In an empirical study on the classification of the psychoses, 302 patients were rated using the Longitudinal Psychopathology Schedule. The data were condensed by factor analysis, which yielded 10 factors - mania and schizomania, depression and suicidal activity, and 6 factors concerned with psychotic symptoms (verbal hallucinosis/passivity, delusion formation, defect symptoms, social decline, cycloid symptomatology and a factor loading depressive auditory hallucinations and visual hallucinations). Provisional diagnostic groups were obtained using DSM III. Discriminant function analyses showed that the only clearly distinct diagnostic group was bipolar disorder, and this was true for various definitions. Canonical variate analyses were performed using 3- and 4-criterion groups. These showed that a group corresponding approximately to cycloid psychosis also met criteria for being a distinct group. The most detailed examination pf the data, using 4-criterion groups and serial reclassification, suggested that the psychoses might fall into 5 groups - bipolar disorder, cycloid psychosis, depression, defect states and schizoaffective depression.

Laboratory and field experiments were conducted to determine whether manipulation of radiation environment during the period of winter wheat establishment can be used to improve wheat yields in Italian ryegrass-infested fields. Percentage of total irradiation and ratio of red (R) light (around 660 ηm) to far-red (FR) light (around 730 ηm) reaching the soil surface were important factors in regulating Italian ryegrass germination, growth, and competitive interactions with wheat. Reducing total irradiation to about 10% of full sunlight while maintaining the normal R/FR ratio of about 1.0 reduced wheat grain production in the presence of Italian ryegrass by about 40% compared with weed-free wheat in full sunlight. Further, reducing total irradiation to 3% of full sunlight plus reducing the R/FR ratio to about 0.2 reduced wheat grain production competing with Italian ryegrass by about 35% compared with production in the control conditions. Wheat production of dry matter, spikes, and seeds in the presence of Italian ryegrass increased more than threefold under both shading treatments compared with production in full sunlight.

Triazine-resistant giant foxtail was identified in 1984 near Delta, PA. In field studies conducted from 1985 to 1987, preemergence applications of atrazine with cyanazine or simazine provided poor (≤60%) season-long control of this annual grass in no-tillage corn. Best season-long preemergence control was obtained with metolachlor or microencapsulated formulations of alachlor or EPTC. Postemergence applications of cyanazine or tridiphane + atrazine + crop oil provided poor giant foxtail control. Postdirected applications of paraquat resulted in fair (≥70%) control of giant foxtail through midseason. In greenhouse studies, triazineresistant (R) giant foxtail tolerated preemergence applications of atrazine or simazine at dosages to 9.0 kg ai/ha. Triazine-sensitive (S) giant foxtail was injured by 2.2 kg/ha and higher rates of atrazine and simazine. In laboratory studies, the I50 for inhibition by atrazine of photoinduced electron transport in thylakoids isolated from S and R biotypes was determined to be 0.24 and 205 μM, respectively. The differential sensitivity was paralleled by simazine. However, the limited solubility of simazine prevented determination of an I50 value with thylakoids from the R biotype.

We compared the cost-effectiveness (CE) of an active case-finding (ACF) programme for household contacts of tuberculosis (TB) cases enrolled in first-line treatment to routine passive case-finding (PCF) within an established national TB programme in Peru. Decision analysis was used to model detection of TB in household contacts through: (1) self-report of symptomatic cases for evaluation (PCF), (2) a provider-initiated ACF programme, (3) addition of an Xpert MTB/RIF diagnostic test for a single sputum sample from household contacts, and (4) all strategies combined. CE was calculated as the incremental cost-effectiveness ratio (ICER) in terms of US dollars per disability-adjusted life years (DALYs) averted. Compared to PCF alone, ACF for household contacts resulted in an ICER of $2155 per DALY averted. The addition of the Xpert MTB/RIF diagnostic test resulted in an ICER of $3275 per DALY averted within a PCF programme and $3399 per DALY averted when an ACF programme was included. Provider-initiated ACF of household contacts in an urban setting of Lima, Peru can be highly cost-effective, even including costs to seek out contacts and perform an Xpert/MTB RIF test. ACF including Xpert MTB/RIF was not cost-effective if TB cases detected had high rates of default from treatment or poor outcomes.

Background: Children with myocarditis have multiple risk factors for thrombotic events, yet the role of antithrombotic therapy is unclear in this population. We hypothesised that thrombotic events in critically ill children with myocarditis are common and that children with myocarditis are at higher risk for thrombotic events than children with non-inflammatory dilated cardiomyopathy. Methods: This is a retrospective chart review of all children presenting to a single centre cardiac intensive care unit with myocarditis from 1995 to 2008. A comparison group of children with dilated cardiomyopathy was also examined. Antithrombotic regimens were recorded. The primary outcome of thrombotic events included intracardiac clots and any thromboembolic events. Results: Out of 45 cases with myocarditis, 40% were biopsy-proven, 24% viral polymerase chain reaction-supported, and 36% diagnosed based on high clinical suspicion. There were two (4.4%) thrombotic events in the myocarditis group and three (6.7%) in the dilated cardiomyopathy group (p = 1.0). Neither the use of any antiplatelet or anticoagulation therapy, use of intravenous immune globulin, presence of any arrhythmia, nor need for mechanical circulatory support were predictive of thrombotic events in the myocarditis, dilated cardiomyopathy, or combined groups. Conclusions: Thrombotic events in critically ill children with myocarditis and dilated cardiomyopathy occurred in 6% of the combined cohort. There was no difference in thrombotic events between inflammatory and non-inflammatory cardiomyopathy groups, suggesting that the decision to use antithrombotic prophylaxis should be based on factors other than the underlying aetiology of a child's acute decompensated heart failure.

Although widely used, the term repellency needs to be employed with care when applied to ticks and other periodic or permanent ectoparasites. Repellency has classically been used to describe the effects of a substance that causes a flying arthropod to make oriented movements away from its source. However, for crawling arthropods such as ticks, the term commonly subsumes a range of effects that include arthropod irritation and consequent avoiding or leaving the host, failing to attach, to bite, or to feed. The objective of the present article is to highlight the need for clarity, to propose consensus descriptions and methods for the evaluation of various effects on ticks caused by chemical substances.

The draft paper sets out the authors' views of what good practice for the actuarial aspects of internal models will look like in 2012, the year Solvency II is expected to be implemented. Actuaries working on internal models can expect to have to follow such practices if their internal models are to be approved for use in calculating regulatory capital. The paper is therefore relevant for actuaries who plan to work on internal model implementation for Solvency II.

Moreover, the risk quantification techniques discussed in the paper can also be used in the Own Risk Solvency Assessment (ORSA) process also required by Solvency II. The paper is therefore relevant to actuaries working in companies that are not planning to apply to use an internal model.

The paper covers both life and non-life insurance and reinsurance, and reviews current practice as well as setting out possible future practice. This leads to identification of areas for research by the Profession to prepare for 2012 and an indication of the directions this work might take.

The paper is effectively a work in progress, and readers should ask themselves what they should do in response to the ideas discussed.