Segmentation Analysis of Grocery Shoppers in Alabama

Using survey responses from over 500 responses, this paper conducts a market segmentation of grocery shoppers in Alabama. By employing cluster analysis technique, Alabama grocery shoppers are segmented into three different groups based on the relative importance of factors that describe their shopping experiences.Food Consumption/Nutrition/Food Safety,

Consumer Purchasing Behaviors and Attitudes toward Shopping at Public Markets

This paper identifies and empirically evaluates factors that explain the variations in consumers’ attitudes toward shopping at farmers markets in general and public markets in particular. The analysis draws on data from a telephone survey conducted in Jefferson County, Alabama. Logit model results point to several factors that seem to be strongly correlated with consumer purchasing behaviors and attitudes toward shopping at public markets, including income, education, age of household head, household size, and price and quality of produce. The insights gained from the study should help farmers increase the profitability of their operations and improve the likelihood that they will continue farming.Consumer/Household Economics,

Consumer Purchasing Behaviors and Attitudes toward Shopping at Public Markets

This paper identifies and empirically evaluates factors that explain the variations in consumers’ attitudes toward shopping at farmers markets in general and public markets in particular. The analysis draws on data from a telephone survey conducted in Jefferson County, Alabama. Logit model results point to several factors that seem to be strongly correlated with consumer purchasing behaviors and attitudes toward shopping at public markets, including income, education, age of household head, household size, and price and quality of produce. The insights gained from the study should help farmers increase the profitability of their operations and improve the likelihood that they will continue farming

Empiric treatment of pulmonary TB in the Xpert era: Correspondence of sputum culture, Xpert MTB/RIF, and clinical diagnoses.

BackgroundClinical tuberculosis diagnosis and empiric treatment have traditionally been common among patients with negative bacteriologic test results. Increasing availability of rapid molecular diagnostic tests, including Xpert MTB/RIF and the new Xpert Ultra cartridge, may alter the role of empiric treatment.MethodsWe prospectively enrolled outpatients age > = 15 who were evaluated for pulmonary tuberculosis at three health facilities in Kampala, Uganda. Using sputum mycobacterial culture, interviews, and clinical record abstraction, we estimated the accuracy of clinical diagnosis relative to Xpert and sputum culture and assessed the contribution of clinical diagnosis to case detection.ResultsOver a period of 9 months, 99 patients were diagnosed with pulmonary tuberculosis and subsequently completed sputum culture; they were matched to 196 patients receiving negative tuberculosis evaluations in the same facilities. Xpert was included in the evaluation of 291 (99%) patients. Compared to culture, Xpert had a sensitivity of 92% (95% confidence interval 83-97%) and specificity of 95% (92-98%). Twenty patients with negative Xpert were clinically diagnosed with tuberculosis and subsequently had their culture status determined; two (10%) were culture-positive. Considering all treated patients regardless of Xpert and culture data completeness, and considering treatment initiations before a positive Xpert (N = 4) to be empiric, 26/101 (26%) tuberculosis treatment courses were started empirically. Compared to sputum smear- or Xpert-positive patients with positive cultures, empirically-treated, Xpert-negative patients with negative cultures had higher prevalence of HIV (67% versus 37%), shorter duration of cough (median 4 versus 8 weeks), and lower inflammatory markers (median CRP 7 versus 101 mg/L).ConclusionJudged against sputum culture in a routine care setting of high HIV prevalence, the accuracy of Xpert was high. Clinical judgment identified a small number of additional culture-positive cases, but with poor specificity. Although clinicians should continue to prescribe tuberculosis treatment for Xpert-negative patients whose clinical presentations strongly suggest pulmonary tuberculosis, they should also carefully consider alternative diagnoses

Language endangerment and language documentation in Africa

Non peer reviewe

Segmentation Analysis of Grocery Shoppers in Alabama

Using survey responses from over 500 responses, this paper conducts a market segmentation of grocery shoppers in Alabama. By employing cluster analysis technique, Alabama grocery shoppers are segmented into three different groups based on the relative importance of factors that describe their shopping experiences

CONSUMER PURCHASING BEHAVIORS AND ATTITUDES TOWARD SHOPPING AT PUBLIC MARKETS IN BIRMINGHAM, ALABAMA

The purpose of this study was to obtain information that could help farmers increase the profitability of their operations and improve the likelihood that they would continue farming. The specific objective was to empirically evaluate which socio-demographic characteristics and purchasing behaviors encourage consumers to patronize farmers markets, in general and public markets, in particular. Data was drawn from telephone survey responses from 502 potential food shoppers in Alabama. Logit model results point to several factors that seem to be strongly correlated with consumer purchasing behaviors and attitudes toward shopping at public markets, including income, education, age of household head, household size, price and quality of produce

CONSUMER PURCHASING BEHAVIORS AND ATTITUDES TOWARD SHOPPING AT PUBLIC MARKETS IN BIRMINGHAM, ALABAMA

The purpose of this study was to obtain information that could help farmers increase the profitability of their operations and improve the likelihood that they would continue farming. The specific objective was to empirically evaluate which socio-demographic characteristics and purchasing behaviors encourage consumers to patronize farmers markets, in general and public markets, in particular. Data was drawn from telephone survey responses from 502 potential food shoppers in Alabama. Logit model results point to several factors that seem to be strongly correlated with consumer purchasing behaviors and attitudes toward shopping at public markets, including income, education, age of household head, household size, price and quality of produce.Consumer/Household Economics,

Evaluation of underweight status may improve identification of the highest-risk patients during outpatient evaluation for pulmonary tuberculosis.

BackgroundWhen evaluating symptomatic patients for tuberculosis (TB) without access to same-day diagnostic test results, clinicians often make empiric decisions about starting treatment. The number of TB symptoms and/or underweight status could help identify patients at highest risk for a positive result. We sought to evaluate the usefulness of BMI assessment and a count of characteristic TB symptoms for identifying patients at highest risk for TB.MethodsWe enrolled adult patients receiving pulmonary TB diagnoses and a representative sample with negative TB evaluations at four outpatient health facilities in Kampala, Uganda. We asked patients about symptoms of chronic cough, night sweats, chest pain, fever, hemoptysis, or weight loss; measured height and weight; and collected sputum for mycobacterial culture. We evaluated the diagnostic accuracy (for culture-positive TB) of two simple scoring systems: (a) number of TB symptoms, and (b) number of TB symptoms plus one or more additional points for underweight status (body mass index [BMI] ≤ 18.5 kg/m2).ResultsWe included 121 patients with culture-positive TB and 370 patients with negative culture results (44 of whom had been recommended for TB treatment by evaluating clinicians). Of the six symptoms assessed, the median number of symptoms that patients reported was two (interquartile range [IQR]: 1, 3). The median BMI was 20.9 kg/m2 (IQR: 18.6, 24.0), and 118 (24%) patients were underweight. Counting the number of symptoms provided an area under the Receiver Operating Characteristic curve (c-statistic) of 0.77 (95% confidence interval, CI: 0.72, 0.81) for identifying culture-positive TB; adding two points for underweight status increased the c-statistic to 0.81 (95%CI: 0.76, 0.85). A cutoff of ≥3 symptoms had sensitivity and specificity of 65% and 74%, whereas a score of ≥4 on the combined score (≥2 symptoms if underweight, ≥4 symptoms if not underweight) gave higher sensitivity and specificity of 69% and 81% respectively. A sensitivity analysis defining TB by Xpert MTB/RIF status produced similar results.ConclusionA count of patients' TB symptoms may be useful in clinical decision-making about TB diagnosis. Consideration of underweight status adds additional diagnostic value

Empiric treatment of pulmonary TB in the Xpert era: Correspondence of sputum culture, Xpert MTB/RIF, and clinical diagnoses.

BackgroundClinical tuberculosis diagnosis and empiric treatment have traditionally been common among patients with negative bacteriologic test results. Increasing availability of rapid molecular diagnostic tests, including Xpert MTB/RIF and the new Xpert Ultra cartridge, may alter the role of empiric treatment.MethodsWe prospectively enrolled outpatients age > = 15 who were evaluated for pulmonary tuberculosis at three health facilities in Kampala, Uganda. Using sputum mycobacterial culture, interviews, and clinical record abstraction, we estimated the accuracy of clinical diagnosis relative to Xpert and sputum culture and assessed the contribution of clinical diagnosis to case detection.ResultsOver a period of 9 months, 99 patients were diagnosed with pulmonary tuberculosis and subsequently completed sputum culture; they were matched to 196 patients receiving negative tuberculosis evaluations in the same facilities. Xpert was included in the evaluation of 291 (99%) patients. Compared to culture, Xpert had a sensitivity of 92% (95% confidence interval 83-97%) and specificity of 95% (92-98%). Twenty patients with negative Xpert were clinically diagnosed with tuberculosis and subsequently had their culture status determined; two (10%) were culture-positive. Considering all treated patients regardless of Xpert and culture data completeness, and considering treatment initiations before a positive Xpert (N = 4) to be empiric, 26/101 (26%) tuberculosis treatment courses were started empirically. Compared to sputum smear- or Xpert-positive patients with positive cultures, empirically-treated, Xpert-negative patients with negative cultures had higher prevalence of HIV (67% versus 37%), shorter duration of cough (median 4 versus 8 weeks), and lower inflammatory markers (median CRP 7 versus 101 mg/L).ConclusionJudged against sputum culture in a routine care setting of high HIV prevalence, the accuracy of Xpert was high. Clinical judgment identified a small number of additional culture-positive cases, but with poor specificity. Although clinicians should continue to prescribe tuberculosis treatment for Xpert-negative patients whose clinical presentations strongly suggest pulmonary tuberculosis, they should also carefully consider alternative diagnoses