Primal world beliefs correlate strongly but differentially with character strengths

Primal world beliefs–primals–are a category of beliefs about the overall character of the world (e.g., the world is a safe place). Theory suggests that such beliefs drive personality development–or at least reflect personality differences, such as character strengths. We examined the relationships of primals with character strengths among 1122 German-speaking adults. The primary primal good explained the most variance in most character strengths, especially hope, spirituality, zest, gratitude, curiosity, and leadership. Including specific secondary (e.g., safe, enticing, alive) and tertiary primals (e.g., beautiful, needs me, funny) often yielded better predictions, but, with few exceptions, increments were typically smaller than that of the primary primal. We recommend including these primals in positive psychology interventions and describe three couplings of primals and character strengths that may prove especially fruitful for future research and practice

The fear of being laughed at among psychiatric patients

The fear of being laughed at brings to the fore the problematic side of an otherwise very positive aspect of human experience. In the streamline of investigations analyzing the presence and characteristics of gelotophobia, a study focusing on psychiatric patients was carried out. The diagnoses were established according to the criteria of the DSM IV TR (American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders (DSM), APA, 2000). Based both on clinical and empirical observations, the main hypothesis advanced was that using the Geloph15 scale, Ss with a psychiatric diagnosis would have higher mean scores than Normal Controls. An additional hypothesis was that intragroup differences were also expected among the various diagnostic categories. The main hypothesis was amply supported, and explanatory suggestions of the finding were proposed. Intragroup differences proved also to be significant. Patients with personality disorders and patients with schizophrenic disorders scored higher than Normal Controls and the other diagnostic groups. And also the number of years spent in psychiatric care resulted significantly associated with higher gelotophobia mean scores. From the present study, a circular, interactive relationship was confirmed between laughter and mental health, which can alternatively be highly positive or deeply negativ

Dinitrogen emissions: an overlooked key component of the N balance of montane grasslands

While emissions of nitric oxide (NO), ammonia (NH₃) and nitrous oxide (N₂O) from grassland soils have been increasingly well constrained, soil dinitrogen (N₂) emissions are poorly understood. However, N₂ losses might dominate total gaseous nitrogen (N) losses. Knowledge on N losses is key for the development of climate-adapted management that balances agronomic and environmental needs. Hence, we quantified all gaseous N losses from a montane grassland in Southern Germany both for ambient climatic conditions and for a climate change treatment (+ 2°C MAT, - 300 mm MAP). Monthly measurements of soil N₂ emissions of intact soil cores revealed that those exceeded by far soil N₂O emissions and averaged at 350 ± 101 (ambient climate) and 738 ± 197 lg N m¯²h¯¹ (climate change). Because these measurements did not allow to quantify emission peaks after fertilization, an additional laboratory experiment was deployed to quantify the response of NH₃, NO, N₂O, and N₂ emissions in sub daily temporal resolution to a typical slurry fertilization event (51 kg N ha¯¹). Our results revealed that total N gas losses amounted to roughly half of applied slurry-N. Surprisingly, N₂ but not NH₃ dominated fertilizer N losses, with N₂ emissions accounting for 16–21 kg or 31–42% of the applied slurry-N, while NH₃ volatilization (3.5 kg), N2O (0.2–0.5 kg) and NO losses (0–0.2 kg) were of minor importance. Though constraining annual N₂ loss remained uncertain due to high spatiotemporal variability of fluxes, we show that N₂ losses are a so far overlooked key component of the N balance in montane grasslands, which needs to be considered for developing improved grassland management strategies targeted at increasing N use efficiency

Impact of On-Clopidogrel Platelet Reactivity on Incidence of Peri-Interventional Bleeding in Patients Undergoing Transcatheter Aortic Valve Implantation.

Dual anti-platelet therapy (DAPT) with clopidogrel and acetylsalicylic acid (ASA) has previously been recommended after transcatheter aortic valve implantation (TAVI) and is still the standard of care in patients who underwent coronary stent placement within 3 months prior to TAVI. This study sought to evaluate whether on-treatment platelet reactivity is a predictor for the occurrence of bleeding events after TAVI. This study enrolled 484 patients undergoing TAVI from November 2013 until April 2018. Patients were either on long-term DAPT with clopidogrel and ASA or received loading doses of both drugs before TAVI, reflecting the standard of care at the time of the patient's enrollment. Platelet reactivity was determined by multi-electrode impedance aggregometry before TAVI, at days 1 and 5 thereafter. Peri-interventional bleeding was assessed up to 5 days following TAVI and coded according to BARC-classification. Bleeding events were seen in 199 (41.1%) patients. The most frequent were BARC 2 bleeding cases (24.2%), followed by BARC 1 (6.0%), BARC 3b (5.2%), and BARC 3a (4.5%) cases. Low on-clopidogrel platelet reactivity before TAVI was present in 243 patients, of which 44.4% had a bleeding event. In contrast, the incidence of bleeding was 30.5% in the 95 patients with high on-clopidogrel platelet reactivity. Multivariate logistic regression analysis identified low/normal/high on-clopidogrel platelet reactivity (OR: 0.533; CI: 0.309-0.917; p = 0.023) and use of oral anticoagulation (OR: 1.766; CI: 1.209-2.581; p = 0.003) as strongest predictors for peri-interventional bleeding events. These findings support current recommendations advocating against the routine use of dual antiplatelet therapy following TAVI

Towards Symbolic Model-Based Mutation Testing: Combining Reachability and Refinement Checking

Model-based mutation testing uses altered test models to derive test cases that are able to reveal whether a modelled fault has been implemented. This requires conformance checking between the original and the mutated model. This paper presents an approach for symbolic conformance checking of action systems, which are well-suited to specify reactive systems. We also consider nondeterminism in our models. Hence, we do not check for equivalence, but for refinement. We encode the transition relation as well as the conformance relation as a constraint satisfaction problem and use a constraint solver in our reachability and refinement checking algorithms. Explicit conformance checking techniques often face state space explosion. First experimental evaluations show that our approach has potential to outperform explicit conformance checkers.Comment: In Proceedings MBT 2012, arXiv:1202.582

Disentangling gross N₂O production and consumption in soil

The difficulty of measuring gross N₂O production and consumption in soil impedes our ability to predict N₂O dynamics across the soil-atmosphere interface. Our study aimed to disentangle these processes by comparing measurements from gas-flow soil core (GFSC) and $^{15}$N₂O pool dilution ($^{15}$N₂OPD) methods. GFSC directly measures soil N₂O and N₂ fluxes, with their sum as the gross N₂O production, whereas $^{15}$N₂OPD involves addition of $^{15}$N₂O into a chamber headspace and measuring its isotopic dilution over time. Measurements were conducted on intact soil cores from grassland, cropland, beech and pine forests. Across sites, gross N₂O production and consumption measured by $^{15}$N₂OPD were only 10% and 6%, respectively, of those measured by GFSC. However, $^{15}$N₂OPD remains the only method that can be used under field conditions to measure atmospheric N₂O uptake in soil. We propose to use different terminologies for the gross N₂O fluxes that these two methods quantified. For $^{15}$N₂OPD, we suggest using ‘gross N₂O emission and uptake’, which encompass gas exchange within the $^{15}$N₂O-labelled, soil air-filled pores. For GFSC, ‘gross N₂O production and consumption’ can be used, which includes both N₂O emitted into the soil air-filled pores and N₂O directly consumed, forming N₂, in soil anaerobic microsites

Categorising interventions to levels of inpatient care for small and sick newborns: Findings from a global survey.

BACKGROUND: In 2017, 2.5 million newborns died, mainly from prematurity, infections, and intrapartum events. Preventing these deaths requires health systems to provide routine and emergency care at birth, and quality inpatient care for small and sick newborns. Defined levels of emergency obstetric care (EmOC) and standardised measurement of "signal functions" has improved tracking of maternal care in low- and middle-income countries (LMICs). Levels of newborn care, particularly for small and sick newborns, and associated signal functions are still not consistently defined or tracked. METHODS: Between November 2016-November 2017, we conducted an online survey of professionals working in maternal and newborn health. We asked respondents to categorise 18 clinical care interventions that could act as potential signal functions for small and sick newborns to 3 levels of care they thought were appropriate for health systems in LMICs to provide: "routine care at birth", "special care" and "intensive care". We calculated the percentage of respondents that classified each intervention at each level of care and stratified responses to look at variation by respondent characteristics. RESULTS: Six interventions were classified to specific levels by more than 50% of respondents as "routine care at birth," three interventions as "special care" and one as "intensive care". Eight interventions were borderline between these care levels. Responses were more consistent for interventions with relevant WHO clinical care guidelines while more variation in respondents' classification was observed in complex interventions that lack standards or guidelines. Respondents with experience in lower-income settings were more likely to assign a higher level of care for more complex interventions. CONCLUSIONS: Results were consistent with known challenges of scaling up inpatient care in lower-income settings and underline the importance of comprehensive guidelines and standards for inpatient care. Further work is needed to develop a shortlist of newborn signal functions aligned with emergency obstetric care levels to track universal health coverage for mothers and their newborns