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1.
Sr Care Pharm ; 35(2): 52-55, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32051059

RESUMO

ASCP's 2019 Annual Meeting & Exhibition marked an historic moment - the Society's 50th annual conference. From the thought-provoking keynotes, brand-reveal announcement, and VIP experiences, ASCP's 50th Annual Meeting & Exhibition was an exceptional event. More than 1,100 attendees convened in Grapevine, Texas, for #ASCP50. We've rounded up a few of our favorite highlights from this year's meeting.


Assuntos
Congressos como Assunto , Texas
2.
J Environ Manage ; 256: 109941, 2020 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-31989977

RESUMO

Many ranchers who practice rotational grazing have experienced economic and ecological benefits. However, the adoption rate of rotational grazing has stagnated. To identify major challenges faced by non-adopters of rotational grazing as well as factors that affect the perceptions about different challenges, we conducted a mail survey of 4250 eligible ranchers in North Dakota, South Dakota and Texas, USA. Key categories of information obtained included basic ranch information, rotational grazing adoption status, and related information. Among 875 respondents, 40.4% identified themselves as non-adopters and perceived labor and water source constraints as the two major challenges, followed by high initial investment costs. This indicates the need for technical support and educational programs to address producers' concerns in addition to the monetary support from government subsidy programs. Findings from logistic regression analyses further indicate that landowners with higher quality soil, relatively more grassland (in both acres and percentage) and more owned land, generally perceive lower barriers to choosing rotational grazing practices and, therefore, may be a suitable target group for more effective outreach efforts and public fund investments to enhance the adoption of beneficial rotational grazing practices.


Assuntos
Solo , North Dakota , Inquéritos e Questionários , Texas
3.
Waste Manag ; 102: 613-623, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-31783197

RESUMO

Waste collection is an important functional element in a modern waste management system; and may account for up to half of the total expenditure on waste management in industrialized nations. Most optimization of waste collection studies include truck route distance and fuel consumption considerations without explicitly considering the inter-relationships of the model parameters. This study however delineates the complex inter-relationships of waste composition, collection frequency, collection type, and truck compartment configurations in a small waste collection zone in Austin, Texas. A total of 48 different scenarios are modelled and investigated. Truck travel distances are found sensitive to collection frequency, truck capacity, volume ratio of truck compartment, and waste density. The results showed that the increase in waste density and waste collection frequency helped to save up to 18.2% in travel distances and 41.9% in travel time. Waste composition is significant in travel distance, regardless of truck design. Increasing truck capacity by 25% helped to save 4.1-24.4% of truck travel distances. Optimal volume ratio of truck compartments was 50:50 (50% volume for garbage and 50% volume for recyclables); a finding that is different than what is currently reported in the literature; pointing to the site-specific nature of studies of this type. The use of dual compartment trucks helps to reduce travel distances by up to 23.0% and travel time by up to 14.3%. It appears that the minimization of operation time within the collection area is key to an efficient system.


Assuntos
Resíduos de Alimentos , Eliminação de Resíduos , Gerenciamento de Resíduos , Sistemas de Informação Geográfica , Veículos Automotores , Texas
4.
Forensic Sci Int ; 306: 110050, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31790892

RESUMO

In 1995, the historical shipwreck of La Belle was discovered off the coast of Texas. One partial human skeleton was recovered from alongside cargo in the rear portion of the ship; a second (complete) skeleton was found atop coiled anchor rope in the bow. In late 2015, comprehensive forensic genetic testing began on multiple samplings from each set of remains. For the partial skeleton recovered from the ship's rear cargo area, results were obtained for 26/27 Y-STRs using traditional CE; with MPS technology, results were obtained for 18/24 Y-STRs, 56/56 ancestry-informative SNPs (aiSNPs), 22/22 phenotype-informative SNPs (piSNPs), 22/27 autosomal STRs, 4/7 X-STRs, and 94/94 identity-informative SNPs (iiSNPs). For the complete skeleton of the second individual, results were obtained for 7/17 Y-STRs using traditional CE; with MPS technology, results were obtained for 5/24 Y-STRs, 49/56 aiSNPs, 18/22 piSNPs, 15/27 autosomal STRs, 1/7 X-STRs, and 66/94 iiSNPs. Biogeographic ancestry for each set of skeletal remains was predicted using the ancestry feature and metapopulation tool of the Y-STR Haplotype Reference Database (YHRD), Haplogroup Predictor, and the Forensic Research/Reference on Genetics knowledge base (FROG-kb). Phenotype prediction was performed using piSNP data and the HIrisplex eye color and hair color DNA phenotyping webtool. mtDNA whole genome sequencing also was performed successfully. This study highlights the sensitivity of current forensic laboratory methods in recovering DNA from historical and archaeological human remains. Using advanced sequencing technology provided by MiSeq™ FGx (Verogen) and Ion S5™ (Thermo Fisher Scientific) instrumentation, degraded skeletal remains can be characterized using a panel of diverse and highly informative markers, producing data which can be useful in both forensic and genealogical investigations.


Assuntos
Restos Mortais , Impressões Digitais de DNA , Genética Forense , Fenótipo , Navios/história , Acidentes/história , Cromossomos Humanos Y , Grupos de Populações Continentais/genética , DNA Mitocondrial/genética , Eletroforese Capilar , França , Haplótipos , Sequenciamento de Nucleotídeos em Larga Escala , História do Século XVII , Humanos , Masculino , Repetições de Microssatélites , Reação em Cadeia da Polimerase , Polimorfismo de Nucleotídeo Único , Análise de Sequência de DNA , Texas , Sequenciamento Completo do Genoma
5.
J Surg Res ; 245: 360-366, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31425876

RESUMO

BACKGROUND: While the prevalence of HIV infection in the population is 0.5%, it is higher among trauma patients as are rates of unknown seropositivity. Routine HIV screening for all trauma evaluations was implemented at our urban level I center in 2009. We aimed to evaluate use and results of the program in our trauma population. METHODS: This was a retrospective analysis of all trauma evaluations between July 2015 and February 2018. After passage of legislation rescinding the requirement for consent to perform HIV testing, our trauma service instituted an order set which automatically tested for HIV unless the ordering physician opted out. Patients found to be infected with HIV were to be counseled and referred to specialty care. RESULTS: Of 6175 consecutive trauma evaluations during the study period, 449 (7.3%) patients had been screened within the prior year and were excluded. Of the remaining cohort, 2024 (35.3%) patients were screened with 27 (1.3%) testing positive. Among those testing positive for infection, 100% were male, 77% white, 63% non-Hispanic, and 70% lacked insurance. Twenty-five (92.6%) patients received counseling and 19 were referred to specialty care. Age, gender, race, ethnicity, Injury Severity Score, trauma activation level, and payor type were not significant predictors for positive HIV screen on logistic regression analysis. CONCLUSIONS: Despite a significantly higher rate of HIV in the trauma population, only a third of patients are screened. Such high infection rates justify the existence of this screening program but steps must be taken to increase screening rate. LEVEL OF EVIDENCE: Level 3.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Infecções por HIV/diagnóstico , Programas de Rastreamento/estatística & dados numéricos , Provedores de Redes de Segurança/estatística & dados numéricos , Adulto , Aconselhamento/estatística & dados numéricos , Feminino , Fidelidade a Diretrizes , Infecções por HIV/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Retrospectivos , Texas/epidemiologia
6.
J Stroke Cerebrovasc Dis ; 29(2): 104582, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31859033

RESUMO

BACKGROUND AND PURPOSE: Post-stroke anxiety (PSA) is common and disabling. PSA should be considered as an important outcome in stroke. However, there is a lack of understanding of factors that may be linked to PSA. The purpose of this study was to determine the frequency of PSA and sociodemographic and clinical factors associated with PSA in a cohort of racially and ethnically diverse stroke patients. METHODS: We conducted a retrospective study of ischemic and hemorrhagic stroke patients seen in a stroke outpatient clinic from August 1, 2017 to June 30, 2018. Patients were eligible if a Generalized Anxiety Disorder 7-Item (GAD-7) instrument was available. GAD-7 scores greater than or equal to 10 indicated the presence of moderate to severe PSA. Multivariable logistic regression was used to identify independent sociodemographic and clinical factors associated with PSA. RESULTS: Records from 289 stroke patients with a GAD-7 instrument were analyzed. PSA was common (21%; GAD-7 ≥ 10). Fifty-seven percent of females had a GAD-7 greater than or equal to 10 compared to 41% of females who had a GAD-7 less than 10 (P = .03). Multivariable analysis found that self-reported nonmarried status (odds ratio, 3.27; 95% confidence interval, 1.44-7.44), excessive fatigue (odds ratio, 4.46; 95% confidence interval, 1.87-10.63), and depression (odds ratio, 1.24; 95% confidence interval, 1.16-1.33) were independently associated with PSA. CONCLUSIONS: PSA may occur more frequently in those who report non-married, excessive fatigue, or depression. Trials of PSA interventions should consider the potential impact of social support, depression, and comorbid conditions contributing to post-stroke fatigue, including sleep apnea.


Assuntos
Ansiedade/psicologia , Isquemia Encefálica/psicologia , Hemorragias Intracranianas/complicações , Ataque Isquêmico Transitório/psicologia , Acidente Vascular Cerebral/psicologia , Adulto , Idoso , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Isquemia Encefálica/diagnóstico , Isquemia Encefálica/epidemiologia , Comorbidade , Depressão/epidemiologia , Depressão/psicologia , Fadiga/epidemiologia , Fadiga/psicologia , Feminino , Humanos , Hemorragias Intracranianas/diagnóstico , Hemorragias Intracranianas/psicologia , Ataque Isquêmico Transitório/diagnóstico , Ataque Isquêmico Transitório/epidemiologia , Masculino , Saúde Mental , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Medição de Risco , Fatores de Risco , Pessoa Solteira/psicologia , Isolamento Social , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/epidemiologia , Texas/epidemiologia
7.
Oecologia ; 191(4): 873-886, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31676969

RESUMO

An animal's diet contributes to its survival and reproduction. Variation in diet can alter the structure of community-level consumer-resource networks, with implications for ecological function. However, much remains unknown about the underlying drivers of diet breadth. Here we use a network approach to understand how consumer diet changes in response to local and landscape context and how these patterns compare between closely-related consumer species. We conducted field surveys to build 36 quantitative plant-pollinator networks using observation-based and pollen-based records of visitation across the gulf-coast cotton growing region of Texas, US. We focused on two key cotton pollinator species in the region: the social European honey bee, Apis mellifera, and the solitary native long-horned bee, Melissodes tepaneca. We demonstrate that diet breadth is highly context-dependent. Specifically, local factors better explain patterns of diet than regional factors for both species, but A. mellifera and M. tepaneca respond to local factors with contrasting patterns. Despite being collected directly from cotton blooms, both species exhibit significant preferences for non-cotton pollen, indicating a propensity to spend substantial effort foraging on remnant vegetation despite the rarity of these patches in the intensely managed cotton agroecosystem. Overall, our results demonstrate that diet is highly context- and species-dependent and thus an understanding of both factors is key for evaluating the conservation of important cotton pollinators.


Assuntos
Pólen , Polinização , Animais , Abelhas , Dieta , Plantas , Texas
8.
Environ Monit Assess ; 191(12): 723, 2019 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-31696305

RESUMO

The BCR method was applied on sediments from the salt marsh of San Antonio Bay (SAB). It presents several channels among which the Encerrado is the most important and is impacted by abandoned mining wastes. The pseudototal concentrations of metals measured within this channel were relatively higher than in outer sites, and according to the Igeo index, its contamination level was low. The metal distribution in the different phases of sediment particles showed that the residual component, considered the safest from the environmental point of view, accounted for most of the Fe, Cd, Cu, and Zn contents. Conversely, Pb was mainly in the non-residual component as part of the reducible fraction, thus constituting the main environmental hazard among the studied elements. The predominance of residual and reducible fractions indicated a historic contamination of metal such as Pb, Cu, and Zn from the mining wastes. The low exchangeable and oxidizable fractions would indicate no actual input of metals.


Assuntos
Monitoramento Ambiental , Metais Pesados/análise , Poluentes Químicos da Água/análise , Áreas Alagadas , Baías , Sedimentos Geológicos , Mineração , Texas
9.
Sleep Health ; 5(6): 592-597, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31706800

RESUMO

OBJECTIVES: To explore (a) how perceptions of personal and divine control over one's sleep schedule combine in distinct ways to predict sleep quality among college students and (b) whether health behaviors and psychological distress mediate the associations between perceptions of sleep control and sleep quality. METHODS: We surveyed 1251 students attending a public university in South Texas. All measures were derived from self-reports. Binary logistic regression techniques were used to predict the odds of reporting high-quality sleep in the past month. Mediation analyses were used to decompose the estimated effects of perceptions of sleep control on sleep quality via smoking, drinking, and psychological distress. RESULTS: Compared to participants who reported both low personal control and low divine control over their sleep schedules, students who reported both high personal control and high divine control exhibited 148% greater odds of reporting high-quality sleep (odds ratio = 2.48; 95% confidence interval = 1.434-4.294). These same participants also showed the highest predicted probabilities of reporting high-quality sleep (22%) compared to students with other sleep control orientations. Mediation analyses indicated that reduced psychological distress partially accounted for these differences, whereas smoking and drinking behaviors did not. CONCLUSION: College students who felt they and God both shared full control over their sleep schedules reported the highest quality sleep, which was partially explained by their lower average levels of psychological distress.


Assuntos
Controle Interno-Externo , Religião , Sono , Estudantes/psicologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/epidemiologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Texas/epidemiologia , Universidades , Adulto Jovem
10.
Zootaxa ; 4691(5): zootaxa.4691.5.8, 2019 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-31719382

RESUMO

A new Mexican state record is provided for Holoaerenica apleta Galileo Martins, 1987 and a new Honduran record is provided for Antodice sexnotata Franz, 1959 (both Aerenicini). A new Mexican state record is provided for Ptericoptus caudalis Bates, 1880 (Apomecynini). A new record for Panama is provided for Novantinoe hovorei Santos-Silva, 2007 (Disteniidae, Disteniinae). Vandenbergheius celaquensis, gen. nov., sp. nov. (Apomecynini) is described from Honduras; Adetus croton (Apomecynini) is described from the USA (Texas), Mexico (Sonora, Jalisco, Chiapas, Michoacán, Quintana Roo, Tamaulipas, Yucatán, Nuevo León), and Honduras; and Estoloides sinaloana (Desmiphorini) is described from Mexico (Sinaloa).


Assuntos
Besouros , Animais , Honduras , México , Panamá , Texas
11.
Nurs Res ; 68(6): 494-500, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31693556

RESUMO

BACKGROUND: Recognizing the effects of acculturation on quality of life and emotional health, especially during pregnancy, we developed an intervention that would target these factors in order to improve maternal well-being during the prenatal period and potentially improve infant outcomes, particularly preterm birth for Mexican-American women (Latinas). OBJECTIVE: The purpose of these pilot studies was to test the acceptability, feasibility, and preliminary efficacy of the mastery lifestyle intervention (MLI) to decrease depressive and anxiety symptoms and improve coping as implemented in prenatal clinics with culturally homogenous groups of Latinas. METHODS: The MLI was tested in three small pilot studies (n = 15), one in El Paso, Texas (an urban area), and two in Bastrop, Texas (a rural area outside Austin), for acceptability and feasibility. A pretest/posttest, quasi-experimental design was used with pregnant self-identified Mexican-American Latinas at 14-20 weeks' gestation. Measures of anxiety, depressive symptoms, and positive and negative coping were used. RESULTS: Feasibility was a success in terms of implementation of the MLI in an active prenatal clinic setting and the use of electronic tablets for data collection and entry of data into REDcap. Satisfaction was high, with the location of the MLI being at their primary OB/GYN clinic. Participants reported that six intervention sessions appear to be ideal as was the class length of 1.5 to 2 hours. On Cohen's d, there were medium to large effect size decreases in depressive and anxiety symptoms and small to medium effect size decreases in the use of negative coping strategies and small effect sizes for increases in positive coping strategies. DISCUSSION: Pilot testing of the MLI indicated that it was well accepted from the participants and feasible as a culturally tailored behavioral therapy administered in a group setting by nurse practitioners. Our initial pilot results also suggest preliminary efficacy as indicated by moderate to large Cohen's d effect sizes for depression and anxiety.


Assuntos
Ansiedade/prevenção & controle , Depressão/prevenção & controle , Estilo de Vida/etnologia , Americanos Mexicanos/psicologia , Complicações na Gravidez/prevenção & controle , Cuidado Pré-Natal , Aculturação , Adaptação Psicológica , Adulto , Ansiedade/etnologia , Depressão/etnologia , Estudos de Viabilidade , Feminino , Humanos , Projetos Piloto , Gravidez , Complicações na Gravidez/etnologia , Qualidade de Vida , Texas
12.
Zootaxa ; 4679(3): zootaxa.4679.3.9, 2019 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-31715952

RESUMO

A new species, Hemierana rileyi sp. nov., is described from the USA (Texas). Tyrinthia lycinella Bates, 1881 is synonymized with T. xanthe Bates, 1881. A new country record (Panama), and a new province record in Costa Rica (Limón) is given for Eranina cretaria (Galileo Martins, 2005), and a new country record (Panama) is given for Eranina costaricensis (Galileo Martins, 2005).


Assuntos
Besouros , Aranhas , Animais , Costa Rica , Panamá , Texas
13.
Zootaxa ; 4619(1): zootaxa.4619.1.6, 2019 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-31716318

RESUMO

Species delimitation attempts to match species-level taxonomy with actual evolutionary lineages. Such taxonomic conclusions are typically, but not always, based on patterns of congruence across multiple data sources and methods of analyses. Here, we use this pluralistic approach to species delimitation to help resolve uncertainty in species boundaries of phrynosomatid sand lizards of the genus Holbrookia. Specifically, the Spot-tailed Earless Lizard (H. lacerata) was historically divided into a northern (H. l. lacerata) and southern (H. l. subcaudalis) subspecies based on differences in morphology and allopatry, but no research has been conducted evaluating genetic differences between these taxa. In this study, patterns in sequence data derived from two genes, one nuclear and one mitochondrial, for 66 individuals sampled across 18 counties in Texas revealed three strongly supported, reciprocally monophyletic lineages, each comprised of individuals from a single geographic region. Distinct genetic variation evident across two of these regions corresponds with differences in morphology, differences in environmental niche, and lines up with the presumed geographic barrier, the Balcones Escarpment, which is the historical subspecies boundary. The combined evidence from genetics, morphology and environmental niche is sufficient to consider these subspecies as distinct species with the lizards north of the Balcones Escarpment retaining the name Holbrookia lacerata, and those south of the Balcones Escarpment being designated as Holbrookia subcaudalis.


Assuntos
Lagartos , Animais , Evolução Biológica , DNA Mitocondrial , Mitocôndrias , Filogenia , Texas
14.
Zootaxa ; 4668(1): zootaxa.4668.1.1, 2019 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-31716636

RESUMO

Taxonomy of the Texas representatives of the genus Xanthonia Baly, 1863 (Coleoptera: Chrysomelidae: Eumolpinae) is reviewed. A total of 12 species are recognized in Texas, including seven that are described as new: X. hirsuta Weisman, X. marquai Riley Quinn, X. nitida Weisman, X. parva Riley Quinn, X. picturata Weisman Riley, X. querci Weisman, and X. texana Weisman. A key to the species recorded from Texas is given together with habitus and male genitalia figures, plant associations, and Texas range maps. Adult seasonality and plant preference data are graphically presented for abundant central Texas species. Previous Texas records of X. striata Staines Weisman are based on misidentifications of X. angulata Staines Weisman.


Assuntos
Besouros , Animais , Genitália Masculina , Masculino , Plantas , Texas
15.
Zootaxa ; 4656(2): zootaxa.4656.2.6, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31716827

RESUMO

Rhinoleucophenga Hendel is an endemic genus of the New World with most species recorded in Brazil. Rhinoleucophenga obesa (Loew) seemed to be the most widespread species, being recorded in the United States of America, Mexico and Brazil. In the Neotropical region, identifications of R. obesa were commonly based on the description of non-type specimens determined by Costa Lima (1935) and Malogolowkin (1946), although their identities were doubtful. However, the recent redescription of R. obesa from the type-series from Texas, USA, confirmed a long period of misidentifications and a new species, R. cantareira Vilela Bächli, was proposed based on Brazilian specimens. Thus, review of morphological and molecular traits of specimens previously identified as R. obesa in Neotropical biomes are necessary to check the identity and distribution of a group of sibling species: R. obesa, R. cantareira, R. gigantea (Thomson), R. pallida Hendel and R. pampeana Poppe et al. In the present paper, specimens previously determined as R. obesa, sampled in different Brazilian localities, were compared by morphological and molecular traits. Plates of female terminalia of R. cantareira and R. gigantea are presented for the first time. The spermathecal capsules (as well as the male epandrium) revealed useful characteristics to differentiate those species; these morphological differences were corroborated by a sequence fragment of COI. The specimens on which were based the descriptions of Rhinoleucophenga obesa sensu Costa Lima (1935) and sensu Malogolowkin (1946) were reviewed and confirmed as R. cantareira. Other Brazilian specimens from different localities, previously misidentified as R. obesa, were determined as R. gigantea or R. cantareira, with new records for both species. Therefore, the present study corresponds to the advance of identity definition and distribution of sibling species of Rhinoleucophenga commonly sampled in Neotropical inventory studies.


Assuntos
Dípteros , Drosophilidae , Animais , Brasil , Ecossistema , Feminino , Masculino , México , Texas
16.
Zootaxa ; 4652(3): zootaxa.4652.3.2, 2019 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-31716854

RESUMO

Lampsilis bracteata (Gould), the Texas Fatmucket, is a regional endemic species in the central Texas biogeographic province which is a candidate to be listed as threatened or endangered under the Endangered Species Act of 1973. Lampsilis bracteata is morphologically similar to the common species L. hydiana (Lea). Here, we examine the molecular taxonomic identification of L. bracteata, and compare its historical range with its current geographic distribution. Tests of genetic affinities based on two mitochondrial genes typically used for DNA barcoding (cytochrome oxidase subunit 1, COI and NADH dehydrogenase subunit 1, ND1) support recognition of L. bracteata as a full species. An unexpected spin-off result was that ND1 sequences of L. satura (Lea), a threatened species in Texas, formed a highly supported cluster within putative L. cardium Rafinesque. As an endemic species, the distribution of L. bracteata has been historically restricted; however, poor land and water management practices have further reduced its distribution from eighteen to just eight streams in the Colorado River drainage and to one stream in the Guadalupe River drainage. For L. bracteata, as for many other imperiled freshwater mussel species, effective conservation measures rely on correct species identification, definition of its geographic range and assessment of its changes in the recent past.


Assuntos
Bivalves , Unionidae , Animais , Água Doce , Filogenia , Texas
17.
Health Serv Res ; 54(6): 1156-1165, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31642066

RESUMO

OBJECTIVE: To examine whether the Wellness Incentive and Navigation (WIN) intervention can improve health-related quality of life (HRQOL) among Medicaid enrollees with co-occurring physical and behavioral health conditions. DATA SOURCES: Annual telephone survey data from 2013 to 2016, linked with claims data. STUDY DESIGN: We recruited 1259 participants from the Texas STAR + PLUS managed care program and randomized them into an intervention group that received flexible wellness accounts and navigator services or a control group that received standard care. We conducted 4 waves of telephone surveys to collect data on HRQOL, patient activation, and other participant demographic and clinical characteristics. DATA COLLECTION/EXTRACTION METHODS: The 3M Clinical Risk Grouping Software was used to extract variables from claims data and group participants based on disease severity. PRINCIPAL FINDINGS: Our results showed that the WIN intervention was effective in increasing patient activation and HRQOL among Medicaid enrollees with co-occurring physical and behavioral health conditions. Furthermore, we found that this intervention effect on HRQOL was partially mediated by patient activation. CONCLUSIONS: Providing navigator support with wellness account is effective in improving HRQOL among Medicaid enrollees. The pragmatic nature of the trial maximizes the chance of successfully implementing it in state Medicaid programs.


Assuntos
Comportamentos Relacionados com a Saúde , Promoção da Saúde/métodos , Medicaid/estatística & dados numéricos , Motivação , Navegação de Pacientes/métodos , Participação do Paciente/psicologia , Qualidade de Vida/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Participação do Paciente/estatística & dados numéricos , Inquéritos e Questionários , Texas , Estados Unidos
18.
Environ Entomol ; 48(6): 1297-1316, 2019 12 02.
Artigo em Inglês | MEDLINE | ID: mdl-31603984

RESUMO

Three Diorhabda spp. tamarisk beetles (Coleoptera: Chrysomelidae) were established in Texas from 2003 to 2010 for biological control of tamarisk (Tamarix spp.): Mediterranean tamarisk beetles, D. elongata (Brullé) from Greece, also established in New Mexico; subtropical tamarisk beetles, D. sublineata (Lucas) from Tunisia; and larger tamarisk beetles, D. carinata (Faldermann) from Uzbekistan. More than one million tamarisk beetles were released at 99 sites. Species establishment success ranged from 52 to 83%. All three species now co-occur in New Mexico with the northern tamarisk beetles, D. carinulata (Desbrochers). A phenotypic hybrid scoring system was developed to assess Diorhabda phenotype distributions and character mixing in hybrid zones. Widespread field populations of bispecific hybrid phenotypes for D. carinata/D. elongata and D. sublineata/D. elongata rapidly appeared following contact of parental species. Initial distributions and dispersal of Diorhabda spp. and hybrids are mapped for Texas, New Mexico, Oklahoma, and Kansas, where they produced large-scale tamarisk defoliation and localized dieback for 3-4 yr. However, populations subsequently severely declined, now producing only isolated defoliation and allowing tamarisk to recover. Diorhabda sublineata and D. elongata temporarily produced nontarget spillover defoliation of ornamental athel, Tamarix aphylla (L.) Karst, along the Rio Grande. Hybrid phenotypes were generally bimodally distributed, indicating some degree of reproductive isolation. Additional diagnostic phenotypic characters in males allowed more precise hybrid scoring. Character mixing in some hybrid populations approached or reached that of a hybrid swarm. The significance of hybridization for tamarisk biocontrol is discussed.


Assuntos
Besouros , Tamaricaceae , Animais , Grécia , Kansas , Masculino , New Mexico , Oklahoma , Texas , Tunísia
19.
Dis Aquat Organ ; 136(2): 175-182, 2019 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-31621650

RESUMO

Fibropapillomatosis (FP) is a neoplastic disease that can result in debilitating tumors in sea turtles. Initially identified in Florida, USA in 1937, it has since been detected in green turtle Chelonia mydas populations globally. FP was first identified and confirmed in Texas, USA in 2010. No FP tumors were documented in Texas prior to that year, though many green turtles were encountered and examined using standardized procedures since 1980. The present study was undertaken to identify temporal and spatial trends of FP prevalence in Texas since 2010. From 2010 through 2018, 1919 stranded or incidentally captured green turtles were documented with FP in Texas. FP prevalence was significantly correlated with year, hypothermic stunning, geographic region, and turtle size, as determined by logistic regression. FP was documented in <4.0% of the green turtles examined in Texas from 2010 to 2015, increasing to 21.6% in 2016, 27.3% in 2017, and 35.2% in 2018. More than twice as many hypothermic stunned green sea turtles had FP tumors as compared to those that were not hypothermic stunned. In Texas, FP was most prevalent in south Texas, particularly in the Laguna Madre, and associated channels. FP was more prevalent in turtles with straight carapace lengths 40.0-69.9 cm. The impact of this disease on green turtle population recovery in Texas is not yet apparent.


Assuntos
Tartarugas , Animais , Prevalência , Texas
20.
J Environ Qual ; 48(5): 1543-1548, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31589732

RESUMO

Agricultural runoff is an important contributor to water quality impairment. This study was conducted to evaluate the potential role of field-scale management on carbon (C), nitrogen (N), and phosphorus (P) stoichiometry in soils and runoff from agricultural fields. Cultivated and pasture fields at the Riesel watersheds in central Texas were used for this analysis, and nutrients were transformed to evaluate relative to the Redfield ratio (106 C/16 N/1 P). Using the Redfield ratio, all soil samples were P depleted relative to C and N. The majority of stormflow and baseflow runoff samples contained 9 to 19% Redfield N relative to C and P. Shifting from inorganic fertilizer application to poultry litter as a fertilizer source resulted in increased absolute C, N, and P concentrations in stormflow and baseflow runoff. Increasing rates of poultry litter application increased the Redfield P relative to Redfield C, whereas Redfield N remained relatively constant at roughly 9 to 11% in stormflow runoff from cultivated fields. This study shows how land use and management can affect C/N/P stoichiometry in stormflow and baseflow runoff.


Assuntos
Esterco , Solo , Animais , Fertilizantes , Fósforo , Aves Domésticas , Texas , Movimentos da Água
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