Children with fragile X syndrome (FXS) often avoid eye contact, a behavior that is potentially related to hyperarousal. Prior studies, however, have focused on between-person associations rather than coupling of within-person changes in gaze behaviors and arousal. In addition, there is debate about whether prompts to maintain eye contact are beneficial for individuals with FXS. In a study of young females (ages 6–16), we used eye tracking to assess gaze behavior and pupil dilation during social interactions in a group with FXS (n = 32) and a developmentally similar comparison group (n = 23). Participants engaged in semi-structured conversations with a female examiner during blocks with and without verbal prompts to maintain eye contact. We identified a social–behavioral and psychophysiological profile that is specific to females with FXS; this group exhibited lower mean levels of eye contact, significantly increased mean pupil dilation during conversations that included prompts to maintain eye contact, and showed stronger positive coupling between eye contact and pupil dilation. Our findings strengthen support for the perspective that gaze aversion in FXS reflects negative reinforcement of social avoidance behavior. We also found that behavioral skills training may improve eye contact, but maintaining eye contact appears to be physiologically taxing for females with FXS.

Healthcare personnel with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection were interviewed to describe activities and practices in and outside the workplace. Among 2,625 healthcare personnel, workplace-related factors that may increase infection risk were more common among nursing-home personnel than hospital personnel, whereas selected factors outside the workplace were more common among hospital personnel.

Objectives: This study aimed to evaluate the influence of lower limb loss (LL) on mental workload by assessing neurocognitive measures in individuals with unilateral transtibial (TT) versus those with transfemoral (TF) LL while dual-task walking under varying cognitive demand. Methods: Electroencephalography (EEG) was recorded as participants performed a task of varying cognitive demand while being seated or walking (i.e., varying physical demand). Results: The findings revealed both groups of participants (TT LL vs. TF LL) exhibited a similar EEG theta synchrony response as either the cognitive or the physical demand increased. Also, while individuals with TT LL maintained similar performance on the cognitive task during seated and walking conditions, those with TF LL exhibited performance decrements (slower response times) on the cognitive task during the walking in comparison to the seated conditions. Furthermore, those with TF LL neither exhibited regional differences in EEG low-alpha power while walking, nor EEG high-alpha desynchrony as a function of cognitive task difficulty while walking. This lack of alpha modulation coincided with no elevation of theta/alpha ratio power as a function of cognitive task difficulty in the TF LL group. Conclusions: This work suggests that both groups share some common but also different neurocognitive features during dual-task walking. Although all participants were able to recruit neural mechanisms critical for the maintenance of cognitive-motor performance under elevated cognitive or physical demands, the observed differences indicate that walking with a prosthesis, while concurrently performing a cognitive task, imposes additional cognitive demand in individuals with more proximal levels of amputation.

The construction of future technological systems in work domains that do not yet exist, known as the envisioned world problem, is an increasingly important topic for designers, particularly given the rapid rate of technological advancement in the modern era. This paper first discusses the theoretical underpinnings of using cognitive work analysis (CWA) for developing a decision support system (DSS) situated within the envisioned world problem and recasts the problem as pathway-dependent processes. Using this pathway-dependent framework, each stage of the envisioning process is described to reveal how human factors experts can link existing work domains to envisioned instances. Finally, a case study example of the envisioning process that incorporates CWA modelling is demonstrated as it pertains to the advancement of the human spaceflight domain. As a result, this paper provides a unified treatment of the envisioned world problem with an end-to-end example of one approach to designing future technologies for future work domains.

The need for hollow microneedle arrays is important for both drug delivery and wearable sensor applications; however, their fabrication poses many challenges. Hollow metal microneedle arrays residing on a flexible metal foil substrate were created by combining additive manufacturing, micromolding, and electroplating approaches in a process we refer to as electromolding. A solid microneedle with inward facing ledge was fabricated with a two photon polymerization (2PP) system utilizing laser direct write (LDW) and then molded with polydimethylsiloxane. These molds were then coated with a seed layer of Ti/Au and subsequently electroplated with pulsed deposition to create hollow microneedles. An inward facing ledge provided a physical blocking platform to restrict deposition of the metal seed layer for creation of the microneedle bore. Various ledge sizes were tested and showed that the resulting seed layer void could be controlled via the ledge length. Mechanical properties of the PDMS mold was adjusted via the precursor ratio to create a more ductile mold that eliminated tip damage to the microneedles upon removal from the molds. Master structures were capable of being molded numerous times and molds were able to be reused. SEM/EDX analysis showed that trace amounts of the PDMS mold were transferred to the metal microneedle upon removal. The microneedle substrate showed a degree of flexibility that withstood over 100 cycles of bending from side to side without damaging. Microneedles were tested for their fracture strength and were capable of puncturing porcine skin and injecting a dye.

Informal (unpaid) care-givers of older people with dementia experience stress and isolation, causing physical and psychiatric morbidity. Comprehensive geriatric assessment clinics represent an important geriatrician-led model of dementia care. Our qualitative study examined the educational and support needs of care-givers of people diagnosed with dementia at a geriatric assessment clinic, resources used to address those needs and challenges experienced in doing so. We conducted structured thematic analysis of interviews with 18 informal care-givers. Participants’ narratives reflected four themes. First, care-givers sought information from varied sources, including the Alzheimer Society, the internet and clinic staff. Responsive behaviours, the expected progression of dementia and system navigation were topics of particular interest. Second, care-givers obtained assistance from public, for-profit and voluntary sources. Third, care-givers received little assistance. Two-thirds received fewer than four hours of help weekly from all sources combined, and none more than 15. Several received no assistance whatsoever. Publicly funded support workers’ tasks, and their timing, were often unhelpful. Finally, while numerous care-givers felt physical and emotional strain, and worried about how poor health impaired their care-giving, many hesitated to seek help. The needs of this unique population of informal care-givers can be met by improved home-care service flexibility, and access to trustworthy information about the expected progression of dementia and skills for managing behavioural and psychological symptoms.

Good education requires student experiences that deliver lessons about practice as well as theory and that encourage students to work for the public good—especially in the operation of democratic institutions (Dewey 1923; Dewy 1938). We report on an evaluation of the pedagogical value of a research project involving 23 colleges and universities across the country. Faculty trained and supervised students who observed polling places in the 2016 General Election. Our findings indicate that this was a valuable learning experience in both the short and long terms. Students found their experiences to be valuable and reported learning generally and specifically related to course material. Postelection, they also felt more knowledgeable about election science topics, voting behavior, and research methods. Students reported interest in participating in similar research in the future, would recommend other students to do so, and expressed interest in more learning and research about the topics central to their experience. Our results suggest that participants appreciated the importance of elections and their study. Collectively, the participating students are engaged and efficacious—essential qualities of citizens in a democracy.

Hypertrophic cardiomyopathy has a range of clinical severity in children. Treatment options are limited, mainly on account of small patient size. Disopyramide is a sodium channel blocker with negative inotropic properties that effectively reduces left ventricular outflow tract gradients in adults with hypertrophic cardiomyopathy, but its efficacy in children is uncertain. A retrospective chart review of patients ⩽21 years of age with hypertrophic cardiomyopathy at our institution and treated with disopyramide was performed. Left ventricular outflow tract Doppler gradients before and after disopyramide initiation were compared as the primary outcome measure. Nine patients received disopyramide, with a median age of 5.6 years (range 6 days–12.9 years). The median left ventricular outflow tract Doppler gradient before initiation of disopyramide was 81 mmHg (range 30–132 mmHg); eight patients had post-initiation echocardiograms, in which the median lowest recorded Doppler gradient was 43 mmHg (range 15–100 mmHg), for a median % reduction of 58.2% (p=0.002). With median follow-up of 2.5 years, eight of nine patients were still alive, although disopyramide had been discontinued in six of the nine patients. Reasons for discontinuation included septal myomectomy (four patients), heart transplantation (one patient), and side effects (one patient). Disopyramide was effective for the relief of left ventricular outflow tract obstruction in children with hypertrophic cardiomyopathy, although longer-term data suggest that its efficacy is not sustained. In general, it was well tolerated. Further study in larger patient populations is warranted.

Crop rotation has long been considered one of the simplest and most effective tools for managing weeds. In this paper, we demonstrate how crop rotations can be strategically arranged to harness a novel mechanism of weed suppression: weed-weed competition. Specifically, we consider how crop stacking, or increasing the number of consecutive plantings of a single crop within a rotation, can decrease the size of the weed seed bank, by forcing weeds to compete with each other in similar environments for longer periods of time, while still reaping the traditional benefits of crop rotation. Using an annual plant model, we investigate the theoretical effects of stacked crop rotations on weeds that have different life-history strategies and phenology. Our results show that when weeds compete within a season, stacking can reduce the weed seed bank compared to rotations without stacked crops. Although more research is needed to fully understand the effects of crop stacking on other aspects of the system, such as insect pests and diseases, our research suggests that crop stacking has the potential to improve weed suppression without additional inputs, and their associated costs and externalities. More generally, improving management by changing the temporal arrangement of disturbances is a novel, process-based approach that could likely be applied to other weed management practices, such as mowing and herbicide application, and which could involve mechanisms other than weed-weed competition. Leveraging this new application of existing ecological theory to improve weed management strategies holds great promise.

Availability of soybean with dicamba resistance will provide an alternative weed management option, but risk of dicamba injury to sensitive crops from off-target movement and spray tank contamination is of concern. Research conducted at multiple locations and years evaluated soybean injury and yield response to POST applications of the diglycolamine salt of dicamba. Dicamba was applied at the two to three trifoliate stage (V3/V4) at 4.4, 8.8, 17.5, 35, 70, 140, and 280 g ae ha−1 (1/128 to 1/2 of the recommended use rate of 560 g ae ha−1). Soybean injury 7 d after application was 20% following dicamba at 4.4 g ha−1 and increased to 89% at 280 g ha−1. At 14 d after application, injury for the same rates increased from 39 to 97%. In a separate study, dicamba was applied at first flower (R1) at 1.1, 2.2, 4.4, 8.8, 17.5, 35, and 70 g ha−1 (1/512 to 1/8 of use rate). Soybean injury 7 d following dicamba application was 19% at 1.1 g ha−1 and increased to 64% at 70 g ha−1. For the same rates of dicamba, injury from 7 to 14 d after application increased no more than 4 percentage points. For dicamba rates in common for the timing studies, soybean injury 14 d after treatment was greatest for application at V3/V4, but the negative effect on mature soybean height and yield was greatest for application at R1. For dicamba at 4.4 g ha−1 (1/128th of use rate), soybean yield was reduced 4% when applied at V3/V4 and 10% when applied at R1. For 17.5 g ha−1 dicamba (1/32 of use rate), yield was reduced 15% at V3/V4 and 36% at R1. Based on yield reductions for 4.4 and 17.5 g ha−1 dicamba, soybean at flowering was around 2.5 times more sensitive compared with vegetative exposure.

Reconstructions of past environmental changes are critical for understanding the natural variability of Earth's climate system and for providing a context for present and future global change. Radiocarbon-dated lake sediments from Lake CF3, northeastern Baffin Island, Arctic Canada, are used to reconstruct past environmental conditions over the last 11,200 years. Numerous proxies, including chironomid-inferred July air temperatures, diatom-inferred lakewater pH, and sediment organic matter, reveal a pronounced Holocene thermal maximum as much as 5°C warmer than historic summer temperatures from ∼10,000 to 8500 cal yr B.P. Following rapid cooling ∼8500 cal yr B.P., Lake CF3 proxies indicate cooling through the late Holocene. At many sites in northeastern Canada, the Holocene thermal maximum occurred later than at Lake CF3; this late onset of Holocene warmth is generally attributed to the impacts of the decaying Laurentide Ice Sheet on early Holocene temperatures in northeastern Canada. However, the lacustrine proxies in Lake CF3 apparently responded to insolation-driven warmth, despite the proximity of Lake CF3 to the Laurentide Ice Sheet and its meltwater. The magnitude and timing of the Holocene thermal maximum at Lake CF3 indicate that temperatures and environmental conditions at this site are highly sensitive to changes in radiative forcing.

This study uses a field experiment involving 251 adult participants to determine which messages related to climate change, extreme weather events, and decaying infrastructure are most effective in encouraging people to pay more for investments that could alleviate future water-quality risks. The experiment also assesses whether people prefer the investments to be directed toward gray or green infrastructure projects. Messages about global warming induced climate change and decaying infrastructure lead to larger contributions than messages about extreme weather events. The results suggest that people are likely to pay more for green infrastructure projects than for gray infrastructure projects.