The effect of non-communicative eye movements on joint attention.

Eye movements provide important signals for joint attention. However, those eye movements that indicate bids for joint attention often occur among non-communicative eye movements. This study investigated the influence of these non-communicative eye movements on subsequent joint attention responsivity. Participants played an interactive game with an avatar which required both players to search for a visual target on a screen. The player who discovered the target used their eyes to initiate joint attention. We compared participants’ saccadic reaction times (SRTs) to the avatar’s joint attention bids when they were preceded by non-communicative eye movements that predicted the location of the target (Predictive Search), did not predict the location of the target (Random Search), and when there were no non-communicative eye gaze movements prior to joint attention (No Search). We also included a control condition in which participants completed the same task, but responded to a dynamic arrow stimulus instead of the avatar’s eye movements. For both eye and arrow conditions, participants had slower SRTs in Random Search trials than No Search and Predictive Search trials. However, these effects were smaller for eyes than for arrows. These data suggest that joint attention responsivity for eyes is relatively stable to the presence and predictability of spatial information conveyed by non-communicative gaze. Contrastingly, random sequences of dynamic arrows had a much more disruptive impact on subsequent responsivity compared with predictive arrow sequences. This may reflect specialised social mechanisms and expertise for selectively responding to communicative eye gaze cues during dynamic interactions, which is likely facilitated by the integration of ostensive eye contact cue

Rituximab versus cyclophosphamide as first steroid sparing agent in childhood frequently relapsing and steroid dependent nephrotic syndrome

Background: Approximately 50% of children with steroid-sensitive nephrotic syndrome (SSNS) will suffer from frequent relapses or steroid dependency, prompting the use of so-called steroid-sparing drugs. In this pilot study, we compare the efficacy and safety of rituximab to oral cyclophosphamide as first-line steroid-sparing medications. Methods: A prospective open-label non-randomized study of children with frequent relapsing or steroid-dependant SSNS. Exclusion criteria were steroid-resistant disease, prescription of immunosuppressive agents other than prednisolone or levamisole, evidence of impaired kidney function, leucopenia, or active infection. The recruited children were allocated either to the oral cyclophosphamide (3 mg/kg/day for 8 weeks) or intravenous rituximab treatment (two doses of 375 mg/m2/dose, 2 weeks apart) and were monitored for relapses and side effects for 12 months. Results: Forty-six subjects were included from two centers; 27 received cyclophosphamide and 19 received rituximab. One-year relapse-free survival was reached in 17 (58.6%) patients treated with cyclophosphamide compared to 16 (84.2%) with rituximab (adjusted HR 0.36; 95% CI 0.09–1.45; p = 0.151). The mean interval to relapse was 6.9 months in the cyclophosphamide group (N = 10) and 6.3 months in the rituximab group (N = 3). Both treatments were associated with a significant (p < 0.001) reduction in prescribed dose of oral alternate-day steroid from 1.02 to 0.36 mg/kg (cyclophosphamide) and 0.86 to 0.08 mg/kg (rituximab). Importantly, a significantly (p = 0.003) higher percentage of patients achieved complete withdrawal of steroid within 3 months of commencing study treatment in the rituximab (73.7%) versus cyclophosphamide (29.6%) group. Transient leucopenia was the most frequent adverse effect observed in the cyclophosphamide group (18.5%) and one patient (3.4%) had acute hepatotoxicity besides severe leucopenia and neutropenia in the 7th week of treatment with complete recovery with the withdrawal of cyclophosphamide and maintenance of remission. A minor infusion-related reaction in the form of a generalized macular skin rash was observed in one patient (5%) in the rituximab group. Conclusions: Rituximab is non-inferior to cyclophosphamide and safe as a first-line steroid-sparing agent in children with SSNS. A larger multicenter study is required to assess superiority over cyclophosphamide

Parental experience of potential adverse drug reactions related to their oral administration of antipyretic analgesics in children in Saudi Arabia.

Background: Oral antipyretic analgesic medicines are commonly used in children and have the potential for adverse drug reactions (ADRs). Objective: The aim of this study was to explore parental experiences of potential ADRs related to their oral administration of antipyretic analgesics in children in the Kingdom of Saudi Arabia. Methods: For this cross-sectional survey, a paper-based questionnaire, consent form and information sheet were handed out to 1000 parents who had administered an oral antipyretic analgesic medicine to their children during the previous 3 months. Data were entered and analyzed using SPSS version 21.0 (IBM-SPSS Inc, Armonk, NY). Simple descriptive and inferential statistics were used. Management and ethical approvals were attained. Results: During March to April 2017, 661 parents agreed to participate, giving a response rate of 66.1%. Of the surveyed sample, 208 parents had observed 1 or more potential ADRs (31.5%, n = 208 out of 661). Parents’ (n = 208) most commonly reported potential ADRs (n = 523) were loss of appetite (23%, n = 120 out of 523), stomachache (20.3%, n = 106 out of 523), abdominal colic (13%, n = 68 out of 523), and diarrhea (10.3%, n = 54 out of 523). Parents described severity of the ADRs as slight (71.8%, n = 342 out of 476), annoying to the child (7.9%, n = 85 to of 476), significant and affecting daily tasks (3.6%, n = 17 out of 476) and significant and led to the hospital (6.7%, n = 32 out of 476). Fever was the top-ranked reason for using antipyretic analgesic medicines (41.0%, n = 271 out of 661), followed by toothache (25.0%, n = 165 out of 661) and tonsillitis/laryngitis (24.7%, n = 163 out of 661). Among parents, 34.7% (n = 165 out of 476) did not seek medical attention when a potential ADR occurred, whereas 26.3% (n = 125 out of 476) of parents took their children to hospital clinics. Conclusions: Although the majority of parentally reported (but not proven) ADRs were mild, a number of significant ADRs were reported. Future research should consider whether there is a role for physicians and pharmacists in educating parents in Saudi Arabia, and perhaps more widely, about the optimal use of oral antipyretic and analgesic medicines in children. (Curr Ther Res Clin Exp. 2020; 81:XXX–XXX) © 2020 Elsevier HS Journals, Inc

Towards Wind Energy-based Charging Stations: A Review of Optimization Methods

Due to the growing importance of renewable sources in sustainable energy systems, the strategic deployment of robust optimization techniques plays a crucial role in the design of Electric Vehicle Charging Stations (EVCSs). These stations need to smoothly incorporate renewable sources, ensuring optimal energy utilization. This study provides a comprehensive overview of the methodologies and approaches employed in the enhancement of wind energy based EVCSs. The aim is to discern the most efficacious techniques for optimizing charging stations. Researchers engage diverse strategies and methodologies in the realm of sizing and optimization, encompassing a spectrum of algorithmic implementations and software solutions. Evidently, each algorithm or software application bears distinctive merits and demerits. Singular reliance on a solitary algorithm or software for charging utility optimization is discerned to be potentially limiting. The investigation reveals that achieving better results in Electric Vehicle Charging Station (EVCS) optimization is facilitated by the collaborative use of multiple algorithms like GA, PSO, and ACO, among others, or software tools like Homer or RETScreen

Menggali Sifat Shidiq Amanah Fathanah Tabligh (SAFT) melalui Layanan Bimbingan Konseling Islami di SDIT Ar-Risalah Kartasura Tahun Ajaran 2016/ 2017

The objectives of this study are: 1) to describe Shidiq, Amanah, Fathanah, Tabligh (SAFT) found out in the islamic counseling service at SDIT Ar-Risalah Kartasura, 2) to describe islamic counseling service at SDIT Ar-Risalah Kartasura (Shidiq, Amanah, Fathanah, Tabligh) did have islamic counseling service that have Shidiq, Amanah, Fathanah, Tabligh (SAFT). This study employed qualitative research with phenomenology-based design. The subject of this study were the counseling teachers at SDIT Ar-Risalah Kartasura. The process of data collection involved several techniques which were: partisipative observation, interview, and documentation. The data were analyzed by reduction, display, dan verification with triangulation of sources and triangulation of methode as data validation technique. The findings of the study showed that: 1) this islamic counseling service have 4 positive character, Shidiq, Amanah, Fathanah, Tabligh, in their islamic counseling service 2) The teacher in-charge for each class played important role to provide the first counseling service, 3) Especially at the elementary level education, counseling service at school is the primary duty of the students’ advisor, even though is fully handled by by the teacher in-charge for each class, 4)The counseling teacher majored in psychology in their bachelor degree is possible to be a students’ advisor after joining uprading workshop. 5) SDIT Ar-Risalah Kartasura in provisioning SAFT characters applied some strategies: advising, exemplifying, customizing, and controling, 6) Supports from parents played important role in succeeding the process of provisioning SAFT characters in counseling and guidance

Antibiotic use during pregnancy increases offspring asthma severity in a dose‐dependent manner

Background: The use of antibiotics during pregnancy is associated with increased allergic asthma risk in the offspring, and given that approximately 25% of pregnant women are prescribed antibiotics, it is important to understand the mechanisms contributing to this phenomenon. Currently, there are no studies that directly test this association experimentally. Our objective was to develop a mouse model in which antibiotic treatment during pregnancy results in increased offspring asthma susceptibility. Methods: Pregnant mice were treated daily from gestation day 8-17 with an oral solution of the antibiotic vancomycin, and three concentrations were tested. At weaning, offspring were subjected to an adjuvant-free experimental asthma protocol using ovalbumin as an allergen. The composition of the gut microbiome was determined in mothers and offspring with samples collected from five different time points; shortchain fatty acids were also analyzed in allergic offspring. Results: We found that maternal antibiotic treatment during pregnancy was associated with increased offspring asthma severity in a dose-dependent manner. Furthermore, maternal vancomycin treatment during pregnancy caused marked changes in the gut microbiome composition in both mothers and pups at several different time points. The increased asthma severity and intestinal microbiome changes in pups were also associated with significantly decreased cecal short-chain fatty acid concentrations. Conclusion: Consistent with the "Developmental Origins Hypothesis," our results confirm that exposure to antibiotics during pregnancy shapes the neonatal intestinal environment and increases offspring allergic lung inflammation

Combined effect of nitric acid and sodium hydroxide pretreatments on enzymatic saccharification of rubber wood (Heavea brasiliensis)

A combinatorial nitric acid and sodium hydroxide pretreatment for improving the enzymatic saccharification of rubber wood was proposed in this study. Effects of pretreatment time, temperature as well as nitric acid and sodium hydroxide concentrations on glucose yield were investigated. Rubber wood sawdust was sequentially pretreated with dilute nitric acid and dilute sodium hydroxide, respectively. The pretreated samples were hydrolyzed using cellulase together with β-glucosidase at enzyme loadings of 25 FPU and 60 CBUg/cellulose, respectively. Results from the enzymatic hydrolysis experiments showed that a glucose yield of 95% was achieved (within 24 h of hydrolysis) with rubber wood sample pretreated using 6% HNO3, at 100°C for 60 min followed by 1%NaOH at 90°C for 30 min. Comparison of these results with those reported in literature demonstrated that combining nitric acid and sodium hydroxide pretreatments resulted in higher rate of hydrolysis and better cellulose digestibility