151 research outputs found

    Sunk costs, Profit Volatility, and Turnover

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    Dynamic competitive models of industry evolution suggest that firm profit will be more volatile and turnover will be lower in industries with higher sunk costs. These implications are consistent with empirical observation.

    Parent training interventions for parents with intellectual disability

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    Background: Research suggests that the number of intellectually disabled people with children is increasing. Intellectual disabilities do not inevitably cause parenting difficulties, but it may impact on an individual’s capacity to parent a child effectively.Children of parents with intellectual disabilities may be at increased risk of neglectful care, which could lead to health, developmental and behavioural problems, or increased risk of intellectual disability. Compared with other parents, those with intellectual disabilities are more likely to be involved in care proceedings. Objectives: To assess the effectiveness of parent training interventions for parents with intellectual disabilities designed to support parenting, parent child relations, safe parenting or family environments, or to develop parenting skills. Search methods: In July 2017, we searched CENTRAL, Ovid MEDLINE, Embase, CINAHL and six other databases as well as two trials registers. We also searched reference lists of included studies and contacted experts in the field to identify additional ongoing and unpublished studies. Selection criteria: Randomised controlled trials (RCTs) and quasi-RCTs comparing parent training interventions for parents with intellectual disabilities with treatment as usual or a control group. Data collection and analysis: We used standardised Cochrane methods. Parent training interventions for parents with intellectual disability (Review) 1 Copyright © 2018 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Main results: As of July 2017, we identified four trials with 192 participants that met the review inclusion criteria. Participating parents were mostly mothers (seven fathers were included in two studies), and children’s ages ranged from one month to six years and five months. One study was conducted in Australia, one in Canada, one in the Netherlands, and one in the USA. Each studied a different intervention and considered different outcomes. Three interventions were delivered at home, and one in a community venue (e.g. a church). Interventions varied in duration from seven weeks to 12 months. They included a range of practical childcare skills, home safety and developing parents’ ability to respond sensitively to their children. Parents in the comparison groups included in the review received treatment as usual and most of these received the index intervention after the study was complete. One study was funded by the Ontario Mental Health Foundation and the Ontario Ministry of Community and Social Services Research Grants Program; one by the Alabama Development Disabilities Council; one by the Best Practice Parenting Education Initiative of the Commonwealth Department of Family and Community Services and the New South Wales Aging and Disability Department; and one by ZonMw, The Netherlands Organisation for Health Research and Development. It was not possible for us to conduct a meta-analysis. The GRADE quality assessment varied from very low to moderate across the studies. Primary outcomes: No study reported on the ’attainment of specific parenting skill targets’. ’Safe home practices’ and ’understanding of child health’: one study (30 parents, very low-quality evidence) reported some improvements in parents’ knowledge of life-threatening emergencies, ability to recognise dangers, and identify precautions, in favour of the intervention group. It also found limited, very low-quality evidence that parent training improved parents’ ability to understand child health, implement precautions, use medicines safely, recognise child illness and symptoms, and seek medical advice (i.e. visit the doctor). Another study (22 mothers, very low-quality evidence) reported improved attainment of skills related to childcare and safety, in favour of the intervention group. Secondary outcomes: ’Parent-child interaction’: one study (40 mothers, very low-quality evidence) reported improved maternal-child interaction following parent training at 12 months follow-up. Another study (83 mothers, 2 fathers, moderate-quality evidence) reported that inclusion in the intervention group led to a steeper decline in parenting stress related to the child compared to the control group. ’Parents’ retention of child’: one study (22 participants; very low-quality evidence) reported that before joining the programme nine of 11 (82%) families with a previous child had had the child removed from their care by child protection authorities due to maternal maltreatment, compared with only four of 22 (19%) families after participating in the programme (only one of these four mothers had also had a previous child removed). No study reported data on: ’return to independent care of child’ or ’lifting of child-related court order’. Authors’ conclusions: There is some very low-quality evidence that some parents, mainly mothers, with intellectual disabilities are able to provide adequate parenting if they are given appropriate training and support to learn the parenting skills they need. However, there are few studies exploring how interventions might work, for whom and in what circumstances. In particular, there have been few studies that include fathers with intellectual disabilities, or that explore the views of parents themselves. There is a need for larger RCTs of parenting interventions,with longer follow-up, before conclusions can be drawn about the effectiveness of parent training for this group of parents

    Singing for people with Parkinson's disease

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    This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To compare the efficacy and effectiveness of singing interventions with non‐singing intervention or usual care on QoL, wellbeing, and speech and communication among people with PD. We will assess the QoL and the physical, psychological, and social health and wellbeing of people with PD who receive a singing intervention, compared to non‐singing intervention or usual care

    Hippocampus abnormalities in at risk mental states for psychosis? A cross-sectional high resolution region of interest magnetic resonance imaging study

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    Background: Hippocampal volume (HV) reduction is well documented in schizophrenia. However, it is still unclear whether this change is a pre-existing vulnerability factor, a sign of disease progression, a consequence of environmental factors, such as drug use, antipsychotic medication, or malnutrition. The timing of HV changes is not well established, but a lack of macrostructural hippocampal brain abnormalities before disease onset would rather support a neuroprogressive illness model. Aim: To investigate the timing of HV changes in emerging psychosis. Methods: A cross-sectional MRI study of manually traced HVs in 37 individuals with an At Risk Mental State (ARMS) for psychosis, 23 individuals with First-Episode Psychosis (FEP), and 22 Healthy Controls (HC) was performed. We compared left and right HVs corrected for whole brain volume across groups using analysis of covariance (ANCOVA) with gender as a covariate. Sixteen of 37 ARMS individuals developed a psychotic disorder during follow up (ARMS-T). The mean duration of follow up in ARMS was 25.1 months. Results: The overall ANCOVA model comparing left HVs across FEP, ARMS and HC indicated a significant general group effect (p < .05) with largest volumes in ARMS and smallest in FEP. ARMS-T subjects had significantly larger left HVs compared to FE but no HV differences compared to HC (p < 0.05). Over all groups, we found an asymmetry between the left and right mean HVs and a strong effect of sex. Discussion: The present study suggests that macrostructural hippocampal abnormalities probably occur in the context of the first psychotic breakdown

    Dynamic Power Management for Reactive Stream Processing on the SCC Tiled Architecture

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    This article is distributed under the terms of the Creative Commons Attribution 4.0 International License(http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.Dynamic voltage and frequency scaling} (DVFS) is a means to adjust the computing capacity and power consumption of computing systems to the application demands. DVFS is generally useful to provide a compromise between computing demands and power consumption, especially in the areas of resource-constrained computing systems. Many modern processors support some form of DVFS. In this article we focus on the development of an execution framework that provides light-weight DVFS support for reactive stream-processing systems (RSPS). RSPS are a common form of embedded control systems, operating in direct response to inputs from their environment. At the execution framework we focus on support for many-core scheduling for parallel execution of concurrent programs. We provide a DVFS strategy for RSPS that is simple and lightweight, to be used for dynamic adaptation of the power consumption at runtime. The simplicity of the DVFS strategy became possible by sole focus on the application domain of RSPS. The presented DVFS strategy does not require specific assumptions about the message arrival rate or the underlying scheduling method. While DVFS is a very active field, in contrast to most existing research, our approach works also for platforms like many-core processors, where the power settings typically cannot be controlled individually for each computational unit. We also support dynamic scheduling with variable workload. While many research results are provided with simulators, in our approach we present a parallel execution framework with experiments conducted on real hardware, using the SCC many-core processor. The results of our experimental evaluation confirm that our simple DVFS strategy provides potential for significant energy saving on RSPS.Peer reviewe

    Fast 2D/3D object representation with growing neural gas

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    This work presents the design of a real-time system to model visual objects with the use of self-organising networks. The architecture of the system addresses multiple computer vision tasks such as image segmentation, optimal parameter estimation and object representation. We first develop a framework for building non-rigid shapes using the growth mechanism of the self-organising maps, and then we define an optimal number of nodes without overfitting or underfitting the network based on the knowledge obtained from information-theoretic considerations. We present experimental results for hands and faces, and we quantitatively evaluate the matching capabilities of the proposed method with the topographic product. The proposed method is easily extensible to 3D objects, as it offers similar features for efficient mesh reconstruction

    Vorhersage von Psychosen durch stufenweise MehrebenenabklĂ€rung - Das Basel FePsy (FrĂŒherkennung von Psychosen)-Projekt

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    Hintergrund: In Basel haben wir verschiedene Studien zur Verbesserung der Methodik zur FrĂŒherkennung von Psychosen (FePsy) durchgefĂŒhrt. Methodik: Vom 01.03.2000 bis 29.02.2004 wurden 234 Individuen mithilfe des Basler Screening Instruments fĂŒr Psychosen (BSIP) gescreent. Bei 10 6 Patienten konnte ein Risikostatus fĂŒr Psychosen diagnostiziert werden, 53 davon konnten bis zu 7 Jahre (Mittel 5. 4 Jahre) nachuntersucht werden. Die weiteren Untersuchungen erfolgten u.a. mit einem spezifisch entwickelten Anamnese - Instrument, verschiedenen Skalen zur Psychopathologie, Untersuchungen der Neuropsychologie u n d Feinmotorik , klinische m und quantitative m EEG, MRI des Gehirns, Labor. Ergebnisse: Allein auf der Basis des BSIP konnte eine relativ zuverlĂ€ssige Vorher sage getroffen werden: 21 (39.6 % ) der als „ Risikopatienten “Identifizierten entwickelten innerhalb der Beobachtungszeit tatsĂ€chlich eine Psychose. Post hoc konnte durch spezifischere Gewichtung der Psychopathologie und Einbezug neuropsychologischer Untersuchungen die Vorhersagegenauigkeit auf 81 % gesteigert werden. Die anderen oben genannten Verfahren können offensichtlich zur weiteren Verbesserung der PrĂ€diktion beitragen. Schlussfolgerungen: Die RisikoabklĂ€rung fĂŒr Psychose sollte stufenweise und unter Einbezug verschiedener Untersuchungsebenen erfolgen. Background: We have conducted various studies in Basel with the aim of improving the methods for the early detection of psychosis (Fruherkennung von Psychosen, FePsy).Methods: From 1.3.2000 to 29.2.2004 234 individuals were screened using the Basel Screening Instrument for Psychosis (BSIP). 106 patients were identified as at risk for psychosis; out of these 53 remained in follow-up for up to 7 years (mean 5.4 years). The assessments were done with a specifically developed instrument for history taking, various scales for the psychopathology, assessments of neuropsychology and fine motor functioning, clinical and quantitative EEG, MRI of the brain, laboratory etc.Results: Based on the BSIP alone, a relatively reliable prediction was possible: 21 (39.6 %) of the individuals identified as at risk developed psychosis within the follow-up time. Post-hoc prediction could be improved to 81 % by weighting psychopathology and including neuropsychology. Including the other domains obviously allows further improvements of prediction.Conclusions: The risk for psychosis should be assessed in a stepwise procedure. In a first step, a clinically oriented screening should be conducted. If an at-risk status is found, further assessments in various domains should be done in a specialised centre
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