344 research outputs found

    Behavioral Mimicry in Chinese and Canadian Negotiations: Frequency, Duration and Impact

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    Negotiation literature stresses the importance of mimicry in improving relational and economic outcomes. Yet, there is a dearth of work examining how culture influences the display and impact of mimicry in negotiations. In this research, we systematically coded behavioral mimicry among Chinese and Canadian dyadic, intracultural, video-taped negotiations. Using cultural theories of high/low context communication, and individualism/collectivism, we predicted and found that low-context, individualistic Canadian negotiators were more direct in their behavioral mimicry by exhibiting higher frequency of postural mimicry, than Chinese negotiators. In contrast, Chinese negotiators were more indirect in their displays of mimicry via longer durations of mirrored postures. Interestingly, gender moderated the effects of culture on the frequency and duration of mimicry. Mimicry led to higher joint gains, only when dyads did not attend to the indirect meanings of the mimicked behaviors. We discuss implications of behavioral mimicry in cross-cultural negotiations

    Decreasing Medical Device Related Tracheostomy Pressure Injuries with Hydroconductive Dressings

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    Aim: Medical device related pressure injuries (MDRPIs) are pressure injuries that result from prolonged exposure to a compressive force, tension, shear, or combination of all from a health care associated medical device. MDRPIs are negative hospital acquired patient outcomes that are costly to an organization. At Henry Ford Jackson Hospital (HFJH) there was an increase noted in MDRPIs from new tracheostomies in 2022: Quarter 1 2022: Two tracheostomy related MDRPIs (stage 2 and stage 3) Quarter 3 2022: Two tracheostomy related MDRPIs (both unstageable) The HFJH Falls and Pressure Injury Committee created a task force to investigate if the use of a hydroconductive dressing post tracheostomy placement would decrease MDRPIs compared to standard practice hydrocellular dressings.https://scholarlycommons.henryford.com/nursresconf2023/1002/thumbnail.jp

    Tamm-Horsfall Protein Regulates Mononuclear Phagocytes in the Kidney

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    Tamm-Horsfall protein (THP), also known as uromodulin, is a kidney-specific protein produced by cells of the thick ascending limb of the loop of Henle. Although predominantly secreted apically into the urine, where it becomes highly polymerized, THP is also released basolaterally, toward the interstitium and circulation, to inhibit tubular inflammatory signaling. Whether, through this latter route, THP can also regulate the function of renal interstitial mononuclear phagocytes (MPCs) remains unclear, however. Here, we show that THP is primarily in a monomeric form in human serum. Compared with wild-type mice, THP-/- mice had markedly fewer MPCs in the kidney. A nonpolymerizing, truncated form of THP stimulated the proliferation of human macrophage cells in culture and partially restored the number of kidney MPCs when administered to THP-/- mice. Furthermore, resident renal MPCs had impaired phagocytic activity in the absence of THP. After ischemia-reperfusion injury, THP-/- mice, compared with wild-type mice, exhibited aggravated injury and an impaired transition of renal macrophages toward an M2 healing phenotype. However, treatment of THP-/- mice with truncated THP after ischemia-reperfusion injury mitigated the worsening of AKI. Taken together, our data suggest that interstitial THP positively regulates mononuclear phagocyte number, plasticity, and phagocytic activity. In addition to the effect of THP on the epithelium and granulopoiesis, this new immunomodulatory role could explain the protection conferred by THP during AKI

    Genetic and neurophysiological correlates of the age of onset of alcohol use disorders in adolescents and young adults.

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    Discrete time survival analysis was used to assess the age-specific association of event-related oscillations (EROs) and CHRM2 gene variants on the onset of regular alcohol use and alcohol dependence. The subjects were 2,938 adolescents and young adults ages 12-25. Results showed that the CHRM2 gene variants and ERO risk factors had hazards which varied considerably with age. The bulk of the significant age-specific associations occurred in those whose age of onset was under 16. These associations were concentrated in those subjects who at some time took an illicit drug. These results are consistent with studies which associate greater rates of alcohol dependence among those who begin drinking at an early age. The age specificity of the genetic and neurophysiological factors is consistent with recent studies of adolescent brain development, which locate an interval of heightened vulnerability to substance use disorders in the early to mid teens

    Genome-wide survival analysis of age at onset of alcohol dependence in extended high-risk COGA families.

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    BackgroundThe age at onset of alcohol dependence (AD) is a critical moderator of genetic associations for alcohol dependence. The present study evaluated whether single nucleotide polymorphisms (SNPs) can influence the age at onset of AD in large high-risk families from the Collaborative Study on the Genetics of Alcoholism (COGA).MethodsGenomewide SNP genotyping was performed in 1788 regular drinkers from 118 large European American families densely affected with alcoholism. We used a genome-wide Cox proportional hazards regression model to test for association between age at onset of AD and SNPs.ResultsThis family-based analysis identified an intergenic SNP, rs2168784 on chromosome 3 that showed strong evidence of association (P=5×10(-9)) with age at onset of AD among regular drinkers. Carriers of the minor allele of rs2168784 had 1.5 times the hazard of AD onset as compared with those homozygous for the major allele. By the age of 20 years, nearly 30% of subjects homozygous for the minor allele were alcohol dependent while only 19% of those homozygous for the major allele were. We also identified intronic SNPs in the ADP-ribosylation factor like 15 (ARL15) gene on chromosome 5 (P=1.11×10(-8)) and the UTP20 small subunit (UTP20) gene on chromosome 12 (P=4.32×10(-8)) that were associated with age at onset of AD.ConclusionsThis extended family based genome-wide cox-proportional hazards analysis identified several loci that might be associated with age at onset of AD

    Development of Alcohol Use Disorder as a Function of Age, Severity, and Comorbidity with Externalizing and Internalizing Disorders in a Young Adult Cohort

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    Background: As part of the ongoing Collaborative Study of the Genetics of Alcoholism, we performed a longitudinal study of a high risk cohort of adolescents/young adults from families with a proband with an alcohol use disorder, along with a comparison group of age-matched controls. The intent was to compare the development of alcohol problems in subjects at risk with and without comorbid externalizing and internalizing psychiatric disorders. Methods: Subjects (N = 3286) were assessed with a structured psychiatric interview at 2 year intervals over 10 years (2004–2017). The age range at baseline was 12–21. Results: Subjects with externalizing disorders (with or without accompanying internalizing disorders) were at increased risk for the onset of an alcohol use disorder during the observation period. Subjects with internalizing disorders were at greater risk than those without comorbid disorders for onset of a moderate or severe alcohol use disorder. The statistical effect of comorbid disorders was greater in subjects with more severe alcohol use disorders. The developmental trajectory of drinking milestones and alcohol use disorders was also accelerated in those with more severe disorders. Conclusions: These results may be useful for counseling of subjects at risk who present for clinical care, especially those subjects manifesting externalizing and internalizing disorders in the context of a positive family history of an alcohol use disorder. We confirm and extend findings that drinking problems in subjects at greatest risk will begin in early adolescence

    Sample size and precision of estimates in studies of depression screening tool accuracy: A meta‐research review of studies published in 2018–2021

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    AbstractObjectivesDepression screening tool accuracy studies should be conducted with large enough sample sizes to generate precise accuracy estimates. We assessed the proportion of recently published depression screening tool diagnostic accuracy studies that reported sample size calculations; the proportion that provided confidence intervals (CIs); and precision, based on the width and lower bounds of 95% CIs for sensitivity and specificity. In addition, we assessed whether these results have improved since a previous review of studies published in 2013–2015.MethodsMEDLINE was searched from January 1, 2018, through May 21, 2021.ResultsTwelve of 106 primary studies (11%) described a viable sample size calculation, which represented an improvement of 8% since the last review. Thirty‐six studies (34%) provided reasonably accurate CIs. Of 103 studies where 95% CIs were provided or could be calculated, seven (7%) had sensitivity CI widths of ≤10%, whereas 58 (56%) had widths of ≥21%. Eighty‐four studies (82%) had lower bounds of CIs <80% for sensitivity and 77 studies (75%) for specificity. These results were similar to those reported previously.ConclusionFew studies reported sample size calculations, and the number of included individuals in most studies was too small to generate reasonably precise accuracy estimates
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