Multi-detector angio-CT and the use of D-dimer for the diagnosis of acute mesenteric ischemia in geriatric patients

Background: There is no specific laboratory method for the diagnosis of acute mesenteric ischemia (AMI). In this study, we aimed to determine the efficacy of the D-dimer test in selected cases prior to multi-detector angio-CT, which is expensive and has side effects.Methods: Patients, over 65, with abdominal pain were included in this study. The D-dimer test was applied to 230 (34%) of 676 abdominal pain patients admitted to our emergency service. The D-dimer levels of the patients diagnosed with AMI by angio-CT were compared.Results: In AMI patients sensitivity of the D-dimer test was 84.6% and the specificity was 47.9%. Elevated D-dimer levels and AF were observed in 90.9% of the patients diagnosed with AMI by CT.Conclusion: D-dimer levels were elevated in the AMI patients. Patients suspected of having AMI with unclear clinical results and patients with D-dimer levels above 1000 ng/ml and AF should undergo further evaluation. © 2014, TJTES

XMM-Newton and Swift observations of WZ Sge: spectral and timing analysis

WZ Sagittae is the prototype object of a subclass of dwarf novae, with rare and long (super)outbursts, in which a white dwarf primary accretes matter from a low mass companion. High-energy observations offer the possibility of a better understanding of the disk-accretion mechanism in WZ Sge-like binaries. We used archival XMM-Newton and Swift data to characterize the X-ray spectral and temporal properties of WZ Sge in quiescence. We performed a detailed timing analysis of the simultaneous X-ray and UV light curves obtained with the EPIC and OM instruments on board XMM-Newton in 2003. We employed several techniques in this study, including a correlation study between the two curves. We also performed an X-ray spectral analysis using the EPIC data, as well as Swift/XRT data obtained in 2011. We find that the X-ray intensity is clearly modulated at a period of about 28.96 s, confirming previously published preliminary results. We find that the X-ray spectral shape of WZ Sge remains practically unchanged between the XMM-Newton and Swift observations. However, after correcting for inter-stellar absorption, the intrinsic luminosity is estimated to be about 2.65X10^ 30 erg/s/cm^2 and 1.57X10^30 erg/s/cm^2 in 2003 and 2011, respectively. During the Swift/XRT observation, the observed flux is a factor of about 2 lower than that observed by XMM-Newton, but is similar to the quiescent levels observed various times before the 2001 outburst.Comment: Accepted for publication on A&A.10 pages, 9 figure

Realism, Instrumentalism, and Scientific Symbiosis: Psychological Theory as a search for truth and the discovery of solutions

Scientific realism holds that scientific theories are approximations of universal truths about reality, whereas scientific instrumentalism posits that scientific theories are intellectual structures that provide adequate predictions of what is observed and useful frameworks for answering questions and solving problems in a given domain. These philosophical perspectives have different strengths and weaknesses and have been regarded as incommensurate: Scientific realism fosters theoretical rigor, verifiability, parsimony, and debate, whereas scientific instrumentalism fosters theoretical innovation, synthesis, generativeness, and scope. The authors review the evolution of scientific realism and instrumentalism in psychology and propose that the categorical distinction between the 2 is overstated as a prescription for scientific practice. The authors propose that the iterative deployment of these 2 perspectives, just as the iterative application of inductive and deductive reasoning in science, may promote more rigorous, integrative, cumulative, and useful scientific theories

Retrieval Contexts and the Concreteness Effect: Dissociations in Memory of Concrete and Abstract Words

Decades of research on the concreteness effect, namely better memory for concrete as compared with abstract words, suggest it is a fairly robust phenomenon. Nevertheless, little attention has been given to limiting retrieval contexts. Two experiments evaluated intentional memory for concrete and abstract word lists in three retrieval contexts: free recall, explicit word-stem completion, and implicit word-stem completion. Concreteness effects were observed in free recall and in explicit word-stem completion, but not in implicit word-stem completion. These findings are consistent with both a bidirectional version of the relational-distinctiveness processing framework (Ruiz-Vargas, Cuevas, & Marschark, 1996) and a second framework combining insights from dual coding theory (Paivio, 1971, 1986) and the transfer appropriate processing framework (Roediger, Weldon, & Challis, 1989). Also, consistent with the relational-distinctiveness framework, the second experiment suggested that concreteness effects might depend on relational processing at encoding: Concreteness effects were observed in explicit memory for related word lists but not for unrelated word lists. © 2005 Psychology Press Ltd

Lie experts' beliefs about non-verbal indicators of deception

ABSTRACT.. Beliefs about behavioral clues to deception were investigated in 212 people, consisting of prisoners, police detectives, patrol police officers, prison guards, customs officers, and college students. Previous studies, mainly conducted with college students as subjects, showed that people have some incorrect beliefs about behavioral clues to deception. It was hypothesized that prisoners would have the best notion about clues of deception, due to the fact that they receive the most adequate feedback about successful deception strategies. The results supported this hypothesis

Affective stimulus properties influence size perception and the Ebbinghaus illusion

In the New Look literature of the 1950s, it has been suggested that size judgments are dependent on the affective content of stimuli. This suggestion, however, has been ‘discredited’ due to contradictory findings and methodological problems. In the present study, we revisited this forgotten issue in two experiments. The first experiment investigated the influence of affective content on size perception by examining judgments of the size of target circles with and without affectively loaded (i.e., positive, neutral, and negative) pictures. Circles with a picture were estimated to be smaller than circles without a picture, and circles with a negative picture were estimated to be larger than circles with a positive or a neutral picture confirming the suggestion from the 1950s that size perception is influenced by affective content, an effect notably confined to negatively loaded stimuli. In a second experiment, we examined whether affective content influenced the Ebbinghaus illusion. Participants judged the size of a target circle whereby target and flanker circles differed in affective loading. The results replicated the first experiment. Additionally, the Ebbinghaus illusion was shown to be weakest for a negatively loaded target with positively loaded and blank flankers. A plausible explanation for both sets of experimental findings is that negatively loaded stimuli are more attention demanding than positively loaded or neutral stimuli