Pesticide exposure may cause genotoxic effects by inducing the formation of micronucleus (Mn). Mn are fragments of chromosomes that remains after cells division. The increase in Mn may increase the risk of cancer formation. Our study aimed to determine the effects of lifestyle and pesticide exposure on the formation of Mn in epithelial cells buccal swabs among paddy farmers in Malaysia. About 40 farmers who were exposed to pesticides were chosen as subjects and 30 personnels were possibly not directly exposed to pesticides, were chosen as the control group. Demographic and anthropometric data were obtained from questionnaires developed. Analysis of Mn formation was done using Giemsa staining (10% v/v) and the frequency of Mn formation was scored from 1000 cells per sample. Kruskal-Wallis test done between Mn frequency with age class showed a significant increase (p < 0.05) in Mn frequency as compared to the control in the age group of 30-39 , 40-49 years, and 50-59 years. Significant increased (p < 0.05) were observed between Mn frequency groups of normal BMI, preobese, and grade 1 obese as compared to control. Significant increase of Mn frequency (p < 0.01) was also seen among smokers and farmer’s group (15:39 ± 3.34) as compared to controls (4.76 ± 1.26). The maximum numbers of Mn found in farmers are 7 Mn per cell whereas for control group is only 3 Mn. However, most farmers had only 1 Mn (81.75 ± 6.42%) and 2 Mn (15:28 ± 5.14%). Mn frequency with the duration of exposure to pesticides in a month and the use of PPE revealed no significant difference (p = 0.27). In conclusion, the increased frequency of Mn was influenced by age, gender and BMI of farmers besides commonly repeated duration of exposures and the use of PPE are needed to be studied to analyze the causes of an increased in Mn among farmers.

Objective: To determine brucellosis's epidemiologic, laboratory, diagnostic and public health features considering brucellosis is endemic in Azna County, western Iran.
Methods: This descriptive cross-sectional study was investigated on 43 patients with brucellosis in Azna County. The subjects were the patients with symptoms correspondent with brucellosis and positive Wright and 2ME tests. A questionnaire about demographic, epidemiological and laboratory findings was filled in. Afterwards, patients were treated using usual antimicrobial drugs regimen. The collected data were analyzed by SPSS software version 16.
Results:Forty-three subjects were found to be positive in laboratory tests. Incidence of Brucellosis was 59.31 per hundred thousand population. About 34.9% of patients were female and 65.1% male. Nearly 95.2 % of human cases were living in rural and 4.8 % in urban areas. Around 20.9% of patients had history of animal contact. The commonest transmission was unpasteurized dairy products (79.1%). The most contagious seasons were summer and spring (60.3%). The most common age group was 15-24 (27.9%), and about 60.5% of the patients were between 15-44 years old. Disease was more common among housewives (30.2%) and farmers (20.9%). The majority of the patients had Wright test titre=1:320 (54.1%) and 2ME test titre=1:160 (56.1%) in serological titration. Doxycycline with Rifampin was used for treatment of the greatest of patients (60.4%).
Conclusions:In order to control this zoonotic disease, close cooperation of health and veterinary organizations is necessary.

Foramen Ovale, Patent ; pathology ; Humans ; Hypoxia ; complications ; etiology ; Male ; Middle Aged ; Myocardial Infarction ; diagnosis ; etiology ; physiopathology ; Singapore ; Ventricular Dysfunction, Right ; physiopathology

Fingers, unit of measurement ; Homologous Grafts ; Tendons ; Leprosy ; Claw

Hour

Outpatients

The Government's decision to drastically and speedily increase the number of doctors in the country needs to be reviewed. The standard and quality of health care does not depend on the number of doctors, but on the improvement of the health care infrastructure. Increasing the number of government medical schools and increasing the intake of students should be done on a need-to basis, with the above perspective in mind. The selection criteria of candidates must not be compromised and the teaching staff must be adequate and experienced. The number of doctors should be gradually increased over the years in tandem with the development of the health care infrastructure and the deployment of doctors must be directed at providing equitable care to the people at all economic levels and geographic locations. The strength of academic staff in existing government medical schools must be upgraded to provide high level of teaching and research, perhaps reinforced with the recruitment of suitably qualified and experienced foreign teachers. The infrastructure of existing government medical schools must be upgraded to cater for the gradual increasing demand for more doctors as the country develops. The selection of candidates for the government medical schools must be based on merit and without undue emphasis on ethnic considerations, for it is only in the arena of fair competitiveness that excellence can be born. The considerations of merit in selection must include assessment of attitude, self-development, moral ethics and reasoning. If the above perspectives are fully appreciated, then there is really no requirement for private medical colleges in Malaysia.
seconds ; Schools, Medical ; Selection (Genetics) ; development aspects ; Teaching aspects

Objective: To determine ecology and characteristics of the larval habitats of the genus Anopheles (Dipetra: Culicidae) in Aligudarz County, western Iran.Methods:larvae ecology in seven rural districts, Aligudarz County, from late April to late November 1997. Larvae were captured using the dipping method. Larval breeding places characteristics were noted according to water situation (turbid or clean, stagnant or running), substrate type, site type (man-made or natural), sunlight situation, site situation (transient or permanent, with or without vegetation). This descriptive cross-sectional research was carried out to study the anopheline Results: A total of 9 620 3rd and 4th instar larvae of Anopheles from 115 breeding places in 22 villages were captured, which belonged to the following species: Anopheles stephensi, Anopheles d’thali, Anopheles apoci, Anopheles superpictus (forms A and B), Anopheles marterii sogdianus, Anopheles turkhodi, Anopheles maculipennis S.L and Anopheles claviger. Anopheles stephensi,Anopheles maculipennis Anopheles superpictus (93.18%) was the most prevailed one and dispersed over the entire region. Larval habitats consisted of nine natural and three artificial larval habitats. The most important larval habitats were river edges (54.8%), rice fields (12.2%), and grassland (8.7%) with permanent or transient, stagnant or running and clean water, with or without vegetation, sand or mud substrate in full sunlight area.Conclusions:Regarding this research, river edges and rice fields are the most important S.L and Anopheles apoci were collected for the first time in this county. breeding places of malaria vectors in Aligudarz County. It is worthy of note in larvicidal programs.

Purpose: This fMRI study is about modelling the effective connectivity between Heschl’s gyrus (HG) and the superior temporal gyrus (STG) in human primary auditory cortices. Materials & methods: Ten healthy male participants were required to listen to white noise stimuli during functional magnetic resonance imaging (fMRI) scans. Statistical parametric mapping (SPM) was used to generate individual and group brain activation maps. For input region determination, two intrinsic connectivity models comprising bilateral HG and STG were constructed using dynamic causal modelling (DCM). The models were estimated and inferred using DCM while Bayesian Model Selection (BMS) for group studies was used for model comparison and selection. Based on the winning model, six linear and six non-linear causal models were derived and were again estimated, inferred, and compared to obtain a model that best represents the effective connectivity between HG and the STG, balancing accuracy and complexity. Results: Group results indicated significant asymmetrical activation (puncorr < 0.001) in bilateral HG and STG. Model comparison results showed strong evidence of STG as the input centre. The winning model is preferred by 6 out of 10 participants. The results were supported by BMS results for group studies with the expected posterior probability,r = 0.7830 and exceedance probability, φ = 0.9823. One-sample t-tests performed on connection values obtained from the winning model indicated that the valid connections for the winning model are the unidirectional parallel connections from STG to bilateral HG (p < 0.05). Subsequent model comparison between linear and non-linear models using BMS prefers non-linear connection (r = 0.9160, φ = 1.000) from which the connectivity between STG and the ipsi- and contralateral HG is gated by the activity in STG itself. Conclusion: We are able to demonstrate that the effective connectivity between HG and STG while listening to white noise for the respective participants can be explained by a non-linear dynamic causal model with the activity in STG influencing the STG-HG connectivity non-linearly.

In this study, functional magnetic resonance imaging (fMRI) is used to investigate func-tional specialisation in human auditory cortices during listening. A silent fMRI paradigm was used to reduce the scanner sound artefacts on functional images. The subject was instructed to pay attention to the white noise stimulus binaurally given at an inten-sity level of 70 dB higher than the hearing level for normal people. Functional speciali-sation was studied using the Matlab-based Statistical Parametric Mapping (SPM5) software by means of fixed effects (FFX), random effects (RFX) and conjunction analyses. Individual analyses on all subjects indicated asymmetrical bilateral activation of the left and right hemispheres in Brodmann areas (BA) 22, 41 and 42, involving the primary and secondary auditory cortices. The percentage of signal change is larger in the BA22, 41 and 42 on the right as compared to the ones on the left (p>0.05). The average number of activated voxels in all the respective Brodmann areas are higher in the right hemisphere than in the left (p>0.05). FFX results showed that the point of maximum intensity was in the right BA41 whereby 599±1 activated voxels were ob-served in the right temporal lobe as compared to 485±1 in the left temporal lobe. The RFX results were consistent with that of FFX. The analysis of conjunction which fol-lowed, showed that the right BA41 and left BA22 as the common activated areas in all subjects. The results confirmed the specialisation of the right auditory cortices in pro-cessing non verbal stimuli.