Alcohol in Munich secondary school students--a study for dissemination of experiences, knowledge, attitude and behavior

The Munich Community Health Service (Medical School-Service Department) conducted an alcohol prevention project in ten public secondary schools. The 423 pupils (11-17 years of age) filled in a questionnaire on alcohol and discussed it afterwards under the guidance of a school physician and a teacher using guideline information. The results of the survey are presented in this paper. Additionally, suggestions for transferring the results to conceptualize and carry out preventive measures are made. The results indicate that the first experience with alcohol occurred early in life. One-fifth of the sample had already tried alcohol at the age of six. Immediate effects of alcohol (e.g. state of drunkenness) were experienced by 35.7 percent of the sample group. Kiosks, shops, and beverage stores were named most frequently as sources for alcohol. The sources of social support varied with respect to sex and age. With increasing age of the children, parents were contacted less frequently whereas the role of peers increased. The present results supply possible paths of action for the development of successful prevention strategies, e.g. by pointing out the early age of onset as well as specific sources of alcohol acquisition.     

Symptom prevalence and worry about high voltage transmission lines

Few studies have documented public perceptions of environmental health risks from exposure to overhead transmission lines. In particular, little information has been provided on the impact of worry on symptom prevalence in residents living adjacent to high voltage transmission lines. The current study assessed symptom prevalence and worry in 152 Orange County female residents living either adjacent to overhead transmission lines or one block away. Forty-five percent of the respondents were either very worried or somewhat worried about the transmission lines and 55% were slightly worried or not worried at all. Results indicated that for those who did not live on the easement level of worry did not affect the prevalence of health problems. For those who lived on the easement, the most worried respondents were more likely to report health problems. Disclosure of health problems may depend more on individuals' level of worry about rather than proximity to overhead transmission lines. Possible limitations of this study include personality variables such as hypochondriasis which were not assessed, recall bias, and social desirability. The homogeneity of subjects may also limit the generalizability of findings.     

Haemophilia A: mutation type determines risk of inhibitor formation

The formation of factor VIII antibodies is a major problem for replacement therapy of haemophilia A patients. Antibodies occur in 5-30% of patients with severe haemophilia A. The reason for antibody formation is still unknown. In this study we correlate for the first time different factor VIII gene mutations, stop- and missense mutations, large and small deletions and intrachromosomal intron 22 recombinations to antibody formation. A total of 364 patients with known inhibitor status of our institute, of the database, and of 3 studies representing intron-22-inversion data are included. The results show that the risk for developing factor VIII antibodies is strongly related to stop mutations. large deletions and intrachromosomal recombinations. A probable explanation could be the complete lack of endogenous circulating factor VIII protein in these cases. Other factors that might be important for the pathogenesis of inhibitor formation, e. g. the antenatal period, as well as possible therapeutic effects, are discussed.     

Space-time finite elements for a simplified thermo-metallurgical problem relevant to casting

The non-linear thermo-metallurgical problem, relevant for the cooling of a molten metal including the macro-segregation that occurs during the cooling process, is studied here. Due to the strong non-linearities involved in phase transformations, it is necessary to use a fine resolution in space-time in a finite element approximation in order to meet accuracy requirements. We derive space-time FE-methods based on the discontinuous and continuous Galerkin method in time for the energy equation. This formulation integrates the stored energy exactly for a given heat flux. When macro-segregation is incorporated into the model, the problem can be formulated in such a way that the phase-transition drives a flow of species. In addition, diffusion is possible throughout the domain. The model can be further rewritten using a potential approach. By this approach for modelling macro-segregation, we are able to obtain discretizations that guarantee that the balance equations are satisfied, and it is possible to solve the phase-transition problem either as a field problem or as a local problem (defined by a local evolution rule).