Helmsdunn0660
One major stressor of adolescents relates to the pressure students perceive from their parents accompanied by high academic expectations, while in contrast parental support is related to low levels of stress. However, it is not clear whether the perceived parental pressure and support contribute to a change in students' stress level from early to middle adolescence and if there are differences among students from low vs. high track schools.
Thus, based on the conservation of resources theory, this two-wave study examined the role of perceived maternal and paternal pressure and support for students' general stress level from grades 8 to 9 among students attending high- and low-track schools by applying multigroup multilevel latent change modeling based on data from 1088 8
grade students (M
= 13.70, SD = 0.53, 53.9% girls at Time 1).
Results indicate that the general stress level from early to middle adolescence increases for students from low-track schools only. This change increases even more if students from lowtrack schools perceive pressure from their fathers, whereas perceived paternal support dampen the increase of stress. For students from high-track schools, perceived maternal pressure is positively and maternal support negatively related to students' stress level in grade 8. Overall, boys tend to report lower stress levels compared to girls.
The findings of the present study support the conservation of resources theory, as both perceived support and pressure from parents and the educational context predict students' stress development during adolescence.
The findings of the present study support the conservation of resources theory, as both perceived support and pressure from parents and the educational context predict students' stress development during adolescence.
Boarding of ICU patients in the ED is increasing. Illness severity scores may help emergency physicians stratify risk to guide earlier transfer to the ICU and assess pre-ICU interventions by adjusting for baseline mortality risk. Most existing illness severity scores are based on data that is not available at the time of the hospital admission decision or cannot be extracted from the electronic health record (EHR). We adapted the SOFA score to create a new illness severity score (eccSOFA) that can be calculated at the time of ICU admission order entry in the ED using EHR data. We evaluated this score in a cohort of emergency critical care (ECC) patients at a single academic center over a period of 3years.
This was a retrospective cohort study using EHR data to assess predictive accuracy of eccSOFA for estimating in-hospital mortality risk. The patient population included all adult patients who had a critical care admission order entered while in the ED of an academic medical center between 10/24/2013 and be calculated based on variables that are commonly available at the time of critical care admission order entry in the ED and has discriminatory ability that is comparable to other commonly used illness severity scores. Future studies should assess the calibration of our absolute risk predictions.Our objective was to determine how different spatial frequencies affect the perceptual size rescaling of stimuli in the corridor illusion. Two experiments were performed using the method of constant stimuli. In experiment 1, the task required participants to compare the size of comparison and standard rings displayed over the same background image. ANOVA on the points of subject equality (PSEs) revealed that the perceived size of the top and bottom standard rings changed as a function of the availability of the high, medium, and low spatial frequency information. In experiment 2, the task required participants to compare the size of a comparison ring presented outside of the background image with a standard ring presented inside it. ANOVA on the PSEs revealed that the apparent size of the top and not the bottom standard ring changed depending on the availability of medium spatial frequency information. Eye-tracking revealed that the spatial frequency range of the background image in the periphery affected participants' eye positioning, which may explain why the effects of different spatial frequencies fluctuated across experiments. Nonetheless, when we consider these findings together, we propose that the conceptual understanding of depth plays a more important role in explaining the corridor illusion than the low-level processing of depth information extracted from different spatial frequencies along separate channels.This study aimed to investigate differences in attentional processes in response to food cues and body shape concerns according to an individual's level of weight suppression. Among 470 women in their 20s, nonobese participants (body mass index [BMI] less then 25 kg/m2) were divided into two groups according to weight history. If the difference between their highest weight ever and current weight was greater than 10%, they were assigned to the high level of weight suppression (H-WS) group (n = 24); if it was less than 5%, they were assigned to the low level of weight suppression (L-WS) group (n = 29). Self-reported body shape concerns and bulimia nervosa symptoms were assessed. Visual attentional processes were recorded using an eye tracker while participants completed a free-viewing task composed of pairs of high- and low-calorie food cues. After controlling for current BMI, the H-WS group reported higher body shape concerns and higher levels of bulimia nervosa symptoms than did the L-WS group. In the free-viewing task, after controlling for current BMI, body shape concerns, and bulimia nervosa symptoms, the H-WS group had a significantly longer dwell time for high-calorie compared with low-calorie food cues than did the L-WS group, and this difference was observed for the first 1000 ms. Compared with individuals with low weight suppression, the vulnerability to bulimia nervosa symptoms observed in individuals with high weight suppression may be associated with a higher automatic approach tendency toward high-calorie foods after adjusting for body shape concerns.
To evaluate the diagnostic performance of galactomannan (GM) detection in serum and bronchoalveolar lavage fluid (BALF) for invasive pulmonary aspergillosis (IPA) in non-neutropenic patients.
A total of 291 non-neutropenic patients in the Second Xiangya Hospital of Central South University were included. According to the 2019 EORTC/MSG guidelines, all cases were divided into an IPA group (n = 24) and a non-IPA group (n = 267). Receiver operating characteristic (ROC) curves were drawn to compare the diagnostic efficiency of GM detection in BALF and serum.
According to the receiver operating characteristic curves of BALF and serum GM, the areas under the curve were 0.961 and 0.699, respectively. The optimal BALF GM detection was found when the cutoff value was set to 0.87, whereas the sensitivity and specificity were 91.7% and 92.5%, respectively.
BALF GM detection is more sensitive than serum GM detection for diagnosing IPA, and the optimal cutoff value for BALF GM is 0.87.
BALF GM detection is more sensitive than serum GM detection for diagnosing IPA, and the optimal cutoff value for BALF GM is 0.87.Detection of polymyxins susceptibility is challenging. We aimed to evaluate Rapid Polymyxin NP from colonies (NP-colony) and directly from positive blood bottles (NP-bottle), using polymyxin B instead of colistin among Enterobacterales. Both had similar and acceptable accuracy. This is the first study performing NP-bottle using polymyxin B instead of colistin.Previous studies have identified localized associations between childhood environment - namely their socio-economic status (SES) - and particular neural structures. The primary aim of the current study was to test whether associations between SES and brain structure are widespread or limited to specific neural pathways. We employed advances in whole-brain structural connectomics to address this. Diffusion tensor imaging was used to construct whole-brain connectomes in 113 6-12 year olds. We then applied an adapted multi-block partial-least squares (PLS) regression to explore how connectome organisation is associated with childhood SES (parental income, education levels, and neighbourhood deprivation). The Fractional Anisotropy (FA) connectome was significantly associated with childhood SES and this effect was widespread. We then pursued a secondary aim, and demonstrated that the connectome mediated the relationship between SES and cognitive ability (matrix reasoning and vocabulary). However, the connectome did not significantly mediate SES relationships with academic ability (maths and reading) or internalising and externalising behavior. This multivariate approach is important for advancing our theoretical understanding of how brain development may be shaped by childhood environment, and the role that it plays in predicting key outcomes. We also discuss the limitations with this new methodological approach.Morphine has been long recognized as standard of care in the treatment of acute coronary syndrome (ACS) patients; however, its safety has recently been called into question due to a drug interaction with P2Y12 inhibitors. Opioids, given in combination with P2Y12 inhibitors, can reduce antiplatelet effects by slowing gastrointestinal motility and ultimately reducing drug absorption. While there are proposed benefits of opioids in ACS patients, conflicting data regarding clinical outcomes exist. The majority of clinical data slightly favors opioid use in ST-elevation myocardial infarction over non-ST-elevation myocardial infarction, although trends for increased myocardial infarction are present in both settings. Current practice should be aimed at discerning the need for routine opioid use in ACS. Alternative strategies may be needed to overcome these interactions; however, no robust data are currently available to support these treatment options. Future research should be aimed at non-opioid treatment options in ACS, as opioid use remains controversial in this population.Dinoflagellate blooming periods are paradoxically characterized by high biomass growth rate and low ambient dissolved CO2 and inorganic nutrients, however, the underlying mechanisms linking cell growth and nutrient acquisition are poorly understood. Here, we compared metaproteomes of non-bloom, mid-blooming and late-blooming cells of a marine dinoflagellate Prorocentrum donghaiense. Cell division, metabolism of carbon, nitrogen, phosphorus, lipid, porphyrin and chlorophyll were more active in blooming cells than in non-bloom cells. Up-regulation of carbonic anhydrase, ribulose-1,5-bisphosphate carboxylase/oxygenase II, and C4-cycle proteins enhanced CO2 assimilation of P. Sodiumdichloroacetate donghaiense. Proteins participating in external organic nutrient acquisition and conversion, such as transporters for fatty acids, peptides and amino acids, external- and internal-phosphomonoester hydrolase, and diverse peptidases and amino acid transaminases, exhibited higher expression in blooming cells relative to non-bloom cells. Interestingly, dissolved organic nitrogen (DON) such as urea and aspartate significantly down-regulated expression and activity of carbon assimilation proteins except for RuBisCO form II, suggesting that DON provided sufficient carbon source which reduced the need to concentrate internal CO2. This study demonstrates that coupling of efficient CO2 assimilation with DON utilization are essential for bloom maintenance of P. donghaiense, and future efforts should be devoted to dissolved organic nutrients for prevention and management of dinoflagelllate blooms.