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Iraq and Afghanistan Veterans with posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) history have high rates of performance validity test (PVT) failure. The study aimed to determine whether those with scores in the invalid versus valid range on PVTs show similar benefit from psychotherapy and if psychotherapy improves PVT performance.
Method:
Veterans (N = 100) with PTSD, mild-to-moderate TBI history, and cognitive complaints underwent neuropsychological testing at baseline, post-treatment, and 3-month post-treatment. Veterans were randomly assigned to cognitive processing therapy (CPT) or a novel hybrid intervention integrating CPT with TBI psychoeducation and cognitive rehabilitation strategies from Cognitive Symptom Management and Rehabilitation Therapy (CogSMART). Performance below standard cutoffs on any PVT trial across three different PVT measures was considered invalid (PVT-Fail), whereas performance above cutoffs on all measures was considered valid (PVT-Pass).
Results:
Although both PVT groups exhibited clinically significant improvement in PTSD symptoms, the PVT-Pass group demonstrated greater symptom reduction than the PVT-Fail group. Measures of post-concussive and depressive symptoms improved to a similar degree across groups. Treatment condition did not moderate these results. Rate of valid test performance increased from baseline to follow-up across conditions, with a stronger effect in the SMART-CPT compared to CPT condition.
Conclusion:
Both PVT groups experienced improved psychological symptoms following treatment. Veterans who failed PVTs at baseline demonstrated better test engagement following treatment, resulting in higher rates of valid PVTs at follow-up. Veterans with invalid PVTs should be enrolled in trauma-focused treatment and may benefit from neuropsychological assessment after, rather than before, treatment.
A large number of hydrodynamic pulsation models are converged in the first overtone, and their mean properties compared with observations of RRc stars in six globular clusters. The two observed quantities, period and Fourier parameter ϕ31, lead, via the models, to inferred values for mean mass, luminosity and temperature of the RRc sample in each cluster. We find a narrow range in intracluster RRc luminosity and temperature, but a wider range in mass. At the same time, the intercluster spread is wide in all three parameters. A full discussion of our techniques and results will be given elsewhere (Simon and Clement, in preparation).
The level scheme and electromagnetic properties of 148Pm have been studied using 149Sm(d, 3He) and 148Nd(p, nγ) reactions. Combining these measurements with estimates for E2/M1 decay branching ratios leads to the tentative conclusion that 148Pmg,m are in thermal equilibrium during the s-process. The branch at 148Pm then leads to an inferred s-process neutron density of 3 × 108 cm−3.
Prenatal maternal obesity has been linked to adverse childhood neuropsychiatric outcomes, including increased symptoms of attention deficit hyperactivity disorder (ADHD), internalizing and externalizing problems, affective disorders and neurodevelopmental problems but few studies have studied neuropsychiatric outcomes among offspring born to very severely obese women or assessed potential familial confounding by maternal psychological distress.
Method
We evaluated neuropsychiatric symptoms in 112 children aged 3–5 years whose mothers had participated in a longitudinal study of obesity in pregnancy (50 very severe obesity, BMI ⩾40 kg/m2, obese class III and 62 lean, BMI 18.5–25 kg/m2). The mothers completed the Conners’ Hyperactivity Scale, Early Symptomatic Syndrome Eliciting Neurodevelopmental Clinical Examination Questionnaire (ESSENCE-Q), Child's Sleep Habits Questionnaire (CSHQ), Strengths and Difficulties Questionnaire (SDQ), and Child Behavior Checklist (CBCL) to assess child neuropsychiatric symptoms. Covariates included child's sex, age, birthweight, gestational age, socioeconomic deprivation levels, maternal age, parity, smoking status during pregnancy, gestational diabetes and maternal concurrent symptoms of anxiety and depression assessed using State Anxiety of Spielberger State-Trait Anxiety Index (STAI) and General Health Questionnaire (GHQ), respectively.
Results
Children exposed to prenatal maternal very severe obesity had significantly higher scores in the Conners’ Hyperactivity Scale; ESSENCE-Q; total sleep problems in CSHQ; hyperactivity, conduct problems and total difficulties scales of the SDQ; higher externalizing and total problems, anxious/depressed, aggressive behaviour and other problem syndrome scores and higher DSM-oriented affective, anxiety and ADHD problems in CBCL. Prenatal maternal very severe obesity remained a significant predictor of child neuropsychiatric problems across multiple scales independent of demographic factors, prenatal factors and maternal concurrent symptoms of anxiety and depression.
Conclusions
Prenatal maternal very severe obesity is a strong predictor of increased neuropsychiatric problems in early childhood.
It is well known that 14C dating of fossil bone with seriously depleted protein levels, or bone that has been consolidated with preservatives, can produce erroneous results. In the tropics, warm and moist soil conditions lead to constant reworking of organic matter and add to the danger of bone contamination. Because of this, 14C dating of preservative-impregnated bone from such areas has rarely been successful. We report here a set of AMS dates on both unconsolidated animal bone and polyvinyl acetate/polyvinyl alcohol (PVA/PV-OH) impregnated human burials from the Maya site of Cuello, Belize. The steps needed to purify the samples are described, together with details on the use of qualitative infra-red (IR) spectra as a means of assessing sample purity.
Objective: Idiopathic normal pressure hydrocephalus (INPH) is a neurological disorder presenting with gait, cognitive, and bladder symptoms in the context of ventricular enlargement. Although gait is the primary indicator for treatment candidacy and outcome, additional monitoring tools are needed. Line Tracing Test (LTT) and Serial Dotting Test (SDT), two psychomotor tasks, have been introduced as potential outcome measures but have not been widely studied. This preliminary study examined whether LTT and SDT are sensitive to motor dysfunction in INPH and determined if accuracy and time are important aspects of performance. Methods: Eighty-four INPH subjects and 36 healthy older adults were administered LTT and SDT. Novel error scoring procedures were developed to make scoring practical and efficient; interclass correlation showed good reliability of scoring procedures for both tasks (0.997; p<.001). Results: The INPH group demonstrated slower performance on SDT (p<.001) and made a greater number of errors on both tasks (p<.001). Combined Time/Error scores revealed poorer performance in the INPH group for original-LTT (p<.001), modified-LTT (p≤.001) and SDT (p<.001). Conclusions: These findings indicate LTT and SDT may prove useful for monitoring psychomotor skills in INPH. While completion time reflects impaired processing speed, reduced accuracy may suggest planning and self-monitoring difficulties, aspects of executive functioning known to be compromised in INPH. This is the first study to underscore the importance of performance accuracy in INPH and introduce practical/reliable error scoring for these tasks. Future work will establish reliability and validity of these measures and determine their utility as outcome tools. (JINS, 2016, 22, 341–349)
We mapped the distribution of 6 cm H2CO (110→111) absorption against the HII regions DR21 and W58 with an angular resolution of 6″8 (RA) and a velocity resolution of 0.73 km s-1. The Westerbork SRT was used with the newly completed 5120 channel digital line receiver. With all 14 telescopes, a maximum baseline of 1440 m, both linear polarizations and a bandwidth per channel of 10 kHz the rms noise in the channel maps was about 7 K. The goal of this work is to measure scale sizes of H2CO in molecular clouds near HII regions and to study the kinematics of the clouds in the molecular line.
Both maternal obesity and disordered mood have adverse effects on pregnancy outcome. We hypothesized that maternal very severe obesity (SO) is associated with increased anxiety and depression (A&D) symptoms during pregnancy, with adverse effects on gestational weight gain (GWG), postpartum mood and postpartum weight retention (PPWR) and explored any mediation by circulating glucocorticoids.
Method.
We measured A&D symptoms with validated questionnaires at weeks 17 and 28 of pregnancy and 3 months postpartum in 135 lean [body mass index (BMI) ⩽25 kg/m2] and 222 SO (BMI ⩾40 kg/m2) pregnant women. Fasting serum cortisol was measured by radioimmunoassay; GWG and PPWR were recorded.
Results.
A&D symptoms were higher in the SO group during pregnancy and postpartum despite adjusting for multiple confounders including previous mental health diagnosis (p < 0.05), and were non-linearly correlated with total GWG (anxiety R2 = 0.06, p = 0.037; depression R2 = 0.09, p = 0.001). In the SO group only, increased maternal anxiety (β = 0.33, p = 0.03) and depression (β = 0.19, p = 0.04) symptoms at week 17 of pregnancy were associated with increased PPWR, independent of total GWG and breastfeeding. Anxiety symptoms at week 28 of pregnancy, but not depression, were non-linearly correlated with serum cortisol level at week 36 of pregnancy (R2 = 0.06, p = 0.02). Cortisol did not mediate the link between A&D symptoms and GWG.
Conclusions.
Maternal SO was associated with increased A&D symptoms, and with adverse effects on GWG and PPWR independent of circulating glucocorticoids. Strategies to optimize GWG and postpartum weight management in SO women should include assessment and management of maternal mood in early pregnancy.
Developing management strategies for invasive plant species requires identifying effective treatment methods (e.g., physical or chemical treatments) and optimally timing their application. For invasive annual plants, effects of treatments on seed production and germinability are paramount to reduce seed banks and subsequent plant establishment. We compared effects of a range of physical and chemical treatments applied to plants containing seeds at different developmental stages at field sites in the Mojave Desert (Nevada and Arizona) for managing the exotic annual forb, African mustard. Effectiveness of physical treatments (hand pulling entire plants, breaking plants, or separating siliques from plants) for reducing African mustard seed size and germination varied by treatment and seed maturity stage at which treatments were applied. With all treated plant material remaining in the field (i.e., not bagged and transported off site), hand pulling or breaking plants resulted in 90 to 100% of developing and developed seeds still able to germinate. Separating siliques from plants, however, resulted in 0% germination of undeveloped and developing seeds. All three tested herbicides (glyphosate, 2,4-D, and metsulfuron) reduced germination to zero or near zero across all seed development stages. Results suggest that physical treatments are most effective at early stages of seed development, whereas several different herbicides are effective across seed developmental stages. Results also highlight the importance of considering the potential for continued seed development and germinability on treated plant material when choosing invasive plant treatment types and timing.
Using data from a large-scale three-dimensional simulation of supersonic isothermal turbulence, we have tested the validity of an exact flux relation derived analytically from the Navier–Stokes equation by Falkovich, Fouxon & Oz (J. Fluid Mech., vol. 644, 2010, p. 465). That relation, for compressible barotropic fluids, was derived assuming turbulence generated by a large-scale force. However, compressible turbulence in simulations is usually initialized and maintained by a large-scale acceleration, as in gravity-driven astrophysical flows. We present a new approximate flux relation for isothermal turbulence driven by a large-scale acceleration, and find it in reasonable agreement with the simulation results.