Overcoming barriers to effective early parenting interventions for attention-deficit hyperactivity disorder (ADHD): parent and practitioner views

BackgroundThe importance of early intervention approaches for the treatment of attention-deficit hyperactivity disorder (ADHD) has been increasingly acknowledged. Parenting programmes (PPs) are recommended for use with preschool children with ADHD. However, low take-up' and high drop-out' rates compromise the effectiveness of such programmes within the community. MethodsThis qualitative study examined the views of 25 parents and 18 practitioners regarding currently available PPs for preschool children with ADHD-type problems in the UK. Semi-structured interviews were undertaken to identify both barriers and facilitators associated with programme access, programme effectiveness, and continued engagement. Results and conclusionsMany of the themes mirrored previous accounts relating to generic PPs for disruptive behaviour problems. There were also a number of ADHD-specific themes. Enhancing parental motivation to change parenting practice and providing an intervention that addresses the parents' own needs (e.g. in relation to self-confidence, depression or parental ADHD), in addition to those of the child, were considered of particular importance. Comparisons between the views of parents and practitioners highlighted a need to increase awareness of parental psychological barriers among practitioners and for better programme advertising generally. Clinical implications and specific recommendations drawn from these findings are discussed and presented

A single Streptomyces symbiont makes multiple antifungals to support the fungus farming ant Acromyrmex octospinosus

Attine ants are dependent on a cultivated fungus for food and use antibiotics produced by symbiotic Actinobacteria as weedkillers in their fungus gardens. Actinobacterial species belonging to the genera Pseudonocardia, Streptomyces and Amycolatopsis have been isolated from attine ant nests and shown to confer protection against a range of microfungal weeds. In previous work on the higher attine Acromyrmex octospinosus we isolated a Streptomyces strain that produces candicidin, consistent with another report that attine ants use Streptomyces-produced candicidin in their fungiculture. Here we report the genome analysis of this Streptomyces strain and identify multiple antibiotic biosynthetic pathways. We demonstrate, using gene disruptions and mass spectrometry, that this single strain has the capacity to make candicidin and multiple antimycin compounds. Although antimycins have been known for > 60 years we report the sequence of the biosynthetic gene cluster for the first time. Crucially, disrupting the candicidin and antimycin gene clusters in the same strain had no effect on bioactivity against a co-evolved nest pathogen called Escovopsis that has been identified in similar to 30% of attine ant nests. Since the Streptomyces strain has strong bioactivity against Escovopsis we conclude that it must make additional antifungal(s) to inhibit Escovopsis. However, candicidin and antimycins likely offer protection against other microfungal weeds that infect the attine fungal gardens. Thus, we propose that the selection of this biosynthetically prolific strain from the natural environment provides A. octospinosus with broad spectrum activity against Escovopsis and other microfungal weeds.Publisher PDFPeer reviewe

Parent training for preschool ADHD: a randomized controlled trial of specialized and generic programs

BackgroundThe New Forest Parenting Package' (NFPP), an 8-week home-based intervention for parents of preschoolers with attention-deficit/hyperactivity disorder (ADHD), fosters constructive parenting to target ADHD-related dysfunctions in attention and impulse control. Although NFPP has improved parent and laboratory measures of ADHD in community samples of children with ADHD-like problems, its efficacy in a clinical sample, and relative to an active treatment comparator, is unknown. The aims are to evaluate the short- and long-term efficacy and generalization effects of NFPP compared to an established clinic-based parenting intervention for treating noncompliant behavior [Helping the Noncompliant Child' (HNC)] in young children with ADHD. MethodsA randomized controlled trial with three parallel arms was the design for this study. A total of 164 3-4-year-olds, 73.8% male, meeting DSM-IV ADHD diagnostic criteria were randomized to NFPP (N=67), HNC (N=63), or wait-list control (WL, N=34). All participants were assessed at post-treatment. NFPP and HNC participants were assessed at follow-up in the next school year. Primary outcomes were ADHD ratings by teachers blind to and uninvolved in treatment, and by parents. Secondary ADHD outcomes included clinician assessments, and laboratory measures of on-task behavior and delay of gratification. Other outcomes included parent and teacher ratings of oppositional behavior, and parenting measures. (Trial name: Home-Based Parent Training in ADHD Preschoolers; Registry: ClinicalTrials.gov Identifier: NCT01320098; URL: ). ResultsIn both treatment groups, children's ADHD and ODD behaviors, as well as aspects of parenting, were rated improved by parents at the end of treatment compared to controls. Most of these gains in the children's behavior and in some parenting practices were sustained at follow-up. However, these parent-reported improvements were not corroborated by teacher ratings or objective observations. NFPP was not significantly better, and on a few outcomes significantly less effective, than HNC. ConclusionsThe results do not support the claim that NFPP addresses putative dysfunctions underlying ADHD, bringing about generalized change in ADHD, and its underpinning self-regulatory processes. The findings support documented difficulties in achieving generalization across nontargeted settings, and the importance of using blinded measures to provide meaningful assessments of treatment effects

Correlative Microscopy of Morphology and Luminescence of Cu porphyrin aggregates

Transfer of energy and information through molecule aggregates requires as one important building block anisotropic, cable-like structures. Knowledge on the spatial correlation of luminescence and morphology represents a prerequisite in the understanding of internal processes and will be important for architecting suitable landscapes. In this context we study the morphology, fluorescence and phosphorescence of molecule aggregate structures on surfaces in a spatially correlative way. We consider as two morphologies, lengthy strands and isotropic islands. It turns out that phosphorescence is quite strong compared to fluorescence and the spatial variation of the observed intensities is largely in line with the amount of dye. However in proportion, the strands exhibit more fluorescence than the isotropic islands suggesting weaker non-radiative channels. The ratio fluorescence to phosphorescence appears to be correlated with the degree of aggregation or internal order. The heights at which luminescence saturates is explained in the context of attenuation and emission multireflection, inside the dye. This is supported by correlative photoemission electron microscopy which is more sensitive to the surface region. The lengthy structures exhibit a pronounced polarization dependence of the luminescence with a relative dichroism up to about 60%, revealing substantial perpendicular orientation preference of the molecules with respect to the substrate and parallel with respect to the strands

Phase noise contribution of EOMs and HF cables

Two key components of LISA's inter-spacecraft clock tone transfer chain are electro-optic modulators (EOMs) and high-frequency (HF) cable assemblies. At modulation frequencies of 2 GHz, we characterized the excess phase noise of these components in the LISA frequency range (0.1 mHz to 1 Hz). The upper phase noise limit was found to be almost an order of magnitude better than required. In addition, phase dependencies on temperature were determined. The measured coefficients are within a few milliradians per Kelvin and thereby negligible due to the specified on-board temperature stability

Evaluating the performance of ionic liquid coatings for mitigation of spacecraft surface charges

To reduce the impact of charging effects on satellites, cheap and lightweight conductive coatings are desirable. We mimic space-like charging environments in ultra-high vacuum (UHV) chambers during deposition of charges via the electron beam of a scanning electron microscope (SEM). We use the charge induced signatures in SEM images of a thin ionic liquid (IL) film on insulating surfaces such as glass, to assess the general performance of such coatings. In order to get a reference structure in SEM, the samples were structured by nanosphere lithography and coated with IL. The IL film (we choose BMP DCA, due to its beneficial physical properties) was applied ex situ and a thickness of 10 to 30 nm was determined by reflectometry. Such an IL film is stable under vacuum conditions. It would also only lead to additional mass of below 20 mg/m$^2$. At about 5 A/m$^2 \approx 3\cdot10^{19}$ e/(s$\cdot$m$^2$), a typical sample charging rate in SEM, imaging is possible with no noticeable contrast changes over many hours; this electron current density is already 6 orders of magnitudes higher than "worst case geosynchronous environments" of $3\cdot10^{-6}$ A/m$^2$. Measurements of the surface potential are used for further insights in the reaction of IL films to the electron beam of a SEM. Participating mechanisms such as polarization or reorientation will are discussed.Comment: Submitted to Proceedings of the 14th IAA Symposium on Small Satellites for Earth System Observatio

Auxiliary functions of the LISA laser link: ranging, clock noise transfer and data communication

The Laser Interferometer Space Antenna (LISA) is required to reduce two important noise sources by post-processing on the ground using time-delay interferometry (TDI): phase noise of the on-board reference clocks and laser frequency noise. To achieve the desired suppression, the TDI algorithm needs measurements of the differential clock noise between any two spacecraft and inter-spacecraft ranging measurements with at least 1 m accuracy, which is beyond the precision of ground-based measurements for deep space missions. Therefore, we need on-board measurements by transmitting clock noise and ranging information between the spacecraft as auxiliary functions of the laser link. This paper reports our current experimental results in clock noise transfer and ranging for noise subtraction via post-processing as well as additional data transfer

Lasers for LISA: Overview and phase characteristics

We have investigated two alternative laser systems for the Laser Interferometer Space Antenna (LISA). One consisted of the laser of LISA's technology precursor LISA Pathfinder and a fiber amplifier originally designed for a laser communication terminal onboard TerraSar-X. The other consisted of a commercial fiber distributed feedback (DFB) laser seeding a fiber amplifier. We have shown that the TerraSar-X amplifier can emit more than 1W without the onset of stimulated Brillouin scattering as required by LISA. We have measured power noise and frequency noise of the LISA Pathfinder laser (LPL) and the fiber laser. The fiber laser shows comparable or even lower power noise than the LPL. LISA will use electro-optical modulators (EOMs) between seed laser and amplifier for clock noise comparison between spacecraft. This scheme requires that the excess noise added by the amplifiers be negligible. We have investigated the phase characteristics of two fiber amplifiers emitting 1 W and found them to be compatible with the LISA requirement on amplifier differential phase noise.DLR/50 OQ 0501DLR/50 OQ 060