Screening for developmental disorders in 3- and 4-year-old italian children: a preliminary study

BACKGROUND: The "Osserviamo" project, coordinated by the Municipality of Rome and the Department of Pediatrics and Child Neuropsychiatry of Sapienza University, aimed to validate an Italian version of the Ages and Stages Questionnaire-3 and to collect, for the first time in Italy, data on developmental disorders in a sample of 4,000 children aged 3 and 4 years. The present paper presents the preliminary results of the "Osserviamo" project. METHODS: 600 parents of children between 39 and 50 months of age (divided in two age stages: 42 and 48 months) were contacted from 15 kindergarden schools. RESULTS: 23.35% of the whole sample scored in the risk range of at least one developmental area of the Ages and Stages Questionnaire-3rd Edition (ASQ-3) and 7.78% scored in the clinical range. Specifically, 23.97% of the children in the 42-month age stage scored in the risk range and 5.79% scored in the clinical range. Males scored lower than females in the fine motor skills and personal-social development domains. Moreover, 22.79% of the children in the 48-month age stage scored in the risk range, while 9.55% scored in the clinical range. Males scored lower than females in fine motor skills. CONCLUSION: Italian validation of the ASQ-3 and recruitment of all 4,000 participants will allow these data on the distribution of developmental disorders to be extended to the general Italian pediatric population. One main limitation of the study is the lack of clinical confirmation of the data yielded by the screening programme, which the authors aim to obtain in later stages of the study

An examination of the Clinical Impairment Assessment among women at high risk for eating disorder onset

Identifying measures that reliably and validly assess clinical impairment has important implications for eating disorder (ED) diagnosis and treatment. The current study examined the psychometric properties of the Clinical Impairment Assessment (CIA) in women at high risk for ED onset. Participants were 543 women (20.6 +/- 2.0 years) who were classified into one of three ED categories: clinical ED, high risk for ED onset, and low risk control. Among high risk women, the CIA demonstrated high internal consistency (alpha = 0.93) and good convergent validity with disordered eating attitudes (rs = 0.27-0.68, ps \u3c 0.001). Examination of the CIA\u27s discriminant validity revealed that CIA global scores were highest among women with a clinical ED (17.7 +/- 10.7) followed by high risk women (10.6 +/- 8.5) and low risk controls (3.0 +/- 3.3), respectively (p \u3c 0.001). High risk women reporting behavioral indices of ED psychopathology (objective and/or subjective binge episodes, purging behaviors, driven exercise, and ED treatment history) had higher CIA global scores than those without such indices (ps \u3c 0.05), suggesting good criterion validity. These data establish the first norms for the CIA in a United States sample. The CIA is psychometrically sound among high risk women, and heightened levels of impairment among these individuals as compared to low risk women verify the relevance of early intervention efforts. (C) 2012 Elsevier Ltd. All rights reserved

On multidimensional poverty rankings of binary attributes

We address the problem of ranking distributions of attributes in terms of poverty, when the attributes are represented by binary variables. To accomplish this task, we identify a suitable notion of “multidimensional poverty line” and characterize axiomatically the Head-Count and the Attribute-Gap poverty rankings, which are the natural counterparts of the most widely used income poverty indices. Finally, we apply our methodology and compare our empirical results with those obtained with some other well-known poverty measures

Retrospective short-term forecasting experiment in Italy based on the occurrence of strong (fore) shocks

In a recent work, we computed the relative frequencies with which strong shocks (4.0 ≤ Mw < 5.0), widely felt by the population were followed in the same area by po- tentially destructive main shocks (Mw ≥ 5.0) in Italy. Assuming the stationarity of the seismic release properties, such frequencies can be tentatively used to estimate the probabilities of potentially destructive shocks after the occurrence of future strong shocks. This allows us to set up an alarm-based forecasting hypothesis related to strong foreshocks occurrence. Such hypothesis is tested retrospectively on the data of a homogenized seismic catalogue of the Italian area against a purely random hypothesis that simply forecasts the target main shocks proportionally to the space–time fraction occupied by the alarms. We compute the latter frac- tion in two ways (i) as the ratio between the average time covered by the alarms in each area and the total duration of the forecasting experiment (60 yr) and (ii) as the same ratio but weighted by the past frequency of occurrence of earthquakes in each area. In both cases the overall retrospective performance of our forecasting algorithm is definitely better than the random case. Considering an alarm duration of three months, the algorithm retrospectively forecasts more than 70 per cent of all shocks with Mw ≥ 5.5 occurred in Italy from 1960 to 2019 with a total space–time fraction covered by the alarms of the order of 2 per cent. Considering the same space–time coverage, the algorithm is also able to retrospectively forecasts more than 40 per cent of the first main shocks with Mw ≥ 5.5 of the seismic sequences occurred in the same time interval. Given the good reliability of our results, the forecasting algorithm is set and ready to be tested also prospectively, in parallel to other ongoing procedures operating on the Italian territory

Homogenization of magnitudes of the ISC Bulletin

We implemented an automatic procedure to download the hypocentral data of the online Bulletin of the International Seismological Centre (ISC) in order to produce in near real-time a homogeneous catalogue of the Global and EuroMediterranean instrumental seismicity to be used for forecasting experiments and other statistical analyses. For the interval covered by the reviewed ISC Bulletin, we adopt the ISC locations and convert the surface wave magnitude (Ms) and short-period body-wave magnitude (mb) as computed by the ISC to moment magnitude (Mw), using empirical relations. We merge the so obtained proxies with real Mw provided by global and EuroMediterranean moment tensor catalogues. For the most recent time interval (about 2 yr) for which the reviewed ISC Bulletin is not available, we do the same but using the preferred (prime) location provided by the ISC Bulletin and converting to Mw the Ms and mb provided by some authoritative agencies. For computing magnitude conversion equations, we use curvilinear relations defined in a previous work and the chi-square regression method that accounts for the uncertainties of both x and y variables

What constitutes clinically significant binge eating? Association between binge features and clinical validators in college-age women

Objective: To investigate the association between binge features and clinical validators. Method: The Eating Disorder Examination assessed binge features in a sample of 549 college-age women: loss of control (LOC) presence, binge frequency, binge size, indicators of impaired control, and LOC severity. Clinical validators were self-reported clinical impairment and current psychiatric comorbidity, as determined via a semistructured interview. Results: Compared with women without LOC, those with LOC had significantly greater odds of reporting clinical impairment and comorbidity (ps \u3c 0.001). Among women with LOC (n = 252), the indicators of impaired control and LOC severity, but not binge size or frequency, were associated with greater odds of reporting clinical impairment and/or comorbidity (ps \u3c 0.05). Dicussion: Findings confirm that the presence of LOC may be the hallmark feature of binge eating. Further, dimensional ratings about the LOC experienceand possibly the indicators of impaired controlmay improve reliable identification of clinically significant binge eating. (c) 2013 by Wiley Periodicals, Inc. (Int J Eat Disord 2013

Dynamic titanium prosthesis based on 3D-printed replica for chest wall resection and reconstruction

3D-printing technologies can assist the surgical planning and prosthesis engineering for the management of extended chest wall resection. Different types of prosthesis have been utilized over time, but some concerns remain about their impact on the respiratory function. Here we present a new kind of 3D-printed titanium prosthesis designed to be either strong and flexible. The prosthesis was created on a 1:1 3D-printed anatomic replica of the chest, used to delineate surgical margins and to define the reconstructive requirements

A microarray analysis of sex- and gonad-biased gene expression in the zebrafish: Evidence for masculinization of the transcriptome

<p>Abstract</p> <p>Background</p> <p>In many taxa, males and females are very distinct phenotypically, and these differences often reflect divergent selective pressures acting on the sexes. Phenotypic sexual dimorphism almost certainly reflects differing patterns of gene expression between the sexes, and microarray studies have documented widespread sexually dimorphic gene expression. Although the evolutionary significance of sexual dimorphism in gene expression remains unresolved, these studies have led to the formulation of a hypothesis that male-driven evolution has resulted in the masculinization of animal transcriptomes. Here we use a microarray assessment of sex- and gonad-biased gene expression to test this hypothesis in zebrafish.</p> <p>Results</p> <p>By using zebrafish Affymetrix microarrays to compare gene expression patterns in male and female somatic and gonadal tissues, we identified a large number of genes (5899) demonstrating differences in transcript abundance between male and female <it>Danio rerio</it>. Under conservative statistical significance criteria, all sex-biases in gene expression were due to differences between testes and ovaries. Male-enriched genes were more abundant than female-enriched genes, and expression bias for male-enriched genes was greater in magnitude than that for female-enriched genes. We also identified a large number of genes demonstrating elevated transcript abundance in testes and ovaries relative to male body and female body, respectively.</p> <p>Conclusion</p> <p>Overall our results support the hypothesis that male-biased evolutionary pressures have resulted in male-biased patterns of gene expression. Interestingly, our results seem to be at odds with a handful of other microarray-based studies of sex-specific gene expression patterns in zebrafish. However, ours was the only study designed to address this specific hypothesis, and major methodological differences among studies could explain the discrepancies. Regardless, all of these studies agree that transcriptomic sex differences in <it>D. rerio </it>are widespread despite the apparent absence of heterogamety. These differences likely make important contributions to phenotypic sexual dimorphism in adult zebrafish; thus, from an evolutionary standpoint, the precise roles of sex-specific selection and sexual conflict in the evolution of sexually dimorphic gene expression are very important. The results of our study and others like it set the stage for further work aimed at directly addressing this exciting issue in comparative genomics.</p

Clinical Leadership in Athletic Training

Purpose: Clinical leadership behaviors demonstrated by nurses delivering patient care are associated with improved patient outcomes and increased job satisfaction. Clinical leadership behaviors have not been studied in athletic training; therefore, the purpose of this study was to investigate athletic trainers’ frequency of demonstrating these behaviors. Method: Participates completed an electronically distributed survey consisting of demographic variables, the Clinical Leadership Survey (CLS), and the Global Rating of Clinical Leadership Scale (GRCLS). Results: We found statistically significant differences between the CLS score of those in a supervisory role (M = 65.3 ± 5.4) and those who are not (M = 63.5 ± 5.5, mean difference = 1.8 ± 0.8, t (212) = 2.27, p = 0.02). A moderate positive correlation (r = 0.51, p \u3c 0.001) exists between an individual’s CLS score and perceiving themselves as a clinical leader. A moderate positive correlation (r = 0.59, p \u3c 0.001) exists between an individual’s CLS score and believing they demonstrate leadership behaviors in clinical practice. Conclusion: Athletic trainers in supervisory roles report demonstrating clinical leadership behaviors more often than those who are not. A discrepancy exists between athletic trainers’ reported frequency of demonstrating individual clinical leadership behaviors, their belief they are leaders, and their demonstration of leadership behaviors. The data suggest athletic trainers who are not in supervisory roles may believe, because they hold no positional authority, they are not clinical leaders. Organizations can implement strategies to promote clinical leadership in staff and improve patient outcomes

An active oblique-contractional belt at the transition between the Southern Apennines and Calabrian Arc: The Amendolara Ridge, Ionian Sea, Italy

High-resolution, single-channel seismic and multibeam bathymetry data collected at the Amendolara Ridge, a key submarine area marking the junction between the Apennine collision belt and the Calabrian subduction forearc, reveal active deformation in a supposedly stable crustal sector. New data, integrated with existing multichannel seismic profiles calibrated with oil-exploratory wells, show that middle to late Pleistocene sediments are deformed in growth folds above blind oblique-reverse faults that bound a regional pop-up. Data analysis indicates that ~10 to 20 km long banks that top the ~80 km long, NW-SE trending ridge are structural culminations above en echelon fault segments. Numeric modeling of bathymetry and stratigraphic markers suggests that three 45° dipping upper crustal (2–10 km) fault segments underlie the ridge, with slip rates up to ~0.5 mm/yr. Segments may be capable with M ~ 6.1–6.3 earthquakes, although an unknown fraction of aseismic slip undoubtedly contributes to deformation. The fault array that bounds the southern flank of the ridge (Amendolara Fault System) parallels a belt of Mw < 4.7 strike-slip and thrust earthquakes, which suggest current left-oblique reverse motion on the array. The eastern segment of the array shows apparent morphologic evidence of deformation and might be responsible for Mw ≤ 5.2 historic events. Late Pliocene-Quaternary growth of the oblique contractional belt is related to the combined effects of stalling of Adriatic slab retreat underneath the Apennines and subduction retreat of the Ionian slab underneath Calabria. Deformation localization was controlled by an inherited mechanical interface between the thick Apulian (Adriatic) platform crust and the attenuated Ionian Basin crust