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PubMed1999

Relationship between perceived parental monitoring and young adolescent girls' sexual and substance use behaviors.

STUDY OBJECTIVE: The purpose of the study was to examine the independent effects of perceived parental monitoring on sexual experience, contraceptive, and substance use. DESIGN, SETTING, AND PARTICIPANTS: Adolescent females at an urban-based adolescent clinic (N = 174; 41% sexually experienced) rated the extent to which they were directly and indirectly monitored by their parents. MAIN OUTCOME MEASURES: These perceptions were compared with reported contraceptive use as well as substance use. Direct parental monitoring was best described using two dimensions: direct monitoring and direct monitoring when with peers. RESULTS: Direct monitoring was found to be associated with the use of hormonal birth control methods at last intercourse. Direct parental monitoring when with peers was found to be associated with less use of alcohol and cigarettes. CONCLUSIONS: These data suggest that parental monitoring is a relevant factor for primary care physicians to explore during treatment.

Adolescent↗
PubMed2002

Low parental monitoring predicts subsequent pregnancy among African-American adolescent females.

STUDY OBJECTIVE: Accumulating evidence suggests that parental monitoring is associated with adolescents' sexual risk behaviors. However, evidence associating low parental monitoring with greater odds of becoming pregnant has not been reported. The objective of this study was to prospectively assess the relationship of low perceived parental monitoring with incidence of biologically confirmed pregnancy among a sample of low-income African-American adolescent females. DESIGN: A prospective study. SETTING AND PARTICIPANTS: African-American females 14-18 years of age were recruited from schools and health clinics in low-income neighborhoods. Adolescents completed an in-depth survey and interview at baseline and 6 months later. The study achieved an 85.7% baseline participation rate (n = 522) and 92% (n = 482) returned at follow-up. Only adolescents who initially tested negative for pregnancy were included in the analysis (n = 410). MAIN OUTCOME MEASURES Incidence of biologically assessed pregnancy. RESULTS: In controlled analyses, among adolescents testing negative for pregnancy at baseline, those who reported less parental monitoring were 2.5 times more likely to become pregnant in the 6-month follow-up period (AOR = 2.50, 95% CI = 1.1-5.9, P <.04). CONCLUSION: Low parental monitoring was prospectively associated with incidence of biologically confirmed pregnancy among minority adolescent females. This finding adds to a growing body of empirical literature that supports the value of parental monitoring as a protective factor in adolescents' lives. Interventions designed to increase parental monitoring or adolescent females' perceptions of their parents' monitoring may be effective components of pregnancy prevention programs designed for minority youth.

Adolescent↗
PubMed2003

The role of the private sector in monitoring health care quality and patient safety.

BACKGROUND: As payers, purchasers, and providers, both the public and private sectors have a stake in developing sound methods of measuring health care quality and patient safety. However, the role of the private sector in a national quality monitoring system remains largely underdeveloped. PRIVATE SECTOR ROLE IN HEALTH CARE QUALITY MONITORING: There have been some attempts to pool private-sector data through health care industry efforts to measure and monitor the quality of health care services. Yet despite a number of public/private partnerships, no standard method exists for measuring and monitoring health care quality and safety across public and private payers. THE AHRQ WORKSHOP ON PRIVATE-SECTOR QUALITY MONITORING: The Agency for Healthcare Research and Quality (AHRQ) sponsored a workshop in fall 2000 to address the private sector's role in monitoring quality in the health care system. National experts developed a conceptual framework and recommendations on the design and scope of a private-sector data monitoring system. Ten key attributes of the monitoring system, such as timeliness of reports, flexibility, efficiency, and linkability, were identified. Barriers and gaps to the development of such a system include the cost of data collection, the diversity of the units of data collection, data privacy, and limitations of administrative data elements. SUMMARY: A comprehensive, public/private data collection system would address the multidimensional nature of quality and use data to effectively represent this complexity to the extent possible.

Consensus Statements as Topic↗
PubMed1983

Self-monitoring and sex as moderator variables in the statistical explanation of self-reported marijuana and alcohol use.

Self-monitoring and sex are examined as likely moderators of some of the known effective predictors of self-reported use of marijuana and alcohol. The theory of self-monitoring implies that in comparisons between low and high self-monitors, dispositional predictors account for more of the variance in reported use among low self-monitors and environmental predictors account for more of the variance among high self-monitors. With the two classes of predictors established via principal-components analysis and with subgroups defined by scores on Snyder's Self-Monitoring Scale, data from 807 college students showed that self-monitoring does not affect the action of either dispositional or environmental predictors. Thus, the self-monitoring construct promises explanatory leverage that in these tests, the scale is not able to deliver. When subgroups are defined by sex, analyses of reported alcohol use yield small but significant moderator effects: Women's use is more predictable from environmental variables, whereas men's use is more predictable from dispositional variables. These effects are consistent with the conclusions of recent meta-analyses of results from studies of sex differences in conformity to group pressures.

Alcohol Drinking↗
PubMed2000

Self-monitoring: appraisal and reappraisal.

Theory and research on self-monitoring have accumulated into a sizable literature on the impact of variation in the extent to which people cultivate public appearances in diverse domains of social functioning. Yet self-monitoring and its measure, the Self-Monitoring Scale, are surrounded by controversy generated by conflicting answers to the critical question, Is self-monitoring a unitary phenomenon? A primary source of answers to this question has been largely neglected--the Self-Monitoring Scale's relations with external criteria. We propose a quantitative method to examine the self-monitoring literature and thereby address major issues of the controversy. Application of this method reveals that, with important exceptions, a wide range of external criteria tap a dimension directly measured by the Self-Monitoring Scale. We discuss what this appraisal reveals about with self-monitoring is and is not.

Humans↗
PubMed1993

A specific binding of the cholecystokinin-releasing peptide (monitor peptide) to isolated rat small-intestinal cells.

A specific binding of the cholecystokinin (CCK)-releasing peptide (monitor peptide) to isolated rat jejunal mucosal cells was investigated. The 125I-labelled purified monitor peptide bound to the rat jejunal cells, and a large excess amount of the non-labelled monitor peptide inhibited the binding. The binding was completed within 60 min at 37 degrees C. The optimum pH for the binding was 8-9. A Scatchard plot of the specific binding was linear, and the dissociation constant was 50 nM. The density of the monitor-peptide-binding sites was high in duodenum but low in ileal and absent in colonic mucosa. A recombinant monitor peptide and four kinds of point mutants of it were prepared. The binding of the mutant monitor peptides to the cells indicated that only a trypsin inhibitor of the mutants could bind to the mucosal cells. Human pancreatic secretory trypsin inhibitor inhibited the specific binding, but other trypsin inhibitors, i.e. bovine basic pancreatic trypsin inhibitor, soybean trypsin inhibitor, egg-white trypsin inhibitor, leupeptin, antipain and FOY-305, did not affect the specific binding at all. These findings suggested that the specific binding site for the monitor peptide on the jejunal mucosal cells has a trypsin-like specificity, exhibiting a special specificity for the pancreatic-secretory-trypsin-inhibitor family. Autoradiography of an affinity-cross-linked complex of the 125I-labelled intact monitor peptide and the binding site suggested that its molecular mass was 33 kDa or 53 kDa in the presence or absence of 2-mercaptoethanol respectively.

Amino Acid Sequence↗
PubMed1998

Self-monitoring and student integration of community college students.

This article reports how the Self-Monitoring Scale (M. Snyder, 1974) predicted integration in the student integration model (V. Tinto, 1987, 1993) among a sample of 380 American community college students. A 2 x 2 between-subjects multivariate analysis of variance was performed on 2 dependent variables: academic and social integration. The independent variables were gender and self-monitoring (low and high). A significant main effect of self-monitoring was obtained for academic integration. Low self-monitors were significantly more likely to integrate academically than high self-monitors. A significant interaction effect of gender and self-monitoring was obtained for social integration. High self-monitoring men were significantly more likely to achieve social integration than low self-monitoring men.

Adolescent↗
PubMed1993

Comparison of chemiluminescence and ultraviolet ozone monitor responses in the presence of humidity and photochemical pollutants.

The effect of water vapor and other pollutants on ozone monitoring instruments was investigated. Five UV-type and two chemiluminescence-type monitors were employed in this study. The results of the study indicate that in systems containing ozone, water vapor and zero air only, the UV-based monitors showed negligible effects due to humidity. On average, the UV monitors were within 0.5 percent of independently determined ozone values judged to be extremely accurate. The chemiluminescence-based monitors showed systematically higher readings than the UV monitors with added water vapor. The effect was found to be linear with water vapor concentration with an average positive deviation of 3.0 percent per percent H2O at 25 degrees C. For these measurement, ozone concentrations ranged from 85 to 320 ppbv and water concentrations from 1 to 3 percent (i.e., dew point temperatures from 9 to 24 degrees C). These results are largely in agreement with previous studies conducted to measure this interference, although the present study extends the range of water concentrations tested. Studies were also performed with a smog chamber with simulated polluted air (containing paraffinic, olefinic and aromatic hydrocarbon precursors) and varying relative humidities. Although the presence of water vapor did not appear to represent a substantial interference in these systems, a positive interference was observed with the UV monitors. This interference was likely a result of the presence of toluene and some of its aromatic photooxidation products (e.g., benzaldehyde), which can be partially removed from the reference stream by the ozone scrubber within the UV monitor. If the compound absorbs radiation at 254 nm, it is detected as ozone. However, when the results are scaled back to ambient concentrations of toluene and NO(x), the effect appears to be very minor (ca. 3 percent under the study conditions). It is concluded that under atmospheric conditions at moderate pollution and relative humidity levels, both types of instruments can give accurate measurements of the ozone concentration. These potential effects should be recognized when conducting ambient ozone measurements.

Journal Article↗
PubMed1983

Uses and selection of equipment for engineering control monitoring.

Control monitoring (continuous multipoint monitoring of workplace air) has been used in a number of industries to help control worker exposure to a wide variety of contaminants. Control problems were identified and effective control has been maintained by keeping workers and management aware of pollutant levels in the workplace. To be used effectively, the control monitoring system must be viewed as an integral part of workplace control. In this report, the general uses of control monitoring equipment are given, the factors to be considered in choosing equipment for control monitoring purposes are discussed, and a number of advances such as the development of sampling and data acquisition and display components that would help to promote the future use of control monitoring equipment are given. The role of control monitoring in workplace control is examined by looking at the interactions of the control monitoring system with the other elements of workplace control (engineering control devices, work practices, and personal protective equipment).

Air Pollutants↗
PubMed1999

Monitoring temperature-sensitive vaccines and immunologic drugs, including anthrax vaccine.

The experience of the U.S. Army Medical Materiel Center, Europe (USAMMCE), in monitoring temperature-sensitive vaccines and immunologic drugs, including anthrax vaccine, during storage and shipment is discussed. USAMMCE uses an electronic monitoring device to monitor and archive the time-temperature history of shipments of various vaccines, immunoglobulins, and other drugs requiring refrigeration. Using these monitors, USAMMCE can track its carriers' performance, reduce product loss, and validate quality. USAMMCE trains people to pack refrigerated items and to activate and place the monitoring device inside the packing container. Over 1200 temperature-monitor readings from 44 U.S. military logistical depots, hospitals, and clinics located outside the United States are evaluated annually by the USAMMCE pharmacist; each reading represents one shipment or packed box. When deactivated during unpacking, the device flashes green for a successful shipment (all temperature readings within the ideal range) or red for a potentially problematic shipment. From January through October 1998, the device was used in 750 temperature-sensitive shipments; 72% of the devices were returned to USAMMCE in green condition and the remainder in red. Of the red-flashing monitors, 15% were determined to signal that the drugs were received in unacceptable condition. USAMMCE successfully shipped more than 26,000 vials of anthrax vaccine from February through October 1998 within the manufacturer's guidelines for storage temperature. Temperature monitoring is essential for proper storage and transport of vaccines and immunologic drugs.

Anthrax↗
PubMed1998

Reproducibility of cephalometric landmarks on conventional film, hardcopy, and monitor-displayed images obtained by the storage phosphor technique.

The aim of the present study was to evaluate and compare the reproducibility of cephalometric landmarks on (1) conventional films, and images acquired by storage phosphor digital radiography both on (2) hardcopy and (3) monitor-displayed versions. The material consisted of 19 cephalograms for each image modality. The phosphor plates were scanned in an image reader and the 10-bit normalized, raw data digital images were converted to 8-bit TIFF images for PC monitor-display. The digital hardcopies were produced in a laser printer. Six observers were asked to record 21 cephalometric landmarks on each conventional film, hardcopy, and monitor-displayed image. For the films and hardcopies, the landmark co-ordinates were recorded via a digitizing tablet. For the monitor-displayed images, the co-ordinates were recorded directly from the monitor using a dedicated Windows-based cephalometric program. Reproducibility was defined as an observer's deviation (in mm) from the mean between all observers. Differences between the image modalities and between the observers were tested by two-way analysis of variance for each landmark. There was a statistically significant difference between the reproducibility of film, hardcopy and monitor-displayed images in 11 of the 21 landmarks. There was no unequivocal trend that one modality was always the best. For a full cephalometric recording (the sum of all 21 landmarks), the monitor-displayed images (mean = 25.3 mm) had a lower precision than film (P < 0.005) and hard-copy (P < 0.02). There was no significant difference between film (mean = 21.8 mm) and hardcopy (mean = 22.8 mm). The lower reproducibility seen for the monitor-displayed images is most probably of little clinical significance.

Adolescent↗
PubMed1999

Voiding in patients managed with or without ultrasound monitoring of bladder volume after outpatient surgery.

UNLABELLED: The goal of this study was to determine whether recovery room monitoring of bladder volume would affect patient outcome after ambulatory surgery. Incidence of urinary retention and times to void and to discharge were compared in 161 patients managed with ultrasound bladder monitoring versus 173 controls without bladder monitoring. Urinary retention was diagnosed by clinical means or by ultrasound, confirmed by bladder catheterization. Patients were required to void or were catheterized before discharge. In the control patients without underlying risk factors for retention, median time to void was 95 min, and retention occurred in 0.8%, which was not significantly different from the ultrasound group (80 min and 0%, respectively). After hernia/anal surgery or spinal/epidural anesthesia, voiding was delayed (130 and 213 min), incidence of retention was increased (17% and 13%), and there was a trend toward earlier voiding (168+/-99 vs. 138+/-68 min) with bladder monitoring. We conclude that most patients at low risk of retention void within 3 h of outpatient surgery; their outcome is unaffected by bladder monitoring. After hernia/anal surgery and spinal/ epidural anesthesia, the likelihood of urinary retention is increased, and ultrasound monitoring facilitates deciding whether such patients should be catheterized. IMPLICATIONS: Incidence of bladder catheterization and urinary retention were compared in patients managed with and without ultrasound monitoring of bladder volume after outpatient surgery. Monitoring did not alter outcome in patients at low risk of retention, but it facilitated determining when to catheterize patients at high risk of retention (hernia/anal surgery, spinal/epidural anesthesia).

Adult↗
PubMed1988

Routine use of laser Doppler flowmetry for monitoring autologous tissue transplants.

This is a report of a prospective study in which 41 consecutive autologous tissue transplants were monitored using the Laserflo BPM model 403 laser Doppler monitor (TSI Inc., St. Paul, MN). Flaps were monitored both intraoperatively and postoperatively, and clinical flap monitoring was compared with laser Doppler monitoring. Twenty-nine flaps had no problems as indicated by clinical or Doppler measurement. Twelve flaps underwent 13 reexplorations; one flap was explored twice. Five venous and five arterial anastomoses were corrected, with complete survival of the flaps. Three hematomas were evacuated. Two of these flaps failed. There were no instances where the laser Doppler indicated a problem with flap viability that subsequently did not merit reexploration. There were no instances of flap failure undetected by the laser Doppler. In comparison to the clinical monitoring, laser Doppler monitoring was more rapid and more precise in identifying problems with the flap. The use of this monitor has improved our salvage rate for flap reexploration from 50 to 85% and has provided a more objective standard for both nurses and physicians to evaluate flaps in the perioperative period.

Graft Occlusion, Vascular↗
PubMed1996

Planning patient services for intermediate care units: insights based on care for intensive care unit low-risk monitor admissions.

OBJECTIVE: To describe the technology and nursing services that would be required to care for intensive care unit (ICU) low-risk monitor admissions in an intermediate unit. DESIGN: Prospective, multicenter, inception cohort analysis. SETTING: Forty U.S. hospitals with > 200 beds, including 26 hospitals that were randomly selected and 14 that volunteered for the study. PATIENTS: A sample of 8,040 ICU patients admitted to the ICU for monitoring, who received no active life-support treatment on ICU day 1. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Demographic, physiologic, and treatment information were obtained during ICU days 1 to 7. A previously validated multivariate equation was used to identify 6,180 monitor admissions at low (< 10%) risk for receiving active treatment during their entire ICU stay. We used daily Therapeutic intervention Scoring System (TISS) data to identify the equipment, type and amount of nursing care, and the types of active treatment that would have been used had these ICU patients been admitted to an intermediate care unit. Mean day-1 ICU TISS scores were as follows: 16.4 for all patients; 18.3 for surgical patients; and 13.5 for medical admissions. Concentrated nursing care accounted for 89% and technologic monitoring for 11% of day-1 TISS points. Surgical admissions had a 2.8-day mean ICU length of stay and received an average of 16.5 TISS points per patient per day. Medical admissions had a 2.7-day mean ICU length of stay and received an average of 12.3 TISS points per patient per day. Subsequent active life-support therapy was received by 4.4% of these ICU low-risk monitor admissions. CONCLUSIONS: The services received by ICU low-risk monitor admissions provide insight regarding the equipment and nursing care that might be required, and the kinds of emergencies that might occur, if these patients were cared for in medical and surgical intermediate care units. Our data suggest that if ICU low-risk monitor patients were admitted to an intermediate care unit, they would mainly require concentrated nursing care (nurse/patient ratio of 1:3 to 1:4) and limited technologic monitoring.

APACHE↗
PubMed2002

Reliability and validity of Canada's Physical Activity Monitor for assessing trends.

PURPOSE: This investigation assessed the reliability and criterion validity of the Physical Activity Monitor, a telephone-interview adaptation of the Minnesota Leisure Time Physical Activity Questionnaire (MLTPAQ), which is currently used to assess trends in the Canadian population. METHODS: A sample of 512 people aged 18 yr and older was selected by random-digit dialing for telephone interviewing in the reliability study. The Monitor questions were administered twice, 3 wk apart. For the criterion validity study, a sample of 148 people aged 18-69 yr was selected at random from households. Participants completed the Monitor questions by telephone and an in-home step test to estimate maximum oxygen uptake. Another random sample of individuals aged 18-69 yr participated in a comparison study of the Monitor against the 1988 Campbell's Survey of Well-Being (CSWB) instrument. All studies were conducted in the vicinity of Toronto, Ontario. Spearman correlations controlling for age and sex were calculated as a measure of association for the reliability, validity, and comparison studies. Validity estimates were further adjusted for body mass index and physical activity demands of work and chores. RESULTS: The Monitor instrument produced reliable estimates of total energy expenditure (P=0.90, P<0.0001) with criterion validity of 0.36 (P<0.0001). The association between estimates of total energy expenditure derived from the Monitor and CSWB instruments was 0.77 (P<0.0001). CONCLUSION: The Physical Activity Monitor has acceptable test-retest reliability and criterion validity. The research also demonstrated that for the purpose of population monitoring a change in data collection mode-telephone interview versus self-administration in households-can yield reasonably comparable estimates from two adaptations of the MLTPAQ.

Adult↗
PubMed1992

Improved salvage of complicated microvascular transplants monitored with quantitative fluorometry.

Quantitative fluorometry has been used to monitor circulation in transplanted toes and cutaneous flaps in our unit since 1982. Analysis of 177 uncomplicated transplants monitored by quantitative fluorometry shows that this technique has low false indication rates for arterial occlusion (0.6 percent of patients) and venous occlusion (6.2 percent of patients). None of these patients was reexplored because of a false monitor reading, and except for single abnormal sequences, monitoring appropriately indicated intact circulation throughout the postoperative period. Quantitative fluorometry has correctly indicated vascular complications in 21 (91.3 percent) of 23 transplants over an 8-year period. The salvage rate (85.7 percent) of the fluorescein-monitored reexplored transplants was significantly higher than the salvage rates of similar reexplored transplants not monitored with fluorescein and of reexplored muscle flaps (which cannot be monitored with the fluorometer used at this unit). These clinical data indicate that quantitative fluorometry is a valid and useful postoperative monitor for transplanted toes and cutaneous flaps.

Fluorometry↗
PubMed2003

Validation of the ROSSMAX blood pressure measuring monitor according to the European Society of Hypertension International Protocol for Validation of Blood Pressure Measuring Devices in Adults.

BACKGROUND: It is now accepted that blood pressure measuring devices should be subjected to an independent evaluation of their accuracy before they are marketed for clinical use. The results of validation of the ROSSMAX Blood Pressure Measuring Monitor for self-measurement according to the European Society of Hypertension International Protocol for Validation of Blood Pressure Measuring Devices in Adults are presented in this paper. POPULATION: Thirty-three subjects were recruited from among staff and patients at Beaumont Hospital, Dublin, Ireland. METHODS: The ROSSMAX monitor was connected to the Sphygmocorder, an audiovisual system for validation, which records blood pressure on tape and video for later analysis. Nine sequential same-arm measurements between the device and a standard mercury sphygmomanometer were recorded using the Sphygmocorder. RESULTS: In phase 1, the ROSSMAX monitor produced 21 measurements within 5 mmHg, 31 within 10 mmHg and 38 within 15 mmHg for systolic blood pressure (SBP), and 36 within 5 mmHg, 43 within 10 mmHg and 45 within 15 mmHg for diastolic blood pressure (DBP). The mean differences were -5.6 (10.2) [mean (SD)] mmHg for SBP and -0.5 (4.5) mmHg for DBP. The ROSSMAX monitor failed to meet any of the criteria for SBP but comfortably passed all of the criteria for DBP. In phase 2.1, the ROSSMAX monitor had 51 measurements within 5 mmHg, 73 within 10 mmHg and 86 within 15 mmHg for SBP, and 71 measurements within 5 mmHg, 93 within 10 mmHg and 98 within 15 mmHg for DBP. The mean differences were -4.5. (9.5) mmHg for SBP and -1.8 (5.0) mmHg for DBP. The ROSSMAX monitor failed to meet any of the criteria for SBP but comfortably passed all of the criteria for DBP. In phase 2.2, 16 subjects had at least two of the differences lying within 5 mmHg and 10 subjects had no differences within 5 mmHg for SBP; 26 subjects had at least two of the differences falling within 5 mmHg and three subjects no differences within 5 mmHg for DBP. The ROSSMAX monitor failed to meet the criteria for SBP but passed the criteria for DBP. CONCLUSIONS: The ROSSMAX monitor cannot be recommended for clinical use in an adult population because it records SBP inaccurately.

Adult↗
PubMed1998

Gender and situational context moderate the relationship between self-monitoring and induction of self-disclosure.

Male and female undergraduates who differed in degree of self-monitoring interviewed same-sex strangers to test the hypothesis that interviewer self-monitoring propensities foster self-disclosure only in disclosure-conducive contexts (i.e., collaborative contexts for men and social-expressive contexts for women). Results indicated that high self-monitoring (but not low self-monitoring) interviewers of each gender were notably more successful at eliciting personal information in the contexts generally considered amenable to male and female self-disclosure than in disclosure-nonconducive contexts. Moreover, male high self-monitoring interviewers reliably elicited more information than their low self-monitoring counterparts only in the disclosure-conducive (for men) collaborative context. However, high self-monitoring female interviewers did not elicit more information than their dispositional counterparts in disclosure-conducive, social-expressive contexts, although they reliably induced less disclosure than low self-monitors in the disclosure-nonconducive (for women) collaborative context.

Analysis of Variance↗