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Multifactorial Model (multifactorial + model)
Selected AbstractsEpidemiologic Analysis of Factors Associated with Local Disappearances of Native Ranid Frogs in ArizonaCONSERVATION BIOLOGY, Issue 2 2008CARMEL L. WITTE análisis de factores de riesgo; declinación de anfibios; declinación de ranas; epidemiología de vida silvestre; métodos de control de casos Abstract:,We examined factors that may independently or synergistically contribute to amphibian population declines. We used epidemiologic case,control methodology to sample and analyze a large database developed and maintained by the Arizona Game and Fish Department that describes historical and currently known ranid frog localities in Arizona, U.S.A. Sites with historical documentation of target ranid species (n= 324) were evaluated to identify locations where frogs had disappeared during the study period (case sites) and locations where frog populations persisted (control sites). Between 1986 and 2003, 117 (36%) of the 324 sites became case sites, of which 105 were used in the analyses. An equal number of control sites were sampled to control for the effects of time. Risk factors, or predictor variables, were defined from environmental data summarized during site surveys and geographic information system data layers. We evaluated risk factors with univariate and multifactorial logistic-regression analyses to derive odds ratios (OR). Odds for local population disappearance were significantly related to 4 factors in the multifactorial model. Disappearance of frog populations increased with increasing elevation (OR = 2.7 for every 500 m, p < 0.01). Sites where disappearances occurred were 4.3 times more likely to have other nearby sites that also experienced disappearances (OR = 4.3, p < 0.01), whereas the odds of disappearance were 6.7 times less (OR = 0.15, p < 0.01) when there was a source population nearby. Sites with disappearances were 2.6 times more likely to have introduced crayfish than were control sites (OR = 2.6, p= 0.04). The identification of factors associated with frog disappearances increases understanding of declines occurring in natural populations and aids in conservation efforts to reestablish and protect native ranids by identifying and prioritizing implicated threats. Resumen:,Examinamos los factores que pueden contribuir independiente o sinérgicamente a la declinación de poblaciones de anfibios. Utilizamos una metodología epidemiológica de control de casos para muestrear y analizar una base de datos desarrollada y mantenida por el Departamento de Caza y Pesca de Arizona que describe las localidades históricas y actuales de ranas en Arizona, E. U. A. Los sitios con documentación histórica de las especies de ránidos (n= 324) fueron evaluados para identificar localidades donde las ranas desaparecieron durante el período de estudio (sitios caso) y localidades donde las poblaciones de ranas persistieron (sitios control). Entre 1986 y 2003, 36% (117) de los 324 sitios se volvieron sitios caso, de los cuales 105 fueron utilizados en los análisis. El mismo número de sitios control fueron muestreados para controlar los efectos del tiempo. Los factores de riesgo, o variables predictivas, fueron definidos a partir de datos ambientales obtenidos de los muestreos en los sitios y de capas de datos de un sistema información geográfica. Evaluamos los factores de riesgo con análisis de regresión logística univariada y multivariada para derivar proporciones de probabilidades (PP). Las probabilidad para la desaparición de una población local estuvo relacionada significativamente con 4 factores en el modelo multifactorial. La desaparición de poblaciones de ranas incrementó con la elevación (PP = 2.7 por cada 500 m, p < 0.01). Los sitios donde ocurrieron las desapariciones fueron 4.3 veces más propensos a estar cerca de otros sitios donde ocurrieron desapariciones (PP = 4.3, p < 0.01), mientras que la probabilidad de desaparición fue 6.7 veces menos (PP = 0.15, p < 0.01) cuando había una población fuente cercana. Los sitios con desapariciones fueron 2.6 veces más propensos a tener langostinos introducidos que los sitios control (PP = 2.6, p= 0.04). La identificación de factores asociados con la desaparición de ranas incrementa el conocimiento de las declinaciones de poblaciones naturales y ayuda a los esfuerzos de conservación para el reestablecimiento y la protección de ránidos nativos mediante la identificación y priorización de las amenazas implicadas. [source] Familial loading in specific language impairment: patterns of differences across proband characteristics, gender and relative typeGENES, BRAIN AND BEHAVIOR, Issue 3 2007G. Conti-Ramsden There is now little doubt that both environmental factors and genes are likely to make important contributions to the aetiology of specific language impairment (SLI). The most commonly proposed model for understanding these influences is the multifactorial model. In the present study we examine two expectations based on this model: that there will be a systematic relationship between the severity of proband language scores and the rate and severity of SLI in relatives and that relatives will be more strongly affected if they are relatives of a proband of the more rarely affected gender (female) because the latter require a higher genetic liability to become equally impaired. Ninety-three probands and their 300 first-degree relatives participated in this study. Results showed a relationship between proband severity at age 14 and an increased rate of SLI in relatives. This relationship was strong for child siblings and was significant with respect to both rate of SLI and severity over a range of language and literacy measures. In contrast, higher levels of SLI among relatives of female rather than male probands was entirely disproved. [source] PINK1 heterozygous rare variants: prevalence, significance and phenotypic spectrum,,HUMAN MUTATION, Issue 4 2008Roberta Marongiu Abstract Heterozygous rare variants in the PINK1 gene, as well as in other genes causing autosomal recessive parkinsonism, have been reported both in patients and healthy controls. Their pathogenic significance is uncertain, but they have been suggested to represent risk factors to develop Parkinson disease (PD). The few large studies that assessed the frequency of PINK1 heterozygotes in cases and controls yielded controversial results, and the phenotypic spectrum is largely unknown. We retrospectively analyzed the occurrence of PINK1 heterozygous rare variants in over 1100 sporadic and familial patients of all onset ages and in 400 controls. Twenty patients and 6 controls were heterozygous, with frequencies (1.8% vs. 1.5%) not significantly different in the two groups. Clinical features of heterozygotes were indistinguishable to those of wild-type patients, with mean disease onset 10 years later than in carriers of two mutations but worse disease progression. A meta-analysis indicated that, in PINK1 heterozygotes, the PD risk is only slightly increased with a non significant odds ratio of 1.62. These findings suggest that PINK1 heterozygous rare variants play only a minor susceptibility role in the context of a multifactorial model of PD. Hence, their significance should be kept distinct from that of homozygous/compound heterozygous mutations, that cause parkinsonism inherited in a mendelian fashion. © 2008 Wiley-Liss, Inc. [source] Early Risk Indicators of Substance Abuse Among NursesJOURNAL OF NURSING SCHOLARSHIP, Issue 2 2002Margaret Mary West Purpose: To investigate early risk factors that led to substance-related disorders and to predict group differences between substance-impaired (SI) and nonimpaired (NI) registered nurses. Organizing Construct: Donovan's multifactorial model of impairment, and Rogers'Science of Unitary Human Beings. Methods: Data were gathered from 100 previously SI and 100 NI nurses located through use of the Internet. Three questionnaires were used: the Zuckerman Sensation Seeking Scale (ZSSS), the Efinger Alcohol Risk Survey (EARS), and the Children of Alcoholics Screening Test (CAST). Findings: Independent t-test scores showed the two groups differed significantly on all three instruments' total scores. Discriminate analysis indicated a correct prediction of 87% for SI and 95% for NI nurses, with an overall rate of 91%. EARS scores were the best predictor of nurses with substance-related disorders (.99), followed by ZSSS (.44) and CAST (.42) scores. Conclusions: The three variables indicate early risk factors for substance-abuse impairment. Identification of nurses at risk for impairment will allow for earlier intervention and possible prevention. Methods to reduce the number of modifiable risk factors are recommended. [source] Genetics of cardiovascular diseases: An overviewNURSING & HEALTH SCIENCES, Issue 2 2005Carmen T Ramirez edd, acnp(c), apn-g(c) Cardiovascular disease is the leading cause of illness and death in the USA, as well as other countries. Advances in genetics have led researchers to identified associations between a number of cardiac syndromes and diagnostic molecular findings. Therefore, a more precise understanding of the molecular pathways involved in cardiovascular diseases is clinically significant. Current literature suggests that while etiologies remain complex, a number of cardiovascular diseases can be linked to specific metabolic inheritable factors. A broad multifactorial model is gradually being replaced with disease specific models where independent genetic and/or teratogenic pathways may lead to a particular outcome. These genetic pathways include chromosome deletions, disruptions (translocations), duplications of particular genetic regions, point mutations involving single genes, or alteration in the ability for a gene to be transcribed into a functional protein. In this review the molecular mechanisms underlying cardiovascular diseases and their clinical manifestations will be explained. [source] An overview of isolated and syndromic oesophageal atresiaCLINICAL GENETICS, Issue 5 2007D Geneviève Oesophageal atresia (OA) and/or tracheo-oesophageal fistula (TOF) are frequent malformations observed in approximately one in 3500 births. OA/TOF can be divided clinically into isolated OA (IOA) and syndromic OA (SOA) when associated with other features, the most frequent being cardiac, limb and vertebral malformations or anal atresia. SOA is observed in 50% of patients and can be subdivided into several causative groups comprising environmental agents, chromosomal disorders, malformative associations (CHARGE syndrome and VATER/VACTERL association), and other multiple congenital anomaly disorders. The observation of chromosomal disorders with SOA, as well as mouse models of OA provide support for the involvement of genetic factors in OA. Yet, epidemiological data (twin and family studies) do not support the major role of genetic factors in the majority of cases of IOA but rather a multifactorial model. However, several genes involved in SOA have been recently identified, namely N-MYC, SOX2, and CHD7 involved in Feingold (MIM 164280), anophthalmia-oesophageal-genital (MIM 600992) and CHARGE syndromes respectively (MIM 214800), suggesting that OA/TOF, at least in their syndromic forms, may be a highly genetically heterogeneous group. [source] A woman-centred psychological intervention for premenstrual symptoms, drawing on cognitive-behavioural and narrative therapyCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 5 2002Jane M Ussher A women-centred psychological intervention for premenstrual symptoms, drawing on cognitive-behavioural and narrative therapy, has been developed. In a randomized control trial previously reported, this treatment was found to be as effective as SSRIs in reducing moderate or severe premenstrual symptoms. The purpose of this paper is to outline the multifactorial model of premenstrual symptoms that underpinned this intervention, describe the treatment in detail session by session, and present two case examples drawing on narrative interviews conducted pre and post treatment with the women who took part in the randomized control trial, in order to illustrate the process of change. It is argued that premenstrual symptoms arise from a complex interaction of material, discursive and intrapsychic factors, and that this needs to be taken into account when designing clinical interventions. Copyright © 2002 John Wiley & Sons, Ltd. [source] | |||||||||||||