[Practical aspects for minimizing errors in the cross-cultural adaptation and validation of quality of life questionnaires]. / Cómo minimizar errores al realizar la adaptación transcultural y la validación de los cuestionarios sobre calidad de vida: aspectos prácticos.

BACKGROUND: The development and validation of questionnaires for evaluating quality of life (QoL) has become an important area of research. However, there is a proliferation of non-validated measuring instruments in the health setting that do not contribute to advances in scientific knowledge. AIMS: To present, through the analysis of available validated questionnaires, a checklist of the practical aspects of how to carry out the cross-cultural adaptation of QoL questionnaires (generic, or disease-specific) so that no step is overlooked in the evaluation process, and thus help prevent the elaboration of insufficient or incomplete validations. METHODS: We have consulted basic textbooks and Pubmed databases using the following keywords quality of life, questionnaires, and gastroenterology, confined to «validation studies¼ in English, Spanish, and Portuguese, and with no time limit, for the purpose of analyzing the translation and validation of the questionnaires available through the Mapi Institute and PROQOLID websites. RESULTS: A checklist is presented to aid in the planning and carrying out of the cross-cultural adaptation of QoL questionnaires, in conjunction with a glossary of key terms in the area of knowledge. The acronym DSTAC was used, which refers to each of the 5 stages involved in the recommended procedure. In addition, we provide a table of the QoL instruments that have been validated into Spanish. CONCLUSIONS: This article provides information on how to adapt QoL questionnaires from a cross-cultural perspective, as well as to minimize common errors.

Carbofuran-induced alterations in the energy metabolism and reproductive behaviors of Hyalella castroi (Crustacea, Amphipoda).

Continuous or pulse exposure to pesticides may have negative effects on non-target organisms, resulting in a number of pathological and disturbed biochemical processes, including changes in energy budgets. The objective of this investigation was to examine the potential effects of carbofuran on the biochemical composition (glycogen, proteins, total lipids, triglycerides and cholesterol), levels of lipoperoxidation, Na+/K+ATPase activity, and reproductive behaviors (number of reproductive pairs, ovigerous females, and number of eggs) in the amphipod Hyalella castroi. The amphipods were collected in spring 2007, in the southern Brazilian highlands. In the laboratory, the animals were kept in aquariums under controlled conditions for 7 days, and after this period were exposed to 1 or 10 microg/L of carbofuran for 7 days. After the period of exposure, the animals were immediately frozen for determination of glycogen, proteins, lipids, triglycerides, total cholesterol, levels of lipoperoxidation, and Na+/K+ATPase activity. During each day of culture, reproductive behaviors were observed. Carbofuran induced significant decreases in biochemical reserves (glycogen, proteins, lipids, triglycerides and cholesterol), a significant increase in lipoperoxidation levels, and a decrease in Na+/K+ATPase activity in both males and females. Studies of all the biochemical parameters seem to be quite promising, in order to assess and predict the effects of toxicants on non-target organisms. The results showed that reproductive behaviors may provide sensitive criteria for assessing ecotoxicological effects. H. castroi lives among rooted aquatic macrophytes, and we suggest that it is a sensitive species that could be used in monitoring studies.