Neurocognitive outcomes in young adults with cochlear implants: The role of early language access and crossmodal plasticity.

Many children with profound hearing loss have received cochlear implants (CI) to help restore some sense of hearing. There is, however, limited research on long-term neurocognitive outcomes in young adults who have grown up hearing through a CI. This study compared the cognitive outcomes of early-implanted (n = 20) and late-implanted (n = 21) young adult CI users, and typically hearing (TH) controls (n=56), all of whom were enrolled in college.

Profound Rhabdomyolysis and Viral Myositis Due to SARS-CoV-2: A Case Report.

The novel SARS-CoV-2 introduced several new inflammatory conditions including SARS-CoV-2-associated rhabdomyolysis and viral myositis. We present a 22-year-old man who noted a week of cough followed by myalgias, dark-colored urine, and decreased oral intake. He was found to have acute nontraumatic rhabdomyolysis after an acutely positive SARS-CoV-2 test.

The gift of dyslexia: what is the harm in it?

Dyslexia, characterized by word reading and spelling deficits, has historically been viewed through a medical model of disability. However, a countermovement has emerged, emphasizing the strengths and abilities of neurodiverse individuals, including those with dyslexia. The concept of neurodiversity, which was initially introduced to help inform understanding of a mild form of autism, has expanded to include dyslexia.

Small Patients but a Heavy Lift: Workload and Burnout of Advanced Practice Providers and Physicians in a Level IV Neonatal Intensive Care Unit.

Objective: This study explored the association between workload and the level of burnout reported by clinicians in our neonatal intensive care unit (NICU). A qualitative analysis was used to identify specific factors that contributed to workload and modulated clinician workload in the NICU.

Study Design: We conducted a study utilizing postshift surveys to explore workload of 42 NICU advanced practice providers and physicians over a 6-month period.

A low-burden, self-weighing intervention to prevent weight gain in adults with obesity who do not enroll in comprehensive treatment.

Background: For individuals who are eligible but unlikely to join comprehensive weight loss programs, a low burden self-weighing intervention may be a more acceptable approach to weight management.

Methods: This was a single-arm feasibility trial of a 12-month self-weighing intervention. Participants were healthcare patients with a BMI ≥25 kg/m with a weight-related comorbidity or a BMI >30 kg/m who reported lack of interest in joining a comprehensive weight loss program, or did not enroll in a comprehensive program after being provided program information.

A Complex Surgical Case of a Morel-Lavallee Lesion.

A Morel-Lavallee lesion (MLL) is a rare internal denudement injury of skin and hypodermis from deep fascia, usually occurring hours to days after an inciting trauma. A common location is the pelvis or thigh where there is prominent vascularization and may mimic diagnoses such as deep vein thrombosis or contusion. Fluid collections that persist despite conservative management require surgical intervention and frequent and prolonged hospitalizations as in this case of a patient with a persistent MLL.

Diversity Differences Among Cardiovascular Fellowships Across Five Geographic Regions in the United States.

Introduction Diversity and inclusion in cardiovascular fellowships are necessary for addressing the healthcare needs of diverse patient populations. However, regional disparities in the diversity of these programs persist, diminishing efforts to create a representative workforce. We observe the regional differences in the diversity of cardiovascular fellowship programs, focusing on gender, doctorate designation, and graduation within the United States (US) or other.

Workload In Neonatology (WORKLINE): Validation and feasibility of a system for measuring clinician workload integrated into the electronic health record.

Objective: The purpose of the study was to validate WORKLINE, a NICU specific clinician workload model and to evaluate the feasibility of integrating WORKLINE into our EHR.

Study Design: This was a prospective, observational study of the workload of 42 APPs and physicians in a large academic medical center NICU over a 6-month period. We used regression models with robust clustered standard errors to test associations of WORKLINE values with NASA Task Load Index (NASA-TLX) scores.

The population genetics of speciation by cascade reinforcement.

Species interactions drive diverse evolutionary outcomes. Speciation by cascade reinforcement represents one example of how species interactions can contribute to the proliferation of species. This process occurs when the divergence of mating traits in response to selection against interspecific hybridization incidentally leads to reproductive isolation among populations of the same species.

Nursing Government Affairs Advocacy Fellow: Introducing nurses to policy.

The Nursing Government Affairs Advocacy (NGAA) Fellowship is an interdisciplinary collaboration between the Department of Nursing and the Office of Government Affairs at a university in the Midwestern region of the US. This article discusses the history of the NGAA Fellowship, the Fellow accomplishments, and the future of the Fellowship.

Development of visual sustained selective attention and response inhibition in deaf children.

Studies of deaf and hard-of-hearing (henceforth, deaf) children tend to make comparisons with typically hearing children for the purpose of either identifying deficits to be remediated or understanding the impact of auditory deprivation on visual or domain general processing. Here, we eschew these clinical and theoretical aims, seeking instead to understand factors that explain variability in cognitive function within deaf children. A total of 108 bilingual deaf children ages 7-13 years who use both English and American Sign Language (ASL) participated in a longitudinal study of executive function (EF) development.

Perceptual optimization of language: Evidence from American Sign Language.

If language has evolved for communication, languages should be structured such that they maximize the efficiency of processing. What is efficient for communication in the visual-gestural modality is different from the auditory-oral modality, and we ask here whether sign languages have adapted to the affordances and constraints of the signed modality. During sign perception, perceivers look almost exclusively at the lower face, rarely looking down at the hands.

Neurogenomic divergence during speciation by reinforcement of mating behaviors in chorus frogs (Pseudacris).

Background: Species interactions can promote mating behavior divergence, particularly when these interactions are costly due to maladaptive hybridization. Selection against hybridization can indirectly cause evolution of reproductive isolation within species, a process termed cascade reinforcement. This process can drive incipient speciation by generating divergent selection pressures among populations that interact with different species assemblages.

Strepsirrhine Primate Training Programs in North American Institutions: Status and Implications for Future Welfare Assessment.

Many articles have shown the benefits of operant conditioning training techniques in the care and welfare of several species of nonhuman primates; however, the information regarding their use in strepsirrhine species is scarce. We assessed the development and current status of training programs with these species in North American institutions. An online survey was distributed through members of the Association of Zoos and Aquariums using a multiple-choice format.

Association of time of day and extubation success in very low birthweight infants: a multicenter cohort study.

Objective: To determine the association of overnight extubation (OE) with extubation success.

Study Design: Retrospective cohort study in three NICUs from 2016 to 2020. Infants without congenital anomalies, less than 1500 grams at birth, who were ventilated and received an extubation attempt were included.

Developing a Unit-Based Quality Improvement Program in a Large Neonatal ICU.

Background: Quality improvement (QI) methods have been widely adopted in health care. Although theoretical frameworks and models for organizing successful QI programs have been described, few reports have provided practical examples to link existing QI theory to building a unit-based QI program. The purpose of this report is to describe the authors' experience in building QI infrastructure in a large neonatal ICU (NICU).

The recognition of facial expressions of emotion in deaf and hearing individuals.

During real-life interactions, facial expressions of emotion are perceived dynamically with multimodal sensory information. In the absence of auditory sensory channel inputs, it is unclear how facial expressions are recognised and internally represented by deaf individuals. Few studies have investigated facial expression recognition in deaf signers using dynamic stimuli, and none have included all six basic facial expressions of emotion (anger, disgust, fear, happiness, sadness, and surprise) with stimuli fully controlled for their low-level visual properties, leaving the question of whether or not a dynamic advantage for deaf observers exists unresolved.

Visual Sequence Repetition Learning is Not Impaired in Signing DHH Children.

The auditory scaffolding hypothesis states that early experience with sound underpins the development of domain-general sequence processing abilities, supported by studies observing impaired sequence processing in deaf or hard-of-hearing (DHH) children. To test this hypothesis, we administered a sequence processing task to 77 DHH children who use American Sign Language (ASL) and 23 hearing monolingual children aged 7-12 years and found no performance difference between them after controlling for age and nonverbal intelligence. Additionally, neither spoken language comprehension scores nor hearing loss levels predicted sequence processing scores in the DHH group, whereas ASL comprehension scores did.

A Tertiary Care-based Complex Care Program: Improving Care for Children With Medical Complexity.

Objective: Children with medical complexity (CMC) have significant health care costs, but they also experience substantial unmet health care needs, hospitalizations, and medical errors. Their parents often report psychosocial stressors and poor care satisfaction. Complex care programs can improve the care for CMC.

Project DyAdd: Non-linguistic Theories of Dyslexia Predict Intelligence.

Two themes have puzzled the research on developmental and learning disorders for decades. First, some of the risk and protective factors behind developmental challenges are suggested to be shared and some are suggested to be specific for a given condition. Second, language-based learning difficulties like dyslexia are suggested to result from or correlate with non-linguistic aspects of information processing as well.

Hierarchical Hybrid Enrichment: Multitiered Genomic Data Collection Across Evolutionary Scales, With Application to Chorus Frogs (Pseudacris).

Determining the optimal targets of genomic subsampling for phylogenomics, phylogeography, and population genomics remains a challenge for evolutionary biologists. Of the available methods for subsampling the genome, hybrid enrichment (sequence capture) has become one of the primary means of data collection for systematics, due to the flexibility and cost efficiency of this approach. Despite the utility of this method, information is lacking as to what genomic targets are most appropriate for addressing questions at different evolutionary scales.

Estimating the prevalence and diversity of words in written language.

Recently, a new crowd-sourced language metric has been introduced, entitled word prevalence, which estimates the proportion of the population that knows a given word. This measure has been shown to account for unique variance in large sets of lexical performance. This article aims to build on the work of Brysbaert et al.

Quantifying Facial Expression Intensity and Signal Use in Deaf Signers.

We live in a world of rich dynamic multisensory signals. Hearing individuals rapidly and effectively integrate multimodal signals to decode biologically relevant facial expressions of emotion. Yet, it remains unclear how facial expressions are decoded by deaf adults in the absence of an auditory sensory channel.

Sign language experience redistributes attentional resources to the inferior visual field.

While a substantial body of work has suggested that deafness brings about an increased allocation of visual attention to the periphery there has been much less work on how using a signed language may also influence this attentional allocation. Signed languages are visual-gestural and produced using the body and perceived via the human visual system. Signers fixate upon the face of interlocutors and do not directly look at the hands moving in the inferior visual field.