Child-rearing values of low-income, urban Puerto Rican mothers of preschool children.

To enhance clinicians' understanding of the child-rearing values Puerto Rican mothers consider important in parenting preschool-age children, the authors conducted focus groups, interviewed cultural consultants, and searched the literature. Eighty low-income, urban mainland Puerto Rican mothers with young children ranked in order of importance to them 13 child-rearing values that were presented. Mothers ranked honesty, respect, and responsibility most highly, followed by loyalty to family, affection, and sharing. They ranked values associated in the literature with Anglo culture (e.g., assertiveness, independence, and creativity) as being of lesser importance. Implications for therapy and educational interventions with parents and children are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Incidence of IDDM in children living in Puerto Rico. Puerto Rican IDDM Coalition

OBJECTIVE: To determine incidence, geographic distribution, and seasonal variation of IDDM in children 0-14 years of age living in Puerto Rico. Because these data have been collected through the infrastructure of the World Health Organization's DiaMond project, these results are directly comparable with incidence data from other population worldwide involved in this study. RESEARCH DESIGN AND METHODS: Beginning in 1990, new cases of IDDM were registered retrospectively from 1985 and prospectively to 1994 by review of medical records from island hospitals. Included in the hospital registry are 1,527 cases of IDDM. Validation of the primary source was by three secondary lists of cases obtained through diabetic camps, surveys of schools, and a government registry. Long linear modeling (capture-recapture) was used to correct incidence. RESULTS: Mean incidence of IDDM from 1985-1994 was 18.0 cases/100,000 children per year (95% CI 17.6-18.3). There was a slight female rather than male predominance: 51% of the cases were girls, and 49% were boys. Although Puerto Rico has marked variation in rainfall, altitude, and genetic markers, no significant differences are found in the incidence rates of different areas or seasons of the island. CONCLUSIONS: This registry of Puerto Rican children is the largest IDDM registry of minority children in the U.S. The results of this study indicate that the annual incidence of IDDM of children living in Puerto Rico is higher than the incidence of other multiracial ethnic groups living in the U.S.     

Dietary intake in the urban and rural populations of the Cap-Bon

The correlation between cytogenetic and histopathological findings were analysed in 189 meningiomas. The tumors were classified according to increasing degrees of anaplasia. We observed normal karyotype or only monosomy 22 in grade 1 (benign) tumors, while in grade 3 (anaplastic) only 1.5% of karyotypes were normal. Grade 2 (atypical) and 3 (anaplastic) tumors showed complex structural abnormalities. Loss of chromosome 14 were only found in grade 3. In cases with complex structural rearrangements, fluorescence in situ hybridization technique (FISH) has been realized and permitted a best identification of abnormalities. In our series, five patients recurred. They presented chromosomal abnormalities. These complex karyotypes in recurrent meningiomas might indicate aggressive tumor characteristics. Our results indicate histolopathological and cytogenetics correlations might represent a prognostic factor in meningiomas.     

Attentional strategies, attention, and metacognition in Puerto Rican children.

60 2nd-, 5th-, and 8th-grade Puerto Ricans participated in a strategy assessment task and an incidental learning task that provided a measure of attentional performance. Metacognition concerning attention was assessed by asking Ss to predict how much incidental material they would recall. ANOVAs revealed no developmental changes in the use of an efficient attentional strategy, the amount of central recall, the amount of incidental recall, or in metacognitive knowledge. Results differ from a previous study by the 1st author and M. G. Weiss with 60 predominantly White, middle-class Florida children in which attention and strategies became increasingly efficient as a function of age. In comparison to the Florida sample, Puerto Rican 2nd graders' strategies were more efficient and the 8th graders' strategies were less efficient. Attention on the incidental learning task was less selective for the Puerto Rican Ss than the Florida Ss. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Puerto Rican intellectuals in New York: Some intragroup and intergroup contrasts.

A factor analysis of coded interview data on 20 Puerto Rican intellectuals in the New York City area yielded 5 item-factors (R) and 2 person-factors (Q). The R factors dealt with Spanish language dominance, ideological language maintenance, Puerto Rican cultural emphases, American awareness, and sociolinguistic sophistication. The Q groups differed meaningfully and consistently on these 5 factors and on demographic background variables, particularly with respect to ideological vs. behavioral Puerto Rican culture and language maintenance. Intellectuals as a group were found to differ greatly and systematically from ordinary Puerto Rican males in having more ideological positions with respect to Puerto Rican culture and Spanish language maintenance in New York. (French summary) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents.

This study evaluated the efficacy of cognitive-behavioral therapy (CBT) and interpersonal psychotherapy (IPT) with depressed adolescents in Puerto Rico. Seventy-one adolescents meeting Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; American Psychiatric Association, 1987) criteria for a diagnosis of depression were randomly assigned to 1 of 3 conditions: CBT, IFT, or wait list (WL). Pretreatment, posttreatment, and 3-month follow-up measures of depression symptoms, self-esteem, social adjustment, family emotional involvement and criticism, and behavioral problems were completed. Results suggest that IPT and CBT significantly reduced depressive symptoms when compared with the WL condition. IPT was superior to the WL condition in increasing self-esteem and social adaptation. Clinical significance tests suggested that 82% of adolescents in IPT and 59% of those in CBT were functional after treatment. The results suggest that both IPT and CBT are efficacious treatments for depressed Puerto Rican adolescents. IPT's impact in other levels of outcome is discussed in terms of its consonance with Puerto Rican cultural values. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Increased fat intake in dietetic treatment of viral hepatitis and levels of some serum lipids

This study examines length of residence for movers--that subsection of the population which accounts for the high mobility rates in the United States. The propensity for repeated migration is studied in relation to economic opportunities and previous familial and personal contacts. The results indicate no influence of economic opportunities on duration of residence. This finding is consistent with recent research that indicates economic conditions are not a general stimulus for out-migration, although they are for inmigration. On the other hand, length of residence is found to be longer where previous familial and personal contacts existed. Overall, the results provide additional evidence of the importance of social, as opposed to strictly economic variables in the migration process.     

Nutritional status and serum lipids of a rural population in Northeast Thailand--an example of health transition

The authors retrospectively evaluated the etiology and clinical findings of patients with first manifestations of psychotic symptoms after the age of 65. Nearly 10% of over 1,700 consecutive geriatric patients admitted to an acute inpatient psychogeriatric unit had late-life onset psychotic symptoms. About three-fourths of these were women, usually in their seventies. Dementia of the Alzheimer's type was the most common cause of psychosis arising in late life, followed by major depression, medical/toxic causes, delirium, bipolar disorder, delusional disorder, schizophrenia, and schizoaffective disorder. Clinical manifestations consisted mostly of delusions and hallucinations.     

Nutrient intake and dental health in school children

Diet refers to the customary allowance of food and drink taken by a person from day to day. The diet may affect dental caries by reacting with the enamel surface and by serving as a substrate for cariogenic microorganisms. This study examined the role of specific nutrients in the caries experience of elementary school children. 120 children aged between 6-11, who attended the Pedodontics Department of Marmara University, Faculty of Dentistry for routine dental treatment received a dental examination, parent interview, and a 3-day diet diary. The diary was completed adequately for 100 children (83%). The average daily intake of nutrients were computed and total sugar consumption and Ca/P ratio were calculated. Each child's gender, age, fluoride history, socio-economic state of the family, previous dental experience, brushing habit, and nutrient intake were examined as independent variables. No association was apparent between dental caries and the intake of specific nutrients or Ca/P ratio, except with total sugar consumption.     

A comparison of two approaches to enhancing career maturity in Puerto Rican college women.

Our study compares two career interventions designed to enhance the career maturity of a group of Puerto Rican women in a special admissions program in a large urban college. These treatments were compared with each other and with a control group in terms of outcomes on two measures of career maturity and on locus of control. No significant differences were found between the two experimental treatments in terms of the dependent variables. However, the results of the study indicate that positive changes in career maturity and locus of control of academically and economically disadvantaged groups can be facilitated by the use of carefully designed career interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Testing and treatment behaviour of HIV-infected women: white, African-American, Puerto Rican comparisons

Findings from a study of the testing and treatment behaviour and experiences of African-American (n = 31), Puerto Rican (n = 30) and non-Hispanic white (n = 23) HIV-infected women are reported. All women were 20-45 years of age and had not yet been diagnosed with AIDS. Data for the analyses presented were gathered through an interviewer-administered questionnaire completed before respondents participated in an unstructured interview. The analyses examine race/ethnic differences in women's delays in seeking testing and medical care, and in sources and types of HIV-treatment. Most significant for primary and secondary prevention efforts, the findings suggest that a significant proportion of women who suspect they are infected may delay being tested, and further, a substantial proportion who learn they are seropositive may delay seeking medical care. Thus important opportunities among HIV-infected women for secondary prevention through timely antiviral and prophylactic treatment, and for primary prevention through risk-reduction counselling may be being missed in many cases.     

Relation between dietary behavior and body mass index, serum lipids and socioeconomic factors in urban residents

The purpose of this study was to obtain basic information of factors which improve the dietary behavior of urban residents. For this reason, we studied the relation between dietary behavior and BMI, serum lipids and socioeconomic factors. We surveyed the dietary behavior of those who underwent medical examinations at a health center in the city of A. The subjects for this study were 2,627 persons aged 30 to 69 years. For purposes of analysis, the data derived in the survey was divided into two types of categories. One category is that of practicing and non-practicing group relative to specific dietary behaviors. The other is that of better dietary behaviors group and worse dietary behaviors group. (1) A comparison between the practicing and non-practicing group showed that the mean value of the total cholesterol values for the former was lower than for the latter. Similar results for the triglyceride values was obtained. The mean value of the HDL-cholesterol values for the practicing group was higher than for the non-practicing group. (2) We also compared the better dietary behaviors group with the worse group. For women, the mean value of the body mass indices in the better dietary behaviors group was lower than in worse group. We obtained similar differences for women with regard to the mean values of total cholesterol values and triglyceride values. (3) More of Breslow's health practices were followed by the better dietary behaviors group than by the worse group. (4) The number of good dietary practices was significantly related to the following socioeconomic factors: marital status, floor area of residence, steady employment, and working hours. Better dietary behaviors showed parallel correlation with better health status. Dietary behaviors of younger generations and temporary workers showed a tendency of needing to be improved.     

Nutrient intake of women runners and nonrunners

The nutrient intakes of women who ran at different levels of intensity and the relationship between nutrient intake and ovulatory disturbances were studied. Ninety-five women, including sedentary non-runners (n = 16), low-level runners (n = 27), medium-level runners (n = 29), and high-level runners (n = 23), completed data for a 3-day nutritional assessment. The high-level runners met the Food and Nutrition Board's Recommended Daily Allowances (RDAs) for all 17 nutrients examined, with the exception of calcium. The other groups of women failed to meet RDAs for iron, carbohydrate, and fiber. In general, the women in the study reported healthier diets than did women in a general national survey of nutrient intake conducted in 1985. Eighty-two of the women reported luteinizing hormone level data that were accurate enough to indicate ovulatory functioning; of these women, 30 had ovulatory disturbances. There was no relationship between ovulatory disturbance and nutrient intake; however, 5 amenorrheic women reported a significantly lower nutrient density intake of fat and higher intake of carbohydrate, fiber, and vitamin A than did the nonamenorrheic women.     

Social support and adjustment among Puerto Rican adolescent mothers: The moderating effect of acculturation.

Associations between grandmother and partner involvement and adjustment were examined among 61 Puerto Rican adolescent mothers. Results indicated that associations between grandmother involvement and adjustment were moderated by the adolescents' level of acculturation. Greater support was related to less symptomatology and parenting stress when acculturation scores were low but to more symptomatology and parenting stress when acculturation scores were high. Social support from partners was related to less symptomatology (but not parenting stress). Although coresidence with a partner was related to greater symptomatology, a significant interaction effect revealed that coresidence was associated with greater symptomatology mainly when mothers perceived their partners as providing low levels of support. Results are discussed in light of Latino cultural values and normative developmental issues. Implications for intervention strategies are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of cognitive and behavioral group treatment on the depressive symptomatology of Puerto Rican women.

Compared a control, a cognitive, and a behavior therapy group in the reduction of depression in 26 low-income Puerto Rican women (mean age 38 yrs). Ss were identified as depressed by self-report (Beck Depression Inventory), clinical ratings (a revised version of the Hamilton Rating Scale for Depression), and depression behavior rating scales and were randomly assigned to 3 treatment conditions. Five treatment sessions of 1? hrs each were conducted over 4 wks. Results show a significant reduction in depression for therapy groups and no significant differences between the behavior and cognitive approaches. A 5-wk follow-up assessment revealed that the alleviation of depression had generally been maintained, with a slight advantage for the behavioral approach. (24 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Food consumption in rural and urban Tanzania

Thalidomide causes congenital anomalies and it is immunomodulatory. These properties could be explained by an ability to alter the orderly process of programmed cell death during embryogenesis and modulation of apoptosis of lymphoid and/or myeloid cells in the immune response. Apoptosis of lymphoid and myeloid cells was studied by measuring the percentage of cells capable of excluding propidium iodide and expressing phosphatidylserine on their outer membrane. In addition, expression of Fc gamma RIII (CD16) was used to assess neutrophil apoptosis. Thalidomide did not affect the rate of apoptosis of CTLL-2 cells deprived of, or supplemented with, IL-2; of T-cells (mitogen-stimulated or resting) or of neutrophils. However, neutrophils obtained from HIV-infected patients treated with thalidomide showed reduced expression of CD16, a surrogate marker for apoptosis of neutrophils. Thalidomide's effect on neutrophil apoptosis in vivo warrants further investigation.     

Nutrient intake and obesity in prepubescent children with Down syndrome

OBJECTIVE: The aim of this study was to measure nutrient intake and body composition in prepubescent children with Down syndrome to understand dietary barriers involved in the prevention and treatment of obesity. DESIGN: Dietary intake was determined from parent-reported 3-day diet records for children with Down syndrome and control subjects. Energy intake was compared with energy expenditure measured by the doubly labeled water method. Body composition was determined by deuterium dilution, bioelectrical impedance analysis, and skinfold thickness measurements. SUBJECTS/SETTING: Ten prepubescent children with Down syndrome and 10 control subjects were recruited from the hospital community. The study was conducted in the Clinical Research Center of the University of Chicago Medical Center. MAIN OUTCOME MEASURES: Nutrient intakes were compared with the Recommended Dietary Allowances (RDAs) to estimate risk for nutrient deficiency. Fat-free mass values determined by bioelectrical impedance analysis and measurement of skinfold thicknesses were compared with values determined using the deuterium dilution method. STATISTICAL ANALYSES PERFORMED: Unpaired t tests were used for comparisons between subjects groups and the Wilcoxon signed-rank test was used for comparison of nutrient intakes with RDAs. RESULTS: The subjects with Down syndrome were significantly shorter (P < .01) than control subjects; however, body composition did not differ between the groups. Reported energy intake was lower in subjects with Down syndrome. In addition, several micronutrients were consumed, especially among nonobese subjects with Down syndrome, at less than 80% of the RDA. APPLICATIONS: To avoid lowering already inadequate intakes of several vitamins and minerals, we suggest that treatment of obesity in children with Down syndrome combine a balanced diet without energy restriction, vitamin and mineral supplementation, and increased physical activity.     

Culturally sensitive psychotherapy for Puerto Rican children and adolescents: A program of treatment outcome research.

Recognition of cultural distance between Hispanic clients and non-Hispanic therapists has prompted efforts to introduce culture into therapy, but there is little evidence that such efforts influence treatment outcomes. This article evaluates treatment outcomes from a program of research on modeling therapy with Puerto Ricans, targeting anxiety symptoms, acting-out behavior, and self-concept problems. Evaluation of outcomes confirmed the impact of culturally sensitive modeling therapy on anxiety symptoms and other selected target behaviors, but negative treatment effects also were evident. Results suggest that new approaches to psychotherapy for special populations, such as Hispanic children and adolescents, should be buttressed by programmatic research oriented toward the comparative evaluation of treatment outcomes and should be attuned to therapeutic processes mediating between culture and outcome. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Necrobiosis lipoidica diabetricorum and serum lipids

Necrobiosis lipoidica diabeticorum is briefly described. Its high coincidence with hyperlipoproteinaemia in casuistic reports from the literature as well as in about half of the 22 cases observed in our clinic can be taken in favour of possible relations between these conditions. Disturbances of fat metabolism may even be considered important for pathogenesis of necrobiosis in general, the more as at least no optimally regulated fat and carbohydrate metabolism can be achieved by best therapeutic control of carbohydrate parameters in juvenile diabetics. Microangiopathia diabetica seems to exist from the very beginning of diabetes mellitus and may ne a basic etiologic prerequisite for the development of necrobiosis. Topical conditions of certain body regions are said to take part in final precipitation of necrobiotic spots.     

Body fat distribution, rather than overall adiposity, influences serum lipids and lipoproteins in healthy men independently of age

For a period of 35 months, 50 patients presenting with a total of 61 peripheral pulmonary nodules were operated on under videothoracoscopy. As a matter of principle none of these nodules were marked radiologically pre-operatively. All the scanners were reviewed retrospectively by a radiologist and a thoracic surgeon without knowing the results of the thoracoscopic intervention: 23 of these patients on the evidence would have quite obviously required preoperative marking (group I), and 27 would have been presented for direct thoracoscopy (group II). In group I there was only one group of nodules which could not be localised and by necessity, a thoracotomy was required. In group II, two nodules could only be localised thanks to a mino-thoracotomy. The level of failure was between 4 and 7%, and was identical to that found in the literature for different techniques of pre-operative radiological marking: these techniques were often complicated by a pneumothorax and intrapulmonary haemorrhage. These techniques for marking are used extensively. Prospective studies based on precise and complete criteria should enable better definition of rare cases which might benefit.