415 research outputs found
NEOWISE: Observations of the Irregular Satellites of Jupiter and Saturn
We present thermal model fits for 11 Jovian and 3 Saturnian irregular
satellites based on measurements from the WISE/NEOWISE dataset. Our fits
confirm spacecraft-measured diameters for the objects with in situ observations
(Himalia and Phoebe) and provide diameters and albedo for 12 previously
unmeasured objects, 10 Jovian and 2 Saturnian irregular satellites. The
best-fit thermal model beaming parameters are comparable to what is observed
for other small bodies in the outer Solar System, while the visible, W1, and W2
albedos trace the taxonomic classifications previously established in the
literature. Reflectance properties for the irregular satellites measured are
similar to the Jovian Trojan and Hilda Populations, implying common origins.Comment: 17 pages, 3 figures, accepted for publication in Astrophysical
Journa
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Implementation Research: Reducing the Research-to-Practice Gap in Depression Treatment
Child exposure to parental violence and psychological distress associated with delayed milestones
OBJECTIVE: To examine the association between parental report of intimate partner violence (IPV) and parental psychological distress (PPD) with child attainment of developmental milestones.
METHODS: By using data collected from a large cohort of primary care patients, this cross-sectional study examined the relationship between parental report of IPV and/or PPD and the attainment of developmental milestones within the first 72 months of a child's life. Multivariate logistic regression analyses were used to adjust for parental report of child abuse concern and sociodemographic characteristics.
RESULTS: Our study population included 16 595 subjects. Children of parents reporting both IPV and PPD (n = 88; 0.5%) were more likely to fail at least 1 milestone across the following developmental domains: language (adjusted odds ratio [aOR] 2.1; 95% confidence interval [CI] 1.3-3.3), personal-social (aOR 1.9; 95% CI 1.2-2.9), and gross motor (aOR 3.0; 95% CI 1.8-5.0). Significant associations for those reporting IPV-only (n = 331; 2.0%) were found for language (aOR 1.4; 95% CI 1.1-1.9), personal-social (aOR 1.7; 95% CI 1.4-2.2), and fine motor-adaptive (aOR 1.7; 95% CI 1.0-2.7). Significant associations for those reporting PPD-only (n = 1920; 11.6%) were found for: language (aOR 1.5; 95% CI 1.3-1.7), personal-social (aOR 1.6; 95% CI 1.5-1.8), gross motor (aOR 1.6; 95% CI 1.4-1.8), and fine-motor adaptive (aOR 1.6; 95% CI 1.3-2.0).
CONCLUSIONS: Screening children for IPV and PPD helps identify those at risk for poor developmental outcomes who may benefit from early intervention
Follow-up of Mothers with Suspected Postpartum Depression from Pediatrics Clinics
Purpose
Pediatric providers are increasingly screening for postpartum depression (PD), yet, it is unknown how often mothers comply with recommendations to seek treatment. The objectives were to describe the rate at which mothers with suspected PD seek treatment and explore factors that predict help-seeking behavior.
Design and methods
Mothers were recruited from four pediatric clinics after identification using the Child Health Improvement through Computer Automation (CHICA) system. Mothers with a positive screen were invited to participate in a telephone interview between January 2012 and December 2014. Mothers reported if they sought treatment or called a community resource.
Results
73 of 133 eligible mothers participated (55% response rate). Fifty women recalled a recommendation to seek help. Only 43.8% (32/73) made a follow-up appointment with an adult provider and even fewer kept the appointment.
Conclusion
A majority of mothers suspected of having PD recalled a referral for further intervention; yet, less than half took action. Further investigation of barriers of help-seeking behavior is warranted
NEOWISE-R Observation of the Coolest Known Brown Dwarf
The Wide-field Infrared Survey Explorer (WISE) spacecraft has been
reactivated as NEOWISE-R to characterize and search for Near Earth Objects. The
brown dwarf WISE J085510.83-071442.5 has now been reobserved by NEOWISE-R, and
we confirm the results of Luhman (2014b), who found a very low effective
temperature ( K), a very high proper motion (8.1 +/- 0.1
arcsec/yr) , and a large parallax (454 +/- 45 mas). The large proper motion has
separated the brown dwarf from the background sources that influenced the 2010
WISE data, allowing a measurement of a very red WISE color of W1-W2
mag. A re-analysis of the 2010 WISE astrometry using only the W2 band, combined
with the new NEOWISE-R 2014 position, gives an improved parallax of 448 +/- 33
mas and proper motion of 8.08 +/- 0.05\; arcsec/yr. These are all consistent
with Luhman (2014b).Comment: 6 pages, AJ accepte
Cognitive Aid Use Improves Transition of Care by Graduating Medical Students During a Simulated Crisis
Background: Residents are expected to have transition of care (ToC) skills upon entering graduate medical education. It is unclear whether experience and training during medical school is adequate.
Objective: The aim of the project was to assess: 1) graduating medical students\u27 ability to perform ToC in a crisis situation, and 2) whether using a cognitive aid improves the ToC quality.
Methods: The authors developed simulation scenarios for rapid response teams and a cognitive aid to assist in the ToC during crisis situations. Graduating medical students were enrolled and randomly divided into teams of three students, randomly assigned into one of two groups: teams using a cognitive aid for ToC (CA), or not using a cognitive aid (nCA). In the scenario, teams respond to a deteriorating patient and then transfer care to the next provider after stabilization. Three faculty reviewed the recording to assess completeness of the ToC and the overall quality. A completeness score was expressed as a fraction of the maximum score. Statistical analysis was performed using a t-test and Mann-Whitney U test.
Results: A total of 112 senior medical students participated: CA n=19, nCA n=17. The completeness score of the ToC and overall quality improved when using the cognitive aid (completeness score: CA 0.80±0.06 vs. nCA 0.52±0.07, p \u3c 0.01; ToC quality: CA 3.16±0.65 vs. nCA 1.92±0.56, p \u3c 0.01). Participants’ rating of knowledge and comfort with the ToC process increased after the simulation.
Conclusion: The completeness of information transfer during the ToC process by graduating medical students improved by using a cognitive aid in a simulated patient crisis
Group Visits to Improve Pediatric ADHD Chronic Care Management
Objective: Children with attention-deficit hyperactivity disorder (ADHD) may experience continued impairment at home and school even after medication initiation. Group visits offer a way for pediatricians to provide more time to address ongoing needs. A pilot study was undertaken to examine whether a group visit model improved ADHD management in the pediatric medical home.
Methods: Parents and children aged 6 to 18 years with ADHD were recruited and randomized to group visits or a usual care control. Data included attendance at ADHD follow-up visits, parent-rated ADHD symptoms, adaptive functioning, and quality of life. Longitudinal linear mixed models (continuous variables) and generalized linear mixed models (binary outcomes) were used to compare groups. In our statistical models, child and family were random effects; study assignment was a fixed effect.
Results: Twenty families representing 29 children participated (intervention: 9 parents/13 children and control: 11 parents/16 children). Aside from race, baseline characteristics of participants were similar. None of the intervention families missed the expected 5 ADHD follow-up visits over 1 year; control families missed 1 or more visits over the same period. Intervention families reported an improved level of adaptive functioning at 12 months compared with control (mean severity score: 3.7 vs 4.4, p = .003). All families reported greater limitations and poorer quality of life compared with national norms.
Conclusion: Group visits in the pediatric medical home can improve adherence, and preliminary results show a variety of improvements for the family
Service delivery in older patients with bipolar disorder: a review and development of a medical care model
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72872/1/j.1399-5618.2008.00602.x.pd
Profiles of disability among adults with bipolar spectrum disorders
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78039/1/57.pd
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