The Assessment and Intervention of Communication Repair Strategies in Primary School Children with Autism Spectrum Disorder Who Are Minimally Verbal

<p>Autism Spectrum Disorder (ASD) is characterized by marked deficits in communication and social skills in addition to restricted interests and repetitive behaviour. Children with ASD have also been reported to have significant deficits with respect to their ability to repair communication breakdowns. To date, assessments targeting communication repair strategies in children with ASD have been limited in number and lack consistency of implementation. For the current research, both an indirect and direct assessment have been developed to investigate the repair repertoires of primary school-aged children who were minimally verbal. Indirect assessments were conducted with each of the participant’s teachers, and the direct assessments were conducted by creating breakdown scenarios during a requesting routine and recording if and how the children attempted to repair the communication breakdown. Results show that children tended to rely on a singular repair strategy involving the repetition of their initial request. An intervention program was then developed and evaluated with two of the children. These children were taught to use an iPad®-based speech generating device to repair communication breakdowns that occurred when the children’s initial request was followed by receipt of the wrong item. The intervention was evaluated using a nonconcurrent multiple baseline experimental design. Each of the participants showed an increase in responding under specific communication breakdown conditions. While this research is quite preliminary, the data suggests that repair repertoires of children with ASD can be assessed via a structured, direct asses and improved with interventions based on the assessment results.</p>

The Assessment and Intervention of Communication Repair Strategies in Primary School Children with Autism Spectrum Disorder Who Are Minimally Verbal

<p>Autism Spectrum Disorder (ASD) is characterized by marked deficits in communication and social skills in addition to restricted interests and repetitive behaviour. Children with ASD have also been reported to have significant deficits with respect to their ability to repair communication breakdowns. To date, assessments targeting communication repair strategies in children with ASD have been limited in number and lack consistency of implementation. For the current research, both an indirect and direct assessment have been developed to investigate the repair repertoires of primary school-aged children who were minimally verbal. Indirect assessments were conducted with each of the participant’s teachers, and the direct assessments were conducted by creating breakdown scenarios during a requesting routine and recording if and how the children attempted to repair the communication breakdown. Results show that children tended to rely on a singular repair strategy involving the repetition of their initial request. An intervention program was then developed and evaluated with two of the children. These children were taught to use an iPad®-based speech generating device to repair communication breakdowns that occurred when the children’s initial request was followed by receipt of the wrong item. The intervention was evaluated using a nonconcurrent multiple baseline experimental design. Each of the participants showed an increase in responding under specific communication breakdown conditions. While this research is quite preliminary, the data suggests that repair repertoires of children with ASD can be assessed via a structured, direct asses and improved with interventions based on the assessment results.</p>

A simple low-latency real-time certifiable quantum random number generator

Quantum random numbers distinguish themselves from others by their intrinsic unpredictability arising from the principles of quantum mechanics. As such they are extremely useful in many scientific and real-world applications with considerable efforts going into their realizations. Most demonstrations focus on high asymptotic generation rates. For this goal, a large number of repeated trials are required to accumulate a significant store of certifiable randomness, resulting in a high latency between the initial request and the delivery of the requested random bits. Here we demonstrate low-latency real-time certifiable randomness generation from measurements on photonic time-bin states. For this, we develop methods to certify randomness taking into account adversarial imperfections in both the state preparation and the measurement apparatus. Every 0.12 s we generate a block of 8192 random bits which are certifiable against all quantum adversaries with an error bounded by 2−64. Our quantum random number generator is thus well suited for realizing a continuously-operating, high-security and high-speed quantum randomness beacon.

The Role of the Malay Customary Institution in Off-Court Divorce Mediation: a Case Study in Rantau Pandan, Jambi

In general, the concept of mediation in fiqh literature concerns merely with pre-divorce conflicts. In contrast, the Malay Customary Institution in Rantau Pandan, Jambi also concerns with restoring household integrity after divorce. This paper aims at describing and analyzing the role of the Malay Customary Institution in restoring post-divorce households in Rantau Pandan. The field research was conducted where the data taken from in-depth interviews and documentation. This paper concludes that there are two forms of mediation process practiced by the Malay Customary Institution in Rantau Pandan: the mediation that is prompted by the initial request of the involving parties and that is without the precondition of reconciliation. The success of the Customary Institution in mediating familial conflicts is supported by several factors, such as; the competence of the mediators, kinship relations, and the goodwill of the respective parties. The mediation practiced of the Customary Institution works in line with the guidance of the Qur’ān and the principle of mediation in Islam. Additionally, this institution has developed the concept of mediation outside the court, both in terms of form and task.

Requests for euthanasia and assisted suicide: A qualitative study of the wordings of requests from patients at the end of life hospitalised in palliative care units.

Background Whilst euthanasia and assisted suicide are forbidden by French Law, patients at the end of life, hospitalized in Palliative Care Units, sometimes express the Wish to Hasten their Death. Few Studies have analyzed the formulation of these patient requests in interviews and the associated death-related representations. The DESA study analyzed the expression of patients’ requests, focusing on the terms and how patients worded their wishes. The aim is to identify from the “raw wording” of the patients’ requests, the means of expressing them in all its singularity and evolution. Methods This is a qualitative study that took place in 11 French Palliative care Units during on year and included adult patients who had made an explicit request (euthanasia or physician assisted suicide) to a health care provider. Semi-structured interviews were conducted within 48 hours of the initial request (D0), then a week later (D7). Results At DO, the initial request is a request for euthanasia and it calls a third person urgently. This request is related to physical and psychological suffering, trauma and representations of death. At D7, we observe a semantic change; the request is less explicit and requires less intervention by a third party. The quest remains that of a death without suffering. Conclusions These patients express themselves easily on their request and listening is necessary to be able to hear the meaning of the words but also their functions. It is their nuance, variety and evolution that help to understand what the requirements mean. Trial registration number : ClinicalTrials.gov Identifier: NCT02845817

Survey of Pharmacists Regarding the Use of Propofol Infusions in the PICUs in North America

OBJECTIVE The objective of this survey was to assess the current use of continuous infusion propofol in PICUs across the United States and Canada. METHODS A list of institutions with PICU beds/units was identified through the residency directories available on the American Society of Health-Systems Pharmacists (ASHP) and Canadian Society of Hospital Pharmacists (CHSP) Web sites. A REDCap questionnaire was sent to each identified institution's program director via email. An initial reminder email was sent out 2 weeks later and a second reminder email was sent 4 weeks after the initial request. The survey was closed at 6 weeks. RESULTS A total of 514 emails were sent to residency program directors, and 50 pharmacists responded to the survey. Of the pharmacists that did respond, 27 (54%) reported using propofol while 23 (46%) did not. Of those that did not, 43.5% reported the FDA boxed warning as the primary reason. Thirty-seven percent of respondents using propofol felt comfortable using a maximum infusion rate of 200 mcg/kg/min. Twenty-nine percent, 25%, and 33% of those who responded as using propofol felt comfortable using this agent for a maximum duration of 24, 48, and 72 hours, respectively. The majority of respondents using propofol did not have a case of propofol-related infusion syndrome. CONCLUSIONS Despite the FDA warning, propofol is used as a continuous infusion (with variable limitations) by a majority of pharmacists in North America. Self-reported incidence of propofol-related infusion syndrome (PRIS) remains low.

DIAGNOSIS OF NONRENTHENOLOGICAL AXIAL SPONDYLITIS IN A YOUNG GIRL WITH A FAMILY HISTORY OF RHEUMATIC PATHOLOGY

The article presents a clinical case of nonrenthenological ankylosing spondylitis (as). AU was diagnosed at the initial request for medical help for pain in the lower back and hip joints. Timely diagnosis was carried out taking into account the burdened hereditary anamnesis. AU was detected at an early stage of the disease, when persistent functional disorders in the spine and joints have not yet formed, which could later become irreversible.

Challenges in creating a 3D participatory platform for urban development

<p><strong>Abstract.</strong> This paper aims at underling difficulties regarding the establishment of citizen engagement processes. The specificity of citizen engagement processes lies in their evolution over time where objectives, constraints, and latitudes of a given project influence the relevance of the tools offered to citizens. Three categories of urban projects (trans-urban, major metropolitan, architectural design) have been described. These classes range from a local space with short deadlines to a regional space spread over several decades. Furthermore, the use of 3D platforms for a broad public is influenced by the users’ preferences, perception, and expertise. Throughout this study, major challenges that have been experienced during the design a 3D participatory platform are identified. They range from the issues of implementing adequate tools according to the project (temporal and spatial scalability), the participation forms (passive, consultative or interactive), to the difficulties of convincing the authorities to use new bottom-up methods. Finally, a conceptual framework for the creation of a 3D participatory platform has been introduced. It can be summarized by three major steps: (1) Meeting the needs of a decision maker, (2) Designing the participation tool in accordance with the context, (3) Translating collected raw data in order to respond to the initial request.</p>

Effects of Subliminal Affective Priming on Helping Behavior Using the Foot-in-the-Door Technique

Two experiments examined the effect of subliminal affective priming on compliance using the foot-in-the-door (FITD) paradigm. Prior to the target request, participants were exposed to subliminal emotional expressions. FITD (presence vs absence of initial request) was crossed with Priming (positive, negative, neutral, and absence of prime-blank screen) in a between-subjects design. 180 students volunteered as participants ( M = 22 years). 20 participants (10 females) were assigned to each of eight experimental conditions plus the control condition that neither involved the initial request nor the priming experiment. Participants were asked to judge whether target sentences were relevant or not for road safety instruction. In Experiment 1, emotional valence of prime stimuli affected both endorsement rate and time devoted to the target request but not participants' attitude. Affective priming effects did not interact significantly with the FITD effect. In Experiment 2, in 180 more students, the attitude measure was replaced by an implicit recognition task. Results showed that regardless of priming condition, in the absence of FITD, participants recognized target sentences better than in the presence of FITD. Conversely, in the presence of the FITD, participants recognized more accurately previously seen sentences that were primed by positive emotions relative to other priming conditions. The latter result suggests that the presence of the FITD involves a significant amount of cognitive resources so that only stimuli emotionally relevant to the task's goal (i.e., positive) tend to be processed. Together, these results could explain how, contrary to helping behavior, compliant behavior that has no direct association with the prime stimuli was not easily influenced by the affective subliminal priming.