Beautiful seems good, but perhaps not in every way: Linking attractiveness to moral evaluation through perceived vanity.

For almost 50 years, psychologists have understood that what is beautiful is perceived as good. This simple and intuitively appealing hypothesis has been confirmed in many ways, prompting a wide range of studies documenting the depth and breadth of its truth. Yet, for what is arguably one of the most important forms of "goodness" that there is-moral goodness-research has told a different story. Although greater attractiveness is associated with a host of positive attributes, it has been only inconsistently associated with greater perceived morality (or lesser immorality), and meta-analyses have suggested the total effect of beauty on moral judgment is near zero. The current research documents one plausible reason for this. Across nine experiments employing a variety of methodological and measurement strategies, we show how attractiveness can be perceived as both morally good and bad. We found that attractiveness causally influences beliefs about vanity, which translates into beliefs that more attractive targets are less moral and more immoral. Then, we document a positive association between attractiveness and sociability-the nonmoral component of warmth-and show how sociability exerts a countervailing positive effect on moral judgments. Likewise, we document findings suggesting that vanity and sociability mutually suppress the effects of attractiveness on each other and on moral judgments. Ultimately, this work provides a comprehensive process account of why beauty seems good but can also be perceived as less moral and more immoral, highlighting complex interrelations among different elements of person perception. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

What are the risk factors for recurrent UTI with repeated ESBL-producing Enterobacteriaceae? A retrospective cohort study.

INTRODUCTION: A previous study has shown that two-thirds of patients with urinary tract infections (UTIs) caused by extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae experience recurrence with the same bacteria on subsequent UTI episodes. However, little is known about which patients suffer from UTI due to ESBL-producing Enterobacteriaceae repeatedly. This study aimed to investigate the risk factors for recurrent UTI due to repeated ESBL-producing organism infections. METHODS: This retrospective, single-center, observational cohort study screened all patients with UTI caused by ESBL-producing strains between January 2012 and April 2019. Among the patients who were followed up, patients who experienced UTI recurrence were enrolled and divided into two groups: ESBL recurrence group and non-ESBL recurrence group. Multivariable Cox proportional hazards regression analyses were performed to evaluate the association between patient characteristics and the development of recurrent UTI caused by ESBL-producing Enterobacteriaceae. RESULTS: A total of 330 patients were followed up after the diagnosis of UTI caused by ESBL-producing organisms. Among the patients, 115 (34.8%) experienced UTI recurrence, and 71 (61.7%) of them experienced subsequent recurrent UTI due to ESBL-producing organisms. Patient's age (hazard ratio [HR], 1.02; 95% confidence interval [CI], 1.00-1.04; P = 0.046) and recurrent UTI history (HR, 1.69; 95% CI, 1.05-2.72; P = 0.031) were significantly associated with an increased risk of recurrence with ESBL-producing Enterobacteriaceae. CONCLUSION: These findings showed that a history of previous frequent UTI recurrence is the risk factor for recurrence of UTI due to repeated ESBL producing Enterobacteriaceae infections.

Is Prostate Urethral Lift Effective in Patients with Multiple Comorbidities?

A prostatic urethral lift (PUL) can be performed under local anesthesia in patients normally at high risk for general anesthesia due to multiple comorbidities. However, the clinical efficacy of PULs in patients with multiple comorbidities remains unknown. Therefore, in this this study, we aimed to evaluate the clinical efficacy of the PUL in patients with a high number of comorbidities by comparing its clinical efficacy in these patients with that in healthy individuals. We performed a retrospective observational cohort study, in which patients who underwent a PUL between December 2016 and January 2019 at a single tertiary care center were categorized into two groups: healthy individuals who wanted to preserve sexual function (Group 1) and patients with a high number of comorbidities who were at high risk for general anesthesia, based on an American Society of Anesthesiologists (ASA) score of ≥3 (Group 2). The International Prostate Symptom Score (IPSS), maximum urinary flow rate (Qmax), and post-void residual urine (PVR) were obtained preoperatively and compared throughout the 2-year follow-up. A total of 66 patients were enrolled, of whom 36 patients were included in Group 1 and 30 in Group 2. In Group 1, IPSS, IPSS quality of life (QoL), and Qmax significantly improved and were then maintained during follow-up, whereas, in Group 2, improvements in these parameters were not maintained during follow-up, except for IPSS QoL. Eleven patients (36%) in Group 2 required additional treatment for the recurrence of lower urinary tract symptoms. In conclusion, patients with a high number of comorbidities had a low therapeutic effect after PUL, suggesting a high rate of treatment failure. Therefore, comorbidity status should be considered when evaluating the potential benefits of the PUL procedure during preoperative counseling.

Emotional Suppression and Psychological Well-Being in Marriage: The Role of Regulatory Focus and Spousal Behavior.

Emotional suppression has been considered a critical factor in determining one's mental health and psychological well-being in intimate relationships such as marriage. The present study aimed to delineate the nuanced association between emotional suppression and psychological well-being in marriage by considering two critical factors: (a) individual differences in motivational orientation and (b) the perceived level of a partner's emotional suppression. A set of two online survey studies were conducted on a large sample of married participants. The participants were asked to indicate (a) their own level of emotional suppression, (b) the perceived level of their spouse's emotional suppression, (c) relationship motivation, and (d) satisfaction with marital life. The results consistently indicated that for prevention-focused individuals being emotionally suppressive was associated with greater marital satisfaction, but only for those who perceived their spouses as also emotionally suppressive. Conversely, for promotion-focused individuals, being less emotionally suppressive was associated with greater marital satisfaction, but again, only for those who perceived their spouses as also being less emotionally suppressive. These findings provide insights into research on emotion regulation and self-regulatory strategies in influencing psychological well-being and mental health in an intimate relationship.

Single-dose amikacin plus 7 days of amoxicillin/clavulanate to treat acute cystitis caused by extended-spectrum beta-lactamase-producing Escherichia coli: A retrospective cohort study.

PURPOSE: Treatment options for urinary tract infection (UTI) caused by extended-spectrum beta-lactamase (ESBL)-producing organisms are limited other than carbapenem. Accordingly, clinicians should investigate alternative antimicrobial options for limited infection. This study was performed to assess the efficacy of single-dose amikacin and a 7-day oral regimen of amoxicillin/clavulanate for the treatment of acute cystitis caused by ESBL-producing Escherichia coli and Klebsiella pneumoniae. MATERIALS AND METHODS: A single-dose amikacin and 7-day oral amoxicillin/clavulanate regimen was given to all patients with acute cystitis or recurrent cystitis between May 2016 and October 2018. We conducted a retrospective cohort study assessing the efficacy of this regimen for the treatment of UTI due to ESBL-producing organisms. Both clinical and laboratory efficacy were assessed a minimum of 7 days and a maximum of 14 days after the completion of treatment. RESULTS: A total of 47 patients were enrolled in this study. E. coli and K. pneumoniae were isolated in 44 patients (93.6%) and 3 patients (6.4%), respectively. Of the 47 enrolled, 39 patients (83.0%) showed sterile culture results on follow-up. Thirty-seven patients (78.7%) showed improvement of symptoms. Of 8 patients who showed bacterial persistence, 4 patients showed ESBL-producing E. coli, whereas 4 patients showed non-ESBL E. coli on follow-up cultures. During follow-up, 12 patients experienced the recurrence of acute cystitis with a median recurrence period of 2.5 months. CONCLUSIONS: The combination of amoxicillin/clavulanate and amikacin may be an alternative to carbapenem treatment in patients with acute cystitis caused by ESBL-producing Enterobacteriaceae.

He is smarter when he looks smart in front of many versus a few others: Impact of audience size on target appraisals in a cross-cultural context.

Will a person be seen as more superior if he or she receives an award in front of a large audience in comparison with a small audience? We predicted that this would hold true for East Asians, whose cultural logic of face asserts that a person's worth can only be conferred by collective others, but would not hold true for European Americans, whose cultural logic of dignity promotes the judgement of a person's worth based on their own perspective. This study found an audience-size effect for East Asians, in which participants gave higher appraisals to a target when they imagined the target's high performance to have been seen by 10 other people (vs. one other person) even when the target's performance level remained constant. In contrast, Westerners were not affected by the size of the audience witnessing the target's performance. In addition, perceived social reputation was found to mediate the audience-size effect; the participants imagining the target performing well in front of 10 others (vs. one other) perceived others as thinking more highly of the target; this in turn led participants to give higher appraisals to the target. As expected, this mediation effect was only found for East Asians.