1,256 research outputs found

    Making the HESP work: choices and challenges in Trent

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    The person-based nature of prejudice: Individual difference predictors of intergroup negativity

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    Person-based factors influence a range of meaningful life outcomes, including intergroup processes, and have long been implicated in explaining prejudice. In addition to demonstrating significant heritability, person-based factors are evident in expressions of generalised prejudice, a robust finding that some people (relative to others) consistently score higher in prejudice towards multiple outgroups. Our contemporary review includes personality factors, ideological orientations (e.g., authoritarianism), religiosity, anxiety, threat, disgust sensitivity, and cognitive abilities and styles. Meta-analytic syntheses demonstrate that such constructs consistently predict prejudice, often at the upper bounds of effect sizes observed in psychological research. We conclude that prejudice theories need to better integrate person- and situation-based factors, including their interaction, to capture the complexity of prejudice and inform intervention development

    TCT-804 Outcomes of Trans-Carotid TAVR in a high-Volume Center

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    Background Although the preferred route for transcatheter aortic valve replacement is through the femoral artery, alternatives remain necessary for patients with obstructive iliofemoral disease. Our valve team has developed a large experience using the carotid artery as a primary alternative vascular access approach for transcatheter aortic valve replacement (TAVR). We aim to compare short-term outcomes by access route in a single-center, high-volume, transcarotid (TC) TAVR program. Methods All patients undergoing TAVR between September 2012 and September 2018 were included in the study. Baseline demographics and outcomes were obtained from data our institution submitted in compliance with TVT (Transcatheter Valve Therapy) reporting and are supplemented by individual chart review. Results Overall, 1,153 commercial TAVR procedures were completed during the study period. Of these, 976 (85%) were transfemoral (TF), 105 (9%) were TC, and 72 (6%) were other (53 transapical, 14 transaxillary, 5 transaortic). TF patients had lower Society of Thoracic Surgeons (STS) scores (6.0% vs. 7.1% vs. 8.3%), peripheral vascular disease (24% vs. 88% vs. 72%), and cerebral vascular disease (11% vs. 17% vs. 32%) compared with TC and other patients, respectively (p \u3c 0.001). Combined in-hospital and 30-day mortality was 2.6% for the TF cohort versus 3.8% for TC (p = 0.36) and 13.9% for other (p \u3c 0.001). The stroke rate at 30 days was 3.7% for TF versus 3.8% for TC and 4.2% for other access routes (p = 0.98) (Table). Conclusion TAVR can be safely performed from the TC access route at a high-volume center with similar in-hospital and 30-day mortality and stroke rates compared with TF patients. Mortality was significantly increased, however, in patients treated with other alternative access routes

    Dual-5α-Reductase Inhibition Promotes Hepatic Lipid Accumulation in Man

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    Context: 5α-Reductase 1 and 2 (SRD5A1, SRD5A2) inactivate cortisol to 5α-dihydrocortisol in addition to their role in the generation of DHT. Dutasteride (dual SRD5A1 and SRD5A2 inhibitor) and finasteride (selective SRD5A2 inhibitor) are commonly prescribed, but their potential metabolic effects have only recently been identified. Objective: Our objective was to provide a detailed assessment of the metabolic effects of SRD5A inhibition and in particular the impact on hepatic lipid metabolism. Design: We conducted a randomized study in 12 healthy male volunteers with detailed metabolic phenotyping performed before and after a 3-week treatment with finasteride (5 mg od) or dutasteride (0.5 mg od). Hepatic magnetic resonance spectroscopy (MRS) and two-step hyperinsulinemic euglycemic clamps incorporating stable isotopes with concomitant adipose tissue microdialysis were used to evaluate carbohydrate and lipid flux. Analysis of the serum metabolome was performed using ultra-HPLC-mass spectrometry. Setting: The study was performed in the Wellcome Trust Clinical Research Facility, Queen Elizabeth Hospital, Birmingham, United Kingdom. Main Outcome Measure: Incorporation of hepatic lipid was measured with MRS. Results: Dutasteride, not finasteride, increased hepatic insulin resistance. Intrahepatic lipid increased on MRS after dutasteride treatment and was associated with increased rates of de novo lipogenesis. Adipose tissue lipid mobilization was decreased by dutasteride. Analysis of the serum metabolome demonstrated that in the fasted state, dutasteride had a significant effect on lipid metabolism. Conclusions: Dual-SRD5A inhibition with dutasteride is associated with increased intrahepatic lipid accumulation. - See more at: http://press.endocrine.org/doi/10.1210/jc.2015-2928#sthash.KmmY91Iw.dpu

    The Association of Cognitive Ability with Right-wing Ideological Attitudes and Prejudice: A Meta-analytic Review

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    The cognitive functioning of individuals with stronger endorsement of right-wing and prejudiced attitudes has elicited much scholarly interest. Whereas many studies investigated cognitive styles, less attention has been directed towards cognitive ability. Studies investigating the latter topic generally reveal lower cognitive ability to be associated with stronger endorsement of right-wing ideological attitudes and greater prejudice. However, this relationship has remained widely unrecognized in literature. The present meta-analyses revealed an average effect size of r =-.20 [95% confidence interval (95% CI) [-0.23, -0.17]; based on 67 studies, N=84 017] for the relationship between cognitive ability and right-wing ideological attitudes and an average effect size of r=-.19 (95% CI [-0.23, -0.16]; based on 23 studies, N=27 011) for the relationship between cognitive ability and prejudice. Effect sizes did not vary significantly across different cognitive abilities and sample characteristics. The effect strongly depended on the measure used for ideological attitudes and prejudice, with the strongest effect sizes for authoritarianism and ethnocentrism. We conclude that cognitive ability is an important factor in the genesis of ideological attitudes and prejudice and thus should become more central in theorizing and model building

    Validity and worth in the science curriculum: learning school science outside the laboratory

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    It is widely acknowledged that there are problems with school science in many developed countries of the world. Such problems manifest themselves in a progressive decline in pupil enthusiasm for school science across the secondary age range and the fact that fewer students are choosing to study the physical sciences at higher levels and as careers. Responses to these developments have included proposals to reform the curriculum, pedagogy and the nature of pupil discussion in science lessons. We support such changes but argue from a consideration of the aims of science education that secondary school science is too rooted in the science laboratory; substantially greater use needs to be made of out-of-school sites for the teaching of science. Such usage should result in a school science education that is more valid and more motivating and is better at fulfilling defensible aims of school science education. Our contention is that laboratory-based school science teaching needs to be complemented by out-of-school science learning that draws on the actual world (e.g. through fieldtrips), the presented world (e.g. in science centres, botanic gardens, zoos and science museums) and the virtual worlds that are increasingly available through information and communications technologies (ICT)

    Spontaneous imagined intergroup contact and intergroup relations: Quality matters

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    While research on experimental interventions that aim to improve outgroup attitudes via contact imagery grows, it is important to examine if contact imagery that occurs in spontaneous, non‐experimentally controlled conditions drives attitudes, and in what direction. To answer this, we constructed and validated a spontaneous imagined intergroup contact scale (SIICS) that differentiates between frequency, quality and elaboration of the spontaneous imagery of outgroups. In three correlational studies (NPortugal = 305, NUnited Kingdom = 185, NItaly = 276), we tested the role of spontaneous imagined contact frequency, quality and elaboration in predicting attitudes and social distance (Studies 1‐3) and intended behaviour (Study 3) toward immigrant groups. Results demonstrated that spontaneous imagined contact quality consistently predicted key outcome variables above and beyond the other two dimensions. Importantly, the effects were significant while controlling for other potent forms of direct and indirect contact. Implications of the findings for theory and practice are discussed

    Self‐protection and growth as the motivational force behind majority group members' cultural adaptation and discrimination: A parallel mediation model via intergroup contact and threat

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    What motivates majority group members to adapt to or reject cultural diversity? Considering the relevance of personal values on our attitudes and behaviours, we inspected how self‐protection and growth predict levels of discriminatory behavioural and cultural adaptation intentions towards migrants via intergroup contact and perceived intergroup threats, simultaneously (i.e., parallel mediation). Specifically, positive contact between groups is known for reducing prejudice through diminishing perceived intergroup threats. Yet current research emphasises the role of individual differences in this interplay while proposing a parallel relationship between perceived intergroup threats and contact. Also by inspecting cultural adaptation and discriminatory behavioural intentions, the present study examined more proximal indicators of real‐world intergroup behaviours than explored in past research. Using data from 304 US Americans, structural equation modelling indicated a good fit for a parallel mediation model with growth relating positively to cultural adaptation intentions and negatively to discriminatory behavioural intentions through being positively associated with intergroup contact and negatively with perceived intergroup threats, simultaneously. The reverse was found for self‐protection. These findings stress that personal values constitute a relevant individual difference in the contact/threats‐outcome relationship, providing a motivational explanation for majority group members' experience of cultural diversity in their own country
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