Motivational drive and alprazolam misuse : a recipe for aggression?

Benzodiazepine-related aggression has received insufficient research attention, in particular little is known about the motivational factors which may contribute to the development of this paradoxical response. The revised Reinforcement Sensitivity Theory provides a theoretical framework from which to understand the relevant underlying motivational processes. The current study aimed to identify the role of approach and avoidance motivational tendencies in the occurrence of benzodiazepine-related aggression. Data regarding benzodiazepine and other substance use, approach and avoidance motivation, and general and physical aggressive behaviour were collected via self-report questionnaires. Participants were a convenience sample (n=204) who reported using benzodiazepines in the previous year. Participants were primarily male (62.7%), aged 18–51 years old. Hierarchical multiple regressions indicated that general and physical aggression were predicted by alprazolam use and Drive, a facet of approach motivation. Overall, lower diazepam use significantly predicted higher levels of general aggression. However, when diazepam-preferring participants were examined in isolation of the larger sample (23.5% of sample), problematic (dependent) diazepam use was associated with greater aggression scores, as was dependence risk for alprazolam-preferring participants (39.7% of sample). The findings highlight the importance of motivational factors and benzodiazepine use patterns in understanding benzodiazepine-related aggression, with implications for violent offender rehabilitation

How Nonfinancial Performance Measures Are Used

Presents information on a survey of Fortune 500 and Canadian Post companies relating to what nonfinancial performance factors are companies measuring and whether they are using the ones they measured. Indication that these factors are not used in planning; Drawbacks identified in the study; Degree to which top executives in these companies identify particular nonfinancial performance factors as important

Harnessing Corporate IQ

Relates that top executives in Canada and in the United States recognize the increasing importance of knowledge resources and other tangible assets to a firm\u27s success. Comparison of knowledge management business practices; Need for change in organizational systems and processes

Where to from here? Identifying and prioritising future directions for addressing drug-resistant infection in Australia

Background: The Australian National Antimicrobial Resistance Strategy calls for a collaborative effort to change practices that have contributed to the development of drug-resistance and for implementation of new initiatives to reduce antibiotic use. Methods: A facilitated workshop was undertaken at the 2019 National Australian Antimicrobial Resistance Forum to explore the complexity of antimicrobial stewardship (AMS) implementation in Australia and prioritise future action. Participants engaged in rotating rounds of discussion using a world café format addressing six topics relating to AMS implementation. Once all tables had discussed all themes the discussion concluded and notes were summarised. The documents were independently openly coded by two researchers to identify elements relating to the implementation of antimicrobial stewardship. Results: There were 39 participants in the facilitated discussions, including pharmacists, infectious disease physicians, infection prevention nurses, and others. Participants discussed strategies they had found successful, including having a regular presence in clinical areas, adapting messaging and implementation strategies for different disciplines, maintaining positivity, and being patient-focused. Many of the recommendations for the next step involved being patient focussed and outcomesdriven. This involves linking data to practice, using patient stories, using data to celebrate wins and creating incentives. Discussion: Recommendations from the workshop should be included in priority setting for the implementation of AMS initiatives across Australia

Background noise levels measured in the NASA Lewis 9- by 15-foot low-speed wind tunnel

The acoustic capability of the NASA Lewis 9 by 15 Foot Low Speed Wind Tunnel has been significantly improved by reducing the background noise levels measured by in-flow microphones. This was accomplished by incorporating streamlined microphone holders having a profile developed by researchers at the NASA Ames Research Center. These new holders were fabricated for fixed mounting on the tunnel wall and for an axially traversing microphone probe which was mounted to the tunnel floor. Measured in-flow noise levels in the tunnel test section were reduced by about 10 dB with the new microphone holders compared with those measured with the older, less refined microphone holders. Wake interference patterns between fixed wall microphones were measured and resulted in preferred placement patterns for these microphones to minimize these effects. Acoustic data from a model turbofan operating in the tunnel test section showed that results for the fixed and translating microphones were equivalent for common azimuthal angles, suggesting that the translating microphone probe, with its significantly greater angular resolution, is preferred for sideline noise measurements. Fixed microphones can provide a local check on the traversing microphone data quality, and record acoustic performance at other azimuthal angles

Longitudinal effects of breast feeding on parent-reported child behaviour.

OBJECTIVE: Shorter breastfeeding duration has been linked to a range of difficulties in children. However, evidence linking shorter breastfeeding duration to child behavioural problems has been inconclusive. Owing to an almost exclusive focus on early childhood in previous research, little is known about breastfeeding effects on behaviour throughout childhood and adolescence. This study examines the longitudinal effect of breast feeding on parent-reported behaviour in children aged 3-14. DESIGN: Data come from the Millennium Cohort Study, a large, prospective, UK birth cohort study. PARTICIPANTS: 11 148 children, their parents and teachers. METHODS: This study maps the effect of breastfeeding duration on parent-reported child behaviour longitudinally, using latent growth curve modelling and on teacher-reported child behaviour using multiple regression analyses. Breastfeeding duration was assessed through parent interviews when the child was 9 months old. Children's behavioural development was measured using parent-reported Strengths and Difficulties Questionnaires (SDQ) at 3, 5, 7, 11 and 14 years and teacher-reported SDQs at 7 and 11 years. RESULTS: Breast feeding was associated with fewer parent-reported behavioural difficulties at all ages even after adjusting for potential confounders (6 months: B=-1.24, 95% CI -1.44 to -1.04; B=adjusted mean difference of raw SDQ scores at age 3, reference: never breast fed). CONCLUSION: This study provides further evidence supporting links between breastfeeding duration and children's socioemotional behavioural development. Potential implications include intervention strategies encouraging breast feeding

The association between analgesic drug use in pregnancy and neurodevelopmental disorders: protocol for an umbrella review.

BACKGROUND: Maternal prenatal health has been shown to be an important influence on children's developmental outcomes, which has led to an increased emphasis on providing more information to support clinical decisions in pregnancy. Several systematic reviews suggest that analgesic drug use during pregnancy may have neurodisruptive properties. However, no firm conclusions have yet been drawn on the associations between prenatal analgesic drug use and children's long-term development of neurodevelopmental disorders such as autism spectrum disorder (ASD) or attention deficit hyperactivity disorder (ADHD). Therefore, an umbrella review is proposed for the purpose of examining the associations between maternal analgesic drug use during pregnancy and diagnoses of neurodevelopmental disorders. METHODS: Included systematic reviews will consist of studies examining the effect of maternal prenatal analgesic drug use, specifically ibuprofen, acetaminophen, aspirin, naproxen, diclofenac, and ketoprofen, on children's neurodevelopmental disorder status. Examined drugs were restricted to those readily accessible and frequently used by pregnant women, and with characteristics that allow them to cross the placenta and directly affect fetal development. Outcomes will be restricted to formal clinical diagnoses of ASD and/or ADHD. Two reviewers will independently identify eligible reviews from six databases (e.g., PubMed, EMBASE, PsychINFO) from inception dates of databases to the date of data extraction, and conduct manual searches of reference lists, consultation with field experts, and scan of pre-print archives. Extracted data will also include short qualitative summaries by both reviewers. As part of quality assessment, a standardized measurement tool to assess systematic reviews (AMSTAR 2) will be used. A narrative synthesis is proposed to integrate findings from different, potentially methodologically heterogeneous, studies. DISCUSSION: This umbrella review of associations between maternal prenatal use of analgesic drugs and children's neurodevelopmental disorders could allow for firmer conclusions to be drawn through the synthesis of all relevant published research. The synthesis of findings using high-quality evidence could provide more accurate healthcare information on the long-term effects of analgesic drugs on neurodevelopment, to better guide future clinical decisions during pregnancy. This review will also allow gaps and methodological differences in the literature to be identified, informing recommendations for future research. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020179216