569 research outputs found

    Depression, antidepressants and driving safety.

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    BackgroundThe purpose of this study was to review to review the reported associations of depression and antidepressants with motor vehicle crashes.PurposeA literature search for material published in the English language between January, 1995, and October, 2015, in bibliographic databases was combined with a search for other relevant material referenced in the retrieved articles.MethodsRetrieved articles were systematically reviewed for inclusion criteria: 19 epidemiological studies (17 case-control and 2 cohort studies) fulfilled the inclusion criteria by estimating the crash risk associated with depression and/or psychotropic medications in naturalistic settings.ResultsThe estimates of the odds ratio (OR) of crash involvement associated with depression ranged from 1.78 to 3.99. All classes of antidepressants were reported to have side effects with the potential to affect driving safety. The majority of studies of antidepressant effects on driving reported an elevated crash risk, and ORs ranged from 1.19 to 2.03 for all crashes, and 3.19 for fatal crashes. In meta-analysis, depression was associated with approximately 2-fold increased crash risk (summary OR = 1.90; 95% CI, 1.06 to 3.39), and antidepressants were associated with approximately 40% increased crash risk (summary OR = 1.40; 95%CI, 1.18 to 1.66).ConclusionBased on the findings of the studies reviewed, depression, antidepressants or the combination of depression and antidepressants may pose a potential hazard to driving safety. More research is needed to understand the individual contributions of depression and the medications used to treat depression

    Transport of Fungal Symbionts by Mountain Pine Beetles

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    The perpetuation of symbiotic associations between bark beetles (Coleoptera: Curculionidae: Scolytinae) and ophiostomatoid fungi requires the consistent transport of fungi by successive beetle generations to new host trees. We used scanning electron microscopy and culture methods to investigate fungal transport by the mountain pine beetle (MPB), Dendroctonus ponderosae Hopkins. MPB transports its two main fungal associates, Grosmannia clavigera (Robinson-Jeffrey and Davidson) Zipfel, de Beer and Wingfield and Ophiostoma montium (Rumbold) von Arx, in sac-like mycangia on the maxillary cardines as well as on the exoskeleton. Although spores of both species of fungi were observed on MPB exoskeletons, often in pits, O. montium spores were generally more abundant than G. clavigera spores. However, a general scarcity of spores of either species on MPB exoskeletons compared with numbers on scolytines that lack sac-like mycangia indicates that fungal transport exteriorly on MPBs is incidental rather than adaptive. Conidia were the dominant spore type transported regardless of location or species; however, our results suggest that once acquired in mycangia, conidia may reproduce in a yeast-like form and even produce hypha-like strands and compact conidiophore-like structures. Fungi that propagate in mycangia may provide beetles with a continual source of inocula during the extended egg-laying period

    DETERMINING THE EFFECTIVENESS OF PROFESSIONAL TRAININGS OF TEACHERS IN A LOCAL COLLEGE

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    Using the quantitative research method, the effectiveness of professional trainings that have been undertaken by teachers as well as the impact on teachers’ teaching practices were determined. It likewise explored whether teachers’ assessment scores were significantly associated with their profile characteristics. The common professional trainings undertaken include in-service trainings (100%), education conferences (97.1%), informal dialogue with colleagues (97.1%), and individual or group research (91.2%). Of all the professional training activities, only getting involved with teachers on how to improve teaching practice was assessed to be highly effective in developing their competence, knowledge, and expertise. However, benchmarking visits to other colleges or universities and faculty participation in a professional organization that are helpful to their teaching profession was determined to be only moderately effective. The respondents reported significant improvements in their teaching practices in connection with content and pedagogy, diversity of learners, community linkages, and professional engagement. A positive relationship was found between the variable age and respondents’ assessment scores on benchmarking visits to other colleges or universities and individual or group research on the field of interest. However, a negative relationship exists between respondents’ highest educational attainment and assessment scores on professional links with colleagues such as mentoring, and coaching among others as part of the institutional policy. Thus, a teacher’s training that encourages collaboration and sharing of knowledge should be promoted.  Article visualizations

    Effects of Marsh Edge Erosion in Coupled Barrier Island-Marsh Systems and Geometric Constraints on Marsh Evolution

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    Sand washed across barrier islands during storms (called overwash) provides sediment for salt marshes behind those islands, and can allow a marsh which otherwise would drown to grow vertically fast enough to keep up with sea level. We use a barrier island-marsh evolution model (GEOMBEST+) to see what effect marsh edge erosion by waves has on overwash-supported marshes. Consistent with previous research, we find that wave erosion can make marshes more resilient by freeing sediment that can be used elsewhere on the marsh surface. We add that horizontal erosion of the marsh edge provides more sediment per volume eroded than vertical erosion of the marsh surface. This is because the bottom layers of the marsh contain more sediment (that can stay on marsh surfaces), while the surface layers include plant material (that drifts away or decomposes). We also find that when the marsh and bay are keeping up with sea level, expanding or eroding the marsh is the only way to change the volume of the bay, so how fast the marsh is expanding or eroding can be predicted using geometry, knowing only the size of the basin, sea-level-rise rate, and the net rate of sediment import or export

    Development of a framework for reporting health service models for managing rheumatoid arthritis

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    The purpose of this study was to develop a framework for reporting health service models for managing rheumatoid arthritis (RA). We conducted a search of the health sciences literature for primary studies that described interventions which aimed to improve the implementation of health services in adults with RA. Thereafter, a nominal group consensus process was used to synthesize the evidence for the development of the reporting framework. Of the 2,033 citations screened, 68 primary studies were included which described 93 health service models for RA. The origin and meaning of the labels given to these health service delivery models varied widely and, in general, the reporting of their components lacked detail or was absent. The six dimensions underlying the framework for reporting RA health service delivery models are: (1) Why was it founded? (2) Who was involved? (3) What were the roles of those participating? (4) When were the services provided? (5) Where were the services provided/received? (6) How were the services/interventions accessed and implemented, how long was the intervention, how did individuals involved communicate, and how was the model supported/sustained? The proposed framework has the potential to facilitate knowledge exchange among clinicians, researchers, and decision makers in the area of health service delivery. Future work includes the validation of the framework with national and international stakeholders such as clinicians, health care administrators, and health services researchers

    L'apprentissage de la littérature au collégial assisté par une technologie de réseau un potentiel de métacognition, de créativité et d'approfondissement dans une communauté de lecture en émergence : rapport de recherche /

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    La prĂ©sente recherche a Ă©tĂ© subventionnĂ©e par le ministĂšre de l'Éducation, du Loisir et du Sport dans le cadre du Programme d'aide Ă  la recherche sur l'enseignement et l'apprentissage (PAREA)Également disponible en version papier.Titre de l'Ă©cran-titre (visionnĂ© le 28 aoĂ»t 2012

    L'apprentissage de la littérature au collégial assisté par une technologie de réseau un potentiel de métacognition, de créativité et d'approfondissement dans une communauté de lecture en émergence : rapport de recherche /

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    La prĂ©sente recherche a Ă©tĂ© subventionnĂ©e par le ministĂšre de l'Éducation, du Loisir et du Sport dans le cadre du Programme d'aide Ă  la recherche sur l'enseignement et l'apprentissage (PAREA)Également disponible en version papier.Titre de l'Ă©cran-titre (visionnĂ© le 28 aoĂ»t 2012

    Geochemical approaches to the quantification of dispersed volcanic ash in marine sediment

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    Volcanic ash has long been recognized in marine sediment, and given the prevalence of oceanic and continental arc volcanism around the globe in regard to widespread transport of ash, its presence is nearly ubiquitous. However, the presence/absence of very fine-grained ash material, and identification of its composition in particular, is challenging given its broad classification as an “aluminosilicate” component in sediment. Given this challenge, many studies of ash have focused on discrete layers (that is, layers of ash that are of millimeter-to-centimeter or greater thickness, and their respective glass shards) found in sequences at a variety of locations and timescales and how to link their presence with a number of Earth processes. The ash that has been mixed into the bulk sediment, known as dispersed ash, has been relatively unstudied, yet represents a large fraction of the total ash in a given sequence. The application of a combined geochemical and statistical technique has allowed identification of this dispersed ash as part of the original ash contribution to the sediment. In this paper, we summarize the development of these geochemical/statistical techniques and provide case studies from the quantification of dispersed ash in the Caribbean Sea, equatorial Pacific Ocean, and northwest Pacific Ocean. These geochemical studies (and their sedimentological precursors of smear slides) collectively demonstrate that local and regional arc-related ash can be an important component of sedimentary sequences throughout large regions of the ocean

    Breastfeeding and infant temperament at age three months.

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    BACKGROUND & METHODS: To examine the relationship between breastfeeding and maternally-rated infant temperament at age 3 months, 316 infants in the prospective Cambridge Baby Growth Study, UK had infant temperament assessed at age 3 months by mothers using the Revised Infant Behavior Questionnaire, which produces scores for three main dimensions of temperament derived from 14 subscales. Infant temperament scores were related to mode of infant milk feeding at age 3 months (breast only; formula milk only; or mixed) with adjustment for infant's age at assessment and an index of deprivation. RESULTS: Infant temperament dimension scores differed across the three infant feeding groups, but appeared to be comparable between exclusive breast-fed and mixed-fed infants. Compared to formula milk-fed infants, exclusive breast-fed and mixed-fed infants were rated as having lower impulsivity and positive responses to stimulation (adjusted mean [95% CI] "Surgency/Extraversion" in formula-fed vs. mixed-fed vs. breast-fed groups: 4.3 [4.2-4.5] vs. 4.0 [3.8-4.1] vs. 4.0 [3.9-4.1]; p-heterogeneity = 0.0006), lower ability to regulate their own emotions ("Orienting/Regulation": 5.1 [5.0-5.2], vs. 4.9 [4.8-5.1] vs. 4.9 [4.8-5.0]; p = 0.01), and higher emotional instability ("Negative affectivity": 2.8 [2.6-2.9] vs. 3.0 [2.8-3.1] vs. 3.0 [2.9-3.1]; p = 0.03). CONCLUSIONS: Breast and mixed-fed infants were rated by their mothers as having more challenging temperaments in all three dimensions; particular subscales included greater distress, less smiling, laughing, and vocalisation, and lower soothability. Increased awareness of the behavioural dynamics of breastfeeding, a better expectation of normal infant temperament and support to cope with difficult infant temperament could potentially help to promote successful breastfeeding

    Latent variables and structural equation models for longitudinal relationships: an illustration in nutritional epidemiology

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    <p>Abstract</p> <p>Background</p> <p>The use of structural equation modeling and latent variables remains uncommon in epidemiology despite its potential usefulness. The latter was illustrated by studying cross-sectional and longitudinal relationships between eating behavior and adiposity, using four different indicators of fat mass.</p> <p>Methods</p> <p>Using data from a longitudinal community-based study, we fitted structural equation models including two latent variables (respectively baseline adiposity and adiposity change after 2 years of follow-up), each being defined, by the four following anthropometric measurement (respectively by their changes): body mass index, waist circumference, skinfold thickness and percent body fat. Latent adiposity variables were hypothesized to depend on a cognitive restraint score, calculated from answers to an eating-behavior questionnaire (TFEQ-18), either cross-sectionally or longitudinally.</p> <p>Results</p> <p>We found that high baseline adiposity was associated with a 2-year increase of the cognitive restraint score and no convincing relationship between baseline cognitive restraint and 2-year adiposity change could be established.</p> <p>Conclusions</p> <p>The latent variable modeling approach enabled presentation of synthetic results rather than separate regression models and detailed analysis of the causal effects of interest. In the general population, restrained eating appears to be an adaptive response of subjects prone to gaining weight more than as a risk factor for fat-mass increase.</p
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