Development of a Multidimensional Approach to Understanding Youthful Offenders: The Influence of Psychosocial and Personality Risk Factors

This study employed a multivariate, multidimensional approach to understanding psychosocial and personality variables associated with institutional maladjustment and recidivism among youthful offenders. Participants included nine hundred serious and chronic male youthful offenders incarcerated in the Texas Youth Commission (TYC); sample sizes varied by analysis. Empirically-validated psychosocial factors (e.g., intelligence, home approval status), past criminal history variables, and two self-report personality measures of empathy and hostility were entered into hierarchical regression and structural equation modeling (SEM) analyses to predict institutional behavior and recidivism at one- and three-year intervals after release from the TYC. Confirmatory factor analysis of the personality measures revealed one underlying factor indicative of their theoretical constructs of empathy and hostility. Some differences were noted between youth in the specialized treatment programs; however, effect sizes were small to moderate. Overall, regression and SEM results indicated the variables accounted for a meaningful proportion of the variance in the outcomes. Specifically, although length of stay in the TYC was associated with institutional behavior, younger age of onset, higher hostility, and greater home disapproval also contributed significantly. Past criminal behavior was predictive of future reoffending, but lower empathy, greater home disapproval, and younger age of onset accounted for a substantial portion of the variance in recidivism. Institutional maladjustment served as a mediator between the psychosocial and personality variables and the recidivism outcomes. Treatment implications are provided, including a discussion of the tenuous association between length of sentence and recidivism and an emphasis on the importance of evaluating dynamic personality and psychosocial variables beyond static measures of past behavior

Inelastic x-ray scattering investigations of lattice dynamics in SmFeAsO1−x_{1-x}Fy_y superconductors

We report measurements of the phonon density of states as measured with inelastic x-ray scattering in SmFeAsO$_{1-x}$F$_y$ powders. An unexpected strong renormalization of phonon branches around 23 meV is observed as fluorine is substituted for oxygen. Phonon dispersion measurements on SmFeAsO$_{1-x}$F$_y$ single crystals allow us to identify the 21 meV A$_{1g}$ in-phase (Sm,As) and the 26 meV B$_{1g}$ (Fe,O) modes to be responsible for this renormalization, and may reveal unusual electron-phonon coupling through the spin channel in iron-based superconductors.Comment: 4 pages, 3 figures, submitted for SNS2010 conference proceeding

Effect of K Doping on Phonons in Ba1-xKxFe2As2

The lattice dynamics of Ba1-xKxFe2As2 (x = 0.00, 0.27) have been studied by inelastic X-ray scattering measurement at room temperature. K doping induces the softening and broadening of phonon modes in the energy range E = 10-15 meV. Analysis with a Born-von Karman force-constant model indicates that the softening results from reduced interatomic force constants around (Ba,K) sites following the displacement of divalent Ba by monovalent K. The phonon broadening may be explained by the local distortions induced by the K substitution. Extra phonon modes are observed around the wave vector q = (0.5,0,0) at E = 16.5 meV for the x = 0.27 sample. These modes may arise either from the local disorder induced by K doping or from electron-phonon coupling.Comment: J. Phys. Soc. Jpn. (in press

Isolated diaphragm weakness and the diagnostic value of phrenic nerve stimulation

Acute onset, atraumatic, bilateral diaphragm paralysis due to isolated bilateral phrenic neuropathy is uncommon. Respiratory physicians should be alert to this disorder because it is associated with considerable morbidity and diagnosis is often delayed. These case reports highlight important aspects of the presentation, investigations and management of this disorder

Mapping Fusarium solani and Aphanomyces euteiches Root Rot Resistance and Root Architecture Quantitative Trait Loci in Common Bean

Root rot diseases of bean (Phaseolus vulgaris L.) are a constraint to dry and snap bean production. We developed the RR138 RI mapping population from the cross of OSU5446, a susceptible line that meets current snap bean processing industry standards, and RR6950, a root rot resistant dry bean with small brown seeds. We evaluated the RR138 RI population beginning in the F₆ generation for resistance to Fusarium solani f. sp. phaseoli (Burk.) root rot in Oregon and Aphanomyces euteiches (Drechsler) root rot in Wisconsin. The population was evaluated for a set of root architecture traits at the Oregon location. Fusarium solani root rot resistance was evaluated in three seasons, whereas A. euteiches resistance was evaluated in two seasons. For each disease, RR6950 was resistant and OSU 5446 was susceptible. The recombinant inbred (RI) population was normally distributed for reaction to both diseases. We assembled a high-density linkage map using 1689 single-nucleotide polymorphisms (SNPs) from an Illumina 6000-SNP BARCbean6K_3 Beadchip. The map spanned 1196 cM over 11 linkage groups at a density of one SNP per 1.4 cM. Three quantitative trait loci (QTL) associated with A. euteiches were identified, each accounting for 5 to 15% of the total genetic variation, and two QTL associated with F. solani resistance accounted for 9 and 22% of the total genetic variation. A QTL for taproot diameter (TD) and one QTL for basal root angle were identified. The QTL for resistance to the two diseases mapped to different genome locations indicating a different genetic control

Effects of shared medical appointments on quality of life and cost-effectiveness for patients with a chronic neuromuscular disease. Study protocol of a randomized controlled trial

Contains fulltext : 96862.pdf (publisher's version ) (Open Access)BACKGROUND: Shared medical appointments are a series of one-to-one doctor-patient contacts, in presence of a group of 6-10 fellow patients. This group visits substitute the annual control visits of patients with the neurologist. The same items attended to in a one-to-one appointment are addressed. The possible advantages of a shared medical appointment could be an added value to the present management of neuromuscular patients. The currently problem-focused one-to-one out-patient visits often leave little time for the patient's psychosocial needs, patient education, and patient empowerment. METHODS/DESIGN: A randomized, prospective controlled study (RCT) with a follow up of 6 months will be conducted to evaluate the clinical and cost-effectiveness of shared medical appointments compared to usual care for 300 neuromuscular patients and their partners at the Radboud University Nijmegen Medical Center. Every included patient will be randomly allocated to one of the two study arms. This study has been reviewed and approved by the medical ethics committee of the region Arnhem-Nijmegen, The Netherlands. The primary outcome measure is quality of life as measured by the EQ-5D, SF-36 and the Individualized neuromuscular Quality of Life Questionnaire. The primary analysis will be an intention-to-treat analysis on the area under the curve of the quality of life scores. A linear mixed model will be used with random factor group and fixed factors treatment, baseline score and type of neuromuscular disease. For the economic evaluation an incremental cost-effectiveness analysis will be conducted from a societal perspective, relating differences in costs to difference in health outcome. Results are expected in 2012. DISCUSSION: This study will be the first randomized controlled trial which evaluates the effect of shared medical appointments versus usual care for neuromuscular patients. This will enable to determine if there is additional value of shared medical appointments to the current therapeutical spectrum. When this study shows that group visits produce the alleged benefits, this may help to increase the acceptance of this innovative and creative way of using one of the most precious resources in health care more efficiently: time. TRIAL REGISTRATION: DutchTrial Register http://www.trialregister.nlNTR1412

Molecular Pathological Classification of Colorectal Cancer

Colorectal cancer (CRC) shows variable underlying molecular changes with two major mechanisms of genetic instability: chromosomal instability and microsatellite instability. This review aims to delineate the different pathways of colorectal carcinogenesis and provide an overview of the most recent advances in molecular pathological classification systems for colorectal cancer. Two molecular pathological classification systems for CRC have recently been proposed. Integrated molecular analysis by The Cancer Genome Atlas project is based on a wide-ranging genomic and transcriptomic characterisation study of CRC using array-based and sequencing technologies. This approach classified CRC into two major groups consistent with previous classification systems: (1) ∼16 % hypermutated cancers with either microsatellite instability (MSI) due to defective mismatch repair (∼13 %) or ultramutated cancers with DNA polymerase epsilon proofreading mutations (∼3 %); and (2) ∼84 % non-hypermutated, microsatellite stable (MSS) cancers with a high frequency of DNA somatic copy number alterations, which showed common mutations in APC, TP53, KRAS, SMAD4, and PIK3CA. The recent Consensus Molecular Subtypes (CMS) Consortium analysing CRC expression profiling data from multiple studies described four CMS groups: almost all hypermutated MSI cancers fell into the first category CMS1 (MSI-immune, 14 %) with the remaining MSS cancers subcategorised into three groups of CMS2 (canonical, 37 %), CMS3 (metabolic, 13 %) and CMS4 (mesenchymal, 23 %), with a residual unclassified group (mixed features, 13 %). Although further research is required to validate these two systems, they may be useful for clinical trial designs and future post-surgical adjuvant treatment decisions, particularly for tumours with aggressive features or predicted responsiveness to immune checkpoint blockade

Human papillomavirus detected in female breast carcinomas in Japan

To investigate the aetiological role of human papillomavirus (HPV) in breast cancer, we examined the presence, genotype, viral load, and physical status of HPV in 124 Japanese female patients with breast carcinoma. Human papillomavirus presence was examined by PCR using SPF10 primers, and primer sets targeting the E6 region of HPV-16, -18, and -33. The INNO-LiPA HPV genotyping kit was used to determine genotype. Human papillomavirus DNA was detected in 26 (21%) breast carcinomas. The most frequently detected HPV genotype was HPV-16 (92%), followed by HPV-6 (46%), HPV-18 (12%), and HPV-33 (4%). In 11 normal epithelium specimens adjacent to 11 HPV-16-positive carcinomas, 7 were HPV-16-positive. However, none of the normal breast tissue specimens adjacent to HPV-negative breast carcinomas were HPV-positive. The real-time PCR analysis suggested the presence of integrated form of viral DNA in all HPV-16-positive samples, and estimated viral load was low with a geometric mean of 5.4 copies per 104 cells. In conclusion, although HPV DNA was detected in 26 (21%) breast carcinomas and, in all HPV-16-positive cases, the HPV genome was considered integrated into the host genome, their low viral loads suggest it is unlikely that integrated HPV is aetiologically involved in the development of Japanese breast carcinomas that we examined