PubMed · 14688187
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Susan A Adeoya-Osiguwa, Lynn R Fraser. 2004. Environmental estrogens and sperm function.. https://doi.org/10.1093/humrep%2Fdeh015
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While for most cancers incidence and mortality are decreasing, those of non-Hodgkin's lymphoma (NHL) are steadily increasing. Research to define reasons for this increase is extensive, but has not yet resolved them. We have conducted a literature analysis on trends regarding changes in the incidence, geographic distribution, and etiologic factors of NHL. From our own and previous analyses, an increasing NHL incidence at a rate of 3-4% per year was observed for the 1970s and 1980s. This stabilized in the 1990s, nevertheless still with an annual rise of 1-2%, resulting in almost a doubling of the NHL incidence. This rise has been noted worldwide, particularly in elderly persons >55 years. Concerning gender subgroups, a male predominance throughout all age groups is apparent. Although the NHL incidence has historically been higher in whites than blacks, disproportional increases have recently been observed in the latter group. Increases in high-grade NHL and extranodal disease are predominant. Differences in geographic distribution are striking for follicular lymphoma, which is more common in Western countries than elsewhere. Asians have higher rates of aggressive NHL, T-cell lymphomas, and extranodal disease. In the Middle East, high rates of intestinal extranodal disease are observed, whereas in Africa, endemic Burkitt's lymphoma accounts for a substantial proportion. Risks for developing NHL include immunosuppression and a causal link between infectious agents, and lymphomagenesis has also been determined, particularly for human T-cell leukemia/lymphoma virus type 1 (HTLV-1), Epstein-Barr virus (EBV), and Helicobacter pylori infections. Exposure to environmental agents and occupational risks have been studied; however, their significance is as yet uncertain.
In general, measurements of UV radition are related to horizontal surfaces, as in the case of the internationally standardized and applied UV index, for example. In order to obtain more relevant information on UV exposure of humans the new measuring system ASCARATIS (Angle SCAnning RAdiometer for determination of erythemally weighted irradiance on TIlted Surfaces) was developed and built. Three systems of ASCARATIS have been in operation at different locations in Bavaria for 3 years, providing erythemally weighted UV irradiation data for 27 differently inclined surfaces every 2 min. On the basis of these data virtual three-dimensional models of the human body surface consisting of about 20,000 triangles could be created and each of these triangles coloured according to its UV irradiation. This allowed the UV exposure of the human body to be visualized for any kind of body posture and spatial orientation on the basis of real measuring data. The results of the UV measurements on inclined surfaces have shown that measuring UV radiation on horizontal surfaces, as done routinely worldwide, often underestimates the UV exposure of the human skin. Especially at times of the day or year with low solar elevations the UV exposure of parts of the human skin can be many times higher than that of the horizontal surface. Examples of three-dimensional modelling of the human UV irradiation are shown for different times of the day and year, altitudes above sea level, body postures and genders. In these examples the UV "hotspots" can be detected and, among other things, used to inform and educate the public about UV radiation.
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