Measuring provider well-being: initial validation of a brief engagement survey.

BACKGROUND: Measurement is one of the critical ingredients to addressing the well-being of health care professionals. However, administering an organization-wide well-being survey can be challenging due to constraints like survey fatigue, financial limitations, and other system priorities. One way to address these issues is to embed well-being items into already existing assessment tools that are administered on a regular basis, such as an employee engagement survey. The objective of this study was to assess the utility of a brief engagement survey, that included a small subset of well-being items, among health care providers working in an academic medical center. METHODS: In this cross-sectional study, health care providers, including physicians and advanced clinical practitioners, employed at an academic medical center completed a brief, digital engagement survey consisting of 11 quantitative items and 1 qualitative item administered by Dialogue™. The emphasis of this study was on the quantitative responses. Item responses were compared by sex and degree, domains were identified via exploratory factor analysis (EFA), and internal consistency of item responses was assessed via McDonald's omega. Sample burnout was compared against national burnout. RESULTS: Of the 791 respondents, 158 (20.0%) were Advanced Practice Clinicians (APCs), and 633 (80.0%) were Medical Doctors (MDs). The engagement survey, with 11 items, had a high internal consistency with an omega ranging from 0.80-0.93 and was shown, via EFA, to have three domains including communication, well-being, and engagement. Significant differences for some of the 11 items, by sex and degree, in the odds of their agreement responses were found. In this study, 31.5% reported experiencing burnout, which was significantly lower than the national average of 38.2%. CONCLUSION: Our findings indicate initial reliability, validity, and utility of a brief, digital engagement survey among health care professionals. This may be particularly useful for medical groups or health care organizations who are unable to administer their own discrete well-being survey to employees.

Ideological Extremism Among Syrian Refugees Is Negatively Related to Intentions to Migrate to the West.

The conflict in Syria created a dire humanitarian situation, as nations around the world struggled with how best to deal with the more than 6.6 million Syrian refugees who fled their homes to escape aggression. Resistance to granting refugee status to individuals often originates in the belief that the influx of refugees endangers national security because of the presumably extremist religious and political beliefs that refugees hold. The present research surveyed Syrian refugees residing in Jordan, Lebanon, Turkey, and Iraq (N = 1,000). The results revealed that the majority of surveyed refugees did not intend to migrate to the West and would rather return to their home country. More importantly, refugees most interested in moving to Western countries were the least likely to subscribe to Islamist extremism or to harbor negative sentiment toward the West. Theoretical and practical implications for addressing the current refugee crisis are discussed.

Analyzing Neisseria gonorrhoeae Pilin Antigenic Variation Using 454 Sequencing Technology.

UNLABELLED: Many pathogens use homologous recombination to vary surface antigens in order to avoid immune surveillance. Neisseria gonorrhoeae, the bacterium responsible for the sexually transmitted infection gonorrhea, achieves this in part by changing the sequence of the major subunit of the type IV pilus in a process termed pilin antigenic variation (Av). The N. gonorrhoeae chromosome contains one expression locus (pilE) and many promoterless, partial-coding silent copies (pilS) that act as reservoirs for variant pilin information. Pilin Av occurs by high-frequency gene conversion reactions, which transfer pilS sequences into the pilE locus. We have developed a 454 sequencing-based assay to analyze the frequency and characteristics of pilin Av that allows a more robust analysis of pilin Av than previous assays. We used this assay to analyze mutations and conditions previously shown to affect pilin Av, confirming many but not all of the previously reported phenotypes. We show that mutations or conditions that cause growth defects can result in Av phenotypes when analyzed by phase variation-based assays. Adapting the 454 sequencing to analyze pilin Av demonstrates the utility of this technology to analyze any diversity generation system that uses recombination to develop biological diversity. IMPORTANCE: Measuring and analyzing complex recombination-based systems constitute a major barrier to understanding the mechanisms used to generate diversity. We have analyzed the contributions of many gonococcal mutations or conditions to the process of pilin antigenic variation.

Solution-Phase Conversion of Bulk Metal Oxides to Metal Chalcogenides Using a Simple Thiol-Amine Solvent Mixture.

A thiol-amine solvent mixture is used to dissolve ten inexpensive bulk oxides (Cu2O, ZnO, GeO2, As2O3, Ag2O, CdO, SnO, Sb2O3, PbO, and Bi2O3) under ambient conditions. Dissolved oxides can be converted to the corresponding sulfides using the thiol as the sulfur source, while selenides and tellurides can be accessed upon mixing with a stoichiometric amount of dissolved selenium or tellurium. The practicality of this method is illustrated by solution depositing Sb2Se3 thin films from compound inks of dissolved Sb2O3 and selenium that give high photoelectrochemical current response. The direct band gap of the resulting material can be tuned from 1.2-1.6 eV by modulating the ink formulation to give compositionally controlled Sb2Se(3-x)S(x) alloys.

Alkahest for V2VI3 chalcogenides: dissolution of nine bulk semiconductors in a diamine-dithiol solvent mixture.

The ability to solution deposit semiconductor films has received a great deal of recent attention as a way to potentially lower costs for many optoelectronic applications; however, most bulk semiconductors are insoluble in common solvents. Here we describe a novel and relatively nonhazardous binary solvent mixture comprised of 1,2-ethanedithiol and 1,2-ethylenediamine that possesses the remarkable ability to rapidly dissolve a series of nine bulk V2VI3 chalcogenides (V = As, Sb, Bi; VI = S, Se, Te) at room temperature and atmospheric pressure. After solution deposition and low-temperature annealing, the chalcogenides can be fully recovered as good quality, highly crystalline thin films with negligible organic content, as demonstrated for Sb2Se3 and Bi2S3.

The Way They See Us: Examining the Content, Accuracy, and Bias of Metaperceptions Held by Syrian Refugees About the Communities That Host Them.

Discourse about people seeking refuge from conflict varies considerably. To understand what components of this discourse reach refugees the most, we examined refugees' perceptions of how their host communities perceive them (i.e., intergroup metaperceptions). We sampled refugees who fled Syria to Jordan, Lebanon, Germany, and the Netherlands. Focus groups with 102 Syrian refugees revealed that the most prevalent metaperception discussed by refugees was that they thought their host communities saw them as threatening (Study 1). Surveys with 1,360 Syrian refugees and 1,441 members of the host communities (Study 2) found that refugees' metaperceptions tracked the perceptions held by their host communities (i.e., they were accurate), but there was also a significant mean difference, indicating that they were positively biased. Analyses further tested the roles of evaluative concern and group salience on metaperception accuracy, as well as differences in accuracy and bias across country and perception domain.

Ligand exchange on colloidal CdSe nanocrystals using thermally labile tert-butylthiol for improved photocurrent in nanocrystal films.

As-prepared CdSe nanocrystals were ligand exchanged using tert-butylthiol, which yielded stable CdSe nanocrystal inks in the strong donor solvent tetramethylurea. The efficacy of ligand exchange was probed by thermogravimetric analysis (TGA) and FT-IR spectroscopy. By studying sequential exchanges of tetradecylphosphonic acid and then tert-butylthiol, TGA and energy dispersive X-ray spectroscopic evidence clearly demonstrated that the ligand exchange is essentially quantitative. The resulting tert-butylthiol-exchanged CdSe nanocrystals undergo facile thermal ligand expulsion (≤200 °C), which was studied by TGA-mass spectrometry. Mild thermal treatment of tert-butylthiol-exchanged CdSe nanocrystal films was found to induce loss of quantum confinement (as evidenced by UV-vis spectroscopy) and provided for increased electrochemical photocurrent, electron mobility, and film stability. Pyridine-exchanged CdSe nanocrystals were employed as a control system throughout to demonstrate the beneficial attributes of tert-butylthiol exchange; namely, lower organic content, better colloidal stability, improved interparticle coupling, and vastly increased electrochemical photocurrent response upon illumination.

Efficient singlet fission discovered in a disordered acene film.

Singlet exciton fission is a process that occurs in select organic semiconductors and entails the splitting of a singlet excited state into two lower triplet excitons located on adjacent chromophores. Research examining this phenomenon has recently seen a renaissance due to the potential to exploit singlet fission within the context of organic photovoltaics to prepare devices with the ability to circumvent the Shockley-Queisser limit. To date, high singlet fission yields have only been reported for crystalline or polycrystalline materials, suggesting that molecular disorder inhibits singlet fission. Here, we report the results of ultrafast transient absorption and time-resolved emission experiments performed on 5,12-diphenyl tetracene (DPT). Unlike tetracene, which tends to form polycrystalline films when vapor deposited, DPT's pendant phenyl groups frustrate crystal growth, yielding amorphous films. Despite the high level of disorder in these films, we find that DPT exhibits a surprisingly high singlet fission yield, with 1.22 triplets being created per excited singlet. This triplet production occurs over two principal time scales, with ~50% of the triplets appearing within 1 ps after photoexcitation followed by a slower phase of triplet growth over a few hundred picoseconds. To fit these kinetics, we have developed a model that assumes that due to molecular disorder, only a subset of DPT dimer pairs adopt configurations that promote fission. Singlet excitons directly excited at these sites can undergo fission rapidly, while singlet excitons created elsewhere in the film must diffuse to these sites to fission.

Significance-Quest Theory.

Even though the motivation to feel worthy, to be respected, and to matter to others has been identified for centuries by scholars, the antecedents, consequences, and conditions of its activation have not been systematically analyzed or integrated. The purpose of this article is to offer such an integration. We feature a motivational construct, the quest for significance, defined as the need to have social worth. This need is typically fulfilled by a sense of measuring up to the values one shares with significant others. Our significance-quest theory (SQT) assumes that the need for significance is universal, whereas the means of satisfying it depend on the sociocultural context in which one's values are embedded. Those means are identified in a narrative supported and validated by one's network, or reference group. The quest for significance is activated by significance loss and/or the opportunity for significance gain. It motivates behavior that aims to affirm, realize, and/or show commitment to an important value. The SQT is consistent with large bodies of prior research and supported by novel studies in multiple laboratory and field settings. It transcends prior understandings and offers guidance for further study of this essential human motivation.

Photochemical synthesis of bismuth selenide nanocrystals in an aqueous micellar solution.

The photolytic decomposition of triphenylbismuth and di-tert-butyl diselenide under aqueous micellar conditions yields 5-nm bismuth selenide nanocrystals of the BiSe stoichiometry. This is the first example of the bismuth-rich BiSe phase being prepared in a well-dispersed colloidal nanocrystal form.

Self-care research: Where are we now? Where are we going?

BACKGROUND AND OBJECTIVE: The beneficial effects of self-care include improved well-being and lower morbidity, mortality, and healthcare costs. In this article we address the current state of self-care research and propose an agenda for future research based on the inaugural conference of the International Center for Self-Care Research held in Rome, Italy in June 2019. The vision of this Center is a world where self-care is prioritized by individuals, families, and communities and is the first line of approach in every health care encounter. The mission of the Center is to lead the self-care research endeavor, improving conceptual clarity and promoting interdisciplinary work informed by a shared vision addressing knowledge gaps. A focused research agenda can deepen our theoretical understanding of self-care and the mechanisms underlying self-care, which can contribute to the development of effective interventions that improve outcomes. METHODS: During conference discussions, we identified seven major reasons why self-care is challenging, which can be grouped into the general categories of behavior change and illness related factors. We identified six specific knowledge gaps that, if addressed, may help to address these challenges: the influence of habit formation on behavior change, resilience in the face of stressful life events that interfere with self-care, the influence of culture on self-care behavioral choices, the difficulty performing self-care with multiple chronic conditions, self-care in persons with severe mental illness, and the influence of others (care partners, family, peer supporters, and healthcare professionals) on self-care. PLANS TO ACHIEVE RESULTS: To achieve the vision and mission of the Center, we will lead a collaborative program of research that addresses self-care knowledge gaps and improves outcomes, create a supportive international network for knowledge transfer and support of innovations in self-care research, and support and train others in self-care research. Beyond these specific short-term goals, important policy implications of this work are discussed.

Social context moderates the effects of quest for significance on violent extremism.

Quest for significance theory (Kruglanski et al., 2013; Kruglanski, Jasko, Chernikova, Dugas, & Webber 2017) states that extreme behavior for an ideological cause is more likely under psychological conditions that induce a search for significance and social recognition. Two forms of motivation for significance have been identified; the quest for individual significance rooted in personal experiences and the quest for collective significance rooted in the perception that one's social group is humiliated and/or disrespected. Whereas past research has demonstrated associations between both forms of quest for significance and political extremism, there is little understanding of the conditions that moderate those effects. In the present study, we tested the moderating role of belonging to radical versus nonradical social context. Four studies were conducted in three different cultural settings: Sri Lanka (Study 1, n = 335), Morocco (Study 2, n = 260), and Indonesia (Study 3, n = 379 and Study 4, n = 334). Each study compared the responses from participants residing in social contexts that were more or less radical. Radical social contexts were identified based either on participants' belonging to known extremist organizations (Studies 1, 3, and 4) or residence within a locale that is a known hotbed for recruitment into terrorist organizations (Study 2). Across studies, we found evidence that radical social contexts strengthen the link between quest for significance-particularly collective significance-and support for political violence. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

To reappraise or not to reappraise? Emotion regulation choice and cognitive energetics.

Research shows that cognitive reappraisal is an effective emotion regulation (ER) strategy that often has clear benefits. Yet, surprisingly, recent findings demonstrate that people use cognitive reappraisal less frequently than might be expected (Suri, Whittaker, & Gross, 2015). We employ cognitive energetics theory (CET) to explain this puzzling behavior. CET posits that the likelihood of launching any cognitive process is a function of two opposing forces: the driving force (i.e., the motivation to launch the process) and the restraining force (i.e., task difficulty). We thus hypothesized that people choose to use cognitive reappraisal relatively rarely because of the difficulty of implementing it. We also postulated that the decision to reappraise (or not) does not simply depend on stimuli emotional intensity because the latter is associated with both the driving and the restraining forces. In support of our hypotheses, we found that when the images' emotional intensity posed difficulty for reappraisal (i.e., highly intense images), reducing this difficulty by asking participants to merely predict others' (Study 1) or their own choices (Study 2) increased reappraisal choice. Finally, in Study 3, we show that a relatively easy to implement reappraisal strategy was chosen more often than the more difficult one for high (but not low) intensity images. These findings illustrate the relevance of a CET-based motivational analysis to emotion regulation choice. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The social psychological makings of a terrorist.

Social psychological factors pertain to all aspects of terrorism, including how terrorist organizations operate, and the impact of terrorism on everyday people. The present analysis focuses on the aspect of terrorism where social psychology's voice is perhaps most critical: radicalization (i.e., how terrorists are made) and deradicalization (i.e., how terrorists are unmade). In reviewing the literature, we identify three factors critical to radicalization: (1) the individual need that motivates one to engage in political violence, (2) the ideological narrative that justifies political violence, and (3) the social network that influences one's decisions along the pathway to extremism. Theoretical and empirical contributions are discussed. We end with an examination of interviews conducted with former extremists of various ideological leanings to highlight these same three factors as critical to their individual deradicalization experiences.

The road to extremism: Field and experimental evidence that significance loss-induced need for closure fosters radicalization.

The present studies examined the hypothesis that loss of personal significance fuels extremism via the need for cognitive closure. Situations of significance loss-those that make one feel ashamed, humiliated, or demeaned-are inconsistent with the desire for a positive self-image, and instill a sense of uncertainty about the self. Consequently, individuals become motivated to seek certainty and closure that affords the restoration of personal significance. Extremist ideologies should thus increase in appeal, because they promise clear-cut strategies for such restoration. These notions were supported in a series of studies ranging from field surveys of political extremists imprisoned in the Philippines (Study 1) and Sri Lanka (Study 2) to experiments conducted with American samples (Studies 3-4). Implications of these findings are considered for the psychology of extremism, and for approaches to counterradicalization, and deradicalization. (PsycINFO Database Record

Aqueous extract from Spanish black radish (Raphanus sativus L. Var. niger) induces detoxification enzymes in the HepG2 human hepatoma cell line.

Spanish black radish (Raphanus sativus L. var. niger) is a member of the Cruciferae family that also contains broccoli and Brussels sprouts, well-known to contain health-promoting constituents. Spanish black radishes (SBR) contain high concentrations of a glucosinolate unique to the radish family, glucoraphasatin, which represents >65% of the total glucosinolates present in SBR. The metabolites of glucosinolates, such as isothiocyanates, are implicated in health promotion, although it is unclear whether glucosinolates themselves elicit a similar response. The crude aqueous extract from 0.3 to 3 mg of dry SBR material increased the activity of the phase II detoxification enzyme quinone reductase in the human hepatoma HepG2 cell line with a maximal effect at a concentration of 1 mg/mL. Treatment of HepG2 cells with the crude aqueous extract of 1 mg of SBR per mL also significantly induced the expression of mRNA corresponding to the phase I detoxification enzymes: cytochrome P450 (CYP) 1A1, CYP1A2, and CYP1B1 as well as the phase II detoxification enzymes: quinone reductase, heme oxygenase 1, and thioredoxin reductase 1. Previous studies have shown that the myrosinase metabolites of different glucosinolates vary in their ability to induce detoxification enzymes. Here, we show that while glucoraphasatin addition was ineffective, the isothiocyanate metabolite of glucoraphasatin, 4-methylthio-3-butenyl isothiocyanate (MIBITC), significantly induced phase II detoxification enzymes at a concentration of 10 microM. These data demonstrate that the crude aqueous extract of SBR and the isothiocyanate metabolite of glucoraphasatin, MIBITC, are potent inducers of detoxification enzymes in the HepG2 cell line.

To the fringe and back: Violent extremism and the psychology of deviance.

We outline a general psychological theory of extremism and apply it to the special case of violent extremism (VE). Extremism is defined as motivated deviance from general behavioral norms and is assumed to stem from a shift from a balanced satisfaction of basic human needs afforded by moderation to a motivational imbalance wherein a given need dominates the others. Because motivational imbalance is difficult to sustain, only few individuals do, rendering extreme behavior relatively rare, hence deviant. Thus, individual dynamics translate into social patterns wherein majorities of individuals practice moderation, whereas extremism is the province of the few. Both extremism and moderation require the ability to successfully carry out the activities that these demand. Ability is partially determined by the activities' difficulty, controllable in part by external agents who promote or oppose extremism. Application of this general framework to VE identifies the specific need that animates it and offers broad guidelines for addressing this pernicious phenomenon. (PsycINFO Database Record

Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association.

Self-care is defined as a naturalistic decision-making process addressing both the prevention and management of chronic illness, with core elements of self-care maintenance, self-care monitoring, and self-care management. In this scientific statement, we describe the importance of self-care in the American Heart Association mission and vision of building healthier lives, free of cardiovascular diseases and stroke. The evidence supporting specific self-care behaviors such as diet and exercise, barriers to self-care, and the effectiveness of self-care in improving outcomes is reviewed, as is the evidence supporting various individual, family-based, and community-based approaches to improving self-care. Although there are many nuances to the relationships between self-care and outcomes, there is strong evidence that self-care is effective in achieving the goals of the treatment plan and cannot be ignored. As such, greater emphasis should be placed on self-care in evidence-based guidelines.

Finding death in meaninglessness: Evidence that death-thought accessibility increases in response to meaning threats.

The meaning maintenance model proposes that violations to one's expectations will cause subsequent meaning restoration. In attempts to distinguish meaning maintenance mechanisms from mechanisms of terror management, previous research has failed to find increased death-thought accessibility (DTA) in response to various meaning threats. The present research suggests that this failure may have resulted from methodological differences in the way researchers measured DTA. Studies 1a and 1b found that by replacing this method with a standard method employed when studying worldview and self-esteem threats, DTA increased in response to two different meaning violations. Study 2 found increased DTA, but only among individuals high in personal need for structure, when using this standard DTA procedure, but not when using the procedure taken from previous meaning maintenance studies. Interestingly, these studies did not find increased meaning restoration, so an additional study (Study 3) was designed to provide a theoretically informed examination of this null effect. A meaning restoration effect was observed after removing the standard DTA assessment procedure, but only among participants high in personal need for structure. Implications for the threat-compensation literature are discussed.

Terrorist attacks escalate in frequency and fatalities preceding highly lethal attacks.

Highly lethal terrorist attacks, which we define as those killing 21 or more people, account for 50% of the total number of people killed in all terrorist attacks combined, yet comprise only 3.5% of terrorist attacks. Given the disproportionate influence of these incidents, uncovering systematic patterns in attacks that precede and anticipate these highly lethal attacks may be of value for understanding attacks that exact a heavy toll on life. Here we examined whether the activity of terrorist groups escalates--both in the number of people killed per attack and in the frequency of attacks--leading up to highly lethal attacks. Analyses of terrorist attacks drawn from a state-of-the-art international terrorism database (The Global Terrorism Database) showed evidence for both types of escalation leading up to highly lethal attacks, though complexities to the patterns emerged as well. These patterns of escalation do not emerge among terrorist groups that never commit a highly lethal attack.