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Objective: This study investigated the social, demographic and contextual factors associated with injury among adolescents in a low-income urban sub-Saharan African setting.Methods: Data on 2 176 adolescents aged 11–16 years were divided into three groups: Those that reported not being injured, those that had been injured once, and those that had been injured multiple times within a 12-month recall period. We conducted bivariate analyses to screen for associations with several social, demographic and contextual factors. Then a multinomial logistic regression was performed to examine associations while adjusting for covariates.Results: Within the recall period, 22.14% of participants reported one serious injury and 10.96% reported multiple injuries. Compared with non-injured participants, those injured two or more times were mainly male (relative risk ratio (RRR) = 1.71 [1.27–2.31]), younger (RRR = 0.77 [0.68–0.86]), depressed (RRR = 1.98 [1.43–2.74]) and had high rates of truancy (RRR = 2.56; CI = 1.71–3.84). A travel time of more than 30 minutes to and from school was also associated with increased rates of injury (RRR = 1.61; CI = 1.13–2.29).Conclusions: Injuries are an important source of morbidity among school-attending adolescents in Dar es Salaam. The findings support more research into the contextual factors that predispose adolescents to excessive injury in the region. School settings have the potential to provide safety education in the region.Keywords: injury, sub-Saharan Africa, urban setting, school health

Skin bleaching is the use of creams, gels, or soaps to lighten the skin and is known to cause a number of injuries, many of which are potentially life-threatening. Despite the growing body of research identifying the harmful effects of skin bleaching, this topic has received little attention in the field of public health. This study provides a literature review of the current research documenting health risks associated with skin bleaching. Articles pertaining to skin bleaching practices and their health consequences were extracted from databases that publish research in the biomedical, public health, and social science literatures. Twenty-two articles that met search criteria were analysed and thematically coded using a priori research questions examining: (1) harms caused by skin bleaching, (2) alignment with accepted definitions of injury, and (3) suggestions for prevention and intervention. Results indicate skin bleaching poses a serious public health risk and threat to skin safety. Researchers have called for increased governmental and individual/community intervention to address this growing problem. Limitations of the study include the small number of scholarly publications on the topic, limited epidemiological study of the topic, and various selection biases in individual articles that may skew results. Keywords: skin safety, skin bleaching, skin lightening, injury prevention, literature review, public health

Telomerase activity has been detected in a broad range of human cancers and its expression could be an important step in tumor progression. Here, telomerase activity by the telomeric repeat amplification protocol in cases of benign endometrium, endometrial hyperplasia, and endometrial adenocarcinoma was tested. Telomerase expression was detected in 13 of 14 cases of proliferative phase endometrium, in 7 of 12 cases of secretory phase endometrium, but was not detected in any of 7 cases of atrophic endometrium. Three of three cases with evidence of luteal phase defect and one of four cases of chronic endometritis also expressed telomerase activity. Hyperplastic endometrium was positive for telomerase in 13 of 17 cases. Telomerase activity was detected in 40 of 48 cases of endometrial adenocarcinoma, which included 36 of 43 cases of endometrioid adenocarcinoma and four of five cases of papillary serous carcinoma. The detection of telomerase in endometrial adenocarcinoma was not associated with either architectural grade, myometrial invasion, or stage. There was statistically significant association, however, between telomerase activity in benign atrophic endometrium versus any endometrial abnormality in women 52 years of age or older.

Two conformational states of the coat protein of the filamentous bacteriophage M13 have been detected in detergent solution by using magnetic resonance techniques. When 3-fluorotyrosine is incorporated in place of the two tyrosine residues in the protein, four 19F nuclear magnetic resonance signals are observed, two for each conformer of the protein. The equilibrium between the two forms can be modulated by pH, temperature, and detergent structure. The rate of interconversion of the isomers is rapid on the minutes time scale but is slow relative to the T1 relaxation time of the fluorine resonances of approximately 50 ms. The conformational change between the conformers results in the perturbation of a basic residue in the protein such that this group has a pKa of approximately 9.5 in one state which shifts to 10.5 or more in the other conformational state. The temperature dependence of the equilibrium suggests an enthalpy difference of about 10 kcal/mol which is offset by entropy to give nearly zero free energy difference between the states at pH 8.3 in deoxycholate solution at room temperature. This suggests a substantial reorganization of the noncovalent interactions defining the two conformational states. The conformational equilibrium is strongly dependent on detergent structure and the presence of phospholipid in the detergent micelle. The results are not consistent with a strong, specific lipid binding to the protein but appear to be consistent with a more general effect of the overall micelle structure on the conformational state of the protein.

The interactions of the dimeric horse liver alcohol dehydrogenase (LADH) with ligands in two nonreactive ternary complexes have been examined by using nuclear magnetic resonance and fluorescence techniques. One complex contains the enzyme, NADH, and the abortive alcohol substrate p-(trifluoromethyl) benzyl alcohol. The trifluoromethyl group allows the bound environment and bound to free exchange kinetics of this alcohol to be examined by using 19F NMR. Binding isotherms of the coenzyme and the abortive substrate were examined by using fluorescence. Similar measurements were made with the enzyme, NADH, and the aldehyde analogue p-(trifluoromethyl) benzamide. For both complexes there was no evidence of cooperative equilibrium binding of any ligand. Careful measurements of the exchange kinetics of the fluorinated alcohol or amide when binding to the enzyme NADH complex using NMR techniques showed that a single lifetime describes the exchange of ligands from both subunits of the protein. These results appear to rule out any site-site interactions in this system and support the notion that the observed biphasic kinetics observed in transient reactions of LADH with NAD and alcohols is a property of a single site in this system.

An analysis of whether differing sex-object choice by 46 heterosexual and 46 homosexual females (21 to 50 yr. old) is associated with significant differences in scores on the Edwards Personal Preference Schedule indicated heterosexual women scored higher on the heterosexuality scale while homosexual women scored higher on the Dominance scale and the Endurance scale. Neither group scored above or below what is considered the normal T-score ranges of 30 to 70 on any scale.