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Background: Women experience higher rates of adverse events and first rehospitalization after left ventricular assist device (LVAD) implantation compared with men. This study investigated the role of sex and preimplant psychosocial risk in recurrent hospitalizations. Methods: Data from 20,123 INTERMACS patients (21.3% women) were analyzed. Cumulative transition rates (e.g., home to hospitalization) were estimated and Andersen–Gill models, adjusted for covariates, examined the association between sex, preimplant psychosocial risk, and cumulative transition hazards for rehospitalization. State occupation probabilities, the mean number of hospitalizations, and the cumulative average length of hospital stay were calculated and stratified by sex and psychosocial risk. Results: Psychosocial risk preimplant was more prevalent in men than in women (21.4% vs. 17.5%, p < 0.001). The interaction of female sex and psychosocial risk increased rehospitalization hazards, independently of covariates [HRadj 1.11, 95% CI (1.01–1.22), p = 0.036]. One-year postimplant, women with vs. without psychosocial risk had 2.2 vs. 1.8 hospitalizations, while men experienced 1.8 vs. 1.7 hospitalizations, respectively. Women with vs. without psychosocial risk spent 20 vs.16 days hospitalized, and men 15 vs. 14 days (all p < 0.001). Conclusions: Preimplant psychosocial risk independently contributed to recurrent hospitalizations post-LVAD, particularly affecting women. The early identification and management of these factors may reduce rehospitalizations and improve clinical outcomes.
The role of evolutionary and ecological processes with regard to the bauplan of anuran larvae remains little understood. We studied tadpoles of 144 lentic or lotic taxa in 22 families from seven zoogeographic regions. Using stacked high-resolution images, standardized examination of 30 morphological characters of preserved tadpoles (of body, tail, oral disc) were scored and compared to the impact of phylogenetic signal (multiple nuclear and mitochondrial markers) and macro-climate. Additionally, larvae were characterized as living in a lentic versus lotic environment and if nutrition specialist or not. Categorical Principal Component Analysis, distance matrices and pairwise correlation analyses were performed. Our results suggest that phylogeny has a higher impact on the morphology than habitat (i.e. lentic, lotic), while no effect of macro-climate or food specialization was found. We emphasize the value of highly standardized morphological data when investigating the influence of different factors of phenotypic variation.
Introduction:
Researchers working in the field of cognitive aging frequently encounter highly motivated yet nervous older participants during data collection in the laboratory. Such anecdotal experiences raise the question of whether the affective or physiological response of older participants to psychological laboratory experiments differs to that of young adults, who might be less motivated but also less nervous, as they may be more used to the environment and to learning and memory tests.
Methods:
In the present study, we collected saliva samples and subjective affective ratings during an EEG experiment on memory, and at home, in young and older adults, while also taking into account sex effects.
Results:
There was no significant interaction involving time point (laboratory vs. at home) and age group. However, across both time points older males showed significantly higher cortisol-levels than older females, while there was no difference for younger males and females. The trajectories in cortisol levels throughout the session, especially around the memory task, differed by age: While there was a decrease in cortisol levels for younger adults from before to after the memory task, we did not observe such a decrease in older participants. There were few age differences in alpha-amylase or negative affect. However, older adults showed higher ratings of positive affect than younger participants. Importantly, lower cortisol levels before the memory task were associated with higher associative memory performance for older adults.
Discussion:
Affective reactions to psychological laboratory tasks may hence be an important factor to consider in psychological experiments in the field of cognitive aging.
Process-behavioural hydrological modelling aims not only at predicting the discharge of an area within a model, but also at understanding and correctly depicting the underlying hydrological processes. Here, we present a new approach for the calibration and evaluation of water balance models, exemplarily applied to the Riverisbach catchment in Rhineland-Palatinate, Germany. For our approach, we used the behavioural model WaSiM. The first calibration step is the adjustment of the evapotranspiration (ETa) parameters based on MODIS evapotranspiration data. This aims at providing correct evapotranspiration behaviour of the model and at closing the water balance at the gauging station. In the second step, geometry and transmissivity of the aquifer are determined using the characteristic delay curve (CDC). The portion of groundwater recharge was calibrated using the delayed flow index (DFI). In the third step, inappropriate pedotransfer functions (PTFs) could be filtered out by comparing dominant runoff process patterns under a synthetic precipitation event with a soil hydrological reference map. Then, the discharge peaks were adjusted based on so-called signature indices. This ensured a correct depiction of high-flow volume in the model. Finally, the overall model performance was determined using signature indices and efficiency measures. The results show a very good model fit with values of 0.87 for the NSE (Nash–Sutcliffe model efficiency coefficient) and 0.89 for the KGE (Kling–Gupta efficiency) in the calibration period, as well as an NSE of 0.78 and a KGE of 0.87 for the validation period. Simultaneously, our calibration approach ensured a correct depiction of the underlying processes (groundwater behaviour, runoff patterns). We were also able to detect the model parameterisations based on the PTFs that showed satisfactory results across all calibration steps. This enables a targeted selection of the most suitable PTFs for determining the soil properties. This means that our calibration approach allows selecting a process-behaviourally faithful one from many possible parameterisation variants.
Dynamic phenology has so far been a modelling aspect that has received little attention. However, it has been shown that leaf emergence takes place earlier due to the shift in vegetation phase caused by climate change and is strongly dependent on temperature. Here, we demonstrate the calibration of a model for dynamic phenology within the water balance model WaSiM. Temperature sums and dormancy are used as controlling variables. The calibration of the respective parameters was realised using a shuffled complex evolution algorithm. ETa relevant parameters were calibrated based on MODIS data as a reference. Evaluation was done by comparing the ETa curves to MODIS ETa curves as well as a comparison of spatial ETa patterns based on Landsat ETa data. The evaluation shows that the dynamic phenology model used is capable of predicting the start of leaf emergence while also leading to better fitting evapotranspiration curves for the deciduous forest compared with the initial static parameterisation approach.
A fundamental challenge confronting modern organizations is to rationalize the affectivity of their members. In contrast to the 19th century, when communication in private settings was largely devoid of emotional content, the current era is characterized by a notable shift toward the incorporation of emotional elements in public discourse. This transformation is unfolding against the background of the ongoing evolution of modern organizations, with the processes of digitization and structural-automation contributing to this shift. The renewed emphasis on emotional semantics is facilitated by these developments—made possible by the fact that they facilitate the experience of the potential future obsolescence of humans as a source of crises. The concept of emotional semantics is currently being discussed in economic discourse, political debate, and in the context of management and leadership. Modern organizations mandate that their members manage their emotions through an organizational culture that fosters reflective communication through empathy. However, an understanding of this process can only be achieved through an examination of historical evidence. The article posits that organizations serve as pivotal actors in the domain of emotion management. Situated at the nexus of historical educational considerations, this perspective offers a nuanced interpretation of the historical evolution of organizational control ambitions. These ambitions have been catalyzed by contemporary trends, such as digitization and the integration of artificial intelligence and have undergone a progressive transformation over time. By sensitizing to the interplay of personal-psychic, institutional and organizational orders, the conceptual instruments for describing a history of emotions become more nuanced. This is demonstrated in the article through the analysis of specific organizational forms, which exemplify a parallel evolution within modern organizational society. Perspectives and discourses in organizational research provide novel approaches to the history of education by considering the organized nature of emotional phenomena. In this regard, the objective of the article is to provide impetus for the field of emotion-sensitive organization and management research which addresses questions pertaining to the transformation of organizations and their historical lines of continuity.
Observations from multisensory body illusions indicate that the body representation can be adapted to changing task demands, e.g., it can be expanded to integrate external objects based on current sensorimotor experience (embodiment). While the mechanisms that promote embodiment have been studied extensively in earlier work, the opposite phenomenon of, removing an embodied entity from the body representation (i.e., disembodiment) has received little attention yet. The current study addressed this phenomenon and drew inspiration from the partial reinforcement extinction effect in instrumental learning which suggests that behavior is more resistant to extinction when reinforcement is delivered irregularly. In analogy to this, we investigated whether experiencing occasional visuo-motor mismatches during the induction phase of the moving rubber hand illusion (intermittent condition) would result in slower disembodiment as compared to a regular induction phase where motor and visual signals always match (continuous condition). However, we did not find an effect of reinforcement schedule on disembodiment. Keeping a recently embodied entity in the body schema, therefore, requires constant updating through correlated perceptual and motor signals.
Background:
Chronic low back pain (CLBP) is prevalent and a multimodal therapy is indicated, including psychological treatment. Effective conventional treatments involve psychoeducation and mindfulness-based body scans, while virtual reality offers superior but temporary pain relief. Augmented Reality (AR), which combines conventional and virtual methods, is a novel therapeutic strategy.
Methods:
We investigated the viability and acceptability of an AR intervention for CLBP by incorporating psychoeducation and mindfulness-based body scan techniques. 40 participants in two studies with a one-arm design underwent an educational AR intervention (Study I, n1 = 18) and an enhanced version with an additional body scan (Study II, n2 = 22). The studies focused on evaluating technical feasibility and multiple facets of user experience.
Results:
The results demonstrated high feasibility with low dropout rates (Study I: 10%, Study II: 0%). User experience ratings ranged from “Above Average” to “Excellent,” with the advanced intervention receiving higher ratings. While Study I showed no significant changes in affect pre- vs. post-intervention, Study II exhibited a significant reduction in negative affect and improved valence. Qualitative analysis provided insights into technical requirements and user perceptions.
Discussion:
The AR prototype emerges as a promising psychoeducational tool for CLBP, aligning with current treatment guidelines and providing a basis for future controlled clinical trials. Limitations include the absence of a high-pain intervention group, as Study I reported a pain intensity of M = 1.05 and Study II reported M = 1.77 (Range: 0–10). Further research such as clinical trials with control groups is required to validate the efficacy of the piloted approach. The AR-based psychoeducation and mindfulness body scan intervention for CLBP demonstrated technical feasibility and a good user experience.
Development and validation of the Self-Awareness of Ego-Threatening Biases Questionnaire (SAETBQ)
(2025)
Awareness of social biases is crucial as they impact both individual behavior and societal outcomes. Whereas previous research indicates that self-awareness of ego-nonthreatening biases enhances self-regulation, the effects of self-awareness of ego-threatening biases remain underexplored. Preliminary findings suggest that awareness of ego-threatening biases related to rumination may lead to maladaptive states. However, these findings await replication with standardized instruments. To address this gap, we conducted two studies. In Study 1 (N = 1609), we developed and validated the 12-item Self-Awareness of Ego-Threatening Biases Questionnaire (SAETBQ). Consistent with our hypotheses, self-awareness of ego-threatening biases (as measured by the SAETBQ) correlated with higher moral disengagement, lower self-diagnostic motive, and lower integrative self-knowledge, indicating a tendency towards ego deterioration, whereas self-awareness of ego-nonthreatening biases (as measured by the Metacognitive Self questionnaire) showed the opposite pattern of correlations, indicating a tendency towards beneficial self-regulation. In Study 2 (N = 681), Dark Triad traits correlated positively and Light Triad traits negatively with self-awareness of ego-threatening biases. These results underscore the complex role of self-awareness in managing cognitive biases.
Sea-ice leads play a key role in the climate system by facilitating heat and moisture exchanges between the ocean and atmosphere, as well as by providing essential habitats for marine life. This study presents new insights from a gap-filled monthly dataset on sea-ice leads in the Southern Ocean and a first comprehensive analysis of spatial patterns, seasonal variability, and long-term trends of wintertime (April to September) sea-ice leads over a 21-year period (2003–2023). Our findings reveal that leads are ubiquitous in the Southern Ocean and show distinct spatial patterns with maximum lead frequencies close to the coastline, over the shelf break, and close to seafloor ridges and peaks. We see a strong seasonal variability in lead occurrence, with lead frequencies peaking in mid-winter. Weak but significant trends in lead frequencies are shown for the presented period for individual regions and months. Rather small changes in lead occurrence over the 21 years suggest stable wintertime sea-ice compactness despite the observed strong fluctuations and recent anomalies in sea-ice extent. Expanding upon previous work of lead detection in Antarctic sea ice, this study provides first results on the long-term regional, seasonal, and inter-annual variability of sea-ice leads in the Southern Ocean and can thereby contribute to an improved understanding of air–sea-ice–ocean interactions in the climate system. It also underscores the need for further investigation into the individual contributions of atmospheric and oceanic drivers to sea-ice lead formation in the Antarctic.