Counseling issues related to maternal substance abuse and subsequent sudden infant death syndrome in offspring

Recent reports linking maternal prenatal drug use to SIDS in offspring raise six specific issues related to professional intervention: (1) blaming addicted parents compounds the normal guilt experienced after SIDS; (2) low self-esteem often underlies drug usage; (3) punitive intervention by child protective agencies may lead to parental mistrust of health professionals, reducing access to help; (4) society's increasing tendency to criminalize drug use during pregnancy may expose women to prosecution if a SIDS death occurs; (5) the debate over monitoring at risk infants is further complicated if caretakers use drugs; and (6) recent articles have suggested that the majority of SIDS deaths may be the result of homicide, neglect, environmental hazards, etc. For addicted parents, a SIDS death increases the risk of social fragmentation and poses challenges to professional interventions.The destructive effects of the Sudden Infant Death Syndrome go far beyond the lost lives of infants. The psychiatric morbidity among surviving family members can be severe and prolonged. Professional counseling seems vital in the prevention and treatment of a disabling guilt that follows the death of a child. (Bergman et al., 1969)     

Knowledge of Acute Human Immnuodeficiency Virus Infection Among Gay and Bisexual Male College Students

Abstract

Objective: To examine human immunodeficiency virus (HIV)–related knowledge, attitudes, and behaviors in at-risk college men who have sex with men (MSM), focusing on knowledge about acute HIV infection (AHI). Participants and Methods: A one-time anonymous survey was administered to college students attending a lesbian, gay, bisexual, transgender, and queer conference in February 2012. This article reports on a study subsample of MSM. Results: A total of 100 MSM completed the survey. Participants had an average age of 20.4 years. Sixty-six percent reported condom use the last time they had sex. Only 46% had ever heard of symptoms related to AHI. Forty-two percent would likely seek medical care when showing acute symptoms in a setting consistent with AHI. Conclusion: Despite having multiple risk factors for HIV infection, many MSM college students are unaware of AHI. HIV prevention programs should target this population and include information about signs, symptoms, and diagnosis of AHI.     

On the importance of getting even: A study of the origins and intention of revenge

This essay is an abbreviated study of revenge; its ubiquity, its function in maintaining biological and psychological order, balance and stability of one's sense of self, and its place with respect to a community's laws, religions and culture. Also commented on are its connections to feelings of spite, envy and guilt, and to the concepts of fairness, justice and harmony.     

Predicting the Probability that a Chemical Causes Steatosis Using Adverse Outcome Pathway Bayesian Networks (AOPBNs)

Adverse outcome pathway Bayesian networks (AOPBNs) are a promising avenue for developing predictive toxicology and risk assessment tools based on adverse outcome pathways (AOPs). Here, we describe a process for developing AOPBNs. AOPBNs use causal networks and Bayesian statistics to integrate evidence across key events. In this article, we use our AOPBN to predict the occurrence of steatosis under different chemical exposures. Since it is an expert-driven model, we use external data (i.e., data not used for modeling) from the literature to validate predictions of the AOPBN model. The AOPBN accurately predicts steatosis for the chemicals from our external data. In addition, we demonstrate how end users can utilize the model to simulate the confidence (based on posterior probability) associated with predicting steatosis. We demonstrate how the network topology impacts predictions across the AOPBN, and how the AOPBN helps us identify the most informative key events that should be monitored for predicting steatosis. We close with a discussion of how the model can be used to predict potential effects of mixtures and how to model susceptible populations (e.g., where a mutation or stressor may change the conditional probability tables in the AOPBN). Using this approach for developing expert AOPBNs will facilitate the prediction of chemical toxicity, facilitate the identification of assay batteries, and greatly improve chemical hazard screening strategies.     

QUALITY‐ADJUSTED HUMAN CAPITAL AND PRODUCTIVITY GROWTH

This article examines the influence of quality‐adjusted educational attainment on growth and tests whether it facilitates the transfer of technology developed at the frontier for a panel of 60 countries. Using outcomes of pathogen stress as instruments, the results show that quality‐adjusted educational attainment and its interaction with distance to the frontier play important roles for growth. (JEL I20, O30, O40)     

The resilient frugivorous fauna of an urban forest fragment and its potential role in vegetation enrichment

Urban Ecosystems - Anthropocentric defaunation affects critical ecological processes, such as seed dispersal, putting ecosystems and biomes at risk, and leading to habitat impoverishment. Diverse...     

Tablet assessment of word comprehension reveals coarse word representations in 18–⁠20-month-old toddlers

The present study explores the viability of using tablets in assessing early word comprehension by means of a two-alternative forced-choice task. Forty-nine 18–20-month-old Norwegian toddlers performed a touch-based word recognition task, in which they were prompted to identify the labeled target out of two displayed items on a touchscreen tablet. In each trial, the distractor item was either semantically related (e.g., dog–cat) or unrelated (e.g., dog–airplane) to the target. Our results show that toddlers as young as 18 months can engage meaningfully with a tablet-based assessment, with minimal verbal instruction and child–administrator interaction. Toddlers performed better in the semantically unrelated condition than in the related condition, suggesting that their word representations are still semantically coarse at this age. Furthermore, parental reports of comprehension, using the Norwegian version of the MacArthur–Bates Communicative Development Inventories, predicted toddlers’ performance, with parent–child agreement stronger in the semantically unrelated condition, indicating that parents declare a word to be known by their child if it is understood at a coarse representational level. This study provides among the earliest evidence that remote data collection in 18-20 month-old toddlers is viable, as comparable results were observed from both in-laboratory and online administration of the touchscreen recognition task.     

The Effectiveness of Educational Programs to Improve Recognition and Reporting of Elder Abuse and Neglect: A Systematic Review of the Literature

Health professionals often lack adequate protocols or knowledge to detect, manage, and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals' recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging from brief didactics to experiential learning and targeted a variety of health and social service audiences. Most evaluations were limited to satisfaction measures. These programs may result in increased awareness, collaboration, and improved case finding. However, using the published literature to guide new program planning is constrained by lack of details and limited evaluations.