Reporting stAndards for research in PedIatric Dentistry (RAPID): an expert consensus-based statement.

BACKGROUND: Reporting guidelines for different study designs are currently available to report studies with accuracy and transparency. There is a need to develop supplementary guideline items that are specific to areas within Pediatric Dentistry. This study aims to develop Reporting stAndards for research in PedIatric Dentistry (RAPID) guidelines using a pre-defined expert consensus-based Delphi process. METHODS: The development of the RAPID guidelines was based on the Guidance for Developers of Health Research Reporting Guidelines. Following a comprehensive search of the literature, the Executive Group identified ten themes in Pediatric Dentistry and compiled a draft checklist of items under each theme. The themes were categorized as: General, Oral Medicine, Pathology and Radiology, Children with Special Health Care Needs, Sedation and Hospital Dentistry, Behavior Guidance, Dental Caries, Preventive and Restorative Dentistry, Pulp Therapy, Traumatology, and Interceptive Orthodontics. A RAPID Delphi Group (RDG) was formed comprising of 69 members from 15 countries across six continents. Items were scored using a 9-point rating Likert scale. Items achieving a score of seven and above, marked by at least 70% of RDG members were accepted into the RAPID checklist items. Weighted mean scores were calculated for each item. Statistical significance was set at p < 0.05 and one-way ANOVA was used to calculate the difference in the weighted mean scores between the themes. RESULTS: The final RAPID checklist comprised of 128 items that were finalized and approved by the RDG members in the online consensus meeting. The percentage for high scores (scores 7 to 9) ranged from 69.57 to 100% for individual items. The overall weighted mean score of the final items ranged from 7.51 to 8.28 (out of 9) and the difference was statistically significant between the themes (p < 0.05). CONCLUSIONS: The RAPID statement provides guidance to researchers, authors, reviewers and editors, to ensure that all elements relevant to particular studies are adequately reported.

Unusual (+/-)-electrospray ionization induced fragmentation: Structural elucidation of an in-process synthetic intermediate of doravirine (MK-1439) using liquid chromatography/high-resolution tandem mass spectrometry and two-dimensional nuclear magnetic resonance.

RATIONALE: During the development of a novel synthetic route to doravirine (1), a human immunodeficiency type 1 virus (HIV-1) nonnucleoside reverse transcriptase inhibitor (NNRTI), an unanticipated reaction intermediate, methyl (Z)-2-(3-chloro-5-cyanophenoxy)-5-(3-(3-chloro-5-cyanophenoxy)-2-oxo-4-(trifluoromethyl)pyridin-1(2H)-yl)-5-ethoxy-3-(trifluoromethyl)pent-2-enoate (2), was isolated. Moreover, an unusual electrospray ionization (ESI)-induced fragmentation was observed for 2. Hence, efforts were made towards the understanding of the structure of 2, which was crucial for the understanding of the reaction mechanism. METHODS: The isolated impurity was fully characterized by liquid chromatography coupled with high-resolution tandem mass spectrometry (LC/HRMS/MS), hydrogen/deuterium (H/D) exchange, and an ensemble of two-dimensional nuclear magnetic resonance (2D-NMR) techniques. Density functional theory (DFT) calculations were also conducted. RESULTS: An unusual ESI-induced fragmentation was observed for intermediate 2, giving an ion for half of the molecule in the positive ion mode, with the other half of the molecule affording an ion in the negative ion mode. CONCLUSIONS: To the best of our knowledge, this unique ESI-induced fragmentation has not been previously reported in the literature. The underlying mechanism was explored and is supported by DFT calculations, which could greatly help the structural characterization of unknown impurities with similar structural features using ESI-MS in the future. Copyright © 2017 John Wiley & Sons, Ltd.

Retrofitting LID Practices into Existing Neighborhoods: Is It Worth It?

Low-impact development (LID) practices are gaining popularity as an approach to manage stormwater close to the source. LID practices reduce infrastructure requirements and help maintain hydrologic processes similar to predevelopment conditions. Studies have shown LID practices to be effective in reducing runoff and improving water quality. However, little has been done to aid decision makers in selecting the most effective practices for their needs and budgets. The long-term hydrologic impact assessment LID model was applied to four neighborhoods in Lafayette, Indiana using readily available data sources to compare LID practices by analyzing runoff volumes, implementation cost, and the approximate period needed to achieve payback on the investment. Depending on the LID practice and adoption level, 10-70% reductions in runoff volumes could be achieved. The cost per cubic meter of runoff reduction was highly variable depending on the LID practice and the land use to which it was applied, ranging from around $3 to almost $600. In some cases the savings from reduced runoff volumes paid back the LID practice cost with interest in less than 3 years, while in other cases it was not possible to generate a payback. Decision makers need this information to establish realistic goals and make informed decisions regarding LID practices before moving into detailed designs, thereby saving time and resources.

Reaction development and mechanistic study of a ruthenium catalyzed intramolecular asymmetric reductive amination en route to the dual Orexin inhibitor Suvorexant (MK-4305).

The first example of an intramolecular asymmetric reductive amination of a dialkyl ketone with an aliphatic amine has been developed for the synthesis of Suvorexant (MK-4305), a potent dual Orexin antagonist under development for the treatment of sleep disorders. This challenging transformation is mediated by a novel Ru-based transfer hydrogenation catalyst that provides the desired diazepane ring in 97% yield and 94.5% ee. Mechanistic studies have revealed that CO(2), produced as a necessary byproduct of this transfer hydrogenation reaction, has pronounced effects on the efficiency of the Ru catalyst, the form of the amine product, and the kinetics of the transformation. A simple kinetic model explains how product inhibition by CO(2) leads to overall first-order kinetics, but yields an apparent zero-order dependence on initial substrate concentration. The deleterious effects of CO(2) on reaction rates and product isolation can be overcome by purging CO(2) from the system. Moreover, the rate of ketone hydrogenation can be greatly accelerated by purging of CO(2) or trapping with nucleophilic secondary amines.

Efficient synthesis of antiviral agent uprifosbuvir enabled by new synthetic methods.

An efficient route to the HCV antiviral agent uprifosbuvir was developed in 5 steps from readily available uridine in 50% overall yield. This concise synthesis was achieved by development of several synthetic methods: (1) complexation-driven selective acyl migration/oxidation; (2) BSA-mediated cyclization to anhydrouridine; (3) hydrochlorination using FeCl3/TMDSO; (4) dynamic stereoselective phosphoramidation using a chiral nucleophilic catalyst. The new route improves the yield of uprifosbuvir 50-fold over the previous manufacturing process and expands the tool set available for synthesis of antiviral nucleotides.

Amelogenesis imperfecta due to a mutation of the enamelin gene: clinical case with genotype-phenotype correlations.

The major protein components of the enamel matrix include the most abundant amelogenin proteins as well as less plentiful proteins such as enamelin and ameloblastin. The enamel defect in amelogenesis imperfecta (Al) generally results in enamel that is too thin (hypoplastic) or too soft (hypocalcification or hypomaturation). Previous reports indicate that mutations in the human enamelin gene (ENAM) cause hypoplastic Al through autosomal-dominant inheritance patterns and patients may also exhibit an anterior open bite. Although crown resorption of unerupted teeth occurs more frequently in Al patients, this finding has not been previously associated with known ENAM mutations. The purpose of this article was to report the genotype-phenotype correlations for a 9-year, 11-month-old boy with a homozygous ENAM mutation (c.1258_1259insAG).

Socio-ecological factors associated with returning for post-operative care after dental treatment under general anesthesia.

PURPOSE: The aim of this study was to determine if specific variables in a theorized socio-ecological model are associated with returning for post-operative care after dental treatment under general anesthesia. METHODS: A 26 item cross-sectional survey assessing socio-ecological variables of 100 families of patients receiving dental treatment under general anesthesia was conducted. Chi-square tests and logistic regressions were used to investigate associations between returning for post-operative care with child, family, clinic and environmental variables described in the proposed socio-ecological model. RESULTS: Forty-seven percent of patients returned for post-operative care. Children without a dental home had lower odds of returning than children referred from a continuous source of care. Children with an ASA II/III classification had lower odds of returning for post-operative care than children who were ASA I. CONCLUSIONS: One child level and one environmental level variable in the theorized socio-ecological model had an impact on whether patients returned for post-operative care after dental treatment under general anesthesia. Further investigation of socio-ecological variables influencing dental health behaviors is needed.

Teaching older drivers to navigate GPS technology.

BACKGROUND AND OBJECTIVES: New technologies are being implemented in motor vehicles. One key technology is the electronic navigation system (ENS) that assists the driver in wayfinding, or actually guides the vehicle in higher level automation vehicles. It is unclear how older adults interact with ENSs and the best approach to train older adults to use the devices. The objectives of this study were to explore how older drivers interacted with an ENS while driving on live roadways and how various training approaches impacted older drivers' ability to accurately enter destinations into the ENS. RESEARCH DESIGN AND METHODS: In Experiment 1, 80 older drivers navigated unfamiliar routes using an ENS or paper directions and completed a series of ENS destination entry tasks. In Experiment 2, 60 older drivers completed one of three training conditions (ENS video only, ENS video with hands-on training, placebo) to examine the impacts of training on destination entry performance. RESULTS AND DISCUSSION: Driving performance was aided by the use of the ENS, but many older drivers had difficulty entering destinations into the device (Experiment 1). The combined video with hands-on ENS training resulted in the best overall destination entry performance (Experiment 2). Practical applications: The results suggest older drivers may experience problems entering destinations into ENSs, but training can improve performance. These performance issues may be especially important as more vehicle features require interaction with computer systems to select destinations or other automation related features. Further research is needed to determine how to prepare the next generation of older drivers who will interact with technologies aimed at increasing mobility.

Attention capture, processing speed, and inattentional blindness.

Previous theories of inattentional blindness (IB; a phenomenon of observers failing to notice a salient but unexpected event when attention is already occupied) have suggested that an unexpected object reaches conscious awareness when: 1) the location of the unexpected object and attention align, and 2) the unexpected object undergoes sufficient processing. Moreover, it is expected that the same factors that influence the allocation of observers' attention in attention capture studies influence what reaches conscious awareness in IB studies. We explored the degree to which individual differences in susceptibility to attention capture and processing speed are important predictors of IB. One hundred forty-six participants (from Study 1 of Roque, Wright, & Boot, 2016) completed four classic attention (implicit) capture tasks designed to assess stimulus-driven and contingent capture. Following the completion of these capture tasks, participants completed a sustained IB (multiple object tracking) task where an unexpected event appeared during the final critical trial. Indices of stimulus-driven and contingent capture were derived from the capture tasks, and a measure of processing speed was derived from aggregating reaction times from the three speed-based capture tasks. Surprisingly, results of logistic regression analyses revealed no relationship between measures of implicit and explicit capture (noticing the unexpected event). However, consistent with the a priori hypothesis, processing speed did predict IB. Findings suggest that attention capture is unrelated to the noticing of an unexpected stimulus, but efficient encoding and recognition of a stimulus is an important factor.

Effective cues for accelerating young drivers' time to transfer control following a period of conditional automation.

OBJECTIVE: During conditional automated driving, a transition from the automated driving suite to manual control requires the driver to take over control at a moment's notice. Thus, it is critical that a driver be made situationally aware as quickly as possible in those conditions where he or she may not be paying full attention. Recent research suggests that specific cues about upcoming hazards (e.g., "crosswalk ahead") can increase the drivers' situation awareness during these safety-critical take-over situations when compared with a general cue ("take over control"). The current study examines whether this increased situation awareness which occurs as a result of more specific cues translates into improved hazard mitigation performance within the same limited time window. METHOD: Fifty-seven drivers were randomly assigned to one of five between-subjects conditions (one control condition and four experimental auditory cue conditions) that varied in the specificity of information provided about an upcoming hazard. The four experimental conditions included a period of conditional automated driving where the driver was engaged in a driving-irrelevant task and looked away from the forward roadway prior to a take-over request. Drivers in the fifth condition had no cue and drove manually throughout. The same six simulator scenarios were used in all five conditions to evaluate how well the driver mitigated a hazard. The average velocity, standard deviation of velocity, and average absolute acceleration were recorded along with the glance behaviors of drivers. RESULTS: In general, during the 4s prior to a latent hazard (following the alerting cues in the automated driving conditions), the more likely a driver was to glance towards a latent hazard, the more likely the driver was to reduce his or her speed. Moreover, analyses focusing solely on hazard mitigation behavior revealed patterns that mirrored the glance behavior results. Specifically, drivers that were presented with cues that described the environments in which hazards were likely to occur were more likely to demonstrate vehicle behaviors that were consistent with speed reductions (lower velocity, higher speed variability, and higher absolute acceleration) than were drivers who were presented general cues or cues about the identity of the upcoming hazards. CONCLUSION: Even in as little as 4s prior to a potential hazard, cues that inform the driver of the environment in which the hazard is likely to occur increase the likelihood that the driver mitigates the crash compared with drivers who are provided general information or threat identity information.

The costs (or benefits) associated with attended objects do little to influence inattentional blindness.

We sometimes fail to notice unexpected objects or events when our attention is directed elsewhere, a phenomenon called inattentional blindness. We explored whether unexpected objects that shared the color of consequential objects would be noticed more often. In three pre-registered experiments, participants played a custom video game in which they avoided both low- and high-cost missiles (Experiment 1 and 2) or tried to hit rewarding missiles while avoiding costly ones (Experiment 3). After participants had played the game for about 8min, an unexpected object moved across the screen. Although participants selectively avoided more costly missiles when playing, they were no more likely to notice an unexpected object when its color was associated with greater costs. Apparently, people are no more likely to notice unexpected objects that are associated with negative consequences. Future research should examine whether objects that are themselves consequential are noticed more frequently.

Do different attention capture paradigms measure different types of capture?

When something captures our attention, why does it do so? This topic has been hotly debated, with some arguing that attention is captured only by salient stimuli (bottom-up view) and others arguing capture is always due to a match between a stimulus and our goals (top-down view). Many different paradigms have provided evidence for 1 view or the other. If either of these strong views are correct, then capture represents a unitary phenomenon, and there should be a high correlation between capture in these paradigms. But if there are different types of capture (top-down, bottom-up), then some attention capture effects should be correlated and some should not. In 2 studies, we collected data from several paradigms used in support of claims of top-down and bottom-up capture in relatively large samples of participants. Contrary to either prediction, measures of capture were not strongly correlated. Results suggest that capture may in fact be strongly determined by idiosyncratic task demands and strategies. Relevant to this lack of relations among tasks, we observed that classic measures of attention capture demonstrated low reliability, especially among measures used to support bottom-up capture. Implications for the low reliability of capture measures are discussed. We also observed that the proportion of participants demonstrating a pattern of responses consistent with capture varied widely among classic measures of capture. Overall, results demonstrate that, even for relatively simple laboratory measures of attention, there are still important gaps in knowledge regarding what these paradigms measure and how they are related.

The impact of red light running camera flashes on younger and older drivers' attention and oculomotor control.

Recent empirical evidence has suggested that the flashes associated with red light running cameras (RLRCs) distract younger drivers, pulling attention away from the roadway and delaying processing of safety-relevant events. Considering the perceptual and attentional declines that occur with age, older drivers may be especially susceptible to the distracting effects of RLRC flashes, particularly in situations in which the flash is more salient (a bright flash at night compared with the day). The current study examined how age and situational factors potentially influence attention capture by RLRC flashes using covert (cuing effects) and overt (eye movement) indices of capture. We manipulated the salience of the flash by varying its luminance and contrast with respect to the background of the driving scene (either day or night scenes). Results of 2 experiments suggest that simulated RLRC flashes capture observers' attention, but, surprisingly, no age differences in capture were observed. However, an analysis examining early and late eye movements revealed that older adults may have been strategically delaying their eye movements in order to avoid capture. Additionally, older adults took longer to disengage attention following capture, suggesting at least 1 age-related disadvantage in capture situations. Findings have theoretical implications for understanding age differences in attention capture, especially with respect to capture in real-world scenes, and inform future work that should examine how the distracting effects of RLRC flashes influence driver behavior.

Exploring the breadth of the top-down representations that control attentional disengagement.

Recent studies attribute top-down control as the primary determinant of the speed with which attention can be disengaged from an object, and disengagement has received increased interest as a means to distinguish between top-down and bottom-up accounts of attention capture. We present the results of three experiments exploring the breadth of the representations that delay attentional disengagement based on top-down goals. Experiments 1 and 2 examined whether objects similar to an observers' search target, but differing in luminance and hue, delayed the reallocation of attention in a search paradigm designed to isolate disengagement time. Experiment 3 explored whether the representations that delay disengagement are based on absolute similarity with the search target, or are tuned based on target/nontarget relationships. These three studies confirmed the role of top-down goals in automatically contributing to dwell times and revealed that the representations that underlie disengagement effects are broad (automatically delaying disengagement for items similar, but not identical to, the search target). In some cases, attention sets appeared to be graded in nature, but in others target-distractor relationships influenced the degree to which an irrelevant item held attention. Implications for theories of attention capture and potential functional significance of these automatic effects are discussed.

Functional fixedness: The functional significance of delayed disengagement based on attention set.

During search, the disengagement of attention is automatically delayed when a fixated but task-irrelevant object shares features of the search target. We examined whether delayed disengagement based on top-down attention set is potentially functional, resulting in additional processing of the fixated item. To accomplish this, we adapted the oculomotor disengagement paradigm. Participants saccaded to a peripheral object of a particular color and responded to the identity of the letter within it. To initiate search participants made a saccade away from an always irrelevant object at the center of the screen that matched or mismatched the target's color and contained a letter that was congruent or incongruent with the target letter. We found that delayed disengagement based on attention set was associated with deeper processing of the center item: a congruency effect between the center letter and peripheral target letter was only observed when the center object's color matched participants' attention set. Results are consistent with the proposal that delayed disengagement based on attention set is functionally significant, automatically encouraging deeper levels of processing of target-like objects that fall within the focus of attention.

Gaming Preferences of Aging Generations.

Increasing evidence suggests that action digital game training can improve a variety of perceptual and cognitive abilities, including those that decline most with age. Unfortunately, previous work has found that older adults dislike these games and adherence may be poor for action game-based interventions. The focus of the current study was to better understand the types of games older adults are willing to play and explore predictors of game preference (e.g., gender, age, technology experience, personality). With this information action games might be modified or developed to maximize adherence and cognitive benefit. Older adults were administered a modified version of an existing game questionnaire and a custom game preference survey. Clear preferences were observed that were similar between participants with and without previous digital game experience (with puzzle and intellectually stimulating games being most interesting to older adults in our sample, and massively multiplayer online games and first-person shooters being least interesting). Personality, demographic, and technology experience variables were also collected. Interesting trends suggested the possibility that several demographic and personality variables might be predictive of game preference. Results have implications for future directions of research, designing games that would appeal to older adult audiences, and for how to design custom games to maximize intervention adherence based on individual difference characteristics.

Pupillary response predicts multiple object tracking load, error rate, and conscientiousness, but not inattentional blindness.

Research on inattentional blindness (IB) has uncovered few individual difference measures that predict failures to detect an unexpected event. Notably, no clear relationship exists between primary task performance and IB. This is perplexing as better task performance is typically associated with increased effort and should result in fewer spare resources to process the unexpected event. We utilized a psychophysiological measure of effort (pupillary response) to explore whether differences in effort devoted to the primary task (multiple object tracking) are related to IB. Pupillary response was sensitive to tracking load and differences in primary task error rates. Furthermore, pupillary response was a better predictor of conscientiousness than primary task errors; errors were uncorrelated with conscientiousness. Despite being sensitive to task load, individual differences in performance and conscientiousness, pupillary response did not distinguish between those who noticed the unexpected event and those who did not. Results provide converging evidence that effort and primary task engagement may be unrelated to IB.

Characterizing the time course and nature of attentional disengagement effects.

Visual features of fixated but irrelevant items contribute to both how long overt attention dwells at a location and to decisions regarding the location of subsequent attention shifts (Boot & Brockmole, 2010; Brockmole & Boot, 2009). Fixated but irrelevant search items that share the color of the search target delay the deployment of attention. Furthermore, eye movements are biased to distractors that share the color of the currently fixated item. We present a series of experiments that examined these effects in depth. Experiment 1 explored the time course of disengagement effects. Experiments 2 and 3 explored the generalizability of disengagement effects by testing whether they could be observed when participants searched for targets defined by form instead of color. Finally, Experiment 4 validated the disengagement paradigm as a measure of disengagement and ruled out alternative explanations for slowed saccadic reaction times. Results confirm and extend our understanding of the influence of features within the focus of attention on when and where attention will shift next.

Synthetic-aperture imaging laser radar: laboratory demonstration and signal processing.

The spatial resolution of a conventional imaging laser radar system is constrained by the diffraction limit of the telescope's aperture. We investigate a technique known as synthetic-aperture imaging laser radar (SAIL), which employs aperture synthesis with coherent laser radar to overcome the diffraction limit and achieve fine-resolution, long-range, two-dimensional imaging with modest aperture diameters. We detail our laboratory-scale SAIL testbed, digital signal-processing techniques, and image results. In particular, we report what we believe to be the first optical synthetic-aperture image of a fixed, diffusely scattering target with a moving aperture. A number of fine-resolution, well-focused SAIL images are shown, including both retroreflecting and diffuse scattering targets, with a comparison of resolution between real-aperture imaging and synthetic-aperture imaging. A general digital signal-processing solution to the laser waveform instability problem is described and demonstrated, involving both new algorithms and hardware elements. These algorithms are primarily data driven, without a priori knowledge of waveform and sensor position, representing a crucial step in developing a robust imaging system.