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This article, set in El Paso, Texas, in 1908, concerns immigration inspector Robert L. Dodd who was accused and administratively removed by the federal Immigration Bureau for facilitating the introduction of undocumented Japanese immigrants into the United States. The article examines the government’s case against Dodd and argues that his dismissal was not only a miscarriage of justice but also may have been structured to scapegoat Dodd as part of the ongoing efforts in the Progressive Era toward civil service reforms within federal service.
The introduction of non-native species is a constant concern around the world since it represents one of the main threats to biodiversity, impacting negatively on native populations, some of them with commercial importance. Hence, monitoring these introductions is fundamental to the management and conservation of the biodiversity of a region. Herein, we report the presence of Moerisia cf. inkermanica in the ballast water of oil tankers loaded at the Cayo Arcas oil terminal. The taxonomy of Moerisia members is uncertain due to the lack of comprehensive morphological descriptions and the few molecular data available. So, we provide a detailed morphological comparison among its congeners. The taxonomic identity of the specimens was determined based on the length of the perradial lobes of the manubrium, the number of tentacles, and the features of their nematocyst rings. Some Moerisids are considered invasive in different localities of the world. However, this genus had not been reported in coastal ecosystems of the Gulf of Mexico over the years until now. Sampled tankers came from different ports of the region, mainly from the northern Gulf of Mexico. Therefore, we encourage systematic monitoring of these ecosystems to recognize the establishment of this species as invasive in the region, know its population dynamics over time, and evaluate the possible ecological impacts that could exert on native populations.
There is a lack of standardised psychometric data in electronic health record (EHR)-based research. Proxy measures of symptom severity based on patients' clinical records may be useful surrogates in mental health EHR research.
Aims
This study aimed to validate proxy tools for the short versions of the Positive and Negative Syndrome Scale (PANSS-6), Young Mania Rating Scale (YMRS-6) and Montgomery–Åsberg Depression Rating Scale (MADRS-6).
Method
A cross-sectional, multicentre study was conducted in a sample of 116 patients with first-episode psychosis from 12 public hospitals in Spain. Concordance between PANSS-6, YMRS-6 and MADRS-6 scores and their respective proxies was evaluated based on information from EHR clinical notes, using a variety of statistical procedures, including multivariate tests to adjust for potential confounders. Bootstrapping techniques were used for internal validation, and an independent cohort from the Treatment and Early Intervention in Psychosis Program (TIPP-Lausanne, Switzerland) for external validation.
Results
The proxy versions correlated strongly with their respective standardised scales (partial correlations ranged from 0.75 to 0.84) and had good accuracy and discriminatory power in distinguishing between patients in and not in remission (percentage of patients correctly classified ranged from 83.9 to 91.4% and bootstrapped optimism-corrected area under the receiver operating characteristic curve ranged from 0.76 to 0.89), with high interrater reliability (intraclass correlation coefficient of 0.81). The findings remained robust in the external validation data-set.
Conclusions
The proxy instruments proposed for assessing psychotic and affective symptoms by reviewing EHR provide a feasible and reliable alternative to traditional structured psychometric procedures, and a promising methodology for real-world practice settings.
The aim of this study was to evaluate the impact of a multifaceted intervention to implement an adapted guideline for the management of depression in primary health care.
Methods:
A hybrid trial was carried out to determine the effect of a multicomponent provider-centred intervention to improve the detection and diagnosis of depression in primary care, as part of the guideline implementation process, and to collect information about barriers and facilitators in a real-world context. Before the multicomponent intervention, a descriptive cross-sectional study was performed to assess the population prevalence of depression in the participating health centres and to detect possible differences. Subsequently, a quasi-experimental two-phase study was carried out with a concurrent control group to assess the impact of the multicomponent intervention on the main outcomes (detection of depression, evaluation of its severity and the use of structured methods to support the diagnosis).
Results:
Nine-hundred seventy-four patients took part in the first phase. According to their clinical records, the prevalence of depression ranged from 7.2% to 7.9%, and there were no significant differences between the health centres scheduled to receive the intervention and those in the control group. In the experimental phase, 797 randomly selected participants received the multicomponent intervention. Adjusted multivariable analysis performed before the implementation revealed no significant differences in depression between the experimental and control groups. However, after the intervention, modest but significant differences were observed, which persisted at 1 year after the intervention.
Conclusions:
A multicomponent intervention for the implementation of a clinical guideline for the management of depression in primary care produced improvements in the identification of depression and in the degree of severity recorded.
Physical violence and social conflict have been widely studied in the ancient societies of the Andes. However, studies about violence are scarce for the Formative period of northern Chile (1000 BC–AD 900). Evidence from these investigations is generally interpreted as interpersonal violence, whose protagonists are mostly men. Here, we present the case of an adult female recovered from the Tarapacá 40 cemetery (Tarapacá region, Chile) displaying lesions suggestive of trauma. We reconstruct her life and death in the context of this era's social and political conditions. Results of our bioanthropological characterization, cranial trauma analysis, carbon and nitrogen isotope analysis, and recording of the funerary offerings suggest she was a local member of the Formative community buried in the Tarapacá 40 cemetery and that she suffered intentional lethal lesions. Her death is unusual because there are no previous bioarchaeological records of lethal violence against women in the Tarapacá region. The osteobiography of this woman reflects a context characterized by an increase in inequality and social complexity, whereby physical violence could be used as a mechanism of internal regulation and exercise of power during the Formative period.
The epidemiology behind multi-host/multi-parasite systems is particularly interesting to investigate for a better understanding of the complex dynamics naturally occurring in wildlife populations. We aimed to approach the naturally occurring polyparasitism of gastrointestinal nematodes in a sympatric wild ruminant scenario present in south-east Spain. To this end, the gastrointestinal tract of 252 wild ruminants of four different species (red deer, Cervus elaphus; mouflon, Ovis aries musimon; Iberian ibex, Capra pyrenaica and fallow deer, Dama dama) were studied in Cazorla, Segura y Las Villas Natural Park (Andalusia, Spain). Of the analysed animals, 81.52% were positive for parasite infection and a total of 29 nematode species were identified. Out of these, 25 species were detected in at least two host species and 11 parasitized all ruminant species surveyed. The multi-host interaction between these nematodes and the four host species is discussed under the perspective of host family-based differences.
En este trabajo se describen las relaciones que las sociedades humanas establecieron con su entorno durante el período Formativo (3000-1000 aP) en la Pampa del Tamarugal, Desierto de Atacama, desde una perspectiva teórico-metodológica que pone el acento en el potencial del registro ecofactual. Éste, al mediar entre lo cultural y lo ambiental, proporciona información vital para una mejor comprensión de la relación entre naturaleza y cultura construida por estas sociedades. Queremos demostrar que este proceso forma parte de una larga historia de racionalización del desierto y de sus recursos silvestres, locales e introducidos, así como de la vivencia particular que tuvieron estas comunidades andinas. Por consiguiente, proponemos que la intervención humana en la Pampa del Tamarugal puede ser entendida como un cambio no sólo ecológico y económico, sino también cosmológico.
Conclusions and recommendations of health technology assessment (HTA) reports have an impact on all relevant actors involved in the health system (health authorities, administrators, health professionals, patients, citizens and industry). The involvement of all those relevant stakeholders in the HTA process facilitates making valid and informed decisions and an efficient allocation of resources. Improving communication, participation and transparency among all agents will lead to more efficient evaluation and decision-making processes.
Methods
To review key aspects of the relations between HTA agencies and health industries, two process were carried out: a narrative review of literature searched in Medline, PubMed, Embase, CINAHL and WOS (2007-2017) and a review of websites of international HTA agencies. References and webs with information on the framework, objectives, methodologies, impact or results of the relationships were included.
Results
A total of 1961 references were located and forty-five were selected. From the synthesis of the selected references the following key aspects of the relationships between HTA and industry were identified: (i) the importance of early dialogues with industry to align HTA objectives with the generation of evidence; (ii) challenges of the bias in the evidence produced by industry; (iii) difficulties in industry engagement in HTA processes; and (iv) industry interest in HTA. The review of six agency websites provided information on industry involvement in strategic activities, early dialogues, provision of documentation, management of industry clarifications, review of the report/allegations and other forms of relationship.
Conclusions
Both the review of the literature and the contents of the web pages of international agencies with experience in relations with industry show that the interest is in the creation of collaborative frameworks between regulatory authorities that decide on authorization and price and reimbursement and HTA agencies, while both try to maintain an early, transparent and systematic interaction with the healthcare industry.
The Endangered Cuvier's gazelle Gazella cuvieri is an endemic ungulate of north-western Africa. Information on the species has been based primarily on non-systematic surveys, and the corresponding status estimates are of unknown quality. We evaluate the effectiveness and efficiency of two field methods for systematic surveys of populations of Cuvier's gazelle in arid environments: distance sampling (based on sightings) and sampling indirect sign (tracks and scats). The work was carried out in the north-western Sahara Desert, in Morocco, where what is possibly the largest population of Cuvier's gazelle persists. A logistically viable survey was conducted over a total area of c. 20.000 km2 in 10 expeditions during 2011–2014. A total of 67 sites were surveyed, with 194 walking surveys (2,169 km in total). Gazelle signs were detected at 50 sites, and gazelles were sighted at 21 sites (61 individuals). We found a relationship between sightings and abundance indices based on indirect sign, which could be useful for population monitoring or ecological studies. Additionally, the data could be used in occupancy modelling. Density estimates based on distance sampling required considerable effort; however, it is possible to survey large areas during relatively short campaigns, and this proved to be the most useful approach to obtain data on the demographic structure of the population.
In this paper, the formation of Langmuir-Blodgett films of poly(p-acryloylaminophenylmethylphosphonic) acid polymers, with general formula (C10H12NPO4)n are reported. The Langmuir-Blodgett (LB) technique was used for building ordered nanostructures in molecular assemblies of these polymers, which were able to form stable films. At the air-water interface, these polymers (with low and high molecular weight) formed Langmuir (L) monolayers, which were characterized by surface pressure versus molecular area (π-A) isotherms and Brewster´s Angle Microscopy (BAM). Using the LB method, molecular mono and multilayer films of these polymers were prepared and transferred onto glass substrates forming Z-type multilayers, with a transfer ratio close to unity. These LB films were characterized by Atomic Force Microscopy (AFM).
Considering the many theoretical and methodological viewpoints in the field of evaluation, a guideline was established to facilitate the evaluation of social intervention programs. For this purpose, the goals of the evaluation were taken into account: (a) planning interventions, (b) learning and continuous improvement of interventions, (c) programming policies, and (d) transformation of society. These goals will determine the perspective of the analysis selected (focusing on the evaluand or the context) and the strategies for change employed (focusing on processes or results). The elements that, according to Shadish, Cook, and Levinton (1991), constitute the theory of evaluation (evaluand, value, building of knowledge, and uses) have also been considered. The analysis of all these components led to the elaboration of a guideline to orient the practice of evaluation from a pragmatic perspective, in accordance with the demands and needs of a certain social context.
We present the findings from the three-year follow-up of all first episodes of schizophrenia occurring during a two-year period in Cantabria (in Spain).
Aims
(a) To describe the clinical characteristics of the illness from the early stages of the disease, and (b) to study the long-term psychosocial adjustment and psychopathological evolution of these patients, identifying predictors for the course of the illness.
Method
Of the original cohort of 86 patients, 76 (88.3%) were fully evaluated at three-year follow-up. Psychiatric assessment was performed (PSE–9 and SANS/SAPS). Social adjustment was evaluated using the Disability Assessment Schedule (DAS). Information regarding the clinical evolution and use of health resources was also gathered.
Results
The majority of patients with a first-contact diagnosis of schizophrenia failed to meet the criteria for a CATEGO diagnosis at follow-up. The SANS/SAPS assessments revealed a doubling in the proportion of patients with ‘negative schizophrenia’. The pattern of clinical course was also evaluated, with 24 (31.5%) of the patients having a good outcome. Being male and having low social class tended to be associated with poor clinical outcome.
Conclusions
The outcome of schizophrenia is less pessimistic than was originally thought.
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