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To examine the relationship between children’s adaptive functioning and neighborhood resources – such as school quality, access to healthy food, green spaces, and housing quality – using a large, diverse clinical outpatient sample.
Method:
Pediatric outpatients (N = 6,942; age M = 10.44 years; 67.0% male; 50.3% White; 33.9% Medicaid), aged 1-18, who underwent neuropsychological or psychological evaluation were included if their caregiver completed the Adaptive Behavior Assessment System, 3rd Edition (ABAS-3) and had a nationally normed Child Opportunity Index (COI) score, a composite measure of 29 geo-coded neighborhood characteristics.
Results:
Children from higher-opportunity neighborhoods demonstrated significantly stronger adaptive functioning across conceptual, social, and practical domains. Those in the top 40% of neighborhood advantage exhibited stronger adaptive skills than those in the bottom 60%. Neighborhood resources and family financial resources were associated with greater adaptive skills beyond child age, sex, and racial/ethnic background.
Conclusion:
Neighborhood resources are linked to children’s adaptive functioning, possibly due to increased opportunities to practice these skills in safer, more supportive environments. These findings emphasize the importance of considering environmental factors in assessing adaptive skills and highlight the need for public health investments and legislation related to community resources.
OBJECTIVES/GOALS: Healthcare sectors are rushing to develop AI models. Yet, a dearth of coordinated practices leaves many teams struggling to implement models into practice. The Enterprise AI Translation Advisory Board uses across-disciplinary team to facilitate AI translation. METHODS/STUDY POPULATION: The Mayo Clinic Enterprise AI Translation Advisory Board was established to assess AI solutions lever aging cross-disciplinary team science to accelerate AI innovation and translation. The 23-member board reflects expertise in data science, qualitative research, user experience, IT, human factors, informatics, regulatory compliance,ethics, and clinical care, with members spanning thought leadership, decision-making, and clinical practice. Taking an approach of respectful communication, transparency, scientific debate, and open discussion, the Board has consulted onover two dozen projects at various stages of the AI life cycle. RESULTS/ANTICIPATED RESULTS: Common issues identified for projects earlier in the AI life cycle, sometimes fatal but often address able once identified, include a lack of buy-in from potential product users, a lack of planningabout integration into clinical workflow, inadequately labeled data, and attempting to use machine learning when what is desired is really a causal model for intervening. Recommendations for projects later in the AI life cycle include details of a testing plan (silent evaluation, pragmatic clinical trials), advice about clinical integration, both post-hoc and on going auditing for performance disparities, and planning for regulatory clearance. DISCUSSION/SIGNIFICANCE: Advising is more valuable for projects at the ideation phase, when multi disciplinary interrogation can identify weaknesses. But at all phases, projects have gaps related to a lack of specific disciplinary expertise. A multi disciplinary cluster like the AI Translation Advisory Board seeks to address these gaps.
Thea aim of this study was to explore the relationship between Florida nursing home and assisted living facility characteristics and their ability to comply with a new emergency power rule in the aftermath of Hurricane Irma.
Methods:
This study used characteristics data on Florida nursing homes (NHs) (N = 680) and assisted living facilities (ALFs) (N = 2940) in operation between September 2017 and January 2019. Logistic regressions were used to determine whether certain characteristics were associated with compliance with the emergency power rule by January 1, 2019.
Results:
A total of 219 (32.9%) NHs and 2219 (75.5%) ALFs had an emergency power plan implemented by January 1, 2019. Results suggest having a dementia care unit increased the odds of compliance for NHs, while chain membership, for-profit status, and a higher reliance on Medicaid decreased the odds. Additionally, smaller size, mental health specialty license, and higher reliance on supplemental state funding increased the odds of compliance for ALFs, while nursing care specialty license and for-profit status decreased the odds of compliance.
Conclusions:
Policy implications from these results include informing policy-makers on the barriers faced by NHs and ALFs to implement a new regulation that may cause financial difficulties and compromise quality care.
Freezing of gait (FoG) in Parkinson’s disease (PD) has been associated with response inhibition. However, the relationship between response inhibition, neural dysfunction, and PD remains unclear. We assessed response inhibition and microstructural integrity of brain regions involved in response inhibition [right hemisphere inferior frontal cortex (IFC), bilateral pre-supplementary motor areas (preSMA), and subthalamic nuclei (STN)] in PD subjects with and without FoG and elderly controls.
Method:
Twenty-one people with PD and FoG (PD-FoG), 18 without FoG (PD-noFoG), and 19 age-matched controls (HC) completed a Stop-Signal Task (SST) and MRI scan. Probabilistic fiber tractography assessed structural integrity (fractional anisotropy, FA) among IFC, preSMA, and STN regions.
Results:
Stop-signal performance did not differ between PD and HC, nor between PD-FoG and PD-noFoG. Differences in white matter integrity were observed across groups (.001 < p < .064), but were restricted to PD versus HC groups; no differences in FA were observed between PD-FoG and PD-noFoG (p > .096). Interestingly, worse FoG was associated with higher (better) mean FA in the r-preSMA, (β = .547, p = .015). Microstructural integrity of the r-IFC, r-preSMA, and r-STN tracts correlated with stop-signal performance in HC (p ≤ .019), but not people with PD.
Conclusion:
These results do not support inefficient response inhibition in PD-FoG. Those with PD exhibited white matter loss in the response inhibition network, but this was not associated with FoG, nor with response inhibition deficits, suggesting FoG-specific neural changes may occur outside the response inhibition network. As shown previously, white matter loss was associated with response inhibition in elderly controls, suggesting PD may disturb this relationship.
Field experiments were conducted in 2018 and 2019 at Kansas State University Ashland Bottoms (KSU-AB) research farm near Manhattan, KS, and Kansas State University Agricultural Research Center (KSU-ARC) near Hays, KS, to determine the effectiveness of various PRE-applied herbicide premixes and tank mixtures alone or followed by (fb) an early POST (EPOST) treatment of glyphosate + dicamba for controlling glyphosate-resistant (GR) Palmer amaranth in glyphosate/dicamba-resistant (GDR) soybean. In experiment 1, PRE-applied sulfentrazone + S-metolachlor, saflufenacil + imazethapyr + pyroxasulfone, chlorimuron + flumioxazin + pyroxasulfone, and metribuzin + flumioxazin + imazethapyr provided 85% to 94% end-of-season control of GR Palmer amaranth across both sites. In comparison, Palmer amaranth control ranged from 63% to 87% at final evaluation with PRE-applied pyroxasulfone + sulfentrazone, pyroxasulfone + sulfentrazone plus metribuzin, pyroxasulfone + sulfentrazone plus carfentrazone + sulfentrazone, and sulfentrazone + metribuzin at the KSU-ARC site in experiment 2. All PRE fb EPOST (i.e., two-pass) programs provided near-complete (98% to 100%) control of GR Palmer amaranth at both sites. PRE-alone programs reduced Palmer amaranth shoot biomass by 35% to 76% in experiment 1 at both sites, whereas all two-pass programs prevented Palmer amaranth biomass production. No differences in soybean yields were observed among tested programs in experiment 1 at KSU-ARC site; however, PRE-alone sulfentrazone + S-metolachlor, saflufenacil + imazethapyr + pyroxasulfone, and chlorimuron + flumioxazin + pyroxasulfone had lower grain yield (average, 4,342 kg ha−1) compared with the top yielding (4,832 kg ha−1) treatment at the KSU-AB site. PRE-applied sulfentrazone + metribuzin had a lower soybean yield (1,776 kg ha−1) compared with all other programs in experiment 2 at the KSU-ARC site. These results suggest growers should proactively adopt effective PRE-applied premixes fb EPOST programs evaluated in this study to reduce selection pressure from multiple POST dicamba applications for GR Palmer amaranth control in GDR soybean.
Psychiatric disorders, including eating disorders (EDs), have clinical outcomes that range widely in severity and chronicity. The ability to predict such outcomes is extremely limited. Machine-learning (ML) approaches that model complexity may optimize the prediction of multifaceted psychiatric behaviors. However, the investigations of many psychiatric concerns have not capitalized on ML to improve prognosis. This study conducted the first comparison of an ML approach (elastic net regularized logistic regression) to traditional regression to longitudinally predict ED outcomes.
Methods
Females with heterogeneous ED diagnoses completed demographic and psychiatric assessments at baseline (n = 415) and Year 1 (n = 320) and 2 (n = 277) follow-ups. Elastic net and traditional logistic regression models comprising the same baseline variables were compared in ability to longitudinally predict ED diagnosis, binge eating, compensatory behavior, and underweight BMI at Years 1 and 2.
Results
Elastic net models had higher accuracy for all outcomes at Years 1 and 2 [average Area Under the Receiving Operating Characteristics Curve (AUC) = 0.78] compared to logistic regression (average AUC = 0.67). Model performance did not deteriorate when the most important predictor was removed or an alternative ML algorithm (random forests) was applied. Baseline ED (e.g. diagnosis), psychiatric (e.g. hospitalization), and demographic (e.g. ethnicity) characteristics emerged as important predictors in exploratory predictor importance analyses.
Conclusions
ML algorithms can enhance the prediction of ED symptoms for 2 years and may identify important risk markers. The superior accuracy of ML for predicting complex outcomes suggests that these approaches may ultimately aid in advancing precision medicine for serious psychiatric disorders.
This special issue considers the relationship of the life sciences to both public policy and public administration. This makes sense because the bureaucratic process and public administration are deeply involved in the policy process and the development of substantive public policy. The two subjects are intertwined. And a biological perspective can illuminate many aspects of both. That is the focus of this issue.
Germ plasm, a cytoplasmic factor of germline cell differentiation, is suggested to be a perspective tool for in vitro meiotic differentiation. To discriminate between the: (1) germ plasm-related structures (GPRS) involved in meiosis triggering; and (2) GPRS involved in the germ plasm storage phase, we investigated gametogenesis in the marine medaka Oryzias melastigma. The GPRS of the mitosis-to-meiosis period are similar in males and females. In both sexes, five events typically occur: (1) turning of the primary Vasa-positive germ plasm granules into the Vasa-positive intermitochondrial cement (IMC); (2) aggregation of some mitochondria by IMC followed by arising of mitochondrial clusters; (3) intramitochondrial localization of IMC-originated Vasa; followed by (4) mitochondrial cluster degradation; and (5) intranuclear localization of Vasa followed by this protein entering the nuclei (gonial cells) and synaptonemal complexes (zygotene–pachytene meiotic cells). In post-zygotene/pachytene gametogenesis, the GPRS are sex specific; the Vasa-positive chromatoid bodies are found during spermatogenesis, but oogenesis is characterized by secondary arising of Vasa-positive germ plasm granules followed by secondary formation and degradation of mitochondrial clusters. A complex type of germ plasm generation, ‘the follicle cell assigned germ plasm formation’, was found in late oogenesis. The mechanisms discovered are recommended to be taken into account for possible reconstruction of those under in vitro conditions.
Although behavior therapy reduces tic severity, it is unknown whether it improves co-occurring psychiatric symptoms and functional outcomes for adults with Tourette's disorder (TD). This information is essential for effective treatment planning. This study examined the effects of behavior therapy on psychiatric symptoms and functional outcomes in older adolescents and adults with TD.
Method
A total of 122 individuals with TD or a chronic tic disorder participated in a clinical trial comparing behavior therapy to psychoeducation and supportive therapy. At baseline, posttreatment, and follow-up visits, participants completed assessments of tic severity, co-occurring symptoms (inattention, impulsiveness, hyperactivity, anger, anxiety, depression, obsessions, and compulsions), and psychosocial functioning. We compared changes in tic severity, psychiatric symptoms, and functional outcomes using repeated measure and one-way analysis of variance.
Results
At posttreatment, participants receiving behavior therapy reported greater reductions in obsessions compared to participants in supportive therapy ($\eta _p^2 $ = 0.04, p = 0.04). Across treatments, a positive treatment response on the Clinical Global Impression of Improvement scale was associated with a reduced disruption in family life ($\eta _p^2 $ = 0.05, p = 0.02) and improved functioning in a parental role ($\eta _p^2 $ = 0.37, p = 0.02). Participants who responded positively to eight sessions of behavior therapy had an improvement in tic severity ($\eta _p^2 $ = 0.75, p < 0.001), inattention ($\eta _p^2 $ = 0.48, p < 0.02), and functioning ($\eta _p^2 $ = 0.39–0.42, p < 0.03–0.04) at the 6-month follow-up.
Conclusion
Behavior therapy has a therapeutic benefit for co-occurring obsessive symptoms in the short-term, and reduces tic severity and disability in adults with TD over time. Additional treatments may be necessary to address co-occurring symptoms and improve functional outcomes.
Technological advancements in medical devices developed for adults far outpace the development of technologies designed for pediatric patients in the USA and other countries. This technology lag was previously reflected in a lack of pediatric-specific innovation within our academic institution. To address the institutional deficit of device innovation around pediatric patients, we formed unique partnerships both within our university and extending to the medical device industry, and developed novel programmatic approaches. The Pediatric Device Innovation Consortium (PDIC) bridges the medical device community and the University of Minnesota. Since 2014, the PDIC has supported 22 pediatric medical technology innovation projects, provided funds totaling more than $500,000, licensed two technologies, and advanced two technologies to patient use. Here, we describe the PDIC model and method, the PDIC approach to common challenges that arise in the development of small-market medical technologies at an academic institution, and iterations to our collaborative, multidisciplinary approach that have matured throughout our experience. The PDIC model continues to evolve to reflect the special needs of innovation for smaller markets and the unique role of clinician innovators. Our approach serves as a successful model for other institutions interested in creating support mechanisms for pediatric or small-market technology development.
The development of laser wakefield accelerators (LWFA) over the past several years has led to an interest in very compact sources of X-ray radiation – such as “table-top” free electron lasers. However, the use of conventional undulators using permanent magnets also implies system sizes which are large. In this work, we assess the possibilities for the use of novel mini-undulators in conjunction with a LWFA so that the dimensions of the undulator become comparable with the acceleration distances for LWFA experiments (i.e., centimeters). The use of a prototype undulator using laser machining of permanent magnets for this application is described and the emission characteristics and limitations of such a system are determined. Preliminary electron propagation and X-ray emission measurements are taken with a LWFA electron beam at the University of Michigan.
This study investigates relations of maternal N-3 and N-6 polyunsaturated fatty acids (PUFA) intake during pregnancy with offspring body mass index (BMI), height z-score and metabolic risk (fasting glucose, C-peptide, leptin, lipid profile) during peripuberty (8–14 years) among 236 mother–child pairs in Mexico. We used food frequency questionnaire data to quantify trimester-specific intake of N-3 alpha-linolenic acid, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA); N-6 linoleic acid and arachidonic acid (AA); and N-6:N-3 (AA:EPA+DHA), which accounts for the fact that the two PUFA families have opposing effects on physiology. Next, we used multivariable linear regression models that accounted for maternal education and parity, and child’s age, sex and pubertal status, to examine associations of PUFA intake with the offspring outcomes. In models where BMI z-score was the outcome, we also adjusted for height z-score. We found that higher second trimester intake of EPA, DHA and AA were associated with lower offspring BMI and height z-score. For example, each 1-s.d. increment in second trimester EPA intake corresponded with 0.25 (95% CI: 0.03, 0.47) z-scores lower BMI and 0.20 (0.05, 0.36) z-scores lower height. Accounting for height z-score in models where BMI z-score was the outcome attenuated estimates [e.g., EPA: −0.16 (−0.37, 0.05)], suggesting that this relationship was driven by slower linear growth rather than excess adiposity. Maternal PUFA intake was not associated with the offspring metabolic biomarkers. Our findings suggest that higher PUFA intake during mid-pregnancy is associated with lower attained height in offspring during peripuberty. Additional research is needed to elucidate mechanisms and to confirm findings in other populations.
Field and greenhouse studies were conducted in 1995 and 1996 in Kansas to determine the efficacy of 21 herbicide treatments for control of tumble pigweed, Palmer amaranth, redroot pigweed, and two biotypes of common waterhemp in soybean. In field studies, nine of eleven preemergence treatments controlled all four species 90% or more. However, pendimethalin and trifluralin controlled Palmer amaranth, redroot pigweed, and tumble pigweed less than the other preplant incorporated and preemergence treatments. With the exception of flumiclorac and NAF-75, postemergence treatments controlled 75 to 90% of all four species. A biotype of common waterhemp collected in Iowa was not controlled by acetolactate synthase-inhibiting herbicides. Greenhouse results were similar to field experiments. Results suggest at least 90% control of these Amaranthus species is possible with proper herbicide selection.
The response of corn (Zea mays L. ‘Sokota TS 46’), flax (Linum usitatissimum L. ‘Culbert 79’), grain sorghum [Sorghum bicolor (L.) Merr. ‘Sokota 466’), soybeans [Glycine max (L.) Merr. ‘Corsoy 79’], and sunflowers (Helianthus annuus L. ‘Sokata 4000’) to soil residues 12 and 24 months after application of 17, 34, and 68 g ai/ha chlorsulfuron {2-chloro-N-[[(4-methoxy-6-methyl-1,3,5-triazin-2-yl) amino] carbonyl] benzenesulfonamide} was determined at two locations, Redfield and Watertown, in eastern South Dakota. All crops at Redfield were injured significantly at 17 g/ha, 12 months after application as determined by plant dry weight and visual evaluations. Corn and sorghum were the most susceptible while flax was the least susceptible. Injury at Watertown was significantly less than at Redfield. Differences in carryover were related to a lower soil pH at Watertown.
The compound N-(l,l-dimethylpropynyl)-3,5-dichlorobenzamide affected the development of quackgrass (Agropyron repens (L.) Beauv.) by inhibiting the growth of meristematic regions. The nodes at the apex of treated rhizomes became swollen and necrotic and exhibited increases in DNA, RNA, and protein over untreated rhizomes. These changes in the terminal nodes were accompanied by a dramatic increase in the levels of cellulase and by several disruptive changes in the meristematic, nodal, and internodal tissue of quackgrass rhizomes.
Over two years, acetolactate synthase (ALS)-inhibiting herbicides and herbicides with different mechanisms of action were tested individually and in combination for control of ALS-resistant Palmer amaranth in soybean. As expected, ALS-inhibiting herbicides did not control the resistant Palmer amaranth. Lactofen at 210 g/ha and acifluorfen at 560 g/ha gave the best postemergence control. Tank mixes of lactofen with either imazethapyr or chlorimuron plus thifensulfuron did not significantly increase control over lactofen alone. Sequential treatment with a soil-applied herbicide, either SAN 582 or pendimethalin, followed by lactofen postemergence, controlled weeds best (greater than 85%). The extent of cross-resistance of Palmer amaranth to ALS-inhibiting herbicides was determined in the greenhouse. Sixteen POST ALS-inhibiting herbicides were sprayed at ½, 1, 2, 4, and 8X field use rates on resistant and susceptible biotypes. All ALS-inhibiting herbicides at all rates controlled the susceptible biotype. The resistant biotype was cross-resistant to all ALS-inhibiting herbicides. Metsulfuron and imazapyr at 8X rates were the only treatments that provided 80% or greater control of the ALS-resistant Palmer amaranth. Chlorsulfuron and tribenuron were the only other herbicides that gave partial control at the highest rate. Control with these four herbicides decreased as the rate was decreased. Experimental results suggest that cultural practices and herbicides with different mechanisms of action will be required to manage this ALS-resistant Palmer amaranth biotype.
Leafy spurge control with four herbicides was evaluated at nine sites in six Great Plains states. Sulfometuron alone did not control leafy spurge satisfactorily 12 mo after treatment (MAT). Sulfometuron plus dicamba at 105 plus 2240 g ai ha−1, when spring- or fall-applied, averaged 26 and 89% control and 31 and 86% grass injury, respectively, 12 MAT. Sulfometuron plus picloram at 105 plus 560 g ai ha−1, when spring- or fall-applied, averaged 63 and 92% control and 19 and 89% grass injury, respectively, 12 MAT.
The surface waters of the Southern Ocean play a key role in the global climate and carbon cycles by promoting growth of some of the world’s largest phytoplankton blooms. Several studies have emphasized the importance of glacial and sediment inputs of Fe that fuel the primary production of the Fe-limited Southern Ocean. Although the fertile surface waters along the shelf of the western Antarctic Peninsula (WAP) are influenced by large inputs of freshwater, this freshwater may take multiple pathways (e.g. calving, streams, groundwater discharge) with different degrees of water-rock interactions leading to variable Fe flux to coastal waters. During the summers of 2012–13 and 2013–14, seawater samples were collected along the WAP, near Anvers Island, to observe water column dynamics in nearshore and offshore waters. Tracers (223,224Ra, 222Rn, 18O, 2H) were used to evaluate the source and transport of water and nutrients in coastal fjords and across the shelf. Coastal waters are compared across two field seasons, with increased freshwater observed during 2014. Horizontal mixing rates of water masses along the WAP ranged from 110–3600 m2 s-1. These mixing rates suggest a rapid transport mechanism for moving meltwater offshore.