy outcomes; birthweight, gestational age, and age at death; cause of death; and infant survival and preventable mortality.Includes bibliographical references. (50 plus ref.

Can Bcl-XL expression predict the radio sensitivity of Bilharzial-related squamous bladder carcinoma? a prospective comparative study

<p>Abstract</p> <p>Background</p> <p>Local pelvic recurrence after radical cystectomy for muscle invasive bilharzial related squamous cell carcinoma accounts for 75% of treatment failures even in organ confined tumors. Despite the proven value of lymphadenectomy, up to 60% of patients undergoing cystectomy do not have it. These factors are in favor of adjuvant radiotherapy reevaluation. objectives: to evaluate the effect of adjuvant radiotherapy on disease free survival in muscle invasive bilharzial related squamous cell carcinoma of the urinary bladder and to test the predictability of radio-sensitivity using the anti apoptotic protein Bcl-XL.</p> <p>Methods</p> <p>The study prospectively included 71 patients, (47 males, 24 females) with muscle invasive bilharzial related squamous cell carcinoma of the bladder (Stage pT2a-T3N0-N3M0) who underwent radical cystectomy in Assiut university hospitals between January 2005 and December 2006. Thirty eight patients received adjuvant radiotherapy to the pelvis in the dose of 50Gy/25 fractions/5 weeks (Group 1), while 33 patients did not receive adjuvant radiotherapy (group 2). Immunohistochemical characterization for bcl-xL expression was done. Follow up was done every 3 months for 12 to 36 months with a mean of 16 ± 10 months. All data were analyzed using SPSS version 16. Three years cumulative disease free survival was calculated and adjusted to Bcl-XL expression and side effects of the treatment were recorded.</p> <p>Results</p> <p>The disease free cumulative survival was 48% for group 1 and 29% for group 2 (log rank p value 0.03). The multivariate predictors of tumor recurrence were the positive Bcl-XL expression (odd ratio 41.1, 95% CI 8.4 - 102.3, p < 0.0001) and radiotherapy (odd ratio 0.19, 95% CI 0.05 - 0.78, p < 0.02). With Cox regression, the only independent multivariate predictor of radio-sensitivity was the Bcl-XL expression with odd ratio 4.6 and a p value < 0.0001. All patients tolerated the treatment with no life threatening or late complications during the period of follow up.</p> <p>Conclusions</p> <p>Adjuvant radiotherapy for muscle invasive bilharzial related squamous cell carcinoma of the urinary bladder has potential effectiveness and minor side effects. Moreover, Bcl-XL expression is a valuable tool for predicting those who might not respond to this adjuvant treatment.</p

Human retroviruses and AIDS 1996. A compilation and analysis of nucleic acid and amino acid sequences

This compendium and the accompanying floppy diskettes are the result of an effort to compile and rapidly publish all relevant molecular data concerning the human immunodeficiency viruses (HIV) and related retroviruses. The scope of the compendium and database is best summarized by the five parts that it comprises: (1) Nuclear Acid Alignments and Sequences; (2) Amino Acid Alignments; (3) Analysis; (4) Related Sequences; and (5) Database Communications. Information within all the parts is updated throughout the year on the Web site, http://hiv-web.lanl.gov. While this publication could take the form of a review or sequence monograph, it is not so conceived. Instead, the literature from which the database is derived has simply been summarized and some elementary computational analyses have been performed upon the data. Interpretation and commentary have been avoided insofar as possible so that the reader can form his or her own judgments concerning the complex information. In addition to the general descriptions of the parts of the compendium, the user should read the individual introductions for each part

Planar wire array performance scaling at multi-MA levels on the Saturn generator.

A series of twelve shots were performed on the Saturn generator in order to conduct an initial evaluation of the planar wire array z-pinch concept at multi-MA current levels. Planar wire arrays, in which all wires lie in a single plane, could offer advantages over standard cylindrical wire arrays for driving hohlraums for inertial confinement fusion studies as the surface area of the electrodes in the load region (which serve as hohlraum walls) may be substantially reduced. In these experiments, mass and array width scans were performed using tungsten wires. A maximum total radiated x-ray power of 10 {+-} 2 TW was observed with 20 mm wide arrays imploding in {approx}100 ns at a load current of {approx}3 MA, limited by the high inductance. Decreased power in the 4-6 TW range was observed at the smallest width studied (8 mm). 10 kJ of Al K-shell x-rays were obtained in one Al planar array fielded. This report will discuss the zero-dimensional calculations used to design the loads, the results of the experiments, and potential future research to determine if planar wire arrays will continue to scale favorably at current levels typical of the Z machine. Implosion dynamics will be discussed, including x-ray self-emission imaging used to infer the velocity of the implosion front and the potential role of trailing mass. Resistive heating has been previously cited as the cause for enhanced yields observed in excess of jxB-coupled energy. The analysis presented in this report suggests that jxB-coupled energy may explain as much as the energy in the first x-ray pulse but not the total yield, which is similar to our present understanding of cylindrical wire array behavior