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Personality traits are associated with major adverse coronary events (MACE) in patients with coronary artery disease (CAD). However, the link between personality traits and intravascular morphology in CAD patients is poorly understood. This study investigated the relationship between personality traits, specifically Type A behavior pattern and Type D personality, and plaque vulnerability. After adjustment for demographic and clinical factors, multivariable regression analysis showed no association between Type A and optical coherence tomography indices. However, Type D personality was independently associated with lipid plaque, thin cap fibroatheroma (TCFA), and fibrous cap thickness. More specifically, negative affectivity of Type D was related to lipid plaque, TCFA and fibrous cap thickness, and social inhibition was associated with plaque rupture. Our results show that Type D personality was associated with plaque vulnerability, independent of clinical factors. Measurement of negative affectivity and social inhibition will increase our understanding of the progressive phase of the plaque vulnerability, which can contribute to the early identification of high risk patients and reduce the incidence of MACE.  相似文献   
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The aim of this meta-analysis was to evaluate the effects of disease education or pulmonary rehabilitation programs assisted with telephone support on physical capacity and quality of life (QOL) in chronic obstructive pulmonary disease (COPD) patients. A systematic search of PubMed, Embase, Web of Science and The Cochrane Library was conducted until May 2017. Randomized controlled trials (RCTs) examining the effects of telephone-assisted intervention versus a control group on exercise tolerance and QOL in patients with COPD were included. Two independent authors assessed the methodological quality of the trials using the Cochrane risk of bias tool. A meta-analysis was conducted with the Revman5.3 to quantify the effects of telephone-assisted interventions on walking capacity and QOL. In total, 10 studies involving 1037 participants were included. Due to the effect of telephone-assisted interventions, statistically significant results were found on Saint-George’s Respiratory Questionnaire (SGRQ) symptom scores [standard mean difference (SMD) ?.18, 95% confidence interval (CI) ?.33, ?.03, p-value .02)], SGRQ impact scores [SMD ?.35, 95% CI ?.60, ?.10, p-value .006)], SGRQ activity scores [SMD ?.30, 95% CI ?.45, ?.15, p-value < .0001)], SGRQ total score [SMD ?.36, 95% CI ?.51, ?.21, p-value < .00001)]. The effects on 6-min walk test (6MWT) and all Chronic Respiratory Questionnaire (CRQ) subscales were not significant (p > .05) based on the insufficient evidence. In conclusion, the role of telephone-assisted interventions in the management of COPD remains equivocal. Some encouraging results were seen with regard to SGRQ symptom, SGRQ impact, SGRQ activity and SGRQ total score. We believe that more methodologically rigorous large-scale randomized controlled trials are necessary to answer this study question.  相似文献   
44.
The visual system is remarkably efficient at extracting regularities from the environment through statistical learning. While such extraction has extensive consequences on cognition, it is unclear how statistical learning shapes the representations of the individual objects that comprise the regularities. Here we examine how statistical learning alters object representations. In three experiments, participants were exposed to either random arrays containing objects in a random order, or structured arrays containing object pairs where two objects appeared next to each other in fixed spatial or temporal configurations. After exposure, one object in each pair was briefly presented and participants judged the location or the orientation of the object without seeing the other object in the pair. We found that when an object reliably appeared next to another object in space, it was judged as being closer to the other object in space even though the other object was never presented (Experiments 1 and 2). Likewise, when an object reliably preceded another object in time, its orientation was biased toward the orientation of the other object even though the other object was never presented (Experiment 3). These results demonstrated that statistical learning fundamentally shapes how individual objects are represented in visual memory, by biasing the representation of one object toward its co-occurring partner. Importantly, participants in all experiments were not explicitly aware of the regularities. Thus, the bias in object representations was implicit. The current study reveals a novel impact of statistical learning on object representation: spatially co-occurring objects are represented as being closer in space, and temporally co-occurring objects are represented as having more similar features.  相似文献   
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生命意义(Meaning in life)指人们对自己生命中的目的、目标的认识和追求,主要包括意义存在(Presence of Meaning)和意义追求(Search for Meaning)两个维度。生命意义缺失(Absence of Meaning)指个体缺乏生活的目标、对自身存在价值和意义感的感知。意义缺失的体验一方面会带来焦虑、抑郁等消极影响,另一方面将激发起个体强烈的重构意义的动机,引导人们进行意义追求。未来研究应增加对生命意义的获取和提升、意义缺失的原因、含义与结构、意义追求的动机和效果的研究。  相似文献   
47.
Mandarin speakers, like most other language speakers around the world, use spatial terms to talk about time. However, the direction of their mental temporal representation along the front‐back axis remains controversial because they use the spatial term “front” to refer to both earlier times (e.g., front‐year means “the year before last”) and the future (e.g., front‐road means “prospect”). Although the linguistic distinction between time‐ and ego‐reference‐point spatiotemporal metaphors in Mandarin suggests a promising clarification of the above controversy, there is little empirical evidence verifying this distinction. In this study, Mandarin speakers’ time‐ and ego‐reference‐point temporal representations on three axes (i.e., sagittal, lateral, and vertical) were separately examined through two tasks. In a time‐reference‐point task, Mandarin speakers judged whether the time point of the second picture was earlier or later than the time point of the first picture, while in an ego‐reference‐point task, they judged whether an event or phase had happened in the past or would happen in the future. The results indicate that Mandarin speakers construe an earlier‐times‐in‐front‐of‐later‐times temporal sequence and adopt the front‐to‐the‐future orientation.  相似文献   
48.
Previous behavioral and neurophysiological research has shown better memory for horizontal than for vertical locations. In these studies, participants navigated toward these locations. In the present study we investigated whether the orientation of the spatial plane per se was responsible for this difference. We thus had participants learn locations visually from a single perspective and retrieve them from multiple viewpoints. In three experiments, participants studied colored tags on a horizontally or vertically oriented board within a virtual room and recalled these locations with different layout orientations (Exp. 1) or from different room-based perspectives (Exps. 2 and 3). All experiments revealed evidence for equal recall performance in horizontal and vertical memory. In addition, the patterns for recall from different test orientations were rather similar. Consequently, our results suggest that memory is qualitatively similar for both vertical and horizontal two-dimensional locations, given that these locations are learned from a single viewpoint. Thus, prior differences in spatial memory may have originated from the structure of the space or the fact that participants navigated through it. Additionally, the strong performance advantages for perspective shifts (Exps. 2 and 3) relative to layout rotations (Exp. 1) suggest that configurational judgments are not only based on memory of the relations between target objects, but also encompass the relations between target objects and the surrounding room—for example, in the form of a memorized view.  相似文献   
49.
文章以"集体主义—个体主义"这一基本文化差异维度为基础,围绕文化、基因和大脑之间的关系,介绍了国内外最新研究进展。研究显示当人类执行各种文化任务时,那些为人类生存提供有力帮助的基因会被选择和保留下来;在自我表征,注意和知觉,决策、情绪和意向推断等心理状态或过程上的"集体主义—个体主义"文化差异都可追溯到脑功能的差异。研究者先后提出社会脑假设、文化—基因协同进化论、神经—文化交互作用模型等理论来解释基因、文化与大脑交互作用的现象。文章分析了当前研究中存在的问题,并对未来的研究进行了展望。  相似文献   
50.
For bulk piezoelectric ceramics plates, the fundamental thickness-stretch (TSt) waves are always coupled to the in-plane extension waves and the symmetric thickness-shear waves. The occurrence of these spurious modes in bulk piezoelectric ceramics plates is undesirable as it may interfere with the operation of transducers. 1–3 piezoelectric composites are promising candidates to suppress the spurious modes mentioned above. However, theoretical modelling of multiphase ceramic composite objects is very complex. In this study, a simple analytical TSt vibration model is constructed from three-dimensional equations of linear piezoelectricity. The mechanical damping is considered in the model by introducing a complex elastic constant. The performance of 1–3 piezoelectric composites is analysed and the electrical impedance results from theoretical and experimental analysis are compared. The results show that there is excellent agreement between the experimental electrical impedance and that obtained by the theoretical TSt vibration analysis. This indicates that 1–3 piezoelectric composites can be operated in a nearly pure TSt vibration mode near the fundamental resonance. The analytical model we present is valid for analysing 1–3 piezoelectric composites plates with large aspect ratios quickly and efficiently.  相似文献   
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