722 research outputs found
Toward Enhancing the Quality and Quantity of Marketing Majors
This article reports the findings of a survey of undergraduate
students designed to examine the key factors involved in
selecting a marketing major. A discussion follows, dealing
with the initiatives undertaken by marketing departments at
various universities in an attempt to enhance the quality and
quantity of marketing majors.Statistics Working Papers Serie
āLast licksā: Do they really help?
Much has been written about the home field advantage in sports. Baseball and softball are unusual games, in that the rules are explicitly different for home versus visiting teams, since by rule home teams bat second in each inning (they have ālast licksā). This is generally considered to be an advantage, which seems to be contradicted by the apparent weakness of the home field advantage in baseball compared to that in other sports. In this paper we examine the effect of ālast licksā on baseball and softball team success using neutral site college baseball and softball playoff games. We find little evidence of an effect in baseball, but much greater evidence in softball, related to whether a game is close late in the game. In softball games that are tied at the end of an inning, batting last seems to be disadvantageous later in the game, apparently related to the chances of the team scoring first to break the tie. By also examining games where one team was playing on its home field, we are able to say something about benefits from playing at home that are not related to ālast licks.āStatistics Working Papers Serie
Getting the Phenotypes Right: An Essential Ingredient for Understanding Aetiological Mechanisms Underlying Persistent Violence and Developing Effective Treatments
In order to reduce societal levels of violence, it is essential to advance understanding of the neurobiological mechanisms involved in initiating and maintaining individual patterns of physical aggression. New technologies such as Magnetic Resonance Imagining and analyses of DNA provide tools for identifying these mechanisms. The reliability and validity of the results of studies using these tools depend not only on aspects of the technology, but also on the methodological rigour with which the studies are conducted, particularly with respect to characterizing the phenotype. The present article discusses five challenges confronting scientists who aim to advance understanding of the neurobiological mechanisms associated with persistent violence. These challenges are: (1) to develop evidence-based hypotheses and to design studies that test alternate hypotheses; (2) to recruit samples that are homogeneous with respect to variables that may be linked to neurobiological mechanisms underpinning violent behaviour; (3) to use reliable and valid measures in order to fully characterize participants so that the external validity of the results is evident; (4) to restrict the range of age of participants so as not to confuse developmental change with group differences; and (5) to take account of sex. Our goal is to contribute to elevating methodological standards in this new field of research and to thereby improve the validity of results and move closer to finding effective ways to reduce violence
Child educational progress in Born in Bradford pregnancies affected by gestational diabetes and also exposed to maternal common mental disorders
Abstract Gestational diabetes and the maternal mental disorders of anxiety and depression have been implicated in adverse offspring neuro-behavioural outcomes but these exposures have only been studied in isolation. 1051 children whose mothers were diagnosed with gestational diabetes in UKās Born in Bradford cohort had linkage to maternal primary care records, providing diagnostic and treatment codes for depression and anxiety. Education record linkage provided results of the Early Years Foundation Stage Profile from the first year of school, aged five. Risk of not attaining a āGood level of developmentā was analysed using multivariable Poisson regression within a generalised estimating equation framework. Multiple imputation was implemented for missing data. There was limited evidence of increased risk of failure to attain a āgood level of developmentā in those additionally exposed to maternal mental disorders (adjusted RR 1.21; 95% CI 0.94, 1.55). However, there was more evidence in children of Pakistani maternal ethnicity (adjusted RR 1.36; 95% CI 1.04, 1.77) than White British; this may have been driven by English not being the primary language spoken in the home. Therefore there may be groups with GDM in whom it is particularly important to optimise both maternal physical and mental health to improve child outcomes
Recommended from our members
IQ in children with autism spectrum disorders: data from the Special Needs and Autism Project (SNAP)
Background Autism spectrum disorder (ASD) was once considered to be highly associated with intellectual disability and to show a characteristic IQ profile, with strengths in performance over verbal abilities and a distinctive pattern of āpeaksā and ātroughsā at the subtest level. However, there are few data from epidemiological studies.
Method Comprehensive clinical assessments were conducted with 156 children aged 10ā14 years [mean (s.d.)=11.7 (0.9)], seen as part of an epidemiological study (81 childhood autism, 75 other ASD). A sample weighting procedure enabled us to estimate characteristics of the total ASD population.
Results Of the 75 children with ASD, 55% had an intellectual disability (IQIQ>85) but only 3% were of above average intelligence (IQ>115). There was some evidence for a clinically significant Performance/Verbal IQ (PIQ/VIQ) discrepancy but discrepant verbal versus performance skills were not associated with a particular pattern of symptoms, as has been reported previously. There was mixed evidence of a characteristic subtest profile: whereas some previously reported patterns were supported (e.g. poor Comprehension), others were not (e.g. no āpeakā in Block Design). Adaptive skills were significantly lower than IQ and were associated with severity of early social impairment and also IQ.
Conclusions In this epidemiological sample, ASD was less strongly associated with intellectual disability than traditionally held and there was only limited evidence of a distinctive IQ profile. Adaptive outcome was significantly impaired even for those children of average intelligence
Systematic review and meta-analysis of risk of gestational diabetes in women with preconception mental disorders
There is a well-established bidirectional association between Type 2 diabetes and mental disorder and emerging evidence for an increased risk of perinatal mental disorder in women with gestational diabetes (GDM). However, the relation between mental disorder prior to pregnancy and subsequent risk of GDM remains relatively unexplored. This is a systematic review and meta-analysis of the risk of GDM in women with a range of preconception mental disorders. Peer-reviewed literature measuring odds of GDM and preconception mood, anxiety, psychotic and eating disorders was systematically reviewed. Risk of bias was assessed using a checklist. Two independent reviewers were involved. 22 observational studies met inclusion criteria; most were retrospective cohorts from English speaking, high income countries. 14 studies were at high risk of bias. There was evidence for an increased risk of GDM in women with schizophrenia (pooled OR 2.44; 95% CI 1.17,5.1; 5 studies) and a reduced risk of GDM in women with anorexia nervosa (pooled OR 0.63; 95% CI 0.49,0.80; 5 studies). There was some limited evidence of an increased risk in women with bipolar disorder. There was no evidence for an association with preconception depression or bulimia nervosa on meta-analysis. There were insufficient studies on anxiety disorders for meta-analysis. This review indicates that there is not a significant risk of GDM associated with many preconception mental disorders but women with psychotic disorders represent a group uniquely vulnerable to GDM. Early detection and management of GDM could improve physical and mental health outcomes for these women and their children
fMRI of reward processing in a community-based longitudinal study
Up to 40% of youth with autism spectrum disorder (ASD) also suffer from
anxiety, and this comorbidity is linked with significant functional
impairment. However, the mechanisms of this overlap are poorly understood. We
investigated the interplay between ASD traits and anxiety during reward
processing, known to be affected in ASD, in a community sample of 1472
adolescents (mean age=14.4 years) who performed a modified monetary incentive
delay task as part of the Imagen project. Blood-oxygen-level dependent (BOLD)
responses to reward anticipation and feedback were compared using a 2x2
analysis of variance test (ASD traits: low/high; anxiety symptoms: low/high),
controlling for plausible covariates. In addition, we used a longitudinal
design to assess whether neural responses during reward processing predicted
anxiety at 2-year follow-up. High ASD traits were associated with reduced BOLD
responses in dorsal prefrontal regions during reward anticipation and negative
feedback. Participants with high anxiety symptoms showed increased lateral
prefrontal responses during anticipation, but decreased responses following
feedback. Interaction effects revealed that youth with combined ASD traits and
anxiety, relative to other youth, showed high right insula activation when
anticipating reward, and low right-sided caudate, putamen, medial and lateral
prefrontal activations during negative feedback (all clusters PFWE<0.05). BOLD
activation patterns in the right dorsal cingulate and right medial frontal
gyrus predicted new-onset anxiety in participants with high but not low ASD
traits. Our results reveal both quantitatively enhanced and qualitatively
distinct neural correlates underlying the comorbidity between ASD traits and
anxiety. Specific neural responses during reward processing may represent a
risk factor for developing anxiety in ASD youth
Defining the cognitive phenotype of autism
Although much progress has been made in determining the cognitive profile of strengths and weaknesses that characterise individuals with autism spectrum disorders (ASDs), there remain a number of outstanding questions. These include how universal strengths and deficits are; whether cognitive subgroups exist; and how cognition is associated with core autistic behaviours, as well as associated psychopathology. Several methodological factors have contributed to these limitations in our knowledge, including: small sample sizes, a focus on single domains of cognition, and an absence of comprehensive behavioural phenotypic information. To attempt to overcome some of these limitations, we assessed a wide range of cognitive domains in a large sample (N = 100) of 14- to 16-year-old adolescents with ASDs who had been rigorously behaviourally characterised. In this review, we will use examples of some initial findings in the domains of perceptual processing, emotion processing and memory, both to outline different approaches we have taken to data analysis and to highlight the considerable challenges to better defining the cognitive phenotype(s) of ASDs. Enhanced knowledge of the cognitive phenotype may contribute to our understanding of the complex links between genes, brain and behaviour, as well as inform approaches to remediation
Moving from development to implementation of digital innovations within the NHS: myHealthE, a remote monitoring system for tracking patient outcomes in child and adolescent mental health services
OBJECTIVE:
This paper aims to report our experience of developing, implementing, and evaluating myHealthE (MHE), a digital innovation for Child and Adolescents Mental Health Services (CAMHS), which automates the remote collection and reporting of Patient-Reported Outcome Measures (PROMs) into National Health Services (NHS) electronic healthcare records.
METHODS:
We describe the logistical and governance issues encountered in developing the MHE interface with patient-identifiable information, and the steps taken to overcome these development barriers. We describe the application's architecture and hosting environment to enable its operability within the NHS, as well as the capabilities needed within the technical team to bridge the gap between academic development and NHS operational teams.
RESULTS:
We present evidence on the feasibility and acceptability of this system within clinical services and the process of iterative development, highlighting additional functions that were incorporated to increase system utility.
CONCLUSION:
This article provides a framework with which to plan, develop, and implement automated PROM collection from remote devices back to NHS infrastructure. The challenges and solutions described in this paper will be pertinent to other digital health innovation researchers aspiring to deploy interoperable systems within NHS clinical systems
- ā¦