Survey of the training needs of genetic assistants supports the creation of genetic assistant training programs

Despite the increasing numbers of genetic assistants (GAs) in the genomics workforce, their training needs and how to best prepare GAs for their role have not been well defined. We sought to identify the current educational status of GAs, opinions on their training needs, and attitudes about GA training programs (GATPs). Survey links were emailed to NSGC members, 17 state genetic counseling (GC) professional organizations, and genomic medicine researchers. Respondents (n = 411) included GCs (n = 231) and GAs (n = 136). Like other studies, we found that the GA position is filled by a range of education levels and career aspirations. Most respondents supported the creation of GATPs, with 63% endorsing that GATPs would be helpful and half endorsing a short-term (3 months or less) program. Most believed GATPs should focus on general knowledge, with almost all practical skills learned on-the-job. If more GATPs are created, our survey provides evidence that graduates would be hired. Indeed, of those whose work setting required a bachelor's degree, the number of respondents who favored keeping that requirement was similar to the number who favored hiring a GA without a degree if they attended a GATP. However, there were concerns about GATPs. Many (44%) believed creating GATPs could discourage candidates from becoming GAs. We observed that there are two types of GAs: entry-level and bachelor's-level, with the entry-level being those who do not have and are not working to obtain a bachelor's degree and the bachelor's-level being those who do/are. GATPs could focus on the education of entry-level GAs, while gaps in the knowledge base of bachelor's-level GAs could be addressed by augmenting bachelor's curriculum or providing additional training after hire. Further research on the training needs of GAs and hiring practices of institutions will be vital to understanding their training needs and designing and implementing effective GATPs.

GA4GH: International policies and standards for data sharing across genomic research and healthcare

The Global Alliance for Genomics and Health (GA4GH) aims to accelerate biomedical advances by enabling the responsible sharing of clinical and genomic data through both harmonized data aggregation and federated approaches. The decreasing cost of genomic sequencing (along with other genome-wide molecular assays) and increasing evidence of its clinical utility will soon drive the generation of sequence data from tens of millions of humans, with increasing levels of diversity. In this perspective, we present the GA4GH strategies for addressing the major challenges of this data revolution. We describe the GA4GH organization, which is fueled by the development efforts of eight Work Streams and informed by the needs of 24 Driver Projects and other key stakeholders. We present the GA4GH suite of secure, interoperable technical standards and policy frameworks and review the current status of standards, their relevance to key domains of research and clinical care, and future plans of GA4GH. Broad international participation in building, adopting, and deploying GA4GH standards and frameworks will catalyze an unprecedented effort in data sharing that will be critical to advancing genomic medicine and ensuring that all populations can access its benefits.

Association of twinning and maternal age with major structural birth defects in Utah, 1999 to 2008

BACKGROUND

Twinning is a risk factor for birth defects. Using population-based data from the Utah Birth Defect Network and the Utah Department of Health Vital Records, we investigated whether twinning increases the risk of major structural birth defects in live-born opposite-sex (OS) and same-sex (SS) twins as proxies for monozygotic and dizygotic twins, respectively. We also assessed whether maternal age modified the association between twinning and birth defects.

METHODS

All resident live-born singleton (n = 492,143) and twin (n = 13,596) infants issued a Utah birth certificate and delivered from 1999 through 2008 were included. Unadjusted and adjusted odds ratios (aORs) with 95% confidence intervals were calculated for each birth defect using unconditional logistic regression.

RESULTS

Birth defects were slightly more likely to occur in SS (aOR = 1.94; 95% confidence interval, 1.70-2.21) than OS (aOR = 1.55; 95% confidence interval, 1.27-1.90) twins. The aORs stratified by maternal age did not show a trend for any twin type when calculated for all birth defects combined. However, trends were observed for coarctation, pyloric stenosis, and shaft or penoscrotal hypospadias in OS twins; microcephaly, anotia/microtia, conotruncal defects, membranous ventricular septal defects, pyloric stenosis, all hypospadias, and craniosynostosis in SS twins; and tetralogy of Fallot, right ventricular outflow tract obstructions, renal agenesis/hypoplasia, and craniosynostosis in all twins.

CONCLUSION

All twin types have an increased risk for birth defects compared with singletons. SS twins have the highest risk, presumably due to the influence of monozygotic twins. The risk for birth defects in twins was not significantly modified by the mother's age.

An exploration of the influence of educational placement on the community recreation and leisure patterns of children with developmental disabilities

This study explored the recreation and leisure patterns of children with moderate to severe developmental disabilities, 28 parents of children labeled "trainable mentally handicapped" were questioned about the type of sport, exercise, and social activities their children participated in as well as about the opportunities for social inclusion with nondisabled peers that these activities afforded their children. Analyses indicated that most of the children participated in segregated recreation and leisure activities. However, after adjusting for age, an analysis of covariance showed that children placed in more socially integrated educational settings participated in significantly more inclusive recreational activities than children who were served in segregated educational settings.

Change in control orientation of physical education majors after an adapted physical education practicum

This study examined changes in ideas about control of pupils of 32 majors in physical education after exposure to students with disabilities in an adapted physical education practicum. No control group was included. Analysis indicated subjects were significantly more custodial after the practicum.

Effects of massed versus distributed practice on gross and fine motor proficiency of educable mentally handicapped adolescents

Gross and fine motor proficiency were studied in a sample of 52 educable mentally handicapped students (M = 15.8 yr.), half of whom were assigned to 15 30-sec. trials, a relatively massed practice schedule with 5 sec. between trials, and half to a distributed practice schedule with 30-sec. rests. 5 trials were given 24 hr. later. All subjects performed the stabilometer balance task to measure gross motor proficiency and a 45-rpm pursuit rotor task to measure fine motor proficiency. No significant differences with regard to the practice schedule used early in learning were found, however, boys scored significantly higher on the pursuit rotor than girls.

Effects of Massed versus Distributed Practice on Gross and Fine Motor Proficiency of Educable Mentally Handicapped Adolescents

Gross and fine motor proficiency were studied in a sample of 52 educable mentally handicapped students ( M = 15.8 yr.), half of whom were assigned to 15 30-sec. trials, a relatively massed practice schedule with 5 sec. between trials, and half to a distributed practice schedule with 30-sec. rests. 5 trials were given 24 hr. later. All subjects performed the stabilometer balance task to measure gross motor proficiency and a 45-rpm pursuit rotor task to measure fine motor proficiency. No significant differences with regard to the practice schedule used early in learning were found, however, boys scored significantly higher on the pursuit rotor than girls.

Effects of flexibility training on enhancing spinal mobility in older women

The purpose of this study was to examine the extent to which spinal flexion and extension, or spinal mobility, could be improved in a population of older adults participating in a 10 week flexibility training program. Twenty female volunteers, mean age 71.8, were randomly assigned to either the experimental group (flexibility training) or the control group (no training). Prior to the initiation of training, all subjects were tested for total spinal mobility, the combined sum of spinal flexion and extension. Subjects in the experimental group were exposed to a series of flexibility exercises, three times per week, for 20-30 minutes in duration, for a total of 10 weeks. The control group participated in an alternative exercise program with the experimental group, including walking, swimming, dance, and other locomotor activities, however, they did not receive the additional flexibility training. At the conclusion of the 10 week period, all subjects were retested for spinal mobility, using back flexion and extension measures. Results indicated a significant improvement in spinal mobility in the experimental group, and virtually no measurable change in the control group. This study suggests that specialized training in back flexibility for older adults is warranted, and that significant gains in spinal mobility can be obtained, regardless of age.

Effects of Florida's Personal Fitness Course on cognitive, attitudinal and physical fitness measures of secondary students: a pilot study

The effects of Florida's Personal Fitness Course were studied on 60 secondary students' cognitive achievement, physical fitness, and attitude toward physical activity. Significant improvement in knowledge of fitness concepts, selected physical fitness parameters, and over-all attitude toward participation in physical activity suggests the course was effective.

Comparison of hand preference in trainable mentally handicapped and nonhandicapped children

Hand preference was compared in 22 trainable mentally handicapped and 22 nonhandicapped children (Mage 78.00 mo.). Significant differences were found, showing the nonhandicapped group had a stronger preference when presented 10 hand-choice items from The Harris Tests of Lateral Dominance. In addition, stronger lefthandedness characterized the handicapped group, supporting previous research.

Comparison of selected gait parameters of trainable mentally retarded and nonretarded males

Although there were no significant differences in the single support phase of gait for 6 trainable mentally retarded boys (Mean age 9.6 yr.) and 6 nonretarded boys (Mean age 9.5 yr.), total gait time and time in double support were significantly different for the two groups, supporting previous research which showed gait was was deficient in trainable mentally retarded individuals.

Comparison of static balance in trainable mentally handicapped and nonhandicapped children

While for 31 trainable mentally handicapped children and for 31 nonhandicapped (Mage 91.56 mo.), there were no differences in static balance on left or right legs, total balance time was significantly different between the two groups, confirming prior work which related motor proficiency to intelligence. The normal group showed significant positive correlations among height, weight, age, and measures of static balance but only age was not correlated with balance for the handicapped group.

Influence of motor therapy on children with multisensory disabilities: a preliminary study

Effects of a program of motor therapy on the motor ability levels of 8 multisensory handicapped children were examined. Participation improved performance for all subjects. The gain scores from pretest to posttest indicated that children with multisensory disabilities may benefit from such a program.