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This article explores the implementation of Radically Open Dialectical Behavior Therapy (RO DBT) in a University or College Counseling Setting (UCCS). The authors review the rationale for including RO DBT in a UCCS and the process of implementing the treatment at their center. This paper evaluates this newly implemented treatment by examining clinician experience, feasibility, and adaptability of RO DBT including Words of Wisdom regarding future implementations of RO DBT in a UCCS. [ABSTRACT FROM AUTHOR]

Copyright of Studies & Work of the Collegium of Management & Finance / Studia i Prace Kolegium Zarzadzania i Finansów is the property of SGH Warsaw School of Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background Appropriate conceptualization and measurement of disability are critical for population-focused resource allocation and policy development. Self-reported and performance-based measures of functioning have been used to represent disability. Variation in environmental context or self-perception of ability may influence self-reports; however, performance-based measures that attempt to control environmental context may not accurately capture real-world aspects of functioning. This study examined the agreement between self-report and performance-based measures of functioning within 4 domains among older adults. Methods Cross-sectional data from the 2021 National Health and Aging Trends Study was used. Self-reported and performance-based measures of functioning were assessed for vision, hearing, mobility, and memory domains. We examined the diagnostic characteristics of performance-based versus self-reported measures using sensitivity, specificity, and receiver operating characteristics curves. Differences in the agreement of these measures across sociodemographic groups were investigated using logistic regression. Results Among 2 442 respondents 71 years and older (mean 78.5 ± 5.3, 56% female participants), performance measures of hearing and mobility had high sensitivity (89% and 91%, respectively) and low/moderate specificity (36% and 63%, respectively). The sensitivity and specificity of vision measures were 71%. Memory measures had high specificity (89%) and low sensitivity (28%). Performance-based discrimination ranged from 0.59 (memory) to 0.78 (mobility). Agreement varied across sociodemographic factors. Conclusions Performance measures diverge from self-reported functioning among older adults. Discordance may reveal opportunities for environmental intervention where participants' performance does not capture the full extent of barriers in their daily lives. Additional research is needed to investigate individual and environmental factors which could explain the observed differences. [ABSTRACT FROM AUTHOR]

Copyright of Studies & Work of the Collegium of Management & Finance / Studia i Prace Kolegium Zarzadzania i Finansów is the property of SGH Warsaw School of Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background Hearing loss is associated with adverse health outcomes among older adults. Lower physical activity levels may partly explain these observations, yet the association between hearing loss, hearing aid use, and physical activity among older adults is understudied. Methods Cross-sectional analysis of National Health and Aging Trends Study (2021) participants. The better-hearing ear pure-tone average (BPTA) at speech frequencies (0.5–4 kHz) was modeled continuously (10-dB increments) and categorically (no: ≤25 dB, mild: 26–40 dB, moderate or greater: >40 dB hearing loss). Activity measures were wrist accelerometry-derived (Actigraph) total activity counts, daily active minutes, activity fragmentation (using active-to-sedentary transition probability), and self-reported participation in vigorous activities and walking for exercise in the last month. We used multivariable regression adjusted for sociodemographic and health covariates. Results Among 504 participants excluding hearing aid users (mean age = 79 years, 57% female, 9% Black), 338 (67%) had hearing loss. Worse hearing (continuously and categorically) was associated with fewer counts and active minutes, more fragmented activity, and greater odds of not reporting recent vigorous activities. Among 472 participants with hearing loss including hearing aid users, nonusers (n = 338) had more fragmented activity and greater odds of not reporting walking for exercise compared to users. Conclusions Older adults with hearing loss are less physically active. This may mediate the association between hearing loss and other adverse outcomes. Recognition of this potential association is essential for providers to better support older adults in maintaining an active lifestyle. Future research is warranted to understand the impact of hearing interventions. [ABSTRACT FROM AUTHOR]

The 2015 moment magnitude M w = 8.3 Illapel earthquake is the largest mega-thrust earthquake that has been recorded along the Chilean subduction zone since the 2010 M w = 8.8 Maule earthquake. Previous studies indicate a rupture propagation from the hypocentre to shallower parts of the fault, with a maximum slip varying from 10 to 16 m. The amount of shallow slip differs dramatically between rupture models with some results showing almost no slip at the trench and other models with significant slip at shallow depth. In this work, we revisit this event by combining a comprehensive data set including continuous and survey GNSS data corrected for post-seismic and aftershock signals, ascending and descending InSAR images of the Sentinel-1A satellite, tsunami data along with high-rate GPS, and doubly integrated strong-motion waveforms. We follow a Bayesian approach, in which the solution is an ensemble of models. The kinematic inversion is done using the cascading capability of the AlTar algorithm, allowing us to first get a static solution before integrating seismic data in a joint model. In addition, we explore a new approach to account for forward problem uncertainties using a second-order perturbation approach. Results show a rupture with two main slip patches, with significant slip at shallow depth. During the rupture propagation, we observe two regions that are encircled by the rupture, with no significant slip, westward of the hypocentre. These encircling effects have been previously suggested by back-projection results but have not been observed in finite-fault slip models. We propose that the encircled regions correspond to zones where the yield stress largely exceeds the initial stress or where fracture energy is too large to be ruptured during the Illapel earthquake. These asperities may potentially break in the future and probably already broke in the past. [ABSTRACT FROM AUTHOR]

Background: Walking is the primary and preferred mode of exercise for older adults. Walking to and from public transit stops may support older adults in achieving exercise goals. This study examined whether density of neighborhood public transit stops was associated with walking for exercise among older adults. Methods: 2018 National Health and Aging Trends Study (NHATS) data were linked with the 2018 National Neighborhood Data Archive, which reported density of public transit stops (stops/mile2) within participants' neighborhood, defined using census tract boundaries. Walking for exercise in the last month was self-reported. The extent to which self-reported public transit use mediated the relationship between density of neighborhood public transit stops and walking for exercise was examined. Covariates included sociodemographic characteristics, economic status, disability status, and neighborhood attributes. National estimates were calculated using NHATS analytic survey weights. Results: Among 4,836 respondents with complete data, 39.7% lived in a census tract with at least one neighborhood public transit stop and 8.5% were public transit users. The odds of walking for exercise were 32% higher (OR = 1.32; 95% confidence interval: 1.08, 1.61) among respondents living in a neighborhood with > 10 transit stops per mile compared to living in a neighborhood without any public transit stops documented. Self-reported public transit use mediated 24% of the association between density of neighborhood public transit stops and walking for exercise. Conclusions: Density of neighborhood public transit stops was associated with walking for exercise, with a substantial portion of the association mediated by self-reported public transit use. Increasing public transit stop availability within neighborhoods may contribute to active aging among older adults. [ABSTRACT FROM AUTHOR]

Features of the physical environment may affect post-stroke recovery, but empirical evidence is limited. This study examines associations between features of the physical environment and post-stroke physical quality of life (PH-QOL). The study sample included stroke survivors enrolled in the Caring for Adults Recovering from the Effects of Stroke project, a prospective cohort. Features of the physical environment surrounding participants' home addresses were audited using Google Earth. Audits captured information about crossings (e.g. curb-cuts; range 0-4), street segments (e.g. sidewalks; range 0-17.5), and a route (e.g. parks; range 0-27) near participants' home. Summary scores were categorized into tertials representing "few," "some," and "many" pedestrian-friendly features. Post-stroke PH-QOL was measured by the SF-12 (range 0-100) around 6 to 12-, 18-, 27-, and 36-months post-stroke. Linear mixed models were used to estimate PH-QOL over time. Chained multiple imputation was used to account for missing data. Two hundred and seventy-five participants were eligible, among whom 210 had complete data. Most participants lived in areas with "few" features to promote outdoor mobility. Participants living in environments with "some" crossing features had a 4.90 (95% CI: 2.32, 7.48) higher PH-QOL score across the observation period in comparison to participants living in environments with "few" crossing features. Features of the physical environment along street segments and routes were not associated with post-stroke PH-QOL. Crossing features are associated with post-stroke PH-QOL. Modifying features of the physical environment at nearby crossings, such as curb-cuts, may be a promising strategy for increasing PH-QOL. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to evaluate the ocular surface parameters of post-COVID-19 patients when compared to healthy controls. Methods: Patients after symptomatic SARS-CoV-2 infection, as confirmed by a PCR test of their nasopharyngeal swab sample, were enrolled. Complete ophthalmic examination, including visual acuity test, intraocular pressure measurement (IOP), slit-lamp examination, tear osmolarity test, central corneal thickness, endothelial cell number measurements, non-invasive keratograph break-up time (NIKBUT), meniscus height, and the Schirmer's test were performed and compared with the controls. Results: It must be noted that there were 36 COVID-19 patients and 25 control subjects included in the study. Eye itching and burning (19%) were the most common symptoms of COVID-19 infection, followed by a subjective decrease in vision (17%), conjunctivitis and eye pain were present in 11%, and 6% of the patients had episcleritis. The mean time from initial infection was 6.5 ± 3.9 (range 1–24 weeks). Meniscus height was not significantly changed between the COVID-19 (0.34 ± 0.13 mm) group and the control (0.33 ± 0.12 mm, p = 0.88) group. In addition, the NIKBUT-1 (p = 0.88; 7.22 ± 4.60 s and 6.91 ± 4.45 s) and NIKBUT average (p = 0.91, 12.30 ± 5.86 s and 11.77 ± 4.97 s) test results showed no significant change either. Neither was a significant result found in the IOP (p = 0.17, 14.56 ± 2.10 mmHg and 14.11 ± 1.96 mmHg); the Schirmer test (p = 0.18, 20.22 ± 7.92 mm and 20.02 ± 7.17 mm); Tosm (p = 0.16, 294.42 ± 54.51 mOsm/dL and 299.33 ± 5.65 mOsm/dL); CCT (p = 0.06, 549.15 ± 28.98 vs. 539.21 vs. 29.08 µm); nor the endothelial cell density (p = 0.07, 2516.64 ± 287.61 vs. 2454.21 ± 498.60 cells/mm2). Conclusions: Through this study it was not revealed that there were any significant differences between the post-COVID group and control group in the objective measurements of ocular surface conditions, when performed after the acute phase of COVID-19. The exact incidence and mechanism of ocular findings, especially dry eye disease, in correlation with SARS-CoV-2 requires further research. [ABSTRACT FROM AUTHOR]

The early stage of the postseismic phase is characterized by a large deformation rate. Its analysis is thus key to decipher the role played by different mechanisms (afterslip and viscoelasticity) at various time scales. Here, we process GPS data to obtain 30‐s kinematic position time series recording the surface deformation following the Mw 9.0 Tohoku‐Oki megathrust earthquake (2011), and combine them with static solutions over 9 years. We analyze the temporal evolution of the time series and use these observations to image the postseismic slip. We find that the first month of deformation following Tohoku‐Oki can be explained by an afterslip mechanism, that exhibits an "Omori‐like" decay, with a p‐value around 0.75 almost everywhere with the exception of a small region around Ibaraki prefecture where p ∼ 1 is observed. This p < 1 indicates that the postseismic displacements do not increase logarithmically with time as predicted by rate‐and‐state rheology. Instead, we argue that early afterslip is associated with a transient brittle creep mechanism. We use numerical simulations to show that an exponent of p < 1 can be explained by a combination of thermal activation of local slips and elastic interactions. Over longer time scales, an additional mechanism is required to explain the observed deformation signal, and the transient brittle creep mechanism is combined with viscoelastic relaxation modeled by a Newtonian flow. The spatial analysis reveals two distinct afterslip regions, a major one on the North, associated with a p‐value around 0.75, and a smaller one close to the Ibaraki aftershock, associated with p ∼ 1. Plain Language Summary: The Tohoku‐Oki earthquake of 11 March 2011, is the largest subduction earthquake of the past decade. Earthquakes produce a perturbation in the state of stress of the crust and mantle, and this perturbation is relaxed after the earthquake, during the postseismic phase. This phase is associated with deformations measurable at the earth surface with instruments such as GPS stations. Two main mechanisms are commonly considered to explain this postseismic phase: afterslip, which corresponds to the aseismic slip occurring around the fault zone, or a viscoelastic relaxation in the mantle. The originality of our study is the inclusion of the GPS signal from the first few minutes after the earthquake, giving details on the early postseismic deformation. We find that the early postseismic phase of Tohoku‐Oki can be understood from a different physical model than those commonly considered. Based on a spatial analysis, we have identified a first major afterslip region downdip of the Tohoku‐Oki rupture zone and a second small area near the largest aftershock. These two regions also show different temporal evolutions. Further studies on other large earthquakes should allow to revisit the early postseismic phase of large subduction earthquakes. Key Points: Kinematic and static positions time series are used to analyze the postseismic deformation following the Mw 9.0 Tohoku‐Oki earthquakeThe temporal evolution of the early postseismic is explained by an Omori‐like Transient Brittle Creep mechanism with a p‐value around 0.75The spatial analysis reveals a major afterslip zone downdip from the main rupture and a secondary one close to the Ibaraki‐Oki event [ABSTRACT FROM AUTHOR]

Rural areas are experiencing a dynamic, multidirectional change. It is the result of impact of many processes, including rapid, often spontaneous urbanisation and structural transformation in the agricultural sector and temporary and permanent movements of the population. Changes in the spatial structures of the countryside, on the one hand, influenced by European programmes and measures, linked to the processes of modernisation and organisation of rural settlements and economic systems. On the other hand, rapid economic development and spontaneous investment are resulting in the expansion of the urban forms of land use – not only in the immediate surroundings of the cities and towns, but also in remote, peripheral areas dominated until recently by farming. The paper presents the genesis of contemporary land use in rural areas in Poland, linking the countryside structures with the intensity and forms of residency and user economies in the rural areas. The main drivers of change, significantly affecting the emerging forms of farming villages, are processes of intensive suburbanisation and semi-urbanisation, the phenomenon of progressive peripherisation of large areas in different parts of the country, the depopulation of the countryside and profound changes in the demographic structure of the population, improvement of infrastructure and transport accessibility and economic revival of villages. There are also important issues related to advantages such as natural and cultural values of the village. The aim of the article is to present the main directions of functional and spatial transformations of rural areas in Poland from the beginning of the 21st century. The main hypothesis is that the development of rural areas in Poland proceeds in two directions: Urban "colonization", which involves the invasion of both single- and multi-family housing in the surroundings of traditional villages and in areas previously used for agricultural purposes, is becoming increasingly widespread; this follows restructuring and diversification (spatial and functional) in urbanized rural areas. Much indicates that the rational development and use of rural areas will be one of the main challenges of Poland in the near future. [ABSTRACT FROM AUTHOR]

The hallmark characteristics of a diagnosis of autism spectrum disorder (ASD) are deficits in social communicative skills and the use of repetitive and/or stereo-typed behaviors. In addition, children with ASD experience known motor-skill delays. The purpose of this study was to examine salient child behaviors of young children with and without ASD in 2 distinctly different play settings: a traditional social-play-based setting and a motor-behavior-based play setting. Child behavior (engagement toward parent, negativity, and attention) and dyad characteristics (connectedness) were examined in 2 distinctly different play settings. Results indicated that children with ASD performed more like their peers without ASD in a social-play-based setting and less like their peers in a motor-behavior-based play setting. Aspects of our results shed light on the critical need to develop creative methods of early intervention that combine efforts in all aspects of child development, including motor-skill development. [ABSTRACT FROM AUTHOR]

It is well-established that the post-seismic slip results from the combined contribution of seismic and aseismic processes. However, the partitioning between these two modes of deformation remains unclear due to the difficulty of inferring detailed and robust descriptions of how both evolve in space and time. This is particularly true just after a mainshock when both processes are expected to be the strongest. Using state-of-the-art sub-daily processing of GNSS data, along with dense catalogs of aftershocks obtained from template-matching techniques, we unravel the spatiotemporal evolution of post-seismic slip and aftershocks over the first 12 h following the 2015 Mw 8.3 Illapel, Chile, earthquake. We show that the very early post-seismic activity occurs over two regions with distinct behaviors. To the north, post-seismic slip appears to be purely aseismic and precedes the occurrence of late aftershocks. To the south, aftershocks are the primary cause of the post-seismic slip. We suggest that this difference in behavior could be inferred only a few hours after the mainshock. We finish by showing that this information can potentially be obtained very rapidly after a large earthquake, which could prove to be useful in forecasting the long-term spatial pattern of aftershocks. [ABSTRACT FROM AUTHOR]

Background and Objectives: This study aimed to identify demographic and clinical factors at the time of critical care consultation associated with mortality or intensive care unit acceptance in a predominantly Afro-Caribbean population during the first wave of the COVID19 pandemic. Materials and Methods: This retrospective, single-center observational cohort study included 271 COVID19 patients who received a critical care consult between March 11 and April 30, 2020 during the first wave of the COVID19 pandemic at State University of New York Downstate Health Sciences University. Results: Of the 271 patients with critical care consults, 33% survived and 67% expired. At the bivariate level, age, blood urea nitrogen, and blood neutrophil percentage were significantly associated with mortality (mean age: survivors, 61.62 ± 1.50 vs. non-survivors, 68.98 ± 0.85, p < 0.001). There was also a significant association between neutrophil% and mortality in the univariate logistic regression model (quartile 4 vs. quartile 1: odd ratio 2.73, 95% confidence interval (1.28–5.82), p trend = 0.044). In the multivariate analyses, increasing levels of procalcitonin and C-reactive protein were significantly associated with mortality, adjusting for age, sex, and race/ethnicity (for procalcitonin quartile 4 vs. quartile 1: odds ratio 5.65, 95% confidence interval (2.14–14.9), p trend < 0.001). In contrast, higher platelet levels correlated with significantly decreased odds of mortality (quartile 4 vs. quartile 1, odds ratio 0.47, 95% CI (0.22–0.998), p trend = 0.010). Of these factors, only elevated procalcitonin levels were associated with intensive care unit acceptance. Conclusions: Procalcitonin showed the greatest magnitude of association with both death and likelihood of intensive care unit acceptance at the bivariate level. Our data suggests that procalcitonin reflects pneumonia severity during COVID-19 infection. Thus, it may help the intensivist identify those COVID19 patients who require intensive care unit level care. [ABSTRACT FROM AUTHOR]

Background: Corneal dystrophies are a group of rare, inherited disorders that are usually bilateral, symmetric, slowly progressive, and not related to environmental or systemic factors. The majority of publications present the advanced form of the disease with a typical clinical demonstration. The initial signs and symptoms of different epithelial and stromal corneal dystrophies are not specific; therefore, it is very important to establish the early characteristic corneal features of these disorders that could guide the diagnostic process.Case Presentation: The main purpose of this study was to report the differential diagnosis of a pediatric patient with bilateral anterior corneal involvement suspected of corneal dystrophy. An 8-year-old male patient presented with asymptomatic, persistent, superficial, bilateral, diffuse, anterior corneal opacities. Slit lamp examination results were not specific. Despite the lack of visible stromal involvement on the slit lamp examination, corneal analysis based on confocal microscopy and optical coherence tomography revealed characteristic features of macular corneal dystrophy (MCD). The diagnosis of MCD was confirmed by CHST6 gene sequencing. The early corneal characteristic features of MCD, established based on the findings of this case report, include corneal astigmatism (not specific), diffuse corneal thinning without a pattern of corneal ectasia (specific), and characteristic features on confocal microscopy (specific), including multiple, dark, oriented striae at different corneal depths.Conclusions: The clinical examination should be complemented with corneal imaging techniques, such as confocal microscopy and optical coherence tomography. In patients suspected of corneal dystrophy, genetic testing plays an important role in establishing the final diagnosis. [ABSTRACT FROM AUTHOR]

Transient deformation associated with foreshocks activity has been observed before large earthquakes, suggesting the occurrence of a detectable preseismic slow slip during the initiation phase. A critical issue consists in discriminating the relative contributions from seismic and aseismic fault slip during the preparation phase of large earthquakes. We focus on the April–May 2017 Valparaíso earthquake sequence, which involved a MW = 6.9 earthquake preceded by intense foreshock activity. To assess the relative contribution of seismic and aseismic slip, we compare surface displacement predicted from foreshocks source models with transient motion measured prior to the mainshock. The comparison between observed and predicted displacements shows that only half of the total displacement can be explained by the contribution of foreshocks. This result suggests the presence of aseismic pre‐slip during an initiation phase preceding the mainshock. Plain Language Summary: Several studies suggest that some large earthquakes are preceded by aseismic fault slip. Such pre‐slip could explain foreshock activity and transient displacements observed before some large earthquakes. However, a large portion of observed preseismic deformations could be associated with the displacement field caused by each individual foreshock earthquakes. This study focuses on the 2017 MW = 6.9 Valparaíso (Chile) earthquake that was preceded by a noticeable Global Positioning System displacement and numerous foreshocks. By combining geodetic and seismic observations, our results show that only half of preseismic displacement can actually be explained by the contribution of foreshocks. This confirms that the Valparaíso earthquake was preceded by detectable aseismic fault slip accelerating into the main dynamic rupture. Key Points: The 2017 Valparaíso MW = 6.9 earthquake presents a preseismic transient displacementWe evaluate the contribution of foreshock‐induced displacement to the preseismic Global Positioning System observationsResults suggest that 50% ± 11% of the preseismic displacement is caused by aseismic slip [ABSTRACT FROM AUTHOR]

It is well-established that the post-seismic slip results from the combined contribution of seismic slip and aseismic slip. However, the partitioning between these two modes of slip remains unclear due to the difficulty to infer detailed and robust descriptions of how both evolve in space and time. This is particularly true just after a mainshock when both processes are expected to be the strongest. Using state-of-the-art sub-daily processing of GNSS data, along with dense catalogs of aftershocks obtained from template-matching techniques, we unravel the spatiotemporal evolution of post-seismic slip and aftershocks over the first 12 hours following the 2015 Mw8.3 Illapel, Chile, earthquake. We show that the very early post-seismic activity occurs over two regions with distinct behaviors. To the north, post-seismic slip appears to be purely aseismic and precedes the occurrence of late aftershocks. To the south, aftershocks are the primary cause of the post-seismic slip. We suggest that this difference in behavior could be inferred only few hours after the mainshock, and thus could contribute to a more data-driven forecasts of long-term aftershocks. [ABSTRACT FROM AUTHOR]

Background: Understanding how and where children accumulate their physical activity (PA) and sedentary minutes throughout the day has important implications for behavioral interventions. Purpose: The purpose of this study was to examine the duration and intensity of habitual PA and sedentary time (SED) at and away from school among preadolescent children. Methods: Data from twenty-one children ages 7–11 (57% girls; 57% nonwhite; 24% overweight/obese) were included in this analysis. Proportion of time spent in PA, SED, and SED bouts were examined on school days (in-school and out-of-school) and non-school days via accelerometry. Results: When comparing school time with non-school time on school days, children accumulated a higher proportion of light PA while in-school [49.3% (i.e. 5 min 18 s) vs. 39.6% (i.e. 3 h 53 min), p =.01]. While at school, the proportion of time spent in SED was less [46.3% (i.e. 3 h 7 min) vs. 56.3% (i.e. 5 h 32 min), p =.01] and fewer children spent time engaged in prolonged sitting compared to out-of-school [uninterrupted SED for 30 min 52.4% (i.e. 11 children) vs. 85.7% (i.e. 18 children), p =.02] Discussion: These findings suggest children are proportionately most active and least sedentary when at school, yet children only accumulated approximately 18 min of moderate-to-vigorous PA in this environment. Translation to Health Education Practice: These preliminary findings can help to inform physical activity programming designed to promote life-long physical activity behaviors in children. [ABSTRACT FROM AUTHOR]

Background and purpose: The recent SARS‐CoV‐2 pandemic has posed multiple challenges to the practice of clinical neurology including recognition of emerging neurological complications and management of coexistent neurological diseases. In a fast‐evolving pandemic, evidence‐based studies are lacking in many areas. This paper presents European Academy of Neurology (EAN) expert consensus statements to guide neurologists caring for patients with COVID‐19. Methods: A refined Delphi methodology was applied. In round 1, statements were provided by EAN scientific panels (SPs). In round 2, these statements were circulated to SP members not involved in writing them, asking for agreement/disagreement. Items with agreement >70% were retained for round 3, in which SP co‐chairs rated importance on a five‐point Likert scale. Results were graded by importance and reported as consensus statements. Results: In round one, 70 statements were provided by 23 SPs. In round two, 259/1061 SP member responses were received. Fifty‐nine statements obtained >70% agreement and were retained. In round three, responses were received from 55 co‐chairs of 29 SPs. Whilst general recommendations related to prevention of COVID‐19 transmission had high levels of agreement and importance, opinion was more varied concerning statements related to therapy. Conclusion: This is the first structured consensus statement on good clinical practice in patients with neurological disease during the COVID‐19 pandemic that provides immediate guidance for neurologists. In this fast‐evolving pandemic, a rapid response using refined Delphi methodology is possible, but guidance may be subject to change as further evidence emerges. [ABSTRACT FROM AUTHOR]

Objectives: This cross-sectional study examines the association between perceived sidewalk conditions and neighborhood participation among older adults in the REasons for Geographic and Racial Differences in Stroke (REGARDS) study. Methods: Between 2013–2016, 14,233 REGARDS participants completed a second in-home visit. Using logistic regression, we cross-sectionally examined if perceived severity of sidewalk problems was associated with going into the neighborhood less than once compared to 1–7 times per week. Results: The analytic sample included participants (N = 9863) with nonmissing data. The likelihood of going into the neighborhood less than one time per week was greater among participants who reported minor (OR = 1.15; 95% CI: 1.00, 1.33), somewhat serious (OR = 1.41; 95% CI: 1.17, 1.70), and very serious (OR = 1.65; 95% CI: 1.38, 1.98) sidewalk problems in their neighborhood compared to those reporting no sidewalk problems, independent of demographic, socioeconomic, and impairment characteristics. Discussion: Perceived sidewalk problems appear to deter neighborhood participation among older adults. [ABSTRACT FROM AUTHOR]

Background: Although previous research has highlighted the association between the built environment and individual health, methodological challenges in assessing the built environment remain. In particular, many researchers have demonstrated the high inter-rater reliability of assessing large or objective built environment features and the low inter-rater reliability of assessing small or subjective built environment features using Google Street View. New methods for auditing the built environment must be evaluated to understand if there are alternative tools through which researchers can assess all types of built environment features with high agreement. This paper investigates measures of inter-rater reliability of GigaPan®, a tool that assists with capturing high-definition panoramic images, relative to Google Street View. Methods: Street segments (n = 614) in Pittsburgh, Pennsylvania in the United States were randomly selected to audit using GigaPan® and Google Street View. Each audit assessed features related to land use, traffic and safety, and public amenities. Inter-rater reliability statistics, including percent agreement, Cohen's kappa, and the prevalence-adjusted bias-adjusted kappa (PABAK) were calculated for 106 street segments that were coded by two, different, human auditors. Results: Most large-scale, objective features (e.g. bus stop presence or stop sign presence) demonstrated at least substantial inter-rater reliability for both methods, but significant differences emerged across finely detailed features (e.g. trash) and features at segment endpoints (e.g. sidewalk continuity). After adjusting for the effects of bias and prevalence, the inter-rater reliability estimates were consistently higher for almost all built environment features across GigaPan® and Google Street View. Conclusion: GigaPan® is a reliable, alternative audit tool to Google Street View for studying the built environment. GigaPan® may be particularly well-suited for built environment projects with study settings in areas where Google Street View imagery is nonexistent or updated infrequently. The potential for enhanced, detailed imagery using GigaPan® will be most beneficial in studies in which current, time sensitive data are needed or microscale built environment features would be challenging to see in Google Street View. Furthermore, to better understand the effects of prevalence and bias in future reliability studies, researchers should consider using PABAK to supplement or expand upon Cohen's kappa findings. [ABSTRACT FROM AUTHOR]

Numerical simulations are carried out for the dynamic rupture and wave propagation process of the 24th August 2016 ML 6.0 Amatrice, Italy, earthquake, using a boundary domain method (BDM), a hybrid method of boundary integral equation and finite difference methods. Dynamic rupture parameters of two seismogenic asperities are searched by iterative search through the comparison of the near-field ground motions. The preferred models indicate two asperities, aligned at around 4–5 km depth and separated from each other as well as from the initial rupture point. This requires a few supplementary patches connecting them, and that are less energetic than the asperities. The asperities are characterized by a radius of 2–3 km in the south (first to rupture) and of 2–4 km in the north (second to rupture), and the corresponding fracture energies of the asperities are (25.35 ± 0.63) × 1012 J and (38.05 ± 7.91) × 1012 J, respectively. These values are consistent with the scaling relation extrapolated from various analyses of large earthquakes. Although the parameter space of the search is limited due to the numerical performance of the dynamic rupture simulation, the proposed simple characterization of the earthquakes source confirms the scaling relation in fracture energy of the seismogenic asperities, which is essential for constructing mechanical earthquake source models. [ABSTRACT FROM AUTHOR]

Copyright of Space-Society-Economy is the property of Wydawnictwo Uniwersytetu Lodzkiego and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Die unter dem Namen „Memoriale di Aldo Moro" bekannten Schriftstücke sind im Original nicht überliefert; es handelt sich dabei um Aufzeichnungen, Reflexionen und Verhöraussagen, die der Politiker während seiner fast zweimonatigen Entführung durch die Roten Brigaden im Frühjahr 1978 schriftlich niedergelegt bzw. gemacht hatte. Nach seinem gewaltsamen Tod drang die von General Dalla Chiesa geleitete Spezialeinheit im Oktober 1978 in die konspirative Wohnung ein, die sich in der Via Monte Nevoso in Mailand befand, und stieß dort auf eine partielle schreibmaschinenschriftliche Transkription dieses Materials sowie auf Fotokopien von weiteren handschriftlichen Texten, Briefen und Testamenten; zwölf Jahre später kamen in derselben Wohnung noch einmal 420 Briefe und Blätter mit Erinnerungsaufzeichnungen zum Vorschein. Der vorliegende Aufsatz erörtert weniger die Inhalte, sondern vor allem die redaktionelle Anordnung dieser Dokumente, die sich in einen thematischen und einen nichtthematischen Teil untergliedern, aber keine durchgängige Nummerierung aufweisen; vor allem aber versucht er auf die Frage zu antworten, ob die Gesamtanlage der Fotokopien, wie sie 1990 vorgefunden wurde, auf einen verborgenen Eingriff der staatlichen Sicherheitsapparate seit Herbst 1978 beruht, wie Miguel Gotor in seinem Buch „Il memoriale della Repubblica" annimmt. Gegenüber dieser nicht überzeugenden These gehen die vorliegenden Ausführungen davon aus, dass die von den Roten Brigaden vorgenommene Strukturierung des Materials maßgeblich ist, auch wenn spätere begrenzte Eingriffe und Unterschlagungen nicht ausgeschlossen werden können: grundlegend bleibt die Unterscheidung zwischen den Texten, deren schreibmaschinenschriftliche Transkription (natürlich vor dem 1. Oktober 1978) durchgeführt worden war, und denjenigen, deren Bearbeitung aus inhaltlichen, zeitlichen oder beiden Gründen unterblieb. The document known as „Aldo Moro's memoirs" consists of statements, reflections and the politician's answers to questions asked by the Red Brigades, the terrorist organization that held him captive for almost two months in the spring of 1978 before murdering him. The original document has never been found, and it is known only in a partial typed transcription – discovered in October 1978, immediately after the joint police-force raid led by general Dalla Chiesa into the brigatists' den in Via Monte Nevoso in Milan – and in photocopies of autograph manuscripts inserted among copies of his letters and wills, discovered twelve years later in the same place (420 pages of memoirs and letters). This article does not focus on describing the contents of the memoirs, but instead on a correct contextualization of the compilation of these writings, which can be subdivided into thematic and non-thematic but which lack a unitary numerical code. Above all, it tries to answer the persisting questions as to the overall sequence of the copies found in 1990; in other words, if this sequence is the result of a covert intervention on these papers by the State security services after the autumn of 1978, a theory supported by Miguel Gotor in his book „Il memoriale della Repubblica". In my opinion this theory is unconvincing. Though we cannot rule out a limited manipulation of the papers after their handling by the Red Brigades and the removal of documents, I believe that the sequence of pages was decided on by the Red Brigades, making a distinction between the texts they had typed out (obviously before 1 October 1978) and those that had not been typed by this date, due either to a lack of time, or because it was deemed unnecessary, or both. [ABSTRACT FROM AUTHOR]

On 2012 August 11, an earthquake doublet (M w6.5 and M w6.3), separated in time by 11 min, occur in the northwest of Iran. The hypocentres of these earthquakes are close (∼6 km) and located near the cities of Ahar and Varzaghan. The rupture process of both main shocks is retrieved by inverting the near-field strong motions data and using the elliptical subfault approximation method. Our calculations show that the two earthquakes are occurring on two distinct fault planes: the first main shock (M1) has nucleated at a depth of ∼8.5 km, and is located ∼4 km east of the eastern termination of the E-W trending surface rupture. The slip reaches the ground surface west of the hypocentre on an E-W striking fault (N88°E) that dips almost vertically (80°S). This earthquake exhibits a right-lateral strike-slip mechanism. The entire slip is imaged on a single patch that ruptures with an average speed of 2.4 km s−1. The rupture duration is ∼5.6 s and the earthquake releases a seismic moment of ∼8.41E + 18 N·m. The slip reaches the surface with a right-lateral dislocation value of ∼1 m, which is consistent with the observed surface rupture. About 11 min later, the second main shock (M2) nucleates ∼5 km to the west and 4 km to the north with respect to the hypocentre of the M1, and at a depth of ∼16.5 km. The M2 rupture evolves toward shallower depths and to the west on an ENE-WSW oriented fault plane (strike ∼256°) with a dip of ∼60° northward. The slip is essentially distributed on two distinct patches with strike-slip and reverse mechanisms, respectively. The first patch has a pure right-lateral strike-slip mechanism, and ruptures at a relatively fast speed of over 2.8 km s−1, and last for about 2.6 s until it reaches the second patch. The latter has a reverse mechanism (rake∼112°) and extends the rupture toward shallow depths, and to the west at a speed of ∼2.5 km s−1, and its rupture lasts for ∼2.5 s. The top of the slip distribution of M2 stops at a depth of ∼8 km. We observe that aftershocks surround the M1 and most of the M2 slip models. They are not distributed in the region of high slip (∼3.1 m) of M1. We show that the rupture of M2 is controlled by the static Coulomb stress changes caused by M1, with the maximum slip of M2 located in the positive Coulomb stress caused by M1. The M2 rupture stops where it reaches the area of high negative Coulomb stress change (over −10 bars). The cumulative Coulomb stress fields of both main shocks show a transfer of positive static Coulomb stress change of >0.1 bars on the eastern segment of the North Tabriz Fault. This segment did not rupture since the 1721 M∼7.6–7.7 event that has destroyed the city of Tabriz, and that currently hosts 2 million people. The occurrence of this earthquake doublet with different mechanisms reveals the slip partitioning of the oblique convergence regime of NW Iran on the Ahar–Varzaghan complex fault system. [ABSTRACT FROM AUTHOR]

Retail trade and services are becoming the most dynamically developing sector of non-agricultural activity in Polish rural areas. State-owned and cooperative stores have been closed down and they were replaced mostly by private stores. There are more and more commercial outlets of various formats, including supermarket chains, discount stores and integrated chains. Despite growing number of modern retail trade formats, traditional small-format, often referred to as local market is also really important. New trading posts in small towns and rural areas are mainly located in the zones of influence of larger cities. They affect many changes of spatial, social and economic character. Small towns and rural areas surrounding them more and more frequently start to compete for further retail trade investments while noticing lots of benefits and costs of this process. The aim of the article is to show the scale of new retail investment in small towns and rural areas in Poland. Research devoted to this field is important from the point of view of choosing the location of new investments related to discount chains and of the strategy for the development of small towns and rural areas. Identification of consequences of the operation of discount chains in chosen rural areas and in small towns can impact the verification of the policy adopted by local authorities in relation to spatial planning and forming the functional structure. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to recognise the areas of implementation of the principles of sustainable development (SD) in the model of retail chains activity. In the paper, the assumption was made that nowadays it is necessary to adopt the rules following SD while making strategic decisions by retail chains.Design/methodology/approach The study uses secondary data sources, reports, academic literature and the case study research method. A case study research is a multi-method paradigm based on full range of a scientist's tool-kit: reviewing literature studies, examining secondary documents and comparing the websites of investigated retail chains.Findings According to that business model, the authors were recognising selected components of this model, that is to say: recourses and competences of retail chains and value proposition for their customers. The greatest chances of development will be enjoyed by those retail chains that will be able to provide real value to customers. Maintaining a competitive advantage will require constant improvements in the quality of service and innovative business models connected with sustainable elements.Research limitations/implications It seems necessary to develop research tools that allow for identification of the level of use of the SD concept in retail chain's business models in the future.Practical implications The paper is of interest to practitioners and students of retail management.Social implications The concept of the SD model included in the retailer business models serves to build value for the customer through the care of his quality of life. The vast majority of retailers believe that it is the responsibility of the business sector to respond to social and environmental challenges.Originality/value The paper intends to fill the gap in the literature concerning the influence of SD concept on changes in the business models of retail chains. The SD activities can lead to the development of specific capabilities based on intangible recourses that are sources of competitive advantage (SD). That is the main reason of undertaking this subject. [ABSTRACT FROM AUTHOR]

Aims: Children with mobility related disabilities often experience limited participation and access to social interactions. An emerging pediatric powered mobility device are modified ride-on cars that provide self-directed mobility experiences to children with disabilities. This study aimed to determine: (1) the feasibility of a modified ride-on car intervention during an inclusive playgroup, (2) the effect of a modified ride-on car intervention on the play behaviors of children with and without mobility related disabilities. Method: A single-subject research design was implemented. Thirteen children participated in a weekly inclusive playgroup. The five children with mobility related disabilities were provided modified ride-on cars during the intervention. Children's play behaviors were classified with Howes' Peer Play Scale. Intervention effects were examined using nonoverlap of all pairs (NAP). Results: The intervention was feasible based on participants' good attendance, retention rates, and successful use of modified ride-on cars. Overall children did not experience significant changes in play behaviors, with a few exceptions for decreased solitary, and increased parallel play, and/or direct peer interaction, among children with mobility related disabilities. Future research could examine modified ride-on car use by children with mobility related disabilities focusing on changes in unique play interactions between children with and without disabilities. [ABSTRACT FROM AUTHOR]

The graduate school authors consider the impact of the COVID-19 pandemic upon the community of people with disabilities. Topics include public discussions of rationing medical care; the premature efforts to institutionalize people with disabilities to free up hospital space, despite the fact that nursing homes and long-term medical facilities have become the hardest hit for infection rates; and other disablist practices including limited access to health care for minorities, indigenous peoples, and those with disabilities.

Objective To determine, among a sample of young CSHCN with developmental conditions, (1) characteristics associated with receipt of both patient-centered medical home (PCMH) and Part C early intervention, (2) the association between each PCMH criterion and receipt of Part C generally, and (3) for CSHCN with disabilities versus delays. Methods Secondary data analysis of the 2009/10 National Survey of CSHCN. Sample included CSHCN (n = 755) birth to 3 years with a developmental disability or delay that affected their function. Adjusted ordinal regression analysis examined characteristics associated with receiving both PCMH and Part C. Stratified adjusted logistic regression examined the association between PCMH criteria and Part C, by disabilities versus delays. Results 19% of our sample received both PCMH and Part C. Black, non-Hispanic children had lower odds [OR 0.44, 95% CI (0.20, 0.97)] and CSHCN with more severe developmental conditions had higher odds [OR 2.13, 95% CI (1.22, 3.17)] of receiving both services. CSHCN with a PCMH were no more likely to be receiving Part C than those without a PCMH [OR 0.85, 95% CI (0.49, 1.49)]. Receiving any one of the PCMH criterion was not associated with receiving Part C, with one exception. Among CSHCN with delays, effective care coordination was associated with lower odds of Part C [OR 0.46, 95% CI (0.21, 0.97)]. Conclusion Concurrent PCMH and Part C access was low for young CSHCN with developmental conditions affecting their function. Given the overlapping mandates for PCMH and Part C, integrated efforts are warranted to identify if lack of concurrent services in fact reflects unmet service needs. [ABSTRACT FROM AUTHOR]

Adipose tissue is actively involved in angiogenesis through secretion of biologically active substances. This topic has been the subject of many recent publications concerning the pathophysiology and treatment of obesity. We discuss the relationship between obesity, angiogenesis and blood rheology. [ABSTRACT FROM AUTHOR]

Methods of treating obesity in selected cases include endoscopically performed procedures, among them endoscopically placed intragastric balloons. It is a method associated with a low complication rate, traditionally reserved to treat the most obese patients. Balloon rupture or deflation and its migration into the small bowel is one of the possible complications. In some cases, the balloon moves through the digestive tract without side effects. When the balloon's displacement in the intestine is impossible, gastrointestinal obstruction occurs. We report a case of a patient with a mechanical obstruction of the gastrointestinal tract caused by asymptomatic balloon rupture and its migration into the jejunum. [ABSTRACT FROM AUTHOR]

Services offered through Part C of the Individuals With Disabilities Education Improvement Act improve cognitive, behavioral, and physical skills for children less than 3 years old at risk for or with a disability. However, there are low enrollment rates into services. Various Lead Agencies oversee services through Part C, and states determine which agency is in charge of administering these services. The objective of this study was to describe odds of enrollment into early intervention services based on the department administering services (Lead Agency). Each state’s Lead Agency (Education, Health, or Other), state population size, narrowness of eligibility criteria, and state-level screening rates were fit into a negative binomial regression model to predict odds of enrollment into Part C services. Results show that state’s reporting from “Health” and “Other” as a Lead Agency had significantly higher odds for Part C services compared with the state Lead Agency of Education (Health adjusted odds ratio [AOR] = 1.56, 95% confidence interval [CI] = [1.557, 1.561]; Other AOR = 2.40, 95% CI = [2.401, 2.405]). Further research should describe unique components of a Lead Agency’s administrative practices that contribute to the variation in enrollment. This study was an important step toward the investigation of low enrollment rates into Part C services. [ABSTRACT FROM AUTHOR]

Anewfinite fault inversion strategy is developed to explore the uncertainty range for the energy based average coseismic stress drop (ΔτE) of large earthquakes. For a given earthquake, we conduct a modified finite fault inversion to find a solution that not only matches seismic and geodetic data but also has a ΔτE matching a specified value. We do the inversions for a wide range of stress drops. These results produce a trade-off curve between the misfit to the observations and ΔτE, which allows one to define the range of ΔτE that will produce an acceptable misfit. The study of the 2014 Rat Islands Mw 7.9 earthquake reveals an unexpected result: when using only teleseismic waveforms as data, the lower bound of ΔτE (5-10 MPa) for this earthquake is successfully constrained. However, the same data set exhibits no sensitivity to its upper bound of ΔτE because there is limited resolution to the fine scale roughness of fault slip. Given that the spatial resolution of all seismic or geodetic data is limited, we can speculate that the upper bound of ΔτE cannot be constrained with them. This has consequences for the earthquake energy budget. Failing to constrain the upper bound of ΔτE leads to the conclusions that (1) the seismic radiation efficiency determined from the inverted model might be significantly overestimated and (2) the upper bound of the average fracture energy EG cannot be constrained by seismic or geodetic data. Thus, caution must be taken when investigating the characteristics of large earthquakes using the energy budget approach. Finally, searching for the lower bound of ΔτE can be used as an energy-based smoothing scheme during finite fault inversions. [ABSTRACT FROM AUTHOR]

Copyright of Research Papers of the Wroclaw University of Economics / Prace Naukowe Uniwersytetu Ekonomicznego we Wroclawiu is the property of Uniwersytet Ekonomiczny we Wroclawiu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)