ASU Scholarship Showcase

Despite the fact that seizures are commonly associated with autism spectrum disorder (ASD), the effectiveness of treatments for seizures has not been well studied in individuals with ASD. This manuscript reviews both traditional and novel treatments for seizures associated with ASD. Studies were selected by systematically searching major electronic databases and by a panel of experts that treat ASD individuals. Only a few anti-epileptic drugs (AEDs) have undergone carefully controlled trials in ASD, but these trials examined outcomes other than seizures. Several lines of evidence point to valproate, lamotrigine, and levetiracetam as the most effective and tolerable AEDs for individuals with ASD. Limited evidence supports the use of traditional non-AED treatments, such as the ketogenic and modified Atkins diet, multiple subpial transections, immunomodulation, and neurofeedback treatments. Although specific treatments may be more appropriate for specific genetic and metabolic syndromes associated with ASD and seizures, there are few studies which have documented the effectiveness of treatments for seizures for specific syndromes. Limited evidence supports l-carnitine, multivitamins, and N-acetyl-l-cysteine in mitochondrial disease and dysfunction, folinic acid in cerebral folate abnormalities and early treatment with vigabatrin in tuberous sclerosis complex. Finally, there is limited evidence for a number of novel treatments, particularly magnesium with pyridoxine, omega-3 fatty acids, the gluten-free casein-free diet, and low-frequency repetitive transcranial magnetic simulation. Zinc and l-carnosine are potential novel treatments supported by basic research but not clinical studies. This review demonstrates the wide variety of treatments used to treat seizures in individuals with ASD as well as the striking lack of clinical trials performed to support the use of these treatments. Additional studies concerning these treatments for controlling seizures in individuals with ASD are warranted.

Recent studies suggest a role for the microbiota in autism spectrum disorders (ASD), potentially arising from their role in modulating the immune system and gastrointestinal (GI) function or from gut–brain interactions dependent or independent from the immune system. GI problems such as chronic constipation and/or diarrhea are common in children with ASD, and significantly worsen their behavior and their quality of life. Here we first summarize previously published data supporting that GI dysfunction is common in individuals with ASD and the role of the microbiota in ASD. Second, by comparing with other publically available microbiome datasets, we provide some evidence that the shifted microbiota can be a result of westernization and that this shift could also be framing an altered immune system. Third, we explore the possibility that gut–brain interactions could also be a direct result of microbially produced metabolites.

There is a growing body of scientific evidence that the health of the microbiome (the trillions of microbes that inhabit the human host) plays an important role in maintaining the health of the host and that disruptions in the microbiome may play a role in certain disease processes. An increasing number of research studies have provided evidence that the composition of the gut (enteric) microbiome (GM) in at least a subset of individuals with autism spectrum disorder (ASD) deviates from what is usually observed in typically developing individuals. There are several lines of research that suggest that specific changes in the GM could be causative or highly associated with driving core and associated ASD symptoms, pathology, and comorbidities which include gastrointestinal symptoms, although it is also a possibility that these changes, in whole or in part, could be a consequence of underlying pathophysiological features associated with ASD. However, if the GM truly plays a causative role in ASD, then the manipulation of the GM could potentially be leveraged as a therapeutic approach to improve ASD symptoms and/or comorbidities, including gastrointestinal symptoms.

One approach to investigating this possibility in greater detail includes a highly controlled clinical trial in which the GM is systematically manipulated to determine its significance in individuals with ASD. To outline the important issues that would be required to design such a study, a group of clinicians, research scientists, and parents of children with ASD participated in an interdisciplinary daylong workshop as an extension of the 1st International Symposium on the Microbiome in Health and Disease with a Special Focus on Autism (www.microbiome-autism.com). The group considered several aspects of designing clinical studies, including clinical trial design, treatments that could potentially be used in a clinical trial, appropriate ASD participants for the clinical trial, behavioral and cognitive assessments, important biomarkers, safety concerns, and ethical considerations. Overall, the group not only felt that this was a promising area of research for the ASD population and a promising avenue for potential treatment but also felt that further basic and translational research was needed to clarify the clinical utility of such treatments and to elucidate possible mechanisms responsible for a clinical response, so that new treatments and approaches may be discovered and/or fostered in the future.

Background: Despite the high prevalence of seizure, epilepsy and abnormal electroencephalograms in individuals with autism spectrum disorder (ASD), there is little information regarding the relative effectiveness of treatments for seizures in the ASD population. In order to determine the effectiveness of traditional and non-traditional treatments for improving seizures and influencing other clinical factor relevant to ASD, we developed a comprehensive on-line seizure survey.

Methods: Announcements (by email and websites) by ASD support groups asked parents of children with ASD to complete the on-line surveys. Survey responders choose one of two surveys to complete: a survey about treatments for individuals with ASD and clinical or subclinical seizures or abnormal electroencephalograms, or a control survey for individuals with ASD without clinical or subclinical seizures or abnormal electroencephalograms. Survey responders rated the perceived effect of traditional antiepileptic drug (AED), non-AED seizure treatments and non-traditional ASD treatments on seizures and other clinical factors (sleep, communication, behavior, attention and mood), and listed up to three treatment side effects.

Results: Responses were obtained concerning 733 children with seizures and 290 controls. In general, AEDs were perceived to improve seizures but worsened other clinical factors for children with clinical seizure. Valproic acid, lamotrigine, levetiracetam and ethosuximide were perceived to improve seizures the most and worsen other clinical factors the least out of all AEDs in children with clinical seizures. Traditional non-AED seizure and non-traditional treatments, as a group, were perceived to improve other clinical factors and seizures but the perceived improvement in seizures was significantly less than that reported for AEDs. Certain traditional non-AED treatments, particularly the ketogenic diet, were perceived to improve both seizures and other clinical factors. For ASD individuals with reported subclinical seizures, other clinical factors were reported to be worsened by AEDs and improved by non-AED traditional seizure and non-traditional treatments. The rate of side effects was reportedly higher for AEDs compared to traditional non-AED treatments.

Conclusion: Although this survey-based method only provides information regarding parental perceptions of effectiveness, this information may be helpful for selecting seizure treatments in individuals with ASD.

Previous studies in building energy assessment clearly state that to meet sustainable energy goals, existing buildings, as well as new buildings, will need to improve their energy efficiency. Thus, meeting energy goals relies on retrofitting existing buildings. Most building energy models are bottom-up engineering models, meaning these models calculate energy demand of individual buildings through their physical properties and energy use for specific end uses (e.g., lighting, appliances, and water heating). Researchers then scale up these model results to represent the building stock of the region studied.

Studies reveal that there is a lack of information about the building stock and associated modeling tools and this lack of knowledge affects the assessment of building energy efficiency strategies. Literature suggests that the level of complexity of energy models needs to be limited. Accuracy of these energy models can be elevated by reducing the input parameters, alleviating the need for users to make many assumptions about building construction and occupancy, among other factors. To mitigate the need for assumptions and the resulting model inaccuracies, the authors argue buildings should be described in a regional stock model with a restricted number of input parameters. One commonly-accepted method of identifying critical input parameters is sensitivity analysis, which requires a large number of runs that are both time consuming and may require high processing capacity.

This paper utilizes the Energy, Carbon and Cost Assessment for Buildings Stocks (ECCABS) model, which calculates the net energy demand of buildings and presents aggregated and individual- building-level, demand for specific end uses, e.g., heating, cooling, lighting, hot water and appliances. The model has already been validated using the Swedish, Spanish, and UK building stock data. This paper discusses potential improvements to this model by assessing the feasibility of using stepwise regression to identify the most important input parameters using the data from UK residential sector. The paper presents results of stepwise regression and compares these to sensitivity analysis; finally, the paper documents the advantages and challenges associated with each method.

Construction waste management has become extremely important due to stricter disposal and landfill regulations, and a lesser number of available landfills. There are extensive works done on waste treatment and management of the construction industry. Concepts like deconstruction, recyclability, and Design for Disassembly (DfD) are examples of better construction waste management methods. Although some authors and organizations have published rich guides addressing the DfD's principles, there are only a few buildings already developed in this area. This study aims to find the challenges in the current practice of deconstruction activities and the gaps between its theory and implementation. Furthermore, it aims to provide insights about how DfD can create opportunities to turn these concepts into strategies that can be largely adopted by the construction industry stakeholders in the near future.

The United State generates the most waste among OECD countries, and there are adverse effects of the waste generation. One of the most serious adverse effects is greenhouse gas, especially CH4, which causes global warming. However, the amount of waste generation is not decreasing, and the United State recycling rate, which could reduce waste generation, is only 26%, which is lower than other OECD countries. Thus, waste generation and greenhouse gas emission should decrease, and in order for that to happen, identifying the causes should be made a priority. The research objective is to verify whether the Environmental Kuznets Curve relationship is supported for waste generation and GDP across the U.S. Moreover, it also confirmed that total waste generation and recycling waste influences carbon dioxide emissions from the waste sector. The annual-based U.S. data from 1990 to 2012 were used. The data were collected from various data sources, and the Granger causality test was applied for identifying the causal relationships. The results showed that there is no causality between GDP and waste generation, but total waste and recycling generation significantly cause positive and negative greenhouse gas emissions from the waste sector, respectively. This implies that the waste generation will not decrease even if GDP increases. And, if waste generation decreases or recycling rate increases, the greenhouse gas emission will decrease. Based on these results, it is expected that the waste generation and carbon dioxide emission from the waste sector can decrease more efficiently.

As the construction continue to be a leading industry in the number of injuries and fatalities annually, several organizations and agencies are working avidly to ensure the number of injuries and fatalities is minimized. The Occupational Safety and Health Administration (OSHA) is one such effort to assure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance. Given the large databases of OSHA historical events and reports, a manual analysis of the fatality and catastrophe investigations content is a time consuming and expensive process. This paper aims to evaluate the strength of unsupervised machine learning and Natural Language Processing (NLP) in supporting safety inspections and reorganizing accidents database on a state level. After collecting construction accident reports from the OSHA Arizona office, the methodology consists of preprocessing the accident reports and weighting terms in order to apply a data-driven unsupervised K-Means-based clustering approach. The proposed method classifies the collected reports in four clusters, each reporting a type of accident. The results show the construction accidents in the state of Arizona to be caused by falls (42.9%), struck by objects (34.3%), electrocutions (12.5%), and trenches collapse (10.3%). The findings of this research empower state and local agencies with a customized presentation of the accidents fitting their regulations and weather conditions. What is applicable to one climate might not be suitable for another; therefore, such rearrangement of the accidents database on a state based level is a necessary prerequisite to enhance the local safety applications and standards.

The estimation of energy demand (by power plants) has traditionally relied on historical energy use data for the region(s) that a plant produces for. Regression analysis, artificial neural network and Bayesian theory are the most common approaches for analysing these data. Such data and techniques do not generate reliable results. Consequently, excess energy has to be generated to prevent blackout; causes for energy surge are not easily determined; and potential energy use reduction from energy efficiency solutions is usually not translated into actual energy use reduction. The paper highlights the weaknesses of traditional techniques, and lays out a framework to improve the prediction of energy demand by combining energy use models of equipment, physical systems and buildings, with the proposed data mining algorithms for reverse engineering. The research team first analyses data samples from large complex energy data, and then, presents a set of computationally efficient data mining algorithms for reverse engineering. In order to develop a structural system model for reverse engineering, two focus groups are developed that has direct relation with cause and effect variables. The research findings of this paper includes testing out different sets of reverse engineering algorithms, understand their output patterns and modify algorithms to elevate accuracy of the outputs.

Commercial buildings’ consumption is driven by multiple factors that include occupancy, system and equipment efficiency, thermal heat transfer, equipment plug loads, maintenance and operational procedures, and outdoor and indoor temperatures. A modern building energy system can be viewed as a complex dynamical system that is interconnected and influenced by external and internal factors. Modern large scale sensor measures some physical signals to monitor real-time system behaviors. Such data has the potentials to detect anomalies, identify consumption patterns, and analyze peak loads. The paper proposes a novel method to detect hidden anomalies in commercial building energy consumption system. The framework is based on Hilbert-Huang transform and instantaneous frequency analysis. The objectives are to develop an automated data pre-processing system that can detect anomalies and provide solutions with real-time consumption database using Ensemble Empirical Mode Decomposition (EEMD) method. The finding of this paper will also include the comparisons of Empirical mode decomposition and Ensemble empirical mode decomposition of three important type of institutional buildings.