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Genomic selection (GS) plays a pivotal role in hybrid prediction. It can enhance the selection of parental lines, accurately predict hybrid performance, and harness hybrid vigor. Likewise, it can optimize breeding strategies by reducing field trial requirements, expediting hybrid development, facilitating targeted trait improvement, and enhancing adaptability to diverse environments. Leveraging genomic information empowers breeders to make informed decisions and significantly improve the efficiency and success rate of hybrid breeding programs. In order to improve the genomic ability performance, we explored the incorporation of parental phenotypic information as covariates under a multi-trait framework. Approach 1, referred to as Pmean, directly utilized parental phenotypic information without any preprocessing. While approach 2, denoted as BV, replaced the direct use of phenotypic values of both parents with their respective breeding values. While an improvement in prediction performance was observed in both approaches, with a minimum 4.24% reduction in the normalized root mean square error (NRMSE), the direct incorporation of parental phenotypic information in the Pmean approach slightly outperformed the BV approach. We also compared these two approaches using linear and nonlinear kernels, but no relevant gain was observed. Finally, our results increase empirical evidence confirming that the integration of parental phenotypic information helps increase the prediction performance of hybrids. [ABSTRACT FROM AUTHOR]

Genomic selection (GS) is a methodology that is revolutionizing plant breeding because it can select candidate genotypes without phenotypic evaluation in the field. However, its practical implementation in hybrid prediction remains challenging since many factors affect its accuracy. The main objective of this study was to research the genomic prediction accuracy of wheat hybrids by adding covariates with the hybrid parental phenotypic information to the model. Four types of different models (MA, MB, MC, and MD) with one covariate (same trait to be predicted) (MA_C, MB_C, MC_C, and MD_C) or several covariates (of the same trait and other correlated traits) (MA_AC, MB_AC, MC_AC, and MD_AC) were studied. We found that the four models with parental information outperformed models without parental information in terms of mean square error by at least 14.1% (MA vs. MA_C), 5.5% (MB vs. MB_C), 51.4% (MC vs. MC_C), and 6.4% (MD vs. MD_C) when parental information of the same trait was used and by at least 13.7% (MA vs. MA_AC), 5.3% (MB vs. MB_AC), 55.1% (MC vs. MC_AC), and 6.0% (MD vs. MD_AC) when parental information of the same trait and other correlated traits were used. Our results also show a large gain in prediction accuracy when covariates were considered using the parental phenotypic information, as opposed to marker information. Finally, our results empirically demonstrate that a significant improvement in prediction accuracy was gained by adding parental phenotypic information as covariates; however, this is expensive since, in many breeding programs, the parental phenotypic information is unavailable. [ABSTRACT FROM AUTHOR]

Neonatal screening has excellent coverage in France. Data from the foreign literature raise questions about the informed consent to this screening. The Neonatal Screening and Informed Consent Dépistage Néonatal Information et Consentement Eclairé (DENICE) study was designed to assess whether information on neonatal screening provided for families in Brittany allows for informed consent. A qualitative methodology was chosen to collect parents’ opinions on this topic. Twenty semi-structured interviews were conducted with twenty-seven parents whose children had positive neonatal screening for one of six diseases. The five main themes from the qualitative analysis were knowledge of neonatal screening, information received by parents, parental choice, the experience of the screening process, and parents’ perspectives and wishes. Informed consent was weakened by parents’ lack of knowledge regarding choice and the absence of a parent after birth. The study found that more information about screening during pregnancy would be preferable. The information should be repeated and accessible and should make it clear that neonatal screening is not mandatory, but informed consent should be obtained from parents who choose to screen their newborns.

Knowledge about newborn screening (NBS) is an important factor for parents to make an informed decision about participation. In Europe, countries inform parents differently about their NBS program, potentially including different knowledge aspects in their information. The aim of this study was to assess twenty-six European parental information products and to analyze their knowledge aspects through a content analysis. The analyzed aspects were compared to a list of eight knowledge aspects from scientific literature. The list includes aspects important for parents’ decision-making, such as the purpose of screening. The study showed that most of the eight knowledge aspects are included in NBS information products of the majority of countries. However, there were differences between countries, for example in the amount of detail and phrasing of the information. Additional relevant knowledge aspects have also been identified and are recommended to optimize information products, such as the handling of residual bloodspot samples. This study only assessed knowledge aspects in information products meant for printing, but many countries also use other communication methods, and the impact on knowledge of the delivery of the information needs further study. Preferences of parents on alternative communication methods need to be considered and evaluated on their effectiveness.

Every newborn bloodspot screening (NBS) result for cystic fibrosis (CF) consists of two parts: a screening part in the laboratory and a clinical part in a CF centre. When introducing an NBS programme, more attention is usually paid to the laboratory part, especially which algorithm is most suitable for the region or the country. However, the clinical part, how a positive screening result is processed, is often underestimated and can have great consequences for the affected child and their parents. A clear algorithm for the diagnostic part in CF centres is also important and influences the performance of a CF NBS programme. The processing of a positive screening result includes the initial information given to the parents, the invitation to the sweat test, what to do if a sweat test fails, information about the results of the sweat test, the inconclusive diagnosis and the carrier status, which is handled differently from country to country. The time until the definitive diagnosis and adequate information is given, is considered by the parents and the CF team as the most important factor. The communication of a positive NBS result is crucial. It is not a singular event but rather a process that includes ensuring the appropriate clinicians are aware of the result and that families are informed in the most efficient and effective manner to facilitate consistent and timely follow-up.

Objective To search for predictive factors for language development measured by two receptive language tests for children, the Galker test (a word-recognition-in-noise test) testing hearing and vocabulary, and the Danish version of Reynell Developmental Language Scale (2nd revision, RDLS II) test, a language comprehension test. The study analysed if information about background variables and parents and pre-school teachers was predictive for test scores; if earlier middle ear disease, actual hearing loss and tympanometry was important for language development; and if the two receptive tests differed in terms of the degree to which variables were able to predict test scores at the age of three to five years. Methods All children aged three and five years attending 20 day-care centres for children without cognitive development issues from the Municipality of Hillerød, Denmark, were invited to participate. We used questionnaires to the parents and day-care teachers and examined the children using tympanometry, hearing test and the two receptive language tests. We performed unadjusted and adjusted analyses of raw and grouped scores and background variables, as well as stepwise regression analysis with group scores as outcome. Results The results of the two tests were surprisingly similar in relation to background variables. The same variables were predictive for scores in the two receptive language tests. The predictive variables were: age group (22–31%), having no sibling (2–3%), being a boy (1%), information from the parents about the child's vocabulary (3%), phonology (0–2%). information from the pre-school teachers on the child's vocabulary (4–6%), and hearing beyond 25 dB in best ear (mean of four frequencies) (1%). Conclusion We found that nearly the same variables were predictive for the test score and the grouped score in pre-school children in the RDLS II and the Galker test. Information from the pre-school teachers was more predictive of the test score than information from the parents. In the adjusted analysis, beside age group, information about the child's vocabulary was the most predictive information explaining 4–6% of the variation. [ABSTRACT FROM AUTHOR]

Neonatal screening has excellent coverage in France. Data from the foreign literature raise questions about the informed consent to this screening. The Neonatal Screening and Informed Consent Dépistage Néonatal Information et Consentement Eclairé (DENICE) study was designed to assess whether information on neonatal screening provided for families in Brittany allows for informed consent. A qualitative methodology was chosen to collect parents' opinions on this topic. Twenty semi-structured interviews were conducted with twenty-seven parents whose children had positive neonatal screening for one of six diseases. The five main themes from the qualitative analysis were knowledge of neonatal screening, information received by parents, parental choice, the experience of the screening process, and parents' perspectives and wishes. Informed consent was weakened by parents' lack of knowledge regarding choice and the absence of a parent after birth. The study found that more information about screening during pregnancy would be preferable. The information should be repeated and accessible and should make it clear that neonatal screening is not mandatory, but informed consent should be obtained from parents who choose to screen their newborns.

Background: The marked increase in autism spectrum disorders (ASD) prevalence has stimulated worldwide interest in exploring broader circumstances of care of autistic children, including the role of socioeconomic status (SES) and family information on autism. Methods: Our sample comprised of 160 children who participated in a diagnostic examination focused on autism, and their parents who completed a simple descriptive questionnaire focusing on the family situation as well as family self-education about autism. The diagnosis of ASD was confirmed in 120 children (75% of the sample; 94 boys, 26 girls) with mean age 6.2±2.7 years (median 5.3, range 2.2-17.2 years). In 71 autistic patients (59.2%), a diagnosis of mental retardation was also established. Results: The age at diagnosis of ASD correlated negatively with maternal (P=0.014) and paternal (P=0.002) ages at the time of birth of the ASD child as well as with paternal (P=0.002) and maternal (P=0.050) education. The age at diagnosis of ASD did not correlate with family SES. Mothers were significantly more active in seeking information on autism than fathers or both parents equally (80 vs 9 vs 28 cases, respectively; P<0.001). The mean number of information sources on autism was 3.5±1.8 with a range 0-9. The mean number of resources did not differ among the three SES groups (3.50 vs 3.49 vs 4.25, respectively; P=0.704). The mean number of sources did not correlate with the age at diagnosis of ASD. The most often used sources were the Internet (81.7%), followed by psychologists (48.3%), books (46.7%), and child and adolescent psychiatrists (43.3%). Conclusion: An earlier diagnosis of ASD is associated with higher parental age at birth and higher parental education but not with family SES or number of family information sources. [ABSTRACT FROM AUTHOR]

Little is known about the experience of Chinese parents of children diagnosed with autism spectrum disorders (ASD) living in the Hong Kong Special Administrative Region. Seventy-five parents of children (aged 6 months-18 years) with ASD diagnoses completed the Family Quality of Life Scale. Forty-five parents from the original surveyed cohort, also participated in semi-structured interviews. Parents' perceptions of their child's disability were influenced both by their cultural background and by the limited and expensive, pre- and post-diagnostic services available. Longer waiting times to diagnosis were associated with lower emotional well-being and perceived disability-related support. Clinicians are encouraged to become part of the support network for parents of children with ASD, to help parents to adjust to caring for their child. [ABSTRACT FROM AUTHOR]

Objective: A marked increase in prevalence of autism spectrum disorders (ASD), particularly in the past decade, has stimulated worldwide interest in exploring broader circumstances of care of autistic children. The aims of our study were to found how family socioeconomic status (SES) influences the age at diagnosis of ASD, and to find out more about information sources that Czech families use for gaining information on autism. Methods: Our sample comprised 50 children (41 boys, 9 girls; mean age 7.0±2.8 years, range 3.1-14.8) who were clinically examined and whose parents completed a questionnaire focused on the family situation and family information about autism. Diagnosis of ASD was confirmed in 43 children (86% of the sample). Results: The age at the diagnosis correlated significantly negatively with the education of the mother (p=0.011) as well as of the father (p=0.041); thus, higher education of the parents was associated with an earlier diagnosis of the child. Family SES did not correlate with the age at the diagnosis. The majority of the parents (72%) came to the diagnostic hospitalization with a belief that their child was autistic. The vast majority of responders (94%) confirmed that they had found some information on autism already before the diagnostic stay at the hospital. Mothers were the more active family members in gaining information than fathers (64%). In remaining cases, both parents were equally active. We did not observe any case when father would have been the more active parent. The mean number of information sources on autism was 3.2 (± 1.8) with a range 0-9. The number of sources did not correlate with the age at the diagnosis. The most used information sources were the Internet (72%) and child psychiatrists (56%). The results were discussed in the context of international experience. Conclusion: Higher education of both parents was found to be a significant factor for the earlier diagnosis of the child. Socioeconomic status or number of information sources on autism did not influence the age at the diagnosis. [ABSTRACT FROM AUTHOR]

Internationally, increasing numbers of children are being diagnosed with an autism spectrum disorder (ASD), but there is a dearth of studies outside more affluent countries as to parents’ understanding of this condition and the support they receive. Forty-three parents were recruited from schools and clinics in Tehran and interviewed individually using a structured interview schedule. Thematic content analyses identified a lack of parental understanding about autism and its causes, along with parents’ reactions to the diagnostic process and the dearth of information available to them. The majority of parents were dissatisfied with the professional assistance provided for their children and many lacked informal support from their families. The provision of accurate information through informal parent-to-parent support seems to be the most feasible means of assisting Iranian families to adjust to having a child with ASD within the family. [ABSTRACT FROM PUBLISHER]

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■ The new 1997 BTS guidelines highlight the importance of recommending the avoidance of provoking factors where possible■ Requesting reduction of exposure to allergens may be desirable, however such measures may not be practical and cannot guarantee success■ Provision of information, education and support in relation to allergen reduction measures is a major aspect of the nurse's role in the asthma and allergy unit■ Educating parents about possible trigger factors will help them to manage their child's asthma thus leading to a better quality of life [ABSTRACT FROM PUBLISHER]

Knowledge about newborn screening (NBS) is an important factor for parents to make an informed decision about participation. In Europe, countries inform parents differently about their NBS program, potentially including different knowledge aspects in their information. The aim of this study was to assess twenty-six European parental information products and to analyze their knowledge aspects through a content analysis. The analyzed aspects were compared to a list of eight knowledge aspects from scientific literature. The list includes aspects important for parents' decision-making, such as the purpose of screening. The study showed that most of the eight knowledge aspects are included in NBS information products of the majority of countries. However, there were differences between countries, for example in the amount of detail and phrasing of the information. Additional relevant knowledge aspects have also been identified and are recommended to optimize information products, such as the handling of residual bloodspot samples. This study only assessed knowledge aspects in information products meant for printing, but many countries also use other communication methods, and the impact on knowledge of the delivery of the information needs further study. Preferences of parents on alternative communication methods need to be considered and evaluated on their effectiveness.

Every newborn bloodspot screening (NBS) result for cystic fibrosis (CF) consists of two parts: a screening part in the laboratory and a clinical part in a CF centre. When introducing an NBS programme, more attention is usually paid to the laboratory part, especially which algorithm is most suitable for the region or the country. However, the clinical part, how a positive screening result is processed, is often underestimated and can have great consequences for the affected child and their parents. A clear algorithm for the diagnostic part in CF centres is also important and influences the performance of a CF NBS programme. The processing of a positive screening result includes the initial information given to the parents, the invitation to the sweat test, what to do if a sweat test fails, information about the results of the sweat test, the inconclusive diagnosis and the carrier status, which is handled differently from country to country. The time until the definitive diagnosis and adequate information is given, is considered by the parents and the CF team as the most important factor. The communication of a positive NBS result is crucial. It is not a singular event but rather a process that includes ensuring the appropriate clinicians are aware of the result and that families are informed in the most efficient and effective manner to facilitate consistent and timely follow-up., Competing Interests: Conflicts of InterestThe authors declare no conflict of interest., (© 2020 by the authors.)

Family-based designs have been commonly used in association studies. Different family structures such as extended pedigrees and nuclear families, including parent-offspring triads and families with multiple affected siblings (multiplex families), can be ascertained for family-based association analysis. Flexible association tests that can accommodate different family structures have been proposed. The pedigree disequilibrium test (PDT) (Martin et al., Am J Hum Genet 67:146-154, 2000) can use full genotype information from general (possibly extended) pedigrees with one or multiple affected siblings but requires parental genotypes or genotypes of unaffected siblings. On the other hand, the association in the presence of linkage (APL) test (Martin et al., Am J Hum Genet 73:1016-1026, 2003) is restricted to nuclear families with one or more affected siblings but can infer missing parental genotypes properly by accounting for identity-by-descent (IBD) parameters. Both the PDT and APL test are powerful association tests in the presence of linkage and can be used as complementary tools for association analysis. This chapter introduces these two tests and compares their properties. Recommendations and notes for performing the tests in practice are provided.