Real-time echocardiography-fluoroscopy fusion imaging (FI) merges real-time echocardiographic imaging with fluoroscopic images allowing intuitive anatomical spatial orientation during structural heart disease interventions. We aimed to assess the safety and efficacy of FI during percutaneous left atrial appendage closure (LAAC) 34 consecutive patients before (-FI) and 121 patients after (+FI) the introduction of FI for LAAC were included in a single-centre study. In-hospital safety parameters were analysed according to adverse event (AE) definition of the Munich consensus document and procedure-related parameters were assessed for efficacy. An ANCOVA was performed to investigate the influence of a learning curve. Time until successful transseptal puncture was significantly reduced as well as total procedure time and the amount of contrast agent used (+FI/-FI17 ± 6.35 min vs. 22 ± 8.33 min,  = 0.001; +FI/-FI 50 min IQR 43 min - 60 min vs. 57 min IQR 45 min -70 min;  = 0.013; +FI/-FI 70 mL, IQR 55 ml-90 mL vs. 152 mL, IQR 107 mL - 205 mL;  < 0.001). However, fluoroscopy time and dose-area product did not differ between both groups. There was no significant difference in the occurrence of in-hospital adverse events (+FI/-FI 2.5% vs. 0%;  = 0.596). The ANCOVA revealed that the learning curve does not affect procedural efficacy parameters such as procedure time, time to transseptal puncture, amount of contrast agent and dose-area product. FI for LAAC reduces the total procedure time, the time to successful transseptal puncture and periprocedural amount of contrast agent.FI for LAAC reduces the total procedure time, the time to successful transseptal puncture and periprocedural amount of contrast agent.This study identifies and describes feeding concerns of parents of children with autism spectrum disorder (ASD) and examines the extent to which parents relate those concerns as having been addressed by therapists. Survey data were collected from 113 parents of children with ASD. Of the parents surveyed, 68% described a past or present concern with feeding; 60% of those parents with concerns said a therapist had not addressed those concerns. Feeding concerns were more likely addressed when therapists shared parent's concerns. Specific types of concerns, such as those around food selectivity and food refusal, were more likely addressed than difficulties around mealtime. A gap is identified between parental report of feeding difficulties and parental report of professional services addressing feeding needs. This analysis presents an opportunity for occupational therapists in the area of feeding, particularly around identifying and addressing parental concerns.Growth mixture models are a popular method to uncover heterogeneity in growth trajectories. Harnessing the power of growth mixture models in applications is difficult given the prevalence of nonconvergence when fitting growth mixture models to empirical data. Growth mixture models are rooted in the random effect tradition, and nonconvergence often leads researchers to modify their intended model with constraints in the random effect covariance structure to facilitate estimation. While practical, doing so has been shown to adversely affect parameter estimates, class assignment, and class enumeration. Instead, we advocate specifying the models with a marginal approach to prevent the widespread practice of sacrificing class-specific covariance structures to appease nonconvergence. A simulation is provided to show the importance of modeling class-specific covariance structures and builds off existing literature showing that applying constraints to the covariance leads to poor performance. These results suggest that retaining class-specific covariance structures should be a top priority and that marginal models like covariance pattern growth mixture models that model the covariance structure without random effects are well-suited for such a purpose, particularly with modest sample sizes and attrition commonly found in applications. An application to PTSD data with such characteristics is provided to demonstrate (a) convergence difficulties with random effect models, (b) how covariance structure constraints improve convergence but to the detriment of performance, and (c) how covariance pattern growth mixture models may provide a path forward that improves convergence without forfeiting class-specific covariance structures.Constraint-induced therapy (CIT) is highly effective yet not accessible to many families. Integrating commercial exergaming in home-based CIT may support the availability and attainability of the intervention. The study compared the effects of supplementary use of Nintendo Wii in home-based CIT with dose-equivalent conventional CIT. Eighteen children with cerebral palsy were randomly assigned to 8 weeks of CIT (CIT) or 4 weeks of CIT, followed by 4 weeks of Wii-augmented CIT (CIT-Wii). Outcome measures included the Bruininks-Oseretsky Test of Motor Proficiency (Manual Dexterity), the ABILHAND-Kids, the WeeFIM (Self-Care), the Test of Playfulness, the Engagement Questionnaire, and the Parenting Stress Index-Short Form. Both groups significantly improved motor outcomes and playfulness. The CIT group demonstrated greater improvement in self-care skills, whereas parental stress decreased only in the CIT-Wii group. CIT-Wii yields no significant difference in treatment effects from conventional CIT and may provide psychosocial benefits.What does science tell us about memory phenomena such as false and repressed memories? This issue is highly pressing as incorrect knowledge about these memory phenomena might contribute to egregious effects in the courtroom such as false accusations of abuse. In the current article, we provide a succinct review of the scientific nature of false and repressed memories. selleck compound We demonstrate that research has shown that about 30% of tested subjects formed false memories of autobiographical experiences. Furthermore, this empirical work has also revealed that such false memories can even be implanted for negative events and events that allegedly occurred repeatedly. Concerning the controversial topic of repressed memories, we show that plausible alternative explanations exist for why people claim to have forgotten traumatic experiences; explanations that do not require special memory mechanisms such as the unconscious blockage of traumatic memories. Finally, we demonstrate that people continue to believe that unconscious repression of traumatic incidents can exist.