Association of FOBT-assessed faecal Hb content with colonic lesions detected in the Florence screening programme

We assessed the correlation between quantitative results of immunological faecal occult blood testing (I-FOBT) and colonic lesions (191 colorectal cancers, 890 adenomas) detected at colonoscopy in 2597 FOBT+ (cutoff 100 ng ml−1 Hb) subjects. At univariate analysis, a higher average faecal Hb content was significantly associated with male gender (P=0.003), age (P=0.02), and colonoscopy findings (P=0.000). Among adenomas, higher faecal Hb content was significantly associated with size (P=0.0000), presence of severe dysplasia (P=0.0001), presence of villous component (P=0.0002), and location in the left colon (P=0.003). At multivariate analysis adjusting for potential confounders, age (P=0.03), size (P=0.0000), and location in the left colon (P=0.0005) were confirmed as having an independent association with higher faecal Hb content. Immunological FOBT is confirmed to be a specific screening test to detect cancer and adenoma, with a low positivity rate (3.7%) and a high positive predictive value (41.5%). Faecal Hb content is significantly higher for those lesions (cancer and high-risk adenomas) screening is aimed at detecting

‘Real people in real places’: Conceptualizing power for emancipatory security through Tahrir

The objective of emancipatory security theory is to examine the insecurities of individuals and social groups that stem from oppressive power processes, relations, and structures. However, the image of power in emancipatory security studies does not correspond to such a normative and analytical motivation. This renders the theory susceptible to substantial criticism on the grounds of inadequate analysis of resisting individuals as agents of security in their own localities. To address this issue, the present article conceptualizes ‘emancipatory power’. In this exercise, Hannah Arendt’s understanding of power, enriched by Judith Butler’s concept of performativity and feminist insights, will be used as the theoretical foundation to tailor collective power based on trust in a ‘moment’ of emancipation. Collective power will be illustrated by references to the protests in Cairo’s Tahrir Square in 2011. © The Author(s) 2015

Activation of the neuroendocrine response in heart failure: adaptive or maladaptive process?

Congestive heart failure is a clinical syndrome in which the capacity of the heart to maintain cardiac output is impaired. As a consequence, blood pressure is threatened and endocrine and paracrine mechanisms are activated to preserve circulatory homeostasis and to maintain blood pressure. At terminal stages, a complex multiorgan syndrome develops with severe pump failure, intense systemic vasoconstriction, and avid water and sodium retention. Increasing evidence points to humoral circulating or locally synthesized substances as one of the causes of the terminal consequences of heart failure. Therefore, the hypothesis that the syndrome of heart failure is, at least in part, a humoral disease has developed and is obtaining scientific credibility. Consequently, the neuroendocrine response to heart failure is no longer viewed as a compensatory beneficial mechanism. Instead, we have learned through the years that pharmacological treatment aimed at reducing the effect of the neuroendocrine response is indeed clinically and prognostically advantageous for the patient

Application of thermo-responsive poly(methyl vinyl ether) containing copolymers in combination with ultrasonic treatment for pigment surface modification in pigment dispersions

The process of surface modification of hydrophobic organic (copper phthalocyanine (CuPc)) as well as hydrophilic inorganic pigments (titanium dioxide) in aqueous dispersions by employing tailor-made thermo-responsive copolymers and the colloidal stability have been studied as a function of temperature. The pigment surface modification is achieved by conventional adsorption and by thermoprecipitation of amphiphilic methyl vinyl ether (MVE) containing block and graft copolymers, exhibiting a lower critical solution temperature (LCST), with poly(isobutyl vinyl ether) blocks and poly(ethylene oxide) side chains, respectively. The effect of mechanical treatment of the pigment dispersion by ultrasonic power alone or in combination with the LCST property was investigated. The course of the pigment surface coating process was followed by the electrokinetic sonic amplitude (ESA) method. The temperature-controlled sorption of PMVE-g-PEO graft copolymers on both inorganic and organic pigment surfaces was investigated. It was found that ultrasonic treatment together with LCST thermoprecipitation is a promising method for the surface modification of pigments with regard to dispersion stability. (c) 2007 Elsevier Ltd. All rights reserved