Oxytocin interference in the effects induced by inhalation of 7.5% CO2 in healthy volunteers

Objective The objective of this study was to assess the acute effect of intranasally administered oxytocin (OT) on subjective states, cardiovascular, and endocrine parameters in healthy volunteers who inhaled 7.5% CO2. Methods Forty-five subjects were allocated into three matched groups of subjects who received 24?international units (IU) of OT, 2?mg of lorazepam (LZP), or placebo (PL). The challenge consisted of medical air inhalation for 20?min, 10?min of rest, and CO2 7.5% inhalation for 20?min. Subjective effects were evaluated by self-assessment scales; heart rate, blood pressure, skin conductance, and salivary cortisol were also measured. Assessments were performed at four time points: (i) baseline (-15?min); (ii) post-air inhalation (90?min); (iii) post-CO2 inhalation (120?min), and (iv) post-test (160?min). Results CO2 inhalation significantly increased the anxiety score in the PL group compared with the post-air measurement but not in the OT or LZP groups. The LZP reduced anxiety after medical air inhalation. Other parameters evaluated were not affected by OT. Conclusion OT, as well as LZP, prevented CO2-induced anxiety, suggesting that this hormone has anxiolytic properties. Copyright (C) 2012 John Wiley & Sons, Ltd.

An interdisciplinary analysis of obesity: theory and empirical evidence

The dissertation is structured in three parts. The first part compares US and EU agricultural policies since the end of WWII. There is not enough evidence for claiming that agricultural support has a negative impact on obesity trends. I discuss the possibility of an exchange in best practices to fight obesity. There are relevant economic, societal and legal differences between the US and the EU. However, partnerships against obesity are welcomed. The second part presents a socio-ecological model of the determinants of obesity. I employ an interdisciplinary model because it captures the simultaneous influence of several variables. Obesity is an interaction of pre-birth, primary and secondary socialization factors. To test the significance of each factor, I use data from the National Longitudinal Survey of Adolescent Health. I compare the average body mass index across different populations. Differences in means are statistically significant. In the last part I use the National Survey of Children Health. I analyze the effect that family characteristics, built environment, cultural norms and individual factors have on the body mass index (BMI). I use Ordered Probit models and I calculate the marginal effects. I use State and ethnicity fixed effects to control for unobserved heterogeneity. I find that southern US States tend have on average a higher probability of being obese. On the ethnicity side, White Americans have a lower BMI respect to Black Americans, Hispanics and American Indians Native Islanders; being Asian is associated with a lower probability of being obese. In neighborhoods where trust level and safety perception are higher, children are less overweight and obese. Similar results are shown for higher level of parental income and education. Breastfeeding has a negative impact. Higher values of measures of behavioral disorders have a positive and significant impact on obesity, as predicted by the theory.

The Returns to Migration: The Influence of Education and Migration Type

We show the impact of migration type on real wages over time. We create a migration and earnings history from the National Longitudinal Survey of Youth over the period 1979-2002. We estimate the effects of primary, onward, and two types of return migration on real wages using a panel data model with individual, location, and time fixed effects. Panel data are well suited for the study of the returns to U.S. internal migration because the influence of migration on wages has been found to occur years after the event. We differentiate return migration into two types: return to a location with ties that form a geographical anchor (home) and return to a prior place of work. We find that real wage growth varies by migration type. Education attainment is a significant factor in real wage growth. Our results show that onward migration is an important channel by which the monetary rewards to a college education are manifested.

Impact of weather and climate on the incidence of acute coronary syndromes

BACKGROUND: First investigations of the interactions between weather and the incidence of acute myocardial infarctions date back to 1938. The early observation of a higher incidence of myocardial infarctions in the cold season could be confirmed in very different geographical regions and cohorts. While the influence of seasonal variations on the incidence of myocardial infarctions has been extensively documented, the impact of individual meteorological parameters on the disease has so far not been investigated systematically. Hence the present study intended to assess the impact of the essential variables of weather and climate on the incidence of myocardial infarctions. METHODS: The daily incidence of myocardial infarctions was calculated from a national hospitalization survey. The hourly weather and climate data were provided by the database of the national weather forecast. The epidemiological and meteorological data were correlated by multivariate analysis based on a generalized linear model assuming a log-link-function and a Poisson distribution. RESULTS: High ambient pressure, high pressure gradients, and heavy wind activity were associated with an increase in the incidence of the totally 6560 hospitalizations for myocardial infarction irrespective of the geographical region. Snow- and rainfall had inconsistent effects. Temperature, Foehn, and lightning showed no statistically significant impact. CONCLUSIONS: Ambient pressure, pressure gradient, and wind activity had a statistical impact on the incidence of myocardial infarctions in Switzerland from 1990 to 1994. To establish a cause-and-effect relationship more data are needed on the interaction between the pathophysiological mechanisms of the acute coronary syndrome and weather and climate variables.

Self-esteem development from age 14 to 30 years: A longitudinal study

We examined the development of self-esteem in adolescence and young adulthood. Data came from the Young Adults section of the National Longitudinal Survey of Youth, which includes 8 assessments across a 14-year period of a national probability sample of 7,100 individuals age 14 to 30 years. Latent growth curve analyses indicated that self-esteem increases during adolescence and continues to increase more slowly in young adulthood. Women and men did not differ in their self-esteem trajectories. In adolescence, Hispanics had lower self-esteem than Blacks and Whites, but the self-esteem of Hispanics subsequently increased more strongly, so that at age 30 Blacks and Hispanics had higher self-esteem than Whites. At each age, emotionally stable, extraverted, and conscientious individuals experienced higher self-esteem than emotionally unstable, introverted, and less conscientious individuals. Moreover, at each age, high sense of mastery, low risk taking, and better health predicted higher self-esteem. Finally, the results suggest that normative increase in sense of mastery accounts for a large proportion of the normative increase in self-esteem.

Consumer satisfaction with primary care provider choice and associated trust

Trust is important in medical relationships and for the achievement of better health outcomes. Developments in managed care in the recent years are believed to affect the quality of healthcare services delivery and to undermine trust in the healthcare provider. Physician choice has been identified as a strong predictor of provider trust but has not been studied in detail. Consumer satisfaction with primary care provider (PCP) choice includes having or not having physician choice. This dissertation developed a conceptual framework that guided the study of consumer satisfaction with PCP choice as a predictor of provider trust, and conducted secondary data analyses examining the association between PCP choice and trust, by identifying factors related to PCP choice satisfaction, and their relative importance in predicting provider trust. The study specific aims were: (1) to determine variables related to the factors: consumer characteristics and health status, information and consumer decision-making, consumer trust in providers in general and trust in the insurer, health plan financing and plan characteristics, and provider characteristics that may relate to PCP choice satisfaction; (2) to determine if the factors in aim one are related to PCP choice satisfaction; and (3) to analyze the association between PCP choice satisfaction and provider trust, controlling for potential confounders. Analyses were based on secondary data from a random national telephone survey in 1999, of residential households in the United States which included respondents aged over 20 and who had at least two visits with a health professional in the past two years. Among 1,117 eligible households interviewed (response rate 51.4%), 564 randomly selected to respond to insurer related questions made up the study sample. Analyses using descriptive statistics, and linear and logistic regressions found continual effective care and interaction with the PCP beyond the medical setting most predictive of PCP choice satisfaction. Four PCP choice satisfaction factors were also predictive of provider trust. Findings highlighted the importance of the PCP's professional and interpersonal competencies for the development of sustainable provider trust. Future research on the access, utilization, cognition, and helpfulness of provider specific information will further our understanding of consumer choice and trust. ^

The association of allergies and attention deficit hyperactivity disorder in children

To investigate the association between allergies and attention deficit hyperactivity disorder (ADHD), a case-control study was conducted using the National Longitudinal Survey of Youth population. Cases were between the ages of 4 and 11 years and were classified either by a maternal-reported diagnosis or by the Behavior Problems Index Hyperactivity Scale. Controls were chosen from the same age group but had a score of less than 14 on the overall Behavior Problems Index. A history of allergies was considered positive if any of the following conditions were reported as requiring treatment by a doctor or other health professional: asthma, allergic conditions, or food allergies. A strong association was observed between allergies and a maternal-reported diagnosis while controlling for demographic, socioeconomic, perinatal, and environmental factors (adjusted odds ratio = 2.85 (95% CI = 1.49-5.42)). Other risk factors found to be important risk factors for a diagnosis of ADHD were gender (male), gestational age ($<$36 weeks), and maternal education ($\leq$high school). No association between allergies and cases classified as ADHD based on the hyperactivity symptom scale was observed. This study confirms other studies that reported an allergy/ADHD association in diagnoses populations. Further investigation confirming the association and explanation of the reasons and underlying mechanisms of the observed association is warranted. These studies should use validated diagnostic criteria for the diagnosis of ADHD symptoms and allergies, adequate sample sizes, and control for confounding. ^

THE RELATIONSHIP BETWEEN SERUM CHOLESTEROL AND CANCER INCIDENCE IN THE POPULATION OF THE HYPERTENSION DETECTION AND FOLLOW-UP PROGRAM

The relationship between serum cholesterol and cancer incidence was investigated in the population of the Hypertension Detection and Follow-up Program (HDFP). The HDFP was a multi-center trial designed to test the effectiveness of a stepped program of medication in reducing mortality associated with hypertension. Over 10,000 participants, ages 30-69, were followed with clinic and home visits for a minimum of five years. Cancer incidence was ascertained from existing study documents, which included hospitalization records, autopsy reports and death certificates. During the five years of follow-up, 286 new cancer cases were documented. The distribution of sites and total number of cases were similar to those predicted using rates from the Third National Cancer Survey. A non-fasting baseline serum cholesterol level was available for most participants. Age, sex, and race specific five-year cancer incidence rates were computed for each cholesterol quartile. Rates were also computed by smoking status, education status, and percent ideal weight quartiles. In addition, these and other factors were investigated with the use of the multiple logistic model.^ For all cancers combined, a significant inverse relationship existed between baseline serum cholesterol levels and cancer incidence. Previously documented associations between smoking, education and cancer were also demonstrated but did not account for the relationship between serum cholesterol and cancer. The relationship was more evident in males than females but this was felt to represent the different distribution of occurrence of specific cancer sites in the two sexes. The inverse relationship existed for all specific sites investigated (except breast) although a level of statistical significance was reached only for prostate carcinoma. Analyses after exclusion of cases diagnosed during the first two years of follow-up still yielded an inverse relationship. Life table analysis indicated that competing risks during the period of follow-up did not account for the existence of an inverse relationship. It is concluded that a weak inverse relationship does exist between serum cholesterol for many but not all cancer sites. This relationship is not due to confounding by other known cancer risk factors, competing risks or persons entering the study with undiagnosed cancer. Not enough information is available at the present time to determine whether this relationship is causal and further research is suggested. ^

2005 ACIP recommendations effect on newborn hepatitis B vaccination rates and the factors affecting the successful implementation of the recommendations in the US

Background. Hepatitis B virus infection is one of major causes of acute and chronic hepatitis, cirrhosis of the liver, and primary hepatocellular carcinoma. Hepatitis B and its long term consequences are major health problems in the United States. Hepatitis B virus can be vertically transmitted from mother to infant during birth. Hepatitis B vaccination at birth is the most effective measure to prevent the newborn from HBV infection and its consequences, and is part of any robust perinatal hepatitis B prevention program following ACIP recommendations. Universal vaccination of the new born will prevent HBV infection during early childhood and, assuming that children receive the three dosages of the vaccine, it will also prevent adolescent and adult infections. Hepatitis B vaccination is now recommended as part of a comprehensive strategy to eliminate HBV transmission in the United States. ^ Objective. (1)To assess if the hepatitis B vaccination rates of newborn babies have improved after the 2005 ACIP recommendations. (2) To identify factors that affects the implementation of ACIP recommendation for hepatitis B vaccination in newborn babies. These factors will encourage ongoing improvement by identifying successful efforts and pinpointing areas that fall short and need attention. Additional focus areas may be identified to accelerate progress in eliminating perinatal HBV transmission.^ Methods. This review includes information from all pertinent articles, reviews, National immunization survey (NIS) surveys, reports, peer reviewed literature and web sources that were published after 1991.The key words to be used for selecting the articles are: "Perinatal Hepatitis B Prevention program", "Universal Hepatitis B vaccination of newborn babies", "ACIP Recommendations." The data gathered will be supplemented with an analysis of vaccination rates using the National Immunization Survey (NIS) birth dose coverage data.^ Results. The data collected in the NIS of 2009 reveals that the national coverage for birth dose of HepB increased to 60.8% from 50.1% in 2006. The largest increase observed for the birth dose in the past 5 years is from 2008 which increased from 55.3 % to 60.8% in 2009. By state, coverage ranged from 22.8% in Vermont to 80.7% in Michigan. %. Overall, in 2009 the estimated vaccination rates are in higher ranges for most states compared to the estimated vaccination rates in 2006. States vary widely in hepatitis B vaccination rates and in their compliance with the 2005 ACIP recommendation. There are many factors at various stages that might affect the successful implementation of the new ACIP recommendation as revealed in literature review. ^ Conclusions. HBV perinatal transmission can be eliminated, but it requires identifying the gaps and measures taken to increase the current vaccination coverage, ensuring timely administration of post exposure immunoprophylaxis and continued evaluations of the impact of immunization recommendations.^

Epidemiology of perinatal mortality: Birthweight, crown -heel length, gestational age, and weight -for -height

Studies suggest that slim infants (low weight-for-height) experienced higher mortality rates than average or high weight-for-height infants (Miller and Hassanein, 1973; Hoffman, Meirik, and Bakketeig, 1984). In this study, the 1980 National Natality Survey and the National Fetal Mortality Survey were used to examine the association of weight, height and perinatal mortality. All singleton births to white married mothers, between 18 and 34 years of age and of parity less than 4, for whom both mother's and hospital questionnaires were completed in those two surveys (3796 live births and 2043 fetal deaths) were selected for analysis. Overall, low weight and height infants had excess mortality rates. However, after adjustment for low birthweight and preterm birth status, low weight and height infants had only slightly higher mortality rates than their medium or high weight and height counterparts. The current study consists of relatively well-educated white married mothers of optimal reproductive age and low parity. Therefore, lower than expected mortality rates for slim infants may be attributed to these favorable demographic factors in this sample as compared with previous studies, or because of advances in perinatal medicine, slim infants may be prevented from achieving the high mortality seen in earlier studies. ^

Evolución del mercado de trabajo y de la estructura del empleo en la Provincia de Buenos Aires desde la convertibilidad (1991-2009)

El artículo aborda la evolución del mercado de trabajo y de la estructura del empleo en la provincia de Buenos Aires durante el período 1991-2009. El análisis recurre a la articulación de una multiplicidad de fuentes de información para dar cuenta de los diferentes aspectos de los fenómenos laborales. A partir de la Encuesta Permanente de Hogares, se analizan los indicadores básicos de los mercados de trabajo urbanos en los principales aglomerados de la provincia y se lleva a cabo una caracterización de sus respectivas estructuras de empleo, considerando dimensiones tales como la categoría ocupacional, la composición público-privado, la condición de registro del empleo (registrado y no registrado) y el sector de actividad. Por otra parte, a nivel del total provincial, se analiza la evolución el empleo privado registrado y su composición sectorial. Para este tipo de análisis se utilizan datos procedentes de los registros administrativos que surgen de las declaraciones juradas de personal en relación de dependencia que realizan mensualmente los contribuyentes ante la AFIP. Estos datos permiten tratamientos muy desagregados de la información, de suma importancia para el análisis sectorial detallado. También a nivel del total provincial, se caracteriza al empleo público en sus distintos niveles de gobierno (nacional, provincial y municipal) a partir de fuentes presupuestarias y de otras, menos difundidas, elaboradas por distintos organismos públicos. El artículo ofrece análisis descriptivos de las variables mencionadas y un pormenorizado detalle metodológico respecto de las fuentes y el tratamiento de la información.

Evolución del mercado de trabajo y de la estructura del empleo en la Provincia de Buenos Aires desde la convertibilidad (1991-2009)

El artículo aborda la evolución del mercado de trabajo y de la estructura del empleo en la provincia de Buenos Aires durante el período 1991-2009. El análisis recurre a la articulación de una multiplicidad de fuentes de información para dar cuenta de los diferentes aspectos de los fenómenos laborales. A partir de la Encuesta Permanente de Hogares, se analizan los indicadores básicos de los mercados de trabajo urbanos en los principales aglomerados de la provincia y se lleva a cabo una caracterización de sus respectivas estructuras de empleo, considerando dimensiones tales como la categoría ocupacional, la composición público-privado, la condición de registro del empleo (registrado y no registrado) y el sector de actividad. Por otra parte, a nivel del total provincial, se analiza la evolución el empleo privado registrado y su composición sectorial. Para este tipo de análisis se utilizan datos procedentes de los registros administrativos que surgen de las declaraciones juradas de personal en relación de dependencia que realizan mensualmente los contribuyentes ante la AFIP. Estos datos permiten tratamientos muy desagregados de la información, de suma importancia para el análisis sectorial detallado. También a nivel del total provincial, se caracteriza al empleo público en sus distintos niveles de gobierno (nacional, provincial y municipal) a partir de fuentes presupuestarias y de otras, menos difundidas, elaboradas por distintos organismos públicos. El artículo ofrece análisis descriptivos de las variables mencionadas y un pormenorizado detalle metodológico respecto de las fuentes y el tratamiento de la información.

Evolución del mercado de trabajo y de la estructura del empleo en la Provincia de Buenos Aires desde la convertibilidad (1991-2009)

El artículo aborda la evolución del mercado de trabajo y de la estructura del empleo en la provincia de Buenos Aires durante el período 1991-2009. El análisis recurre a la articulación de una multiplicidad de fuentes de información para dar cuenta de los diferentes aspectos de los fenómenos laborales. A partir de la Encuesta Permanente de Hogares, se analizan los indicadores básicos de los mercados de trabajo urbanos en los principales aglomerados de la provincia y se lleva a cabo una caracterización de sus respectivas estructuras de empleo, considerando dimensiones tales como la categoría ocupacional, la composición público-privado, la condición de registro del empleo (registrado y no registrado) y el sector de actividad. Por otra parte, a nivel del total provincial, se analiza la evolución el empleo privado registrado y su composición sectorial. Para este tipo de análisis se utilizan datos procedentes de los registros administrativos que surgen de las declaraciones juradas de personal en relación de dependencia que realizan mensualmente los contribuyentes ante la AFIP. Estos datos permiten tratamientos muy desagregados de la información, de suma importancia para el análisis sectorial detallado. También a nivel del total provincial, se caracteriza al empleo público en sus distintos niveles de gobierno (nacional, provincial y municipal) a partir de fuentes presupuestarias y de otras, menos difundidas, elaboradas por distintos organismos públicos. El artículo ofrece análisis descriptivos de las variables mencionadas y un pormenorizado detalle metodológico respecto de las fuentes y el tratamiento de la información.

Determinación de un modelo de geoide gravimétrico para Puerto Rico como sistema de referencia para las altitudes ortométricas

El geoide, definido como la superficie equipotencial que mejor se ajusta (en el sentido de los mínimos cuadrados) al nivel medio del mar en una determinada época, es la superficie que utilizamos como referencia para determinar las altitudes ortométricas. Si disponemos de una superficie equipotencial de referencia como dátum altimétrico preciso o geoide local, podemos entonces determinar las altitudes ortométricas de forma eficiente a partir de las altitudes elipsoidales proporcionadas por el Sistema Global de Navegación por Satélite (Global Navigation Satellite System, GNSS ). Como es sabido uno de los problemas no resueltos de la geodesia (quizás el más importante de los mismos en la actualidad) es la carencia de un dátum altimétrico global (Sjoberg, 2011) con las precisiones adecuadas. Al no existir un dátum altimétrico global que nos permita obtener los valores absolutos de la ondulación del geoide con la precisión requerida, es necesario emplear modelos geopotenciales como alternativa. Recientemente fue publicado el modelo EGM2008 en el que ha habido una notable mejoría de sus tres fuentes de datos, por lo que este modelo contiene coeficientes adicionales hasta el grado 2190 y orden 2159 y supone una sustancial mejora en la precisión (Pavlis et al., 2008). Cuando en una región determinada se dispone de valores de gravedad y Modelos Digitales del Terreno (MDT) de calidad, es posible obtener modelos de superficies geopotenciales más precisos y de mayor resolución que los modelos globales. Si bien es cierto que el Servicio Nacional Geodésico de los Estados Unidos de América (National Geodetic Survey, NGS) ha estado desarrollando modelos del geoide para la región de los Estados Unidos de América continentales y todos sus territorios desde la década de los noventa, también es cierto que las zonas de Puerto Rico y las Islas Vírgenes Estadounidenses han quedado un poco rezagadas al momento de poder aplicar y obtener resultados de mayor precisión con estos modelos regionales del geoide. En la actualidad, el modelo geopotencial regional vigente para la zona de Puerto Rico y las Islas Vírgenes Estadounidenses es el GEOID12A (Roman y Weston, 2012). Dada la necesidad y ante la incertidumbre de saber cuál sería el comportamiento de un modelo del geoide desarrollado única y exclusivamente con datos de gravedad locales, nos hemos dado a la tarea de desarrollar un modelo de geoide gravimétrico como sistema de referencia para las altitudes ortométricas. Para desarrollar un modelo del geoide gravimétrico en la isla de Puerto Rico, fue necesario implementar una metodología que nos permitiera analizar y validar los datos de gravedad terrestre existentes. Utilizando validación por altimetría con sistemas de información geográfica y validación matemática por colocación con el programa Gravsoft (Tscherning et al., 1994) en su modalidad en Python (Nielsen et al., 2012), fue posible validar 1673 datos de anomalías aire libre de un total de 1894 observaciones obtenidas de la base de datos del Bureau Gravimétrico Internacional (BGI). El aplicar estas metodologías nos permitió obtener una base de datos anomalías de la gravedad fiable la cual puede ser utilizada para una gran cantidad de aplicaciones en ciencia e ingeniería. Ante la poca densidad de datos de gravedad existentes, fue necesario emplear un método alternativo para densificar los valores de anomalías aire libre existentes. Empleando una metodología propuesta por Jekeli et al. (2009b) se procedió a determinar anomalías aire libre a partir de los datos de un MDT. Estas anomalías fueron ajustadas utilizando las anomalías aire libre validadas y tras aplicar un ajuste de mínimos cuadrados por zonas geográficas, fue posible obtener una malla de datos de anomalías aire libre uniforme a partir de un MDT. Tras realizar las correcciones topográficas, determinar el efecto indirecto de la topografía del terreno y la contribución del modelo geopotencial EGM2008, se obtuvo una malla de anomalías residuales. Estas anomalías residuales fueron utilizadas para determinar el geoide gravimétrico utilizando varias técnicas entre las que se encuentran la aproximación plana de la función de Stokes y las modificaciones al núcleo de Stokes, propuestas por Wong y Gore (1969), Vanicek y Kleusberg (1987) y Featherstone et al. (1998). Ya determinados los distintos modelos del geoide gravimétrico, fue necesario validar los mismos y para eso se utilizaron una serie de estaciones permanentes de la red de nivelación del Datum Vertical de Puerto Rico de 2002 (Puerto Rico Vertical Datum 2002, PRVD02 ), las cuales tenían publicados sus valores de altitud elipsoidal y elevación. Ante la ausencia de altitudes ortométricas en las estaciones permanentes de la red de nivelación, se utilizaron las elevaciones obtenidas a partir de nivelación de primer orden para determinar los valores de la ondulación del geoide geométrico (Roman et al., 2013). Tras establecer un total de 990 líneas base, se realizaron dos análisis para determinar la 'precisión' de los modelos del geoide. En el primer análisis, que consistió en analizar las diferencias entre los incrementos de la ondulación del geoide geométrico y los incrementos de la ondulación del geoide de los distintos modelos (modelos gravimétricos, EGM2008 y GEOID12A) en función de las distancias entre las estaciones de validación, se encontró que el modelo con la modificación del núcleo de Stokes propuesta por Wong y Gore presentó la mejor 'precisión' en un 91,1% de los tramos analizados. En un segundo análisis, en el que se consideraron las 990 líneas base, se determinaron las diferencias entre los incrementos de la ondulación del geoide geométrico y los incrementos de la ondulación del geoide de los distintos modelos (modelos gravimétricos, EGM2008 y GEOID12A), encontrando que el modelo que presenta la mayor 'precisión' también era el geoide con la modificación del núcleo de Stokes propuesta por Wong y Gore. En este análisis, el modelo del geoide gravimétrico de Wong y Gore presento una 'precisión' de 0,027 metros en comparación con la 'precisión' del modelo EGM2008 que fue de 0,031 metros mientras que la 'precisión' del modelo regional GEOID12A fue de 0,057 metros. Finalmente podemos decir que la metodología aquí presentada es una adecuada ya que fue posible obtener un modelo del geoide gravimétrico que presenta una mayor 'precisión' que los modelos geopotenciales disponibles, incluso superando la precisión del modelo geopotencial global EGM2008. ABSTRACT The geoid, defined as the equipotential surface that best fits (in the least squares sense) to the mean sea level at a particular time, is the surface used as a reference to determine the orthometric heights. If we have an equipotential reference surface or a precise local geoid, we can then determine the orthometric heights efficiently from the ellipsoidal heights, provided by the Global Navigation Satellite System (GNSS). One of the most common and important an unsolved problem in geodesy is the lack of a global altimetric datum (Sjoberg, 2011)) with the appropriate precision. In the absence of one which allows us to obtain the absolute values of the geoid undulation with the required precision, it is necessary to use alternative geopotential models. The EGM2008 was recently published, in which there has been a marked improvement of its three data sources, so this model contains additional coefficients of degree up to 2190 and order 2159, and there is a substantial improvement in accuracy (Pavlis et al., 2008). When a given region has gravity values and high quality digital terrain models (DTM), it is possible to obtain more accurate regional geopotential models, with a higher resolution and precision, than global geopotential models. It is true that the National Geodetic Survey of the United States of America (NGS) has been developing geoid models for the region of the continental United States of America and its territories from the nineties, but which is also true is that areas such as Puerto Rico and the U.S. Virgin Islands have lagged behind when to apply and get more accurate results with these regional geopotential models. Right now, the available geopotential model for Puerto Rico and the U.S. Virgin Islands is the GEOID12A (Roman y Weston, 2012). Given this need and given the uncertainty of knowing the behavior of a regional geoid model developed exclusively with data from local gravity, we have taken on the task of developing a gravimetric geoid model to use as a reference system for orthometric heights. To develop a gravimetric geoid model in the island of Puerto Rico, implementing a methodology that allows us to analyze and validate the existing terrestrial gravity data is a must. Using altimetry validation with GIS and mathematical validation by collocation with the Gravsoft suite programs (Tscherning et al., 1994) in its Python version (Nielsen et al., 2012), it was possible to validate 1673 observations with gravity anomalies values out of a total of 1894 observations obtained from the International Bureau Gravimetric (BGI ) database. Applying these methodologies allowed us to obtain a database of reliable gravity anomalies, which can be used for many applications in science and engineering. Given the low density of existing gravity data, it was necessary to employ an alternative method for densifying the existing gravity anomalies set. Employing the methodology proposed by Jekeli et al. (2009b) we proceeded to determine gravity anomaly data from a DTM. These anomalies were adjusted by using the validated free-air gravity anomalies and, after that, applying the best fit in the least-square sense by geographical area, it was possible to obtain a uniform grid of free-air anomalies obtained from a DTM. After applying the topographic corrections, determining the indirect effect of topography and the contribution of the global geopotential model EGM2008, a grid of residual anomalies was obtained. These residual anomalies were used to determine the gravimetric geoid by using various techniques, among which are the planar approximation of the Stokes function and the modifications of the Stokes kernel, proposed by Wong y Gore (1969), Vanicek y Kleusberg (1987) and Featherstone et al. (1998). After determining the different gravimetric geoid models, it was necessary to validate them by using a series of stations of the Puerto Rico Vertical Datum of 2002 (PRVD02) leveling network. These stations had published its values of ellipsoidal height and elevation, and in the absence of orthometric heights, we use the elevations obtained from first - order leveling to determine the geometric geoid undulation (Roman et al., 2013). After determine a total of 990 baselines, two analyzes were performed to determine the ' accuracy ' of the geoid models. The first analysis was to analyze the differences between the increments of the geometric geoid undulation with the increments of the geoid undulation of the different geoid models (gravimetric models, EGM2008 and GEOID12A) in function of the distance between the validation stations. Through this analysis, it was determined that the model with the modified Stokes kernel given by Wong and Gore had the best 'accuracy' in 91,1% for the analyzed baselines. In the second analysis, in which we considered the 990 baselines, we analyze the differences between the increments of the geometric geoid undulation with the increments of the geoid undulation of the different geoid models (gravimetric models, EGM2008 and GEOID12A) finding that the model with the highest 'accuracy' was also the model with modifying Stokes kernel given by Wong and Gore. In this analysis, the Wong and Gore gravimetric geoid model presented an 'accuracy' of 0,027 meters in comparison with the 'accuracy' of global geopotential model EGM2008, which gave us an 'accuracy' of 0,031 meters, while the 'accuracy ' of the GEOID12A regional model was 0,057 meters. Finally we can say that the methodology presented here is adequate as it was possible to obtain a gravimetric geoid model that has a greater 'accuracy' than the geopotential models available, even surpassing the accuracy of global geopotential model EGM2008.

Relación entre el número de horas de cuidado informal y el estado de salud mental de las personas cuidadoras

Fundamento: La salud mental de las personas cuidadoras se ve perjudicada por las tareas de cuidado. Son necesarios estudios que especifiquen la influencia de diversas variables en la asociación entre cuidado informal y salud mental. El objetivo del trabajo es analizar los efectos del tiempo dedicado al cuidado informal en la salud mental por sexo según el tipo de personas dependientes. Métodos: Los datos que se utilizaron fueron los de la Encuesta Nacional de Salud 2006, cuya muestra estaba compuesta por 29.478 participantes. Variables: salud mental (GHQ-12), tiempo de cuidado, edad, clase social y apoyo funcional (Duke-UNC). Se realizó análisis de regresión logística para determinar la probabilidad de contar con mala salud mental según horas de cuidado, ajustado por edad, clase social y apoyo funcional. Resultados: Las mujeres presentan peor salud mental a partir de 97 horas semanales en el cuidado a menores (OR=1,372), de 25 horas en el cuidado a personas mayores de 74 años (OR=1,602 entre 25 y 48 horas; OR=1,467 49-96h; OR=1,874 97-168h) y cuando dedican alguna hora al cuidado de personas adultas con discapacidad (OR=1,996 0-24h; OR=2,507 25-48h; OR=3,016 49-96h; OR=1,651 97-168h). Los varones muestran deterioro de la salud psicológica cuando dedican un elevado número de horas al cuidado de personas mayores de 74 años (OR=2,810 97168h.) y personas con discapacidad (OR=3,411 97-168h.) y cuando dedican de 0 a 24h al cuidado de menores (OR=1,595). Conclusiones: El efecto del número de horas de cuidado en la salud mental de las personas cuidadoras está influido por el tipo de persona dependiente y por el sexo de la persona cuidadora.