• Refine Query
  • Source
  • Publication year
  • to
  • Language
  • 20
  • 15
  • 6
  • 3
  • 2
  • 2
  • 2
  • 1
  • 1
  • 1
  • Tagged with
  • 64
  • 20
  • 13
  • 10
  • 10
  • 9
  • 7
  • 7
  • 6
  • 5
  • 5
  • 5
  • 5
  • 4
  • 4
  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
41

Does weather affect mental well-being neurologically?

Saldjoughi Tivander, Victoria January 2018 (has links)
Research on well-being is in its infancy and the term lacks a clear definition, yet it is an increasingly popular matter. The neurology underlying well-being is important in such research in order to understand what brain mechanisms are correlated with mental health. Even though objective measures such as brain imaging are increasingly used assessments in well-being and neuroscience studies, self-reports are widely used. Articles viewing such research often state that self-reports could be biased because the subjects may be affected by the weather the day of the self-report. No further explanations are however provided as to why or how those individuals would be affected by the weather, or by which weather conditions. The aim of this thesis is thus to find neurological explanations for how weather can affect well-being. Constituents of well-being will be reviewed together with brain bases of mental health in an attempt to find neural correlations of weather and well-being. How humans are affected by the weather is a limited research area and the findings are diverse on all aspects but the solar influence over the brain and mind. Man-made light was however found to be a substitute for the effect of sunlight on the brain. No strong relationship between weather and well-being were found based on existing literature. No significant neural correlations between mental well-being and different weather conditions was found either.
42

Eficiência da luz solar refletida e desempenho de dispositivos de sombreamento: estudo para salas de aula na cidade de Maceió / Reflected sunlight efficiency and shanding devices performance: study for classrooms in the city of Maceió

Carvalho, Marlise Lila Silva 12 July 2018 (has links)
A humid subtropical climate is characterized by a predominant partly cloudy sky, which increases the intensity of solar radiation, and makes shade an essential requeriment. Thus, the indoor daylighting environment may depend more on reflected light than on direct light. Planning the shape of the surfaces is an important means of making full use of the reflected sunlight. In this regard, shading devices can be designed that just obstruct the view of the sky enough to provide shade, by reflecting the sunlight for the environment, and reducing this loss. The aim of this doctoral research is to study the performance of shading devices in classrooms with regard to their luminous power when capturing reflected sunlight in Maceió, so as to determine the potential use of sunlight in these elements. Three variables of these devices were defined for this: the number of pieces, specularity and reflectance of the surfaces devices. The resulting models from the combination of these variables were analyzed to calculate the reflected sunlight efficiency, rate employed in this research. The software used for the computational simulations of these models was TropLux. Statistical analyses were conducted to determine which variables had the greatest impact on the reflected sunlight efficiency and to relate the rate to the daylighting performance through indicators of availability, distribution and the maintenance of illuminance inside the environment: these included the annual average illuminance and uniformity rate, and spatial daylight autonomy. The results showed that the reflectance of the devices is the variable that has the most positive influence on the reflected sunlight efficiency, and is able to increase the rate by up to 142%. The annual average illuminance and the spatial daylight autonomy were positively related to the efficiency and the defined parameterization also led to an increase of their values. With regard to the distribution of illuminances, the variations of the analyzed parameters resulted in a reduction of the uniformity rate in most of the cases studied. The increase in specularity and specular reflectance in the models facing east reduced the rate by up to 34% and 41%, respectively. Increasing the number of components in the system devices installed in lateral openings, only provides a valid solution for the increase of the illumination when these elements have a high reflectance, especially specular. This represents a more efficient strategy in the case of the north facade. Among the analyzed models, in the systems with the largest number of components, and where the surface finishing process provides specular reflection, there is a greater use of sunlight in the reflected form. The use of light colors, such as white, beige and yellow, also benefit the use of sunlight, especially if they are used in materials with specular reflection. In contrast, the high reflectances resulted in a reduction of the uniformity of illumination in the environment. From the results of the studies carried out into reflected sunlight efficiency, it can be stated that it is possible to increase the use of sunlight through the variation of certain shading devices and, hence, to bring benefits by making daylighting available in the environment. / O clima quente e úmido caracteriza-se pelo predomínio do céu parcialmente nublado, o que torna intensa a radiação solar, impondo a necessidade de sombreamento. Assim, a iluminação natural no interior do ambiente pode depender mais da luz refletida do que da luz natural direta. Planejar a forma das superfícies é um importante recurso para o aproveitamento da luz solar refletida. Neste sentido, dispositivos de sombreamento podem ser projetados para obstruir a visão do céu apenas o necessário para o sombreamento, refletindo a luz solar para o ambiente e minimizando essa perda. O objetivo geral desta pesquisa de doutorado é estudar o desempenho de dispositivos de sombreamento em salas de aula com relação à eficiência luminosa na captação da luz solar refletida, em Maceió, a fim de que seja identificado o potencial de aproveitamento da luz solar desses elementos. Para isso foram definidas três variáveis desses dispositivos: número de peças, especularidade e refletância das superfícies dos brises. Os modelos resultantes da combinação dessas variáveis foram analisados quanto à eficiência da luz solar refletida, índice proposto nesta pesquisa. O programa utilizado para as simulações computacionais desses modelos foi o TropLux. Análises estatísticas foram desenvolvidas a fim de identificar as variáveis de maior impacto para a eficiência da luz solar refletida e relacionar o índice ao desempenho da iluminação, através de indicadores de disponibilidade, distribuição e manutenção da iluminância no ambiente: iluminância média anual, uniformidade média anual e autonomia de luz natural espacial. Os resultados mostraram que a refletância dos dispositivos é a variável que mais influencia positivamente a eficiência da luz solar refletida, chegando a incrementar em até 142% o índice. A iluminância média anual e a autonomia de luz natural espacial foram relacionados positivamente à eficiência e a parametrização definida também contribuiu para a ampliação dos seus valores. Quanto à distribuição de iluminâncias, a variação dos parâmetros analisados resultou em redução do índice de uniformidade, na maioria dos casos estudados. O aumento da especularidade e da refletância especular em modelos voltados para Leste reduziram o índice em 34% e 41%, respectivamente. Aumentar o número de peças em sistemas de dispositivos inseridos em aberturas laterais apenas corresponde a uma solução válida para o incremento da iluminação quando tais elementos possuem alta refletância, sobretudo especular. Tal medida representa uma estratégia mais eficiente no caso da fachada Norte. Entre os modelos analisados, os sistemas com maior número de peças, cujo acabamento das superfícies proporciona reflexão especular, são capazes de promover maior aproveitamento da luz solar na forma refletida. O uso de cores claras, como branco, creme e amarelo, também favorece o aproveitamento da luz solar, sobretudo se forem empregadas em materiais com reflexão especular. Por outro lado, altas refletâncias resultaram em redução da uniformidade da iluminação no ambiente. A partir dos resultados dos estudos de eficiência da luz solar refletida desenvolvidos, pode-se afirmar que é possível ampliar o aproveitamento da luz solar através da variação de determinadas características de dispositivos de sombreamento e, consequentemente, trazer benefícios para a disponibilidade de iluminação no ambiente.
43

Sunlight - Essential for Health

Juneby, Hans Bertil January 2012 (has links)
Sunlight is recognized as one of the most important environmental factors that influence human health. There is strong evidence in the scientific literature that adequate exposure to sunlight is associated with many physical and mental health benefits, including reduced overall mortality, prevention of many deadly forms of cancer, as well as a number of metabolic, cardiovascular, autoimmune, infectious and neuropsychatric diseases. Vitamin D deficiency, which is mainly due to insufficient exposure to sunlight, is now one of the most common medical conditions, estimated to affect more than a billion people worldwide. Health professionals, patients and the general public should receive more evidence-based information about the many health benefits of sunlight, and how to use it in prevention and treatment of disease.
44

Context Awareness / 脈絡感知

Wang, Chia-Hao January 2017 (has links)
From anti-modernism to the movement of regaining identity, in one way or another, we are all somehow looking for ways to find the harmony in this world. Respecting nature, be aware of the environment and co-exist with it, is worth further investigation. That is why I chose to examine the relationship of context and interior, with the help of natural light.
45

Sunlight exposure and prostate cancer risk : a case-control study in Montreal, Canada

Yu, Jennifer 08 1900 (has links)
Objectifs: Évaluer l’association entre l’exposition récréative, professionnelle et globale au soleil et le risque de cancer de la prostate (CaP). Méthodes: Dans le contexte d’une étude cas-témoins sur le CaP menée à Montréal, Canada, des entrevues ont été complétées auprès de 1371 cas incidents de CaP diagnostiqués en 2005-2009, et 1479 témoins de la population générale. Des questionnaires détaillés ont permis d’obtenir de l’information sur la fréquence et la durée de participation à toute activité extérieure lors des loisirs durant l’âge adulte, ainsi qu’une description de chaque emploi tenu au cours de la vie. Une matrice emploi-exposition canadienne a été appliquée à chaque emploi afin d’assigner un niveau d’exposition professionnelle au soleil. Des indices cumulatifs de l’exposition au soleil basés sur le nombre d’événements récréatifs, la durée d’exposition professionnelle, ainsi qu’un indice d’exposition global ont été développés. La régression logistique a été utilisée pour estimer l’association entre chaque indice d’exposition et le CaP, en ajustant pour des variables de confusion potentielles. Résultats: Globalement, il n’y avait pas d’association entre chacun des indices d’exposition et le risque de CaP. Certaines tendances en accord avec un risque légèrement plus faible chez les hommes exposés au soleil ont été observées mais les résultats n’étaient pas statistiquement significatifs et il n’y avait pas de relation dose-réponse. Conclusion: Notre étude apporte peu de soutien à l’hypothèse d’une association entre l’exposition au soleil et le risque de développer un cancer de la prostate. / Objectives: To investigate the association between sunlight exposure during leisure time, at work and globally, and prostate cancer (PCa) risk. Methods: In the context of a case-control study conducted in Montreal, Canada, interviews were conducted with 1371 incident PCa cases diagnosed between 2005 and 2009, and 1479 population controls. Detailed questionnaires were used to elicit the frequency and duration of engagement in any outdoor recreational activity during adulthood, as well as a description of each job held over the lifetime. A Canadian job-exposure matrix was applied to attribute a sunlight exposure level to each job. Cumulative indices of sunlight exposure were developed based on the number of outdoor leisure-time events, the duration of occupational exposure, separately and combined. Logistic regression was used to estimate the association between each sunlight exposure index and PCa, adjusting for potential confounding factors. Results: As a whole, there was no association between any of the exposure indices, and PCa risk, or PCa aggressiveness. Some trends for slightly lower PCa risks among men exposed to sunlight were observed, but results were not statistically significant and there was no dose-response pattern. Conclusion: Our findings provide little evidence for an association between sunlight exposure during adulthood and prostate cancer development.
46

Sunlight exposure and prostate cancer risk : a case-control study in Montreal, Canada

Yu, Jennifer 08 1900 (has links)
Objectifs: Évaluer l’association entre l’exposition récréative, professionnelle et globale au soleil et le risque de cancer de la prostate (CaP). Méthodes: Dans le contexte d’une étude cas-témoins sur le CaP menée à Montréal, Canada, des entrevues ont été complétées auprès de 1371 cas incidents de CaP diagnostiqués en 2005-2009, et 1479 témoins de la population générale. Des questionnaires détaillés ont permis d’obtenir de l’information sur la fréquence et la durée de participation à toute activité extérieure lors des loisirs durant l’âge adulte, ainsi qu’une description de chaque emploi tenu au cours de la vie. Une matrice emploi-exposition canadienne a été appliquée à chaque emploi afin d’assigner un niveau d’exposition professionnelle au soleil. Des indices cumulatifs de l’exposition au soleil basés sur le nombre d’événements récréatifs, la durée d’exposition professionnelle, ainsi qu’un indice d’exposition global ont été développés. La régression logistique a été utilisée pour estimer l’association entre chaque indice d’exposition et le CaP, en ajustant pour des variables de confusion potentielles. Résultats: Globalement, il n’y avait pas d’association entre chacun des indices d’exposition et le risque de CaP. Certaines tendances en accord avec un risque légèrement plus faible chez les hommes exposés au soleil ont été observées mais les résultats n’étaient pas statistiquement significatifs et il n’y avait pas de relation dose-réponse. Conclusion: Notre étude apporte peu de soutien à l’hypothèse d’une association entre l’exposition au soleil et le risque de développer un cancer de la prostate. / Objectives: To investigate the association between sunlight exposure during leisure time, at work and globally, and prostate cancer (PCa) risk. Methods: In the context of a case-control study conducted in Montreal, Canada, interviews were conducted with 1371 incident PCa cases diagnosed between 2005 and 2009, and 1479 population controls. Detailed questionnaires were used to elicit the frequency and duration of engagement in any outdoor recreational activity during adulthood, as well as a description of each job held over the lifetime. A Canadian job-exposure matrix was applied to attribute a sunlight exposure level to each job. Cumulative indices of sunlight exposure were developed based on the number of outdoor leisure-time events, the duration of occupational exposure, separately and combined. Logistic regression was used to estimate the association between each sunlight exposure index and PCa, adjusting for potential confounding factors. Results: As a whole, there was no association between any of the exposure indices, and PCa risk, or PCa aggressiveness. Some trends for slightly lower PCa risks among men exposed to sunlight were observed, but results were not statistically significant and there was no dose-response pattern. Conclusion: Our findings provide little evidence for an association between sunlight exposure during adulthood and prostate cancer development.
47

Avaliação da eficácia da terapia fotodinâmica no tratamento de queilite actínica / Evaluation of the efficacy of photodynamic therapy for the treatment of actinic cheilitis

Chaves, Yuri Nogueira 04 November 2014 (has links)
INTRODUÇÃO: A queilite actínica é uma neoplasia intra-eptelial do lábio cujas células apresentam alterações semelhantes àquelas apresentadas pelos carcinomas espinocelulares invasores. O tratamento eficaz dessa moléstia pode evitar sua evolução para carcinoma espinocelular. OBJETIVO: Avaliar a eficácia do tratamento da queilite actínica através da clínica, da histopatologia e da imunoistoquímica, usando terapia fotodinâmica com metilaminolevulinato e luz vermelha não coerente. MÉTODOS: Vinte e três pacientes com queilite actínica comprovada por exame histopatológico foram submetidos a duas sessões de terapia fotodinâmica com duas semanas de intervalo entre elas. Foram examinados imediatamente após as sessões, quatro, seis e doze semanas após início do tratamento, quando realizavam nova biópsia. Os parâmetros clínicos, histopatológicos e imunoistoquímicos foram avaliados antes e após o tratamento. RESULTADOS: Dos 23 pacientes biopsiados, 16 completaram as duas sessões de terapia fotodinâmica e em um paciente o material foi insuficiente para análise imunoistoquímica. Do ponto de vista clínico houve cura completa em 10 pacientes (62,5%), havendo permanência da doença em seis (37,5%). Apesar dessa taxa de cura clínica, não foi observado em nenhum caso cura através da análise histopatológica. Não houve mudança estatisticamente significativa entre os valores de Ki-67, survivina e p53 observados antes e após o tratamento. CONCLUSÃO: A terapia fotodinâmica, da maneira realizada nesse estudo, não foi opção terapêutica eficaz para o tratamento das queilites actínicas incluídas nesta amostra / INTRODUCTION: Actinic cheilitis is a lip intraepithelial neoplasia, whose cells present alterations similar to those presented by invasive squamous cell carcinomas. OBJECTIVE: To conduct clinical and laboratory evaluation by histopathology and immunohistochemistry of the efficacy of actinic cheilitis treatment using photodynamic therapy with methyl aminolevulinate and non-coherent red light. METHODS: Patients with actinic cheilitis detected by histopathological examination were submitted to two sessions of photodynamic therapy with a two-week interval between them. They were examined immediately after the sessions, four, six and twelve weeks after beginning treatment when a new biopsy was carried out. Clinical histopathological and immunohistochemical parameters were evaluated before and after treatment. RESULTS: Of the twent-three patients who underwent biopsy, sixteen completed two photodynamic therapy sessions and the material of one patient was insufficient for immunohistochemistry. Complete response was achieved in 62,5% (10/16 patients) and 37,5% still remained with clinical evidence of AC. In spite of this, no case of cure by histopathological analysis was found. There was no significant statistical change among the values of Ki-67, survivin and p53 observed before and after treatment. CONCLUSION: Photodynamic therapy, as carried out in this trial, was not an efficacious therapeutic option for treating patients with actinic cheilitis included in this sample
48

Estudo comparativo dos aspectos clínicos, morfológicos e moleculares da ceratose actínica e do carcinoma de células escamosas na pele da região ventral abdominal de caninos domésticos / Comparative study of the clinical, morphological and molecular aspects of actinic keratosis and squamous cell carcinoma in the skin of the abdominal ventral region of domestic canines

Zanini, Danielle Almeida 12 June 2017 (has links)
Os tumores cutâneos e subcutâneos em cães representam um terço das neoplasias nessa espécie. O carcinoma de células escamosas (CCE) é uma neoplasia maligna com origem no epitélio estratificado escamoso da pele e de outras superfícies mucosas. A etiologia do CCE em cães não é bem definida, porém é descrito que a exposição aos raios solares é um importante fator para seu desenvolvimento. O CCE, frequentemente, é precedido pela ceratose actínica (CA). Este trabalho tem como objetivo comparar aspectos clínicos, morfológicos e moleculares da ceratose actínica e carcinoma de células escamosas da pele da região abdominal ventral de cães. Foram coletadas dez amostras de pele apresentando CCE e 9 amostras de pele apresentando CA da região abdominal ventral de caninos domésticos. As amostras foram fixadas em formol a 10%, e rotineiramente processadas para inclusão em parafina. Os cortes histológicos de 5?m foram submetidos à coloração de Hematoxilina e Eosina, para análise histopatológica, e às marcações, por imuno-histoquímica, de E-caderina, p53, Ciclo-oxigenase-2, pancitoqueratina AE1/AE2, vimentina, 5 metilcitosina e Ki67. As expressão de E-caderina, p53, ciclo-oxigenase-2, pancitoqueratina AE1/AE e vimentina foram avaliadas qualititivamente nas 9 amostras de CA e 10 amostras CCE, respectivamente. A metilação global do DNA e a proliferação celular (Ki67) foram quantificadas nos cortes histológicos de CA e CCE por meio da contagem de núcleos de células epiteliais marcados positiva ou negativamente. Os dados foram analisados por meio de testes uni e multivariados. Os cães machos da raça American PitBull Terrier de pelagem branca foram os mais acometidos pela CA e CCE, com média de idade de 8,1 e 8,4 anos, respectivamente. Não houve associação significativa na expressão de p53, COX-2 e vimentina na CA e CCE. Houve aumento no número de células com o núcleo marcado positivamente para Ki-67 e 5 metilcitosina em CCE comparado a CA. Observou-se, também, marcação heterogênea de Ecaderina em CCE. Constatou-se também diminuição na expressão de pancitoqueratina AE1/AE3 quando há invasão linfática e maior expressão de 5 metilcitosina em cães mais idosos, no CCE. Estes achados sugerem que há diferenças entre CA e CCE em relação aos parâmetros estudados, que condizem com a transformação maligna da afecção / Cutaneous and subcutaneous tumors in dogs account for a third of neoplasms in this species. Squamous cell carcinoma (SCC) is a malignant neoplasm that originates in the stratified squamous epithelium of the skin and other mucosal surfaces. The etiology of SCC is not well defined, however it is described that exposure to the sunlight is an important factor for its development. SCC is often preceded by actinic keratosis (AK). This work aims to compare clinical, morphological and molecular aspects of actinic keratosis and squamous cell carcinoma of the skin of the ventral abdominal region of dogs. Ten samples of SCC and 9 skin samples showing AK of the ventral abdominal region of domestic canines were collected. As samples were fixed in 10% formaldehyde, and routinely processed for inclusion in paraffin. Histological sections of 5?m were submitted to staining of Hematoxylin and Eosin for histopathological analysis, and to immunohistochemistry of E-cadherin, p53, Cyclooxygenase-2, pancytokeratin AE1/AE2, vimentin, 5 methylcytosine and Ki-67. The expression of E-cadherin, p53, cyclooxygenase-2, pancytokeratin AE1 / AE and vimentin were qualitatively evaluated in the 9 AK samples and 10 SCC samples, respectively. Overall DNA methylation and cell proliferation (Ki67) were quantified in the histological sections of AK and SCC by counting nuclei of positively or negatively labeled epithelial cells. The data were analyzed by means of uni and multivariate tests. Male dogs of the American PitBull Terrier breed were the most affected by AK and SCC, with an average age of 8.1 and 8.4 years, respectively. There was no significant association in the expression of p53, COX-2 and vimentin in CA and CCE. There was an increase in the number of cells with the nucleus positively labeled for Ki-67 and 5 methylcytosine in CCE compared to CA. There was also a heterogeneous labeling of Ecaderin in CCE. It was also observed a decrease in the expression of pancytokeratin AE1/AE3 when there is lymphatic invasion and greater expression of 5 methylcytosine in older dogs in the ECC. These findings suggest that there are differences between CA and SCC in relation to the studied parameters, which are consistent with the malignant transformation of the disease
49

Impact of Sunlight and Natural Organic Matter on the Fate, Transport, and Toxicity of Carbon Based Nanomaterials

Qu, Xiaolei 16 September 2013 (has links)
The fast growing production of carbon based nanomaterials (CNMs) and their potential widespread use in consumer products raise concerns regarding their potential risks to human health and ecosystems. The present study investigated the role of photochemical transformation and natural organic matter (NOM) in the fate, transport, and toxicity of fullerenes and carbon nanotubes (CNTs) in natural aquatic systems, providing fundamental information for risk assessment and management. Photochemical transformation of aqueous fullerene nanoparticles (nC60) and CNTs occurs at significant rates under UVA irradiation at intensity similar to that in sunlight. The transformation processes are mediated by self-generated ROS, resulting in changes of surface structure depending on the initial surface oxidation state of CNMs. UVA irradiation leads to oxygenation of nC60 surface and decarboxylation of carboxylated multi-walled carbon nanotubes (COOH-MWNTs). The environmental transport of CNMs is significantly affected by their surface chemistry, concentration and species of electrolytes, and concentration and properties of co-existing NOM. In electrolyte solutions without NOM, the mobility of CNMs is largely decided by their surface chemistry, primarily the oxygen-containing functional groups. In NaCl solutions, UVA irradiation remarkably enhanced the mobility of nC60; conversely, it reduced nC60 stability in CaCl2 solutions. The mobility of COOH-MWNTs in NaCl solutions correlated well with the abundance of surface carboxyl groups. Humic acid, once adsorbed on the nC60 surface, can significantly enhance its stability through steric hindrance. The extent of stabilization depends on the amount and properties of humic acid adsorbed. Humic acid has limited adsorption on UVA-irradiated nC60. Soil humic acid is more efficient in stabilizing nC60 than aquatic humic acid due to its higher molecular weight. Humic acid immobilized onto the silica surface can potential enhance or hinder nC60 deposition, depending on the complex interplay of attractive and repulsive forces. MWNTs are more toxicity to bacteria, Escherichia coli, than COOH-MWNTs due to their higher bioavailability and oxidative capacity. Surface oxidation induced by •OH reduced the toxicity of MWNT while reactions with •OH have little effect on the COOH-MWNT toxicity. Antioxidants such as glutathione can effectively inhibit the antibacterial activity of MWNTs.
50

Case-Control Study of Sunlight Exposure and Cutaneous Human Papillomavirus Seroreactivity in Basal Cell and Squamous Cell Carcinomas of the Skin

Iannacone, Michelle R. 01 January 2011 (has links)
Non-melanoma skin cancer (NMSC), comprised of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), is the most common cancer in Caucasians. Ultraviolet radiation (UVR) exposure is the most important environmental risk factor for both BCC and SCC development. However, the precise relationship between UVR and the risk of NMSC is complex, and the relationship may differ by skin cancer type. It has been hypothesized that intermittent patterns and childhood sunlight exposure are important for BCC while continuous (chronic) and lifelong (i.e. childhood and adulthood) sunlight exposure is important for SCC. Epidemiologic studies have demonstrated that cutaneous human papillomavirus (HPV) infection may also be a risk factor for developing NMSC. However, the pathway by which cutaneous HPV is associated with NMSC remains unclear. It is hypothesized that UVR exposure may interact synergistically with cutaneous HPV in NMSC development. The goal of the research study was to evaluate the relationship between levels of sunlight exposure and BCC and SCC and to investigate differences in sunlight-associated BCC and SCC risk by genus-specific cutaneous HPV serostatus. To address these goals, we conducted a clinic based case-control study of histologically confirmed BCC and SCC cases recruited from a university dermatology clinic and controls with no history of cancer and screened negative for current skin cancer. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CI) for the associations between measures of sunlight exposure and BCC and SCC. Multiplicative interactions were tested by placing an interaction term for the product of genus-specific HPV seroreactivity and sunlight related factors in the logistic regression models. Measures of both intermittent and continuous patterns of sunlight exposure were associated with both types of skin cancer (i.e. BCC and SCC). Specifically, history of blistering sunburn (a marker of intermittent sunlight exposure) and occupational sunlight exposure (i.e. having a job in the sun for at least 3 months for >10 years) were both associated with BCC and SCC. The major differences in patterns of sunlight exposure between BCC and SCC were observed for sunlight exposure in one's thirties. Additionally, sunlight exposure in one's twenties was associated with SCC, regardless of pattern of exposure; similar associations were not observed for BCC. Measures of timing of sunlight exposure consistently demonstrated that childhood/adolescent sunlight exposure was more important for SCC than BCC. These included number of moles on the forearms and entire body (measure of increased childhood sunlight exposure), and younger age at first and tanning bed use. Younger age at first blistering sunburn was statistically significantly associated with both BCC and SCC. NMSC cases were more likely to be seropositive for cutaneous HPV antibodies compared to controls. Compared to tanning, having a propensity to sun burn (p=0.006), or poor tanning ability (p=0.003) were significantly associated with a higher seroprevalence to genus beta HPV types within SCC cases. Statistically significant interactions were observed between poor tanning ability and genus-specific seropositivity with NMSC. Specifically, the associations between poor tanning ability and BCC (p interaction=0.02) and SCC (p interaction=0.01) were significantly stronger among individuals that were seropositive for antibodies to genus alpha HPV types. Similarly, the association between poor tanning ability and SCC was stronger among those seropositive for genus beta HPV types (p interaction=0.001). No additional significant interactions were observed for BCC or SCC between cutaneous sensitivity, history of blistering sunburn, or cumulative sunlight exposure and genus-specific seroreactivity. In conclusion, associations with patterns of sunlight exposure appeared to be similar between BCC and SCC cases. With the exception of age at first blistering sunburn, factors measuring timing of sunlight exposure demonstrated stronger and statistically significant relationships with SCC. Additionally, of the sunlight related factors measured, only the associations between poor tanning ability and BCC and SCC were significantly modified by HPV seropositivity to types in genera alpha or beta.

Page generated in 0.0899 seconds