Isolated epileptiform activity in children and adolescents: prevalence, relevance, and implications for treatment.

In the field of psychiatry diagnoses are primarily based on the report of symptoms from either the patient, parents, or both, and a psychiatrist's observations. A psychiatric diagnosis is currently the most widely used basis for medication selection and the brain is seldom investigated directly as a source of those symptoms. This study addresses the request from the National Institute of Mental Health (NIMH) Research Domain Criteria Project (RDoC) for scientific research into neurological abnormalities that can be linked to psychiatric symptoms for the purpose of predicting medication response. One such neurological abnormality that has been the focus of many studies over the last three decades is isolated epileptiform discharges (IEDs) in children and adolescents without seizures. We conducted a systematic review of the literature to determine prevalence rates of IEDs within diagnostic categories. We then compared the prevalence of IEDs in the selected literature to our IRB-approved data archive. Our study found a consistent high prevalence of IEDs specifically for ADHD (majority > 25%) and ASD (majority > 59%), and consistent low prevalence rates were found for Depression (3%). If children and adolescents have failed multiple medication attempts, and more than one-third of them have IEDs, then an EEG would be justified within the RDoC paradigm.

An assessment of chemical contaminants in sediments from the St. Thomas East End Reserves, St. Thomas, USVI.

The St. Thomas East End Reserves or STEER is located on the southeastern end of the island of St. Thomas, USVI. The STEER contains extensive mangroves and seagrass beds, along with coral reefs, lagoons, and cays. Within the watershed, however, are a large active landfill, numerous marinas, resorts, various commercial activities, an EPA Superfund Site, and residential areas, all of which have the potential to contribute pollutants to the STEER. As part of a project to develop an integrated assessment for the STEER, 185 chemical contaminants were analyzed in sediments from 24 sites. Higher levels of chemical contaminants were found in Mangrove Lagoon and Benner Bay in the western portion of the study area. The concentrations of polychlorinated biphenyls (PCBs), dichlorodiphenyltrichloroethane (DDT), zinc, copper, lead, and mercury were above a NOAA Effects Range-Low (ERL) sediment quality guideline at one or more sites, indicating impacts may be present in more sensitive species or life stages. Copper at one site in Benner Bay was above a NOAA Effects Range-Median (ERM) guideline indicating effects on benthic organisms were likely. The antifoulant boat hull ingredient tributyltin (TBT) was found at the third highest concentration in the history of NOAA's National Status and Trends (NS&T) Program, which monitors the nation's coastal and estuarine waters for chemical contaminants and bioeffects. The results from this project will provide resource managers with key information needed to make effective decisions affecting coral reef ecosystem health and gauge the efficacy of restoration activities.