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Analysis of individual, intraspecific and interspecific variability in quantitative parameters of caprine tooth enamel structure.

Qualitative and quantitative features of mammalian tooth enamel structure are increasingly being used in taxonomic and phylogenetic analyses, although the variability shown by these traits has not received adequate consideration. This study evaluates the variability displayed by nine quantitative parameters in deep, intermediate, and superficial molar enamel in the closely related bovids Ovis aries and Capra hircus. These parameters are assessed in terms of the absolute and/or relative variability evinced at a given depth within a single individual, among conspecific individuals, and between species samples. The degrees of relative variability expressed at a given depth are comparable among conspecific individuals and between taxonomic samples. Nevertheless, in many instances, there are significant differences in absolute variability amongst individuals. Also, in four parameters for which individual specimen averages could be calculated, the equality of these means among conspecifics can be rejected. Variability is not equivalent at different enamel depths. The null hypothesis of equality of individual, conspecific variances can be rejected most commonly for parameters measured in deep and superficial enamel, and coefficients of variation also tend to be higher for deep and superficial enamel than for enamel of intermediate depth. The greater variability displayed by deep and especially superficial enamel may be related to the initial onset and the terminal phase of ameloblastic secretory activity. Taxonomic and phylogenetic analyses that utilize quantitative data on enamel structure are valid only if comparisons have been made at equivalent enamel depths.

Ameloblasts

[Criterion-oriented measurement in clinical psychology: development of a test on stress management].

Criterion-oriented tests evaluate the performance of the individual in relation to a given criterion which describes abilities and skills (intended competencies). The measuring process decides statistically if the person is "mastering" the criterion or not. The intended competencies should be represented by test items of high content-validity. The structure and application of this method especially to diagnostical issues of clinical psychology and therapeutic control are discussed. Steps are described construing a criterion-oriented test of stress and coping processes related to depressive and fearful behavior. The test is based on a situation-action-model in the theoretical framework of "stress and coping", "self-efficacy", "control" and "learned helplessness". Method and construction of items are shown in order to find some dimensions of coping-behavior-in-situations (appraisals, person-directed and environment-directed actions) and its sequential organisation in stressful episodes.

Adaptation, Psychological

Estimation of individually adapted control parameters for an artificial beta cell.

For optimum long-term glycemic regulation using a miniaturized artificial beta cell it is indispensible to estimate control parameters suited to the individual requirements of each diabetic patient. To solve this problem, a strategy has been developed which is based on engineering optimum-control theory with a model involving glucose and insulin interactions. The model considers physiologically relevant unit processes like endogenous glucose production, insulin-independent glucose uptake from its apparent distribution space, insulin-dependent glucose utilization, glucose-dependent insulin supply, and insulin catabolism. The assumed model structure is validated by results obtained in experimentally diabetic dogs using partition analysis. The individual parameter values of the model are obtained by a digital computer procedure based on a simple test which involves a bolus injection of glucose + insulin when a constant basal insulin dose is being administered in the diabetic in whom normoglycemia was re-established before the test. The method presented is recommended for future use in all cases where an optimized insulin regimen is to be worked out.

Animals

[Noninvasive monitoring with echocardiography. I. Ventricular function following thiopental and positive pressure breathing].

Using continuous M-mode echocardiography for measuring diameters of the left ventricle and calculating variables of left ventricular contractility during induction of anaesthesia the hemodynamic effects of thiopentone and of positive end-expiratory pressure breathing (PEEP) have been noninvasively assessed in 22 patients undergoing minor surgery (series A, n = 4 + 6, thiopentone) or cholecystectomy (series B, n = 12, PEEP). 4 mg X kg-1 i.v. (group I, n = 4) and 2 X 4 mg X kg-1, the second dose injected i.v. 5 min later (group II, n = 6), led in group I to a short lasting and in group II to a prolonged (duration of each experiment 10 min) significant decrease of the ejection fraction (EF), the shortening fraction (FS) and the mean velocity of circumferential fiber shortening (VCF mean). Thus the well known negative inotropic effect of thiopentone has been proven once more this time by noninvasive echocardiography. The influence of PEEP 5 and 10 cm H2O was evaluated in two ways: 1) by finding the incidence and extent of diminishing the "echocardiographic window" due to overexpansion of the lung during PEEP, rendering the sonographic visualization of the cardiac structures less valid, and 2) by assessing potential haemodynamic effects of PEEP. The curves of 3 in 12 cases (25%) have not been able to be evaluated properly because of "window closing"; in the residual 9 patients during PEEP 10 a significant decrease of the above mentioned parameters of contractility in comparison to PEEP 0 has been observed. IPPB without PEEP apparently does not disturb echocardiographic visualization.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent

[An analysis of the quality of life of rehabilitated patients].

The improvement of the survival of cardiac patients may cause an impairment of their quality of life. At present, the study of the quality of life of the patients and its changes, must be considered as one of the aims of the Medicine. This study must be comprised clinical, functional, intellectual, social, and labor aspects, and all the items related to the environment of the patient. The first questionnaires used for the study of quality of life were generic but later on, specific questionnaires for different pathologies were found to be preferential. At present, there are questionnaires for hypertensive, myocardial infarction, angina and heart failure patients, and among them the questionnaire for myocardial infarction patients, structures and validated by the authors which has been used to study the quality of life postinfarction patients who followed a cardiac rehabilitation programme.

Humans

Juvenile chronic arthritis: a biobehavioral disease. Some unsolved questions.

This review presents a multidimensional biopsychosocial model suitable for evaluating medical and psychosocial empirical findings in juvenile chronic arthritis (JCA). The possible predisposing, provoking and modifying variables that have been assessed in studies of JCA are presented, together with suggestions for further research. The model is appropriate for structuring and validating data in future longitudinal studies and may also serve as a frame of reference for a multi-professional team approach in the care of rheumatic children and their families.

Adolescent

Elderly patients' satisfaction with hospital care.

OBJECTIVES: The aim of this study was to assess patient satisfaction with the geriatric services of a district general hospital and to examine whether there was a difference in satisfaction between patients in hospital and those who had been recently discharged. METHODS: A structured and validated patient satisfaction questionnaire was administered before discharge to hospitalised patients with a mental test score of 8 or more. It was also administered to a group of patients in the community who had been discharged from hospital not more than 72 hours earlier. The questionnaire was designed to assess seven separate areas, and contained 51 statements with which patients were asked to agree or disagree. Statistical analysis was by the Mann-Whitney U test and p < 0.05 was taken as significant. A total of 134 elderly patients (> 72 years) were surveyed over a four-month period. RESULTS: Satisfaction with the hospital geriatric service was high in both groups of patients. However, patient satisfaction differed between the two groups in three areas: interpersonal aspects; access, availability and convenience of the health services; and financial aspects.

Aged

Evaluating and validating two methods for estimating brain structure volumes: tessellation and simple pixel counting.

Developments in imaging technology have made three-dimensional visualization of internal brain structures possible with excellent resolution. Since improved visualization implies improved measurement, these advances hold promise to more accurately measure the volumes of internal structures. As new technologies and techniques emerge, evaluating the relative benefits of measurement methods becomes necessary. We compared and evaluated two methods of estimating volumes from images of brain structures. One method counted pixels within a region of interest, while the other method tessellated the surface between tracings on adjacent slices. Our study assessed both measurement error for true phantom volumes and method disparity for in vivo structures in a randomly selected sample of subjects (n = 100). For our comparisons, we focused on the temporal lobe, ventricular system, and hippocampus. Bias, independence of measurement errors and maximal discrimination of individual differences are properties that are relevant to validating and evaluating measurements of cerebral structure. Pixel counting proved to be the more robust of the two methods, being less sensitive to nuisance-interactions between size of object, shape, and slice thickness. Clinical and research applications of imaging techniques may have distinctive but overlapping needs when evaluating and validating new developments in imaging.

Adult

Validation tools: can they indicate the information content of macromolecular crystal structures?

The explosive increase in the number of published three-dimensionsal structures of macromolecules determined by X-ray analysis places a responsibility on experimentalists, referees and curators of databases to ensure correspondence between the structure parameters and data. Validation tools will evolve as more appropriate statistical techniques and new information, such as that from proteins analysed at atomic resolution, becomes available.

Crystallography

Inclusion of conserved buried water molecules in the model structure of rat submaxillary kallikrein.

A new approach to the molecular modelling of homologous serine proteases is adopted, by including a set of 21 buried waters known to be preserved in enzymes sharing the primary specificity of trypsin, in the homology modelling of rat submaxillary gland kallikrein. Buried waters--water molecules sequestered from bulk solvent within a protein matrix--appear to be integral conserved components of all serine proteases of known structure and should be incorporated into serine protease models built on the basis of sequence/structural homology to this family. The absence of such waters might induce errors in a force field simulation, favouring the formation of nonexistent hydrogen bonds and locally inaccurate structure. The kallikrein model refinement has led to the conclusion that an additional buried water should be added to the original rigid matrix of 21 conserved water molecules. The structurally preserved protein cavities of such waters validate the modelled structure.

Amino Acid Sequence

Analysis of the in vitro secondary structure of cucumber mosaic virus satellite RNA.

The solution conformation of two variants of cucumber mosaic virus satellite RNA (CMV satRNA) was analyzed using several enzymatic and chemical probes. Ribonuclease T1 and nuclease S1 were used to map unpaired nucleotides, and nuclease V1 was used to detect double-stranded, or stacked, bases. Chemical probing with dimethylsulphate and diethylpyrocarbonate also identified unpaired and unstacked nucleotides, respectively. Modified or cleaved positions were identified by direct gel electrophoresis of radioactively labeled RNA, or by analysis of DNA sequence patterns generated by primer-extension with reverse transcriptase. Additional information was obtained by a gel-fractionation method under nondenaturing conditions for the identification of base paired fragments. On these data, a model for the in vitro secondary structure of CMV satRNA is proposed. Results support the existence of a complex structure with 51% of nucleotides involved in base pairs (40 G:C, 28 G:U, and 18 A:U pairs). Several structural elements, numbered I-VI, were defined, and interactions between separate domains are suggested. Comparisons of experimental data and a formerly reported secondary structure model for CMV satRNA support the validity of the structure we propose.

Base Composition

Psychometric analysis of the Functional Assessment of Cancer Therapy-General (FACT-G) scale in a rural sample.

BACKGROUND: Quality of life for persons with cancer has been studied extensively in urban populations. The Functional Assessment of Cancer Therapy-General (FACT-G) scale was developed for use in clinical trials. The authors tested the psychometric properties of the FACT-G scale in a sample of rural cancer patients. METHODS: A systematic replication of the 1993 study by Cella et al., in which FACT-G was developed, was employed to assess the reliability, validity, and factor structure of the scale. RESULTS: The reliability and validity of the FACT-G scale for evaluating rural cancer patients was determined to be sufficient for research purposes. The factor structure was the same as that reported by Cella et al. CONCLUSIONS: The FACT-G scale is appropriate for use in studies of the quality of life of rural cancer patients.

Aged

Validation of the Bech-Rafaelsen Mania Scale using latent structure analysis.

The essential criteria of internal validity have not been sufficiently evaluated for any mania rating scale, although the fulfillment of such criteria is a prerequisite for summing the item scores to give a total score reflecting the severity of mania, and for comparing total scores across patient groups that differ with regard to variables such as age and sex. This study investigated the internal validity of the Bech-Rafaelsen Mania Scale (MAS), based on the ratings of 100 consecutively admitted drug-free DSM-III-R manic patients. Application of logistic latent structure models did not statistically confirm the additivity of the MAS. However, a modified MAS (the MAS-M) arising from the analyses fulfilled the measurement model. Transferability of the MAS-M across age and sex was also confirmed. The MAS-M showed an acceptable concurrent validity and an adequate sensitivity in discriminating between responders and non-responders among patients participating in a drug trial. The MAS-M presented here is the first mania rating scale that has been shown to fulfil statistical criteria for internal validity.

Adult

Simultaneous-successive factor structure of the WISC-R: a validation study.

It has been suggested that the Wechsler Intelligence Scale for Children--Revised (WISC--R) may usefully be interpreted in terms of a Simultaneous-Successive factor structure. A previous attempt to validate this hypothesis via factor analysis of 8 of the 12 WISC--R subtests was later shown to be an unreliable test of this model. The present study, performed upon 36 children, aged 6 1/2 to 12 1/2 yr., 45% female, 83% black, tested the validity of the two-factor model vis-á-vis the Kaufman Assessment Battery for Children (K-ABC), which is reported to have an unambiguous Simultaneous-Sequential (Successive) factor structure. Present results do not support a salient Simultaneous-Successive structure for the WISC--R, and clinicians should be wary of using the proposed two-factor model of the WISC--R for diagnostic or remedial purposes.

Child

The Adolescent Relapse Coping Questionnaire: psychometric validation.

OBJECTIVE: The present study was undertaken to assess the factor structure and psychometric validity of the Adolescent Relapse Coping Questionnaire (ARCQ). The ARCQ is designed to assess alcohol and other drug abusing adolescents coping with situations providing temptations for alcohol and other drug use. METHOD: This was a prospective longitudinal study of 136 (79 male) alcohol and other drug abusing adolescents who were an average of 16.9 years old. Consecutive admissions were recruited from two adolescent, inpatient alcohol and drug abuse treatment facilities. Subjects completed the ARCQ as part of a 1-year-posttreatment interview and were subsequently interviewed 2 years posttreatment. RESULTS: Analyses yielded three coping factors which were evaluated for construct and criterion validity. Factor 1 contained generic cognitive and behavioral problem-solving strategies, Factor 2 represented self-critical cognitions and Factor 3 included abstinence-focused coping strategies. The factors had good internal consistency (alpha = .78 to .82) and collectively accounted for 40% of the variance in the principle components analysis. The abstinence-oriented coping factor was significantly correlated with current alcohol and drug use and measures of situation appraisal, and significantly predicted alcohol and drug use during the year following assessment. CONCLUSIONS: The findings provide evidence for the psychometric validity of the ARCQ, provide convergent validation for the utility of the temptation-coping construct and further highlight differences between adult and teen addictive relapse.

Adaptation, Psychological

The Psychosomatic Symptom Checklist revisited: reliability and validity in a chronic pain population.

A psychometric evaluation of the SUNYA Revision of the Psychosomatic Symptom Checklist (PSC) was conducted with 405 chronic pain patients who completed the PSC as part of a diagnostic battery. Several properties of the measure were examined, including its reliability, internal consistency, discriminant validity, and factor structure. Contrary to a previous study, the measure demonstrated a modest reliability, a poor discriminant validity, and a multifactor structure that accounted for only a small proportion of the variance in the measure. Thus, the PSC did not appear to be an adequate measure of general psychosomatic distress when used with chronic pain patients. For these patients, the PSC may measure symptom clusters rather than general psychosomatic symptomatology. Since the PSC is used in various clinical populations, the results underscore the importance of investigating the properties of the measure in these populations.

Adult

Mental retardation as a Facade Self phenomenon: construct validation.

Predictions from Wagner's Structural Analysis theory were tested to validate a theoretical explanation of the personality of mentally retarded adults. The Rorschach and Hand Test were administered to 44 medical students and 60 institutionalized mentally retarded adults. Results coincided with predictions based on Structural Analysis. Implications of these results for the diagnosis of mental retardation were discussed. The potential of a special Rorschach Facade Self Index for differential diagnosis of other forms of psychopathology was noted.

Adult