Mathematical and empirical examinations of some epidemiological procedures

In epidemiology literature, it is often required to investigate the relationships between means where the levels of experiment are actually monotone sets forming a partition on the range of sampling values. With this need, the analysis of these group means is generally performed using classical analysis of variance (ANOVA). However, this method has never been challenged. In this dissertation, we will formulate and present our examination of its validity. First, the classical assumptions of normality and constant variance are not always true. Second, under the null hypothesis of equal means, the test statistic for the classical ANOVA technique is still valid. Third, when the hypothesis of equal means is rejected, the classical analysis techniques for hypotheses of contrasts are not valid. Fourth, under the alternative hypothesis, we can show that the monotone property of levels leads to the conclusion that the means are monotone. Fifth, we propose an appropriate method for handing the data in this situation. ^

A qualitative and quantitative assessment of cancer patients' perceptions of barriers to treatment

This study examined barriers that cancer patients experience in obtaining treatment. The principal aim of the study was to conduct a comprehensive quantitative and qualitative assessment of barriers to cancer treatment for Texas cancer patients. The three specific aims of the study were to: (1) conduct a review and critique of published and unpublished research on barriers to cancer treatment; (2) conduct focus groups for the qualitative assessment of cancer patients' perceived barriers to cancer treatment; and (3) survey a representative sample of cancer patients regarding perceived barriers to treatment. The study was guided by the Aday and Andersen access framework of predisposing, enabling, and need determinants of care-seeking.^ To address the first specific aim, a total of 732 abstracts were examined, from which 154 articles were selected for review. Of these 154 articles, 57 that related directly to research on barriers to cancer treatment were chosen for subsequent analysis. Criteria were applied to each article to evaluate the strength of the study design, sampling and measurement procedures. The major barriers that were consistently documented to influence whether or not cancer patients sought or continued required treatment included problems with communication between the patient and provider, lack of information on side effects, the cost of treatment and associated difficulties in obtaining and maintaining insurance coverage, and the absence of formal and informal networks of social support. Access barriers were generally greater for older, minority women, and patients of lower socioeconomic status.^ To address the second specific aim, a total of eight focus groups (n = 44) were conducted across the State of Texas with cancer patients identified by the Texas Community Oncology Network, American Cancer Society, and community health centers. One important finding was that cost is the greatest hurdle that patients face. Another finding was that with the health care/insurance crisis, an increasing number of physicians are working with their patients to develop individually-tailored payment plans. For people in rural areas, travel to treatment sites is a major barrier due to the travel costs as well as work time forfeited by patients and their family members. A third major finding was the patients' family and church play important roles in providing social and emotional support for cancer patients.^ To address the third aim, a total of 910 cancer patients were surveyed during October and November, 1993. Approximately 65% of the cancer patients responded to the survey. The findings showed that the major barriers to treatment included costs of medications and diagnostic tests, transportation, lack of social support, problems understanding the written information regarding their disease as well as losing coverage or having higher premiums or copayments once they were diagnosed (particularly among blacks).^ Significant differences in reported barriers were found between racial groups. The minority respondents (i.e., blacks and Hispanics) tended to experience more barriers to treatment compared to the white respondents. More specifically, Hispanics were more likely to report transportation as a barrier to treatment than both white and blacks. Future research is needed to better understand the problems that minority cancer patients experience in receiving treatment. (Abstract shortened by UMI.) ^

DETERMINING THE GENOTYPE-PHENOTYPE CONNECTION IN SYNTHETIC INDUCIBLE GENE EXPRESSION SYSTEMS

Introduction Gene expression is an important process whereby the genotype controls an individual cell’s phenotype. However, even genetically identical cells display a variety of phenotypes, which may be attributed to differences in their environment. Yet, even after controlling for these two factors, individual phenotypes still diverge due to noisy gene expression. Synthetic gene expression systems allow investigators to isolate, control, and measure the effects of noise on cell phenotypes. I used mathematical and computational methods to design, study, and predict the behavior of synthetic gene expression systems in S. cerevisiae, which were affected by noise. Methods I created probabilistic biochemical reaction models from known behaviors of the tetR and rtTA genes, gene products, and their gene architectures. I then simplified these models to account for essential behaviors of gene expression systems. Finally, I used these models to predict behaviors of modified gene expression systems, which were experimentally verified. Results Cell growth, which is often ignored when formulating chemical kinetics models, was essential for understanding gene expression behavior. Models incorporating growth effects were used to explain unexpected reductions in gene expression noise, design a set of gene expression systems with “linear” dose-responses, and quantify the speed with which cells explored their fitness landscapes due to noisy gene expression. Conclusions Models incorporating noisy gene expression and cell division were necessary to design, understand, and predict the behaviors of synthetic gene expression systems. The methods and models developed here will allow investigators to more efficiently design new gene expression systems, and infer gene expression properties of TetR based systems.

Sporomorphs and quantitative analysis of the Eocene record from IODP Hole 318-U1356A

The early Eocene epoch was characterized by extreme global warmth, which in terrestrial settings was characterized by an expansion of near-tropical vegetation belts into the high latitudes. During the middle to late Eocene, global cooling caused the retreat of tropical vegetation to lower latitudes. In high-latitude settings, near-tropical vegetation was replaced by temperate floras. This floral change has recently been traced as far south as Antarctica, where along the Wilkes Land margin paratropical forests thrived during the early Eocene and temperate Nothofagus forests developed during the middle Eocene. Here we provide both qualitative and quantitative palynological data for this floral turnover based on a sporomorph record recovered at Integrated Ocean Drilling Program (IODP) Site U1356 off the Wilkes Land margin. Following the nearest living relative concept and based on a comparison with modern vegetation types, we examine the structure and diversity patterns of the Eocene vegetation along the Wilkes Land margin. Our results indicate that the early Eocene forests along the Wilkes Land margin were characterized by a diverse canopy composed of plants that today occur in tropical settings; their richness pattern was similar to that of present-day forests from New Caledonia. The middle Eocene forests were characterized by a canopy dominated by Nothofagus and exhibited richness patterns similar to modern Nothofagus forests from New Zealand.

Pliocene-Pleistocene biostratigraphy in the Tyrrhenian Sea

The distribution of stratigraphically important calcareous nannofossils and planktonic foraminifera has been investigated in the Pliocene-Pleistocene sequences of ODP Sites 652, 653, and 654 (Tyrrhenian Sea-western Mediterranean). Semiquantitative and quantitative methods have been used, and an optimum relative sequence of bioevents based on the calcareous plankton groups has been established. About 30 bioevents in an interval of 5.0 m.y. are considered widely traceable in the area and reasonably synchronous. On the basis of those events, a correlation among the three investigated sequences is presented.

Putting prey and predator into the CO2 equation-qualitative and quantitative effects of ocean acidification on predator-prey interactions

Little is known about the impact of ocean acidification on predator-prey dynamics. Herein, we examined the effect of carbon dioxide (CO(2)) on both prey and predator by letting one predatory reef fish interact for 24 h with eight small or large juvenile damselfishes from four congeneric species. Both prey and predator were exposed to control or elevated levels of CO(2). Mortality rate and predator selectivity were compared across CO(2) treatments, prey size and species. Small juveniles of all species sustained greater mortality at high CO(2) levels, while large recruits were not affected. For large prey, the pattern of prey selectivity by predators was reversed under elevated CO(2). Our results demonstrate both quantitative and qualitative consumptive effects of CO(2) on small and larger damselfish recruits respectively, resulting from CO(2)-induced behavioural changes likely mediated by impaired neurological function. This study highlights the complexity of predicting the effects of climate change on coral reef ecosystems.

Mathematical and Numerical Modeling in Maritime Geomechanics

A theoretical and numerical framework to model the foundation of marine offshore structures is presented. The theoretical model is composed by a system of partial differential equations describing coupling between seabed solid skeleton and pore fluids (water, air, oil,…) combined with a system of ordinary differential equations describing the specific constitutive relation of the seabed soil skeleton. Once the theoretical model is described, the finite element numerical procedure to achieve an approximate solution of the governing equations is outlined. In order to validate the proposed theoretical and numerical framework the seaward tilt mechanism induced by the action of breaking waves over a vertical breakwater is numerically reproduced. The results numerically attained are in agreement with the main conclusions drawn from the literature associated with this failure mechanism

De los proyectos al programa en el ámbito público: nuevo modelo de evaluación del empleo en la Comunidad de Madrid.

Regarding different programmes belonging to the public sphere, it is essential to have proper tools able to quickly provide accurate data related to impacts generated by its projects. This aspect, along with the actual use of this data is essential for proper planning. This communication presents the system designed for project-based evaluation of the employment programs in the Community of Madrid. This system aims to provide fast and reliable information by relying on a combination of qualitative and quantitative methods from existing information and structures. Another contribution of the designed system is the implementation of the Empowerment Evaluation as a tool to encourage the incorporation of evaluation results to the planning processes in a systematic way.

Dynamic and quantitative Ca2+ measurements using improved cameleons

Cameleons are genetically-encoded fluorescent indicators for Ca2+ based on green fluorescent protein variants and calmodulin (CaM). Because cameleons can be targeted genetically and imaged by one- or two-photon excitation microscopy, they offer great promise for monitoring Ca2+ in whole organisms, tissues, organelles, and submicroscopic environments in which measurements were previously impossible. However, the original cameleons suffered from significant pH interference, and their Ca2+-buffering and cross-reactivity with endogenous CaM signaling pathways was uncharacterized. We have now greatly reduced the pH-sensitivity of the cameleons by introducing mutations V68L and Q69K into the acceptor yellow green fluorescent protein. The resulting new cameleons permit Ca2+ measurements despite significant cytosolic acidification. When Ca2+ is elevated, the CaM and CaM-binding peptide fused together in a cameleon predominantly interact with each other rather than with free CaM and CaM-dependent enzymes. Therefore, if cameleons are overexpressed, the primary effect is likely to be the unavoidable increase in Ca2+ buffering rather than specific perturbation of CaM-dependent signaling.

Avaliação dos impactos de políticas públicas de transferência de renda na qualidade de vida no semiárido nordestino face às mudanças climáticas

Introdução: Os impactos das alterações climáticas são e serão sentidos localmente, e irão variar de lugar para lugar. Nas regiões mais sensíveis à variabilidade climática, onde outros fatores e restrições afetam o desenvolvimento, a mudança climática terá um impacto significativamente maior. Uma da preocupações mais recentes da comunidade científica é que esses impactos negativos das alterações climáticas sobre a sociedade, saúde e o meio ambiente possa vir a restringir quaisquer ganhos realizados até o momento na melhora da qualidade de vida das populações, e em especial na região nordeste do Brasil. Neste contexto, as mudanças climáticas, bem como a variabilidade climática natural com seus extremos, podem vir a acentuar uma vulnerabilidade social já existente, fazendo com que a qualidade de vida das populações mais vulneráveis seja especialmente e desproporcionalmente afetada. Objetivo: Analisar como os impactos das políticas públicas de transferência de renda em especial o Programa Bolsa Família e a Aposentadoria Rural influênciam a qualidade de vida frente à variabilidade e mudanças climáticas de famílias pobres no nordeste brasileiro. Métodos: Fez-se uso de métodos qualitativos e quantitativos de coleta e análise de dados sobre as diferentes formas de pobreza e vulnerabilidade e a relação com a capacidade de adaptação à seca, e como isso afeta a percepção de qualidade de vida em famílias pobres rurais e urbanas em dois municípios do estado do Ceará (Parambu e Boa Viagem) sobre o estresse da seca. Realizou-se 221 entrevistas domiciliares (141 na zona rural e 80 na zona urbana). Complementarmente foram coletados dados qualitativos obtidos através de entrevistas semiestruturadas com informantes-chaves (gestores municipais e estaduais, chefes religiosos, presidentes de associações rurais e agentes de saúde). Os dados foram codificados e analisados com o auxílio do N-Vivo e do SPSS. Resultados: Os resultados foram separados e apresentados em formato de três manuscritos. Em geral, os resultados mostram que apesar dos programas de transferência de renda agirem positivamente na 16 melhora da qualidade de vida da famílias beneficiadas, durante o evento de seca as famílias não conseguem superar os fatores que as tornam vulneráveis, o que pode afetar sua percepção de bem-estar subjetivo. Ao mesmo tempo, devido às limitações e deficiências das intervenções políticas de intervenção de seca, as relações de dependência e clientelismo, característica da região, continuam a perpetuar. Conclusão: Os ganhos materiais na qualidade de vida, promovidos pelos programas sociais, como o Bolsa Família e a pensão rural, apesar de serem necessários, não são suficientes para promover uma transformação na vida dessas famílias

Involving Immigrants in Youth Sport Coaching: Part 1. A Literature Review and Quantitative Profile

Little, if any, previous research has investigated the involvement of immigrants in sport coaching. This is the first of a series of two articles that focus on this issue. In this article, following a general literature review, structured retrospective interviews (n = 29) are used to construct a profile of immigrant youth sport coaches. Two distinct profiles were identified: (a) leisure-oriented coaches, who had not coached prior to immigration; and (b) career-oriented coaches, who had coached prior to immigration Statistically significant differences (p < .05) were found between groups relating to athletic experience, sport-related education, time between immigration and initiation of coaching, and coaching of their own children Separate pathways to coaching involvement after immigration were identified for both profiles.