Pearls & Oy-sters: INO Plus From Downward Herniation-A Cautionary Tale Regarding Neuro-Ophthalmologic Signatures of Brainstem Compression.

Pupillary assessment is a quintessential part of the clinical examination in neuro-intensive care patients because it provides insight into the integrity of midbrain reflex arcs. Abnormal pupils, particularly anisocoria and later bilateral fixed mydriasis, are classically used to assess expansive intracranial processes because they are frequently considered early indicators of transtentorial midbrain compression due to elevated intracranial pressure. Complex ocular motor deficits mapping to the midbrain are rarely described in the setting of high transtentorial pressure.

Smartphone video nystagmography using convolutional neural networks: ConVNG.

Background: Eye movement abnormalities are commonplace in neurological disorders. However, unaided eye movement assessments lack granularity. Although videooculography (VOG) improves diagnostic accuracy, resource intensiveness precludes its broad use.

BDNF-related mutations in major depressive disorder: a systematic review.

Objective: A better understanding of the genetic, molecular and cellular mechanisms of brain-derived neurotrophic factor (BDNF) and its association with neuroplasticity could play a pivotal role in finding future therapeutic targets for novel drugs in major depressive disorder (MDD). Because there are conflicting results regarding the exact role of BDNF polymorphisms in MDD still, we set out to systematically review the current evidence regarding BDNF-related mutations in MDD.

Methods: We conducted a keyword-guided search of the PubMed and Embase databases, using 'BDNF' or 'brain-derived neurotrophic factor' and 'major depressive disorder' and 'single-nucleotide polymorphism'.

Rapidly progressive dementia: Extending the spectrum of GFAP-astrocytopathies?

Autoimmune glial fibrillary acidic protein astrocytopathy (GFAP-A) is a steroid-responsive meningoencephalomyelitis, sometimes presenting with atypical clinical signs such as movement disorders or psychiatric and autonomic features. Beyond clinical presentation and imaging, diagnosis relies on detection of GFAP-antibodies (AB) in CSF. Using quantitative behavioral, serologic, and immunohistochemical analyses, we characterize two patients longitudinally over 18-24 months who presented with rapidly progressive neurocognitive deterioration in the context of GFAP-AB in CSF and unremarkable cranial MRI studies.

Effects of Positive Reinforcement Training and Novel Object Exposure on Salivary Cortisol Levels under Consideration of Individual Variation in Captive African Elephants ().

Dealing with potential stress in species that have high husbandry requirements, such as elephants, is a challenge for zoos. The objective of the present study was to determine whether positive reinforcement training (PRT) and exposure to a novel object (NOV) for enrichment induced a salivary cortisol response indicative of activation of the hypothalamic-pituitary-adrenal (HPA) axis and which factors determine individual variation in this regard in captive African elephants. We repeatedly sampled the saliva of ten animals (three zoos) for the analysis of cortisol (SACort) before and up to 60 min (in 10-15 min intervals) after the onset of PRT (three repeats) or NOV (nine repeats), which lasted 10 min.

Biological and environmental factors as sources of variation in nocturnal behavior of giraffe.

Upon a drastic decline of the giraffe population in the wild, conservation efforts and therefore the role of zoos have become more important than ever. With their unique opportunities, zoos provide excellent conditions to study animal behavior, expanding the knowledge about the giraffe's behavior repertoire and their ability to adapt. This study therefore examined the nocturnal behavior of 63 giraffe living in 13 different EAZA zoos across Germany and the Netherlands.

A semiparametric approach for item response function estimation to detect item misfit.

When scaling data using item response theory, valid statements based on the measurement model are only permissible if the model fits the data. Most item fit statistics used to assess the fit between observed item responses and the item responses predicted by the measurement model show significant weaknesses, such as the dependence of fit statistics on sample size and number of items. In order to assess the size of misfit and to thus use the fit statistic as an effect size, dependencies on properties of the data set are undesirable.

Deciding between the Covariance Analytical Approach and the Change-Score Approach in Two Wave Panel Data.

The manuscript focuses on effects in nonrandomized studies with two outcome measurement occasions and one explanatory variable, and in which groups already differ at the pretest. Such study designs are often encountered in educational and instructional research. Two prominent approaches to estimate effects are (1) covariance analytical approaches and (2) latent change-score models.

Comparing Attitudes Across Groups: An IRT-Based Item-Fit Statistic for the Analysis of Measurement Invariance.

Questionnaires for the assessment of attitudes and other psychological traits are crucial in educational and psychological research, and item response theory (IRT) has become a viable tool for scaling such data. Many international large-scale assessments aim at comparing these constructs across countries, and the invariance of measures across countries is thus required. In its most recent cycle, the Programme for International Student Assessment (PISA 2015) implemented an innovative approach for testing the invariance of IRT-scaled constructs in the context questionnaires administered to students, parents, school principals, and teachers.

Classes of depression symptom trajectories in patients with major depression receiving a collaborative care intervention.

Purpose: Collaborative care is effective in improving symptoms of patients with depression. The aims of this study were to characterize symptom trajectories in patients with major depression during one year of collaborative care and to explore associations between baseline characteristics and symptom trajectories.

Methods: We conducted a cluster-randomized controlled trial in primary care.

Practical Significance of Item Misfit in Educational Assessments.

Testing item fit is an important step when calibrating and analyzing item response theory (IRT)-based tests, as model fit is a necessary prerequisite for drawing valid inferences from estimated parameters. In the literature, numerous item fit statistics exist, sometimes resulting in contradictory conclusions regarding which items should be excluded from the test. Recently, researchers argue to shift the focus from statistical item fit analyses to evaluating practical consequences of item misfit.

Validation and reliability of a guideline appraisal mini-checklist for daily practice use.

Background: The use of comprehensive instruments for guideline appraisal is time-consuming and requires highly qualified personnel. Since practicing physicians are generally busy, the rapid-assessment Mini-Checklist (MiChe) tool was developed to help them evaluate the quality and utility of guidelines quickly. The aim of this study was to validate the MiChe in comparison to the AGREE II instrument and to determine its reliability as a tool for guideline appraisal.

Emotional competencies in geriatric nursing: empirical evidence from a computer based large scale assessment calibration study.

The care of older people was described as involving substantial emotion-related affordances. Scholars in vocational training and nursing disagree whether emotion-related skills could be conceptualized and assessed as a professional competence. Studies on emotion work and empathy regularly neglect the multidimensionality of these phenomena and their relation to the care process, and are rarely conclusive with respect to nursing behavior in practice.

Factor structure and measurement invariance of the Patient Health Questionnaire-9 for female and male primary care patients with major depression in Germany.

Background: Depression is characterized by gender-specific distinctions, with women being affected more often than men. The Patient Health Questionnaire-9 (PHQ-9) is frequently used to assess depression in primary healthcare. Previous research has yielded heterogeneous findings on the factor structure, and little is known of its measurement invariance across gender.

A Confirmatory Analysis of Item Reliability Trends (CAIRT): Differentiating True Score and Error Variance in the Analysis of Item Context Effects.

Numerous studies have shown increasing item reliabilities as an effect of the item position in personality scales. Traditionally, these context effects are analyzed based on item-total correlations. This approach neglects that trends in item reliabilities can be caused either by an increase in true score variance or by a decrease in error variance.