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Differences in social behaviours are common in young people with neurodevelopmental conditions (NDCs). Recent research challenges the long-standing hypothesis that difficulties in social cognition explain social behaviour differences.
Aims
We examined how difficulties regulating one's behaviour, emotions and thoughts to adapt to environmental demands (i.e. dysregulation), alongside social cognition, explain social behaviours across neurodiverse young people.
Method
We analysed cross-sectional behavioural and cognitive data of 646 6- to 18-year-old typically developing young people and those with NDCs from the Province of Ontario Neurodevelopmental Network. Social behaviours and dysregulation were measured by the caregiver-reported Adaptive Behavior Assessment System Social domain and Child Behavior Checklist Dysregulation Profile, respectively. Social cognition was assessed by the Neuropsychological Assessment Affect-Recognition and Theory-of-Mind, Reading the Mind in the Eyes Test, and Sandbox continuous false-belief task scores. We split the sample into training (n = 324) and test (n = 322) sets. We investigated how social cognition and dysregulation explained social behaviours through principal component regression and hierarchical regression in the training set. We tested social cognition-by-dysregulation interactions, and whether dysregulation mediated the social cognition–social behaviours association. We assessed model fits in the test set.
Results
Two social cognition components adequately explained social behaviours (13.88%). Lower dysregulation further explained better social behaviours (β = −0.163, 95% CI −0.191 to −0.134). Social cognition-by-dysregulation interaction was non-significant (β = −0.001, 95% CI −0.023 to 0.021). Dysregulation partially mediated the social cognition–social behaviours association (total effect: 0.544, 95% CI 0.370–0.695). Findings were replicated in the test set.
Conclusions
Self-regulation, beyond social cognition, substantially explains social behaviours across neurodiverse young people.
We recently reported on the radio-frequency attenuation length of cold polar ice at Summit Station, Greenland, based on bi-static radar measurements of radio-frequency bedrock echo strengths taken during the summer of 2021. Those data also allow studies of (a) the relative contributions of coherent (such as discrete internal conducting layers with sub-centimeter transverse scale) vs incoherent (e.g. bulk volumetric) scattering, (b) the magnitude of internal layer reflection coefficients, (c) limits on signal propagation velocity asymmetries (‘birefringence’) and (d) limits on signal dispersion in-ice over a bandwidth of ~100 MHz. We find that (1) attenuation lengths approach 1 km in our band, (2) after averaging 10 000 echo triggers, reflected signals observable over the thermal floor (to depths of ~1500 m) are consistent with being entirely coherent, (3) internal layer reflectivities are ≈–60$\to$–70 dB, (4) birefringent effects for vertically propagating signals are smaller by an order of magnitude relative to South Pole and (5) within our experimental limits, glacial ice is non-dispersive over the frequency band relevant for neutrino detection experiments.
Previous research has shown that glufosinate and nicosulfuron at low rates can cause yield loss to grain sorghum. However, research has not been conducted to pinpoint the growth stage at which these herbicides are most injurious to grain sorghum. Therefore, field tests were conducted in 2016 and 2017 to determine the most sensitive growth stage for grain sorghum exposure to both glufosinate and nicosulfuron. Field test were designed with factor A being the herbicide applied (glufosinate or nicosulfuron). Factor B consisted of timing of herbicide application including V3, V8, flagleaf, heading, and soft dough stages. Factor C was glufosinate or nicosulfuron rate where a proportional rate of 656 g ai ha−1 of glufosinate and 35 g ai ha−1 of nicosulfuron was applied at 1/10×, 1/50×, and 1/250×. Visible injury, crop canopy heights (cm), and yield were reported as a percent of the nontreated. At the V3 growth stage visible injury of 32% from the 1/10× rate of glufosinate and 51% from the 1/10× rate of nicosulfuron was observed. This injury was reduced by 4 wk after application (WAA) and no yield loss occurred. Nicosulfuron was more injurious than glufosinate at a 1/10× and 1/50× rate when applied at the V8 and flagleaf growth stages resulting in death of the shoot, reduced heading, and yield. Yield losses from the 1/10× rate of nicosulfuron were observed from V8 through early heading and ranged from 41% to 96%. Yield losses from the 1/50× rate of nicosulfuron were 14% to 16% at the flagleaf and V8 growth stages respectively. The 1/10× rate of glufosinate caused 36% visible injury 2 WAA when applied at the flagleaf stage, which resulted in a 16% yield reduction. By 4 WAA visible injury from either herbicide at less than the 1/10× rate was not greater than 4%. Results indicate that injury can occur, but yield losses are more probable from low rates of nicosulfuron at V8 and flagleaf growth stages.
A non-GMO trait called Inzen™ was recently commercialized in grain sorghum to combat weedy grasses, allowing the use of nicosulfuron POST in the crop. Inzen™ grain sorghum carries a double mutation in the acetolactate synthase (ALS) gene Val560Ile and Trp574Leu, which potentially results in cross-resistance to a wide assortment of ALS-inhibiting herbicides. To evaluate the scope of cross-resistance to Weed Science Society of America Group 2 herbicides in addition to nicosulfuron, tests were conducted in 2016 and 2017 at the Lon Mann Cotton Research Station near Marianna, AR, the Arkansas Agricultural Research and Extension Center in Fayetteville, AR, and in 2016 at the Pine Tree Research Station near Colt, AR. The tests included ALS-inhibiting herbicides from all five families: sulfonylureas, imidazolinones, pyrimidinylthiobenzoics, triazolinones, and triazolopyrimidines. Treatments were made PRE or POST to grain sorghum at a 1× rate for crops in which each herbicide is labeled. Grain sorghum planted in the PRE trial were Inzen™ and a conventional cultivar. Visible estimates of injury and sorghum heights were recorded at 2 and 4 wk after herbicide application, and yield data were collected at crop maturity. In the PRE trial, no visible injury, sorghum height reduction, or yield loss were observed in plots containing the Inzen™ cultivar. Applications made POST to the Inzen™ grain sorghum caused visible injury, sorghum height reduction, and yield loss of 20%, 13%, and 35%, respectively, only in plots where bispyribac-Na was applied. There was no impact on the crop from other POST-applied ALS-inhibiting herbicides. These results demonstrate that the Inzen™ trait confers cross-resistance to most ALS-inhibiting herbicides and could offer promising new alternatives for weed control and protection from carryover of residual ALS-inhibiting herbicides in grain sorghum.
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.
It is increasingly essential for medical researchers to be literate in statistics, but the requisite degree of literacy is not the same for every statistical competency in translational research. Statistical competency can range from ‘fundamental’ (necessary for all) to ‘specialized’ (necessary for only some). In this study, we determine the degree to which each competency is fundamental or specialized.
Methods
We surveyed members of 4 professional organizations, targeting doctorally trained biostatisticians and epidemiologists who taught statistics to medical research learners in the past 5 years. Respondents rated 24 educational competencies on a 5-point Likert scale anchored by ‘fundamental’ and ‘specialized.’
Results
There were 112 responses. Nineteen of 24 competencies were fundamental. The competencies considered most fundamental were assessing sources of bias and variation (95%), recognizing one’s own limits with regard to statistics (93%), identifying the strengths, and limitations of study designs (93%). The least endorsed items were meta-analysis (34%) and stopping rules (18%).
Conclusion
We have identified the statistical competencies needed by all medical researchers. These competencies should be considered when designing statistical curricula for medical researchers and should inform which topics are taught in graduate programs and evidence-based medicine courses where learners need to read and understand the medical research literature.
U-Th isochron ages of tufas formed on shorelines suggest that the last pluvial event in Lake Lahontan and Searles Lake was synchronous at about 16,500 cal yr B.P. (equivalent to a radiocarbon age of between 14,000 and 13,500 yr B.P.), whereas the timing of this pluvial event determined by radiocarbon dating is on the order of 1000 yr younger. The timing of seven distinct periods of near desiccation in Searles Lake during late-glacial time has been reinvestigated for U-Th age determination by mass spectrometry. U-Th dating of evaporite layers in the interbedded mud and salt unit called the Lower Salt in Searles Lake was hampered by the uncertainty in assessing the initial 230Th/232Th of the samples. The resulting ages, corrected by a conservative range of initial 230Th/232Th ratios, suggest close correlation of the abrupt changes recorded in Greenland ice cores (Dansgaard-Oeschger events) and wet–dry conditions in Searles Lake between 35,000 and 24,000 cal yr B.P.
Heart failure (HF) affects up to 20 per cent of residents in long-term care (LTC) and is associated with substantial morbidity, mortality, and health service utilization. Our study objective was to formulate recommendations on implementing HF care processes in LTC. A three-phase and iterative stakeholder consultation process, guided by expert panel input, was employed to develop recommendations on implementing care processes for HF in LTC. This article presents the results of the third phase, which consisted of a series of interdisciplinary workshops. We developed 17 recommendations. Key elements of these recommendations focus on improving interprofessional communication and improving HF-related knowledge among all LTC stakeholders. Engaging frontline staff, including personal support workers, was stated as an essential component of all recommendations. System-level recommendations include improving communication between LTC homes and acute care and other external health service providers, and developing facility-wide interventions to reduce dietary sodium intake and increase physical activity.
Heart failure (HF) is common among long-term care (LTC) residents, and may account for 40 per cent of acute-care transfers. Canadian Cardiovascular Society HF guidelines endorse standard therapies; yet LTC residents are less likely to receive treatment. This qualitative study employed focus groups to explore perceptions, from 18 physicians and nurse practitioners in three Ontario homes, on HF care practices and challenges. For example, participants reported challenges with HF diagnostic skills and procedural knowledge. They also identified the need for interprofessional collaboration and role clarification to improve HF care and outcomes. To address these challenges, multimodal interventions and bedside teaching are required. Leadership was viewed as essential to improve HF care. Several concerns arose regarding knowledge gaps and clinical deficits among primary-care providers who manage heart failure in LTC residents. Multimodal, clinically focused educational and interprofessional solutions are needed to improve HF care in long-term care.
Two political campaigns in the Scottish Lowlands mark the beginning and the end of the half century during which the Liberal party rose, had its era of greatness, and fell. They are Midlothian and Paisley. In the first, William Gladstone made use of the new democracy of the Reform Act of 1867 by giving many speeches to vast crowds in a concentrated, spectacular campaign. He also broke new ground by setting out in these speeches the whole sweep of a political point of view, providing both contemporaries and historians with a convenient study in depth of its assumptions and goals. Midlothian was a legend before the cheers had subsided. It began a new era in British politics.
The second of these landmark campaigns, that at Paisley, saw Herbert Henry Asquith, the last of Gladstone's protégés as well as the last Prime Minister of a Liberal government, stumping the streets of that industrial town in the first weeks of 1920. It, too, was the object of intense national interest and resulted in important political changes. Similarly, Asquith's speeches covered the whole range of national problems, thus supplying once more a convenient presentation in depth of Liberalism as the leader of the Liberal party conceived it. Paisley provides both a window into the political mêlée which saw the collapse of the Liberals and the rise of Labour, and a reference point in the history of Liberal thought in Britain. In brief, this is consensus Liberalism as it stood at the end of its half century of power and influence.
Within-tree colonization by Dendroctonus frontalis infesting loblolly pine, Pinus taeda L., was investigated. Two components of the colonization process were studied: the establishment of attacking adults (ATK) and the ensuing construction of egg galleries (GL). Data on the two variables were taken from standing trees beginning at the time of initial attack and continuing for 14 consecutive days.
The spatial and temporal sequence of ATK was described for 1.5 m intervals along the infested bole for the duration of the process. A three parameter nonlinear function was used to describe the data. The pattern of attack was also described as an average process for the entire tree using the same model. A frequency histogram encompassing the range in variation for peak ATK from 134 trees was prepared to provide starting values for simulation purposes.
The spatial and temporal sequence of GL construction was described using essentially the same approach as employed for ATK. The modeling process was complicated by loss or obscuring of GL from the radiograph by omission errors and foraging by Monochamus spp. and other associates. GL construction was also described as an average function for the entire tree and the rate of GL construction was defined. A frequency histogram of peak GL was prepared from data on 54 trees for use in selecting starting values for simulation purposes.
Numerical relationships between ATK and GL were defined by combining the data on ATK and cumulative expected GL.
Within-tree models of Dendroctonus frontalis generation survival from attacking adults to emerging adults and survivorship from eggs to emergence were developed for five regions of the infested tree bole of Pinus taeda L. The generation survival model (GS) describes the number of D. frontalis/attacking adult as a function of time at a specific height. The form of the model is
YGS = 1.0 + C(1–e–20.0X)eA(1.0–X)B + ɛ.
The survival model (S) describes the number of D. frontalis/100 eggs as a function of time at a specific height. The form of this model is
YS = CeA(1.0–X)B + ɛ.
The generation survival model indicated that the rate of survival was primarily a function of generation development time, rather than position on the infested tree bole. The rates also varied in different sections of the tree depending on the initial egg/attacking adult population of D. frontalis. The emergence/attack ratios for the tree sections were slightly greater at the top and bottom than in the middle of the infested bole.
The survivorship curves, based on an initial cohort of 100 eggs, were similar for the various sections of the tree bole. Again, the rate of population change was primarily a function of developmental time, rather than position on the tree. The curves for the various tree sections were essentially the same.
The combined action of the various biotic and abiotic mortality agents acting in the different sections of the tree resulted in essentially uniform survivorship throughout the infested portion of the tree bole.
The current study demonstrates the efficacy of using a behavioural contingency contract in conjunction with family-selected reinforcers to increase appointment keeping among low income families in a child and family therapy clinic. Three families with similar presenting problems participated. A multiple baseline across-subjects design with the addition of a reversal component was utilised. Upon treatment implementation, contracts were signed by family members stating that they would receive coupons valuing $30.00 after attending four consecutive clinic appointments. These coupons were selected by the family from a diverse menu. Results indicated increases in appointment keeping following implementation of the behavioural contract. The cost effectiveness of using a behavioural contract in conjunction with economic incentives with low-income families is discussed, and suggestions for future research on appointment keeping are made.
Historians of the United States have learned much in the past twenty years about the history of what is now called its political culture, and about its environmental history.1 These two dimensions of national life, however, are rarely, if ever, looked at together. The result is that we little understand how powerfully environmental policy is influenced not simply by everyday politics—of that we know abundantly—but by the long-term political mentalities of the Democrats and the Republicans, mentalities which originate not in abstract theorizing, but which grow up naturally within the cultural worlds to be found among the distinctive groups of peoples who line up within one party or the other and remain there, generation after generation. What I propose here is to put political culture and natural resource management history together and see what happens.
The possibility that inflammation plays a major role in the symptoms of sickness and depression experienced by cancer patients was initially proposed by a group of investigators led by Charles Cleeland, one of the editors of this book. The authors' reasoning was based on analogies. Laboratory animals injected with proinflammatory cytokines, or with cytokine inducers such as lipopolysaccharide, develop striking signs of sickness characterized by pain, wasting, cognitive impairment, anxiety, and fatigue. The same symptoms are observed in many patients with cancer and are exacerbated during inflammation-inducing cancer treatments, such as chemotherapy and radiotherapy. In addition, cancer patients subjected to long-term immunotherapy with interferon (IFN)-α and/or interleukin (IL)-2 for the treatment of metastatic kidney cancer or metastatic melanoma rapidly develop symptoms of sickness that can culminate in true depressive disorders. Since Cleeland's seminal paper was published, many studies have confirmed that nonspecific symptoms such as fatigue, even in long-term cancer survivors, are associated with inflammatory biomarkers and cannot be explained away solely as psychological difficulties related to coping with a diagnosis of cancer or living with the disease. A recent review paper confirmed the plausibility of the relationship between inflammation and the behavioral comorbidities experienced by patients with cancer and pointed to the pivotal role of neuroendocrine-immune mechanisms in this relationship.
The objective of this chapter is to discuss the neuroimmune mechanisms that are likely to be responsible for the development of symptoms of sickness and depression in patients with cancer.