The role of conventionality and design in children's function judgments about malfunctioning artifacts

This study investigated the individual influences of conventionality and designer's intent on function judgments of possibly malfunctioning artifacts. Children aged 4 and 5 years and 6 to 8 years were presented with stories about an artifact with two equally plausible functions, one labeled as either conventional or designed. Subsequently, a character attempted to use the artifact for the cued function, which resulted in either malfunction or successful use. The children's task was to identify the real function of the artifact. When the use attempt succeeded, 4- and 5-year-olds preferred conventional functions to the alternative (but did not show a clear preference between design functions and the alternative), and 6- to 8-year-olds preferred conventional and designed functions to the alternative. In case of malfunction, children's choices were at chance, where the effect of either conventional or design cues was less salient. This contrasts with a baseline condition where children avoided the malfunctioning alternatives. Presenting additional cues about an artifact's function can affect function judgments in cases of malfunction.

Do children imitate even when it is costly? New insights from a novel task

Children have a proclivity to learn through faithful imitation, but the extent to which this applies under significant cost remains unclear. To address this, we investigated whether 4- to 6-year-old children (N = 97) would stop imitating to forego a desirable food reward. We presented participants with a task involving arranging marshmallows and craft sticks, with the goal being either to collect marshmallows or build a tower. Children replicated the demonstrated actions with high fidelity regardless of the goal, but retrieved rewards differently. Children either copied the specific actions needed to build a tower, prioritizing tower completion over reward; or adopted a novel convention of stacking materials before collecting marshmallows, and developed their own method to achieve better outcomes. These results suggest children's social learning decisions are flexible and context-dependent, yet that when framed by an ostensive goal, children imitated in adherence to the goal despite incurring significant material costs.

Role of AI-assisted automated cardiac biometrics in screening for fetal coarctation of aorta

OBJECTIVES

Although there have been remarkable strides in fetal medicine and prenatal diagnosis of congenital heart disease, a significant percentage of newborns with isolated coarctation of the aorta (CoA) - around 60 percent - are still not identified prior to birth. The prenatal detection of CoA has been shown to have a notable impact on the survival rates of affected infants. To this end, the implementation of artificial intelligence (AI) in fetal ultrasound may represent a groundbreaking advancement. Our hypothesis is that leveraging automated cardiac biometric measurements with AI during the 18-22-week anomaly scan will enhance the identification of fetuses that are at risk of developing CoA.

METHODS

We have developed an AI model capable of identifying standard cardiac planes and conducting automated cardiac biometric measurements. Our data consisted of pregnancy ultrasound image and outcome data spanning from 2008 to 2018 and collected from four distinct regions in Denmark. The CoA cases from the period were paired with healthy controls in a ratio of 1:100 and matched on gestational ages of ±2 days. The cardiac biometrics on the four-chamber view and three vessel view were included in a logistic regression-based prediction model. To assess the predictive capabilities, we visualized sensitivity and specificity on Receiver Operating Characteristic (ROC) curves.

RESULTS

At the 18-22 week scan, the right ventricle (RV)area and length, left ventricle (LV) width, and the ratios of RV/LV areas and main pulmonary artery/ascending aorta diameters showed significant differences with z-scores above 0.7 when comparing subjects with a postnatal diagnosis of CoA (n=73) and healthy controls (n=7300). Using logistic regression and backward feature selection, our prediction model produced a ROC curve with an AUC (Area Under the Curve) of 0.96 and a specificity of 88.9% at a sensitivity level of 90.4%.

CONCLUSION

The integration of AI technology with automated cardiac biometric measurements conducted during the 18-22-week anomaly scan in fetal medicine has the potential to substantially enhance the screening for fetal CoA and subsequently the rate of CoA detection. Future research should clarify how AI technology can be used to aid in screening and detection of congenital heart anomalies to improve neonatal outcomes. This article is protected by copyright. All rights reserved.

Colibactin mutational signatures in NTHL1 tumor syndrome and MUTYH associated polyposis patients

Polyketide synthase (pks) island harboring Escherichia coli are, under the right circumstances, able to produce the genotoxin colibactin. Colibactin is a risk factor for the development of colorectal cancer and associated with mutational signatures SBS88 and ID18. This study explores colibactin-associated mutational signatures in biallelic NTHL1 and MUTYH patients. Targeted Next Generation Sequencing (NGS) was performed on colorectal adenomas and carcinomas of one biallelic NTHL and 12 biallelic MUTYH patients. Additional fecal metagenomics and genome sequencing followed by mutational signature analysis was conducted for the NTHL1 patient. Targeted NGS of the NTHL1 patient showed somatic APC variants fitting SBS88 which was confirmed using WGS. Furthermore, fecal metagenomics revealed pks genes. Also, in 1 out of 11 MUTYH patient a somatic variant was detected fitting SBS88. This report shows that colibactin may influence development of colorectal neoplasms in predisposed patients.

Considerations for study design in the DAHANCA 35 trial of protons versus photons for head and neck cancer

Proton radiotherapy offers a dosimetric advantage compared to photon therapy in sparing normal tissue, but the clinical evidence for toxicity reductions in the treatment of head and neck cancer is limited. The Danish Head and Neck Cancer Group (DAHANCA) has initiated the DAHANCA 35 randomised trial to clarify the value of proton therapy (NCT04607694). The DAHANCA 35 trial is performed in an enriched population of patients selected by an anticipated benefit of proton therapy to reduce the risk of late dysphagia or xerostomia based on normal tissue complication probability (NTCP) modelling. We present our considerations on the trial design and a test of the selection procedure conducted before initiating the randomised study.

Children's distinct drive to reproduce costly rituals

Costly rituals are ubiquitous and adaptive. Yet, little is known about how children develop to acquire them. The current study examined children's imitation of costly rituals. Ninety-three 4-6 year olds (47 girls, 45% Oceanians, tested in 2022) were shown how to place tokens into a tube to earn stickers, using either a ritualistic or non-ritualistic costly action sequence. Children shown the ritualistic actions imitated faithfully at the expense of gaining stickers; conversely, those shown the non-ritualistic actions ignored them and obtained maximum reward. This highlights how preschool children are adept at and motivated to learn rituals, despite significant material cost. This study provides insights into the early development of cultural learning and the adaptive value of rituals in group cognition.

Quantifying quality: The impact of measures of school quality on children's academic achievement across diverse societies

Recent decades have seen a rapid acceleration in global participation in formal education, due to worldwide initiatives aimed to provide school access to all children. Research in high income countries has shown that school quality indicators have a significant, positive impact on numeracy and literacy-skills required to participate in the increasingly globalized economy. Schools vary enormously in kind, resources, and teacher training around the world, however, and the validity of using diverse school quality measures in populations with diverse educational profiles remains unclear. First, we assessed whether children's numeracy and literacy performance across populations improves with age, as evidence of general school-related learning effects. Next, we examined whether several school quality measures related to classroom experience and composition, and to educational resources, were correlated with one another. Finally, we examined whether they were associated with children's (4-12-year-olds, N = 889) numeracy and literacy performance in 10 culturally and geographically diverse populations which vary in historical engagement with formal schooling. Across populations, age was a strong positive predictor of academic achievement. Measures related to classroom experience and composition were correlated with one another, as were measures of access to educational resources and classroom experience and composition. The number of teachers per class and access to writing materials were key predictors of numeracy and literacy, while the number of students per classroom, often linked to academic achievement, was not. We discuss these results in the context of maximising children's learning environments and highlight study limitations to motivate future research. RESEARCH HIGHLIGHTS: We examined the extent to which four measures of school quality were associated with one another, and whether they predicted children's academic achievement in 10 culturally and geographically diverse societies. Across populations, measures related to classroom experience and composition were correlated with one another as were measures of access to educational resources to classroom experience and composition. Age, the number of teachers per class, and access to writing materials were key predictors of academic achievement across populations. Our data have implications for designing efficacious educational initiatives to improve school quality globally.

Morphologic aspects of the cervical (C3 to C7) annular epiphysis: a skeletal study

BACKGROUND CONTEXT

The annular epiphysis (AE) is a peripheral ring of cortical bone that forms a secondary ossification center in the superior and inferior surfaces of vertebral bodies (VBs). The AE is the last ossification site in the skeleton, typically forming at about the 25th year of life. The AE functions jointly with vertebral endplates to anchor the intervertebral discs to the VBs.

PURPOSE

To establish accurate data on the sizes of the AE of the cervical spine (C3-C7); to compare the ratios between areas and the ratios of the AE to VBs; to compare the ratios between the superior and inferior VB surface areas; and to compare AE lengths between the posterior and anterior midsagittal areas.

STUDY DESIGN

Measurement of 424 cervical spines (C3-C7) obtained from the skeletal collection of the Natural History Museum, Cleveland, Ohio (USA).

METHODS

The sample was characterized by sex, age, and ethnic origin. The following measurements were recorded for each vertebra: (1) the surface area of the VBs and the AE, (2) the midsagittal anterior and posterior length of the AE, (3) the ratios between the AE and VB surface areas, and (4) the ratios between the superior and inferior disc surface areas.

RESULTS

The study revealed that the AE and VBs in men were larger than in women. With age, the AE and VBs became larger; the ratio between the AE and VB surface was ∼0.5 throughout the middle to lower cervical spine. The ratio of superior to inferior VBs was ∼0.8. We found no differences between African Americans versus European Americans or between the anterior versus the posterior midsagittal length of the AE of the superior and inferior VBs.

CONCLUSION

The ratios between the superior and inferior VBs is ≥0.8, and the ratio is the same for the entire middle to lower spine. Thus, the ratio between the superior and inferior VBs to the AE is ≥ 0.5. Men had larger AEs and VBs than women did, with both VBs and AEs becoming larger with age. Knowing these relationships are important so that orthopedic surgeons can best correct these issues in young patients (<25 years old) during spine surgery. The data reported here provide, for the first time, all the relevant sizes of the AE and VB. In future studies, AEs and VBs of living patients can be measured with computed tomography.

CLINICAL SIGNIFICANCE

The ER location and function are clinically significant showing any changes during life that might lead to clinical issues related to intervertebral discs such as intervertebral disc asymmetry, disc herniation, nerve pressure, cervical osteophytes and neck pain.

Revisiting the video deficit in technology-saturated environments: Successful imitation from people, screens, and social robots

The "video deficit" is a well-documented effect whereby children learn less well about information delivered via a screen than the same information delivered in person. Research suggests that increasing social contingency may ameliorate this video deficit. The current study instantiated social contingency to screen-based information by embodying the screen within a socially interactive robot presented to urban Australian children with frequent exposure to screen-based communication. We failed to document differences between 22- to 26-month-old children's (N = 80) imitation of screen-based information embedded in a social robot and in-person humans. Furthermore, we did not replicate the video deficit with children imitating at similar levels regardless of the presentation medium. This failure to replicate supports the findings of a recent meta-analysis of video deficit research whereby there appears to be a steady decrease over time in the magnitude of the video deficit effect. We postulate that, should the video deficit effect be truly dwindling in effect size, the video deficit may soon be a historical artifact as children begin perceiving technology as relevant and meaningful in everyday life more and more. This research finds that observational-based learning material can be successfully delivered in person, via a screen, or via a screen embedded in a social robot.

I may not like you, but I still care: Children differentiate moral concern from other constructs

In industrialized societies, adults exhibit stable preferences for the types of people, animals, and entities they feel moral concern for (Crimston et al., 2016). Only one published study to date has utilized the moral circles paradigm to examine these preferences in children, finding that as children age, their preferences shift to become more similar to adults' (Neldner et al., 2018). However, it is currently unclear whether children's conceptualization of moral concern differs from that of other related social constructs. The aim of the current study was twofold: first, to test the moral circles paradigm in a new sample of children to see whether published patterns of moral concern could be replicated and, second, to investigate whether children distinguish moral concern from the related constructs of liking and familiarity. Australian children aged 4 to 10 years old (N = 281; 143 boys, 138 girls; predominantly middle class) placed 24 pictures of human, animal, and environmental entities on a stratified circle according to how much they cared, liked, or knew about the targets. We found similar patterns of moral prioritization to previous research (Neldner et al., 2018), replicating both stable preferences and age-related changes in children's moral concern for others. Crucially, we extend these findings by showing that children distinguish how much they care about entities from their levels of liking and knowing about them. This suggests children differentiate between moral concern and other social constructs early in development and display distinct patterns of prioritization when evaluating everyday entities according to these judgments. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Testing the bounds of compassion in young children

Extensive research shows that, under the right circumstances, children are highly prosocial. Extending an already published paradigm, we aimed here to determine what factors might facilitate and inhibit compassionate behaviour. Across five experiments (N = 285), we provide new insight into the bounds of 4- to 5-year-old children's compassionate behaviour. In the first three experiments, we varied cost of compassion by changing the reward (Study 1), using explicit instructions (Study 2) and ownership (Study 3). In the final two experiments, we varied the target of the compassionate behaviour, examining adults compared with puppet targets (Study 4), and whether the target was an in-group member (Study 5). We found strong evidence that cost reduces compassionate responding. By contrast, the recipient of compassion did not appear to influence responding: children were equally likely to help a human adult and a puppet, and an in-group member and neutral agent. These findings demonstrate that for young children, personal cost appears to be a greater inhibitor to compassionate responding than who compassion is directed toward.

A dermocosmetic formulation containing Vichy volcanic mineralizing water, Vitreoscilla filiformis extract, niacinamide, hyaluronic acid, and vitamin E regenerates and repairs acutely stressed skin

The exposome has an impact on skin from life-long exposure. Acute short-term exposure to exposome stressors can also alter skin functions such as skin physical barrier and immune defenses, leading to skin dryness, sensitivity, flares of inflammatory skin conditions, or viral reactivations. Probiotics are defined as live microorganisms, which, when administered in adequate amounts, confer a health benefit on the host. An extract produced by lysing Vitreoscilla filiformis (VfeV) cultured in Vichy volcanic mineralizing water (VVMW) has properties of probiotic fractions. In this review, we present in vivo and ex vivo studies with a dermocosmetic formulation containing 80% VVMW, 5% VfeV, 4% niacinamide (vitamin B3), 0.4% hyaluronic acid, and 0.2% vitamin E (M89PF) to evaluate the clinical efficacy in preventing and repairing stressed skin. Skin barrier benefits of M89PF were shown in studies after the skin was exposed to sudden thermal changes, after skin irritation by tape stripping, and in sleep-deprived women. M89PF significantly accelerated skin renewal compared to untreated skin. Skin antioxidant defense activity of M89PF was shown after exposure to stress from UVA plus cigarette smoke aggression. Skin microbiome recovery after acute stress from a harsh cleanser was significantly better in M89PF-treated skin compared to bare skin. Clinical benefits of M89PF on correcting clinical signs of stressed skin were shown in both Caucasian and Asian women exposed to a stressful lifestyle and various external (pollution, tobacco smoking, solar radiation) and internal (poor sleep, stressful work, unbalanced diet, and alcohol consumption) exposome factors. M89PF also showed depigmenting properties on dark spots in Asian women. Further clinical studies are now warranted to evaluate the efficacy of M89PF as adjuvant care to prevent and repair skin barrier disruption and reinforce skin defenses in skin exposed to acute stresses.

Characterization of deceased drug users in Denmark based on treatment status: A nationwide retrospective autopsy study

BACKGROUND

Many drug users are not receiving treatment for their drug use. Little is known about drug users not receiving treatment, as they are difficult to identify and recruit for research.

METHODS

We identified 479 autopsied decedents with illegal/unmarketed drug or opioid agonist treatment positive toxicological screenings from 2015 to 2016 in Denmark. Toxicological screenings from autopsy, and information on treatment status at time of death, health care utilization, educational attainment, employment status and prescription drug use from Danish national health registers were used for comparison between groups.

RESULTS

Drug users not in treatment constituted 63.3% of the study population and died at a younger age than those in treatment (41 vs. 44 years). Fatal overdose was the most common cause of death in both groups. Nearly thrice as many drug users not in treatment died from somatic causes compared with drug users in treatment (18.2% vs. 6.8%). On average, drug users not in treatment received fewer prescriptions prior to their deaths than those in treatment, but non-prescribed medications were equally prevalent among both groups (74.3% vs. 81.3%) except for non-prescribed methadone which was significantly less prevalent among drug users not in treatment (33.3% vs. 42.6%).

CONCLUSION

Two-thirds of decedents were not in treatment at time of death. Drug users not in treatment died more often from somatic causes compared to those in treatment. Decedents had equal amounts of non-prescribed psychotropic medication in the blood, but non-prescribed methadone was more common among those in treatment at the time of death.

A combination of Vitreoscilla filiformis extract and Vichy volcanic mineralizing water strengthens the skin defenses and skin barrier

Probiotics are live microorganisms, which, when administered in adequate amounts, confer a health benefit on the host. Semiactive, non-replicating bacteria or extracts used in dermocosmetics have interesting properties for skin quality. Vitreoscilla filiformis is cultured by a fermentation process to obtain an extract. It is considered as a probiotic fraction and topical application of this extract has shown activity to strengthen the skin physical barrier function and maintain good homeostasis of skin defenses. Vichy volcanic mineralizing water (VVMW) is a pure, highly mineralized water that has been shown to strengthen the skin against exposome aggressions. This manuscript reviews properties of probiotic fractions used in skin care, especially studies on an extract of V. filiformis grown in a medium containing VVMW (VfeV) and evaluated in combination with VVMW. Skin barrier function: In normal human epidermal keratinocyte cultures, the combination of 10% VVMW and 0.002% VfeV significantly increased transglutaminase, filaggrin, involucrin, claudin-1, and zonula occludens-1 in comparison with the controls. Antimicrobial peptide defenses: The combination of 16.7% VVMW and 0.1% VfeV increased the expression of β-defensin-4A and S100A7. Skin immune defense functions: In lipopolysaccharide-stimulated peripheral blood mononuclear cells, the combination of 16.7% VVMW and 0.1% VfeV down-regulated IL-8, TNF-α, IL-12/IL-23p40, and increased IL10 and IL-10/IL-12 ratio compared to the control. Additionally, the combination of 79% VVMW plus 5% VfeV protected Langerhans cells in skin explants exposed to ultraviolet radiation. In conclusion, the combination of VfeV plus VVMW has properties to strengthen the skin barrier by stimulating skin differentiation and tight junctions, biochemical defenses by stimulating antimicrobial peptides, and cellular immune defenses by increasing the IL-10/IL-12 ratio and by protecting Langerhans cells challenged by ultraviolet radiation.

Vichy volcanic mineralizing water has unique properties to strengthen the skin barrier and skin defenses against exposome aggressions

Exposome aggressions are known to weaken certain skin functions, such as skin barrier and skin defense functions. Vichy volcanic mineralizing water (VVMW) percolates through volcanic and magmatic rocks in the Auvergne region in France to create a pure, highly mineralized water containing 15 minerals for a total mineral concentration of 5.2 g/L. Here, we provide an overview of the main results of in vitro and ex vivo studies (keratinocyte cultures, 3D reconstructed skin model, skin explants) and clinical studies to evaluate the effect of VVMW on key skin functions to help elucidate how it counteracts exposome aggressions on the skin. Properties to strengthen the skin barrier: VVMW stimulated the synthesis of tight junction proteins and keratinocyte differentiation markers in vitro. In clinical studies, VVMW accelerated cell turnover and improved skin hydration. Properties to strengthen skin antioxidant defense: VVMW stimulated the expression of antioxidant defense markers and had a higher stimulatory effect than a competitor thermal water on the expression of superoxide dismutase, catalase, and glutathione peroxidase in keratinocytes in vitro. In vivo, VVMW restored endogenous catalase activity after exposure to UVA radiation. Anti-inflammatory action: VVMW reduced substance P-induced inflammation ex vivo and lactic acid-induced stinging in vivo. Topical application of VVMW in subjects with sensitive skin showed soothing and decongestant effects by reducing skin dryness and erythema. After sodium lauryl sulfate -induced skin barrier disruption, recovery from redness and erythema was faster following application of VVMW compared to a competitor water or untreated skin. These studies illustrate that VVMW has unique properties to repair and regenerate the skin barrier, as well as to strengthen antioxidant and immune defenses, which help protect the skin against exposome aggressions.

Does Neonatal Imitation Exist? Insights From a Meta-Analysis of 336 Effect Sizes

Neonatal imitation is a cornerstone in many theoretical accounts of human development and social behavior, yet its existence has been debated for the past 40 years. To examine possible explanations for the inconsistent findings in this body of research, we conducted a multilevel meta-analysis synthesizing 336 effect sizes from 33 independent samples of human newborns, reported in 26 articles. The meta-analysis found significant evidence for neonatal imitation (d = 0.68, 95% CI = [0.39, 0.96], p < .001) but substantial heterogeneity between study estimates. This heterogeneity was not explained by any of 13 methodological moderators identified by previous reviews, but it was associated with researcher affiliation, test of moderators (QM) (15) = 57.09, p < .001. There are at least two possible explanations for these results: (a) Neonatal imitation exists and its detection varies as a function of uncaptured methodological factors common to a limited set of studies, and (2) neonatal imitation does not exist and the overall positive result is an artifact of high researcher degrees of freedom.

The early ontogeny of infants' imitation of on screen humans and robots

Traditionally, infants have learned how to interact with objects in their environment through direct observations of adults and peers. In recent decades these models have been available over different media, and this has introduced non-human agents to infants' learning environments. Humanoid robots are increasingly portrayed as social agents in on screen, but the degree to which infants are capable of observational learning from screen-based robots is unknown. The current study thus investigated how well 1- to 3-year-olds (N = 230) could imitate on-screen robots relative to on-screen and live humans. Participants exhibited an imitation deficit for robots that varied with age. Furthermore, the well-known video deficit did not replicate as expected, and was weak and transient relative to past research. Together, the findings documented here suggest that infants are learning from media in ways that differ from past generations, but that this new learning is nuanced when novel technologies are involved.

Does helping now excuse cheating later? An investigation into moral balancing in children

We often use our previous good behaviour to justify current immoral acts, and likewise perform good deeds to atone for previous immoral behaviour. These effects, known as moral self-licensing and moral cleansing (collectively, moral balancing), have yet to be observed in children. Thus, the aim in the current study was to investigate the developmental foundations of moral balancing. We examined whether children aged 4-5 years (N = 96) would be more likely to cheat on a task if they had previously helped a puppet at personal cost, and less likely to cheat if they had refused to help. This hypothesis was not supported, suggesting either that 4-5-year-old children do not engage in moral balancing or that the methodology used was not appropriate to capture this effect. We discuss implications and future research directions.

Cultural Components of Sex Differences in Color Preference

Preferences for pink and blue were tested in children aged 4-11 years in three small-scale societies: Shipibo villages in the Peruvian Amazon, kastom villages in the highlands of Tanna Island, Vanuatu, and BaYaka foragers in the northern Republic of Congo; and compared to children from an Australian global city (total N = 232). No sex differences were found in preference for pink in any of the three societies not influenced by global culture (ds - 0.31-0.23), in contrast to a female preference for pink in the global city (d = 1.24). Results suggest that the pairing of female and pink is a cultural phenomenon and is not driven by an essential preference for pink in girls.

Social learning from media: The need for a culturally diachronic developmental psychology

Since the proliferation of television sets into households began over half a century ago there has been widespread interest in the impact that viewing has on young children's development. Such interest has grown with the increasing availability of smart phones and tablets. In this review we examine the literature documenting human social learning and how this learning is impacted when the instructing agent appears on a screen instead of face-to-face. We then explore the shifting nature of screen-based media, with a focus on the increasingly socio-normative manner information is portrayed. We discuss how the changing nature of screen technology might be altering how children interpret what they see, and raise the possibility that this may render prevailing evidence as historical documentation, rather than setting out established developmental milestones that transcend the period in which they were documented. We contend that recognizing the significance of historically changing contexts in developmental psychology is timely when the COVID-19 climate is pushing data collection on-line for many labs, often using tasks that were developed primarily for face-to-face contexts.

How economic inequality affects prosocial behavior in children across development

Research has linked economically unequal environments to lower prosocial behavior in adults. However, we know little about how inequality affects children's prosociality. Here, 4- to 9-year-old children (N = 128) played a series of games with several puppets where points were awarded. The distribution of points was characterized by either high inequality or low inequality. Children's donation behavior (i.e., the number of stickers they donated to a poor child), resource division behavior (i.e., how they divided extra points among poor and rich puppets), and fairness perceptions (i.e., how fair they perceived the game to be) were measured in response. Although the experimental manipulation of inequality did not affect children's donations, exploratory analyses revealed that higher inequality in children's home suburb was linked to lower donation rates. Furthermore, with age, children distributed points with increasing concern for poorer individuals, and negative judgments of the inequality were linked to distributing resources to poorer individuals. Here we present the first comprehensive analysis of children's prosocial reactions to high and low inequality across development.

92 Reshaping the Diagnostic Pathways for Investigation of Haematuria During and After The COVID-19 Pandemic: Diagnostic Accuracy of Strategies for Detection of Bladder Cancer from The IDENTIFY Cohort Study

Introduction

Diagnostic haematuria services have been reduced due to the COVID-19 pandemic, compromising patient care, and necessitating a more pragmatic pathway.

Method

The IDENTIFY study was an international, prospective, multicentre cohort study of over 11,000 patients referred to secondary care for investigation of haematuria. Using this data, we developed strategies using combinations of imaging and cytology as triage tests to maximise cancer detection within a pragmatic pathway.

Results

8112 patients (74·4%) received an ultrasound or a CT urogram, with or without cytology. 5737 (70·7%) patients had visible haematuria (VH) and 2375 (29·3%) had non-visible haematuria (NVH). Diagnostic test performance was used to determine optimal age cut-offs for four proposed strategies. We recommended proceeding directly to transurethral resection of bladder tumour for patients of any age with positive triage tests for cancer. Patients with negative triage tests under 35-years-old with VH, or under 50-years-old with NVH can safely be discharged without undergoing flexible cystoscopy. The remaining patients may undergo flexible cystoscopy, with a greater priority for older patients to capture high risk bladder cancer.

Conclusions

We suggest diagnostic strategies in patients with haematuria, which focus on detection of bladder cancer, whilst reducing the burden to healthcare services in a resource-limited setting.

Negative symptoms assessment in early intervention settings: Implications for early identification and treatment

Negative symptoms are a core feature of schizophrenia spectrum disorders associated with poor outcomes such as low remission rates and impairments in daily functioning and quality of life in early psychosis. The assessment of negative symptoms in early psychotic disorders is predominantly conducted by use of first-generation scales such as the PANSS and the SANS, along with the SIPS and CAARMS for the psychosis clinical high-risk (CHR) state. Following the progressed conceptualization of negative symptoms, it has, however, been recognized that these scales suffer important methodological limitations. This warrants a use of second-generation scales such as the Brief Negative Symptom Scale (BNSS) and the Clinical Assessment Interview for Negative Symptoms (CAINS) in early intervention settings in order to achieve a more accurate assessment of the negative symptom complex. Advancing the assessment of negative symptoms in early psychosis may also guide more targeted intervention approaches aimed at improving functional outcome. Albeit recognizing that negative symptoms constitute an important barrier to a good functional outcome in psychotic disorders, few studies have directly aimed at alleviating negative symptoms in early psychosis. Meta-analytical evidence does, however, exist on the efficacy of the combined treatment modalities incorporated in Early Intervention Services (e.g. intensive and assertive case management, family involvement etc.) in reducing negative symptoms in first-episode psychosis. Evidence on the effect of interventions for improving negative symptoms in the CHR state is lacking. Developing targeted, and possibly more individualized negative symptoms treatment approaches, constitute an essential future research area.

Disclosure

No significant relationships.

Effectiveness of a formulation containing peptides and vitamin C in treating signs of facial ageing: three clinical studies

OBJECTIVE

Vitamin C and peptides are widely used in cosmetic products but there is a paucity of clinical studies showing that the formulations are effective in treating signs of facial ageing. These 3 clinical studies evaluated the effectiveness of an anti-ageing formula containing natural vitamin C (10%), biopeptides (rice and lupin), hyaluronic acid, and Vichy volcanic mineralising water, in amber glass ampoules with no preservatives (Peptide-C ampoules).

METHODS

Dansyl chloride fluorescence labelling compared cell turnover for Peptide-C ampoules vs untreated skin in 32 female subjects. Study 2, an open clinical study, evaluated the efficacy on wrinkles of Peptide-C ampoules by investigator clinical scoring based on Dynamical Atlas visual assessment (N = 40) and subject self-assessment questionnaires (N = 47). Study 3, an open clinical study, evaluated wrinkles by instrumental quantification with 3D fringe projection analysis (N = 40) and subject questionnaires (N = 51).

RESULTS

The mean cell turnover was faster for skin treated with Peptide-C ampoules compared to untreated skin (17.1 days vs. 19.2 days; P < 0.0001). In study 2, after 28 days application of Peptide-C ampoules, clinical grading of crow's-feet wrinkles, forehead wrinkles and nasolabial folds decreased by 9%, 11% and 5%, respectively (all P < 0.05 vs baseline). Of 47 subjects, 77%, 64% and 79% indicated their skin seemed smoothed out, fine lines were less visible, and skin complexion was more radiant, respectively. In study 3, the number of wrinkles decreased by 11.5% after 29 days application of Peptide-C ampoules vs baseline (P < 0.05) and 65% of subjects responded the fine lines were less visible.

CONCLUSION

This formulation of a combination of anti-ageing ingredients in ampoules, allowing a minimalist formula, showed significant results on improving facial wrinkles and radiance.

Ritual explained: interdisciplinary answers to Tinbergen's four questions

Convergent developments across social scientific disciplines provide evidence that rituals are a psychologically prepared and culturally inherited behavioural hallmark of our species. The dramatic diversity of ritual practices ranges from simple greetings to elaborate religious ceremonies, from the benign to life-threatening. Yet our scientific understanding of this core human trait remains limited. Explaining the universality, functionality and diversity of ritual requires insight from multiple disciplines. This special issue integrates research from anthropology, archaeology, biology, primatology, cognitive science, psychology, religious studies and demography to build an interdisciplinary account of ritual. The objective is to contribute to an integrative explanation of ritual by addressing Tinbergen's four key questions. These include answering ultimate questions about the (i) phylogeny and (ii) adaptive functions of ritual; and proximate questions about the (iii) mechanisms and (iv) ontogeny of ritual. The intersection of these four complementary lines of inquiry yields new avenues for theory and research into this fundamental aspect of the human condition, and in so doing, into the coevolution of cognition and culture. This article is part of the theme issue 'Ritual renaissance: new insights into the most human of behaviours'.

Homo neanderthalensis and the evolutionary origins of ritual in Homo sapiens

There is a large, if disparate, body of archaeological literature discussing specific instantiations of symbolic material culture and the possibility of ritual practices in Neanderthal populations. Despite this attention, however, no single synthesis exists that draws upon cognitive, psychological and cultural evolutionary theories of ritual. Here, we review the evidence for ritual-practice among now-extinct Homo neanderthalensis, as well as the necessary cognitive pre-conditions for such behaviour, in order to explore the evolution of ritual in Homo sapiens. We suggest that the currently available archaeological evidence indicates that Neanderthals may have used 'ritualization' to increase the successful transmission of technical knowledge across generations-providing an explanation for the technological stability of the Middle Palaeolithic and attesting to a survival strategy differing from near-contemporary H. sapiens. This article is part of the theme issue 'Ritual renaissance: new insights into the most human of behaviours'.

A cross-cultural investigation of young children's spontaneous invention of tool use behaviours

Through the mechanisms of observation, imitation and teaching, young children readily pick up the tool using behaviours of their culture. However, little is known about the baseline abilities of children's tool use: what they might be capable of inventing on their own in the absence of socially provided information. It has been shown that children can spontaneously invent 11 of 12 candidate tool using behaviours observed within the foraging behaviours of wild non-human apes (Reindl et al. 2016 Proc. R. Soc. B 283, 20152402. (doi:10.1098/rspb.2015.2402)). However, no investigations to date have examined how tool use invention in children might vary across cultural contexts. The current study investigated the levels of spontaneous tool use invention in 2- to 5-year-old children from San Bushmen communities in South Africa and children in a large city in Australia on the same 12 candidate problem-solving tasks. Children in both cultural contexts correctly invented all 12 candidate tool using behaviours, suggesting that these behaviours are within the general cognitive and physical capacities of human children and can be produced in the absence of direct social learning mechanisms such as teaching or observation. Children in both cultures were more likely to invent those tool behaviours more frequently observed in great ape populations than those less frequently observed, suggesting there is similarity in the level of difficulty of invention across these behaviours for all great ape species. However, children in the Australian sample invented tool behaviours and succeeded on the tasks more often than did the Bushmen children, highlighting that aspects of a child's social or cultural environment may influence the rates of their tool use invention on such task sets, even when direct social information is absent.