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Cigarette smoking among Thai Buddhist monks, central and eastern Thailand.

A cross-sectional study was conducted from June to December, 2003 among Thai Buddhist monks in 4 provinces of the central region (Nonthaburi, Pathum Thani, Saraburi and Chai Nat) and in 4 provinces of the eastern region (Chachoengsao, Rayong, Trat, and Sa Kaeo) of Thailand. Data were collected using face to face interviews, questionnaires, and physical examination reports (weight, height, heart rate, blood pressure, etc) as the research tools. This study focused on sociodemographics, history of illness, and smoking behavior. The proportion of the cigarette smoking was 47.6% of the total of 920 Buddhist monks. The age group 20-34 years, Maha Nikaya section and Public temple were the majority of the study subjects. Multivariate analysis revealed that only four factors were related to smoking consumption: dharma education, Naktharm To (grade 2) (OR = 0.6, 95% Cl: 0.4-0.9), Naktharm Aek (grade 3) or above (OR = 0.4, 95% Cl: 0.2-0.6); Lay education, secondary school (OR = 0.7, 95% Cl: 0.5-0.9), bachelor degree or above (OR = 0.4, 95% Cl: 0.2-0.8); systolic blood pressure > or = 140 mmHg (OR = 1.8, 95% Cl: 1.1-2.8) and history of respiratory illness (OR = 3.2, 95% Cl: 1.5-6.9). As a result, dharma education and well educated persons were the crucial factors which led to success in decreasing cigarette smoking. Smoking cessation campaigns and education of the consequences of smoking are strongly recommended among risk groups.

Adolescent↗

Acetabular protrusion and the Monk Duopleet prosthesis in subcapital femoral neck fractures.

A total of 166 patients with acute, displaced subcapital fractures of the femoral neck were treated over a 5-year period with the Monk Duopleet bi-articular prosthesis. The average age at operation was 77.8 years. 81 patients were available for review at an average of 37.1 months after surgery. Radiographic evidence of acetabular protrusion was found in 3 patients (3.7 per cent). This incidence of protrusion is considerably lower than that normally reported for one-piece prostheses such as the Austin Moore or Thompson. The causes of acetabular protrusion are discussed.

Acetabulum↗

The lipid composition of selected tissues from a Mediterranean monk seal, Monachus monachus.

The lipid composition of blubber, brain, muscle and heart from a Mediterranean monk seal Monachus monachus (an endangered species) were examined to allow comparisons with more common species of seals. Only neutral lipids (mainly triacylglycerols) were detectable in the blubber lipids, whereas polar lipids predominated in the heart and in the brain. Neutral and polar lipids comprised almost equal proportions in both liver and muscle. Choline glycerophospholipids (CGP) were the major polar lipids, followed by ethanolamine glycerophospholipids (EGP) in the liver, heart and muscle. Cerebrosides accounted for 28.8% of the brain lipids. All lipid classes of the liver contained high levels (31-47%) of polyunsaturated fatty acids (PUFA), with the exception of phosphatidylserine. The total proportion of n-6 PUFA exceeded that of n-3 PUFA in all lipid classes of the liver, due mainly to the high levels of 20:4n-6. The highest level of 20:4n-6 occurred in phosphatidylinositol, where it comprised 32.4% of the total fatty acids. The CGP and EGP of the brain contained lower levels of PUFA than those of the liver, muscle and heart. Alkenyl ethers accounted for 35.8% of the total long-chain moieties in brain EGP. The fatty acid composition of blubber triacylglycerols differed from those of the lipid classes from other tissues in that it had a very low ratio of n-6 to n-3 PUFA (0.3) as a result of a lower content of 20:4n-6.

Adipose Tissue↗

A radiological study of the movements of the two components of the Monk prosthesis (hard-top 'duo-pleet') in patients.

Following replacement of the femoral head with the Monk hard-top 'duo-pleet' prosthesis, radiological studies show that movement of the replaced hip takes place between the acetabulum and the metal shell and between the high density polyethylene cup and metal ball. Movements improve with the passage of time. The two sites of movement may contribute to a greater range of hip movement, a better safeguard against loosening and possibly less medial migration of the prosthesis than solid metal prostheses like the Thompson and Austin Moore types.

Aged↗

Cementing v. not cementing the Monk endoprosthesis.

In a retrospective study, 45 patients who had Monk hard-top endoprostheses inserted with cement because of fresh intracapsular fracture of the femoral neck, were compared with 61 patients with uncemented prostheses. The average age, age-distribution and the preoperative condition of the patients were well matched in the two groups. Thirty cemented and 39 uncemented cases were reviewed. The average time to follow-up was 29.9 months in the cemented group and 18.7 months in the uncemented group. A significantly lower mobility score and social performance score was found in the uncemented group when compared with the cemented one. No significant difference in the complaint of pain or in the range of movement of the hips was found between the two groups. On X-ray examination, no increased wear of the acetabular cartilage in the cemented group was found, but an increased tendency to loosening of the prosthesis was found in the uncemented group. In agreement with other studies it is concluded that the advantages to the patient with an intracapsular fracture of the femoral neck of having a cemented prosthesis outweigh the disadvantages.

Aged↗

Analysis of expired air of fasting male monks at Mount Athos.

Expired air chemical analysis is investigated as a search and locate method for the early detection of entrapped people under the ruins of collapsed buildings after an earthquake. Fasting individuals were examined as a group that simulates the medical status of some of such victims. Exhaled air from seven fasting male monks (after 63 h) was analysed using thermal desorption-gas chromatography-mass spectrometry (TD-GC-MS) analysis. Over 150 volatile organic compounds (VOCs) were identified and the 43 most frequent are presented. Acetone showed by far the highest "positive alveolar gradient". Other compounds included phenol, di-limonene, 2-pentanone, isoprene and acetaldehyde. Quantitative results showed a 30-fold increase of acetone concentration (5.8 ppmv) compared to control measurements of a volunteer. Breath acetone was also identified through a portable gas chromatography-ion mobility spectrometer showing possible, under certain conditions, effectiveness of the method in the field.

Adult↗

St. Francis came at dawn--the miraculous recovery of a hemiplegic monk in the Middle Ages.

We present the English translation of a remarkable case report from the 13th century. A collection of miracles ascribed to St. Francis contains the story of a young monk suddenly afflicted by a neurological disorder characterized by hemiplegia, speech problems and confusion. St. Francis' appearance led to complete recovery. From a theological and literary point of view, the text includes many allusions to the miracles performed by Jesus and to pagan traditions from Asclepius to Ovid. Retrospective neurological diagnoses range from a prolonged ischemic neurological deficit (PRIND) to psychogenesis. This case history is a rare example of faith healing in its contemporary context.

Christianity↗

Marine debris accumulation in the nearshore marine habitat of the endangered Hawaiian monk seal, Monachus schauinslandi 1999-2001.

Large amounts of marine debris are present in shallow reefs adjacent to beach haulouts of the critically endangered Hawaiian monk seal, Monachus schauinslandi. These areas serve as seal pup nurseries, and injury and death caused by entanglement in marine debris are undermining population recovery efforts. We investigated the extent of this threat by measuring the accumulation of potentially entangling derelict fishing gear in nursery zones, 1999-2001. Plots of reef 1.0-1.3 km2 at three Northwestern Hawaiian Islands were initially cleaned of derelict fishing gear in 1999 then resurveyed in 2000 and 2001. Submerged debris densities across sites ranged from 16 to 165 debris items/km2. Resurveyed sites yielded annual marine debris accumulation rates from 0 to 141 debris items/km2. This large range was attributed to the physiography of reef areas surveyed. Trawl net webbing was significantly more common than other types of debris recovered and represented 84% of all debris encountered, suggesting that much of the debris originated from distant North Pacific Ocean fisheries. The likely source of most debris is the multinational trawl fisheries of the North Pacific Ocean. An international solution to this problem is needed. Targeted marine debris removal is a short-term, successful, entanglement mitigation strategy.

Animals↗

[Our experience with the Monk-"soft-top"-endoprosthesis (author's transl)].

31 Monk-"soft-top"-femoral head prostheses were followed up for 12 to 48 months. They were implanted after a fracture of the femoral neck, provided there was no major osteoarthritic changes of the acetabulum. Our results are satisfying, no severe complications due to the high density polyethylene debris were encountered and no protrusions of the acetabulum either.

Aged↗

Low genetic variability in the highly endangered mediterranean monk seal.

Genetic variability is an important component in the ability of populations to adapt in the face of environmental change. Here we report the first description of nuclear genetic variability in the only remaining sizable colony of the Mediterranean monk seal (Monachus monachus), located at Cap Blanc (Western Sahara, Mauritania), whose estimated size during the study period (1994-May 1997) was about 320 individuals. We tested 42 microsatellite loci isolated from five pinniped species in a sample of 52 pups. Three loci failed to give any product, and of the remaining 39, only 15 were polymorphic, with a maximum of 3 alleles detected. Three loci appeared to be X-linked. No departures from Hardy-Weinberg equilibrium were detected and no genetic structure was found between the two nursing caves currently occupied by the seals. Several analytical methods show that, as a consequence of a severe bottleneck, the population has suffered a decrease in genetic variability over the last few centuries.

Animals↗

Temporal and spatial variation in age-specific survival rates of a long-lived mammal, the Hawaiian monk seal.

Estimates of variability in pinniped survival rates are generally based on observations at single sites, so it is not certain whether observed rates represent the whole population. Here, we provide a comprehensive analysis of spatio-temporal variation in age-specific survival rates for endangered Hawaiian monk seals (Monachus schauinslandi) based on capture-recapture analyses of more than 85% of the pups weaned in this population over the last two decades. Uniquely, these data have been collected from six subpopulations, encompassing all major breeding sites across its 1800 km long core range. Analyses of individual subpopulations revealed similar patterns in age-specific survival, characterized by the relatively low survival rates from weaning to 2 years of age, intermediate rates to 4 years of age, and then by relatively high 'mature' survival rates until 17 years of age, after which a senescent decline was observed. Juvenile, subadult and adult survival rates all varied significantly over time. Trends in survival among subpopulations were coherent with their relative geographical positions, suggesting regional structuring and connectedness within the archipelago. Survival rates for different age classes tended to be positively correlated, suggesting that similar factors may influence the survival for seals of all ages.

Animals↗

Design of a variable-included-angle Monk-Gillieson monochromator with varied-line-spacing gratings.

A novel design concept is presented for a variable-included-angle Monk-Gillieson mounting monochromator with a varied-line-spacing (VLS) plane grating, in which the grating is illuminated by converging X-rays. The energy resolution for a beamline with a typical undulator source is estimated by means of the ray-tracing method. It is shown that the source-size or slope-error limited resolution is achieved in a wide energy range by properly changing the included angle. Moreover, relatively high resolution is maintained even if one scans the photon energy with a fixed included angle, which is a great advantage over the previous VLS grating monochromator with diverging illumination on the grating. A design example for a bending-magnet beamline is also presented, indicating that the new design concept is valid even for high-emittance sources.

Computer Simulation↗

Identification of morbilliviruses of probable cetacean origin in carcases of Mediterranean monk seals (Monachus monachus).

Two morbilliviruses were isolated from carcases of Mediterranean monk seals (Monachus monachus) which had died in coastal areas of Greece and Mauritania. They were characterised as being closely related to the previously identified dolphin and porpoise morbilliviruses on the basis of their serological cross-reactivities in immunofluorescence assays, and sequence homologies in their N and P genes. The results suggest that morbilliviruses of aquatic mammals may cross barriers between species of different orders.

Animals↗

The Monk "soft top" endoprosthesis. Clinical, biomechanical and histopathological observations.

This paper presents a prospective trial carried out using the Monk "soft top" endoprosthesis in 33 patients. Two years after operation 70 per cent of the remaining patients had pain. A biomechanical and histopathological analysis of the endoprosthesis and the surrounding tissue, obtained from a further two patients at the time of revision, is presented. It is concluded that the prosthesis has inherent design faults which result in excessive wear of the polyethylene component. The wear debris produced stimulates a prolific fibrous tissue reaction which is associated with progressive clinical deterioration.

Aged↗

Grazing-incidence Monk-Gillieson monochromator based on surface normal rotation of a varied-line-spacing grating.

A geometric theory of a grazing-incidence varied-line-spacing plane-grating monochromator system whose scanning is made by a simple grating rotation about the grating normal has been developed for designing Monk-Gillieson monochromators capable of covering an energy range of 0.6-2.5 keV. Analytic expressions are given for the grating equations, focal conditions, dispersion, spectral image shape, and optimization of groove parameters. On the basis of the theory, two monochromator systems have been designed: system I for moderate resolution and system II for relatively high resolution. The validity of the analytic formulas and the expected performance of the designed systems have been evaluated by means of ray tracing. The results show that the analytic formulas are sufficiently accurate for practical applications and that systems I and II would provide resolving power of approximately 1450-600 and 7500-2000, respectively, in the wavelength region of 0.5-2.0 nm.

Journal Article↗

Testosterone response to a gonadotrophin-releasing hormone agonist in Hawaiian monk seals (Monachus schauinslandi).

Adult male Hawaiian monk seals were administered a gonadotrophin-releasing hormone (GnRH) agonist to determine its effectiveness in reducing the testicular production of testosterone. Blood samples were collected from four treated seals and two control seals at weekly intervals for 10 weeks and again at the beginning of the following breeding season. The GnRH-agonist had an initial, brief, stimulating effect on circulating testosterone, but this was followed by an inhibitory effect that lasted for 7 to 8 weeks. The plasma concentrations of testosterone were within normal ranges by the following spring. These results demonstrate a reversible form of long-term androgen suppression, which may have applicability in a variety of wildlife management programmes.

Animals↗

Hepatitis associated with a Sarcocystis canis-like protozoan in a Hawaiian monk seal (Monachus schauinslandi).

A Hawaiian monk seal (Monachus schauinslandi) died in captivity at the National Marine Fisheries Service, Kewalo Basin Facility in Honolulu, Hawaii. The animal was icteric, and the liver was friable. Microscopic lesions were detected in the colon and liver. Colonic lesions included multifocal, necrohemorrhagic colitis associated with gram-negative bacilli. The liver lesions included random hepatic necrosis and cholestasis. Asexual stages of a Sarcocystis canis-like apicomplexan were detected in hepatocytes. The parasite divided by endopolygeny. Merozoites occasionally formed rosettes around a central residual body. Ultrastructurally, merozoites lacked rhoptries. This is the first report of S. canis infection in M. schauinslandi, which is an endangered pinniped in U.S. waters.

Animals↗