Cultural adaptation and validation of SATAQ-4 “Sociocultural attitudes towards appearance questionnaire-4” for peruvian population

Introduction: Eating disorders (anorexia and bulimia) have been increasing worldwide and nationally. Prior to the development of this disorder, adolescents' present body dissatisfaction, whose study through the ¨Tripartite Influence Model¨ gives us three main pressures: Pressure from parents, media and peers. Factors that are studied through SATAQ-4. We conduct a study to validate the Peruvian version of SATAQ-4 "Sociocultural Attitudes Toward Appearance Questionnaire-4". Methods: A cross-sectional study was carried out in 2015. It was started by culturally adapting the test. Subsequently, validity was determined through the validity of the construct, and reliability through internal consistency assessment and intra-observer reliability (test-retest). Results: We obtained a culturally adapted instrument which presented a mean greater than 3 in the Delphi method, an intraclass correlation equal to 0.83 and an internal consistency (Cronbach alpha) of 0.90. The confirmatory factor analysis supported the original five-factor structure and the convergent validity analysis (r Pearson) when compared with BSQ a correlation of 0.70. Conclusions: The instrument adequately measures the construct for which it was created and can be applied in the Peruvian university environment.National Institutes of HealthRevisión por pare

Profile of the Older Population Living in Miami-Dade County, Florida

Abstract Florida has the greatest proportion (19%) of older population (65 years or older) in the United States. The age distribution of its residents, in conjunction with a major shift in the leading cause of death within all age groups from acute illnesses to chronic disease, creates unprecedented health care challenges for the state. The objective of this study is to profile the older population living in Miami-Dade County (MDC) using 3 population-based, household-based surveys conducted over the past 5 years. This study examined cross-sectional data (demographics, health outcomes, risk factors, health assess, and utilization) collected from probability-sampled, household-based surveys conducted in 3 areas of MDC: north Miami-Dade, Little Haiti, and South Miami. The questionnaire was administered face-to-face by trained interviewers in English, Spanish, French, or Creole. Analyses were restricted to households containing at least 1 member aged 65 years or older (n?=?935). One consenting adult answered the questionnaire on behalf of household members. The mean age of the respondent (60% females) was 60 years. Overall, respondents were predominantly African-Americans, Hispanics, and blacks of Haitian origin. One-third of all households fell below the US poverty thresholds. One-quarter of all households had at least 1 member who was uninsured within the year before the survey. Twenty percent of households had at least 1 member with an acute myocardial infarction or stroke during the year before the survey. Bone density tests and blood stool tests were strikingly underutilized. The health outcomes most prevalent within household members were cardiovascular diseases followed by cancer, anxiety/depression, obesity, asthma, and bone fractures. Twenty percent of households reported having at least 1 current smoker. Overall, emergency rooms were the most commonly used places of care after doctor\u27s offices. Findings of 3 household-based surveys show a predominantly elderly, female, uninsured, and poor minority populations living in MDC, FL. The reported use of preventive services was constrained, and emergency room use was often reported as a main resource for health care. Cardiovascular disease, cancer, bone fractures, and related risk factors were the most prevalent health outcomes

Dose-dependent effects of dietary nitrate on the oxygen cost of moderate-intensity exercise: Acute vs. chronic supplementation

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this recordPURPOSE: To investigate whether chronic supplementation with a low or moderate dose of dietary nitrate (NO3(-)) reduces submaximal exercise oxygen uptake (V˙O2) and to assess whether or not this is dependent on acute NO3(-) administration prior to exercise. METHODS: Following baseline tests, 34 healthy subjects were allocated to receive 3 mmol NO3(-), 6 mmol NO3(-) or placebo. Two hours following the first ingestion, and after 7, 28 and 30 days of supplementation, subjects completed two moderate-intensity step exercise tests. On days 28 and 30, subjects in the NO3(-) groups completed the test 2 h post consumption of a NO3(-) dose (CHR + ACU) and a placebo dose (CHR). RESULTS: Plasma nitrite concentration ([NO2(-)]) was elevated in a dose-dependent manner at 2 h, 7 days and 28-30 days on the CHR + ACU visit. Compared to pre-treatment baseline, 6 mmol NO3(-) reduced the steady-state V˙O2 during moderate-intensity exercise by 3% at 2 h (P = 0.06), 7 days and at 28-30 days (both P < 0.05) on the CHR + ACU visit, but was unaffected by 3 mmol NO3(-) at all measurement points. On the CHR visit in the 6 mmol group, plasma [NO2(-)] had returned to pre-treatment baseline, but the steady-state V˙O2 remained reduced. CONCLUSION: Up to ∼4 weeks supplementation with 6 but not 3 mmol NO3(-) can reduce submaximal exercise V˙O2. A comparable reduction in submaximal exercise V˙O2 following chronic supplementation with 6 mmol NO3(-) can be achieved both with and without the acute ingestion of NO3(-) and associated elevation of plasma [NO2(-)].Financial support for this study was provided by the Gatorade Sports Science Institute, a division of PepsiCo, Inc. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of PepsiCo, Inc

Factores asociados a resultados funcionales en pacientes con ictus isquémico tratados con trombolisis endovenosa en un hospital del Perú.

Objective: To describe the treatment of acute ischemic strokes with intravenous rtPA and determine the factors associated with the functional outcomes of patients treated with thrombolysis in a Peruvian hospital. Material and Methods: A prospective, longitudinal cohort study of patients with ischemic stroke who received rtPA over a period of 3 years was performed. The association of demographic and clinical data with functional status was assessed 3 months after the intervention. Simple and multivariate Poisson regression models were performed to evaluate associations with functional prognosis, and Relative Risk (RR) with a 95% confidence interval (CI) was used as a measure of association. Results: During the study period, 74 patients (1.19% of the total) received IV thrombolysis, and 68.18% of them achieved functional independence (mRS 0-2) at 90 days. We found a mortality of 6%, an intracerebral hemorrhage (ICH) rate of 3%. Glycemia &gt;140 mg/dl (OR 5.12; 1.31-20.02; p = 0.019), and posterior circulation infarcts (OR 7.47; 1.01-55.15; p = 0,04) were associated with an increased risk of functional dependency. Conclusions: In the studied cohort, most of the patients who underwent thrombolytic therapy achieved a functional independence at 3 months. Hyperglycemia (&gt;140gr/dl) and vertebro-basilar infarcts were associated with an increased risk of functional dependenceObjetivo: Describir el tratamiento del ictus isquémico agudo con reperfusión endovenosa y determinar los factores asociados al rendimiento funcional de pacientes sometidos a trombolisis en un hospital peruano. Material y Métodos: Estudio prospectivo y longitudinal de una cohorte de pacientes con ictus isquémico que recibieron rtPA en un periodo de 3 años. Se evaluó la relación entre datos demográficos y clínicos y el estado funcional a los 3 meses de la intervención. La asociación del pronóstico funcional se valoró mediante el modelo de regresión simple y multivariado de Poisson, y el Riesgo Relativo (RR) con un intervalo de confianza (IC) al 95%, como medida de asociación. Resultados. Durante el periodo del estudio, 74 pacientes (1.19% del total) recibieron el tratamiento. El&nbsp; 68,18% logró independencia funcional (mRS 0-2) a los 90 días. La mortalidad fue de 6 % y un 3% mostró hemorragia intracerebral (HIC). Glicemia &gt;140 mg/dl (OR 5,12; 1,31-20,02; p=0,019) e infarto de tipo posterior (OR 7,47; 1,01-55,15; p =0,04) se asociaron a un mayor riesgo de dependencia funcional. Conclusiones: En la cohorte estudiada, la mayoría de los pacientes alcanzaron independencia funcional a los 3 meses de tratamiento trombolítico. La hiperglicemia (&gt;140gr/dl) y el infarto vertebro-basilar se asociaron con un mayor riesgo de dependencia funcional

Pilot study of the characteristics of acute stroke events in patients discharged from the Carolina University Hospital, Puerto Rico in 2007

BACKGROUND: Stroke is the third leading cause of death in Puerto Rico. We examined the pre-hospital phase, management and case-fatality-rates (CFR) of patients discharged with acute stroke from the Carolina University of Puerto Rico Hospital during 2007. METHODS: Trained personnel collected information on demographics, delay-time, mode-of-transportation, management, and mortality from all medical records. STATAa was utilized to conduct univariate comparison of demographics, mode-of-transportation, therapeutics and diagnostic characteristics. Logistic regression analysis assessed cohort effect and controlled for confounders. RESULTS: The average age was 69.1 years, and 53% were males. The average delay between onset of symptoms suggestive of stroke and arrival at the emergency department was 4.5 hours. Only 62% of patients utilized Emergency Medical Services (EMS). Intravenous thrombolysis was not administered. Stroke mortality increased with age. Ischemic vs. hemorrhagic CFR was significantly higher (63.9% vs. 36.10%; p = 0.034). CONCLUSIONS: These findings highlight the potential benefit of evidence-based therapeutics and EMS use among stroke patients

Previous tonsillectomy modifies odds of tonsil and base of tongue cancer

BACKGROUND: Tonsillectomy is a commonly performed surgical procedure that involves removal of the palatine tonsils. The purpose of this study is to examine the association between previous tonsillectomy and odds of oropharyngeal squamous cell carcinoma (OPSCC) in a large population-based case-control study. We hypothesise that previous tonsillectomy is associated with a decreased odds of tonsil cancer with no impact on the odds of developing base of tongue (BOT) cancer. METHODS: This was a population-based, frequency-matched case-control study with multinomial logistic regression, including 1378 controls, 108 BOT cancer cases, and 198 tonsil cancer cases. Demographic and risk factor data were collected using a structured questionnaire during an in-home visit conducted by trained nurse-interviewers. The human papillomavirus (HPV) tumour status was determined through Luminex-based multiplex PCR and p16 status by immunohistochemistry. RESULTS: Previous tonsillectomy was associated with a nearly two-fold increased odds of BOT cancer (OR=1.95, 95% CI 1.25-3.06, P=0.003) and a large decrease in the odds of tonsil cancer (OR=0.22, 95% CI 0.13-0.36, P<0.001). When HPV status was considered, tonsillectomy was associated with a decreased odds of HPV-positive tonsil cancer (OR=0.17, 95% CI 0.08-0.34, P<0.001) and an increased risk of HPV-positive BOT cancer (OR=2.46, 95% CI 1.22-4.95, P=0.012). When p16 status was considered, tonsillectomy was associated with an increased odds of p16-positive BOT cancer (OR=2.24, 95% CI 1.16-4.35, P=0.017) and a decreased odds of p16-positive tonsil cancer (OR=0.14, 95% CI 0.07-0.31, P<0.001). CONCLUSIONS: Previous tonsillectomy modifies the odds of both tonsil and BOT cancer, with decreased odds of tonsil cancer and increased odds of BOT cancer. A history of previous tonsillectomy may play a role in OPSCC risk stratification when considered along with other covariates such as sexual history, smoking status, and age

Microplásticos e imposex en el caracol marino Thaisella chocolata procedente de la costa central marina del Perú

Contamination by microplastics (MP) and the presence of imposex (IMP) in snails for human consumption has become an issue of global concern in marine ecosystems. The objective of this study was to evaluate the presence of MP and IMP in the sea snail Thaisella chocolata in four locations and two seasons of the year on the central coast of Peru. The selected sites were the coves of Chorrillos and Cerro Azul, and the minor seaports of Chancay and Huacho, in the department of Lima, Peru. Individuals of T. chocolata were collected in each location and in two seasons of 2021. The snails were examined for the quantification of MP, according to their shape and color, and in the females, the IMP was determined and qualified as a percentage. The global analysis shows a Frequency of Occurrence (FO%) of MP of was 97.86% ± 3.34 (range from 90.90 to 100%), and the abundance (MP microparticles/individual) was 9.07 ± 4.71 (range 4.72 to 17.82). The colors of the black, blue and magenta MPs were the dominant ones. The FO%, and the abundance of MP microparticles did not show differences between both seasons. The highest MP detection values occurred in individuals from Cerro Azul. The MP micro-fragments presented the highest abundance and the black color was the dominant one. The IMP was rated as high in 50% of the female snails. No differ­ences were observed in FO% or in the abundance of MP microparticles between seasons. The IMP was not associated with the FO% or with the abundance of MP in T. chocolata. The abundance of MP in T. chocolata was negatively related to nitrites, nitrates, and ammonium, and positively related to dissolved oxygen in seawater. The findings indicate that the marine snail T. chocolata is a suitable organism for monitoring MP and IMP contamination.La contaminación por microplásticos (MP) y por la presencia de imposex (IMP) en caracoles de consumo humano se ha convertido en un tema de preocupación mundial en los ecosistemas marinos. El objetivo del presente estudio fue evaluar la presencia de MP y de IMP en el caracol marino Thaisella chocolata en cuatro localidades y dos temporadas del año de la costa central del Perú. Los sitios seleccionados fueron las caletas de Chorrillos, y de Cerro Azul, y los puertos marítimos menores de Chancay y de Huacho, del departamento de Lima, Perú. Individuos de T. chocolata fueron colectados en cada localidad y en dos temporadas del 2021. Los caracoles fueron examinados para la cuantificación de MP, de acuerdo a su forma y coloración, y en las hembras fue determinado el IMP y calificado porcentualmente. El análisis global muestra una Frecuencia de Ocurrencia (FO%) de MP de 97,86% ± 3,34 (rango de 90,90 al 100%), y la abundancia (micropartículas de MP/individuo) fue de 9,07 ± 4,71 (rango 4,72 a 17,82). Los colores de los MP negro, azul y magenta fueron los dominantes. La FO%, y la abundancia de micropartículas de MP no mostraron diferencias entre ambas temporadas. Los mayores valores de detección de MP ocurrieron en los individuos de Cerro Azul. Los microfragmentos de MP presentaron las mayores abundancias y el color negro fue el dominante. El IMP fue calificado mayormente como alto en un 50% de los caracoles hembras. No se observaron diferencias en la FO% ni en la abundancia de micropartículas de MP entre temporadas. El IMP no se asoció con la FO% ni con la abundancia de MP en T. chocolata. La abundancia de MP en T. chocolata se relacionó negativamente con los nitritos, nitratos, y amonio, y positivamente con el oxígeno disuelto del agua de mar. Los hallazgos indican que el carac

"We can't carry the weight of the whole world": illness experiences among Peruvian older adults with symptoms of depression and anxiety

Background: Despite the high levels of depression and anxiety symptoms in old age, the use of mental health services in this population is low. Help-seeking behaviors are shaped by how an individual perceives and experiences their illness. The objective of this study was to characterize the illness experiences of Peruvian older adults with depression and anxiety symptoms in order to lay the foundation for tailored community-based mental health interventions. Methods: In this qualitative study, we conducted in-depth interviews with a purposively selected sample of older adults (≥ 60 years) from peri-urban areas of Lima, Peru. We included individuals with only depressive symptoms (Patient Health Questionnaire-9 ≥ 10), only anxiety symptoms (Beck Anxiety Inventory ≥ 16), with depressive and anxiety symptoms, and older adults who mentioned they had received mental health treatment/care. The interview guide included the following topics: perceptions and experiences about depression and anxiety; perceptions about the relationship between physical chronic diseases and mental health; experiences with mental health professionals and treatments, and coping mechanisms. Data collection was conducted between October 2018 and February 2019. Results: We interviewed 38 participants (23 women, 15 men) with a mean age of 67.9 years. Participants' ideas and perceptions of depression and anxiety showed considerable overlap. Participants attributed depression and anxiety mainly to familial and financial problems, loneliness, loss of independence and past traumatic experiences. Coping strategies used by older adults included 'self-reflection and adaptation' to circumstances, 'do your part', and seeking 'emotional support' mainly from non-professionals (relatives, friends, acquaintances, and religion). Conclusions: Illness experiences of depression and anxiety set the pathway for tailored community-based mental health interventions for older adults. Overlapping narratives and perceptions of depression and anxiety suggest that these conditions should be addressed together. Mental health interventions should incorporate addressing areas related to depression and anxiety such as prevention of loss of independence, trauma, and loneliness. Good acceptability of receiving emotional support for non-professionals might offer an opportunity to incorporate them when delivering mental health care to older adults

Evidence of the effect of strong stripping channels on the dynamics of the 8 Li + 58Ni reaction

The 8 Li + 58Ni collision is investigated at 23.9, 26.1, 28.7, and 30 MeV bombarding energies. Quasielastic angular distributions and the singles 7 Li angular and energy distributions are presented. Coupled-reaction channels (CRC) calculations, which include the coupling of the elastic channel to 59Ni = 58Ni + n states above and below the neutron threshold, provide a simultaneous description of the quasielastic and transfer distributions and evidence the strong effect of the one-neutron transfer/breakup channels on the quasielastic scattering. The 7 Li angular and energy distributions have been also successfully analyzed combining the continuum discretized coupled channels (CDCC) method, for the elastic breakup, and the IAV model of Ichimura, Austern, and Vincent [Phys. Rev. C 32, 431 (1985)], for the nonelastic breakup. These calculations indicate that most of the 7 Li yields are due to nonelastic breakup contributions (transfer), whereas elastic breakup plays a minor role.Fundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP (Brazil), Contratos No. 2019/02759-0, No. 2019/07767-1, No. 2016/17612-7 y No. 2013/22100-7Coordenação de Aperfeiçoamento de Pessoal de Nével Superior, Brasil (CAPES), código de financiación: 88887.355019/2019Ministerio de Ciencia, Innovación y Universidades de España. proyecto No. FIS2017-88410-PFondo Europeo de Desarrollo Regional (FEDER)Programa Horizon 2020 de la Unión Europea No. 65400