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R Rapp

Publications and source records attributed to R Rapp.

At least 19 recordsLinked to original sources
PubMed2003

[Radio and microwave frequency radiation and health--an analysis of the literature].

This paper gives an overview of present scientific knowledge in health research on the effects from radio and microwave frequency radiation, at levels to which the general population is typically exposed. The review is based on human experimental and epidemiological studies investigating the effects of radiation in the frequency range between 100 kHz and 10 GHz. The relevant studies were identified via systematic searches of the databases Medline and ISI Web of Science. The review concludes that the existing scientific knowledge base is too limited to draw final conclusions on the health risk from exposure in the low-dose range. Only few studies have investigated the effect of long-term exposure on the general population in the normal environment. Accordingly, little can be predicted regarding long-term health risks. Various studies observed an increased risk for tumours in the hematopoietic and lymphatic tissue of people living in the proximity of TV and radio broadcast transmitters. However, methodological limitations to these studies have been identified and their findings are controversial. In studies of a possible association between brain tumours and mobile phone use, the average period mobile phones use was short compared to the known latency period of brain tumours. Although these studies did not establish an overall increased risk of brain tumours associated with mobile phone use, there were some indications of an association. Immediate effects associated with mobile phone use have been observed in human experimental studies that cannot be explained by conventional thermal mechanisms. The observed effects are within the normal physiological range and are therefore hard to interpret with respect to an increased risk to health. However, it can be concluded that mechanisms other than the established thermal mechanisms exist. Because of the present fragmentary scientific database, a precautionary approach when dealing with radio and microwave frequency radiation is recommended for the individual and the general population.

Abortion, Spontaneous↗
PubMed2001

Resolving the antibaryon-production puzzle in high-energy heavy-ion collisions.

We argue that the observed antiproton production in heavy-ion collisions at CERN-SPS energies can be understood if (contrary to most sequential scattering approaches) the backward direction in the process pP<-->n(pi) (with n = 5-6) is consistently accounted for within a thermal framework. Employing the standard picture of subsequent chemical and thermal freezeout, which induces an oversaturation of pion number with associated chemical potentials of mu(pi) approximately 60-80 MeV, enhances the backward reaction substantially. The resulting rates turn out to be large enough to maintain an antiproton abundance at thermal freezeout in accordance with the measured p/p ratio in Pb(158A GeV)+Pb collisions.

Journal Article↗
PubMed2001

Short-term variation in air pollution and in average lung function among never-smokers. The Swiss Study on Air Pollution and Lung Diseases in Adults (SAPALDIA).

The present analysis was directed at investigating associations between short-term variations in air pollutant levels (NO2, total suspended particulates [TSP], O3) and cross-sectional lung function (FVC, FEV1, and forced expiratory flow at 25% to 75% of FVC [FEF25-75]) within a random sample of 3,912 adult never-smokers from eight areas of Switzerland (i.e., participants in the Swiss Study on Air Pollution and Lung Diseases in Adults [SAPALDIA] cross-sectional study, 1991). Within each local data set, the logarithms of FVC, FEV1, and FEF25-75 were regressed against the 24-h-means of NO2 and TSP and the 8-h mean of O3 (10:00 A.M. to 6:00 P.M.) on the examination day, with control for subjects' sex, age, height and weight, seasonal fluctuations and weekly cycles and meteorologic factors. On average, a 10-microg/m3 increment in the daily level of NO2, TSP, and O3 was associated with decrements in FEV1 of 0.67% (95% confidence interval [CI]: 0.13% to 1.21%), 0.46% (95% CI: 0.14% to 0.78%), and 0.51% (95% CI: 0.13% to 0.88%), respectively. Moreover, 10-microg/m3 increments in NO2 and TSP were associated with decrements in FVC of 0.73% (95% CI: 0.22% to 1.23%) and 0.36% (95% CI: 0.06% to 0.66%), respectively, and a 10-microg/m3 increment in O(3) was associated with a decrement in FEF25-75 of 1.04% (95% CI: 0.22% to 1.85%). Our results suggest that FVC, FEV1, and FEF25-75 vary with the daily level of NO2, TSP, and O3, but that these measures of lung function do not allow separation of the effects of particulates from those of NO2.

Adolescent↗
PubMed2001

Gender, body, biomedicine: how some feminist concerns dragged reproduction to the center of social theory.

This article tracks the growth of medical anthropology in the United States in the decades since the 1970s, as it has intersected the expansion of feminist activism and scholarship. I argue that feminist attention to embodied inequalities quickly focused on reproduction as a site of investigation and intervention. Medical anthropology has benefited from feminist concern with stratified reproduction, especially its interrogation of nonnormative and stigmatized fertility and childbearing. When reproduction becomes problematic, it provides a lens through which cultural norms, struggles, and transformations can be viewed. Examples drawn from prenatal diagnosis are particularly revelatory of the diverse interests and stakes we all hold in reproduction.

Achondroplasia↗
PubMed1999

[From planning to realization of an electronic patient record].

The high complex requirements on information and information flow in todays hospitals can only be accomplished by the use of modern Information Systems (IS). In order to achieve this, the Stiftung Orthopädische Universitätsklinik has carried out first the Project "Strategic Informations System Planning" in 1993. Then realizing the necessary infrastructure (network; client-server) from 1993 to 1997, and finally started the introduction of modern IS (SAP R/3 and IXOS-Archive) in the clinical area. One of the approved goal was the replacement of the paper medical record by an up-to-date electronical medical record. In this article the following three topics will be discussed: the difference between the up-to-date electronical medical record and the electronically archived finished cases, steps performed by our clinic to realize the up-to-date electronical medical record and the problems occurred during this process.

Documentation↗
PubMed1998

Demographic evaluation of the fertility of aluminium industry workers: influence of exposure to heat and static magnetic fields.

A demographic analysis of the fertility of French aluminium industry workers was performed in order to evaluate the potential effects on male fertility of occupational exposure to heat and static magnetic fields occurring in certain workshops. Two groups of aluminium workers were studied: one group of 692 potroom workers exposed to heat and to static magnetic fields, and a control group of 588 workers from the same plants, who had not been exposed to these factors. The birthrate was significantly higher in the 'exposed' group than in the 'control' group. The relative birthrate ratio ('exposed' versus 'control') was 1.1 (P < 0.001). These results do not show any decrease in the fertility of potroom workers exposed to heat and static magnetic fields, when compared to other workers in the aluminium producing industry.

Aluminum↗
PubMed1998

Associations between lung function and estimated average exposure to NO2 in eight areas of Switzerland. The SAPALDIA Team. Swiss Study of Air Pollution and Lung Diseases in Adults.

In this paper, we present results from the SAPALDIA study (Swiss Study on Air Pollution and Lung Diseases in Adults) regarding associations between lung function [forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1)], as assessed during the cross-sectional study in 1991, and average levels of NO2 exposure within the eight study communities. We distinguished average home outdoor exposure and average personal exposure to NO2 and obtained exposure estimates by computing regional averages of passive sampler measurements performed by a random subsample of SAPALDIA participants in 1993. Previous analyses had revealed associations between average lung function and average air pollution levels between communities. The present results show that such associations may also be seen within communities: a 10-micrograms per m3 increase in average home outdoor and personal exposure to NO2 between zones of residence of the same community was associated with a change in average FVC by -0.59% [95% confidence limits (CL) = 0.01, -1.19] and -0.74% (95% CL = -0.07, -1.41), respectively. These values, however, are smaller than the ones found for the corresponding associations between study communities: -1.67% (95% CL = -1.01, -2.33) and -2.93% (95% CL = -2.11, -3.75), respectively. The different magnitudes of these two types of associations might be explained by differences in spatial variation between various components of air pollution.

Adult↗
PubMed1997

[Air pollution in Switzerland--quantification of health effects using epidemiologic data].

Public health costs ascribable to air pollution are socialized in our society. To quantify the damage to public health, epidemiologic studies are needed. We present the methods and epidemiologic background data which form the basis for estimating the public health effect ascribable to air pollution. The figures are presented per 1 million "average" Swiss population and per 10 micrograms/m3 increase in long-term annual mean particulate pollution (PM10). Quantification was restricted to the health effects given below (due to lack of complete data for other effects or to avoid duplicating health effects which may be described by overlapping measurements). In parenthesis we present (1) the mean effect estimates (+/-1 SE) (% increase per 10 micrograms/m3 increment in PM10) derived from national and international epidemiologic studies, and (2) the expected absolute additional health effects (+/-1 SE) per 1 million Swiss population and per 10 micrograms/m3 increment in PM10, based on Swiss population statistics: total mortality (long-term estimates from the 2 US cohort studies) (+4.4% [+/-1.1]/349 [+/-91] premature deaths per year); prevalence of chronic bronchitis in adults (+25% [+8.4]/increase in long-term prevalence by 3,513 [+/-1.475]); bronchitis among children (35% [+/-13]/5,180 [+/-2,590] additional children sufferers in a year); repeated cough among children (+54% [+/-8.8]/23,490 [+/-5,873] additional children per year); cough/phlegm in adults (+12.8% [+/-7.8]/1.56 [+/-1.08] million person-days per year); hospital admissions for respiratory diseases (+1.47% [+/-0.5]/71 [+/-24] additional admissions or 1,104 (+/-390) hospital days); admissions for cardiovascular diseases (+0.9% [+/-0.25]/70 [+19] admissions; 970 (+/-270) hospital days); restricted activity days (+10.5% [+/-0.77]/0.42 [+/-0.03] million person-days); days with asthma attacks among the 6.7% asthmatics (Swiss prevalence) (+5.3% [+/-2.1]/ 240,000 [+/-102,000] additional person-days). Conservative assumptions were used throughout the study and thus the true effects are likely to be larger. Estimates of Swiss population exposure distribution would be needed to apply these results to the entire population. This step, and monetary quantification of these total effects, were the second and third elements (not shown in this report) of this Swiss government funded project. Although individual relative risks of air pollution are rather slight, the public health burden of even moderate pollution may be substantial.

Adult↗
PubMed1997

[Air pollution and health--causal criteria in environmental epidemiology].

The evidence for the adverse health effects of today's "normal" air pollution relies heavily on epidemiologic studies. Given the major impact of these effects on environmental, economic and social policy, the causality of epidemiologic findings becomes a central issue. The scientific process of establishing causality based on the air pollution epidemiology literature is reviewed. It consists of two steps: first, the quality and validity of each epidemiologic study must be rigorously assessed (design, selection, confounding); second, the overall evidence across all valid studies must be appraised. Of major importance are the consistency of results between replicate studies and the coherence of effects across a variety of different pathophysiologically or logically interrelated epidemiologic health outcomes, such as respiratory symptoms, exacerbations of respiratory diseases, use of health care, sick absenteeism, or, among the most sensitive subjects, mortality. Demonstration of a dose-response association is crucial and has been shown in many studies. Valid studies may use varied indicators of the air pollution mixtures, such as particulate matter, NO2, SO2, or others. However, epidemiology is incapable of investigating the biologic pathophysiologic mechanisms, which require experimental studies. Such studies may increase the biologic plausibility of epidemiologic findings. Given the common sources of many of the air pollution indicators used in epidemiology, a knowledge of pathophysiologic mechanisms is not a prerequisite for public health action aimed at improving air quality in cities.

Air Pollution↗
PubMed1997

Hypocalcemia and skeletal disease as presenting features of celiac disease.

OBJECTIVE: To describe 15 patients examined for hypocalcemia, skeletal disease, or both in whom the diagnosis of celiac disease was subsequently made. DESIGN: Observational case series. PATIENTS: Fifteen patients (7 women and 8 men) were examined for hypocalcemia (n = 11), skeletal disease (n = 3), or both (n = 1). The diagnosis of celiac disease was subsequently made. The mean age of the patients was 62 years, and 11 patients were 60 years of age or older. RESULTS: Four patients had no gastrointestinal symptoms, 7 patients had mild or intermittent gastrointestinal symptoms, and 4 patients had persistent diarrhea. Ten patients had experienced weight loss. The serum total alkaline phosphatase level was elevated in 10 of 15 patients, the parathyroid hormone level was elevated in all patients, and the urinary calcium level was low in all 6 of the patients tested. The level of 25-hydroxyvitamin D was frankly low in 4 patients, marginal in 8 patients, and normal in 3 patients. Bone mineral density was reduced in all 8 patients in whom it was measured. CONCLUSIONS: Celiac disease should be considered in patients with unexplained metabolic bone disease or hypocalcemia, especially because gastrointestinal symptoms may be absent or mild. Advanced age does not exclude the diagnosis of celiac disease.

Adult↗
PubMed1997

Communicating about chromosomes: patients, providers, and cultural assumptions.

Field-based anthropological research on the social impact and cultural meaning of prenatal diagnosis suggests four factors that contribute to multicultural patient-provider miscommunication. These are: 1) the detection of fetal mental retardation, particularly Down syndrome, is not always an appropriate reason to test; 2) the statistical information on age-related risk rates for chromosome abnormality may appear small when compared to more pressing vulnerabilities faced by poor and/or immigrant pregnant women and their families; 3) variation in individual reproductive histories and social values strongly shape acceptance and rejection of the test; and 4) most controversially, not everyone accepts the burdens of individual choice.

Attitude to Health↗
PubMed1996

Zinc supplementation is associated with improved neurologic recovery rate and visceral protein levels of patients with severe closed head injury.

Sixty-eight patients were entered into a randomized, prospective, double-blinded controlled trial of supplemental zinc versus standard zinc therapy to study the effects of zinc supplementation on neurologic recovery and nutritional/metabolic status after severe closed head injury. One month after injury, the mortality rates in the standard zinc group and the zinc-supplemented group were 26 and 12%, respectively. Glasgow Coma Scale (GCS) scores of the zinc-supplemented group exceeded the adjusted mean GCS score of the standard group at day 28 (p = 0.03). Mean motor GCS score levels of the zinc-supplemented group were significantly higher on days 15 and 21 than those of the control group (p = 0.005, p = 0.02). This trend continued on day 28 of the study (p = 0.09). The groups did not differ in serum zinc concentration, weight, energy expenditure, or total urinary nitrogen excretion after hospital admission. Mean 24-h urine zinc levels were significantly higher in the zinc-supplemented group at days 2 (p = 0.0001) and 10 (p = 0.01) after injury. Mean serum prealbumin concentrations were significantly higher in the zinc-supplemented group (p = 0.003) at 3 weeks after injury. A similar pattern was found for mean serum retinol binding protein level (p = 0.01). A significantly larger number of patients in the standard zinc group had craniotomies for evacuation of hematoma; thus a bias may have been present. The results of this study indicate that zinc supplementation during the immediate postinjury period is associated with improved rate of neurologic recovery and visceral protein concentrations for patients with severe closed head injury.

Adolescent↗
PubMed1995

Clinical management of ectodermal dysplasia.

Children with ectodermal dysplasia may have hypodontia or anodontia and are often treated dentally with conventional adult appearing prosthesis which are focused only on the oral manifestations of the syndrome. This case report describes the management of an ectodermal dysplasia patient to provide improved aesthetics, function, and emotional development.

Anodontia↗