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1.
Psychol Sci ; : 9567976241266513, 2024 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-39163547

RESUMO

Laypeople believe that sharing their emotional experiences with others will improve their understanding of those experiences, but no clear empirical evidence supports this belief. To address this gap, we used data from four daily life studies (N = 659; student and community samples) to explore the association between social sharing and subsequent emotion differentiation, which involves labeling emotions with a high degree of complexity. Contrary to our expectations, we found that social sharing of emotional experiences was linked to greater subsequent emotion differentiation on occasions when people ruminated less than usual about these experiences. In contrast, on occasions when people ruminated more than usual about their experiences, social sharing of these experiences was linked to lower emotion differentiation. These effects held when we controlled for levels of negative emotion. Our findings suggest that putting feelings into words through sharing may only enable emotional precision when that sharing occurs without dwelling or perseverating.

2.
Behav Brain Sci ; 46: e58, 2023 05 08.
Artigo em Inglês | MEDLINE | ID: mdl-37154375

RESUMO

We agree with Grossmann that fear often builds cooperative relationships. Yet he neglects much extant literature. Prior researchers have discussed how fear (and other emotions) build cooperative relationships, have questioned whether fear per se evolved to serve this purpose, and have emphasized that human cooperation takes many forms. Grossmann's theory would benefit from a wider consideration of this work.


Assuntos
Emoções , Medo , Masculino , Humanos , Medo/psicologia
3.
Nephrol Nurs J ; 50(4): 293-303, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37695515

RESUMO

Studies suggest that the hemodialysis (HD) shift on which a patient dialyzes impacts sleep disorders, depressive symptoms, quality of life, and mortality. However, study findings have been limited and inconsistent. The purpose of this project was to determine the relationship between HD shifts (morning, afternoon, and evening), and depression and sleep quality disturbance. Forty-one participants were recruited to participate in this project. Participants on the third shift had the highest levels of depression (M = 11.67) and poorest sleep quality (M = 14.5), compared to those who dialyzed on the first shift, who had the best sleep quality scores (M = 8.31; p = 0.013) and depression scores (M = 4.25). A significant positive correlation was observed between depression and sleep quality scores (r = 0.64; p < 0.001). Results indicate the HD shift can play a significant role in sleep disturbances and depression in patients on HD. Further studies need to be conducted to validate these findings.


Assuntos
Falência Renal Crônica , Transtornos do Sono-Vigília , Humanos , Diálise Renal/efeitos adversos , Falência Renal Crônica/complicações , Falência Renal Crônica/terapia , Depressão/etiologia , Qualidade de Vida , Transtornos do Sono-Vigília/etiologia , Sono
4.
Conserv Biol ; 36(4): e13896, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35146804

RESUMO

The International Union for Conservation of Nature's Red List of Threatened Species (IUCN Red List) is the world's most comprehensive information source on the global conservation status of species. Governmental agencies and conservation organizations increasingly rely on IUCN Red List assessments to develop conservation policies and priorities. Funding agencies use the assessments as evaluation criteria, and researchers use meta-analysis of red-list data to address fundamental and applied conservation science questions. However, the circa 143,000 IUCN assessments represent a fraction of the world's biodiversity and are biased in regional and organismal coverage. These biases may affect conservation priorities, funding, and uses of these data to understand global patterns. Isolated oceanic islands are characterized by high endemicity, but the unique biodiversity of many islands is experiencing high extinction rates. The archipelago of Hawaii has one of the highest levels of endemism of any floristic region; 90% of its 1367 native vascular plant taxa are classified as endemic. We used the IUCN's assessment of the complete single-island endemic (SIE) vascular plant flora of Kauai, Hawaii, to assess the proportion and drivers of decline of threatened plants in an oceanic island setting. We compared the IUCN assessments with federal, state, and other local assessments of Kauai species or taxa of conservation concern. Finally, we conducted a preliminary assessment for all 1044 native vascular plants of Hawaii based on IUCN criterion B by estimating area of occupancy, extent of occurrence, and number of locations to determine whether the pattern found for the SIE vascular flora of Kauai is comparable to the native vascular flora of the Hawaiian Islands. We compared our results with patterns observed for assessments of other floras. According to IUCN, 256 SIE vascular plant taxa are threatened with extinction and 5% are already extinct. This is the highest extinction risk reported for any flora to date. The preliminary assessment of the native vascular flora of Hawaii showed that 72% (753 taxa) is threatened. The flora of Hawaii may be one of the world's most threatened; thus, increased and novel conservation measures in the state and on other remote oceanic islands are urgently needed.


La Lista Roja de la Unión Internacional para la Conservación de la Naturaleza (Lista Roja UICN) es la fuente más completa a nivel mundial de información sobre el estado de conservación de las especies. Las agencias gubernamentales y las organizaciones para la conservación dependen cada vez más de las valoraciones en esta lista para desarrollar sus políticas y prioridades de conservación; también los organismos de financiamiento usan las valoraciones como criterios de evaluación y los investigadores aplican metaanálisis a los datos de la lista para abordar preguntas fundamentales y aplicadas a las ciencias de la conservación. Sin embargo, las casi 143,000 valoraciones de la UICN representan sólo una fracción de la biodiversidad mundial y están sesgadas en cuanto a la cobertura regional y de organismos. Estos sesgos pueden afectar a las prioridades de conservación, al financiamiento y al uso de estos datos para entender los patrones globales. Las islas oceánicas aisladas se caracterizan por un alto endemismo, aunque la biodiversidad única de muchas de estas islas está experimentando un índice elevado de extinciones. El archipiélago de Hawái tiene uno de los niveles más altos de endemismo de cualquier región florística con el 90% de los 1,367 taxones nativos de flora vascular clasificado como endémico. Usamos las valoraciones de la UICN para todas las plantas vasculares endémicas de una sola isla (ESI) en Kauai, Hawái, para evaluar la proporción y los impulsores de la declinación de plantas amenazadas en el entorno de una isla oceánica. Comparamos las valoraciones de la UICN con las federales, estatales y otras valoraciones locales de las especies o taxones de Kauai que son de importancia para la conservación. Por último, realizamos una valoración preliminar para las 1,044 especies de plantas vasculares nativas de Hawái con base en el criterio B de la UICN mediante la estimación del área de ocupación, la extensión de la ocurrencia y el número de localidades para determinar si el patrón hallado para la flora vascular ESI de Kauai es comparable con la flora vascular nativa de las islas hawaianas. Comparamos nuestros resultados con los patrones observados en las valoraciones de otras floras. De acuerdo con la UICN, el 95% de los taxones de plantas vasculares ESI de Kauai están amenazadas y el 5% ya se encuentra extinto. A la fecha, este es el riesgo de extinción más alto reportado para cualquier flora. La valoración preliminar de la flora vascular nativa de Hawái mostró que el 72% (753 taxones) se encuentra amenazado. La flora de Hawái puede ser una de las más amenazadas a nivel mundial; por lo tanto, se necesitan urgentemente medidas novedosas e incrementadas en el estado y en otras islas oceánicas remotas.


Assuntos
Conservação dos Recursos Naturais , Espécies em Perigo de Extinção , Animais , Biodiversidade , Conservação dos Recursos Naturais/métodos , Extinção Biológica , Havaí , Plantas
5.
Behav Brain Sci ; 43: e66, 2020 04 30.
Artigo em Inglês | MEDLINE | ID: mdl-32349849

RESUMO

Tomasello argues in the target article that a sense of moral obligation emerges from the creation of a collaborative "we" motivating us to fulfill our cooperative duties. We suggest that "we" takes many forms, entailing different obligations, depending on the type (and underlying functions) of the relationship(s) in question. We sketch a framework of such types, functions, and obligations to guide future research in our commentary.


Assuntos
Princípios Morais , Psicologia Social , Obrigações Morais , Resolução de Problemas
6.
Psychol Sci ; 29(11): 1742-1756, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30183512

RESUMO

Having conversations with new people is an important and rewarding part of social life. Yet conversations can also be intimidating and anxiety provoking, and this makes people wonder and worry about what their conversation partners really think of them. Are people accurate in their estimates? We found that following interactions, people systematically underestimated how much their conversation partners liked them and enjoyed their company, an illusion we call the liking gap. We observed the liking gap as strangers got acquainted in the laboratory, as first-year college students got to know their dorm mates, and as formerly unacquainted members of the general public got to know each other during a personal development workshop. The liking gap persisted in conversations of varying lengths and even lasted for several months, as college dorm mates developed new relationships. Our studies suggest that after people have conversations, they are liked more than they know.


Assuntos
Comunicação , Amigos/psicologia , Relações Interpessoais , Percepção Social , Adolescente , Adulto , Feminino , Humanos , Masculino , Estudantes , Fatores de Tempo , Adulto Jovem
7.
Ann Behav Med ; 52(9): 809-816, 2018 08 16.
Artigo em Inglês | MEDLINE | ID: mdl-30124757

RESUMO

Background: Few have examined nutrition literacy (i.e., capacity to process and make informed nutritional decisions) in behavioral weight loss. Nutrition literacy (NL) may impact necessary skills for weight loss, contributing to outcome disparities. Purpose: The study sets out to identify correlates of NL; evaluate whether NL predicted weight loss, food record completion and quality, and session attendance; and investigate whether the relations of race and education to weight loss were mediated by NL and self-monitoring. Methods: This is a secondary analysis of 6-month behavioral weight loss program in which overweight/obese adults (N = 320) completed a baseline measure of NL (i.e., Newest Vital Sign). Participants self-monitored caloric intake via food records. Results: NL was lower for black participants (p < .001) and participants with less education (p = .002). Better NL predicted better 6-month weight loss (b = -.63, p = .04) and food record quality (r = .37, p < .001), but not food record completion or attendance (ps > 0.05). Black participants had lower NL, which was associated with poorer food record quality, which adversely affected weight loss. There was no indirect effect of education on weight loss through NL and food record quality. Conclusions: Overall, results suggest that lower NL is problematic for weight loss. For black participants, NL may indirectly impact weight loss through quality of self-monitoring. This might be one explanation for poorer behavioral weight loss outcomes among black participants. Additional research should investigate whether addressing these skills through enhanced treatment improves outcomes. Clinical trial information: NCT02363010.


Assuntos
Letramento em Saúde , Ciências da Nutrição , Programas de Redução de Peso , Adolescente , Adulto , Idoso , Ingestão de Energia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/psicologia , Obesidade/terapia , Sobrepeso/psicologia , Sobrepeso/terapia , Autocuidado/métodos , Autocuidado/psicologia , Adulto Jovem
8.
J Behav Med ; 41(2): 152-159, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-28895016

RESUMO

Prior work has yielded mixed results regarding the association between previous weight loss and success in a current weight loss attempt. The present study evaluated differences in baseline psychosocial processes, changes in these over time, and weight loss during a yearlong behavioral weight loss program between individuals who have and have not previously been successful losing weight through self-regulating dietary intake. Individuals with prior success had greater weight losses over time than those without. Differences in baseline and change over time in some facets of motivation and self-efficacy were observed, but only differences in attendance accounted for differential weight loss. Prior success with dietary self-regulation may predict better adherence to and success in behavioral weight control programs. Evaluating the type of weight control efforts that have previously helped induce weight losses may help to better match individuals to treatments likely to yield success.


Assuntos
Terapia Comportamental , Dieta Redutora , Estilo de Vida , Redução de Peso/fisiologia , Programas de Redução de Peso/métodos , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Autoeficácia , Adulto Jovem
9.
Cogn Emot ; 32(5): 913-940, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-28797202

RESUMO

Close relationship partners often respond to happiness expressed through smiles with capitalization, i.e. they join in attempting to up-regulate and prolong the individual's positive emotion, and they often respond to crying with interpersonal down-regulation of negative emotions, attempting to dampen the negative emotions. We investigated how people responded when happiness was expressed through tears, an expression termed dimorphous. We hypothesised that the physical expression of crying would prompt interpersonal down-regulation of emotion when the onlooker perceived that the expresser was experiencing negative or positive emotions. When participants were asked how they would behave when faced with smiles of joy, we expected capitalization responses, and when faced with tears of joy, we expected down-regulation responses. In six experimental studies using video and photographic stimuli, we found support for our hypotheses. Throughout our investigations we test and discuss boundaries of and possible mechanisms for such responsiveness.


Assuntos
Choro , Felicidade , Relações Interpessoais , Sorriso , Lágrimas , Adolescente , Adulto , Idoso , Regulação para Baixo , Inteligência Emocional , Expressão Facial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fotografação , Gravação em Vídeo , Adulto Jovem
10.
Cogn Emot ; 32(3): 641-650, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-28569092

RESUMO

Two studies document that people are more willing to express emotions that reveal vulnerabilities to partners when they perceive those partners to be more communally responsive to them. In Study 1, participants rated the communal strength they thought various partners felt toward them and their own willingness to express happiness, sadness and anxiety to each partner. Individuals who generally perceive high communal strength from their partners were also generally most willing to express emotion to partners. Independently, participants were more willing to express emotion to particular partners whom they perceived felt more communal strength toward them. In Study 2, members of romantic couples independently reported their own felt communal strength toward one another, perceptions of their partners' felt communal strength toward them, and willingness to express emotions (happiness, sadness, anxiety, disgust, anger, hurt and guilt) to each other. The communal strength partners reported feeling toward the participants predicted the participants' willingness to express emotion to those partners. This link was mediated by participants' perceptions of the partner's communal strength toward them which, itself, was a joint function of accurate perceptions of the communal strength partners had reported feeling toward them and projections of their own felt communal strength for their partners onto those partners.


Assuntos
Emoções/fisiologia , Relações Interpessoais , Parceiros Sexuais/psicologia , Adolescente , Adulto , Idoso , Ira , Feminino , Culpa , Felicidade , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
11.
Diabetologia ; 60(12): 2432-2442, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28842722

RESUMO

AIMS/HYPOTHESIS: The role of glucose effectiveness (S G) in training-induced improvements in glucose metabolism in individuals with type 2 diabetes is unknown. The objectives and primary outcomes of this study were: (1) to assess the efficacy of interval walking training (IWT) and continuous walking training (CWT) on S G and insulin sensitivity (S I) in individuals with type 2 diabetes; and (2) to assess the association of changes in S G and S I with changes in glycaemic control. METHODS: Fourteen participants with type 2 diabetes underwent three trials (IWT, CWT and no training) in a crossover study. Exclusion criteria were exogenous insulin treatment, smoking, pregnancy, contraindications to structured physical activity and participation in recurrent training (>90 min/week). The trials were performed in a randomised order (computerised-generated randomisation). IWT and CWT consisted of ten supervised treadmill walking sessions, each lasting 60 min, over 2 weeks. IWT was performed as repeated cycles of 3 min slow walking and 3 min fast walking (aiming for 54% and 89% of [Formula: see text], respectively, which was measured during the last minute of each interval), and CWT was performed aiming for a moderate walking speed (73% of [Formula: see text]). A two-step (pancreatic and hyperinsulinaemic) hyperglycaemic clamp was implemented before and after each trial. All data were collected in a hospitalised setting. Neither participants nor assessors were blinded to the trial interventions. RESULTS: Thirteen individuals completed all procedures and were included in the analyses. IWT improved S G (mean ± SEM: 0.6 ± 0.1 mg kg-1 min-1, p < 0.05) but not S I (p > 0.05), whereas CWT matched for energy expenditure and time duration improved neither S G nor S I (both p > 0.05). Changes in S G, but not in S I, were associated with changes in mean (ß = -0.62 ± 0.23, r 2 = 0.17, p < 0.01) and maximum (ß = -1.18 ± 0.52, r 2 = 0.12, p < 0.05) glucose levels during 24 h continuous glucose monitoring. CONCLUSIONS/INTERPRETATION: Two weeks of IWT, but not CWT, improves S G but not S I in individuals with type 2 diabetes. Moreover, changes in S G are associated with changes in glycaemic control. Therefore, increased S G is likely an important mechanism by which training improves glycaemic control in individuals with type 2 diabetes. TRIAL REGISTRATION: ClinicalTrials.gov NCT02320526 FUNDING: CFAS is supported by a grant from TrygFonden. During the study period, the Centre of Inflammation and Metabolism (CIM) was supported by a grant from the Danish National Research Foundation (DNRF55). The study was further supported by grants from Diabetesforeningen, Augustinusfonden and Krista og Viggo Petersens Fond. CIM/CFAS is a member of DD2-the Danish Center for Strategic Research in Type 2 Diabetes (the Danish Council for Strategic Research, grant no. 09-067009 and 09-075724).


Assuntos
Glicemia/metabolismo , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/fisiopatologia , Insulina/sangue , Idoso , Composição Corporal/fisiologia , Peptídeo C/sangue , Estudos Cross-Over , Metabolismo Energético/fisiologia , Exercício Físico/fisiologia , Feminino , Humanos , Resistência à Insulina/fisiologia , Cinética , Masculino , Pessoa de Meia-Idade , Caminhada/fisiologia
12.
Diabetologia ; 60(3): 508-517, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27942800

RESUMO

AIMS/HYPOTHESIS: The aim of this study was to evaluate the effects of oxygen consumption-matched short-term interval walking training (IWT) vs continuous walking training (CWT) on glycaemic control, including glycaemic variability, in individuals with type 2 diabetes. We also assessed whether any training-induced improvements in glycaemic control were associated with systemic oxidative stress levels. METHODS: Participants (n = 14) with type 2 diabetes completed a crossover trial using three interventions (control intervention [CON], CWT and IWT), each lasting 2 weeks. These were performed in a randomised order (computerised generated randomisation) and separated by washout periods of 4 or 8 weeks after CON or training interventions, respectively. Training included ten supervised treadmill sessions, lasting 60 min/session, and was performed at the research facility. CWT was performed at moderate walking speed (75.6% ± 2.5% of walking peak oxygen consumption [[Formula: see text]]), while IWT was performed as alternating 3 min repetitions at slow (58.9% ± 2.0% [Formula: see text]) and fast (90.0% ± 3.6% [Formula: see text]) walking speed. Before and after each intervention, the following was assessed: 24 h continuous glucose monitoring (CGM) and urinary free 8-iso prostaglandin F2α (8-iso PGF2α; a marker for oxidative stress), physical fitness and body composition. Neither participants nor assessors were blinded to the interventions. RESULTS: No intervention-induced changes were seen in physical fitness or body composition. Compared with baseline, IWT reduced mean glucose levels non-significantly (-0.7 ± 0.3 mmol/l, p = 0.08) and significantly reduced maximum glucose levels (-1.8 ± 0.5 mmol/l, p = 0.04) and mean amplitude of glycaemic excursions (MAGE; -1.7 ± 0.4 mmol/l, p = 0.02), whereas no significant within-group changes were seen with CON or CWT. Although 8-iso PGF2α was associated with minimum glucose levels at baseline, no change in 8-iso PGF2α was seen with any intervention, nor were there any associations between changes in 8-iso PGF2α and changes in glycaemic control (p > 0.05 for all). No adverse effects were observed with any of the interventions. CONCLUSIONS/INTERPRETATION: Short-term IWT, but not CWT, improves CGM-derived measures of glycaemic control independent of changes in physical fitness and body composition in individuals with type 2 diabetes. Systemic oxidative stress levels are unaffected by short-term walking and changes in oxidative stress levels are not associated with changes in glycaemic control. TRIAL REGISTRATION: ClinicalTrials.gov NCT02320526 FUNDING : The Centre for Physical Activity Research (CFAS) is supported by a grant from TrygFonden. During the study period, the Centre of Inflammation and Metabolism (CIM) was supported by a grant from the Danish National Research Foundation (DNRF55). The study was further supported by grants from Diabetesforeningen, Augustinusfonden and Krista og Viggo Petersens Fond. CIM/CFAS is a member of the Danish Center for Strategic Research in Type 2 Diabetes (DD2; the Danish Council for Strategic Research, grant no. 09-067009 and 09-075724). MR-L was supported by a post-doctoral grant from the Danish Diabetes Academy supported by the Novo Nordisk Foundation.


Assuntos
Glicemia/metabolismo , Diabetes Mellitus Tipo 2/sangue , Caminhada/fisiologia , Idoso , Composição Corporal/fisiologia , Estudos Cross-Over , Diabetes Mellitus Tipo 2/fisiopatologia , Exercício Físico/fisiologia , Feminino , Hemoglobinas Glicadas/metabolismo , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Oxidativo/fisiologia
13.
Psychol Sci ; 26(3): 259-73, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25626441

RESUMO

Extremely positive experiences, and positive appraisals thereof, produce intense positive emotions that often generate both positive expressions (e.g., smiles) and expressions normatively reserved for negative emotions (e.g., tears). We developed a definition of these dimorphous expressions and tested the proposal that their function is to regulate emotions. We showed that individuals who express emotions in this dimorphous manner do so as a general response across a variety of emotionally provoking situations, which suggests that these expressions are responses to intense positive emotion rather than unique to one particular situation. We used cute stimuli (an elicitor of positive emotion) to demonstrate both the existence of these dimorphous expressions and to provide preliminary evidence of their function as regulators of emotion.


Assuntos
Agressão/fisiologia , Emoções/fisiologia , Expressão Facial , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
14.
Ann Vasc Surg ; 29(4): 843.e17-22, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25733218

RESUMO

BACKGROUND: Necrotizing soft tissue infection (NSTI), formerly referred to as necrotizing fasciitis, is a rare but serious postoperative complication. NSTI following arterial bypass is seen only once in the literature (for a coronary artery bypass) and is not mentioned following peripheral bypass. Although surgical site infections have been studied extensively, there are limited published data on postoperative NSTI and no data for NSTI following peripheral arterial bypass. CASE PRESENTATION: Here we present the first, to our knowledge, reported instance of an NSTI following a lower extremity peripheral bypass. Despite the continued function of the bypass, the patient became rapidly systemically ill with a focus at the surgical site. Because of prompt surgical debridement, the patient survived this severe infection, though did require an above the knee amputation to control the rapid spread of the disease. The patient, a native of American Samoa, was infected with organisms infrequently associated with NSTI, Morganella morganii and Aeromonas hydrophila. This article discusses the diagnosis and treatment of this rare postoperative complication, along with a brief review of the microbiology of the disease. CONCLUSIONS: NSTI is a rare but lethal postoperative complication. To our knowledge, this is the first reported case of an NSTI following an arterial peripheral bypass. This patient survived because of prompt and aggressive intervention.


Assuntos
Aeromonas hydrophila/isolamento & purificação , Bioprótese/efeitos adversos , Implante de Prótese Vascular/efeitos adversos , Prótese Vascular/efeitos adversos , Infecções por Enterobacteriaceae/microbiologia , Fasciite Necrosante/microbiologia , Infecções por Bactérias Gram-Negativas/microbiologia , Morganella morganii/isolamento & purificação , Doença Arterial Periférica/cirurgia , Infecções Relacionadas à Prótese/microbiologia , Infecções dos Tecidos Moles/microbiologia , Idoso de 80 Anos ou mais , Amputação Cirúrgica , Antibacterianos/uso terapêutico , Implante de Prótese Vascular/instrumentação , Criopreservação , Desbridamento , Infecções por Enterobacteriaceae/diagnóstico , Infecções por Enterobacteriaceae/cirurgia , Fasciite Necrosante/diagnóstico , Fasciite Necrosante/cirurgia , Infecções por Bactérias Gram-Negativas/diagnóstico , Infecções por Bactérias Gram-Negativas/cirurgia , Humanos , Masculino , Doença Arterial Periférica/diagnóstico , Desenho de Prótese , Infecções Relacionadas à Prótese/diagnóstico , Infecções Relacionadas à Prótese/cirurgia , Reoperação , Fatores de Risco , Infecções dos Tecidos Moles/diagnóstico , Infecções dos Tecidos Moles/cirurgia , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Ultrassonografia Doppler Dupla
15.
Pediatr Surg Int ; 31(12): 1133-7, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26276425

RESUMO

PURPOSE: Medical management of congenital chylothoraces consists of total parental nutrition and tube thoracostomy. However, these infants are exposed to significant fluid shifts and the related leukopenia carries a high infection risk. The purpose of this review is to describe the technique of parietal pleural clipping as a surgical treatment of congenital chylothorax. METHODS: The medical records of all patients with a chylothorax diagnosis during the study period of January 2002 to April 2014 were retrospectively reviewed. RESULTS: Six of 14 infants identified underwent thoracoscopic parietal pleural clipping to disrupt the pleural lymphatic channel flow as visualization of the thoracic duct and lymphatics was not possible. Nearly all surgical patients had bilateral disease (5/6). Resolution of chylous leakage was dramatic following parietal clipping. In the surgical patients, chest tube output 2 days prior to surgery averaged 86.96 ml/kg/day. After parietal clipping, chest tube output dropped to an average of 6.5 ml/kg/day on post op day 2. Thereafter, chest tube output remained low to negligible and chest tubes were removed variably as enteral feeds were started. CONCLUSIONS: We describe a straightforward technique of thoracoscopic parietal pleural clipping as a safe and successful option for treatment of congenital chylothoraces.


Assuntos
Quilotórax/congênito , Pleura/cirurgia , Toracoscopia/métodos , Quilotórax/cirurgia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos , Resultado do Tratamento
16.
Psychol Sci ; 25(12): 2209-16, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25274583

RESUMO

In two studies, we found that sharing an experience with another person, without communicating, amplifies one's experience. Both pleasant and unpleasant experiences were more intense when shared. In Study 1, participants tasted pleasant chocolate. They judged the chocolate to be more likeable and flavorful when they tasted it at the same time that another person did than when that other person was present but engaged in a different activity. Although these results were consistent with our hypothesis that shared experiences are amplified compared with unshared experiences, it could also be the case that shared experiences are more enjoyable in general. We designed Study 2 to distinguish between these two explanations. In this study, participants tasted unpleasantly bitter chocolate and judged it to be less likeable when they tasted it simultaneously with another person than when that other person was present but doing something else. These results support the amplification hypothesis.


Assuntos
Emoções , Julgamento , Comportamento Social , Adolescente , Adulto , Feminino , Humanos , Paladar , Adulto Jovem
17.
Crit Care Nurs Q ; 37(2): 182-7, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24595255

RESUMO

To increase the comprehension about the profound effects of hyperglycemia within the first 48 hours poststroke on the outcomes of acute ischemic stroke, the authors reviewed multiple studies and literature reviews. Research supports the detrimental effects of hyperglycemia on the morbidity and mortality of patients diagnosed with acute ischemic stroke. The studies that were examined revealed that although further research is necessary, controlling hyperglycemia is overall beneficial to support superior clinical outcomes. The purpose of this article was to discuss the importance of not only glucose control but also the vital role of nurses in controlling glucose levels efficiently and immediately during the first 48 hours poststroke.


Assuntos
Isquemia Encefálica/epidemiologia , Mortalidade Hospitalar , Hiperglicemia/epidemiologia , Unidades de Terapia Intensiva , Acidente Vascular Cerebral/epidemiologia , Glicemia/análise , Isquemia Encefálica/diagnóstico , Isquemia Encefálica/enfermagem , Causas de Morte , Comorbidade , Enfermagem de Cuidados Críticos/métodos , Estado Terminal/terapia , Feminino , Humanos , Hiperglicemia/sangue , Hiperglicemia/enfermagem , Incidência , Masculino , Avaliação das Necessidades , Projetos Piloto , Prognóstico , Ensaios Clínicos Controlados Aleatórios como Assunto , Índice de Gravidade de Doença , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/enfermagem , Análise de Sobrevida
18.
J Strength Cond Res ; 28(11): 3013-23, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24402452

RESUMO

The purpose of this study was to assess and determine content knowledge of National Collegiate Athletic Association Strength and Conditioning Coaches (SCCs) regarding prevention and recognition of exertional heat stroke (EHS) and to determine whether the type of professional certification is an indicator of enhanced content knowledge. A questionnaire was e-mailed to 1305 SCCs and was used to assess SCC's EHS knowledge in the areas of extrinsic risk factors (ERF), intrinsic risk factors (IRF), recognition of EHS (R), and general training safety knowledge (TSK). The 319 SCC participants who responded were separated into 4 groups based on certification: Certified Strength and Conditioning Specialists (CSCS) (116), Strength and Conditioning Coach Certification (SCCC) (46), combined CSCS/SCCC (62), or no certification (NC) (95). Only 2.2% of the total coaches surveyed scored ≥90% on the total score, whereas 47% earned a score ≤59%. When comparing across certifications, NC scored significantly lower (p ≤ 0.05) on total score, and the IRF and TSK constructs than CSCS, SCCC, and CSCS/SCCC. CSCS/SCCC coaches performed significantly better on the total score than SCCC (p = 0.047), whereas a trend toward a higher score (p = 0.085) was seen in CSCS compared with SCCC. CSCS coaches and the combined CSCS/SCCC certifications scored significantly higher (p < 0.000) than NC in the ERF and R constructs. In conclusion, SCCs seemed to lack essential knowledge to prevent or recognize EHS in each of the factors assessed. It is recommended that consideration be given to include EHS prevention and recognition competencies as part of the professional preparation and certification requirements for SCCs.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Golpe de Calor/diagnóstico , Golpe de Calor/prevenção & controle , Segurança , Esportes , Universidades , Adulto , Certificação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Organizações , Condicionamento Físico Humano , Treinamento Resistido , Fatores de Risco , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
19.
Curr Opin Psychol ; 55: 101695, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-38128446

RESUMO

We theorize that expressing emotion often will enhance listening and responsiveness in communal relationships because the nature of cooperation called for in communal relationships often matches five functions that expressing emotion can serve. The same is less frequently true for other types of relationships.


Assuntos
Emoções , Relações Interpessoais , Humanos
20.
Emotion ; 2024 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-38829352

RESUMO

Existing emotion regulation research focuses on how individuals use different strategies to manage their own emotions-also called intra-personal emotion regulation. However, people often leverage connections with others to regulate their own emotions-interpersonal emotion regulation. The goal of the present studies was to develop a comprehensive and efficient scale-the Emotion Regulation Strategies Scale (ERSS)-to assess nine specific emotion regulation strategies that individuals use both intra-personally and interpersonally. These emotion regulation strategies were cognitive reappraisal, distraction, situation selection, problem solving, acceptance, calming, savoring, rumination, and expressive suppression. Data were collected between 2020 and 2022. Study 1 adopted a qualitative approach to establish original scale items. Results of the confirmatory factor analysis in Study 2 confirmed a nine-factor solution for both the intra- and the interpersonal scales and finalized scale items. A second confirmatory factor analysis in Study 3 found the ERSS for both the intra-personal and interpersonal scale models to possess good model fit. Correlations from Study 3 showed the ERSS subscales to be related in expected ways to existing emotion regulation scales, yet not redundant with these scales. The degree to which individuals used the range of intra- and interpersonal emotion regulation strategies assessed on the ERSS also related to the levels of clinical symptoms. The ERSS represents a comprehensive novel scale that can flexibly assess a range of specific emotion regulation strategies used both intra- and interpersonally. Future work should be conducted using the ERSS cross culturally and in clinical samples. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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