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At least 433 records · Page 24Linked to original sources

Prevalence-dependent costs of parasite virulence.

Costs of parasitism are commonly measured by comparing the performance of infected groups of individuals to that of uninfected control groups. This measure potentially underestimates the cost of parasitism because it ignores indirect costs, which may result from the modification of the competitiveness of the hosts by the parasite. In this context, we used the host-parasite system consisting of the yellow fever mosquito Aedes aegypti and the microsporidian parasite Vavraia culicis to address this question: Do infected individuals exert a more or less intense intraspecific competition than uninfected individuals? Our experimental results show that, indeed, infected hosts incur a direct cost of parasitism: It takes them longer to become adults than uninfected individuals. They also incur an indirect cost, however, which is actually larger than the direct cost: When grown in competition with uninfected individuals they develop even slower. The consequence of this modification of competitiveness is that, in our system, the cost of parasitism is underestimated by the traditional measure. Moreover, because the indirect cost depends on the frequency of interactions between infected and uninfected individuals, our results suggest that the real cost of parasitism, i.e., virulence, is negatively correlated with the prevalence of the parasite. This link between prevalence and virulence may have dynamical consequences, such as reducing the invasion threshold of the parasite, and evolutionary consequences, such as creating a selection pressure maintaining the host's constitutive resistance to the parasite.

Aedes↗

"Getting by (or getting high) with a little help from my friends": an examination of adult alcoholics' friendships.

OBJECTIVE: Researchers have devoted much attention to the influence of social support on positive health outcomes, including efficacy of alcoholism treatment. Yet relatively little research has examined the structure (e.g., quantity or frequency of interactions) and quality (e.g., subjective appraisals of value or adequacy) of alcoholics' relationships. In addition, few studies have explored adult alcoholics' friendships, despite research suggesting that friendships influence treatment outcomes. The current study examined friendship characteristics of Project MATCH participants. METHOD: Participants (1,183 men, 380 women) described the structure and quality of their friendships at baseline and posttreatment. Friendships with drinkers and nondrinkers were examined in relation to baseline and follow-up drinking levels, as well as participant gender, age and parental history of alcohol problems. RESULTS: Significant changes were found in all aspects of friendships with both drinkers and nondrinkers from baseline to the 6-month posttreatment interview. For example, although approximately half of alcoholics friendships were with drinkers at baseline, that proportion decreased following treatment, whereas the proportion of friendships with nondrinkers increased. There was support for the hypothesis that changes in both friendship quality and structure would predict follow-up drinking levels. CONCLUSIONS: This study offers persuasive evidence for the importance of quality and, especially, structure of friendships to adult alcoholics' drinking behavior. Results also suggest differences in friendships depending on gender and across the lifespan. Such individual differences may have implications for prevention and treatment.

Adolescent↗

A participative management approach for improving direct-care staff performance in an institutional setting.

The present study evaluated a participative management approach for increasing the frequency of interactions between institutional staff and severely/profoundly retarded residents. The participative management approach involved teaching staff how to use self-monitoring, standard setting, self-evaluation, and self-reinforcement procedures. These procedures were then used by staff with minimal involvement of supervisory personnel. Although supervisors provided feedback and praise to staff for using these self-management behaviors, feedback and praise were never dispensed contingent on staff interactions with residents. Results indicated that during the participative management program there was an increase in staff interactions that were contingent on appropriate resident behavior. The increase in this type of staff interaction was accompanied by an increase in appropriate resident behavior. Follow-up data on both staff and resident behaviors, although showing moderating trends, suggested generally good maintenance of the initial behavior changes. Acceptability data suggested that staff were quite receptive to the program. The advantages of participative management procedures for improving staff performance in residential settings are discussed.

Adolescent↗

The System of Objectified Judgement Analysis (SOJA). A tool in rational drug selection for formulary inclusion.

Rational drug selection for formulary purposes is important. Besides rational selection criteria, other factors play a role in drug decision making, such as emotional, personal financial and even unconscious criteria. It is agreed that these factors should be excluded as much as possible in the decision making process. A model for drug decision making for formulary purposes is described, the System of Objectified Judgement Analysis (SOJA). In the SOJA method, selection criteria for a given group of drugs are prospectively defined and the extent to which each drug fulfils the requirements for each criterion is determined. Each criterion is given a relative weight, i.e. the more important a given selection criterion is considered, the higher the relative weight. Both the relative scores for each drug per selection criterion and the relative weight of each criterion are determined by a panel of experts in this field. The following selection criteria are applied in all SOJA scores: clinical efficacy, incidence and severity of adverse effects, dosage frequency, drug interactions, acquisition cost, documentation, pharmacokinetics and pharmaceutical aspects. Besides these criteria, group specific criteria are also used, such as development of resistance when a SOJA score was made for antimicrobial agents. The relative weight that is assigned to each criterion will always be a subject of discussion. Therefore, interactive software programs for use on a personal computer have been developed, in which the user of the system may enter their own personal relative weight to each selection criterion and make their own personal SOJA score. The main advantage of the SOJA method is that all nonrational selection criteria are excluded and that drug decision making is based solely on rational criteria. The use of the interactive SOJA discs makes the decision process fully transparent as it becomes clear on which criteria and weighting decisions are based. We have seen that the use of this method for drug decision making greatly aids the discussion in the formulary committee, as discussion becomes much more concrete. The SOJA method is time dependent. Documentation on most products is still increasing and the score for this criterion will therefore change continuously. New products are introduced and prices are also subject to change. To overcome the time-dependence of the SOJA method, regular updates of interactive software programs are being made, in which changes in acquisition cost, documentation or a different weighting of criteria are included, as well as newly introduced products. The possibility of changing the official acquisition cost into the actual purchasing costs for the hospital in question provides a tailor-made interactive program.

Chemistry, Pharmaceutical↗

Emotional closeness and physical distance between friends: implications for elderly women living in age-segregated and age-integrated settings.

The author discusses the need for a better theoretical understanding of friendship in order for its role in the lives of elderly people to be understood. The applicability to friendship of Simmel's approach to the study of social relationships is outlined. From this perspective, types of friendship are determined by the physical distance separating friends and the emotional closeness bringing them together. The data consist of seventy in-depth interviews of senior, unmarried women in a middle-class community bordering on Chicago. Qualitative data are reported to support quantitative analyses. There were positive relationships between emotional closeness and physical distance, duration and emotional closeness, and frequency of interaction and proximity. The author describes the implications for elderly women of the tendency for their close, old friends to be physically separated from them and their neighbors to be casual friends, but constant companions. The author discusses the effects of the age-density of residential context and life history on the types of friends the women had.

Affect↗

Young adults' relations with their grandparents: an exploratory study.

Some of the major aspects of the relationship between young adult grandchildren and their grandparents were examined. A sample of 269 undergraduate females, each with at least one living grandparent, responded to a survey instrument that assessed their current frequency of interaction and perceived emotional closeness with respect to each living grandparent. Results suggested that the grandparent's kin position relative to the grandchild was a critical variable, more so than the grandparent's sex, in influencing the intensity of the bond, Adult grandchildren tended to be significantly closer to maternal than paternal grandparents, and were significantly closer emotionally to the maternal grandmother than to each of the other grandparents. Also found was a wide variability among young adult grandchildren in their current involvement and emotional attachment to grandparents.

Adolescent↗

Networks in later life: an examination of race differences in social support networks.

Although there has been considerable interest in the effects of social support networks on various health outcomes for older adults, there has been little research directed toward the predictors of networks. In this study, we examine race differences in the determinants of social support network characteristics (size, frequency of interaction with network members, proportion of kin, and amount of support received and given to network members) using data from an older community sample drawn from the North Carolina site of the Established Populations for Epidemiologic Studies of the Elderly (EPESE) focusing on adults sixty-five and older (n = 4124). This research focuses on the extent to which race differences in network dimensions are present and whether these variations can be attributed to varying social structural positions held by African Americans and Whites. The results indicate that several race differences persist even when controlling for social structural variables. The structural argument and future implications are discussed.

Black or African American↗

Role of industry representatives in providing assistance to certified diabetes educators.

OBJECTIVE: As diabetes educators have become more frequently involved in decisions regarding medications, equipment, and supplies, industry representatives have increasingly provided various types of assistance. The major objectives of this survey were to determine 1) the types of assistance being provided to certified diabetes educators (CDEs) by industry representatives, 2) whether product recommendations are based on assistance provided, and 3) the types of assistance that CDEs consider appropriate. RESEARCH DESIGN AND METHODS: We developed the survey instrument and it was mailed to every fifth person listed in the 1989 directory of CDEs. Three hundred twenty-five (51%) of the active surveys were returned. RESULTS: Those responding indicated that 1) the types of support provided most frequently by industry representatives include instructional materials, samples, supplies, and equipment for patient care and education; 2) the number of types of support provided is directly related to the number of industry representatives seen on a regular basis and the frequency of interaction; 3) 22% of the educators state that they make product recommendations based on support provided; and 4) the role of the industry reps should be to continue support for patient care and education, to provide more support for public and professional education, and to minimize support for personal items, e.g., gifts or meals. CONCLUSIONS: The survey indicates that CDEs are receiving many types of assistance from industry representatives and that they prefer that such assistance be targeted toward patient and professional education.

Diabetes Mellitus↗

Analysis of human vestibulo-ocular reflex during active head movements.

The human vestibulo-ocular reflex (VOR) was investigated during active head movements utilizing spectral analysis techniques in order to extract phase and gain characteristics for the most natural stimulus conditions. Three different experimental conditions were examined: 1) head rotation in darkness to obtain data permitting a comparison with that mode of VOR analysis which has been mose frequently employed in the past; 2) head rotation while fixating a stationary target light in order to quantify natural compensatory eye movements; and 3) head rotation while fixating a target light which moved with the head as a fast method for the quantification of visuo-vestibular interaction. High frequency head rotation in darkness yielded gains not significantly different from unity-unlike previously reported results for passive rotation (Benson, 1970; Keller, 1978). Possible mechanisms which might explain these results are discussed.

Adult↗

Resilience to drinking vulnerability in women with alcoholic parents: the moderating effects of dyadic cohesion in marital communication.

Data from a subsample of women (N = 4,235) in two waves of the National Longitudinal Surveys of Youth (NLSY) are used to examine the relationship between parental alcoholism and alcohol use in adult life. Dyadic cohesion in marital communication (frequency of interaction and agreement on substantive issues that affect couples) is investigated as a resilience factor that could potentially mitigate adverse drinking outcomes in adult children of alcoholics (ACAs). A moderated mediation model is estimated using a Two-Stage Least Squares (2SLS) regression analysis. The results indicated that an imputed transmission of risk for drinking vulnerability in women ACAs, controlling for nonACA status, was effectively moderated by positive dyadic interaction.

Adolescent↗

[Effect of vibrational factors on the evaluation of whole-body vibrational intensity].

The aim of this study is to obtain basic data useful to evaluate the riding comfort of railway vehicles. The apparatus used in the present experiment made it possible to simulate various vibrations of railway vehicles. Twenty-two adult subjects participated in this experiment. They were exposed to lateral vibration with varying peak and root mean square (rms) accelerations and frequencies. The types and ranges of vibrations used in this experiment approximated to the typical vibrations of railway vehicles. The subjects were asked to rate the intensity of each vibration given to them successively, using the 7-step rating scale. Results indicated that both peak and rms accelerations significantly affected for the evaluation, although the effect of frequency was not significant. As for interactions, it was found that there were significant interacting effects between frequency and peak acceleration, between frequency and rms acceleration, and between peak and rms accelerations. It was also found that the relationship between the rms acceleration and the evaluated score changed with varying peak accelerations.

Adult↗

Effects of 308 nanometer excimer laser energy on 316 L stainless-steel stents: implications for laser atherectomy of in-stent restenosis.

PURPOSE: To determine the effects of the incidental exposure of stents to pulsed 308 nanometer ultraviolet excimer laser energy. METHODS: Five types of 316 L stainless-steel coronary stents were subjected to two types of study. First, for endurance testing, sixty stents were deployed in 3.0Eth 4.0 mm polymer tubes in three geometries. Up to 1,000 laser pulses were delivered while advancing a 2.0 mm eccentric catheter through the lumen of the stent. These stents were next subjected to 400 million simulated heartbeats and then analyzed for metal etching and fatigue. Second, six additional stents were irradiated with 1,000 pulses underwater and then analyzed for particulates, anions and cations liberated from the stent. RESULTS: Photomicroscopy revealed surface etching on a number of stents. Two stent models exhibited multiple strut fractures at the strut joints in both test samples and controls. In no case was a break observed at the site of laser-stent interaction. Breakage frequency was not significantly different between lazed stents and controls. Lazed stents produced a mean of 14 micrograms of sodium and 4 micrograms of iron more than controls. No excess particulates were detected. CONCLUSION: Under model conditions typical of clinical use, excimer laser treatment does not alter stainless-steel stent endurance or liberate clinically significant material from the stent.

Atherectomy, Coronary↗

The relationship of loneliness, social isolation, and physical health to dietary adequacy of independently living elderly.

This study evaluated the dietary adequacy of elderly individuals to determine whether factors such as loneliness, social isolation, or physical health were related to nutrient intake. The participants (n = 61) were independently living individuals aged 60 to 94 years recruited through senior citizen centers, residential housing areas, and social agencies in Rutherford County, Tennessee. Three-day food records were used to collect dietary data, and nutrient intakes were compared with the 1989 Recommended Dietary Allowances. Three-day social contact diaries were used to measure frequency of interaction with others. The Physical Health Questionnaire was used to evaluate subjectively the number and severity of disease states, and the loneliness index was computed using the revised UCLA Loneliness Scale. Energy and calcium were most likely to be underconsumed, and poor physical health was related to decreased intakes of vitamin A and ascorbic acid. Loneliness was related to dietary inadequacies. We recommend emphasis on education and services to provide home-delivered meals and groceries as well as affordable convenience foods of high nutrient density to enable older individuals to achieve adequate nutrient intake while maintaining an independent life-style.

Black or African American↗

Movement detection and spatial phase.

Contrast thresholds for the detection of movement are determined when a sinusoidal grating pattern is shifted in spatial phase. "True" contrast reversal (180 degrees phase shift) is compared with smaller phase shifts for a range of spatial frequencies. An unexpected increase in movement sensitivity is revealed for intermediate spatial frequencies. This effect is confined to those spatial frequencies where interaction between pattern and movement detectors occurs.

Humans↗