Relationships between symptomatology and SES-related factors in hyperkinetic/MBD boys.

Science.gov (United States)

Paternite, C E; Loney, J; Langhorne, J E

1976-04-01

Relationships among symptomatology, socioeconomic status, and parenting styles were examined for 113 hyperkinetic/minimal brain dysfunction boys from intact families. Primary symptoms (e.g. hyperactivity) did not vary as a function of SES, but SES-related differences emerged for secondary symptoms (e.g., aggressive behavior, self-esteem deficits) and for parenting variables. Parenting variables were found to be better predictors of secondary symptoms than was SES. Implications for further research are offered.

Exploring recruitment, willingness to participate, and retention of low-SES women in stress and depression prevention

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Hoefnagels Cees

2010-10-01

Full Text Available Abstract Background Recruitment, willingness to participate, and retention in interventions are indispensable for successful prevention. This study investigated the effectiveness of different strategies for recruiting and retaining low-SES women in depression prevention, and explored which sociodemographic characteristics and risk status factors within this specific target group are associated with successful recruitment and retention. Methods The process of recruitment, willingness to participate, and retention was structurally mapped and explored. Differences between women who dropped out and those who adhered to the subsequent stages of the recruitment and retention process were investigated. The potential of several referral strategies was also studied, with specific attention paid to the use of GP databases. Results As part of the recruitment process, 12.1% of the target population completed a telephone screening. The most successful referral strategy was the use of patient databases from GPs working in disadvantaged neighborhoods. Older age and more severe complaints were particularly associated with greater willingness to participate and with retention. Conclusions Low-SES women can be recruited and retained in public health interventions through tailored strategies. The integration of mental health screening within primary care might help to embed preventive interventions in low-SES communities.

Relationship between width and length ratios of upper anterior teeth in young Chilean population.

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Jorge Troncoso-Pazos

2017-08-01

Full Text Available Introduction: Knowledge about the size and proportion of upper anterior teeth allows dental rehabilitation taking into consideration the local parameters of a population. The aim of this research is to determine the width, length and the relationship between width and length of central incisor, lateral incisor and canine teeth in both sexes in young Chilean population. Methodology: A cross-sectional study was performed. Study subjects included 187 dentistry students from two Chilean cities (mean age 21.35±2.7 years, 52.9% men. The teeth width and height were measured and the width/height ratio was calculated. Differences in measurements according to sex was analyzed (p<0.05; STATA v.10.0. Results: The width and height of the teeth were statistically and proportionally larger in men (p<0.05. The width/height ratio of lateral and canine incisors was significantly higher in women (p<0.05. Conclusion: In a sample of young Chileans, upper anterior teeth were longer and wider in men. However, the width/height ratio of teeth was found to be significantly higher in women.

Le Feu et ses Usages Militaires

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Finó, J. F.

1970-12-01

Full Text Available LE feu a toujours été une arme puissante. L'homme préhistorique, les Assyriens, les Grecs, les Byzantins, les Arabes, les bombes incendiaires de notre aviation, autant d'exemples de son usage militaire dans des pays et des temps fort divers. De plus, une de ses variantes, le feu grégeois pulvérulent, a été à l'origine de la poudre à canon. Il a donc paru intéressant de rassembler quelques données à ce sujet et de rappeler briévement la production des feux de guerre, leur lancement et la défense contre ses effets. Accessoirement, de dire quelques mots sur une autre branche de la chimie de guerre: les gaz asphyxiants.

SES2D user's manual

International Nuclear Information System (INIS)

Johnson, J.D.; Lyon, S.P.

1982-04-01

SES2D is an interactive graphics code designed to generate plots of equation of state data from the Los Alamos National Laboratory Group T-4 computer libraries. This manual discusses the capabilities of the code. It describes the prompts and commands and illustrates their use with a sample run

Exploring the Limitations of Measures of Students' Socioeconomic Status (SES)

Science.gov (United States)

Dickinson, Emily R.; Adelson, Jill L.

2014-01-01

This study uses a nationally representative student dataset to explore the limitations of commonly used measures of socioeconomic status (SES). Among the identified limitations are patterns of missing data that conflate the traditional conceptualization of SES with differences in family structure that have emerged in recent years and a lack of…

La epidemiología ocupacional en países en desarrollo Labor epidemiology in developing countries

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Caristina Robaina Aguirre

2004-04-01

Full Text Available En el presente artículo se analiza de forma crítica la situación epidemiológica ocupacional existente en la mayoría de los países en vías de desarrollo. Se valoran además las enfermedades que con más frecuencia afectan a nuestras poblaciones, en particular a la población trabajadora, incluyendo grupos vulnerables como mujeres y niños que se ven obligados, por razones económicas y sociales, a trabajar en condiciones anormales e inseguras. También se pone de manifiesto el papel que juegan algunos países industrializados en el aumento de la contaminación ambiental en nuestro tercer mundo, con la consiguiente repercusión para la salud de sus poblaciones.The present article analyzes in a critical way the epidemiological situation at work that exists in most of the developing countries. Also the diseases that more frequently affect our populations, mainly the working population including the vulnerable groups such as women and children who are forced to work under poor and unsafe conditions because of economic and social reasons, were assessed. The role played by some industrial nations in the rise of environmental pollution in our third world, with the resulting impact on our populations´s health was stressed.

Socioeconomic Status (SES) and Childhood Acute Myeloid Leukemia (AML) Mortality

Science.gov (United States)

Knoble, Naomi B.; Alderfer, Melissa A.; Hossain, Md Jobayer

2016-01-01

Socioeconomic status (SES) is a complex construct of multiple indicators, known to impact cancer outcomes, but has not been adequately examined among pediatric AML patients. This study aimed to identify the patterns of co-occurrence of multiple community-level SES indicators and to explore associations between various patterns of these indicators and pediatric AML mortality risk. A nationally representative US sample of 3,651 pediatric AML patients, aged 0–19 years at diagnosis was drawn from 17 Surveillance, Epidemiology, and End Results (SEER) database registries created between 1973 and 2012. Factor analysis, cluster analysis, stratified univariable and multivariable Cox proportional hazards models were used. Four SES factors accounting for 87% of the variance in SES indicators were identified: F1) economic/educational disadvantage, less immigration; F2) immigration-related features (foreign-born, language-isolation, crowding), less mobility F3) housing instability; and, F4) absence of moving. F1 and F3 showed elevated risk of mortality, adjusted hazards ratios (aHR) (95% CI): 1.07(1.02–1.12) and 1.05(1.00–1.10), respectively. Seven SES-defined cluster groups were identified. Cluster 1: (low economic/educational disadvantage, few immigration-related features, and residential-stability) showed the minimum risk of mortality. Compared to Cluster 1, Cluster 3: (high economic/educational disadvantage, high-mobility) and Cluster 6: (moderately-high economic/educational disadvantages, housing-instability and immigration-related features) exhibited substantially greater risk of mortality, aHR(95% CI) = 1.19(1.0–1.4) and 1.23 (1.1–1.5), respectively. Factors of correlated SES-indicators and their pattern-based groups demonstrated differential risks in the pediatric AML mortality indicating the need of special public-health attention in areas with economic-educational disadvantages, housing-instability and immigration-related features. PMID:27543948

5 CFR 534.406 - Conversion to the SES pay system.

Science.gov (United States)

2010-01-01

... to the SES pay system. (a) On the first day of the first applicable pay period beginning on or after... rate of basic pay that is equal to the employee's rate of basic pay, plus any applicable locality-based... first day of the first applicable pay period beginning on or after January 1, 2004. If an SES member's...

The Relationship between SES and Reading Comprehension in Chinese: A Mediation Model

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Yahua Cheng

2017-04-01

Full Text Available An increasing body of research provides evidence that socioeconomic status (SES was significantly related to children’s reading development; however, the psychological mechanism underlying the association between them remained an open question. The present study is designed to test the hypothesized three-path effect of vocabulary knowledge and morphological awareness as mediators between SES and sentence reading comprehension in Chinese first-graders. Results of mediation model showed that SES exerted its effect on sentence reading comprehension through the indirect path via the simple mediating effect of morphological awareness and the three-path mediating effect of vocabulary knowledge and morphological awareness. The findings highlight a previously unidentified mechanism of the relationship between SES and reading comprehension in Chinese young children.

Poverty, race, and CKD in a racially and socioeconomically diverse urban population.

Science.gov (United States)

Crews, Deidra C; Charles, Raquel F; Evans, Michele K; Zonderman, Alan B; Powe, Neil R

2010-06-01

Low socioeconomic status (SES) and African American race are both independently associated with end-stage renal disease and progressive chronic kidney disease (CKD). However, despite their frequent co-occurrence, the effect of low SES independent of race has not been well studied in CKD. Cross-sectional study. 2,375 community-dwelling adults aged 30-64 years residing within 12 neighborhoods selected for both socioeconomic and racial diversity in Baltimore City, MD. Low SES (self-reported household income or =125% of guideline); white and African American race. CKD defined as estimated glomerular filtration rate poverty and CKD, stratified by race. Of 2,375 participants, 955 were white (347 low SES and 608 higher SES) and 1,420 were African American (713 low SES and 707 higher SES). 146 (6.2%) participants had CKD. Overall, race was not associated with CKD (OR, 1.05; 95% CI, 0.57-1.96); however, African Americans had a much greater odds of advanced CKD (estimated glomerular filtration rate urban populations. Low SES has a profound relationship with CKD in African Americans, but not whites, in an urban population of adults, and its role in the racial disparities seen in CKD is worthy of further investigation. Copyright 2010 National Kidney Foundation, Inc. All rights reserved.

The validity of socioeconomic status measures among adolescents based on self-reported information about parents occupations, FAS and perceived SES; implication for health related quality of life studies

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P. Svedberg

2016-04-01

Full Text Available Abstract Background Research has shown inconsistencies in results and difficulties in conceptualization of assessment of socioeconomic status (SES among adolescents. The aim of this study was thus to test the validity of self-reported information on SES in two age-groups (11–13 and 14–16 years old in an adolescent population and to evaluate its relationship to self-reported health related quality of life (HRQOL. Different measures of SES commonly used in research in relation to HRQOL were tested in this study; parent’s occupations status, family material affluence status (FAS and perceived SES. Method A cross-sectional study, with a sample of 948 respondents (n = 467, 11–13 years old and n = 481, 14–16 years old completed questionnaires about SES and HRQOL. The adolescents’ completion rates were used, with chi2-test, to investigate differences between gender and age-group. Correlation was used for convergent validity and ANOVA for concurrent validity. Results We found a low completion rate for both fathers’ (41.7 % and mothers' (37.5 % occupation status, and a difference in completion rate between gender and age-groups. FAS had the highest completion rate (100 % compared to parent's occupations status and perceived SES. The convergent validity between the SES-indicators was weak (Spearman correlation coefficient below 0.3, suggesting that the indicators measured different dimensions of SES. Both FAS and perceived SES showed a gradient in mean HRQOL between low and high SES in relation to HRQOL, this was significant only for perceived SES (p < 0.01, both age-groups. Conclusion This study indicates the need for considering different approaches to measures of SES among adolescences and when evaluating SES in relation to HRQOL. Further research is needed to investigate sustainable ways to measure SES, delineating the relevance of tangible measures of education, occupation and income in relation to the perceived

Population trends of smallmouth bass in the upper Colorado River basin with an evaluation of removal effects

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Breton, André R.; Winkelman, Dana L.; Hawkins, John A.; Bestgen, Kevin R.

2014-01-01

Smallmouth bass Micropterus dolomieu were rare in the upper Colorado River basin until the early 1990’s when their abundance dramatically increased in the Yampa River sub-basin. Increased abundance was due primarily to colonization from Elkhead Reservoir, which was rapidly drawn down twice, first to make improvements to the dam (1992) and a second time for reservoir expansion (2005), and allowed escapement of resident bass to the river through an unscreened outlet. Elkhead Reservoir is located on Elkhead Creek, a tributary of the Yampa River. The rapid Elkhead Reservoir drawdown in 1992 was followed by a period of drought years with low, early runoff in the Yampa River sub-basin that benefitted smallmouth bass reproduction. This combination of factors allowed smallmouth bass to establish a self-sustaining population in the Yampa River. Subsequently, successful recruitment allowed smallmouth bass to disperse upstream and downstream in the Yampa River and eventually move into the downstream Green River. Smallmouth bass were also likely introduced, by unknown means, into the upper Colorado River and have since dispersed in this sub-basin. The rapid increase of smallmouth bass in the upper Colorado River basin overlapped with significant reductions in native fish populations in some locations. The threat to these native fishes initiated intensive mechanical removal of smallmouth bass by the Upper Colorado River Endangered Fish Recovery Program.In general, three factors explain fluctuating patterns in smallmouth bass density in the upper Colorado River basin in the last decade: reductions due to electrofishing removal, bass recovery after exploitation due to recruitment and immigration, and changes due to environmental factors not related to electrofishing and other management actions. Our analyses indicated that smallmouth bass densities were substantially reduced in most years by 7 electrofishing removal efforts. Less often, but dramatically in some cases

[The "conclusions of Pharmacy" in Nancy, at the end of the 18th century: between "synthèses" and "thèses"].

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Julien, P; Martin, J

1995-01-01

A special requirement of the law for apothecaries in Nancy in 1764 imposed on the candidates for a master's degree was the written response to four questions following their practical examinations. Two documents heretofore unpublished show the results of this obligation: the Conclusions de Pharmacie by Joseph Pierson (1765) and the Conclusions de Pharmacie et de Chimie by François Mandel (1771). The authors of the present article comment on these documents and make an attempt to place them in the confused history of "synthèses" and "thèses".

Impacts of golden alga Prymnesium parvum on fish populations in reservoirs of the upper Colorado River and Brazos River basins, Texas

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VanLandeghem, Matthew M.; Farooqi, Mukhtar; Farquhar, B.; Patino, Reynaldo

2013-01-01

Several reservoirs in the upper Colorado River and Brazos River basins in Texas have experienced toxic blooms of golden alga Prymnesium parvum and associated fish kills since 2001. There is a paucity of information, however, regarding the population-level effects of such kills in large reservoirs, species-specific resistance to or recovery from kills, or potential differences in the patterns of impacts among basins. We used multiple before-after, control-impact analysis to determine whether repeated golden alga blooms have led to declines in the relative abundance and size structure of fish populations. Sustained declines were noted for 9 of 12 fish species surveyed in the upper Colorado River, whereas only one of eight species was impacted by golden alga in the Brazos River. In the upper Colorado River, White Bass Morone chrysops, White Crappie Pomoxis annularis, Largemouth Bass Micropterus salmoides, Bluegill Lepomis macrochirus, River Carpsucker Carpiodes carpio, Freshwater Drum Aplodinotus grunniens, Channel Catfish Ictalurus punctatus, Flathead Catfish Pylodictis olivaris, and Blue Catfish I. furcatus exhibited sustained declines in relative abundance, size structure, or both; Gizzard Shad Dorosoma cepedianum, Longnose Gar Lepisosteus osseus, and Common Carp Cyprinus carpio did not exhibit those declines. In the Brazos River, only the relative abundance of Blue Catfish was impacted. Overall, toxic golden alga blooms can negatively impact fish populations over the long-term, but the patterns of impact can vary considerably among river basins and species. In the Brazos River, populations of most fish species appear to be healthy, suggesting a positive angling outlook for this basin. In the upper Colorado River, fish populations have been severely impacted, and angling opportunities have been reduced. Basin-specific management plans aimed at improving water quality and quantity will likely reduce bloom intensity and allow recovery of fish populations to the

Job Pressure and SES-contingent Buffering: Resource Reinforcement, Substitution, or the Stress of Higher Status?

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Koltai, Jonathan; Schieman, Scott

2015-06-01

Analyses of the 2008 National Study of the Changing Workforce demonstrate that job pressure is associated with greater anxiety and job dissatisfaction. In this paper we ask, What conditions protect workers? The conventional buffering hypothesis in the Job-Demands Resource (JD-R) model predicts that job resources should attenuate the relationship. We test whether the conventional buffering hypothesis depends on socioeconomic status (SES). Support for conventional buffering is evident only for job dissatisfaction--and that generalizes across SES. When anxiety is assessed, however, we observe an SES contingency: Job resources attenuate the positive association between job pressure and anxiety among workers with lower SES, but exacerbate it among those with higher SES. We discuss the implications of this SES-contingent pattern for theoretical scenarios about "resource reinforcement," "resource substitution," and the "stress of higher status." Future research should consider SES indicators as potential contingencies in the relationship between job conditions and mental health. © American Sociological Association 2015.

Pathways Linking Childhood SES and Adult Health Behaviors and Psychological Resources in Black and White Men.

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Boylan, Jennifer Morozink; Cundiff, Jenny M; Jakubowski, Karen P; Pardini, Dustin A; Matthews, Karen A

2018-03-13

Exposure to low socioeconomic status (SES) in childhood predicts increased morbidity and mortality. However, little prospective evidence is available to test pathways linking low childhood SES to adult health. In the current study, indirect effects through positive parenting in adolescence and adult SES were tested in the association between childhood SES and adult health behaviors and psychological resources. Men (n = 305; 53% Black) were followed longitudinally from ages 7 to 32. SES was measured annually in childhood (ages 7-9) and again in adulthood (age 32) using the Hollingshead index. Parenting was assessed annually (ages 13-16) using caregivers' and boys' self-report of supervision, communication, and expectations for their son's future. Health behaviors (cigarette and alcohol use, fruit and vegetable consumption, and physical activity) and psychological resources (optimism, purpose in life, self-mastery, and self-esteem) were assessed in adulthood (age 32). Structural equation modeling showed that higher childhood SES was associated with more positive parenting in adolescence and higher adult SES. Higher childhood SES was indirectly associated with healthier behaviors and higher psychological resources in adulthood through pathways involving positive parenting during adolescence and SES in adulthood. Findings were consistent in both racial groups. Positive parenting in adolescence was an important pathway in understanding associations among childhood SES and health behaviors and psychological resources in adulthood. Low childhood SES was prospectively associated with healthier behaviors and greater psychological resources in part through more positive parenting in adolescence.

[Socioeconomic status and risky health behaviors in Croatian adult population].

Science.gov (United States)

Pilić, Leta; Dzakula, Aleksandar

2013-03-01

Based on the previous research, there is strong association between low socioeconomic status (SES) and high morbidity and mortality rates. Even though association between SES and risky health behaviors as the main factors influencing health has been investigated in Croatian population, some questions are yet to be answered. The aim of this study was to investigate the presence of unhealthy diet, physical inactivity, smoking and excessive drinking in low, middle, and high socioeconomic group of adult Croatian population included in the cohort study on regionalism of cardiovascular health risk behaviors. We also investigated the association between SES measured by income, education and occupation, as well as single SES indicators, and risky health behaviors. We analyzed data on 1227 adult men and women (aged 19 and older at baseline) with complete data on health behaviors, SES and chronic diseases at baseline (2003) and 5-year follow up. Respondents were classified as being healthy or chronically ill. SES categories were derived from answers to questions on monthly household income, occupation and education by using two-step cluster analysis algorithm. At baseline, for the whole sample as well as for healthy respondents, SES was statistically significantly associated with unhealthy diet (whole sample/healthy respondents: p = 0.001), physical inactivity (whole sample/healthy respondents p = 0.44/ p = 0.007), and smoking (whole sample/healthy respondents p < 0.001/p = 0.002). The proportion of respondents with unhealthy diet was greatest in the lowest social class, smokers in the middle and physically inactive in the high social class. During the follow up, smoking and physical inactivity remained statistically significantly associated with SES. In chronically ill respondents, only smoking was statistically significantly associated with SES, at baseline and follow up (p = 0.001/p = 0.002). The highest share of smokers was in the middle social class. Results of our

Delineation of post - i ndustrial landscapes of the Upper Silesian corridor in the Basin of Ostrava

Czech Academy of Sciences Publication Activity Database

Kolejka, Jaromír; Klimánek, M.; Martinát, Stanislav; Ruda, A.

2013-01-01

Roč. 1, č. 3 (2013), s. 21-34 ISSN 2354-0079 R&D Projects: GA AV ČR IAA300860903 Institutional support: RVO:68145535 Keywords : delineation * brownfields * Upper Silesia * GIS Subject RIV: DE - Earth Magnetism, Geodesy, Geography http://environ.ses.us.edu.pl/download/2013.1.3/2013.1.3.%20Full%20text%2021-34.pdf

Investigações epidemiológicas sobre demência nos países em desenvolvimento Epidemiological research on dementia in developing countries

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M Scazufca

2002-12-01

Full Text Available Na medida em que a população mundial está envelhecendo, a demência está se constituindo em importante problema de saúde pública, particularmente nos países em desenvolvimento. Investigações epidemiológicas nestes países são escassas e apresentam dificuldades metodológicas adicionais, principalmente no que se refere à adequação sociocultural dos instrumentos utilizados para a definição de casos. Tendo em vista estas preocupações, foi fundado o "Grupo de Pesquisa em Demência 10/66", que é constituído por uma rede internacional de pesquisadores, predominantemente de países em desenvolvimento. O nome do grupo tem como referência o paradoxo de que menos de 10% dos estudos populacionais sobre demência são dirigidos aos 2/3 ou mais de casos de pessoas com demência que vivem em países em desenvolvimento. O objetivo do artigo é atualizar informações da literatura sobre as diferenças de prevalência e incidência de demência encontradas em países desenvolvidos e em desenvolvimento.As the world population is ageing, dementia becomes an important public health problem, particularly in developing countries. Epidemiological research in these settings is scarce and present additional methodological difficulties, mainly regarding the socio-cultural adequacy of instruments used to identify cases of dementia. As a result of these concerns the 10/66 Dementia Research Group was founded to fill this gap. This is an international network of investigators, mostly from developing countries, and the group's name was based on the paradox that less than 10% of the population-based studies on dementia are directed to 2/3 or more cases of people with dementia living in developing countries. The aim of the paper is to update data in the literature regarding the differences in dementia prevalence and incidence seen in developed and developing countries.

Mental health and satisfaction with life among upper limb amputees: a Norwegian population-based survey comparing adult acquired major upper limb amputees with a control group.

Science.gov (United States)

Østlie, Kristin; Magnus, Per; Skjeldal, Ola H; Garfelt, Beate; Tambs, Kristian

2011-01-01

To assess how upper limb amputation affects mental health and life satisfaction. Cross-sectional study comparing the mental health and perceived satisfaction with life among adult acquired major upper limb amputees in Norway with a control group drawn from the Norwegian general population. The scales used were the Satisfaction With Life Scale (SWLS) and the Hopkins Symptom Check List 25-item (SCL-25). The groups were compared using multiple linear regression analyses. The amputees scored significantly lower on life satisfaction than the control group. A tendency to poorer mental health in the amputee group was observed, but there was no clear evidence of such a difference. The amputation effect on life satisfaction seemed to be mediated mainly by changes in occupational status and by the occurrence of short- or long-term complications related to the amputation. Our findings imply that rehabilitation of upper limb amputees should emphasise facilitating return to work as well as the prevention of short- and long-term complications, and that this will be of importance not only for the amputees' physical function, but for the maintenance of acceptable life satisfaction. Further studies on the effect of upper limb amputation on mental health are recommended.

76 FR 70169 - SES Performance Review Board

Science.gov (United States)

2011-11-10

...: Emily T. Carroll, Chief, Human Resources Division, Office of Administration, National Transportation..., in accordance with regulations prescribed by the Office of Personnel Management, one or more SES... and Space Administration. Jerold Gidner, Deputy Director, Office of Strategic Employee and...

A cave population of Isbrueckerichthys alipionis (Gosline, 1947 in the Upper Ribeira karst area, southeastern Brazil (Siluriformes: Loricariidae

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Eleonora Trajano

Full Text Available A cave population of the armored catfish Isbrueckerichthys alipionis is reported from the Santana Cave, in the rio Betari watershed, Upper Ribeira karst area, Iporanga, São Paulo State, southeastern Brazil. The cave population was compared to an epigean population of I. alipionis and no significant differences where found in morphology or degree of pigmentation. As the cave population is known for at least 30 years and is apparently isolated from epigean streams, it is classified as troglophilic. The discovery of this troglophilic species in the Santana Cave is an additional strong argument for the conservation of that cave.

78 FR 60321 - SES Performance Review Board

Science.gov (United States)

2013-10-01

...: Emily T. Carroll, Chief, Human Resources Division, Office of Administration, National Transportation... accordance with regulations prescribed by the Office of Personnel Management, one or more SES Performance... Strategic Employee and Organizational Development, Department of the Interior. David L. Mayer, Managing...

WORK RELATED MUSCULOSKELETAL DISORDERS OF THE UPPER LIMBS AMONG STEEL INDUSTRY POPULATIONS

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S. A. Moussavi-Najarkola A. Khavanin

2007-08-01

Full Text Available For high occurrences of upper extremity disorders in working populations and in order to compare the occurrence of musculoskeletal alterations due to ergonomic risk factors such as highly force exertion, repetition, awkward posture between exposed and non-exposed groups, the research was carried out in Tabarestan steel industry. All 526 male workers (316 as exposed group : 132 aged 20-35 years, 184 aged >35 years; 210 as Non-exposed group: 89 aged 20-35 years, 121 aged > 35 years performing tasks exposed / not exposed to risk factors for WMSDS of the upper limbs underwent a clinical examinations as well as completing standardized Nordic Musculoskeletal Questionnaires. The anamnestic cases were defined on the basis of pain, paraesthesia, hyposthenia, and vegetative disorders during previous months. Mean age of exposed and non- exposed groups were obtained 36.3 years (SD= 5.9 and 37.9 years (SD = 7.3 respectively. There were distinguished differences in occurrences of WMSDS of upper limbs between two mentioned groups. The major occurrence was found for the right and left hands. Nocturnal and diurnal paraesthesia obtained an occurrence of about 54% and 53% respectively. Data bears witness to the greater occurrence of affected individuals in exposed group, with a non- exposed / exposed ratio of 1:7.2. The greater occurrences of affected individuals in exposed group (P = 0.006 and in subjects>35 years (P = 0.002 were significant. Structural, organizational and educational measures can be applied to prevent WMSDS or diminish the relative effects to acceptable limit.

Gender and socioeconomic disparities in BMI trajectories in the Seychelles: a cohort analysis based on serial population-based surveys

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Rossi Isabelle A

2011-12-01

Full Text Available Abstract Background The relationship between body mass index (BMI and socioeconomic status (SES tends to change over time and across populations. In this study, we examined, separately in men and women, whether the association between BMI and SES changed over successive birth cohorts in the Seychelles (Indian Ocean, African region. Methods We used data from all participants in three surveys conducted in 1989, 1994 and 2004 in independent random samples of the population aged 25-64 years in the Seychelles (N = 3'403. We used linear regression to model mean BMI according to age, cohort, SES and smoking status, allowing for a quadratic term for age to account for a curvilinear relation between BMI and age and interactions between SES and age and between SES and cohorts to test whether the relation between SES and BMI changed across subsequent cohorts. All analyses were performed separately in men and women. Results BMI increased with age in all birth cohorts. BMI was lower in men of low SES than high SES but was higher in women of low SES than high SES. In all SES categories, BMI increased over successive cohorts (1.24 kg/m2 in men and 1.51 kg/m2 for a 10-year increase in birth cohorts, p 2 and 2.46 kg/m2, p Conclusions Although large differences exist between men and women, social patterning of BMI did not change significantly over successive cohorts in this population of a middle-income country in the African region.

Gender and socioeconomic disparities in BMI trajectories in the Seychelles: a cohort analysis based on serial population-based surveys.

Science.gov (United States)

Rossi, Isabelle A; Rousson, Valentin; Viswanathan, Bharathi; Bovet, Pascal

2011-12-09

The relationship between body mass index (BMI) and socioeconomic status (SES) tends to change over time and across populations. In this study, we examined, separately in men and women, whether the association between BMI and SES changed over successive birth cohorts in the Seychelles (Indian Ocean, African region). We used data from all participants in three surveys conducted in 1989, 1994 and 2004 in independent random samples of the population aged 25-64 years in the Seychelles (N = 3'403). We used linear regression to model mean BMI according to age, cohort, SES and smoking status, allowing for a quadratic term for age to account for a curvilinear relation between BMI and age and interactions between SES and age and between SES and cohorts to test whether the relation between SES and BMI changed across subsequent cohorts. All analyses were performed separately in men and women. BMI increased with age in all birth cohorts. BMI was lower in men of low SES than high SES but was higher in women of low SES than high SES. In all SES categories, BMI increased over successive cohorts (1.24 kg/m2 in men and 1.51 kg/m2 for a 10-year increase in birth cohorts, p < 0.001). The difference in BMI between men or women of high vs. low SES did not change significantly across successive cohorts (the interaction between SES and year of birth of cohort was statistically not significant). Smoking was associated with lower BMI in men and women (respectively -1.55 kg/m2 and 2.46 kg/m2, p < 0.001). Although large differences exist between men and women, social patterning of BMI did not change significantly over successive cohorts in this population of a middle-income country in the African region.

Microbial quality of food available to populations of differing socioeconomic status.

Science.gov (United States)

Koro, Marlen E; Anandan, Shivanthi; Quinlan, Jennifer J

2010-05-01

Low SES has been shown to be linked to poorer-quality diets, decreased consumption of fresh produce, and an increased reliance on small retail stores. The objective of this research was to determine if there is a difference in the microbial quality and potential safety of food available to low-SES versus high-SES populations at the retail level. Aerobic plate count (APC); yeast and mold counts (Y & M); and total coliforms were determined in ready-to-eat (RTE) greens, pre-cut watermelon, broccoli, strawberries, cucumbers, milk, and orange juice and compared among products purchased in stores in low- versus those purchased in high-SES neighborhoods between June 2005 and September 2006. APC, fecal coliforms, and E. coli in ground beef and the presence of Salmonella and Campylobacter in chicken were also compared. Results showed higher microbial loads on produce from markets in low-SES areas. Significant differences observed included (1) APC and Y&M in RTE greens, (2) APC and Y&M in strawberries, and (3) YMCs in cucumbers. No difference was detected in the level of pathogens in raw meat and poultry; however, the APC in ground beef available in high-SES markets was significantly higher compared with that found in low-SES markets. The results presented here indicate that populations of low SES may be more likely to experience produce of poorer microbial quality, which may have an impact on both the appeal and potential safety of the produce. 2010 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

THE APOCOPE IN THE LOAN WORDS ALINTI KELİMELERDE SON SES DÜŞMESİ

Directory of Open Access Journals (Sweden)

Aylin KOÇ

2010-10-01

Full Text Available Disappearance is the loss of a sound in structure of the word with some reasons. There are three types of disappearance: apheresis, syncope and apocope. The apocope is disappearance of a vowel or consonant at the end of a word. This situation isn’t standard in whole dialects and accents. Some dropping sounds, have an intense in a spesific region, they aren’t seen in the other areas or have rare examples. This is rather common in the dialects. In this study will be handled the apocope in the loan words with the examples in Turkey Turkish and contemporary Turkish dialects. Bir kelimedeki seslerden birinin, çeşitli nedenlerle düşmesine ses düşmesi denir. Ses düşmesi üç çeşittir: ön ses düşmesi, iç ses düşmesi ve son ses düşmesi. Son ses düşmesi, kelimede son ses durumunda olan ünlü veya ünsüzün düşmesidir. Bu durum, bütün lehçelerde ve ağızlarda standart değildir. Düşen bazı sesler, belli bir bölge içinde yoğunlaşırken, bazı bölgelerde görülmemekte ve hatta birkaç ya da bir örnekle sınırlı kalabilmektedir. Bu daha çok ağızlarda görülür. Çalışmada, Türkiye Türkçesinde ve Çağdaş Türk Lehçelerinde alıntı kelimelerde son ses düşmesi bahsi örnekleriyle ele alınacaktır.

Oral health status in relation to socioeconomic factors among the municipal employees of Mysore city.

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Chandra Shekar, B R; Reddy, Cvk

2011-01-01

To assess the prevalence of dental caries, periodontal diseases, oral pre-malignant and malignant lesions in relation to socioeconomic factors among the municipal employees of Mysore city. The study was cross sectional in nature. All the available employees (1187) during the study period were considered. World Health Organization (WHO) Oral Health Assessment form (1997) and a preformed questionnaire were used to collect the required data. Modified Kuppuswamy scale with readjustment of the per capita income to suit the present levels was used for classifying the individuals into different socioeconomic status (SES) categories. Data were collected by a single, trained and calibrated examiner (dentist) using mouth mirror and community periodontal index (CPI) probe under natural daylight. Data analysis was done using SPSS windows version 10. Quantitative data were analyzed using one-way analysis of variance (ANOVA) with Tukey's post hoc test and qualitative data were analyzed using chi-square or contingency coefficient. The age range of the study population was 19-57 years (mean 40.74 years, standard deviation 9.17). The prevalence of dental caries in the upper SES category was lesser (43.3%) compared to that in lower SES category (78.6%). 16.4% of the subjects in the upper category had a CPI score of 0 (healthy periodontium) and none of the subjects in the lower middle, upper lower and lower SES category had this score. The prevalence of oral pre-malignant and malignant lesions was higher in lower SES category (17.9%) than in upper class (0%). There was an inverse relationship between oral health status and SES. The overall treatment need was more in the lower class people than in the upper class.

Towards a novel model for studying the nutritional stage dynamics of the Colombian population by age and socioeconomic status.

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Meisel, Jose D; Sarmiento, Olga L; Olaya, Camilo; Lemoine, Pablo D; Valdivia, Juan A; Zarama, Roberto

2018-01-01

Low-and middle-income countries (LMICs) are experiencing a nutritional transition in which the burden of obesity tends to shift towards the lower-socioeconomic status (SES) group. We propose a system dynamics (SD) model for assessing the nutritional stage dynamics of the Colombian urban population by age and SES projected to 2030. This SD model captures the ageing population according to body mass index (BMI) categories and SES. In this model, the transference rates (TRs) between BMI categories by age and SES are estimated using a heuristic based on data obtained from national surveys. The simulation results show that the Colombian population, particularly those aged 20 to 39 years with a lower SES, is moving towards the overweight and obese categories. The TRs for overweight and obese categories in the lower SES group (the mean TR from not overweight to overweight = 0.0215 (per year) and mean TR from overweight to obese = 0.0098 (per year)) are increasing more rapidly than the those in the middle (the mean TR from not overweight to overweight = 0.0162 (per year) and mean TR from overweight to obese = 0.0065 (per year)) and higher SES groups (the mean TR from not overweight to overweight = 0.0166 and mean TR from overweight to obese = 0.0054 (per year)). Additionally, from 2005 to 2010, individuals aged 20 to 39 years had the highest TRs towards the overweight and obese categories (from 0.026 to 0.036 per year and from 0.0064 to 0.012 per year, respectively). The TRs also indicated that children aged 0 to 14 years are moving from the obese to overweight and from the overweight to not overweight categories. These TRs show that the Colombian population is experiencing an SES-related nutritional transition that is affecting the lower SES population. The proposed model could be implemented to assess the nutritional transitions experienced in other LMICs.

Generalised joint hypermobility and shoulder joint hypermobility, - risk of upper body musculoskeletal symptoms and reduced quality of life in the general population

DEFF Research Database (Denmark)

Juul-Kristensen, Birgit; Østengaard, Lasse; Hansen, Sebrina

2017-01-01

BACKGROUND: Generalised Joint Hypermobility (GJH) is a hereditary condition with an ability to exceed the joints beyond the normal range. The prevalence of GJH in the adult population and its impact on upper body musculoskeletal health and quality of life has mostly been studied in selected popul...

Investigating Measures of Social Context on 2 Population-Based Health Surveys, Hawaii, 2010-2012.

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Pobutsky, Ann M; Baker, Kathleen Kromer; Reyes-Salvail, Florentina

2015-12-17

Measures from the Social Context Module of the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System were used on 2 population-based health surveys in Hawaii to explicate the role of the nonmedical and social determinants of health; these measures were also compared with conventional socioeconomic status (SES) variables. Results showed that the self-reported SES vulnerabilities of food and housing insecurity are both linked to demographic factors and physical and mental health status and significant when controlling for the conventional measures of SES. The social context module indicators should be increasingly used so results can inform appropriate interventions for vulnerable populations.

EXAMINE THE RELATIONSHIP OF SOCIO-ECONOMIC STATUS (SES) WITH LEISURE TIME SPENDING OF GIRLS EMPHASIZING SPORTING ACTIVITIES

OpenAIRE

Bahyeh Zarei; Mozafar Yektayar

2016-01-01

The objective of this research was doing an examination about the relationship of socio-economic status (SES) with leisure time spending in the girls of Sanandaj city emphasizing sporting activities. The method of research was descriptive-correlated and has been done as field research. The population of the research consisted of all young girls of Sanandaj aged between 15-29 years old which 384 samples were selected by using multi-stage cluster sampling. The tools of research were Godrat Nama...

Upper gastrointestinal cancer burden in Hebei Province, China: A population-based study.

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Li, Dao-Juan; Liang, Di; Song, Guo-Hui; Li, Yong-Wei; Wen, Deng-Gui; Jin, Jing; He, Yu-Tong

2017-04-14

To investigate the incidence and mortality rates of upper gastrointestinal cancer (UGIC) in Hebei Province, China, and to identify high-risk populations to improve UGIC prevention and control. Data for UGIC patients were collected from 21 population-based cancer registries covering 15.25% of the population in Hebei Province. Mortality data were extracted from three national retrospective death surveys (1973-1975, 1990-1992 and 2004-2005). The data were stratified by 5-year age groups, gender and area (high-risk/non-high-risk areas) for analysis. The age-period-cohort and grey system model were used. The crude incidence rate of UGIC was 55.47/100000, and the adjusted rate (Segi's population) was 44.90/100000. Males in rural areas had the highest incidence rate (world age-standardized rate = 87.89/100000). The crude mortality rate of UGIC displayed a decreasing trend in Hebei Province from the 1970s to 2013, and the adjusted rate decreased by 43.81% from the 1970s (58.07/100000) to 2013 (32.63/100000). The mortality rate declined more significantly in the high-risk areas (57.26%) than in the non-high-risk areas (55.02%) from the 1970s to 2013. The median age at diagnosis of UGIC was 65.06 years in 2013. There was a notable delay in the median age at death from the 1970s (66.15 years) to 2013 (70.39 years), especially in the high-risk areas. In Cixian, the total trend of the cohort effect declined, and people aged 65-69 years were a population at relatively high risk for UGIC. We predicted that the crude mortality rates of UGIC in Cixian and Shexian would decrease to 98.80 and 133.99 per 100000 in 2018, respectively. UGIC was the major cause of cancer death in Hebei Province, and males in rural areas were a high-risk population. We should strengthen early detection and treatment of UGIC in this population.

Syndrome Evaluation System (SES) versus Blood Culture (BACTEC) in the Diagnosis and Management of Neonatal Sepsis--A Randomized Controlled Trial.

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Bhat, B Vishnu; Prasad, P; Ravi Kumar, Venkata Banda; Harish, B N; Krishnakumari, K; Rekha, Anand; Manjunath, G; Adhisivam, B; Shruthi, B

2016-05-01

To compare the clinical outcome of a multiplex polymerase chain reaction (PCR) based molecular diagnostic method -- Syndrome Evaluation System (SES) directed treatment strategy vs. standard of care (blood culture) directed treatment strategy for neonatal sepsis. This randomized controlled trial (RCT) included 385 neonates with sepsis who were randomized into two groups -- SES and control (BACTEC). Both tests were performed for all the neonates. However, in the SES group, the results of SES test were revealed to the treating clinicians, while in the control group, SES results were withheld. Two ml of blood was drawn from each baby. One aliquot was sent for blood culture, whereas the remaining aliquot was sent for SES. Babies were then administered empirical IV antibiotics and given supportive care. Further antibiotic changes, if required were done in SES and control groups based on their respective reports. The microbiological profile, immediate outcome, duration of hospital stay, number of antibiotics used and readmission within a month in both groups were compared. SES was better than BACTEC in identifying the causative organism in both the groups (68 % vs. 18 % in SES group and 72 % vs. 18 % in control group). SES had 100 % concordance with blood culture by BACTEC. Detection of bacteria and fungi were four and ten-fold higher respectively with SES when compared to BACTEC culture. Microbiological diagnosis was rapid with SES compared to BACTEC (7 h vs. 72 h). Treatment based on SES resulted in significantly less mortality (3 % vs. 18 %). Readmission rate, duration of hospital stay and change in antibiotics were also significantly less in SES group. This new molecular based diagnostic system (SES) helps in rapid and accurate diagnosis of neonatal sepsis and reduces mortality and morbidity in affected neonates.

5 CFR 534.403 - SES rate range.

Science.gov (United States)

2010-01-01

... first day of the first applicable pay period beginning on or after January 1, 2004, the minimum rate of basic pay of the SES rate range is set at an amount equal to the minimum rate of basic pay under 5 U.S.C... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY UNDER OTHER SYSTEMS Pay and...

Media campaigns to promote smoking cessation among socioeconomically disadvantaged populations: what do we know, what do we need to learn, and what should we do now?

Science.gov (United States)

Niederdeppe, Jeff; Kuang, Xiaodong; Crock, Brittney; Skelton, Ashley

2008-11-01

Little is known about whether media campaigns are effective strategies to promote smoking cessation among socioeconomically disadvantaged populations or whether media campaigns may unintentionally maintain or widen disparities in smoking cessation by socioeconomic status (SES). This paper presents a systematic review of the literature on the effectiveness of media campaigns to promote smoking cessation among low SES populations in the USA and countries with comparable political systems and demographic profiles such as Canada, Australia and Western European nations. We reviewed 29 articles, summarizing results from 18 studies, which made explicit statistical comparisons of media campaign effectiveness by SES, and 21 articles, summarizing results from 13 studies, which assessed the effectiveness of media campaigns targeted specifically to low SES populations. We find that there is considerable evidence that media campaigns to promote smoking cessation are often less effective, sometimes equally effective, and rarely more effective among socioeconomically disadvantaged populations relative to more advantaged populations. Disparities in the effectiveness of media campaigns between SES groups may occur at any of three stages: differences in meaningful exposure, differences in motivational response, or differences in opportunity to sustain long-term cessation. There remains a need to conduct research that examines the effectiveness of media campaigns by SES; these studies should employ research designs that are sensitive to various ways that SES differences in smoking cessation media effects might occur.

Participation in population-based case-control studies: does the observed decline vary by socio-economic status?

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Mazloum, Marie; Bailey, Helen D; Heiden, Tamika; Armstrong, Bruce K; de Klerk, Nicholas; Milne, Elizabeth

2012-05-01

An Australian study of childhood leukaemia (Aus-ALL) previously reported that control participation was positively associated with socio-economic status (SES). A similar study of childhood brain tumours (Aus-CBT) was carried out 4 years later, and this paper compares control participation and its relationship with SES in the two studies. To assess the representativeness of controls in terms of SES, the addresses of controls were linked to Australian Bureau of Statistics Census 2006 Collection Districts (CDs), and hence to area-based indices of SES. Independent sample t-tests and chi-squared tests were used to compare the SES indices of CDs where Aus-CBT controls lived with those where Aus-ALL controls lived and with those of all CDs where Australian families lived. The overall percentage of eligible families who agreed to participate was lower in Aus-CBT (53.9%) than in Aus-ALL (70.3%). Control families in both studies were of higher SES than the general population, while the distribution of SES among recruited controls was similar in both studies. These findings provide some reassurance that the observed decline in research participation over time may not be associated with an increasingly unrepresentative participant population. © 2012 Blackwell Publishing Ltd.

Postnatal Growth Patterns in a Chilean Cohort: The Role of SES and Family Environment

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Kang Sim, D. E.; Cappiello, M.; Castillo, M.; Lozoff, B.; Martinez, S.; Blanco, E.; Gahagan, S.

2012-01-01

Objective. This study examined how family environmental characteristics served as mediators in the relationship between socioeconomic conditions and infant growth in a cohort of Chilean infants. Methods. We studied 999 infants, born between 1991 and 1996, from a longitudinal cohort which began as an iron deficiency anemia preventive trial. SES (Graffar Index), the Life Experiences Survey, and the Home Observation for Measurement of the Environment (HOME) were assessed in infancy. Using path analysis, we assessed the relationships between the social factors, home environment, and infant growth. Results. During the first year, weight and length gain averaged 540 grams/month and 6.5 cm/month, respectively. In the path analysis model for weight gain, higher SES and a better physical environment were positively related to higher maternal warmth, which in turn was associated with higher average weight gain. Higher SES was directly related to higher average length gain. Conclusions. In our cohort, a direct relationship between SES and length gain developed during infancy. Higher SES was indirectly related to infant weight gain through the home environment and maternal warmth. As the fastest growing infants are at risk for later obesity, new strategies are needed to encourage optimal rather than maximal growth. PMID:22666275

Postnatal Growth Patterns in a Chilean Cohort: The Role of SES and Family Environment

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D. E. Kang Sim

2012-01-01

Full Text Available Objective. This study examined how family environmental characteristics served as mediators in the relationship between socioeconomic conditions and infant growth in a cohort of Chilean infants. Methods. We studied 999 infants, born between 1991 and 1996, from a longitudinal cohort which began as an iron deficiency anemia preventive trial. SES (Graffar Index, the Life Experiences Survey, and the Home Observation for Measurement of the Environment (HOME were assessed in infancy. Using path analysis, we assessed the relationships between the social factors, home environment, and infant growth. Results. During the first year, weight and length gain averaged 540 grams/month and 6.5 cm/month, respectively. In the path analysis model for weight gain, higher SES and a better physical environment were positively related to higher maternal warmth, which in turn was associated with higher average weight gain. Higher SES was directly related to higher average length gain. Conclusions. In our cohort, a direct relationship between SES and length gain developed during infancy. Higher SES was indirectly related to infant weight gain through the home environment and maternal warmth. As the fastest growing infants are at risk for later obesity, new strategies are needed to encourage optimal rather than maximal growth.

Upper urinary tract carcinoma in Lynch syndrome cases.

Science.gov (United States)

Crockett, David G; Wagner, David G; Holmäng, Sten; Johansson, Sonny L; Lynch, Henry T

2011-05-01

Patients with Lynch syndrome are much more likely to have generally rare upper urinary tract urothelial carcinoma but not bladder urothelial carcinoma. While the risk has been quantified, to our knowledge there is no description of how this population of patients with Lynch syndrome and upper urinary tract cancer differs from the general population with upper urinary tract cancer. We obtained retrospective data on a cohort of patients with Lynch syndrome from the Hereditary Cancer Center in Omaha, Nebraska and compared the data to those on a control general population from western Sweden. These data were supplemented by a new survey about exposure to known risk factors. Of the patients with Lynch syndrome 91% had mutations in MSH2 rather than in MSH1 and 79% showed upper tract urothelial carcinoma a mean of 15.85 years after prior Lynch syndrome-type cancer. Median age at diagnosis was 62 years vs 70 in the general population (p Lynch syndrome 51% had urothelial carcinoma in the ureter while it occurred in the renal pelvis in 65% of the general population (p = 0.0013). Similar numbers of high grade tumors were found in the Lynch syndrome and general populations (88% and 74%, respectively, p = 0.1108). Upper urinary tract tumors develop at a younger age and are more likely to be in the ureter with an almost equal gender ratio in patients with Lynch syndrome. It has high grade potential similar to that in the general population. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Association between selective serotonin reuptake inhibitors and upper gastrointestinal bleeding: population based case-control study

Science.gov (United States)

de Abajo, Francisco José; Rodríguez, Luis Alberto García; Montero, Dolores

1999-01-01

Objective To examine the association between selective serotonin reuptake inhibitors and risk of upper gastrointestinal bleeding. Design Population based case-control study. Setting General practices included in the UK general practice research database. Subjects 1651 incident cases of upper gastrointestinal bleeding and 248 cases of ulcer perforation among patients aged 40 to 79 years between April 1993 and September 1997, and 10 000 controls matched for age, sex, and year that the case was identified. Interventions Review of computer profiles for all potential cases, and an internal validation study to confirm the accuracy of the diagnosis on the basis of the computerised information. Main outcome measures Current use of selective serotonin reuptake inhibitors or other antidepressants within 30 days before the index date. Results Current exposure to selective serotonin reuptake inhibitors was identified in 3.1% (52 of 1651) of patients with upper gastrointestinal bleeding but only 1.0% (95 of 10 000) of controls, giving an adjusted rate ratio of 3.0 (95% confidence interval 2.1 to 4.4). This effect measure was not modified by sex, age, dose, or treatment duration. A crude incidence of 1 case per 8000 prescriptions was estimated. A small association was found with non-selective serotonin reuptake inhibitors (relative risk 1.4, 1.1 to 1.9) but not with antidepressants lacking this inhibitory effect. None of the groups of antidepressants was associated with ulcer perforation. The concurrent use of selective serotonin reuptake inhibitors with non-steroidal anti-inflammatory drugs increased the risk of upper gastrointestinal bleeding beyond the sum of their independent effects (15.6, 6.6 to 36.6). A smaller interaction was also found between selective serotonin reuptake inhibitors and low dose aspirin (7.2, 3.1 to 17.1). Conclusions Selective serotonin reuptake inhibitors increase the risk of upper gastrointestinal bleeding. The absolute effect is, however

Alianzas estratégicas entre empresas de países en vías de desarrollo y empresas de países desarrollados: ¿Propician la internacionalización?

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Federico Quesada Chaves

2011-01-01

Full Text Available Las alianzas estratégicas o Joint Ventures entre empresas de países en vías de desarrollo y empresas de países desarrollados, constituyen un tema poco investigado en la literatura de la Dirección de Empresas. Sólo un documento se ha encargado de estudiar este tipo de alianzas (Hitt, Levitas, Arregle y Borza, 2000. En él se destaca la búsqueda de recursos tecnológicos y financieros, como el principal incentivo para buscar estas alianzas en las empresas de países en vías de desarrollo. A continuación se proporciona un estado del arte sobre el tema, y además se resalta la importancia que puede tener este tópico en las estrategias de internacionalización de pequeñas y medianas empresas.

Ambiente institucional e compra de terras por estrangeiros em países em desenvolvimento

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Leandro Simões Pongeluppe

2014-03-01

Full Text Available De acordo com o Banco Mundial, desde o final dos anos 2000 o movimento de aquisição de terras por estrangeiros tem se acentuado nos países em desenvolvimento, impulsionado pelo boom dos preços das commodities. Em termos teóricos, a abordagem da Nova Economia Institucional (NEI argumenta que as instituições são importantes para as estratégias dos agentes econômicos e seu desempenho. Neste estudo, apoiado na NEI, pretende-se responder como as instituições presentes em países periféricos refletem o processo de aquisições de terras por investidores estrangeiros. Para esse objetivo, foram utilizados dados secundários de organizações internacionais, como Food and Agriculture Organization, Banco Mundial, Conferência das Nações Unidas sobre Comércio e Desenvolvimento, Fundo Monetário Internacional, Organização para a Cooperação Econômica e Desenvolvimento Econômico, Wall Street Journal e agências nacionais. A hipótese principal é que a força ou a fraqueza presente no ambiente institucional em países em desenvolvimento tem influência relevante no nível de Investimento Estrangeiro Direto (IED. Para testar a hipótese, adota-se como metodologia a análise estatística, na qual se verifica a relação entre o nível de IED nos países receptores (variável dependente contra variáveis independentes: liberdade de investimento, direitos de propriedade e nível de corrupção. Espera-se?que os pa?ses com?ambientes institucionais independentes: liberdade de investimento, direitos de propriedade e nível de corrupção. Espera-se que os países com ambientes institucionais fracos, ou menos seguros, tendam a receber menores investimentos em compra de terras e arrendamentos do que outros países que têm estrutura institucional que garanta os direitos de propriedade.

Development in reading and math in children from different SES backgrounds: the moderating role of child temperament.

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Wang, Zhe; Soden, Brooke; Deater-Deckard, Kirby; Lukowski, Sarah L; Schenker, Victoria J; Willcutt, Erik G; Thompson, Lee A; Petrill, Stephen A

2017-05-01

Socioeconomic risks (SES risks) are robust risk factors influencing children's academic development. However, it is unclear whether the effects of SES on academic development operate universally in all children equally or whether they vary differentially in children with particular characteristics. The current study aimed to explore children's temperament as protective or risk factors that potentially moderate the associations between SES risks and academic development. Specifically, latent growth modeling (LGM) was used in two longitudinal datasets with a total of 2236 children to examine how family SES risks and children's temperament interactively predicted the development of reading and math from middle childhood to early adolescence. Results showed that low negative affect, high effortful control, and low surgency mitigated the negative associations between SES risks and both reading and math development in this developmental period. These findings underline the heterogeneous nature of the negative associations between SES risks and academic development and highlight the importance of the interplay between biological and social factors on individual differences in development. © 2015 John Wiley & Sons Ltd.

Upper gastrointestinal symptoms, psychosocial co-morbidity and health care seeking in general practice: population based case control study

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Schellevis François G

2009-09-01

Full Text Available Abstract Background The pathophysiology of upper gastrointestinal (GI symptoms is still poorly understood. Psychological symptoms were found to be more common in patients with functional gastrointestinal complaints, but it is debated whether they are primarily linked to GI symptoms or rather represent motivations for health-care seeking. Purpose of our study was to compare co-morbidity, in particular psychological and social problems, between patients with and without upper GI symptoms. In addition, we investigated whether the prevalence of psychological and social problems is part of a broader pattern of illness related health care use. Methods Population based case control study based on the second Dutch National Survey of general practice (conducted in 2001. Cases (adults visiting their primary care physician (PCP with upper GI symptoms and controls (individuals not having any of these complaints, matched for gender, age, PCP-practice and ethnicity were compared. Main outcome measures were contact frequency, prevalence of somatic as well as psychosocial diagnoses, prescription rate of (psychopharmacological agents, and referral rates. Data were analyzed using odds ratios, the Chi square test as well as multivariable logistic regression analysis. Results Data from 13,389 patients with upper GI symptoms and 13,389 control patients were analyzed. Patients with upper GI symptoms visited their PCP twice as frequently as controls (8.6 vs 4.4 times/year. Patients with upper GI symptoms presented not only more psychological and social problems, but also more other health problems to their PCP (odds ratios (ORs ranging from 1.37 to 3.45. Patients with upper GI symptoms more frequently used drugs of any ATC-class (ORs ranging from 1.39 to 2.90, including psychotropic agents. The observed differences were less pronounced when we adjusted for non-attending control patients. In multivariate regression analysis, contact frequency and not psychological or

Investigações epidemiológicas sobre demência nos países em desenvolvimento

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M Scazufca

2002-12-01

Full Text Available Na medida em que a população mundial está envelhecendo, a demência está se constituindo em importante problema de saúde pública, particularmente nos países em desenvolvimento. Investigações epidemiológicas nestes países são escassas e apresentam dificuldades metodológicas adicionais, principalmente no que se refere à adequação sociocultural dos instrumentos utilizados para a definição de casos. Tendo em vista estas preocupações, foi fundado o "Grupo de Pesquisa em Demência 10/66", que é constituído por uma rede internacional de pesquisadores, predominantemente de países em desenvolvimento. O nome do grupo tem como referência o paradoxo de que menos de 10% dos estudos populacionais sobre demência são dirigidos aos 2/3 ou mais de casos de pessoas com demência que vivem em países em desenvolvimento. O objetivo do artigo é atualizar informações da literatura sobre as diferenças de prevalência e incidência de demência encontradas em países desenvolvidos e em desenvolvimento.

Investigações epidemiológicas sobre demência nos países em desenvolvimento

Directory of Open Access Journals (Sweden)

Scazufca M

2002-01-01

Full Text Available Na medida em que a população mundial está envelhecendo, a demência está se constituindo em importante problema de saúde pública, particularmente nos países em desenvolvimento. Investigações epidemiológicas nestes países são escassas e apresentam dificuldades metodológicas adicionais, principalmente no que se refere à adequação sociocultural dos instrumentos utilizados para a definição de casos. Tendo em vista estas preocupações, foi fundado o "Grupo de Pesquisa em Demência 10/66", que é constituído por uma rede internacional de pesquisadores, predominantemente de países em desenvolvimento. O nome do grupo tem como referência o paradoxo de que menos de 10% dos estudos populacionais sobre demência são dirigidos aos 2/3 ou mais de casos de pessoas com demência que vivem em países em desenvolvimento. O objetivo do artigo é atualizar informações da literatura sobre as diferenças de prevalência e incidência de demência encontradas em países desenvolvidos e em desenvolvimento.

Lithium and renal and upper urinary tract tumors - results from a nationwide population-based study

DEFF Research Database (Denmark)

Kessing, Lars Vedel; Gerds, Thomas Alexander; Feldt-Rasmussen, Bo

2015-01-01

OBJECTIVES: A recent alarming finding suggested an increased risk of renal tumors among long-term lithium users. The objectives of the present study were to estimate rates of renal and upper urinary tract tumors (RUT), malignant and benign, among individuals exposed to successive prescriptions...... for lithium, anticonvulsants, and other psychotropic agents used for bipolar disorder, and among unexposed individuals. METHODS: This was a nationwide, population-based longitudinal study including time-specific data from all individuals exposed to lithium (n = 24,272) or anticonvulsants (n = 386,255), all...... individuals with a diagnosis of bipolar disorder (n = 9,651), and a randomly selected sample of 1,500,000 from the Danish population. The study period was from 1995 to 2012, inclusive. Outcomes were hazard rate ratios (HR) for RUT in three groups: (i) combined malignant and benign, (ii) malignant, and (iii...

75 FR 43944 - Membership of the Defense Logistics Agency (DLA) Senior Executive Service (SES) Performance...

Science.gov (United States)

2010-07-27

... CONTACT: Ms. Lisa Novajosky, SES Program Manager, DLA Human Resources (J-14), Defense Logistics Agency... DEPARTMENT OF DEFENSE Defense Logistics Agency Membership of the Defense Logistics Agency (DLA... management of the SES cadre. DATES: Effective Date: September 16, 2010. ADDRESSES: Defense Logistics Agency...

What keeps low-SES children from sleeping well: the role of presleep worries and sleep environment

Science.gov (United States)

Bagley, Erika J.; Kelly, Ryan J.; Buckhalt, Joseph A.; El-Sheikh, Mona

2014-01-01

Objectives Children in families of low socioeconomic status (SES) have been found to have poor sleep, yet the reasons for this finding are unclear. Two possible mediators, presleep worries and home environment conditions, were investigated as indirect pathways between SES and children’s sleep. Participants/Methods The participants consisted of 271 children (M (age) = 11.33 years; standard deviation (SD) = 7.74 months) from families varying in SES as indexed by the income-to-needs ratio. Sleep was assessed with actigraphy (sleep minutes, night waking duration, and variability in sleep schedule) and child self-reported sleep/wake problems (e.g., oversleeping and trouble falling asleep) and sleepiness (e.g., sleeping in class and falling asleep while doing homework). Presleep worries and home environment conditions were assessed with questionnaires. Results Lower SES was associated with more subjective sleep/wake problems and daytime sleepiness, and increased exposure to disruptive sleep conditions and greater presleep worries were mediators of these associations. In addition, environmental conditions served as an intervening variable linking SES to variability in an actigraphy-derived sleep schedule, and, similarly, presleep worry was an intervening variable linking SES to actigraphy-based night waking duration. Across sleep parameters, the model explained 5–29% of variance. Conclusions Sleep environment and psychological factors are associated with socioeconomic disparities, which affect children’s sleep. PMID:25701537

What keeps low-SES children from sleeping well: the role of presleep worries and sleep environment.

Science.gov (United States)

Bagley, Erika J; Kelly, Ryan J; Buckhalt, Joseph A; El-Sheikh, Mona

2015-04-01

Children in families of low socioeconomic status (SES) have been found to have poor sleep, yet the reasons for this finding are unclear. Two possible mediators, presleep worries and home environment conditions, were investigated as indirect pathways between SES and children's sleep. The participants consisted of 271 children (M (age) = 11.33 years; standard deviation (SD) = 7.74 months) from families varying in SES as indexed by the income-to-needs ratio. Sleep was assessed with actigraphy (sleep minutes, night waking duration, and variability in sleep schedule) and child self-reported sleep/wake problems (e.g., oversleeping and trouble falling asleep) and sleepiness (e.g., sleeping in class and falling asleep while doing homework). Presleep worries and home environment conditions were assessed with questionnaires. Lower SES was associated with more subjective sleep/wake problems and daytime sleepiness, and increased exposure to disruptive sleep conditions and greater presleep worries were mediators of these associations. In addition, environmental conditions served as an intervening variable linking SES to variability in an actigraphy-derived sleep schedule, and, similarly, presleep worry was an intervening variable linking SES to actigraphy-based night waking duration. Across sleep parameters, the model explained 5-29% of variance. Sleep environment and psychological factors are associated with socioeconomic disparities, which affect children's sleep. Copyright © 2014 Elsevier B.V. All rights reserved.

Mental Disorders and Socioeconomic Status: Impact on Population Risk of Attempted Suicide in Australia

Science.gov (United States)

Page, Andrew; Taylor, Richard; Hall, Wayne; Carter, Gregory

2009-01-01

The population attributable risk (PAR) of mental disorders compared to indicators of socioeconomic status (SES) for attempted suicide was estimated for Australia. For mental disorders, the highest PAR% for attempted suicide was for anxiety disorders (males 28%; females 36%). For SES, the highest PAR% for attempted suicide in males was for…

Momentary smoking context as a mediator of the relationship between SES and smoking.

Science.gov (United States)

Jahnel, Tina; Ferguson, Stuart G; Shiffman, Saul; Thrul, Johannes; Schüz, Benjamin

2018-08-01

There is a well-established socioeconomic gradient in smoking behavior: those with lower socioeconomic status smoke more. However, much less is known about the mechanisms explaining how SES is linked to smoking. This study takes a social-ecological perspective by examining whether socioeconomic status affects smoking behavior by differential exposure to places where smoking is allowed. Exposure to smoking restrictions was assessed in real-time using Ecological Momentary Assessment methods. A sample of 194 daily smokers, who were not attempting to quit, recorded their smoking and information about situational and contextual factors for three weeks using an electronic diary. We tested whether a smoker's momentary context mediated the relationship between socioeconomic status (educational attainment) and cigarettes smoked per day (CPD). Momentary context was operationalized as the proportion of random assessments answered in locations where smoking was allowed versus where smoking was not allowed. Data were analysed using multilevel regression (measurements nested within participants) with a lower level mediation model (2-1-1 mediation). Although no significant direct effect of SES on CPD were observed, there was a significant indirect effect of SES on CPD via the momentary context. Compared to participants with higher education, lower educated participants were more likely to encounter places where smoking was allowed, and this in turn, was associated with a higher number of CPD. These findings suggest that SES is associated with smoking at least partially via differential exposure to smoking-friendly environments, with smokers from lower SES backgrounds accessing more places where smoking is allowed. Implications for current smoke-free legislation are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

A geometric morphometric analysis of hominin upper second and third molars, with particular emphasis on European Pleistocene populations.

Science.gov (United States)

Gómez-Robles, Aida; Bermúdez de Castro, José María; Martinón-Torres, María; Prado-Simón, Leyre; Arsuaga, Juan Luis

2012-09-01

The study of dental morphology by means of geometric morphometric methods allows for a detailed and quantitative comparison of hominin species that is useful for taxonomic assignment and phylogenetic reconstruction. Upper second and third molars have been studied in a comprehensive sample of Plio- and Pleistocene hominins from African, Asian and European sites in order to complete our analysis of the upper postcanine dentition. Intraspecific variation in these two molars is high, but some interspecific trends can be identified. Both molars exhibit a strong reduction of the distal cusps in recent hominin species, namely European Homo heidelbergensis, Homo neanderthalensis and Homo sapiens, but this reduction shows specific patterns and proportions in the three groups. Second molars tend to show four well developed cusps in earlier hominin species and their morphology is only marginally affected by allometric effects. Third molars can be incipiently reduced in earlier species and they evince a significant allometric component, identified both inter- and intraspecifically. European Middle Pleistocene fossils from Sima de los Huesos (SH) show a very strong reduction of these two molars, even more marked than the reduction observed in Neanderthals and in modern human populations. The highly derived shape of SH molars points to an early acquisition of typical Neanderthal dental traits by pre-Neanderthal populations and to a deviation of this population from mean morphologies of other European Middle Pleistocene groups. Copyright © 2012 Elsevier Ltd. All rights reserved.

Projected risk of population declines for native fish species in the Upper Mississippi River

Science.gov (United States)

Crimmins, S.M.; Boma, P.; Thogmartin, W.E.

2015-01-01

Conservationists are in need of objective metrics for prioritizing the management of habitats. For individual species, the threat of extinction is often used to prioritize what species are in need of conservation action. Using long-term monitoring data, we applied a Bayesian diffusion approximation to estimate quasi-extinction risk for 54 native fish species within six commercial navigation reaches along a 1350-km gradient of the upper Mississippi River system. We found a strong negative linear relationship between quasi-extinction risk and distance upstream. For some species, quasi-extinction estimates ranged from nearly zero in some reaches to one in others, suggesting substantial variability in threats facing individual river reaches. We found no evidence that species traits affected quasi-extinction risk across the entire system. Our results indicate that fishes within the upper Mississippi River system face localized threats that vary across river impact gradients. This suggests that conservation actions should be focused on local habitat scales but should also consider the additive effects on downstream conditions. We also emphasize the need for identification of proximate mechanisms behind observed and predicted population declines, as conservation actions will require mitigation of such mechanisms. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

As NICSPs e a Contabilidade Governamental de Países em Desenvolvimento

Directory of Open Access Journals (Sweden)

James L. Chan

2010-01-01

Full Text Available Con el objetivo de alcanzar metas socioeconómicas ambiciosas, países en vías de desarrollo precisan desarrollar capacidad institucional en el sector público para establecer e implementar políticas públicas, las cuales, por su vez, prescinden de una reforma en su contabilidad gubernamental. El valor social de la reforma en la contabilidad gubernamental reposa, por tanto, en su contribución para las metas de desarrollo, inclusive de reducción de la pobreza. Esa fundamentación ha conducido a los donadores y a los financiadores interna - cionales y multilaterales a endosar las Normas Internacionales de Contabilidad para el Sector Público (NICSPs y su adopción en países en vías de desarrollo. El énfasis en asegurar la integridad financiera y la mudanza para el régimen de competencia puede tornar las NICSPs más útiles en la reforma de la contabilidad pública en países en vías de desarrollo.

Independent and Combined Effects of Socioeconomic Status (SES) and Bilingualism on Children's Vocabulary and Verbal Short-Term Memory.

Science.gov (United States)

Meir, Natalia; Armon-Lotem, Sharon

2017-01-01

The current study explores the influence of socioeconomic status (SES) and bilingualism on the linguistic skills and verbal short-term memory of preschool children. In previous studies comparing children of low and mid-high SES, the terms "a child with low-SES" and "a child speaking a minority language" are often interchangeable, not enabling differentiated evaluation of these two variables. The present study controls for this confluence by testing children born and residing in the same country and attending the same kindergartens, with all bilingual children speaking the same heritage language (HL-Russian). A total of 120 children (88 bilingual children: 44 with low SES; and 32 monolingual children: 16 with low SES) with typical language development, aged 5; 7-6; 7, were tested in the societal language (SL-Hebrew) on expressive vocabulary and three repetition tasks [forward digit span (FWD), nonword repetition (NWR), and sentence repetition (SRep)], which tap into verbal short-term memory. The results indicated that SES and bilingualism impact different child abilities. Bilingualism is associated with decreased vocabulary size and lower performance on verbal short-term memory tasks with higher linguistic load in the SL-Hebrew. The negative effect of bilingualism on verbal short-term memory disappears once vocabulary is accounted for. SES influences not only linguistic performance, but also verbal short-term memory with lowest linguistic load. The negative effect of SES cannot be solely attributed to lower vocabulary scores, suggesting that an unprivileged background has a negative impact on children's cognitive development beyond a linguistic disadvantage. The results have important clinical implications and call for more research exploring the varied impact of language and life experience on children's linguistic and cognitive skills.

Passive vandlåses resistens over for trykvariationer

DEFF Research Database (Denmark)

Christiansen, J.

Dette notat beskriver en undersøgelse af vandlåses funktion i den siutation, hvor de ikke belastes af gennemstrømmende vand, men kan påvirkes af lufttrykvariationer i det rørnet, hvortil de er sluttet. En vandlås betegnes i denne situation som en passiv vandlås. Undersøgelsen er gennemført dels...

Irritable bowel syndrome and upper dyspepsia among the elderly: a study of symptom clusters in a random 70 year old population

DEFF Research Database (Denmark)

Kay, L; Jørgensen, Torben; Schultz-Larsen, K

1996-01-01

. Heartburn/acid regurgitation did not show a consistent association to any other symptoms and may be considered as a cluster of it own. Pain characteristics traditionally related to upper dyspepsia did not specifically relate to any cluster. It is concluded that, in this 70-year-old population abdominal......With the aim to assess the clustering of abdominal symptoms in a random population, data from a cohort study of a 70 year old Danish population were analysed. The cohort comprised 1,119 subjects of which 72% participated in a primary study and 91% of the survivors in a similar study five years...

Communalism Predicts Maternal Affect, Stress, and Physiology Better than Ethnicity and SES

Science.gov (United States)

Abdou, Cleopatra M.; Schetter, Christine Dunkel; Campos, Belinda; Hilmert, Clayton J.; Dominguez, Tyan Parker; Hobel, Calvin J.; Glynn, Laura M.; Sandman, Curt

2010-01-01

The present study examined the relevance of communalism, operationalized as a cultural orientation emphasizing interdependence, to maternal prenatal emotional health and physiology and distinguished its effects from those of ethnicity and childhood and adult SES. African American and European American women (N=297) were recruited early in pregnancy and followed through 32 weeks gestation using interviews and medical chart review. Overall, African American women and women of lower socioeconomic backgrounds had higher levels of negative affect, stress and blood pressure, but these ethnic and socioeconomic disparities were not observed among women higher in communalism. Hierarchical multivariate regression analyses showed that communalism was a more robust predictor of prenatal emotional health than ethnicity, childhood SES, and adult SES. Communalism also interacted with ethnicity and SES, resulting in lower blood pressure during pregnancy for African American women and women who experienced socioeconomic disadvantage over the life course. The effects of communalism on prenatal affect, stress, and physiology were not explained by depressive symptoms at study entry, perceived availability of social support, self-esteem, optimism, mastery, nor pregnancy-specific factors, including whether the pregnancy was planned, desired after conception, or how frequently the woman felt happy to be pregnant. This suggests that a communal cultural orientation benefits maternal prenatal emotional health and physiology over and above its links to better-understood personal and social resources in addition to economic resources. Implications regarding culture as a determinant of maternal prenatal health and well-being and as a potentially important lens for examining ethnic and socioeconomic inequalities in health are discussed. PMID:20658883

Urbanización y sistema de asentamientos en los países menos urbanizados de América Latina y El Caribe

Directory of Open Access Journals (Sweden)

Egea Jiménez, Carmen

2003-06-01

Full Text Available The main objective of this report is to analyse the population distribution, urbanization process and settlement system of less urbanized Latin American and Caribbean countries. The first thing, and as so an introduction, it explains the urbanization process of the whole region in the world-wide context from 1955 to 2025, thus as a populational evolution tipology of all Latin American countries from 1950 to current census. The third part, the more extensive one, is about the poblacional problem of less urbanized countries of the region in two periods: 1970-1975 and 1990-1995.

[es] Urbanización y sistema de asentamientos en los países menos urbanizados de América Latina y el Caribe. El objetivo prioritario de este artículo es analizar la distribución de la población, proceso de urbanización y sistema de asentamientos de los países menos urbanizados de América Latina y el Caribe, si bien en principio, y con carácter introductorio, se expone el proceso de urbanización del conjunto regional en el contexto mundial desde 1995 hasta el 2025, así como una tipología evolutiva poblacional de todos los países latinoamericanos desde 1950 hasta el censo actual. La tercera parte, la más amplia, centra ya la atención en la problemática poblacional de los países menos urbanizados de la región en dos períodos: 1970-1975 y 1990-1995. [fr] Urbanization et l´habitat des pays moins urbanises de l´Amérique Latine et le Caraïbe. L'objectif principal de cet article c'est l'analyse de la distribution de la population, le procès d'urbanisation et l'habitat des pays moins urbanises de l'Amérique Latine et le Caraïbe, bien qu'en principe, et de manière introductive, on expose le procès d'urbanisation de l'ensemble régionale dans le contexte mondiale après 1995 jusqu'à 2025, même qu'une typologie évolutive populationale de tous les pays latino-américains après 1950 jusqu'à recensement actuel. La troisième parte, la

Socioeconomic status (SES) and childhood acute myeloid leukemia (AML) mortality risk: Analysis of SEER data.

Science.gov (United States)

Knoble, Naomi B; Alderfer, Melissa A; Hossain, Md Jobayer

2016-10-01

Socioeconomic status (SES) is a complex construct of multiple indicators, known to impact cancer outcomes, but has not been adequately examined among pediatric AML patients. This study aimed to identify the patterns of co-occurrence of multiple community-level SES indicators and to explore associations between various patterns of these indicators and pediatric AML mortality risk. A nationally representative US sample of 3651 pediatric AML patients, aged 0-19 years at diagnosis was drawn from 17 Surveillance, Epidemiology, and End Results (SEER) database registries created between 1973 and 2012. Factor analysis, cluster analysis, stratified univariable and multivariable Cox proportional hazards models were used. Four SES factors accounting for 87% of the variance in SES indicators were identified: F1) economic/educational disadvantage, less immigration; F2) immigration-related features (foreign-born, language-isolation, crowding), less mobility; F3) housing instability; and, F4) absence of moving. F1 and F3 showed elevated risk of mortality, adjusted hazards ratios (aHR) (95% CI): 1.07(1.02-1.12) and 1.05(1.00-1.10), respectively. Seven SES-defined cluster groups were identified. Cluster 1 (low economic/educational disadvantage, few immigration-related features, and residential-stability) showed the minimum risk of mortality. Compared to Cluster 1, Cluster 3 (high economic/educational disadvantage, high-mobility) and Cluster 6 (moderately-high economic/educational disadvantages, housing-instability and immigration-related features) exhibited substantially greater risk of mortality, aHR(95% CI)=1.19(1.0-1.4) and 1.23 (1.1-1.5), respectively. Factors of correlated SES-indicators and their pattern-based groups demonstrated differential risks in the pediatric AML mortality indicating the need of special public-health attention in areas with economic-educational disadvantages, housing-instability and immigration-related features. Copyright © 2016 Elsevier Ltd. All

Motor Skill Performance by Low SES Preschool and Typically Developing Children on the PDMS-2

Science.gov (United States)

Liu, Ting; Hoffmann, Chelsea; Hamilton, Michelle

2017-01-01

The purpose of this study was to compare the motor skill performance of preschool children from low socioeconomic (SES) backgrounds to their age matched typically developing peers using the Peabody Developmental Motor Scales-2 (PDMS-2). Sixty-eight children (34 low SES and 34 typically developing; ages 3-5) performed the PDMS-2. Standard scores…

Adherence to Dietary Recommendations for Food Group Intakes Is Low in the Mexican Population.

Science.gov (United States)

Batis, Carolina; Aburto, Tania C; Sánchez-Pimienta, Tania G; Pedraza, Lilia S; Rivera, Juan A

2016-09-01

Given the high prevalence of obesity and noncommunicable diseases in Mexico and the key role of dietary quality in these conditions, it is important to determine Mexicans' adherence to dietary recommendations. Our aim was to estimate the percentage of the Mexican population who adhere to dietary recommendations for key food groups. We analyzed 7983 participants aged ≥5 y from the nationally representative Mexican National Health and Nutrition Survey 2012. Dietary intake data were collected by using one 24-h recall and a repeated 24-h recall in 9% of the sample. We used the National Cancer Institute method for episodically consumed foods, which uses a 2-part (probability and amount) mixed regression model to estimate the usual intake distribution and its association with sociodemographic variables. For the food groups that are encouraged, only 1-4% of the population (range across sex and age groups) reached the recommended intake of legumes, 4-8% for seafood, 7-16% for fruit and vegetables, and 9-23% for dairy. For food groups that are discouraged, only 10-22% did not exceed the recommended upper limit for sugar-sweetened beverages, 14-42% for high saturated fat and/or added sugar (HSFAS) products, and 9-50% for processed meats, whereas the majority (77-93%) did not exceed the limit for red meat. A lower proportion of adolescents than children and adults adhered to recommendations for several food groups. Participants with higher socioeconomic status (SES) and living in urban areas consumed more (probability of consuming and/or amount consumed) fruit and vegetables, dairy, and HSFAS products, but they consumed fewer legumes than those of lower SES and living in rural areas. These results reveal the poor dietary quality of the Mexican population and the urgent need to shift these habits. If current intakes continue, the burden of disease due to obesity and noncommunicable chronic diseases will likely remain elevated in the Mexican population. © 2016 American

Prevalence of upper limb disorders among female librarians.

Science.gov (United States)

Pandy, R

2013-09-01

Work as a librarian involves exposure to potential risk factors for developing upper limb disorders. The prevalence of upper limb symptoms has, however, not previously been assessed in this occupational group. To estimate the 7-day and annual prevalence of self-reported neck and upper limb symptoms in librarians and to examine associations with specific tasks and ergonomic risk factors. A cross-sectional study using components of the standardized Nordic questionnaire. The study population consisted of librarians employed by a large local authority, and data collection was by means of a self-administered questionnaire. from studies on keyboard workers and on the general population were used as comparators. The 7-day prevalence of self-reported neck and upper limb pain in female librarians was 42% (95% confidence interval (CI) 33.7-50.5) and the annual prevalence was 65% (95% CI 56.6-72.8). The prevalence of reported wrist and hand pain increased with increased working involving a wide thumb-index span (P librarians was high, but there was insufficient evidence to confirm whether the prevalence was higher than in the general population or among keyboard workers. Working with a wide thumb-index span was associated with reporting upper limb symptoms.

Le Valais et ses Reines

Directory of Open Access Journals (Sweden)

Alberto Campi

2012-06-01

Full Text Available Combat de ReinesAu premier plan (la corde dans la main, un propriétaire de vaches. Dans l'arène se trouve le rabatteur. Les Reines sur la photo sont des reines de première catégorie (ainsi que le montre le « I » sur leur cuisse .Dimanche 6 mai 2012, « Schakira », la vache numéro 42, a gagné, non sans polémique, le titre de Reine. Elle peut donc être considérée comme la Reine des Reines, titre qu’elle a gagné en se battant contre ses rivales dans différents combats, qui ont commencé pour Sch...

76 FR 55677 - Senior Executive Service (SES) Performance Review Board

Science.gov (United States)

2011-09-08

... GENERAL SERVICES ADMINISTRATION [Notice-CPO-2011-01; Docket 2011-0006; Sequence 15] Senior Executive Service (SES) Performance Review Board AGENCY: General Services Administration. ACTION: Notice. SUMMARY: Notice is hereby given of the appointment of new members to the General Services Administration...

Socioeconomic status, child enrichment factors, and cognitive performance among preschool-age children: results from the Follow-Up of Growth and Development Experiences study.

Science.gov (United States)

Christensen, Deborah L; Schieve, Laura A; Devine, Owen; Drews-Botsch, Carolyn

2014-07-01

hospitals. The effect of being in the lower compared to the middle tertile of SES score was reduced by approximately a quarter; the effect of being in the upper compared to the middle tertile of SES score was reduced by nearly half, but this comparison was possible only for children born at the private hospital. A child's individual SES was associated with cognitive performance within advantaged and disadvantaged populations. Child enrichment was associated with better cognitive performance and attenuated the SES influence. Health care providers should reinforce guidelines for home enrichment and refer children with delays to early intervention and education, particularly children from disadvantaged populations. Copyright © 2014. Published by Elsevier Ltd.

SES, Chronic Kidney Disease, and Race in the U.S. : A Systematic Review and Meta-analysis

NARCIS (Netherlands)

Vart, Priya; van Zon, Sander K. R.; Gansevoort, Ron T.; Bültmann, Ute; Reijneveld, Sijmen A.

2017-01-01

Context: The risk of chronic kidney disease (CKD) in the U.S. is higher in individuals with low SES than in those with high SES. However, differences in these risks between African Americans and whites are unclear. Evidence acquisition: Studies published through August 30, 2016 in Medline and EMBASE

The Impact of Familial, Behavioural and Psychosocial Factors on the SES Gradient for Childhood Overweight in Europe

DEFF Research Database (Denmark)

Bammann, Karin; Gwozdz, Wencke; Pischke, Claudia

2017-01-01

Background: In highly developed countries, childhood overweight and many overweight-related risk factors are negatively associated with socioeconomic status (SES). Objective: The objective of this study is to investigate the longitudinal association between parental SES and childhood overweight, ...

75 FR 15611 - Safety Zone; United Portuguese SES Centennial Festa, San Diego Bay, San Diego, CA

Science.gov (United States)

2010-03-30

...-AA00 Safety Zone; United Portuguese SES Centennial Festa, San Diego Bay, San Diego, CA AGENCY: Coast... navigable waters of the San Diego Bay in support of the United Portuguese SES Centennial Festa. This... Centennial Festa, which will include a fireworks presentation originating from a tug and barge combination in...

Garth Boomer Address 2017: Low SES Contexts and English

Science.gov (United States)

Sawyer, Wayne

2017-01-01

In this essay, I focus on the role of teacher-research in developing intellectual engagement in the context of low SES school communities and English. When the OECD after each round of PISA results declares that 'the socioeconomic background of students and schools does appear to have a powerful influence on performance', the understatedness of…

Karzai pääses raketirünnakust eluga / Hendrik Vosman

Index Scriptorium Estoniae

Vosman, Hendrik

2008-01-01

Afganistani pealinnas Kabulis toimunud sõjaväeparaadile Talibani korraldatud raketirünnakus hukkus kolm inimest, president Hamid Karzai pääses vigastusteta. Kabulis viibinud Euroopa Parlamendi saadiku Katrin Saksa arvamus

Diversity and genetic distance in populations of Steindachnerina in the upper Paraná river floodplain of Brazil.

Science.gov (United States)

Oliveira, A V; Prioli, A J; Prioli, S M A P; Pavanelli, C S; Júlio, H F; Panarari, R S

2002-08-01

Whereas four species of the genus Steindachnerina occur in the Paraná river basin, S. insculpta was the only endemic species of the region under analysis, which is the third lower section of the upper Paraná river. Among other factors, this species has been characterised by the absence of spots in the basal region of the dorsal fin. However, various specimens with this characteristic appeared in the region after the construction of the Itaipu Hydroelectric Plant in 1982. An analysis of the genetic variability of Steindachnerina populations with or without spots is provided. Specimens were collected in different sites of the floodplain of the upper Paraná river and samples were compared by random amplified polymorphic DNA (RAPD) technique and morphological analyses. Ninety-eight amplified loci with nine random primers were analysed in 19 specimens of each phenotype. Data for genetic distance showed great divergences between the two phenotypes and indicate two different species. Spotted specimens may be identified as S. brevipinna, found in the region downstream Sete Quedas Falls. The species must have overcome the geographical barrier during the building of the Itaipu hydroelectric dam that submerged the waterfalls and which became an obstacle between the upper and middle Paraná river some 150 km downstream. Since phenotypes do not share dominant alleles, absence of gene flow has been suggested.

Genetic and Phenotypic Catalog of Native Resident Trout of the Interior Columbia River Basin; Populations of the Upper Yakima Basin, 1997-1998 Annual Report.

Energy Technology Data Exchange (ETDEWEB)

Trotter, Patrick C. (Fishery Science Consultant, Seattle, WA); McMillan, Bill; Gayeski, Nick (Washington Trout, Duvall, WA)

1999-10-01

The objective of this project is to photo-document upper Columbia Basin native resident trout populations in Washington, and to ascertain their species or subspecies identity and relative genetic purity using a nonlethal DNA technique.

Observations Of General Learning Patterns In An Upper-Level Thermal Physics Course

Science.gov (United States)

Meltzer, David E.

2009-11-01

I discuss some observations from using interactive-engagement instructional methods in an upper-level thermal physics course over a two-year period. From the standpoint of the subject matter knowledge of the upper-level students, there was a striking persistence of common learning difficulties previously observed in students enrolled in the introductory course, accompanied, however, by some notable contrasts between the groups. More broadly, I comment on comparisons and contrasts regarding general pedagogical issues among different student sub-populations, for example: differences in the receptivity of lower- and upper-level students to diagrammatic representations; varying receptivity to tutorial-style instructional approach within the upper-level population; and contrasting approaches to learning among physics and engineering sub-populations in the upper-level course with regard to use of symbolic notation, mathematical equations, and readiness to employ verbal explanations.

Perfil de mercado de la Unión Europea y los países de la EFTA

OpenAIRE

Casadiego, Vanessa; Villegas, Melissa; Beltrán, Paula Daniela

2015-01-01

El presente trabajo de grado busca evaluar el perfil del mercado de la Unión Europea y los países de la EFTA para identificar las oportunidades comerciales de Colombia, más específicamente en los siguientes países: Suiza, Noruega, Liechtenstein, Islandia, Republica Checa, Rumania y Suecia. A través de esta investigación se realizó un análisis de los 25 productos más exportados de Colombia a cada uno de los países estudiados, tomando en cuenta sus códigos arancelarios. Adicionalmente, se e...

Low frequency of defective mismatch repair in a population-based series of upper urothelial carcinoma

International Nuclear Information System (INIS)

Ericson, Kajsa M; Isinger, Anna P; Isfoss, Björn L; Nilbert, Mef C

2005-01-01

Upper urothelial cancer (UUC), i.e. transitional cell carcinomas of the renal pelvis and the ureter, occur at an increased frequency in patients with hereditary nonpolyposis colorectal cancer (HNPCC). Defective mismatch repair (MMR) specifically characterizes HNPCC-associated tumors, but also occurs in subsets of some sporadic tumors, e.g. in gastrointestinal cancer and endometrial cancer. We assessed the contribution of defective MMR to the development of UUC in a population-based series from the southern Swedish Cancer Registry, through microsatellite instability (MSI) analysis and immunohistochemical evaluation of expression of the MMR proteins MLH1, PMS2, MSH2, and MSH6. A MSI-high phenotype was identified in 9/216 (4%) successfully analyzed patients and a MSI-low phenotype in 5/216 (2%). Loss of MMR protein immunostaining was found in 11/216 (5%) tumors, and affected most commonly MSH2 and MSH6. This population-based series indicates that somatic MMR inactivation is a minor pathway in the development of UUC, but tumors that display defective MMR are, based on the immunohistochemical expression pattern, likely to be associated with HNPCC

Low frequency of defective mismatch repair in a population-based series of upper urothelial carcinoma

Energy Technology Data Exchange (ETDEWEB)

Ericson, Kajsa M; Isinger, Anna P [Departments of Oncology, University Hospital, Lund (Sweden); Isfoss, Björn L [Departments of Pathology, University Hospital, Lund (Sweden); Nilbert, Mef C [Departments of Oncology, University Hospital, Lund (Sweden)

2005-01-01

Upper urothelial cancer (UUC), i.e. transitional cell carcinomas of the renal pelvis and the ureter, occur at an increased frequency in patients with hereditary nonpolyposis colorectal cancer (HNPCC). Defective mismatch repair (MMR) specifically characterizes HNPCC-associated tumors, but also occurs in subsets of some sporadic tumors, e.g. in gastrointestinal cancer and endometrial cancer. We assessed the contribution of defective MMR to the development of UUC in a population-based series from the southern Swedish Cancer Registry, through microsatellite instability (MSI) analysis and immunohistochemical evaluation of expression of the MMR proteins MLH1, PMS2, MSH2, and MSH6. A MSI-high phenotype was identified in 9/216 (4%) successfully analyzed patients and a MSI-low phenotype in 5/216 (2%). Loss of MMR protein immunostaining was found in 11/216 (5%) tumors, and affected most commonly MSH2 and MSH6. This population-based series indicates that somatic MMR inactivation is a minor pathway in the development of UUC, but tumors that display defective MMR are, based on the immunohistochemical expression pattern, likely to be associated with HNPCC.

Le mahdi oublié de l'Inde britannique : Sayyid Ahmad Barelwî (1786-1831, ses disciples, ses adversaires

Directory of Open Access Journals (Sweden)

Marc Gaborieau

2009-05-01

Full Text Available Tournant le dos aux interprétations nationalistes indiennes et pakistanaises, cet article restitue la dimension millénariste de la carrière de Sayyid Ahmad Barelwî (1786-1831. Ce soufi naqshbandi, qui fut successivement soldat de fortune et réformateur religieux, lança en 1826 un jihâd contre les Sikhs et contre la présence britannique en Inde. Il disparut mystérieusement lors d'une bataille, et ses disciples attendirent son retour comme mahdi pendant plus d'un demi-siècle. Cette ultime arrière messianique est interprétée en quatre étapes. Je montre d'abord comment le contexte politique et social favorisait le développement d'idées millénaristes. La mentalité religieuse de l'époque et la place qu'y occupait l'eschatologie sont ensuite étudiées. La carrière posthume de Sayyid Ahmad comme mahdi est ensuite restituée à travers les sources coloniales. Enfin l'examen de documents originaux en persan écrit avant la mort de Sayyid Ahmad corrigera cette image coloniale, tout en montrant que, déjà de son vivant, il était bien perçu par ses disciples comme une sorte de mahdi du milieu des temps, analogue à certains égards au mujaddid tek que le concevaient les Naqshbandis.

78 FR 44563 - Senior Executive Service (SES) Performance Review Board

Science.gov (United States)

2013-07-24

... FEDERAL LABOR RELATIONS AUTHORITY Senior Executive Service (SES) Performance Review Board AGENCY... Management, one or more PRBs. The PRB shall review and evaluate the initial appraisal of a senior executive's performance by the supervisor, along with any response by the senior executive, and make recommendations to...

Family Density and SES Related to Diabetes Management and Glycemic Control in Adolescents With Type 1 Diabetes.

Science.gov (United States)

Caccavale, Laura J; Weaver, Patrick; Chen, Rusan; Streisand, Randi; Holmes, Clarissa S

2015-06-01

Youth with Type 1 diabetes (T1D) from single-parent families have poorer glycemic control; a finding confounded with socioeconomic status (SES). Family density (FD), or youth:adult ratio, may better characterize family risk status. Structural equation modeling assessed the relation of single-parent status, SES, and FD to parenting stress, diabetes-related conflict, parental monitoring, adherence, and glycemic control using cross-sectional parent and youth data (n = 257). Single-parent status exhibited similar relations as SES and was removed. Lower FD was associated with better glycemic control (β = -.29, p = .014) via less conflict (β = .17, p = .038) and greater adherence (β = -.54, p single-parent status were indistinguishable from those of SES. FD provides distinct information related to adolescent glycemic control. © The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Finaali pääses kümme Võrumaa koolitantsu

Index Scriptorium Estoniae

2009-01-01

Valgas toimunud "Koolitants 2009" piirkondlikult festivalilt pääses 18. ja 19. aprillil Pärnus toimuvale lõppkontserdile kümme Võrumaa tantsu. Ühe kahest arengu eripreemiast pälvis 7.-9. klasside šõutantsu kategoorias võistelnud Võru kunstikooli tantsutrupp Katariina tantsuga "Rock-rock-rock"

PISTES fête ses 10 ans

Directory of Open Access Journals (Sweden)

Esther Cloutier

2008-11-01

Full Text Available Bonjour, PISTES fête ses 10 ans. Comme le temps passe vite n’est-ce pas ! Depuis le premier numéro en 1999 que de chemin parcouru : plusieurs problématiques de recherche s’intéressant aux liens entre la santé et le travail ont été abordées, le nombre de lecteurs a augmenté sans cesse, la revue a été indexée dans diverses bases de données de références importantes, plusieurs articles sont maintenant traduits en anglais avec des résumés français, anglais et espagnol, une rubrique de défricheur ...

Local population and regional environmental drivers of cholera in Bangladesh

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Escamilla Veronica

2010-01-01

Full Text Available Abstract Background Regional environmental factors have been shown to be related to cholera. Previous work in Bangladesh found that temporal patterns of cholera are positively related to satellite-derived environmental variables including ocean chlorophyll concentration (OCC. Methods This paper investigates whether local socio-economic status (SES modifies the effect of regional environmental forces. The study area is Matlab, Bangladesh, an area of approximately 200,000 people with an active health and demographic surveillance system. Study data include (1 spatially-referenced demographic and socio-economic characteristics of the population; (2 satellite-derived variables for sea surface temperature (SST, sea surface height (SSH, and OCC; and (3 laboratory confirmed cholera case data for the entire population. Relationships between cholera, the environmental variables, and SES are measured using generalized estimating equations with a logit link function. Additionally two separate seasonal models are built because there are two annual cholera epidemics, one pre-monsoon, and one post-monsoon. Results SES has a significant impact on cholera occurrence: the higher the SES score, the lower the occurrence of cholera. There is a significant negative association between cholera incidence and SSH during the pre-monsoon period but not for the post-monsoon period. OCC is positively associated with cholera during the pre-monsoon period but not for the post-monsoon period. SST is not related to cholera incidence. Conclusions Overall, it appears cholera is influenced by regional environmental variables during the pre-monsoon period and by local-level variables (e.g., water and sanitation during the post-monsoon period. In both pre- and post-monsoon seasons, SES significantly influences these patterns, likely because it is a proxy for poor water quality and sanitation in poorer households.

Don't Throw out the Baby with the Bathwater: The Case for a Reformed SES Funding Scheme

Science.gov (United States)

Watson, Louise

2004-01-01

Since its introduction in 2001, the Australian (Commonwealth) Government's socio-economic status (SES)-based funding scheme for private schools has been criticised as inequitable. The author argues that the inequities of the scheme are the result of government policy rather than the SES-based model itself. Compared with the former education…

Life-Style Habits in a High-Risk Area for Upper Gastrointestinal Cancers: a Population-Based Study from Shanxi, China.

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Cheng, Yi-Kun; Yao, Shang-Man; Xu, Yi-Ran; Niu, Run-Gui

2016-01-01

Cancer is a burden on humanity and ranks as a leading cause of morbidity and mortality in China. Shanxi province has its unique cancer patterns and the burden is increasing. In this study, we aimed to assess the pattern of dietary habits and life-style in Shanxi, a high-risk area for upper gastrointestinal cancers in China and further evaluate the trends in cancer incidence and mortality based on registered data. Data on lifestyle, diet, physical activity were obtained from the household health survey at Zhongyang from 2013 to 2015. Cancer diagnoses were reported to Shanxi Center for Disease Control and Prevention (SCDCP). Population-based cancer incidence data and mortality data of 2012 were collected from the SCDCP. All incidence and death rates were expressed per 100,000 populations. Univariate analysis was performed using the Chi-squared test or Fisherandapos;s exact test. Overall, deficiencies in fresh fruits and vegetable food, and intake of hot food, salted food, or pickled food are serious problems in Shanxi, especially in rural areas. Upper gastrointestinal cancers were the most commonly diagnosed cancers, and the incidence in rural areas is higher than those in urban areas. Cervical cancer is the most common cancer for females. Moreover, the agespecific incidence exhibited an increased trend before 40 years old. Consistent with the previous literature, our epidemiological investigation results suggest that lifestyle, nutrition deficient, and infections were major risk factors for upper gastrointestinal cancers or cervical cancer in Shanxi. Facing a serious situation, we further explored defensible recommendations for the general public in order to promote changes in environments that support healthful eating and physical activity habits, to reduce cancer risk. Our results present the current cancer trends in Shanxi and its related etiologic risk factors and provide a theoretical basis to guide public health efforts to prevent and control cancers in the

Patients with Urinary Incontinence Appear More Likely to Develop Upper Urinary Tract Stones: A Nationwide, Population-Based Study with 8-Year Follow-Up

Science.gov (United States)

Chung, Hsiao-Jen; Lin, Alex Tong-Long; Lin, Chih-Chieh; Chen, Tzeng-Ji; Chen, Kuang-Kuo

2016-01-01

This study aimed to investigate associations between primary urinary incontinence and development of upper urinary tract stones in a nationwide population in Taiwan. Data of 1,777 adults with primary urinary incontinence and 26,655 controls (groups A, B, and C) without urinary incontinence at study inception were retrieved from the National Health Insurance System database in Taiwan and were analyzed retrospectively. No enrolled subjects had previous diagnosis of upper urinary tract stones or spinal cord injury. All subjects were followed through end of 2009, with a minimum follow-up of 8 years. A greater percentage of study subjects (334/1777, 18.8%) developed upper urinary tract stones than that of control groups A (865/8885, 9.7%) and B (888/8885, 10%), and C (930/8885, 10.5%) (all p-values Urinary incontinence was associated with significantly increased risk of developing urinary tract stones (HR 1.99, 95% CI, 1.70–2.34, p urinary tract stones (both p-values urinary incontinence was still associated with a significantly increased risk of developing upper urinary tract stones (HR 1.99, 95% CI = 1.76–2.26, p urinary incontinence suggests that urinary incontinence is associated with a significantly increased risk of developing upper urinary tract stones. Study findings suggest that physicians treating patients with urinary incontinence should give attention to early detection of upper urinary tract stones. PMID:27536881

Patients with Urinary Incontinence Appear More Likely to Develop Upper Urinary Tract Stones: A Nationwide, Population-Based Study with 8-Year Follow-Up.

Science.gov (United States)

Chung, Hsiao-Jen; Lin, Alex Tong-Long; Lin, Chih-Chieh; Chen, Tzeng-Ji; Chen, Kuang-Kuo

2016-01-01

This study aimed to investigate associations between primary urinary incontinence and development of upper urinary tract stones in a nationwide population in Taiwan. Data of 1,777 adults with primary urinary incontinence and 26,655 controls (groups A, B, and C) without urinary incontinence at study inception were retrieved from the National Health Insurance System database in Taiwan and were analyzed retrospectively. No enrolled subjects had previous diagnosis of upper urinary tract stones or spinal cord injury. All subjects were followed through end of 2009, with a minimum follow-up of 8 years. A greater percentage of study subjects (334/1777, 18.8%) developed upper urinary tract stones than that of control groups A (865/8885, 9.7%) and B (888/8885, 10%), and C (930/8885, 10.5%) (all p-values Urinary incontinence was associated with significantly increased risk of developing urinary tract stones (HR 1.99, 95% CI, 1.70-2.34, p urinary tract stones (both p-values urinary incontinence was still associated with a significantly increased risk of developing upper urinary tract stones (HR 1.99, 95% CI = 1.76-2.26, p urinary incontinence suggests that urinary incontinence is associated with a significantly increased risk of developing upper urinary tract stones. Study findings suggest that physicians treating patients with urinary incontinence should give attention to early detection of upper urinary tract stones.

77 FR 62211 - Senior Executive Services (SES) Performance Review Board: Update

Science.gov (United States)

2012-10-12

... AGENCY FOR INTERNATIONAL DEVELOPMENT Senior Executive Services (SES) Performance Review Board... International Development, Office of Inspector General's Senior Executive Service Performance Review Board... Performance Review Boards. The board shall review and evaluate the initial appraisal of each USAID OIG senior...

Habitat, wildlife, and one health: Arcanobacterium pyogenes in Maryland and Upper Eastern Shore white-tailed deer populations

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Melissa M. Turner

2013-08-01

Full Text Available Background: Understanding the distribution of disease in wildlife is key to predicting the impact of emerging zoonotic one health concerns, especially for wildlife species with extensive human and livestock interfaces. The widespread distribution and complex interactions of white-tailed deer (Odocoileus virginianus with humans suggest deer population health and management may have implications beyond stewardship of the animals. The intracranial abscessation suppurative meningitis (IASM disease complex in deer has been linked to Arcanobacterium pyogenes, an under-diagnosed and often misdiagnosed organism considered commensal in domestic livestock but associated with serious disease in numerous species, including humans. Methods: Our study used standard bacterial culture techniques to assess A. pyogenes prevalence among male deer sampled across six physiogeographic regions in Maryland and male and female deer in the Upper Eastern Shore under Traditional Deer Management (TDM and Quality Deer Management (QDM, a management protocol that alters population demographics in favor of older male deer. Samples were collected from antler pedicles for males, the top of the head where pedicles would be if present for females, or the whole dorsal frontal area of the head for neonates. We collected nasal samples from all animals by swabbing the nasopharyngeal membranes. A gram stain and catalase test were conducted, and aerobic bacteria were identified to genus and species when possible. We evaluated the effect of region on whether deer carried A. pyogenes using Pearson's chi-square test with Yates’ continuity correction. For the white-tailed deer management study, we tested whether site, age class and sex predisposed animals to carrying A. pyogenes using binary logistic regression. Results: A. pyogenes was detected on deer in three of the 6 regions studied, and was common in only one region, the Upper Eastern Shore. In the Upper Eastern Shore, 45% and 66% of

Adolescent Development of Inhibition as a Function of SES & Gender: Converging Evidence from Behavior & fMRI

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Spielberg, Jeffrey M.; Galarce, Ezequiel M.; Ladouceur, Cecile D.; McMakin, Dana L.; Olino, Thomas M.; Forbes, Erika E.; Silk, Jennifer S.; Ryan, Neal D.; Dahl, Ronald E.

2015-01-01

The ability to adaptively inhibit responses to tempting/distracting stimuli in the pursuit of goals is an essential set of skills necessary for adult competence and wellbeing. These inhibitory capacities develop throughout childhood, with growing evidence of important maturational changes occurring in adolescence. There also has been intense interest in the role of social adversity on the development of executive function, including inhibitory control. We hypothesized that the onset of adolescence could be a time of particular opportunity/vulnerability in the development of inhibition due to the large degree of maturational changes in neural systems involved in regulatory control. We investigated this hypothesis in a longitudinal study of adolescents by examining the impact of socioeconomic status (SES) on the maturation of inhibition and concurrent brain function. Furthermore, we examined gender as a potential moderator of this relationship, given evidence of gender-specificity in the developmental pathways of inhibition as well as sex differences in adolescent development. Results reveal that lower SES is associated with worse behavioral inhibition over time and a concurrent increase in anterior cingulate (ACC) activation, but only in girls. We also found that lower SES girls exhibited decreased ACC↔dorsolateral prefrontal cortex (dlPFC) coupling over time. Our findings suggest that female adolescents with lower SES appear to develop less efficient inhibitory processing in dlPFC, requiring greater and relatively unsuccessful compensatory recruitment of ACC. In summary, the present study provides a novel window into the neural mechanisms by which the influence of SES on inhibition may be transmitted during adolescence. PMID:26010995

Un brevet pour la vie : La propriété intellectuelle et ses effets sur le ...

International Development Research Centre (IDRC) Digital Library (Canada)

Un brevet pour la vie : La propriété intellectuelle et ses effets sur le commerce, la biodiversité et le monde rural. Couverture du livre Un brevet pour la vie : La propriété intellectuelle et ses effets sur. Auteur(s):. The Crucible Group. Maison(s) d'édition: CRDI. 1 janvier 1994. ISBN : Épuisé. 120 pages. e-ISBN : 1552503917.

International Spinal Cord Injury Upper Extremity Basic Data Set

DEFF Research Database (Denmark)

Biering-Sørensen, F; Bryden, A; Curt, A

2014-01-01

OBJECTIVE: To develop an International Spinal Cord Injury (SCI) Upper Extremity Basic Data Set as part of the International SCI Data Sets, which facilitates consistent collection and reporting of basic upper extremity findings in the SCI population. SETTING: International. METHODS: A first draft...

75 FR 6729 - Senior Executive Service (SES) Performance Review Board; Members

Science.gov (United States)

2010-02-10

... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION Senior Executive Service (SES) Performance Review... Performance Review Boards. The Board shall review the initial appraisal of a senior executive's performance by... senior executive performance. The members of the Performance Review Board for the National Archives and...

Jerarquía de valores en países de la Europa Occidental: una comparación transcultural

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MARÍA ROS

1995-01-01

Full Text Available Hemos usado la teoría transcultural de los valores humanos desarrollada por Schwartz (1992a para analizar y comparar la jeararquía de valores de diez países de Europa occidental con respecto a la importancia de los valores en un conjunto de países del resto del mundo. Hemos encontrado que el conjunto de naciones de Europa Occidental comparten un perfil único de valores que las distingue del resto de los países. Este perfil se caracteriza por la alta prioridad que atribuyen a los valores de compromiso igualitario, autonomía intelectual y armonía y por la baja prioridad que otorgan a los valores de jerarquía y conservación. Estos resultados son explicados acudiendo a algunos factores socio-estructurales, políticos y económicos, compartidos por estos países y que les diferencian de los demás.

A difícil integração dos países do Cone Sul

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Virgílio Caixeta Arraes

2011-02-01

Full Text Available O artigo trata do longo processo de integração política e econômica dos países do Cone Sul. Ele aborda os primeiros passos da tentativa de união, ocorridos ainda no início da Guerra Fria. O texto estende-se até o começo da década de 90, quando quatro países - Brasil, Argentina, Uruguai e Paraguai - formaram o Mercado Comum do Sul - MERCOSUL.

Independent and Combined Effects of Socioeconomic Status (SES) and Bilingualism on Children’s Vocabulary and Verbal Short-Term Memory

Science.gov (United States)

Meir, Natalia; Armon-Lotem, Sharon

2017-01-01

The current study explores the influence of socioeconomic status (SES) and bilingualism on the linguistic skills and verbal short-term memory of preschool children. In previous studies comparing children of low and mid-high SES, the terms “a child with low-SES” and “a child speaking a minority language” are often interchangeable, not enabling differentiated evaluation of these two variables. The present study controls for this confluence by testing children born and residing in the same country and attending the same kindergartens, with all bilingual children speaking the same heritage language (HL-Russian). A total of 120 children (88 bilingual children: 44 with low SES; and 32 monolingual children: 16 with low SES) with typical language development, aged 5; 7–6; 7, were tested in the societal language (SL-Hebrew) on expressive vocabulary and three repetition tasks [forward digit span (FWD), nonword repetition (NWR), and sentence repetition (SRep)], which tap into verbal short-term memory. The results indicated that SES and bilingualism impact different child abilities. Bilingualism is associated with decreased vocabulary size and lower performance on verbal short-term memory tasks with higher linguistic load in the SL-Hebrew. The negative effect of bilingualism on verbal short-term memory disappears once vocabulary is accounted for. SES influences not only linguistic performance, but also verbal short-term memory with lowest linguistic load. The negative effect of SES cannot be solely attributed to lower vocabulary scores, suggesting that an unprivileged background has a negative impact on children’s cognitive development beyond a linguistic disadvantage. The results have important clinical implications and call for more research exploring the varied impact of language and life experience on children’s linguistic and cognitive skills. PMID:28890706

Independent and Combined Effects of Socioeconomic Status (SES and Bilingualism on Children’s Vocabulary and Verbal Short-Term Memory

Directory of Open Access Journals (Sweden)

Natalia Meir

2017-08-01

Full Text Available The current study explores the influence of socioeconomic status (SES and bilingualism on the linguistic skills and verbal short-term memory of preschool children. In previous studies comparing children of low and mid-high SES, the terms “a child with low-SES” and “a child speaking a minority language” are often interchangeable, not enabling differentiated evaluation of these two variables. The present study controls for this confluence by testing children born and residing in the same country and attending the same kindergartens, with all bilingual children speaking the same heritage language (HL-Russian. A total of 120 children (88 bilingual children: 44 with low SES; and 32 monolingual children: 16 with low SES with typical language development, aged 5; 7–6; 7, were tested in the societal language (SL-Hebrew on expressive vocabulary and three repetition tasks [forward digit span (FWD, nonword repetition (NWR, and sentence repetition (SRep], which tap into verbal short-term memory. The results indicated that SES and bilingualism impact different child abilities. Bilingualism is associated with decreased vocabulary size and lower performance on verbal short-term memory tasks with higher linguistic load in the SL-Hebrew. The negative effect of bilingualism on verbal short-term memory disappears once vocabulary is accounted for. SES influences not only linguistic performance, but also verbal short-term memory with lowest linguistic load. The negative effect of SES cannot be solely attributed to lower vocabulary scores, suggesting that an unprivileged background has a negative impact on children’s cognitive development beyond a linguistic disadvantage. The results have important clinical implications and call for more research exploring the varied impact of language and life experience on children’s linguistic and cognitive skills.

Low frequency of defective mismatch repair in a population-based series of upper urothelial carcinoma

Directory of Open Access Journals (Sweden)

Isfoss Björn L

2005-03-01

Full Text Available Abstract Background Upper urothelial cancer (UUC, i.e. transitional cell carcinomas of the renal pelvis and the ureter, occur at an increased frequency in patients with hereditary nonpolyposis colorectal cancer (HNPCC. Defective mismatch repair (MMR specifically characterizes HNPCC-associated tumors, but also occurs in subsets of some sporadic tumors, e.g. in gastrointestinal cancer and endometrial cancer. Methods We assessed the contribution of defective MMR to the development of UUC in a population-based series from the southern Swedish Cancer Registry, through microsatellite instability (MSI analysis and immunohistochemical evaluation of expression of the MMR proteins MLH1, PMS2, MSH2, and MSH6. Results A MSI-high phenotype was identified in 9/216 (4% successfully analyzed patients and a MSI-low phenotype in 5/216 (2%. Loss of MMR protein immunostaining was found in 11/216 (5% tumors, and affected most commonly MSH2 and MSH6. Conclusion This population-based series indicates that somatic MMR inactivation is a minor pathway in the development of UUC, but tumors that display defective MMR are, based on the immunohistochemical expression pattern, likely to be associated with HNPCC.

The influence of mitigation evidence, ethnicity, and SES on death penalty decisions by European American and Latino venire persons.

Science.gov (United States)

Espinoza, Russ K E; Willis-Esqueda, Cynthia

2015-04-01

The purpose of the research was to determine whether European American and Latino mock jurors would demonstrate bias in death penalty decision making when mitigation evidence and defendant ethnicity and socioeconomic status (SES) were varied. A total of 561 actual venire persons acted as mock jurors and read a trial transcript that varied a defendant's case information (mitigating circumstances: strong/weak, defendant ethnicity: European American/Latino, and defendant SES: low/high). European American jurors recommended the death penalty significantly more often for the low SES Latino defendant when strength of mitigation evidence was weak. In addition, they also assigned this defendant higher culpability ratings and lower ratings on positive personality trait measures compared with all other conditions. Strong mitigation evidence contributed to lower guilt ratings by European American jurors for the high SES European American defendant. Latino jurors did not differ in their death penalty sentencing across defendant mitigation, ethnicity, or SES conditions. Discussion of in-group favoritism and out-group derogation, as well as suggestions for procedures to diminish juror bias in death penalty cases, is provided. (c) 2015 APA, all rights reserved).

Temporal dependence of the selectivity property of SES stations in western Greece

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E. Dologlou

2009-06-01

Full Text Available The selectivity property of the SES stations, IOA, PIR and PAT in western Greece, based on reported precursory SES signals and associated large earthquakes (M_w≥5.4 that occurred from 1983 to the end of 2008, has been examined. Interesting temporal dependence of the sensitive ability of these stations has been unveiled. Physical mechanisms for the observed changes in selectivity might be related with tectonic and geodynamic events. For instance, selectivity for IOA exhibits a time dependence, for PAT probably is related to the activation of Wadati-Benioff zone while for PIR seems to be related to the specific tectonics of two confined areas such as the Cephalonia Transform Faulting zone in Ionian Sea and the southwestern part of the Hellenic Trench.

Indian populations

CERN Multimedia

Spahni,J

1974-01-01

Le Prof. J.C. Spahni qui a parcouru les Andes, Vénezuela etc. parle de ses expériences et connaissances qu'il a vécu au cours des 14 ans parmi les populations indiennes de la Cordillière des Andes. Il a ramené des objets artisanals indiens lesquels l'auditoire peut acquérir. L'introduction-conférence est suivi d'un film, commenté par lui-même; après l'entracte il y un débat-dialogue avec le public.

Socioeconomic rehabilitation of successful renal transplant patients and impact of funding source: Indian scenario.

Science.gov (United States)

Kapoor, Rakesh; Sharma, Raj Kumar; Srivastava, Aneesh; Kapoor, Rohit; Arora, Sohrab; Sureka, Sanjoy Kumar

2015-01-01

Socio-economic rehabilitation is an important outcome parameter in successful renal transplant recipients, particularly in developing countries with low income patients who often depend on extraneous sources to fund their surgery costs. We studied the socioeconomic rehabilitation and changes in socioeconomic status (SES) of successful renal allograft recipients among Indian patients and its correlation with their source of funding for the surgery. A cross-sectional, questionnaire-based study was conducted on 183 patients between January 2010 to January 2013. Patients with follow up of at least 1 year after successful renal transplant were included. During interview, two questionnaires were administered, one related to the SES including source of funding before transplantation and another one relating to the same at time of interview. Changes in SES were categorized as improvement, stable and deterioration if post-transplant SES score increased >5%, increased or decreased by 5% of pre-transplant value, respectively. In this cohort, 97 (52.7%), 67 (36.4%) and 19 (10.3%) patients were non-funded (self-funded), one-time funded and continuous funded, respectively. Fifty-six (30.4%) recipients had improvement in SES, whereas 89 (48.4%) and 38 (20.7%) recipients had deterioration and stable SES. Improvement in SES was seen in 68% patients with continuous funding support whereas, in only 36% and 12% patients with non-funded and onetime funding support (P = 0.001) respectively. Significant correlation was found (R = 0.715) between baseline socioeconomic strata and changes in SES after transplant. 70% of the patients with upper and upper middle class status had improving SES. Patients with middle class, lower middle and lower class had deterioration of SES after transplant in 47.4%, 79.6% and 66.7% patients, respectively. Most of the recipients from middle and lower social strata, which included more than 65% of our patient's population, had deteriorating SES even after a

The Role of SES in Chinese (L1) and English (L2) Word Reading in Chinese-Speaking Kindergarteners

Science.gov (United States)

Liu, Duo; Chung, Kevin K. H.; McBride, Catherine

2016-01-01

The present study investigated the relationships between socioeconomic status (SES) and word reading in both Chinese (L1) and English (L2), with children's cognitive/linguistic skills considered as mediators and/or moderators. One hundred ninety-nine Chinese kindergarteners in Hong Kong with diverse SES backgrounds participated in this study. SES…

Family Life Satisfaction across Positional Roles, Family Development Categories and SES.

Science.gov (United States)

Tiffany, Phyllis G.

Marital satisfaction across the life cycle differs for men and women. To investigate family life satisfaction across positional roles, developmental categories, and socioeconomic status (SES), 100 husbands and wives (families) were administered the Heimler Schedule of Social Functioning (SOSF), which relates social function and stressors (work,…

Nível de desenvolvimento e tecnologia de distribuição de alimentos em países selecionados

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Leidy Diana Souza de Oliveira

2013-03-01

Full Text Available Este artigo tem como objetivo comparar os sistemas de distribuição de alimentos em países com diferentes níveis de desenvolvimento. Especificamente: i identificar padrões de demanda e analisar as características do mercado de alimentos; ii verificar as relações entre a estrutura dos sistemas varejistas de alimento e padrões econômicos, sociais, culturais e prevalecentes de compra e iii identificar as estratégicas adotadas pelos varejistas. Para tanto, foi efetuada uma revisão em estudos prévios disponíveis. Os países estudados foram: renda alta (Estados Unidos e Reino Unido; renda média-alta (África do Sul e Brasil; renda média-baixa (China e Guatemala e renda baixa (Madagascar e Vietnã. Os resultados mostram a existência de importantes diferenças no desenvolvimento do varejo de alimentos entre os países analisados. Revelam, ainda, que qualidade e variedade dos produtos são fatores importantes na estratégia de varejo em países de renda alta e média-alta; nos países de renda média-baixa e baixa destaca-se o preço dos alimentos. A principal implicação é o impacto que os supermercados causam em todos os elos das cadeias agroindustriais.

Trajectories of BMI from early childhood through early adolescence: SES and psychosocial predictors.

Science.gov (United States)

Lane, Sean P; Bluestone, Cheryl; Burke, Christopher T

2013-02-01

This study examined the ways in which body mass index (BMI) percentile - an identified risk factor for overweight and cardiovascular disease in adulthood - develops from birth through early adolescence. In addition, we examined whether psychosocial factors, such as parenting style and maternal depression, mediated the link between socio-economic status (SES) and BMI growth. Design. Data were obtained from phases 1-3 of the National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD) - a longitudinal study that followed children from 10 communities in the United States from birth to age 11. We applied growth mixture models to identify distinct subtypes of BMI development. Within these models, we performed between- and within-class mediation analyses to examine whether SES predicted class membership or differences in development within each class via maternal depression and parenting styles. Results identified three prototypic trajectories of BMI percentile growth, elevated, steady increase, and stable. We found evidence for both between- and within-class mediation, suggesting multiple pathways by which SES can affect BMI development. These findings add to the research that suggests that being in a family with a low SES is associated with falling into patterns of development characterized by early and lasting increases in BMI relative to one's peers, and that this association is partly accounted for by maternal depression and parenting styles. What is already known? Past research has found evidence that patterns of childhood overweight are impacted by socioeconomic status through psychosocial factors like parenting and depression. This evidence is often limited to individual points in time where neglectful, permissive, and authoritarian parenting and higher levels of maternal depression are associated with higher levels of overweight status among children from infancy to adolescence. However, little

Television, computer, and video viewing; physical activity; and upper limb fracture risk in children: a population-based case control study.

Science.gov (United States)

Ma, Deqiong; Jones, Graeme

2003-11-01

The effect of physical activity on upper limb fractures was examined in this population-based case control study with 321 age- and gender-matched pairs. Sports participation increased fracture risk in boys and decreased risk in girls. Television viewing had a deleterious dose response association with wrist and forearm fractures while light physical activity was protective. The aim of this population-based case control study was to examine the association between television, computer, and video viewing; types and levels of physical activity; and upper limb fractures in children 9-16 years of age. A total of 321 fracture cases and 321 randomly selected individually matched controls were studied. Television, computer, and video viewing and types and levels of physical activity were determined by interview-administered questionnaire. Bone strength was assessed by DXA and metacarpal morphometry. In general, sports participation increased total upper limb fracture risk in boys and decreased risk in girls. Gender-specific risk estimates were significantly different for total, contact, noncontact, and high-risk sports participation as well as four individual sports (soccer, cricket, surfing, and swimming). In multivariate analysis, time spent television, computer, and video viewing in both sexes was positively associated with wrist and forearm fracture risk (OR 1.6/category, 95% CI: 1.1-2.2), whereas days involved in light physical activity participation decreased fracture risk (OR 0.8/category, 95% CI: 0.7-1.0). Sports participation increased hand (OR 1.5/sport, 95% CI: 1.1-2.0) and upper arm (OR 29.8/sport, 95% CI: 1.7-535) fracture risk in boys only and decreased wrist and forearm fracture risk in girls only (OR 0.5/sport, 95% CI: 0.3-0.9). Adjustment for bone density and metacarpal morphometry did not alter these associations. There is gender discordance with regard to sports participation and fracture risk in children, which may reflect different approaches to sport

TEORIAS DE INTERNACIONALIZAÇÃO E APLICAÇÃO EM PAÍSES EMERGENTES: UMA ANÁLISE CRÍTICA

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WALTER F. ARAUJO DE MORAES

2006-01-01

Full Text Available Neste artigo são apresentadas e discutidas sete teorias de internacionalização, a saber: oModelo do Ciclo de Vida do Produto, Uppsala – Escola Nórdica de Negócios Internacionais,Relacionado à Inovação, Escolha Adaptativa, Paradigma Eclético de Internalização (OLI,Modelo de Internacionalização Baseado em Recursos (RBV e o Modelo Diamante. Oobjetivo é analisar criticamente estas teorias, propondo uma união entre alguns de seusconceitos-chave para um melhor entendimento do processo de internacionalização incluindo acontexto dos países emergentes. Ademais, questiona-se a aplicação destes modelos, elaboradosem países desenvolvidos, em países emergentes sem uma análise crítica, buscando-se aconvergência sem a percepção dos diferentes contextos e timing de internacionalização, já queo protecionismo instaurado tornou tardia a entrada destes países no mercado internacional.

Impact of Dental Fluorosis, Socioeconomic Status and Self-Perception in Adolescents Exposed to a High Level of Fluoride in Water.

Science.gov (United States)

Molina-Frechero, Nelly; Nevarez-Rascón, Martina; Nevarez-Rascón, Alfredo; González-González, Rogelio; Irigoyen-Camacho, María Esther; Sánchez-Pérez, Leonor; López-Verdin, Sandra; Bologna-Molina, Ronell

2017-01-12

Objective : To identify adolescents' self-perception of dental fluorosis from two areas with different socioeconomic levels. Methods : A cross-sectional, descriptive study was conducted with 15-year-old youths by applying a questionnaire designed and validated to assess self-perceptions of dental fluorosis in two areas with different socioeconomic statuses (SESs). Fluorosis was clinically evaluated by applying the Thylstrup and Fejerkov (TF) index on the upper front teeth. Results : A total of 308 adolescents were included in the study. The medium-SES population, which was exposed to 2.5 ppm of fluoride in water, and the low-SES population, which was exposed to 5.1 ppm, presented the following levels of dental fluorosis: TF 2-3 (50%), TF 4-5 (45.6%) and TF 6-7 (4.4%) for medium SES and TF 2-3 (12.3%), TF 4-5 (67.1%) and TF 67 (20.6%) for low SES. A significant association was found between self-perception and dental fluorosis in those with medium and low SESs ( p self-perception, with a 6-7 TF level for concerns about color (OR = 1.6), smile (OR = 1.2) and appearance (OR = 3.36). Conclusions : Self-perceptions of dental fluorosis affect adolescents such that adolescents with a medium SES have more negative perceptions than those with a low SES. Such perceptions increase as the TF index increases.

Local extirpations and regional declines of endemic upper beach invertebrates in southern California

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Hubbard, D. M.; Dugan, J. E.; Schooler, N. K.; Viola, S. M.

2014-10-01

Along the world's highly valued and populous coastlines, the upper intertidal zones of sandy beach ecosystems and the biodiversity that these zones support are increasingly threatened by impacts of human activities, coastal development, erosion, and climate change. The upper zones of beaches typically support invertebrates with restricted distributions and dispersal, making them particularly vulnerable to habitat loss and fragmentation. We hypothesized that disproportionate loss or degradation of these zones in the last century has resulted in declines of upper shore macroinvertebrates in southern California. We identified a suite of potentially vulnerable endemic upper beach invertebrates with direct development, low dispersal and late reproduction. Based on the availability of printed sources and museum specimens, we investigated historical changes in distribution and abundance of two intertidal isopod species (Tylos punctatus, Alloniscus perconvexus) in southern California. Populations of these isopods have been extirpated at numerous historically occupied sites: T. punctatus from 16 sites (57% decrease), and A. perconvexus from 14 sites (64% decrease). During the same period, we found evidence of only five colonization events. In addition, the northern range limit of the southern species, T. punctatus, moved south by 31 km (8% of range on California mainland) since 1971. Abundances of T. punctatus have declined on the mainland coast; only three recently sampled populations had abundances >7000 individuals m-1. For A. perconvexus populations, abundances >100 individuals m-1 now appear to be limited to the northern part of the study area. Our results show that numerous local extirpations of isopod populations have resulted in regional declines and in greatly reduced population connectivity in several major littoral cells of southern California. Two of the six major littoral cells (Santa Barbara and Zuma) in the area currently support 74% of the remaining isopod

Producing a steady-state population inversion

International Nuclear Information System (INIS)

Richards, R.K.; Griffin, D.C.

1986-03-01

An observed steady-state transition at 17.5 nm is identified as the 2p 5 3s3p 4 S/sub 3/2/ → 2p 6 3p 2 P/sub 3/2/ transition in Na-like aluminum. The upper level is populated by electron inner shell ionization of metastable Mg-like aluminum. From the emission intensity, the rate coefficient for populating the upper level is calculated to be approximately 5 x 10 -10 ) cm 3 /sec. Since the upper level is quasimetastable with a lifetime 22 times longer than the lower level, it may be possible to produce a population inversion, if a competing process to populate the lower level can be reduced

Using Multiple-hierarchy Stratification and Life Course Approaches to Understand Health Inequalities: The Intersecting Consequences of Race, Gender, SES, and Age.

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Brown, Tyson H; Richardson, Liana J; Hargrove, Taylor W; Thomas, Courtney S

2016-06-01

This study examines how the intersecting consequences of race-ethnicity, gender, socioeconomics status (SES), and age influence health inequality. We draw on multiple-hierarchy stratification and life course perspectives to address two main research questions. First, does racial-ethnic stratification of health vary by gender and/or SES? More specifically, are the joint health consequences of racial-ethnic, gender, and socioeconomic stratification additive or multiplicative? Second, does this combined inequality in health decrease, remain stable, or increase between middle and late life? We use panel data from the Health and Retirement Study (N = 12,976) to investigate between- and within-group differences in in self-rated health among whites, blacks, and Mexican Americans. Findings indicate that the effects of racial-ethnic, gender, and SES stratification are interactive, resulting in the greatest racial-ethnic inequalities in health among women and those with higher levels of SES. Furthermore, racial-ethnic/gender/SES inequalities in health tend to decline with age. These results are broadly consistent with intersectionality and aging-as-leveler hypotheses. © American Sociological Association 2016.

Mäeorg Stuudio film pääses paremate hulka / Margus Haav

Index Scriptorium Estoniae

Haav, Margus, 1969-

2007-01-01

Noorte filmihuviliste asutatud Mäeorg Stuudio film "Armastus on külmem kui surm" ehk "Liebe ist kälter als der Tod" pääses 37 parema hulka, mida saab näha kinos Sõprus ja 9. detsembril Eesti Televisioonis

FORMACIÓN DEL PROFESORADO DE MÚSICA EN LOS PAÍSES NÓRDICOS

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Gunnar Heiling

2010-01-01

Full Text Available Los países nórdicos (Dinamarca, Finlandia, Islandia, Noruega y Suecia tienen fama de tener una visión moderna de la educación musical y de haber aceptado la música pop en las escuelas. Se esperaría, por tanto, que los programas de formación del profesorado se ajustaran a tales circunstancias, lo que, sin embargo, es cierto sólo en parte. En este artículo se ofrece una visión general de la situación de la formación del profesorado de música en la que se tratarán los planes de estudios en estos cinco países en lo referente a la organización y los contenidos de esta titulación.

A cross-sectional survey to assess the effect of socioeconomic status on the oral hygiene habits.

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Oberoi, Sukhvinder Singh; Sharma, Gaurav; Oberoi, Avneet

2016-01-01

It is widely accepted that there are socioeconomic inequalities in oral health. A socioeconomic gradient is found in a range of clinical and self-reported oral health outcomes. The present study was conducted to assess the differences in oral hygiene practices among patients from different socioeconomic status (SES) visiting the Outpatient Department of the Sudha Rustagi College of Dental Sciences. A cross-sectional survey was conducted from June to October 2014 to assess the effect of SES on the oral hygiene habits. The questionnaire included the questions related to the demographic profile and assessment of the oral hygiene habits of the study population. Toothbrush and toothpaste were being used significantly ( P oral hygiene practices of the patients from upper and lower middle class was found to be satisfactory whereas it was poor among patients belonging to lower and upper lower class.

Temporal dynamics and population genetic structure of Fusarium graminearum in the upper Midwestern United States.

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Liang, J M; Xayamongkhon, H; Broz, K; Dong, Y; McCormick, S P; Abramova, S; Ward, T J; Ma, Z H; Kistler, H C

2014-12-01

Fusarium graminearum sensu stricto causes Fusarium head blight (FHB) in wheat and barley, and contaminates grains with several trichothecene mycotoxins, causing destructive yield losses and economic impact in the United States. Recently, a F. graminearum strain collected from Minnesota (MN) was determined to produce a novel trichothecene toxin, called NX-2. In order to determine the spatial and temporal dynamics of NX-2 producing strains in MN, North Dakota (ND) and South Dakota (SD), a total of 463 F. graminearum strains were collected from three sampling periods, 1999-2000, 2006-2007 and 2011-2013. A PCR-RFLP based diagnostic test was developed and validated for NX-2 producing strains based on polymorphisms in the Tri1 gene. Trichothecene biosynthesis gene (Tri gene)-based polymerase chain reaction (PCR) assays and ten PCR-restriction fragment length polymorphism (RFLP) markers were used to genotype all strains. NX-2 strains were detected in each sampling period but with a very low overall frequency (2.8%) and were mainly collected near the borders of MN, ND and SD. Strains with the 3ADON chemotype were relatively infrequent in 1999-2000 (4.5%) but increased to 29.4% in 2006-2007 and 17.2% in 2011-2013. The distribution of 3ADON producing strains also expanded from a few border counties between ND and MN in 1999-2000, southward toward the border between SD and MN in 2006-2007 and westward in 2011-2013. Genetic differentiation between 2006-2007 and 2011-2013 populations (3%) was much lower than that between 1999-2000 and 2006-2007 (22%) or 1999-2000 and 2011-2013 (20%) suggesting that most change to population genetic structure of F. graminearum occurred between 1999-2000 and 2006-2007. This change was associated with the emergence of a new population consisting largely of individuals with a 3ADON chemotype. A Bayesian clustering analysis suggested that NX-2 chemotype strains are part of a previously described Upper Midwestern population. However, these analyses

Prosthesis rejection in acquired major upper-limb amputees: a population-based survey.

Science.gov (United States)

Østlie, Kristin; Lesjø, Ingrid Marie; Franklin, Rosemary Joy; Garfelt, Beate; Skjeldal, Ola Hunsbeth; Magnus, Per

2012-07-01

To estimate the rates of primary and secondary prosthesis rejection in acquired major upper-limb amputees (ULAs), to describe the most frequently reported reasons for rejection and to estimate the influence of background factors on the risk of rejection. Cross-sectional study analysing population-based questionnaire data (n = 224). Effects were analysed by logistic regression analyses and Cox regression analyses. Primary prosthesis rejection was found in 4.5% whereas 13.4% had discontinued prosthesis use. The main reasons reported for primary non-wear were a perceived lack of need and discrepancies between perceived need and the prostheses available. The main reasons reported for secondary prosthesis rejection were dissatisfaction with prosthetic comfort, function and control. Primary prosthesis rejection was more likely in ULAs amputated at high age and in ULAs with proximal amputations. Secondary prosthesis rejection was more likely in proximal ULAs and in women. Clinicians should be aware of the increased risk of rejection in proximal ULAs, elderly ULAs and in women. Emphasising individual needs will probably facilitate successful prosthetic fitting. Improved prosthesis quality and individualised prosthetic training may increase long-term prosthesis use. Further studies of the effect of prosthetic training and of the reasons for rejection of different prosthetic types are suggested.

Plasma carotenoids are associated with socioeconomic status in an urban Indigenous population: an observational study

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Maple-Brown Louise

2011-02-01

Full Text Available Abstract Background Indigenous Australians experience poorer health than other Australians. Poor diet may contribute to this, and be related to their generally lower socioeconomic status (SES. Even within Indigenous populations, SES may be important. Our aim was to identify factors associated with plasma carotenoids as a marker of fruit and vegetable intake among urban dwelling Indigenous Australians, with a particular focus on SES. Methods Cross sectional study in urban dwelling Indigenous Australians participating in the DRUID (Darwin Region Urban Indigenous Diabetes Study. An SES score, based on education, employment, household size, home ownership and income was computed and plasma carotenoids measured by high performance liquid chromatography in 897 men and women aged 15 - 81 years (mean 36, standard deviation 15. Linear regression analysis was used to determine the relationship between SES and plasma carotenoids, adjusting for demographic, health and lifestyle variables, including frequency of intakes of food groups (fruit, vegetables, takeaway foods, snacks and fruit/vegetable juice. Results SES was positively associated with plasma concentrations of lutein/zeaxanthin (p trend Conclusions Even within urban Indigenous Australians, higher SES was associated with higher concentrations of plasma carotenoids. Low plasma carotenoids have been linked with poor health outcomes; increasing accessibility of fruit and vegetables, as well as reducing smoking rates could increase concentrations and otherwise improve health, but our results suggest there may be additional factors contributing to lower carotenoid concentrations in Indigenous Australians.

Bibliography on plutonium and its compounds; Bibliographie sur le plutonium et ses composes

Energy Technology Data Exchange (ETDEWEB)

Dirian, J; Choquet, J [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1958-07-01

Collection of bibliographical references on plutonium and its principal compounds from 1942 to end of 1957. (author) [French] Compilation de references bibliographiques sur le plutonium et ses principaux composes de 1942 a fin 1957. (auteur)

Adolescent development of inhibition as a function of SES and gender: Converging evidence from behavior and fMRI.

Science.gov (United States)

Spielberg, Jeffrey M; Galarce, Ezequiel M; Ladouceur, Cecile D; McMakin, Dana L; Olino, Thomas M; Forbes, Erika E; Silk, Jennifer S; Ryan, Neal D; Dahl, Ronald E

2015-08-01

The ability to adaptively inhibit responses to tempting/distracting stimuli in the pursuit of goals is an essential set of skills necessary for adult competence and wellbeing. These inhibitory capacities develop throughout childhood, with growing evidence of important maturational changes occurring in adolescence. There also has been intense interest in the role of social adversity on the development of executive function, including inhibitory control. We hypothesized that the onset of adolescence could be a time of particular opportunity/vulnerability in the development of inhibition due to the large degree of maturational changes in neural systems involved in regulatory control. We investigated this hypothesis in a longitudinal study of adolescents by examining the impact of socioeconomic status (SES) on the maturation of inhibition and concurrent brain function. Furthermore, we examined gender as a potential moderator of this relationship, given evidence of gender-specificity in the developmental pathways of inhibition as well as sex differences in adolescent development. Results reveal that lower SES is associated with worse behavioral inhibition over time and a concurrent increase in anterior cingulate (ACC) activation, but only in girls. We also found that lower SES girls exhibited decreased ACC ↔ dorsolateral prefrontal cortex (dlPFC) coupling over time. Our findings suggest that female adolescents with lower SES appear to develop less efficient inhibitory processing in dlPFC, requiring greater and relatively unsuccessful compensatory recruitment of ACC. In summary, the present study provides a novel window into the neural mechanisms by which the influence of SES on inhibition may be transmitted during adolescence. © 2015 Wiley Periodicals, Inc.

Congenital upper eyelids ectropion in Down’s syndrome

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Corredor-Osorio, Rafael

2017-02-01

Full Text Available Congenital bilateral ectropion of the upper eyelids is a rare, benign condition reported in ophthalmic literature. It is more frequently associated with Down’s syndrome, ichthyosis, and sporadic cases in newborns from black population. We report three cases of congenital bilateral upper eyelid ectropion associated with Down’s syndrome. Management of these patients usually requires medial and lateral canthoplasties, full-thickness pentagonal resection of the upper eyelids and placement of skin grafts. We present herein the evolution of one of these patients and we will discuss the mechanism of the eyelid ectropion and its treatment.

Testing the Latino paradox in Latin America: a population-based study of Intra-regional immigrants in Chile.

Science.gov (United States)

Cabieses, Baltica; Tunstall, Helena; Pickett, Kate

2013-10-01

Several studies in high-income countries report better health status of immigrants compared to the local population ("healthy migrant" effect), regardless of their socioeconomic deprivation. This is known as the Latino paradox. To test the Latino paradox within Latin America by assessing the health of international immigrants to Chile, most of them from Latin American countries, and comparing them to the Chilean-born. Secondary data analysis of the population-based CASEN survey-2006. Three health outcomes were included: disability, illness/accident, and cancer/chronic condition (dichotomous). Demographics (age, sex, marital status, urban/rural, ethnicity), socioeconomic-status (SES: educational level, employment status and household income per-capita), and material standards (overcrowding, sanitation, housing quality). Crude and adjusted weighted regression models were performed. One percent of Chile's population were immigrants, mainly from other Latin American countries. A "healthy migrant" effect appeared within the total immigrant population: this group had a significantly lower crude prevalence of almost all health indicators than the Chilean-born, which remained after adjusting for various demographic characteristics. However, this effect lost significance when adjusting by SES for most outcomes. The Latino paradox was not observed for international immigrants compared to the local population in Chile. Also, health of immigrants with the longest time of residency showed similar health rates to the Chilean-born. The Latino paradox was not observed in Chile. Protecting low SES immigrants in Chile could have large positive effects in their health at arrival and over time.

Low-SES children's eyewitness memory: the effects of verbal labels and vocabulary skills.

Science.gov (United States)

Chae, Yoojin; Kulkofsky, Sarah; Debaran, Francisco; Wang, Qi; Hart, Sybil L

2014-01-01

This study examined the effects of the verbal labels procedure and vocabulary skills on low-socioeconomic status (SES) preschool children's eyewitness memory. Children (N = 176) aged 3-5 years witnessed a conflict event and were then questioned about it in either a standard or a verbal labels interview. Findings revealed that children with higher rather than lower vocabulary skills produced more complete and accurate memories. Children who were given the verbal labels interview recalled more information, which included both correct and incorrect details. Overall, the verbal labels procedure did not improve children's performance on direct questions, but children with low vocabulary skills answered direct questions more accurately if they were given the verbal labels interview than when they were not. Implications of the findings for memory performance of low-SES children are discussed. Copyright © 2014 John Wiley & Sons, Ltd.

Excess Long-Term Mortality following Non-Variceal Upper Gastrointestinal Bleeding: A Population-Based Cohort Study

Science.gov (United States)

Crooks, Colin John; Card, Timothy Richard; West, Joe

2013-01-01

Background It is unclear whether an upper gastrointestinal bleed is an isolated gastrointestinal event or an indicator of a deterioration in a patient's overall health status. Therefore, we investigated the excess causes of death in individuals after a non-variceal bleed compared with deaths in a matched sample of the general population. Methods and Findings Linked longitudinal data from the English Hospital Episodes Statistics (HES) data, General Practice Research Database (GPRD), and Office of National Statistics death register were used to define a cohort of non-variceal bleeds between 1997 and 2010. Controls were matched at the start of the study by age, sex, practice, and year. The excess risk of each cause of death in the 5 years subsequent to a bleed was then calculated whilst adjusting for competing risks using cumulative incidence functions. 16,355 patients with a non-variceal upper gastrointestinal bleed were matched to 81,523 controls. The total 5-year risk of death due to gastrointestinal causes (malignant or non-malignant) ranged from 3.6% (≤50 years, 95% CI 3.0%–4.3%) to 15.2% (≥80 years, 14.2%–16.3%), representing an excess over controls of between 3.6% (3.0%–4.2%) and 13.4% (12.4%–14.5%), respectively. In contrast the total 5-year risk of death due to non-gastrointestinal causes ranged from 4.1% (≤50 years, 3.4%–4.8%) to 46.6% (≥80 years, 45.2%–48.1%), representing an excess over controls of between 3.8% (3.1%–4.5%) and 19.0% (17.5%–20.6%), respectively. The main limitation of this study was potential misclassification of the exposure and outcome; however, we sought to minimise this by using information derived across multiple linked datasets. Conclusions Deaths from all causes were increased following an upper gastrointestinal bleed compared to matched controls, and over half the excess risk of death was due to seemingly unrelated co-morbidity. A non-variceal bleed may therefore warrant a careful assessment of co

Protracted outbreak of severe delta hepatitis: experience in an isolated Amerindian population of the Upper Orinoco basin.

Science.gov (United States)

Torres, J R; Mondolfi, A

1991-01-01

In an investigation of a 21-year-old epidemic of severe hepatitis, 80 serum samples were studied from two isolated Yanomami Amerindian populations of the Upper Orinoco basin in Venezuela. Of the assayed samples, 30.6% were positive for hepatitis B surface antigen (HBsAg), 53.7% were considered to reflect immunity to infection with hepatitis B virus (HBV), and only 16.2% were believed to reflect susceptibility to HBV infection; 82.5% of the samples tested positive for any marker of HBV infection. Thirty-one (39.7%) of 78 samples were also positive for antibody to delta antigen, including 91.6% of those positive for HBsAg and 20.9% of those immune to HBV. Our findings provide evidence of a high prevalence of HBV infection in this population. Furthermore, the high prevalence of antibody to delta antigen strongly suggests that coinfections with HBV or superinfections with hepatitis delta virus (HDV) in HBV carriers may be an important factor in the occurrence of an unusually high number of cases of fulminant hepatitis and of chronic liver disease. Serum samples obtained at the beginning of the outbreak 13 years earlier from 36 selected cases in the same population revealed a high rate of HBV infection (96.5%). All six HBsAg carriers from whom enough serum remained to be assayed were positive for antibody to delta antigen. Our findings indicate that the outbreak coincided with the introduction of HDV into a population with an already-high prevalence of HBV infection.

Dutch food bank recipients have poorer dietary intakes than the general and low-socioeconomic status Dutch adult population.

Science.gov (United States)

Neter, J E; Dijkstra, S C; Dekkers, A L M; Ocké, M C; Visser, M; Brouwer, I A

2017-10-03

Food-assistance program users are a specific group of nutritional concern, as they are often food insufficient and have poorer diet quality compared to non-food-assistance program users. The aim of our study was to assess dietary intake of Dutch food bank recipients (n = 167) and to compare this with dietary intake of a representative sample of the general population (Dutch National Food Consumption Survey (DNFCS-all): n = 1933), including a low-socioeconomic status (SES) sample (DNFCS-low SES: n = 312), using data from the DNFCS 2007-2010. In this cross-sectional study, 12 food banks throughout The Netherlands participated. Food bank recipients' characteristics were assessed with a self-administered questionnaire. Dietary intake data were collected through three 24-h recalls. Habitual dietary intake (mean, percentiles, and 95% CI) was estimated for all samples. Differences between samples were determined by comparing the 95% CIs. Mean age of the study population (62.9% female) was 48.6 years (SD:10.1). Mean energy intake was 1986 (95% CI 1830-2089) kcal. The majority of the Dutch food bank recipients had lower intakes than dietary reference intakes for dietary fiber, fruit, vegetables, and fish (range 86.6-99.3%), and a higher intake for saturated fat [88.1% (95% CI 84.1-98.9)]. Furthermore, mean intakes of energy, fiber, fruit, and vegetables were significantly lower in Dutch food bank recipients than in the DNFCS-all and the DNFCS-low-SES [e.g., daily mean fruit intake (g) food bank recipients 62.8 (95% CI 45.5-76.5), DNFCS-all 105.8 (95% CI 105.4-117.9), and DNFCS-low-SES 85.1 (95% CI 78.7-100.2)]. Fish intake was significantly lower compared with the DNFCS-all, but not compared with the DNFCS-low-SES. Dutch food bank recipients, who largely rely on the content of food parcels, are not able to meet the nutritional guidelines for a healthy diet, and their dietary intake is poorer than the general as well as the low-SES sample of the Dutch adult population

Impact of Dental Fluorosis, Socioeconomic Status and Self-Perception in Adolescents Exposed to a High Level of Fluoride in Water

Science.gov (United States)

Molina-Frechero, Nelly; Nevarez-Rascón, Martina; Nevarez-Rascón, Alfredo; González-González, Rogelio; Irigoyen-Camacho, María Esther; Sánchez-Pérez, Leonor; López-Verdin, Sandra; Bologna-Molina, Ronell

2017-01-01

Objective: To identify adolescents’ self-perception of dental fluorosis from two areas with different socioeconomic levels. Methods: A cross-sectional, descriptive study was conducted with 15-year-old youths by applying a questionnaire designed and validated to assess self-perceptions of dental fluorosis in two areas with different socioeconomic statuses (SESs). Fluorosis was clinically evaluated by applying the Thylstrup and Fejerkov (TF) index on the upper front teeth. Results: A total of 308 adolescents were included in the study. The medium-SES population, which was exposed to 2.5 ppm of fluoride in water, and the low-SES population, which was exposed to 5.1 ppm, presented the following levels of dental fluorosis: TF 2–3 (50%), TF 4–5 (45.6%) and TF 6–7 (4.4%) for medium SES and TF 2–3 (12.3%), TF 4–5 (67.1%) and TF 67 (20.6%) for low SES. A significant association was found between self-perception and dental fluorosis in those with medium and low SESs (p < 0.05). The multiple regression model found differences between TF levels and self-perception, with a 6–7 TF level for concerns about color (OR = 1.6), smile (OR = 1.2) and appearance (OR = 3.36). Conclusions: Self-perceptions of dental fluorosis affect adolescents such that adolescents with a medium SES have more negative perceptions than those with a low SES. Such perceptions increase as the TF index increases. PMID:28085102

Impact of Dental Fluorosis, Socioeconomic Status and Self-Perception in Adolescents Exposed to a High Level of Fluoride in Water

Directory of Open Access Journals (Sweden)

Nelly Molina-Frechero

2017-01-01

Full Text Available Objective: To identify adolescents’ self-perception of dental fluorosis from two areas with different socioeconomic levels. Methods: A cross-sectional, descriptive study was conducted with 15-year-old youths by applying a questionnaire designed and validated to assess self-perceptions of dental fluorosis in two areas with different socioeconomic statuses (SESs. Fluorosis was clinically evaluated by applying the Thylstrup and Fejerkov (TF index on the upper front teeth. Results: A total of 308 adolescents were included in the study. The medium-SES population, which was exposed to 2.5 ppm of fluoride in water, and the low-SES population, which was exposed to 5.1 ppm, presented the following levels of dental fluorosis: TF 2–3 (50%, TF 4–5 (45.6% and TF 6–7 (4.4% for medium SES and TF 2–3 (12.3%, TF 4–5 (67.1% and TF 67 (20.6% for low SES. A significant association was found between self-perception and dental fluorosis in those with medium and low SESs (p < 0.05. The multiple regression model found differences between TF levels and self-perception, with a 6–7 TF level for concerns about color (OR = 1.6, smile (OR = 1.2 and appearance (OR = 3.36. Conclusions: Self-perceptions of dental fluorosis affect adolescents such that adolescents with a medium SES have more negative perceptions than those with a low SES. Such perceptions increase as the TF index increases.

[Health risks in different living circumstances of mothers. Analyses based on a population study].

Science.gov (United States)

Sperlich, Stefanie

2014-12-01

The objective of this study was to determine the living circumstances ('Lebenslagen') in mothers which are associated with elevated health risks. Data were derived from a cross-sectional population based sample of German women (n = 3129) with underage children. By means of a two-step cluster analysis ten different maternal living circumstances were assessed which proved to be distinct with respect to indicators of socioeconomic position, employment status and family-related factors. Out of the ten living circumstances, one could be attributed to higher socioeconomic status (SES), while five were assigned to a middle SES and four to a lower SES. In line with previous findings, mothers with a high SES predominantly showed the best health while mothers with a low SES tended to be at higher health risk with respect to subjective health, mental health (anxiety and depression), obesity and smoking. However, there were important health differences between the different living circumstances within the middle and lower SES. In addition, varying health risks were found among different living circumstances of single mothers, pointing to the significance of family and job-related living conditions in establishing health risks. With this exploratory analysis strategy small-scale living conditions could be detected which were associated with specific health risks. This approach seemed particularly suitable to provide a more precise definition of target groups for health promotion. The findings encourage a more exrensive application of the concept of living conditions in medical sociology research as well as health monitoring.

Predictive values of upper gastrointestinal cancer alarm symptoms in the general population - a nationwide cohort study

DEFF Research Database (Denmark)

Rasmussen, Sanne; Haastrup, Peter Fentz; Balasubramaniam, Kirubakaran

2018-01-01

BACKGROUND: Survival rates for upper gastrointestinal (GI) cancer are poor since many are diagnosed at advanced stages. Fast track endoscopy has been introduced to prompt diagnosis for patients with alarm symptoms that could be indicative of upper GI cancer. However, these symptoms may represent...... to complete a survey comprising of questions on several symptom experiences, including alarm symptoms for upper GI cancer within the past four weeks. The participants were asked about specific symptoms (repeated vomiting, difficulty swallowing, signs of upper GI bleeding or persistent and recent......-onset abdominal pain) and non-specific symptoms (nausea, weight loss, loss of appetite, feeling unwell and tiredness). We obtained information on upper GI cancer diagnosed in a 12-month period after completing the questionnaire from the Danish Cancer Registry. We calculated positive predictive values and positive...

Filipino students' reported parental socialization of academic achievement by socioeconomic group.

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Bernardo, Allan B I

2009-10-01

Academic achievement of students differs by socioeconomic group. Parents' socialization of academic achievement in their children was explored in self-reports of 241 students from two socioeconomic status (SES) groups in the Philippines, using a scale developed by Bempechat, et al. Students in the upper SES group had higher achievement than their peers in the middle SES group, but had lower scores on most dimensions of parental socialization of academic achievement. Regression analyses indicate that reported parental attempts to encourage more effort to achieve was associated with lower achievement in students with upper SES.

Sleep quality among internally displaced Georgian adolescents and population-based controls.

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Sakhelashvili, Irine; Eliozishvili, Marine; Lortkipanidze, Nani; Oniani, Nikoloz; Cervena, Katerina; Darchia, Nato

2016-09-01

Sleep problems in children and adolescents are a significant public health concern and may be linked to a variety of psychoemotional difficulties. This study aimed to evaluate sleep quality and associated factors in conflict-affected Georgian adolescents after 9 months of forced displacement. Thirty-three internally displaced adolescents (mean age 11.4 years) and 33 adolescents (mean age 10.8 years) from the general population completed the Epworth Sleepiness Scale and the Children's Depression Inventory (CDI). Parents completed the Children's Sleep-Wake Scale and provided information on their socioeconomic status (SES) and the adolescents' sleep behavior, academic performance, and peer social relationships. The groups differed significantly in sleep quality, peer relationships, SES, and CDI scores. In the internally displaced group, the only significant predictor of sleep quality was SES, which increased the predictive capacity of the model (demographic and psychosocial variables) by 20% in the hierarchical analyses. The most significant predictor in the non-internally displaced group was CDI. This research indicates that displacement may affect sleep quality and psychosocial functioning. The importance of family SES as a contributing factor to displaced adolescents' poor sleep quality is highlighted. An integrated approach designed to improve the psychosocial environment of internally displaced adolescents is needed for their protection. © The Author(s) 2015.

Upper arm elevation and repetitive shoulder movements: a general population job exposure matrix based on expert ratings and technical measurements.

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Dalbøge, Annett; Hansson, Gert-Åke; Frost, Poul; Andersen, Johan Hviid; Heilskov-Hansen, Thomas; Svendsen, Susanne Wulff

2016-08-01

We recently constructed a general population job exposure matrix (JEM), The Shoulder JEM, based on expert ratings. The overall aim of this study was to convert expert-rated job exposures for upper arm elevation and repetitive shoulder movements to measurement scales. The Shoulder JEM covers all Danish occupational titles, divided into 172 job groups. For 36 of these job groups, we obtained technical measurements (inclinometry) of upper arm elevation and repetitive shoulder movements. To validate the expert-rated job exposures against the measured job exposures, we used Spearman rank correlations and the explained variance[Formula: see text] according to linear regression analyses (36 job groups). We used the linear regression equations to convert the expert-rated job exposures for all 172 job groups into predicted measured job exposures. Bland-Altman analyses were used to assess the agreement between the predicted and measured job exposures. The Spearman rank correlations were 0.63 for upper arm elevation and 0.64 for repetitive shoulder movements. The expert-rated job exposures explained 64% and 41% of the variance of the measured job exposures, respectively. The corresponding calibration equations were y=0.5%time+0.16×expert rating and y=27°/s+0.47×expert rating. The mean differences between predicted and measured job exposures were zero due to calibration; the 95% limits of agreement were ±2.9% time for upper arm elevation >90° and ±33°/s for repetitive shoulder movements. The updated Shoulder JEM can be used to present exposure-response relationships on measurement scales. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Prevalence of chronic cough in relation to upper and lower airway symptoms; the Skövde population-based study

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Mats eBende

2012-07-01

Full Text Available The aim of this study was to determine the prevalence of chronic cough in relation to upper airway symptoms, in a cross-sectional, population-based epidemiological study. Another aim was to relate coughing to other explanatory variables and risk factors. A random sample of 1900 inhabitants from the age of 20, stratified for age and gender, was recruited. Subjects were invited for clinical examinations that included questions about general odor intolerance, respiratory symptoms, and smoking habits, and a smell identification test. In total, 1387 volunteers (73% of the sample were investigated. The overall prevalence of self-reported chronic cough was 6.3% (95% confidence interval (CI: 5.0-7.6%. Female gender, age, height, BMI, and smoking were significantly related to cough. Furthermore, nasal blockage, nasal secretion, sneezing, asthma, odor and cold air sensitivity, and aspirin intolerance also related to cough with statistical significance, indicating a close connection between chronic cough and upper airway symptoms. In keeping with other studies, this study demonstrates that chronic cough is a widespread problem in society, and is about twice as common in women than in men.

A cross-sectional survey to assess the effect of socioeconomic status on the oral hygiene habits

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Oberoi, Sukhvinder Singh; Sharma, Gaurav; Oberoi, Avneet

2016-01-01

Background: It is widely accepted that there are socioeconomic inequalities in oral health. A socioeconomic gradient is found in a range of clinical and self-reported oral health outcomes. Aim: The present study was conducted to assess the differences in oral hygiene practices among patients from different socioeconomic status (SES) visiting the Outpatient Department of the Sudha Rustagi College of Dental Sciences. Materials and Methods: A cross-sectional survey was conducted from June to October 2014 to assess the effect of SES on the oral hygiene habits. The questionnaire included the questions related to the demographic profile and assessment of the oral hygiene habits of the study population. Results: Toothbrush and toothpaste were being used significantly (P oral hygiene practices of the patients from upper and lower middle class was found to be satisfactory whereas it was poor among patients belonging to lower and upper lower class. PMID:29242690

What factors help or hinder the achievement of low SES students? An international comparison using TIMSS 2011 8th grade science data

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Bruner, Justin L.

Focusing on science from a cross-country perspective, this study explores the relationship between 8th grade science achievement and student, teacher, and school characteristics. More specifically, this study will pay special attention to low socio-economic status (SES) students and seek to understand why some disadvantaged students are able to have higher than expected achievement in science given their SES while other disadvantaged students are not able to achieve beyond what would be expected given their background. This study will explore the multi-level relationship between the characteristics of students, their teachers, their schools, and student achievement in science. While looking at students in classrooms and in schools, this work will create as precise as possible a measure of student SES by drawing on recommendations of an expert panel commissioned by the National Association of Educational Progress (NAEP) study. The study uses the most recent cycle (2011) of the Trends in International Math and Science Study (TIMSS), to strategically select a six-country sample from the 45 participating countries. This six-country sample was selected by using the country level achievement and the standard deviation of that achievement. This will create a sample that has a range of equality in achievement and strength in achievement. This allows for making comparisons both across and within countries to better understand variations in the factors of student performance, especially for disadvantaged students. This paper builds on the existing research around socio-economic status (SES) and achievement by exploring in more detail the conditions in schools and classrooms around the world that might magnify or reduce the effect of SES on student achievement. The analysis looks at these questions: "What conditions help low SES students achieve higher than what would be expected given their SES?" and "What conditions hinder low SES students to achieve at or below what would

The influence of population characteristics on variation in general practice based morbidity estimations

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van den Dungen C

2011-11-01

Full Text Available Abstract Background General practice based registration networks (GPRNs provide information on morbidity rates in the population. Morbidity rate estimates from different GPRNs, however, reveal considerable, unexplained differences. We studied the range and variation in morbidity estimates, as well as the extent to which the differences in morbidity rates between general practices and networks change if socio-demographic characteristics of the listed patient populations are taken into account. Methods The variation in incidence and prevalence rates of thirteen diseases among six Dutch GPRNs and the influence of age, gender, socio economic status (SES, urbanization level, and ethnicity are analyzed using multilevel logistic regression analysis. Results are expressed in median odds ratios (MOR. Results We observed large differences in morbidity rate estimates both on the level of general practices as on the level of networks. The differences in SES, urbanization level and ethnicity distribution among the networks' practice populations are substantial. The variation in morbidity rate estimates among networks did not decrease after adjusting for these socio-demographic characteristics. Conclusion Socio-demographic characteristics of populations do not explain the differences in morbidity estimations among GPRNs.

Gizlilik Paylaşımı Yöntemini Kullanan Ses Dosyası Arşivleme Programı

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Ersan YAZAN

2016-03-01

Full Text Available Günümüz dünyasında her sektörde sayısal teknoloji ürünlerinin kullanımı hızla yaygınlaşmaktadır. Bunlardan birisi de sayısal ses iletim teknolojisidir. Gerek kayıt gerekse iletişim sürecinde analog sistemlere göre önemli üstünlüğü olan bu teknoloji de, tedbir alınmazsa sayısal ses dosyalarının dinleme, değiştirme, ekleme v.b saldırılara karşı savunmasız olduğu da bilinmektedir. Bu bildiride sayısal seslerin arşivlenip sonradan tekrar dinlenmesi gereken uygulamalarda kullanılabilecek bir yazılımsal aracın geliştirilme süreci açıklanmıştır. Yazılımsal araçta, orijinal ses dosyasının doğrudan şifrelenip arşivlenmesi yerine, Shamir’in gizlilik paylaşım yöntemine dayanarak orijinal ses dosyasından elde edilen pay dosyalarının arşivlenmesi sağlanmıştır. Böylece hem dosyaların gizliliği korunmuş olup hem de tek bir kişinin yerine birkaç yetkilendirilmiş kişinin bir araya gelmesiyle dinleme işleminin gerçekleştirilmesine olanak sağlanmıştır. Ayrıca tek bir pay dosyasının kaybolması durumunda bile orijinal ses dosyasının yeniden elde edilmesi mümkündür. Yazılımsal araç, dinleme teşebbüslerini ve dinleme kayıtlarını tutabilmekte olup bu konudaki ihtiyacı giderecek şekilde tasarlanmış ve test edilmiştir.

ARTICULACIÓN INTERNACIONAL DE PAÍSES Y DESARROLLO: LATINOAMÉRICA Y SU CONTRASTE CON OTRAS NACIONES

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Giovanni E. Reyes

2012-07-01

Full Text Available El principal objetivo de este artículo es establecer una discusión sobre las condicionantes que ha conllevado la inserción internacional de los países. Se hace énfasis en la región latinoamericana. Este aspecto de la inserción internacional se presenta asociado a los componentes teóricos del desarrollo. Un desarrollo que se concibe como equitativo en lo social, sostenible en lo económico y sustentable en lo ecológico. El argumento central de este trabajo es que la inserción internacional de los países permite distinguir entre aquellos que han logrado conformar procesos de autonomía y los que han generado inserciones dependientes. Entre estos últimos –donde se ubican los latinoamericanos- se pueden distinguir países que son sociedades más funcionales, de aquellos cuya disfuncionalidad social es muy evidente. La referencia conceptual fundamental se basa por lo general, en los postulados que sobre desarrollo humano ha elaborado la Organización de Naciones Unidas, desde la publicación del primer Informe Mundial de Desarrollo en 1992.

Los países en desarrollo y el Gatt

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Manero Salvador, Ana María

2008-01-01

Ejemplar monográfico: 60 años del sistema GATT-OMC La preocupación por el impacto de las reglas comerciales multilaterales en el desarrollo es muy anterior a la Ronda de Doha de la OMC pues se remonta a la Carta de la Habana, negociada y adoptada en los albores del GATT (pero que nunca entró en vigor, como es sabido). Al analizar la evolución de esas reglas en los últimos 60 años se muestra la utilidad del concepto genérico de «trato desigual» (hacia los países en desarrollo...

Inverse association between yoghurt intake and upper aerodigestive tract cancer risk in a Japanese population.

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Kawakita, Daisuke; Sato, Fumihito; Hosono, Satoyo; Ito, Hidemi; Oze, Isao; Watanabe, Miki; Hanai, Nobuhiro; Hatooka, Shunzo; Hasegawa, Yasuhisa; Shinoda, Masayuki; Tajima, Kazuo; Murakami, Shingo; Tanaka, Hideo; Matsuo, Keitaro

2012-09-01

Although the combination of tobacco smoking and alcohol drinking account for approximately 80% of upper aerodigestive tract (UADT) cancer risk, the role of dietary factors, including dairy products, in the risk of these cancers remains controversial. We aimed to evaluate the association between dairy product intake and UADT cancer risk in a Japanese population. We conducted a case-control study in 959 patients with UADT cancer and 2877 sex- and age-matched noncancer control subjects who visited the Aichi Cancer Center in Nagoya, Japan. Data on lifestyle factors, including diet, were obtained by self-administered questionnaire. Associations were assessed by multivariate logistic regression models that considered potential confounders. We found a significant inverse association between yoghurt intake and UADT cancer risk with multivariate-adjusted odds ratios and 95% confidence intervals for <1 time/week, ≥ 1 time/week and <1 time/day, and ≥ 1 time/day consumption of yoghurt of 0.70 (95% confidence interval: 0.54-0.91), 0.67 (0.54-0.84), and 0.73 (0.55-0.95) relative to nonconsumers (P trend=0.005). When stratified by primary tumor site, this association was significant among patients with hypopharyngeal, laryngeal, and esophageal cancer. However, we saw no significant association between milk or butter intake and UADT cancer risk. In this study, we found that a high intake of yoghurt may lower the risk of developing UADT cancer in a Japanese population. Further investigation of this association is warranted.

Ses veya Arayüz Yardımı ile Kontrol Edilebilen Mobil Robot Kol Tasarımı

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Köksal GÜNDOĞDU

2014-06-01

Full Text Available Robot teknolojisinin hızlı gelişimine paralel olarak mobil araç, robot kol ve ses işleme teknolojisi de hızlı bir gelişim göstermiştir. Bu teknolojik gelişmede robotlardan beklenen en önemli parametrelerin başında güvenlik, çözüm üretme ve hız gelmektedir. Bu çalışmada, mobil araç üzerine bir robot kol yerleştirilmesi ve bu sitemlerin tasarlanan arayüz ve ses sistemi ile kontrol edilerek daha verimli ve hızlı çalışması amaçlanmıştır. Amaçlar doğrultusunda önce üzerinde bir robot kol bulunan bir mobil araç tasarımı gerçekleştirilmiş, sonrada bu mobil aracın ve robot kolun hem arayüz hem de ses komutları ile kontrol edilmesi sağlanmıştır. Yapılan test sonuçları incelendiğinde ses komutları ile kontrol sisteminin, arayüz ile kontrol sistemine göre daha verimli olduğu gözlenmiştir

VOLATILIDADE DA TAXA DE CÂMBIO E SEUS EFEITOS SOBRE O FLUXO DE COMÉRCIO DOS PAÍSES DA AMÉRICA DO SUL

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Fernanda Aparecida Silva

Full Text Available RESUMO Diante da importância da taxa de câmbio no comércio externo, considerando que suas flutuações podem modificar a escala de preços entre os países, a presente pesquisa buscou identificar o impacto da volatilidade da taxa de câmbio real bilateral sobre o fluxo de comércio entre os países da América do Sul. Para tal, foi estimado um modelo gravitacional utilizando uma amostra de nove países, entre 1998 e 2012. O método utilizado na estimação foi o modelo Poisson-Pseudo Maximum Likehood (PPML. Os resultados mostraram que a instabilidade cambial é prejudicial à relação de comércio entre países da América do Sul, já que maior incerteza cambial leva os agentes econômicos, a longo prazo, a reduzir suas atividades no comércio internacional, dada maior exposição ao risco. Outro resultado importante foi a constatação de que os países membros do Mercosul, de fato, têm o comércio favorecido diante das vantagens oferecidas pelo bloco, como a redução de tarifas comerciais. Quanto à variável utilizada para captar o efeito da crise do subprime em 2008, verificou-se aumento no fluxo comercializado pelos países sul-americanos nesse período.

Socioeconomic status and obesity in adult populations of developing countries: a review.

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Monteiro, Carlos A; Moura, Erly C; Conde, Wolney L; Popkin, Barry M

2004-12-01

A landmark review of studies published prior to 1989 on socioeconomic status (SES) and obesity supported the view that obesity in the developing world would be essentially a disease of the socioeconomic elite. The present review, on studies conducted in adult populations from developing countries, published between 1989 and 2003, shows a different scenario for the relationship between SES and obesity. Although more studies are necessary to clarify the exact nature of this relationship, particularly among men, three main conclusions emerge from the studies reviewed: 1. Obesity in the developing world can no longer be considered solely a disease of groups with higher SES. 2. The burden of obesity in each developing country tends to shift towards the groups with lower SES as the country's gross national product (GNP) increases. 3. The shift of obesity towards women with low SES apparently occurs at an earlier stage of economic development than it does for men. The crossover to higher rates of obesity among women of low SES is found at a GNP per capita of about US$ 2500, the mid-point value for lower-middle-income economies. The results of this review reinforce the urgent need to: include obesity prevention as a relevant topic on the public health agenda in developing countries; improve the access of all social classes in these countries to reliable information on the determinants and consequences of obesity; and design and implement consistent public actions on the physical, economic, and sociocultural environment that make healthier choices concerning diet and physical activity feasible for all. A significant step in this direction was taken with the approval of the Global Strategy on Diet, Physical Activity and Health by the World Health Assembly in May 2004.

Independent and Combined Effects of Socioeconomic Status (SES) and Bilingualism on Children’s Vocabulary and Verbal Short-Term Memory

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Natalia Meir; Sharon Armon-Lotem; Sharon Armon-Lotem

2017-01-01

The current study explores the influence of socioeconomic status (SES) and bilingualism on the linguistic skills and verbal short-term memory of preschool children. In previous studies comparing children of low and mid-high SES, the terms “a child with low-SES” and “a child speaking a minority language” are often interchangeable, not enabling differentiated evaluation of these two variables. The present study controls for this confluence by testing children born and residing in the same count...

Sistemas agroecológicos y su papel en los países del Tercer Mundo

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F. Funes-Aguilar

2006-01-01

Full Text Available El tercer milenio inicia en un mundo globalizado, unipolar: 6.3 mil millones de personas; de ellas, 850 millones hambrientas, 1,200 sin agua potable, 2,400 sin saneamiento, 850 millones analfabetos, 10 millones de niños mueren anualmente. Mientras tanto, 10% de la población disfruta del 70% de riquezas. Proliferan estallidos sociales, guerras, huracanes, terremotos, contaminación ambiental, inundaciones, calentamiento global, SIDA. Numerosas comunidades rurales se han colapsado económica y socialmente, el desempleo aumenta por tecnologías ahorradoras de fuerza laboral, persiste alta migración a las ciudades. La “Revolución Verde”, de especialización e industrialización agropecuaria de países desarrollados, ha generado conflictos ambientales y no ha sido una solución. La geofagia y sed de poder de países y políticos, generan distribución desequilibrada de riquezas. En nuestro planeta abundan resultados positivos con sistemas agroecológicos de producción que han demostrado poder resolver gran número de esos problemas. En América Latina y Cuba, existen experiencias del saber y tradiciones campesinas e indígenas, investigación y producción comercial con soluciones factibles para los problemas de este llamado “Tercer Mundo”, donde están los países más necesitados. Son evidentes los caminos posibles para alcanzar el anhelado desarrollo agropecuario. Este trabajo resume algunos ejemplos de los avances. El reto futuro es integrar los componentes de los agroecosistemas y lograr sinergias, consolidando sistemas agroecológicos holísticos, con eficiencia biológica, productiva, económica, energética y ambiental. Es esperanzador pensar que un futuro agroecológico unido a la voluntad política de desarrollo económico y social, puede contribuir en alto grado a liberar a nuestros países tercermundistas de la crítica situación actual

La Numérisation des Thèses en France: Pour une Meilleure Valorisation de la Recherche Scientifique Française

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Christine Okret

2000-05-01

Full Text Available Tels qu’ils existent actuellement, les procédés institutionnels de valorisation des thèses soutenues dans les universités et grands établissements français reposent sur deux circuits concomitants. En premier lieu les thèses soutenues sont déposées sous forme papier dans la bibliothèque de leur université de soutenance, où elles peuvent être consultées sur place, et prêtées par le biais du réseau de prêt entre bibliothèques. En second lieu, un exemplaire papier est transmis aux ateliers nationaux de reproduction des thèses chargés du microfichage des textes et de la diffusion systématique de ces microfiches auprès de toutes les bibliothèques universitaires. Ces deux formes de diffusion non commerciale présentent en regard des exigences des chercheurs trois inconvénients majeurs: la diffusion des thèses est géographiquement restreinte, puisque limitée aux bibliothèques universitaires; le support microfiche est jugé peu convivial; le prêt entre établissements est parfois trop lent ou onéreux, ce qui peut décourager les utilisateurs qui désirent consulter sur papier les thèses non conservées dans leur bibliothèque universitaire.

El mercado mundial de vino y la competitividad de los países del Hemisferio Sur, 1961-2010

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Medina-Albaladejo, Francisco José; Martínez-Carrión, José Miguel; Ramon-Muñoz, Josep-Maria

2014-01-01

El mercado mundial del vino ha sufrido cambios intensos en las últimas décadas tras un fuerte incremento de la competitividad de los países exportadores del hemisferio sur. Su dinamismo y el aumento de la demanda de los nuevos países consumidores han acelerado el proceso de globalización del vino. En este contexto, analizamos la competencia mundial y los principales cambios en el comercio global de vinos desde 1961 hasta 2010. El artículo muestra la distribución relativa de las exportaciones ...

Upper Limit for Regional Sea Level Projections

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Jevrejeva, Svetlana; Jackson, Luke; Riva, Riccardo; Grinsted, Aslak; Moore, John

2016-04-01

With more than 150 million people living within 1 m of high tide future sea level rise is one of the most damaging aspects of warming climate. The latest Intergovernmental Panel on Climate Change report (AR5 IPCC) noted that a 0.5 m rise in mean sea level will result in a dramatic increase the frequency of high water extremes - by an order of magnitude, or more in some regions. Thus the flood threat to the rapidly growing urban populations and associated infrastructure in coastal areas are major concerns for society. Hence, impact assessment, risk management, adaptation strategy and long-term decision making in coastal areas depend on projections of mean sea level and crucially its low probability, high impact, upper range. With probabilistic approach we produce regional sea level projections taking into account large uncertainties associated with Greenland and Antarctica ice sheets contribution. We calculate the upper limit (as 95%) for regional sea level projections by 2100 with RCP8.5 scenario, suggesting that for the most coastlines upper limit will exceed the global upper limit of 1.8 m.

PREVALENCE OF UPPER CROSS SYNDROME AMONG THE MEDICAL STUDENTS OF UNIVERSITY OF LAHORE

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Iqra Mubeen

2016-06-01

Full Text Available Background: Upper cross syndrome is becoming more prevalent in today’s population. The syndrome is expressed as a postural disorder presenting with over active pectoralis musculature and upper trapezius musculature. Also there is inhibition of lower and middle trapezius musculature, which results in winging of scapula, elevated and abducted scapula. This scapulardyskinesia there by resulted inrounding of shoulders. The syndrome is often associated with bad posture in routine life oroccupation of a person.The purpose of the study is to determine the prevalence of upper cross syndrome in medical students of Lahore. Methods: A convenience sample of 384 medical students was selected from university of Lahore, based on inclusion and exclusion criteria. Medical students of age between 17 to 2 years with sound physical and mental state were included. Students with any trauma, recent injury, recent fracture or surgery and any serious underlying pathology that may interfere with mobility of upper limb were excluded from the study. The research was a cross sectional observational study and self-administered questionnaires were circulated among participants and the data was analyzed using SPSS version 21. Reed-co scale was used to analyze the proper alignment of head, neck and shoulder; where as wall push test was used to assess the abnormal protrusion of scapula. Results: The study have revealed that48.7% population of the students haveneck pain;and the results have concluded that high prevalence of upper cross syndrome in medical students of university of Lahore and a 66.8% of population was found to have poor studying posture. Conclusion: In this study relation between upper cross syndrome and bad posture were seen and it was found that the individuals suffering with upper cross syndrome were somehow related to bad posture or indulge in activities which make individual to adopt a posture of high physiologic cost there by leading to muscular imbalance

A randomized controlled trial of combined exercise and psycho-education for low-SES women: short- and long-term outcomes in the reduction of stress and depressive symptoms.

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van der Waerden, Judith E B; Hoefnagels, Cees; Hosman, Clemens M H; Souren, Pierre M; Jansen, Maria W J

2013-08-01

Exercise may have both a preventive and a therapeutic impact on mental health problems. The Exercise without Worries intervention aims to reduce stress and depressive symptoms in low-SES women by means of a group-based program combining physical exercise and psycho-education. Between September 2005 and May 2008, 161 Dutch low-SES women with elevated stress or depressive symptom levels were randomly assigned to the combined exercise/psycho-education intervention (EP), exercise only (E) or a waiting list control condition (WLC). The E condition provided low to moderate intensity stretching, strength, flexibility, and body focused training as well as relaxation, while the EP program integrated the exercise with cognitive-behavioral techniques. Depressive symptoms (CES-D) and perceived stress (PSS) were measured before and immediately after the intervention and at 2, 6 and 12 month follow-up. Multilevel linear mixed-effects models revealed no differential patterns in reduction of CES-D or PSS scores between the EP, E and WLC groups on the short (post-test and 2 month follow-up) or long term (6 and 12 months follow-up). Depressive symptom outcomes were moderated by initial depressive symptom scores: women from the EP and E groups with fewer initial symptoms benefited from participation on the short term. Further, women in the EP and E groups with the lowest educational level reported more stress reduction at post-test than women with higher educational levels. In the overall target population of low-SES women, no indications were found that the Exercise without Worries course reduced depressive symptom and stress levels on the short or long term. The findings do suggest, however, that exercise alone or in combination with psycho-education may be a viable prevention option for certain groups of disadvantaged women. Especially those low-SES women with less severe initial problems or those with low educational attainment should be targeted for future depression prevention

Sleep Habits and Susceptibility to Upper Respiratory Illness: the Moderating Role of Subjective Socioeconomic Status

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Prather, Aric A.; Janicki-Deverts, Denise; Adler, Nancy E.; Hall, Martica; Cohen, Sheldon

2016-01-01

Background Sleep is a predictor of infectious illness that may depend on one’s socioeconomic status (SES). Purpose This study aimed to investigate the moderating effects of objective and subjective SES on sleep-clinical cold risk link and test whether nasal inflammation serves as a plausible biological pathway. Methods This study combined data (n = 732) from three viral challenge studies. Measures of self-reported sleep and objective and subjective measures of SES were obtained. Participants were quarantined and administrated rhinovirus (RV) or influenza virus and monitored over 5 (RV) or 6 (influenza) days for the development of a cold. Symptom severity, including mucus production and nasal clearance time, and levels of nasal cytokines (interleukin (IL)-6 and IL-1β) were measured prior to administration and each day during the quarantined period. Results Subjective SES, but not objective SES, moderated associations between shorter sleep duration and increased likelihood of a clinical cold. Compared to ≥8-hour sleepers, ≤6-hour sleepers with low subjective SES were at increased risk for developing a cold (OR = 2.57, 95% CI 1.10–6.02). There was no association between sleep duration and colds in high subjective SES participants. Among infected individuals who reported low subjective SES, shorter sleep duration was associated with greater mucus production. There was no evidence that markers of nasal inflammation mediated the link between sleep duration and cold susceptibility among those reporting low subjective SES. Conclusion Subjective SES may reflect an important social factor for understanding vulnerability to and protection against infectious illness among short sleepers. PMID:27679462

Tendencias en la calidad de vida en países con dependencia mineral

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Luis J. González Oquendo

2009-01-01

Full Text Available El presente trabajo tiene como objetivo describir tendencias a partir de algunos indicadores de calidad de vida en el conjunto de países de dependencia mineral. A partir de gráficos Box-Plot e índices de correlación, se procedió a la descripción de tendencias estadísticas para realizar precisiones en torno a la calidad de vida -analizada a través del índice de desarrollo humano [ÍDH] y componentes- y variables económicas [exportaciones minerales como porcentaje del total de exportaciones y del producto interno bruto] y demográficas [fecundidad, mortalidad infantil]. Aunque no se precisó alguna correlación estadística entre el porcentaje de exportaciones minerales como parte del PIB con el ÍDH o alguno de sus componentes, se encontró relación significativa con el porcentaje como parte del total de exportaciones aunque -en su relación con el IDH y con el índice de logro educativo- sólo había relaciones inversas de carácter leve. En relación con las variables demográficas, sólo se encontró relaciones leves entre el porcentaje de exportaciones minerales sobre exportaciones totales con la tasa de fecundidad total y la tasa de mortalidad infantil, sin que se haya encontrado alguna significatividad en la tasa de mortalidad de niños menores de 5 años. Se precisó que, aunque la mayor parte de los países con dependencia mineral poseen valores ÍDH medio, los valores reflejan fuertes diferencias regionales, distribuciones asimétricas positivas matizadas en lo referente a las exportaciones minerales y dispersión desigual de los valores ÍDH, siendo mayor entre los países de alta dependencia mineral.

¿Cómo afecta la globalización de los mercados el medio ambiente de los países en desarrollo?

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Klaus Georg Binder

2000-12-01

Full Text Available La globalización de los mercados lleva a un cambio radical de las formas del mercado, de las estructuras económicas Ínter e intrasectoriales, del tamaño de las empresas, así como de las estructuras de propiedad en el campo empresarial. Igualmente, se generan diferentes exigencias para las empresas y los productos a medida que la competencia internacional se intensifica. La globalización de los mercados también implica forzar una distribución internacional del empleo. A los países en desarrollo se les abren más posibilidades de crecimiento. ¿Son estos efectos positivos o negativos para el estado ambiental de los países en desarrollo? Los cambios originados por la globalización de los mercados podrían repercutir de manera positiva en el estado del medio ambiente en los paises en desarrollo. Sin embargo, un requisito muy importante para que ese sea el resultado, es que no solamente los países desarrollados sino también los países en desarrollo pongan en práctica una política ambiental razonable.

Aspects and clinical procedures of eruptive changes of permanent upper canines

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Sheila Marcia Francisco

2012-04-01

Full Text Available INTRODUCTION: Even though the upper canine is the tooth that presents most eruption anomalies, after the third molars, canine retention prevalence in the population is quite low. Local, physiologic and pathologic factors can provide difficulties for the tooth eruptive process. The correct diagnosis in trying to prevent upper canine retention with ectopic eruption is fundamental to choose the ideal treatment, which can be performed by various methods. OBJECTIVE: The present paper has the purpose of approaching aspects related to impacted upper permanent canines by a literature review, including localization and treatment conducts.

Monitoring actual temperatures in Susquehanna SES reactor buildings

International Nuclear Information System (INIS)

Derkacs, A.P.

1991-01-01

PP and L has been monitoring temperatures in the Susquehanna SES reactor building with digital temperature recorders since 1986. In early 1990, data from four representative areas was analyzed to determine the temperature in each area which would produce the same rate of degradation as the distribution of actual temperatures recorded over about 40 months. From these effective average temperatures, qualified life multipliers were determined for activation energies in the range of 0.5 to 1.5 and those multipliers were used to estimate new qualified lives and the number of replacements which might be saved during the life of the plant. The results indicate that pursuing a program of determining EQ qualified lives from actual temperatures, rather than maximum design basis temperatures, will provide a substantial payback in reduced EQ driven maintenance

Social System of River City High School Senior Class: Socio-economic Status (SES).

Science.gov (United States)

Daly, Richard F.

The goal of this study was to investigate the relationship between an adolescent's socioeconomic status (SES) and selected variables of the sub-subsystems of the River City High School senior class social system during the 1974-75 academic year. Variables for study were selected from each of the three sub-subsystems of the senior class social…

Population attributable risk of tobacco and alcohol for upper aerodigestive tract cancer.

LENUS (Irish Health Repository)

Anantharaman, Devasena

2011-08-01

Tobacco and alcohol are major risk factors for upper aerodigestive tract (UADT) cancer and significant variation is observed in UADT cancer rates across Europe. We have estimated the proportion of UADT cancer burden explained by tobacco and alcohol and how this varies with the incidence rates across Europe, cancer sub-site, gender and age. This should help estimate the minimum residual burden of other risk factors to UADT cancer, including human papillomavirus. We analysed 1981 UADT cancer cases and 1993 controls from the ARCAGE multicentre study. We estimated the population attributable risk (PAR) of tobacco alone, alcohol alone and their joint effect. Tobacco and alcohol together explained 73% of UADT cancer burden of which nearly 29% was explained by smoking alone, less than 1% due to alcohol on its own and 44% by the joint effect of tobacco and alcohol. Tobacco and alcohol together explained a larger proportion of hypopharyngeal\\/laryngeal cancer (PAR=85%) than oropharyngeal (PAR=74%), esophageal (PAR=67%) and oral cancer (PAR=61%). Tobacco and alcohol together explain only about half of the total UADT cancer burden among women. Geographically, tobacco and alcohol explained a larger proportion of UADT cancer in central (PAR=84%) than southern (PAR=72%) and western Europe (PAR=67%). While the majority of the UADT cancers in Europe are due to tobacco or the joint effect of tobacco and alcohol, our results support a significant role for other risk factors in particular, for oral and oropharyngeal cancers and also for UADT cancers in southern and western Europe.

Tratamiento comunitario al capital extranjero en los países de la Comunidad Andina desde 1970 hasta 1998

OpenAIRE

Montes, Carmen Victoria

2001-01-01

Con la presente investigación, se pretende ir más allá de una simple descripción de las normas que han regulado el capital extranjero en los países de la Comunidad Andina. El propósito principal es hallar las razones, que han motivado el cambio en las normas y las incidencias que ha tenido ese cambio sobre la afluencia de capital. Asimismo se pretende ver si la legislación comunitaria de los países andinos es compatible con la de la OMC. Para cumplir con este propósito se ha...

Associations of adolescent cannabis use with academic performance and mental health: A longitudinal study of upper middle class youth.

Science.gov (United States)

Meier, Madeline H; Hill, Melanie L; Small, Phillip J; Luthar, Suniya S

2015-11-01

There is a hypothesis that low socioeconomic status (SES) may explain the link between cannabis use and poorer academic performance and mental health. A key question, therefore, is whether adolescent cannabis use is associated with poorer academic performance and mental health in high SES communities where there is reduced potential for confounding. Youth (n=254) from an upper middle class community were followed prospectively through the four years of high school (from age 14/15 to age 17/18). Past-year frequency of cannabis use was assessed annually. Official school records of academic performance and self-reported mental health symptoms (externalizing and internalizing symptoms) were assessed in grades 9 and 12. Persistent cannabis use across the four years of high school was associated with lower grade-point average (β=-0.18, p=.006), lower Scholastic Aptitude Test (SAT) score (β=-0.13, p=.038), and greater externalizing symptoms (β=0.29, pgrade, but not with greater internalizing symptoms (β=0.04, p=.53). Moreover, persistent cannabis use was associated with lower grade-point average (β=-0.13, p=.014) and greater externalizing symptoms (β=0.24, p=.002) in 12th grade, even after controlling for 9th grade levels of these outcomes. Similar associations were observed for persistent alcohol and tobacco use. Effects for persistent cannabis use became non-significant after controlling for persistent alcohol and tobacco use, reflecting the difficulties of disentangling effects of cannabis from effects of alcohol and tobacco. Low SES cannot fully explain associations between cannabis use and poorer academic performance and mental health. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Prácticas de liderazgo y su relación con la cultura en un grupo de países latinoamericanos

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Juan Carlos Espinosa M.

2015-01-01

Full Text Available El propósito de este estudio fue analizar, a través del MLQ 5X, los perfiles de liderazgo de 167 directivos de cuatro países latinoamericanos (Perú, Venezuela, Ecuador y Colombia, para observar si a pesar de la similitud cultural se presentan diferencias en los patrones de liderazgo. Se compararon estos perfiles con los obtenidos por otros autores en regiones culturalmente distintas, para finalmente confrontar los resultados con los de otra muestra colombiana. Se evidenciaron diferencias significativas en liderazgo, tanto entre países culturalmente distintos, como entre los mismos países latinoamericanos, a pesar de su similitud cultural. Finalmente, la muestra de directivos de este estudio difiere significativamente de la otra muestra colombiana, respecto a algunas variables del MLQ. Se discuten esos hallazgos.

Paradigmas del mercado financiero rural en países en desarrollo.

OpenAIRE

Fuentes Méndez, Luis Alberto; Gutiérrez S., Alejandro

2007-01-01

1.- Artículos Tenencia de la tierra y desarrollo rural sostenible: algunos puntos para la reflexión en el caso venezolano. Land tenure and sustained rural development: points for reflecting on the Venezuelan case. Tenure de la terre et développement rural durable : quelques points pour la réflexion dans le cas du Venezuela. Delahaye, Olivier Paradigmas del mercado financiero rural en países en desarrollo. Paradigms in the rural financial markets in developing countries. ...

Socioeconomic status is inversely associated with esophageal squamous cell carcinoma risk: results from a population-based case-control study in China

Science.gov (United States)

Suo, Chen; Yuan, Ziyu; Cheng, Hongwei; Zhang, Yuechan; Jin, Li; Lu, Ming; Chen, Xingdong; Ye, Weimin

2018-01-01

Socioeconomic status (SES) is suspected to influence the risk of esophageal squamous-cell carcinoma (ESCC) in China, however, the evidence is still inconclusive and the selection of SES indicators remains inconsistent. In current study, we examined the association between SES and risk of ESCC based on a population-based case-control study in Taixing, China, with 1298 histopathology-confirmed cases and 1900 controls recruited between October 2010 and September 2013. Data on SES indicators was collected using a structured questionnaire. We constructed a composite wealth score based on the ownership of a series of household appliances and other variables by using multiple correspondence analysis (MCA). We used unconditional logistic regression to estimate odds ratios (ORs) with 95% confidence intervals (CIs) of ESCC in association with SES indicators. SES was inversely associated with ESCC risk in current study. Higher education (secondary high school or above vs illiteracy, OR=0.60, 95%CI, 0.41-0.87), larger house area per person (>70 vs 5 years also had a lower ESCC risk. Whereas physical labor (very active vs sedentary, OR=1.69, 95%CI, 1.27-2.26) and larger families (≥6 vs <3 in household, OR=1.63, 95%CI, 1.30-2.03) increased the risk of ESCC. These findings confirm the strong inverse association between SES and ESCC risk. Future studies are needed to verify these findings and identify contributing factors underlying the observed associations. PMID:29467939

Retrospective analysis of multiplex polymerase chain reaction-based molecular diagnostics (SES) in 70 patients with suspected central nervous system infections: A single-center study.

Science.gov (United States)

Ramalingam, Rama Krishnan Tiruppur Chinnappan; Chakraborty, Dipanjan

2016-01-01

Central nervous system (CNS) infections present a grave health care challenge due to high morbidity and mortality. Clinical findings and conventional laboratory assessments are not sufficiently distinct for specific etiologic diagnosis. Identification of pathogens is a key to appropriate therapy. In this retrospective observational study, we evaluated the efficacy and clinical utility of syndrome evaluation system (SES) for diagnosing clinically suspected CNS infections. This retrospective analysis included inpatients in our tertiary level neurointensive care unit (NICU) and ward from February 2010 to December 2013. Cerebrospinal fluid (CSF) samples of 70 patients, clinically suspected of having CNS infections, were subjected to routine laboratory tests, culture, imaging, and SES. We analyzed the efficacy of SES in the diagnosis of CNS infections and its utility in therapeutic decision-making. SES had a clinical sensitivity of 57.4% and clinical specificity of 95.6%. Streptococcus pneumoniae and Pseudomonas aeruginosa were the top two bacterial pathogens, whereas Herpes simplex virus (HSV) was the most common viral pathogen. Polymicrobial infections were detected in 32.14% of SES-positive cases. SES elicited a change in the management in 30% of the patients from initial empiric therapy. At discharge, 51 patients recovered fully while 11 patients had partial recovery. Three-month follow-up showed only six patients to have neurological deficits. In a tertiary care center, etiological microbial diagnosis is central to appropriate therapy and outcomes. Sensitive and accurate multiplex molecular diagnostics play a critical role in not only identifying the causative pathogen but also in helping clinicians to institute appropriate therapy, reduce overuse of antimicrobials, and ensure superior clinical outcomes.

Socioeconomic Disparities in the Prevalence of Blepharoptosis in the South Korean Adult Population Based on a Nationwide Cross-Sectional Study.

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Eun Young Rha

Full Text Available We investigated the association between socioeconomic status (SES and the prevalence of blepharoptosis in a representative South Korean population.This cross-sectional study was based on data obtained in the Korea National Health and Nutrition Examination Survey from 2010 to 2012. In total, 17,178 Korean adults (7,261 men and 9,917 women aged 19 years or older were enrolled. Blepharoptosis was defined as a marginal reflex distance 1 (MDR 1 lower than 2 mm. Household income and education level were used as indicators of SES. Univariate and multiple logistic regression analyses were conducted to analyze the relationship between SES and the prevalence of blepharoptosis.Household income was inversely associated with the prevalence of blepharoptosis in women [adjusted odds ratio (aOR and corresponding 95% confidence interval (95% CI was 1.894 (1.336, 2.685], and educational level was inversely associated with blepharoptosis in both men and women [aORs and 95% CIs were 1.572 (1.113, 2.219 and 1.973 (1.153, 3.376, respectively]. After adjusting for household income and educational level, low SES was associated with a high prevalence of blepharoptosis in women only.Socioeconomic disparities in the prevalence of blepharoptosis were found among women. Indeed, future research using a prospective design to determine the causal relationship between SES and blepharoptosis may identify SES as a risk factor for this condition.

Políticas de atendimento à criança pequena nos países em desenvolvimento Policies for early child care and education in developing countries

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Maria Clotilde Rossetti-Ferreira

2002-03-01

Full Text Available Contínuas mudanças econômicas e culturais estão causando transformações no funcionamento das famílias e na educação das crianças pequenas em todas as camadas sociais. Essas transformações têm contribuído para o aumento da demanda e implementação de políticas de educação/cuidado infantil. Avanços políticos e legais têm ocorrido em vários países, nas últimas décadas. Esse processo configura-se sob formas diversas nos países desenvolvidos e nos em desenvolvimento. Naqueles e, em especial, nos países da Comunidade Européia, as justificativas para essas políticas fundamentam-se em um discurso pelos direitos da criança quanto ao acesso à educação e aos bens culturais, e pela igualdade de direitos e oportunidades de homens e mulheres. Já nos países em desenvolvimento, o discurso para ricos e pobres é bastante diferenciado, particularmente quando estabelece políticas para expansão do atendimento. Quando o alvo é a população pobre, negra e de zona rural, essas políticas se pautam por um discurso da necessidade de atender pobremente a pobreza, que transparece de maneira clara nos documentos do Banco Mundial. Neste artigo, propomo-nos a fazer uma reflexão crítica sobre as políticas para a infância nos países em desenvolvimento, tomando a América Latina como estudo de caso.Continuous economical and cultural changes are inducing various transformations in family functioning and young children education and care. Those changes generated an increased demand for early child education policies. During the last decades, various political and legal advances were observed in many countries. This process, however, took diverse configurations in developed and developing countries. In the European Community, more specifically, the discourse funding those policies emphasized both: children's rights to have access to education and cultural goods and the equality of rights and opportunities for men and women. In developing

Spironolactone use and the risk of upper gastrointestinal bleeding

DEFF Research Database (Denmark)

Gulmez, Sinem E; Lassen, Annmarie T; Aalykke, Claus

2008-01-01

WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT * Recent studies have suggested an increased risk of upper gastrointestinal bleeding (UGB) in spironolactone users. * We conducted this population-based case-control study to confirm the association between spironolactone use and acute nonvaricose UGB alone...... is not modified by high cumulative doses or by concurrent use of antithrombotic or nonsteroidal anti-inflammatory drugs. AIMS Recent studies have suggested an increased risk of upper gastrointestinal bleeding (UGB) in spironolactone users. The aim was to confirm the association, identify the risk factors...

Alarm symptoms of upper gastrointestinal cancer and contact to general practice

DEFF Research Database (Denmark)

Rasmussen, Sanne; Larsen, Pia Veldt; Svendsen, Rikke Pilsgaard

2015-01-01

INTRODUCTION: Survival of upper gastrointestinal (GI) cancer depends on early stage diagnosis. Symptom-based guidelines and fast-track referral systems have been implemented for use in general practice. To improve diagnosis of upper GI cancer, knowledge on prevalence of alarm symptoms...... between 1.1% ("repeated vomiting") and 3.4% ("difficulty swallowing"). Women had higher odds of experiencing "repeated vomiting" and "persistent and recent-onset abdominal pain", but lower odds of experiencing "upper GI bleeding". The proportion of people contacting their GP with each of the four specific...... alarm symptoms ranged from 24.3% ("upper GI bleeding") to 39.9% ("repeated vomiting"). For each combination of two specific alarm symptoms, at least 52% contacted their GP. CONCLUSION: The specific alarm symptoms of upper GI cancer are not very prevalent in the general population. The proportion of GP...

Orofacial-cervical alterations in individuals with upper airway resistance syndrome

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Pedro Wey Barbosa de Oliveira

Full Text Available ABSTRACT INTRODUCTION: Studies that assess the upper airways in sleep-related breathing disorders have been performed only in patients with obstructive sleep apnea syndrome who seek medical attention. Therefore, in addition to the need for population studies, there are no data on the orofacial-cervical physical examination in subjects with upper airway resistance syndrome. OBJECTIVES: To compare the orofacial-cervical examination between volunteers with upper airway resistance syndrome and without sleep-related breathing disorders. METHODS: Through questionnaires, physical measurements, polysomnography, and otorhinolaryngological evaluation, this study compared the orofacial-cervical physical examination, through a systematic analysis of the facial skeleton, mouth, throat, and nose, between volunteers with upper airway resistance syndrome and volunteers without sleep-related breathing disorders in a representative sample of the adult population of the city of São Paulo. RESULTS: There were 1042 volunteers evaluated; 49 subjects (5% were excluded as they did not undergo otorhinolaryngological evaluation, 381 (36% had apnea-hypopnea index > 5 events/hour, and 131 (13% had oxyhemoglobin saturation < 90%. Among the remaining 481 subjects (46%, 30 (3% met the criteria for the upper airway resistance syndrome definition and 53 (5% met the control group criteria. At the clinical evaluation of nasal symptoms, the upper airway resistance syndrome group had more oropharyngeal dryness (17% vs. 29.6%; p = 0.025 and septal deviation grades 1-3 (49.1% vs. 57.7%; p = 0.025 when compared to controls. In the logistic regression model, it was found that individuals from the upper airway resistance syndrome group had 15.6-fold higher chance of having nose alterations, 11.2-fold higher chance of being hypertensive, and 7.6-fold higher chance of complaining of oropharyngeal dryness when compared to the control group. CONCLUSION: Systematic evaluation of the facial

Impactos dos acordos de liberalização comercial Alca e Mercoeuro sobre os países membros

Directory of Open Access Journals (Sweden)

Ângelo Costa Gurgel

2002-01-01

Full Text Available O objetivo deste trabalho é determinar os impactos da formação da Alca e de um possível bloco de comércio do Mercosul com a União Européia, para o Brasil em particular e para os demais países envolvidos em tais blocos, enfatizando os efeitos sobre o setor agrícola. O modelo de equilíbrio geral aplicado do Projeto de Análise de Comércio Global (Gtap é usado para implementar as simulações. Os resultados sugerem que a Alca traz aumentos na produção agrícola e superávits comerciais nos países do Mercosul; no entanto, para os produtos manufaturados tais efeitos são negativos. Os EUA e o Canadá apresentam uma pequena redução na balança comercial. O Brasil é o único país do Mercosul com ganhos de bem-estar. Os efeitos do Mercoeuro sobre os países membros são similares aos da Alca, porém em maior magnitude. Os ganhos de bem-estar estão presentes para todos os países do Mercoeuro, sendo este acordo mais favorável para os países do Mercosul do que a Alca.The objective of this paper is to determine the impacts on the international agricultural market of potential trade liberalization agreements such as Americas Free Trade Area (Afta and Mercosul and European Union Free Trade Area (Mercoeuro. The general equilibrium model from the Global Trade Analysis Project (Gtap is applied to run the simulations. The results suggest that Afta increases agricultural production and trade balance for the Mercosul countries, but for manufactures the effects are negative on both production and trade balance. The U.S. and Canada show a small reduction on trade balance. Brazil is the only Mercosul country to obtain welfare gains with Afta. The impacts of Mercoeuro on its member country are similar to those of Afta, but they are greater in magnitude. Also, all countries have welfare gains in the Mercoeuro, which presents greater benefits than Afta to their respective.

Collective action in a tropical estuarine lagoon: adapting Ostrom’s SES framework to Ciénaga Grande de Santa Marta, Colombia.

Directory of Open Access Journals (Sweden)

Luz Elba Torres Guevara

2016-02-01

Full Text Available The paper contributes to the social-ecological systems literature byadapting and using Elinor Ostrom’s Social-Ecological System (SES frameworkin the context of a coastal ecosystem. We modified the SES framework in thecase of the Ciénaga Grande de Santa Marta (CGSM, an estuarine lagoon inthe Caribbean coast of Colombia. The ecological importance of CGSM and itsspecies is undeniable. This paper aims to understand why collective action fora sustainable use of CGSM’s fishery resources has not taken place. In order torespond to that question, we created new variables within the social, economic,and political settings of the SES framework. The results show that the fishers’ fearof the indiscriminate and strong violence that illegal armed groups have inflictedon them since the 1960s and the economic development in the ColombianCaribbean region help explain the lack of collective action.

Relationship between neighborhood socioeconomic status and venous thromboembolism: results from a population-based study.

Science.gov (United States)

Kort, D; van Rein, N; van der Meer, F J M; Vermaas, H W; Wiersma, N; Cannegieter, S C; Lijfering, W M

2017-12-01

Essentials Literature on socioeconomic status (SES) and incidence of venous thromboembolism (VTE) is scarce. We assessed neighborhood SES with VTE risk in a population of over 1.4 million inhabitants. Higher neighborhood SES was associated with lower incidence of VTE. These findings are helpful to inform policy and resource allocation in health systems. Background The association between socioeconomic status and arterial cardiovascular disease is well established. However, despite its high burden of disability-adjusted life years, little research has been carried out to determine whether socioeconomic status is associated with venous thromboembolism. Objective To determine if neighborhood socioeconomic status is associated with venous thromboembolism in a population-based study from the Netherlands. Methods We identified all patients aged 15 years and older with a first event of venous thromboembolism from inhabitants who lived in the urban districts of The Hague, Leiden and Utrecht in the Netherlands in 2008-2012. Neighborhood socioeconomic status was based on the status score, which combines educational level, income and unemployment on a four-digit postal code level. Incidence rate ratios of venous thromboembolism were calculated for different levels of neighborhood socioeconomic status, with adjustments for age and sex. Results A total of 7373 patients with a first venous thromboembolism (median age 61 years; 50% deep vein thrombosis) were identified among more than 1.4 million inhabitants. Higher neighborhood SES was associated with lower incidence of VTE. In the two highest status score groups (i.e. the 95-99th and > 99th percentile), the adjusted incidence rate ratios were 0.91 (95% confidence interval [CI], 0.84-1.00) and 0.80 (95% CI, 0.69-0.93), respectively, compared with the reference status score group (i.e. 30-70th percentile). Conclusions High neighborhood socioeconomic status is associated with a lower risk of first venous thromboembolism. © 2017

A Five-Year Follow-Up on the Role of Educational Support in Preventing Dropout From Upper Secondary Education in Finland.

Science.gov (United States)

Hakkarainen, Airi M; Holopainen, Leena K; Savolainen, Hannu K

2015-01-01

In this longitudinal study, we investigated the role of word reading and mathematical difficulties measured in 9th grade as factors for receiving educational support for learning in upper secondary education in Grades 10 to 12 (from ages 16 to 19) and furthermore as predictors of dropout from upper secondary education within 5 years after compulsory education. In addition, we studied the role of school achievement in Grades 9 and 11 in this prediction. The participants of this study were members of one age group of 16-year-old ninth graders (N = 595, females 302, males 293) in a midsized Finnish city, who were followed for 5 years after completing compulsory education. The path model results, where the effects of gender, educational track, and SES were controlled, showed, first, that students with academic learning difficulties received educational support for learning particularly in the 11th grade. Second, academic learning difficulties directly affected school achievement in the 9th grade, but no longer in the 11th grade. Third, mathematical difficulties directly predicted dropout from upper secondary education, and difficulties in both word reading and mathematics had an indirect effect through school achievement in Grades 9 and 11 on dropout. © Hammill Institute on Disabilities 2013.

The Effects of Ethnicity, SES, and Crime Status on Juror Decision Making: A Cross-Cultural Examination of European American and Mexican American Mock Jurors

Science.gov (United States)

Esqueda, Cynthia Willis; Espinoza, Russ K. E.; Culhane, Scott E.

2008-01-01

In two studies, a defendant's ethnicity, socioeconomic status (SES), and crime status were varied for effects on verdict decisions, sentencing recommendations, culpability assignments, and trait assessments. In Study 1, European Americans (N = 221) provided a low SES Mexican American defendant with more guilt verdicts, a lengthier sentence, and…

Exploring recruitment, willingness to participate, and retention of low-SES women in stress and depression prevention

NARCIS (Netherlands)

Waerden, J.E.B. van der; Hoefnagels, C.C.J.; Jansen, M.W.J.; Hosman, C.M.H.

2010-01-01

Background Recruitment, willingness to participate, and retention in interventions are indispensable for successful prevention. This study investigated the effectiveness of different strategies for recruiting and retaining low-SES women in depression prevention, and explored which sociodemographic

Retrospective analysis of multiplex polymerase chain reaction-based molecular diagnostics (SES in 70 patients with suspected central nervous system infections: A single-center study

Directory of Open Access Journals (Sweden)

Rama Krishnan Tiruppur Chinnappan Ramalingam

2016-01-01

Full Text Available Background: Central nervous system (CNS infections present a grave health care challenge due to high morbidity and mortality. Clinical findings and conventional laboratory assessments are not sufficiently distinct for specific etiologic diagnosis. Identification of pathogens is a key to appropriate therapy. Aim: In this retrospective observational study, we evaluated the efficacy and clinical utility of syndrome evaluation system (SES for diagnosing clinically suspected CNS infections. Materials and Methods: This retrospective analysis included inpatients in our tertiary level neurointensive care unit (NICU and ward from February 2010 to December 2013. Cerebrospinal fluid (CSF samples of 70 patients, clinically suspected of having CNS infections, were subjected to routine laboratory tests, culture, imaging, and SES. We analyzed the efficacy of SES in the diagnosis of CNS infections and its utility in therapeutic decision-making. Results: SES had a clinical sensitivity of 57.4% and clinical specificity of 95.6%. Streptococcus pneumoniae and Pseudomonas aeruginosa were the top two bacterial pathogens, whereas Herpes simplex virus (HSV was the most common viral pathogen. Polymicrobial infections were detected in 32.14% of SES-positive cases. SES elicited a change in the management in 30% of the patients from initial empiric therapy. At discharge, 51 patients recovered fully while 11 patients had partial recovery. Three-month follow-up showed only six patients to have neurological deficits. Conclusion: In a tertiary care center, etiological microbial diagnosis is central to appropriate therapy and outcomes. Sensitive and accurate multiplex molecular diagnostics play a critical role in not only identifying the causative pathogen but also in helping clinicians to institute appropriate therapy, reduce overuse of antimicrobials, and ensure superior clinical outcomes.

Upper Limb Absence: Predictors of Work Participation and Work Productivity.

Science.gov (United States)

Postema, Sietke G; Bongers, Raoul M; Brouwers, Michael A; Burger, Helena; Norling-Hermansson, Liselotte M; Reneman, Michiel F; Dijkstra, Pieter U; van der Sluis, Corry K

2016-06-01

To analyze work participation, work productivity, contributing factors, and physical work demands of individuals with upper limb absence (ULA). Cross-sectional study: postal survey (response rate, 45%). Twelve rehabilitation centers and orthopedic workshops. Individuals (n=207) with unilateral transverse upper limb reduction deficiency (RD) or acquired amputation (AA), at or proximal to the carpal level, between the ages of 18 and 65 years, and a convenience sample of control subjects (n=90) matched on age and sex. Not applicable. Employment status, self-reported work productivity measured with the Quality-Quantity method, and self-reported upper extremity work demands measured with the Upper Extremity Work Demands scale. Seventy-four percent of the individuals with RD and 57% of the individuals with AA were employed (vs 82% of the control group and 66% of the general population). Male sex, younger age, a medium or higher level of education, prosthesis use, and good general health were predictors of work participation. Work productivity was similar to that of the control group. Higher work productivity was inversely related to musculoskeletal complaint-related pain. When having predominantly mentally demanding work, individuals with ULA perceived higher upper extremity work demands compared with controls. Work participation of individuals with RD was slightly higher compared with that of the general population, whereas employment rates of individuals with AA were slightly lower. Furthermore, work productivity did not differ between individuals with RD, AA, and controls. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Equity impact of population-level interventions and policies to reduce smoking in adults: a systematic review.

Science.gov (United States)

Brown, Tamara; Platt, Stephen; Amos, Amanda

2014-05-01

There is strong evidence about which tobacco control policies reduce smoking. However, their equity impact is uncertain. The aim was to assess the effectiveness of population-level interventions/policies to reduce socioeconomic inequalities in adult smoking. Systematic review of studies of population-level interventions/policies reporting smoking-related outcomes in adults of lower compared to higher socioeconomic status (SES). References were screened and independently checked. Studies were quality assessed. Results are presented in a narrative synthesis. Equity impact was assessed as: positive (reduced inequality), neutral (no difference by SES), negative (increased inequality), mixed (equity impact varied) or unclear. 117 studies of 130 interventions/policies were included: smokefree (44); price/tax (27); mass media campaigns (30); advertising controls (9); cessation support (9); settings-based interventions (7); multiple policies (4). The distribution of equity effects was: 33 positive, 36 neutral, 38 negative, 6 mixed, 17 unclear. Most neutral equity studies benefited all SES groups. Fourteen price/tax studies were equity positive. Voluntary, regional and partial smokefree policies were more likely to be equity negative than national, comprehensive smokefree policies. Mass media campaigns had inconsistent equity effects. Cigarette marketing controls were equity positive or neutral. Targeted national smoking cessation services can be equity positive by achieving higher reach among low SES, compensating for lower quit rates. Few studies have assessed the equity impact of tobacco control policy/interventions. Price/tax increases had the most consistent positive equity impact. More research is needed to strengthen the evidence-base for reducing smoking inequalities and to develop effective equity-orientated tobacco control strategies. Copyright © 2014. Published by Elsevier Ireland Ltd.

Determinantes estructurales y su relación con el índice de COP en países de desarrollo alto, mediano y bajo

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Luis Carlos García Rincón

2015-01-01

Full Text Available Objetivo: describir y analizar los determinantes estructurales y su relación con el índice de COP en países de desarrollo alto, mediano y bajo durante las últimas tres décadas. Materiales y métodos: estudio descriptivo realizado a partir de una revisión de la literatura internacional y nacional en bases de datos y páginas web. Resultados: se encontró un país con índice de COP elevado; un país con índice de COP moderado; 10 países con índice de COP bajo; y 10 países con índice de COP muy bajo. Los países de desarrollo alto y los países de desarrollo bajo se comportan de manera similar en tanto reportan índices de COP inferiores al promedio mundial sugerido por la OMS (2.4. Discusión y conclusiones: se concluye que los valores de COP están asociados fuertemente a factores macroeconómicos, como las políticas y servicios de cuidado de la salud disponibles para la población, más que a la clasificación de desarrollo del Banco Mundial. Los determinantes sociales están directamente relacionados con las políticas estructurales que afectan el bienestar social, la salud y la calidad de vida de la población.

How many low birthweight babies in low- and middle-income countries are preterm? Cuantos de los recién nacidos de bajo peso de países emergentes son pre-término? Quantos dos recém-nascidos de baixo peso de países emergentes são pré-termo?

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Fernando C Barros

2011-06-01

Full Text Available OBJECTIVE: To assess the prevalence of preterm birth among low birthweight babies in low and middle-income countries. METHODS: Major databases (PubMed, LILACS, Google Scholar were searched for studies on the prevalence of term and preterm LBW babies with field work carried out after 1990 in low- and middle-income countries. Regression methods were used to model this proportion according to LBW prevalence levels. RESULTS: According to 47 studies from 27 low- and middle-income countries, approximately half of all LBW babies are preterm rather than one in three as assumed in studies previous to the 1990s. CONCLUSIONS: The estimate of a substantially higher number of LBW preterm babies has important policy implications in view of special health care needs of these infants. As for earlier projections, our findings are limited by the relative lack of population-based studies.OBJETIVO: Estimar la prevalencia de recién nacidos pre-término entre los recién nacidos de bajo peso al nacer de países de renta media o baja. MÉTODOS: En consulta a bases de datos (PubMed, LILACS, Google Scholar fueron procurados estudios sobre la prevalencia de recién nacidos a término y pre-término entre aquellos de bajo peso al nacer conducidos posteriores a 1990 en países emergentes. Modelos de regresión fueron usados para evaluar la proporción de acuerdo con las prevalencias de bajo peso. RESULTADOS: Con base en 47 estudios de 27 países emergentes, aproximadamente la mitad de todos los recién nacidos con bajo peso serían prematuros, y no uno de cada tres, como se estimó en estudios anteriores a la década de 1990. CONCLUSIONES: La estimación de números sustancialmente más altos de prematuros con bajo peso tiene importantes consecuencias en la planificación de salud, ya que tales recién nacidos demandan cuidados especiales. Aún, los resultados son limitados por la falta de estudios poblacionales.OBJETIVO: Estimar a prevalência de recém-nascidos pr

qualite des eaux du bandama-blanc (cote d'ivoire) et de ses ...

African Journals Online (AJOL)

La qualité écologique des eaux des localités soumises à l'exploitation artisanale et clandestine de l'or au niveau du Bandama-Blanc et de ses affluents a été étudiée entre le 01 et le 15 Avril 2015. Le prélèvement du phytoplancton a été réalisé à l'aide de la bouteille hydrologique et du filet à plancton, tandis que le.

Clinical pattern and prevalence of upper gastrointestinal toxicity in patients abusing ketamine.

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Liu, Shirley Yuk Wah; Ng, Stephen Ka Kei; Tam, Yuk Him; Yee, Samuel Chi Hang; Lai, Franco Pui Tak; Hong, Cindy Yuek Lam; Chiu, Philip Wai Yan; Ng, Enders Kwok Wai; Ng, Chi Fai

2017-09-01

Evaluations of upper gastrointestinal toxicity from ketamine abuse are uncommon. This study investigated the clinical pattern of upper gastrointestinal symptoms in patients inhaling ketamine. In a cross-sectional study of 611 consecutive patients who were seeking treatment for ketamine uropathy in a tertiary hospital setting between August 2008 and June 2016, their clinical pattern of upper gastrointestinal symptoms was evaluated and compared with a control population of 804 non-users. A total of 168 (27.5%) patients abusing ketamine (mean age 26.3 years, 58.9% female) reported the presence of upper gastrointestinal symptoms. These symptoms were significantly more prevalent in patients inhaling ketamine than in those who were not (27.5% vs 5.2%, P ketamine abuse before symptom presentation was 5.0 ± 3.1 years. The presenting symptoms included epigastric pain (n = 155, 25.4%), recurrent vomiting (n = 48, 7.9%), anemia (n = 36, 5.9%) and gastrointestinal bleeding (n = 20, 3.3%). Uropathy symptoms were preceded by upper gastrointestinal symptoms for 4.4 ± 3.0 years in 141 (83.9%) patients. Logistic regression showed that elder age (odds ratio [OR] 1.06, P = 0.04), active abuser status (OR 1.60, P = 0.04) and longer duration of ketamine abuse (OR 1.00, P = 0.04) were independent factors associated with upper gastrointestinal toxicity. Although epigastric symptoms are unusual in the young population, upper gastrointestinal toxicity was highly prevalent in those inhaling ketamine. Enquiries about ketamine abuse are recommended when assessing young patients with epigastric symptoms. © 2017 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

A presença de imigrantes de países do Cone Sul no Brasil: medidas e reflexões La presencia de inmigrantes de países del Cono Sur en Brasil: medidas y reflexiones The presence of immigrants from Southern-Cone countries to Brazil

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Gabriela Adriana Sala

2008-12-01

Full Text Available Neste artigo são estimados os saldos migratórios dos nascidos na Argentina, Bolívia, Chile, Paraguai e Uruguai, correspondentes às décadas de 80 e 90 para o total do Brasil e para os estados brasileiros que concentravam maior proporção de pessoas provenientes dos países mencionados. Também são analisados alguns fatores que poderiam ter incidido nas mudanças do volume e da composição da população imigrante do Cone Sul, entre 1980 e 2000.En este artículo son estimados los saldos migratorios de los nacidos en Argentina, Bolivia, Chile, Paraguay y Uruguay, correspondientes a las décadas de los ochenta y noventa en Brasil, como un todo, y en los estados brasileños que concentraban mayor proporción de personas provenientes de los países mencionados. También son analizados algunos factores que podrían haber incidido en los cambios en el volumen y en la composición de la población inmigrante del Cono Sur, entre 1980 y 2000.This article estimates migratory balances of persons born in Argentina, Bolivia, Chile, Paraguay and Uruguay in the 1980s and 1990s and who migrated to Brazil. Statistics were developed for Brazil as a whole and for the Brazilian states that have the highest proportions of populations of these immigrants. Factors that may have affected the changes in volume and composition shown by immigrants from Southern Cone countries between 1980 and 2000 are also analyzed.

Risk Factors for Upper and Lower Urinary Tract Cancer Death in a Japanese Population: Findings from the Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC Study).

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Washio, Masakazu; Mori, Mitsuru; Mikami, Kazuya; Miki, Tsuneharu; Watanabe, Yoshiyuki; Nakao, Masahiro; Kubo, Tatsuhiko; Suzuki, Koji; Ozasa, Kotaro; Wakai, Kenji; Tamakoshi, Akiko

2016-01-01

The incidence of bladder cancer is lower in Asian than in Western countries. However, the crude incidence and mortality of bladder cancer have recently increased in Japan because of the increased number of senior citizens. We have already reported risk factors for urothelial cancer in a large populationbased cohort study in Japan (JACC study). However, we did not evaluate the cancer risk in the upper and lower urinary tract separately in our previous study. Here we evaluated the risk of cancer death in the upper and lower urinary tracts, separately, using the database of the JACC study. The analytic cohort included 46,395 males and 64,190 females aged 40 to 79 years old. The Cox proportional hazard model was used to determine hazard ratios and their 95% confidence intervals. Current smoking increased the risk of both upper and lower urinary tract cancer deaths. A history of kidney disease was associated with an increased risk of bladder cancer death, even after controlling for age, sex and smoking status. The present study confirmed that current smoking increases the risk of both upper and lower urinary tract cancer deaths and indicated the possibility that a history of kidney disease may be a risk factor for bladder cancer death in the Japanese population.

Ansiedade, sexo, nível sócio-econômico e ordem de nascimento Anxiety, sex, socioeconomic status, and birth order

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Jorge La Rosa

1998-01-01

Full Text Available O objetivo do estudo foi verificar o efeito do sexo, nível sócio-econômico (NSE e ordem de nascimento em ansiedade traço-estado. Participaram 437 estudantes do 1° e 2° graus, de ambos os sexos, de níveis sócio-econômicos médio-alto e baixo, primogênitos e não-primogênitos. No que se refere à ansiedade estado (AE, observaram-se efeitos principais de sexo e NSE. As mulheres apresentaram escores mais altos que os homens, e também os sujeitos de NSE baixo com relação aos de NSE médio-alto. Houve interação entre NSE e ordem de nascimento. Os estudantes primogênitos de NSE médio-alto evidenciaram menor AE que os primogênitos e não-primogênitos de NSE baixo. Em outra interação, as mulheres primogênitas de NSE baixo apresentaram maior AE que os homens de NSE médio-alto, primogênitos e não-primogênitos, e, também, que as mulheres primogênitas de NSE médio-alto. Nos resultados de ansiedade-traço, as mulheres obtiveram pontuação mais alta que os homens, e também os sujeitos de NSE baixo com relação aos de NSE médio-alto. Não houve interações. Discutem-se os resultados enfatizando-se a importância do sexo, nível sócio-econômico e ordem de nascimento nos níveis de ansiedade traço-estado.The objective of this study was to verify the effect of sex, socioeconomic status (SES and birth order on state-trait anxiety. The subjects were 437 primary and secondary school students of both sexes, firt-borns and non-first-borns, belonging to both upper-middle and lower socioeconomic levels. Regarding state-anxiety (SA, main effects of the variables sex and SES could be observed. Women presented higher scores than men, and so did the subjects from lower SES in relation to the subjects of upper-middle SES. There was an interaction between SES and birth order. Students who were first-borns of the upper-middle SES showed lower SA than first-borns and non first-borns of lower SES. In another interaction, female first-borns of

Cage size, movement in and out of housing during daily care, and other environmental and population health risk factors for feline upper respiratory disease in nine North American animal shelters.

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Denae C Wagner

Full Text Available Upper respiratory infection (URI is not an inevitable consequence of sheltering homeless cats. This study documents variation in risk of URI between nine North American shelters; determines whether this reflects variation in pathogen frequency on intake or differences in transmission and expression of disease; and identifies modifiable environmental and group health factors linked to risk for URI. This study demonstrated that although periodic introduction of pathogens into shelter populations may be inevitable, disease resulting from those pathogens is not. Housing and care of cats, particularly during their first week of stay in an animal shelter environment, significantly affects the rate of upper respiratory infection.

Cage size, movement in and out of housing during daily care, and other environmental and population health risk factors for feline upper respiratory disease in nine North American animal shelters.

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Wagner, Denae C; Kass, Philip H; Hurley, Kate F

2018-01-01

Upper respiratory infection (URI) is not an inevitable consequence of sheltering homeless cats. This study documents variation in risk of URI between nine North American shelters; determines whether this reflects variation in pathogen frequency on intake or differences in transmission and expression of disease; and identifies modifiable environmental and group health factors linked to risk for URI. This study demonstrated that although periodic introduction of pathogens into shelter populations may be inevitable, disease resulting from those pathogens is not. Housing and care of cats, particularly during their first week of stay in an animal shelter environment, significantly affects the rate of upper respiratory infection.

Choice of measure matters: A study of the relationship between socioeconomic status and psychosocial resources in a middle-aged normal population.

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Karin Festin

Full Text Available Psychosocial resources may serve as an important link to explain socioeconomic differences in health. Earlier studies have demonstrated that education, income and occupational status cannot be used interchangeably as indicators of a hypothetical latent social dimension. In the same manner, it is important to disentangle the effect of measuring different constructs of psychosocial resources. The aim of this study was therefore to analyse if associations between socioeconomic status (SES and psychosocial resources differ depending on the measures used. A cross-sectional population-based study of a random sample (n = 1007 of middle-aged individuals (45-69 years old, 50% women in Sweden was performed using questionnaire and register data. SES was measured as education, occupation, household income and self-rated economy. Psychosocial resources were measured as social integration, social support, mastery, self-esteem, sense of coherence (SOC and trust. Logistic regression models were applied to analyse the relationships controlling for the effects of possible confounders. The measures of SES were low or moderately correlated to each other as were the measures of psychosocial resources. After controlling for age, sex, country of birth and employment status, household income and self-rated economy were associated with all six psychosocial resources; occupation was associated with three (social integration, self-esteem and trust and education with two (social integration and self-esteem. Social integration and self-esteem showed a significant and graded relationship with all SES measures; trust was associated with all SES measures except education, whereas SOC and mastery were only associated with household income and self-rated economy. After controlling for other SES measures, no associations with psychosocial resources remained for education or occupation. In conclusion, associations between SES and psychosocial resources did differ depending on the

Influencia del eslogan y el logotipo de la marca país en el posicionamiento de los países

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Gina Pipoli de Azambuja

2010-10-01

Full Text Available Para construir la imagen de un país en la mente de los consumidores, los países aplican estrategias demárketing que parten del desarrollo de su marca país, de la misma forma en que las empresas aplican elmárketing a sus productos y servicios. El desarrollo del logotipo y el eslogan que se utilizará en la estrategiade comunicación, constituyen dos elementos fundamentales de su éxito en el proceso de construcción de lamarca país (Keller 2008. Es así que el objetivo de la presente investigación es el de conocer la importanciade la utilización del logotipo y el eslogan en las estrategias de márketing internacional de los países. Paraello, esta investigación analiza el uso de estos dos elementos, logotipo y eslogan, en las estrategias demarca país de aquellos países que han ocupado los primeros lugares en el Country Brand Index (2009 de Future Brand.

Branding de países e atração de investimento direto estrangeiro : o papel do soft power

OpenAIRE

Alves, Ana Cristina Leitão Santos

2013-01-01

Mestrado em Marketing Nas últimas décadas, deu-se uma mudança no paradigma internacional e na maneira como os países se interrelacionam. Estas relações, cada vez mais económicas, exigem uma nova abordagem por parte dos países. Neste sentido, o conceito de soft power de Joseph Nye, enquanto poder de atracção de um país e que pode ser encontrado na sua cultura, valores e políticas externas, ao invés de hard power, considerado como poder de coerção e que pode ser económico ou militar, ganha u...

Dinâmica e estrutura da circulação internacional de produtos audiovisuais entre os países do Mercosul

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Meleiro, Alessandra

2005-01-01

Full Text Available O presente trabalho discute a dinâmica e a estrutura da circulação internacional de produtos audiovisuais entre os quatro países permanentes do Mercosul, refletindo sobre as políticas públicas ligadas à difusão de filmes entre esses países. O objetivo é identificar as características desse processo, trabalhando de forma multidisciplinar e, portanto, considerando os aspectos econômicos, políticos, culturais e comunicacionais vinculados a esta problemática.

Os países diferem entre si no acesso a internet?

OpenAIRE

Cappellozza, Alexandre; de Moraes, Gustavo Hermínio Salati Marcondes

2014-01-01

Este estudo analisou a existência de uma notoriedade comum sobre a audiência de websites em diversos grupos de países com o objetivo de levantar se, independente da variedade de influências endógenas e exógenas que podem interferir na audiência destes portais, há algum padrão de preferência de navegação. Para investigar a popularidade global de websites, este estudo elabora um Índice de Popularidade Virtual – IPV e o aplica com dados utilizados a partir do website Alexa (www.alexa.com) que fo...

Países generadores de políticas públicas para el fomento de la cultura empresarial dirigida hacia la responsabilidad social

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Judith Hernández de Velazco

2016-01-01

Full Text Available El presente artículo identifica los esfuerzos realizados en el desarrollo de políticas públicas (PP de responsabilidad social empresarial (RSE y los instrumentos que existen para su promoción en países de África, Asia, Europa y los Estados Unidos. Los países analizados fueron: Holanda, Alemania, Suecia, Estados Unidos, Malawi y Mozambique, mismos que son practicantes de la formalización de PP de RSE. En el caso los países que estimulan la transparencia se consigue a: Dinamarca, Noruega, Holanda, Francia, Estados Unidos, Japón, Alemania, Nueva Zelanda, Canadá y Sudáfrica. Por su parte, Italia, India, Bélgica, Reino Unido, Dinamarca, España, Australia y Francia, forman parte de las iniciativas de países que inspiran PP en la práctica del escrutinio de la RSE. Con este estudio se puede, desde el estado del arte, por un lado conocer mejor la condición de las políticas públicas orientadas a la RSE a nivel mundial y por otro disponer de una útil herramienta de evaluación de las políticas públicas en función del contexto en el que se aplican, por lo que se convierte en un documento de referencia a la hora de analizar la RSE. La revisión bibliográfica documental facilitó el método y la consecución de resultados, concluyendo que los países han de ser capaces de proporcionar dos elementos principales: ciudadanos capacitados para enfrentar a la sociedad del conocimiento, y marcos regulatorios que sean capaces de hacerse cumplir para las industrias y verificables.

Too Much of a Good Thing? Psychosocial Resources, Gendered Racism, and Suicidal Ideation Among Low-SES African American Women

Science.gov (United States)

Perry, Brea L.; Pullen, Erin; Oser, Carrie B.

2012-01-01

Very few studies have examined predictors of suicidal ideation among African American women. Consequently, we have a poor understanding of the combinations of culturally-specific experiences and psychosocial processes that may constitute risk and protective factors for suicide in this population. Drawing on theories of social inequality, medical sociology, and the stress process, we explore the adverse impact of gendered racism experiences and potential moderating factors in a sample of 204 predominantly low-SES African American women. We find that African American women’s risk for suicidal ideation is linked to stressors occurring as a function of their distinct social location at the intersection of gender and race. In addition, we find that gendered racism has no effect on suicidal ideation among women with moderate levels of well-being, self-esteem, and active coping, but has a strong adverse influence in those with high and low levels of psychosocial resources. PMID:23565018

Staphylococcal Entertotoxins of the Enterotoxin Gene Cluster (egcSEs Induce Nitrous Oxide- and Cytokine Dependent Tumor Cell Apoptosis in a Broad Panel of Human Tumor Cells

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David eTerman

2013-08-01

Full Text Available The egcSEs comprise five genetically linked staphylococcal enterotoxins, SEG, SEI, SElM, SElN and SElO and two pseudotoxins which constitute an operon present in up to 80% of Staphylococcus aureus isolates. A preparation containing theses proteins was recently used to treat advanced lung cancer with pleural effusion. We investigated the hypothesis that egcSEs induce nitrous oxide (NO and associated cytokine production and that these agents may be involved in tumoricidal effects against a broad panel of clinically relevant human tumor cells. Preliminary studies showed that egcSEs and SEA activated T cells (range: 11-25% in a concentration dependent manner. Peripheral blood mononuclear cells (PBMCs stimulated with equimolar quantities of egcSEs expressed NO synthase and generated robust levels of nitrite (range: 200-250 µM, a breakdown product of NO; this reaction was inhibited by NG-monomethyl-L-arginine (L-NMMA (0.3 mM, an NO synthase antagonist. Cell free supernatants (CSFs of all egcSE-stimulated PBMCs were also equally effective in inducing concentration dependent tumor cell apoptosis in a broad panel of human tumor cells. The latter effect was due in part to the generation of NO and TNF-α since it was significantly abolished by L-NMMA, anti-TNF-α antibodies respectively and a combination thereof. A hierarchy of tumor cell sensitivity to these CFSs was as follows: lung carcinoma>osteogenic sarcoma>melanoma>breast carcinoma>neuroblastoma. Notably, SEG induced robust activation of NO/TNFα-dependent tumor cell apoptosis comparable to the other egcSEs and SEA despite TNF-α and IFN-γ levels that were 2 and 8 fold lower respectively than the other egcSEs and SEA. Thus, egcSEs produced by S. aureus induce NO synthase and the increased NO formation together with TNF-α appear to contribute to egcSE-mediated apoptosis against a broad panel of human tumor cells.

UNA ALTERNATIVA DE ANÁLISIS MULTIVARIANTE PARA MEDIR EL DESARROLLO HUMANO EN PAÍSES LATINOAMERICANOS

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Wilmar de Jesús Briceño Rondón

2010-04-01

Full Text Available El objetivo de esta investigación es explorar mediante el análisis multivariado, el nivel de Desarrollo Humano en los países de América Latina. Se realizó una investigación de tipo documental, exploratoria y descriptiva, sustentada en técnicas estadísticas de Análisis Multivariado de datos (análisis clúster y análisis discriminante, utilizando la información del año 2003 del PNUD. Se incluyen dos nuevos indicadores como son la tasa de mortalidad infantil y el gasto público en salud y se utilizó el paquete estadístico para ciencias sociales (SPSS versión 15, para el manejo de los datos. Se constituyeron dos grupos de países, uno con características de alto desarrollo y un segundo grupo en el cual se encuentra Venezuela con características de bajo desarrollo. Las variables esperanza de vida al nacer y la tasa de mortalidad infantil representan las funciones discriminantes del modelo.

La medicina rural, un imperativo en los países en vías de desarrollo

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Andrea Estefanía López Palma

2018-01-01

Full Text Available La medicina rural es una etapa de servicio a la comunidad, de carácter obligatorio para todos los egresados de la formación médica de pregrado. Su puesta en práctica es un elemento esencial para el desarrollo social y económico en las comunidades. En Ecuador, los graduados de la carrera de Medicina, al no ser formados bajo el modelo de atención integral de salud y la filosofía de la atención primaria de salud se enfrentan durante la ruralidad a algunos inconvenientes laborales y profesionales. Este trabajo se orienta a reflexionar sobre la situación actual de la medicina rural en los países en vías de desarrollo. Se presentan algunas alternativas de mejora que pueden implementarse en los países para lograr la formación rural de un profesional comprometido con la atención primaria de salud.

Revised upper limb module for spinal muscular atrophy: Development of a new module.

Science.gov (United States)

Mazzone, Elena S; Mayhew, Anna; Montes, Jacqueline; Ramsey, Danielle; Fanelli, Lavinia; Young, Sally Dunaway; Salazar, Rachel; De Sanctis, Roberto; Pasternak, Amy; Glanzman, Allan; Coratti, Giorgia; Civitello, Matthew; Forcina, Nicola; Gee, Richard; Duong, Tina; Pane, Marika; Scoto, Mariacristina; Pera, Maria Carmela; Messina, Sonia; Tennekoon, Gihan; Day, John W; Darras, Basil T; De Vivo, Darryl C; Finkel, Richard; Muntoni, Francesco; Mercuri, Eugenio

2017-06-01

There is a growing need for a robust clinical measure to assess upper limb motor function in spinal muscular atrophy (SMA), as the available scales lack sensitivity at the extremes of the clinical spectrum. We report the development of the Revised Upper Limb Module (RULM), an assessment specifically designed for upper limb function in SMA patients. An international panel with specific neuromuscular expertise performed a thorough review of scales currently available to assess upper limb function in SMA. This review facilitated a revision of the existing upper limb function scales to make a more robust clinical scale. Multiple revisions of the scale included statistical analysis and captured clinically relevant changes to fulfill requirements by regulators and advocacy groups. The resulting RULM scale shows good reliability and validity, making it a suitable tool to assess upper extremity function in the SMA population for multi-center clinical research. Muscle Nerve 55: 869-874, 2017. © 2016 Wiley Periodicals, Inc.

Predictors of maternal language to infants during a picture book task in the home: Family SES, child characteristics and the parenting environment.

Science.gov (United States)

Vernon-Feagans, Lynne; Pancsofar, Nadya; Willoughby, Mike; Odom, Erica; Quade, Alison; Cox, Martha

2008-01-01

This study investigated the contribution of child characteristics and parenting environment to the relationship between family SES/demographic characteristics and maternal language to infants.1157 children were drawn from a representative sample of 1292 infants born to mothers in rural Appalachian counties and rural counties in southern minority U.S. communities. Mothers and their 6-8 month old babies were videotaped at home while talking about a wordless picture book. Mothers' language output and complexity were analyzed. Child temperament, age, and parenting environment (knowledge of child development and observed mother-child engagement) were predictors of maternal language. Furthermore, their inclusion reduced the magnitude of the association between demographic characteristics and maternal language. Tests of mediation suggested that the parenting environment partially mediates the relationship between SES/demographic characteristics and maternal language. Findings are discussed with respect to identifying proximal processes that explain how SES may exert its influence on the language of young children.

Demographic characteristics of MS patients in Poland's upper Silesia region.

Science.gov (United States)

Pierzchala, Krystyna; Adamczyk-Sowa, Monika; Dobrakowski, Pawel; Kubicka-Baczyk, Katarzyna; Niedziela, Natalia; Sowa, Pawel

2015-05-01

In Poland, no national registry of MS patients has yet been introduced. So far, no demographic studies have been conducted in patients with MS in Upper Silesia. The aim of the present study was to evaluate, for the first time, a selected demographic and clinical parameters in MS patients from the Upper Silesia region and compare these characteristics with previously published data from other regions of Poland. 640 patients with clinically defined MS, were prospectively and randomly selected for the study. Social, socio-economic, and demographic data were obtained through a questionnaire study. All subjects performed a self-assessment of their health condition using EQ-5D and EQ-VAS version questionnaires. The ratio of women to men was 2.18. The average age of onset was 29.6 ± 11.1 years; the disease duration was 7.9 ± 4.5 years. The relapsing-remitting form of MS was diagnosed in 73.12%. In 71.25% the onset was monofocal and in 28.75% multifocal disease onset was observed. Among the studied population 339 (52.97%) patients were still employed. A mean EQ-VAS score of 66.11 ± 20.12 was calculated. Results from our study identify for the first time the demographic and clinical characteristics of the Upper Silesia MS population.

PERSPECTIVAS DEL TRATAMIENTO ANAEROBIO DE AGUAS RESIDUALES DOMÉSTICAS EN PAÍSES EN DESARROLLO PERSPECTIVAS DO TRATAMENTO ANAERÓBIO DE ESGOTOS DOMÉSTICOS EM PAÍSES EM DESENVOLVIMENTO PERSPECTIVES OF ANAEROBIC TREATMENT OF DOMESTIC WASTEWATER IN DEVELOPING COUNTRIES

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Patricia Torres

2012-12-01

Full Text Available En países con grandes problemas de saneamiento y pocos recursos, como los que están en vías de desarrollo, se requieren plantas de tratamiento de aguas residuales domésticas -PTARD- apropiadas y sostenibles; dado que estos países se localizan en general en regiones de clima tropical y subtropical (temperaturas superiores a 20 °C, la digestión anaerobia es una tecnología clave que genera subproductos con valor agregado (bioenergía, nutrientes y agua para reúso. América Latina es la región con mayor número de PTARD anaerobias, siendo el reactor UASB el de mayor aplicación para el tratamiento del ARD; su implementación a escala tan grande como la de la PTARD Onça (Belo Horizonte, Brasil demuestra que es una tecnología consolidada, con eficiencias de reducción entre 65 % y 80 % de DQO y TRH entre 6 y 10 horas. Sin embargo, es necesario continuar avanzando en el mejoramiento y perfeccionamiento de los actuales métodos de tratamiento que permitan soluciones tecnológicas respetuosas con el ambiente y adecuadas a las condiciones socioeconómicas y culturales propias de cada región. Este documento plantea un análisis y reflexión sobre el tratamiento anaerobio de ARD en países en desarrollo y sobre las perspectivas de aplicación en pequeña y gran escala.Em países com grandes problemas de saneamento e poucos recursos como os países que estão em desenvolvimento, se requerem estações de tratamento de esgotos -ETE- apropriadas e sustentáveis; dado que estes países localizam-se em geral em regiões de clima tropical e subtropical (temperaturas superiores a 20 °C, a digestão anaeróbia é uma tecnologia chave que gera subprodutos com valor agregado (bioenergia, nutrientes e água para reuso. América Latina é a região com maior número de ETE anaeróbias, sendo o reator UASB o de maior aplicação para o tratamento de esgotos domésticos; sua implementação em escala tão grande como a da ETE Onça (Belo Horizonte, Brasil

LOS PAÍSES DEL TERCER MUNDO FRENTE A LA CRISIS EUROPEA

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PEDRO NEL PÁEZ; JORGE ISAZA; LUZ AMANDA ZAMORA

2014-01-01

El objetivo de este documento es determinar los canales de transmisión de la crisis europea hacia los países del Tercer Mundo. El trabajo examina la forma en que la crisis de la deuda soberana se propagó por el sector financiero, a través de la mayor volatilidad de la rentabilidad de los activos. Lo cual se debió a una mayor variación de sus precios, lo que tuvo efectos sobre el patrimonio neto de los agentes económicos, los ingresos, la demanda agregada y la asignación del crédito, así como ...

Population Structure and Abundance of Arsenite-Oxidizing Bacteria along an Arsenic Pollution Gradient in Waters of the Upper Isle River Basin, France▿ †

Science.gov (United States)

Quéméneur, Marianne; Cébron, Aurélie; Billard, Patrick; Battaglia-Brunet, Fabienne; Garrido, Francis; Leyval, Corinne; Joulian, Catherine

2010-01-01

Denaturing gradient gel electrophoresis (DGGE) and quantitative real-time PCR (qPCR) were successfully developed to monitor functional aoxB genes as markers of aerobic arsenite oxidizers. DGGE profiles showed a shift in the structure of the aoxB-carrying bacterial population, composed of members of the Alpha-, Beta- and Gammaproteobacteria, depending on arsenic (As) and Eh levels in Upper Isle River Basin waters. The highest aoxB gene densities were found in the most As-polluted oxic surface waters but without any significant correlation with environmental factors. Arsenite oxidizers seem to play a key role in As mobility in As-impacted waters. PMID:20453153

A comparison of proficiency levels in 4-year-old monolingual and trilingual speakers of Afrikaans, isiXhosa and South African English across SES boundaries, using LITMUS-CLT.

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Perold Potgieter, Anneke; Southwood, Frenette

2016-01-01

This study investigated how trilinguals fare on the cross-linguistic lexical tasks (CLT)-Afrikaans, -isiXhosa and -South African English (SAE) (cf. Haman et al., 2015) compared to monolingual controls, and whether the CLT-Afrikaans renders comparable results across socioeconomic status (SES) backgrounds. The LITMUS-CLTs were administered to 41 low SES 4-year-olds (11 trilinguals; 10 monolingual speakers of Afrikaans, isiXhosa and SAE) and the LITMUS-CLT-Afrikaans to 11 mid-SES 4-year-old monolinguals. Results (a) indicate that trilinguals' proficiency in their exposure-dominant language did not differ significantly from monolinguals' proficiency, but their proficiency in their additional two languages was significantly lower than monolinguals' proficiency; (b) reflect the extent, but not current amount, of exposure trilinguals had had over time to each of their languages; and (c) show that low and mid-SES monolinguals differed significantly on noun-related, but not verb-related, CLT measures. Possible reasons for and the clinical implications of these results are discussed.

Géographie de l´Ecole et géographie à l´Ecole. (Etude du fichier des thèses de 1990 à 1994.)

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Chevalier, Jean-Pierre

1997-01-01

La décennie des années 90 est marquée par un développement des travaux de thèses en géographie portant soit sur l´Ecole, soit sur la didactique de la discipline. Certaines font de l´Ecole un objet géographique, d´autres étudient l´enseignement de la géographie, ce sont ces dernières qui relèvent de préoccupations plus proprement didactiques. Nous distinguons donc “géographie de l´Ecole” et “géographie à l´Ecole”. Nous avons étudié le fichier des thèses soutenues et des sujets de thèses dépos...

Using National Databases To Study the College Choice of Low-SES Students. AIR 2000 Annual Forum Paper.

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Cabrera, Alberto F.; La Nasa, Steven M.

This study investigated how economically and sociologically underprivileged students readied themselves for college, highlighting factors affecting the lowest socioeconomic status (SES) students' chances to: secure college qualifications, graduate from high school, and apply to four-year institutions. Data from the 1998 National Educational…

Políticas trigueras en países competidores : Análisis comparado

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Idígoras, Gustavo

2010-01-01

El autor analiza la dificultad de discutir el rol del Estado en la construcción de una cadena de valor del trigo, tanto en la Argentina como en otros países del mundo. Describe como son las políticas públicas agropecuarias de nuestros competidores, a través de subsidios y/o las protecciones arancelarias haciendo hincapié en la importancia de estas políticas en el crecimiento de la cadena de valor del trigo.

A CRISE DO PLANEJAMENTO DE TRANSPORTES NOS PAÍSES EM DESENVOLVIMENTO: REAVALIANDO PRESSUPOSTOS E ALTERNATIVAS

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Eduardo A. Vasconcellos

2010-04-01

Full Text Available O artigo faz inicialmente uma sistematização dos problemas verificados nos países em desenvolvimento, como contribuição ao entendimento da crise urbana e seus efeitos sobre as condições de transporte, são sugeridos novos pressupostos e novos objetivos de orientação do processo de planejamento de transportes.

Scientific Reasoning and Its Relationship with Problem Solving: The Case of Upper Primary Science Teachers

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Alshamali, Mahmoud A.; Daher, Wajeeh M.

2016-01-01

This study aimed at identifying the levels of scientific reasoning of upper primary stage (grades 4-7) science teachers based on their use of a problem-solving strategy. The study sample (N = 138; 32 % male and 68 % female) was randomly selected using stratified sampling from an original population of 437 upper primary school teachers. The…

Preschool Math Exposure in Private Center-Based Care and Low-SES Children's Math Development

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Bachman, Heather J.; Degol, Jessica L.; Elliott, Leanne; Scharphorn, Laura; El Nokali, Nermeen E.; Palmer, Kalani M.

2018-01-01

Research Findings: The present study examined the amount of exposure to math activities that children of low socioeconomic status (SES) encounter in private community-based preschool classrooms and whether greater time in these activities predicted higher math skills. Three cohorts of 4- to 5-year-old children were recruited from 30 private…

Association of dental and skeletal fluorosis with calcium intake and serum vitamin D concentration in adolescents from a region endemic for fluorosis

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Prerna P Patel

2017-01-01

Full Text Available Context: Fluorosis is controlled by the duration of fluoride exposure and calcium and Vitamin D nutrition status. Aim: To examine (a prevalence of dental and skeletal fluorosis in adolescents from upper, middle, and lower socioeconomic strata (SES and (b association of fluorosis with calcium intake and Vitamin D status. Settings and Design: A cross-sectional study conducted in 10–13.9 years apparently healthy adolescents (n = 90, from different SES of Patan (Gujarat, India. Materials and Methods: Dental fluorosis was graded as mild, moderate, and severe. Radiographs of the right hand and wrist were examined and graded. Serum 25 hydroxyvitamin D3 (25OHD and parathyroid hormone concentrations were measured. Diet was recorded (24 h recall and calcium intake was computed (C-diet V-2.1, 2013, Xenios Technologies Pvt. Ltd. Statistical Analysis: Generalized linear model was used to analyze relationships between fluorosis, SES, serum 25OHD concentration, and calcium intake. Results: Fluorosis was predominant in lower SES (17% had both dental and radiological features whereas 73% had dental fluorosis; no skeletal deformities were observed. Mean 25OHD concentrations and dietary calcium were 26.3 ± 4.9, 23.4 ± 4.7, and 18.6 ± 4 ng/ml and 441.2 ± 227.6, 484.3 ± 160.9, and 749.2 ± 245.4 mg/day, respectively, for lower, middle, and upper SES (P < 0.05. Fluorosis and SES showed a significant association (exponential β = 2.5, P = 0.01 as compared to upper SES, middle SES adolescents were at 1.3 times while lower SES adolescents were at 2.5 times higher risk. Serum 25OHD concentrations (P = 0.937 and dietary calcium intake (P = 0.825 did not show a significant association with fluorosis. Conclusion: Fluorosis was more common in lower SES adolescents, probably due to the lack of access to bottled water. Relatively adequate calcium intake and serum 25OHD concentrations may have increased the efficiency of dietary calcium absorption, thus preventing severe

Ideal Body Size as a Mediator for the Gender-Specific Association between Socioeconomic Status and Body Mass Index: Evidence from an Upper-Middle-Income Country in the African Region

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Yepes, Maryam; Maurer, Jürgen; Stringhini, Silvia; Viswanathan, Barathi; Gedeon, Jude; Bovet, Pascal

2016-01-01

Background: While obesity continues to rise globally, the associations between body size, gender, and socioeconomic status (SES) seem to vary in different populations, and little is known on the contribution of perceived ideal body size in the social disparity of obesity in African countries. Purpose: We examined the gender and socioeconomic…

Disparities in survival after Hodgkin lymphoma: a population-based study

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Keegan, Theresa H.M.; Clarke, Christina A.; Chang, Ellen T.; Shema, Sarah J.; Glaser, Sally L.

2009-01-01

Survival after Hodgkin lymphoma (HL) is generally favorable, but may vary by patient demographic characteristics. The authors examined HL survival according to race/ethnicity and neighborhood socioeconomic status (SES), determined from residential census block group at diagnosis. For 12,492 classical HL patients ≥15 years diagnosed in California during 1988-2006 and followed through 2007, we determined risk of overall and HL-specific death using Cox proportional hazards regression; analyses were stratified by age and Ann Arbor stage. Irrespective of disease stage, patients with lower neighborhood SES had worse overall and HL-specific survival than patients with higher SES. Patients with the lowest quintile of neighborhood SES had a 64% (patients aged 15-44 years) and 36% (≥45 years) increased risk of HL-death compared to patients with the highest quintile of SES; SES results were similar for overall survival. Even after adjustment for neighborhood SES, blacks and Hispanics had increased risks of HL-death 74% and 43% (15-44 years) and 40% and 17% (≥45 years), respectively, higher than white patients. The racial/ethnic differences in survival were evident for all stages of disease. These data provide evidence for substantial, and probably remediable, racial/ethnic and neighborhood SES disparities in HL outcomes. PMID:19557531

Upper Gastrointestinal Involvement in Crohn Disease: Histopathologic and Endoscopic Findings.

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Diaz, Liege; Hernandez-Oquet, Rafael Enrique; Deshpande, Amar R; Moshiree, Baharak

2015-11-01

Studies describing the prevalence of upper gastrointestinal (GI) Crohn disease (CD) and its histopathologic changes have been inconsistent as a result of different definitions used for upper GI involvement, diverse populations, and varying indications for endoscopy. We reviewed the literature describing endoscopic findings and histologic lesions in gastric and duodenal mucosa of patients with established CD. PubMed, EMBASE, and the Cochrane Library were searched for gastroduodenal biopsy findings in patients with CD from 1970 to 2014. We included all retrospective and prospective studies in adults. We calculated the prevalence of the most common endoscopic and histopathological findings among patients with overall CD and upper GI CD. Of the 385 articles identified, 20 eligible studies were included. A total of 2511 patients had CD and 815 had upper GI CD. In the CD group, the most common histopathological finding was nonspecific gastric inflammation in 32% of patients, followed by gastric granuloma in 7.9%. Focal gastritis was prevalent in 30.9% of patients. In the upper GI CD group, gastric inflammation was present in 84% of patients, followed by duodenal inflammation in 28.2% and gastric granuloma in 23.2%. The most common gastric endoscopic finding in patients with CD was erythema in 5.9%, followed by erosions in 3.7%. Duodenal endoscopic findings included ulcers and erythema in 5.3% and 3.0% of patients, respectively. We found a prevalence of 34% for CD involving the upper GI tract across these 20 studies. Routine upper endoscopy with biopsies of the upper GI tract in the diagnostic workup of patients with CD can correctly classify the distribution and extent of the disease.

Direito educacional em países lusófonos: análise da legislação brasileira e angolana

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Kellcia Rezende Souza

2017-02-01

Full Text Available O estudo objetivou analisar como se configura o direito à educação na legislação educacional de Angola e no Brasil. Para tanto, foi realizada uma pesquisa bibliográfica e documental com enfoque qualitativo. A fonte documental se constituiu pelas Constituições Federais e legislação educacional vigente em ambos os países. A discussão versou pelo confronto dos ordenamentos legais com as reflexões suscitadas pela literatura da área, procurando colocar em evidência similitudes e diferenças concernentes à garantia do direito a educação nos respectivos países, cuja realidade carece de investigações.

Upper respiratory tract infections in athletes.

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Page, Clifton L; Diehl, Jason J

2007-07-01

Upper respiratory tract infections (URTIs) represent the most common acute illnesses in the general population and account for the leading acute diagnoses in the outpatient setting. Given the athlete's expectation to return to activity as soon as possible, the sports medicine physician should be able to accurately diagnose and aggressively treat these illnesses. This article discusses the common pathogens, diagnosis, treatment options, and return-to-play decisions for URTIs, with a focus on the common cold, sinusitis, pharyngitis, and infectious mononucleosis in the athlete.

Imagen turística de los países latinoamericanos en el mercado español

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Emira Josefina Rodríguez Ducallín

2006-01-01

Full Text Available La imagen turística en un país es un factor clave en su elección como destino. Conocerla es de vital importancia puesto que ella permite definir su posición competitiva y establecer las estrategias de marketing para su comercialización en el mercado turístico internacional. Bajo esta perspectiva se pretendió conocer la imagen de 6 países latinoamericanos (México, Cuba, Venezuela, República Dominicana, Brasil y Centroamérica utilizando para ello un estudio descriptivo. La información se recogió de una muestra de 1.000 personas en la ciudad de Madrid, haciendo uso del diferencial semántico para valorar los atributos y se obtuvo como resultado de forma general que los países latinoamericanos son considerados por el mercado español como amigos, alegres, acogedores, con sol, buen clima entre otros, pero también fueron percibidos, inseguros, poco desarrollados, con inestabilidad política y pobres.

Trends in Acute Nonvariceal Upper Gastrointestinal Bleeding in Dialysis Patients

Science.gov (United States)

Yang, Ju-Yeh; Lee, Tsung-Chun; Montez-Rath, Maria E.; Paik, Jane; Chertow, Glenn M.; Desai, Manisha

2012-01-01

Impaired kidney function is a risk factor for upper gastrointestinal (GI) bleeding, an event associated with poor outcomes. The burden of upper GI bleeding and its effect on patients with ESRD are not well described. Using data from the US Renal Data System, we quantified the rates of occurrence of and associated 30-day mortality from acute, nonvariceal upper GI bleeding in patients undergoing dialysis; we used medical claims and previously validated algorithms where available. Overall, 948,345 patients contributed 2,296,323 patient-years for study. The occurrence rates for upper GI bleeding were 57 and 328 episodes per 1000 person-years according to stringent and lenient definitions of acute, nonvariceal upper GI bleeding, respectively. Unadjusted occurrence rates remained flat (stringent) or increased (lenient) from 1997 to 2008; after adjustment for sociodemographic characteristics and comorbid conditions, however, we found a significant decline for both definitions (linear approximation, 2.7% and 1.5% per year, respectively; Pupper GI bleeding episodes and were more likely to receive blood transfusions during an episode. Overall 30-day mortality was 11.8%, which declined significantly over time (relative declines of 2.3% or 2.8% per year for the stringent and lenient definitions, respectively). In summary, despite declining trends worldwide, crude rates of acute, nonvariceal upper GI bleeding among patients undergoing dialysis have not decreased in the past 10 years. Although 30-day mortality related to upper GI bleeding declined, perhaps reflecting improvements in medical care, the burden on the ESRD population remains substantial. PMID:22266666

Controle Financeiro Governamental: uma pesquisa sobre os arranjos jurídicoinstitucionais e a relação políticoadministrativa em 18 países de diferentes continentes

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Gileno Fernandes Marcelino

2009-09-01

Full Text Available Este artigo tem por objetivo identificar qual o sistema organizacional adotado por instituições responsáveis pelo controle financeiro-orçamentário governamental (controladoria ou tribunal de contas em dezoito países, sendo nove do Continente Americano, cinco do Continente Europeu, três do Continente Asiático e um da Oceania. Além disso, busca-se verificar o tratamento dado pelo ordenamento jurídico desses países e a relação do sistema organizacional existente com o sistema de governo adotado e a história política dos países. A fundamentação teórica abrange conceitos das ciências da Administração, da Economia e do Direito. Quanto ao objetivo, a metodologia adotada é a descritiva e quanto aos procedimentos, a pesquisa é documental. Os países europeus de origem latina França, Itália, Espanha e Portugal adotam como sistema de controle os tribunais de contas. O Continente Americano, predominantemente, adota controladorias, exceto Brasil e Uruguai, onde o controle é realizado por tribunais. China, Índia e Israel também adotam controladorias, assim como na Oceania com a Nova Zelândia. Em Cuba, o controle de contas públicas está a cargo de um Ministério de Auditoria. Nos países parlamentaristas, os arranjos institucionais prevalecentes são Controladorias ou Auditorias-Gerais e nos países presidencialistas predomina os Tribunais de Contas. Palavras-chave: Sistema Organizacional; Controle Governamental; Controladorias; e Tribunais de Contas.

LOS PAÍSES EN DESARROLLO, LA RONDA DE DOHA Y EL ACUERDO SOBRE LOS ADPIC

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Tatiana Oñate Acosta

2010-11-01

Full Text Available En el marco del Comercio Internacional, la regulación de los derechos de propiedad intelectual relacionados con el Comercio ha sido el escenario donde, tal vez como en ningún otro, se han evidenciado las tensiones existentes entre “Norte” y “Sur” como consecuencia de sus intereses antagónicos y difícilmente conciliables. El artículo analiza los avances obtenidos por los países en desarrollo en las negociaciones de la Ronda de Doha en dos temas centrales del debate mundial sobre propiedad intelectual: los productos farmacéuticos y el conocimiento tradicional, y deja abierto el debate sobre el retroceso que el auge de la vía bilateral podría significar para la defensa de sus intereses. El objetivo de este artículo es evidenciar que a pesar de que los plazos previstos para finalizar la Ronda de Doha se han incumplido, el plazo inicial era el 1o de enero de 2005 y en diciembre de 2005 los miembros se propusieron extraoficialmente concluir las negociaciones a finales de 2006 –plazo que tampoco se cumplió– y que hasta ahora sólo puede ser calificada de fracaso –el bloqueo de las negociaciones obligaron a su suspensión indefinida en julio de 2006–, no debe desconocerse que, en lo que al Acuerdo sobre los ADPIC se refiere, permitió que los países en desarrollo iniciaran una ofensiva que no podrían haber contemplado veinte años atrás. Así, gracias al carácter multilateral de la OMC que tantas críticas ha despertado, en los países desarrollados han logrado defender sus intereses en un tema de vital importancia para sus reivindicaciones como es el del acceso a medicamentos y han abierto el debate para que finalmente se reconozca el derecho que tienen de proteger y beneficiarse de los conocimientos tradicionales.

Design and preliminary evaluation of an exoskeleton for upper limb resistance training

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Wu, Tzong-Ming; Chen, Dar-Zen

2012-06-01

Resistance training is a popular form of exercise recommended by national health organizations, such as the American College of Sports Medicine (ACSM) and the American Heart Association (AHA). This form of training is available for most populations. A compact design of upper limb exoskeleton mechanism for homebased resistance training using a spring-loaded upper limb exoskeleton with a three degree-of-freedom shoulder joint and a one degree-of-freedom elbow joint allows a patient or a healthy individual to move the upper limb with multiple joints in different planes. It can continuously increase the resistance by adjusting the spring length to train additional muscle groups and reduce the number of potential injuries to upper limb joints caused by the mass moment of inertia of the training equipment. The aim of this research is to perform a preliminary evaluation of the designed function by adopting an appropriate motion analysis system and experimental design to verify our prototype of the exoskeleton and determine the optimal configuration of the spring-loaded upper limb exoskeleton.

La Educación Matemática en Finlandia: un camino seguro para otros países o una anomalía

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Scott, Patrick

2013-01-01

Finlandia últimamente ha recibido mucha fama por su éxito en la prueba de PISA. Varios libros, muchos artículos en revistas académicas y en la prensa popular han analizado dicho éxito. ¿Cuáles son algunas de las características demográficas de Finlandia y cómo se comparan con los países del Caribe? ¿Cuáles son algunos de los aspectos principales del éxito de Finlandia? ¿Cómo se comparan con los países del Caribe? ¿Qué debemos aprender de la experiencia de Finlandia?

Por uma nova ordem energética global? potencialidades e perspectivas da questão energética entre os países BRICS

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José María Gómez

2012-12-01

Full Text Available O presente artigo propõe analisar a questão energética entre os BRICS e o potencial de rearticulação da ordem energética global que dela emerge. Para tal, realiza três movimentos. Em primeiro lugar, investiga o crescente impacto agregado dos países BRICS no cenário energético global, com vistas a analisar seu avanço em uma temática até então reduto dos países desenvolvidos. Em segundo lugar, aborda a matriz energética de cada um dos cinco países do ponto de vista de suas economias políticas e da questão da sustentabilidade. Em terceiro lugar, e com base na seção anterior, propõe mapear as áreas de conflito e de possível aproximação entre os BRICS, na tentativa de localizar as possibilidades e limites da sua cooperação energética. Com base nessa investigação, conclui que, diante das potencialidades para a cooperação entre os países, a organização de suas ofertas e demandas energéticas nacionais pode permitir ao agrupamento articular-se como um novo polo no cenário energético global.

Status and trends of adult Lost River (Deltistes luxatus) and shortnose (Chasmistes brevirostris) sucker populations in Upper Klamath Lake, Oregon, 2015

Science.gov (United States)

Hewitt, David A.; Janney, Eric C.; Hayes, Brian S.; Harris, Alta C.

2017-07-21

Executive SummaryData from a long-term capture-recapture program were used to assess the status and dynamics of populations of two long-lived, federally endangered catostomids in Upper Klamath Lake, Oregon. Lost River suckers (LRS; Deltistes luxatus) and shortnose suckers (SNS; Chasmistes brevirostris) have been captured and tagged with passive integrated transponder (PIT) tags during their spawning migrations in each year since 1995. In addition, beginning in 2005, individuals that had been previously PIT-tagged were re-encountered on remote underwater antennas deployed throughout sucker spawning areas. Captures and remote encounters during the spawning season in spring 2015 were incorporated into capture-recapture analyses of population dynamics. Cormack-Jolly-Seber (CJS) open population capture-recapture models were used to estimate annual survival probabilities, and a reverse-time analog of the CJS model was used to estimate recruitment of new individuals into the spawning populations. In addition, data on the size composition of captured fish were examined to provide corroborating evidence of recruitment. Separate analyses were done for each species and also for each subpopulation of LRS. Shortnose suckers and one subpopulation of LRS migrate into tributary rivers to spawn, whereas the other LRS subpopulation spawns at groundwater upwelling areas along the eastern shoreline of the lake. Characteristics of the spawning migrations in 2015, such as the effects of temperature on the timing of the migrations, were similar to past years.Capture-recapture analyses for the LRS subpopulation that spawns at the shoreline areas included encounter histories for 13,617 individuals, and analyses for the subpopulation that spawns in the rivers included 39,321 encounter histories. With a few exceptions, the survival of males and females in both subpopulations was high (greater than or equal to 0.86) between 1999 and 2013. Survival was notably lower for males from the rivers

O Índice de Ecoeficiência em âmbito internacional: uma análise comparativa do desempenho de 51 países entre os anos de 1991 e 2012

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Harine Matos Maciel

2017-04-01

Full Text Available O objetivo desta pesquisa foi calcular o Índice de Ecoeficiência (IE para 51 países por meio do método Análise Envoltória de Dados (DEA. Verificou-se que o valor da ecoeficiência média diminuiu entre os anos de 1991 e 2012. Houve predominância dos países desenvolvidos e do continente europeu nos maiores índices de ecoeficiência. Os piores resultados foram alcançados por Índia e China. De modo geral, em todos os anos, o IE foi muito baixo na maioria dos países, sendo que metade destes são países em desenvolvimento e localizados, predominantemente, no continente asiático. A principal implicação dos resultados obtidos é de que são necessárias regulamentações mais rigorosas acerca do tema ambiental, principalmente para os países que apresentaram baixos valores de ecoeficiência. A presente análise sobre o Índice de Ecoeficiência busca ampliar o conhecimento sobre o assunto para propor melhores alternativas para alcançar a sustentabilidade tão necessária para as futuras gerações.

La industria farmacéutica y la sostenibilidad de los sistemas de salud en países desarrollados y América Latina

OpenAIRE

Iñesta,Antonio; Oteo,Luis Angel

2011-01-01

La crisis económica y su impacto en las finanzas públicas en la mayoría de los países desarrollados, están originando políticas de contención del gasto en los servicios de salud. Las leyes actuales del medicamento exigen calidad, seguridad y eficacia de estos productos. Algunos países incluyen criterios de eficiencia para los nuevos medicamentos que desean ser incluidos en la financiación pública. El consumo apropiado de genéricos y "medicamentos biosimilares" es muy importante para mantener ...

Peepo: inodoro seco para países en vías de desarrollo

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Gómez Tuya, Alejandra

2017-01-01

Peepo es un inodoro seco para países en vías de desarrollo y situaciones de emergencia. Es un objeto que pretende enmarcarse en un programa de educación sobre la higiene para prevenir todos los problemas derivados de los malos hábitos, convirtiendo como incentivo un desecho (las heces y la orina) en recurso, los fertilizantes. Departamento de Teoría de la Arquitectura y Proyectos Arquitectónicos Grado en Ingeniería en Diseño Industrial y Desarrollo de Producto

Bridging the Numeracy Gap for Students in Low SES Communities: The Power of a Whole School Approach

Science.gov (United States)

Gervasoni, Ann; Parish, Linda; Upton, Cait; Hadden, Teresa; Turkenburg, Kathie; Bevan, Kate; Livesey, Carole; Thompson, Deirdre; Croswell, Melissa; Southwell, Julie

2010-01-01

This paper explores the impact of the "Bridging the Numeracy Gap Project" on the whole-number learning of Prep and Grade 1 students living in a low Socio-Economic Status (SES) community. The findings suggest that an approach that includes a specialist mathematics teacher who provides specialised programs for mathematically vulnerable…

Opportunities for Learning Math in Elementary School: Implications for SES Disparities in Procedural and Conceptual Math Skills

Science.gov (United States)

Bachman, Heather J.; Votruba-Drzal, Elizabeth; El Nokali, Nermeen E.; Castle Heatly, Melissa

2015-01-01

The present study examined whether multiple opportunities to learn math were associated with smaller socioeconomic status (SES) disparities in fifth-grade math achievement using data from the NICHD Study of Early Child Care and Youth Development (SECCYD; N = 1,364). High amounts of procedural math instruction were associated with higher…

Continuidad y longitudinalidad en medicina general en cuatro países europeos

Directory of Open Access Journals (Sweden)

Pastor-Sánchez Raimundo

1997-01-01

Full Text Available FUNDAMENTO: El objetivo fue comparar la continuidad y longitudinalidad de la medicina general en cuatro países europeos del modelo público asalariado. MÉTODOS: Estudio descriptivo y prospectivo. 63 médicos generales/de familia asalariados registraron todos los encuentros (directos/indirectos con sus pacientes durante una semana, en centros públicos y estatales de atención primaria de España, Finlandia, Portugal y Suecia. RESULTADOS: El 92% de los encuentros fueron en el despacho médico; fueron directos el 75%; la media de consultas por semana y médico fue de 103. El problema principal de salud fue crónico en el 42% de los casos y agudo en el 31%. El paciente había sido atendido previamente por ese problema en el 63% de los encuentros y por otro problema en el 79%. El médico conocía profesionalmente a algún familiar en el 66% de los pacientes atendidos. CONCLUSIONES: Los países estudiados presentan un grado variable de continuidad y longitudinalidad en medicina general (de mayor a menor: Portugal, España, Suecia y Finlandia. En España las consultas son de corta duración, y con un escaso uso de sistemas de prescripción repetida; en Portugal se forma lista de espera de pacientes, bloqueando la asistencia de los problemas agudos; en Finlandia falta el listado de pacientes, lo que despersonaliza la asistencia; y en Suecia también se forman listas de espera y se hace un mayor uso de la consulta indirecta (especialmente mediante el teléfono.

Differences in oral health behaviour between children from high and children from low SES schools in the Netherlands

NARCIS (Netherlands)

Jerkovic-Cosic, Katarina; Binnekade, J M; van der Kruk, Joke; van der Most, J A; Talsma, A C; van der Schans, Cees

OBJECTIVE: To identify the determinants of dental caries in relation to socio-economic status (SES) within oral health, children's eating habits and parental attitudes towards oral health. BASIC RESEARCH DESIGN: Dental screening data were collected from 6- and 10-year-old schoolchildren from low and

Differences in oral health behaviour between children from high and children from low SES schools in The Netherlands

NARCIS (Netherlands)

Jerkovic, K.; Binnekade, J. M.; van der Kruk, J. J.; van der Most, J. A.; Talsma, A. C.; van der Schans, C. P.

2009-01-01

OBJECTIVE: To identify the determinants of dental caries in relation to socio-economic status (SES) within oral health, children's eating habits and parental attitudes towards oral health. BASIC RESEARCH DESIGN: Dental screening data were collected from 6- and 10-year-old schoolchildren from low and

Differences in oral health behaviour between children from high and children from low SES schools in the Netherlands

NARCIS (Netherlands)

Jerkovic, K.; Binnekade, J. M.; van der Kruk, J. J.; van der Most, J. A.; Talsma, A. C.; van der Schans, C. P.

Objective To identify the determinants of dental caries in relation to socio-economic status (SES) within oral health, children's eating habits and parental attitudes towards oral health. Basic research design Dental screening data were collected from 6- and 10-year old schoolchildren from low and

[The response of the upper respiratory tract to the impact of atmospheric pollution].

Science.gov (United States)

Mukhamadiev, R A; Ismagilov, Sh M

2015-01-01

The present literature review characterizes the environmental conditions in the Russian Federation in general and the Republic of Tatarstan in particular with special reference to the influence of atmospheric pollution on the development and the clinical picture of the diseases of the respiratory organs including pathology of the upper respiratory tract in the populations of the industrial centres and other environmentally unfriendly areas. The views of the domestic and foreign authors concerning the role of the environmental factors in the clinical picture of the upper respiratory tract disorders are described in detail. The authors emphasize the necessity of the further investigationsinto this problem and the development of the methods for the prevention of diseases of the upper respiratory react.

Malignant tumors of the upper aerodigestive tract as seen in a ...

African Journals Online (AJOL)

and nasal cavity are more commonly affected than the oral cavity unlike in other populations. Nonepithelial tumors are extremely rare below the age of 20 years. Key words: Malignant tumors, Nigeria, upper aerodigestive tract. Date of Acceptance: 28‑May‑2014. Address for correspondence: Dr. Sabageh Donatus,.

Validation of the Rockall risk scoring system in upper gastrointestinal bleeding

NARCIS (Netherlands)

Vreeburg, E. M.; Terwee, C. B.; Snel, P.; Rauws, E. A.; Bartelsman, J. F.; Meulen, J. H.; Tytgat, G. N.

1999-01-01

Several scoring systems have been developed to predict the risk of rebleeding or death in patients with upper gastrointestinal bleeding (UGIB). These risk scoring systems have not been validated in a new patient population outside the clinical context of the original study. To assess internal and

Colaboración científica entre países de la región latinoamericana

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Russell, Jane M.

2007-06-01

Full Text Available An analysis of the scientific collaboration among Latin American countries registered between 1975 and 2004 in the Science Citation Index database, Web of Science online version, revealed a steady increase in the number of publications, more marked in the last decade, as well as in the percentages that these represent in the total number of publications authored by regional scientists. Differences were found between countries in the magnitude of these increases, the smaller countries showing the highest levels of collaboration, especially with respect to those publications also involving scientists from institutions outside the Latin American region. The most common subject areas of intra-regional collaboration were Biology, Health, Physics, and Chemistry. Participating institutions from outside the region in intra-regional co-authorship were most commonly European (40% of cases and North American (38%. The impact of papers as measured by a normalized h-index, involving scientists from outside the region was greater than that found for all intra-regional publications. The dominant bilateral regional collaboration was between Brazil and Argentina which in recent years has focused on topics in the Health Sciences and Astronomy. A detailed analysis of Physics papers showed that institutions from Brazil and Argentina are the most productive in intra-regional collaborations and Condensed Matter, the most studied subject.

Un análisis de la colaboración científica entre los países de América Latina a través de documentos registrados de 1975-2004 en el Science Citation Index versión Web of Science, revela un aumento paulatino en el número total de trabajos principalmente en la última década, así como en los porcentajes de éstos del total de publicaciones registradas por la región. La magnitud de estos aumentos varía; los países más pequeños mostraron los niveles más altos de colaboración, en especial

análisis de algunos factores determinantes en seis países

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Ángel Vázquez Alonso

2015-01-01

mujeres; como factores más importantes para elegir CTIM destacan el interés por la ciencia, las lecciones que muestran aplicaciones prácticas, los buenos profesores de ciencias, las series de TV, los libros y las revistas de ciencia populares y algunas de las prioridades para el futuro (hacer algo interesante, usar el talento y el desarrollo personal. Muchos ítems muestran diferencias estadísticamente significativas entre hombres y mujeres, y prácticamente todos entre países. Se discuten las implicaciones para la enseñanza de la ciencia que mejoren el reclutamiento y la educación en los cursos CTIM.

Sebaceous carcinoma of right upper eyelid: case report and literature review

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Shruti Singh

2013-12-01

Full Text Available Sebaceous gland carcinoma is a rare fast growing cutaneous cancer. It is derived from the adenxal epithelium of sebaceous glands. Sebaceous carcinomas are generally divided into those occurring in periocular or extraocular locations. Ocular sebaceous carcinomas occur most commonly in upper eye lid, in the elderly with a predilection for females and Asian populations. Due to its clinical resemblance with chalazion or other chronic inflammatory conditions, there is a delay in diagnosis. Due to its rarity, we present a case of sebaceous carcinoma of right upper eyelid in a 65-year-old female.----------------------------------------------Cite this article as:Singh S, Kaur S, Mohan A, Goyal S. Sebaceous carcinoma of right upper eyelid: case report and literature review. Int J Cancer Ther Oncol 2013; 1(2:01022.DOI: http://dx.doi.org/10.14319/ijcto.0102.2

Parenting Processes and Dating Violence: The Mediating Role of Self-Esteem in Low- and High-SES Adolescents

Science.gov (United States)

Pflieger, Jacqueline C.; Vazsonyi, Alexander T.

2006-01-01

The current investigation tested a model in which low self-esteem mediated the effects by parenting processes (monitoring, closeness, and support) on measures of dating violence (victimization, perpetration, attitudes, and perceptions) in a sample of adolescents (n=809; mean age=16.4 years) from both low- and high-socioeconomic (SES) backgrounds.…

La globalización de productos culturales: Un Análisis Webométrico de Kpop en países de habla hispana

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Xanat Vargas Meza

2015-06-01

Full Text Available Este estudio examina la red de difusión de Kpop en los países de habla hispana, abordando sus patrones de comunicación y centros principales, ilustrando las actividades y relaciones de los fans de Kpop en Twitter. Basándose en NodeXL, Tweets con el hashtag "Kpop" fueron recolectados entre Marzo y Agosto del 2012, y los patrones estructurales y de información de la comunicación por redes sociales fueron analizados a través de una serie de métodos webométricos. Los resultados indican que el Kpop ganó una pequeña pero creciente porción de las preferencias musicales en los países hispanos como resultado de los esfuerzos combinados de las empresas de difusión pública y los fans. El presente estudio es el primero enfocado en países que comparten un lenguaje común para proporcionar una mejor comprensión de la difusión de productos culturales a través de Twitter.

TCT-584 Nine Month Imaging and Twelve Month Clinical Results from the DESSOLVE II Randomized Trial of the MiStent® SES with Absorbable Polymer

OpenAIRE

Wijns, William; Vrolix, Mathias; Verheye, Stefan; Schoors, Danny; Slagboom, Ton; Gosselink, Marcel; Benit, Edouard; Desmet, Walter; Chowdhary, Saquib; Lansky, Alexandra; Bezerra, Hiram; Fitzgerald, Peter; Kandzari, David; Ormiston, John

2012-01-01

Background : The MiStent SES (Micell Technologies, Durham, NC) is an investigational drug-eluting stent (DES) developed to adress unfavorable late-term outcomes such as stent thrombosis. These events are hypothesized to be associated in part with durable polymers of current DES. The MiStent SES uses a unique combination of components, a crystalline formulation of sirolimus and a fully absorbable polymer on a thinstrut, cobalt chromium stent platform. The polymer coating is eliminated from the...

Supra-Epiglottic Upper Airway Volume in Elderly Patients with Obstructive Sleep Apnea Hypopnea Syndrome.

Science.gov (United States)

Boutet, Claire; Abdirahman Mohamed Moussa, Syad; Celle, Sébastien; Laurent, Bernard; Barthélémy, Jean-Claude; Barral, Fabrice-Guy; Roche, Frédéric

2016-01-01

Small upper airway measurements areas and high body mass index are recognized risk factors for obstructive sleep apnea syndrome (OSAS) in non-elderly populations; however, there is limited information regarding elderly patients. We evaluated whether upper airway volume is associated with OSAS and OSAS treated with continuous positive airway pressure (CPAP) treatment and whether BMI is correlated with upper airway volume and measurements in elderly subjects. In 60 volunteers aged 75.58±0.9 years: 20 OSAS, 20 OSAS chronically treated with CPAP, and 20 controls, semi-automatic segmentation, retropalatal distance and transverse diameter of the supra-epiglottic upper airway were evaluated using 3DT1-weighted magnetic resonance imaging. Anteroposterior to transverse diameter ratio was defined as retropalatar diameter/transverse diameter. There were no significant differences in supra-epiglottic upper airway volume between OSAS, CPAP treated patients, and controls. There were significant differences in retropalatal distance and anteroposterior to transverse diameter ratio between OSAS, CPAP treated patients, and controls (P = 0.008 and Psupra-epiglottic upper airway volume. In elderly subjects, OSAS and body mass index are not associated with changes in supra-epiglottic upper airway volume but are associated with modification of pharynx shape.

5 CFR 317.501 - Recruitment and selection for initial SES career appointment be achieved from the brightest and...

Science.gov (United States)

2010-01-01

.... OPM may review proposed career appointments to ensure that they comply with all merit staffing... career appointment be achieved from the brightest and most diverse pool possible. 317.501 Section 317.501... EXECUTIVE SERVICE Career Appointments § 317.501 Recruitment and selection for initial SES career appointment...

Life expectancy estimation in small administrative areas with non-uniform population sizes: application to Australian New South Wales local government areas.

Science.gov (United States)

Stephens, Alexandre S; Purdie, Stuart; Yang, Baohui; Moore, Helen

2013-12-02

To determine a practical approach for deriving life expectancy estimates in Australian New South Wales local government areas which display a large diversity in population sizes. Population-based study utilising mortality and estimated residential population data. 153 local government areas in New South Wales, Australia. Key performance measures of Chiang II, Silcocks, adjusted Chiang II and Bayesian random effects model methodologies of life expectancy estimation including agreement analysis of life expectancy estimates and comparison of estimate SEs. Chiang II and Silcocks methods produced almost identical life expectancy estimates across a large range of population sizes but calculation failures and excessively large SEs limited their use in small populations. A population of 25 000 or greater was required to estimate life expectancy with SE of 1 year or less using adjusted Chiang II (a composite of Chiang II and Silcocks methods). Data aggregation offered some remedy for extending the use of adjusted Chiang II in small populations but reduced estimate currency. A recently developed Bayesian random effects model utilising the correlation in mortality rates between genders, age groups and geographical areas markedly improved the precision of life expectancy estimates in small populations. We propose a hybrid approach for the calculation of life expectancy using the Bayesian random effects model in populations of 25 000 or lower permitting the precise derivation of life expectancy in small populations. In populations above 25 000, we propose the use of adjusted Chiang II to guard against violations of spatial correlation, to benefit from a widely accepted method that is simpler to communicate to local health authorities and where its slight inferior performance compared with the Bayesian approach is of minor practical significance.

Oncoplastic Surgery for Upper/Upper Inner Quadrant Breast Cancer.

Science.gov (United States)

Lin, Joseph; Chen, Dar-Ren; Wang, Yu-Fen; Lai, Hung-Wen

2016-01-01

Tumors located in the upper/upper inner quadrant of the breast warrant more attention. A small lesion relative to the size of breast in this location may be resolved by performing a level I oncoplastic technique. However, a wide excision may significantly reduce the overall quality of the breast shape by distorting the visible breast line. From June 2012 to April 2015, 36 patients with breast cancer located in the upper/upper inner quadrant underwent breast-conservation surgery with matrix rotation mammoplasty. According to the size and location of the tumor relative to the nipple-areola complex, 11 patients underwent matrix rotation with periareolar de-epithelialization (donut group) and the other 25 underwent matrix rotation only (non-donut group). The cosmetic results were self-assessed by questionnaires. The average weights of the excised breast lumps in the donut and non-donut groups were 104.1 and 84.5 g, respectively. During the 3-year follow-up period, local recurrence was observed in one case and was managed with nipple-sparing mastectomy followed by breast reconstruction with prosthetic implants. In total, 31 patients (88.6%) ranked their postoperative result as either acceptable or satisfactory. The treated breasts were also self-evaluated by 27 patients (77.1%) to be nearly identical to or just slightly different from the untreated side. Matrix rotation is an easy breast-preserving technique for treating breast cancer located in the upper/upper inner quadrant of the breast that requires a relatively wide excision. With this technique, a larger breast tumor could be removed without compromising the breast appearance.

Upper functional gastrointestinal disorders in young adults.

Science.gov (United States)

Adibi, Peyman; Behzad, Ebrahim; Shafieeyan, Mohammad; Toghiani, Ali

2012-01-01

Functional Gastrointestinal disorders (FGID) are common disorders in gastroenterology which are common in young adults. The aim of this study is evaluating the prevalence of upper FGID in iranian young adults. This was a cross-sectional study which was on 995 persons who were going to marry. A ROME III based questionnaire was used to determine the frequency of upper GI Syndromes among the sample population. Our results determined 74 subjects had functional dyspepsia (36 subjects diagnosed as postprandial distress syndrome patient and Epigastric pain syndrome was seen in 38 subjects). Functional heartburn was diagnosed in 52 participants. Globus was seen in 35 subjects and 41 had unspecified excessive belching. Many epidemiologic studies were done all around the world but there are different reports about prevalence and incidence of FGIDs. Our results were agreed with reported prevalence of FGIDs in Iran in adults. And our findings were agreed with some other Asian studies.

Parental Assessment of Status of Congenital Upper Limb Differences: Analysis of the Pediatric Outcomes Data Collection Instrument.

Science.gov (United States)

Wall, Lindley B; Shen, Tony; Roberts, Summer; Goldfarb, Charles A

2016-03-01

To determine the range of the Pediatric Outcomes Collection Instrument (PODCI) scores for children with a wide variety of congenital upper limb differences and to examine the scoring effect of the patient's surgical history, family history, severity of involvement, and syndromic associations. We reviewed the PODCI scores for 109 patients, aged 2-18 years, treated for nontraumatic upper extremity conditions. Charts were reviewed for sex, age, extent of limb involvement, laterality, family history, surgical history, and syndrome association. All patients were classified based on the Oberg, Manske, Tonkin classification with general categories of malformation, deformation, or dysplasia. Of 109 patients, 80 (73%) had a malformation, 12 (11%) had a deformation, and 17 (16%) had a dysplasia. The cohort as a whole had a happiness PODCI score that was similar to the normal population, yet a lower (worse) PODCI score for upper extremity and global function. Patients with a dysplasia had a higher upper extremity function scores than those with malformations or deformations, but they had similar happiness and global function scores. Complete upper limb involvement and lower extremity involvement statistically lowered the PODCI score within our study cohort, whereas a positive family history and syndromic association increased PODCI scores. This study showed that there was a similar level of perceived happiness between children/adolescents with congenital upper extremity conditions compared with the normal pediatric population based on PODCI scores. In contrast, the perceived upper extremity and global function was significantly decreased in patients with congenital differences compared with normal individuals. This investigation also revealed that the extent of upper extremity involvement, lower extremity involvement, family history, and syndromic association may affect PODCI scores as independent variables and should be taken into consideration in studies of upper extremity

Los países emergentes en el G-20 y la política seguida por Argentina

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Roberto Miranda

2017-06-01

Full Text Available En este artículo se analiza la presencia de los países emergentes en la gobernanza global a través de la participación desplegada por ellos en el G-20, con el fin de identificar la posición de Argentina en este ámbito multilateral, y determinar el uso que hizo de su poder como potencia media. Para cumplir con este objetivo consideramos las cumbres de jefes de Estado y de Gobierno del G-20, desde la primera realizada en Washington, en 2008, hasta la novena llevada a cabo en Brisbane, en 2014. Observamos que más allá de las diferencias y disputa de intereses, países desarrollados y emergentes convergieron en sostener las Viejas instituciones internacionales como el FMI. Argentina, de participación intensa en las cumbres pero sin una estrategia de influencia, quedó fuera de esta coincidencia y perdió poder en las reformas producidas en los medios multilaterales de crédito.

Fish populations in Plynlimon streams

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D. T. Crisp

1997-01-01

Full Text Available In Plynlimon streams, brown trout (Salmo trutta L. are widespread in the upper Wye at population densities of 0.03 to 0.32 fish m-2 and show evidence of successful recruitment in most years. In the upper Severn, brown trout are found only in an area of c. 1670 -2 downstream of Blaenhafren Falls at densities of 0.03 to 0.24 fish -2 and the evidence suggests very variable year to year success in recruitment (Crisp & Beaumont, 1996. Analyses of the data show that temperature differences between afforested and unafforested streams may affect the rates of trout incubation and growth but are not likely to influence species survival. Simple analyses of stream discharge data suggest, but do not prove, that good years for recruitment in the Hafren population were years of low stream discharge. This may be linked to groundwater inputs detected in other studies in this stream. More research is needed to explain the survival of the apparently isolated trout population in the Hafren.

Functional studies in 79-year-olds. II. Upper extremity function.

Science.gov (United States)

Lundgren-Lindquist, B; Sperling, L

1983-01-01

As part of the Gerontological and Geriatric Population Study of 79-year-old people in Göteborg, a representative subsample comprising 112 women and 93 men took part in a study of upper extremity function. Thirty-eight per cent of the women and 37% of the men had disorders in the upper extremities. The investigation included tests of co-ordination, static strength in the key-grip and the transversal volar grip, power capacity in opening jars and a bottle, basal movements in the upper extremities in personal hygiene and dressing activities, function in the kitchen e.g. reaching shelves, manual tasks including tests of pronation and supination of the forearm. In the key-grip as well as in the transversal volar grip men showed a generally larger decrease in strength with age than women compared to 70-year-olds in a previous population study. Significant correlations were found between strength in the key-grip and the performance time in the test of co-ordination. Women produced about 66% of the muscular force of the men when opening jars. Significant correlations were found between strength in the transversal volar grip and the maximal torque for opening the jars. Female and male subjects who were not capable of handling the electric plug in the manual ability test had significantly weaker strength in the key-grip. The importance of designing products and adapting the environment so as to correspond to the functional capacity of the elderly, is emphasized.

Preventive Care Use among the Belgian Elderly Population: Does Socio-Economic Status Matter?

Directory of Open Access Journals (Sweden)

Sarah Hoeck

2013-12-01

Full Text Available Objective: To analyze the association between influenza and pneumococcus vaccination and blood cholesterol and blood sugar measurement by Belgian elderly respondents (≥65 years and socio-demographic characteristics, risk factors, health status and socio-economic status (SES. Methods: A cross-sectional study based on 4,544 non-institutionalized elderly participants of the Belgian Health Interview Surveys 2004 and 2008. Multivariate logistic regression models were constructed to examine the independent effect of socio-demographic characteristics, risk factors, health status and SES on the four preventive services. Results: After adjustment for age, sex, region, survey year, living situation, risk factors (body mass index, smoking status, physical activity and health status (self-assessed health and longstanding illness lower educated elderly were significantly less likely to report a blood cholesterol and blood sugar measurement. For instance, elderly participants with no degree or only primary education were less likely to have had a cholesterol and blood sugar measurement compared with those with higher education. Pneumococcus vaccination was not related to educational level, but lower income groups were more likely to have had a pneumococcus immunization. Influenza vaccination was not significantly related to SES. Conclusion: The results highlight the need to promote cholesterol and blood sugar measurement for lower SE groups, and pneumococcus immunization for the entire elderly population. Influenza immunization seems to be equally spread among different SE groups.

Does the social gradient remain in the dietary habits of a health-conscious population? A study of Seventh-Day Adventists in West Malaysia.

Science.gov (United States)

Tan, Min Min; Chan, Carina K Y; Reidpath, Daniel D

2017-12-01

Socioeconomic status (SES) is a strong predictor of health, and individuals with higher SES generally have better health than those with lower SES. One of the pathways that SES influences health is through health behaviors, such as dietary intake, and a higher SES has been associated with a better diet. The purpose of this study was to determine whether there was a social gradient in dietary habits among the Seventh-Day Adventists, a group of conservative Christians, where healthy eating is part of the doctrinal teaching. Data from a survey of 574 Adventists residing in West Malaysia, aged 18-80 years, were analyzed. Dietary habits were measured using the Nutrition subscale of Health Promoting Lifestyle Profile II. Education and income were significantly associated with dietary habits before and after controlling for demographics. There was a gradient of association; a higher level of education and higher income were associated with better dietary habits. However, only education remained significantly associated with dietary habits when the other two socioeconomic variables were included. Employment was not significantly associated with dietary habits before or after controlling for demographic variables and the other two sociodemographic variables. This study showed that education is the strongest predictor of healthy diet, and a social gradient in dietary habits still exists even among health-conscious population. © The Author 2016. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Low-SES Students and College Outcomes: The Role of AP® Fee Reductions. Research Report No. 2011-9

Science.gov (United States)

Wyatt, Jeffrey N.; Mattern, Krista D.

2011-01-01

The College Board offers fee reductions to students based on eligibility for free and reduced-price lunch in an attempt to introduce the benefits of AP® Exam participation to students most at risk in the education system. This report examined college outcomes of low-SES students with a focused investigation comparing students who took an AP Exam…

Time trends in upper gastrointestinal diseases and Helicobacter pylori infection in a multiracial Asian population--a 20-year experience over three time periods.

Science.gov (United States)

Leow, A H-R; Lim, Y-Y; Liew, W-C; Goh, K-L

2016-04-01

Marked epidemiological changes in upper gastrointestinal diseases and Helicobacter pylori infection have taken place in the Asian Pacific region. In particular, differences with respect to race in the multiracial Asian population in Malaysia have been important and interesting. A time trend study of upper gastrointestinal disease and H. pylori infection in three time periods: 1989-1990, 1999-2000 and 2009-2010 spanning a period of 20 years was carried out. Consecutive first time gastroscopies carried out on patients attending the University of Malaya Medical Center were studied. Diagnoses and H. pylori infection status were carefully recorded. A steady decline in prevalence of duodenal ulcer (DU) and gastric ulcer (GU) from 21.1% to 9.5% to 5.0% and from 11.9% to 9.4% to 9.9% while an increase in erosive oesophagitis (EO) from 2.0% to 8.4% to 9.5% (chi-square for trend; P Chinese and Indians but the difference over time was most marked in Malays. There was a steady decline in the proportion of patients with gastric and oesophageal cancers. Peptic ulcers have declined significantly over a 20-year period together with a decline in H. pylori infection. In contrast, a steady increase in erosive oesophagitis was observed. Gastric and oesophageal squamous cell cancers have declined to low levels. © 2016 John Wiley & Sons Ltd.

Oncoplastic Surgery for Upper/Upper Inner Quadrant Breast Cancer.

Directory of Open Access Journals (Sweden)

Joseph Lin

Full Text Available Tumors located in the upper/upper inner quadrant of the breast warrant more attention. A small lesion relative to the size of breast in this location may be resolved by performing a level I oncoplastic technique. However, a wide excision may significantly reduce the overall quality of the breast shape by distorting the visible breast line. From June 2012 to April 2015, 36 patients with breast cancer located in the upper/upper inner quadrant underwent breast-conservation surgery with matrix rotation mammoplasty. According to the size and location of the tumor relative to the nipple-areola complex, 11 patients underwent matrix rotation with periareolar de-epithelialization (donut group and the other 25 underwent matrix rotation only (non-donut group. The cosmetic results were self-assessed by questionnaires. The average weights of the excised breast lumps in the donut and non-donut groups were 104.1 and 84.5 g, respectively. During the 3-year follow-up period, local recurrence was observed in one case and was managed with nipple-sparing mastectomy followed by breast reconstruction with prosthetic implants. In total, 31 patients (88.6% ranked their postoperative result as either acceptable or satisfactory. The treated breasts were also self-evaluated by 27 patients (77.1% to be nearly identical to or just slightly different from the untreated side. Matrix rotation is an easy breast-preserving technique for treating breast cancer located in the upper/upper inner quadrant of the breast that requires a relatively wide excision. With this technique, a larger breast tumor could be removed without compromising the breast appearance.

Status and trends of adult Lost River (Deltistes luxatus) and shortnose (Chasmistes brevirostris) sucker populations in Upper Klamath Lake, Oregon, 2017

Science.gov (United States)

Hewitt, David A.; Janney, Eric C.; Hayes, Brian S.; Harris, Alta C.

2018-04-24

Executive SummaryData from a long-term capture-recapture program were used to assess the status and dynamics of populations of two long-lived, federally endangered catostomids in Upper Klamath Lake, Oregon. Lost River suckers (LRS; Deltistes luxatus) and shortnose suckers (SNS; Chasmistes brevirostris) have been captured and tagged with passive integrated transponder (PIT) tags during their spawning migrations in each year since 1995. In addition, beginning in 2005, individuals that had been previously PIT-tagged were re-encountered on remote underwater antennas deployed throughout sucker spawning areas. Captures and remote encounters during the spawning season in spring 2016 were incorporated into capture-recapture analyses of population dynamics.Cormack-Jolly-Seber (CJS) open population capture-recapture models were used to estimate annual survival probabilities, and a reverse-time analog of the CJS model was used to estimate recruitment of new individuals into the spawning populations. In addition, data on the size composition of captured fish were examined to provide corroborating evidence of recruitment. Model estimates of survival and recruitment were used to derive estimates of changes in population size over time and to determine the status of the populations through 2015. Separate analyses were done for each species and also for each subpopulation of LRS. Shortnose suckers and one subpopulation of LRS migrate into tributary rivers to spawn, whereas the other LRS subpopulation spawns at groundwater upwelling areas along the eastern shoreline of the lake.Capture-recapture analyses indicated that with a few exceptions, the survival of males and females in both Lost River sucker subpopulations was high (greater than 0.88) from 1999 to 2015. Survival was notably lower for males from the river in 2000, 2006, and 2012, and for the shoreline areas in 2002. From 2001 to 2015, the abundance of males in the lakeshore spawning subpopulation decreased by at least 64

Lounès Matoub et ses chansons: l'Algérie embrase le cœur, l'Algérie attise la raison

Directory of Open Access Journals (Sweden)

Mohammed Yefsah

2013-11-01

Full Text Available Ténor de la chanson algérienne, Lounès Matoub est devenu une icône après son assassinat. Il est l'incarnation même de l'artiste au cœur de son peuple, lui qui s'est imposé dans le champ artistique avec son talent, son franc-parler, sa musique et sa poésie. Son parcours ne peut être dissocié de ses engagements politiques. Il combat les fondamentalistes islamistes et s'oppose au pouvoir en place. Il veut la reconnaissance du berbère, sa langue maternelle et celle de ses chansons, par l’État algérien. Il porte un regard sur l’histoire en reprenant des mythes tout en révélant des vérités. Il brise également des tabous de la société mais reprend des poncifs. Ses chansons, dans lesquelles se reconnaissent des milliers de personnes, disent les contradictions d'un individu tourmenté. L'imaginaire de ses poèmes est régional et rural. En revanche, son désir tend vers la nation entière et même vers l'universel. La tragédie de sa vie est indissociable des durs contextes politiques qu'expriment ses paroles. Algerian poet, singer and songwriter Lounès Matoub became an icon after his assassination. In the hearts of his people, he is the embodiment of an artist, having established himself with his talent, his outspokenness, his music and his poetry. His career cannot be dissociated from his political commitments. He fights against the Islamic fundamentalists and rebels against the governing power. He wants Berber, his mother language and that of his songs, recognized by the Algerian government. He examines history by recycling myths while revealing truths. He breaks societal taboos but unravels clichés. His songs tell of the trials of a tormented individual, but thousands of people recognize themselves in his songs. The scope of his poems is regional and rural. However, his desire extends to the whole nation, even to the universal. The tragedy of his life is inseparable from the tough political context that his words describe.

ULTRAVIOLET-SELECTED FIELD AND PRE-MAIN-SEQUENCE STARS TOWARD TAURUS AND UPPER SCORPIUS

International Nuclear Information System (INIS)

Findeisen, K.; Hillenbrand, L.

2010-01-01

We have carried out a Galaxy Evolution Explorer (GALEX) Cycle 1 guest investigator program covering 56 deg 2 near the Taurus T association and 12 deg 2 along the northern edge of the Upper Scorpius OB association. We combined photometry in the GALEX far-ultraviolet and near-ultraviolet bands with data from the Two Micron All Sky Survey to identify candidate young (∼<100 Myr old) stars as those with an ultraviolet excess relative to older main-sequence stars. Follow-up spectroscopy of a partial sample of these candidates suggests five new members of Taurus, with 8-20 expected from additional observations, and five new members of Upper Scorpius, with three to six expected from additional observations. These candidate new members appear to represent a distributed, non-clustered population in either region, although our sample statistics are as of yet too poor to constrain the nature or extent of this population. Rather, our study demonstrates the ability of GALEX observations to identify young stellar populations distributed over a wide area of the sky. We also highlight the necessity of a better understanding of the Galactic ultraviolet source population to support similar investigations. In particular, we report a large population of stars with an ultraviolet excess but no optical indicators of stellar activity or accretion, and briefly argue against several interpretations of these sources.

SPITZER SPECTROSCOPY OF CIRCUMSTELLAR DISKS IN THE 5 Myr OLD UPPER SCORPIUS OB ASSOCIATION

International Nuclear Information System (INIS)

Dahm, S. E.; Carpenter, John M.

2009-01-01

We present mid-infrared spectra between 5.2 and 38 μm for 26 disk-bearing members of the ∼5 Myr old Upper Scorpius OB association obtained with the Infrared Spectrograph (IRS) onboard the Spitzer Space Telescope. We find clear evidence for changes in the spectral characteristics of dust emission between the early-type (B+A) and late-type (K+M) infrared excess stars. The early-type members exhibit featureless continuum excesses that become apparent redward of ∼8 μm. In contrast, 10 and 20 μm silicate features or polycyclic aromatic hydrocarbon emission are present in all but one of the late-type excess members of Upper Scorpius. The strength of silicate emission among late-type Upper Scorpius members is spectral-type dependent, with the most prominent features being associated with K5-M2-type stars. By fitting the spectral energy distributions (SED) of a representative sample of low-mass stars with accretion disk models, we find that the SEDs are consistent with models having inner disk radii ranging from ∼0.2 to 1.2 AU. Complementary high-resolution (R ∼ 33, 000) optical (λλ4800-9200) spectra for the Upper Scorpius excess stars were examined for signatures of gaseous accretion. Of the 35 infrared excess stars identified in Upper Scorpius, only seven (all late-type) exhibit definitive signatures of accretion. Mass-accretion rates for these stars were estimated to range from 10 -11 to 10 -8.9 M sun yr -1 . Compared to Class II sources in Taurus-Auriga, the disk population in Upper Scorpius exhibits reduced levels of near- and mid-infrared excess emission and an order of magnitude lower mass-accretion rates. These results suggest that the disk structure has changed significantly over the 2-4 Myr in age separating these two stellar populations. The ubiquity of depleted inner disks in the Upper Scorpius excess sample implies that such disks are a common evolutionary pathway that persists for some time.

Personal exposures to VOC in the upper end of the distribution—relationships to indoor, outdoor and workplace concentrations

Science.gov (United States)

Edwards, Rufus D.; Schweizer, Christian; Jantunen, Matti; Lai, Hak Kan; Bayer-Oglesby, Lucy; Katsouyanni, Klea; Nieuwenhuijsen, Mark; Saarela, Kristiina; Sram, Radim; Künzli, Nino

Evaluation of relationships between median residential indoor, indoor workplace and population exposures may obscure potential strategies for exposure reduction. Evaluation of participants with personal exposures above median levels in the EXPOLIS study in Athens, Helsinki, Oxford and Prague illustrated that these participants frequently showed a different relationship to indoor and workplace levels than that shown by the population median. Thus, prioritization of environments for control measures based on median exposures may exclude important areas where effectively focused control measures are possible, and may therefore have little impact on the highest and most harmful exposures. Further, personal exposures at the upper end of the distribution may exceed the US EPA inhalation reference concentration (Rfc), illustrated here using hexane, naphthalene and benzene. For example upper 90th percentile personal exposures to benzene in Athens and Prague were 64 and 27 μg m -3 with peak exposures of 217 and 38 μg m -3, respectively for non-ETS exposed participants relative to an Rfc of 30 μg m -3. Strategies to reduce exposures to individual compounds, therefore, may benefit from focus on the high end of the distribution to identify activities and behaviors that result in elevated exposures. Control strategies targeting activities that lead to exposures in the upper end of the distribution would reduce the variability associated with population median values by bringing the upper end of the exposure distribution closer to median values. Thus, compliance with health-based standards would be more protective of the higher exposed fraction of the population, in whom health effects would be more expected.

Nonvariceal upper gastrointestinal bleeding

International Nuclear Information System (INIS)

Burke, Stephen J.; Weldon, Derik; Sun, Shiliang; Golzarian, Jafar

2007-01-01

Nonvariceal upper gastrointestinal bleeding (NUGB) remains a major medical problem even after advances in medical therapy with gastric acid suppression and cyclooxygenase (COX-2) inhibitors. Although the incidence of upper gastrointestinal bleeding presenting to the emergency room has slightly decreased, similar decreases in overall mortality and rebleeding rate have not been experienced over the last few decades. Many causes of upper gastrointestinal bleeding have been identified and will be reviewed. Endoscopic, radiographic and angiographic modalities continue to form the basis of the diagnosis of upper gastrointestinal bleeding with new research in the field of CT angiography to diagnose gastrointestinal bleeding. Endoscopic and angiographic treatment modalities will be highlighted, emphasizing a multi-modality treatment plan for upper gastrointestinal bleeding. (orig.)

Nonvariceal upper gastrointestinal bleeding

Energy Technology Data Exchange (ETDEWEB)

Burke, Stephen J.; Weldon, Derik; Sun, Shiliang [University of Iowa, Department of Radiology, Iowa, IA (United States); Golzarian, Jafar [University of Iowa, Department of Radiology, Iowa, IA (United States); University of Iowa, Department of Radiology, Carver College of Medicine, Iowa, IA (United States)

2007-07-15

Nonvariceal upper gastrointestinal bleeding (NUGB) remains a major medical problem even after advances in medical therapy with gastric acid suppression and cyclooxygenase (COX-2) inhibitors. Although the incidence of upper gastrointestinal bleeding presenting to the emergency room has slightly decreased, similar decreases in overall mortality and rebleeding rate have not been experienced over the last few decades. Many causes of upper gastrointestinal bleeding have been identified and will be reviewed. Endoscopic, radiographic and angiographic modalities continue to form the basis of the diagnosis of upper gastrointestinal bleeding with new research in the field of CT angiography to diagnose gastrointestinal bleeding. Endoscopic and angiographic treatment modalities will be highlighted, emphasizing a multi-modality treatment plan for upper gastrointestinal bleeding. (orig.)

Upper Gastrointestinal (GI) Series

Science.gov (United States)

... standard barium upper GI series, which uses only barium a double-contrast upper GI series, which uses both air and ... evenly coat your upper GI tract with the barium. If you are having a double-contrast study, you will swallow gas-forming crystals that ...

Apprendre et maîtriser LabVIEW par ses applications

CERN Document Server

Martaj, Nadia

2014-01-01

Cet ouvrage traite de l'apprentissage du langage LabVIEW a travers ses applications dans des domaines industriels et academiques, qui permettront a l'ingenieur, technicien ou etudiant d'apprehender rapidement et efficacement ce langage. L'ouvrage commence, dans la partie I, par traiter les differents types de donnees du langage LabVIEW (tableaux, clusters, complexes, chaines de caracteres...), leur manipulation dans des structures d'execution (boucles While, For, la structure Condition, etc.), le langage textuel MathScript, des scripts Matlab, la boite de calcul utilisant la syntaxe du langage C ainsi que les nœuds de propriete qui permettent d'obtenir ou definir la propriete d''un VI. Cette etude est menee a travers des applications d'ingenierie.La partie II est consacree a l'etude de l'outil « Conception de controle et simulation » avec lequel nous pouvons simuler des systemes analogiques ou discrets.La partie III contient differentes applications qui traitent de nombreux themes comme la regulation (diff...

Usual Vitamin Intakes by Mexican Populations.

Science.gov (United States)

Pedroza-Tobías, Andrea; Hernández-Barrera, Lucía; López-Olmedo, Nancy; García-Guerra, Armando; Rodríguez-Ramírez, Sonia; Ramírez-Silva, Ivonne; Villalpando, Salvador; Carriquiry, Alicia; Rivera, Juan A

2016-09-01

In the past several years, the consumption of high-energy, nutrient-poor foods has increased globally. Dietary intake data collected by the National Health and Nutrition Survey (ENSANUT) 2012 provide information to assess the quality of the Mexican diet and to guide food and nutrition policy. The aim was to describe the usual intake and the prevalence of inadequate intakes of vitamins for the overall Mexican population and by subgroups defined by sex, age, region, urban or rural areas, and socioeconomic status (SES). ENSANUT 2012 is a cross-sectional probabilistic survey representative of the Mexican population. Dietary information was collected by using the 24-h recall automated multiple-pass method (n = 10,096) with a repeated measurement on a subsample (n = 889) to permit adjustment for intraindividual variability with the use of the Iowa State University method. Mean usual intakes and the prevalence of inadequate intakes of thiamin, riboflavin, niacin, folate, and vitamins A, D, E, C, B-6, and B-12 were calculated for children aged 1-4 y (CH1-4y), children aged 5-11 y (CH5-11y), adolescents aged 12-19 y, and adults aged ≥20 y. In all of the age groups, prevalences of inadequate intakes of vitamins D and E were the highest (77-99% of adults and adolescents and 53-95% of CH5-11y and CH1-4y) and those of folate and vitamin A were intermediate (47-70% of adults and adolescents, 15-23% of CH5-11y and 8-13% of CH1-4y), whereas those of thiamin, riboflavin, niacin, and vitamins B-6, B-12, and C were the lowest (0-37% of adults, 1-27% of adolescents, and 0-2.4% of CH5-11y and CH1-4y). With few exceptions, the highest prevalences of inadequate intakes for vitamins were observed in the poorest populations (rural South region and the lowest tertile of SES). The intake of vitamins among Mexicans is inadequate overall. Information collected by ENSANUT can help target food assistance programs and develop strategies to prevent vitamin deficiencies. © 2016 American Society

Clase social y privación material entre los inmigrantes de países pobres en Cataluña

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Sebastià Sarasa

2016-01-01

Full Text Available Este trabajo pretende analizar las desigualdades existentes entre los inmigrantes provenientes de países pobres y la población autóctona en relación al riesgo de padecer privación material. Asumiendo que, aunque buena parte de este riesgo es inherente a la clase social, hay factores asociados al perfil migratorio que comportan un aumento de dicho riesgo. El trabajo se ha realizado implementando una combinación de análisis factoriales y de clasificación para identificar perfiles de privación material y un análisis logístico multinomial para explorar qué factores sociodemográficos están más asociados a cada tipo de estos. Los resultados confirman que la clase social es un factor muy poderoso para explicar la privación material de los inmigrantes procedentes de países pobres, pero no es el único.

Relationships between academic performance, SES school type and perceptual-motor skills in first grade South African learners: NW-CHILD study

NARCIS (Netherlands)

Pienaar, A.E.; Barhorst, R.; Twisk, J.W.R.

2014-01-01

Background: Perceptual-motor skills contribute to a variety of basic learning skills associated with normal academic success. This study aimed to determine the relationship between academic performance and perceptual-motor skills in first grade South African learners and whether low SES

Relación entre regímenes de bienestar (según Geof Wood-Ian Gough y el índice COP para 54 países

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Javier Darío Ávila Pita

2016-01-01

Full Text Available Introducción: La Caries dental sigue considerándose el principal problema de salud pública en muchos países del mundo. Diversos autores han hipotetizado la relación existente entre: salud oral y regímenes de bienestar. Geof Wood los clasifica basándose en: Índice de Desarrollo Humano, gasto público y flujo de divisas, en cinco categorías: 1. Régimen Social-demócrata, 2. Régimen Liberal, 3. Régimen Conservador, 4. Régimen de Seguridad Informal (A y B y 5. Régimen de Inseguridad (A y B. Propósito: Analizar la relación existente entre el tipo de régimen de bienestar y el índice de COP a los 12 años para 54 países en las últimas cinco décadas. Metodología: Estudio ecológico sobre fuentes secundarias de bases de datos de la OMS, Banco mundial, PubMed/Medline y sitios web de los países seleccionados. Resultados: El porcentaje de decrecimiento entre el primer y último COP reportado por cada país fue: Régimen Social-Demócrata (-86,6%, Régimen Conservador (-81,7%, Régimen Liberal (-79,0%, Régimen de Seguridad Informal A (-55,2%, Régimen de Seguridad Informal B (-46,9%, Régimen de Inseguridad A (-35,9%, Régimen de Inseguridad B (+136,8%. Conclusiones: El descenso de la caries observado en países desarrollados es resultado de medidas de salud pública, las condiciones-estilos de vida y la mejora de prácticas de autocuidado. Se espera que la incidencia de caries incremente en países africanos y asiáticos por el creciente consumo de azúcares e inadecuada exposición a fluoruros. Los retos futuros implican traducir conocimientos y experiencias en la promoción de la salud y prevención de la caries en los programas de acción.

Integração produtiva e acordos comerciais: o caso dos países da Aladi

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Karla Sarmento Gonçalves de Souza

Full Text Available Resumo O processo de fragmentação da produção tem imprimido novas formas de organização da produção e de comércio entre os países. Dentre os diversos fatores explicativos dessa reorganização das atividades produtivas, aqueles relativos aos custos de comércio são de particular importância. Nesse sentido, os acordos comerciais podem ter uma influência relevante na formação de redes produtivas regionais e, mesmo, globais. Este artigo busca investigar se os acordos firmados no âmbito da Aladi contribuíram para aprofundar a integração produtiva na região, por meio da análise do perfil do comércio regional e da estimação de um modelo gravitacional. O grau de integração dos países da região nas redes produtivas internacionais e regionais é bem inferior aquele observado na Ásia, na América do Norte e na Europa. No entanto, as estimações sugerem que os acordos da Aladi exerceram uma influência fraca, porém, positiva sobre os fluxos regionais de partes, componentes e bens de capital.

Dietary Iodine Intake of the Australian Population after Introduction of a Mandatory Iodine Fortification Programme

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Karen Charlton

2016-11-01

Full Text Available To address mild iodine deficiency in Australia, a mandatory fortification program of iodised salt in bread was implemented in 2009. This study aimed to determine factors associated with achieving an adequate dietary iodine intake in the Australian population post-fortification, and to assess whether bread consumption patterns affect iodine intake in high-risk groups. Using nationally representative data of repeated 24-h dietary recalls from the 2011–2012 Australian National Nutrition and Physical Activity Survey, dietary iodine intakes and food group contributions were compared by age, socioeconomic status (SES, and geographical remoteness (N = 7735. The association between fortified bread intake and adequacy of iodine intake (meeting age and sex-specific Estimated Average Requirements was investigated using logistic regression models in women of childbearing age 14–50 years (n = 3496 and children aged 2–18 years (n = 1772. The effect of SES on bread consumption was further investigated in a sub group of children aged 5–9 years (n = 488. Main sources of iodine intake at the time of the survey were cereal and cereal products, followed by milk products and dishes. Differences in iodine intake and dietary iodine habits according to age, SES and location were found (p < 0.001 for women of child-bearing age. Fortified bread consumption at ≥100 g/day was associated with five times greater odds of achieving an adequate iodine intake (OR 5.0, 95% CI 4.96–5.13; p < 0.001 compared to lower bread consumption in women and 12 times in children (OR 12.34, 95% CI 1.71–89.26; p < 0.001. Disparities in dietary iodine intake exist within sectors of the Australian population, even after mandatory fortification of a staple food. On-going monitoring and surveillance of iodine status is required.

The biomechanics of upper extremity kinematic and kinetic modeling: applications to rehabilitation engineering.

Science.gov (United States)

Slavens, Brooke A; Harris, Gerald F

2008-01-01

Human motion analysis has evolved from the lower extremity to the upper extremity. Rehabilitation engineering is reliant upon three-dimensional biome-chanical models for a thorough understanding of upper body motions and forces in order to improve treatment methods, rehabilitation strategies and to prevent injury. Due to the complex nature of upper body movements, a standard biomechanical model does not exist. This paper reviews several kinematic and kinetic rehabilitation engineering models from the literature. These models may capture a single joint; multijoints such as the shoulder, elbow and wrist; or a combination of joints and an ambulatory aid, which serves as the extension of the upper arm. With advances in software and hardware, new models continuously arise due to the clinical questions at hand. When designing a biomechanical upper extremity model, several key components must be determined. These include deciding on the anatomic segments of the model, the number of markers and placement on bony landmarks, the definition of joint coordinate systems, and the description of the joint motions. It is critical to apply the proper model to further our understanding of pathologic populations.

Moral imperialism and multi-centric clinical trials in peripheral countries Imperialismo moral e ensaios clínicos multicêntricos em países periféricos

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Volnei Garrafa

2008-10-01

Full Text Available Moral imperialism is expressed in attempts to impose moral standards from one particular culture, geopolitical region or culture onto other cultures, regions or countries. Examples of Direct Moral Imperialism can be seen in various recurrent events involving multi-centric clinical trials promoted by developed (central countries in poor and developing (peripheral countries, particularly projects related to the theory of double standards in research. After the WMA General Assembly refused to change the Helsinki Declaration - which would have given moral recognition to the above mentioned theory - the USA abandoned the declaration and began to promote regional seminars in peripheral countries with the aim of "training" researchers on ethical perspectives that reflect America's best interests. Individuals who received such training became transmitters of these central countries' ideas across the peripheral countries, representing a form of Indirect Moral Imperialism. The paper proposes the establishment of regulatory and social control systems for clinical trials implemented in peripheral countries, through the formulation of ethical norms that reflect the specific contexts of these countries, along with the drawing up and validation of their own national norms.Imperialismo moral é a intenção de impor padrões morais de determinadas culturas, regiões geopolíticas e países a outras culturas, regiões ou países. O Imperialismo Moral Direto pode ser exemplificado com diversos episódios recorrentes de ensaios clínicos multicêntricos promovidos por países desenvolvidos (centrais em países pobres e em desenvolvimento (periféricos, especialmente projetos relacionados com a teoria do "double standard" de pesquisas. Com a recusa da Assembléia Geral da Associação Médica Mundial em alterar a Declaração de Helsinki, que significaria o reconhecimento moral da referida teoria, os Estados Unidos abandonaram a declaração, passando a promover

Self-medication behaviors among Japanese consumers: sex, age, and SES differences and caregivers’ attitudes toward their children’s health management

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Aoyama Ikuko

2012-09-01

Full Text Available Abstract Background Since 2009, when the revised Pharmaceutical Affairs Act was enacted in Japan, self-medication practices have increased. Because the concept of self-medication was recently introduced in Japan, few studies exist on this topic. Therefore, it is necessary to explore how self-medication is practiced. This study examined Japanese consumers’ self-medication practices and attitudes toward over-the-counter (OTC medicines based on their sex, age, and socioeconomic status (SES. Methods The participants were 403 adults (Mage = 41.1 years, SD = 16.22. A quota sampling method was employed based on age group, and participants completed an online questionnaire. Results Participants in the 20–29 age group reported medical costs as an obstacle in seeing a doctor; in contrast, transportation was a mitigating factor for elderly people. Regarding SES, people at lower SES levels chose to rest instead of seeing a doctor or purchasing over-the-counter (OTC medicines when sick. They also placed more value on national brand OTC medicines than private brands (likely due to advertisements. This finding suggests individuals with a low SES do not select OTC medicines based on their effects or ingredients. Regarding attitudes toward OTC medicines, Japanese participants seemed to be unaware of the potential for abuse and side effects associated with OTC medicines. Finally, in relation to caregivers’ self-medication practices for their children, the majority of participants reported taking their children to the hospital since children tend to receive free medical care. Furthermore, caregivers with a high educational background are more confident in being able to help manage their children’s health. Conclusions Our results suggest that health and medical discrepancies among Japanese consumers pose new social problems. In Japan, universal health care is available, but the cost of receiving medical care is not completely free of charge. Thus

Do vibrationally excited OH molecules affect middle and upper atmospheric chemistry?

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T. von Clarmann

2010-10-01

Full Text Available Except for a few reactions involving electronically excited molecular or atomic oxygen or nitrogen, atmospheric chemistry modelling usually assumes that the temperature dependence of reaction rates is characterized by Arrhenius' law involving kinetic temperatures. It is known, however, that in the upper atmosphere the vibrational temperatures may exceed the kinetic temperatures by several hundreds of Kelvins. This excess energy has an impact on the reaction rates. We have used upper atmospheric OH populations and reaction rate coefficients for OH(v=0...9+O₃ and OH(v=0...9+O to estimate the effective (i.e. population weighted reaction rates for various atmospheric conditions. We have found that the effective rate coefficient for OH(v=0...9+O₃ can be larger by a factor of up to 1470 than that involving OH in its vibrational ground state only. At altitudes where vibrationally excited states of OH are highly populated, the OH reaction is a minor sink of O_x and O₃ compared to other reactions involving, e.g., atomic oxygen. Thus the impact of vibrationally excited OH on the ozone or O_x sink remains small. Among quiescent atmospheres under investigation, the largest while still small (less than 0.1% effect was found for the polar winter upper stratosphere and mesosphere. The contribution of the reaction of vibrationally excited OH with ozone to the OH sink is largest in the upper polar winter stratosphere (up to 4%, while its effect on the HO₂ source is larger in the lower thermosphere (up to 1.5% for polar winter and 2.5% for midlatitude night conditions. For OH(v=0...9+O the effective rate coefficients are lower by up to 11% than those involving OH in its vibrational ground state. The effects on the odd oxygen sink are negative and can reach −3% (midlatitudinal nighttime lowermost thermosphere, i.e. neglecting vibrational excitation overestimates the odd

Association of socioeconomic status with hearing loss in Chinese working-aged adults: A population-based study.

Science.gov (United States)

He, Ping; Luo, Yanan; Hu, Xiangyang; Gong, Rui; Wen, Xu; Zheng, Xiaoying

2018-01-01

Hearing loss is the most common sensory impairment, but limited studies focused on the association of socioeconomic status (SES) with hearing loss among adults of working age. This paper aimed to fill this gap among Chinese adults. We obtained data from Ear and Hearing Disorder Survey conducted in four provinces of China in 2014-2015. The survey was based on WHO Ear and Hearing Disorders Survey Protocol and 25,860 adults aged 25 to 59 years were selected in this study. Trained local examiners performed pure tone audiometry to screen people with hearing loss, and those who were screened positively for hearing loss were referred to audiologists to make final diagnosis. SES was measured by occupation, education and income. Results show after adjusting for SES measures and covariates, in urban areas, compared with white-collar workers, blue-collar workers and the unemployed were more likely to have hearing loss, with an odds ratio of 1.2 (95%CI: 1.0, 1.3) and 1.2 (95%CI: 1.0, 1.4), respectively. Compared with people with education of senior high school or above, those with junior high school, primary school and illiteracy had 1.6 (95%CI: 1.4, 1.8), 2.1(95%CI: 1.7, 2.5) and 2.6 (95%CI: 1.9, 3.7) times as likely to have hearing loss, respectively. In rural areas, the unemployed had 1.5 (95%CI: 1.0, 2.3) times the risk of hearing loss compared with white-collar workers, and illiterates had 1.6 (95%CI: 1.6, 2.1) times the risk of hearing loss compared with people with education of senior high school or above, after SES variables and covariates were taken into considerations. Income was not significantly associated with hearing loss in urban and rural areas. In conclusion, SES, in the form of occupation and education, was associated with hearing loss among working-aged population, and further studies are needed to explore the mechanism of such association.

Population dynamics of zebra mussels Dreissena polymorpha (Pallas, 1771) during the initial invasion of the Upper Mississippi River, USA

Science.gov (United States)

Cope, W.G.; Bartsch, M.R.; Hightower, J.E.

2006-01-01

The aim of this study was to document and model the population dynamics of zebra mussels Dreissena polymorpha (Pallas, 1771) in Pool 8 of the Upper Mississippi River (UMR), USA, for five consecutive years (1992-1996) following their initial discovery in September 1991. Artificial substrates (concrete blocks, 0.49 m2 surface area) were deployed on or around the first of May at two sites within each of two habitat types (main channel border and contiguous backwater). Blocks were removed monthly (30 ?? 10 d) from the end of May to the end of October to obtain density and growth information. Some blocks deployed in May 1995 were retrieved in April 1996 to obtain information about overwinter growth and survival. The annual density of zebra mussels in Pool 8 of the UMR increased from 3.5/m2 in 1992 to 14,956/m 2 in 1996. The average May-October growth rate of newly recruited individuals, based on a von Bertalanffy growth model fitted to monthly shell-length composition data, was 0.11 mm/d. Model estimates of the average survival rate varied from 21 to 100% per month. Estimated recruitment varied substantially among months, with highest levels occurring in September-October of 1994 and 1996, and in July of 1995. Recruitment and density in both habitat types increased by two orders of magnitude in 1996. Follow-up studies will be necessary to assess the long-term stability of zebra mussel populations in the UMR; this study provides the critical baseline information needed for those future comparisons. ?? Published by Oxford University Press on behalf of The Malacological Society of London 2006.

The social patterning of risk factors for noncommunicable diseases in five countries: evidence from the modeling the epidemiologic transition study (METS

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Silvia Stringhini

2016-09-01

Full Text Available Abstract Background Associations between socioeconomic status (SES and risk factors for noncommunicable diseases (NCD-RFs may differ in populations at different stages of the epidemiological transition. We assessed the social patterning of NCD-RFs in a study including populations with different levels of socioeconomic development. Methods Data on SES, smoking, physical activity, body mass index, blood pressure, cholesterol and glucose were available from the Modeling the Epidemiologic Transition Study (METS, with about 500 participants aged 25–45 in each of five sites (Ghana, South Africa, Jamaica, Seychelles, United States. Results The prevalence of NCD-RFs differed between these populations from five countries (e.g., lower prevalence of smoking, obesity and hypertension in rural Ghana and by sex (e.g., higher prevalence of smoking and physical activity in men and of obesity in women in most populations. Smoking and physical activity were associated with low SES in most populations. The associations of SES with obesity, hypertension, cholesterol and elevated blood glucose differed by population, sex, and SES indicator. For example, the prevalence of elevated blood glucose tended to be associated with low education, but not with wealth, in Seychelles and USA. The association of SES with obesity and cholesterol was direct in some populations but inverse in others. Conclusions In conclusion, the distribution of NCD-RFs was socially patterned in these populations at different stages of the epidemiological transition, but associations between SES and NCD-RFs differed substantially according to risk factor, population, sex, and SES indicator. These findings emphasize the need to assess and integrate the social patterning of NCD-RFs in NCD prevention and control programs in LMICs.

El proceso de endeudamiento de los países en desarrollo y su crisis

OpenAIRE

Millet, Montserrat

1989-01-01

La crisis de la deuda externa contraída por los países en desarrollo durante la década de los años setenta y ochenta ha sido uno de los problemas más graves a los que ha tenido que enfrentarse la comunidad económica internacional en la reciente historia de la economía mundial. La gravedad de dicha crisis en el momento de su aparición (1982) estaba motivada principalmente por la amenaza que ésta significaba a la solvencia del sistema financiero internacional, involucrado profundamente en e...

Parachute systems for the atmospheric reentry of launcher upper stages

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Bogdan DOBRESCU

2017-03-01

Full Text Available Parachute systems can be used to control the reentry trajectory of launcher upper stages, in order to lower the risks to the population or facilitate the retrieval of the stage. Several types of parachutes deployed at subsonic, supersonic and hypersonic speeds are analyzed, modeled as single and multistage systems. The performance of deceleration parachutes depends on their drag area and deployment conditions, while gliding parachutes are configured to achieve stable flight with a high glide ratio. Gliding parachutes can be autonomously guided to a low risk landing area. Sizing the canopy is shown to be an effective method to reduce parachute sensitivity to wind. The reentry trajectory of a launcher upper stage is simulated for each parachute system configuration and the results are compared to the nominal reentry case.

Geographic distribution of genetic diversity in populations of Rio Grande Chub Gila pandora

Science.gov (United States)

Galindo, Rene; Wilson, Wade; Caldwell, Colleen A.

2016-01-01

In the southwestern United States (US), the Rio Grande chub (Gila pandora) is state-listed as a fish species of greatest conservation need and federally listed as sensitive due to habitat alterations and competition with non-native fishes. Characterizing genetic diversity, genetic population structure, and effective number of breeders will assist with conservation efforts by providing a baseline of genetic metrics. Genetic relatedness within and among G. pandora populations throughout New Mexico was characterized using 11 microsatellite loci among 15 populations in three drainage basins (Rio Grande, Pecos, Canadian). Observed heterozygosity (HO) ranged from 0.71–0.87 and was similar to expected heterozygosity (0.75–0.87). Rio Ojo Caliente (Rio Grande) had the highest allelic richness (AR = 15.09), while Upper Rio Bonito (Pecos) had the lowest allelic richness (AR = 6.75). Genetic differentiation existed among all populations with the lowest genetic variation occurring within the Pecos drainage. STRUCTURE analysis revealed seven genetic clusters. Populations of G. pandora within the upper Rio Grande drainage (Rio Ojo Caliente, Rio Vallecitos, Rio Pueblo de Taos) had high levels of admixture with Q-values ranging from 0.30–0.50. In contrast, populations within the Pecos drainage (Pecos River and Upper Rio Bonito) had low levels of admixture (Q = 0.94 and 0.87, respectively). Estimates of effective number of breeders (N b ) varied from 6.1 (Pecos: Upper Rio Bonito) to 109.7 (Rio Grande: Rio Peñasco) indicating that populations in the Pecos drainage are at risk of extirpation. In the event that management actions are deemed necessary to preserve or increase genetic diversity of G. pandora, consideration must be given as to which populations are selected for translocation.

The present, past and future of the study of intellectual disability: challenges in developing countries Pasado, presente y futuro del estudio de la discapacidad intelectual: desafíos en los países en desarrollo

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Trevor R Parmenter

2008-01-01

Full Text Available There is strong evidence that socio-cultural factors largely determine what is seen as competent behaviour. Within western high income countries, driven by the values of utilitarian individualism, the construct of intellectual disability has been largely determined to meet the needs of urban, industrialised societies. In contrast, competence in non-industrialised societies may be more reflected in collaborative, interpersonal problem solving skills such as those found among Nigerian students labelled as intellectually disabled. However, people who are judged to be incompetent or "obtrusive" in countries deficient in support services, are often neglected and consigned to a life in poorly managed segregated institutions, as is the case in China, Russia and some countries in Eastern Europe. Non western countries that have a long history of a globalised economy, such as Taiwan and Japan also remain committed to segregated institutional provisions for people with an intellectual disability, despite a notional acceptance of inclusionary policies enunciated by the United Nations’ Declarations and Conventions. In this paper is concluded that it must be recognised that the population of people with an intellectual disability, regardless of how the condition is defined and classified, is quite heterogeneous. Their needs are also varied and not at all dissimilar to those of the general population. As developing countries adopt western style consumer-driven economies, there is an extreme danger that they, too, will follow the same trajectory of exclusion and impose the culture of "otherness" for a group whose contribution to that society will be devalued. Good science is futile unless it benefits all peoples.Existe amplia evidencia de que los factores socioculturales determinan en gran medida la percepción de conducta competitiva. En los países occidentales de altos ingresos, dominados por los valores del individualismo utilitario, las necesidades de

Caries prevalence and fluoride use in low SES children in Clermont-Ferrand (France).

Science.gov (United States)

Tubert-Jeannin, S; Riordan, P J; Manevy, R; Lecuyer, M M; Pegon-Machat, E

2009-03-01

To evaluate the association between dental caries experience and preventive behaviours of children residing in a deprived area in Clermont-Ferrand (France). All 4-5 yr-olds attending nine schools in deprived areas of the city were invited to participate and 81% (n=282) consented and were examined. Dental caries was recorded at the dentine threshold. Parents completed a questionnaire concerning family demographics and the child's use of fluoride. Non-parametric tests and logistic regression assessed the relative importance of SES and fluoride variables on dental status (dt>1). Fifty four (19%) of the examined children were living in families with an immigrant background, 33% were fully covered by the national health insurance programme for deprived families. Caries experience was high; mean dft was 1.94 (3.31) and 30% of the children had >1 carious teeth. Thirty percent of the families reported using fluoridated salt. Tooth brushing once daily was reported for 39% and twice daily for 26%. Parents declared supervising tooth brushing for 60%. Two thirds of the children, according to their parents, used fluoride supplement between birth and two years. Supervised tooth brushing was significantly correlated with lower mean dt scores. Systemic fluoride use was poorly related to dental caries Immigrant background, family size, type of health insurance and mother's unemployment were significantly correlated with caries prevalence. In multivariate analysis, immigrant status, supervised tooth brushing and parental knowledge about fluoride in toothpastes were significant caries predictors. The majority of low SES children did not practice effective caries prevention; few reported twice daily brushing with fluoride toothpaste. Caries experience was very high and much was untreated. Immigrant status, supervised tooth brushing and parental knowledge about fluoride in toothpastes were significant caries predictors.

Disparities in Adolescent and Young Adult Survival After Testicular Cancer Vary by Histologic Subtype: A Population-Based Study in California 1988-2010.

Science.gov (United States)

DeRouen, Mindy C; Mujahid, Mahasin; Srinivas, Sandy; Keegan, Theresa H M

2016-03-01

Testicular cancer is the most common cancer among adolescent and young adult (AYA) men 15-39 years of age. This study aims to determine whether race/ethnicity and/or neighborhood socioeconomic status (SES) contribute independently to survival of AYAs with testicular cancer. Data on 14,249 eligible AYAs with testicular cancer diagnosed in California between 1988 and 2010 were obtained from the population-based California Cancer Registry. Multivariable Cox proportional hazards regression was used to examine overall and testicular cancer-specific survival and survival for the seminoma and nonseminoma histologic subtypes according to race/ethnicity, census-tract level neighborhood SES, and other patient and clinical characteristics. Compared with White AYAs, Hispanic AYAs had worse overall and testicular cancer-specific survival (hazard ratio [HR], 1.21; 95% confidence interval [CI], 1.07-1.37) and Black AYAs had worse overall survival (HR, 1.41; 95% CI, 1.01-1.97), independent of neighborhood SES and other demographic and clinical factors. Racial/ethnic disparities in survival were more pronounced for nonseminoma than for seminoma. AYAs residing in middle and low SES neighborhoods experienced worse survival across both histologic subtypes independent of race/ethnicity and other factors, while improvements in survival over time were more pronounced for seminoma. Longer time to treatment was also associated with worse survival, particularly for AYAs with nonseminoma. Among AYAs, race/ethnicity, and neighborhood SES are independently associated with survival after testicular cancer. Variation in disparities by histologic type according to demographic factors, year of diagnosis, and time to treatment may reflect differences in prognosis and extent of treatment for the two histologies.

Social versus Intrapersonal ToM: Social ToM Is a Cognitive Strength for Low- and Middle-SES Children

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Lucariello, Joan M.; Durand, Tina M.; Yarnell, Lisa

2007-01-01

Metarepresentational theory of mind (ToM) was studied in middle- and low-SES five- and six-year-olds. Two aspects of ToM were distinguished. Reasoning about one's own mental states (Intrapersonal ToM) was assessed in the intrapersonal ToM task condition and reasoning about others' mental states (Social ToM) was assessed in the social ToM task…

La cobertura de las migraciones en la prensa de los países hispanohablantes (2016)

OpenAIRE

Guerra Salas, Luis; Gómez Sánchez, María Elena

2017-01-01

El propósito de este trabajo es analizar las informaciones sobre los movimientos migratorios aparecidas en las principales cabeceras de la prensa de los países hispanohablantes en el año 2016. Para reunir la colección de noticias que sirve de base a nuestros análisis, hemos empleado la base de datos Factiva®, un servicio de información multilingüe que permite la búsqueda de noticias en más de 7500 diarios y publicaciones periódicas. La búsqueda se ha acotado...

Regional immunization programs as a model for strengthening cooperation among nations Los programas de vacunación regionales como modelo para reforzar la cooperación entre países

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Gina Tambini

2006-07-01

Full Text Available Dos funciones esenciales de los programas de vacunación regionales aplicados en varios países simultáneamente consisten en controlar en todo un territorio, franqueando fronteras, las enfermedades que se pueden prevenir mediante la vacunación y en reducir las faltas de equidad en materia de salud. Los buenos resultados de los programas de vacunación regionales dependen del esfuerzo coordinado que hagan los países y sus socios por alcanzar una meta regional en común. Con el fin de explorar las lecciones derivadas de la experiencia, en este artículo se echa un vistazo al Programa Ampliado de Inmunización original de la Organización Panamericana de la Salud (OPS, al Fondo Rotatorio de la OPS para la adquisición de vacunas y jeringas para los programas nacionales de vacunación, y a la erradicación de la poliomielitis del territorio americano. Se resaltan estas lecciones para ayudar a los formuladores de políticas en los niveles mundial, regional y subregional a coordinar eficazmente las intervenciones de salud realizadas por varios países en conjunto. Para ser provechosos, los programas de salud regionales tienen que verse respaldados por un genuino compromiso con la cooperación entre países como valor fundamental; la capacidad para averiguar qué problemas existen e idear buenas soluciones; la capacidad para llevar a cabo intervenciones de manera sustentable; el firme compromiso de los ministros de salud y otros jefes de gobierno; la gestión eficaz de los programas; los planes de salud nacionales; la buena supervisión técnica y la coordinación de alianzas; una cooperación técnica más intensa con los países más pobres, donde hay que redoblar los esfuerzos por conseguir más recursos y apoyo; la cooperación entre países; y la capacidad para responder a circunstancias insólitas.

Molecular variants in populations of Bryconamericus aff. iheringii (Characiformes, Characidae in the upper Paraná river basin - doi: 10.4025/actascibiolsci.v35i2.11451

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Alberto José Prioli

2013-05-01

Full Text Available There are evidences that Bryconamericus aff. iheringii represents a species complex. DNA molecular markers have been effective in studies on phylogeny, taxonomy, and identification of cryptic species. In this study, partial sequences of genes of ATPase 6 and 8 were used to assess genetic diversity within and among populations of B. aff. iheringii of sub-basins of Tibagi, Pirapó and Ivaí rivers, belonging to the Upper Paraná river basin. The analysis of the sequences of genes pointed out high genetic diversity in B. aff. iheringii from the sub-basins studied with genetic distance values comparable to those found among different species. There was a division of the individuals into five groups. The comparison with other species of Bryconamericus that have sequences available in GenBank confirmed that the individuals studied have relevant values of genetic distance, found among different species. Nevertheless, with the available data it is not possible to refute the hypothesis that the populations correspond to a group resulting from hybridization or that there might have been introgression of mitochondrial DNA among different species.

ANÁLISIS COMPARATIVO DE CRITERIOS DE DESEMPEÑO PROFESIONAL PARA LA ENSEÑANZA EN CUATRO PAÍSES DE AMERICA

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María del Ángel Vázquez Cruz

2014-01-01

Full Text Available Una de las tendencias de los sistemas educativos para fortalecer la profesión docente ha sido la elaboración de marcos para la enseñanza o criterios de desempeño profesional, que sirven como base para la formación inicial y continua, la evaluación de la práctica y la definición de la identidad docente. Al respecto, diversos países han establecido sus marcos a partir del c onsenso entre docentes, investigadores y autoridades educativas. Por lo anterior, el presente ensayo tiene como finalidad revisar los modelos para definir criterios de desempeño profesional propuestos en cuatro países: los Estados Unidos, Chile, Perú y Méx ico. Los modelos se analizaron en forma comparativa en tres ejes: finalidad, componentes y dominios. A partir de esta revisión, el ensayo propone algunas orientaciones que podrían retomarse para la elaboración de marcos para la enseñanza en otros contextos.

Social inequality and child malnutrition in four Andean countries Desigualdad social y malnutrición infantil en cuatro países andinos

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Carlos Larrea

2002-06-01

Full Text Available Objective. To analyze the effects of socioeconomic, regional, and ethnic conditions on chronic malnutrition in four Andean countries of South America: Bolivia, Colombia, Ecuador, and Peru. Methods. The study was based on Demographic and Health Surveys (DHS for Colombia (1995, Peru (1996, and Bolivia (1997, and on a Living Standard Measurement Survey for Ecuador (1998. We developed an index of household socioeconomic status using categorical principal components analysis. We broke down the prevalence of stunting by socioeconomic status (SES, ethnicity, place of residence (large cities, small cities, towns, and countryside, and region (highland region versus other areas of the country. We applied smoothed regression curves and linear functions to analyze SES effects on stunting, with specific models for Bolivia, Ecuador, and Peru. Results. Bolivia, Ecuador, and Peru have similar characteristics, with high stunting prevalences overall; higher stunting prevalences in their highland areas, particularly among indigenous populations; and strong socioeconomic disparities. Colombia, in contrast, has a lower stunting prevalence and smaller regional disparities. The socioeconomic gradient of stunting is strong in all four countries, with prevalence rates in the poorest deciles at least three times as high as those in the top decile. Discussion. The sharp contrast between the conditions found in Bolivia, Ecuador, and Peru and those in Colombia may be the result of specific ethnic factors affecting indigenous groups; a particular diet profile in the highland areas, with low protein and micronutrient intake; and differences in the long-term economic and social development paths that the countries have taken. Along with the strong socioeconomic gradient in all the countries, the weight of ethnic and regional factors suggests the need to reduce inequality as well as to comprehensively improve education and housing, better target health and nutrition programs

Computer vision for shoe upper profile measurement via upper and sole conformal matching

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Hu, Zhongxu; Bicker, Robert; Taylor, Paul; Marshall, Chris

2007-01-01

This paper describes a structured light computer vision system applied to the measurement of the 3D profile of shoe uppers. The trajectory obtained is used to guide an industrial robot for automatic edge roughing around the contour of the shoe upper so that the bonding strength can be improved. Due to the specific contour and unevenness of the shoe upper, even if the 3D profile is obtained using computer vision, it is still difficult to reliably define the roughing path around the shape. However, the shape of the corresponding shoe sole is better defined, and it is much easier to measure the edge using computer vision. Therefore, a feasible strategy is to measure both the upper and sole profiles, and then align and fit the sole contour to the upper, in order to obtain the best fit. The trajectory of the edge of the desired roughing path is calculated and is then smoothed and interpolated using NURBS curves to guide an industrial robot for shoe upper surface removal; experiments show robust and consistent results. An outline description of the structured light vision system is given here, along with the calibration techniques used.

Tecnologías avanzadas de manufactura en países en vías de desarrollo: una comparación entre Costa Rica y México

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Carlos Mora Monge

2006-05-01

Full Text Available Hoy, para los países en vías de desarrollo es crítico asegurar sus capacidades de manufactura para poder competir globalmente, en especial cuando hay tratados de libre comercio que se están negociando. Esto es particularmente importante para países como Costa Rica, el cual tiene un tratado de libre comercio con México y está en proceso de aprobación del tratado de libre comercio con los Estados Unidos (CAFTA, por sus siglas en inglés. Mucho se ha dicho sobre si Costa Rica está listo para firmar el tratado. Este artículo provee puntos de vista desde una perspectiva de manufactura y examina las diferencias en inversiones de tecnologías avanzadas de manufactura (AMT, por sus siglas in inglés y las barreras de implementación entre empresas mexicanas y costarricenses. Después de haber hecho una extensiva investigación sobre AMT en la literatura, dos preguntas de investigación se formularon con respecto a las diferencias entre ambos países. Usando una metodología en forma de cuestionario, la información se recolectó entre 125 empresas, 85 mexicanas y 40 costarricenses. Para probar la hipótesis planteada, se usó el análisis ANOVA (análisis de varianza. Los resultados indican que hay diferencias entre algunas tecnologías y barreras de implementación de AMT entre ambos países.

Brecha de género en los países miembros de la Alianza del Pacífico

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José Carlos Vázquez Parra

2016-10-01

Full Text Available El presente artículo se enfoca en el tema de igualdad de género y tiene el objetivo de estudiar, mediante un análisis de varianza (ANOVA, las variables que influyen en la brecha entre hombres y mujeres en los países de la Alianza del Pacífico, para contrastarlo con el resto de América Latina. La fuente de la cual se extrajo la información es el Foro Económico Mundial. A partir de lo anterior, se encontró que solo la variable participación económica de la mujer marca una diferencia estadísticamente significativa en este gremio de países en comparación con el resto de Latinoamérica, aunque también se encontró que el factor de la participación política arroja resultados importantes para analizar. Se concluye que la Alianza del Pacífico debe implementar estrategias para reducir la marcada brecha de género en la dimensión económica y política como una vía para generar ventaja competitiva en el escenario internacional.

Upper GI Bleeding in Children

Science.gov (United States)

Upper GI Bleeding in Children What is upper GI Bleeding? Irritation and ulcers of the lining of the esophagus, stomach or duodenum can result in upper GI bleeding. When this occurs the child may vomit blood ...

Disparities in Adolescent and Young Adult Survival After Testicular Cancer Vary by Histologic Subtype: A Population-Based Study in California 1988–2010

Science.gov (United States)

Mujahid, Mahasin; Srinivas, Sandy; Keegan, Theresa H.M.

2016-01-01

Purpose: Testicular cancer is the most common cancer among adolescent and young adult (AYA) men 15–39 years of age. This study aims to determine whether race/ethnicity and/or neighborhood socioeconomic status (SES) contribute independently to survival of AYAs with testicular cancer. Methods: Data on 14,249 eligible AYAs with testicular cancer diagnosed in California between 1988 and 2010 were obtained from the population-based California Cancer Registry. Multivariable Cox proportional hazards regression was used to examine overall and testicular cancer-specific survival and survival for the seminoma and nonseminoma histologic subtypes according to race/ethnicity, census-tract level neighborhood SES, and other patient and clinical characteristics. Results: Compared with White AYAs, Hispanic AYAs had worse overall and testicular cancer-specific survival (hazard ratio [HR], 1.21; 95% confidence interval [CI], 1.07–1.37) and Black AYAs had worse overall survival (HR, 1.41; 95% CI, 1.01–1.97), independent of neighborhood SES and other demographic and clinical factors. Racial/ethnic disparities in survival were more pronounced for nonseminoma than for seminoma. AYAs residing in middle and low SES neighborhoods experienced worse survival across both histologic subtypes independent of race/ethnicity and other factors, while improvements in survival over time were more pronounced for seminoma. Longer time to treatment was also associated with worse survival, particularly for AYAs with nonseminoma. Conclusion: Among AYAs, race/ethnicity, and neighborhood SES are independently associated with survival after testicular cancer. Variation in disparities by histologic type according to demographic factors, year of diagnosis, and time to treatment may reflect differences in prognosis and extent of treatment for the two histologies. PMID:26812451

Using upper limb kinematics to assess cognitive deficits in people living with both HIV and stroke.

Science.gov (United States)

Bui, Kevin D; Rai, Roshan; Johnson, Michelle J

2017-07-01

In this study, we aim to explore ways to objectively assess cognitive deficits in the stroke and HIV/stroke populations, where cognitive and motor impairments can be hard to separate. Using an upper limb rehabilitation robot called the Haptic TheraDrive, we collect performance error scores and motor learning data on the impaired and unimpaired limb during a trajectory tracking task. We compare these data to clinical cognitive scores. The preliminary results suggest a possible relationship between unimpaired upper limb performance error and visuospatial/executive function cognitive domains, but more work needs to be done to further investigate this. The potential of using robot-assisted technologies to measure unimpaired limb kinematics as a tool to assess cognitive deficits would be useful to inform more effective rehabilitation strategies for HIV, stroke, and HIV/stroke populations.

La delegación del Poder Tributario en el Poder Ejecutivo, su regulación en el Perú y en otros países andinos

OpenAIRE

Urquizo Maggia, Daniel Fernando

2009-01-01

La presente tesis que lleva por título “La delegación del Poder Tributario en el Poder Ejecutivo, su regulación en el Perú y en otros países andinos” trata sobre la delegación legislativa tributaria regulada en los artículos 74 y 104 de la Carta del Perú aprobada en el año 1993, y en los países andinos de Bolivia, Colombia, Ecuador y Venezuela. La doctrina admite que el poder tributario ya no es atribución exclusiva del Poder Legislativo, que originariamente gozaba de esta facu...

Molecular analysis of population genetic structure and recolonization of rainbow trout following the Cantara spill

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Nielsen, J.L.; Heine, Erika L.; Gan, Christina A.; Fountain, Monique C.

2000-01-01

Mitochondrial DNA (mtDNA) sequence and allelic frequency data for 12 microsatellite loci were used to analyze population genetic structure and recolonization by rainbow trout, Oncorhynchus mykiss, following the 1991 Cantara spill on the upper Sacramento River, California. Genetic analyses were performed on 1,016 wild rainbow trout collected between 1993 and 1996 from the mainstem and in 8 tributaries. Wild trout genotypes were compared to genotypes for 79 Mount Shasta Hatchery rainbow trout. No genetic heterogeneity was found 2 years after the spill (1993) between tributary populations and geographically proximate mainstem fish, suggesting recolonization of the upper mainstem directly from adjacent tributaries. Trout collections made in 1996 showed significant year-class genetic variation for mtDNA and microsatellites when compared to fish from the same locations in 1993. Five years after the spill, mainstem populations appeared genetically mixed with no significant allelic frequency differences between mainstem populations and geographically proximate tributary trout. In our 1996 samples, we found no significant genetic differences due to season of capture (summer or fall) or sampling technique used to capture rainbow trout, with the exception of trout collected by electrofishing and hook and line near Prospect Avenue. Haplotype and allelic frequencies in wild rainbow trout populations captured in the upper Sacramento River and its tributaries were found to differ genetically from Mount Shasta Hatchery trout for both years, with the notable exception of trout collected in the lower mainstem river near Shasta Lake, where mtDNA and microsatellite data both suggested upstream colonization by hatchery fish from the reservoir. These data suggest that the chemical spill in the upper Sacramento River produced significant effects over time on the genetic population structure of rainbow trout throughout the entire upper river basin.

The Importance of SES, Home and School Language and Literacy Practices, and Oral Vocabulary in Bilingual Children's English Reading Development

Science.gov (United States)

Howard, Elizabeth R.; Páez, Mariela M.; August, Diane L.; Barr, Christopher D.; Kenyon, Dorry; Malabonga, Valerie

2014-01-01

This study explores the role that socioeconomic status (SES), home and school language and literacy practices, and oral vocabulary play in the development of English reading skills in Latino English language learners (ELLs) and how these factors contribute differentially to English reading outcomes for children of different ages and in different…

Epidemiology and clinical presentation of stroke in Upper Egypt (desert area

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El Tallawy HN

2015-08-01

Full Text Available Hamdy N El Tallawy,1 Wafaa M Farghaly,1 Reda Badry,1 Nermin A Hamdy,2 Ghaydaa A Shehata,1 Tarek A Rageh,1 Nabil A Metwally,3 Enas M Hassan,2 Sayed S Elsayed,2 Mohamed A Yehia,2 Wael T Soliman2 1Department of Neurology and Psychiatry, Assiut University, Assiut, 2Department of Neurology, El Minia University, El-Minia City, 3Department of Neurology, Al-Azhar University (Assuit Branch, Assiut, Egypt Background: Stroke is a common cause of morbidity and mortality worldwide. Four out of five strokes occur in the low- and middle-income countries. This study aims to find lifetime prevalence of stroke in Upper Egypt and to identify clinical presentations and possible risk factors of stroke in this population.Methods: This is a door-to-door (every door study conducted on all inhabitants in Al Kharga district (representative of western desert and Al Quseir city (representative of eastern desert. The study was conducted in two stages, and every stage consisted of three phases (screening, diagnostic, and investigatory.Results: The total lifetime prevalence of stroke was 8.5/1,000 in the population aged 20 years and more. It increased with advancing age and was higher among males than females among all age groups except in the childbearing period (20 years to <40 years of age. Lifetime prevalence of ischemic stroke (7.2/1,000 was higher than hemorrhagic stroke (1.1/1,000. Hemiparesis and hemiplegia were the commonest presentation of stroke. Headache, vomiting, and vertigo were found to be significantly more common accompaniments of hemorrhagic stroke. The most common risk factor was hypertension, followed by hyperlipidemia and diabetes mellitus.Conclusion: The total lifetime prevalence of stroke in the population aged 20 years and more in Upper Egypt (desert area lies within the range that is recorded in developing countries. Clinical presentation and risk factors are similar to those recorded from developing and developed countries. Keywords: stroke

Socio-economic factors associated with the 1‑year prevalence of severe pain and pain-related sickness absence in the Austrian population.

Science.gov (United States)

Mittendorfer-Rutz, Ellenor; Dorner, Thomas Ernst

2018-01-01

The aim of this study was to (1) investigate the relation of socio-economic status (SES), measured as education, occupation, and income, with the 12-month prevalence of severe pain and with pain-related sickness absence, and (2) analyse to what extent sociodemographic and medical factors influence these associations. The study population comprised 8084 subjects aged between 15 and 65 years from the Austrian Health Interview Survey in 2006/07. Associations of SES with the 1‑year prevalence of severe pain and sickness absence due to pain in those with severe pain was assessed with logistic regression analysis and adjusted for socio-demographic and chronic medical conditions. The 1‑year prevalence of severe pain was 33.7%. Among those with severe pain, 32.9% were on sickness absence due to pain. SES was significantly associated with the prevalence of severe pain and even more strongly with sickness absence due to pain. Stepwise adjustment for socio-demographics and medical factors had only marginal effects on these associations. Multivariate odds ratios (ORs) for severe pain were 1.14; 1.18 and 1.32 for low income, blue-collar workers, and low education, respectively. Related ORs for sickness absence due to pain were 1.52; 1.14 and 2.05. There was an association between SES, particularly measured as educational level, and the prevalence of severe pain, which was even stronger with sickness absence due to pain.

Reading for meaning : the effects of Developmental Education on reading achievements of primary school students from low SES and ethnic minority families

NARCIS (Netherlands)

van Rijk, Yvonne; de Mey, Langha; de Haan, Dorian; van Oers, Bert; Volman, Monique

2018-01-01

The appropriateness of innovative educational concepts for students from a low socioeconomic status (SES) or ethnic minority background is sometimes called into question. Disadvantaged students are supposed to benefit more from traditional approaches with Programmatic Instruction (PI). We examined

Upper limb movement analysis during gait in multiple sclerosis patients.

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Elsworth-Edelsten, Charlotte; Bonnefoy-Mazure, Alice; Laidet, Magali; Armand, Stephane; Assal, Frederic; Lalive, Patrice; Allali, Gilles

2017-08-01

Gait disorders in multiple sclerosis (MS) are well studied; however, no previous study has described upper limb movements during gait. However, upper limb movements have an important role during locomotion and can be altered in MS patients due to direct MS lesions or mechanisms of compensation. The aim of this study was to describe the arm movements during gait in a population of MS patients with low disability compared with a healthy control group. In this observational study we analyzed the arm movements during gait in 52 outpatients (mean age: 39.7±9.6years, female: 40%) with relapsing-remitting MS with low disability (mean EDSS: 2±1) and 25 healthy age-matched controls using a 3-dimension gait analysis. MS patients walked slower, with increased mean elbow flexion and decreased amplitude of elbow flexion (ROM) compared to the control group, whereas shoulder and hand movements were similar to controls. These differences were not explained by age or disability. Upper limb alterations in movement during gait in MS patients with low disability can be characterized by an increase in mean elbow flexion and a decrease in amplitude (ROM) for elbow flexion/extension. This upper limb movement pattern should be considered as a new component of gait disorders in MS and may reflect subtle motor deficits or the use of compensatory mechanisms. Copyright © 2017 Elsevier B.V. All rights reserved.

Influence of socio-economic status on access to different components of SCI management across Indian population.

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Chhabra, H S; Bhalla, A M

2015-11-01

To assess the influence of financial constraints on access to different components of spinal cord injury (SCI) management in various socio-economic strata of the Indian population. Indian Spinal Injuries Centre (ISIC). One hundred fifty SCI individuals who came for follow-up at ISIC between March 2009 and March 2013 with at least 1 year of community exposure after discharge were included in the study. Socio-economic classification was carried out according to the Kuppuswamy scale, a standard scale for the Indian population. A self-designed questionnaire was administered. No sample was available from the lower group. There was a statistically significant difference (PSCI management. Aided upper lower group was dependent on welfare schemes for in-hospital treatment but could not access other components of management once discharged. Unaided upper lower group either faced severe difficulty or could not access management. Majority of lower middle group faced severe difficulty. Upper middle group was equally divided into facing severe, moderate or no difficulty. Most patients in the upper group faced no difficulty, whereas some faced moderate and a small number of severe difficulty. Financial constraints affected all components of SCI management in all except the upper group. The results of the survey suggest that a very large percentage of the Indian population would find it difficult to access comprehensive SCI management and advocate extension of essential medical coverage to unaided upper lower, lower middle and upper middle groups.

Upper Palaeolithic genomes reveal deep roots of modern Eurasians

KAUST Repository

Jones, Eppie R.

2015-11-16

We extend the scope of European palaeogenomics by sequencing the genomes of Late Upper Palaeolithic (13,300 years old, 1.4-fold coverage) and Mesolithic (9,700 years old, 15.4-fold) males from western Georgia in the Caucasus and a Late Upper Palaeolithic (13,700 years old, 9.5-fold) male from Switzerland. While we detect Late Palaeolithic–Mesolithic genomic continuity in both regions, we find that Caucasus hunter-gatherers (CHG) belong to a distinct ancient clade that split from western hunter-gatherers ~45 kya, shortly after the expansion of anatomically modern humans into Europe and from the ancestors of Neolithic farmers ~25 kya, around the Last Glacial Maximum. CHG genomes significantly contributed to the Yamnaya steppe herders who migrated into Europe ~3,000 BC, supporting a formative Caucasus influence on this important Early Bronze age culture. CHG left their imprint on modern populations from the Caucasus and also central and south Asia possibly marking the arrival of Indo-Aryan languages.

Upper Palaeolithic genomes reveal deep roots of modern Eurasians

KAUST Repository

Jones, Eppie R.; Gonzalez-Fortes, Gloria; Connell, Sarah; Siska, Veronika; Eriksson, Anders; Martiniano, Rui; McLaughlin, Russell L.; Gallego Llorente, Marcos; Cassidy, Lara M.; Gamba, Cristina; Meshveliani, Tengiz; Bar-Yosef, Ofer; Mü ller, Werner; Belfer-Cohen, Anna; Matskevich, Zinovi; Jakeli, Nino; Higham, Thomas F. G.; Currat, Mathias; Lordkipanidze, David; Hofreiter, Michael; Manica, Andrea; Pinhasi, Ron; Bradley, Daniel G.

2015-01-01

We extend the scope of European palaeogenomics by sequencing the genomes of Late Upper Palaeolithic (13,300 years old, 1.4-fold coverage) and Mesolithic (9,700 years old, 15.4-fold) males from western Georgia in the Caucasus and a Late Upper Palaeolithic (13,700 years old, 9.5-fold) male from Switzerland. While we detect Late Palaeolithic–Mesolithic genomic continuity in both regions, we find that Caucasus hunter-gatherers (CHG) belong to a distinct ancient clade that split from western hunter-gatherers ~45 kya, shortly after the expansion of anatomically modern humans into Europe and from the ancestors of Neolithic farmers ~25 kya, around the Last Glacial Maximum. CHG genomes significantly contributed to the Yamnaya steppe herders who migrated into Europe ~3,000 BC, supporting a formative Caucasus influence on this important Early Bronze age culture. CHG left their imprint on modern populations from the Caucasus and also central and south Asia possibly marking the arrival of Indo-Aryan languages.

Childhood socioeconomic status amplifies genetic effects on adult intelligence.

Science.gov (United States)

Bates, Timothy C; Lewis, Gary J; Weiss, Alexander

2013-10-01

Studies of intelligence in children reveal significantly higher heritability among groups with high socioeconomic status (SES) than among groups with low SES. These interaction effects, however, have not been examined in adults, when between-families environmental effects are reduced. Using 1,702 adult twins (aged 24-84) for whom intelligence assessment data were available, we tested for interactions between childhood SES and genetic effects, between-families environmental effects, and unique environmental effects. Higher SES was associated with higher mean intelligence scores. Moreover, the magnitude of genetic influences on intelligence was proportional to SES. By contrast, environmental influences were constant. These results suggest that rather than setting lower and upper bounds on intelligence, genes multiply environmental inputs that support intellectual growth. This mechanism implies that increasing SES may raise average intelligence but also magnifies individual differences in intelligence.

Outcomes of the Bobath concept on upper limb recovery following stroke.

Science.gov (United States)

Luke, Carolyn; Dodd, Karen J; Brock, Kim

2004-12-01

To determine the effectiveness of the Bobath concept at reducing upper limb impairments, activity limitations and participation restrictions after stroke. Electronic databases were searched to identify relevant trials published between 1966 and 2003. Two reviewers independently assessed articles for the following inclusion criteria: population of adults with upper limb disability after stroke; stated use of the Bobath concept aimed at improving upper limb disability in isolation from other approaches; outcomes reflecting changes in upper limb impairment, activity limitation or participation restriction. Of the 688 articles initially identified, eight met the inclusion criteria. Five were randomized controlled trials, one used a single-group crossover design and two were single-case design studies. Five studies measured impairments including shoulder pain, tone, muscle strength and motor control. The Bobath concept was found to reduce shoulder pain better than cryotherapy, and to reduce tone compared to no intervention and compared to proprioceptive neuromuscular facilitation (PNF). However, no difference was detected for changes in tone between the Bobath concept and a functional approach. Differences did not reach significance for measures of muscle strength and motor control. Six studies measured activity limitations, none of these found the Bobath concept was superior to other therapy approaches. Two studies measured changes in participation restriction and both found equivocal results. Comparisons of the Bobath concept with other approaches do not demonstrate superiority of one approach over the other at improving upper limb impairment, activity or participation. However, study limitations relating to methodological quality, the outcome measures used and contextual factors investigated limit the ability to draw conclusions. Future research should use sensitive upper limb measures, trained Bobath therapists and homogeneous samples to identify the influence of

Efectos de la inversión extranjera en la actividad minera colombiana y de cuatro países de la región

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Gloria Patricia Gamba,

2012-06-01

Full Text Available El sector minero ha venido captando los mayores flujos de inversión extranjera directa, permitiendo la entrada de proyectos que, al nuevo nivel de precios son técnica y económicamente más viables, asociado a la diversificación en los portafolios de riesgo y al alto nivel de capital que exige su explotación. Dicha inversión se ha orientado a países de América Latina con potencial geológico atractivo, por lo que vale la pena analizar qué tan favorable resultan estas inversiones al desarrollo económico de los países, lo que representa retos en la definición de la política de Estado que maximice sus beneficios.

Análisis de la evolución de la crisis económica en el sector de la construcción en diferentes países de Europa en un período de 10 años, de 2003 a 2013

OpenAIRE

Rodrigo Martínez, Carlos Víctor

2015-01-01

La presente tesis analiza la evolución de la crisis económica en el sector de la construcción en diferentes países de Europa entre 2003 a 2013. Todos los países analizados pertenecen a la Zona Euro; se han escogido los cuatro países con una economía más fuerte y se ha incluido en la muestra uno de los cuatro países rescatados; el período establecido es suficientemente amplio para poder ver sus diferentes etapas de evolución. La eurozona, denominada oficialmente Zona del Euro, e...

C-C3-04: Neighborhood Socioeconomic Conditions and Use of Preventive Health Care Services in Insured Populations

Science.gov (United States)

Doubeni, Chyke; Robinson, Scott; Fouayzi, Hassan; Roblin, Douglas; Field, Terry; Fletcher, Robert

2010-01-01

Background and Aims: Several studies have found variations in cancer health outcomes among persons in different socioeconomic (SES) groups, but the presence and extent of such disparities in insured populations is unclear. The objective of this study was to determine whether, among persons enrolled in HMOs, there are differences in the use of services for early detection of cancer according to neighborhood SES. Methods: This was a retrospective cohort study of men and women aged 50+ years, enrolled for at least 1 calendar year beginning in 2000 at one of 3 health plans participating in the Cancer Research Network. Follow-up was to the date of disenrollment from the health plan, or December 31, 2007, whichever was earlier. Using administrative data, we obtained dates of examinations and tests related to screening for colorectal cancer (CRC) for men and women and mammography among women. CRC tests were defined as time to the first colonoscopy or sigmoidoscopy (endoscopy) during the follow-up period; and also time to an endoscopy that was not preceded by gastrointestinal conditions in the 6 months prior to the test. SES neighborhood measure was computed using 12 US Census (2000) measures of racial and SES composition and context at the tract level. Results: A total of 123,222 members, 54% women and average age 64 years, were followed for an average of 5.5 (SD=2.8) years. During 673,938 person-years of follow-up, about 41% had at least 1 endoscopy and 32% had an endoscopy not associated with prior GI-related diagnoses. Among women, 77% had at least 1 mammogram during the study period; 7% had mammograms during each of the first 5 years of follow-up. In Cox regression models, compared to lowest quartile of SES, persons residing in the highest quartile had a hazard ratio (HR) of 0.76: (95% confidence interval (CI): 0.75–0.78) for receipt of any endoscopy; 0.72: (CI: 0.70–0.74) for ‘screening’ endoscopy; and 0.86: (CI: 0.84–0.88) for mammography. Conclusion: Even

A multi-dimensional analysis of the upper Rio Grande-San Luis Valley social-ecological system

Science.gov (United States)

Mix, Ken

The Upper Rio Grande (URG), located in the San Luis Valley (SLV) of southern Colorado, is the primary contributor to streamflow to the Rio Grande Basin, upstream of the confluence of the Rio Conchos at Presidio, TX. The URG-SLV includes a complex irrigation-dependent agricultural social-ecological system (SES), which began development in 1852, and today generates more than 30% of the SLV revenue. The diversions of Rio Grande water for irrigation in the SLV have had a disproportionate impact on the downstream portion of the river. These diversions caused the flow to cease at Ciudad Juarez, Mexico in the late 1880s, creating international conflict. Similarly, low flows in New Mexico and Texas led to interstate conflict. Understanding changes in the URG-SLV that led to this event and the interactions among various drivers of change in the URG-SLV is a difficult task. One reason is that complex social-ecological systems are adaptive, contain feedbacks, emergent properties, cross-scale linkages, large-scale dynamics and non-linearities. Further, most analyses of SES to date have been qualitative, utilizing conceptual models to understand driver interactions. This study utilizes both qualitative and quantitative techniques to develop an innovative approach for analyzing driver interactions in the URG-SLV. Five drivers were identified for the URG-SLV social-ecological system: water (streamflow), water rights, climate, agriculture, and internal and external water policy. The drivers contained several longitudes (data aspect) relevant to the system, except water policy, for which only discreet events were present. Change point and statistical analyses were applied to the longitudes to identify quantifiable changes, to allow detection of cross-scale linkages between drivers, and presence of feedback cycles. Agricultural was identified as the driver signal. Change points for agricultural expansion defined four distinct periods: 1852--1923, 1924--1948, 1949--1978 and 1979

Hyaluronic Acid: Perspectives in Upper Aero-Digestive Tract. A Systematic Review.

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Manuele Casale

Full Text Available To date, topical therapies guarantee a better delivery of high concentrations of pharmacologic agents to the mucosa of the upper aerodigestive tract (UADT. The use of topical drugs, which are able to reduce mucosal inflammation and to improve healing tissues, can represent a relevant therapeutic advance. Topical sodium hyaluronate (SH has recently been recognized as adjuvant treatment in the chronic inflammatory disease of the UADT.The aim of our work was to review the published literature regarding all the potential therapeutic effects of SH in the chronic inflammatory disease of UADT.Relevant published studies were searched in Pubmed, Google Scholar, Ovid using keywords ("sodium hyaluronate" and "upper airways" or Medical Subject Headings.At the end of our selection process, sixteen publications have been included. Six of them in the post-operative period of nasal-sinus surgery, 2 of them in pediatric patients affected by recurrent upper respiratory tract infections, 4 of them in reducing symptoms and preventing exacerbations of chronic upper airways in adult population, 4 of them in patients with chronic inflammatory disease of UADT, including gastro-esophageal reflux disease (GERD.Topical administration of SH plays a pivotkey role in the postoperative phase of patients undergoing FESS and nasal surgery, and positive results are generally observed in all the patients suffering from UADT chronic inflammatory disease.

Os países desenvolvidos e a desigualdade econômica The developed countries and economic inequality

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Claudio Salvadori Dedecca

2012-12-01

Full Text Available O objetivo deste ensaio é explorar o tema da desigualdade econômica a partir das distribuições de renda disponível e de patrimônio nos países desenvolvidos e, de modo mais detalhado, nos Estados Unidos. A análise explora o aumento da desigualdade enquanto resultado das transformações da sociedade capitalista ocorridas nos últimos quase 40 anos, que provocaram uma desvalorização dos salários acompanhada de uma maior financeirização da renda associada à dinâmica da riqueza, isto é, do patrimônio detido por certas parcelas das populações desses países. Ele adota uma perspectiva de análise de natureza estrutural, entendendo que o aumento da desigualdade que a crise atual poderá carregar deve ser visto como parte do processo de sua ampliação produzida pelas transformações ocorridas na sociedade capitalista desenvolvida ao longo dos últimos quase 40 anos. Nestes últimos 40 anos, o capitalismo desenvolvido conheceu um processo de sistemática reorganização econômica, social e política de suas estruturas produtivas, das instituições de representação e regulação e da dinâmica da acumulação de capital. A desigualdade deve ser entendida como transformação, que teve a financeirização como instrumento relevante para a modificação da distribuição de renda.This essay debates the theme of economic inequality from the distribution of disposable income and wealth in developed countries and especially in the United States. The analysis explores the increase in inequality as a result of the transformation of capitalist society have occurred over the past forty years, which led to a devaluation of wages accompanied by greater financialization of income linked to the dynamics of wealth, i.e. the assets held by certain portions of the populations these countries. It adopts an analytical perspective of structural nature, meaning that the increase in inequality that can load the current crisis should be seen as part of

Análise da relação risco e retorno em carteiras compostas por índices de bolsa de valores de países desenvolvidos e de países emergentes integrantes do bloco econômico BRIC Analysis of the relationship between risk and return in portfolios comprising stock exchange indexes from developed and emerging countries members of BRICs economic bloc

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José Odálio dos Santos

2010-12-01

Full Text Available O objetivo deste trabalho foi analisar se a formação de carteiras de investimentos compostas por ativos internacionais pode proporcionar relações de risco e retorno mais vantajosas para o investidor. Paralelamente, analisou-se o estágio de integração entre as economias dos países selecionados por meio do modelo desenvolvido por Securato (1997, denominado Nível de Globalização Restritra (NGR. A pesquisa foi aplicada em dois períodos: 1996 a 2000, quando se intensifica a abertura de importantes mercados emergentes, e de 2003 a 2007 para a comparação dos resultados. Para analisar a contribuição da diversificação internacional, calculou-se o risco e o retorno de quatro carteiras assim formadas: 1. índices de bolsa de valores dos países desenvolvidos (Reino Unido, EUA e Japão e dos países que integram o BRIC; 2. índices de bolsa de valores dos EUA e dos países que integram o BRIC; 3. índices de bolsa de valores dos países que integram o BRIC e 4. índices de bolsa de valores dos países desenvolvidos. Os resultados empíricos sugerem que o investidor obteria melhores resultados, caso optasse por carteiras compostas pelos índices do mercado acionário dos Estados Unidos e dos países integrantes do BRIC. A adição desses ativos na carteira geraria menores índices de covariância, ou seja, a menor exposição de risco por unidade de retorno. Por outro lado, embora tenha aumentado o nível de globalização entre os mercados no período mais recente da pesquisa (2003-2007, constatou-se a necessidade de maior integração entre as economias dos países selecionados (NGR The aim of this study was to examine whether the formation of portfolios composed of international assets can provide risk and return more advantageous for the investor. In parallel, we analyzed the stage of integration between the economies of selected countries through the model developed by Securato (1997, called Restricted Globalization Level (NGR. The

Time trends and sex differences in associations between socioeconomic status indicators and overweight-obesity in Mexico (2006-2012).

Science.gov (United States)

Quezada, Amado D; Lozada-Tequeanes, Ana L

2015-12-16

Although the associations between specific socioeconomic status (SES) indicators and overweight or obesity (OWOB) have been studied in different countries, fewer evidence exists for these associations when multiple SES indicators are considered simultaneously. Furthermore, there are few studies investigating time trends in OWOB and their relation with SES in upper-middle income countries, especially for men. The present study contributes to a better understanding of the nature and evolution of the associations between SES indicators and OWOB in the Mexican adult population. We pooled data from the 2006 and 2012 National Health and Nutrition Surveys in Mexico and obtained covariate-adjusted prevalence from a design-based logistic multiple regression model. Covariates included a wealth index, education, occupational status, marital status, and all interactions for each covariate with sex (male/female) and survey year. For men, the association between wealth and OWOB remained positive in general but curvature was more evident in 2012. The wealth-OWOB association in women showed an inverted-U pattern at both years with a positive slope that turned into a negative one as wealth increased. Among women, OWOB prevalence at the college/university education level was approximately 12.0 ± 2.4 (percentage points ± standard error) lower compared with the elementary education level. We did not find differences between educational categories for men in 2006, but in 2012 OWOB tended to be higher among the more educated. The prevalence of obesity in women increased at wealth levels from the middle and upper-middle section of the wealth distributions. Overall OWOB prevalence was near 70 % in 2012 for both sexes. Among Mexican women, the associations between SES indicators and excess body weight were consistent to those found in developed countries. Among Mexican men, higher education was not associated with a lower prevalence of OWOB but the positive association between

Controle Financeiro Governamental: uma pesquisa sobre os arranjos jurídicoinstitucionais e a relação políticoadministrativa em 18 países de diferentes continentes

OpenAIRE

Gileno Fernandes Marcelino; Lorena Pinho Morbach Paredes Wassally; Rosane Maria Pio da Silva

2009-01-01

Este artigo tem por objetivo identificar qual o sistema organizacional adotado por instituições responsáveis pelo controle financeiro-orçamentário governamental (controladoria ou tribunal de contas) em dezoito países, sendo nove do Continente Americano, cinco do Continente Europeu, três do Continente Asiático e um da Oceania. Além disso, busca-se verificar o tratamento dado pelo ordenamento jurídico desses países e a relação do sistema organizacional existente com o sistem...

Las dinámicas de comercialización de la quinua en los países andinos: ¿qué oportunidades y retos para la agricultura familiar campesina?

OpenAIRE

Baudoin, Andrea; Lacroix, Pierril; Bazile, Didier; Chia, Eduardo

2014-01-01

La revalorización de la quinua despierta muchos intereses tanto en los países andinos como europeos y americanos. Este producto andino antes marginado y circunscrito al autoconsumo ha entrado en la dieta de la población urbana de los países andinos y su consumo se difunde en EEUU, Europa y en otras partes del mundo. En los Andes los precios en chacra aumentan y el sector quinuero ha pasado a ser un sector atractivo para las inversiones. De esta chenopodiácea se está comercializando una gran v...

What Is the Influence of Morphological Knowledge in the Early Stages of Reading Acquisition Among Low SES Children? A Graphical Modeling Approach

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Pascale Colé

2018-04-01

Full Text Available Children from low-SES families are known to show delays in aspects of language development which underpin reading acquisition such as vocabulary and listening comprehension. Research on the development of morphological skills in this group is scarce, and no studies exist in French. The present study investigated the involvement of morphological knowledge in the very early stages of reading acquisition (decoding, before reading comprehension can be reliably assessed. We assessed listening comprehension, receptive vocabulary, phoneme awareness, morphological awareness as well as decoding, word reading and non-verbal IQ in 703 French first-graders from low-SES families after 3 months of formal schooling (November. Awareness of derivational morphology was assessed using three oral tasks: Relationship Judgment (e.g., do these words belong to the same family or not? heat-heater … ham-hammer; Lexical Sentence Completion [e.g., Someone who runs is a …? (runner]; and Non-lexical Sentence Completion [e.g., Someone who lums is a…? (lummer]. The tasks differ on implicit/explicit demands and also tap different kinds of morphological knowledge. The Judgement task measures the phonological and semantic properties of the morphological relationship and the Sentence Completion tasks measure knowledge of morphological production rules. Data were processed using a graphical modeling approach which offers key information about how skills known to be involved in learning to read are organized in memory. This modeling approach was therefore useful in revealing a potential network which expresses the conditional dependence structure between skills, after which recursive structural equation modeling was applied to test specific hypotheses. Six main conclusions can be drawn from these analyses about low SES reading acquisition: (1 listening comprehension is at the heart of the reading acquisition process; (2 word reading depends directly on phonemic awareness and

“Nobody Sees It, Nobody Gets Mad”: Social Media, Privacy, and Personal Responsibility Among Low-SES Youth

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Alice Marwick

2017-05-01

Full Text Available While few studies examine the online privacy practices or attitudes of young people of low socio-economic status (SES, they are often at the most risk of and most susceptible to privacy violations. This participatory, collaborative study of 28 low-SES young adults in the New York City area investigates how they view online information sharing. Like most Americans, our participants viewed online privacy as an individual responsibility. We make two primary contributions. First, participants revealed extensive awareness of the risks of sharing information online, and many avoided social media, self-censored, or obfuscated their contributions as a result. Second, many participants had extensive experience with policing and physical surveillance and were aware they could not avoid such encounters through their own efforts. This window into structural discrimination provides an alternate frame to that of “individual responsibility” that educators and researchers can use to conceptualize how privacy is violated online. Framing online privacy violations as inevitable and widespread may not only help foster activist anger and strategic resistance but also avoid the victim-blaming narratives of some media literacy efforts. By examining the experiences of these young people, who are often left out of mainstream discussions about privacy, we hope to show how approaches to managing the interplay of on- and offline information flows are related to marginalized social and economic positions.

El emprendimiento social: una comparativa entre España y países sudamericanos

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Catalina Nicolás Martínez

2012-07-01

Full Text Available La crisis global que sufrimos en la actualidad está haciendo que las labores realizadas por las empresas sociales sean imprescindibles para alcanzar una sociedad igualitaria, eficiente y justa. El número empresas sociales va creciendo año tras año, atendiendo problemas sociales generalmente olvidados por las instituciones. Los estudios empíricos que profundizan en el conocimiento de este tipo de emprendimiento social son escasos. Este trabajo, bajo el marco del proyecto Global Entrepreneurship Monitor (GEM, analiza la influencia de una serie de variables objetivas y cognitivas del emprendedor social, sobre una muestra constituida por emprendedores sociales en España y en diversos países sudamericanos.

Valorización de la identidad territorial, políticas públicas y estrategias de desarrollo territorial en los países del mercosur

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Andrea Benedetto

2007-01-01

Full Text Available Benedetto presenta una aproximación a los procesos de desarrollo territorial que están cobrando impulso en los países del Mercado Común del Sur (MERCOSUR. Retoma las grandes etapas históricas por las que ha transitado el agro en los países de América Latina en general y el MERCOSUR en particular. Luego, se revisan los rasgos centrales que tienen las actuales políticas rurales de los países miembros de MERCOSUR, en especial su manejo de las marcas y denominaciones de origen. No existe una política común de desarrollo rural; las políticas agrícolas nacionales son sólo sectoriales y se orientan a promover la productividad y la competitividad comprimiendo costos, por encima de la valorización de la calidad. Sin embargo, en la última década, Se está rescatando no sólo el entorno geográfico característico del medio rural, sino también se valorizan las formas de vida, alimentos, bienes y servicios, resultado de la identidad cultural de las poblaciones. Por último, se presentan dos iniciativas de valorización de la identidad cultural rural en Argentina: los Caminos de Altamira - San Carlos, Mendoza y El Vino de la Costa - Berisso, Buenos Aires.

Assessing smoking status in disadvantaged populations: is computer administered self report an accurate and acceptable measure?

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Bryant Jamie

2011-11-01

Full Text Available Abstract Background Self report of smoking status is potentially unreliable in certain situations and in high-risk populations. This study aimed to determine the accuracy and acceptability of computer administered self-report of smoking status among a low socioeconomic (SES population. Methods Clients attending a community service organisation for welfare support were invited to complete a cross-sectional touch screen computer health survey. Following survey completion, participants were invited to provide a breath sample to measure exposure to tobacco smoke in expired air. Sensitivity, specificity, positive predictive value and negative predictive value were calculated. Results Three hundred and eighty three participants completed the health survey, and 330 (86% provided a breath sample. Of participants included in the validation analysis, 59% reported being a daily or occasional smoker. Sensitivity was 94.4% and specificity 92.8%. The positive and negative predictive values were 94.9% and 92.0% respectively. The majority of participants reported that the touch screen survey was both enjoyable (79% and easy (88% to complete. Conclusions Computer administered self report is both acceptable and accurate as a method of assessing smoking status among low SES smokers in a community setting. Routine collection of health information using touch-screen computer has the potential to identify smokers and increase provision of support and referral in the community setting.

The Upper Santa Ynez River as Habitat for a Diverse Riparian Flora and Fauna

Science.gov (United States)

M. Violet Gray; James M. Greaves; Thomas E. Olson

1989-01-01

The upper Santa Ynez River, Santa Barbara County, provides habitats for a relatively large population of least Bell's vireos (Vireo bellii pusillus), as well as diverse riparian flora and fauna. Of particular interest is the richness of the species within particular guilds. Four species of vireos: least Bell's, warbling (Vireo...

¿Sobrevivirán las universidades a la integración europea? Políticas de educación superior en la UE y en los Países Bajos antes y después de la Declaración de Bolonia

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Chris Lorenz

2009-01-01

que la importancia general del "modelo holandés" para otros países de la Unión Europea, radica en el hecho de que el caso de los Países Bajos, en general, prefigura lo que sucederá a otros países de la Unión Europea, cuando las políticas de Bolonia se pongan en práctica.

Tidal Influence on Nutrients Status and Phytoplankton Population of Okpoka Creek, Upper Bonny Estuary, Nigeria

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O. A. Davies

2013-01-01

Full Text Available Okpoka Creek of the Upper Bonny Estuary in the Niger Delta is a tidal creek receiving organic anthropogenic effluents from its environs. The study investigated the influence of tides (low and high on the species composition, diversity, abundance, and distribution of phytoplankton. The surface water and phytoplankton samples were collected monthly from May 2004 to April 2006 at both tides from ten stations according to standard methods. Phytoplankton was identified microscopically. Species diversity was calculated using standard indices. Data analyses were done using analysis of variance, Duncan multiple range, and descriptive statistics. Phosphate and ammonia exceeded international acceptable levels of 0.10 mg/L for natural water bodies indicating high nutrient status, organic matter, and potential pollutants. A total of 158 species of phytoplankton were identified. Diatoms dominated the phytoplankton (62.9%. Diversity indices of diatoms were 1.5±0.03 (Margalef and 0.8±0.01 (Shannon. Pollution-indicator species such as Navicula microcephala, Nitzschia sigma, Synedra ulna (diatoms, Cladophora glomerata (green alga, Euglena acus (euglenoid, Anabeana spiroides (blue-green alga, and Ceratium furca (dinoflagellate were recorded at either only low, high or both tides. Concerted environmental surveillance on Upper Bonny Estuary is advocated to reduce the inflow of pollutants from the Bonny Estuary into this Creek caused by tidal influence.

Advanced upper limb prosthetic devices: implications for upper limb prosthetic rehabilitation.

Science.gov (United States)

Resnik, Linda; Meucci, Marissa R; Lieberman-Klinger, Shana; Fantini, Christopher; Kelty, Debra L; Disla, Roxanne; Sasson, Nicole

2012-04-01

The number of catastrophic injuries caused by improvised explosive devices in the Afghanistan and Iraq Wars has increased public, legislative, and research attention to upper limb amputation. The Department of Veterans Affairs (VA) has partnered with the Defense Advanced Research Projects Agency and DEKA Integrated Solutions to optimize the function of an advanced prosthetic arm system that will enable greater independence and function. In this special communication, we examine current practices in prosthetic rehabilitation including trends in adoption and use of prosthetic devices, financial considerations, and the role of rehabilitation team members in light of our experiences with a prototype advanced upper limb prosthesis during a VA study to optimize the device. We discuss key challenges in the adoption of advanced prosthetic technology and make recommendations for service provision and use of advanced upper limb prosthetics. Rates of prosthetic rejection are high among upper limb amputees. However, these rates may be reduced with sufficient training by a highly specialized, multidisciplinary team of clinicians, and a focus on patient education and empowerment throughout the rehabilitation process. There are significant challenges emerging that are unique to implementing the use of advanced upper limb prosthetic technology, and a lack of evidence to establish clinical guidelines regarding prosthetic prescription and treatment. Finally, we make recommendations for future research to aid in the identification of best practices and development of policy decisions regarding insurance coverage of prosthetic rehabilitation. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Periodontal health status of transport workers of a union territory in India: A cross-sectional study

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Ramandeep Singh Gambhir

2015-01-01

Full Text Available Background: Periodontal disease is one of the most prevalent dental diseases, which affects the adult population of the world, varying only in degree from mild to severe. Transport industry is considered an important pillar for socioeconomic development of any nation. The present study was carried out to assess the periodontal health status of transport workers working in Chandigarh Transport Undertaking (CTU buses, Chandigarh (Union territory. Materials and Methods: A cross-sectional study was conducted on all available CTU workers at all three bus depots. The data were recorded on a modified WHO format (1997. A total of 998 subjects were included for community periodontal index (CPI and attachment loss computations after doing necessary exclusions. Periodontal status was evaluated using CPI. Results: About 8.13% of the subjects had healthy periodontium while maximum subjects (73.2% had a score 2 (calculus as evaluated by CPI. 3.4% (12 of the subjects belonging to upper middle class had deep pockets as compared to 1.9% (10 of the subjects in the lower middle class. None of the subjects in the upper high, high, and upper middle socioeconomic status (SES category had a loss of attachment score 4. 25.9% of the postgraduates had a CPI score of 0 whereas 0.7% high school subjects had a loss of attachment score 4. Conclusion: Advanced periodontal disease (CPI score, 4 affected small number of subjects with maximum subjects (73% having a CPI score of 2. There was statistically significant association of SES and education level with the CPI score and loss of attachment level.

Upper gastrointestinal bleeding.

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Feinman, Marcie; Haut, Elliott R

2014-02-01

Upper gastrointestinal (GI) bleeding remains a commonly encountered diagnosis for acute care surgeons. Initial stabilization and resuscitation of patients is imperative. Stable patients can have initiation of medical therapy and localization of the bleeding, whereas persistently unstable patients require emergent endoscopic or operative intervention. Minimally invasive techniques have surpassed surgery as the treatment of choice for most upper GI bleeding. Copyright © 2014 Elsevier Inc. All rights reserved.

Are testosterone levels and depression risk linked based on partnering and parenting? Evidence from a large population-representative study of U.S. men and women.

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Gettler, Lee T; Oka, Rahul C

2016-08-01

Partnered adults tend to have lower risks of depression than do single individuals, while parents are more commonly depressed than non-parents. Low testosterone men, and possibly women, are also at greater risk of depression. A large body of research has shown that partnered parents have lower testosterone than single non-parents in some cultural settings, including the U.S. Here, we drew on a large (n = 2438), U.S.-population representative cohort of reproductive aged adults (age: 38.1 years ± 11.1 SD) to test hypotheses regarding the intersections between partnering and parenting, testosterone, socio-demographic characteristics, and depression outcomes. Men and women's depression prevalence did not vary based on testosterone. Partnered fathers had lower testosterone than single (never married, divorced) non-fathers, but were less commonly depressed than those single non-fathers. Partnered mothers had reduced testosterone compared to never married and partnered non-mothers. Never married mothers had higher depression prevalence and elevated depressive symptomology compared to partnered mothers; these differences were largely accounted for by key health-related covariates (e.g. cigarette smoking, BMI). We found significant three-way-interactions between socioeconomic status (SES), testosterone, and parenting for adults' depression risks. High testosterone, high SES fathers had the lowest prevalence of mild depression, whereas low testosterone, low SES non-fathers had the highest. Compared to other mothers, low SES, low testosterone mothers had elevated prevalence of mild depression. Overall, low SES, high testosterone non-mothers had substantially elevated depression risks compared to other women. We suggest that psychobiological profiles (e.g. a male with low testosterone) can emerge through variable psychosomatic and psychosocial pathways and the net effect of those profiles for depression are influenced by the social (e.g. partnering and parenting status

AN ASSESSMENT ON THE TOPICS RELATED TO PHONOLOGY AND PHONETICS CONTAINED IN THE HIGH SCHOOL COURSE BOOKS ORTAÖĞRETİM DİL BİLGİSİ KİTAPLARINDAKİ SES BİLGİSİ ve SES BİLİMİYLE İLGİLİ KONULAR ÜERİNE BİR DEĞERLENDİRME

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Mehmet SOLMAZ

2011-06-01

Full Text Available Course books are the most widely used sources by both students and teachers in attaining knowledge. Researches show that in language teaching classes also the most widely used materials are the course books. The purpose of this study was to appraise the grammar course books in the secondary schools, where at least four million students go on, on the account of phonetics and aspects related to phonetics. Three different grammar books prepared for different programs were analyzed and many lackings and shortcomings were realized related to phonetics and issues related to phonetics. The findings of the study showed that scientific principles and methods are not applied enough in the preparation of the grammar course books Ders kitapları, bilgiye ulaşma konusunda öğrenciler ve öğretmenler tarafından günümüzde en sık başvurulan ders araçlarıdır. Yapılan araştırmalar, dil bilgisi öğretiminde de en çok kullanılan öğretim malzemelerinin ders kitapları olduğunu ortaya koymaktadır. Bu araştırmada, dört milyondan fazla öğrencinin öğrenim gördüğü ortaöğretim basamağında kullanılan dil bilgisi ders kitapları, dil biliminin ses bilgisi ve ses bilimi alanıyla ilgili konular açısından değerlendirilmiştir. Farklı öğretim programları için hazırlanmış olan üç ayrı ders kitabının incelendiği çalışmada, söz konusu ders kitaplarında ses bilgisi ve ses bilimiyle ilgili çeşitli eksikliklerle ele alınan konularda birçok problem tespit edilmiştir. Araştırmanın bulguları, ortaöğretim basamağında kullanılan dil bilgisi ders kitaplarının hazırlanmasında bilimsel ilke ve yöntemlere yeterince uyulmadığını ortaya koymaktadır.

La práctica filosófica en los países nórdicos

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Arnaiz, Gabriel

2012-01-01

En este artículo se expone una visión panorámica de la situación de la práctica filosófica (en un sentido amplio, esto es, incluyendo no sólo el trabajo individual sino también el grupal, aunque centrada más en la OrFi) en los países nórdicos, especialmente en Noruega, así como de sus principales protagonistas, y sus influencias más importantes. Se agrupan los filósofos en tres generaciones: la primera compuesta fundamentalmente por Anders Lindseth, y muy influida por la concepción achenbachi...

El camino hacia la estabilización demográfica y el proceso de envejecimiento en América Latina: una ilustración a partir de algunos países seleccionados

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Moema G. B. Fígoli

2003-01-01

Full Text Available El presente artículo incorpora el concepto de inercia demográfica para evaluar el crecimiento poblacional de cinco países de América Latina, suponiendo el tiempo que tomará a la fecundidad alcanzar niveles de reemplazo. Las simulaciones muestran que en países con alta mortalidad, v.g. Haití y Guatemala, la pendiente de la distribución estable decae más rápido que en países con baja mortalidad a medida que aumenta la edad. Este ejercicio teórico muestra en todas las simulaciones que el tamaño de la población de los países de América Latina, que iniciaron su transición demográfica décadas atrás, no experimentará un crecimiento considerable. La población de Brasil y de Argentina, aún al alcanzar su límite teórico, no se duplicará. A pesar de que el límite teórico de las poblaciones analizadas se alcanzará en 400 a 500 años, éstos alcanzarán un estado “cuasi-estable” entre los años 2050 y 2100.

Parental education and living environmental influence on physical development, nutritional habits as well as level of physical activity in Polish children and adolescents.

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Suliga, Edyta

2010-01-01

The aim of this work was to evaluate the physical development and nutritional status, the nutrition habits as well as level of physical activity of boys and girls in relation to the socio-economic status of their families. The study was conducted on a group of 529 boys and 535 girls aged 7-16 years from Swietokrzyskie Province in Poland. Boys and girls from high SES families had the greatest body height, BMI, upper arm muscle area, as well as upper arm fat tissue area, while the lowest values of these features occurred among those studied coming from families of a low SES. The higher the family SES, the higher habitual frequency of consuming vegetables and fruit as well as fish. The diet of children coming from higher SES families was also linked with a higher total protein content as well as animal protein, all analysed minerals and some vitamins, but there were no significant differences of energetic value in daily food rations as well as fat content. The longer time spent on some sedentary activities was connected with a higher family SES. The girls coming from a high status families also declared a higher level of physical activity, whereas such relationship was not observed among boys. A more rational set of nutritional habits observed among children from a higher SES families can be the basic reason for their higher advancement in development. A shorter time devoted to sedentary activities is assumed to be the main cause of a smaller relative body mass and less obesity among girls and boys from low SES families.

Behavioral change in response to a statewide tobacco tax increase and differences across socioeconomic status.

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Parks, Michael J; Kingsbury, John H; Boyle, Raymond G; Choi, Kelvin

2017-10-01

Tobacco use is a leading behavioral risk factor for morbidity and mortality, and the tobacco epidemic disproportionately affects low-socioeconomic status (SES) populations. Taxation is effective for reducing cigarette use, and it is an effective population-based policy for reducing SES-related tobacco disparities. However, progress in implementing cigarette excise taxes has stalled across the United States, and there is a dearth of research on the full spectrum of behavioral shifts that result from taxes, particularly among low-SES populations. This project documents the impact of Minnesota's $1.75 cigarette tax increase implemented in 2013. Data come from the 2014 Minnesota Adult Tobacco Survey. Descriptive analyses and Latent Class Analysis (LCA) were used to provide a typology of the tax impact. From the LCA, six classes were identified, and 42% of respondents were classified as reporting action-oriented behavioral change related to the tax-8% reported sustained smoking abstinence. We found differential behavior change across levels of SES. Low-SES and medium/high-SES individuals were equally likely to report complete tobacco cessation, but the prevalence of daily smokers who reported action-oriented behavior without sustained cessation was nearly double for low-SES individuals. Smokers report a range of behavioral changes in response to cigarette taxes, with differences across SES. The majority of smokers, and particularly low-SES smokers, report behavioral steps toward quitting or achieving sustained tobacco cessation in response to cigarette taxes. Complementary population-based programs geared toward assisting individuals, especially low-SES individuals, to achieve continuous tobacco cessation could increase the reach and effectiveness of cigarette taxes. Copyright © 2017 Elsevier Ltd. All rights reserved.

A new socioeconomic status measure for vaccine research in children using individual housing data: a population-based case-control study

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Rachel Hammer

2016-09-01

Full Text Available Abstract Background We recently developed HOUSES, an individual housing-based socioeconomic status (SES measurement for health disparities research. We assessed whether HOUSES was associated with risk of pertussis and pertussis vaccine up-to-date status in children. Methods The study utilized a previous population-based case-control study cohort assembled during the 2004–2005 pertussis outbreak. We collected data on pertussis vaccine status (up-to-date status at the time of the index date. Using a z-score for housing value, actual square footage, and numbers of bedrooms and bathrooms, HOUSES was formulated in continuous variable and categorized into quartiles. Vaccine up-to-date status was compared among subjects with different SES as measured by HOUSES using a chi-square test and logistic regression models. Results Of the 391 eligible pediatric subjects (median age of 13.1 years with male sex of 55 %, 363 (93 % were successfully geocoded to formulate HOUSES index. HOUSES was not associated with the risk of pertussis (p = 0.82. Pertussis vaccine up-to-date statuses were 79, 86, 83, and 94 % for children in the first (the lowest SES, second, third, and fourth quartiles of HOUSES, respectively (p = 0.03. HOUSES as a continuous variable was associated with pertussis vaccine up-to-date status (adjusted OR: 1.15 per increment of one unit of HOUSES, 95 % CI: 1.04–1.27, p = 0.008. Conclusion While HOUSES is not associated with the risk of pertussis, it predicts vaccine up-to-date status among children with different SES. HOUSES may be a useful tool for vaccine delivery research among children.

Long-term mortality and causes of death in endoscopically verified upper gastrointestinal bleeding: comparison of bleeding patients and population controls.

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Miilunpohja, S; Jyrkkä, J; Kärkkäinen, J M; Kastarinen, H; Heikkinen, M; Paajanen, H; Rantanen, T; Hartikainen, Jek

2017-11-01

Upper gastrointestinal bleeding (UGIB) is a common emergency, with in-hospital mortality between 3 and 14%. However, the long-term mortality and causes of death are unknown. We investigated the long-term mortality and causes of death in UGIB patients in a retrospective single-centre case-control study design. A total of 569 consecutive patients, aged ≥18 years, admitted to Kuopio University Hospital for their first endoscopically verified UGIB during the years 2009-2011 were identified from hospital records. For each UGIB patient, an age, sex and hospital district matched control patient was identified from the Statistics Finland database. Data on endoscopy procedures, laboratory values, comorbidities and medication were obtained from patient records. Data on deaths and causes of death were obtained from Statistics Finland. In-hospital mortality of UGIB patients was low at 3.3%. The long-term (mean follow-up 32 months) mortality of UGIB patients was significantly higher than controls (34.1 versus 12.1%, p death compared to controls was highest (HR 19.2, 95% CI 7.0-52.4, p causes of death were related to comorbidities and did not differ from causes of death in controls. UGIB patients have three times higher long-term mortality than population controls.

La paradoja eudemonista de la política de los países de Europa del Sur

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Katerina Fédorova

2015-01-01

Full Text Available Las tendencias contemporáneas de la crisis financie- ra y política en los países de Europa del Sur necesitan el análisis complejo para la formación de la estrategia eficaz anticrisis del país. El énfasis se ha puesto en el conflic- to de objetivos del perfeccionismo entre dos vectores de realización –el privado y el nacional–. Se analiza profun- damente el Estado como un organismo político según la teoría orgánica de sociedad, para aclarar los procesos regresivos que se están adelantando en los países del gru- po PIIGS de Europa del Sur. Se presta especial atención al descubrimiento de la paradoja eudemonista, la eluci- dación de lo cual solucionaría los procesos de crisis. Los resultados recibidos son importantes para los países de Europa Meridional, especialmente para los que pertene- cen al grupo PIIGS, y también, los resultados que pueden ser aplicados a cada subjeto de relaciones internacionales. Asimismo, se formulan cinco fases de procesos regresivos del Estado, que ayudarán a evaluar el grado del daño de los procesos destructivos del país. Abstract Contemporary financial and political crisis tenden- cies in the Southern European countries require a com- prehensive analysis to formulate an effective anti-crisis strategy of the country. The emphasis has been placed on a conflict of the perfectionism purposes between two vec- tors of interest –the private and the national–. It is deeply analyzed the state as a political organism, based on the organic theory of society, to clarify the regressive process- es that is developing in the PIIGS group countries of the Southern Europe. The distinctiveness of this article is the discovery of the eudemonistic paradox by the author. The elucidation of the eudaimonistic paradox will solve the problems of the crisis processes. The obtained results are important for the countries of the Southern Europe, es- pecially for the PIIGS countries, and also

O comércio intra-sectorial na indústria agro-alimentar nos países BRIC

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Zhou, Qiong

2012-01-01

Mestrado em Contabilidade, Fiscalidade e Finanças Empresariais Esta dissertação analisa a evolução do comércio intra-sectorial total e por tipos (comércio intra-sectorial horizontal e vertical) na indústria agro-alimentar do Brasi, Rússia, Índia e China (os chamados BRIC). É feita, também, a caracterização dos quatro países em termos do seu peso nas exportações e importações de produtos agro-alimentares. A metodologia usada utiliza o índice de Comércio intra-sectoriasl de Grubel e Lloyd (1...

Du texte mis entre parenthèses au texte dit à part

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Xavier Leroux

2010-12-01

Full Text Available L’étude de l’aparté dans La Celestina est ici fondée sur une approche codicologique de plusieurs imprimés de l’œuvre de Fernando de Rojas. Une définition théorique de l’aparté permet d’en préciser les différentes réalisations au théâtre : l’aparté au public, l’aparté sélectif et l’aparté au moi, qui se distingue nettement du monologue. Dans le texte dramatique, le repérage de cette forme dramatique se révèle cependant plus délicate. L’étude de l’emploi des parenthèses dans plusieurs imprimés qui conservent La Celestina fait apparaître un usage très vigilant de ces signes de ponctuation pour marquer le recours à l’aparté.

Ethnic variations in upper gastrointestinal hospitalizations and deaths: the Scottish Health and Ethnicity Linkage Study.

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Cezard, Genevieve I; Bhopal, Raj S; Ward, Hester J T; Bansal, Narinder; Bhala, Neeraj

2016-04-01

Upper gastrointestinal (GI) diseases are common, but there is a paucity of data describing variations by ethnic group and so a lack of understanding of potential health inequalities. We studied the incidence of specific upper GI hospitalization and death by ethnicity in Scotland. Using the Scottish Health and Ethnicity Linkage Study, linking NHS hospitalizations and mortality to the Scottish Census 2001, we explored ethnic differences in incidence (2001-10) of oesophagitis, peptic ulcer disease, gallstone disease and pancreatitis. Relative Risks (RRs) and 95% confidence intervals were calculated using Poisson regression, multiplied by 100, stratified by sex and adjusted for age, country of birth (COB) and socio-economic position. The White Scottish population (100) was the reference population. Ethnic variations varied by outcome and sex, e.g. adjusted RRs (95% confidence intervals) for oesophagitis were comparatively higher in Bangladeshi women (209; 124-352) and lower in Chinese men (65; 51-84) and women (69; 55-88). For peptic ulcer disease, RRs were higher in Chinese men (171; 131-223). Pakistani women had higher RRs for gallstone disease (129; 112-148) and pancreatitis (147; 109-199). The risks of upper GI diseases were lower in Other White British and Other White [e.g. for peptic ulcer disease in men, respectively (74; 64-85) and (81; 69-94)]. Risks of common upper GI diseases were comparatively lower in most White ethnic groups in Scotland. In non-White groups, however, risk varied by disease and ethnic group. These results require consideration in health policy, service planning and future research. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Cancer survival in Cixian of China, 2003-2013: a population-based study.

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Li, Dongfang; Li, Daojuan; Song, Guohui; Liang, Di; Chen, Chao; Zhang, Yachen; Gao, Zhaoyu; He, Yutong

2018-04-01

Cixian is one of the high-risk areas for upper gastrointestinal cancer in China and the world. From 2005, comprehensive population-based screening for upper gastrointestinal cancers has been conducted in Cixian. The aim of this study was to investigate population-based cancer survival from 2003 to 2013 and to explore the effect of screening on upper gastrointestinal cancer survival in Cixian. Observed survival was estimated using the life table method. The expected survival from the general population was calculated using all-cause mortality data from the population of Cixian with the EdererII method. Cixian cancer registry, with a total coverage of 6.88 million person years, recorded 19,628 cancer patients diagnosed during 2003-2013. In Cixian, from 2003 to 2013, there were 19,628 newly cancer cases and 13,984 cancer deaths, with an incidence rate of 285.37/100,000 and mortality rate of 203.31/100,000. The overall five-year relative cancer survival for patients diagnosed in Cixian in 2003-2013 was 22.53%. The relative survival for all cancers combined in Cixian had an overall upward trend from 2003 to 2013. Among upper gastrointestinal cancer in Cixian, the five-year relative survival for cardia gastric cancer was highest at 30.42%, followed by oesophageal cancer at 25.37% and noncardia gastric cancer at 18.93%. In 2013, the five-year relative survival for oesophageal cancer, cardia gastric cancer, and noncardia gastric cancer patients aged 45-69 years was 39.97% (95% CI: 34.52-45.43%), 51.74% (95% CI: 42.09-60.86%), and 37.43% (95% CI: 26.93-48.17%), respectively, the absolute values increasing 14.11%, 16.71%, and 14.92% compared with that in 2003. There is an increasing trend in overall survival for upper gastrointestinal cancer with early screening and treatment of cancer in Cixian. © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

Smoking Cessation among Low-Socioeconomic Status and Disadvantaged Population Groups: A Systematic Review of Research Output

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Ryan J. Courtney

2015-06-01

Full Text Available Background: Smoking cessation research output should move beyond descriptive research of the health problem to testing interventions that can provide causal data and effective evidence-based solutions. This review examined the number and type of published smoking cessation studies conducted in low-socioeconomic status (low-SES and disadvantaged population groups. Methods: A systematic database search was conducted for two time periods: 2000–2004 (TP1 and 2008–2012 (TP2. Publications that examined smoking cessation in a low-SES or disadvantaged population were coded by: population of interest; study type (reviews, non-data based publications, data-based publications (descriptive, measurement and intervention research; and country. Intervention studies were coded in accordance with the Cochrane Effective Practice and Organisation of Care data collection checklist and use of biochemical verification of self-reported abstinence was assessed. Results: 278 citations were included. Research output (i.e., all study types had increased from TP1 27% to TP2 73% (χ² = 73.13, p < 0.001, however, the proportion of data-based research had not significantly increased from TP1 and TP2: descriptive (TP1 = 23% vs. TP2 = 33% or intervention (TP1 = 77% vs. TP2 = 67%. The proportion of intervention studies adopting biochemical verification of self-reported abstinence had significantly decreased from TP1 to TP2 with an increased reliance on self-reported abstinence (TP1 = 12% vs. TP2 = 36%. Conclusions: The current research output is not ideal or optimal to decrease smoking rates. Research institutions, scholars and funding organisations should take heed to review findings when developing future research and policy.

REGIME DE METAS DE INFLAÇÃO: ANÁLISE COMPARATIVA E EVIDÊNCIAS EMPÍRICAS PARA PAÍSES EMERGENTES SELECIONADOS

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Mateus Ramalho Ribeiro da Fonseca

Full Text Available RESUMO O objetivo deste artigo é analisar o regime de metas de inflação (RMI no Brasil à luz das experiências de outros países emergentes selecionados, quais sejam: África do Sul, Chile, Colômbia, Coreia do Sul e México. Para tanto, há uma exposição dos contextos nos quais o RMI foi adotado nesses países, bem como uma comparação entre os arranjos desses regimes, para se distinguir suas principais características. Por fim, é estimado um modelo autorregressivo com vetores de correção de erros (VEC para cada país selecionado, de modo a criar condições para uma análise da eficácia do RMI nessas economias. Os resultados empíricos da pesquisa sugerem que os Regimes de Metas de inflação mais flexíveis (África do Sul, Chile, Colômbia, Coreia do Sul são relativamente mais eficazes em termos de combate à inflação que os regimes mais rígidos (Brasil e México.

Antibiotic prescription patterns for upper respiratory tract infections in the outpatient Qatari population in the private sector.

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Butt, Adeel Ajwad; Navasero, Cristina S; Thomas, Bright; Marri, Salih Al; Katheeri, Huda Al; Thani, Asmaa Al; Khal, Abdullatif Al; Khan, Tasnim; Abou-Samra, Abdul-Badi

2017-02-01

Antibiotics are often inappropriately prescribed for upper respiratory tract infections (URTIs) in developed countries. Data on the proportion of inappropriate prescriptions are lacking from the Middle East and other developing countries. Health insurance claims for all antibiotics prescribed for URTIs in the private sector in the State of Qatar between May 2014 and December 2015 were retrieved. During the study period, health insurance was limited to Qatari nationals. Topical antibiotics were excluded. Data on the prescriber's specialty, as listed with the licensing authority, were also retrieved. Diagnoses were classified as appropriate or inappropriate based on the likelihood of a bacterial etiology that may warrant antibiotic use. A total of 75 733 claims were made during the study period. Of these, 41 556 (55%) were for an appropriate indication, while 34 177 (45%) were for an inappropriate indication. The most common antibiotic classes prescribed were cephalosporins (43% of claims; 44% inappropriate), penicillins (28% of claims; 44% inappropriate), macrolides (19% of claims; 52% inappropriate), and fluoroquinolones (9% of claims; 40% inappropriate). Nearly 5% of antibiotics were prescribed in intravenous formulations. The most common prescribers were General/Family Practice physicians (53% of claims; 50% inappropriate), followed by Pediatrics (18.6% of claims; 36% inappropriate) and Internal Medicine (14.1% of claims; 44% inappropriate). There is a high rate of inappropriate antibiotic prescription for acute URTIs in the private health care sector in the State of Qatar. Further studies are needed to determine the population-based rates across the country. Interventions to decrease inappropriate use in such settings are urgently needed. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Socioeconomic Status and Physical Activity in Chinese Adults: A Report from a Community-Based Survey in Jiaxing, China.

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Mingling Chen

Full Text Available This study examines the associations of socioeconomic status (SES with intensity of different types of physical activity (PA in Chinese adults, aimed at outlining and projecting socioeconomic disparities in PA among the population undergoing a rapid nutrition transition.A community-based survey was conducted among 3,567 residents aged 30-65 years old in Jiaxing, China, in 2010. SES and PA were assessed by a structured questionnaire. SES was assessed as socioeconomic index (SEI score based on self-reported educational attainment, household income and occupation. Metabolic equivalents (METs were calculated for each subject to quantify the total amount of PA from occupation, exercise, transportation and housework.Intensity of overall PA in this population was 165 MET-hours/week, in which energy expenditure in occupational PA accounted for 82%. Both types and intensity of PA were significantly different by SES: middle SES groups had higher intensity of occupational activities; lower SES subjects engaged in more household work; whereas higher SES subjects were more likely to exercise, more active during commuting and had longer sedentary time. All the three components of SES, education attainment, income and occupation, contributed to socioeconomic disparities in PA in this population.Our results suggest an overall insufficiency and socioeconomic inequalities in PA among Chinese adults in Jiaxing, a typical city experiencing a rapid urbanization in China. There is an urgent need to promote leisure-time activities in this population.

Os impactos do crescimento econômico sobre o aquecimento terrestre: a contribuição dos países em desenvolvimento

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Maria Fernanda Cavalieri de Lima Santin

2007-07-01

Full Text Available O objetivo deste artigo é estimar as emissões de dióxido de carbono, CO2, para o ano de 2012, provenientes das atividades econômicas em alguns países em desenvolvimento, a saber: África do Sul, Argentina, Brasil, China, Índia e México. Inicialmente, são apresentadas as principais causas do aquecimento terrestre e como a utilização de combustíveis fósseis amplia o efeito estufa. Em seguida, são estimadas as emissões de CO2 para três cenários alternativos utilizando-se da Identidade de Kaya. Nos três cenários foram considerados que o aumento populacional e o crescimento da economia seguiriam as taxas médias do período 2000-05. Tentou-se avaliar os efeitos da redução dos índices de intensidade energética e de CO2, mantida a mesma taxa de crescimento econômico e populacional. Neste sentido, nem mesmo no cenário no qual é previsto um maior uso de energias renováveis e de tecnologias voltadas à proteção do meio ambiente, foi possível reduzir os níveis de emissões de CO2 em todos os países.Abstract The main aim of this paper is to evaluate the emissions of carbon dioxide in 2012 as consequence of economic activities in developing countries (South Africa, Argentina, Brazil, China, India and Mexico. To achieve this purpose, we appraise the causes of global warm and the main uses of fossil fuels and how these factors affect the world economy. Then we estimate the CO2 emissions in three alternatives scenarios, using Kaya identity. In the three scenarios was 25consider the economic growth and increase in population equal to period 2000-05. In each scenario, we try to evaluated the effects of reduce the index of energy intensity and CO2. As result, even in the scenario where we simulate major changes in renewable energy and the use of appropriate technologies, it was not feasible to reduce the level of CO2 emission in all the countries.

Integrating both interaction pathways between warming and pesticide exposure on upper thermal tolerance in high- and low-latitude populations of an aquatic insect.

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Op de Beeck, Lin; Verheyen, Julie; Stoks, Robby

2017-05-01

Global warming and chemical pollution are key anthropogenic stressors with the potential to interact. While warming can change the impact of pollutants and pollutants can change the sensitivity to warming, both interaction pathways have never been integrated in a single experiment. Therefore, we tested the effects of warming and multiple pesticide pulses (allowing accumulation) of chlorpyrifos on upper thermal tolerance (CTmax) and associated physiological traits related to aerobic/anaerobic energy production in the damselfly Ischnura elegans. To also assess the role of latitude-specific thermal adaptation in shaping the impact of warming and pesticide exposure on thermal tolerance, we exposed larvae from replicated high- and low-latitude populations to the pesticide in a common garden rearing experiment at 20 and 24 °C, the mean summer water temperatures at high and low latitudes. As expected, exposure to chlorpyrifos resulted in a lower CTmax. Yet, this pesticide effect on CTmax was lower at 24 °C compared to 20 °C because of a lower accumulation of chlorpyrifos in the medium at 24 °C. The effects on CTmax could partly be explained by reduction of the aerobic scope. Given that these effects did not differ between latitudes, gradual thermal evolution is not expected to counteract the negative effect of the pesticide on thermal tolerance. By for the first time integrating both interaction pathways we were not only able to provide support for both of them, but more importantly demonstrate that they can directly affect each other. Indeed, the warming-induced reduction in pesticide impact generated a lower pesticide-induced climate change sensitivity (in terms of decreased upper thermal tolerance). Our results indicate that, assuming no increase in pesticide input, global warming might reduce the negative effect of multiple pulse exposures to pesticides on sensitivity to elevated temperatures. Copyright © 2016 Elsevier Ltd. All rights reserved.

Representaciones culturales de países hispanohablantes: una mirada a los recursos visuales en el contexto de EaD

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Leandra Cristina de Oliveira

2017-09-01

Full Text Available Con vistas a la relevancia de la discusión sobre cultura en la Lingüística Aplicada, tanto en el ámbito de la enseñanza de lengua materna como de lengua extranjera, direccionamos el diálogo sobre el tema a la enseñanza de español en la Educación a Distancia (EaD. Observando el Curso de Letras Español de la Universidad Federal de Santa Catarina, en la modalidad EaD, objetivamos discutir las representaciones culturales de los países hispanohablantes en las imágenes del Ambiente virtual de la asignatura Lengua Española I. Consonante al objetivo, asentamos la siguiente cuestión: ¿en qué medida las representaciones culturales en las imágenes analizadas contribuyen para la desconstrucción de concepciones reduccionistas y estereotipadas sobre los países hispanohablantes? La respuesta a esta cuestión procede del análisis de las imágenes introductorias de los tópicos de la asignatura citada, fundamentada en bases teóricas de estudios culturales, con especial atención a los conceptos de cultura, identidad y diferencia.

Characterization of the upper pouch tracheo-oesophageal fistula in oesophageal atresia.

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Summerour, Virginia; Stevens, Paul S; Lander, Anthony D; Singh, Michael; Soccorso, Giampiero; Arul, G Suren

2017-02-01

A small proportion of infants with oesophageal atresia (OA) are thought to have a proximal tracheoesophageal fistula (TOF). Failure to recognize these can hamper mobilization of the upper pouch and lead to life-threatening episodes of aspiration once oral feeding starts. We reviewed our experience of upper pouch fistulae to identify characteristic features of proximal TOF. A retrospective review of TOF/OA patient notes and bronchoscopy photographs and videos, identified from our database from 01/01/2006 to 12/31/2015, was performed. Eight (6.1%) infants were identified (M:F 5:3) from a total population of 131 newly diagnosed TOF/OA infants during the period. Their median gestational age was 33 (range 28-39) weeks, and median birth weight was 1647g (range 1100-3400g). Five were initially diagnosed with pure OA and 3 with a distal TOF. All patients underwent rigid bronchoscopy at the initial surgery but only one proximal fistula was identified. The 7 missed proximal fistulae were subsequently found either during on-table oesophagograms for gap assessment (n=2), at the time of thoracotomy when mobilizing the upper pouch (n=3), or during subsequent bronchoscopy for symptoms post OA repair (n=2). Two patients needed a further operation to divide the fistula. Review of the bronchoscopy videos identified four characteristic differences between upper and lower pouch fistulae. Proximal fistulae are found just distal to the vocal cords, are very small, often no more than a pit, do not open and close with ventilation, and are best identified by insufflation of the esophagus. Upper pouch fistulae are relatively easy to miss because of different characteristics compared with H-type or distal fistulae that have not previously been mentioned in the literature. level IV. Copyright © 2016. Published by Elsevier Inc.

Hospital discharge diagnostic and procedure codes for upper gastro-intestinal cancer: how accurate are they?

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Stavrou Efty

2012-09-01

Full Text Available Abstract Background Population-level health administrative datasets such as hospital discharge data are used increasingly to evaluate health services and outcomes of care. However information about the accuracy of Australian discharge data in identifying cancer, associated procedures and comorbidity is limited. The Admitted Patients Data Collection (APDC is a census of inpatient hospital discharges in the state of New South Wales (NSW. Our aim was to assess the accuracy of the APDC in identifying upper gastro-intestinal (upper GI cancer cases, procedures for associated curative resection and comorbidities at the time of admission compared to data abstracted from medical records (the ‘gold standard’. Methods We reviewed the medical records of 240 patients with an incident upper GI cancer diagnosis derived from a clinical database in one NSW area health service from July 2006 to June 2007. Extracted case record data was matched to APDC discharge data to determine sensitivity, positive predictive value (PPV and agreement between the two data sources (κ-coefficient. Results The accuracy of the APDC diagnostic codes in identifying site-specific incident cancer ranged from 80-95% sensitivity. This was comparable to the accuracy of APDC procedure codes in identifying curative resection for upper GI cancer. PPV ranged from 42-80% for cancer diagnosis and 56-93% for curative surgery. Agreement between the data sources was >0.72 for most cancer diagnoses and curative resections. However, APDC discharge data was less accurate in reporting common comorbidities - for each condition, sensitivity ranged from 9-70%, whilst agreement ranged from κ = 0.64 for diabetes down to κ  Conclusions Identifying incident cases of upper GI cancer and curative resection from hospital administrative data is satisfactory but under-ascertained. Linkage of multiple population-health datasets is advisable to maximise case ascertainment and minimise false

Infecciones respiratorias altas recurrentes: Algunas consideraciones Recurrent upper respiratory infections: Some considerations

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Mirta Álvarez Castelló

2008-03-01

Full Text Available Las infecciones respiratorias agudas constituyen la primera causa de consultas médicas y de morbilidad, tanto en los países desarrollados como en los países en vías de desarrollo. Los niños menores de 5 años tienen algunas características fisiológicas e inmunológicas que los hacen más susceptibles para presentar estos procesos respiratorios. A pesar que las infecciones respiratorias agudas bajas concentran habitualmente la atención por su mayor complejidad, costo del tratamiento y complicaciones, son las altas las que se presentan en mayor número en la consulta ambulatoria. Por la frecuente presentación en la consulta de alergología y por la carga de ansiedad que se genera en los familiares de estos niños con infecciones respiratorias recurrentes, nos decidimos a realizar una revisión sobre algunos aspectos de interés relacionados con ellas. Nuestro objetivo es mejorar el conocimiento de estas entidades, para identificar aquellos niños con mayor riesgo de presentar recurrencia de estas infecciones respiratorias. Estas entidades, que en su mayoría son de etiología viral y curso limitado, son causa importante de uso y abuso de medicamentos, entre ellos, los antibióticos, con efectos perjudiciales en la salud de los niños.Acute respiratory infections are the first cause of visits to the physician's offices and of morbidity in the developing and developed countries. Children under 5 have some physiological and immunological characteristics that make them more susceptible to present these respiratory processes. In spite of the fact that the lower respiratory infection usually attracts the attention due to their greater complexity, cost of treatment and complications, the upper are more frequent at the outpatient department. Due to their common presentation at the allergology department and to the load of anxiety generated in the relatives of these children with recurrent respiratory infections, it was decided to make a review of

Países Bálticos e Rússia: as conseqüências de um novo desenho geopolítico

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RICARDO DOS SANTOS POLETTO

2010-11-01

Full Text Available Parte importante da antiga União Soviética, ou de sua esfera de influência, os países bálticos se afastam cada vez mais da política de Moscou. Nesse sentido o presente artigo tem como objetivo delinear as relações entre esses atores, de modo expor os limites da atual influência russa nos Bálcãs e suas conseqüências para  a nova geopolítica global.

Ideal Body Size as a Mediator for the Gender-Specific Association Between Socioeconomic Status and Body Mass Index: Evidence From an Upper-Middle-Income Country in the African Region.

OpenAIRE

Yepes Maryam; Maurer Jürgen; Stringhini Silvia; Viswanathan Barathi; Gedeon Jude; Bovet Pascal

2016-01-01

While obesity continues to rise globally the associations between body size gender and socioeconomic status (SES) seem to vary in different populations and little is known on the contribution of perceived ideal body size in the social disparity of obesity in African countries. We examined the gender and socioeconomic patterns of body mass index (BMI) and perceived ideal body size in the Seychelles a middle income small island state in the African region. We also assessed the potential role of...

Relationships between academic performance, SES school type and perceptual-motor skills in first grade South African learners: NW-CHILD study.

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Pienaar, A E; Barhorst, R; Twisk, J W R

2014-05-01

Perceptual-motor skills contribute to a variety of basic learning skills associated with normal academic success. This study aimed to determine the relationship between academic performance and perceptual-motor skills in first grade South African learners and whether low SES (socio-economic status) school type plays a role in such a relationship. This cross-sectional study of the baseline measurements of the NW-CHILD longitudinal study included a stratified random sample of first grade learners (n = 812; 418 boys and 394 boys), with a mean age of 6.78 years ± 0.49 living in the North West Province (NW) of South Africa. The Beery-Buktenica Developmental Test of Visual-Motor Integration-4 (VMI) was used to assess visual-motor integration, visual perception and hand control while the Bruininks Oseretsky Test of Motor Proficiency, short form (BOT2-SF) assessed overall motor proficiency. Academic performance in math, reading and writing was assessed with the Mastery of Basic Learning Areas Questionnaire. Linear mixed models analysis was performed with spss to determine possible differences between the different VMI and BOT2-SF standard scores in different math, reading and writing mastery categories ranging from no mastery to outstanding mastery. A multinomial multilevel logistic regression analysis was performed to assess the relationship between a clustered score of academic performance and the different determinants. A strong relationship was established between academic performance and VMI, visual perception, hand control and motor proficiency with a significant relationship between a clustered academic performance score, visual-motor integration and visual perception. A negative association was established between low SES school types on academic performance, with a common perceptual motor foundation shared by all basic learning areas. Visual-motor integration, visual perception, hand control and motor proficiency are closely related to basic academic skills

Systematic reviews need to consider applicability to disadvantaged populations: inter-rater agreement for a health equity plausibility algorithm.

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Welch, Vivian; Brand, Kevin; Kristjansson, Elizabeth; Smylie, Janet; Wells, George; Tugwell, Peter

2012-12-19

Systematic reviews have been challenged to consider effects on disadvantaged groups. A priori specification of subgroup analyses is recommended to increase the credibility of these analyses. This study aimed to develop and assess inter-rater agreement for an algorithm for systematic review authors to predict whether differences in effect measures are likely for disadvantaged populations relative to advantaged populations (only relative effect measures were addressed). A health equity plausibility algorithm was developed using clinimetric methods with three items based on literature review, key informant interviews and methodology studies. The three items dealt with the plausibility of differences in relative effects across sex or socioeconomic status (SES) due to: 1) patient characteristics; 2) intervention delivery (i.e., implementation); and 3) comparators. Thirty-five respondents (consisting of clinicians, methodologists and research users) assessed the likelihood of differences across sex and SES for ten systematic reviews with these questions. We assessed inter-rater reliability using Fleiss multi-rater kappa. The proportion agreement was 66% for patient characteristics (95% confidence interval: 61%-71%), 67% for intervention delivery (95% confidence interval: 62% to 72%) and 55% for the comparator (95% confidence interval: 50% to 60%). Inter-rater kappa, assessed with Fleiss kappa, ranged from 0 to 0.199, representing very low agreement beyond chance. Users of systematic reviews rated that important differences in relative effects across sex and socioeconomic status were plausible for a range of individual and population-level interventions. However, there was very low inter-rater agreement for these assessments. There is an unmet need for discussion of plausibility of differential effects in systematic reviews. Increased consideration of external validity and applicability to different populations and settings is warranted in systematic reviews to meet this

Review of meningitis surveillance data, upper West Region, Ghana 2009-2013.

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Nuoh, Robert Domo; Nyarko, Kofi Mensah; Nortey, Priscilla; Sackey, Samuel Oko; Lwanga, Noora Charles; Ameme, Donne Kofi; Nuolabong, Culbert; Abdulai, Marijanatu; Wurapa, Fredrick; Afari, Edwin

2016-01-01

The Upper West region of Ghana is within the meningitis belt. Analysis of long term surveillance data is necessary for understanding changes in the disease occurrence. We analyzed five years of surveillance data to describe by person, place and time and to determine trends in meningitis. Meningitis surveillance data from Ghana Health Service in the Upper West Region, from 2009 to 2013 were reviewed. Data was obtained from District-Health Information Management System and line list from the Disease Control Unit. Population figures (denominators) and rainfall data were also analyzed. Within the period 980 cases of meningitis were reported in the region, 507(52%) females and 473(48%) males. The mean age of cases was 20.1years and standard deviation 18.8 years with, 77.6 %( 761/980) cases occurring in persons aged under 30 years. Children under five years were 19.3% (190/980). Attack rates ranged from 6.1/100,000 population in the Daffiama-bussei-Issa-district to 47.5/100,000 in Jirapa. Overall case fatality rate of meningitis was 12.2% with 14deaths/100,000 population. Bacterial agents were isolated from 35% (245/702) of CSF. Majority were Streptococcus pneumonia 48.2 % ( 122/258), and N. meningitides Y/W 135 40.3% (102/258). Meningitis was found to be seasonal with peaks in the dry season. Meningitis in the region is seasonal, and showed a decreasing trend. Jirapa, Lawra, Nadowli and Wa West districts had the highest burden. Control effort of the disease should focus on vaccination against streptococcus pneumonia and N. meningitis W135 especially within crowded settlements such as boarding schools.

Socioeconomic indicators and prosthetic replacement of missing teeth in a working-age population--results of the Study of Health in Pomerania (SHIP).

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Mundt, Torsten; Polzer, Ines; Samietz, Stefanie; Grabe, Hans Jörgen; Messerschmidt, Heidrun; Dören, Martina; Schwarz, Sabine; Kocher, Thomas; Biffar, Reiner; Schwahn, Christian

2009-04-01

To analyse the possible effects of the socioeconomic status (SES) on the prosthetic replacement of missing teeth in working-age people and to explore the role of potential confounders. Cross-sectional data were collected from 2310 German adults aged 30-59 years. The relationship between each of the three SES indicators (education, income, and occupational status) and dental prostheses were examined by multinomial logistic regression analyses. For that, partially dentate participants with suboptimal and no replacement of missing teeth were compared with partially dentate participants having optimal replacement. Potential confounders (age, sex, dental status, social network and social support) were entered if their inclusion in the model led to >or= 10% change in the coefficient of interest. Social network and social support did not meet the criterion for confounding. In the maxilla, having no replacement was positively associated with lower categories for each of the three SES indicators [Odds ratios (OR) between 1.6 and 2.1; 95% confidence intervals (CI) between 1.1 and 3.4]. Low occupational status was the single predictor for suboptimal dental prostheses (OR=3.2; 95% CI: 1.6-6.2). In the mandible, occupational status showed no association with the prosthetic status, whereas low educational level and low household income were determinants for having no replacement (OR=1.9 and 1.9, 95% CI: 1.0-3.5 and 1.1-3.0, respectively). Low household income was the single determinant for suboptimal replacement of missing teeth (OR=2.4, 95% CI=1.1-5.2). The findings may indicate the relevance of the financing of prosthodontic treatment. The strong association between various forms of upper dentures and occupational prestige can be seen as key contributing concept to how individuals' characteristics affect the outcome in prosthodontic care.

Hydrates removal during the exploration evaluation of the 3-SES-149A well; Remocao de hidrato na avaliacao exploratoria do poco 3-SES-149A

Energy Technology Data Exchange (ETDEWEB)

Barros Filho, Armando F.; Franco, Marcus L. de A. [PETROBRAS, Rio de Janeiro, RJ (Brazil); Gomes, Luiz A.Q.M. [Schlumberger, Rio de Janeiro, RJ (Brazil)

2004-07-01

The 3-SES-149A well, at a water depth of 1164 meters, is part of the SEAL-100 block located offshore of the State of Sergipe. The objective of the intervention was to evaluate the 3674-3682 meters interval of the Riachuelo Formation. Bottom hole gauges and real time data transmission to the surface were deployed for this test, during which the target interval produced gas and condensate, without any evidence of formation of hydrate at the surface. After the test, while pulling out the electrical cable with the Link Running Tool, it got stuck close to the subsea well-test tree at a depth of 1257 meters. The formation of hydrate not only kept the cable from moving up, but also rendered impossible the reverse circulation in the column and consequently pulling out the test string. Removing the hydrate would allow releasing the logging cable, thus enabling fluid circulation in the string and its safe retrieval. The goal was achieved via the injection of solvent through the subsea well-test tree, drilling fluid circulation through the annulus above the BOP, and fluid circulation on the top of the hydrate plug through Coiled Tubing. The greatest challenge was running the Coiled Tubing in the string with the electrical cable inside. (author)

An environmental DNA assay for detecting Arctic grayling in the upper Missouri River basin, North America

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K. J. Carim; J. C. S. Dysthe; Michael Young; Kevin McKelvey; Michael Schwartz

2016-01-01

The upper Missouri River basin in the northwestern US contains disjunct Arctic grayling (Thymallus arcticus) populations of conservation concern. To assist efforts aimed at understanding Artic grayling distribution, we developed a quantitative PCR assay to detect the presence of Arctic grayling DNA in environmental samples. The assay amplified low...

The paraty artisanal fishery (southeastern Brazilian coast: ethnoecology and management of a social-ecological system (SES

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Begossi Alpina

2012-06-01

Full Text Available Abstract This study intends to give recommendations to the management of Paraty fishery in Brazil through an interplay of local and scientific knowledge. In particular, the objectives are the following: 1 to describe the Paraty fishery; 2 to compare the fishermen’s local ecological knowledge with recorded fish landings and previous studies in Paraty; 3 to combine the data on local fishing and on local/Caiçara livelihoods with the SES (social-ecological systems Model. The methods include a systematic survey of fishing in Tarituba and Praia Grande, which are located in the northern end and the central part of the Paraty municipality, respectively. For four days each month, systematic data on catches at landing points were collected, as well as macroscopic gonad analysis data for the fishes Centropomus parallelus and C. undecimalis (snook, robalo, Epinephelus marginatus (grouper, garoupa, Scomberomorus cavalla (King mackerel, cavala, and Lutjanus synagris (Lane snapper, vermelho. Spring and summer are important seasons during which some species reproduce, and the integration of fishing periods for some target species could assist in fishing management through the use of closed seasons. Fishermen could obtain complementary earnings from tourism and from the “defeso system” (closed season including a salary payment to conserve fishing stocks. The SES model facilitates an understanding of the historical context of fishing, its economic importance for local livelihoods, the constraints from conservation measures that affect fishermen, and the management processes that already exist, such as the defeso. If used to integrate fishing with complementary activities (tourism, such a system could improve the responsibility of fishermen regarding the conservation of fish stocks.

Un système multi-scalaire, ses espaces de référence et ses mondes. L’Atlas Vidal-Lablache

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Marie-Claire Robic

2004-03-01

Full Text Available À la différence de productions qui lui sont contemporaines, monoscalaires mais ethnocentrées (Levasseur ou cosmopolites (Reclus, ou multiscalaires à emboîtements des niveaux d’échelles (Geddes, l’atlas de Vidal de la Blache a une structure complexe, multiscalaire et polymorphe car il use d’« espaces de référence » différents d’une planche à l’autre. Cette structure est rendue possible par un assemblage iconographique et textuel qui repose sur une unité composite, la planche d’atlas, formant une composition devenue canonique : cartes, cartons, légende. L’étude de l’ensemble du dispositif iconographique et de l’apparat textuel montre que l’ouvrage est multiscalaire à double titre. D’abord parce que, conformément à l’épistémologie vidalienne, chaque région du monde est dotée de ses propres espaces de référence, qui lui donnent sa dimension spécifique. D’autre part parce que la Terre est en principe l’unité de référence ultime, la méta-échelle englobante. Cette méta-échelle recouvre en fait trois « mondes » dissociés, économique, impérial et de la civilisation, formant trois méta-échelles intermédiaires. Au-delà du souci d’universalité, les métropoles de l’un et de l’autre de ces mondes (la France et l’Europe restent centrales dans ce système de représentation.

Entorno Institucional de la Desentralización Estatal en los Países Bajos el papel de las organizaciones de apoyo

NARCIS (Netherlands)

M. Noordhoek (Marike); Zwanenburg Maria Zwanenburg (M.)

2002-01-01

textabstractA partir de 1998, el IHS se vinculó al SINPA (Programa de apoyo para la implementación de planes nacionales de acción – Support for Implementation of National Plans of Action) financiado por la Dirección general de cooperación al desarrollo de los Países Bajos, junto con la ciudades de

The influence of bubble populations generated under windy conditions on the blue-green light transmission in the upper ocean: An exploratory approach

Science.gov (United States)

Wang, Chengan; Tan, Jianyu; Lai, Qingzhi

2016-12-01

The “blue-green window” in the ocean plays an important role in functions such as communication between vessels, underwater target identification, and remote sensing. In this study, the transmission process of blue-green light in the upper ocean is analyzed numerically using the Monte Carlo method. First, the effect of total number of photons on the numerical results is evaluated, and the most favorable number is chosen to ensure accuracy without excessive costs for calculation. Then, the physical and mathematical models are constructed. The rough sea surface is generated under windy conditions and the transmission signals are measured in the far field. Therefore, it can be conceptualized as a 1D slab with a rough boundary surface. Under windy conditions, these bubbles form layers that are horizontally homogeneous and decay exponentially with depth under the influence of gravity. The effects of bubble populations on the process of blue-green light transmission at different wind speeds, wavelengths, angle of incidence and chlorophyll-a concentrations are studied for both air-incident and water-incident cases. The results of this study indicate that the transmission process of blue-green light is significantly influenced by bubbles under high wind-speed conditions.

Self-reported prenatal oral health-care practices of preterm low birth weight-delivered women belonging to different socioeconomic status: A postnatal survey.

Science.gov (United States)

Elangovan, Gayathri Priyadarshni; Muthu, Jananni; Periyasamy, Indra Kumar; Balu, Pratebha; Kumar, R Saravana

2017-01-01

The differences in the oral health status between the individuals with a high socioeconomic status (SES) and those with a low SES had markedly increased. There is, however, minimal information available on women understanding the need of dental hygiene for overall health and whether pregnant women comply with the current oral health strategies. In Lieu with the above, the present study aims to assess the awareness, dental hygiene practices, and the frequency of dental visits during pregnancy in postnatal women who delivered preterm low birth weight babies of different SES in and around Puducherry. A total of 200 individuals who visited Rajiv Gandhi Maternity Centre, Puducherry for delivery were selected. Information regarding onset of prenatal care, referral to dentist, and oral hygiene habits such as frequency of brushing, type of brush used, method of brushing, and frequency of brush change were obtained. Periodontal health status was recorded using PSR system. Awareness of oral hygiene practices was more among upper middle class and lower middle class compared to upper lower strata. Visit to dentist during perinatal period was high among upper middle class compared to other socioeconomic strata. The awareness of oral health-care practices and importance of oral care during perinatal period were less among low socioeconomic strata.

LA COMPETENCIA ESTRATÉGICA DEL DOCENTE ANTE LA VIOLENCIA ESCOLAR EN PAÍSES EN VÍAS DE DESARROLLO

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Magalys Ruiz Iglesias

2002-01-01

Full Text Available Este artículo analiza la competencia estratégica del docente ante la violencia escolar en los países en vías de desarrollo. Forma parte de las Actas del «X Congreso de Formación del Profesorado: la formación del profesorado ante el fenómeno de la violencia y convivencia escolar», celebrado en Cuenca en junio de 2002. Recoge la ponencia presentada en el mismo por la profesora cubana Magalys Ruiz Iglesias.

Vertebrate animal populations of the McCormick Forest.

Science.gov (United States)

USDA FS

1975-01-01

Describes the means of surveying and estimating the populations of birds, mammals, amphibians, and reptiles in 1972 and 1973 on this 17,000-acre forest in the Upper Peninsula of Michigan. Gives an annotated list of birds and mammals and estimates biomass of amphibians in four habitats.

EL USO DE Moringa oleifera COMO MATERIAL NATURAL PARA EL TRATAMIENTO DEL AGUA POTABLE EN PAÍSES EN VÍA DE DESARROLLO

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Pablo Paredes Ramos

2013-12-01

Full Text Available En los países en vías de desarrollo como el Ecuador, los productos químicos para potabilizar el agua del río suelen ser importados, lo que implica un gran desembolso de divisas. Para tratar de mejorar la situación antes descrita, se han efectuado investigaciones en búsqueda de alternativas para el tratamiento de aguas para consumo humano, se orientan hacia el uso de elementos naturales. Uno de estos elementos es la Moringa oleífera se la conoce también como el árbol milagroso, ya que todos sus componentes dan diferentes tipos de utilidad. Tanto la semilla como el extracto contienen una proteína natural catiónica que absorbida por los gránulos de la arena del medio filtrante, hace que se active la cama de arena mejorando las remociones de turbiedad y los coliformes fecales, y que puede ser aplicable a las comunidades rurales de países subdesarrollados como el Ecuador.

The effect of a kindergarten-based, family-involved intervention on objectively measured physical activity in Belgian preschool boys and girls of high and low SES: the ToyBox-study.

Science.gov (United States)

De Craemer, Marieke; De Decker, Ellen; Verloigne, Maïté; De Bourdeaudhuij, Ilse; Manios, Yannis; Cardon, Greet

2014-03-14

The ToyBox-study developed an evidence- and theory-based intervention to improve preschoolers' energy balance-related behaviours - including physical activity (PA) - by targeting the kindergarten environment and involving their parents/caregivers. The present study aimed to examine the effect of the ToyBox-intervention on increasing Belgian preschoolers' objectively measured PA levels. A sample of 472 preschoolers (4.43 ± 0.55 years; 55.1% boys) from 27 kindergartens (15 intervention, 12 control kindergartens) in Flanders, Belgium were included in the data analyses. Preschoolers wore an ActiGraph accelerometer for six consecutive days and were included in the data analyses if they had a minimum of two weekdays and one weekend day, both at baseline and follow-up (one year later). Preschoolers' PA outcomes were estimated for an average day, weekday, weekend day, during school hours, and during after school hours. To assess intervention effects, multilevel repeated measures analyses were conducted for the total sample, and for sub-groups (according to sex, kindergarten levels of socio-economic status (SES) and risk groups (low levels of PA at baseline)) of preschoolers. Small intervention effects were found in the total sample. Most intervention effects were found in boys and in preschoolers from high SES kindergartens. Boys from the intervention group had an increase in vigorous PA (ß=1.47, p=0.03) and moderate-to-vigorous PA (ß=1.27, p=0.03) from baseline to follow-up, whereas PA levels in boys from the control group stagnated or decreased. In preschoolers from high SES kindergartens, the largest effects were found for PA outcomes during school hours and during after school hours. The results from the Belgian sample demonstrate that effects of the PA-component of the ToyBox-intervention on objectively measured PA were found in preschool boys and in preschoolers from high SES kindergartens, which means that the ToyBox-intervention was mainly effective in those sub

Modelo de servicios microfinancieros propuesto para resolver el problema de la falta de acceso a los servicios financieros en los países en desarrollo

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Francesc Prior Sanz

2010-07-01

Full Text Available Este documento analiza cómo resolver el problema de la falta de acceso a los servicios financieros que padece la amplia mayoría de la población de los países en desarrollo. La solución propuesta toma como hipótesis que la falta de acceso a los servicios financieros se explica principalmente por un problema de oferta. Los modelos de negocio usados por las entidades financieras que operan en los países en desarrollo son inadecuados e ineficientes al no permitir servir rentablemente a los segmentos de bajos ingresos. Para resolver este problema de oferta, se necesita del desarrollo de modelos de negocio de distribución de servicios microfinancieros a bajo coste adaptados para servir a segmentos de población de bajos ingresos rentablemente.

LOS PAÍSES DEL TERCER MUNDO FRENTE A LA CRISIS EUROPEA

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PEDRO NEL PÁEZ

2014-01-01

Full Text Available El objetivo de este documento es determinar los canales de transmisión de la crisis europea hacia los países del Tercer Mundo. El trabajo examina la forma en que la crisis de la deuda soberana se propagó por el sector financiero, a través de la mayor volatilidad de la rentabilidad de los activos. Lo cual se debió a una mayor variación de sus precios, lo que tuvo efectos sobre el patrimonio neto de los agentes económicos, los ingresos, la demanda agregada y la asignación del crédito, así como también sobre la producción y el empleo. Para este documento se hizo búsqueda y selección de literatura especializada y se extrajeron estadísticas especializadas de la UNCTAD, CEPAL y OECD. Se concluye que la transmisión de la crisis europea al Tercer Mundo se dio por canales específicos conocidos, como el comercio internacional, la inversión extranjera directa, las remesas y la ayuda oficial para el desarrollo.

Effects of landscape features on population genetic variation of a tropical stream fish, Stone lapping minnow, Garra cambodgiensis, in the upper Nan River drainage basin, northern Thailand

Directory of Open Access Journals (Sweden)

Chaowalee Jaisuk

2018-03-01

Full Text Available Spatial genetic variation of river-dwelling freshwater fishes is typically affected by the historical and contemporary river landscape as well as life-history traits. Tropical river and stream landscapes have endured extended geological change, shaping the existing pattern of genetic diversity, but were not directly affected by glaciation. Thus, spatial genetic variation of tropical fish populations should look very different from the pattern observed in temperate fish populations. These data are becoming important for designing appropriate management and conservation plans, as these aquatic systems are undergoing intense development and exploitation. This study evaluated the effects of landscape features on population genetic diversity of Garra cambodgiensis, a stream cyprinid, in eight tributary streams in the upper Nan River drainage basin (n = 30–100 individuals/location, Nan Province, Thailand. These populations are under intense fishing pressure from local communities. Based on 11 microsatellite loci, we detected moderate genetic diversity within eight population samples (average number of alleles per locus = 10.99 ± 3.00; allelic richness = 10.12 ± 2.44. Allelic richness within samples and stream order of the sampling location were negatively correlated (P < 0.05. We did not detect recent bottleneck events in these populations, but we did detect genetic divergence among populations (Global FST = 0.022, P < 0.01. The Bayesian clustering algorithms (TESS and STRUCTURE suggested that four to five genetic clusters roughly coincide with sub-basins: (1 headwater streams/main stem of the Nan River, (2 a middle tributary, (3 a southeastern tributary and (4 a southwestern tributary. We observed positive correlation between geographic distance and linearized FST (P < 0.05, and the genetic differentiation pattern can be moderately explained by the contemporary stream network (STREAMTREE analysis, R2 = 0.75. The MEMGENE analysis

Política Social Comparada entre países de la Alianza del Pacífico y de la Unión Europea: México, Finlandia y España

OpenAIRE

Vidal Figueroa, Carla

2014-01-01

En la actualidad no existen estudios comparativos que midan de forma global la política social como input de los gobiernos. Una alternativa es la inclusión de diversos indicadores relevantes para la política social en un solo índice, que permita realizar un análisis estadístico y comparativo de diferentes países. El objetivo de este estudio es conocer la factibilidad de medir la política social basándonos en sus input y aplicando el Social Policy Index (SPI) en tres países de diferente régime...

Oportunidades comerciales para productores y exportadores colombianos de mangostanes y mangos en los Países Bajos a partir del Tratado de Libre Comercio con la Unión Europea

OpenAIRE

Pardo Ibáñez, Sara Valentina; Picón Villamil, Yussi Andrea; Sassón Beltrán, Melissa

2016-01-01

El presente trabajo de investigación se realizó con el propósito de esclarecer y brindarle información pertinente y actualizada a los productores nacionales de frutas exóticas como el mango y el mangostán, acerca de las oportunidades comerciales que estos poseen con países pertenecientes a la Unión Europea (UE), debido al creciente consumo de frutas en estos países y al acuerdo comercial vigente que posee Colombia y la UE. Con el fin de que el sector agrícola crezca y pueda establecerse en me...

Allozyme comparison of two populations of Rineloricaria (Siluriformes, Loricariidae from the Ivaí River, upper Paraná River basin, Brazil

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Daniel M. Limeira

2009-01-01

Full Text Available Two allopatric morphotypes of the genus Rinelocaria were compared through the allozyme electrophoresis technique: one morphotype, R. pentamaculata, from the Keller River in the middle stretch of the Ivaí River basin and the other, R. aff. pentamaculata, from the São João River in the upper portion of the Ivaí River basin. The morphotype from the São João River was collected upstream from the São João waterfall, which is about 80 m deep. Twelve enzymatic systems (AAT, ADH, EST, GCDH, G3PDH, GPI, IDH, LDH, MDH, ME, PGM and SOD were analyzed, which allowed to score 22 loci. Only loci Aat-2, Est-3 and Mdh-C showed polymorphism. The two samples differed in allele frequencies at the three polymorphic loci. The average expected heterozygosity for all loci was 0.0806 ± 0.0447 in the Keller River sample. For the São João River morphotype, this value was 0.0489 ± 0.0350. Nei' s genetic identity and distance between the two populations were respectively 0.9789 and 0.0213. Wright's F IS, F IT and F STover all loci were estimated as 0.3121, 0.4021 and 0.1309, respectively. We consider that the two morphotypes represent species in statu nascendi.

Sociodemographic characteristics and frequency of consuming home-cooked meals and meals from out-of-home sources: cross-sectional analysis of a population-based cohort study.

Science.gov (United States)

Mills, Susanna; Adams, Jean; Wrieden, Wendy; White, Martin; Brown, Heather

2018-04-11

To identify sociodemographic characteristics associated with frequency of consuming home-cooked meals and meals from out-of-home sources. Cross-sectional analysis of a population-based cohort study. Frequency of consuming home-cooked meals, ready meals, takeaways and meals out were derived from a participant questionnaire. Sociodemographic characteristics regarding sex, age, ethnicity, working overtime and socio-economic status (SES; measured by household income, educational attainment, occupational status and employment status) were self-reported. Sociodemographic differences in higher v. lower meal consumption frequency were explored using logistic regression, adjusted for other key sociodemographic variables. Cambridgeshire, UK. Fenland Study participants (n 11 326), aged 29-64 years at baseline. Eating home-cooked meals more frequently was associated with being female, older, of higher SES (measured by greater educational attainment and household income) and not working overtime. Being male was associated with a higher frequency of consumption for all out-of-home meal types. Consuming takeaways more frequently was associated with lower SES (measured by lower educational attainment and household income), whereas eating out more frequently was associated with higher SES (measured by greater educational attainment and household income) and working overtime. Sociodemographic characteristics associated with frequency of eating meals from different out-of-home sources varied according to meal source. Findings may be used to target public health policies and interventions for promoting healthier diets and dietary-related health towards people consuming home-cooked meals less frequently, such as men, those with lower educational attainment and household income, and overtime workers.

Upper gastrointestinal bleeding in patients with CKD.

Science.gov (United States)

Liang, Chih-Chia; Wang, Su-Ming; Kuo, Huey-Liang; Chang, Chiz-Tzung; Liu, Jiung-Hsiun; Lin, Hsin-Hung; Wang, I-Kuan; Yang, Ya-Fei; Lu, Yueh-Ju; Chou, Che-Yi; Huang, Chiu-Ching

2014-08-07

Patients with CKD receiving maintenance dialysis are at risk for upper gastrointestinal bleeding. However, the risk of upper gastrointestinal bleeding in patients with early CKD who are not receiving dialysis is unknown. The hypothesis was that their risk of upper gastrointestinal bleeding is negatively linked to renal function. To test this hypothesis, the association between eGFR and risk of upper gastrointestinal bleeding in patients with stages 3-5 CKD who were not receiving dialysis was analyzed. Patients with stages 3-5 CKD in the CKD program from 2003 to 2009 were enrolled and prospectively followed until December of 2012 to monitor the development of upper gastrointestinal bleeding. The risk of upper gastrointestinal bleeding was analyzed using competing-risks regression with time-varying covariates. In total, 2968 patients with stages 3-5 CKD who were not receiving dialysis were followed for a median of 1.9 years. The incidence of upper gastrointestinal bleeding per 100 patient-years was 3.7 (95% confidence interval, 3.5 to 3.9) in patients with stage 3 CKD, 5.0 (95% confidence interval, 4.8 to 5.3) in patients with stage 4 CKD, and 13.9 (95% confidence interval, 13.1 to 14.8) in patients with stage 5 CKD. Higher eGFR was associated with a lower risk of upper gastrointestinal bleeding (P=0.03), with a subdistribution hazard ratio of 0.93 (95% confidence interval, 0.87 to 0.99) for every 5 ml/min per 1.73 m(2) higher eGFR. A history of upper gastrointestinal bleeding (Pupper gastrointestinal bleeding risk. In patients with CKD who are not receiving dialysis, lower renal function is associated with higher risk for upper gastrointestinal bleeding. The risk is higher in patients with previous upper gastrointestinal bleeding history and low serum albumin. Copyright © 2014 by the American Society of Nephrology.

Mass mortality of eastern box turtles with upper respiratory disease following atypical cold weather.

Science.gov (United States)

Agha, Mickey; Price, Steven J; Nowakowski, A Justin; Augustine, Ben; Todd, Brian D

2017-04-20

Emerging infectious diseases cause population declines in many ectotherms, with outbreaks frequently punctuated by periods of mass mortality. It remains unclear, however, whether thermoregulation by ectotherms and variation in environmental temperature is associated with mortality risk and disease progression, especially in wild populations. Here, we examined environmental and body temperatures of free-ranging eastern box turtles Terrapene carolina during a mass die-off coincident with upper respiratory disease. We recorded deaths of 17 turtles that showed clinical signs of upper respiratory disease among 76 adult turtles encountered in Berea, Kentucky (USA), in 2014. Of the 17 mortalities, 11 occurred approximately 14 d after mean environmental temperature dropped 2.5 SD below the 3 mo mean. Partial genomic sequencing of the major capsid protein from 1 sick turtle identified a ranavirus isolate similar to frog virus 3. Turtles that lacked clinical signs of disease had significantly higher body temperatures (23°C) than sick turtles (21°C) during the mass mortality, but sick turtles that survived and recovered eventually warmed (measured by temperature loggers). Finally, there was a significant negative effect of daily environmental temperature deviation from the 3 mo mean on survival, suggesting that rapid decreases in environmental temperature were correlated with mortality. Our results point to a potential role for environmental temperature variation and body temperature in disease progression and mortality risk of eastern box turtles affected by upper respiratory disease. Given our findings, it is possible that colder or more variable environmental temperatures and an inability to effectively thermoregulate are associated with poorer disease outcomes in eastern box turtles.

Right upper quadrant pain

International Nuclear Information System (INIS)

Ralls, P.W.; Colletti, P.M.; Boswell, W.D. Jr.; Halls, J.M.

1984-01-01

Historically, assessment of acute right upper quadrant abdominal pain has been a considerable clinical challenge. While clinical findings and laboratory data frequently narrow the differential diagnosis, symptom overlap generally precludes definitive diagnosis among the various diseases causing acute right upper quadrant pain. Fortunately, the advent of newer diagnostic imaging modalities has greatly improved the rapidity and reliability of diagnosis in these patients. An additional challenge to the physician, with increased awareness of the importance of cost effectiveness in medicine, is to select appropriate diagnostic schema that rapidly establish accurate diagnoses in the most economical fashion possible. The dual goals of this discussion are to assess not only the accuracy of techniques used to evaluate patients with acute right upper quadrant pain, but also to seek out cost-effective, coordinated imaging techniques to achieve this goal

Upper plenum mixing in a BWR

International Nuclear Information System (INIS)

Alamgir, M.; Andersen, J.G.M.; Parameswaran, V.

1984-01-01

A model for the emergency core cooling injection into the upper plenum of a boiling water reactor has been formulated and implemented into the TRACB02 computer program. The model consists of a spray model and a submerged jet model. The submerged jet model is used when the spray nozzles are covered by a two-phase mixture, and the spray model is used when the nozzles are uncovered. The upper plenum model has been assessed by comparison to an upper plenum mixing test in the Steam Sector Test Facility. It is found that the model accurately predicts the phenomena in the upper plenum of a boiling water reactor

Internacionalización de PYMES argentinas orientadas a segmentos no masivos del mercado en países desarrollados

OpenAIRE

González, Andrea; Hallak, Juan Carlos

2013-01-01

El trabajo analiza la inserción internacional de PYMES argentinas orientadas a segmentos no masivos del mercado en países desarrollados en sectores de tecnología media y baja. Este tipo de inserción involucra productos que se caracterizan por su alto grado de calidad y/o customización. Basados en estudios realizados en siete sectores productores de bienes o servicios que poseen estas características, describimos dos tipos diferentes de inserción. La primera es la exportación de bienes diseñad...

IQ and obesity in adolescence: a population-based, cross-sectional study.

Science.gov (United States)

Goldberg, S; Werbeloff, N; Fruchter, E; Portuguese, S; Davidson, M; Weiser, M

2014-12-01

Low IQ is associated with high BMI in childhood. There are inconsistent findings on the association between low SES and high BMI. Youth with low IQ have been reported to have poorer health behaviors, such as poor nutrition and less physical activity. Low IQ is significantly associated with obesity for both male and female adolescents, though more strongly for female adolescents. Physical activity has a mediating effect on the association between low IQ and obesity among both male and female adolescents, though more strongly for male adolescents. The association between low IQ and obesity is strongest among adolescents from high SES backgrounds. Previous studies have shown an association between low intelligence quotient (IQ), high body mass index and low socioeconomic status (SES). This study examined the cross-sectional association between IQ and obesity, exploring the roles of gender, SES and physical activity in this association. Subjects were 235,663 male and 169,259 female adolescents assessed by the Israeli military draft board. Low IQ was significantly associated with increased odds of obesity among male (odds ratio [OR] = 1.44, 95% confidence interval [CI] = 1.36-1.52) and female adolescents (OR = 1.61, 95% CI = 1.51-1.73); this association was significantly stronger among female adolescents. Sobel tests indicated that physical activity had a significant mediating effect on this association for male and female adolescents, although more strongly for male adolescents. Dividing the sample according to SES, the association between low IQ and obesity was strongest in the high SES group (male adolescents: OR = 1.26, 95% CI = 1.10-1.43, female adolescents: OR = 1.61, 95% CI = 1.38-1.89), even when controlling for physical activity. The findings suggest that low IQ is associated with increased odds of obesity, particularly in female adolescents and in adolescents with high SES. Physical activity has a mediating effect on this

Dutch food bank recipients have poorer dietary intakes than the general and low-socioeconomic status Dutch adult population.

OpenAIRE

Neter, J E; Dijkstra, S C; Dekkers, A L M; Ocké, M C; Visser, M; Brouwer, I A

2017-01-01

Food-assistance program users are a specific group of nutritional concern, as they are often food insufficient and have poorer diet quality compared to non-food-assistance program users. The aim of our study was to assess dietary intake of Dutch food bank recipients (n = 167) and to compare this with dietary intake of a representative sample of the general population (Dutch National Food Consumption Survey (DNFCS-all): n = 1933), including a low-socioeconomic status (SES) sample (DNFCS-low SE...

Understanding nuclei in the upper sd - shell

Energy Technology Data Exchange (ETDEWEB)

Sarkar, M. Saha; Bisoi, Abhijit; Ray, Sudatta [Nuclear Physics Division, Saha Institute of Nuclear Physics, Kolkata 700064 (India); Kshetri, Ritesh [Nuclear Physics Division, Saha Institute of Nuclear Physics, Kolkata 700064, India and Sidho-Kanho-Birsha University, Purulia - 723101 (India); Sarkar, S. [Indian Institute of Engineering Science and Technology, Shibpur, Howrah - 711103 (India)

2014-08-14

Nuclei in the upper-sd shell usually exhibit characteristics of spherical single particle excitations. In the recent years, employment of sophisticated techniques of gamma spectroscopy has led to observation of high spin states of several nuclei near A ≃ 40. In a few of them multiparticle, multihole rotational states coexist with states of single particle nature. We have studied a few nuclei in this mass region experimentally, using various campaigns of the Indian National Gamma Array setup. We have compared and combined our empirical observations with the large-scale shell model results to interpret the structure of these nuclei. Indication of population of states of large deformation has been found in our data. This gives us an opportunity to investigate the interplay of single particle and collective degrees of freedom in this mass region.

Observaciones comparativos sobre la estructura de clase de los países capitalistas avanzados

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CARLO CARBONI

1984-01-01

Full Text Available Se realiza un estudio histórico comparativo sobre la estructura de clase en diez países capitalistas avanzados : Austria, Canadá, Francia, República Federal de Alemania, Italia, Japón, España, Suecia, Reino Unido y Estados Unidos. Se utilizan fuentes gubernamentales variadas para determinar qué factores son los que favorecen y determinan la transformación de la estructura de clase. Se concede un especial énfasis a la relación entre el sistema económico y el político. También se tratan otros temas como el impacto del estado de bienestar, la distribución del producto nacional bruto en forma de ingresos per cápita y el número de trabajadores autónomos en cada país.

Le soudage de l'aluminium et de ses alliages

CERN Document Server

Favre, G

2005-01-01

Le soudage de l'aluminium requiert un savoir-faire spécifique pour éviter la formation, dans la soudure, de défauts rédhibitoires tels que les manques de fusion ou soufflures. Ces défauts ont pour causes principales la présence d’une couche d'alumine, une diffusivité thermique élevée et une solubilité très faible de l’hydrogène dans le métal à l’état solide. Les règles de l’art à appliquer pour la préparation des assemblages et pour le choix des paramètres de soudage sont rappelées. Les divers procédés de soudage mis en Å"uvre par la section TS-MME-AS (faisceau d’électrons, laser, TIG, MIG) sont ensuite exposés à travers quelques applications récentes liées au LHC et à ses expériences. Enfin, une nouvelle technologie, le Friction Stir Welding (FSW), est présentée. Ce procédé de friction malaxage se déroule à l’état pâteux sans fusion. Il permet de réaliser des assemb...

New Brown Dwarf Discs in Upper Scorpius Observed with WISE

Science.gov (United States)

Dawson, P.; Scholz, A.; Ray, T. P.; Natta, A.; Marsh, K. A.; Padgett, D.; Ressler, M. E.

2013-01-01

We present a census of the disc population for UKIDSS selected brown dwarfs in the 5-10 Myr old Upper Scorpius OB association. For 116 objects originally identified in UKIDSS, the majority of them not studied in previous publications, we obtain photometry from the Wide-Field Infrared Survey Explorer data base. The resulting colour magnitude and colour colour plots clearly show two separate populations of objects, interpreted as brown dwarfs with discs (class II) and without discs (class III). We identify 27 class II brown dwarfs, 14 of them not previously known. This disc fraction (27 out of 116, or 23%) among brown dwarfs was found to be similar to results for K/M stars in Upper Scorpius, suggesting that the lifetimes of discs are independent of the mass of the central object for low-mass stars and brown dwarfs. 5 out of 27 discs (19 per cent) lack excess at 3.4 and 4.6 microns and are potential transition discs (i.e. are in transition from class II to class III). The transition disc fraction is comparable to low-mass stars.We estimate that the time-scale for a typical transition from class II to class III is less than 0.4 Myr for brown dwarfs. These results suggest that the evolution of brown dwarf discs mirrors the behaviour of discs around low-mass stars, with disc lifetimes of the order of 5 10 Myr and a disc clearing time-scale significantly shorter than 1 Myr.

Upper and Lower Limb Muscle Architecture of a 104 Year-Old Cadaver.

Science.gov (United States)

Ruggiero, Marissa; Cless, Daniel; Infantolino, Benjamin

2016-01-01

Muscle architecture is an important component to typical musculoskeletal models. Previous studies of human muscle architecture have focused on a single joint, two adjacent joints, or an entire limb. To date, no study has presented muscle architecture for the upper and lower limbs of a single cadaver. Additionally, muscle architectural parameters from elderly cadavers are lacking, making it difficult to accurately model elderly populations. Therefore, the purpose of this study was to present muscle architecture of the upper and lower limbs of a 104 year old female cadaver. The major muscles of the upper and lower limbs were removed and the musculotendon mass, tendon mass, musculotendon length, tendon length, pennation angle, optimal fascicle length, physiological cross-sectional area, and tendon cross-sectional area were determined for each muscle. Data from this complete cadaver are presented in table format. The data from this study can be used to construct a musculoskeletal model of a specific individual who was ambulatory, something which has not been possible to date. This should increase the accuracy of the model output as the model will be representing a specific individual, not a synthesis of measurements from multiple individuals. Additionally, an elderly individual can be modeled which will provide insight into muscle function as we age.

La voz de los estudiantes de primer año en seis países: evaluación de sus experiencias en estudios superiores científico-técnicos

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Ángel Vázquez-Alonso

2016-06-01

Full Text Available Resumen Este estudio analiza la valoración de los estudiantes de seis países latinos sobre sus experiencias de primer año en educación superior de ciencias, tecnologías, ingenierías y matemáticas (CTIM. El objetivo es ofrecer pruebas empíricas sobre la importancia de distintos factores determinantes de la permanencia en los cursos universitarios de CTIM. Los estudiantes respondieron el cuestionario del proyecto Interés y Reclutamiento en Ciencia (IRIS; se presentan las respuestas relativas a las percepciones de los estudiantes sobre experiencias, expectativas cumplidas y valoración de resultados académicos. Se identifican los factores más y menos importantes, los perfiles nacionales de los seis países y las diferencias entre hombres y mujeres; aparecen muchas diferencias significativas entre países y algunas diferencias entre hombres y mujeres . Se discuten las implicaciones de los resultados para orientar las políticas institucionales que mejoren el reclutamiento, la retención (evitación del abandono y la equidad de género en los cursos CTIM.

On double-degenerate type Ia supernova progenitors as supersoft X-ray sources - A population synthesis analysis using SeBa

DEFF Research Database (Denmark)

Nielsen, Mikkel T. B.; Nelemans, Gijs; Voss, Rasmus

2013-01-01

a SSS phase. Aims: We aim to examine the possibility of double-degenerate progenitor systems being SSSs, and place stringent upper limits on the maximally possible durations of any SSS phases and expected number of these systems in a galactic population. Method: We employ the binary population synthesis...... code SeBa to examine the mass-transfer characteristics of a possible SSS phase of double-degenerate type Ia SN progenitor systems for 1) the standard SeBa assumptions, and 2) an optimistic best-case scenario. The latter case establishes firm upper limits on the possible population of supersoft source...

Fuzzy upper bounds and their applications

Energy Technology Data Exchange (ETDEWEB)

Soleimani-damaneh, M. [Department of Mathematics, Faculty of Mathematical Science and Computer Engineering, Teacher Training University, 599 Taleghani Avenue, Tehran 15618 (Iran, Islamic Republic of)], E-mail: soleimani_d@yahoo.com

2008-04-15

This paper considers the concept of fuzzy upper bounds and provides some relevant applications. Considering a fuzzy DEA model, the existence of a fuzzy upper bound for the objective function of the model is shown and an effective approach to solve that model is introduced. Some dual interpretations are provided, which are useful for practical purposes. Applications of the concept of fuzzy upper bounds in two physical problems are pointed out.

Population structure and effective/census population size ratio in threatened three-spined stickleback populations from an isolated river basin in northwest Spain.

Science.gov (United States)

Pérez-Figueroa, A; Fernández, C; Amaro, R; Hermida, M; San Miguel, E

2015-08-01

Variability at 20 microsatellite loci was examined to assess the population genetic structure, gene flow, and effective population size (N(e)) in three populations of three-spined stickleback (Gasterosteus aculeatus) from the upper basin of the Miño River in Galicia, NW Spain, where this species is threatened. The three populations showed similar levels of genetic diversity. There is a significant genetic differentiation between the three populations, but also significant gene flow. N(e) estimates based on linkage disequilibrium yielded values of 355 for the Miño River population and 241 and 311 for the Rato and Guisande Rivers, respectively, although we expect that these are overestimates. N(e) estimates based on temporal methods, considering gene flow or not, for the tributaries yielded values of 30-56 and 47-56 for the Rato and Guisande Rivers, respectively. Estimated census size (N(c)) for the Rato River was 880 individuals. This yielded a N(e)/N(c) estimate of 3-6 % for temporal estimation of N(e), which is within the empirical range observed in freshwater fishes. We suggest that the three populations analyzed have a sufficient level of genetic diversity with some genetic structure. Additionally, the absence of physical barriers suggests that conservation efforts and monitoring should focus in the whole basin as a unit.

Primary care characteristics and their association with health screening in a low-socioeconomic status public rental-flat population in Singapore- a mixed methods study.

Science.gov (United States)

Wee, Liang En; Cher, Wen Qi; Sin, David; Li, Zong Chen; Koh, Gerald Choon-Huat

2016-02-06

In Singapore, subsidized primary care is provided by centralized polyclinics; since 2000, policies have allowed lower-income Singaporeans to utilize subsidies at private general-practitioner (GP) clinics. We sought to determine whether proximity to primary care, subsidised primary care, or having regular primary care associated with health screening participation in a low socioeconomic-status public rental-flat community in Singapore. From 2009-2014, residents in five public rental-flat enclaves (N = 936) and neighboring owner-occupied precincts (N = 1060) were assessed for participation in cardiovascular and cancer screening. We then evaluated whether proximity to primary care, subsidised primary care, or having regular primary care associated with improved adherence to health screening. We also investigated attitudes to health screening using qualitative methodology. In the rental flat population, for cardiovascular screening, regular primary care was independently associated with regular diabetes screening (adjusted odds ratio, aOR = 1.59, CI = 1.12-2.26, p = 0.009) and hyperlipidemia screening (aOR = 1.82, CI = 1.10-3.04, p = 0.023). In the owner-occupied flats, regular primary care was independently associated with regular hypertension screening (aOR = 9.34 (1.82-47.85, p = 0.007), while subsidized primary care was associated with regular diabetes screening (aOR = 2.94, CI = 1.04-8.31, p = 0.042). For cancer screening, in the rental flat population, proximity to primary care was associated with less participation in regular colorectal cancer screening (aOR = 0.42, CI = 0.17-0.99, p = 0.049) and breast cancer screening (aOR = 0.29, CI = 0.10-0.84, p = 0.023). In the owner-occupied flat population, for gynecological cancer screening, usage of subsidized primary care and proximity to primary care was associated with higher rates of breast cancer and cervical cancer screening; however

The Effects of an Intervention on the Gross and Fine Motor Skills of Hispanic Pre-K Children from Low SES Backgrounds

Science.gov (United States)

Hamilton, Michelle; Liu, Ting

2018-01-01

The purpose of this study was to examine the effects of a motor skill intervention on gross and fine motor skill performance of Hispanic pre-K children from low SES backgrounds. One hundred and forty-nine pre-K children were randomly assigned to an intervention group (n = 74) and control group (n = 75). All children were assessed on fine and gross…

Upper Pleistocene Human Dispersals out of Africa: A Review of the Current State of the Debate

Science.gov (United States)

Beyin, Amanuel

2011-01-01

Although there is a general consensus on African origin of early modern humans, there is disagreement about how and when they dispersed to Eurasia. This paper reviews genetic and Middle Stone Age/Middle Paleolithic archaeological literature from northeast Africa, Arabia, and the Levant to assess the timing and geographic backgrounds of Upper Pleistocene human colonization of Eurasia. At the center of the discussion lies the question of whether eastern Africa alone was the source of Upper Pleistocene human dispersals into Eurasia or were there other loci of human expansions outside of Africa? The reviewed literature hints at two modes of early modern human colonization of Eurasia in the Upper Pleistocene: (i) from multiple Homo sapiens source populations that had entered Arabia, South Asia, and the Levant prior to and soon after the onset of the Last Interglacial (MIS-5), (ii) from a rapid dispersal out of East Africa via the Southern Route (across the Red Sea basin), dating to ~74–60 kya. PMID:21716744

Upper Tithonian ammonites (Himalayitidae Spath, 1925 and Neocomitidae Salfeld, 1921 from Charens (Drôme, France

Directory of Open Access Journals (Sweden)

Frau Camille

2016-12-01

Full Text Available This contribution focuses on the Perisphinctoidea ammonite taxa from the Upper Tithonian at Charens (Drôme, south-east France. Emphasis is laid on five genera that belong to the families Himalayitidae and Neocomitidae. We document the precise vertical range of the index-species Micracanthoceras microcanthum, and a comparative ontogenetic- biometric analysis sheds new light on its range of variation and dimorphism as compared to the bestknown Spanish populations. As herein understood, the lower boundary of the M. microcanthum Zone (base of the Upper Tithonian is fixed at the FAD of its index species. The faunal assemblages and species distribution of the P. andreaei Zone are rather similar to those described at the key-section of Le Chouet as confirmed by the co-occurrence of the genera Protacanthodiscus, Boughdiriella and Pratumidiscus. New palaeontological evidence supports the view that the basal Neocomitidae Busnardoiceras busnardoi was derived from Protacanthodiscus andreaei in the upper part of the P. andreaei Zone.

LAS TRANSFERENCIAS PÚBLICAS Y SU EFECTO DISTRIBUTIVO. La experiencia de los países del Cono Suren el decenio de los 2000

Directory of Open Access Journals (Sweden)

Javier Alejo

2014-01-01

Full Text Available En el decenio de los 2000 la desigualdad del ingreso en la América Latina se redujo. Este artículo aplica una variante de la metodología de descomposición no paramétrica propuesta por Barros et al (2006, 2007 para evaluar la importancia de las fuentes de ingreso de los hogares, en particular la aportación de las transferencias públicas, en los cambios en la desigualdad de ingresos en los años 2000 en los países del Cono Sur: Argentina, Brasil, Chile y Uruguay. Los resultados sugieren que los ingresos no laborales tuvieron una contribución significativa en los cambios en la desigualdad y que este efecto fue explicado principalmente por la consecuencia igualadora que tuvieron las fuentes públicas en los cuatro países analizados. La dinámica de los cambios en esta fuente de ingreso y su efecto en la desigualdad estuvo fuertemente asociada con la instrumentación o expansión de programas de transferencia no contributivos en el pasado decenio.

Socioeconomic differences in micronutrient intake and status in Europe

NARCIS (Netherlands)

Novakovic, R.N.

2013-01-01

The aim of this thesis was to evaluate micronutrient intake and status of socioeconomic disadvantaged populations, such as from Central and Eastern European (CEE) as compared to other European populations, and low socioeconomic status (SES) groups as compared to high SES groups within European

Socioeconomic status and COPD among low- and middle-income countries.

Science.gov (United States)

Grigsby, Matthew; Siddharthan, Trishul; Chowdhury, Muhammad Ah; Siddiquee, Ali; Rubinstein, Adolfo; Sobrino, Edgardo; Miranda, J Jaime; Bernabe-Ortiz, Antonio; Alam, Dewan; Checkley, William

2016-01-01

Socioeconomic status (SES) is a strong social determinant of health. There remains a limited understanding of the association between SES and COPD prevalence among low- and middle-income countries where the majority of COPD-related morbidity and mortality occurs. We examined the association between SES and COPD prevalence using data collected in Argentina, Bangladesh, Chile, Peru, and Uruguay. We compiled lung function, demographic, and SES data from three population-based studies for 11,042 participants aged 35-95 years. We used multivariable alternating logistic regressions to study the association between COPD prevalence and SES indicators adjusted for age, sex, self-reported daily smoking, and biomass fuel smoke exposure. Principal component analysis was performed on monthly household income, household size, and education to create a composite SES index. Overall COPD prevalence was 9.2%, ranging from 1.7% to 15.4% across sites. The adjusted odds ratio of having COPD was lower for people who completed secondary school (odds ratio [OR] =0.73, 95% CI 0.55-0.98) and lower with higher monthly household income (OR =0.96 per category, 95% CI 0.93-0.99). When combining SES factors into a composite index, we found that the odds of having COPD was greater with lower SES (interquartile OR =1.23, 95% CI 1.05-1.43) even after controlling for subject-specific factors and environmental exposures. In this analysis of multiple population-based studies, lower education, lower household income, and lower composite SES index were associated with COPD. Since household income may be underestimated in population studies, adding household size and education into a composite index may provide a better surrogate for SES.

[Nutritional survey in Upper Volta. 2. Risk factors associated with malnutrition].

Science.gov (United States)

Bénéfice, E; Chevassus-Agnes, S; Epelboin, A; Ndiaye, A M

1983-01-01

Malnutrition-associated risk factors have been studied in Upper Volta following a multivariate statistic analysis performed with a computer (Manova). The multiple correlation coefficients for 7 predictors were 0.14 for the children and 0.34 for the women. Results show that the nutritional situation worsens when the density of the population leads to an over exploitation of the land in the North West. Two different life-styles, i.e. cattle breeding and agriculture determine strikingly different nutritional situations among women and children. Family factors are also important to the nutritional status of the children.

Upper gastrointestinal endoscopy for dyspepsia: Εxploratory study of factors influencing patient compliance in Greece

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Kouroumalis Elias

2011-02-01

Full Text Available Abstract Background Upper gastrointestinal endoscopy is the most preferable diagnostic examination for patients over fifty when upper gastrointestinal symptoms appear. However, limited knowledge exists in concerns to the compliance of primary care patients' to the doctors' recommendations for endoscopy. Methods Patients who visited primary care practices in Greece and experienced upper gastrointestinal symptoms within a 10 days screening study, were referred for an upper endoscopy exam. The patients which refused to complete the endoscopy exam, were interviewed by the use of an open- ended translated and validated questionnaire, the Identification of Dyspepsia in General Population (IDGP questionnaire. A qualitative thematic analysis grounded on the theory of planned behavior was performed to reveal the reasons for patients' refusal, while socio-demographic predictors were also assessed. Results Nine hundred and ninety two patients were recorded, 159 of them (16% were found positive for dyspepsia and gastro-esophageal reflux disease according to the IDGP questionnaire. Out of the above, 131 (83.6% patients refused further investigation with endoscopy. Patients who refused upper endoscopy were predominantly female (87.8% (p = 0.036 and over the age of 50. The lack of severe symptoms, fear of pain, concerns of sedation, comorbidity and competing life demands were reported by patients as barriers to performing an endoscopic investigation. Conclusions Patients with dyspepsia in rural Greece tend to avoid upper gastrointestinal endoscopy, with two major axons considered to be the causes of patients' refusal: their beliefs towards endoscopy and their personal capability to cope with it. Future research examining reasons of low compliance should be carried out in combination with modern behavioral theories so as to investigate into the above.

Smokeless tobacco: Profiling sachets and pattern of use among low socioeconomic population of Puducherry

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Kuldeep Singh Shekhawat

2017-01-01

Full Text Available Background: Tobacco consumption is highest among labor classes and low socioeconomic status (SES, with inclination toward smokeless tobacco (SLT. Aim: The aim of the study was to determine the prevalence and pattern of SLT consumption with secondary objective to profile various sachets of SLT most commonly sold in the study setting. Setting and Design: A cross-sectional questionnaire study conducted in rural Puducherry. Materials and Methods: A self-interviewed structured questionnaire was administered to 150 participants from two villages. Data on education, occupation, and income were collected with details in the form of tobacco consumed, duration of habit, daily consumption, and brand of SLT among other things. Profiling of sachets was done with manufacturing date, date of expiry, presence and absence of warning signs, and name of the manufacturer as parameter. Statistical Analysis: Descriptive analysis was done for frequency distribution and Chi-square test for proportions. Results: The overall prevalence of SLT was 44% with women consuming more than males. 41–50-year-old were highest users of SLT. More than 50% of the participants were unaware of the “pictorial warnings” and 65% did not know about the presence of “contents” on sachets. Pan masala with tobacco was the most preferred form. Only 5 of the 23 commercial brands of sachets had both “pictorial and readable warnings” printed. Conclusion: The prevalence of STC was high when compared to the general population. Steps need to be taken to address the adverse effects printed on sachets for low SES populations. The printed warnings need to be inspected regularly. Dual tobacco use is a new addition to the existing list of challenges.

Malthusian Catastrophe: Species Extinction Caused By Oversized Population

OpenAIRE

Pan, Xubin

2017-01-01

There is one pseudo-extinction debt and four occurring conditions for real extinction debt. Since small and oversized populations have a high extinction risk, Pan threshold (upper limit) was calculated for Verhulst-Pear logistic growth model and logistic model with the Allee effect, an important parameter corresponding to Allee threshold (lower limit).

Who is using snus? - Time trends, socioeconomic and geographic characteristics of snus users in the ageing Swedish population

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Norberg Margareta

2011-12-01

Full Text Available Abstract Background The prevalence of smoking in Sweden has decreased in recent decades, and is now among the lowest in the world. During the same period, the use of Swedish moist oral snuff, a smokeless tobacco called snus, has increased. Few studies have evaluated time trends of the socioeconomic and geographic characteristics of snus users in Sweden. This paper contributes to filling that gap. Methods This study utilized the Linnaeus Database, which links national registers with comprehensive individual data on socioeconomic status (SES to health data from a large ongoing health survey, the Västerbotten Intervention Programme (VIP. The VIP targets the entire middle-aged population of Västerbotten county at ages 40, 50 and 60 years with yearly cross-sectional surveys including self-reported data on tobacco habits. Time trends of snus use among 92,563 VIP-participants across different areas of residence and smoking groups were investigated graphically. Logistic regression was performed to estimate the associations between SES and geographical variables and current use versus non-use of snus. Results Overall, in parallel to decreasing smoking, the increasing trend of snus use in this middle-aged population continues, particularly in 40-year-olds. In both genders, the highest prevalence of snus use was observed among previous smokers. The prevalence of snus use also increased over time among smokers, and was consistently higher compared to those who had never smoked. Among males - both those who had never smoked and previous smokers - low education (OR 1.21, 95%CI 1.06-1.40 and OR 1.28, 95%CI 1.14-1.43, living alone (OR 1.16, 95%CI 1.07-1.27 and OR 1.13, 95%ci 1.04-1.23, low income and living in rural areas was associated with using snus, while this was not seen among male current smokers. Among women, living alone was associated with using snus irrespective of smoking habits. Among female smokers, the OR for snus use increased with higher

Frequency of peptic ulcer disease in patients of dyspepsia an analysis of upper gastrointestinal endoscopy

International Nuclear Information System (INIS)

Anwar, S.O.; Ambreen, S.; Ashraf, H.M.

2010-01-01

To evaluate the frequency of peptic ulcer disease in patients of dyspepsia on upper gastrointestinal endoscopy. A convenient non probability sampling was done and one hundred patients were selected from out patient department presenting within six months of dyspeptic symptoms. They were all subjected to upper gastrointestinal endoscopy Of all patients 61% (n=61) were males and 39% (n=39) were females with age ranging between 20 - 45 years. Study revealed functional dyspepsia (76%), duodenal ulcer (11%), gastric ulcer (4%) and esophagitis including gastoesophageal reflux disease (9%). This showed an overall frequency of peptic ulcer disease to be 15% in the studied population.Conclusion: Peptic ulcer disease is a common structural cause of dyspepsia and was responsible for 15% of dyspepsia. (author)

Diversficação e avaliação de carteiras nos mercados de capitais dos principais países latino-americanos

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Newton Carneiro Affonso da Costa Junior

2003-01-01

Full Text Available O presente estudo tem o objetivo de verificar se investimentos simultâneos em vários mercados internacionais de ações são mais atrativos do que aqueles realizados somente em um único mercado nacional, ou seja, se os primeiros apresentam uma relação risco-retorno superior. Pode-se admitir que se houver uma total integração entre os países analisados, tem-se pouca vantagem na diversificação internacional, mas se os mesmos forem menos integrados, a diversificação traria vantagens em termos de risco e retorno. A base empírica do trabalho está fundamentada na teoria de carteiras de Markowitz, no CAPM e nos índices de medição do desempenho de carteiras de Sharpe, Treynor e Jensen. A análise foi feita para o período de fevereiro de 1993 a janeiro de 2003, com base nas ações mais negociadas nas bolsas dos principais países da América Latina. Os resultados mostraram que a diversificação de carteiras em mercados internacionais é mais indicada.

THE TAOS PROJECT: UPPER BOUNDS ON THE POPULATION OF SMALL KUIPER BELT OBJECTS AND TESTS OF MODELS OF FORMATION AND EVOLUTION OF THE OUTER SOLAR SYSTEM

International Nuclear Information System (INIS)

Bianco, F. B.; Zhang, Z.-W.; King, S.-K.; Wang, J.-H.; Lee, T.; Lin, H.-C.; Lehner, M. J.; Mondal, S.; Giammarco, J.; Holman, M. J.; Alcock, C.; Coehlo, N. K.; Axelrod, T.; Byun, Y.-I.; Kim, D.-W.; Chen, W. P.; Cook, K. H.; Dave, R.; De Pater, I.; Lissauer, J. J.

2010-01-01

We have analyzed the first 3.75 years of data from the Taiwanese American Occultation Survey (TAOS). TAOS monitors bright stars to search for occultations by Kuiper Belt objects (KBOs). This data set comprises 5 x 10 5 star hours of multi-telescope photometric data taken at 4 or 5 Hz. No events consistent with KBO occultations were found in this data set. We compute the number of events expected for the Kuiper Belt formation and evolution models of Pan and Sari, Kenyon and Bromley, Benavidez and Campo Bagatin, and Fraser. A comparison with the upper limits we derive from our data constrains the parameter space of these models. This is the first detailed comparison of models of the KBO size distribution with data from an occultation survey. Our results suggest that the KBO population is composed of objects with low internal strength and that planetary migration played a role in the shaping of the size distribution.

Determination of appropriate exposure to fluoride in non-EME countries in the future Determinação da exposição apropriada a fluoreto no futuro para países de economia de mercado não estabilizada

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Jaime Aparecido Cury

2003-06-01

Full Text Available An appropriate exposure to fluoride must be able to interfere with the development of dental caries (benefit without great concern for dental fluorosis (risks. This condition in relation to individual seems feasible leading to a rational use of fluoride. Nevertheless, dealing with population and particularly non-EME countries (non-Established Market Economies or developing, the most suitable method of fluoride use will depend on each nation. On the other hand, each country should have a public health program to control dental caries as part of its health system. The choice between fluoridated dentifrice or fluoridated drinking water and the option for salt will depend on its applicability in each country. At the same time, it is important that either the appropriate exposure to a community method of fluoride use as well as the association with other methods and preventive measures in relation to risks-benefits are evaluated for each country. The determination of an appropriate exposure to fluoride in non-EME countries in the future will depend on critical analysis of how it has been used at present. Available data have shown that some non-EME countries have even been able to revert the dramatic situation of dental caries in their population, but in others caries experience continues a public health problem. Nevertheless, in other countries the increase in caries prevalence, which was expected, has not occurred but endemic fluorosis has been a concern. The challenges for non-EME countries are huge and identical solutions cannot be used for distinct problems.Uma exposição apropriada ao fluoreto é aquela capaz de interferir com o desenvolvimento de cárie dental (benefício sem grandes preocupações com fluorose dental (riscos. Esta condição em termos de indivíduo parece factível levando ao uso racional do fluoreto. Entrentanto, em se tratando de população e particularmente países non-EME, o método mais adequado de usar fluoreto vai

Análisis de la infoestructura que presentan 22 portales gubernamentales de los países ubicados en la plataforma continental de América

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Octavio Islas

2008-09-01

Full Text Available En este artículo presentaré los resultados que arrojó el estudio de usabilidad de los 22 portales ciudadanos de los países ubicados en la plataforma continental de América. El estudio fue realizado en 2006. Palabras-clave: Economía del conocimiento; portales ciudadanos; gobierno electrónico; internet; información. ABSTRACT This paper presents the results brought by the study of usability of 22 citizen portals of countries that compose America’s continental platform. The study took place in 2006. Keywords: Knowledge economy; citizen portals; electronic government; internet; information. RESUMO Este artigo artículo apresenta os resultados trazidos pelo estudo de usabilidade de 22 portais cidadãos dos países implicados na plataforma continental da América. Este estudo foi realizado em 2006. Palavras-chave: Economia do conhecimento; portais cidadãos; governo eletrônico; internet; informação.

Angiography of the upper extremity

International Nuclear Information System (INIS)

Janevski, B.K.

1982-01-01

This thesis provides a description of the technical and medical aspects of arteriography of the upper extremity and an extensive analysis of the angiographic anatomy and pathology of 750 selective studies performed in more than 500 patients. A short historical review is provided of angiography as a whole and of arteriography of the hand in particular. The method of percutaneous transfemoral catheterization of the arteries of the upper extremity and particularly the arteries of the hand is considered, discussing the problems the angiographer encounters frequently, describing the angiographic complications which may occur and emphasizing the measures to keep them to a minimum. The use of vasodilators in hand angiography is discussed. A short description of the embryological patterns persisting in the arteries of the arm is included in order to understand the congenital variations of the arteries of the upper extremity. The angiographic patterns and clinical aspects of the most common pathological processes involving the arteries of the upper extremities are presented. Special attention is paid to the correlation between angiography and pathology. (Auth.)

Associations between Safety from Crime, Cycling, and Obesity in a Dutch Elderly Population: Results from the Longitudinal Aging Study Amsterdam

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Stef P. J. Kremers

2012-01-01

Full Text Available The objective of this cross-sectional study was to investigate differences in associations between crime rates, cycling, and weight status between people living in low and high socioeconomic status (SES neighbourhoods. In total, 470 participants in the Longitudinal Aging Study Amsterdam were included (age: 63–70 y. Body height and weight were measured using a stadiometer and calibrated weight scale, respectively. Cycling behaviour was assessed in a face-to-face interview, and neighbourhood crime rates were assessed using data from police reports. Men residing in high SES neighbourhoods cycled more than males residing in low SES neighbourhoods. Cycling was negatively related to crime rates among both men and women living in low SES neighbourhoods. Among men living in low SES neighbourhoods, more cycling was associated with lower BMI. Interventions aiming to prevent obesity in older people may consider aiming at increasing bicycle use in lower SES neighbourhoods, but neighbourhood safety issues should be considered.

Magnetic resonance enterography changes after antibody to tumor necrosis factor (anti-TNF) alpha therapy in Crohn’s disease: correlation with SES-CD and clinical-biological markers

International Nuclear Information System (INIS)

Stoppino, Luca Pio; Della Valle, Nicola; Rizzi, Stefania; Cleopazzo, Elsa; Centola, Annarita; Iamele, Donatello; Bristogiannis, Christos; Stoppino, Giuseppe; Vinci, Roberta; Macarini, Luca

2016-01-01

In recent years, the use of MRI in patients with Crohn’s disease (CD) has increased. However, few data are available on how MRI parameters of active disease change during treatment with anti-TNF and whether these changes correspond to symptoms, serum biomarkers, or endoscopic appearance. The aim of this study was to determine the changes over time in MRI parameters during treatment with anti-TNF in patients with CD, and to verify the correlation between MRI score, endoscopic appearance and clinical-biological markers. We performed a prospective single centre study of 27 patients with active CD (18 males and 9 females; median age of 27,4 ys; age range, 19–49). All patients underwent ileocolonoscopy and MRI at baseline and 26 weeks after anti-TNF therapy. Endoscopic severity was graded according to the Simple Endoscopic Score for Crohn’s Disease (SES-CD) and Magnetic Resonance Index of Activity (MaRIA) was calculated. Patients underwent clinical evaluation (CDAI) and the C-reactive protein (CRP) level was measured. The associations between variables were assessed with Pearson’s bivariate correlation analysis. A total of 135 intestinal segments were studied. The median patient age was 27,4 years, 67 % were male and the mean disease duration was 6,1 years. For induction of remission, 18 patients were treated with infliximab and 9 with adalimumab. The mean SES-CD and MaRIA scores significantly changed at week 26 (SES-CD: 14,7 ± 8,9 at baseline vs. 4,4 ± 4,6 at 26 weeks - p < 0.001; MaRIA: 41,1 ± 14,8 at baseline vs. 32,8 ± 11,7 at 26 weeks - p < 0.001). Also the CDAI and serum levels of CRP decreased significantly following treatment (p < 0.001). The overall MaRIA correlated with endoscopic score and with clinical activity (CDAI) both at baseline and at week 26 (p < 0.05). The correlation between overall MaRIA and CRP was significant only at week 26 (p < 0.001). The MaRIA has a good correlation with SES-CD, a high accuracy for prediction of endoscopic

Upper gastrointestinal bleeding - state of the art.

Science.gov (United States)

Szura, Mirosław; Pasternak, Artur

2014-01-01

Upper gastrointestinal (GI) bleeding is a condition requiring immediate medical intervention, with high associated mortality exceeding 10%. The most common cause of upper GI bleeding is peptic ulcer disease, which largely corresponds to the intake of NSAIDs and Helicobacter pylori infection. Endoscopy is the essential tool for the diagnosis and treatment of active upper GI hemorrhage. Endoscopic therapy together with proton pump inhibitors and eradication of Helicobacter pylori significantly reduces rebleeding rates, mortality and number of emergency surgical interventions. This paper presents contemporary data on the diagnosis and treatment of upper gastrointestinal bleeding.

O cuidado paliativo e domiciliar em países da América Latina

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Vilma Margarete Simão

Full Text Available O artigo analisa a assistência domiciliar em saúde dos três países da América Latina com maior gasto público social per capita no ano de 2013: Brasil, Argentina e Uruguai. Trata-se de estudo documental e bibliográfico sobre o cuidado paliativo em saúde na modalidade de internação domiciliar, tendo em conta as mudanças nas famílias latinas. A análise está estruturada em dois eixos: o contexto socioeconômico das famílias latinas e as características das políticas de desospitalização. Os resultados mostram pequena disponibilidade da mulher latina para o trabalho de cuidado na família e o reforço dessa modalidade de atenção às iniquidades em saúde.

La movilidad de profesionales y estudiantes universitarios latinoamericanos y caribeños a países de la OCDE

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Fernando Osvaldo ESTEBAN

2011-01-01

Full Text Available En este artículo se investigan las tendencias actuales de la migración calificada de latinoamericanos y caribeños dirigida a países de la OCDE, focalizando a Estados Unidos. A partir de un análisis bibliográfico se discuten las perspectivas teóricas sobre migración calificada y se detectan las tendencias históricas de este proceso en América Latina. Para el análisis empírico se utilizó una novedosa base de datos sobre tasas de emigración según nivel educativo. La evidencia empírica demostró que se registró un incremento del stock de migrantes con estudios superiores entre 1990 y 2000, en términos absolutos y relativos respecto a los migrantes con niveles educativos bajo y medio. Las mujeres experimentaron una tasa de emigración calificada mayor que los hombres. Los pequeños Estados, con escaso nivel de desarrollo, tienen las tasas de migración calificada más elevadas. Paradójicamente, los países con diásporas más reducidas muestran los niveles de selectividad más altos. Aproximadamente 40 por ciento de los profesionales no encuentran empleo en profesiones de ámbito científico e ingenierías encontrándose subocupados y su talento desperdiciado.

Assessment of socio-economic status in the context of food insecurity: Implications for field research.

Science.gov (United States)

Doocy, Shannon; Burnham, Gilbert

2006-01-01

Measures of socio-economic status (SES) were compared with a measure of physical well-being, mid-upper arm circumference (MUAC), in the food insecure regions of Ethiopia. Income, housing conditions and education had the greatest correlation to MUAC, and significant differences in these measures were observed between malnourished and adequately nourished individuals. Findings indicate that in rural Ethiopia, income, education and housing quality may be better indicators of SES than wealth and measures encompassing home and landownership.

México y los países de industrialización reciente en el mercado norteamericano, 1985-2000

OpenAIRE

López G., Julio; Cruz M., José N.; de Jesús R., Verónica

2005-01-01

El desempeño reciente de México y China como exportadores de manufacturas al mercado de América del Norte es el objeto de análisis de este artículo. Su evolución se contrasta con la correspondiente a otras economías en desarrollo que de manera conjunta aportan la mayor parte de las exportaciones totales, incluso las manufactureras, que actualmente genera el mundo en desarrollo. El aumento de la participación de casi todos los países de la muestra en aquel mercado se explica principalmente por...

Upper bounds of deformation in the Upper Rhine Graben from GPS data - First results from GURN (GNSS Upper Rhine Graben Network)

Science.gov (United States)

Masson, Frederic; Knoepfler, Andreas; Mayer, Michael; Ulrich, Patrice; Heck, Bernhard

2010-05-01

In September 2008, the Institut de Physique du Globe de Strasbourg (Ecole et Observatoire des Sciences de la Terre, EOST) and the Geodetic Institute (GIK) of Karlsruhe University (TH) established a transnational cooperation called GURN (GNSS Upper Rhine Graben Network). Within the GURN initiative these institutions are cooperating in order to establish a highly precise and highly sensitive network of permanently operating GNSS sites for the detection of crustal movements in the Upper Rhine Graben region. At the beginning, the network consisted of the permanently operating GNSS sites of SAPOS®-Baden-Württemberg, different data providers in France (e.g. EOST, Teria, RGP) and some further sites (e.g. IGS). In July 2009, the network was extended to the South when swisstopo (Switzerland) and to the North when SAPOS®-Rheinland-Pfalz joined GURN. Therefore, actually the GNSS network consists of approx. 80 permanently operating reference sites. The presentation will discuss the actual status of GURN, main research goals, and will present first results concerning the data quality as well as time series of a first reprocessing of all available data since 2002 using GAMIT/GLOBK (EOST working group) and the Bernese GPS Software (GIK working group). Based on these time series, the velocity as well as strain fields will be calculated in the future. The GURN initiative is also aiming for the estimation of the upper bounds of deformation in the Upper Rhine Graben region.

Seasonal and pandemic human influenza viruses attach better to human upper respiratory tract epithelium than avian influenza viruses.

Science.gov (United States)

van Riel, Debby; den Bakker, Michael A; Leijten, Lonneke M E; Chutinimitkul, Salin; Munster, Vincent J; de Wit, Emmie; Rimmelzwaan, Guus F; Fouchier, Ron A M; Osterhaus, Albert D M E; Kuiken, Thijs

2010-04-01

Influenza viruses vary markedly in their efficiency of human-to-human transmission. This variation has been speculated to be determined in part by the tropism of influenza virus for the human upper respiratory tract. To study this tropism, we determined the pattern of virus attachment by virus histochemistry of three human and three avian influenza viruses in human nasal septum, conchae, nasopharynx, paranasal sinuses, and larynx. We found that the human influenza viruses-two seasonal influenza viruses and pandemic H1N1 virus-attached abundantly to ciliated epithelial cells and goblet cells throughout the upper respiratory tract. In contrast, the avian influenza viruses, including the highly pathogenic H5N1 virus, attached only rarely to epithelial cells or goblet cells. Both human and avian viruses attached occasionally to cells of the submucosal glands. The pattern of virus attachment was similar among the different sites of the human upper respiratory tract for each virus tested. We conclude that influenza viruses that are transmitted efficiently among humans attach abundantly to human upper respiratory tract, whereas inefficiently transmitted influenza viruses attach rarely. These results suggest that the ability of an influenza virus to attach to human upper respiratory tract is a critical factor for efficient transmission in the human population.

Genetic evidence on the origins of Indian caste populations.

Science.gov (United States)

Bamshad, M; Kivisild, T; Watkins, W S; Dixon, M E; Ricker, C E; Rao, B B; Naidu, J M; Prasad, B V; Reddy, P G; Rasanayagam, A; Papiha, S S; Villems, R; Redd, A J; Hammer, M F; Nguyen, S V; Carroll, M L; Batzer, M A; Jorde, L B

2001-06-01

The origins and affinities of the approximately 1 billion people living on the subcontinent of India have long been contested. This is owing, in part, to the many different waves of immigrants that have influenced the genetic structure of India. In the most recent of these waves, Indo-European-speaking people from West Eurasia entered India from the Northwest and diffused throughout the subcontinent. They purportedly admixed with or displaced indigenous Dravidic-speaking populations. Subsequently they may have established the Hindu caste system and placed themselves primarily in castes of higher rank. To explore the impact of West Eurasians on contemporary Indian caste populations, we compared mtDNA (400 bp of hypervariable region 1 and 14 restriction site polymorphisms) and Y-chromosome (20 biallelic polymorphisms and 5 short tandem repeats) variation in approximately 265 males from eight castes of different rank to approximately 750 Africans, Asians, Europeans, and other Indians. For maternally inherited mtDNA, each caste is most similar to Asians. However, 20%-30% of Indian mtDNA haplotypes belong to West Eurasian haplogroups, and the frequency of these haplotypes is proportional to caste rank, the highest frequency of West Eurasian haplotypes being found in the upper castes. In contrast, for paternally inherited Y-chromosome variation each caste is more similar to Europeans than to Asians. Moreover, the affinity to Europeans is proportionate to caste rank, the upper castes being most similar to Europeans, particularly East Europeans. These findings are consistent with greater West Eurasian male admixture with castes of higher rank. Nevertheless, the mitochondrial genome and the Y chromosome each represents only a single haploid locus and is more susceptible to large stochastic variation, bottlenecks, and selective sweeps. Thus, to increase the power of our analysis, we assayed 40 independent, biparentally inherited autosomal loci (1 LINE-1 and 39 Alu elements

Self-reported prenatal oral health-care practices of preterm low birth weight-delivered women belonging to different socioeconomic status: A postnatal survey

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Gayathri Priyadarshni Elangovan

2017-01-01

Full Text Available Background: The differences in the oral health status between the individuals with a high socioeconomic status (SES and those with a low SES had markedly increased. There is, however, minimal information available on women understanding the need of dental hygiene for overall health and whether pregnant women comply with the current oral health strategies. In Lieu with the above, the present study aims to assess the awareness, dental hygiene practices, and the frequency of dental visits during pregnancy in postnatal women who delivered preterm low birth weight babies of different SES in and around Puducherry. Materials and Methods: A total of 200 individuals who visited Rajiv Gandhi Maternity Centre, Puducherry for delivery were selected. Information regarding onset of prenatal care, referral to dentist, and oral hygiene habits such as frequency of brushing, type of brush used, method of brushing, and frequency of brush change were obtained. Periodontal health status was recorded using PSR system. Results: Awareness of oral hygiene practices was more among upper middle class and lower middle class compared to upper lower strata. Visit to dentist during perinatal period was high among upper middle class compared to other socioeconomic strata. Conclusions: The awareness of oral health-care practices and importance of oral care during perinatal period were less among low socioeconomic strata.

Risk of upper gastrointestinal bleeding with selective serotonin reuptake inhibitors with or without concurrent nonsteroidal anti-inflammatory use: a systematic review and meta-analysis.

Science.gov (United States)

Anglin, Rebecca; Yuan, Yuhong; Moayyedi, Paul; Tse, Frances; Armstrong, David; Leontiadis, Grigorios I

2014-06-01

There is emerging concern that selective serotonin reuptake inhibitors (SSRIs) may be associated with an increased risk of upper gastrointestinal (GI) bleeding, and that this risk may be further increased by concurrent use of nonsteroidal anti-inflammatory (NSAID) medications. Previous reviews of a relatively small number of studies have reported a substantial risk of upper GI bleeding with SSRIs; however, more recent studies have produced variable results. The objective of this study was to obtain a more precise estimate of the risk of upper GI bleeding with SSRIs, with or without concurrent NSAID use. MEDLINE, EMBASE, PsycINFO, the Cochrane central register of controlled trials (through April 2013), and US and European conference proceedings were searched. Controlled trials, cohort, case-control, and cross-sectional studies that reported the incidence of upper GI bleeding in adults on SSRIs with or without concurrent NSAID use, compared with placebo or no treatment were included. Data were extracted independently by two authors. Dichotomous data were pooled to obtain odds ratio (OR) of the risk of upper GI bleeding with SSRIs +/- NSAID, with a 95% confidence interval (CI). The main outcome and measure of the study was the risk of upper GI bleeding with SSRIs compared with placebo or no treatment. Fifteen case-control studies (including 393,268 participants) and four cohort studies were included in the analysis. There was an increased risk of upper GI bleeding with SSRI medications in the case-control studies (OR=1.66, 95% CI=1.44,1.92) and cohort studies (OR=1.68, 95% CI=1.13,2.50). The number needed to harm for upper GI bleeding with SSRI treatment in a low-risk population was 3,177, and in a high-risk population it was 881. The risk of upper GI bleeding was further increased with the use of both SSRI and NSAID medications (OR=4.25, 95% CI=2.82,6.42). SSRI medications are associated with a modest increase in the risk of upper GI bleeding, which is lower than has

Microcréditos en países en vías de desarrollo - Evaluación de Impacto Social

OpenAIRE

Pardilla Fernández, Santiago

2014-01-01

Las EIS se orientan a introducir, en el diseño, evaluación y ejecución de proyectos de desarrollo, el estudio de sus consecuencias o impactos sociales. Las capacidades que otorgan las nuevas tecnologías de extracción y distribución de los recursos, así como las necesidades socioeconómicas de desarrollo en países que no han alcanzado cotas suficientes de bienestar han impulsado numerosos proyectos y megaproyectos a una velocidad inusitada. Estos proyectos conllevan importantes cambios socioamb...

Anthropometric indices for non-pregnant women of childbearing age differ widely among four low-middle income populations

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K Michael Hambidge

2017-07-01

Full Text Available Abstract Background Maternal stature and body mass indices (BMI of non-pregnant women (NPW of child bearing age are relevant to maternal and offspring health. The objective was to compare anthropometric indices of NPW in four rural communities in low- to low-middle income countries (LMIC. Methods Anthropometry and maternal characteristics/household wealth questionnaires were obtained for NPW enrolled in the Women First Preconception Maternal Nutrition Trial. Body mass index (BMI, kg/m2 was calculated. Z-scores were determined using WHO reference data. Results A total of 7268 NPW participated in Equateur, DRC (n = 1741; Chimaltenango, Guatemala (n = 1695; North Karnataka, India (n = 1823; and Thatta, Sindh, Pakistan (n = 2009. Mean age was 23 y and mean parity 1.5. Median (P25-P75 height (cm ranged from 145.5 (142.2–148.9 in Guatemala to 156.0 (152.0–160.0 in DRC. Median weight (kg ranged from 44.7 (39.9–50.3 in India to 52.7 (46.9–59.8 in Guatemala. Median BMI ranged from 19.4 (17.6–21.9 in India to 24.9 (22.3–28.0 in Guatemala. Percent stunted (<−2SD height for age z-score ranged from 13.9% in DRC to 80.5% in Guatemala; % underweight (BMI <18.5 ranged from 1.2% in Guatemala to 37.1% in India; % overweight/obese (OW, BMI ≥25.0 ranged from 5.7% in DRC to 49.3% in Guatemala. For all sites, indicators for higher SES and higher age were associated with BMI. Lower SES women were underweight more frequently and higher SES women were OW more frequently at all sites. Younger women tended to be underweight, while older women tended to be OW. Conclusions Anthropometric data for NPW varied widely among low-income rural populations in four countries located on three different continents. Global comparisons of anthropometric measurements across sites using standard reference data serve to highlight major differences among populations of low-income rural NPW and assist in evaluating the rationale for and the design of optimal

Turismo rural y gobernanza ambiental: conceptos divergentes en países desarrollados y países en vías de desarrollo

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Douglas Eduardo Molina Orjuela

2013-11-01

Full Text Available El turismo rural y la gobernanza ambiental son conceptos que aparentan ser complementarios pero que, en realidad, se encuentran influenciados, en primera instancia, por el desarrollo de una población que busca la disminución de los niveles de pobreza en las zonas apartadas de la centralidad del gobierno nacional; y en segunda instancia, por el cuidado del medio ambiente y la no extracción de los recursos naturales que son propios de las naciones y de comunidades específicas. El objetivo de este artículo es hacer una reflexión acerca de qué tan inmiscuidas están algunas naciones en temas de turismo rural y gobernanza ambiental. Pues por un lado América Latina busca salir de la pobreza con alternativas de ingreso para su población y, por el otro, los países desarrollados, como los europeos, presionan para la conservación del medio natural y olvidan el aspecto económico. La metodología que se usó a lo largo del escrito se basa en presentar resultados de investigación desde una perspectiva analítica, tomando como referencia fuentes académicas, y se arrojan resultados particulares. Es importante aclarar que los ejemplos que se incluyen en este artículo son particulares y no reflejan la problemática de todo un país o región –e.g. Europa o América Latina–, aunque permiten visualizar ciertas características y particularidades, además sobre todo verifica la tesis central, en el sentido que existe una fuerte tensión de conceptos, mostrando que el turismo rural impulsa un desarrollo que quizá la gobernanza ambiental no permita.

Turismo rural y gobernanza ambiental: conceptos divergentes en países desarrollados y países en vías de desarrollo

Directory of Open Access Journals (Sweden)

Douglas Eduardo Molina Orjuela

2013-12-01

Full Text Available El turismo rural y la gobernanza ambiental son conceptos que aparentan ser complementarios pero que, en realidad, se encuentran influenciados, en primera instancia, por el desarrollo de una población que busca la disminución de los niveles de pobreza en las zonas apartadas de la centralidad del gobierno nacional; y en segunda instancia, por el cuidado del medio ambiente y la no extracción de los recursos naturales que son propios de las naciones y de comunidades específicas. El objetivo de este artículo es hacer una reflexión acerca de qué tan inmiscuidas están algunas naciones en temas de turismo rural y gobernanza ambiental. Pues por un lado América Latina busca salir de la pobreza con alternativas de ingreso para su población y, por el otro, los países desarrollados, como los europeos, presionan para la conservación del medio natural y olvidan el aspecto económico. La metodología que se usó a lo largo del escrito se basa en presentar resultados de investigación desde una perspectiva analítica, tomando como referencia fuentes académicas, y se arrojan resultados particulares. Es importante aclarar que los ejemplos que se incluyen en este artículo son particulares y no reflejan la problemática de todo un país o región –e.g. Europa o América Latina–, aunque permiten visualizar ciertas características y particularidades, además sobre todo verifica la tesis central, en el sentido que existe una fuerte tensión de conceptos, mostrando que el turismo rural impulsa un desarrollo que quizá la gobernanza ambiental no permita.

Upper bounds on superpartner masses from upper bounds on the Higgs boson mass.

Science.gov (United States)

Cabrera, M E; Casas, J A; Delgado, A

2012-01-13

The LHC is putting bounds on the Higgs boson mass. In this Letter we use those bounds to constrain the minimal supersymmetric standard model (MSSM) parameter space using the fact that, in supersymmetry, the Higgs mass is a function of the masses of sparticles, and therefore an upper bound on the Higgs mass translates into an upper bound for the masses for superpartners. We show that, although current bounds do not constrain the MSSM parameter space from above, once the Higgs mass bound improves big regions of this parameter space will be excluded, putting upper bounds on supersymmetry (SUSY) masses. On the other hand, for the case of split-SUSY we show that, for moderate or large tanβ, the present bounds on the Higgs mass imply that the common mass for scalars cannot be greater than 10(11)  GeV. We show how these bounds will evolve as LHC continues to improve the limits on the Higgs mass.

Respiratory and allergic health effects in a young population in proximity of a major industrial park in Oman.

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Alwahaibi, Adil; Zeka, Ariana

2016-02-01

Sohar industrial zone (SIZ), Oman, which started operating in 2006, contains many industries that potentially affect the health of the local population. This study's aim was to evaluate the health effects in a young population living near SIZ. Patient visits to state health clinics for acute respiratory diseases (ARD), asthma, conjunctivitis and dermatitis were obtained for the period of 2006 to 2010, for children ages 5 to 10, ≥20 km to represent high, intermediate and control exposure zones, respectively. Age-specific and gender-specific monthly counts of visits were modelled using generalised additive models controlling for time trends. The high and intermediate exposure zones were later combined together due to the similarity of associations. Exposure effect modification by age, gender and socioeconomic status (SES) was also tested. Living within 10 km from SIZ showed a greater association with ARD (risk ratio (RR)=2.5; 95% CI=2.3 to 2.7), asthma (RR=3.7; 95% CI=3.1 to 4.5), conjunctivitis (RR=3.1; 95% CI=2.9 to 3.5) and dermatitis (RR=2.7; 95% CI=2.5 to 3.0) when compared with the control zone. No differences in associations were found for gender and SES groups; greater effects were noticed in the ≤14-year-old group for asthma. This is the first study conducted in Oman to examine the health effects of a young population living near an industrial park. We hope that these findings will contribute in future developments of environmental health policies in Oman. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

High Prevalence of Inadequate Calcium and Iron Intakes by Mexican Population Groups as Assessed by 24-Hour Recalls.

Science.gov (United States)

Sánchez-Pimienta, Tania G; López-Olmedo, Nancy; Rodríguez-Ramírez, Sonia; García-Guerra, Armando; Rivera, Juan A; Carriquiry, Alicia L; Villalpando, Salvador

2016-09-01

A National Health and Nutrition Survey (ENSANUT) conducted in Mexico in 1999 identified a high prevalence of inadequate mineral intakes in the population by using 24-h recall questionnaires. However, the 1999 survey did not adjust for within-person variance. The 2012 ENSANUT implemented a more up-to-date 24-h recall methodology to estimate usual intake distributions and prevalence of inadequate intakes. We examined the distribution of usual intakes and prevalences of inadequate intakes of calcium, iron, magnesium, and zinc in the Mexican population in groups defined according to sex, rural or urban area, geographic region of residence, and socioeconomic status (SES). We used dietary intake data obtained through the 24-h recall automated multiple-pass method for 10,886 subjects as part of ENSANUT 2012. A second measurement on a nonconsecutive day was obtained for 9% of the sample. Distributions of usual intakes of the 4 minerals were obtained by using the Iowa State University method, and the prevalence of inadequacy was estimated by using the Institute of Medicine's Estimated Average Requirement cutoff. Calcium inadequacy was 25.6% in children aged 1-4 y and 54.5-88.1% in subjects >5 y old. More than 45% of subjects >5 y old had an inadequate intake of iron. Less than 5% of children aged 12 y had inadequate intakes of magnesium, whereas zinc inadequacy ranged from <10% in children aged <12 y to 21.6% in men aged ≥20 y. Few differences were found between rural and urban areas, regions, and tertiles of SES. Intakes of calcium, iron, magnesium, and zinc are inadequate in the Mexican population, especially among adolescents and adults. These results suggest a public health concern that must be addressed. © 2016 American Society for Nutrition.

Land cover change impact on urban flood modeling (case study: Upper Citarum watershed)

Science.gov (United States)

Siregar, R. I.

2018-03-01

The upper Citarum River watershed utilizes remote sensing technology in Geographic Information System to provide information on land coverage by interpretation of objects in the image. Rivers that pass through urban areas will cause flooding problems causing disadvantages, and it disrupts community activities in the urban area. Increased development in a city is related to an increase in the number of population growth that added by increasing quality and quantity of life necessities. Improved urban lifestyle changes have an impact on land cover. The impact in over time will be difficult to control. This study aims to analyze the condition of flooding in urban areas caused by upper Citarum watershed land-use change in 2001 with the land cover change in 2010. This modeling analyzes with the help of HEC-RAS to describe flooded inundation urban areas. Land cover change in upper Citarum watershed is not very significant; it based on the results of data processing of land cover has the difference of area that changed is not enormous. Land cover changes for the floods increased dramatically to a flow coefficient for 2001 is 0.65 and in 2010 at 0.69. In 2001, the inundation area about 105,468 hectares and it were about 92,289 hectares in 2010.

Upper atmosphere research at INPE

International Nuclear Information System (INIS)

Clemesha, B.R.

1984-01-01

Upper atmosphere research at INPE is mainly concerned with the chemistry and dynamics of the stratosphere, upper mesosphere and lower thermosphere, and the middle thermosphere. Experimental work includes lidar observations of the stratospheric aerosol, measurements of stratospheric ozone by Dobson spectrophotometers and by balloon and rocket-borne sondes, lidar measurements of atmospheric sodium, and photometric observations of O, O 2 , OH and Na emissions, including interferrometric measurements of the OI6300 emission for the purpose of determing thermospheric winds and temperature. The airglow observations also include measurements of a number of emissions produced by the precipitation of energetic neutral particles generated by charge exchange in the ring current. Some recent results of INPE's upper atmosphere program are presented. (Author) [pt

Determining the Level of the Dural Sac Tip: Magnetic Resonance Imaging in an Adult Population

International Nuclear Information System (INIS)

Binokay, F.; Akgul, E.; Bicakci, K.; Soyupak, S.; Aksungur, E.; Sertdemir, Y.

2006-01-01

Purpose: To determine the variation in the location of the dural sac (DS) in a living adult population and to correlate this position with age and sex. Material and Methods: T2-weighted, midline, sagittal, spin-echo magnetic resonance imaging (MRI) studies of 743 patients were assessed to identify the tip of the DS. This location was recorded in relation to the upper, middle, or lower third of the adjacent vertebral body or the adjacent intervertebral disk. Results: Frequency distribution for levels of termination of the DS on MRI demonstrated that the end of the DS was usually located at the upper one-third of S2 (25.2%). The mean level in females was also the upper one-third of S2 (26.5%) and in males the lower one-third of S2 (24.1%). The overall mean DS position was mostly at the upper one-third of S2. No significant differences in DS position were seen between male and female patients or with increasing age. Conclusion: It is important to know the possible range for the termination level of the DS when performing caudal anesthesia and craniospinal irradiation in some clinical situations. The distribution of DS location in a large adult population was shown to range from the L5-S1 intervertebral disk to the upper third of S3 vertebrae

Composition and Predicted Metabolic Capacity of Upper and Lower Airway Microbiota of Healthy Dogs in Relation to the Fecal Microbiota

OpenAIRE

Ericsson, Aaron C.; Personett, Alexa R.; Grobman, Megan E.; Rindt, Hansjorg; Reinero, Carol R.

2016-01-01

The upper and lower airways of healthy humans are reported to harbor stable and consistent bacterial populations, and the composition of these communities is altered in individuals affected with several respiratory diseases. Data regarding the presence of airway microbiota in other animals are scant and a better understanding of the composition and metabolic function of such bacterial populations is essential for the development of novel therapeutic and diagnostic modalities for use in both v...

Coherent captivity of population in gas of excited atoms

International Nuclear Information System (INIS)

Anisimov, P.M.; Akhmedzhanov, R.A.; Zelenskij, I.V.; Kolesov, R.L.; Kuznetsova, E.A.

2003-01-01

The coherent captivity of the population in the gaseous discharge on the transitions between the neon atoms excited levels is studied. The resonances, corresponding to the origination of the population coherent captivity in the Λ- and V-schemes on the Zeeman sublevels of the low and upper working states, were observed in the presence of the longitudinal magnetic field. The effect of the nonlinear rotation of the polarization plane under the conditions of the population coherent captivity was studied. The possibility of applying the results of the work for the diagnostics of the local magnetic fields and other plasma parameters in the gaseous discharges is considered [ru

Remesas ¿salida de la desigualdad en países latinoamericanos? Un estudio comparativo entre Ecuador y México; Remessas: saída da desigualdade em países latina americana? Um estudo comparativo entre Equador e México; Remittances: exit inequality in Latin American countries? A comparative study between Ecuador and Mexico

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José Gaibor Monteros

2017-07-01

Full Text Available Resumen: Esta investigación va encaminada al análisis del papel de las remesas en los ingresos de los hogares de Ecuador y México para el año 2007– 2014 y 2008-2014 respectivamente, con el objetivo de demostrar que no son significativas en mejorar la distribución de la renta, para esto se utilizan datos de ingresos de los hogares de encuestas de ambos países para posteriormente procesarlos mediante software estadístico  y obtener un índice de Gini por deciles que nos otorgará un mejor contraste de la situación de desigualdad. Se llegó a la conclusión de que las remesas no son representativas para mejorar la situación de desigualdad ya que no existe una variación significativa de los índices de Gini por deciles en ambos países. Palabras clave: Migración, Remesas, Desigualdad, Desarrollo.   Resumo: Esta pesquisa se encaminha pela análise do papel das remesas nos ingressos nos lugares no Equador e no México nos anos de 2007-2014 e 2008-2014 respectivamente, com o objetivo de demonstrar que não são indicativos de melhora na distribuição da renda. Para isso se utilizam dados de ingresso de lugares em pesquisas em ambos os países para posteriormente serem processados em software estatistico e obter um índice de Gini que permitirá um melhor contraste na situação de desigualdade. Chegou-se a conclusão de que as remessas não são representativas para melhorar a situação de desigualdade já que não existe uma variação significativa dos índices de Gini em ambos os países. Palavras-chaves: Migração, Remessas, Desigualdade, Desenvolvimento.   Abstract: This research is aimed at analyzing the role of remittances in the income of households in Ecuador and Mexico for 2007-2014 and 2008-2014, respectively, in order to demonstrate that they are not significant in improving the distribution of income. For this we use income data from the households of surveys of both countries to later process them using statistical

A national study of socioeconomic status and tuberculosis rates by country of birth, United States, 1996-2005.

Science.gov (United States)

Olson, Nicole A; Davidow, Amy L; Winston, Carla A; Chen, Michael P; Gazmararian, Julie A; Katz, Dolores J

2012-05-18

Tuberculosis (TB) in developed countries has historically been associated with poverty and low socioeconomic status (SES). In the past quarter century, TB in the United States has changed from primarily a disease of native-born to primarily a disease of foreign-born persons, who accounted for more than 60% of newly-diagnosed TB cases in 2010. The purpose of this study was to assess the association of SES with rates of TB in U.S.-born and foreign-born persons in the United States, overall and for the five most common foreign countries of origin. National TB surveillance data for 1996-2005 was linked with ZIP Code-level measures of SES (crowding, unemployment, education, and income) from U.S. Census 2000. ZIP Codes were grouped into quartiles from low SES to high SES and TB rates were calculated for foreign-born and U.S.-born populations in each quartile. TB rates were highest in the quartiles with low SES for both U.S.-born and foreign-born populations. However, while TB rates increased five-fold or more from the two highest to the two lowest SES quartiles among the U.S.-born, they increased only by a factor of 1.3 among the foreign-born. Low SES is only weakly associated with TB among foreign-born persons in the United States. The traditional associations of TB with poverty are not sufficient to explain the epidemiology of TB among foreign-born persons in this country and perhaps in other developed countries. TB outreach and research efforts that focus only on low SES will miss an important segment of the foreign-born population.

Demographic data on the Little Owl (Athene noctua in Upper-Kiskunság (Hungary

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Hámori Dániel

2017-12-01

Full Text Available This study focused on the clutch size and age-specific apparent survival rate of the Little Owl (Athene noctua population in Upper-Kiskunság, Hungary. Between May 2005 and April 2017, 640 individuals were captured and ringed in a total of 746 capture-recapture occasions. Artificial nest boxes were installed in the study area, breeding birds and pulli were captured for ringing/recaptured in these boxes (from March to May, or at the close neighbourhood of those (max. 168 m. Jolly-Seber’s open population method was applied to model the survival rate. The candidate model set included models incorporating age, year-effect, and the combination of those. AICc value was used to compare models in a selection approach. The final model was constructed via model averaging based on the models with significant explanatory power. The average number and SD of pullus/breeding pair was 3.78 ± 0.76. The average apparent annual survival rate (which does not differentiate between mortality and permanent emigration for the period between pullus stage and the time of the first breeding was estimated as 9.47% ± 2.99% SE, whereas the annual survival rate of adults was 82.74% ± 8.46% SE. The effect of sex on the survival rate of adults was not investigated due to female-biased sample, as the probability of capturing females is significantly higher in late spring months. Our experience reveals that during February and March it is possible to capture both sexes in the nest boxes, and it does not influence negatively the breeding success. Based on our results, the population of the Little Owl is stable in Upper-Kiskunság. A slight increase in estimated population size is observable even if we make no difference between mortality and permanent emigration. The high occupancy rate of the installed nest boxes reveals that nest site availability is an important limiting factor in the studied population.

Endoscopic management and outcomes of pregnant women hospitalized for nonvariceal upper GI bleeding: a nationwide analysis.

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Nguyen, Geoffrey C; Dinani, Amreen M; Pivovarov, Kevin

2010-11-01

Upper GI endoscopy has an important diagnostic and therapeutic role in the management of nonvariceal upper GI bleeding (NVUGB). To characterize nationwide patterns of utilization of upper GI endoscopy in pregnant women with NVUGB and to assess health outcomes. Retrospective cohort study. Participating hospitals from the Nationwide Inpatient Sample, 1998-2007. Pregnant and age-matched nonpregnant women admitted for NVUGB. The study population was classified as pregnant women with NVUGB (n = 1210) and nonpregnant women with NVUGB (n = 6050). Rate of upper GI endoscopy, maternal mortality, fetal death/complications, and premature delivery. Pregnant women were less likely than nonpregnant women to undergo upper GI endoscopy (26% vs 69%; P < .0001) even after adjustment for comorbidities, transfusion requirement, and the presence of hypovolemic shock (adjusted odds ratio, 0.19; 95% confidence interval, 0.16-0.22). Among those who underwent endoscopy, pregnant women were less likely to undergo the procedure within 24 hours of admission (50% vs 57%; P = .02). Mortality was lower among pregnant women compared with nonpregnant women (0% vs 0.6%; P = .006). In comparing outcomes between those who did and did not undergo endoscopy, there was no difference in fetal loss (0.2% vs 0.6%), fetal distress/complications (2.7% vs 2.6%), or premature delivery (7.3% vs 6.4%). The study was based on administrative data. A conservative nonendoscopic approach is common in the management of pregnant women with NVUGB and is not associated with worse maternal or fetal outcomes. Upper GI endoscopy is, however, safe when judiciously implemented in the actively bleeding patient. Copyright © 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.

Bounds on the dynamics of sink populations with noisy immigration.

Science.gov (United States)

Eager, Eric Alan; Guiver, Chris; Hodgson, Dave; Rebarber, Richard; Stott, Iain; Townley, Stuart

2014-03-01

Sink populations are doomed to decline to extinction in the absence of immigration. The dynamics of sink populations are not easily modelled using the standard framework of per capita rates of immigration, because numbers of immigrants are determined by extrinsic sources (for example, source populations, or population managers). Here we appeal to a systems and control framework to place upper and lower bounds on both the transient and future dynamics of sink populations that are subject to noisy immigration. Immigration has a number of interpretations and can fit a wide variety of models found in the literature. We apply the results to case studies derived from published models for Chinook salmon (Oncorhynchus tshawytscha) and blowout penstemon (Penstemon haydenii). Copyright © 2013 Elsevier Inc. All rights reserved.

Stent thrombosis and bleeding complications after implantation of sirolimus-eluting coronary stents in an unselected worldwide population: a report from the e-SELECT (Multi-Center Post-Market Surveillance) registry.

Science.gov (United States)

Urban, Philip; Abizaid, Alexandre; Banning, Adrian; Bartorelli, Antonio L; Baux, Ana Cebrian; Džavík, Vladimír; Ellis, Stephen; Gao, Runlin; Holmes, David; Jeong, Myung Ho; Legrand, Victor; Neumann, Franz-Josef; Nyakern, Maria; Spaulding, Christian; Worthley, Stephen

2011-03-29

The aim of this study was to ascertain the 1-year incidence of stent thrombosis (ST) and major bleeding (MB) in a large, unselected population treated with sirolimus-eluting stents (SES). Stent thrombosis and MB are major potential complications of drug-eluting stent implantation. Their relative incidence and predisposing factors among large populations treated worldwide are unclear. The SES were implanted in 15,147 patients who were entered in a multinational registry. We analyzed the incidence of: 1) definite and probable ST as defined by the Academic Research Consortium; and 2) MB, with the STEEPLE (Safety and efficacy of Enoxaparin in PCI) definition, together with their relation to dual antiplatelet therapy (DAPT) and to 1-year clinical outcomes. The mean age of the sample was 62 ± 11 years, 30.4% were diabetic, 10% had a Charlson comorbidity index ≥3, and 44% presented with acute coronary syndrome or myocardial infarction. At 1 year, the reported compliance with DAPT as recommended by the European Society of Cardiology guidelines was 86.3%. Adverse event rates were: ST 1.0%, MB 1.0%, mortality 1.7%, myocardial infarction 1.9%, and target lesion revascularization 2.3%. Multivariate analysis identified 9 correlates of ST and 4 correlates of MB. Advanced age and a high Charlson index were associated with an increased risk of both ST and MB. After ST, the 7-day and 1-year all-cause mortality was 30% and 35%, respectively, versus 1.5% and 10% after MB. Only 2 of 13,749 patients (0.015%) experienced both MB and ST during the entire 1-year follow-up period. In this worldwide population treated with ≥1 SES, the reported compliance with DAPT was good, and the incidence of ST and MB was low. Stent thrombosis and MB very rarely occurred in the same patient. (The e-SELECT Registry: a Multicenter Post-Market Surveillance; NCT00438919). Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Vocabulary knowledge, phonological representations and phonological sensitivity in Spanish-speaking low-and middle-SES preschoolers

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Beatriz Diuk

2013-08-01

Full Text Available The aim of this study was to examine the relationships among vocabulary knowledge, phonological representations and phonological sensitivity in 80 Spanish-speaking preschool children from middle- and low-SES families. Significant social class differences were obtained on all tasks except syllable matching. Regression analyses were carried out to test the predictive power of vocabulary knowledge and accuracy of phonological representations on the phonological sensitivity measures. Receptive vocabulary predicted rhyme identification. Syllable matching was predicted by a task tapping accuracy of phonological representations. The fact that rhyme identification was predicted by vocabulary knowledge but syllable matching was predicted by a measure tapping accuracy of phonological representations in both groups suggests that early lexical development sets the stage for the development of the lower levels of phonological sensitivity but identification of smaller units requires more accurate and segmented phonological representations.

Portable upper extremity robotics is as efficacious as upper extremity rehabilitative therapy: a randomized controlled pilot trial.

Science.gov (United States)

Page, Stephen J; Hill, Valerie; White, Susan

2013-06-01

To compare the efficacy of a repetitive task-specific practice regimen integrating a portable, electromyography-controlled brace called the 'Myomo' versus usual care repetitive task-specific practice in subjects with chronic, moderate upper extremity impairment. Sixteen subjects (7 males; mean age 57.0 ± 11.02 years; mean time post stroke 75.0 ± 87.63 months; 5 left-sided strokes) exhibiting chronic, stable, moderate upper extremity impairment. Subjects were administered repetitive task-specific practice in which they participated in valued, functional tasks using their paretic upper extremities. Both groups were supervised by a therapist and were administered therapy targeting their paretic upper extremities that was 30 minutes in duration, occurring 3 days/week for eight weeks. One group participated in repetitive task-specific practice entirely while wearing the portable robotic, while the other performed the same activity regimen manually. The upper extremity Fugl-Meyer, Canadian Occupational Performance Measure and Stroke Impact Scale were administered on two occasions before intervention and once after intervention. After intervention, groups exhibited nearly identical Fugl-Meyer score increases of ≈2.1 points; the group using robotics exhibited larger score changes on all but one of the Canadian Occupational Performance Measure and Stroke Impact Scale subscales, including a 12.5-point increase on the Stroke Impact Scale recovery subscale. Findings suggest that therapist-supervised repetitive task-specific practice integrating robotics is as efficacious as manual practice in subjects with moderate upper extremity impairment.

Inverse association between toothbrushing and upper aerodigestive tract cancer risk in a Japanese population.

Science.gov (United States)

Sato, Fumihito; Oze, Isao; Kawakita, Daisuke; Yamamoto, Noriyuki; Ito, Hidemi; Hosono, Satoyo; Suzuki, Takeshi; Kawase, Takakazu; Furue, Hiroki; Watanabe, Miki; Hatooka, Shunzo; Yatabe, Yasushi; Hasegawa, Yasuhisa; Shinoda, Masayuki; Ueda, Minoru; Tajima, Kazuo; Tanaka, Hideo; Matsuo, Keitaro

2011-11-01

Oral hygiene is attracting increasing attention as a potential risk factor for cancers. To investigate the association between toothbrushing frequency and upper aerodigestive tract (UADT) cancer, the authors conducted a large-scale case-control study. A total of 856 UADT cancer case participants and 2696 age- and sex-matched control subjects without cancer were included. Edentulous or participants with unknown frequency of toothbrushing or number of remaining teeth were excluded. Associations were assessed by odds ratios and 95% confidence intervals in logistic regression models with adjustment for potential confounders. Compared with toothbrushing once per day, the adjusted odds ratio for brushing twice or more was 0.82 (95% confidence interval: 0.68, 0.99) whereas that for not brushing was 1.79 (0.79, 4.05). This association was observed especially in subjects who had a history of heavy smoking or drinking. The authors suggest that toothbrushing could have a protective effect for UADT cancer. Copyright © 2010 Wiley Periodicals, Inc.

Factors influencing health care and service providers' and their respective "at risk" populations' adoption of the Air Quality Health Index (AQHI): a qualitative study.

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Radisic, Sally; Newbold, K Bruce

2016-03-31

The Air Quality Health Index (AQHI) provides air quality and health information such that the public can implement health protective behaviours (reducing and/or rescheduling outdoor activity) and decrease exposure to outdoor air pollution. The AQHI's health messages account for increased risk associated with "at risk" populations (i.e. young children, elderly and those with pre-existing respiratory and/or cardiovascular conditions) who rely on health care and service providers for guidance. Using Rogers' Diffusion of Innovations theory, our objective with respect to health care and service providers and their respective "at risk" populations was to explore: 1) level of AQHI knowledge; 2) factors influencing AQHI adoption and; 3) strategies that may increase uptake of AQHI, according to city divisions and socioeconomic status (SES). Semi-structured face-to-face interviews with health care (Registered Nurses and Certified Respiratory Educators) and service providers (Registered Early Childhood Educators) and focus groups with their respective "at risk" populations explored barriers and facilitators to AQHI adoption. Participants were selected using purposive sampling. Each transcript was analyzed using an Interpretive Description approach to identify themes. Analyses were informed by Rogers' Diffusion of Innovations theory. Fifty participants (6 health care and service providers, 16 parents, 13 elderly, 15 people with existing respiratory conditions) contributed to this study. AQHI knowledge, AQHI characteristics and perceptions of air quality and health influenced AQHI adoption. AQHI knowledge centred on numerical reliance and health protective intent but varied with SES. More emphasis on AQHI relevance with respect to health benefits was required to stress relative advantage over other indices and reduce index confusion. AQHI reporting at a neighbourhood scale was recognized as addressing geographic variability and uncertainty in perceived versus measured air

An Upper Limit on the Functional Fraction of the Human Genome.

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Graur, Dan

2017-07-01

For the human population to maintain a constant size from generation to generation, an increase in fertility must compensate for the reduction in the mean fitness of the population caused, among others, by deleterious mutations. The required increase in fertility due to this mutational load depends on the number of sites in the genome that are functional, the mutation rate, and the fraction of deleterious mutations among all mutations in functional regions. These dependencies and the fact that there exists a maximum tolerable replacement level fertility can be used to put an upper limit on the fraction of the human genome that can be functional. Mutational load considerations lead to the conclusion that the functional fraction within the human genome cannot exceed 25%, and is probably considerably lower. © The Author 2017. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution.

A Boundary Property for Upper Domination

KAUST Repository

AbouEisha, Hassan M.; Hussain, Shahid; Lozin, Vadim; Monnot, Jé rô me; Ries, Bernard; Zamaraev, Viktor

2016-01-01

An upper dominating set in a graph is a minimal (with respect to set inclusion) dominating set of maximum cardinality.The problem of finding an upper dominating set is generally NP-hard, but can be solved in polynomial time in some restricted graph

Classical test theory and Rasch analysis validation of the Upper Limb Functional Index in subjects with upper limb musculoskeletal disorders.

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Bravini, Elisabetta; Franchignoni, Franco; Giordano, Andrea; Sartorio, Francesco; Ferriero, Giorgio; Vercelli, Stefano; Foti, Calogero

2015-01-01

To perform a comprehensive analysis of the psychometric properties and dimensionality of the Upper Limb Functional Index (ULFI) using both classical test theory and Rasch analysis (RA). Prospective, single-group observational design. Freestanding rehabilitation center. Convenience sample of Italian-speaking subjects with upper limb musculoskeletal disorders (N=174). Not applicable. The Italian version of the ULFI. Data were analyzed using parallel analysis, exploratory factor analysis, and RA for evaluating dimensionality, functioning of rating scale categories, item fit, hierarchy of item difficulties, and reliability indices. Parallel analysis revealed 2 factors explaining 32.5% and 10.7% of the response variance. RA confirmed the failure of the unidimensionality assumption, and 6 items out of the 25 misfitted the Rasch model. When the analysis was rerun excluding the misfitting items, the scale showed acceptable fit values, loading meaningfully to a single factor. Item separation reliability and person separation reliability were .98 and .89, respectively. Cronbach alpha was .92. RA revealed weakness of the scale concerning dimensionality and internal construct validity. However, a set of 19 ULFI items defined through the statistical process demonstrated a unidimensional structure, good psychometric properties, and clinical meaningfulness. These findings represent a useful starting point for further analyses of the tool (based on modern psychometric approaches and confirmatory factor analysis) in larger samples, including different patient populations and nationalities. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Does "hidden undercuffing" occur among obese patients? Effect of arm sizes and other predictors of the difference between wrist and upper arm blood pressures.

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Doshi, Hardik; Weder, Alan B; Bard, Robert L; Brook, Robert D

2010-02-01

Arm size can affect the accuracy of blood pressure (BP) measurement, and "undercuffing" of large upper arms is likely to be a growing problem. Therefore, the authors investigated the relationship between upper arm and wrist readings. Upper arm and wrist circumferences and BP were measured in 261 consecutive patients. Upper arm auscultation and wrist BP was measured in triplicate, rotating measurements every 30 seconds between sites. Upper arm BP was 131.9+/-20.6/71.6+/-12.6 mm Hg in an obese population (body mass index, 30.6+/-6.6 kg/m(2)) with mean upper arm size of 30.7+/-5.1 cm. Wrist BP was higher (2.6+/-9.2 mm Hg and 4.9+/-6.6 mm Hg, respectively, PBlood Pressure (JNC 7) strata (kappa value=0.27-0.71), and the difference was >or=5 mm Hg in 72% of the patients. The authors conclude that there was poor concordance between arm and wrist BP measurement and found no evidence that "hidden undercuffing" was associated with obesity; therefore, they do not support routine use of wrist BP measurements.

Epidemiological determinants correlating hepatitis C and Schistosomiasis mansoni in one of Upper Egypt governorates

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Samah S. Abdel Gawad

2018-06-01

Full Text Available Schistosomiasis and hepatitis C virus (HCV are endemic diseases with high prevalence in Africa especially in Egypt. Many sociodemographic and behavioral related determinants were implicated to be associated with schistosomiasis, HCV or coinfection. Recently, polymerase chain reaction (PCR is used as a diagnostic tool as it is a sensitive and a specific method especially in early stage of infection. But, diagnosis of S. mansoni is depending on microscopic examination remains the most widely used direct diagnostic method in endemic area. The current study was carried out to determine the prevalence of schistosomiasis mansoni, HCV and confection if any among the studied population, to identify any associated factors for schistosomiasis mansoni, HCV or coinfection if any.A descriptive cross sectional study was conducted on 400 participants, inhabitants in Beni-Suef Governorate, Upper Egypt. The studied population was screened for both schistosomiasis mansoni and HCV. They were subjected to fulfill a well-structured field tested interviewing questionnaire focusing on many suspected associated factors. Moreover, testing the performance characteristics of the used techniques was determined. The prevalence of schistosomiasis mansoni was (2.8% and HCV was (42.5% among the studied subjects. The study highlights on many behavioral and sociodemographic determinants significantly associated with HCV infection such as home crowding index, shaving at the community barber, sharing razors within the family, delivery at home and circumcision outside the health settings. Also, the study revealed that there are certain determinants associated with both schistosomiasis mansoni and HCV infection such as blood transfusion and liver cirrhosis. Studying the linked determinates with schistosomisis and HCV is the cornerstone to plan and implement a preventive strategy in the Upper Egypt. Thus, further studying the associated environmental determinants in relation to

Disentangling effects of socioeconomic status on obesity: A cross-sectional study of the Spanish adult population.

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Merino Ventosa, María; Urbanos-Garrido, Rosa M Maria Merino Ven Gmail Com

2016-09-01

This paper complements previous estimations regarding socioeconomic inequalities in obesity for Spanish adults, and provides new evidence about the mechanisms through which socioeconomic status (SES) affects obesity. Microdata from the Spanish National Health Survey (SNHS) 2011-2012 are analysed. Corrected concentration indices (CCI) are calculated to measure inequality. Path analysis is employed to disentangle direct and indirect effects of SES on obesity, where dietary patterns, physical activity and sleep habits act as mediator variables. Multivariate logistic models are used to select those exogenous variables to be included in the path diagram. Men and women are analysed separately. Our results show significant pro-rich inequality in the distribution of obesity (the poorer the more obese), particularly for women (CCI=-0.070 for men, CCI=-0.079 for women). The indirect effects of SES on obesity (those transmitted via mediator variables) are quite modest (3.3% for males, 2.4% for females) due to three reasons. Firstly, dietary habits do not show a significant mediating effect. Secondly, the mediating effect of physical activity in leisure time, although significant (14% for males, 11.1% for females), is offset by that related to main activity. Finally, sleep habits contribution to total effect of SES on obesity is statistically significant but small (roughly 1%). Our results indicate that promoting physical activity in leisure time for those with a low SES, particularly for men, would contribute to prevent obesity and to reduce health inequalities. Promotion of adequate sleep habits for women with a low SES might have a similar effect. However, interventions aimed to reduce sedentarism related to main activity, although useful to prevent obesity, would amplify the obesity socioeconomic gradient. Since effects of SES are different for men and women, socioeconomic health inequalities should be addressed also from a gender perspective. Copyright © 2016 Elsevier B

African ancestry and its correlation to type 2 diabetes in African Americans: a genetic admixture analysis in three U.S. population cohorts.

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Ching-Yu Cheng

Full Text Available The risk of type 2 diabetes is approximately 2-fold higher in African Americans than in European Americans even after adjusting for known environmental risk factors, including socioeconomic status (SES, suggesting that genetic factors may explain some of this population difference in disease risk. However, relatively few genetic studies have examined this hypothesis in a large sample of African Americans with and without diabetes. Therefore, we performed an admixture analysis using 2,189 ancestry-informative markers in 7,021 African Americans (2,373 with type 2 diabetes and 4,648 without from the Atherosclerosis Risk in Communities Study, the Jackson Heart Study, and the Multiethnic Cohort to 1 determine the association of type 2 diabetes and its related quantitative traits with African ancestry controlling for measures of SES and 2 identify genetic loci for type 2 diabetes through a genome-wide admixture mapping scan. The median percentage of African ancestry of diabetic participants was slightly greater than that of non-diabetic participants (study-adjusted difference = 1.6%, P<0.001. The odds ratio for diabetes comparing participants in the highest vs. lowest tertile of African ancestry was 1.33 (95% confidence interval 1.13-1.55, after adjustment for age, sex, study, body mass index (BMI, and SES. Admixture scans identified two potential loci for diabetes at 12p13.31 (LOD = 4.0 and 13q14.3 (Z score = 4.5, P = 6.6 × 10(-6. In conclusion, genetic ancestry has a significant association with type 2 diabetes above and beyond its association with non-genetic risk factors for type 2 diabetes in African Americans, but no single gene with a major effect is sufficient to explain a large portion of the observed population difference in risk of diabetes. There undoubtedly is a complex interplay among specific genetic loci and non-genetic factors, which may both be associated with overall admixture, leading to the observed ethnic differences in diabetes

Elementos para la contabilización de proyectos MDL en países no-anexo I, caso: Argentina

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Perossa, Mario Luis

2008-04-01

Full Text Available El objeto del presente trabajo tiene por finalidad presentar propuestas para el debate y la reflexión sobre ciertos temas relacionados con la contabilización de algunos instrumentos surgidos a partir de la puesta en marcha del Protocolo de Kyoto, mas precisamente sobre el Mecanismo para un Desarrollo Limpio (MDL, que es el instrumento aplicable a aquellos países (que como en el caso de la República Argentina, firmaron y ratificaron el mismo en vías de desarrollo no se encuentra sujeto a regulación sobre reducción de emisiones pero pueden ser objeto de planes de MDL.

Percepción de la violencia escolar por parte de los familiares: un estudio comparativo en cuatro países europeos

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José Jesús Gázquez

2007-01-01

Full Text Available Este estudio descriptivo transversal tuvo como finalidad mostrar la opinión de las familias de cuatro países europeos (España, Austria, Hungría y República Checa a cerca de la prevalencia y el nivel de afectación de trece aspectos relacionados con la convivencia y violencia escolar. Los resultados indican que las familias consideran las peleas, los insultos y las malas palabras en clase como los aspectos más frecuentes en sus centros, y coinciden en señalar el uso o presencia de objetos de agresión y el consumo o presencia de drogas como conflictos menos frecuentes en los centros escolares. En cuanto a la repercusión personal, son los problemas relacionados con el profesorado, las peleas y las dificultades de convivencia intercultural los aspectos que más preocupan. Por países, es Hungría quien presenta tasas más bajas en este tipo de problemas, estando en el lado opuesto Austria y la República Checa y situándose España en un puesto intermedio; del mismo modo, son las familias húngaras quienes se muestran menos afectadas personalmente, destacando únicamente la preocupación de éstas por los problemas de convivencia intercultural.

The Associations Between Socioeconomic Status and Lifestyle Factors in European Adolescents: A Population-based Study

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Novak Dario

2017-11-01

Full Text Available The main purpose of the present study was to determine the associations between socioeconomic status (SES and lifestyle factors. In this cross-sectional study, participants were 3,072 adolescents from two European countries of Lithuania and Serbia. The dependent variable was SES, while independent variables were gender, adherence to a Mediterranean diet, body-mass index, self-rated health, psychological distress, moderate-to-vigorous physical activity and sedentary behaviour. The associations between dependent and independent variables were analysed by using logistic regression analysis. In univariate model, middle/high SES was associated with higher adherence to a Mediterranean diet (ptrend = 0.003, good self-rated health (OR 1.51; 95 % CI 1.12 to 2.05 and meeting recommendations of moderate-to-vigorous physical activity (OR 2.09; 95 % CI 1.45 to 3.00, yet inversely associated with psychological distress (OR 0.81; 95 % CI 0.66 to 0.99 and sedentary behaviour (OR 0.80; 95 % CI 0.68 to 0.94. No associations were found between SES and bodymass index and gender. In multivariate model, the same associations occurred between middle/high SES and lifestyle factors. In conclusion, special strategies and policies, based on more affordable nutrition and participation in moderate-to-vigorous physical activity, should be implemented within the system.

Las nuevas tendencias del derecho de seguros en las legislaciones más recientes de los países latinoamericanos

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Andrés Ordóñez Ordóñez

2014-06-01

Full Text Available En los años recientes, varios países latinoamericanos han realizado importantes reformas a sus legislaciones relacionadas con la disciplina privada del contrato de seguro. Particularmente Chile y Perú procedieron a ello, en el primer caso, sustituyendo el capítulo correspondiente al contrato de seguro en su Código de Comercio de muy antigua vigencia, y en el segundo, expidiendo una ley específica sobre el tema. También países como México y Panamá, dentro del marco de sus normas de derecho público destinadas a regular la actividad financiera y de seguros, han expedido leyes nuevas relacionadas con la vigilancia y el control de la actividad aseguradora, que necesariamente se proyectan en mayor o menor medida sobre las relaciones particulares que surgen entre asegurados y aseguradores. El conocimiento de esas nuevas legislaciones es un elemento insustituible para la reforma que tarde o temprano deberá operarse sobre la nuestra que data ya de más de cuarenta años. Temas como la reticencia o inexactitud en la declaración del estado del riesgo, la agravación del riesgo, la imperatividad de las normas regulatorias del contrato, la identificación de las partes, la regulación de la oferta y de la etapa precontractual en el contrato de seguro, y muchas otras, son objeto de análisis y comentario en este artículo.

Las nuevas tendencias del derecho de seguros en las legislaciones más recientes de los países latinoamericanos

Directory of Open Access Journals (Sweden)

Andrés Ordóñez Ordóñez

2014-07-01

Full Text Available En los años recientes, varios países latinoamericanos han realizado importantes reformas a sus legislaciones relacionadas con la disciplina privada del contrato de seguro. Particularmente Chile y Perú procedieron a ello, en el primer caso, sustituyendo el capítulo correspondiente al contrato de seguro en su Código de Comercio de muy antigua vigencia, y en el segundo, expidiendo una ley específica sobre el tema. También países como México y Panamá, dentro del marco de sus normas de derecho público destinadas a regular la actividad financiera y de seguros, han expedido leyes nuevas relacionadas con la vigilancia y el control de la actividad aseguradora, que necesariamente se proyectan en mayor o menor medida sobre las relaciones particulares que surgen entre asegurados y aseguradores. El conocimiento de esas nuevas legislaciones es un elemento insustituible para la reforma que tarde o temprano deberá operarse sobre la nuestra que data ya de más de cuarenta años. Temas como la reticencia o inexactitud en la declaración del estado del riesgo, la agravación del riesgo, la imperatividad de las normas regulatorias del contrato, la identificación de las partes, la regulación de la oferta y de la etapa precontractual en el contrato de seguro, y muchas otras, son objeto de análisis y comentario en este artículo.

The Upper Atmosphere; Threshold of Space.

Science.gov (United States)

Bird, John

This booklet contains illustrations of the upper atmosphere, describes some recent discoveries, and suggests future research questions. It contains many color photographs. Sections include: (1) "Where Does Space Begin?"; (2) "Importance of the Upper Atmosphere" (including neutral atmosphere, ionized regions, and balloon and investigations); (3)…

Medicamentos de alto costo: análisis y propuestas para los países del Mercosur Costly drugs: analysis and proposals for the Mercosur countries

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Gustavo H Marín

2011-08-01

Full Text Available OBJETIVO: Determinar la forma en que los países del Mercosur acceden, regulan y financian los medicamentos de alto costo (MAC y proponer estrategias de selección y financiación conjunta a nivel sub-regional. MÉTODOS: Diseño cualitativo, utilizando análisis de contenido de fuentes primarias y secundarias, revisiones documentales, entrevistas, grupos focales y análisis de casos Las variables seleccionadas incluyeron: criterios de selección, acceso, financiación y regulación en los distintos países. Los MAC se clasificaron en aquellos que no modifican el curso natural de la enfermedad y aquellos que tiene eficacia demostrada, utilizando la dosis diaria definida para comparar los costos entre tratamientos clásicos y los realizados con MAC. RESULTADOS: Los países del Mercosur carecen en su gran mayoría de estrategias formales para enfrentar las demandas de MAC, y gobiernos y aseguradoras terminan por financiarlos por vía judicial. Los análisis de casos muestran que existen MAC sin eficacia comprobada que igualmente generan demanda. Las compras atomizadas, los compromisos internacionales respecto a propiedad intelectual y el bajo poder de negociación incrementan los precios de MAC exponencialmente, poniendo en riesgo la economía de los sistemas sanitarios. CONCLUSIONES: Los MAC deben ser regulados y seleccionados racionalmente permitiendo que solo aquellos que beneficien sustantivamente a la población sean aceptados. Para financiar los MAC así seleccionados se requieren estrategias comunes entre países que incluyan opciones tales como flexibilidades de acuerdos comerciales, creación de fondos nacionales de recursos o compra conjunta entre países para potenciar su poder de negociación.OBJECTIVE: Determine how the Mercosur countries access, regulate, and finance costly drugs and propose joint selection and financing strategies at the subregional level. METHODS: Qualitative design, using content analyses of primary and secondary

Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial.

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Dunning, James R; Cleland, Joshua A; Waldrop, Mark A; Arnot, Cathy F; Young, Ian A; Turner, Michael; Sigurdsson, Gisli

2012-01-01

Randomized clinical trial. To compare the short-term effects of upper cervical and upper thoracic high-velocity low-amplitude (HVLA) thrust manipulation to nonthrust mobilization in patients with neck pain. Although upper cervical and upper thoracic HVLA thrust manipulation and nonthrust mobilization are common interventions for the management of neck pain, no studies have directly compared the effects of both upper cervical and upper thoracic HVLA thrust manipulation to nonthrust mobilization in patients with neck pain. Patients completed the Neck Disability Index, the numeric pain rating scale, the flexion-rotation test for measurement of C1-2 passive rotation range of motion, and the craniocervical flexion test for measurement of deep cervical flexor motor performance. Following the baseline evaluation, patients were randomized to receive either HVLA thrust manipulation or nonthrust mobilization to the upper cervical (C1-2) and upper thoracic (T1-2) spines. Patients were reexamined 48-hours after the initial examination and again completed the outcome measures. The effects of treatment on disability, pain, C1-2 passive rotation range of motion, and motor performance of the deep cervical flexors were examined with a 2-by-2 mixed-model analysis of variance (ANOVA). One hundred seven patients satisfied the eligibility criteria, agreed to participate, and were randomized into the HVLA thrust manipulation (n = 56) and nonthrust mobilization (n = 51) groups. The 2-by-2 ANOVA demonstrated that patients with mechanical neck pain who received the combination of upper cervical and upper thoracic HVLA thrust manipulation experienced significantly (Ppain (58.5%) than those of the nonthrust mobilization group (12.8% and 12.6%, respectively) following treatment. In addition, the HVLA thrust manipulation group had significantly (Pcervical flexor muscles as compared to the group that received nonthrust mobilization. The number needed to treat to avoid an unsuccessful outcome