The Spanish translation, cultural adaptation and validation of the Powe Fatalism Inventory

Background/significance. The scarcity of reliable and valid Spanish language instruments for health related research has hindered research with the Hispanic population. Research suggests that fatalistic attitudes are related to poor cancer screening behaviors and may be one reason for low participation of Mexican-Americans in cancer screening. This problem is of major concern because Mexican-Americans constitute the largest Hispanic subgroup in the U.S.^ Purpose. The purposes of this study were: (1) To translate the Powe Fatalism Inventory, (PFI) into Spanish, and culturally adapt the instrument to the Mexican-American culture as found along the U.S.-Mexico border and (2) To test the equivalence between the Spanish translated, culturally adapted version of the PFI and the English version of the PFI to include clarity, content validity, reading level and reliability.^ Design. Descriptive, cross-sectional.^ Methods. The Spanish language translation used a translation model which incorporates a cultural adaptation process. The SPFI was administered to 175 bilingual participants residing in a midsize, U.S-Mexico border city. Data analysis included estimation of Cronbach's alpha, factor analysis, paired samples t-test comparison and multiple regression analysis using SPSS software, as well as measurement of content validity and reading level of the SPFI. ^ Findings. A reliability estimate using Cronbach's alpha coefficient was 0.81 for the SPFI compared to 0.80 for the PFI in this study. Factor Analysis extracted four factors which explained 59% of the variance. Paired t-test comparison revealed no statistically significant differences between the SPFI and PFI total or individual item scores. Content Validity Index was determined to be 1.0. Reading Level was assessed to be less than a 6th grade reading level. The correlation coefficient between the SPFI and PFI was 0.95.^ Conclusions. This study provided strong psychometric evidence that the Spanish translated, culturally adapted SPFI is an equivalent tool to the English version of the PFI in measuring cancer fatalism. This indicates that the two forms of the instrument can be used interchangeably in a single study to accommodate reading and speaking abilities of respondents. ^

AN ATTEMPT TO MEASURE FOOD SAFETY STATUS

The main objective of this study was to attempt to develop some indicators for measuring the food safety status of a country. A conceptual model was put forth by the investigator. The assumption was that food safety status was multifactorily influenced by medico-health levels, food-nutrition programs, and consumer protection activities. However, all these in turn depended upon socio-economic status of the country.^ Twenty-six indicators were reviewed and examined. Seventeen were first screened and three were finally selected, by the stepwise multiple regression analysis, to reflect the food safety status. Sixty-one countries/areas were included in this study.^ The three indicators were life expectancy at birth with multiple correlation coefficient (R2 = 34.62%), adult literacy rate (R2 = 29.66%), and child mortality rate for ages 1-4 (R2 = 9.99%). They showed a cumulative R2 of 57.79%. ^

COSTS AND EFFECTS OF ARKANSAS' LONG-TERM CARE DEMONSTRATION PROJECT (MEDICAID, CHANELLING, COMMUNITY ASSESSMENT)

The purpose of this study was to assess the impact of the Arkansas Long-Term Care Demonstration Project upon Arkansas' Medicaid expenditures and upon the clients it serves. A Retrospective Medicaid expenditure study component used analyses of variance techniques to test for the Project's effects upon aggregated expenditures for 28 demonstration and control counties representing 25 percent of the State's population over four years, 1979-1982.^ A second approach to the study question utilized a 1982 prospective sample of 458 demonstration and control clients from the same 28 counties. The disability level or need for care of each patient was established a priori. The extent to which an individual's variation in Medicaid utilization and costs was explained by patient need, presence or absence of the channeling project's placement decision or some other patient characteristic was examined by multiple regression analysis. Long-term and acute care Medicaid, Medicare, third party, self-pay and the grand total of all Medicaid claims were analyzed for project effects and explanatory relationships.^ The main project effect was to increase personal care costs without reducing nursing home or acute care costs (Prospective Study). Expansion of clients appeared to occur in personal care (Prospective Study) and minimum care nursing home (Retrospective Study) for the project areas. Cost-shifting between Medicaid and Medicare in the project areas and two different patterns of utilization in the North and South projects tended to offset each other such that no differences in total costs between the project areas and demonstration areas occurred. The project was significant ((beta) = .22, p < .001) only for personal care costs. The explanatory power of this personal care regression model (R('2) = .36) was comparable to other reported health services utilization models. Other variables (Medicare buy-in, level of disability, Social Security Supplemental Income (SSI), net monthly income, North/South areas and age) explained more variation in the other twelve cost regression models. ^

PROJECTION OF HEALTH DEMAND IN TERMS OF HOSPITAL ADMISSIONS FOR SELECTED DIAGNOSES IN HEALTH SYSTEMS AGENCY SERVICE AREAS

The National Health Planning and Resources Development Act of 1974 (Public Law 93-641) requires that health systems agencies (HSAs) plan for their health service areas by the use of existing data to the maximum extent practicable. Health planning is based on the identificaton of health needs; however, HSAs are, at present, identifying health needs in their service areas in some approximate terms. This lack of specificity has greatly reduced the effectiveness of health planning. The intent of this study is, therefore, to explore the feasibility of predicting community levels of hospitalized morbidity by diagnosis by the use of existing data so as to allow health planners to plan for the services associated with specific diagnoses.^ The specific objectives of this study are (a) to obtain by means of multiple regression analysis a prediction equation for hospital admission by diagnosis, i.e., select the variables that are related to demand for hospital admissions; (b) to examine how pertinent the variables selected are; and (c) to see if each equation obtained predicts well for health service areas.^ The existing data on hospital admissions by diagnosis are those collected from the National Hospital Discharge Surveys, and are available in a form aggregated to the nine census divisions. When the equations established with such data are applied to local health service areas for prediction, the application is subject to the criticism of the theory of ecological fallacy. Since HSAs have to rely on the availability of existing data, it is imperative to examine whether or not the theory of ecological fallacy holds true in this case.^ The results of the study show that the equations established are highly significant and the independent variables in the equations explain the variation in the demand for hospital admission well. The predictability of these equations is good when they are applied to areas at the same ecological level but become poor, predominantly due to ecological fallacy, when they are applied to health service areas.^ It is concluded that HSAs can not predict hospital admissions by diagnosis without primary data collection as discouraged by Public Law 93-641. ^

THE CHLOREX TREATABILITY STUDY: ENVIRONMENTAL FATE IN FACULTATIVE ANAEROBIC AND AEROBIC WASTE STABILIZATION PONDS (BIODEGRADATION, VOLATILIZATION, SORPTION, PRIORITY POLLUTANTS)

The efficacy of waste stabilization lagoons for the treatment of five priority pollutants and two widely used commercial compounds was evaluated in laboratory model ponds. Three ponds were designed to simulate a primary anaerobic lagoon, a secondary facultative lagoon, and a tertiary aerobic lagoon. Biodegradation, volatilization, and sorption losses were quantified for bis(2-chloroethyl) ether, benzene, toluene, naphthalene, phenanthrene, ethylene glycol, and ethylene glycol monoethyl ether. A statistical model using a log normal transformation indicated biodegradation of bis(2-chloroethyl) ether followed first-order kinetics. Additionally, multiple regression analysis indicated biochemical oxygen demand was the water quality variable most highly correlated with bis(2-chloroethyl) ether effluent concentration. ^

Sea ice cover, and bottom water and sediment characteristics at stations in the Amundsen Gulf, Canada

Seasonal dynamics in the activity of Arctic shelf benthos have been the subject of few local studies, and the pronounced among-site variability characterizing their results makes it difficult to upscale and generalize their conclusions. In a regional study encompassing five sites at 100-595 m water depth in the southeastern Beaufort Sea, we found that total pigment concentrations in surficial sediments, used as proxies of general food supply to the benthos, rose significantly after the transition from ice-covered conditions in spring (March-June 2008) to open-water conditions in summer (June-August 2008), whereas sediment Chl a concentrations, typical markers of fresh food input, did not. Macrobenthic biomass (including agglutinated foraminifera >500 µm) varied significantly among sites (1.2-6.4 g C/m**2 in spring, 1.1-12.6 g C/m**2 in summer), whereas a general spring-to-summer increase was not detected. Benthic carbon remineralisation also ranged significantly among sites (11.9-33.2 mg C/m**2/day in spring, 11.6-44.4 mg C/m**2/day in summer) and did in addition exhibit a general significant increase from spring-to-summer. Multiple regression analysis suggests that in both spring and summer, sediment Chl a concentration is the prime determinant of benthic carbon remineralisation, but other factors have a significant secondary influence, such as foraminiferan biomass (negative in both seasons), water depth (in spring) and infaunal biomass (in summer). Our findings indicate the importance of the combined and dynamic effects of food supply and benthic community patterns on the carbon remineralisation of the polar shelf benthos in seasonally ice-covered seas.

(Table 3) Collembola species density and diversity in control and OTC plots near Abisco Research Station

Ecosystems at high northern latitudes are subject to strong climate change. Soil processes, such as carbon and nutrient cycles, which determine the functioning of these ecosystems, are controlled by soil fauna. Thus assessing the responses of soil fauna communities to environmental change will improve the predictability of the climate change impacts on ecosystem functioning. For this purpose, trait assessment is a promising method compared to the traditional taxonomic approach, but it has not been applied earlier. In this study the response of a sub-arctic soil Collembola community to long-term (16 years) climate manipulation by open top chambers was assessed. The drought-susceptible Collembola community responded strongly to the climate manipulation, which substantially reduced soil moisture and slightly increased soil temperature. The total density of Collembola decreased by 51% and the average number of species was reduced from 14 to 12. Although community assessment showed species-specific responses, taxonomically based community indices, species diversity and evenness, were not affected. However, morphological and ecological trait assessments were more sensitive in revealing community responses. Drought-tolerant, larger-sized, epiedaphic species survived better under the climate manipulation than their counterparts, the meso-hydrophilic, smaller-sized and euedaphic species. Moreover it also explained the significant responses shown by four taxa. This study shows that trait analysis can both reveal responses in a soil fauna community to climate change and improve the understanding of the mechanisms behind them.

Relación precipitación-escorrentía y número de curva bajo diferentes condiciones de uso del suelo: : cuenca modal del sistema serrano de La Ventana, Argentina

La metodología del número de la curva (NC) es la más empleada para transformar la precipitación total en precipitación efectiva. De esta manera se constituye en una herramienta de gran valor para realizar estudios hidrológicos en cuencas hidrográficas, fundamentalmente cuando hay una deficiencia de registros extensos y confiables. Esta metodología requiere del conocimiento del tipo y uso de suelo de la cuenca en estudio y registros pluviográficos. En el presente trabajo se aplicó el procesamiento de imágenes LANDSAT para la zonificación de la vegetación y uso del suelo en la cuenca del Arroyo Pillahuinco Grande (38° LS y 61° 15' LW), ubicada sobre el sistema serrano de La Ventana, en el sudoeste de la provincia de Buenos Aires, Argentina. El análisis de su interrelación generó los valores de NC y coeficiente de escorrentía (CE). El procesamiento digital de la base de datos raster georreferenciada se realizó con aplicación de herramientas de sistema de información geográfica (Idrisi Kilimanjaro). El análisis de regresión múltiple efectuado a las variables generó un R2 que explica el 89,77 % de la variabilidad de CE (a < 0,01). Los resultados se exponen a nivel diagnóstico y zonificación del NC, donde la mayor influencia de la escorrentía se relaciona con las variables cobertura vegetal y uso del suelo.

Caracterización de poblaciones nativas de maíz mediante Análisis de Procrustes Generalizado y Análisis Factorial Múltiple

El establecimiento de relaciones entre taxones es un paso esencial en el proceso de catalogación y evaluación del material conservado en un Banco de Germoplasma. Existen distintos métodos de evaluación en función del tipo de caracteres estudiados. Cuando el registro de caracteres se repite en el tiempo y en distintos ambientes, se debe separar la variabilidad intrínsecamente genética entre los taxones de aquella que se debe al ambiente, y más aún, de la posible variabilidad debida a la interacción genotipo*ambiente para el posterior establecimiento de relaciones puramente filogenéticas. En el presente trabajo se estudia comparativamente la factibilidad de aplicación de dos estrategias de análisis estadístico para dar solución a este problema. La primera corresponde al análisis tradicional donde se realiza un Análisis de Componentes Principales sobre los caracteres promedios a lo largo de los diferentes ambientes; y la segunda son métodos más complejos en los cuales cada dato es originado por tres modos: individuos, variables y condiciones ambientales, tales como el Análisis Factorial Múltiple y el Análisis de Procrustes Generalizado. Si bien las configuraciones resultantes fueron todas equivalentes, los métodos de tres vías permiten la interpretación de la interacción genotipo*ambiente.

Knowledge of medical abortion among Brazilian medical students

OBJECTIVE: To assess the knowledge of Brazilian medical students regarding medical abortion (MA) and the use of misoprostol for MA, and to investigate factors influencing their knowledge. METHODS: All students from 3 medical schools in São Paulo State were invited to complete a pretested structured questionnaire with precoded response categories. A set of 12 statements on the use and effects of misoprostol for MA assessed their level of knowledge. Of about 1260 students invited to participate in the study, 874 completed the questionnaire, yielding a response rate of 69%. The Ï (2) test was used for the bivariate analysis, which was followed by multiple regression analysis. RESULTS: Although all students in their final year of medical school had heard of misoprostol for termination of pregnancy, and 88% reported having heard how to use it, only 8% showed satisfactory knowledge of its use and effects. Academic level was the only factor associated with the indicators of knowledge investigated. CONCLUSION: The very poor knowledge of misoprostol use for MA demonstrated by the medical students surveyed at 3 medical schools makes the review and updating of the curriculum urgently necessary.

Los estudiantes de la UNLP : Apuntes cuantitativos para una caracterización estructural

En este trabajo se presentan resultados de un relevamiento realizado a los estudiantes de la UNLP a partir de una encuesta por muestreo aleatorio. Se realiza en primer término un análisis descriptivo general sobre las principales características de dicha población, y en segundo lugar un análisis exploratorio que intenta sintetizar perfiles de los estudiantes según algunas dimensiones socio-demográficas, institucionales e ideológicas, mediante la técnica multivariada del análisis de correspondencias múltiples

Los estudiantes de la UNLP : Apuntes cuantitativos para una caracterización estructural

En este trabajo se presentan resultados de un relevamiento realizado a los estudiantes de la UNLP a partir de una encuesta por muestreo aleatorio. Se realiza en primer término un análisis descriptivo general sobre las principales características de dicha población, y en segundo lugar un análisis exploratorio que intenta sintetizar perfiles de los estudiantes según algunas dimensiones socio-demográficas, institucionales e ideológicas, mediante la técnica multivariada del análisis de correspondencias múltiples

Los estudiantes de la UNLP : Apuntes cuantitativos para una caracterización estructural

En este trabajo se presentan resultados de un relevamiento realizado a los estudiantes de la UNLP a partir de una encuesta por muestreo aleatorio. Se realiza en primer término un análisis descriptivo general sobre las principales características de dicha población, y en segundo lugar un análisis exploratorio que intenta sintetizar perfiles de los estudiantes según algunas dimensiones socio-demográficas, institucionales e ideológicas, mediante la técnica multivariada del análisis de correspondencias múltiples

Zoobenthos and oceanographical parameters in the Kemskaya Guba (Bay) - estuary of the Kem' River entering the Onega Bay, White Sea

Data on distribution of zoobenthos in the Kemskaya Guba (or Kemskaya Bay - the estuary of the Kem' River entering the Onega Bay of the White Sea), which is strongly influenced by river runoff, are presented. The number of species at sampling stations varied from 4 to 65. Density of communities and zoobenthos biomass varied from 342±68 to 4293±96 #/m**2 and from 0.418±0.081 to 1975.22±494.36 g/m**2, respectively. Shannon index values varied between 1.19 to 4.7 bit/ind. At the upper part of the estuary, detritivores dominated, while in the central part and at outlets sestonophages prevailed. Changes in quantitative parameters of the zoobenthos along gradient of water salinity were traced, and relations of these parameters with seven other environmental factors were revealed. It was found that species composition, biodiversity, and trophic structure of the zoobenthos significantly correlated with some of parameters mentioned above. Multiple regression analysis was used to assess combined effect of factors, and it revealed which of them played a determining role in Kemskaya Guba: for species composition - depth, water color, and total concentration of suspended matter; for number of species - contents of <0.01 mm grain size (pelite) fraction and organic carbon in bottom sediments. Biomass depended on water salinity, water chromaticity, and organic carbon contents in bottom sediments and suspended matter. Values of the Shannon index of diversity are determined by water color, and contents of organic carbon and pelite fraction in bottom sediments. Calculations of ecological stress values revealed two zones with unstable state of the zoobenthos.

Annual 10Be concentrations from Lakes Tiefer See and Czechowskie AD1983-2009

Beryllium 10 concentrations (10Becon) were measured at annual resolution from varved sediment cores of Lakes Tiefer See (TSK) and Czechowskie (JC) for the period 1983-2009 (~solar cycles 22 and 23). Calibrating the 10Becon time-series against complementing proxy records from the same archive as well as local precipitation and neutron monitor data, reflecting solar forced changes in atmospheric radionuclide production, allowed (i) identifying the main depositional processes and (ii) evaluating the potential for solar activity reconstruction. 10Becon in TSK and JC sediments are significantly correlated to varying neutron monitor counts (TSK: r=0.5, p=0.05, n=16; JC: r=0.46, p=0.03, n=22). However, the further correlations with changes in organic carbon contents in TSK as well as varying organic carbon and detrital matter contents in JC point to catchment specific biases in the 10Becon time-series. In an attempt to correct for these biases multiple regression analysis was applied to extract an atmospheric 10Be production signal (10Be atmosphere). To increase the signal to noise ratio a 10Be composite record (10Be composite) was calculated from the TSK and JC 10Be atmosphere time-series. 10Becomposite is significantly correlated to variations in the neutron monitor record (r=0.49, p=0.01, n=27) and matches the expected amplitude changes in 10Be production between solar cycle minima and maxima. This calibration study on 10Be from two sites indicates the large potential but also, partly site-specific, limitations of 10Be in varved lake sediments for solar activity reconstruction.