How mothers parent their children with behavior disorders: implications for unintentional injury risk

INTRODUCTION: This study was designed to test the role of parental supervision in explaining why children with behavior disorders have increased risk of unintentional injury. METHOD: Children referred to a pediatric behavior disorders clinic and their mothers were unknowingly observed in a "hazard room" environment that housed several items that appeared dangerous but actually were altered to be safe. RESULTS: Mother and child behavior in the hazard room was correlated to parent-, teacher-, and observational-reports of children's externalizing behavior patterns, children's injury history, and mother's parenting styles. Maternal ignoring of children's dangerous behavior in the hazard room was the strongest correlate to children's injury history. CONCLUSIONS: Poor parental supervision might serve as a mechanism to explain why children with behavior disorders, and those with oppositional behavior patterns in particular, have increased risk of unintentional injury.     

Salience of law enforcement: A field experiment

We conduct a field experiment to examine whether the deterrent effect of law enforcement depends on the salience of law enforcement activity. Our focus is on illegal disposal of household garbage in residential areas. At a random subset of 56 locations in a mid-sized city, law enforcement officers supplemented their regular enforcement activities by the practice of putting brightly-colored warning labels on illegally disposed garbage bags. This treatment made the existing enforcement activities suddenly much more apparent to residents. We find evidence for a substantial reduction in illegal disposal of garbage in response to the treatment.     

Effects of two doses of methylphenidate on simulator driving performance in adults with attention deficit hyperactivity disorder

INTRODUCTION: Numerous studies have documented an increased frequency of vehicular crashes, traffic citations, driving performance deficits, and driving-related cognitive impairments in teens and adults with attention deficit hyperactivity disorder. METHOD: The present study evaluated the effects of two single, acute doses of methylphenidate (10 and 20 mg) and a placebo on the driving performance of 53 adults with ADHD (mean age=37 years, range=18-65) using a virtual reality driving simulator, examiner and self-ratings of simulator performance, and a continuous performance test (CPT) to evaluate attention and inhibition. A double-blind, drug-placebo, within-subjects crossover design was used in which all participants were tested at baseline and then experienced all three drug conditions. RESULTS: A significant beneficial effect for the high dose of medication was observed on impulsiveness on CPT, variability of steering in the standard driving course, and driving speed during the obstacle course. A beneficial effect of the low dose of medication also was evident on turn signal use during the standard driving course. An apparent practice effect was noted on some of the simulator measures between the baseline and subsequent testing sessions that may have interacted with and thereby obscured drug effects on those measures. CONCLUSIONS: The results, when placed in the context of prior studies of stimulants on driving performance, continue to recommend their clinical use as one means of reducing the driving risks in ADHD teens and adults. IMPACT ON INDUSTRY: Given the significantly higher risk of adverse driving outcomes associated with ADHD, industry needs to better screen for ADHD among employees who drive as part of employment so as to improve safety and reduce costs. Use of stimulants to treat the adult ADHD driver may reduce safety risks.     

微量元素碘对儿童身心发育影响的研究

本文研究结果表明,在自然环境缺碘地区持续投放含碘浓度25ppm 的“NaCLI—固”后出生的儿童身高体重发育水平接近对照地区的中等水平;缺碘地区儿童甲状腺激素 T_4、T_3、T_4/T_3比值均在正常范围,甲状腺功能状态基本正常,提示机体内环境缺碘程度已得到纠正;缺碘区儿童 IQ 低下检出率明显高于对照区,血清 Zn 水平则无显著性差异,表明这部分低智儿童与在胚胎期间碘元素相对缺乏有着密切关系.