Validity and reliability of the Chinese (Singapore) version of the Parkinson’s Disease Questionnaire (PDQ-39)

Objective: The purpose of the study was to validate the Chinese (Singapore) version of the Parkinson’s Disease Questionnaire (PDQ-39CSV) and its briefer version (PDQ-8CSV). Methods: A convenience sample of Chinese-speaking Singaporeans with Parkinson’s disease (PD) (n=63) completed a questionnaire containing the PDQ-39CSV and the Chinese (Singapore) EQ-5D. A subgroup also participated in a retest and/or a focus group discussion. A priori hypotheses were tested by examining correlations between PDQ-39CSV, PDQ-8CSV and EQ-5D scores and using principal component factor analysis. Reliability was assessed using Cronbach’s α and intra-class correlation coefficients (ICC). Results: Thirty-two PDQ-39CSV items correlated satisfactorily with their hypothesized dimensions (Spearman’s ρ ≥ 0.4). Factor analysis yielded a component on which all 8 PDQ-39CSV dimensions were substantially loaded (loading range: 0.53–0.89). As hypothesized, the PDQ-39CSV and PDQ-8CSV summary indices were highly correlated (Pearson’s r:0.95, ICC:0.94); correlations between related PDQ and EQ-5D scores were generally strong (Spearman’s ρ: 0.38–0.76, p<0.001 for all). Cronbach’s α values ranged from 0.64 to 0.90 and ICC values from 0.66 to 0.86. Conclusion: This study provides preliminary evidence supporting validity and reliability of both the PDQ-39CSV and its briefer version.     

Application of the Similarity Parameter (λ) to Prediction of the Joint Effects of Nonequitoxic Mixtures

Although environmental contaminants are usually encountered as nonequitoxic mixtures, most studies have investigated the toxicity of equitoxic mixtures. In the present study, a method for prediction of the toxicity of nonequitoxic mixtures was developed using the similarity parameter (λ). The joint effect of multiple contaminants at the median inhibition concentration in equitoxic ( \textTU_\textsum-50^{\textequitoxic} {\text{TU}}_{\text{sum-50}}^{\text{equitoxic}} ) and nonequitoxic ( \textTU_\textsum-50^{\textnonequitoxic} {\text{TU}}_{\text{sum-50}}^{\text{nonequitoxic}} ) binary, ternary, and quaternary mixtures was investigated using Vibrio fischeri. The observed results indicate that the concentration ratios of individual chemicals in the mixtures influenced the joint effects, and that λ could be employed to evaluate the relation between \textTU_\textsum-50^{\textequitoxic} {\text{TU}}_{\text{sum-50}}^{\text{equitoxic}} and \textTU_\textsum-50^{\textnonequitoxic} {\text{TU}}_{\text{sum-50}}^{\text{nonequitoxic}} . Prediction models for the joint effects of nonequitoxic ( \textTU_\textsum-50^{\textnonequitoxic} {\text{TU}}_{\text{sum-50}}^{\text{nonequitoxic}} ) mixtures were derived from a combination of \textTU_\textsum-50^{\textequitoxic} {\text{TU}}_{\text{sum-50}}^{\text{equitoxic}} and λ. The predictive capabilities of these models were validated by comparing the predicted data with the observed data for binary, ternary, and quaternary mixtures. The prediction models have promising applications in controlling environmental pollution, evaluating drug interactions, and optimizing combinations of pesticides used in agriculture.     

What is the use? Application of the short form (SF) questionnaires for the evaluation of treatment effects

Background

Health status has evolved as a clinical outcome measure that is of great interest in medical care. However, there is still debate about the appropriateness of scoring algorithms for the often used short form questionnaires. Therefore, our aim was to evaluate the consequences of the traditional scoring procedure based on orthogonal factor rotation for clinical applications by (a) re-evaluating the results of randomized controlled trials (RCTs) on the effectiveness of antidepressants in improving health status in cardiac patients and (b) comparing empirical evidence on depression and health status using orthogonal and oblique factor rotation (alternative scoring method) in a community sample and a heart failure (HF) sample.

Methods

This is a systematic literature review and cross-sectional analysis among 1,598 community sample participants and 282 HF patients.

Results

Orthogonal rotation artificially forces the mental component summary (MCS) and physical component summary (PCS) to be unrelated, which is illustrated in two of the three included RCTs. Two RCTs showed improvements in MCS, but no improvement in PCS over time. Cross-sectional analysis in the two datasets showed that employing the alternative scoring algorithm resulted in higher negative correlations of MCS and PCS with depression, and a gradual decline in MCS with each decile of decline in PCS.

Conclusion

Our data showed that appropriate carefulness is needed when calculating and interpreting summary scores. The traditional scoring algorithm seems inappropriate to objectively evaluate the effects of interventions on both the MCS and the PCS. Awareness in the design and evaluation of interventions using these outcomes is warranted.     

Combined effect of biopesticides on the digestive enzymatic profiles of Cnaphalocrocis medinalis (Guenée) (the rice leaffolder) (Insecta: Lepidoptera: Pyralidae)

Plant extracts, especially botanical insecticides, are currently studied more and more because of the possibility of their use in plant protection. Many of the natural plant compounds and organic compounds used in the control of insect pests are known to affect digestive enzymes. When fed a diet of rice leaves treated with botanical insecticides and bacterial toxins in bioassays, activities of the digestive enzymes protease, amylase, and lipase in the rice leaffolder larvae are affected. Digestive enzyme activities were affected by botanical insecticides and bacterial toxins individually and in combination. When combined, the effect was more severe at low concentration. There were statistically significant differences (P < or = 0.05) in enzyme activities in combined and individual treatments. The combination of Btk and botanical insecticides caused a two-fold decrease in enzyme activity even at reduced concentration. Clear dose-response relationships were established with respect to enzyme activity. A synergistic effect of botanical insecticides and bacterial toxins was found when combined in low doses. These effects are most pronounced in early instars.     

Effect of biopesticides on the lactate dehydrogenase (LDH) of the rice leaffolder, Cnaphalocrocis medinalis (Guenée) (Insecta: Lepidoptera: Pyralidae)

The effects of bacterial toxins (Bacillus thuringiensis) and botanical insecticides (Azadirachta indica and Vitex negundo) on lactate dehydrogenase (LDH) activity in Cnaphalocrocis medinalis (Guenée) (the rice leaffolder) were evaluated. Bacterial toxins and botanical insecticides affected the LDH activity individually and in combination. When they were combined, the effect was more severe at low concentration. There was a decrease in enzyme activity over controls at all concentrations tested. The combined effect of the three biopesticides resulted in a considerable decrease in enzyme activity, indicating strong enzyme inhibition. Clear dose-response relationships were established with respect to enzyme activity.     

Communities of heterotrophic protists (protozoa) in the near-bottom zone of the Gdańsk Basin

Biomass and generic diversity of heterotrophic protists (protozoa) were studied in the near-bottom zone at five stations located in the inner Gulf of Gdańsk and in offshore waters during June 2002. The highest protozoan biomass was observed in the inner Gulf of Gdańsk and close to the mouth of the Vistula River. Protozoan biomass decreased offshore. In well-oxygenated waters heterotrophic flagellates constituted 39–51%, of the protozoan biomass, ciliates constituted 18–25%, and heterotrophic dinoflagellates 29–39% of the protozoan biomass. These findings confirmed previous studies that showed that a high abundance of heterotrophic dinoflagellates is a distinct feature of the Gulf of Gdańsk. At one station located in the Gdańsk Deep, where the near-bottom zone was anoxic, the contribution of heterotrophic flagellates decreased to 18% and ciliates’ share increased to 82% of the protozoan biomass. No dinoflagellates were observed in the anoxic zone.     

Diet of the twaite shad Alosa fallax (Lacépède, 1803) (Clupeidae) in the Gulf of Gdansk, the Baltic Sea

Twaite shad Alosa fallax (12?C48 cm total length) from the Gulf of Gdansk feed on Mysids: Mysis mixta, Neomysis integer, and fish: Sprattus sprattus, Osmerus eperlanus, and Pomatoschistus sp.. In the stomachs of A. fallax there also occur Hydrobia sp., Diptera and small stones, particles of wood and plastic. The food of inshore twaite shad measured from 12 to 21 cm centered on M. mixta. Fish are the main prey for A. fallax from the class length 22?C31 cm from the Vistula River mouth and for all shads longer than 32 cm.     

泌尿生殖系统毒理学(下) 第二章 肾脏毒理学(toxicology of the kidney)

肾脏是主要的排泄器官,对调节和维持体内环境中体液的量和成分有重要作用.凡能引起肾脏功能异常或组织形态学改变的化学物及其代谢产物叫肾脏毒物,由这些化学物引起的肾脏损害称为中毒性肾病(toxicnephropathy)。第一节肾脏毒物一、烷化剂类(alkylating agents)     

Commentary on the paper “Reliability and validity of the Swedish version of the Fatigue Impact Scale (FIS)”

Abstract

Limited awareness of disabilities is common in mild cognitive impairment and dementia. In order to get a broader base in planning interventions, it is important to consider a person's awareness of his/her disability encountered in performance. The aim of this study was to examine the relationship between occupational performance and awareness of disability in older adults with mild cognitive impairment or dementia. Thirty-five older adults were evaluated with the AMPS (Assessment of Motor and Process Skills) and with the AAD (Assessment of Awareness of Disability). Many-faceted Rasch models generated individual measures of ADL performance and awareness of disability. Non-parametric correlation statistics were used to analyse the relationships. The findings showed that there was an overall positive relationship between occupational performance and awareness of disability. However, individual variations in the sample implied that limitations in performance were not equivalent to a limited awareness of disability. In conclusion, awareness of disability should be individually evaluated when planning interventions together with clients and their families.     

Korean version of the Caregiver Quality of Life Index – Cancer (CQOLC-K)

Objective: The aim of this study was to develop and evaluate the internal consistency and construct validity of a Korean version of the Caregiver Quality of Life Index – Cancer (CQOLC-K). Methods: The CQOLC-K was administered to 270 caregivers, along with the Medical Outcomes Study Short Form-36 (SF-36) and the Beck Depression Inventory (BDI). Results: Internal consistency of the CQOLC-K (0.90) and all inter-scale correlations were significant in the expected direction (p < 0.001). Convergent validity was supported with moderate to strong correlations between the CQOLC-K and the mental component scores of the SF-36 (r = 0.39–0.58), and between the CQOLC-K and the two BDI scores (r = 0.50 and 0.60). Divergent validity was supported by weaker or negligible correlations between the CQOLC-K and the physical component scores of the SF-36 (r = 0.16–0.30). Contrasting groups validity showed that the CQOLC-K was able to distinguish clearly between patients differing in treatment history (p < 0.005), performance status (p < 0.005), care area (p < 0.005), and length of time after diagnosis (p < 0.005). Conclusion: These findings support the internal consistency reliability and construct validity of the Korean version of the CQOLC-K. The instrument can be used to measure quality of life in caregivers of cancer patients in clinical and epidemiological research.     

Implementation of human biomonitoring in the Dehcho region of the Northwest Territories,Canada (2016–2017)

Background

Human biomonitoring represents an important tool for health risk assessment, supporting the characterization of contaminant exposure and nutrient status. In communities where country foods (locally harvested foods: land animals, fish, birds, plants) are integrated in the daily diet, as is the case in remote northern regions where food security is a challenge, such foods can potentially be a significant route of contaminant exposure. To assess this issue, a biomonitoring project was implemented among Dene/Métis communities of the Dehcho region of the Northwest Territories, Canada.

Methods

Participants completed dietary surveys (i.e., a food frequency questionnaire and 24-h recall) to estimate food consumption patterns as well as a Health Messages Survey to evaluate the awareness and perception of contaminants and consumption notices. Biological sampling of hair, urine and blood was conducted. Toxic metals (e.g., mercury, lead, cadmium), essential metals (e.g., copper, nickel, zinc), fatty acids, and persistent organic pollutants (POPs) were measured in samples.

Results

The levels of contaminants in blood, hair and urine for the majority of participants were below the available guidance values for mercury, cadmium, lead and uranium. However, from the 279 participants, approximately 2% were invited to provide follow up samples, mainly for elevated mercury level. Also, at the population level, blood lead (GM: 11 μg/L) and blood cadmium (GM: 0.53 μg/L) were slightly above the Canadian Health Measures Survey data. Therefore, although country foods occasionally contain elevated levels of particular contaminants, human exposures to these metals remained similar to those seen in the Canadian general population. In addition, dietary data showed the importance and diversity of country foods across participating communities, with the consumption of an average of 5.1% of total calories from wild-harvested country foods.

Conclusion

This project completed in the Mackenzie Valley of the Northwest Territories fills a data gap across other biomonitoring studies in Canada as it integrates community results, will support stakeholders in the development of public health strategies, and will inform environmental health issue prioritization.

     

Evaluation of the perception of the oral health teams of the municipal health department of Curitiba, Paraná State, regarding atraumatic restorative treatment (ART)

An evaluation was made of the perception of oral health teams regarding Atraumatic Restorative Treatment (ART) as a primary oral healthcare strategy used by the Municipal Health Department of Curitiba, Paraná State. A study was made both of Health Units (HU) that operate using the Family Health Strategy (FHSHU) and those that do not (Basic Healthcare Units--BHU). The sample involved 191 oral health professionals proportionally (CI=95%, e=6%). A questionnaire was used to collect data. The information was analyzed using the SPSS 13.0 program. The response rate was 82%. Chi-square testing did not reveal a statistically significant difference between the FHSHU (83.1%) and the BHU (74.3%) with regard to knowledge about the technique (p>0.05). A difference was found as to training in ART among the different HU (p<0.01) and the use of the technique by the services (p<0.01). The length of training and the length of service of dental health professionals at the municipal health service were relevant in relation to knowledge of the technique and the taking of clinical decisions as to ART. The conclusion was reached that training on ART is needed at the primary healthcare level as a result of the different perceptions revealed.     

Effects of β-endosulfan on the growth and reproduction of zebrafish (Danio rerio)

Because of persistent organic pollution in aquatic environments, the widely used organochlorine pesticide endosulfan, which is a potential endocrine disruptor, is expected to pose a significant risk to aquatic organisms. In the present study, we explored the potential endocrine-disrupting risk of β-endosulfan by investigating its effect on the growth, reproduction, plasma vitellogenin, and organ histology of adult zebrafish. We found that, although β-endosulfan did not significantly affect the growth of zebrafish, it greatly decreased the hatching rate, even at a concentration as low as 10 ng/L. Interestingly, the decrease of the hatching rate was highly correlated with pathological alterations of the testes. Additionally, the values of the gonadosomatic index were significantly reduced in female zebrafish treated with 200 ng/L β-endosulfan, which was also closely associated with ovarian histological changes. More importantly, a significant increase in the level of vitellogenin was observed in all male fish treated with β-endosulfan. Based on these findings, we conclude that β-endosulfan severely affects the reproductive function of zebrafish and the synthesis of vitellogenin in the liver, and thus, β-endosulfan has a serious endocrine disruption function in zebrafish.