Multidimensional Assessment of Chronic Low Back Pain: Predicting Treatment Outcomes

This study explored responses of chronic low back pain patients to treatment for different types of patients (dysfunctional, interpersonally distressed, and minimizer/adaptive coper), as classified using the Multidimensional Pain Inventory (MPI). In addition, changes in MPI scores during treatment were examined separately for each patient type. Finally, this study explored the relationships between changes in MPI scores and physical improvement. Between-group differences in improvement were significant, with dysfunctional patients showing the most improvement on several scales. MPI scales that best predicted physical improvement differed according to patient type. Implications for treatment of low back pain patients are suggested, based upon differential reactions to treatment and different predictors of physical improvement for each patient group.     

Filling of the Circle of Willis in carotid angiography using halothane anesthesia

A comparative study of 150 carotid angiographies carried out under local anaesthesia and the same number under halothane anaesthesia did not show any great deviation from the well-known filling rates of the counter-lateral carotid region and the ipsilateral A. cerebri posterior nor any striking differences in the two methods of anaesthesia which could convince of a favourable influence of halothane on the demonstration of the vessels. The causative factors of the filling of adjacent vascularisation regions can certainly only be explained from the complex co-action of physiological and any external factors in cerebral angiography.     

For an indeterministic ethics. The emptiness of the rule in dubio pro vita and life cessation decisions

It is generally claimed that there exist exceptional circumstances when taking human life may be approved and when such actions may be justified on moral grounds. Precise guidelines in the medical field for making such decisions concerning patients who are terminally ill or have irreparable injuries incompatible with a bearable life, are difficult to establish. Recommendations that take the particular logical form of a rule, such as "in dubio pro vita", "when in doubt favour life") have been suggested and in some countries incorporated into legal texts (Germany). We claim here that such a rule is of no value since it is open-ended and always allows for doubt, and a decision to employ measures that would support human life could always be argued to be a valid choice. Preservation of this rule could be encouraged, but giving it the force of law may put physicians at risk, as they may be challenged for choosing to terminate life in otherwise ethically and medically uncontroversial circumstances.     

Spared anterograde memory for shock-probe fear conditioning after inactivation of the amygdala

Previous studies have shown that amygdala lesions impair avoidance of an electrified probe. This finding has been interpreted as indicating that amygdala lesions reduce fear. It is unclear, however, whether amygdala-lesioned rats learn that the probe is associated with shock. If the lesions prevent the formation of this association, then pretraining reversible inactivation of the amygdala should impair both acquisition and retention performance. To test this hypothesis, the amygdala was inactivated (tetrodotoxin; TTX; 1 ng/side) before a shock-probe acquisition session, and retention was tested 4 d later. The data indicated that, compared with rats infused with vehicle, rats infused with TTX received more shocks during the acquisition session, but more importantly, were not impaired on the retention test. In Experiment 2, we assessed whether the spared memory on the retention test was caused by overtraining during acquisition. We used the same procedure as in Experiment 1, with the exception that the number of shocks the rats received during the acquisition session was limited to four. Again the data indicated that amygdala inactivation did not impair performance on the retention test. These results indicate that amygdala inactivation does not prevent the formation of an association between the shock and the probe and that shock-probe deficits during acquisition likely reflect the amygdala's involvement in other processes.     

Beiträge der deutschsprachigen forensischen Verhaltenswissenschaft zur kriminalprognostischen Methodenentwicklung

Forensic risk assessment of an offender is a complex process of obtaining targeted information from diverse sources and creating an integrated conceptualization of the information. The goal must not be limited to an assessment of the risk of recidivism of an offender. In fact, it is important to understand why an offender committed such a crime in order to inform decision makers and enable them to provide appropriate interventions and tailored management of future risks in individual cases. Risk assessment and risk measures have considerably evolved over the last decades and distinct approaches to and generations of risk assessment can be differentiated. This article gives an overview and introduction to the different approaches to scientifically based risk assessment including the strengths, weaknesses and empirical foundation. The focus will be on approaches used in the German language due to specific judicial considerations of the German legal system. This places special requirements on the degree of individualization and consideration of any special characteristics of individual cases for the assessment of the risk of recidivism relevant to criminal law. On the other hand, many of the currently employed methods and instruments originate from other, mostly English-speaking countries. For this reason, an outline of the international research on risk assessment is initially given.     

Utilizing probabilities as decision weights in closed and open information boards: A comparison of children and adults

Decisions in preschoolers (6 years), elementary schoolers (9.7 years), and adults (21 years) were studied with an information board crossing three probabilistic cues (validities: .83, .67, .50) with two options. Experiment 1 (n = 215) applied a standard version of the information board (closed presentation format), in which information must be searched sequentially and kept in mind for the decision. Experiment 2 (n = 217) applied an open format (Glöckner & Betsch, 2008), in which all information was visible during decision making. Elementary schoolers but not preschoolers benefited from an open format — indicated by an increase in using probabilities as decision weights. In the open but not closed format, choices were biased by normatively irrelevant information (the lure). Variations in the prediction patterns of the cues influenced decisions in all age groups. Effects for presentation format, pattern, and lure jointly indicate that even children are capable of considering multiple information in their decisions.     

“A new book in Jewish affairs begins”: Maurice de Hirsch and the waning power of Jewish philanthropy at the Fin-de-Siècle

This article looks at Jewish responses to the death of the banker, railroad entrepreneur, and philanthropist Maurice de Hirsch in 1896, the same year that Theodor Herzl published his Jewish State. Examining printed eulogies and obituaries that appeared in Jewish newspapers, from Eastern Europe to France, and from Germany to the Ottoman Empire, the article demonstrates how contemporaries understood the passing of Baron Hirsch as the end of a golden age of Jewish philanthropy. While they celebrated the legacy of the late benefactor, the leaders of Jewish public opinion across Europe realized that the challenges that began to undermine the liberal order established in the century of emancipation were calling for a political response that philanthropy could no longer offer.     

Motor and Visual-spatial Cognition Development in Primary School-Aged Children in Cameroon and Germany

It was the main goal of this study to investigate the motor and visual-spatial development in primary school-aged children in Cameroon and Germany. Thirty-four children from each country completed a motor test and a mental rotation test. It was found that children in Cameroon showed a better motor ability (better overall gross motor score and also on most single items) than children in Germany did. This can be explained by the early motor stimulation in infancy in Cameroon. Concerning mental rotation performance, Cameroonian children perform below chance level. A positive correlation between the overall motor ability and mental rotation performance could only be analyzed and conducted in the German sample. Therefore, this study emphasizes the need for the development of culture-fair cognitive tests.