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.

The B subunit of coagulation factor XIII is linked to renin and the Duffy blood group to α-spectrin on human chromosome 1

Family linkage studies were used to detect two linkage relationships on human chromosome 1. The B subunit of coagulation factor XIII showed significant linkage to renin with a maximum lod score of 5.071 at a distance of 10 cM. Significant linkage was also shown between the Duffy blood group and α-spectrin with linkage results giving a combined lod score of 3.194 at 5 cM.

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.

X-ray Studies on Crystalline Complexes Involving Amino Acids and Peptides. XIII. Effect of Chirality on Molecular Aggregation: The Crystal Structures of L-Arginine D-Aspartate and L-Arginine D-Glutamate Trihydrate

The crystal structures of (1) L-arginine D-asparate, C6HIsN40~.C4H6NO4 [triclinic, P1, a=5.239(1), b=9.544(1), c=14.064(2)A, a=85"58(1), /3=88.73 (1), ~/=84.35 (1) °, Z=2] and (2) L-arginine D-glutamate trihydrate, C6H15N40~-.CsHsNO4.3H20 [monoclinic, P2~, a=9.968(2), b=4.652(1), c=19.930 (2) A, fl = 101.20 (1) °, Z = 2] have been determined using direct methods. They have been refined to R =0.042 and 0.048 for 2829 and 2035 unique reflections respectively [I>2cr(I)]. The conformations of the two arginine molecules in the aspartate complex are different from those observed so far in the crystal structures of arginine, its salts and complexes. In both complexes, the molecules are organized into double layers stacked along the longest axis. The core of each double layer consists of two parallel sheets made up of main-chain atoms, each involving both types of molecules. The hydrogen bonds within each sheet and those that interconnect the two sheets give rise to EL-, DD- and DE-type head-to-tail sequences. Adjacent double layers in (1) are held together by side-chain-side-chain interactions whereas those in (2) are interconnected through an extensive network of water molecules which interact with sidechain guanidyl and carboxylate groups. The aggregation pattern observed in the two LD complexes is fundamentally different from that found in the corresponding EL complexes.

Stereochemical studies on cyclic peptides. XIII. Energy minimization studies on cyclic hexapeptides having hydrogen bonds

The basic cyclic hexapeptide conformations which accommodate hydrogen bonded β and γ turns in the backbone have been worked out using stereochemical criteria and energy minimization procedures. It was found that cyclic hexapeptides can be made up of all possible combinations of 4 ± 1 hydrogen bonded types I, I', II and II' β turns, giving rise to symmetric conformations having twofold and inversion symmetries as well as nonsymmetric structures. Conformations having exclusive features of 3 ± 1 hydrogen bonded γ turns were found to be possible in threefold and S6 symmetric cyclic hexapeptides. The results show that the cyclic hexapeptides formed by the linking of two β turn tripeptide fragments differ mainly in (a) the hydrogen bonding scheme present in the β turn tripeptides and (b) the conformation at the α-carbon atoms where the two tripeptide fragments link. The different hydrogen bonding schemes found in the component β turns are: 1) a β turn with only a 4 ± 1 hydrogen bond, 2) a type I or I' β turn with 4 ± 1 and 3 ± 1 hydrogen bonds occurring in a bifurcated form and 3) a type II or II' β turn having both the 4 ± 1 and the 3 ± 1 hydrogen bonds with the same acceptor oxygen atom. The conformation at the linking α-carbon atoms was found to lie either in the extended region or in the 3 ± 1 hydrogen bonded γ turn or inverse γ turn regions. Further, the threefold and the S6 symmetric conformations have three γ turns interleaved by three extended regions or three inverse γ turns, respectively. The feasibility of accommodating alanyl residues of both isomeric forms in the CHP minima has been explored. Finally, the available experimental data are reviewed in the light of the present results.

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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Studies in terpenoids-XIII. Magnetic anisotropy2 in and stereochemistry of some gem-dimethylcyclobutanoids related to pinonic acid

The chemical shifts of “axial” vs “equatorial” Me protons of some gem-dimethylcyclobutanoids derived from α-pinene, arising from magnetic anisotropy of the ring and as influenced by vicinal substituents, are discussed. Conformational aspects of some cis- and trans-pinonic, pinononic and pinic acids have been elucidated on the basis of NMR evidence.

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).

Corporeidad, herencia y educación : la representación de la infancia en tres poemas castellanos del siglo XIII

Resumen: Tomando como punto de partida el gesto inaugural de Philippe Ariès en lo concerniente a los estudios sobre la niñez, el presente artículo se propone abordar las formas de representación de la infancia presentes en los tres poemas que componen el Ms. K-III-4 de la Biblioteca de San Lorenzo de El Escorial (Libro de Apolonio, Vida de Santa María Egipciaca, Libre dels tres reys d’Orient), buscando así, delinearle un espacio de comprensión a los modos de ser niño que se dejan leer en este códice. Modos de ser que, no sólo permiten rectifi car las afi rmaciones fundantes del historiador francés, sino que a su vez, devienen signo del imaginario y los saberes de un siglo XIII propenso a la condición terrena del hombre.