To monitor for drug-related cardiac arrhythmias, psychiatrists regularly perform and interpret 12-lead (12L) and, increasingly often, six-lead (6L) electrocardiograms (ECGs). It is not known how training on this complex skill is updated or how well psychiatrists can interpret relevant arrhythmias on either device.

We conducted an online survey and ECG interpretation test of cardiac rhythms relevant to psychiatrists.

A total of 183 prescribers took part; 75% did not regularly update their ECG interpretation skills, and only 22% felt confident in interpreting ECGs. Most participants were able to recognise normal ECGs. For both 6L and 12L ECGs, the majority of participants were able to recognise abnormal ECGs, but fewer than 50% were able to correctly identify relevant arrhythmias (complete heart block and long QTc). A small number prescribed in the presence of potentially fatal arrhythmias. These findings suggest a need for mandatory ECG interpretation training to improve safe prescribing practice.

Rice producers in the U.S. need effective herbicides to control problematic weeds. Previous research has demonstrated that acetochlor can provide in-season weed control in rice; however, undesirable injury is common. Thus, trials were initiated in 2020 and 2021 to evaluate 1) rice cultivar tolerance to microencapsulated (ME) acetochlor with the use of a fenclorim seed treatment at 2.5 g ai kg-1 of seed, 2) a dose-response of a fenclorim seed treatment with ME acetochlor, and 3) rice tolerance to fenclorim and ME acetochlor under cool, wet conditions. For all trials, acetochlor was applied delayed-preemergence (4 to 7 days after planting). In the dose-response trials and in the presence of acetochlor, the fenclorim seed treatment rate of 2.5 g ai kg-1 reduced rice injury and increased rice plant heights and shoot numbers relative to acetochlor without fenclorim and was comparable to the nontreated control in all evaluations. In the cultivar screening, 14 of 16 cultivars exhibited < 20% injury with acetochlor at 1,260 g ai ha-1 and fenclorim at 2.5 g ai kg-1 2 weeks after emergence (WAE) at the Pine Tree Research Station (PTRS). At the Rice Research and Extension Center (RREC) 2 and 4 WAE and PTRS 4 WAE, all cultivars exhibited < 20% injury with acetochlor and fenclorim. The fenclorim seed treatment in the presence of acetochlor provided comparable rice plant height, shoot numbers, groundcover, and rough rice yield to the nontreated control. Under cool, wet conditions, rice injury without fenclorim ranged from 15 to 60% with acetochlor at 1,050 g ai ha-1, while injury from acetochlor with the fenclorim seed treatment ranged from 0 to 20%. Based on the results of these experiments, the fenclorim seed treatment appears to safen an assortment of rice cultivars from injury caused by ME acetochlor.

Many problematic weeds have evolved resistance to herbicides in mid-southern U.S. rice fields. With the lack of new effective herbicides, rice producers seek alternatives that are currently not labeled for rice production. Inhibitors of very-long chain fatty acid elongase (VLCFA) are currently not labeled for use with U.S. rice crops but are labeled for use in other U.S. row cropping systems and rice production in Asia. Previous research has demonstrated the utility of VLCFA inhibitors for weed control in rice; however, these herbicides induce variable amounts of injury to the crop when applied early in the growing season. Experiments were initiated in 2020 and 2021 at the Rice Research and Extension Center near Stuttgart, AR, to evaluate rice tolerance and weed control with acetochlor and seed treatment with a herbicide safener, fenclorim. Three rates of a microencapsulated formulation of acetochlor (630, 1,260, and 1,890 g ai ha−1), four application timings (preemergence, PRE; delayed-preemergence, DPRE; spiking; and 1-leaf), and without or with the fenclorim seed treatment (2.5 g kg−1 of seed) were used to evaluate rice tolerance, weedy rice control, and barnyardgrass control. Acetochlor applied DPRE at 1,260 g ai ha−1 provided better weedy rice and barnyardgrass control than applications at the 1-leaf stage at the same rate. Acetochlor rates of 1,260 and 1,890 g ai ha−1 reduced barnyardgrass and weedy rice densities by more greater than the 630 g ai ha−1 rate. The fenclorim seed treatment did not influence weedy rice or barnyardgrass control but did reduce injury for DPRE acetochlor applications. Based on these results, acetochlor can be safely applied to rice DPRE (≤19% injury) at 1,260 g ai ha−1 when the seed is treated with fenclorim, leading to ≥88% barnyardgrass and ≥45% weedy rice control 28 d after treatment.

Ligamentous atresia of the left side of a double arch distal to the left subclavian artery is a rare form of vascular ring, which can easily be confused, on transthoracic echocardiography, with the right-sided aortic arch when there is mirror-imaged branching. Because of its rapid acquisition, computed tomographic angiography with three-dimensional reconstruction has now become the modality of choice for accurate diagnosis of the various forms of double aortic arch. It can be performed without sedation in any age group, including neonates. It provides excellent visualisation of the aortic arch and its branching pattern, thus permitting accurate diagnosis and surgical planning. We present a case series of six children with this rare vascular ring assessed using CT, highlighting their outcomes.

High-resolution, long-time three-dimensional simulations are presented for slow, pressure-driven flow of a periodic emulsion of deformable drops through a dense, simple cubic array of solid spheres (one drop and one particle per periodic cell). The drops, covered with insoluble, non-diffusive surfactant, are large compared with pores, and they squeeze with high resistance, very closely coating the solids to overcome surface tension and lubrication effects. The solid volume fraction is 50 %, the emulsion concentration $c_{em}$ in the pore space is 36 % or 50 %, the drop-to-medium viscosity ratio $\lambda$ is 0.25 to 4. The contamination measure $\beta \leq 0.1$ keeps the linear surfactant model (assumed in most of the work) physically relevant. The boundary-integral solution requires extreme resolutions (tens of thousands of boundary elements per surface) achieved by multipole acceleration with special desingularizations, combined with flow-biased surfactant transport algorithms for numerical stability. The time-periodic regime is typically attained after a few squeezing cycles; the motion period is used in the extrapolation scheme to evaluate critical capillary numbers $Ca_{crit}$ demarcating squeezing from trapping. Due to Marangoni stresses, even light ($\beta =0.05$) to moderate ($\beta =0.1$) contaminations significantly reduce the average drop-phase migration velocity (up to 2.8 times, compared with clean drops), especially at small $\lambda =0.25$. In contrast, $Ca_{crit}$ is weakly sensitive to contamination and levels off completely at $\beta =0.05$. At $\lambda =0.25$ and $c_{em}=0.36$, the average drop-phase velocities are much different for lightly and moderately contaminated emulsions, except for near-critical squeezing when they become the same. Nonlinear surfactant models (Langmuir, Frumkin) are used to validate the linear model.

Tricuspid atresia with common arterial trunk is a very rare association in complex CHD. This association has even more infrequently been documented concomitantly with interrupted aortic arch. We present the diagnosis and initial surgical management of an infant with a fetal diagnosis of tricuspid atresia and common arterial trunk, with additional postnatal finding of interrupted aortic arch with interruption between the left common carotid and left subclavian artery. Due to the infant’s small size, she was initially palliated with bilateral pulmonary artery bands and a ductal stent. This was followed by septation of the common arterial trunk and interrupted aortic arch repair and 4 mm right subclavian artery to main pulmonary artery shunt placement at two months of age. She was discharged home on day of life 81.

Individuals with autism spectrum disorder (ASD) struggle accessing psychotherapy services for comorbidities, including anxiety-, depressive- and obsessive-compulsive disorders (OCD). Apart from cognitive behavioural therapy (CBT) for anxiety in children with ASD, it is unclear whether psychotherapy is effective for these comorbid disorders.

We therefore systematically reviewed any form of psychotherapy for co-occurring symptoms of anxiety, depression and OCD in individuals with ASD.

Database searches were conducted until February 2022 using EMBASE, PsycINFO and PubMed. Randomised controlled trials (RCT) were included investigating any form of psychotherapy for symptoms of anxiety, depression and OCD in individuals with ASD. Summary data were extracted, and random-effects meta-analyses were conducted.

For CBT 26 RCTs (n = 1251), and for social skills training (SST) 11 RCTs (n = 475) met criteria for inclusion. Pooled effect sizes indicated a moderate reduction of anxiety in children (g = −0.70) and a small reduction of depressive symptoms in adults (g = −0.39). For SST overall effect sizes were small for reduction of anxiety in children (g = −0.35) and adults (g = −0.34) and moderate for reduction of depressive symptoms in children (g = −0.50). Risk of bias was high in 18, moderate in 16 and low in 3 RCTs.

Our results provide new and age-specific evidence that: (1) CBT is effective for reducing anxiety in children and to a lesser extent for depressive symptoms in adults with ASD; and (2) social skills interventions are effective for reducing anxiety in children and adults and for depressive symptoms in children with ASD.

The New York Bight is undergoing rapid anthropogenic change amidst an apparent increase in baleen whale sightings. Though survey efforts have increased in recent years, the lack of published knowledge on baleen whale occurrence prior to these efforts impedes effective assessments of distributional or behavioural shifts due to increasing human activities. Here we synthesize opportunistic sightings of baleen whales from 1998–2017, which represent the majority of sightings data prior to recent survey efforts, and which are largely unpublished. Humpback and fin whales were the most commonly sighted species, followed by North Atlantic right whales and North Atlantic minke whales. Important behaviours such as feeding and nursing were observed, and most species (including North Atlantic right whales) were seen during all seasons. Baleen whales overlapped with multiple anthropogenic use areas, and all species, but of particular importance North Atlantic right whales, were sighted outside the spatial and temporal bounds of the Seasonal Management Areas for North Atlantic right whales. These opportunistic data are vital for providing a baseline and context of baleen whales in the New York Bight prior to broad-scale efforts and facilitate interpretation of current and future observations and trends, which can more accurately inform effective management and mitigation efforts.