El alcohol del encuentro / The alcohol of the meeting

Es importante indagar las conexiones existentes entre las propuestaspublicitarias de las marcas de bebidas alcohólicas y las prácticas de consumode los jóvenes de entre 13 y 25 años, entendidas como formas de producciónde distinciones e identificaciones.ObjetivosAnalizar las publicidades de las bebidas con alcohol con mayor difusión nacional encanales de televisión de aire e identificar disposiciones al consumo en jóvenes de 13a 25 años entre mayo y noviembre de 2014. Específicamente se buscó, por un lado,entender el modo en que se construyen mensajes publicitarios que promueven elconsumo de bebidas alcohólicas y, por el otro, explorar valoraciones, percepcionesy acciones respecto del consumo de alcohol e indagar en los contenidos presentesen las publicidades de bebidas alcohólicas en jóvenes residentes en las provinciasde Chaco, Córdoba, Mendoza, Tucumán, Santa Fe y Neuquén.MétodosSe utilizó un enfoque semiótico y antropológico de tipo cultural.ResultadosSe prevé la presentación de resultados parciales de este trabajo en REDCOM(Red de Investigadores en Comunicación), ENACCOM (Encuentro Nacional deCarreras de Comunicación) y el congreso internacional a 30 años de la carrerade Comunicación de la Universidad de Buenos Aires, así como su publicaciónen revistas especializadas nacionales e internacionales.ConclusionesLas opciones propuestas por las marcas son recibidas y reinterpretadas por losjóvenes, pero en todas ellas es patente el poder de naturalización del consumo.Se propone una diferenciación y distinción a través de la práctica cultural deconsumir una marca en particular, siempre regulada por las ofertas del mercado.Tal como se ha visto en el análisis de publicidades, el alcohol siempre estápresente en la práctica juvenil de diversión y nocturnidad. No se venden atributosy beneficios del alcohol en tanto producto, sino que ya están establecidos

Expandable proximal femoral nail versus gamma proximal femoral nail for the treatment of AO/OTA 31A1-3 fractures.

INTRODUCTION: The gamma-proximal femoral nail (GPFN) and the expandable proximal femoral nail (EPFN) are two commonly used intramedullary devices for the treatment of AO 31A1-3 proximal femur fractures. The aim of this study was to compare outcomes and complication rates in patients treated by both devices. PATIENTS AND METHODS: A total of 299 patients (149 in the GPFN group and 150 in the EPFN group, average age 83.6 years) were treated for AO 31A1-3 proximal femur fractures in our institution between July 2008 and February 2013. Time from presentation to surgery, level of experience of the surgeon, operative time, amount of blood loss and number of blood transfusions were recorded. Postoperative radiological variables, including peg/screw location, tip to apex distance and orthopaedic complications, as, malunion, nonunion, surgical wound infection rates, cutouts, periprosthetic fractures and the incidence of non-orthopaedic complications. Functional results were estimated using the modified Harris Hip Score, and quality of life was queried by the SF-36 questionnaire. RESULTS: The GPFN and the EPFN fixation methods were similar in terms of functional outcomes, complication rates and quality of life assessments. More patients (107 vs. 73) from the GPFN group were operated within 48 h from presentation (44.8 h vs. 49.9 h for the EPFN group, p=0.351), and their surgery duration and hospitalisation were significantly longer (18.5 days vs. 26 days, respectively, p<0.001). The GPFN patients were frequently operated by junior surgeons: 90% (135) while 50.6% (76) of the EPFN operations were performed by senior doctors. Other intraoperative measures were similar between groups. Cutout was the most common complication affecting 6.7% of the GPFN group and 3.3% of the EPFN group (p=0.182). CONCLUSIONS: Good clinical outcomes and low complication rates in the GPFN and the EPFN groups indicate essentially equivalent safety and reliability on the part of both devices for the treatment of proximal femoral fractures.

Relationship between aerobic and anaerobic parameters and functional classification in wheelchair basketball players.

Participation in sports for individuals with disabilities continues to gain popularity. In order to provide fair and equitable competition among persons with different disabilities and functional capacity, a separate functional classification system has been devised for each sport. The aims of the present study were to evaluate aerobic and anaerobic performance of wheelchair basketball athletes and verify a correlation with the International Wheelchair Basketball Federation functional classification system. For this, 17 highly trained male Brazilian basketball wheelchair athletes (25.4+/-4.4 years) from the national team who had taken part in the Athens 2004 Paralympic Games were assessed. These athletes were submitted to cardiopulmonary exercise testing and Wingate-like 30-s sprint test using upper limbs. The present study demonstrated that the functional classification score correlated with relative (r=0.90; P<0.0001) and absolute peak power (r=0.50; P=0.0353) and absolute mean power (r=0.93; P<0.0001) obtained from the Wingate-like 30-s sprint test and also correlated with absolute O(2) peak (r=0.68; P=0.0026) and O(2) at ventilatory threshold (r=0.71; P=0.0014), measured on cardiopulmonary exercise testing. Therefore, our findings support the functional classification created to classify athletes' functional capability on the court, which also correlated with aerobic and anaerobic performance parameters of the elite wheelchair basketball players.

Electricity production and microbial biofilm characterization in cellulose-fed microbial fuel cells.

Converting biodegradable materials into electricity, microbial fuel cells (MFCs) present a promising technology for renewable energy production in specific applications. Unlike typical soluble substrates that have been used as electron donors in MFC studies, cellulose is unique because it requires a microbial consortium that can metabolize both an insoluble electron donor (cellulose) and electron acceptor (electrode). In this study, electricity generation and the microbial ecology of cellulose-fed MFCs were analyzed using a defined co-culture of Clostridium cellulolyticum and Geobacter sulfurreducens. Fluorescent in situ hybridization and quantitative PCR showed that when particulate MN301 cellulose was used as sole substrate, most Clostridium cells were found adhered to cellulose particles in suspension, while most Geobacter cells were attached to the electrode. By comparison, both bacteria resided in suspension and biofilm samples when soluble carboxymethyl cellulose was used. This distinct function-related distribution of the bacteria suggests an opportunity to optimize reactor operation by settling cellulose and decanting supernatant to extend cellulose hydrolysis and improve cellulose-electricity conversion.

A predictive approach to nutrient criteria.

Violation of a water quality standard triggers the need for a total maximum daily load (TMDL); this should result in actions that improve water quality, but sometimes at significant cost. If the standard is well-conceived, a designated-use statement characterizes societal values, and a criterion provides a measurable surrogate for designated use. This latter provision means that scientists measure the criterion and view violations of the criterion as equivalent to noncompliance with the designated use. However, if a criterion is not a good indicator of designated use, it is apt to result in misallocation of the limited resources for water quality improvement through the TMDL process. This concern provides the basis for our assessment of the national nutrient criteria strategy recently proposed by the U.S. EPA. We acquired data sets for four case studies (Lake Washington, Neuse River Estuary, San Francisco Bay, and Lake Mendota) and then used expert elicitation to quantify designated-use attainment for each case. Applying structural equation modeling, we identified good water quality criteria as the best predictors of the designated use elicited response variable. Further, we used the model to relate the level (concentration) of each criterion to the probability of compliance with the designated use; this provides decision-makers with an estimate of risk associated with the criterion level, facilitating the selection of appropriate water quality criteria.

Screening fetal echocardiography by telemedicine: efficacy and community acceptance.

OBJECTIVE: Our aim was to assess whether tertiary level screening fetal echocardiography can be extended to primary care facilities with telemedicine assistance. METHODS: Assessment of image quality and the adequacy of fetal echocardiograms recorded after random transmission at 128, 384, or 768 kbits/s was performed. Live fetal echocardiograms were transmitted at 384 kbits/s (3 integrated services digital network lines) from the remote primary care center. Patient satisfaction was assessed by surveys obtained after office-based and telemedicine consultations. RESULTS: A total of 58 recorded normal studies had similar image quality and adequacy on transmission at 384 and 768 kbits/s (P =.08 and.49, respectively) and were significantly better than 128 kbits/s (P <.01). During live screening transmitted at 384 kbits/s from the primary care center, 3 of 34 fetuses were diagnosed with heart disease. Surveys from patients with direct physician contact and by telemedicine showed a high satisfaction with telemedicine-assisted screening and counseling. CONCLUSION: Adequate screening for fetal heart disease is technically feasible at or above data transmission rates of 384 kbits/s. Community acceptance for telemedicine-assisted screening and counseling is not adversely affected by a lack of direct personal contact with the specialist.

The consequences of pairing questions: context effects in personality measurement.

The effect of context on responses to questions has been a prominent focus in social and political survey research. However, little investigation of context effects has been done for the measurement of psychological constructs. A measure of anger experience and expression in development uses vignettes describing interpersonal situations that provoke varying degrees of anger and require respondents to indicate their affective and/or expressive response to the situation. In this study, the consequences of pairing the two questions for each vignette are investigated. Pairing the anger-experience and likelihood-of-expression questions changes the item's context. Item response theory analysis similar to that used to detect differential item functioning was performed. For some of the items, responding to a single or paired question affected the extremity of responses. The findings are discussed in terms of their implications for personality measurement.

Costs and utility of tests in the evaluation of the pediatric patients with syncope.

New diagnostic tests have markedly improved the ability to establish a cause of syncope in pediatric patients, but at a substantial cost. The goal of syncope evaluation should be to diagnose treatable causes and identify patients at high risk for sudden death. The diagnostic utility of commonly used tests is reviewed. Although there are limited data on the application of specific diagnostic tests in the child with syncope, most tests have a low yield in unselected patients. A more directed approach to testing, based on the results of history, physical examination and the electrocardiogram is likely to result in significant cost reduction while still identifying patients with life threatening disorders. Validation of such an approach awaits prospective evaluation.

Correspondence among informants on parenting: preschool children, mothers, and observers.

The authors examined the correspondence among preschool children's, mothers', and observers' descriptions of parenting in the mother-child relationship along 3 dimensions (structure, warmth-responsiveness, and hostility). Ninety-four children (mean age = 5 years, 3 months) and their mothers, who represent diverse ethnic and socioeconomic groups, participated in the project. Preschool children were interviewed about their mothers' parenting by means of a developmentally sensitive, age-appropriate research tool for assessing the subjective experience of preschool children. Mothers responded to a self-report measure on their own parenting, and observers rated mothers' parenting behavior during a series of interaction tasks designed to elicit the relevant dimensions of parenting. Results indicated significantly greater correspondence between observer and child report of parenting than that between mother and child and mother and observer reports. Explanations for the inconsistencies among informants and implications of this finding are discussed.

Adolescent development.

This chapter identifies the most robust conclusions and ideas about adolescent development and psychological functioning that have emerged since Petersen's 1988 review. We begin with a discussion of topics that have dominated recent research, including adolescent problem behavior, parent-adolescent relations, puberty, the development of the self, and peer relations. We then identify and examine what seem to us to be the most important new directions that have come to the fore in the last decade, including research on diverse populations, contextual influences on development, behavioral genetics, and siblings. We conclude with a series of recommendations for future research on adolescence.

Third Prader-Willi syndrome phenotype due to maternal uniparental disomy 15 with mosaic trisomy 15.

We report on a boy with mosaicism for trisomy 15 and Prader-Willi syndrome (PWS) due to maternal isodisomy for chromosome 15. His phenotype is consistent with PWS and trisomy 15 mosaicism. Although our patient is unusual in having maternal isodisomy rather than the more common maternal heterodisomy, we think that his more severe PWS phenotype is due to his trisomy 15 mosaicism rather than to homozygosity for deleterious chromosome 15 genes. We propose that individuals with PWS have one of three similar but distinctive phenotypes depending on the cause of their condition. Patients with paternal deletions have the typical PWS phenotype, patients with maternal UPD have a slightly milder phenotype with better cognitive function, and those with maternal UPD and mosaic trisomy 15 have the most severe phenotype with a high incidence of congenital heart disease. These phenotype-genotype differences are useful to guide the work-up of patients with suspected PWS and to provide prognostic counseling for families.

Catecholamine response to exercise in individuals with different levels of paraplegia.

The purpose of this study was to investigate the effect of the level of injury on the serum level of norepinephrine (Nor) and epinephrine (Epi) at rest and after maximal exercise in individuals with paraplegia. Twenty-six male spinal cord-injured subjects with complete paraplegia for at least 9 months were divided into two groups of 13 subjects each according to the level of injury, i.e., T1-T6 and T7-T12. Serum Nor and Epi concentrations were measured by HPLC-ECD, at rest (PRE) and immediately after a maximal ergospirometric test (POST). Statistical analysis was performed using parametric and non-parametric tests. Maximal heart rate, peak oxygen uptake, and PRE and POST Nor were lower in the T1-T6 than in the T7-T12 group (166 +/- 28 vs 188 +/- 10 bpm; 18.0 +/- 6.0 vs 25.8 +/- 4.1 ml kg(-1) min(-1); 0.54 +/- 0.26 vs 0.99 +/- 0.47 nM; 1.48 +/- 1. 65 vs 3.07 +/- 1.44 nM). Both groups presented a significant increase in Nor level after exercise, while only the T7-T12 group showed a significant increase in Epi after exercise (T1-T6: 0.98 +/- 0.72 vs 1.11 +/- 1.19 nM; T7-T12: 1.24 +/- 1.02 vs 1.89 +/- 1.57 nM). These data show that individuals with paraplegia above T6 have an attentuated catecholamine release at rest and response to exercise as compared to subjects with injuries below T6, which might prevent a better exercise performance in the former group.

Catecholamine response to exercise in individuals with different levels of paraplegia

The purpose of this study was to investigate the effect of the level of injury on the serum level of norepinephrine (Nor) and epinephrine (Epi) at rest and after maximal exercise in individuals with paraplegia. Twenty-six male spinal cord-injured subjects with complete paraplegia for at least 9 months were divided into two groups of 13 subjects each according to the level of injury, i.e., T1-T6 and T7-T12. Serum Nor and Epi concentrations were measured by HPLC-ECD, at rest (PRE) and immediately after a maximal ergospirometric test (POST). Statistical analysis was performed using parametric and non-parametric tests. Maximal heart rate, peak oxygen uptake, and PRE and POST Nor were lower in the T1-T6 than in the T7-T12 group (166 Ý 28 vs 188 Ý 10 bpm; 18.0 Ý 6.0 vs 25.8 Ý 4.1 ml kg-1 min-1; 0.54 Ý 0.26 vs 0.99 Ý 0.47 nM; 1.48 Ý 1.65 vs 3.07 Ý 1.44 nM). Both groups presented a significant increase in Nor level after exercise, while only the T7-T12 group showed a significant increase in Epi after exercise (T1-T6: 0.98 Ý 0.72 vs 1.11 Ý 1.19 nM; T7-T12: 1.24 Ý 1.02 vs 1.89 Ý 1.57 nM). These data show that individuals with paraplegia above T6 have an attentuated catecholamine release at rest and response to exercise as compared to subjects with injuries below T6, which might prevent a better exercise performance in the former group

The role of context in the development of psychopathology: a conceptual framework and some speculative propositions.

Despite the explosion of studies assessing relations between various contextual factors and various forms of psychological disturbance, about the only firm conclusion one can draw regarding the environment's role in the development of psychopathology is that "bad" things have "bad" effects among some-but not all-people, some-but not all-of the time. We argue that extant research has confused two different roles of context and suggest that (1) environmental factors act as nonspecific stressors in the elicitation of psychopathology by provoking autonomic arousal, with specificity of expressed psychopathology governed by individual differences in endogenous factors; and that (2) context is specific in affecting the course of psychopathology by influencing the extent to which the behavioral, affective, or cognitive components of the pathology are repeated.

A cognitive task analysis for dental hygiene.

To be an effective assessment tool, a simulation-based examination must be able to evoke and interpret observable evidence about targeted knowledge, strategies, and skills in a manner that is logical and defensible. Dental Interactive Simulations Corporation's first assessment effort is the development of a scoring algorithm for a simulation-based dental hygiene initial licensure examination. The first phase in developing a scoring system is the completion of a cognitive task analysis (CTA) of the dental hygiene domain. In the first step of the CTA, a specifications map was generated to provide a framework of the tasks and knowledge that are important to the practice of dental hygiene. Using this framework, broad classes of behaviors that would tend to distinguish along the dental hygiene expert-novice continuum were identified. Nine paper-based cases were then designed with the expectation that the solutions of expert, competent, and novice dental hygienists would differ. Interviews were conducted with thirty-one dental hygiene students/practitioners to capture solutions to the paper-based cases. Transcripts of the interviews were analyzed to identify performance features that distinguish among the interviewees on the basis of their expertise. These features were more detailed and empirically grounded than the originating broad classes and better serve to ground the design of a scoring system. The resulting performance features were collapsed into nine major categories: 1) gathering and using information, 2) formulating problems and investigating hypotheses, 3) communication and language, 4) scripting behavior, 5) ethics, 6) patient assessment, 7) treatment planning, 8) treatment, and 9) evaluation. The results of the CTA provide critical information for defining the necessary elements of a simulation-based dental hygiene examination.

Proximal caries in juvenile periodontitis patients.

BACKGROUND: Caries is recognized as the prevalent proximal dental disease in adolescents, while proximal bone loss is minimal to non-existent in this population. Adolescents demonstrating an inverse disease pattern, i.e., minimal caries and active periodontitis, could provide powerful clues with regard to both diseases. However, data are inconsistent. This study was designed to clarify this relationship by comparing proximal caries prevalence in a juvenile periodontitis (JP) group to a matched non-periodontally diseased control group. METHODS: Two groups (cases [JPs] and control patients [CPs]) were matched for age, sex, and race and evaluated for decayed, missing, filled teeth and surfaces (DMFS) by radiographic analysis. Statistical analysis was performed by ANOVA and Student t test. The study consisted of four phases. Phase I was based on data from a previous study that failed to include race in the analysis. Thus, the original 23 JP patients (mostly African-Americans from New York City) were rematched for race as well as sex and age with CPs from Newark, NJ. The effect of water fluoridation (found in NYC) was evaluated in Phase II by matching the 23 original CPs (mostly Caucasian from NYC) with 23 CPs from NJ. Since differences were seen, we rematched our original JPs from NYC with a new set of race-matched CPs from NYC (Phase III). Finally, 13 JP patients from the University of Medicine and Dentistry of New Jersey (UMDNJ) were matched with CPs from NJ (Phase IV). RESULTS: Phase I and III indicated that JP patients had significantly less proximal caries than their matched CPs (P < or =0.05). Phase II confirmed the role of fluoride in caries reduction. Phase IV (NJ sample) supported our previous data and suggested that JP patients had less proximal caries than CPs (P < or =0.05). CONCLUSIONS: JP patients had significantly less proximal caries than their matched CPs when groups were balanced and radiographic evaluations were performed. In-depth studies of JP patients could provide important clues about both caries and periodontal disease etiology and pathogenesis.