Salivary biomarkers of HPA axis and autonomic activity in adults with intellectual disability with and without stereotyped and self-injurious behavior disorders

Salivary levels of biomarkers for the hypothalamic–pituitary–adrenal axis (HPA; cortisol) and sympatho-adreno-medullary system (SAM; α-amylase) were measured in 51 adults (57% male) with neurodevelopmental disorders associated with intellectual disability (i.e., mental retardation) and chronic self-injurious behavior (SIB) and compared with matched controls without SIB. Cortisol levels differed significantly (p < 0.01) between the SIB and control group (SIB > control). Within-group analyses showed significant differences (p < 0.05) in levels of salivary α-amylase between individuals with SIB and those with SIB meeting criteria for stereotyped movement disorder (SMD; SIB + SMD > SIB). Salivary α-amylase was significantly correlated with frequency of stereotypy among the SIB group (r = 0.36, p < 0.05). These preliminary findings warrant further exploration into the role of the SAM system in the pathophysiology of SIB and related repetitive behaviors among individuals with neurodevelopmental disorders associated with intellectual disability

Physical weathering of building stones induced by freeze–thaw action: a laboratory long-term study

Damages to natural building stones induced by the action of frost are considered to be of great importance. Commonly, the frost resistance of building stones is checked by standardised freeze–thaw tests before using. Corresponding tests normally involve 30–50 freeze–thaw action cycles. In order to verify the significance of such measurements, we performed long-term tests on four selected rocks over 1,400 freeze–thaw action cycles. Additionally, numerous petrophysical parameters were analysed to compare the behaviour of rocks in the weathering tests according to the current explanatory models of stress formation by growing ice crystals in the pore space. The long-term tests yield more information about the real frost sensibility of the rocks. A clear deterioration cannot be determined in most cases until 50 weathering cycles have been completed. In the freeze–thaw tests, the samples are also stressed by changing temperature and moisture, indicating that different decay mechanisms can interfere with each other. Thus, thermohygric and moisture expansion are important damage processes

Stability assessment of marble statuaries of the Schlossbrücke (Berlin, Germany) based on rock strength measurements and ultrasonic wave velocities

The degree of weathering in natural stones on buildings and sculptures has been determined for many years in numerous cases by means of ultrasonic measurements. Conclusions concerning the strength of the rock and the type of weathering can thus be drawn. This relationship has not been established for all rock types. Most of the progress utilizing this method has been made in the analysis of marbles, where an increasing degree of weathering shows lower ultrasonic velocities. In the present study, four Carrara marble samples showing similar rock fabrics, but with respect to weathering exhibit considerable differences are investigated. Porosity varies between 0.2 vol. % and ca. 2.4 vol. %, whereby with increasing porosity the pore radii changes as well. Parallel to this the ultrasonic velocities change in dry samples from about 5.5 to 1.6 km/s, respectively. Model calculations reveal that the velocity reduction is caused by cracks with an extremely small aspect ratio of about 0.005 or even less. After a specific loss of strength, however, solution processes can become active, which modify the microcracks and generate an opposite trend. In the process a strong porosity increase correlates to a relatively small velocity reduction. With the presence of water the Vp porosity weathering relationship experiences a considerable modification. Parallel to the reduction of the ultrasonic velocities, it was determined that the mechanical strength (compressive strength, flexural strength, etc.) as well as the static Young’s modulus is reduced almost equally by a progressive advancement of the weathering front. In one case study dealing with tensile strengths, it was clearly documented how tensile cracks develop and propagate in dependence of the rock fabric. The rock mechanical and ultrasonic velocity data were used for stability assessments applied to the marble statuaries from the Schlossbrücke in Berlin. Stability assessments of the sculpture group 4 reveal that some critical parts must be replaced due to safety reasons

Clinical usefulness of the diagnostic manual-intellectual disability for mental disorders in persons with intellectual disability: results from a brief field survey

Objective: The National Association for the Dually Diagnosed, in collaboration with the American Psychiatric Association, adapted the DSM-IV-TR for use with individuals with intellectual disability. This article presents the findings of a study to examine the utility of the Diagnostic Manual-Intellectual Disability (DM-ID) in clinical practice. Method: In a survey conducted during the summer of 2006, clinicians reported on the extent to which the DM-ID was user friendly, whether it allowed the clinician to arrive at an appropriate diagnosis of the patient, if the clinician was able to arrive at a more specific diagnosis than with the DSM-IV-TR, and if it helped avoid the use of “not otherwise specified” (NOS) diagnostic categories. Demographic information about the clinicians and the patients was obtained. Results: Data from 63 clinicians and 845 patients with intellectual disability were included in the study. The patients’ level of intellectual disability was approximately evenly divided among the categories of mild, moderate, and severe/profound. The DM-ID was rated as “easy” or “very easy” to use in over 68% of the 845 responses. The positive response to the DM-ID did not vary significantly across levels of intellectual functioning. Clinicians also indicated that the DM-ID helped them avoid the use of the “NOS” diagnosis category, resulting in a more specific diagnosis. Conclusion: The DM-ID is a useful adaptation of the DSM-IV-TR for persons with intellectual disability. Professionals indicated that it was easy to use, resulted in accurate diagnoses, and can reduce the use of the NOS category. Further research is needed to evaluate the reliability and validity of the DM-ID