Can I have blood tests to check everything is alright?

Patients often request a general check-up with blood tests. In the UK these are often referred to as an MOT, in allusion to the annual motor vehicle check. Some patients may, however, have unrealistic expectations of medical tests1 and underestimate their potential harms. While agreeing to some blood tests can be an easy way out for a busy clinician, it can expose patients to the harms of over-testing and produce extra workload downstream. We provide a framework for navigating these requests constructively, some elements of which are feasible within a 10 minute consultation

Disgust and Mating Strategy

Cataloged from PDF version of article.An evolutionary task analysis predicts a connection between disgust and human mating, two important but currently disconnected areas of psychology. Because short-term mating strategies involve sex with multiple partners after brief temporal durations, such a strategy should be difficult to pursue in conjunction with high levels of sexual disgust. On this basis, we hypothesized that individuals with a stronger proclivity for short-term mating would exhibit dispositionally lower levels of sexual disgust. Two independent studies provided strong support for this hypothesis: among both men and women, an orientation toward short-term mating was associated with reduced levels of sexual disgust, but not with suppressed moral or pathogen disgust. Our discussion highlights an unexpected finding and suggests important questions for future research. © 2015 Elsevier Inc

Disgust and mating strategy

An evolutionary task analysis predicts a connection between disgust and human mating, two important but currently disconnected areas of psychology. Because short-term mating strategies involve sex with multiple partners after brief temporal durations, such a strategy should be difficult to pursue in conjunction with high levels of sexual disgust. On this basis, we hypothesized that individuals with a stronger proclivity for short-term mating would exhibit dispositionally lower levels of sexual disgust. Two independent studies provided strong support for this hypothesis: among both men and women, an orientation toward short-term mating was associated with reduced levels of sexual disgust, but not with suppressed moral or pathogen disgust. Our discussion highlights an unexpected finding and suggests important questions for future research. © 2015 Elsevier Inc

NEXP-completeness and Universal Hardness Results for Justification Logic

We provide a lower complexity bound for the satisfiability problem of a multi-agent justification logic, establishing that the general NEXP upper bound from our previous work is tight. We then use a simple modification of the corresponding reduction to prove that satisfiability for all multi-agent justification logics from there is hard for the Sigma 2 p class of the second level of the polynomial hierarchy - given certain reasonable conditions. Our methods improve on these required conditions for the same lower bound for the single-agent justification logics, proven by Buss and Kuznets in 2009, thus answering one of their open questions.Comment: Shorter version has been accepted for publication by CSR 201

Hip fracture outcomes in patients with COPD

Hip fractures are common in patients with COPD and contemporary outcome data is needed. Patients admitted with a hip fracture to one acute trust (2010-2015) were assessed prospectively (UK National Hip Fracture Database audit) and mortality data collected. Of the 4020 patients, 16.2% had a recorded COPD diagnosis. Mortality was significantly greater in patients with COPD compared to non-COPD: 30-days (12.6% vs 7.8%) and 1-year (35.3% vs 25.3%), both p[less than] 0.001 and remained significant after adjustment (aOR at 1 year 1.44 95% CI1.18 -1.76). There is further excess mortality following a hip fracture in those with COPD

Friends and happiness: An evolutionary perspective on friendship

An evolutionary perspective yields fresh insights into the nature of human friendships and the emotions associated with these relationships. This approach sheds light on how specific types of friendship would have benefitted ancestral humans in the currency of natural selection—reproductive success—as well as in the currency of subjective well-being. This chapter outlines hypothesized ancestral functions of friendship, and discusses why immersion in friendships results in positive emotions such as happiness. We also review the empirical literature on different friendship types, drawing attention to the unique profiles of costs and benefits that characterize each type of friendship. In light of the various fitness-benefits and challenges that these relationships can pose, we propose evolutionarily inspired strategies for individuals to reap the benefits of friendships while simultaneously minimizing the costs they impose. In this way, we hope that an evolutionary approach not only augments our basic scientific understanding of these fundamental social relationships, but also contributes to the practical objective of enhancing friendships and maximizing their happiness yield. © Springer Science+Business Media Dordrecht 2015

Lumbar curvature: A previously undiscovered standard of attractiveness

This paper reports independent studies supporting the proposal that human standards of attractiveness reflect the output of psychological adaptations to detect fitness-relevant traits. We tested novel a priori hypotheses based on an adaptive problem uniquely faced by ancestral hominin females: a forward-shifted center of mass during pregnancy. The hominin female spine possesses evolved morphology to deal with this adaptive challenge: wedging in the third-to-last lumbar vertebra. Among ancestral women, vertebral wedging would have minimized the net fitness threats posed by hypolordosis and hyperlordosis, thereby creating selective pressures on men to prefer such women as mates. On this basis, we hypothesized that men possess evolved mate preferences for women with this theoretically optimal angle of lumbar curvature. In Study 1, as hypothesized, men's attraction toward women increased as women's lumbar curvature approached this angle. However, vertebral wedging and buttock mass can both influence lumbar curvature. Study 2 thus employed a forced-choice paradigm in which men selected the most attractive woman among models exhibiting the same lumbar curvature, but for different morphological reasons. Men again tended to prefer women exhibiting cues to a degree of vertebral wedging closer to optimum. This included preferring women whose lumbar curvature specifically reflected vertebral wedging rather than buttock mass. These findings reveal novel, theoretically anchored, and previously undiscovered standards of attractiveness. © 2015 Elsevier Inc

Mating strategy, disgust, and food neophobia

Food neophobia and disgust are commonly thought to be linked, but this hypothesis is typically implicitly assumed rather than directly tested. Evidence for the connection has been based on conceptually and empirically unsound measures of disgust, unpublished research, and indirect findings. This study (N = 283) provides the first direct evidence of a relationship between trait-level food neophobia and trait-level pathogen disgust. Unexpectedly, we also found that food neophobia varies as a function of sexual disgust and is linked to mating strategy. Using an evolutionary framework, we propose a novel hypothesis that may account for these previously undiscovered findings: the food neophilia as mating display hypothesis. Our discussion centers on future research directions for discriminatively testing this novel hypothesis. © 2014 Elsevier Ltd

Evolutionary psychology: A how-to guide

Researchers in the social and behavioral sciences are increasingly using evolutionary insights to test novel hypotheses about human psychology. Because evolutionary perspectives are relatively new to psychology and most researchers do not receive formal training in this endeavor, there remains ambiguity about "best practices" for implementing evolutionary principles. This article provides researchers with a practical guide for using evolutionary perspectives in their research programs and for avoiding common pitfalls in doing so. We outline essential elements of an evolutionarily informed research program at 3 central phases: (a) generating testable hypotheses, (b) testing empirical predictions, and (c) interpreting results. We elaborate key conceptual tools, including task analysis, psychological mechanisms, design features, universality, and cost-benefit analysis. Researchers can use these tools to generate hypotheses about universal psychological mechanisms, social and cultural inputs that amplify or attenuate the activation of these mechanisms, and cross-culturally variable behavior that these mechanisms can produce. We hope that this guide inspires theoretically and methodologically rigorous research that more cogently integrates knowledge from the psychological and life sciences. © 2017 American Psychological Association

Aggressive priming online: Facebook adverts can prime aggressive cognitions

Through the process of priming, incidental stimuli in our environments can influence our thoughts, feelings and behavior. This may be true of incidental stimuli in online environments, such as adverts on websites. Two experiments (N=325, N=331) showed that the mere presence of advertisements with violent content on a simulated Facebook page induced higher levels of aggression-related cognition in comparison to non-violent adverts (d=0.56 , d=0.71). In a subsequent word recognition task, participants primed with the violent stimuli 'remembered' more actually-unseen violence-related words than did the control participants. That is, they reported recognizing violent words they had not actually seen. However, priming with violent adverts had no effect on mood or person perception. A third correlational study (N=131) examined whether variance in the extent of priming could be attributed to individual differences in aggressiveness. Participants' aggressiveness was unrelated to their scores on the aggressive cognition measure. These studies established that website adverts with violent content could prime aggressive cognitions. Individuals differed in the extent to which they experienced the priming effect, and this was not attributable to their levels of trait aggressiveness. No effects of priming were found on either mood state or person perception