Empathic reactions to press photographs from the War in Ukraine: A Q-sort study

This study scrutinizes press photographs published during the first 6 weeks of the Russian War in Ukraine, beginning February 24th, 2022. Its objective is to shed light on the emotions evoked in Internet-savvy audiences. This empirical research aims to contribute to the understanding of emotional media effects that shape attitudes and actions of ordinary citizens. Main research questions are: What kind of empathic reactions are observed during the Q-sort study? Which visual patterns are relevant for which emotional evaluations and attributions? The assumption is that the evaluations and attributions of empathy are not random, but follow specific patterns. The empathic reactions are based on visual patterns which, in turn, influence the type of empathic reaction. The identification of specific categories for visual and emotional reaction patterns are arrived at in different methodological processes. Visual pattern categories were developed inductively, using the art history method of iconography-iconology to identify six distinct types of visual motifs in a final sample of 33 war photographs. The overarching categories for empathic reactions—empty empathy, vicarious traumatization and witnessing—were applied deductively, building on E. Ann Kaplan's pivotal distinctions. The main result of this research are three novel categories that combine visual patterns with empathic reaction patterns. The labels for these categories are a direct result of the Q-factorial analysis, interpreted through the lense of iconography-iconology. An exploratory nine-scale forced-choice Q-sort study (Nstimuli = 33) was implemented, followed by self-report interviews with a total of 25 participants [F = 16 (64%), M = 9 (36%), Mage = 26.4 years]. Results from this exploratory research include motivational statements on the meanings of war photography from semi-structured post-sort-interviews. The major result of this study are three types of visual patterns (“factors”) that govern distinct empathic reactions in participants: Factor 1 is “veiled empathy” with highest empathy being attributed to photos showing victims whose corpses or faces were veiled. Additional features of “veiled empathy” are a strong anti-politician bias and a heightened awareness of potential visual manipulation. Factor 2 is “mirrored empathy” with highest empathy attributions to photos displaying human suffering openly. Factor 3 focused on the context. It showed a proclivity for documentary style photography. This pattern ranked photos without clear contextualization lower in empathy than those photos displaying the fully contextualized setting. To the best of our knowledge, no study has tested empathic reactions to war photography empirically. In this respect, the study is novel, but also exploratory. Findings like the three patterns of visual empathy might be helpful for photo selection processes in journalism, for political decision-making, for the promotion of relief efforts, and for coping strategies in civil society to deal with the potentially numbing or traumatizing visual legacy of the War in Ukraine

Pro-atrial natriuretic peptide is a prognostic marker in sepsis, similar to the APACHE II score: an observational study

INTRODUCTION: Additional biomarkers in sepsis are needed to tackle the challenges of determining prognosis and optimizing selection of high-risk patients for application of therapy. In the present study, conducted in a cohort of medical intensive care unit patients, our aim was to compare the prognostic value of mid-regional pro-atrial natriuretic peptide (ANP) levels with those of other biomarkers and physiological scores. METHODS: Blood samples obtained in a prospective observational study conducted in 101 consecutive critically ill patients admitted to the intensive care unit were analyzed. The prognostic value of pro-ANP levels was compared with that of the Acute Physiology and Chronic Health Evaluation (APACHE) II score and with those of various biomarkers (i.e. C-reactive protein, IL-6 and procalcitonin). Mid-regional pro-ANP was detected in EDTA plasma from all patients using a new sandwich immunoassay. RESULTS: On admission, 53 patients had sepsis, severe sepsis, or septic shock, and 68 had systemic inflammatory response syndrome. The median pro-ANP value in the survivors was 194 pmol/l (range 20–2000 pmol/l), which was significantly lower than in the nonsurvivors (median 853.0 pmol/l, range 100–2000 pmol/l; P < 0.001). On the day of admission, pro-ANP levels, but not levels of other biomarkers, were significantly higher in surviving than in nonsurviving sepsis patients (P = 0.001). In a receiver operating characteristic curve analysis for the survival of patients with sepsis, the area under the curve (AUC) for pro-ANP was 0.88, which was significantly greater than the AUCs for procalcitonin and C-reactive protein, and similar to the AUC for the APACHE II score. CONCLUSION: Pro-ANP appears to be a valuable tool for individual risk assessment in sepsis patients and for stratification of high-risk patients in future intervention trials. Further studies are needed to validate our results

Mid-regional pro-adrenomedullin as a prognostic marker in sepsis: an observational study

INTRODUCTION: Measurement of biomarkers is a potential approach to early assessment and prediction of mortality in patients with sepsis. The aim of the present study was to evaluate the prognostic value of mid-regional pro-adrenomedullin (MR-proADM) levels in a cohort of medical intensive care patients and to compare it with other biomarkers and physiological scores. METHOD: We evaluated blood samples from 101 consecutive critically ill patients admitted to the intensive care unit and from 160 age-matched healthy control individuals. The patients had initially been enrolled in a prospective observational study investigating the prognostic value of endocrine dysfunction in critically ill patients ("PEDCRIP" Study). The prognostic value of MR-proADM levels was compared with those of two physiological scores and of various biomarkers (for example C-reactive Protein, IL-6, procalcitonin). MR-proADM was measured in EDTA plasma from all patients using a new sandwich immunoassay. RESULTS: On admission, 53 patients had sepsis, severe sepsis, or septic shock, and 48 had systemic inflammatory response syndrome. Median MR-proADM levels on admission (nmol/l [range]) were 1.1 (0.3–3.7) in patients with systemic inflammatory response syndrome, 1.8 (0.4–5.8) in those with sepsis, 2.3 (1.0–17.6) in those with severe sepsis and 4.5 (0.9–21) in patients with septic shock. In healthy control individuals the median MR-proADM was 0.4 (0.21–0.97). On admission, circulating MR-proADM levels in patients with sepsis, severe sepsis, or septic shock were significantly higher in nonsurvivors (8.5 [0.8–21.0]; P < 0.001) than in survivors (1.7 [0.4–17.6]). In a receiver operating curve analysis of survival of patients with sepsis, the area under the curve (AUC) for MR-proADM was 0.81, which was similar to the AUCs for IL-6, Acute Physiology and Chronic Health Evaluation II score and Simplified Acute Physiology Score II. The prognostic value of MR-proADM was independent of the sepsis classification system used. CONCLUSION: MR-proADM may be helpful in individual risk assessment in septic patients

Pro-adrenomedullin to predict severity and outcome in community-acquired pneumonia [ISRCTN04176397]

INTRODUCTION: Pro-adrenomedullin (proADM) is helpful for individual risk assessment and outcome prediction in sepsis. A major cause of sepsis is community-acquired pneumonia (CAP). The aim of this study was to investigate the value of proADM levels for severity assessment and outcome prediction in CAP. METHODS: Data from 302 patients admitted to the emergency department with CAP were included in a prospective observational study. Procalcitonin, C-reactive protein levels, leukocyte count, clinical variables and the pneumonia severity index (PSI) were measured. ProADM levels were measured with a new sandwich immunoassay for mid regional ProADM (MR-proADM, Brahms AG, Hennigsdorf/Berlin, Germany). RESULTS: ProADM levels, in contrast to C-reactive protein and leukocyte count, increased with increasing severity of CAP, classified according to the PSI score (ANOVA, p < 0.001). In patients who died during follow-up, proADM levels on admission were significantly higher compared to levels in survivors (2.1 (1.5 to 3.0) versus 1.0 (0.6 to 1.6) nmol/l, p < 0.001). In a receiver operating characteristic (ROC) analysis for survival, the area under the ROC curve (AUC) for proADM was 0.76 (95% confidence interval (CI) 0.71–0.81), which was significantly higher compared to procalcitonin (p = 0.004), C-reactive protein (p < 0.001) and total leukocyte count (p = 0.001) and similar to the AUC of the PSI (0.73, p = 0.54). A clinical model including the PSI and proADM increased the prognostic accuracy to predict failure compared to a model relying on the PSI alone (AUC, 0.77 (0.70 to 0.84), p = 0.03). CONCLUSION: ProADM, as a novel biomarker, is a useful tool for the risk stratification of patients with CAP

Wie verlässlich ist die Bestimmung von Procalcitonin als Entzündungsmarker auf Intensivstation?

The role of procalcitonin (PCT) plasma levels as a diagnostic tool for intensive care patients has been intensively investigated during the past years. In particular for recognition of bacterial infections, PCT levels have been shown to be superior to other clinical and biochemical markers. Furthermore, some very recent studies show that in patients with lower respiratory tract infections PCT guided antibiotic therapy reduces antibiotic use and thereby may also reduce duration of stay of patients in hospital and thus cut hospitalisation costs. However, various studies indicate that the value of PCT as a prognostic marker is limited because of false positive or negative values. Despite these limitations PCT plasma levels are currently measured in intensive care units. The present study summarises the possible clinical uses of this lab marker as a diagnostic tool for the assessment of critically of ill patients

Magnetic field - temperature phase diagram of the organic conductor alpha-(BEDT-TTF)2KHg(SCN)4

We present systematic magnetic torque studies of the ``magnetic field - temperature'' phase diagram of the layered organic conductor alpha-(BEDT-TTF)2KHg(SCN)4 at fields nearly perpendicular and nearly parallel to the highly conducting plane. The shape of the phase diagram is compared to that predicted for a charge-density-wave system in a broad field range.Comment: 3 RevTEX pages, 3 PS figures, to be published in JETP Let

Orbital quantization in the high magnetic field state of a charge-density-wave system

A superposition of the Pauli and orbital coupling of a high magnetic field to charge carriers in a charge-density-wave (CDW) system is proposed to give rise to transitions between subphases with quantized values of the CDW wavevector. By contrast to the purely orbital field-induced density-wave effects which require a strongly imperfect nesting of the Fermi surface, the new transitions can occur even if the Fermi surface is well nested at zero field. We suggest that such transitions are observed in the organic metal $\alpha$-(BEDT-TTF)$_2$KHg(SCN)$_4$ under a strongly tilted magnetic field.Comment: 14 pages including 4 figure

Circulating Precursor Levels of Endothelin-1 and Adrenomedullin, Two Endothelium-Derived, Counteracting Substances, in Sepsis

Plasma levels of endothelin-1 (ET-1) and adrenomedullin (ADM), two opposingly acting peptides, correlate with mortality in endotoxemia, but their measurement is cumbersome. New sandwich assays have been introduced that measure more stable precursor fragments. The objective of this study was to investigate the counterplay of their precursor peptides in septic patients and to compare them with disease severity and other biomarkers. Blood samples of an observational study in 95 consecutive critically ill patients admitted to the intensive care unit (ICU) were analyzed. CT-proET-1 and MR-proADM concentrations on admission were measured using new sandwich immunoassays. Depending on the clinical severity of the infection, both CT-proET-1 and MR-proADM levels exhibited a gradual increase from Systemic Inflammatory Response Syndrome (SIRS) to sepsis and septic shock (p < .001). Compared to the group of survivors, the group of non-survivors had higher median values of MR-proADM (5.7 nmol/L [range 0.4 to 21.0] versus 1.9 nmol/L [range 0.3 to 17.1], p < .02) and similar CT-proET-1 levels (56.0pmol/L [range 0.5 to 271.0] versus 54.1pmol/L [range 1.0 to 506.0], p = .86). Receiver operating characteristics (ROC) curve analysis showed a higher prognostic accuracy of the calculated ratio of both counteracting substances as compared to CT-proET-1 (p = 0.001) and C-reactive protein (CRP) (p = .001) and in the range of MR-proADM (p = .51), procalcitonin (p = 0.22), and the APACHE II score (p = .61). Endothelin-1 and adrenomedullin precursor peptides gradually increase with increasing severities of infection in critically ill patients. The ratio of the two counteracting peptides correlates with mortality and shows aprognostic accuracy to predict adverse outcome comparable to the APACHE II score

Lorentz and Galilei Invariance on Lattices

We show that the algebraic aspects of Lie symmetries and generalized symmetries in nonrelativistic and relativistic quantum mechanics can be preserved in linear lattice theories. The mathematical tool for symmetry preserving discretizations on regular lattices is the umbral calculus.Comment: 5 page