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Although culture-based measurement bias threatens the validity of intergroup comparison research, measurement invariance is often assumed rather than demonstrated by researchers who draw conclusions about cross-cultural similarities or differences. The current article investigates the cross-cultural invariance of a popular measure of perfectionism, the Frost Multidimensional Perfectionism Scale (F-MPS; Frost, Marten, Lahart, & Rosenblate, 1990) for a Hispanic/Latina sample. Perfectionism, which encompasses high goal setting and sensitivity to critical evaluation, is a transdiagnostic risk factor for internalizing psychopathology that especially warrants focus among groups burdened by mental health disparities. Multiple samples were used in a series of analyses to construct a baseline first-order measurement model and test for cross-group equivalence. For model development, confirmatory factor analyses (CFAs) were used with 320 female participants (M age = 19.61 years) who identified primarily (n = 301) as European/European American. Measurement invariance testing was conducted with multigroup CFAs using another sample of female adults (n = 574; Mage = 21.21 years), identifying either as European/European American (n = 217) or Hispanic/Latina/Latin American (n = 357). Evidence was found for invariance across the revised F-MPS factor structure, pattern of factor loadings, and factor variances/covariances. Results indicate that predictive relationships may be compared across these groups, but caution is suggested when interpreting raw mean score differences due to intercept nonequivalence. Further, second-order model testing demonstrated support for the bidimensional model of perfectionism cross-culturally. Future research on perfectionism within the Latino/a population is encouraged using this equivalent item set. (PsycINFO Database Record, ((c) 2017 APA, all rights reserved).)

Ischemic foot ulceration in the diabetic patient is a source of great physical and emotional strain for the patient and represents a significant financial burden for the health care system responsible for the cost of such care. Limb salvage remains the primary therapeutic goal; yet, fiscal constraints imposed by diagnosis related group-based reimbursement systems require maximal cost efficiency in the care process. Between 1984 and 1990, the changes in our team management approach to this problem, emphasizing aggressive surgical revascularization of threatened limbs, have improved the quality of care and dramatically reduced the major and minor amputation rate. In the process, we have reduced the length of hospital stay and the overall cost of care. Despite this improvement in outcome and efficiency, Medicare reimbursement remains insufficient, with an average loss of $7480 per admission.