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A2090-610 - Accessment: DB2 10.1 Fundamentals - Assessment - Dump Information

Vendor : IBM
Exam Code : A2090-610
Exam Name : Accessment: DB2 10.1 Fundamentals - Assessment
Questions and Answers : 138 Q & A
Updated On : November 14, 2018
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A2090-610 Accessment: DB2 10.1 Fundamentals - Assessment

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A2090-610 exam Dumps Source : Accessment: DB2 10.1 Fundamentals - Assessment

Test Code : A2090-610
Test Name : Accessment: DB2 10.1 Fundamentals - Assessment
Vendor Name : IBM
Q&A : 138 Real Questions

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IBM IBM Accessment: DB2 10.1

statistics Governance, Mandates and greater, Oh My! DB2 for i information protection and Compliance concerns | killexams.com Real Questions and Pass4sure dumps

facts Governance, Mandates and greater, Oh My! DB2 for i facts security and Compliance concerns March 16, 2016  |  by Scott Forstie IBM Guardium offers a wide array of integrated security tools that can further data governance aims for organizations through features such as data activity monitoring, classification and more. Enterprises need to find the right fit for them.

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Share statistics Governance, Mandates and more, Oh My! DB2 for i information protection and Compliance issues on Twitter Share statistics Governance, Mandates and greater, Oh My! DB2 for i information security and Compliance issues on facebook Share records Governance, Mandates and extra, Oh My! DB2 for i facts security and Compliance issues on LinkedIn

facts governance encompasses all the applied sciences and approaches you need to relaxed enterprise vital records. clients, governments and industries are designating further and further information as crucial. because the volume and variety of vital statistics increases, you may suppose like Dorothy on her solution to Oz: Skipping down the Yellow Brick highway, settling on up companions that have complementary expertise to assist you manipulate (or govern) information.

I work on DB2 for i, which is the integrated database this is the coronary heart and soul of the IBM i platform, formerly called iSeries, system i, AS/400 and other names. My day starts off and ends with all issues database. That might also strike you as a tragic proposition, but in reality, it’s a fine existence as a result of I get to support consumers achieve their desires and fulfill mandates.

What’s a Database Mandate?

further and further, IBM i valued clientele are being informed they ought to conform to requirements to:

  • restrict, mask and/or encrypt access to records;
  • tune the moves of tremendously privileged users;
  • tune all alterations to particular tables;
  • discover attempts to steer clear of authorization;
  • admire the proliferation of delicate facts; and
  • display and measure the chronic efforts to manipulate the facts center.
  • IBM safety Guardium can also be used to satisfy lots of these critical database mandates for IBM i valued clientele.

    examine THE WHITE PAPER: THREE GUIDING concepts TO enrich records safety AND COMPLIANCE

    My on-demand Guardium tech speak comprises an evidence of how Guardium applied sciences corresponding to Database endeavor monitor (DAM), Vulnerability assessment and Classifier can help IBM i purchasers meet compliance and information governance requirements. they could also protect towards insider threats, cybercriminals and other unhealthy actors, all whereas integrating with the broader safety infrastructure.

    the usage of technologies to obtain Compliance

    Database exercise monitoring is a extremely mighty solution for enjoyable DB2 for i monitoring necessities. DAM is built-in with DB2 for i and may be utilized in creation environments where client expectations are sky-high.

    a simple instance could be to exhibit how DAM may also be used to capture circumstances where total tables are being copied. As proven beneath, we can see that DAM can catch both SQL and command line recommendations for copying tables.

    The table of SQL activity in IBM Guardium.

    one other strength of DAM with DB2 for i is its finished SQL trap, together with host variables and parameter marker values, which are referred to as bind variable values in Guardium lingo.

    figure 2 beneath suggests an example of the execution of an replace statement. DAM serves up the primary forensic records, making it feasible and simple to research the activity, examine when an incident has happened and identify the scope of have an effect on.

    Guardium

    Here

    be taught extra About Guardium security alternatives

    in case you’ve read this a ways, be sure you trust watching the on-demand Guardium tech consult with hear greater about your alternatives for IBM i information governance the usage of Guardium. there will even be extra opportunities to be trained greater at protection conferences slated for this year.

    Tags: Compliance | information protection | statistics security | Database undertaking Monitoring (DAM) | Governance | IT Governance Scott Forstie

    DB2 for i business Architect, IBM

    Scott Forstie is a Senior Technical body of workers Member at IBM. he is the DB2 for i enterprise Architect, working on all things... 1 Posts comply with on What’s new
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  • protection Intelligence Podcast Share this text: Share statistics Governance, Mandates and extra, Oh My! DB2 for i information protection and Compliance issues on Twitter Share records Governance, Mandates and greater, Oh My! DB2 for i statistics safety and Compliance considerations on fb Share information Governance, Mandates and greater, Oh My! DB2 for i information protection and Compliance issues on LinkedIn greater on information insurance plan A woman using a laptop in a cafe: virtual private network ArticleHow to raise Your statistics privacy With a virtual inner most network Computer with a search engine open in a web browser: SEO poisoning ArticleHow SEO Poisoning Campaigns Are Mounting a Comeback : data risk management ArticleData risk administration: Circling the Wagons With Three Chief Officers main the way World map with dotted lines connecting stick figures on various continents: Charter of Trust ArticleStrengthening business Collaboration through the charter of believe for a comfortable Digital World

    inside the mainframe architecture of IBM Netezza, DB2 BLU Acceleration | killexams.com Real Questions and Pass4sure dumps

    IBM's DB2 BLU Acceleration and Netezza applied sciences have upended the relaxed database architectures of the mainframe and present extraordinarily fascinating efficiency for the expense. So when when you use each mainframe alternative?

    Netezza's value proposition is fundamental. it is essentially used underneath a DB2 relational database management system veneer to run projects requiring ultra-excessive performance -- usually massive statistics analytics and reporting. "simply plop it in and it runs like a bat out of hell," said Rick van der Lans, a european advisor and not using a obtrusive IBM bias, when describing Netezza's very standard deployment and administration. 

    DB2 BLU Acceleration is greater complex, but its cost proposition is barely as compelling. It presently runs "beneath" DB2, with the competencies to spread to other IBM facts administration items. it is a full columnar database in the vein of Oracle's Exadata, SAP's Sybase IQ and Hewlett-Packard's Vertica. These typically provide superior performance for queries involving two or fewer columns of a row. DB2 BLU Acceleration extends columnar expertise in many advanced ways, with the web outcome that be sure to get at least an order-of-magnitude speedup on most queries, even in comparison to DB2 pre-BLU. It also piggybacks on DB2's admin functions like backup/restoration, and advertises that it does not use indexing, hence most implementations will not want administration in any respect.

    youngsters IBM is touting each Netezza and DB2 BLU Acceleration specifically for facts warehousing, analytics and reporting, a detailed examination of their applied sciences suggests they are probably of higher efficiency, even in blended query-plus-replace, business-app environments. currently, operational (heavy update) use may be premature. 

    here is a kind of rare occasions in my 30+ years of dealing with databases when the case for adopting a pair of applied sciences that present once-in-a-decade speedups plus ease of administration and deployment is extraordinarily robust.

    barriers on IBM BLU Acceleration, Netezza

    DB2 BLU Acceleration most effective offers a Linux implementation on the mainframe, whereas Netezza is frequently done by means of a fork on the mainframe. This capacity a scheduler decides no matter if to feed data to a traditional DB2 relational database or to the Netezza box.

    In purposeful terms, DB2 BLU Acceleration slips into DB2 below all of your present and future Linux-DB2-primarily based apps, whereas Netezza basically self-deploys when you define a high-performance project for it.

    Three primary suggestions for mainframe database decisions

    overall, there are a few highly primary suggestions for figuring out when to use DB2 BLU Acceleration, when to make use of Netezza, and when no longer to use either:

  • If the current app is not DB2 (or in all probability Informix), whether it is operational, or is on z/OS, then your present setup is probably going to reside as is. Likewise, if you haven't upgraded DB2 to 10.1 or 10.5, you then might also now not get much bang in your buck, failing to take expertise of the important performance/scalability and cost-performance enhancements that these DB2 types offer on their personal.
  • In all excessive-end, non-operational circumstances the place that you can use both DB2 BLU Acceleration or Netezza, remember to consider doing so. in accordance with consumer testimonials, the efficiency improvements are outstanding and the benefit of deployment and administration are enormous.
  • In deciding on between DB2 BLU Acceleration and Netezza, I indicate here: you probably have a one-off new project, opt for Netezza. when you've got a bundle of apps, including present ones, that could all use a lift, choose DB2 BLU Acceleration.
  • in regards to the author:

    Wayne Kernochan is president of Infostructure pals, an affiliate of Valley View Ventures, with greater than two decades of adventure in IT trade analysis. This document is the outcome of Infostructure associates-sponsored analysis. Infostructure buddies believes that its findings are objective and characterize the foremost analysis obtainable at the time of publication. WKernochan@aol.com


    Serverless functions vs. digital Machines: a complete can charge of ownership evaluation | killexams.com Real Questions and Pass4sure dumps

    contrary to regular perception, that you can deploy high-throughput workloads on better-level abstractions like serverless features-as-a-provider (Faas) instead of defaulting to virtual machines.

    This post explores critical can charge, performance, and availability concerns for a total can charge of possession (TCO) evaluation of virtual laptop (VM) and serverless capabilities. We also spotlight how this evaluation will also be used to examine serverless function charges with usual structures-as-a-service (PaaS) infrastructures.

    We advocate evaluating both infrastructure and operational management prices to achieve an apples-to-apples assessment and an accurate TCO evaluation.

    This assessment uses IBM Cloud virtual Servers to enforce the VM option and IBM Cloud capabilities because the serverless platform. We modeled a high-availability application that strategies about 2.5 billion request calls per day.

    each the VM and Cloud features deployments have the following business features:

  • There are three environments in use for the application (production, pre-creation, and dev/look at various).
  • They set up the creation and pre-production environments throughout three geographical cloud regions for resiliency- and latency-optimization applications.
  • They spread the deployment in every area across three availability zones to boost availability.
  • VM-based Deployment

    in this situation, the illustration software runs on digital server instances with two processors and 4GB of memory. We used the normal cost of crimson Hat business Linux (RHEL), home windows, and CentOS [1], where the incoming load is allotted amongst the VMs using a load balancer [3]. For every server, there are fees for automation tooling [2] and for labor for operational management tasks (e.g., patching, monitoring, and so forth.) [4]. We based the operational administration charge estimate on discussions with IBM area rely consultants (SMEs).

    The same VM setup is deployed in three areas for resiliency purposes. The pre-prod and production deployments incorporate three regions. The testing atmosphere is just in a single location.

    since load is constantly fluctuating, the VM state of affairs requires some buffer capability to accommodate workload spikes. here's mirrored in the calculation as "top-to-normal ratio." It addresses surprising peaks, which might be very typical even for "constant" workloads when searching on the load profile on a granular time scale. These spikes are so brief-time period that any sort of VM-primarily based auto-scaling can be too slow to react. The conservative assumption made here is a 1:three ratio (i.e., the top is 3 times the general load), but there can also be more extreme ratios. Values of up to 1:80 were skilled. determine 1 illustrates fine-grained workload volatility.

    Image title

    below you'll locate the costs tallied for the VM scenario, together with infrastructure, operational administration equipment, and labor.

    Image title

    Serverless feature Platform

    The serverless feature service — in this case, IBM Cloud capabilities — executes moves (which are pieces of code written in any language) in line with certain requests or activities. An event could be so simple as an HTTP request, a brand new list appearing in an IBM Cloudant database, or another experience going on in the context of an utility.

    When creating a brand new action, the developer assigns the volume of memory to the motion for its execution. When the action executes, Cloud functions measures the time to serve the request. as an instance, it could take eighty three milliseconds to serve a request. For each request, multiply the amount of memory assigned with the time taken to serve the request (rounded as much as the next 100ms) to arrive at a GB-second price.

    This pay-per-request mannequin, in comparison to purchasing pre-allotted, coarse-grained VM capability, is what makes it possible for an awful lot of the charge mark downs laid out during this document.

    We estimated that Cloud services can manner about 75 billion requests per month at a value akin to the VM-based mostly deployment. This corresponds to 2.5 billion requests per day or about 29,000 requests per second, assuming a gentle workload 24×7. here is certainly an intense case, nevertheless it makes it possible for a relatively elementary TCO evaluation. In usual, we are expecting Cloud services to run at a fraction of the can charge of VM-based mostly deployments for many workloads. Given the on-demand scaling of Cloud functions, the can charge is an identical no matter if requests are regular or if the weight changes frequently, as in figure 1.

    determine 3 suggests charge calculations for the similar Cloud services solution.

    Image title

    yet another expertise for Cloud features clients is that GB-second costs are the equal even with the number of availability zones or regions used. IBM Cloud deploys Cloud capabilities throughout three availability zones by way of default, at no additional can charge.

    in addition, Cloud capabilities can also be deployed in distinctive areas at no incremental expenses. here's a different property of the serverless cloud characteristic mannequin. This means permits customers to obtain more 9's of availability at no incremental can charge. for instance, a Cloud capabilities answer operating in three regions can expect 99.9999999875% platform availability (Cloud capabilities has ninety nine.ninety five% availability per vicinity, or 1-(1-0.9995) three for three areas), at the identical cost as if it could be deployed in precisely a single vicinity.

    In distinction, a VM-based deployment wants permanent means in every individual availability zone and location hosting the application, with the software running 24×7 in three availability zones for resiliency. the belief in both situations is that a world load balancer offering a hundred% availability is used-if it has under one hundred% availability, that must be equally factored in.

    To further in the reduction of the charges on the serverless aspect, it's a standard method to method events/requests in bulk if that matches the character of the workload, in preference to one feature invocation per adventure. here's a fine looking approach where dealing with a single event is very light-weight and handiest takes a fraction of a millisecond. each Cloud services invocation is charged not less than 100ms, so single light-weight requests may give away a lot of compute cycles. Conversely, if the nature of the workload permits, the application could ship movements to Cloud services in companies. For sub-millisecond services, one hundred or extra movements could be processed in bulk inside the 100ms window. by doing that, the ordinary Cloud services price can drop even additional — during this case, through a factor of one hundred. This capabilities isn't reflected in our analysis but could be without problems delivered where applicable.

    Serverless computing has none of the ongoing infrastructure operational expenses that the VM-based mostly solution incurs. For purchasers, there is nothing to control on the infrastructure degree. These capabilities shift to IBM because the carrier issuer for Cloud functions. The GB-2d charge is the only incremental charge in the TCO evaluation for Cloud features.

    apart from talents challenging dollar charge benefits of a serverless implementation, we always see other merits, together with here:

  • Dramatically reduces the time-to-market as a result of its focus on the app code in preference to the infrastructure.
  • Simplifies protection administration as a result of its excessive degree of abstraction. Vulnerabilities corresponding to Meltdown or Spectre are addressed transparently to the app developer.
  • Compliance requirements, akin to GDPR, will also be addressed with a fraction of the trouble it will take to replace a regular VM-based mostly answer.
  • This TCO evaluation is only an instance. every situation is different. We recommend using the baseline structure we laid out and adjusting for specific issues.

    comparison To traditional PaaS Infrastructures

    evaluating average platform-as-a-carrier (PaaS) infrastructures with serverless cloud functions is comparable to the VM evaluation (besides the fact that children not as severe) due to the fact that PaaS represents an improved degree of abstraction. the full cost of PaaS can be giant when fees for unused ability, resiliency, automation, and management are included.

    as an instance, SiteSpirit, a Dutch IT enterprise presenting SaaS choices for travel organizations, migrated the core of their utility from Cloud Foundry to Cloud functions, leading to 90% charge discount and 10x sooner software performance. that you may examine the complete case analyze here.

    a real-World Deployment example

    An IBM customer had an present VM-based application used by business Analysts to generate business investment profiles. The answer sources business records from over 150 sources, including Factiva, LexisNexis, Google search engine, and social media. It produces a quick evaluation report that summarizes a company's information in categories equivalent to Key gamers, M&A actions, criminal, and many others. at the moment, it takes about three days to provide a speedy assessment report. 10,000 quick evaluation studies are produced yearly.

    The customer requested IBM to examine expenses for solutions that may produce 300,000 fast assessment stories per year and in the reduction of the time to generate experiences to less than at some point.

    We checked out several options to redesign the answer, including Containers, Cloud Foundry, and Cloud functions. in addition, we estimated that the software re-development prices could be lowest the use of VMs or Cloud services, so we explored these two alternatives in aspect.

    Image title

    figure four depicts the preliminary VM-based structure for the answer as hosted on the general public cloud.

    in the VM-based software, a corporation's profile is generated as follows:

  • A company Analyst generates a request by means of the consumer Interface (UI) for a neighborhood of interest, corresponding to "Stanford fiscal group."
  • A VM-based mostly IBM Watson Explorer engine (in the past known as Watson data Explorer) pulls data for the supply entity from third-events that license enterprise facts.
  • The Watson Explorer Engine crawls through the source statistics and aggregates guidance for key metrics (e.g., legal, Key avid gamers, etc.). The content material Analytics component analyzes structured and unstructured content in the source files. Entity analytics is carried out to determine entities (comparable to a person named "Allen Stanford") and generate combination metrics.
  • The aggregated data is stored in an IBM Db2 database.
  • A fast evaluation file is generated and introduced within the UI.
  • business Analysts are able to view reviews and perform searches on the combination information.
  • This answer to supply 10,000 fast assessment reviews per year prices about $one hundred fifty,000 per year.

    enlargement situation: VM-primarily based answer

    We estimated that scaling the latest VM-based mostly solution to supply 300,000 studies per year would cost about $1.5 million per year.

    The VM-based mostly solution requires a excessive diploma of care, which is provided by the customer. as an example, middleware accessories — together with IBM business manner management, Db2, and the combination layer — must be monitored and managed. in the scaled-out solution, the variety of administrators required to manipulate middleware components would enhance.

    expansion state of affairs: IBM Cloud capabilities

    The IBM team counseled a new answer architecture according to IBM Cloud functions that would without problems scale to help 300,000 swift assessment stories per year and generate experiences in beneath 15 minutes.

    determine 5 illustrates the Cloud services structure.

    Image title

    the brand new solution retains the manner flow of the historic architecture and implements key capabilities as six serverless cloud features:

  • Request administration: current the Request administration web page and reply to a request to execute a new business research activity.
  • Get Dataset: Request information from Import.IO and store in IBM Cloud Object Storage (COS).
  • upload and Tag Objects: As each and every object is pushed to COS, tag it with the business each and every object is associated with.
  • construct abstract document: Execute multiple WDS queries, query outcomes submit-processing steps, and codify suggestions against the enriched objects to put together statistics for the rapid assessment View.
  • Notifications: ship an e-mail with a URL to the person that initiated the rapid assessment report request.
  • quick Scan View service: existing the short Scan View page from the information stored in the Graph Database.
  • figure 6 summarizes the workload and pricing assumptions for the Cloud services answer. each quick evaluation report request generates the endeavor described to estimate the charge per document.

    Image title

    Key for determine 6:

  • QTY: The variety of functions to execute for each rapid assessment. A quantity of "7" shows the 7 key areas where the rapid evaluation record is generated. report areas encompass "prison" and "Key gamers"
  • MS: Milliseconds of execution time
  • M: Megabytes of RAM allotted to execution
  • GBS: Gigabyte-Seconds of feature execution
  • The estimated can charge for IBM features to generate 300,000 swift evaluation reviews is $18,143.83, or 300,000 * $0.060479, using the can charge calculations in figure 6.

    The recommended solution has other charge add-ons beyond Cloud functions, together with the following:

  • Watson knowledge Studio
  • IBM Cloud Object Storage
  • JanusGraph DB
  • We estimated the entire can charge, together with IBM Cloud functions and different add-ons, can be $360,000 per 12 months. in this situation, the recommended IBM solution is about 75% less per 12 months than the entire cost of the scaled-up VM environment.

    IBM Notices

    costs are latest as of (the date) and field to exchange without word.

    results can also fluctuate depending on working ambiance.

    The experiences described in this article draw upon tips and opinions provided with the aid of the purchasers. now not all users may also get the equal results.

    The performance information for this text become gathered in a managed, isolated atmosphere. specific effects in different operating environments might also range. whereas IBM has reviewed each item for accuracy in a specific circumstance, there isn't any guarantee that others can achieve identical or identical results in other places.

    The responsibility to be used of this tips or implementing any of these suggestions is a client accountability and depends upon the client's or user's skill to check and combine them into their working ambiance. purchasers or users making an attempt to adapt these options to their own environments do so at their own possibility. In no event shall IBM be liable for any damage arising from the use of this guidance, including but now not constrained to, lack of statistics, business interruption, loss of income or lack of chance.

    Sources:

    [1] https://www.ibm.com/cloud/digital-servers

    [2] Used the illustration calculation on this web page, which is conservative for our situation: https://console.bluemix.web/medical doctors/infrastructure/loadbalancer-service/pricing.html#pricing

    [3] according to discussions with IBM discipline remember consultants concerning server management costs

    this text became initially posted on IBM's weblog.


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    Language Problems in Children With ADHD: A Community-Based Study | killexams.com real questions and Pass4sure dumps

    What’s Known on This Subject:

    Children with attention-deficit/hyperactivity disorder (ADHD) have poorer academic and social functioning and more language problems than typically developing peers. However, it is unknown how language problems impact the academic and social functioning of these children.

    What This Study Adds:

    Language problems are common in children with ADHD and are associated with markedly poorer academic functioning independent of ADHD symptom severity and comorbidities. There was little evidence that language problems were associated with poorer social functioning for children with ADHD.

    Attention-deficit/hyperactivity disorder (ADHD) is highly prevalent and associated with impairments in academic and social functioning.1,2 Individuals with ADHD may also be at risk for language problems3,4; however, the impact of language ability on academic and social functioning for children with ADHD is unknown. Given that language problems are associated with poorer social and academic function in the general population,5,6 this study investigated the prevalence and impact of language problems in a community-based sample of children with ADHD.

    A small body of research has consistently reported an elevated prevalence of language problems among children with ADHD.3,7–9 Similarly, studies examining the prevalence of ADHD in language-impaired samples also demonstrate that these conditions are highly comorbid.10 However, estimates of this overlap vary considerably, and previous studies have relied on small, nonrepresentative clinical samples; underrepresentation of girls and those with ADHD-inattentive subtype; and failure to directly confirm ADHD diagnosis.4 One community-based study revealed that 45% of children with ADHD had comorbid language problems.9 However, this study did not have a control group, and children with comorbid behavioral disorders were excluded.9

    Despite the availability of pharmacological and behavioral treatments, children with ADHD continue to have poorer long-term academic and social outcomes.11 Furthermore, most children with ADHD have 1 or more comorbidities,12 which may also contribute to poorer outcomes.13 Thus, the identification of comorbidities is a critical element of ADHD management. Standardized language assessments are rarely included in assessment, and therefore language deficits may go unidentified or misdiagnosed.14,15 Cohen et al16 reported that children with ADHD and language impairment had lower academic achievement than children with ADHD alone; however, the sample with ADHD and language impairment was small (n = 36), and analyses did not adjust for comorbidities or sociodemographic characteristics. If comorbid language problems contribute to poorer functioning for children with ADHD, these should be an additional target for intervention.

    Using a community-ascertained sample, we aimed to examine the:

  • Prevalence of language problems in children with ADHD and non-ADHD controls;

  • Frequency with which children with ADHD and controls access speech pathology services; and

  • Associations between language problems and academic and social functioning in children with ADHD.

  • We hypothesized that children with ADHD would have a higher prevalence of language problems than controls, but that few of these children would have received speech pathology services. We predicted that language problems would be associated with poorer academic and social functioning in children with ADHD.

    Methods Design and Setting

    Data were collected as part of the Children’s Attention Project, a community-based longitudinal study of ADHD.17 Ethics approval was obtained from The Royal Children’s Hospital (no. 31056) and the Victorian Department of Education and Early Childhood Development (no. 2011_001095). Parents provided consent for participation in each stage of the study.

    Eligibility and Recruitment of Screening Sample

    Participants were recruited from 43 mainstream (inclusive) elementary schools in Melbourne, Australia. Parents and teachers of children in second grade were invited to complete the 10-item Conners 3 ADHD Index (Conners 3AI)18 as an initial screener for ADHD. Parents also reported whether the child had been diagnosed with ADHD or any other developmental or medical conditions, and provided demographic information.

    Children were classified as screening positive if their scores on both the parent and teacher ADHD indices were ≥75th percentile for age for boys, and ≥80th percentile for girls and/or they had been diagnosed with ADHD. Children were classified as screening negative if their scores on both parent and teacher ADHD indices were <75th percentile for boys and <80th percentile for girls, and they had no ADHD diagnosis. Exclusion criteria for both groups included parent-report of any of the following conditions in the screening survey: intellectual disability, serious medical condition, genetic disorder, moderate to severe sensory impairment, or neurologic problem. Parents with insufficient English to complete assessments were also excluded. Each positively screened child was randomly matched on gender and school with a negatively screened child.

    Diagnostic Confirmation and Baseline Data Collection

    Families of children screening positive and the matched children screening negative were invited into the study, involving ADHD case confirmation, detailed questionnaires, and direct child assessments. ADHD status was confirmed by using a face-to-face structured diagnostic interview with the child’s parent (Diagnostic Interview Schedule for Children IV [DISC-IV]).19 Interviews and child assessments were completed by research staff, with at least a 4-year undergraduate degree in psychology, who were blinded to child screening status.

    Measures

    ADHD and comorbid conditions were assessed by using the DISC-IV,19 which assesses for mental health conditions according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria. Version N (April 2007) algorithms were used to confirm ADHD status and assess internalizing (social phobia, separation anxiety disorder, generalized anxiety disorder, obsessive compulsive disorder, posttraumatic stress disorder, major depression, dysthymic disorder, hypomania or manic episode) and externalizing disorders (oppositional defiant disorder or conduct disorder).

    Oral language was assessed by using the Clinical Evaluation of Language Fundamentals, fourth edition, Screening Test (CELF-4 screener),20 which identifies children at risk for language disorder. The screener assesses expressive and receptive language ability. Children are regarded as being “at risk” for a language disorder when their total raw score (ranging from 0 to 28) is less than the criterion score for age (developed by using a large standardization sample; n = 1200).20 For simplicity, we refer to children screening in the at risk range as having “language problems” throughout the article. The measure has high sensitivity (0.88) and specificity (0.88), and excellent test-retest reliability (r = 0.89).20

    Academic functioning was assessed by using the Word Reading and Math Computation subtests from the Wide Range Achievement Test 4.21 Raw scores were converted to standard scores for the child’s age (mean = 100; SD = 15). Academic competence was assessed by using the 7-item teacher-rated Academic Competence scale (α = 0.96) from the Social Skills Improvement System (SSIS),22 and raw scores were again converted to standard scores based on age.

    Social functioning was measured by using the parent- and teacher-reported peer problems (parent: α = 0.66; teacher: α = 0.69) and prosocial behavior (parent: α = 0.75; teacher: α = 0.85) subscales from the Strengths and Difficulties Questionnaire.23 Higher scores on the peer problems scale indicate poorer functioning, whereas higher scores on the prosocial behavior scale indicate better functioning. Social skill domains were also assessed by using the parent- and/or teacher-reported subscales from the SSIS22: engagement (eg, participates in games or group activities; teacher: α = 93), responsibility (eg, takes responsibility for his/her actions; parent: α = 0.89; teacher: α = 0.93), self-control (eg, uses appropriate language when upset; parent: α = 0.86; teacher: α = 0.94), and bullying (eg, is aggressive toward people or objects; parent: α = 0.77; teacher: α = 0.90). Lower scores indicated poorer functioning with the exception of bullying where higher scores indicated more bullying.

    Speech pathologist service use was assessed by using study-designed parent report questions: “Have you ever sought/Are you currently seeking any professional help for any concerns about your child’s learning, behavior, or emotions?” Parents marked all that applied on a list, which included a speech pathologist.

    A priori confounders included child age and gender, ADHD symptom severity (parent report, Conners 3AI), internalizing disorder (yes/no: DISC-IV), externalizing disorder (yes/no: DISC-IV), autism spectrum disorder (ASD; yes/no: parent-reported diagnosis), parent age, parent high school completion (yes/no), single parent status (yes/no), and parent mental health (Kessler 6, total score).24

    Other sample characteristics included nonverbal IQ measured by using the Matrix Reasoning subtest from the Wechsler Abbreviated Scales of Intelligence.25 Similar to other studies examining neurodevelopmental conditions,26 we described but chose not to adjust for nonverbal IQ. Parents also reported whether their child was taking any medications to assist with learning, behavior, or emotions. Medication use was not included as a confounder given its strong relationship with ADHD symptom severity.

    Analyses

    χ2 and t tests were used to examine demographic differences between groups. Summary statistics were used to report the prevalence of language difficulties, and the proportion that had accessed a speech pathologist (aims 1 and 2). Logistic regression compared the likelihood of a child in the ADHD group having a language problem, relative to controls (aim 1). Linear regression compared the mean difference (MD) on academic and social outcomes in children with ADHD and language problems to those with ADHD alone (aim 3). All models controlled for school clustering.

    For aims 1 and 3, analyses were rerun by using 2 adjusted regression models. The first model accounted for child (age and gender) and family (parent age, parent high school completion, single parent status, and parent mental health) sociodemographic factors. The second model accounted for all child and family sociodemographic factors, as well as child comorbidities (internalizing disorder, externalizing disorder, and ASD). For aim 3, ADHD symptom severity was also accounted for in the second adjusted model. A sensitivity analysis was conducted excluding children with comorbid ASD. Effect sizes were calculated by standardizing outcome variables to have a mean of zero and an SD of 1. Analyses were conducted by using Stata 13.0 (Stata Corp, College Station, TX).

    Results

    We received 3734 of 5922 completed parent and teacher screening surveys (response rate: 63%). Although there were no differences in child age and gender between responders and nonresponders, responders were from more socially advantaged areas, measured by the census-based Socioeconomic Indexes for Areas Disadvantage Index for the child’s postcode of residence.27 From complete and eligible screening data, we identified 412 children screening positive for ADHD and matched these children to 412 children screening negative.

    Of the 412 children screening positive 267 were eligible and participated (response rate: 65%). Of these, 179 met criteria for ADHD on the DISC-IV and formed the ADHD group. Of the 412 children screening negative 231 participated (response rate: 56%). Of these, 212 did not meet criteria for ADHD on the DISC-IV and formed the control group. There were no differences in child age and gender between those who consented to participate or declined. Consenting positive screens were more likely to be from socially advantaged areas compared with positive screens who declined participation; however, there was no difference in social advantage for negative screens.

    Sample Characteristics

    Children with ADHD were more likely to have an internalising and externalising disorder, were more likely to have been diagnosed with ADHD and were more likely to be taking medication than controls (Table 1). The primary caregivers in the ADHD group were younger, more likely to be single parents, less likely to have completed high school, and reported higher levels of psychological distress.

    TABLE 1

    Sample Characteristics for Children With ADHD and Non-ADHD Controls

    Prevalence of Language Problems

    Forty percent of children in the ADHD group had language problems (42% of girls versus 40% of boys), compared with 17% of controls. Although not statistically significant, language problems were more common for the ADHD-combined type (47%; n = 43), followed by ADHD-hyperactive/impulsive (36%; n = 8) and ADHD-inattentive (33%; n = 21). Medication use was similar for children with ADHD alone (42%) and children with ADHD and language problems (38%).

    After adjustment for confounders, children with ADHD remained more likely to have language problems than controls (odds ratio [OR], 2.8; 95% confidence interval [CI], 1.5 to 5.1; P < .001; Table 2). Confounding variables were not significantly associated with language problems in the adjusted model; ADHD status was the only unique predictor of language problems.

    TABLE 2

    Prevalence of Language Problems in Children With ADHD Versus Controls

    Speech Pathology Service Use

    Forty-two percent (n = 30) of children with ADHD and language problems had previously accessed speech pathology services. Of these, 57% (n = 17) were still seeing a speech pathologist. Only 16% (n = 6) of control children with language problems had previously accessed speech pathology services and of these, half were currently seeing a speech pathologist (50%; n = 3).

    Association Between Language Problems and Academic and Social Functioning

    In unadjusted and adjusted analyses, children with ADHD and language problems had poorer academic functioning than those with ADHD alone (Table 3). After adjustment, they had poorer word reading (effect size, −0.7), math computation (effect size, −0.8), and academic competence (effect size, −0.7).

    TABLE 3

    Unadjusted and Adjusted MDs in Academic and Social Functioning for Children With ADHD and Language Problems Versus Those With ADHD-Alone

    We found little evidence that language problems adversely affected social functioning in children with ADHD (Table 3). After adjustment, children with ADHD and language problems had lower scores on the parent-reported responsibility subscale compared with children with ADHD alone (effect size, −0.3). Although those with ADHD and language problems had lower scores on the other parent- and teacher-reported measures of social functioning, differences were not statistically significant.

    Sensitivity Analysis Excluding Children With ASD

    We reran all adjusted analyses excluding, rather than covarying for, children with ASD. Significantly elevated prevalence of language problems in children with ADHD relative to controls remained (38% vs 17%; OR, 3.1; 95% CI, 1.7 to 5.8; P < .001); language problems continued to be similar for girls and boys with ADHD (39% vs 38%). We did find that fewer children with ADHD without ASD had previously accessed speech pathology services (n = 18; 33%) compared with the entire ADHD sample (n = 30; 42%).

    In adjusted analyses, we continued to find that, compared with children with ADHD alone, children with ADHD and language problems had poorer word reading (MD, −11.9; 95% CI, −17.1 to −6.7; P < .001; effect size, −0.7), math computation (MD, −11.5; 95% CI, −15.5 to −7.5; P < .001; effect size, −0.8), and academic competence (MD, −10.0; 95% CI, −14.5 to −5.6; P < .001; effect size, −0.7). Similarly there was weak evidence that language problems were associated with poorer social functioning.

    Discussion

    In this study, children with ADHD were at much greater risk of language problems than controls. There was strong evidence that language problems in children with ADHD were associated with markedly poorer academic functioning. In contrast, there was little evidence that language problems adversely affected social functioning in children with ADHD. Fewer than half of children with ADHD and language problems had accessed speech pathology services and only one-quarter were currently seeing a speech pathologist. All results held when excluding children with comorbid ASD.

    The risk of language problems for children with ADHD was nearly 3 times higher than for controls, similar to that found in Tirosh and Cohen’s9 community-based study. Consistent with previous research, ADHD status was a unique predictor of language problems.3 Our findings suggest that the relationship between language problems and ADHD is not merely explained by other commonly occurring comorbidities (eg, ASD, internalizing and externalizing disorders) or sociodemographic factors. Our study extends previous research by considering multiple factors, which may have accounted for this relationship within an inclusive, community-ascertained ADHD sample. The mechanisms underlying comorbidity between ADHD and language impairment are likely complex and cannot be ascertained from this study. One possibility is that poor language ability may constitute a risk factor on the phenotypic pathway to ADHD, and/or vice versa.4 Another possibility is that the overlap between these conditions reflects shared biological etiology.

    In contrast to the only other community-based study in this area, we found that the prevalence of language problems was similar in boys and girls with ADHD. Tirosh and Cohen9 found that girls with ADHD were more likely to have language problems than boys with ADHD. However, their study comprised a small sample of girls with ADHD, and excluded children with behavioral comorbidities. This may have resulted in the ascertainment of a less severe sample of boys with ADHD.

    Consistent with research examining language-impaired samples,5 there was a strong relationship between language problems and academic functioning in children with ADHD. Large effect size differences were detected across all academic domains when comparing those with ADHD and language problems to those with ADHD alone. Children with ADHD alone, as a group, had academic functioning that fell within the average range, further highlighting the key relationship between language and academic functioning. Importantly, the strength of the relationship between academic and language functioning held after taking into account key confounding variables, highlighting the unique contribution of children’s language to academic functioning.

    Despite this association, fewer than half of children with ADHD and language problems had previously accessed speech pathology services, and only one-quarter were currently seeing a speech pathologist. This could be due to ADHD symptoms masking language problems in this population; however, speech pathology service use was even lower for control children. Routine assessments for ADHD do not generally include standardized language assessments, and it may not be feasible to incorporate language assessments into routine practice. However, given the strong association between language and academic underachievement found in this study, if children with ADHD are falling significantly behind academically, they should be referred for a language assessment.

    Contrary to expectations, language problems had little adverse effect on social functioning in children with ADHD. It is possible that children with ADHD already experience poorer social functioning due to factors aside from language ability including ADHD symptoms and associated comorbidities (eg, ASD).1 Alternatively, language problems may exert a greater influence on social functioning as peer relationships become more complex with age.28 We might see a different picture as children progress through elementary school.

    To our knowledge, this is the first study to examine the association between language and both academic and social functioning in children with ADHD. Strengths of the study include the community-based design; rigorous case and control identification procedures; and representation of girls, all subtypes, and comorbidities. We assessed outcome variables by using blinded direct assessments and detailed parent and teacher reports. We adjusted for a number of variables in our analyses that may have confounded the relationship between ADHD and language problems.

    However, although we directly assessed child language, we did so via a screening measure, which did not yield information of the type of language problem experienced (ie, receptive or expressive). Further research is needed to replicate these findings using a full assessment of language. The prevalence of language problems in our control group was however, similar to other population-based studies,29,30 suggesting a screen may be sufficient for estimating language problems. The participation rate for our control group was lower than our ADHD group; however, we identified no evidence of participation bias for controls.


    China says Q2 trade growth to stabilize at "low level" | killexams.com real questions and Pass4sure dumps

    BEIJING (Reuters) - China's trade growth in the second quarter should stabilize at a "low level", the Commerce Ministry said on Friday in a regular spring assessment of business conditions that cautioned tough times ahead.

    A man walks in a shipping container area at the Port of Shanghai April 10, 2012. REUTERS/Aly Song

    Without predicting when trade flows would recover, the ministry said the world's second-biggest economy still faced considerable headwinds and that price pressures were building despite slackening activity.

    But it noted that the Chinese economy, which grew at its slowest annual pace in nearly three years at 8.1 percent in the first quarter, was supported by good fundamentals.

    "There are some favorable factors to ensure steady growth in trade, but we should also note that the year of 2012 may be a quite challenging one for China's trade," the ministry said in its assessment, posted online.

    "China's external trade growth is likely to stabilize at a relatively low level in the second quarter."

    China has set a 10 percent growth rate for exports and imports in 2012, but both targets were missed in March, with imports expanding just 5.3 percent from a year earlier while exports grew 8.9 percent.

    The ministry says it is confident of hitting its target.

    Hurt by a recession in Europe and a patchy economic recovery in the United States - China's two biggest trading partners -export sales growth has slumped to single-digit levels this year, a long way from growth of over 20 percent seen in 2010 and the first-half of 2011.

    Worse, rising domestic labor costs and higher raw material prices are squeezing the competitiveness of Chinese exporters as well, the ministry said.

    A separate survey released by China's statistics agency showed the 159-million-strong migrant workforce saw an average salary increase of 21.2 percent in 2011 from a year earlier.

    "China's trade growth in 2012 will grow at a stable pace, which is expected to be lower than in 2011, and the trade balance will be further improved," the ministry said.

    It noted that global oil prices could climb on the back of geopolitical tensions in Iran and Syria.

    "Uncertainties hanging over Syria and the unfolding Iran nuclear crisis could increase the risk of higher oil prices," it said.

    China posted a trade surplus of about $25 billion in the first quarter, accounting for just 1.4 percent of its gross domestic product, half last year's proportion and well below the 10.1 percent seen in 2007.

    But the country's overall trade sector dragged on the economy in the first quarter, with net exports subtracting 0.8 percentage points from Chinese economic growth.

    Reporting by Aileen Wang, Langi Chiang and Koh Gui Qing; Editing by Nick Macfie



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