IMPORTANCE The definition and nature of autism have been highly debated, as exemplified by several revisions of the DSM (DSM-III, DSM-IIIR, DSM-IV, and DSM-5) criteria. There has recently been a move from a categorical view toward a spectrum-based view. These changes have been accompanied by a steady increase in the prevalence of the condition. Changes in the definition of autism that may increase heterogeneity could affect the results of autism research; specifically, a broadening of the population with autism could result in decreasing effect sizes of group comparison studies. OBJECTIVE To examine the correlation between publication year and effect size of autism-control group comparisons across several domains of published autism neurocognitive research. DATA SOURCES This meta-analysis investigated 11 meta-analyses obtained through a systematic search of PubMed for meta-analyses published from January 1, 1966, through January 27, 2019, using the search string autism AND (meta-analysis OR meta-analytic). The last search was conducted on January 27, 2019. STUDY SELECTION Meta-analyses were included if they tested the significance of group differences between individuals with autism and control individuals on a neurocognitive construct. Meta-analyses were only included if the tested group difference was significant and included data with a span of at least 15 years. DATA EXTRACTION AND SYNTHESIS Data were extracted and analyzed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline using fixed-effects models. MAIN OUTCOMES AND MEASURES Estimated slope of the correlation between publication year and effect size, controlling for differences in methods, sample size, and study quality. RESULTS The 11 meta-analyses included data from a total of 27 723 individuals. Demographic data such as sex and age were not available for the entire data set. Seven different psychological and neurologic constructs were analyzed based on data from these meta-analyses. Downward temporal trends for effect size were found for all constructs (slopes:-0.067 to-0.003), with the trend being significant in 5 of 7 cases: emotion recognition (slope:-0.028 [95% CI,-0.048 to-0.007]), theory of mind (-0.045 [95% CI,-0.066 to-0.024]), planning (-0.067 [95% CI,-0.125 to-0.009]), P3b amplitude (-0.048 [95% CI,-0.093 to-0.004]), and brain size (-0.047 [95% CI,-0.077 to-0.016]). In contrast, 3 analogous constructs in schizophrenia, a condition that is also heterogeneous but with no reported increase in prevalence, did not show a similar trend. CONCLUSIONS AND RELEVANCE The findings suggest that differences between individuals with autism and those without the diagnosis have decreased over time and that possible changes in the definition of autism from a narrowly defined and homogenous population toward an inclusive and heterogeneous population may reduce our capacity to build mechanistic models of the condition.

This work aimed at characterizing the interface between dentin and the resin-infiltrated dentin made following the etching procedure that prepares for the bonding of tooth-colored restorations. The non-destructive measurement of fluid flow through the dentin-self-etch resin interface was followed repeatedly during a two year aging period. Two self-etch adhesive systems were selected for experiments on the evolution of permeability and evaluation of infrared spectral changes following the 24 month aging period. The adhesives contained water and a co-solvent, namely acetone for iBond, and t-butanol for Xeno V. For both adhesive systems, the permeability decreased during the first 3 months after etching, reaching values of -66.9 and -70.5% for iBond and Xeno V, respectively. Afterwards, the fluid flow slowly increased but still remained below 50% of the initial value following the 2-year aging period. The slow degradation of the resin-dentin interface, attributed to water impregnated collagen hydrolysis, is evidenced by these variations in fluid flow, and is also noted by the increase in water-related infrared absorption bands at 3300 cm(-1) and at 1600 cm(-1). The results are discussed in terms of co-solvent hydrophobicity, evaporation rate and viscosity together with resin infiltration depth and affinity for water.