U.S. Variations in Child Health System Performance: A State Scorecard

Ranks state child health systems on thirteen measurements of five dimensions: access, quality, costs, equity, and potential to lead healthy lives. Highlights variations, regional patterns, and correlations between indicators and with demographic factors

Mirror, Mirror on the Wall: An International Update on the Comparative Performance of American Health Care

Using data from patient and physician surveys, finds that the U.S. healthcare system ranks last or next-to-last when comparing healthcare performance against that of five other nations -- Australia, Canada, Germany, New Zealand, the United Kingdom

Addressing social, emotional, and organizational goals for a child with an autism spectrum disorder (ASD) using the Cognitive Orientation to daily Occupational Performance (CO-OP) approach

Children with autism spectrum disorders (ASDs) have social, emotional, and organizational skill deficits which are frequently addressed through behavioral based skills training. However, these approaches often do not result in generalization of skills. This case study sought to understand if the Cognitive Orientation to daily Occupational Performance (CO-OP), a problem-solving approach, is effective for addressing social, emotional, and organizational goals with a child with an ASD. Pre and post-intervention assessments indicated an improvement on all three client-centered goals, with the client transferring his goals and problem-based strategies to the community. Analysis of video recordings of the intervention sessions indicated the global strategies Goal-PlanDo-Check were effective, with the participant spending most time in “plan.” A majority of the domain specific strategies did not apply to this case study. Additionally, the participant utilized “verbal guidance by therapist” most often and spent a majority of dimension of time on task “talking about the task.

An Improved Model for Relativistic Solar Proton Acceleration applied to the 2005 January 20 and Earlier Events

This paper presents results on modelling the ground level response of the higher energy protons for the 2005 January 20 ground level enhancement (GLE). This event, known as GLE 69, produced the highest intensity of relativistic solar particles since the famous event on 1956 February 23. The location of recent X-ray and gamma-ray emission (N14 W61) was near to Sun-Earth connecting magnetic field lines, thus providing the opportunity to directly observe the acceleration source from Earth. We restrict our analysis to protons of energy greater than 450 MeV to avoid complications arising from transport processes that can affect the propagation of low energy protons. In light of this revised approach we have reinvestigated two previous GLEs: those of 2000 July 14 (GLE 59) and 2001 April 15 (GLE 60). Within the limitations of the spectral forms employed, we find that from the peak (06:55 UT) to the decline (07:30 UT) phases of GLE 69, neutron monitor observations from 450 MeV to 10 GeV are best fitted by the Gallegos-Cruz & Perez-Peraza stochastic acceleration model. In contrast, the Ellison & Ramaty spectra did not fit the neutron monitor observations as well. This result suggests that for GLE 69, a stochastic process cannot be discounted as a mechanism for relativistic particle acceleration, particularly during the initial stages of this solar event. For GLE 59 we find evidence that more than one acceleration mechanism was present, consistent with both shock and stochastic acceleration processes dominating at different times of the event. For GLE 60 we find that Ellison & Ramaty spectra better represent the neutron monitor observations compared to stochastic acceleration spectra. The results for GLEs 59 and 60 are in agreement with our previous work.Comment: 42 pages, 10 figures, 10 tables, published in ApJ, August 200

The proximal first exon architecture of the murine ghrelin gene is highly similar to its human orthologue

BACKGROUND: The murine ghrelin gene (Ghrl), originally sequenced from stomach tissue, contains five exons and a single transcription start site in a short, 19 bp first exon (exon 0). We recently isolated several novel first exons of the human ghrelin gene and found evidence of a complex transcriptional repertoire. In this report, we examined the 5' exons of the murine ghrelin orthologue in a range of tissues using 5' RACE. -----FINDINGS: 5' RACE revealed two transcription start sites (TSSs) in exon 0 and four TSSs in intron 0, which correspond to 5' extensions of exon 1. Using quantitative, real-time RT-PCR (qRT-PCR), we demonstrated that extended exon 1 containing Ghrl transcripts are largely confined to the spleen, adrenal gland, stomach, and skin. -----CONCLUSION: We demonstrate that multiple transcription start sites are present in exon 0 and an extended exon 1 of the murine ghrelin gene, similar to the proximal first exon organisation of its human orthologue. The identification of several transcription start sites in intron 0 of mouse ghrelin (resulting in an extension of exon 1) raises the possibility that developmental-, cell- and tissue-specific Ghrl mRNA species are created by employing alternative promoters and further studies of the murine ghrelin gene are warranted

Complex organisation and structure of the ghrelin antisense strand gene GHRLOS, a candidate non-coding RNA gene

<p>Abstract</p> <p>Background</p> <p>The peptide hormone ghrelin has many important physiological and pathophysiological roles, including the stimulation of growth hormone (GH) release, appetite regulation, gut motility and proliferation of cancer cells. We previously identified a gene on the opposite strand of the ghrelin gene, ghrelinOS (<it>GHRLOS</it>), which spans the promoter and untranslated regions of the ghrelin gene (<it>GHRL</it>). Here we further characterise <it>GHRLOS</it>.</p> <p>Results</p> <p>We have described <it>GHRLOS </it>mRNA isoforms that extend over 1.4 kb of the promoter region and 106 nucleotides of exon 4 of the ghrelin gene, <it>GHRL</it>. These <it>GHRLOS </it>transcripts initiate 4.8 kb downstream of the terminal exon 4 of <it>GHRL </it>and are present in the 3' untranslated exon of the adjacent gene <it>TATDN2 </it>(TatD DNase domain containing 2). Interestingly, we have also identified a putative non-coding <it>TATDN2-GHRLOS </it>chimaeric transcript, indicating that <it>GHRLOS </it>RNA biogenesis is extremely complex. Moreover, we have discovered that the 3' region of <it>GHRLOS </it>is also antisense, in a tail-to-tail fashion to a novel terminal exon of the neighbouring <it>SEC13 </it>gene, which is important in protein transport. Sequence analyses revealed that <it>GHRLOS </it>is riddled with stop codons, and that there is little nucleotide and amino-acid sequence conservation of the <it>GHRLOS </it>gene between vertebrates. The gene spans 44 kb on 3p25.3, is extensively spliced and harbours multiple variable exons. We have also investigated the expression of <it>GHRLOS </it>and found evidence of differential tissue expression. It is highly expressed in tissues which are emerging as major sites of non-coding RNA expression (the thymus, brain, and testis), as well as in the ovary and uterus. In contrast, very low levels were found in the stomach where sense, <it>GHRL </it>derived RNAs are highly expressed.</p> <p>Conclusion</p> <p><it>GHRLOS </it>RNA transcripts display several distinctive features of non-coding (ncRNA) genes, including 5' capping, polyadenylation, extensive splicing and short open reading frames. The gene is also non-conserved, with differential and tissue-restricted expression. The overlapping genomic arrangement of <it>GHRLOS </it>with the ghrelin gene indicates that it is likely to have interesting regulatory and functional roles in the ghrelin axis.</p

Efficacy of Work-Related Training for Individuals with Autism Spectrum Disorder

Research suggests that traditional models of work-related training, in addition to a lack of on-the-job support, may exacerbate difficulties experienced by individuals with autism spectrum disorder with obtaining and maintaining employment The poor employment outcomes experienced by individuals with ASD are well-documented throughout literature and have resulted in the need to examine more effective ways of providing support and work-related interventions. Although research has investigated the efficacy of work-related training on successful employment outcomes when used with individuals with ASD, a systematic review summarizing this evidence has yet to be published. Therefore, this review examines and interprets current research evidence on the efficacy of work-related training for individuals

Theory of phase-locking in generalized hybrid Josephson junction arrays

A recently proposed scheme for the analytical treatment of the dynamics of two-dimensional hybrid Josephson junction arrays is extended to a class of generalized hybrid arrays with ''horizontal'' shunts involving a capacitive as well as an inductive component. This class of arrays is of special interest, because the internal cell coupling has been shown numerically to favor in-phase synchronization for certain parameter values. As a result, we derive limits on the circuit design parameters for realizing this state. In addition, we obtain formulas for the flux-dependent frequency including flux-induced switching processes between the in-phase and anti-phase oscillation regime. The treatment covers unloaded arrays as well as arrays shunted via an external load.Comment: 24 pages, REVTeX, 5 Postscript figures, Subm. to Phys. Rev.