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Identifying risk factors of individuals in a clinical-high-risk state for psychosis are vital to prevention and early intervention efforts. Among prodromal abnormalities, cognitive functioning has shown intermediate levels of impairment in CHR relative to first-episode psychosis and healthy controls, highlighting a potential role as a risk factor for transition to psychosis and other negative clinical outcomes. The current study used the AX-CPT, a brief 15-min computerized task, to determine whether cognitive control impairments in CHR at baseline could predict clinical status at 12-month follow-up.
Baseline AX-CPT data were obtained from 117 CHR individuals participating in two studies, the Early Detection, Intervention, and Prevention of Psychosis Program (EDIPPP) and the Understanding Early Psychosis Programs (EP) and used to predict clinical status at 12-month follow-up. At 12 months, 19 individuals converted to a first episode of psychosis (CHR-C), 52 remitted (CHR-R), and 46 had persistent sub-threshold symptoms (CHR-P). Binary logistic regression and multinomial logistic regression were used to test prediction models.
Baseline AX-CPT performance (d-prime context) was less impaired in CHR-R compared to CHR-P and CHR-C patient groups. AX-CPT predictive validity was robust (0.723) for discriminating converters v. non-converters, and even greater (0.771) when predicting CHR three subgroups.
These longitudinal outcome data indicate that cognitive control deficits as measured by AX-CPT d-prime context are a strong predictor of clinical outcome in CHR individuals. The AX-CPT is brief, easily implemented and cost-effective measure that may be valuable for large-scale prediction efforts.
Stellarators are a promising route to steady-state fusion power. However, to achieve the required confinement, the magnetic geometry must be highly optimized. This optimization requires navigating high-dimensional spaces, often necessitating the use of gradient-based methods. The gradient of the neoclassical fluxes is expensive to compute with classical methods, requiring
flux computations, where
is the number of parameters. To reduce the cost of the gradient computation, we present an adjoint method for computing the derivatives of moments of the neoclassical distribution function for stellarator optimization. The linear adjoint method allows derivatives of quantities which depend on solutions of a linear system, such as moments of the distribution function, to be computed with respect to many parameters from the solution of only two linear systems. This reduces the cost of computing the gradient to the point that the finite-collisionality neoclassical fluxes can be used within an optimization loop. With the neoclassical adjoint method, we compute solutions of the drift kinetic equation and an adjoint drift kinetic equation to obtain derivatives of neoclassical quantities with respect to geometric parameters. When the number of parameters in the derivative is large (
), this adjoint method provides up to a factor of 200 reduction in cost. We demonstrate adjoint-based optimization of the field strength to obtain minimal bootstrap current on a surface. With adjoint-based derivatives, we also compute the local sensitivity to magnetic perturbations on a flux surface and identify regions where tight tolerances on error fields are required for control of the bootstrap current or radial transport. Furthermore, the solve for the ambipolar electric field is accelerated using a Newton method with derivatives obtained from the adjoint method.
Prior research has shown that person-level characteristics (e.g., temperament, personality) correlate and interact with social-contextual factors (e.g., parent–child relationship quality, antisocial peer affiliation) to predict adolescent substance use, but less research has examined similar processes for adult substance use problems. We addressed this gap by testing for personality × romantic partner context interplay in relation to symptoms of alcohol use disorder (AUD) at ages 24 and 29. Participants were twins in the longitudinal Minnesota Twin Family Study (N = 2,769; 52% female). Results support the corresponsive principle of personality in that we found that key personality traits in late adolescence (low constraint, negative emotionality) predicted subsequent “selection” into key social contexts in early adulthood (poorer quality romantic relationships and greater romantic partner alcohol use), which subsequently reinforced those traits and associated outcomes (including correlated AUD symptoms) through late young adulthood. There were few meaningful gender differences in these associations. There was also no support for the personality × romantic partner context interaction as a significant predictor of AUD symptoms at ages 24 or 29. Taken together with prior studies, these results suggest that such interactions may be less relevant to the development of young adult AUD compared to adolescent substance use problems.
We describe the design and deployment of GREENBURST, a commensal Fast Radio Burst (FRB) search system at the Green Bank Telescope. GREENBURST uses the dedicated L-band receiver tap to search over the 960–1 920 MHz frequency range for pulses with dispersion measures out to
. Due to its unique design, GREENBURST is capable of conducting searches for FRBs when the L-band receiver is not being used for scheduled observing. This makes it a sensitive single pixel detector capable of reaching deeper in the radio sky. While single pulses from Galactic pulsars and rotating radio transients will be detectable in our observations, and will form part of the database we archive, the primary goal is to detect and study FRBs. Based on recent determinations of the all-sky rate, we predict that the system will detect approximately one FRB for every 2–3 months of continuous operation. The high sensitivity of GREENBURST means that it will also be able to probe the slope of the FRB fluence distribution, which is currently uncertain in this observing band.
Little is known about prescribers’ attitudes regarding clinical nurses and antimicrobial stewardship. We conducted focus groups of prescribers and inquired about attitudes regarding nurses and stewardship. During 6 focus groups, prescribers were receptive to nursing involvement in stewardship activities, but noted structural barriers and knowledge gaps that should be addressed.
Synthetic-auxin herbicides are often applied for horseweed control before soybean planting. However, certain days of planting interval must be maintained before soybean planting, depending on the product and rate used, because of potential crop phytotoxicity. Halauxifen-methyl is a new synthetic-auxin herbicide for horseweed control in preplant applications in soybean. Field experiments were conducted in 2015 and 2016 in Indiana to evaluate soybean phytotoxicity in response to applications of halauxifen-methyl (5 g ae ha−1) at five preplant intervals (0, 1, 2, 3, and 4 weeks before planting [WBP]). In 2015, soybean phytotoxicity was not observed for any of the preplant intervals at any of the sites. In 2016, 0% to 15% phytotoxicity was observed at 14 d after planting (DAP) when halauxifen-methyl was applied at planting, 1 WBP, and 2 WBP at different sites. Soybean phytotoxicity was expressed in the unifoliate leaves only at 14 DAP. However, the first trifoliate did not show any injury symptoms at 21 DAP from any preplant application timing. Preplant application intervals for halauxifen-methyl did not affect soybean stand counts or grain yield in any site-year. Therefore, field results indicated that halauxifen-methyl applied alone can cause slight soybean phytotoxicity in preplant applications. In growth-chamber bioassays, reductions in soybean biomass, plant length, and emergence were accentuated at 30 C, compared with 20 or 15 C, when halauxifen-methyl was applied at 20 or 40 g ae ha−1. These results contradict the currently held paradigm in which lower temperatures generally increase crop phytotoxicity levels to herbicide soil residual.
We apply two methods to estimate the 21-cm bispectrum from data taken within the Epoch of Reionisation (EoR) project of the Murchison Widefield Array (MWA). Using data acquired with the Phase II compact array allows a direct bispectrum estimate to be undertaken on the multiple redundantly spaced triangles of antenna tiles, as well as an estimate based on data gridded to the uv-plane. The direct and gridded bispectrum estimators are applied to 21 h of high-band (167–197 MHz; z = 6.2–7.5) data from the 2016 and 2017 observing seasons. Analytic predictions for the bispectrum bias and variance for point-source foregrounds are derived. We compare the output of these approaches, the foreground contribution to the signal, and future prospects for measuring the bispectra with redundant and non-redundant arrays. We find that some triangle configurations yield bispectrum estimates that are consistent with the expected noise level after 10 h, while equilateral configurations are strongly foreground-dominated. Careful choice of triangle configurations may be made to reduce foreground bias that hinders power spectrum estimators, and the 21-cm bispectrum may be accessible in less time than the 21-cm power spectrum for some wave modes, with detections in hundreds of hours.
Parental characteristics and practices predict borderline personality disorder (BPD) symptoms in children. However, it is difficult to disentangle whether these effects are genetically or environmentally mediated. The present study examines the contributions of genetic and environmental influences by comparing the effects of familial risk factors (i.e. parental psychopathology and borderline traits, maladaptive parenting, marital discord) on child BPD traits in genetically related (biological) and non-related (adoptive) families.
Data are from 409 adoptive and 208 biological families who participated in the Siblings Interaction and Behavior Study (SIBS) and 580 twin families the Minnesota Twin Family Study (MTFS). Parent characteristics and practices included parental psychopathology (measured via structured clinical interviews), parental BPD traits, parenting behaviors, and marital discord. A series of multi-level regression models were estimated to examine the relationship of familial risk factors to child BPD traits and to test whether children's adoptive status moderated the association.
Symptom counts of parents' conduct disorder, adult antisocial behavior, nicotine, alcohol, and illicit drug dependence, and paternal BPD traits substantially predicted child BPD traits only in biological offspring, implying genetic transmission. Maternal BPD traits and both maternal and paternal conflict, lack of regard, and lack of involvement predicted offspring BPD traits regardless of the adoptive status, implying environmental transmission.
Parental externalizing psychopathology and father's BPD traits contribute genetic risk for offspring BPD traits, but mothers' BPD traits and parents' poor parenting constitute environmental risks for the development of these offspring traits.
To sustainably improve cleaning of high-touch surfaces (HTSs) in acute-care hospitals using a multimodal approach to education, reduction of barriers to cleaning, and culture change for environmental services workers.
The study was conducted in 2 academic acute-care hospitals, 2 community hospitals, and an academic pediatric and women’s hospital.
Frontline environmental services workers.
A 5-module educational program, using principles of adult learning theory, was developed and presented to environmental services workers. Audience response system (ARS), videos, demonstrations, role playing, and graphics were used to illustrate concepts of and the rationale for infection prevention strategies. Topics included hand hygiene, isolation precautions, personal protective equipment (PPE), cleaning protocols, and strategies to overcome barriers. Program evaluation included ARS questions, written evaluations, and objective assessments of occupied patient room cleaning. Changes in hospital-onset C. difficile infection (CDI) and methicillin-resistant S. aureus (MRSA) bacteremia were evaluated.
On average, 357 environmental service workers participated in each module. Most (93%) rated the presentations as ‘excellent’ or ‘very good’ and agreed that they were useful (95%), reported that they were more comfortable donning/doffing PPE (91%) and performing hand hygiene (96%) and better understood the importance of disinfecting HTSs (96%) after the program. The frequency of cleaning individual HTSs in occupied rooms increased from 26% to 62% (P < .001) following the intervention. Improvement was sustained 1-year post intervention (P < .001). A significant decrease in CDI was associated with the program.
A novel program that addressed environmental services workers’ knowledge gaps, challenges, and barriers was well received and appeared to result in learning, behavior change, and sustained improvements in cleaning.
Though theory suggests that individual differences in neuroticism (a tendency to experience negative emotions) would be associated with altered functioning of the amygdala (which has been linked with emotionality and emotion dysregulation in childhood, adolescence, and adulthood), results of functional neuroimaging studies have been contradictory and inconclusive. We aimed to clarify the relationship between neuroticism and three hypothesized neural markers derived from functional magnetic resonance imaging during negative emotion face processing: amygdala activation, amygdala habituation, and amygdala-prefrontal connectivity, each of which plays an important role in the experience and regulation of emotions. We used general linear models to examine the relationship between trait neuroticism and the hypothesized neural markers in a large sample of over 500 young adults. Although neuroticism was not significantly associated with magnitude of amygdala activation or amygdala habituation, it was associated with amygdala–ventromedial prefrontal cortex connectivity, which has been implicated in emotion regulation. Results suggest that trait neuroticism may represent a failure in top-down control and regulation of emotional reactions, rather than overactive emotion generation processes, per se. These findings suggest that neuroticism, which has been associated with increased rates of transdiagnostic psychopathology, may represent a failure in the inhibitory neurocircuitry associated with emotion regulation.
Accelerating innovation translation is a priority for improving healthcare and health. Although dissemination and implementation (D&I) research has made significant advances over the past decade, it has attended primarily to the implementation of long-standing, well-established practices and policies. We present a conceptual architecture for speeding translation of promising innovations as candidates for iterative testing in practice. Our framework to Design for Accelerated Translation (DART) aims to clarify whether, when, and how to act on evolving evidence to improve healthcare. We view translation of evidence to practice as a dynamic process and argue that much evidence can be acted upon even when uncertainty is moderately high, recognizing that this evidence is evolving and subject to frequent reevaluation. The DART framework proposes that additional factors – demand, risk, and cost, in addition to the evolving evidence base – should influence the pace of translation over time. Attention to these underemphasized factors may lead to more dynamic decision-making about whether or not to adopt an emerging innovation or de-implement a suboptimal intervention. Finally, the DART framework outlines key actions that will speed movement from evidence to practice, including forming meaningful stakeholder partnerships, designing innovations for D&I, and engaging in a learning health system.
Carrier water pH is an important factor for enhancing herbicide efficacy. Coapplying agrochemical products with the herbicide might save time and resources; however, the negative effect of foliar fertilizers on herbicide efficacy should be thoroughly evaluated. In greenhouse studies, the effect of carrier water pH (4, 6.5, and 9), foliar fertilizer (zinc [Zn], manganese [Mn], or without fertilizer), and ammonium sulfate (AMS) at 0% or 2.5% vol/vol was evaluated on 2,4-D and premixed 2,4-D plus glyphosate efficacy for giant ragweed, horseweed, and Palmer amaranth control. In addition, a field study was conducted to evaluate the effect of carrier water pH (4, 6.5, and 9); and Zn or Mn foliar fertilizer on premixed 2,4-D plus glyphosate efficacy for horseweed and Palmer amaranth control. In the greenhouse study, 2,4-D and premixed 2,4-D plus glyphosate provided 5% greater weed control at acidic compared with alkaline carrier water pH. Coapplied Mn foliar fertilizer reduced 2,4-D and premixed 2,4-D plus glyphosate efficacy at least 5% for weed control. Addition of AMS enhanced 2,4-D and premixed 2,4-D plus glyphosate efficacy at least 6% for giant ragweed, horseweed, and Palmer amaranth control. In the field study, few significant differences occurred between coapplied Zn or Mn foliar fertilizer for any treatment variables. Therefore, carrier water pH, coapplied foliar fertilizer, and water-conditioning adjuvants have potential to influence herbicide performance. However, weed species could play a role in the differential response of these factors on herbicide efficacy.