Mediational pathways exploring the link between adverse childhood experiences and physical health in a transgender population.

BACKGROUND: Adverse childhood experiences (ACEs) consist of instances of abuse, neglect, or household dysfunction occurring before adulthood. Prevalence rates of ACEs are higher among specific populations, including gender minorities. In addition to ACEs, transgender individuals (TG) face many personal, social, and structural factors that have the potential to negatively impact their physical health. OBJECTIVE: This study examines exploratory mediational pathways between ACEs and two health outcomes (i.e., general health and days physically ill) in TG. Mediators include everyday discrimination, social support, gender non-affirmation, and mental distress. METHODS: Cross-sectional data from the U.S. Transgender Population Health Survey (TransPop) was used to conduct a serial/parallel mediation analysis. The TransPop survey included a total of 274 TG. RESULTS: For both outcome variables, the same three indirect pathways were significant. First, ACEs were associated with increased mental distress, which was associated with a decrease in general health and an increase in days physically ill. Second, ACEs were associated with increased discrimination, which was associated with increased mental distress, and this was associated with a decrease in general health and an increase in days physically ill. Finally, ACEs were associated with discrimination, which was associated with increased gender non-affirmation which was associated with increased mental distress, and this was associated with a decrease in general health and an increase in days physically ill. CONCLUSION: Interventions focused on reducing discrimination, gender non-affirmation, and poor mental health may be vital to improving the health of TG and to mitigating the indirect role of ACEs on TG health.

Validating the TeenHITSS to Assess Child Abuse in Adolescent Populations.

PURPOSE: The purpose of this study is to establish the psychometric properties and diagnostic accuracy of the Teen Hurt-Insult-Threaten-Scream-Sex (TeenHITSS), a 5-item measure used to screen adolescents for family violence in clinical settings. METHODS: Study participants included 251 adolescent participants (n=197 not at-risk subsample; n=56 at-risk subsample), recruited from ambulatory care clinics, a medical center at-risk referral clinic, and area shelters. Participants completed a cross-sectional survey, including the TeenHITSS and Parent-Child Conflict Tactics Scales (CTSPC) questionnaires. We calculated internal reliability, validity, and sensitivity and specificity for the full sample and both subsamples for each screening instrument. RESULTS: Concurrent validity between the TeenHITSS and CTSPC was strong (r=.71, P<.000). We determined an optimal cutpoint based on sensitivity and specificity for correctly identifying abuse victims as a score of one or greater on the TeenHITSS. The TeenHITSS also proved slightly superior to the CTSPC in differentiating between victims and nonvictims of adolescent abuse (AUC=.79 vs .73, respectively). CONCLUSIONS: The TeenHITSS screening tool performed as well as the CTSPC in correctly classifying at-risk and not-at-risk teenagers and offers much greater utility to providers by supplying an actionable cut score. The findings of this study suggest that TeenHITSS is a valid and reliable tool to screen for physical and sexual abuse in children ages 13 years and older in clinical settings and can help health care providers detect adolescent abuse and initiate intervention and prevention of future abuse.

Predictors of mood or anxiety problems among transgender individuals seeking hormone therapy.

BACKGROUND: Mental health needs of transgender individuals can be complex with individual, social, and medical factors impacting symptoms. This study examines predictors of mood or anxiety problems among transgender individuals seeking hormone therapy (HT). METHODS: A retrospective chart review was conducted at 2 clinics providing gender-affirming HT. Cross-sectional data from initial patient encounters (N = 311) were used in this study. Bivariate correlations and multiple logistic regression analyses were carried out. RESULTS: Transgender women (TW) were 2.2 times more likely to have mood or anxiety problems while transgender men (TM) were 2.6 times more likely as the number of medical comorbidities increased. For both TW and TM, White race significantly increased the likelihood of mood or anxiety problems. Neither previous nor current HT were associated with mood or anxiety problems for TW and TM. However, receiving multiple gender-affirming procedures decreased the likelihood of mood or anxiety problems for TM. CONCLUSIONS: Gender-affirming care and addressing comorbidities can be important aspects of mental health needs for transgender individuals.

The majority of transgender men and women reported 1 or more chronic health conditions. These health conditions were associated with transgender individuals being more likely to have a mood or anxiety problem. Currently receiving or previously receiving hormonal therapy was not associated with mood or anxiety problems for transgender men or women, but having received 1 or multiple gender-affirming procedures was associated with a decrease in likelihood of having a mood or anxiety problem for transgender men. White race also was associated with increased likelihood of having a mood or anxiety problem for transgender men and women. These results highlight the need for primary care physicians to take a comprehensive approach when dealing with the mental health needs of transgender patients by ensuring that general health care needs are met while receiving gender-affirming care.

Adverse Childhood Experiences and Diabetes: Testing Violence and Distress Mediational Pathways in Family Medicine Patients.

Type 2 diabetes mellitus (diabetes) is increasing in frequency and creating a significant burden on the United States healthcare system. Adverse childhood experiences (ACE) and interpersonal violence (IV) have been shown to have detrimental effects on mental and physical health. How ACE can influence IV as an adult and how this can influence the management of diabetes is not known. The purpose of the current study is to understand the relationship between violence and social determinants of health (SDoH), and its effect on patients with type 2 diabetes mellitus. A practiced-based research network (PBRN) of family medicine residency programs was utilized to collect cross-sectional data from seven family medicine residency program primary care clinics. In total, 581 participants with type 2 diabetes were recruited. A serial/parallel mediation model were analyzed. The majority of participants (58.3%) had a Hemoglobin A1c (HbA1c) that was not controlled. ACE was associated with an increase in Hurt-Insult-Threaten-Scream (HITS) scores, which in turn was positively associated with an increase in emotional burden, and finally, emotional burden decreased the likelihood that one's HbA1c was controlled (Effect = -.054, SE = .026 CI [-.115, -.013]). This indirect pathway remained significant even after controlling for several SDoH and gender. The impact of ACE persists into adulthood by altering behaviors that make adults more prone to experiencing family/partner violence. This in turn makes one more emotionally distressed about their diabetes, which influences how people manage their chronic condition. Family physicians should consider screening for both ACE and family/partner violence in those patients with poorly controlled diabetes.

Perceived burdensomeness and thwarted belongingness influence the childhood polyvictimization and suicide ideation association among Hispanic undergraduates.

The present study examined the mediating effect of perceived burdensomeness (PB) and thwarted belongingness (TB) in the association between childhood polyvictimization and suicide ideation (past week) among 528 Hispanic college students. Nearly 10% reported polyvictimization, 19.8% had suicide ideation, and polyvictimization was a risk factor of suicide ideation through PB and TB. The indirect effect through PB was stronger than the indirect effect through TB. Interventions should focus on PB and TB to alleviate suicide ideation among Hispanic undergraduate students.

Crecimiento y mortalidad de Haemulon plumieri (Perciformes: Haemulidae) en el archipiélago Los Frailes, Venezuela

El corocoro margariteño Haemulon plumieri es muy abundante en la región nororiental de Venezuela, pero los aspectos biológicos y pesqueros han sido poco estudiados en este país. El objetivo de este estudio fue estimar el crecimiento y la mortalidad de este recurso. De enero a diciembre 2014 se realizaron muestreos mensuales y se obtuvieron 2 967 ejemplares, de los cuales se registró la longitud total (cm) y peso (g) de cada uno. Se encontró que no existe diferencia entre sexos con respecto a la longitud (ts = 0.093; P > 0.05), por lo que se estimó la relación longitud-peso para ambos sexos: P = 1.4x10-3 * L2.99, mostrando un crecimiento isométrico. Se utilizaron las rutinas del paquete FiSAT para estimar los parámetros del modelo de crecimiento individual de von Bertalanffy: L∞ = 30.95 cm, k = 0.67/año, P∞ = 418.17 g, t0 = -0.24 años. Se calculó una edad máxima de 4 años. El coeficiente de variación del índice de desempeño de crecimiento (Ø′) para el método directo (CV = 5.26 %) mostró una variabilidad en el patrón de crecimiento según la región. La tasa de mortalidad natural (M = 1.36/año) fue alta, posiblemente por causa de depredación y enfermedades, entre otros. Las tasas de mortalidad por pesca (F = 1.95/año) y mortalidad total (Z = 3.31/año) fueron altas. La tasa de explotación (E = 0.59/año) indica que es probable que H. plumieri esté sobreexplotado.

The white grunt Haemulon plumieri is abundant in northeastern Venezuela, but the biological and fishery aspects of this species have been little studied in the country. The objective of this study was to estimate the growth and mortality of this resource. We collected samples monthly from January to December 2014, obtaining 2 967 specimens. Total length (cm) and weight (g) were determined for each specimen. No sexual dimorphism was shown with respect to length (tS = 0.093; P > 0.05). Thus, one length-weight ratio was established for both sexes: W = 1.4×10-3* L2.99, which showed isometric growth. FiSAT package routines were used to estimate the growth parameters of the individual growth model of von Bertalanffy: L ∞ = 30.95 cm, k = 0.67/year, W ∞ = 418.17 g, t0 = -0.24 years. We estimated a max age of 4 years. The coefficient of variation of the growth performance index (Ø′) for the direct method (CV = 5.26 %) showed a variability in growth patterns according to region. The rate of natural mortality (M = 1.36/year) was high, possibly due to predation and disease, among others. Rates of fishing mortality (F = 1.95/year) and total mortality (Z = 3.31/year) were high. The exploitation rate (E = 0.59/year) indicates that H. plumieri is likely overexploited.

Crecimiento y mortalidad del pez Canthidermis sufflamen (Perciformes: Balistidae) de los archipiélagos Los Frailes y Los Testigos, Venezuela / Growth and mortality of the triggerfish Canthidermis sufflamen (Perciformes: Balistidae) from Los Frailes and Los Testigos Archipelagos, Venezuela

ResumenEn la comunidad pesquera de El Tirano, estado Nueva Esparta, Venezuela, la especie Canthidermis sufflamen se ha convertido en un recurso con una alta demanda para el consumo debido su bajo costo, por lo que su captura ha venido incrementándose en los últimos años. Debido a la escasa información existente sobre la dinámica poblacional de este recurso, y con la finalidad de aportar algunos parámetros biológico-pesqueros se planteó como objetivo general determinar el crecimiento y mortalidad de Canthidermis sufflamen en los archipiélagos Los Frailes y Los Testigos, Dependencias Federales de Venezuela, durante el período mayo 2012 y abril 2013, se obtuvo un total de 3 595 ejemplares capturados con nasa por la flota artesanal de El Tirano. A cada ejemplar se le tomó datos de longitud total (cm), peso total (g) y se determinó el sexo. Se comprobó que no existe diferencia sexual con respecto a longitud (ts = -0.96; p > 0.05), la relación longitud-peso para ambos sexos fue: P = 0.164*L2.26, lo que evidencia un crecimiento alométrico minorante. La estimación del crecimiento se basó en el análisis de la distribución de frecuencia de longitudes, con uso del software FiSAT. Los parámetros de crecimiento estimados (L∞ = 61.69 cm, P∞ = 1 868.402 g, k = 0.36 / año y to = -0.654 años) mostraron un crecimiento lento. La edad límite fue A0.95 = 8 años. El índice de crecimiento (Ø′) obtuvo un valor de 3.14. La tasa de explotación E = 0.72 / año calculada a través de la mortalidad total Z = 2.67 / año, natural M = 0.73 / año y por pesca F = 1.93 / año, indica que C. sufflamen está siendo sobre explotada por la pesca artesanal de El Tirano; por consiguiente se sugiere regular la pesquería, reduciendo la tasa de mortalidad por pesca.

AbstractCanthidermis sufflamen has become a low cost food resource in high demand in El Tirano fishing community, and captures have been increasing in recent years. Since there is a lack of information on this resource population dynamics in Venezuela, the goal of this research was to provide some biological-fishery parameters, and has as general objective to determine growth and mortality of the triggerfish of Los Frailes and Los Testigos Archipelagos, Federal Territories of Venezuela. For this, a total of 3 595 specimens were collected from El Tirano commercial fishing, every week, from May 2012 to April 2013. We determined total length (cm), total weight (g), and sex for each specimen. No sexual dimorphism was shown with respect to length (ts = -0.96; p > 0.05), so one length-weight ratio was established for both sexes: W = 0.164*L2.26; and they both exhibited minor allometric growth. Growth was estimated by analysis of the frequency distribution of lengths, using FiSAT software. Growth parameters, estimated by the von Bertalanffy model, were considered slow, being L∞ = 61.69 cm, W∞ = 1 868.402 g, k = 0.36 / year, and to = -0.654 years. The maximum age was A0.95 = 8 years. The growth index (Ø′), showed a value of 3.14. The exploitation rate E = 0.72 / year, using total mortality values Z = 2.67 / year, natural M = 0.73 / year and from fishing F = 1.93 / year, indicates that C. sufflamen is being over-exploited by the artisanal fishers of El Tirano. We recommend following some harvest guidelines that will reduce mortality rate due to fishing. Rev. Biol. Trop. 65 (3): 858-867. Epub 2017 September 01.

[Growth and mortality parameters of Orthopristis ruber (Perciformes: Haemulidae) from Los Frailes Archipelaeo. Venezuela]. / Parametros de crecimiento y mortalidad de Orthopristis ruber (Perciformes: Haemulidae) en el archipielago Los Frailes, Venezuela.

Orthopristis ruber is a species in high demand in Eastern Venezuela, but production has been decreasing in recent years. For this reason, our objective was to estimate the growth and mortality parameters of this resource. Monthly samples were collected from June 2011 to May 2012, obtaining 2980 specimens in El Tirano and Puerto Abajo. Data on total length (cm), total weight (g), and sex were recorded for each specimen. No sexual dimorphism was shown with respect to length (t(S)=1.113, p>0.05), so one length-weight ratio was established for both sexes (Wt=0.0612*Lt(2.54)); and they both exhibited minor allometric growth. Growth was estimated by analysis of length frequency distributions using FiSAT software. The estimated growth parameters (L.=39.03cm, W.=679.60g, k=0.48/year and t(O) = -0.32 year) showed moderately rapid growth. Length frequency data were adjusted to the von Bertalaniffy model, and indicated an exponential tendency of accelerated growth during the first years of life, followed by slow growth until the fish reached its maximum length. The coefficient of variation of the growth index (theta) demonstrated no differences in growth pattern. The natural mortality rate (M=0.97/year), from fishing (F=1.57/year), and total mortality (Z=2.54/year), were high, as well as the exploitation rate (E=0.62/year). We concluded that O. ruber has been fully exploited by artisanal fishers, and suggest a continuous study on population dynamics, to recommend optimum management techniques for the fishery.

Biología y pesquería del pulpo Octopus vulgaris (Octopoda: Octopodidae) en las costas del estado Nueva Esparta, Venezuela / Octopus vulgaris (Octopoda: Octopodidae) biology and fishery on the shores of Nueva Esparta state, Venezuela

In the State of Nueva Esparta, Venezuela, the fishery of octopus Octopus vulgaris is considered an alternative activity by the artisanal fishers to diversify production and to increase their income. Nevertheless, the inter annual fluctuations that have been witnessed in recent years, suggest that this resource requires an urgent analysis of the species reproduction, growth, mortality and the fishery activity, in order to provide a scientific basis to develop sustainable management strategies. For this, weekly samples were collected during the June-December 2012 El Tirano fishing season. Mantle length (ML), total weight (TW), sex and stage of gonadal development were recorded for 1 268 males (9-25cm ML) and 818 females (9-22cm ML). The monthly sex ratio differed from one, except in June and August, with a high percentage of mature individuals in both sexes. Minimum and average sizes were: 11cm ML (428g) and 16cm ML (1 142g) in sexually mature males, and 12cm ML (476g) and 15.35cm ML (844g) in sexually mature females. The length-weight relationship of males (TW=0.7994*ML2.62) and females (TW=1.4552*ML2.33) showed minor allometric growth. Growth was estimated by analysis of the frequency distribution of lengths, using FiSAT software. Growth parameters, estimated by the von Bertalanffy model, were considered rapid, being L∞=26.26cm, W∞=3 769g, k=2.3/year, and t o=-0.015/year, in males; and L∞=24.28cm, W∞=2 287g, k=1.8/year, and t o=-0.09/year, in females. The maximum age in males was A0.95=1.3 years and A0.95=1.57 years in females. Octopus captures were directly significant with superficial water temperature, but negatively significant with wind velocity and precipitation, which corresponds to a study zone with seasonal hydrologic variability. The actual exploitation rate (E=0.61/year in males, E=0.60/year in females) was calculated by using the values of total mortality (Z=7.73/year in males, Z=6.63/year in females), for fishing (F=4.7/year in males, F=3.99/year in females), and natural (M=3.03/year in males, M=2.64/year in females), indicating that the octopus is over-exploited. Consequently, we recommend regulating the fishery by reducing the fishing mortality rate. Rev. Biol. Trop. 63 (2): 427-442. Epub 2015 June 01.

En el estado Nueva Esparta, Venezuela, la pesca del pulpo Octopus vulgaris es considerada por los pescadores artesanales como una actividad alternativa para diversificar la producción y aumentar los ingresos, pero en los últimos años han venido experimentando fluctuaciones interanuales considerables. La necesidad de gestionar el recurso de una forma racional y responsable, impuso analizar algunos aspectos de la reproducción, crecimiento, mortalidad y pesquería, de modo que sirvan de base científica para llevar a cabo estrategias de manejo. Con el fin de cumplir con los objetivos, las muestras se obtuvieron durante la temporada de pesca junio-diciembre 2012 con una periodicidad semanal. A cada uno de los especímenes se le registró la longitud del manto (Lm), peso total (Pt), sexo y estado de madurez gonádica. Se procesaron 1 268 machos de 9 a 25cm Lm y 818 hembras de 9 a 22cm Lm; la proporción de sexo mensual fue diferente a uno excepto junio y agosto, con un alto porcentaje de maduros en ambos sexos. Las tallas mínima y media de madurez sexual en machos fueron: 11cm (428g) y 16cm (1 142g); mientras que en hembras 12cm (476g) y 15.35cm (844g). La relación longitud-peso de machos: Pt=0.7994*Lm2.62 y hembras: Pt=1.4552*Lm2.33 expresaron un crecimiento alométrico minorante. La estimación del crecimiento se basó en el análisis de la distribución de frecuencia de longitudes, para ello se usó el software FiSAT. Los parámetros de crecimiento estimados del modelo de von Bertalanffy fueron en machos: L∞=26.26cm, P∞=3 769g, k=2.3/año, t o=-0.015/año y en hembras: L∞=24.28cm, P∞=2 287g, k=1.8/año, t o=-0.09/año, mostraron un crecimiento rápido. La edad límite en machos fue de 1.30 años y en hembras de 1.57 años. Se observó asociación significativa y positiva de la captura del pulpo con la temperatura superficial del mar y negativa con la velocidad del viento y precipitación, que corresponde con la variabilidad hidrológica estacional de la zona de estudio. Se calculó la tasa de explotación actual (E=0.61/año en machos; E=0.60/año en hembras) a través de los valores de mortalidad total (Z=7.73/año en machos; Z=6.63/año en hembras), por pesca (F=4.7/año en machos; F=3.99/año en hembras) y natural (M=3.03/año en machos; M=2.64/año en hembras), indicando que el pulpo se encuentra sobreexplotado; por consiguiente se recomienda regular la pesquería, reduciendo la tasa de mortalidad por pesca.

Parámetros de crecimiento y mortalidad de Orthopristis ruber (Perciformes: Haemulidae) en el archipiélago Los Frailes, Venezuela / Growth and mortality parameters of Orthopristis ruber (Perciformes: Haemulidae) from Los Frailes Archipelago, Venezuela

Orthopristis ruber is a species in high demand in Eastern Venezuela, but production has been decreasing in recent years. For this reason, our objective was to estimate the growth and mortality parameters of this resource. Monthly samples were collected from June 2011 to May 2012, obtaining 2 980 specimens in El Tirano and Puerto Abajo. Data on total length (cm), total weight (g), and sex were recorded for each specimen. No sexual dimorphism was shown with respect to length (t s=1.113, p>0.05), so one length-weight ratio was established for both sexes (Wt=0.0612*Lt2.54); and they both exhibited minor allometric growth. Growth was estimated by analysis of length frequency distributions using FiSAT software. The estimated growth parameters (L∞=39.03cm, W∞=679.60g, k=0.48/year and t o=-0.32year) showed moderately rapid growth. Length frequency data were adjusted to the von Bertalanffy model, and indicated an exponential tendency of accelerated growth during the first years of life, followed by slow growth until the fish reached its maximum length. The coefficient of variation of the growth index (Ø’) demonstrated no differences in growth pattern. The natural mortality rate (M=0.97/year), from fishing (F=1.57/year), and total mortality (Z=2.54/year), were high, as well as the exploitation rate (E=0.62/year). We concluded that O. ruber has been fully exploited by artisanal fishers, and suggest a continuous study on population dynamics, to recommend optimum management techniques for the fishery.

Orthopristis ruber es una especie de gran demanda en el oriente de Venezuela cuya producción se ha visto disminuida en los últimos años. Por esta razón, se planteó como objetivo estimar los parámetros de crecimiento y mortalidad del recurso. Se realizaron muestreos mensuales de junio 2011 a mayo 2012, para un total de 2 980 ejemplares recolectados en El Tirano y Puerto Abajo. A cada ejemplar se le tomó datos de longitud total (cm), peso total (g) y se determinó el sexo. Se comprobó que no existe diferencia sexual con respecto a longitud (t s=-1.113; p>0.05), la relación longitud-peso para ambos sexos fue: Pt=0.0612*Lt2.54, lo que evidencia un crecimiento alométrico minorante. La estimación del crecimiento se basó en el análisis de la distribución de frecuencia de longitudes, con uso del software FiSAT. Los parámetros de crecimiento estimados (L∞=39.03cm, P∞=679.60g, k=0.48/año y t o=-0.32año) mostraron un crecimiento moderadamente rápido. Los datos de frecuencias de longitudes fueron ajustados al modelo de von Bertalanffy, e indica una tendencia de tipo exponencial con crecimiento acelerado los primeros años de edad, que luego se hizo lento hasta que el pez alcanzó la longitud máxima. El coeficiente de variación del índice de crecimiento (Ø’) demostró que no hay diferencias en el patrón de crecimiento. La tasa de mortalidad natural (M=0.97/año), por pesca (F=1.57/año), y total (Z=2.54/año) fueron altas así como la tasa de explotación (E=0.62/año). Se concluye que O. ruber está plenamente explotado por la pesca artesanal; por lo que se sugiere continuar con los estudios de dinámica de poblaciones para evaluar la pesquería con fines de manejo.

Crecimiento del cangrejo Callinectes danae (Decapoda: Portunidae) de la Isla de Margarita, Venezuela

Dana Swimming crab growth Callinectes danae (Decapoda: Portunidae) from Margarita Island, Venezuela. Callinectes danae is a common species captured with crab traps in nearby areas of coastal lagoons in Margarita Island. Although its considerable economic importance as a fishery resource, few studies have been done on population dynamics and its fishery potential in local coastal environments to support decision making in fishery administration. We present growth pattern details of Callinectes danae to better estimate its population size and exploitation feasibility. For this, we analyzed a total of 3 623 specimens that were Wonthly captured in crab pots by artisanal fishermen in Las Marites lagoon, from October 2007 to September 2008. The length-weight ratio was determined, and growth parameters estimated from both length and weight curves of the von Bertalanffy model. The general sex ratio showed no significant difference between males and females (χ2=0.04, p>0.05). However, values of slopes b between males and females were significantly different (ts=2.75, p<0.05), as well as intercepts a (ts=2.44, p<0.05). Thus, the length-weight ratio was determined separately: W=7.48e-5*L2.98 for males and W=1.21e-4*L2.87 for females, indicating a negative allometric growth in both sexes. Growth parameters were established as: L∞=134.80mm, W∞=166.04g and k=0.86/yr for males; L∞=122.35mm, W∞=118.45g and k=0.63/yr for females. Lifespan was estimated at 3.05 years for males and 4.24 years for females. We concluded that Callinectes danae is a species with short lifespan and moderately rapid growth. The coefficient of variation values (CV), of the phi-prime growth performance index (ؒ), showed a different growth pattern compared to those obtained in other regions. We propose that a management strategy will be the periodical review of the minimum capture size for fishing area, after the great variability found in growth parameters. Rev. Biol. Trop. 59 (4): 1525-1535. Epub 2011 December 01.

Las especies del género Callinectes sostienen pesquerías importantes en varias partes del mundo. En el occidente de Venezuela, Callinectes sapidus es capturado con palangre y sostiene una pesquería artesanal importante en el Lago de Maracaibo; mientras que en la Isla de Margarita, Callinectes danae es capturado con nasa en zonas cercanas a lagunas costeras y su pesca está limitada por la oferta y la demanda. Estos recursos son de considerable importancia económica entre los crustáceos comestibles; sin embargo, pocos estudios han sido reportados sobre la dinámica poblacional y potencialidad pesquera en ambientes costeros de Venezuela que contribuyan a la toma de decisiones en la administración pesquera. En este documento se presenta información de los parámetros de crecimiento del cangrejo Callinectes danae Smith, 1869, con el fin de obtener un conocimiento detallado del patrón de crecimiento y lograr estimaciones más precisas sobre el tamaño de la población y su disponibilidad para la explotación. Se analizó una muestra constituida por 3 623 ejemplares capturados con nasa cangrejera por la flota artesanal, entre octubre 2007 y septiembre 2008. Se estableció la relación longitud-peso y se estimaron los parámetros de crecimiento de las curvas en longitud y peso del modelo de von Bertalanffy. La proporción sexual global mostró que no existe diferencia significativa entre machos y hembras (χ2=0.04, p>0.05). Los valores de las pendientes b entre machos y hembras presentaron diferencias significativas (ts=2.75, p<0.05) igualmente los interceptos a (ts=2.44, p<0.05); por lo que se estableció la relación longitud-peso por separado: P=7.48e-5*L2.98 para machos y P=1.21e-4*L2.87 para hembras, evidenciándose un crecimiento alométrico negativo en ambos sexos. Los parámetros de crecimiento quedaron establecidos en: L∞=134.80mm, P∞=166.04g y k=0.86/año para machos; L∞=122.35mm, P∞=118.45g y k=0.63/año para hembras. La longevidad fue de 3.05 años para machos y 4.24 años para hembras. Se concluye que Callinectes danae es una especie de vida corta con crecimiento moderadamente rápido, y los valores del coeficiente de variación (CV) del índice de crecimiento phi prima (ؒ) demostraron diferencia de los patrones de crecimiento obtenidos en otras regiones. Como medida de manejo se recomienda considerar la talla mínima de captura por zona de pesca y revisar periódicamente las normativas, debido a la gran variabilidad en el crecimiento.

[Dana swimming crab growth Callinectes danae (Decapoda: Portunidae) from Margarita Island, Venezuela]. / Crecimiento del cangrejo Callinectes danae (Decapoda: Portunidae) de la Isla de Margarita, Venezuela.

Callinectes danae is a common species captured with crab traps in nearby areas of coastal lagoons in Margarita Island. Although its considerable economic importance as a fishery resource, few studies have been done on population dynamics and its fishery potential in local coastal environments to support decision making in fishery administration. We present growth pattern details of Callinectes danae to better estimate its population size and exploitation feasibility. For this, we analyzed a total of 3 623 specimens that were monthly captured in crab pots by artisanal fishermen in Las Marites lagoon, from October 2007 to September 2008. The length-weight ratio was determined, and growth parameters estimated from both length and weight curves of the von Bertalanffy model. The general sex ratio showed no significant difference between males and females (chi2 = 0.04, p > 0.05). However, values of slopes b between males and females were significantly different (t(s) = 2.75, p < 0.05), as well as intercepts a (t(s) = 2.44, p < 0.05). Thus, the length-weight ratio was determined separately: W = 7.48e(-5)*L(2.98) for males and W = 1.21e(-4)*L(2.87) for females, indicating a negative allometric growth in both sexes. Growth parameters were established as: L(infinity) =134.80mm, W(infinity) = 166.04g and k = 0.86/yr for males; L(infinity) = 122.35mm, W(infinity) = 118.45g and k = 0.63/yr for females. Lifespan was estimated at 3.05 years for males and 4.24 years for females. We concluded that Callinectes danae is a species with short lifespan and moderately rapid growth. The coefficient of variation values (CV), of the phi-prime growth performance index (Ø'), showed a different growth pattern compared to those obtained in other regions. We propose that a management strategy will be the periodical review of the minimum capture size for fishing area, after the great variability found in growth parameters.

[Age and growth of the grunt, Haemulon steindachneri (Perciformis: Haemulidae), from the Southwest area of Margarita Island, Venezuela]. / Edad y crecimiento del pez Haemulon steindachneri (Perciformis: Haemulidae) en el suroeste de la isla de Margarita, Venezuela.

Studies on fish age and growth are essential to establish models on population dynamics. We determined age and growth of the grunt Haemulon steindachneri from the Southwest Margarita Island using sagita otoliths (direct method) and length frequency (indirect method). A total of 953 individuals were captured by the handcrafted fleet from Boca del Rio (Margarita Island) between July 2005 and June 2006. The length-weight relation was established and growth parameters from both curves (length and weight) were estimated using the von Bertalanffy model. The analysis of the annual rings in otoliths established four age groups, and group 3+ was the most representative, with 44.5% of the sample. The calculation of marginal increases of otoliths suggested the development of an annual ring in April, which coincides with the maximum reproduction period. There were no significant differences in the slopes of the curves b (ts=-1.81; p>0.05) and the intercepts a (ts=-1.17; p>0.05) of females and males. Length-weight for both sexes was W=0.0003*L(2.89), which indicates an alometric growth pattern. Growth parameters were established as: Linfinity=231 mm, Winfinity=203 g, k=0.569 year(-1) (direct method) and Linfinity=228 mm, Winfinity=195 g, k=0.580 year(-1) (indirect method), which suggests that it is a short life species that grows moderately rapidly. The index of growth phi prime (Ø') coefficient of variation (CV), showed similarity between the growth parameters obtained by both (direct and indirect) methods. The application of the indirect method is recommended, as well as the periodic analysis of population parameters.

Edad y crecimiento del pez Haemulon steindachneri (Perciformis: Haemulidae) en el suroeste de la isla de Margarita, Venezuela

Age and growth of the grunt, Haemulon steindachneri (Perciformis: Haemulidae), from the Southwest area of Margarita Island, Venezuela. Studies on fish age and growth are essential to establish models on population dynamics. We determined age and growth of the grunt Haemulon steindachneri from the Southwest Margarita Island using sagita otoliths (direct method) and length frequency (indirect method). A total of 953 individuals were captured by the handcrafted fleet from Boca del Río (Margarita Island) between July 2005 and June 2006. The length-weight relation was established and growth parameters from both curves (length and weight) were estimated using the von Bertalanffy model. The analysis of the annual rings in otoliths established four age groups, and group 3+ was the most representative, with 44.5% of the sample. The calculation of marginal increases of otoliths suggested the development of an annual ring in April, which coincides with the maximum reproduction period. There were no significant differences in the slopes of the curves b (t s=-1.81; p>0.05) and the intercepts a (t s=-1.17; p>0.05) of females and males. Length-weight for both sexes was W=0.0003*L2.89, which indicates an alometric growth pattern. Growth parameters were established as: L∞=231mm, W∞=203g, k=0.569year-1 (direct method) and L∞=228mm, W∞=195g, k=0.580year-1 (indirect method), which suggests that it is a short life species that grows moderately rapidly. The index of growth phi prime (ؒ) coefficient of variation (CV), showed similarity between the growth parameters obtained by both (direct and indirect) methods. The application of the indirect method is recommended, as well as the periodic analysis of population parameters. Rev. Biol. Trop. 58 (1): 299-310. Epub 2010 March 01.

La edad y el crecimiento del pez Haemulon steindachneri fueron determinados por medio de los otolitos sagitales (método directo) y la distribución de frecuencia de tallas (método indirecto). Un total de 953 individuos fueron capturados por la flota artesanal de Boca del Río, suroeste de la isla de Margarita, entre julio 2005-junio 2006. Se estableció la relación talla-peso y se estimaron los parámetros de crecimiento de las curvas en longitud y peso del modelo de von Bertalanffy. El recuento de los anillos anuales en otolitos, permitió establecer cuatro grupos de edad, siendo el grupo 3+ el más representativo, con un 44.5% de la población muestreada. El cálculo de los incrementos marginales del crecimiento mensual de los otolitos, sugirió la formación de un anillo hialino anual en el mes de abril, el cual coincide con la época máxima de reproducción. No se observó diferencia significativa en las pendientes b (t s=- 1.81; p>0.05) e interceptos a (t s=-1.17; p>0.05) de hembras y machos, con una relación talla-peso para ambos sexos de W=0.0003*L2.89, la que indicó un crecimiento alométrico. Los parámetros de crecimiento quedaron establecidos en: L∞=231mm, W∞=203g, k=0.569año-1 (método directo) y L∞=228mm, W∞=195g, k=0.580 año-1 (método indirecto), lo que sugiere que se trata de una especie de vida corta y crecimiento moderadamente rápido. El coeficiente de variación (CV) del índice de crecimiento phi prima (ؒ), demostró semejanza de los parámetros de crecimiento en longitud obtenidos por los métodos directo e indirecto; por lo que se recomienda la aplicación del método indirecto, así como el análisis periódico de los parámetros poblacionales.

[Growth and natural mortality of the fish Haemulon aurolineatum (Teleostei: Haemulidae) in the Southwest of Margarita Island, Venezuela]. / Crecimiento y mortalidad natural del pez Haemulon aurolineatum (Teleostei: Haemulidae) del suroeste de la isla de Margarita, Venezuela.

We analyzed the growth and natural mortality of the cují (Haemulon aurolineatum) in the southwest of Margarita Island, from July 2005 through June 2006. A sample of 1,378 males and 1,143 females collected from Boca del Río artisanal fishing vessels was analyzed. The common relation for both sexes was expressed by the equation P=0.038*L(2.87). From the frequency data, a preliminary asymptotic length (L(infinity)) was estimated applying the routine of Powell and Wetherall, and the coefficient of growth (k) through ELEFAN I using program FISAT II (FAO-ICLARM). The modal progression analysis was used, previous decomposition of the frequency of lengths according to Bhattacharya, and it optimized the estimations of L(infinity) and k according to the procedure of Gulland and Holt. The curve of growth in length was fit to the model of von Bertalanffy, and described an exponential curve, where growth accelerated until the two years of age. The rate of natural mortality was high (M = 1.15 year(-1)), probably from high predation.

Crecimiento y mortalidad natural del pez Haemulon aurolineatum (Teleostei: Haemulidae) del suroeste de la isla de Margarita, Venezuela

Growth and natural mortality of the fish Haemulon aurolineatum (Teleostei: Haemulidae) in the Southwest of Margarita Island, Venezuela. We analyzed the growth and natural mortality of the cují (Haemulon aurolineatum) in the southwest of Margarita Island, from July 2005 through June 2006. A sample of 1 378 males and 1 143 females collected from Boca del Río artisanal fishing vessels was analyzed. The common relation for both sexes was expressed by the equation P=0.038*L2.87. From the frequency data, a preliminary asymptotic length (L∞) was estimated applying the routine of Powell and Wetherall, and the coefficient of growth (k) through ELEFAN I using program FISAT II (FAO-ICLARM). The modal progression analysis was used, previous decomposition of the frequency of lengths according to Bhattacharya, and it optimized the estimations of L∞ and k according to the procedure of Gulland and Holt. The curve of growth in length was fit to the model of von Bertalanffy, and described anexponential curve, where growth accelerated until the two years of age. The rate of natural mortality was high (M = 1.15 year-1), probably from high predation. Rev. Biol. Trop. 57 (3): 699-706. Epub 2009 September 30.

Se determinó el crecimiento y la mortalidad natural del cují (Haemulon aurolineatum) del suroeste de la isla de Margarita, entre julio 2005 hasta junio 2006, para lo cual se analizó una muestra de 2 541 ejemplares colectados de la pesca artesanal de Boca del Río. La relación talla-peso entre machos y hembras no mostró diferencias significativas en las pendientes "b" (p>0.05, ts = -1.69) ni en los interceptos "a" (p>0.05, ts = -1.01), por lo que se estableció una relación común para ambos sexos, expresada mediante el modelo P = 0.038*LT2.87. A partir de los datos de distribución de frecuencia de tallas se estimó la longitud asintótica (L∞) con la rutina de Powell-Wetherall, y el coeficiente de crecimiento (k) con la rutina ELEFAN I (Gayanilo et al.1996). Se empleó el análisis de la progresión modal, previa descomposición de la frecuencia de longitudes de acuerdo al método de Bhattacharya (1967), y se optimizaron las estimaciones de L∞ y k según Gulland y Holt (1959). Los parámetros de crecimiento estimados (L∞ = 24.2 cm y k = 0.48 año-1) mostraron un crecimiento moderadamente rápido. Los datos de frecuencias de longitudes fueron ajustados al modelo de von Bertalanffy (1960), mostrando una tendencia de tipo exponencial, donde se observó un crecimiento acelerado hasta los 2 años de edad, que luego se hizo lento a medida que el pez alcanzó la longitud máxima. La tasa de mortalidad natural fue alta (M = 1.15 año-1), probablemente causada por alta depredación.

[Growth and mortality of the fish Haemulon aurolineatum (Teleostei: Haemulidae) from southwest of Margarita Island, Venezuela]. / Crecimiento y mortalidad del pez Haemulon aurolineatum (Teleostei: Haemulidae) en el suroeste de la isla de Margarita, Venezuela.

We analyzed the growth and natural mortality of the fish known locally as cuji (H. aurolineatum) in the southwest of Margarita Island, July 2005 to June 2006. A sample of 1,378 males and 1,143 females from artisanal fishing vessels of Boca del Río was analyzed. The common relation for both sexes was expressed by the equation P=0.038*L(2.87). The asymptotic length (L(infinity)) was estimated with Powell's (1979) routine and Wetherall (1986), and the growth coefficient (k) with ELEFAN I - FISAT II (FAO-ICLARM). The modal progression analysis was used after decomposition of lengths frequency according to Bhattacharya, and the estimations of L(infinity), and k optimized according to Gulland and Holt (1959). The growth curve was fitted to von Bertalanffy (1960); it is exponential, with accelerated growth in the first two years and less growth as the fish approaches maximal length. The rate of natural mortality was high (M=1.15 year(-1)), and probably was caused by high depredation.

[Cost-effectiveness of the previous appointment in family medicine outpatient clinics]. / Relación coste-efectividad de la cita previa en la consulta externa de medicina familiar.

OBJECTIVE: To determine the cost-effectiveness of the previous appointment. DESIGN: Cost-effectiveness study. SETTING: Family Medicine Unit in the Mexican Public Health System, in March and April 2008. PARTICIPANTS: All Family Medicine outpatient clinic offices who use the appointment system were included (n=32). MEASUREMENTS: The productivity, doctor and user dimensions were analysed in the two shifts (morning and evening) operated by the Unit. Productivity included the percentage of appointments (appointment requested more than 12h before the visit), spontaneous users, those seen and cancellations; the cost was adjusted for productivity. Effectiveness was measured using doctor and patient satisfaction, on a scale from 1 to 10. The cost-effectiveness analysis took into account the perspective of the patient and the doctor in the different scenarios that considered the percentage of previous appointments. The evaluation included an incremental analysis. RESULTS: For the doctor, the best cost-effectiveness is in the scenario of 60% previous appointments, and the worst with 50% previous appointments. The cost differences in the incremental analysis by scenarios is 15,019 euro and 76,611 euro. From the perspective of the patient (n=96), the best cost-effectiveness is in the 70% previous appointment scenario, while the worst is the one with 50%. The incremental analysis with differences by scenarios is 5,248 euro and 330,293 euro. CONCLUSIONS: The best cost-effectiveness of the previous appointment is achieved with appointment percentages between 60 and 70%.

Crecimiento y mortalidad del pez Haemulon aurolineatum (Teleostei: Haemulidae) en el suroeste de la isla de Margarita, Venezuela

Growth and mortality of the fish Haemulon aurolineatum (Teleostei: Haemulidae) from Southwest of Margarita Island, Venezuela. We analyzed the growth and natural mortality of the fish known locally as cují (H. aurolineatum) in the southwest of Margarita Island, July 2005 to June 2006. A sample of 1 378 males and 1 143 females from artisanal fishing vessels of Boca del Río was analyzed. The common relation for both sexes was expressed by the equation P=0.038*L2.87. The asymptotic length () was estimated with Powell`s (1979) routine and Wetherall (1986), and the growth coefficient (k) with ELEFAN I - FISAT II (FAO-ICLARM). The modal progression analysis was used after decomposition of lengths frequency according to Bhattacharya, and the estimations of and k optimized according to Gulland and Holt (1959). The growth curve was fitted to von Bertalanffy (1960); it is exponential, with accelerated growth in the first two years and less growth as the fish approaches maximal length. The rate of natural mortality was high (M=1.15 year-1), and probably was caused by high depredation. Rev. Biol. Trop. 57 (1-2): 105-112. Epub 2009 June 30.

Se determinó el crecimiento y la mortalidad natural del pez cují (Haemulon aurolineatum) del suroeste de la Isla de Margarita (julio 2005 -junio 2006), para lo cual se analizó una muestra constituida por 2 541 ejemplares recolectados de la pesca artesanal de Boca del Río. La relación talla-peso entre machos y hembras no mostró diferencias significativas en las pendientes "b" (p>0.05; ts=-1.69) ni en los interceptos "a" (p>0.05; ts=-1.01), por lo que se estableció una relación común para ambos sexos: P=0.038*LT2.87. A partir de los datos de distribución de frecuencia de tallas se estimó la longitud asintótica () aplicando la rutina de Powell-Wetherall, y el coeficiente de crecimiento (k) a través de la rutina ELEFAN I (Gayanilo et al. 1996). Posteriormente se empleó el análisis de la progresión modal, previa descomposición de la frecuencia de longitudes de acuerdo al método de Bhattacharya (1967), y se optimizaron las estimaciones de y k según el procedimiento de Gulland y Holt (1959). Los parámetros de crecimiento estimados (L8=24.2 cm y k=0.48 año-1) mostraron un crecimiento moderadamente rápido. Los datos de frecuencias de longitudes fueron ajustados al modelo de von Bertalanffy (1960), indicando una tendencia de tipo exponencial: crecimiento acelerado hasta los 2 años de edad, que luego se hizo lento hasta que el pez alcanzó la longitud máxima. La tasa de mortalidad natural fue alta (M=1.15 año-1), probablemente por alta depredación.

Relación coste-efectividad de la cita previa en la consulta externa de medicina familiar / Cost-effectiveness of the previous appointment in family medicine outpatient clinics

ObjetivoDeterminar la relación coste-efectividad de la cita previa.DiseñoEstudio de coste-efectividad.EmplazamientoUnidad de medicina familiar de una institución de la Seguridad Social de México, en marzo y abril de 2008.ParticipantesSe incluyeron todos (n=32) los consultorios de la consulta externa de medicina familiar que manejan el programa de cita previa.MedicionesSe analizaron las dimensiones productividad, médico y usuario en los dos turnos (matutino y vespertino) de funcionamiento de la unidad. La productividad incluyó el porcentaje de citas previas (cita que se solicita con mas de 12h de antelación a la consulta), usuarios espontáneos, atendidos y cancelados; el coste se ajustó por productividad. La efectividad se midió a través de la satisfacción del médico y del usuario en una escala de 1 a 10. El análisis de coste-efectividad incluyó las perspectivas del usuario y del médico en diferentes escenarios que consideraron el porcentaje de cita previa; la evaluación incluyó análisis incremental.ResultadosPara el médico, la mejor relación coste-efectividad se presentó en el escenario de un 60% de cita previa y la peor, en el de un 50%. La diferencia de costes en el análisis incremental por escenarios es de 15.019 y 76.611 euros. Desde la perspectiva del usuario (n=96), la mejor relación coste-efectividad se presenta en el escenario de un 70% de cita previa, mientras que la peor se produce en el de un 50%. La diferencia de costes en el análisis incremental por escenarios es de 5.248 y 330.293 euros.ConclusionesLa mejor relación coste-efectividad de la cita previa se logra con un 60-70% de citas previas(AU)

ObjectiveTo determine the cost-effectiveness of the previous appointment.DesignCost-effectiveness study.SettingFamily Medicine Unit in the Mexican Public Health System, in March and April 2008.ParticipantsAll Family Medicine outpatient clinic offices who use the appointment system were included (n=32).MeasurementsThe productivity, doctor and user dimensions were analysed in the two shifts (morning and evening) operated by the Unit. Productivity included the percentage of appointments (appointment requested more than 12h before the visit), spontaneous users, those seen and cancellations; the cost was adjusted for productivity. Effectiveness was measured using doctor and patient satisfaction, on a scale from 1 to 10. The cost-effectiveness analysis took into account the perspective of the patient and the doctor in the different scenarios that considered the percentage of previous appointments. The evaluation included an incremental analysis.ResultsFor the doctor, the best cost-effectiveness is in the scenario of 60% previous appointments, and the worst with 50% previous appointments. The cost differences in the incremental analysis by scenarios is 15,019 ¿ and 76,611 ¿. From the perspective of the patient (n=96), the best cost-effectiveness is in the 70% previous appointment scenario, while the worst is the one with 50%. The incremental analysis with differences by scenarios is 5,248 ¿ and 330,293 ¿.ConclusionsThe best cost-effectiveness of the previous appointment is achieved with appointment percentages between 60 and 70%(AU)