Overcoming barriers to effective early parenting interventions for attention-deficit hyperactivity disorder (ADHD): parent and practitioner views

BackgroundThe importance of early intervention approaches for the treatment of attention-deficit hyperactivity disorder (ADHD) has been increasingly acknowledged. Parenting programmes (PPs) are recommended for use with preschool children with ADHD. However, low take-up' and high drop-out' rates compromise the effectiveness of such programmes within the community. MethodsThis qualitative study examined the views of 25 parents and 18 practitioners regarding currently available PPs for preschool children with ADHD-type problems in the UK. Semi-structured interviews were undertaken to identify both barriers and facilitators associated with programme access, programme effectiveness, and continued engagement. Results and conclusionsMany of the themes mirrored previous accounts relating to generic PPs for disruptive behaviour problems. There were also a number of ADHD-specific themes. Enhancing parental motivation to change parenting practice and providing an intervention that addresses the parents' own needs (e.g. in relation to self-confidence, depression or parental ADHD), in addition to those of the child, were considered of particular importance. Comparisons between the views of parents and practitioners highlighted a need to increase awareness of parental psychological barriers among practitioners and for better programme advertising generally. Clinical implications and specific recommendations drawn from these findings are discussed and presented

Retrospective and prospective evaluations of mammography screening narratives: The role of own experience

We investigated the role of previous experience when providing summary judgments of mammography narratives. A total of 807 women who either did or did not have previous experience of a mammogram were presented with a written description of a mammography visit. We manipulated the presentation position of a negative element within the narrative to alter its accessibility in memory and determine whether the latter impacted equally on two types of summary judgments. After the narrative presentation, participants were asked to provide both retrospective and prospective evaluations, that is, summary judgments about the described event and an appraisal of the likelihood of participating in future instances of such event, respectively. A recency effect was observed only for retrospective but not for prospective evaluations. When examined only for the subset of women who had undergone a mammography visit themselves, prospective evaluations were shown to be predicted by the reported quality of the mammography participants experienced themselves. The findings support and extend the accessibility model of emotional self-report and suggest that own experience leaks into evaluations of hypothetical scenarios by selectively impacting on prospective evaluations

Measuring antibiotic availability and use in 20 low- and middle-income countries

Objective To assess antibiotic availability and use in health facilities in low- and middle-income countries, using the service provision assessment and service availability and readiness assessment surveys. Methods We obtained data on antibiotic availability at 13 561 health facilities in 13 service provision assessment and 8 service availability and readiness assessment surveys. In 10 service provision assessment surveys, child consultations with health-care providers were observed, giving data on antibiotic use in 22 699 children. Antibiotics were classified as access, watch or reserve, according to the World Health Organization’s AWaRe categories. The percentage of health-care facilities across countries with specific antibiotics available and the proportion of children receiving antibiotics for key clinical syndromes were estimated. Findings The surveys assessed the availability of 27 antibiotics (19 access, 7 watch, 1 unclassified). Co-trimoxazole and metronidazole were most widely available, being in stock at 89.5% (interquartile range, IQR: 11.6%) and 87.1% (IQR: 15.9%) of health facilities, respectively. In contrast, 17 other access and watch antibiotics were stocked, by fewer than a median of 50% of facilities. Of the 22 699 children observed, 60.1% (13 638) were prescribed antibiotics (mostly co-trimoxazole or amoxicillin). Children with respiratory conditions were most often prescribed antibiotics (76.1%; 8972/11 796) followed by undifferentiated fever (50.1%; 760/1518), diarrhoea (45.7%; 1293/2832) and malaria (30.3%; 352/1160). Conclusion Routine health facility surveys provided a valuable data source on the availability and use of antibiotics in low- and middle-income countries. Many access antibiotics were unavailable in a majority of most health-care facilities

Resonant Formation of dμtd\mu t Molecules in Deuterium: An Atomic Beam Measurement of Muon Catalyzed dt Fusion

Resonant formation of $d\mu t$ molecules in collisions of muonic tritium ($\mu t$) on D$_2$ was investigated using a beam of $\mu t$ atoms, demonstrating a new direct approach in muon catalyzed fusion studies. Strong epithermal resonances in $d\mu t$ formation were directly revealed for the first time. From the time-of-flight analysis of $2036\pm 116$ $dt$ fusion events, a formation rate consistent with $0.73\pm (0.16)_{meas} \pm (0.09)_{model}$ times the theoretical prediction was obtained. For the largest peak at a resonance energy of $0.423 \pm 0.037$ eV, this corresponds to a rate of $(7.1 \pm 1.8) \times 10^9$ s$^{-1}$, more than an order of magnitude larger than those at low energies.Comment: To appear in Phys. Rev. Let

Mean-Field Dynamics: Singular Potentials and Rate of Convergence

We consider the time evolution of a system of $N$ identical bosons whose interaction potential is rescaled by $N^{-1}$. We choose the initial wave function to describe a condensate in which all particles are in the same one-particle state. It is well known that in the mean-field limit $N \to \infty$ the quantum $N$-body dynamics is governed by the nonlinear Hartree equation. Using a nonperturbative method, we extend previous results on the mean-field limit in two directions. First, we allow a large class of singular interaction potentials as well as strong, possibly time-dependent external potentials. Second, we derive bounds on the rate of convergence of the quantum $N$-body dynamics to the Hartree dynamics.Comment: Typos correcte

The association between childhood hearing loss and self-reported peer victimisation, depressive symptoms, and self-harm: longitudinal analyses of a prospective, nationally representative cohort study

BACKGROUND: Childhood hearing loss (HL) predicts poor mental health and is associated with a higher risk of communication difficulties. The relationship of childhood HL with specific types of poor mental health (such as depressive symptoms or self-harm) and peer victimisation remains unclear. METHODS: We analysed data from the Millennium Cohort Study (MCS), a prospective observational cohort study of children living in the UK at age 9 months and born between 2000 to 2002. Data were available on the children and their families at ages 9 months, then at 3, 5, 7, 11, and 14 years. Participants were 10,858 singleton children with self-reported data on peer victimisation, depressive symptoms, and self-harm at age 14 years. Multivariable logistic regression models were fitted to estimate odds ratios (OR) for HL with peer victimisation, depressive symptoms, and self-harm. HL presence was examined in terms of any HL between ages 9 months and 14 years, as well as by HL trajectory type (defined by onset and persistence). Analyses were adjusted for potential sources of confounding, survey design, and attrition at age 14 years. Interactions between sex and HL were examined in each model and multiple imputation procedures used to address missing data. RESULTS: Children with any HL had increased odds of depressive symptoms (OR: 1.32, 95% CI: 1.09–1.60), self-harm (1.41, 1.12–1.78) and, in girls only, peer victimisation (girls: 1.81, 1.29–2.55; boys: 1.05, 0.73–1.51), compared to those without HL. HL with later age at onset and persistence to age 14 years was the only trajectory associated with all outcomes. CONCLUSIONS: Childhood HL may predict peer victimisation (in girls), depressive symptoms, and self-harm. Further research is needed to identify HL trajectories and methods to facilitate good mental health in children with HL. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13457-6

The Sources of b-Quarks at the Tevatron and their Correlations

The leading-log order QCD hard scattering Monte-Carlo models of HERWIG, ISAJET, and PYTHIA are used to study the sources of b-quarks at the Tevatron. The reactions responsible for producing b and bbar quarks are separated into three categories; flavor creation, flavor excitation, and parton-shower/fragmentation. Flavor creation corresponds to the production of a b-bbar pair by gluon fusion or by annihilation of light quarks, while flavor excitation corresponds to a b or bbar quark being knocked out of the initial-state by a gluon or a light quark or antiquark. The third source occurs when a b-bbar pair is produced within a parton shower or during the fragmentation process of a gluon or a light quark or antiquark (includes gluon splitting). The QCD Monte-Carlo models indicate that all three sources of b-quarks are important at the Tevatron and when combined they qualitatively describe the inclusive cross-section data. Correlations between the b and bbar quark are very different for the three sources and can be used to isolate the individual contributions.Comment: RevTex4, 14 pages, 20 figures, submitted to Phys. Rev.

Detection of Malawi polyomavirus sequences in secondary lymphoid tissues from Italian healthy children: a transient site of infection

BACKGROUND: The novel Malawi polyomavirus (MWPyV) was initially detected in stool specimens from healthy children and children with gastrointestinal symptoms, mostly diarrhea, indicating that MWPyV might play a role in human gastroenteric diseases. Recently, MWPyV sequences were additionally identified in respiratory secretions from both healthy and acutely ill children suggesting that MWPyV may have a tropism for different human tissues. This study was designed to investigate the possible sites of latency/persistence for MWPyV in a cohort of healthy Italian children. METHODS: Specimens (n\ub0 500) of tonsils, adenoids, blood, urines and feces, from 200 healthy and immunocompetent children (age range: 1-15 years) were tested for the amplification of the MWPyV LT antigen sequence by quantitative real-time PCR. Samples (n\ub0 80) of blood and urines from 40 age-matched children with autoimmune diseases, were screened for comparison. Polyomaviruses JC/BK and Epstein-Barr Virus (EBV) were also tested as markers of infection in all samples using the same molecular technique. RESULTS: In our series of healthy children, MWPyV was detected only in the lymphoid tissues showing a prevalence of 6 % in tonsils and 1 % in adenoids, although with a low viral load. No JCPyV or BKPyV co-infection was found in MWPyV positive samples, while EBV showed a similar percentage of both in tonsils and adenoids (38 and 37 %). Conversely, no MWPyV DNA was detected in stool from babies with gastroenteric syndrome. With regards to autoimmune children, neither MWPyV nor BKPyV were detected in blood, while JCPyV viremia was observed in 15 % (6/40) of children treated with Infliximab. Urinary BKPyV shedding was observed in 12.5 % (5/40) while JCPyV in 100 % of the samples. CONCLUSIONS: The detection of MWPyV sequences in tonsils and adenoids of healthy children suggests that secondary lymphoid tissues can harbour MWPyV probably as transient sites of persistence rather than actual sites of latency

Performance of QCT-Derived scapula finite element models in predicting local displacements using digital volume correlation

Subject-specific finite element models (FEMs) of the shoulder complex are commonly used to predict differences in internal load distribution due to injury, treatment or disease. However, these models rely on various underlying assumptions, and although experimental validation is warranted, it is difficult to obtain and often not performed. The goal of the current study was to quantify the accuracy of local displacements predicted by subject-specific QCT-based FEMs of the scapula, compared to experimental measurements obtained by combining digital volume correlation (DVC) and mechanical loading of cadaveric specimens within a microCT scanner. Four cadaveric specimens were loaded within a microCT scanner using a custom-designed six degree-of-freedom hexapod robot augmented with carbon fiber struts for radiolucency. BoneDVC software was used to quantify full-field experimental displacements between pre- and post-loaded scans. Corresponding scapula QCT-FEMs were generated and three types of boundary conditions (BC) (idealized-displacement, idealized-force, and DVC-derived) were simulated for each specimen. DVC-derived BCs resulted in the closest match to the experimental results for all specimens (best agreement: slope ranging from 0.87 to 1.09; highest correlation: r2 ranging from 0.79 to 1.00). In addition, a two orders of magnitude decrease was observed in root-mean-square error when using QCT-FEMs with simulated DVC-derived BCs compared to idealized-displacement and idealized-force BCs. The results of this study demonstrate that scapula QCT-FEMs can accurately predict local experimental full-field displacements if the BCs are derived from DVC measurements