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The addition of dicamba as a weed control option in soybean [Glycine max (L.) Merr.] is a valuable tool. However, this technology must be utilized with other herbicide sites of action (SOAs) to reduce selection pressure on weed communities and ensure its prolonged usefulness. A long-term trial was conducted for 7 yr in Indiana to evaluate weed community densities and species richness with four levels of dicamba selection pressure in a corn (Zea mays L.)–soybean rotation. Monocot densities and richness increased over time in the dicamba-reliant treatment. Dicot densities in the dicamba-reliant treatment declined over time, but dicot richness increased. The soil weed seedbank was affected by the varying herbicide strategies. The dicamba-reliant strategy had greater than 43% higher total weed density than all other treatments, primarily due to having a monocot density that was at least 71% higher than the other treatments. The fully diversified strategy with eight SOAs and residual herbicides used every year had the lowest total weed species richness in the soil seedbank, which supported the in-field observations.
Cognitive behavior therapy (CBT) is effective for most patients with a social anxiety disorder (SAD) but a substantial proportion fails to remit. Experimental and clinical research suggests that enhancing CBT using imagery-based techniques could improve outcomes. It was hypothesized that imagery-enhanced CBT (IE-CBT) would be superior to verbally-based CBT (VB-CBT) on pre-registered outcomes.
A randomized controlled trial of IE-CBT v. VB-CBT for social anxiety was completed in a community mental health clinic setting. Participants were randomized to IE (n = 53) or VB (n = 54) CBT, with 1-month (primary end point) and 6-month follow-up assessments. Participants completed 12, 2-hour, weekly sessions of IE-CBT or VB-CBT plus 1-month follow-up.
Intention to treat analyses showed very large within-treatment effect sizes on the social interaction anxiety at all time points (ds = 2.09–2.62), with no between-treatment differences on this outcome or clinician-rated severity [1-month OR = 1.45 (0.45, 4.62), p = 0.53; 6-month OR = 1.31 (0.42, 4.08), p = 0.65], SAD remission (1-month: IE = 61.04%, VB = 55.09%, p = 0.59); 6-month: IE = 58.73%, VB = 61.89%, p = 0.77), or secondary outcomes. Three adverse events were noted (substance abuse, n = 1 in IE-CBT; temporary increase in suicide risk, n = 1 in each condition, with one being withdrawn at 1-month follow-up).
Group IE-CBT and VB-CBT were safe and there were no significant differences in outcomes. Both treatments were associated with very large within-group effect sizes and the majority of patients remitted following treatment.
Matrix positivity is a central topic in matrix theory: properties that generalize the notion of positivity to matrices arose from a large variety of applications, and many have also taken on notable theoretical significance, either because they are natural or unifying. This is the first book to provide a comprehensive and up-to-date reference of important material on matrix positivity classes, their properties, and their relations. The matrix classes emphasized in this book include the classes of semipositive matrices, P-matrices, inverse M-matrices, and copositive matrices. This self-contained reference will be useful to a large variety of mathematicians, engineers, and social scientists, as well as graduate students. The generalizations of positivity and the connections observed provide a unique perspective, along with theoretical insight into applications and future challenges. Direct applications can be found in data analysis, differential equations, mathematical programming, computational complexity, models of the economy, population biology, dynamical systems and control theory.
The continental shelf edge of the NW Gulf of Mexico supports dozens of reefs and banks, including the West and East Flower Garden Banks (FGB) and Stetson Bank that comprise the Flower Garden Banks National Marine Sanctuary (FGBNMS). Discovered by fishermen in the early 1900s, the FGBs are named after the colourful corals, sponges and algae that dominate the region. The reefs and banks are the surface expression of underlying salt domes and provide important habitat for mesophotic coral ecosystems (MCE) and deep coral communities to 300 m depth. Since 2001, FGBNMS research teams have utilized remotely operated vehicles (e.g. ‘Phantom S2’, ‘Mohawk’, ‘Yogi’) to survey and characterize benthic habitats of this region. In 2016, a Draft Environmental Impact Statement proposed the expansion of the current sanctuary boundaries to incorporate an additional 15 reefs and banks, including Elvers Bank. Antipatharians (black corals) were collected within the proposed expansion sites and analysed using morphological and molecular methods. A new species, Distichopathes hickersonae, collected at 172 m depth on Elvers Bank, is described within the family Aphanipathidae. This brings the total number of black coral species in and around the sanctuary to 14.
Revolving Door Syndrome usually corresponds to what might be called “hospital multiple readmissions phenomenon”. Beyond consequences to the patients and their families, frequent re-readmissions also heavily increase healthcare cost and cause burn out among medical and paramedical staff.
The objective of this study was to find the characteristics of Tunisian patients with “revolving door” syndrome.
The purpose of this study was to identify factors associated to short-term readmissions in a sample of Tunisian patients with schizophrenia.
The authors conducted a retrospective study on 50 patients with schizophrenia or schizo-affective disorders from November to february 2009 in Razi Hospital's “Psychiatry C” service. Patients included in the study had been hospitalized at least 4 times. The patients were analyzed for socio-demographic characteristics, total readmissions and the number of admissions in the last year. Their medication adherence was evaluated by MARS (Medication Adherence Rating Scale) and their insight was evaluated by the Q8 scale.
The sample was composed of 50 patients with schizophrenia or schizo-affective disorders according to DSM-IV, more than 18 years of age, which have been hospitalized more than 4 times.
The sample was composed of 80% men. 74% of the sample was single and 66% were living with their parents. 88% were unemployed. 54% of patients were bad observers and 88% had lack of insight.
The authors found that the typical Tunisian revolving door patient is a single man, living at his parent's, unemployed and with a lack of observation skills and insight.
In a European, phase 3 study (SPD489-325), lisdexamfetamine dimesylate (LDX) and osmotic-release oral system methylphenidate (OROS-MPH) were more effective than placebo in improving core symptoms in children and adolescents with attention-deficit/hyperactivity disorder (ADHD).
Objectives and aims
To compare post hoc the efficacy of LDX and OROS-MPH in study SPD489-325.
This 7-week, randomized, double-blind, parallel-group, dose-optimized, placebo-controlled trial enrolled patients aged 6-17 years with ADHD of at least moderate severity. Patients were randomized (1:1:1) to receive a once-daily dose of LDX (30, 50, 70 mg/day), OROS-MPH (18, 36, 54 mg/day) or placebo. Efficacy was assessed using the ADHD Rating Scale version IV (ADHD-RS-IV) and the Clinical Global Impression-Improvement (CGI-I) scale. Endpoint was defined as the last ontherapy treatment visit with a valid assessment.
The full analysis set comprised 317 patients (LDX, n=104; placebo, n=106; OROS-MPH, n=107). The difference between LDX and OROS-MPH in least squares mean change (95% confidence interval [CI]) in ADHD-RS-IV total score from baseline to endpoint was statistically significant in favour of LDX (-5.6 [-8.4, -2.7]; p < 0.001; effect size, 0.541). The difference (LDX minus OROS-MPH) in the percentage of patients (95% CI) with an improved CGI-I score at endpoint was also statistically significant in favour of LDX (17.4 [5.0, 29.8]; p < 0.05).
This post hoc analysis indicated that LDX is significantly more effective than OROS-MPH in improving core symptoms and global functioning in children and adolescents with ADHD.