Sensitivity and Specificity of 2 Autism Screeners Among Referred Children Between 16 and 48 Months of Age.

OBJECTIVE: Autism screening is recommended by the American Academy of Pediatrics and the Centers for Disease Control and Prevention at ages 18 and 24 months. Popular screening tests have been validated for the age range of 16 to 30 months. However, only a minority of children with autism spectrum disorder (ASD) are identified by age 3 years, and many are not identified until after they enter school. Thus, we aimed to measure the sensitivity and specificity of 2 available screening tests for ASDs in children older than 30 months. METHODS: We assessed the sensitivity and specificity of 2 ASD screening tools administered to parents of children who were referred to a developmental clinic between the ages of 16 and 48 months: the Modified Checklist for Autism in Toddlers (M-CHAT) and the Parent's Observations of Social Interactions (POSI), which is a component of a comprehensive screening instrument called, the Survey of Well-being of Young Children. RESULTS: Both the M-CHAT and the POSI had acceptable sensitivity (≥75%) among children across the age range studied. Their specificity was limited by the fact that the study was conducted in a developmental referral clinic. CONCLUSION: Two readily available screening tools, the POSI and the M-CHAT, have acceptable sensitivity in evaluating risk for autism in children at least to age 48 months. Further research should investigate their sensitivity and specificity when used in primary care settings.

The contribution of axial fiber extensibility to the adhesion of viscous capture threads spun by orb-weaving spiders.

The viscous capture threads produced by over 4000 species of orb-weaving spiders are formed of regularly spaced aqueous droplets supported by a pair of axial fibers. These threads register increased stickiness when spans of increasing lengths contact a surface, indicating that adhesion is recruited from multiple droplets. This study examined threads produced by five species to test the hypothesis that axial fiber extensibility is crucial for this summation of adhesion. It did so by comparing the stickiness of unstretched threads with threads that had been elongated to reduce the extensibility of their axial fibers. As stretching these threads also increased the distance between their droplets, we measured the stickiness of stretched threads with contact plates whose widths were increased in proportion to the degree of thread elongation. We then accounted for the actual thread elongation achieved for each individual's threads and for differences in the five species' absolute thread extensibility. The results showed that in four species thread extensibility contributed positively to adhesion. For three species, thread extensibility and droplet volume together explained the mean per droplet adhesion of threads. Models based on these three species show that, as threads were elongated, increasing amounts of potential adhesion were lost to diminished axial fiber extensibility. These models indicate that approximately one-third of an unstretched viscous thread's stickiness accrues from the adhesive recruitment made possible by axial fiber extensibility.