A Profile of Tribal Health Departments

This study uses data to analyze the impacts of Tribal health departments in improving health status and reducing health disparities.

Infant motor scale of alberta : validation for a population of Southern Brazil

RESUMOObjetivo: Traduzir, adaptar e verificar a validade de critérios motor e de constructo (consistência interna, validade discriminante, correlação com outros testes e validade preditiva) da versão em Português da Alberta Motor Infant Scale. Métodos: Estudo de validação transcultural. Participaram 21 profissionais e 561 crianças do Rio Grande do Sul, com idades de zero a 18 meses (291 meninos). Foram utilizados os instrumentos: Alberta Infant Motor Scale, Escala do Desenvolvimento do Comportamento da Criança e um questionário para controle de variáveis. O estudo compreendeu as fases de tradução e adaptação da escala; análise da validade de conteúdo; treinamento de profissionais; coleta de dados no ambiente familiar e em creches; análise da objetividade e fidedignidade, e validade de critério e construto. Resultados: A versão portuguesa da Alberta Infant Motor Scale continha critérios motores claros e pertinentes; apresentou ótima confiabilidade (escore total, p=0,88; prono, p=0,86; supino, p=0,89; sentado, p=0,80 e em pé, p=0,85) e poder discriminativo (desenvolvimento típico versus atípico; escore, p<0,001; percentil, p=0,04; critério de classificação, qui-quadrado: p=0,047). Demonstrou correlação moderada com a Escala do Desenvolvimento do Comportamento da Criança (rho=0,342; p=0,03), sendo que a prova de McNemar-Bowker demonstrou diferenças entre os dois métodos (p=0,047). Foi ainda observada estabilidade temporal da escala (p=0,07; rho=0,85, p<0,001) e poder preditivo (p<0,001). Conclusões: A versão em português da Alberta Infant Motor Scale demonstrou ser válida e fidedigna na avaliação das aquisições motoras de crianças brasileiras, o que a torna um instrumento útil a várias áreas da pesquisa científica e da clínica.Objective: To translate, adapt and verify the validity of the motor criteria and the construct (internal consistence, discriminatory validity, correlation with other tests and predicted validity) of the Portuguese version of the Alberta Motor Infant Scale. Methods: Cross-cultural validation study that enrolled 21 professionals and 561 children from the South of Brazil aged zero to 18 months (291 boys). The Alberta Infant Motor Scale, the Developmental Scale of Child Behavior and a questionnaire to control variables were used. Alberta Infant Motor Scale was translated, adapted and the content validity was analyzed. Professionals were then trained and the data were collected in daycares and participants’ home. Scale’s objectivity, reliability, criterion and construct were analyzed. Results: The Portuguese version of Alberta Infant Motor Scale contained clear and pertinent motor criteria; it was reliable (total score, p=0.88; prone, p=0.86; supine, p=0.89; sitting, p=0.80 and standing, p=0.85), it had discriminative power (typical versus atypical development; score, p<0.001; percentile, p=0.04; classification criteria, chi-square: p=0.047) and, also showed temporal stability (p=0.07; rho=0.85; p<0.001) and predictive power (p<0.001). The scale was moderately correlated with the Developmental Scale of Child Behavior (rho=0.342; p=0.03), considering that the McNemar-Bowker proof showed differences between both methods (p=0.047). Conclusions: The Portuguese version of Alberta Infant Motor Scale showed validity and reliability. It is a suitable tool for the assessment of motor acquisitions of Brazilian children, being valuable for researchers and practitioners

Facile one-step synthesis of CdSxSe1- x nanobelts with uniform and controllable stoichiometry

10.1021/jp205760rJournal of Physical Chemistry C1154019538-1954

Informing the National Public Health Accreditation Movement: Lessons From North Carolina's Accredited Local Health Departments

To advance understanding of public health accreditation, we analyzed data on the North Carolina Local Health Department Accreditation program. We surveyed accredited health departments on barriers to and supports of accreditation preparation, performance on accreditation standards, and benefits and improvements after accreditation. All 48 accredited agencies responded to the survey. All agencies improved policies to prepare for accreditation and met most accreditation standards. Forty-six percent received local funds for accreditation preparation. The most common barrier to accreditation preparation was time and schedule limitations (79%). Fifty percent of agencies acted on suggestions for improvement, and 67% conducted quality improvement activities. Benefits of accreditation included improvements in local partnerships. Agencies of all sizes conducted accreditation activities, were successfully accredited, and experienced benefits resulting from accreditation