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1.
J Contemp Dent Pract ; 24(10): 725-728, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-38152902

RESUMO

AIM: The purpose of this study was to evaluate the bond strength and fracture mode of universal resin cement to dentin compared to self-adhesive and adhesive resin cement with and without an adhesive bonding agent. MATERIALS AND METHODS: Seventy-two molar teeth were sectioned to expose coronal dentin, divided into three groups, and assigned to RelyX Universal (universal), RelyX Ultimate (adhesive), or RelyX Unicem 2 (self-adhesive) cements from 3M. The 3 groups were further subdivided into 2 subgroups of 12 specimens each, with or without the use of an adhesive bonding agent. Lithium-disilicate discs were bonded to the dentin surface using the cements, stored for 24 hours in distilled water, and subjected to 2,000 thermocycles before shear bond strength testing and fracture mode analysis. RESULTS: Significant differences in bond strength and fracture mode were found between groups based on cement or the use of a bonding agent. Both the universal and adhesive cements had significantly greater bond strengths to dentin with the use of a bonding agent versus no bonding agent. With the self-adhesive cement, there was no significant increase in bond strength to dentin with the use of a bonding agent. CONCLUSION: The novel universal resin cement had similar bond strengths to dentin as the adhesive cement with the use of a bonding agent, and similar bond strengths as the self-adhesive cement without the use of a bonding agent. The adhesively bonded universal cement had the greatest percentage of mixed and cohesive fractures. CLINICAL SIGNIFICANCE: When greater adhesion is needed clinically, the novel universal resin cement may be used with an adhesive bonding agent. However, when less adhesion is needed, it could be used without a bonding agent in self-adhesive mode.


Assuntos
Colagem Dentária , Cimentos de Resina , Cimentos de Resina/química , Cimentos Dentários/química , Cimentos de Ionômeros de Vidro/química , Dentina , Teste de Materiais , Análise do Estresse Dentário , Adesivos Dentinários/química , Propriedades de Superfície , Resistência ao Cisalhamento
3.
J Res Adolesc ; 33(1): 318-343, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-34889482

RESUMO

Epidemic Models of the Onset of Social Activities (EMOSA) describe behaviors that spread through social networks. Two social influence methods are represented, social contagion (one-to-one spread) and general diffusion (spread through cultural channels). Past models explain problem behaviors-smoking, drinking, sexuality, and delinquency. We provide review, and a tutorial (including examples). Following, we present new EMOSA models explaining changes in adolescent and young adult religious participation. We fit the model to 10 years of data from the 1997 U.S. National Longitudinal Survey of Youth. Innovations include a three-stage bi-directional model, Bayesian Markov Chain Monte Carlo (MCMC) estimation, graphical innovations, and empirical validation. General diffusion dominated rapid reduction in church attendance during adolescence; both diffusion and social contagion explained church attendance stability in early adulthood.


Assuntos
Comportamento Sexual , Comportamento Social , Adulto Jovem , Humanos , Adolescente , Adulto , Teorema de Bayes , Fumar , Estudos Longitudinais
4.
Malar J ; 21(1): 391, 2022 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-36550507

RESUMO

BACKGROUND: Due to relatively low malaria parasitaemia in pregnancy, an appropriate field test that can adequately detect infections in pregnant women presenting with illness or for malaria screening during antenatal care is crucially important. The objective was to evaluate the diagnostic accuracy of loop-mediated isothermal amplification (LAMP) for the detection of uncomplicated malaria in pregnancy. METHODS: This was a meta-analysis of diagnostic accuracy. Relevant studies that assessed the diagnostic performance of LAMP for the detection of malaria in pregnancy were searched in health-related electronic databases including PubMed, Ovid, and Google Scholar. The methodological quality of the studies included was evaluated using the QUADAS-2 tool. RESULTS: Of the 372 studies identified, eight studies involving 2999 pregnant women in five endemic countries that assessed the accuracy of LAMP were identified. With three types of PCR as reference tests, the pooled sensitivity of LAMP was 91% (95%CI 67-98%) and pooled specificity was 99% (95%CI 83-100%, 4 studies), and the negative likelihood ratio was 9% (2-40%). Caution is needed in the interpretation as there was substantial between-study heterogeneity (I2: 80%), and a low probability that a person without infection is tested negative. With microscopy as a reference, the pooled sensitivity of LAMP was 95% (95%CI 26-100%) and pooled specificity was 100% (95%CI 94-100%, 4 studies). There was a wide range of sensitivity and substantial between-study heterogeneity (I2: 83.5-98.4%). To investigate the source of heterogeneity, a meta-regression analysis was performed with covariates. Of these potential confounding factors, reference test (p: 0.03) and study design (p:0.03) had affected the diagnostic accuracy of LAMP in malaria in pregnancy. Overall, there was a low certainty of the evidence in accuracy estimates. CONCLUSION: The findings suggest that LAMP is more sensitive than traditional tests used at facilities, but the utility of detecting and treating these low-density infections is not well understood. Due to the limited number of studies with bias in their methodological quality, variation in the study design, and different types of reference tests further research is likely to change the estimate. Well-conceived large prospective studies with blinding of the index test results are recommenced.


Assuntos
Malária , Feminino , Humanos , Gravidez , Estudos Prospectivos , Sensibilidade e Especificidade , Malária/diagnóstico , Técnicas de Amplificação de Ácido Nucleico/métodos
5.
J Child Fam Stud ; 31(1): 1-16, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34751208

RESUMO

This study evaluated changes over time in the quality of children's home environment, using the Home Observation Measurement of the Environment (HOME). Longitudinal increases in HOME scores were predicted by both theory and past empirical results. Analysis of the National Longitudinal Survey of Youth Children data (N = 5715, aged 0-14) suggested that HOME scores have been increasing, and that the increase is a family-level phenomenon. The data were a sample of children born to mothers who were approximately representative of the United States in 1979. An increase in HOME scores occurred primarily for the three age categories younger than ten. Effect sizes were of approximately the same magnitude as the Flynn effect for intelligence. These results have implications for policy and future research regarding the home environment.

6.
Am Psychol ; 77(3): 453-466, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-34780242

RESUMO

In light of the "replication crisis," some advocate for stricter standards and greater transparency in research methods. These efforts push toward a data analysis approach called "confirmatory data analysis" (CDA; see Wagenmakers et al., 2012). However, some (e.g., Baumeister, 2016; Goldin-Meadow, 2016) suggest that emphasizing CDA may restrict creativity and discovery. These scholars argued (sometimes inadvertently) for greater freedom to pursue "exploratory data analysis" (EDA; see Tukey, 1977). Ironically and unfortunately, many who push against stricter CDA standards do not realize EDA exists, or misunderstand the philosophy and proper tools for exploration. In this article, the meaning, tools, philosophy, and ethics associated with EDA, CDA, and a relatively unknown but important approach called "rough CDA" are clarified. Important distinctions are developed between EDA/rough CDA/CDA and other (some problematic) analysis activities including p-hacking, HARKing, and data mining, which are situated in a (graphical) framework that clarifies relationships and ethical boundaries with each. In short, the proper data analytic approach depends on (a) intentions and (b) transparency. Most psychological research is not at a maturity level to justify CDA; researchers have historically used tools mismatched to their research agenda. In the conclusion, recommendations are presented about how these typologies can be integrated into graduate training programs and how a cumulative research program can help psychology move beyond the replication crisis. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Análise de Dados , Pesquisadores , Humanos , Intenção , Filosofia , Projetos de Pesquisa
7.
Campbell Syst Rev ; 18(4): e1258, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36908848

RESUMO

Background: The consequences for children born with birth defects and developmental disabilities encompassed by foetal alcohol spectrum disorder (FASD) are profound, affecting all areas of social, behavioural and cognitive functioning. Given the strong evidence for a core deficit in executive functioning, underpinned by impaired self-regulation skills, there has been a growing focus on the development of interventions that enhance or support the development of executive functions (EFs). Objectives: The primary objective of this review is to synthesise the evidence for structured psychological interventions that explicitly aim to improve EF in children. The review also sought to ascertain if the effectiveness of interventions were influenced by characteristics of the intervention, participants or type of EF targeted by the intervention. Search Methods: Sixteen databases, 18 grey literature search locations and 9 trial registries were systematically searched to locate eligible studies (up to December 2020). These searches were supplemented with reference harvesting, forward citation searching, hand searches of topic-relevant journals and contact with experts. Selection Criteria: Studies were included in the review if they reported on an impact evaluation of a psychological intervention aiming to improve EF in children 3-16 years who either had confirmed prenatal alcohol exposure or a formal diagnosis falling under the umbrella term of FASDs. Eligible study designs included randomised controlled trials (RCTs) and quasi-experimental designs with either no treatment, wait list control or an alternative treatment as a comparison condition. Single-group pre-post designs were also included. Data Collection and Analysis: Standard methodological procedures expected by the Campbell Collaboration were used at all stages of this review. Standardised mean differences (SMDs) were used to estimate intervention effects, which were combined with random effects meta-analysis (data permitting). Risk of bias was assessed using the Cochrane Risk of Bias Tool (RoB2) and Cochrane Risk of Bias in Non-Randomised Studies-Interventions tool (ROBINS-I). Main Results: The systematic search identified 3820 unique records. After title/abstract and full-text screening, 11 eligible studies (reported in 21 eligible documents) were deemed eligible, with a combined 253 participants. Of the 11 studies, 6 were RCTs, 1 was a quasi-experiment and 4 were single-group pre-post intervention designs. All studies were rated as having an overall high or serious risk of bias, with some variation across domains for RCTs. For RCT and quasi-experimental studies, the overall effect of EF interventions on direct and indirect measures of EF generally favoured the experimental condition, but was not statistically significant. There was no difference between intervention and comparison groups on direct measures of auditory attention (k = 3; SMD = 0.06, 95% confidence interval [CI] = -1.06, 1.18), visual attention (k = 2; SMD = 0.90, 95% CI = -1.41, 3.21), cognitive flexibility (k = 2; SMD = 0.23, 95% CI = -0.40, 0.86), attentional inhibition (k = 2; SMD = 0.04, 95% CI = -0.58, 0.65), response inhibition (k = 3; SMD = 0.47, 95% CI = -0.04, 0.99), or verbal working memory (k = 1; d = 0.6827; 95% CI = -0.0196, 1.385). Significant heterogeneity was found across studies on measures of auditory attention and visual attention, but not for measures of cognitive flexibility, attentional inhibition or response inhibition. Available data prohibited further exploration of heterogeneity. There was no statistical difference between intervention and comparison groups on indirect measures of global executive functioning (k = 2; SMD = 0.21, 95% CI = -0.40, 0.82), behavioural regulation (k = 2; SMD = 0.18, 95% CI = -0.43, 0.79), or emotional control (k = 3; SMD = 0.01, 95% CI = -0.33, 0.36). Effect sizes were positive and not significant for meta-cognition (k = 1; SMD = 0.23, 95% CI = -0.72, 1.19), shifting (k = 2; SMD = 0.04, 95% CI = -0.35, 0.43), initiation (k = 1; SMD = 0.04, 95% CI = -0.40, 0.49), monitoring (k = 1; SMD = 0.25, 95% CI = -0.20, 0.70) and organisation of materials (k = 1; SMD = 0.25, 95% CI = -0.19, 0.70). Effect sizes were negative and not statistically different for effortful control (k = 1; SMD = -0.53, 95% CI = -1.50, 0.45), inhibition (k = 2; SMD = -0.08, 95% CI = -0.47, 0.31), working memory (k = 1; SMD = 0.00, 95% CI = -0.45, 0.44), and planning and organisation (k = 1; SMD = -0.10, 95% CI = -0.55, 0.34). No statistically significant heterogeneity was found for any of the syntheses of indirect measures of EF. Based on pre-post single-group designs, there was evidence for small to medium sized improvements in EF based on direct measures (cognitive flexibility, verbal working memory and visual working memory) and indirect measures (behavioural regulation, shifting, inhibition and meta-cognition). However, these results must be interpreted with caution due to high risk of bias. Authors' Conclusions: This review found limited and uncertain evidence for the effectiveness of interventions for improving executive functioning in children with FASD across 8 direct and 13 indirect measures of EF. The findings are limited by the small number of high-quality studies that could be synthesised by meta-analysis and the very small sample sizes for the included studies.

9.
Multivariate Behav Res ; 56(3): 377-389, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32077317

RESUMO

Wayne Velicer is remembered for a mind where mathematical concepts and calculations intrigued him, behavioral science beckoned him, and people fascinated him. Born in Green Bay, Wisconsin on March 4, 1944, he was raised on a farm, although early influences extended far beyond that beginning. His Mathematics BS and Psychology minor at Wisconsin State University in Oshkosh, and his PhD in Quantitative Psychology from Purdue led him to a fruitful and far-reaching career. He was honored several times as a high-impact author, was a renowned scholar in quantitative and health psychology, and had more than 300 scholarly publications and 54,000+ citations of his work, advancing the arenas of quantitative methodology and behavioral health. In his methodological work, Velicer sought out ways to measure, synthesize, categorize, and assess people and constructs across behaviors and time, largely through principal components analysis, time series, and cluster analysis. Further, he and several colleagues developed a method called Testing Theory-based Quantitative Predictions, successfully applied to predicting outcomes and effect sizes in smoking cessation, diet behavior, and sun protection, with the potential for wider applications. With $60,000,000 in external funding, Velicer also helped engage a large cadre of students and other colleagues to study methodological models for a myriad of health behaviors in a widely applied Transtheoretical Model of Change. Unwittingly, he has engendered indelible memories and gratitude to all who crossed his path. Although Wayne Velicer left this world on October 15, 2017 after battling an aggressive cancer, he is still very present among us.


Assuntos
Medicina do Comportamento , Tutoria , Humanos
10.
Popul Dev Rev ; 47(3): 611-637, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36937313

RESUMO

Studies have reported that the age-adjusted incidence of cognitive impairment and dementia may have decreased over the past two decades. Aging is the predominant risk factor for Alzheimer's disease and related dementias and for neurocognitive decline. However, aging cannot explain changes in overall age-adjusted incidence of dementia. The objective of this position paper was to describe the potential for cohort and period effects in cognitive decline and incidence of dementia. Cohort effects have long been reported in demographic literature, but starting in the early 1980s, researchers began reporting cohort trends in cognitive function. At the same time, period effects have emerged in economic factors and stressors in early and midlife that may result in reduced cognitive dysfunction. Recognizing that aging individuals today were once children and adolescents, and that research has clearly noted that childhood cognitive performance is a primary determinant of old-age cognitive performance, this is the first study that proposes the need to connect known cohort effects in childhood cognition with differences in late-life functioning.

11.
Psychol Assess ; 32(9): 851-871, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32614191

RESUMO

Colleges and universities are increasingly concerned about respect for diversity and tolerance of individual differences on their campuses. Nevertheless, no comprehensive measure of peer victimization has been developed and validated for use with college student populations. The Peer Victimization in College Survey (PVIC) is the first such measure. Study 1 (N = 733) reports how PVIC items were empirically derived to ensure construct coverage. Study 2 (N = 100) reports how intuitive PVIC subscales were established to distinguish between subtypes of college peer victimization. Study 3 (N = 520) provides evidence of convergent, discriminant, and construct validity for the PVIC, including its relations to risk factors and to outcomes such as depressive symptoms, anxiety, stress, and college sense of belonging. Study 4 (N = 633) validates several PVIC scaling methods and provides evidence of incremental validity of the measure over current (unvalidated) measures. The PVIC can assess subtypes of peer victimization on college campuses, evaluate the effectiveness of campus intervention efforts, and test hypotheses about the causes and effects of peer victimization. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Bullying/psicologia , Bullying/estatística & dados numéricos , Grupo Associado , Psicometria/instrumentação , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Adolescente , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Reprodutibilidade dos Testes , Inquéritos e Questionários , Universidades , Adulto Jovem
12.
Geriatr Gerontol Int ; 20(5): 397-413, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32133754

RESUMO

With the increase in our older adult population, there is a need for dementia training for informal and formal dementia caregivers. The objective of this scoping study is to assess dementia knowledge instruments utilized in educational programs and interventions intended for formal and informal dementia caregivers. Scoping review methodology was used to search PubMed, PsycInfo, CINAHL and Web of Science with tailored database search terms. The search yielded 8101 results, with 35 studies meeting inclusion. Studies were conducted in eight countries, had varying study designs (randomized controlled trials [RCTs] = 9, non-RCTs = 6, one-group study design = 20) and utilized previously published (19) and author developed (16) instruments. Furthermore, the studies were internationally diverse, conducted in the United States (n = 18), Australia (n = 7), UK (n = 3), China (n = 2), Canada (n = 2), Taiwan (n = 1), Brazil (n = 1) and multi-country (n = 1). Only two studies focused on minority populations. While author-developed instruments may be more relevant and timesaving, studies should strive to validate instruments or use previously published instruments to help standardize findings across studies and understand better the effects of educational programs on caregiver knowledge. Geriatr Gerontol Int 2020; 20: 397-413.


Assuntos
Cuidadores/educação , Demência/enfermagem , Educação em Saúde/métodos , Conhecimentos, Atitudes e Prática em Saúde , Humanos
13.
Behav Genet ; 50(2): 127-138, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32040643

RESUMO

The univariate bootstrap is a relatively recently developed version of the bootstrap (Lee and Rodgers in Psychol Methods 3(1): 91, 1998). DeFries-Fulker (DF) analysis is a regression model used to estimate parameters in behavioral genetic models (DeFries and Fulker in Behav Genet 15(5): 467-473, 1985). It is appealing for its simplicity; however, it violates certain regression assumptions such as homogeneity of variance and independence of errors that make calculation of standard errors and confidence intervals problematic. Methods have been developed to account for these issues (Kohler and Rodgers in Behav Genet 31(2): 179-191, 2001), however the univariate bootstrap represents a unique means of doing so that is presaged by suggestions from previous DF research (e.g., Cherny et al. in Behav Genet 22(2): 153-162, 1992). In the present study we use simulations to examine the performance of the univariate bootstrap in the context of DF analysis. We compare a number of possible bootstrap schemes as well as more traditional confidence interval methods. We follow up with an empirical demonstration, applying results of the simulation to models estimated to investigate changes in body mass index in adults from the National Longitudinal Survey of Youth 1979 data.


Assuntos
Interpretação Estatística de Dados , Genética Comportamental/métodos , Modelos Estatísticos , Adolescente , Adulto , Índice de Massa Corporal , Peso Corporal/genética , Intervalos de Confiança , Feminino , Humanos , Estudos Longitudinais , Masculino , Modelos Genéticos , Fenótipo , Análise de Regressão , Meio Social , Gêmeos Dizigóticos/genética , Gêmeos Monozigóticos/genética , Adulto Jovem
14.
Top Stroke Rehabil ; 27(2): 118-126, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31622172

RESUMO

Background and Purpose: Persons with stroke have increased risk for recurrent stroke. Group exercise programs like cardiac rehabilitation might reduce this risk. These programs commonly use the six-minute walk test to measure aerobic capacity. However, failure to assess fall risk may compromise safety for persons with stroke. The study aim was to determine the association between the six-minute walk test and fall risk in persons with stroke.Methods: Cross-sectional analysis measured the association between the six-minute walk test and fall risk in 66 persons with stroke with a mean age of 66 years (SD 12) and median stroke chronicity of 60.9 months (range 6.0-272.1). The six-minute walk test was evaluated using logistic regression. The best fit model was used in Receiver Operating Characteristic analysis. Likelihood ratios and post-test probabilities were calculated.Results: Lower six-minute walk test distance was associated with increased fall risk in logistic regression (p = .002). The area under the curve for the univariate six-minute walk test model (best fit) was 0.701 (p = .006). The cutoff for increased fall risk was six-minute walk test <331.65 m. The post-test probability of fall risk increased to 74.3% from a pre-test probability of 59.1%.Discussion: The moderate association between fall risk and six-minute walk test suggests that in addition to assessing capacity, the six-minute walk test provides insight into fall risk/balance confidence.Conclusion: Using the six-minute walk test cutoff to screen fall risk in community exercise programs may enhance safety for persons with stroke without additional testing required.


Assuntos
Acidentes por Quedas , Reabilitação do Acidente Vascular Cerebral/métodos , Acidente Vascular Cerebral/fisiopatologia , Teste de Caminhada , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Equilíbrio Postural , Valor Preditivo dos Testes , Curva ROC , Medição de Risco , Acidente Vascular Cerebral/complicações
15.
J Pers Soc Psychol ; 119(6): 1497-1514, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31854998

RESUMO

Longitudinal studies have documented improvements in parents' life satisfaction due to childbearing, followed by postpartum adaptation back to baseline. However, the details underlying this process remain largely unexplored. Based on past literature, set-point theory, and results from an exploratory sample, we investigated empirically how first childbirth affected satisfaction with specific domains of life. In a preregistered study, we compared parents with matched childless respondents in their trajectories of life satisfaction, and also satisfaction with family life, health, sleep, work, housework, leisure, dwelling, household income, and personal income. First-time parents and childless respondents were matched in a procedure combining exact and propensity score matching. Using the population-representative German SOEP data (N = 3,370), longitudinal multilevel models revealed heterogeneous effects of childbirth on different domains of satisfaction: Both mothers' and fathers' satisfaction with family life increased temporarily in a similar fashion to life satisfaction before going back to baseline within five years after childbirth. However, only mothers experienced drastic losses to satisfaction with sleep and satisfaction with personal income. For the remaining domains, parents' satisfaction largely resembled that of the matched childless respondents. These divergent domain trajectories underscore the need for multivariate analyses in life satisfaction research. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Pais , Satisfação Pessoal , Fatores Socioeconômicos , Adulto , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino
16.
Behav Genet ; 49(5): 444-454, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31392459

RESUMO

In 1918, Fisher suggested that his research team had consistently found inflated cousin correlations. He also commented that because a cousin sample with minimal selection bias was not available the cause of the inflation could not be addressed, leaving this inflation as a challenge still to be solved. In the National Longitudinal Survey of Youth (the NLSY79, the NLSY97, and the NLSY-Children/Young Adult datasets), there are thousands of available cousin pairs. Those in the NLSYC/YA are obtained approximately without selection. In this paper, we address Fisher's challenge using these data. Further, we also evaluate the possibility of fitting ACE models using only cousin pairs, including full cousins, half-cousins, and quarter-cousins. To have any chance at success in such a restricted kinship domain requires an available and highly-reliable phenotype; we use adult height in our analysis. Results provide a possible answer to Fisher's challenge, and demonstrate the potential for using cousin pairs in a stand-alone analysis (as well as in combination with other biometrical designs).


Assuntos
Biometria , Estatura/genética , Família , Feminino , Humanos , Estudos Longitudinais , Masculino , Adulto Jovem
18.
J Pers Soc Psychol ; 116(6): 1030-1047, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30407028

RESUMO

The consistent relationship between socioeconomic status (SES) and health has been widely covered in the media and scientific journals, which typically argue that physical-health inequalities are caused by material disadvantage directly or indirectly (e.g., chronic environmental-stress, health care resources, etc.). Such explanations do not explain the finely stratified health differences across the entire range of SES. Recent theories have helped address such limitations, but implicate multiple different explanatory pathways. For example, differential epidemiology articles have argued that individual differences are the "fundamental cause" of the gradient (Gottfredson, 2004). Alternatively, variants of allostatic load theory (McEwen & Stellar, 1993), such as the Risky Families model (Repetti, Taylor, & Seeman, 2002) implicate the early home-environment. These theory-driven pathways align with interpretations associated with biometrical models; yet, little research has applied biometrical modeling to understanding the sources of the gradient. Our study presents several innovations and new research findings. First, we use kinship information from a large national family dataset, the NLSY79, whose respondents are approximately representative of United States adolescents in 1979. Second, we present the first biometrical analysis of the relationships between SES and health that uses an overall SES measure. Third, we separate physical and mental health, using excellent measurement of each construct. Fourth, we use a bivariate biometrical model to study overlap between health and SES. Results suggest divergent findings for physical and mental health. Biometrical models indicate a primarily genetic etiology for the link between SES and physical health, and a primarily environmental etiology for the link between SES and mental health. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Biometria/métodos , Disparidades nos Níveis de Saúde , Nível de Saúde , Classe Social , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Estados Unidos , Adulto Jovem
19.
JACC Cardiovasc Interv ; 11(7): 693-702, 2018 04 09.
Artigo em Inglês | MEDLINE | ID: mdl-29622149

RESUMO

OBJECTIVES: This study sought to examine the prevalence of mitral stenosis (MS) and its impact on in-hospital and 1-year clinical outcomes among patients undergoing transcatheter aortic valve replacement (TAVR). BACKGROUND: Patients with coexisting severe aortic stenosis and MS are increasingly being considered for TAVR. METHODS: The study cohort included 44,755 patients (age ≥18 years) who underwent TAVR during November 1, 2011, to September 30, 2015, and were registered in Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapies (TVT) Registry. One-year outcomes were assessed by linking TVT registry data of this cohort to patient-specific Centers for Medicare & Medicaid Services administrative claims data (n = 31,453). The primary outcome was the composite of death, stroke, heart failure-related hospitalization, and mitral valve intervention at 1 year. RESULTS: MS was present in 11.6% of cohort (mean age, 82 years; 52% males), being severe in 2.7%. Severe MS was associated with higher in-hospital mortality rates (5.6% vs. 3.9% for nonsevere MS and 4.1% for no MS; p = 0.02). In contrast to those without MS, severe MS group had significantly higher risk for the primary outcome, mortality (1 year), and heart failure-related hospitalization (1 year) (adjusted hazard ratio: 1.2 [95% confidence interval (CI): 1.1 to 1.4], 1.2 [95% CI: 1.0 to 1.4], and 1.3 [95% CI: 1.1 to 1.5], respectively; p < 0.05 for all). CONCLUSIONS: Approximately one-tenth of patients undergoing TAVR have concomitant MS. Severe MS is an independent predictor of 1-year adverse clinical outcomes following TAVR. The higher risk for long-term adverse events must be considered when evaluating patients with combined aortic stenosis and MS for TAVR.


Assuntos
Estenose da Valva Aórtica/cirurgia , Valva Aórtica/cirurgia , Estenose da Valva Mitral/epidemiologia , Substituição da Valva Aórtica Transcateter , Demandas Administrativas em Assistência à Saúde , Idoso , Idoso de 80 Anos ou mais , Valva Aórtica/fisiopatologia , Estenose da Valva Aórtica/diagnóstico , Estenose da Valva Aórtica/mortalidade , Estenose da Valva Aórtica/fisiopatologia , Centers for Medicare and Medicaid Services, U.S. , Feminino , Mortalidade Hospitalar , Humanos , Masculino , Estenose da Valva Mitral/diagnóstico , Estenose da Valva Mitral/mortalidade , Estenose da Valva Mitral/fisiopatologia , Prevalência , Sistema de Registros , Fatores de Risco , Índice de Gravidade de Doença , Sociedades Médicas , Fatores de Tempo , Substituição da Valva Aórtica Transcateter/efeitos adversos , Substituição da Valva Aórtica Transcateter/mortalidade , Resultado do Tratamento , Estados Unidos/epidemiologia
20.
Plant Mol Biol ; 96(3): 279-289, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29388029

RESUMO

KEY MESSAGE: Our work focuses on understanding the lifetime and thus stability of the three main cellulose synthase (CESA) proteins involved in primary cell wall synthesis of Arabidopsis. It had long been thought that a major means of CESA regulation was via their rapid degradation. However, our studies here have uncovered that AtCESA proteins are not rapidly degraded. Rather, they persist for an extended time in the plant cell. Plant cellulose is synthesized by membrane-embedded cellulose synthase complexes (CSCs). The CSC is composed of cellulose synthases (CESAs), of which three distinct isozymes form the primary cell wall CSC and another set of three isozymes form the secondary cell wall CSC. We determined the stability over time of primary cell wall (PCW) CESAs in Arabidopsis thaliana seedlings, using immunoblotting after inhibiting protein synthesis with cycloheximide treatment. Our work reveals very slow turnover for the Arabidopsis PCW CESAs in vivo. Additionally, we show that the stability of all three CESAs within the PCW CSC is altered by mutations in individual CESAs, elevated temperature, and light conditions. Together, these results suggest that CESA proteins are very stable in vivo, but that their lifetimes can be modulated by intrinsic and environmental cues.


Assuntos
Proteínas de Arabidopsis/metabolismo , Arabidopsis/enzimologia , Parede Celular/enzimologia , Celulose/biossíntese , Glucosiltransferases/metabolismo , Plântula/enzimologia , Arabidopsis/citologia , Arabidopsis/genética , Arabidopsis/crescimento & desenvolvimento , Proteínas de Arabidopsis/genética , Interação Gene-Ambiente , Glucosiltransferases/genética , Mutação , Plântula/genética , Plântula/crescimento & desenvolvimento
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