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Background: We evaluated depression and social isolation assessed at time of waitlisting as predictors of survival in heart transplant (HTx) recipients. Methods and Results: Between 2005 and 2006, 318 adult HTx candidates were enrolled in the Waiting for a New Heart Study, and 164 received transplantation. Patients were followed until February 2013. Psychosocial characteristics were assessed by questionnaires. Eurotransplant provided medical data at waitlisting, transplantation dates, and donor characteristics; hospitals reported medical data at HTx and date of death after HTx. During a median followâ€up of 70 months (<1"93 months postâ€HTx), 56 (38%) of 148 transplanted patients with complete data died. Depression scores were unrelated to social isolation, and neither correlated with disease severity. Higher depression scores increased the risk of dying (hazard ratio=1.07, 95% confidence interval, 1.01, 1.15, P=0.032), which was moderated by social isolation scores (significant interaction term; hazard ratio = 0.985, 95% confidence interval, 0.973, 0.998; P=0.022). These findings were maintained in multivariate models controlling for covariates (P values 0.020"0.039). Actuarial 1â€year/5â€year survival was best for patients with low depression who were not socially isolated at waitlisting (86% after 1 year, 79% after 5 years). Survival of those who were either depressed, or socially isolated or both, was lower, especially 5 years posttransplant (56%, 60%, and 62%, respectively). Conclusions: Low depression in conjunction with social integration at time of waitlisting is related to enhanced chances for survival after HTx. Both factors should be considered for inclusion in standardized assessments and interventions for HTx candidates. We evaluated depression and social isolation assessed at time of waitlisting as predictors of survival in heart transplant (HTx) recipients.\r\n\r\nMethods and Results: Between 2005 and 2006, 318 adult HTx candidates were enrolled in the Waiting for a New Heart Study, and 164 received transplantation. Patients were followed until February 2013. Psychosocial characteristics were assessed by questionnaires. Eurotransplant provided medical data at waitlisting, transplantation dates, and donor characteristics; hospitals reported medical data at HTx and date of death after HTx. During a median followâ€up of 70 months (<1"93 months postâ€HTx), 56 (38%) of 148 transplanted patients with complete data died. Depression scores were unrelated to social isolation, and neither correlated with disease severity. Higher depression scores increased the risk of dying (hazard ratio=1.07, 95% confidence interval, 1.01, 1.15, P=0.032), which was moderated by social isolation scores (significant interaction term; hazard ratio = 0.985, 95% confidence interval, 0.973, 0.998; P=0.022). These findings were maintained in multivariate models controlling for covariates (P values 0.020"0.039). Actuarial 1â€year/5â€year survival was best for patients with low depression who were not socially isolated at waitlisting (86% after 1 year, 79% after 5 years). Survival of those who were either depressed, or socially isolated or both, was lower, especially 5 years posttransplant (56%, 60%, and 62%, respectively).
Rezensiert wird das umfangreiche Buch von Matthias Steinle, das die wechselseitige Darstellung der Bundesrepublik Deutschland und der Deutschen Demokratischen Republik in Dokumentarfilmen analysiert. Die Materialauswahl umfasst mehr als 60 Filme, wobei der Begriff von Dokumentarfilm weit gefasst ist und auch Kino-Wochenschauen berücksichtigt werden,
The forward testing effect is an indirect benefit of retrieval practice. It refers to the finding that retrieval practice of previously studied information enhances learning and retention of subsequently studied other information in episodic memory tasks. Here, two experiments were conducted that investigated whether retrieval practice influences participants’ performance in other tasks, i.e., arithmetic tasks. Participants studied three lists of words in anticipation of a final recall test. In the testing condition, participants were immediately tested on lists 1 and 2 after study of each list, whereas in the restudy condition, they restudied lists 1 and 2 after initial study. Before and after study of list 3, participants did an arithmetic task. Finally, participants were tested on list 3, list 2, and list 1. Different arithmetic tasks were used in the two experiments. Participants did a modular arithmetic task in Experiment 1a and a single-digit multiplication task in Experiment 1b. The results of both experiments showed a forward testing effect with interim testing of lists 1 and 2 enhancing list 3 recall in the list 3 recall test, but no effects of recall testing of lists 1 and 2 for participants’ performance in the arithmetic tasks. The findings are discussed with respect to cognitive load theory and current theories of the forward testing effect.
In order to discuss potential sustainability issues of expanding silage maize cultivation in Rhineland-Palatinate, spatially explicit monitoring is necessary. Publicly available statistical records are often not a sufficient basis for extensive research, especially on soil health, where risk factors like erosion and compaction depend on variables that are specific to every site, and hard to generalize for larger administrative aggregates. The focus of this study is to apply established classification algorithms to estimate maize abundance for each independent pixel, while at the same time accounting for their spatial relationship. Therefore, two ways to incorporate spatial autocorrelation of neighboring pixels are combined with three different classification models. The performance of each of these modeling approaches is analyzed and discussed. Finally, one prediction approach is applied to the imagery, and the overall predicted acreage is compared to publicly available data. We were able to show that Support Vector Machine (SVM) classification and Random Forests (RF) were able to distinguish maize pixels reliably, with kappa values well above 0.9 in most cases. The Generalized Linear Model (GLM) performed substantially worse. Furthermore, Regression Kriging (RK) as an approach to integrate spatial autocorrelation into the prediction model is not suitable in use cases with millions of sparsely clustered training pixels. Gaussian Blur is able to improve predictions slightly in these cases, but it is possible that this is only because it smoothes out impurities of the reference data. The overall prediction with RF classification combined with Gaussian Blur performed well, with out of bag error rates of 0.5% in 2009 and 1.3% in 2016. Despite the low error rates, there is a discrepancy between the predicted acreage and the official records, which is 20% in 2009 and 27% in 2016.
The global spread of the coronavirus pandemic has particularly dramatic consequences for the lives of migrants and refugees living in already marginalised and restricted conditions, whose ongoing crisis is at risk of being overlooked. But refugees are not only extremely vulnerable and at risk of infection, as several reports show, quickly develop their own protection measures like the production of hygienic products, the publication of their situation and calls for action and help. Therefore, this paper aims to research the effects of the coronavirus crisis on refugees in camp settings with a special ethnographic focus on how refugees actively deal with this crisis and if they, through already developed resilience, are capable of adapting to the restrictions as well as inventing strategies to cope with the difficult situation. To account for the variety of refugee camps as well as the different living conditions due to their locality, history and national asylum politics, we will look at three different locations, namely refugee asylum homes in Germany, hotspots on the Greek islands as well as one refugee camp in Kenya. The main questions will be how, under structurally and institutionally framed conditions of power and victimisation in refugee camps, forms of agency are established, made possible or limited. The goal is to show which strategies refugees apply to cope with the enhanced restrictions and exclusion, how they act to protect themselves and others from the virus and how they present and reflect their situation during the coronavirus pandemic. Finally, this discussion offers a new perspective to consider refugees not only as vulnerable victims, but also as actively engaged individuals.
Reconstructing invisible deviating events: A conformance checking approach for recurring events
(2022)
Conformance checking enables organizations to determine whether their executed processes are compliant with the intended process. However, if the processes contain recurring activities, state-of-the-art approaches unfortunately have difficulties calculating the conformance. The occurrence of complex temporal rules can further increase the complexity of the problem. Identifying this limitation, this paper presents a novel approach towards dealing with recurring activities in conformance checking. The core idea of the approach is to reconstruct the missing events in the event log using defined rules while incorporating specified temporal event characteristics. This approach then enables the use of native conformance checking algorithms. The paper illustrates the algorithmic approach and defines the required temporal event characteristics. Furthermore, the approach is applied and evaluated in a case study on an event log for melanoma surveillance.
Background: Hyperhidrosis (excessive sweating, OMIM %114110) is a complex disorder with multifactorial causes. Emotional strains and social stress increase symptoms and lead to a vicious circle. Previously, we showed significantly higher depression scores, and normal cortisol awakening responses in patients with primary focal hyperhidrosis (PFH). Stress reactivity in response to a (virtual) Trier Social Stress Test (TSST-VR) has not been studied so far. Therefore, we measured sweat secretion, salivary cortisol and alpha amylase (sAA) concentrations, and subjective stress ratings in affected and non-affected subjects in response to a TSST-VR.
Method: In this pilot study, we conducted TSST-VRs and performed general linear models with repeated measurements for salivary cortisol and sAA levels, heart rate, axillary sweat and subjective stress ratings for two groups (diagnosed PFH (n = 11), healthy controls (n = 16)).
Results: PFH patients showed significantly heightened sweat secretion over time compared to controls (p = 0.006), with highest quantities during the TSST-VR. In both groups, sweating (p < 0.001), maximum cortisol levels (p = 0.002), feelings of stress (p < 0.001), and heart rate (p < 0.001) but not sAA (p = 0.068) increased significantly in response to the TSST-VR. However, no differences were detected in subjective ratings, cortisol concentrations and heart rate between PFH patients and controls (pall > 0.131).
Conclusion: Patients with diagnosed PFH showed stress-induced higher sweat secretion compared to healthy controls but did not differ in the stress reactivity with regard to endocrine or subjective markers. This pilot study is in need of replication to elucidate the role of the sympathetic nervous system as a potential pathway involved in the stress-induced emotional sweating of PFH patients.
Background: Psychotherapy is successful for the majority of patients , but not for every patient. Hence, further knowledge is needed on how treatments should be adapted for those who do not profit or deteriorate. In the last years prediction tools as well as feedback interventions were part of a trend to more personalized approaches in psychotherapy. Research on psychometric prediction and feedback into ongoing treatment has the potential to enhance treatment outcomes, especially for patients with an increased risk of treatment failure or drop-out.rnMethods/design: The research project investigates in a randomized controlled trial the effectiveness as well as moderating and mediating factors of psychometric feedback to therapists. In the intended study a total of 423 patients, who applied for a cognitive-behavioral therapy at the psychotherapy clinic of the University Trier and suffer from a depressive and/or an anxietyrndisorder (SCID interviews), will be included. The patients will be randomly assigned either to one therapist as well as to one of two intervention groups (CG, IG2). An additional intervention group (IG1) will be generated from an existing archival data set via propensity score matching. Patients of the control group (CG; n = 85) will be monitored concerning psychological impairment but therapists will not be provided with any feedback about the patients assessments. In both intervention groups (IG1: n = 169; IG2: n = 169) the therapists are provided with feedback about the patients self-evaluation in a computerized feedback portal. Therapists of the IG2 will additionally be provided with clinical support tools, which will be developed in thisrnproject, on the basis of existing systems. Therapists will also be provided with a personalized treatment recommendation based on similar patients (Nearest Neighbors) at the beginning of treatment. Besides the general effectiveness of feedback and the clinical support tools for negatively developing patients, further mediating and moderating variables on this feedback effectrnshould be examined: treatment length, frequency of feedback use, therapist effects, therapist- experience, attitude towards feedback as well as congruence of therapist-andpatient- evaluation concerning the progress. Additional procedures will be implemented to assess treatment adherence as well as the reliability of diagnosis and to include it into the analyses.rnDiscussion: The current trial tests a comprehensive feedback system which combines precision mental health predictions with routine outcome monitoring and feedback tools in routine outpatient psychotherapy. It also adds to previous feedback research a stricter design by investigating another repeated measurement CG as well as a stricter control of treatment integrity. It also includes a structured clinical interview (SCID) and controls for comorbidity (within depression and anxiety). This study also investigates moderators (attitudes towards, use of the feedback system, diagnoses) and mediators (therapists" awareness of negative change and treatment length) in one study.
Measurements of dust emissions and the modeling of dissipation dynamics and total values are related to great uncertainties. Agricultural activity, especially soil cultivation, may be an essential component to calculate and model local and regional dust dynamics and even connect to the global dust cycle. To budget total dust and to assess the impact of tillage, measurement of mobilized and transported dust is an essential but rare basis. In this study, a simple measurement concept with Modified Wilson and Cook samplers was applied for dust measurements on a small temporal and spatial scale on steep-slope vineyards in the Moselle area. Without mechanical impact, a mean horizontal flux of 0.01 g m2 min−1 was measured, while row tillage produced a mean horizontal flux of 5.92 g m2 min−1 of mobilized material and 4.18 g m2 min−1 emitted dust from site (=soil loss). Compared on this singular-event basis, emissions during tillage operations generated 99.89% of total emitted dust from the site under low mean wind velocities. The results also indicate a differing impact of specific cultivation operations, mulching, and tillage tools as well as the additional influence of environmental conditions, with highest emissions on dry soil and with additional wind impact. The dust source function is strongly associated with cultivation operations, implying highly dynamic but also regular and thus predictable and projectable emission peaks of total suspended particles. Detailed knowledge of the effects of mechanical impulses and reliable quantification of the local dust emission inventory are a basis for analysis of risk potential and choice of adequate management options.
We examined the long-term relationship of psychosocial risk and health behaviors on clinical events in patients awaiting heart transplantation (HTx). Psychosocial characteristics (e.g., depression), health behaviors (e.g., dietary habits, smoking), medical factors (e.g., creatinine), and demographics (e.g., age, sex) were collected at the time of listing in 318 patients (82% male, mean age = 53 years) enrolled in the Waiting for a New Heart Study. Clinical events were death/delisting due to deterioration, high-urgency status transplantation (HU-HTx), elective transplantation, and delisting due to clinical improvement. Within 7 years of follow-up, 92 patients died or were delisted due to deterioration, 121 received HU-HTx, 43 received elective transplantation, and 39 were delisted due to improvement. Adjusting for demographic and medical characteristics, the results indicated that frequent consumption of healthy foods (i.e., foods high in unsaturated fats) and being physically active increased the likelihood of delisting due improvement, while smoking and depressive symptoms were related to death/delisting due to clinical deterioration while awaiting HTx. In conclusion, psychosocial and behavioral characteristics are clearly associated with clinical outcomes in this population. Interventions that target psychosocial risk, smoking, dietary habits, and physical activity may be beneficial for patients with advanced heart failure waiting for a cardiac transplant.
Dysfunctional eating behavior is a major risk factor for developing all sorts of eating disorders. Food craving is a concept that may help to understand better why and how these and other eating disorders become chronic conditions through non homeastatically-driven mechanisms. As obesity affects people worldwide, cultural differences must be acknowledged to apply proper therapeutic strategies. In this work, we adapted the Food Craving Inventory (FCI) to the German population. We performed a factor analysis of an adaptation of the original FCI in a sample of 326 men and women. We could replicate the factor structure of the FCI on a German population.rnThe factor extraction procedure produced a factor solution that reproduces the fourfactors described in the original inventory, the FCI. Our instrument presents high internal consistency, as well as a significant correlation with measures of convergent and discriminant validity. The FCI-Deutsch (FCI-DE) is a valid instrument to assess craving for particular foods in Germany, and it could, therefore, prove useful in the clinical and research practice in the field of obesity and eating behaviors.
Properties Evaluation of Composite Materials Based on Gypsum Plaster and Posidonia Oceanica Fibers
(2023)
Estimating the amount of material without significant losses at the end of hybrid casting is a problem addressed in this study. To minimize manufacturing costs and improve the accuracy of results, a correction factor (CF) was used in the formula to estimate the volume percent of the material in order to reduce material losses during the sample manufacturing stage, allowing for greater confidence between the approved blending plan and the results obtained. In this context, three material mixing schemes of different sizes and shapes (gypsum plaster, sand (0/2), gravel (2/4), and Posidonia oceanica fibers (PO)) were created to verify the efficiency of CF and more precisely study the physico-mechanical effects on the samples. The results show that the use of a CF can reduce mixing loss to almost 0%. The optimal compressive strength of the sample (S1B) with the lowest mixing loss was 7.50 MPa. Under optimal conditions, the addition of PO improves mix volume percent correction (negligible), flexural strength (5.45%), density (18%), and porosity (3.70%) compared with S1B. On the other hand, the addition of PO thermo-chemical treatment by NaOH increases the compressive strength (3.97%) compared with PO due to the removal of impurities on the fiber surface, as shown by scanning electron microscopy. We then determined the optimal mixture ratio (PO divided by a mixture of plaster, sand, and gravel), which equals 0.0321 because Tunisian gypsum contains small amounts of bassanite and calcite, as shown by the X-ray diffraction results.