Oregon Psychologists on Prescriptive Authority: Divided Views and Little Knowledge

With over half of all states having considered legislating prescriptive authority, an immense amount of time and money has been invested. The literature is limited in terms of understanding if opinions toward prescriptive authority are grounded in knowledge and what implications that has for altering these opinions. Following a veto of a prescriptive authority bill in Oregon, 399 licensed Oregon clinical psychologists were surveyed regarding their attitudes and knowledge. In terms of knowledge, only 6.5% knew which three states/territories currently have prescriptive authority and 70.4% were unfamiliar with any of the prerequisites for postdoctoral training in psychopharmacology. Reflecting division, 43.4% were in favor, 25.4% were undecided, and 31.2% were in opposition to broadening privileges for psychologists. Further, only 15.2% expressed interest in pursuing training or 6.7% in becoming prescribers. Data on access, training, and legislative costs were presented to participants in the education condition. These participants showed significant gains in their knowledge across all domains and their opinions shifted only in these specific areas leaving their general stance on the issue unchanged. In contrast to ardent supporters who argue that their “data should provide reassurance to psychologists spearheading legislative initiatives” because of high approval ratings (Sammons et al., 2000, p. 608), our data suggest disagreement amongst a group of professionals who are not particularly well-informed, nor interested in becoming prescribers. Future work should investigate whether expanding the data relevant to other facets of the argument contributes to further targeted change or an overall change in opinion toward prescriptive authority

Chiasma

Newspaper reporting on events at the Boston University School of Medicine in the 1960s

Teacher Perception Concerning the Role of Elementary Principals in School Culture and Climate

A phenomenological research study was conducted to examine teacher perceptions of elementary principals’ behaviors affecting school culture and climate. The researcher gathered data from participant interviews. Participants were selected using purposeful sampling of teachers identified by their principals as meeting study criteria. The schools in which teachers were selected were also chosen using purposeful sampling based on superintendents’ perceptions of positive principal influence on school culture and climate. Data analysis provided insight to the researcher into the phenomenon being explored in this study. Teachers were asked to participate in an individual interview with the researcher and provide answers to open ended questions regarding their perceptions of their principals’ influence on culture and climate in the school. The findings of the study were aligned with the literature regarding principal influence on school culture and climate. There was a clear relationship between principal behaviors and positive school culture and climate based on teacher perceptions. Three themes emerged as common in the data including relationships, communication, and shared leadership

Etiology of Severe Non-malaria Febrile Illness in Northern Tanzania: A Prospective Cohort Study.

The syndrome of fever is a commonly presenting complaint among persons seeking healthcare in low-resource areas, yet the public health community has not approached fever in a comprehensive manner. In many areas, malaria is over-diagnosed, and patients without malaria have poor outcomes. We prospectively studied a cohort of 870 pediatric and adult febrile admissions to two hospitals in northern Tanzania over the period of one year using conventional standard diagnostic tests to establish fever etiology. Malaria was the clinical diagnosis for 528 (60.7%), but was the actual cause of fever in only 14 (1.6%). By contrast, bacterial, mycobacterial, and fungal bloodstream infections accounted for 85 (9.8%), 14 (1.6%), and 25 (2.9%) febrile admissions, respectively. Acute bacterial zoonoses were identified among 118 (26.2%) of febrile admissions; 16 (13.6%) had brucellosis, 40 (33.9%) leptospirosis, 24 (20.3%) had Q fever, 36 (30.5%) had spotted fever group rickettsioses, and 2 (1.8%) had typhus group rickettsioses. In addition, 55 (7.9%) participants had a confirmed acute arbovirus infection, all due to chikungunya. No patient had a bacterial zoonosis or an arbovirus infection included in the admission differential diagnosis. Malaria was uncommon and over-diagnosed, whereas invasive infections were underappreciated. Bacterial zoonoses and arbovirus infections were highly prevalent yet overlooked. An integrated approach to the syndrome of fever in resource-limited areas is needed to improve patient outcomes and to rationally target disease control efforts

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Observations on metamorphosing tadpoles of Hyalinobatrachium orientale (Anura: Centrolenidae)

Observações sobre girinos de Hyalinobatrachium orientale (Anura: Centrolenidae) em metamorfose. A metamorfose, processo em que os anfíbios anuros reabsorvem suas caudas e remodelam suas partes bucais e órgãos internos, é um estágio vulnerável de sua história de vida. Durante a transformação de larvas em adultos, os girinos não estão bem adaptados à vida aquática nem à vida terrestre ativa. Estudos anteriores examinaram a duração da metamorfose em diversas espécies com relação ao tamanho do girino, habitat e outros fatores; entretanto, a duração da metamorfose em relação ao local onde esta ocorre não foi relatada pantrolenídeos. Em Hyalinobatrachium orientale, a metamorfose ocorre nas superfícies superiores das folhas das plantas de sub-bosque baixo e dura de 3,5 a 4,0 dias, um pouco mais do que o esperado para um girino desse tamanho de corpo. Os indivíduos recém-metamorfoseados parecem mudar seus poleiros de folha para folha aleatoriamente. Não há diferenças significativas na temperatura ou umidade relativa das superfícies superior e inferior das folhas no sub-bosque da floresta; assim, o uso das superfícies superiores das folhas pode fornecer-lhes umidade da vegetação do estrato superior após as chuvas e protegê-los de predadores terrestres.Observations on metamorphosing tadpoles of Hyalinobatrachium orientale (Anura: Centrolenidae). Metamorphosis, when anuran amphibians resorb their tails and remodel their mouthparts and internal organs, is a vulnerable stage in the frog’s life history. As larvae metamorphose from tadpoles to adult frogs, they are neither suited to aquatic life nor ready for active terrestrial life. Previous studies have examined the duration of metamorphosis in a range of species, with respect to tadpole size, habitat, and other factors; however, the duration of metamorphosis relative to where it takes place has not been reported in centrolenids. In Hyalinobatrachium orientale, metamorphosis takes place on the upper surfaces of the leaves of low understory plants and lasts 3.5–4.0 days, a little longer than expected for the tadpole of this body size. Metamorphs seem to shift their perches from leaf to leaf randomly. There are no significant differences in the temperature or relative humidity of the upper and lower surfaces of leaves in the forest understory; thus, the presence of the metamorphs on the upper surfaces of leaves may provide moisture from the upper story vegetation after rain and protect them from terrestrial predators

Variation in dormancy among populations of the fire-ephemeral flannel flower, Actinotus helianthi

Dormancy is a necessary mechanism to prevent seeds from germinating during unfavourable external environmental conditions. For the Sydney Flannel Flower (Actinotus helianthi Labill.) it is not clear how the environment influences the erratic variation experienced in published germination trials. This study examined differences in dormancy and viability between several wild populations of Actinotus helianthi. Mature seeds were collected from four populations across the Greater Sydney region. Germination of seeds was assessed at 15oC and seeds were pre-treated with deionised water or 1% smoke water (1% has been previously demonstrated to improve germination in Actinotus leucocephalus). Poor viability ranging from 40% to 58% was identified across all populations, producing low numbers of germinated seeds. Significant variation in germination percentage between populations was exhibited in seeds treated with smoke water. Seed from Flannel Flower populations should be collected, stored and germinated separately. The variability recorded between populations is most likely an adaptive response to the fire history of the area, giving varying levels of smoke sensitivity

A large genome-wide association study of age-related macular degeneration highlights contributions of rare and common variants.

This is the author accepted manuscript. The final version is available from Nature Publishing Group via http://dx.doi.org/10.1038/ng.3448Advanced age-related macular degeneration (AMD) is the leading cause of blindness in the elderly, with limited therapeutic options. Here we report on a study of >12 million variants, including 163,714 directly genotyped, mostly rare, protein-altering variants. Analyzing 16,144 patients and 17,832 controls, we identify 52 independently associated common and rare variants (P < 5 × 10(-8)) distributed across 34 loci. Although wet and dry AMD subtypes exhibit predominantly shared genetics, we identify the first genetic association signal specific to wet AMD, near MMP9 (difference P value = 4.1 × 10(-10)). Very rare coding variants (frequency <0.1%) in CFH, CFI and TIMP3 suggest causal roles for these genes, as does a splice variant in SLC16A8. Our results support the hypothesis that rare coding variants can pinpoint causal genes within known genetic loci and illustrate that applying the approach systematically to detect new loci requires extremely large sample sizes.We thank all participants of all the studies included for enabling this research by their participation in these studies. Computer resources for this project have been provided by the high-performance computing centers of the University of Michigan and the University of Regensburg. Group-specific acknowledgments can be found in the Supplementary Note. The Center for Inherited Diseases Research (CIDR) Program contract number is HHSN268201200008I. This and the main consortium work were predominantly funded by 1X01HG006934-01 to G.R.A. and R01 EY022310 to J.L.H

South Coast Fjords 2023: Bay d’Espoir – White Bear Bay, 18th to the 26th of November 2023, RV Connor Murphy, Cruise ID: CM231118

Cruise report for the CM231118 expedition to Bay d’Espoir and White Bear Bay, NL, onboard the marine vessel Connor Murphy. This expedition (18th - 26th November 2023) funded by Fisheries and Ocean Canada under the “Coastal Environmental Baseline Program” collected baseline data to characterize the deep-water fauna of two fjords on the South Coast of the island of Newfoundland. This expedition consisted of 66 stations where scientific activities such as Van Veen grabs, drop video camera, CTD casts and multibeam surveys were conducted. All samples collected are also listed

Impacts of the Tropical Pacific/Indian Oceans on the Seasonal Cycle of the West African Monsoon

The current consensus is that drought has developed in the Sahel during the second half of the twentieth century as a result of remote effects of oceanic anomalies amplified by local land–atmosphere interactions. This paper focuses on the impacts of oceanic anomalies upon West African climate and specifically aims to identify those from SST anomalies in the Pacific/Indian Oceans during spring and summer seasons, when they were significant. Idealized sensitivity experiments are performed with four atmospheric general circulation models (AGCMs). The prescribed SST patterns used in the AGCMs are based on the leading mode of covariability between SST anomalies over the Pacific/Indian Oceans and summer rainfall over West Africa. The results show that such oceanic anomalies in the Pacific/Indian Ocean lead to a northward shift of an anomalous dry belt from the Gulf of Guinea to the Sahel as the season advances. In the Sahel, the magnitude of rainfall anomalies is comparable to that obtained by other authors using SST anomalies confined to the proximity of the Atlantic Ocean. The mechanism connecting the Pacific/Indian SST anomalies with West African rainfall has a strong seasonal cycle. In spring (May and June), anomalous subsidence develops over both the Maritime Continent and the equatorial Atlantic in response to the enhanced equatorial heating. Precipitation increases over continental West Africa in association with stronger zonal convergence of moisture. In addition, precipitation decreases over the Gulf of Guinea. During the monsoon peak (July and August), the SST anomalies move westward over the equatorial Pacific and the two regions where subsidence occurred earlier in the seasons merge over West Africa. The monsoon weakens and rainfall decreases over the Sahel, especially in August.Peer reviewe