Direct Measure Research Articles

Constraints on avian seed dispersal reduce potential for resilience in degraded tropical forests

Abstract Seed dispersal is fundamental to tropical forest resilience. Forest loss or degradation typically leads to defaunation, altering seed transfer dynamics and impairing the ability of forested habitats to regenerate or recover from perturbation. However, the extent of defaunation, and its likely impacts on the seed dispersers needed to restore highly degraded or clear‐felled areas, remains poorly understood in tropical forest landscapes. To quantify defaunation of seed‐dispersing birds, we used field survey data from 499 transects in three forested regions of Brazil, first comparing the observed assemblages with those predicted by geographic range maps, and then assessing habitat associations of frugivores across land cover gradients. We found that current bird assemblages have lower functional diversity (FD) than predicted by species range maps in Amazonia (4%–6%), with a greater reduction in FD (28%) for the Atlantic Forest, which has been more heavily deforested for a longer period. Direct measures of seed dispersal are difficult to obtain, so we focused on potential seed transfer inferred from shared species occurrence. Of 83 predominantly frugivorous bird species recorded in relatively intact forests, we show that 10% were absent from degraded forest, and 57% absent from the surrounding matrix of agricultural land covers, including many large‐gaped species. Of 112 frugivorous species using degraded forest, 47% were absent from matrix habitats. Overall, frugivores occurring in both intact forest and matrix habitats were outnumbered by (mostly small‐gaped) frugivores occurring in both degraded forest and matrix habitats (23 additional species; 64% higher diversity). These findings suggest that birds have the potential to disperse seeds from intact and degraded forest to adjacent cleared lands, but that direct seed transfer from intact forests is limited, particularly for large‐seeded trees. Degraded forests may play a vital role in supporting natural regeneration of small‐seeded tree species as well as providing a ‘stepping‐stone’ in the regeneration pathway for large‐seeded trees. We propose that both intact and degraded forests will support the restoration potential of tropical forest landscapes, and that bird‐assisted seed dispersal can be enhanced by maintaining buffer zones of degraded or secondary forests around remaining intact forest patches. Read the free Plain Language Summary for this article on the Journal blog.

Novel application of in vivo microdialysis in a rat Achilles tendon acute injury model.

Tendon injury and healing involve intricate changes to tissue metabolism, biology, and inflammation. Current techniques often require animal euthanasia or tissue destruction, limiting assessment of dynamic changes in tendon, including treatment response, disease development, rupture risk, and healing progression. Microdialysis, a minimally invasive technique, offers potential for longitudinal assessment, yet it has not been applied to rat tendon models. Therefore, the objective of this study is to adapt a novel application of an in vivo assay, microdialysis, using acute injury as a model for extreme disruption of the tendon homeostasis. We hypothesize that microdialysis will be able to detect measurable differences in the healing responses of acute injury with high specificity and sensitivity. Overall results suggest that microdialysis is a promising in vivo technique for longitudinal assessment for this system with strong correlations between extracellular fluid (ECF) and dialysate concentrations and reasonable recovery rates considering the limitations of this model. Strong positive correlations were found between dialysate and extracellular fluid (ECF) concentration for each target molecule of interest including metabolites, inflammatory mediators, and collagen synthesis and degradation byproducts. These results suggest that microdialysis is capable of detecting changes in tendon healing following acute tendon injury with high specificity and sensitivity. In summary, this is the first study to apply microdialysis to a rat tendon model and assess its efficacy as a direct measurement of tendon metabolism, biology, and inflammation.NEW & NOTEWORTHY This study adapts a novel application of microdialysis to rat tendon models, offering a minimally invasive avenue for longitudinal tendon assessment. Successfully detecting changes in tendon healing after acute injury, it showcases strong correlations between extracellular fluid and dialysate concentrations. The results highlight the potential of microdialysis as a direct measure of tendon metabolism, biology, and inflammation, bypassing the need for animal euthanasia and tissue destruction.

Investors' opinion disagreement and abnormal trading around pre-earnings announcements

We use textual analysis techniques to construct a direct measure of investor disagreement to explain the abnormal stock volume and return around earnings expectation announcement in China. We crawl scrape the most a popular Chinese stock forum for individuals' posts about their opinion on a stocks, and classify the posts with machine learning methods. We find that our measure is most correlated with return volatility and historical turnover. We then conduct an event study for abnormal stock volume around pre-earnings announcements, examining the cumulative abnormal turnover for sample groups with prior agreement or disagreement, and with a convergence or divergence of opinion. We find that given prior disagreement of opinion, both convergence and divergence of opinion causing more trading volume in the Chinese market. We also observe the sample group with a divergence of opinion has more cumulative abnormal return than the convergence group. However, this effect is found to be more profound in stocks with higher institutional ownership, which is believed to be correlated with a low short-sale constraint.

On the Utility of Indirect Methods for Detecting Faking.

Indirect indices for faking detection in questionnaires make use of a respondent's deviant or unlikely response pattern over the course of the questionnaire to identify them as a faker. Compared with established direct faking indices (i.e., lying and social desirability scales), indirect indices have at least two advantages: First, they cannot be detected by the test taker. Second, their usage does not require changes to the questionnaire. In the last decades, several such indirect indices have been proposed. However, at present, the researcher's choice between different indirect faking detection indices is guided by relatively little information, especially if conceptually different indices are to be used together. Thus, we examined and compared how well indices of a representative selection of 12 conceptionally different indirect indices perform and how well they perform individually and jointly compared with an established direct faking measure or validity scale. We found that, first, the score on the agreement factor of the Likert-type item response process tree model, the proportion of desirable scale endpoint responses, and the covariance index were the best-performing indirect indices. Second, using indirect indices in combination resulted in comparable and in some cases even better detection rates than when using direct faking measures. Third, some effective indirect indices were only minimally correlated with substantive scales and could therefore be used to partial faking variance from response sets without losing substance. We, therefore, encourage researchers to use indirect indices instead of direct faking measures when they aim to detect faking in their data.

Same owner, different impact: How responses to performance feedback differ across a private equity investor's portfolio firms

AbstractResearch SummaryPrivate equity (PE) investors invest in a portfolio of firms, setting new, ambitious performance aspirations and providing monitoring and value‐adding services to help management attain these aspirations. Integrating a behavioral theory of the firm and corporate governance perspective, this study investigates how portfolio firms respond to performance feedback, considering heterogeneity in PE investors' incentives and influence toward a given portfolio firm's strategic actions. Using unique data from a PE investor including direct aspirations measures, we find that (1) portfolio firms' performance relative to aspirations, and (2) the PE investor's relative investment amounts and experience of PE‐appointed board members, interact to affect the distinct growth strategies (i.e., internal capital investments or external acquisitions) its portfolio firms pursue.Managerial SummaryA PE investor may guide its portfolio firms differently. Incentives to intervene should be larger in case of larger investments, and influence should be more extensive in case of more senior PE board representatives. In this study, we examine how a PE investor's varying incentives and influence affect how PE‐backed firms strategically react to underperformance and overperformance. We find that a PE investor pushes for capital investments but deters acquisitions as performance shortfalls increase in a portfolio firm, when they have made larger investments and appointed more senior board members. In case of overperformance, a PE investor pushes toward acquisitions (and against capital investments) when they have invested more. Surprisingly, the opposite holds in case of more senior board members.

Estimation of kidney function for medication dosing in adult patients with chronic kidney disease: a practice update

AbstractChronic kidney disease (CKD) is a major health concern with a growing disease burden and inequalities in access to treatments. Glomerular filtration rate (GFR) is accepted as the best overall measure of kidney function and is considered the most important measure for medications cleared by the kidneys. In clinical practice, equations that estimate GFR using validated prediction equations are routinely used. This practice update was developed by a Working Group comprising clinical pharmacists representing the Society of Hospital Pharmacists of Australia (SHPA) Specialty Practice streams of Nephrology, Oncology and haematology, Critical care and Infectious diseases. It is intended to provide practical recommendations for clinical pharmacists who use equations to estimate GFR for medication dosing decisions. The limitations of the various equations in use — such as the Chronic Kidney Disease Epidemiology Collaboration (CKD‐EPI), the Cockcroft–Gault equation and Modification of Diet in Renal Disease — are summarised and compared to direct measures of kidney function using exogenous markers. The CKD‐EPI equation is recommended to be used routinely as a primary measure of kidney function. Dose adjustments should also consider medication‐specific, patient‐related, and disease‐related characteristics. Kidney function and the response to therapy should be continuously assessed by monitoring the signs, symptoms and disease outcomes, the emergence of adverse reactions or medication‐induced disorders and use therapeutic drug monitoring (if available) to adjust doses accordingly.

Confidence and Utilization are Poorly Associated with Point-of-Care Ultrasound Competency among Internal Medicine Trainees.

Point-of-Care Ultrasound (POCUS) is the utilization of bedside ultrasound by clinicians. Its portable and rapid diagnostic capabilities make it an excellent tool for deployment and mobile military settings. However, formal and uniform POCUS training is lacking. Furthermore, the evaluation of these curricula often relies on confidence assessment. Our objective was to assess the relationships between confidence, frequency of utilization, and image interpretation knowledge among our Internal Medicine residents before and after the implementation of a formal curriculum. In November 2020, we implemented a longitudinal, flipped-classroom, academic half-day curriculum, conducting a prospective before-after cohort evaluation of its implementation. The POCUS curriculum was implemented as a longitudinal, asynchronous, flipped-classroom activity with workshop sessions during one academic half-day per month. We measured confidence via a Likert scale and utilization frequency via a five-point scale. Six multiple-choice questions (MCQ) with ultrasound videos assessed image interpretation competency. The image interpretation score was reported as percent correct. We related confidence and utilization to the image interpretation score. Ninety-nine residents were eligible for participation. Fifty-four (55%) completed a pre-curriculum assessment and 45 (45%) completed a post-curriculum assessment. Average image interpretation scores were 41% pre-curriculum and 51% post-curriculum (P =0.02). Pre-curriculum residents were on average unconfident (mean=2.56), and post-curriculum residents were on average confident (mean=3.62). Pre-curriculum residents used POCUS occasionally (mean=2.02, count 13 (24%) never utilizing). Post-curriculum residents used POCUS occasionally (mean=2.42, count 4 (9%) never utilizing). Pre- and post-curriculum confidence were not significantly associated with image interpretation scores (pre-curriculum: r=-0.10, P =0.50; post-curriculum: r=0.24, P =0.11). Pre- and post-curriculum utilization were not significantly associated with image interpretation scores (pre-curriculum: r=0.15, P =0.28; post-curriculum: r=0.02, P =0.90). The number of curriculum sessions attended was significantly associated with higher image interpretation scores (r=0.30, P =0.003). Our study suggests that POCUS confidence and informal utilization do not correlate with image interpretation knowledge on MCQs among Internal Medicine residents. These findings support assessing direct measures of knowledge, rather than confidence, as an endpoint in evaluating POCUS curricula among Internal Medicine residents.

Phosphorus cycling during the Hirnantian glaciation

Unlike other mass extinctions of the Phanerozoic, the Late Ordovician mass extinction took place during an icehouse interval, accompanied by the glaciation of Gondwana. Ice sheets reached their maximum during the Hirnantian and global sea-level dropped substantially. Consequently, the shallow tropical shelf environments of Laurentia and Baltica became subaerially exposed or remaining submerged shelves were characterized by very shallow water-depths. Redox proxies suggest that most shallow shelf settings were well oxygenated to that time, while the global extent of anoxic environments increased, implying that deoxygenation was confined to the open ocean. We speculate that the burial rate of the nutrient phosphorus (P) on shelves was minimal during the Hirnantian glacial maximum (HGM) due to bypass of the shelves in respect to the incoming riverine dissolved load. Hence, a large excess of bioavailable P entering the open ocean would have stimulated phytoplankton production which lowered oxygen concentrations by aerobic respiration.In order to test this hypothesis, we determined reactive P (Preact) contents in two low-latitude carbonate successions (Anticosti Island and Estonia) spanning the HGM. Moreover, we measured total organic carbon (C) concentrations and calculated C/P ratios to evaluate the burial efficiency of P. Samples from both sites are characterized by overall low Preact contents. We observe a decreasing trend in Preact towards the HGM, reaching a minimum during the initial transgression thereafter. C/P ratios suggest efficient P-burial throughout the study interval and, hence, Preact contents are assumed to be a direct measure of primary productivity, P-availability, and P-burial. Using the Preact concentrations, we modeled shelf P-burial fluxes with estimates for global shelf area and sedimentation rates. The model suggests that shelf P-burial fluxes around the HGM were approximately halved due to a reduced shelf area and minimum Preact contents. With the assumption of a constant P-input to the ocean, the proposed scenario serves as a plausible explanation for the observed redox gradients.

Patterns of remittances of intra-European migrants: social relations and moral obligations

ABSTRACT The importance of remittances for economic development and the maintenance of transnational social relationships have been widely discussed. Based on data from Switzerland, we analyze the roles of transnational social relations and moral obligations for the likelihood of sending remittances among intra-European migrants from Germany, Great Britain, Italy, Portugal, Serbia, and Bosnia-Herzegovina. Our data shows high levels of remitting among these groups, with migrants from South-East European countries sending remittances primarily to family and friends and migrants from Portugal and Great Britain sending remittances primarily to their own bank account. Furthermore, by using differentiated and direct measures for social relations and moral obligations, we show that strong social ties as well as moral family obligations are relevant predictors of sending remittances, beyond measures of various desires and capacities to remit usually discussed in the literature. However, these effects also vary according to social relation and remittance type. Together, the results make a strong case for the social embeddedness of remittances and the importance of including migrants from western and southern Europe in empirical research.

Abstract 13916: Patient Outcomes 6 Months Following Pulmonary Vein Isolation for Atrial Fibrillation With a Novel RF Catheter: Initial Data From NEwTON AF

Introduction: The combination of local impedance (LI), a direct measure of electrical resistance at the catheter tip, and contact force (CF) may facilitate treatment of atrial fibrillation (AF). This trial is designed to examine the safety and effectiveness of a novel RF catheter that allows measurement of both LI and CF. Hypothesis: Demonstrate the safety and effectiveness of a novel radiofrequency catheter with LI and CF for treatment of drug refractory, recurrent, symptomatic Paroxysmal AF (PAF). Methods: NEwTON AF is a multi-center, global, prospective, single arm study. Patients received index treatment for PAF with the study catheter. The present 6-month endpoint analysis was prospectively planned. Results: The study treated 299 patients at 45 sites in North America, Europe, and Asia. Patients were 39.5% female with a mean age of 62yrs (±12), and had a mean LVEF of 59% and an LA diameter of 3.9cm. Procedure time, LA dwell, and fluoroscopy times were 166, 136, and 15 minutes, respectively. High-power short-duration (HSPD, 45-50W) was exclusively used in 210 cases, which had notably shorter procedure times than the 82 cases that used conventional power, 148 vs 208 min, respectively. Acute procedural success was observed in 98.3% of cases. As of 6 months, freedom from documented recurrence of any atrial arrhythmia was 79.9% (Figure). Recurrence in relation to LI shows that pts with a 20Ω LI drop (in at least 60% of lesions) had better 6m outcomes (84.2% vs 73.3, p=0.04). The freedom from safety event rate at 30d was 96.0%; events included pericarditis (6), access complications (2), pulmonary edema (2), embolism (2), cerebrovascular accident (1), tamponade (1). Pericarditis was higher in pts with a history of COVID at enrollment, 16.3% vs 5.9%, p=0.025. Conclusions: This data suggests that patient outcomes and safety for this novel catheter are promising. Further data from this study, including 12m outcomes, and detailed analysis of local impedance data are forthcoming.

Proposal for sequential Stern–Gerlach experiment with programmable quantum processors

The historical significance of the Stern–Gerlach (SG) experiment lies in its provision of the initial evidence for space quantization. Over time, its sequential form has evolved into an elegant paradigm that effectively illustrates the fundamental principles of quantum theory. To date, the practical implementation of the sequential SG experiment has not been fully achieved. In this study, we demonstrate the capability of programmable quantum processors to simulate the sequential SG experiment. The specific parametric shallow quantum circuits, which are suitable for the limitations of current noisy quantum hardware, are given to replicate the functionality of SG devices with the ability to perform measurements in different directions. Surprisingly, it has been demonstrated that Wigner’s SG interferometer can be readily implemented in our sequential quantum circuit. With the utilization of the identical circuits, it is also feasible to implement Wheeler’s delayed-choice experiment. We propose the utilization of cross-shaped programmable quantum processors to showcase sequential experiments, and the simulation results demonstrate a strong alignment with theoretical predictions. With the rapid advancement of cloud-based quantum computing, such as BAQIS Quafu, it is our belief that the proposed solution is well-suited for deployment on the cloud, allowing for public accessibility. Our findings not only expand the potential applications of quantum computers, but also contribute to a deeper comprehension of the fundamental principles underlying quantum theory.

The merits of securities litigation and corporate reputation

AbstractWe explore how securities litigation affects corporate reputation. Experts remain concerned that nonmeritorious securities class actions—those that will be dismissed or settled for nuisance amounts—cause reputational damage. Although several prior studies show reputational costs for nonmeritorious cases, they generally use indirect measures based on returns or total market losses, which are mechanically associated with securities litigation elements. In contrast, we use a relatively direct reputation measure from Fortune's “Most Admired Companies” list. We find significant reputational damage after meritorious litigation, with the strongest cases having the largest effects. However, we find no evidence of reputational damage after nonmeritorious litigation. We also find that Fortune's reputational damage measure is associated with more negative returns around the litigation filing date. We show possible mechanisms for our results, as initial legal filings contain information allowing market participants to assess case merits. Our results imply that reputational damage is primarily due to fraud, which securities litigation helps reveal to the market, rather than litigation itself. Thus, reputational damage is not an issue in over 70% of securities class actions due to the high frequency of nonmeritorious cases.

Construction play frequency and relations with spatial ability and mathematics performance.

The nature of the home mathematics environment (which includes numerical and spatial activities at home) is related to children's spatial and mathematics performance. The current study investigated concrete and digital construction play frequency and relations with spatial and mathematical skills. Participants aged 7-9 years (N = 634) reported their frequency of construction play (concrete and digital) and completed direct measures of spatial ability and mathematics performance. Correlations between measures revealed no association between construction play frequency and outcome measures. This suggests that quantity of construction play is not pertinent for spatial and mathematics skills, however future research should explore whether quality of play is an important factor.

139 Genomic-Based Genetic Parameters of Behavioral Ethogram Traits in Lactating Sows Under Heat Stress Conditions and Their Relationship with Direct Indicators of Heat Tolerance

Abstract Increased global temperatures pose challenges to livestock agriculture. Domestic swine are particularly sensitive to hotter environments due to their inability to sweat, litter bearing nature, difficulty in expressing natural cooling behaviors, and intense genetic selection for production traits. Since animal welfare is central to livestock production as a matter vital to efficiency as much as ethics, developing novel traits that may be genetically related to heat tolerance may assist in improving and sustaining animal welfare. The objective of this study was to develop novel traits of behavior using an ethogram designed for efficiency in production settings, estimate the variance components, and correlate these traits with indicators of heat tolerance and maternal ability. This study considered 1,312 individual Landrace-Large White cross production sows between 6 and 19 days of lactation. Animals were housed in farrowing crates in a commercial setting in southern North Carolina in June and July of 2021, an environment susceptible to potential heat stress. These sows were subjected to a standardized procedure involving a person removing hair from both hips using an electric clipper while an observer was positioned in front of the sow to record behaviors. Scores were later applied to the variations in behavior both for changes in positions and types of vocalizations displayed by the animals during handling. Genotypes were obtained from hair follicles and captured by a 50K porcine SNP panel. Variance components for novel behavior traits were obtained using the BLUPF90+ programs and genomic relationship matrix to estimate genetic correlations of behavior with several indicators of heat tolerance and maternal ability. Heritabilities for behavior traits ranged from 0.131 for vocalization score to 0.072 for shaving time, while heritabilities for heat tolerance and maternal ability ranged from 0.15 to 0.03 for vaginal temperature and respiration efficiency, respectively. The maternal ability traits were based on the single current litter and had the lowest heritabilities ranging from 0.101 to 0.04 for number born alive and number of mummies, respectively. High and positive genetic correlations indicate a potential for coupled selection for both fewer mummified piglets and a greater number of liveborn using the behavior trait of vocalization score. These correlations between favorable maternal traits and behavior traits suggest the potential that one or more complex biological pathways exist that share relevancy between these traits. However, genetic correlations between the behavior traits and heat tolerance indicators were low to negligible, most with a magnitude falling below 0.10, revealing the need for other traits to be used as selection parameters for heat tolerance. Further studies may be able to capture additional environmental effects to improve models of behavior and create indirect measures more obtainable than direct measures of heat tolerance.

Data reformation – A novel data processing technique enhancing machine learning applicability for predicting streamflow extremes

Hydrologists have been actively exploring the utility of machine learning (ML) models for predicting streamflow. While ML methods have proven to be as accurate as conventional modeling techniques for streamflows well represented in the training set, they continue to lack satisfactory skills for extreme events. In this study, a novel ‘data reformation’ technique is proposed based on the Relative Strength Index (RSI) – a measure of speed and direction of changes in the time series. RSI homogenizes all observations to a constrained 0–100 range, and all ‘out-of-sample’ data in the testing set fall within the space of the training set. Long Short-Term Memory network with an attention mechanism is used to train three ML models using 55,055 events from the CAMELS dataset (670 basins, 1980–2014). Predictions are made for 12,424 events, of which 3,810 are significantly higher than streamflows in the training set. The ML model based on RSI-reformed data exhibits superior performance, as compared to other advanced ML models without data reformation. Peaks up to 15 times larger than those in the training events are accurately predicted, leading to an outperforming model skill for 433 out of 670 catchments. These findings indicate that incorporating a new data reformation technique into the data pre-processing step in ML modeling can enhance the utility of ML models for extreme events. This research encourages further exploration to identify better data reformation methods to enable confident ML predictions.

Comparison of treprostinil and oral sildenafil for the treatment of persistent pulmonary hypertension of the newborn: a retrospective cohort study.

This study aims to evaluate the effectiveness of treprostinil and oral sildenafil in managing persistent pulmonary hypertension of newborns (PPHN). We conducted a retrospective cohort study of 42 neonates with PPHN treated with continuous intravenous treprostinil or oral sildenafil from January 2020 to October 2022 in China. Outcomes assessed included echocardiographic pulmonary artery systolic pressure (PASP), shunt direction, and arterial blood gas measures. Treprostinil lowered PASP and improved oxygenation significantly better than sildenafil on days 1, 2, and 3 of treatment (P < 0.05). Treprostinil also corrected shunt direction faster than sildenafil (P < 0.05). The duration of mechanical ventilation, length of NICU stay, and overall hospital stay did not significantly differ between the two groups (P > 0.05). Treprostinil effectively lowers pulmonary artery pressure and improves oxygenation in neonates with PPHN, without being associated with severe complications. It may serve as a beneficial adjunct therapy for neonates with PPHN.

71 Treatment with TMS Improves Aspects of Attention in Depression: A Pilot Study

Objective:Repetitive transcranial magnetic stimulation (TMS) is an evidenced based treatment for adults with treatment resistant depression (TRD). The standard clinical protocol for TMS is to stimulate the left dorsolateral prefrontal cortex (DLPFC). Although the DLPFC is a defining region in the cognitive control network of the brain and implicated in executive functions such as attention and working memory, we lack knowledge about whether TMS improves cognitive function independent of depression symptoms. This exploratory analysis sought to address this gap in knowledge by assessing changes in attention before and after completion of a standard treatment with TMS in Veterans with TRD.Participants and Methods:Participants consisted of 7 Veterans (14.3% female; age M = 46.14, SD = 7.15; years education M = 16.86, SD = 3.02) who completed a full 30-session course of TMS treatment and had significant depressive symptoms at baseline (Patient Health Questionnaire-9; PHQ-9 score &gt;5). Participants were given neurocognitive assessments measuring aspects of attention [Wechsler Adult Intelligence Scale 4th Edition (WAIS-IV) subtests: Digits Forward, Digits Backward, and Number Sequencing) at baseline and again after completion of TMS treatment. The relationship between pre and post scores were examined using paired-samples t-test for continuous variables and a linear regression to covary for depression and posttraumatic stress disorder (PTSD), which is often comorbid with depression in Veteran populations.Results:There was a significant improvement in Digit Span Forward (p=.01, d=-.53), but not Digit Span Backward (p=.06) and Number Sequencing (p=.54) post-TMS treatment. Depression severity was not a significant predictor of performance on Digit Span Forward (f(1,5)=.29, p=.61) after TMS treatment. PTSD severity was also not a significant predictor of performance on Digit Span Forward (f(1,5)=1.31, p=.32).Conclusions:Findings suggested that a standard course of TMS improves less demanding measures of working memory after a full course of TMS, but possibly not the more demanding aspects of working memory. This improvement in cognitive function was independent of improvements in depression and PTSD symptoms. Further investigation in a larger sample and with direct neuroimaging measures of cognitive function is warranted.

30 Examining the Bilingual Advantage in Executive Functioning in ADHD: A Retrospective Study

Objective:Several studies have found a bilingualism advantage on executive functioning tasks like cognitive flexibility, inhibitory control, switching, and working memory in typically developing populations. (Grote et al., 2015, Foy &amp; Mann, 2014). However, some studies have found deficits in inhibitory control and switching for bilingual individuals with Attention Deficit/Hyperactivity Disorder (ADHD) compared to monolingual individuals and control groups (Bialystok et al., 2017, Mor et al., 2015). They suggest that this disadvantage is due to the burden of managing two language systems which perpetuates the executive dysfunction seen in ADHD. The current study aims to examine if there is a bilingualism advantage in other aspects of executive function, including inhibitory control, planning, problem solving, switching, and working memory among children and adults diagnosed with ADHD.Participants and Methods:The medical records of 170 patients evaluated in an outpatient neuropsychology clinic from 20182022 were reviewed. Sixty participants diagnosed with ADHD, between the ages of 6 and 46 (61.67% male), comprised the final sample. Forty-one were monolingual and 19 were bilingual or multilingual. Language status was based upon patient or parental report. Outcomes on various direct and indirect measures of executive function were examined.Results:Linear regression models, adjusting for age and sex, revealed a significant bilingual advantage on the following measures: Wechsler Intelligence Scale for Children- Fifth Edition (WISC-V) and Wechsler Adult Intelligence Scale - Fourth Edition (WAIS-IV) Digit Span Backwards and Digit Span Sequencing, WISC-V Picture Span, and Behavior Rating Inventory of Executive Function, 2nd Edition (BRIEF-2) Parent-Report Emotion Regulation Index (ERI). There were no significant differences in scores between monolinguals and bilinguals on the following measures: Delis-Kaplan Executive Function System (D-KEFS) Color-Word Interference Inhibition versus Combined Naming Contrast Score and Inhibition/Switching versus Inhibition Contrast Score, D-KEFS Trail Making Number-Letter Switching versus Combined Number Sequencing and Letter Sequencing Contrast Score, A Developmental Neuropsychological Assessment, 2nd Edition (NEPSY-2) Naming versus Inhibition Contrast Score and Switching versus Inhibition Contrast Score, Wisconsin Card Sort Task Learning to Learn Index, BRIEF-2 Parent-rated Behavioral Regulation Index (BRI), Cognitive Regulation Index(CRI), and Global Executive Composite(GEC), BRIEF-2 Self-rated BRI, ERI, CRI, and GEC, or BRIEF Adult Version BRI, Metacognitive Index, and GEC.Conclusions:Bilingual status is associated with stronger auditory and visual working memory among people with ADHD, but not with stronger inhibitory control, switching, planning, or problem solving skills. At the same time, there were no significant differences between monolingual and bilingual ADHD patients on BRIEF parent- or self-rated behavioral or cognitive dysregulation. Our results suggest that bilingualism may confer an advantage in some aspects of executive function among a population with weak attention and executive function skills more broadly. Furthermore, we did not find any type of disadvantage for those who are bilingual. Future studies should examine whether lower parental ratings of emotion dysregulation among ADHD patients who are bilingual are due to bilingual children’s better ability to adapt to different situations or cultural differences in parenting practices.

Implementation and effectiveness of a physician-focused peer support program.

The practice of medicine faces a mounting burnout crisis. Physician burnout leads to worse mental health outcomes, provider turnover, and decreased quality of care. Peer support, a viable strategy to combat burnout, has been shown to be well received by physicians. This study evaluates the Peer Outreach Support Team (POST) program, a physician-focused peer support initiative established in a 2-hospital system, using descriptive statistical methodologies. We evaluate the POST program using the Practical Robust Implementation and Sustainability Model (PRISM) framework to describe important contextual factors including characteristics of the intervention, recipients, implementation and sustainability infrastructure, and external environment, and to assess RE-AIM outcomes including reach, effectiveness, adoption, implementation, and maintenance. This program successfully trained 59 peer supporters across 11 departments in a 2-hospital system over a 3-year period. Trained supporters unanimously felt the training was useful and aided in general departmental culture shift (100% of respondents). After 3 years, 48.5% of physician survey respondents across 5 active departments had had a peer support interaction, with 306 successful interactions recorded. The rate of interactions increased over the 3-year study period, and the program was adopted by 11 departments, representing approximately 60% of all physicians in the 2-hospital system. Important implementation barriers and facilitators were identified. Physician recipients of peer support reported improved well-being, decreased negative emotions and stigma, and perceived positive cultural changes within their departments. We found that POST, a physician-focused peer support program, had widespread reach and a positive effect on perceived physician well-being and departmental culture. This analysis outlines a viable approach to support physicians and suggests future studies considering direct effectiveness measures and programmatic adaptations. Our findings can inform and guide other healthcare systems striving to establish peer support initiatives to improve physician well-being.

Getting to grips with Resilience: Towards large-scale phenotyping of this complex trait

The capacity of animals to cope with environmental perturbations, hereafter called resilience, is an increasingly important trait. Resilience at the level of the animal is an emergent property of multiple underlying mechanisms (physiological, immunological, behavioral). This means that there is no direct measure of resilience, no easy key traits. It is a latent variable that may be inferred from multivariate measures. Further, the flexibility that resilience provides is evidenced in the rate of response to, and rate of recovery from, the environmental perturbation. Thus, it requires time-series measurements. The increasing availability of on-farm precision livestock technologies, that are capable of providing time-series measures of performance and of various physiological and health biomarkers, offer the opportunity to move toward large-scale phenotyping of resilience. There have been numerous studies putting forward methods to quantify resilience. These methods can be classified as being data-driven or concept driven. However, new candidate resilience proxies need to be validated. This is tricky to do as there is no direct measure of resilience, no easy gold standard measure. Per definition, good resilience will benefit the animal. Thus, the accumulated consequences of resilience can be used to evaluate resilience proxies. All other things being equal, it is expected that good resilience will be associated with a longer functional longevity (longevity adjusted for production level), with more reproductive cycles, and with fewer disease events. Recent examples of this approach of evaluating resilience proxies against the accumulated consequences of resilience are discussed. They show clearly that operational resilience proxies that are heritable and have been validated against the consequences of good resilience can be derived from on-farm time-series data. With the aim of deriving more nuanced phenotypes, there are an increasing number of studies that have taken up the challenge of attempting to statistically combine the information coming from multiple time-series measures. These studies show how multivariate time-series statistics can be used to derive more nuanced resilience phenotypes that capture some of the underlying mechanisms of resilience. In conclusion, the recent studies reviewed here have shown that operational and heritable resilience proxies exist, that they can form the basis for selection for resilience, and that more nuanced phenotypes are attainable which will allow selection for resilience to be tailored according to prevailing environmental challenge types.