A longitudinal investigation of the relationship between unconditional positive self-regard and posttraumatic growth

The present study investigated whether unconditional positive self-regard (UPSR) is associated with subsequent posttraumatic growth (PTG) following the experience of a traumatic life event. A total of 143 participants completed an online questionnaire to assess the experience of traumatic life events, posttraumatic stress, well-being and UPSR (Time 1). Three months later, 76 of the participants completed measures of well-being and perceived PTG (Time 2). Analyses were conducted to test for association between UPSR at Time 1 and perceptions of PTG at Time 2. Results showed that higher UPSR at T1 was associated with higher perceived PTG at Time 2. To measure actual growth, individual differences in well-being were computed between Time 1 and Time 2. Results showed that higher UPSR at T1 was associated with higher actual PTG. Implications of these findings are discussed and future directions for research in this area considered. Specifically, results are consistent with a person-centered understanding of therapeutic approaches to the facilitation of PT

Effects of Caffeinated and Non-Caffeinated Gum on Premotor, Motor, and Overall Reaction Time

Chewing gum and caffeine when used independently and concurrently increase neural activity ultimately improving reaction time but less is known about how caffeinated gum influences distinct phases of the reaction time response. Physically active college females (n=14) completed a 60-second reaction time test on a visuomotor board under the following counterbalanced conditions: 1) Baseline, 2) Non-caffeinated gum, 3) Caffeinated gum (300 mg caffeine). Point of application #1: Chewing gum improved premotor reaction time compared to baseline, but caffeine did not provide additional benefit. Point of application #2: Neither non-caffeinated nor caffeinated gum improved motor reaction times from baseline. Point of application #3: Chewing gum improved overall reaction time compared to baseline, but caffeine did not provide additional benefit. Keywords: Chewing, Visuomotor, Visual processin

A theory on reports of constructive (real) and illusory posttraumatic growth

It has been suggested that self-reported posttraumatic growth could sometimes be considered as a way for people to protect themselves from the distress of trauma. In this case, reports of posttraumatic growth could be illusory. We suggest a theory on self-reported constructive (real) posttraumatic growth and illusory posttraumatic growth by using Rogers’s (1959) theory and the work by Vaillant (1995). Through this theoretical framework we attempt to explain when reports of posttraumatic growth are likely to be constructive and real and when such reports are likely to represent aspects of illusions. We will also consider the implications for research practice

Project WISH: The Emerald City

The preliminary design of a permanently manned autonomous space oasis (PEMASO), including its pertinent subsystems, was performed during the 1990 Winter and Spring quarters. The purpose for the space oasis was defined and the preliminary design work was started with emphasis placed on the study of orbital mechanics, power systems and propulsion systems. A rotating torus was selected as the preliminary configuration, and overall size, mass and location of some subsystems within the station were addressed. Computer software packages were utilized to determine station transfer parameters and thus the preliminary propulsion requirements. Power and propulsion systems were researched to determine feasible configurations and many conventional schemes were ruled out. Vehicle dynamics and control, mechanical and life support systems were also studied. For each subsystem studied, the next step in the design process to be performed during the continuation of the project was also addressed

Pilot evaluation of a perfused robot-assisted partial nephrectomy procedural simulation platform for single port robotic retroperitoneal approaches

Objective: In this study our objective was to develop a simulation platform for use cases in Laparoendoscopic Single Site (LESS) Surgery intended for patient-specific rehearsal prior to Robot-assisted Partial nephrectomy procedures. Patients and Surgical Procedure: This represents a simulation platform requiring no patients, although the fabrication process allows for the platform to be patient-specific. Tissue phantom 3D models were developed from de-identified CT imaging fulfilling the criteria of tumors located in the posterior lower pole of the kidney. Results: Respondents completed surveys on platform novelty and effectiveness. Agreement on simulator novelty was unanimously positive (100% agree or better). Performance evaluations reached a minimum of 80% agreement for all categories, with zero respondents. Conclusions: We have developed a highly realistic simulation platform for use in single-port robot-assisted partial nephrectomy that can be produced in a patient specific manner, which we believe will be highly useful for trainees as well as experts attempting to transfer skills to the newer platform

Natural history and clinical effect of aortic valve regurgitation after left ventricular assist device implantation

ObjectivesAortic valve regurgitation reduces left ventricular assist device mechanical efficiency. Evidence has also suggested that left ventricular assist device implantation can induce or exacerbate aortic valve regurgitation. However, this has not been compared with aortic valve regurgitation progression in a nonsurgical end-stage heart failure population. Furthermore, its clinical effect is unclear. We sought to characterize the development and progression of aortic valve regurgitation in left ventricular assist device recipients and to identify its clinical effect.MethodsA review of all consecutive patients who received an intracorporeal left ventricular assist device at Duke University Medical Center from January 2004 to January 2011 was conducted. Cases of previous or concomitant aortic valve surgery were excluded. Data from the remaining implants (n = 184) and a control group of contemporaneous nonsurgical patients with end-stage heart failure (n = 132) were analyzed. Serial transthoracic echocardiography was used to characterize aortic valve regurgitation as a function of time.ResultsLeft ventricular assist device implantation was associated with worsening aortic valve regurgitation, defined as an increase in aortic valve regurgitation grade, relative to the nonsurgical patients with end-stage heart failure (P < .0001). The recipients of continuous flow left ventricular assist devices were more likely than recipients of pulsatile left ventricular assist devices to develop worsening aortic valve regurgitation (P = .0348). Moderate or severe aortic valve regurgitation developed in 21 left ventricular assist device recipients; this was unrelated to the type of device implanted (continuous vs pulsatile; P = .754) or aortic valve regurgitation grade before left ventricular assist device implantation (P = .42). Five patients developed severe aortic valve regurgitation; all of whom underwent aortic valve procedures.ConclusionsNative aortic valve regurgitation developed and/or progressed after left ventricular assist device implantation, with this effect being more pronounced in continuous flow left ventricular assist device recipients. However, the preoperative aortic valve regurgitation grade failed to correlate with the development of substantial aortic valve regurgitation after left ventricular assist device implantation. After left ventricular assist device implantation, aortic valve regurgitation had a small, but discernible, clinical effect, with some patients developing severe aortic valve regurgitation and requiring aortic valve procedures. These data have implications for the long-term management of left ventricular assist device recipients, in particular as the durability of implantable continuous flow left ventricular assist device therapy improves

DEPORTMENT AND MANAGEMENT OF METALS PRODUCED DURING COMBUSTION OF CCA-TREATED TIMBERS

Abstract Experiments were conducted to study CCA-treated wood combustion over a range of temperature and oxygen concentrations with a view to understanding the factors affecting energy and metals recovery from waste treated timber. CCA-treated wood was burned in a furnace at temperatures from 400-940ºC and oxygen concentrations between 5-21%. The ash and condensed volatiles were digested for total concentrations of metals and subjected to leaching tests to determine the stabilized concentrations of metals. Arsenic volatilization increased with increasing furnace temperature whereas the copper and chromium reported mainly to the ash product. The effect of oxygen concentration was weak although it appeared that more arsenic volatilizes at higher oxygen concentrations. However, a larger proportion of the arsenic in the ash generated at lower oxygen concentrations is solubilized during leaching tests, hence the concentration of stabilized arsenic in the ash is relatively unaffected by oxygen concentration