The Role of Neurocognitive Tests in the Assessment of Adult Attention-Deficit/Hyperactivity Disorder

Despite widespread recognition that attention-deficit/hyperactivity disorder (ADHD) is a lifelong neurodevelopmental disorder, optimal methods of diagnosis among adults remain elusive. Substantial overlap between ADHD symptoms and cognitive symptoms of other mental health conditions, such as depression and anxiety, and concerns about validity in symptom reporting have made the use of neuropsychological tests in ADHD diagnostic assessment appealing. However, past work exploring the potential diagnostic utility of neuropsychological tests among adults has often relied on a relatively small subset of tests, has failed to include symptom and performance validity measures, and often does not include comparison groups of participants with commonly comorbid disorders, such as depression. The current study examined the utility of an extensive neuropsychological measure battery for diagnosing ADHD among adults. Two hundred forty-six participants (109 ADHD, 52 depressed, 85 nondisordered controls) completed a multistage screening and assessment process, which included a clinical interview, self, and informant report on behavior rating scales, performance and symptom validity measures, and an extensive neuropsychological testing battery. Results indicated that measures of working memory, sustained attention, response speed, and variability best discriminated ADHD and non-ADHD participants. While single test measures provided performed poorly in identifying ADHD participants, analyses revealed that a combined approach using self and informant symptom ratings, positive family history of ADHD, and a reaction time (RT) variability measure correctly classified 87% of cases. Findings suggest that neuropsychological test measures used in conjunction with other clinical assessments may enhance prediction of adult ADHD diagnoses

The Impact of Failing to Identify Suspect Effort in Patients Undergoing Adult Attention-Deficit/Hyperactivity Disorder (ADHD) Assessment

This retrospective study examines how many adult patients would plausibly receive a diagnosis of attention-deficit/hyperactivity disorder (ADHD) if performance and symptom validity measures were not administered during neuropsychological evaluations. Five hundred fifty-four patients were extracted from an archival clinical dataset. A total of 102 were diagnosed with ADHD based on cognitive testing, behavior rating scales, effort testing, and clinical interview; 115 were identified as putting forth suspect effort in accordance with the Slick, Sherman, and Iverson (1999) criteria. From a clinical decision-making perspective, suspect effort and ADHD groups were nearly indistinguishable on ADHD behavior, executive function, and functional impairment rating scales, as well as on cognitive testing and key clinical interview questions. These results suggest that a significant percentage of those making a suspect effort will be diagnosed with ADHD using the most commonly employed assessment methods: an interview alone (71%); an interview and ADHD behavior rating scales combined (65%); and an interview, behavior rating scales, and most continuous performance tests combined (57%). This research makes clear that it is essential to evaluate task engagement and possible symptom amplification during clinical evaluations

Evidence for partial quenching of orbital angular momentum upon complex formation in the infrared spectrum of OH-acetylene

The entrance channel leading to the addition reaction between the hydroxyl radical and acetylene has been examined by spectroscopic characterization of the asymmetric CH stretching band of the π-hydrogen bonded OH-acetylene reactant complex. The infrared action spectrum observed at 3278.6 cm−1 (origin) consists of seven peaks of various intensities and widths, and is very different from those previously reported for closed-shell HF/HCl-acetylene complexes. The unusual spectrum arises from a partial quenching of the OH orbital angular momentum in the complex, which in turn is caused by a significant splitting of the OH monomer orbital degeneracy into 2A′ and 2A″ electronic states. The magnitude of the 2A′−2A″ splitting as well as the A rotational constant for the OH-acetylene complex are determined from the analysis of this b-type infrared band. The most populated OH product rotational state, jOH = 9/2, is consistent with intramolecular vibrational energy transfer to the ν2 C≡C stretching mode of the departing acetylene fragment. The lifting of the OH orbital degeneracy and partial quenching of its electronic orbital angular momentum indicate that the electronic changes accompanying the evolution of reactants into products have begun to occur in the reactant complex

The Calysto Scheme Project

Calysto Scheme is written in Scheme in Continuation-Passing Style, and converted through a series of correctness-preserving program transformations into Python. It has support for standard Scheme functionality, including call/cc, as well as syntactic extensions, a nondeterministic operator for automatic backtracking, and many extensions to allow Python interoperation. Because of its Python foundation, it can take advantage of modern Python libraries, including those for machine learning and other pedagogical contexts. Although Calysto Scheme was developed with educational purposes in mind, it has proven to be generally useful due to its simplicity and ease of installation. It has been integrated into the Jupyter Notebook ecosystem and used in the classroom to teach introductory Programming Languages with some interesting and unique twists.Comment: Presented at The 2023 Scheme and Functional Programming Workshop (arXiv:cs/0101200

Infrared spectrum and stability of a π-type hydrogen-bonded complex between the OH and C2H2 reactants

A hydrogen-bonded complex between the hydroxyl radical and acetylene has been stabilized in the reactant channel well leading to the addition reaction and characterized by infrared action spectroscopy in the OH overtone region. Analysis of the rotational band structure associated with the a-type transition observed at 6885.53(1) cm−1 (origin) reveals a T-shaped structure with a 3.327(5) Å separation between the centers of mass of the monomer constituents. The OH (v = 1) product states populated following vibrational predissociation show that dissociation proceeds by two mechanisms: intramolecular vibrational to rotational energy transfer and intermolecular vibrational energy transfer. The highest observed OH product state establishes an upper limit of 956 cm−1 for the stability of the π-type hydrogen-bonded complex. The experimental results are in good accord with the intermolecular distance and well depth at the T-shaped minimum energy configuration obtained from complementary ab initio calculations, which were carried out at the restricted coupled cluster singles, doubles, noniterative triples level of theory with extrapolation to the complete basis set limit

The Structure of High Strehl Ratio Point-Spread Functions

We describe the symmetries present in the point-spread function (PSF) of an optical system either located in space or corrected by an adaptive o to Strehl ratios of about 70% and higher. We present a formalism for expanding the PSF to arbitrary order in terms of powers of the Fourier transform of the residual phase error, over an arbitrarily shaped and apodized entrance aperture. For traditional unapodized apertures at high Strehl ratios, bright speckles pinned to the bright Airy rings are part of an antisymmetric perturbation of the perfect PSF, arising from the term that is first order in the residual phase error. There are two symmetric second degree terms. One is negative at the center, and, like the first order term, is modulated by the perfect image's field strength -- it reduces to the Marechal approximation at the center of the PSF. The other is non-negative everywhere, zero at the image center, and can be responsible for an extended halo -- which limits the dynamic range of faint companion detection in the darkest portions of the image. In regimes where one or the other term dominates the speckles in an image, the symmetry of the dominant term can be exploited to reduce the effect of those speckles, potentially by an order of magnitude or more. We demonstrate the effects of both secondary obscuration and pupil apodization on the structure of residual speckles, and discuss how these symmetries can be exploited by appropriate telescope and instrument design, observing strategies, and filter bandwidths to improve the dynamic range of high dynamic range AO and space-based observations. Finally, we show that our analysis is relevant to high dynamic range coronagraphy.Comment: Accepted for publication in ApJ; 20 pages, 4 figure

The Multiple Roles of Anticipation in Developmental Robotics

Anticipatory systems have been shown to be useful in discrete, symbolic systems. However, non­symbolic anticipatory systems are less well understood. In this paper, we explore the use of anticipation within the framework of connectionist networks to bootstrap from an innate behavior; to drive a reinforcement signal; and to provide feedback on the learnability of a task

The Multiple Roles of Anticipation in Developmental Robotics

Anticipatory systems have been shown to be useful in discrete, symbolic systems. However, non­symbolic anticipatory systems are less well understood. In this paper, we explore the use of anticipation within the framework of connectionist networks to bootstrap from an innate behavior; to drive a reinforcement signal; and to provide feedback on the learnability of a task

Everything You Wanted to Know About Breast Augmentation Surgery But Were Afraid To Ask: A Medical - Legal Overview

This article will provide a medical/legal perspective to breast augmentation surgery. Written by an attorney who teaches anatomy and a plastic surgeon who routinely performs the procedure, it will initially offer a medical analysis of how the procedure is performed along with its attendant risks. The second part will focus on the court cases and legal theories that have arisen when things go wrong. The article will explain the convoluted litigation history involving breast augmentation when suits were common place and a group of experts linked breast implants to the development of autoimmune disease without any real scientific basis to support their opinions. It will conclude with a discussion of the various legal theories currently being asserted when the surgery does not live up to the patient\u27s expectations

Adjustment with aphasia after stroke: study protocol for a pilot feasibility randomised controlled trial for SUpporting wellbeing through PEeR Befriending (SUPERB)

Background: Despite the high prevalence of mood problems after stroke, evidence on effective interventions particularly for those with aphasia is limited. There is a pressing need to systematically evaluate interventions aiming to improve wellbeing for people with stroke and aphasia. This study aims to evaluate the feasibility of a peer-befriending intervention. Methods/design: SUPERB is a single blind, parallel group feasibility trial of peer befriending for people with aphasia post-stroke and low levels of psychological distress. The trial includes a nested qualitative study and pilot economic evaluation and it compares usual care (n = 30) with usual care + peer befriending (n = 30). Feasibility outcomes include proportion screened who meet criteria, proportion who consent, rate of consent, number of missing/incomplete data on outcome measures, attrition rate at follow-up, potential value of conducting main trial using value of information analysis (economic evaluation), description of usual care, and treatment fidelity of peer befriending. Assessments and outcome measures (mood, wellbeing, communication, and social participation) for participants and significant others will be administered at baseline, with outcome measures re-administered at 4 and 10 months post-randomisation. Peer befrienders will complete outcome measures before training and after they have completed two cycles of befriending. The qualitative study will use semi-structured interviews of purposively sampled participants (n = 20) and significant others (n = 10) from both arms of the trial, and all peer befrienders to explore the acceptability of procedures and experiences of care. The pilot economic evaluation will utilise the European Quality of life measure (EQ-5D-5 L) and a stroke-adapted version of the Client Service Receipt Inventory (CSRI). Discussion: This study will provide information on feasibility outcomes and an initial indication of whether peer befriending is a suitable intervention to explore further in a definitive phase III randomised controlled trial. Trial registration: ClinicalTrials.gov identifier NCT02947776, registered 28th October 2016