Behavioural and Developmental Interventions for Autism Spectrum Disorder: A Clinical Systematic Review

Background: Much controversy exists regarding the clinical efficacy of behavioural and developmental interventions for improving the core symptoms of autism spectrum disorders (ASD). We conducted a systematic review to summarize the evidence on the effectiveness of behavioural and developmental interventions for ASD. Methods and Findings: Comprehensive searches were conducted in 22 electronic databases through May 2007. Further information was obtained through hand searching journals, searching reference lists, databases of theses and dissertations, and contacting experts in the field. Experimental and observational analytic studies were included if they were written in English and reported the efficacy of any behavioural or developmental intervention for individuals with ASD. Two independent reviewers made the final study selection, extracted data, and reached consensus on study quality. Results were summarized descriptively and, where possible, meta-analyses of the study results were conducted. One-hundred-and-one studies at predominantly high risk of bias that reported inconsistent results across various interventions were included in the review. Meta-analyses of three controlled clinical trials showed that Lovaas treatment was superior to special education on measures of adaptive behaviour, communication and interaction, comprehensive language, daily living skills, expressive language, overall intellectual functioning and socialization. High-intensity Lovaas was superior to low-intensity Lovaas on measures of intellectual functioning in two retrospective cohort studies. Pooling the results of two randomized controlle

PG 1605+072 in Wet XCov22: Support for the Multi Site Spectroscopic Telescope

6th Whole Earth Telescope Workshop (WET) -- JUN 20-21, 2002 -- NAPLES, ITALYWOS: 000184698800009The Multi-site spectroscopic telescope is a virtual instrument and the name of a collaboration that opens up a new observational window by combining continuous observations of spectroscopic variations and simultaneous photometric monitoring. This constitutes an enormous observational effort, but in return promises to finally provide access to a mode identification for and an asteroseismological analysis of the pulsating sdB star PG 1605+072. Multi-Site Spectroscopic Telescope observations for this object have been secured during a large coordinated campaign in May and June of the year 2002. The frequency resolution and coverage of the photometric time series has been noticeably enhanced by a significant contribution from the Whole Earth Telescope, which was used to observe PG 1605+072 as an alternate target during the WET XCov22 campaign, also conducted in May 2002. This paper briefly outlines the motivation for the MSST project and tries to give a first assessment of the overall quality of the data obtained, with a focus on the Whole Earth Telescope observations

PG 1605+072 in WET XCoV22: Support for the multi site spectroscopic telescope

6th Whole Earth Telescope Workshop (WET) -- JUN 20-21, 2002 -- NAPLES, ITALYWOS: 000184698800009The Multi-site spectroscopic telescope is a virtual instrument and the name of a collaboration that opens up a new observational window by combining continuous observations of spectroscopic variations and simultaneous photometric monitoring. This constitutes an enormous observational effort, but in return promises to finally provide access to a mode identification for and an asteroseismological analysis of the pulsating sdB star PG 1605+072. Multi-Site Spectroscopic Telescope observations for this object have been secured during a large coordinated campaign in May and June of the year 2002. The frequency resolution and coverage of the photometric time series has been noticeably enhanced by a significant contribution from the Whole Earth Telescope, which was used to observe PG 1605+072 as an alternate target during the WET XCov22 campaign, also conducted in May 2002. This paper briefly outlines the motivation for the MSST project and tries to give a first assessment of the overall quality of the data obtained, with a focus on the Whole Earth Telescope observations

The Epigenome at the Crossroad Between Social Factors, Inflammation, and Osteoporosis Risk

Both genetic and environmental factors are involved in the pathogenesis of osteoporosis and other skeletal disorders. Epidemiological studies have revealed an influence of a variety of social factors, including socioeconomic status (SES) on the risk of osteoporosis. The mechanisms involved are complex and still incompletely elucidated. Nevertheless, a variety of clinical risk factors known to influence skeletal homeostasis have been reported as being socially patterned, including nutrition, exercise, and other lifestyles, among others. These factors may impact the skeleton through a variety of mechanisms. Among them, there is increasing evidence for a role of DNA methylation and other epigenetic mechanisms. Indeed, several studies of human cohorts and experimental models showed that social deprivation is associated with changes in the methylation pattern of a number of genes, including some involved in stress and inflammatory responses. The influence of socioeconomic factors may be important not only during postnatal life but also in utero and may be transmitted to future generations by its direct effect on peripheral and target tissues and perhaps through epigenetic inheritance. Although the exact relevance of these pathways in humans has not been fully elucidated yet, they bring attention to the influences of social factors on the skeletal health of the individuals and their descendants. Therefore, they also bring forward our responsibility for both present and future generations

Interactions of early adversity with stress-related gene polymorphisms impact regional brain structure in females

Early adverse life events (EALs) have been associated with regional thinning of the subgenual cingulate cortex (sgACC), a brain region implicated in the development of disorders of mood and affect, and often comorbid functional pain disorders, such as irritable bowel syndrome (IBS). Regional neuroinflammation related to chronic stress system activation has been suggested as a possible mechanism underlying these neuroplastic changes. However, the interaction of genetic and environmental factors in these changes is poorly understood. The current study aimed to evaluate the interactions of EALs and candidate gene polymorphisms in influencing thickness of the sgACC. 210 female subjects (137 healthy controls; 73 IBS) were genotyped for stress and inflammation-related gene polymorphisms. Genetic variation with EALs, and diagnosis on sgACC thickness was examined, while controlling for race, age, and total brain volume. Compared to HCs, IBS had significantly reduced sgACC thickness (p = 0.03). Regardless of disease group (IBS vs. HC), thinning of the left sgACC was associated with a significant gene-gene environment interaction between the IL-1β genotype, the NR3C1 haplotype, and a history of EALs (p = 0.05). Reduced sgACC thickness in women with the minor IL-1β allele, was associated with EAL total scores regardless of NR3C1 haplotype status (p = 0.02). In subjects homozygous for the major IL-1β allele, reduced sgACC with increasing levels of EALs was seen only with the less common NR3C1 haplotype (p = 0.02). These findings support an interaction between polymorphisms related to stress and inflammation and early adverse life events in modulating a key region of the emotion arousal circuit