Sleep-dependent consolidation in children with comprehension and vocabulary weaknesses: it'll be alright on the night?

BACKGROUND: Vocabulary is crucial for an array of life outcomes and is frequently impaired in developmental disorders. Notably, 'poor comprehenders' (children with reading comprehension deficits but intact word reading) often have vocabulary deficits, but underlying mechanisms remain unclear. Prior research suggests intact encoding but difficulties consolidating new word knowledge. We test the hypothesis that poor comprehenders' sleep-associated vocabulary consolidation is compromised by their impoverished lexical-semantic knowledge. METHODS: Memory for new words was tracked across wake and sleep to assess encoding and consolidation in 8-to-12-year-old good and poor comprehenders. Each child participated in two sets of sessions, one beginning in the morning (AM-encoding) and the other in the evening (PM-encoding). In each case, they were taught 12 words and were trained on a spatial memory task. Memory was assessed immediately, 12- and 24-hr later via stem-completion, picture-naming, and definition tasks to probe different aspects of word knowledge. Long-term retention was assessed 1-2 months later. RESULTS: Recall of word-forms improved over sleep and postsleep wake, as measured in both stem-completion and picture-naming tasks. Counter to hypotheses, deficits for poor comprehenders were not observed in consolidation but instead were seen across measures and throughout testing, suggesting a deficit from encoding. Variability in vocabulary knowledge across the whole sample predicted sleep-associated consolidation, but only when words were learned early in the day and not when sleep followed soon after learning. CONCLUSIONS: Poor comprehenders showed weaker memory for new words than good comprehenders, but sleep-associated consolidation benefits were comparable between groups. Sleeping soon after learning had long-lasting benefits for memory and may be especially beneficial for children with weaker vocabulary. These results provide new insights into the breadth of poor comprehenders' vocabulary weaknesses, and ways in which learning might be better timed to remediate vocabulary difficulties

Empathy in paramedic practice: an overview

Background: Although inconsistently defined, empathy is generally considered to be the understanding of another person\u27s reactions, thoughts, feelings and problems and being able to relay this sense of understanding back to the individual. Empathy in healthcare is associated with improved communication, reduced stress, lower complication rates and improved clinical outcomes. Low empathy is associated with decreased patient satisfaction, and provider burnout. Aim: The aim of this article is to provide an overview of empathy in paramedic practice, and to outline several potential solutions to improve empathy levels among paramedics and paramedic students. Methods: We conducted unstructured, non-systematic searches of the literature in order to inform an overview of the literature. An overview is a summary of the literature that attempts to survey the literature and describe its characteristics. We thematically structured the results of these searches under the following headings: empathy in paramedic practice, empathy and burnout, and strategies to improve empathy levels. Discussion: The literature demonstrates that paramedic students have lower empathy scores towards substance users and mental health emergencies, and this may affect future practice as a paramedic. The burden of emotional work in paramedic practice and coping strategies that paramedics develop may also be contributory factors in this lower empathy. There appears to be a relationship between empathy and burnout, with most studies suggesting an inverse relationship. Empathy is an interpersonal skill that can be learned and improved upon through methods such as reflection and simulation. Conclusion: Empathy in paramedic practice is complex, and understudied. Although some evidence exists to suggest that paramedic students have variable empathy levels towards certain patients, and that these empathy scores can decline over time, there is a distinct lack of research into empathy in practicing paramedics, and this requires further attention. In particular, its relationship to patient care, paramedic burnout, and wellbeing require investigation. Several strategies to teach empathy exist and these can be considered by educators

Built environment assessment: Multidisciplinary perspectives.

Context:As obesity has become increasingly widespread, scientists seek better ways to assess and modify built and social environments to positively impact health. The applicable methods and concepts draw on multiple disciplines and require collaboration and cross-learning. This paper describes the results of an expert team׳s analysis of how key disciplinary perspectives contribute to environmental context-based assessment related to obesity, identifies gaps, and suggests opportunities to encourage effective advances in this arena. Evidence acquisition:A team of experts representing diverse disciplines convened in 2013 to discuss the contributions of their respective disciplines to assessing built environments relevant to obesity prevention. The disciplines include urban planning, public health nutrition, exercise science, physical activity research, public health and epidemiology, behavioral and social sciences, and economics. Each expert identified key concepts and measures from their discipline, and applications to built environment assessment and action. A selective review of published literature and internet-based information was conducted in 2013 and 2014. Evidence synthesis:The key points that are highlighted in this article were identified in 2014-2015 through discussion, debate and consensus-building among the team of experts. Results focus on the various disciplines׳ perspectives and tools, recommendations, progress and gaps. Conclusions:There has been significant progress in collaboration across key disciplines that contribute to studies of built environments and obesity, but important gaps remain. Using lessons from interprofessional education and team science, along with appreciation of and attention to other disciplines׳ contributions, can promote more effective cross-disciplinary collaboration in obesity prevention

Metacognitive Awareness of Facial Affect in Higher-Functioning Children and Adolescents with Autism Spectrum Disorder

Higher-functioning participants with and without autism spectrum disorder (ASD) viewed a series of face stimuli, made decisions regarding the affect of each face, and indicated their confidence in each decision. Confidence significantly predicted accuracy across all participants, but this relation was stronger for participants with typical development than participants with ASD. In the hierarchical linear modeling analysis, there were no differences in face processing accuracy between participants with and without ASD, but participants with ASD were more confident in their decisions. These results suggest that individuals with ASD have metacognitive impairments and are overconfident in face processing. Additionally, greater metacognitive awareness was predictive of better face processing accuracy, suggesting that metacognition may be a pivotal skill to teach in interventions

Patient Safety and Quality Improvement Education for Paramedics: The Role of the IHI Open School Chapter

In 2017, an IHI Open School Chapter was founded at Fanshawe College. This was undertaken as an additional measure to promote patient safety and quality improvement awareness among students and faculty

Patient Safety and Quality Improvement Education for Paramedics: Peacticing What We Preach

Our patients expect and deserve safe, high-quality care. Paramedics have a personal responsibility for providing safe care, regardless of previous education or regulatory framework. The onus is on us all to ensure that paramedics are adequately prepared to address this responsibility

Dynamical Causes of the 2010/11 Texas–Northern Mexico Drought

The causes of the Texas–northern Mexico drought during 2010–11 are shown, using observations, reanalyses, and model simulations, to arise from a combination of ocean forcing and internal atmospheric variability. The drought began in fall 2010 and winter 2010/11 as a La Niña event developed in the tropical Pacific Ocean. Climate models forced by observed sea surface temperatures (SSTs) produced dry conditions in fall 2010 through spring 2011 associated with transient eddy moisture flux divergence related to a northward shift of the Pacific–North American storm track, typical of La Niña events. In contrast the observed drought was not associated with such a clear shift of the transient eddy fields and instead was significantly influenced by internal atmospheric variability including the negative North Atlantic Oscillation of winter 2010/11, which created mean flow moisture divergence and drying over the southern Plains and southeast United States. The models suggest that drought continuation into summer 2011 was not strongly SST forced. Mean flow circulation and moisture divergence anomalies were responsible for the summer 2011 drought, arising from either internal atmospheric variability or a response to dry summer soils not captured by the models. The summer of 2011 was one of the two driest and hottest summers over recent decades but it does not represent a clear outlier to the strong inverse relation between summer precipitation and temperature in the region. Seasonal forecasts at 3.5-month lead time did predict onset of the drought in fall and winter 2010/11 but not intensification into summer 2011, demonstrating the current, and likely inherent, inability to predict important aspects of North American droughts

Limited Evidence of an Association Between Language, Literacy, and Procedural Learning in Typical and Atypical Development : A Meta-Analysis

The ability to extract patterns from sensory input across time and space is thought to underlie the development and acquisition of language and literacy skills, particularly the subdomains marked by the learning of probabilistic knowledge. Thus, impairments in procedural learning are hypothesized to underlie neurodevelopmental disorders, such as dyslexia and developmental language disorder. In the present meta-analysis, comprising 2396 participants from 39 independent studies, the continuous relationship between language, literacy, and procedural learning on the Serial Reaction Time task (SRTT) was assessed across children and adults with typical development (TD), dyslexia, and Developmental Language Disorder (DLD). Despite a significant, but very small, relationship between procedural learning and overall language and literacy measures, this pattern was not observed at the group-level when examining TD, dyslexic, and DLD groups separately. Based on the procedural/declarative model, a positive relationship was expected between procedural learning and language and literacy measures for the typically developing group; however, no such relationship was observed. This was also the case for the disordered groups (ps > .05). Also counter to expectations, the magnitude of the relationship between procedural learning and grammar and phonology did not differ between TD and DLD (ps > .05), nor between the TD and dyslexic group on reading, spelling, and phonology (ps > .05). While lending little support to the procedural/declarative model, we consider that these results may be the consequence of poor psychometric properties of the SRTT as a measure of procedural learning

The reliability of the serial reaction time task : meta-analysis of test-retest correlations

The Serial Reaction Time task, one of the most widely used tasks to index procedural memory, has been increasingly employed in individual differences research examining the role of procedural memory in language and other cognitive abilities. Yet, despite consistently producing robust procedural learning effects at the group level (i.e. faster responses to sequenced/probable trials versus random/improbable trials), these effects have recently been found to have poor reliability. In this meta-analysis ( N = 7), comprising 719 participants ( M = 20.81, s.d. = 7.13), we confirm this 'reliability paradox'. The overall retest reliability of the robust procedural learning effect elicited by the SRTT was found to be well below acceptable psychometric standards ( r < 0.40). However, split-half reliability within a session is better, with an overall estimate of 0.66. There were no significant effects of sampling (participants' age), methodology (e.g. number of trials, sequence type) and analytical decisions (whether all trials were included when computing the procedural learning scores; using different indexes of procedural learning). Thus, despite producing robust effects at the group-level, until we have a better understanding of the factors that improve the reliability of this task using the SRTT for individual differences research should be done with caution

Letter to the Editor concerning “A systematic review of controlled trials on visual stress using intuitive overlays or colorimeter"

yesWe read with interest the review written by Evans and Allen, and published in the Journal of Optometry, in July, 2016