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Younger children in school year are more commonly diagnosed with ADHD than their older classmates, says new study
New research, led by experts at the University of Nottingham, has found that teachers may be attributing signs of age-related immaturity in children, to conditions such as Attention-Deficit/Hyperactivity Disorder (ADHD) or Autism Spectrum Disorder (ASD).
Experts looked at how being one of the youngest children in a class can influence the likelihood of being diagnosed with ADHD or ASD. ADHD is a condition where individuals have significant challenges with attention and can be overly active. ASD is a complex developmental condition that relates to how a person communicates and interacts.
Professor Kapil Sayal from the School of Medicine at the University, and senior author of the paper, said: “This review shows that adults involved in identifying or raising concerns over a child’s behaviour — such as parents and teachers — may be inadvertently misattributing relative immaturity as symptoms of ADHD. The child’s age in relation to their classmates (their ‘relative’ age) needs to considered when making this kind of diagnosis.”
Detailed searches were used to identify all studies written on this topic worldwide. Researchers reviewed the 32 studies identified. Most of these studies focused on ADHD and two focused on ASD.
The findings confirmed that younger students in the school year are more likely to be diagnosed with ADHD and receive medication for this, compared to their older classmates. The scale of this ‘relative age’ effect varied between the studies.
For ASD, the youngest children in a class were also more likely to be diagnosed but more research is needed due to there only being a small number of studies available.
Interestingly, there was a more notable difference in how teachers rated these younger children compared to how parents do.
Dr Eleni Frisira, from the School of Medicine and lead author of the study, said: “Teachers play an important role in identifying ADHD symptoms in children. Our findings suggest that they can be more likely to rate younger students in a class as having ADHD symptoms than their older classmates. It is important teachers are supported in considering the relative age of a child in a classroom when ADHD is being queried.”
Dr Josephine Holland, one of the authors of the paper added: “This phenomenon has been shown in research for over a decade, but knowing about it does not seem to be changing practice.”
The research emphasises how important it is to consider a child’s age in relation to their classmates when assessing for and diagnosing conditions like ADHD and ASD. This is an important take-home message for healthcare professionals who assess young children, but also for teachers and parents, when observing and reporting symptoms.
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Mirror, mirror, in my tank, who’s the biggest fish of all?
What if that proverbial man in the mirror was a fish? Would it change its ways? According to an Osaka Metropolitan University-led research group, yes, it would.
The team of OMU Graduate School of Science student Taiga Kobayashi, Specially Appointed Professor Masanori Kohda, Professor Satoshi Awata, and Specially Appointed Researcher Shumpei Sogawa, and Professor Redouan Bshary of Switzerland’s University of Neuchâtel, were among the group that last year reported the cleaner wrasse could identify photographs of itself as itself, based on its face through mirror self-recognition.
This time, the cleaner wrasse’s behavior of going to look in the mirror installed in a tank when necessary indicated the possibility that the fish were using the mirror to check their own body size against that of other fish and predict the outcome of fights.
“The results that fish can use the mirror as a tool can help clarify the similarities between human and non-human animal self-awareness and provide important clues to elucidate how self-awareness has evolved,” doctoral candidate Kobayashi declared.
This study was financially supported by JST SPRING (JPMJSP2139 to T.K.), JSPS KAKENHI (23KJ1829 to T.K., 19F19713 and 20K20630 to M.K., 22H02703 to S.A., and 20K20154 to S.S.), Swiss Science Foundation (310030_192673 to R.B.), and an OCU Strategic Research Grant 2018-2019 (to M.K. and S.A.).
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Risky play exercises an ancestral need to push limits
With schools nationwide back in session, millions of children across the United States will clamber up the jungle gyms and hang from the monkey bars that have been a fixture of playgrounds since they were invented in the 1920s.
A team of Dartmouth anthropologists takes a different view, marking 100 years since the jungle gym and monkey bars were patented by arguing that the iconic playground equipment and other forms of risky play exercise a biological need passed on from apes and early humans that may be critical to childhood development.
They write in the journal Evolution, Medicine, and Public Health that a trend toward “surplus safety” on playgrounds may come at the expense of children being allowed to independently test and expand their physical and cognitive abilities in a context in which injury is possible but avoidable.
“One of the ironies of modern parenting is that our children have never been physically safer and yet we have never been more worried about them. We need to consider the potential longer-term benefits of allowing them to engage in play where there is some level of risk so they can overcome challenges on their own and learn from it when it doesn’t work out,” says Zane Thayer, a co-author of the paper and associate professor of anthropology at Dartmouth.
“Generally, researchers have found that risky play helps children build resilience and confidence, skills that resonate throughout life,” she says. “We focus on jungle gyms and monkey bars as an easy way for children to engage in risky and thrill-seeking play.”
The researchers describe how the physiology — and fossilized injuries — of early humans show juveniles likely engaged in extensive swinging, climbing, jumping, and other risky play. The 3.3-million-year-old remains of a female Australopithecus afarensis child known as Selam exhibit shoulders, fingers, and feet adapted to climbing in trees and hanging from limbs, like modern apes. The 3.2-million-year-old skeleton of Lucy, an adult female of the same species, shows healed fractures thought to result from falls as high as 40 feet.
“Fossil evidence suggests that the children of early humans spent as much time in trees as adults did,” says Luke Fannin, first author of the paper and a PhD candidate in the Ecology, Evolution, Environment and Society program in the Guarini School of Graduate and Advanced Studies.
“If you’re spending all that time in trees as a juvenile, you need confidence, because falling from a tree can be devastating and possibly fatal for a large ape or hominin,” he says. “We see in modern nonhuman primates that juveniles test the limits of what they can and can’t do, what the risks are, and how to respond. That leads to the climbing skills we see in adults.”
The Dartmouth researchers cite a 2014 study reporting that infant and juvenile chimpanzees spend 15% and 27% more time, respectively, climbing and swinging than adults, which enhances their dexterity, skill, and awareness of their own mass. Though lacking the dexterity of other primates, modern humans are still competent climbers, Fannin says. People in hunter-gatherer cultures have been known to climb as high as 150 feet into trees to collect food.
“The past and the present point to children gaining physical and experiential skills by exploring their boundaries through play,” Fannin says. “Our physiology as children is still conducive to climbing, running, and jumping, as well as more easily recovering from injuries and short-distance falls.”
“It’s rare to see anthropology intersect so much with our daily lives,” Fannin says. “People don’t think about our ancestors very much, but play is a way that the past is reflected in the present.”
Nathaniel Dominy, the Charles Hansen Professor of Anthropology and study co-author, says that Sebastian “Ted” Hinton, the Chicago lawyer who patented the jungle gym and monkey bars in 1923 and 1924, also saw that reflection.
In one of his patents, Hinton wrote that children have a “monkey instinct” to climb as a form of play and exercise. Hinton lived during a fervor for the outdoors in the early 20th century that led to the establishment of the National Park Service, the plotting of the Appalachian Trail, and the creation of Scouting.
But Hinton saw climbing as a vestige of our simian lineage before that link was formally established, Dominy says. The remains of the Taung Child, a 2.8-million-year-old Australopithecus africanus that provided the first physical link between modern humans and ape-like ancestors, weren’t reported until 1925.
“Hinton was at the forefront of this cultural moment that embraced nature as essential to fitness, but it focused on bipedalism. Hinton described climbing as a product and necessity for childhood growth and development before we had the evidence for it,” Dominy says.
“One hundred years later, jungle gyms and monkey bars are still very much part of the conversation around childhood play. But the voice of anthropologists is nowhere in this debate, and that’s what we wanted to change,” Dominy says. “Our work shows how evolutionary theory has the potential to inform research and practice in the public health domain.”
Studies of hospital admissions show that jungle gyms and monkey bars result in more childhood fractures and hospital visits than any other playground equipment, the researchers report. But the risk of children being injured on a playground is relatively low.
The Dartmouth team cites a 2003 study that calculated the risk of playground injury at no more than 0.59 in 100,000, which is far less than injuries sustained through organized sports or even gym class. Another study found that 95% of children with playground injuries were treated and released between 2001-2013.
“Free play lets kids modulate activities to match their physical abilities and personal confidence,” Fannin says. “The rules and guidelines of free play develop on much longer timescales than supervised and organized sports where adults set the rules and expectations. Kids getting injured in organized sports has a lot to do with the social context in which they occur.”
But jungle gyms and monkey bars remain targets of efforts to make playgrounds safer, the researchers report. New York City removed them from most of their 862 public playgrounds in the 1980s and 1990s. While seven states have adopted the U.S. Consumer Product Safety Commission’s safety guidelines for monkey bars into law, enforcement is difficult, the Dartmouth team found. Municipalities find it easier to just remove the structures.
“We share the concerns of parents, school administrators, and policymakers in wanting to make sure our kids are safe. However, we also must consider the long-term benefits of engaging in this type of play,” Thayer says. “Risky play in which children challenge themselves is a normal part of our development, as it was for our ancestors.”
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Astronomers track bubbles on star’s surface in most detailed video yet
For the first time, astronomers have captured images of a star other than the Sun in enough detail to track the motion of bubbling gas on its surface. The images of the star, R Doradus, were obtained with the Atacama Large Millimeter/submillimeter Array (ALMA), a telescope co-owned by the European Southern Observatory (ESO), in July and August 2023. They show giant, hot bubbles of gas, 75 times the size of the Sun, appearing on the surface and sinking back into the star’s interior faster than expected.
Stars produce energy in their cores through nuclear fusion. This energy can be carried out towards the star’s surface in huge, hot bubbles of gas, which then cool down and sink — like a lava lamp. This mixing motion, known as convection, distributes the heavy elements formed in the core, such as carbon and nitrogen, throughout the star. It is also thought to be responsible for the stellar winds that carry these elements out into the cosmos to build new stars and planets.
Convection motions had never been tracked in detail in stars other than the Sun, until now. By using ALMA, the team were able to obtain high-resolution images of the surface of R Doradus over the course of a month. R Doradus is a red giant star, with a diameter roughly 350 times that of the Sun, located about 180 light-years away from Earth in the constellation Dorado. Its large size and proximity to Earth make it an ideal target for detailed observations. Furthermore, its mass is similar to that of the Sun, meaning R Doradus is likely fairly similar to how our Sun will look like in five billion years, once it becomes a red giant.
“Convection creates the beautiful granular structure seen on the surface of our Sun, but it is hard to see on other stars,” adds Theo Khouri, a researcher at Chalmers who is a co-author of the study. “With ALMA, we have now been able to not only directly see convective granules — with a size 75 times the size of our Sun! — but also measure how fast they move for the first time.”
The granules of R Doradus appear to move on a one-month cycle, which is faster than scientists expected based on how convection works in the Sun. “We don’t yet know what is the reason for the difference. It seems that convection changes as a star gets older in ways that we don’t yet understand,” says Vlemmings. Observations like those now made of R Doradus are helping us to understand how stars like the Sun behave, even when they grow as cool, big and bubbly as R Doradus is.
“It is spectacular that we can now directly image the details on the surface of stars so far away, and observe physics that until now was mostly only observable in our Sun,” concludes Behzad Bojnodi Arbab, a PhD student at Chalmers who was also involved in the study.
Notes
*Convection bubbles have been previously observed in detail on the surface of stars, including with the PIONIER instrument on ESO’s Very Large Telescope Interferometer. But the new ALMA observations track the motion of the bubbles in a way that was not possible before.
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