Gastric Xanthoma Is Related to the Rapid Growth of Gastric Cancer

Early detection of gastric cancer is important. However, rapid growth of gastric cancers that cannot be resected endoscopically occurs even with periodic check-ups. Accordingly, we assessed factors associated with the speed of gastric cancer growth by examining historical endoscopic images. A total of 1996 gastric cancer cases were screened, and characteristics of lesions with slow and rapid growth were assessed. A total of 114 lesions from 114 patients were included in the assessment. Sixty slow-growing and fifty-four rapidly growing gastric cancers were compared. Female sex and incidence of lesions in the lower part of the stomach were significantly less frequent in the rapid-growth group than in the slow-growth group. History of endoscopic treatment tended to be more frequent in the rapid-growth group. Age, body mass index, histology, Helicobacter pylori status, and medications did not differ significantly between groups. Xanthoma was significantly related to rapid growth of gastric cancer, and map-like redness tended to be more frequent in the rapid-growth group in univariate analysis. Xanthoma was significantly related to rapid growth of gastric cancer on multivariate analysis. Further studies are warranted to clarify the pathophysiological mechanisms involved in the speed of gastric cancer growth.

Reframing dan Teh Herbal Rosela sebagai Terapi Antihipertensi Mandiri pada Lansia di Desa Klumprit, Sukoharjo

Hypertension is a non-infectious disease that can cause death. However, this disease has not been resolved properly because it does not show specific symptoms. This service activity aims to educate the elderly about anticipating hypertension independently. Education is carried out promotively by providing counseling and discussion of questions and answers related to hypertension and its dangers; preventively with medical check-up which includes checking blood pressure, blood sugar and cholesterol accompanied by normal number information and recommended the importance of periodic check-ups, curatively by processing dried petals Rosella flower as antihypertensive herbal tea; rehabilitatively with reframing therapy training to reduce stres levels by changing negative thoughts into positive thoughts. The results of the pre-test and post-test processing showed an increase in average from 54.74 to 84.71, which means that the participants' knowledge about hypertension and its treatment increased. The results of the analysis using paired sample t-test showed that there were significant differences between before and after treatment.

Work-related diseases in temporary workers in France between 2009 and 2014

Background The percentage of temporary workers in the workforce has increased in many European countries. The working environments of temporary workers are often characterized by job insecurity and exposure to hazardous working conditions. Studies have investigated the health status of this population but few of them have specifically investigated work-related diseases. The aim of this study is to compare the risk of uncompensated work-related diseases (UWRD) in temporary workers with permanent contract workers in France between 2009 and 2014. Methods UWRD and suspected associated exposure factors were notified by occupational physicians involved in French UWRD surveillance programme. Sociodemographic and professional characteristics were recorded for all salaried workers consulted by occupational physicians. We analysed musculoskeletal (MSD) disorders (elbow, hand/wrist, shoulder, back) and mental health disorders (MHD) according the type of consultation (periodic check-up, hiring...) using logistic regression. The distributions of notified exposure factors for MSD and MHD were compared between temporary and permanent workers. Results Of the 433 148 salaried workers consulted as part of the surveillance programme, 5.3% and 80.2% had temporary and permanent contracts, respectively. Temporary workers were as likely to have work-related shoulder, elbow and hand/wrist MSD as permanent workers. The former had a lower risk of MHD irrespective of the type of consultation ([OR] = 0.4, 95 % CI 0.3-0.5) and a lower risk of back MSD during on-demand/return-to-work consultations ([OR] = 0.2, 95% CI 0.1-0.5) and during periodic check-ups ([OR] = 0.3, 95% CI 0.2-0.7). Conclusions Temporary workers were not at a higher risk of UWRD (MSD and MHD) than permanent workers. This suggests that the generally poor health status found in temporary workers in previous studies may be linked more to their general health status and perceived job insecurity than to poorer working conditions. Key messages In our study, the risk of work related musculoskeletal disorders and mental health disorders in temporary workers was no greater than that in permanent workers. Poor general health known in temporary workers, may be linked more to their general health status, job insecurity and decreasing career trajectory than to poorer working conditions.

New Investigations into Measurement Techniques Using the Pendulous Hammer to Assess Acoustic Insulation in Relation to User-Generated Noise in Residential Buildings

With the release of the revised version of the Swiss standard SIA 181:2006 "Protection Against Noise in Buildings", a measurement technique was introduced for simulating user-generated noise in bathtubs, shower cubicles, wash basins etc. employing a pendulous hammer. Despite the undoubted advantages of the measurement method, over the past few years questions have increasingly been raised regarding various issues involved in its use. The characteristics of the pendulous hammer are insufficiently well specified in the standard and a procedure specifying a periodic check of the instrument is lacking. The measurement method itself is described in inadequate detail, so that (for example) depending on the choice of the excitation, potentially very diff erent results may be obtained. In addition, no information is given regarding the measurement uncertainty. The standard gives level corrections for diff erent excitation scenarios. This allows a comparison of the diff erence between the level of the original noise and that generated by the pendulous hammer. The validity of these level corrections is now, to a certain extent, being challenged. In addition, it has been suggested that – depending on the constructional details - the airborne noise emitted by acoustic radiation from the component under investigation is excessive, thereby potentially falsifying the measured values. These issues have been investigated by Empa and, based on a comprehensive set of laboratory and field measurements, clarified. Measurement protocols are given for various components, and the measurement uncertainty has been evaluated. The eff ect of airborne noise has been shown to be acceptable for tests conducted in accordance with the SIA 181 standard. Sufficient measurement data is now available to allow the level corrections to be determined. Finally, specifications for the pendulous hammer itself have been formulated.

Knowledge and interest of north-central Romanian mothers regarding children oral health prevention - A questionnaire based study

Introduction: The development and eruption of teeth should be followed by the dentist, which is why periodic check ups are required.Aims of the study: This study aims to evaluate the knowledge of the mothers regarding the dental hygiene of the children and the importance of presenting them in the dental office, as well as the knowledge related to the prevention of dental caries.Material and Methods: A questionnaire comprising 15 questions was developed and handed to 290 mothers in Tirgu Mures. The questions targeted the knowledge related to the dental hygiene of the child, and decay prevention.The data obtained were processed electronically. 51.7% of the mothers stated that the visit to the dental office should be done every 6 months, and 58.6% opted for a first contact with the dentist at the age of 3 years. 98.2% of mothers consider dental prevention to be important or very important. 75% consider that the child’s hygiene must be done twice daily, and 89% said that they use the toothbrush in the child’s hygiene process. 68% of the mothers know the term of dental sealing, but only 20% resorted to this method of treatment.Conclussions: The study demonstrates the urgent need to take the lack of interest and information of parents seriously and to develop programs primarily to inform and raise awareness of the population and then to apply different preventive methods.

Study of functioning of relay protection system under regular check conditions

An analytical model of the operation of the relay protection of power systems is presented, which takes into account such types of failures as unwanted operation, failure to operate, as well as defects dangerous from the point of view of unwanted operation and failure to operate. Operability checks of relay protection of power systems are conducted with a constant period. The listed events can be divided into two groups: random and regular ones. The presence of random and regular components of events of recovery of relay protection of power systems can be correctly taken into account in the framework of the apparatus of the theory of Markov processes. The model is based on the description of the process of operation of relay protection of power transmission line by a semi-Markov process. The functioning of the system in time is presented in the form of cycles. The cycle of the functioning of the system consists of a subset, where the system is functioning and verifi ed, and a subset, in which it is restored. The model is implemented in a graph with 9 states. Probabilities of events describe the process of changing states on a discrete set of states of relay protection of the power system. The probability of a change of states is the initial characteristic of a semi-Markov process. This model has enabled to obtain the dependence of operation and reliability parameters on the frequency of regular checks. It is established that the frequency of regular checks with the exponential distribution law overstates the value of the unavailability factor, since the time of the onset of a periodic check is greater than the mathematical expectation of a given value of the periodic check under a random distribution law. With a signifi cant time between checks, or in absence of periodic checks, the unavailability factor tends to a value that does not depend on the way of setting the time between periodic checks.

STUDY OF THE HEALTH STATE IN PATIENTS WITH OCCUPATIONAL POLYNEUROPATHY OF UPPER EXTREMITIES

Introduction. Autonomous sensory polyneuropathy of upper extremities is one of the most common occupational diseases of the peripheral nervous system. Materia and methods. Findings of the health state study in two major worker jobs in which occupational polyneuropathies of upper extremities are prevalent, namely: house-painters and plasterers, as well as mining job workers (underground miners, shaft miners, breakage face miners), are reported. The main harmful factor in both professional groups is the heaviness of the working process. Results. Physical overloads are a reason of the occupational pathology’s complex of “working hand”. At the same time, no systemic autoimmune or endocrine diseases with similar polyneuropathy were detected. Other harmful factors in the working process such as occupational dust, intensive noise can cause another occupational pathology (in respiratory or hearing organs). Discussion. In spite of obviously different working conditions, we detected the same professional diseases in both professional groups - “the working hand pathological complex”. Our findings indicated the importance of the regular periodic check-ups. Doctors should search actively the early signs of coexisting with the occupational polyneuropathy illnesses. The results of health state’s research should be taken into account in the patient’s treatment planning.

Evaluation of forearm and wrist posture in a dental hygienist's occupational activities

The aim of this study was to evaluate the risk of exposure of 210 dental hygienists to forearms and wrists overloading. The study was based on a Rapid Entire Body Assessment (REBA) questionnaire. The results showed that 42.4% and 43.35% of respondents adopted a strenuous working posture of the right and left forearm, respectively. Strenuous inclination of the right and left wrist was reported by 37.1% and 43.8% of respondents, respectively. Additional twisting and lateral deviation of wrists was reported by 83.8% and 84.3% of respondents for the right and left wrist respectively. The results confirm the premise that dental hygienists are at a high risk of overloading their forearms and wrists. Therefore, there is an urgent need to implement preventive measures and to carry out periodic check-ups.

Do you know this syndrome?

Cowden's disease or multiple hamartoma syndrome is an autosomal dominant inherited disease and the main dermatological features are facial trichilemmomas (hamartomas of the follicular infundibula), oral fibroma and benign acral keratoses. The importance of this disease lays in the increased susceptibility to malignization of some lesions, especially breast, thyroid and genitourinary tract. Despite its varied phenotypic expression, this disease is generally unknown. Consequently, many cases are undiagnosed or diagnosis comes at a late stage, which reinforces the importance of an early investigation of the disease so the patient may have periodic check-ups to discover and treat malignancies.

Off-Gas Nuclide Analysis System

In the nuclear power plant, the off gas linear monitor had been installed for the purpose of a detection of fuel leakage. However, its sensitivity to detect the early stage of fuel leakage was not enough, because it measured only the gross gamma-ray. So a high sensitive off gas monitor has been desired. HITACHI, Ltd., is commercialized the Off-Gas Nuclide Analysis System which can be accurately detected radioactive noble gases as a index to fuel leakage, and delivered it in 19 plants since 2002. It has been continuously working well and able to detect the early stage of fuel leakage 7 times. It can be detected the minute fuel leakage, so it is possible to operate the plant till next periodic check of the plant by executing PST*. And even if it is the case in which the plant must be stopped, the extent of pollution by fuel failure can be minimized. Main features of the Off-Gas Nuclide Analysis System are followings: (1) Maintenance-free continuous measurement is enabled by adopting electricity cooling system for a Ge detector. By attempting the miniaturization of the system, a compact field implementation plan is realized and also a periodic check can be simplified. (2) Thickness of a Ge detector is optimized to detect Xe-133 (80keV) as a main index nuclide to fuel leakage, so detection sensitivity is improved. (3) By adopting the mass flow control system wcich can control the flow stably in low, it is possible to reduce a volume and length of a decay tube for 13N which is the main interference nuclide, then a installation of the system is able to be simplified. (4) Moving average method which is effective to reduce noise is applied to a trend display of nuclides measured value, and it can be set at optimum time for the PST execution by flexibly setting a moving average time. *PST: Power Supression Test