Burden of care and general health in families of patients with schizophrenia

Background: De-institutionalization of psychiatric patients has led to a greater emphasis on family management in the community, and family members are often overwhelmed by the demands that caring for a patient with schizophrenia involves. Most studies of family burden in schizophrenia have taken place in developed countries. The current study examined family burden and its correlates in a regional area of a medium income country in South America. Method: Sixty-five relatives of patients with schizophrenia who were attending a public mental health out-patient service in the province of Arica, Chile, were assessed on Spanish versions of the Zarit Caregiver Burden Scale and SF-36 Health Survey (SF-36). Results: Average levels of burden were very high, particularly for mothers, carers with less education, carers of younger patients and carers of patients with more hospitalisations in the previous 3 years. Kinship and number of recent hospitalisations retained unique predictive variance in a multiple regression. Burden was the strongest predictor of SF-36 subscales, and the prediction from burden remained significant after entry of other potential predictors. Conclusions: In common with families in developed countries, family members of schizophrenia patients in regional Chile reported high levels of burden and related functional and health impact. The study highlighted the support needs of carers in contexts with high rates of poverty and limited health and community resources.

In-depth analysis of the J.A.C.K. model

The Texas Transportation Commission (“the Commission”) is responsible for planning and making policies for the location, construction, and maintenance of a comprehensive system of highways and public roads in Texas. In order for the Commission to carry out its legislative mandate, the Texas Constitution requires that most revenue generated by motor vehicle registration fees and motor fuel taxes be used for constructing and maintaining public roadways and other designated purposes. The Texas Department of Transportation (TxDOT) assists the Commission in executing state transportation policy. It is the responsibility of the legislature to appropriate money for TxDOT’s operation and maintenance expenses. All money authorized to be appropriated for TxDOT’s operations must come from the State Highway Fund (also known as Fund 6, Fund 006, or Fund 0006). The Commission can then use the balance in the fund to fulfill its responsibilities. However, the value of the revenue received in Fund 6 is not keeping pace with growing demand for transportation infrastructure in Texas. Additionally, diversion of revenue to nontransportation uses now exceeds $600 million per year. As shown in Figure 1.1, revenues and expenditures of the State Highway Fund per vehicle mile traveled (VMT) in Texas have remained almost flat since 1993. In the meantime, construction cost inflation has gone up more than 100%, effectively halving the value of expenditure.

Evaluation of TxDOT’s J.A.C.K. model for revenue and expenditure projections

This research report documents work conducted by the Center for Transportation (CTR) at The University of Texas at Austin in analyzing the Joint Analysis using the Combined Knowledge (J.A.C.K.) program. This program was developed by the Texas Department of Transportation (TxDOT) to make projections of revenues and expenditures. This research effort was to span from September 2008 to August 2009, but the bulk of the work was completed and presented by December 2008. J.A.C.K. was subsequently renamed TRENDS, but for consistency with the scope of work, the original name is used throughout this report.

Communications materials on methods of development of revenue and cost estimates to non-technical audiences

This CDROM includes PDFs of presentations on the following topics: "TXDOT Revenue and Expenditure Trends;" "Examine Highway Fund Diversions, & Benchmark Texas Vehicle Registration Fees;" "Evaluation of the JACK Model;" "Future highway construction cost trends;" "Fuel Efficiency Trends and Revenue Impact"

Latinos and political advocacy for cancer control in a United States-Mexico border community

Health policy interventions provide powerful tools for addressing health disparities. The Latino community is one of the fastest growing communities in the United States yet is largely underrepresented in government and advocacy efforts. This study includes 42 Latino adults (M age 5 45 years) who participated in focus group discussions and completed a brief questionnaire assessing their experiences with political health advocacy. Qualitative analyses revealed participants considered cancer a concern for the Latino community, but there was a lack of familiarity with political advocacy and its role in cancer control. Participants identified structural, practical, cultural, and contextual barriers to engaging in political health advocacy. This article presents a summary of the findings that suggest alternative ways to engage Latinos in cancer control advocacy.

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

Background The Global Burden of Disease, Injuries, and Risk Factor study 2013 (GBD 2013) is the first of a series of annual updates of the GBD. Risk factor quantification, particularly of modifiable risk factors, can help to identify emerging threats to population health and opportunities for prevention. The GBD 2013 provides a timely opportunity to update the comparative risk assessment with new data for exposure, relative risks, and evidence on the appropriate counterfactual risk distribution. Methods Attributable deaths, years of life lost, years lived with disability, and disability-adjusted life-years (DALYs) have been estimated for 79 risks or clusters of risks using the GBD 2010 methods. Risk–outcome pairs meeting explicit evidence criteria were assessed for 188 countries for the period 1990–2013 by age and sex using three inputs: risk exposure, relative risks, and the theoretical minimum risk exposure level (TMREL). Risks are organised into a hierarchy with blocks of behavioural, environmental and occupational, and metabolic risks at the first level of the hierarchy. The next level in the hierarchy includes nine clusters of related risks and two individual risks, with more detail provided at levels 3 and 4 of the hierarchy. Compared with GBD 2010, six new risk factors have been added: handwashing practices, occupational exposure to trichloroethylene, childhood wasting, childhood stunting, unsafe sex, and low glomerular filtration rate. For most risks, data for exposure were synthesised with a Bayesian meta-regression method, DisMod-MR 2.0, or spatial-temporal Gaussian process regression. Relative risks were based on meta-regressions of published cohort and intervention studies. Attributable burden for clusters of risks and all risks combined took into account evidence on the mediation of some risks such as high body-mass index (BMI) through other risks such as high systolic blood pressure and high cholesterol. Findings All risks combined account for 57·2% (95% uncertainty interval [UI] 55·8–58·5) of deaths and 41·6% (40·1–43·0) of DALYs. Risks quantified account for 87·9% (86·5–89·3) of cardiovascular disease DALYs, ranging to a low of 0% for neonatal disorders and neglected tropical diseases and malaria. In terms of global DALYs in 2013, six risks or clusters of risks each caused more than 5% of DALYs: dietary risks accounting for 11·3 million deaths and 241·4 million DALYs, high systolic blood pressure for 10·4 million deaths and 208·1 million DALYs, child and maternal malnutrition for 1·7 million deaths and 176·9 million DALYs, tobacco smoke for 6·1 million deaths and 143·5 million DALYs, air pollution for 5·5 million deaths and 141·5 million DALYs, and high BMI for 4·4 million deaths and 134·0 million DALYs. Risk factor patterns vary across regions and countries and with time. In sub-Saharan Africa, the leading risk factors are child and maternal malnutrition, unsafe sex, and unsafe water, sanitation, and handwashing. In women, in nearly all countries in the Americas, north Africa, and the Middle East, and in many other high-income countries, high BMI is the leading risk factor, with high systolic blood pressure as the leading risk in most of Central and Eastern Europe and south and east Asia. For men, high systolic blood pressure or tobacco use are the leading risks in nearly all high-income countries, in north Africa and the Middle East, Europe, and Asia. For men and women, unsafe sex is the leading risk in a corridor from Kenya to South Africa. Interpretation Behavioural, environmental and occupational, and metabolic risks can explain half of global mortality and more than one-third of global DALYs providing many opportunities for prevention. Of the larger risks, the attributable burden of high BMI has increased in the past 23 years. In view of the prominence of behavioural risk factors, behavioural and social science research on interventions for these risks should be strengthened. Many prevention and primary care policy options are available now to act on key risks.

Comparing family functionality perception between non-Aymara and indigenous Aymara families in northern Chile

We compared perception of family functioning in a sample (N = 1,496) of Aymara and non-Aymara parents and children living in Arica, Chile. The children were aged from 9 to 15 years and were recruited from the 5th to 8th grades of 9 elementary schools (4 public, 5 government-subsidized private schools) serving lower socioeconomic areas. Participants completed the Family Functioning Test (FF-SIL), which consists of 14 events or characteristics that may occur in a family. The results showed that parents and children from the Aymara group recorded lower scores for their perception of family functioning than did the non-Aymara group. Addressing this issue may be important in the prevention of psychological problems in these families.

Implications of high level pseudogene transcription in Mycobacterium leprae

Background: The Mycobacterium leprae genome has less than 50% coding capacity and 1,133 pseudogenes. Preliminary evidence suggests that some pseudogenes are expressed. Therefore, defining pseudogene transcriptional and translational potentials of this genome should increase our understanding of their impact on M. leprae physiology. Results: Gene expression analysis identified transcripts from 49% of all M. leprae genes including 57% of all ORFs and 43% of all pseudogenes in the genome. Transcribed pseudogenes were randomly distributed throughout the chromosome. Factors resulting in pseudogene transcription included: 1) co-orientation of transcribed pseudogenes with transcribed ORFs within or exclusive of operon-like structures; 2) the paucity of intrinsic stem-loop transcriptional terminators between transcribed ORFs and downstream pseudogenes; and 3) predicted pseudogene promoters. Mechanisms for translational ``silencing'' of pseudogene transcripts included the lack of both translational start codons and strong Shine-Dalgarno (SD) sequences. Transcribed pseudogenes also contained multiple ``in-frame'' stop codons and high Ka/Ks ratios, compared to that of homologs in M. tuberculosis and ORFs in M. leprae. A pseudogene transcript containing an active promoter, strong SD site, a start codon, but containing two in frame stop codons yielded a protein product when expressed in E. coli. Conclusion: Approximately half of M. leprae's transcriptome consists of inactive gene products consuming energy and resources without potential benefit to M. leprae. Presently it is unclear what additional detrimental affect(s) this large number of inactive mRNAs has on the functional capability of this organism. Translation of these pseudogenes may play an important role in overall energy consumption and resultant pathophysiological characteristics of M. leprae. However, this study also demonstrated that multiple translational ``silencing'' mechanisms are present, reducing additional energy and resource expenditure required for protein production from the vast majority of these transcripts.

Sincronización hormonal del estro en cabras criollas, bajo condiciones semi-intensivas de trópico seco en Nicaragua

El objetivo de este estudio fue evaluar la efectividad de dos tratamientos hormonales en la sincronización del estro en hembras caprinas bajo condiciones semi intensivas del trópico seco. Cada unidad experimental estuvo representada por una hembra caprina reproductora, cuya edad osciló entre los 3½ años con pesos promedios de 38 kg pv, se utilizó un total de 30 hembras. Estas se distribuyeron en tres tratamientos, conformados por diez unidades experimentales cada uno. Tratamiento 1 :EAZI-BREED ® -CIDR ® vía intravaginal, conteniendo 300 mg (0.3 g) de progesterona sintética (que liberó 20 mg d -1 aproximadamente) + ECP (Cipionato de Estradiol) a razón de 2.5ml, vía intramuscular (3 mg/ml) al noveno día (después de retirar el CIDR ® ), se aplicó 3ml de Lutalyse ® (PGF2α, 5 mg Dinopróstamina por ml) vía intramuscular; El segundo tratamiento fue conformada: EAZI-BREED ® -CIDR ® + Lutalyse ® (PGF2α) al retiro del CIDR ® ; Tratamiento 3: control o efecto macho (estas fueron expuestas al macho de forma continua durante toda la duración del experimento). Se detectó celo después de retirar el CIDR ® , a intervalos de 24, 48, 72 y 96 horas. Los resultados obtenidos para las variables en estudio, mostraron que la variable detección de celo fue altamente significativa (P<0.01), estado gestacional fue significativa (P<0.05); mientras que para las variables aparición de celo (h) y número de embriones, no se encontraron diferencias significativas (P˃ 0.05). La sobrevivencia embrionaria por tratamiento fue de 85% para T1, 80% para T2 y 70% para T3. El análisis financiero determino que el tratamiento T2 fue el más viable.

La problemática de la traducción en la Carta de Aristeas a Filócrates

Resumen: El trabajo propone una reflexión acerca de la problemática de la traducción en la Antigüedad tal como se plantea en la Carta de Aristeas a Filócrates, narración compuesta en el siglo II a.C. que relata los sucesos en torno a la traducción al griego del Pentateuco, la Septuaginta. El autor, anónimo, narra en primera persona y se describe como integrante de la corte real de Ptolomeo Filadelfo, aunque en realidad se trata de un judío alejandrino, conocedor de las leyes mosaicas. La obra presenta ciertas incongruencias y pasajes de difícil interpretación, pero su mensaje es claro: por medio de la traducción, el original hebreo alcanza la dignidad suficiente como para formar parte de la biblioteca de Alejandría, junto con otras obras prestigiosas del mundo helenístico.

Letras, 1998-1999, nº 38-39 (número completo)

Contenido: El amanuense de Borges / Roberto Alifano – Presencia de la muerte en Los conjurados / María Amelia Arancet Ruda – Borges y el género biográfico / Graciela del Carmen Barreiro – Alemania en Borges / Claudia E. de Belva – Perfiles biográficos en La intrusa de Carlos Hugo Christensen / Armando Capalbo – Borges y la literatura oral / Norma Carricaburo – Hacia un cronotopo rioplatense en Borges: su lectura de La tierra purpúrea de Guillermo E. Hudson / Laura F. Cilento – Borges “Autor universal entre dos mundos” / Héctor Ciocchini – Jorge Luis Borges en el canon occidental / Jorge Dubatti – La estructura circular en dos cuentos de Jorge Luis Borges / Sara Beatriz Fernández March – Borges y su concepción de la historia / Teresita Frugoni de Fritzsche – Borges y la isotopía de la incertidumbre / Mariano García ; clara Miri – Algunas consideraciones sobre el uso del diálogo en la narrativa borgeana / Javier Roberto González – Cervantes por Borges: las lecturas posibles / Silvina Cristina Lstra Paz – Civilización y barbarie: dos versiones del sueño de la historia / María Rosa Lojo – Algunas preferencias literarias en “Los Amigos”, de Jorge Luis Borges / Nora Longhini – El Astrólogo postergado: Xul Solar y Borges en la década del 20 / Fabiana Elisa Martínez – El “arte poética” de Borges, una estética de la duración / Luis Martínez Cuitiño – Aproximaciones al pensamiento de Jorge Luis Borges: la vuelta al humanismo / Graciela Maturo – Los hacedores en El hacedor de Borges / Valeria Melchiore – Jorge L. Borges: Autobiografía y (Auto)ficción / Ros aE. M. D. Penna – Polifonía y contrapunto en la narrativa de Jorge Luis Borges / Elisa Rey – Borges o la pregunta por el ser / Ana María Rodríguez Francia – Emerson y Borges, dos americanos ante la Historia / María Alejandra Rosarossa – Un homenaje a Jorge Luis Borges en La prisión de la libertad de Michael Ende / Nora Lía Sormani – La memoria de Shakespeare: Borges y el laberinto de la memoria / María Esther Vázquez – Reseñas bibliográficas

Actitudes hacia la publicidad convencional e interactiva por parte de los futuros publicitarios. Un análisis comparativo por sexo

Pese al volumen de investigaciones centradas en las actitudes de la población en general hacia la publicidad, hasta ahora no se había valorado la percepción de los profesionales sobre el elenco de productos que elaboran. En un contexto en el que la comunicación comercial en Internet acapara cada vez más inversiones de los anunciantes, este trabajo examina las actitudes de los estudiantes de publicidad hacia la publicidad convencional y en la red, con especial atención a las diferencias en función de sexo. Los resultados apuntan a que los futuros publicitarios son más críticos que la población en general y a que esta apreciación se agudiza en el caso de la publicidad interactiva y en el caso de las mujeres. Habida cuenta de la feminización creciente de esta profesión, y a la luz de los resultados, cabe reflexionar sobre las repercusiones que estas posturas tendrán sobre los futuros contenidos y estrategias de la publicidad en red.

Prudentia Iuris, 1988, n° 19-20 (número completo)

Contenido: Editorial – Cum o Vrea Domnul. “Como Dios quiera” : ¿cómo entiende el rumano la sumisión a la voluntad de Dios? / Ioan Dan – Algunas cuestiones éticas y penales de las modernas técnicas biomédicas / Guillermo Jorge Yacobucci – El racionalismo moderno : configuración y proyecciones / Bernardino Bravo Lira – El pensamiento político en orígenes de Alejandría / Néstor Daniel Villa – El proceso penal de menores / Miguel Ángel Madariaga – Documentos -- Recensiones

Anteproyecto de organización y gestión de la oficina de gestión judicial de la circunscripción judicial Nº 3

Resumen: A partir de la vigencia del nuevo Código Procesal Penal de la Provincia, y la consecuente reforma de la estructura, organización y funciones tanto del fuero penal como los Ministerios Públicos de la acusación y defensa, en este trabajo se describe el organigrama básico de una oficina de gestión judicial, sus diferentes áreas y funciones principales, los aspectos presupuestarios, la infraestructura, el personal y los recursos tecnológicos necesarios para su eficaz desenvolvimiento.