590 research outputs found

    The relation between self-event connections and personality functioning in youth with severe psychopathology

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    OBJECTIVE: One way in which individuals construct their narrative identity is by making self‐event connections, which are often linked to better functioning. Being unable to make connections is related to identity discontinuity and psychopathology. Work in the general population corroborates this association, but also highlights the importance of focusing on specific aspects of these connections and on vulnerable populations. METHOD: We examined the association of self‐event connections with personality functioning in youth with severe psychopathology (cross‐sectional N = 228, M (age) = 19.5, longitudinal N = 84), and the role of event and connection valence in the subsample of youth who made a connection (n = 188 and n = 68). Negative affectivity was controlled for in all models. RESULTS: We found no evidence that self‐event connections, nor connection valence and its interaction with event valence, are related to functioning. Positive event valence was associated with better functioning. Higher negative affectivity was strongly linked to lower functioning and explained the relation between event valence and functioning. No longitudinal associations emerged. CONCLUSIONS: These findings show that for youth with severe psychopathology making self‐event connections may not be associated with better functioning. Moreover, negative affectivity may be a distal predictor of both event valence and functioning

    Lewensloop van 'n Kaapse buffelbevolking <I>Syncerus caffer</I> in die Bontebok Nasionale Park

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    The course of an experiment to re-introduce the Cape buffalo Syncerus coffer in the Bontebok National Park, near Swellendam, is described and illustrated

    Гарантоздатність як фундаментальний узагальнюючий та інтегруючий підхід

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    Представлені головні принципи та умови становлення і етапи розвитку фундаментальної теорії і практики узагальнюючих та інтегруючих концепцій гарантоздатності, починаючи з першої об’єднаної конференції двох наукових шкіл Дж. фон Неймана і Н. Вінера. Приведені основні положення розвитку теоретичних засад і результатів прикладних досліджень інтеграційних процесів безвідмовності (надійності), відмовостійкості та гарантоздатності інформаційно-управляючих комп’ютерних систем (ІУКС).Представлены главные принципы, условия становления и этапы развития фундаментальной теории и практики обобщающих и интегрирующих концепций гарантоспособности, начиная с первой объединённой конференции двух научных школ Дж. фон Неймана и Н. Винера. Приведены основные положения развития теоретических основ и результатов прикладных исследований интеграционных процессов безотказности (надёжности), отказоустойчивости и гарантоспособности информационно-управляющих компьютерных систем (ИУКС).The main principles and conditions of formation and stages of development of the fundamental theory and practice of the generalizing and integrating concepts of dependability were presented after the leadthrough the first joint conference of two scientific schools of J. von Neumann and N. Wiener. The basic aspects of development of theoretical principles and results of applied researches of integration processes of reliability (fail-safety)

    Diermeel in diervoeders? : een methodische discussie met stakeholders

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    In dit rapport wordt verslag gedaan van een workshop die ten doel had een beter inzicht te krijgen in de belangen van de Nederlandse samenleving met betrekking tot de vraag of het beleid ten aanzien van dierlijke eiwitten in diervoeders versoepeld kan worden. Daarbij is gebruik maakt van een nieuwe, brede afwegingsmethodiek (TRAK) waarmee het mogelijk is verschillende beleidsscenario's' aan de hand van verschillende waarden te beoordelen en te scoren

    The role of client empathy in treatment outcome in a sample of adolescents referred to forensic youth psychiatric services

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    Starting from the assumption that empathy is crucial in the therapeutic process, the current study explored whether client empathy before treatment relates to treatment outcome, whether client empathy is subject to change in the first six months of treatment, whether such change relates to treatment outcome and whether therapist factors relate to possible changes in client empathy. In total 90 adolescents treated by 31 therapists at forensic psychiatric services participated in the study. Client empathy was assessed with self-report questionnaires of affective and cognitive empathy at intake and again at six months of treatment. Therapeutic change was rated by their therapist. Client empathy before treatment was not systematically related to treatment outcome. Cognitive empathy tended to improve during treatment, stronger in girls than boys, and depending in part on the therapist's gender: Under conditions of a male (not female) therapist boys reported less improvement in cognitive empathy than girls. The most consistent study result was that improvement in cognitive empathy contributed positively to treatment outcome. The study provides new data on the role of client empathy in the treatment of forensic youth psychiatric patients. If replicated, these findings have important implications for treatment and training in juvenile forensic psychiatry

    Skin autofluorescence predicts new cardiovascular disease and mortality in people with type 2 diabetes

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    Background Skin autofluorescence (SAF) is a non-invasive marker of tissue accumulation of advanced glycation endproducts (AGE). Recently, we demonstrated in the general population that elevated SAF levels predict the development of type 2 diabetes (T2D), cardiovascular disease (CVD) and mortality. We evaluated whether elevated SAF may predict the development of CVD and mortality in individuals with T2D. Methods We included 2349 people with T2D, available baseline SAF measurements (measured with the AGE reader) and follow-up data from the Lifelines Cohort Study. Of them, 2071 had no clinical CVD at baseline. 60% were already diagnosed with diabetes (median duration 5, IQR 2-9 years), while 40% were detected during the baseline examination by elevated fasting blood glucose >= 7.0 mmol/l) and/or HbA1c >= 6.5% (48 mmol/mol). Results Mean (+/- SD) age was 57 +/- 12 yrs., BMI 30.2 +/- 5.4 kg/m(2). 11% of participants with known T2D were treated with diet, the others used oral glucose-lowering medication, with or without insulin; 6% was using insulin alone. Participants with known T2D had higher SAF than those with newly-detected T2D (SAF Z-score 0.56 +/- 0.99 vs 0.34 +/- 0.89 AU, p <0.001), which reflects a longer duration of hyperglycaemia in the former group. Participants with existing CVD and T2D had the highest SAF Z-score: 0.78 +/- 1.25 AU. During a median follow-up of 3.7 yrs., 195 (7.6%) developed an atherosclerotic CVD event, while 137 (5.4%) died. SAF was strongly associated with the combined outcome of a new CVD event or mortality (OR 2.59, 95% CI 2.10-3.20, p <0.001), as well as incidence of CVD (OR 2.05, 95% CI 1.61-2.61, p <0.001) and death (OR 2.98, 2.25-3.94, p <0.001) as a single outcome. In multivariable analysis for the combined endpoint, SAF retained its significance when sex, systolic blood pressure, HbA1c, total cholesterol, eGFR, as well as antihypertensive and statin medication were included. In a similar multivariable model, SAF was independently associated with mortality as a single outcome, but not with incident CVD. Conclusions Measuring SAF can assist in prediction of incident cardiovascular disease and mortality in individuals with T2D. SAF showed a stronger association with future CVD events and mortality than cholesterol or blood pressure levels
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