Neurocognitive sequelae of pediatric sickle cell disease: a review of the literature.

This literature review summarizes all studies relating neuropsychological performance to neuroimaging findings in pediatric sickle cell disease (N=28; published 1991-2005). Although inconsistencies exist within and across domains, deficits in intelligence (IQ), attention and executive functions, memory, language, visuomotor abilities, and academic achievement have been identified. Overall neurocognitive compromise was revealed to be related to the level of neurological injury and the location of silent infarct. Attentional and executive dysfunction is prevalent and related to frontal lobe abnormalities.     

Eating disorder diagnoses: empirical approaches to classification

Decisions about the classification of eating disorders have significant scientific and clinical implications. The eating disorder diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994) reflect the collective wisdom of experts in the field but are frequently not supported in empirical studies and do not capture the disorders of eating experienced by most people with an eating disorder. Statistical approaches to classification such as latent class analysis and taxometrics can help to create a classification system with greater scientific validity and clinical utility. The field would benefit from direct empirical comparisons of different classification schemes with various clinical and scientific validators. Such studies would enable the creators of the next DSM eating disorder classification to increase understanding of the advantages and disadvantages associated with choosing various diagnostic criteria sets for the eating disorders.     

Confidence–accuracy resolution in the misinformation paradigm is influenced by the availability of source cues

After witnessing an event, people often report having seen details that were merely suggested to them. Evidence is mixed regarding how well participants can use confidence judgments to discriminate between their correct and misled memory reports. We tested the prediction that the confidence–accuracy relationship for misled details depends upon the availability of source cues at retrieval. In Experiment 1, participants (N = 77) viewed a videotaped staged crime before reading a misleading narrative. After seven minutes or one week, the participants completed a cued recall test for the details of the original event. Prior to completing the test, all participants were warned that the narrative contained misleading details to encourage source monitoring. The results showed that the strength of the confidence–accuracy relationship declined significantly over the delay. We interpret our results in the source monitoring framework. After an extended delay, fewer diagnostic source details were available to participants, increasing reliance on retrieval fluency as a basis for memory and metamemory decisions. We tested this interpretation in a second experiment, in which participants (N = 42) completed a source monitoring test instead of a cued recall test. We observed a large effect of retention interval on source monitoring, and no significant effect on item memory. This research emphasizes the importance of securing eyewitness statements as soon as possible after an event, when witnesses are most able to discriminate between information that was personally seen and information obtained from secondary sources.     

Agency and the Annunciation

Prior research has revealed that when healthy participants, who are not artists, are asked to draw a person who is performing an action, they are more likely to position the agent on the left and the person or object receiving this action, the patient, on the right. Thus, the goal of this study was to learn whether in works of art, such as those portraying the Annunciation of the angel Gabriel to the Blessed Virgin Mary, artists would be more likely to place the angel, who is the agent, on the left of Mary, who is the patient. We found that in our sample of 604 paintings of the Annunciation by different artists that the agent Gabriel is significantly more frequently portrayed to left of Mary. Whereas this result supports the left-agent, right-patient hypothesis, the reason for this spatial bias is not entirely known, but may be related to several factors such as the learned left to right direction of reading/writing in European languages, left-versus right-sided emotional facial expressive asymmetries, a left-sided spatial attentional bias and a spatial motor-action preference of upper extremity for making abductive (left to right) movements when using the right upper extremity. Additionally, biblical explanations and theological principles may have influenced the organization of this scene.     

Mechanisms and the Evidence Hierarchy

Evidence-based medicine (EBM) makes use of explicit procedures for grading evidence for causal claims. Normally, these procedures categorise evidence of correlation produced by statistical trials as better evidence for a causal claim than evidence of mechanisms produced by other methods. We argue, in contrast, that evidence of mechanisms needs to be viewed as complementary to, rather than inferior to, evidence of correlation. In this paper we first set out the case for treating evidence of mechanisms alongside evidence of correlation in explicit protocols for evaluating evidence. Next we provide case studies which exemplify the ways in which evidence of mechanisms complements evidence of correlation in practice. Finally, we put forward some general considerations as to how the two sorts of evidence can be more closely integrated by EBM.     

Gambling primates: reactions to a modified Iowa Gambling Task in humans,chimpanzees and capuchin monkeys

Humans will, at times, act against their own economic self-interest, for example, in gambling situations. To explore the evolutionary roots of this behavior, we modified a traditional human gambling task, the Iowa Gambling Task (IGT), for use with chimpanzees, capuchin monkeys and humans. We expanded the traditional task to include two additional payoff structures to fully elucidate the ways in which these primate species respond to differing reward distributions versus overall quantities of rewards, a component often missing in the existing literature. We found that while all three species respond as typical humans do in the standard IGT payoff structure, species and individual differences emerge in our new payoff structures. Specifically, when variance avoidance and reward maximization conflicted, roughly equivalent numbers of apes maximized their rewards and avoided variance, indicating that the traditional payoff structure of the IGT is insufficient to disentangle these competing strategies. Capuchin monkeys showed little consistency in their choices. To determine whether this was a true species difference or an effect of task presentation, we replicated the experiment but increased the intertrial interval. In this case, several capuchin monkeys followed a reward maximization strategy, while chimpanzees retained the same strategy they had used previously. This suggests that individual differences in strategies for interacting with variance and reward maximization are present in apes, but not in capuchin monkeys. The primate gambling task presented here is a useful methodology for disentangling strategies of variance avoidance and reward maximization.     

Newborn Screening: Education,Consent, and the Residual Blood Spot. The Position of the National Society of Genetic Counselors

Newborn screening (NBS) is a minimally invasive lifesaving test. There is currently no federal mandate for NBS, thus states determine their own screening panel based on the recommendations of the Secretary’s Advisory Committee on Heritable Disorders in Newborn and Children (SACHDNC), which was recently re-chartered as the Discretionary Advisory Committee on Heritable Disorders in Newborns and Children (DACHDNC). After NBS is completed, a couple of residual blood spots remain. While some states allow these spots to be used for public health and scientific research purposes, parents are not always informed about these additional uses. This paper addresses the National Society of Genetic Counselors’ (NSGC’s) position about NBS and blood spot storage/use and the rationale for these positions. The National Society of Genetic Counselors strongly supports newborn screening for the uniform screening panel of conditions recommended by the Secretary’s Advisory Committee on Heritable Disorders in Newborns and Children. NSGC also supports storage and use of blood spot samples by newborn screening laboratories and transparent policies that govern these activities.     

Do Children Understand Iconic Gestures About Events as Early as Iconic Gestures About Entities?

Children can understand iconic co-speech gestures that characterize entities by age 3 (Stanfield et al. in J Child Lang 40(2):1–10, 2014; e.g., “I’m drinking” \(+\) tilting hand in C-shape to mouth as if holding a glass). In this study, we ask whether children understand co-speech gestures that characterize events as early as they do so for entities, and if so, whether their understanding is influenced by the patterns of gesture production in their native language. We examined this question by studying native English speaking 3- to 4 year-old children and adults as they completed an iconic co-speech gesture comprehension task involving motion events across two studies. Our results showed that children understood iconic co-speech gestures about events at age 4, marking comprehension of gestures about events one year later than gestures about entities. Our findings also showed that native gesture production patterns influenced children’s comprehension of gestures characterizing such events, with better comprehension for gestures that follow language-specific patterns compared to the ones that do not follow such patterns—particularly for manner of motion. Overall, these results highlight early emerging abilities in gesture comprehension about motion events.