Attentional biases in eating disorders: a meta-analytic review of Stroop performance.

The Stroop task has been adapted from cognitive psychology to be able to examine attentional biases in various forms of psychopathology, including the eating disorders. This paper reviews the research on the Stroop task in the eating disorders research area in both descriptive and meta-analytic fashions. Twenty-eight empirical studies are identified, which predominantly examine food and body/weight stimuli in bulimic, anorexic, or dieting/food-restricted samples. It is concluded that there is evidence of an attentional bias in bulimia for a range of stimuli but that the effect seems to be limited to body/weight stimuli in anorexia. The evidence to date is that there is no attentional bias in dieting samples. Limitations of the methodology employed in the extant literature include small sample sizes, unstandardized Stroop methodology, restricted gender, and a general lack of consideration of individual differences variables. Recommendations for future research are provided

Identifying artificially deformed crania

In this paper we report on a new discriminant function for the identification of artificially deformed crania. Development of the function, based on a sample of deformed and undeformed crania from the Philippines, required visual classification of the sample into deformed and undeformed groups. Working from the observation that deformed crania display flattened frontal and occipital regions, the sample was seriated based on degree of flattening; classification was based on the results of this seriation. The discriminant function, calculated using curvature indices, required only six simple measurements: arc and chord measurements for the frontal (glabella to bregma), parietals (bregma to lambda) and occipital (lambda to opisthion). The function was designed to be conservative, in that a deformed cranium may be classified as undeformed, but the opposite should not occur. Our function classified the undeformed crania with 100% accuracy and deformed crania with 76.9% accuracy, for a total of 91.9% agreement with visual classification. In order to evaluate whether the function is applicable for samples from outside the Philippines, a double blind test was conducted with a large sample of deformed and undeformed crania from a broad geographical and temporal range. For this sample, the function agreed with visual classification in 89.7% of cases; 98.8% of undeformed crania were correctly classified, while deformed crania were identified with 73.7% accuracy. These results demonstrate the utility of the new discriminant function for the classification of artificially deformed crania from diverse contexts. Copyright © 2007 John Wiley & Sons, Ltd.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/57385/1/910_ftp.pd

Cumbria book and high street retailing

This article produced for the British Library Management and Business Studies Portal describes a project that set out to identify issues faced by, and a solution for, independent traders on the high street because of the increasing use of the internet by consumers. Involved in the project were Keith Jackson, Emma Kerr, Charles Dobson, Anthony Greenwood and Joanna Tate, all from the University of Cumbria, and Steve Matthews of Books Cumbria Limited

Segregated neural explants exhibit co-oriented, asymmetric, neurite outgrowth

Explants of embryonic chick sympathetic and sensory ganglia were found to exhibit asymmetric radial outgrowth of neurites under standard culture conditions with or without exogenous Nerve Growth Factor [NGF]. Opposing sides of an explant exhibited: a) differences in neurite length and, b) differences in neurite morphology. Strikingly, this asymmetry exhibited co-orientation among segregated, neighboring explants. The underlying mechanism(s) of the asymmetry and its co-orientation are not known but appear to depend on cell clustering because dissociated sympathetic neurons do not exhibit co-orientation whereas re-aggregated clusters of cells do. This emergent behavior may be similar to the community effect described in other cell types. If a similar phenomenon exists in the embryo, or in maturity, it may contribute to the establishment of proper orientation of neurite outgrowth during development and/or injury-induced neuronal plasticity

Impact of PNKP mutations associated with microcephaly, seizures and developmental delay on enzyme activity and DNA strand break repair

Microcephaly with early-onset, intractable seizures and developmental delay (MCSZ) is a hereditary disease caused by mutations in polynucleotide kinase/phosphatase (PNKP), a DNA strand break repair protein with DNA 5'-kinase and DNA 3'-phosphatase activity. To investigate the molecular basis of this disease, we examined the impact of MCSZ mutations on PNKP activity in vitro and in cells. Three of the four mutations currently associated with MCSZ greatly reduce or ablate DNA kinase activity of recombinant PNKP at 30°C (L176F, T424Gfs48X and exon15Δfs4X), but only one of these mutations reduces DNA phosphatase activity under the same conditions (L176F). The fourth mutation (E326K) has little impact on either DNA kinase or DNA phosphatase activity at 30°C, but is less stable than the wild-type enzyme at physiological temperature. Critically, all of the MCSZ mutations identified to date result in ∼10-fold reduced cellular levels of PNKP protein, and reduced rates of chromosomal DNA strand break repair. Together, these data suggest that all four known MCSZ mutations reduce the cellular stability and level of PNKP protein, with three mutations likely ablating cellular DNA 5'-kinase activity and all of the mutations greatly reducing cellular DNA 3'-phosphatase activity

Therapist interventions and patient outcome: addressing the common versus specific factor debate

While innumerable studies have demonstrated the efficacy of CBT in patients with depression, the mechanisms responsible for depression reduction are not well understood. Aim: This study explored the relationship between therapists' individual techniques and patients' symptoms of depression, cognitive errors, and coping. Of particular interest was the relative importance of techniques specific to CBT and those common to all therapies. Method: CBT therapy sessions of 43 patients with major depressive disorder (MDD) were analyzed using observer- rated measures: the Comprehensive Psychotherapeutic Interventions Rating Scale (CPIRS; Trijsburg et al., 2002) for therapist interventions, and the Cognitive Errors Rating Scale (CERS; Drapeau, Perry, & Dunkley, 2008) and Coping Patterns Rating Scale (CPRS; Perry, Drapeau, & Dunkley, 2005) for patients' cognitive errors and coping strategies. The Beck Depression Inventory (BDI; Beck, Rush, Shaw, & Emery, 1979) was used to assess symptoms of depression. Results: Results of hierarchical multiple regressions, controlling for pre-treatment depression scores and early cognitive errors and coping scores, showed the common factor intervention 'rapport' as the only intervention that significantly predicted improvement. Among CBT interventions, only the structuring intervention 'scheduling and structuring activities' emerged as a positive predictor of symptoms of depression. Discussion: These results provide further support for the importance of the therapeutic alliance in predicting depression outcome. While the lack of positive results on therapist CBT technique seem to cast doubt on their relative importance, it may also highlight the importance of measurin

Depleted uranium is not toxic to rat brain endothelial (RBE4) cells

Abstract: Studies on Gulf War veterans with depleted uranium (DU) fragments embedded in their soft tissues have led to suggestions of possible DU-induced neurotoxicity. We investigated DU uptake into cultured rat brain endothelial cells (RBE4). Following the determination that DU readily enters RBE4 cells, cytotoxic effects were analyzed using assays for cell volume increase, heat shock protein 90 (Hsp90) expression, 3-[4,5-dimethylthiazol-2-yl]-2, 5-diphenyltetrazolium bromide (MTT) reduction, and lactate dehydrogenase (LDH) activity. The results of these studies show that uptake of the U 3 O 8 uranyl chloride form of DU into RBE4 cells is efficient, but there are little or no resulting cytotoxic effects on these cells as detected by common biomarkers. Thus, the present experimental paradigm is rather reassuring and provides no indication for overt cytotoxicity in endothelial cells exposed to DU. Index Entries: Depleted uranium (DU); heavey metal toxicity; blood-brain barrier; endothelium. Article: INTRODUCTION Depleted uranium (DU) is a component of military munitions and is therefore the subject of important toxicity studies. Specifically, the possibility of DU neurotoxicity is under investigation. DU is a dense heavy metal used without reserve in many military applications. Chemically similar to natural uranium, but depleted of much of the radioactivity of the 235 U and 234 U isotopes, DU is a low-specific-activity metal that has several advantages for use as weapons material. Neurotoxicity could potentially arise from the chemical or radioactive properties of DU, and the level of neurotoxicity is as yet undetermined (1-3). Gulf War veterans with DU fragments embedded in their soft tissues were studied and the results suggested that there might be DU-associated effects on behavior and cognition (1-4). Rats embedded with DU fragments accumulated uranium in a range of tissues, with early levels highest in the kidney and a gradual increase in bone accumulation. Brain tissues were found to have far lower levels, with the hippocampus showing high levels among the brain regions following physiologically relevant exposures and cerebellum accumulating the highest levels upon extremely high exposure levels For a blood-borne contaminant to cause neurotoxicity, it must first cross the blood-brain barrier (BBB). This barrier protects the central nervous system (CNS) from toxicants in the blood, and its ability to protect against metal neurotoxicity was reviewed by Zheng et al. (7). The capillaries of the brain are lined with endothelial cells acting as the first line of defense in the BBB. The high degree of tightness of the junctions that link the endothelial cells virtually prevents any paracellular passage from occurring in physiological conditions. In addition, several transport proteins can increase the brain-to-blood efflux of various compounds (e.g., Pglycoproteins or multidrug resistance proteins [MDR] of the ATP-binding cassette [ABC]) (7). The molecula

Establishing Key Performance Indicators for Inflammatory Bowel Disease in the United Kingdom

Background and aimsHealthcare quality improvement (QI) is the systematic process to continuously improve the quality of care and outcomes for patients. The landmark Inflammatory Bowel Disease (IBD) UK National Audits provided a means to measure the variation in care, highlighting the need to define the standards of excellence in IBD care. Through a consensus approach, we aimed to establish key performance indicators (KPIs), providing reliable benchmarks for IBD care delivery in UK.MethodsKPIs that measure critical aspects of a patient journey within an IBD service were identified though stakeholder meetings. A two-stage Delphi consensus was then conducted. The first involved a multidisciplinary team of IBD clinicians and patients to refine definitions and methodology. The second stage assessed feasibility and utility of the proposed QI process by surveying gastroenterology services across UK.ResultsFirst, the four proposed KPIs were refined and included time from primary care referral to diagnosis in secondary care, time to treatment recommendation following a diagnosis, appropriate use of steroids and advanced therapies prescreening and assessment. Second, the Delphi consensus reported >85% agreement on the feasibility of local adoption of the QI process and >75% agreement on the utility of benchmarking of the KPIs.ConclusionsThrough a structured approach, we propose quantifiable KPIs for benchmarking to improve and reduce the individual variation in IBD care across the UK