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Interoceptive exposure (IE) is a standard component of cognitive-behavioural therapy (CBT) for panic disorder and agoraphobia. The virtual reality (VR) program ‘Panic-Agoraphobia’ has several virtual scenarios designed for applying exposure to agoraphobic situations; it can also simulate physical sensations. This work examines patients' acceptability of the IE component as applied in two different ways: using VR versus traditional IE. Additionally, it explores the relationship between users' treatment expectations and satisfaction and clinically significant change. Results showed that VR and traditional IE were well accepted by all participants. Furthermore, treatment expectations predicted efficacy.  相似文献   
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Dental education programs are known to be highly stressful and stress can affect general health. The aims were to identify sources of stress among preclinical students and to evaluate their perceived levels of stress, self-efficacy and effective coping strategies in a private dental school. One hundred preclinical students in a Turkish private dental school were surveyed using dental environment stress (DES), perceived stress (PSS), general self-efficacy (G-SES) and brief coping scales (Brief-COPE). Age, gender, history of psychiatric treatment, factors that affected the choice of dentistry, choice rank of dental school, scholarship and income was recorded. ‘Exams and grades’ followed by ‘Fear of failing course or year’ were found to be the most stressprovoking factors. The most and the least stressprovoking DES domains were ‘Workload’ and ‘Social stressors’, respectively. ‘Social stressors’ affected male more than female (p < .05). The most and the least common coping strategies were found to be ‘Planning’, and ‘Drug’, respectively. Female used ‘Instrumental support’ more than male (p < .05). Demographic factors had impact on the perceived stress factors and levels, as well as coping strategies. Unlike previous studies establishing high stress levels in dental students, preclinical students displayed moderate level of stress. Clinical dental education might be more responsible for creating stress.  相似文献   
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Rheumatoid arthritis (RA) prevalence increases with age and old people are special patient population. The recognition of functional disability related to RA could be challenging in elderly patients because aging itself and potential co-morbid disease may also cause functional disability. In this study, we aimed to look at the correlation between disease activity and functional disability in elderly RA patients. Elderly RA patients, ≥65 years old at their routine visits were included in the study. The composite ‘disease activity score’ in 28 joints (DAS-28) was used to determine disease activity groups. Health assessment questionnaire (HAQ) scores were calculated to describe the functional disability and compared across the disease activity groups. Two hundred and fifty-eight RA patients with the mean age of 71 ± 5 (65–90) and a total disease duration of 8.4 ± 8.5 (.5–50) years were recruited. The proportion of patients with high and moderate disease activity was 70%. HAQ scores were significantly correlated with disease activity (p < .05). Functional disability estimated by HAQ was correlated with disease activity in elderly patients with RA  相似文献   
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Collaborative learning is often used in higher education to help students develop their teamwork skills and acquire curricular knowledge. In this paper we test a mediation model in which the quality of group discussions mediates the impact of gender diversity and group motivation on collaborative learning effectiveness. Our results show that the proportion of women in groups, and the group level need for cognition and core self-evaluations (within group average) positively predict discussion quality that in turn predicts group (academic) performance. Our results show that discussion quality fully mediates the effects of need for cognition and core self-evaluations on group performance. The effect for gender diversity on group performance is only partly mediated by discussion quality.  相似文献   
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Turning biases in humans and animals are known to be related to dopaminergic asymmetry between the brain hemispheres. A laboratory method, in which turning preference was evaluated, was adapted based upon the turning of the subject toward a particular sound in a square room. One of the aims of this study was to investigate the reliability of this method with children, and the other aim was to research the turning preference in boys and girls. 31 children between 7 and 13 yr. old volunteered as subjects, and 17 subjects were retested. The subjects tended significantly to turn leftward (60.1%), and fewer girls (53.7%) turned to the left than boys (66.2%). The correlation between the test and the retest was significant (r=.79, p< .01). Most studies have indicated that humans in childhood and adulthood exhibit left-turning preference, but conflicts between the results obtained on different types of rotation tasks have suggested that hemispheric dopaminergic activity might affect preference. That needs study.  相似文献   
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ABSTRACT

To some extent, the early twentieth century revival of universal languages was the work of logicians and mathematicians. Pioneers of modern logic such as Frege, Russell and Peano wanted to overcome the diversity and deficiencies of natural languages. Through the rigour of formal logic, they aimed at providing scientific thinking with a reliable medium free from the ambiguity and inconsistencies of ordinary language. This article shows some interconnections between modern logic and the search for a common tongue that would unite scientists and people of all nations. The French mathematician and philosopher Louis Couturat is a key figure in understanding the interplay between these two movements. Through his work in composing the Ido language as an alternative to Esperanto, Couturat gave a new life to the Leibnizian idea of a universal characteristics. In addition, his multifaceted work provides a valuable insight into some political implications of early analytic philosophy.  相似文献   
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