The generalized odd log-logistic-G regression with interval-censored survival data.

The article proposes a new regression based on the generalized odd log-logistic family for interval-censored data. The survival times are not observed for this type of data, and the event of interest occurs at some random interval. This family can be used in interval modeling since it generalizes some popular lifetime distributions in addition to its ability to present various forms of the risk function. The estimation of the parameters is addressed by the classical and Bayesian methods. We examine the behavior of the estimates for some sample sizes and censorship percentages. Selection criteria, likelihood ratio tests, residual analysis, and graphical techniques assess the goodness of fit of the fitted models. The usefulness of the proposed models is red shown by means of two real data sets.

Parent training for disruptive behavior symptoms in attention deficit hyperactivity disorder: a randomized clinical trial.

Background: Attention-Deficit/Hyperactivity Disorder (ADHD) affects 5% of children and 2.5% of adults worldwide. Comorbidities are frequent, and Oppositional Defiant Disorder (ODD) reaches 50%. Family environment is crucial for the severity of behaviors and for prognosis. In middle-income countries, access to treatment is challenging, with more untreated children than those under treatment. Face-to-face behavioral parent training (PT) is a well-established intervention to improve child behavior and parenting. Method: A clinical trial was designed to compare PT-online and face-to-face effects to a waiting list group. Outcomes were the ADHD and ODD symptoms, parental stress and styles, and quality of life. Families were allocated into three groups: standard treatment (ST), ST + PT online, and ST + Face-to-Face PT. We used repeated measures ANOVA for pre × post treatment analysis corrected for multiple comparisons. Results and discussion: Parent training was effective in reducing symptoms of ADHD (p = 0.030) and ODD (p = 0.026) irrespective of modality (p = 1.000). The combination of ST and PT was also associated with better quality of life in the physical domain for patients (p = 0.009) and their parents (p = 0.050). In addition to preliminary data, online intervention seems effective for parenting and improving social acceptance of children. The potential to reach many by an online strategy with a self-directed platform may imply effectiveness with a low cost for public health to support parents' symptoms management.

The mitochondrial genome of the mountain wooly tapir, Tapirus pinchaque and a formal test of the effect of altitude on the adaptive evolution of mitochondrial protein coding genes in odd-toed ungulates.

BACKGROUND: The harsh conditions of high-altitude environments are known to drive the evolution of physiological and morphological traits in endothermic animals. These conditions are expected to result in the adaptive evolution of protein coding genes encoded in mitochondrial genomes that are vital for the oxidative phosphorylation pathway. In this study, we formally tested for signatures of adaptive evolution on mitochondrial protein coding genes in Tapirus pinchaque and other odd-toed ungulates inhabiting high-elevation environments. RESULTS: The AT-rich mitochondrial genome of T. pinchaque is 16,750 bp long. A phylomitogenomic analysis supports the monophyly of the genus Tapirus and families in the Perissodactyla. The ratio of non-synonymous to synonymous substitutions demonstrated that all mitochondrial genes undergo purifying selection in T. pinchaque and other odd ungulates living at high elevations. Over this negative background selection, Branch Models suggested that cox3 and nad6 might be undergoing stronger purifying selection than other mitochondrial protein coding genes. Furthermore, Site Models suggested that one and four sites in nad2 and nad5, respectively, could be experiencing positive selection. However, these results were supported by Likelihood Ratio Tests but not Bayesian Empirical Bayes posterior probabilities. Additional analyses (in DataMonkey) indicated a relaxation of selection strength in nad6, evidence of episodic diversifying selection in cob, and revealed episodic positive/diversifying selection signatures for two sites in nad1, and one site each in nad2 and nad4. CONCLUSION: The mitochondrial genome of T. pinchaque is an important genomic resource for conservation of this species and this study contributes to the understanding of adaptive evolution of mitochondrial protein coding genes in odd-toed ungulates inhabiting high-altitude environments.

A new regression model for rates and proportions data with applications.

We propose a new continuous distribution in the interval ( 0 , 1 ) based on the generalized odd log-logistic-G family, whose density function can be symmetrical, asymmetric, unimodal and bimodal. The new model is implemented using the gamlss packages in R. We propose an extended regression based on this distribution which includes as sub-models some important regressions. We employ a frequentist and Bayesian analysis to estimate the parameters and adopt the non-parametric and parametric bootstrap methods to obtain better efficiency of the estimators. Some simulations are conducted to verify the empirical distribution of the maximum likelihood estimators. We compare the empirical distribution of the quantile residuals with the standard normal distribution. The extended regression can give more realistic fits than other regressions in the analysis of proportional data.

The new Neyman type A generalized odd log-logistic-G-family with cure fraction.

The work proposes a new family of survival models called the Odd log-logistic generalized Neyman type A long-term. We consider different activation schemes in which the number of factors M has the Neyman type A distribution and the time of occurrence of an event follows the odd log-logistic generalized family. The parameters are estimated by the classical and Bayesian methods. We investigate the mean estimates, biases, and root mean square errors in different activation schemes using Monte Carlo simulations. The residual analysis via the frequentist approach is used to verify the model assumptions. We illustrate the applicability of the proposed model for patients with gastric adenocarcinoma. The choice of the adenocarcinoma data is because the disease is responsible for most cases of stomach tumors. The estimated cured proportion of patients under chemoradiotherapy is higher compared to patients undergoing only surgery. The estimated hazard function for the chemoradiotherapy level tends to decrease when the time increases. More information about the data is addressed in the application section.

Investigating the Measurement Invariance and Method-Trait Effects of Parent and Teacher SNAP-IV Ratings of Preschool Children.

The Swanson, Nolan, and Pelham scale version IV (SNAP-IV) is widely used to assess symptoms of attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) in children and adolescents. Nevertheless, there is insufficient data to support its use in preschool children. The study had three goals: First, to test the factorial validity of the three correlated-factors model of ADHD and ODD items of the SNAP-IV. Second, to investigate the measurement invariance of the items over time (6-month longitudinal interval) and by sex. Third, to investigate the convergent validity and method-specific influences on ADHD/ODD assessments with respect to multiple raters (parents/teachers) of children's symptoms. Participants were 618 preschool children (3.5-6 years) at baseline and 6-month follow-up. For model testing, we used confirmatory factor analysis for categorical observed variables. Method and trait effects were examined using the CT-C(M-1) model. The analyses showed partial measurement invariance over time and according to sex. Moreover, strong rater-specific effects were detected. The implication of the results for construct validation of the instrument and clinical assessment of ADHD and ODD traits are discussed.

Thermal-Statistical Odd-Even Fermions' Staggering Effect and the Order-Disorder Disjunction.

We review thermal-statistical considerations on the odd-even staggering effect (OES) in fermions. There is a well known OES in nuclear binding energies at zero temperature. We discuss here a thermal OES (finite temperatures) that establishes links with the order-disorder disjunction. The present thermal considerations cannot be found in the nuclear literature.

Factores psicosociales y desempeño docente en un instituto superior tecnológico en Quito, Ecuador / Psychosocial factors and teaching performance at a higher technological institute in Quito, Ecuador

RESUMEN Introducción: los riesgos psicosociales afectan física y mentalmente a los trabajadores. Las condiciones laborales de docentes universitarios implican responsabilidades académicas y administrativas, exponiéndolos a altos niveles de riesgo psicosocial. Objetivo: el objetivo del estudio fue determinar la relación de los factores psicosociales en el desempeño docente, en un instituto superior tecnológico en Quito, Ecuador. Materiales y métodos: se realizó un estudio cuantitativo, observacional, transversal, prospectivo y analítico en una población de 89 docentes. Se aplicó, por su alta confiabilidad, la encuesta de Factores de Riesgo Psicosociales de Silva, para evaluar los factores de riesgo en el trabajo académico. El desempeño docente se midió según la escala de calificación del Ministerio del Trabajo de Ecuador. Se calcularon inferencias y asociaciones a través de la prueba de Chi cuadrado y el odds ratio. Resultados: hubo un 47,2 % del género femenino y un 52,8 % del masculino. Predominó el grupo etario de 31 a 40 años. Entre los factores de riesgo psicosocial predominó el parámetro de exigencias laborales. El 75,3 % presentó riesgo psicosocial medio, no reflejado con el desempeño docente. Conclusiones: se constató la presencia de factores de riesgo psicosociales en los docentes, relacionados con la carga de trabajo, contenido y características de las tareas, entre otros aspectos. Se comprobó que el desempeño docente no se afectó por la presencia de factores de riesgo psicosociales (AU).

ABSTRACT Introduction: psychosocial risks physically and mentally affect workers. The working conditions of university teachers involve academic and administrative responsibilities, exposing them to high levels of psychosocial risk. Objective: the objective of the study was to determine the relationship of psychosocial factors in teaching performance at a higher technological institute in Quito, Ecuador. Materials and methods: a quantitative, observational, transversal, prospective and analytical study was conducted in a population of 89 teachers. Because of its high reliability, the Silva Psychosocial Risk Factors survey was applied to assess risk factors in academic work. The teaching performance was measured according to the rating scale of the Ministry of Labor of Ecuador. Inferences and associations were calculated through the Chi squared test and the odds ratio. Results: 47.2 % of the teachers were women and 52.8 % were men. The 31-40 years old age-group predominated. Among the psychosocial risk factors, the parameters of work requirements predominated. 75.3 % showed average psychosocial risk, not reflected with teaching performance. Conclusions: It was stated the existence of psychosocial risk factors in teachers, related to the workload, content and characteristics of the task, among other aspects. We found that teaching performance was not affected by the presence of psychosocial risk factors (AU).

Can School Mental Health Providers Deliver Psychosocial Treatment Improving Youth Attention and Behavior in Mexico? A Pilot Randomized Controlled Trial of CLS-FUERTE.

BACKGROUND: Despite well-established Evidence-Based Treatments (EBTs) for Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD), many low-resource settings lack EBT access. METHODS: We conducted a school-clustered randomized controlled pilot of CLS-FUERTE (a multicomponent behavioral EBT adapted for children in Mexico) with 58 students. We randomly assigned four schools to receive CLS-FUERTE and four to receive school services as usual. We compared groups post-treatment on parent- and teacher-rated ADHD/ODD symptoms and impairment. RESULTS: CLS-FUERTE fidelity, attendance, engagement, and acceptability was high and students receiving CLS-FUERTE showed greater improvement in teacher-rated ADHD, ODD, and impairment, as well as parent-rated ADHD and impairment, compared to students receiving usual services. CONCLUSIONS: Pilot results suggest that psychosocial EBTs can be successfully implemented by School Mental Health Providers in Mexico.

Minimal Products of Coordinate and Momentum Uncertainties of High Orders: Significant and Weak High-Order Squeezing.

We consider the problem of minimization of products of mean values of the high powers of operators x and p. From this point of view, we study several two-term superpositions of the Fock states, as well as three popular families of infinite superpositions: squeezed states, even/odd coherent states, and orthogonal even coherent states (or compass states). The new element is the analysis of products of the corresponding (co)variances and the related generalized (Robertson-Schrödinger) intelligent states (RSIS). In particular, we show that both Fock and pure Gaussian homogeneous states are RSIS for the fourth powers (but not for the sixth ones). We show that lower bounds of the high-order uncertainty products can be significantly below the vacuum values. In this connection, the concept of significant and weak high-order squeezing is introduced.

Técnicas estadísticas para identificar posibles relaciones bivariadas / Statistical techniques for possible identification on bivariate relations

Introducción: La mayoría de los problemas en la investigación biomédica son de naturaleza causal. El análisis en estos estudios debe comenzar por la búsqueda de asociación entre las variables que representan la causa y el efecto y solo si la asociación es significativa, continuará el análisis de inferencia causal. Objetivo: Sistematizar las diferentes técnicas estadísticas que verifican una relación bivariada según el tipo de variable. Métodos: Se realizó una revisión bibliográfica exhaustiva sobre el tema en las bases de datos biomédicas alojadas en la Internet. Se organizó el contenido por subtemas y se elaboró un material con una síntesis crítica de los aspectos más importantes, en el cual se plasmó además la experiencia de las autoras. Resultados: Se expone, según tipo de variables, información básica de los coeficientes, pruebas de hipótesis y gráficos empleados en cada caso, las medidas de asociación para estudiar el riesgo, los atributos que aseguran la validez de una asociación, el azar y el sesgo como los errores que pudieran cometerse en el proceso de investigación y que pueden invalidar la existencia de una asociación. También se presenta la forma de analizar la asociación en el análisis estadístico implicativo. Conclusiones: El conocimiento de los estadísticos para verificar una relación entre variables y la selección de técnicas estadísticas es esencial para llevar a cabo el proceso inicial de inferencia causal(AU)

Introduction: Most of the problems in biomedical research are of causal nature. The analysis of these studies should begin with the search for an association between the variables that represent the cause and the effect, and only if the association is significant will the causal inference analysis continue. Objective: To systematize the different statistical techniques that verify a bivariate relationship according to the type of variable. Methods: An exhaustive bibliographic review on the subject was carried out in the biomedical databases hosted in the Internet. The content was organized by sub-topics and a material with a critical synthesis of the most important aspects was elaborated, in which the experience of the authors was also expressed. Results: According to the type of variables, we have presented basic information about the coefficients, hypothesis tests, and graphs used in each case, the association measures to study risk, the features that ensure the validity of an association; chance and bias are also exposed as the mistakes that could be made in the investigation process and that could invalidate the existence of an association. The way of analyzing the association in the implicative statistical analysis is also presented. Conclusions: The knowledge of statisticians to verify a relationship between variables and the selection of statistical techniques is essential for carrying out the initial process of causal inference(AU)

Transient reductions in milk fat synthesis and their association with the ruminal and metabolic profile in dairy cows fed high-starch, low-fat diets.

Sub-acute ruminal acidosis (SARA) is sometimes observed along with reduced milk fat synthesis. Inconsistent responses may be explained by dietary fat levels. Twelve ruminally cannulated cows were used in a Latin square design investigating the timing of metabolic and milk fat changes during Induction and Recovery from SARA by altering starch levels in low-fat diets. Treatments were (1) SARA Induction, (2) Recovery and (3) Control. Sub-acute ruminal acidosis was induced by feeding a diet containing 29.4% starch, 24.0% NDF and 2.8% fatty acids (FAs), whereas the Recovery and Control diets contained 19.9% starch, 31.0% NDF and 2.6% FA. Relative to Control, DM intake (DMI) and milk yield were higher in SARA from days 14 to 21 and from days 10 to 21, respectively (P < 0.05). Milk fat content was reduced from days 3 to 14 in SARA (P < 0.05) compared with Control, while greater protein and lactose contents were observed from days 14 to 21 and 3 to 21, respectively (P < 0.05). Milk fat yield was reduced by SARA on day 3 (P < 0.05), whereas both protein and lactose yields were higher on days 14 and 21 (P < 0.05). The ruminal acetate-to-propionate ratio was lower, and the concentrations of propionate and lactate were higher in the SARA treatment compared with Control on day 21 (P < 0.05). Plasma insulin increased during SARA, whereas plasma non-esterified fatty acids and milk ß-hydroxybutyrate decreased (P < 0.05). Similarly to fat yield, the yield of milk preformed FA (>16C) was lower on day 3 (P < 0.05) and tended to be lower on day 7 in SARA cows (P < 0.10), whereas yield of de novo FA (<16C) was higher on day 21 (P < 0.01) in the SARA group relative to Control. The t10- to t11-18:1 ratio increased during the SARA Induction period (P < 0.05), but the concentration of t10-18:1 remained below 0.5% of milk fat, and t10,c12 conjugated linoleic acid remained below detection levels. Odd-chain FA increased, whereas branched-chain FA was reduced during SARA Induction from days 3 to 21 (P < 0.05). Sub-acute ruminal acidosis reduced milk fat synthesis transiently. Such reduction was not associated with ruminal biohydrogenation intermediates but rather with a transient reduction in supply of preformed FA. Subsequent rescue of milk fat synthesis may be associated with higher availability of substrates due to increased DMI during SARA.

Lifetime prevalence, sociodemographic predictors, and comorbidities of oppositional defiant disorder: the National Epidemiology of Iranian Child and Adolescent Psychiatric disorders (IRCAP)

Objective: This was the first national epidemiological study on oppositional defiant disorder (ODD) in Iran, which provided new information about the prevalence, comorbidities, and sociodemographic predictors of ODD. Methods: Data from a face-to-face household survey of 30,532 children and adolescents aged 6-18 years were collected from across all 31 provinces of Iran using a multistage cluster sampling design. The Persian version of the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime Version (K-SADS-PL) was used in this study. Results: The lifetime prevalence of ODD was found to be 3.9%. ODD was significantly more common in boys than girls and appeared in late adolescence more frequently than in childhood. A lower prevalence of ODD was found among participants who lived in rural areas. ODD is highly likely to co-occur with attention deficit hyperactivity disorder, separation anxiety disorder, generalized anxiety disorder, and depressive disorders. Conclusions: The findings of this national population-based study confirm and extend previous findings on the prevalence, comorbidities, and sociodemographic predictors of ODD.

Modelling non-proportional hazard for survival data with different systematic components

We propose a new extended regression model based on the logarithm of the generalized odd log-logistic Weibull distribution with four systematic components for the analysis of survival data. This regression model can be very useful and could give more realistic fits than other special regression models. We obtain the maximum likelihood estimates of the model parameters for censored data and address influence diagnostics and residual analysis. We prove empirically the importance of the proposed regression by means of a real data set (survival times of the captive snakes) from a study carried out at the Herpetology Laboratory of the Butantan Institute in São Paulo, Brazil.

Odd-Even Effect on Luminescence Properties of Europium Aliphatic Dicarboxylate Complexes.

The odd-even effect in luminescent [Eu2 (L)3 (H2 O)x ]⋅y(H2 O) complexes with aliphatic dicarboxylate ligands (L: OXA, MAL, SUC, GLU, ADP, PIM, SUB, AZL, SEB, UND, and DOD, where x=2-6 and y=0-4), prepared by the precipitation method, was observed for the first time in lanthanide compounds. The final dehydration temperatures of the Eu3+ complexes show a zigzag pattern as a function of the carbon chain length of the dicarboxylate ligands, leading to the so-called odd-even effect. The FTIR data confirm the ligand-metal coordination via the mixed mode of bridge-chelate coordination, except for the Eu3+ -oxalate complex. XRD results indicate that the highly crystalline materials belong to the monoclinic system. The odd-even effect on the 4 f-4 f luminescence intensity parameters (Ω2 and Ω4 ) is explained by using an extension of the dynamic coupling mechanism, herein named the ghost-atom model. In this method, the long-range polarizabilities ( α* ) were simulated by a ghost atom located at the middle of each ligand chain. The values of α* were estimated using the localized molecular orbital approach. The emission intrinsic quantum yield ( QLnLn ) of the Eu3+ complexes also presented an the odd-even effect, successfully explained in terms of the zigzag behavior shown by the Ω2 and Ω4 intensity parameters. Luminescence quenching due to water molecules in the first coordination sphere is also discussed and rationalized.

Elucidating the mass spectrum of the retronecine alkaloid using DFT calculations.

Pyrrolizidine alkaloids are natural molecules playing important roles in different biochemical processes in nature and in humans. In this work, the electron ionization mass spectrum of retronecine, an alkaloid molecule found in plants, was investigated computationally. Its mass spectrum can be characterized by three main fragment ions having the following m/z ratios: 111, 94, and 80. In order to rationalize the mass spectrum, minima and transition state geometries were computed using density functional theory. It was showed that the dissociation process includes an aromatization of the originally five-membered ring of retronecine converted into a six-membered ring compound. A fragmentation pathway mechanism involving dissociation activation barriers that are easily overcome by the initial ionization energy was found. From the computed quantum chemical geometric, atomic charges, and energetic parameters, the abundance of each ion in the mass spectrum of retronecine was discussed.

Microorganismos aislados en cultivo bacteriológico de muestras de leche de vacas holstein clínicamente sanas / Microorganisms isolated in bacteriological culture from milk samples from clinically healthy holstein cows / Microrganismos isolados em cultivo bacteriológico de amostras do leite de vacas holandesas clinicamente saudáveis

Resumen El objetivo del presente estudio fue determinar la frecuencia de aislamiento de microorganismos de tipo infeccioso y ambiental en leche de un grupo vacas clínicamente sanas en dos diferentes tipos de ordeño. Para ello se utilizaron muestras de leche de 289 vacas ubicadas en hatos de cuatro municipios del Norte del departamento de Antioquia en diferentes sistemas de ordeño (manual y mecánico), a cada muestra de leche se le hizo cultivo bacteriológico para determinar la presencia de microorganismos. De 289 muestras de leche evaluadas, 193 (66,78%) fueron positivas para aislamiento de cualquier tipo de patógeno (ocho diferentes patógenosaislados), de las cuales 81 (28,02%) muestras provenían de ordeño manual y 112 (38,75%) pertenecían a ordeño mecánico, encontrando un mayor porcentaje de aislamiento de patógenos bacterianos en muestras de leche provenientes de sistema de ordeño mecánico (p=0,0236). El patógeno de mayor aislamiento fue el Arcanobacterium haemolyticum (antes clasificado como Corinebacterium sp), microorganismo que hace parte de la flora saprófita del animal, con presencia de manera individual en el 20,14% de las muestras analizadas y en confección con otros patógenos en 0,7% de las muestras. El microorganismo que siempre se reporta como mayor productor de mastitis subclínica en bovinos es el Streptococcus agalactiae, un patógeno infeccioso, que en el presente estudio se aisló del 12,50% de las muestras de leche. Se determinó el Odds ratio (OR), entre aislamiento de Streptococcus agalactiae y Score de Células somáticas (SCS) que fue estadísticamente significativo, indicando que cuando está presente este patógeno el SCS aumenta y los animales son más susceptibles a padecer mastitis.

Abstract A microbiological analysis was performed to determine the frequency of isolation of microorganisms of infectious and environmental type in milk from a group of clinically healthy cows in two different types of milking (manual and mechanical). To each sample of milk was made bacteriological culture to determine the presence of microorganisms. Of 289 milk samples evaluated, 193 (66.78%) were positive for isolation of any type of pathogen, of which 81 (28.02%) samples came from manual milking and 112 (38.75%) belonged to mechanical milking, finding a higher percentage of isolation of bacterial pathogens in milks coming from mechanical milking system (p = 0.0236). The most isolated pathogen was the Arcanobacterium haemolyticum, A microorganism that forms part of the saprophytic flora of the animal, with an individual presence in 20.14% and in coinfection with other pathogens in 0.7% of the samples. The most common microorganism of subclinical mastitis in cattle is Streptococcus agalactiae, which in the present study was isolated from 12.50% of milk samples. The odds ratio (OR) between the isolation of Streptococcus agalactiae and the Somatic Cell Score (SCS) was determined, which was statistically significant, indicating that when this pathogen is present the SCS increases and the animals are more susceptible to mastitis.

Resumo O objetivo deste estudo foi determinar a frequência de isoLamento de microorganismos de tipo infecciosos e ambientaL no Leite de um grupo de vacas cLinicamente saudáveL em dois diferentes tipos de ordenha. Para este fim utiLizaram-se amostras do Leite de 289 vacas LocaLizadas em rebanhos de quatro municipaLidades do Norte de Antioquia com dois tipos diferentes de ordenha (manuaL e mecânica), a cada amostra do Leite foi feito um cuLtivo bacterioLógico para determinar a presença de microorganismos. De 289 amostras do Leite avaLiadas, 193 (66,78%) foram positivas para o isoLamento de quaLquer tipo de agente patogênico (oito diferentes agentes patogênicos isoLados), das quais 81 (28,02%) amostras eram de ordenha manuaL e 112 (38, 75%) foram de ordenha mecânica, encontrando uma maior percentagem de isoLamento dos agentes patogênicos bacterianos nos Leites provenientes do sistema de ordenha mecânica (p = 0,0236). O agente patogênico mais isoLado foi Arcanobacterium haemolyticum (Corinebacterium sp), microrganismo que faz parte da flora saprófita do animaL, presentes individuaLmente em 20,14% das amostras anaLisadas, e em reLação com outros agentes patogênicos o 0,7% das amostras. O microrganismo que sempre se reporta como o maior produtor de mastite subcLínica em gado é o Streptococcus agalactiae, um agente patogênico infeccioso, que neste estudo foi isoLado no 12,50% das amostras do Leite. Foi determinado o Odds ratio (OR) entre o isoLamento de Streptococcus agalactiae e Pontuação das céLuLas somáticas (SCS), e foi estatisticamente significativo, indicando que quando o agente patogênico está presente, o SCS aumenta e os animais são mais susceptíveis à mastite.

Premotor symptoms and the risk of Parkinson's disease: A case-control study in Mexican population.

OBJECTIVES: To assess the prevalence of pre-motor symptoms and estimate the risk for developing Parkinson's disease in Mexican population. PATIENTS AND METHODS: A case-control study was carried out with consecutive subjects with Parkinson's disease from two different referral centers in Mexico. Gender- and age-matched controls were randomly selected from the participating hospitals. All subjects were assessed using a structured questionnaire for the assessment of pre-motor symptoms (hyposmia, depression, anxiety, constipation, and sleep disorders). Odds ratios (OR) were calculated using logistic regression analysis. RESULTS: A total of 430 subjects with PD and 430 healthy subjects were included. Premotor symptoms prevalence was 77.7% (n=334) for the PD group, compared to 41.3% (n=178) in the control group (p<0.001). After logistic multivariate analysis, previous history of hyposmia (OR 2.02 [95% CI 1.33-3.06]), depression (OR 2.52 [95% CI 1.67-3.84]), anxiety (OR 4.37 [95% CI 2.73-6.98]) and sleep disorders (OR 2.03 [95% CI 1.41-2.93]) were independently associated with Parkinson's disease. Overall prediction success of the model was 81.2% for controls and 61.2% for subjects with PD. CONCLUSION: All five premotor symptoms assessed were more commonly reported in PD subjects than healthy controls. The presence of non-motor symptoms yield a prediction success of 71.2% to discriminate between PD subjects and healthy controls.

Evidence of hepatitis A virus circulation in central Argentina: seroprevalence and environmental surveillance.

BACKGROUND: Hepatitis A virus (HAV) has shown intermediate endemicity in Argentina, but notification of clinical cases has decreased since the introduction of the vaccine in 2005. OBJECTIVES: In order to get insight into the local circulation of this virus after four years of the official introduction of the vaccine, the aims of this study were to provide information on HAV immune status of the adult population of Córdoba city and to conduct environmental surveillance of HAV in sewage and river samples in the same region. STUDY DESIGN: The prevalence of anti-HAV was determined by EIA in 416 samples of people (without prior vaccination) from Córdoba city (2009-2010). Spline regression models were estimated under generalized additive models. Environmental surveillance was conducted in river and sewage samples collected in the same period. Viral detection was performed by RT-Nested PCR of the 5'UTR. RESULTS: In Córdoba, the global prevalence of anti-HAV was 73.5%. It increased with age (p<0.0001) and it was associated with the low-income population (OR: 1.14; 95% CI 1.05-1.25). This prevalence decreased in younger age groups, especially in the high-income population. Environmental monitoring revealed the presence of HAV (IA) in 20.8% and 16.1% of wastewater and river samples, respectively. CONCLUSIONS: As a consequence of a decrease in HAV circulation due to improvements in immunization, socio-economic and hygienic conditions, young adults are becoming increasingly susceptible to HAV infections. Environmental monitoring demonstrated that HAV circulates in the local population; therefore, health care systems should consider the implementation of preventive measures for susceptible adults in order to reduce the risk of HAV infection.

Differences in early and late stages of information processing between slow versus fast participants.

The human brain is a system consisting of various interconnected neural networks, with functional specialization coexisting with functional integration occurring both; temporally and spatially at many levels. The current study ranked and compared fast and slow participants in processing information by assessing latency and amplitude of early and late Event-Related Potential (ERP) components, including P200, N200, Premotor Potential (PMP) and P300. In addition, the Reaction Time (RT) of participants was compared and related to the respective ERP components. For this purpose, twenty right-handed and healthy individuals were subjected to a classical ERP "Oddball" paradigm. Principal Component Analysis (PCA) and Discriminant Function analyses (DFA) used PRE components and the Reaction Time (RT) to classify individuals. Our results indicate that latencies of P200 (O2 electrode), N200 (O2), PMP (C3) and P300 (Pz) components are significantly reduced in the group of fast responding participants. In addition, the P200 amplitude is significantly increased in the group of fast responding participants. Based on these findings, we suggest that the ERP is able to detect even minimal impairments, in the processing of somatosensory information and cognitive and motor stages. Hence, the study of ERP might also be capable of assessing sensorimotor dysfunctions in healthy old-aged people and in neuropsychiatric patients (suffering from dementia, Parkinson's disease, and other neurological disorders).