406 research outputs found
Implicit threat vigilance among violent offenders diagnosed with antisocial personality disorder:The impact of ostracism and control threat
The present study investigated the role of control as a moderator in reaction to ostracism among male violent offenders diagnosed with ASPD (N = 33) compared to a control sample consisting of males from the normal population without a known history of violence, or diagnosis of ASPD, matched for age and educational level (N = 35). Participants played an altered version of the Cyberball game in which they could control the course of the game or not. The authors predicted and found that having control prior to ostracism would mitigate the effect of ostracism on implicit threat vigilance among violent offenders diagnosed with ASPD, but not among normal individuals. The results suggest that control needs are crucial in the typology of ASPD
Respiratory morbidity, healthcare resource use, and cost burden associated with extremely preterm birth in The Netherlands
Background: Extremely preterm (EP) infants have high rates of respiratory morbidity and correspondingly high healthcare resource utilization. Objectives: Data from the PHARMO Perinatal Research Network were analyzed to quantify the burden of EP birth in the Netherlands. Methods: A retrospective analysis included infants <28 weeks gestational age with a birth record in the Perinatal Registry (1999–2015) and data in the PHARMO Database Network. Outcomes of interest included select comorbidities, hospital readmissions, and costs of hospitalization and medication up to 1- and 2-years corrected age. Outcomes were stratified by birth period (1999–2005, 2000–2009, 2010–2015) and by diagnosis of bronchopulmonary dysplasia (BPD) and chronic lung disease (CLD). Results: The cohort included 168 EP infants (37 born 1999–2005, 51 born 2006–2009, 80 born 2010–2015). Median (Q1–Q3) birth weights decreased by birth period from 970 (840–1,035) g in 1999–2005 to 853 (695–983) g in 2010–2015. Overall, BPD and CLD were reported during the birth hospitalization in 40% and 29% of infants, respectively; rates of BPD increased and rates of CLD decreased by birth period. Eighty-four percent of EP infants had an additional comorbidity. Mean (standard deviation) costs of birth hospitalization were €110,600 (€73,000) for 1999–2005, €119,350 (€60,650) for 2006–2009, and €138,800 (€130,100) for 2010–2015. Birth hospitalization and total costs for up to 1- and 2-years corrected age were higher for infants with BPD and/or CLD than for those without either complication. Conclusion: Healthcare resource utilization and costs for EP infants, especially for those with respiratory morbidities, increased between 1999 and 2015. Future cost-effectiveness analyses are essential to determine the economic impact of this change and underscore the need for new therapeutic interventions to decrease clinical sequelae in this vulnerable population.</p
Journal of clinical monitoring and computing 2014 end of year summary:near infrared spectroscopy (NIRS)
Occurrence of Comorbidities before and after Soft Tissue Sarcoma Diagnosis
Background. Data is limited on the burden of common comorbidities, such as cardiovascular disease (CVD), respiratory disease and diabetes, or comorbidities related to cancer and its treatment, such as anemia and depression, in patients with soft tissue sarcoma (STS). Patients and Methods. From the Dutch Pathology Registry linked to the PHARMO database (including data on drug use and hospitalizations), 533 patients with STS were selected during 2000–2007 and matched 1 : 10 to cancer-free controls. The occurrences of comorbidities were assessed in the 12 months before and after STS diagnosis. Results. STS patients were 2–4 times more likely to have comorbidities at diagnosis compared with cancer-free controls. The incidence of CVD, anemia, and depression after STS diagnosis differed significantly from cancer-free controls and decreased during followup from 40–124 per 1,000 person-years (py) during the first six months to 11–38 per 1,000 py more than 12 months after diagnosis. The incidence of respiratory disease and diabetes among STS patients remained stable during followup (5–21 per 1,000 py) and did not differ significantly from cancer-free controls. Conclusions. STS patients were more likely to have comorbidities before cancer diagnosis and to develop CVD, anemia, and depression after diagnosis compared to cancer-free controls
Cumulative lactate and hospital mortality in ICU patients
BACKGROUND: Both hyperlactatemia and persistence of hyperlactatemia have been associated with bad outcome. We compared lactate and lactate-derived variables in outcome prediction. METHODS: Retrospective observational study. Case records from 2,251 consecutive intensive care unit (ICU) patients admitted between 2001 and 2007 were analyzed. Baseline characteristics, all lactate measurements, and in-hospital mortality were recorded. The time integral of arterial blood lactate levels above the upper normal threshold of 2.2 mmol/L (lactate-time-integral), maximum lactate (max-lactate), and time-to-first-normalization were calculated. Survivors and nonsurvivors were compared and receiver operating characteristic (ROC) analysis were applied. RESULTS: A total of 20,755 lactate measurements were analyzed. Data are srpehown as median [interquartile range]. In nonsurvivors (n = 405) lactate-time-integral (192 [0–1881] min·mmol/L) and time-to-first normalization (44.0 [0–427] min) were higher than in hospital survivors (n = 1846; 0 [0–134] min·mmol/L and 0 [0–75] min, respectively; all p < 0.001). Normalization of lactate <6 hours after ICU admission revealed better survival compared with normalization of lactate >6 hours (mortality 16.6% vs. 24.4%; p < 0.001). AUC of ROC curves to predict in-hospital mortality was the largest for max-lactate, whereas it was not different among all other lactate derived variables (all p > 0.05). The area under the ROC curves for admission lactate and lactate-time-integral was not different (p = 0.36). CONCLUSIONS: Hyperlactatemia is associated with in-hospital mortality in a heterogeneous ICU population. In our patients, lactate peak values predicted in-hospital mortality equally well as lactate-time-integral of arterial blood lactate levels above the upper normal threshold
Computer investigation of the energy landscape of amorphous silica
The multidimensional topography of the collective potential energy function
of a so-called strong glass former (silica) is analyzed by means of classical
molecular dynamics calculations. Features qualitatively similar to those of
fragile glasses are recovered at high temperatures : in particular an intrinsic
characteristic temperature K is evidenced above which the
system starts to investigate non-harmonic potential energy basins. It is shown
that the anharmonicities are essentially characterized by a roughness appearing
in the potential energy valleys explored by the system for temperatures above
.Comment: 5 pages; accepted for publication in PR
Signature of small rings in the Raman spectra of normal and compressed amorphous silica: A combined classical and ab initio study
We calculate the parallel (VV) and perpendicular (VH) polarized Raman spectra
of amorphous silica. Model SiO2 glasses, uncompressed and compressed, were
generated by a combination of classical and ab initio molecular-dynamics
simulations and their dynamical matrices were computed within the framework of
the density functional theory. The Raman scattering intensities were determined
using the bond-polarizability model and a good agreement with experimental
spectra was found. We confirm that the modes associated to the fourfold and
threefold rings produce most of the Raman intensity of the D1 and D2 peaks,
respectively, in the VV Raman spectra. Modifications of the Raman spectra upon
compression are found to be in agreement with experimental data. We show that
the modes associated to the fourfold rings still exist upon compression but do
not produce a strong Raman intensity, whereas the ones associated to the
threefold rings do. This result strongly suggests that the area under the D1
and D2 peaks is not directly proportional to the concentration of small rings
in amorphous SiO2.Comment: 21 pages, 8 figures. Phys. Rev. B, in pres
Prospects of Transition Interface Sampling simulations for the theoretical study of zeolite synthesis
The transition interface sampling (TIS) technique allows to overcome large
free energy barriers within reasonable simulation time, which is impossible for
straightforward molecular dynamics. Still, the method does not impose an
artificial driving force, but it surmounts the timescale problem by an
importance sampling of true dynamical pathways. Recently, it was shown that the
efficiency of TIS to calculate reaction rates is less sensitive to the choice
of reaction coordinate than those of the standard free energy based techniques.
This could be an important advantage in complex systems for which a good
reaction coordinate is usually very difficult to find. We explain the
principles of this method and discuss some of the promising applications
related to zeolite formation.Comment: 9 pages, accepted for publication in Phys. Chem. Chem. Phys. for the
special issue of the CECAM workshop: Computational aspects of building
blocks, nucleation, and synthesis of porous materials Aug. 29 2006 to Aug. 31
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