281 research outputs found

    Psychotropic medication use in adolescents with intellectual disability living in the community

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    Purpose Information on the use of psychotropic medications in adolescents with intellectual disability is scant. Such information can guide interventions to improve psychotropic medication use in this population. We investigated the prevalence of, and factors associated with, psychotropic medication use in adolescents with intellectual disability in Australia who live in the community. Methods Cross-sectional data were obtained from adolescents with intellectual disability living in the community in South East Queensland, Australia, between February 2007 and September 2010. Self-reported information on medication use was extracted from a health screening tool. Demographic and medical data were collected through parent/caregiver surveys. Medications were classified according to the Anatomical Therapeutic Chemical classification system. Psychopathology was assessed using the Developmental Behaviour Checklist Short Form. Logistic regression analysis was used to assess the association of demographic and medical characteristics with psychotropic medication use. Results There were 176 participants (median age = 16 years, range = 11–19 years; 55% male). Psychotropics were used by 20% of participants. Psychostimulants were the commonest psychotropic class, used by 9% of participants. Multipsychotropic prescribing was not common with only seven participants using more than one psychotropic agent. After adjusting for potentially confounding variables, use of psychotropic medications was significantly associated with male gender (adjusted odds ratio = 3.6; 95% confidence interval = 1.3–9.5) and having major behaviour problems (3.1; 1.1–8.9). Conclusions Adolescents with intellectual disability use a wide range of psychotropic medications. Being male and having major behaviour problems are associated with the use of psychotropic medications. Research examining the rationale for psychotropic prescribing in this population is needed. Copyright © 2013 John Wiley & Sons, Ltd

    Late-Holocene Indian summer monsoon variability revealed from a 3300-year-long lake sediment record from Nir’pa Co, southeastern Tibet

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    Sedimentological and geochemical results from Nir’pa Co, an alpine lake on the southeastern Tibetan Plateau, detail late-Holocene Indian summer monsoon (ISM) hydroclimate during the last 3300 years. Constrained by modern calibration, elevated silt and lithics and low sand and clay between 3.3 and 2.4 ka and 1.3 ka and the present indicate two pluvial phases with lake levels near their current overflow elevation. Between 2.4 and 1.3 ka, a sharp increase in sand and corresponding decrease in lithics and silt suggest drier conditions and lower lake levels at Nir’pa Co. Hydroclimate expressions in the sedimentological proxies during the Medieval Climate Anomaly (MCA) and ‘Little Ice Age’ (LIA) are not statistically significant, suggesting that these events were minor compared to the millennial scale variability on which they were superimposed. However, decreasing sand and increasing lithics and silt during the MCA between 950 and 800 cal. yr BP may suggest briefly wetter conditions, while increasing sand and reduced lithics and silt from 500 to 200 cal. yr BP suggest potentially drier conditions during the LIA. Similarities with regional records from lake sediment and ice cores and speleothem records from the central and eastern Tibetan Plateau, India, and the Arabian Sea, suggest generally coherent late-Holocene ISM variability in these regions. Increased late-Holocene ISM intensity occurred during times when Tibetan Plateau surface air temperatures were warmer, Indo-Pacific sea surface temperatures were elevated, and the tropical Pacific was in a La Niña–like mean state. Conversely, aridity between 2.4 and 1.3 ka occurred in concert with cooling on the Tibetan Plateau and in the Indo-Pacific with more El Niño–like conditions in the tropical Pacific. Differences with western Tibetan records may reflect a weakened ISM and stronger westerlies in this region during the late-Holocene

    Analysis and Synthesis of Metadata Goals for Scientific Data

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    The proliferation of discipline-specific metadata schemes contributes to artificial barriers that can impede interdisciplinary and transdisciplinary research. The authors considered this problem by examining the domains, objectives, and architectures of nine metadata schemes used to document scientific data in the physical, life, and social sciences. They used a mixed-methods content analysis and Greenberg’s (2005) metadata objectives, principles, domains, and architectural layout (MODAL) framework, and derived 22 metadata-related goals from textual content describing each metadata scheme. Relationships are identified between the domains (e.g., scientific discipline and type of data) and the categories of scheme objectives. For each strong correlation (\u3e0.6), a Fisher’s exact test for nonparametric data was used to determine significance (p \u3c .05). Significant relationships were found between the domains and objectives of the schemes. Schemes describing observational data are more likely to have “scheme harmonization” (compatibility and interoperability with related schemes) as an objective; schemes with the objective “abstraction” (a conceptual model exists separate from the technical implementation) also have the objective “sufficiency” (the scheme defines a minimal amount of information to meet the needs of the community); and schemes with the objective “data publication” do not have the objective “element refinement.” The analysis indicates that many metadata-driven goals expressed by communities are independent of scientific discipline or the type of data, although they are constrained by historical community practices and workflows as well as the technological environment at the time of scheme creation. The analysis reveals 11 fundamental metadata goals for metadata documenting scientific data in support of sharing research data across disciplines and domains. The authors report these results and highlight the need for more metadata-related research, particularly in the context of recent funding agency policy changes

    Custom Integrated Circuits

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    Contains reports on seven research projects.U.S. Air Force - Office of Scientific Research (Contract F49620-84-C-0004)National Science Foundation (Grant ECS81-18160)Defense Advanced Research Projects Agency (Contract NOO14-80-C-0622)National Science Foundation (Grant ECS83-10941

    Oral Health-Related Quality of Life among a large national cohort of 87,134 Thai adults

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    Background Oral health has been of interest in many low and middle income countries due to its impact on general health and quality of life. But there are very few population-based reports of adult Oral Health Related Quality of Life (OHRQoL) in developing countries. To address this knowledge gap for Thailand, we report oral health findings from a national cohort of 87,134 Thai adults aged between 15 and 87 years and residing all over the country. Methods In 2005, a comprehensive health questionnaire was returned by distance learning cohort members recruited through Sukhothai Thammathirat Open University. OHRQoL dimensions included were discomfort speaking, swallowing, chewing, social interaction and pain. We calculated multivariate (adjusted) associations between OHRQoL outcomes, and sociodemographic, health behaviour and dental status. Results Overall, discomfort chewing (15.8%), social interaction (12.5%), and pain (10.6%) were the most commonly reported problems. Females were worse off for chewing, social interaction and pain. Smokers had worse OHRQoL in all dimensions with Odds Ratios (OR) ranging from 1.32 to 1.51. Having less than 20 teeth was strongly associated with difficulty speaking (OR = 6.43), difficulty swallowing (OR = 6.27), and difficulty chewing (OR = 3.26). Conclusions Self-reported adverse oral health correlates with individual function and quality of life. Outcomes are generally worse among females, the poor, smokers, drinkers and those who have less than 20 teeth. Further longitudinal study of the cohort analysed here will permit assessment of causal determinants of poor oral health and the efficacy of preventive programs in Thailand
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