Prostate cancer and elective nodal radiation therapy for cN0 and pN0-a never ending story? : Recommendations from the prostate cancer expert panel of the German Society of Radiation Oncology (DEGRO).

For prostate cancer, the role of elective nodal irradiation (ENI) for cN0 or pN0 patients has been under discussion for years. Considering the recent publications of randomized controlled trials, the prostate cancer expert panel of the German Society of Radiation Oncology (DEGRO) aimed to discuss and summarize the current literature. Modern trials have been recently published for both treatment-naïve patients (POP-RT trial) and patients after surgery (SPPORT trial). Although there are more reliable data to date, we identified several limitations currently complicating the definitions of general recommendations. For patients with cN0 (conventional or PSMA-PET staging) undergoing definitive radiotherapy, only men with high-risk factors for nodal involvement (e.g., cT3a, GS ≥ 8, PSA ≥ 20 ng/ml) seem to benefit from ENI. For biochemical relapse in the postoperative situation (pN0) and no PSMA imaging, ENI may be added to patients with risk factors according to the SPPORT trial (e.g., GS ≥ 8; PSA > 0.7 ng/ml). If PSMA-PET/CT is negative, ENI may be offered for selected men with high-risk factors as an individual treatment approach.

Age and gender differences in narcissism: A comprehensive study across eight measures and over 250,000 participants.

Age and gender differences in narcissism have been studied often. However, considering the rich history of narcissism research accompanied by its diverging conceptualizations, little is known about age and gender differences across various narcissism measures. The present study investigated age and gender differences and their interactions across eight widely used narcissism instruments (i.e., Narcissistic Personality Inventory, Hypersensitive Narcissism Scale, Dirty Dozen, Psychological Entitlement Scale, Narcissistic Personality Disorder Symptoms from the Diagnostic and Statistical Manual of Mental Disorders, Version IV, Narcissistic Admiration and Rivalry Questionnaire-Short Form, Single-Item Narcissism Scale, and brief version of the Pathological Narcissism Inventory). The findings of Study 1 (N = 5,736) revealed heterogeneity in how strongly the measures are correlated. Some instruments loaded clearly on one of the three factors proposed by previous research (i.e., Neuroticism, Extraversion, Antagonism), while others cross-loaded across factors and in distinct ways. Cross-sectional analyses using each measure and meta-analytic results across all measures (Study 2) with a total sample of 270,029 participants suggest consistent linear age effects (random effects meta-analytic effect of r = -.104), with narcissism being highest in young adulthood. Consistent gender differences also emerged (random effects meta-analytic effect was -.079), such that men scored higher in narcissism than women. Quadratic age effects and Age × Gender effects were generally very small and inconsistent. We conclude that despite the various conceptualizations of narcissism, age and gender differences are generalizable across the eight measures used in the present study. However, their size varied based on the instrument used. We discuss the sources of this heterogeneity and the potential mechanisms for age and gender differences. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

A Process × Domain Assessment of Narcissism: The Domain-Specific Narcissistic Admiration and Rivalry Questionnaire.

Research on grandiose narcissism distinguishes between self-promotional processes (i.e., narcissistic admiration) and other-derogative processes (i.e., narcissistic rivalry; Back et al., 2013). Moreover, research has begun to assess and investigate narcissistic manifestations in different domains (e.g., communal narcissism). To integrate these two lines of research, we developed the Domain-Specific Narcissistic Admiration and Rivalry Questionnaire (D-NARQ), a 72-item narcissism questionnaire that contains a self-promotional process scale (narcissistic admiration) and an other-derogatory process scale (narcissistic rivalry) for four domains: intellectual ability, social dominance, communal care, and physical attractiveness. We investigated the psychometric properties of the D-NARQ in a large online study (N = 1,635). Model fit statistics were largely in line with the theorized factor structure. The D-NARQ scales had good to very good measurement precision, and their correlations with established narcissism scales, the Big Five personality traits, and comparative self-evaluations largely supported their convergent and discriminant validity.

A multispectral-sensor-based colorimetric reader for biological assays.

Tests that depend on changes in color are commonly used in biosensing. Here, we report on a colorimetric reader for such applications. The device is simple to construct and operate, making it ideal for research laboratories with limited resources or skilled personnel. It consists of a commercial multispectral sensor interfaced with a Raspberry Pi and a touchscreen. Unlike camera-based readers, this instrument requires no calibration of wavelengths by the user or extensive image processing to obtain results. We demonstrate its potential for colorimetric biosensing by applying it to the birefringent enzyme-linked immunosorbent assay. It was able to prevent certain false positives that the assay is susceptible to and lowered its limit of detection for glucose by an order of magnitude.

Improving interinstitutional and intertechnology consistency of pulmonary SBRT by dose prescription to the mean internal target volume dose.

PURPOSE: Dose, fractionation, normalization and the dose profile inside the target volume vary substantially in pulmonary stereotactic body radiotherapy (SBRT) between different institutions and SBRT technologies. Published planning studies have shown large variations of the mean dose in planning target volume (PTV) and gross tumor volume (GTV) or internal target volume (ITV) when dose prescription is performed to the PTV covering isodose. This planning study investigated whether dose prescription to the mean dose of the ITV improves consistency in pulmonary SBRT dose distributions. MATERIALS AND METHODS: This was a multi-institutional planning study by the German Society of Radiation Oncology (DEGRO) working group Radiosurgery and Stereotactic Radiotherapy. CT images and structures of ITV, PTV and all relevant organs at risk (OAR) for two patients with early stage non-small cell lung cancer (NSCLC) were distributed to all participating institutions. Each institute created a treatment plan with the technique commonly used in the institute for lung SBRT. The specified dose fractionation was 3â€¯× 21.5 Gy normalized to the mean ITV dose. Additional dose objectives for target volumes and OAR were provided. RESULTS: In all, 52 plans from 25 institutions were included in this analysis: 8 robotic radiosurgery (RRS), 34 intensity-modulated (MOD), and 10 3D-conformal (3D) radiation therapy plans. The distribution of the mean dose in the PTV did not differ significantly between the two patients (median 56.9 Gy vs 56.6 Gy). There was only a small difference between the techniques, with RRS having the lowest mean PTV dose with a median of 55.9 Gy followed by MOD plans with 56.7 Gy and 3D plans with 57.4 Gy having the highest. For the different organs at risk no significant difference between the techniques could be found. CONCLUSIONS: This planning study pointed out that multiparameter dose prescription including normalization on the mean ITV dose in combination with detailed objectives for the PTV and ITV achieve consistent dose distributions for peripheral lung tumors in combination with an ITV concept between different delivery techniques and across institutions.

Deactivation of cardiovascular implantable electronic devices in patients nearing end of life : Reality or only recommendation?

BACKGROUND: Current guidelines recommend considering deactivation of cardiac implantable electronic devices (CIEDs) in patients nearing death. We evaluated the implementation of this recommendation in unselected deceased individuals with CIEDs. METHODS: Over a 7-month period in 2016, all deceased persons taken to the Rostock crematorium were prospectively screened for CIEDs and these were interrogated in situ. Pacing rate, pacing mode, and lead output were documented as well as patient data including location and time of death. In implantable cardioverter-defibrillators (ICDs), tachycardia therapy adjustment and occurrence of shocks 24 h prior to death were also recorded. RESULTS: We examined 2297 subjects, of whom 154 (6.7%) had CIEDs. Of these subjects, 125 (100%) pacemakers (PMs) and 27 (96.4%) ICDs were eligible for analysis. Death in persons with ICDs occurred most frequently in hospital (55.6%), while this was less frequently the case for individuals with PMs (43.2%). Furthermore, 33.3% of subjects with ICDs and 18.5% with PMs died in palliative care units (PCU). Shock therapies were switched off in three (60%) individuals with ICDs who died in the PCU, whereas antibradycardia therapy was not withdrawn in any PM patient in the PCU. Therapy withdrawal occurred in two patients with PMs (1.3%) who died in hospital. Patients with PMs had high ventricular pacing rates at the last interrogation (69 ± 36.0%) and often suffered atrioventricular block (39.2%). Six (25%) of the 24 active ICDs presented shocks near the time of death. CONCLUSION: Many CIED patients died in hospital; nonetheless, in practice, CIED deactivation near death is rarely performed and might be less feasible in subjects with PMs. However, there is still a need to consider deactivation, especially in individuals with ICDs, as one fourth of them received at least one shock within 24 h prior to death.

Individual programming of current multiprogrammable pacemakers : Still unsatisfactory?

BACKGROUND: Pacemaker (PM) technology has developed tremendously in recent decades. We evaluated the extent of individual programming in current PMs. METHODS: Over a 7-month period in 2016, all deceased persons taken to the Rostock crematorium were prospectively screened for cardiac implantable electronic devices (CIEDs) and these were interrogated in situ. Programming of patient data, leads, and study parameters including mode, lower rate, upper tracking or sensor rate (UTSR), ventricular refractory time, sleeping function, hysteresis, and PM-mediated tachycardia intervention were analyzed and compared with delivery settings. Alterations in atrial/ventricular capture management and atrial/ventricular sensing assurance as well as changes in sensitivity and lead output were evaluated. RESULTS: We examined 2297 subjects, of whom 154 (6.7%) had CIEDs, with 125 (81.2%) being PMs. Finally, 72 (57.6%) PMs were eligible for analysis with an operation time of 31.0 ± 27.0 months. We excluded 28 (18.2%) implantable cardioverter defibrillators (ICDs), 51 (41%) PMs presenting elective replacement indicator (ERI), two (1.6%) PMs with programming to insufficient function prior to death, and the left ventricle parameter of one (1.4%) cardiac resynchronization therapy pacemaker (CRT-P); further one CIED (0.6%) was not contactable. PMs offered in mean 75.2% of study parameters thereof 88.0% were to adjust manually, whereof 49.3% stayed unchanged to delivery mode. Lead output, UTSR, lower rate, and mode were the most frequently changed parameters (>85.7%, 65.3%, 54.2%, and 52.8%, respectively) compared with unmodified ventricular refractory time and hysteresis (91.7% and. 85.4%, respectively); 2.8% of PMs had out-of-the-box settings. The most frequent personalized data were last (88.9%) and first name (73.6%), while atrial and ventricular serial lead numbers were rarely entered (18.2% and 23.4%, respectively). CONCLUSION: The programming possibilities of PMs have advanced greatly. Nonetheless, improvements in individual PM programming are still needed as demonstrated by the findings in this study, e.g., PMs with manufacturer settings and lack of individual data.

A Longitudinal Field Investigation of Narcissism and Popularity Over Time: How Agentic and Antagonistic Aspects of Narcissism Shape the Development of Peer Relationships.

Grandiose narcissism has been linked to initial popularity but to later unpopularity in peer groups and laboratory contexts. Do these effects on peer relationships also emerge in larger real-life contexts and what are the underlying behavioral processes (i.e., behavioral expressions, interpersonal perceptions)? Using data from the longitudinal CONNECT field study (N = 126), we investigated effects of agentic and antagonistic aspects of grandiose narcissism on emerging popularity in a complete peer network. A cohort of psychology first-year students was assessed with a quasiexperimental, experience-sampling methodology involving online surveys, diaries, and behavioral observations. In contrast to previous laboratory research, narcissism was unrelated to popularity at the level of zero-order correlations. However, results indicated that (a) an agentic behavioral pathway fostered popularity across time, and an antagonistic behavioral pathway drove the long-term decline in popularity, and (b) the two pathways were differentially related to agentic (admiration) and antagonistic (rivalry) aspects of narcissism.

Explaining the longitudinal interplay of personality and social relationships in the laboratory and in the field: The PILS and the CONNECT study.

Our personalities (who we are) influence our social relationships (how we relate to people around us), and our social relationships influence our personalities. However, little is known about the specific processes underlying the complex interplay of personality and social relationships. According to the PERSOC framework, the identification of underlying social interaction processes promotes the understanding of how personality and social relationships are expressed, develop, and influence each other over time. The aim of the present paper is twofold: First, we outline and discuss four methodological challenges that arise when trying to empirically realize a process approach to the personality-relationship interplay. Second, we describe two data sets that are designed to meet these challenges and that are open for collaborative investigations: a laboratory-based process approach (Personality Interaction Laboratory Study; PILS) and a field-based process approach (CONNECT). We provide detailed information on the samples (two student samples; PILS: N = 311; CONNECT: N = 131), procedures (longitudinal and multimethodological), and measures (personality and social relationships, appearance and behavior, interpersonal perceptions), for which we present descriptive information, reliabilities, and intercorrelations. We summarize how these studies' designs targeted the introduced methodological challenges, discuss the advantages and limitations of laboratory- and field-based process approaches, and call for their combination. We close by outlining an open research policy, aimed at accelerated collaborative efforts to further open the process black box, ultimately leading to a better understanding of the expression, development, and complex interplay of personality and social relationships.

Características evidenciadas em recém-nascidos de gestantes hipertensas e diabéticas: revisão sistemática da literatura / Characteristics evidenced in newborns of hypertensive and diabetic pregnant women: systematic review of the literature

Objetivo: evidenciar quais são as repercussões no leito vascular e as características dos neonatos de gestantes com Síndromes Hipertensivas Gestacionais e/ou Diabetes Mellitus Gestacional. Método: trata-se de uma revisão sistemática de literatura, as buscas da pesquisa foram realizadas no mês de julho do ano de 2017, nas bases de dados da Literatura Latino-Americana do Caribe em Ciências da Saúde e na National Library of Medicine. Os dados foram tabulados em planilhas do Excel, sendo aplicada a análise de conteúdo. Resultados: os recém-nascidos de mães hipertensas estiveram relacionados a prematuridade e baixo peso para a idade gestacional, enquanto os recém-nascidos de mães diabéticas são relacionados a uma maior idade gestacional ao nascimento e peso considerado grande para a idade gestacional. Considerações finais: salienta-se a importância do acompanhamento através do pré-natal desde os primórdios da gestação, como medida protetiva à saúde materno-infantil.

Objective: investigate the repercussions in the vascular bed and the characteristics of the neonates of pregnant women with Hypertensive Syndromes in Pregnancy and/or Gestational Diabetes Mellitus. Methods: it is a systematic review of the literature, the research searches were carried out in July of the year 2017, in the databases of Latin American Literature of the Caribbean in Health Sciences and National Library of Medicine. Data were tabulated in Excel spreadsheets, and content analysis was applied. Results: newborns of hypertensive mothers were related to prematurity and low birth weight for gestational age, while the newborns of diabetic mothers are related to a higher gestational age at birth and a heaviest for gestational age. Final considerations: importance of follow-up through prenatal care from the earliest stages of gestation, as a protective measure for maternal and child health.

Is accurate, positive, or inflated self-perception most advantageous for psychological adjustment? A competitive test of key hypotheses.

Empirical research on the (mal-)adaptiveness of favorable self-perceptions, self-enhancement, and self-knowledge has typically applied a classical null-hypothesis testing approach and provided mixed and even contradictory findings. Using data from 5 studies (laboratory and field, total N = 2,823), we used an information-theoretic approach combined with Response Surface Analysis to provide the first competitive test of 6 popular hypotheses: that more favorable self-perceptions are adaptive versus maladaptive (Hypotheses 1 and 2: Positivity of self-view hypotheses), that higher levels of self-enhancement (i.e., a higher discrepancy of self-viewed and objectively assessed ability) are adaptive versus maladaptive (Hypotheses 3 and 4: Self-enhancement hypotheses), that accurate self-perceptions are adaptive (Hypothesis 5: Self-knowledge hypothesis), and that a slight degree of self-enhancement is adaptive (Hypothesis 6: Optimal margin hypothesis). We considered self-perceptions and objective ability measures in two content domains (reasoning ability, vocabulary knowledge) and investigated 6 indicators of intra- and interpersonal psychological adjustment. Results showed that most adjustment indicators were best predicted by the positivity of self-perceptions. There were some specific self-enhancement effects, and evidence generally spoke against the self-knowledge and optimal margin hypotheses. Our results highlight the need for comprehensive and simultaneous tests of competing hypotheses. Implications for the understanding of underlying processes are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The rich are different: Unravelling the perceived and self-reported personality profiles of high-net-worth individuals.

Beyond money and possessions, how are the rich different from the general population? Drawing on a unique sample of high-net-worth individuals from Germany (≥1 million Euro in financial assets; N = 130), nationally representative data (N = 22,981), and an additional online panel (N = 690), we provide the first direct investigation of the stereotypically perceived and self-reported personality profiles of high-net-worth individuals. Investigating the broad personality traits of the Big Five and the more specific traits of narcissism and locus of control, we find that stereotypes about wealthy people's personality are accurate albeit somewhat exaggerated and that wealthy people can be characterized as stable, flexible, and agentic individuals who are focused more on themselves than on others.

Características das lesões em acidentes motociclísticos: uma revisãointegrativa da literatura / Types of injuries in motorcycle accidents: an integrative review of literature

Objetivo: conhecer as lesões ocorridas em acidentes motociclísticos no Brasil. Métodos: revisãointegrativa cujas buscas foram realizadas em novembro de 2016 com os descritores motocicletas;acidente de trânsito; ferimentos e lesões. Resultados: 13 publicações foram encontradas naLiteratura Latino-Americana e do Caribe em Ciências da Saúde e 337 na Medical Literature Analysisand Retrieval System Online, e após serem usados os critérios de seleção, restaram seis artigos. Podese perceber que as lesões predominam em membros superiores e inferiores, em homens jovens,durante o período da tarde e noite, sendo mais evidenciados na sexta-feira e no sábado.Considerações finais: o público mais acometido, as características das lesões mais frequentes einformações importantes relacionadas, foram identificadas neste estudo, as quais podem auxiliar noplanejamento e desenvolvimento de estratégias a fim de diminuir esses altos índices de ocorrências.

Objective: to determine the types of injuries caused by motorcycle accidents in Brazil. Methods: anintegrative review study carried out in November of 2016 with the descriptors motorcycles; trafficaccidents; wounds and injuries. Results: 13 publications were found in Latin American and CaribbeanHealth Sciences Literature and 337 in Medical Literature Analysis and Retrieval System Online, andafter applying the selection criteria, six articles remained. It can be seen that the lesionspredominate in upper and lower limbs in young men during the afternoon and evening, being moreevident on Friday and Saturday. Final considerations: the most affected patients, thecharacteristics of the most frequent lesions and important related information were identified inthis study, which can help in the planning and development of strategies in order to reduce thesehigh incidence rates.

Validation of the Narcissistic Admiration and Rivalry Questionnaire Short Scale (NARQ-S) in convenience and representative samples.

Due to increased empirical interest in narcissism across the social sciences, there is a need for inventories that can be administered quickly while also reliably measuring both the agentic and antagonistic aspects of grandiose narcissism. In this study, we sought to validate the factor structure, provide representative descriptive data and reliability estimates, assess the reliability across the trait spectrum, and examine the nomological network of the short version of the Narcissistic Admiration and Rivalry Questionnaire (NARQ-S; Back et al., 2013). We used data from a large convenience sample (total N = 11,937) as well as data from a large representative sample (total N = 4,433) that included responses to other narcissism measures as well as related constructs, including the other Dark Triad traits, Big Five personality traits, and self-esteem. Confirmatory factor analysis and item response theory were used to validate the factor structure and estimate the reliability across the latent trait spectrum, respectively. Results suggest that the NARQ-S shows a robust factor structure and is a reliable and valid short measure of the agentic and antagonistic aspects of grandiose narcissism. We also discuss future directions and applications of the NARQ-S as a short and comprehensive measure of grandiose narcissism. (PsycINFO Database Record

Evolutionary bottlenecks in brackish water habitats drive the colonization of fresh water by stingrays.

Species richness in freshwater bony fishes depends on two main processes: the transition into and the diversification within freshwater habitats. In contrast to bony fishes, only few cartilaginous fishes, mostly stingrays (Myliobatoidei), were able to colonize fresh water. Respective transition processes have been mainly assessed from a physiological and morphological perspective, indicating that the freshwater lifestyle is strongly limited by the ability to perform osmoregulatory adaptations. However, the transition history and the effect of physiological constraints on the diversification in stingrays remain poorly understood. Herein, we estimated the geographic pathways of freshwater colonization and inferred the mode of habitat transitions. Further, we assessed habitat-related speciation rates in a time-calibrated phylogenetic framework to understand factors driving the transition of stingrays into and the diversification within fresh water. Using South American and Southeast Asian freshwater taxa as model organisms, we found one independent freshwater colonization event by stingrays in South America and at least three in Southeast Asia. We revealed that vicariant processes most likely caused freshwater transition during the time of major marine incursions. The habitat transition rates indicate that brackish water species switch preferably back into marine than forth into freshwater habitats. Moreover, our results showed significantly lower diversification rates in brackish water lineages, whereas freshwater and marine lineages exhibit similar rates. Thus, brackish water habitats may have functioned as evolutionary bottlenecks for the colonization of fresh water by stingrays, probably because of the higher variability of environmental conditions in brackish water.

[Analysis of tissue bioavailability of total polyphenols by Folin Ciocalteu and Fast Blue BB techniques in organs of BALB/C/c mice]. / Análisis de la biodisponibilidad tisular de polifenoles totales mediante las técnicas de Folin Ciocalteu y Fast Blue BB en órganos de ratones BALB/C.

Biomedical potential of polyphenols lies in their ability to modulate redox balance and the mechanisms involved in the development of chronic noncommunicable diseases. OBJECTIVE: The aim of this study was to determine the concentration of total polyphenols in different murine organs by assaying analytical techniques of Folin Ciocalteu (FC) and Fast Blue BB (FBBB). METHOD: Balb/c female mice (n≥3) received for 15 days 100 mg/kg/d of extract of Lantana grisebachii (LG), Aspidosperma quebracho-blanco (AQB) or Ilex paraguariensis (IP) and control group (treated with water without extract). Polyphenolic concentrations were measured in telencephalon, diencephalon, midbrain, brainstem, cerebellum, spleen, thymus and cardiopulmonary tissue by FC and FBBB methods. Results were compared by ANOVA followed by Tukey test (p<0.05). RESULTS: FBBB method reported higher detections than FC (4.5 fold in telencephalon, 8.4 in midbrain, 5 in brainstem, 7.2 in spleen, 68.5 in thymus and 4 in cardiopulmonary tissue). Regarding the treatments, the group that received AQB showed to have increased polyphenolic bioavailability in brainstem (p<0.02). With FBBB, a decrease on thymic polyphenol content after treatment with IP was detected (p<0.005). In cerebellum of the groups treated with IP and telencephalon of the control group showed significant differences when these were analyzed with FC (p<0.05, p<0.0035 respectively). CONCLUSIONS: FBBB method showed higher estimations of polyphenolic bioavailability than FC, and this could be related to higher specificity of the technique to react with phenolic compounds.

Narcissism and romantic relationships: The differential impact of narcissistic admiration and rivalry.

Narcissism is known to be related to romantic success in short-term contexts (dating, early stage relationships) but also to problems in long-term committed relationships. We propose that these diverging romantic outcomes of narcissism can be explained by differential associations with agentic versus antagonistic dimensions of grandiose narcissism: Narcissistic Admiration and Rivalry. Both dimensions serve the central narcissistic goal of gaining and maintaining a grandiose self-view, but do so by different processes: Admiration is characterized by the tendency to promote the positivity of one's self-view by seeking social admiration (assertive self-enhancement). Rivalry is characterized by the tendency to protect oneself from a negative self-view by derogating others (antagonistic self-protection). Across 7 studies (total N = 3,560) using diverse measures and methodological approaches (self-, peer, and partner reports, as well as interpersonal perception measures in video-based studies, face-to-face laboratory encounters, and online surveys), we show that the short-term romantic appeal associated with narcissism is primarily attributable to the dimension of Admiration, whereas the long-term romantic problems associated with narcissism are primarily attributable to the dimension of Rivalry. These results highlight the utility of a 2-dimensional reconceptualization of grandiose narcissism for explaining its heterogeneous romantic outcomes. The findings further underscore the idea that different facets of personality traits might impact different aspects of romantic relationship quality, depending on the stage of the relationship. Such a more nuanced view increases the predictive validity of personality traits in social relationship research. (PsycINFO Database Record

Puffed-up but shaky selves: State self-esteem level and variability in narcissists.

Different theoretical conceptualizations characterize grandiose narcissists by high, yet fragile self-esteem. Empirical evidence, however, has been inconsistent, particularly regarding the relationship between narcissism and self-esteem fragility (i.e., self-esteem variability). Here, we aim at unraveling this inconsistency by disentangling the effects of two theoretically distinct facets of narcissism (i.e., admiration and rivalry) on the two aspects of state self-esteem (i.e., level and variability). We report on data from a laboratory-based and two field-based studies (total N = 596) in realistic social contexts, capturing momentary, daily, and weekly fluctuations of state self-esteem. To estimate unbiased effects of narcissism on the level and variability of self-esteem within one model, we applied mixed-effects location scale models. Results of the three studies and their meta-analytical integration indicated that narcissism is positively linked to self-esteem level and variability. When distinguishing between admiration and rivalry, however, an important dissociation was identified: Admiration was related to high (and rather stable) levels of state self-esteem, whereas rivalry was related to (rather low and) fragile self-esteem. Analyses on underlying processes suggest that effects of rivalry on self-esteem variability are based on stronger decreases in self-esteem from one assessment to the next, particularly after a perceived lack of social inclusion. The revealed differentiated effects of admiration and rivalry explain why the analysis of narcissism as a unitary concept has led to the inconsistent past findings and provide deeper insights into the intrapersonal dynamics of grandiose narcissism governing state self-esteem. (PsycINFO Database Record

Rapid Communication: Cholesterol deficiency-associated APOB mutation impacts lipid metabolism in Holstein calves and breeding bulls.

During the last months, the number of reports on Holstein calves suffering from incurable idiopathic diarrhea dramatically increased. Affected calves showed severe hypocholesterolemia and mostly died within days up to a few months after birth. This new autosomal monogenic recessive inherited fat metabolism disorder, termed cholesterol deficiency (CD), is caused by a loss of function mutation of the bovine gene. The objective of the present study was to investigate specific components of lipid metabolism in 6 homozygous for the mutation (CDS) and 6 normal Holstein calves with different genotypes. Independent of sex, CDS had significantly lower plasma concentrations of total cholesterol (TC), free cholesterol (FC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), very-low-density lipoprotein cholesterol (VLDL-C), triacylglycerides (TAG), and phospholipids (PL) compared with homozygous wild-type calves ( < 0.05). Furthermore, we studied the effect of the genotype on cholesterol metabolism in adult Holstein breeding bulls of Swissgenetics. Among a total of 254 adult males, the homozygous mutant genotype was absent, 36 bulls were heterozygous carriers (CDC), and 218 bulls were homozygous wild-type (CDF). In CDC bulls, plasma concentrations of TC, FC, HDL-C, LDL-C, VLDL-C, TAG, and PL were lower compared with CDF bulls ( < 0.05). The ratios of FC:cholesteryl esters (CE) and FC:TC were higher in CDC bulls compared with CDF bulls, whereas the ratio of CE:TC was lower in CDC bulls compared with CDF bulls ( < 0.01). In conclusion, the CD-associated mutation was shown to affect lipid metabolism in affected Holstein calves and adult breeding bulls. Besides cholesterol, the concentrations of PL, TAG, and lipoproteins also were distinctly reduced in homozygous and heterozygous carriers of the mutation. Beyond malabsorption of dietary lipids, deleterious effects of apolipoprotein B deficiency on hepatic lipid metabolism, steroid biosynthesis, and cell membrane function can be expected, which may result in unspecific symptoms of reduced fertility, growth, and health.

IFPA meeting 2015 workshop report III: nanomedicine applications and exosome biology, xenobiotics and endocrine disruptors and pregnancy, and lipid.

Workshops are an important part of the IFPA annual meeting, as they allow for discussion of specialized topics. At the IFPA meeting 2015 there were twelve themed workshops, three of which are summarized in this report. These workshops were related to various aspects of placental biology but collectively covered areas of pregnancy pathologies and placental metabolism: 1) nanomedicine applications and exosome biology; 2) xenobiotics and endocrine disruptors and pregnancy; 3) lipid mediators and placental function.