Tuberculosis and airflow obstruction: evidence from the PLATINO study in Latin America

The aim of the present study was to evaluate the association between history of tuberculosis and airflow obstruction.A population-based, multicentre study was carried out and included 5,571 subjects aged >= 40 yrs living in one of five Latin American metropolitan areas: São Paulo (Brazil); Montevideo (Uruguay); Mexico City (Mexico); Santiago (Chile); and Caracas (Venezuela). Subjects performed pre- and post-bronchodilator spirometry and were asked whether they had ever been diagnosed with tuberculosis by a physician.The overall prevalence of airflow obstruction (forced expiratory volume in one second/forced vital capacity post-bronchodilator < 0.7) was 30.7% among those with a history of tuberculosis, compared with 13.9% among those without a history. Males with a medical history of tuberculosis were 4.1 times more likely to present airflow obstruction than those without such a diagnosis. This remained unchanged after adjustment for confounding by age, sex, schooling, ethnicity, smoking, exposure to dust and smoke, respiratory morbidity in childhood and current morbidity. Among females, the unadjusted and adjusted odds ratios were 2.3 and 1.7, respectively.In conclusion, history of tuberculosis is associated with airflow obstruction in Latin American middle-aged and older adults.Univ Fed Pelotas, BR-96020220 Pelotas, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilNatl Inst Resp Dis, Mexico City, DF, MexicoUniv Republica, Montevideo, UruguayCatholic Univ Chile, Santiago, ChileCent Univ Venezuela, Caracas, VenezuelaUniversidade Federal de São Paulo, São Paulo, BrazilWeb of Scienc

Sex-related differences in COPD in five Latin American cities: the PLATINO study

There is evidence to suggest sex differences exists in chronic obstructive pulmonary disease (COPD) clinical expression. We investigated sex differences in health status perception, dyspnoea and physical activity, and factors that explain these differences using an epidemiological sample of subjects with and without COPD.PLATINO is a cross-sectional, population-based study. We defined COPD as post-bronchodilator forced expiratory volume in 1 s/forced vital capacity ratio = 2 versus 35% of males. A similar trend was observed in females with COPD (63% versus 44%). in the entire study population, female sex was a factor explaining dyspnoea (OR 1.60, 95% CI 1.40-1.84) and SF-12 physical score (OR -1.13, 95% CI -1.56- -0.71). 40% of females versus 28% of males without COPD reported their general health status as fair-to-poor. Females with COPD showed a similar trend (41% versus 34%). Distribution of COPD severity was similar between sexes, but currently smoking females had more severe COPD than currently smoking males.There are important sex differences in the impact that COPD has on the perception of dyspnoea, health status and physical activity limitation.Boehringer Ingelheim GmbH (Ingelheim, Germany)Asociacion Latinoamericana de Torax (ALAT)Univ Republica, Fac Med, Montevideo, UruguayCent Univ Venezuela, Fac Med, Caracas, VenezuelaUniv Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90024 USAInst Resp Dis, Mexico City, DF, MexicoUniversidade Federal de São Paulo, São Paulo, BrazilUniv Fed Pelotas, Postgrad Program Epidemiol, Pelotas, BrazilPontificia Univ Catolica Chile, Santiago, ChileUniversidade Federal de São Paulo, São Paulo, BrazilWeb of Scienc

The epidemiology of osteonecrosis: findings from the GPRD and THIN databases in the UK

Summary We conducted a case–control study to examine osteonecrosis (ON) incidence, patient characteristics, and selected potential risk factors using two health record databases in the UK. Statistically significant risk factors for ON included systemic corticosteroid use, hospitalization, referral or specialist visit, bone fracture, any cancer, osteoporosis, connective tissue disease, and osteoarthritis.Introduction The purpose of this case–control study was to examine the incidence of osteonecrosis (ON), patient characteristics, and selected potential risk factors for ON using two health record databases in the UK: the General Practice Research Database and The Health Improvement Network.Methods ON cases (n? =?792) were identified from 1989 to 2003 and individually matched (age, sex, and medical practice) up to six controls (n?=?4,660) with no record of ON. Possible risk factors were considered for inclusion based on a review of published literature. Annual incidence rates were computed, and a multivariable logistic regression model was derived to evaluate selected risk factors.Results ON of the hip represented the majority of cases (75.9%). Statistically significant risk factors for ON were systemic corticosteroid use in the previous 2 years, hospitalization, referral or specialist visit, bone fracture, any cancer, osteoporosis, connective tissue disease, and osteoarthritis within the past 5 years. Only 4.4% of ON cases were exposed to bisphosphonates within the previous 2 years.Conclusions This study provides further perspective on the descriptive epidemiology of ON. Studies utilizing more recent data may further elucidate the understanding of ON key predictors.<br/

Multiple myeloma presenting as CEA-producing rectal cancer

We report the case of a 57-year-old patient with multiple myeloma, characterized by extramedullary involvement of the rectum at presentation. Malignant plasma cells were found to produce carcinoembryonic antigen (CEA), a tumor antigen more commonly associated with rectal adenocarcinomas

Direct dating confirms the presence of otter and badger in early Holocene Ireland

The origin of Ireland’s fauna is an unresolved issue in the history of the island. Although researchers once considered Ireland’s mammals to have spread to Ireland during the early postglacial from 11,700 cal BP, research has increasingly suggested humans translocated many of these species to Ireland. However, due to sparse evidence, the origin of Ireland’s purported native mustelid species remains unanswered. In this study, we shed light on the history of otter and badger in Ireland by directly dating suspected early examples of these species from Derragh, Co. Longford, a late Mesolithic campsite. The results demonstrate that both of these species have been present in Ireland for at least 7000–8000 years. It is not clear if they represent self-colonisers or Mesolithic anthropogenic translocations. Although these finds do not rule out local extinction and later reintroduction, they show that we can no longer assume they are solely late Holocene introductions. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

Improvements of LHC data analysis techniques at Italian WLCG sites. Case-study of the transfer of this technology to other research areas

In 2012, 14 Italian institutions participating in LHC Experiments won a grant from the Italian Ministry of Research (MIUR), with the aim of optimising analysis activities, and in general the Tier2/Tier3 infrastructure. We report on the activities being researched upon, on the considerable improvement in the ease of access to resources by physicists, also those with no specific computing interests. We focused on items like distributed storage federations, access to batch-like facilities, provisioning of user interfaces on demand and cloud systems. R&D on next-generation databases, distributed analysis interfaces, and new computing architectures was also carried on. The project, ending in the first months of 2016, will produce a white paper with recommendations on best practices for data-analysis support by computing centers

Isotope evidence for the use of marine resources in the Eastern Iberian Mesolithic

There are relatively few coastal Mesolithic sites in the Iberian Mediterranean region, probably due to a number of factors including sea level changes and the disappearance of sites due to agriculture and urbanisation. However, recent excavations have uncovered inland sites that have marine faunal remains (i.e. molluscs and fish) and lithics from the coastal area, which both indicate interactions between the coast and the upland valleys. These inland sites are located at a distance of 30e50 km from today¿s coastline and are at altitudes higher than 1000 m. We report on additional information on the links between the coast and these inland sites through the use of dietary isotope analysis (carbon and nitrogen stable isotope analysis) of collagen extracted from human and faunal remains at the sites of Coves de Santa Maira, Penya del Comptador and Cingle del Mas Nou. The results indicate that Mesolithic diet in this region was largely based on C3 terrestrial resources, but there was measurable evidence of low-level consumption of marine resources at both coastal and inland sites

The Oldest Case of Decapitation in the New World (Lapa do Santo, East-Central Brazil)

We present here evidence for an early Holocene case of decapitation in the New World (Burial 26), found in the rock shelter of Lapa do Santo in 2007. Lapa do Santo is an archaeological site located in the Lagoa Santa karst in east-central Brazil with evidence of human occupation dating as far back as 11.7-12.7 cal kyBP (95.4% interval). An ultra-filtered AMS age determination on a fragment of the sphenoid provided an age range of 9.1-9.4 cal kyBP (95.4% interval) for Burial 26. The interment was composed of an articulated cranium, mandible and first six cervical vertebrae. Cut marks with a v-shaped profile were observed in the mandible and sixth cervical vertebra. The right hand was amputated and laid over the left side of the face with distal phalanges pointing to the chin and the left hand was amputated and laid over the right side of the face with distal phalanges pointing to the forehead. Strontium analysis comparing Burial 26's isotopic signature to other specimens from Lapa do Santo suggests this was a local member of the group. Therefore, we suggest a ritualized decapitation instead of trophy-taking, testifying for the sophistication of mortuary rituals among hunter-gatherers in the Americas during the early Archaic period. In the apparent absence of wealth goods or elaborated architecture, Lapa do Santo's inhabitants seemed to use the human body to express their cosmological principles regarding death