Predicting College Student Gambling Frequency Using the Theory of Planned Behvior: Does the Theory Work Differently for Disordered and Non-Disordered Gamblers?

We examined whether disordered gambling moderates the prediction of gambling behavior via the theory of planned behavior (TPB; i.e., intentions, subjective norms, perceived behavioral control, and attitudes) among college students. A convenience sample of undergraduate students (N=377) at a large, Southeastern university who gambled in the past year completed a classroom-based survey. Approximately half of participants were male (n = 205; 54.4%), and the majority were Caucasian (n = 310; 83.8%). Gambling frequency, gambling problems and gambling-specific TPB constructs were assessed via a cross-sectional survey. A series of regression analyses were conducted to test the utility of the TPB model to predict gambling behavior (i.e., frequency) among (1) non-disordered gamblers (N=342) and (2) disordered gamblers (N=35). Moderation analyses indicated that disordered gamblers might not proceed through the thought processes that guide gambling in non-disordered gamblers. However, findings should be interpreted cautiously, as our study was limited by a small number of lifetime disordered gamblers

The Child Outcomes of a Behavior Model

Within 3-tier behavioral models, universal interventions are expected to prevent the onset of problem behavior in a majority of children altogether and to sustain improvements in child outcomes by the selected and indicated interventions. A cohort longitudinal design was used to assess the extent to which a 3-tier model achieves these expected outcomes. The respective universal, selected, and indicated interventions included Behavior and Academic Support and Enhancement. First Step to Success, and MultiSystemic Therapy. A total of 407 children in Grades K-3 from 1 of 4 longitudinal cohorts participated. The results of 2-level linear growth analyses indicate that the 3-tier behavior model achieved the anticipated outcomes with respect to social behavior. The results, limitations, and implications are discussed

The Impacts of Flood, Drought, and Turbidites on Organic Carbon Burial Over the Past 2,000 years in the Santa Barbara Basin, California

Climate conditions and instantaneous depositional events can influence the relative contribution of sediments from terrestrial and marine environments and ultimately the quantity and composition of carbon buried in the sediment record. Here, we analyze the elemental, isotopic, and organic geochemical composition of marine sediments to identify terrestrial and marine sources in sediment horizons associated with droughts, turbidites, and floods in the Santa Barbara Basin (SBB), California, during the last 2,000 years. Stable isotopes (δ13C and δ15N) indicate that more terrestrial organic carbon (OC) was deposited during floods relative to background sediment, while bulk C to nitrogen (C/N) ratios remained relatively constant (~10). Long- chain n- alkanes (C27, C29, C31, and C33), characteristic of terrestrial OC, dominated all types of sediment deposition but were 4 times more abundant in flood layers. Marine algae (C15, C17, and C19) and macrophytes (C21 and C23) were also 2 times higher in flood versus background sediments. Turbidites contained twice the terrestrial n- alkanes relative to background sediment. Conversely, drought intervals were only distinguishable from background sediment by their higher proportion of marine algal n- alkanes. Combined, our data indicate that 15% of the total OC buried in SBB over the past 2,000 years was deposited during 11 flood events where the sediment was mostly terrestrially derived, and another 12% of deep sediment OC burial was derived from shelf remobilization during six turbidite events. Relative to twentieth century river runoff, our data suggest that floods result in considerable terrestrial OC burial on the continental margins of California.Key PointsTerrestrial organic carbon is the dominant source of carbon to the SBB with deposition significantly increasing during flood eventsEpisodic flood and turbidite remobilization events were responsible for over 25% of the OC buried in the SBB over the past 2,000 yearsDrought sedimentation had significantly lower sedimentation rates and had an n- alkane composition consistent with increased marine inputsPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/156217/4/palo20901-sup-0002-2020PA003849-fs01.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156217/3/palo20901_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156217/2/palo20901.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156217/1/palo20901-sup-0003-2020PA003849-fs02.pd

An electronic family health history tool to identify and manage patients at increased risk for colorectal cancer: protocol for a randomized controlled trial.

BackgroundColorectal cancer is the fourth most commonly diagnosed cancer in the United States. Approximately 3-10% of the population has an increased risk for colorectal cancer due to family history and warrants more frequent or intensive screening. Yet, < 50% of that high-risk population receives guideline-concordant care. Systematic collection of family health history and decision support may improve guideline-concordant screening for patients at increased risk of colorectal cancer. We seek to test the effectiveness of a web-based, systematic family health history collection tool and decision support platform (MeTree) to improve risk assessment and appropriate management of colorectal cancer risk among patients in the Department of Veterans Affairs primary care practices.MethodsIn this ongoing randomized controlled trial, primary care providers at the Durham Veterans Affairs Health Care System and the Madison VA Medical Center are randomized to immediate intervention or wait-list control. Veterans are eligible if assigned to enrolled providers, have an upcoming primary care appointment, and have no conditions that would place them at increased risk for colorectal cancer (such as personal history, adenomatous polyps, or inflammatory bowel disease). Those with a recent lower endoscopy (e.g. colonoscopy, sigmoidoscopy) are excluded. Immediate intervention patients put their family health history information into a web-based platform, MeTree, which provides both patient- and provider-facing decision support reports. Wait-list control patients access MeTree 12 months post-consent. The primary outcome is the risk-concordant colorectal cancer screening referral rate obtained via chart review. Secondary outcomes include patient completion of risk management recommendations (e.g. colonoscopy) and referral for genetic consultation. We will also conduct an economic analysis and an assessment of providers' experience with MeTree clinical decision support recommendations to inform future implementation efforts if the intervention is found to be effective.DiscussionThis trial will assess the feasibility and effectiveness of patient-collected family health history linked to decision support to promote risk-appropriate screening in a large healthcare system such as the Department of Veterans Affairs.Trial registrationClinicalTrials.gov, NCT02247336 . Registered on 25 September 2014

Multiscale, multimodal analysis of tumor heterogeneity in IDH1 mutant vs wild-type diffuse gliomas.

Glioma is recognized to be a highly heterogeneous CNS malignancy, whose diverse cellular composition and cellular interactions have not been well characterized. To gain new clinical- and biological-insights into the genetically-bifurcated IDH1 mutant (mt) vs wildtype (wt) forms of glioma, we integrated data from protein, genomic and MR imaging from 20 treatment-naïve glioma cases and 16 recurrent GBM cases. Multiplexed immunofluorescence (MxIF) was used to generate single cell data for 43 protein markers representing all cancer hallmarks, Genomic sequencing (exome and RNA (normal and tumor) and magnetic resonance imaging (MRI) quantitative features (protocols were T1-post, FLAIR and ADC) from whole tumor, peritumoral edema and enhancing core vs equivalent normal region were also collected from patients. Based on MxIF analysis, 85,767 cells (glioma cases) and 56,304 cells (GBM cases) were used to generate cell-level data for 24 biomarkers. K-means clustering was used to generate 7 distinct groups of cells with divergent biomarker profiles and deconvolution was used to assign RNA data into three classes. Spatial and molecular heterogeneity metrics were generated for the cell data. All features were compared between IDH mt and IDHwt patients and were finally combined to provide a holistic/integrated comparison. Protein expression by hallmark was generally lower in the IDHmt vs wt patients. Molecular and spatial heterogeneity scores for angiogenesis and cell invasion also differed between IDHmt and wt gliomas irrespective of prior treatment and tumor grade; these differences also persisted in the MR imaging features of peritumoral edema and contrast enhancement volumes. A coherent picture of enhanced angiogenesis in IDHwt tumors was derived from multiple platforms (genomic, proteomic and imaging) and scales from individual proteins to cell clusters and heterogeneity, as well as bulk tumor RNA and imaging features. Longer overall survival for IDH1mt glioma patients may reflect mutation-driven alterations in cellular, molecular, and spatial heterogeneity which manifest in discernable radiological manifestations

PHAT Stellar Cluster Survey I. Year 1 Catalog and Integrated Photometry

The Panchromatic Hubble Andromeda Treasury (PHAT) survey is an on-going Hubble Space Telescope (HST) multi-cycle program to obtain high spatial resolution imaging of one-third of the M31 disk at ultraviolet through near-infrared wavelengths. In this paper, we present the first installment of the PHAT stellar cluster catalog. When completed, the PHAT cluster catalog will be among the largest and most comprehensive surveys of resolved star clusters in any galaxy. The exquisite spatial resolution achieved with HST has allowed us to identify hundreds of new clusters that were previously inaccessible with existing ground-based surveys. We identify 601 clusters in the Year 1 sample, representing more than a factor of four increase over previous catalogs within the current survey area (390 arcmin^2). This work presents results derived from the first \sim25% of the survey data; we estimate that the final sample will include \sim2500 clusters. For the Year 1 objects, we present a catalog with positions, radii, and six-band integrated photometry. Along with a general characterization of the cluster luminosities and colors, we discuss the cluster luminosity function, the cluster size distributions, and highlight a number of individually interesting clusters found in the Year 1 search.Comment: 26 pages, 22 figures, Accepted by Ap

Research Staff COVID-19 Pandemic Survey-Results from the Prevention and Early Treatment of Acute Lung Injury (PETAL) Network

Objectives: There is a lack of knowledge about the challenges of researchers who continued in-person research during the early phases of the COVID-19 pandemic. Design: Electronic survey assessing work-related exposure to COVID-19, logistical challenges, and procedural changes during the first year of the COVID-19 pandemic on clinical research. Setting: National Heart, Lung, and Blood Institute-sponsored Prevention and Early Treatment of Acute Lung Injury Clinical Trial Network Centers. Subjects: Research staff at research Network Sites. Measurements and Main Results: The 37-question survey was completed by 277 individuals from 24 states between 29 September 2020, and 12 December 2020, yielding a response rate of 37.7%. Most respondents (91.5%) indicated that non-COVID-19 research was affected by COVID-19 research studies. In response to the COVID-19 pandemic, 20% of respondents were reassigned to different roles at their institution. Many survey takers were exposed to COVID-19 (56%), with more than 50% of researchers requiring a COVID-19 test and 8% testing positive. The fear of infection was 2.7-times higher compared to pre-COVID-19 times. Shortages of personal protective equipment were encountered by 34% of respondents, primarily due to lack of access to N95 masks, followed by gowns and protective eyewear. Personal protective equipment reallocation from research to clinical use was reported by 31% of respondents. Most of the respondents (88.5%), despite these logistical challenges, indicated their willingness to enroll COVID-19 patients. Conclusions: During the first year of the COVID-19 pandemic, members of the research network were engaged in COVID-19 research despite logistical challenges, limited access to personal protective equipment, and fear of exposure. The research network’s survey experience can inform ongoing policy discussions to create research enterprises that can dexterously refocus research to address the knowledge gaps associated with novel public health emergencies while mitigating the effect of pandemics on existing research projects and research personnel

The Panchromatic Hubble Andromeda Treasury. III. Measuring Ages and Masses of Partially Resolved Stellar Clusters

The apparent age and mass of a stellar cluster can be strongly affected by stochastic sampling of the stellar initial mass function (IMF), when inferred from the integrated color of low-mass clusters (≾10^4 M_☉). We use simulated star clusters to show that these effects are minimized when the brightest, rapidly evolving stars in a cluster can be resolved, and the light of the fainter, more numerous unresolved stars can be analyzed separately. When comparing the light from the less luminous cluster members to models of unresolved light, more accurate age estimates can be obtained than when analyzing the integrated light from the entire cluster under the assumption that the IMF is fully populated. We show the success of this technique first using simulated clusters, and then with a stellar cluster in M31. This method represents one way of accounting for the discrete, stochastic sampling of the stellar IMF in less massive clusters and can be leveraged in studies of clusters throughout the Local Group and other nearby galaxies