Is there an optimal factor structure of the Positive and Negative Syndrome Scale in patients with first‐episode psychosis?

The Positive and Negative Syndrome Scale (PANSS) is the most widely used scale to assess a variety of symptoms in patients with schizophrenia and other psychoses. The factor structure of the PANSS has been examined with confirmatory factor analyses in several studies, but not in a well‐defined first‐episode psychosis sample. The aim of this paper is to examine the statistical fit of five different PANSS models in a first‐episode, non‐affective psychosis sample. Confirmatory factor analyses were performed on PANSS data (n = 588). A main criterion for best fit was defined as the Expected Cross Validation Index (ECVI). No tested model revealed an optimally satisfactory model fit index. The Wallwork/Fortgang five‐factor model demonstrated the most optimal psychometric properties. The corresponding subscales of all evaluated five‐factor models were strongly intercorrelated. The Wallwork/Fortgang five‐factor model was found to be statistically and clinically ideal among patients with first‐episode psychosis. Therefore, we recommend this model in forthcoming studies among patients with first‐episode psychosis. However, to prevent the loss of clinically valuable information on an item level, we do not recommend removing any items from the original form. Our study also implies that the specific choice of model will not have a substantial effect on outcome results in studies on the course and outcome in first‐episode psychosis.     

The military chaplain: a study in ambiguity

This article looks at the ambiguities in the role of the military chaplain from three points of view. The first considers the nature of the constituency within which the chaplain ministers, paying particular attention to the degree – or otherwise – of secularisation and the reasons for this. The second examines the role of the chaplain in relation to the two institutions which he or she serves (i.e. church and state) and the tensions that emerge as a result. These are articulated in terms of ‘an angle of eschatological tension’. The third is concerned with ‘the roles within the role’ – that is the variety of tasks that make up the role of chaplaincy and the degree to which these are compatible with each other. The significance of theology in the resolution of the ensuing issues is set against diminishing societal resources in terms of religious literacy.     

婴儿期外显问题行为的发生与表现及成因分析

外显问题行为是指一组表现在外的、反映了儿童对外部环境消极反应的行为。研究表明婴儿最早于8个月时便已出现外显问题行为,且婴儿期这类行为主要表现为愤怒/发脾气、不顺从/反抗、攻击、破坏性、过度活跃、注意力不集中等,其成因可从早期经验因素、遗传与环境的交互作用等方面解释。此外,外显问题行为的干预研究可从差别易感性理论入手,从而为特定气质类型以及携带可塑性基因的婴儿提高了外显问题行为的干预效果。本文在梳理上述研究的基础上,对该领域研究的局限性进行了小结并对未来研究的方向进行了展望。     

Defective number module or impaired access? Numerical magnitude processing in first graders with mathematical difficulties

This study examined numerical magnitude processing in first graders with severe and mild forms of mathematical difficulties, children with mathematics learning disabilities (MLD) and children with low achievement (LA) in mathematics, respectively. In total, 20 children with MLD, 21 children with LA, and 41 regular achievers completed a numerical magnitude comparison task and an approximate addition task, which were presented in a symbolic and a nonsymbolic (dot arrays) format. Children with MLD and LA were impaired on tasks that involved the access of numerical magnitude information from symbolic representations, with the LA children showing a less severe performance pattern than children with MLD. They showed no deficits in accessing magnitude from underlying nonsymbolic magnitude representations. Our findings indicate that this performance pattern occurs in children from first grade onward and generalizes beyond numerical magnitude comparison tasks. These findings shed light on the types of intervention that may help children who struggle with learning mathematics.     

A priori causal laws

Sober and Elgin defend the claim that there are a priori causal laws in biology. Lange and Rosenberg take issue with this on Humean grounds, among others. I will argue that Sober and Elgin don’t go far enough – there are a priori causal laws in many sciences. Furthermore, I will argue that this thesis is compatible with a Humean metaphysics and an empiricist epistemology.     

不当出生损害赔偿诉析

因不当出生(wrongful birth)使父母因缺陷儿童多支付了大量的医疗、人力照顾以及特殊教育的费用,同时受到身心痛苦,如果不给予一定的救济是很不公平的,承认该类诉讼是各国共同趋势.在我国应以契约法来处理这类诉讼.     

妊娠期肝内胆汁淤积症研究中的因果论

妊娠期肝内胆汁淤积症是一种常见的妊娠晚期并发症,对围产儿的危害极大,其确切的病因及发病机制尚未十分清楚。只有了解了疾病的起因,才能更好地进行防治。凡病必有其因,以果推因,再取因治果,这是典型的因果论的应用。     

Motor unit firing rates of the first dorsal interosseous differ between male and female children aged 8–10 years

The purpose of this study was to examine possible differences in motor unit action potential amplitudes (MUAP_AMPS) and firing rates of the first dorsal interosseous (FDI) in male and female children aged 8–10 years. Eight male (mean ± SD, age = 8.8 ± 0.7 yrs; BMI = 16.5 ± 1.3 kg/m²) and eight female (age = 9.3 ± 0.9 yrs; BMI = 16.1 ± 1.5 kg/m²) children volunteered to complete isometric trapezoidal muscle actions of the first dorsal interosseous at 50% of maximal voluntary contraction (MVC). Electromyographic signals were decomposed to yield MUAP_AMPS and mean firing rates (MFR) at the targeted force. An exponential model was fitted to the MUAP_AMPS vs. recruitment threshold (RT) while linear models were fitted to the MFRs vs. RT relationships for each subject. Ultrasonography determined the muscle cross-sectional area (CSA) of the FDI. Independent samples t-tests were used to examine possible differences between the male and female children for MVC strength, CSA, and the coefficients from the MU relationships. There were no differences in MVC strength, CSA, or the MUAP_AMP vs. RT relationships between the male and female children (P < 0.05). Males, however, had greater MFRs of lower-threshold MUs as evident by significantly larger y-intercepts (P = 0.019) and more negative slopes (P = 0.004) from the MFR vs. RT relationships. Despite no differences in muscle strength, CSA, and MUAP_AMPS, differences in firing rates existed between male and female children aged 8–10 years. Neural mechanisms may primarily contribute to sex-related differences in firing rates.     

Ballot Photographs as Cues in Low‐Information Elections

In low‐information elections, voters are often faced with the task of choosing from a list of unknown candidates. By examining a set of low‐information elections where candidate photographs were displayed on the ballot, we test how first impressions of candidates can influence election outcomes. We find that attractive candidates are more likely to be attributed the qualities associated with successful politicians and these trait inferences, based on facial appearances, influence the outcomes of elections. We also find that these trait inferences are based on physical characteristics of the candidates, such as age, race and ethnicity, evident from a photograph. Therefore, first impressions can be important determinants of election outcomes, especially in low‐information elections.     

Forcing in Łukasiewicz Predicate Logic

In this paper we study the notion of forcing for Łukasiewicz predicate logic (Ł∀, for short), along the lines of Robinson’s forcing in classical model theory. We deal with both finite and infinite forcing. As regard to the former we prove a Generic Model Theorem for Ł∀, while for the latter, we study the generic and existentially complete standard models of Ł∀. Presented by Jacek Malinowski