17 research outputs found

    Mid-Tertiary paleoenvironments in Thailand: pollen evidence

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    International audienceOnly few well-dated records document the evolution of Southeast Asian paleoenvironments during the Cenozoic. Here we analyse continental pollen assemblages from Late Oligocene and Miocene fossil sites of Thailand. In agreement with previous studies, palynoflora from the Oligocene suggests warm temperate forested habitats at 24–26 Ma, whereas Middle Miocene assemblages are made of thermophilous taxa. This change can be linked to the major climate reorganization that brought warmer and wetter conditions over Southeast Asia around 22 Ma. This study also provides the first submillional records from the Middle Miocene of Thailand. Thirteen samples of lignite layers from the sivaladapid-bearing Mae Moh site, dated between 13.3 and 13.1 Ma, and six samples from the hominoid-bearing Chiang Muan deposit, dated between 12.4 and 12.2 Ma, document oscillations between tropical woodlands and grasslands in northern Thailand. These pollen records likely reflect climate variations linked to insolation variations. Late Miocene palynological assemblages from Khorat, northeastern Thailand, document fluviolacustrine paleoenvironments alternatively covered by thermophilous trees and grasslands. These records show that both sivaladapids and early hominoids from Thailand have evolved in tropical environments with high variability in the vegetation cover

    Lung function abnormalities in smokers with ischemic heart disease

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    Rationale: The aim of the ALICE (Airflow Limitation in Cardiac Diseases in Europe) study was to investigate the prevalence of airflow limitation in patients with ischemic heart disease and the effects on quality of life, healthcare use, and future health risk. Objectives: To examine prebronchodilator and post-bronchodilator spirometry in outpatients aged greater than or equal to 40 years with clinically documented ischemic heart disease who were current or former smokers. Methods: This multicenter, cross-sectional study was conducted in 15 cardiovascular outpatient clinics in nine European countries. Airflow limitation was defined as post-bronchodilator FEV1/FVC less than 0.70. Measurements and Main Results: Among the 3,103 patients with ischemic heart disease who were recruited, lung function was defined for 2,730 patients. Airflow limitation was observed in 30.5% of patients with ischemic heart disease: 11.3% had mild airflow limitation, 15.8% moderate airflow limitation, 3.3% severe airflow limitation, and 0.1% very severe airflow limitation. Most patients with airflow limitation (70.6%) had no previous spirometry testing or diagnosed pulmonary disease. Airflow limitation was associated with greater respiratory symptomatology, impaired health status, and more frequent emergency room visits (P < 0.05). Conclusions: Airflow limitation compatible with chronic obstructive pulmonary disease affects almost one-third of patients with ischemic heart disease. Although airflow limitation is associated with additional morbidity and societal burden, it is largely undiagnosed and untreated

    Risk of newly detected infections and cervical abnormalities in women seropositive for naturally acquired human papillomavirus type 16/18 antibodies : analysis of the control arm of PATRICIA

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    Background. We examined risk of newly detected human papillomavirus (HPV) infection and cervical abnormalities in relation to HPV type 16/18 antibody levels at enrollment in PATRICIA (Papilloma Trial Against Cancer in Young Adults; NCT00122681). Methods. Using Poisson regression, we compared risk of newly detected infection and cervical abnormalities associated with HPV-16/18 between seronegative vs seropositive women (15–25 years) in the control arm (DNA negative at baseline for the corresponding HPV type [HPV-16: n = 8193; HPV-18: n = 8463]). Results. High titers of naturally acquired HPV-16 antibodies and/or linear trend for increasing antibody levels were significantly associated with lower risk of incident and persistent infection, atypical squamous cells of undetermined significance or greater (ASCUS+), and cervical intraepithelial neoplasia grades 1/2 or greater (CIN1+, CIN2+). For HPV-18, although seropositivity was associated with lower risk of ASCUS+ and CIN1+, no association between naturally acquired antibodies and infection was demonstrated. Naturally acquired HPV-16 antibody levels of 371 (95% confidence interval [CI], 242–794), 204 (95% CI, 129–480), and 480 (95% CI, 250–5756) EU/mL were associated with 90% reduction of incident infection, 6-month persistent infection, and ASCUS+, respectively. Conclusions. Naturally acquired antibodies to HPV-16, and to a lesser extent HPV-18, are associated with some reduced risk of subsequent infection and cervical abnormalities associated with the same HPV type
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