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Selected AbstractsMcGill Pain Questionnaire: A multi-dimensional verbal scale assessing postoperative changes in pain symptoms associated with severe endometriosisJOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH (ELECTRONIC), Issue 4 2009Elena Fabbri Abstract Background:, Objective evaluation of pelvic pain symptoms using a standard pain questionnaire is essential to assessing the treatment of endometriosis and related pain. Aim:, To evaluate the McGill Pain Questionnaire (MPQ) as a multi-dimensional verbal scale in providing information about chronic pelvic pain associated with endometriosis, before and after laparoscopic surgery. Methods:, Fifty-five women undergoing laparoscopy for severe endometriosis were asked to complete the MPQ before surgery and at the 6-month follow up. All patients presented with preoperative pain symptoms of variable severity. We obtained the pain indexes and studied their relation with: patients' characteristics (age, body mass index, parity, qualification, occupation); operative findings (number, site and size of endometriotic lesions and presence of pelvic adhesions); and postoperative evolution of variable MPQ pain indexes at the 6-month follow up. Results:, Median present pain index (PPI) (index of pain intensity), before surgical treatment was 3 (2,4): preoperative PPI was <2 in 25% of patients while 25% of patients had PPI > 4. Overall median PPI after surgical treatment was 1 (0,2): postoperative index of pain intensity was <1 in 50% of patients, >2 in 25% of patients while 25% of patients did not experience postoperative pain. Overall pain intensity significantly decreased after laparoscopic treatment of endometriosis (Wilcoxon test P < 0.0005). None of the patients' characteristics were found to be significantly correlated with the severity or improvement of preoperative pain at postoperative follow up (P > 0.05), and the intensity of preoperative pain was not correlated to any of the operative variables. There was a significant reduction in all individual MPQ pain indexes; however 18.2% of women did not show improvement of pain symptoms after laparoscopic surgery. An increasing endometrioma diameter was associated with a significant decrease in the difference in evaluative rank score of pain rating index between pain indexes at the 6-month follow up and preoperatively (P = 0.04, Spearman's rank correlation Rho = ,0.277). Conclusions:, MPQ appears to be useful as a multi-dimensional scale in describing patients' pain semiology and evaluating pain evolution after surgical treatment. However, due to the extreme variability of pain experience, MPQ results don't clarify the relationship between pain intensity and the severity of endometriosis. [source] Application of the behavioral investigative support system for profiling perpetrators of serial sexual assaults,BEHAVIORAL SCIENCES & THE LAW, Issue 6 2007Kaeko Yokota Ph.D. The authors developed a data-based profiling system in order to support offender profiling. The system stored incident records of prior offenders. Inputting offence details of an unsolved incident, a probability score was assigned to each prior offender in the system; the score represented the behavioral similarity with the unsolved incident. The system then ranked all offenders in the system according to the probability scores, and prioritized the high-ranked offenders as possible suspects. Moreover, the system inferred the characteristics of unknown offenders by accumulating characteristics of the high-ranked offenders. The system achieved promising accuracy, especially for linking crimes to perpetrators. In 45 out of 81 simulation trials, the target offenders were retrieved as a rank score of 1 from among 868 sex offenders. Copyright © 2007 John Wiley & Sons, Ltd. [source] Conservation Status as a Biodiversity Trend Indicator: Recommendations from a Decade of Listing Species at Risk in British ColumbiaCONSERVATION BIOLOGY, Issue 4 2005JAMES F. QUAYLE especies amenazadas; especies en peligro; estado del ambiente Abstract:,Species conservation status is commonly used as a broad-scale indicator of the state of biological diversity. To learn about its value for tracking trends, we examined provincial lists of terrestrial vertebrate species and subspecies at risk in British Columbia, Canada, for 1992 and 2002 to see whether changes in these lists reflected changes in the status of the taxa they represent. Examination of the case histories of individual species and subspecies showed that 65% of additions and deletions to the British Columbia Red List were the result of improvement in knowledge of species status, changes in assessment procedures, and refinements in taxonomy rather than actual changes in a species' status. Comparison to an alternate set of rank scores provided by NatureServe for taxa that appeared on both 1992 and 2002 British Columbia Red Lists revealed changes in status that were not reflected by movement from the list. Estimates of historical conservation status for species on the 1992 British Columbia Red List demonstrated ambiguity around the natural baseline with regard to tracking changes in list composition over time. We discourage the continued use of indicators based solely on conservation status as a means of tracking biodiversity. Instead we recommend advancing strategic indicators around species at risk based on long-term monitoring data, deliberate and explicitly stated baselines, and consistent methods of conservation ranking. Resumen:,El estatus de conservación de las especies comúnmente es utilizado como un indicador de escala amplia del estado de la diversidad biológica. En un esfuerzo por aprender sobre su valor para el seguimiento de tendencias, examinamos listas provinciales, para 1992 y 2002, de especies y subespecies de vertebrados terrestres en riesgo en Columbia Británica, Canadá, para ver si los cambios en estas listas reflejaban cambios en el estatus de los taxa que representan. El examen de la historia del caso de especies y subespecies individuales mostró que 65% de las adiciones y supresiones en la Lista Roja de Columbia Británica fueron el resultado de avances en el conocimiento del estatus de la especie, de cambios en los procedimientos de evaluación y de refinamientos en la taxonomía y no de cambios en el estatus de una especie. La comparación con un conjunto alternativo de valores de clasificación proporcionado por NatureServe para taxa que aparecieron tanto en la Lista Roja de Columbia Británica de 1992 como de 2002 reveló cambios en el estatus que no se reflejaron en movimientos en la lista. Estimaciones del estatus de conservación histórico de especies en la Lista Roja de Columbia Británica de 1992 demostraron ambigüedad alrededor de la línea de base natural en relación con el seguimiento de cambios en el tiempo en la composición de la lista. Desalentamos el uso continuo de indicadores basados solamente en el estatus de conservación como un medio para el seguimiento de biodiversidad. En cambio, recomendamos avanzar con indicadores estratégicos en torno a especies en riesgo con base en datos de monitoreo de largo plazo, en líneas básicas puestas de manifiesto deliberada y explícitamente y en métodos consistentes para la clasificación de la conservación. [source] Informal social status among coworkers and risk of work-related injury among nurse aides in long-term careAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 5 2010Douglas J. Myers ScD Abstract Background A social network measure was used to explore whether one's rank in an informal social hierarchy of nurse aides employed in a single long-term care facility was associated with risk of work-related injury. Methods Six months of administrative staff schedule data and self-reported injury records were examined. Using survey data, social status rank in the informal hierarchy for each aide was operationalized as the number of coworkers who would approach the aide for advice about work-related matters. Conditional logistic regression was used to model the effect of social status on injury risk; cases were matched to controls consisting of coworkers present on the floor, shift, and date of the injury event. This allowed for a comparison of social status rank within social groups among workers with the same job title. Results Injury incidence rates decreased across tertiles of social status rank scores. A non-significant drop in injury risk in the highest tertile of social status was observed (adjusted OR,=,0.24 95% CI [0.05, 1.32]). Conclusion Findings of this exploratory study were internally consistent and support a theoretical framework suggesting that patterns of social relations between individuals based on informal social status in the workplace may contribute to differences in work-related injury risk among individuals with the same job title. Am. J. Ind. Med. 53:514,523, 2010. © 2010 Wiley-Liss, Inc. [source] | ||||||||||