University of Northern Colorado

In summary, although actigraphy is not as accurate as PSG for determining some sleep measurements, studies are in general agreement that actigraphy, with its ability to record continuously for long time periods, is more reliable than sleep logs which rely on the patients' recall of how many times they woke up or how long they slept during the night and is more reliable than observations which only capture short time periods. Actigraphy can provide information obtainable in no other practical way. It can also have a role in the medical care of patients with sleep disorders. However, it should not be held to the same expectations as polysomnography. Actigraphy is one-dimensional, whereas polysomnography comprises at least 3 distinct types of data (EEG, EOG, EMG), which jointly determine whether a person is asleep or awake. It is therefore doubtful whether actigraphic data will ever be informationally equivalent to the PSG, although progress on hardware and data processing software is continuously being made. Although the 1995 practice parameters paper determined that actigraphy was not appropriate for the diagnosis of sleep disorders, more recent studies suggest that for some disorders, actigraphy may be more practical than PSG. While actigraphy is still not appropriate for the diagnosis of sleep disordered breathing or of periodic limb movements in sleep, it is highly appropriate for examining the sleep variability (i.e., night-to-night variability) in patients with insomnia. Actigraphy is also appropriate for the assessment of and stability of treatment effects of anything from hypnotic drugs to light treatment to CPAP, particularly if assessments are done before and after the start of treatment. A recent independent review of the actigraphy literature by Sadeh and Acebo reached many of these same conclusions. Some of the research studies failed to find relationships between sleep measures and health-related symptoms. The interpretation of these data is also not clear-cut. Is it that the actigraph is not reliable enough to the access the relationship between sleep changes and quality of life measures, or, is it that, in fact, there is no relationship between sleep in that population and quality of life measures? Other studies of sleep disordered breathing, where actigraphy was not used and was not an outcome measure also failed to find any relationship with quality of life. Is it then the actigraph that is not reliable or that the associations just do not exist? The one area where actigraphy can be used for clinical diagnosis is in the evaluation of circadian rhythm disorders. Actigraphy has been shown to be very good for identifying rhythms. Results of actigraphic recordings correlate well with measurements of melatonin and of core body temperature rhythms. Activity records also show sleep disturbance when sleep is attempted at an unfavorable phase of the circadian cycle. Actigraphy therefore would be particularly good for aiding in the diagnosis of delayed or advanced sleep phase syndrome, non-24-hour-sleep syndrome and in the evaluation of sleep disturbances in shift workers. It must be remembered, however, that overt rest-activity rhythms are susceptible to various masking effects, so they may not always show the underlying rhythm of the endogenous circadian pacemaker. In conclusion, the latest set of research articles suggest that in the clinical setting, actigraphy is reliable for evaluating sleep patterns in patients with insomnia, for studying the effect of treatments designed to improve sleep, in the diagnosis of circadian rhythm disorders (including shift work), and in evaluating sleep in individuals who are less likely to tolerate PSG, such as infants and demented elderly. While actigraphy has been used in research studies for many years, up to now, methodological issues had not been systematically addressed in clinical research and practice. Those issues have now been addressed and actigraphy may now be reaching the maturity needed for application in the clinical arena.

Abstract There is no shortage of recommendations regarding the appropriate sample size to use when conducting a factor analysis. Suggested minimums for sample size include from 3 to 20 times the number of variables and absolute ranges from 100 to over 1,000. For the most part, there is little empirical evidence to support these recommendations. This simulation study addressed minimum sample size requirements for 180 different population conditions that varied in the number of factors, the number of variables per factor, and the level of communality. Congruence coefficients were calculated to assess the agreement between population solutions and sample solutions generated from the various population conditions. Although absolute minimums are not presented, it was found that, in general, minimum sample sizes appear to be smaller for higher levels of communality; minimum sample sizes appear to be smaller for higher ratios of the number of variables to the number of factors; and when the variables-to-factors ratio exceeds 6, the minimum sample size begins to stabilize regardless of the number of factors or the level of communality.

Bats (order Chiroptera, suborders Megachiroptera ["flying foxes"] and Microchiroptera) are abundant, diverse, and geographically widespread. These mammals provide us with resources, but their importance is minimized and many of their populations and species are at risk, even threatened or endangered. Some of their characteristics (food choices, colonial or solitary nature, population structure, ability to fly, seasonal migration and daily movement patterns, torpor and hibernation, life span, roosting behaviors, ability to echolocate, virus susceptibility) make them exquisitely suitable hosts of viruses and other disease agents. Bats of certain species are well recognized as being capable of transmitting rabies virus, but recent observations of outbreaks and epidemics of newly recognized human and livestock diseases caused by viruses transmitted by various megachiropteran and microchiropteran bats have drawn attention anew to these remarkable mammals. This paper summarizes information regarding chiropteran characteristics and information regarding 66 viruses that have been isolated from bats. From these summaries, it is clear that we do not know enough about bat biology; we are doing too little in terms of bat conservation; and there remain a multitude of questions regarding the role of bats in disease emergence.

Protecting the health of the athlete is a goal of the International Olympic Committee (IOC). The IOC convened an expert panel to update the 2005 IOC Consensus Statement on the Female Athlete Triad. This Consensus Statement replaces the previous and provides guidelines to guide risk assessment, treatment and return-to-play decisions. The IOC expert working group introduces a broader, more comprehensive term for the condition previously known as 'Female Athlete Triad'. The term 'Relative Energy Deficiency in Sport' (RED-S), points to the complexity involved and the fact that male athletes are also affected. The syndrome of RED-S refers to impaired physiological function including, but not limited to, metabolic rate, menstrual function, bone health, immunity, protein synthesis, cardiovascular health caused by relative energy deficiency. The cause of this syndrome is energy deficiency relative to the balance between dietary energy intake and energy expenditure required for health and activities of daily living, growth and sporting activities. Psychological consequences can either precede RED-S or be the result of RED-S. The clinical phenomenon is not a 'triad' of the three entities of energy availability, menstrual function and bone health, but rather a syndrome that affects many aspects of physiological function, health and athletic performance. This Consensus Statement also recommends practical clinical models for the management of affected athletes. The 'Sport Risk Assessment and Return to Play Model' categorises the syndrome into three groups and translates these classifications into clinical recommendations.

This study details the psychometric evaluation of the Quality of Life Inventory (QOLI), a measure of life satisfaction that may complement symptom-oriented measures of psychological functioning in evaluating the outcome of interventions aimed at ameliorating mental disorders, disabling physical illnesses, and community-wide social problems

Ecologists have long been studying stability in ecosystems by looking at the structuring and the strengths of trophic interactions in community food webs. In a series of real food webs from native and agricultural soils, the strengths of the interactions were found to be patterned in a way that is important to ecosystem stability. The patterning consisted of the simultaneous occurrence of strong "top down" effects at lower trophic levels and strong "bottom up" effects at higher trophic levels. As the patterning resulted directly from the energetic organization of the food webs, the results show that energetics and community structure govern ecosystem stability by imposing stabilizing patterns of interaction strengths.

Evidence for the validity of the Behavior Rating Inventory of Executive Function (BRIEF; Gioia, Isquith, Guy, & Kenworthy, 2000) based on internal structure was examined in a sample of children with mixed clinical diagnoses via maximum likelihood confirmatory factor analysis. Four alternative factor models of children's executive function, based on current theories that posit a unidimensional versus fractionated model (Rabbitt, 1997; Shallice & Burgess, 1991), using the revised 9-scale BRIEF configuration that separates two components of the Monitor scale, were examined for model fit. A 3-factor structure best modeled the data when compared directly with 1-, 2-, and 4-factor models. The 3-factor model was defined by a Behavior Regulation factor consisting of the BRIEF Inhibit and Self-Monitor scales, an Emotional Regulation factor consisting of the Emotional Control and Shift scales, and a Metacognition factor composed of the Working Memory, Initiate, Plan/Organize, Organization of Materials, and Task-Monitor scales. The findings support a fractionated, multi-component view of executive function as measured by the BRIEF.

Although the use of qualitative methods has increased greatly in popularity, many still question the defensibility of the qualitative orientation. It is argued here that questions concerning the credibility and status of qualitative inquiry are related to the privatization of qualitative analysis. The particular area of qualitative analysis I focus on is the process of category development. It is my argument that qualitative researchers must make all aspects of their analysis open to public inspection. In order to achieve this objective, I propose a two-dimensional model designed to facilitate the documentation of procedures used to generate categories. The domain representing the first dimension specifies the various components or actions associated with the development of categories. The second domain addresses the temporal aspects of category development. The intersection of these two analytical domains forms a two-dimensional table that may be used to document the nature of the analytical actions employed in a given study. An empirical example is presented with the intention of illustrating the utility of the approach. The implications of this approach, and some possible criticisms, are considered.

The Handbook of Venoms and Toxins of Reptiles offers "one-stop shopping" to all biologists, biochemists, toxicologists, physicians, clinicians, and epidemiologists, and informed laypersons interested in the biology of venomous reptiles, the biochemistry and molecular biology of venoms, and the effects and treatment of human envenomation. This book

This research examined the relationships between board composition and stock ownership and the passage of “poison pill” takeover defense provisions by U.S. industrial manufacturing firms. Results i...

This paper describes the process for creating and validating an assessment test that measures the effectiveness of instruction by probing how well that instruction causes students in a class to think like experts about specific areas of science. The design principles and process are laid out and it is shown how these align with professional standards that have been established for educational and psychological testing and the elements of assessment called for in a recent National Research Council study on assessment. The importance of student interviews for creating and validating the test is emphasized, and the appropriate interview procedures are presented. The relevance and use of standard psychometric statistical tests are discussed. Additionally, techniques for effective test administration are presented.

Summary Consequences of increasing atmospheric CO 2 concentration on plant structure, an important determinant of physiological and competitive success, have not received sufficient attention in the literature. Understanding how increasing carbon input will influence plant developmental processes, and resultant form, will help bridge the gap between physiological response and ecosystem level phenomena. Growth in elevated CO 2 alters plant structure through its effects on both primary and secondary meristems of shoots and roots. Although not well established, a review of the literature suggests that cell division, cell expansion, and cell patterning may be affected, driven mainly by increased substrate (sucrose) availability and perhaps also by differential expression of genes involved in cell cycling (e.g. cyclins) or cell expansion (e.g. xyloglucan endotransglycosylase). Few studies, however, have attempted to elucidate the mechanistic basis for increased growth at the cellular level. Regardless of specific mechanisms involved, plant leaf size and anatomy are often altered by growth in elevated CO 2 , but the magnitude of these changes, which often decreases as leaves mature, hinges upon plant genetic plasticity, nutrient availability, temperature, and phenology. Increased leaf growth results more often from increased cell expansion rather than increased division. Leaves of crop species exhibit greater increases in leaf thickness than do leaves of wild species. Increased mesophyll and vascular tissue cross‐sectional areas, important determinates of photosynthetic rates and assimilate transport capacity, are often reported. Few studies, however, have quantified characteristics more reflective of leaf function such as spatial relationships among chlorenchyma cells (size, orientation, and surface area), intercellular spaces, and conductive tissue. Greater leaf size and/or more leaves per plant are often noted; plants grown in elevated CO 2 exhibited increased leaf area per plant in 66% of studies, compared to 28% of observations reporting no change, and 6% reported a decrease in whole plant leaf area. This resulted in an average net increase in leaf area per plant of 24%. Crop species showed the greatest average increase in whole plant leaf area (+ 37%) compared to tree species (+ 14%) and wild, nonwoody species (+ 15%). Conversely, tree species and wild, nontrees showed the greatest reduction in specific leaf area (– 14% and – 20%) compared to crop plants (– 6%). Alterations in developmental processes at the shoot apex and within the vascular cambium contributed to increased plant height, altered branching characteristics, and increased stem diameters. The ratio of internode length to node number often increased, but the length and sometimes the number of branches per node was greater, suggesting reduced apical dominance. Data concerning effects of elevated CO 2 on stem/branch anatomy, vital for understanding potential shifts in functional relationships of leaves with stems, roots with stems, and leaves with roots, are too few to make generalizations. Growth in elevated CO 2 typically leads to increased root length, diameter, and altered branching patterns. Altered branching characteristics in both shoots and roots may impact competitive relationships above and below the ground. Understanding how increased carbon assimilation affects growth processes (cell division, cell expansion, and cell patterning) will facilitate a better understanding of how plant form will change as atmospheric CO 2 increases. Knowing how basic growth processes respond to increased carbon inputs may also provide a mechanistic basis for the differential phenotypic plasticity exhibited by different plant species/functional types to elevated CO 2 .

Using structural equation models, with gender, parent education, and prior grade point average (GPA) as control variables, we examined the relationships among intrinsic motivation to learn, learning goals, behavioral engagement at school, and academic performance (measured by GPA) in 1,575 students in an ethnically and racially diverse high school. Intrinsic motivation to learn was indirectly and positively related to academic performance via classroom engagement. Seventy‐five percent of the variance in engagement and 33% of the variance in GPA were explained by variables in the study. Results were generally replicated when the model was tested separately with the 336 African American students and the 311 Latin@ students. The significant indirect effect of intrinsic motivation to learn on GPA via engagement, as well as the positive direct association between learning goals and academic performance, suggest that students will benefit from schools fostering intrinsic motivation to learn and learning goals.

This study addresses binge drinking in college as a risk factor for heavy drinking and alcohol dependence after college. A national probability sample of 1972 college students from the National Longitudinal Surveys of Youth (NLSY79) was interviewed in 1984 and reinterviewed again as adults in 1994. The short-term effects of binge drinking in college were assessed as well as the extent to which experiences of negative effects in college predicted patterns of alcohol use across the transition from college into postcollege years. As expected, college binge drinkers were comparatively more likely than nonbinge drinkers to experience one or more alcohol-related problems while in college. In addition, weighted estimates of DSM-IV-defined diagnostic criteria in logistic regression models indicated that the binge drinking patterns exhibited during the college years, for some former college students of both genders, posed significant risk factors for alcohol dependence and abuse 10 years after the initial interview, in conjunction with evidence of academic attrition, early departure from college and less favorable labor market outcomes.

By the most recent estimates, 30.3 million people in the U.S. have diabetes. An estimated 23.1 million have been diagnosed with diabetes and 7.2 million are believed to be living with undiagnosed diabetes. At the same time, 84.1 million people are at increased risk for type 2 diabetes. Thus, more than 114 million Americans are at risk for developing the devastating complications of diabetes (1). Diabetes self-management education and support (DSMES) is a critical element of care for all people with diabetes. DSMES is the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care, as well as activities that assist a person in implementing and sustaining the behaviors needed to manage his or her condition on an ongoing basis, beyond or outside of formal self-management training. In previous National Standards for Diabetes Self-Management Education and Support (Standards), DSMS and DSME were defined separately, but these Standards aim to reflect the value of ongoing support and multiple services. The Standards define timely, evidence-based, quality DSMES services that meet or exceed the Medicare diabetes self-management training (DSMT) regulations, however, these Standards do not guarantee reimbursement. These Standards provide evidence for all diabetes self-management education providers including those that do not plan to seek reimbursement for DSMES. The current Standards’ evidence clearly identifies the need to provide person-centered services that embrace the ever-increasing technological engagement platforms and systems. The hope is that payers will view these Standards as a tool for reviewing DSMES reimbursement requirements and consider change to align with the way their beneficiaries’ engagement preferences have evolved. Research confirms that less than 5% of Medicare beneficiaries utilize their DSMES benefits (2,3). Changes in reimbursement policies stand to increase DSMES access and utilization, which will result in positive impact to beneficiaries’ clinical outcomes, quality of …

Meeting the challenge of effectively managing human resources requires new thinking and approaches. To extend the traditional perspective of economic capital, increasing recognition is being given to human capital and more recently social capital, this article proposes and empirically tests the potential added value that psychological capital may have for employee attitudes of satisfaction and commitment. After first providing the background and theory of PsyCap, this article reports a study of manufacturing employees (N = 74) that found a significant relationship between PsyCap and job satisfaction (r=.373) and organization commitment (r=.313). Importantly, the employees' PsyCap had a significant added impact over human and social capital on these work attitudes. Future research and practical implications conclude the article.

TOPIC. Concept analysis and self-efficacy. PURPOSE. This paper provides an in-depth analysis of the concept self-efficacy through the use of Rodger's model. SOURCES. Published research. CONCLUSION. Self-efficacy beliefs influence how people think, feel, motivate themselves, and act. Self-efficacy is concerned about the perception or judgment of being able to accomplish a specific goal and cannot be sensed globally. In order to gain a sense of self-efficacy, a person can complete a skill successfully, observe someone else doing a task successfully, acquire positive feedback about completing a task, or rely on physiological cues.

Real-time PCR (quantitative PCR or qPCR) has become the preferred method for validating results obtained from assays which measure gene expression profiles. The process uses reverse transcription polymerase chain reaction (RT-PCR), coupled with fluorescent chemistry, to measure variations in transcriptome levels between samples. The four most commonly used fluorescent chemistries are SYBR® Green dyes and TaqMan®, Molecular Beacon or Scorpion probes. SYBR® Green is very simple to use and cost efficient. As SYBR® Green dye binds to any double-stranded DNA product, its success depends greatly on proper primer design. Many types of online primer design software are available, which can be used free of charge to design desirable SYBR® Green-based qPCR primers. This laboratory exercise is intended for those who have a fundamental background in PCR. It addresses the basic fluorescent chemistries of real-time PCR, the basic rules and pitfalls of primer design, and provides a step-by-step protocol for designing SYBR® Green-based primers with free, online software.

Data were gathered from 45 doctoral students through focus groups, observations, and written and oral reflections to ascertain their perceptions of a specific teaching process (the Scholarly Writing Project), which was designed to assist these students in learning how to do academic writing. It was found that preparing and receiving critiques from professors and peers was perceived to be the most influential element in helping them to understand the process of scholarly writing and in producing a better written product. More specifically, these students believed that two factors integral to the critiquing process were responsible for building their confidence as academic writers: personalized face-to-face feedback; and the iterative or ongoing nature of the critiques they received. In addition, these students emphasized that although the critiquing process was powerful and useful, it was also highly emotional and at times frustrating. The findings suggest that, in teaching scholarly writing, instructors should be very clear about the purposes and benefits of a strong and sustained critiquing process, and assist students in learning how to both receive and give useful feedback.

The physical accessibility of public transportation increased nationwide following the passage of the Americans With Disabilities Act (ADA) in 1990. Despite removal of many physical barriers within fixed-route systems, significant barriers to overall access of public transportation systems are still widespread. The purpose of the current study was to provide a full description of barriers experienced by individuals with disabilities when using the public transportation and the complementary paratransit services. An online survey was developed and disseminated to contacts of the National Network of ADA Centers, and 4,161 individuals responded. Results highlight significant barriers for people with disabilities who use public transportation and complementary paratransit services. Barriers to these transit systems are physical and attitudinal in nature, and as a result, modifications to the physical environment and educational opportunities to reduce negative attitudes toward individuals with disabilities are recommended.