Does Emotion-Regulation Moderate Ostracism and Risk-taking?

Ostracism, feeling excluded or ignored, has been associated with increased risk-taking behavior on a number of self-report and lab-based measures (Buelow & Wirth, 2017; Duclos, Wan, & Jiang, 2012; Falk et al., 2014; Svetieva et al. 2016). Anger mediates the relationship between ostracism and risk-taking (Svetieva et al., 2016), and it is possible that emotion-regulation strategies to reduce anger may minimize this relationship. However, research has yet to test if emotion-regulation strategies can reduce affective responses following ostracism. The purpose of the current study is to examine the effects of ostracism via Cyberball and emotion-regulation strategies on risk-taking behavior using the Columbia Card Task (CCT), an objective risk-taking measure. It was predicted that participants in the ostracism condition would uniquely vary on risk-taking based on social condition (included vs. ostracism), emotion-regulation instructions (reappraisal vs. no instructions), and CCT version (Hot vs. Cold). Sixty-five participants were assigned to one of eight conditions in which they were instructed to either reappraise or given no instructions to regulate their emotional responses, were either socially included or ostracized, and then completed the affective (Hot) version of the CCT or the deliberative (Cold) version of the CCT. Although we found that ostracized participants self-reported greater feelings of anger compared to socially included participants, we found no difference between social conditions or emotion-regulation conditions for risk-taking. However, given the limited sample size and several indicators suggesting the Cold CCT was not an effective measure of risk-taking in the current study, these results should be interpreted with caution. Research should continue to explore the relationship between ostracism and anger on affective and deliberative risk-taking

Bone health in patients with multiple sclerosis relapses

OBJECTIVES: To evaluate the bone health and vitamin D levels of a cohort of patients with relapses of multiple sclerosis (MS) and to propose an algorithm for the management of bone health in this patient group. METHODS: We prospectively studied 56 consecutive patients from our acute relapse clinic. 3 patients were excluded from analysis as they were not deemed to have experienced an acute MS relapse. Bone health was assessed with vitamin D levels and Dual Energy X-ray Absorptiometry (DEXA) scanning (10 patients failed to attend for DEXA). Statistical analyses were used to compare groups and identify predictive variables. A review of the literature led to a proposed management protocol. RESULTS: Pre-relapse the baseline EDSS was ≤6.5 in all subjects, and <4.0 in the majority (66%). Most received corticosteroids. 51% had low bone mineral density (BMD) as defined by a T-score less than −1.0 on DEXA scanning. Three were osteoporotic (T-score less than −2.5). Thirty one of fifty (62%) subjects were Vitamin D deficient (25(OH)D less than 50 nmol/L). A range of variables, including previous corticosteroid usage, were not significantly predictive of reduced BMD. CONCLUSIONS: There was a high frequency of both low BMD and Vitamin D deficiency in this cohort of relatively young and largely ambulatory patients experiencing MS relapses. Current tools, such as the WHO FRAX algorithm, are inadequate in assessing bone status and fracture risk in this patient group, predominantly as they are focused on older age groups. We propose a simple clinical management algorithm

Investigating Whether Consuming Meals in a Dining Room Impacts Patients’ Mood, Level of Interaction, and Subsequent Nutrient Intake in a Stroke Rehabilitation Ward.

Background/objectivesMalnutrition is evident in hospitals and stroke patients are at increased risk. Protected mealtimes may help increase nutrient intake especially when patients interact and enjoy the dining room atmosphere. The aim of this research is to investigate if eating in a communal dining room increases nutritional intake compared to eating at the bedside and to investigate whether patient interaction and mood affects patient nutrient intake. Population/methods:A randomised cross-sectional study of 20 patients, assessing a comparison of patient’s mealtime consumption at lunchtime in the dining room and at the beside. Patients’ meals were weighed before and after consumption as well as an estimated percentage of their meals consumed. Patients’ interaction was observed and noted using a modified case report form. The Hammond depression scale was used to score patients’ mood. Patient and staff satisfaction surveys were completed at the end of the study period. Results:There was no significant difference in protein and energy consumption in the dining room (16.4g protein and 379.2kcal) compared to at the bedside (13.2g protein and 333.8kcal), p=0.160 and p=0.110 respectively. Interaction was higher in the dining room. The percentage mealtime consumption increased the more interactive a patient was from a mean of 74% in less interactive patients to 98% in highly interactive patients (p=0.193). There was no significant association between depression score and mealtime consumption. All 19 patients enjoyed eating in the dining room and 14 out of the 19 patients preferred eating in the dining room. Conclusion:Further studies are required to explore how intake can be improved among stroke rehabilitation patients

Bilateral radial artery pseudoaneurysms associated with bilateral ulnar artery atresia: a case report.

Pseudoaneurysms of the radial artery are uncommon and most often localized in an area of penetrating vascular trauma or iatrogenic injury. Hypoplasia of the ulnar artery is even more rare. We report a case of bilateral radial artery pseudoaneurysms associated with complete absence of any ulnar contribution to the vascularity of the hand. A patient presented with bilateral tender masses adjacent to the anatomic snuff boxes that interfered with hand function. After confirming that these masses were bilateral radial artery pseudoaneurysms, resection of the pseudoaneurysms and microscopic reconstruction of the arterial segments preserved vascular integrity of the hands and provided relief of the patient\u27s pain

Influence of restraining devices on patterns of pediatric facial trauma in motor vehicle collisions.

In the Commonwealth of Pennsylvania, it is required that all children under the age of 4 years be restrained by an infant seat or car seat appropriate for their age and weight. Furthermore, all individuals riding in the front seat must be restrained by a seatbelt. This study examined the relationship between patterns of facial injuries and the use of restraining devices in the pediatric population. A retrospective analysis was performed on motor vehicle collision data submitted to the Pennsylvania Trauma Outcome Study database from 1990 through 1995. Criteria for submission included trauma patients who were admitted to the Intensive Care Unit, those who died during hospitalization, those who were hospitalized for more than 72 hours, or those who were transferred in or out of the receiving hospital. A subset of 412 pediatric patients, 15 years of age or younger, was analyzed for patterns of facial injury and the presence or absence of restraining devices. Restraining devices were categorized as a car seat or a seatbelt. Statistical analysis was performed using chi-square and Fisher\u27s exact tests. Of the 412 pediatric patients, only 17 children were restrained with a car seat and 121 were wearing a seatbelt. A total of 30 children sustained facial fractures, and 50 children suffered facial lacerations. There was a statistically significant increase in the incidence of facial fractures with increasing age of the child (p \u3c 0.001). Of children with facial fractures, 70 percent of those 5 to 12 years old and 90 percent of those 13 to 15 years old were unrestrained (p = 0.166). In conclusion, despite legislation mandating the use of restraints, a large proportion of children involved in motor vehicle collisions were unrestrained. Furthermore, there seems to be a direct relationship between the age of a child and the incidence of facial fractures sustained in motor vehicle collisions

The Acute Effects of a Dynamic Stretching Protocol on Wingate Performance

International Journal of Exercise Science 7(4) : 271-277, 2014. Stretching before performing anaerobic activity has been a highly debated subject, with studies finding differing results depending on the type (static, dynamic, etc.) and duration of the stretch. Furthermore, the effects of dynamic stretching (DS) on anaerobic performance have been minimally researched. The purpose of this study was to examine the effects a DS protocol had on power performance using a Wingate test (WAnT). College-aged male subjects were recruited for this study. Prior to experimental trials, subjects performed a familiarity WAnT trial. Subjects then performed the WAnT two more times, once with DS and once without stretching (NS), in a balanced cross-over design. Relative peak power (RPP), relative mean power (RMP), fatigue index (FI), and rate of perceived exertion (RPE) means were compared across DS and NS trials using one-way repeated measure ANOVA’s, α = 0.05. No significant differences (p \u3e 0.05) were found across DS and NS protocols among RPP, FI, and RPE. However, there was a significant difference (p = .043) in mean RMP between the DS protocol and NS treatment. These findings suggest that some forms of dynamic stretching may significantly decrease mean power during anaerobic performance. More research is needed to explore the different combinations and duration of dynamic stretching needed to illicit a positive response

Progressive wound necrosis associated with postoperative thrombocytosis in mastectomy and immediate breast reconstruction surgery: report of a case.

A 37-year-old who underwent splenectomy for motor vehicle accident-related injuries was diagnosed with stage IIA carcinoma of left breast 12 years later. She underwent bilateral mastectomy and bilateral immediate unipedicle TRAM flap reconstruction. Her preoperative platelet counts ranged from 332 to 424 K/cmm. Intraoperative fluorescein confirmed mastectomy flap viability. On postoperative day 1, platelet count was 374 K/cmm and all suture lines appeared benign. The patient was discharged 3 days later with healthy appearing tram flaps and slight epidermolysis in the abdominal region. Over the next 2 weeks, both the mastectomy flaps and the abdominal region underwent progressive necrosis as the platelet count increased to 1390 K/cmm. Aspirin therapy was instituted at this time. The TRAM flaps remained completely viable. Eighteen days later, the patient required wound debridement with secondary closure of the breast wounds. Platelet count peaked at 1689 K/cmm 2 days later (postoperative day 38). The wounds deteriorated again and were managed conservatively. Two months after mastectomy, the first area of spontaneous healing was documented (platelet count 758 K/cmm). Ultimately, wounds healed as platelet count reached its preoperative baseline. We hypothesize that an abnormal secondary thrombocytosis at subdermal plexus level caused problematic healing in this patient\u27s mastectomy and abdominal flaps