Miracle-dz/UniFAR-FTUs huggingface dataset:
SPECIAL SERIES: Integrating Personality, Psychopathology, and Psychotherapy Using Interpersonal Assessment Affect Dysregulation in Individuals With Borderline Personality Disorder: Persistence and Interpersonal Triggers

We hypothesized that affect dysregulation among individuals with borderline personality disorder (BPD) would involve greater persistence of negative affect between interpersonal events and heightened reactivity to stimuli indicating risk of rejection or disapproval, specifically perceptions of others’ communal (agreeable-quarrelsome) behaviors. A total of 38 participants with BPD and 31 controls collected information about affect and perceptions of the interaction partner’s behavior during interpersonal events for a 20-day period. Negative and positive affect persisted more across interpersonal events for individuals with BPD than for controls. In addition, individuals with BPD reported a greater increase in negative affect when they perceived less communal behavior and a smaller increase in positive affect when they perceived more communal behavior in others. Findings indicate the importance of interpersonal perceptions in the affect dysregulation of individuals with BPD.
Cognitive screening in Multiple Sclerosis: the Five-Point Test as a substitute for the PASAT in measuring executive function

Abstract Objective: The Paced Auditory Serial Addition Test (PASAT) is frequently employed to measure executive functions in patients with Multiple Sclerosis (MS). In the past, the PASAT has often been criticized because of its stressful and demanding requirements. Continuous utilization might also reduce its validity. The Five-Point Test (FPT) by Regard, Strauss, and Knapp ((1982) Children’s production on verbal and non-verbal fluency tasks. Perceptual and Motor Skills, 55, 839–844. ) is a short test of figural fluency which might serve as a substitute.Method: 116 patients diagnosed with MS were tested with a short version of the Brief Repeatable Battery (BRB) by Rao and the Cognitive Function Study Group of the National Multiple Sclerosis Society including the PASAT, as well as the FPT. A factor analysis was computed and the frequency of cognitive impairment was calculated for both the original short version of the BRB and the alternative version (involving the FPT). Results: In the factor analysis, PASAT and FPT loaded highest on the same factor (two factors were extracted). The estimation of the frequency of cognitive impairment showed that replacing the PASAT with the FPT did not considerably alter the proportion of patients identified as cognitively impaired.Conclusions: The FPT proved to be a viable alternative to the PASAT in this study. It may be recommended as a possible replacement in neuropsychological screening of MS-patients with the advantage of avoiding the indicated limitations of the PASAT.
Effects of increasing age onto procedural parameters in pacemaker implantation: results of an obligatory external quality control program.

AIMS The aim of the study was to evaluate the effects of increasing patients' age onto procedural parameters, especially complications, during primary pacemaker implantation, evaluating the database of the Institute of Quality Assurance Hessen in the federal state of Hessen, Germany. METHODS AND RESULTS The database of the obligatory external quality control program was evaluated retrospectively for the years 2003-2006. A total of 17 826 patients undergoing stationary primary pacemaker implantation have been registered in 72 centres. In single-chamber implants, the implant duration is shortest in non-agenarians. For dual-chamber implants, the implant duration shortens with increasing age. Thus, as well as fluoroscopy time is significantly shorter in the oldest patients. Atrial and ventricular pacing thresholds as well as R-wave amplitudes do not change with age. P-wave amplitudes showed a small but steady decline with increasing ages. Complications do not increase with advanced age. CONCLUSION In this large-scale real-life patient cohort of primary stationary pacemaker implantation, increasing age resulted only in reduced P-wave amplitudes. Higher age was not associated with an increased risk of complications. Thus, pacemaker implantations in the elderly can be performed with the same reliability as in younger patients.
Relationship between emotional maturity, self-esteem and life-satisfaction: A study on traditional dancers of Odisha region

Abstract Dance is a dynamic root point to develop emotional maturity, self-esteem and life satisfaction. The present study aims to examine emotional maturity towards dancer’s life satisfaction through the presence of self-esteem. The study intentionally portrays co-association between study variables like, emotional maturity, self-esteem and life satisfaction through SEM. It divulges direct and indirect model with elucidating path relationship by using structural equation model. Data were collected from traditional dancers (176 Odissi and 116 folk dancers) at Odisha state in India by administering Rosenberg’s self-esteem scale, emotional maturity scale, life satisfaction scale and demographic information profile. The results reveal that all the variables of factor loading are greater than 0.40 based on EFA and CFA. The multivariate analysis technique used to perform the structural model of variables and their inter-relationship. Furthermore, the indirect model declared satisfactory model that the magnitude of the regression path coefficient (β value) leading from emotional maturity through the moderator self-esteem towards criterion variable life satisfaction. The results are discussed in terms of sociocultural context of India.
Psychoanalytical Explorations of Emotional Correlates of Cancer of the Breast

&NA; The personality development and psychotherapy of 5 women with cancer of the breast are briefly presented. Special emphasis is placed upon understanding the emotional situation prior to the clinical manifestation of cancer in terms of its disruptive effect on the pre‐existing neurotic structure. It is suggested that depressive reactions have an important effect through decreasing host resistance. We further speculate that carcinogenical trends can possibly be increased and/or reflected by the particular sexual malfunctionings described or by disturbances in the maternal drive. The psychological factors can only be viewed in combination with the multiple organic and environmental factors which are a part of the multicausal process of cancer.
Autonomic and cerebrovascular abnormalities in mild COPD are worsened by chronic smoking

Patients with chronic obstructive pulmonary disease (COPD) may develop hypercapnia and hypoxia, two main determinants of cerebral blood flow. The current authors tested whether cerebrovascular regulation was altered in mild COPD, modified by manoeuvres acutely improving autonomic cardiovascular modulation or influenced by smoking habit. In 15 eucapnic normoxic mild COPD patients (eight smokers) and 28 age-matched controls (14 smokers), midcerebral artery blood flow velocity (MCFV), end-tidal carbon dioxide tension (PET,CO2), arterial oxygen saturation (Sa,O2), ECG and blood pressure at rest were monitored during progressive hypercapnic hyperoxia, isocapnic hypoxia, slow breathing and oxygen administration. MCFV, arterial baroreflex and dynamic MCFV–blood pressure relationships were compared by phase analysis. COPD and control smokers showed higher MCFV (when corrected for PET,CO2), lower cerebrovascular resistance index and lower sensitivity to hypercapnia than nonsmokers, with equal sensitivity to Sa,O2 and similar phase analysis. Arterial baroreflex was depressed in all COPD patients. Slow breathing and oxygen administration improved baroreflex sensitivity and reduced MCFV in all COPD patients. Patients with mild chronic obstructive pulmonary disease show autonomic dysfunction. Chronic smoking induces cerebral vasodilation and impairs cerebrovascular control. All abnormalities can be partly corrected by improving the cardio- and cerebrovascular autonomic modulation, suggesting that functional autonomic abnormalities are already present at an early stage of disease.
Individual-Level Effects of Transparency in ES Implementations: A Dual Perspective on Job and Technology Outcomes

The implementation of advanced Enterprise Systems enables companies to create real-time transparency of business processes and workers’ labor far beyond any magnitude envisioned in the past. While prior research almost neglected implications of increased transparency for the individual, this study provides a deeper theoretical understanding of individual-level effects of transparency in Enterprise Systems implementations. Based on extant theory on IS acceptance and use and the Job Demand-Control(-Support) model, we develop a theoretical model which links transparency to a dual perspective of job and technology appraisals, specifically perceived control, psychological contract breach, performance expectancy, and effort expectancy. These appraisals are suggested to influence individual job and technology outcomes. We present a longitudinal survey research design and first insights from an extensive qualitative substantiation of the model. Our findings are expected to contribute to existing literature on large-scale system implementation and transparency.
Pharmacoeconomics of antifungal pharmacotherapy – challenges and future directions

The frequency and severity of invasive fungal infections have been increasingly recognised and new antifungal therapies have expanded the therapeutic armamentarium available to manage such infections. Antifungal agents comprise a significant portion of antibiotic expenditures at major medical centres, prompting adoption of cost-containment measures and treatment guidelines. This paper reviews available data regarding the costs associated with managing fungal infections, including pharmacoeconomic analyses that have been performed in the setting of documented fungal infections, as well as prophylactic and empiric use of antifungal agents. The challenges of performing such studies are discussed, as well as the limitations of published investigations. Finally, recommendations are made regarding the design and implementation of future pharmacoeconomic analyses that can help establish the true costs of managing invasive fungal infections in at-risk patient populations.
VIRULENCE OF SIX STRAINS OF DUCK PLAGUE VIRUS IN EIGHT WATERFOWL SPECIES

Susceptibility of New World waterfowl to the Lake Andes strain of duck plague virus (DPV) was assessed by intramuscular inoculation of adult muscovies (Cairina moschata), mallards (Anas platyrhynchos), Canada geese (Branta canadensis), wood ducks (Aix sponsa), redheads (Aythya americana), gadwalls (Anas strepera), blue-winged teal (Anas discors), and pintails (Anas acuta). The relative virulence of DPV strains isolated from five United States and one Canadian location was established in muscovies, mallards, and Canada geese. Differences in DPV strain virulence were detected by formation of plaques in cell culture. Two strains that consistently formed plaques killed adult mallards while non-plaque forming strains killed hatchling but not adult mallards. Based on mortality after exposure to the Lake Andes strain, blue-winged teal, then wood ducks and redheads were highly susceptible, muscovies and gadwalls moderately susceptible, mallards and Canada geese less susceptible, and pintails the least susceptible. Mean death times were significantly (P < 0.01) different between adult muscovies (4.5 days) versus mallards and Canada geese (5.8 days each). Mean death time of the virulent Lake Andes and Minnesota strains were shorter (P < 0.05) than for the other four, less virulent DPV strains. Four of the less virulent strains killed hatchling but not adult mallards. Susceptibility to mortality was dependent upon age and route of inoculation. The intramuscular route of inoculation required the least amount of virus to kill mallard and muscovy ducks, the intranasal and conjunctival routes required more virus, and the oral route the most virus. This study was conducted from 1974 to 1977 between the months of September and April, with the exception of two titrations conducted in early May at the University of Wisconsin Department of Veterinary Science and the Charmany research facility of the University of Wisconsin-Madison.
Muscle Strength of Lower Extremities Related to Incident Falls in Community-Dwelling Older Adults

Aim: In order to propose rehabilitation strategies for the reduction of falls risk, thereby preventing falls in older adults, the present study aimed to examine the associations between muscle strength of lower extremities and actual incidence of falls during the 24 weeks follow-up period. Methods: Ninety-nine patients who were attending geriatric outpatient clinic participated and were subjected for analysis. All participants were assessed their physical performances using Motor Fitness Scale and Timed Up and Go test. Muscle strengths of lower extremities were also measured. Incident falls of the participants during the 24 weeks follow-up period were recorded. Results: A binary logistic stepwise regression analysis incorporating all the possible variables into the model revealed that sex (being female) was predictive of frequent falls. Based on the results, the subgroup analysis focusing only on female participants (9 multiple fallers and 49 non-multiple fallers) was carried out using the same definition used in the initial analysis. The results indicated that no lower muscle strengths explained the number of falls in non-multiple fallers, whereas in multiple fallers, plantar flexor muscle strength significantly predicted incident falls during the observation period. Conclusion: Our findings suggested that a standard assessment of muscle strength is a useful component in the risk assessment of falls in a sample of community-dwelling older patients. In particular ankle plantar flexor muscle strength was confirmed to be a predictor of falls in older female patients, therefore might be crucial in considering effective rehabilitation program to prevent falls.
Anthropometric Characteristics of Iranian Military Personnel and their Changes over Recent Years

Background: In most armies, clothes, equipment and weapons are designed according to the physical characteristics and anthropometric data of soldiers. Objective: To study the anthropometric characteristics of Iranian army force and their changes over recent years. Methods: 12 635 Iranian military personnel aged between 18 and 30 years with tenure of <10 years who were normally engaged in educational military activities and soldiers were enrolled in this study, which was conducted in 2010. Results: The military personnel had a mean±SD stature of 174.1±6.3 cm and sitting height of 89.7±3.8 cm. They had a mean weight of 70.0 kg, and body mass index of 23.3 kg/m2. Conclusion: The stature of Iranian army has increased by 14 mm during the last 15 years. The stature was less than those of the western countries and 3–4 cm more than those of East Asian personnel. The body mass index has had an increasing trend.
Intestinal Spirochaetosis of the Colon Diagnosed with Colono-ileoscopy and Multiple Biopsies

This paper deals with the clinical history, the histopathological and TEM features of a case of intestinal spirochaetosis associated with ulcerative colitis and tubular adenomas of the colon. It is the fifth described case of intestinal spirochaetosis in Sweden, and the first in the literature in which a complete colonoscopy with multiple biopsies has been performed. Intestinal spirochaetosis might lead to minor complaints as distension and vague abdominal discomfort, as in this case, but also to more prominent symptoms such as diarrhoea. Heavy infestation of the gut surface epithelium by spirochaetes was seen in the total colon, but was not found in the distal ileum.
Bacterial Vaginosis as a Risk Factor for Post- Cesarean Endometritis

Bacterial species associated with bacterial vaginosis have been isolated more frequently from endometrial cultures of patients with postpartum endometritis than expected from the prevalence of bacterial vaginosis among pregnant women. To further assess the association between bacterial vaginosis and postpartum endometritis, vaginal Gram smears were obtained from women admitted for delivery. Vaginal smears of women delivered by cesarean were scored as normal or as indicating bacterial vaginosis. Factors related independently to postpartum endometritis by multiple logistic regression analysis included maternal age less than 25 years, any duration of membrane rupture, and bacterial vaginosis. The unadjusted odds ratio for the development of postpartum endometritis associated with bacterial vaginosis (odds ratio=6.1, 95% confidence interval 3.3-15.9) was not appreciably changed in the multivariable analysis (odds ratio=5.8, 95% confidence interval 3.0-10.9) after adjusting for maternal age, duration of labor, and duration of membrane rupture. At the time of endometritis, Bacteroides sp, Peptostreptococcus sp, and Gardnerella vaginalis were isolated more frequently from the endometrium using a triple lumen endometrial sampling method among patients with bacterial vaginosis than among those with a normal Gram stain. Bacterial vaginosis appears to be an important risk factor for postpartum endometritis after cesarean delivery.
The ecology of Diplostomum phoxini infections in two minnow (Phoxinus phoxinus) populations in Scotland

Abstract Data are presented on the infection dynamics of the brain-dwelling metacercariae of Diplostomum phoxini (Digenea: Trematoda) parasitizing European minnow (Phoxinus phoxinus) populations in a lowland river (River Endrick) and a highland loch (Loch Maragan) in central Scotland. Prevalence of the parasite approached 100% in all samples taken from both populations over a 12-month period, and within each population the intensity of infection increased with increasing host fork length. However, the two relationships differed, and size-matched minnows from the Endrick exhibited significantly higher intensities than those from Loch Maragan, suggesting that metacercarial acquisition occurred at different rates in the two populations. Data regarding seasonal trends in the acquisition of D. phoxini indicated that fish in both populations become infected with the parasites mainly during the spring and summer, with negligible infection occurring during winter months. Analysis of size-matched fish from individual samples revealed apparent differences in the distribution of D. phoxini within the two host populations. Whereas D. phoxini metacercariae appeared to be overdispersed amongst length-matched fish from Loch Maragan samples, the parasite was distributed normally amongst fish from the Endrick. Possible reasons for the observed differences in the infection characteristics of D. phoxini in the two minnow populations are discussed, with reference to the parasite's transmission dynamics and local environmental conditions.
[The clinical, radiological and prognostic factor analysis of medullary infarction].

OBJECTIVE To investigate the clinical and radiological features of medullary infarction (MI), and to compare the clinical characteristics of lateral medullary infarction (LMI) and medial medullary infarction (MMI). METHODS Patients diagnosed as acute MI who were treated from January 2009 to December 2014 in Department of Neurology, Peking University Third Hospital, were retrospectively enrolled in the study and data were analyzed including risk factors, clinical features, laboratory findings, radiological characteristics, etiology and outcomes. RESULTS A total of 62 cases of MI were enrolled with 48 cases of LMI and 14 cases of MMI , including 2 cases of bilateral MMI. The mean onset age of LMI and MMI was 60.2±12.3 and 56.9±14.2, respectively. The frequently affected location of LMI was the middle and upper part of medulla [40 cases (83.3%)]. The common symptoms and signs of LMI were dizzy (38 cases , 79.2%), sensory disturbance (33 cases , 68.8%), dysarthria ( 32 cases , 66.7%), dysphagia (30 cases , 62.5%), diminished pharyngeal reflex (30 cases, 62.5%), Horner's sign (29 cases, 60.4%), ataxia (26 cases, 54.2%) and nausea or vomiting (25 cases, 52.1%). The frequently affected location of MMI was the upper part of medulla (13 cases, 92.9%). The common symptoms and signs of MMI were motor dysfunction (12 cases, 85.7%), sensory disturbances (11 cases, 78.6%), dizzy (10 cases, 71.4%) and dysarthria (10 cases, 71.4%). Infarctions caused by atherosclerosis were found in 35 cases of LMI (72.9%) and 12 cases of MMI (85.7%). Five cases (10.4%) of LMI died in hospital, while 1 case (7.1%) of MMI died in hospital. No lesion was found in 16 cases (25.8%) by MRI-DWI within the first 24 hours of onset. CONCLUSIONS Our study showes that the mean onset age of LMI is older than that of MMI. The lesion of LMI is frequently located in the upper and middle medulla, whereas the lesion of MMI is mostly in the upper medulla. The prognosis of LMI is worse than that of MMI. Atherosclerosis of the vertebral arteries is the predominant vascular pathology in MI.
Treatment of drug‐eluting stent restenosis: A sandwich may not be the best combo

Drug-eluting stents (DES) have walked a long road since their commercial introduction in 2003, showing their worth preventing in-stent neointimal proliferation. Still, some patients do develop in-stent restenosis (ISR) after percutaneous coronary interventions (PCI) with DES. ISR pattern after DES is more often focal than after bare-metal stent (BMS) [1]. Similar to BMS, the presence of diabetes mellitus and a diffuse DES ISR pattern impact reintervention rates after repeated PCI [1]. Thus, although focal DES restenosis respond to virtually any treatment (DES, angioplasty alone or cutting-balloon), the best approach after the development of the diffuse type remains unclear. Some reports recommend the placement of a second DES, creating a double DES layer or so-called DES sandwich technique, using a stent with either a different or the same antiproliferative drug [2,3]. Recently, Cosgrave et al. reported the results after treating 71 diffuse DES restenosis. Repeat DES was performed in 69% and the rest were treated with balloon angioplasty alone [2]. The authors reported a median late loss of 1.08 (0.14–1.8) mm and a 23% repeat reintervention rate either with DES or angioplasty alone. In contrast with these results, patients with BMS diffuse restenosis treated with DES usually have a reintervention rate of only 10–12% [4,5]. Therefore, it appears that restenosis after DES is linked to a worst outcome than after BMS. In agreement with the above, in this latest issue, Lee CW et al. published a retrospective analysis of 295 patients with restenosis after DES (n 5 71) or BMS (n 5 224), who all underwent treatment with sirolimus-eluting stents [6]. Although their baseline were somewhat balanced, the DES group had shorter lesions and a much lower proportion of diffuse lesions than the BMS group (36.6% vs. 79.9%, P < 0.01). Despite these baseline advantages favoring the DES group, one-year target vessel revascularization rate remained higher than the BMS group. To the moment, several questions regarding the treatment of DES restenosis await to be answered: (a) are suboptimal results after PCI with DES related to procedural issues (underexpansion, geographical miss) or due to drug resistance, (b) if drug resistance is the culprit, is it more frequent with a particular anti-proliferative drug, (c) in case of repeat treatment with DES, should we cross to a different or use the same type, and finally, (d) is DES the best approach for diffuse lesions.