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1.
Appl Opt ; 62(9): 2195-2199, 2023 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-37132856

RESUMO

We investigate the use of passive intracavity optical filters for controlling the laser output spectrum of a polarization-mode-locked, ultrafast ytterbium fiber laser. The overall lasing bandwidth is increased or extended by strategic choice of the filter cutoff frequency. Overall laser performance, including pulse compression and intensity noise, is investigated for both shortpass and longpass filters with a range of cutoff frequencies. The intracavity filter not only shapes the output spectra, but also provides a route for overall broader bandwidths and shorter pulses in ytterbium fiber lasers. These results demonstrate that spectral shaping with a passive filter is a useful tool to routinely achieve sub-45 fs pulse durations in ytterbium fiber lasers.

2.
PLoS Biol ; 16(3): e2005348, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29538384

RESUMO

The speed of theta brain oscillatory activity is thought to play a key role in determining working memory (WM) capacity. Individual differences in the length of a theta cycle (ranging between 4 and 7 Hz) might determine how many gamma cycles (>30 Hz) can be nested into a theta wave. Gamma cycles are thought to represent single memory items; therefore, this interplay could determine individual memory capacity. We directly tested this hypothesis by means of parietal transcranial alternating current stimulation (tACS) set at slower (4 Hz) and faster (7 Hz) theta frequencies during a visuospatial WM paradigm. Accordingly, we found that 4-Hz tACS enhanced WM capacity, while 7-Hz tACS reduced WM capacity. Notably, these effects were found only for items presented to the hemifield contralateral to the stimulation site. This provides causal evidence for a frequency-dependent and spatially specific organization of WM storage, supporting the theta-gamma phase coupling theory of WM capacity.


Assuntos
Memória de Curto Prazo , Lobo Parietal/fisiologia , Ritmo Teta/fisiologia , Adulto , Feminino , Humanos , Masculino , Percepção Visual
3.
Physiol Genomics ; 52(9): 379-390, 2020 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-32687430

RESUMO

Obesity is influenced by genetics and diet and has wide ranging comorbidities, including anxiety and depressive disorders. Outbred heterogeneous stock (HS) rats are used for fine-genetic mapping of complex traits and may be useful for understanding gene by diet interactions. In this study, HS rats were fed diets containing 60% kcal from fat (high-fat diet, HFD) or 10% kcal from fat (low-fat diet, LFD) and tested for metabolic (study 1) and behavioral (study 2) outcomes. In study 1, we measured glucose tolerance, fasting glucose and insulin, fat pad weights and despair-like behavior in the forced swim test (FST). In study 2, we assessed anxiety-like (elevated plus maze, EPM; open field test, OFT) and despair-like/coping (splash test, SpT; and FST) behaviors. Body weight and food intake were measured weekly in both studies. We found negative effects of HFD on metabolic outcomes, including increased body weight and fat pad weights, decreased glucose tolerance, and increased fasting insulin. We also found negative effects of HFD on despair-like/coping and anxiety-like behaviors. These include increased immobility in the FST, decreased open arm time in the EPM, and increased movement and rest episodes and decreased rearing in the OFT. The diet-induced changes in EPM and OFT were independent of overall locomotion. Additionally, diet-induced changes in OFT behaviors were independent of adiposity, while adiposity was a confounding factor for EPM and FST behavior. This work establishes the HS as a model to study gene by diet interactions affecting metabolic and behavioral health.


Assuntos
Comportamento Animal/fisiologia , Dieta Hiperlipídica/efeitos adversos , Doenças Metabólicas/patologia , Obesidade/patologia , Adiposidade , Animais , Animais não Endogâmicos , Ansiedade/etiologia , Ansiedade/psicologia , Peso Corporal , Modelos Animais de Doenças , Teste de Tolerância a Glucose/métodos , Masculino , Doenças Metabólicas/etiologia , Doenças Metabólicas/psicologia , Obesidade/etiologia , Ratos
4.
Conscious Cogn ; 84: 102979, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32702601

RESUMO

To interact functionally with our environment, our perception must locate events in time, including discerning whether sensory events are simultaneous. The Temporal Binding Window (TBW; the time window within which two stimuli tend to be integrated into one event) has been shown to relate to individual differences in perception, including schizotypy, but the relationship with subjective estimates of duration is unclear. We compare individual TBWs with individual differences in the filled duration illusion, exploiting differences in perception between empty and filled durations (the latter typically being perceived as longer). Schizotypy has been related to both these measures and is included to explore a potential link between these tasks and enduring perceptual differences. Results suggest that individuals with a narrower TBW make longer estimates for empty durations and demonstrate less variability in both conditions. Exploratory analysis of schizotypy data suggests a relationship with the TBW but is inconclusive regarding time perception.


Assuntos
Percepção Auditiva/fisiologia , Ilusões/fisiologia , Individualidade , Percepção do Tempo/fisiologia , Percepção Visual/fisiologia , Adulto , Feminino , Humanos , Masculino , Transtorno da Personalidade Esquizotípica/fisiopatologia , Adulto Jovem
5.
Acta Paediatr ; 109(12): 2648-2655, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32271945

RESUMO

AIM: This study examined the direct and indirect associations between childhood psychopathology symptoms, screen use, media multitasking and participation in non-digital recreation. METHODS: Psychopathology symptoms, media use, media multitasking, participation in sports, social clubs and reading/games were reported by 520 parents about their 3- to 11-year-old children. The data were analysed using structural equation modelling. RESULTS: There were bidirectional negative associations between sports participation and emotional problems (ß = -0.16, P < .001 and ß = -0.15, P < .001); attention deficit hyperactivity disorder (ADHD) symptoms were associated with reduced reading/games (ß = -0.14, P = .004). A bidirectional positive association was found between media use and conduct problems (ß = 0.10, P = .015 and ß = 0.14, P = .015). Increased media multitasking was indirectly associated with elevated symptoms of ADHD via a reduction in reading/games (ß = 0.10, P = .026). However, there was no evidence that screen use mediated the associations between psychopathology symptoms and non-digital recreation. CONCLUSION: Depending on the specific psychological difficulties, children are either less likely to participate in non-digital recreation or are more likely to use screen media or multitask with media. Interventions for children, who experience emotional or behavioural difficulties, are needed to improve participation in non-digital recreation.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Comportamento Problema , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Criança , Comportamento Infantil , Pré-Escolar , Humanos , Saúde Mental , Pais
6.
J Adolesc ; 83: 31-41, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32693219

RESUMO

INTRODUCTION: Symptoms of attention-deficit hyperactivity disorder (ADHD) and conduct problems have been associated with heightened temporal discounting of reward value resulting in a preference for immediate over delayed outcomes. We examined the cross-sectional relationship between future preference (including intertemporal choice) and prospection (the ability to bring to mind and imagine the experience of future personally-relevant events and outcomes) in adolescents with a range of ADHD symptoms and aggressive behaviour. METHODS: A combination of behavioural tasks and self-reports measured intertemporal decision making, individual differences in preference for future outcomes and experience of prospection in a convenience sample of English adolescents aged 11-17 (n = 64, 43.8% males). Parents rated symptoms of ADHD and aggression. RESULTS: & Conclusions: Factor analysis identified two factors: "Future Preference" and "Prospection". Significant negative bivariate correlations were found between ADHD and the scores of both factors and between aggression and Future Preference. A path model confirmed the independent significant association of ADHD with both factors but not with aggression. There was no evidence that Prospection was associated with Future Preference or that it reduced the associations between ADHD symptoms and Future Preference. These results provide further evidence that ADHD is associated with a tendency to prefer immediate over future outcomes. The same association with aggression seemed to be driven by the overlap with ADHD symptoms. We provide some of the first evidence that individuals with high ADHD symptoms have difficulty in prospecting about future episodes. However, this is unrelated to their preference for future outcomes.


Assuntos
Agressão/psicologia , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Desvalorização pelo Atraso , Adolescente , Criança , Estudos Transversais , Inglaterra , Feminino , Humanos , Masculino , Pais , Fatores de Tempo
7.
Org Biomol Chem ; 16(47): 9285-9291, 2018 12 05.
Artigo em Inglês | MEDLINE | ID: mdl-30480295

RESUMO

A range of nitrogen containing bases was tested for the hydrolysis of a nerve agent simulant, methyl paraoxon (MP), and the chemical warfare agents, GB and VX. The product distribution was found to be highly dependant on the basicity of the base and the quantity of water used for the hydrolysis. This study is important in the design of decontamination technology, which often involve mimics of CWAs.

8.
PLoS Med ; 14(8): e1002362, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28763444

RESUMO

BACKGROUND: The incidence of type 1 diabetes (T1D) is increasing globally. One hypothesis is that increasing childhood obesity rates may explain part of this increase, but, as T1D is rare, intervention studies are challenging to perform. The aim of this study was to assess this hypothesis with a Mendelian randomization approach that uses genetic variants as instrumental variables to test for causal associations. METHODS AND FINDINGS: We created a genetic instrument of 23 single nucleotide polymorphisms (SNPs) associated with childhood adiposity in children aged 2-10 years. Summary-level association results for these 23 SNPs with childhood-onset (<17 years) T1D were extracted from a meta-analysis of genome-wide association study with 5,913 T1D cases and 8,828 reference samples. Using inverse-variance weighted Mendelian randomization analysis, we found support for an effect of childhood adiposity on T1D risk (odds ratio 1.32, 95% CI 1.06-1.64 per standard deviation score in body mass index [SDS-BMI]). A sensitivity analysis provided evidence of horizontal pleiotropy bias (p = 0.04) diluting the estimates towards the null. We therefore applied Egger regression and multivariable Mendelian randomization methods to control for this type of bias and found evidence in support of a role of childhood adiposity in T1D (odds ratio in Egger regression, 2.76, 95% CI 1.40-5.44). Limitations of our study include that underlying genes and their mechanisms for most of the genetic variants included in the score are not known. Mendelian randomization requires large sample sizes, and power was limited to provide precise estimates. This research has been conducted using data from the Early Growth Genetics (EGG) Consortium, the Genetic Investigation of Anthropometric Traits (GIANT) Consortium, the Tobacco and Genetics (TAG) Consortium, and the Social Science Genetic Association Consortium (SSGAC), as well as meta-analysis results from a T1D genome-wide association study. CONCLUSIONS: This study provides genetic support for a link between childhood adiposity and T1D risk. Together with evidence from observational studies, our findings further emphasize the importance of measures to reduce the global epidemic of childhood obesity and encourage mechanistic studies.


Assuntos
Diabetes Mellitus Tipo 1/epidemiologia , Diabetes Mellitus Tipo 1/etiologia , Análise da Randomização Mendeliana , Obesidade Infantil/complicações , Obesidade Infantil/epidemiologia , Adiposidade , Criança , Pré-Escolar , Diabetes Mellitus Tipo 1/genética , Europa (Continente)/epidemiologia , Feminino , Estudo de Associação Genômica Ampla , Humanos , Masculino , Razão de Chances , Obesidade Infantil/genética , Polimorfismo de Nucleotídeo Único , Fatores de Risco
9.
Hum Mol Genet ; 24(6): 1774-90, 2015 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-25424174

RESUMO

Copy number variants (CNVs) have been proposed as a possible source of 'missing heritability' in complex human diseases. Two studies of type 1 diabetes (T1D) found null associations with common copy number polymorphisms, but CNVs of low frequency and high penetrance could still play a role. We used the Log-R-ratio intensity data from a dense single nucleotide polymorphism (SNP) array, ImmunoChip, to detect rare CNV deletions (rDELs) and duplications (rDUPs) in 6808 T1D cases, 9954 controls and 2206 families with T1D-affected offspring. Initial analyses detected CNV associations. However, these were shown to be false-positive findings, failing replication with polymerase chain reaction. We developed a pipeline of quality control (QC) tests that were calibrated using systematic testing of sensitivity and specificity. The case-control odds ratios (OR) of CNV burden on T1D risk resulting from this QC pipeline converged on unity, suggesting no global frequency difference in rDELs or rDUPs. There was evidence that deletions could impact T1D risk for a small minority of cases, with enrichment for rDELs longer than 400 kb (OR = 1.57, P = 0.005). There were also 18 de novo rDELs detected in affected offspring but none for unaffected siblings (P = 0.03). No specific CNV regions showed robust evidence for association with T1D, although frequencies were lower than expected (most less than 0.1%), substantially reducing statistical power, which was examined in detail. We present an R-package, plumbCNV, which provides an automated approach for QC and detection of rare CNVs that can facilitate equivalent analyses of large-scale SNP array datasets.


Assuntos
Artefatos , Variações do Número de Cópias de DNA , Diabetes Mellitus Tipo 1/genética , Técnicas de Genotipagem/métodos , Adolescente , Criança , Pré-Escolar , Interpretação Estatística de Dados , Predisposição Genética para Doença , Humanos , Controle de Qualidade , Sensibilidade e Especificidade , Deleção de Sequência , Software
10.
Acta Paediatr ; 106(4): 654-662, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27987374

RESUMO

AIM: To explore media preferences and use among young children, as well as to obtain information about parental supervision methods and beliefs about media. METHOD: Ninety parents of three- to six-year-olds, recruited from a relatively economically advantaged area in the United Kingdom, completed a media opinion survey. RESULTS: Although traditional television remains the favourite type of media platform among young children, touchscreen devices are gaining in popularity, and may promote simultaneous multi-screen use. Moreover, parents believe that the effects of media on developmental outcomes are generally positive. However, they do monitor the content of traditional and new media their children are exposed to. CONCLUSION: This study shows an emerging evidence of concurrent multi-screen use among very young children. More detailed examination of early media multitasking, and its relationship to cognitive and behavioural outcomes, is necessary.


Assuntos
Pais/psicologia , Smartphone/estatística & dados numéricos , Televisão/estatística & dados numéricos , Criança , Pré-Escolar , Feminino , Humanos , Masculino
11.
Acta Paediatr ; 106(5): 831-836, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28135775

RESUMO

AIM: Evidence on how the pace of television and film editing affects children's behaviour and attention is inconclusive. We examined whether a fast-paced film affected how preschool-aged children interacted with toys. METHODS: The study comprised 70 children (36 girls) aged two to four-and-a-half years who attended preschools in Essex, United Kingdom. The children were paired up and tested with either a fast- or a slow-paced film of a narrator reading a children's story. The fast-paced version had 102 camera cuts and 16 still images, and the slow-paced version had 22 camera cuts and four still images. Each dyad took part in two video-recorded free-play sessions, before and after they watched one of the specially edited four-minute films. The number of toys the children played with before and after the film sessions was recorded. RESULTS: Before they watched the films, the children's behaviour did not differ between the groups. However, after watching the film, the children in the fast-paced group shifted their attention between toys more frequently than the children who watched the slow-paced film. CONCLUSION: Even a brief exposure to differently paced films had an immediate effect on how the children interacted with their toys.


Assuntos
Comportamento Infantil , Filmes Cinematográficos , Pré-Escolar , Feminino , Humanos , Modelos Lineares , Masculino , Fatores de Tempo
12.
Hippocampus ; 26(3): 329-40, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26332910

RESUMO

A large body of neuroscientific work indicates that exposure to experienced stress causes damage to both cortical and hippocampal cells and results in impairments to cognitive abilities associated with these structures. Similarly, work within the domain of cognitive aging demonstrates that elderly participants who report experiencing greater amounts of stress show reduced levels of cognitive functioning. The present article attempted to combine both findings by collecting data from elderly and young participants who completed a spatial discrimination paradigm developed by Reagh and colleagues [Reagh et al. (2013) Hippocampus 24:303-314] to measure hippocampal-mediated cognitive processes. In order to investigate the effect of stress on the cortex and, indirectly, the hippocampus, it paired the paradigm with electroencephalographic recordings of the theta frequency band, which is thought to reflect cortical/hippocampal interactions. Findings revealed that elderly participants with high levels of experienced stress performed significantly worse on target recognition and lure discrimination and demonstrated heightened levels of cortical theta synchronization compared with young and elderly low stress counterparts. Results therefore provided further evidence for the adverse effect of stress on cognitive aging and indicate that impaired behavioral performance among high stress elderly may coincide with an overreliance on cortical cognitive processing strategies as a result of early damage to the hippocampus.


Assuntos
Envelhecimento , Transtornos Cognitivos/etiologia , Discriminação Psicológica , Hipocampo/patologia , Estresse Psicológico/complicações , Estresse Psicológico/patologia , Adolescente , Adulto , Idoso , Análise de Variância , Eletroencefalografia , Potenciais Evocados , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Escalas de Graduação Psiquiátrica , Reconhecimento Psicológico , Comportamento Espacial , Fatores de Tempo , Adulto Jovem
13.
Eur Spine J ; 25(4): 1258-65, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26006705

RESUMO

PURPOSE: Clinical observation suggests that hip abductor weakness is common in patients with low back pain (LBP). The purpose of this study is to describe and compare the prevalence of hip abductor weakness in a clinical population with chronic non-specific LBP and a matched sample without LBP. METHODS: One hundred fifty subjects with chronic non-specific LBP and a matched cohort of 75 control subjects were recruited. A standardized back and hip physical exam was performed. Specifically tensor fascia lata, gluteus medius, and gluteus maximus strength were assessed with manual muscle testing. Functional assessment of the hip abductors was performed with assessment for the presence of the Trendelenburg sign. Palpation examination of the back, gluteal and hip region was performed to try and reproduce the subject's pain complaint. Friedman's test or Cochran's Q with post hoc comparisons adjusted for multiple comparisons was used to compare differences between healthy controls and people with chronic low back pain for both the affected and unaffected sides. Mann-Whitney U was used to compare differences in prevalence between groups. Hierarchical linear regression was used to identify predictors of LBP in this sample. RESULTS: Gluteus medius is weaker in people with LBP compared to controls or the unaffected side (Friedman's test, p < 0.001). The Trendelenburg sign is more prevalent in subjects with LBP than controls (Cochran's Q, p < 0.001). There is more palpation tenderness over the gluteals, greater trochanter, and paraspinals in people with low back pain compared to controls (Cochran's Q, p < 0.001). Hierarchical linear regression, with BMI as a covariate, demonstrated that gluteus medius weakness, low back regional tenderness, and male sex were predictive of LBP in this sample. CONCLUSION: Gluteus medius weakness and gluteal muscle tenderness are common symptoms in people with chronic non-specific LBP. Future investigations should validate these findings with quantitative measures as well as investigate the effect of gluteus medius strengthening in people with LBP.


Assuntos
Dor Lombar/epidemiologia , Debilidade Muscular/epidemiologia , Mialgia/epidemiologia , Adulto , Nádegas , Estudos de Casos e Controles , Feminino , Humanos , Modelos Lineares , Dor Lombar/fisiopatologia , Masculino , Pessoa de Meia-Idade , Debilidade Muscular/fisiopatologia , Músculo Esquelético/fisiopatologia , Mialgia/fisiopatologia , Músculos Paraespinais/fisiopatologia , Prevalência , Coxa da Perna
14.
Nature ; 453(7196): 739-44, 2008 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-18528389

RESUMO

Saturn's narrow F ring exhibits several unusual features that vary on timescales of hours to years. These include transient clumps, a central core surrounded by a multistranded structure and a regular series of longitudinal channels associated with Prometheus, one of the ring's two 'shepherding' satellites. Several smaller moonlets and clumps have been detected in the ring's immediate vicinity, and a population of embedded objects has been inferred. Here we report direct evidence of moonlets embedded in the ring's bright core, and show that most of the F ring's morphology results from the continual gravitational and collisional effects of small satellites, often combined with the perturbing effect of Prometheus. The F-ring region is perhaps the only location in the Solar System where large-scale collisional processes are occurring on an almost daily basis.

15.
Atten Percept Psychophys ; 86(1): 354-365, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36720780

RESUMO

The current experiments address the enduring debate regarding the role of attention in feature binding in visuospatial working memory by considering the nature of the to-be-bound features, i.e., whether they are intrinsic (integrated within the object, such as its color and shape) or extrinsic (not part of the object, such as its spatial location). Specifically, arrays of different-colored shapes in different locations were followed by probed recall: One feature of the probed object prompted recall of one of its remaining two features (e.g., a shape probe prompts recall of color, with the probe displayed at the center of the screen (i.e., without spatial information)) to test the retention of intrinsic (shape, color) and extrinsic (location) features. During the retention interval, we manipulated attention via disruption (Experiment 1) and retro-cues (Experiment 2) to determine their impacts on binding errors, as estimated from a three-parameter mixture model fit to recall error (i.e., the distance between the target and response). Disrupting central versus peripheral attention in Experiment 1 did not respectively increase extrinsic and intrinsic binding errors as predicted, but disrupting central attention reduced target memory of the extrinsic feature relative to a no-disruption baseline. Guiding attention via extrinsic and intrinsic retro-cues in Experiment 2 did not respectively reduce extrinsic and intrinsic binding errors as predicted, but we observed retro-cue benefits to target memory that did not distinguish between extrinsic and intrinsic features. Thus, this work highlights that attentional resources aid target memory, with no consistent distinction between intrinsic and extrinsic features.


Assuntos
Atenção , Memória de Curto Prazo , Humanos , Memória de Curto Prazo/fisiologia , Atenção/fisiologia , Sinais (Psicologia) , Rememoração Mental/fisiologia , Percepção Visual/fisiologia
16.
Sci Adv ; 10(19): eadl6601, 2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38728405

RESUMO

One of the stranger planetary rings is Saturn's narrow, clumpy F ring, lying just outside the main rings, in a region disturbed by chaotic orbital dynamics. We show that the F ring has a stable "true core" that dominates its mass and is confined into discontinuous short arcs of particles larger than a few millimeters in radius. The more obvious micron-size particles seen in images, outlining and obscuring the true core, contribute only a small fraction of its mass. We found that these arcs of large particles orbit Saturn in a specific corotational resonance with the nearby 100-kilometer diameter ringmoon Prometheus, which stabilizes the F ring material and allows it to persist within the disturbed region for decades or longer. Toward the end of the observing period, a small chaotic glitch in the orbit of Prometheus temporarily disrupted the confinement, but the arcs seem to be able to adapt.

17.
Allergy Asthma Clin Immunol ; 20(1): 24, 2024 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-38528606

RESUMO

Asthma exacerbations are a leading cause of pediatric hospitalizations despite multiple efforts to educate patients and families on disease course and medication management. Asthma education in the pediatric emergency department (ED) is challenging, and although the use of written action plans has been associated with reduction in hospitalizations and ED visits, written tools may not be useful for individuals with low health literacy. Moreover, asthmatic children should participate in their asthma education. In this prospective randomized study of 53 families presenting to a pediatric ED with a child experiencing an asthma exacerbation, education on asthma was presented via an interactive mobile-based video-game versus a standard-of-care asthma education video (SAV). Median age was 10 years; 64% were males. Many patients had moderate-to-severe asthma, with 57% experiencing ≥ 2 asthma-related ED visits in the last year, 58% requiring hospitalization and 32% reporting a critical care admission. In this cohort, the mobile-based video-game was found to be a feasible, acceptable educational tool; 86% of parents and 96% of children liked the game, while 96% of parents and 76% of children preferred playing the game over watching a SAV. Despite a history of persistent asthma, only 34% of children used an inhaled corticosteroid while 70% required rescue inhaler use in the prior week. Basic asthma knowledge was sub-optimal with only 60% of parents and 43% of children correctly recognizing symptoms that should prompt immediate medical care. This reflects a major gap in asthma knowledge that coexists with parental misconceptions regarding optimal asthma management.

18.
PLoS One ; 18(11): e0290635, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38019767

RESUMO

Stress and normal ageing produce allostatic load, which may lead to difficulties with cognition thereby degrading quality of life. The current study's objective was to assess whether ageing and cumulative stress interact to accelerate cognitive decline. With 60 participants, Marshall et al. found that ageing and cumulative stress interact significantly to impair working memory performance in older adults, suggesting vulnerability to the cumulative effects of life events beyond 60 years old. To replicate and extend this finding, we increased the sample size by conducting 3 independent studies with 156 participants and improved the statistical methods by conducting an iterative Bayesian meta-analysis with Bayes factors. Bayes factors deliver a more comprehensive result because they provide evidence for either the null hypothesis (H0), the alternative hypothesis (H1) or for neither hypothesis due to evidence not being sufficiently sensitive. Young (18-35 yrs) and older (60-85 yrs) healthy adults were categorised as high or low stress based on their life events score derived from the Life Events Scale for Students or Social Readjustment Rating Scale, respectively. We measured accuracy and reaction time on a 2-back working memory task to provide: a) Bayes factors and b) Bayesian meta-analysis, which iteratively added each study's effect sizes to evaluate the overall strength of evidence that ageing, cumulative stress and/or the combination of the two detrimentally affect working memory performance. Using a larger sample (N = 156 vs. N = 60) and a more powerful statistical approach, we did not replicate the robust age by cumulative stress interaction effect found by Marshall et al.. The effects of ageing and cumulative stress also fell within the anecdotal range (⅓

Assuntos
Memória de Curto Prazo , Qualidade de Vida , Humanos , Idoso , Pessoa de Meia-Idade , Teorema de Bayes , Cognição , Envelhecimento
19.
PLoS One ; 18(12): e0295943, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38109368

RESUMO

The Social Readjustment Rating Scale, originally devised in 1967 by Holmes and Rahe, measures the impact of life events stress. At the time, the SRRS advanced its field of research by standardising the impact of stress with a set of independently derived weights called 'life change units' (LCUs) for 43 life events found to predict illness onset. The scale has been criticised for being outdated, e.g. "Mortgage over $10,000" and biased, e.g. "Wife begin or stop work". The aim of this cross-sectional survey study is to update and improve the SRRS whilst allowing backwards compatibility. We successfully updated the SRRS norms/LCUs using the ratings of 540 predominantly UK adults aged 18 to 84. Moreover, we also updated wording of 12 SRRS items and evaluated the impact of demographics, personal experience and loneliness. Using non-parametric frequentist and Bayesian statistics we found that the updated weights were higher but broadly consistent with those of the original study. Furthermore, changes to item wording did not affect raters' evaluations relative to the original thereby ensuring cross-comparability with the original SRRS. The raters were not unduly influenced by their personal experiences of events nor loneliness. The target sample was UK rather than US-based and was proportionately representative regarding age, sex and ethnicity. Moreover, the age range was broader than the original SRRS. In addition, we modernised item wording, added one optional extra item to the end of the scale to evaluate the readjustment to living alone and identified 3 potential new items proposed by raters. Backwards-compatibility is maintained.


Assuntos
Acontecimentos que Mudam a Vida , Estresse Psicológico , Adulto , Humanos , Estudos Transversais , Teorema de Bayes , Etnicidade
20.
Trauma Surg Acute Care Open ; 8(1): e001014, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37266305

RESUMO

Objectives: In 2020, firearm injuries surpassed automobile collisions as the leading cause of death in US children. Annual automobile fatalities have decreased during 40 years through a multipronged approach. To develop similarly targeted public health interventions to reduce firearm fatalities, there is a critical need to first characterize firearm injuries and their outcomes at a granular level. We sought to compare firearm injuries, outcomes, and types of shooters at trauma centers in four pediatric health systems across the USA. Methods: We retrospectively extracted data from each institution's trauma registry, paper and electronic health records. Study included all patients less than 19 years of age with a firearm injury between 2003 and 2018. Variables collected included demographics, intent, resources used, and emergency department and hospital disposition. Descriptive statistics were reported using medians and IQRs for continuous data and counts with percentages for categorical data. χ2 test or Fisher's exact test was conducted for categorical comparisons. Results: Our cohort (n=1008, median age 14 years) was predominantly black and male. During the study period, there was an overall increase in firearm injuries, driven primarily by increases in the South (S) site (ß=0.11 (SE 0.02), p=<0.001) in the setting of stable rates in the West and decreasing rates in the Northeast and Mid-Atlantic sites (ß=-0.15 (SE 0.04), p=0.002; ß=-0.19 (SE0.04), p=0.001). Child age, race, insurance type, resource use, injury type, and shooter type all varied by regional site. Conclusion: The incidence of firearm-related injuries seen at four sites during 15 years varied by site and region. The overall increase in firearm injuries was predominantly driven by the S site, where injuries were more often unintentional. This highlights the need for region-specific data to allow for the development of targeted interventions to impact the burden of injury.Level of Evidence: II, retrospective study.

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