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Using eye-tracking methodology, gaze to a speaking face was compared in a group of children with autism spectrum disorders (ASD) and a group with typical development (TD). Patterns of gaze were observed under three conditions: audiovisual (AV) speech in auditory noise, visual only speech and an AV non-face, non-speech control. Children with ASD looked less to the face of the speaker and fixated less on the speakers' mouth than TD controls. No differences in gaze were reported for the non-face, non-speech control task. Since the mouth holds much of the articulatory information available on the face, these findings suggest that children with ASD may have reduced access to critical linguistic information. This reduced access to visible articulatory information could be a contributor to the communication and language problems exhibited by children with ASD.

Background: The rates of annual visits for adult Medicaid enrollees to the emergency department (ED) are increasing. Many programs throughout the country are focused on engaging patients in the use of their primary care providers (PCP) rather than the ED for low acuity conditions. It is unclear, however, the proportion of patients who are willing to use primary care services rather than the ED if they are given the choice. Methods: Cross-sectional study of adult Medicaid enrollees (18 y and older) presenting to a large, urban, academic ED from June to August 2012 with a low acuity condition was performed. We excluded patients who did not have a PCP or active Medicaid insurance. Our primary goal was to determine the proportion of patients who prefer to use the ED, rather than their PCP clinic, if an appointment was immediately available. Our second goal was to understand why patients would prefer ED over PCP care. Results: A total of 150 patients agreed to complete the survey, and 95 (63.3%) met our inclusion criteria. Forty-three patients (45.3%) stated preferring to use their PCPs rather than the ED if an appointment was available at that time. Thirteen (48.1%) cited that the ED had more technology or specialty care services available when compared with their PCP's clinic, 8 (15.4%) were in significant pain, and 6 (11.5%) felt the care they received in the ED was better than what they would receive in their PCP clinic. Conclusions: Our study shows that a little less than half of adult Medicaid enrollees presenting to the ED with low acuity conditions would have preferred to use their PCP rather than the ED, if an appointment had been immediately available.

Despite prevention efforts of colleges and universities across the nation, there have been no substantial decreases in heavy episodic drinking among undergraduates over the past 2 decades.This study provides an update on correlates of heavy episodic drinking for a recent cohort of undergraduate college students.A cross-sectional survey design was utilized. Participants were randomly selected undergraduate students from a public 4-year university located in the Northeast.Heavy episodic drinking was associated with male gender, white race, having a family history of drug or alcohol abuse, smoking cigarettes, and using marijuana. Age, athlete status, completion of an alcohol education program, condom use, depression, anxiety, and financial stress were not associated. After controlling for gender and race, marijuana use and smoking cigarettes were found to increase predictability of heavy episodic drinking.Rates of heavy episodic drinking remain high but correlates may be shifting for this cohort of college students. Opportunities to address heavy episodic drinking concurrently with cigarette smoking and marijuana use should be explored.Qualitative research methods are needed to gain insight into reasons for heavy episodic drinking; information that could inform the creation of more effective programming. © 2014 Copyright © SHAPE America.

Empirical data support the benefits of physical activity for women who have been diagnosed with breast cancer. However, the experience of exercising during or after breast cancer treatment has not been fully documented. The purpose of the researchers in this study was to provide an in-depth description of women's experiences with exercising during or after their breast cancer treatments, specifically, their perceptions of the benefits they experienced as a result of participation in an individualized exercise program that included cardiovascular and resistance activities. Forty-five women who had been diagnosed with breast cancer within the previous two years were recruited from two oncology practices after electing to enroll in an exercise program. Data were collected between September 2006 and August 2007 through in-depth interviews at various stages in the exercise program and analyzed simultaneously using thematic analysis methods. Whether in treatment or post-treatment, women attributed psychological, physical, and social benefits to their participation in the exercise program. Participants credited the program with helping them to feel better, regain control over their bodies and their lives, manage their emotions, and prepare them to live healthfully going forward. These results provide insight into the specific ways women experience exercise during and after their breast cancer treatments.

Objective: To explore the psychosocial effects of living with polycystic ovary syndrome (PCOS) through the experiences of young women diagnosed with this endocrine disorder. Design: A qualitative, phenomenological methodology was used. Data were obtained through personal, semistructured interviews. Setting: College campuses in New England. Participants: A purposive sample of 12 young women with PCOS age 18 to 23 years. Results: The following themes emerged from analysis of participants' responses: concerns for older self, feeling physically inferior, coping with symptoms, patient-provider relationship, seeking useable information and support, and coming to terms with a chronic condition. Conclusions: Participants in this study faced numerous physical, social, and emotional challenges on a daily basis. As these young women gathered information relevant to their needs, sought and received social support, and maintained their daily routines to improve their health and appearance, they came to terms with this chronic condition. Based on participants' relayed experiences, it became evident that a need exists for health care practitioners to include psychosocial support in a comprehensive holistic plan for the treatment of PCOS in adolescents and young women in their early twenties. JOGNN, 40, 709-718; 2011. DOI: 10.1111/j.1552-6909.2011.01299.x

Background: Fast food establishments are available on many college campuses and, as a result, many students consume foods that are high in calories and contribute to unhealthy weight gain. Purpose: This study measured college students' knowledge of the calorie content for fast food items and whether the provision of calorie information for those foods influenced their future purchasing intentions. Method: Randomly selected undergraduate college students (N = 201) completed an online survey that measured baseline knowledge of calorie content for a fast food item and intention to purchase that item in the future. After provision of accurate calorie information, students were posttested for intention to purchase that item in the future. Results: The majority of students underestimated calorie content for fast food items. After receiving accurate calorie information, those who initially underestimated calorie content were significantly more likely to change their intention to purchase that food item in the future. Discussion: Many college students are interested in avoiding high-calorie fast food items but are uninformed about calorie content. Translation to Health Education Practice: Colleges should provide calorie information for fast food items at the point of purchase so that students can make informed decisions that will promote their health. © 2015, Copyright © SHAPE America.

Community-based participatory research (CBPR) is a collaborative methodology that uniquely involves stakeholders in all stages of the research process. CBPR has been widely utilized in the field of public health, but not widely employed with college populations. This study utilized CBPR methods within a college community to gain insight into excessive alcohol consumption. Six student researchers planned and carried out a rigorous qualitative study at a public university in the Northeast region of the United States. A total of 48 undergraduate participants were recruited for focus groups that were facilitated by two student researchers, and transcribed and analyzed using thematic analysis methods. Students' reasons for drinking alcohol were focused within the themes of inclusion, habitual default, and the student development process. Social media, strict policy/enforcement, and student's desire to avoid responsibility led to increased risk and consequences related to drinking. Students recommended late night transportation and a Good Samaritan policy as strategies to improve student safety. This study led to student advocacy and policy change directed at improving student's health and safety and demonstrated that CBPR methods show promise for engaging students and producing meaningful data.

The observation that “(d)rugs don’t work in patients who don’t take them” seems obvious; however, for older people living with HIV and cardiovascular disease (CVD), the potential for taking large numbers of medications on a regular basis may present as an overwhelming task, particularly as HIV and CVD progress and worsen over time. The extent to which older people living with HIV and CVD follow medication schedules for the treatment of these chronic health conditions is not understood well, and myriad questions exist with regard to medication adherence and older people living with HIV and CVD. For instance, do older people living with HIV and CVD take all medications as prescribed? Does this group prioritize which medications to take, perhaps demonstrating a preference for taking antiretroviral medications for the treatment of HIV as opposed to statins for the treatment of CVD? In the process of answering these and other questions, recognizing the individual and his or her attitudes and behaviors within the context of the dyadic relationship shared between patient and physician is paramount. Developing a more thorough understanding of this dyadic relationship allows for a better grasp of the context within which medication adherence occurs for older people living with HIV and CVD. That said, because of the ability to lend itself to an understanding of human behavior, human development, and psychology, the Andersen and Newman Behavioral Model of Health Service Use provides a worthwhile conceptual basis for beginning to answer these questions. © 2015 The Author(s). This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license.

This study uses a multifactor REIT-specific model to estimate and compare REIT idiosyncratic volatility vis-A-vis the same from the Fama-French three-factor model. Estimates of conditional idiosyncratic volatility and conditional betas obtained from a multifactor REIT-returns model and a bivariate EGARCH model respectively are found to be positively and significantly related with REIT returns. Consistent with Merton's (1987) predictions, we observe that larger REITs post higher average returns when idiosyncratic risk is introduced in cross-sectional regressions. Persistence of past market-risk does not appear to be short-lived and seems to have a lasting impact on future idiosyncratic volatility. We also observe mild evidence of persistence of past idiosyncratic risk, albeit short-lived, thereby suggesting that past idiosyncratic risk has a short-term impact on future idiosyncratic risk. Published by Elsevier Inc.

Purpose – This paper aims to examine the link between financing patterns, information asymmetry and legal traditions in 37 countries during the 1990-2004 period. Design/methodology/approach – The analysis is based on three theories: the trade-off theory, pecking order hypothesis and market timing hypothesis. The authors test the predictions of these theories/hypotheses using regression analysis. The econometric method used is panel data with firm and country fixed effects. The authors develop a modified pecking order model which controls for short- and long-term debt level changes and simultaneously test the predictions of all theories. Findings – Consistent with studies for US firms, the results show that firms across all countries adjust toward the target leverage, but with significantly different rate. The long-term debt contribution in the rate of adjustment is 64 percent in common law countries and 51 percent in civil law countries. The ability of the model to explain changes in leverage ratios is higher in common law countries. The authors find support for market timing hypothesis but no support for pecking order of financing. These results support their conjecture that stronger investor protection, higher transparency and well-developed financial markets in common law countries reduce the cost of recapitalization. Research limitations/implications – The limitation of this study comes from lack of data availability to measure contract enforcement, transparency, and corporate governance variables. Future research can incorporate these variables to explain the differences in capital structure decisions across countries with different legal systems. Practical implications – The findings show that firms' capital structure decisions are not only a function of their own characteristics but also the result of legal and financial market development in which they operate. Originality/value – This is the first study that sheds light about rate of adjustment to optimal capital structure and pecking order of financing in 37 countries with different legal traditions and financial market developments. The authors are not aware of any other study that uses a modified pecking order model in an international context. © 2011, © Emerald Group Publishing Limited.

Three neighborhoods in Lexington, Kentucky, share a common flood history, including property acquisitions, as a means to mitigate against flooding; yet, the interactions of residents with the buyout landscapes vary significantly among the neighborhoods. Although the same institutions and structural controls implemented flood buyout programs in all three neighborhoods, semi-structured interviews illustrate that differing perspectives, personalities, and neighborhood politics shaped unique identities and land uses for the acquired properties in each neighborhood. Varying levels of resident engagement with the buyout landscape resulted in a range of attitudes towards hazard preparation, management, and mitigation, thus leaving some neighborhoods more resilient to future flooding than others. This study explores key residents, termed magnetic agents, who drove neighborhood civic action and land uses on the open space created through floodplain property acquisition. This research indicates magnetic agents can serve as important partners for local governments and non-governmental organizations (NGOs) in building community-based projects aimed at reducing vulnerability to flood events and instituting high utility land uses on floodplain buyout open space.(C) 2016 Elsevier Ltd. All rights reserved.

The Modifiable Areal Unit Problem (MAUP) is a famous issue in spatial analysis that states the output of a spatial analysis is influenced by the spatial extent of the units used in the analysis. This study demonstrates that the MAUP is accompanied with another intractable spatial issue in spatial modeling; the Modifiable Conceptual Unit Problem (MCUP). The MCUP states that the conceptualization of spatial processes impacts the output of spatial analysis and occurs when a model with one spatial dimension is applied to a spatial model with more than one spatial dimension. This study demonstrates the MCUP by developing three conceptual models of dispersal and showing how they produce different results even when given the same initial dispersal curves and areal units. Three conceptual models of dispersal (sum of curve points model, area of distance range model, and the volume of distance range model) are described and applied to a grid landscape with a single point of dispersal and a grid landscape with multiple points of dispersal. A Geographic Information System (GIS) is used to evaluate how the models differ in their distribution of pollen or seeds across the landscapes. The three models of dispersal are each valid conceptualizations of the dispersal process, but when given the same dispersal curve parameters, they produce different distributions of dispersed items across grid landscapes. The sum of curve points model is the least complicated model because it only uses a few points from the defined dispersal curve. The area of distance range model uses the entire dispersal curve, but is based on a single dimension of space and thus conceptually abstracted from the grid landscape. The volume of distance range model uses the two spatial dimensions present in the grid landscape and thus is the most conceptually sound model of the three. The underlying conceptualization of the dispersal process can impact the results of dispersal models. Applying dispersal curves with one spatial dimension to grids with two spatial dimensions makes inherent assumptions about the conceptualization of dispersal. This study highlights the necessity of researchers to declare their conceptual models of dispersal when applying modeled dispersal curves to grid landscapes. © 2016 The Author.

Purpose - The Federal Emergency Management Agency provides guidelines for the management of open space created through property acquisition (buyouts); however, land use decisions are primarily left to local governments manifesting in a variety of uses. The purpose of this paper is to provide a land use assessment of buyout sites, to describe the changes in those uses that have occurred during a ten-year period from 1990 to 2000, and to offer an assessment of management approaches employed across these sites. Design/methodology/approach - Using a mixed-methods approach consisting of a land use classification survey and a semi-structured questionnaire of floodplain managers, this study explores the land use trends at buyout sites, diverse approaches local governments take in managing the open spaces created through floodplain buyout programs, and the successes and challenges communities face in open space management. Findings - Results indicate strong support from floodplain managers for property acquisition and several cases emerged where communities put their newly acquired public land to creative uses. However, the opportunity to leverage these properties for greater public values is largely being missed, primarily because of limited funding. Practical implications - The analysis indicates strong support among floodplain managers for the buyout approach; however, additional resource-sharing and funding opportunities are needed to increase the utility of buyout properties. Originality/value - By evaluating the long-term management strategies floodplain managers utilize on buyout sites, this study adds to an underrepresented area of scholarship and is of value to practitioners, government officials, and academics.

Human societies are known for their resilience and ability to adapt to short- and long-term environmental change. Despite their pragmatism and adaptability, humans could be forced to move and/or seek better conditions for survival, especially when climate change and water availability are at issue. This chapter provides case studies on easy-to-adopt rainwater harvesting applications as effective climate change adaptation strategies in rural and urban settings to increase human resiliency.

Two new Jaltomata species (Solanaceae) of Peru that produce red floral nectar are described. Jaltomata neei of Department Cajamarca has 1–4 flowers per inflorescence, the campanulate corolla is green and then changes to blue, corolla lobes (5) and lobules (5) are equally prominent, a corona is lacking, five radial staminal-corolla thickenings create nectar troughs between, and the stigma is capitate. Jaltomata quipuscoae of Department Arequipa has solitary flowers, a purple, broadly crateriform, 5-lobed corolla, a corona on which nectar pools, a punctiform stigma, lacks corolla thickenings, and the mature fruit is whitish. Photographs, illustrations and tables are included that allow comparison with closely related species. © 2014, The New York Botanical Garden.

Long Island Sound (LIS) is a relatively shallow estuary with a mean depth of 20 m (maximum depth 49 m) and a unique hydrology and history of pollutant loading. These factors have contributed to a wide variety of contamination problems in its muddy sediments, aquatic life, and water column. The LIS sediments are contaminated with toxic compounds and elements related to past and present wastewater discharges and runoff. These include nonpoint and stormwater runoff and groundwater discharges, whose character has changed over the years along with the evolution of its watershed and industrial history. Major impacts have resulted from the copious amounts of nutrients discharged into LIS through atmospheric deposition, domestic and industrial waste water flows, fertilizer releases, and urban runoff. All these sources and their effects are in essence the result of human presence and activities in the watershed, and the severity of pollutant loading and their impacts generally scales with total population in the watersheds surrounding LIS. Environmental legislation passed since the mid-to-late 1900s (e.g., Clean Air Act, Clean Water Act) has had a beneficial effect, however, and contaminant loadings for many toxic organic and inorganic chemicals and nutrients have diminished over the last few decades (O’Shea and Brosnan 2000; Trench et al. 2012; O’Connor and Lauenstein 2006; USEPA 2007). Major strides have been made in reducing the inflow of nutrients into LIS, but cultural eutrophication is still an ongoing problem and nutrient control efforts will need to continue. Nonetheless, LIS is still a heavily human impacted estuary (an “Urban Estuary,” as described for San Francisco Bay by Conomos 1979), and severe changes in water quality and sediment toxicity as well as ecosystem shifts have occurred since the European colonization in the early 1600s (Koppelman et al., 1976). The Sound has seen the most severe environmental changes over the last 400 years during its 10,000 year history (Lewis, this volume), suggesting that human impacts have overwhelmed the natural forces at play.

An analysis of the association of forest cover, treated as an environmental good, and income at the county scale in the Northeastern United States was conducted for 2006. Global analysis using a spatial error regression model indicates an environmental Kuznets curve (EKC) type of relationship, with total forest cover, percent forest cover, and forest cover per capita is better associated with per capita income and is better specified as a polynomial rather than in linear terms. Local analysis, using geographically weighted regression, indicates that sub-regional effects are pronounced, and that conformity to an EKC varies spatially and by forest cover measure. The findings should be interpreted strictly within their context of a cross-sectional analysis and within certain statistical limitations, primarily engendered by multicollinearity of the explanatory variables in the regression models. Copyright © 2013, IGI Global.

This article examines bulk sales of municipal property tax liens in the formerly industrial city of Waterbury, Connecticut, USA, in the 1990s, in order to explore the limits and contradictions of neoliberal local governance strategies. In the USA, cities and states create property tax liens by reducing delinquent real estate taxes to a judgment that creates a legal claim against the property at issue. We argue that Waterbury's efforts to resolve its fiscal stress by enhancing short-term revenues ultimately further constrained its revenue base, the tax lien sales reflected a spatial selectivity that created barriers to revitalization when neither the city nor tax lien purchasers had incentives to foreclose on distressed properties in struggling neighborhoods, and the tax lien sales' failure to resolve the city's budget crisis set in motion new efforts at tax base enhancement through real estate-led development in the central business district that also were unsuccessful. © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Aguadas, either natural or human-made ponds, were significant sources of water for the ancient Maya. Aguadas are common features in the Maya Lowlands and make valuable locations for collecting archaeological and paleoenvironmental data. This article discusses research conducted at four aguadas around two adjacent Maya sites, San Bartolo and Xultun in Peten, Guatemala. Both San Bartolo and Xultun were established during the Preclassic period. However, the fates of the two sites differed, as Xultun continued to prosper while the city of San Bartolo was abandoned near the close of the Late Preclassic period. We argue that aguadas provide important clues for understanding the fate of these two ancient communities and many others in the Maya Lowlands. Copyright © 2012 Cambridge University Press.