Assessing the overuse of antibiotics in children with URTIs in Saudi Arabia : development of the parental perception on antibiotics scale (PAPA scale)

Background: Antibiotic overuse is influenced by several factors that can only be measured using a valid and reliable psychosocial measurement instrument. This study aims to establish translation and early stage validation of an instrument recently developed by this research team to measure factors influencing the overuse of antibiotics in children with upper respiratory tract infections in Saudi Arabia. Method: The content evaluation panel was composed of area experts approached using the Delphi Technique. Experts were provided with the questionnaires iteratively, on a three-round basis until consensus on the relevance of items was reached independently. Translation was achieved by adapting Brislin’s model of translation. Results: After going through the iterative process with the experts, consensus was reached to 58 items (including demographics). Experts also pointed out some issues related to ambiguity and redundancy in some items. A final Arabic version was produced from the translation process. Conclusion: This study produced preliminary validation of the developed instrument from the experts’ contributions. Then, the instrument was translated from English to Arabic. The instrument will undergo further validation steps in the future, such as construct validity.

Assessing the overuse of antibiotics in children in Saudi Arabia : validation of the parental perception on antibiotics scale (PAPA scale)

Background Antibiotics overuse is a global public health issue influenced by several factors, of which some are parent-related psychosocial factors that can only be measured using valid and reliable psychosocial measurement instruments. The PAPA scale was developed to measure these factors and the content validity of this instrument was assessed. Aim This study further validated the recently developed instrument in terms of (1) face validity and (2) construct validity including: deciding the number and nature of factors, and item selection. Methods Questionnaires were self-administered to parents of children between the ages of 0 and 12 years old. Parents were conveniently recruited from schools’ parental meetings in the Eastern Province, Saudi Arabia. Face validity was assessed with regards to questionnaire clarity and unambiguity. Construct validity and item selection processes were conducted using Exploratory factor analysis. Results Parallel analysis and Exploratory factor analysis using principal axis factoring produced six factors in the developed instrument: knowledge and beliefs, behaviours, sources of information, adherence, awareness about antibiotics resistance, and parents’ perception regarding doctors’ prescribing behaviours. Reliability was assessed (Cronbach’s alpha = 0.78) which demonstrates the instrument as being reliable. Conclusion The ‘factors’ produced in this study coincide with the constructs contextually identified in the development phase of other instruments used to study antibiotic use. However, no other study considering perceptions of antibiotic use had gone beyond content validation of such instruments. This study is the first to constructively validate the factors underlying perceptions regarding antibiotic use in any population and in parents in particular.

Assessing the construct validity and reliability of the parental perception on antibiotics (PAPA) scales

Background: The overuse of antibiotics is becoming an increasing concern. Antibiotic resistance, which increases both the burden of disease, and the cost of health services, is perhaps the most profound impact of antibiotics overuse. Attempts have been made to develop instruments to measure the psychosocial constructs underlying antibiotics use, however, none of these instruments have undergone thorough psychometric validation. This study evaluates the psychometric properties of the Parental Perceptions on Antibiotics (PAPA) scales. The PAPA scales attempt to measure the factors influencing parental use of antibiotics in children. Methods: 1111 parents of children younger than 12 years old were recruited from primary schools’ parental meetings in the Eastern Province of Saudi Arabia from September 2012 to January 2013. The structure of the PAPA instrument was validated using Confirmatory Factor Analysis (CFA) with measurement model fit evaluated using the raw and scaled χ2, Goodness of Fit Index, and Root Mean Square Error of Approximation. Results: A five-factor model was confirmed with the model showing good fit. Constructs in the model include: Knowledge and Beliefs, Behaviors, Sources of information, Adherence, and Awareness about antibiotics resistance. The instrument was shown to have good internal consistency, and good discriminant and convergent validity. Conclusion: The availability of an instrument able to measure the psychosocial factors underlying antibiotics usage allows the risk factors underlying antibiotic use and overuse to now be investigated.

Mass spectrometric study of the dissociation of Group XI metal complexes with fatty acids and glycerolipids : Ag2H+ and Cu2H+ ion formation in the presence of a double bond

Results of mass spectrometric studies are reported for the collisional dissociation of Group XI (Cu, Ag, Au) metal ion complexes with fatty acids (palmitic, oleic, linoleic and a-linolenic) and glycerolipids. Remarkably, the formation of M2H+ ions (M = Cu, Ag) is observed as a dissociation product of the ion complexes containing more than one metal cation and only if the lipid in the complex contains a double bond. Ag2H+ is formed as the main dissociation channel for all three of the fatty acids containing double bonds that were investigated while Cu2H+ is formed with one of the fatty acids and, although abundant, is not the dominant dissociation channel. Also. Cu(I) and Ag(I) ion complexes were observed with glycerolipids (including triacylglycerols and glycerophospholipids) containing either saturated or unsaturated fatty acid substituents. Interestingly. Ag2H+ ion is formed in a major fragmentation channel with the lipids that are able to form the complex with two metal cations (triacylglycerols and glycerophosphoglycerols), while lipids containing a fixed positive charge (glycerophospocholines) complex only with a single metal cation. The formation of Ag2H+ ion is a significant dissociation channel from the complex ion Ag-2(L-H)(+) where L = Glycerophospholipid (GP) (18:1/18:1). Cu(I) also forms complexes of two metal cations with glycerophospholipids but these do not produce Cu2H+ upon dissociation. Rather organic fragments, not containing Cu(I), are formed, perhaps due to different interactions of these metal cations with lipids resulting from the much smaller ionic radius of Cu(I) compared to Ag(I) (C).

Walter Gottschalk and Fritz Gottschalk (Papa) saying goodbye to Elizabeth and Hans Krakauer who are on board the ship Koenigstein leaving to emigrate to America; Antwerp, Belgium.

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Walter Gottschalk and Fritz Gottschalk (Papa) saying goodbye to Elizabeth and Hans Krakauer who are on board the ship Koenigstein leaving to emigrate to America; Antwerp, Belgium.

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Azulenes and related substances-XI. A new azulene synthesis-azulene, 1-methyl-2-methyl- and 1, 3-dimethylazulene

The polyphosphoric acid induced intramolecular acylation of lactones has been applied to the synthesis of the bicyclo [0,3,5] decane system, and the preparation of azulene, 1-methyl-, 2-methyl- and 1,3-dimethylazulene is reported.

Stereochemical studies on cyclic peptides. Part XI. Conformation of cyclic pentapeptides having intramolecular 3 leads to 1 hydrogen bonds.

Conformational analysis of cyclic pentapeptides having two intra-ring 3 leads to 1 hydrogen bonds has been carried out. It is found that the structure can easily be formed with trans planar peptide units without causing significant angular strain at the alpha-carbon atoms. Four different types of conformations designated Types I--IV are possible for the backbone structure. Details of these four types of conformations and also the accommodating possibility of these types for allglycyl and all-alanyl residues are presented. Three of the four types have relatively low energies for glycyl residues whereas the other one has a slightly higher energy. When alanyl residues are introduced at the five alpha-carbon atoms, the types that are energetically favourable depend upon the sequence of isomers. Energy calculations have also been carried out for the combinations of glycyl, L- and D-alanyl residues. The theoretical results are compared with available experimental observations both from solution and solid state studies.

B Physics: WHEPP-XI working group report

We present the report of the B physics working group of the Workshop on High Energy Physics Phenomenology (WHEPP-XI), held at the Physical Research Laboratory, Ahmedabad, in January 2010.

Distribución y variabilidad de Ralstonia solanacearum e.f. Smith agente causal de marchitez bacteriana en el cultivo de papa (Solanum tuberosum L), en tres departamentos del norte de Nicaragua (Esteli, Matagalpa y Jinotega)

La marchitez bacteriana de la papa causada por Ralstonia solanacearum (E. F. Smith) es una de las principales limitantes en la producción de es te cultivo. R.olanacearum es una especie altamente variable, el estudio de su diversidad poblacional es un importante factor a considerar para su control. Con el objetivo de conocer la distribución y la variabilidad, se realizó un estudio durante el período comprendido de Septiembre de 2006 a Enero de 2007, en diferentes localidades distribuidas en tres departamentos de Nicaragua (Estelí, Matagalpa y Jinotega ), donde se recolectaron 18 muestras de tejidos vegetales (tubérculos y tallos) de papa (Solanum tuberosum L.) y suelo, las que fueron analizadas en laboratorio de Microbiología de la Universidad Nacional Agraria (UNA), para el aislamiento, identificación y multiplicación de la bacteria. Se realizaron siembras en plato petri que contenían medio de cultivo medio agar sacarosa-peptona. Posterior a su aislamiento se realizó purificación en un medio específico (tetrazolium). Las cepas bacterianas se identificaron mediante la determinación de características culturales, morfológicas, fisiológicas y bioquímicas. En el primer caso, se observaron características de borde, elevación, consistencia y color de las cepas individuales cultivadas en el medio agar sacarosa- peptona. Las características morfológicas se comprobaron a través observación en el microscopio óptico. La confirmación de las características fisiológicas y bioquímicas, se realizó a través de pruebas de KOH al 3%, oxidasa, catalasa y revelación de flagelos. Las colonias bacterianas identificadas como Ralstonia solanacearun, se les realizó la prueba de carbohidratos para la caracterización de biovares, basada en la utilización de azúcares y oxidación de alcoholes (Hayward, 1991). Las pruebas de hipersensibilidad se realizaron en plantas de tabaco (Nicotiana tabacumL.). Estas fueron inoculadas mediante la infiltración de la suspensión bacteriana de 24 hrs de crecimiento. Como resultado de la prueba, se identificaron dieciséis aislamientos pertenecientes al biovar 3 y dos aislamientos pertenecientes al biovar 1. Siendo el biovar 3 el más prevaleciente en los sitios de muestro. La raza fue identificada en base a sintomatología presentada, resultando ser la raza 1.

Comportamiento in vitro de tres variedades de papa (Solanum tuberosum L.) en tres variantes del medio básico de Murashige y Skoog (1962) y tres subcultivos

Actualmente el cultivo de tejidos vegetales como una de las técnicas más modernas en la agricultura, permite obtener elevados volúmenes de material vegetal de buena calidad para la siembra en numerosos cultivos, impactando directamente en el incremento de la calidad y rendimiento de las cosechas. El objetivo del presente trabajo fue evaluar el comportamiento de las variedades de papa Desirée, DT0-28 y Baraka en tres medios de cultivo: Ml (Sales MS + 0.5 mg/l * AIA + 0.2 mg/l Kinetina + 0.2 mg/1 Tiamina-HCL); M2 (Sales MS + 0.2 mg/l Tiamina-HCL) y M3 (Sales MS + 0.25 mg/l **GA3 + 0.2 mg/l Tiamina-HCL) y tres subcultivos continuos. Se evaluaron las variables Altura de plántula, Longitud de entrenudos y Número de hojas. Las tres variedades manifestaron una dinámica de crecimiento muy variada en los medios de cultivo y en los subcultivos, Desirée registró disminución del número de hojas en la medida que incrementaron los subcultivos. Igual tendencia mostró DT0-28. Por el contrario Baraka superó ligeramente el número de hojas en el subcultivo dos al obtenido en el subcultivo uno, alcanzando los valores más altos en el subcultivo tres. Desirée y Baraka presentaron un comportamiento aceptable en el medio dos y DT0-28 en el medio tres. *AlA = Acido lndolAcético **G3 = Acido Giberélico

Evaluación de semilla sexual hibrida de papa (Solanum tuberosum L.) provenientes del Centro Internacional de la Papa e India en la zona de Miraflor, Esteli

Con el objetivo de seleccionar progenies promisorias de semilla sexual de papa, procedentes del CIP (11) y Programa de la India (3) se estableció este ensayo el 21 de septiembre de 1994, utilizando un diseño de Bloques Completos al Azar (BCA) con cuatro repeticiones, en la estación experimental del Instituto Nicaragüense de Tecnología Agropecuaria (INTA-RB-3), ubicada a 1 350 msnm, humedad relativa del 91 por ciento, temperatura promedio mínima 15 °C/máx 26 °C, cuyos suelos son de textura franca bien drenada, medianamente profundo a profundo, con una precipitación durante el ensayo de 622 mm. Los resultados obtenidos muestran que todas las progenies híbridas enviadas por el CIP mostraron buena velocidad de emergencia en especial SERRANA x LT-7, con respecto a los lubridos de la India. En general el porcentaje de sobrevivencia fue mayor del 80 por ciento para la mayoría de las progenies el cual es un índice aceptable, a excepción de 104.12 LB x TS-4.En la altura final de la planta no hubieron diferencias significativas entre híbridos, solo fueron superiores a KATADIN x TS-10. En cuanto al rendimiento, la progenie HPS­ II/67 mostró ser superior a las demás con 6.2 kg/m2. El número total de tubérculos por metro cuadrado {740) y tubérculos por planta (7) fue superior en la progenie TS-6 x TPS-67. Las progenies de ambos programas mostraron rendimientos por metro cuadrado de más del 50 por ciento con tubérculos mayores de 5 gramos. No se presentó incidencia de virus para ambas progenies, las tres progenies provenientes del Programa de la India presentaron mayor resistencia a tizón tardío (Phytophthora infestans, Mont. D.bary).

Parentesco, prestigio y poder en la alta edad media : la antroponimia aristocrática en el Reino de León (siglos X y XI)

Resumen: El presente trabajo analiza la antroponimia de la aristocracia leonesa en los siglos X y XI, a fi n de contribuir a la comprensión de las estructuras de parentesco de los grupos aristocráticos, las manifestaciones de la memoria familiar y el papel del parentesco en la construcción del poder y el prestigio social. Se plantea que la aristocracia desarrolló una antroponimia específi ca basada en la reiteración de determinados nombres propios a lo largo de las generaciones, que constituyó un importante elemento de identifi cación de la parentela y que expresó en el plano simbólico la organización de los grupos de parentesco en función de la transmisión del poder y la afi rmación del prestigio familiar.