Retrospective Assessment of Childhood Sexual and Physical Abuse: A Comparison of Scaled and Behaviorally Specific Approaches

This study compared retrospective reports of childhood sexual and physical abuse as assessed by two measures: the Childhood Trauma Questionnaire (CTQ), which uses a Likert-type scaling approach, and the Computer Assisted Maltreatment Inventory (CAMI), which employs a behaviorally specific means of assessment. Participants included 1,195 undergraduate students recruited from three geographically diverse universities. Agreement was high across the two measures in the classification of victim status (92% and 80% for sexual and physical abuse, respectively). However, the CTQ classified more participants as sexually abused than did the CAMI, whereas the opposite trend was found for physical abuse. For child physical abuse, many participants reporting abusive acts on the CAMI scored below the cut-point for physical abuse on the CTQ. Classifi cation differences for both types of abuse were largely unrelated to demographic factors, socially desirable responding, or self-reported withholding of information. The implications of these results are discussed in light of future research using retrospective methods of assessing childhood abuse

Broad-scale distribution of the winter protozooplankton community in the North Sea.

Protozooplankton (PZP) (here size range: 12–200 μm) are rarely sampled over a broad scale, especially in ecosystem monitoring programs, despite their trophodynamic importance as grazers in the microbial loop and as prey for larger zooplankton and early life stages of fish. In this study we sampled PZP from Dutch, French,German and Norwegian research vessels taking part in the annual ICES coordinated International Bottom Trawl Survey (IBTS) which provides data on fish stock abundances and status for the entire North Sea. The abundance,biomass, composition and distribution of PZP were examined at 39 stations across the North Sea (from 3.2°W to 7.6°E and 50.5 to 59.8°N) in mid-winter (January–February 2014), a period of the year which is under-investigated so far. Twenty four taxa of dinoflagellates and ciliates were identified. Two groups comprised 89% of the total abundance of PZP: Gymnodinium spp. and other athecate dinoflagellates (68%) and Strombidium spp. and other naked ciliates (21%). The biomass of PZP at each station ranged between 0.08 and 2.4 μg C L−1, which is much lower than that reported for spring or summer (≥100 μg C L−1) in the North Sea. Relatively small-sized (< 40 μm) PZP contributed 46% of the total biomass. No significant spatial pattern in the composition of the PZP community was found, although the total abundance of tintinnids was highest in the southern North Sea, an important over-wintering area for marine fish larvae. Using this fish survey (IBTS) as a sampling platform allowed us to obtain a synoptic view of the PZP community over a large area. The present collaborative effort provides an example of how existing monitoring platforms can be augmented in the future to collect relevant data and potential ecological indicators needed to advance the ecosystem-based approach to managing marine systems.Broad-scale distribution of the winter protozooplankton community in the North Sea.publishedVersio

A Pilot Study of Lay Health Worker Outreach and Colorectal Cancer Screening Among Chinese Americans

The research team recruited eight Chinese American (seven females, one male) lay health workers (LHWs). They received 12 h of training about colorectal cancer (CRC), its screening, and basic health education techniques. Each LHW were asked to recruit ten participants and conduct two educational sessions. Of the 81 participants recruited, 73 had not received colorectal cancer screening. Their mean age was 63.0 years, and 72.6% were women. Knowledge of colorectal cancer, its causes, and its screening increased significantly. Receipt of first colorectal cancer screening test increased from 0.0% at baseline to 55.7% for fecal occult blood tests, 7.1% for sigmoidoscopy, and 7.1% for colonoscopy. LHW outreach is feasible and may be effective in promoting CRC screening among Chinese Americans

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead

Adding 6 months of androgen deprivation therapy to postoperative radiotherapy for prostate cancer: a comparison of short-course versus no androgen deprivation therapy in the RADICALS-HD randomised controlled trial

Background Previous evidence indicates that adjuvant, short-course androgen deprivation therapy (ADT) improves metastasis-free survival when given with primary radiotherapy for intermediate-risk and high-risk localised prostate cancer. However, the value of ADT with postoperative radiotherapy after radical prostatectomy is unclear. Methods RADICALS-HD was an international randomised controlled trial to test the efficacy of ADT used in combination with postoperative radiotherapy for prostate cancer. Key eligibility criteria were indication for radiotherapy after radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to radiotherapy alone (no ADT) or radiotherapy with 6 months of ADT (short-course ADT), using monthly subcutaneous gonadotropin-releasing hormone analogue injections, daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as distant metastasis arising from prostate cancer or death from any cause. Standard survival analysis methods were used, accounting for randomisation stratification factors. The trial had 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 80% to 86% (hazard ratio [HR] 0·67). Analyses followed the intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov, NCT00541047. Findings Between Nov 22, 2007, and June 29, 2015, 1480 patients (median age 66 years [IQR 61–69]) were randomly assigned to receive no ADT (n=737) or short-course ADT (n=743) in addition to postoperative radiotherapy at 121 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 9·0 years (IQR 7·1–10·1), metastasis-free survival events were reported for 268 participants (142 in the no ADT group and 126 in the short-course ADT group; HR 0·886 [95% CI 0·688–1·140], p=0·35). 10-year metastasis-free survival was 79·2% (95% CI 75·4–82·5) in the no ADT group and 80·4% (76·6–83·6) in the short-course ADT group. Toxicity of grade 3 or higher was reported for 121 (17%) of 737 participants in the no ADT group and 100 (14%) of 743 in the short-course ADT group (p=0·15), with no treatment-related deaths. Interpretation Metastatic disease is uncommon following postoperative bed radiotherapy after radical prostatectomy. Adding 6 months of ADT to this radiotherapy did not improve metastasis-free survival compared with no ADT. These findings do not support the use of short-course ADT with postoperative radiotherapy in this patient population

Duration of androgen deprivation therapy with postoperative radiotherapy for prostate cancer: a comparison of long-course versus short-course androgen deprivation therapy in the RADICALS-HD randomised trial

Background Previous evidence supports androgen deprivation therapy (ADT) with primary radiotherapy as initial treatment for intermediate-risk and high-risk localised prostate cancer. However, the use and optimal duration of ADT with postoperative radiotherapy after radical prostatectomy remains uncertain. Methods RADICALS-HD was a randomised controlled trial of ADT duration within the RADICALS protocol. Here, we report on the comparison of short-course versus long-course ADT. Key eligibility criteria were indication for radiotherapy after previous radical prostatectomy for prostate cancer, prostate-specific antigen less than 5 ng/mL, absence of metastatic disease, and written consent. Participants were randomly assigned (1:1) to add 6 months of ADT (short-course ADT) or 24 months of ADT (long-course ADT) to radiotherapy, using subcutaneous gonadotrophin-releasing hormone analogue (monthly in the short-course ADT group and 3-monthly in the long-course ADT group), daily oral bicalutamide monotherapy 150 mg, or monthly subcutaneous degarelix. Randomisation was done centrally through minimisation with a random element, stratified by Gleason score, positive margins, radiotherapy timing, planned radiotherapy schedule, and planned type of ADT, in a computerised system. The allocated treatment was not masked. The primary outcome measure was metastasis-free survival, defined as metastasis arising from prostate cancer or death from any cause. The comparison had more than 80% power with two-sided α of 5% to detect an absolute increase in 10-year metastasis-free survival from 75% to 81% (hazard ratio [HR] 0·72). Standard time-to-event analyses were used. Analyses followed intention-to-treat principle. The trial is registered with the ISRCTN registry, ISRCTN40814031, and ClinicalTrials.gov , NCT00541047 . Findings Between Jan 30, 2008, and July 7, 2015, 1523 patients (median age 65 years, IQR 60–69) were randomly assigned to receive short-course ADT (n=761) or long-course ADT (n=762) in addition to postoperative radiotherapy at 138 centres in Canada, Denmark, Ireland, and the UK. With a median follow-up of 8·9 years (7·0–10·0), 313 metastasis-free survival events were reported overall (174 in the short-course ADT group and 139 in the long-course ADT group; HR 0·773 [95% CI 0·612–0·975]; p=0·029). 10-year metastasis-free survival was 71·9% (95% CI 67·6–75·7) in the short-course ADT group and 78·1% (74·2–81·5) in the long-course ADT group. Toxicity of grade 3 or higher was reported for 105 (14%) of 753 participants in the short-course ADT group and 142 (19%) of 757 participants in the long-course ADT group (p=0·025), with no treatment-related deaths. Interpretation Compared with adding 6 months of ADT, adding 24 months of ADT improved metastasis-free survival in people receiving postoperative radiotherapy. For individuals who can accept the additional duration of adverse effects, long-course ADT should be offered with postoperative radiotherapy. Funding Cancer Research UK, UK Research and Innovation (formerly Medical Research Council), and Canadian Cancer Society

Reliability, validity, and factor structure of the psychological abuse and neglect scales of the Computer Assisted Maltreatment Inventory (CAMI)

The National Research Council (1993), called for the development of clear definitions of neglect and psychological abuse to increase our knowledge base. In order to accomplish this task, psychometrically reliable and valid measures, based on sound theoretical and conceptual frameworks, must be utilized. Towards that end, the Computer Assisted Maltreatment Inventory (CAMI) was developed. The CAMI is a retrospective self-report measure that assesses adults for multiple forms of child abuse (i.e., sexual, physical, psychological, neglect, witnessing domestic violence). The primary objective of the current study was to examine the psychometric properties of the CAMI Psychological Abuse and Neglect subscales. Exploratory factor analyses (EFA) identified five subcategories that may help to operationalize and define the term psychological abuse. The CAMI Psychological Abuse scale was administered to two different samples and the resulting factor structures were nearly equivalent across the two samples. Represented in the factor structures were items that depict Emotional Responsiveness, Terrorizing/Spurning, Isolating, Demanding/Rigid, and Corrupting parental behaviors. Alpha coefficients were within acceptable limits and results suggested that the factors were internally sound. The results of EFA using the data generated from the CAMI Neglect scale were less clear cut. Several subcategories of neglect were identified in the two samples including Safety Concerns, Basic Needs Neglect, Cleanliness, Medical/Educational Neglect, and Supervisory Neglect. However, results suggested that many of the factors were not internally sound and were difficult to interpret. Operationalizing and defining the subcategories of psychological abuse and neglect will help to disentangling the relationship between these two forms of child abuse and other forms of child maltreatment. Along those lines, clear definitions of all forms of child maltreatment will aid in the development of effective interventions and treatment approaches. Knowing the problematic behavior will help to pinpoint specific targets for change. This also makes clear the value of developing psychometrically sound instruments such as the CAMI so that comprehensive assessments can be accomplished

Reliability and Factor Structure of the Psychological Maltreatment and Neglect Scales of the Computer Assisted Maltreatment Inventory (CAMI)

The primary objective of this study was to evaluate the psychometric properties of the Psychological Maltreatment (PM) and Neglect subscales of the Computer Assisted Maltreatment Inventory (CAMI; DiLillo et al., 2010). The CAMI is a retrospective self-report measure that assesses multiple forms of child maltreatment (i.e., sexual, physical, psychological, neglect, exposure to interparental violence) retrospectively from adults. The CAMI’s PM and Neglect subscales were administered to a geo-graphically diverse sample of 400 college students and a sample of 412 newlyweds. Exploratory fac-tor analyses were conducted for each group separately by subscale. Represented in the PM factor structures were items that depict emotional responsiveness, terrorizing/spurning, demanding/rigid, corrupting, and isolating parental behaviors. The Neglect scale included items depicting basic needs, cleanliness, abandonment, monitoring and medical neglect factors. Revised versions of the CAMI PM and Neglect subscales based on the factor analysis are presented