Pediatric sleep difficulties after moderate–severe traumatic brain injury

The objective of this study is to systematically investigate sleep following moderate–severe pediatric traumatic brain injury (TBI). School-aged children with moderate–severe TBI identified via hospital records were invited to participate, along with a school-age sibling. Subjective reports and objective actigraphy correlates of sleep were recorded: Children's Sleep Habits Questionnaire (CSHQ), Sleep Self-Report questionnaire (SSR), and 5-night actigraphy. TBI participants (n = 15) and their siblings (n = 15) participated. Significantly more sleep problems were parent-reported (CSHQ: p = 0.003; d = 1.57), self-reported (SSR: p = 0.003; d = 1.40), and actigraph-recorded in the TBI group (sleep efficiency: p = 0.003; d = 1.23; sleep latency: p = 0.018; d = 0.94). There was no evidence of circadian rhythm disorders, and daytime napping was not prevalent. Moderate–severe pediatric TBI was associated with sleep inefficiency in the form of sleep onset and maintenance problems. This preliminary study indicates that clinicians should be aware of sleep difficulties following pediatric TBI, and their potential associations with cognitive and behavioral problems in a group already at educational and psychosocial risk

A follow-up study of 100 reading disability cases, now adults, who were associated with the Boston University Education Clinic between 1936-1948

Thesis (Ed.M.)--Boston Universit

Sustainable urban development in practice:the SAVE concept

The need for sustainable development of the urban environment presents the research community with a number of challenges and opportunities. A considerable volume of research has been undertaken into the constituent parts of this complex problem and a number of tool kits and methodologies have been developed to enable and encourage the application of specific aspects of research in practice. However, there is limited evidence of the holistic integration of the body of knowledge arising from the research within real-life decision-making practices. In this paper we present an overview of the existing body of knowledge relating to sustainable development of the urban environment and propose a generic framework for its integration within current practices. This framework recognises the need to: understand social, economic, and environmental issues; understand the decision-making processes; provide a means of measurement, assessment, or valuation of the issues; provide analytical methods for the comparative assessment of complex data to enable an evaluation of strategies and design options and to communicate effectively throughout the process with a wide range of stakeholders. The components of a novel sustainability assessment, visualisation and enhancement (SAVE) framework, developed by the authors to ‘operationalise’ the body of knowledge are presented and justified. These include: decision-mapping methods to identify points of intervention; indicator identification and measurement approaches; appropriate mathematical and analytical tools and an interactive simulation and visualisation platform which integrates and communicates complex multivariate information to diverse stakeholder groups. We report on the application of the SAVE framework to a major urban development project and reflect on its current and potential impact on the development. Conclusions are also drawn about its general applicability

Restricted diet in a vulnerable native turtle, Malaclemys terrapin (Schoepff), on the oceanic islands of Bermuda

Diamondback Terrapins (Malaclemys terrapin) are native to Bermuda, presently inhabiting only four small brackish-water ponds. Their foraging ecology was investigated using direct observation, fecal analysis, and necropsy. They do not have as varied a diet as reported from their North American range. Small gastropods (<3 mm shell height) were found in 66.7% of fecal samples and made up 97.3% of animal material dry mass, thus dominating their diet. Scavenged fish and other vertebrates (19% of samples overall), plus terrestrial arthropods (14.3% of samples) were other common items. Polychaete worms and bivalves each occurred in less than 3% of fecal samples. Pond sediment was found in 74% of the samples, probably incidentally ingested while foraging (by oral dredging) for the gastropods. The distribution and abundance of arthropods and molluscs within the terrapins’ brackish-water environment were assessed in three different habitats; pond benthos, mangrove swamp, and grass-dominated marsh. These indicated that Bermuda’s terrapins do not fully exploit the food resources present. On Bermuda M. terrapin is basically a specialist microphagous molluscivore and mainly forages by deposit-feeding on gastropods living in soft sediments. This dietary restriction has made them particularly vulnerable to environmental contamination

Midwest Evaluation of the Adult Functioning of Former Foster Youth

The Midwest Evaluation of the Adult Functioning of Former Foster Youth (Midwest Study) is a prospective study that has been following a sample of young people from Iowa, Wisconsin, and Illinois as they transition out of foster care into adulthood. It is a collaborative effort involving Chapin Hall at the University of Chicago; Partners for Our Children at the University of Washington, Seattle; the University of Wisconsin Survey Center; and the public child welfare agencies in Illinois, Iowa, and Wisconsin.The Midwest Study provides a comprehensive picture of how foster youth are faring during this transition since the Foster Care Independence Act of 1999 became law. Foster youth in Iowa, Wisconsin, and Illinois were eligible to participate in the study if they had entered care before their 16th birthday, were still in care at age 17, and had been removed from home for reasons other than delinquency. Baseline survey data were collected from 732 study participants when they were 17 or 18 years old. Study participants were re-interviewed at ages 19 (n = 603), 21 (n = 591), and 23 or 24 (n = 602). A fifth wave of survey data will be collected when study participants are 25 or 26 years old.Because many of the questions Midwest Study participants were also asked as part of the National Longitudinal Study of Adolescent Health, it is possible to make comparisons between this sample of former foster youth and a nationally representative sample of young people in the general population. These comparisons indicate that young people who have aged out of foster care are faring poorly as a group relative to their peers across a variety of domains.The Midwest Study also presents a unique opportunity to compare the outcomes of young people from one state (i.e., Illinois) that allows foster youth to remain in care until their 21st birthday to the outcomes of young people from two other states (i.e., Iowa and Wisconsin) in which foster youth generally age out when they are 18 years old. The data suggest that extending foster care until age 21 may be associated with better outcomes, at least in some domains

Lifestyle factors and prostate-specific antigen (PSA) testing in UK Biobank: Implications for epidemiological research

AbstractBackgroundThe central role of prostate-specific antigen (PSA) testing in the diagnosis of prostate cancer leads to the possibility that observational studies that report associations between risk factors and prostate cancer could be affected by detection bias. This study aims to investigate whether reported risk factors for prostate cancer are associated with PSA testing in a large middle-aged population-based cohort in the UK.MethodsThe cross-sectional association between a wide range of sociodemographic, lifestyle, dietary and health characteristics with PSA testing was examined in 212,039 men aged 40–69 years in UK Biobank.ResultsA total of 62,022 (29%) men reported they had ever had a PSA test. A wide range of factors was associated with a higher likelihood of PSA testing including age, height, education level, family history of prostate cancer, black ethnic origin, not being in paid/self-employment, living with a wife or partner, having had a vasectomy, being diagnosed with cancer or hypertension and having a high dietary intake of cereal, cooked and salad/raw vegetables, fresh fruit and tea. Conversely, socioeconomic deprivation, Asian ethnic origin, current smoking, low alcohol intake, high body-mass index, high coffee consumption and being diagnosed with diabetes, heart disease or stroke were associated with a lower likelihood of PSA testing.ConclusionsA variety of sociodemographic, lifestyle and health-related characteristics are associated with PSA testing, suggesting that observed associations of some of these traits with risk for prostate cancer in epidemiological studies may be, at least partially, due to detection bias

Relational Decision‐Making in the Context of Life‐Limiting Fetal Anomalies: Two Cases of Anencephaly Diagnosis

Life‐limiting fetal diagnoses such as anencephaly require families to make decisions in which no options offered will lead to the desired outcome of a healthy newborn. Although informed choice and shared decision‐making are important aspects of ethics regarding care choices, they have limitations. In this article, 2 cases of anencephaly diagnosis are presented, and a relational decision‐making model of care is proposed as an alternative for aiding pregnant people and their families in making challenging choices in the context of perinatal care.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/163826/1/jmwh13161.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/163826/2/jmwh13161_am.pd

Exploring fMRI Results Space : 31 Variants of an fMRI Analysis in AFNI, FSL, and SPM

Data sharing is becoming a priority in functional Magnetic Resonance Imaging (fMRI) research, but the lack of a standard format for shared data is an obstacle (Poline et al., 2012; Poldrack and Gorgolewski, 2014). This is especially true for information about data provenance, including auxiliary information such as participant characteristics and task descriptions. The three most commonly used analysis software packages [AFNI1 (Cox, 1996), FSL2 (Jenkinson et al., 2012), and SPM3 (Penny et al., 2011)] broadly conduct the same analysis, but differ in how fundamental concepts are described, and have a myriad of differences in the pre-processing and modeling steps. The practical consequence is that sharing analyzed data is further complicated by the idiosyncrasies of the particular software used

Midwest Evaluation of the Adult Functioning of Former Foster Youth: outcomes at age 21

The Midwest Evaluation of the Adult Functioning of Former Foster Youth (Midwest Study) is a longitudinal study that has been following a sample of young people from Iowa, Wisconsin, and Illinois as they transition out of foster care into adulthood. It is a collaborative effort involving Chapin Hall at the University of Chicago; the University of Wisconsin Survey Center; and the public child welfare agencies in Illinois, Iowa, and Wisconsin. This report concentrates on the outcomes of 21 year old youth as they age out of the child welfare system and transition to adulthood