Disorder and interactions in one-dimensional systems

Published versio

Functional network changes and cognitive control in schizophrenia

Cognitive control is a cognitive and neural mechanism that contributes to managing the complex demands of day-to-day life. Studies have suggested that functional impairments in cognitive control associated brain circuitry contribute to a broad range of higher cognitive deficits in schizophrenia. To examine this issue, we assessed functional connectivity networks in healthy adults and individuals with schizophrenia performing tasks from two distinct cognitive domains that varied in demands for cognitive control, the RiSE episodic memory task and DPX goal maintenance task. We characterized general and cognitive control-specific effects of schizophrenia on functional connectivity within an expanded frontal parietal network (FPN) and quantified network topology properties using graph analysis. Using the network based statistic (NBS), we observed greater network functional connectivity in cognitive control demanding conditions during both tasks in both groups in the FPN, and demonstrated cognitive control FPN specificity against a task independent auditory network. NBS analyses also revealed widespread connectivity deficits in schizophrenia patients across all tasks. Furthermore, quantitative changes in network topology associated with diagnostic status and task demand were observed. The present findings, in an analysis that was limited to correct trials only, ensuring that subjects are on task, provide critical insights into network connections crucial for cognitive control and the manner in which brain networks reorganize to support such control. Impairments in this mechanism are present in schizophrenia and these results highlight how cognitive control deficits contribute to the pathophysiology of this illness

Maine’s Gubernatorial Candidates Present Their Positions on Health Care Reform

Few issues have dominated the public policy agenda in the last decade as health care reform has in 1994. Although health care reform is stalled in Congress at this writing, it is not an issue that will exit the public stage quickly or quietly. Mainefaces many of the problems that have spurred the national health care debate. The state has made some attempts to address these through public policy. But larger health care issues remain unresolved and the next governor will most certainly play a major role in addressing those issues. Maine Policy Review invited the four major candidates seeking to become the state’s next chief executive to present their views on health care reform for publication in this issue. Three of the four candidates, Jonathan Carter, Susan Collins and Angus King, responded to that invitation. Their statements on health care reform are presented in this articl

ESTUDO LONGITUDINAL DE FATORES QUE AFETAM O RISCO DE FRATURA POR ESTRESSE EM DUAS POPULAÇÕES DE COLEGIAIS DO SEXO FEMININO

Objetivos: As fraturas por estresse causam significante morbidade em mulheres. Diferenças no nível de atividades, valores hormonais e densidade mineral óssea (BMD) afetam diferentemente as taxas de fraturas por estresse. Os autores hipotetizaram que mulheres de um Colégio militar terão maior nível de atividade do que mulheres em colégios com um ambiente mais flexível, que correlacionará com mudanças nos valores hormonais, menor (BMD) e mais fraturas por estresse. Método: Nesse estudo prospectivo comparativo, 63 mulheres de duas Instituições (The Citadel: The Military College Of South Carolina And The College Of Cherleston) relataram detalhadamente suas atividades, dieta e lesões através de um questionário e tiveram sua BMB e os valores hormonais séricos medidos num intervalo de 06 meses, por um período de 2 anos; 38 sujeitos completaram o estudo. A análise estatística examinou diferenças e mudanças ao longo do tempo entre as duas amostras.Resultados: Uma fratura por estresse ocorreu em cada Instituição. As mulheres do Citadel tiveram maiores níveis de atividade, que as mulheres do College of Charleston no longo do estudo. As mulheres do Citadel tiveram menor nível de hormônio folículo estimulante, maior 17 Beta-Estradiol aos 24 meses e maior BMD na extremidade proximal femoral aos 18 meses da investigação (p< 0,05). Conclusões: Os valores séricos hormonais podem ser um indicador mais sensível de resposta ao nível da atividade física que o BMD dentro da amostra e duração deste estudo. Outros estudos são necessários para definir esta complexa interrelação. LONGITUDINAL STUDY OF FACTORS AFFECTING STRESS FRACTURE RISK IN TWO DISTINCT COLLEGE FEMALE POPULATIONS Abstract Objectives: Stress fractures cause significant morbidity in females. Differences in activity levels, hormone values, and bone mineral density (BMD) affect different rates of stress fracture. The authors hypothesized that females at a military college will have greater activity levels than females in a flexible college environment, which will correlate with greater changes in hormone values, lower BMD, and more stress fractures. Methods: In this prospective comparative study 63 females from two institutions (The Citadel: The Military College of South Carolina and the College of Charleston) self-reported on a detailed activity, diet, and injury questionnaire and had BMD and serum hormone values measured at 6- month intervals for a two year period; 38 completed the study. Statistical analysis was designed to examine differences and changes over time between the two samples. Results: One stress fracture occurred in each institution. Citadel females had higher activity levels than females at the College of Charleston throughout the study. Citadel females had lower follicle stimulating hormone levels at 24 months, greater 17 beta-estradiol at 24 months, and greater proximal femoral BMD at eighteen months (

The 4-Hour Cairns Sepsis Model: a novel approach to predicting sepsis mortality at intensive care unit admission

Background: Sepsis commonly causes intensive care unit (ICU) mortality, yet early identification of adults with sepsis at risk of dying in the ICU remains a challenge. Objective: The aim of the study was to derive a mortality prediction model (MPM) to assist ICU clinicians and researchers as a clinical decision support tool for adults with sepsis within 4 h of ICU admission. Methods: A cohort study was performed using 500 consecutive admissions between 2014 and 2018 to an Australian tertiary ICU, who were aged ≥18 years and had sepsis. A total of 106 independent variables were assessed against ICU episode-of-care mortality. Multivariable backward stepwise logistic regression derived an MPM, which was assessed on discrimination, calibration, fit, sensitivity, specificity, and predictive values and bootstrapped. Results: The average cohort age was 58 years, the Acute Physiology and Chronic Health Evaluation III-j severity score was 72, and the case fatality rate was 12%. The 4-Hour Cairns Sepsis Model (CSM-4) consists of age, history of renal disease, number of vasopressors, Glasgow Coma Scale, lactate, bicarbonate, aspartate aminotransferase, lactate dehydrogenase, albumin, and magnesium with an area under the receiver operating characteristic curve of 0.90 (95% confidence interval = 0.84–0.95, p < 0.00001), a Nagelkerke R2 of 0.51, specificity of 0.94, a negative predictive value of 0.98, and almost identical odds ratios during bootstrapping. The CSM-4 outperformed existing MPMs tested on our data set. The CSM-4 also performed similar to existing MPMs in their derivation papers whilst using fewer, routinely collected, and inexpensive variables. Conclusions: The CSM-4 is a newly derived MPM for adults with sepsis at ICU admission. It displays excellent discrimination, calibration, fit, specificity, negative predictive value, and bootstrapping values whilst being easy to use and inexpensive. External validation is required

To Vax or Not to Vax: Predictors of Anti-Vax Attitudes and COVID-19 Vaccine Hesitancy Prior to Widespread Vaccine Availability

The novel coronavirus (COVID-19) is a highly contagious disease responsible for millions of deaths worldwide. Effective vaccines against COVID-19 are now available, however, an extreme form of vaccine hesitancy known as anti-vax attitudes challenge vaccine acceptance and distribution efforts. To understand these anti-vax attitudes and their associated psychological characteristics, we examined several predictors of vaccine hesitancy for COVID-19 and anti-vax attitudes generally. We surveyed 1004 adults (M = 47.0 years, SD = 17.1 years, range 18–98 years) in September-October 2020 across the United States (51% female, 49% male; 76.5% White, 23.5% non-White), prior to widespread availability of the COVID-19 vaccines. Attitudes toward vaccinations were influenced by a variety of factors, especially political attitudes. We should therefore anticipate and attempt to mitigate these challenges to achieving widespread vaccination to reduce the spread of COVID-19 and other communicable diseases

‘This restless enemy of all fertility’: exploring paradigms of coastal dune management in Western Europe over the last 700 years

Drifting sand has inundated settlements and damaged agricultural land along the coasts of Western Europe for the last 700 years. The need to control sand migration has been an important driver of the management of coastal sand dunes and here we analyse original archival materials to provide new insights into historically changing coastal dune management practices. Records of coastal sand movement in Denmark, The Netherlands, Britain, Ireland and France were reviewed and three distinct management approaches were identified. The ways in which these approaches have played out in space and time were examined with particular reference to records from landed estates in Britain and Ireland. We demonstrate how historical evidence can be used to inform contemporary debates on dune management strategy and practice. We propose a new place-based approach to the future management of coastal dunes that can incorporate both expert and locally produced ‘knowledges’ and that is underpinned by an understanding of how both natural forces and human interventions have shaped these dune landscapes over time

Glastir Monitoring & Evaluation Programme. First year annual report

The Welsh Government has commissioned a comprehensive new ecosystem monitoring and evaluation programme to monitor the effects of Glastir, its new land management scheme, and to monitor progress towards a range of international biodiversity and environmental targets. A random sample of 1 km squares stratified by landcover types will be used both to monitor change at a national level in the wider countryside and to provide a backdrop against which intervention measures are assessed using a second sample of 1 km squares located in areas eligible for enhanced payments for advanced interventions. Modelling in the first year has forecast change based on current understanding, whilst a rolling national monitoring programme based on an ecosystem approach will provide an evidence-base for on-going, adaptive development of the scheme by Welsh Government. To our knowledge, this will constitute the largest and most in-depth ecosystem monitoring and evaluation programme of any member state of the European Union